Use of expert systems for integrated silvicultural planning

Science.gov (United States)

Chris B. LeDoux

1997-01-01

The use of silvicultural treatments in hardwood stands presents opportunities for increasing the growth and yield of quality sawtimber and enhancing the suitability of the site for use by numerous species of wildlife. Planners, loggers, and managers must consider multiple aspects of the ecosystem when making silvicultural decisions. In this paper we demonstrate an...

Silvicultural treatments enhance growth rates of future crop trees in a tropical dry forest

NARCIS (Netherlands)

Villegas, Z.; Peña-Claros, M.; Mostacedo, B.; Alarcón, A.; Licona, J.C.; Leaño, C.; Pariona, W.; Choque, U.

2009-01-01

Silvicultural treatments are often needed in selectively logged tropical forest to enhance the growth rates of many commercial tree species and, consequently, for recovering a larger proportion of the initial volume harvested over the next cutting cycle. The available data in the literature suggest,

Post-harvesting silvicultural treatments in logging gaps: A comparison between enrichment planting and tending of natural regeneration

NARCIS (Netherlands)

Schwartz, G.; Lopes, J.C.A.; Mohren, G.M.J.; Peña-Claros, M.

2013-01-01

Despite greatly improved forest management in recent decades, long-term assessments show that if current harvesting volumes and cutting cycles are maintained, future volume yields of commercial species will decrease. A possible solution is to apply post-harvesting silvicultural treatments to

Free selection: a silvicultural option

Science.gov (United States)

Russell T. Graham; Theresa B. Jain; Jonathan Sandquist

2007-01-01

Forest management objectives continue to evolve as the desires and needs of society change. The practice of silviculture has risen to the challenge by supplying silvicultural methods and systems to produce desired stand and forest structures and compositions to meet these changing objectives. For the most part, the practice of silviculture offers a robust set of...

Selecting a silvicultural system

Science.gov (United States)

Richard M. Godman

1992-01-01

Sometimes a name creates a problem. The name of a silvicultural system usually refers to the way a stand is cut to get regeneration-"single tree selection"-for example. Trouble is, the name suggests that the regeneration cut will be the first treatment applied to the stand. Not so. We are now mostly making "intermediate" cuts in our Lake States...

Vegetation structure, logging damage and silviculture in a tropical rain forest in Suriname

NARCIS (Netherlands)

Jonkers, W.B.J.

1987-01-01

In the first publication in this series, a polycyclic forest management system was formulated, in which three silvicultural treatments (refinements) were scheduled in a cutting cycle of twenty years. This system, which is referred to as the Celos Silvicultural System, is developed further

The Effect of Silvicultural Management on Regeneration, Growth ...

African Journals Online (AJOL)

improved management, including protection from interference, culm yield of ... silvicultural measure helped boosting up of bamboo productivity (Midmore 2009). .... experiment was replicated three times, making the total number of plots ( ...

The sound bases of systemic silviculture

Directory of Open Access Journals (Sweden)

Nocentini S

2009-11-01

Full Text Available Following recent critiques on systemic silviculture, the author examines the principles, scientific consequences and practical implications of this theory. Systemic silviculture is based on the assumption that the forest is a complex biological system. This means abandoning the reductive, mechanistic and deterministic paradigm that has characterized forest science until the last century. If the forest is a complex biological system then its properties cannot be reduced to those of its components. According to this assumption, the author analyzes the concepts of forest structure, predictability and unpredictability of forest ecosystem processes, intrinsic value and rights of the forest. Systemic silviculture is characterized by an adaptive approach which has the flexibility and the capacity to respond to environmental retroactions which are fundamental for the governance of complex and adaptive systems. The author concludes that the bases of systemic silviculture are unassailable and surely much sounder than those of “naturalistic” silviculture, or at least of that type of silviculture which, trying to define “natural structural models” for forest ecosystems, is still anchored to the old, classic, paradigm of natural resource management and conservation.

Getting to the future through silviculture - Workshop proceedings

Science.gov (United States)

Dennis Murphy

1992-01-01

Includes 19 papers documenting presentations at the 1991 Forest Service National Silviculture Workshop. Discussions focus on the role of silviculture in New Perspectives (ecosystem management), new approaches to the practice of silviculture, and examples of successful integration of practices into multi resource management.

Proceedings of the National Silviculture Workshop: Silviculture for All Resources; Sacramento, CA; May 11-14, 1987

Science.gov (United States)

Melanie Malespin Woolever; Mike Smith; Elizabeth McGraw; Mike Lanasa; Arthur C. Zack; Chris Reichert; Robert MacWhorter; Michael R. Lennartz; Richard A. Lancia; Marc G. Rounsaville; James R. Sedell; Fred H. Everest; David R. Gibbons; Stephen R. Shifley; Melinda Moeur; David A. Marquis; Richard O. Fitzgerald; Nelson Loftus; Thomas C. Turpin; William R. Terrill; Glenn L. Crouch; Wayne D. Shepperd; Edith W. Petrick; John J. Petrick; Roger W. Dennington; Allan W. Ashton; Hubertus J. Mittmann; Gary Thompson; Ken Sonksen; David A. Stark; Michael A. Ware; Allan J. West; Patrick D. Jackson; Richard L. Bassett; Jimmie D. Chew; William B. White; Bruce W. Morse; Mike Znerold; Russell T. Graham; Peyton W. Owston; Richard G. Miller; John R. Nesbitt; Gaston Porterie; Ernest Del Rio

1987-01-01

The 1987 National Silviculture Workshop was held in Sacramento, California, and the Eldorado National Forest. The purpose of the workshop was to discuss, review, and share information and experiences regarding how silviculture can serve as the tool to help accomplish the objectives of many resources.

ORGEST: Regional guidelines and silvicultural models for sustainable forest management

Energy Technology Data Exchange (ETDEWEB)

Piqué, Míriam; Vericat, Pau; Beltrán, Mario

2017-11-01

Aim of the study: To develop regional guidelines for sustainable forest management. Area of the study: Forests of Catalonia (NE Spain). Material and methods: The process of developing the forest management guidelines (FMG) started by establishing a thorough classification of forest types at stand level. This classification hinges on two attributes: tree species composition and site quality based on ecological variables, which together determine potential productivity. From there, the management guidelines establish certain objectives and silvicultural models for each forest type. The forest type classifications, like the silvicultural models, were produced using both existing and newly-built growth models based on data from the National Forest Inventory (NFI) and expert knowledge. The effort involved over 20 expert working groups in order to better integrate the expertise and vision of different sectorial agents. Main results: The FMG consist in quantitative silvicultural models that include typical silvicultural variables, technical descriptions of treatments and codes of good practice. Guidelines now cover almost all forest types in Catalonia (spanning up to 90% of the Catalan forest area). Different silvicultural models have been developed for pure and mixed stands, different site quality classes (2–3 classes per species), and even- and multi-aged stands. Research highlights: FMG: i) orient the management of private and public forests, (ii) provide a technical scaffold for efficient allocation/investment of public subsidies in forest management, and (iii) bridge forest planning instruments at regional (strategic-tactical) and stand (operational) level.

ORGEST: Regional guidelines and silvicultural models for sustainable forest management

International Nuclear Information System (INIS)

Piqué, Míriam; Vericat, Pau; Beltrán, Mario

2017-01-01

Aim of the study: To develop regional guidelines for sustainable forest management. Area of the study: Forests of Catalonia (NE Spain). Material and methods: The process of developing the forest management guidelines (FMG) started by establishing a thorough classification of forest types at stand level. This classification hinges on two attributes: tree species composition and site quality based on ecological variables, which together determine potential productivity. From there, the management guidelines establish certain objectives and silvicultural models for each forest type. The forest type classifications, like the silvicultural models, were produced using both existing and newly-built growth models based on data from the National Forest Inventory (NFI) and expert knowledge. The effort involved over 20 expert working groups in order to better integrate the expertise and vision of different sectorial agents. Main results: The FMG consist in quantitative silvicultural models that include typical silvicultural variables, technical descriptions of treatments and codes of good practice. Guidelines now cover almost all forest types in Catalonia (spanning up to 90% of the Catalan forest area). Different silvicultural models have been developed for pure and mixed stands, different site quality classes (2–3 classes per species), and even- and multi-aged stands. Research highlights: FMG: i) orient the management of private and public forests, (ii) provide a technical scaffold for efficient allocation/investment of public subsidies in forest management, and (iii) bridge forest planning instruments at regional (strategic-tactical) and stand (operational) level.

Proceedings of the National Silviculture Workshop: Economics Of Silvicultural Investments; Eugene, OR; May 16-20, 1983

Science.gov (United States)

Clark Row; Charles Palmer; Robert M. Randall; Tom Ortman; James P. Merzenich; Gary Manning; George Howe; Jim McDivitt; Chris Hansen; Willard R. Fey; Vernon L. Robinson; K. E. Sleavin; K. N. Johnson; Roger D. Fight; L. O. (Pete) Stanger; Lee Medema; Christopher D. Risbrudt; Richard W. Guldin; Richard Greenhalgh; Mike Skinner; John Fiske; Thomas J. Mills; John H. Beuter

1983-01-01

The 1983 Silviculture Workshop was held in Eugene, Oregon, and the Willamette National Forest. The purpose of the workshop was to review and discuss the requirements by laws, regulations, and Forest Service policy of the need for and uses of economic analyses in silvicultural program planning and development.

Medium-long term soil resilience against different disturbances: wildfires, silvicultural treatments and climate change

Science.gov (United States)

Hedo de Santiago, Javier; Borja, Manuel Esteban Lucas; de las Heras, Jorge

2016-04-01

Soils of semiarid Mediterranean forest ecosystems are very fragile and sensitive to changes due to different anthropogenic and natural disturbances. The increasing vulnerability of semiarid lands within this world framework has generated growing awareness in the field of research, with highly intensified study into soils properties. One of the main problems of Mediterranean forests is wildfire disturbance. Fire should be considered more an ecological factor but, in contrast to the role of fire, it is now a closely related factor to human action. On the other hand, to improve the recovery of forest communities after fire, silvicultural treatments are needed and, for that matter, another disturbance is added to the ecosystem. By last, climate change is also affecting the fire regime increasing fire frequency and burned area, enhancing the destructiveness to Mediterranean ecosystems. After all of these three disturbances, changes in vegetation dynamics and soil properties are expected to occur due to the plant-soil feedback. Soil plays an essential role in the forest ecosystem's fertility and stability and specifically soil microorganisms, which accomplish reactions to release soil nutrients for vegetation development, for that is essential to enlarge knowledge about soil properties resilience in semiarid forest ecosystems. Physico-chemical and microbiological soil properties, and enzyme activities have been studied in two Aleppo pine forest stands that have suffered three disturbances: 1) a wildfire event, 2) silvicultural treatments (thinning) and 3) an artificial drought (simulating climate change) and results showed that soil recovered after 15 years. Final results showed that soils have been recovered from the three disturbances at the medium-long term.

Silvicultural manipulation and site effect on above and belowground biomass equations for young Pinus radiata

International Nuclear Information System (INIS)

Rubilar, Rafael A.; Allen, H. Lee; Alvarez, Jose S.; Albaugh, Timothy J.; Fox, Thomas R.; Stape, Jose L.

2010-01-01

There is little understanding of how silvicultural treatments, during the early stages of tree development, affect allometric relationships. We developed and compared stem, branch, foliage, coarse and fine root biomass, and leaf area estimation equations, for four-year-old genetically improved radiata pine trees grown on three contrasting soil-site conditions. At each site, selected trees were destructively sampled from a control (shovel planted, no weed control, fertilized with 2 g of boron), a shovel planted + weed control (2 first years) + complete fertilization (nitrogen + phosphorus + boron 2 first years + potassium 2nd year), and a soil tillage (subsoil at 60 cm) + weed control (first 2 years) + complete fertilization treatment. Tissues were separated into foliage, branch, stem, fine and coarse roots (>2 mm). Regression equations for each tree biomass tissue versus leaf area were fit for each site and compared among treatments and sites with the same genetic material. Our results indicated that individual tree biomasses for young plantations are affected by silvicultural treatment and site growing conditions. Higher variability in estimates was found for foliage and branches due to the ephemeral nature of these components. Stem biomass equations vary less, but differences in biomass equations were found among sites and treatments. Coarse root biomass estimates were variable but less than expected, considering the gradient among sites. Similar to stem biomass, a simple positive general linear relationship between root collar diameter, or diameter at breast height with coarse roots biomass was developed across sites and treatments.

Large-scale, long-term silvicultural experiments in the United States: historical overview and contemporary examples.

Science.gov (United States)

R. S. Seymour; J. Guldin; D. Marshall; B. Palik

2006-01-01

This paper provides a synopsis of large-scale, long-term silviculture experiments in the United States. Large-scale in a silvicultural context means that experimental treatment units encompass entire stands (5 to 30 ha); long-term means that results are intended to be monitored over many cutting cycles or an entire rotation, typically for many decades. Such studies...

Proceedings of the National Silviculture Workshop: Silvicultural Examination, Prescription, and Related Activities; Missoula, Montana; September 26-28, 1978

Science.gov (United States)

Norman E. Gould; Don Potter; Ray Johnston; Jim Loton; Donald Pierce; Ronald C. Hamilton; George E. Gruell; Victor DeKalb; Dav Wright; Bill Beaufait; Dan Schroeder; Bob Blomquist; John C. Tappeiner; Carl Puuri; Dav Terry; R. E. Stewart; Walter H. Knapp

1978-01-01

The 1978 Silviculture Workshop was held in Missoula, Montana, September 26-28, 1978. The objective of the meeting was to discuss Silvicultural prescriptions, standards of certification for silviculturists, certification of planting and thinning projects, and other related items of interest. These proceedings includes the presentations that were available for...

Are post-fire silvicultural treatments a useful tool to fight the climate change threat in terms of plant diversity?

Science.gov (United States)

Hedo de Santiago, Javier; Esteban Lucasr Borja, Manuel; de las Heras, Jorge

2016-04-01

Adaptative forest management demands a huge scientific knowledge about post-fire vegetation dynamics, taking into account the current context of global change. We hypothesized that management practices should be carry out taking into account the climate change effect, to obtain better results in the biodiversity maintenance across time. All of this with respect to diversity and species composition of the post-fire naturally regenerated Aleppo pine forests understory. The study was carried out in two post-fire naturally regenerated Aleppo pine forests in the Southeastern of the Iberian Peninsula, under contrasting climatic conditions: Yeste (Albacete) shows a dry climate and Calasparra (Murcia) shows a semiarid climate. Thinning as post-fire silvicultural treatment was carried out five years after the wildfire event, in the year 1999. An experiment of artificial drought was designed to evacuate 15% of the natural rainfall in both sites, Yeste and Calasparra, to simulate climate change. Taking into account all the variables (site, silvicultural treatment and artificial drought), alpha diversity indices including species richness, Shannon and Simpson diversity indices, and plant cover, were analyzed as a measure of vegetation abundance. The results showed that plant species were affected by thinning, whereas induced drought affected total cover and species, with lower values at Yeste. Significant site variation was also observed in soil properties, species richness and total plant cover, conversely to the plant species diversity indices. We conclude that the plant community shows different responses to a simulated environment of climate change depending on the experimental site.

Silviculture and forest protection: results and prospects from third Italian National Congress of Silviculture

Directory of Open Access Journals (Sweden)

2009-03-01

Full Text Available This paper summarizes the topics discussed during the session “Silviculture, Forest Protection” of the Third Italian National Congress of Silviculture. The health of Italian forests is often depending on irrational forest exploitation schemes and is threatened by the arrival of invasive species, the strengthening of native pests and diseases, and the increase of stress related to changing environment (both climate and pollution. The climate change is considered as a major complication in forest protection, as it is related to increasing outbreaks both directly and indirectly, through changes in tree physiology. Drawbacks are observed on biodiversity, forest growth and productivity, and protective function of forests. Ecosystems with high biodiversity may show a high degree of resilience to the changes. It is important to address these issues in the framework of the systemic silviculture approach to the management of Italian forests. Important requisites are availability of trained staff, funding for research and monitoring projects, access to the most uptodated scientific knowledge and methodologies. An integration of different types of available expertise (entomologists, plant pathologists, pollution scientists is also envisaged.

Proceedings of the 12th biennial southern silvicultural research conference

Science.gov (United States)

Kristina F. Connor; [Editor

2004-01-01

Ninety-two papers and thirty-six poster summaries address a range of issues affecting southern forests. Papers are grouped in 15 sessions that include wildlife ecology; fire ecology; natural pine management; forest health; growth and yield; upland hardwoods - natural regeneration; hardwood intermediate treatments; longleaf pine; pine plantation silviculture; site...

Proceedings of the 14th biennial southern silvicultural research conference

Science.gov (United States)

John A. Stanturf

2010-01-01

A range of issues affecting southern forests are addressed in 113 papers. Papers are grouped into 12 sessions that include carbon; pine silviculture; invasive species; site preparation; hardwood artificial regeneration; longleaf pine; forest health and fire; growth and yield; hardwood intermediate treatments; hardwood natural regeneration; wildlife; and posters.

Effect of the silvicultural treatment on canopy properties, litter and seed production in beech coppices under conversion to high forest.

Directory of Open Access Journals (Sweden)

Andrea Cutini

2010-12-01

Full Text Available European beech (Fagus sylvatica L. is widely distributed in Italy where it covers 1035103 ha, mainly concentrated in the mountainous areas at altitudes above 900 m. The major part is represented by high forest often issued from the conversion of coppice woods, which in the past was the silvicultural system most widely applied mainly to provide fire wood. The social changes occurred in the second half of the last century –fire wood market crisis and the increasing importance of environmental issues- enhanced the conversion into high forest of large areas previously managed as coppice by means of different silvicultural treatments and practices. Nevertheless, the environmental benefits of this choice were not adequately investigated. Results of annual measurements (1992-2009 made in a beech coppice stand aged 65 are here reported. The study area is located on the Alpe di Catenaia, a pre-Apennine outcrop close to Arezzo (Central Italy. Variables strictly related to stand productivity and dynamics such as annual litter and seed production, leaf area index (LAI and transmittance (PAR were measured in the research area of Buca Zamponi to estimate the effects of two theses, natural evolution (TEST and conversion into high forest (DIR. Three thinnings were undertaken in the latter thesis in 1972, 1987 and 2002. Additional theses of natural evolution (CONTR and advance seed cutting (TS were added in 2002 in a nearby study area (Eremo della Casella. Results showed the high productivity of coppice stands, under conversion to high forest, with mean values of annual total litter, leaf litter and leaf area index of 5 Mg ha-1, 3 Mg ha-1 and 6 m2m-2, respectively. These findings confirm both the prompt response of beech to intensive thinning cycles and the reliability of undertaking coppice conversion into high forest. Furthermore, the positive trend observed in the ecological parameters and the high consistency of leaf fraction, highlight the still juvenile

The management system of silvicultural practices

Directory of Open Access Journals (Sweden)

Carbone F

2012-02-01

Full Text Available The coexistence of public and private interests on forest ecosystems makes the silvicultural interventions the most thorny moment of their management. In this paper the author analyzes the characteristics of forest firms and logging companies usually involved in forest management. The relations between their legitimate interests, expectations and strategies, the ways by which forest firm may entrust the execution of the silvicultural intervention, etc. are aspects strongly connected with the public interests, which is protected by forestry institutions. Silvicultural system of management interventions is the context where public interests are coordinated with the private interests. The output are qualitative and quantitative standards for the use of forest resources. Moving on from this preliminary to the executive phase, the case study has highlighted the crucial role played by foresters, who have to guarantee the coexistence of public and private interests on forests.

Silvicultural guide for northern hardwoods in the northeast

Science.gov (United States)

William B. Leak; Mariko Yamasaki; Robbo. Holleran

2014-01-01

This revision of the 1987 silvicultural guide includes updated and expanded silvicultural information on northern hardwoods as well as additional information on wildlife habitat and the management of mixed-wood and northern hardwood-oak stands. The prescription methodology is simpler and more field-oriented. This guide also includes an appendix of familiar tables and...

Forest regulation methods and silvicultural systems: what are they?

Science.gov (United States)

Ivan L. Sander; Burnell C. Fischer

1989-01-01

"Forest regulation methods" and "silvicultural systems" are important forest resource management concepts but there is much confusion about them. They often mean different things to different individuals. Confusion exists in part because "forest regulation methods" and "silvicultural systems" often use the same terminology. Also...

Effect of Silviculture on the Yield and Quality of Veneers

Science.gov (United States)

Leslie H. Groom; Ray Newbold; Jim Guldin

2002-01-01

The structural and aesthetic value of wood is typically sacrificed in an attempt to meet demand. This paper addresses the financial and quality aspects of silvicultural choices as it relates to wood veneers. Five trees each were harvested from an uneven-aged stand and from the following even- aged stands: intensive plantation, conventional plantation, and natural...

Resistance and resilience: A conceptual framework for silviculture

Science.gov (United States)

Robert J. DeRose; James N. Long

2014-01-01

Increasingly, forest management goals include building or maintaining resistance and/or resilience to disturbances in the face of climate change. Although a multitude of descriptive definitions for resistance and resilience exist, to evaluate whether specific management activities (silviculture) are effective, prescriptive characterizations are necessary. We introduce...

How applicable is even-aged silviculture in the northeast?

Science.gov (United States)

Ralph H. Griffin

1977-01-01

The applicability of even-aged silviculture in the management of forest stands in the Northeast is examined through consideration of the forest stand, stand development, intermediate cuttings, and regeneration methods. It is concluded that even-aged silviculture is quite applicable in the management of forest stands in the Northeast.

Shifting conceptions of complexity in forest management and silviculture

Science.gov (United States)

Robert T. Fahey; Brandon C. Alveshere; Julia I. Burton; Anthony W. D' Amato; Yvette L. Dickinson; William S. Keeton; Christel C. Kern; Andrew J. Larson; Brian J. Palik; Klaus J. Puettmann; Michael R. Saunders; Christopher R. Webster; Jeff W. Atkins; Christopher M. Gough; Brady S. Hardiman

2018-01-01

In the past several decades, a trend in forestry and silviculture has been toward promoting complexity in forest ecosystems, but how complexity is conceived and described has shifted over time as new ideas and terminology have been introduced. Historically, ecologically-focused silviculture has focused largely on manipulation of structural complexity, but often with...

Silviculture of southwestern ponderosa pine: The status of our knowledge

Science.gov (United States)

Gilbert H. Schubert

1974-01-01

Describes the status of our knowledge of ponderosa pine silviculture in the southwestern States of Arizona, Colorado, New Mexico, and Utah. Economic value, impact on other uses, and the timber resource are discussed first, followed by ecological background, site quality, growth and yield, and silviculture and management. Relevant literature is discussed along with...

Communicating the role of silviculture in managing the national forests: Proceedings of the National Silviculture Workshop

Science.gov (United States)

Northeastern Forest Experiment Station

1997-01-01

Contains 32 articles on communicating the values and benefits of silviculture in managing the national forests. Specific topics addressed are how communications affect: policymakers, inventory and monitoring, resource management, research, education and demonstration, and partnerships.

Mechanical fuel treatment effects on vegetation in a New Mexico dry mixed conifer forest

Science.gov (United States)

Glenn J. Mason; Terrell T. Baker; Douglas S. Cram; Jon C. Boren; Alexander G. Fernald; Dawn M. VanLeeuwen

2009-01-01

While the main objective of many silvicultural treatments in the western US is to reduce fire potential, their effects on overstory regeneration, midstory and herbaceous communities is of importance to land managers. To quantify these effects, we measured overstory regeneration, midstory density by species, herbaceous biomass, species richness and cover in commercial...

The Ecology and Silviculture of Oaks, Second Edition: A new book

Science.gov (United States)

Paul S. Johnson; Stephen R. Shifley; Robert. Rogers

2011-01-01

The second edition of The Ecology and Silviculture of Oaks was recently published (Johnson and others 2009). The approach of the book is fundamentally silvicultural, but the content is based on the premise that eff ective and environmentally sound management and protection of oak forests and associated landscapes must be grounded in ecological...

Silviculture of the mahogany forest of Quintana Roo, Mexico: criteria and recommendations

Science.gov (United States)

P. ​​Negreros-Castillo; L. Camara-Cabrales; MS Devall; Mary Ann Fajvan; M.A. Mendoza Briseno; C.W. Mize; A. Navarro-Martinez

2014-01-01

Silviculture is the art, science and practice of controlling the establishment, composition, health, quality and growth of forests to accomplish a set of management objectives. This publication offers an approach to silviculture of the forests of Quintana Roo in which mahogany (Swietenia macrophylla King), the commercially most important tree...

Mid-rotation silviculture timing influences nitrogen mineralization of loblolly pine plantations in the mid-south USA

Science.gov (United States)

Michael A. Blazier; D. Andrew Scott; Ryan Coleman

2015-01-01

Intensively managed loblolly pine (Pinus taeda L.) plantations often develop nutrient deficiencies near mid-rotation. Common silvicultural treatments for improving stand nutrition at this stage include thinning, fertilization, and vegetation control. It is important to better understand the influence of timing fertilization and vegetation control...

Carbon rentals and silvicultural subsidies for private forests as climate policy instruments

International Nuclear Information System (INIS)

Uusivuori, J.; Laturi, J.

2007-01-01

The impacts of potential climate policy instruments on the carbon production of privately owned and operated forests were investigated. A forest model with an endogenous growth description and age-class structure was used to describe both the output supply and input demand decisions of a private non-industrial landowner with optimized consumption flow, harvest timing, and an intertemporal allocation of forest investments. Two scenarios were examined, notably (1) a scenario in which the landowner was granted periodic carbon rental payments; and (2) a scenario in which the government subsidized the costs of silvicultural investments. The intended and unintended effects of the policies were examined. Models were used to demonstrate that the effectiveness of the instruments was significantly influenced by the age-class structure of forests when future carbon benefits were discounted. It was concluded that carbon rental payments were a more effective policy for older age-class structured forests. Silvicultural subsidies were more beneficial for forests with younger age-class structures. 21 refs., 6 figs

Multifunctional natural forest silviculture economics revised: Challenges in meeting landowners’ and society's wants. A review

Directory of Open Access Journals (Sweden)

Pablo Campos

2017-10-01

Full Text Available Aim of study: This paper objective focuses on the contribution of multifunctional natural forest silviculture, incorporating both private and public product managements, to forest and woodland economics. Area of study: Spain and California (USA. Material and methods: This conceptual article has developed a critical revision of the existing literature on the main economic issues for multifunctional natural forest silviculture in the last decades. Main results: Multifunctional natural silviculture has secular roots as a local practice, but as a science of the natural environment applied to the economic management of forest lands it is still in the process of maturation. Timber silviculture remains the central concern of forest economics investment in scientific publications. By contrast, silvicultural modeling of the natural growth of firewood, browse and other non-timber forest products from trees and shrubs receives scant attention in scientific journals. Even rarer are publications on multifunctional natural silviculture for forest and woodland managements, including environmental services geared to people’s active and passive consumption. Under this umbrella, private environmental self-consumption is represented by the amenities enjoyed by private non-industrial landowners. As for environmental public products, the most relevant are carbon, water, mushrooms, recreation, landscape and threatened biodiversity. Research highlights: This paper is a good example for the conceptual research on forestry techniques and economic concepts applied to multifunctional silviculture in Mediterranean areas of Spain and California. The combination of technical knowledge and private and public economic behaviors definitively contributes to the multifunctional management of natural forest systems.

Multifunctional natural forest silviculture economics revised: Challenges in meeting landowners’ and society's wants. A review

International Nuclear Information System (INIS)

Campos, P.; Caparrós, A.; Cerdá, E.; Diaz-Balteiro, L.; Herruzo, A.C.; Huntsinger, L.; Martín-Barroso, D.; Martínez-Jauregui, M.; Ovando, P.; Oviedo, J.L.; Pasalodos-Tato, M.; Romero, C.; Soliño, M.; Standiford, R.B.

2017-01-01

Aim of study: This paper objective focuses on the contribution of multifunctional natural forest silviculture, incorporating both private and public product managements, to forest and woodland economics. Area of study: Spain and California (USA). Material and methods: This conceptual article has developed a critical revision of the existing literature on the main economic issues about the multifunctional natural forest silviculture in the last decades. Main results: Multifunctional natural silviculture has secular roots as a local practice, but as a science of the natural environment applied to the economic management of forest lands it is still in the process of maturation. Timber silviculture remains the central concern of forest economics investment in scientific publications. By contrast, silvicultural modeling of the natural growth of firewood, browse and other non-timber forest products of trees and shrubs receives scant attention in scientific journals. Even rarer are publications on multifunctional natural silviculture of forest and woodland managements, including environmental services geared to people’s active and passive consumption. Under this umbrella, private environmental self-consumption is represented by the amenities enjoyed by private non-industrial landowners. As for environmental public products, the most relevant are carbon, water, mushrooms, recreation, landscape and threatened biodiversity. Research highlights: This paper is a good example about the conceptual research on forestry techniques and economic concepts applied to multifunctional silviculture in Mediterranean areas of Spain and California. The combination of technical knowledge and private and public economic behaviors definitively contributes to the multifunctional management of natural forest systems.

Using Live-Crown Ratio to Control Wood Quality: An Example of Quantitative Silviculture

Science.gov (United States)

Thomas J. Dean

1999-01-01

Quantitative silviculture is the application of biological relationships in meeting specific, quantitative management objectives. It is a two-sided approach requiring the identification and application of biological relationships. An example of quantitative silviculture is presented that uses a relationship between average-live crown ratio and relative stand density...

Effects of silviculture on neotropical migratory birds in central and southeastern oak pine forests

Science.gov (United States)

James G. Dickson; Frank R. Thompson; Richard N. Conner; Kathleen E. Franzreb

1993-01-01

Avian communities that are associated with forest habitat attributes are affected by silvicultural and other stand influences. Some species have specific habitat requirements, whereas others occupy a broad range of vegetative conditions. In general, bird species richness and density are positively related to stand foliage volume and diversity. Bird density and...

Ecology and silviculture of the spruce-fir forests of eastern North America

Science.gov (United States)

Marinus. Westveld

1953-01-01

Using the climax forest as a guide to growing the species best suited to the climate and the site, the author offers a silvicultural system for managing the spruce-fir forests of eastern North America. Based on ecological principles, such silviculture is aimed to bring about forests that are inherently healthy and have a natural resistance to insects and disease.

Using Silviculture to Influence Carbon Sequestration in Southern Appalachian Spruce-Fir Forests

Directory of Open Access Journals (Sweden)

Patrick T. Moore

2012-06-01

Full Text Available Enhancement of forest growth through silvicultural modification of stand density is one strategy for increasing carbon (C sequestration. Using the Fire and Fuels Extension of the Forest Vegetation Simulator, the effects of even-aged, uneven-aged and no-action management scenarios on C sequestration in a southern Appalachian red spruce-Fraser fir forest were modeled. We explicitly considered C stored in standing forest stocks and the fate of forest products derived from harvesting. Over a 100-year simulation period the even-aged scenario (250 Mg C ha⁻¹ outperformed the no-action scenario (241 Mg C ha⁻¹ in total carbon (TC sequestered. The uneven-aged scenario approached 220 Mg C ha⁻¹, but did not outperform the no-action scenario within the simulation period. While the average annual change in C (AAC of the no-action scenario approached zero, or carbon neutral, during the simulation, both the even-aged and uneven-aged scenarios surpassed the no-action by year 30 and maintained positive AAC throughout the 100-year simulation. This study demonstrates that silvicultural treatment of forest stands can increase potential C storage, but that careful consideration of: (1 accounting method (i.e., TC versus AAC; (2 fate of harvested products and; (3 length of the planning horizon (e.g., 100 years will strongly influence the evaluation of C sequestration.

Comparing Floristic Diversity between a Silviculturally Managed Arboretum and a Forest Reserve in Dambulla, Sri Lanka

Directory of Open Access Journals (Sweden)

B. D. Madurapperuma

2014-01-01

Full Text Available Repeated slash and burn cultivation creates wasteland with thorny shrubs, which then takes a long time to become secondary forests through serial stages of succession. Assisted natural regeneration through silvicultural management is a useful restoration method to accelerate succession. This survey evaluates the effectiveness of a simple silvicultural method for the rehabilitation of degraded lands to productive forest, thereby increasing floristic wealth. Field-based comparative analyses of floristic composition were carried out at a silviculturally managed forest (Popham Arboretum and a primary forest (Kaludiyapokuna Forest Reserve which is located in Dambulla in Sri Lanka. Floristic analysis was used to examine the effectiveness of silvicultural techniques for successful restoration of degraded forest in the dry zone. Nine 20 m × 20 m plots in each forest were enumerated and the vegetation ≥ 10 cm girth at breast height was quantitatively analyzed. Cluster analysis resulted in five distinguishable clusters (two from Popham Arboretum and three from Kaludiyapokuna Forest Reserve. Similarity indices were generated to compare the plots within and between sites. Floristic similarity was higher in forest reserve plots compared to arboretum plots. A total of 72 plant species belonging to 60 genera and 26 families were recorded from the study sites. Of the recorded species, Grewia damine and Syzygium cumini (Importance Value Index, IVI = 24 and 23 respectively were the ecologically co-dominant taxa at the Popham Arboretum. In contrast, Mischodon zeylanicus (IVI = 31, Schleichera oleosa (IVI = 25 and Diospyros ebenum (IVI = 21 were the abundant taxa in the forest reserve.

Basic principles, mosaic of knowledges and adaptive silviculture

Directory of Open Access Journals (Sweden)

Borghetti M

2012-07-01

Full Text Available Achievements of ecological science and direct experience are of great help for the interpretation of forest ecosystem dynamics and the definition of adaptive procedures for forest manipulation, i.e. adaptive silviculture.

Silvicultural madness

DEFF Research Database (Denmark)

Basnyat, Bijendra; Treue, Thorsten; Pokharel, R.K.

2018-01-01

Following a case study approach, this paper explains how scientific forest management plans were developed and implemented in community forests of a mid-hill district in Nepal. Field observations were carried over a period of two years (December 2014 to December 2016) in two community forests. User...... guidelines with little reference to the actual site quality, management objectives, and forest stand conditions. Apart from harvesting of trees, users hardly implemented the plans‘ silvicultural prescriptions and forest restoration activities. Moreover forest officials administratively reduced the number...... of trees that users could harvest to around half of what the plans allow. Accordingly, forest user groups face a paradoxical forest administration that promotes timber harvesting according to so-called scientific principles, which it then brushes aside to satisfy bureaucratic demands. The study concludes...

Two-age silviculture: an innovative tool for enhancing species diversity and vertical structure in Appalachian hardwoods

Science.gov (United States)

Gary W. Miller; Petra B. Wood; Jeffrey V. Nichols; Jeffrey V. Nichols

1995-01-01

Silvicultural practices that promote a two-age stand structure provide an opportunity to maintain diversity of woody species and vertical structure for extended periods of time in Appalachian hardwoods. Data from four two-age stands initiated by deferment cutting in West Virginia are summarized for the first 10 to 15 years after treatment. Results indicated that 15...

Silviculture guide for the mahogany forests of Quintana Roo, Mexico – Criteria and recommendations

Science.gov (United States)

P. Negreros-Castillo; L. Cámara-Cabrales; Margaret Devall; M.A. Fajvan; M.A. Mendoza Briseño; C.W. Mize

2014-01-01

Silviculture is the art, science and practice of controlling the establishment, composition, health, quality and growth of forests to accomplish a set of management objectives. This publication offers an approach to silviculture of the forests of Quintana Roo in which mahogany (Swietenia macrophylla King), the commercially most important tree species in Latin America,...

Using silviculture to influence carbon sequestration in southern Appalachian spruce-fir forests

Science.gov (United States)

Patrick T. Moore; R. Justin DeRose; James N. Long; Helga. van Miegroet

2012-01-01

Enhancement of forest growth through silvicultural modification of stand density is one strategy for increasing carbon (C) sequestration. Using the Fire and Fuels Extension of the Forest Vegetation Simulator, the effects of even-aged, uneven-aged and no-action management scenarios on C sequestration in a southern Appalachian red spruce-Fraser fir forest were modeled....

Multifunctional natural forest silviculture economics revised: Challenges in meeting landowners’ and society's wants. A review

Energy Technology Data Exchange (ETDEWEB)

Campos, P.; Caparrós, A.; Cerdá, E.; Diaz-Balteiro, L.; Herruzo, A.C.; Huntsinger, L.; Martín-Barroso, D.; Martínez-Jauregui, M.; Ovando, P.; Oviedo, J.L.; Pasalodos-Tato, M.; Romero, C.; Soliño, M.; Standiford, R.B.

2017-11-01

Aim of study: This paper objective focuses on the contribution of multifunctional natural forest silviculture, incorporating both private and public product managements, to forest and woodland economics. Area of study: Spain and California (USA). Material and methods: This conceptual article has developed a critical revision of the existing literature on the main economic issues about the multifunctional natural forest silviculture in the last decades. Main results: Multifunctional natural silviculture has secular roots as a local practice, but as a science of the natural environment applied to the economic management of forest lands it is still in the process of maturation. Timber silviculture remains the central concern of forest economics investment in scientific publications. By contrast, silvicultural modeling of the natural growth of firewood, browse and other non-timber forest products of trees and shrubs receives scant attention in scientific journals. Even rarer are publications on multifunctional natural silviculture of forest and woodland managements, including environmental services geared to people’s active and passive consumption. Under this umbrella, private environmental self-consumption is represented by the amenities enjoyed by private non-industrial landowners. As for environmental public products, the most relevant are carbon, water, mushrooms, recreation, landscape and threatened biodiversity. Research highlights: This paper is a good example about the conceptual research on forestry techniques and economic concepts applied to multifunctional silviculture in Mediterranean areas of Spain and California. The combination of technical knowledge and private and public economic behaviors definitively contributes to the multifunctional management of natural forest systems.

Physiological responses of eastern hemlock (Tsuga Canadensis) to biological control and silvicultural release: implications for hemlock restoration

Science.gov (United States)

Chelcy F. Miniat; David Zeitlow; Steven T. Brantley; Albert (Bud) Mayfield; Rusty Rhea; Robert Jetton; Paul.  Arnold

2016-01-01

The rapid loss of eastern hemlock (Tsuga canadensis) from riparian zones in the southern Appalachian Mountains due to Hemlock Woolly Adelgid (Adelgis tsugae, HWA) infestation has resulted in changes to watershed structure and function. Several restoration strategies have been proposed, including silvicultural treatments that increase incident light in forest...

Age structure of a southern pine stand following 72 years of uneven-aged silviculture

Science.gov (United States)

Don C. Bragg

2012-01-01

Work on uneven-aged silviculture in southern pine stands on the Crossett Experimental Forest (CEF) began in the 1930s, when a number of 16.2-ha compartments were placed into a series of demonstration projects and studies (Reynolds 1980). Two of these compartments, the Good and Poor Farm Forestry Forties, have been maintained continuously in this silvicultural regime...

Efficient silvicultural practices for eastern hardwood management

Science.gov (United States)

Gary W. Miller; John E. Baumgras

1994-01-01

Eastern hardwood forests are now managed to meet a wide range of objectives, resulting in the need for silvicultural alternatives that provide timber, wildlife, aesthetics, recreation, and other benefits. However, forest management practices must continue to be efficient in terms of profiting from current harvests, protecting the environment, and sustaining production...

Silvicultural systems for southern bottomland hardwood forests

Science.gov (United States)

James S. Meadows; John A. Stanturf

1997-01-01

Silvicultural systems integrate both regeneration and intermediate operations in an orderly process for managing forest stands. The clearcutting method of regeneration favors the development of species that are moderately intolerant to intolerant of shade. In fact, clearcutting is the most proven and widely used method of successfully regenerating bottomland oak...

Silvicultural Attempts to Induce Browse Resistance in Conifer Seedlings

Directory of Open Access Journals (Sweden)

Bruce A. Kimball

2011-01-01

Full Text Available A multiyear study was conducted to determine if soil amendment combined with topical application of elemental sulfur could be employed to reduce deer browse damage to four conifer species. Fertilizer and sulfur were applied to conifer seedlings at seven sites near Corvallis, OR. Growth and browse damage data were collected for all seedlings over a period of 17 months. Additionally, foliar concentrations of monoterpenes and simple carbohydrates were assessed in western redcedar (Thuja plicata seedlings over a period of three years. Fertilization and sulfur treatments had a moderate impact on growth and no influence on browse damage or the chemical responses. Over the course of the study, browse damage diminished while foliar monoterpene concentrations increased in redcedar. It appears that silvicultural manipulation via sulfur application and/or soil amendment cannot accelerate or alter the ontogenetical changes that may naturally defend seedlings against mammalian herbivores. In a brief trial with captive deer, redcedar browse resistance was influenced by seedling maturation, but not monoterpene content. Other maturation effects may yield significant browse protection to young seedlings.

Geographical information systems (GIS), a great tool for urban silviculture

International Nuclear Information System (INIS)

Otaya Burbano, Leodan Andres; Sanchez Zapata, Robinson de Jesus; Morales Soto, Leon; Botero Fernandez, Veronica

2006-01-01

As a pilot phase, to acquire experience, define methodologies and determine the advantages of Geographical Information Systems (GIS) for applying to urban silviculture and inventory, diagnosis, management plan and economic appraisal were made for the urban forest in the Magnolia neighborhood of the Envigado municipality, department of Antioquia, Colombia. for the management and analysis of the data collected in field, a database was designed using the software microsoft Access. The species inventoried were mapped digitally and the conditions there were analyzed using some tools and extensions of technological architecture ArcGIS 8.3 such as: characteristics, silviculture practices required, and environmental conflicts. It was determined that the GIS analysis of the urban forest conducted for a specific neighborhood can be a tool that permits environmental authorities and interested researchers to have agile and easy access to the information stored in it; it permits programming of required silviculture activities; it also permits having a general vision of the urban forest according to the infrastructure of the neighborhood, complemented by photographs of the area for improved illustration; it permits the inclusion or elimination of information in a rapid and simple manner, thus facilitating decision making with relation to management of the urban woodland and for comparison with other similar studies

Forest management practices and silviculture. Chapter 12.

Science.gov (United States)

Donald A. Perala; Elon S. Verry

2011-01-01

This chapter is an overview of forest management and silviculture practices, and lessons learned, on the Marcell Experimental Forest (MEF). The forests there are a mosaic of natural regeneration and conifer plantations. Verry (1969) described forest-plant communities in detail for the study watersheds (Sl through S6) on the MEF. The remaining area is described in...

Plantation Forestry in Sub Saharan Africa: Silvicultural, Ecological ...

African Journals Online (AJOL)

This paper discusses the potentials of meeting the wood demand and achieving SFM in Sub-Saharan Africa (SSA) through the establishment of forest plantations. The paper reviews forest plantation ownership and distribution patterns in SSA and the factors –silvicultural, ecological, and economic that affect supply and ...

A financial evaluation of two contrasting silvicultural systems ...

African Journals Online (AJOL)

The Loblolly pine (Pinus taeda L.) plantation area in north-east Uruguay was 108 000 ha in 2008. Recent industrial capacity developments have resulted in major structural changes. Silvicultural system selection depends on site productivity, costs, timber prices and public policies. This study aimed to assess economic ...

History of silviculture on public lands

Science.gov (United States)

James M. Guldin

2014-01-01

There are many instances in scholarly activity where the writing of a colleague is made more vivid when one knows him or her personally—and Eric Zenner’s essay is certainly no exception! I can see Eric at a podium of a forestry school in the United States or Europe, emphatically proclaiming that “Silviculture is the pen with which our profession writes, but too often...

A special issue of the Journal of Forestry---proceedings of the 2013 National Silviculture Workshop

Science.gov (United States)

James M. Guldin; Marilyn A. Buford

2014-01-01

This special issue of the Journal of Forestry presents the Proceedings of the 2013 National Silviculture Workshop (NSW), which was held as one of the concurrent sessions of the 2013 national convention of the Society of American Foresters (SAF) and sponsored by the D-2 Silviculture Working Group. This marks the first time the NSW has been held in conjunction with the...

Fire performance in traditional silvicultural and fire and fire surrogate treatments in Sierran mixed-conifer forests: a brief summary

Science.gov (United States)

Jason J. Moghaddas; Scott L. Stephens

2007-01-01

Mixed conifer forests cover 7.9 million acres of California’s total land base. Forest structure in these forests has been influenced by harvest practices and silvicultural systems implemented since the beginning of the California Gold Rush in 1849. Today, the role of fire in coniferous forests, both in shaping past stand structure and its ability to shape future...

Evolution of silvicultural thinning: from rejection to transcendence

Science.gov (United States)

Boris Zeide

2006-01-01

Our views on a main tool of forestry, silvicultural thinning, have changed greatly since the beginning of forestry over 200 years ago. At first, thinning was rejected as something unnatural and destructive. It was believed that the densest stands were the most productive and any thinning only detracted from maximum growth produced by nature. This philosophy was still...

Uneven-aged silviculture can enhance within stand heterogeneity and beetle diversity.

Science.gov (United States)

Joelsson, Klara; Hjältén, Joakim; Work, Timothy

2018-01-01

Uneven-aged silviculture may better maintain species assemblages associated with old-growth forests than clear felling in part due to habitat heterogeneity created by maintaining standing retention strips adjacent to harvest trails. Retention strips and harvest trails created at the time of tree removal will likely have different microclimate and may harbor different assemblages. In some cases, the resultant stand heterogeneity associated with uneven-aged silviculture may be similar to natural small-scale disturbances. For beetles, increased light and temperature as well as potential access to young vegetation and deadwood substrates present in harvset trails may harbor beetle assemblages similar to those found in natural gaps. We sampled saproxylic beetles using flight intercept traps placed in harvest corridors and retention strips in 9 replicated uneven-aged spruce stands in central Sweden. We compared abundance, species richness and composition between harvest corridors and retention strips using generalized linear models, rarefaction, permutational multivariate analysis of variance and indicator species analysis. Canopy openness doubled, mean temperature and variability in daily temperature increased and humidity decreased on harvest trails. Beetle richness and abundance were greater in harvests trails than in retention strips and the beetle species composition differed significantly between habitats. Twenty-five species were associated with harvest trails, including three old-growth specialists such as Agathidium discoideum (Erichson), currently red-listed. We observed only one species, Xylechinus pilosus (Ratzeburg) that strongly favored retention strips. Harvest trails foster both open habitat species and old-growth species while retention strips harbored forest interior specialists. The combination of closed canopy, stratified forest in the retention strips and gap-like conditions on the harvest trails thus increases overall species richness and maintains

Response of the boreal forest ecosystem to climatic change and its silvicultural implications

Energy Technology Data Exchange (ETDEWEB)

Kellomaeki, S; Haenninen, H; Karjalainen, T [Joensuu Univ. (Finland). Faculty of Forestry; and others

1997-12-31

During the next 100 years, the mean annual temperature is expected to be 1-6 deg C higher than at present. It is also expected to be accompanied by a lengthening of the thermal growing season and increased precipitation. Consequently, climatic change will increase the uncertainty of the management of forest ecosystems in the future. In this context, this research project aimed to outline the ecological and silvicultural implications of climatic change with regard to (1) how the expected climatic change might modify the functioning and structure of the boreal forest ecosystem, and (2) how the silvicultural management of the forest ecosystem should be modified in order to maintain sustainable forest yield under changing climatic conditions. The experimental component of the project concerned first the effect that elevating temperature and elevating concentration of atmospheric carbon have on the ontogenetic development of Scots pine (Pinus sylvestris L) and on the subsequent increase in frost damage during winter. The second part of the study looked the effect of elevating temperature and elevating concentration of atmospheric carbon on the growth of Scots pine through photosynthesis, respiration, transpiration, nutrient supply, and changes in crown structure. This experiment was utilised in several subprojects of the overall project

Response of the boreal forest ecosystem to climatic change and its silvicultural implications

Energy Technology Data Exchange (ETDEWEB)

Kellomaeki, S.; Haenninen, H.; Karjalainen, T. [Joensuu Univ. (Finland). Faculty of Forestry] [and others

1996-12-31

During the next 100 years, the mean annual temperature is expected to be 1-6 deg C higher than at present. It is also expected to be accompanied by a lengthening of the thermal growing season and increased precipitation. Consequently, climatic change will increase the uncertainty of the management of forest ecosystems in the future. In this context, this research project aimed to outline the ecological and silvicultural implications of climatic change with regard to (1) how the expected climatic change might modify the functioning and structure of the boreal forest ecosystem, and (2) how the silvicultural management of the forest ecosystem should be modified in order to maintain sustainable forest yield under changing climatic conditions. The experimental component of the project concerned first the effect that elevating temperature and elevating concentration of atmospheric carbon have on the ontogenetic development of Scots pine (Pinus sylvestris L) and on the subsequent increase in frost damage during winter. The second part of the study looked the effect of elevating temperature and elevating concentration of atmospheric carbon on the growth of Scots pine through photosynthesis, respiration, transpiration, nutrient supply, and changes in crown structure. This experiment was utilised in several subprojects of the overall project

Development of silvicultural systems for maintaining old-growth conditions in the temperate rainforest of southeast Alaska.

Science.gov (United States)

Michael H. McClellan

2004-01-01

In the old-growth temperate rainforests of southeast Alaska, concerns over clearcutting effects on habitat, visual quality, slope stability, and biodiversity have created a demand for the use of other silvicultural systems. The forest vegetation and animal taxa of southeast Alaska appear to be well adapted to frequent, widespread, small-scale disturbance, suggesting...

Eastern hemlock response to even- and uneven-age management in the Acadian forest: results from the Penobscot Experimental Forest long-term silviculture study

Science.gov (United States)

John C. Brissette; Laura S. Kenefic

2000-01-01

Eastern hemlock (Tsuga canadensis (L.) Carr.) is an important tree species in the mixed-species conifer forests of northern New England and adjacent Canada. Hemlock is very tolerant of understory conditions; consequently, it responds differently to various silvicultural treatments. In a long-term study at the Penobscot Experimental Forest in east-...

Large-scale silviculture experiments of western Oregon and Washington.

Science.gov (United States)

Nathan J. Poage; Paul D. Anderson

2007-01-01

We review 12 large-scale silviculture experiments (LSSEs) in western Washington and Oregon with which the Pacific Northwest Research Station of the USDA Forest Service is substantially involved. We compiled and arrayed information about the LSSEs as a series of matrices in a relational database, which is included on the compact disc published with this report and...

Use of microcomputers for planning and managing silviculture habitat relationships.

Science.gov (United States)

B.G. Marcot; R.S. McNay; R.E. Page

1988-01-01

Microcomputers aid in monitoring, modeling, and decision support for integrating objectives of silviculture and wildlife habitat management. Spreadsheets, data bases, statistics, and graphics programs are described for use in monitoring. Stand growth models, modeling languages, area and geobased information systems, and optimization models are discussed for use in...

Nonnative invasive plants in the Penobscot Experimental Forest in Maine, USA: influence of site, silviculture, and land use history

Science.gov (United States)

Elizabeth Olson; Laura S. Kenefic; Alison C. Dibble; John C. Brissette

2011-01-01

We investigated the occurrence of nonnative invasive plants on approximately 175 ha comprising a long-term, 60-year-old U.S. Forest Service silvicultural experiment and old-field stands in the Penobscot Experimental Forest (PEF) in central Maine. Stands in the silvicultural experiment were never cleared for agriculture, but have been repeatedly partially cut. Our...

Tropical forest recovery from logging: a 24 year silvicultural experiment from Central Africa.

Science.gov (United States)

Gourlet-Fleury, Sylvie; Mortier, Frédéric; Fayolle, Adeline; Baya, Fidèle; Ouédraogo, Dakis; Bénédet, Fabrice; Picard, Nicolas

2013-01-01

Large areas of African moist forests are being logged in the context of supposedly sustainable management plans. It remains however controversial whether harvesting a few trees per hectare can be maintained in the long term while preserving other forest services as well. We used a unique 24 year silvicultural experiment, encompassing 10 4 ha plots established in the Central African Republic, to assess the effect of disturbance linked to logging (two to nine trees ha⁻¹ greater than or equal to 80 cm DBH) and thinning (11-41 trees ha⁻¹ greater than or equal to 50 cm DBH) on the structure and dynamics of the forest. Before silvicultural treatments, above-ground biomass (AGB) and timber stock (i.e. the volume of commercial trees greater than or equal to 80 cm DBH) in the plots amounted 374.5 ± 58.2 Mg ha⁻¹ and 79.7 ± 45.9 m³ ha⁻¹, respectively. We found that (i) natural control forest was increasing in AGB (2.58 ± 1.73 Mg dry mass ha⁻¹ yr⁻¹) and decreasing in timber stock (-0.33 ± 1.57 m³ ha⁻¹ yr⁻¹); (ii) the AGB recovered very quickly after logging and thinning, at a rate proportional to the disturbance intensity (mean recovery after 24 years: 144%). Compared with controls, the gain almost doubled in the logged plots (4.82 ± 1.22 Mg ha⁻¹ yr⁻¹) and tripled in the logged + thinned plots (8.03 ± 1.41 Mg ha⁻¹ yr⁻¹); (iii) the timber stock recovered slowly (mean recovery after 24 years: 41%), at a rate of 0.75 ± 0.51 m³ ha⁻¹ yr⁻¹ in the logged plots, and 0.81 ± 0.74 m³ ha⁻¹ yr⁻¹ in the logged + thinned plots. Although thinning significantly increased the gain in biomass, it had no effect on the gain in timber stock. However, thinning did foster the growth and survival of small- and medium-sized timber trees and should have a positive effect over the next felling cycle.

Beyond 2001: a silvicultural odyssey to sustaining terrestrial and aquatic ecosystems? Proceedings of the 2001 national silviculture workshop, May 6-10, Hood River, Oregon.

Science.gov (United States)

Sharon Parker; Susan Stevens. Hummel

2002-01-01

The 2001 National Silviculture Workshop was held in Hood River, Oregon, and hosted by the Mt. Hood National Forest, the Gifford Pinchot National Forest, and the Pacific Northwest Research Station. The Washington Office Vegetation Management and Protection Research and Forest and Grassland staffs are ongoing sponsors of the biennial workshop, which began in 1973 in...

Silvicultural approaches to animal damage management in Pacific Northwest forests.

Science.gov (United States)

Hugh C. Black

1992-01-01

This book examines the potential of Silvicultural approaches for managing animal damage in forests at two levels: management of free-to-grow stands and sitespecific practices that foster prompt and successful regeneration. Introductory chapters provide a historical perspective of animal damage management in the Pacific Northwest, describe the elements of an integrated...

Silviculture-ecology of forest-zone hardwoods in the Sierra Nevada

Science.gov (United States)

Philip M. McDonald; John C. Tappeiner

1996-01-01

Although the principal hardwood species in the forest zone of the Sierra Nevada (California black oak, tanoak, Pacific madrone, and canyon live oak) are key components of many ecosystems, they have received comparatively little study. Currently they are underutilized and unmanaged. This paper brings together what is known on the silviculture-ecology of these species...

Silviculture: what is it like, and where have we journeyed?

Science.gov (United States)

Ralph D. Nyland

1997-01-01

The philosophy of ecosystem management calls for a new way of doing business. It represents an evolution of thinking and acting that began during the era of dominant use, and continued through the time of multiple use. As such, ecosystem management represents a maturing of thought about silviculture and other aspects of natural resources management and use. It stresses...

Combining Silviculture and Landscape Architecture to Enhance the Roadside View

Science.gov (United States)

Philip M. McDonald; R. Burton Litton Jr.

1998-01-01

On a high-quality site in the mixed conifer forest of northern California, understory and overstory vegetation along a 3-mile paved county road were manipulated to enhance the view for the traveler. Traditional silvicultural cutting methods and landscape architectural techniques were blended to give contrast and variability to the vegetation along both sides of the...

Physiology and silviculture of black walnut for combined timber and nut production

Science.gov (United States)

J. W. Van Sambeek; George Rink

1981-01-01

Research literature was reviewed for evidence supporting the management of black walnut plantations for combined timber and nut production. The silviculture of the species is discussed in relation to dual cropping. Stimulation and phenology of flowering and fruiting are reviewed.

Influence of residual basal area on longleaf pine (Pinus palustris Mill.) first year germination and establishment under selection silviculture

Science.gov (United States)

Ferhat Kara; Edward F. Loewenstein

2015-01-01

Even-aged silvicultural methods have been successfully used to manage longleaf pine (Pinus palustris Mill.) forests for wood production; however, successful use of uneven-aged methods to manage this ecosystem is less well documented. In this study, the effects of varying levels of residual basal area (RBA) (9.2, 13.8, and 18.4 m2...

Subdivide or silviculture: choices facing family forest owners in the redwood region

Science.gov (United States)

William Stewart; Shasta Ferranto; Gary Nakamura; Christy Getz; Lynn Huntsinger; Maggi. Kelly

2012-01-01

Families or family businesses own nearly all of the private redwood forestland in California. Family forest owners have practiced both subdivision and silviculture for decades but the dominant theme for most family owners is environmental stewardship. Parcel size is more important than expressed values as a predictor of resource management activities. All landowners...

Soil microbial activity in Aleppo pine stands naturally regenerated after fire: silvicultural management and induced drought

Directory of Open Access Journals (Sweden)

D. Moya

2013-01-01

Full Text Available In post-fire restoration, early monitoring is mandatory to check impacts and ecosystem responses to apply proper management according to social standards and ecological conditions. In areas where the natural regeneration was successful, excessive tree density can be found which induces to high intraspecific competence and assisted restoration management could be adequate. In addition, climatic changes will have large impacts on vegetation productivity and resilience since the regional models for south-eastern Spain predicts a rainfall decrease of about 20% and temperature increase of 4.5 ºC. The microbial biomass could be used as indicator of ecosystem recovery, since it is negatively affected by wildfires and depends on fire characteristics, vegetation and soil properties. Our aim is to determine how forest management may affect the ecosystem recovery in different climatic scenarios, included drought scenarios with and without forest management (thinning.We compared soil physicochemical properties and microbial activity in four scenarios: unmanaged and thinned stands in two rainfall scenarios (under induced drought. The study areas were set close to Yeste (Albacete where Aleppo pine forest were burned in summer 1994 (nearly 14000 ha. We set sixteen rectangular plots (150 m2; 15 m ×10 m implementing experimental silvicultural treatments: thinning eight plots in 2004, reducing the naturally recovered tree density from about 12000 to 1600 pine trees ha-1. In addition, in half the plots, we induced drought conditions from about 500 to 400 mm (20% from March 2009. In every plot, we monitored temperature at ground level (Ts, 10 cm depth (T10d and soil relative humidity (RH. Taking into account season of the year and canopy coverage, we collected soil samples in mid-winter (ending January 2011 and mid-spring (ending May 2011 under pine trees and in bare soil. The soil samples were used to evaluate soil physicochemical properties and soil microbial

Nitrogen dynamics across silvicultural canopy gaps in young forests of western Oregon

Science.gov (United States)

Thiel, A.L.; Perakis, S.S.

2009-01-01

Silvicultural canopy gaps are emerging as an alternative management tool to accelerate development of complex forest structure in young, even-aged forests of the Pacific Northwest. The effect of gap creation on available nitrogen (N) is of concern to managers because N is often a limiting nutrient in Pacific Northwest forests. We investigated patterns of N availability in the forest floor and upper mineral soil (0-10 cm) across 6-8-year-old silvicultural canopy gaps in three 50-70-year-old Douglas-fir forests spanning a wide range of soil N capital in the Coast Range and Cascade Mountains of western Oregon. We used extractable ammonium (NH4+) and nitrate (NO3-) pools, net N mineralization and nitrification rates, and NH4+ and NO3- ion exchange resin (IER) concentrations to quantify N availability along north-south transects run through the centers of 0.4 and 0.1 ha gaps. In addition, we measured several factors known to influence N availability, including litterfall, moisture, temperature, and decomposition rates. In general, gap-forest differences in N availability were more pronounced in the mineral soil than in the forest floor. Mineral soil extractable NH4+ and NO3- pools, net N mineralization and nitrification rates, and NH4+ and NO3- IER concentrations were all significantly elevated in gaps relative to adjacent forest, and in several cases exhibited significantly greater spatial variability in gaps than forest. Nitrogen availability along the edges of gaps more often resembled levels in the adjacent forest than in gap centers. For the majority of response variables, there were no significant differences between northern and southern transect positions, nor between 0.4 and 0.1 ha gaps. Forest floor and mineral soil gravimetric percent moisture and temperature showed few differences along transects, while litterfall carbon (C) inputs and litterfall C:N ratios in gaps were significantly lower than in the adjacent forest. Reciprocal transfer incubations of

Restoring old-growth southern pine ecosystems: strategic lessons from long-term silvicultural research

Science.gov (United States)

Don C. Bragg; Michael G. Shelton; James M. Guldin

2008-01-01

The successful restoration of old-growth-like loblolly (Pinus taeda) and shortleaf (Pinus echinata) pine-dominated forests requires the integration of ecological information with long-term silvicultural research from places such as the Crossett Experimental Forest (CEF). Conventional management practices such as timber harvesting or competition control have supplied...

Silviculture of eucaliptus plantations in the Paraiba do Sul basin, Brazil, and its potential implication on the basin ecohydrology.

Science.gov (United States)

Carriello, Felix; Andres Rodriguez, Daniel; Marques Neves, Otto; Vicens, Raul

2014-05-01

Silviculture of eucaliptus plantations is an important driver of the Mata Atlântica biome conversion into another land use in the Paraíba do Sul basin, in the southeastern of Brazil. This region is located in one of the most developed areas in Brazil, between Rio de Janeiro and São Paulo, the most important cities in Brazil, linked by Presidente Dutra highway. Between both cities there are another cities that produce a variety of goods - from meat to planes, cars and mobile phones. This area is, at the same time, one the most important hot spot for the Mata Atlântica biome. Here we have a large Mata Atlântica fragment protected by law and others fragments being conversed to pasture, agriculture, silviculture and urban areas. Paraiba do Sul river drains the region and runs into Rio de Janeiro State. The basin is highly anthropized, with multiple approaches of its waters resources. Its waters also serve Rio de Janeiro metropolitan area. Because land use and land cover changes impact the water yield in a basin, the study of its dynamic its of great importance for water resources management. We study the land use and land cover change in the region between 1986 and 2010, focusing in the development of silviculture of eucaliptus plantations. We used the HAND (Height Above Nearest Drainage) approach that uses the height above the nearest water body, acquired from SRTM Data and transformed into a Terrain Numeric Mode, to classify the landscape into three different ecohydrological environments: floodplain, mountain top and hillslope. This classes were intersected with 1986 and 2010 land use and cover change classification obtained from Landsat imagery. Results show that silviculture has increased in the region from 1986 to 2010. In both years, silviculture areas are mainly located at the hillslope (47%), while floodplain and mountain top share 28 % and 23 % respectively. Available census data from the Brazilian Institute of Geography and Statistics, IBGE, for 1995 and

Proceedings of the National Silviculture Workshop: Density of Stocking Control; Eugene, Oregon; October 13-15, 1976

Science.gov (United States)

Jack H. Usher; Daniel B. Jones; A. R. Stage; Benjamin A. Roach; Gilbert B. Schubert; Darrell W. Crawford; Gilbert H. Schubert; Walter Fox; Edward A. Smith; Richard E. Lowrey Sofes; Richard F. Watt

1976-01-01

The 1976 National Silviculture Workshop was held in Eugene, Oregon, on October 13-15, 1976. The objectives were to discuss second growth management of individual stands, with particular emphasis on the control of stand density.

Suitability of close-to-nature silviculture for adapting temperate European forests to climate change

NARCIS (Netherlands)

Brang, P.; Spathelf, P.; Larsen, J.B.; Bauhus, J.; Boncina, A.; Mohren, G.M.J.

2014-01-01

In many parts of Europe, close-to-nature silviculture (CNS) has been widely advocated as being the best approach for managing forests to cope with future climate change. In this review, we identify and evaluate six principles for enhancing the adaptive capacity of European temperate forests in a

Silvicultural research and the evolution of forest practices in the Douglas-fir region.

Science.gov (United States)

Robert O. Curtis; Dean S. DeBell; Richard E. Miller; Michael Newton; J. Bradley St. Clair; William I. Stein

2007-01-01

Silvicultural practices in the Douglas-fir region evolved through a combination of formal research, observation, and practical experience of forest managers and silviculturists, and changing economic and social factors. This process began more than a century ago and still continues. It has had a great influence on the economic well-being of the region and on the...

40 CFR 122.27 - Silvicultural activities (applicable to State NPDES programs, see § 123.25).

Science.gov (United States)

2010-07-01

... POLLUTANT DISCHARGE ELIMINATION SYSTEM Permit Application and Special NPDES Program Requirements § 122.27... 40 Protection of Environment 21 2010-07-01 2010-07-01 false Silvicultural activities (applicable to State NPDES programs, see § 123.25). 122.27 Section 122.27 Protection of Environment...

Silviculture and the assessment of climate change genetic risk for southern Appalachian forest tree species

Science.gov (United States)

Kevin M. Potter; Barbara S. Crane

2012-01-01

Changing climate conditions and increasing insect and pathogen infestations will increase the likelihood that forest trees could experience population-level extirpation or species-level extinction during the next century. Gene conservation and silvicultural efforts to preserve forest tree genetic diversity present a particular challenge in species-rich regions such as...

Regeneration of red oak (Quercus rubra L.) using shelterwood systems: Ecophysiology, silviculture and management recommendations

Science.gov (United States)

Daniel C. Dey; William C. parker

1996-01-01

There is considerable interest in developing relaible methods for regenerating red oak (Quercus rubra) in Ontario. Traditional silviculture methods have not been successful in maintaining the curent levels of oak growing stock. In this paper, we review the ecology, physiology and reproductive biology of red oak. This discussion stresses the...

Integrated management of carbon sequestration and biomass utilization opportunities in a changing climate: Proceedings of the 2009 National Silviculture Workshop; 2009 June 15-18; Boise, ID.

Science.gov (United States)

Theresa B. Jain; Russell T. Graham; Jonathan Sandquist

2010-01-01

Forests are important for carbon sequestration and how they are manipulated either through natural or human induced disturbances can have an effect on CO2 emissions and carbon sequestration. The 2009 National Silviculture Workshop presented scientific information and management strategies to meet a variety of objectives while simultaneously addressing carbon...

Severe burning treatment tested on lowland pine sites

Science.gov (United States)

S. Little; E. B. Moore

1953-01-01

Since the prescribed use of fire is a fairly new silvicultural technique for preparing seedbeds for pine in the New Jersey pine region, it has been used rather cautiously. Burning treatments have been made in the winter, when periodic light fires can be easily controlled. The treatments have been used almost exclusively on upland sites.

Silviculture and economic benefits of producing wood energy from conventional forestry systems and measures to mitigate negative impacts

International Nuclear Information System (INIS)

Manley, A.; Richardson, J.

1995-01-01

Activity ''Forest Energy Production'' focused on the development and evaluation, in the context of conventional forestry systems, silvicultural and forest management practices which optimise productivity for traditional products and wood for energy, while safeguarding the forest ecosystem. A series of meetings, workshops, and review papers involving the three participating countries of Canada, Sweden, and the United Kingdom were planned and completed. An additional workshop in Switzerland was also held. Increasing production of biomass for energy is generally found to be positive, from silvicultural, economic, and environmental perspectives. Eight specific forest management systems were investigated and/or reported: five conventional systems involving multiple products in softwood and mixed wood, and three hardwood systems emphasising production of biomass for energy. Modifications in silvercultural practice to also produce biomass for energy included increased opportunities for thinnings, intermediate cuttings, and stand and site rehabilitation as well as more flexible and efficient harvesting systems. Economic benefits accrued from increased investment in harvesting and burning technology, improvements in stand quality and site utilisation, and substitution for more expensive fuels, especially if all costs are considered. Environmental effects were found to be generally positive, but negative effects of nutrient and organic matter removal on the overall sustainability of specific systems are possible. These need to be addressed. Harvest and management guidelines are being designed and put into practice. Social, institutional, and technical barriers to the increased use of biomass for energy are being addressed by specific strategies and initiatives involving programs and incentives for production, market development, research and education. Net positive effects indicate increased use of forest biomass for energy, in the short and long term. (Abstract Truncated)

State survey of silviculture nonpoint source programs: a comparison of the 2000 northeastern and national results

Science.gov (United States)

Pamela J. Edwards; Gordon W. Stuart

2002-01-01

The National Association of State Foresters conducts surveys of silviculture nonpoint source (NPS) pollution control programs to measure progress and identify needs. The 2000 survey results are summarized here for the nation and for the 20-state northeastern region. Current emphasis of NPS pollution programs is on education, training, and monitoring. Educational...

Proceedings of the National Silviculture Workshop: The Shelterwood Regeneration Method; Charleston, South Carolina September 17-21, 1979

Science.gov (United States)

Dan Cramsey; Carl Puuri; Dick Miller; Billy E. Page; David Smith; David Marquis; Jack Usher; Bob Naumann; William Beaufait; Robert Loomis; Edward Smith; David Loftis; Gordon Langdon; Thomas Croker; William Boyer; Jim Edgren; Douglas Roy; John Hughes; Charles Boldt; Glenn Jacobson; Dick Godman; Carl Tubbs; Ivan Sander; Bob Blomquist

1979-01-01

Historic Charleston, South Carolina was the site of the 1979 Silviculture Workshop. The objective of the meeting was to discuss state of the art application of the shelterwood regeneration method to forests of the United States. These proceedings include the presentations of the individuals on the program.

Changes in down dead wood volume across a chronosequence of silvicultural openings in southern Indiana forests

Science.gov (United States)

Michael A. Jenkins; George R. Parker

1997-01-01

The volume and decay stages of down dead wood were evaluated across a chronosequence of 46 silvicultural openings and 10 uncut control stands to determine how down dead wood volume changes with stand development. Openings ranged in age from 8 to 26 years and were divided into three age groups: (1) 16 years. Individual logs...

MEMORANDUM: Application of Best Management Practices to Mechanical Silvicultural Site Preparation Activities for the Establishment of Pine Plantations in the Southeast

Science.gov (United States)

Memorandum to the Field, November 28, 1995, clarifying the applicability of forested wetlands best management practices to mechanical silvicultural site preparation activities for the establishment of pine plantations in the Southeast.

Methanol production from Eucalyptus wood chips. Working document I. The Florida Eucalyptus energy farm: silvicultural methods and considerations

Energy Technology Data Exchange (ETDEWEB)

Fishkind, H.H.

1982-04-01

The silvicultural matrix within which the nation's first large scale wood energy plantation will develop is described in detail. The relevant literature reviewed is identified and distilled. The plantation history, site preparation, planting, species selection, maintenance and management, harvesting, and the Eucalyptus biomass production estimates are presented.

Disturbances and structural development of natural forest ecosystems with silvicultural implications, using Douglas-fir forests as an example.

Science.gov (United States)

J.F. Franklin; T.A. Spies; R.V. Pelt; A.B. Carey; D.A. Thornburgh; D.R. Berg; D.B. Lindenmayer; M.E. Harmon; W.S. Keeton; D.C. Shaw; K. Bible; J. Chen

2002-01-01

Forest managers need a comprehensive scientific understanding of natural stand development processes when designing silvicultural systems that integrate ecological and economic objectives, including a better appreciation of the nature of disturbance regimes and the biological legacies, such as live trees, snags, and logs, that they leave behind. Most conceptual forest...

Modeling silviculture after natural disturbance to sustain biodiversity in the longleaf pine (Pinus palustris) ecosystem : balancing complexity and implementation

Science.gov (United States)

Brian J. Palik; Robert J. Mitchell; J. Kevin Hiers

2002-01-01

Modeling silviculture after natural disturbance to maintain biodiversity is a popular concept, yet its application remains elusive. We discuss difficulties inherent to this idea, and suggest approaches to facilitate implementation, using longleaf pine (Pinus palustris) as an example. Natural disturbance regimes are spatially and temporally variable. Variability...

The Turkey oak high forests in the Molise region (central Italy. Analysis of past silvicultural system and current management choices.

Directory of Open Access Journals (Sweden)

Paolo Cantiani

2010-12-01

from Carpinus betulus stools clearcutting, was a further hindrance to the establishment of natural oak regeneration. In the fifties, the rate of forest management increased as a consequence of the coming up economic concern in sleeper production. The silvicultural shelterwood system was therefore codified. The system resulted to be more effective and adopted up to the present time. The traditional shelterwood system was based on a 90 yrs rotation length, three thinnings performed from the age of 25 up to 75, time of the seed cutting with a release of 90 trees per hectare. In the seventies, following the much more reduced and even null concern in wood production from oak high forests, practices into the same forests were suspended or postponed. At now, the renewed concern for fuelwood production, the only assortment marketable, as well as the increased attention paid to the multifunctional role of these forests, made again actual the problem of oak high forest management. The effectiveness of shelterwood system is the main outcome of the documental analysis performed. The study of the Carovilli’s chronosequence confirmed the close link between the current stand structures and the prescribed rules adopted in the past, in accordance with the management plans. The experimental trials in progress are now focused at defining an improvement of the shelterwood system practice as for the following issues: reduction of cutting areas; establishment of a more complex structural mosaic at neighbouring forest patches, setting up of a consistent release of seed trees i.e. number and dendrotypes to be selected at the purpose, with a special care to the crown cover to the forest floor, effective control of the understorey development due to the resprouting of Carpinus betulus stools, to enhance the establishment of oak natural regeneration. st1\\:*{behavior:url(#ieooui } /* Style Definitions */ table.MsoNormalTable {mso-style-name:"Tabella normale"; mso-tstyle-rowband-size:0; mso

Effect of High-Intensity Wildfire and Silvicultural Treatments on Reptile Communities in Sand-Pine Scrub

Science.gov (United States)

Cathryn H. Greenberg; Daniel G. Neary; Larry D. Harris

1994-01-01

We tested whether the herpetofuunal response to clearcutting followed by site preparation was similar to high-intensity wildfire foIlowed by salvage logging in sand- pine scrub. Herpetofaunal communities were compared in three replicated 5- to 7-yearpost-disturbance treatments and mature sand-pine forest. The three disturbance treatments were (1) high-intensity...

Assessment of Soil Protection to Support Forest Planning: an Experience in Southern Italy

Directory of Open Access Journals (Sweden)

Fabrizio Ferretti

2014-04-01

Full Text Available Aim of study: to support landscape planning when soil-erosion control and water cycle regulation represent relevant issues for forest management. A methodological approach - based on simplified index – is proposed in order to assess the protective efficacy of forests on soils (indirect protection. This method is aimed at supporting technicians who are requested to define the most suitable management guidelines and silvicultural treatments.Area of study: Southern Apennines (Alto Agri district – Basilicata Region - Italy, where a landscape planning experimentation was implemented. Material and Methods: The data to estimate the parameters used for the simplified index calculation are retrieved from a non aligned systematic forest inventory. The method considers: 1 the tendency towards instability, 2 the protective action of forest cover and 3 different silvicultural options.Main results: For the analysed forest categories, the results indicate the situations in which hydrogeological hazard is high. The cross-reading of these data with the values based on years of partial and total uncovering of the ground according to different silvicultural options (for each forest category in the reference period of 100 years has supported the definition of silviculture treatments and management options suitable for the considered forest formations.Research highlights: The proposed method can effectively support technicians in the field by highlighting situations of major hazard risk. Thanks to the joined assessment of different silvicultural options for each forest category, a series of silvicultural treatments, capable of better protecting the soil, can be already defined in the field survey phase.Key words: Alto Agri district (Italy; Forest Landscape Management Planning (FLMP; management; silvicultural treatment; protective function and soil erosion.

Assessment of Soil Protection to Support Forest Planning: an Experience in Southern Italy

Energy Technology Data Exchange (ETDEWEB)

Ferreti, F.; Cantiani, P.; Meo, I. de; Paletto, A.

2014-06-01

Aim of study: To support landscape planning when soil-erosion control and water cycle regulation represent relevant issues for forest management. A methodological approach -based on simplified index- is proposed in order to assess the protective efficacy of forests on soils (indirect protection). This method is aimed at supporting technicians who are requested to define the most suitable management guidelines and silviculture treatments. Area of study: Southern Apennines (Alto Agri district -Basilicata Region- Italy), where a landscape planning experimentation was implemented. Material and methods: The data to estimate the parameters used for the simplified index calculation are retrieved from a non aligned systematic forest inventory. The method considers: 1) the tendency towards instability, 2) the protective action of forest cover and 3) different silviculture options. Main results: For the analysed forest categories, the results indicate the situations in which hydrogeological hazard is high. The cross-reading of these data with the values based on years of partial and total uncovering of the ground according to different silviculture options (for each forest category in the reference period of 100 years) has supported the definition of silviculture treatments and management options suitable for the considered forest formations. Research highlights The proposed method can effectively support technicians in the field by highlighting situations of major hazard risk. Thanks to the joined assessment of different silviculture options for each forest category, a series of silviculture treatments, capable of better protecting the soil, can be already defined in the field survey phase. Key words: Alto Agri district (Italy); Forest Landscape Management Planning (FLMP); management; silviculture treatment; protective function e soil erosion. (Author)

Development of the selection system in northern hardwood forests of the Lake States: an 80-year silviculture research legacy

Science.gov (United States)

Christel Kern; Gus Erdmann; Laura Kenefic; Brian Palik; Terry. Strong

2014-01-01

The northern hardwood research program at the Dukes Experimental Forest in Michigan and Argonne Experimental Forest in Wisconsin has been adapting to changing management and social objectives for more than 80 years. In 1926, the first northern hardwood silviculture study was established in old-growth stands at the Dukes Experimental Forest. In response to social...

Ecology and silvicultural management for the rehabilitation in rain forests of low altitude on complex metamorphic

Directory of Open Access Journals (Sweden)

Gonzalo Cantos Cevallos

2018-01-01

Full Text Available In order to characterize ecology and silvicultural management for the rehabilitation of the low altitude rain forest on a metamorphic complex, Quibiján-Naranjal del Toa sector, a floristic inventory was carried out, 36 sample plots of 20 x 25 m in the forest in both sides of Toa's riverside. Tree species with d1,3 e» 5 cm were measured, a total of 1507 individuals represented in 52 species belonging to 49 genera and 24 families were identified and evaluated. Both forests were statistically compared in terms of richness, composition, structure, diversity and abundance, with a high alpha and beta diversity. The species with the highest value index of ecological importance were determined. The families Fabaceae, Moraceae, Lauraceae and Meliaceae are the most representative in terms of species and genera. The most important species are Hibiscus elatus, Calophyllum utile, Carapa guianensis, Buhenavia capitata, y Guarea guara, among others, which stand out as the most abundant. Economic occupation was adequate in a few plots and incomplete in most of the sampling units. Taking into account the results obtained, we propose silvicultural actions aimed at sustainable forest management through the application of improvement shorts and the method of enrichment in dense spaced-groups for the rehabilitation and the achievement of the expected multiethane forest.

Western gulf culture-density study-early results

Science.gov (United States)

Mohd S. Rahman; Michael G. Messina; Richard F. Fisher; Alan B. Wilson; Nick Chappell; Conner Fristoe; Larry Anderson

2006-01-01

The Western Gulf Culture-Density Study is a collaborative research effort between Texas A&M University and five forest products companies to examine the effects of early silvicultural treatment intensity and a wide range of both densities and soil types on performance of loblolly pine. The study tests 2 silvicultural intensities, 5 planting densities (200 to 1,200...

Silvicultural operation on the forest ecosystems: Methodology for forest hydrological monitoring; Effetti del taglio sugli ecosistemi forestali in ambiente montamo: Proposte metologiche per il monitoraggio dell`idrologia forestale

Energy Technology Data Exchange (ETDEWEB)

Andreotti, A; Collina, M; Serra, F; Naviglio, L [ENEA, Centro Ricerche Brasimone, Bologna (Italy). Dipt. Ambiente; Bonora, P [ENEA, Centro Ricerche ` E. Clementel` , Bologna (Italy). Dipt. Ambiente; Gregori, E; Napoli, R [Istituto Sperimentale per lo Studio e la Difesa del Suolo, Firenze (Italy)

1997-03-01

During 1994, Ente Nazionale per l`Energia Elettrica, with the contribution of the Ministry of Agricultural, Alimentary and Forest Resources, started a research program to assess the effects of the silvicultural operations on the forest ecosystems, investigating particularly the hydrological aspects, the erosion and the nutrient cycle. The research must monitor two forest plots coinciding with two secondary watersheds in the Torto stream valley (Northern Italy - high Bolognan Appennines) during about ten years. One plot will be let naturally evolve, while the other one, after a period of 3-5 years, must be subject to a cut; the comparison between the two plots will allow us to evaluate the nature and the size of the changes induced in the ecosystem by man through the silvicultural operations. Because of the complexity of the environmental parameters the authors want to study, initially it was necessary to determine methodology and instruments required for attaining the set goals. In this technical report are shown the results the authors obtained at the end of this first testing and setting up period, and therefore it assumes the form of a methodological protocol for carrying out the research itself.

Effects of Precommercial Thinning and Midstory Control on Avian and Small Mammal Communities during Longleaf Pine Savanna Restoration.

Energy Technology Data Exchange (ETDEWEB)

Lane, Vanessa R [Abraham Baldwin Agricultural College; Kilgo, John C [USDA Forest Service, Southern Research Station

2015-01-01

Abstract - Restoring longleaf pine (Pinus palustris Mill.) savanna is a goal of many southern land managers, and longleaf plantations may provide a mechanism for savanna restoration. However, the effects of silvicultural treatments used in the management of longleaf pine plantations on wildlife communities are relatively unknown. Beginning in 1994, we examined effects of longleaf pine restoration with plantation silviculture on avian and small mammal communities using four treatments in four 8- to 11- year-old plantations within the Savannah River Site in South Carolina. Treatments included prescribed burning every 3 to 5 years, plus: (1) no additional treatment (burn-only control); (2) precommercial thinning; (3) non-pine woody control with herbicides; and (4) combined thinning and woody control. We surveyed birds (1996-2003) using 50-m point counts and small mammals with removal trapping. Thinning and woody control alone had short-lived effects on avian communities, and the combination treatment increased avian parameters over the burn-only control in all years. Small mammal abundance showed similar trends as avian abundance for all three treatments when compared with the burn-only control, but only for 2 years post-treatment. Both avian and small mammal communities were temporarily enhanced by controlling woody vegetation with chemicals in addition to prescribed fire and thinning. Therefore, precommercial thinning in longleaf plantations, particularly when combined with woody control and prescribed fire, may benefit early-successional avian and small mammal communities by developing stand conditions more typical of natural longleaf stands maintained by periodic fire.

Effects of silvicultural treatment on the stability of black pine plantations.

Directory of Open Access Journals (Sweden)

Paolo Cantiani

2010-12-01

each intervention on the mensurational and mechanical stability parameters (H/D ratio H/Ddom ratio, are being analyzed. The stability parameters of the pine forest after three interventions (H/D ratio, crown ratio, horizontal crown projection and eccentricity of the crown have been also analyzed on a sample of trees per thesis and compared with those of trees grown in absence of competition. Sampled trees were sorted per social class. Results proved that type, interval and intensity of thinning related to the age of intervention are the main determinants of a successful treatment. Thinnings from below increase individual stability over time only when also trees living in the main crop layer are being removed. The trials showed the improvement of stability parameters following the intermediate thinning applied at the age of 45. The thesis of heavy thinning had the best performance as for the awaited purpose. st1\\:*{behavior:url(#ieooui } /* Style Definitions */ table.MsoNormalTable {mso-style-name:"Tabella normale"; mso-tstyle-rowband-size:0; mso-tstyle-colband-size:0; mso-style-noshow:yes; mso-style-parent:""; mso-padding-alt:0cm 5.4pt 0cm 5.4pt; mso-para-margin:0cm; mso-para-margin-bottom:.0001pt; mso-pagination:widow-orphan; font-size:10.0pt; font-family:"Times New Roman"; mso-ansi-language:#0400; mso-fareast-language:#0400; mso-bidi-language:#0400;}

Evaluating forest product potential as part of planning ecological restoration treatments on forested landscapes

Science.gov (United States)

R. James Barbour; Ryan Singleton; Douglas A. Maguire

2007-01-01

As landscape-scale assessments and modeling become a more common method for evaluating alternatives in integrated resource management, new techniques are needed to display and evaluate outcomes for large numbers of stands over long periods. In this proof of concept, we evaluate the potential to provide financial support for silvicultural treatments by selling timber...

Ecological effects of harvesting biomass for energy in the Spanish Mediterranean

International Nuclear Information System (INIS)

Zavala, Miguel A.; Marcos, Francisco

1993-01-01

Biomass utilization for energy has major consequences for Spanish Mediterranean landscapes. In this paper we present a synthesis of the ecological effects of harvesting biomass for energy. We compare these effects with other fuel reduction procedures such as prescribed burning. Throughout history we see that some Iberian ecosystems are stabilized by long human interference. One of the stabilizing factors is the utilization of wood as a source of energy. New energy sources and massive human movements towards urban areas have changed the ecosystem dynamics. Reforested areas in Spain during the period from 1940 to 1970 included silviculture treatments that in some cases never took place. This has led to a greater accumulation of biomass. The current perspective of the problem must be analyzed from an economic and political viewpoint. For instance, the Middle East crisis has direct consequences for the budget dedicated to forest energetics, and consequently for the landscape. This shows how ecological problems must be dealt with using a very broad perspective. In Spain current biomass usage should be considered primarily as a complementary silvicultural treatment rather than as a way of producing great biomass outputs. If we are going to manage our forest from an ecological perspective, we have to analyze the effects of these operations at the stand level. At the landscape level fuel management plans should be included in the Forest Management Prescriptions (ordenaciones) whether in terms of harvesting or in a prescribed burning plan

Spatial ecology and behavior of eastern box turtles on the hardwood ecosystem experiment: pre-treatment results

Science.gov (United States)

Andrea F. Currylow; Brian J. MacGowan; Rod N. Williams

2013-01-01

To understand better how eastern box turtles (Terrapene carolina carolina) are affected by forest management practices, we monitored movements of box turtles prior to silvicultural treatments within the Hardwood Ecosystem Experiment (HEE) in Indiana. During 2007 and 2008, we tracked 23-28 turtles on six units of the HEE. Estimated minimum convex...

Fuels planning: science synthesis and integration; forest structure and fire hazard fact sheet 06: Guide to fuel treatments in dry forests of the Western United States: assessing forest structure and fire hazard

Science.gov (United States)

Rocky Mountain Research Station USDA Forest Service

2005-01-01

The Guide to Fuel Treatments analyzes a range of potential silvicultural thinnings and surface fuel treatments for 25 representative dry-forest stands in the Western United States. The guide provides quantitative guidelines and visualization for treatment based on scientific principles identified for reducing potential crown fires. This fact sheet identifies the...

Effects of basal area on survival and growth of longleaf pine when practicing selection silviculture

International Nuclear Information System (INIS)

Kara, F.; Loewenstein, E.F.; Brockway, D.G.

2017-01-01

Aim of study: Uneven-aged (UEA) management systems can achieve multiple-use objectives, however, use of UEA techniques to manage longleaf pine (Pinus palustris Mill.) forests are still open to question, because of the species’ intolerance of competition. It was our aim to examine the influence of different levels (9.2, 13.8 and 18.4 m2 ha-1) of residual basal area (RBA) on longleaf pine seedling survival and growth following three growing seasons. Area of study: This study was conducted at the Escambia Experimental Forest, located on the Southern Coastal Plain of Alabama, in the southeastern United States. Material and Methods: Selection silviculture was implemented with the Proportional-Basal Area (Pro-B) method. Prescribed burning was conducted before seed dispersal and in the second year after germination. Photosynthetically active radiation (PAR) was measured under the canopy in the study plots. Survival and growth of longleaf pine seedlings were observed for three growing seasons. Main results: An inverse relationship was found between the number of germinants and RBA, but the mortality of germinants and planted seedlings was not affected by RBA. At age three, an inverse relationship was observed between root-collar diameter (RCD) growth of the germinants and RBA, but RCD growth of planted seedlings was not affected by RBA. Most of the study plots contained more than the projected number of seedlings needed to sustain the target diameter structure. Research highlights: Long-term continuous monitoring of seedling development and recruitment into canopy is required to determine the efficacy of UEA management. However, current data suggest that UEA methods may be a viable alternative to the use of even-aged (EA) methods in longleaf ecosystems.

Effects of basal area on survival and growth of longleaf pine when practicing selection silviculture

Energy Technology Data Exchange (ETDEWEB)

Kara, F.; Loewenstein, E.F.; Brockway, D.G.

2017-11-01

Aim of study: Uneven-aged (UEA) management systems can achieve multiple-use objectives, however, use of UEA techniques to manage longleaf pine (Pinus palustris Mill.) forests are still open to question, because of the species’ intolerance of competition. It was our aim to examine the influence of different levels (9.2, 13.8 and 18.4 m2 ha-1) of residual basal area (RBA) on longleaf pine seedling survival and growth following three growing seasons. Area of study: This study was conducted at the Escambia Experimental Forest, located on the Southern Coastal Plain of Alabama, in the southeastern United States. Material and Methods: Selection silviculture was implemented with the Proportional-Basal Area (Pro-B) method. Prescribed burning was conducted before seed dispersal and in the second year after germination. Photosynthetically active radiation (PAR) was measured under the canopy in the study plots. Survival and growth of longleaf pine seedlings were observed for three growing seasons. Main results: An inverse relationship was found between the number of germinants and RBA, but the mortality of germinants and planted seedlings was not affected by RBA. At age three, an inverse relationship was observed between root-collar diameter (RCD) growth of the germinants and RBA, but RCD growth of planted seedlings was not affected by RBA. Most of the study plots contained more than the projected number of seedlings needed to sustain the target diameter structure. Research highlights: Long-term continuous monitoring of seedling development and recruitment into canopy is required to determine the efficacy of UEA management. However, current data suggest that UEA methods may be a viable alternative to the use of even-aged (EA) methods in longleaf ecosystems.

Silviculture and biology of short-rotation woody crops in temperate regions: Then and now

Energy Technology Data Exchange (ETDEWEB)

Dickmann, Donald I. [Department of Forestry, Michigan State University, East Lansing, MI 48824-1222 (United States)

2006-08-15

Although its roots are in antiquity, the current concept of short-rotation woody crops (SRWC) for fiber and energy evolved scientifically from pioneering tree breeding work begun in the early 20th century. A natural outgrowth of this work was the culture of fast-growing trees on rotations of 1-15 years. Close-spaced tree culture received further impetus with the introduction of the 'silage sycamore' concept in the southeastern US in the mid-1960s and the OPEC oil embargo in 1973, leading to statistically designed trials at numerous locations in North America, Europe, and Scandinavia. Early silvicultural research focused on spacing and species trials, propagation methods, site preparation, weed management, nutrition, growth, and yield. Because these trials were based on small plots, and the importance of pest depredations or site variation were not fully recognized, early biomass yield predictions tended to be overly optimistic. Soon physiologists and ecologists began to unravel the biological characteristics of SRWC plantations and their responses to environment. Knowledge of the influence and diversity of pests-insects, diseases, and animals-provided a necessary reality check. Many hardwood tree species and a few conifers have been evaluated over the years for SRWC in temperate regions of the world. Clones of Populus and Salix, however, became the dominant plantation material because of their inherently rapid growth and ease of propagation by hardwood cuttings. Among conifers, loblolly pine (Pinus taeda) also shows promise. Because genetic variation is readily exploitable in the dominant SRWC taxa, strongly focused breeding programs began to provide highly productive genotypes and seed sources in the last decades of the 20th century. A new plateau, with significant practical potential, was reached in the late 20th century when biotechnological methods were applied to tree taxa. Recently, the DNA in the Populus genome was sequenced. Thus, the few current

COMPORTAMENTO DA ERVA-MATE (Ilex paraguariensis St. Hil. EM CONSÓRCIO SILVICULTURAL

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Odilson dos Santos Oliveira

1995-12-01

Full Text Available O presente trabalho foi realizado no Campus da Universidade Federal de Santa Maria e teve por objetivo determinar o comportamento da erva-mate (Ilex paraguariensis St. Hil. cultivada em sistemas de consórcio silvicultural. A metodologia adotada constituiu-se da implantação de três tratamentos, cortes aos sistemas de consórcio erva-mate x Pinus sp., erva-mate x bracatinga e erva-mate x capoeira. A análise dos resultados levou às setes conclusões: os melhores resultados de desenvolvimento de erva-mate são obdos nos consórcios com bracatinga e Pinus sp. e, o pior, na capoeira; as vazes extremas dos fatores do meio são amenizadas pelas outras espécies do consórcio; índices elevados de luminosidade não promovem maior produção de matéria seca, nem os índices muito baixos.

Proceedings. Larch genetics and breeding. Research findings and ecological-silvicultural demands

Energy Technology Data Exchange (ETDEWEB)

Martinsson, Owe [ed.

1995-12-31

The genus Larix Mill. (larch) represents a great part of the boreal and alpine forests. Larch species are the most common conifers in Siberia and they have an important role in European and North American forest ecosystems and forest economies. The value of these group of species are expected to increase in the future. There are at least three different reasons for that assumption: 1. Larch has highly appreciated technical wood properties., 2. Intensive cutting during the past three centuries has made larch a threatened group of species in some parts of the world., 3. Increasing access to Siberia will make forestry and forest harvest of larch an important part of the forest economy and ecology. In August 1995 a group of forest scientists gathered under the framework of IUFRO working group S2.02-07 in southern Sweden for exchange of experience in the fields of breeding and silviculture of larch. This proceedings was compiled on the basis of the presentations of this working group. Separate abstracts have been prepared for 12 of the 17 papers

Proceedings. Larch genetics and breeding. Research findings and ecological-silvicultural demands

Energy Technology Data Exchange (ETDEWEB)

Martinsson, Owe [ed.

1996-12-31

The genus Larix Mill. (larch) represents a great part of the boreal and alpine forests. Larch species are the most common conifers in Siberia and they have an important role in European and North American forest ecosystems and forest economies. The value of these group of species are expected to increase in the future. There are at least three different reasons for that assumption: 1. Larch has highly appreciated technical wood properties., 2. Intensive cutting during the past three centuries has made larch a threatened group of species in some parts of the world., 3. Increasing access to Siberia will make forestry and forest harvest of larch an important part of the forest economy and ecology. In August 1995 a group of forest scientists gathered under the framework of IUFRO working group S2.02-07 in southern Sweden for exchange of experience in the fields of breeding and silviculture of larch. This proceedings was compiled on the basis of the presentations of this working group. Separate abstracts have been prepared for 12 of the 17 papers

Forest treatment residues for thermal energy compared with disposal by onsite burning: Emissions and energy return

Science.gov (United States)

Greg Jones; Dan Loeffler; David Calkin; Woodam Chung

2010-01-01

Mill residues from forest industries are the source for most of the current wood-based energy in the US, approximately 2.1% of the nation's energy use in 2007. Forest residues from silvicultural treatments, which include limbs, tops, and small non-commercial trees removed for various forest management objectives, represent an additional source of woody biomass for...

Structure and Composition of a Dry Mixed-Conifer Forest in Absence of Contemporary Treatments, Southwest, USA

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Douglas Cram

2017-09-01

Full Text Available Dry mixed-conifer forests in the Southwest occupy an important ecological and hydrological role in upper watersheds. In the absence of reoccurring fire and silvicultural treatments over the last 50 years, we quantified forest structure and composition on prevailing north and south aspects of a dry mixed-conifer forest in southcentral New Mexico using mixed models and ordination analysis in preparation for an experiment in ecological restoration. Results indicated overstory and midstory were dominated by Douglas-fir (Pseudotsuga menziesii and shade tolerant/fire intolerant white fir (Abies concolor with interspersed mature aspen on north aspects, and Douglas-fir and Southwestern white pine (Pinus strobiformis on south aspects. Ponderosa pine (Pinus ponderosa, which was historically co-dominant with Douglas-fir on north and south aspects, was subdominant on south aspects and almost entirely absent on north aspects. Regeneration was dominated by white fir saplings and seedlings on north aspects while ponderosa pine was completely absent. South aspect saplings and seedlings were characterized by Douglas-fir and Southwestern white pine, but almost no ponderosa pine. Ordination analysis characterized the effect of aspect on species composition. Understanding contemporary forest structure and composition is important when planning for desired future conditions that are to be achieved through ecological restoration using silvicultural techniques designed to foster resilience.

Volume and crown characteristics of juvenile loblolly pine grown at various ratios of between and within row spacings

Science.gov (United States)

John R. Britt; Jason P. Reynolds

2013-01-01

In plantation forestry, several silvicultural treatments can be row oriented. When rows are treated individually, planting trees in wider rows may result in lower silvicultural treatment cost, facilitate future operations, such as thinning and fire fighting, and provide a longer period with open canopy conditions. All these scenarios could provide benefit to landowners...

Manager's handbook for oaks in the north-central states.

Science.gov (United States)

Ivan L. Sander

1977-01-01

Presents a key for choosing management options. Discusses silvicultural treatments to ensure reproduction and regulate stand density for efficient timber production. Also discusses water, wildlife, esthetics, and their effects on timber production.

Suppression of Phytophthora ramorum infestations through silvicultural treatment in California's north coast

Science.gov (United States)

Yana Valachovic; Chris Lee; Brendan Twieg; David Rizzo; Richard Cobb; Radoslaw Glebocki

2013-01-01

In 2006, three forested sites infested with Phytophthora ramorum in Humboldt County, California were subjected to different combinations of treatments designed to reduce inoculum and control spread. One treatment, consisting of removal of all California bay laurel (Umbellularia californica (Hook. & Arn.) Nutt.) and tanoak...

[Effect of forest management on the herpetofauna of a temperate forest of western Oaxaca, Mexico].

Science.gov (United States)

Aldape-López, César Tonatiuh; Santos-Moreno, Antonio

2016-09-01

The development of silvicultural techniques has as main objective to maximize the production of timber, whereas at the same time minimize the impact generated during and after forest intervention in the local diversity. However, these activities change local climate, and this, in turn, alter the composition of natural communities. The effect of these changes may be greater in those taxonomic groups with high sensitivity to habitat disturbance, such as amphibians and reptiles, which are the unique terrestrial ectothermic vertebrates. The present study aims to know the differences in diversity of amphibians and reptiles in a temperate forest under two silvicultural treatments, one of low and the other of high intensity, as well as from one, five and ten years of regeneration since the last logging event, Sierra Sur of Oaxaca, Mexico. Records of 21 species of herpetofauna (six amphibians and 15 reptiles) were obtained. The total species richness was similar in both treatments; however, the composition varied between sites with different recovery times. Higher abundance of amphibian was presented on sites with the low-intensity treatment, while reptiles were more abundant at sites with intensive treatment. Compared to a mature forest without management, sites with intensive treatment have more rare species, although the values of true diversity of amphibians were similar between treatments with different intensities, while for reptiles sites under treatment showed less diversity that unmanaged site: 33 % for intensive treatment and 28 % at sites with low intensity with respect to one control site. Complementary Analysis showed a difference of 86 % between the compositions of species in sites with intensive treatment. The treatment intensity was associated with an increase in the number of species, but the way they respond to changes in habitat depends largely on the population characteristics of each species and its ability to adapt to new conditions.

EFEITO DA SILVICULTURA PÓS-COLHEITA NA POPULAÇÃO DE Lecythis lurida (Miers Mori EM UMA FLORESTA DE TERRA FIRME NA AMAZÔNIA BRASILEIRA

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Marisol Taffarel

2014-01-01

Full Text Available The growth rate of trees dbh > 35cm of a Lecythis lurida (Miers Mori (jarana population was evaluated in a 700ha area of natural forest after logging and applying silvicultural treatments in the municipality of Paragominas, in Pará state. Seven treatments were established: in three of them climbers were cut and competitor trees were girdled after logging; in two of them only climber cutting was performed; in oneof them the forest was logged; and one of them remained with no silvicultural intervention. The yearly diameter increment of the species was calculated from 2005 to 2009, considering also the crown shape of trees and the intensity of light on tree crown. Growth rate of Lecythis lurida was higher in T3 (only climber cutting’differing statistically from the T7 (unlogged forest. In the treatments T1, T2 and T3 where climber were cut and competitors-trees were girdled, diameter increment of the species was similar to the forest that was logged but not treated, although the trees with good shape and complete crowns receiving full light had high increment in those treatments. Therefore, one can infer that five years were not enough to conclude on the effects of the silvicultural treatments over the species growth rate.

Comportamento da erva-mate (Ilex paraguariensis St. Hil. em consórcio silvicultural.

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Luisilvio Pes

2009-09-01

Full Text Available Normal 0 21 false false false MicrosoftInternetExplorer4 O presente trabalho foi realizado no Campus da Universidade Federal de Santa Maria e teve por objetivo determinar o comportamento da erva-mate (Ilex paraguariensis St. Hil. cultivada em sistema de consórcio silvicultural. A metodologia adotada constituiu-se da implantação de três tratamentos, correspondentes aos sistemas de consórcio erva-mata x Pinus sp., erva-mate x bracatinga e erva-mate x capoeira. A análise dos resultados levou às seguintes conclusões: os melhores resultados de desenvolvimento da erva-mate são obtidos nos consórcios com bracatinga e Pins sp. e, o pior, na caopeira; as variações externas dos fatores do meio são amenizadas pelas outras espécies do consórcio; índices elevados de luminosidade não promovem maior produção de matéria seca, nem os índices muito baixos.

The effect of plantation silviculture on soil organic matter and particle-size fractions in Amazonia O efeito de manejo silvicultural de eucalipto sobre matéria orgânica e frações de solo na Amazônia

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Troy Patrick Beldini

2009-12-01

Full Text Available Eucalyptus grandis and other clonal plantations cover about 3.5 million ha in Brazil. The impacts of intensively-managed short-rotation forestry on soil aggregate structure and Carbon (C dynamics are largely undocumented in tropical ecosystems. Long-term sustainability of these systems is probably in part linked to maintenance of soil organic matter and good soil structure and aggregation, especially in areas with low-fertility soils. This study investigated soil aggregate dynamics on a clay soil and a sandy soil, each with a Eucalyptus plantation and an adjacent primary forest. Silvicultural management did not reduce total C stocks, and did not change soil bulk density. Aggregates of the managed soils did not decrease in mass as hypothesized, which indicates that soil cultivation in 6 year cycles did not cause large decreases in soil aggregation in either soil texture. Silt, clay, and C of the sandy plantation soil shifted to greater aggregate protection, which may represent a decrease in C availability. The organic matter in the clay plantation soil increased in the fractions considered less protected while this shift from C to structural forms considered more protected was not observed.Este trabalho teve como objetivo investigar a dinâmica dos agregados do solo e das suas frações derivadas dos mesmos em duas texturas de solo, cada uma com uma plantação de Eucalipto e uma floresta primaria imediatamente adjacente. Eucalyptus grandis e outros clones cultivados em plantações cobrem aproximadamente 3,5 milhões de hectares no Brasil. Os impactos de manejo intensivo de plantações de rotação curta sobre a estrutura de solo e a dinâmica de carbono (C são em grande parte desconhecidos em ecossistemas tropicais. No longo prazo, a sustentabilidade desses sistemas é provavelmente ligada à manutenção da matéria orgânica e à estrutura de agregação do solo, principalmente em áreas de solos de baixa fertilidade. Manejo silvicultural n

Employment effects of biofuels development

International Nuclear Information System (INIS)

Danielsson, B.O.; Hektor, B.

1992-01-01

Effects on employment - national and regional - from an expanding market for biofuels in Sweden are estimated in this article. The fuels considered are: Peat, straw, energy crops, silviculture, forestry waste, wood waste, by-products from paper/wood industry and processed fuels from these sources. (22 refs., tabs.)

Response of Vascular Plant Communities to Harvest in Southern Appalachian Mixed-Oak Forests: Two-Year Results

Science.gov (United States)

Bryan W. Wender; Sharon M. Hood; David W. Smith; Shepard M. Zedaker; David L. Loftis

1999-01-01

A long-term study has been established to monitor the effects of seven silvicultural prescriptions on vascular flora community attributes. Treatments include a control, understory vegetation control, group selection, two levels of shelterwoods, leave-tree, and clearcut. Second growing season. post-treatment results are compared to pre-harvest values for residual~...

Ecological and financial assessment of late-successional reserve management.

Science.gov (United States)

Susan Stevens Hummel; R. James Barbour; Paul F. Hessburg; John F. Lehmkuhl

2001-01-01

This paper documents methods for assessing the potential effects of variable-intensity management in late-successional reserves (LSRs) and provides an example (the Gotchen LSR) from the Cascade Range in eastern Washington. The Gotchen LSR study investigates changes in forest vegetation associated with silvicultural treatments, and how different treatment combinations...

Effects of silvicultural treatments on forest birds in the Rocky Mountains: implications and management recommendations

Science.gov (United States)

Richard L. Hutto; Sallie J. Hejl; Charles R. Preston; Deborah M. Finch

1993-01-01

The short-term effects of timber harvesting practices on landbird species vary widely among species. Thus, the maintenance of populations of all species will require a long-term management strategy that involves maintenance of a variety of habitats over a broad landscape.

Riparian buffer and density management influences on microclimate of young headwater forests of Western Oregon.

Science.gov (United States)

Paul D. Anderson; David J. Larson; Samuel S. Chan

2007-01-01

Thinning of 30- to 70-year-old Douglas-fir (Psuedotsuga menziesii [Mirb.] Franco) stands is a common silvicultural activity on federal forest lands of the Pacific Northwest, United States. Empirical relationships among riparian functions, silvicultural treatments, and different riparian buffer widths are not well documented for small headwater...

Implementation of a thinning and burning study in tanoak-redwood stands in Santa Cruz and Mendocino counties

Science.gov (United States)

Kevin L. O?Hara; Kristen M. Waring

2008-01-01

Three silvicultural treatment study sites are being established to examine the effects of thinning and prescribed burning on infection and spread of Phytophthora ramorum. Study sites are located in Mendocino and Santa Cruz counties, California. Stands are even-aged redwood/tanoak mixtures.

Treatment Effects

DEFF Research Database (Denmark)

Heckman, James J.; Lopes, Hedibert F.; Piatek, Rémi

2014-01-01

This paper contributes to the emerging Bayesian literature on treatment effects. It derives treatment parameters in the framework of a potential outcomes model with a treatment choice equation, where the correlation between the unobservable components of the model is driven by a low-dimensional v......This paper contributes to the emerging Bayesian literature on treatment effects. It derives treatment parameters in the framework of a potential outcomes model with a treatment choice equation, where the correlation between the unobservable components of the model is driven by a low...... to observe the same person in both the treated and untreated states, but it also turns out to be straightforward to implement. Formulae are provided to compute mean treatment effects as well as their distributional versions. A Monte Carlo simulation study is carried out to illustrate how the methodology can...

Forest fire occurrence and silvicultural-economic prerequisites for protection improvement in forest regions of Krasnoyarsk Krai

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V. V. Furyaev

2017-10-01

Full Text Available The territory of the Krasnoyarsk Krai is substantially diverse in terms of climatic, silvicultural and economic conditions owing to its sufficient spread from the North to the South. These differences were to some extent taken into account when the forest fund of the Krasnoyarsk Krai was divided into seven forest regions: forest tundra of Central Siberia, highland taiga of Central Siberia, plain taiga of West Siberia, Angara region, subtaiga forest steppe of Central Siberia, Altai-Sayanskiy highland, Altai-Sayanskiy highland forest steppe. The regions show different levels of fire occurrence and different fire effects that require different levels of protection from forest fires. Optimization of the protection is based on activities that combine prevention and timely detection of fires depending on development of forest regions and intensity of forest management. The main focus of the paper is on possibility or inadvisability of prescribed fires, fire-use fires (fires that started naturally but were then managed for their beneficial effects and the system of activities increasing fire resistance of the most valuable forests. It is justified that taking into account the effects of forest fires, selective protection of forests is expedient in forest-tundra Middle Siberia and highland taiga of Middle Siberia regions. The whole area of plain taiga of West Siberia region should be subject to protection but with various levels of intensity in different parts of it. The forest fund of Angara, subtaiga forest steppe of Middle Siberia, Altai-Sayanskiy highland, Altai-Sayanskiy highland forest steppe regions should be protected on the whole area. Application of prescribed fires is relevant in the subzone of South taiga, in the forest steppe zone as well as in the submontane and lowland taiga belts. Fire-use fires are admissible on limited areas in the subzones of Middle and North taiga.

Influence of Thinning and Pruning on Southern Pine Veneer Quality

Science.gov (United States)

Mark D. Gibson; Terry R. Clason; Gary L. Hill; George A. Grozdits

2002-01-01

This paper presents the effects of intensive pine plantation management on veneer yields, veneer grade distribution and veneer MOE as measured by ultrasonic stress wave transmission (Metriguard). Veneer production trials were done at a commercial southern pine plywood plant to elucidate the effects of silvicultural treatments on veneer quality, yield, and modulus of...

Silvicultural study of Sapindus saponaria L. (Jaboncillo), as foundation for its silvo-industrial use

International Nuclear Information System (INIS)

Sanchez Buitrago Jose Alejandro; Silva Herrera Luis Jairo

2008-01-01

A silvicultural study of Sapindus saponaria L. was carried out including sexual and asexual propagation tests, provenance test, phenological surveillance, and quantification of fruits production. The sexual propagation test was carried out using five source localities, being the best those seeds from Santa Cruz (Bolivia). The asexual propagation test had a negative result because the cuttings did not root, making it necessary to try different methods for asexual reproduction. The seedlings obtained from the sexual propagation test were used to establish a plantation in Otanche (Boyaca) in order to evaluate growth and mortality. After five months, the highest growth was found in those seeds from Santa Cruz (Bolivia). However, this result was not significant from a statistical point of view. The best results regarding mortality came from the seeds from Viota (Cundinamarca), while those from Palmira (Valle) showed the highest levels of mortality. Fruit production was measured and related to the DBH and the canopy wide. Flowering and fruiting periods as well as the harvest season of the fruits in Viota (Cundinamarca) were established. Some methods for fruit harvesting and planting of the species are proposed.

Effects of group-selection timber harvest in bottomland hardwoods on fall migrant birds

Science.gov (United States)

John C. Kilgo; Karl V. Miller; Winston P. Smith

1999-01-01

Due to projected demands for hardwood timber, development of silvicultural practices that provide for adequate regeneration in southeastern bottomland hardwoods without causing undue harm to wildlife resources is critical. Group-selection silviculture involves harvesting a small group of trees, which creates a canopy gap (usually

Forest-food nexus: a topical opportunity for human well-being and silviculture

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Piermaria Corona

2016-07-01

Full Text Available As population will reach over 9 billion by 2050, interest in the forest-food nexus is rising. Forests play an important role in food production and nutrition. Forests can provide nutritionally-balanced diets, woodfuel for cooking and a broad set of ecosystem services. A large body of evidence recommends multi-functional and integrated landscape approaches to reimagine forestry and agriculture systems. Here, after a commented discussion of the literature produced in the last decade about the role for forests with respect to the food security global emergency, we summarize the state of the art in Italy as a representative country-case-study. The aim is to increase awareness about the potential of silviculture in Italy for combining ecological resilience with economic resilience, and reducing the pressure over tropical and sub-tropical forests by means of a sustainable intensification of forest management at national level. Although a quantification of the Italian non-wood forest products is difficult, the potential of this sector for the Italian bioeconomy is relatively high. Italy is among the four top European exporters of cork stoppers, is one of the three top countries for chestnut seed processing, and is among the leading exporters of wild mushroom, while it is the only European country among the top five global importers of tannins. In order to develop this sector for the food industry, more research is needed on non-wood forest products, the scale of production, emerging markets, marketing and production innovation. On the other hand, chain-supply fragmentation, landowner inertia, and lack of governance and cooperation may hamper an effective exploitation of non-wood products. A renewed joint impulse for exploitation of wood and non-wood products may come from a sustainable intensification of forest management. The strategies to guarantee an effective supply of non-wood products require appropriate business skills and the presence of a

Short-term changes in soil C, N, and biota following harvesting and regeneration of loblolly pine (Pinus taeda L.)

Science.gov (United States)

Mason C. Carter; Thomas J. Dean; Minyi Zhou; Michael G. Messina; Ziyin Wang

2002-01-01

In affiliation with the USDA-FS long-term soil productivity program, a series of studies have been established in the US gulf coast region to monitor the effects of intensive silviculture on site productivity. This report presents early results of a study of the interactive effects of harvest intensity and cultural treatments on soil C, N, and biological processes...

Rapid Assessment Of The Fundamental Property Variation Of Wood

Science.gov (United States)

Chi-Leung So; Leslie H. Groom; Timothy G. Rials; Rebecca Snell; Stephen S. Kelley; Robert Meglen

2002-01-01

Abstract - Genetic variation, site conditions, silvicultural treatments, seasonal effects, and their complex interaction are all vitally-important factors accounting for the variability and quality of the raw material produced - wood. Quality can be measured in several ways that generally influence the end use. The most desirable measure is the...

Silvicultural evaluations on maritime pine (Pinus pinaster Aiton plantations in Istanbul

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Safa Balekoğlu

2016-07-01

Full Text Available Industrial plantations have substantially reduced the pressure on natural forests. There are approximately 80.000 hectares of industrial plantations, established with fast growing coniferous species, 77.000 hectares of which are maritime pine plantations in Turkey. Furthermore, approximately 16.000 hectares of maritime pine plantations, which amount to about 20 percent of all maritime pine plantations in Turkey, occur in Istanbul. The aim of this study is to determine the growth pattern of maritime pine plantations located in Anatolian and European Istanbul: Kanlıca, Beykoz, Sultanbeyli and Şile-Sahilköy; and Bahçeköy-Bentler, Arnavutköy and Terkos-Durusu respectively. Specifically, the study examined individual trees within the above-mentioned sites to determine the first thinning age of the plantations. In addition, some specific silvicultural suggestions were offered for the plantations. The minimum and maximum recorded values for the trees’ age, DBH, height and stem volume were found in the range of 22-50 years, 26.6-46.8 cm, 14.0-23.0 m and 0.5150-1.8560 m3 respectively. In order to take advantage of the fast growing attributes of maritime pine which was found to grow fast within first 10 years, the first thinning should commence at the age of 11-12 years; thereafter, the second thinning should commence at the age of 18-20 years; finally, the final cut should be performed when the plantation is approximately 30 years of age. If rotation age is considered 40 years, the third thinning should commence at the age of 30 years.

Reapplication of Silvicultural Treatments Impacts Phenology and Photosynthetic Gas Exchange of Loblolly Pine

Science.gov (United States)

Zhenmin Tang; Jim L. Chambers; Mary A. Sword; Shufang Yu; James P. Barnett

2004-01-01

A loblolly pine (Pinus taeda L.) plantation, established in 1981, was thinned and fertilized in 1988. Thinning and fertilization treatments were applied again in early 1995. The morphology of current flushes and needles were measured between March and October in 1995 through 1997. Physiological responses were monitored in the upper and lower crowns....

Yield Responses of Black Spruce to Forest Vegetation Management Treatments: Initial Responses and Rotational Projections

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Peter F. Newton

2012-01-01

Full Text Available The objectives of this study were to (1 quantitatively summarize the early yield responses of black spruce (Picea mariana (Mill. B.S.P. to forest vegetation management (FVM treatments through a meta-analytical review of the scientific literature, and (2 given (1, estimate the rotational consequences of these responses through model simulation. Based on a fixed-effects meta-analytic approach using 44 treated-control yield pairs derived from 12 experiments situated throughout the Great Lakes—St. Lawrence and Canadian Boreal Forest Regions, the resultant mean effect size (response ratio and associated 95% confidence interval for basal diameter, total height, stem volume, and survival responses, were respectively: 54.7% (95% confidence limits (lower/upper: 34.8/77.6, 27.3% (15.7/40.0, 198.7% (70.3/423.5, and 2.9% (−5.5/11.8. The results also indicated that early and repeated treatments will yield the largest gains in terms of mean tree size and survival. Rotational simulations indicated that FVM treatments resulted in gains in stand-level operability (e.g., reductions of 9 and 5 yr for plantations established on poor-medium and good-excellent site qualities, resp.. The challenge of maintaining coniferous forest cover on recently disturbed sites, attaining statutory-defined free-to-grow status, and ensuring long-term productivity, suggest that FVM will continue to be an essential silvicultural treatment option when managing black spruce plantations.

Mathematical modelling in volume per hectare of Pinus caribaea Morelet var. caribaea Barret y Golfari at the «Jazmines» silvicultural unit, Viñales

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Juana Teresa Suárez Sarria

2013-12-01

Full Text Available Mathematical modelling constitutes a very useful tool for the planning and administration of the forest ecosystems. With the objective of predicting the behavior of volume by hectare of Pinus caribaea Moreletvar. caribaea. Barret y Golfari plantations at the «Jazmines» Silvicultural Unit, Viñales, seven non-lineal regression models were evaluated. The best goodness of fit model was the volume per hectare was the one designed by Hossfeld I, with a determining coefficient of 63, 9 % with a high significance parameter (P <0.001. The description curves for the annual mean increment with the time (IMA and the annual periodical increment (ICA of this variables were provided.

CRESCIMENTO DE ESPÉCIES ARBÓREAS EM UMA FLORESTA NATURAL DE TERRA FIRME APÓS A COLHEITA DE MADEIRA E TRATAMENTOS SILVICULTURAIS, NO MUNICÍPIO DE PARAGOMINAS, PARÁ, BRASIL

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Deivison Venicio Souza

2015-01-01

Full Text Available This paper deals with the effects of silvicultural treatments on growth rates of a terra firme natural forest after reduced impact logging (RIL. The study was carried out in the Rio Capim Forest Management Unit, which belongs to Cikel Brasil Verde Madeiras Ltda., located in the municipality of Paragominas, PA. The experimental area comprised 500 ha, where five treatments (100 ha each each with four replications (25 ha each were established. The replications were randomly distributed in the 500 ha sample area. The following treatments were applied: T1 – RIL + classical liberation thinning (girdling of competing trees and climber cutting; T2 – RIL + modified liberation thinning (girdling of competing trees and climber cutting; T3 – RIL + climber cutting; T6 - only RIL; T7 - unlogged forest (control. In the four years of monitoring forest, after logging and silvicultural treatments, T2 and T3 had the highest diameter growth rates. But the four-year period is not enough to suggest the best treatment, based on diameter growth rate, in response to girdling trees and climber cutting. At species level, growth rate varied between treatments and within treatments. In general, the lower diameter growth rates were observed in the unlogged forest.

Macdonald farm demonstration woodlot: Annual report, 1994-1995

Energy Technology Data Exchange (ETDEWEB)

NONE

1996-12-31

The MacDonald Farm Demonstration Woodlot is a parcel of forested land set aside to provide woodlot owners and the general public with an opportunity to see proper forest management techniques and the benefits of integrated resource management firsthand. This annual report provides information on the year`s operations in terms of outreach and education, infrastructure, on-site development and financial. Infrastructure includes road and trail construction. Objectives for the coming year are presented with information on the Woodlot Management Field Day, silvicultural treatments, wildlife, signage, brochures, staff training and the nature trail. Construction costs, a summary of silvicultural treatments, and financial statements are included. Descriptions and treatments used on each stand is included as well.

Structural Complexity and Ecosystem Functions in a Natural Mixed Forest under a Single-Tree Selection Silviculture

Directory of Open Access Journals (Sweden)

Toshiya Yoshida

2017-11-01

Full Text Available The objective of forest management has become broader, and it is essential to harmonize timber production with conservation of the forest ecosystem. Selection cutting is recognized as a major alternative of clear-cutting, because it can maintain the complexity and heterogeneity of a natural forest; however, its long-term evaluations are limited. This study compared various attributes of stand structures, which are indicators of biodiversity and ecosystem carbon stock between managed and unmanaged blocks (12.6 ha area in total in a natural mixed forest in Hokkaido, the northernmost island of Japan. We found that 30 years’ implementation of single-tree selection did not affect the volume, size structure, species diversity nor spatial distribution of overstory trees in the managed stands. Also, the total carbon stock in the managed stands was almost equal to that of the unmanaged stands. In contrast, several structural attributes and indicator elements that are significant for biodiversity (such as large-diameter live trees, dead trees, cavities, epiphytic bryophytes, and some avian guilds showed marked decrease in the managed stands. We conclude that it is required to leave these structures and elements to some extent for deriving the merit of the management as an alternative silvicultural regime in the region.

Management impacts on forest floor and soil organic carbon in northern temperate forests of the US

Science.gov (United States)

Coeli M. Hoover

2011-01-01

The role of forests in the global carbon cycle has been the subject of a great deal of research recently, but the impact of management practices on forest soil dynamics at the stand level has received less attention. This study used six forest management experimental sites in five northern states of the US to investigate the effects of silvicultural treatments (light...

North-Karelian forest owners' attitude to nature-emulating forestry work methods

International Nuclear Information System (INIS)

Jouhiaho, A.

1999-01-01

The TTS-Institute conducted a mail-questionnaire study of forest owners' opinions in the Province of North Karelia (Pohjois-Karjala) concerning work methods as applied in silviculture and logging. In addition, the study looked into the matter of the forest owners' willingness to pay for the implementation of nature-emulating silviculture and logging. The response percentage was 57 % with 344 forest owners responding to the questionnaire. The majority of the forest owners understood nature-emulating silviculture and logging as worthwhile objectives and as actions aimed at economically advantageous outcomes. Nature-emulating work methods involve the use of method emulating the natural development dynamics of forest ecosystems and causing minimum disturbance to the ecosystem. The term 'nature-emulating' was also seen to include forest treatment with awareness of landscape management viewpoints. Less than half of the forest owners were willing to pay for the implementation of nature-emulating silviculture and logging. Of those willing to pay, half were prepared to pay an extra 6 - 10 % for sivicultural and 1 - 5 % for logging on top of the costs. (orig.)

Equations for estimating stand establishment, release, and thinning costs in the Lake States.

Science.gov (United States)

Jeffrey T. Olson; Allen L. Lundgren; Dietmar Rose

1978-01-01

Equations for estimating project costs for certain silvicultural treatments in the Lake States have been developed from project records of public forests. Treatments include machine site preparation, hand planting, aerial spraying, prescribed burning, manual release, and thinning.

Cost-Effective Fuel Treatment Planning

Science.gov (United States)

Kreitler, J.; Thompson, M.; Vaillant, N.

2014-12-01

The cost of fighting large wildland fires in the western United States has grown dramatically over the past decade. This trend will likely continue with growth of the WUI into fire prone ecosystems, dangerous fuel conditions from decades of fire suppression, and a potentially increasing effect from prolonged drought and climate change. Fuel treatments are often considered the primary pre-fire mechanism to reduce the exposure of values at risk to wildland fire, and a growing suite of fire models and tools are employed to prioritize where treatments could mitigate wildland fire damages. Assessments using the likelihood and consequence of fire are critical because funds are insufficient to reduce risk on all lands needing treatment, therefore prioritization is required to maximize the effectiveness of fuel treatment budgets. Cost-effectiveness, doing the most good per dollar, would seem to be an important fuel treatment metric, yet studies or plans that prioritize fuel treatments using costs or cost-effectiveness measures are absent from the literature. Therefore, to explore the effect of using costs in fuel treatment planning we test four prioritization algorithms designed to reduce risk in a case study examining fuel treatments on the Sisters Ranger District of central Oregon. For benefits we model sediment retention and standing biomass, and measure the effectiveness of each algorithm by comparing the differences among treatment and no treat alternative scenarios. Our objective is to maximize the averted loss of net benefits subject to a representative fuel treatment budget. We model costs across the study landscape using the My Fuel Treatment Planner software, tree list data, local mill prices, and GIS-measured site characteristics. We use fire simulations to generate burn probabilities, and estimate fire intensity as conditional flame length at each pixel. Two prioritization algorithms target treatments based on cost-effectiveness and show improvements over those

Foraging behavioral of Phylloscartes ventralis (Aves, Tyrannidae in native and planted forests of southern Brazil

Directory of Open Access Journals (Sweden)

André de Mendonça-Lima

2014-12-01

Full Text Available Few studies have related the effects of silviculture practices to the behavior of bird species in the Neotropics. The present study examined the foraging behavior of Phylloscartes ventralis (Temminck, 1824 in a native forest and in silviculture areas of Pinus elliotti and Araucaria angustifolia with different structures and ages. We tested two general hypotheses: (1 areas of commercial forest plantation change the foraging behavior of P. ventralis in relation to native forest, and (2 the foraging behavior of P. ventralis in silviculture areas with understories (complex structures is different from its behavior in areas without understory. The results showed that P. ventralis changed its foraging behavior depending on the type of forest, and on the presence of an understory in silviculture areas. Main changes involved the height and angle of substrate where the prey was captured. Phylloscartes ventralis showed the same set of attack maneuvers, with more maneuvers type in young Pinus planted without understory. The frequency of use of attack maneuvers was more similar in areas of silviculture with understory and in the native forest. The results highlight the importance of an understory structure and the utilization of native plant species in silviculture practices, to the foraging behavior of native bird species.

Thinning and riparian buffer configuration effects on down wood abundance in headwater streams in coniferous forests

Science.gov (United States)

Adrian Ares; Deanna H. Olson; Klaus J. Puettmann

2013-01-01

Down wood is associated with the function, structure, and diversity of riparian systems. Considerable knowledge has been generated regarding down wood stocks and dynamics in temperate forests, but there are few studies on effects of silvicultural practices and riparian buffer design on down wood, particularly in headwater streams. We analyzed interactive eff ects of...

Effect of low-density polyethylene on smoke emissions from burning of simulated debris piles

Science.gov (United States)

Seyedehsan Hosseini; Qi Li; Manish Shrivastava; David R. Weise; David R. Cocker; J. Wayne Miller; Heejung S Jung

2014-01-01

Low-density polyethylene (LDPE) plastic is used to keep piled debris from silvicultural activities—activities associated with development and care of forests—dry to enable efficient disposal by burning. The effects of inclusion of LDPE in this manner on smoke emissions are not well known. In a combustion laboratory experiment, 2-kg mixtures of LDPE and manzanita (

The effectiveness of stuttering treatments in Germany.

Science.gov (United States)

Euler, Harald A; Lange, Benjamin P; Schroeder, Sascha; Neumann, Katrin

2014-03-01

Persons who stutter (PWS) should be referred to the most effective treatments available, locally or regionally. A prospective comparison of the effects of the most common stuttering treatments in Germany is not available. Therefore, a retrospective evaluation by clients of stuttering treatments was carried out. The five most common German stuttering treatments (231 single treatment cases) were rated as to their perceived effectiveness, using a structured questionnaire, by 88 PWS recruited through various sources. The participants had received between 1 and 7 treatments for stuttering. Two stuttering treatments (stuttering modification, fluency shaping) showed favorable and three treatments (breathing therapy, hypnosis, unspecified logopedic treatment) showed unsatisfactory effectiveness ratings. The effectiveness ratings of stuttering modification and fluency shaping did not differ significantly. The three other treatments were equally ineffective. The differences between the effective and ineffective treatments were of large effect sizes. The typical therapy biography begins in childhood with an unspecified logopedic treatment administered extensively in single and individual sessions. Available comparisons showed intensive or interval treatments to be superior to extensive treatments, and group treatments to be superior to single client treatments. The stuttering treatment most often prescribed in Germany, namely a weekly session of individual treatment by a speech-language pathologist, usually with an assorted package of mostly unknown components, is of limited effectiveness. Better effectiveness can be expected from fluency shaping or stuttering modification approaches, preferably with an intensive time schedule and with group sessions. Readers will be able to: (a) discuss the five most prevalent stuttering treatments in Germany; (b) summarize the effectiveness of these treatments; and (c) describe structural treatment components that seem to be preferable

Effect of low-density polyethylene on smoke emissions from burning of simulated debris piles.

Science.gov (United States)

Hosseini, Seyedehsan; Shrivastava, Manish; Qi, Li; Weise, David R; Cocker, David R; Miller, John W; Jung, Heejung S

2014-06-01

Low-density polyethylene (LDPE) plastic is used to keep piled debris from silvicultural activities--activities associated with development and care of forests--dry to enable efficient disposal by burning. The effects of inclusion of LDPE in this manner on smoke emissions are not well known. In a combustion laboratory experiment, 2-kg mixtures of LDPE and manzanita (Arctostaphylos sp.) wood containing 0, 0.25, and 2.5% LDPE by mass were burned. Gaseous and particulate emissions were sampled in real time during the entire flaming, mixed combustion phase--when the flaming and smoldering phases are present at the same time--and during a portion of the smoldering phase. Analysis of variance was used to test significance of modified combustion efficiency (MCE)--the ratio of concentrations of fire-integrated excess CO2 to CO2 plus CO--and LDPE content on measured individual compounds. MCE ranged between 0.983 and 0.993, indicating that combustion was primarily flaming; MCE was seldom significant as a covariate. Of the 195 compounds identified in the smoke emissions, only the emission factor (EF) of 3M-octane showed an increase with increasing LDPE content. Inclusion of LDPE had an effect on EFs of pyrene and fluoranthene, but no statistical evidence of a linear trend was found. Particulate emission factors showed a marginally significant linear relationship with MCE (0.05 burned. In general, combustion of wet piles results in lower MCEs and consequently higher levels of emissions. Current air quality regulations permit the use of burning to dispose of silvicultural piles; however, inclusion of low-density polyethyelene (LDPE) plastic in silvicultural piles can result in a designation of the pile as waste. Waste burning is not permitted in many areas, and there is also concern that inclusion of LDPE leads to toxic air emissions.

Effect of thinning, fertilization with biosolids, and weather on interannual ring specific gravity and carbon accumulation of a 55-year-old Douglas-fir stand in western Washington

Energy Technology Data Exchange (ETDEWEB)

Kantavichai, R.; Briggs, D.G.; Turnblom, E.C. [Washington Univ., Seattle, WA (United States). School of Forest Resources

2010-01-15

Soil moisture deficits (SMD) cause trees to conserve water by closing stomata, which in turn limits the uptake of atmospheric carbon dioxide (CO{sub 2}) and curtails photosynthesis and wood formation. This study investigated the combined effect of temperature, precipitation, SMD, and various silviculture treatments on interannual ring specific gravity (SG). A model was developed to predict post-treatment interannual ring SG from the treatment and environmental variables. The study assumed that thinning the stand would increase SG, while fertilization with biosolids would decrease SG. The SGs associated with each treatment were then used to calculate the dry mass and carbon content associated with stem growth. Results were then compared with estimates taken from standard publications. The experiment was conducted on a 55-year old Douglas fir stand. Twelve rings were used to assess the effect of the treatments. The study showed that use of the published average to consider only carbon sequestered by tree growth distorts the comparison of management regimes. The thinning process produced logs from which long-term structures were built, and continue to sequester carbon. When product pools of stored carbon are combined with forest carbon pools, thinning and biosolids treatment regimes are preferable to other carbon storage regimes. 40 refs., 6 tabs., 2 figs.

Modeling the effects of forest management on in situ and ex situ longleaf pine forest carbon stocks

Science.gov (United States)

C.A. Gonzalez-Benecke; L.J. Samuelson; T.A. Martin; W.P. Cropper Jr; Kurt Johnsen; T.A. Stokes; John Butnor; P.H. Anderson

2015-01-01

Assessment of forest carbon storage dynamics requires a variety of techniques including simulation models. We developed a hybrid model to assess the effects of silvicultural management systems on carbon (C) budgets in longleaf pine (Pinus palustris Mill.) plantations in the southeastern U.S. To simulate in situ C pools, the model integrates a growth and yield model...

Silvicultural practices and soil protection

International Nuclear Information System (INIS)

Ranger, Jacques; Nys, Claude; Legout, Arnaud; Dambrine, Etienne; Augusto, Laurent; Berthelot, Alain; Bouchon, Jean; Ottorini, Jean-Marc; Cacot, Emmanuel; Gavaland, Andre; Laclau, Jean-Paul; Saint-Andre, Laurent; Nicolas, Manuel; Ponette, Quentin

2011-01-01

The purpose of this work is to assess the risks deriving from current forestry practices on the sustainability of soil function and ecosystems. The relationship between the production function and the soil conservation function translates as a certain conflict between these two options. Stresses on the chemical fertility of the soil were analysed from the least intensive to the most intensive treatments, i.e. from forest reserves to very short rotation, treated lignocellulosic crops. Under the extensive systems, high grade biological recycling is sustainable if logging is confined to trunks alone. Dressings can correct the slow but inevitable acidification of soils. When treatments are intensive, the natural fertility of forest soils cannot sustain production; only soils with suitable physical qualities combined with application of appropriate inputs enable sustained high levels of output to be achieved, in particular under the short rotation systems. (authors)

Soil microbiological properties and enzymatic activities of long-term post-fire recovery in dry and semiarid Aleppo pine (Pinus halepensis M.) forest stands

Science.gov (United States)

Hedo, J.; Lucas-Borja, M. E.; Wic, C.; Andrés-Abellán, M.; de Las Heras, J.

2015-02-01

Wildfires affecting forest ecosystems and post-fire silvicultural treatments may cause considerable changes in soil properties. The capacity of different microbial groups to recolonise soil after disturbances is crucial for proper soil functioning. The aim of this work was to investigate some microbial soil properties and enzyme activities in semiarid and dry Aleppo pine (Pinus halepensis M.) forest stands. Different plots affected by a wildfire event 17 years ago without or with post-fire silvicultural treatments 5 years after the fire event were selected. A mature Aleppo pine stand, unaffected by wildfire and not thinned was used as a control. Physicochemical soil properties (soil texture, pH, carbonates, organic matter, electrical conductivity, total N and P), soil enzymes (urease, phosphatase, β-glucosidase and dehydrogenase activities), soil respiration and soil microbial biomass carbon were analysed in the selected forests areas and plots. The main finding was that long time after this fire event produces no differences in the microbiological soil properties and enzyme activities of soil after comparing burned and thinned, burned and not thinned, and mature plots. Moreover, significant site variation was generally seen in soil enzyme activities and microbiological parameters. We conclude that total vegetation recovery normalises post-fire soil microbial parameters, and that wildfire and post-fire silvicultural treatments are not significant factors affecting soil properties after 17 years.

Post-fire salvage logging reduces carbon sequestration in Mediterranean coniferous forest

OpenAIRE

Serrano-Ortiz, P.; Marañón-Jiménez, S.; Reverter, B.R.; Sánchez-Cañete, E.P.; Castro, J.; Zamora, R.; Kowalski, A.S.

2011-01-01

Post-fire salvage logging is a common silvicultural practice around the world, with the potential to alter the regenerative capacity of an ecosystem and thus its role as a source or a sink of carbon. However, there is no information on the effect of burnt wood management on the net ecosystem carbon balance. Here, we examine for the first time the effect of post-fire burnt wood management on the net ecosystem carbon balance by comparing the carbon exchange of two treatments in a burnt Mediterr...

Describing treatment effects to patients.

Science.gov (United States)

Moxey, Annette; O'Connell, Dianne; McGettigan, Patricia; Henry, David

2003-11-01

To examine the impact of different presentations of equivalent information (framing) on treatment decisions faced by patients. A systematic review of the published literature was conducted. English language publications allocating participants to different frames were retrieved using electronic and bibliographic searches. Two reviewers examined each article for inclusion, and assessed methodological quality. Study characteristics were tabulated and where possible, relative risks (RR; 95% confidence intervals) were calculated to estimate intervention effects. Thirty-seven articles, yielding 40 experimental studies, were included. Studies examined treatment (N = 24), immunization (N = 5), or health behavior scenarios (N = 11). Overall, active treatments were preferred when outcomes were described in terms of relative rather than absolute risk reductions or number needed to treat. Surgery was preferred to other treatments when treatment efficacy was presented in a positive frame (survival) rather than a negative frame (mortality) (relative risk [RR] = 1.51, 95% confidence interval [CI], 1.39 to 1.64). Framing effects were less obvious for immunization and health behavior scenarios. Those with little interest in the behavior at baseline were influenced by framing, particularly when information was presented as gains. In studies judged to be of good methodological quality and/or examining actual decisions, the framing effect, although still evident, was less convincing compared to the results of all included studies. Framing effects varied with the type of scenario, responder characteristics, scenario manipulations, and study quality. When describing treatment effects to patients, expressing the information in more than one way may present a balanced view to patients and enable them to make informed decisions.

Treatment selection in a randomized clinical trial via covariate-specific treatment effect curves.

Science.gov (United States)

Ma, Yunbei; Zhou, Xiao-Hua

2017-02-01

For time-to-event data in a randomized clinical trial, we proposed two new methods for selecting an optimal treatment for a patient based on the covariate-specific treatment effect curve, which is used to represent the clinical utility of a predictive biomarker. To select an optimal treatment for a patient with a specific biomarker value, we proposed pointwise confidence intervals for each covariate-specific treatment effect curve and the difference between covariate-specific treatment effect curves of two treatments. Furthermore, to select an optimal treatment for a future biomarker-defined subpopulation of patients, we proposed confidence bands for each covariate-specific treatment effect curve and the difference between each pair of covariate-specific treatment effect curve over a fixed interval of biomarker values. We constructed the confidence bands based on a resampling technique. We also conducted simulation studies to evaluate finite-sample properties of the proposed estimation methods. Finally, we illustrated the application of the proposed method in a real-world data set.

Forest management strategies for producing wood for energy from conventional forestry systems

Energy Technology Data Exchange (ETDEWEB)

Sabourin, M.; Puttock, G.D. (Silv-Econ Ltd., Newmarket, ON (CA)); Richardson, J. (Forestry Canada, Science and Sustainable Development, Ottowa, ON (CA))

1992-01-01

The report reviews the current developments in forest management planning and practices to integrate the production of biomass for energy along with more conventional forest management goals. Efforts are under way to adapt management practices and silvicultural treatments to biomass production. These begin at the planning stage with the development of management tools and more accurate forest inventory data. They include silvicultural treatments such as shelterwood thinning in mixed wood stands and the interplanting of various tree species with the dual purpose of producing energy wood and conventional forest products. Three systems are available for recovering residues at time of final harvesting. The postharvest recovery of residues area is commonly used in Europe but is generally uneconomic in North America where the harvesting of small stems and integrated harvesting are favoured. (author).

A Review of the Characteristics of Small-Leaved Lime (Tilia cordata Mill. and Their Implications for Silviculture in a Changing Climate

Directory of Open Access Journals (Sweden)

Tanguy De Jaegere

2016-03-01

Full Text Available Tilia cordata Mill. is a minor European broadleaved species with a wide but scattered distribution. Given its scarcity and low value in the wood market, it has received little attention from researchers and forest managers. This review summarizes the main aspects of T. cordata ecology and growth. Its main limiting factor is its need for warm summer temperatures to ensure successful seed production. It has a height growth pattern relatively similar to that of Acer pseudoplatanus L., with a slight delay in the early stages. Yield tables report great productivity, especially in eastern Europe. T. cordata used to be a major species in Europe, in contrast to its present distribution, but it is very likely to receive renewed interest in the future. Indeed, with the potential change of competition between species in some regions and the need for important diversification in others, T. cordata may play an important role in forest adaptation to climate change, especially owing to its wide ecological tolerance and its numerous ecosystem services. It is necessary to increase our knowledge about its regeneration and its responses to environmental and silvicultural factors, to establish clear management recommendations.

Cost-effectiveness of measures to improve biodiversity in Swedish forests

OpenAIRE

Ekvall, Hans

2014-01-01

The main objective of this thesis is to analyse the cost-effectiveness of measures, which improve biodiversity among life forms dependent on coarse woody debris (CWD). The amount of CWD in forest land has decreased due to modern forest management. The wood of the trees is an important source of income for the forest owner and there is an undeniable conflict between increasing the amount of CWD and the economics of silviculture. To gain acceptance among forest owners of an increased re...

Understanding placebo, nocebo, and iatrogenic treatment effects.

Science.gov (United States)

Bootzin, Richard R; Bailey, Elaine T

2005-07-01

Placebo and nonplacebo treatments have both positive and negative effects on patient outcomes. To better understand the patterning of treatment effects, three specific interventions will be discussed that are reported to produce more harm than benefit: critical incident stress debriefing, group therapy for adolescents with conduct disorders, and psychotherapy for dissociative identity disorder. In each case, there is an interaction between mechanisms thought to underlie both placebo and specific treatment effects. Mechanisms hypothesized to underlie placebo and nocebo effects include patient expectancy, self-focused attention to symptoms, motivation to change, and sociocultural role-enactment cues. In the three treatments discussed, specific mechanisms interact with nonspecific mechanisms to produce iatrogenic effects. To advance knowledge, it is important both to specify the theory of treatment and its expected outcomes and to put the theory to test. Only with attention to the empirical findings from programmatic research of specific and nonspecific effects and their interaction is it possible to improve the outcomes of treatment beyond the status quo.

Nonparametric Bounds and Sensitivity Analysis of Treatment Effects

Science.gov (United States)

Richardson, Amy; Hudgens, Michael G.; Gilbert, Peter B.; Fine, Jason P.

2015-01-01

This paper considers conducting inference about the effect of a treatment (or exposure) on an outcome of interest. In the ideal setting where treatment is assigned randomly, under certain assumptions the treatment effect is identifiable from the observable data and inference is straightforward. However, in other settings such as observational studies or randomized trials with noncompliance, the treatment effect is no longer identifiable without relying on untestable assumptions. Nonetheless, the observable data often do provide some information about the effect of treatment, that is, the parameter of interest is partially identifiable. Two approaches are often employed in this setting: (i) bounds are derived for the treatment effect under minimal assumptions, or (ii) additional untestable assumptions are invoked that render the treatment effect identifiable and then sensitivity analysis is conducted to assess how inference about the treatment effect changes as the untestable assumptions are varied. Approaches (i) and (ii) are considered in various settings, including assessing principal strata effects, direct and indirect effects and effects of time-varying exposures. Methods for drawing formal inference about partially identified parameters are also discussed. PMID:25663743

Building Resistance and Resilience: Regeneration Should Not be Left to Chance

Directory of Open Access Journals (Sweden)

James N. Long

2018-05-01

Full Text Available Contemporary forest planning has tasked managers with developing goals associated with resistance and resilience. In practice, silviculturists use forest structure and tree species composition to characterize goals and desired future conditions, write prescriptions, and monitor outcomes associated with resistance and resilience. Although rarely discussed in the exploding literature relating to forest resistance and resilience, silvicultural regeneration methods are important and underutilized tools to meet these goals. We propose alternative silvicultural systems for building resistance and resilience to two common large-scale bark beetle disturbance agents in the Intermountain West, United States: mountain pine beetle (Dendroctonus ponderosae Hopkins and spruce beetle (Dendroctonus rufipennis Kirby. Shelterwood, and shelterwood-with-reserves, silvicultural systems provide the desirable facilitative characteristics of a mature overstory on maintaining advance reproduction and the establishment of new cohorts of desirable tree species. These also allow the timely regeneration of large treatment areas necessary to rapidly promote desired future conditions in the face of inevitable disturbance. When implemented proactively, regeneration treatments allow silviculturists to take advantage of currently existing vegetation for the creation of age class and tree species diversity. In general, these examples illustrate the need for proactive planning for regeneration in response to any disturbance where desired future conditions include particular species. Furthermore, we argue that timely silvicultural interventions that focus on regenerating trees may be a key factor in achieving goals relating to resilience to specific disturbance types. Waiting until after the disturbance has occurred could result in the lost opportunity to establish desired species composition or stand structure—and may well result in a considerable restoration challenge.

Reptile and amphibian response to oak regeneration treatments in productive southern Appalachian hardwood forest

Science.gov (United States)

Cathryn H. Greenberg; Christopher E. Moorman; Amy L. Raybuck; Chad Sundol; Tara L. Keyser; Janis Bush; Dean M. Simon; Gordon S. Warburton

2016-01-01

Forest restoration efforts commonly employ silvicultural methods that alter light and competition to influence species composition. Changes to forest structure and microclimate may adversely affect some taxa (e.g., terrestrial salamanders), but positively affect others (e.g., early successional birds). Salamanders are cited as indicators of ecosystem health because of...

Fuels planning: science synthesis and integration; forest structure and fire hazard fact sheet 04: role of silviculture in fuel treatments

Science.gov (United States)

Rocky Mountain Research Station USDA Forest Service

2004-01-01

The principal goals of fuel treatments are to reduce fireline intensities, reduce the potential for crown fires, improve opportunities for successful fire suppression, and improve forest resilience to forest fires. This fact sheet discusses thinning, and surface fuel treatments, as well as challenges associated with those treatments.

Effectiveness of mechanical thinning and prescribed burning on fire behavior in Pinus nigra forests in NE Spain.

Science.gov (United States)

Piqué, Míriam; Domènech, Rut

2018-03-15

Fuel treatments can mitigate present and future impacts of climate change by reducing fire intensity and severity. In recent years, Pinus nigra forests in the Mediterranean basin have been dramatically affected by the new risk of highly intense and extreme fires and its distribution area has been reduced. New tools are necessary for assessing the management of these forests so they can adapt to the challenges to come. Our main goal was to evaluate the effects of different fuel treatments on Mediterranean Pinus nigra forests. We assessed the forest response, in terms of forest structure and fire behavior, to different intensities of low thinning treatments followed by different slash prescriptions (resulting in: light thinning and lop and scatter; light thinning and burn; heavy thinning and lop and scatter; heavy thinning and burn; and, untreated control). Treatments that used fire to decrease the resulting slash were the most effective for reducing active crown fires decreasing the rate of spread and flame length more than 89%. Low thinning had an effect on torching potential, but there was no difference between intensities of thinning. Only an outcoming crown fire could spread actively if it was sustained by a high-enough constant wind speed and enough surface fuel load. Overall, treatments reduce fire intensity and treated areas have a more homogenous fire behavior response than untreated areas. This provides opportunities to extinguish the fire and reduce the probability of trees dying from the fire. It would be helpful to include ecological principles and fire behavior criteria in silvicultural treatment guidelines in order to perform more efficient management techniques in the future. Copyright © 2017 Elsevier B.V. All rights reserved.

Differential effectiveness of placebo treatments

DEFF Research Database (Denmark)

Meissner, Karin; Fässler, Margrit; Rücker, Gerta

2013-01-01

IMPORTANCE When analyzing results of randomized clinical trials, the treatment with the greatest specific effect compared with its placebo control is considered to be the most effective one. Although systematic variations of improvements in placebo control groups would have important implications...... relevant sources through February 2012 and contacted the authors to identify randomized clinical trials on the prophylaxis of migraine with an observation period of at least 8 weeks after randomization that compared an experimental treatment with a placebo control group. We calculated pooled random-effects...... and sham surgery are associated with higher responder ratios than oral pharmacological placebos. Clinicians who treat patients with migraine should be aware that a relevant part of the overall effect they observe in practice might be due to nonspecific effects and that the size of such effects might differ...

Effectiveness of forest management strategies to mitigate effects of global change in south-central Siberia

Science.gov (United States)

Eric J. Gustafson; Anatoly Z. Shvidenko; Robert M. Scheller

2011-01-01

We investigated questions about the ability of broad silvicultural strategies to achieve multiple objectives (reduce disturbance losses, maintain the abundance of preferred species, mitigate fragmentation and loss of age-class diversity, and sequester aboveground carbon) under future climate conditions in Siberia. We conducted a factorial experiment using the LANDIS-II...

Regeneratoin Development 3 Years After Thinning and Fertilization in an East Texas Bottomland Hardwood Stand (To Manage or To Regenerate: Can We Do Both?)

Science.gov (United States)

Brian Roy Lockhart; Alexander J. Michalek; Matthew W. Lowe; Richard A. Williams

2004-01-01

Silviculture textbooks state that intermediate treatments, such as thinning, are prescribed to regulate the growing space for the benefit of existing trees and not to create enough growing space to initiate new trees of desirable species. If new, desirable regeneration develops, then it is considered a by-product of the intermediate treatment and is not to be managed,...

Coping with Cosmetic Effects of Cancer Treatment

Science.gov (United States)

... Search English Español Coping With Cosmetic Effects of Cancer Treatment KidsHealth / For Parents / Coping With Cosmetic Effects of Cancer Treatment What's in this article? Hair Loss Skin Problems ...

Cost-effectiveness of root caries preventive treatments.

Science.gov (United States)

Schwendicke, Falk; Göstemeyer, Gerd

2017-01-01

With a growing number of individuals retaining their teeth lifelong, often with periodontitis-induced root surface exposure, there is the need for cost-effective management strategies for root caries lesions. The present study aimed to assess the cost-effectiveness of root caries preventive treatments. Patients were simulated over 10 years using a Markov model. Four treatments were compared: No treatment, daily 225-800ppm fluoride rinses, chlorhexidine (CHX) varnish (2×/year), silver diamine fluoride (SDF) varnish (2×/year). Data from a systematic review were submitted to network meta-analysis for inferring relative efficacies of treatments. The health outcome was years of teeth being free of root caries. A mixed public-private payer perspective within 2016 German healthcare was taken, with costs being estimated from fee item catalogues or based on market prices. Populations with different numbers of teeth and tooth-level risks were modelled. Monte-Carlo microsimulations, univariate- and probabilistic sensitivity analyses were performed. In populations with 16 teeth at risk and low tooth-level risk for root caries, providing no preventive treatment was least costly, but also least effective (130 Euro, 144 years). SDF ranked next, being more costly (180 Euro), but also more effective (151 years). Payers willing to invest 8.30 Euro per root caries-free tooth-year found SDF most cost-effective. CHX varnish and fluoride rinse were not cost-effective. In populations with more teeth and high tooth-level risk, SDF was the most effective and least costly option. Root caries preventive treatments (like SDF) are effective and might even be cost-saving in high risk populations. Application of SDF can be recommended as a cost-saving treatment for prevention of root caries in patients with high risk of root caries. Copyright © 2016 Elsevier Ltd. All rights reserved.

Fertility effects of cancer treatment.

Science.gov (United States)

Marsden, Donald E; Hacker, Neville

2003-01-01

Cancer sufferers are a subfertile group, and most treatments have the potential to adversely affect gonadal function. As cancer treatment becomes more effective and survival rates improve there are more cancer survivors in the reproductive age group for whom parenting is an important consideration. This article outlines the effects on fertility of cancer treatments and techniques to minimise the risk of infertility. The overall prospects for younger cancer sufferers to either retain their fertility or have genetic offspring is now better than ever before, due to advances in assisted reproductive technology, the appropriate use of fertility sparing surgery and other techniques to reduce the toxicity of therapy on the reproductive organs. These advances raise new moral and ethical concerns that must be considered before advising cancer sufferers of the options for preserving reproductive capacity.

Effectiveness of propanolol for treatment of infantile haemangioma

DEFF Research Database (Denmark)

Andersen, Ida Gillberg; Rechnitzer, Catherine; Charabi, Birgitte

2014-01-01

: This study was retrospective and based on a review of children treated for IH with propranolol from the 2010-2012 period at Rigshospitalet. RESULTS: Overall, propranolol was effective in all but one child (97%). The majority of the children (84%) were treated with an initial dose of 1 mg/kg/day, which...... was considered sufficient in most cases (71%). Children who started treatment before five months of age had a significantly better response than children who started treatment at a later age. No relation was found between location of IH and the effect of treatment. There were only few and mild side effects....... CONCLUSION: Propranolol is effective in the treatment of IH and it has only few and mild side effects. In most cases, a low dose of 1 mg/kg/day was sufficient. Early initiation of treatment is recommended as the response to treatment was better in younger children and because early initiation helps prevent...

Plant succession and community restoration following felling and burning in the Southern Appalachian Mountains

Science.gov (United States)

Barton D. Clinton; James M. Vose

2000-01-01

Recent declines in the yellow pine component of pine-hardwood stands in the Southern Appalachian Mountains has prompted managers to increase the use of fire as a silvicultural tool. The fell and burn treatment is designed to remove competing vegetation (hardwoods and mountain laurel...

Clinical effectiveness and cost-effectiveness of treatments for patients with chronic pain.

Science.gov (United States)

Turk, Dennis C

2002-01-01

Chronic pain is a prevalent and costly problem. This review addresses the question of the clinical effectiveness and cost-effectiveness of the most common treatments for patients with chronic pain. Representative published studies that evaluate the clinical effectiveness of pharmacological treatments, conservative (standard) care, surgery, spinal cord stimulators, implantable drug delivery systems (IDDSs), and pain rehabilitation programs (PRPs) are examined and compared. The cost-effectiveness of these treatment approaches is also considered. Outcome criteria including pain reduction, medication use, health care consumption, functional activities, and closure of disability compensation cases are examined. In addition to clinical effectiveness, the cost-effectiveness of PRPs, conservative care, surgery, spinal cord stimulators, and IDDSs are compared using costs to return a treated patient to work to illustrate the relative expenses for each of these treatments. There are limitations to the success of all the available treatments. The author urges caution in interpreting the results, particularly in comparisons between treatments and across studies, because there are broad differences in the pain syndromes and inclusion criteria used, the drug dosages, comparability of treatments, the definition of "chronic" used, the outcome criteria selected to determine success, and societal differences. None of the currently available treatments eliminates pain for the majority of patients. Pain rehabilitation programs provide comparable reduction in pain to alternative pain treatment modalities, but with significantly better outcomes for medication use, health care utilization, functional activities, return to work, closure of disability claims, and with substantially fewer iatrogenic consequences and adverse events. Surgery, spinal cord stimulators, and IDDSs appear to have substantial benefits on some outcome criteria for carefully selected patients. These modalities are

Market impacts of hypothetical fuel treatment thinning programs on federal lands in the western United States

Science.gov (United States)

Peter J. Ince; Henry Spelter; Kenneth Skog; Andrew Kramp; Dennis P. Dykstra

2000-01-01

This paper addresses the economics of forest fuel thinning programs on federal lands in the U.S. West, and presents a model of regional timber and product market impacts. The issue of economics is vital to the debate about fire management, and this paper presents market implications of two alternative silvicultural strategies, even-aged and uneven-aged...

Towards the development of multifunctional molecular indicators combining soil biogeochemical and microbiological variables to predict the ecological integrity of silvicultural practices.

Science.gov (United States)

Peck, Vincent; Quiza, Liliana; Buffet, Jean-Philippe; Khdhiri, Mondher; Durand, Audrey-Anne; Paquette, Alain; Thiffault, Nelson; Messier, Christian; Beaulieu, Nadyre; Guertin, Claude; Constant, Philippe

2016-05-01

The impact of mechanical site preparation (MSP) on soil biogeochemical structure in young larch plantations was investigated. Soil samples were collected in replicated plots comprising simple trenching, double trenching, mounding and inverting site preparation. Unlogged natural mixed forest areas were used as a reference. Analysis of soil nutrients, abundance of bacteria and gas exchanges unveiled no significant difference among the plots. However, inverting site preparation resulted in higher variations of gas exchanges when compared with trenching, mounding and unlogged natural forest. A combination of the biological and physicochemical variables was used to define a multifunctional classification of the soil samples into four distinct groups categorized as a function of their deviation from baseline ecological conditions. According to this classification model, simple trenching was the approach that represented the lowest ecological risk potential at the microsite level. No relationship was observed between MSP method and soil bacterial community structure as assessed by high-throughput sequencing of bacterial 16S rRNA gene; however, indicator genotypes were identified for each multifunctional soil class. This is the first identification of multifunctional molecular indicators for baseline and disturbed ecological conditions in soil, demonstrating the potential of applied microbial ecology to guide silvicultural practices and ecological risk assessment. © 2016 The Authors. Microbial Biotechnology published by John Wiley & Sons Ltd and Society for Applied Microbiology.

Effectiveness of cryotherapy treatment for cervical intraepithelial neoplasia.

Science.gov (United States)

Luciani, Silvana; Gonzales, Miguel; Munoz, Sergio; Jeronimo, Jose; Robles, Sylvia

2008-05-01

To assess the effectiveness of cryotherapy treatment delivered by general practitioners in primary care settings, as part of a screen-and-treat approach for cervical cancer prevention. Women aged between 25 and 49 years residing in San Martin, Peru, who were positive on visual inspection screening were treated, if eligible, with cryotherapy following biopsy. At 12 months post cryotherapy treatment the participants were evaluated for treatment effectiveness and examined by visual inspection and Papanicolaou test and, if positive, referred to a gynecologist for colposcopy and biopsy. Cryotherapy treatment was performed for 1398 women; of these, 531 (38%) had a histology result of cervical intraepithelial neoplasia (CIN). Cryotherapy effectively cured CIN in 418 (88%) women, including 49 (70%) women with a baseline diagnosis of CIN 3. Cryotherapy is an effective treatment for cervical precancerous lesions; it can easily be administered by general practitioners in primary care settings following visual inspection screening.

Sustainability, the Greenhouse effect, silviculture, and overpopulation

International Nuclear Information System (INIS)

Hall, F.K.

1991-01-01

Ever since man became conscious of the finite dimensions of Planet Earth, he has worried about his ability to survive in an ever-more crowded environment. This paper reports that the fundamental question underlying this concern is sustainability: Can we indefinitely supply, maintain, and prolong that which we have? This question is, of course, multifaceted. Man's early concerns quickly polarized the scientists and economists of this world into two philosophical camps---the Malthusians and the Cornucopians. Over time, economists learned that Malthus seriously underestimated the capacity of technology to enhance productivity, although Malthusian sympathizers (both scientists and economists) continually raised the specter of imminent doom. Much of what lies ahead will provide a series of daunting challenges for us all, and the engine that drives sustainability has to be technology. The central issue is to ensure that the right kind of technology is available, and that it is used widely to ensure sustainability

Sustainability, the Greenhouse effect, silviculture, and overpopulation

Energy Technology Data Exchange (ETDEWEB)

Hall, F.K. (International Paper Co., Corporate Research Center, Tuxedo Park, NY (US))

1991-10-01

Ever since man became conscious of the finite dimensions of Planet Earth, he has worried about his ability to survive in an ever-more crowded environment. This paper reports that the fundamental question underlying this concern is sustainability: Can we indefinitely supply, maintain, and prolong that which we have This question is, of course, multifaceted. Man's early concerns quickly polarized the scientists and economists of this world into two philosophical camps---the Malthusians and the Cornucopians. Over time, economists learned that Malthus seriously underestimated the capacity of technology to enhance productivity, although Malthusian sympathizers (both scientists and economists) continually raised the specter of imminent doom. Much of what lies ahead will provide a series of daunting challenges for us all, and the engine that drives sustainability has to be technology. The central issue is to ensure that the right kind of technology is available, and that it is used widely to ensure sustainability.

Telemedicine diabetes consultations are cost-effective, and effects on essential diabetes treatment parameters are similar to conventional treatment

DEFF Research Database (Denmark)

Levin, Klaus; Madsen, Jette R; Petersen, Inge

2013-01-01

been offered expert diabetes care using teleconsultations. This article describes the impact of the telemedicine solution on essential diabetes treatment parameters, patient satisfaction, and cost-effectiveness. METHODS: Telemedicine consultations were conducted with the patient and nurse specialist...... in transportation time (7 h). Reductions in traveling costs and saved working days were the most important factors in making the telemedicine set-up economically efficient. CONCLUSION: Telemedicine consultation for remote outpatient diabetes control is feasible, and the interdisciplinary interventions achieved high...... treatment quality results in essential diabetes treatment parameters. In addition, the telemedicine set-up was associated with improved cost-effectiveness and patient satisfaction....

Towards a framework for treatment effectiveness in schizophrenia

Directory of Open Access Journals (Sweden)

Juckel G

2014-09-01

Full Text Available Georg Juckel,1 Andrea de Bartolomeis,2 Philip Gorwood,3 Sergey Mosolov,4 Luca Pani,5 Alessandro Rossi,6 Julio Sanjuan7 1Department of Psychiatry, LWL-University Hospital, Ruhr-University Bochum, Bochum, Germany; 2Laboratory of Molecular Psychiatry and Unit of Treatment Resistant Psychosis, University School of Medicine of Naples Federico II, Napoli, Italy; 3Groupe Hospitalier Sainte-Anne (CMME, Paris-Descartes University, Paris, France; 4Moscow Research Institute of Psychiatry, Moscow, Russia; 5Institute of Translational Pharmacology, Italian National Research Council, Rome, Italy; 6Università de L’Aquila, L’Aquila, Italy; 7Clinic Hospital, Spanish Mental Health Network (CIBERSAM, University of Valencia, Valencia, Spain Introduction: Prompt administration of antipsychotic treatment that is adhered to is essential for the optimal treatment of schizophrenia. Many patients have benefited from the advent of second-generation antipsychotics, which can offer good symptomatic control with reduced incidence of extrapyramidal symptoms, although with higher risk of metabolic side effects. It is unsurprising that accounts as to whether first- and second-generation antipsychotics differ in their efficacy vary, since treatment effectiveness is a broad notion and difficult to define. Objectives: Numerous factors may be used to gauge treatment effectiveness and, while it has largely been defined in terms of improvements in four domains (symptoms of disease, treatment burden, disease burden, and health and wellness, the real-world clinical utility of this consensus is unclear. Therefore, this article aims to provide a framework that can aid psychiatrists in making assessments about treatment effectiveness. Methods and results: A panel of 12 psychiatrists and psychopharmacologists convened to develop and propose an accessible and globally-applicable framework for assessing the effectiveness of antipsychotic treatments in patients with schizophrenia

Supplementing forest ecosystem health projects on the ground

Science.gov (United States)

Cathy Barbouletos; Lynette Z. Morelan

1995-01-01

Understanding the functions and processes of ecosystems is critical before implementing forest ecosystem health projects on the landscape. Silvicultural treatments such as thinning, prescribed fire, and reforestation can simulate disturbance regimes and landscape patterns that have regulated forest ecosystems for centuries. As land managers we need to understand these...

Operational experiments for sustainably managing forests (Grossflächige Feldversuche für die nachhaltige Waldnutzung).

Science.gov (United States)

Robert C. Szaro; Charles E. Peterson; Klaus Von Gadow

2006-01-01

Historically, applied manipulative studies of forests have tested the ability of specific silvicultural treatments to address wood production objectives. Changing societal values now demand expanded approaches to forest management that also integrate social, ecological, and economic goals. As a result, many recent (past decade) experimental manipulations have become...

Effective physical treatment for chronic low back pain.

Science.gov (United States)

Maher, C G

2004-01-01

It is now feasible to adopt an evidence-based approach when providing physical treatment for patients with chronic LBP. A summary of the efficacy of a range of physical treatments is provided in Table 1. The evidence-based primary care options are exercise, laser, massage, and spinal manipulation; however, the latter three have small or transient effects that limit their value as therapies for chronic LBP. In contrast, exercise produces large reductions in pain and disability, a feature that suggests that exercise should play a major role in the management of chronic LBP. Physical treatments, such as acupuncture, backschool, hydrotherapy, lumbar supports, magnets, TENS, traction, ultrasound, Pilates therapy, Feldenkrais therapy, Alexander technique, and craniosacral therapy are either of unknown value or ineffective and so should not be considered. Outside of primary care, multidisciplinary treatment or functional restoration is effective; however, the high cost probably means that these programs should be reserved for patients who do not respond to cheaper treatment options for chronic LBP. Although there are now effective treatment options for chronic LBP, it needs to be acknowledged that the problem of chronic LBP is far from solved. Though treatments can provide marked improvements in the patient's condition, the available evidence suggests that the typical chronic LBP patient is left with some residual pain and disability. Developing new, more powerful treatments and refining the current group of known effective treatments is the challenge for the future.

A new approach to defining rotation ages on the basis of productive and technological aspects. Application to natural Pinus sylvestris L. stands in Central Spain

International Nuclear Information System (INIS)

Rojo-Alboreca, A.; García-Villabrille, J.D.; Corral-Rivas, J.J.; Alía, R.; Montero, G.

2017-01-01

Aim of study: To propose a new approach to defining rotation ages on the basis of productive and technological aspects and to present an example of application of the methodology to natural Pinus sylvestris stands in relation to silvicultural treatment (light or heavy thinning) and site index. Area of study: Central Spain. Material and methods: We assumed that the price per m3 of logwood suitable for veneer is four times higher than logwood not apt for veneer. Considering the yield distribution for different technological and commercial classes, a model of diameter distributions and yield tables, the variation in an average price index for different age classes, site indexes and silvicultural treatments was calculated. The age at which the price index rises by less than 3%, the proportion of trees with d.b.h. higher than 40 cm, and other aspects such as the possible presence of fungal decay in old-growth stands were also taken into account to establish three criteria for defining rotation ages. Main results: The proposed methodology generates a wide range of rotation ages between 100 and 140 years for lightly thinned stands, and between 90 and 140 years for heavily thinned stands, depending on the site index. Research highlights: The proposed approach is based on technological and productive criteria, with the limitations imposed by sanitary risks. The methodology can be applied to generate rotation ages in relation to different site indexes and silvicultural treatments, provided that the timber market prices and the yield distribution for different technological and commercial classes are known, and that a model of diameter distributions and yield tables are available.

A new approach to defining rotation ages on the basis of productive and technological aspects. Application to natural Pinus sylvestris L. stands in Central Spain

Energy Technology Data Exchange (ETDEWEB)

Rojo-Alboreca, A.; García-Villabrille, J.D.; Corral-Rivas, J.J.; Alía, R.; Montero, G.

2017-11-01

Aim of study: To propose a new approach to defining rotation ages on the basis of productive and technological aspects and to present an example of application of the methodology to natural Pinus sylvestris stands in relation to silvicultural treatment (light or heavy thinning) and site index. Area of study: Central Spain. Material and methods: We assumed that the price per m3 of logwood suitable for veneer is four times higher than logwood not apt for veneer. Considering the yield distribution for different technological and commercial classes, a model of diameter distributions and yield tables, the variation in an average price index for different age classes, site indexes and silvicultural treatments was calculated. The age at which the price index rises by less than 3%, the proportion of trees with d.b.h. higher than 40 cm, and other aspects such as the possible presence of fungal decay in old-growth stands were also taken into account to establish three criteria for defining rotation ages. Main results: The proposed methodology generates a wide range of rotation ages between 100 and 140 years for lightly thinned stands, and between 90 and 140 years for heavily thinned stands, depending on the site index. Research highlights: The proposed approach is based on technological and productive criteria, with the limitations imposed by sanitary risks. The methodology can be applied to generate rotation ages in relation to different site indexes and silvicultural treatments, provided that the timber market prices and the yield distribution for different technological and commercial classes are known, and that a model of diameter distributions and yield tables are available.

Climate-influenced ponderosa pine (Pinus ponderosa seed masting trends in western Montana, USA

Directory of Open Access Journals (Sweden)

Christopher R. Keyes

2015-04-01

Full Text Available Aim of study: The aim of this study was to analyze 10-year records of ponderosa pine (Pinus ponderosa seed production, in order to confirm synchronic seed production and to evaluate cyclical masting trends, masting depletion effect, and climate-masting relationships. Area of study: The study area was located in a P. ponderosa stand in the northern Rocky Mountains (western Montana, USA. Material and methods: The study was conducted in one stand that had been subjected to a silvicultural study of uneven-aged management techniques that was carried out in 1984, and which resulted in three separate units consisting of one control, one cut/no-burn treatment, and one cut/burn treatment. Seeds were collected during the 10 years following treatment in 15 traps systematically deployed within each of the stand’s three units. The total numbers of seeds collected in each unit were plotted over time to analyze crop synchrony, with Spearman rank correlation coefficient used to test for masting cycles and crop depletion after a mast year. Meteorological records over the period 1983-1994 were related to the occurrence of a mast event (defined as crops exceeding 50,000 viable seeds/ha. Main results: The seed production pattern was non-cyclical, synchronous, and independent of silvicultural treatment history. A mast-depletion effect was evident but was not statistically significant. Mast events seem to be promoted by the occurrence of optimum mean temperatures at the beginning of spring during both the first (11 °C and second (9 °C years of cone maturation. The probability of a mast year was also affected by summer temperature (number of late frost days; negative effect and precipitation amount (positive effect. All these factors would seemingly explain the observed synchronous pattern in cone production. Research highlights: The non-cyclical trend of ponderosa pine seed mast years is influenced by specific climate determinants. Fluctuations in mean early

Oculomotor and neuropsychological effects of antipsychotic treatment for schizophrenia

Directory of Open Access Journals (Sweden)

Kristian S. Hill

2009-04-01

Full Text Available Cognitive enhancement has become an important target for drug therapies in schizophrenia. Treatment development in this area requires assessment approaches that are sensitive to procognitive effects of antipsychotic and adjunctive treatments. Ideally, new treatments will have translational characteristics for parallel human and animal research. Previous studies of antipsychotic effects on cognition have relied primarily on paper-and-pencil neuropsychological testing. No study has directly compared neurophysiological biomarkers and neuropsychological testing as strategies for assessing cognitive effects of antipsychotic treatment early in the course of schizophrenia. Anti psychotic-naive patients with schizophrenia were tested before treatment with risperidone and again 6 weeks later. Matched healthy participants were tested over a similar time period. Test-retest reliability, effect sizes of within-subject change, and multivariate/univariate analysis of variance were used to compare 3 neurophysiological tests (visually guided saccade, memory-guided saccade, and antisaccade with neuropsychological tests covering 4 cognitive domains (executive function, attention, memory, and manual motor function. While both measurement approaches showed robust neurocognitive impairments in patients prior to risperidone treatment, oculomotor biomarkers were more sensitive to treatment-related effects on neurocognitive function than traditional neuropsychological measures. Further, unlike the pattern of modest generalized cognitive improvement suggested by neuropsychological measures, the oculomotor findings revealed a mixed pattern of beneficial and adverse treatment related effects. These findings warrant further investigation regarding the utility of neurophysiological biomarkers for assessing cognitive outcomes of antipsychotic treatment in clinical trials and in early-phase drug development.

Cost-effective treatment for the couple with infertility.

Science.gov (United States)

Van Voorhis, B J; Syrop, C H

2000-12-01

Although the evaluation of cost-effective approaches to infertility treatment remains in its infancy, several important principles have emerged from the initial studies in this field. Currently, in treating couples with infertility without tubal disease or severe male-factor infertility, the most cost-effective approach is to start with IUI or superovulation-IUI treatments before resorting to IVF procedures. The woman's age and number of sperm present for insemination are significant factors influencing cost-effectiveness. The influence of certain diagnoses on the cost-effectiveness of infertility treatments requires further study. Even when accounting for the costs associated with multiple gestations and premature deliveries, the cost of IVF decreases within the range of other cost-effective medical procedures and decreases to less than the willingness to pay for these procedures. Indeed, for patients with severe tubal disease, IVF has been found to be more cost-effective than surgical repair. The cost-effectiveness of IVF will likely improve as success rates show continued improvements over the course of time. In addition, usefulness of embryo selection and practices to reduce the likelihood of high-order multiple pregnancies, without reductions in pregnancy rates, will significantly impact cost-effectiveness. The exclusion of infertility treatments from insurance plans is unfortunate and accentuates the importance of physicians understanding the economics of infertility treatment with costs that are often passed directly to the patient. The erroneous economic policies and judgments that have led to inequities in access to infertility health care should not be tolerated.

Estimating the effect of treatment rate changes when treatment benefits are heterogeneous: antibiotics and otitis media.

Science.gov (United States)

Park, Tae-Ryong; Brooks, John M; Chrischilles, Elizabeth A; Bergus, George

2008-01-01

Contrast methods to assess the health effects of a treatment rate change when treatment benefits are heterogeneous across patients. Antibiotic prescribing for children with otitis media (OM) in Iowa Medicaid is the empirical example. Instrumental variable (IV) and linear probability model (LPM) are used to estimate the effect of antibiotic treatments on cure probabilities for children with OM in Iowa Medicaid. Local area physician supply per capita is the instrument in the IV models. Estimates are contrasted in terms of their ability to make inferences for patients whose treatment choices may be affected by a change in population treatment rates. The instrument was positively related to the probability of being prescribed an antibiotic. LPM estimates showed a positive effect of antibiotics on OM patient cure probability while IV estimates showed no relationship between antibiotics and patient cure probability. Linear probability model estimation yields the average effects of the treatment on patients that were treated. IV estimation yields the average effects for patients whose treatment choices were affected by the instrument. As antibiotic treatment effects are heterogeneous across OM patients, our estimates from these approaches are aligned with clinical evidence and theory. The average estimate for treated patients (higher severity) from the LPM model is greater than estimates for patients whose treatment choices are affected by the instrument (lower severity) from the IV models. Based on our IV estimates it appears that lowering antibiotic use in OM patients in Iowa Medicaid did not result in lost cures.

Instrumental variable estimation of treatment effects for duration outcomes

NARCIS (Netherlands)

G.E. Bijwaard (Govert)

2007-01-01

textabstractIn this article we propose and implement an instrumental variable estimation procedure to obtain treatment effects on duration outcomes. The method can handle the typical complications that arise with duration data of time-varying treatment and censoring. The treatment effect we

A non-destructive method for quantifying small-diameter woody biomass in southern pine forests

Science.gov (United States)

D. Andrew Scott; Rick Stagg; Morris Smith

2006-01-01

Quantifying the impact of silvicultural treatments on woody understory vegetation largely has been accomplished by destructive sampling or through estimates of frequency and coverage. In studies where repeated measures of understory biomass across large areas are needed, destructive sampling and percent cover estimates are not satisfactory. For example, estimates of...

Beyond the treatment effect: Evaluating the effects of patient preferences in randomised trials.

Science.gov (United States)

Walter, S D; Turner, R; Macaskill, P; McCaffery, K J; Irwig, L

2017-02-01

The treatments under comparison in a randomised trial should ideally have equal value and acceptability - a position of equipoise - to study participants. However, it is unlikely that true equipoise exists in practice, because at least some participants may have preferences for one treatment or the other, for a variety of reasons. These preferences may be related to study outcomes, and hence affect the estimation of the treatment effect. Furthermore, the effects of preferences can sometimes be substantial, and may even be larger than the direct effect of treatment. Preference effects are of interest in their own right, but they cannot be assessed in the standard parallel group design for a randomised trial. In this paper, we describe a model to represent the impact of preferences on trial outcomes, in addition to the usual treatment effect. In particular, we describe how outcomes might differ between participants who would choose one treatment or the other, if they were free to do so. Additionally, we investigate the difference in outcomes depending on whether or not a participant receives his or her preferred treatment, which we characterise through a so-called preference effect. We then discuss several study designs that have been proposed to measure and exploit data on preferences, and which constitute alternatives to the conventional parallel group design. Based on the model framework, we determine which of the various preference effects can or cannot be estimated with each design. We also illustrate these ideas with some examples of preference designs from the literature.

Effects of Cancer Treatment on Fertility (For Parents)

Science.gov (United States)

... Mind Sexual Health Food & Fitness Diseases & Conditions Infections Drugs & Alcohol School & Jobs Sports Expert Answers (Q&A) Staying Safe Videos for Educators Search English Español Effects of Cancer Treatment on Fertility KidsHealth / For Parents / Effects of Cancer Treatment on ...

Improved treatment of radiation effects on the skin

International Nuclear Information System (INIS)

Wandl, E.O.; Kaercher, K.H.; Wandl-Hainberger, I.

1985-01-01

The treatment concept developed by K.H. Kaercher was extended by a therapy using Elasten S cream. In the course of a highvoltage therapy using fast electrons or cobalt-60, interesting aspects in the treatment and progression of the radiation reactions of the skin were established. The dermato-therapeutic principles layed down by K.H. Kaercher with the treatment palette used hitherto, have without doubt invariably proven their value. The exclusive powder treatment, however, may be made more practical by application of the new treatment cream in accordance with the intervals in radiation treatment or as a basic treatment towards the end of therapy. Furthermore it is ideally suited for the care and after-treatment of skin, strained by radiation. It reduces considerably the remaining visible radiation reactions. The treatment with powder and emulsion has for more than 10 years proven effective. After the excellent results of the new cream during radiation treatment, additional positive effects are expected in a long-term trial which will be reported on separately. (orig.) [de

Estimating scaled treatment effects with multiple outcomes.

Science.gov (United States)

Kennedy, Edward H; Kangovi, Shreya; Mitra, Nandita

2017-01-01

In classical study designs, the aim is often to learn about the effects of a treatment or intervention on a single outcome; in many modern studies, however, data on multiple outcomes are collected and it is of interest to explore effects on multiple outcomes simultaneously. Such designs can be particularly useful in patient-centered research, where different outcomes might be more or less important to different patients. In this paper, we propose scaled effect measures (via potential outcomes) that translate effects on multiple outcomes to a common scale, using mean-variance and median-interquartile range based standardizations. We present efficient, nonparametric, doubly robust methods for estimating these scaled effects (and weighted average summary measures), and for testing the null hypothesis that treatment affects all outcomes equally. We also discuss methods for exploring how treatment effects depend on covariates (i.e., effect modification). In addition to describing efficiency theory for our estimands and the asymptotic behavior of our estimators, we illustrate the methods in a simulation study and a data analysis. Importantly, and in contrast to much of the literature concerning effects on multiple outcomes, our methods are nonparametric and can be used not only in randomized trials to yield increased efficiency, but also in observational studies with high-dimensional covariates to reduce confounding bias.

A silvicultura e os recursos hídricos superficiais Superficial hydric resources and the silviculture

Directory of Open Access Journals (Sweden)

Rafael Zoboli Guimarães

2010-03-01

Full Text Available Realizou-se um monitoramento da qualidade da água superficial em áreas de reflorestamento com
espécies de Pinus taeda e Pinus ellioti no Município de Joinville, Santa Catarina, Brasil, no período de setembro
de 2005 a julho de 2006. Fez-se a comparação entre os resultados obtidos no monitoramento em talhões de
diferentes idades de reflorestamento e comparou-se com áreas de mata nativa. Utilizaram-se no monitoramento
os parâmetros de temperatura, pH, oxigênio dissolvido (OD, demanda bioquímica de oxigênio (DBO, sólidos
dissolvidos totais, turbidez, e coliformes termotolerantes (CT. Os resultados mais significativos foram: aumento
médio de 0,4 unidades de pH, de 42 NMP/100mL de CT, comparando a qualidade da água na entrada e saída do
reflorestamento. Houve maior estabilidade na variação espacial e temporal do parâmetro pH nos reflorestamentos
mais velhos. Preliminarmente, esta pesquisa mostrou que a atividade de silvicultura não interfere de forma
considerável na qualidade das águas superficiais.Superficial water quality was monitored in plantation areas with exotic species (Pinus taeda e Pinus ellioti in Joinville coutry, Santa Catarina, Brazil, between September 2005 and July 2006. The results, obtained in the monitoring area through the comparison of different forested catchments of different forestry ages, were compared with the ones of the native forest. The parameters used in monitoring were temperature, pH, dissolved oxygen (DO, oxygen biochemist demand (OBD, total solids dissolved (TSD, turbidity, and thermo tolerant coliforms (TC. The most significant result was: an average increase of 0,4 units of pH, 42 NMP/100 mL of TC, comparing the water quality in the entrance and exit of the forestry. It had greater stability at temporal and spatial variation in pH values in the oldest forestry. Preliminary, this research showed that the silviculture does not considerably intervene

Patients knowledge about side effects of orthodontic treatment

Directory of Open Access Journals (Sweden)

Mia Amalia

2011-07-01

Full Text Available Disharmonious of dental arrangement can possibly create problems for the patient, such as the masticatory function, esthetical, psychosocial, and also the increased risk of trauma and periodontal disease. These are reasons for a patient to seek orthodontic treatment. The aim of this study was to know the patient’s knowledge about the side effects possibility that they receive during orthodontic treatment. The side effects include pain experience during orthodontic treatment, the possibility of soft tissue damage, email demineralization, loss of tooth vitality, periodontal problem, root resorption, temporomandibular joint disorders, and relapse. A cross-sectional study was conducted in patients who registered at Orthodontic Department, Faculty of Dentistry, Universitas Indonesia on March-June 2009. The participants of this study were 100 patients, consist of 86 women and 14 men respectively. Twenty-seven questions about the side-effects of orthodontic treatment were used to obtain the patient’s knowledge and the result was categorized into 3 groups, good, average and poor. The result of the study showed that patient’s knowledge about the side effect of pain experience during orthodontic treatment was average and the patient’s knowledge about the possibility of soft tissue damage due to orthodontic treatment was good. However, the patient’s knowledge about the possibility of email demineralization, loss of tooth vitality, periodontal problem, root resorption, temporomandibular joint disorders and relapse due to orthodontic treatment was low.

An economic evaluation of forest improvement opportunities and impacts from the emergence of a biomass fuel market in southwestern Nova Scotia

International Nuclear Information System (INIS)

Manley, A.L.; Savage, G.D.

1993-01-01

In 1991, Nova Scotia's public power utility initiated a process to purchase privately produced electrical power. A proposal was received to produce 20--25 megawatts from the burning of 350 to 400,000 tonnes annually of wood residue and forest biomass in a co-generation facility in southwestern Nova Scotia, Canada. This proposal has been proceeding and is nearing the construction phase. As a result of this potential market, there is an opportunity for increasing the scope and extent of forest improvement operations. Options for a closer integration of planning, harvesting, and silviculture activities will emerge. Optimum end use allocation could occur and enhance overall economic efficiency. The objective of this project is to assess the effect that this emerging market for forest biomass could have on forest management in the supply area. This project has two phases. Phase 1, presented here, develops the framework and methodology. Phase 2 will apply a linear programming-based analytical model for evaluation. Phase 1 accumulated the required data and information for both the current management and marketing situation and that including the emerging biomass market. Growth and yield of the natural stand types were calculated for a mixture of conventional roundwood products and chip equivalents. Management regimes, based on current forest type, site class, and appropriate silviculture treatments, were established. Expected multiproduct yields, by regime were estimated. Silviculture and harvest costs along with product revenues were used to calculate standing timber and soil expectation values. In Phase 2, a stand-based optimization model will be developed to explore and evaluate the long term opportunities and differences between the present and emerging management and market situations

New England wildlife: management forested habitats

Science.gov (United States)

Richard M. DeGraaf; Mariko Yamasaki; William B. Leak; John W. Lanier

1992-01-01

Presents silvicultural treatments for six major cover-type groups in New England to produce stand conditions that provide habitat opportunities for a wide range of wildlife species. Includes matrices for species occurrence and utilization by forested and nonforested habitats, habitat breadth and size class, and structural habitat features for the 338 wildlife species...

Southern pine beetle infestations in relation to forest stand conditions, previous thinning, and prescribed burning: evaluation of the Southern Pine Beetle Prevention Program

Science.gov (United States)

John T. Nowak; James R. Meeker; David R. Coyle; Chris A. Steiner; Cavell Brownie

2015-01-01

Since 2003, the Southern Pine Beetle Prevention Program (SPBPP) (a joint effort of the USDA Forest Service and Southern Group of State Foresters) has encouraged and provided cost-share assistance for silvicultural treatments to reduce stand/forest susceptibility to the southern pine beetle (SPB)(Dendroctonus frontalis Zimmermann) in the southeastern United States....

Effectiveness of complementary and self-help treatments for anxiety disorders.

Science.gov (United States)

Jorm, Anthony F; Christensen, Helen; Griffiths, Kathleen M; Parslow, Ruth A; Rodgers, Bryan; Blewitt, Kelly A

2004-10-04

To review the evidence for the effectiveness of complementary and self-help treatments for anxiety disorders. Systematic literature search using PubMed, PsycLit, and the Cochrane Library. 108 treatments were identified and grouped under the categories of medicines and homoeopathic remedies, physical treatments, lifestyle, and dietary changes. We give a description of the 34 treatments (for which evidence was found in the literature searched), the rationale behind the treatments, a review of studies on effectiveness, and the level of evidence for the effectiveness studies. The treatments with the best evidence of effectiveness are kava (for generalised anxiety), exercise (for generalised anxiety), relaxation training (for generalised anxiety, panic disorder, dental phobia and test anxiety) and bibliotherapy (for specific phobias). There is more limited evidence to support the effectiveness of acupuncture, music, autogenic training and meditation for generalised anxiety; for inositol in the treatment of panic disorder and obsessive-compulsive disorder; and for alcohol avoidance by people with alcohol-use disorders to reduce a range of anxiety disorders.

Dosimetric Effects Of Different Treatment Tables During Radiotherapy

International Nuclear Information System (INIS)

Murkovic, M.; Grego, T.; Bibic, J.

2015-01-01

The aim of our study was to measure the effect of mega-voltage photon beam attenuation when treating patients through carbon fibre treatment table with and without the carbon laminate base plate on it. We also examined the ability of XiO treatment planning system in modelling this effect. Direct attenuation measurements were made for two treatment tables, Siemens TxT 550 treatment table with TT-A table top and Elekta Precise table with iBEAM evo table top. On both treatment tables we used Orfit Base Plate (32301). Measurements were taken for two photon energies (6 MV and 18 MV), at two different field sizes (5 x 5 cm 2 and 10 x 10 cm 2 ) and different gantry angles in 50 intervals using stationary water phantom and Farmer type ionization chamber. These values were compared to values calculated in XiO. In order to account for the effect of table and base plate during treatment planning in XiO, customized table and base plate templates were develop in Focal planning system. To construct these customized templates, table and base plate contours as well as respective relative electron density's to water were obtained on CT scanner. The largest attenuation effect was seen for oblique treatment angles using low energy and small field sizes, 6.6 percent for the Elekta table top and 8.4 percent for Siemens table top. In this paper we show that customized table and base plate templates introduced in the patient treatment plan can accurately model the attenuation due to their presence to within 0.3 percent. Since dose modifications due to such carbon fiber accessories can be significant, it can be concluded that introduction of customized table and base plate templates into TPS brings an important improvement to patient treatment planning, and should be included in dose calculations whenever possible. (author).

Neuroimaging in aphasia treatment research: Standards for establishing the effects of treatment

Science.gov (United States)

Kiran, Swathi; Ansaldo, Ana; Bastiaanse, Roelien; Cherney, Leora R.; Howard, David; Faroqi-Shah, Yasmeen; Meinzer, Marcus; Thompson, Cynthia K

2012-01-01

The goal of this paper is to discuss experimental design options available for establishing the effects of treatment in studies that aim to examine the neural mechanisms associated with treatment-induced language recovery in aphasia, using functional magnetic resonance imaging (fMRI). We present both group and single-subject experimental or case-series design options for doing this and address advantages and disadvantages of each. We also discuss general components of and requirements for treatment research studies, including operational definitions of variables, criteria for defining behavioral change and treatment efficacy, and reliability of measurement. Important considerations that are unique to neuroimaging-based treatment research are addressed, pertaining to the relation between the selected treatment approach and anticipated changes in language processes/functions and how such changes are hypothesized to map onto the brain. PMID:23063559

SARS: systematic review of treatment effects.

Directory of Open Access Journals (Sweden)

Lauren J Stockman

2006-09-01

Full Text Available BACKGROUND: The SARS outbreak of 2002-2003 presented clinicians with a new, life-threatening disease for which they had no experience in treating and no research on the effectiveness of treatment options. The World Health Organization (WHO expert panel on SARS treatment requested a systematic review and comprehensive summary of treatments used for SARS-infected patients in order to guide future treatment and identify priorities for research. METHODS AND FINDINGS: In response to the WHO request we conducted a systematic review of the published literature on ribavirin, corticosteroids, lopinavir and ritonavir (LPV/r, type I interferon (IFN, intravenous immunoglobulin (IVIG, and SARS convalescent plasma from both in vitro studies and in SARS patients. We also searched for clinical trial evidence of treatment for acute respiratory distress syndrome. Sources of data were the literature databases MEDLINE, EMBASE, BIOSIS, and the Cochrane Central Register of Controlled Trials (CENTRAL up to February 2005. Data from publications were extracted and evidence within studies was classified using predefined criteria. In total, 54 SARS treatment studies, 15 in vitro studies, and three acute respiratory distress syndrome studies met our inclusion criteria. Within in vitro studies, ribavirin, lopinavir, and type I IFN showed inhibition of SARS-CoV in tissue culture. In SARS-infected patient reports on ribavirin, 26 studies were classified as inconclusive, and four showed possible harm. Seven studies of convalescent plasma or IVIG, three of IFN type I, and two of LPV/r were inconclusive. In 29 studies of steroid use, 25 were inconclusive and four were classified as causing possible harm. CONCLUSIONS: Despite an extensive literature reporting on SARS treatments, it was not possible to determine whether treatments benefited patients during the SARS outbreak. Some may have been harmful. Clinical trials should be designed to validate a standard protocol for dosage

Cost effectiveness of Tuberculosis Treatment from the Patients ...

African Journals Online (AJOL)

... Directly Observed Treatment Short course is more cost effective from the patients' point of view. DOTS needs to be re-focused out of the hospitals and clinics and made community based in view of the increasing TB caseload occasioned by HI V/AIDS. Key Words: Cost effectiveness, Tuberculosis treatment, personal cost, ...

Impact of Treatment Integrity on Intervention Effectiveness

Science.gov (United States)

Fryling, Mitch J.; Wallace, Michele D.; Yassine, Jordan N.

2012-01-01

Treatment integrity has cogent implications for intervention effectiveness. Understanding these implications is an important, but often neglected, undertaking in behavior analysis. This paper reviews current research on treatment integrity in applied behavior analysis. Specifically, we review research evaluating the relation between integrity…

Cost-effectiveness analysis of optimal strategy for tumor treatment

International Nuclear Information System (INIS)

Pang, Liuyong; Zhao, Zhong; Song, Xinyu

2016-01-01

We propose and analyze an antitumor model with combined immunotherapy and chemotherapy. Firstly, we explore the treatment effects of single immunotherapy and single chemotherapy, respectively. Results indicate that neither immunotherapy nor chemotherapy alone are adequate to cure a tumor. Hence, we apply optimal theory to investigate how the combination of immunotherapy and chemotherapy should be implemented, for a certain time period, in order to reduce the number of tumor cells, while minimizing the implementation cost of the treatment strategy. Secondly, we establish the existence of the optimality system and use Pontryagin’s Maximum Principle to characterize the optimal levels of the two treatment measures. Furthermore, we calculate the incremental cost-effectiveness ratios to analyze the cost-effectiveness of all possible combinations of the two treatment measures. Finally, numerical results show that the combination of immunotherapy and chemotherapy is the most cost-effective strategy for tumor treatment, and able to eliminate the entire tumor with size 4.470 × 10"8 in a year.

A silvicultural guide for developing a sugarbush

Science.gov (United States)

Kenneth F. Lancaster; Russell S. Walters; Frederick M. Laing; Raymond T. Foulds

1974-01-01

A practical guide for the management of a sugarbush. Guidelines are established for the manipulation of stand density and stocking to promote the development of healthy vigorous trees with deep, wide crowns, the necessary attributes for highest possible yield of sugar-rich sap. Specific treatments are prescribed for sapling, poletimber and small sawtimber stands and a...

Early longleaf pine seedling survivorship on hydric soils

Science.gov (United States)

Susan Cohen; Joan Walker

2006-01-01

We established a study to evaluate site preparation in restoring longleaf pine on poorly drained sites. Most existing longleaf pine stands occur on drier sites, and traditional approaches to restoring longleaf pine on wetter sites may rely on intensive practices that compromise the integrity of the ground layer vegetation. We applied silvicultural treatments to improve...

Stocking chart for upland central hardwoods

Science.gov (United States)

Martin E. Dale; Donald E. Hilt

1989-01-01

The upland hardwoods stocking chart, introduced by Gingrich in 1967, has become one of the forest manager's most useful tools. The chart allows you to determine the condition of the present stand in relation to a stocking standard. The stocking of a stand is extremely helpful in prescribing various silvicultural treatments such as intermediate thinnings,...

Initial observations on tree mortality following a severe drought in 2012 in two Indiana state forests and implications for long-term compositional dynamics

Science.gov (United States)

Andrew R. Meier; Mike R. Saunders

2014-01-01

Compositional and structural changes in response to silvicultural treatments in forest stands are well documented (e.g., Saunders and Wagner 2008), but the stochastic nature of natural disturbance events often precludes direct observation of their impacts on stand dynamics. Though the current dominance of oak-hickory forest types in the Central Hardwoods Forest region...

The Hardwood Ecosystem Experiment: a framework for studying responses to forest management

Science.gov (United States)

Robert K. Swihart; Michael R. Saunders; Rebecca A. Kalb; G. Scott Haulton; Charles H., eds. Michler

2013-01-01

Conditions in forested ecosystems of southern Indiana are described before initiation of silvicultural treatments for the Hardwood Ecosystem Experiment (HEE). The HEE is a 100-year study begun in 2006 in Morgan-Monroe and Yellowwood State Forests to improve the sustainability of forest resources and quality of life of Indiana residents by understanding ecosystem and...

Effect of short-term intensive atorvastatin treatment on interventional treatment effect and cardiac function of patients with acute coronary syndrome

Directory of Open Access Journals (Sweden)

Yu Lei

2016-06-01

Full Text Available Objective: To study the effect of short-term intensive atorvastatin treatment on interventional treatment effect and cardiac function of patients with acute coronary syndrome. Methods: A total of 104 cases of patients with acute coronary syndrome who received PCI treatment in Emergency Department of our hospital from May 2014 to November 2015 were retrospectively analyzed and divided into intensive group and routine group according to different atorvastatin treatment methods, and then biochemical indexes, cardiac ultrasound indicators and inflammatory indexes of two groups were compared. Results: Serum TG, TC, LDL-C, hs- CRP, LDH, α-HBDH, CK and CK-MB content of intensive group were significantly lower than those of routine group while HDL-C content was higher than that of routine group; E/ A ratio and LVEF of intensive group were higher than those of routine group while Tei index, systolic index and diastolic index were lower than those of routine group; TLR4 and NF-kB expression levels in peripheral blood as well as TNF-α and IL-6 content in serum of intensive group were significantly lower than those of routine group. Conclusion: Short-term intensive atorvastatin treatment improves the interventional treatment effect of patients with acute coronary syndrome, and can reduce myocardial injury, improve cardiac diastolic and systolic function and inhibit the inflammation mediated by TLR4/NF-kB.

Effects of Clone, Silvicultural, and Miticide Treatments on Cottonwood Leafcurl Mite (Acari: Eriophyidae) Damage in Plantation Populus

Science.gov (United States)

David R. Coyle

2002-01-01

Aculops lobuliferus (Keifer) is a little known pest of plantation Populus spp., which is capable of causing substantial damage. This is the First documented occurrence of A. lobuliferus in South Carolina. Previous anecdotal data indicated clonal variation in Populus susceptibility to A...

Adverse effects of orthodontic treatment: A clinical perspective

Science.gov (United States)

Talic, Nabeel F.

2011-01-01

Orthodontic treatment is associated with a number of adverse effects, such as root resorption, pain, pulpal changes, periodontal disease, and temporomandibular dysfunction (TMD). Orthodontists should be aware of these effects and associated risk factors. Risk factors linked to root resorption include the duration of treatment, length, and shape of the root, trauma history, habits, and genetic predisposition. PMID:24151415

Effectiveness of an intensive multidisciplinary headache treatment program.

Science.gov (United States)

Gunreben-Stempfle, Birgit; Griessinger, Norbert; Lang, Eberhard; Muehlhans, Barbara; Sittl, Reinhard; Ulrich, Kathrin

2009-07-01

To investigate if the effectiveness of a 96-hour multidisciplinary headache treatment program exceeds the effectiveness of a 20-hour program and primary care. When dealing with chronic back pain, low-intensity multidisciplinary treatment yields no significantly better results than standard care and monodisciplinary therapy; however, high-intensity treatment does. For multidisciplinary headache treatment, such comparisons are not yet available. In a previous study undertaken by our Pain Center, the outcome of a minimal multidisciplinary intervention model (20-hour) did not exceed primary care. Forty-two patients suffering from frequent headaches (20 +/- 9 headache days/month; range: 8-30) were treated and evaluated in a 96-hour group program. The results were compared with the outcomes of the previous study. Subjects who had undergone either the 20-hour multidisciplinary program or the primary care were used as historical control groups. A significant reduction in migraine days (P tension-type headache days (P tension-type headache days (P = .016), and frequency of migraine attacks (P = .016). In comparison with the 20-hour multidisciplinary program, the 96-hour program showed significantly better effects only in the reduction of migraine days (P = .037) and depression score (P = .003). The responder-rates (> or =50% improvement) in the 96-hour program were significantly higher than in the 20-hour program (migraine days, P = .008; tension-type headache days, P = .044) and primary care (migraine days, P = .007; tension-type headache days, P = .003; tension-type headache intensity, P = .037). The effect sizes were small to medium in the 96-hour program. Particularly with the reduction of migraine symptomatology, the 96-hour program performed better than the 20-hour program, which produced only negligible or small effects. Intensive multidisciplinary headache treatment is highly effective for patients with chronic headaches. Furthermore, migraine symptomatology

Observations on the Prevalence, Characteristics, and Effects of Self-Treatment

Directory of Open Access Journals (Sweden)

Shuangge eMa

2016-04-01

Full Text Available Aims: When facing illness, a person may choose self-treatment as an alternative to hospital (and primary care-based treatment. Despite its important role in healthcare, the study on self-treatment remains limited. The goal is to collectively report the observations in the literature on the prevalence, characteristics, and effects of self-treatment.Methods: Extensive literature search was conducted, and relevant information was extracted.Results: Published studies have reported that in some regions, the prevalence of self-treatment is high and varies across illness conditions and treatment approaches. Self-medication is the most popular self-treatment approach. Multiple regional, demographic, personal, cultural and religious factors have been implicated in the pursuit of self-treatment. In addition, accessibility of healthcare also plays a role. Self-treatment in general has a positive clinical and financial effect. However there have been concerns on abuse and possible negative effects. Conclusions: This article reviews observations made in recent studies on several important aspects of self-treatment. Comprehensive and systematic study is still lacking. Interventions are needed to solve several problems associated with self-treatment.

Cost-effectiveness in Clostridium difficile treatment decision-making.

Science.gov (United States)

Nuijten, Mark Jc; Keller, Josbert J; Visser, Caroline E; Redekop, Ken; Claassen, Eric; Speelman, Peter; Pronk, Marja H

2015-11-16

To develop a framework for the clinical and health economic assessment for management of Clostridium difficile infection (CDI). CDI has vast economic consequences emphasizing the need for innovative and cost effective solutions, which were aim of this study. A guidance model was developed for coverage decisions and guideline development in CDI. The model included pharmacotherapy with oral metronidazole or oral vancomycin, which is the mainstay for pharmacological treatment of CDI and is recommended by most treatment guidelines. A design for a patient-based cost-effectiveness model was developed, which can be used to estimate the cost-effectiveness of current and future treatment strategies in CDI. Patient-based outcomes were extrapolated to the population by including factors like, e.g., person-to-person transmission, isolation precautions and closing and cleaning wards of hospitals. The proposed framework for a population-based CDI model may be used for clinical and health economic assessments of CDI guidelines and coverage decisions for emerging treatments for CDI.

Parent perspectives on information about late effects of childhood cancer treatment and their role in initial treatment decision making.

Science.gov (United States)

Greenzang, Katie A; Dauti, Angela; Mack, Jennifer W

2018-06-01

Though most childhood cancer survivors experience late effects of treatment, we know little about parent preferences for late effects information during therapy, or how parents weigh late effects when making treatment decisions. Our objective was to explore how parents of children with cancer consider late effects in initial treatment decision making and during active cancer treatment. Semistructured interviews were conducted with 12 parents of children with cancer who were actively receiving treatment at Dana-Farber/Boston Children's Cancer and Blood Disorders Center. Interviews were audio-recorded, transcribed verbatim, and qualitatively analyzed using thematic analysis. Ten of 12 parents reported that they had to decide between two or more treatment options for their child's cancer. Of those, 50% (5/10) considered late effects to be an important factor in their decision making. Most parents wanted early and detailed information about their child's risk of late effects to make treatment decisions and to feel prepared for the future. However, a few parents felt too overwhelmed to focus on late effects at diagnosis. While many recalled extensive late effects information in informed consent discussions, some parents felt these issues were minimally addressed. Parents desire detailed information about late effects to make informed treatment decisions and prepare for the future. Despite the role of late effects in treatment decision making, some parents feel that late effects are either inadequately addressed or too overwhelming to process at diagnosis. Parents may benefit from early assessment of their information needs and a return to these issues over time. © 2018 Wiley Periodicals, Inc.

Alternate day treatment and late effects: The concept of an effective dose per fraction

International Nuclear Information System (INIS)

Courdi, A.; Hery, M.; Gabillat, J.M.

1990-01-01

Although most institutions treat all fields each day, some radiotherapists continue to adopt an alternate day schedule. The resulting daily variations of the dose per fraction in laterally located targets have been analyzed using the linear-quadratic model. Patients with breast carcinoma treated with definitive radiotherapy in 1974-1975 with one field a day were studied. An effective dose per fraction was derived, with a value higher than the average dose per fraction received by the reference point. The greater the fluctuations between the doses per fraction on successive days, the higher the effective dose per fraction. The corresponding cell survival due to alternate treatment as compared to survival with daily treatment depends on the alpha/beta ratio. For a late effect with low alpha/beta ratio, an alternate treatment may lead to almost 10-fold increase in cell kill in these lateral targets such as those responsible for subcutaneous sclerosis as compared to daily treatment of all fields with the same total dose. Taking the average effective dose per fraction in our series, the increase in cell kill was 4-fold. Acute effects would suffer less damage due to alternate treatment because of a high alpha/beta ratio. Treatment on an alternate schedule should be restricted to palliative radiotherapy

Hybrid Aspen Response to Shearing in Minnesota: Implications for Biomass Production

Science.gov (United States)

Grant M. Domke; Andrew J. David; Anthony W. D' Amato; Alan R. Ek; Gary W. Wycoff

2011-01-01

There is great potential for the production of woody biomass feedstocks from hybrid aspen stands; however, little is known about the response of these systems to silvicultural treatments, such as shearing. We sought to address this need by integrating results from more than 20 years of individual tree and yield measurements in hybrid aspen (Populus tremuloides Mich. ×...

Factors influencing organic-horizon carbon pools in mixed-species stands of central Maine, USA

Science.gov (United States)

Joshua J. Puhlick; Shawn Fraver; Ivan J. Fernandez; Aaron R. Weiskittel; Laura S. Kenefic; Randy Kolka; Marie-Cecile Gruselle

2016-01-01

The overall goal of this study was to evaluate the correlation of multiple abiotic and biotic factors with organic-horizon (O-horizon) carbon (C) content on the Penobscot Experimental Forest in central Maine, USA. O-horizon samples were collected and their associated depths were recorded from stands managed with a range of silvicultural and harvesting treatments (i.e...

Biological waste by-production costs in forest management and possibilities for their reduction

Directory of Open Access Journals (Sweden)

Jiří Kadlec

2004-01-01

Full Text Available Biological wastes in forestry were observed from view of their by-production in silvicultural and logging operations. There were identified points where biological waste was produced in this paper, waste costs ratio for silvicultural and logging operations and were made suggestions for reduction of these costs. Biological waste costs give 34.4% of total costs of silvicultural operations and 30% of total costs of logging operations. Natural regeneration and minor forest produce operations are opportunities for reduction of these costs.

Effects of unplanned treatment interruptions on HIV treatment failure– results from TAHOD

Science.gov (United States)

Jiamsakul, Awachana; Kerr, Stephen J.; Ng, Oon Tek; Lee, Man Po; Chaiwarith, Romanee; Yunihastuti, Evy; Van Nguyen, Kinh; Pham, Thuy Thanh; Kiertiburanakul, Sasisopin; Ditangco, Rossana; Saphonn, Vonthanak; Sim, Benedict L. H.; Merati, Tuti Parwati; Wong, Wingwai; Kantipong, Pacharee; Zhang, Fujie; Choi, Jun Yong; Pujari, Sanjay; Kamarulzaman, Adeeba; Oka, Shinichi; Mustafa, Mahiran; Ratanasuwan, Winai; Petersen, Boondarika; Law, Matthew; Kumarasamy, Nagalingeswaran

2016-01-01

Objectives Treatment interruptions (TI) of combination antiretroviral therapy (cART) are known to lead to unfavourable treatment outcomes but do still occur in resource-limited settings. We investigated the effects of TI associated with adverse events (AEs) and non-AE-related reasons, including their durations, on treatment failure after cART resumption in HIV-infected individuals in Asia. Methods Patients initiating cART between 2006-2013 were included. TI was defined as stopping cART for >1 day. Treatment failure was defined as confirmed virological, immunological or clinical failure. Time to treatment failure during cART was analysed using Cox regression, not including periods off treatment. Co-variables with p30 days were associated with failure (31-180 days HR=2.66, 95%CI (1.70-4.16); 181-365 days HR=6.22, 95%CI (3.26-11.86); and >365 days HR=9.10, 95% CI (4.27-19.38), all pfailure. If TI is unavoidable, its duration should be minimised to reduce the risk of failure after treatment resumption. PMID:26950901

Strategies for maximizing clinical effectiveness in the treatment of schizophrenia.

Science.gov (United States)

Tandon, Rajiv; Targum, Steven D; Nasrallah, Henry A; Ross, Ruth

2006-11-01

The ultimate clinical objective in the treatment of schizophrenia is to enable affected individuals to lead maximally productive and personally meaningful lives. As with other chronic diseases that lack a definitive cure, the individual's service/recovery plan must include treatment interventions directed towards decreasing manifestations of the illness, rehabilitative services directed towards enhancing adaptive skills, and social support mobilization aimed at optimizing function and quality of life. In this review, we provide a conceptual framework for considering approaches for maximizing the effectiveness of the array of treatments and other services towards promoting recovery of persons with schizophrenia. We discuss pharmacological, psychological, and social strategies that decrease the burden of the disease of schizophrenia on affected individuals and their families while adding the least possible burden of treatment. In view of the multitude of treatments necessary to optimize outcomes for individuals with schizophrenia, effective coordination of these services is essential. In addition to providing best possible clinical assessment and pharmacological treatment, the psychiatrist must function as an effective leader of the treatment team. To do so, however, the psychiatrist must be knowledgeable about the range of available services, must have skills in clinical-administrative leadership, and must accept the responsibility of coordinating the planning and delivery of this multidimensional array of treatments and services. Finally, the effectiveness of providing optimal individualized treatment/rehabilitation is best gauged by measuring progress on multiple effectiveness domains. Approaches for efficient and reliable assessment are discussed.

Late effects of treatment of cancer in infancy

International Nuclear Information System (INIS)

Pastore, G.; Antonelli, R.; Fine, W.; Li, F.P.; Sallan, S.E.

1982-01-01

Eighty-six children were diagnosed with cancer in infancy, followed for at lest 5 years, and assessed for late effects of disease and therapy. One child subsequently died from respiratory failure and 3 died from second primary cancers. Another patient survived second primary cancers of the skin. The high frequency of new cancers (4 observed, 0.09 expected) was attributable to host susceptibility factors and treatment effects. Kyphoscoliosis was diagnosed in 44 patients, 40 of whom had received radiotherapy to the spine. Other patients had neurologic deficits, pulmonary fibrosis, hypoplastic breasts, bowel adhesions, thyroid nodules, musculoskeletal defects, and liver fibrosis associated with tumor therapy. Sequelae of cancer were more common after treatment in infancy than in later childhood. Improved treatments and knowledge of natural history can reduce adverse effects of therapy

Cost-effectiveness analysis of treatments for premenstrual dysphoric disorder.

Science.gov (United States)

Rendas-Baum, Regina; Yang, Min; Gricar, Joseph; Wallenstein, Gene V

2010-01-01

Premenstrual syndrome (PMS) is reported to affect between 13% and 31% of women. Between 3% and 8% of women are reported to meet criteria for the more severe form of PMS, premenstrual dysphoric disorder (PMDD). Although PMDD has received increased attention in recent years, the cost effectiveness of treatments for PMDD remains unknown. To evaluate the cost effectiveness of the four medications with a US FDA-approved indication for PMDD: fluoxetine, sertraline, paroxetine and drospirenone plus ethinyl estradiol (DRSP/EE). A decision-analytic model was used to evaluate both direct costs (medication and physician visits) and clinical outcomes (treatment success, failure and discontinuation). Medication costs were based on average wholesale prices of branded products; physician visit costs were obtained from a claims database study of PMDD patients and the Agency for Healthcare Research and Quality. Clinical outcome probabilities were derived from published clinical trials in PMDD. The incremental cost-effectiveness ratio (ICER) was calculated using the difference in costs and percentage of successfully treated patients at 6 months. Deterministic and probabilistic sensitivity analyses were used to assess the impact of uncertainty in parameter estimates. Threshold values where a change in the cost-effective strategy occurred were identified using a net benefit framework. Starting therapy with DRSP/EE dominated both sertraline and paroxetine, but not fluoxetine. The estimated ICER of initiating treatment with fluoxetine relative to DRSP/EE was $US4385 per treatment success (year 2007 values). Cost-effectiveness acceptability curves revealed that for ceiling ratios>or=$US3450 per treatment success, fluoxetine had the highest probability (>or=0.37) of being the most cost-effective treatment, relative to the other options. The cost-effectiveness acceptability frontier further indicated that DRSP/EE remained the option with the highest expected net monetary benefit for

Apathy in Alzheimer’s Disease: Any Effective Treatment?

Directory of Open Access Journals (Sweden)

Raffaele Rea

2014-01-01

Full Text Available Objective. This review has evaluated the effectiveness of pharmacological treatment of apathy in patients with Alzheimer’s disease (AD. Methods. A systematic literature search was conducted on published clinical trials assessing the effects of pharmacological treatment on apathy in AD over the last 10 years. Results. Fourteen studies considered of good quality were included in the analysis (4 randomized controlled trials, 9 open-label studies, and 1 retrospective analysis. Cholinesterase inhibitors were investigated in 9 studies, monoaminergic compounds such as methylphenidate and modafinil in two trials and one trial, respectively, and Ginkgo biloba (EGb 761 extract and citalopram in one study each. Cholinesterase inhibitors did not show statistical significant effect in 1 RCT study but were associated to improvement in 3 open-label studies. Methylphenidate elicited a small but significant activity accompanied by relevant side effects such as high blood pressure, cough, and osteoarticular pain. EGb 761 was well tolerated and countered apathy. Other treatments induced modest improvements or were ineffective. Conclusions. Apathy treatment remains a challenge and there is no evident advantage of any specific pharmacotherapy tested so far. The development of controlled studies according to updated guidelines for the diagnosis of apathy in patients with AD is desirable.

Cost-effectiveness of emergency department-initiated treatment for opioid dependence.

Science.gov (United States)

Busch, Susan H; Fiellin, David A; Chawarski, Marek C; Owens, Patricia H; Pantalon, Michael V; Hawk, Kathryn; Bernstein, Steven L; O'Connor, Patrick G; D'Onofrio, Gail

2017-11-01

In a recent randomized trial, patients with opioid dependence receiving brief intervention, emergency department (ED)-initiated buprenorphine and ongoing follow-up in primary care with buprenorphine (buprenorphine) were twice as likely to be engaged in addiction treatment compared with referral to community-based treatment (referral) or brief intervention and referral (brief intervention). Our aim was to evaluate the relative cost-effectiveness of these three methods of intervening on opioid dependence in the ED. Measured health-care use was converted to dollar values. We considered a health-care system perspective and constructed cost-effectiveness acceptability curves that indicate the probability each treatment is cost-effective under different thresholds of willingness-to-pay for outcomes studied. An urban ED in the United States. Opioid-dependent patients aged 18 years or older. Self-reported 30-day assessment data were used to construct cost-effectiveness acceptability curves for patient engagement in formal addiction treatment at 30 days and the number of days illicit opioid-free in the past week. Considering only health-care system costs, cost-effectiveness acceptability curves indicate that at all positive willingness-to-pay values, ED-initiated buprenorphine treatment was more cost-effective than brief intervention or referral. For example, at a willingness-to-pay threshold of $1000 for 30-day treatment engagement, we are 79% certain ED-initiated buprenorphine is most cost-effective compared with other studied treatments. Similar results were found for days illicit opioid-free in the past week. Results were robust to secondary analyses that included patients with missing cost data, included crime and patient time costs in the numerator, and to changes in unit price estimates. In the United States, emergency department-initiated buprenorphine intervention for patients with opioid dependence provides high value compared with referral to community

Recidivism after treatment in a forensic youth-psychiatric setting: the effect of treatment characteristics

NARCIS (Netherlands)

van der Put, C.E.; Asscher, J.J.; Stams, G.J.J.M.; van der Laan, P.H.; Breuk, R.; Jongman, E.; Doreleijers, T.

2013-01-01

The aim of this study was to examine the effect of treatment characteristics on recidivism in a forensic youth-psychiatric outpatient clinic. The treatment offered comprised functional family therapy (FFT), individual cognitive behavioural therapy (CBT), or CBT in combination with parent training.

Musical hallucinations: review of treatment effects

Directory of Open Access Journals (Sweden)

Jan eCoebergh

2015-06-01

Full Text Available AbstractBackground: Despite an increased scientific interest in musical hallucinations throughout the past 25 years, treatment protocols are still lacking. This may well be due to the fact that musical hallucinations have multiple causes, and that published cases are relatively rare.Objective: To review the effects of published treatment methods for musical hallucinations.Methods: A literature search yielded 175 articles discussing a total number of 516 cases, of which 147 articles discussed treatment in 276 individuals. We analysed the treatment results in relation to the aetiological factor considered responsible for the mediation of the musical hallucinations, i.e., idiopathic/hypoacusis, psychiatric disorder, brain lesion and other pathology, epilepsy or intoxication.Results: Musical hallucinations can disappear without intervention. When hallucinations are bearable, patients can be reassured without any other treatment. However, in other patients musical hallucinations are so disturbing that treatment is indicated. Distinct aetiological groups appear to respond differently to treatment. In the hypoacusis group, treating the hearing impairment can yield significant improvement and coping strategies (e.g. more acoustic stimulation are frequently helpful. Pharmacological treatment methods can also be successful, with antidepressants being more helpful than antiepileptics (which are still better than antipsychotics. The limited use of acetylcholinesterase inhibitors has looked promising. Musical hallucinations occurring as part of a psychiatric disorder tend to respond well to psychopharmacological treatments targeting the underlying disorder. Musical hallucinations experienced in the context of brain injuries and epilepsy tend to respond well to antiepileptics, but their natural course is often benign, irrespective of any pharmacological treatment. When intoxication is the main aetiological factor, it is important to stop or switch the

The side-effects to CPAP treatment inventory: the development and initial validation of a new tool for the measurement of side-effects to CPAP treatment.

Science.gov (United States)

Broström, Anders; Arestedt, Kristofer Franzén; Nilsen, Per; Strömberg, Anna; Ulander, Martin; Svanborg, Eva

2010-12-01

Continuous positive airway pressure (CPAP) is the treatment of choice for obstructive sleep apnoea syndrome (OSAS), but side-effects are common. No validated self-rating scale measuring side-effects to CPAP treatment exists today. The aim was to develop the side-effects to CPAP treatment inventory (SECI), and investigate the validity and reliability of the instrument among patients with OSAS. SECI was developed on the basis of: (1) in-depth interviews with 23 patients; (2) examination of the scientific literature and (3) consensus agreement of a multi-professional expert panel. This yielded 15 different types of side-effects related to CPAP treatment. Each side-effect has three sub-questions (scales): perceived frequency (a) and magnitude (b) of the side-effect, as well as its perceived impact on CPAP use (c). A cross-sectional descriptive design was used. A total of 329 patients with OSAS with an average use of CPAP treatment for 39 months (2 weeks to 182 months) were recruited. Data were collected with SECI, and obtained from medical records (clinical variables and data related to CPAP treatment). Construct validity was confirmed with factor analysis (principal component analysis with orthogonal rotation). A logical two-factor solution, the device subscale and symptom subscale, emerged across all three scales. The symptom subscale describing physical and psychological side-effects and the device subscale described mask and device-related side-effects. Internal consistency reliability of the three scales was good (Cronbach's α = 0.74-0.86) and acceptable for the subscales (Cronbach's α = 0.62-0.86). The satisfactory measurement properties of this new instrument are promising and indicate that SECI can be used to measure side-effects to CPAP treatment. © 2010 European Sleep Research Society.

Guide to effective research-management collaboration at long-term environmental research sites

Science.gov (United States)

Frederick J. Swanson; Steve Eubanks; Mary Beth Adams; John C. Brissette

2010-01-01

The Forest Service system of experimental forests and ranges (EFRs) and other sites of long-term silvicultural, watershed, and ecological research have contributed to science and natural resource management for more than a century. An important aspect of the success of EFR programs is strong collaboration between the research and land manager communities. This guide...

Side effects of endobronchial laser treatment

Energy Technology Data Exchange (ETDEWEB)

Dierkesmann, R.; Huzly, A.

1985-03-01

Side effects that have occurred in over 250 endobronchial laser treatments are reported. The laser has been used in severe tracheal and in bronchial obstructions. In two cases significant bleeding had to be treated with tamponade. In one patient an emphysema of the mediastinum developed, in 2 further patients a small pneumothorax. Perforation of the airway was not detected and no special treatment was necessary. Three patients with life-threatening tracheal stenoses and one patient with severe stenosis of both the mainstem bronchi due to metastasis in the bifurcation lymph node had a large defect in the tracheal or bronchial wall with a deep necrosis five to twelve weeks after laser treatment; all these patients had extensive radiotherapy in addition. One patient died due to severe respiratory insufficiency, probably caused by smoke intoxication. After the laser treatment, rubber-like fibrin-rich plaques may develop, which can lead to life-threatening obstructions of the airway. It is recommended that laser bronchoscopy should be performed with the rigid bronchoscope. After treatment of tracheal lesion an endoscopic check must be performed within 24 hours. The combination of laser treatment and radiotherapy seems to involve a certain risk of large defects in the bronchial wall due to necrosis of the tumor.

Modelling the effects of treatment and quarantine on measles

Science.gov (United States)

Beay, Lazarus Kalvein

2018-03-01

Treatment and quarantine are efforts to cure as well as to overcome the spread of diseases including measles. The spread of measles can be expressed by mathematical modelling in the form of nonlinear dynamical systems. In this study was conducted on the spread of measles by considering the effect of treatment and quarantine on the infected individuals. By using the basic reproduction number of the model, can be analyzed the effects of treatment and quarantine to reduce the spread of measles. Basic reproduction number of models is monotonically descreasing as treatment and quarantine increasing. Numerical simulations conducted on the analysis of the results. The results showed that treatment and quarantine was given to infected individuals who were infectious has a major influence to eliminate measles from the system.

Mode-Specific Effects among Three Treatments for Depression.

Science.gov (United States)

Imber, Stanley D.; And Others

1990-01-01

Randomly assigned 250 depressed outpatients to interpersonal psychotherapy, cognitive-behavioral therapy, imipramine plus clinical management, or pill placebo plus clinical management treatments. All treatments demonstrated significant symptom reduction with few differences in general outcomes. None of the therapies produced consistent effects on…

Effect of physical treatment on Trichoderma reesei cells

International Nuclear Information System (INIS)

Kumakura, M.; Kaetsu, I.

1984-01-01

The effect of physical treatment such as freezing and gamma-ray irradiation on Trichoderma reesei cells was studied. The decrease phenomena of cellulase production, which was observed in the culture of the cells using wheat bran extract, was improved by physical treatment. (author)

Effective treatment strategies against Ebola virus

Directory of Open Access Journals (Sweden)

Amina Yaqoob

2015-08-01

Full Text Available Ebola virus (EBOV, a member of order Mononegavirales is most famous for causing the endemics of hemorrhagic fever in different countries of the world. Various effective treatment for EBOV are available presently but different clinical trials and experimental studies on animal models are ongoing for this purpose. Results from different studies showed that selective vaccines and therapeutic drugs have potential to interfere the viral life events within host cell in order to inhibit its replication. Various pre-clinical trials in this regard are proved successful on non-human primates (NHPs and found to be significant in inhibiting EBOV infections. It is the need of hour to develop effective vaccines against Ebola virus to combat this problem as soon as possible. The present article is a brief review on potential treatment strategies against Ebola virus.

Weighing the potential effectiveness of various treatments for sleep bruxism.

Science.gov (United States)

Huynh, Nelly; Manzini, Christiane; Rompré, Pierre H; Lavigne, Gilles J

2007-10-01

Sleep bruxism may lead to a variety of problems, but its pathophysiology has not been completely elucidated. As such, there is no definitive treatment, but certain preventive measures and/or drugs may be used in acute cases, particularly those involving pain. This article is intended to guide clinician scientists to the treatment most appropriate for future clinical studies. To determine the best current treatment, 2 measures were used to compare the results of 10 clinical studies on sleep bruxism, 3 involving oral devices and 7 involving pharmacologic therapy. The first measure, the number needed to treat (NNT), allows several randomized clinical studies to be compared and a general conclusion to be drawn. The second measure, effect size, allows evaluation of the impact of treatment relative to a placebo using different studies of similar design. Taking into account the NNT, the effect size and the power of each study, it can be concluded that the following treatments reduce sleep bruxism: mandibular advancement device, clonidine and occlusal splint. However, the first 2 of these have been linked to adverse effects. The occlusal splint is therefore the treatment of choice, as it reduces grinding noise and protects the teeth from premature wear with no reported adverse effects. The NNT could not be calculated for an alternative pharmacologic treatment, short-term clonazepam therapy, which had a large effect size and reduced the average bruxism index. However, the risk of dependency limits its use over long periods. Assessment of efficacy and safety of the most promising treatments will require studies with larger sample sizes over longer periods.

Effect of Bauhinia holophylla treatment in Streptozotocin-induced diabetic rats.

Science.gov (United States)

Pinheiro, Marcelo S; Rodrigues, Luhara S; S, Leila; Moraes-Souza, Rafaianne Q; Soares, Thaigra S; Américo, Madileine F; Campos, Kleber E; Damasceno, Débora C; Volpato, Gustavo T

2017-01-01

Bauhinia holophylla, commonly known as "cow's hoof", is widely used in Brazilian folk medicine for the diabetes treatment. Therefore, the aim of this study was at evaluating the aqueous extract effect of Bauhinia holophylla leaves treatment on the streptozotocin-induced diabetic rats. Diabetes was induced by Streptozotocin (40 mg/Kg) in female Wistar rats. Oral administration of aqueous extract of Bauhinia holophylla leaves was given to non-diabetic and diabetic rats at a dose of 400 mg/kg during 21 days. On day 17 of treatment, the Oral Glucose Tolerance Test was performed to determine the area under the curve. At the end of the treatment, the animals were anesthetized and blood was collected for serum biochemical parameters analysis. After treatment with Bauhinia holophylla extract, non-diabetic and diabetic rats presented no glycemic changes. On the other hand, the plant treatment decreased body weight and increased ALT and AST activities. In conclusion, the treatment with aqueous extract of B. holophylla leaves given to diabetic rats presented no hypoglycemic effect in nondiabetic animals and no antidiabetic effect in diabetic animals with the doses studied. In addition, the diabetic animals treated with the B. holophylla extract showed inconvenient effects and its indiscriminate consumption requires particular carefulness.

Sleep Disturbance During Smoking Cessation: Withdrawal or Side Effect of Treatment?

Science.gov (United States)

Ashare, Rebecca L; Lerman, Caryn; Tyndale, Rachel F; Hawk, Larry W; George, Tony P; Cinciripini, Paul; Schnoll, Robert A

2017-06-01

The nicotine-metabolite ratio (NMR) predicts treatment response and is related to treatment side effect severity. Sleep disturbance may be one important side effect, but understanding sleep disturbance effects on smoking cessation is complicated by the fact that nicotine withdrawal also produces sleep disturbance. To evaluate the effects of withdrawal and treatment side effects on sleep disturbance. This is a secondary analysis of data from a clinical trial (Lerman et al., 2015) of 1,136 smokers randomised to placebo ( n = 363), transdermal nicotine (TN; n = 381), or varenicline ( n = 392) and stratified based on NMR (559 slow metabolisers; 577 normal metabolisers). Sleep disturbance was assessed at baseline and at 1-week following the target quit date (TQD). We also examined whether sleep disturbance predicted 7-day point-prevalence abstinence at end-of-treatment (EOT). The varenicline and TN groups exhibited greater increases in sleep disturbance (vs. placebo; treatment × time interaction; p = 0.005), particularly among those who quit smoking at 1-week post-TQD. There was a main effect of NMR ( p = 0.04), but no interactions with treatment. TN and varenicline attenuated withdrawal symptoms unrelated to sleep (vs. placebo). Greater baseline sleep disturbance predicted relapse at EOT ( p = 0.004). Existing treatments may not mitigate withdrawal-related sleep disturbance and adjunctive treatments that target sleep disturbance may improve abstinence rates.

Options for maintaining forest productivity after natural disturbance: A principal–agent approach

NARCIS (Netherlands)

Bogle, T.; Kooten, van G.C.

2013-01-01

Historically, British Columbia mandated silvicultural outcomes on public forestland because timber had a sufficiently high value to produce high resource rents. The mountain pine beetle altered the value of pine, reducing rents and impacting the silvicultural re-imbursement of regulated practices.

Effectiveness of Acupuncture in the Treatment of Gulf War Illness

Science.gov (United States)

2013-01-01

325. 7 Wigers SH, Stiles TC, Vogael PA. Effects of aerobic exercise versus stress management treatment in fibromyalgia : a 4.5 year prospective study... Treatment of Gulf War Illness PRINCIPAL INVESTIGATOR: Lisa Conboy, M.A., M.S., ScD...December 2012 4. TITLE AND SUBTITLE 5a. CONTRACT NUMBER Effectiveness of Acupuncture in the Treatment of Gulf War Illness 5b. GRANT NUMBER W81XWH

THERAPEUTIC EFFECTS OF A COGNITIVE-BEHAVIOURAL TREATMENT WITH JUVENILE OFFENDERS

Directory of Open Access Journals (Sweden)

Antonio Andrés-Pueyo

2012-07-01

Full Text Available Several treatment evaluations have highlighted the effectiveness of cognitive-behavioural programmes with both youth and adult offenders. This paper describes the application and assessment of a cognitive-behavioural treatment (adapted to Spanish from Ross and Fabiano’s Reasoning & Rehabilitation Programme with juvenile offenders serving community orders in an educational measure called in Spanish ‘libertad vigilada’ (similar to parole. The intervention comprised six different therapeutic components: self-control, cognitive restructuring, problem solving, social skills/assertiveness, values/empathy, and relapse prevention. Treatment effectiveness was tested using a quasi-experimental design involving two groups and pre/post evaluation. The results show that the programme was effective (with low to moderate effect sizes in improving participants’ social skills and self-esteem, as well as in reducing their aggressiveness. However, the intervention had no positive influence on empathy, cognitive distortions or impulsiveness. These results are in line with those of many other correctional studies, in which the treatment applied had a significant but partial effect on participants.

Toxic Stress: Effects, Prevention and Treatment

Directory of Open Access Journals (Sweden)

Hillary A. Franke

2014-11-01

Full Text Available Children who experience early life toxic stress are at risk of long-term adverse health effects that may not manifest until adulthood. This article briefly summarizes the findings in recent studies on toxic stress and childhood adversity following the publication of the American Academy of Pediatrics (AAP Policy Report on the effects of toxic stress. A review of toxic stress and its effects is described, including factors of vulnerability, resilience, and the relaxation response. An integrative approach to the prevention and treatment of toxic stress necessitates individual, community and national focus.

Effective antihypertensive treatment postpones renal insufficiency in diabetic nephropathy

DEFF Research Database (Denmark)

Parving, H H; Smidt, U M; Hommel, E

1993-01-01

The effect of long-term, aggressive, antihypertensive treatment on kidney function in diabetic nephropathy was studied prospectively in 11 insulin-dependent diabetic patients (mean age, 30 years). Renal function was assessed every 4 months by measurement of glomerular filtration rate (GFR) (single...... infarction (GFR, 46 mL/min/1.73 m2). Effective antihypertensive treatment postpones renal insufficiency in diabetic nephropathy....

Managing for Old Growth in Frequent-fire Landscapes

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Carl E. Fiedler

2007-12-01

Full Text Available There is no one-size-fits-all approach to managing frequent-fire, old-growth forests. However, there are general guidelines to follow: 1 set objectives for both structure (tree density, diameter distribution, tree species composition, spatial arrangement, amount of coarse woody debris and function (nutrient cycling, desired tree species regeneration; 2 prioritize treatments according to ecological, economic, and social needs and risks; 3 identify the potential treatments (natural fire, prescribed fire, silvicultural cutting that best meet the objectives and scale of the project; and 4 implement the treatment(s. We discuss each of these guidelines in this article.

Cost effectiveness of treatment for alcohol problems: findings of the randomised UK alcohol treatment trial (UKATT).

Science.gov (United States)

2005-09-10

To compare the cost effectiveness of social behaviour and network therapy, a new treatment for alcohol problems, with that of the proved motivational enhancement therapy. Cost effectiveness analysis alongside a pragmatic randomised trial. Seven treatment sites around Birmingham, Cardiff, and Leeds. 742 clients with alcohol problems; 617 (83.2%) were interviewed at 12 months and full economic data were obtained on 608 (98.5% of 617). Main economic measures Quality adjusted life years (QALYs), costs of trial treatments, and consequences for public sector resources (health care, other alcohol treatment, social services, and criminal justice services). Both therapies saved about five times as much in expenditure on health, social, and criminal justice services as they cost. Neither net savings nor cost effectiveness differed significantly between the therapies, despite the average cost of social behaviour and network therapy (221 pounds sterling; 385 dollars; 320 euros) being significantly more than that of motivational enhancement therapy (129 pounds sterling). If a QALY were worth 30,000 pounds sterling, then the motivational therapy would have 58% chance of being more cost effective than the social therapy, and the social therapy would have 42% chance of being more cost effective than the motivational therapy. Participants reported highly significant reductions in drinking and associated problems and costs. The novel social behaviour and network therapy did not differ significantly in cost effectiveness from the proved motivational enhancement therapy.

Cost effective treatment for wet FGD scrubber bleedoff

Energy Technology Data Exchange (ETDEWEB)

Janecek, K.F. [EIMCO Process Equipment Company, Salt Lake City, UT (United States); Kim, J.Y. [Samkook Corporation, Seoul (Korea, Democratic People`s Republic of)

1994-12-31

The dewatering of scrubber bleedoff gypsum is a thoroughly proven technology, whether for production of wallboard grade gypsum or environmentally responsible land fill. Careful review of the technology options will show which one is the most effective for the specific plant site. Likewise, a recipe for wastewater treatment for heavy metals removal can be found that will meet local regulatory limits. EIMCO has worldwide experience in FGD gypsum sludge dewatering and wastewater treatment. Contacting EIMCO can be the most important step toward a practical cost effective system for handling FGD scrubber bleed slurries.

Late effects of treatment of cancer in children

International Nuclear Information System (INIS)

Byrd, R.L.

1983-01-01

Advances in surgical techniques, in chemotherapy, and in radiation therapy have led to improved survival in children treated for cancer. Children cured of cancer will soon form a significant fraction of our adult population. As we follow such survivors, we have become more aware of long-term side effects of treatment. This is not a reason to withhold therapy. Instead, careful followup of oncology patients is needed to document the late effects, to identify the etiologic agents, and to alter treatment to give the least toxic therapy without sacrificing quality or duration of survival

Biomass utilization opportunities to achieve diverse silvicultural goals

Science.gov (United States)

Barry Wynsma; Christopher R. Keyes

2010-01-01

Silviculturists and ecologists may recommend land management prescriptions that are designed to be resilient to changing climatic conditions. When considering biomass utilization opportunities that may result from climate-change treatments, it really doesn’t matter what species mix or stocking levels are to be retained: if there are trees that need to be harvested,...

Side effects and risks of radioiodine treatment of benign thyroid diseases

International Nuclear Information System (INIS)

Becker, W.; Hohenberger, W.; Wolf, F.; Erlangen-Nuernberg Univ., Erlangen

1990-01-01

Radioiodine treatment is considered to be the treatment of choice in benign thyroid diseases because of its very low side effects. Real and hypothetic risks and side effects have to be differentiated. Both may occur early and late after the treatment. Radioiodinethyroiditis in small volumes at high doses is very rare. Exacerbation of a thyroid storm (0.34%) as well as local compressions accompanied with reactive edema of the thyroid are early real side effects of radioiodine treatment. Late real side effects are failure of treatment (7-30% of thyrotoxicosis) and induction of hypothyroidism (4-20% of functional autonomy and increasing frequency in Graves' diseases with time). Late hypothetic risks are somatic (1-9/10000 bis 1-9/100000) or genetic (1-9/100000). An early risk might be the misdiagnosis of an additional thyroid carcinoma. (orig.) [de

Effect of Ultrasonic Treatment Combined with Peracetic Acid Treatment Reduces Decay and Maintains Quality in Loquat Fruit

Directory of Open Access Journals (Sweden)

Chen Ling

2018-01-01

Full Text Available The effects of ultrasonic treatment (UT, 400 watts for 6 min combined with peracetic acid (PA, 0.4% (W/W treatment on fruit decay, browning, and quality and physiological changes in loquat fruit stored at 20°C were investigated. The results showed that treatment with UT or PA alone significantly reduced both decay and browning index in loquat fruit compared with the control. The combined treatment was more effective in decreasing decay and browning index and maintaining higher quality parameters than UT or PA treatment alone. Loquat fruits treated with the combined treatment maintained higher activities of polyphenol oxidase (PPO and peroxidase (POD than those treated with other treatments. In addition, UT combined with PA treatment significantly reduced the increase of firmness and increased fruit extractable juice, total soluble solid (TSS, and ascorbic acid content in loquat fruit. Moreover, the contents of total phenolics and total flavonoids were enhanced by the combination of UT and PA treatment. The combination of UT and PA treatment could be a useful method to reduce decay and browning in loquat fruit stored at room temperature, which has potential for application in the loquat industry.

Identifying treatment effect heterogeneity in clinical trials using subpopulations of events: STEPP.

Science.gov (United States)

Lazar, Ann A; Bonetti, Marco; Cole, Bernard F; Yip, Wai-Ki; Gelber, Richard D

2016-04-01

Investigators conducting randomized clinical trials often explore treatment effect heterogeneity to assess whether treatment efficacy varies according to patient characteristics. Identifying heterogeneity is central to making informed personalized healthcare decisions. Treatment effect heterogeneity can be investigated using subpopulation treatment effect pattern plot (STEPP), a non-parametric graphical approach that constructs overlapping patient subpopulations with varying values of a characteristic. Procedures for statistical testing using subpopulation treatment effect pattern plot when the endpoint of interest is survival remain an area of active investigation. A STEPP analysis was used to explore patterns of absolute and relative treatment effects for varying levels of a breast cancer biomarker, Ki-67, in the phase III Breast International Group 1-98 randomized clinical trial, comparing letrozole to tamoxifen as adjuvant therapy for postmenopausal women with hormone receptor-positive breast cancer. Absolute treatment effects were measured by differences in 4-year cumulative incidence of breast cancer recurrence, while relative effects were measured by the subdistribution hazard ratio in the presence of competing risks using O-E (observed-minus-expected) methodology, an intuitive non-parametric method. While estimation of hazard ratio values based on O-E methodology has been shown, a similar development for the subdistribution hazard ratio has not. Furthermore, we observed that the subpopulation treatment effect pattern plot analysis may not produce results, even with 100 patients within each subpopulation. After further investigation through simulation studies, we observed inflation of the type I error rate of the traditional test statistic and sometimes singular variance-covariance matrix estimates that may lead to results not being produced. This is due to the lack of sufficient number of events within the subpopulations, which we refer to as instability of

Advances in surface treatments: Technology, applications, effects

International Nuclear Information System (INIS)

Niku-Lari, A.

1987-01-01

An international handbook has been produced to include all aspects of residual stresses, including the theoretical background, effects of residual stresses, measurement and calculation and quantitative assessment of residual stress effects. Techniques for altering residual stresses, particularly surface treatments, are discussed. Up to date information on the state of the art is presented. (UK)

Effectiveness and cost-effectiveness of antidepressants in primary care: a multiple treatment comparison meta-analysis and cost-effectiveness model.

Directory of Open Access Journals (Sweden)

Joakim Ramsberg

Full Text Available OBJECTIVE: To determine effectiveness and cost-effectiveness over a one-year time horizon of pharmacological first line treatment in primary care for patients with moderate to severe depression. DESIGN: A multiple treatment comparison meta-analysis was employed to determine the relative efficacy in terms of remission of 10 antidepressants (citalopram, duloxetine escitalopram, fluoxetine, fluvoxamine mirtazapine, paroxetine, reboxetine, sertraline and venlafaxine. The estimated remission rates were then applied in a decision-analytic model in order to estimate costs and quality of life with different treatments at one year. DATA SOURCES: Meta-analyses of remission rates from randomised controlled trials, and cost and quality-of-life data from published sources. RESULTS: The most favourable pharmacological treatment in terms of remission was escitalopram with an 8- to 12-week probability of remission of 0.47. Despite a high acquisition cost, this clinical effectiveness translated into escitalopram being both more effective and having a lower total cost than all other comparators from a societal perspective. From a healthcare perspective, the cost per QALY of escitalopram was €3732 compared with venlafaxine. CONCLUSION: Of the investigated antidepressants, escitalopram has the highest probability of remission and is the most effective and cost-effective pharmacological treatment in a primary care setting, when evaluated over a one year time-horizon. Small differences in remission rates may be important when assessing costs and cost-effectiveness of antidepressants.

Implicit and Explicit Attitudes Toward Spiders : Sensitivity to Treatment and Predictive Value for Generalization of Treatment Effects

NARCIS (Netherlands)

Huijding, Jorg; de Jong, Peter J.

This study tested whether high spider fearful individuals' implicit and explicit attitudes toward spiders are sensitive to exposure treatment, and whether post-treatment implicit and/or explicit attitudes are related to the generalization of treatment effects. Self-reported explicit and implicit

Effects of variable retention harvesting on natural tree regeneration in Pinus resinosa (red pine) forests

Science.gov (United States)

Margaret W. Roberts; Anthony W. D' Amato; Christel C. Kern; Brian J. Palik

2017-01-01

Concerns over loss of ecosystem function and biodiversity in managed forests have led to the development of silvicultural approaches that meet ecological goals as well as sustain timber production. Variable Retention Harvest (VRH) practices, which maintain mature overstory trees across harvested areas, have been suggested as an approach to balance these objectives;...

An investigation of scale effects in family substance abuse treatment programs

Directory of Open Access Journals (Sweden)

Lee A James

2010-07-01

Full Text Available Abstract This short report investigates scale effects in family substance abuse treatment programs. In Massachusetts, the family substance abuse treatment programs were much more costly than other adult residential treatment models. State officials were concerned that the "scale" or size of these programs (averaging just eight families was too small to be economical. Although the sample size (just nine programs was too small to permit reliable inference, the data clearly signalled the importance of "scale effects" in these family substance abuse treatment programs. To further investigate scale effects in family substance abuse treatment programs, data from the Center for Substance Abuse Treatment's (CSAT's Residential Women and Children and Pregnant and Postpartum Women (RWC-PPW Demonstration were re-analyzed, focusing on the relationship between cost per family-day and the estimated average family census. This analysis indicates strong economies of scale up until an average family census of about 14, and less apparent scale effects beyond that point. In consideration of these and other study findings, a multidisciplinary interagency team redesigned the Massachusetts' family treatment program model. The new programs are larger than the former family treatment programs, with each new program having capacity to treat 11 to 15 families depending on family makeup.

Dropout among patients in qualified alcohol detoxification treatment: the effect of treatment motivation is moderated by Trauma Load.

Science.gov (United States)

Odenwald, Michael; Semrau, Peter

2013-03-21

Motivation to change has been proposed as a prerequisite for behavioral change, although empirical results are contradictory. Traumatic experiences are frequently found amongst patients in alcohol treatment, but this has not been systematically studied in terms of effects on treatment outcomes. This study aimed to clarify whether individual Trauma Load explains some of the inconsistencies between motivation to change and behavioral change. Over the course of two months in 2009, 55 patients admitted to an alcohol detoxification unit of a psychiatric hospital were enrolled in this study. At treatment entry, we assessed lifetime Trauma Load and motivation to change. Mode of discharge was taken from patient files following therapy. We tested whether Trauma Load moderates the effect of motivation to change on dropout from alcohol detoxification using multivariate methods. 55.4% dropped out of detoxification treatment, while 44.6% completed the treatment. Age, gender and days in treatment did not differ between completers and dropouts. Patients who dropped out reported more traumatic event types on average than completers. Treatment completers had higher scores in the URICA subscale Maintenance. Multivariate methods confirmed the moderator effect of Trauma Load: among participants with high Trauma Load, treatment completion was related to higher Maintenance scores at treatment entry; this was not true among patients with low Trauma Load. We found evidence that the effect of motivation to change on detoxification treatment completion is moderated by Trauma Load: among patients with low Trauma Load, motivation to change is not relevant for treatment completion; among highly burdened patients, however, who a priori have a greater risk of dropping out, a high motivation to change might make the difference. This finding justifies targeted and specific interventions for highly burdened alcohol patients to increase their motivation to change.

Somato-Visceral Effects in the Treatment of Dysmenorrhea: Neuromuscular Manual Therapy and Standard Pharmacological Treatment.

Science.gov (United States)

Barassi, Giovanni; Bellomo, Rosa Grazia; Porreca, Annamaria; Di Felice, Piera Attilia; Prosperi, Loris; Saggini, Raoul

2018-03-01

This study aims to verify whether neuromuscular therapy (NMT) or pharmacology therapy (PT) is more effective for reducing symptoms in women affected by primary dysmenorrhea and the effects associated with each treatment. A controlled, randomized, single-blind clinical trial within the framework of the chair of physical medicine and rehabilitation of the University "G. d'Annunzio" of Chieti-Pescara. The study was conducted on a sample of 60 women suffering from primary dysmenorrhea. Subjects were randomly divided in two groups (A and B). Group A was treated with NMT and group B with PT. Group B was given ibuprofen or naproxen because they are considered the best painkillers for this condition. Group A was treated with 8 neuromuscular manual lumbosacral and abdominal therapy sessions twice per week for 4 weeks. Results were analyzed at the beginning (T0) and end (T1) of the study with a menstrual distress questionnaire, brief pain inventory, and visual analogue scale. Twenty patients from Group A were selected for evaluation of their maintenance of the eventual improvement that was detected in T1 at follow-up (T2). Both therapies had significant short-term effects in reducing the perception and duration of pain. However, NMT appears to give more improvements in the duration of pain. NMT had a long-term effect on perception of pain because patients conserved the positive effects of treatment after 4 weeks. NMT also had a long-term effect on duration of pain because patients conserved benefits of treatment, but this improvement started to decrease after 4 weeks. In the treatment of primary dysmenorrhea, NMT represents a valid therapeutic alternative method to PT. NMT is free from potential adverse effects of analgesics, is noninvasive, and is easy to perform.

Interdisciplinary documentation of treatment side effects in oncology. Present status and perspectives

International Nuclear Information System (INIS)

Seegenschmiedt, M.H.

1998-01-01

Background: The documentation of acute and chronic treatment sequelae is a decisive precondition for the appropriate evaluation of the treatment quality of any cancer therapy. Methods and results: Interdisciplinary (inter)national efforts have resulted in a new consensus for recording of treatment sequelae in oncology. While the acute treatment side effects (day 1 to 90 after treatment) are recommended to be documented and evaluated using the Common Toxicity Criteria (CTC), for the chronic treatment side effects (day 91 and thereafter) the Late Effect Normal Tissue (LENT) criteria are to be implemented. The latter classification system allows to differentiate between the Subjective, Objective, Management and Analytic (SOMA) toxicity aspects. Both classification systems can be implemented not only for clinical applications using radiotherapy or chemotherapy alone but also for combinations with each other or with other treatment modalities. This allows for an effective interdisciplinary comparison between different treatment concepts not only within each institution but also in multicenter trials. Conclusions: Prospective documentation and evaluation of treatment toxicity in oncology should be intensified and systematically included in future mono- and multi-institutional clinical trials. (orig.) [de

Frequency of streamflow measurements required to determine forest treatment effects

Science.gov (United States)

Kenneth G. Reinhart

1964-01-01

Most of the stream-discharge records for our experimental watersheds are taken by continuous measurements. But the question arises: are continuous measurements necessary to determine effects of forest treatments? Or could treatment effects be determined by measurement of discharge at intervals, say, once a day or once a week?

Effect of patient's life expectancy on the cost-effectiveness of treatment for ocular hypertension.

Science.gov (United States)

Kymes, Steven M; Plotzke, Michael R; Kass, Michael A; Boland, Michael V; Gordon, Mae O

2010-05-01

To assess the influence of expected life span on the cost-effectiveness of treating ocular hypertension to prevent primary open-angle glaucoma. We used a Markov simulation model to estimate the cost and benefit of ocular hypertension treatment over a person's remaining life. We examined the influence of age on the cost-effectiveness decision in 2 ways: (1) by evaluating specific age cohorts to assess the influence of age at the initiation of treatment; and (2) by evaluating the influence of a specific life span. At a willingness to pay $50,000/quality-adjusted life year to $100,000/quality-adjusted life year, treatment of people with a 2% or greater annual risk of developing glaucoma was cost-effective for people aged 45 years with a life expectancy of at least 18 remaining years. However, to be cost-effective, a person aged 55 years must have a life expectancy of 21 remaining years and someone aged 65 years must have a life expectancy of 23 remaining years. A person with ocular hypertension must have a life expectancy of at least 18 remaining years to justify treatment at a threshold of a 2% or greater annual risk of developing glaucoma. Persons at higher levels of risk require a life expectancy of 7 to 10 additional years to justify treatment.

Factors Associated with Effectiveness of Treatment and Reproductive Outcomes in Patients with Thin Endometrium Undergoing Estrogen Treatment

Directory of Open Access Journals (Sweden)

Si-Miao Liu

2015-01-01

Conclusions: Thinner EMT before estrogen treatment requires longer treatment duration and predicts poorer treatment outcomes. The effectiveness of treatment depends on the duration of estrogen administration. Assisted reproductive outcomes of patients whose treatment is successful (i.e., achieves an EMT ≥8 mm are similar to those of controls. The quality of embryos transferred is an important predictor of assisted reproductive outcomes in patients treated successfully with exogenous estrogen.

Clinical effectiveness and cost-effectiveness of interventions for the treatment of anogenital warts: systematic review and economic evaluation.

Science.gov (United States)

Thurgar, Elizabeth; Barton, Samantha; Karner, Charlotta; Edwards, Steven J

2016-03-01

Typically occurring on the external genitalia, anogenital warts (AGWs) are benign epithelial skin lesions caused by human papillomavirus infection. AGWs are usually painless but can be unsightly and physically uncomfortable, and affected people might experience psychological distress. The evidence base on the clinical effectiveness and cost-effectiveness of treatments for AGWs is limited. To systematically review the evidence on the clinical effectiveness of medical and surgical treatments for AGWs and to develop an economic model to estimate the cost-effectiveness of the treatments. Electronic databases (MEDLINE, MEDLINE In-Process & Other Non-Indexed Citations, EMBASE, The Cochrane Library databases and Web of Science) were searched from inception (or January 2000 for Web of Science) to September 2014. Bibliographies of relevant systematic reviews were hand-searched to identify potentially relevant studies. The World Health Organization International Clinical Trials Registry Platform and ClinicalTrials.gov were searched for ongoing and planned studies. A systematic review of the clinical effectiveness literature was carried out according to standard methods and a mixed-treatment comparison (MTC) undertaken. The model implemented for each outcome was that with the lowest deviance information criterion. A de novo economic model was developed to assess cost-effectiveness from the perspective of the UK NHS. The model structure was informed through a systematic review of the economic literature and in consultation with clinical experts. Effectiveness data were obtained from the MTC. Costs were obtained from the literature and standard UK sources. Of 4232 titles and abstracts screened for inclusion in the review of clinical effectiveness, 60 randomised controlled trials (RCTs) evaluating 19 interventions were included. Analysis by MTC indicated that ablative techniques were typically more effective than topical interventions at completely clearing AGWs at the end of

Effect of pre-cooling and heat treatment on antioxidant enzymes ...

African Journals Online (AJOL)

Effect of pre-cooling and heat treatment on antioxidant enzymes profile of mango and banana. ... In banana, pre-cooling treatment (8 ºC) and heat treatment followed by cooling reduced CAT activity in peel and pulp, whereas POX activity increased. Pre-cooling and heat treatments altered normal homeostasis of these fruits, ...

Forests and water cycle

Directory of Open Access Journals (Sweden)

Iovino F

2009-06-01

Full Text Available Based on a comprehensive literature analysis, a review on factors that control water cycle and water use in Mediterranean forest ecosystems is presented, including environmental variables and silvicultural treatments. This important issue is considered in the perspective of sustainable forest management of Mediterranean forests, with special regard to crucial environmental hazards such as forest fires and desertification risks related to climate change.

Network meta-analysis of disconnected networks: How dangerous are random baseline treatment effects?

Science.gov (United States)

Béliveau, Audrey; Goring, Sarah; Platt, Robert W; Gustafson, Paul

2017-12-01

In network meta-analysis, the use of fixed baseline treatment effects (a priori independent) in a contrast-based approach is regularly preferred to the use of random baseline treatment effects (a priori dependent). That is because, often, there is not a need to model baseline treatment effects, which carry the risk of model misspecification. However, in disconnected networks, fixed baseline treatment effects do not work (unless extra assumptions are made), as there is not enough information in the data to update the prior distribution on the contrasts between disconnected treatments. In this paper, we investigate to what extent the use of random baseline treatment effects is dangerous in disconnected networks. We take 2 publicly available datasets of connected networks and disconnect them in multiple ways. We then compare the results of treatment comparisons obtained from a Bayesian contrast-based analysis of each disconnected network using random normally distributed and exchangeable baseline treatment effects to those obtained from a Bayesian contrast-based analysis of their initial connected network using fixed baseline treatment effects. For the 2 datasets considered, we found that the use of random baseline treatment effects in disconnected networks was appropriate. Because those datasets were not cherry-picked, there should be other disconnected networks that would benefit from being analyzed using random baseline treatment effects. However, there is also a risk for the normality and exchangeability assumption to be inappropriate in other datasets even though we have not observed this situation in our case study. We provide code, so other datasets can be investigated. Copyright © 2017 John Wiley & Sons, Ltd.

Weightbath hydrotraction treatment: application, biomechanics, and clinical effects

Directory of Open Access Journals (Sweden)

Márta Kurutz

2010-04-01

Full Text Available Márta Kurutz1, Tamás Bender21Department of Structural Mechanics, Budapest University of Technology and Economics, Hungary; 2Department of Physical Medicine, Polyclinic and Hospital of the Hospitaller Brothers of St. John of God, Budapest, Medical University of Szeged, HungaryBackground and purpose: Weightbath hydrotraction treatment (WHT is a simple noninvasive effective method of hydro- or balneotherapy to stretch the spine or lower limbs, applied successfully in hospitals and health resort sanitaria in Hungary for more than fifty years. This study aims to introduce WHT with its biomechanical and clinical effects. History, development, equipment, modes of application, biomechanics, spinal traction forces and elongations, indications and contraindications of WHT are precented.Subjects and methods: The calculation of traction forces acting along the spinal column during the treatment is described together with the mode of suspension and the position of extra weight loads applied. The biomechanics of the treatment are completed by in vivo measured elongations of lumbar segments using a special underwater ultrasound measuring method. The clinical effects, indications, and contraindications of the treatment are also presented.Results: In the underwater cervical suspension of a human body, approximately 25 N stretching load occurs in the cervical spine, and about 11 N occurs in the lumbar spine. By applying extra weights, the above tensile forces along the spinal column can be increased. Thus, the traction effect can be controlled by applying such loads during the treatment. Elongations of segments L3–L4, L4–L5, and L5–S1 were measured during the usual WHT of patients suspended cervically in water for 20 minutes, loaded by 20–20 N lead weights on the ankles. The mean initial elastic elongations of spinal segments were about 0.8 mm for patients aged under 40 years, 0.5 mm between 40–60 years, and 0.2 mm for patients over 60 years. The mean

Cost-effectiveness of lanreotide Autogel in treatment algorithms of acromegaly

NARCIS (Netherlands)

Biermasz, Nienke R.; Roelfsema, Ferdinand; Pereira, Alberto M.; Romijn, Johannes A.

2009-01-01

The introduction of effective pharmacological treatments has changed the management of acromegaly. However, chronic, life-long treatment with somatostatin analogues and/or growth hormone receptor antagonists is very expensive. We estimated the costs of treatment algorithms to control acromegaly from

Effect of Female Body Mass Index on Oocyte Quantity in Fertility Treatments (IVF: Treatment Cycle Number Is a Possible Effect Modifier. A Register-Based Cohort Study.

Directory of Open Access Journals (Sweden)

Mette Wulf Christensen

Full Text Available Overweight and obese women may require higher doses of gonadotrophin when undergoing In Vitro Fertilization Treatment (IVF. Consequently, one may expect a sub-optimal oocyte retrieval in the first treatment cycle and thus a larger compensation in gonadotrophin-dose in the following treatment-cycles and a more favorable outcome. The main objective was to explore if treatment cycle number modifies the outcome when investigating the effect of female Body Mass Index (BMI on oocyte quantity in IVF.A historical cohort study was conducted on 5,342 treatment-cycles during the period 1999-2009. Exclusion criteria were missing information on BMI or treatment type. Further, women were excluded if they had ovulated before oocyte retrieval. According to baseline BMI, women were divided into four categories following the World Health Organization standards. Multiple linear regressions analyses were performed accounting for the non-independence of ≥2 cycles in a woman.Stratification according to cycle number revealed a more suboptimal outcome in the first treatment- cycles than in the following cycles, suggesting a possible interaction or effect modification from cycle number or a factor related to cycle number. The median dose of total follicular stimulating hormone given to the four BMI groups could not straight forwardly explain the less optimal oocyte outcome observed in first treatment cycles. No statistically significant differences were observed in oocyte yield for underweight, overweight and obesity compared to normal weight women when analyzing all treatment-cycles. Overweight women had significantly fewer mature (MII oocytes (p = 0.009 than normal weight women, whereas no differences was observed for underweight and obese women.Our study suggests a possible interaction or effect modification related to treatment cycle number. Investigating the effects of BMI on IVF-results in first treatment-cycles alone should be carried out cautiously.

[Comparative effectiveness of different treatment methods of liver failure].

Science.gov (United States)

Kutepov, D E; Vershinina, M G; Pasechnik, I N; Sal'nikov, P S

2014-01-01

It was analyzed the results of treatment of 217 patients (139 men, 78 women) with chronic liver failure in case of liver cirrhosis of various etiology for study of degree of hepatic encephalopathyregression. All patients were divided into 3 groups. In the first group the drug therapy was used. In the second group additionallyplasma exchange was performed, in the third group - alsomolecular absorbent recirculating system was used (effectiveness of MARS-therapy).The results showed that the use of extracorporeal treatment techniques can effectively reduce the severity of hepatic encephalopathy in patients with liver cirrhosis. MARS-therapy improved the neurological status of patientsmore significantly in this case. It is considered that the inclusion of MARS-therapy in the combined treatment of patients leads to a significant reduction of hepatic encephalopathyseverity (1-2 points), in comparison with other methods of treatment.

Cancer treatment: fertility and sexual side effects in women

Science.gov (United States)

... Cancer treatment: fertility and sexual side effects in women To use the sharing features on this page, ... Bladder cancer Types of Sexual Side Effects For women, the most common sexual side effects include: Loss ...

Management of young forest stands for integrated production of wood fuel and quality timber. Final report

International Nuclear Information System (INIS)

Lundmark, Tomas; Sahlen, Kenneth; Ulvcrona, Kristina

2005-06-01

The aim of this project has been to develop practical silvicultural measures that integrate the optimization of biomass production in dense young mixed stands with production of quality timber later during the rotation period. The results show that annual biomass production can be trippled by keeping young stands dense and adding fertilizers. At the same time by delaying the time for pre-commercial thinning (or replacing it with a biomass harvest) relative branch size in the lower part of the stem will be reduced. This support the hypothesis that biomass production can be improved if young stands are kept dense up to the height of 8-10 m and as a consequence of delayed thinning timber quality can also be improved. Important background data for technical development has also been provided as well as data needed for economical analyses of different silvicultural systems including the treatment of heterogenous dense stands with mixed species composition

Effect of pre-treatments on seed germination of Parkia biglobosa ...

African Journals Online (AJOL)

Effect of pre-treatments on seed germination of Parkia biglobosa (Benth) ... There has been emphasis on the use of indigenous tree species to check land ... out to investigate the most effective pre-sowing treatments to break seed dormancy and to ... Matured seeds of P. biglobosa were collected from farmers at Mbalagh ...

Effects of irrigation on water use and water use efficiency in two fast growing Eucalyptus plantations

Science.gov (United States)

Robert M. Hubbard; Jose Stape; Michael G. Ryan; Auro C. Almeida; Juan Rojas

2010-01-01

Eucalyptus plantations occupy almost 20 million ha worldwide and exceed 3.7 million ha in Brazil alone. Improved genetics and silviculture have led to as much as a three-fold increase in productivity in Eucalyptus plantations in Brazil and the large land area occupied by these highly productive ecosystems raises concern over their...

Maximizing cost-effectiveness by adjusting treatment strategy according to glaucoma severity

Science.gov (United States)

Guedes, Ricardo Augusto Paletta; Guedes, Vanessa Maria Paletta; Gomes, Carlos Eduardo de Mello; Chaoubah, Alfredo

2016-01-01

Abstract Background: The aim of this study is to determine the most cost-effective strategy for the treatment of primary open-angle glaucoma (POAG) in Brazil, from the payer's perspective (Brazilian Public Health System) in the setting of the Glaucoma Referral Centers. Methods: Study design was a cost-effectiveness analysis of different treatment strategies for POAG. We developed 3 Markov models (one for each glaucoma stage: early, moderate and advanced), using a hypothetical cohort of POAG patients, from the perspective of the Brazilian Public Health System (SUS) and a horizon of the average life expectancy of the Brazilian population. Different strategies were tested according to disease severity. For early glaucoma, we compared observation, laser and medications. For moderate glaucoma, medications, laser and surgery. For advanced glaucoma, medications and surgery. Main outcome measures were ICER (incremental cost-effectiveness ratio), medical direct costs and QALY (quality-adjusted life year). Results: In early glaucoma, both laser and medical treatment were cost-effective (ICERs of initial laser and initial medical treatment over observation only, were R$ 2,811.39/QALY and R$ 3,450.47/QALY). Compared to observation strategy, the two alternatives have provided significant gains in quality of life. In moderate glaucoma population, medical treatment presented the highest costs among treatment strategies. Both laser and surgery were highly cost-effective in this group. For advanced glaucoma, both tested strategies were cost-effective. Starting age had a great impact on results in all studied groups. Initiating glaucoma therapy using laser or surgery were more cost-effective, the younger the patient. Conclusion: All tested treatment strategies for glaucoma provided real gains in quality of life and were cost-effective. However, according to the disease severity, not all strategies provided the same cost-effectiveness profile. Based on our findings, there should be a

The effects of surface treatments on rapid chloride permeability tests

KAUST Repository

Yoon, Seyoon

2012-08-01

Surface treatments are commonly applied to improve the chloride resistance of concrete structures exposed to saline environments. Information on chloride ingress to surface-treated concrete is mostly provided by application of the rapid chloride permeability test (RCPT); this test is short in duration and provides rapid results. This study presents a numerical formulation, based on the extended Nernst-Plank/Poisson (NPP) equation, to model the effect of the surface treatment on a sample tested by RCPT. Predictions of the model are compared to experimental measurements. The simulations show that the results from RCPT, in terms of ionic profiles and measurement of the electric field, are dependent on the effectiveness of surface treatments. During RCPT, highly effective surface treatments cause both cations and anions to flocculate at the interface between the surface treatment and the concrete, creating a local electric field. Our numerical model includes these phenomena and presents a methodology to obtain more accurate diffusivities of the surface-treated- concrete from RCPT. © 2012 Elsevier B.V. All rights reserved.

The effects of surface treatments on rapid chloride permeability tests

KAUST Repository

Yoon, Seyoon; Oh, Sang-gyun; Ha, Juyoung; Monteiro, Paulo M.

2012-01-01

Surface treatments are commonly applied to improve the chloride resistance of concrete structures exposed to saline environments. Information on chloride ingress to surface-treated concrete is mostly provided by application of the rapid chloride permeability test (RCPT); this test is short in duration and provides rapid results. This study presents a numerical formulation, based on the extended Nernst-Plank/Poisson (NPP) equation, to model the effect of the surface treatment on a sample tested by RCPT. Predictions of the model are compared to experimental measurements. The simulations show that the results from RCPT, in terms of ionic profiles and measurement of the electric field, are dependent on the effectiveness of surface treatments. During RCPT, highly effective surface treatments cause both cations and anions to flocculate at the interface between the surface treatment and the concrete, creating a local electric field. Our numerical model includes these phenomena and presents a methodology to obtain more accurate diffusivities of the surface-treated- concrete from RCPT. © 2012 Elsevier B.V. All rights reserved.

Effects of surface treatments on microstructure in stainless steel

International Nuclear Information System (INIS)

Mabuchi, Yasuhiro; Tamako, Hiroaki; Kaneda, Junya; Yamashita, Norimichi; Miyakawa, Masahiko

2009-01-01

It is revealed that Stress Corrosion Cracking (SCC) on the surface of the L-grade stainless steels in Nuclear Power Plants is caused by heavily cold work of the materials. The microstructure, hardness and residual stress on the surface of the material are factors for SCC initiation. There are surface treatment methods that is effective reduction on SCC such as Flap Wheel (FW) polishing, Clean N Strip (CNS) polishing, Water Jet Peening (WJP) and Shot Peening (SP). In this paper, the characteristics of the surface cold worked layer of the L-grade stainless steels conducted by above-mentioned surface treatments are analyzed, and effects of the surface treatments on the surface layer are discussed. (author)

Chemistry of cost effective water treatment programme in HWP (Manuguru)

International Nuclear Information System (INIS)

Mohapatra, C.; Laxmana Prasad, K.

2008-01-01

In order to develop a water treatment programme following points must be kept in mind: Effectiveness to achieve desired water quality objectives; Compliance with regulatory requirements; Cost minimization; Safety; Easy operation and protection to equipments. Heavy Water Plant (Manuguru) laboratory has developed treatment programs to treat raw water and cooling water which satisfy the above requirements and has been in use for last several years successfully without any problem. These treatment programs have been given to other plants in Heavy Water Board for implementation. This paper describes the chemistry of the treatment program and cost minimization achieved. Further these treatments have helped the plant in achieving ΦZero Discharge and indirectly reduced the production cost. The chemistry parameters are monitored regularly to ascertain the effectiveness of these treatments. The areas where significant benefits derived are raw water treatment using polyelectrolyte instead of inorganic coagulant (alum), change over of regenerant of cation exchangers from hydrochloric acid to sulfuric acid and development of in-house cooling water treatment formulation. The advantages and cost effectiveness of these treatments are discussed in detail. Further these treatments helped the plant in achieving Zero discharge and indirectly reduced production cost of heavy water. The dosage of 3 ppm of polyelectrolyte can replace 90 ppm alum at turbidity level of 300 NTU of raw water which has resulted in cost saving of Rs. 15 - 20 Lakhs in a year besides other advantages. The changeover of regenerant from HCl to H 2 SO 4 will result in cost saving of at least Rs. 1.4 Crore a year along with other advantages. The change over of proprietary formulation to in-house formulation in cooling water treatment has resulted a saving about Rs. 11 Lakhs a year. To achieve the above objectives in a sustainable way the performance results are being monitored (author)

Cost-effectiveness of sequenced treatment of rheumatoid arthritis with targeted immune modulators.

Science.gov (United States)

Jansen, Jeroen P; Incerti, Devin; Mutebi, Alex; Peneva, Desi; MacEwan, Joanna P; Stolshek, Bradley; Kaur, Primal; Gharaibeh, Mahdi; Strand, Vibeke

2017-07-01

To determine the cost-effectiveness of treatment sequences of biologic disease-modifying anti-rheumatic drugs or Janus kinase/STAT pathway inhibitors (collectively referred to as bDMARDs) vs conventional DMARDs (cDMARDs) from the US societal perspective for treatment of patients with moderately to severely active rheumatoid arthritis (RA) with inadequate responses to cDMARDs. An individual patient simulation model was developed that assesses the impact of treatments on disease based on clinical trial data and real-world evidence. Treatment strategies included sequences starting with etanercept, adalimumab, certolizumab, or abatacept. Each of these treatment strategies was compared with cDMARDs. Incremental cost, incremental quality-adjusted life-years (QALYs), and incremental cost-effectiveness ratios (ICERs) were calculated for each treatment sequence relative to cDMARDs. The cost-effectiveness of each strategy was determined using a US willingness-to-pay (WTP) threshold of $150,000/QALY. For the base-case scenario, bDMARD treatment sequences were associated with greater treatment benefit (i.e. more QALYs), lower lost productivity costs, and greater treatment-related costs than cDMARDs. The expected ICERs for bDMARD sequences ranged from ∼$126,000 to $140,000 per QALY gained, which is below the US-specific WTP. Alternative scenarios examining the effects of homogeneous patients, dose increases, increased costs of hospitalization for severely physically impaired patients, and a lower baseline Health Assessment Questionnaire (HAQ) Disability Index score resulted in similar ICERs. bDMARD treatment sequences are cost-effective from a US societal perspective.

A Method for Measuring Treatment Effects on the Treated without Randomization

Directory of Open Access Journals (Sweden)

P.A.V.B. Swamy

2016-03-01

Full Text Available This paper contributes to the literature on the estimation of causal effects by providing an analytical formula for individual specific treatment effects and an empirical methodology that allows us to estimate these effects. We derive the formula from a general model with minimal restrictions, unknown functional form and true unobserved variables such that it is a credible model of the underlying real world relationship. Subsequently, we manipulate the model in order to put it in an estimable form. In contrast to other empirical methodologies, which derive average treatment effects, we derive an analytical formula that provides estimates of the treatment effects on each treated individual. We also provide an empirical example that illustrates our methodology.

Predicting the effect of psychoeducational group treatment for hypochondriasis.

NARCIS (Netherlands)

Buwalda, F.M.; Bouman, T.K.

2008-01-01

Both individual cognitive-behavioural therapy and short-term psychoeducational courses have shown to be effective in reducing hypochondriacal complaints. However, it is unknown which patients benefit from treatment. The aim of the present study is to explore which variables predict treatment outcome

Effects of thermal treatments and germination on physico-chemical ...

African Journals Online (AJOL)

Certain physico-chemical properties including viscoelasticity, crystallinity and maltose content of corn depends on the gelatinization of starch under different treatments. Three different treatments were performed; boiling in water, steam heating, and germination. The effects of gelatinization on viscoelastic property of corn ...

Biphasic Rapamycin Effects in Lymphoma and Carcinoma Treatment.

Science.gov (United States)

Liu, Yang; Pandeswara, Srilakshmi; Dao, Vinh; Padrón, Álvaro; Drerup, Justin M; Lao, Shunhua; Liu, Aijie; Hurez, Vincent; Curiel, Tyler J

2017-01-15

mTOR drives tumor growth but also supports T-cell function, rendering the applications of mTOR inhibitors complex especially in T-cell malignancies. Here, we studied the effects of the mTOR inhibitor rapamycin in mouse EL4 T-cell lymphoma. Typical pharmacologic rapamycin (1-8 mg/kg) significantly reduced tumor burden via direct suppression of tumor cell proliferation and improved survival in EL4 challenge independent of antitumor immunity. Denileukin diftitox (DD)-mediated depletion of regulatory T cells significantly slowed EL4 growth in vivo in a T-cell-dependent fashion. However, typical rapamycin inhibited T-cell activation and tumor infiltration in vivo and failed to boost DD treatment effects. Low-dose (LD) rapamycin (75 μg/kg) increased potentially beneficial CD44hiCD62L + CD8 + central memory T cells in EL4 challenge, but without clinical benefit. LD rapamycin significantly enhanced DD treatment efficacy, but DD plus LD rapamycin treatment effects were independent of antitumor immunity. Instead, rapamycin upregulated EL4 IL2 receptor in vitro and in vivo, facilitating direct DD tumor cell killing. LD rapamycin augmented DD efficacy against B16 melanoma and a human B-cell lymphoma, but not against human Jurkat T-cell lymphoma or ID8agg ovarian cancer cells. Treatment effects correlated with IL2R expression, but mechanisms in some tumors were not fully defined. Overall, our data define a distinct, biphasic mechanisms of action of mTOR inhibition at doses that are clinically exploitable, including in T-cell lymphomas. Cancer Res; 77(2); 520-31. ©2016 AACR. ©2016 American Association for Cancer Research.

On heterogeneity of treatment effects and clinical freedom.

Science.gov (United States)

Sacristán, J A; Avendaño-Solá, C

2015-01-01

Three decades ago, John R Hampton announced the death of clinical freedom. Since then, evidence-based medicine has been the predominant paradigm in clinical research. By applying a population-based approach, the randomised controlled trial has become the cornerstone for demonstrating the overall effect of a treatment and for developing guidelines. The new patient-centred medicine movement is rediscovering the important implications of heterogeneity of treatment effects for clinical practice and that a better understanding of such variability can contribute to improve health outcomes for individual patients through practicing a science-based clinical freedom. © 2015 The Authors. International Journal of Clinical Practice Published by John Wiley & Sons Ltd.

Neuroprotective effects of testosterone treatment in men with multiple sclerosis

Directory of Open Access Journals (Sweden)

Florian Kurth

2014-01-01

Full Text Available Multiple sclerosis (MS is an inflammatory and neurodegenerative disease of the central nervous system. While current medication reduces relapses and inflammatory activity, it has only a modest effect on long-term disability and gray matter atrophy. Here, we have characterized the potential neuroprotective effects of testosterone on cerebral gray matter in a pilot clinical trial. Ten men with relapsing–remitting MS were included in this open-label phase II trial. Subjects were observed without treatment for 6 months, followed by testosterone treatment for another 12 months. Focal gray matter loss as a marker for neurodegeneration was assessed using voxel-based morphometry. During the non-treatment phase, significant voxel-wise gray matter decreases were widespread (p≤ 0.05 corrected. However, during testosterone treatment, gray matter loss was no longer evident. In fact, a significant gray matter increase in the right frontal cortex was observed (p≤ 0.05 corrected. These observations support the potential of testosterone treatment to stall (and perhaps even reverse neurodegeneration associated with MS. Furthermore, they warrant the investigation of testosterone's neuroprotective effects in larger, placebo controlled MS trials as well as in other neurodegenerative diseases. This is the first report of gray matter increase as the result of treatment in MS.

Central nervous system side effects associated with zolpidem treatment.

Science.gov (United States)

Toner, L C; Tsambiras, B M; Catalano, G; Catalano, M C; Cooper, D S

2000-01-01

Zolpidem is one of the newer medications developed for the treatment of insomnia. It is an imidazopyridine agent that is an alternative to the typical sedative-hypnotic agents. Zolpidem use is gaining favor because of its efficacy and its side effect profile, which is milder and less problematic than that of the benzodiazepines and barbiturates used to treat insomnia. Still, side effects are not uncommon with zolpidem use. We report a series of cases in which the patients developed delirium, nightmares and hallucinations during treatment with zolpidem. We will review its pharmacology, discuss previous reports of central nervous system side effects, examine the impact of drug interactions with concurrent use of antidepressants, examine gender differences in susceptibility to side effects, and explore the significance of protein binding in producing side effects.

Cost-effectiveness of treatment for alcohol problems: findings of the randomised UK Alcohol Treatment Trial (UKATT).

OpenAIRE

Heather, Nick; Copello, Alex; Godfrey, Christine; Hodgson, Ray; UKATT Research Team

2005-01-01

Objective \\ud To compare the cost effectiveness of social behaviour and network therapy, a new treatment for alcohol problems, with that of the proved motivational enhancement therapy. Design Cost effectiveness analysis alongside a pragmatic randomised trial. \\ud \\ud Setting \\ud Seven treatment sites around Birmingham, Cardiff, and Leeds. Participants 742 clients with alcohol problems; 617 (83.2%) were interviewed at 12 months and full economic data were obtained on 608 (98.5% of 617). Main e...

Nonvolatile memory effect of tungsten nanocrystals under oxygen plasma treatments

International Nuclear Information System (INIS)

Chen, Shih-Cheng; Chang, Ting-Chang; Chen, Wei-Ren; Lo, Yuan-Chun; Wu, Kai-Ting; Sze, S.M.; Chen, Jason; Liao, I.H.; Yeh, Fon-Shan

2010-01-01

In this work, an oxygen plasma treatment was used to improve the memory effect of nonvolatile W nanocrystal memory, including memory window, retention and endurance. To investigate the role of the oxygen plasma treatment in charge storage characteristics, the X-ray photon-emission spectra (XPS) were performed to analyze the variation of chemical composition for W nanocrystal embedded oxide both with and without the oxygen plasma treatment. In addition, the transmission electron microscopy (TEM) analyses were also used to identify the microstructure in the thin film and the size and density of W nanocrystals. The device with the oxygen plasma treatment shows a significant improvement of charge storage effect, because the oxygen plasma treatment enhanced the quality of silicon oxide surrounding the W nanocrystals. Therefore, the data retention and endurance characteristics were also improved by the passivation.

Effects of Hyperbaric Oxygen Treatment on Renal System.

Science.gov (United States)

Tezcan, Orhan; Caliskan, Ahmet; Demirtas, Sinan; Yavuz, Celal; Kuyumcu, Mahir; Nergiz, Yusuf; Guzel, Abdulmenap; Karahan, Oguz; Ari, Seyhmus; Soker, Sevda; Yalinkilic, Ibrahim; Turkdogan, Kenan Ahmet

2017-01-01

Hyperbaric oxygen (HBO) treatment is steadily increasing as a therapeutic modality for various types of diseases. Although good clinical outcomes were reported with HBO treatment for various diseases, the multisystemic effects of this modality are still unclear. This study aimed to investigate the renal effects of HBO experimentally. Fourteen New Zealand White rabbits were divided into 2 groups randomly as the control group and the study group. The study group received HBO treatment for 28 days (100% oxygen at 2.5 atmospheres for 90 minutes daily) and the control group was used to obtain normal renal tissue of the animal genus. After the intervention period, venous blood samples were obtained, and renal tissue samples were harvested for comparisons. Normal histological morphology was determined with Masson trichrome staining and periodic acid-Schiff staining in the control group. Atrophic glomerular structures, vacuolated tubule cells, and degeneration were detected in the renal samples of the study group with Masson trichrome staining. Additionally, flattening was observed on the brush borders of the proximal tubules, and tubular dilatation was visualized with periodic acid-Schiff staining. The histopathologic disruption of renal morphology was verified with detection of significantly elevated kidney function laboratory biomarkers in the study group. Our findings suggests that HBO has adverse effects on renal glomerulus and proximal tubules. However, the functional effects of this alteration should be investigated with further studies.

Facilitating Oak and Hickory Regeneration in Mature Central Hardwood Forests

Directory of Open Access Journals (Sweden)

Eric J. Holzmueller

2014-12-01

Full Text Available Advanced oak and hickory regeneration is often absent in mature oak-hickory forests in the Central Hardwood Region of the United States. Prescribed fire and thinning, alone and combined, are commonly prescribed silvicultural treatments that are recommended to initiate the regeneration process. This study examined the regeneration response in three mature oak stands following four treatments: (1 thin, (2 burn, (3 thinning and burning, or (4 no treatment (control. Ten years after initial treatment, results indicate that oak and hickory seedlings had greater height and diameter in the thinning and burning treatment compared to the control and that this treatment may help facilitate desirable regeneration in mature oak-hickory forests.

Subpopulation Treatment Effect Pattern Plot (STEPP) analysis for continuous, binary, and count outcomes.

Science.gov (United States)

Yip, Wai-Ki; Bonetti, Marco; Cole, Bernard F; Barcella, William; Wang, Xin Victoria; Lazar, Ann; Gelber, Richard D

2016-08-01

For the past few decades, randomized clinical trials have provided evidence for effective treatments by comparing several competing therapies. Their successes have led to numerous new therapies to combat many diseases. However, since their conclusions are based on the entire cohort in the trial, the treatment recommendation is for everyone, and may not be the best option for an individual. Medical research is now focusing more on providing personalized care for patients, which requires investigating how patient characteristics, including novel biomarkers, modify the effect of current treatment modalities. This is known as heterogeneity of treatment effects. A better understanding of the interaction between treatment and patient-specific prognostic factors will enable practitioners to expand the availability of tailored therapies, with the ultimate goal of improving patient outcomes. The Subpopulation Treatment Effect Pattern Plot (STEPP) approach was developed to allow researchers to investigate the heterogeneity of treatment effects on survival outcomes across values of a (continuously measured) covariate, such as a biomarker measurement. Here, we extend the Subpopulation Treatment Effect Pattern Plot approach to continuous, binary, and count outcomes, which can be easily modeled using generalized linear models. With this extension of Subpopulation Treatment Effect Pattern Plot, these additional types of treatment effects within subpopulations defined with respect to a covariate of interest can be estimated, and the statistical significance of any observed heterogeneity of treatment effect can be assessed using permutation tests. The desirable feature that commonly used models are applied to well-defined patient subgroups to estimate treatment effects is retained in this extension. We describe a simulation study to confirm that the proper Type I error rate is maintained when there is no treatment heterogeneity, and a power study to show that the statistics have

Natural disturbance and stand development principles for ecological forestry

Science.gov (United States)

Jerry F. Franklin; Robert J. Mitchell; Brian J. Palik

2007-01-01

Foresters use natural disturbances and stand development processes as models for silvicultural practices in broad conceptual ways. Incorporating an understanding of natural disturbance and stand development processes more fully into silvicultural practice is the basis for an ecological forestry approach. Such an approach must include 1) understanding the importance of...

The effect of cigarette smoking on cancer treatment-related side effects.

Science.gov (United States)

Peppone, Luke J; Mustian, Karen M; Morrow, Gary R; Dozier, Ann M; Ossip, Deborah J; Janelsins, Michelle C; Sprod, Lisa K; McIntosh, Scott

2011-01-01

Cigarette smoking has long been implicated in cancer development and survival. However, few studies have investigated the impact of smoking on symptom burden in cancer survivors during treatment and at survivorship stage. This study examines the influence of cigarette smoking on side effects among 947 cancer patients during and 6 months following treatment. Patients diagnosed with cancer and scheduled to receive chemotherapy and/or radiation therapy reported on current smoking status (yes, no) and total symptom burden [the sum of 12 common symptoms (fatigue, hair loss, memory, nausea, depression, sleep, pain, concentration, hot flashes, weight loss, skin problems, and dyspnea) scored on an 11-point scale ranging from 0 = "not present" to 10 = "as bad as you can imagine"] during treatment and at 6-month follow-up. The adjusted mean total symptom burden by smoking status was determined by analysis of covariance controlling for age, gender, race, education, occupation, treatment, cancer site, and Karnofsky performance score. During treatment, smokers (S) had a significantly higher total symptom burden than nonsmokers (NS) (S = 46.3 vs. NS = 41.2; p < 0.05). At 6-month follow-up, smokers continued to report a higher total symptom burden than nonsmokers (S = 27.7 vs. NS = 21.9; p < 0.05). Participants who quit smoking before treatment levels had a total symptom burden similar to nonsmokers. Smoking was associated with an increased symptom burden during and following treatments for cancer. Targeted cessation efforts for smokers to decrease symptom burden may limit the likelihood of treatment interruptions and increase quality of life following treatment.

Neuroimaging the Effectiveness of Substance Use Disorder Treatments.

Science.gov (United States)

Cabrera, Elizabeth A; Wiers, Corinde E; Lindgren, Elsa; Miller, Gregg; Volkow, Nora D; Wang, Gene-Jack

2016-09-01

Neuroimaging techniques to measure the function and biochemistry of the human brain such as positron emission tomography (PET), proton magnetic resonance spectroscopy ((1)H MRS), and functional magnetic resonance imaging (fMRI), are powerful tools for assessing neurobiological mechanisms underlying the response to treatments in substance use disorders. Here, we review the neuroimaging literature on pharmacological and behavioral treatment in substance use disorder. We focus on neural effects of medications that reduce craving (e.g., naltrexone, bupropion hydrochloride, baclofen, methadone, varenicline) and that improve cognitive control (e.g., modafinil, N-acetylcysteine), of behavioral treatments for substance use disorders (e.g., cognitive bias modification training, virtual reality, motivational interventions) and neuromodulatory interventions such as neurofeedback and transcranial magnetic stimulation. A consistent finding for the effectiveness of therapeutic interventions identifies the improvement of executive control networks and the dampening of limbic activation, highlighting their values as targets for therapeutic interventions in substance use disorders.

Cross-system effects of dysphagia treatment on dysphonia: a case report

OpenAIRE

LaGorio, Lisa A; Carnaby-Mann, Giselle D; Crary, Michael A

2008-01-01

Traditionally, treatment of dysphagia and dysphonia has followed a specificity approach whereby treatment plans have focused on each dysfunction individually. Recently however, a therapeutic cross-system effect has been proposed between these two dysfunctions. At least one study has demonstrated swallowing improvement in subjects who completed a dysphonia treatment program. However, we are unaware of any evidence demonstrating the converse effect. In this paper, we present a case-report of a ...

Estimation of treatment preference effects in clinical trials when some participants are indifferent to treatment choice

Directory of Open Access Journals (Sweden)

Stephen D. Walter

2017-02-01

Full Text Available Abstract Background In the two-stage randomised trial design, a randomly sampled subset of study participants are permitted to choose their own treatment, while the remaining participants are randomised to treatment in the usual way. Appropriate analysis of the data from both arms of the study allows investigators to estimate the impact on study outcomes of treatment preferences that patients may have, in addition to evaluating the usual direct effect of treatment. In earlier work, we showed how to optimise this design by making a suitable choice of the proportion of participants who should be assigned to the choice arm of the trial. However, we ignored the possibility of some participants being indifferent to the treatments under study. In this paper, we extend our earlier work to consider the analysis of two-stage randomised trials when some participants have no treatment preference, even if they are assigned to the choice arm and allowed to choose. Methods We compare alternative characterisations of the response profiles of the indifferent or undecided participants, and derive estimates of the treatment and preference effects on study outcomes. We also present corresponding test statistics for these parameters. The methods are illustrated with data from a clinical trial contrasting medical and surgical interventions. Results Expressions are obtained to estimate and test the impact of treatment choices on study outcomes, as well as the impact of the actual treatment received. Contrasts are defined between patients with stated treatment preferences and those with no preference. Alternative assumptions concerning the outcomes of undecided participants are described, and an approach leading to unbiased estimation and testing is identified. Conclusions Use of the two-stage design can provide important insights into determinants of study outcomes that are not identifiable with other designs. The design can remain attractive even in the presence of

Effects of larval-juvenile treatment with perchlorate and co-treatment with thyroxine on zebrafish sex ratios

Science.gov (United States)

Mukhi, S.; Torres, L.; Patino, R.

2007-01-01

The objective of this study was to determine the effect of larval-juvenile exposure to perchlorate, a thyroid hormone synthesis inhibitor, on the establishment of gonadal sex ratios in zebrafish. Zebrafish were exposed to untreated water or water containing perchlorate at 100 or 250 ppm for a period of 30 days starting at 3 days postfertilization (dpf). Recovery treatments consisted of a combination of perchlorate and exogenous thyroxine (T4; 10 nM). Thyroid histology was assessed at the end of the treatment period (33 dpf), and gonadal histology and sex ratios were determined in fish that were allowed an additional 10-day period of growth in untreated water. As expected, exposure to perchlorate caused changes in thyroid histology consistent with hypothyroidism and these effects were reversed by co-treatment with exogenous T4. Perchlorate did not affect fish survival but co-treatment with T4 induced higher mortality. However, relative to the corresponding perchlorate concentration, co-treatment with T4 caused increased mortality only at a perchlorate concentration of 100 ppm. Perchlorate alone or in the presence of T4 suppressed body length at 43 dpf relative to control values. Perchlorate exposure skewed the sex ratio toward female in a concentration-dependent manner, and co-treatment with T4 not only blocked the feminizing effect of perchlorate but also overcompensated by skewing the sex ratio towards male. Moreover, co-treatment with T4 advanced the onset of spermatogenesis in males. There was no clear association between sex ratios and larval survival or growth. We conclude that endogenous thyroid hormone plays a role in the establishment of gonadal sex phenotype during early development in zebrafish. ?? 2006 Elsevier Inc. All rights reserved.

Robust estimation of the proportion of treatment effect explained by surrogate marker information.

Science.gov (United States)

Parast, Layla; McDermott, Mary M; Tian, Lu

2016-05-10

In randomized treatment studies where the primary outcome requires long follow-up of patients and/or expensive or invasive obtainment procedures, the availability of a surrogate marker that could be used to estimate the treatment effect and could potentially be observed earlier than the primary outcome would allow researchers to make conclusions regarding the treatment effect with less required follow-up time and resources. The Prentice criterion for a valid surrogate marker requires that a test for treatment effect on the surrogate marker also be a valid test for treatment effect on the primary outcome of interest. Based on this criterion, methods have been developed to define and estimate the proportion of treatment effect on the primary outcome that is explained by the treatment effect on the surrogate marker. These methods aim to identify useful statistical surrogates that capture a large proportion of the treatment effect. However, current methods to estimate this proportion usually require restrictive model assumptions that may not hold in practice and thus may lead to biased estimates of this quantity. In this paper, we propose a nonparametric procedure to estimate the proportion of treatment effect on the primary outcome that is explained by the treatment effect on a potential surrogate marker and extend this procedure to a setting with multiple surrogate markers. We compare our approach with previously proposed model-based approaches and propose a variance estimation procedure based on a perturbation-resampling method. Simulation studies demonstrate that the procedure performs well in finite samples and outperforms model-based procedures when the specified models are not correct. We illustrate our proposed procedure using a data set from a randomized study investigating a group-mediated cognitive behavioral intervention for peripheral artery disease participants. Copyright © 2015 John Wiley & Sons, Ltd.

Cost-effectiveness of benign Wirsung duct strictures treatment in chronic pancreatitis.

Science.gov (United States)

Łaski, Dariusz; Hać, Stanisław; Marek, Iwona; Kobiela, Jarosław; Kostro, Justyna; Adrych, Krystian; Śledziński, Zbigniew

2018-03-01

Chronic pancreatitis (CP) is an important problem for modern medicine, the healthcare system (Poland - NFZ) and the national insurance system (Poland - ZUS). The chronic nature of the disease, the lack of targeted treatment and the low mortality rate lead to an accumulation of patients who demand expensive treatment, both conservative and invasive. Rising costs in health care are forcing the need for a more cost-effective method of treatment. The primary aim of this study was to perform a retrospective calculation of costs in both surgical and endoscopic treatment, hospital stay, healthcare, and public insurance of patients suffering from chronic pancreatitis. Parallel quality of life analysis was performed. It was possible to develop a cost-effective therapeutic algorithm for patients with an uncomplicated stricture of Wirsung's duct within the Polish health care system. In Poland, the hospital costs of endoscopic treatment of patients with chronic pancreatitis were higher than those of the surgical treatment group despite both resulting in a similar life quality. From a cost-effectiveness perspective, it was shown that surgical intervention is a more cost-effective therapy than endotherapy. Furthermore, patients with benign stricture of the main pancreatic duct in chronic pancreatitis should not be treated with endotherapy for longer than 12 months.

International congress on forest decline research: State of knowledge and perspectives. Vol. 1. Proceedings

International Nuclear Information System (INIS)

Ulrich, B.

1989-01-01

In the two lecture volumes of the Proceedings of the International Congress on Forest Decline Research the papers are presented according to the topics of the plenary and poster sessions. The sessions had been devoted to the damage symptoms in forest decline, to the main stressors (atmosphere, climate, soil, biota), to the effects of the stressors (on rhizosphere, on decomposers, and on plants) (see vol. 1), to case studies (in Germany and abroad), to regional comparisons, to critical loads, and to silvicultural measures (see vol. 2). Additionally personal impressions about the forest decline phenomen in Germany and its causes and opinions about the perspective in regard to research needs, to silvicultural practices and to emission control are given. (orig./vhe)

International congress on forest decline research: State of knowledge and perspectives. Vol. 2. Proceedings

International Nuclear Information System (INIS)

Ulrich, B.

1989-01-01

In the two lecture volumes of the Proceedings of the International Congress on Forest Decline Research the papers are presented according to the topics of the plenary and poster sessions. The sessions had been devoted to the damage symptoms in forest decline, to the main stressors (atmosphere, climate, soil, biota), to the effects of the stressors (on rhizosphere, on decomposers, and on plants) (see vol. 1), to case studies (in Germany and abroad), to regional comparisons, to critical loads, and to silvicultural measures (see vol. 2). Additionally personal impressions about the forest decline phenomen in Germany and its causes and opinions about the perspective in regard to research needs, to silvicultural practices and to emission control are given. (orig./vhe)

Comparative Study of Pre-Germination Treatments and their Effects ...

African Journals Online (AJOL)

FIRST LADY

of leaves (10.05) respectively. Pre-germination treatments of seeds soaked in running water (SRW) for 24 hours were found to be more effective in seedlings growth and biomass production. Keywords: Tectona grandis, pre-germination treatment, seed dormancy, seedling growth. Introduction. Tectona grandis is one of the ...

Effects of Hot Water Treatment and Temperature on Seedling ...

African Journals Online (AJOL)

An experiment was conducted at the Faculty of Agriculture, University of Maiduguri, to study the effect of hot water treatment and temperature on the morphological characteristics of Arabic gum. The experiment was laid out in a Randomized Complete Block Design in a factorial arrangement. The treatments included a ...

Nonthermal effects in thermal treatment applications of nonionizing irradiation

Science.gov (United States)

Thomsen, Sharon

2005-04-01

Several non-thermal factors influence the primary and secondary effects of interstitial thermal treatments using various types of non-ionizing irradiation. Recognition and understanding of the influences of these various factors are important in choice of energy source, the configuration of the application instrument and the design of treatments.

POTENCY OF RAMIN (Gonystylus bancanus Kurtz. AND OTHER COMMERCIAL SPECIES IN PEAT SWAMP FOREST MANAGED WITH TPTI SILVICULTURAL SYSTEM IN BAGAN, RIAU

Directory of Open Access Journals (Sweden)

Hendromono Hendromono

2005-07-01

Full Text Available Ramin  (Gonystylus bancanus Kurtz.  is one  of  the  tree  species in  peat-swamp  forest  that  is endangered due to excessive exploitation. The objective of this research was to assess the potency of rarnin and other commercial tree species in primary and logged over peat-swamp forests at Bagan, Riau. The tree stands were inventoried in primary forest of the 2004 and 2006 Annual Work Plan (RKTs and in  the  1997  and  2001  RKTs  managed  with  Indonesian  Selective Cutting  and  Planting  (TPTI silvicultural system.  The  result  showed  that  rarnin in  Bagan peat-swamp  forest  was not  evenly distributed. The total number of ramin  in tree stage in primary forests was fewer than that in  logged over forests.  The total number of ramin species at tree stage in primary forest was between 4.5  and 5 trees ha·' with the important value index (IVI of 10.3  to 12.0%,  whereas the one at logged over forest were between 2.5 and 15  trees ha·' with theM    indices of 7.9 to 20.4%.  Commercial species of swamp meranti (Shorea uliginosaand S. teysmaniana and balam/ suntai or (Palaqqiumspp. were dominant at tree stage both in the primary and the logged over forests. Enrichment in logged over forests is not needed since the total number of seedlings and saplings  is enough. The total number of potential core trees in logged over forests was enough for the next cutting cycle. The effort that must be done in logged over forests is to protect them from illegal logging.

Comparison of silvicultural and natural disturbance effects on terrestrial salamanders in northern hardwood forests

Science.gov (United States)

Daniel J. Hocking; Kimberly J. Babbitt; Mariko. Yamasaki

2013-01-01

In forested ecosystems timber harvesting has the potential to emulate natural disturbances, thereby maintaining the natural communities adapted to particular disturbances. We compared the effects of even-aged (clearcut and patch cut) and uneven-aged (group cut, single-tree selection) timber management techniques with natural ice-storm damage and unmanipulated reference...

Eastside forest management practices: historical overview, extent of their application, and their effects on sustainability of ecosystems.

Science.gov (United States)

Chadwick D. Oliver; Larry L. Irwin; Walter H. Knapp

1994-01-01

Forest management of eastern Oregon and Washington began in the late 1800s as extensive utilization of forests for grazing, timber, and irrigation water. With time, protection of these values developed into active management for these and other values such as recreation. Silvicultural and administrative practices, developed to solve problems at a particular time have...

Effect of Anti-inflammatory Treatment on Depression, Depressive Symptoms, and Adverse Effects

DEFF Research Database (Denmark)

Köhler, Ole; Benros, Michael E; Nordentoft, Merete

2014-01-01

-controlled trials assessing the efficacy and adverse effects of pharmacologic anti-inflammatory treatment in adults with depressive symptoms, including those who fulfilled the criteria for depression. DATA EXTRACTION AND SYNTHESIS: Data were extracted by 2 independent reviewers. Pooled standard mean difference (SMD...... investigated cytokine inhibitors (n=2,004). The pooled effect estimate suggested that anti-inflammatory treatment reduced depressive symptoms (SMD, -0.34; 95% CI, -0.57 to -0.11; I2=90%) compared with placebo. This effect was observed in studies including patients with depression (SMD, -0.54; 95% CI, -1.......08 to -0.01; I2=68%) and depressive symptoms (SMD, -0.27; 95% CI, -0.53 to -0.01; I2=68%). The heterogeneity of the studies was not explained by differences in inclusion of clinical depression vs depressive symptoms or use of NSAIDs vs cytokine inhibitors. Subanalyses emphasized the antidepressant...

Effects of silvicultural activity on ecological processes in floodplain forests of the southern United States

International Nuclear Information System (INIS)

Lockaby, B.G.; Stanturf, J.A.

1996-01-01

Activities associated with timber harvesting have occurred within floodplain forests in the southern United States for nearly two hundred years. However, it is only in the last ten years that any information has become available about the effects of harvesting on the ecological functions of this valuable resource. Hydrology is the driving influence behind all ecological processes in floodplains and, in most cases, timber harvesting alone has little long-term effect on hydroperiod. However, there may be some instances where logging roads, built in association with harvest sites , can alter hydroperiod to the extent that vegetation productivity is altered positively or negatively. There is no documentation that harvesting followed by natural regeneration represents a threat to ground or surface water quality on floodplain sites, as long as Best Management Practices are followed. Harvested floodplains may increase or have little effect on decomposition rates of surface organic matter. The nature of the effect seems to be controlled by site wetness. Data from recently harvested sites (i.e. within the last ten years) suggest that vegetation productivity is maintained at levels similar to that observed prior to harvests. During the early stages of stand development vegetation species composition is heavily influenced by harvest method. Similarly, amphibian populations (monitored as bioindicators of ecosystem recovery) seem to rebound rapidly following harvests, although species composition may be different. 40 refs, 3 figs

Applying group selection in upland hardwoods

Science.gov (United States)

Gary w. Miller; H. Clay Smith

1991-01-01

Interest in applying group selection in upland hardwoods has grown in recent years, primarily in response to public opposition to the aesthetic effects of clearcutting. Critics suggest that an uneven-aged silvicultural practice such as group selection might be a suitable compromise--drastically reducing negative visual effects of harvesting trees while continuing to...

Graves hyperthyroidism 131I treatment the clinical curative effect of observation

International Nuclear Information System (INIS)

Duan Yongqiang; Wang Zuobing; Yu Hui; Wang Jing; Li Xiaoqin; Chen Yuanhao; Wu Jiquan

2012-01-01

Objective: to study the clinical treatment of 131 I Graves hyperthyroidism curative effect. Methods: the clinical data of Graves hyperthyroidism patients were retrospectively analyzed. Results: 258 cases of patients with hyperthyroidism Graves. 131 I treatment 1∼2 times after healed 200 cases, improvement of 38 patients, a low, 10 cases were invalid 10 cases failure; the total effective 96.12%. 1 year after treatment 131 I thyroid quality by before treatment 43.6 + 20.9 grams shrinks to 1.98 + 18.5 grams (p 131 I before treatment with prominent eyes 68 cases (26.4%) 131 I after treatment, the prominent eyes healed 24 cases (34.8%), improvement 30 patients (43.5%), invalid in 12 cases (17.4%), aggravating in 2 cases (2.9%), efficient for 79.7%. Concurrent hyperthyroidism 131 I before treatment in patients with 31 patients (heart), after the treatment of 131 I 12.0% in 25 patients recovered, 6 patients get better, efficient 100%. After the treatment of 131 I temporary armor low in 25 patients (9.7%) , permanent armour low 27 cases (10.5%). After the treatment of 131 I 15 cases have been reduced to a sex WBC (5.8%), 8 cases of liver function mild damage (3.1%), 13 cases itchy skin (1 case), cholesterol by 5.0% compared appear suspected hyperthyroidism crises (0.4%). 258 patients with thyroid type micronodular 41 cases, treatment cured after 131 I in 25 patients (61.0%), improvement in 16 (39.0%), laseris 100%, Diffuse 217 example, cure 175 cases (80.6%), improvement 22 patients (10%), a low 10 (4.6%), invalid 10 (4.6%), laseris 95.4 percent. Conclusion: 131 I treatment Graves hyperthyroidism is simple, safe, effective, and can be used as the preferred treatment method outperforms that of anti-thyroid drugs. (authors)

Effect of heat treatment on structure and magnetic properties

Indian Academy of Sciences (India)

Fe46Co35Ni19/CNTs nanocomposites have been prepared by an easy two-step route including adsorption and heat treatment processes. We investigated the effect of heat treatment conditions on structure, morphology, nanoparticle sizes and magnetic properties of the Fe46Co35Ni19 alloy nanoparticles attached on the ...

The treatment of late radiation effects with hyperbaric oxygenation (HBO)

International Nuclear Information System (INIS)

Plafki, C.; Carl, U.M.; Glag, M.; Hartmann, K.A.

1998-01-01

Background: Late radiation injuries may impose a negative influence on the quality of life in the affected patients. In several entities, standardized treatment protocols are lacking. Hyperbaric oxygenation (HBO) has been shown to have beneficial effects in the treatment of late radiation sequelae. Material and methods: The basic principles of HBO are reviewed as well as clinical issues. Current study protocols are presented. Results: During HBO-therapy the patient breathes pure oxygen at pressures above 100 kPa. The oxygen solubility within the fluid phase of the blood is largely increased. Biological effects include an increased oxygen diffusibility, improved collagen synthesis and neoangiogenesis as well as an enhancement of antimicrobial defenses. By decreasing the capillary filtration pressure a reduction of edema becomes possible. HBO has been shown to prevent complications following surgery in irradiated tissues. Its efficacy as an adjunct in the treatment of osteonecroses in radiation patients could be demonstrated. In addition, the loss of osseointegrated implants in the maxillofacial bones of these patients could be significantly reduced. Further indications include soft tissue necroses, hemorrhagic cystitis and proctitis in tumor patients that have been treated by radiotherapy as part of a multimodality approach. Conclusions: HBO in the treatment of late radiation effects is still subject of investigation, but remarkable results have been reported. Optimized treatment protocols need to be determined in various entities. The rate of side effects is acceptable low. (orig.) [de

A procedure for selection on marking in hardwoods

Science.gov (United States)

George R., Jr. Trimble; Joseph J. Mendel; Richard A. Kennell

1974-01-01

This method of applying individual-tree selection silviculture to hardwood stands combines silvicultural considerations with financial maturity guidelines into a tree-marking system. To develop this system it was necessary to determine rates of return based on 4/4 lumber, for many of the important Appalachian species. Trees were viewed as capital investments that...

Effects of first thinning on growth of loblolly pine plantations in the West Coastal Plain

Science.gov (United States)

Dean W. Coble; Jason B. Grogan

2016-01-01

The purpose of this research is to analyze thinning response in basal area and height growth of residual loblolly pine trees growing in plantations located in the West Gulf Coastal Plain. Thinning is a well-known silvicultural practice that increases the growing space available to desirable trees by removing competing trees.

Water infiltration and hydraulic conductivity in a natural Mediterranean oak forest: impacts of hydrology-oriented silviculture on soil hydraulic properties

Science.gov (United States)

Di Prima, Simone; Bagarello, Vincenzo; Bautista, Inmaculada; Cerdà, Artemi; Cullotta, Sebastiano; del Campo, Antonio; González-Sanchis, María; Iovino, Massimo; Maetzke, Federico

2016-04-01

Prima, S., Iovino, M., 2015. Determining hydraulic properties of a loam soil by alternative infiltrometer techniques. Hydrol. Process. doi:10.1002/hyp.10607 Andréassian, V., 2004. Waters and forests: from historical controversy to scientific debate. Journal of Hydrology 291, 1-27. doi:10.1016/j.jhydrol.2003.12.015 Assouline, S., Mualem, Y., 2002. Infiltration during soil sealing: The effect of areal heterogeneity of soil hydraulic properties. Water Resour. Res. 38, 1286. doi:10.1029/2001WR001168 Aussenac, G., Granier, A., 1988. Effects of thinning on water stress and growth in Douglas-fir. Canadian Journal of Forest Research 18, 100-105. doi:10.1139/x88-015 Bagarello, V., Di Prima, S., Iovino, M., Provenzano, G., 2014. Estimating field-saturated soil hydraulic conductivity by a simplified Beerkan infiltration experiment. Hydrological Processes 28, 1095-1103. doi:10.1002/hyp.9649 Bens, O., Wahl, N.A., Fischer, H., Hüttl, R.F., 2006. Water infiltration and hydraulic conductivity in sandy cambisols: impacts of forest transformation on soil hydrological properties. Eur J Forest Res 126, 101-109. doi:10.1007/s10342-006-0133-7 Brooks, K.N., Folliott, P.F., Gregersen, H.M., DeBano, L.F., 2003. Hydrology and the Management of Watersheds. Hydrology and the Management of Watersheds 575. Cosandey, C., Andréassian, V., Martin, C., Didon-Lescot, J.F., Lavabre, J., Folton, N., Mathys, N., Richard, D., 2005. The hydrological impact of the mediterranean forest: a review of French research. Journal of Hydrology 301, 235-249. doi:10.1016/j.jhydrol.2004.06.040 del Campo, A.D., Fernandes, T.J.G., Molina, A.J., 2014. Hydrology-oriented (adaptive) silviculture in a semiarid pine plantation: How much can be modified the water cycle through forest management? European Journal of Forest Research 133, 879-894. doi:10.1007/s10342-014-0805-7 Di Prima, S., 2015. Automated single ring infiltrometer with a low-cost microcontroller circuit. Computers and Electronics in Agriculture 118, 390-395. doi

Biomarkers to Measure Treatment Effects in Alzheimer's Disease: What Should We Look for?

Directory of Open Access Journals (Sweden)

Kenneth Rockwood

2011-01-01

Full Text Available It is often surprisingly difficult to tell whether a treatment for Alzheimer's disease is effective. Biomarkers might offer the potential of a quantifiable objective measure of treatment effectiveness. This paper suggests several criteria by which biomarkers might be evaluated as outcomes measures. These include biological plausibility, statistical significance, dose dependence, convergence across measures, and replicability. If biomarkers can meet these criteria, then, pending regulatory approval, they may have a role in the evaluation of treatment effectiveness in Alzheimer's disease. If not, their usefulness may be in supplementing, but not supplanting, clinical profiles of treatment effects.

Regeneración de un bosque mixto de Nothofagus (Nothofagaceae después de una corta selectiva Regeneration of a Nothofagus (Nothofagaceae mixed forest after selective cutting

Directory of Open Access Journals (Sweden)

ALEJANDRO DEZZOTTI

2003-12-01

Full Text Available El estudio de la ecología de la regeneración natural del bosque constituye una parte esencial de la silvicultura. El cerro Tren Tren (40°12' S, 71°26' O, 1.367 m, Reserva Mapuche Curruhuinca, Argentina está ocupado por un bosque cerrado compuesto por Nothofagus dombeyi, N. nervosa y N. obliqua. En 1994 se estimó la densidad de renovales (diámetro en la base del tallo Understanding forest regeneration is essential to develop sound, ecologically-based silvicultural practices. Mount Tren Tren (40°12' S, 71°26' W, 1,367 m, Reservation Mapuche Curruhuinca, Argentina is occupied by a closed stand of Nothofagus dombeyi, N. obliqua, and N. nervosa. In 1994, tree regeneration (root collar diameter < 10 cm was estimated to be 90 ind ha-1. After that, a group selection silvicultural system was implemented and the resulting 10 artificial gaps of between 1,587 and 4,322 m² were enclosed to prevent grazing by domestic livestock. Size and age structure of regeneration were analysed based on systematic and random samplings. All tree species became established simultaneously within the artificial gaps. However, the less light demanding N. nervosa exhibited a mean age slightly larger given its differential persistence as "advanced regeneration" previous to cutting treatment. Tree regeneration was estimated in 97,006 ind ha-1 (68 % of N. dombeyi, 20 % of N. obliqua, and 12 % of N. nervosa. Regeneration abundance and composition were unrelated to shape and size of regeneration gaps, nor to abundance of adult trees within the stand and along the gap boundaries. A significant positive effect of the enclosure on plant was observed. The 86 % of juvenile Nothofagus were present when understory height and cover were low to intermediate. The management plan is considered adequate if the abundance of regeneration is compared before and after its implementation, and encourages the use and conservation of this forest type under the current silvicultural system

The Effectiveness of Topical Pimecrolimus in the Treatment of Oral Lichen Planus

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Mehmet Kamil Mülayim

2016-12-01

Full Text Available Objectives: Oral lichen planus (OLP is a chronic inflammatory disorder of unknown etiology that affects the skin and the mucosa, especially the oral mucosa. Several therapeutic agents have been investigated for the treatment of OLP. All agents used in the OLP therapy are palliative. Potent topical steroids are used as the conventional therapy for OLP. Since side-effects or steroid resistance may be encountered, alternative treatments may be necessary. This study aimed to evaluate the efficacy and safety of the topical pimecrolimus in the treatment of OLP. Methods: Seventeen patients with OLP were recruited into this study. Topical pimecrolimus 1% cream was applied twice a day to the affected areas. Patients were followed up for 3-6 months. Photographs of the lesions were taken and analyzed for areas of ulceration, erythema, and reticulation in every clinical examination. Results: We found that topical pimecrolimus 1% cream was an effective treatment for OLP. Two patients could not complete the treatment protocol because of the side effects such as local irritation and nausea. Conclusion: Topical pimecrolimus may be a valuable second treatment choice for patients with steroid-related side-effects or steroid-resistant OLP. However further randomized controlled studies have to be conducted to compare conventional treatment of topical corticosteroid with topical pimecrolimus.

Treatment Effect on Recidivism for Juveniles Who Have Sexually Offended: a Multilevel Meta-Analysis.

Science.gov (United States)

Ter Beek, Ellis; Spruit, Anouk; Kuiper, Chris H Z; van der Rijken, Rachel E A; Hendriks, Jan; Stams, Geert Jan J M

2018-04-01

The current study investigated the effect on recidivism of treatment aimed at juveniles who have sexually offended. It also assessed the potential moderating effect of type of recidivism, and several treatment, participant and study characteristics. In total, 14 published and unpublished primary studies, making use of a comparison group and reporting on official recidivism rates, were included in a multilevel meta-analysis. This resulted in the use of 77 effect sizes, and 1726 participants. A three-level meta-analytic model was used to calculate the combined effect sizes (Cohens d) and to perform moderator analyses. Study quality was assessed with the EPHPP Quality Assessment Tool for Quantitative Studies. A moderate effect size was found (d = 0.37), indicating that the treatment groups achieved an estimated relative reduction in recidivism of 20.5% as compared to comparison groups. However, after controlling for publication bias, a significant treatment effect was no longer found. Type of recidivism did not moderate the effect of treatment, indicating that treatment groups were equally effective for all types of recidivism. Also, no moderating effects of participant or treatment characteristics were found. Regarding study characteristics, a shorter follow up time showed a trend for larger effect sizes, and the effect size calculation based on proportions yielded larger effect sizes than calculation via mean frequency of offending. Implications for future research and clinical practice are discussed.

Meta-STEPP: subpopulation treatment effect pattern plot for individual patient data meta-analysis.

Science.gov (United States)

Wang, Xin Victoria; Cole, Bernard; Bonetti, Marco; Gelber, Richard D

2016-09-20

We have developed a method, called Meta-STEPP (subpopulation treatment effect pattern plot for meta-analysis), to explore treatment effect heterogeneity across covariate values in the meta-analysis setting for time-to-event data when the covariate of interest is continuous. Meta-STEPP forms overlapping subpopulations from individual patient data containing similar numbers of events with increasing covariate values, estimates subpopulation treatment effects using standard fixed-effects meta-analysis methodology, displays the estimated subpopulation treatment effect as a function of the covariate values, and provides a statistical test to detect possibly complex treatment-covariate interactions. Simulation studies show that this test has adequate type-I error rate recovery as well as power when reasonable window sizes are chosen. When applied to eight breast cancer trials, Meta-STEPP suggests that chemotherapy is less effective for tumors with high estrogen receptor expression compared with those with low expression. Copyright © 2016 John Wiley & Sons, Ltd. Copyright © 2016 John Wiley & Sons, Ltd.

Effects of anti-inflammatory (NSAID) treatment on human tendinopathic tissue

DEFF Research Database (Denmark)

Heinemeier, Katja Maria; Ohlenschlaeger, Tommy F.; Mikkelsen, Ulla Ramer

2017-01-01

Nonsteroidal anti-inflammatory drugs (NSAIDs) are commonly used to treat tendinopathy, but evidence for this treatment is lacking, and little is known regarding effects of NSAIDs on human tendinopathic tendon. This study investigated the effects of NSAID treatment (ibuprofen) on human tendinopathic...... tendon, with changes in gene expression as the primary outcome, and tendon pain, function, and blood flow as secondary outcomes. Twenty-six adults (16 men, 10 women), diagnosed with chronic Achilles tendinopathy, were randomized to 1-wk treatment with ibuprofen (600 mg ×3/day) (n = 13) or placebo (n = 13......) (double-blinded). Ibuprofen content in blood, visual analog scale score for tendon pain at rest and activity, Victorian Institute of Sports Assessment-Achilles (VISA-A) scores for tendon function, tendon thickness (with ultrasonography), and color Doppler were measured before and 1 h after treatment...

A passive acoustic monitor of treatment effectiveness during extracorporeal lithotripsy

Science.gov (United States)

Fedele, F.; Thomas, K.; Leighton, T. G.; Ryves, S.; Phillips, D.; Coleman, A. J.

2011-02-01

Although extracorporeal shockwave lithotripsy (ESWL) has now been in the clinic for at least three decades, there has been little advance in efforts (i) to estimate the efficacy of the treatment whilst it is in progress, or (ii) to determine the end-point of a treatment session in terms of the degree of stone fragmentation achieved. Previous in vitro experimentation and clinical trials have shown that a passive acoustic monitor has the potential to provide evidence of the effectiveness and end-point of lithotripsy. The system exploits secondary emissions generated during shock-tissue interaction, whose features depend on the quality of tissue at the beam focus. This prototype was developed into the first commercially available clinical ESWL treatment monitor (Precision Acoustic Ltd, Dorchester, UK), and a unit has been acquired and tested in the clinical routine by urologists at Guy's and St Thomas NHS Trust in March 2009. This paper critically assesses the performance of the new system for the first 25 treatments monitored. The ESWL monitor correctly predicted the treatment outcome of 15 of the 18 treatments that were followed-up clinically. In addition, it was noted that the measure of treatment effectiveness provided by the monitor after 500 shocks was predictive of the final treatment outcome (p ESWL or if the patient should be sent for surgery.

Under What Assumptions Do Site-by-Treatment Instruments Identify Average Causal Effects?

Science.gov (United States)

Reardon, Sean F.; Raudenbush, Stephen W.

2013-01-01

The increasing availability of data from multi-site randomized trials provides a potential opportunity to use instrumental variables methods to study the effects of multiple hypothesized mediators of the effect of a treatment. We derive nine assumptions needed to identify the effects of multiple mediators when using site-by-treatment interactions…

Beneficial effects of intermittent suction and pressure treatment in intermittent claudication

DEFF Research Database (Denmark)

Mehlsen, J; Himmelstrup, H; Himmelstrup, Bodil

1993-01-01

administration. The treatment caused significant increments in the ADP thresholds for platelet aggregation, while the effects on fibrinolysis were uncertain. It is concluded that intermittent suction and pressure treatment offers a new approach for conservative treatment of intermittent claudication....... participated in an open trial investigating the possible effects of the treatment on platelet aggregation and fibrinolysis. Pain-free and maximal walking distances were measured on a treadmill, and systolic blood pressure was measured on the upper limb, the ankle, and the first toe bilaterally. The threshold...... for adenosine diphosphate (ADP)-induced platelet aggregation was tested, and the fibrinolytic activity was estimated from the euglobulin clot lysis time. Active treatment resulted in significant improvements in pain-free and maximal walking distances, whereas no changes could be found during placebo...

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African Journals Online (AJOL)

integrated intoaggro—ecosystems. 1. 1 __tppropriate pruning ahd thinning regimes I. " 'beeorneimperative iriythe management-.of the tree component of an agri silvicultura-l . system involving sorghum toJ-minirni-zewl- shading effect. The aim of this sorghum under intereropping with Gmelina. __Leucaena. and Farina.

Social implications of alternatives to clearcutting on the Tongass National Forest: an exploratory study of residents' responses to alternative silvicultural treatments at Hanus Bay, Alaska.

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James A. Burchfield; Jeffrey M. Miller; Stewart Allen; Robert F. Schroeder; Theron. Miller

2003-01-01

After a series of eight harvest treatments were completed at Hanus Bay, Alaska, on the Tongass National Forest in 1998, 27 respondents representing nine interest groups were interviewed to understand their reactions to the various harvest patterns in the eight treatment areas. Harvests patterns included three stands with 25 percent retention of basal area; three stands...

Effectiveness of psychotherapeutic, pharmacological, and combined treatments for chronic depression: a systematic review (METACHRON

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von Wolff Alessa

2010-11-01

Full Text Available Abstract Background Chronic depressions represent a substantial part of depressive disorders and are associated with severe consequences. Several studies were performed addressing the effectiveness of psychotherapeutic, pharmacological, and combined treatments for chronic depressions. Yet, a systematic review comparing the effectiveness of multiple treatment options and considering all subtypes of chronic depressions is still missing. Methods/Design Aim of this project is to summarize empirical evidence on efficacy and effectiveness of treatments for chronic depression by means of a systematic review. The primary objectives of the study are to examine, which interventions are effective; to examine, if any differences in effectiveness between active treatment options exist; and to find possible treatment effect modifiers. Psychotherapeutic, pharmacological, and combined treatments will be considered as experimental interventions and no treatment, wait-list, psychological/pharmacological placebo, treatment as usual, and other active treatments will be seen as comparators. The population of patients will include adults with chronic major depression, dysthymia, double depression, or recurrent depression without complete remission between episodes. Outcomes of the analyses are depressive symptoms, associated consequences, adverse events, and study discontinuation. Only randomized controlled trials will be considered. Discussion Given the high prevalence and serious consequences of chronic depression and a considerable amount of existing primary studies addressing the effectiveness of different treatments the present systematic review may be of high relevance. Special attention will be given to the use of current methodological standards. Findings are likely to provide crucial information that may help clinicians to choose the appropriate treatment for chronically depressed patients.

Cost-effectiveness of treatment strategies for BRAF-mutated metastatic melanoma.

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Patti Curl

Full Text Available Genetically-targeted therapies are both promising and costly advances in the field of oncology. Several treatments for metastatic melanoma with a mutation in the BRAF gene have been approved. They extend life but are more expensive than the previous standard of care (dacarbazine. Vemurafenib, the first drug in this class, costs $13,000 per month ($207,000 for a patient with median survival. Patients failing vemurafenib are often given ipilimumab, an immunomodulator, at $150,000 per course. Assessment of cost-effectiveness is a valuable tool to help navigate the transition toward targeted cancer therapy.We performed a cost-utility analysis to compare three strategies for patients with BRAF+ metastatic melanoma using a deterministic expected-value decision tree model to calculate the present value of lifetime costs and quality-adjusted life years (QALYs for each strategy. We performed sensitivity analyses on all variables.In the base case, the incremental cost-effectiveness ratio (ICER for vemurafenib compared with dacarbazine was $353,993 per QALY gained (0.42 QALYs added, $156,831 added. The ICER for vemurafenib followed by ipilimumab compared with vemurafenib alone was $158,139. In sensitivity analysis, treatment cost had the largest influence on results: the ICER for vemurafenib versus dacarbazine dropped to $100,000 per QALY gained with a treatment cost of $3600 per month.The cost per QALY gained for treatment of BRAF+ metastatic melanoma with vemurafenib alone or in combination exceeds widely-cited thresholds for cost-effectiveness. These strategies may become cost-effective with lower drug prices or confirmation of a durable response without continued treatment.

Systematic review: the effect on surrogates of making treatment decisions for others.

Science.gov (United States)

Wendler, David; Rid, Annette

2011-03-01

Clinical practice relies on surrogates to make or help to make treatment decisions for incapacitated adults; however, the effect of this practice on surrogates has not been evaluated. To assess the effect on surrogates of making treatment decisions for adults who cannot make their own decisions. Empirical studies published in English and listed in MEDLINE, EMBASE, CINAHL, BIOETHICSLINE, PsycINFO, or Scopus before 1 July 2010. Eligible studies provided quantitative or qualitative empirical data, by evaluating surrogates, regarding the effect on surrogates of making treatment decisions for an incapacitated adult. Information on study location, number and type of surrogates, timing of data collection, type of decisions, patient setting, methods, main findings, and limitations. 40 studies, 29 using qualitative and 11 using quantitative methods, provided data on 2854 surrogates, more than one half of whom were family members of the patient. Most surrogates were surveyed several months to years after making treatment decisions, the majority of which were end-of-life decisions. The quantitative studies found that at least one third of surrogates experienced a negative emotional burden as the result of making treatment decisions. The qualitative studies reported that many or most surrogates experienced negative emotional burden. The negative effects on surrogates were often substantial and typically lasted months or, in some cases, years. The most common negative effects cited by surrogates were stress, guilt over the decisions they made, and doubt regarding whether they had made the right decisions. Nine of the 40 studies also reported beneficial effects on a few surrogates, the most common of which were supporting the patient and feeling a sense of satisfaction. Knowing which treatment is consistent with the patient's preferences was frequently cited as reducing the negative effect on surrogates. Thirty-two of the 40 articles reported data collected in the United States

Treatment Effects for Dysphagia in Adults with Multiple Sclerosis: A Systematic Review.

Science.gov (United States)

Alali, Dalal; Ballard, Kirrie; Bogaardt, Hans

2016-10-01

Dysphagia or swallowing difficulties have been reported to be a concern in adults with multiple sclerosis (MS). This problem can result in several complications including aspiration pneumonia, reduced quality of life and an increase in mortality rate. No previous systematic reviews on treatment effects for dysphagia in MS have been published. The main objective of this study is to summarise and qualitatively analyse published studies on treatment effects for dysphagia in MS. The Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines were applied to conduct a systematic search of seven databases, using relevant key words, and subsequent analysis of the identified studies. The studies were required to meet all three inclusion criteria of including a statement on intention to treat, or measure the effects of treatment for dysphagia in adults with MS and data on treatment outcomes for at least one adult diagnosed with MS. Retained studies were evaluated by two independent reviewers using a critical appraisal tool. This study has not been registered. A total of 563 studies were identified from the database searches. After screening and assessment of full articles for eligibility, five studies were included in the review. Three examined electrical stimulation and two examined the use of botulinum toxin. One study testing electrical stimulation was a randomised controlled trial, two were well-designed case series and two were case series lacking experimental control. All studies reported some positive effects on dysphagia; however, treatments that involved the use of electrical stimulation showed larger effect sizes. There is a paucity of evidence to guide treatment of dysphagia in MS, with only electrical stimulation and botulinum toxin treatment represented in the literature search conducted here. While both treatments show initial promise for reducing the swallowing impairment, they require further research using well-controlled experimental

Neurocognitive Effects of Treatment for Childhood Cancer

Science.gov (United States)

Butler, Robert W.; Haser, Jennifer K.

2006-01-01

We review research on the neuropsychological effects that central nervous system (CNS) cancer treatments have on the cognitive abilities of children and adolescents. The authors focus on the two most common malignancies of childhood: leukemias and brain tumors. The literature review is structured so as to separate out earlier studies, generally…

Effectiveness of hypnosis therapy and Gestalt therapy as depression treatments

Directory of Open Access Journals (Sweden)

Elizabeth González-Ramírez

2017-03-01

Full Text Available We analyzed the effectiveness of two psychological therapies to treat depression in the Culiacan population, Mexico. According to criteria of MINI (international Neuropsychiatric interview, 30 individuals from a total of 300 were selected and diagnosed with some kind of depression. Patients were divided in three groups: 1 treatment with hypnosis therapy, 2 treatment with Gestalt-hypnosis therapy, and 3 control group. Before and after the treatments the Beck Anxiety Inventory (BAI was applied to know the depression level of the analyzed groups. The results show that the three groups were presenting a moderated level of depression. The groups under hypnosis therapy and Gestalt-hypnosis therapy show statistical differences between pre-test and post-test. The hypnosis therapy shows significant statistic differences to treat depression with respect to the other two groups. In conclusion, the therapeutic hypnosis is an effective treatment and has relevance to treat depression, while other therapeutic treatments tend to be slow and with minor result. This study is the first of this kind carried out in Culiacan in Sinaloa, Mexico.

Effect of heat treatment temperature on binder thermal conductivities

International Nuclear Information System (INIS)

Wagner, P.

1975-12-01

The effect of heat treatment on the thermal conductivities of a pitch and a polyfurfuryl alcohol binder residue was investigated. Graphites specially prepared with these two binders were used for the experiments. Measured thermal conductivities were treated in terms of a two-component system, and the binder thermal conductivities were calculated. Both binder residues showed increased thermal conductivity with increased heat treatment temperature

Pharmacogenetics of clozapine treatment response and side-effects in schizophrenia: an update.

Science.gov (United States)

Sriretnakumar, Venuja; Huang, Eric; Müller, Daniel J

2015-01-01

Clozapine (CLZ) is the most effective treatment for treatment-resistant schizophrenia (SCZ) patients, with potential added benefits of reduction in suicide risk and aggression. However, CLZ is also mainly underused due to its high risk for the potentially lethal side-effect of agranulocytosis as well as weight gain and related metabolic dysregulation. Pharmacogenetics promises to enable the prediction of patient treatment response and risk of adverse effects based on patients' genetics, paving the way toward individualized treatment. This article reviews pharmacogenetics studies of CLZ response and side-effects with a focus on articles from January 2012 to February 2015, as an update to the previous reviews. Pharmacokinetic genes explored primarily include CYP1A2, while pharmacodynamic genes consisted of traditional pharmacogenetic targets such as brain-derived neurotrophic factor as well novel mitochondrial genes, NDUFS-1 and translocator protein. Pharmacogenetics is a promising avenue for individualized medication of CLZ in SCZ, with several consistently replicated gene variants predicting CLZ response and side-effects. However, a large proportion of studies have yielded mixed results. Large-scale Genome-wide association studies (e.g., CRESTAR) and targeted gene studies with standardized designs (response measurements, treatment durations, plasma level monitoring) are required for further progress toward clinical translation. Additionally, in order to improve study quality, we recommend accounting for important confounders, including polypharmacy, baseline measurements, treatment duration, gender, and age at onset.

Effects of heat treatment on the radiosensitivity of Salmonellae

International Nuclear Information System (INIS)

Choi, E.H.; Yang, J.S.; Lee, S.R.

1978-01-01

When the food poisoning bacteria Salmonella enteritidis and S. typhimurium were treated with radiation (cobalt-60 γ-rays) and heat (10 minutes at 45 0 C or 50 0 C), their sterilizing effect was revealed differently depending on the order of treatments. Post-irradiation heating showed a synergistic effect whereas pre-irradiation heating revealed the opposite effect and the effects differed slightly with heating temperature. (author)

The Effect of Temperature Treatment on the Structure of Polyelectrolyte Multilayers

Directory of Open Access Journals (Sweden)

Maximilian Zerball

2016-04-01

Full Text Available The study addresses the effect of thermal treatment on the internal structure of polyelectrolyte multilayers (PEMs. In order to get insight into the internal structure of PEMs, Neutron Reflectometry (NR was used. PEMs with a deuterated inner block towards the substrate and a non-deuterated outer block were prepared and measured in 1% RH and in D2O before and after a thermal treatment. Complementarily, PEMs with the same number of layers but completely non-deuterated were investigated by ellipsometry. The analysis for the overall thickness (d, the average scattering length density (SLD and the refractive index (n indicate a degradation of the PEM. The loss in material is independent of the number of layers, i.e., only a constant part of the PEM is affected by degradation. The analysis of the internal structure revealed a more complex influence of thermal treatment on PEM structure. Only the outermost part of the PEM degenerates, while the inner part becomes denser during the thermal treatment. In addition, the swelling behavior of PEMs is influenced by the thermal treatment. The untreated PEM shows a well pronounced odd—even effect, i.e., PDADMAC-terminated PEMs take up more water than PSS-terminated PEMs. After the thermal treatment, the odd-even effect becomes much weaker.

Effectiveness of a pre-treatment snack on the uptake of mass treatment for schistosomiasis in Uganda

DEFF Research Database (Denmark)

Muhumuza, Simon; Olsen, Annette; Katahoire, Anne

2014-01-01

-treatment snack on uptake of mass treatment.Methods and Findings:In a cluster randomized trial carried out in Jinja district, Uganda, 12 primary schools were randomized into two groups; one received education messages for schistosomiasis prevention for two months prior to mass treatment, while the other......, in addition to the education messages, received a pre-treatment snack shortly before mass treatment. Four weeks after mass treatment, uptake of praziquantel was assessed among a random sample of 595 children in the snack schools and 689 children in the non-snack schools as the primary outcome. The occurrence...... of side effects and the prevalence and mean intensity of Schistosoma mansoni infection were determined as the secondary outcomes. Uptake of praziquantel was higher in the snack schools, 93.9% (95% CI 91.7%-95.7%), compared to that in the non-snack schools, 78.7% (95% CI 75.4%-81.7%) (p = 0...

Reirradiation on recurrent cervical cancer case: Treatment response and side effects

Science.gov (United States)

Siregar, M. F.; Supriana, N.; Nuranna, L.; Prihartono, J.

2017-08-01

Management of recurrent cervical cancer by reirradiation after radiation treatment remains controversial. In Indonesia, there is currently no data about reirradiation tumor response and side effects. This study aims to assess the tumor response to and side effects of reirradiation, the effect of time interval between first radiation treatment and cancer recurrence on the tumor response and side effects, and the effect of tumor size on tumor response. A cohort retrospective study with no comparison was done with the Radiotherapy Department at Cipto Mangunkusumo General Hospital, Jakarta. Participants were recurrent cervical cancer patients undergoing reirradiation. Data was collected from patients’ medical records and follow-up phone calls. Twenty-two patients participated in this study. Nine patients (40.9%) had complete responses, 10 patients (45.5%) had partial responses, 1 patient (4.5%) had a stable response, and 2 patients (9.1%) had tumor progressions. In general, 15 patients (68.2%) had no to light side effects (grade 0-2 RTOG) and 7 patients (31.8%) had severe side effects (grade 3-4 RTOG). Four patients (18.1%) had severe gastrointestinal acute side effects, 6 patients (27.3%) had severe gastrointestinal late side effects, 2 patients (9.1%) had severe urogenital side effects, and there were no patients had severe urogenital late side effects. There was no significant difference in tumor response between patients with time interval between first radiation treatment and recurrence of 4 cm. Reirradiation can be considered as a modality in recurrent cervical cancer management since good tumor response was achieved and the majority of patients had no to light side effects (grade 0-2 RTOG). This study found no correlation between tumor response, side effects, and time gap between first radiation treatment and recurrence of 4 cm.

A passive acoustic monitor of treatment effectiveness during extracorporeal lithotripsy

International Nuclear Information System (INIS)

Fedele, F; Coleman, A J; Thomas, K; Ryves, S; Phillips, D; Leighton, T G

2011-01-01

Although extracorporeal shockwave lithotripsy (ESWL) has now been in the clinic for at least three decades, there has been little advance in efforts (i) to estimate the efficacy of the treatment whilst it is in progress, or (ii) to determine the end-point of a treatment session in terms of the degree of stone fragmentation achieved. Previous in vitro experimentation and clinical trials have shown that a passive acoustic monitor has the potential to provide evidence of the effectiveness and end-point of lithotripsy. The system exploits secondary emissions generated during shock-tissue interaction, whose features depend on the quality of tissue at the beam focus. This prototype was developed into the first commercially available clinical ESWL treatment monitor (Precision Acoustic Ltd, Dorchester, UK), and a unit has been acquired and tested in the clinical routine by urologists at Guy's and St Thomas NHS Trust in March 2009. This paper critically assesses the performance of the new system for the first 25 treatments monitored. The ESWL monitor correctly predicted the treatment outcome of 15 of the 18 treatments that were followed-up clinically. In addition, it was noted that the measure of treatment effectiveness provided by the monitor after 500 shocks was predictive of the final treatment outcome (p < 0.001). This suggests that the system could be used in pre-assessment; indicating if the stone is susceptible to ESWL or if the patient should be sent for surgery.

A passive acoustic monitor of treatment effectiveness during extracorporeal lithotripsy

Energy Technology Data Exchange (ETDEWEB)

Fedele, F; Coleman, A J [Medical Physics Department, Guy' s and St Thomas NHS Foundation Trust, Westminster Bridge Road, SE1 7EH, London (United Kingdom); Thomas, K; Ryves, S; Phillips, D [Urology Department, Guy' s and St Thomas NHS Foundation Trust, Great Maze Pond, SE1 9RT, London (United Kingdom); Leighton, T G, E-mail: fiammetta.fedele@gstt.nhs.uk [Institute of Sound and Vibration Research, University of Southampton, Highfield, S017 1BJ, Southampton (United Kingdom)

2011-02-01

Although extracorporeal shockwave lithotripsy (ESWL) has now been in the clinic for at least three decades, there has been little advance in efforts (i) to estimate the efficacy of the treatment whilst it is in progress, or (ii) to determine the end-point of a treatment session in terms of the degree of stone fragmentation achieved. Previous in vitro experimentation and clinical trials have shown that a passive acoustic monitor has the potential to provide evidence of the effectiveness and end-point of lithotripsy. The system exploits secondary emissions generated during shock-tissue interaction, whose features depend on the quality of tissue at the beam focus. This prototype was developed into the first commercially available clinical ESWL treatment monitor (Precision Acoustic Ltd, Dorchester, UK), and a unit has been acquired and tested in the clinical routine by urologists at Guy's and St Thomas NHS Trust in March 2009. This paper critically assesses the performance of the new system for the first 25 treatments monitored. The ESWL monitor correctly predicted the treatment outcome of 15 of the 18 treatments that were followed-up clinically. In addition, it was noted that the measure of treatment effectiveness provided by the monitor after 500 shocks was predictive of the final treatment outcome (p < 0.001). This suggests that the system could be used in pre-assessment; indicating if the stone is susceptible to ESWL or if the patient should be sent for surgery.

A passive acoustic monitor of treatment effectiveness during extracorporeal lithotripsy

Energy Technology Data Exchange (ETDEWEB)

Fedele, F; Coleman, A J [Medical Physics Department, Guy' s and St Thomas NHS Foundation Trust, Westminster Bridge Road, SE1 7EH, London (United Kingdom); Thomas, K; Ryves, S; Phillips, D [Urology Department, Guy' s and St Thomas NHS Foundation Trust, Great Maze Pond, SE1 9RT, London (United Kingdom); Leighton, T G, E-mail: fiammetta.fedele@gstt.nhs.uk [Institute of Sound and Vibration Research, University of Southampton, Highfield, S017 1BJ, Southampton (United Kingdom)

2011-02-01

Although extracorporeal shockwave lithotripsy (ESWL) has now been in the clinic for at least three decades, there has been little advance in efforts (i) to estimate the efficacy of the treatment whilst it is in progress, or (ii) to determine the end-point of a treatment session in terms of the degree of stone fragmentation achieved. Previous in vitro experimentation and clinical trials have shown that a passive acoustic monitor has the potential to provide evidence of the effectiveness and end-point of lithotripsy. The system exploits secondary emissions generated during shock-tissue interaction, whose features depend on the quality of tissue at the beam focus. This prototype was developed into the first commercially available clinical ESWL treatment monitor (Precision Acoustic Ltd, Dorchester, UK), and a unit has been acquired and tested in the clinical routine by urologists at Guy's and St Thomas NHS Trust in March 2009. This paper critically assesses the performance of the new system for the first 25 treatments monitored. The ESWL monitor correctly predicted the treatment outcome of 15 of the 18 treatments that were followed-up clinically. In addition, it was noted that the measure of treatment effectiveness provided by the monitor after 500 shocks was predictive of the final treatment outcome (p < 0.001). This suggests that the system could be used in pre-assessment; indicating if the stone is susceptible to ESWL or if the patient should be sent for surgery.

Evaluating the Effectiveness Of Postfire Rehabilitation Treatments

Science.gov (United States)

Peter R. Robichaud; Jan L. Beyers; Daniel G. Neary

2000-01-01

Spending on postfire emergency watershed rehabilitation has increased during the past decade. A west-wide evaluation of USDA Forest Service burned area emergency rehabilitation (BAER) treatment effectiveness was undertaken as a joint project by USDA Forest Service Research and National Forest System staffs. This evaluation covers 470 fires and 321 BAER projects, from...

Effective suppression of bystander effects by DMSO treatment of irradiated CHO cells

International Nuclear Information System (INIS)

Kashino, Genro; Prise, K.M.; Suzuki, Keiji

2007-01-01

Evidence is accumulating that irradiated cells produce some signals which interact with non-exposed cells in the same population via a bystander effect. Here, we examined whether dimethyl sulfoxide (DMSO) is effective in suppressing radiation induced bystander effects in Chinese hamster ovary (CHO) and repair deficient xrs5 cells. When 1 Gy-irradiated CHO cells were treated with 0.5% DMSO for 1 hr before irradiation, the induction of micronuclei in irradiated cells was suppressed to 80% of that in non-treated irradiated cells. The suppressive effect of DMSO on the formation of bystander signals was examined and the results demonstrated that 0.5% DMSO treatment of irradiated cells completely suppressed the induction of micronuclei by the bystander effect in non-irradiated cells. It is suggested that irradiated cells ceased signal formation for bystander effects by the action of DMSO. To determine the involvement of reactive oxygen species on the formation of bystander signals, we examined oxidative stress levels using the 2',7'-dichlorofluorescein (DCFH) staining method in irradiated populations. The results showed that the treatment of irradiated cells with 0.5% DMSO did not suppress oxidative stress levels. These results suggest that the prevention of oxidative stress is independent of the suppressive effect of DMSO on the formation of the bystander signal in irradiated cells. It is suggested that increased reactive oxygen species (ROS) in irradiated cells is not a substantial trigger of a bystander signal. (author)

No beneficial effect of Polidocanol treatment in Achilles tendinopathy

DEFF Research Database (Denmark)

Ebbesen, B H; Mølgaard, C M; Olesen, J L

2017-01-01

PURPOSE: Polidocanol injections have been used to treat chronic Achilles tendinopathy in clinical settings, but the few studies published show inconsistent results. The aim of this study was to evaluate the mid-term effect of Polidocanol in patients with chronic Achilles tendinopathy. It was hypo......PURPOSE: Polidocanol injections have been used to treat chronic Achilles tendinopathy in clinical settings, but the few studies published show inconsistent results. The aim of this study was to evaluate the mid-term effect of Polidocanol in patients with chronic Achilles tendinopathy...... of Achilles tendinopathy for at least 3 months and with neovascularisation demonstrated by ultrasonography was included. A minimum of 3 months of eccentric exercise treatment was required before participating. The patients were allocated to a maximum of two injection of either Polidocanol or Lidocaine...... an improvement at 3- and 6-month follow-up, but no mid-term differences between the groups were seen. An equal number of patients in the two groups were satisfied with the treatment at follow-up. CONCLUSIONS: The results indicate that Polidocanol is a safe treatment, but the mid-term effects are the same...

Breeding Bird Community Continues to Colonize Riparian Buffers Ten Years after Harvest.

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Scott F Pearson

Full Text Available Riparian ecosystems integrate aquatic and terrestrial communities and often contain unique assemblages of flora and fauna. Retention of forested buffers along riparian habitats is a commonly employed practice to reduce potential negative effects of land use on aquatic systems. However, very few studies have examined long-term population and community responses to buffers, leading to considerable uncertainty about effectiveness of this practice for achieving conservation and management outcomes. We examined short- (1-2 years and long-term (~10 years avian community responses (occupancy and abundance to riparian buffer prescriptions to clearcut logging silvicultural practices in the Pacific Northwest USA. We used a Before-After-Control-Impact experimental approach and temporally replicated point counts analyzed within a Bayesian framework. Our experimental design consisted of forested control sites with no harvest, sites with relatively narrow (~13 m forested buffers on each side of the stream, and sites with wider (~30 m and more variable width unharvested buffer. Buffer treatments exhibited a 31-44% increase in mean species richness in the post-harvest years, a pattern most evident 10 years post-harvest. Post-harvest, species turnover was much higher on both treatments (63-74% relative to the controls (29%. We did not find evidence of local extinction for any species but found strong evidence (no overlap in 95% credible intervals for an increase in site occupancy on both Narrow (short-term: 7%; long-term 29% and Wide buffers (short-term: 21%; long-term 93% relative to controls after harvest. We did not find a treatment effect on total avian abundance. When assessing relationships between buffer width and site level abundance of four riparian specialists, we did not find strong evidence of reduced abundance in Narrow or Wide buffers. Silviculture regulations in this region dictate average buffer widths on small and large permanent streams that

Lack of lasting effectiveness of PEG 3350 laxative treatment of constipation.

Science.gov (United States)

Tran, Lily C; Di Palma, Jack A

2005-08-01

PEG 3350 (MiraLax, Braintree Laboratories Inc., Braintree, MA) 17 g daily has been shown to be safe and effective in a 14-day trial for constipation. This present investigation was designed to extend the treatment and safety experience with PEG 3350 and to evaluate any lasting effectiveness during a 30-day post-treatment observation period. Study subjects met Rome II criteria for constipation and reported PEG 3350 17 g daily for 14 days. Treatment efficacy was defined by resolution of constipation symptoms as determined by the Rome II and stool frequency definitions during the treatment period. Fifty healthy constipated subjects formed the study group. There were 42 females and 8 males. Mean age was 52 +/- 15.5 years (+/-SD). Symptom duration was 22.6 +/- 16.7 months (+/-SD). At baseline, all had 3 stools in the last week and no longer met Rome criteria. Thirty-two of 45 (71.1%) reported satisfaction with the first bowel movement after initiating treatment. Thirty days after active treatment, 29 of 47 (61.7%) responded that they needed laxative treatment. PEG 3350 relieved constipation in most treated study subjects. During a 30-day post-treatment observation period, 29 of 47 (61.7%) had additional constipation treatment interventions.

Effect of variations in treatment regimen and liver cirrhosis on exposure to benzodiazepines during treatment of alcohol withdrawal syndrome

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Pavel Gershokovich

2015-08-01

Full Text Available Purpose: Benzodiazepines (BDZs are the drugs of choice to prevent the symptoms of alcohol withdrawal syndrome (AWS. Various treatment protocols are published and have been shown to be effective in both office-managed and facility-managed treatment of AWS. The aim of this scientific commentary is to demonstrate the differences in the expected exposure to BDZs during AWS treatment using different treatment regimens available in the literature, in patients with or without alcoholic liver cirrhosis. Methods: Diazepam and lorazepam AWS protocols were examined and reviewed in the literature, and blood plasma levels were examined and compared, respectively. Results: Considerable variation in the blood levels with the different dosing schedules was found. Because the drugs are metabolized differently, we have also shown that liver disease affects the blood levels of diazepam, but not of lorazepam. Conclusions: Differences in treatment regimens, the choice of BDZ, as well as the presence of liver cirrhosis can substantially alter the exposure of patients to drugs used for AWS treatment. Outpatient treatment of AWS has been shown to be relatively safe and effective for the treatment of AWS but patients should be carefully monitored.

Modelling canopy fuel and forest stand variables and characterizing the influence of thinning in the stand structure using airborne LiDAR

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A. Hevia

2016-02-01

Full Text Available Forest fires are a major threat in NW Spain. The importance and frequency of these events in the area suggests the need for fuel management programs to reduce the spread and severity of forest fires. Thinning treatments can contribute for fire risk reduction, because they cut off the horizontal continuity of forest fuels. Besides, it is necessary to conduct a fire risk management based on the knowledge of fuel allocation, since fire behaviour and fire spread study is dependent on the spatial factor. Therefore, mapping fuel for different silvicultural scenarios is essential. Modelling forest variables and forest structure parameters from LiDAR technology is the starting point for developing spatially explicit maps. This is essential in the generation of fuel maps since field measurements of canopy fuel variables is not feasible. In the present study, we evaluated the potential of LiDAR technology to estimate canopy fuel variables and other stand variables, as well as to identify structural differences between silvicultural managed and unmanaged P. pinaster Ait. stands. Independent variables (LiDAR metrics of greater explanatory significance were identified and regression analyses indicated strong relationships between those and field-derived variables (R2 varied between 0.86 and 0.97. Significant differences were found in some LiDAR metrics when compared thinned and unthinned stands. Results showed that LiDAR technology allows to model canopy fuel and stand variables with high precision in this species, and provides useful information for identifying areas with and without silvicultural management.

Unruptured intracranial aneurysm treatment effects on cognitive function: a meta-analysis.

Science.gov (United States)

Bonares, Michael J; Egeto, Peter; de Oliveira Manoel, Airton Leonardo; Vesely, Kristin A; Macdonald, R Loch; Schweizer, Tom A

2016-03-01

The treatment of an unruptured intracranial aneurysm (UIA) is not free of morbidity and mortality, and the decision is made by weighing the risks of treatment complications against the risk of aneurysm rupture. This meta-analysis quantitatively analyzed the literature on the effects of UIA treatment on cognition. MEDLINE, Embase, and PsycInfo were systematically searched for studies that reported on the cognitive status of UIA patients before and after aneurysm treatment. The search was restricted to prospective cohort and case-control studies published between January 1, 1998, and January 1, 2013. The analyses focused on the effect of treatment on general cognitive functioning, with an emphasis on 4 specific cognitive domains: executive functions, verbal and visual memory, and visuospatial functions. Eight studies, with a total of 281 patients, were included in the meta-analysis. Treatment did not affect general cognitive functioning (effect size [ES] -0.22 [95% CI -0.78 to 0.34]). Executive functions and verbal memory domains trended toward posttreatment impairment (ES -0.46 [95% CI -0.93 to 0.01] and ES -0.31 [95% CI -1.24 to 0.61]), and performance of visual memory tasks trended toward posttreatment improvement (ES 1.48 [95% CI -0.36 to 3.31]). Lastly, treatment did not significantly affect visuospatial functions (ES -0.08 [95% CI -0.30 to 0.45]). The treatment of an UIA does not seem to affect long-term cognitive function. However, definitive conclusions were not possible due to the paucity of studies addressing this issue.

Natural regeneration of northern hardwoods in the northern Great Lakes Region.

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Carl H. Tubbs

1977-01-01

Reviews silvical and silvicultural information about natural regeneration pertinent to forestry practices in Lake State northern hardwood types. Seed production; effects of light, moisture, temperature and competition on establishment and growth; and how damage affects mortality rates and form are covered. Clearcutting, selection, and shelterwood experiments are...

Effects of shoreline treatment methods on intertidal biota in Prince William Sound

International Nuclear Information System (INIS)

Lees, D.C.; Houghton, J.P.; Driskell, W.B.

1993-01-01

Several studies conducted in Prince William Sound during 1989 were directed at assessing short term biological effects of treatment methods considered or employed for treating oil contaminated beaches. The four treatment alternatives evaluated in this paper are: low pressure warm water wash (LP-WW); high pressure hot water wash (HP-HW); the dispersant Corexit 7664; and the beach cleaner Corexit 9580 M2. Effects on the biota were assessed primarily on the basis of changes in the abundance of dominant taxa and the magnitude of selected community attributes (such as percent cover by algae or animals, and number of taxa). Significant reductions in one or more community or population attributes, and increases in the percent of dead mussels were observed in response to all types of treatment but the strongest and most consistent effects were observed following high pressure hot water treatment, which was also accompanied by heavy mortality in rockweed. Generally, the programs were not designed to discriminate among the potential causes of damage. However, available data suggest that neither chemical nor LP-WW treatments caused significant thermal impacts in the intertidal biota. In contrast, temperature appeared to cause significant mortality in the dominant plants and grazing and filter-feeding animals in HP-HW treatment sites. Observations of displacement and mortality for clams and mussels suggest that physical effects may be substantial in some cases. Of the types of treatment examined, dispersant and beach cleaner treatments appeared to be accompanied with the smallest number of significant changes in abundance; however, this conclusion is weak because the LP-WW wash accompanying chemical applications during the tests was sometimes less rigorous than when performed by itself. LP-WW treatment was accompanied by an intermediate level of changes whereas HP-HW treatment was accompanied with the highest percentage of changes, nearly all of which were decreases

Molecular Profiling of Glatiramer Acetate Early Treatment Effects in Multiple Sclerosis

Science.gov (United States)

Achiron, Anat; Feldman, Anna; Gurevich, Michael

2009-01-01

Background: Glatiramer acetate (GA, Copaxone®) has beneficial effects on the clinical course of relapsing-remitting multiple sclerosis (RRMS). However, the exact molecular mechanisms of GA effects are only partially understood. Objective: To characterized GA molecular effects in RRMS patients within 3 months of treatment by microarray profiling of peripheral blood mononuclear cells (PBMC). Methods: Gene-expression profiles were determined in RRMS patients before and at 3 months after initiation of GA treatment using Affimetrix (U133A-2) microarrays containing 14,500 well-characterized human genes. Most informative genes (MIGs) of GA-induced biological convergent pathways operating in RRMS were constructed using gene functional annotation, enrichment analysis and pathway reconstruction bioinformatic softwares. Verification at the mRNA and protein level was performed by qRT-PCR and FACS. Results: GA induced a specific gene expression molecular signature that included altered expression of 480 genes within 3 months of treatment; 262 genes were up-regulated, and 218 genes were down-regulated. The main convergent mechanisms of GA effects were related to antigen-activated apoptosis, inflammation, adhesion, and MHC class-I antigen presentation. Conclusions: Our findings demonstrate that GA treatment induces alternations of immunomodulatory gene expression patterns that are important for suppression of disease activity already at three months of treatment and can be used as molecular markers of GA activity. PMID:19893201

Moringa extracts used in sugarcane juice treatment and effects on ...

African Journals Online (AJOL)

The objective of this study was to evaluate the effects of sugarcane juice treatment using Moringa oleifera leaf and seeds extracts on ethanolic fermentation. The experiment was arranged in a split plot statistical design, with four replications. Main treatments were three sedimentation agents (synthetic polyelectrolyte, ...

A new rapid and effective method for treatment of unexplained infertility

DEFF Research Database (Denmark)

Edelstam, G.; Sjosten, A.; Bjuresten, K.

2008-01-01

BACKGROUND: Artificial insemination (intrauterine insemination by husband or artificial insemination by husband) is often tried as first treatment for couples with unexplained infertility. Perturbation has previously proved to increase the chance of achieving pregnancy for these couples. The effect...... and insemination cycles for couples with unexplained infertility. METHODS: In a prospective, open study, the patients were randomized, the day before ovulation, during a clomiphene citrate stimulated cycle to either perturbation with low-dose local anaesthetic or no perturbation before insemination. RESULTS......: The perturbation treatment significantly enhanced the clinical pregnancy rate and was well tolerated. No complications were noted. The combined treatment of clomiphene citrate, perturbation and insemination can be used as a cost-effective, first-line treatment for couples with unexplained infertility...

Optimal uneven-aged stocking guides: an application to spruce-fir stands in New England

Science.gov (United States)

Jeffrey H. Gove; Mark J. Ducey

2014-01-01

Management guides for uneven-aged forest stands periodically need to be revisited and updated based on new information and methods. The current silvicultural guide for uneven-aged spruce-fir management in Maine and the northeast (Frank, R.M. and Bjorkbom, J.C. 1973 A silvicultural guide for spruce-fir in the northeast. General Technical Report NE-6, Forest Service. U.S...

Le pinete demaniali costiere di Ravenna e Ferrara: analisi dei tipi forestali e strutturali per la scelta del trattamento selvicolturale nel processo di pianificazione

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Paolo Cantiani

2009-12-01

Full Text Available The state-owned pine forests on the coast of Ravenna and Ferrara: analysis of forest and structure types for choice of silvicultural system in the planning process. Results of the analysis on typology and structure of state forests dominated by maritime pine (Pinus pinaster Ait. are reported. These formations grow on a narrow coastal belt between Cervia (Ravenna and Volano (Ferrara, in the Emilia-Romagna region (Italy. The aim of the study is to support the proper silvicultural system in order to satisfy multiple use of pine forests using the analysis of forest types and model types of structure. Main ecological and structural features of principal pine forest types and experimental criteria on silvicultural systems are explained.

The costs and cost-effectiveness of an integrated sepsis treatment protocol.

Science.gov (United States)

Talmor, Daniel; Greenberg, Dan; Howell, Michael D; Lisbon, Alan; Novack, Victor; Shapiro, Nathan

2008-04-01

Sepsis is associated with high mortality and treatment costs. International guidelines recommend the implementation of integrated sepsis protocols; however, the true cost and cost-effectiveness of these are unknown. To assess the cost-effectiveness of an integrated sepsis protocol, as compared with conventional care. Prospective cohort study of consecutive patients presenting with septic shock and enrolled in the institution's integrated sepsis protocol. Clinical and economic outcomes were compared with a historical control cohort. Beth Israel Deaconess Medical Center. Overall, 79 patients presenting to the emergency department with septic shock in the treatment cohort and 51 patients in the control group. An integrated sepsis treatment protocol incorporating empirical antibiotics, early goal-directed therapy, intensive insulin therapy, lung-protective ventilation, and consideration for drotrecogin alfa and steroid therapy. In-hospital treatment costs were collected using the hospital's detailed accounting system. The cost-effectiveness analysis was performed from the perspective of the healthcare system using a lifetime horizon. The primary end point for the cost-effectiveness analysis was the incremental cost per quality-adjusted life year gained. Mortality in the treatment group was 20.3% vs. 29.4% in the control group (p = .23). Implementing an integrated sepsis protocol resulted in a mean increase in cost of approximately $8,800 per patient, largely driven by increased intensive care unit length of stay. Life expectancy and quality-adjusted life years were higher in the treatment group; 0.78 and 0.54, respectively. The protocol was associated with an incremental cost of $11,274 per life-year saved and a cost of $16,309 per quality-adjusted life year gained. In patients with septic shock, an integrated sepsis protocol, although not cost-saving, appears to be cost-effective and compares very favorably to other commonly delivered acute care interventions.

Prostate cancer outcomes in France: treatments, adverse effects and two-year mortality

Science.gov (United States)

2014-01-01

Background This very large population-based study investigated outcomes after a diagnosis of prostate cancer (PCa) in terms of mortality rates, treatments and adverse effects. Methods Among the 11 million men aged 40 years and over covered by the general national health insurance scheme, those with newly managed PCa in 2009 were followed for two years based on data from the national health insurance information system (SNIIRAM). Patients were identified using hospitalisation diagnoses and specific refunds related to PCa and PCa treatments. Adverse effects of PCa treatments were identified by using hospital diagnoses, specific procedures and drug refunds. Results The age-standardised two-year all-cause mortality rate among the 43,460 men included in the study was 8.4%, twice that of all men aged 40 years and over. Among the 36,734 two-year survivors, 38% had undergone prostatectomy, 36% had been treated by hormone therapy, 29% by radiotherapy, 3% by brachytherapy and 20% were not treated. The frequency of treatment-related adverse effects varied according to age and type of treatment. Among men between 50 and 69 years of age treated by prostatectomy alone, 61% were treated for erectile dysfunction and 24% were treated for urinary disorders. The frequency of treatment for these disorders decreased during the second year compared to the first year (erectile dysfunction: 41% vs 53%, urinary disorders: 9% vs 20%). The frequencies of these treatments among men treated by external beam radiotherapy alone were 7% and 14%, respectively. Among men between 50 and 69 years with treated PCa, 46% received treatments for erectile dysfunction and 22% for urinary disorders. For controls without PCa but treated surgically for benign prostatic hyperplasia, these frequencies were 1.5% and 6.0%, respectively. Conclusions We report high survival rates two years after a diagnosis of PCa, but a high frequency of PCa treatment-related adverse effects. These frequencies remain

Evaluation of treatment effects by ranking

DEFF Research Database (Denmark)

Halekoh, U; Kristensen, K

2008-01-01

In crop experiments measurements are often made by a judge evaluating the crops' conditions after treatment. In the present paper an analysis is proposed for experiments where plots of crops treated differently are mutually ranked. In the experimental layout the crops are treated on consecutive...... plots usually placed side by side in one or more rows. In the proposed method a judge ranks several neighbouring plots, say three, by ranking them from best to worst. For the next observation the judge moves on by no more than two plots, such that up to two plots will be re-evaluated again...... in a comparison with the new plot(s). Data from studies using this set-up were analysed by a Thurstonian random utility model, which assumed that the judge's rankings were obtained by comparing latent continuous utilities or treatment effects. For the latent utilities a variance component model was considered...

Effects of mulching, fertilizer, seeding and seedling treatments

African Journals Online (AJOL)

Mgina

Mulching treatment had an effect of increasing mortality of non-woody species and selectively favoring the ... central Tanzania where former bad land use practices ... of one or a few fast growing annual or perennial ...... Food Agric. 75: 412-.

The oral adverse effects of isotretinoin treatment in acne vulgaris ...

African Journals Online (AJOL)

Background: Isotretinoin is the most effective therapy to treat severe acne vulgaris and its systemic adverse effects have been well documented, but little is known on dental side effects over the course of treatment. Objectives: This prospective case-control study aimed to evaluate the oral adverse effects of isotretinoin in ...

Preclinical validation of electrochemotherapy as an effective treatment for brain tumors

DEFF Research Database (Denmark)

Agerholm-Larsen, Birgit; Iversen, Helle K; Ibsen, Per

2011-01-01

treatment. Bleomycin was injected intracranially into male rats inoculated with rat glia-derived tumor cells 2 weeks before the application of the electrical field (32 pulses, 100 V, 0.1 ms, and 1 Hz). In this model, where presence of tumor was confirmed by magnetic resonance imaging (MRI) before treatment...... to the treated area, which MRI and histology showed to contain a fluid-filled cavity. In a long-range survival study, treatment side effects seemed to be minimal, with normal rat behavior observed after electrochemotherapy. Our findings suggest that electrochemotherapy may offer a safe and effective new tool...

Structural Equation Modeling: Theory and Applications in Forest Management

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Tzeng Yih Lam

2012-01-01

Full Text Available Forest ecosystem dynamics are driven by a complex array of simultaneous cause-and-effect relationships. Understanding this complex web requires specialized analytical techniques such as Structural Equation Modeling (SEM. The SEM framework and implementation steps are outlined in this study, and we then demonstrate the technique by application to overstory-understory relationships in mature Douglas-fir forests in the northwestern USA. A SEM model was formulated with (1 a path model representing the effects of successively higher layers of vegetation on late-seral herbs through processes such as light attenuation and (2 a measurement model accounting for measurement errors. The fitted SEM model suggested a direct negative effect of light attenuation on late-seral herbs cover but a direct positive effect of northern aspect. Moreover, many processes have indirect effects mediated through midstory vegetation. SEM is recommended as a forest management tool for designing silvicultural treatments and systems for attaining complex arrays of management objectives.

Pregnancy Research on Osteopathic Manipulation Optimizing Treatment Effects: the PROMOTE study.

Science.gov (United States)

Hensel, Kendi L; Buchanan, Steve; Brown, Sarah K; Rodriguez, Mayra; Cruser, des Anges

2015-01-01

The purpose of this study was to evaluate the efficacy of osteopathic manipulative treatment (OMT) to reduce low back pain and improve functioning during the third trimester in pregnancy and to improve selected outcomes of labor and delivery. Pregnancy research on osteopathic manipulation optimizing treatment effects was a randomized, placebo-controlled trial of 400 women in their third trimester. Women were assigned randomly to usual care only (UCO), usual care plus OMT (OMT), or usual care plus placebo ultrasound treatment (PUT). The study included 7 treatments over 9 weeks. The OMT protocol included specific techniques that were administered by board-certified OMT specialists. Outcomes were assessed with the use of self-report measures for pain and back-related functioning and medical records for delivery outcomes. There were 136 women in the OMT group: 131 women in the PUT group and 133 women in the UCO group. Characteristics at baseline were similar across groups. Findings indicate significant treatment effects for pain and back-related functioning (P < .001 for both groups), with outcomes for the OMT group similar to that of the PUT group; however, both groups were significantly improved compared with the UCO group. For secondary outcome of meconium-stained amniotic fluid, there were no differences among the groups. OMT was effective for mitigating pain and functional deterioration compared with UCO; however, OMT did not differ significantly from PUT. This may be attributed to PUT being a more active treatment than intended. There was no higher likelihood of conversion to high-risk status based on treatment group. Therefore, OMT is a safe, effective adjunctive modality to improve pain and functioning during the third trimester. Copyright © 2015 Elsevier Inc. All rights reserved.

Effectiveness of hemorrhoidal treatment by rubber band ligation and infrared photocoagulation.

Science.gov (United States)

Linares Santiago, E; Gómez Parra, M; Mendoza Olivares, F J; Pellicer Bautista, F J; Herrerías Gutiérrez, J M

2001-04-01

To demonstrate the effectiveness of the treatment of internal hemorrhoids with rubber band ligation (RBL) and infrared photocoagulation (IRC). From march 1996 to december 1999, we prospectively studied 358 patients with a total of 817 hemorrhoid groups and a follow-up period of 36 months. Distribution according to gender and age was: 210 men with a mean age of 46 years and 148 women with a mean age 45.8 years. The mean number of hemorrhoids treated per patients was 2.3. All of them had complete a follow-up protocol at 15, 30, 60 and 180 days and at 12, 24 and 36 months. Rubber band ligation was performed with McGown ligator and suction pump, placing the band at the base of the hemorrhoid. For the infrared coagulation we used a Lumatec coagulation system, applying at least four shoots around each hemorrhoid, with an exposition time ranging between 1 and 1.5 seconds. Treatment was considered effective when patients became asymptomatic (relief of pain, bleeding or anal itching) and the obliteration of hemorrhoids after the treatment was confirmed by anal inspection and anoscopy. Two hundred ninety five of 358 patients were treated with RBL (82.4%), this treatment being effective in 98% of the patients after 180 days and very good after 36 months. There were 6/295 relapses at 36 months (2%). All minor and major complications were observed within the first 15 days of treatment: rectal tenesmus in 96/295 patients (32.5%), mild anal pain in 115/295 (38.9%), self-limited and mild bleeding after the detachment of the bands in 30/295 (10%), and febricula in one patient. Sixty three of 358 patients were treated with IRC (17.6%). In this group, relapses were observed in 6/63 patients (9.5%) at 36 months, all of them with grade III hemorrhoids that required additional treatment with RBL. All the complications (inherent to the technique) were observed within the first days: mild anal pain in 40/63 patients (63.4%) and mild bleeding in 1/63 (1.6%). The treatment with RBL or IRC

Prolotherapy: An Effective Treatment for Low Back Pain?

Science.gov (United States)

... pain? Is prolotherapy an effective treatment for chronic low back pain? Answers from Brent A. Bauer, M.D. Prolotherapy is ... reduced pain. Studies of prolotherapy in people with low back pain have had mixed results. A combination of prolotherapy ...

Individually dosed omalizumab: an effective treatment for severe peanut allergy.

Science.gov (United States)

Brandström, J; Vetander, M; Lilja, G; Johansson, S G O; Sundqvist, A-C; Kalm, F; Nilsson, C; Nopp, A

2017-04-01

Treatment with omalizumab has shown a positive effect on food allergies, but no dosages are established. Basophil allergen threshold sensitivity (CD-sens) can be used to objectively measure omalizumab treatment efficacy and correlates with the outcome of double-blind placebo-controlled food challenge to peanut. To evaluate whether individualized omalizumab treatment monitored by CD-sens could be an effective intervention for suppression of allergic reactions to peanut. Severely peanut allergic adolescents (n = 23) were treated with omalizumab for 8 weeks, and CD-sens was analysed before and after. Based on whether CD-sens was suppressed after 8 weeks, the patients either were subject to a peanut challenge or received eight more weeks with increased dose of omalizumab, followed by peanut challenge or another 8-week cycle of omalizumab. IgE and IgE-antibodies to peanut and its components were analysed before treatment. After individualized omalizumab treatment (8-24 weeks), all patients continued with an open peanut challenge with no (n = 18) or mild (n = 5) objective allergic symptoms. Patients (n = 15) needing an elevated omalizumab dose (ED) to suppress CD-sens had significantly higher CD-sens values at baseline 1.49 (0.44-20.5) compared to those (n = 8) who managed with normal dose (ND) 0.32 (0.24-5.5) (P omalizumab, monitored by CD-sens, is an effective and safe treatment for severe peanut allergy. The ratio of IgE-ab to storage protein Ara h 2/IgE as well as CD-sens to peanut may predict the need of a higher omalizumab dose. Clinical trials numbers: EudraCT; 2012-005625-78, ClinicalTrials.gov; NCT02402231. © 2016 John Wiley & Sons Ltd.

Observation of curative effect of 131I in treatment of hyperthyroidism

International Nuclear Information System (INIS)

Huang Kebin; Xu Fan; Zhang Yaping; Wang Jingchang; Zhao Mingli; Ye Ming

2012-01-01

Objective: To explore the curative effect of 131 I in the treatment of hyperthyroidism. Method: 126 patients with hyperthyroidism were treated with 131 I and the curative effect was analyzed. Result: The results showed that among 126 cases of hyperthyroidism treated with 131 I, 117 cases had recovered and the cure rate was 92.9%. 9 cases were found hypothyroidism in one-year follow-up and the occurrence rate was 7.1%. Conclusion: The treatment of hyperthyroidism with 131 I is safe and effective method. (authors)

Cost effective water treatment program in Heavy Water Plant (Manuguru)

International Nuclear Information System (INIS)

Mohapatra, C.; Prasada Rao, G.

2002-01-01

Water treatment technology is in a state of continuous evolution. The increasing urgency to conserve water and reduce pollution has in recent years produced an enormous demand for new chemical treatment programs and technologies. Heavy water plant (Manuguru) uses water as raw material (about 3000 m 3 /hr) and its treatment and management has benefited the plant in a significant way. It is a fact that if the water treatment is not proper, it can result in deposit formation and corrosion of metals, which can finally leads to production losses. Therefore, before selecting treatment program, complying w.r.t. quality requirements, safety and pollution aspects cost effectiveness shall be examined. The areas where significant benefits are derived, are raw water treatment using polyelectrolyte instead of inorganic coagulant (alum), change over of regenerant of cation exchangers from hydrochloric acid to sulfuric acid and in-house development of cooling water treatment formulation. The advantages and cost effectiveness of these treatments are discussed in detail. Further these treatments has helped the plant in achieving zero discharge and indirectly increased cost reduction of final product (heavy water); the dosage of 3 ppm of polyelectrolyte can replace 90 ppm alum at turbidity level of 300 NTU of raw water which has resulted in cost saving of Rs. 15-20 lakhs in a year beside other advantages; the change over of regenerant from HCl to H 2 SO 4 will result in cost saving of at least Rs.1.4 crore a year besides other advantages; the change over to proprietary formulation to in-house formulation in cooling water treatment has resulted in a saving about Rs.11 lakhs a year. To achieve the above objectives in a sustainable way the performance results are being monitored. (author)

Experimental Simulation of the Effects of an Initial Antibiotic Treatment on a Subsequent Treatment after Initial Therapy Failure

NARCIS (Netherlands)

Feng, Yanfang; Händel, Nadine; de Groot, Marnix H. P.; Brul, Stanley; Schultsz, Constance; ter Kuile, Benno H.

2014-01-01

Therapy failure of empirical antibiotic treatments prescribed by primary care physicians occurs commonly. The effect of such a treatment on the susceptibility to second line antimicrobial drugs is unknown. Resistance to amoxicillin was rapidly induced or selected in E. coli at concentrations

Effects of Different Treatments on Seed Germination Improvement of Calotropis persica

Directory of Open Access Journals (Sweden)

Asghar Farajollahi

2014-01-01

Full Text Available The purpose of this study was to investigate the effects of different treatments on seed germination in the desert plant species Calotropis persica (Gand.. This species is known to have long time for seed germination considering arid region condition and short time of access moist. An experiment was performed with 13 treatments and 4 replications in a completely randomized design. Treatments included KNO3 with concentrations of 0.1, 0.2, and 0.3 percent, immersion in hot water for five min, acetylsalicylic acid 100, 200, and 300 mg L−1, ethereal sulfuric acid (60% for 5 and 10 min, thiourea with concentrations of 0.1% and 0.3%, and prechilling for 10 days. Tap water was used as the control. Our findings indicate that KNO3 0.1% and 100 mg L−1 acetylsalicylic acid were the most effective treatments for improvement of seed germination properties in this species. In a comparison of the two mentioned treatment, KNO3 0.1% treatments is the best.

Cost-effectiveness analysis of treatments for vertebral compression fractures.

Science.gov (United States)

Edidin, Avram A; Ong, Kevin L; Lau, Edmund; Schmier, Jordana K; Kemner, Jason E; Kurtz, Steven M

2012-07-01

Vertebral compression fractures (VCFs) can be treated by nonsurgical management or by minimally invasive surgical treatment including vertebroplasty and balloon kyphoplasty. The purpose of the present study was to characterize the cost to Medicare for treating VCF-diagnosed patients by nonsurgical management, vertebroplasty, or kyphoplasty. We hypothesized that surgical treatments for VCFs using vertebroplasty or kyphoplasty would be a cost-effective alternative to nonsurgical management for the Medicare patient population. Cost per life-year gained for VCF patients in the US Medicare population was compared between operated (kyphoplasty and vertebroplasty) and non-operated patients and between kyphoplasty and vertebroplasty patients, all as a function of patient age and gender. Life expectancy was estimated using a parametric Weibull survival model (adjusted for comorbidities) for 858 978 VCF patients in the 100% Medicare dataset (2005-2008). Median payer costs were identified for each treatment group for up to 3 years following VCF diagnosis, based on 67 018 VCF patients in the 5% Medicare dataset (2005-2008). A discount rate of 3% was used for the base case in the cost-effectiveness analysis, with 0% and 5% discount rates used in sensitivity analyses. After accounting for the differences in median costs and using a discount rate of 3%, the cost per life-year gained for kyphoplasty and vertebroplasty patients ranged from $US1863 to $US6687 and from $US2452 to $US13 543, respectively, compared with non-operated patients. The cost per life-year gained for kyphoplasty compared with vertebroplasty ranged from -$US4878 (cost saving) to $US2763. Among patients for whom surgical treatment was indicated, kyphoplasty was found to be cost effective, and perhaps even cost saving, compared with vertebroplasty. Even for the oldest patients (85 years of age and older), both interventions would be considered cost effective in terms of cost per life-year gained.

Effects of stigma on Chinese women's attitudes towards seeking treatment for urinary incontinence.

Science.gov (United States)

Wang, Cuili; Li, Jingjing; Wan, Xiaojuan; Wang, Xiaojuan; Kane, Robert L; Wang, Kefang

2015-04-01

To examine whether and how stigma influences attitudes towards seeking treatment for urinary incontinence, and whether its effect varies by symptom severity. Urinary incontinence is prevalent among women, but few seek treatment. Negative attitudes towards urinary incontinence treatment inhibit from seeking care. Urinary incontinence is a stigmatised attribute. However, the relationship between stigma and attitudes towards seeking treatment for urinary incontinence has not been well understood. This was a cross-sectional community-based study. We enrolled a sample of 305 women aged 40-65 years with stress urinary incontinence from three communities in a Chinese city between May-October in 2011. Data were collected on socio-demographic characteristics, urinary incontinence symptoms, stigma and attitudes towards seeking treatment for urinary incontinence using a self-reported questionnaire. Effects of stigma were analysed using path analysis. Attitudes towards seeking treatment for urinary incontinence were generally negative. For the total sample, all the stigma domains of social rejection, social isolation and internalised shame had direct negative effects on treatment-seeking attitudes. The public stigma domain of social rejection also indirectly affected treatment-seeking attitudes through increasing social isolation, as well as through increasing social isolation and then internalised shame. The final model accounted for 28% of the variance of treatment-seeking attitudes. Symptom severity influenced the strength of paths: the effect of internalised shame was higher in women with more severe urinary incontinence. Stigma enhances the formation of negative attitudes towards seeking treatment for urinary incontinence; public stigma affects treatment-seeking attitudes through internalisation of social messages. Stigma reduction may help incontinent women to form positive treatment-seeking attitudes and engage them in treatment. Interventions should specifically target

Modelling the cost effectiveness of antidepressant treatment in primary care.

Science.gov (United States)

Revicki, D A; Brown, R E; Palmer, W; Bakish, D; Rosser, W W; Anton, S F; Feeny, D

1995-12-01

The aim of this study was to estimate the cost effectiveness of nefazodone compared with imipramine or fluoxetine in treating women with major depressive disorder. Clinical decision analysis and a Markov state-transition model were used to estimate the lifetime health outcomes and medical costs of 3 antidepressant treatments. The model, which represents ideal primary care practice, compares treatment with nefazodone to treatment with either imipramine or fluoxetine. The economic analysis was based on the healthcare system of the Canadian province of Ontario, and considered only direct medical costs. Health outcomes were expressed as quality-adjusted life years (QALYs) and costs were in 1993 Canadian dollars ($Can; $Can1 = $US0.75, September 1995). Incremental cost-utility ratios were calculated comparing the relative lifetime discounted medical costs and QALYs associated with nefazodone with those of imipramine or fluoxetine. Data for constructing the model and estimating necessary parameters were derived from the medical literature, clinical trial data, and physician judgement. Data included information on: Ontario primary care physicians' clinical management of major depression; medical resource use and costs; probabilities of recurrence of depression; suicide rates; compliance rates; and health utilities. Estimates of utilities for depression-related hypothetical health states were obtained from patients with major depression (n = 70). Medical costs and QALYs were discounted to present value using a 5% rate. Sensitivity analyses tested the assumptions of the model by varying the discount rate, depression recurrence rates, compliance rates, and the duration of the model. The base case analysis found that nefazodone treatment costs $Can1447 less per patient than imipramine treatment (discounted lifetime medical costs were $Can50,664 vs $Can52,111) and increases the number of QALYs by 0.72 (13.90 vs 13.18). Nefazodone treatment costs $Can14 less than fluoxetine

SU-E-T-387: Evaluation of Effective Treatment Depth in Skin Cancer Treatments with Xoft Electronic Brachytherapy

International Nuclear Information System (INIS)

Dragojevic, I; Hoisak, J

2015-01-01

Purpose: To evaluate changes in the percent depth dose (PDD) and effective depth of treatment based on exerted force by applicator on the skin during treatments of skin cancer with Xoft Electronic Brachytherapy. Methods: To simulate compressible tissue, 5mm tissue-equivalent bolus was used. An ion chamber (Soft X-ray Chamber, PTW) and electrometer (Max 4000, Standard Imaging) were used for output measurements. Measurements were done for all available Xoft surface applicators (10, 20, 35, and 50mm cones) with plastic endcap. Fig1 shows the experimental setup. The PDD was measured first with no or minimal pressure of the applicator on the bolus, followed by increasing uniform pressure on the applicator applied with custom cerrobend weights. The measurements were used to calculate the effective PDD and effective depth. Results: Force applied with the applicator was plotted against the change in PDD relative to the PDD when no force is applied. For the 10mm cone, moderate force of 5N can change the PDD by more than 20%, (Fig2). The effect is also pronounced for the 20mm cone, while it is minimal for the 35 and 50mm cones. Even when only moderate force is applied, the effective prescription depth can be changed by a several millimeters, which is on the order of the typical prescription depth (Fig3). Conclusion: Based on the results of this simulation, excessive pressure applied on the patient’s skin by the applicator cone can drastically alter the PDD and effective treatment depth. The effect is most pronounced for the 10mm cone, and to a lesser extent, 20mm, which is significant as these cones tend to be used most frequently in the clinic. Applicator placement therefore may Result in significant consequences such as excessive dose to target, severe skin reaction, permanent discoloration, skin indentation, and poor overall cosmesis upon completion of treatment

[Cost effectiveness in treatment of acute myeloid leukemia].

Science.gov (United States)

Nordmann, P; Schaffner, A; Dazzi, H

2000-12-23

Although the rise in health costs is a widely debated issue, in Switzerland it was until recently taken for granted that patients are given the best available treatment regardless of cost. An example of a disease requiring costly treatment is acute myelogenous leukaemia (AML). To relate cost to benefit we calculated expenditure per life years gained. To assess costs we determined the real cost of treatment up to total remission, followed by consolidation or withdrawal of treatment or death. For survival time exceeding the 2-year observation period we used data from recent literature. The average cost of treatment ranges up to 107,592 Swiss francs (CHF). In 1997 we treated 23 leukaemia patients at Zurich University Hospital and gained a total of 210 life years. This represents an average cost of CHF 11,741 per life year gained. Chief cost items were therapy and personnel costs for nursing staff, followed by hotel business and personnel costs for doctors and diagnosis. Our results for AML treatment are far removed from the $61,500 ranging up to $166,000 discussed in the literature as the "critical" QALY (quality adjusted life years) value. This is the first time the actual costs of AML therapy have been shown for a Swiss cohort. Despite high initial treatment costs and success only in a limited number of patients, the expenditure per QALY is surprisingly low and shows clearly the effectiveness of apparently costly acute medicine.

Erythromycin as a safe and effective treatment option for erythema annulare centrifugum

Directory of Open Access Journals (Sweden)

Fu-Chen Chuang

2015-01-01

Full Text Available Background: Erythema annulare centrifugum (EAC is an inflammatory dermatosis with unknown etiology. It is usually self-limited, but chronic disease may be difficult to treat. We observed incidentally the therapeutic effect of erythromycin for EAC among patients taking erythromycin for other diseases. Aim: To evaluate the treatment response of erythromycin for EAC. Materials and Methods: During the study period, from July 2007 to February 2011, all patients with EAC were assigned to erythromycin stearate tablet 1000 mg per day for two weeks. EAC was diagnosed by a constellation of clinical and pathological findings. The efficacy (before and after the treatment was assessed clinically by one dermatologist and photographically by two blinded dermatologists. Secondary outcomes included adverse drug effects and recurrence. Results: Eight patients were enrolled in this study. Most patients had chronic relapsing disease with poor response to previous treatment. All the patients showed rapid response with profound reduction in the size of lesion and erythema two weeks after initiation of erythromycin treatment. The response was so obvious and complete that a coincidental response was less likely. Three patients had recurrence of disease and they tended to have more extensive lesions. Readministration of erythromycin was effective. All patients tolerated the treatment well. Conclusion: Our study documented erythromycin as a safe and cost-effective treatment for EAC.

Cost effectiveness of intermittent screening followed by treatment versus intermittent preventive treatment during pregnancy in West Africa

DEFF Research Database (Denmark)

Fernandes, Silke; Sicuri, Elisa; Halimatou, Diawara

2016-01-01

$/DALY averted. Simulations show that cost-effectiveness of ISTp-AL increases as the efficacy of IPTp-SP decreases, though the specific threshold at which ISTp-AL becomes cost-effective depends on assumptions about the contribution of bed nets to malaria control, bed net coverage and the willingness......-to-pay threshold used.  Conclusions: At SP efficacy levels currently observed in the trial settings it would not be cost-effective to switch from IPTp-SP to ISTp-AL, mainly due to the substantially higher costs of ISTp-AL and limited difference in outcomes. The modelling results indicate thresholds below which IPT......Background: Emergence of high-grade sulfadoxine-pyrimethamine (SP) resistance in parts of Africa has led to growing concerns about the efficacy of intermittent preventive treatment of malaria during pregnancy (IPTp) with SP. The incremental cost-effectiveness of intermittent screening and treatment...

Adjusting for the Confounding Effects of Treatment Switching—The BREAK-3 Trial: Dabrafenib Versus Dacarbazine

Science.gov (United States)

Abrams, Keith R.; Amonkar, Mayur M.; Stapelkamp, Ceilidh; Swann, R. Suzanne

2015-01-01

Background. Patients with previously untreated BRAF V600E mutation-positive melanoma in BREAK-3 showed a median overall survival (OS) of 18.2 months for dabrafenib versus 15.6 months for dacarbazine (hazard ratio [HR], 0.76; 95% confidence interval, 0.48–1.21). Because patients receiving dacarbazine were allowed to switch to dabrafenib at disease progression, we attempted to adjust for the confounding effects on OS. Materials and Methods. Rank preserving structural failure time models (RPSFTMs) and the iterative parameter estimation (IPE) algorithm were used. Two analyses, “treatment group” (assumes treatment effect could continue until death) and “on-treatment observed” (assumes treatment effect disappears with discontinuation), were used to test the assumptions around the durability of the treatment effect. Results. A total of 36 of 63 patients (57%) receiving dacarbazine switched to dabrafenib. The adjusted OS HRs ranged from 0.50 to 0.55, depending on the analysis. The RPSFTM and IPE “treatment group” and “on-treatment observed” analyses performed similarly well. Conclusion. RPSFTM and IPE analyses resulted in point estimates for the OS HR that indicate a substantial increase in the treatment effect compared with the unadjusted OS HR of 0.76. The results are uncertain because of the assumptions associated with the adjustment methods. The confidence intervals continued to cross 1.00; thus, the adjusted estimates did not provide statistically significant evidence of a treatment benefit on survival. However, it is clear that a standard intention-to-treat analysis will be confounded in the presence of treatment switching—a reliance on unadjusted analyses could lead to inappropriate practice. Adjustment analyses provide useful additional information on the estimated treatment effects to inform decision making. Implications for Practice: Treatment switching is common in oncology trials, and the implications of this for the interpretation of the

Adjusting for the Confounding Effects of Treatment Switching-The BREAK-3 Trial: Dabrafenib Versus Dacarbazine.

Science.gov (United States)

Latimer, Nicholas R; Abrams, Keith R; Amonkar, Mayur M; Stapelkamp, Ceilidh; Swann, R Suzanne

2015-07-01

Patients with previously untreated BRAF V600E mutation-positive melanoma in BREAK-3 showed a median overall survival (OS) of 18.2 months for dabrafenib versus 15.6 months for dacarbazine (hazard ratio [HR], 0.76; 95% confidence interval, 0.48-1.21). Because patients receiving dacarbazine were allowed to switch to dabrafenib at disease progression, we attempted to adjust for the confounding effects on OS. Rank preserving structural failure time models (RPSFTMs) and the iterative parameter estimation (IPE) algorithm were used. Two analyses, "treatment group" (assumes treatment effect could continue until death) and "on-treatment observed" (assumes treatment effect disappears with discontinuation), were used to test the assumptions around the durability of the treatment effect. A total of 36 of 63 patients (57%) receiving dacarbazine switched to dabrafenib. The adjusted OS HRs ranged from 0.50 to 0.55, depending on the analysis. The RPSFTM and IPE "treatment group" and "on-treatment observed" analyses performed similarly well. RPSFTM and IPE analyses resulted in point estimates for the OS HR that indicate a substantial increase in the treatment effect compared with the unadjusted OS HR of 0.76. The results are uncertain because of the assumptions associated with the adjustment methods. The confidence intervals continued to cross 1.00; thus, the adjusted estimates did not provide statistically significant evidence of a treatment benefit on survival. However, it is clear that a standard intention-to-treat analysis will be confounded in the presence of treatment switching-a reliance on unadjusted analyses could lead to inappropriate practice. Adjustment analyses provide useful additional information on the estimated treatment effects to inform decision making. Treatment switching is common in oncology trials, and the implications of this for the interpretation of the clinical effectiveness and cost-effectiveness of the novel treatment are important to consider. If

Spasmodic dysphonia: onset, course, socioemotional effects, and treatment response.

Science.gov (United States)

Tanner, Kristine; Roy, Nelson; Merrill, Ray M; Sauder, Cara; Houtz, Daniel R; Smith, Marshall E

2011-07-01

This investigation explored the onset, progression, socioemotional effects, and treatment outcomes of spasmodic dysphonia (SD). A cross-sectional epidemiological approach was used to examine questionnaire responses from 150 individuals with SD. Symptoms of SD (mean age at onset, 46 years) began gradually in 76% of cases and were progressive (ie, failed to plateau) in 34% of cases. Botulinum toxin A (Botox) helped to attenuate voice symptoms in 91% of cases; however, the scores on the Voice-Related Quality of Life questionnaire (V-RQOL) were not associated with this effect. The V-RQOL scores improved with time since symptom onset, independent of age and treatment. The patients with only SD experienced onset, course, and progression of symptoms similar to those of the patients with SD and coexisting vocal tremor. The symptoms of SD begin gradually and worsen over time. New evidence indicates that SD symptoms may continue to progress without plateau in at least a subset of patients. Individuals with SD and coexisting vocal tremor experience symptom trajectories similar to those of patients with SD only. Although Botox may attenuate voice symptoms, these effects do not appear to be strongly related to the V-RQOL scores. These results provide new and valuable insights regarding the onset, course, progression, and treatment of SD.

Effect of technological treatments on bovine lactoferrin: An overview.

Science.gov (United States)

Franco, Indira; Pérez, María Dolores; Conesa, Celia; Calvo, Miguel; Sánchez, Lourdes

2018-04-01

Lactoferrin (LF) is a multifunctional protein that exerts important activities in the neonate through its presence in milk, and also in other external mucosas, acting as a defense protein of innate immunity. The addition of bovine LF to infant formula and also to other functional products and cosmetics has increased during the last decades. Consequently, it is essential to know the effect that the technological processes, necessary to elaborate those products, have on LF activity. In this study, we have revised the effect of classical treatments on lactoferrin structure and activity, such as heat treatment or drying, and also of emerging technologies, like high pressure or pulsed electric field. The results of the studies included in this review indicate that LF stability is dependent on its level of iron-saturation and on the characteristics of the treatment media. Furthermore, the studies revised here reveal that the non-thermal treatments are interesting alternatives to the traditional ones, as they protect better the structure and activity of lactoferrin. It is also clear the need for research on LF encapsulation by different ways, to protect its properties before it reaches the intestine. All this knowledge would allow designing processes less harmful for LF, thus maintaining all its functionality. Copyright © 2017 Elsevier Ltd. All rights reserved.

Detecting treatment-subgroup interactions in clustered data with generalized linear mixed-effects model trees.

Science.gov (United States)

Fokkema, M; Smits, N; Zeileis, A; Hothorn, T; Kelderman, H

2017-10-25

Identification of subgroups of patients for whom treatment A is more effective than treatment B, and vice versa, is of key importance to the development of personalized medicine. Tree-based algorithms are helpful tools for the detection of such interactions, but none of the available algorithms allow for taking into account clustered or nested dataset structures, which are particularly common in psychological research. Therefore, we propose the generalized linear mixed-effects model tree (GLMM tree) algorithm, which allows for the detection of treatment-subgroup interactions, while accounting for the clustered structure of a dataset. The algorithm uses model-based recursive partitioning to detect treatment-subgroup interactions, and a GLMM to estimate the random-effects parameters. In a simulation study, GLMM trees show higher accuracy in recovering treatment-subgroup interactions, higher predictive accuracy, and lower type II error rates than linear-model-based recursive partitioning and mixed-effects regression trees. Also, GLMM trees show somewhat higher predictive accuracy than linear mixed-effects models with pre-specified interaction effects, on average. We illustrate the application of GLMM trees on an individual patient-level data meta-analysis on treatments for depression. We conclude that GLMM trees are a promising exploratory tool for the detection of treatment-subgroup interactions in clustered datasets.

VEGETATIVE PROPAGATION OF Adansonia digitata (L.) USING ...

African Journals Online (AJOL)

Ridwan

Akinyele, A.O. (2007): Silvicultural requirement of seedlings of Buchholzia coriacea Engler. Unpublished PhD theses, submitted to the. Dept. of Forest Resources Management,. University of Ibadan, 20-34. Akinyele, A.O. (2010): Effects of growth hormones, rooting media and leaf size on juvenile stem cuttings of Buchholzia.

The EVERT (effective verruca treatments trial protocol: a randomised controlled trial to evaluate cryotherapy versus salicylic acid for the treatment of verrucae

Directory of Open Access Journals (Sweden)

Cockayne E Sarah

2010-02-01

Full Text Available Abstract Background Verrucae are a common, infectious and sometimes painful problem. The optimal treatment for verrucae is unclear due to a lack of high quality randomised controlled trials. The primary objective of this study is to compare the clinical effectiveness of two common treatments for verrucae: cryotherapy using liquid nitrogen versus salicylic acid. Secondary objectives include a comparison of the cost-effectiveness of the treatments, and an investigation of time to clearance of verrucae, recurrence/clearance of verrucae at six months, patient satisfaction with treatment, pain associated with treatment, and use of painkillers for the treatments. Methods/Design This is an open, pragmatic, multicentre, randomised controlled trial with two parallel groups: cryotherapy using liquid nitrogen delivered by a healthcare professional for a maximum of 4 treatments (treatments 2-3 weeks apart or daily self-treatment with 50% salicylic acid for a maximum of 8 weeks. Two hundred and sixty-six patients aged 12 years and over with a verruca are being enrolled into the study. The primary outcome is complete clearance of all verrucae as observed on digital photographs taken at 12 weeks compared with baseline and assessed by an independent healthcare professional. Secondary outcomes include self-reported time to clearance of verrucae, self-reported clearance of verrucae at 6 months, cost-effectiveness of the treatments compared to one another, and patient acceptability of both treatments including possible side effects such as pain. The primary analysis will be intention to treat. It is planned that recruitment will be completed by December 2009 and results will be available by June 2010. Trial registration Current Controlled Trials ISRCTN18994246.

Evaluating the effect of smoking cessation treatment on a complex dynamical system.

Science.gov (United States)

Bekiroglu, Korkut; Russell, Michael A; Lagoa, Constantino M; Lanza, Stephanie T; Piper, Megan E

2017-11-01

To understand the dynamic relations among tobacco withdrawal symptoms to inform the development of effective smoking cessation treatments. Dynamical system models from control engineering are introduced and utilized to evaluate complex treatment effects. We demonstrate how dynamical models can be used to examine how distinct withdrawal-related processes are related over time and how treatment influences these relations. Intensive longitudinal data from a randomized placebo-controlled smoking cessation trial (N=1504) are used to estimate a dynamical model of withdrawal-related processes including momentary craving, negative affect, quitting self-efficacy, and cessation fatigue for each of six treatment conditions (nicotine patch, nicotine lozenge, bupropion, patch + lozenge, bupropion + lozenge, and placebo). Estimation and simulation results show that (1) withdrawal measurements are interrelated over time, (2) nicotine patch + nicotine lozenge showed reduced cessation fatigue and enhanced self-efficacy in the long-term while bupropion + nicotine lozenge was more effective at reducing negative affect and craving, and (3) although nicotine patch + nicotine lozenge had a better initial effect on cessation fatigue and self-efficacy, nicotine lozenge had a stronger effect on negative affect and nicotine patch had a stronger impact on craving. This approach can be used to provide new evidence illustrating (a) the total impact of treatment conditions (via steady state values) and (b) the total initial impact (via rate of initial change values) on smoking-related outcomes for separate treatment conditions, noting that the conditions that produce the largest change may be different than the conditions that produce the fastest change. Copyright © 2017 Elsevier B.V. All rights reserved.

Barriers to prompt and effective malaria treatment among the poorest population in Kenya

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Okungu Vincent

2010-05-01

Full Text Available Abstract Background Prompt access to effective malaria treatment is central to the success of malaria control worldwide, but few fevers are treated with effective anti-malarials within 24 hours of symptoms onset. The last two decades saw an upsurge of initiatives to improve access to effective malaria treatment in many parts of sub-Saharan Africa. Evidence suggests that the poorest populations remain least likely to seek prompt and effective treatment, but the factors that prevent them from accessing interventions are not well understood. With plans under way to subsidize ACT heavily in Kenya and other parts of Africa, there is urgent need to identify policy actions to promote access among the poor. This paper explores access barriers to effective malaria treatment among the poorest population in four malaria endemic districts in Kenya. Methods The study was conducted in the poorest areas of four malaria endemic districts in Kenya. Multiple data collection methods were applied including: a cross-sectional survey (n = 708 households; 24 focus group discussions; semi-structured interviews with health workers (n = 34; and patient exit interviews (n = 359. Results Multiple factors related to affordability, acceptability and availability interact to influence access to prompt and effective treatment. Regarding affordability, about 40 percent of individuals who self-treated using shop-bought drugs and 42 percent who visited a formal health facility reported not having enough money to pay for treatment, and having to adopt coping strategies including borrowing money and getting treatment on credit in order to access care. Other factors influencing affordability were seasonality of illness and income sources, transport costs, and unofficial payments. Regarding acceptability, the major interrelated factors identified were provider patient relationship, patient expectations, beliefs on illness causation, perceived effectiveness of treatment, distrust in

Improvement of graphene field-effect transistors by hexamethyldisilazane surface treatment

International Nuclear Information System (INIS)

Chowdhury, Sk. Fahad; Sonde, Sushant; Rahimi, Somayyeh; Tao, Li; Banerjee, Sanjay; Akinwande, Deji

2014-01-01

We report the improvement of the electrical characteristics of graphene field-effect transistors (FETs) by hexamethyldisilazane (HMDS) treatment. Both electron and hole field-effect mobilities are increased by 1.5 × –2×, accompanied by effective residual carrier concentration reduction. Dirac point also moves closer to zero Volt. Time evolution of mobility data shows that mobility improvement saturates after a few hours of HMDS treatment. Temperature-dependent transport measurements show small mobility variation between 77 K and room temperature (295 K) before HMDS application. But mobility at 77 K is almost 2 times higher than mobility at 295 K after HMDS application, indicating reduced carrier scattering. Performance improvement is also observed for FETs made on hydrophobic substrate–an HMDS-graphene-HMDS sandwich structure. Raman spectroscopic analysis shows that G peak width is increased, G peak position is down shifted, and intensity ratio between 2D and G peaks is increased after HMDS application. We attribute the improvements in electronic transport mainly to enhanced screening and mitigation of adsorbed impurities from graphene surface upon HMDS treatment.

A novel design for randomized immuno-oncology clinical trials with potentially delayed treatment effects

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Pei He

2015-10-01

Full Text Available The semi-parametric proportional hazards model is widely adopted in randomized clinical trials with time-to-event outcomes, and the log-rank test is frequently used to detect a potential treatment effect. Immuno-oncology therapies pose unique challenges to the design of a trial as the treatment effect may be delayed, which violates the proportional hazards assumption, and the log-rank test has been shown to markedly lose power under the non-proportional hazards setting. A novel design and analysis approach for immuno-oncology trials is proposed through a piecewise treatment effect function, which is capable of detecting a potentially delayed treatment effect. The number of events required for the trial will be determined to ensure sufficient power for both the overall log-rank test without a delayed effect and the test beyond the delayed period when such a delay exists. The existence of a treatment delay is determined by a likelihood ratio test with resampling. Numerical results show that the proposed design adequately controls the Type I error rate, has a minimal loss in power under the proportional hazards setting and is markedly more powerful than the log-rank test with a delayed treatment effect.

THE EFFECTS OF INTERCRITICAL HEAT TREATMENTS ON THE ...

African Journals Online (AJOL)

Effect of intercritical heat treatment on 0.14wt%C 0.56wt%Mn 0.13wt%Si struc- ... Table 1: Chemical composition of the steel used (wt. %) with its critical temperature (calculated). C. Mn. Si. Ni. S ... primary austenitic grain size hardening and.

Effect of the transpalatal arch during extraction treatment.

Science.gov (United States)

Zablocki, Heather L; McNamara, James A; Franchi, Lorenzo; Baccetti, Tiziano

2008-06-01

The transpalatal arch (TPA) can be used as an adjunct during orthodontic treatment to help control the movement of the maxillary first molars in 3 dimensions, including producing molar rotation and uprighting, maintaining transverse dimensions posteriorly during treatment, and maintaining leeway spaces during the transition of the dentition. The purpose of this retrospective cephalometric study was to test an additional function of the TPA: its ability to enhance orthodontic anchorage during extraction treatment. Records consisting of pretreatment and posttreatment cephalograms were gathered from several orthodontic practices that used an .018 x .025-in preangulated appliance. All patients were white and had 4 first premolars extracted as part of their treatment protocol. Patients were treated either with or without a TPA of the soldered Goshgarian design. Patients were excluded if headgear or any other auxiliary anchorage device beside the TPA was used during treatment. Matched samples of 30 patients were identified based on sex, age at the start of treatment, treatment duration, and cervical vertebral maturation stage. Statistical comparisons were made with nonparametric statistical tests. Analysis of the changes from pretreatment to posttreatment for the TPA and the no-TPA groups showed no statistically significant differences in any of the variables examined. The net difference for both vertical and mesial movement of the maxillary first molar in relation to the maxilla between the 2 groups was 0.4 mm, with the no-TPA group in a more downward and forward position. Although the usefulness of the TPA for the abovementioned functions is not negated, it does not provide a significant effect on either the anteroposterior or the vertical position of the maxillary first molars during extraction treatment.

Effect of mastication and other mechanical treatments on fuel structure in chaparral

Science.gov (United States)

Brennan, Teresa J.; Keeley, Jon E.

2015-01-01

Mechanical fuel treatments are a common pre-fire strategy for reducing wildfire hazard that alters fuel structure by converting live canopy fuels to a compacted layer of dead surface fuels. Current knowledge concerning their effectiveness, however, comes primarily from forest-dominated ecosystems. Our objectives were to quantify and compare changes in shrub-dominated chaparral following crushing, mastication, re-mastication and mastication-plus-burning treatments, and to assess treatment longevity. Results from analysis of variance (ANOVA) identified significant differences in all fuel components by treatment type, vegetation type and time since treatment. Live woody fuel components of height, cover and mass were positively correlated with time since treatment, whereas downed woody fuel components were negatively correlated. Herbaceous fuels, conversely, were not correlated, and exhibited a 5-fold increase in cover across treatment types in comparison to controls. Average live woody fuel recovery was 50% across all treatment and vegetation types. Differences in recovery between time-since-treatment years 1–8 ranged from 32–65% and exhibited significant positive correlations with time since treatment. These results suggest that treatment effectiveness is short term due to the rapid regrowth of shrubs in these systems and is compromised by the substantial increase in herbaceous fuels. Consequences of not having a full understanding of these treatments are serious and leave concern for their widespread use on chaparral-dominated landscapes.

[Long-term effectiveness of psychodynamic outpatient treatment of addiction].

Science.gov (United States)

Steffen, D V; Werle, L; Steffen, R; Steffen, M; Steffen, S

2012-07-01

The aim of this study is to make an evaluation of the effectiveness of long-term outpatient treatment for addiction on the basis of abstinence, cognitive functions, and changes in personality structure. This is a prospective cohort study of 259 patients with registration of the German core data set "addiction", a 12-month follow-up and neuropsychological testing (personality inventory, intelligence and cognitive functions). One year after the end of the long-term treatment we see an abstinence rate (DGSS4) of 57.5 %. The most substantial factors in abstinence are the participation in a self-help-group (β = 0.734, p addiction seem to show its high effectiveness in terms of abstinence and processing of drug structures. The cognitive functions could increase. This could be determinate of a condition for the conservation and restoration of working capacity. Further studies should differentiate the effect of insight into the dependency structure from the abstinence as an specific or unspecific effect. © Georg Thieme Verlag KG Stuttgart · New York.

Effect of herb drug medicine Treatment for Functional Dyspepsia:Controlled Trial

Directory of Open Access Journals (Sweden)

Lee Jae-Jin

2009-06-01

Full Text Available Obejective : Functional dyspepsia is a prevalent disease. It impedes subjective quality of life. The purpose of this research is to examine the equivalent effect of herb drug medicine treatment(H-Dand Over the Counter(OTC for functional dyspepsia. Method : In this controlled study, we compared herb drug medicine(H-D with Over the Counter(OTC of functional dyspepsia. 30 volunteers who satisfied the requirements were enrolled in study. Severity of dyspepsia was measured by Nepean Dyspepsia Index(NDI-K before and after treatments. Result : The results are summarized as follows. 1. In Herb drug medicine and Over the Counter groups, total key symptoms score of after treatment were significantly decreased and improve rate of key symptoms was higher than before treatment, but there were no statistical significance between two groups. 2. In Herb drug medicine and Over the Counter groups, each symptoms score of after treatment were significantly decreased and improve rate of key symptoms was higher than before treatment, but there were no statistical significance between two groups. 3. In Herb drug medicine and Over the Counter groups, quality of life score of after treatment were significantly decreased and improve rate of key symptoms was higher than before treatment, but there were no statistical significance between two groups. Conclusion : Herb drug medicine treatment(H-D is effective to improve the symptoms and quality of life in patients with functional dyspepsia.

[Undesired treatment effects in behavior group therapy: Frequency and spectrum].

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Linden, M; Walter, M; Fritz, K; Muschalla, B

2015-11-01

Psychotherapy not only has positive but also negative effects, which is especially true for group psychotherapy due to psychodynamic and interactional processes. Using the UE-G questionnaire 71 patients who participated in cognitive behavioral group psychotherapy reported on negative experiences in the context of the group therapy. The answers were then validated in a qualitative interview. Of the patients 98.6% reported about at least one negative experience and 43.7% about severe or extremely severe negative experiences. Most prominent was the induction of hopelessness and demoralization by what patients saw and heard from other patients in the group. Burdensome and therefore undesired treatment effects are regularly seen in group psychotherapy, because of treatment or patient related factors. In any case they must be taken into account during treatment, in the training of group psychotherapists and in quality control.

Effect of different treatments on breaking dormancy of Teucrium polium

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alireza koochaki

2009-06-01

Full Text Available In order to evaluate effects of different treatments on breaking dormancy of Teucrium polium, an experiment was conducted with 3 replications in a completely randomized design. Seeds were subjected to different treatments including various levels of GA3, H2SO4, soaking with water and chilling. Germination of Teucrium polium increased with different concentrations of GA3. Percentage germination Maximum and rate was obtained at concentrations of 250, 1500 ppm (72h GA3 and combination of GA3 (1500ppm and chilling (5 ºC for a period of 14 days. GA3 (500ppm increased germination percentage but not germination rate. Soaking with water broke dormancy and induced 32% seed germination of Teucrium polium, but H2SO4, freezing (-10 ºC and combination of both treatments had no effect on dormancy.

Mediation and moderation of treatment effects in randomised controlled trials of complex interventions.

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Emsley, Richard; Dunn, Graham; White, Ian R

2010-06-01

Complex intervention trials should be able to answer both pragmatic and explanatory questions in order to test the theories motivating the intervention and help understand the underlying nature of the clinical problem being tested. Key to this is the estimation of direct effects of treatment and indirect effects acting through intermediate variables which are measured post-randomisation. Using psychological treatment trials as an example of complex interventions, we review statistical methods which crucially evaluate both direct and indirect effects in the presence of hidden confounding between mediator and outcome. We review the historical literature on mediation and moderation of treatment effects. We introduce two methods from within the existing causal inference literature, principal stratification and structural mean models, and demonstrate how these can be applied in a mediation context before discussing approaches and assumptions necessary for attaining identifiability of key parameters of the basic causal model. Assuming that there is modification by baseline covariates of the effect of treatment (i.e. randomisation) on the mediator (i.e. covariate by treatment interactions), but no direct effect on the outcome of these treatment by covariate interactions leads to the use of instrumental variable methods. We describe how moderation can occur through post-randomisation variables, and extend the principal stratification approach to multiple group methods with explanatory models nested within the principal strata. We illustrate the new methodology with motivating examples of randomised trials from the mental health literature.

Effectiveness of an antimicrobial treatment scheme in a confined glanders outbreak

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Saqib Muhammad

2012-11-01

Full Text Available Abstract Background Glanders is a contagious and fatal zoonotic disease of solipeds caused by the Gram-negative bacterium Burkholderia (B. mallei. Although regulations call for culling of diseased animals, certain situations e.g. wild life conservation, highly valuable breeding stock, could benefit from effective treatment schemes and post-exposure prophylaxis. Results Twenty three culture positive glanderous horses were successfully treated during a confined outbreak by applying a treatment protocol of 12 weeks duration based on the parenteral administration of enrofloxacin and trimethoprim plus sulfadiazine, followed by the oral administration of doxycycline. Induction of immunosupression in six randomly chosen horses after completion of treatment did not lead to recrudescence of disease. Conclusion This study demonstrates that long term treatment of glanderous horses with a combination of various antibiotics seems to eliminate the agent from the organism. However, more studies are needed to test the effectiveness of this treatment regime on B. mallei strains from different endemic regions. Due to its cost and duration, this treatment can only be an option in certain situations and should not replace the current “testing and culling” policy, in conjunction with adequate compensation to prevent spreading of disease.

Psychological factors and treatment effectiveness in resistant anxiety disorders in highly comorbid inpatients

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Ociskova M

2016-06-01

Full Text Available Marie Ociskova, Jan Prasko, Klara Latalova, Dana Kamaradova, Ales Grambal Department of Psychiatry, Olomouc University Hospital, Faculty of Medicine and Dentistry, Palacký University Olomouc, Czech Republic Background: Anxiety disorders are a group of various mental syndromes that have been related with generally poor treatment response. Several psychological factors may improve or hinder treatment effectiveness. Hope has a direct impact on the effectiveness of psychotherapy. Also, dissociation is a significant factor influencing treatment efficiency in this group of disorders. Development of self-stigma could decrease treatment effectiveness, as well as several temperamental and character traits. The aim of this study was to explore a relationship between selected psychological factors and treatment efficacy in anxiety disorders. Subjects and methods: A total of 109 inpatients suffering from anxiety disorders with high frequency of comorbidity with depression and/or personality disorder were evaluated at the start of the treatment by the following scales: the Mini-International Neuropsychiatric Interview, the Internalized Stigma of Mental Illness scale, the Adult Dispositional Hope Scale, and the Temperament and Character Inventory – revised. The participants, who sought treatment for anxiety disorders, completed the following scales at the beginning and end of an inpatient-therapy program: Clinical Global Impression (objective and subjective the Beck Depression Inventory – second edition, the Beck Anxiety Inventory, and the Dissociative Experiences Scale. The treatment consisted of 25 group sessions and five individual sessions of cognitive behavioral therapy or psychodynamic therapy in combination with pharmacotherapy. There was no randomization to the type of group-therapy program. Results: Greater improvement in psychopathology, assessed by relative change in objective Clinical Global Impression score, was connected with low initial

Identifying Treatment Effect Modifiers in the STarT Back Trial: A Secondary Analysis.

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Beneciuk, Jason M; Hill, Jonathan C; Campbell, Paul; Afolabi, Ebenezer; George, Steven Z; Dunn, Kate M; Foster, Nadine E

2017-01-01

Identification of patient characteristics influencing treatment outcomes is a top low back pain (LBP) research priority. Results from the STarT Back trial support the effectiveness of prognostic stratified care for LBP compared with current best care, however, patient characteristics associated with treatment response have not yet been explored. The purpose of this secondary analysis was to identify treatment effect modifiers within the STarT Back trial at 4-month follow-up (n = 688). Treatment response was dichotomized using back-specific physical disability measured using the Roland-Morris Disability Questionnaire (≥7). Candidate modifiers were identified using previous literature and evaluated using logistic regression with statistical interaction terms to provide preliminary evidence of treatment effect modification. Socioeconomic status (SES) was identified as an effect modifier for disability outcomes (odds ratio [OR] = 1.71, P = .028). High SES patients receiving prognostic stratified care were 2.5 times less likely to have a poor outcome compared with low SES patients receiving best current care (OR = .40, P = .006). Education level (OR = 1.33, P = .109) and number of pain medications (OR = .64, P = .140) met our criteria for effect modification with weaker evidence (.20 > P ≥ .05). These findings provide preliminary evidence for SES, education, and number of pain medications as treatment effect modifiers of prognostic stratified care delivered in the STarT Back Trial. This analysis provides preliminary exploratory findings about the characteristics of patients who might least likely benefit from targeted treatment using prognostic stratified care for LBP. Copyright © 2016 American Pain Society. Published by Elsevier Inc. All rights reserved.

Obesity and Surgical Treatment – A Cost-Effectiveness Assessment for Sweden

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Sixten Borg

2014-07-01

Full Text Available Background:The rising trend in the prevalence of obesity has during the past decades become a major public health concern in many countries, as obesity may lead to comorbidities and death. A frequent used marker for obesity is the Body Mass Index (BMI. The cost of treatment for obesity related diseases has become a heavy burden on national health care budget in many countries. While diet and exercise are the cornerstones of weight management, pharmaco­therapy is often needed to achieve and maintain desired weight loss.  In some cases of extreme obesity, bariatric surgery may be recommended. It is expected to increase by 50% in Sweden.Objective: The overall objective was to develop a cost-effectiveness model using the best available evidence to assess the cost-effectiveness of gastric bypass (GBP surgical treatments for obesity in adult patients, in comparison with conventional treatment (CT, in Sweden from a healthcare perspective. With the model we also seeked to identify the lower cut-off point using BMI criteria, for the surgical intervention to be cost-effective. Methods:A micro-simulation model with an underlying Markov methodology was developed, that simulates individual patients. It simulates the outcomes of the patients in terms of treatment costs, life years, and quality adjusted life years (QALY over his/her remaining lifetime. The costs are presented in SEK in the year 2006 price level (1 SEK ≈ 0.11 EUR ≈ 0.14 USD.Results: We estimated that the incremental cost per QALY gained will not exceed SEK 33,000 per QALY in patients with BMI < 35. In patients with BMI > 35 kg/m2, gastric bypass surgery has lower costs compared to conventional treatment. Conclusion: Gastric bypass surgery is a cost-effective intervention compared to conventional treatment consisting of watchful waiting, diet and exercise.

Adverse effects of parenteral dexamethasone in the treatment of pemphigus vulgaris