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Sample records for values indicating increased

  1. Cognitive Value of Financial Indicators

    Directory of Open Access Journals (Sweden)

    Gabriela Cristina FLOREA

    2012-11-01

    Full Text Available Economic and Financial indicators are very important tools in the assessment of the economic entity's well-being. They Provide permanent monitoring of the significance of the issues related to the economic activity's deployment. The main Objectives tracked by the process of managing the company with the help of Economic and Financial indicators is the activity's continuity, ensuring liquidity and Achieving positive results.

  2. MODERN INDICATORS DERIVED FROM VALUE CREATION AND DISCOUNTED

    Directory of Open Access Journals (Sweden)

    Cican Simona

    2013-07-01

    In this article, we will present the connection between discounted cash flow methods and the indicators derived from value creation, based on the business finance theory, which says that firm value will increase if projects with positive net present value are accepted, while it will be destroyed if projects with negative net present value are accepted.

  3. Caudate Microstimulation Increases Value of Specific Choices.

    Science.gov (United States)

    Santacruz, Samantha R; Rich, Erin L; Wallis, Joni D; Carmena, Jose M

    2017-11-06

    Value-based decision-making involves an assessment of the value of items available and the actions required to obtain them. The basal ganglia are highly implicated in action selection and goal-directed behavior [1-4], and the striatum in particular plays a critical role in arbitrating between competing choices [5-9]. Previous work has demonstrated that neural activity in the caudate nucleus is modulated by task-relevant action values [6, 8]. Nonetheless, how value is represented and maintained in the striatum remains unclear since decision-making in these tasks relied on spatially lateralized responses, confounding the ability to generalize to a more abstract choice task [6, 8, 9]. Here, we investigate striatal value representations by applying caudate electrical stimulation in macaque monkeys (n = 3) to bias decision-making in a task that divorces the value of a stimulus from motor action. Electrical microstimulation is known to induce neural plasticity [10, 11], and caudate microstimulation in primates has been shown to accelerate associative learning [12, 13]. Our results indicate that stimulation paired with a particular stimulus increases selection of that stimulus, and this effect was stimulus dependent and action independent. The modulation of choice behavior using microstimulation was best modeled as resulting from changes in stimulus value. Caudate neural recordings (n = 1) show that changes in value-coding neuron activity are stimulus value dependent. We argue that caudate microstimulation can differentially increase stimulus values independent of action, and unilateral manipulations of value are sufficient to mediate choice behavior. These results support potential future applications of microstimulation to correct maladaptive plasticity underlying dysfunctional decision-making related to neuropsychiatric conditions. Copyright © 2017 Elsevier Ltd. All rights reserved.

  4. ECONOMIC VALUE ADDED AND MARKET VALUE ADDED - MODERN INDICATORS FOR ASSESSMENT THE FIRM’S VALUE

    Directory of Open Access Journals (Sweden)

    NICOLAE SICHIGEA

    2015-12-01

    Full Text Available The financial theory developed different categories of indicators - traditional and modern - in order to evaluate the firm’s value creation. The shareholders are directly interested by the value added in the company. The value creation is a complex process that implies correct decisions, common responsibility (managers and shareholders and actions towards an efficient and profitable activity. The traditional indicators of performance are not teoritically correlated with the the value creation and in these circumstances, should be used appropriate financial indicators in order to reflect the value of the company. Therefore, the modern indicators used in the value based management framework offer a greater flexibility and efficiency and represent a good alternative for companies. Such performance indicators used to measure the financial results correlated with shareholder wealth are the Economic Value Added (EVA, as a measure of internal performance and the Market Value Added (MVA as a measure of external performance of the company. Starting from the main deficiencies of the accounting indicators, the objective of this this study is to present the relationship between EVA and MVA and their implications on firms’valuation. Thus, the presentation and analysis of these indicators – EVA and MVA - will underline the main features, their correlations, and influence factors but also the main advantage and disadvantage of each indicator, which will enable the managers to make the correct choice and subsequently the best decision regarding the performance measures.

  5. Bone marrow examination: Indications and diagnostic value

    International Nuclear Information System (INIS)

    Bashawri, Layla A.

    2002-01-01

    Objective was to identify the main indications for bone marrow examination in a University hospital setup and the most common diagnoses encountered. To also identify the extent of correlation, if any, between the preliminary diagnosis and the result of the final bone marrow diagnosis. The requests and reports of all bone marrow biopsies and aspirations carried out during a 12-year period from January 1988 through to December 1999, in King Fahd Hospital of the University, Al Khobar, Kingdom of Saudi Arabia were retrospectively reviewed. The information extracted included the main indications for performing this procedure, age groups involved, and the most common diagnoses encountered. A specially designed form was used for this purpose and the data was analyzed using the statistical package for social sciences. Randomly selected slides of the most common diagnoses were reviewed to concur with the diagnosis. There was a total of 1813 bone marrow biopsies or aspirations, or both, performed. The main indications for bone marrow examination in a descending order of frequency were the following: The diagnosis and management of acute leukemia 403 (22.2%), staging for lymphoma 276 (15.2%), evaluation of pancytopenia 215 (11.9%), thrombocytopenia 173 (9.5%), investigation of anemia 151 (8.3%), fever (pyrexia of unknown origin) 130 (7.2%), lymphadenopathy 120 (6.6%), and hepatosplenomegaly 80 (4.4%). The most common diagnoses encountered were: acute lymphoblastic leukemia 242 (13.3%), immune thrombocytopenia 123 (6.8%), acute myeloblastic leukemia 80 (4.4%), hypersplenism 79 (4.4%), chronic granulocytic leukemia 73 (4.0%), megaloblastic anemia 66 (3.6%), bone marrow positive for lymphomatous infiltration 63 (3.5%), chronic lymphocytic leukemia 40 (2.2%), and multiple myeloma 32 (1.8%). This study confirms that bone marrow examination is a very important investigation for establishing the diagnosis in many conditions, especially hematological neoplasms. The most common

  6. Complexity index indicates refinery capability, value

    International Nuclear Information System (INIS)

    Johnston, D.

    1996-01-01

    Refinery size usually is measured in terms of distillation capacity. Relative size, however, can be measured using refinery complexity--a concept developed by W.L. Nelson in the 1960s. Nelson developed the complexity index to quantify the relative cost of components that make up a refinery. It is a pure cost index that provides a relative measure of the construction costs of a particular refinery based on its crude and upgrading capacity. The Nelson index compares the costs of various upgrading units--such as a fluid catalytic cracking (FCC) unit or a catalytic reformer--to the cost of a crude distillation unit. Computation of the index is an attempt to quantify the relative cost of a refinery based on the added cost of various upgrading units and the relative upgrading capacity. A review of complexity calculations, and an explanation of how indices have changed, provide a simple means of determining the complexity of single refineries or refining regions. The impact of complexity on product slate is also examined in this paper

  7. Increasing the biological value of dietary cutlets

    OpenAIRE

    SYZDYKOVA L.S.; DIKHANBAYEVA F.T.; BAZYLHANOVA E.CH

    2015-01-01

    Relevance of work: meat products are the main source of the proteins, necessary for activity of the person. In this article is determined the biological value of the cutlets with dietary properties. The purpose of this work is development of the production technology of dietary cutlets in branches of public catering and determination of their biological value. As a result of work dietary cutlets with the increased biological value due to addition of oatmeal are received.

  8. Morality salience increases adherence to salient norms and values

    NARCIS (Netherlands)

    Gailliot, M.T.; Stillman, T.F.; Schmeichel, B.J.; Maner, J.K.; Plant, E.A.

    2008-01-01

    Four studies indicate that mortality salience increases adherence to social norms and values, but only when cultural norms and values are salient. In Study 1, mortality salience coupled with a reminder about cultural values of egalitarianism reduced prejudice toward Blacks among non-Black

  9. Ritual as Indicative as of code as Values Ritual as Indicative as of code as Values

    Directory of Open Access Journals (Sweden)

    Cristina Maria Teixeira

    2008-04-01

    Full Text Available Undoubtedly, the ritualistic connotation of Hemingway's work, and particularly of his short stories in IN OUR TIME, is very strong and worth analysing. Hemingway has even been criticized for his use of an unvarying code, his action almost always circling about ordeals, with triumphs and defeats in the bullring, the battlefield, the trout stream or other male proving grounds, where great value is placed on raw physical courage. Undoubtedly, the ritualistic connotation of Hemingway's work, and particularly of his short stories in IN OUR TIME, is very strong and worth analysing. Hemingway has even been criticized for his use of an unvarying code, his action almost always circling about ordeals, with triumphs and defeats in the bullring, the battlefield, the trout stream or other male proving grounds, where great value is placed on raw physical courage.

  10. The increasing value of education to health.

    Science.gov (United States)

    Goldman, Dana; Smith, James P

    2011-05-01

    This paper assesses how the relationship between health and educational attainment has changed over the last three decades. We examine trends in disease prevalence and self-reported health using the US National Health Interview Survey for five chronic conditions-arthritis, diabetes, heart disease, hypertension, and lung diseases. The sample is limited to non-Hispanic Whites ages 40-64 to focus on the value of education and not changing representation of minority populations. We find that health benefits associated with additional schooling rose over time by more than ten percentage points as measured by self-reported health status. This can be attributed to both a growing disparity by education in the probability of having major chronic diseases during middle age, and better health outcomes for those with each disease. The value of education in achieving better health has increased over the last 25 years; both in protecting against onset of disease and promoting better health outcomes amongst those with a disease. Besides better access to health insurance, the more educated increasingly adapted better health behaviors, particularly not smoking and engaging in vigorous exercise, and reaped the benefits of improving medical technology. Rising health disparities by education are an important social concern which may require targeted interventions. Copyright © 2011 Elsevier Ltd. All rights reserved.

  11. Increasing the Operational Value of Event Messages

    Science.gov (United States)

    Li, Zhenping; Savkli, Cetin; Smith, Dan

    2003-01-01

    Assessing the health of a space mission has traditionally been performed using telemetry analysis tools. Parameter values are compared to known operational limits and are plotted over various time periods. This presentation begins with the notion that there is an incredible amount of untapped information contained within the mission s event message logs. Through creative advancements in message handling tools, the event message logs can be used to better assess spacecraft and ground system status and to highlight and report on conditions not readily apparent when messages are evaluated one-at-a-time during a real-time pass. Work in this area is being funded as part of a larger NASA effort at the Goddard Space Flight Center to create component-based, middleware-based, standards-based general purpose ground system architecture referred to as GMSEC - the GSFC Mission Services Evolution Center. The new capabilities and operational concepts for event display, event data analyses and data mining are being developed by Lockheed Martin and the new subsystem has been named GREAT - the GMSEC Reusable Event Analysis Toolkit. Planned for use on existing and future missions, GREAT has the potential to increase operational efficiency in areas of problem detection and analysis, general status reporting, and real-time situational awareness.

  12. Values of Kp Indices, Ap Indices, Cp Indices, C9 Indices, Sunspot Number, and 10.7 cm Flux

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — This data file consists of Kp indices, Ap indices, Cp indices, C9 indices, sunspot number, and 10.7 cm flux. The most often requested parameter of this file are the...

  13. Value of timber continues to increase

    International Nuclear Information System (INIS)

    Haluza, I.

    2007-01-01

    The state owned company, Lesy SR (state forests) enjoys great power in the timber industry. It can influence which timber processing companies in Slovakia will be successful and which will not have easy access to the raw material. It manages half of the forests in Slovakia. It is the only seller of timber in this country. Four years ago, the former cabinet appointed banker, Karol Vins, as the director of the company. And he started making changes. He centralized the timber business and thousands of people left the company. The goal was clear -to increase quality and efficiency. The economic performance of the company improved. The company has finally managed to post a profit. Last year, the government changed and so has the director of the company The former banker was replaced by a new head from a forestry research background, Jozef Mindas. He approves of some of the changes introduced by his predecessor and plans to continue implementing them, although there also those he would like to change. The new manager is not concerned regarding the big change from research where he used to work in the past to director of a big company and rejects the allegation that he was nominated by HZDS. I was approached as an expert and I won a tender. I have never been a member of a political party, he stated. He appreciates that his predecessor managed to revitalize the company, which was assisted by the positive effect of out-sourcing. But on the other hand, during transformation forests were not divided up correctly. The division into units did not always take into account the specific requirements of forestry, i.e. some employees in forest units have too much work and some, working in another forest unit, less. We have to make sure that the workload is approximately at the same level everywhere. He is aware of the fact that Lesy SR, which controls two thirds of the timber market, effectively decides which factory will succeed and which one will not. But he adds that Lesy SR do

  14. Increased nutritional value in food crops.

    Science.gov (United States)

    Goicoechea, Nieves; Antolín, M Carmen

    2017-09-01

    Modern agriculture and horticulture must combine two objectives that seem to be almost mutually exclusive: to satisfy the nutritional needs of an increasing human population and to minimize the negative impact on the environment. These two objectives are included in the Goal 2 of the 2030 Agenda for Sustainable Development of the United Nations: 'End hunger, achieve food security and improved nutrition and promote sustainable agriculture'. Enhancing the nutritional levels of vegetables would improve nutrient intake without requiring an increase in consumption. In this context, the use of beneficial rhizospheric microorganisms for improving, not only growth and yield, but also the nutrient quality of crops represents a promising tool that may respond to the challenges for modern agriculture and horticulture and represents an alternative to the genetic engineering of crops. This paper summarizes the state of the art, the current difficulties associated to the use of rhizospheric microorganisms as enhancers of the nutritional quality of food crops as well as the future prospects. © 2017 The Authors. Microbial Biotechnology published by John Wiley & Sons Ltd and Society for Applied Microbiology.

  15. Identifying Value Indicators and Social Capital in Community Health Partnerships

    Science.gov (United States)

    Hausman, Alice J.; Becker, Julie; Brawer, Rickie

    2005-01-01

    Increasingly, public health practice is turning to the application of community collaborative models to improve population health status. Despite the growth of these activities, however, evaluations of the national demonstrations have indicated that community health partnerships fail to achieve measurable results and struggle to maintain integrity…

  16. Predicting community sensitivity to ozone, using Ellenberg Indicator values

    Energy Technology Data Exchange (ETDEWEB)

    Jones, M. Laurence M. [Centre for Ecology and Hydrology Bangor, Orton Building, Deiniol Road, Bangor, Gwynedd LL57 2UP (United Kingdom)]. E-mail: lj@ceh.ac.uk; Hayes, Felicity [Centre for Ecology and Hydrology Bangor, Orton Building, Deiniol Road, Bangor, Gwynedd LL57 2UP (United Kingdom)]. E-mail: fhay@ceh.ac.uk; Mills, Gina [Centre for Ecology and Hydrology Bangor, Orton Building, Deiniol Road, Bangor, Gwynedd LL57 2UP (United Kingdom)]. E-mail: gmi@ceh.ac.uk; Sparks, Tim H. [Centre for Ecology and Hydrology Monks Wood, Abbots Ripton, Huntingdon, Cambridgeshire PE28 2LS (United Kingdom)]. E-mail: ths@ceh.ac.uk; Fuhrer, Juerg [Swiss Federal Research Station for Agroecology and Agriculture (FAL), Air Pollution/Climate Group, Reckenholzstrasse 191, CH-8046 Zurich (Switzerland)]. E-mail: juerg.fuhrer@fal.admin.ch

    2007-04-15

    This paper develops a regression-based model for predicting changes in biomass of individual species exposed to ozone (RS{sub p}), based on their Ellenberg Indicator values. The equation (RS{sub p}=1.805-0.118Light-0.135Salinity) underpredicts observed sensitivity but has the advantage of widespread applicability to almost 3000 European species. The model was applied to grassland communities to develop two further predictive tools. The first tool, percentage change in biomass (ORI%) was tested on data from a field-based ozone exposure experiment and predicted a 27% decrease in biomass over 5 years compared with an observed decrease of 23%. The second tool, an index of community sensitivity to ozone (CORI), was applied to 48 grassland communities and suggests that community sensitivity to ozone is primarily species-driven. A repeat-sampling routine showed that nine species were the minimum requirement to estimate CORI within 5%.

  17. Increased anisotropy in neonatal meningitis: an indicator of meningeal inflammation

    International Nuclear Information System (INIS)

    Trivedi, Richa; Gupta, Rakesh K.; Nath, Kavindra; Malik, Gyanendra K.; Gupta, Amit; Prasad, Kashi N.; Purwar, Ankur; Rathore, Divya; Rathore, Ram K.S.; Narayana, Ponnada A.

    2007-01-01

    Increased anisotropy in brain abscesses has been shown to be due to adhesion of inflammatory cells and is suggestive of an active inflammatory process. The objective of this study was to determine if similar changes occur in the pia-arachnoid on the surface of the cerebral cortex in patients with pyogenic meningitis, and if these changes regress following antibiotic therapy. Diffusion tensor imaging (DTI) was performed on 14 term neonates (mean age 13 days) with bacterial meningitis and 10 healthy age- and sex-matched controls. Regions of interest (ROIs) were placed on areas including the leptomeninges, the cerebral cortex and adjoining subcortical white matter for quantitation of mean fractional anisotropy (FA) and diffusivity (MD) values. Follow-up MRI was performed in five of the neonates in the patient group after 2 weeks of antibiotic treatment. FA and MD values were compared in patients before and after antibiotic treatment as well as with those in the healthy controls. Significantly higher FA values but no difference in MD values were observed in the patient group as compared to the healthy controls at both time points (before and after antibiotic treatment). Significantly decreased FA values in the frontal, occipital and temporal cortical regions were observed in patients following antibiotic treatment. DTI-derived FA may be of value in the noninvasive assessment of meningeal inflammatory activity and treatment response in neonates. (orig.)

  18. Increased anisotropy in neonatal meningitis: an indicator of meningeal inflammation

    Energy Technology Data Exchange (ETDEWEB)

    Trivedi, Richa; Gupta, Rakesh K.; Nath, Kavindra [Sanjay Gandhi Post Graduate Institute of Medical Sciences, Department of Radiodiagnosis, Lucknow, UP (India); Malik, Gyanendra K.; Gupta, Amit [King George' s Medical University, Department of Pediatrics, Lucknow (India); Prasad, Kashi N. [Sanjay Gandhi Postgraduate Institute of Medical Sciences, Department of Microbiology, Lucknow (India); Purwar, Ankur; Rathore, Divya; Rathore, Ram K.S. [Indian Institute of Technology, Department of Mathematics, Kanpur (India); Narayana, Ponnada A. [University of Texas Medical School at Houston, Department of Diagnostic and Interventional Imaging, Houston, TX (United States)

    2007-09-15

    Increased anisotropy in brain abscesses has been shown to be due to adhesion of inflammatory cells and is suggestive of an active inflammatory process. The objective of this study was to determine if similar changes occur in the pia-arachnoid on the surface of the cerebral cortex in patients with pyogenic meningitis, and if these changes regress following antibiotic therapy. Diffusion tensor imaging (DTI) was performed on 14 term neonates (mean age 13 days) with bacterial meningitis and 10 healthy age- and sex-matched controls. Regions of interest (ROIs) were placed on areas including the leptomeninges, the cerebral cortex and adjoining subcortical white matter for quantitation of mean fractional anisotropy (FA) and diffusivity (MD) values. Follow-up MRI was performed in five of the neonates in the patient group after 2 weeks of antibiotic treatment. FA and MD values were compared in patients before and after antibiotic treatment as well as with those in the healthy controls. Significantly higher FA values but no difference in MD values were observed in the patient group as compared to the healthy controls at both time points (before and after antibiotic treatment). Significantly decreased FA values in the frontal, occipital and temporal cortical regions were observed in patients following antibiotic treatment. DTI-derived FA may be of value in the noninvasive assessment of meningeal inflammatory activity and treatment response in neonates. (orig.)

  19. Requests for body computed tomography: increasing workload, increasing indications and increasing age

    International Nuclear Information System (INIS)

    Toms, A.P.; Cash, C.J.C.; Dixon, A.K.; Linton, S.J.

    2001-01-01

    Increasing numbers of increasingly elderly patients were being examined in our Body CT department. At the same time, some of our clinical colleagues perceived that their patients might be discriminated against on the basis of their age when allocating CT time. We therefore studied the population trends in our department over a 10-year period. The ages of patients attending the Body CT department were collected from the hospital's computer information system from 1995 to 2000 and from handwritten logbooks for the months of September 1988 and 1998. Comparison was made with population trends within the hospital and local demographic data. There has been an average increase of 11% per annum in the number of examinations performed in the Body CT unit. The average age of patients examined increased from 52.7 years in 1988 to 58.9 years in 1998. The largest increase occurred in the over 75-year population (18% rise per annum). Hospital and local demographic population profiles changed little during the same period. We are performing increasing numbers of body CT examinations on increasingly elderly patients. This is probably due to an increased willingness to investigate and treat elderly patients, rather than changes in the local population. There is no evidence of a general discriminatory policy on the basis of age. (orig.)

  20. Value and indication of radiotherapy in the endometrical carcinoma

    International Nuclear Information System (INIS)

    Kucera, H.

    1991-01-01

    Today the endometrial carcinoma is the most frequent malignant tumor found in female genital tract. Endometrial carcinoma ought to be operated in all cases, if possible. Traditionally some form of adjuvant radiotherapy has been given. Despite the large number of patients treated by combined therapy over the last 30 years, surprisingly there is a lack of hard data on which to establish a theory for an improved outcome. It is generally accepted that the risk of local relapses in the vagina is lowered when postoperative vaginal irradiation is applied. The question of the value of additional external irradiation in stage I endometrial cancer still is unsetteled. Only two prospective studies led to the conclusion that only patients with poorly differentiated tumors and with deep infiltration of the myometrium might benefit from additional external radiotherapy. Therefore a simple score for these risk factors is proposed enabling assignment into patient groups of similar risk on the base of a point system due to individual prognostic factors. With a score of one to two points prognosis is very good and adjuvant irradiation seems not to be necessary. With three to four points local vaginal irradiation is recommended, with five and more points additionally external beam irradiation to the pelvis should be given. This is necessary in more than the half of the operated cases of endometrial carcinoma. The indication for such a treatment has become more individual and 'high risk' cases are treated more intensively, but 'low risk' cases have to be excepted from unnecessary adjuvant therapy. In order to judge an individual case of endometrial cancer histopathologic prognosticators have to be considered. Typical adenocarcinomas have a five-year survival of more than 80%, but unfavourable subtypes (adenosquamous, clearcell, serous-papillary carcinoms) of only 40%, respectively. Tumorgrading and depth of myometrial invasion are of high importance for individual prognosis. (orig

  1. Financial and estimating indicators for assessment of mortgage lending value

    Directory of Open Access Journals (Sweden)

    Antonio Benvenuti

    2013-08-01

    Full Text Available The article proposes a calculation criteria for the determination of the mortgage lending value which originates from the application of the financial method (direct capitalisation, by adopting a capitalisation rate calculated by means of the Debt Coverage Ratio (DCR, taking into consideration the criteria set out by the mortgage lending value, that is (i prudent appreciation of the future marketability, (ii normal and local market conditions, (iii current use and (iv long-term sustainability of the property.

  2. The Role and Implications of the Added Value as an Indicator of Financial Performance

    Directory of Open Access Journals (Sweden)

    Cornelia Tureac

    2014-02-01

    Full Text Available The added value represents the excess of income over the value of consumptions coming from third parties, respectively the wealth created by capitalizing the technical, human and financial resources of the company. The economy is an established running after the optimal decision; so there cannot exist and economy without leadership, so there cannot be leadership without analysis, respectively the analysis of added value. This paper deals with a comparative analysis of three years, ie 2010 – 2012, of the added value from within Thomson Logistic Ltd which has 3 working points in Galati, Ploiesti and Targul Neamt. The analysis of added value is important both from the company‘s manager as an indicator for financial performance, and in terms of tax which is an indicator in the system of taxation. The methodology of this paper can be found in the use and application of the economical and financial analysis in order to perform an analysis of the added value that expresses the increase of wealth that is achieved through technical and productive activity. More specifically there were analyzed the added value, expenses of added value nature, structure of added value, growth indices of the corresponding elements of VA and the analysis from factorial point of view of the added value. In conclusion the growth rate of added value exceeded in dynamic the production value of the exercise (77.7>66.81; 31.21>31.17 because the intermediate consumption from third parties increased in 2011, and the added value decreases to an percentage of 22.30 % compared to the basis year in 2010. The result of exploitation had a decisive contribution to the decline in the added value, registering a drop of 88.05 % compared to 2011, respectively from 11705.2 Ron to 1399 Ron in 2012.

  3. [Current value, technic and indications for obstetrical operations].

    Science.gov (United States)

    Bayer, H

    1983-01-01

    Starting point of this survey is the 1954 paper about obstetrical operations from H. Kraatz. It is demonstrated, that there were and there are defined principles, which continue to exist unchanged. They are the fundamentals of indication and technique of operations in obstetrics. Nevertheless there are distinct changes, too, caused by two factors, progress in medicine (development of antibiotics, anaesthesiology and neonatology) as well as change of aspect in obstetrics (e.g. toxemias of pregnancy, preterm labour). The methods are discussed in detail. Operations by vaginal route come in the foreground in the last years more again. They should be preferred in maternal interest. The enlarged indication for caesarean section was not able to succeed on a large scale. An uniform procedure is proposed both in cephalic and breech presentation, and the new formulated preconditions to these operations are discussed. All three techniques two abdominal ones and one vaginal one) are demanded in caesarean sections, because they come into question in special situations. There is a change in operative indications in cases of bleeding, because of an early diagnosis by ultrasound. The qualification and experience of the obstetrician is more decisive than the selected method of operation or the instrument's type. Therefore there should not be any cut in instruction and training. The versatility of operative technique is a prerequisite to a qualified indication.

  4. Opportunities for Increasing Societal Value of Remote Sensing Data ...

    African Journals Online (AJOL)

    Opportunities for Increasing Societal Value of Remote Sensing Data in South Africa's Strategic Development Priorities: A Review. ... Despite the enormous capital required to fund remote sensing initiatives, governments ... HOW TO USE AJOL.

  5. Comparing the rankings obtained from two biodiversity indices: the Fair Proportion Index and the Shapley Value.

    Science.gov (United States)

    Wicke, Kristina; Fischer, Mareike

    2017-10-07

    The Shapley Value and the Fair Proportion Index of phylogenetic trees have been frequently discussed as prioritization tools in conservation biology. Both indices rank species according to their contribution to total phylogenetic diversity, allowing for a simple conservation criterion. While both indices have their specific advantages and drawbacks, it has recently been shown that both values are closely related. However, as different authors use different definitions of the Shapley Value, the specific degree of relatedness depends on the specific version of the Shapley Value - it ranges from a high correlation index to equality of the indices. In this note, we first give an overview of the different indices. Then we turn our attention to the mere ranking order provided by either of the indices. We compare the rankings obtained from different versions of the Shapley Value for a phylogenetic tree of European amphibians and illustrate their differences. We then undertake further analyses on simulated data and show that even though the chance of two rankings being exactly identical (when obtained from different versions of the Shapley Value) decreases with an increasing number of taxa, the distance between the two rankings converges to zero, i.e., the rankings are becoming more and more alike. Moreover, we introduce our freely available software package FairShapley, which was implemented in Perl and with which all calculations have been performed. Copyright © 2017 Elsevier Ltd. All rights reserved.

  6. Knowledge in Value Creation Process for Increasing Competitive Advantage

    Directory of Open Access Journals (Sweden)

    Anna ZÁVODSKÁ

    2012-12-01

    Full Text Available The aim of this paper is to compare companies by using value creation model and to determine knowledge in these processes. The framework for the value creation process shows problems of case companies in different phases of this process. Knowledge is compared in each of the individual phases of the process and its role in different types of companies. There is identified role of knowledge for increasing competitive advantage. The methodology involves case study from which data are derived and analyzed. The analysis shows that the framework for the value creation process can be used as an analytical tool for value overview in different phases and there is a need for different approaches to improve business and create new value for customers. Based on the analyzed problems, proposed recommendations for improvement are made. These recommendations are based on providing value innovation for customers (end users of software product. Value innovation of software product is considered as crucial for improvement of the companies in machinery industry. Company A has created new value through remote service. This remote service provides several advantages. Customers can prevent problems in machines by implementing software product which is still analyzing and evaluating data from machines. Company B and C were not able to create major value innovation for several years.

  7. Knowledge in Value Creation Process for Increasing Competitive Advantage

    Directory of Open Access Journals (Sweden)

    Veronika ŠRAMOVÁ

    2013-07-01

    Full Text Available The aim of this paper is to compare companies by using value creation model and to determine knowledge in these processes. The framework for the value creation process shows problems of case companies in different phases of this process. Knowledge is compared in each of the individual phases of the process and its role in different types of companies. There is identified role of knowledge for increasing competitive advantage. The methodology involves case study from which data are derived and analyzed. The analysis shows that the framework for the value creation process can be used as an analytical tool for value overview in different phases and there is a need for different approaches to improve business and create new value for customers. Based on the analyzed problems, proposed recommendations for improvement are made. These recommendations are based on providing value innovation for customers (end users of software product. Value innovation of software product is considered as crucial for improvement of the companies in machinery industry. Company A has created new value through remote service. This remote service provides several advantages. Customers can prevent problems in machines by implementing software product which is still analyzing and evaluating data from machines. Company B and C were not able to create major value innovation for several years.

  8. INCREASE TAX BASE AS INDICATOR OF SUSTAINABLE DEVELOPMENT COMPANIES

    Directory of Open Access Journals (Sweden)

    V. Iu. Padalkin

    2014-01-01

    Full Text Available Summary. The article analyzed the tax burden as an indicator of growth of production and security of financial activity of working capital. The most important duty of the enterprise - the taxpayer in accordance with paragraph 1 of art. 3 of the Tax Code of the Russian Federation is the responsibility to pay the legally established taxes and fees. However, according to article 45 of the Tax Code to claim 1 tax liability must be carried out within the period prescribed by law. Under the tax in accordance with paragraph 1 of article 8 of the Tax Code is understood mandatory, individually gratuitous payment collected from organizations and individuals in the form of alienation of their right to property, economic or operational management of funds for financial support of the state and (or municipalities. Tax regulation - measures the indirect impact on the economy of the state, economic and social processes by changing the types of taxes, tax rates, tax incentives to establish, reduce or increase the overall level of tax payments to the budget. So, tax cuts can stimulate production, and raising taxes - to restrain or even suppress some activities.

  9. Increasing Shareholders Value through NPV-Negative Projects

    Directory of Open Access Journals (Sweden)

    Paweł Mielcarz

    2010-10-01

    Full Text Available The concept of Net Present Value (NPV is a widely accepted tool for verification of financial rationality of planned investment projects. Projects with positive NPV increase a company's value. Similarly, those with negative NPV lead to a decline in the value of a business. This article attempts to answer the question: are projects with negative NPV always disadvantageous in terms of maximization of shareholder value and when should an NPV-negative project be considered justified? The authors discuss the issues of project valuation depending on different conditions. First, they briefly summarize the main idea of valuation - the aim of every company is to maximize shareholder value. Contemporary professional texts say that the way to achieve this goal is through projects that can generate a positive Net Present Value. When there are no such investments within reach, the company should pay dividends to its owners. The authors claim that some circumstances justify investments with a negative Net Present Value, as they still produce maximum possible shareholder value. The three model situations where this takes place are: (1 tax on dividends; (2 shareholders' perception of risk; and (3 temporary inefficiency of the markets. Taxes on dividends reduce cashflows for shareholders from distributed dividends. Therefore, they act exactly as an investment with a negative NPV. The authors conclude that this creates an opportunity to maximize shareholder value by comparing this loss with available alternate projects with negative NPV. If the loss of worth, caused by such taxes, is bigger that the negative NPV of possible investments it will be more rational to invest instead of paying dividends. And, according to the authors, a project with a negative NPV leads to maximized shareholder value. In the second situation, the authors point out that some projects may have negative fundamental (intrinsic value when valuated by the market (diversified owners because

  10. Value increasing business model for e-hospital.

    Science.gov (United States)

    Null, Robert; Wei, June

    2009-01-01

    This paper developed a business value increasing model for electronic hospital (e-hospital) based on electronic value chain analysis. From this model, 58 hospital electronic business (e-business) solutions were developed. Additionally, this paper investigated the adoption patterns of these 58 e-business solutions within six US leading hospitals. The findings show that only 36 of 58 or 62% of the e-business solutions are fully or partially implemented within the six hospitals. Ultimately, the research results will be beneficial to managers and executives for accelerating e-business adoptions for e-hospital.

  11. A method to increase the nutritional value of aerated confectionery

    OpenAIRE

    Toshev, Abduvali; Salomatov, Aleksey; Salomatova, Anna

    2014-01-01

    A technology and a formulation for the production of meringue of increased nutritional value have been developed. Stepwise introduction of components of a complex additive including puffed barley (6%) and eggshell powder (2%) has been implemented in the new technology. The effect of the above named additive on heat treatment of meringues has been investigated; for this, test samples of pastry were baked at a temperature of 100°C until the content of solids reached 96%. Changes of temperature ...

  12. Opportunities for increasing domestic added value ofcocoa through trade regulation

    Directory of Open Access Journals (Sweden)

    Bambang Drajat

    2011-08-01

    Full Text Available The operation of multinational companies on cocoa bean trade in Indonesia related to the liberalization policy on trade and investment in Indonesia permits for multinational companies to operate in Indonesia and liable to buy cocoa bean directly from farmers. The problem encountered is the domestic market liberalization gives rise to changes in market power and results ini the dominant position of multinational companies. This research aimed to (i analyze the impact of the exercise of market power by cocoa multinational company, (ii to analyze the possibility of deregulation of cocoa bean domestic trade, and (iii to estimate the potential increase in added value of cocoa down-stream industry as a result of deregulation. Some steps of research conducted includes (i desk research, (ii field survey by interviewing samples of farmers, traders, exporters, processors, as well as other business participants, (iii special interviews with key persons related to regulation as well as deregulation of domestic trade and down-stream industry development, and (iv focussed group discussion involving related stakeholders of cocoa. The results showed that the impact of the exercise of market power by multinational companies refers to the decreasing market shares of national companies from 2007 to 2009. Based on the market power domination of multinational companies in one side and the lack of down-stream industry development in the other side, there is a possibility to deregulate the above policy by continuing the new regulation (export tax of cocoa beans, directing multinational exporters toward downstream industry by partnership with domestic-idle capacity processing industry and import tariff escalation for processed cocoa. By the new regulation, the opportunity to increase domestic added value becomes greater. This cocoa down-stream industry development will increase the potential domestic added value at least 10%. Key words : Liberalization, deregulation

  13. Indicator values for lichens on Quercus as a tool to monitor ammonia pollution in Denmark

    DEFF Research Database (Denmark)

    Berthelsen, K.; Olsen, H. B.; Søchting, Ulrik

    2008-01-01

    The epiphytic lichen vegetation on solitary Quercus trees was investigated on 13 locations in Denmark in order to test the usability of indicator values to quantify ammonia deposition from the ambient air. Indicator values calculated for each location corresponded well with the expected ecological...... conditions. The indicator values for nitrogenous nutrients significantly correlated with measured nitrogen content in Xanthoria parietina thalli sampled from the investigated Quercus trees. Indicator values for some species are critically evaluated, and it is suggested that indicator values can serve...

  14. The relative value of safety and performance indicators and qualitative arguments in different time frames

    International Nuclear Information System (INIS)

    Alonso, J.; Rohlig, K.J.; Batandjieva, B.; Griffault, L.; Regent, A.; Schneider, J.; Storck, R.; Umeki, H.

    2002-01-01

    Indicators complementary to dose or risk are of great importance for the provision of multiple lines of reasoning at different time frames and therefore for the building of confidence within a safety case and that regulations should acknowledge this fact. They are also of great value with regard to the understanding of the safety case by and the communication to different audiences. The relative value of such indicators changes with time. For longer timescales qualitative information becomes more important. The meaning of calculated dose or risk is different for different timescales (ranging from expected performance to illustration) but dose or risk remains a valuable and central information for any time considered in a Safety Assessment. Certain indicators (concentrations and fluxes) can provide information by avoiding certain uncertainties which increase remarkably with time (biosphere, dilution) but apart from that no generic opinion or recommendation can be derived since the value of specific indicators and the required degree of aggregation (over different nuclides or even of consequence and probability) strongly depends on the many parameter. (authors)

  15. Development of a new recipe muffins increased nutritional value

    Directory of Open Access Journals (Sweden)

    E. I. Ponomareva

    2017-01-01

    Full Text Available In the technology of flour confectionery products non-traditional types of plant raw materials can be used. Introduction of muffins of pumpkin and flour from whole wheat seeds, rich in vitamins and microelements, will enrich muffins with useful substances and increase their nutritional value. The purpose work was to study the technological properties of enrichers, their chemical composition, as well as to study the efficiency of using pumpkin pulp in the recipes of cupcakes and to identify its rational dosage. In this work, conventional methods of investigating the properties of finished products have been used. The object of study were ready-made muffins with different dosages of pumpkin pulp. The rational dosage was established by examining organoleptic (taste, smell, surface, fracture appearance, structure and form and physicochemical parameters (moisture mass fraction, density, specific volume and alkalinity. The result of this work is the development of a new recipe and production technology for the cake "Ilya Muromets" with the addition of 50% pumpkin pulp to the mass of flour. The addition of the enrichant in the formulation contributed to an increase in the density of the product by 21%, a decrease in the specific volume by 16.7%. Calculation of the nutritional value of the developed product showed that due to the rich chemical and vitamin composition of the pumpkin pulp, the consumption of 100 g of cake will provide a degree of satisfaction of the daily protein requirements by 6.9%, fat 16.2%, carbohydrates – 9.2%, dietary fiber 7.2%. With the help of the received data it is possible to characterize the "Ilya Muromets" cake as a product of increased nutritional value for preventive and functional nutrition that will allow expanding the assortment of products on the bakery market.

  16. E-learning: controlling costs and increasing value.

    Science.gov (United States)

    Walsh, Kieran

    2015-04-01

    E-learning now accounts for a substantial proportion of medical education provision. This progress has required significant investment and this investment has in turn come under increasing scrutiny so that the costs of e-learning may be controlled and its returns maximised. There are multiple methods by which the costs of e-learning can be controlled and its returns maximised. This short paper reviews some of those methods that are likely to be most effective and that are likely to save costs without compromising quality. Methods might include accessing free or low-cost resources from elsewhere; create short learning resources that will work on multiple devices; using open source platforms to host content; using in-house faculty to create content; sharing resources between institutions; and promoting resources to ensure high usage. Whatever methods are used to control costs or increase value, it is most important to evaluate the impact of these methods.

  17. VARIABILITY OF VALUES OF PHYSICOCHEMICAL WATER QUALITY INDICES ALONG THE LENGTH OF THE IWONICZANKA STREAM

    Directory of Open Access Journals (Sweden)

    Andrzej Bogdał

    2015-11-01

    Full Text Available The paper aims at presentation of the effect of changes in the catchment area management on the value of water quality physicochemical indices along the length of the Iwoniczanka stream, which flows through Iwonicz-Zdrój, one of the oldest health resorts in Poland. Analyses of 14 water quality indices were conducted from November 2013 to May 2014 in five measurement points: two situated in the upper course of the stream – in forest areas, two located in the area of Iwonicz-Zdrój town, and one below the rural built-up area. On the basis of the conducted data analysis it was found that the mean values of pH, electrolytic conductivity, sulphates, calcium, total iron and manganese were increasing with the course of flowing water, as evidenced by the water enrichment in substances which had their sources in built-up areas. On average, the highest values of biogenic indices and chlorides but the lowest values of oxygen indices were registered immediately below the location of drain collector from the closed sewage treatment plant, which resulted in pollution of the analysed stream bed with the substances previously drained from the treatment plant. Water flowing through the forest areas had the maximum ecological potential in the built-up areas and due to phosphate concentrations it was classified to class II and then, due to self-purification, returned to the physicochemical parameters appropriate for class I water. The conducted hydro-chemical tests confirmed a significant negative effect of built-up areas on the quality of the flowing waters.

  18. Greater effort increases perceived value in an invertebrate.

    Science.gov (United States)

    Czaczkes, Tomer J; Brandstetter, Birgit; di Stefano, Isabella; Heinze, Jürgen

    2018-05-01

    Expending effort is generally considered to be undesirable. However, both humans and vertebrates will work for a reward they could also get for free. Moreover, cues associated with high-effort rewards are preferred to low-effort associated cues. Many explanations for these counterintuitive findings have been suggested, including cognitive dissonance (self-justification) or a greater contrast in state (e.g., energy or frustration level) before and after an effort-linked reward. Here, we test whether effort expenditure also increases perceived value in ants, using both classical cue-association methods and pheromone deposition, which correlates with perceived value. In 2 separate experimental setups, we show that pheromone deposition is higher toward the reward that requires more effort: 47% more pheromone deposition was performed for rewards reached via a vertical runway (high effort) compared with ones reached via a horizontal runway (low effort), and deposition rates were 28% higher on rough (high effort) versus smooth (low effort) runways. Using traditional cue-association methods, 63% of ants trained on different surface roughness, and 70% of ants trained on different runway elevations, preferred the high-effort related cues on a Y maze. Finally, pheromone deposition to feeders requiring memorization of one path bifurcation was up to 29% higher than to an identical feeder requiring no learning. Our results suggest that effort affects value perception in ants. This effect may stem from a cognitive process, which monitors the change in a generalized hedonic state before and after reward. (PsycINFO Database Record (c) 2018 APA, all rights reserved).

  19. Value of Lost Load: An Efficient Economic Indicator for Power Supply Security? A Literature Review

    Energy Technology Data Exchange (ETDEWEB)

    Schröder, Thomas, E-mail: t.schroeder@fz-juelich.de; Kuckshinrichs, Wilhelm [Institute of Energy and Climate Research – Systems Analysis and Technology Evaluation (IEK-STE), Forschungszentrum Jülich GmbH, Jülich (Germany)

    2015-12-24

    Security of electricity supply has become a fundamental requirement for well-functioning modern societies. Because of its central position in all sections of society, the present paper considers the economic consequences of a power supply interruption. The value of lost load (VoLL) is a monetary indicator expressing the costs associated with an interruption of electricity supply. This paper reviews different methods for calculating VoLL, provides an overview of recently published studies, and presents suggestions to increase the explanatory power and international comparability of VoLL.

  20. Do women on management board increase fair value relevance?

    OpenAIRE

    Velte, Patrick

    2017-01-01

    The purpose of this paper is the link between women on management board and the value relevance of fair value accounting according to IFRS 13. The empirical quantitative study covers a sample of German companies listed at the Prime Standard of the Frankfurt Stock Exchange for the business years 2013-2015 (411 firm-year observations). Value relevance is measured by the modified Ohlson (1995) model and we separate fair value accounting in level 1, level 2 and level 3 fair values. Multiple regre...

  1. Required storage capacity to increase the value of renewable energy

    International Nuclear Information System (INIS)

    Nacht, T.

    2014-01-01

    The effort to achieve a more eco - friendly production of energy leads to larger shares of renewables in the electricity sector, resulting in more supply - dependency and volatility. This results in a time shift between production and consumption. In order to gain an upper hand, possibilities for transferring renewable energies from the time of production to the time when the demand occurs are researched. Energy storage systems will play a big role in this process, with pumped storage plants being the most developed and most common technology nowadays. As a first part of this thesis, the renewables in Germany are studied through the use of models on the basis of hourly measured values of the primary energy carriers for the corresponding technology. For these data series many years’ worth of measurements were considered, resulting in data for the hourly production values of the renewable energy sources. The results show a strong dependency between production and the seasons of the year. Furthermore a very small secured contribution of renewable production during times of peak load is registered, leading to the conclusion that energy storages are indeed necessary. Different strategies for the dispatch of the storage technologies pumped hydro storage, compressed air storage and hydrogen storage are developed for the region of Germany, which will be dispatched outside the energy - only market. The different strategies for the storage dispatch have the reduction of the resulting load in common, by preferably transferring renewable energy from times when it is not needed to those times with high loads. This resulting load needs to be covered by thermal power plants. The required capacities of the different storage technologies are evaluated and compared. By using pumped storage plants the increase in the value of renewables, as measured by the secure contribution during peak load hours, is determined. An analysis of different compositions of renewable production allows

  2. Generic and updatable XML value indices covering equality and range lookups

    NARCIS (Netherlands)

    E. Sidirourgos (Eleftherios); P.A. Boncz (Peter)

    2008-01-01

    htmlabstractWe describe a collection of indices for XML text, element, and attribute node values that (i) consume little storage, (ii) have low maintenance overhead, (iii) permit fast equi-lookup on string values, and (iv) support range-lookup on any XML typed value (e.g., double, dateTime). The

  3. Generic and Updatable XML Value Indices Covering Equality and Range Lookups

    NARCIS (Netherlands)

    E. Sidirourgos (Eleftherios); P.A. Boncz (Peter)

    2009-01-01

    textabstractWe describe a collection of indices for XML text, element, and attribute node values that (i) consume little storage, (ii) have low maintenance overhead, (iii) permit fast equilookup on string values, and (iv) support range-lookup on any XML typed value (e.g., double, dateTime). The

  4. Designing an integrated model based on the indicators Quality and Earned Value for risk management in Information Technology Projects

    OpenAIRE

    TATLARI, Mohammad Reza; KAZEMİPOOR, Hamed

    2015-01-01

    There are two effective factors on Information Technology (IT) projects risk including quality and earned value so that by controlling these two factors and their increased level in IT projects, the corresponding risk can be decreased. Therefore in present study, an integrated model was designed based on quality and earned value indicators for risk management in IT projects on a new and efficient approach. The proposed algorithm included the steps such as preparing a list of several indicator...

  5. How to Increase Value in the Footwear Supply Chain

    Science.gov (United States)

    Fornasiero, Rosanna; Tescaro, Mauro; Scarso, Enrico; Gottardi, Giorgio

    The Lean approach has been implemented in many different sectors as a methodology to improve industrial performance at company level. In the latest years this approach has been further developed in literature and in practice to integrate the principles of agility, adaptability and the mass customization paradigm where product and services have to be designed together to meet specific requirements, and where value originated by the supply chain enhance the value of single company thanks to the use of ICT and remote control. In this paper we analyze the Beyond-Lean paradigm and propose a path for companies in the footwear sector to improve their performance based on high-value-added products and processes. A detailed process analysis based on Value Stream Mapping is used to define criticalities and suggest improvements paths both at technological and organizational level.

  6. Feasibility and attractiveness of indication value-based pricing in key EU countries.

    Science.gov (United States)

    Flume, Mathias; Bardou, Marc; Capri, Stefano; Sola-Morales, Oriol; Cunningham, David; Levin, Lars-Ake; Touchot, Nicolas

    2016-01-01

    Indication value-based pricing (IBP) has been proposed in the United States as a tool to capture the differential value of drugs across indications or patient groups and is in the early phases of implementation. In Europe, no major country has experimented with IBP or is seriously discussing its use. We assessed how the reimbursement and pricing environment allows for IBP in seven European countries, evaluating both incentives and hurdles. In price setting countries such as France and Germany, the Health Technology Assessment and pricing process already accounts for differences of value across indications. In countries where differential value drives coverage decisions such as the United Kingdom and Sweden, IBP is likely to be used, at least partially, but not in the short-term. Italy is already achieving some form of differential value through managed entry agreements, whereas in Spain the electronic prescription system provides the infrastructure necessary for IBP but other hurdles exist.

  7. Relating life cycle assessment indicators to gross value added for Dutch dairy farms

    International Nuclear Information System (INIS)

    Thomassen, M.A.; Dolman, M.A.; Van Calker, K.J.; De Boer, I.J.M.

    2009-01-01

    Sustainable dairy production requires farms that are economically viable, environmentally sound and socially acceptable. A low environmental impact of milk production is not necessarily associated with an economically viable farm. To gain insight into a possible trade-off between economic and environmental sustainability, the relation between the environmental and economic indicators of dairy farms was quantified, and farm characteristics that influence this relation were identified. Economic and environmental indicators were quantified for 119 specialized dairy farms in 2005, based on data from the Dutch Farm Accountancy Data Network (FADN). Economic indicators used were: gross value added expressed per kg fat-and-protein-corrected milk (FPCM) or expressed per unit of labour, i.e. labour productivity. Environmental indicators used were: land use per kg FPCM, energy use per kg FPCM, global warming potential per kg FPCM, eutrophication and acidification potential per kg FPCM or per ha of land. Environmental indicators were deduced from a life cycle assessment. High labour productivity on dairy farms was associated with low on-farm energy use, total and on-farm land use, total and on-farm global warming potential, and total and off-farm acidification potential per kg FPCM. High labour productivity, however, was associated also with high on-farm eutrophication and acidification potential per hectare. From partial least squares regression analysis, it was concluded that relations between economic and environmental indicators were affected mainly by milk production per ha, annual milk production per cow, farm size, and amount of concentrates per kg FPCM. An increase in annual milk production per cow, for example, not only increased labour productivity, reduced energy use and global warming potential per kg FPCM but also, in the case of an unchanged stocking density, increased eutrophication and acidification per ha. To be economically and environmentally sustainable

  8. Increasing the Quality and Value of Conferences, Seminars, and Workshops

    Science.gov (United States)

    Hoyt, Jeff E.; Whyte, Chrystine

    2011-01-01

    The purpose of this best practices article is to provide continuing education administrators with a reliable participant evaluation that measures factors predictive of not only satisfaction, but also perceived value: adequacy of topics, customer service, learning, quality of facilities, image, and quality of presentations, among other variables.…

  9. Defining acceptable levels for ecological indicators: an approach for considering social values.

    Science.gov (United States)

    Smyth, Robyn L; Watzin, Mary C; Manning, Robert E

    2007-03-01

    Ecological indicators can facilitate an adaptive management approach, but only if acceptable levels for those indicators have been defined so that the data collected can be interpreted. Because acceptable levels are an expression of the desired state of the ecosystem, the process of establishing acceptable levels should incorporate not just ecological understanding but also societal values. The goal of this research was to explore an approach for defining acceptable levels of ecological indicators that explicitly considers social perspectives and values. We used a set of eight indicators that were related to issues of concern in the Lake Champlain Basin. Our approach was based on normative theory. Using a stakeholder survey, we measured respondent normative evaluations of varying levels of our indicators. Aggregated social norm curves were used to determine the level at which indicator values shifted from acceptable to unacceptable conditions. For seven of the eight indicators, clear preferences were interpretable from these norm curves. For example, closures of public beaches because of bacterial contamination and days of intense algae bloom went from acceptable to unacceptable at 7-10 days in a summer season. Survey respondents also indicated that the number of fish caught from Lake Champlain that could be safely consumed each month was unacceptably low and the number of streams draining into the lake that were impaired by storm water was unacceptably high. If indicators that translate ecological conditions into social consequences are carefully selected, we believe the normative approach has considerable merit for defining acceptable levels of valued ecological system components.

  10. Can reflecting on personal values online increase positive beliefs about counseling?

    Science.gov (United States)

    Lannin, Daniel G; Vogel, David L; Heath, Patrick J

    2017-04-01

    This research developed and tested an online values-affirmation exercise to attenuate threat and enhance positive beliefs about counseling among individuals struggling with mental health concerns. There is evidence that reflecting on personal values (values-affirmation) is an effective approach to eliciting self-affirmation-a psychological process that temporarily bolsters self-worth in order to forestall maladaptive, self-protective responses to counseling information. The present study utilized a randomized 2-group between-subjects design to test the effectiveness of a values-affirmation exercise with an online sample (N = 186) of adults who reported struggling with a mental health concern. It was predicted that values-affirmation would reduce threat related to reading mental health information and increase positive beliefs about counseling. Results indicated that those in the values-affirmation condition reported fewer negative emotions such as feeling upset, irritable, hostile, and scared after reading mental health information, indicating that the information was perceived as less threatening. There was also evidence that engaging in values-affirmation was associated with greater anticipated growth in counseling and greater intent to seek counseling, reflecting greater positive beliefs about counseling. Overall, the results suggest that reflecting on personal values may have the potential to enhance the positive effects of online psychoeducation. (PsycINFO Database Record (c) 2017 APA, all rights reserved).

  11. Dynamic value assessments in oncology supported by the PACE Continuous Innovation Indicators.

    Science.gov (United States)

    Paddock, Silvia; Goodman, Clifford; Shortenhaus, Scott; Grainger, David; Zummo, Jacqueline; Thomas, Samuel

    2017-10-01

    Several recently developed frameworks aim to assess the value of cancer treatments, but the most appropriate metrics remain uncertain. We use data from the Patient Access to Cancer care Excellence Continuous Innovation Indicators to examine the relationship between hazard ratios (HRs) from clinical trials and dynamic therapeutic value accumulating over time. Our analysis shows that HRs from initial clinical trials poorly predict the eventual therapeutic value of cancer treatments. Relying strongly on HRs from registration trials to predict the long-term success of treatments leaves a lot of the variance unexplained. The Continuous Innovation Indicators offer a complementing, dynamic method to track the therapeutic value of cancer treatments and continuously update value assessments as additional evidence accumulates.

  12. Limited time perspective increases the value of calm.

    Science.gov (United States)

    Jiang, Da; Fung, Helene H; Sims, Tamara; Tsai, Jeanne L; Zhang, Fan

    2016-02-01

    Previous findings indirectly suggest that the more people perceive their time in life as limited, the more they value calm. No study, however, has directly tested this hypothesis. To this end, using a combination of survey, experience sampling, and experimental methods, we examined the relationship between future time perspective and the affective states that people ideally want to feel (i.e., their "ideal affect"). In Study 1, the more people reported a limited time perspective, the more they wanted to feel calm and experience other low-arousal positive states. In Study 2, participants were randomly assigned to a limited time or an expanded time condition. Participants in the limited time condition reported valuing calm and other low arousal positive states more than those in the expanded time condition. We discuss the implications of these findings for broadening our understanding of the factors that shape how people ideally want to feel, and their consequences for decision making. (c) 2016 APA, all rights reserved).

  13. The Use of Indicators in Modified Historical Model to Estimate the Intrinsic Value of a Stock

    Directory of Open Access Journals (Sweden)

    Gottwald Radim

    2012-06-01

    Full Text Available The article mentions several methods of a fundamental analysis used to value stocks. It primarily focuses on the historical model. This model enables undervalued, correctly valued and overvalued stocks to be identified. The model is further modified in the article, using selected accounting indicators. The modified model versions are applied to selected stocks in the SPAD segment, Prague Stock Exchange, within the 2005-2010 period. Empirical analysis is applied to a comparison of accuracy of the accounting indicator value estimates and accuracy of stock intrinsic value estimates, both separately for each stock and accounting indicator. The comparisons of accuracy of the accounting indicator value estimates and the accuracy of the stock intrinsic value estimates are also done based on the length of applied time period. With respect to the obvious fierce competition between stock issuers within the financial markets, the model enables potential investors, who are to select from an extensive offer of stocks, to make better informed investment decisions.

  14. A Synthetic Indicator of a Company's Level of Intellectual Capital as a Hidden Value

    Directory of Open Access Journals (Sweden)

    Przemysław Dominiak

    2016-01-01

    Full Text Available The authors of the paper analyzed 21 common methods of measuring a company's intellectual capital, finding that none of them meet all 6 demands that a model indicator should satisfy. As a result, a new method was developed, which meets the conditions for a model indicator. Using the chosen expert method, a synthetic indicator of a company's level of intellectual capital (WPKI has been determined. The authors of the paper determine the WPKI indicator for public construction companies using the algorithm defining a hidden value. (original abstract

  15. A robust indicator based on singular value decomposition for flaw feature detection from noisy ultrasonic signals

    Science.gov (United States)

    Cui, Ximing; Wang, Zhe; Kang, Yihua; Pu, Haiming; Deng, Zhiyang

    2018-05-01

    Singular value decomposition (SVD) has been proven to be an effective de-noising tool for flaw echo signal feature detection in ultrasonic non-destructive evaluation (NDE). However, the uncertainty in the arbitrary manner of the selection of an effective singular value weakens the robustness of this technique. Improper selection of effective singular values will lead to bad performance of SVD de-noising. What is more, the computational complexity of SVD is too large for it to be applied in real-time applications. In this paper, to eliminate the uncertainty in SVD de-noising, a novel flaw indicator, named the maximum singular value indicator (MSI), based on short-time SVD (STSVD), is proposed for flaw feature detection from a measured signal in ultrasonic NDE. In this technique, the measured signal is first truncated into overlapping short-time data segments to put feature information of a transient flaw echo signal in local field, and then the MSI can be obtained from the SVD of each short-time data segment. Research shows that this indicator can clearly indicate the location of ultrasonic flaw signals, and the computational complexity of this STSVD-based indicator is significantly reduced with the algorithm proposed in this paper. Both simulation and experiments show that this technique is very efficient for real-time application in flaw detection from noisy data.

  16. 'Ecological value added' in an integrated ecosystem-economy model. An indicator for sustainability

    International Nuclear Information System (INIS)

    Kratena, Kurt

    2004-01-01

    This paper sets up an input-output system of the relevant ecosystem flows that determine the carbon cycle in the global ecosystem. Introducing energy as the value added component in the ecosystem allows to calculate ecosystem prices expressed in 'energy values'. Linking the ecosystem with the economy in an integrated input-output model then allows to calculate prices of economic activities and of ecosystem activities. In analogy to the 'Ecological Footprint', where productive land is needed to absorb anthropogenic emissions, in this integrated input-output model additional carbon sinks are introduced for emission absorption. These carbon sinks need solar energy input, i.e. 'ecological value added'. Emission absorption as well as GDP therefore become activities valued in the numeraire of the integrated system, i.e.'energy values'. From that sustainability indicators can be derived

  17. Relationship between Corporate Governance Indicators and Firm Value: A Case Study of Karachi Stock Exchange

    OpenAIRE

    Javed, Attiya Y.; Iqbal, Robina

    2007-01-01

    We investigated whether differences in quality of firm-level corporate governance can explain the firm-level performance in a cross-section of companies listed at Karachi Stock Exchange. Therefore, we analysed the relationship between firm-level value as measured by Tobin’s Q and total Corporate Governance Index (CGI) and three sub-indices: Board, Shareholdings and Ownership, and Disclosures and Transparency for a sample of 50 firms. The results indicate that corporate gover...

  18. The Relationship between Corporate Governance Indicators and Firm Value: A Case Study of Karachi Stock Exchange

    OpenAIRE

    Attiya Y. Javed; Robina Iqbal

    2007-01-01

    We investigated whether differences in quality of firm-level corporate governance can explain the firm-level performance in a cross-section of companies listed at Karachi Stock Exchange. Therefore, we analysed the relationship between firm-level value as measured by Tobins Q and total Corporate Governance Index (CGI) and three sub-indices : Board, Shareholdings and Ownership, and Disclosures and Transparency for a sample of 50 firms. The results indicate that corporate governance does matter ...

  19. Machine Learning Approaches to Increasing Value of Spaceflight Omics Databases

    Science.gov (United States)

    Gentry, Diana

    2017-01-01

    soon enable unique insight into which measured phenomena correlate to biological mechanisms that are truly affected by spaceflight conditions; which are most likely to be confounded by other variables; and which are insufficiently characterized, significantly increasing existing and future science return from ISS and spaceflight missions.

  20. Testing the Value of Information of Climate Change Indicators that use Earth Observations

    Science.gov (United States)

    Kenney, M. A.

    2012-12-01

    . Such a result would mean that the indicator has a negative value of information. Granted the value of information depends on the intended audience(s), with some groups being able to understand and want more technically sophisticated and detailed information presented as an indicator. However, if the goal of an indicator is to provide information to a wide range of groups, it is essential to assure that these groups have a correct understanding of the indicator, its assumptions, and the ability to use the indicator (as presented or modified) for decision-making contexts. In this talk, I will present the preliminary results of a study that is testing the value of information of a range of climate change indicators, and I will focus on indicators that use earth observations. Such results contribute to a richer understanding of the value of information of indicators, and can shape the development of both individual indicators and systems of indicators, such as the development of the indicator system for the U.S. Global Change Research Program, National Climate Assessment.

  1. Plant indicator values as a tool for land mollusc autecology assessment

    Czech Academy of Sciences Publication Activity Database

    Horsák, M.; Hájek, Michal; Tichý, L.; Juřičková, L.

    2007-01-01

    Roč. 32, č. 2 (2007), s. 161-171 ISSN 1146-609X Grant - others:GA AV ČR(CZ) KJB601630501 Program:KJ Institutional research plan: CEZ:AV0Z60050516 Keywords : Ellenberg indicator values * animal autecology assessment * species response curve Subject RIV: EF - Botanics Impact factor: 1.306, year: 2007

  2. Extreme Value Theory Approach to Simultaneous Monitoring and Thresholding of Multiple Risk Indicators

    NARCIS (Netherlands)

    Einmahl, J.H.J.; Li, J.; Liu, R.Y.

    2006-01-01

    Risk assessments often encounter extreme settings with very few or no occurrences in reality.Inferences about risk indicators in such settings face the problem of insufficient data.Extreme value theory is particularly well suited for handling this type of problems.This paper uses a multivariate

  3. Method of calculation of critical values of financial indicators for developing food security strategy

    Science.gov (United States)

    Aigyl Ilshatovna, Sabirova; Svetlana Fanilevna, Khasanova; Vildanovna, Nagumanova Regina

    2018-05-01

    On the basis of decision making theory (minimax and maximin approaches) the authors propose a technique with the results of calculations of the critical values of effectiveness indicators of agricultural producers in the Republic of Tatarstan for 2013-2015. There is justified necessity of monitoring the effectiveness of the state support and the direction of its improvement.

  4. Experimental justification of indicative microbiological values for the safety of water bodies in the recreation areas

    Directory of Open Access Journals (Sweden)

    Е.V. Drozdova

    2015-03-01

    Full Text Available The article provides the assessment of the microbiological values of water bodies if they are used for recreational purposes and distinguishes the epidemiologically significant parameters. In order to validate the indicative safety values taking into account the existing conditions of the recreational use of water we conducted the hygienic assessment of water in the water bodies used for recreational purposes under the indicative microbiological values (total microbial count, thermotolerant coliform bacteria, E. coli; enterococcus, spores of sulfite-reducing Clostridia; coliphages; Ps. aeruginosa and the content of pathogenic microorganisms; also the microbiological profile of water was identified. The obtained data will be used to improve the system for monitoring of water bodies in the recreation areas.

  5. Some remarks concerning the indicators for appreciation the performance and the value created by the enterprise

    Directory of Open Access Journals (Sweden)

    Doina Pacurari

    2010-12-01

    Full Text Available The appreciation of the performances of the enterprise are made, as a rule, by ways of indicators which are of accounting type, the result of financial exercise, profit or loss, being mostly used. This result can be determined differently, according to approaches of patrimonial, economic or financial nature. Due to the handling potential of this indicator, the attention of the analysts focused in time also on other computing patterns, uninfluenced by the accounting methods and techniques used by the enterprise. The investors’ need of information determined the conception of some performance computing models based on the concept of creating value for the shareholders. Among these, those which express the ability of the enterprise to create value on long term, based on discounted cash flow, are the most appreciated. Nevertheless, within the Romanian economic context, the most used performance indicators are still of accounting nature for being accessible and understandable.

  6. Sensitivity, Specificity and Predictive Value of Heart Rate Variability Indices in Type 1 Diabetes Mellitus

    Directory of Open Access Journals (Sweden)

    Anne Kastelianne França da Silva

    Full Text Available Abstract Background: Heart rate variability (HRV indices may detect autonomic changes with good diagnostic accuracy. Type diabetes mellitus (DM individuals may have changes in autonomic modulation; however, studies of this nature in this population are still scarce. Objective: To compare HRV indices between and assess their prognostic value by measurements of sensitivity, specificity and predictive values in young individuals with type 1 DM and healthy volunteers. Methods: In this cross-sectional study, physical and clinical assessment was performed in 39 young patients with type 1 DM and 43 young healthy controls. For HRV analysis, beat-to-beat heart rate variability was measured in dorsal decubitus, using a Polar S810i heart rate monitor, for 30 minutes. The following indices were calculated: SDNN, RMSSD, PNN50, TINN, RRTri, LF ms2, HF ms2, LF un, HF un, LF/HF, SD1, SD2, SD1/SD2, and ApEn. Results: Type 1 DM subjects showed a decrease in sympathetic and parasympathetic activities, and overall variability of autonomic nervous system. The RMSSD, SDNN, PNN50, LF ms2, HF ms2, RRTri, SD1 and SD2 indices showed greater diagnostic accuracy in discriminating diabetic from healthy individuals. Conclusion: Type 1 DM individuals have changes in autonomic modulation. The SDNN, RMSSD, PNN50, RRtri, LF ms2, HF ms2, SD1 and SD2 indices may be alternative tools to discriminate individuals with type 1 DM.

  7. Physiological values of some blood indicators in selected dwarf rabbit breeds

    Directory of Open Access Journals (Sweden)

    V. Šimek

    2017-03-01

    Full Text Available The aim of the present study was to evaluate the effect of breed on haematological and biochemical indicators in 3 dwarf rabbit breeds. In the experiment, 30 sexually intact dwarf rabbit females aged 6 mo were used. With the sole exception of white blood cells and haematocrit value, breed had the most significant effect on the majority of haematological indicators monitored. The red blood cell count was higher in the Dwarf Lop compared to the Netherland Dwarf (+1.91×1012 cells/L; P<0.05 and also the Teddy Dwarf (+1.32×1012 cells/L; P<0.05. For haemoglobin concentration, a higher value was found in the Netherland Dwarf than in the Teddy Dwarf (+39.29 g/L; P<0.05 and the Dwarf Lop (+26.36 g/L; P<0.05. For erythrocytic indicators, the highest values of mean corpuscular volume, mean corpuscular haemoglobin and mean corpuscular haemoglobin concentration were found in the Netherland Dwarf. The breed had a significant effect on the urea and potassium values. A higher value of urea was recorded in the Dwarf Lop compared to the Teddy Dwarf (+1.56 mmol/L; P<0.05. For potassium, a higher value was found in the Netherland Dwarf compared to the Teddy Dwarf (+0.85 mmol/L; P<0.05. In addition, a significantly positive correlation (P<0.05 was found between the live weight of dwarf females and values of haematocrit (0.49, albumin (0.54, alanine aminotransferase (0.51, and aspartate aminotransferase (0.41, while a significantly negative correlation (P<0.05 was found between their live weight and values of triacylglycerols (–0.44, alkaline phosphatase (–0.38 and inorganic phosphorus (–0.52.

  8. Identifying and Structuring Values to Guide the Choice of Sustainability Indicators for Tourism Development

    Directory of Open Access Journals (Sweden)

    José Alberto Alcántara Maya

    2010-09-01

    Full Text Available In Mexico, the National Trust for Tourism Promotion (FONATUR needs to lead development of Integrally Planned Tourist Centers (IPC towards sustainability. As the development of these IPCs leads to changes in local communities and their environment, it is necessary to define how to establish a path towards sustainability and how to measure progress towards that goal. The objective of this study is to contribute toward identifying the main stakeholder’s values, defining sustainability indicators at a local level, and to discuss their adequacy in the context of tourism development. The study was performed in a Mexican community facing its probable inclusion in tourism development and special attention was given to the values of stakeholders in defining which objectives to monitor. Using Value-Focused Thinking as a framework, a series of interviews were analyzed and the opinions were organized in a tree of values, encompassing environmental, economic, social and political/institutional aspects. A set of indicators associated with these objectives was subsequently proposed. This information may serve as a guide to design and monitor plans that are more appealing from a sustainability perspective and as an aid in the identification of future information needs.

  9. Behavioral economic measures of alcohol reward value as problem severity indicators in college students.

    Science.gov (United States)

    Skidmore, Jessica R; Murphy, James G; Martens, Matthew P

    2014-06-01

    The aims of the current study were to examine the associations among behavioral economic measures of alcohol value derived from 3 distinct measurement approaches, and to evaluate their respective relations with traditional indicators of alcohol problem severity in college drinkers. Five behavioral economic metrics were derived from hypothetical demand curves that quantify reward value by plotting consumption and expenditures as a function of price, another metric measured proportional behavioral allocation and enjoyment related to alcohol versus other activities, and a final metric measured relative discretionary expenditures on alcohol (RDEA). The sample included 207 heavy-drinking college students (53% female) who were recruited through an on-campus health center or university courses. Factor analysis revealed that the alcohol valuation construct comprises 2 factors: 1 factor that reflects participants' levels of alcohol price sensitivity (demand persistence), and a second factor that reflects participants' maximum consumption and monetary and behavioral allocation toward alcohol (amplitude of demand). The demand persistence and behavioral allocation metrics demonstrated the strongest and most consistent multivariate relations with alcohol-related problems, even when controlling for other well-established predictors. The results suggest that behavioral economic indices of reward value show meaningful relations with alcohol problem severity in young adults. Despite the presence of some gender differences, these measures appear to be useful problem indicators for men and women. PsycINFO Database Record (c) 2014 APA, all rights reserved.

  10. Development of a new quality fair access best value performance indicator (BVPI) for recycling services.

    Science.gov (United States)

    Harder, M K; Stantzos, N; Woodard, R; Read, A

    2008-01-01

    Recycling schemes are being used worldwide to reduce the impact of municipal waste. Those using public funds are usually obliged to set performance indicators by which the standards of such schemes can be measured. In the UK, a set of statutory Best Value Performance Indicators (BVPI) must be reported annually, such as the Quality of Fair Access, which monitors the public's access to recycling facilities within 1000 m (known as BVPI 91). This work shows that BVPI 91, and performance indicators like it, quantify only very basic recycling services. A much more sensitive performance indicator is developed in this paper, labelled as the Maximum Practicable Recycling Rate Provision (MPRRP) achievable by a local authority. It indicates the percentage of local waste that could be reasonably recycled using the services provided, calculated on the basis of the average composition of the local waste, the local population coverage for collection of any materials, and nationally provided information stating how much of each material stream is generally suitable (practical) for recycling. Evidence for the usefulness of this new quantity is presented. Although this paper refers a particular performance indicator in the UK, its findings are applicable to all urban areas worldwide needing to monitor recycling service. Furthermore, the MPRRP could be used for planning purposes, and for determining the level of performance of an existing service, by comparing its predicted recycling rate to that actually obtained. Further work is now being carried out on this.

  11. Quantifying tolerance indicator values for common stream fish species of the United States

    Science.gov (United States)

    Meador, M.R.; Carlisle, D.M.

    2007-01-01

    The classification of fish species tolerance to environmental disturbance is often used as a means to assess ecosystem conditions. Its use, however, may be problematic because the approach to tolerance classification is based on subjective judgment. We analyzed fish and physicochemical data from 773 stream sites collected as part of the U.S. Geological Survey's National Water-Quality Assessment Program to calculate tolerance indicator values for 10 physicochemical variables using weighted averaging. Tolerance indicator values (TIVs) for ammonia, chloride, dissolved oxygen, nitrite plus nitrate, pH, phosphorus, specific conductance, sulfate, suspended sediment, and water temperature were calculated for 105 common fish species of the United States. Tolerance indicator values for specific conductance and sulfate were correlated (rho = 0.87), and thus, fish species may be co-tolerant to these water-quality variables. We integrated TIVs for each species into an overall tolerance classification for comparisons with judgment-based tolerance classifications. Principal components analysis indicated that the distinction between tolerant and intolerant classifications was determined largely by tolerance to suspended sediment, specific conductance, chloride, and total phosphorus. Factors such as water temperature, dissolved oxygen, and pH may not be as important in distinguishing between tolerant and intolerant classifications, but may help to segregate species classified as moderate. Empirically derived tolerance classifications were 58.8% in agreement with judgment-derived tolerance classifications. Canonical discriminant analysis revealed that few TIVs, primarily chloride, could discriminate among judgment-derived tolerance classifications of tolerant, moderate, and intolerant. To our knowledge, this is the first empirically based understanding of fish species tolerance for stream fishes in the United States.

  12. Analysis of extreme values of the economic efficiency indicators of transport infrastructure projects

    Science.gov (United States)

    Korytárová, J.; Vaňková, L.

    2017-10-01

    Paper builds on previous research of the authors into the evaluation of economic efficiency of transport infrastructure projects evaluated by the economic efficiency ratio - NPV, IRR and BCR. Values of indicators and subsequent outputs of the sensitivity analysis show extremely favourable values in some cases. The authors dealt with the analysis of these indicators down to the level of the input variables and examined which inputs have a larger share of these extreme values. NCF for the calculation of above mentioned ratios is created by benefits that arise as the difference between zero and investment options of the project (savings in travel and operating costs, savings in travel time costs, reduction in accident costs and savings in exogenous costs) as well as total agency costs. Savings in travel time costs which contribute to the overall utility of projects by more than 70% appear to be the most important benefits in the long term horizon. This is the reason why this benefit emphasized. The outcome of the article has resulted how the particular basic variables contributed to the total robustness of economic efficiency of these project.

  13. Custom auroral electrojet indices calculated by using MANGO value-added services

    Science.gov (United States)

    Bargatze, L. F.; Moore, W. B.; King, T. A.

    2009-12-01

    A set of computational routines called MANGO, Magnetogram Analysis for the Network of Geophysical Observatories, is utilized to calculate customized versions of the auroral electrojet indices, AE, AL, and AU. MANGO is part of an effort to enhance data services available to users of the Heliophysics VxOs, specifically for the Virtual Magnetospheric Observatory (VMO). The MANGO value-added service package is composed of a set of IDL routines that decompose ground magnetic field observations to isolate secular, diurnal, and disturbance variations of magnetic field disturbance, station-by-station. Each MANGO subroutine has been written in modular fashion to allow "plug and play"-style flexibility and each has been designed to account for failure modes and noisy data so that the programs will run to completion producing as much derived data as possible. The capabilities of the MANGO service package will be demonstrated through their application to the study of auroral electrojet current flow during magnetic substorms. Traditionally, the AE indices are calculated by using data from about twelve ground stations located at northern auroral zone latitudes spread longitudinally around the world. Magnetogram data are corrected for secular variation prior to calculating the standard version of the indices but the data are not corrected for diurnal variations. A custom version of the AE indices will be created by using the MANGO routines including a step to subtract diurnal curves from the magnetic field data at each station. The custom AE indices provide more accurate measures of auroral electrojet activity due to isolation of the sunstorm electrojet magnetic field signiture. The improvements in the accuracy of the custom AE indices over the tradition indices are largest during the northern hemisphere summer when the range of diurnal variation reaches its maximum.

  14. Production, Competition Indices, and Nutritive Values of Setaria splendida, Centrosema pubescens, and Clitoria ternatea in Mixed Cropping Systems in Peatland

    Directory of Open Access Journals (Sweden)

    A. Ali

    2013-12-01

    Full Text Available This research was conducted to evaluate production, different competition indices and nutritive value of Setaria splendida, Centrosema pubescens, and Clitoria ternatea in monoculture and mix cropping system on peat soil land. The experiment was set up in a randomized complete block design with five treatments and three replications. The five treatments were: S. splendida sole cropping (SS, C. pubescens sole cropping (CP, C. ternatea sole cropping (CT, S. splendida and C. pubescens mix cropping (SS/CP and S. splendida/C. ternatea mix cropping (SS/CT. The DM yield of S. splendida in mixed cropping with C. pubescens increased 43.4% and in mix cropping with C. ternatea increased 15.7% compared to sole S. splendida. The value of land equivalent ratio of SS/CP (LERSS/CP was >1. The LERSS/CT value was 1. The competition ratio (CR values of S. splendida in both mix cropping were >1. The agressivity (A values of S. splendida in both mix cropping were positive. The crude protein, NDF and ADF content of forage were not affected by mix cropping system. In conclusion, mix cropping in peatland do not affect productivity and nutritive value of S. splendida, C. pubescens, and C. ternatea. S. splendida is more effective in exploiting environmental resources when intercropped with C. pubescens compared to C. ternatea on peatland.

  15. Indications and value of bone scintigraphy in comparison to magnetic resonance imaging (MRI)

    International Nuclear Information System (INIS)

    Haug, A.; Hacker, M.; Weiss, M.; Hahn, K.; Pfluger, T.

    2006-01-01

    With increasing use of cross-sectional imaging (CT/MRI) in radiology as well as PET and PET/CT in nuclear medicine, remaining indications for bone scintigraphy are in question. Recently introduced whole-body MRI represents an attractive alternative to bone scintigraphy, as MRI is additionally able to assess lesions that are limited to bone marrow and are located extraosseously. In this overview, indication-related strengths and limitations of MRI and bone scintigraphy are presented and discussed. Furthermore, complementary use of both modalities for special clinical questions is demonstrated. (orig.)

  16. A Replication to Increase Happiness Indices among Some People with Profound Multiple Disabilities.

    Science.gov (United States)

    Ivancic, Martin T.; And Others

    1997-01-01

    The happiness indices in a Fun Time activity were systematically increased for three of four people with profound multiple disabilities by providing their preferred stimuli. The fourth showed decreased unhappiness. However, three people with profound disabilities and minimal movement failed to show any indices of happiness or unhappiness.…

  17. An Effective Ostrich Oil Bleaching Technique Using Peroxide Value as an Indicator

    Directory of Open Access Journals (Sweden)

    Gan Seng Chiew

    2011-07-01

    Full Text Available Ostrich oil has been used extensively in the cosmetic and pharmaceutical industries. However, rancidity causes undesirable chemical changes in flavour, colour, odour and nutritional value. Bleaching is an important process in refining ostrich oil. Bleaching refers to the removal of certain minor constituents (colour pigments, free fatty acid, peroxides, odour and non-fatty materials from crude fats and oils to yield purified glycerides. There is a need to optimize the bleaching process of crude ostrich oil prior to its use for therapeutic purposes. The objective of our study was to establish an effective method to bleach ostrich oil using peroxide value as an indicator of refinement. In our study, we showed that natural earth clay was better than bentonite and acid-activated clay to bleach ostrich oil. It was also found that 1 hour incubation at a 150 °C was suitable to lower peroxide value by 90%. In addition, the nitrogen trap technique in the bleaching process was as effective as the continuous nitrogen flow technique and as such would be the recommended technique due to its cost effectiveness.

  18. Predictive value of the present-on-admission indicator for hospital-acquired venous thromboembolism.

    Science.gov (United States)

    Khanna, Raman R; Kim, Sharon B; Jenkins, Ian; El-Kareh, Robert; Afsarmanesh, Nasim; Amin, Alpesh; Sand, Heather; Auerbach, Andrew; Chia, Catherine Y; Maynard, Gregory; Romano, Patrick S; White, Richard H

    2015-04-01

    Hospital-acquired venous thromboembolic (HA-VTE) events are an important, preventable cause of morbidity and death, but accurately identifying HA-VTE events requires labor-intensive chart review. Administrative diagnosis codes and their associated "present-on-admission" (POA) indicator might allow automated identification of HA-VTE events, but only if VTE codes are accurately flagged "not present-on-admission" (POA=N). New codes were introduced in 2009 to improve accuracy. We identified all medical patients with at least 1 VTE "other" discharge diagnosis code from 5 academic medical centers over a 24-month period. We then sampled, within each center, patients with VTE codes flagged POA=N or POA=U (insufficient documentation) and POA=Y or POA=W (timing clinically uncertain) and abstracted each chart to clarify VTE timing. All events that were not clearly POA were classified as HA-VTE. We then calculated predictive values of the POA=N/U flags for HA-VTE and the POA=Y/W flags for non-HA-VTE. Among 2070 cases with at least 1 "other" VTE code, we found 339 codes flagged POA=N/U and 1941 flagged POA=Y/W. Among 275 POA=N/U abstracted codes, 75.6% (95% CI, 70.1%-80.6%) were HA-VTE; among 291 POA=Y/W abstracted events, 73.5% (95% CI, 68.0%-78.5%) were non-HA-VTE. Extrapolating from this sample, we estimated that 59% of actual HA-VTE codes were incorrectly flagged POA=Y/W. POA indicator predictive values did not improve after new codes were introduced in 2009. The predictive value of VTE events flagged POA=N/U for HA-VTE was 75%. However, sole reliance on this flag may substantially underestimate the incidence of HA-VTE.

  19. Plant indicator values as a tool for land mollusc autecology assessment

    Science.gov (United States)

    Horsák, Michal; Hájek, Michal; Tichý, Lubomír; Juřičková, Lucie

    2007-09-01

    The aim of this paper was to utilize Ellenberg's plant indicator system for assessing mollusc autecology and to highlight possibilities and advantages of that approach in the case of fen mollusc communities. Molluscs and plants from 137 fen sites in the Western Carpathian Mountains were recorded quantitatively from homogeneous areas of 16 m 2. Water conductivity and pH were measured in the field. Values of Ellenberg's "light, temperature, continentality, moisture, soil reaction, and nutrients" were estimated for each site. The whole data set was processed using ordinations (PCA, DCA, and CCA) and generalized additive models (GAMs). We observed a strong correlation between water pH and Ellenberg soil reaction estimated by plant indicator values ( r = 0.72, P < 0.001). Ellenberg soil reaction was found to be the best predictor of mollusc species composition, which expressed the main mineral-richness gradient. We found the existence of a second important gradient, the gradient of "light", expressing site and canopy openness. A tight correspondence between the results of species response curve modelling based on water conductivity and Ellenberg soil reaction confirmed that "soil reaction" does not express merely pH, but rather the total amount of calcium. We conclude that the Ellenberg's indicator system can be used to study the ecology of land molluscs, an important group of invertebrates in bioindication and nature conservation. Our data and approach could help design appropriate conservation management regimes for threatened snail species. We propose that our approach will be useful also in ecological studies of other animal groups.

  20. THE METHODOLOGY OF DEVELOPING VALUE INDICATORS TO INTEGRALLY ASSESS RESOURCE POTENTIAL IN AGRICULTURAL UNITS

    Directory of Open Access Journals (Sweden)

    Elena TIMOFTI

    2014-06-01

    Full Text Available The problem of increasing the economic efficiency of resource use in agricultural production is very important. Its solution directly depends on the economic security of the country and its constant supply with agricultural products.There are three basic factors in agricultural production: nature (land, labour and capital, which have differentmeasure units. Comparability is necessary to express the value of the integral potential that gives the possibility totake into account the main resources involved in producing and obtaining results from the agricultural sector.

  1. Mapping swamp timothy (Cripsis schenoides) seed productivity using spectral values and vegetation indices in managed wetlands

    Energy Technology Data Exchange (ETDEWEB)

    Rahilly, P.J.A.; Li, D.; Guo, Q.; Zhu, J.; Ortega, R.; Quinn, N.W.T.; Harmon, T.C.

    2010-01-15

    This work examines the potential to predict the seed productivity of a key wetland plant species using spectral reflectance values and spectral vegetation indices. Specifically, the seed productivity of swamp timothy (Cripsis schenoides) was investigated in two wetland ponds, managed for waterfowl habitat, in California's San Joaquin Valley. Spectral reflectance values were obtained and associated spectral vegetation indices (SVI) calculated from two sets of high resolution aerial images (May 11, 2006 and June 9, 2006) and were compared to the collected vegetation data. Vegetation data were collected and analyzed from 156 plots for total aboveground biomass, total aboveground swamp timothy biomass, and total swamp timothy seed biomass. The SVI investigated included the Simple Ratio (SR), Normalized Difference Vegetation Index (NDVI), Soil Adjusted Vegetation Index (SAVI), Transformed Soil Adjusted Vegetation Index (TSAVI), Modified Soil Adjusted Vegetation Index (MSAVI), and Global Environment Monitoring Index (GEMI). We evaluated the correlation of the various SVI with in situ vegetation measurements for linear, quadratic, exponential and power functions. In all cases, the June image provided better predictive capacity relative to May, a result that underscores the importance of timing imagery to coincide with more favorable vegetation maturity. The north pond with the June image using SR and the exponential function (R{sup 2}=0.603) proved to be the best predictor of swamp timothy seed productivity. The June image for the south pond was less predictive, with TSAVI and the exponential function providing the best correlation (R{sup 2}=0.448). This result was attributed to insufficient vegetal cover in the south pond (or a higher percentage of bare soil) due to poor drainage conditions which resulted in a delay in swamp timothy germination. The results of this work suggest that spectral reflectance can be used to estimate seed productivity in managed seasonal

  2. Referential values of certain roentgenometric indices of the humerus diaphysis in newborn infants

    International Nuclear Information System (INIS)

    Georgieva, P.G.; Georgiev, I.G.

    1985-01-01

    A roentgenometric study was made on two indicies of the humerus diaphysis in the corpses of newborn infants: 1) the transverse diameter of the medullar canal in the centre of the diaphysis after Svadkovski; 2) the transverse diameter of the diaphysis at the level of the same bone after Spencer. The statistical processing of the data established had to take into consideration the fact that Gauss's distribution is not often found in biological indices. This complicates the determination of referntial values. That is why a combined method was applied which was worked out by the authors and ensures orderliness and precision. A similar mathematical-statistical apparatus has not been used by other authors. The studies made and the processing of the data obtained contribute to the following inferences on the transverse diameter of the medullar canal in the centre of the humerus diaphysis and the transverse diameter of the diaphysis at the same level of the same bone in newborn infants: 1) their referential values have Gauss's distribution; 2) sex dimorphism does not exist as an objective law; 3) their referential intervals have been determined

  3. Values, inter-attitudinal structure, and attitude change: value accessibility can increase a related attitude's resistance to change.

    Science.gov (United States)

    Blankenship, Kevin L; Wegener, Duane T; Murray, Renee A

    2015-12-01

    Accessibility is one of the most basic structural properties of an attitude and an important factor to consider in attitude strength. Despite its importance, relatively little work has examined the role of attitude accessibility in an inter-attitudinal context, particularly as it relates to the strength of related attitudes in the network. The present research examines accessibility as a property of one attitude (toward an abstract goal or end-state, that is, a value) that might influence the strength of a different but related attitude (toward a social policy conceptually related to the value). In Study 1, a highly accessible evaluative component of a value increased resistance to change of attitudes and behavioral intentions toward a social policy related to that value. Similarly, a manipulation of value accessibility (Studies 2 and 3) led to increased resistance of attitudes and behavioral intentions toward a social policy related to that value. Implications for the role of accessibility in inter-attitudinal strength are discussed. © 2015 by the Society for Personality and Social Psychology, Inc.

  4. Increased Reliance on Value-based Decision Processes Following Motor Cortex Disruption.

    Science.gov (United States)

    Zénon, Alexandre; Klein, Pierre-Alexandre; Alamia, Andrea; Boursoit, François; Wilhelm, Emmanuelle; Duque, Julie

    2015-01-01

    During motor decision making, the neural activity in primary motor cortex (M1) encodes dynamically the competition occurring between potential action plans. A common view is that M1 represents the unfolding of the outcome of a decision process taking place upstream. Yet, M1 could also be directly involved in the decision process. Here we tested this hypothesis by assessing the effect of M1 disruption on a motor decision-making task. We applied continuous theta burst stimulation (cTBS) to inhibit either left or right M1 in different groups of subjects and included a third control group with no stimulation. Following cTBS, participants performed a task that required them to choose between two finger key-presses with the right hand according to both perceptual and value-based information. Effects were assessed by means of generalized linear mixed models and computational simulations. In all three groups, subjects relied both on perceptual (P < 0.0001) and value-based information (P = 0.003) to reach a decision. Yet, left M1 disruption led to an increased reliance on value-based information (P = 0.03). This result was confirmed by a computational model showing an increased weight of the valued-based process on the right hand finger choices following left M1 cTBS (P < 0.01). These results indicate that M1 is involved in motor decision making, possibly by weighting the final integration of multiple sources of evidence driving motor behaviors. Copyright © 2015 Elsevier Inc. All rights reserved.

  5. Re-evaluation of peroxide value as an indicator of the quality of edible oils.

    Science.gov (United States)

    Shiozawa, Satoshi; Tanaka, Masaharu; Ohno, Katsutoshi; Nagao, Yasuhiro; Yamada, Toshihiro

    2007-06-01

    The oxidation of oils has important effects on the quality of oily foods, such as instant noodles. In particular, the generation of aldehydes, which accompanies the oxidation of oils, is one of the first factors to reduce food quality. We examined various indicators of oil quality during temperature-accelerated storage and found that peroxide value (POV) was highly correlated with the total concentration of major odorants. Moreover, the correlation of POV with the total concentration of five unsaturated aldehydes (t-2-heptenal, t-2-octenal, t-2-decenal, t-2-undecenal and t,t-2,4-decadienal) that show strong cytotoxicity was greater than the correlation of POV with the total concentration of major odorants. The maximum allowable concentration of the five aldehydes was calculated based on the 'no observed adverse-effect level' of the aldehyde that showed the highest cytotoxicity, t,t-2,4-decadienal, along with the human daily oil intake. We showed that it is useful to utilize POV as an indicator to control food quality and safety.

  6. Percentile reference values for anthropometric body composition indices in European children from the IDEFICS study.

    Science.gov (United States)

    Nagy, P; Kovacs, E; Moreno, L A; Veidebaum, T; Tornaritis, M; Kourides, Y; Siani, A; Lauria, F; Sioen, I; Claessens, M; Mårild, S; Lissner, L; Bammann, K; Intemann, T; Buck, C; Pigeot, I; Ahrens, W; Molnár, D

    2014-09-01

    To characterise the nutritional status in children with obesity or wasting conditions, European anthropometric reference values for body composition measures beyond the body mass index (BMI) are needed. Differentiated assessment of body composition in children has long been hampered by the lack of appropriate references. The aim of our study is to provide percentiles for body composition indices in normal weight European children, based on the IDEFICS cohort (Identification and prevention of Dietary- and lifestyle-induced health Effects in Children and infantS). Overall 18,745 2.0-10.9-year-old children from eight countries participated in the study. Children classified as overweight/obese or underweight according to IOTF (N=5915) were excluded from the analysis. Anthropometric measurements (BMI (N=12 830); triceps, subscapular, fat mass and fat mass index (N=11,845-11,901); biceps, suprailiac skinfolds, sum of skinfolds calculated from skinfold thicknesses (N=8129-8205), neck circumference (N=12,241); waist circumference and waist-to-height ratio (N=12,381)) were analysed stratified by sex and smoothed 1st, 3rd, 10th, 25th, 50th, 75th, 90th, 97th and 99th percentile curves were calculated using GAMLSS. Percentile values of the most important anthropometric measures related to the degree of adiposity are depicted for European girls and boys. Age- and sex-specific differences were investigated for all measures. As an example, the 50th and 99th percentile values of waist circumference ranged from 50.7-59.2 cm and from 51.3-58.7 cm in 4.5- to <5.0-year-old girls and boys, respectively, to 60.6-74.5 cm in girls and to 59.9-76.7 cm in boys at the age of 10.5-10.9 years. The presented percentile curves may aid a differentiated assessment of total and abdominal adiposity in European children.

  7. Bundling of ecosystem services to increase forestland value and enhance sustainable forest management

    Science.gov (United States)

    Robert L. Deal; Bobby Cochran; Gina. LaRocco

    2012-01-01

    There has been increasing interest in the use of market-based approaches to add value for forestland and to assist with the conservation of natural resources. While markets for ecosystem services show potential for increasing forestland value, there is concern that the lack of an integrated program will simply add to the complexity of these services without generating...

  8. LAWS AND PRINCIPLES OF UNIVERSAL VALUE IN SUSTAINABLE DEVELOPMENT INDICATORS ANALYSIS

    Directory of Open Access Journals (Sweden)

    Andreea CONSTANTINESCU

    2014-11-01

    Full Text Available Each extension of the scope of laws and principles that allow both mathematical and statistical remodeling as well as reaffirming the appropriateness of proven methods, stirs up a special study interest. The ever-expanding computational power of laws of power offers to the scientific universe possibility of new approach to the crucial relationship between quantity and quality, between micro and macro dimensions. Boosting broadening the use of quasi-universal value theories in research in order to deepen the analysis of sustainable development indicators can lead to a greater understanding of all aspects of this area and to facilitate understanding of the arguments which underlie any responsible decision making. This assumption underlies the logical conclusion that sustainability becomes even stronger as it benefits from scientific arguments support resulting from research. Although we have confined ourselves in drafting some coordinates for application of each method presented to particular issues of sustainable development, this research theme will be strengthened and pursued through appropriate extensive analysis.

  9. Increasing Personal Value Congruence in Computerized Decision Support Using System Feedback

    Directory of Open Access Journals (Sweden)

    Bryan Hosack

    2014-02-01

    Full Text Available The Theory of Universals in Values (TUV, a reliable and validated conceptualization of personal values used in psychology, is used to examine the effect of system feedback delivered by a Decision Support System (DSS on personal values. The results indicate that value-based decision-making behavior can be influenced by DSS feedback to address value congruence in decision-making. User behavior was shown to follow the outcomes expected by operant theory when feedback was supportive and to follow the outcomes of reactance theory when feedback was challenging. This result suggests that practitioners and Information System (IS researchers should consider user values when designing computerized decision feedback to adjust a system’s design such that the potential user backlash is avoided or congruence between organizational and personal values is achieved.

  10. Antioxidant Potential of a Polyherbal Antimalarial as an Indicator of Its Therapeutic Value

    Directory of Open Access Journals (Sweden)

    Protus Arrey Tarkang

    2013-01-01

    Full Text Available Nefang is a polyherbal product composed of Mangifera indica (bark and leaf, Psidium guajava, Carica papaya, Cymbopogon citratus, Citrus sinensis, and Ocimum gratissimum (leaves, used for the treatment of malaria. Compounds with antioxidant activity are believed to modulate plasmodial infection. Antioxidant activity of the constituent aqueous plants extracts, in vitro, was evaluated using the 2,2-diphenyl-1-picrylhydrazyl (DPPH, total phenolic content (TPC, and ferric reducing antioxidant power (FRAP methods and, in vivo, Nefang (100 and 500 mg kg−1 activity was evaluated in carbon tetrachloride-induced oxidative stressed Wistar rats. Superoxide dismutase, catalase activities, and lipid peroxidation by the malondialdehyde and total proteins assays were carried out. P. guajava, M. indica leaf, and bark extracts had the highest antioxidant properties in all three assays, with no statistically significant difference. Rats treated with the carbon tetrachloride had a statistically significant decrease in levels of triglycerides, superoxide dismutase, and catalase (P<0.05 and increase in malondialdehyde activity, total protein levels, and liver and renal function markers, whereas rats treated with Nefang showed increased levels in the former and dose-dependent decrease towards normal levels in the later. These results reveal the constituent plants of Nefang that contribute to its in vivo antioxidant potential. This activity is a good indication of the therapeutic potential of Nefang.

  11. Trust increases euthanasia acceptance: a multilevel analysis using the European Values Study.

    Science.gov (United States)

    Köneke, Vanessa

    2014-12-20

    This study tests how various kinds of trust impact attitudes toward euthanasia among the general public. The indication that trust might have an impact on euthanasia attitudes is based on the slippery slope argument, which asserts that allowing euthanasia might lead to abuses and involuntary deaths. Adopting this argument usually leads to less positive attitudes towards euthanasia. Tying in with this, it is assumed here that greater trust diminishes such slippery slope fears, and thereby increases euthanasia acceptance. The effects of various trust indicators on euthanasia acceptance were tested using multilevel analysis, and data from the European Values Study 2008 (N = 49,114, 44 countries). More precisely, the influence of people's general levels of trust in other people, and their confidence in the health care system, were measured--both at the individual and at the country level. Confidence in the state and the press were accounted for as well, since both institutions might monitor and safeguard euthanasia practices. It was shown that the level of trust in a country was strongly positively linked to euthanasia attitudes, both for general trust and for confidence in health care. In addition, within countries, people who perceived their fellow citizens as trustworthy, and who had confidence in the press, were more supportive of euthanasia than their less trusting counterparts. The pattern was, however, not true for confidence in the state and for confidence in the health care system at the individual level. Notably, all confirmative effects held, even when other variables such as religiosity, education, and values regarding autonomy were controlled for. Trust seems to be a noteworthy construct to explain differences in attitudes towards euthanasia, especially when drawing cross-country comparisons. Therefore, it should be added to the existing literature on correlates of euthanasia attitudes.

  12. Assessing cutoff values for increased exercise blood pressure to predict incident hypertension in a general population.

    Science.gov (United States)

    Lorbeer, Roberto; Ittermann, Till; Völzke, Henry; Gläser, Sven; Ewert, Ralf; Felix, Stephan B; Dörr, Marcus

    2015-07-01

    Cutoff values for increased exercise blood pressure (BP) are not established in hypertension guidelines. The aim of the study was to assess optimal cutoff values for increased exercise BP to predict incident hypertension. Data of 661 normotensive participants (386 women) aged 25-77 years from the Study of Health in Pomerania (SHIP-1) with a 5-year follow-up were used. Exercise BP was measured at a submaximal level of 100 W and at maximum level of a symptom-limited cycle ergometry test. Cutoff values for increased exercise BP were defined at the maximum sum of sensitivity and specificity for the prediction of incident hypertension. The area under the receiver-operating characteristic curve (AUC) and net reclassification index (NRI) were calculated to investigate whether increased exercise BP adds predictive value for incident hypertension beyond established cardiovascular risk factors. In men, values of 160  mmHg (100  W level; AUC = 0.7837; NRI = 0.534, P AUC = 0.7677; NRI = 0.340, P = 0.003) were detected as optimal cutoff values for the definition of increased exercise SBP. A value of 190  mmHg (AUC = 0.8347; NRI = 0.519, P < 0.001) showed relevance for the definition of increased exercise SBP in women at the maximum level. According to our analyses, 190 and 210  mmHg are clinically relevant cutoff values for increased exercise SBP at the maximum exercise level of cycle ergometry test for women and men, respectively. In addition, for men, our analyses provided a cutoff value of 160  mmHg for increased exercise SBP at the 100  W level.

  13. Blood coagulation parameters and platelet indices: changes in normal and preeclamptic pregnancies and predictive values for preeclampsia.

    Directory of Open Access Journals (Sweden)

    Lei Han

    Full Text Available Preeclampsia (PE is an obstetric disorder with high morbidity and mortality rates but without clear pathogeny. The dysfunction of the blood coagulation-fibrinolysis system is a salient characteristic of PE that varies in severity, and necessitates different treatments. Therefore, it is necessary to find suitable predictors for the onset and severity of PE.We aimed to evaluate blood coagulation parameters and platelet indices as potential predictors for the onset and severity of PE.Blood samples from 3 groups of subjects, normal pregnant women (n = 79, mild preeclampsia (mPE (n = 53 and severe preeclampsia (sPE (n = 42, were collected during early and late pregnancy. The levels of coagulative parameters and platelet indices were measured and compared among the groups. The receiver-operating characteristic (ROC curves of these indices were generated, and the area under the curve (AUC was calculated. The predictive values of the selected potential parameters were examined in binary regression analysis.During late pregnancy in the normal pregnancy group, the activated partial thromboplastin time (APTT, prothrombin time (PT, thrombin time (TT and platelet count decreased, while the fibrinogen level and mean platelet volume (MPV increased compared to early pregnancy (p<0.05. However, the PE patients presented with increased APTT, TT, MPV and D-dimer (DD during the third trimester. In the analysis of subjects with and without PE, TT showed the largest AUC (0.743 and high predictive value. In PE patients with different severities, MPV showed the largest AUC (0.671 and ideal predictive efficiency.Normal pregnancy causes a maternal physiological hypercoagulable state in late pregnancy. PE may trigger complex disorders in the endogenous coagulative pathways and consume platelets and FIB, subsequently activating thrombopoiesis and fibrinolysis. Thrombin time and MPV may serve as early monitoring markers for the onset and severity of PE

  14. Incremental value of thoracic ultrasound in intensive care units: Indications, uses, and applications.

    Science.gov (United States)

    Liccardo, Biagio; Martone, Francesca; Trambaiolo, Paolo; Severino, Sergio; Cibinel, Gian Alfonso; D'Andrea, Antonello

    2016-05-28

    Emergency physicians are required to care for unstable patients with life-threatening conditions, and thus must make decisions that are both quick and precise about unclear clinical situations. There is increasing consensus in favor of using ultrasound as a real-time bedside clinical tool for clinicians in emergency settings alongside the irreplaceable use of historical and physical examinations. B-mode sonography is an old technology that was first proposed for medical applications more than 50 years ago. Its application in the diagnosis of thoracic diseases has always been considered limited, due to the presence of air in the lung and the presence of the bones of the thoracic cage, which prevent the progression of the ultrasound beam. However, the close relationship between air and water in the lungs causes a variety of artifacts on ultrasounds. At the bedside, thoracic ultrasound is based primarily on the analysis of these artifacts, with the aim of improving accuracy and safety in the diagnosis and therapy of the various varieties of pulmonary pathologic diseases which are predominantly "water-rich" or "air-rich". The indications, contraindications, advantages, disadvantages, and techniques of thoracic ultrasound and its related procedures are analyzed in the present review.

  15. Two results on expected values of imbalance indices of phylogenetic trees

    OpenAIRE

    Mir, Arnau; Rossello, Francesc

    2012-01-01

    We compute an explicit formula for the expected value of the Colless index of a phylogenetic tree generated under the Yule model, and an explicit formula for the expected value of the Sackin index of a phylogenetic tree generated under the uniform model.

  16. The development of meat pate with increased the food and biological values with germinated grains lentils

    Directory of Open Access Journals (Sweden)

    L. V. Antipova

    2016-01-01

    Full Text Available One of the important technological trends in food production, balanced on the chemical and amino acid composition is the development of methods for enrichment product protein, vitamins and minerals. The solution to this problem has long been used a method of enrichment of vegetable raw materials to create a nutrient and healthy products available to different social groups. In theory justified the choice of research object – lentils, which have a number of advantages in food systems. Analyzed method of increasing the biological value of the object in the process of germination grains and marked improvement the balance of amino acid composition. Designed meat pate with using germination grains and investigated its main functional-technological (FTC, organoleptic properties and digestibility. In determining, the functional-technological characteristics revealed an increase in FTC-indicators, such as water binding, water holding, fat holding, and emulsifying ability when you add germination lentils. According to the results of organoleptic evaluation revealed improvement in the consistency of meat pate, when replacing 50% of raw meat, germination lentils, and in appearance, color, smell and taste, control and test products are almost identical. The digestibility of the paste was 97%. Proposed different options of using germination grains of lentils to create a products for public and preventive nutrition.

  17. Strategies for Mitigating the Reduction in Economic Value of Variable Generation with Increasing Penetration Levels

    Energy Technology Data Exchange (ETDEWEB)

    Mills, Andrew; Wiser, Ryan

    2014-03-03

    In this report, we evaluate individual options that have the potential to stem the decline in the marginal value of variable generation (VG) with increasing penetration levels. We focus only on the effectiveness of mitigation measures for wind and PV.

  18. Social Traces of Generic Humans Increase the Value of Everyday Objects.

    Science.gov (United States)

    Job, Veronika; Nikitin, Jana; Zhang, Sophia X; Carr, Priyanka B; Walton, Gregory M

    2017-06-01

    Past research finds that people behave as though the particular qualities of specific, strongly valenced individuals "rub off" on objects. People thus value a sweater worn by George Clooney but are disgusted by one worn by Hitler. We hypothesized that social traces of generic humans can also adhere to objects, increasing their value. Experiments 1 and 2 found that simply marking that consumer products (mugs, giftwrap) were made by generic strangers (e.g., "by people using machines" vs. "by machines run by people") increased their perceived value. Experiment 3 demonstrated that this effect was mediated by thoughts about attention the object received from other people, which, in turn, led people to see the object as possessing more positive social qualities (e.g., friendly), increasing valuation. The results suggest that generic humans are perceived positively, possessing warm social qualities, and these can "rub off" and adhere to everyday objects increasing their value.

  19. Increased beta rhythm as an indicator of inhibitory mechanisms in tourette syndrome

    DEFF Research Database (Denmark)

    Niccolai, Valentina; van Dijk, Hanneke; Franzkowiak, Stephanie

    2016-01-01

    BACKGROUND: Inhibitory oscillatory mechanisms subserving tic compensation have been put forward in Tourette syndrome. Modulation of the beta rhythm (15-25 Hz) as the well-established oscillatory movement execution-inhibition indicator was tested during a cognitive-motor task in patients with Tour......BACKGROUND: Inhibitory oscillatory mechanisms subserving tic compensation have been put forward in Tourette syndrome. Modulation of the beta rhythm (15-25 Hz) as the well-established oscillatory movement execution-inhibition indicator was tested during a cognitive-motor task in patients...... in parieto-occipital brain regions contralaterally to the response hand. Average beta power and power gain correlated negatively with tic severity. CONCLUSIONS: Increased motor inhibitory as well as visuomotor attentional processes are likely to subserve tic compensation. Correlational results suggest...... that stronger inhibitory compensation accompanies less tic severity. © 2016 International Parkinson and Movement Disorder Society....

  20. Indicator value of lotic water mites (Acari: Hydrachnidia and their use in macroinvertebrate-based indices for water quality assessment purposes

    Directory of Open Access Journals (Sweden)

    Miccoli F. P.

    2013-10-01

    Full Text Available The Water Framework Directive (WFD of the European Union includes benthic macroinvertebrates for the ecological assessment of running waters. The invertebrate-based Star-ICMi index, adopted in 2010, does not include Hydrachnidia (water mites in its complex formulation. However, Hydrachnidia are associated with many environmental variables and may be useful for stream ecological characterization. We have therefore assessed the bioindicator value of Hydrachnidia in streams of central Italy, and the ability of two mite-containing (the PTH and the newly formulated PTHfam indices and four mite-excluding biotic indices (Star-ICMi, BMWP, ASPT, and IBE to characterize 216 sites ranging from semipristine to impacted. Mite bioindicator value was high at family level. Index reliability was consistently low for the PTH and ASPT indices. Distribution of mite families across quality classes (QCs was fully separated only for the PTHfam index. QC assignment remained reliable at high index values (i.e., at high ecological status for the PTHfam and BMWP indices, while logarithmic correlations between the PTHfam and the other indices suggest that the latter may misrepresent sites in high, good, and moderate ecological status sensu WFD. Further studies on the PTHfam index are warranted in light of its simplicity, high reliability, and low sampling and taxonomic identification effort.

  1. What is the value of performance indicators for the nuclear industry?

    International Nuclear Information System (INIS)

    Johann Popp

    2006-01-01

    WANO is an Association of all Operators of Nuclear Power Plants worldwide. This association is promoting and running for their members 4 programmes which are Operating Experience, Peer Reviews, Professional and Technical Development and Technical Support and Exchange. The Technical Support and Exchange programme comprises Good Practices, Performance Indicators, Operator-to-Operator Exchanges and Technical Support Missions. This paper explains the Performance Indicator programme. WANO is collecting significant NPP nuclear power plant data and is computing indicators according to selected criteria for the only purpose of comparing or benchmarking plant performance of all types and different designs. All effective organisations measure their performance in order to know, how well they are doing and in order to identify opportunities for improvement. Indicators are central to the monitoring and reporting of progress towards sustainable development in all areas. Indicators are mainly derived from statistical data in order to exhibit weaknesses and strengths of programs. There are many hundreds of commercial and technical indicators known. WANO is tracing just ten significant indicators out of the many available, and only for the purpose of comparing plant performance. The first set of three indicators is more related to productivity and exhibit, how well management is planning, staff is maintaining and operators are conducting the plants. The second set of two indicators is related to safety systems, how well they are maintained and how reliable they are. The next set of two is material related and the last two indicators are related to human resources. Indicators are reflecting the current industrial standard and allow the positioning of a plant with regard to the 'state of the art'. They pinpoint to weaknesses and strengths of different designs/fleets

  2. The pT-value as environmental policy indicator for the exposure to toxic substances

    NARCIS (Netherlands)

    Slooff W; de Zwart D

    1991-01-01

    This report contains a proposal for an indicator to measure the effectivity of the environmental policy with regard to the theme "Verspreiding" of the Directorate-General for Environmental Protection. It is recommended to use a method which indicates the toxicity of organic pollutants as

  3. Normative values for selected linear indices of the intracranial fluid spaces based on CT images of the head in children

    International Nuclear Information System (INIS)

    Wilk, R.; Syc, B.; Bajor, G.; Kluczewska, E.

    2011-01-01

    Currently, a few imaging methods are used in CNS diagnostics: computed tomography - CT, magnetic resonance imaging - MRI, and ultrasonography - USG. The ventricular system changes its dimensions with child's development. Linear indices commonly used in the diagnostics of hydrocephalus do not consider developmental changes of the intracranial fluid spaces. The aim of our work was to identify reference values for selected linear indices in specific age groups. Material/Methods: The material included 507 CT examinations of the head in children of different age and both sexes. There were 381 CT examinations considered as normal and they were used to establish the reference values. They were compared with 126 CTs from the observational zone (3-10 percentile and 90-97 percentile). The children were divided into 7 following age groups: 0-12 months, > 12-36 months, > 3-6 years, > 6-9 years, > 9-12 years, > 12-15 years, > 15-18 years. For every group, the 10 th , 25 th , 50 th , 75 th and 90 th percentile was calculated. The range between the 10 th and the 90 th percentile was described as a norm. Results: Reference values for particular indices: Huckman Number from 3.3 to 5.0 cm with correlation coefficient according to age equal to 0.34; Evans' Index from 0.218 to 0.312 with correlation coefficient of -0.12; Bifrontal Index from 0.265 to 0.380 with correlation coefficient of 0.18; Bicaudate / Frontal Index from 0.212 to 0.524 with correlation coefficient of -0,33; Bicaudate Index from 0.059 to 0.152 with correlation coefficient of -0.26; Bicaudate / Temporal Index from 0.051 to 0.138 with correlation coefficient of 0.32; Schiersmann's Index from 3.545 to 6.038 with correlation coefficient of 0.42. Conclusions: The intracerebral CSF spaces increased in a non-uniform manner with age. All indices established on the basis of linear parameters were relatively higher in younger children than in the older ones. In proportion to the cranial size, the intracranial fluid spaces

  4. Value Innovation in Hospital: Increase Organizational IQ by Managing Intellectual Capitals.

    Science.gov (United States)

    Karami, Mahtab; Torabi, Mashallah

    2015-02-01

    Hospital is a complex organization rich in intellectual capitals. Effective management of these assets in line with innovating value to reach strategic goals and objectives can lead to increasing organizational IQ. In hospital with high organizational IQ, Increasing syntropy in intellectual capitals can convert it to an agile, learner, innovative, and smart organization.

  5. Value Innovation in Hospital: Increase Organizational IQ by Managing Intellectual Capitals

    Science.gov (United States)

    Karami, Mahtab; Torabi, Mashallah

    2015-01-01

    Hospital is a complex organization rich in intellectual capitals. Effective management of these assets in line with innovating value to reach strategic goals and objectives can lead to increasing organizational IQ. In hospital with high organizational IQ, Increasing syntropy in intellectual capitals can convert it to an agile, learner, innovative, and smart organization. PMID:25870494

  6. Global Value Chain Indicators: Application to the Italian Sectors - Gli indicatori della global value chain: un’applicazione ai settori italiani

    OpenAIRE

    Ricotta, Fernanda

    2010-01-01

    In this paper the extent of international fragmentation of production in Italian manufacturing industries for the years 1985, 1995 and 2000 is assessed with different indicators. The objective is to determine where fragmentation is most prevalent and to provide a description of the key characteristics of those sectors. The paper first presents a survey of global value chain indicators and how these have been used in the economic literature. The second part supplies empirical evidence on the g...

  7. Mitochondrial Epigenetic Changes Link to Increased Diabetes Risk and Early-Stage Prediabetes Indicator

    Science.gov (United States)

    Zheng, Louise D.; Linarelli, Leah E.; Brooke, Joseph; Smith, Cayleen; Wall, Sarah S.; Greenawald, Mark H.; Seidel, Richard W.; Estabrooks, Paul A.; Almeida, Fabio A.; Cheng, Zhiyong

    2016-01-01

    Type 2 diabetes (T2D) is characterized by mitochondrial derangement and oxidative stress. With no known cure for T2D, it is critical to identify mitochondrial biomarkers for early diagnosis of prediabetes and disease prevention. Here we examined 87 participants on the diagnosis power of fasting glucose (FG) and hemoglobin A1c levels and investigated their interactions with mitochondrial DNA methylation. FG and A1c led to discordant diagnostic results irrespective of increased body mass index (BMI), underscoring the need of new biomarkers for prediabetes diagnosis. Mitochondrial DNA methylation levels were not correlated with late-stage (impaired FG or A1c) but significantly with early-stage (impaired insulin sensitivity) events. Quartiles of BMI suggested that mitochondrial DNA methylation increased drastically from Q1 (20 40, morbidly obese). A significant change was also observed from Q1 to Q2 in HOMA insulin sensitivity but not in A1c or FG. Thus, mitochondrial epigenetic changes link to increased diabetes risk and the indicator of early-stage prediabetes. Further larger-scale studies to examine the potential of mitochondrial epigenetic marker in prediabetes diagnosis will be of critical importance for T2D prevention. PMID:27298712

  8. Increased beta rhythm as an indicator of inhibitory mechanisms in tourette syndrome.

    Science.gov (United States)

    Niccolai, Valentina; van Dijk, Hanneke; Franzkowiak, Stephanie; Finis, Jennifer; Südmeyer, Martin; Jonas, Melanie; Thomalla, Götz; Siebner, Hartwig Roman; Müller-Vahl, Kirsten; Münchau, Alexander; Schnitzler, Alfons; Biermann-Ruben, Katja

    2016-03-01

    Inhibitory oscillatory mechanisms subserving tic compensation have been put forward in Tourette syndrome. Modulation of the beta rhythm (15-25 Hz) as the well-established oscillatory movement execution-inhibition indicator was tested during a cognitive-motor task in patients with Tourette syndrome. Performing a Go/NoGo task, 12 patients with Tourette syndrome and 12 matched controls were recorded using whole-head magnetoencephalography. Compared to healthy participants, patients showed less beta suppression in the sensorimotor area and enhanced beta power in parieto-occipital brain regions contralaterally to the response hand. Average beta power and power gain correlated negatively with tic severity. Increased motor inhibitory as well as visuomotor attentional processes are likely to subserve tic compensation. Correlational results suggest that stronger inhibitory compensation accompanies less tic severity. © 2016 International Parkinson and Movement Disorder Society.

  9. The macro-invertebrates and their value like indicators of the water quality

    International Nuclear Information System (INIS)

    Roldan Perez, Gabriel

    1999-01-01

    An analysis of the water pollution problems is presented and some of the more used methods for assessment of its damage degree through bio indicators are discussed. There are biological methods for assessment of water quality widely used in developed countries. Because the aquatic fauna existing there is different from the one here, those methods cannot be applied in the tropics before knowing what kinds of organisms live here and what ecological requirements they have. The adoption of a method for assessment of water quality in tropical mountains ecosystems is proposed, using macro invertebrates as bio indicators

  10. Clinical Laboratory Values as Early Indicators of Ebola Virus Infection in Nonhuman Primates.

    Science.gov (United States)

    Reisler, Ronald B; Yu, Chenggang; Donofrio, Michael J; Warren, Travis K; Wells, Jay B; Stuthman, Kelly S; Garza, Nicole L; Vantongeren, Sean A; Donnelly, Ginger C; Kane, Christopher D; Kortepeter, Mark G; Bavari, Sina; Cardile, Anthony P

    2017-08-01

    The Ebola virus (EBOV) outbreak in West Africa during 2013-2016 demonstrated the need to improve Ebola virus disease (EVD) diagnostics and standards of care. This retrospective study compared laboratory values and clinical features of 3 nonhuman primate models of lethal EVD to assess associations with improved survival time. In addition, the study identified laboratory values useful as predictors of survival, surrogates for EBOV viral loads, and triggers for initiation of therapeutic interventions in these nonhuman primate models. Furthermore, the data support that, in nonhuman primates, the Makona strain of EBOV may be less virulent than the Kikwit strain of EBOV. The applicability of these findings as potential diagnostic and management tools for EVD in humans warrants further investigation.

  11. Increased Evoked Potentials and Behavioral Indices in Response to Pain Among Individuals with Intellectual Disability.

    Science.gov (United States)

    Benromano, Tali; Pick, Chaim G; Granovsky, Yelena; Defrin, Ruth

    2017-09-01

    Previous studies on the sensitivity and reactivity to pain of individuals with intellectual disability (ID) are inconsistent. The inconsistency may result from the reliance on self-reports and facial expressions of pain that are subject to internal and external biases. The aim was therefore to evaluate the reactivity to pain of individuals with ID by recording pain-evoked potentials (EPs), here for the first time, and testing their association with behavioral pain indices. Forty-one healthy adults, 16 with mild-moderate ID and 25 controls. Subjects received series of phasic heat stimuli and rated their pain on self-report scales. Changes in facial expressions and in pain EPs were recorded and analyzed offline. Pain self-reports, facial expressions, and the N2P2 amplitudes of the EPs exhibited stimulus-response relationship with stimulation intensity in both groups. The facial expressions and N2P2 amplitudes of individuals with ID were increased and N2P2 latency prolonged compared with controls. N2P2 amplitudes correlated with self-reports only in controls. Individuals with ID are hypersensitive/reactive to pain, a finding bearing clinical implications. Although pain EPs may reflect a somewhat different aspect of pain than the behavioral indices do, there is evidence to support their use to record pain in noncommunicative individuals, pending further validation. © 2017 American Academy of Pain Medicine. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com

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

    Science.gov (United States)

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

    2016-10-01

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

  13. The value of anthropometric indices for identifying women with features of metabolic syndrome

    Science.gov (United States)

    BMI is a widely used anthropometric measure for identifying CVD and metabolic syndrome (MetS) risk. Two new anthropometric indices are A Body Shape Index (ABSI) and Body Roundness Index (BRI) that may provide better correlations to features of MetS. Methods: Subject data were obtained from 91 over...

  14. Key Performance Indicators and Target Values for Multi-Megawatt Offshore Turbines

    DEFF Research Database (Denmark)

    Chaviaropoulos, Panagiotis K.; Natarajan, Anand; Jensen, Peter Hjuler

    2014-01-01

    on the basis of key performance indicators (KPIs). Following the European Wind Industrial Initiative the Levelized Cost of Electricity (LCOE) and its driving components are investigated, while quantifying the sensitivity of LCOE to its constituent factors. Methods whereby innovation in design can reduce...

  15. Spatial extreme value analysis to project extremes of large-scale indicators for severe weather.

    Science.gov (United States)

    Gilleland, Eric; Brown, Barbara G; Ammann, Caspar M

    2013-09-01

    Concurrently high values of the maximum potential wind speed of updrafts ( W max ) and 0-6 km wind shear (Shear) have been found to represent conducive environments for severe weather, which subsequently provides a way to study severe weather in future climates. Here, we employ a model for the product of these variables (WmSh) from the National Center for Atmospheric Research/United States National Center for Environmental Prediction reanalysis over North America conditioned on their having extreme energy in the spatial field in order to project the predominant spatial patterns of WmSh. The approach is based on the Heffernan and Tawn conditional extreme value model. Results suggest that this technique estimates the spatial behavior of WmSh well, which allows for exploring possible changes in the patterns over time. While the model enables a method for inferring the uncertainty in the patterns, such analysis is difficult with the currently available inference approach. A variation of the method is also explored to investigate how this type of model might be used to qualitatively understand how the spatial patterns of WmSh correspond to extreme river flow events. A case study for river flows from three rivers in northwestern Tennessee is studied, and it is found that advection of WmSh from the Gulf of Mexico prevails while elsewhere, WmSh is generally very low during such extreme events. © 2013 The Authors. Environmetrics published by JohnWiley & Sons, Ltd.

  16. VALUE CHAIN ANALYSIS OF BROILER TO INCREASE COMPETITIVENESS (Case Study at PT. Charoen Pokphand Indonesia, Tbk

    Directory of Open Access Journals (Sweden)

    Surip Prayugo

    2012-09-01

    Full Text Available The objectives of this research are to (1 map the value chain in broiler at PT. Charoen Pokphand Indonesia, Tbk (CPI; (2 analyze the value chain governance in broiler at CPI; (3 analyze the margin of marketing at broiler industry both on farm or off farm; (3 analyze the gap between the expectation and the performance of consumers (farmers upon using products of CPI and (4 recognize factors influencing competitiveness in broiler industry; and (5 to formulate strategy for value chain upgrading at CPI in order to increase competitiveness of broiler. As revealed by the value chain analysis, the role of CPI in this value chain is highly significant. All poultry inputs (DOC, feed, veterinary medicine, and poultry equipments are supplied by CPI. As for downstream sector, CPI processes broiler into its derivatives. The type of value chain governance between feed supplier, DOC, and veterinary medicine, poultry equipment, and poultry derivates belongs to market value chain. Whereas the type of value chain governance between carcass supplier and restaurant belongs to captive value chain. Based on the margin of marketing analysis, the party that gains the lowest margin is farmer and the party that receives the highest margin is the processor. In gap analysis, the lowest attribute of competitiveness is the feed spending and the highest attribute is the spending on veterinary medicine for two months. Factors that influence the competitiveness in poultry industry are condition, demand, industry competition, main industries and supporting industries, and government’s role.Keywords: Value Chain, Competitiveness, Broiler, PT. Charoen Pokphand Indonesia, Tbk, Margin of Marketing Analysis, Gap Analysis, SWOT Analysis

  17. ON THE ADVISABILITY OF REJECTION OF SUBTRACTION OF BACKGROUND DOSIMETERS INDICATION VALUES FROM THE MEASURED VALUES OF INDIVIDUAL DOSES OF OCCUPATIONAL EXPOSURE OF A-GROUP PERSONNEL

    Directory of Open Access Journals (Sweden)

    A. N. Barkovskiy

    2013-01-01

    Full Text Available An article contains substantiation of advisability of rejection of subtraction of background dosimeters indication values from the measured values of individual doses of occupational exposure of A-group personnel in the process of carrying out of individual dosimetry control of medical organizations stuff which was implemented in the Methodical Guideline 2.6.1.3015-12. It is shown that mentioned procedure is firstly incorrect when we deal with low doses, when the impact of natural exposure could be really considerable and secondary senseless when we deal with dose values close to the dose limit value for A-group personnel when the impact of natural exposure is much lower then the error of measurements. It is suggested to carry out the account of the impact of natural exposure into personnel average doses basing on the analysis of statistical distributions of personnel individual doses and on indications of background dosimeters. It is suggested to add the information about indications of background dosimeters into the Base of Federal Statistical Supervision № 1-DOS as it is prescribed in the Methodical Guideline 2.6.1.3015-12. This article is the respond to the article of A.I. Grigoriev published in the present issue of Journal, in which the author contests the reasonableness of this provision.

  18. Ellenberg's indicator values support prediction of suitable habitat for pre-diapause larvae of endangered butterfly Euphydryas aurinia.

    Directory of Open Access Journals (Sweden)

    Remigiusz Pielech

    Full Text Available In spite of the great popularity of Ellenberg's Indicator Values (EIVs in plant ecology, animal ecologists seldom use EIVs to address ecological questions. In this study we used EIVs to test their potential usefulness for the prediction of suitable habitat for pre-diapause larvae of the endangered butterfly species Euphydryas aurinia. Nine transects crossing grasslands in SW Poland with abundant populations of E. aurinia were designed. We sampled 76 vegetation plots along the transects. In addition, the presence of the larval webs of E. aurinia in sampled plots was also recorded. We then calculated the mean community EIVs of light, nitrogen, soil reaction, moisture and temperature for each sample plots. Generalized linear mixed-effects models (GLMMs were used to assess which factors determine the local occurrence of larval webs of E. aurinia. We found the larval webs only in 12 plots, while the host plant was present in 39 of the examined plots. The presence of the host plant was the most important predictor in both models including all plots or including only plots with host plants. The other significant predictor was the mean EIV of light, and its importance increased in models considering all plots. We attributed the importance of the EIV of light to the site openness and density of the vegetation layer. A positive relationship between this predictor and the presence of larval webs indicates that sites with looser vegetation, a lower contribution of shrubs and tall herbs and better penetration of photosynthetically active radiation to lower vegetation layers are preferred by E. aurinia for oviposition. Moreover, the significance of EIV of light may be linked with management practices. Many light-demanding species decline after cessation of mowing as a result of litter accumulation and the dominance of tall herbs. An absence of light-demanding species decreases the community's mean EIV of light and thus indicates the influence of meadow

  19. Obtaining and application of increased food and biological value iodinated products from lentils sprouted grain

    Directory of Open Access Journals (Sweden)

    L. V. Antipova

    2017-01-01

    Full Text Available The choice of research direction is related to the actual problem of production and distribution of functional purpose food products due to the spread of nutritional diseases and the lack of micronutrients in ordinary people and athletes diet. As an object for enrichment with iodine, it was suggested to use lentils, which is famous for its high protein content, low lipid and oligosaccharide content, and low inhibitory effect. The iodine accumulation occurs during germination, due to the use of a nutrient solution of the iodine inorganic form. In addition, the biochemical composition of the grain and the biological value of lentils are significantly improved: an increase in the content of total amino acids and vitamins is found to be 1.5-2.0 times, a mass fraction of the oligosaccharide fraction is observed. To determine the effect of technological processing on the degree of iodine conservation in lentils the grains were exposed to the following impact: grinding, extrusion, frying. An insignificant decrease in the amount of iodine during extrusion was noted and more significant one - during grinding. The obtained results of the determination of biological safety by the method of studying the effect of the investigated product on the growth response of ciliates allowed to confirm the safety of both fresh and dried sprouted grain of lentils. When studying the microbiology of grain by sowing on agarized selective diagnostic environments with subsequent identification of the qualitative and quantitative composition of microflora, including colony-forming units, deviations from the normative indices were not revealed. Experimental production of the extrudate was carried out, possible ways of its use in meat systems for improving the functional and technological properties of minced meat, as well as for independent use as snacks for the nutrition of athletes were suggested.

  20. Increasing the Value of Agricultural Products in the Face of Global ...

    African Journals Online (AJOL)

    The Paper examined the increasing value of agricultural products in the face of global economic recession in Anambra State. The paper revealed that Anambra State is endowed with human and natural resources and if properly harnessed, can go a long way in arresting the food insecurity in the State and alleviate the ...

  1. Prostate-specific antigen increase during dutasteride to indicate the need for prostate biopsy: influence of prostatic inflammation.

    Science.gov (United States)

    Sciarra, Alessandro; Maggi, Martina; Fasulo, Andrea; Salciccia, Stefano; Gentile, Vincenzo; Cattarino, Susanna; Gentilucci, Alessandro

    2017-08-01

    The aim of this study was to analyze the significance of an increase in total prostate-specific antigen (PSA) serum levels despite dutasteride treatment as a predictor of prostate cancer (PC) at biopsy. We focused our attention on the rate of the first PSA increase and on the influence of prostatic inflammation. From 2011 to 2016, 365 men with a previous negative prostate biopsy and persistent elevated PSA levels received dutasteride treatment. The population was followed for a range of 12-48 months. One hundred twelve cases with a confirmed PSA increase >0.5 ng/ml over the nadir value during the follow-up were included in Group A and underwent a new prostate biopsy. In Group A, the PSA increase was associated with PC at the re-biopsy in 66% of cases. The percentage of PSA reduction after 6 months of treatment was not a significant indicator of the risk for PC. The distribution of inflammatory infiltrates significantly (pprostate biopsies. The relative risk for PC at biopsy significantly increased according to PSA level during dutasteride. Treatment with dutasteride can help to analyze PSA kinetic. A persistent prostatic inflammation is a factor able to reduce the performance of PSA kinetic during dutasteride treatment.

  2. Variability of indicator values for ozone production sensitivity: a model study in Switzerland and San Joaquin Valley (California)

    International Nuclear Information System (INIS)

    Andreani-Aksoyoglu, S.; Keller, J.; Prevot, A.S.H.; Chenghsuan Lu; Chang, J.S.

    2001-01-01

    The threshold values of indicator species and ratios delineating the transition between NO x and VOC sensitivity of ozone formation are assumed to be universal by various investigators. However, our previous studies suggested that threshold values might vary according to the locations and conditions. In this study, threshold values derived from various model simulations at two different locations (the area of Switzerland by UAM Model and San Joaquin Valley of Central California by SAQM Model) are examined using a new approach for defining NO x and VOC sensitive regimes. Possible definitions for the distinction of NO x and VOC sensitive ozone production regimes are given. The dependence of the threshold values for indicators and indicator ratios such as NO y , O 3 /NO z , HCHO/NO y , and H 2 O 2 /HNO 3 on the definition of NO x and VOC sensitivity is discussed. Then the variations of threshold values under low emission conditions and in two different days are examined in both areas to check whether the models respond consistently to changes in environmental conditions. In both cases, threshold values are shifted similarly when emissions are reduced. Changes in the wind fields and aging of the photochemical oxidants seem to cause the day-to-day variation of the threshold values. O 3 /NO z and HCHO/NO y indicators are predicted to be unsatisfactory to separate the NO x and VOC sensitive regimes. Although NO y and H 2 O 2 /HNO 3 provide a good separation of the two regimes, threshold values are affected by changes in the environmental conditions studied in this work. (author)

  3. Copy number increase of ACTN4 is a prognostic indicator in salivary gland carcinoma

    International Nuclear Information System (INIS)

    Watabe, Yukio; Mori, Taisuke; Yoshimoto, Seiichi; Nomura, Takeshi; Shibahara, Takahiko; Yamada, Tesshi; Honda, Kazufumi

    2014-01-01

    Copy number increase (CNI) of ACTN4 has been associated with poor prognosis and metastatic phenotypes in various human carcinomas. To identify a novel prognostic factor for salivary gland carcinoma, we investigated the copy number of ACTN4. We evaluated DNA copy number of ACTN4 in 58 patients with salivary gland carcinoma by using fluorescent in situ hybridization (FISH). CNI of ACTN4 was recognized in 14 of 58 patients (24.1%) with salivary gland carcinoma. The cases with CNI of ACTN4 were closely associated with histological grade (P = 0.047) and vascular invasion (P = 0.033). The patients with CNI of ACTN4 had a significantly worse prognosis than the patients with normal copy number of ACTN4 (P = 0.0005 log-rank test). Univariate analysis by the Cox proportional hazards model showed that histological grade, vascular invasion, and CNI of ACTN4 were independent risk factors for cancer death. Vascular invasion (hazard ratio [HR]: 7.46; 95% confidence interval [CI]: 1.98–28.06) and CNI of ACTN4 (HR: 3.23; 95% CI: 1.08–9.68) remained as risk factors for cancer death in multivariate analysis. Thus, CNI of ACTN4 is a novel indicator for an unfavorable outcome in patients with salivary gland carcinoma

  4. Intensified training increases salivary free light chains in trained cyclists: Indication that training volume increases oral inflammation.

    Science.gov (United States)

    Heaney, Jennifer L J; Killer, Sophie C; Svendsen, Ida S; Gleeson, Michael; Campbell, John P

    2018-05-01

    Periods of short-term intensified training (IT) are often used by athletes during training cycles over the season and undergoing phases of increased physical stress may impact upon the immune system. This study investigated the effects of a period of IT on free light chains (FLCs) in saliva - an emerging immune biomarker of oral inflammation - and matched serum samples in well-trained athletes. It also examined if IT influences basal FLC levels and FLC flux during acute exercise. Highly trained male cyclists (n = 10) underwent a 9-day period of IT; before and after IT participants performed a 1 h time trial (TT) on a cycle ergometer, with blood and saliva samples collected pre- and post-exercise. FLCs were assessed in serum and saliva, and IgG, IgA, IgM and creatinine were also measured in serum. Weekly training volume increased by 143% (95% CI 114-172%), p training. Following IT, the cyclists demonstrated higher salivary FLC levels. Both salivary lambda FLC concentrations (p training, and we show for the first time that FLCs may have utility as a marker of exercise stress and oral health status. Copyright © 2018 Elsevier Inc. All rights reserved.

  5. Fire-tube boiler optimization criteria and efficiency indicators rational values defining

    Science.gov (United States)

    Batrakov, P. A.; Mikhailov, A. G.; Ignatov, V. Yu

    2018-01-01

    Technical and economic calculations problems solving with the aim of identifying the opportunity to recommend the project for industrial implementation are represented in the paper. One of the main determining factors impacting boiler energy efficiency is the exhaust gases temperature, as well as the furnace volume thermal stress. Fire-tube boilers with different types of furnaces are considered in the study. The fullest analysis of the boiler performance thermal and technical indicators for the following engineering problem: Q=idem, M=idem and evaluation according to η, B is presented. The furnace with the finned ellipse profile application results in the fuel consumption decrease due to a more efficient heat exchange surface of the furnace compared to other examined ones.

  6. Extremal values on Zagreb indices of trees with given distance k-domination number.

    Science.gov (United States)

    Pei, Lidan; Pan, Xiangfeng

    2018-01-01

    Let [Formula: see text] be a graph. A set [Formula: see text] is a distance k -dominating set of G if for every vertex [Formula: see text], [Formula: see text] for some vertex [Formula: see text], where k is a positive integer. The distance k -domination number [Formula: see text] of G is the minimum cardinality among all distance k -dominating sets of G . The first Zagreb index of G is defined as [Formula: see text] and the second Zagreb index of G is [Formula: see text]. In this paper, we obtain the upper bounds for the Zagreb indices of n -vertex trees with given distance k -domination number and characterize the extremal trees, which generalize the results of Borovićanin and Furtula (Appl. Math. Comput. 276:208-218, 2016). What is worth mentioning, for an n -vertex tree T , is that a sharp upper bound on the distance k -domination number [Formula: see text] is determined.

  7. Can We Improve Indicator Design for Complex Sustainable Development Goals? A Comparison of a Values-Based and Conventional Approach

    Directory of Open Access Journals (Sweden)

    Gemma Burford

    2016-08-01

    Full Text Available A conceptual framework was constructed for United Nations’ complex Sustainable Development Goal (SDG Target 4.7 focusing on education for sustainable development (ESD, and used to analyse the usefulness and character of indicators produced from a values-based approach called ESDinds, compared to a UN process. The analysis shows that the latter generated very few indicators concerning the wider aspects of knowledge such as ‘critical thinking’ or ‘learning to learn’. The values-based approach, created for a different purpose, produced complementary if not better coverage of Target 4.7, including finely-developed concepts for competencies and less tangible aspects. It is suggested that the UN process would benefit from ESDinds design elements such as intersubjective and slightly disruptive elements, purposeful contextualisation at group level, and a holistic and inductive consideration of values. The use of a reference ‘fuzzy framework’ of slightly generalised proto-indicators suited for deep contextualisation locally is recommended, rather than any rigid global-level indicator with unclear local value. It is recommended that ESD practitioners immediately develop localised interpretations of valid measures for whatever final Target 4.7 indicator is selected by the UN, as this localisation process will itself cause important learning towards local ESD achievements.

  8. The potential for increased power from combining P-values testing the same hypothesis.

    Science.gov (United States)

    Ganju, Jitendra; Julie Ma, Guoguang

    2017-02-01

    The conventional approach to hypothesis testing for formal inference is to prespecify a single test statistic thought to be optimal. However, we usually have more than one test statistic in mind for testing the null hypothesis of no treatment effect but we do not know which one is the most powerful. Rather than relying on a single p-value, combining p-values from prespecified multiple test statistics can be used for inference. Combining functions include Fisher's combination test and the minimum p-value. Using randomization-based tests, the increase in power can be remarkable when compared with a single test and Simes's method. The versatility of the method is that it also applies when the number of covariates exceeds the number of observations. The increase in power is large enough to prefer combined p-values over a single p-value. The limitation is that the method does not provide an unbiased estimator of the treatment effect and does not apply to situations when the model includes treatment by covariate interaction.

  9. Oyster reef restoration supports increased nekton biomass and potential commercial fishery value

    Directory of Open Access Journals (Sweden)

    Austin T. Humphries

    2015-08-01

    Full Text Available Across the globe, discussions centered on the value of nature drive many conservation and restoration decisions. As a result, justification for management activities increasingly asks for two lines of evidence: (1 biological proof of augmented ecosystem function or service, and (2 monetary valuation of these services. For oyster reefs, which have seen significant global declines and increasing restoration work, the need to provide both biological and monetary evidence of reef services on a local-level has become more critical in a time of declining resources. Here, we quantified species biomass and potential commercial value of nekton collected from restored oyster (Crassostrea virginica reefs in coastal Louisiana over a 3-year period, providing multiple snapshots of biomass support over time. Overall, and with little change over time, fish and invertebrate biomass is 212% greater at restored oyster reefs than mud-bottom, or 0.12 kg m−2. The additional biomass of commercial species is equivalent to an increase of local fisheries value by 226%, or $0.09 m−2. Understanding the ecosystem value of restoration projects, and how they interact with regional management priorities, is critical to inform local decision-making and provide testable predictions. Quantitative estimates of potential commercial fisheries enhancement by oyster reef restoration such as this one can be used directly by local managers to determine the expected return on investment.

  10. Method for increasing the calorific value of gas produced by the in situ combustion of coal

    Science.gov (United States)

    Shuck, Lowell Z.

    1978-01-01

    The present invention relates to the production of relatively high Btu gas by the in situ combustion of subterranean coal. The coal bed is penetrated with a horizontally-extending borehole and combustion is initiated in the coal bed contiguous to the borehole. The absolute pressure within the resulting combustion zone is then regulated at a desired value near the pore pressure within the coal bed so that selected quantities of water naturally present in the coal will flow into the combustion zone to effect a hydrogen and carbon monoxide-producing steam-carbon reaction with the hot carbon in the combustion zone for increasing the calorific value of the product gas.

  11. Increased native T1-values at the interventricular insertion regions in precapillary pulmonary hypertension.

    Science.gov (United States)

    Spruijt, Onno A; Vissers, Loek; Bogaard, Harm-Jan; Hofman, Mark B M; Vonk-Noordegraaf, Anton; Marcus, J Tim

    2016-03-01

    Cardiac magnetic resonance imaging of the pressure overloaded right ventricle (RV) of precapillary pulmonary hypertension (PH) patients, exhibits late gadolinium enhancement at the interventricular insertion regions, a phenomenon which has been linked to focal fibrosis. Native T1-mapping is an alternative technique to characterize myocardium and has the advantage of not requiring the use of contrast agents. The aim of this study was to characterize the myocardium of idiopathic pulmonary arterial hypertension (IPAH), systemic scleroderma related PH (PAH-Ssc) and chronic thromboembolic PH (CTEPH) patients using native T1-mapping and to see whether native T1-values were related to disease severity. Furthermore, we compared native T1-values between the different precapillary PH categories. Native T1-mapping was performed in 46 IPAH, 14 PAH-SSc and 10 CTEPH patients and 10 control subjects. Native T1-values were assessed using regions of interest at the RV and LV free wall, interventricular septum and interventricular insertion regions. In PH patients, native T1-values of the interventricular insertion regions were significantly higher than the native T1-values of the RV free wall, LV free wall and interventricular septum. Native T1-values at the insertion regions were significantly related to disease severity. Native T1-values were not different between IPAH, PAH-Ssc and CTEPH patients. Native T1-values of the interventricular insertion regions are significantly increased in precapillary PH and are related to disease severity. Native T1-mapping can be developed as an alternative technique for the characterization of the interventricular insertion regions and has the advantage of not requiring the use of contrast agents.

  12. Phytosterol and cholesterol precursor levels indicate increased cholesterol excretion and biosynthesis in gallstone disease.

    Science.gov (United States)

    Krawczyk, Marcin; Lütjohann, Dieter; Schirin-Sokhan, Ramin; Villarroel, Luis; Nervi, Flavio; Pimentel, Fernando; Lammert, Frank; Miquel, Juan Francisco

    2012-05-01

    In hepatocytes and enterocytes sterol uptake and secretion is mediated by Niemann-Pick C1-like 1 (NPC1L1) and ATP-binding cassette (ABC)G5/8 proteins, respectively. Whereas serum levels of phytosterols represent surrogate markers for intestinal cholesterol absorption, cholesterol precursors reflect cholesterol biosynthesis. Here we compare serum and biliary sterol levels in ethnically different populations of patients with gallstone disease (GSD) and stone-free controls to identify differences in cholesterol transport and synthesis between these groups. In this case-control study four cohorts were analyzed: 112 German patients with GSD and 152 controls; two distinct Chilean ethnic groups: Hispanics (100 GSD, 100 controls), and Amerindians (20 GSD, 20 controls); additionally an 8-year follow-up of 70 Hispanics was performed. Serum sterols were measured by gas chromatography / mass spectrometry. Gallbladder bile sterol levels were analyzed in cholesterol GSD and controls. Common ABCG5/8 variants were genotyped. Comparison of serum sterols showed lower levels of phytosterols and higher levels of cholesterol precursors in GSD patients than in controls. The ratios of phytosterols to cholesterol precursors were lower in GSD patients, whereas biliary phytosterol and cholesterol concentrations were elevated as compared with controls. In the follow-up study, serum phytosterol levels were significantly lower even before GSD was detectable by ultrasound. An ethnic gradient in the ratios of phytosterols to cholesterol precursors was apparent (Germans > Hispanics > Amerindians). ABCG5/8 variants did not fully explain the sterol metabolic trait of GSD in any of the cohorts. Individuals predisposed to GSD display increased biliary output of cholesterol in the setting of relatively low intestinal cholesterol absorption, indicating enhanced whole-body sterol clearance. This metabolic trait precedes gallstone formation and is a feature of ethnic groups at higher risk of cholesterol

  13. Increased vaginal pH in Ugandan women: what does it indicate?

    Science.gov (United States)

    Donders, G G G; Gonzaga, A; Marconi, C; Donders, F; Michiels, T; Eggermont, N; Bellen, G; Lule, J; Byamughisa, J

    2016-08-01

    Abnormal vaginal flora (AVF), indicative of bacterial vaginosis (BV) and/or aerobic vaginitis (AV), amongst other abnormalities, is a risk factor for multiple complications in pregnant as well as non-pregnant women. Screening for such conditions could help prevent these complications. Can self-testing for increased vaginal pH reliably detect BV and other high-risk microflora types, and is this more accurate than performing Gram stain-based Nugent score when screening for high-risk microflora? A total of 344 women presenting at different outpatient clinics in Mulago Hospital and Mbuikwe Outpatient clinics in Kampala, Uganda, were asked to test themselves by introducing a gloved finger into the vagina and smearing it on a microscopy slide, on which a pH strip was attached. Self-assessed categories of normal (pH 3.6-4.4), intermediate (4.5-4.7) or high pH (>4.7) were compared with demographic and with centralised microscopic data, both in air-dried rehydrated wet mounts (Femicare), as well as in Gram-stained specimens (Nugent). AVF was present in 38 %, BV in 25 % and AV in 11 % of patients. High pH and AVF is correlated with human immunodeficiency virus (HIV), infertility, frequent sex, but not vaginal douching. Screening for raised pH detects 90 % of AVF cases, but would require testing over half of the population. As AV and non-infectious conditions are frequent in women with AVF and high pH, Nugent score alone is an insufficient technique to screen women for a high-risk vaginal microflora, especially in infertile and HIV-infected women.

  14. Capturing early signs of deterioration: the dutch-early-nurse-worry-indicator-score and its value in the Rapid Response System.

    Science.gov (United States)

    Douw, Gooske; Huisman-de Waal, Getty; van Zanten, Arthur R H; van der Hoeven, Johannes G; Schoonhoven, Lisette

    2017-09-01

    To determine the predictive value of individual and combined dutch-early-nurse-worry-indicator-score indicators at various Early Warning Score levels, differentiating between Early Warning Scores reaching the trigger threshold to call a rapid response team and Early Warning Score levels not reaching this point. Dutch-early-nurse-worry-indicator-score comprises nine indicators underlying nurses' 'worry' about a patient's condition. All indicators independently show significant association with unplanned intensive care/high dependency unit admission or unexpected mortality. Prediction of this outcome improved by adding the dutch-early-nurse-worry-indicator-score indicators to an Early Warning Score based on vital signs. An observational cohort study was conducted on three surgical wards in a tertiary university-affiliated teaching hospital. Included were surgical, native-speaking, adult patients. Nurses scored presence of 'worry' and/or dutch-early-nurse-worry-indicator-score indicators every shift or when worried. Vital signs were measured according to the prevailing protocol. Unplanned intensive care/high dependency unit admission or unexpected mortality was the composite endpoint. Percentages of 'worry' and dutch-early-nurse-worry-indicator-score indicators were calculated at various Early Warning Score levels in control and event groups. Entering all dutch-early-nurse-worry-indicator-score indicators in a multiple logistic regression analysis, we calculated a weighted score and calculated sensitivity, specificity, positive predicted value and negative predicted value for each possible total score. In 3522 patients, 102 (2·9%) had an unplanned intensive care/high dependency unit admissions (n = 97) or unexpected mortality (n = 5). Patients with such events and only slightly changed vital signs had significantly higher percentages of 'worry' and dutch-early-nurse-worry-indicator-score indicators expressed than patients in the control group. Increasing number

  15. [Increase of entomological indices during the pre-epidemic period of dengue in Ben Tre, South Vietnam].

    Science.gov (United States)

    Nguyen, T P Q; Luu, L L; Vu, T Q H; Buisson, Y

    2011-10-01

    Dengue has emerged in Vietnam 50 years ago and since has become endemo-epidemic throughout the whole country. Each year, major epidemics of dengue fever (DF) and dengue hemorrhagic fever (DHF) hit South Vietnam during the rainy season, causing significant morbidity and mortality, especially among young children. The only preventive measure is vector control, but it is often implemented too late or indiscriminately. The aim of this study was to investigate, in the pre-epidemic stage, the existence of significant changes in vector indices, which will predict DF/DHF outbreaks. We conducted a descriptive transversal study, repeated once a month for four months (March to June) in the village of Locthuan (province Ben Tre) in the Mekong's delta. Adult mosquitoes were caught in 30 houses, and larvae were collected in water holding containers of 50 houses. The houses were randomly selected. Vector densities were calculated according to the indices recommended by WHO. Virological analysis was carried out on lots of female Aedes and larvae in order to determine viral infection rates. Catches of adult mosquitoes collected 496 specimens including 329 Aedes, 139 Culex and 28 Anopheles. Aedes aegypti was present in 63% of visited homes that is an average density of 1.8 mosquitoes per house. The increase in imaginal indices during the 4 months was not significant. The survey of breeding sites of Ae. aegypti identified 1292 water containers in which 71,569 larval specimens were collected. The values of house index, container index [CI] and Breteau index [BI] increased each month, the latter from 166 to 442. This increase was significant for CI and BI. Breeding sites were mostly intra-home, mainly consisting of large and small ceramic jars. Larval density of Ae. aegypti in the containers also increased significantly over the 4 months. It was correlated with the lack of cover and predators such as Mesocyclops spp., Micronecta spp. and larvivorous fishes. Cultivation of 15 pools of

  16. The Value of a General Increase in Slaughter Weight for Pigs

    DEFF Research Database (Denmark)

    Kjærsgaard, Niels Christian

    of Danish pig production, slaughtering processes and delivery. There have been varying opinions within the industry concerning an improved profit for the slaughterhouses and the farmers when increasing the slaughter weight. The argument for an increased slaughter weight is based on the fact that some...... different weight scenarios, namely the current slaughter weight as well as increases in the slaughter weight of 5, 10 and 15 kg respectively. The model set up in this paper consists of 17 different products and four alternative uses of each pig, but the model can easily be changed to include more products...... to approximately DKK 0.25 for each increase in slaughter weight of 5 kg. The main conclusion is that even relatively simple optimization models can be used to improve the basis of the slaughterhouses considerably for making decisions regarding the value of increased slaughter weight. Prices may vary over time...

  17. Growth of microalgae with increased calorific values in a tubular bioreactor

    Energy Technology Data Exchange (ETDEWEB)

    Scragg, A.H.; Illman, A.M.; Carden, A.; Shales, S.W. [University of the West of England, Dept. of Environmental Sciences, Bristol (United Kingdom)

    2002-07-01

    In order to use microalgae as a fuel the algae should be of high calorific value and must be capable of growth in large volumes. Chlorella vulgaris and C. emersonii have been shown to grow in a 230 I pumped tubular photobioreactor in Watanabe's medium and a low nitrogen medium. The low nitrogen medium induces higher lipid accumulation in both algae, which increased their calorific value. The highest calorific value was obtained with C. vulgaris (28 kJg{sup -1}) grown in low nitrogen medium. However, the biomass productivity was 24 mg dry wtl {sup -1} d{sup -1} in the low nitrogen medium which was lower than in Watanabe's medium (40 mg dry wtl{sup -1} d{sup -1}) and represents a reduced energy recovery. (Author)

  18. Changes in vegetation types and Ellenberg indicator values after 65 years of fertilizer application in the Rengen Grassland Experiment, Germany

    NARCIS (Netherlands)

    Chytry, M.; Hejcman, M.; Hennekens, S.M.; Schellberg, J.

    2009-01-01

    Question: How does semi-natural grassland diversify after 65 years of differential application of Ca, N, P, and K fertilizers? Is fertilizer application adequately reflected by the Ellenberg indicator values (EIVs)? Location: Eifel Mountains, West Germany. Methods: The Rengen Grassland Experiment

  19. Measuring frailty in Dutch community-dwelling older people : Reference values of the Tilburg Frailty Indicator (TFI)

    NARCIS (Netherlands)

    van Assen, M.A.L.M.; Pallast, Esther; El Fakiri, Fatima; Gobbens, R.J.J.

    2016-01-01

    Objectives: The objectives of this study were to provide reference values of the Tilburg Frailty Indicator (TFI) for community-dwelling older people by age, sex, marital status, ethnicity, education, income, and residence, and examine the effects of these seven socio-demographic variables on

  20. Indicative value of non-pollen palynomorphs (NPPs) and palynofacies for palaeoreconstructions: Holocene Peat, Brazil

    International Nuclear Information System (INIS)

    Medeanic, Svetlana; Silva, Maristela Bagatin

    2010-01-01

    The results of the palynological study of the samples from the core, performed in the Aguas Claras peatland, RS, Brazil (50 45'00''W, 30 00'15''S), focus on detailed taxonomic analysis of non-pollen palynomorphs (NPPs) and palynofacies from the Holocene peat and underline the Late Pleistocene mud and sandy mud that were represented. NPPs from the samples revealed taxonomic variety of fungal palynomorphs, presented by Brachysporium, Clastesporium, Dicellaesporites, Dicellaeporisporites, Gelasinospora, Glomus, Sordaria, Helicoon, and others. The habitats of above mentioned taxa are varied: aquatic, mycorrhizal, parasitic, organic matter decaying, and dung-coprophilous. Freshwater algal palynomorphs were composed of Botryococcus, Closterium, Debarya, Mougeotia, Pseudoschizaea, Spirogyra, and Zygnema. The percentage ratio between algal and fungal palynomorphs was changed from the different samples of the core, reflecting climatic oscillations (more humid-dryer). Prevalence of fungal palynomorphs was connected with dryer climate, and on the contrary, freshwater algal palynomorph predominance was related with increasing humidity. The six palynomorph zones that corresponded to the six principal phases of environmental and climatic changes were determined. The zone from the uppermost part of peat was characterized by relatively frequent dung-coprophilous and parasitic fungi, as a result of agricultural and domestic activities. Palynofacies analysis combined to NPPs was used for palaeoenvironmental and paleoclimatic reconstructions. Palynofacies from the samples were characterized by evident changes in relationship (%) between the different types of organic matter, their quality, and quantity and fluorescence index. The obtained data contribute to the understanding of the peat deposition. The combined use of NPPs and palynofacies analyses provided a valuable approach for the paleoenvironmental and paleoclimatic reconstructions. (author)

  1. Indicative value of non-pollen palynomorphs (NPPs) and palynofacies for palaeoreconstructions: Holocene Peat, Brazil

    Energy Technology Data Exchange (ETDEWEB)

    Medeanic, Svetlana; Silva, Maristela Bagatin [LOG, IO, FURG, Rio Grande (Brazil)

    2010-12-01

    The results of the palynological study of the samples from the core, performed in the Aguas Claras peatland, RS, Brazil (50 45'00''W, 30 00'15''S), focus on detailed taxonomic analysis of non-pollen palynomorphs (NPPs) and palynofacies from the Holocene peat and underline the Late Pleistocene mud and sandy mud that were represented. NPPs from the samples revealed taxonomic variety of fungal palynomorphs, presented by Brachysporium, Clastesporium, Dicellaesporites, Dicellaeporisporites, Gelasinospora, Glomus, Sordaria, Helicoon, and others. The habitats of above mentioned taxa are varied: aquatic, mycorrhizal, parasitic, organic matter decaying, and dung-coprophilous. Freshwater algal palynomorphs were composed of Botryococcus, Closterium, Debarya, Mougeotia, Pseudoschizaea, Spirogyra, and Zygnema. The percentage ratio between algal and fungal palynomorphs was changed from the different samples of the core, reflecting climatic oscillations (more humid-dryer). Prevalence of fungal palynomorphs was connected with dryer climate, and on the contrary, freshwater algal palynomorph predominance was related with increasing humidity. The six palynomorph zones that corresponded to the six principal phases of environmental and climatic changes were determined. The zone from the uppermost part of peat was characterized by relatively frequent dung-coprophilous and parasitic fungi, as a result of agricultural and domestic activities. Palynofacies analysis combined to NPPs was used for palaeoenvironmental and paleoclimatic reconstructions. Palynofacies from the samples were characterized by evident changes in relationship (%) between the different types of organic matter, their quality, and quantity and fluorescence index. The obtained data contribute to the understanding of the peat deposition. The combined use of NPPs and palynofacies analyses provided a valuable approach for the paleoenvironmental and paleoclimatic reconstructions. (author)

  2. Acacia Changes Microbial Indicators and Increases C and N in Soil Organic Fractions in Intercropped Eucalyptus Plantations

    Directory of Open Access Journals (Sweden)

    Arthur P. A. Pereira

    2018-04-01

    Full Text Available Intercropping forest plantations of Eucalyptus with nitrogen-fixing trees can increase soil N inputs and stimulate soil organic matter (OM cycling. However, microbial indicators and their correlation in specific fractions of soil OM are unclear in the tropical sandy soils. Here, we examined the microbial indicators associated with C and N in the soil resulting from pure and intercropped Eucalyptus grandis and Acacia mangium plantations. We hypothesized that introduction of A. mangium in a Eucalyptus plantation promotes changes in microbial indicators and increases C and N concentrations on labile fractions of the soil OM, when compared to pure eucalyptus plantations. We determined the microbial and enzymatic activity, and the potential for C degradation by the soil microbial community. Additionally, we evaluated soil OM fractions and litter parameters. Soil (0–20 cm and litter samples were collected at 27 and 39 months after planting from the following treatments: pure E. grandis (E and A. mangium (A plantations, pure E. grandis plantations with N fertilizer (E+N and an E. grandis, and A. mangium intercropped plantations (E+A. The results showed that intercropped plantations (E+A increase 3, 45, and 70% microbial biomass C as compared to A, E+N, and E, at 27 months after planting. The metabolic quotient (qCO2 showed a tendency toward stressful values in pure E. grandis plantations and a strong correlation with dehydrogenase activity. A and E+A treatments also exhibited the highest organic fractions (OF and C and N contents. A canonical redundancy analysis revealed positive correlations between microbial indicators of soil and litter attributes, and a strong effect of C and N variables in differentiating A and E+A from E and E+N treatments. The results suggested that a significant role of A. mangium enhance the dynamics of soil microbial indicators which help in the accumulation of C and N in soil OF in intercropped E. grandis plantations. Our

  3. Acacia Changes Microbial Indicators and Increases C and N in Soil Organic Fractions in Intercropped Eucalyptus Plantations

    Science.gov (United States)

    Pereira, Arthur P. A.; Zagatto, Maurício R. G.; Brandani, Carolina B.; Mescolotti, Denise de Lourdes; Cotta, Simone R.; Gonçalves, José L. M.; Cardoso, Elke J. B. N.

    2018-01-01

    Intercropping forest plantations of Eucalyptus with nitrogen-fixing trees can increase soil N inputs and stimulate soil organic matter (OM) cycling. However, microbial indicators and their correlation in specific fractions of soil OM are unclear in the tropical sandy soils. Here, we examined the microbial indicators associated with C and N in the soil resulting from pure and intercropped Eucalyptus grandis and Acacia mangium plantations. We hypothesized that introduction of A. mangium in a Eucalyptus plantation promotes changes in microbial indicators and increases C and N concentrations on labile fractions of the soil OM, when compared to pure eucalyptus plantations. We determined the microbial and enzymatic activity, and the potential for C degradation by the soil microbial community. Additionally, we evaluated soil OM fractions and litter parameters. Soil (0–20 cm) and litter samples were collected at 27 and 39 months after planting from the following treatments: pure E. grandis (E) and A. mangium (A) plantations, pure E. grandis plantations with N fertilizer (E+N) and an E. grandis, and A. mangium intercropped plantations (E+A). The results showed that intercropped plantations (E+A) increase 3, 45, and 70% microbial biomass C as compared to A, E+N, and E, at 27 months after planting. The metabolic quotient (qCO2) showed a tendency toward stressful values in pure E. grandis plantations and a strong correlation with dehydrogenase activity. A and E+A treatments also exhibited the highest organic fractions (OF) and C and N contents. A canonical redundancy analysis revealed positive correlations between microbial indicators of soil and litter attributes, and a strong effect of C and N variables in differentiating A and E+A from E and E+N treatments. The results suggested that a significant role of A. mangium enhance the dynamics of soil microbial indicators which help in the accumulation of C and N in soil OF in intercropped E. grandis plantations. Our results are

  4. Acacia Changes Microbial Indicators and Increases C and N in Soil Organic Fractions in Intercropped Eucalyptus Plantations.

    Science.gov (United States)

    Pereira, Arthur P A; Zagatto, Maurício R G; Brandani, Carolina B; Mescolotti, Denise de Lourdes; Cotta, Simone R; Gonçalves, José L M; Cardoso, Elke J B N

    2018-01-01

    Intercropping forest plantations of Eucalyptus with nitrogen-fixing trees can increase soil N inputs and stimulate soil organic matter (OM) cycling. However, microbial indicators and their correlation in specific fractions of soil OM are unclear in the tropical sandy soils. Here, we examined the microbial indicators associated with C and N in the soil resulting from pure and intercropped Eucalyptus grandis and Acacia mangium plantations. We hypothesized that introduction of A. mangium in a Eucalyptus plantation promotes changes in microbial indicators and increases C and N concentrations on labile fractions of the soil OM, when compared to pure eucalyptus plantations. We determined the microbial and enzymatic activity, and the potential for C degradation by the soil microbial community. Additionally, we evaluated soil OM fractions and litter parameters. Soil (0-20 cm) and litter samples were collected at 27 and 39 months after planting from the following treatments: pure E. grandis (E) and A. mangium (A) plantations, pure E. grandis plantations with N fertilizer (E+N) and an E. grandis , and A. mangium intercropped plantations (E+A). The results showed that intercropped plantations (E+A) increase 3, 45, and 70% microbial biomass C as compared to A, E+N, and E, at 27 months after planting. The metabolic quotient ( q CO 2 ) showed a tendency toward stressful values in pure E. grandis plantations and a strong correlation with dehydrogenase activity. A and E+A treatments also exhibited the highest organic fractions (OF) and C and N contents. A canonical redundancy analysis revealed positive correlations between microbial indicators of soil and litter attributes, and a strong effect of C and N variables in differentiating A and E+A from E and E+N treatments. The results suggested that a significant role of A. mangium enhance the dynamics of soil microbial indicators which help in the accumulation of C and N in soil OF in intercropped E. grandis plantations. Our results

  5. Assessing the value of increased model resolution in forecasting fire danger

    Science.gov (United States)

    Jeanne Hoadley; Miriam Rorig; Ken Westrick; Larry Bradshaw; Sue Ferguson; Scott Goodrick; Paul Werth

    2003-01-01

    The fire season of 2000 was used as a case study to assess the value of increasing mesoscale model resolution for fire weather and fire danger forecasting. With a domain centered on Western Montana and Northern Idaho, MM5 simulations were run at 36, 12, and 4-km resolutions for a 30 day period at the height of the fire season. Verification analyses for meteorological...

  6. Increasing value in plagiocephaly care: a time-driven activity-based costing pilot study.

    Science.gov (United States)

    Inverso, Gino; Lappi, Michael D; Flath-Sporn, Susan J; Heald, Ronald; Kim, David C; Meara, John G

    2015-06-01

    Process management within a health care setting is poorly understood and often leads to an incomplete understanding of the true costs of patient care. Using time-driven activity-based costing methods, we evaluated the high-volume, low-complexity diagnosis of plagiocephaly to increase value within our clinic. A total of 59 plagiocephaly patients were evaluated in phase 1 (n = 31) and phase 2 (n = 28) of this study. During phase 1, a process map was created, encompassing each of the 5 clinicians and administrative personnel delivering 23 unique activities. After analysis of the phase 1 process maps, average times as well as costs of these activities were evaluated for potential modifications in workflow. These modifications were implemented in phase 2 to determine overall impact on visit-time and costs of care. Improvements in patient education, workflow coordination, and examination room allocation were implemented during phase 2, resulting in a reduced patient visit-time of 13:25 (19.9% improvement) and an increased cost of $8.22 per patient (7.7% increase) due to changes in physician process times. However, this increased cost was directly offset by the availability of 2 additional appointments per day, potentially generating $7904 of additional annual revenue. Quantifying the impact of a 19.9% reduction in patient visit-time at an increased cost of 7.7% resulted in an increased value ratio of 1.113. This pilot study effectively demonstrates the novel use of time-driven activity-based costing in combination with the value equation as a metric for continuous process improvement programs within the health care setting.

  7. Leading Indicators: Increasing Statewide Bachelor's Degree Completion Rates at 4-Year Public Institutions

    Science.gov (United States)

    Davidson, Jeffrey Cody

    2014-01-01

    For the United States to maintain national and global economic stability, colleges must graduate more students. Four-year completion rates have declined and less than one-third of full-time, degree-seeking students graduate in 4 years. Some researchers and policymakers have suggested "leading indicators" to track postsecondary…

  8. Publications as an indicator of increased tobacco control research productivity (quantity and quality) in New Zealand.

    Science.gov (United States)

    Kira, Anette; Glover, Marewa; Bullen, Chris; Viehbeck, Sarah

    2011-06-01

    Tobacco control (TC) research capacity and productivity are critical for developing evidence-informed interventions that will reduce the harmful effects of smoking. The aim of this paper was to investigate New Zealand's (NZ) TC research capacity along with the quantity and quality of publications, following two government initiatives aimed, in part, at improving the quantity and quality of NZ TC research. Scopus was searched for articles with at least one NZ author and where the topic was of primary relevance to TC. Publications were organized into two time periods, following the government initiatives, 1993-2003 and 2004-2009. We analyzed the number of publications, publication journals, type of publications, impact (using the impact factor), and authorship. There has been an increase in number and impact of publications and number of authors. The number of publications has increased from an average of 14 (1994-2003) to 38 per year (2004-2009). The number of journals published increased from 64 to 86. The impact during 2004-2009 was almost threefold than in 1993-2003. The number of authors increased from 212 to 345, and the number of authors who had at least one first-authored publication increased from 80 to 124. These results show an encouraging trend in NZ TC research, with an increase in research productivity, quality, and in research capacity. It is possible that government-initiated and -funded infrastructural support contributed to increasing needed TC research, which supports the worth of such initiatives.

  9. Preference for increasing wages: How do people value various streams of income?

    Directory of Open Access Journals (Sweden)

    Sean Duffy

    2013-01-01

    Full Text Available Prior studies have found that subjects prefer an improving sequence of income over a constant sequence, even if the constant sequence offers a larger present-discounted value. However, little is known about how these preferences vary with the size of the wage payments. In each of four studies, we find a positive relationship between the preference for increasing payments and the size of the payments. We find no evidence that our measure of the decreasing marginal utility of money is associated with this relationship. Additionally, we find weak evidence in support of a theoretical prediction that the difference between the preference for increasing wage payments and the preference for increasing nonwage payments will be largest for intermediate amounts. We do not find a relationship between the preference for increasing payments and the preference for improving nonmonetary sequences. Finally, the relationship between the preference for increasing payments and the size of the payments does not appear to be sensitive to the precise specification of the increases.

  10. Double impact of sterilizing pathogens: added value of increased life expectancy on pest control effectiveness.

    Science.gov (United States)

    Berec, Luděk; Maxin, Daniel

    2012-06-01

    Sterilizing pathogens are commonly assumed not to affect longevity of infected individuals, and if they do then negatively. Examples abound, however, of species in which the absence of reproduction actually increases life expectancy. This happens because by decreasing the energy outlay on reproduction individuals with lowered reproduction can live longer. Alternatively, fertile individuals are more susceptible to predators or parasitoids if the latter can capitalize on mating signals of the former. Here we develop and analyze an SI epidemiological model to explore whether and to what extent does such a life expectancy prolongation due to sterilizing pathogens affect host dynamics. In particular, we are interested in an added value of increased life expectancy on the possibility of successful pest control, that is, the effect of increased lifespan and hence increased potential of the infected individuals to spread the disease on pest control effectiveness. We show that although the parameter range in which we observe an effect of increased lifespan of the sterilized individuals is not large, the effect itself can be significant. In particular, the increase in pest control effectiveness can be very dramatic when disease transmission efficiency is close to birth rate, mortality rate of susceptibles is relatively high (i.e., the species is relatively short-lived), and sterilization efficiency is relatively high. Our results thus characterize pathogens that are promising candidates for an effective pest control and that might possibly be engineered if not occurring naturally.

  11. A study on the determination of threshold values for the initiating event performance indicators of domestic nuclear power plants

    International Nuclear Information System (INIS)

    Kang, D. I.; Park, J. H.; Kim, K. Y.; Whang, M. J.; Yang, J. E.; Sung, G. Y.

    2003-01-01

    In this paper, we determine the threshold values of unplanned reactor scram, domestic initiating event performance indicator, using data of domestic unplanned reactor scram and probabilistic safety assessment model of Korea Standard Nuclear Power Plant(KSNP). We also perform a pilot study of initiating event Risk Based Performance Indicator(RBPI) for KSNP. Study results for unplanned reactor scram show that the threshold value of between green and blue color is 3, that of between blue and yellow color is 6, and that of between yellow and orange color is 30. Pilot study results of initiating event RBPI show that loss of feedwater, transient, and loss of component cooling water events are selected as initiating event RBPI for KSNP

  12. Increasing Octane Value in Catalytic Cracking of n-Hexadecane with Addition of *BEA Type Zeolite

    Directory of Open Access Journals (Sweden)

    Iori Shimada

    2015-04-01

    Full Text Available In this study, multifunctional catalysts were developed by adding *BEA or MFI zeolite with high Si/Al ratio to a residual fluidized catalytic cracking (RFCC catalyst and tested in the catalytic cracking of n-hexadecane, which is a heavy crude oil model compound, for the purpose of increasing the octane value of produced gasoline under the strong hydrogen transfer activity of the RFCC catalyst. Reaction products analysis revealed that the addition of *BEA zeolite to the RFCC catalyst increased the yields of olefins and multi-branched paraffins, which resulted in improvement of the octane value without sacrificing gasoline yield. On the contrary, the addition of MFI zeolite decreased the gasoline yield because it cracks the gasoline range olefins into LPG range olefins. In general, it is difficult to increase the yield of multi-branched molecules because the multi-branched molecule is more easily cracked than linear molecules. Our results suggest the possibility for the selective acceleration of isomerization reaction by the addition of less acidic *BEA zeolite to the RFCC catalyst.

  13. Volcano and ship tracks indicate excessive aerosol-induced cloud water increases in a climate model.

    Science.gov (United States)

    Toll, Velle; Christensen, Matthew; Gassó, Santiago; Bellouin, Nicolas

    2017-12-28

    Aerosol-cloud interaction is the most uncertain mechanism of anthropogenic radiative forcing of Earth's climate, and aerosol-induced cloud water changes are particularly poorly constrained in climate models. By combining satellite retrievals of volcano and ship tracks in stratocumulus clouds, we compile a unique observational dataset and confirm that liquid water path (LWP) responses to aerosols are bidirectional, and on average the increases in LWP are closely compensated by the decreases. Moreover, the meteorological parameters controlling the LWP responses are strikingly similar between the volcano and ship tracks. In stark contrast to observations, there are substantial unidirectional increases in LWP in the Hadley Centre climate model, because the model accounts only for the decreased precipitation efficiency and not for the enhanced entrainment drying. If the LWP increases in the model were compensated by the decreases as the observations suggest, its indirect aerosol radiative forcing in stratocumulus regions would decrease by 45%.

  14. APPLYING THE THEORY OF CONSTRAINTS TO INCREASE ECONOMIC VALUE ADDED: PART 1—THEORY

    Directory of Open Access Journals (Sweden)

    Malan Smith

    2012-01-01

    Full Text Available

    ENGLISH ABSTRACT: This article, presented in two parts, explains how to apply the Theory of Constraints (TOC in a business to increase Economic Value Added (EVA. The first part deals with the theory, while the second part deals with the implementation. The goal of a business, the measurements of the goal and the priority of the measurements are discussed. The future reality of a company which implements TOC principles is shown through cause and effect to lead to an increase in EVA. The increase in EVA is caused by an increase in return on investment and a reduction in the cost of capital. The actions the company must take to increase EVA is presented.

    AFRIKAANSE OPSOMMING: Hierdie artikel, aangebied in twee dele, verduidelik hoe om die Teorie van Beperkinge (TVB in a besigheid toe te pas om Ekonomiese Toegevoegde Waarde (ETW te vermeerder. Die eerste gedeelte verduidelik die teorie, terwyl die tweede gedeelte die toepassing hanteer. Die doel van ’n besigheid, die maatstawwe van die doel en die prioriteit van die maatstawwe word bespreek. Deur middel van oorsaak en effek word gewys dat die toekomstige werklikheid van ’n besigheid wat TVB beginsels toepas lei tot ’n toename in ETW. Die toename in ETW word veroorsaak deur ’n toename in opbrengs op belegging en ’n afname in die koste van kapitaal. Die aksies wat ’n besigheid moet neem om ETW te vermeerder, word genoem.

  15. Prognostic value of severity indicators of nursing-home-acquired pneumonia versus community-acquired pneumonia in elderly patients.

    Science.gov (United States)

    Ugajin, Motoi; Yamaki, Kenichi; Hirasawa, Natsuko; Kobayashi, Takanori; Yagi, Takeo

    2014-01-01

    The credibility of prognostic indicators in nursing-home-acquired pneumonia (NHAP) is not clear. We previously reported a simple prognostic indicator in community-acquired pneumonia (CAP): blood urea nitrogen to serum albumin (B/A) ratio. This retrospective study investigated the prognostic value of severity indicators in NHAP versus CAP in elderly patients. Patients aged ≥65 years and hospitalized because of NHAP or CAP within the previous 3 years were enrolled. Demographics, coexisting illnesses, laboratory and microbiological findings, and severity scores (confusion, urea, respiratory rate, blood pressure, and age ≥65 [CURB-65] scale; age, dehydration, respiratory failure, orientation disturbance, and pressure [A-DROP] scale; and pneumonia severity index [PSI]) were retrieved from medical records. The primary outcome was mortality within 28 days of admission. In total, 138 NHAP and 307 CAP patients were enrolled. Mortality was higher in NHAP (18.1%) than in CAP (4.6%) (Pscale, 0.69 for the CURB-65 scale, 0.67 for the PSI class, and 0.65 for the B/A ratio. The area under the curve in CAP was 0.73 for the A-DROP scale, 0.76 for the CURB-65 scale, 0.81 for the PSI class, and 0.83 for the B/A ratio. Patient mortality was greater in NHAP than in CAP. Patient characteristics, coexisting illnesses, and detected pathogens differed greatly between NHAP and CAP. The existing severity indicators had less prognostic value for NHAP than for CAP.

  16. Analysis and monitoring of energy security and prediction of indicator values using conventional non-linear mathematical programming

    Directory of Open Access Journals (Sweden)

    Elena Vital'evna Bykova

    2011-09-01

    Full Text Available This paper describes the concept of energy security and a system of indicators for its monitoring. The indicator system includes more than 40 parameters that reflect the structure and state of fuel and energy complex sectors (fuel, electricity and heat & power, as well as takes into account economic, environmental and social aspects. A brief description of the structure of the computer system to monitor and analyze energy security is given. The complex contains informational, analytical and calculation modules, provides applications for forecasting and modeling energy scenarios, modeling threats and determining levels of energy security. Its application to predict the values of the indicators and methods developed for it are described. This paper presents a method developed by conventional nonlinear mathematical programming needed to address several problems of energy and, in particular, the prediction problem of the security. An example of its use and implementation of this method in the application, "Prognosis", is also given.

  17. Connecticut's Value-Based Insurance Plan Increased The Use Of Targeted Services And Medication Adherence.

    Science.gov (United States)

    Hirth, Richard A; Cliff, Elizabeth Q; Gibson, Teresa B; McKellar, M Richard; Fendrick, A Mark

    2016-04-01

    In 2011 Connecticut implemented the Health Enhancement Program for state employees. This voluntary program followed the principles of value-based insurance design (VBID) by lowering patient costs for certain high-value primary and chronic disease preventive services, coupled with requirements that enrollees receive these services. Nonparticipants in the program, including those removed for noncompliance with its requirements, were assessed a premium surcharge. The program was intended to curb cost growth and improve health through adherence to evidence-based preventive care. To evaluate its efficacy in doing so, we compared changes in service use and spending after implementation of the program to trends among employees of six other states. Compared to employees of other states, Connecticut employees were similar in age and sex but had a slightly higher percentage of enrollees with chronic conditions and substantially higher spending at baseline. During the program's first two years, the use of targeted services and adherence to medications for chronic conditions increased, while emergency department use decreased, relative to the situation in the comparison states. The program's impact on costs was inconclusive and requires a longer follow-up period. This novel combination of VBID principles and participation requirements may be a tool that can help plan sponsors increase the use of evidence-based preventive services. Project HOPE—The People-to-People Health Foundation, Inc.

  18. A highly concentrated diet increases biogas production and the agronomic value of young bull's manure.

    Science.gov (United States)

    Mendonça Costa, Mônica Sarolli Silva de; Lucas, Jorge de; Mendonça Costa, Luiz Antonio de; Orrico, Ana Carolina Amorim

    2016-02-01

    The increasing demand for animal protein has driven significant changes in cattle breeding systems, mainly in feedlots, with the use of young bulls fed on diets richer in concentrate (C) than in forage (F). These changes are likely to affect animal manure, demanding re-evaluation of the biogas production per kg of TS and VS added, as well as of its agronomic value as a biofertilizer, after anaerobic digestion. Here, we determined the biogas production and agronomic value (i.e., the macronutrient concentration in the final biofertilizer) of the manure of young bulls fed on diets with more (80% C+20% F; 'HighC' diet) or less (65% C+35% F; 'LowC' diet) concentrate, evaluating the effects of temperature (25, 35, and 40°C) and the use of an inoculum, during anaerobic digestion. A total of 24 benchtop reactors were used, operating in a semi-continuous system, with a 40-day hydraulic retention time (HRT). The manure from animals given the HighC diet had the greatest potential for biogas production, when digested with the use of an inoculum and at 35 or 40°C (0.6326 and 0.6207m(3)biogas/kg volatile solids, or VS, respectively). We observed the highest levels of the macronutrients N, P, and K in the biofertilizer from the manure of animals given HighC. Our results show that the manure of young bulls achieves its highest potential for biogas production and agronomic value when animals are fed diets richer in concentrate, and that biogas production increases if digestion is performed at higher temperatures, and with the use of an inoculum. Copyright © 2015 Elsevier Ltd. All rights reserved.

  19. Salivary immunoglobulin classes in Nigerian cigarette smokers: Indication for increased risk of oral diseases.

    Science.gov (United States)

    Olayanju, Ayodeji Olatunde; Rahamon, Sheu Kadiri; Arinola, Olatunbosun Ganiyu

    2012-09-01

    Cigarette smoking is a worldwide social epidemic and it is one of the main causes of preventable death and disability. Gingivitis, periodontitis, pocket depth, attachment loss, alveolar bone loss, and tooth loss are some of oral pathologies commonly found in cigarette smokers. The aim of this study was to explore, for the first time among Nigerians, the interplay between components of cigarette smoke and salivary levels of immunoglobulin classes so as to provide oral immunological based reasons for oral diseases in cigarette smokers. In this case-control study, 5 mL of unstimulated saliva was collected in plain sample bottles from 24 active smokers who smoke at least 6 sticks of cigarette per day and 21 sex and age-matched non-smokers who were apparently healthy. The samples were spun and supernatant stored at -20°C until assayed. The immunoglobulin levels of the samples were estimated using enzyme-linked immunosorbent assay (ELISA). Student's t-test (unpaired) was used to determine significant differences between the two groups. P values less than 0.05 was considered significant. No significant differences were observed in the mean salivary levels of IgG, IgA, and IgE. Only IgM was significantly lower in smokers compared with non-smokers (P = 0.038). The proportion of smokers with detectable level of salivary IgE was lower compared with controls. Our study showed that there is decreased salivary IgM in smokers. This observation suggests that reduced salivary immunoglobulin level of IgM might be involved in the pathogenesis of oral diseases in cigarette smokers.

  20. Manufacturing of curd products of increased biological value for the elderly from dried components.

    Science.gov (United States)

    Zabodalova, Ludmila A; Belozerova, Maria S; Evstigneeva, Tatiana N

    2018-01-01

    In recent years, the number of elderly people has increased, and the diseases that arise in old age are associated, amongst other factors, with malnutrition. In the elderly, the need for primary nutrients and energy changes, so the development of food products intended for this particular group of people is becom- ing increasingly important. The purpose of this research is to work out the composition of and technology for producing low-fat curd products from raw milk and vegetable components. The developed products can be used for their gerodietetic properties, because nutritional and energy needs in the elderly were taken into account when designing the product. The curd product was manufactured from skimmed dried milk (SDM), soy isolate protein (SIP) and spelt grain. Optimal conditions for the recombination of SIP were determined. The influence of mass fraction of SIP on the properties of the clot and the end product was studied. The degree of dispersion of the grain component was determined, from the organoleptic evaluation of samples of the mixture, and the optimum method of addition was chosen. The method of adding cooked spelt into the clot after pressing was chosen. Harrington’s generalized desirability function was used for the calculation of the optimum mass frac- tion of the grain component in the end product. The formulation and technology for a curd product based on dry ingredients were determined. The amino acid composition and content of essential components in the developed product were determined, and the biological and nutritional value were calculated. The use of dry ingredients for the production of a curd product makes it possible to manufac- ture the product in the absence of raw milk. The formulation of the product is designed taking into account the needs of the body in old age. The incorporation of spelt increases the biological value of the curd product to 81.5%.

  1. Increased BMI in children-an indicator for less compliance during orthodontic treatment with removable appliances.

    Science.gov (United States)

    von Bremen, Julia; Lorenz, Nathalie; Ludwig, Björn; Ruf, Sabine

    2018-02-19

    To assess whether or not childhood overweight is associated with lower levels of compliance during orthodontic therapy with removable appliances. Starting in 2011, all upper expansion plates and Sander II appliances were equipped with a Theramon® microsensor chip to assess appliance wear time objectively. According to their pre-treatment, BMI normal weight patients were matched to consecutively treated overweight or obese patients by gender, age, and appliance type. Cooperation was assessed with microelectronic wear time documentation over a period of at least 6 months. A total of 50 patients (25 overweight, 25 normal weight) with upper expansion plates and 64 patients (32 overweight, 32 normal weight) with Sander II appliances were analysed. Spearman Rho coefficients showed an indirect association between BMI and appliance wear time, indicating that the higher the BMI, the less the patients wore their appliances (P appliances (P appliance wear during orthodontic treatment with removable appliances. Additional factors which influenced cooperation during treatment with removable appliances were patient age and appliance type.

  2. Uncertainty increases neural indices of attention in obsessive-compulsive disorder.

    Science.gov (United States)

    Dieterich, Raoul; Endrass, Tanja; Kathmann, Norbert

    2017-11-01

    Patients with obsessive-compulsive disorder (OCD) experience abnormally high levels of uncertainty, and unpredictability is evaluated negatively and not well tolerated. The current study examined neural correlates of attentional processing in response to experimentally induced uncertainty in OCD. Twenty-four OCD patients and 24 healthy controls performed a task where neutral and negative pictures were preceded by a cue, either being predictive (certain condition) or nonpredictive (uncertain condition) of subsequent picture valence. We examined prepicture anticipatory attention through α (∼8-12 Hz) suppression, and attentional allocation during picture presentation with the P1, N1, P2, N2, and late positive potential (LPP) of the event-related potential. Additionally, we tested how clinical measures related to these attentional markers. Subjectively, patients overestimated the frequency of negative pictures after nonpredictive cues. Patients, but not controls, showed upper α(10-12 Hz) suppression after nonpredictive and predictive negative cues relative to predictive neutral cues. Only patients showed increased P2 and decreased N2 amplitudes for pictures after nonpredictive cues, and, whereas both groups showed increased LPP amplitudes for pictures after nonpredictive cues, this modulation was more pronounced in OCD during the early LPP (pictures were associated positively with anxiety and negatively with depression. These results suggest that OCD patients process anticipation of inevitable and potential threat similarly and highlight the substantial motivational impact of uncertain events to OCD patients. Finally, the correlation with anxiety implies that anxiety represents the source of hypervigilance during uncertainty resolution. © 2017 Wiley Periodicals, Inc.

  3. Estimating milk yield and value losses from increased somatic cell count on US dairy farms.

    Science.gov (United States)

    Hadrich, J C; Wolf, C A; Lombard, J; Dolak, T M

    2018-04-01

    Milk loss due to increased somatic cell counts (SCC) results in economic losses for dairy producers. This research uses 10 mo of consecutive dairy herd improvement data from 2013 and 2014 to estimate milk yield loss using SCC as a proxy for clinical and subclinical mastitis. A fixed effects regression was used to examine factors that affected milk yield while controlling for herd-level management. Breed, milking frequency, days in milk, seasonality, SCC, cumulative months with SCC greater than 100,000 cells/mL, lactation, and herd size were variables included in the regression analysis. The cumulative months with SCC above a threshold was included as a proxy for chronic mastitis. Milk yield loss increased as the number of test days with SCC ≥100,000 cells/mL increased. Results from the regression were used to estimate a monetary value of milk loss related to SCC as a function of cow and operation related explanatory variables for a representative dairy cow. The largest losses occurred from increased cumulative test days with a SCC ≥100,000 cells/mL, with daily losses of $1.20/cow per day in the first month to $2.06/cow per day in mo 10. Results demonstrate the importance of including the duration of months above a threshold SCC when estimating milk yield losses. Cows with chronic mastitis, measured by increased consecutive test days with SCC ≥100,000 cells/mL, resulted in higher milk losses than cows with a new infection. This provides farm managers with a method to evaluate the trade-off between treatment and culling decisions as it relates to mastitis control and early detection. Copyright © 2018 American Dairy Science Association. Published by Elsevier Inc. All rights reserved.

  4. The Influence of Strategic Alternatives on the Increasing Level Value of the Term Deposits

    Directory of Open Access Journals (Sweden)

    Mirela Catalina Turkes

    2015-03-01

    Full Text Available This article analyses the influence of the strategic alternative on the value level increase of the term deposits attracted from the Romanian’s population households, during the period 2012 – Q1/2015, depending on the change of the standards related to deposits granting in RON, EURO and other currencies, but also depending on the aggregate volume of deposits demand at a national level. One-way ANOVA represents the ideal model to emphasize that the average of the term deposits attracted from the population’s households during the last four years is influenced by the strategic alternative used by the credit institutions. The results of this analysis underlined the fact that there is a strong link between the strategic alternative adopted by the banks and the change of the value level of the term deposits intended for the population. The strategies to attract RON deposits proved to be more efficient compared to the strategies adopted by the banks for other currencies.

  5. Multi Blending Technology (MBT): mineral processing method for increasing added value of marginal reserve

    Science.gov (United States)

    Agustinus, E. T. S.

    2018-02-01

    Indonesia's position on the path of ring of fire makes it rich in mineral resources. Nevertheless, in the past, the exploitation of Indonesian mineral resources was uncontrolled resulting in environmental degradation and marginal reserves. Exploitation of excessive mineral resources is very detrimental to the state. Reflecting on the occasion, the management and utilization of Indonesia's mineral resources need to be good in mining practice. The problem is how to utilize the mineral reserve resources effectively and efficiently. Utilization of marginal reserves requires new technologies and processing methods because the old processing methods are inadequate. This paper gives a result of Multi Blending Technology (MBT) Method. The underlying concept is not to do the extraction or refinement but processing through the formulation of raw materials by adding an additive and produce a new material called functional materials. Application of this method becomes important to be summarized into a scientific paper in a book form, so that the information can spread across multiple print media and become focused on and optimized. This book is expected to be used as a reference for stakeholder providing added value to environmentally marginal reserves in Indonesia. The conclusions are that Multi Blending Technology (MBT) Method can be used as a strategy to increase added values effectively and efficiently to marginal reserve minerals and that Multi Blending Technology (MBT) method has been applied to forsterite, Atapulgite Synthesis, Zeoceramic, GEM, MPMO, SMAC and Geomaterial.

  6. Increased Prognostic Value of Query Amyloid Late Enhancement Score in Light-Chain Cardiac Amyloidosis.

    Science.gov (United States)

    Wan, Ke; Sun, Jiayu; Han, Yuchi; Liu, Hong; Yang, Dan; Li, Weihao; Wang, Jie; Cheng, Wei; Zhang, Qing; Zeng, Zhi; Chen, Yucheng

    2018-02-23

    Late gadolinium enhancement (LGE) pattern is a powerful imaging biomarker for prognosis of cardiac amyloidosis. It is unknown if the query amyloid late enhancement (QALE) score in light-chain (AL) amyloidosis could provide increased prognostic value compared with LGE pattern.Methods and Results:Seventy-eight consecutive patients with AL amyloidosis underwent contrast-enhanced cardiovascular magnetic resonance imaging. Patients with cardiac involvement were grouped by LGE pattern and analyzed using QALE score. Receiver operating characteristic curve was used to identify the optimal cut-off for QALE score in predicting all-cause mortality. Survival of these patients was analyzed with the Kaplan-Meier method and multivariate Cox regression. During a median follow-up of 34 months, 53 of 78 patients died. The optimal cut-off for QALE score to predict mortality at 12-month follow-up was 9.0. On multivariate Cox analysis, QALE score ≥9 (HR, 5.997; 95% CI: 2.665-13.497; Pvalue in AL cardiac amyloidosis. QALE score ≥9 has added value to differentiate prognosis in AL amyloidosis patients with a subendocardial LGE pattern.

  7. Stochasticity in economic losses increases the value of reputation in indirect reciprocity.

    Science.gov (United States)

    dos Santos, Miguel; Placì, Sarah; Wedekind, Claus

    2015-12-14

    Recent theory predicts harsh and stochastic conditions to generally promote the evolution of cooperation. Here, we test experimentally whether stochasticity in economic losses also affects the value of reputation in indirect reciprocity, a type of cooperation that is very typical for humans. We used a repeated helping game with observers. One subject (the "Unlucky") lost some money, another one (the "Passer-by") could reduce this loss by accepting a cost to herself, thereby building up a reputation that could be used by others in later interactions. The losses were either stable or stochastic, but the average loss over time and the average efficiency gains of helping were kept constant in both treatments. We found that players with a reputation of being generous were generally more likely to receive help by others, such that investing into a good reputation generated long-term benefits that compensated for the immediate costs of helping. Helping frequencies were similar in both treatments, but players with a reputation to be selfish lost more resources under stochastic conditions. Hence, returns on investment were steeper when losses varied than when they did not. We conclude that this type of stochasticity increases the value of reputation in indirect reciprocity.

  8. Your most valuable asset. Increasing the value of your hospital through its brand.

    Science.gov (United States)

    Petromilli, M; Michalczyk, D

    1999-01-01

    The authors argue that hospitals could achieve the same brand name recognition as such popular consumer product names as Coke, Nike, and GE. In fact, they say, a brand identity strategy could bring hospitals the advantage they need in a growing marketplace. Increasingly, brand recognition is becoming important in the health care world, as hospitals battle for customers. The majority of patients now choose their health plan and hospital, and they're seeking brands that provide them with the same convenience, access, and value they demand from other consumer products companies. Hospitals can create a viable brand identity strategy by defining their brand's image, maximizing their bran's positioning and patients' brand experience, communicating their brand and measuring the brand's performance.

  9. Prognostic value of the C-reactive protein to albumin ratio: a novel inflammation-based prognostic indicator in osteosarcoma

    Directory of Open Access Journals (Sweden)

    Li YJ

    2017-11-01

    Full Text Available Yong-Jiang Li,1,* Kai Yao,2,* Min-Xun Lu,2 Wen-Biao Zhang,1 Cong Xiao,2 Chong-Qi Tu2 1Department of Oncology, 2Department of Orthopedics, West China Hospital, Sichuan University, Chengdu, People’s Republic of China *These authors contributed equally to this work Abstract: The prognostic role of the C-reactive protein to albumin ratio (CRP/Alb ratio in patients with osteosarcoma has not been investigated. A total of 216 osteosarcoma patients were enrolled in the study. Univariate and multivariate survival analyses between the groups were performed and Kaplan–Meier analysis was conducted to plot the survival curves. Receiver operating characteristic curves were generated and areas under the curve (AUCs were compared to assess the discriminatory ability of the inflammation-based indicators, including CRP/Alb ratio, Glasgow prognostic score (GPS, neutrophil–lymphocyte ratio (NLR, and platelet–lymphocyte ratio (PLR. The optimal cutoff value was 0.210 for CRP/Alb ratio with a Youden index of 0.319. Higher values of CRP/Alb ratio were significantly associated with poorer overall survival in univariate (HR =2.62, 95% CI =1.70–4.03; P<0.001 and multivariate (HR =2.21, 95% CI =1.40–3.49; P=0.001 analyses. In addition, the CRP/Alb ratio had significantly higher AUC values compared with GPS (P=0.003, NLR (P<0.001, and PLR (P<0.001. The study demonstrated that the CRP/Alb ratio is an effective inflammation-based prognostic indicator in osteosarcoma, which potentially has a discriminatory ability superior to that of other inflammatory indicators including GPS, NLR, and PLR. Keywords: osteosarcoma, CRP to albumin ratio, prognosis

  10. Value of impulse oscillometry in evaluating the illness in children with asthma and analysis of its correlation with serum indicators

    Directory of Open Access Journals (Sweden)

    Cui-Fen Bai

    2016-05-01

    Full Text Available Objective: To Value of impulse oscillometry in evaluating the illness in children with asthma and its correlation with serum indicators. Methods: Children with asthma attack, children with asthma remission and healthy children were selected for study, impulse oscillometry was conducted to obtain related parameters, and serum and peripheral blood were collected to detect related indicators. Results: Zrs, R5, R20, R5-R20, absolute value of X5 and Fres of asthma attack group and asthma remission group were higher than those of control group, eosinophil, YKL-40, Hes-1, Cyr61, Eotaxin, IgE, IgG4, LT-B4, LT-C4, LT-D4 and Cys-LT contents in peripheral blood were higher than those of control group, positive proportion of Th2, Th17, cTfh and Th19 in peripheral blood were higher than those of control group, and positive proportion of Th1 and Treg in peripheral blood were lower than those of control group; the changes of above indicators of asthma attack group were more significant than those of asthma remission group; Zrs, R5, R20, R5-R20, absolute value of X5 and Fres were positively correlated with eosinophil, YKL-40, Hes-1, Cyr61, Eotaxin, IgE, IgG4, LT-B4, LT-C4, LTD4 and Cys-LT contents in peripheral blood as well as positive proportion of Th2, Th17, cTfh and Th19 in peripheral blood, and negatively correlated with positive proportion of Th1 and Treg in peripheral blood. Conclusion: Impulse oscillometry detection can provide evidence for diagnosis of bronchial asthma and judgment of its illness, and IOS-related parameters can judge the abnormal degree of inflammatory response and immune response.

  11. Splenectomy is associated with hypercoagulable thrombelastography values and increased risk of thromboembolism.

    Science.gov (United States)

    Pommerening, Matthew J; Rahbar, Elaheh; Minei, Kristin; Holcomb, John B; Wade, Charles E; Schreiber, Martin A; Cohen, Mitchell J; Underwood, Samantha J; Nelson, Mary; Cotton, Bryan A

    2015-09-01

    Previous investigators have demonstrated that postinjury thrombocytosis is associated with an increase in thromboembolic (TE) risk. Increased rates of thrombocytosis have been found specifically in patients after splenectomy for trauma. We hypothesized that patients undergoing splenectomy (1) would demonstrate a more hypercoagulable profile during their hospital stay and (2) that this hypercoagulable state would be associated with increased TE events. This was a 14-month, prospective, observational trial evaluating serial rapid thrombelastography (rTEG) at 3 American College of Surgeons-verified, level 1 trauma centers. Inclusion criteria were highest-level trauma activation and arrival within 6 hours of injury. Exclusion criteria were 20% total body surface area. Serial rTEG (activated clotting time, k-time, α-angle, MA, lysis) and traditional coagulation testing (prothrombin time, partial thromboplastin time, fibrinogen and platelet count) were obtained at admission and then at 3, 6, 12, 24, 48, 72, 96, and 120 hours. Thromboembolic complications were defined as the development of deep-vein thrombosis, pulmonary embolism, acute myocardial infarction, or ischemic stroke during hospitalization. Patients were stratified into splenectomy versus nonsplenectomy cohorts. Univariate analysis was then conducted followed by longitudinal analysis using generalized estimating equations to evaluate the effects of time, splenectomy, and group-time interactions on changes in rTEG and traditional coagulation testing. We used an adjusted generalized estimating equation model to control for age, sex, ISS, admission blood pressure, base deficit, and hemoglobin. A total of 1,242 patients were enrolled; 795 had serial rTEG data. Of these, 605 had serial values >24 hours and made up the study population. Splenectomy patients were younger, more hypotensive, and in shock on arrival. Although there was no difference in 24-hour or 30-day mortality, splenectomy patients were more

  12. Reproducibility of Serum Potassium Values in Serum From Blood Samples Stored for Increasing Times Prior to Centrifugation and Analysis.

    Science.gov (United States)

    Harper, Aaron; Lu, Chuanyong; Sun, Yi; Garcia, Rafael; Rets, Anton; Alexis, Herol; Saad, Heba; Eid, Ikram; Harris, Loretta; Marshall, Barbara; Tafani, Edlira; Pincus, Matthew R

    2016-05-01

    The goal of this work was to determine if immediate versus postponed centrifugation of samples affects the levels of serum potassium. Twenty participants donated normal venous blood that was collected in four serum separator tubes per donor, each of which was analyzed at 0, 1, 2, or 4 hr on the Siemens Advia 1800 autoanalyzer. Coefficients of variation (CVs) for potassium levels ranged from 0% to 7.6% with a mean of 3 ± 2%. ANOVA testing of the means for all 20 samples showed a P-value of 0.72 (>0.05) indicating that there was no statistically significant difference between the means of the samples at the four time points. Sixteen samples were found to have CVs that were ≤5%. Two samples showed increases of potassium from the reference range to levels higher than the upper reference limit, one of which had a 4-hr value that was within the reference or normal range (3.5-5 mEq/l). Overall, most samples were found to have reproducible levels of serum potassium. Serum potassium levels from stored whole blood collected in serum separator tubes are, for the most part, stable at room temperature for at least 4 hr prior to analysis. However, some samples can exhibit significant fluctuations of values. © 2015 Wiley Periodicals, Inc.

  13. Increased expression of hepatocyte nuclear factor 4 alpha transcribed by promoter 2 indicates a poor prognosis in hepatocellular carcinoma.

    Science.gov (United States)

    Cai, Shao-Hang; Lu, Shi-Xun; Liu, Li-Li; Zhang, Chris Zhiyi; Yun, Jing-Ping

    2017-10-01

    Hepatocyte nuclear factor 4 alpha (HNF4α) plays an important role in tumourigenesis. There is growing evidence indicating that HNF4α transcribed by promoter 1 (P1-HNF4α) is expressed at relatively low levels in HCC and its presence predicts a favourable outcome for hepatocellular carcinoma (HCC) patients. However, the role of HNF4α transcribed by promoter 2 (P2-HNF4α) in HCC remains unclear. A total of 615 HCC specimens were obtained to construct tissue microarrays and perform immunohistochemistry. The relationship between P2-HNF4α and clinical features of HCC patients were analysed. Kaplan-Meier analysis was conducted to assess the prognostic value of P2-HNF4α. The results showed that the expression of P2-HNF4α in HCC was noticeably increased in HCC tissues compared with the nontumourous tissues. In addition, P1-HNF4α expression was negatively correlated with P2-HNF4α expression ( p  = 0.023). High P2-HNF4α expression was significantly associated with poor differentiation of HCC ( p = 0.002) and vascular invasion ( p = 0.017). Kaplan-Meier analysis showed that P2-HNF4α expression was closely correlated with overall survival in the training group ( p = 0.01), validation group ( p = 0.034), and overall group of patients with HCC ( p P2-HNF4α, different from P1-HNF4α, is markedly upregulated and serves as an oncogene-associated protein in HCC. Our study therefore provides a promising biomarker for prognostic prediction and a potential therapeutic target for HCC.

  14. Impacts of climate change on the trends of extreme rainfall indices and values of maximum precipitation at Olimpiyat Station, Istanbul, Turkey

    Science.gov (United States)

    Nigussie, Tewodros Assefa; Altunkaynak, Abdusselam

    2018-03-01

    In this study, extreme rainfall indices of Olimpiyat Station were determined from reference period (1971-2000) and future period (2070-2099) daily rainfall data projected using the HadGEM2-ES and GFDL-ESM2M global circulation models (GCMs) and downscaled by the RegCM4.3.4 regional model under the Representative Concentration Pathway RCP4.5 and RCP8.5 scenarios. The Mann-Kendall (MK) trend statistics was used to detect trends in the indices of each group, and the nonparametric Wilcoxon signed ranks test was employed to identify the presence of differences among the values of the rainfall indices of the three groups. Moreover, the peaks-over-threshold (POT) method was used to undertake frequency analysis and estimate the maximum 24-h rainfall values of various return periods. The results of the M-K-based trend analyses showed that there are insignificant increasing trends in most of the extreme rainfall indices. However, based on the Wilcoxon signed ranks test, the values of the extreme rainfall indices determined for the future period, particularly under RCP8.5, were found to be significantly different from the corresponding values determined for the reference period. The maximum 24-h rainfall amounts of the 50-year return period of the future period under RCP4.5 of the HadGEM2-ES and GFDL-ESM2M GCMs were found to be larger (by 5.85%) than the corresponding value of the reference period by 5.85 and 21.43%, respectively. The results also showed that the maximum 24-h rainfall amount under RCP8.5 of both the HadGEM2-ES and GFDL-ESM2M GCMs was found to be greater (34.33 and 12.18%, respectively, for the 50-year return period) than the reference period values. This may increase the risk of flooding in Ayamama Watershed, and thus, studying the effects of the predicted amount of rainfall under the RCP8.5 scenario on the flooding risk of Ayamama Watershed and devising management strategies are recommended to enhance the design and implementation of adaptation measures.

  15. Supplementation of adjuvants for increasing the nutritive value and cell viability of probiotic fermented milk beverage.

    Science.gov (United States)

    Shobharani, P; Agrawal, Renu

    2009-01-01

    Probiotic are microorganisms that, upon ingestion in adequate amounts, exert a beneficial effect on the host. In the present work, the potent probiotic Leuconostoc mesenteroides was used as a starter culture in the preparation of fermented milk beverage. The product was analyzed for protein, titrable acidity, fat, total sugar, fatty acids and minerals. The viability of culture and nutrition in the product was further enhanced with supplementation of adjuvants like tryptone, casein hydrolysate, cysteine hydrochloride and ascorbic acid. After 5 days, maximum viability was observed on supplementation of tryptone (100 mg/l). The protein content was enhanced by 1.1-fold in the presence of tryptone (100 mg/l) as compared with control after 5 days of storage. Fermented milk supplemented with tryptone (100 mg/l) showed maximum bioavailability of the minerals like iron (92.05%), zinc (95.02%) and magnesium (92.04%) as compared with control. The increase in the composition of beneficial fatty acids on supplementation of adjuvants supports the therapeutic value of the product.

  16. Ghrelin increases the rewarding value of high-fat diet in an orexin-dependent manner.

    Science.gov (United States)

    Perello, Mario; Sakata, Ichiro; Birnbaum, Shari; Chuang, Jen-Chieh; Osborne-Lawrence, Sherri; Rovinsky, Sherry A; Woloszyn, Jakub; Yanagisawa, Masashi; Lutter, Michael; Zigman, Jeffrey M

    2010-05-01

    Ghrelin is a potent orexigenic hormone that likely impacts eating via several mechanisms. Here, we hypothesized that ghrelin can regulate extra homeostatic, hedonic aspects of eating behavior. In the current study, we assessed the effects of different pharmacological, physiological, and genetic models of increased ghrelin and/or ghrelin-signaling blockade on two classic behavioral tests of reward behavior: conditioned place preference (CPP) and operant conditioning. Using both CPP and operant conditioning, we found that ghrelin enhanced the rewarding value of high-fat diet (HFD) when administered to ad lib-fed mice. Conversely, wild-type mice treated with ghrelin receptor antagonist and ghrelin receptor-null mice both failed to show CPP to HFD normally observed under calorie restriction. Interestingly, neither pharmacologic nor genetic blockade of ghrelin signaling inhibited the body weight homeostasis-related, compensatory hyperphagia associated with chronic calorie restriction. Also, ghrelin's effects on HFD reward were blocked in orexin-deficient mice and wild-type mice treated with an orexin 1 receptor antagonist. Our results demonstrate an obligatory role for ghrelin in certain rewarding aspects of eating that is separate from eating associated with body weight homeostasis and that requires the presence of intact orexin signaling. Copyright 2010 Society of Biological Psychiatry. Published by Elsevier Inc. All rights reserved.

  17. Manipulating the antioxidant capacity of halophytes to increase their cultural and economic value through saline cultivation.

    Science.gov (United States)

    Boestfleisch, Christian; Wagenseil, Niko B; Buhmann, Anne K; Seal, Charlotte E; Wade, Ellie Merrett; Muscolo, Adele; Papenbrock, Jutta

    2014-08-13

    Halophytes, salt-tolerant plants, are a source of valuable secondary metabolites with potential economic value. The steady-state pools of many stress-related metabolites are already enhanced in halophytes when compared with glycophytes, but growth under conditions away from the optimum can induce stress and consequently result in changes to secondary metabolites such as antioxidants. However, direct evidence for increasing the concentration of valuable secondary metabolites as a consequence of altering the salinity of the growing environment still remains equivocal. To address this, we analysed a range of metabolites with antioxidant capacity (including total phenols, flavonoids, ascorbate, reduced/oxidized glutathione and reactive oxygen species scavenging enzymes) in seedlings and plants from different families (Amaranthaceae, Brassicaceae, Plantaginaceae and Rhizophoraceae) and habitats grown under different salt concentrations. We show that it is possible to manipulate the antioxidant capacity of plants and seedlings by altering the saline growing environment, the length of time under saline cultivation and the developmental stage. Among the species studied, the halophytes Tripolium pannonicum, Plantago coronopus, Lepidium latifolium and Salicornia europaea demonstrated the most potential as functional foods or nutraceuticals. Published by Oxford University Press on behalf of the Annals of Botany Company.

  18. Prognostic value of severity indicators of nursing-home-acquired pneumonia versus community-acquired pneumonia in elderly patients

    Directory of Open Access Journals (Sweden)

    Ugajin M

    2014-02-01

    Full Text Available Motoi Ugajin, Kenichi Yamaki, Natsuko Hirasawa, Takanori Kobayashi, Takeo Yagi Department of Respiratory Medicine, Ichinomiya-Nishi Hospital, Ichinomiya City, Japan Background: The credibility of prognostic indicators in nursing-home-acquired pneumonia (NHAP is not clear. We previously reported a simple prognostic indicator in community-acquired pneumonia (CAP: blood urea nitrogen to serum albumin (B/A ratio. This retrospective study investigated the prognostic value of severity indicators in NHAP versus CAP in elderly patients. Methods: Patients aged ≥65 years and hospitalized because of NHAP or CAP within the previous 3 years were enrolled. Demographics, coexisting illnesses, laboratory and microbiological findings, and severity scores (confusion, urea, respiratory rate, blood pressure, and age ≥65 [CURB-65] scale; age, dehydration, respiratory failure, orientation disturbance, and pressure [A-DROP] scale; and pneumonia severity index [PSI] were retrieved from medical records. The primary outcome was mortality within 28 days of admission. Results: In total, 138 NHAP and 307 CAP patients were enrolled. Mortality was higher in NHAP (18.1% than in CAP (4.6% (P<0.001. Patients with NHAP were older and had lower functional status and a higher rate of do-not-resuscitate orders, heart failure, and cerebrovascular diseases. The NHAP patients more frequently had typical bacterial pathogens. Using the receiver-operating characteristics curve for predicting mortality, the area under the curve in NHAP was 0.70 for the A-DROP scale, 0.69 for the CURB-65 scale, 0.67 for the PSI class, and 0.65 for the B/A ratio. The area under the curve in CAP was 0.73 for the A-DROP scale, 0.76 for the CURB-65 scale, 0.81 for the PSI class, and 0.83 for the B/A ratio. Conclusion: Patient mortality was greater in NHAP than in CAP. Patient characteristics, coexisting illnesses, and detected pathogens differed greatly between NHAP and CAP. The existing severity indicators

  19. Macroalgae δ15N values in well-mixed estuaries: Indicator of anthropogenic nitrogen input or macroalgae metabolism?

    Science.gov (United States)

    Raimonet, Mélanie; Guillou, Gaël; Mornet, Françoise; Richard, Pierre

    2013-03-01

    Although nitrogen stable isotope ratio (δ15N) in macroalgae is widely used as a bioindicator of anthropogenic nitrogen inputs to the coastal zone, recent studies suggest the possible role of macroalgae metabolism in δ15N variability. Simultaneous determinations of δ15N of dissolved inorganic nitrogen (DIN) along the land-sea continuum, inter-species variability of δ15N and its sensitivity to environmental factors are necessary to confirm the efficiency of macroalgae δ15N in monitoring nitrogen origin in mixed-use watersheds. In this study, δ15N of annual and perennial macroalgae (Ulva sp., Enteromorpha sp., Fucus vesiculosus and Fucus serratus) are compared to δ15N-DIN along the Charente Estuary, after characterizing δ15N of the three main DIN sources (i.e. cultivated area, pasture, sewage treatment plant outlet). During late winter and spring, when human activities produce high DIN inputs, DIN sources exhibit distinct δ15N signals in nitrate (NO) and ammonium (NH): cultivated area (+6.5 ± 0.6‰ and +9.0 ± 11.0‰), pasture (+9.2 ± 1.8‰ and +12.4‰) and sewage treatment plant discharge (+16.9 ± 8.7‰ and +25.4 ± 5.9‰). While sources show distinct δN- in this multiple source catchment, the overall mixture of NO sources - generally >95% DIN - leads to low variations of δN-NO at the mouth of the estuary (+7.7 to +8.4‰). Even if estuarine δN-NO values are not significantly different from pristine continental and oceanic site (+7.3‰ and +7.4‰), macroalgae δ15N values are generally higher at the mouth of the estuary. This highlights high anthropogenic DIN inputs in the estuary, and enhanced contribution of 15N-depleted NH in oceanic waters. Although seasonal variations in δN-NO are low, the same temporal trends in macroalgae δ15N values at estuarine and oceanic sites, and inter-species differences in δ15N values, suggest that macroalgae δ15N values might be modified by the metabolic response of macroalgae to environmental parameters (e

  20. MANAGEMENT INSTRUMENTS USED FOR THE IMPROVEMENT OF THE ENTERPRISE VALUE CHAIN IN ORDER TO INCREASE ITS COMPETITIVENESS

    OpenAIRE

    Jolanta Walas-Trêbacz

    2015-01-01

    The aim of the article is to present stages realized in the process of improvement of the enterprise value chain and the characteristics of basic instruments used for searching directions to improve the efficiency of the enterprise value chain in order to increase its competitiveness in the market. The conducted analysis of the literature has allowed to explain the concept of the value chain. Furthermore, in the elaboration the scope of actions undertaken in the methodology to improve value c...

  1. Multiple-Trait Genomic Selection Methods Increase Genetic Value Prediction Accuracy

    Science.gov (United States)

    Jia, Yi; Jannink, Jean-Luc

    2012-01-01

    Genetic correlations between quantitative traits measured in many breeding programs are pervasive. These correlations indicate that measurements of one trait carry information on other traits. Current single-trait (univariate) genomic selection does not take advantage of this information. Multivariate genomic selection on multiple traits could accomplish this but has been little explored and tested in practical breeding programs. In this study, three multivariate linear models (i.e., GBLUP, BayesA, and BayesCπ) were presented and compared to univariate models using simulated and real quantitative traits controlled by different genetic architectures. We also extended BayesA with fixed hyperparameters to a full hierarchical model that estimated hyperparameters and BayesCπ to impute missing phenotypes. We found that optimal marker-effect variance priors depended on the genetic architecture of the trait so that estimating them was beneficial. We showed that the prediction accuracy for a low-heritability trait could be significantly increased by multivariate genomic selection when a correlated high-heritability trait was available. Further, multiple-trait genomic selection had higher prediction accuracy than single-trait genomic selection when phenotypes are not available on all individuals and traits. Additional factors affecting the performance of multiple-trait genomic selection were explored. PMID:23086217

  2. Hydrothermal liquefaction of municipal wastewater cultivated algae: Increasing overall sustainability and value streams of algal biofuels

    Science.gov (United States)

    Roberts, Griffin William

    The forefront of the 21st century presents ongoing challenges in economics, energy, and environmental remediation, directly correlating with priorities for U.S. national security. Displacing petroleum-derived fuels with clean, affordable renewable fuels represents a solution to increase energy independence while stimulating economic growth and reducing carbon-based emissions. The U.S. government embodied this goal by passing the Energy Independence and Security Act (EISA) in 2007, mandating 36 billion gallons of annual biofuel production by 2022. Algae possess potential to support EISA goals and have been studied for the past 30-50 years as an energy source due to its fast growth rates, noncompetitive nature to food markets, and ability to grow using nutrient waste streams. Algae biofuels have been identified by the National Research Council to have significant sustainability concerns involving water, nutrient, and land use. Utilizing municipal wastewater to cultivate algae provides both water and nutrients needed for growth, partially alleviating these concerns. This dissertation demonstrates a pathway for algae biofuels which increases both sustainability and production of high-value products. Algae are cultivated in pilot-scale open ponds located at the Lawrence Wastewater Treatment Plant (Lawrence, KS) using solely effluent from the secondary clarifier, prior to disinfection and discharge, as both water and nutrient sources. Open ponds were self-inoculated by wastewater effluent and produced a mixed-species culture of various microalgae and macroalgae. Algae cultivation provided further wastewater treatment, removing both nitrogen and phosphorus, which have devastating pollution effects when discharged to natural watersheds, especially in large draining watersheds like the Gulf Coast. Algae demonstrated significant removal of other trace metals such as iron, manganese, barium, aluminum, and zinc. Calcium did not achieve high removal rate but did present a

  3. Wine tourism product clubs as a way to increase wine added value: the case of Spain

    Directory of Open Access Journals (Sweden)

    Francisco José Del Campo Gomis

    2010-06-01

    Full Text Available Francisco José Del Campo Gomis, David López Lluch, José Miguel Sales Civera, Asunción M Agulló Torres, Margarita Brugarolas, Mollá-Bauzá, África Martínez Poveda, Fermín Camacho de los Ríos, Antonio Miguel Nogués PedregalDepartament of Agrienvironmental Economics, Universidad Miguel Hernández, Campus Universitario de Orihuela-Desamparados, Orihuela (Alicante, SpainAbstract: The objective of this paper is to analyze how the wine tourism product clubs work in Spain and their importance for Spanish wine tourism. A tourism product club is a product development partnership established and led by the tourism industry stakeholders including small- and/or medium-sized companies. The group pools its resources to develop new marketready products or to increase the value of existing ones. Lodging companies, tour operators, administrators of tourism facilities, tourist associations, government, other companies of the sector and, even, nontourist companies can participate as members of a tourism product club. Following this model, wine tourism can contribute to create a wine tourism product club. In Spain the international promotion of tourist products is carried out through the Turespaña website. The wine tourism product club, The Wine Routes of Spain, is one of the wine tourism product clubs developed by the Spanish government. It is an ambitious project that began in 2001. Nevertheless, other Spanish regions have created more wine tourism product clubs in order to develop their own wine tourism industry such as “Divinum vitae – Where the pleasues are born” created in Castilla–La Mancha in 2006.Keywords: wine, tourism, product club, Spain

  4. Pushed by Symptoms, Pulled by Values: Promotion Goals Increase Motivation in Therapeutic Tasks.

    Science.gov (United States)

    Katz, Benjamin A; Catane, Sara; Yovel, Iftah

    2016-03-01

    While many therapies focus on the reduction of disturbing symptoms, others pursue behavior consistent with personally held values. Based on regulatory focus theory (Higgins, 1997), reducing symptoms is a type of prevention goal while pursuing values is a promotion goal. In the current study, 123 undergraduate students elicited a negative, self-focused emotion-laden cognition. They were then randomly assigned to construe their negative thought as either (a) an impediment to valued behaviors, (b) a cause of unpleasant symptoms, or to one of two control conditions: (c) distraction or (d) no intervention. Then, participants in all groups completed a series of repetitive therapeutic tasks that targeted their elicited negative cognitions. Results showed that participants who construed treatment in terms of valued behavior promotion spent more time on a therapeutic task than all other groups. The group in the unpleasant symptom promotion condition did not differ from either control group. The motivational advantage of value promotion was not accounted for by differences in mood. The present findings suggest that clients may be better motivated through value promotion goals, as opposed to symptom prevention goals. Copyright © 2015. Published by Elsevier Ltd.

  5. Sensitivity, specificity and predictive values of linear and nonlinear indices of heart rate variability in stable angina patients

    Directory of Open Access Journals (Sweden)

    Pivatelli Flávio

    2012-10-01

    Full Text Available Abstract Background Decreased heart rate variability (HRV is related to higher morbidity and mortality. In this study we evaluated the linear and nonlinear indices of the HRV in stable angina patients submitted to coronary angiography. Methods We studied 77 unselected patients for elective coronary angiography, which were divided into two groups: coronary artery disease (CAD and non-CAD groups. For analysis of HRV indices, HRV was recorded beat by beat with the volunteers in the supine position for 40 minutes. We analyzed the linear indices in the time (SDNN [standard deviation of normal to normal], NN50 [total number of adjacent RR intervals with a difference of duration greater than 50ms] and RMSSD [root-mean square of differences] and frequency domains ultra-low frequency (ULF ≤ 0,003 Hz, very low frequency (VLF 0,003 – 0,04 Hz, low frequency (LF (0.04–0.15 Hz, and high frequency (HF (0.15–0.40 Hz as well as the ratio between LF and HF components (LF/HF. In relation to the nonlinear indices we evaluated SD1, SD2, SD1/SD2, approximate entropy (−ApEn, α1, α2, Lyapunov Exponent, Hurst Exponent, autocorrelation and dimension correlation. The definition of the cutoff point of the variables for predictive tests was obtained by the Receiver Operating Characteristic curve (ROC. The area under the ROC curve was calculated by the extended trapezoidal rule, assuming as relevant areas under the curve ≥ 0.650. Results Coronary arterial disease patients presented reduced values of SDNN, RMSSD, NN50, HF, SD1, SD2 and -ApEn. HF ≤ 66 ms2, RMSSD ≤ 23.9 ms, ApEn ≤−0.296 and NN50 ≤ 16 presented the best discriminatory power for the presence of significant coronary obstruction. Conclusion We suggest the use of Heart Rate Variability Analysis in linear and nonlinear domains, for prognostic purposes in patients with stable angina pectoris, in view of their overall impairment.

  6. Continuously increasing δ98Mo values in Neoarchean black shales and iron formations from the Hamersley Basin

    Science.gov (United States)

    Kurzweil, Florian; Wille, Martin; Schoenberg, Ronny; Taubald, Heinrich; Van Kranendonk, Martin J.

    2015-09-01

    We present Mo-, C- and O-isotope data from black shales, carbonate- and oxide facies iron formations from the Hamersley Group, Western Australia, that range in age from 2.6 to 2.5 billion years. The data show a continuous increase from near crustal δ98Mo values of around 0.50‰ for the oldest Marra Mamba and Wittenoom formations towards higher values of up to 1.51‰ for the youngest sample of the Brockman Iron Formation. Thereby, the trend in increasing δ98Mo values is portrayed by both carbonate facies iron formations and black shales. Considering the positive correlation between Mo concentration and total organic carbon, we argue that this uniformity is best explained by molybdate adsorption onto organic matter in carbonate iron formations and scavenging of thiomolybdate onto sulfurized organic matter in black shales. A temporal increase in the seawater δ98Mo over the period 2.6-2.5 Ga is observed assuming an overall low Mo isotope fractionation during both Mo removal processes. Oxide facies iron formations show lowest Mo concentrations, lowest total organic carbon and slightly lower δ98Mo compared to nearly contemporaneous black shales. This may indicate that in iron formation settings with very low organic matter burial rates, the preferential adsorption of light Mo isotopes onto Fe-(oxyhydr)oxides becomes more relevant. A similar Mo-isotope pattern was previously found in contemporaneous black shales and carbonates of the Griqualand West Basin, South Africa. The consistent and concomitant increase in δ98Mo after 2.54 billion years ago suggests a more homogenous distribution of seawater molybdate with uniform isotopic composition in various depositional settings within the Hamersley Basin and the Griqualand West Basin. The modeling of the oceanic Mo inventory in relation to the Mo in- and outflux suggests that the long-term build-up of an isotopically heavy seawater Mo reservoir requires a sedimentary sink for isotopically light Mo. The search for this

  7. Increased reward value of nonsocial stimuli in children and adolescents with autism

    Directory of Open Access Journals (Sweden)

    Karli K Watson

    2015-07-01

    Full Text Available We used an econometric choice task to estimate the implicit reward value of social and nonsocial stimuli related to restricted interests in children and adolescents with (n=12 and without (n=22 ASD. Mixed effects logistic regression analyses revealed that children and adolescents with ASD were willing to receive less cash payout to view restricted interest stimuli, whereas children and adolescents without ASD were indifferent to cash payouts to view these images. Groups did not differ in valuation of social images or nonsocial images unrelated to restricted interests. Our findings reveal that individuals with ASD assign enhanced reward value of nonsocial stimuli related to restricted interests in ASD. These results suggest that motivational accounts of ASD should also consider the reward value of restricted interests in addition to that of social stimuli (Dichter & Adolphs, 2012.

  8. Significance and prognostic value of increased serum direct bilirubin level for lymph node metastasis in Chinese rectal cancer patients.

    Science.gov (United States)

    Gao, Chun; Fang, Long; Li, Jing-Tao; Zhao, Hong-Chuan

    2016-02-28

    To determine the significance of increased serum direct bilirubin level for lymph node metastasis (LNM) in Chinese rectal cancer patients, after those with known hepatobiliary and pancreatic diseases were excluded. A cohort of 469 patients, who were treated at the China-Japan Friendship Hospital, Ministry of Health (Beijing, China), in the period from January 2003 to June 2011, and with a pathological diagnosis of rectal adenocarcinoma, were recruited. They included 231 patients with LNM (49.3%) and 238 patients without LNM. Follow-up for these patients was taken through to December 31, 2012. The baseline serum direct bilirubin concentration was (median/inter-quartile range) 2.30/1.60-3.42 μmol/L. Univariate analysis showed that compared with patients without LNM, the patients with LNM had an increased level of direct bilirubin (2.50/1.70-3.42 vs 2.10/1.40-3.42, P = 0.025). Multivariate analysis showed that direct bilirubin was independently associated with LNM (OR = 1.602; 95%CI: 1.098-2.338, P = 0.015). Moreover, we found that: (1) serum direct bilirubin differs between male and female patients; a higher concentration was associated with poor tumor classification; (2) as the baseline serum direct bilirubin concentration increased, the percentage of patients with LNM increased; and (3) serum direct bilirubin was associated with the prognosis of rectal cancer patients and higher values indicated poor prognosis. Higher serum direct bilirubin concentration was associated with the increased risk of LNM and poor prognosis in our rectal cancers.

  9. Clinical value of indicators of cationic proteins, leukocytes myeloperoxidase and fibronectin blood plasma in viral meningitis in children

    Directory of Open Access Journals (Sweden)

    O. G. Kimirilova

    2017-01-01

    Full Text Available Objective: was to establish clinical and diagnostic value of cytochemical indices of peripheral blood leukocytes (cationic protein and myeloperoxidase, fibronectin blood plasma to assess the severity, predict the course and outcome of viral meningitis in children.Subjects and methods. In 450 patients with viral meningitis (enterovirus, arbovirus, parotitic, herpesviral, adenovirus etiology at the age of 14 years, the parameters of the microbicidal system of leukocytes (cation proteins, myeloperoxidase and fibronectin blood plasma were determined. Etiological diagnosis of meningitis was confirmed by release of viral RNA from blood and cerebrospinal fluid by the polymerase chain reaction, enzyme-linked immunosorbent assay (ELISA.The results and conclusion. Found that severe, prolonged duration, lethal outcome of viral meningitis in children are accompanied by sugnificant suppression of cationic proteins, myeloperoxidase, fibronectin blood plasma, maximally expressed in lethal outcomes, compared with the severe form, but with a favorable outcome and control. Settings imbalance cationic proteins, myeloperoxidase, fibronectin blood plasma are objective criteria of the adaptation syndrome that reflects the state of the phagocytosis system in viral meningitis in children and can be considered as additional criteria for predicting the course and outcome of disease.

  10. Consumer Surplus in the Digital Economy: Estimating the Value of Increased Product Variety at Online Booksellers

    OpenAIRE

    Brynjolfsson, Erik; Smith, Michael D.; Yu, (Jeffrey) Hu

    2003-01-01

    We present a framework and empirical estimates that quantify the economic impact of increased product variety made available through electronic markets. While efficiency gains from increased competition significantly enhance consumer surplus, for instance, by leading to lower average selling prices, our present research shows that increased product variety made available through electronic markets can be a significantly larger source of consumer surplus gains. One reason for increased product...

  11. Reactive or proactive approach towards sustainability? A conceptual framework based on sustainable business models to increase stakeholders' sustainable value capture

    DEFF Research Database (Denmark)

    Rosati, Francesco; Morioka, Sandra; Monteiro de Carvalho, Marly

    2016-01-01

    and challenging companies to seek for business opportunities with an entrepreneurial attitude to help solving sustainable development challenges. By combining both approaches, organizations have the opportunity to increase sustainable value capture by its stakeholders, acting on their institutional responsibility...... as instrument to help companies describe, analyze, manage and communicate their sustainable value proposition, creation, delivery and capture mechanism. In particular, this research focuses on value capture dynamics, aiming to explore how companies can increase their contribution to sustainable development...... sustainability. In this sense, a proactive approach to foster sustainable value capture can complement the reactive approach by delivering value beyond stakeholders' expectations. In this case, companies use their capabilities to identify opportunities to create and deliver sustainable value that stakeholders...

  12. Looking for Ways to Increase Student Motivation: Internationalisation and Value Innovation

    Science.gov (United States)

    Kuznetsov, Andrei; Kuznetsova, Olga

    2011-01-01

    Understanding what constitutes the perceived value of foreign education to international business students is critical for business schools in order to achieve their recruitment targets. One established method relies on a financial interpretation of the costs and benefits of business education. By contrast, this study advocates a holistic approach…

  13. The Course Valuation Model and 10 Steps to Increase Course Value: The Business Communication Course

    Science.gov (United States)

    Brown, Lori A.

    2015-01-01

    Communication competence is a leading agent in professional success and the ability most sought after by employers. Educational institutions benefit by producing students with such sought-after skills. However, there is a disconnect between skills practitioner stakeholders desire and what graduates deliver. Strengthening the value of a business…

  14. Increasing user value through professional identity profiles, profile-based connection agents and games

    NARCIS (Netherlands)

    Maxwell, Katrina; Angehrn, Albert; Sereno, Bertrand

    2007-01-01

    Encouraging users of online communities to complete, maintain and improve their electronic profiles is a challenging task. Only if users see real value for themselves will they invest their time and energy in this activity, and become active contributing members of the online community. In this

  15. Attenuating initial beliefs: Increasing the acceptance of anthropogenic climate change information by reflecting on values

    NARCIS (Netherlands)

    van Prooijen, A.M.; Sparks, P.

    2014-01-01

    Anthropogenic climate change information tends to be interpreted against the backdrop of initial environmental beliefs, which can lead to some people being resistant toward the information. In this article (N = 88), we examined whether self-affirmation via reflection on personally important values

  16. Individualistic values are related to an increase in the outbreaks of infectious diseases and zoonotic diseases.

    Science.gov (United States)

    Morand, Serge; Walther, Bruno A

    2018-03-01

    Collectivist versus individualistic values are important attributes of intercultural variation. Collectivist values favour in-group members over out-group members and may have evolved to protect in-group members against pathogen transmission. As predicted by the pathogen stress theory of cultural values, more collectivist countries are associated with a higher historical pathogen burden. However, if lifestyles of collectivist countries indeed function as a social defence which decreases pathogen transmission, then these countries should also have experienced fewer disease outbreaks in recent times. We tested this novel hypothesis by correlating the values of collectivism-individualism for 66 countries against their historical pathogen burden, recent number of infectious disease outbreaks and zoonotic disease outbreaks and emerging infectious disease events, and four potentially confounding variables. We confirmed the previously established negative relationship between individualism and historical pathogen burden with new data. While we did not find a correlation for emerging infectious disease events, we found significant positive correlations between individualism and the number of infectious disease outbreaks and zoonotic disease outbreaks. Therefore, one possible cost for individualistic cultures may be their higher susceptibility to disease outbreaks. We support further studies into the exact protective behaviours and mechanisms of collectivist societies which may inhibit disease outbreaks.

  17. MEMBRANE TECHNOLOGIES — AN INNOVATIVE METHOD OF PROTEIN BIOLOGICAL VALUE INCREASING IN YOUNG CHILDREN FEEDING

    Directory of Open Access Journals (Sweden)

    I. V. Gmoshinskii

    2012-01-01

    Full Text Available A qualitatively new approach to protein production for milk formulas for infants is discussed in this article. The advantage of membrane technologies usage is that they allow preserving protein biological value and make it possible to control the levels of amino-acids in protein by optimizing their proportion and quantity.

  18. Can broader diffusion of value-based insurance design increase benefits from US health care without increasing costs? Evidence from a computer simulation model.

    Science.gov (United States)

    Braithwaite, R Scott; Omokaro, Cynthia; Justice, Amy C; Nucifora, Kimberly; Roberts, Mark S

    2010-02-16

    Evidence suggests that cost sharing (i.e.,copayments and deductibles) decreases health expenditures but also reduces essential care. Value-based insurance design (VBID) has been proposed to encourage essential care while controlling health expenditures. Our objective was to estimate the impact of broader diffusion of VBID on US health care benefits and costs. We used a published computer simulation of costs and life expectancy gains from US health care to estimate the impact of broader diffusion of VBID. Two scenarios were analyzed: (1) applying VBID solely to pharmacy benefits and (2) applying VBID to both pharmacy benefits and other health care services (e.g., devices). We assumed that cost sharing would be eliminated for high-value services (value services ($100,000-$300,000 per life-year or unknown), and would be increased for low-value services (>$300,000 per life-year). All costs are provided in 2003 US dollars. Our simulation estimated that approximately 60% of health expenditures in the US are spent on low-value services, 20% are spent on intermediate-value services, and 20% are spent on high-value services. Correspondingly, the vast majority (80%) of health expenditures would have cost sharing that is impacted by VBID. With prevailing patterns of cost sharing, health care conferred 4.70 life-years at a per-capita annual expenditure of US$5,688. Broader diffusion of VBID to pharmaceuticals increased the benefit conferred by health care by 0.03 to 0.05 additional life-years, without increasing costs and without increasing out-of-pocket payments. Broader diffusion of VBID to other health care services could increase the benefit conferred by health care by 0.24 to 0.44 additional life-years, also without increasing costs and without increasing overall out-of-pocket payments. Among those without health insurance, using cost saving from VBID to subsidize insurance coverage would increase the benefit conferred by health care by 1.21 life-years, a 31% increase

  19. The Role Of Good Corporate Governance In Minimizing Earning Management To Increase Value Of Firm

    Directory of Open Access Journals (Sweden)

    Mardiani Tanjung

    2015-08-01

    Full Text Available Abstract The theory of an agency problem describes about the conflict of the agents interests and the principal which influence the value of a firm. The gap of information between them puts an agent in certain places to become more superior than the principal to do earning management. Good corporate governance is as a controlling mechanism and a balancing system in the company in accommodating the interest of the agent and the principal. The purpose of this paper is to present a conceptual model of best corporate governance role earning management the value of the firm by adding a compensation as another variable to minimize earning management. Good corporate governance consists of the three mechanisms which are Institutional shareholders Independent commissioner and executive compensation.

  20. Extreme Value Predictions using Monte Carlo Simulations with Artificially Increased Load Spectrum

    DEFF Research Database (Denmark)

    Jensen, Jørgen Juncher

    2011-01-01

    In the analysis of structures subjected to stationary stochastic load processes the mean out-crossing rate plays an important role as it can be used to determine the extreme value distribution of any response, usually assuming that the sequence of mean out-crossings can be modelled as a Poisson...... be scaled down to its actual value. In the present paper the usefulness of this approach is investigated, considering problems related to wave loads on marine structures. Here the load scale parameter is conveniently taken as the square of the significant wave height....... be found using the First Order Reliability Method (FORM). The FORM analysis also shows that the reliability index is strictly inversely proportional to the square root of the magnitude of the load spectrum, irrespectively of the non-linearity in the system. However, the FORM analysis only gives...

  1. Historical nitrogen content of bryophyte tissue as an indicator of increased nitrogen deposition in the Cape Metropolitan Area, South Africa

    International Nuclear Information System (INIS)

    Wilson, D.; Stock, W.D.; Hedderson, T.

    2009-01-01

    Information on changes in precipitation chemistry in the rapidly expanding Cape Metropolitan Area (CMA) of South Africa is scarce. To obtain a long-term record of N deposition we investigated changes in moss foliar N, C:N ratios and nitrogen isotope values that might reflect precipitation chemistry. Tissue from 9 species was obtained from herbarium specimens collected between 1875 and 2000 while field samples were collected in 2001/2002. There is a strong trend of increasing foliar N content in all mosses collected over the past century (1.32-1.69 %N). Differences exist between ectohydric mosses which have higher foliar N than the mixohydric group. C:N ratios declined while foliar δ 15 N values showed no distinct pattern. From relationships between moss tissue N and N deposition rates we estimated an increase of 6-13 kg N ha -1 a -1 since 1950. Enhanced N deposition rates of this magnitude could lead to biodiversity losses in native ecosystems. - This study of bryophyte tissue nutrient contents shows a historical increase in N deposition rates to the low nutrient adapted plant biodiversity hotspot in the Western Cape, South Africa

  2. Historical nitrogen content of bryophyte tissue as an indicator of increased nitrogen deposition in the Cape Metropolitan Area, South Africa

    Energy Technology Data Exchange (ETDEWEB)

    Wilson, D. [Botany Department, University of Cape Town, Rondebosch 7701 (South Africa); Stock, W.D. [Botany Department, University of Cape Town, Rondebosch 7701 (South Africa); Centre for Ecosystem Management, School of Natural Sciences, Edith Cowan University, 100 Joondalup Drive, Joondalup, Perth, WA 6027 (Australia)], E-mail: w.stock@ecu.edu.au; Hedderson, T. [Botany Department, University of Cape Town, Rondebosch 7701 (South Africa)

    2009-03-15

    Information on changes in precipitation chemistry in the rapidly expanding Cape Metropolitan Area (CMA) of South Africa is scarce. To obtain a long-term record of N deposition we investigated changes in moss foliar N, C:N ratios and nitrogen isotope values that might reflect precipitation chemistry. Tissue from 9 species was obtained from herbarium specimens collected between 1875 and 2000 while field samples were collected in 2001/2002. There is a strong trend of increasing foliar N content in all mosses collected over the past century (1.32-1.69 %N). Differences exist between ectohydric mosses which have higher foliar N than the mixohydric group. C:N ratios declined while foliar {delta}{sup 15}N values showed no distinct pattern. From relationships between moss tissue N and N deposition rates we estimated an increase of 6-13 kg N ha{sup -1} a{sup -1} since 1950. Enhanced N deposition rates of this magnitude could lead to biodiversity losses in native ecosystems. - This study of bryophyte tissue nutrient contents shows a historical increase in N deposition rates to the low nutrient adapted plant biodiversity hotspot in the Western Cape, South Africa.

  3. THE ECONOMIC VALUE ADDED (EVA - A MEASUREMENT INDICATOR OF THE VALUE CREATION WITHIN A COMPANY FROM THE ROMANIAN SEASIDE HOTEL INDUSTRY

    Directory of Open Access Journals (Sweden)

    RALUCA-ANDREEA TRANDAFIR

    2015-03-01

    Full Text Available The purpose of this research is to highlight the role of EVA – an indicator measuring the financial performance of a hotel company from the Romanian seaside. EVA is one of the most appreciated indicators in terms of achieving performance that involve all used resources; this indicator can be adopted for the decentralization of management decisions. In order to highlight the importance of the EVA assessment method, we performed a case study on a representative hotel company that gets positive financial results pursuant to conventional methods, aiming to outline the correlation between EVA and the traditional methods for performance assessment

  4. Infectious precipitants of acute hyperammonemia are associated with indicators of increased morbidity in patients with urea cycle disorders.

    Science.gov (United States)

    McGuire, Peter J; Lee, Hye-Seung; Summar, Marshall L

    2013-12-01

    To prospectively characterize acute hyperammonemic episodes in patients with urea cycle disorders (UCDs) in terms of precipitating factors, treatments, and use of medical resources. This was a prospective, longitudinal observational study of hyperammonemic episodes in patients with UCD enrolled in the National Institutes of Health-sponsored Urea Cycle Disorders Consortium Longitudinal Study. An acute hyperammonemic event was defined as plasma ammonia level >100 μmol/L. Physician-reported data regarding the precipitating event and laboratory and clinical variables were recorded in a central database. In our study population, 128 patients with UCD experienced a total of 413 hyperammonemia events. Most patients experienced between 1 and 3 (65%) or between 4 and 6 (23%) hyperammonemia events since study inception, averaging fewer than 1 event/year. The most common identifiable precipitant was infection (33%), 24% of which were upper/lower respiratory tract infections. Indicators of increased morbidity were seen with infection, including increased hospitalization rates (P = .02), longer hospital stays (+2.0 days; P = .003), and increased use of intravenous ammonia scavengers (+45%-52%; P = .003-.03). Infection is the most common precipitant of acute hyperammonemia in patients with UCD and is associated with indicators of increased morbidity (ie, hospitalization rate, length of stay, and use of intravenous ammonia scavengers). These findings suggest that the catabolic and immune effects of infection may be a target for clinical intervention in inborn errors of metabolism. Published by Mosby, Inc.

  5. How Do Value-Added Indicators Compare to Other Measures of Teacher Effectiveness? What We Know Series: Value-Added Methods and Applications. Knowledge Brief 5

    Science.gov (United States)

    Harris, Douglas N.

    2012-01-01

    In the recent drive to revamp teacher evaluation and accountability, measures of a teacher's value added have played the starring role. But the star of the show is not always the best actor, nor can the star succeed without a strong supporting cast. In assessing teacher performance, observations of classroom practice, portfolios of teachers' work,…

  6. Trust increases euthanasia acceptance: a multilevel analysis using the European Values Study

    OpenAIRE

    K?neke, Vanessa

    2014-01-01

    Background This study tests how various kinds of trust impact attitudes toward euthanasia among the general public. The indication that trust might have an impact on euthanasia attitudes is based on the slippery slope argument, which asserts that allowing euthanasia might lead to abuses and involuntary deaths. Adopting this argument usually leads to less positive attitudes towards euthanasia. Tying in with this, it is assumed here that greater trust diminishes such slippery slope fears, and t...

  7. Striatum-dependent habits are insensitive to both increases and decreases in reinforcer value in mice.

    Science.gov (United States)

    Quinn, Jennifer J; Pittenger, Christopher; Lee, Anni S; Pierson, Jamie L; Taylor, Jane R

    2013-03-01

    The mouse has emerged as an advantageous species for studying the brain circuitry that underlies complex behavior and for modeling neuropsychiatric disease. The transition from flexible, goal-directed actions to inflexible, habitual responses is argued to be a valid and reliable behavioral model for studying a core aspect of corticostriatal systems that is implicated in certain forms of psychopathology. This transition is thought to correspond to a progression of behavioral control from associative to sensorimotor corticobasal ganglia networks. Habits form following extensive training and are characterized by reduced sensitivity of instrumental responding to reinforcer revaluation; few studies have examined this form of behavioral control in mice. Here we examined the involvement of the dorsolateral and dorsomedial striatum in this transition in the C57BL/6 inbred mouse strain. We provided evidence that damage to the dorsolateral striatum disrupted habitual responding, i.e. it preserved sensitivity to changes in outcome value following either outcome devaluation or, shown for the first time in mice, outcome inflation. Together, these data show that instrumental responding in lesioned mice tracks the current value of a reinforcer and provide evidence that neuroanatomical mechanisms underlying habit learning in rats are preserved in the mouse. This will allow for the genetic and molecular dissection of neural factors involved in decision-making and mechanisms of aberrant habit formation. © 2013 Federation of European Neuroscience Societies and Blackwell Publishing Ltd.

  8. The Mine Safety and Health Administration's criterion threshold value policy increases miners' risk of pneumoconiosis.

    Science.gov (United States)

    Weeks, James L

    2006-06-01

    The Mine Safety and Health Administration (MSHA) proposes to issue citations for non-compliance with the exposure limit for respirable coal mine dust when measured exposure exceeds the exposure limit with a "high degree of confidence." This criterion threshold value (CTV) is derived from the sampling and analytical error of the measurement method. This policy is based on a combination of statistical and legal reasoning: the one-tailed 95% confidence limit of the sampling method, the apparent principle of due process and a standard of proof analogous to "beyond a reasonable doubt." This policy raises the effective exposure limit, it is contrary to the precautionary principle, it is not a fair sharing of the burden of uncertainty, and it employs an inappropriate standard of proof. Its own advisory committee and NIOSH have advised against this policy. For longwall mining sections, it results in a failure to issue citations for approximately 36% of the measured values that exceed the statutory exposure limit. Citations for non-compliance with the respirable dust standard should be issued for any measure exposure that exceeds the exposure limit.

  9. A critical note on the IAGA-endorsed Polar Cap (PC) indices: excessive excursions in the real-time index values

    Science.gov (United States)

    Stauning, Peter

    2018-04-01

    The Polar Cap (PC) indices were approved by the International Association for Geomagnetism and Aeronomy (IAGA) in 2013 and made available at the web portal http://pcindex.org" target="_blank">http://pcindex.org holding prompt (real-time) as well as archival index values. The present note provides the first reported examination of the validity of the IAGA-endorsed method to generate real-time PC index values. It is demonstrated that features of the derivation procedure defined by Janzhura and Troshichev (2011) may cause considerable excursions in the real-time PC index values compared to the final index values. In examples based on occasional downloads of index values, the differences between real-time and final values of PC indices were found to exceed 3 mV m-1, which is a magnitude level that may indicate (or hide) strong magnetic storm activity.

  10. Increasing vitamin C content in plant foods to improve their nutritional value-successes and challenges.

    Science.gov (United States)

    Gallie, Daniel R

    2013-08-30

    Vitamin C serves as a cofactor in the synthesis of collagen needed to support cardiovascular function, maintenance of cartilage, bones, and teeth, as well as being required in wound healing. Although vitamin C is essential, humans are one of the few mammalian species unable to synthesize the vitamin and must obtain it through dietary sources. Only low levels of the vitamin are required to prevent scurvy but subclinical vitamin C deficiency can cause less obvious symptoms such as cardiovascular impairment. Up to a third of the adult population in the U.S. obtains less than the recommended amount of vitamin C from dietary sources of which plant-based foods constitute the major source. Consequently, strategies to increase vitamin C content in plants have been developed over the last decade and include increasing its synthesis as well as its recycling, i.e., the reduction of the oxidized form of ascorbic acid that is produced in reactions back into its reduced form. Increasing vitamin C levels in plants, however, is not without consequences. This review provides an overview of the approaches used to increase vitamin C content in plants and the successes achieved. Also discussed are some of the potential limitations of increasing vitamin C and how these may be overcome.

  11. Increased signal intensity of prostate lesions on high b-value diffusion-weighted images as a predictive sign of malignancy

    International Nuclear Information System (INIS)

    Quentin, Michael; Schimmoeller, Lars; Antoch, Gerald; Blondin, Dirk; Arsov, Christian; Rabenalt, Robert; Albers, Peter

    2014-01-01

    The evaluation of lesions detected in prostate magnetic resonance imaging (MRI) with increased signal intensity (SI) on high b-value diffusion-weighted images as a sign of malignancy. One hundred and three consecutive patients with prostate MRI examination and MRI-guided in-bore biopsy were retrospectively included in the study. MRI-guided in-bore biopsy histologically confirmed prostate cancer in 50 patients (n = 92 lesions). The other 53 patients (n = 122 lesions) had negative bioptical results. In patients with histologically confirmed prostate cancer, 46 of the 92 lesions had visually increased SI on the high b-value images compared with the peripheral zone (SI = +27 ± 16%) or the central gland (SI = +37 ± 19%, P < 0.001 respectively). In patients with a negative biopsy, ten of the 122 lesions had visually increased SI (compared with the peripheral zone, SI = +29 ± 18%, and with the central gland, SI = +41 ± 15%, P < 0.001 respectively). Neither the apparent diffusion coefficient (ADC) values nor the Gleason Score of lesions with increased SI were significantly different from lesions without increased SI. Visually increased SI on the high b-value images of diffusion-weighted imaging using standard b-values is a sign of malignancy but can occasionally also be a feature of benign lesions. However, it does not indicate more aggressive tumours. (orig.)

  12. Attenuating initial beliefs: increasing the acceptance of anthropogenic climate change information by reflecting on values.

    Science.gov (United States)

    van Prooijen, Anne-Marie; Sparks, Paul

    2014-05-01

    Anthropogenic climate change information tends to be interpreted against the backdrop of initial environmental beliefs, which can lead to some people being resistant toward the information. In this article (N = 88), we examined whether self-affirmation via reflection on personally important values could attenuate the impact of initial beliefs on the acceptance of anthropogenic climate change evidence. Our findings showed that initial beliefs about the human impact on ecological stability influenced the acceptance of information only among nonaffirmed participants. Self-affirmed participants who were initially resistant toward the information showed stronger beliefs in the existence of climate change risks and greater acknowledgment that individual efficacy has a role to play in reducing climate change risks than did their nonaffirmed counterparts. © 2013 Society for Risk Analysis.

  13. Does adding an appended oncology module to the Global Trigger Tool increase its value?

    DEFF Research Database (Denmark)

    Mattsson, Thea Otto; Knudsen, Janne Lehmann; Brixen, Kim

    2014-01-01

    OBJECTIVE: To determine any additional value in the evaluation of safety levels by adding an appended oncology module to the Institute for Healthcare Improvement's Global Trigger Tool (GTT). DESIGN: Comparison of two independent retrospective chart reviews: one review team using the general GTT...... method and one using the general GTT method plus the appended oncology module on the same inpatient charts. SETTING: The Department of Clinical Oncology at a Danish University Hospital (1000 beds). PARTICIPANTS: All inpatients admitted to the hospital in 2010, n = 3692, biweekly sample of 10 admission...... per 1000 admission days. RESULTS: No significant (95% confidence interval) difference was found between review teams using the general GTT versus the general GTT plus the appended oncology module on the total number of identified AEs, AEs per 100 admissions, AEs per 1000 admission days...

  14. Increasing fetal ovine number per gestation alters fetal plasma clinical chemistry values.

    Science.gov (United States)

    Zywicki, Micaela; Blohowiak, Sharon E; Magness, Ronald R; Segar, Jeffrey L; Kling, Pamela J

    2016-08-01

    Intrauterine growth restriction (IUGR) is interconnected with developmental programming of lifelong pathophysiology. IUGR is seen in human multifetal pregnancies, with stepwise rises in fetal numbers interfering with placental nutrient delivery. It remains unknown whether fetal blood analyses would reflect fetal nutrition, liver, and excretory function in the last trimester of human or ovine IUGR In an ovine model, we hypothesized that fetal plasma biochemical values would reflect progressive placental, fetal liver, and fetal kidney dysfunction as the number of fetuses per gestation rose. To determine fetal plasma biochemical values in singleton, twin, triplet, and quadruplet/quintuplet ovine gestation, we investigated morphometric measures and comprehensive metabolic panels with nutritional measures, liver enzymes, and placental and fetal kidney excretory measures at gestational day (GD) 130 (90% gestation). As anticipated, placental dysfunction was supported by a stepwise fall in fetal weight, fetal plasma glucose, and triglyceride levels as fetal number per ewe rose. Fetal glucose and triglycerides were directly related to fetal weight. Plasma creatinine, reflecting fetal renal excretory function, and plasma cholesterol, reflecting placental excretory function, were inversely correlated with fetal weight. Progressive biochemical disturbances and growth restriction accompanied the rise in fetal number. Understanding the compensatory and adaptive responses of growth-restricted fetuses at the biochemical level may help explain how metabolic pathways in growth restriction can be predetermined at birth. This physiological understanding is important for clinical care and generating interventional strategies to prevent altered developmental programming in multifetal gestation. © 2016 The Authors. Physiological Reports published by Wiley Periodicals, Inc. on behalf of the American Physiological Society and The Physiological Society.

  15. Pruning high-value Douglas-fir can reduce dwarf mistletoe severity and increase longevity in central Oregon

    Science.gov (United States)

    Maffei, Helen M; Filip, Gregory M; Gruelke, Nancy E; Oblinger, Brent W; Margolis, Ellis; Chadwick, Kristen L

    2016-01-01

    Mid- to very large-sized Douglas-fir (Pseudotsuga menzieseii var. menziesii) that were lightly- to moderately-infected by dwarf mistletoe (Arceuthobium douglasii) were analyzed over a 14-year period to evaluate whether mechanical pruning could eradicate mistletoe (or at least delay the onset of severe infection) without significantly affecting tree vitality and by inference, longevity. Immediate and longterm pruning effects on mistletoe infection severity were assessed by comparing pruned trees (n = 173) to unpruned trees (n = 55) with respect to: (1) percentage of trees with no visible infections 14 years post-pruning, (2) Broom Volume Rating (BVR), and (3) rate of BVR increase 14 years postpruning. Vitality/longevity (compared with unpruned trees) was assessed using six indicators: (1) tree survival, (2) the development of severe infections, (3) the development of dead tops, (4) tree-ring width indices, (5) Normalized Difference Vegetation Index (NDVI) from high-resolution multi-spectral imagery, and (6) live-crown ratio (LCR) and increment. Twenty-four percent of the pruned trees remained free of mistletoe 14 years post-pruning. Pruning is most likely to successfully eradicate mistletoe in lightly infected trees (BVR 1 or 2) without infected neighbors. Pruning significantly decreased mean BVR in the pruned versus the unpruned trees. However, the subsequent average rate of intensification (1.3–1.5 BVR per decade) was not affected, implying that a single pruning provides ~14 years respite in the progression of infection levels. Post-pruning infection intensification was slower on dominant and co-dominants than on intermediate or suppressed trees. The success of mistletoe eradication via pruning and need for follow-up pruning should be evaluated no sooner than 14 years after pruning to allow for the development of detectable brooms. Based on six indicators, foliage from witches brooms contribute little to long-term tree vitality since removal appears to have

  16. Bell's palsy: what is the prognostic value of measurements of signal intensity increases with contrast enhancement on MRI?

    International Nuclear Information System (INIS)

    Kress, B.P.J.; Efinger, K.; Solbach, T.; Gottschalk, A.; Baehren, W.; Griesbeck, F.; Kornhuber, A.W.

    2002-01-01

    Our objective was to assess the prognostic value of measurements of the degree of contrast enhancement of the intratemporal segments of the facial nerve. We prospectively obtained MRI, slice thickness <1 mm of 20 patients with a facial palsy on the first day of inpatient treatment, and measured contrast enhancement of the nerve. The data were compared with compound muscle action potential (CMAP) measurements and the clinical course. Analysis of the initial enabled differentiation of three patients whose palsy was to show no improvement from 17 whose palsy was to resolve as expected. No patient with a poor outcome showed lesser increase in signal in the internal auditory canal, pars tympanica and pars mastoidea than patients who fully recovered. In no patient who had been diagnosed on the basis of the initial MRI as having a ''normal'' palsy was the amplitude of the (CMAP) reduced to less than 20% that of the normal side. Measurement of contrast enhancement was thus shown to be a prognostic indicator and may provide a basis for a differential treatment of facial palsy. (orig.)

  17. Persistent high TRAb values during pregnancy predict increased risk of neonatal hyperthyroidism following radioiodine therapy for refractory hyperthyroidism.

    Science.gov (United States)

    Hamada, Noboru; Momotani, Naoko; Ishikawa, Naofumi; Yoshimura Noh, Jaeduk; Okamoto, Yasuyuki; Konishi, Toshiaki; Ito, Koichi; Ito, Kunihiko

    2011-01-01

    Serum levels of TSH receptor antibody (TRAb) often increase after radioiodine treatment for Graves' disease, and high-serum levels of maternal TRAb in late pregnancy indicate a risk of neonatal hyperthyroidism. The aim of this retrospective study is to investigate the characteristics of Graves' women who had a history of radioiodine treatment for intractable Graves' disease, and whose neonates suffered from hyperthyroidism. The subjects of this study were 45 patients with Graves' disease who became pregnant during the period from 1988 to 1998 after receiving radioiodine treatment at Ito Hospital. 25 of the 45 subjects had had a relapse of hyperthyroidism after surgical treatment for Graves' disease. 19 pregnancies were excluded because of artificial or spontaneous abortion. In the remaining 44 pregnancies of 35 patients, neonatal hyperthyroidism developed in 5 (11.3%) pregnancies of 4 patients. Serum levels of TRAb at delivery were higher in patients whose neonates suffered from hyperthyroidism (NH mother) than those of patients who delivered normal infants (N mother). Furthermore, serum levels of TRAb in NH mother did not change during pregnancy, although those of 4 patients of N mother, in which serum levels of TRAb before radioiodine treatment were as high as in NH mother, decreased significantly during pregnancy. In conclusion, women who delivered neonates with hyperthyroidism following radioiodine treatment seem to have very severe and intractable Graves' disease. Persistent high TRAb values during pregnancy observed in those patients may be a cause of neonatal hyperthyroidism.

  18. Persistent high TRAb values during pregnancy predict increased risk of neonatal hyperthyroidism following radioiodine therapy for refractory hyperthyroidism

    International Nuclear Information System (INIS)

    Hamada, Noboru; Konishi, Toshiaki; Momotani, Naoko; Ishikawa, Naofumi; Yoshimura Noh, Jaeduk; Ito, Koichi; Ito, Kunihiko; Okamoto, Yasuyuki

    2011-01-01

    Serum levels of thyroid stimulating hormone (TSH) receptor antibody (TRAb) often increase after radioiodine treatment for Graves' disease, and high-serum levels of maternal TRAb in late pregnancy indicate a risk of neonatal hyperthyroidism. The aim of this retrospective study is to investigate the characteristics of Graves' women who had a history of radioiodine treatment for intractable Graves' disease, and whose neonates suffered from hyperthyroidism. The subjects of this study were 45 patients with Graves' disease who became pregnant during the period from 1988 to 1998 after receiving radioiodine treatment at Ito Hospital. 25 of the 45 subjects had a relapse of hyperthyroidism after surgical treatment for Graves' disease. 19 pregnancies were excluded because of artificial or spontaneous abortion. In the remaining 44 pregnancies of 35 patients, neonatal hyperthyroidism developed in 5 (11.3%) pregnancies of 4 patients. Serum levels of TRAb at delivery were higher in patients whose neonates suffered from hyperthyroidism (NH mother) than those of patients who delivered normal infants (N mother). Furthermore, serum levels of TRAb in NH mother did not change during pregnancy, although those of 4 patients of N mother, in which serum levels of TRAb before radioiodine treatment were as high as in NH mother, decreased significantly during pregnancy. In conclusion, women who delivered neonates with hyperthyroidism following radioiodine treatment seem to have very severe and intractable Graves' disease. Persistent high TRAb values during pregnancy observed in those patients may be a cause of neonatal hyperthyroidism. (author)

  19. Introduction of Renal Key Performance Indicators Associated with Increased Uptake of Peritoneal Dialysis in a Publicly Funded Health Service.

    Science.gov (United States)

    Toussaint, Nigel D; McMahon, Lawrence P; Dowling, Gregory; Holt, Stephen G; Smith, Gillian; Safe, Maria; Knight, Richard; Fair, Kathleen; Linehan, Leanne; Walker, Rowan G; Power, David A

    2017-01-01

    ♦ BACKGROUND: Increased demand for treatment of end-stage kidney disease has largely been accommodated by a costly increase in satellite hemodialysis (SHD) in most jurisdictions. In the Australian State of Victoria, a marked regional variation in the uptake of home-based dialysis suggests that use of home therapies could be increased as an alternative to SHD. An earlier strategy based solely on increased remuneration had failed to increase uptake of home therapies. Therefore, the public dialysis funder adopted the incidence and prevalence of home-based dialysis therapies as a key performance indicator (KPI) for its health services to encourage greater uptake of home therapies. ♦ METHODS: A KPI data collection and bench-marking program was established in 2012 by the Victorian Department of Health and Human Services, with data provided monthly by all renal units in Victoria using a purpose-designed website portal. A KPI Working Group was responsible for analyzing data each quarter and ensuring indicators remained accurate and relevant and each KPI had clear definitions and targets. We present a prospective, observational study of all dialysis patients in Victoria over a 4-year period following the introduction of the renal KPI program, with descriptive analyses to evaluate the proportion of patients using home therapies as well as home dialysis modality survival. ♦ RESULTS: Following the introduction of the KPI program, the net growth of dialysis patient numbers in Victoria remained stable over 4 years, at 75 - 80 per year (approximately 4%). However, unlike the previous decade, about 40% of this growth was through an increase in home dialysis, which was almost exclusively peritoneal dialysis (PD). The increase was identified particularly in the young (20 - 49) and the elderly (> 80). Disappointingly, however, 67% of these incident patients ceased PD within 2 years of commencement, 46% of whom transferred to SHD. ♦ CONCLUSIONS: Introduction of a KPI program

  20. Can broader diffusion of value-based insurance design increase benefits from US health care without increasing costs? Evidence from a computer simulation model.

    Directory of Open Access Journals (Sweden)

    R Scott Braithwaite

    2010-02-01

    Full Text Available BACKGROUND: Evidence suggests that cost sharing (i.e.,copayments and deductibles decreases health expenditures but also reduces essential care. Value-based insurance design (VBID has been proposed to encourage essential care while controlling health expenditures. Our objective was to estimate the impact of broader diffusion of VBID on US health care benefits and costs. METHODS AND FINDINGS: We used a published computer simulation of costs and life expectancy gains from US health care to estimate the impact of broader diffusion of VBID. Two scenarios were analyzed: (1 applying VBID solely to pharmacy benefits and (2 applying VBID to both pharmacy benefits and other health care services (e.g., devices. We assumed that cost sharing would be eliminated for high-value services ($300,000 per life-year. All costs are provided in 2003 US dollars. Our simulation estimated that approximately 60% of health expenditures in the US are spent on low-value services, 20% are spent on intermediate-value services, and 20% are spent on high-value services. Correspondingly, the vast majority (80% of health expenditures would have cost sharing that is impacted by VBID. With prevailing patterns of cost sharing, health care conferred 4.70 life-years at a per-capita annual expenditure of US$5,688. Broader diffusion of VBID to pharmaceuticals increased the benefit conferred by health care by 0.03 to 0.05 additional life-years, without increasing costs and without increasing out-of-pocket payments. Broader diffusion of VBID to other health care services could increase the benefit conferred by health care by 0.24 to 0.44 additional life-years, also without increasing costs and without increasing overall out-of-pocket payments. Among those without health insurance, using cost saving from VBID to subsidize insurance coverage would increase the benefit conferred by health care by 1.21 life-years, a 31% increase. CONCLUSION: Broader diffusion of VBID may amplify benefits from

  1. Increased tumour ADC value during chemotherapy predicts improved survival in unresectable pancreatic cancer

    Energy Technology Data Exchange (ETDEWEB)

    Nishiofuku, Hideyuki; Tanaka, Toshihiro; Kichikawa, Kimihiko [Nara Medical University, Department of Radiology and IVR Center, Kashihara-city, Nara (Japan); Marugami, Nagaaki [Nara Medical University, Department of Endoscopy and Ultrasound, Kashihara-city, Nara (Japan); Sho, Masayuki; Akahori, Takahiro; Nakajima, Yoshiyuki [Nara Medical University, Department of Surgery, Kashihara-city, Nara (Japan)

    2016-06-15

    To investigate whether changes to the apparent diffusion coefficient (ADC) of primary tumour in the early period after starting chemotherapy can predict progression-free survival (PFS) or overall survival (OS) in patients with unresectable pancreatic adenocarcinoma. Subjects comprised 43 patients with histologically confirmed unresectable pancreatic cancer treated with first-line chemotherapy. Minimum ADC values in primary tumour were measured using the selected area ADC (sADC), which excluded cystic and necrotic areas and vessels, and the whole tumour ADC (wADC), which included whole tumour components. Relative changes in ADC were calculated from baseline to 4 weeks after initiation of chemotherapy. Relationships between ADC and both PFS and OS were modelled by Cox proportional hazards regression. Median PFS and OS were 6.1 and 11.0 months, respectively. In multivariate analysis, sADC change was the strongest predictor of PFS (hazard ratio (HR), 4.5; 95 % confidence interval (CI), 1.7-11.9; p = 0.002). Multivariate Cox regression analysis for OS revealed sADC change and CRP as independent predictive markers, with sADC change as the strongest predictive biomarker (HR, 6.7; 95 % CI, 2.7-16.6; p = 0.001). Relative changes in sADC could provide a useful imaging biomarker to predict PFS and OS with chemotherapy for unresectable pancreatic adenocarcinoma. (orig.)

  2. Sweet Potato Value Chain Analysis Reveals Opportunities for Increased Income and Food Security in Northern Ghana

    Directory of Open Access Journals (Sweden)

    Issah Sugri

    2017-01-01

    Full Text Available Sweet potato has gained prominence due to its ability to adapt to wide production ecologies and yield response to minimal external inputs. Orange-fleshed cultivars in particular have immense potential to improve household income and nutrition in sub-Saharan Africa. However, the sweet potato value chain (SPVC is not well-developed in many producing countries. The study was conducted in two regions to characterize the production operations as well as identify opportunities to propel the SPVC in Northern Ghana. Data were collected using mixed methods including structured questionnaires via face-to-face interviews. Analysis of strengths, weaknesses, opportunities, and threats (SWOT was conducted at multistakeholder platforms with different actors. Gross margin profit and benefit-cost ratios were determined by using six cost variables. Overall, the industry was largely a fresh produce market, targeting food vendors, processors, and direct selling to wholesalers, retailers, and household consumers. The SWOT analysis revealed wide-ranging opportunities including favourable production ecologies, processing options, and insatiable local and international markets. The institutional actors need to network the primary actors to synergistically operate with a collective profit motive. The most prioritized production constraints such as access to seed, cost of chemical fertilizer, short shelf-life, field pests and diseases, and declining soil fertility should be addressed.

  3. Utility-value intervention with parents increases students' STEM preparation and career pursuit.

    Science.gov (United States)

    Rozek, Christopher S; Svoboda, Ryan C; Harackiewicz, Judith M; Hulleman, Chris S; Hyde, Janet S

    2017-01-31

    During high school, developing competence in science, technology, engineering, and mathematics (STEM) is critically important as preparation to pursue STEM careers, yet students in the United States lag behind other countries, ranking 35th in mathematics and 27th in science achievement internationally. Given the importance of STEM careers as drivers of modern economies, this deficiency in preparation for STEM careers threatens the United States' continued economic progress. In the present study, we evaluated the long-term effects of a theory-based intervention designed to help parents convey the importance of mathematics and science courses to their high-school-aged children. A prior report on this intervention showed that it promoted STEM course-taking in high school; in the current follow-up study, we found that the intervention improved mathematics and science standardized test scores on a college preparatory examination (ACT) for adolescents by 12 percentile points. Greater high-school STEM preparation (STEM course-taking and ACT scores) was associated with increased STEM career pursuit (i.e., STEM career interest, the number of college STEM courses, and students' attitudes toward STEM) 5 y after the intervention. These results suggest that the intervention can affect STEM career pursuit indirectly by increasing high-school STEM preparation. This finding underscores the importance of targeting high-school STEM preparation to increase STEM career pursuit. Overall, these findings demonstrate that a motivational intervention with parents can have important effects on STEM preparation in high school, as well as downstream effects on STEM career pursuit 5 y later.

  4. A Systematic Review on Prognostic Indicators of Acute Liver Failure and Their Predictive Value for Poor Outcome

    NARCIS (Netherlands)

    Wlodzimirow, Kama A.; Eslami, Saeid; Abu-Hanna, Ameen; Nieuwoudt, Martin; Chamuleau, Robert A. F. M.

    2014-01-01

    This review provides a large amount of information, including the extensive list of worldwide used indicators to predict outcome in patients with acute liver failure. There is large heterogeneity in prognostic indicators of acute liver failure, methods of measurement, complexity of calculation and

  5. A brief history of space and time: the scope-year index as a patent value indicator based on families and renewals

    OpenAIRE

    Bruno Van Pottelsberghe; Nicolas van Zeebroeck

    2007-01-01

    The renewal of patents and their geographical scope for protection constitute two essential dimensions in a patent’s life, and probably the most frequently used patent value indicators. The intertwining of these dimensions (the geographical scope of protection may vary over time) makes their analysis complex, as any measure along one dimension requires an arbitrary choice on the second. This paper proposes a new indicator of patent value, the Scope-Year index, combining the two dimensions. Th...

  6. Incremental Value of Increasing Number of Arterial Grafts: The Effect of Diabetes Mellitus.

    Science.gov (United States)

    Schwann, Thomas A; El Hage Sleiman, Abdul Karim M; Yammine, Maroun B; Tranbaugh, Robert F; Engoren, Milo; Bonnell, Mark R; Habib, Robert H

    2018-06-01

    Multiarterial coronary grafting with two arterial grafts leads to improved survival compared with conventional single artery based on left internal thoracic artery to left anterior descending artery and saphenous vein grafts. We investigated whether extending arterial grafting to three or more arterial grafts further improves survival, and whether such a benefit is modified by diabetes mellitus. We analyzed 15-year coronary artery bypass graft surgery mortality data in 11,931 patients (age 64.3 ± 10.5 years; 3,484 women [29.2%]; 4,377 [36.7%] with diabetes mellitus) derived from three US institutions (1994 to 2011). All underwent primary isolated left internal thoracic artery to left anterior descending artery grafting with at least two grafts: one artery (n = 6,782; 56.9%); two arteries (n = 3,678; 30.8%); or three or more arteries (n = 1,471; 12.3%). Long-term survival was estimated by Kaplan-Meier methods. Propensity score matching and comprehensive covariate adjustment (Cox regression) were used to derive long-term risk-adjusted hazard ratio (HR) with 95% confidence interval (CI) for increasing number of arterial grafts in the overall cohort and for diabetes and no-diabetes cohorts. Radial artery (94%) and right internal thoracic artery (6%) were used as additional arterial grafts. Multivariate analysis in all patients showed that diabetes was associated with decreased survival (HR 1.43, 95% CI: 1.34 to 53), whereas increasing number of arterial grafts was associated with decreased mortality (one artery HR 1.0 [reference]; two arteries HR 0.87, 95% CI: 0.80 to 0.95; and three arteries HR 0.83, 95% CI: 0.72 to 0.95). Pairwise comparisons also showed an incremental benefit of additional arterial grafts: two arteries versus one artery, HR 0.89 (95% CI: 0.80 to 0.98); and three arteries versus one artery, HR 0.80 (95% CI: 0.68 to 0.94). A three-artery versus two-artery survival advantage trend was also noted, but was not significant in either the overall study

  7. Low diagnostic value of fasting and post-methionine load homocysteine tests. A study in Dutch subjects with homocysteine test indications

    NARCIS (Netherlands)

    Fokkema, M R; Dijck-Brouwer, D A J; van Doormaal, J J; Reijngoud, D J; Muskiet, F A J

    BACKGROUND: Homocysteine is a cardiovascular disease risk factor. We investigated, both in subjects with past plasma total homocysteine (tHcy) test indications and healthy adults, the diagnostic value of a fasting (tHcy) (f-tHcy) and the added value of a post-methionine-load tHcy (postload-tHcy).

  8. Improvement of Internal Audit Planning Method through Application of Risk Card by the Indices of Value-Based Management System of Joint-Stock Company

    OpenAIRE

    Oleksandr Smetanko

    2014-01-01

    The Article deals with issues of improving methods of planning and carrying out internal audit in conditions of risk-oriented approach to audit according to the indices of value-based management system - VBM (Value Based Management) using the risk card (risk matrix). A risk card (risk matrix) method has been disclosed taking into account risk level of each of the key factors influencing joint-stock company value rates. Recommendations have been given and abstract of working document has been ...

  9. Predictive value of clinical risk indicators in child development: final results of a study based on psychoanalytic theory

    Directory of Open Access Journals (Sweden)

    Maria Cristina Machado Kupfer

    2010-03-01

    Full Text Available We present the final results of a study using the IRDI (Clinical Risk Indicators in Child Development. Based on a psychoanalytic approach, 31 risk signs for child development were constructed and applied to 726 children between the ages of 0 and 18 months. One sub-sample was evaluated at the age of three. The results showed a predictive capacity of IRDIs to indicate developmental problems; 15 indicators for the IRDI were also highlighted that predict psychic risk for the constitution of the subject.

  10. Large increase in nest size linked to climate change: an indicator of life history, senescence and condition.

    Science.gov (United States)

    Møller, Anders Pape; Nielsen, Jan Tøttrup

    2015-11-01

    Many animals build extravagant nests that exceed the size required for successful reproduction. Large nests may signal the parenting ability of nest builders suggesting that nests may have a signaling function. In particular, many raptors build very large nests for their body size. We studied nest size in the goshawk Accipiter gentilis, which is a top predator throughout most of the Nearctic. Both males and females build nests, and males provision their females and offspring with food. Nest volume in the goshawk is almost three-fold larger than predicted from their body size. Nest size in the goshawk is highly variable and may reach more than 600 kg for a bird that weighs ca. 1 kg. While 8.5% of nests fell down, smaller nests fell down more often than large nests. There was a hump-shaped relationship between nest volume and female age, with a decline in nest volume late in life, as expected for senescence. Clutch size increased with nest volume. Nest volume increased during 1977-2014 in an accelerating fashion, linked to increasing spring temperature during April, when goshawks build and start reproduction. These findings are consistent with nest size being a reliable signal of parental ability, with large nest size signaling superior parenting ability and senescence, and also indicating climate warming.

  11. Increasing Carbon Loss from Snow-Scoured Alpine Tundra in the Colorado Rocky Mountains: An Indicator of Climate Change?

    Science.gov (United States)

    Knowles, J. F.; Blanken, P.; Williams, M. W.; Lawrence, C. R.

    2015-12-01

    We used the eddy covariance method to continuously measure the net ecosystem exchange of carbon dioxide for seven years from a snow-scoured alpine tundra meadow on Niwot Ridge in Colorado, USA that may be underlain by sporadic permafrost. On average, the alpine tundra was a net annual source of 232 g C m-2 to the atmosphere, and the source strength of this ecosystem increased over the length of the seven year period due to both reduced carbon uptake during the growing season and increased respiration throughout the winter. To constrain the contribution of permafrost degradation to observed carbon emissions, we also measured the radiocarbon content of actively cycling, occluded, and mineral soil carbon pools across a meso-scale soil moisture and (possible) permafrost gradient within this meadow, as well as the seasonal radiocarbon content of soil respiration. These data suggest that wintertime soil respiration is limited to patches of wet meadow tundra that may be associated with permafrost. Furthermore, soil respiration from one of these locations indicates preferential turnover of a relatively slow cycling carbon pool during the winter. Given that summer air temperatures and positive degree days have been increasing on Niwot Ridge since the middle of the 20th century, this research suggests that an alpine tundra permafrost-respiration feedback to climate change, similar to that observed in arctic tundra ecosystems, may be currently underway.

  12. Depreciation Test of Fixed Assets – Necessity, Indices of Value Loss, Certainty and Frequency of Assessment Evaluation

    Directory of Open Access Journals (Sweden)

    Marinela Manea

    2010-12-01

    Full Text Available With the promulgation of IAS 36 "Depreciation of Assets" to ensure a consistent approach of reversible loss of value, removing the specific nationals practices and such the differences what appear as a result of the different treatments. In the chain of procedures for determining the depreciation of an asset/cash generating unit is required first the crossing phase of identification to an possible impaired assets, being necessary for the strict professional reasoning to each business. Applying the test impairment is not random and not to all assets of an enterprise. In general, the standard requires for companies to make the impairment tests when there are signs that an asset may be impaired (but annually for intangible assets with an indefinite useful life and commercial fund. The opportunity given by IAS 36 " Depreciation of Assets" to choose in determining of recoverable amount, between two values is not accidental. It is considered that the company can recover the value of its assets through use or market capitalization. However measurement of the two values is a complex process, very expensive for many businesses, own estimates based on Management Company with a strong subjective load, which is reflected on the certainty and reliability of obtained data.

  13. Electromagnetic Transponders Indicate Prostate Size Increase Followed by Decrease During the Course of External Beam Radiation Therapy

    International Nuclear Information System (INIS)

    King, Benjamin L.; Butler, Wayne M.; Merrick, Gregory S.; Kurko, Brian S.; Reed, Joshua L.; Murray, Brian C.; Wallner, Kent E.

    2011-01-01

    Purpose: Real-time image guidance enables more accurate radiation therapy by tracking target movement. This study used transponder positions to monitor changes in prostate volume that may be a source of dosimetric and target inaccuracy. Methods and Materials: Twenty-four men with biopsy-proven T1c-T3a prostate cancer each had three electromagnetic transponders implanted transperineally. Their coordinates were recorded by the Calypso system, and the perimeter of the triangle formed by the transponders was used to calculate prostate volumes at sequential time points throughout the course of radiation therapy to a dose of 81 Gy in 1.8-Gy fractions. Results: There was a significant decrease in mean prostate volume of 10.9% from the first to the final day of radiation therapy. The volume loss did not occur monotonically but increased in most patients (75%) during the first several weeks to a median maximum on Day 7. The volume increased by a mean of 6.1% before decreasing by a mean maximum difference of 18.4% to nadir (p < 0.001 for both increase and decrease). Glandular shrinkage was asymmetric, with the apex to right base dimension varying more than twice that of the lateral dimension. For all dimensions, the mean change was <0.5 cm. Conclusion: Real-time transponder positions indicated a volume increase during the initial days of radiation therapy and then significant and asymmetric shrinkage by the final day. Understanding and tracking volume fluctuations of the prostate during radiation therapy can help real-time imaging technology perform to its fullest potential.

  14. The cutoff values of indirect indices for measuring insulin resistance for metabolic syndrome in Korean children and adolescents

    Directory of Open Access Journals (Sweden)

    Jun Woo Kim

    2016-09-01

    Full Text Available PurposeThe prevalence rates of metabolic syndrome (MetS and percentile distribution of insulin resistance (IR among Korean children and adolescents were investigated. The cutoff values of IR were calculated to identify high-risk MetS groups.MethodsData from 3,313 Korean subjects (1,756 boys and 1,557 girls, aged 10–18 years were included from the Korean National Health and Nutrition Examination Survey conducted during 2007–2010. Three different sets of criteria for MetS were used. Indirect measures of IR were homeostasis model assessment (HOMA-IR and triglyceride and glucose (TyG index. The cutoff values of the HOMA-IR and TyG index were obtained from the receiver operation characteristic curves.ResultsAccording to the MetS criteria of de Ferranti el al., Cook et al., and the International Diabetes Federation, the prevalence rates in males and females were 13.9% and 12.3%, 4.6% and 3.6%, and 1.4% and 1.8%, respectively. Uses these 3 criteria, the cutoff values of the HOMA-IR and TyG index were 2.94 and 8.41, 3.29 and 8.38, and 3.54 and 8.66, respectively. The cutoff values using each of the 3 criteria approximately corresponds to the 50th–75th, 75th, and 75th–90th percentiles of normal HOMA-IR and TyG index levels.ConclusionThis study describes the prevalence rates of MetS in Korean children and adolescents, an index of IR, and the cutoff values for MetS with the aim of detecting high-risk groups. The usefulness of these criteria needs to be verified by further evaluation.

  15. Capturing early signs of deterioration: the dutch-early-nurse-worry-indicator-score and its value in the Rapid Response System

    NARCIS (Netherlands)

    Douw, G.; Huisman-de Waal, G.J.; Zanten, A.R. van; Hoeven, J.G. van der; Schoonhoven, L.

    2017-01-01

    AIMS AND OBJECTIVES: To determine the predictive value of individual and combined dutch-early-nurse-worry-indicator-score indicators at various Early Warning Score levels, differentiating between Early Warning Scores reaching the trigger threshold to call a rapid response team and Early Warning

  16. WHAT SHOULD ESTONIA DO IN ORDER TO INCREASE THE VALUE OF ITS EXPORTS OF GOODS TO SLOVAKIA AND SLOVENIA?

    Directory of Open Access Journals (Sweden)

    Dejan Romih

    2016-03-01

    Full Text Available This paper analyses Estonia’s trade in goods with the world in general and with Slovakia and Slovenia in particular. Additionally, it also proposes some measures to increase the value of Estonia’s exports of goods to the aforementioned countries, both of which are Estonia’s minor export partners in Central and Eastern Europe. In 2013, the value of Estonia’s exports of goods to Slovakia and Slovenia amounted to €51.3 million and €7.4 million respectively. In order to increase the value of its exports of goods to these two countries, Estonia should increase the competitiveness of Estonian enterprises (especially small- and medium-sized ones in the Slovakian and Slovenian markets and adopt other measures such as increasing the sustainability of the aforementioned enterprises with a view to facilitating their entry into new markets. In recent years, sustainability has become an important factor in competitiveness, which is mainly the result of increased environmental awareness of consumers and other stakeholders, foremost in developed countries (including Slovakia and Slovenia. Sustainable innovation has therefore become an important source of competitive advantage, which is especially true for enterprises operating in competitive markets. Therefore, in order to increase the competitiveness of Estonian enterprises in the aforementioned markets, Estonia should promote sustainable innovation and take certain other measures.

  17. Optimization of temperature and time for drying and carbonization to increase calorific value of coconut shell using Taguchi method

    Science.gov (United States)

    Musabbikhah, Saptoadi, H.; Subarmono, Wibisono, M. A.

    2016-03-01

    Fossil fuel still dominates the needs of energy in Indonesia for the past few years. The increasing scarcity of oil and gas from non-renewable materials results in an energy crisis. This condition turns to be a serious problem for society which demands immediate solution. One effort which can be taken to overcome this problem is the utilization and processing of biomass as renewable energy by means of carbonization. Thus, it can be used as qualified raw material for production of briquette. In this research, coconut shell is used as carbonized waste. The research aims at improving the quality of coconut shell as the material for making briquettes as cheap and eco-friendly renewable energy. At the end, it is expected to decrease dependence on oil and gas. The research variables are drying temperature and time, carbonization time and temperature. The dependent variable is calorific value of the coconut shell. The method used in this research is Taguchi Method. The result of the research shows thus variables, have a significant contribution on the increase of coconut shell's calorific value. It is proven that the higher thus variables are higher calorific value. Before carbonization, the average calorific value of coconut shell reaches 4,667 call/g, and a significant increase is notable after the carbonization. The optimization is parameter setting of A2B3C3D3, which means that the drying temperature is 105 °C, the drying time is 24 hours, the carbonization temperature is 650 °C and carbonization time is 120 minutes. The average calorific value is approximately 7,744 cal/g. Therefore, the increase of the coconut shell's calorific value after the carbonization is 3,077 cal/g or approximately 60 %. The charcoal of carbonized coconut shell has met the requirement of SNI, thus it can be used as raw material in making briquette which can eventually be used as cheap and environmental friendly fuel.

  18. The value of different vegetative indices (NDVI, GAI for the assessment of yield potential of pea (Pisum sativum L. at different growth stages and under varying management practices

    Directory of Open Access Journals (Sweden)

    Agnieszka Klimek-Kopyra

    2018-03-01

    Full Text Available This research evaluated the NDVI (normalized difference vegetation index and GAI (green area index in order to indicate the productivity and developmental effects of Rhizobium inoculants and microelement foliar fertilizer on pea crops. Two inoculants, Nitragina (a commercial inoculant and IUNG (a noncommercial inoculant gel and a foliar fertilizer (Photrel were studied over a 4-year period, 2009–2012. The cultivars chosen for the studies were characterized by different foliage types, namely a semileafless pea ‘Tarchalska’ and one with regular foliage, ‘Klif’. Foliar fertilizer significantly increased the length of the generative shoots and the number of fruiting nodes in comparison to the control, which in turn had a negative impact on the harvest index. Pea seed yield was highly dependent on the interaction between the years of growth and the microbial inoculant, and was greater for ‘Tarchalska’ (4.33 t ha−1. Presowing inoculation of seeds and foliar fertilization resulted in a significantly higher value of GAI at the flowering (3.91 and 3.81, respectively and maturity stages (4.82 and 4.77, respectively, whereas the value of NDVI was higher for these treatments only at the maturity stage (0.67 and 0.79, respectively. A significantly greater yield (5.0–5.4 t ha−1 was obtained after inoculation with IUNG during the dry years.

  19. West Nile Virus: High Transmission Rate in North-Western European Mosquitoes Indicates Its Epidemic Potential and Warrants Increased Surveillance.

    Directory of Open Access Journals (Sweden)

    Jelke J Fros

    Full Text Available West Nile virus (WNV is a highly pathogenic flavivirus transmitted by Culex spp. mosquitoes. In North America (NA, lineage 1 WNV caused the largest outbreak of neuroinvasive disease to date, while a novel pathogenic lineage 2 strain circulates in southern Europe. To estimate WNV lineage 2 epidemic potential it is paramount to know if mosquitoes from currently WNV-free areas can support further spread of this epidemic.We assessed WNV vector competence of Culex pipiens mosquitoes originating from north-western Europe (NWE in direct comparison with those from NA. We exposed mosquitoes to infectious blood meals of lineage 1 or 2 WNV and determined the infection and transmission rates. We explored reasons for vector competence differences by comparing intrathoracic injection versus blood meal infection, and we investigated the influence of temperature. We found that NWE mosquitoes are highly competent for both WNV lineages, with transmission rates up to 25%. Compared to NA mosquitoes, transmission rates for lineage 2 WNV were significantly elevated in NWE mosquitoes due to better virus dissemination from the midgut and a shorter extrinsic incubation time. WNV infection rates further increased with temperature increase.Our study provides experimental evidence to indicate markedly different risk levels between both continents for lineage 2 WNV transmission and suggests a degree of genotype-genotype specificity in the interaction between virus and vector. Our experiments with varying temperatures explain the current localized WNV activity in southern Europe, yet imply further epidemic spread throughout NWE during periods with favourable climatic conditions. This emphasizes the need for intensified surveillance of virus activity in current WNV disease-free regions and warrants increased awareness in clinics throughout Europe.

  20. Value Added Productivity Indicators: A Statistical Comparison of the Pre-Test/Post-Test Model and Gain Model.

    Science.gov (United States)

    Weerasinghe, Dash; Orsak, Timothy; Mendro, Robert

    In an age of student accountability, public school systems must find procedures for identifying effective schools, classrooms, and teachers that help students continue to learn academically. As a result, researchers have been modeling schools and classrooms to calculate productivity indicators that will withstand not only statistical review but…

  1. Right ventricular ejection fraction: an indicator of increased mortality in patients with congestive heart failure associated with coronary artery disease

    International Nuclear Information System (INIS)

    Polak, J.F.; Holman, B.L.; Wynne, J.; Colucci, W.S.

    1983-01-01

    The predictive value of radionuclide ventriculography was studied in 34 patients with depressed left ventricular ejection fraction (less than 40%) and clinically evident congestive heart failure secondary to atherosclerotic coronary artery disease. In addition to left ventricular ejection fraction, right ventricular ejection fraction and extent of left ventricular paradox were obtained in an attempt to identify a subgroup at increased risk of mortality during the ensuing months. The 16 patients who were alive after a 2 year follow-up period had a higher right ventricular ejection fraction and less extensive left ventricular dyskinesia. When a right ventricular ejection fraction of less than 35% was used as a discriminant, mortality was significantly greater among the 21 patients with a depressed right ventricular ejection fraction (71 versus 23%), a finding confirmed by a life table analysis. It appears that the multiple factors contributing to the reduction in right ventricular ejection fraction make it a useful index not only for assessing biventricular function, but also for predicting patient outcome

  2. The Latino Physician Shortage: How the Affordable Care Act Increases the Value of Latino Spanish-Speaking Physicians and What Efforts Can Increase Their Supply.

    Science.gov (United States)

    Daar, David A; Alvarez-Estrada, Miguel; Alpert, Abigail E

    2018-02-01

    The United States Latino population is growing at a rapid pace and is set to reach nearly 30% by 2050. The demand for culturally and linguistically competent health care is increasing in lockstep with this growth; however, the supply of doctors with skills and experience suited for this care is lagging. In particular, there is a major shortage of Latino Spanish-speaking physicians, and the gap between demand and supply is widening. The implementation of the Affordable Care Act (ACA) has increased the capacity of the US healthcare system to care for the growing Latino Spanish-speaking population, through health insurance exchanges, increased funding for safety net institutions, and efforts to improve efficiency and coordination of care, particularly with Accountable Care Organizations and the Hospital Readmissions Reduction Program. With these policies in mind, the authors discuss how the value of Latino Spanish-speaking physicians to the healthcare system has increased under the environment of the ACA. In addition, the authors highlight key efforts to increase the supply of this physician population, including the implementation of the Deferred Action for Childhood Arrivals Act, premedical pipeline programs, and academic medicine and medical school education initiatives to increase Latino representation among physicians.

  3. Value of X-ray cinematography of deglutition to establish the indication for myotomy of the pharyngo-esophageal sphincter

    Energy Technology Data Exchange (ETDEWEB)

    Augustiny, N.; Schmid, H.; Bruehlmann, W.F.

    1987-05-01

    Fourteen patients were examined one to four years after cricopharyngeal myotomy that had been carried out because of dysfunction of the pharyngo-esophageal sphincter. Twelve patients were examined radiologically. Eleven of the 14 patients were clinically improved or cured. In two patients who were not improved, the underlying condition was a polymyositis. The other patients suffered from an idiopathic dysfunction. Because of the small numbers involved, no detailed statistical analysis was carried out. Nevertheless, our results indicate that: Cricopharyngeus myotomy produces marked improvement or cure in patients with idiopathic dysfunction. Weak propulsive peristalsis of the pharyngeal constrictors is a prognostic factor indicating a poor clinical result of surgery. There is little chance of clinical improvement in patients with polymyositis.

  4. Reference values in indicators of patient dose; Valores de referencia en los indicadores de dosis a paciente

    Energy Technology Data Exchange (ETDEWEB)

    Gomez Llorente, P. L.; Hernandez Rodriguez, J.; Ramos Pacho, J. A.; Verde Velasco, J. M.; Fernandez Bordes, M.; Martin Rincon, C.; Montes fuentes, C.; Garcia Repiso, S.; Sena Espinel, E. de; Martin Nunoz, J.

    2011-07-01

    The RD 1976/1999 on Quality Assurance in Diagnostic Radiology laid the foundation for developing the Radiological Protection of Patient compliance with the relevant Directive EURATOM. More than ten years of implementation, we consider an urgent review and update its content due to the legal implications involved as set forth therein, especially in the aspects that have to do with the measurement of patient dose indicators, and more specifically in exploration called complex and CAT.

  5. Drivers for the Value of Demand Response under Increased Levels of Wind and Solar Power; NREL (National Renewable Energy Laboratory)

    Energy Technology Data Exchange (ETDEWEB)

    Hale, Elaine

    2015-07-30

    Demand response may be a valuable flexible resource for low-carbon electric power grids. However, there are as many types of possible demand response as there are ways to use electricity, making demand response difficult to study at scale in realistic settings. This talk reviews our state of knowledge regarding the potential value of demand response in several example systems as a function of increasing levels of wind and solar power, sometimes drawing on the analogy between demand response and storage. Overall, we find demand response to be promising, but its potential value is very system dependent. Furthermore, demand response, like storage, can easily saturate ancillary service markets.

  6. Patterns of database citation in articles and patents indicate long-term scientific and industry value of biological data resources.

    Science.gov (United States)

    Bousfield, David; McEntyre, Johanna; Velankar, Sameer; Papadatos, George; Bateman, Alex; Cochrane, Guy; Kim, Jee-Hyub; Graef, Florian; Vartak, Vid; Alako, Blaise; Blomberg, Niklas

    2016-01-01

    Data from open access biomolecular data resources, such as the European Nucleotide Archive and the Protein Data Bank are extensively reused within life science research for comparative studies, method development and to derive new scientific insights. Indicators that estimate the extent and utility of such secondary use of research data need to reflect this complex and highly variable data usage. By linking open access scientific literature, via Europe PubMedCentral, to the metadata in biological data resources we separate data citations associated with a deposition statement from citations that capture the subsequent, long-term, reuse of data in academia and industry.  We extend this analysis to begin to investigate citations of biomolecular resources in patent documents. We find citations in more than 8,000 patents from 2014, demonstrating substantial use and an important role for data resources in defining biological concepts in granted patents to both academic and industrial innovators. Combined together our results indicate that the citation patterns in biomedical literature and patents vary, not only due to citation practice but also according to the data resource cited. The results guard against the use of simple metrics such as citation counts and show that indicators of data use must not only take into account citations within the biomedical literature but also include reuse of data in industry and other parts of society by including patents and other scientific and technical documents such as guidelines, reports and grant applications.

  7. Patterns of database citation in articles and patents indicate long-term scientific and industry value of biological data resources

    Science.gov (United States)

    Bousfield, David; McEntyre, Johanna; Velankar, Sameer; Papadatos, George; Bateman, Alex; Cochrane, Guy; Kim, Jee-Hyub; Graef, Florian; Vartak, Vid; Alako, Blaise; Blomberg, Niklas

    2016-01-01

    Data from open access biomolecular data resources, such as the European Nucleotide Archive and the Protein Data Bank are extensively reused within life science research for comparative studies, method development and to derive new scientific insights. Indicators that estimate the extent and utility of such secondary use of research data need to reflect this complex and highly variable data usage. By linking open access scientific literature, via Europe PubMedCentral, to the metadata in biological data resources we separate data citations associated with a deposition statement from citations that capture the subsequent, long-term, reuse of data in academia and industry.  We extend this analysis to begin to investigate citations of biomolecular resources in patent documents. We find citations in more than 8,000 patents from 2014, demonstrating substantial use and an important role for data resources in defining biological concepts in granted patents to both academic and industrial innovators. Combined together our results indicate that the citation patterns in biomedical literature and patents vary, not only due to citation practice but also according to the data resource cited. The results guard against the use of simple metrics such as citation counts and show that indicators of data use must not only take into account citations within the biomedical literature but also include reuse of data in industry and other parts of society by including patents and other scientific and technical documents such as guidelines, reports and grant applications. PMID:27092246

  8. Agrochemicals indirectly increase survival of E. coli O157:H7 and indicator bacteria by reducing ecosystem services.

    Science.gov (United States)

    Staley, Zachery R; Rohr, Jason R; Senkbeil, Jacob K; Harwood, Valerie J

    Storm water and agricultural runoff frequently contain agrochemicals, fecal indicator bacteria (FIB), and zoonotic pathogens. Entry of such contaminants into aquatic ecosystems may affect ecology and human health. This study tested the hypothesis that the herbicide atrazine and the fungicide chlorothalonil indirectly affect the survival of FIB (Escherichia coli and Enterococcus faecalis) and a pathogen (E. coli O157:H7) by altering densities of protozoan predators or by altering competition from autochthonous bacteria. Streptomycin-resistant E. coli, En. faecalis, and E. coli O157:H7 were added to microcosms composed of Florida river water containing natural protozoan and bacterial populations. FIB, pathogen, and protozoan densities were monitored over six days. Known metabolic inhibitors, cycloheximide and streptomycin, were used to inhibit autochthonous protozoa or bacteria, respectively. The inhibitors made it possible to isolate the effects of predation or competition on survival of allochthonous bacteria, and each treatment increased the survival of FIB and pathogens. Chlorothalonil's effect was similar to that of cycloheximide, significantly reducing protozoan densities and elevating densities of FIB and pathogens relative to the control. Atrazine treatment did not affect protozoan densities, but, through an effect on competition, resulted in significantly greater densities of En. faecalis and E. coli O157:H7. Hence, by reducing predaceous protozoa and bacterial competitors that facilitate purifying water bodies of FIBs and human pathogens, chlorothalonil and atrazine indirectly diminished an ecosystem service of fresh water.

  9. The value of muscular and skeletal scores in the live animal and carcass classification scores as indicators of carcass composition in cattle.

    Science.gov (United States)

    Drennan, M J; McGee, M; Keane, M G

    2008-05-01

    4.0 and 2.9 g/kg and decreased bone proportion by 4.9 and 5.2 g/kg in bulls and heifers, respectively. Corresponding values per unit increase in carcass fat score were -11.9 and -9.7 g/kg, 12.4 and 9.9 g/kg, and -0.5 and -0.2 g/kg. Carcass conformation and fat scores explained 0.70 and 0.55 of the total variation in meat yield for bulls and heifers, respectively. It is concluded that live animal muscular scores, and carcass conformation and fat scores, are useful indicators of carcass meat proportion and value.

  10. Evaluating the value proposition for improving vaccine thermostability to increase vaccine impact in low and middle-income countries.

    Science.gov (United States)

    Karp, Christopher L; Lans, Deborah; Esparza, José; Edson, Eleanore B; Owen, Katey E; Wilson, Christopher B; Heaton, Penny M; Levine, Orin S; Rao, Raja

    2015-07-09

    The need to keep vaccines cold in the face of high ambient temperatures and unreliable access to electricity is a challenge that limits vaccine coverage in low and middle-income countries (LMICs). Greater vaccine thermostability is generally touted as the obvious solution. Despite conventional wisdom, comprehensive analysis of the value proposition for increasing vaccine thermostability has been lacking. Further, while significant investments have been made in increasing vaccine thermostability in recent years, no vaccine products have been commercialized as a result. We analyzed the value proposition for increasing vaccine thermostability, grounding the analysis in specific vaccine use cases (e.g., use in routine immunization [RI] programs, or in campaigns) and in the broader context of cold chain technology and country level supply chain system design. The results were often surprising. For example, cold chain costs actually represent a relatively small fraction of total vaccine delivery system costs. Further, there are critical, vaccine use case-specific temporal thresholds that need to be overcome for significant benefits to be reaped from increasing vaccine thermostability. We present a number of recommendations deriving from this analysis that suggest a rational path toward unlocking the value (maximizing coverage, minimizing total system costs) of increased vaccine thermostability, including: (1) the full range of thermostability of existing vaccines should be defined and included in their labels; (2) for new vaccines, thermostability goals should be addressed up-front at the level of the target product profile; (3) improving cold chain infrastructure and supply chain system design is likely to have the largest impact on total system costs and coverage in the short term-and will influence the degree of thermostability required in the future; (4) in the long term, there remains value in monitoring the emergence of disruptive technologies that could remove the

  11. Coseismic Strain Steps of the 2008 Wenchuan Earthquake Indicate EW Extension of Tibetan Plateau and Increased Hazard South to Epicenter

    Science.gov (United States)

    Fu, G.; Shen, X.; Tang, J.; Fukuda, Y.

    2008-12-01

    The 2008 Wenchuan earthquake (Ms8.0) occurred at the east edge of Tibetan Plateau. It is the biggest seismic disaster in China since the 1976 Tangshan earthquake. To determine the effects of the earthquake on the deformation field of Tibetan Plateau, we collect and analyze continuing strain data of three stations before and after the earthquake in Tibetan Plateau observed by capacitance-type bore-hole strainmeters (Chi, 1985). We collect strain data in NS, EW, NE-SW and NW-NS directions at each borehole. Then we deduce the co-seismic strain steps at time point 14:28 of May 12, 2008 (at this time point the earthquake occurred) with the data before and after the earthquake using the least squares method. Our observation shows that in Tibetan Plateau significant co-seismic strain steps are accompanied with the 2008 Wenchuan earthquake. Extension in EW direction is observed at interior and north Tibetan Plateau which indicates a rapid EW extension of the whole Plateau. Field investigation shows that the 2008 Wenchuan earthquake is a manifestation of eastward growth of the Tibetan Plateau (Dong et al., 2008). Eastwards growth of the Tibetan Plateau results naturally in the extension of the Plateau in EW direction. Our co-seismic strain observation agrees well with the conclusion from surface rupture investigation. The magnitude of co-seismic strain step equals to five times of average year extensional strain rate throughout the plateau interior. Shortening in SE- NW direction is observed at the east edge of the Plateau. As hints that the eastward extension of Tibetan Plateau is resisted by Sichuan rigid basin which increases the potential earthquake hazard around the observation station, manifests the declaration from co-seismic stress changes calculation (Persons et al., 2008). Our observed co-seismic strain steps are in total lager than theoretical calculations of dislocation theories which indicate that magnitude of the great earthquake should be bigger than 7.9. Due

  12. Survey indicated that core outcome set development is increasingly including patients, being conducted internationally and using Delphi surveys.

    Science.gov (United States)

    Biggane, Alice M; Brading, Lucy; Ravaud, Philippe; Young, Bridget; Williamson, Paula R

    2018-02-17

    There are numerous challenges in including patients in a core outcome set (COS) study, these can vary depending on the patient group. This study describes current efforts to include patients in the development of COS, with the aim of identifying areas for further improvement and study. Using the COMET database, corresponding authors of COS projects registered or published from 1 January 2013 to 2 February 2017 were invited via a personalised email to participate in a short online survey. The survey and emails were constructed to maximise the response rate by following the academic literature on enhancing survey responses. Personalised reminder emails were sent to non-responders. This survey explored the frequency of patient input in COS studies, who was involved, what methods were used and whether or not the COS development was international. One hundred and ninety-two COS developers were sent the survey. Responses were collected from 21 February 2017 until 7 May 2017. One hundred and forty-six unique developers responded, yielding a 76% response rate and data in relation to 195 unique COSs (as some developers had worked on multiple COSs). Of focus here are their responses regarding 162 COSs at the published, completed or ongoing stages of development. Inclusion of patient participants was indicated in 87% (141/162) of COSs in the published completed or ongoing stages and over 94% (65/69) of ongoing COS projects. Nearly half (65/135) of COSs included patient participants from two or more countries and 22% (30/135) included patient participants from five or more countries. The Delphi survey was reported as being used singularly or in combination with other methods in 85% (119/140) of projects. Almost a quarter (16/65) of ongoing studies reported using a combination of qualitative interviews, Delphi survey and consensus meeting. These findings indicated that the Delphi survey is the most popular method of facilitating patient participation, while the combination of

  13. Policies to increase the social value of science and the scientist satisfaction. An exploratory survey among Harvard bioscientists.

    Science.gov (United States)

    Ballabeni, Andrea; Boggio, Andrea; Hemenway, David

    2014-01-01

    Basic research in the biomedical field generates both knowledge that has a value per se regardless of its possible practical outcome and knowledge that has the potential to produce more practical benefits. Policies can increase the benefit potential to society of basic biomedical research by offering various kinds of incentives to basic researchers. In this paper we argue that soft incentives or "nudges" are particularly promising. However, to be well designed, these incentives must take into account the motivations, goals and views of the basic scientists. In the paper we present the results of an investigation that involved more than 300 scientists at Harvard Medical School and affiliated institutes. The results of this study suggest that some soft incentives could be valuable tools to increase the transformative value of fundamental investigations without affecting the spirit of the basic research and scientists' work satisfaction. After discussing the findings, we discuss a few examples of nudges for basic researchers in the biomedical fields.

  14. Sugar cane consumption on Rapanui (Easter Island) and the indicence of caries : evidence from stable isotope values of human bone

    International Nuclear Information System (INIS)

    Leach, B.F.; Quinn, C.J.; Seelenfreund, A.

    2017-01-01

    Pre-European people on Rapanui are known to have had a high rate of dental caries. One proposed explanation for this is that the people consumed a considerable amount of sugar cane, as a thirst quencher, since fresh water is scarce on the island. Human bone samples were analysed by isotope analysis to see if this explanation could be sustained. Results for three isotopes δ"1"3C, δ"1"5N and δ"3"4S were then used in a stochastic model to estimate the proportions of five main food types in the diet of these people. This indicated that daily consumption of dry raw sugar cane was only about 32 to 42 g per day. This is very low and sugar cane consumption is therefore unlikely to be the only cause of the high rate of dental caries. (author).

  15. Relevance of tumor angiogenesis patterns as a diagnostic value and prognostic indicator in oral precancer and cancer.

    Science.gov (United States)

    Shetty, Devi Charan; Ahuja, Puneet; Taneja, D K; Rathore, Ajit Singh; Chhina, Shivjot; Ahuja, Upasana Sethi; Kumar, Kiran; Ahuja, Anshuman; Rastogi, Priyanka

    2011-01-27

    Tumor angiogenesis occurs by recruitment of endothelial cell precursors or by sprouting of existing capillaries, which differ from the normal vasculature by having an altered morphology that can be exploited for diagnosis and as a prognostic indicator. Improved technologies have propelled diagnosis into a new era. These technologies have to be used with great precision. The diagnosis of a dysplastic premalignant lesion of the oral mucosa cannot be based solely on clinical findings. Therefore histologic evaluation of a representative biopsy specimen is necessary. Accurate judgment of the proper site for biopsy is essential for reaching a correct diagnosis. The aim of this report is to analyze the vascular patterns with the help of direct oral microscopy and the technique of stereo-optical microscopy in the oral cavity to select biopsy sites, and compare the outcome of a directed biopsy with that of biopsy specimens obtained from sites selected solely on the basis of clinical criteria. The study sample comprised 50 oral mucosal lesions. A statistically significant difference was noted between samples judged to be microscopically representative sites. We conclude that this method would aid in early and better diagnosis and treatment planning of oral premalignant and malignant lesions by assessing the various vascular patterns in the mucosa.

  16. Increased light-use efficiency in northern terrestrial ecosystems indicated by CO 2 and greening observations: INCREASE IN NH LIGHT USE EFFICIENCY

    Energy Technology Data Exchange (ETDEWEB)

    Thomas, Rebecca T. [Science and Solutions for a Changing Planet DTP, Imperial College London, London UK; AXA Chair Programme in Biosphere and Climate Impacts, Department of Life Sciences, Imperial College London, London UK; Department of Physics, Imperial College London, London UK; Prentice, Iain Colin [AXA Chair Programme in Biosphere and Climate Impacts, Department of Life Sciences, Imperial College London, London UK; Grantham Institute: Climate Change and the Environment, Imperial College London, London UK; Graven, Heather [Department of Physics, Imperial College London, London UK; Grantham Institute: Climate Change and the Environment, Imperial College London, London UK; Ciais, Philippe [Laboratoire des Sciences du Climat et de l' Environnement, Saint-Aubin France; Fisher, Joshua B. [Jet Propulsion Laboratory, California Institute of Technology, Pasadena California USA; Hayes, Daniel J. [School of Forest Resources, University of Maine, Orono Maine USA; Huang, Maoyi [Atmospheric Sciences and Global Change Division, Pacific Northwest National Laboratory, Richland Washington USA; Huntzinger, Deborah N. [School of Earth Sciences and Environmental Sustainability, Northern Arizona University, Flagstaff Arizona USA; Ito, Akihiko [Center for Global Environmental Research, National Institute for Environmental Studies, Tsukuba Japan; Jain, Atul [Department of Atmospheric Sciences, University of Illinois at Urbana-Champaign, Urbana Illinois USA; Mao, Jiafu [Climate Change Science Institute and Environmental Sciences Division, Oak Ridge National Laboratory, Oak Ridge Tennessee USA; Michalak, Anna M. [Department of Global Ecology, Carnegie Institution for Science, Stanford California USA; Peng, Shushi [Sino-French Institute for Earth System Science, College of Urban and Environmental Sciences, Peking University, Beijing China; Poulter, Benjamin [Department of Ecology, Montana State University, Bozeman Montana USA; Ricciuto, Daniel M. [Climate Change Science Institute and Environmental Sciences Division, Oak Ridge National Laboratory, Oak Ridge Tennessee USA; Shi, Xiaoying [Climate Change Science Institute and Environmental Sciences Division, Oak Ridge National Laboratory, Oak Ridge Tennessee USA; Schwalm, Christopher [Woods Hole Research Center, Falmouth Massachusetts USA; Tian, Hanqin [International Center for Climate and Global Change Research, School of Forestry and Wildlife Sciences, Auburn University, Auburn Alabama USA; Zeng, Ning [Department of Atmospheric and Oceanic Science and Earth System Science Interdisciplinary Center, University of Maryland, College Park Maryland USA

    2016-11-04

    Observations show an increasing amplitude in the seasonal cycle of CO2 (ASC) north of 45°N of 56 ± 9.8% over the last 50 years and an increase in vegetation greenness of 7.5–15% in high northern latitudes since the 1980s. However, the causes of these changes remain uncertain. Historical simulations from terrestrial biosphere models in the Multiscale Synthesis and Terrestrial Model Intercomparison Project are compared to the ASC and greenness observations, using the TM3 atmospheric transport model to translate surface fluxes into CO2 concentrations. We find that the modeled change in ASC is too small but the mean greening trend is generally captured. Modeled increases in greenness are primarily driven by warming, whereas ASC changes are primarily driven by increasing CO2. We suggest that increases in ecosystem-scale light use efficiency (LUE) have contributed to the observed ASC increase but are underestimated by current models. We highlight potential mechanisms that could increase modeled LUE.

  17. Relevance of tumor angiogenesis patterns as a diagnostic value and prognostic indicator in oral precancer and cancer

    Directory of Open Access Journals (Sweden)

    Shetty Devicharan D

    2011-01-01

    Full Text Available Devi Charan Shetty,1 Puneet Ahuja,2 DK Taneja,5 Ajit Singh Rathore,2 Shivjot Chhina,3 Upasana Sethi Ahuja,4 Kiran Kumar,1 Anshuman Ahuja,5 Priyanka Rastogi,11Department of Oral & Maxillofacial Pathology, I.T.S-CDSR, Muradnagar, Ghaziabad, Uttar Pradesh, India; 2Department of Oral & Maxillofacial Pathology; 3Department of Periodontics; 4Department of Oral Medicine & Radiology; 5Department of Oral & Maxillofacial Surgery, I.T.S Dental College, Greater Noida, Uttar Pradesh, IndiaAbstract: Tumor angiogenesis occurs by recruitment of endothelial cell precursors or by sprouting of existing capillaries, which differ from the normal vasculature by having an altered morphology that can be exploited for diagnosis and as a prognostic indicator. Improved technologies have propelled diagnosis into a new era. These technologies have to be used with great precision. The diagnosis of a dysplastic premalignant lesion of the oral mucosa cannot be based solely on clinical findings. Therefore histologic evaluation of a representative biopsy specimen is necessary. Accurate judgment of the proper site for biopsy is essential for reaching a correct diagnosis. The aim of this report is to analyze the vascular patterns with the help of direct oral microscopy and the technique of stereo-optical microscopy in the oral cavity to select biopsy sites, and compare the outcome of a directed biopsy with that of biopsy specimens obtained from sites selected solely on the basis of clinical criteria. The study sample comprised 50 oral mucosal lesions. A statistically significant difference was noted between samples judged to be microscopically representative sites. We conclude that this method would aid in early and better diagnosis and treatment planning of oral premalignant and malignant lesions by assessing the various vascular patterns in the mucosa.Keywords: stereomicroscope, biopsy site selection, angiogenesis, colposcopy

  18. From Thirst to Satiety: The Anterior Mid-Cingulate Cortex and Right Posterior Insula Indicate Dynamic Changes in Incentive Value

    Directory of Open Access Journals (Sweden)

    Christoph A. Becker

    2017-05-01

    Full Text Available The cingulate cortex and insula are among the neural structures whose activations have been modulated in functional imaging studies examining discrete states of thirst and drinking to satiation. Building upon these findings, the present study aimed to identify neural structures that change their pattern of activation elicited by water held in the mouth in relation to the internal body state, i.e., proportional to continuous water consumption. Accordingly, participants in a thirsty state were scanned while receiving increments of water until satiety was reached. As expected, fluid ingestion led to a clear decrease in self-reported thirst and the pleasantness ratings of the water ingested. Furthermore, linear decreases in the blood oxygenation level dependent (BOLD response to water ingestion were observed in the anterior mid-cingulate cortex (aMCC and right posterior insula as participants shifted towards the non-thirsty state. In addition, regions in the superior temporal gyrus (STG, supplementary motor area (SMA, superior parietal lobule (SPL, precuneus and calcarine sulcus also showed a linear decrease with increasing fluid consumption. Further analyses related single trial BOLD responses of associated regions to trial-by-trial ratings of thirst and pleasantness. Overall, the aMCC and posterior insula may be key sites of a neural network representing the motivation for drinking based on the dynamic integration of internal state and external stimuli.

  19. The value of indicated computed tomography scan of the chest and abdomen in addition to the conventional radiologic work-up for blunt trauma patients.

    NARCIS (Netherlands)

    Deunk, J.; Dekker, H.M.; Brink, M.; Vugt, R. van; Edwards, M.J.R.; Vugt, A.B. van

    2007-01-01

    BACKGROUND: Multidetector computed tomography (CT) is more sensitive and specific in detecting traumatic injuries than conventional radiology is. However, still little is known about the diagnostic value and the therapeutic impact of indicated thoraco-abdominal CT scan when it is performed in

  20. Review: Bilirubin pKa studies; new models and theories indicate high pKa values in water, dimethylformamide and DMSO

    Directory of Open Access Journals (Sweden)

    Ostrow J

    2010-03-01

    Full Text Available Abstract Background Correct aqueous pKa values of unconjugated bilirubin (UCB, a poorly-soluble, unstable substance, are essential for understanding its functions. Our prior solvent partition studies, of unlabeled and [14C] UCB, indicated pKa values above 8.0. These high values were attributed to effects of internal H-bonding in UCB. Many earlier and subsequent studies have reported lower pKa values, some even below 5.0, which are often used to describe the behavior of UCB. We here review 18 published studies that assessed aqueous pKa values of UCB, critically evaluating their methodologies in relation to essential preconditions for valid pKa measurements (short-duration experiments with purified UCB below saturation and accounting for self-association of UCB. Results These re-assessments identified major deficiencies that invalidate the results of all but our partition studies. New theoretical modeling of UCB titrations shows remarkable, unexpected effects of self-association, yielding falsely low pKa estimates, and provides some rationalization of the titration anomalies. The titration behavior reported for a soluble thioether conjugate of UCB at high aqueous concentrations is shown to be highly anomalous. Theoretical re-interpretations of data in DMSO and dimethylformamide show that those indirectly-derived aqueous pKa values are unacceptable, and indicate new, high average pKa values for UCB in non-aqueous media (>11 in DMSO and, probably, >10 in dimethylformamide. Conclusions No reliable aqueous pKa values of UCB are available for comparison with our partition-derived results. A companion paper shows that only the high pKa values can explain the pH-dependence of UCB binding to phospholipids, cyclodextrins, and alkyl-glycoside and bile salt micelles.

  1. Increased requirement for minute ventilation and negative arterial to end-tidal carbon dioxide gradient may indicate malignant hyperthermia

    Directory of Open Access Journals (Sweden)

    Ho-Tien Lin

    2014-04-01

    Full Text Available Characteristic signs of malignant hyperthermia (MH include unexplained tachycardia, increased end-tidal carbon dioxide (Etco2 concentration, metabolic and respiratory acidosis, and an increase in body temperature above 38.8°C. We present the case of a patient with highly probable MH. In addition to sinus tachycardia and metabolic and respiratory acidosis, this patient also had a negative arterial to Etco2 gradient and an increased requirement for minute ventilation to maintain a normal Etco2 concentration, with signs of increased CO2 production. Despite these signs of MH, the patient's rectal temperature monitoring equipment did not show an increase in temperature, although the temperature measured in the mouth was increased. This case illustrates the unreliability of measuring rectal temperature as a means of reflecting body temperature during MH and the usefulness of increased CO2 production signs in helping to diagnose MH.

  2. The prognostic value of visually assessing enamel microcracks: Do debonding and adhesive removal contribute to their increase?

    Science.gov (United States)

    Dumbryte, Irma; Jonavicius, Tomas; Linkeviciene, Laura; Linkevicius, Tomas; Peciuliene, Vytaute; Malinauskas, Mangirdas

    2016-05-01

    To find a correlation between the severity of enamel microcracks (EMCs) and their increase during debonding and residual adhesive removal (RAR). Following their examination with scanning electron microscopy (SEM), 90 extracted human premolars were divided into three groups of 30: group 1, teeth having pronounced EMCs (visible with the naked eye under normal room illumination); group 2, teeth showing weak EMCs (not apparent under normal room illumination but visible by SEM); and group 3, a control group. EMCs have been classified into weak and pronounced, based on their visibility. Metal brackets (MB) and ceramic brackets (CB), 15 of each type, were bonded to all the teeth from groups 1 and 2. Debonding was performed with pliers, followed by RAR. The location, length, and width of the longest EMCs were measured using SEM before and after debonding. The mean overall width (Woverall) was higher for pronounced EMCs before and after debonding CB (P < .05), and after the removal of MB. Pronounced EMCs showed greater length values using both types of brackets. After debonding, the increase in Woverall of pronounced EMCs was 0.57 µm with MB (P < .05) and 0.30 µm with CB; for weak EMCs, - 0.32 µm with MB and 0.30 µm with CB. Although the teeth having pronounced EMCs showed higher width and length values, this did not predispose to greater EMCs increase after debonding MB and CB followed by RAR.

  3. Rapid increase in cosmogenic 14C in AD 775 measured in New Zealand kauri trees indicates short-lived increase in 14C production spanning both hemispheres

    Science.gov (United States)

    Güttler, D.; Adolphi, F.; Beer, J.; Bleicher, N.; Boswijk, G.; Christl, M.; Hogg, A.; Palmer, J.; Vockenhuber, C.; Wacker, L.; Wunder, J.

    2015-02-01

    In 2012, Miyake et al. reported a sudden and strong increase of the atmospheric radiocarbon (14C) content in Japanese cedar trees of 1.2% between AD 774 and 775. While their findings were quickly confirmed by a German oak chronology for the Northern Hemisphere (NH), the question remained if the effect was seen in both hemispheres. Here we present the first annually resolved Southern Hemisphere (SH) 14C record spanning the interval AD 760-787, using New Zealand kauri (Agathis australis) chronology wood. An almost identical distinct increase compared to Northern Hemisphere data was observed, suggesting a cosmic event with globally uniform impact as a potential cause for the increase. Deploying a carbon cycle box model a worldwide averaged net 14C production of 2.2 ×108 14C atoms cm-2 was estimated, which is 3.7 times higher than the average annual 14C production. The immediate appearance of the event in tree rings on both hemispheres suggests a short duration event of significantly less than 1 yr.

  4. Comparison of in vitro test systems using bacterial and mammalian cells for genotoxicity assessment within the "health-related indication value (HRIV) concept.

    Science.gov (United States)

    Prantl, Eva-Maria; Kramer, Meike; Schmidt, Carsten K; Knauer, Martina; Gartiser, Stefan; Shuliakevich, Aliaksandra; Milas, Julia; Glatt, Hansruedi; Meinl, Walter; Hollert, Henner

    2018-02-01

    In numerous cases, the German health-related indication value (HRIV) concept has proved its practicability for the assessment of drinking water relevant trace substances (Umweltbundesamt 2003). The HRIV is based on the toxicological profile of a substance. An open point of the HRIV concept has been the assignment of standardized test procedures to be used for the assessment. The level of the HRIV is at its lowest as soon as the genotoxicity of the substance is detected. As a single test on its own, it is not sufficient enough to assess the human toxicological relevance of a genotoxic effect or exclude it in the case of a negative result; a reasonable test battery was required, technically oriented towards the already harmonized international, hierarchical evaluation for toxicological assessment of chemicals. Therefore, an important aim of this project was to define a strategy for the genotoxicological assessment of anthropogenic trace substances. The basic test battery for genotoxicity of micropollutants in drinking water needs to fulfill several requirements. Although quick test results are needed for the determination of HRIV, a high degree of transferability to human genotoxicity should be ensured. Therefore, an in vitro genotoxicity test battery consisting of the Ames fluctuation test with two tester strains (ISO 11350), the umu test and the micronucleus test, or from the Ames test with five tester strains (OECD 471) and the micronucleus test is proposed. On the basis of selected test substances, it could be shown that the test battery leads to positive, indifferent, and negative results. Given indifferent results, the health authority and the water supplier must assume that it is a genotoxic substance. Genetically modified tester strains are being sensitive to different chemical classes by expression of selected mammalian key enzymes for example nitroreductase, acetyltransferase, and glutathione-S-transferase. These strains may provide valuable additional

  5. Determination of increased mean drag coefficients for a cylinder vibrating at low values of Keulegan-Carpenter number

    Directory of Open Access Journals (Sweden)

    Carlos Alberto Riveros

    2014-06-01

    Full Text Available There is an increasing demand for the development of a reliable technology for wind turbines in deepwaters.Therefore, offshore wind turbine technology is receiving great amount of attention by the research community. Nevertheless, the dynamic response prediction of the support system for offshore wind turbines is still challenging due to the nonlinear and self-regulated nature of the Vortex Induced Vibration (VIV process. In this paper, the numerical implementation of a computational fluid dynamics-based approach for determination of increased mean drag coefficient is presented. The numerical study is conducted at low values of Keulegan-Carpenter number in order to predict the increment of drag force due to cross-flow motion. The simulation results are then compared with previously developed empirical formulations. Good agreement is observed in these comparisons.

  6. The value of safety indicators

    NARCIS (Netherlands)

    Kampen, J. van; Beek, B.D. van der; Groeneweg, J.

    2013-01-01

    Organisations are looking for ways to gain insight into the level of safety in their company so that additional measures can be taken when necessary and the effectiveness of interventions can be measured. That said, measuring safety, health and the environment is not easy. A survey among members of

  7. The value of safety indicators

    NARCIS (Netherlands)

    Kampen, J. van; Beek, D. van der; Groeneweg, J.

    2014-01-01

    Organizations are searching for ways to gain insight into the level of safety in their company so that additional measures can be taken when necessary, and so the effectiveness of interventions can be measured. That said, measuring safety, health, and the environment is not easy. A survey among

  8. Mercury profiles in sediment from the marginal high of Arabian Sea: an indicator of increasing anthropogenic Hg input.

    Science.gov (United States)

    Chakraborty, Parthasarathi; Vudamala, Krushna; Chennuri, Kartheek; Armoury, Kazip; Linsy, P; Ramteke, Darwin; Sebastian, Tyson; Jayachandran, Saranya; Naik, Chandan; Naik, Richita; Nath, B Nagender

    2016-05-01

    Total Hg distributions and its speciation were determined in two sediment cores collected from the western continental marginal high of India. Total Hg content in the sediment was found to gradually increase (by approximately two times) towards the surface in both the cores. It was found that Hg was preferentially bound to sulfide under anoxic condition. However, redox-mediated reactions in the upper part of the core influenced the total Hg content in the sediment cores. This study suggests that probable increase in authigenic and allogenic Hg deposition attributed to the increasing Hg concentration in the surface sediment in the study area.

  9. Town of Hague landfill reclamation study: Research ways to increase waste heating value and reduce waste volume. Final report

    Energy Technology Data Exchange (ETDEWEB)

    Salerni, E. [SSB Environmental Inc., Albany, NY (United States)

    1997-01-01

    Monitored composing was studied as a method for reducing the quantity of waste requiring disposed from a landfill reclamation project. After each of two re-screening steps, composted {open_quotes}soil{close_quotes} from a single long windrow of varying depths and moisture content was subjected to analytical testing to determine its suitability to remain as backfill in a reclaimed landfill site. The remaining uncomposted waste was combusted at a waste-to-energy facility to determine if Btu values were improved. Results indicate that a full-scale composting operation could result in a net decrease of approximately 11 percent in disposal costs. The Btu value of the reclaimed waste was calculated to be 4,500 to 5,000 Btu/lb. The feasibility of composting reclaimed waste at other landfill reclamation projects will depend upon site-specific technical and economic factors, including size and nature of the organic fraction of the waste mass, local processing costs, and the cost of waste disposal alternatives.

  10. Policies to increase the social value of science and the scientist satisfaction. An exploratory survey among Harvard bioscientists.

    Science.gov (United States)

    Ballabeni, Andrea; Boggio, Andrea; Hemenway, David

    2014-01-01

    Basic research in the biomedical field generates both knowledge that has a value per se regardless of its possible practical outcome and knowledge that has the potential to produce more practical benefits. Policies can increase the benefit potential to society of basic biomedical research by offering various kinds of incentives to basic researchers. In this paper we argue that soft incentives or “nudges” are particularly promising. However, to be well designed, these incentives must take into account the motivations, goals and views of the basic scientists. In the paper we present the results of an investigation that involved more than 300 scientists at Harvard Medical School and affiliated institutes. The results of this study suggest that some soft incentives could be valuable tools to increase the transformative value of fundamental investigations without affecting the spirit of the basic research and scientists’ work satisfaction. After discussing the findings, we discuss a few examples of nudges for basic researchers in the biomedical fields. PMID:24795807

  11. Multidecadal increases in the Yukon River Basin of chemical fluxes as indicators of changing flowpaths, groundwater, and permafrost

    Science.gov (United States)

    Toohey, Ryan C; Herman-Mercer, Nicole M.; Schuster, Paul F.; Mutter, Edda A.; Koch, Joshua C.

    2016-01-01

    The Yukon River Basin, underlain by discontinuous permafrost, has experienced a warming climate over the last century that has altered air temperature, precipitation, and permafrost. We investigated a water chemistry database from 1982 to 2014 for the Yukon River and its major tributary, the Tanana River. Significant increases of Ca, Mg, and Na annual flux were found in both rivers. Additionally, SO4 and P annual flux increased in the Yukon River. No annual trends were observed for dissolved organic carbon (DOC) from 2001 to 2014. In the Yukon River, Mg and SO4 flux increased throughout the year, while some of the most positive trends for Ca, Mg, Na, SO4, and P flux occurred during the fall and winter months. Both rivers exhibited positive monthly DOC flux trends for summer (Yukon River) and winter (Tanana River). These trends suggest increased active layer expansion, weathering, and sulfide oxidation due to permafrost degradation throughout the Yukon River Basin.

  12. Co-exposure to ultrafine particulate matter and ozone causes electrocardiogram changes indicative of increased arrhythmia risk in mice

    Science.gov (United States)

    Numerous studies have shown a relationship between acute air pollution exposure and increased risk for cardiovascular morbidity and mortality. Due to the inherent complexity of air pollution, recent studies have focused on co-exposures to better understand potential interactions....

  13. Increased expression of hepatocyte nuclear factor 4 alpha transcribed by promoter 2 indicates a poor prognosis in hepatocellular carcinoma

    OpenAIRE

    Cai, Shao-hang; Lu, Shi-xun; Liu, Li-li; Zhang, Chris Zhiyi; Yun, Jing-ping

    2017-01-01

    Background: Hepatocyte nuclear factor 4 alpha (HNF4α) plays an important role in tumourigenesis. There is growing evidence indicating that HNF4α transcribed by promoter 1 (P1-HNF4α) is expressed at relatively low levels in HCC and its presence predicts a favourable outcome for hepatocellular carcinoma (HCC) patients. However, the role of HNF4α transcribed by promoter 2 (P2-HNF4α) in HCC remains unclear. Methods: A total of 615 HCC specimens were obtained to construct tissue microarrays and pe...

  14. INCREASED URINARY ALBUMIN INDICATING UROTHELIAL LEAKAGE FOLLOWING INTRAVESICAL BACILLUS-CALMETTE-GUERIN THERAPY FOR SUPERFICIAL BLADDER-CANCER

    NARCIS (Netherlands)

    de Boer, E. C.; de Reijke, T. M.; Schamhart, D. H.; Vos, P. C.; Kurth, K. H.

    1993-01-01

    This study on the increase in albumin in the urine of patients with superficial bladder cancer after intravesical bacillus Calmette-Guerin (BCG) treatment was initiated on the basis of two facts. First, extravasation of serum albumin could be expected as a result of the BCG-induced delayed-type

  15. Low gray scale values of computerized images of carotid plaques associated with increased levels of triglyceride-rich lipoproteins and with increased plaque lipid content

    DEFF Research Database (Denmark)

    Grønholdt, Marie-Louise M.; Nordestgaard, Børge; Weibe, Britt M.

    1997-01-01

    Relatioin between low gray scale values in computerized images of carotid plaques and 1) plasma levels of triglyceride-rich lipoproteins and 2) plaque lipid content......Relatioin between low gray scale values in computerized images of carotid plaques and 1) plasma levels of triglyceride-rich lipoproteins and 2) plaque lipid content...

  16. Intravenous inoculation of Staphylococcus aureus in pigs induces severe sepsis as indicated by increased hypercoagulability and hepatic dysfunction

    DEFF Research Database (Denmark)

    Leifsson, Pall S.; Iburg, Tine; Jensen, Henrik E.

    2010-01-01

    Nine pigs were inoculated intravenously once or twice with 108 Staphylococcus aureus per kilogram body weight and sacrificed 12, 24 and 48 h after inoculation. Three sham-infected pigs served as controls. Blood samples were taken for bacteriology, haematology and clinical chemistry. A necropsy...... was carried out and tissue samples were collected for bacteriology and histology. The onset of clinical disease was seen at 7-8 h after inoculation. The blood bacterial counts remained low throughout the study. All infected pigs developed sepsis characterized by fever, neutrophilia, increased levels of C......-reactive protein (CRP) and IL-6, and decreased levels of serum iron. The CRP and IL-6 levels peaked at 36 h, whereas IL-1 beta and tumour necrosis factor-alpha showed no obvious changes. Thromboelastography showed increasing hypercoagulability from 12 h and onwards, whereas the platelet numbers declined slightly...

  17. Mercury profiles in sediment from the marginal high of Arabian Sea: An indicator of increasing anthropogenic Hg input

    Digital Repository Service at National Institute of Oceanography (India)

    Chakraborty, P.; Vudamala, K.; Chennuri, K.; Armoury, K.; Linsy, P.; Ramteke, D.; Sebastian, T.; Jayachandran, S.; Naik, C.; Naik, R.; Nath, B.N.

    provided the sediments remain undisturbed by either natural or anthropogenic forces (Engstrom et al. 2007). However, it has also been suggested that early diagenesis in sediment column may increase mobility of Hg and can alter concentration profile of Hg... the mobility of Hg in sediment (Dehairq 1989; Gagnon and Mucci 1997; van der Zee and van Raaphorst 2004; Konovalov et al. 2007). Oxidation of sedimentary organic matter also appears to release significant amounts of mercury (associated with organic phase...

  18. A pilot study on the determination of performance indicator threshold values for domestic nuclear power plants using risk-informed approach

    International Nuclear Information System (INIS)

    Kang, D. I.; Kim, K. Y.; Park, J. H.; Hwang, M. J.; Ha, J. J.; Sung, K. Y.

    2004-01-01

    In this paper, a pilot study on the determination of the performance indicator (PI) threshold values of the unplanned reactor scram and the unavailability of safety systems for domestic nuclear power plants (NPPs) has been performed using risk-informed approach. The crtiteria of core damage frequency changes (ΔCDF) in the RG 1.174, which has been used for the risk-informed decisionmaking, were adopted as the basic criteria for the dermination of the PI threshold values. The PI threshold values of the unplanned reactor scram (URS) were determined on the assumptions that the the initiating event frequencies are changed and their conditional core damage probabilities are constant. The PI threshold values of the safety system unavailabilities were determined using the Fussel-Vesely importance, CDF, and ΔCDF. The study results for two domestic NPPs show that the PI threshold values of the URS are greatly dependent on the methodology of initiating event analysis and those of safety system unavailabilities currently used are somewhat conservatively set up

  19. The evaluation value of the quantitative electroencephalogram for the prognosis of neonatal hypoxic ischemic encephalopathy and its relationship with serological indicators

    Directory of Open Access Journals (Sweden)

    Ting-Mei Dou

    2017-06-01

    Full Text Available Objective: To study the evaluation value of the quantitative electroencephalogram (qEEG for the prognosis of neonatal hypoxic ischemic encephalopathy (HIE and its relationship with serological indicators. Methods: 76 children with HIE who were born and treated in our hospital between April 2013 and February 2017 were collected as observation group, and 50 healthy newborns who were born in our hospital during the same period were collected as normal control group. qEEG parameter values of two groups of children were determined, serum levels of nerve injury indexes, nerve apoptosis indexes and oxidative stress indexes were compared between the two groups, and Pearson test was used to evaluate the inner link between qEEG parameter values and disease severity in children with HIE. Results: qEEG Fp1, Fp2, C3, C4, T3, T4, O1 and O2 loci power spectrum values of observation group were significantly lower than those of normal control group. Serum NSE, NPY, S-100B and MBP contents in observation group were higher than those in normal control group; nerve apoptosis indexes sFas, sFasL and Caspase-3 contents were higher than those in normal control group while Bcl-2 content was lower than that in normal control group; serum oxidative stress indexes AOPP and MDA contents were higher than those in normal control group while SOD content was lower than that in normal control group. Pearson test showed that qEEG Fp1, Fp2, C3, C4, T3, T4, O1 and O2 loci power spectrum values in children with HIE were directly correlated with the contents of nerve injury indexes, nerve apoptosis indexes and oxidative stress indexes. Conclusion: The qEEG parameter values in children with HIE are lower than those in normal children, and the specific values are closely related to the severity of the disease.

  20. Evaluation of gadolinium-EOB-DTPA uptake after portal vein embolization: value of an increased flip angle.

    Science.gov (United States)

    Geisel, Dominik; Lüdemann, Lutz; Wagner, Clemens; Stelter, Lars; Grieser, Christian; Malinowski, Maciej; Stockmann, Martin; Seehofer, Daniel; Hamm, Bernd; Gebauer, Bernhard; Denecke, Timm

    2014-03-01

    The optimal sequence for Gd-EOB-DTPA uptake measurement in the liver with the purpose of liver function measurement is still not defined. To prospectively evaluate the effect of an increased flip angle (FA) of a T1-weighted fat-saturated 3D sequence for the measurement of hepatocyte uptake of Gd-EOB-DTPA magnetic resonance imaging (MRI) after right portal vein embolization (PVE). Ten patients who received a PVE prior to an extended hemihepatectomy were examined 14 days after PVE using Gd-EOB-DTPA enhanced MRI of the liver using the standard FA of 10° and the increased FA of 30°. Relative enhancement of the right liver lobe (RLL) was 0.52 ± 0.12 for 10° and 1.41 ± 0.39 for 30°. Relative enhancement of the left liver lobe (LLL) was 0.58 ± 0.11 for 10° and 2.05 ± 0.61 for 30°. Relative enhancement of the RLL was significantly higher for 30° than for 10° (P = 0.009) and significantly higher in the 30° than in the 10° sequences (P = 0.005) for the LLL. A flip angle of 30° increases the contrast between liver partitions with and without portal venous embolization. Thereby, the sensitivity for differences in uptake intensity is increased. This could be of value for a more exact determination of differences in regional liver function and, consequently, the estimation of the future remnant liver function.

  1. Increased Hospitalizations for Neuropathies as Indicators of Zika Virus Infection, according to Health Information System Data, Brazil.

    Science.gov (United States)

    Barcellos, Christovam; Xavier, Diego Ricardo; Pavão, Ana Luiza; Boccolini, Cristiano Siqueira; Pina, Maria Fatima; Pedroso, Marcel; Romero, Dalia; Romão, Anselmo Rocha

    2016-11-01

    Evidence is increasing that Zika virus can cause extensive damage to the central nervous system, affecting both fetuses and adults. We sought to identify traces of possible clinical manifestations of nervous system diseases among the registers of hospital admissions recorded in the Brazilian Unified Health System. Time series of several diagnoses from the International Classification of Diseases, 10th Revision, were analyzed by using control diagrams, during January 2008-February 2016. Beginning in mid-2014, we observed an unprecedented and significant rise in the hospitalization rate for congenital malformations of the nervous system, Guillain-Barré syndrome, encephalitis, myelitis, and encephalomyelitis. These conditions are compatible with viral infection and inflammation-associated manifestations and may have been due to the entrance of Zika virus into Brazil. These findings show the necessity of adequately diagnosing and treating suspected cases of Zika virus infection and also that health surveillance systems can be improved by using routine data.

  2. Increasing availability to and ascertaining value of asthma action plans in schools through use of technology and community collaboration.

    Science.gov (United States)

    Hanson, Tabitha K; Aleman, Martha; Hart, Lacey; Yawn, Barbara

    2013-12-01

    Approximately 9% of school-aged children in the United States have asthma. Since 1997, the Asthma Action Plan (AAP) has been recommended as an asthma self-management tool for individuals with asthma. In the school setting, the use of the AAP has been primarily dependent on communication between the family and the school through a paper process. To address the limited availability of AAPs, the Southeast Minnesota Beacon Project developed and implemented a secure portal designed for the electronic exchange of the AAP between providers and schools. This project was designed to assess school nurses' responses to the portal and the perceived value of AAPs, efficiency, self-efficacy, and project impact. School nurses perceive that the AAP enables more efficient management of the care of students with asthma and increases school nurse self-efficacy in regard to asthma management. Overall, school nurses felt the AAP portal was useful and they reported satisfaction with its function as a school health office resource. Electronic sharing of the AAP has the potential to increase efficiency and enhance effective communication among health care providers, families, and schools. © 2013, American School Health Association.

  3. Electromagnetic fields (UHF) increase voltage sensitivity of membrane ion channels; possible indication of cell phone effect on living cells.

    Science.gov (United States)

    Ketabi, N; Mobasheri, H; Faraji-Dana, R

    2015-03-01

    The effects of ultra high frequency (UHF) nonionizing electromagnetic fields (EMF) on the channel activities of nanopore forming protein, OmpF porin, were investigated. The voltage clamp technique was used to study the single channel activity of the pore in an artificial bilayer in the presence and absence of the electromagnetic fields at 910 to 990 MHz in real time. Channel activity patterns were used to address the effect of EMF on the dynamic, arrangement and dielectric properties of water molecules, as well as on the hydration state and arrangements of side chains lining the channel barrel. Based on the varied voltage sensitivity of the channel at different temperatures in the presence and absence of EMF, the amount of energy transferred to nano-environments of accessible groups was estimated to address the possible thermal effects of EMF. Our results show that the effects of EMF on channel activities are frequency dependent, with a maximum effect at 930 MHz. The frequency of channel gating and the voltage sensitivity is increased when the channel is exposed to EMF, while its conductance remains unchanged at all frequencies applied. We have not identified any changes in the capacitance and permeability of membrane in the presence of EMF. The effect of the EMF irradiated by cell phones is measured by Specific Absorption Rate (SAR) in artificial model of human head, Phantom. Thus, current approach applied to biological molecules and electrolytes might be considered as complement to evaluate safety of irradiating sources on biological matter at molecular level.

  4. The degree of acceptability of swine blood values at increasing levels of hemolysis evaluated through visual inspection versus automated quantification.

    Science.gov (United States)

    Di Martino, Guido; Stefani, Anna Lisa; Lippi, Giuseppe; Gagliazzo, Laura; McCormick, Wanda; Gabai, Gianfranco; Bonfanti, Lebana

    2015-05-01

    The pronounced fragility that characterizes swine erythrocytes is likely to produce a variable degree of hemolysis during blood sampling, and the free hemoglobin may then unpredictably bias the quantification of several analytes. The aim of this study was to evaluate the degree of acceptability of values obtained for several biochemical parameters at different levels of hemolysis. Progressively increased degrees of physical hemolysis were induced in 3 aliquots of 30 nonhemolytic sera, and the relative effects on the test results were assessed. To define the level of hemolysis, we used both visual estimation (on a scale of 0 to 3+) and analytical assessment (hemolytic index) and identified the best analytical cutoff values for discriminating the visual levels of hemolysis. Hemolysis led to a variable and dose-dependent effect on the test results that was specific for each analyte tested. In mildly hemolyzed specimens, C-reactive protein, haptoglobin, β1-globulin, β2-globulin, α1-globulin, γ-globulin, sodium, calcium, and alkaline phosphatase were not significantly biased, whereas α2-globulin, albumin, urea, creatinine, glucose, total cholesterol, aspartate aminotransferase, alanine aminotransferase, gamma-glutamyl transferase, nonesterified fatty acids, bilirubin, phosphorus, magnesium, iron, zinc, copper, lipase, triglycerides, lactate dehydrogenase, unbound iron-binding capacity, and uric acid were significantly biased. Chloride and total protein were unbiased even in markedly hemolyzed samples. Analytical interference was hypothesized to be the main source of this bias, leading to a nonlinear trend that confirmed the difficulty in establishing reliable coefficients of correction for adjusting the test results. © 2015 The Author(s).

  5. Shifts in Ross Sea food web structure as indicated by δ15N and δ13C values of fossil Antarctic seals

    Science.gov (United States)

    Leopold, A.; Brault, E.; McMahon, K.

    2013-12-01

    As climate change continues to mount, there is a growing need for understanding its effects on biological-physical interactions of marine ecosystems. Assessing the effects of anthropogenic activities on the coastal marine ecosystem involves understanding the underlying mechanisms driving these changes as well as establishing baselines of the natural system. Preliminary findings have indicated shifts in bulk carbon (C) and nitrogen (N) isotopic values of southern elephant seal (Mirounga leonina) samples, collected in the Dry Valleys of Antarctica in the Ross Sea region, over approximately the last 7,000 years. These shifts could result from 1) seals changing their foraging location and/or diet over this time, 2) climate change-induced shifts in the biogeochemistry at the base of the food web, or 3) some combination of both processes. We explored the patterns of long-term change in Ross Sea food web structure by examining the stable isotope values of three top predators in this system, Weddell seals (Leptonychotes weddellii), leopard seals (Hydrurga leptonyx), and crabeater seals (Lobodon carcinophagus). Fossil seal samples were collected in the Dry Valleys during the austral summer of 2012/13 and then analyzed for bulk C and N isotopes via an elemental analyzer/isotope-ratio mass spectrometer (EA/IRMS). Our initial findings indicate that C isotopic values of fossil seal samples from Weddell, leopard, and crabeater seals were more enriched than isotopic values of modern seals of the same species (e.g., δ13C = -22.79 × 0.92 ‰ and -26.71 × 0.50 ‰ for fossil and modern crabeater seals, respectively). Given the relatively consistent diet of crabeater seals, these findings suggest a shift in baseline food web structure occurred over the last 10,000 years, either through changes in foraging location or local shifts in biogeochemistry. For all species, N isotopic values are widely variable (e.g., 7.28 to 16.0 δ15N ‰ for the Weddell seal), which may be a result of

  6. 26 CFR 1.312-9 - Adjustments to earnings and profits reflecting increase in value accrued before March 1, 1913.

    Science.gov (United States)

    2010-04-01

    ... depreciation for the period subsequent to February 28, 1913, computed on such fair market value. If the amount...,000. Its fair market value as of March 1, 1913, was $12,000 and it was sold in 1955 for $15,000. The... accumulated since February 28, 1913, is $3,000. If the basis is determined without regard to the value as of...

  7. Increasing discomfort tolerance predicts incentive senitization of exercise reinforcement: Preliminary results from a randomized controlled intervention to increase the reinforcing value of exercise in overweight to obese adu

    Science.gov (United States)

    Objective: The reinforcing (motivating) value of exercise/physical activity (RRVex) predicts usual exercise behavior and meeting of physical activity guidelines. Recent cross-sectional evidence suggests, for the first time, that greater tolerance for the discomfort experienced during exercise is ass...

  8. Accounting for land use in life cycle assessment: The value of NPP as a proxy indicator to assess land use impacts on ecosystems.

    Science.gov (United States)

    Taelman, Sue Ellen; Schaubroeck, Thomas; De Meester, Steven; Boone, Lieselot; Dewulf, Jo

    2016-04-15

    Terrestrial land and its resources are finite, though, for economic and socio-cultural needs of humans, these natural resources are further exploited. It highlights the need to quantify the impact humans possibly have on the environment due to occupation and transformation of land. As a starting point of this paper (1(st) objective), the land use activities, which may be mainly socio-culturally or economically oriented, are identified in addition to the natural land-based processes and stocks and funds that can be altered due to land use. To quantify the possible impact anthropogenic land use can have on the natural environment, linked to a certain product or service, life cycle assessment (LCA) is a tool commonly used. During the last decades, many indicators are developed within the LCA framework in an attempt to evaluate certain environmental impacts of land use. A second objective of this study is to briefly review these indicators and to categorize them according to whether they assess a change in the asset of natural resources for production and consumption or a disturbance of certain ecosystem processes, i.e. ecosystem health. Based on these findings, two enhanced proxy indicators are proposed (3(rd) objective). Both indicators use net primary production (NPP) loss (potential NPP in the absence of humans minus remaining NPP after land use) as a relevant proxy to primarily assess the impact of land use on ecosystem health. As there are two approaches to account for the natural and productive value of the NPP remaining after land use, namely the Human Appropriation of NPP (HANPP) and hemeroby (or naturalness) concepts, two indicators are introduced and the advantages and limitations compared to state-of-the-art NPP-based land use indicators are discussed. Exergy-based spatially differentiated characterization factors (CFs) are calculated for several types of land use (e.g., pasture land, urban land). Copyright © 2016 Elsevier B.V. All rights reserved.

  9. Native T-1 reference values for nonischemic cardiomyopathies and populations with increased cardiovascular risk : A systematic review and meta-analysis

    NARCIS (Netherlands)

    van den Boomen, Maaike; Slart, Riemer H J A; Hulleman, Enzo V; Dierckx, Rudi A J O; Velthuis, Birgitta K; van der Harst, Pim; Sosnovik, David E; Borra, Ronald J H; Prakken, Niek H J

    BACKGROUND: Although cardiac MR and T1 mapping are increasingly used to diagnose diffuse fibrosis based cardiac diseases, studies reporting T1 values in healthy and diseased myocardium, particular in nonischemic cardiomyopathies (NICM) and populations with increased cardiovascular risk, seem

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

    Directory of Open Access Journals (Sweden)

    Ian Morrissey

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

  11. A new method to model electroconvulsive therapy in rats with increased construct validity and enhanced translational value.

    Science.gov (United States)

    Theilmann, Wiebke; Löscher, Wolfgang; Socala, Katarzyna; Frieling, Helge; Bleich, Stefan; Brandt, Claudia

    2014-06-01

    Electroconvulsive therapy is the most effective therapy for major depressive disorder (MDD). The remission rate is above 50% in previously pharmacoresistant patients but the mechanisms of action are not fully understood. Electroconvulsive stimulation (ECS) in rodents mimics antidepressant electroconvulsive therapy (ECT) in humans and is widely used to investigate the underlying mechanisms of ECT. For the translational value of findings in animal models it is essential to establish models with the highest construct, face and predictive validity possible. The commonly used model for ECT in rodents does not meet the demand for high construct validity. For ECT, cortical surface electrodes are used to induce therapeutic seizures whereas ECS in rodents is exclusively performed by auricular or corneal electrodes. However, the stimulation site has a major impact on the type and spread of the induced seizure activity and its antidepressant effect. We propose a method in which ECS is performed by screw electrodes placed above the motor cortex of rats to closely simulate the clinical situation and thereby increase the construct validity of the model. Cortical ECS in rats induced reliably seizures comparable to human ECT. Cortical ECS was more effective than auricular ECS to reduce immobility in the forced swim test. Importantly, auricular stimulation had a negative influence on the general health condition of the rats with signs of fear during the stimulation sessions. These results suggest that auricular ECS in rats is not a suitable ECT model. Cortical ECS in rats promises to be a valid method to mimic ECT. Copyright © 2014 Elsevier Ltd. All rights reserved.

  12. FUNCTIONALITY ASSESSMENT OF ALGORITHMS FOR THE COLORING OF IMAGES IN TERMS OF INCREASING RADIOMETRIC VALUES OF AERIAL PHOTOGRAPHS ARCHIVES

    Directory of Open Access Journals (Sweden)

    Ewiak Ireneusz

    2016-12-01

    Full Text Available Available on the commercial market are a number of algorithms that enable assigning to pixels of a monochrome digital image suitable colors according to a strictly defined schedule. These algorithms have been recently used by professional film studios involved in the coloring of archival productions. This article provides an overview on the functionality of coloring algorithms in terms of their use to improve the interpretation quality of historical, black - and - white aerial photographs. The analysis covered intuitive (Recolored programs, as well as more advanced (Adobe After Effect, DaVinci Resolve programs. The use of their full functionality was limited by the too large information capacity of aerial photograph images. Black - and - white historical aerial photographs, which interpretation quality in many cases does not meet the criteria posed on photogrammetric developments, require an increase of their readability. The solution in this regard may be the process of coloring images. The authors of this article conducted studies aimed to determine to what extent the tested coloring algorithms enable an automatic detection of land cover elements on historical aerial photographs and provide color close to the natural. Used in the studies were archival black - and - white aerial photographs of the western part of Warsaw district made available by the Main Centre of Geodetic and Cartographic Documentation , the selection of which was associated with the presence in this area of various elements of land cover, such as water, forests, crops, exposed soils and also anthropogenic objects. In the analysis of different algorithms are included: format and size of the image, degree of automation of the process, degree of compliance of the result and processing time. The accuracy of the coloring process was different for each class of objects mapped on the photograph. The main limitation of the coloring process created shadows of anthropogenic objects

  13. What's to Be Done About Laboratory Quality? Process Indicators, Laboratory Stewardship, the Outcomes Problem, Risk Assessment, and Economic Value: Responding to Contemporary Global Challenges.

    Science.gov (United States)

    Meier, Frederick A; Badrick, Tony C; Sikaris, Kenneth A

    2018-02-17

    For 50 years, structure, process, and outcomes measures have assessed health care quality. For clinical laboratories, structural quality has generally been assessed by inspection. For assessing process, quality indicators (QIs), statistical monitors of steps in the clinical laboratory total testing, have proliferated across the globe. Connections between structural and process laboratory measures and patient outcomes, however, have rarely been demonstrated. To inform further development of clinical laboratory quality systems, we conducted a selective but worldwide review of publications on clinical laboratory quality assessment. Some QIs, like seven generic College of American Pathologists Q-Tracks monitors, have demonstrated significant process improvement; other measures have uncovered critical opportunities to improve test selection and result management. The College of Pathologists of Australasia Key Indicator Monitoring and Management System has deployed risk calculations, introduced from failure mode effects analysis, as surrogate measures for outcomes. Showing economic value from clinical laboratory testing quality is a challenge. Clinical laboratories should converge on fewer (7-14) rather than more (21-35) process monitors; monitors should cover all steps of the testing process under laboratory control and include especially high-risk specimen-quality QIs. Clinical laboratory stewardship, the combination of education interventions among clinician test orderers and report consumers with revision of test order formats and result reporting schemes, improves test ordering, but improving result reception is more difficult. Risk calculation reorders the importance of quality monitors by balancing three probabilities: defect frequency, weight of potential harm, and detection difficulty. The triple approach of (1) a more focused suite of generic consensus quality indicators, (2) more active clinical laboratory testing stewardship, and (3) integration of formal

  14. Potential of geographical variation analysis for realigning providers to value-based care. ECHO case study on lower-value indications of C-section in five European countries.

    Science.gov (United States)

    García-Armesto, Sandra; Angulo-Pueyo, Ester; Martínez-Lizaga, Natalia; Mateus, Céu; Joaquim, Inês; Bernal-Delgado, Enrique

    2015-02-01

    Although C-section is a highly effective procedure, literature abounds with evidence of overuse and particularly misuse, in lower-value indications such as low-risk deliveries. This study aims to quantify utilization of C-section in low-risk cases, mapping out areas showing excess-usage in each country and to estimate excess-expenditure as a proxy of the opportunity cost borne by healthcare systems. Observational, ecologic study on deliveries in 913 sub-national administrative areas of five European countries (Denmark, England, Portugal, Slovenia and Spain) from 2002 to 2009. The study includes a cross-section analysis with 2009 data and a time-trend analysis for the whole period. Main endpoints: age-standardized utilization rates of C-section in low-risk pregnancies and deliveries per 100 deliveries. Secondary endpoints: Estimated excess-cases per geographical unit of analysis in two scenarios of minimized utilization. C-section is widely used in all examined countries (ranging from 19% of Slovenian deliveries to 33% of deliveries in Portugal). With the exception of Portugal, there are no systematic variations in intensity of use across areas in the same country. Cross-country comparison of lower-value C-section leaves Denmark with 10% and Portugal with 2%, the highest and lowest. Such behaviour was stable over the period of analysis. Within each country, the scattered geographical patterns of use intensity speak for local drivers playing a major role within the national trend. The analysis conducted suggests plenty of room for enhancing value in obstetric care and equity in women's access to such within the countries studied. The analysis of geographical variations in lower-value care can constitute a powerful screening tool. © The Author 2015. Published by Oxford University Press on behalf of the European Public Health Association. All rights reserved.

  15. Implementation of Value Chain and Management Control in Order to Increase Competitive Advantages (Study at PT Industri Marmer Indonesia Tulungagung)

    OpenAIRE

    Wijaya, Ditto Arief

    2013-01-01

    The purpose of this study are knowing wheter Company applies the value chain for their business, knowing wheter Company applies the management control for their business, knowing the influence of value chain to competitive advantages, and knowing the influence of management control to competitive advantages. The results of the research showed that there was a double function in the organization structure, campany's mission is the same with PT Gajah Perkasa Indonesia's mission and the company'...

  16. Regional Distribution of Cerebral Blood Flow in childhood Measured by '99mTc-HMPAO SPECT: Reference Values of Semiquantitative Indices and Effect of Age

    International Nuclear Information System (INIS)

    Kim, Sang Eun; Lee, Dong Soo; Chung, June Key

    1991-01-01

    Regional cerebral blood flow (rCBF) was evaluated in 12 children ranging in age from 2.7 to 10.0 yr using 99m Tc-HMPAO SPECT. For quantitative analysis, 13 pairs of homologous regions of interest (ROIs) were created on three attenuation-corrected 18,8 mm thick transverse slices matching the cerebral cortical regions, deep gray matter, cerebellar hemisphere, and vascular territories, and the semiquantitative indices including 'right to left ratio [(mean count/voxel of homologous right ROI) /(mean count/voxel of homologous left ROI)] and regional index '(RI) [(mean count/voxel of a ROI)/(mean count/voxel of all ROIs of each hemisphere)] were calculated. Mean values of right to left ratios of homologous regions ranged from 0.984 to 1.028 in children under 5 yr (group 1) and from 0.982 to 1.012 in children between 5 and 10 yr (group 2), and the mean value ±2 S.D. for each region did not exceed 11%. and 12% in group 1 and group 2, respective]y. There were no statistically significant differences between the RIs of the homologous right and left regions. Significant differences of RIs were found both between vascular regions (p<0,0005 for group 1, and p=0,0001 for group 2) and between regions of cerebral cortices (p<0,0005 for group 1, and p<0,005 for group 2) with a relatively high value in the occipital cortex and the lower values in the cerebellum and deep gray matter among the regions of cerebral cortices in both groups. There were no significant differences between the Rls of corresponding regions of group 1 and group 2, except a significantly higher value of right deep gray matter in group 2 than in group 1 (p=0.0301). The RIs of the superior frontal cortex and deep gray matter showed to be positively correlated with age (superior frontal cortex; right: rs=0.5254, p=0.0814, left: rs=0.5919, p=0.0496/deep gray matter; right: rs=0.8246, p=0.0062, left: rs=0.6266, p=0,0377). The results suggest that the rCBF pattern of children approaches that of adults in an occipito

  17. O impacto de indicadores socioambientais no valor adcionado por empresas = The impact of socialenvironmental indicators on the value added by companies

    Directory of Open Access Journals (Sweden)

    Gabriel Moreira Campos

    2011-08-01

    Full Text Available Esta pesquisa tem por objetivo explicar o impacto no valor adicionado pelas empresas brasileiras que publicaram o Balanço Social (modelo IBASE, no período de 2004 a 2006, dos seguintes indicadores socioambientais: número de empregados, indicadores sociais internos, investimentos em meio ambiente e incentivo remuneratório dos empregados atuantes nas empresas constantes da amostra. No referencial teórico, são abordados aspectos relativos ao Balanço Social, à Demonstração do Valor Adicionado e ao Valor Adicionado. O estudo é composto de pesquisa bibliográfica em obras nacionais e internacionais, que tratam do tema, e de pesquisa documental baseada em uma amostra de 66 empresas que publicaram o relatório no período de 2004 a 2006, sendo utilizada a técnica de regressão com dados em painel (balanceado. Os achados revelam que, dentre os três tipos de painel, após a realização de testes, o de efeitos fixos foi considerado o mais bem indicado para a análise, e que a variação no valor adicionado pelas empresas da amostra é explicada pelo número de empregados, pelos indicadores sociais internos, e pelo incentivo remuneratório dos empregados atuantes nas empresas, contudo, não é explicada pelos investimentos em meio ambiente efetuados pelas empresas pesquisadas no período de 2004 a 2006.This research aims at explaining the impact of the value added by Brazilian companies which published the Social Balance (IBASE model from 2004 to 2006 of the following sustainability indicators: number of employees, internal social indicators, investments on the environment and remunerative incentive of the working employees in the companies which were presented in the display. In the theoretical referential aspects related to the Social Balance are approached as well as the Demonstration of the Value Added and to the Value Added. The study is made of the bibliographic research on national and international works which deal with the theme and

  18. Value of Single-Dose Contrast-Enhanced Magnetic Resonance Angiography Versus Intraarterial Digital Subtraction Angiography in Therapy Indications in Abdominal and Iliac Arteries

    International Nuclear Information System (INIS)

    Schaefer, Philipp J.; Schaefer, Fritz K. W.; Mueller-Huelsbeck, Stefan; Both, Markus; Heller, Martin; Jahnke, Thomas

    2007-01-01

    The objective of the study was to prove the value of single-dose contrast-enhanced magnetic resonance angiography [three-dimensional (3D) ceMRA] in abdominal and iliac arteries versus the reference standard intra-arterial digital subtraction angiography (i.a.DSA) when indicating a therapy. Patients suspected of having abdominal or iliac artery stenosis were included in this study. A positive vote of the local Ethics Committee was given. After written informed consent was obtained, 37 patients were enrolled, of which 34 were available for image evaluation. Both 3D ceMRA and i.a. DSA were performed for each patient. The dosage for 3D ceMRA was 0.1 mmol/kg body weight in a 1.5-T scanner with a phased-array coil. The parameters of the 3D-FLASH sequence were as follows: TR/TE 4.6/1.8 ms, effective thickness 3.5 mm, matrix 512 x 200, flip angle 30 o , field of view 420 mm, TA 23 s, coronal scan orientation. Totally, 476 vessel segments were evaluated for stenosis degree by two radiologists in a consensus fashion in a blinded read. For each patient, a therapy was proposed, if clinically indicated. Sensitivity, specificity, positive and negative predictive values, and accuracy for stenoses ≥50% were 68%, 92%, 44%, 97%, and 90%, respectively. In 13/34 patients, a discrepancy was found concerning therapy decisions based on MRA findings versus therapy decisions based on the reference standard DSA. The results showed that the used MRA imaging technique of abdominal and iliac arteries is not competitive to i.a. DSA, with a high rate of misinterpretation of the MRAs resulting in incorrect therapies

  19. Prognostic value of FDG-PET indices for the assessment of histological response to neoadjuvant chemotherapy and outcome in pediatric patients with Ewing sarcoma and osteosarcoma.

    Directory of Open Access Journals (Sweden)

    Clement Bailly

    Full Text Available The objective of this retrospective work was to evaluate the prognostic value on histological response and survival of quantitative indices derived from FDG-PET performed before and after chemotherapy (CHT, in a homogeneous pediatric Ewing sarcoma (EWS and Osteosarcoma (OST population.Thirty-one patients with EWS and 31 with OST were included. All patients were treated with neoadjuvant CHT, and underwent surgery for local control. All patients had FDG-PET at diagnosis and after CHT, prior to surgery. Several parameters were evaluated: SUVmax, SUVpeak, SUVmean, metabolic tumor volume, total lesion glycolysis, 7 textural features and 3 shape features (SF. The segmentation was performed using an adaptive approach. Results were compared to histopathological regression of the resected tumor and to clinical follow-up for survival evaluation.For EWS, univariate analysis did not highlight any prognostic value on histological response, or survival regardless of all the considered metrics. For OST, only one of the SF, namely elongation, was significantly associated with PFS and OS on both univariate and multivariate analysis (PFS: p = 0.019, HR = 5.583; OS: p = 0.0062, HR = 7.113.Only elongation determined on initial FDG-PET has a potential interest as a prognostic factor of PFS and OS in pediatric OST patients. Unlike recent studies of the literature realized in adult population, all the metrics reveal limited additional prognostic value in pediatric EWS patients. This seems to reinforce the question of whether children experience different subtypes of the same pathologies than older patients, with different outcomes.

  20. Enhancing Brand Loyalty by Increasing Experiential Value through Customer Satisfaction in Boka Buka Restaurant Pondok Indah Mall

    Directory of Open Access Journals (Sweden)

    Nathania Gunawan

    2015-09-01

    Full Text Available This research was conducted at Boka Buka Restaurant. Boka Buka Restaurant is a casual French dining restaurant in Pondok Indah Mall. The objectives of the research are to examine if the experiential value contributes to customer satisfaction in Boka Buka Restaurant and t examine if the experiential value and customer satisfaction contributes partially and simultaneously to brand loyalty in Boka Buka Restaurant. The methods of the research are Pearson Correlation and Path Analysis. The data is obtained from the questionnaires which are distributed to the customers at Boka Buka Restaurant to measure the level of the Experiential Value, Customer Satisfaction, and Brand Loyalty, using a Likert scale. From the analysis of the data, it obtains structural equation Y = 0.812X + 0.5839ε1 where Experiential Value contributes significantly to Customer Satisfaction of 65.9% and Z = 0.255X + 0.582Y + 0.5958ε2 where Experiential Value and Customer Satisfaction simultaneously contribute significantly to the Brand Loyalty of 64.5%.

  1. Opening the mind to close it: considering a message in light of important values increases message processing and later resistance to change.

    Science.gov (United States)

    Blankenship, Kevin L; Wegener, Duane T

    2008-02-01

    Past research showed that considering a persuasive message in light of important rather than unimportant values creates attitudes that resist later attack. The traditional explanation is that the attitudes come to express the value or that a cognitive link between the value and attitude enhances resistance. However, the current research showed that another explanation is plausible. Similar to other sources of involvement, considering important rather than unimportant values increases processing of the message considered in light of those values. This occurs when the values are identified as normatively high or low in importance and when the perceived importance differs across participants for the same values. The increase in processing creates resistance to later attacks, and unlike past research, individual-level measures of initial amount of processing mediate value importance effects on later resistance to change. Important values motivate processing because they increase personal involvement with the issue, rather than creating attitudes that represent or express core values. (c) 2008 APA, all rights reserved

  2. Influence of additives on the increase of the heating value of Bayah’s coal with upgrading brown coal (UBC) method

    Energy Technology Data Exchange (ETDEWEB)

    Heriyanto, Heri [Chemical Engineering of University Sultan AgengTirtayasa, Indonesia Email: herfais@yahoo.com (Indonesia); Widya Ernayati, K.; Umam, Chairul; Margareta, Nita

    2015-12-29

    UBC (upgrading brown coal) is a method of improving the quality of coal by using oil as an additive. Through processing in the oil media, not just the calories that increase, but there is also water repellent properties and a decrease in the tendency of spontaneous combustion of coal products produced. The results showed a decrease in the water levels of natural coal bayah reached 69%, increase in calorific value reached 21.2%. Increased caloric value and reduced water content caused by the water molecules on replacing seal the pores of coal by oil and atoms C on the oil that is bound to increase the percentage of coal carbon. As a result of this experiment is, the produced coal has better calorific value, the increasing of this new calorific value up to 23.8% with the additive waste lubricant, and the moisture content reduced up to 69.45%.

  3. Influence of additives on the increase of the heating value of Bayah’s coal with upgrading brown coal (UBC) method

    International Nuclear Information System (INIS)

    Heriyanto, Heri; Widya Ernayati, K.; Umam, Chairul; Margareta, Nita

    2015-01-01

    UBC (upgrading brown coal) is a method of improving the quality of coal by using oil as an additive. Through processing in the oil media, not just the calories that increase, but there is also water repellent properties and a decrease in the tendency of spontaneous combustion of coal products produced. The results showed a decrease in the water levels of natural coal bayah reached 69%, increase in calorific value reached 21.2%. Increased caloric value and reduced water content caused by the water molecules on replacing seal the pores of coal by oil and atoms C on the oil that is bound to increase the percentage of coal carbon. As a result of this experiment is, the produced coal has better calorific value, the increasing of this new calorific value up to 23.8% with the additive waste lubricant, and the moisture content reduced up to 69.45%

  4. Preliminary report on the development of some indices of relative nutritive value (RNV) of cereal and legume samples, applicable in the early generations of selection

    International Nuclear Information System (INIS)

    Kaul, A.K.; Niemann, E.G.

    1975-01-01

    Rapid screening methods for biuret nitrogen determination and fluorometric lysine estimation are described. While the biuret method has been found to be suitable for early generation screening for peptide nitrogen determination, fluorescence estimation of dansylated grain meal could be taken as a good index of available lysine in cereal and legume samples. The necessity of rapid and inexpensive tests for the determination of Relative Nutritive Value (RNV) in the advance generations of screening, is discussed. Preliminary data available on two such tests, utilizing protozoan Tetrahymena pyriformis W. and flour beetle Tribolium confusum Duval, indicated promise. Both techniques were tried on different cereal and legume samples. The relative lethality of beetle larvae and their nitrogen retention were taken as indices of RNV in legumes. Larval Nitrogen Retention Index (LNRI) of cereal samples was found to be dependent both on nitrogen content and on protein quality. It was concluded that both these organisms need to be further investigated for their potential as test animals for RNV determination in the advance segregating populations. (author)

  5. Enhancing Brand Loyalty by Increasing Experiential Value through Customer Satisfaction in Boka Buka Restaurant Pondok Indah Mall

    OpenAIRE

    Nathania Gunawan; Harjanto Prabowo; Annetta Gunawan

    2015-01-01

    This research was conducted at Boka Buka Restaurant. Boka Buka Restaurant is a casual French dining restaurant in Pondok Indah Mall. The objectives of the research are to examine if the experiential value contributes to customer satisfaction in Boka Buka Restaurant and t examine if the experiential value and customer satisfaction contributes partially and simultaneously to brand loyalty in Boka Buka Restaurant. The methods of the research are Pearson Correlation and Path Analysis. The data is...

  6. Can Broader Diffusion of Value-Based Insurance Design Increase Benefits from US Health Care without Increasing Costs? Evidence from a Computer Simulation Model

    OpenAIRE

    Scott Braithwaite, R.; Omokaro, Cynthia; Justice, Amy C.; Nucifora, Kimberly; Roberts, Mark S.

    2010-01-01

    Editors' Summary Background More money is spent per person on health care in the US than in any other country. US health care expenditure accounts for 16.2% of the gross domestic product and this figure is rising. Indeed, the increase in health care costs is outstripping the economy's growth rate. Consequently, US policy makers and providers of health insurance?health care in the US is largely provided by the private sector and is paid for through private health insurance or through governmen...

  7. Plasma acylcarnitine profiling indicates increased fatty acid oxidation relative to tricarboxylic acid cycle capacity in young, healthy low birth weight men

    DEFF Research Database (Denmark)

    Ribel-Madsen, Amalie; Ribel-Madsen, Rasmus; Brøns, Charlotte

    2016-01-01

    We hypothesized that an increased, incomplete fatty acid beta‐oxidation in mitochondria could be part of the metabolic events leading to insulin resistance and thereby an increased type 2 diabetes risk in low birth weight (LBW) compared with normal birth weight (NBW) individuals. Therefore, we...... measured fasting plasma levels of 45 acylcarnitine species in 18 LBW and 25 NBW men after an isocaloric control diet and a 5‐day high‐fat, high‐calorie diet. We demonstrated that LBW men had higher C2 and C4‐OH levels after the control diet compared with NBW men, indicating an increased fatty acid beta...

  8. Validating "Value Added" in the Primary Grades: One District's Attempts to Increase Fairness and Inclusivity in Its Teacher Evaluation System

    Science.gov (United States)

    Amrein-Beardsley, Audrey; Polasky, Sarah; Holloway-Libell, Jessica

    2016-01-01

    One urban district in the state of Arizona sought to use an alternative achievement test (i.e., the Northwest Evaluation Association's (NWEA) Measures of Academic Progress for Primary Grades (MAP)) to include more value-added ineligible teachers in the districts' growth and merit pay system. The goal was to allow for its K-2 teachers to be more…

  9. Value of Implementation of Strategies to Increase the Adherence of Health Professionals and Cancer Survivors to Guideline-Based Physical Exercise

    NARCIS (Netherlands)

    Mewes, Janne C.; Steuten, Lotte M.G.; IJsbrandy, Charlotte; IJzerman, Maarten J.; van Harten, Willem H.

    2017-01-01

    Background: To increase the adherence of health professionals and cancer survivors to evidence-based physical exercise, effective implementation strategies (ISTs) are required. Objectives: To examine to what extent these ISTs provide value for money and which IST has the highest expected value.

  10. Forecasting annual gross electricity demand by artificial neural networks using predicted values of socio-economic indicators and climatic conditions: Case of Turkey

    International Nuclear Information System (INIS)

    Günay, M. Erdem

    2016-01-01

    In this work, the annual gross electricity demand of Turkey was modeled by multiple linear regression and artificial neural networks as a function population, gross domestic product per capita, inflation percentage, unemployment percentage, average summer temperature and average winter temperature. Among these, the unemployment percentage and the average winter temperature were found to be insignificant to determine the demand for the years between 1975 and 2013. Next, the future values of the statistically significant variables were predicted by time series ANN models, and these were simulated in a multilayer perceptron ANN model to forecast the future annual electricity demand. The results were validated with a very high accuracy for the years that the electricity demand was known (2007–2013), and they were also superior to the official predictions (done by Ministry of Energy and Natural Resources of Turkey). The model was then used to forecast the annual gross electricity demand for the future years, and it was found that, the demand will be doubled reaching about 460 TW h in the year 2028. Finally, it was concluded that the approach applied in this work can easily be implemented for other countries to make accurate predictions for the future. - Highlights: • Electricity demand of Turkey increased from 15.6 to 246.4 TW h in 1975–2013 period. • Population, GDP per capita, inflation and average summer temperature influence demand. • Future values of descriptor variables can be predicted by time series ANN models. • ANN model simulated by the predicted values of descriptors can forecast the demand. • Demand is forecasted to be doubled reaching about 460 TW h in the year 2028.

  11. Aging and loss decision making: increased risk aversion and decreased use of maximizing information, with correlated rationality and value maximization

    OpenAIRE

    Kurnianingsih, Yoanna A.; Sim, Sam K. Y.; Chee, Michael W. L.; Mullette-Gillman, O?Dhaniel A.

    2015-01-01

    We investigated how adult aging specifically alters economic decision-making, focusing on examining alterations in uncertainty preferences (willingness to gamble) and choice strategies (what gamble information influences choices) within both the gains and losses domains. Within each domain, participants chose between certain monetary outcomes and gambles with uncertain outcomes. We examined preferences by quantifying how uncertainty modulates choice behavior as if altering the subjective valu...

  12. A process for selecting ecological indicators for application in monitoring impacts to Air Quality Related Values (AQRVs) from atmospheric pollutants. Final report

    Energy Technology Data Exchange (ETDEWEB)

    White, G.J.; Breckenridge, R.P.

    1997-01-01

    Section 160 of the Clean Air Act (CAA) calls for measures be taken {open_quotes}to preserve, protect, and enhance air quality in national parks, national wilderness areas, national monuments, national seashores, and other areas of special national or regional natural, recreational, scenic, or historic value.{close_quotes} Pursuant to this, stringent requirement have been established for {open_quotes}Class I{close_quotes} areas, which include most National Parks and Wilderness Areas. Federal Land Managers (FLMs) are charged with the task of carrying out these requirements through the identification of air quality related values (AQRVs) that are potentially at risk from atmospheric pollutants. This is a complex task, the success of which is dependent on the gathering of information on a wide variety of factors that contribute to the potential for impacting resources in Class I areas. Further complicating the issue is the diversity of ecological systems found in Class I areas. There is a critical need for the development of monitoring programs to assess the status of AQRVs in Class I areas with respect to impacts caused by atmospheric pollutants. These monitoring programs must be based on the measurement of a carefully selected suite of key physical, chemical, and biological parameters that serve as indicators of the status of the ecosystems found in Class I areas. Such programs must be both scientifically-based and cost-effective, and must provide the data necessary for FLMs to make objective, defensible decisions. This document summarizes a method for developing AQRV monitoring programs in Class I areas.

  13. A hierarchical testing strategy for micropollutants in drinking water regarding their potential endocrine-disrupting effects-towards health-related indicator values.

    Science.gov (United States)

    Kuckelkorn, Jochen; Redelstein, Regine; Heide, Timon; Kunze, Jennifer; Maletz, Sibylle; Waldmann, Petra; Grummt, Tamara; Seiler, Thomas-Benjamin; Hollert, Henner

    2018-02-01

    In Germany, micropollutants that (may) occur in drinking water are assessed by means of the health-related indicator value (HRIV concept), developed by the German Federal Environment Agency. This concept offers five threshold values (≤ 0.01 to ≤ 3 μg l -1 ) depending on availability and completeness of data regarding genotoxicity, neurotoxicity, and germ cell-damaging potential. However, the HRIV concept is yet lacking integration of endocrine disruptors as one of the most prominent toxicological concerns in water bodies, including drinking water. Thresholds and proposed bioassays hence urgently need to be defined. Since endocrine disruption of ubiquitary chemicals as pharmaceuticals, industrial by-products, or pesticides is a big issue in current ecotoxicology, the aim of this study was to explore endocrine effects, i.e., estrogenic and androgenic effects, as an important, additional toxicological mode of action for the HRIV concept using a hierarchical set of well-known but improved bioassays. Results indicate that all of the 13 tested substances, industrial chemicals and combustion products (5), pharmaceuticals and medical agents (4), and pesticides and metabolites (4), have no affinity to the estrogen and androgen receptor in human U2OS cells without metabolic activation, even when dosed at their water solubility limit, while in contrast some of these substances showed estrogenic effects in the RYES assay, as predicted in pre-test QSAR analysis. Using a specifically developed S9-mix with the U2OS cells, those micropollutants, i.e., Benzo[a]pyrene, 2,4-Dichlorophenol, 3,3-Dichlorbenzidin, 3,4-Dichloranilin, and diclofenac, they show estrogenic effects at the same concentration range as for the yeast cells. Three of the drinking water-relevant chemicals, i.e., atrazine, tributyltin oxide, and diclofenac, caused effects on hormone production in the H295R assay, which can be correlated with changes in the expression of steroidogenic genes. One chemical, 17

  14. Aging and loss decision making: increased risk aversion and decreased use of maximizing information, with correlated rationality and value maximization.

    Science.gov (United States)

    Kurnianingsih, Yoanna A; Sim, Sam K Y; Chee, Michael W L; Mullette-Gillman, O'Dhaniel A

    2015-01-01

    We investigated how adult aging specifically alters economic decision-making, focusing on examining alterations in uncertainty preferences (willingness to gamble) and choice strategies (what gamble information influences choices) within both the gains and losses domains. Within each domain, participants chose between certain monetary outcomes and gambles with uncertain outcomes. We examined preferences by quantifying how uncertainty modulates choice behavior as if altering the subjective valuation of gambles. We explored age-related preferences for two types of uncertainty, risk, and ambiguity. Additionally, we explored how aging may alter what information participants utilize to make their choices by comparing the relative utilization of maximizing and satisficing information types through a choice strategy metric. Maximizing information was the ratio of the expected value of the two options, while satisficing information was the probability of winning. We found age-related alterations of economic preferences within the losses domain, but no alterations within the gains domain. Older adults (OA; 61-80 years old) were significantly more uncertainty averse for both risky and ambiguous choices. OA also exhibited choice strategies with decreased use of maximizing information. Within OA, we found a significant correlation between risk preferences and choice strategy. This linkage between preferences and strategy appears to derive from a convergence to risk neutrality driven by greater use of the effortful maximizing strategy. As utility maximization and value maximization intersect at risk neutrality, this result suggests that OA are exhibiting a relationship between enhanced rationality and enhanced value maximization. While there was variability in economic decision-making measures within OA, these individual differences were unrelated to variability within examined measures of cognitive ability. Our results demonstrate that aging alters economic decision-making for

  15. Aging and loss decision making: increased risk aversion and decreased use of maximizing information, with correlated rationality and value maximization

    Directory of Open Access Journals (Sweden)

    Yoanna Arlina Kurnianingsih

    2015-05-01

    Full Text Available We investigated how adult aging specifically alters economic decision-making, focusing on examining alterations in uncertainty preferences (willingness to gamble and choice strategies (what gamble information influences choices within both the gains and losses domains. Within each domain, participants chose between certain monetary outcomes and gambles with uncertain outcomes. We examined preferences by quantifying how uncertainty modulates choice behavior as if altering the subjective valuation of gambles. We explored age-related preferences for two types of uncertainty, risk and ambiguity. Additionally, we explored how aging may alter what information participants utilize to make their choices by comparing the relative utilization of maximizing and satisficing information types through a choice strategy metric. Maximizing information was the ratio of the expected value of the two options, while satisficing information was the probability of winning.We found age-related alterations of economic preferences within the losses domain, but no alterations within the gains domain. Older adults (OA; 61 to 80 years old were significantly more uncertainty averse for both risky and ambiguous choices. OA also exhibited choice strategies with decreased use of maximizing information. Within OA, we found a significant correlation between risk preferences and choice strategy. This linkage between preferences and strategy appears to derive from a convergence to risk neutrality driven by greater use of the effortful maximizing strategy. As utility maximization and value maximization intersect at risk neutrality, this result suggests that OA are exhibiting a relationship between enhanced rationality and enhanced value maximization. While there was variability in economic decision-making measures within OA, these individual differences were unrelated to variability within examined measures of cognitive ability. Our results demonstrate that aging alters economic

  16. Indicator value of certain aquatic organisms for radioactive substances in the sea areas off the Loviisa and Ilkiluoto nuclear power plants (Finland)[Radioecology

    Energy Technology Data Exchange (ETDEWEB)

    Ilus, E.; Klemola, S.; Ikaeheimonen, T.K.; Vartti, V.P.; Mattila, J. [STUK - radiation and Nuclear Safety Authority, Helsinki (Finland)

    2006-04-15

    The results of the marine radioecology studies carried out in 2000-2001 in the sea areas off the Loviisa and Olkiluoto Nuclear Power Plants (South and West coast of Finland) are reported. Extensive regular monitoring programmes of environmental radioactivity have been carried out already for about 30 years in these areas. The aim of the present study was to compare the indicator value of the various members of the aquatic ecosystem with respect to environmental monitoring. Samples were taken from 27 species including phytoplankton (9 samples), zooplankton (9 samples), periphyton (12 samples), macroalgae and vascular plants (16 samples), benthic animals (8 samples), fish (20 samples) and birds (6). Special attention was paid to different tissues and organs of fish and birds, such as flesh, liver, entrails, bones, milt, spawn, eggs, egg shells etc. (in total 64 samples), because there has been a lot of debate among the opponents of nuclear power in the course of time about the role these objects in the environmental monitoring of the power plants. The samples were taken from relatively small areas both in Loviisa and Olkiluoto, which makes the results well comparable inside each of the sites. (au)

  17. Indicator value of certain aquatic organisms for radioactive substances in the sea areas off the Loviisa and Olkiluoto nuclear power plants (Finland)[Radioecology

    Energy Technology Data Exchange (ETDEWEB)

    Ilus, E.; Klemola, S.; Ikaeheimonen, T.K.; Vartti, V.P.; Mattila, J. [STUK - radiation and Nuclear Safety Authority, Helsinki (Finland)

    2006-04-15

    The results of the marine radioecology studies carried out in 2000-2001 in the sea areas off the Loviisa and Olkiluoto Nuclear Power Plants (South and West coast of Finland) are reported. Extensive regular monitoring programmes of environmental radioactivity have been carried out already for about 30 years in these areas. The aim of the present study was to compare the indicator value of the various members of the aquatic ecosystem with respect to environmental monitoring. Samples were taken from 27 species including phytoplankton (9 samples), zooplankton (9 samples), periphyton (12 samples), macroalgae and vascular plants (16 samples), benthic animals (8 samples), fish (20 samples) and birds (6). Special attention was paid to different tissues and organs of fish and birds, such as flesh, liver, entrails, bones, milt, spawn, eggs, egg shells etc. (in total 64 samples), because there has been a lot of debate among the opponents of nuclear power in the course of time about the role these objects in the environmental monitoring of the power plants. The samples were taken from relatively small areas both in Loviisa and Olkiluoto, which makes the results well comparable inside each of the sites. (au)

  18. Toward Value Co-Creation: Increasing Women’s Presence in Management Positions through Competition against a Set Target

    Directory of Open Access Journals (Sweden)

    Irene Comeig

    2017-10-01

    Full Text Available Despite empirical evidence that women’s presence in management positions is a source of value co-creation for firms, these positions are still male-dominated. Some evidence from experimental economics suggests that one reason for this imbalance is that women shy away from competition. However, most of these studies have focused on competition systems that pit individuals against each other. We present an economic laboratory experiment that compares competition against others with competition against a set target. The crucial difference is that whereas the former involves competing against opponents, the latter does not. Our results show that significantly more women are willing to compete against a set target than against others. Furthermore, there is no reduction in men’s participation and no general efficiency reduction. Our findings suggest that firms that aim at value co-creation and sustainability through a gender-neutral promotion mechanism should introduce competition against a set target and reduce competition against others. This paper contributes to dispelling stereotypes about women’s reluctance to compete.

  19. Technology Alliance Portfolios and Financial Performance : Value-Enhancing and Cost-Increasing Effects of Open Innovation

    NARCIS (Netherlands)

    Faems, Dries; de Visser, Matthias; Andries, Petra; Van Looy, Bart

    Firms increasingly adopt an open innovation model in which they rely on technology alliances to complement and supplement their internal innovation efforts. Although previous studies provide in-depth insight into the impact of technology alliances on the innovation performance, they remain

  20. Technology alliance portfolios and financial performance: Value-enhancing and cost-increasing effects of open innovation.

    NARCIS (Netherlands)

    Faems, D.L.M.; de Visser, Matthias; Andries, Petra; van Looy, Bart; van Looy, Bart

    2010-01-01

    Firms increasingly adopt an open innovation model in which they rely on technology alliances to complement and supplement their internal innovation efforts. Although previous studies provide in-depth insight into the impact of technology alliances on the innovation performance, they remain

  1. Technology Alliance Portfolios and Financial Performance : Value-Enhancing and Cost-Increasing Effects of Open Innovation

    NARCIS (Netherlands)

    Faems, Dries; de Visser, Matthias; Andries, Petra; Van Looy, Bart

    2010-01-01

    Firms increasingly adopt an open innovation model in which they rely on technology alliances to complement and supplement their internal innovation efforts. Although previous studies provide in-depth insight into the impact of technology alliances on the innovation performance, they remain

  2. Bell's palsy: what is the prognostic value of measurements of signal intensity increases with contrast enhancement on MRI?

    Energy Technology Data Exchange (ETDEWEB)

    Kress, B.P.J.; Efinger, K.; Solbach, T.; Gottschalk, A.; Baehren, W. [Department of Radiology, Armed Forces Hospital, Deutsche Bundeswehr, Ulm (Germany); Griesbeck, F.; Kornhuber, A.W. [Department of Neurology/Psychiatry, Armed Forces Hospital, Deutsche Bundeswehr, Ulm (Germany)

    2002-05-01

    Our objective was to assess the prognostic value of measurements of the degree of contrast enhancement of the intratemporal segments of the facial nerve. We prospectively obtained MRI, slice thickness <1 mm of 20 patients with a facial palsy on the first day of inpatient treatment, and measured contrast enhancement of the nerve. The data were compared with compound muscle action potential (CMAP) measurements and the clinical course. Analysis of the initial enabled differentiation of three patients whose palsy was to show no improvement from 17 whose palsy was to resolve as expected. No patient with a poor outcome showed lesser increase in signal in the internal auditory canal, pars tympanica and pars mastoidea than patients who fully recovered. In no patient who had been diagnosed on the basis of the initial MRI as having a ''normal'' palsy was the amplitude of the (CMAP) reduced to less than 20% that of the normal side. Measurement of contrast enhancement was thus shown to be a prognostic indicator and may provide a basis for a differential treatment of facial palsy. (orig.)

  3. Predictive value of serum Inhibin-B levels as an indicator of the presence of testicular spermatozoa in non-obstructive azoospermia

    Directory of Open Access Journals (Sweden)

    Marwan Alhalabi

    2016-12-01

    Full Text Available Introduction: Inhibin-B is glycoproteins of the transforming growth factor-β superfamily, is produced almost exclusively by the Sertoli cells and has been proposed as direct markers of their function and indirect markers of spermatogenesis. Our objective was to evaluate the predictive value of serum Inhibin-B levels as an indicator of the presence of testicular spermatozoa in non-obstructive azoospermia (NOA, compared with other markers such as FSH and testicular volume. Material and methods: A total of 228 patients with idiopathic non-obstructive azoospermia (NOA were recruited in this prospective study. Inhibin-B in serum has been evaluated before sperm retrieval by Enzyme-Linked Immuno-Sorbent Assay (Elisa, in addition to FSH and testosterone. Testicular volume was measured by sonography. Testicular Fine Needle Aspiration (FNA and Testicular Sperm Extraction (TESE were performed for sperm retrieval. The patients were classified according to the presence or absence of Testicular spermatozoa into two groups (I and II respectively. Results: Spermatozoa were retrieved in 87 patients (38.16%, classified as group I and were absent in 141 patients (61.84% classified as group II. Mean serum Inhibin-B ± SD was significantly higher in group I than in group II, 71.77 versus 27.49 respectively (P < 0.001. The odds ratio of Inhibin-B for success of sperm retrieval was 1.0409 (95% CI: 1.0286–1.0533. Serum Inhibin-B demonstrated that the best inhibin-B value threshold for discriminating between successful and failed sperm retrieval was 35 pg/ml, with a sensitivity of 75.86 (95% Confidence interval [CI]: 65.5–84.4 and specificity of 80.85 (CI: 73.4–87.0 for the prediction of the presence of testicular spermatozoa as determined by the receiver operating characteristic (ROC curve analysis and area under curve (AUC. Conclusions: Inhibin-B might be a predictive marker of persistent spermatogenesis in the men with non-obstructive azoospermia.

  4. Increased value creation by industrial refining of natural gas in Norway?; Oekt verdiskaping gjennom industriell foredling av naturgass i Norge?

    Energy Technology Data Exchange (ETDEWEB)

    Skjelvik, John Magne; Kjelland, Torunn; Bakke, Kathrine Stene; Pedersen, Kent Vincent; Roetnes, Rolf; Fjose, Sveinung

    2009-07-01

    The report assesses whether industrial exploitation of gas from possible new major discoveries outside Northern Norway could be profitable. Profits are uncertain and depend heavily on gas prices. Industrial exploitation depends on the development of large, capital-intensive plants. This increases the financial risk. In a situation where gas export through pipelines is not an alternative industrial exploitation could be an alternative to export via LNG. However, the pressing demand for natural gas increases the probability of the construction of a gas export pipeline as a realistic alternative. Carbon emissions from a land-based plant will be important, and the costs for trading of emission allowances will reduce profitability. The authorities should allow for industrial exploitation to be assessed on an equal basis with pipeline transport and LNG as alternatives for market solutions for major new discoveries. (EW)

  5. Selection on Optimal Haploid Value Increases Genetic Gain and Preserves More Genetic Diversity Relative to Genomic Selection.

    Science.gov (United States)

    Daetwyler, Hans D; Hayden, Matthew J; Spangenberg, German C; Hayes, Ben J

    2015-08-01

    Doubled haploids are routinely created and phenotypically selected in plant breeding programs to accelerate the breeding cycle. Genomic selection, which makes use of both phenotypes and genotypes, has been shown to further improve genetic gain through prediction of performance before or without phenotypic characterization of novel germplasm. Additional opportunities exist to combine genomic prediction methods with the creation of doubled haploids. Here we propose an extension to genomic selection, optimal haploid value (OHV) selection, which predicts the best doubled haploid that can be produced from a segregating plant. This method focuses selection on the haplotype and optimizes the breeding program toward its end goal of generating an elite fixed line. We rigorously tested OHV selection breeding programs, using computer simulation, and show that it results in up to 0.6 standard deviations more genetic gain than genomic selection. At the same time, OHV selection preserved a substantially greater amount of genetic diversity in the population than genomic selection, which is important to achieve long-term genetic gain in breeding populations. Copyright © 2015 by the Genetics Society of America.

  6. Prognostic value of computed tomography pulmonary angiography indices in patients with cancer-related pulmonary embolism: Data from a multicenter cohort study

    International Nuclear Information System (INIS)

    Plasencia-Martínez, Juana María; Carmona-Bayonas, Alberto; Calvo-Temprano, David; Jiménez-Fonseca, Paula; Fenoy, Francisco; Benegas, Mariana; Sánchez, Marcelo; Font, Carme; Varona, Diego; Martínez de la Haza, David

    2017-01-01

    Highlights: • CTPA can predict the prognosis of pulmonary embolism in cancer patients. • Right ventricular dysfunction (RVD) is predictive of complications at 15 days. • The Frank-Starling mechanism is the theoretical framework to interpret RVD signs. • Pulmonary artery obstruction plays a pathophysiological role only in subjects with RVD. • A proposal for an explanation of clinical-radiological dissociation is presented. - Abstract: Objective: To analyze the prognostic value of pulmonary artery obstruction versus right-ventricle (RV) dysfunction radiologic indices in cancer-related pulmonary embolism (PE). Methods: We enrolled 303 consecutive patients with paraneoplastic PE, evaluated by computed tomography pulmonary angiography (CTPA) between 2013 and 2014. The primary outcome measure was serious complications at 15 days. Multivariate analyses were conducted by using binary logistic and robust regressions. Radiological features such as the Qanadli index (QI) and RV dysfunction signs were analyzed with Spearman’s partial rank correlations. Results: RV diameter was the only radiological variable associated with an adverse outcome. Subjects with enlarged RV (diameter > 45 mm) had more 15-day complications (58% versus 40%, p = 0.001). The QI correlated with the RV diameter (r = 0.28, p < 0.001), left ventricle diameter (r = −0.19, p < 0.001), right ventricular-to-left ventricular diameter ratio (r = 0.39, p < 0.001), pulmonary artery diameter (r = 0.22, p < 0.001), and pulmonary artery/ascending aorta ratio (r = 0.27, p < 0.001). A QI ≥ 50% was only associated with 15-day complications in subjects with enlarged RV, inverted intraventricular septum, or chronic cardiopulmonary diseases. The central or peripheral PE location did not affect the correlations among radiological variables and was not associated with clinical outcomes. Conclusions: Right ventricular dysfunction signs in CTPA are more useful than QI in predicting cancer-related PE outcome.

  7. Selection of effective macroalgal species and tracing nitrogen sources on the different part of Yantai coast, China indicated by macroalgal δ{sup 15}N values

    Energy Technology Data Exchange (ETDEWEB)

    Wang, Yujue [Key Laboratory of Coastal Environmental Processes and Ecological Remediation, Yantai Institute of Coastal Zone Research, Chinese Academy of Sciences, Yantai, Shandong 264003 (China); Liu, Dongyan, E-mail: dyliu@yic.ac.cn [Key Laboratory of Coastal Environmental Processes and Ecological Remediation, Yantai Institute of Coastal Zone Research, Chinese Academy of Sciences, Yantai, Shandong 264003 (China); Richard, Pierre [Littoral, Environnement et Sociétés, UMR 7266 CNRS-Université de La Rochelle, 2 rue Olympe de Gouges, 17000 La Rochelle (France); Di, Baoping [Key Laboratory of Coastal Environmental Processes and Ecological Remediation, Yantai Institute of Coastal Zone Research, Chinese Academy of Sciences, Yantai, Shandong 264003 (China)

    2016-01-15

    To determine the dominant nitrogen sources and select effective macroalgal species for monitoring eutrophication along the Yantai coast, the total carbon (TOC), total nitrogen (TN) and nitrogen stable isotope ratio (δ{sup 15}N) in macroalgal tissue were analyzed in conjunction with environmental variables in seawater along the Yantai coastline. The ranges of macroalgal tissue δ{sup 15}N values together with dissolved inorganic nitrogen (DIN) composition indicated that except for the atmospheric deposition, there were three dominant types of nitrogen sources along the Yantai coast, with the agricultural fertilizer usage and factorial wastewater input at the S1 (Zhifu Island coast), the sewage discharge at S2 (the Moon Bay coast), the sewage discharge together with aquaculture impacts at S3 (Fisherman Wharf coast) and S4 (the Horse Island coast). Macroalgal growth were not limited by DIN but limited by P at S2, S3 and S4. Macroalgal species suitable or not for DIN source tracing along the Yantai coast were discussed. For sites with low DIN concentration, many species of three phyla could be used for DIN sources tracing with Laurencia okamurai, Gloiopeltis furcata and Ulva pertusa being ideal species. For site with high DIN concentration, however, species of Rhodophyta were not suitable and only Scytosiphon lomentaria and Monostroma nitidium were chosen. - Highlights: • Yantai coast was affected by three types of DIN sources. • Macroalgal species suitable or not for DIN source tracing were suggested; • TN and δ{sup 15}N were affected by nutrient concentrations and the metabolic factors. • P instead of N limited the tissue N uptake in low nutrient concentration sites.

  8. Prognostic value of computed tomography pulmonary angiography indices in patients with cancer-related pulmonary embolism: Data from a multicenter cohort study

    Energy Technology Data Exchange (ETDEWEB)

    Plasencia-Martínez, Juana María, E-mail: plasen79@gmail.com [Radiology Department, Hospital Universitario Morales Meseguer, Av Marqués de los Vélez, s/n, 30008, Murcia (Spain); Carmona-Bayonas, Alberto [Hematology and Medical Oncology Department, Hospital Universitario Morales Meseguer, Av Marqués de los Vélez, s/n, 30008, Murcia (Spain); Calvo-Temprano, David [Radiology Department, Hospital Universitario Central de Asturias, Avenida de Roma, s/n, 33011, Oviedo (Spain); Jiménez-Fonseca, Paula [Medical Oncology Department, Hospital Universitario Central de Asturias, Avenida de Roma, s/n, 33011, Oviedo (Spain); Fenoy, Francisco [Department of Physiology, Faculty of Medicine, Campus Universitario de Espinardo, University of Murcia, s/n, 30100 Espinardo, Murcia (Spain); Benegas, Mariana; Sánchez, Marcelo [Radiology Department, Hospital Clínic de Barcelona (HCB), Villarroel, 170, 08036, Barcelona (Spain); Font, Carme [Medical Oncology Department, Hospital Clínic de Barcelona, Translational Genomics and Targeted Therapeutics in Solid Tumors, IDIBAPS, Villarroel, 170, 08036, Barcelona (Spain); Varona, Diego [Radiology Department, Hospital Universitari Vall d’Hebron, Passeig de la Vall d' Hebron, 119-129, 08035, Barcelona (Spain); Martínez de la Haza, David [Radiology Department, Hospital Duran i Reynals, Institut Català d’Oncologia (ICO), Avinguda Granvia, 199-203, 08907, Hospitalet de Llobregat, Barcelona (Spain); and others

    2017-02-15

    Highlights: • CTPA can predict the prognosis of pulmonary embolism in cancer patients. • Right ventricular dysfunction (RVD) is predictive of complications at 15 days. • The Frank-Starling mechanism is the theoretical framework to interpret RVD signs. • Pulmonary artery obstruction plays a pathophysiological role only in subjects with RVD. • A proposal for an explanation of clinical-radiological dissociation is presented. - Abstract: Objective: To analyze the prognostic value of pulmonary artery obstruction versus right-ventricle (RV) dysfunction radiologic indices in cancer-related pulmonary embolism (PE). Methods: We enrolled 303 consecutive patients with paraneoplastic PE, evaluated by computed tomography pulmonary angiography (CTPA) between 2013 and 2014. The primary outcome measure was serious complications at 15 days. Multivariate analyses were conducted by using binary logistic and robust regressions. Radiological features such as the Qanadli index (QI) and RV dysfunction signs were analyzed with Spearman’s partial rank correlations. Results: RV diameter was the only radiological variable associated with an adverse outcome. Subjects with enlarged RV (diameter > 45 mm) had more 15-day complications (58% versus 40%, p = 0.001). The QI correlated with the RV diameter (r = 0.28, p < 0.001), left ventricle diameter (r = −0.19, p < 0.001), right ventricular-to-left ventricular diameter ratio (r = 0.39, p < 0.001), pulmonary artery diameter (r = 0.22, p < 0.001), and pulmonary artery/ascending aorta ratio (r = 0.27, p < 0.001). A QI ≥ 50% was only associated with 15-day complications in subjects with enlarged RV, inverted intraventricular septum, or chronic cardiopulmonary diseases. The central or peripheral PE location did not affect the correlations among radiological variables and was not associated with clinical outcomes. Conclusions: Right ventricular dysfunction signs in CTPA are more useful than QI in predicting cancer-related PE outcome.

  9. Selection of effective macroalgal species and tracing nitrogen sources on the different part of Yantai coast, China indicated by macroalgal δ15N values

    International Nuclear Information System (INIS)

    Wang, Yujue; Liu, Dongyan; Richard, Pierre; Di, Baoping

    2016-01-01

    To determine the dominant nitrogen sources and select effective macroalgal species for monitoring eutrophication along the Yantai coast, the total carbon (TOC), total nitrogen (TN) and nitrogen stable isotope ratio (δ 15 N) in macroalgal tissue were analyzed in conjunction with environmental variables in seawater along the Yantai coastline. The ranges of macroalgal tissue δ 15 N values together with dissolved inorganic nitrogen (DIN) composition indicated that except for the atmospheric deposition, there were three dominant types of nitrogen sources along the Yantai coast, with the agricultural fertilizer usage and factorial wastewater input at the S1 (Zhifu Island coast), the sewage discharge at S2 (the Moon Bay coast), the sewage discharge together with aquaculture impacts at S3 (Fisherman Wharf coast) and S4 (the Horse Island coast). Macroalgal growth were not limited by DIN but limited by P at S2, S3 and S4. Macroalgal species suitable or not for DIN source tracing along the Yantai coast were discussed. For sites with low DIN concentration, many species of three phyla could be used for DIN sources tracing with Laurencia okamurai, Gloiopeltis furcata and Ulva pertusa being ideal species. For site with high DIN concentration, however, species of Rhodophyta were not suitable and only Scytosiphon lomentaria and Monostroma nitidium were chosen. - Highlights: • Yantai coast was affected by three types of DIN sources. • Macroalgal species suitable or not for DIN source tracing were suggested; • TN and δ 15 N were affected by nutrient concentrations and the metabolic factors. • P instead of N limited the tissue N uptake in low nutrient concentration sites.

  10. The dynamics of somatic indicators of basketball players under the influence of the special exercises which are directed to the increase of stability of the vestibular analyzer

    Directory of Open Access Journals (Sweden)

    Yevhen Kharchenko

    2016-06-01

    Full Text Available Purpose: to determine stability of the vestibular analyzer of basketball players of the team of KhSAPC by indicators of somatic displacements after the standard vestibular irritations on the Barany chair, after the introduction of the special exercises in the educational – training process, which are directed on the increase of stability of the vestibular sensor-based system. Material & Methods: the analysis of references, methods of definition of a functional condition of the vestibular analyzer on indicators of somatic displacements before and after the irritation on the Barany chair, methods of mathematical statistics. 12 boys – basketball players of the men's national team of KhSAPC took part in the researches. Results: somatic indicators of a functional condition of the vestibular analyzer of students – basketball players of the team of KhSAPC, and, their changes under the influence of rotary loadings before the pedagogical experiment are given in the article. Conclusions: the analysis of the results which were received after the experiment showed the considerable improvement of indicators, according to the testing of the motive test (4x9 m (s, hand dynamometry of 100% of a maximum and 50% of a maximum of the right and left hands (р0,05.

  11. Increasing the calcium content of mealworms (Tenebrio molitor) to improve their nutritional value for bone mineralization of growing chicks.

    Science.gov (United States)

    Klasing, K C; Thacker, P; Lopez, M A; Calvert, C C

    2000-12-01

    The purpose of these studies was to determine the husbandry variables that optimize the Ca content of mealworms (Tenebrio molitor) and to determine the bioavailability of this Ca for bone mineralization in chicks that consume the mealworms. To determine the optimal level of Ca in the substrates used in short-term (mealworms and to determine the length of time that mealworms should be exposed to high-Ca substrates, mealworms were placed in either a wheat bran or a chicken starter substrate supplemented with 0, 4, 8, or 12% Ca from CaCO3. The mealworms were harvested after 0.5, 1, 2, 3, 4, 7, or 14 days. The Ca content of the mealworms was greatest with the use of chicken starter and increased linearly with the Ca content of the substrate. In general, the Ca content of the mealworms increased during the first 24 hr and decreased after > or = 1 wk, especially at the higher levels of Ca supplementation. The chicken starter also resulted in higher levels of vitamin D in mealworms. Mealworms held in wheat bran with 8% Ca were fed to growing chicks. Ca bioavailability was calculated from the chicks' bone ash. The Ca in these mealworms was 76% as bioavailable as the Ca in oyster shell.

  12. Utility of population models to reduce uncertainty and increase value relevance in ecological risk assessments of pesticides: an example based on acute mortality data for daphnids.

    Science.gov (United States)

    Hanson, Niklas; Stark, John D

    2012-04-01

    Traditionally, ecological risk assessments (ERA) of pesticides have been based on risk ratios, where the predicted concentration of the chemical is compared to the concentration that causes biological effects. The concentration that causes biological effect is mostly determined from laboratory experiments using endpoints on the level of the individual (e.g., mortality and reproduction). However, the protection goals are mostly defined at the population level. To deal with the uncertainty in the necessary extrapolations, safety factors are used. Major disadvantages with this simplified approach is that it is difficult to relate a risk ratio to the environmental protection goals, and that the use of fixed safety factors can result in over- as well as underprotective assessments. To reduce uncertainty and increase value relevance in ERA, it has been argued that population models should be used more frequently. In the present study, we have used matrix population models for 3 daphnid species (Ceriodaphnia dubia, Daphnia magna, and D. pulex) to reduce uncertainty and increase value relevance in the ERA of a pesticide (spinosad). The survival rates in the models were reduced in accordance with data from traditional acute mortality tests. As no data on reproductive effects were available, the conservative assumption that no reproduction occurred during the exposure period was made. The models were used to calculate the minimum population size and the time to recovery. These endpoints can be related to the European Union (EU) protection goals for aquatic ecosystems in the vicinity of agricultural fields, which state that reversible population level effects are acceptable if there is recovery within an acceptable (undefined) time frame. The results of the population models were compared to the acceptable (according to EU documents) toxicity exposure ratio (TER) that was based on the same data. At the acceptable TER, which was based on the most sensitive species (C. dubia

  13. Infection increases the value of nuptial gifts, and hence male reproductive success, in the Hymenolepis diminuta-Tenebrio molitor association.

    Science.gov (United States)

    Hurd, Hilary; Ardin, Richard

    2003-01-01

    During copulation, male insects pass accessory gland components to the female with the spermatophore. These gifts can affect female reproductive behaviour, ovulation and oviposition. Here, we show that female mealworm beetles, Tenebrio molitor, mated with males infected with metacestodes of the rat tapeworm, Hymenolepis diminuta, produced significantly more offspring than those mated with uninfected males. There is a significant positive relationship between parasite intensity in the male and reproductive output in the female. Infection results in a significant increase in bean-shaped accessory gland (BAG) size. We suggest that infected males pass superior nuptial gifts to females and discuss the confounding effects of infection in male and female beetles upon overall fitness costs of infection for the host and the likelihood that the parasite is manipulating host investment in reproduction. PMID:14667373

  14. Increasing Student’s Character Values by Utilizing Combination of Team Accelerated Instruction (TAI and Numbered Heads Together (NHT

    Directory of Open Access Journals (Sweden)

    Ita Nuryana

    2016-06-01

    Full Text Available This research aims to obtain empirical evidence of the effectiveness of combining Team Accelerated Instruction (TAI and Numbered Heads Together (NHT learning strategies in teaching Investments to improve students’ discipline, creativity, diligence, and participation. Population was students who enrolled in Intermediate Financial Accounting 2 course in Economics Education Department; Economics Faculty of Universitas Negeri Semarang The sample of the research consists of 48 students. Data were collected by using observations, interviews, and documentation. The stages of the research include planning, implementation, monitoring and evaluation, analysis, and reflection. Findings show that the combination of TAI and NHT does not improve students’ learning outcomes even thought it manages to increase students’ pre-test score in learning Investments as well as their participation in classroom.

  15. OPPORTUNITIES TO INCREASE THE VALUE OF SLOVENIA’S TRADE IN GOODS WITH THE PACIFIC RIM COUNTRIES – THE CASE OF AUSTRALIA

    Directory of Open Access Journals (Sweden)

    DEJAN ROMIH

    2014-10-01

    Full Text Available Slovenia is, like many other countries, especially small ones, dependent on exports and imports of goods and services. European countries are Slovenia’s main trade partners, together accounting for almost 90 per cent of the value of Slovenia’s trade in goods. There are various reasons for this, such as the relatively short distance between Slovenia and other European countries. If Slovenia wants to increase the value of its trade with non-European countries, it should adopt a number of measures, such as increasing the effectiveness and efficiency of its trade promotion. In this paper the authors discuss opportunities to increase the value of Slovenia’s trade in goods with the Pacific Rim countries by focusing on the specific case of Australia.

  16. Solid-State Fermentation of Silybum marianum L. Seeds Used as Additive to Increase the Nutritional Value of Wheat Bread

    Directory of Open Access Journals (Sweden)

    Dalia Cizeikiene

    2013-01-01

    Full Text Available In the present study Silybum marianum L. seeds were fermented using solid-state fermentation (SSF with several lactic acid bacteria (LAB of Lactobacillus and Pediococcus genera, isolated from spontaneously fermented Lithuanian rye sourdough. A possibility to improve sensory properties (flavour of Silybum marianum L. seeds using LAB fermentation was investigated. The composition of volatile compounds of the unfermented and LAB-fermented seeds of this plant was analyzed using gas chromatography-mass spectrometry (GC-MS. Fermented seeds have shown considerable differences mainly due to the accumulation of higher alcohols. Total amount of phenolic compounds, flavonoids and 2,2-diphenylpicrylhydrazyl (DPPH radical scavenging activity of unfermented and fermented seeds were determined spectrophotometrically. The obtained results indicate that Silybum marianum L. seeds are a valuable source of bioactive compounds. The highest content of phenolic compounds and flavonoids (4596 and 1346 mg of rutin equivalents (RE per 100 g, respectively was determined in the seeds fermented with Pediococcus acidilactici KTU05-7 bacteria in solid-state fermentation. Silybum marianum L. seeds fermented with P. acidilactici KTU05-7 and Pediococcus pentosaceus KTU05-9 showed stronger antioxidant activity (1263 and 1041 mg of RE per 100 g, respectively, compared to the unfermented seeds (805 mg of RE per 100 g. The addition of Silybum marianum L. seeds fermented with P. acidilactici KTU05-7 bacteria had the highest effect on the decrease of the bacterial spoilage of bread. The aroma compounds from the fermented seeds extracted with supercritical carbon dioxide demonstrated the highest antimicrobial activity against the tested microorganisms. Ultrasonic pretreatment of the seeds reduced the total amount of microorganisms in the raw material. Microbiological tests revealed that the highest antimicrobial effect was achieved using the solid-state fermentation conditions. This

  17. About increasing informativity of diagnostic system of asynchronous electric motor by extracting additional information from values of consumed current parameter

    Science.gov (United States)

    Zhukovskiy, Y.; Korolev, N.; Koteleva, N.

    2018-05-01

    This article is devoted to expanding the possibilities of assessing the technical state of the current consumption of asynchronous electric drives, as well as increasing the information capacity of diagnostic methods, in conditions of limited access to equipment and incompleteness of information. The method of spectral analysis of the electric drive current can be supplemented by an analysis of the components of the current of the Park's vector. The research of the hodograph evolution in the moment of appearance and development of defects was carried out using the example of current asymmetry in the phases of an induction motor. The result of the study is the new diagnostic parameters of the asynchronous electric drive. During the research, it was proved that the proposed diagnostic parameters allow determining the type and level of the defect. At the same time, there is no need to stop the equipment and taky it out of service for repair. Modern digital control and monitoring systems can use the proposed parameters based on the stator current of an electrical machine to improve the accuracy and reliability of obtaining diagnostic patterns and predicting their changes in order to improve the equipment maintenance systems. This approach can also be used in systems and objects where there are significant parasitic vibrations and unsteady loads. The extraction of useful information can be carried out in electric drive systems in the structure of which there is a power electric converter.

  18. Resistive indices of cerebral arteries in very preterm infants : values throughout stay in the neonatal intensive care unit and impact of patent ductus arteriosus

    NARCIS (Netherlands)

    Ecury-Goossen, Ginette M; Raets, Marlou M A; Camfferman, Fleur A; Vos, Rik H J; van Rosmalen, Joost; Reiss, Irwin K M; Govaert, Paul; Dudink, Jeroen

    BACKGROUND: Little is known about cerebral artery resistive index values in infants born extremely preterm. OBJECTIVE: To report resistive index values in various cerebral arteries in a prospective cohort of preterm infants born at <29 weeks' gestation, and to compare resistive index in these

  19. Antioxidant responses to an acute ultra-endurance exercise: impact on DNA stability and indications for an increased need for nutritive antioxidants in the early recovery phase.

    Science.gov (United States)

    Neubauer, Oliver; Reichhold, Stefanie; Nics, Lukas; Hoelzl, Christine; Valentini, Judit; Stadlmayr, Barbara; Knasmüller, Siegfried; Wagner, Karl-Heinz

    2010-10-01

    Antioxidant requirements have neither been defined for endurance nor been defined for ultra-endurance athletes. To verify whether an acute bout of ultra-endurance exercise modifies the need for nutritive antioxidants, we aimed (1) to investigate the changes of endogenous and exogenous antioxidants in response to an Ironman triathlon; (2) to particularise the relevance of antioxidant responses to the indices of oxidatively damaged blood lipids, blood cell compounds and lymphocyte DNA and (3) to examine whether potential time-points of increased susceptibility to oxidative damage are associated with alterations in the antioxidant status. Blood that was collected from forty-two well-trained male athletes 2 d pre-race, immediately post-race, and 1, 5 and 19 d later was sampled. The key findings of the present study are as follows: (1) Immediately post-race, vitamin C, α-tocopherol, and levels of the Trolox equivalent antioxidant capacity, the ferric reducing ability of plasma and the oxygen radical absorbance capacity (ORAC) assays increased significantly. Exercise-induced changes in the plasma antioxidant capacity were associated with changes in uric acid, bilirubin and vitamin C. (2) Significant inverse correlations between ORAC levels and indices of oxidatively damaged DNA immediately and 1 d post-race suggest a protective role of the acute antioxidant responses in DNA stability. (3) Significant decreases in carotenoids and γ-tocopherol 1 d post-race indicate that the antioxidant intake during the first 24 h of recovery following an acute ultra-endurance exercise requires specific attention. Furthermore, the present study illustrates the importance of a diversified and well-balanced diet to maintain a physiological antioxidant status in ultra-endurance athletes in reference to recommendations.

  20. Increase of Substance P Concentration in Saliva after Pharyngeal Electrical Stimulation in Severely Dysphagic Stroke Patients – an Indicator of Decannulation Success?

    Directory of Open Access Journals (Sweden)

    Paul Muhle

    2017-10-01

    Full Text Available Background/Aims: Substance P (SP is a neuropeptide, likely acting as a neurotransmitter in the pharyngeal mucosa enhancing the swallow and cough reflex. Pharyngeal Electrical Stimulation (PES induces a temporary increase of salivary SP levels in healthy adults. Previous evidence suggests that post-stroke dysphagia is related to reduced SP levels. Here, we investigated the effects of PES on SP levels in severely dysphagic stroke patients and a possible link between increase of SP and treatment success. Methods: 23 tracheotomized stroke patients who could not be decannulated due to severe and persisting dysphagia according to endoscopic evaluation received PES for 10 minutes a day over three consecutive days in this prospective single-center study. If initial treatment failed, repetitive stimulation cycles were provided. Saliva samples were collected before and directly after each PES. Results: 61% of participants were decannulated after the first treatment cycle. Increase of SP levels post-stimulation was closely related to treatment success, i.e. decannulation with 79% of successfully treated patients showing increase of SP, whereas 89% of unsuccessfully treated patients had stable or decreased SP levels. Applying logistic regression analysis, increase of SP level remained the only independent predictor of decannulation after PES. All 3 repetitively treated patients showed increased SP levels when progressing from the 1st to the 2nd cycle, two of whom were decannulated hereafter. Conclusions: The physiological mechanism of PES may consist in restoration of sensory feedback, which is known to be crucial for the execution of a safe swallow. SP possibly acts as a biomarker for indicating response to PES.

  1. Birth asphyxia measured by the pH value of the umbilical cord blood may predict an increased risk of attention deficit hyperactivity disorder.

    Science.gov (United States)

    Mikkelsen, Susanne Hvolgaard; Olsen, Jørn; Bech, Bodil Hammer; Wu, Chunsen; Liew, Zeyan; Gissler, Mika; Obel, Carsten; Arah, Onyebuchi

    2017-06-01

    Although birth asphyxia is a major risk factor for neonatal and childhood morbidity and mortality, it has not been investigated much in relation to attention deficit hyperactivity disorder (ADHD). We examined whether birth asphyxia measured by the pH of the blood in the umbilical artery cord was associated with childhood ADHD. A population-based cohort of 295 687 children born in Finland between 1991 and 2002 was followed until December 31, 2007. ADHD was identified by the International Classification of Diseases, 10th edition, as a diagnosis of hyperkinetic disorder. We examined the risk of ADHD with varying pH values using Cox regression, taking time trends into consideration. When compared to the reference group, a pH value below 7.10 was significantly associated with an increased risk of ADHD. The strongest risks were observed among children with a pH value value did not contribute much to the risk among children with an Apgar score of 0-3. Birth asphyxia, defined by low pH value, may predict an increased risk of ADHD in childhood. The association between the pH value and ADHD was homogenous when stratified by gestational age and the Apgar score. ©2017 Foundation Acta Paediatrica. Published by John Wiley & Sons Ltd.

  2. The Trend of Mean BMI Values of US Adults, Birth Cohorts 1882-1986 Indicates that the Obesity Epidemic Began Earlier than Hitherto Thought

    OpenAIRE

    John Komlos; Marek Brabec

    2010-01-01

    The trend in the BMI values of the US population has not been estimated accurately because time series data are unavailable and because the focus has been on calculating period effects. In contrast to the prevailing strategies, we estimate the trend and rate of change of BMI values by birth cohorts stratified by gender and ethnicity born 1882-1986. We use loess additive regression models to estimate age and trend effects of BMI values of US-born black and white adults measured between 1959 an...

  3. The reinforcing value of vegetables does not increase with repeated exposure during a randomized controlled provided vegetable intervention among overweight and obese adults

    Science.gov (United States)

    Objective: The primary aim of this randomized controlled trial is to determine whether the relative reinforcing value (RRV) of vegetables compared to a snack food can be increased through repeated exposure (incentive sensitization) to amounts of vegetables recommended by the Dietary Guidelines for A...

  4. The prognostic value of the clinical ACR classification criteria of knee osteoarthritis for persisting knee complaints and increase of disability in general practice

    NARCIS (Netherlands)

    Belo, J. N.; Berger, M. Y.; Koes, B. W.; Bierma-Zeinstra, S. M. A.

    2009-01-01

    Objective: To assess the prognostic value of the clinical American College of Rheumatism (ACR) classification criteria of knee osteoarthritis (OA) on persisting knee complaints and increase of disability in adult patients with knee pain in general practice after 1-year follow-up. Methods: Patients

  5. Increased soluble serum markers caspase-cleaved cytokeratin-18, histones, and ST2 indicate apoptotic turnover and chronic immune response in COPD.

    Science.gov (United States)

    Hacker, Stefan; Lambers, Christopher; Pollreisz, Andreas; Hoetzenecker, Konrad; Lichtenauer, Michael; Mangold, Andreas; Niederpold, Tina; Hacker, Andreas; Lang, György; Dworschak, Martin; Vukovich, Thomas; Gerner, Christopher; Klepetko, Walter; Ankersmit, Hendrik Jan

    2009-01-01

    Chronic obstructive pulmonary disease (COPD) is a worldwide burden and a major cause of death. The disease is accompanied by chronic inflammation and increased cellular turnover that is partly due to an overwhelming induction of apoptosis. In this study, we hypothesized that systemic markers of apoptosis are altered in patients with mild-to-severe COPD. A total number of 64 patients and controls were enrolled in the study. Lung function parameters of all groups (nonsmoker, healthy smoker, COPD GOLD I&II, COPD GOLD III&IV) were evaluated at the time of inclusion. Enzyme-linked immunosorbent assays were used to quantify protein levels in serum samples. Serum contents of apoptotic end-products caspase-cleaved cytokeratin-18 and histone-associated-DNA-fragments were increased in patients with COPD, whereas anti-inflammatory soluble ST2 showed a peak in patients with COPD I&II (P=0.031) compared to healthy smokers. Levels of pro-inflammatory caspase-1/ ICE correlated significantly with the number of pack years (R=0.337; P=0.007). Our results indicate a systemic release of apoptosis-specific proteins as markers for increased cellular turnover accompanied by progression of COPD. Furthermore, soluble ST2 seems to have a critical role in the anti-inflammatory regulatory mechanism at early stages of the disease.

  6. Value of electroneurography as a prognostic indicator for recovery in acute severe inflammatory facial paralysis: a prospective study of Bell's palsy and Ramsay Hunt syndrome.

    Science.gov (United States)

    Byun, Hayoung; Cho, Yang-Sun; Jang, Jeon Yeob; Chung, Kyu Whan; Hwang, Soojin; Chung, Won-Ho; Hong, Sung Hwa

    2013-10-01

    To evaluate the prognostic and predictive value of electroneuronography (ENoG) in acute severe inflammatory facial paralysis, including Bell's palsy and Ramsay Hunt syndrome (RHS). Prospective observational study. Patients with acute severe facial paralysis of House-Brackmann (H-B) grade IV or worse and diagnosed with Bell's palsy or RHS were enrolled from August 2007 to July 2011. After treatment with oral corticosteroid, antiviral agent, and protective eye care, patients were followed up until recovery or 12 months from onset. Sixty-six patients with Bell's palsy and 22 with RHS were included. Multiple logistic regression analysis showed significant effect of ENoG value on recovery in both Bell's palsy and RHS. Values of ENoG were significantly worse in RHS than Bell's palsy. Chance of early recovery within 6 weeks after correction of ENoG effect was still significantly worse in RHS. Logistic regression analysis showed 90% chance of recovery within 6 months, expected with ENoG values of 69.2% degeneration (Bell's palsy) and 59.3% (RHS). The receiver operating characteristics (ROC) curves showed ENoG values of 82.5% (Bell's palsy) and 78.0% (RHS) as a critical cutoff value of nonrecovery until 1 year, with the best sensitivity and specificity. A higher chance of recovery was expected with better ENoG in Bell's palsy and RHS. Based on our data, nonrecovery is predicted in patients with ENoG value greater than 82.5% in Bell's palsy, and 78% in RHS. 4. Copyright © 2013 The American Laryngological, Rhinological and Otological Society, Inc.

  7. Increasing value and reducing waste

    DEFF Research Database (Denmark)

    Chan, An-Wen; Song, Fujian; Vickers, Andrew

    2014-01-01

    for only half of all studies and are plagued by selective reporting of methods and results. Furthermore, information provided in study protocols and reports varies in quality and is often incomplete. When full information about studies is inaccessible, billions of dollars in investment are wasted, bias...... is introduced, and research and care of patients are detrimentally affected. To help to improve this situation at a systemic level, three main actions are warranted. First, academic institutions and funders should reward investigators who fully disseminate their research protocols, reports, and participant......-level datasets. Second, standards for the content of protocols and full study reports and for data sharing practices should be rigorously developed and adopted for all types of health research. Finally, journals, funders, sponsors, research ethics committees, regulators, and legislators should endorse...

  8. Increased dependence of leucine in posttraumatic sepsis: leucine/tyrosine clearance ratio as an indicator of hepatic impairment in septic multiple organ failure syndrome.

    Science.gov (United States)

    Pittiruti, M; Siegel, J H; Sganga, G; Coleman, B; Wiles, C E; Belzberg, H; Wedel, S; Placko, R

    1985-09-01

    The body clearance of 10 plasma amino acids (AA) was determined from the rate of compared muscle-released AA and AA administered by infusion of total parenteral nutrition (TPN) compared to their estimated extracellular (ECW) pool in patients with multiple trauma with (n = 10) or without (n = 16) sepsis at 8-hour intervals. In both nonseptic and septic trauma, increasing TPN increased the mean clearance rate of all infused AA. When the individual AA clearance rates were normalized by the total AA infusion rate, regression-covariance analysis revealed that patients with sepsis had relatively impaired clearances of alanine (p less than 0.01) and methionine, proline, phenylalanine, and tyrosine p less than 0.05 for all). In contrast, the clearances of branched-chain AA (BCAA) valine and isoleucine were maintained, and the clearance of leucine was higher (p less than 0.05) in trauma patients with sepsis than in those without. At any AA infusion rate, compared with surviving patients with sepsis (p less than 0.05), patients who developed fatal multiple organ failure syndrome (MOFS) showed increased clearances of all BCAA with further impaired clearance of tyrosine. The clearance ratio of leucine/tyrosine was increased in MOFS at any AA infusion rate (p less than 0.0001), was an indicator of severity, and, if persistent, was a manifestation of a fatal outcome. Because tyrosine metabolism occurs almost entirely in the liver while leucine can be utilized by viscera and muscle, these data suggest early and progressive septic impairment of the pattern of hepatic uptake and oxidation of AA with a greater body dependence on BCAA, especially leucine, as septic MOFS develops.

  9. Increasing public support for food-industry related, obesity prevention policies: The role of a taste-engineering frame and contextualized values.

    Science.gov (United States)

    Ortiz, Selena E; Zimmerman, Frederick J; Adler, Gary J

    2016-05-01

    Support for policies to combat obesity is often undermined by a public sense that obesity is largely a matter of personal responsibility. Industry rhetoric is a major contributor to this perception, as the soda/fast food/big food companies emphasize choice and individual agency in their efforts to neutralize policies that are burdensome. Yet obesity experts recognize that environmental forces play a major role in obesity. We investigate whether exposure to a taste-engineering frame increases support for food and beverage policies that address obesity. A taste-engineering frame details strategies used by the food industry to engineer preferences and increase the over-consumption of processed foods and sugary beverages. We also examine the effects of exposure to two contextualized values that have recently been promoted in expert discourse-consumer knowledge and consumer safety - on public support of policies. Our research shows how causal frames and contextualized values may effectively produce support for new obesity policies. We use an online survey experiment to test the effects of exposure to a taste-engineering frame (TEF), the value of consumer knowledge (CK), or the value of consumer safety (CS), on level of support for a range of policies. A random sample of adults, age 18 + living in the United States was included in the study (N = 2580). Ordered logistic regression was used to measure the effects of treatment exposure. The primary outcome was level-of-support for four (4) food-industry related, obesity prevention policies (aka food and beverage policies): 1) require food-manufacturers to disclose the amount of additives in food products on food packaging; 2) require food-manufacturers to advertise food products in accordance with their actual nutritional value; 3) prohibit all high-fat, high-sugar food advertising on television programming watched primarily by children; and 4) increase healthy food availability in work sites, schools, and hospitals

  10. Elderly benzodiazepine users at increased risk of activity limitations: influence of chronicity, indications, and duration of action--the three-city cohort.

    Science.gov (United States)

    Carrière, Isabelle; Mura, Thibault; Pérès, Karine; Norton, Joanna; Jaussent, Isabelle; Edjolo, Arlette; Rouaud, Olivier; Berr, Claudine; Ritchie, Karen; Ancelin, Marie Laure

    2015-08-01

    To examine the cross-sectional and longitudinal associations between benzodiazepine use and daily activity limitations, according to drug indications and duration of action. Prospective cohort study. Population-based three-city study. 6,600 participants aged 65 years and over included between 1999 and 2001 and followed after 2, 4, and 7 years. Benzodiazepine users were separated into hypnotic, short-acting anxiolytic, and long-acting anxiolytic users and compared with non users. Three outcomes were examined assessing restrictions in mobility, instrumental activities of daily living (IADLs) and social participation. In multivariate simple or mixed logistic models adjusted for sociodemographic variables, impairments and comorbidity, and for anxiety, insomnia, and depression, hypnotic benzodiazepines were moderately associated with mobility limitation prevalence and IADL limitation incidence. Short-acting and long-acting anxiolytics were associated with IADL limitation prevalence and with mobility limitation prevalence and incidence and long-acting anxiolytics were also associated with IADL limitation incidence. Chronic benzodiazepines users were at a marked risk of developing restrictions for the three outcomes; odds ratio: 1.71 (95% CI: 1.23-2.39) for mobility, 1.54 (95% CI: 1.14-2.10) for IADL, and 1.74 (95% CI: 1.23-2.47) for participation limitations. Benzodiazepine users are at increased risk of activity limitations regardless of the duration of action or indication. Chronic use of benzodiazepines should be avoided in order to extend disability-free survival. Copyright © 2015 American Association for Geriatric Psychiatry. Published by Elsevier Inc. All rights reserved.

  11. Ultrafiltration of skimmed goat milk increases its nutritional value by concentrating nonfat solids such as proteins, Ca, P, Mg, and Zn.

    Science.gov (United States)

    Moreno-Montoro, Miriam; Olalla, Manuel; Giménez-Martínez, Rafael; Bergillos-Meca, Triana; Ruiz-López, María Dolores; Cabrera-Vique, Carmen; Artacho, Reyes; Navarro-Alarcón, Miguel

    2015-11-01

    Goat milk has been reported to possess good nutritional and health-promoting properties. Usually, it must be concentrated before fermented products can be obtained. The aim of this study was to compare physicochemical and nutritional variables among raw (RM), skimmed (SM), and ultrafiltration-concentrated skimmed (UFM) goat milk. The density, acidity, ash, protein, casein, whey protein, Ca, P, Mg, and Zn values were significantly higher in UFM than in RM or SM. Dry extract and fat levels were significantly higher in UFM than in SM, and Mg content was significantly higher in UFM than in RM. Ultrafiltration also increased the solubility of Ca and Mg, changing their distribution in the milk. The higher concentrations of minerals and proteins, especially caseins, increase the nutritional value of UFM, which may therefore be more appropriate for goat milk yogurt manufacturing in comparison to RM or SM. Copyright © 2015 American Dairy Science Association. Published by Elsevier Inc. All rights reserved.

  12. Increase in socio-economic value of the fresh water fishery by reductions in the sulfur precipitation. [Norway]. Oekt samfunnsoekonomisk verdi av ferskvannsfisket ved reduksjoner i svovelnedfallet

    Energy Technology Data Exchange (ETDEWEB)

    Navrud, S

    1985-01-29

    A reduction of about 30% in the sulfur out-lets in Europe would lead to approximately the same reduction in acid precipitation in the South of Norway. The resulting improvement of water quality would facilitate improvements in the fish population. The report discussed various methods of measuring the socio-economic value of an assumed marginal increase of the amount of fresh water fish and recommends a ''parcel of methods'' in order to solve the estimation problem. A reduction of 30% in the acid precipitation would result in a total yearly socio-economic value increase of approximately 37 millions Norwegian kroners measured by the total willingness of payment by the Norwegian population - wich probably is an underestimation. 66 references, 22 drawings, 5 tables.

  13. A surge of p-values between 0.041 and 0.049 in recent decades (but negative results are increasing rapidly too)

    Science.gov (United States)

    Dodou, Dimitra

    2015-01-01

    It is known that statistically significant (positive) results are more likely to be published than non-significant (negative) results. However, it has been unclear whether any increasing prevalence of positive results is stronger in the “softer” disciplines (social sciences) than in the “harder” disciplines (physical sciences), and whether the prevalence of negative results is decreasing over time. Using Scopus, we searched the abstracts of papers published between 1990 and 2013, and measured longitudinal trends of multiple expressions of positive versus negative results, including p-values between 0.041 and 0.049 versus p-values between 0.051 and 0.059, textual reporting of “significant difference” versus “no significant difference,” and the reporting of p 0.05. We found no support for a “hierarchy of sciences” with physical sciences at the top and social sciences at the bottom. However, we found large differences in reporting practices between disciplines, with p-values between 0.041 and 0.049 over 1990–2013 being 65.7 times more prevalent in the biological sciences than in the physical sciences. The p-values near the significance threshold of 0.05 on either side have both increased but with those p-values between 0.041 and 0.049 having increased to a greater extent (2013-to-1990 ratio of the percentage of papers = 10.3) than those between 0.051 and 0.059 (ratio = 3.6). Contradictorily, p 0.05 (ratios = 1.4 and 4.8, respectively), while the use of “significant difference” has shown only a modest increase compared to “no significant difference” (ratios = 1.5 and 1.1, respectively). We also compared reporting of significance in the United States, Asia, and Europe and found that the results are too inconsistent to draw conclusions on cross-cultural differences in significance reporting. We argue that the observed longitudinal trends are caused by negative factors, such as an increase of questionable research practices, but also by

  14. From 1985 to 1995: Opec petroleum exports have a 72,8% increase but their real value has a 38,9% decrease

    International Nuclear Information System (INIS)

    Anon.

    1996-01-01

    Here is described the situation of Opec petroleum export, exports whom volume has increased while the value has decreased. The author would like to warn the Opec countries of this very damageable situation for countries which burn their wealth when they are going to have great needs with an increasing population in the next years to come. As the petroleum demand is continuing to grow, each barrel which is not produced now will be produced in ten, twenty or thirty years and then it will be sold at a price very superior at nowadays one. (N.C.)

  15. Evidence for increased cellular uptake of glutamate and aspartate in the rat hippocampus during kainic acid seizures. A microdialysis study using the "indicator diffusion' method

    DEFF Research Database (Denmark)

    Bruhn, T; Christensen, Thomas; Diemer, Nils Henrik

    1997-01-01

    Using a newly developed technique, based on microdialysis, which allows cellular uptake of glutamate and aspartate to be studied in awake animals, we investigated uptake of glutamate and aspartate in the hippocampal formation of rats during limbic seizures induced by systemical administration of ....... The results indicate that during KA-induced seizures, uptake of glutamate and aspartate is increased, possibly aimed at maintaining the extracellular homeostasis of these two excitatory amino acids.......Using a newly developed technique, based on microdialysis, which allows cellular uptake of glutamate and aspartate to be studied in awake animals, we investigated uptake of glutamate and aspartate in the hippocampal formation of rats during limbic seizures induced by systemical administration...... of kainic acid (KA). With [14C]mannitol as an extracellular reference substance, the cellular extraction of the test substance [3H]D-aspartate was measured at different stages of seizure-activity. The results were compared to those obtained in a sham operated control group. During severe generalized clonic...

  16. Efficacy of a numerical value of a fixed-effect estimator in stochastic frontier analysis as an indicator of hospital production structure

    Directory of Open Access Journals (Sweden)

    Kawaguchi Hiroyuki

    2012-09-01

    Full Text Available Abstract Background The casemix-based payment system has been adopted in many countries, although it often needs complementary adjustment taking account of each hospital’s unique production structure such as teaching and research duties, and non-profit motives. It has been challenging to numerically evaluate the impact of such structural heterogeneity on production, separately of production inefficiency. The current study adopted stochastic frontier analysis and proposed a method to assess unique components of hospital production structures using a fixed-effect variable. Methods There were two stages of analyses in this study. In the first stage, we estimated the efficiency score from the hospital production function using a true fixed-effect model (TFEM in stochastic frontier analysis. The use of a TFEM allowed us to differentiate the unobserved heterogeneity of individual hospitals as hospital-specific fixed effects. In the second stage, we regressed the obtained fixed-effect variable for structural components of hospitals to test whether the variable was explicitly related to the characteristics and local disadvantages of the hospitals. Results In the first analysis, the estimated efficiency score was approximately 0.6. The mean value of the fixed-effect estimator was 0.784, the standard deviation was 0.137, the range was between 0.437 and 1.212. The second-stage regression confirmed that the value of the fixed effect was significantly correlated with advanced technology and local conditions of the sample hospitals. Conclusion The obtained fixed-effect estimator may reflect hospitals’ unique structures of production, considering production inefficiency. The values of fixed-effect estimators can be used as evaluation tools to improve fairness in the reimbursement system for various functions of hospitals based on casemix classification.

  17. The predictive values of three noninvasive indices in diagnosis of liver fibrosis in patients with chronic hepatitis B: a comparative study

    Directory of Open Access Journals (Sweden)

    ZHUANG Xiaofang

    2016-08-01

    Full Text Available ObjectiveTo investigate the values of FibroTouch, FIB-4 index, and aspartate aminotransferase-to-platelet ratio index (APRI in the diagnosis of liver fibrosis in patients with chronic hepatitis B (CHB. MethodsA total of 148 patients with CHB who visited Traditional Chinese Medicine Hospital of Xinjiang Uygur Autonomous Region and underwent liver biopsy from September 2013 to May 2015 were enrolled and divided into groups according to fibrosis stage. All the patients underwent blood biochemical examination, routine blood tests, and FibroTouch measurement. Then FIB-4 and APRI were calculated, and liver stiffness was recorded. The receiver operating characteristic (ROC curve was used to calculate the area under the ROC curve (AUC and determine the cut-off value, sensitivity, and specificity. Chi-square test was used for comparison between two groups, and the Pearson rank correlation analysis was also performed. ResultsFibroTouch, APRI, and FIB-4 were well correlated with fibrosis stage (r=0.628, 0.486, and 0482, respectively, all P<0.01. In the marked liver fibrosis (≥S2 group and liver cirrhosis (S4 group, FibroTouch had the best diagnostic performance, with AUCs of 0.84 and 0.93, respectively, followed by APRI, which had AUCs of 0.79 and 0.87, respectively; FIB-4 index had the worst diagnostic performance, with AUCs of 0.77 and 0.84, respectively. In patients with a fibrosis stage of ≥S2 or S4, FibroTouch had a better diagnostic value than APRI and FIB-4 (Z=21.589, P<0.001; Z=18.896, P<0.001; Z=11.192, P=0.001; Z=16.891, P<0.001, and APRI had a better diagnostic value than FIB-4 (Z=46.918, P<0.001; Z=35.334, P<0.001. ConclusionFibroTouch can accurately evaluate the presence of liver fibrosis and fibrosis degree and help most patients avoid invasive liver biopsy.

  18. Development of small and medium business (SMES) of mango dodol processing to increase the added value (a case study in Ujungjaya Village, Indramayu District, West Java)

    Science.gov (United States)

    Sulistyowati, L.; Pardian, P.; Syamsyiah, N.; Deliana, Y.

    2018-03-01

    In the national economic development in Indonesia, Small and Medium Enterprises (SMEs) become a priority to be developed, because SMEs can be the backbone of the populist economic system to reduce the problem of poverty. In addition, the development of SMEs is able to expand the economic base and can contribute to the increase of added value, in addition it would also serve to open employment opportunities in rural areas. Indramayu is one of the three mango production centers in West Java that face the problem that there are about 20% of the mangoes that is not worth selling. This opportunity is utilized by women who are members of KUB (Joint Business Group) to be processed into mango dodol at household scale. But this effort has not been widespread, only pioneered by a small portion of women. This study aims toobserve the driving force of women to participate in the processing of mango dodol, and whether the mango processing business to become mango dodol is profitable, also how much added value obtained. This study uses case study method with interview for data collection, participant observation and documentation study. While the data analysis technique using Hayami Value-added Method and descriptive analysis. The results revealed that the factors that affect the women’s participation in the processing of dodol is to increase family income, take advantage of spare time and take advantage of rejected mangoes. The added value obtained in mango dodol processing is Rp.50.600,00 per kilogram of input, with a value-added ratio of 52.8%. For the development of SMEs mangoes Training and socialization are needed for the good dodol processing and hygienic according to SOP (Standard Operational Procedure) from the relevant institutions, innovation in packaging, pioneering business partnerships with stores in the city of Indramayu and surrounding areas, and support financing from banks with an affordable interest rate.

  19. Patterns of database citation in articles and patents indicate long-term scientific and industry value of biological data resources [version 1; referees: 2 approved

    Directory of Open Access Journals (Sweden)

    David Bousfield

    2016-02-01

    Full Text Available Data from open access biomolecular data resources, such as the European Nucleotide Archive and the Protein Data Bank are extensively reused within life science research for comparative studies, method development and to derive new scientific insights. Indicators that estimate the extent and utility of such secondary use of research data need to reflect this complex and highly variable data usage. By linking open access scientific literature, via Europe PubMedCentral, to the metadata in biological data resources we separate data citations associated with a deposition statement from citations that capture the subsequent, long-term, reuse of data in academia and industry.  We extend this analysis to begin to investigate citations of biomolecular resources in patent documents. We find citations in more than 8,000 patents from 2014, demonstrating substantial use and an important role for data resources in defining biological concepts in granted patents to both academic and industrial innovators. Combined together our results indicate that the citation patterns in biomedical literature and patents vary, not only due to citation practice but also according to the data resource cited. The results guard against the use of simple metrics such as citation counts and show that indicators of data use must not only take into account citations within the biomedical literature but also include reuse of data in industry and other parts of society by including patents and other scientific and technical documents such as guidelines, reports and grant applications.

  20. Prognostic value of metabolic indices and bone marrow uptake pattern on preoperative 18F-FDG PET/CT in pediatric patients with neuroblastoma

    Energy Technology Data Exchange (ETDEWEB)

    Li, Chao; Chen, Suyun; Huang, Shuo; Wu, Shuqi; Zhang, Linlin; Zhang, Fengxian; Wang, Hui [Shanghai Jiao Tong University School of Medicine, Department of Nuclear Medicine, Xinhua Hospital, Shanghai (China); Zhang, Jian [Shanghai Jiao Tong University School of Medicine, Department of Nuclear Medicine, Xinhua Hospital, Shanghai (China); Shanghai Universal Medical Imaging Diagnostic Center, Shanghai (China)

    2018-02-15

    To evaluate the prognostic value of metabolic parameters and bone marrow uptake (BMU) patterns on pretherapeutic 18-F-fluorodeoxyglucose (18F-FDG) positron emission tomography/computed tomography (PET/CT) in pediatric patients with neuroblastoma (NB). Forty-seven pediatric patients with newly diagnosed neuroblastoma who underwent 18F-FDG PET/CT were retrospectively reviewed. Clinicopathological factors and metabolic parameters including maximum standardized uptake value (SUVmax), metabolic tumor volume (MTV), total lesion glycolysis (TLG) and bone marrow uptake patterns on PET/CT were compared to predict recurrence-free survival (RFS) and overall survival (OS) by univariate and multivariate analysis. During the follow-up period, 27 (57.4%) patients experienced recurrence. MTV (P = 0.001), TLG (P = 0.004) and BMU patterns (P = 0.025) remained significant predictive factors for tumor recurrence, along with tumor size, histology, stage, lactate dehydrogenase (LDH) and other distant metastasis (except bone metastasis). Univariate analysis showed that histology, stage, tumor size (>37.25 cm), other distant metastasis, MTV (>88.10cm{sup 3}) and TLG (>1045.2 g) and BMU patterns correlated with both RFS and OS (P < 0.05). On multivariate analysis, TLG remained the only independent prognostic factor for RFS (P = 0.016) and OS (P = 0.012), and BMU patterns and MTV were statistically significant for OS (P = 0.024 and P = 0.038, respectively). Pretherapeutic 18F-FDG PET/CT can provide reliable prognostic information for neuroblastoma pediatric patients, and patients with high MTV, TLG and focal bone marrow (unifocal and multifocal) uptake on PET/CT may have inferior outcomes during subsequent treatment. (orig.)

  1. An assessment of the hypervariable domains of the 16S rRNA genes for their value in determining microbial community diversity: the paradox of traditional ecological indices.

    Science.gov (United States)

    Mills, DeEtta K; Entry, James A; Voss, Joshua D; Gillevet, Patrick M; Mathee, Kalai

    2006-09-01

    Amplicon length heterogeneity PCR (LH-PCR) was investigated for its ability to distinguish between microbial community patterns from the same soil type under different land management practices. Natural sagebrush and irrigated mouldboard-ploughed soils from Idaho were queried as to which hypervariable domains, or combinations of 16S rRNA gene domains, were the best molecular markers. Using standard ecological indices to measure richness, diversity and evenness, the combination of three domains, V1, V3 and V1+V2, or the combined V1 and V3 domains were the markers that could best distinguish the undisturbed natural sagebrush communities from the mouldboard-ploughed microbial communities. Bray-Curtis similarity and multidimensional scaling were found to be better metrics to ordinate and cluster the LH-PCR community profiling data. The use/misuse of traditional ecological indices such as diversity and evenness to study microbial community profiles will remain a major point to consider when performing metagenomic studies.

  2. Immunohistochemical Ki-67/KL1 double stains increase accuracy of Ki-67 indices in breast cancer and simplify automated image analysis

    DEFF Research Database (Denmark)

    Nielsen, Patricia S; Bentzer, Nina K; Jensen, Vibeke

    2014-01-01

    observers and automated image analysis. RESULTS: Indices were predominantly higher for single stains than double stains (P≤0.002), yet the difference between observers was statistically significant (PPearson correlation coefficient for manual and automated indices ranged from 0.......69 to 0.85 (Pcorrelating automated indices with tumor characteristics, for example, tumor size (P... stains, Ki-67 should be quantified on double stains to reach a higher accuracy. Automated indices correlated well with manual estimates and tumor characteristics, and they are thus possibly valuable tools in future exploration of Ki-67 in breast cancer....

  3. Increasing in-service reliability and measurement accuracy in the indicator measurement technology; Erhoehung der Betriebssicherheit und der Messgenauigkeit in der Indizier-Messtechnik

    Energy Technology Data Exchange (ETDEWEB)

    Sonntag, R.; Kaenel, A. von; Gossweiler, C.; Wolfer, P. [Kistler Instrumente AG, Winterthur (Switzerland)

    2002-07-01

    The developers of pressure-sensors are faced with new challenges by actual trends in engine design, particularly by the increase in number and range of functions within a more compact packaging, and the steadily rising demands for greater measurement accuracy. The methodology of the systematic analysis of measurement uncertainties is demonstrated against the background of achieving increased in-service reliability and measurement accuracy in indicated pressure measurement technology. Examples of current practice are given to validate the methodology. The main focus is on demonstrating ways to optimize sensor properties. Detailed consideration is given to short-time drift as a result of thermal shock effects, also to methods and the potential of acceleration-compensation. One should also not neglect external influences on the measurement accuracy of a measurement chain. This is tackled by analysis of installation prerequisites and proposals for design optimization. It can be shown, by means of a simulation procedure, which measurement errors can be caused by a sensor-sensitivity being incorrectly set, i.e. one which does not best suit the pressure range of the engine. From this, one can deduct the benefits of a sensor-identification device that automatically selects and installs in the amplifier the sensitivity which best suits the pressure range of the engine. (orig.) [German] Aktuelle Trends im Motorenbau, insbesondere Funktionssteigerungen bei kompakterem Packaging, and stetig wachsende Genauigkeitsanforderungen stellen die Entwickler von Drucksensoren vor neue Herausforderungen. Vor dem Hintergrund, Betriebssicherheit und Messgenauigkeit in der Indizier-Messtechnik zu verbessern, wird die gewaehlte Methode der systematischen Analyse der Messunsicherheit dargelegt und durch Praxisbeispiele konkretisiert. Schwerpunktmaessig wird die Optimierung von Sensoreigenschaften dargestellt. Detailliert werden Kurzzeitdrift als Folge des Thermoschockeffektes, Methode und

  4. Value of Implementation of Strategies to Increase the Adherence of Health Professionals and Cancer Survivors to Guideline-Based Physical Exercise.

    Science.gov (United States)

    Mewes, Janne C; Steuten, Lotte M G; IJsbrandy, Charlotte; IJzerman, Maarten J; van Harten, Wim H

    2017-12-01

    To increase the adherence of health professionals and cancer survivors to evidence-based physical exercise, effective implementation strategies (ISTs) are required. To examine to what extent these ISTs provide value for money and which IST has the highest expected value. The net benefit framework of health economic evaluations is used to conduct a value-of-implementation analysis of nine ISTs. Seven are directed to health professionals and two to cancer survivors. The analysis consists of four steps: 1) analyzing the expected value of perfect implementation (EVPIM); 2) assessing the estimated costs of the various ISTs; 3) comparing the ISTs' costs with the EVPIM; and 4) assessing the total net benefit (TNB) of the ISTs. These steps are followed to identify which strategy has the greatest value. The EVPIM for physical exercise in the Netherlands is €293 million. The total costs for the ISTs range from €34,000 for printed educational materials for professionals to €120 million for financial incentives for patients, and thus all are cost-effective. The TNB of the ISTs that are directed to professionals ranges from €5.7 million for printed educational materials to €30.9 million for reminder systems. Of the strategies that are directed to patients, only the motivational program had a positive net benefit of €100.4 million. All the ISTs for cancer survivors, except for financial incentives, had a positive TNB. The largest improvements in adherence were created by a motivational program for patients, followed by a reminder system for professionals. Copyright © 2017 International Society for Pharmacoeconomics and Outcomes Research (ISPOR). Published by Elsevier Inc. All rights reserved.

  5. Serum thyroglobulin and urinary iodine concentration are the most appropriate indicators of iodine status and thyroid function under conditions of increasing iodine supply in schoolchildren in Benin

    NARCIS (Netherlands)

    van den Briel, T.; West, C. E.; Hautvast, J. G.; Vulsma, T.; de Vijlder, J. J.; Ategbo, E. A.

    2001-01-01

    Iodine deficiency control programs have greatly reduced iodine deficiency disorders worldwide. For monitoring changes in iodine status, different indicators may be used. The aim of this study was to evaluate the suitability of indicators of iodine status and thyroid function, thyroglobulin (Tg),

  6. Increased Incidence and Altered Risk Demographics of Childhood Lead Poisoning: Predicting the Impacts of the CDC’s 5 µg/dL Reference Value in Massachusetts (USA)

    Science.gov (United States)

    Handler, Phoebe; Brabander, Daniel

    2012-01-01

    In May 2012, the CDC adopted a new sliding scale reference value for childhood lead poisoning, reducing the former 10 µg/dL benchmark by half. Using Massachusetts (MA) as a model state, we estimated the change in the population of 9–47 month-olds at risk for lead poisoning. We then examined the impact of the 5 µg/dL reference value on the demographic characteristics of lead risk in MA communities. We find that the new CDC benchmark will lead to a 1470% increase in childhood lead poisoning cases among 9–47 month-olds in MA, with nearly 50% of the examined communities experiencing an increased prevalence of lead poisoning. Further, the top 10 MA communities with BLLs ≥5 µg/dL have significantly fewer foreign-born residents and significantly larger white populations than the highest risk communities formerly identified by the MA Childhood Lead Poisoning Prevention Program. The CDC’s new 5 µg/dL lead poisoning benchmark will drastically increase the number of children with elevated BLLs and alter the distribution and demographics high-risk communities in MA. PMID:23202824

  7. The flashing right turn signal with pedestrian indication : human factors studies to understand the potential of a new signal to increase awareness of and attention to crossing pedestrians.

    Science.gov (United States)

    2015-12-01

    The flashing pedestrian indicator (FPI) is intended to alert turning drivers to the potential presence of : pedestrians in the roadway, facilitate scanning in the likely direction of pedestrians, and encourage caution and : yielding behavior in respo...

  8. Increased expression of high-mobility group A2: A novel independent indicator of poor prognosis in patients with esophageal squamous cell carcinoma

    Directory of Open Access Journals (Sweden)

    Rongna Wei

    2016-01-01

    Conclusions: High HMGA2 expression was related to lymph node metastasis and poor prognosis in ESCC. Our results indicated that HMGA2 could act as a potential biomarker for prognosis evaluation of ESCC patients.

  9. Clinical value and indication for the dissection of lymph nodes posterior to the right recurrent laryngeal nerve in papillary thyroid carcinoma.

    Science.gov (United States)

    Luo, Ding-Cun; Xu, Xiao-Cheng; Ding, Jin-Wang; Zhang, Yu; Peng, You; Pan, Gang; Zhang, Wo

    2017-10-03

    Lymph nodes posterior to the right recurrent laryngeal nerve (LN-prRLN) are common sites of nodal recurrence after the resection of papillary thyroid carcinoma (PTC). However, the indication for LN-prRLN dissection remains debatable. We therefore studied the relationships between LN-prRLN metastasis and the clinicopathological characteristics in 306 patients with right or bilateral PTC who underwent LN-prRLN dissection. We found that LN-prRLN metastasis occurred in 16.67% of PTC and was associated with a number of the clinicopathological features. The receiver-operator characteristic (ROC) analysis showed that the areas under the ROC curves for the prediction of LN-prRLN metastasis by the risk factors age right tumor size > 0.85 cm, lymph node (right cervical central VI-1) number > 1.5, metastatic lymph node (right cervical central VI-1) size > 0.45 cm, and lymph node number in the right cervical lateral compartment > 0.5 were 0.601, 0.815, 0.813, 0.725, and 0.743, respectively. In conclusion, the risk factors for LN-prRLN metastasis in patients suffering right thyroid lobe or bilateral PTC include age ≤ 35.5 years, right tumor size ≥ 0.85 cm, capsular invasion, metastatic lymph node (right cervical central VI-1) number ≥ 2, metastatic lymph node (right cervical central VI-1) size ≥ 0.45 cm, and metastatic lymph node number in the right cervical lateral compartment ≥ 1. In patients whose risk factors can be identified pre-operatively or intraoperatively, the dissection of LN-pr-RLN should be considered during right cervical central compartment dissection.

  10. Old age and poor prognosis increase the likelihood of disagreement between cancer patients and their oncologists on the indication for resuscitation attempt

    DEFF Research Database (Denmark)

    Saltbaek, Lena; Michelsen, Hanne M; Nelausen, Knud M

    2013-01-01

    The do-not-resuscitate decision is a common ethical problem. However, the concordance between patients' preferences and physicians' assessments of the indication for cardiopulmonary resuscitation attempt (CPR) has only been modestly investigated.......The do-not-resuscitate decision is a common ethical problem. However, the concordance between patients' preferences and physicians' assessments of the indication for cardiopulmonary resuscitation attempt (CPR) has only been modestly investigated....

  11. The Value of Value

    DEFF Research Database (Denmark)

    Sørensen, Asger

    parts of business ethics given prominence to especially one term, namely `value'. The question that interests me is the following: What does the articulation of ethics and morality in terms of values mean for ethics and morality as such. Or, to put the question in a more fashionably way: What......As a social scientist of ethics and morality, Luhmann has noticed the ethical wave that has recently swept across the western world, and states that this particular kind of wave seems to have a wavelength of about one hundred years (cf. Luhmann 1989: 9 ff.). Even though the frequency...... and the regularity of such a phenomenon is both hard to verify and, if true, difficult to explain, it seems fair to say that since the Enlightenment, an approaching fin-de-siecle has brought an increased interest in matters concerning morality and ethics.1 The present peak has in public-political discourse and some...

  12. The use of probabilistic safety assessment (PSA) based maintenance indicators to increase the availability of safety related systems in nuclear power plants

    International Nuclear Information System (INIS)

    Kirchsteiger, C.

    1991-04-01

    This work describes the theoretical development of a Probabilistic Safety Assessment (PSA) based Performance Indicator (PI) model for a comprehensive Maintenance Efficiency Analysis (MEA) and its practical application to past operational history data of a certain nuclear power plant. Plant specific equipment history and maintenance work on data have been collected and analysed using various advanced statistical procedures (nonparametric methods, multivariate analysis in order to be able to estimate safety system related equipment and maintenance process trends. The main results of such a MEA case study are the trends in the (in)effectiveness of the performance of a selected safety system and its dominant components as well as the detection of the dominant maintenance related causes of its bad (good) equipment performance. Finally, the therefrom gained results are used to propose a new set of safety system-based and maintenance-related performance indicators, including suggestions for a corresponding plant specific maintenance data collection system. (author)

  13. The use of probabilistic safety assessment based maintenance indicators to increase the availability of safety related systems in nuclear power plants

    International Nuclear Information System (INIS)

    Kirchsteiger, C.

    1991-04-01

    This work describes the theoretical development of a Probabilistic Safety Assessment (PSA) based Performance Indicator (PI) model for a comprehensive Maintenance Efficiency Analysis (MEA) and its practical application to past operational history data of a certain Nuclear Power Plant. Plant specific equipment history and maintenance work order data have been collected and analysed using various advanced statistical procedures (nonparametric methods, multivariate analysis) in order to be able to estimate safety system related equipment and maintenance process trends. The main results of such a MEA case study are the trends in the (in)effectiveness of the performance of a selected safety system and its dominant maintenance related causes of its bad (good) equipment performance. Finally, the therefrom gained results are used to propose a new set of safety system based and maintenance related Performance Indicators, including suggestions for a corresponding plant specific maintenance data collection system. (author)

  14. A Customer’s Possibilities to Increase the Performance of a Service Provider by Adding Value and Deepening the Partnership in Facility Management Service

    Directory of Open Access Journals (Sweden)

    Sillanpää Elina

    2016-06-01

    Full Text Available Reliable and good suppliers are an important competitive advantage for a customer and that is why the development of suppliers, improvement of performance and enhancement of customership are also in the interest of the customer. The purpose of this study is to clarify a customer’s possibilities to increase the performance of a service provider and to develop the service process in FM services and thus help to improve partnership development. This research is a qualitative research. The research complements the existing generic model of supplier development towards partnership development by customer and clarifies the special features that facility management services bring to this model. The data has been gathered from interviews of customers and service providers in the facility management service sector. The result is a model of customers’ possibilities to develop the performance of service providers from the viewpoint of value addition and relationship development and in that way ensure added value to the customer and the development of a long-term relationship. The results can be beneficial to customers when they develop the cooperation between the customer and the service provider toward being more strategic and more partnership focused.

  15. How to Increase the Value of Student in the Curriculum Education%课程教学如何为学生增值

    Institute of Scientific and Technical Information of China (English)

    赵宇萱

    2011-01-01

    教育学中学生的"增值"是指学生在课程学习中各种能力的提升及其职业素质的养成。商务沟通课程教学高度重视理论讲解和实际操作相结合;充分发挥学生主体作用,引导他们构建自己的知识体系;注重学生职业道德培养和心理素质的提高是促进学生增值的途径。%In pedagogy,the increase in value of student refers the student improve each kind of ability and the professional ethics in the curriculum.The teaching of "Business Communication" discussed how to make students get added value through curriculum education from three ways.First,it put forward that curriculum education must attach great importance to combine the theory and the practice.Second,it expounded that curriculum education must bring into full play the main role of students,guide them to construct their own knowledge system and form their own characteristics.Finally,it pointed out that curriculum education must focus on students' training of emotional intelligence and improvement of will and moral character.

  16. Impact of increasing heat waves on U.S. ozone episodes in the 2050s: Results from a multimodel analysis using extreme value theory

    Science.gov (United States)

    Shen, L.; Mickley, L. J.; Gilleland, E.

    2016-04-01

    We develop a statistical model using extreme value theory to estimate the 2000-2050 changes in ozone episodes across the United States. We model the relationships between daily maximum temperature (Tmax) and maximum daily 8 h average (MDA8) ozone in May-September over 2003-2012 using a Point Process (PP) model. At ~20% of the sites, a marked decrease in the ozone-temperature slope occurs at high temperatures, defined as ozone suppression. The PP model sometimes fails to capture ozone-Tmax relationships, so we refit the ozone-Tmax slope using logistic regression and a generalized Pareto distribution model. We then apply the resulting hybrid-extreme value theory model to projections of Tmax from an ensemble of downscaled climate models. Assuming constant anthropogenic emissions at the present level, we find an average increase of 2.3 d a-1 in ozone episodes (>75 ppbv) across the United States by the 2050s, with a change of +3-9 d a-1 at many sites.

  17. Deep Value

    DEFF Research Database (Denmark)

    Asness, Clifford S.; Liew, John M.; Pedersen, Lasse Heje

    premium. Following these episodes, the value strategy has (1) high average returns; (2) low market betas, but high betas to a global value factor; (3) deteriorating fundamentals; (4) negative news sentiment; (5) selling pressure; (6) increased limits to arbitrage; and (7) increased arbitrage activity...

  18. Stability of the calcium hydroxyzincate protective layer developed on galvanized reinforcements after a further increase of the pH value

    Directory of Open Access Journals (Sweden)

    Andrade, C.

    1986-12-01

    Full Text Available In previous works on galvanized reinforcements in contact with Ca- containing highly alkaline media, the authors have reported the existence of a threshold pH of 13,3 ± 0,1, below which the Zn in contact with such a medium is passivated by formation of a continuous layer of calcium hydroxyzincate, but at pH values above this it corrodes continuously until it totally disappears. The investigation on the stability of the calcium hydroxyzincate layer after an increase of the pH to very high alkaline values, is the aim of the present paper. It has been establised that if the calcium hydroxyzincate is perfectly developed, a later increase of the pH does not affect the stability.

    En trabajos anteriores que estudian el comportamiento de armaduras galvanizadas en contacto con medios muy alcalinos que contienen calcio, los autores han señalado la existencia de un umbral de pH = 13,3 ±0,1 por debajo del cual el Zn en contacto con tales medios se pasiva por formación de una capa continua de hidroxizincato calcico, mientras que para valores de pH superiores se corroe continuamente hasta su total desaparición. Establecer la estabilidad del recubrimiento protector de hidroxizincato calcico a un aumento de pH a valores muy alcalinos posterior a su formación, es el objetivo del presente artículo. Como resultado de las investigaciones realizadas ha podido concluirse que si el recubrimiento de hidroxizincato cálcico se ha desarrollado perfectamente, un posterior incremento del pH del medio no afecta su estabilidad.

  19. Methods of Estimation the Reliability and Increasing the Informativeness of the Laboratory Results (Analysis of the Laboratory Case of Measurement the Indicators of Thyroid Function

    Directory of Open Access Journals (Sweden)

    N A Kovyazina

    2014-06-01

    Full Text Available The goal of the study was to demonstrate the multilevel laboratory quality management system and point at the methods of estimating the reliability and increasing the amount of information content of the laboratory results (on the example of the laboratory case. Results. The article examines the stages of laboratory quality management which has helped to estimate the reliability of the results of determining Free T3, Free T4 and TSH. The measurement results are presented by the expanded uncertainty and the evaluation of the dynamics. Conclusion. Compliance with mandatory measures for laboratory quality management system enables laboratories to obtain reliable results and calculate the parameters that are able to increase the amount of information content of laboratory tests in clinical decision making.

  20. Methods of Estimation the Reliability and Increasing the Informativeness of the Laboratory Results (Analysis of the Laboratory Case of Measurement the Indicators of Thyroid Function)

    OpenAIRE

    N A Kovyazina; N A Alhutova; N N Zybina; N M Kalinina

    2014-01-01

    The goal of the study was to demonstrate the multilevel laboratory quality management system and point at the methods of estimating the reliability and increasing the amount of information content of the laboratory results (on the example of the laboratory case). Results. The article examines the stages of laboratory quality management which has helped to estimate the reliability of the results of determining Free T3, Free T4 and TSH. The measurement results are presented by the expanded unce...

  1. Drastic increase of myosin light chain MLC-2 in senescent skeletal muscle indicates fast-to-slow fibre transition in sarcopenia of old age.

    Science.gov (United States)

    Gannon, Joan; Doran, Philip; Kirwan, Anne; Ohlendieck, Kay

    2009-11-01

    The age-dependent decline in skeletal muscle mass and function is believed to be due to a multi-factorial pathology and represents a major factor that blocks healthy aging by increasing physical disability, frailty and loss of independence in the elderly. This study has focused on the comparative proteomic analysis of contractile elements and revealed that the most striking age-related changes seem to occur in the protein family representing myosin light chains (MLCs). Comparative screening of total muscle extracts suggests a fast-to-slow transition in the aged MLC population. The mass spectrometric analysis of the myofibril-enriched fraction identified the MLC2 isoform of the slow-type MLC as the contractile protein with the most drastically changed expression during aging. Immunoblotting confirmed an increased abundance of slow MLC2, concomitant with a switch in fast versus slow myosin heavy chains. Staining of two-dimensional gels of crude extracts with the phospho-specific fluorescent dye ProQ-Diamond identified the increased MLC2 spot as a muscle protein with a drastically enhanced phosphorylation level in aged fibres. Comparative immunofluorescence microscopy, using antibodies to fast and slow myosin isoforms, confirmed a fast-to-slow transformation process during muscle aging. Interestingly, the dramatic increase in slow MLC2 expression was restricted to individual senescent fibres. These findings agree with the idea that aged skeletal muscles undergo a shift to more aerobic-oxidative metabolism in a slower-twitching fibre population and suggest the slow MLC2 isoform as a potential biomarker for fibre type shifting in sarcopenia of old age.

  2. Stable carbon and nitrogen isotope values of dorsal spine age rings indicate temporal variation in the diet of striped marlin (Kajikia audax) in waters around Cabo San Lucas, Mexico.

    Science.gov (United States)

    Acosta-Pachón, Tatiana A; Ortega-García, Sofia; Graham, Brittany

    2015-09-30

    Billfishes, such as marlin, are top pelagic predators that play an important role in maintaining the stability of marine food webs. Notwithstanding the importance of these species, there remain gaps in our knowledge on their movements, foraging, and trophic status in the early stage of life. We measured the δ(13)C and δ(15)N values in each annual growth band deposited in the dorsal spine from striped marlin caught off Cabo San Lucas, Mexico, to produce retrospective isotopic profiles that would enable us to detect any significant isotopic changes across development. The samples were analyzed using an elemental analyzer coupled to an isotope ratio mass spectrometer. There was no relationship between the size of striped marlin and the δ(15) N values. Differences in δ(15)N mean values across different age classes were not significant and the variation in δ(15)N values through the marlins' life cycle was less than 2‰. However, the mean δ(15)N values between individuals varied by up to 6‰. The δ(13)C values increased as a function of age, and the mean δ(13)C values varied significantly between age classes. Fin spines can be used to construct retrospective isotopic histories for the investigation of trophic dynamics and migratory histories in billfishes, for which population dynamics are often poorly known. Copyright © 2015 John Wiley & Sons, Ltd.

  3. Use value, exchange value, and resource scarcity

    International Nuclear Information System (INIS)

    Stern, D.I.

    1999-01-01

    The literature on natural resource scarcity indicators is reviewed. Scarcity indicators can be classified by what is being measured: value of the resource stock or value of extracted resource commodities; whose value is considered: social vs. private scarcity; and by the mode of valuation considered: exchange value and use value. Prices and rents are common measures of exchange value or indicators of ''exchange scarcity'' and unit costs can be seen as use value indicators or indicators of u se scarcity . The major aim of this paper is to demonstrate the links between productivity indicators such as unit costs and the classical concept of use value. The two classes of indicator relate to John Commons' discussions of scarcity and efficiency, and a marginal vs. a non-marginal approach to value and scarcity. The classical use value concept also has wider relevance for issues of valuation in energy, resource, and environmental policy. (author)

  4. Increasing the value of health research in the WHO African Region beyond 2015--reflecting on the past, celebrating the present and building the future: a bibliometric analysis.

    Science.gov (United States)

    Uthman, Olalekan A; Wiysonge, Charles Shey; Ota, Martin O; Nicol, Mark; Hussey, Gregory D; Ndumbe, Peter M; Mayosi, Bongani M

    2015-03-13

    To assess the profile and determinants of health research productivity in Africa since the onset of the new millennium. Bibliometric analysis. In November 2014, we searched PubMed for articles published between 2000 and 2014 from the WHO African Region, and obtained country-level indicators from World Bank data. We used Poisson regression to examine time trends in research publications and negative binomial regression to explore determinants of research publications. We identified 107,662 publications, with a median of 727 per country (range 25-31,757). Three countries (South Africa, Nigeria and Kenya) contributed 52% of the publications. The number of publications increased from 3623 in 2000 to 12,709 in 2014 (relative growth 251%). Similarly, the per cent share of worldwide research publications per year increased from 0.7% in 2000 to 1.3% in 2014. The trend analysis was also significant to confirm a continuous increase in health research publications from Africa, with productivity increasing by 10.3% per year (95% CIs +10.1% to +10.5%). The only independent predictor of publication outputs was national gross domestic product. For every one log US$ billion increase in gross domestic product, research publications rose by 105%: incidence rate ratio (IRR=2.05, 95% CI 1.39 to 3.04). The association of private health expenditure with publications was only marginally significant (IRR=1.86, 95% CI 1.00 to 3.47). There has been a significant improvement in health research in the WHO African Region since 2000, with some individual countries already having strong research profiles. Countries of the region should implement the WHO Strategy on Research for Health: reinforcing the research culture (organisation); focusing research on key health challenges (priorities); strengthening national health research systems (capacity); encouraging good research practice (standards); and consolidating linkages between health research and action (translation). Published by the BMJ

  5. Increasing the Value of Research: A Comparison of the Literature on Critical Success Factors for Projects, IT Projects and Enterprise Resource Planning Projects

    Directory of Open Access Journals (Sweden)

    Annie Maddison Warren

    2016-11-01

    Full Text Available Since the beginning of modern project management in the 1960s, academic researchers have sought to identify a definitive list of Critical Success Factors (CSFs, the key things that project managers must get right in order to deliver a successful product. With the advent of Information Technology (IT projects and, more recently, projects to deliver Enterprise Resource Planning (ERP systems, attention has turned to identifying definitive lists of CSFs for these more specific project types. The purpose of this paper is to take stock of this research effort by examining how thinking about each type of project has evolved over time, before producing a consolidated list of CSFs for each as a basis for comparison. This process reveals a high degree of similarity, leading to the conclusion that the goal of identifying a generic list of CSFs for project management has been achieved. Therefore, rather than continuing to describe lists of CSFs, researchers could increase the value of their contribution by taking a step forward and focusing on why, despite this apparent knowledge of how to ensure their success, ERP projects continue to fail.

  6. A study of the state of the art on the determination of the threshold values of the performance indicators for safety systems and initiating events of nuclear power plants

    Energy Technology Data Exchange (ETDEWEB)

    Kang, D. I.; Kim, K. Y.; Hwang, M. J.; Park, J. H.; Ha, J. J

    2004-02-01

    The threshold values of Korean Institute of Nuclear Safety (KINS) Performance Indicators (PIs)' determining the safety class of initiating events and safety systems can not sufficiently reflect the operating experience and PSA results of domestic NPPs. Therefore, the state of arts on the PI study of domestic and foreign countries is analyzed in order to reflect the operating experience and PSA results of domestic NPPs in the determination of the threshold values of the PIs for safety systems and initiating events of domestic NPPs. We identified the state of arts of PIs through reviewing the objectives and types of WANO, IAEA, NRC, OECD/NEA and domestic PIs, and the technical issues of the threshold values of SECY 99-007 and NUREG-1753. We also, identified the current status of recently developed MSPI (Mitigating System Performance Index) and IIIEI (Integrated Industry Initiating Event Indicator). From this study of the state of the arts on the PIs, we expect that if the NRC's MSPI and a PI similar to NRC's IIIEI would be introduced into the KINS, it is not necessary to determine the threshold values of PIs applied to the safety systems and initiating events of entire domestic NPPs. Otherwise the threshold values of PIs applied to the individual NPP should be developed using PSA models of typical reactor types. For the active development and use of the risk informed PIs for the domestic NPPs, we expect that the system and component reliability analysis and initiating events analysis for the domestic NPPs, MSPI, IIIEI, and PSA requirements for the PIs be further studied.

  7. Autoantibodies in Serum of Systemic Scleroderma Patients: Peptide-Based Epitope Mapping Indicates Increased Binding to Cytoplasmic Domains of CXCR3

    Directory of Open Access Journals (Sweden)

    Andreas Recke

    2018-03-01

    Full Text Available Systemic sclerosis (SSc is a severe chronic autoimmune disease with high morbidity and mortality. Sera of patients with SSc contain a large variety of autoantibody (aab reactivities. Among these are functionally active aab that bind to G protein-coupled receptors (GPCR such as C-X-C motif chemokine receptor 3 (CXCR3 and 4 (CXCR4. Aab binding to the N-terminal portion of these two GPCRs have been shown to be associated with slower disease progression in SSc, especially deterioration of lung function. Aabs binding to GPCRs exhibit functional activities by stimulating or inhibiting GPCR signaling. The specific functional activity of aabs crucially depends on the epitopes they bind to. To identify the location of important epitopes on CXCR3 recognized by aabs from SSc patients, we applied an array of 36 overlapping 18-20mer peptides covering the entire CXCR3 sequence, comparing epitope specificity of SSc patient sera (N = 32, with positive reactivity with CXCR3 to healthy controls (N = 30. Binding of SSc patient and control sera to these peptides was determined by ELISA. Using a Bayesian model approach, we found increased binding of SSc patient sera to peptides corresponding to intracellular epitopes within CXCR3, while the binding signal to extracellular portions of CXCR3 was found to be reduced. Experimentally determined epitopes showed a good correspondence to those predicted by the ABCpred tool. To verify these results and to translate them into a novel diagnostic ELISA, we combined the peptides that represent SSc-associated epitopes into a single ELISA and evaluated its potential to discriminate SSc patients (N = 31 from normal healthy controls (N = 47. This ELISA had a sensitivity of 0.61 and a specificity of 0.85. Our data reveals that SSc sera preferentially bind intracellular epitopes of CXCR3, while an extracellular epitope in the N-terminal domain that appears to be target of aabs in healthy individuals is not bound by SSc

  8. Evaluation of increased adherence and cost savings of an employer value-based benefits program targeting generic antihyperlipidemic and antidiabetic medications.

    Science.gov (United States)

    Clark, Bobby; DuChane, Janeen; Hou, John; Rubinstein, Elan; McMurray, Jennifer; Duncan, Ian

    2014-02-01

    .001). Similar results were found among users of antihyperlipidemics. The mean adherence rate was sustained over time for participants (77.7% vs. 78.3%) but declined over time for nonparticipants (77.6% vs. 70.8%). The difference in mean change over time was statistically significant between participants and nonparticipants (0.6% vs. -6,8%, P  less than  0.001). Average prescription costs PMPY increased for participants of the ZCP program during the post-implementation period; however, the increase was not larger than the cost increase among nonparticipants ($581 vs. $584, P = 0.95). Furthermore, among antihyperlipidemics the cost increase post-implementation was actually significantly less for participants than nonparticipants ($51 vs. $143, P  less than  0.001).  Plan sponsors are increasingly evaluating the use of value-based benefit design (VBBD) to change member behavior. This ZCP program used a reduction in cost sharing to incentivize members to use more generic drugs and to enroll in a care management coaching program. The study also demonstrated that a VBBD program can have a positive impact on adherence and cost outcomes among those who participate compared with nonparticipants. 

  9. More Useful, or Not so Bad? Evaluating the Effects of Interventions to Reduce Perceived Cost and Increase Utility Value with College Physics Students

    Science.gov (United States)

    Rosenzweig, Emily Quinn

    2017-01-01

    In the present study I developed and evaluated the effects of two interventions designed to target students' motivation to learn in an introductory college physics course. One intervention was designed to improve students' perceptions of utility value and the other was designed to reduce students' perceptions of cost. Utility value and cost both…

  10. The hydrogen value chain: applying the automotive role model of the hydrogen economy in the aerospace sector to increase performance and reduce costs

    Science.gov (United States)

    Frischauf, Norbert; Acosta-Iborra, Beatriz; Harskamp, Frederik; Moretto, Pietro; Malkow, Thomas; Honselaar, Michel; Steen, Marc; Hovland, Scott; Hufenbach, Bernhard; Schautz, Max; Wittig, Manfred; Soucek, Alexander

    2013-07-01

    satellites. Similar trends can be expected in the future for RADAR Earth Observation satellites and space infrastructure concepts of great scale. This paper examines current activities along the hydrogen value chain, both in the terrestrial and the aerospace sector. A general assessment of the synergy potential is complemented by a thorough analysis of specific applications serving as role models like a lunar manned base or pressurised rover, an aircraft APU or a high power telecommunications satellite. Potential performance improvements and cost savings serve as key performance indicators in these comparisons and trade-offs.

  11. Validity of Basic Electronic 1 Module Integrated Character Value Based on Conceptual Change Teaching Model to Increase Students Physics Competency in STKIP PGRI West Sumatera

    Science.gov (United States)

    Hidayati, A.; Rahmi, A.; Yohandri; Ratnawulan

    2018-04-01

    The importance of teaching materials in accordance with the characteristics of students became the main reason for the development of basic electronics I module integrated character values based on conceptual change teaching model. The module development in this research follows the development procedure of Plomp which includes preliminary research, prototyping phase and assessment phase. In the first year of this research, the module is validated. Content validity is seen from the conformity of the module with the development theory in accordance with the demands of learning model characteristics. The validity of the construct is seen from the linkage and consistency of each module component developed with the characteristic of the integrated learning model of character values obtained through validator assessment. The average validation value assessed by the validator belongs to a very valid category. Based on the validator assessment then revised the basic electronics I module integrated character values based on conceptual change teaching model.

  12. Empirical Productivity Indices and Indicators

    NARCIS (Netherlands)

    B.M. Balk (Bert)

    2016-01-01

    textabstractThe empirical measurement of productivity change (or difference) by means of indices and indicators starts with the ex post profit/loss accounts of a production unit. Key concepts are profit, leading to indicators, and profitability, leading to indices. The main task for the productivity

  13. Valuing Essays: Essaying Values

    Science.gov (United States)

    Badley, Graham

    2010-01-01

    The essay regularly comes under attack. It is criticised for being rigidly linear rather than flexible and reflective. I first challenge this view by examining reasons why the essay should be valued as an important genre. Secondly, I propose that in using the essay form students and academics necessarily exemplify their own critical values. Essays…

  14. Waste indicators

    Energy Technology Data Exchange (ETDEWEB)

    Dall, O.; Lassen, C.; Hansen, E. [Cowi A/S, Lyngby (Denmark)

    2003-07-01

    The Waste Indicator Project focuses on methods to evaluate the efficiency of waste management. The project proposes the use of three indicators for resource consumption, primary energy and landfill requirements, based on the life-cycle principles applied in the EDIP Project. Trial runs are made With the indicators on paper, glass packaging and aluminium, and two models are identified for mapping the Danish waste management, of which the least extensive focuses on real and potential savings. (au)

  15. Waste indicators

    International Nuclear Information System (INIS)

    Dall, O.; Lassen, C.; Hansen, E.

    2003-01-01

    The Waste Indicator Project focuses on methods to evaluate the efficiency of waste management. The project proposes the use of three indicators for resource consumption, primary energy and landfill requirements, based on the life-cycle principles applied in the EDIP Project. Trial runs are made With the indicators on paper, glass packaging and aluminium, and two models are identified for mapping the Danish waste management, of which the least extensive focuses on real and potential savings. (au)

  16. Increasing the Process Capacity of a Knowledge Intensive Process Through the Use of Process Reengineering and Knowledge-Value Added Methodologies

    National Research Council Canada - National Science Library

    Campbell, Errol

    2003-01-01

    In the increasingly dynamic environment of information technology, it has become imperative that organizations continue to seek ways to effectively capture and measure knowledge in order to survive...

  17. Quality indicators

    DEFF Research Database (Denmark)

    Hjorth-Andersen, Christian

    1991-01-01

    In recent literature it has been suggested that consumers need have no knowledge of product quality as a number of quality indicators (or signals) may be used as substitutes. Very little attention has been paid to the empirical verification of these studies. The present paper is devoted...... to the issue of how well these indicators perform, using market data provided by consumer magazines from 3 countries. The results strongly indicate that price is a poor quality indicator. The paper also presents some evidence which suggests that seller reputation and easily observable characteristics are also...

  18. TECHNIQUE OF ESTIMATION OF ERROR IN THE REFERENCE VALUE OF THE DOSE DURING THE LINEAR ACCELERATOR RADIATION OUTPUT CALIBRATION PROCEDURE. Part 2. Dependence on the characteristics of collimator, optical sourse-distance indicator, treatment field, lasers and treatment couch

    Directory of Open Access Journals (Sweden)

    Y. V. Tsitovich

    2016-01-01

    Full Text Available To ensure the safety of radiation oncology patients needed to provide consistent functional characteristics of the medical linear accelerators, which affect the accuracy of dose delivery. To this end, their quality control procedures, which include the calibration of radiation output of the linac, the error in determining the dose reference value during which must not exceed 2 %, is provided. The aim is to develop a methodology for determining the error (difference between a measured value of quantity and its true value in determining this value, depending on the characteristics of the collimator, the source to surface distance pointer, lasers, radiation field and treatment table. To achieve the objectives have been carried out dosimetric measurements of Trilogy S/N 3567 linac dose distributions, on the basis of which dose errors depending on the accuracy setting the zero position of the collimator, the deviation of the collimator rotation isocenter, the sourcesurface distance pointer accuracy, field size accuracy, the accuracy of lasers and treatment table positioning were obtained. It was found that the greatest impact on the value of the error has the error in the optical SSD indication and the error in the lasers position in the plane perpendicular to the plane of incidence of the radiation beam (up to 3.64 % for the energy of 6 MV. Dose errors caused by error in the field size were different for two photon energies, and reached 2.54 % for 6 MeV and 1.33% for 18 MeV. Errors caused by the rest of the characteristic do not exceed 1 %. Thus, it is possible to express the results of periodic quality control of these devices integrated in linac in terms of dose and use them to conduct a comprehensive assessment of the possibility of clinical use of a linear accelerator for oncology patients irradiation on the basis of the calibration of radiation output in case of development of techniques that allow to analyze the influence dosimetric

  19. General indicators

    International Nuclear Information System (INIS)

    2003-01-01

    This document summarizes the main 2002 energy indicators for France. A first table lists the evolution of general indicators between 1973 and 2002: energy bill, price of imported crude oil, energy independence, primary and final energy consumption. The main 2002 results are detailed separately for natural gas, petroleum and coal (consumption, imports, exports, production, stocks, prices). (J.S.)

  20. Solar Indices

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — Collection includes a variety of indices related to solar activity contributed by a number of national and private solar observatories located worldwide. This...

  1. Increased evidence for the prognostic value of primary tumor asphericity in pretherapeutic FDG PET for risk stratification in patients with head and neck cancer

    Energy Technology Data Exchange (ETDEWEB)

    Hofheinz, Frank; Lougovski, Alexandr [Institute of Radiopharmaceutical Cancer Research, Helmholtz-Zentrum Dresden-Rossendorf, PET Center, Dresden (Germany); Zoephel, Klaus; Hentschel, Maria [University Hospital Carl Gustav Carus, Technische Universitaet Dresden, Department of Nuclear Medicine, Dresden (Germany); Steffen, Ingo G.; Wedel, Florian; Buchert, Ralph; Brenner, Winfried [Charite - Universitaetsmedizin Berlin, Department of Nuclear Medicine, Berlin (Germany); Apostolova, Ivayla [Universitaetsklinikum Magdeburg A.oe.R., Klinik fuer Radiologie und Nuklearmedizin, Magdeburg (Germany); Baumann, Michael [University Hospital Carl Gustav Carus, Technische Universitaet Dresden, Department of Radiation Oncology, Dresden (Germany); OncoRay - National Center for Radiation Research in Oncology, Dresden (Germany); Institute of Radiooncology, Helmholtz-Zentrum Dresden-Rossendorf, Dresden (Germany); Kotzerke, Joerg; Hoff, Joerg van den [Institute of Radiopharmaceutical Cancer Research, Helmholtz-Zentrum Dresden-Rossendorf, PET Center, Dresden (Germany); University Hospital Carl Gustav Carus, Technische Universitaet Dresden, Department of Nuclear Medicine, Dresden (Germany)

    2014-11-22

    In a previous study, we demonstrated the first evidence that the asphericity (ASP) of pretherapeutic FDG uptake in the primary tumor provides independent prognostic information in patients with head and neck cancer. The aim of this work was to confirm these results in an independent patient group examined at a different site. FDG-PET/CT was performed in 37 patients. The primary tumor was delineated by an automatic algorithm based on adaptive thresholding. For the resulting ROIs, the metabolically active part of the tumor (MTV), SUV{sub max}, SUV{sub mean}, total lesion glycolysis (TLG) and ASP were computed. Univariate Cox regression with respect to progression free survival (PFS) and overall survival (OS) was performed. For survival analysis, patients were divided in groups of high and low risk according to the parameter cut-offs defined in our previous work. In a second step, the cut-offs were adjusted to the present data. Univariate and multivariate Cox regression was performed for the pooled data consisting of the current and the previously described patient group (N = 68). In multivariate Cox regression, clinically relevant parameters were included. Univariate Cox regression using the previously published cut-off values revealed TLG (hazard ratio (HR) = 3) and ASP (HR = 3) as significant predictors for PFS. For OS MTV (HR = 2.7) and ASP (HR = 5.9) were significant predictors. Using the adjusted cutoffs MTV (HR = 2.9/3.3), TLG (HR = 3.1/3.3) and ASP (HR = 3.1/5.9) were prognostic for PFS/OS. In the pooled data, multivariate Cox regression revealed a significant prognostic value with respect to PFS/OS for MTV (HR = 2.3/2.1), SUV{sub max} (HR = 2.1/2.5), TLG (HR = 3.5/3.6), and ASP (HR = 3.4/4.4). Our results confirm the independent prognostic value of ASP of the pretherapeutic FDG uptake in the primary tumor in patients with head and neck cancer. Moreover, these results demonstrate that ASP can be determined unambiguously across different sites. (orig.)

  2. Increase in hepatic arterial blood flow after transjugular intrahepatic portosystemic shunt creation and its potential predictive value of postprocedural encephalopathy and mortality.

    Science.gov (United States)

    Patel, N H; Sasadeusz, K J; Seshadri, R; Chalasani, N; Shah, H; Johnson, M S; Namyslowski, J; Moresco, K P; Trerotola, S O

    2001-11-01

    To determine (i) whether there is a significant increase in hepatic artery blood flow (HABF) after transjugular intrahepatic portosystemic shunt (TIPS) creation and (ii) whether the extent of incremental increase in HABF is predictive of clinical outcome after TIPS creation. Prospective, nonrandomized, nonblinded duplex Doppler ultrasound (US) examinations were performed on 24 consecutive patients (19 men; Child Class A/B/C: 4/12/8, respectively) with a mean age of 52.8 years who were referred for TIPS creation for variceal bleeding. Peak hepatic artery velocity and vessel dimensions were used to calculate the hepatic arterial blood flow (HABF) before and after TIPS creation. Patients were clinically followed in the gastrohepatology clinic and TIPS US surveillance was performed at 1 and 3 months to assess shunt function. The extent of incremental increase in HABF was analyzed as a predictor of post-TIPS encephalopathy and/or death. The technical success rate of TIPS creation was 100%. The shunt diameters were either 10 mm (n = 11) or 12 mm (n = 13). TIPS resulted in a significant reduction in the portosystemic gradient from 24.3 mm Hg +/- 5.7 to 9.3 mm Hg +/- 2.9 (P creation, from 60.8 cm/sec +/- 26.7 to 121 cm/sec +/- 51.5 (P creation, new or worsened encephalopathy developed in five patients at 30 days and in an additional three at 90 days. They were all successfully managed medically. Three patients (12.5%) died within 30 days of the TIPS procedure. The extent of incremental increase in HABF after TIPS was variable and did not correlate with the development of 30-day and 90-day encephalopathy (P =.41 and P =.83, respectively) or 30-day mortality (P =.2). HABF increases significantly after TIPS but is not predictive of clinical outcome. The significance of the incremental increase is yet to be determined.

  3. Increasing character value and conservation behavior through integrated ethnoscience chemistry in chemistry learning: A Case Study in The Department of Science Universitas Negeri Semarang.

    Science.gov (United States)

    Sudarmin; Sumarni, Woro

    2018-04-01

    The purpose of this study was to obtain a factual picture of the improvement of students' conservation character and conservation behavior through the application integrated ethnoscience chemistry learning. This research was a case study on students majoring in the Department Of Science Mathematics and Natural Science Faculty Universitas Negeri Semarang. The subjects of the study were 30 students attending ethnoscience course in one of the teacher education institutions in the even semester of the academic year of 2016/2017. The subjects were given chemistry learning integrated into ethnoscience for eight weeks. The technique of data collection was done by using attitude scale arranged based on Likert scale. The data were analyzed by using qualitative descriptive. The results showed that the integrated ethnoscience chemistry learning contributed positively to the improvement of the character value and conservation behavior

  4. Accelerated increase and decrease in subjective age as a function of changes in loneliness and objective social indicators over a four-year period: results from the health and retirement study.

    Science.gov (United States)

    Ayalon, Liat; Palgi, Yuval; Avidor, Sharon; Bodner, Ehud

    2016-07-01

    The study examined the role of changes in loneliness and objective social indicators in the formation of changes in subjective age over a four-year period. The Health and Retirement Study is a US nationally representative study of older adults over 50 and their spouse of any age. We restricted the sample to individuals, 65 years of age and older (n = 2591). An accelerated increase in subjective age was defined as an increase in subjective age over the two waves greater than five years. An accelerated decrease in subjective age was defined as a difference that was lower than three years. These were examined against a change in subjective age in the range of three to five years (i.e., change consistent with the passage of time). For 23.4% of the sample, changes in subjective age were consistent with the passage of time. A total of 38.3% had an accelerated decrease in subjective age, whereas 38.3% had an accelerated increase. A decrease in loneliness over the two waves resulted in an accelerated decrease in subjective age, whereas an increase in depressive symptoms resulted in an accelerated increase in subjective age. Changes in objective social indicators, physical difficulties or medical comorbidity did not predict changes in subjective age. This is one of very few studies that examined changes in subjective age over time. Changes in subjective age represent an important construct that corresponding to other changes in subjective experiences.

  5. Post-event reviews: Using a quantitative approach for analysing incident response to demonstrate the value of business continuity programmes and increase planning efficiency.

    Science.gov (United States)

    Vaidyanathan, Karthik

    2017-01-01

    Business continuity management is often thought of as a proactive planning process for minimising impact from large-scale incidents and disasters. While this is true, and it is critical to plan for the worst, consistently validating plan effectiveness against smaller disruptions can enable an organisation to gain key insights about its business continuity readiness, drive programme improvements, reduce costs and provide an opportunity to quantitatively demonstrate the value of the programme to management. This paper describes a post mortem framework which is used as a continuous improvement mechanism for tracking, reviewing and learning from real-world events at Microsoft Customer Service & Support. This approach was developed and adopted because conducting regular business continuity exercises proved difficult and expensive in a complex and distributed operations environment with high availability requirements. Using a quantitative approach to measure response to incidents, and categorising outcomes based on such responses, enables business continuity teams to provide data-driven insights to leadership, change perceptions of incident root cause, and instil a higher level of confidence towards disaster response readiness and incident management. The scope of the framework discussed here is specific to reviewing and driving improvements from operational incidents. However, the concept can be extended to learning and evolving readiness plans for other types of incidents.

  6. Operational indicators

    International Nuclear Information System (INIS)

    2010-01-01

    The chapter presents the operational indicators related to budget, travel costs and tickets, the evolution of the annual program for regulatory inspection, the scientific production, requested patents and the numbers related to the production of the services offered by the Institution

  7. THE VALUE OF REMOVING DAILY OBSTACLES VIA EVERYDAY PROBLEM SOLVING THEORY: DEVELOPING AN APPLIED NOVEL PROCEDURE TO INCREASE SELF-EFFICACY FOR EXERCISE

    Directory of Open Access Journals (Sweden)

    Daniele eArtistico

    2013-01-01

    Full Text Available The objective of the study was to develop a novel procedure to increase self-efficacy for exercise. Gains in one’s ability to resolve day-to-day obstacles for entering an exercise routine were expected to cause an increase in self-efficacy for exercise. Fifty-five sedentary participants (did not exercise regularly for at least 4 months prior to the study who expressed an intention to exercise in the near future were selected for the study. Participants were randomly assigned to one of three conditions: 1 an Experimental Group in which they received a problem-solving training session to learn new strategies for solving day-to-day obstacles that interfere with exercise, 2 a Control Group with Problem Solving Training which received a problem solving training session focused on a typical day-to-day problem unrelated to exercise, or 3 a Control Group which did not receive any problem-solving training. Assessment of obstacles to exercise and perceived self-efficacy for exercise were conducted at baseline; perceived self-efficacy for exercise was reassessed post-intervention (one week later. No differences in perceived challenges posed by obstacles to exercise or self-efficacy for exercise were observed across groups at baseline. The Experimental Group reported greater improvement in self-efficacy for exercise compared to the Control Group with Training (p < 0.01 and the Control Group (p < 0.01. Results of this study suggest that a novel procedure that focuses on removing obstacles to intended planned fitness activities is effective in increasing self-efficacy to engage in exercise among sedentary adults. Implications of these findings for use in applied settings and treatment studies are discussed.

  8. The Value of Removing Daily Obstacles via Everyday Problem-Solving Theory: Developing an Applied Novel Procedure to Increase Self-Efficacy for Exercise.

    Science.gov (United States)

    Artistico, Daniele; Pinto, Angela Marinilli; Douek, Jill; Black, Justin; Pezzuti, Lina

    2013-01-01

    The objective of the study was to develop a novel procedure to increase self-efficacy for exercise. Gains in one's ability to resolve day-to-day obstacles for entering an exercise routine were expected to cause an increase in self-efficacy for exercise. Fifty-five sedentary participants (did not exercise regularly for at least 4 months prior to the study) who expressed an intention to exercise in the near future were selected for the study. Participants were randomly assigned to one of three conditions: (1) an Experimental Group in which they received a problem-solving training session to learn new strategies for solving day-to-day obstacles that interfere with exercise, (2) a Control Group with Problem-Solving Training which received a problem-solving training session focused on a typical day-to-day problem unrelated to exercise, or (3) a Control Group which did not receive any problem-solving training. Assessment of obstacles to exercise and perceived self-efficacy for exercise were conducted at baseline; perceived self-efficacy for exercise was reassessed post-intervention (1 week later). No differences in perceived challenges posed by obstacles to exercise or self-efficacy for exercise were observed across groups at baseline. The Experimental Group reported greater improvement in self-efficacy for exercise compared to the Control Group with Training and the Control Group. Results of this study suggest that a novel procedure that focuses on removing obstacles to intended planned fitness activities is effective in increasing self-efficacy to engage in exercise among sedentary adults. Implications of these findings for use in applied settings and treatment studies are discussed.

  9. Science advancements key to increasing management value of life stage monitoring networks for endangered Sacramento River winter-run Chinook salmon in California

    Science.gov (United States)

    Johnson, Rachel C.; Windell, Sean; Brandes, Patricia L.; Conrad, J. Louise; Ferguson, John; Goertler, Pascale A. L.; Harvey, Brett N.; Heublein, Joseph; Isreal, Joshua A.; Kratville, Daniel W.; Kirsch, Joseph E.; Perry, Russell W.; Pisciotto, Joseph; Poytress, William R.; Reece, Kevin; Swart, Brycen G.

    2017-01-01

    A robust monitoring network that provides quantitative information about the status of imperiled species at key life stages and geographic locations over time is fundamental for sustainable management of fisheries resources. For anadromous species, management actions in one geographic domain can substantially affect abundance of subsequent life stages that span broad geographic regions. Quantitative metrics (e.g., abundance, movement, survival, life history diversity, and condition) at multiple life stages are needed to inform how management actions (e.g., hatcheries, harvest, hydrology, and habitat restoration) influence salmon population dynamics. The existing monitoring network for endangered Sacramento River winterrun Chinook Salmon (SRWRC, Oncorhynchus tshawytscha) in California’s Central Valley was compared to conceptual models developed for each life stage and geographic region of the life cycle to identify relevant SRWRC metrics. We concluded that the current monitoring network was insufficient to diagnose when (life stage) and where (geographic domain) chronic or episodic reductions in SRWRC cohorts occur, precluding within- and among-year comparisons. The strongest quantitative data exist in the Upper Sacramento River, where abundance estimates are generated for adult spawners and emigrating juveniles. However, once SRWRC leave the upper river, our knowledge of their identity, abundance, and condition diminishes, despite the juvenile monitoring enterprise. We identified six system-wide recommended actions to strengthen the value of data generated from the existing monitoring network to assess resource management actions: (1) incorporate genetic run identification; (2) develop juvenile abundance estimates; (3) collect data for life history diversity metrics at multiple life stages; (4) expand and enhance real-time fish survival and movement monitoring; (5) collect fish condition data; and (6) provide timely public access to monitoring data in open data

  10. Increasing the value of climate finance in an uncertain environment: Diaspora financial resources as a source of climate finance for Sub-Saharan Africa

    Directory of Open Access Journals (Sweden)

    Dumisani Chirambo

    2017-11-01

    Full Text Available Climate change may create and increase world inequality and social conflicts. Moreover, regardless of the various developments in science and technology, there are still uncertainties regarding the precise extent and consequences of climate change. Additionally, financial resources to support climate change mitigation, adaptation and capacity building programmes in Africa may be considered to be far from satisfactory in terms of their size, source and distribution. Global policymakers are therefore keen to discover how climate finance resources can be mobilised from a wide variety of sources, instruments and channels to complement public sources. To address this knowledge gap, this paper undertook an analysis of project reports, policy reviews, policy briefs, and academic literature reviews on the barriers and opportunities for private investments in climate change programmes. The paper highlights that Sub-Saharan Africa has the potential to mobilise over US $100 billion annually from its diaspora population, and these funds can be channelled towards climate change investments and programmes or leveraged with other conventional climate finance modalities. This paper therefore provides insights into the measures that can be undertaken in order to enable Africa’s diaspora to become important financiers of climate change programmes.

  11. Fluid-Elastic Instability Tests on Parallel Triangular Tube Bundles with Different Mass Ratio Values under Increasing and Decreasing Flow Velocities

    Directory of Open Access Journals (Sweden)

    Xu Zhang

    2016-01-01

    Full Text Available To study the effects of increasing and decreasing flow velocities on the fluid-elastic instability of tube bundles, the responses of an elastically mounted tube in a rigid parallel triangular tube bundle with a pitch-to-diameter ratio of 1.67 were tested in a water tunnel subjected to crossflow. Aluminum and stainless steel tubes were tested, respectively. In the in-line and transverse directions, the amplitudes, power spectrum density functions, response frequencies, added mass coefficients, and other results were obtained and compared. Results show that the nonlinear hysteresis phenomenon occurred in both tube bundle vibrations. When the flow velocity is decreasing, the tubes which have been in the state of fluid-elastic instability can keep on this state for a certain flow velocity range. During this process, the response frequencies of the tubes will decrease. Furthermore, the response frequencies of the aluminum tube can decrease much more than those of the stainless steel tube. The fluid-elastic instability constants fitted for these experiments were obtained from experimental data. A deeper insight into the fluid-elastic instability of tube bundles was also obtained by synthesizing the results. This study is beneficial for designing and operating equipment with tube bundles inside, as well as for further research on the fluid-elastic instability of tube bundles.

  12. Value-based pricing

    OpenAIRE

    Netseva-Porcheva Tatyana

    2010-01-01

    The main aim of the paper is to present the value-based pricing. Therefore, the comparison between two approaches of pricing is made - cost-based pricing and value-based pricing. The 'Price sensitively meter' is presented. The other topic of the paper is the perceived value - meaning of the perceived value, the components of perceived value, the determination of perceived value and the increasing of perceived value. In addition, the best company strategies in matrix 'value-cost' are outlined. .

  13. Individual common carotid artery wall layer dimensions, but not carotid intima-media thickness, indicate increased cardiovascular risk in women with preeclampsia: an investigation using noninvasive high-frequency ultrasound.

    Science.gov (United States)

    Akhter, Tansim; Wikström, Anna-Karin; Larsson, Marita; Naessen, Tord

    2013-09-01

    Preeclampsia (PE) is associated with increased risk of cardiovascular disease later in life. Ultrasound assessment of the common carotid artery intima-media thickness (IMT) during or after PE has not indicated any increased cardiovascular risk. We used high-frequency ultrasound (22 MHz) to estimate the individual common carotid artery IMTs in 55 women at PE diagnosis and in 64 women with normal pregnancies at a similar stage. All were re-examined about 1 year postpartum. A thick intima, thin media, and high intima/media (I/M) ratio are signs of a less healthy artery wall. PE was associated with a significantly thicker mean common carotid artery intima, thinner media, and higher I/M ratio than in normal pregnancy (mean I/M difference, 0.21; 95% confidence interval, 0.17-0.25; Pwomen with PE were negatively affected during pregnancy and 1 year postpartum compared with women with normal pregnancies, indicating increased cardiovascular risk. Estimation of intima thickness and I/M ratio seem preferable to estimation of common carotid artery IMT in imaging cardiovascular risk in PE. Results from this pilot study warrant further confirmation.

  14. Gassmaks. Study of requirement for national focus on research for increased value-added industrial process of natural gas. Final report; Gassmaks. Utredning av behov for nasjonal satsing paa forskning for oekt verdiskaping fra naturgass gjennom industriell foredling. Endelig rapport

    Energy Technology Data Exchange (ETDEWEB)

    2006-08-15

    Final report concludes the importance of establishing the Research and Development program called 'Gassmaks'. The target of this program is increased value added to the natural gas loop. Strengthened know-how, industrial development and international competition force shall contribute to higher value added to community through industrial refining of natural gas. Gassmaks will by research based foundation exploit Norwegian natural gas resources environmental friendly. Highly prioritised are converting and use of natural gas to plastic raw materials, synthesis gas, synthetical fuel, energy processes, carbon materials, metallurgical processes and nutrients as proteins and fat. (AG). 28 refs., 3 figs., 3 tabs

  15. Clinical value of combined detection of cerebrospinal fluid-related indicators in diagnosis of intracranial infections%脑脊液相关指标联合检测在颅内感染诊断中的应用

    Institute of Scientific and Technical Information of China (English)

    温昌明; 王新凯; 张保朝

    2015-01-01

    OBJECTIVE To observe the clinical value of the change of cerebrospinal fluid‐related indicators in diag‐nosis of intracranial infections ,including lactate dehydrogenase (LDH) ,adenosine deaminase (ADA) ,immuno‐globulin (Ig) ,andβ2‐microglobulin (β‐MG) ,so as to determine the extent of brain tissue damage as well as the prognosis .METHODS A total of 22 patients with tuberculous meningitis ,34 patients with purulent meningitis , and 28 patients with viral meningitis were enrolled in the study ,then the contents of LDH ,ADA ,Ig ,andβ‐MG in the cerebrospinal fluids of the participants were determined ,meanwhile ,24 patients without infections were re‐cruited as controls .RESULTS There was significant difference in the level of LDH between the purulent meningitis group and the tuberculous meningitis group (P< 0 .05) ,there was significant difference between the purulent meningitis group and the viral meningitis group (P<0 .05) ,there was significant difference between the tubercu‐lous meningitis group and the viral meningitis (P<0 .05) ,and there was significant difference between the three groups and the control group (P<0 .05) .There was significant difference in the ADA level between the purulent meningitis group and the tuberculous meningitis group (P<0 .05) ,There was significant difference between the purulent meningitis group and the viral meningitis group (P<0 .05) ,there was significant difference between the tuberculosis meningitis group and the viral meningitis group (P< 0 .05) ,and there was statistically significant difference between the three groups and the control group (P<0 .05) .There was significant difference in the level of IgA ,IgG ,or IgM between the purulent meningitis group and the tuberculous meningitis group (P<0 .05) ,and there was significant difference between the three groups and the control group (P<0 .05) .CONCLUSION The de‐tection of LDH ,ADA ,Ig ,and β‐MG is conducive to the diagnosis of the three common

  16. Public Values

    DEFF Research Database (Denmark)

    Beck Jørgensen, Torben; Rutgers, Mark R.

    2015-01-01

    administration is approached in terms of processes guided or restricted by public values and as public value creating: public management and public policy-making are both concerned with establishing, following and realizing public values. To study public values a broad perspective is needed. The article suggest......This article provides the introduction to a symposium on contemporary public values research. It is argued that the contribution to this symposium represent a Public Values Perspective, distinct from other specific lines of research that also use public value as a core concept. Public...... a research agenda for this encompasing kind of public values research. Finally the contributions to the symposium are introduced....

  17. Evaluating Living Standard Indicators

    Directory of Open Access Journals (Sweden)

    Birčiaková Naďa

    2015-09-01

    Full Text Available This paper deals with the evaluation of selected available indicators of living standards, divided into three groups, namely economic, environmental, and social. We have selected six countries of the European Union for analysis: Bulgaria, the Czech Republic, Hungary, Luxembourg, France, and Great Britain. The aim of this paper is to evaluate indicators measuring living standards and suggest the most important factors which should be included in the final measurement. We have tried to determine what factors influence each indicator and what factors affect living standards. We have chosen regression analysis as our main method. From the study of factors, we can deduce their impact on living standards, and thus the value of indicators of living standards. Indicators with a high degree of reliability include the following factors: size and density of population, health care and spending on education. Emissions of carbon dioxide in the atmosphere also have a certain lower degree of reliability.

  18. The Implementation of an Integrative Model of Adventure-Based Counseling and Adlerian Play Therapy Value-Based Taught by Parents to Children to Increase Adjustment Ability of Preschool Children

    Directory of Open Access Journals (Sweden)

    Rita Eka Izzaty

    2016-11-01

    Full Text Available This study was conducted for two reasons. First, pre-school age is the foundation for the subsequent development. Second, the previous research findings show that there are behavioral problems which affect the development of subsequent development. This study aims to increase children’s social ability by employing An Integrative Model of Adventure-Based Counseling and Adlerian Play Therapy, a counseling model emphasizing the importance of play providing opportunity for children to express their feelings in natural situation and insight toward personality and environment by modifying teaching cultural values by parents to children. This study employed an action study. The prior data collection techniques were conducting literary study, surveying on cultural values taught, and selecting a counseling model. The subjects were four preschool children (4-6 years old with behavioral problems. The study was conducted in 2 cycles with several steps: planning, action, evaluation, and reflection. The finding of this research shows that an Integrative Model of Adventure-Based Counseling and Adlerian Play Therapy can increase children social ability and decrease non adaptive behavior. The reflection of employing counseling model modified with cultural values taught by parents to children is when using this model, counselors truly examine the duration of the implementation, the children’s condition, the counselors’ condition, the type of play, and the purpose of each steps which must be detailed.

  19. Value Conditionality of Identity

    Directory of Open Access Journals (Sweden)

    M M Yusupov

    2013-12-01

    Full Text Available The article considers theoretical approaches to the study of values and identity, and reveals the role of values in the formation of the ethnic, regional and Russian identity on the example of Chechnya and the North Caucasus, with the sociological indicators characterizing value orientations and self-identification.

  20. Value-based pricing

    Directory of Open Access Journals (Sweden)

    Netseva-Porcheva Tatyana

    2010-01-01

    Full Text Available The main aim of the paper is to present the value-based pricing. Therefore, the comparison between two approaches of pricing is made - cost-based pricing and value-based pricing. The 'Price sensitively meter' is presented. The other topic of the paper is the perceived value - meaning of the perceived value, the components of perceived value, the determination of perceived value and the increasing of perceived value. In addition, the best company strategies in matrix 'value-cost' are outlined. .

  1. Correlating data from different sensors to increase the positive predictive value of alarms: an empiric assessment [v1; ref status: indexed, http://f1000r.es/RKkXdB

    Directory of Open Access Journals (Sweden)

    Yuval Bitan

    2012-11-01

    Full Text Available Objectives: Alarm fatigue from high false alarm rate is a well described phenomenon in the intensive care unit (ICU. Progress to further reduce false alarms must employ a new strategy. Highly sensitive alarms invariably have a very high false alarm rate. Clinically useful alarms have a high Positive-Predictive Value. Our goal is to demonstrate one approach to suppressing false alarms using an algorithm that correlates information across sensors and replicates the ways that human evaluators discriminate artifact from real signal. Methods: After obtaining IRB approval and waiver of informed consent, a set of definitions, (hypovolemia, left ventricular shock, tamponade, hemodynamically significant ventricular tachycardia, and hemodynamically significant supraventricular tachycardia, were installed in the monitors in a 10 bed cardiothoracic ICU and evaluated over an 85 day study period. The logic of the algorithms was intended to replicate the logic of practitioners, and correlated information across sensors in a way similar to that used by practitioners. The performance of the alarms was evaluated via a daily interview with the ICU attending and review of the tracings recorded over the previous 24 hours in the monitor. True alarms and false alarms were identified by an expert clinician, and the performance of the algorithms evaluated using the standard definitions of sensitivity, specificity, positive predictive value, and negative predictive value. Results: Between 1 and 221 instances of defined events occurred over the duration of the study, and the positive predictive value of the definitions varied between 4.1% and 84%. Conclusions: Correlation of information across alarms can suppress artifact, increase the positive predictive value of alarms, and can employ more sophisticated definitions of alarm events than present single-sensor based systems.

  2. Delivery of iron-fortified yoghurt, through a dairy value chain program, increases hemoglobin concentration among children 24 to 59 months old in Northern Senegal: A cluster-randomized control trial.

    Science.gov (United States)

    Le Port, Agnes; Bernard, Tanguy; Hidrobo, Melissa; Birba, Ousmane; Rawat, Rahul; Ruel, Marie T

    2017-01-01

    Innovative strategies are needed to enhance the nutritional impact of agriculture. Value chain approaches, which use supply chains to add value (usually economic) to products as they move from producers to consumers, can be used to increase access to nutritious foods and improve nutritional status. This study tested whether a dairy value chain could be used to distribute a micronutrient-fortified yoghurt (MNFY) (conditional upon the producer supplying a minimum amount of cow milk/day) to improve hemoglobin and reduce anemia among preschool children in a remote area in Northern Senegal. A cluster randomized control trial was used to compare 204 children (24 to 59 months of age at baseline) from households who received the MNFY coupled to a behavior change communication (BCC) campaign focusing on anemia prevention to 245 children from a control group (receiving BCC only) after one year. Randomization was done at the level of the family concession (households from the same family) (n = 321). Eligible households had a child of the target age and were willing to deliver milk to the dairy factory. Changes in anemia and hemoglobin between groups were assessed using mixed regression models. Anemia prevalence was very high at baseline (80%) and dropped to close to 60% at endline, with no differences between intervention groups. Hemoglobin increased by 0.55 g/dL, 95%CI (0.27; 0.84) more in the intervention compared to the control group after one year, in models that controlled for potentially confounding factors. The impact was greater (0.72 g/dL, 95%CI (0.34; 1.12)) for boys, compared to girls (0.38 g/dL, 95%CI (-0.03; 0.80)). The dairy value chain was a successful strategy to distribute MNFY among pastoralists in Northern Senegal, and increase Hb concentrations among their children. This study is one of the first proofs of concept showing that a nutrition-sensitive agriculture value chain approach can contribute to improved child nutrition in a remote pastoralist

  3. Value of life and nuclear design

    International Nuclear Information System (INIS)

    Howard, R.A.; Matheson, J.E.; Owen, D.L.

    1978-01-01

    Using the decision analysis framework, an implicit value of life can be determined for design decisions that have death as a possible outcome. A survey of the literature and calculations suggest a great inconsistency in the implied value of life. It is shown that by using a consistent, explicit value of life, the total expected number of deaths from all projects can be reduced without increasing total expenditures or reducing benefits. The explicit value of life directly affects design decisions. Some recent research indicates that the value that an individual places on his own life can be characterized by a few assessments of the individual's circumstances and his preferences

  4. CREDIT Performance Indicator Framework

    DEFF Research Database (Denmark)

    Frandsen, Anne Kathrine; Bertelsen, Niels Haldor; Haugbølle, Kim

    2010-01-01

    During the past two years the Nordic Baltic research project CREDIT (Construction and Real Estate – Developing Indicators for Transparency) has worked with the aim to improve transparency of value creation in building and real estate. One of the central deliverables of the CREDIT project was a fr......During the past two years the Nordic Baltic research project CREDIT (Construction and Real Estate – Developing Indicators for Transparency) has worked with the aim to improve transparency of value creation in building and real estate. One of the central deliverables of the CREDIT project...... was a framework of indicators relevant in building and real estate and applicable in the Nordic and Baltic countries as well as a proposal for a set of key indicators. The study resulting in CREDIT Performance Indicator Framework has been based on 28 case studies of evaluation practises in the building and real...... estate sector each addressing three interlinked levels: building/ projects level, company or enterprise level and benchmarking system level. Additionally it has been based on dialogue with researchers and professional organisation, international research and standardisation work and national building...

  5. Air quality indicators

    International Nuclear Information System (INIS)

    Clench-Aas, Jocelyn; Guerreiro, Cristina; Bartonova, Alena

    1999-06-01

    This report proposes and describes in detail several air quality indicators that may be used to describe population exposure. The suggested indicators account for temporal and spatial patterns of pollution and movements of individuals between different micro-environments. The Air Quality Indicator /AQI) should represent both the spatial and temporal aspects of pollution exposure that may have important effects on health. Two indicators are needed, the Population Air Quality Indicator and the Individual Air Quality Indicator. Mean concentrations, 98th percentile and maximum values are the traditional indicators for estimating exposure. the temporal variability of PM-10 and NO 2 , however, is here described by means of: 1) The rate of change of pollution as the difference between two consecutive hourly values and of 2) episodes, described in terms of number, duration and winter episode period, maximum concentration in the episode and integrated episode exposure (episode AOT50/100). The spatial variation of AQIs can be described in several ways, e.g.: 1) Concentrations in neighbouring grid squares can be compared as an indication of spatial variation and 2) point estimates can be compared to grid values for a description of variation within a grid. Both methods are presented here. A test of the representativity of static point estimates for pollution exposure is to compare them to an estimate of air pollution exposure accounting for movements between different locations, obtained using diaries. The ultimate aim of AQIs is to describe the population exposure to ambient pollution. This is done by estimating the number of people exposed using different characteristics of AQIs. The data used to describe these indicators originates from dispersion modelling of short-term air pollution concentrations in Oslo. Two series of data are used. One represents hour-for hour concentrations in the 1 km 2 grid system covering the city of Oslo, winter 1994/95, calculated by the grid

  6. Values Research

    Science.gov (United States)

    2009-10-01

    that individualistic employees in individualistic organizations and collectivistic employees in collectivistic organizations show greater job...with Parsons’ causal assumption, in the nineties values were recognized on top of the cultural control –values control norms which in turn control...determines intention which may end in behavior. 7 Defining Human Values Cross- cultural theories on values emerged in the 80s developed by three main

  7. Indicators for energy security

    International Nuclear Information System (INIS)

    Kruyt, Bert; Van Vuuren, D.P.; De Vries, H.J.M.; Groenenberg, H.

    2009-01-01

    The concept of energy security is widely used, yet there is no consensus on its precise interpretation. In this research, we have provided an overview of available indicators for long-term security of supply (SOS). We distinguished four dimensions of energy security that relate to the availability, accessibility, affordability and acceptability of energy and classified indicators for energy security according to this taxonomy. There is no one ideal indicator, as the notion of energy security is highly context dependent. Rather, applying multiple indicators leads to a broader understanding. Incorporating these indicators in model-based scenario analysis showed accelerated depletion of currently known fossil resources due to increasing global demand. Coupled with increasing spatial discrepancy between consumption and production, international trade in energy carriers is projected to have increased by 142% in 2050 compared to 2008. Oil production is projected to become increasingly concentrated in a few countries up to 2030, after which production from other regions diversifies the market. Under stringent climate policies, this diversification may not occur due to reduced demand for oil. Possible benefits of climate policy include increased fuel diversity and slower depletion of fossil resources. (author)

  8. Policies to increase the social value of science and the scientist satisfaction. An exploratory survey among Harvard bioscientists. [v1; ref status: indexed, http://f1000r.es/2iq

    Directory of Open Access Journals (Sweden)

    Andrea Ballabeni

    2014-01-01

    Full Text Available Basic research in the biomedical field generates both knowledge that has a value per se regardless of its possible practical outcome and that has the potential to produce more practical benefits. Policies can increase the benefit potential to society of basic biomedical research by offering various kinds of incentives to basic researchers. In this paper we argue that soft incentives or “nudges” are particularly promising. However, to be well designed, these incentives must take into account the motivations, goals and views of the basic scientists. In the paper we present the results of an investigation that involved more than 300 scientists at Harvard Medical School and affiliated institutes. The study shows that basic researchers’ support for soft incentives is such that the transformative value of fundamental investigations can be increased without affecting the spirit of the basic research and scientists’ work satisfaction. After discussing the findings, we suggest a few examples of nudges and discuss one in more detail.

  9. Policies to increase the social value of science and the scientist satisfaction. An exploratory survey among Harvard bioscientists. [v2; ref status: indexed, http://f1000r.es/3jw

    Directory of Open Access Journals (Sweden)

    Andrea Ballabeni

    2014-06-01

    Full Text Available Basic research in the biomedical field generates both knowledge that has a value per se regardless of its possible practical outcome and knowledge that has the potential to produce more practical benefits. Policies can increase the benefit potential to society of basic biomedical research by offering various kinds of incentives to basic researchers. In this paper we argue that soft incentives or “nudges” are particularly promising. However, to be well designed, these incentives must take into account the motivations, goals and views of the basic scientists. In the paper we present the results of an investigation that involved more than 300 scientists at Harvard Medical School and affiliated institutes. The results of this study suggest that some soft incentives could be valuable tools to increase the transformative value of fundamental investigations without affecting the spirit of the basic research and scientists’ work satisfaction. After discussing the findings, we discuss a few examples of nudges for basic researchers in the biomedical fields.

  10. Criterion 6, indicator 34 : value of capital investment and annual expenditure in forest management, wood and non-wood product industries, forest-based environmental services, recreation, and tourism

    Science.gov (United States)

    Ken Skog; John Bergstrom; Elizabeth Hill; Ken Cordell

    2010-01-01

    USDA Forest Service capital investment in management infrastructure was $501 and $390 million (2005$) for 2005 and 2007, respectively. National forest programs expenditures decreased from $3.0 to $2.7 billion between 2004 and 2007 and wildfire management expenditures increased from $1.7 to $2.1 billion (2005$). State forestry program expenditures for 1998, 2002, and...

  11. Comparisons of predictive values of sarcopenia with different muscle mass indices in Korean rural older adults: a longitudinal analysis of the Aging Study of PyeongChang Rural Area

    Directory of Open Access Journals (Sweden)

    Jang IY

    2018-01-01

    Full Text Available Il-Young Jang,1,2,* Hee-Won Jung,3,4,* Chang Ki Lee,5 Sang Soo Yu,2 Young Soo Lee,1 Eunju Lee1 1Department of Internal Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul, 2PyeongChang Health Center & County Hospital, Gangwon-Do, 3Graduate School of Medical Science and Engineering, Korea Advanced Institute of Science and Technology (KAIST, Daejeon, 4Geriatric Center, Seoul National University Bundang Hospital, Gyeonggi-Do, 5Goldman Urology Clinic, Seoul, Republic of Korea *These authors contributed equally to this work Purpose: It is important to define lean muscle mass when diagnosing sarcopenia, but there is still controversy on the clinical implication of sarcopenia derived by height, weight, and body mass index (BMI adjusted muscle mass indices. We aimed to evaluate the longitudinal clinical relevance of 3 sarcopenia definitions in the Korean population. Patients and methods: We conducted comprehensive geriatric assessments for 1,379 community-dwelling older participants in the Aging Study of PyeongChang Rural Area (ASPRA cohort and followed them up prospectively for death, institutionalization, and disability every 3 months. Sarcopenia was defined using the Asian Working Group consensus algorithm, combining grip strength, gait speed, and muscle mass.Results: Among 1,343 participants (mean age: 76 years, 741 women analyzed, there were 29 deaths and 89 institutionalizations during 22.0 ± 8.3 months follow-up (mean ± SD. All three muscle indices correlated to age and sex. All sarcopenia criteria with muscle mass indices of height, weight, and body mass index (BMI adjustment significantly predicted death or institutionalization. However, when adjusted for age and sex, only the sarcopenia criteria with muscle mass index of height adjustment were significantly associated with major adverse health outcomes.Conclusion: Adjusting age and gender, the sarcopenia definition from the quintile-based muscle index of height

  12. Publication point indicators

    DEFF Research Database (Denmark)

    Elleby, Anita; Ingwersen, Peter

    2010-01-01

    ; the Cumulated Publication Point Indicator (CPPI), which graphically illustrates the cumulated gain of obtained vs. ideal points, both seen as vectors; and the normalized Cumulated Publication Point Index (nCPPI) that represents the cumulated gain of publication success as index values, either graphically......The paper presents comparative analyses of two publication point systems, The Norwegian and the in-house system from the interdisciplinary Danish Institute of International Studies (DIIS), used as case in the study for publications published 2006, and compares central citation-based indicators...... with novel publication point indicators (PPIs) that are formalized and exemplified. Two diachronic citation windows are applied: 2006-07 and 2006-08. Web of Science (WoS) as well as Google Scholar (GS) are applied to observe the cite delay and citedness for the different document types published by DIIS...

  13. Default values

    International Nuclear Information System (INIS)

    1987-08-01

    In making calculations for the purposes of radiation protection, numerical values for parameters used in the calculations are selected. In some cases, data directly applicable to the set of conditions for which the calculations are to be made are unavailable. Therefore, the selection of the values for these parameters may be based on more general data available from the literature or other sources. These values may be referred to as 'default values', that is, values used in default of those based on directly applicable data. The following policy will be applied by Atomic Energy Control Board (AECB) staff in reviewing the radiation protection aspects of submissions associated with licensing, in participating with other organizations in the development of codes and standards, and in any other work which relies to some extent on using default values

  14. Quality indicators in radiotherapy

    International Nuclear Information System (INIS)

    Cionini, Luca; Gardani, Gianstefano; Gabriele, Pietro; Magri, Secondo; Morosini, Pier Luigi; Rosi, Antonella; Viti, Vincenza

    2007-01-01

    Background and purpose: There is a widespread and increasing tendency to develop hospital performance indicators in the field of accreditation/certification systems and quality benchmarking. A study has been undertaken to develop a set of performance indicators for a typical radiotherapy Centre and to evaluate their ability to provide a continuous quality improvement. Materials and methods: A working group consisting of radiation oncologists, medical physicists and radiation technologists under the coordination of experts in health technology assessment has elaborated a set of general indicators able to monitor performances and the quality level of a typical radiotherapy Centre. The work has been carried out through four steps: a preliminary set of indicators was selected; data on these indicators were collected in a number of Italian radiotherapy Centres and medical physics Services; problems in collection and analysis of data were discussed; a final set of indicators was developed. Results: A final set of 13 indicators is here presented. They concern general structural and/or operational features, health physics activities and accuracy and technical complexity of the treatment. Conclusions: The indicators tested in a few Italian Centres of radiotherapy and medical physics Services are now ready to be utilized by a larger community

  15. The Value of Accounting

    NARCIS (Netherlands)

    E. Peek (Erik)

    2011-01-01

    textabstractFair value estimates of debt and equity securities play an increasingly important role in the economy. For example, International Financial Reporting Standards require companies to report many of their investments at fair value on the balance sheet or to use fair values in goodwill

  16. Value of levels of complexity in the estimation of the risk in interventional radiology procedures; Valor de los indices de complejidad en la estimacion del riesgo en procedimientos de radiologia intervencionista

    Energy Technology Data Exchange (ETDEWEB)

    Ruiz Cruces, R.; Vano, E.; Hernandez Armas, J.; Carrera Magarino, F.; Rosales, F.; Galan, P.; Solar, M. M.; Perez Martinez, M.; Sanchez Casanueva, R.; Moreno Saiz, C.; Caudepon, F.; Diaz, F.; Gallego Solar, J. J.; Martin-Palanca, A.; Ruiz Munoz-Canela, J. J.; Moreno Rodriguez, F.; Gonzalez de Garay, M.; Canis, M.; Lopez Medina, A.; Moreno Sachez, T.; Pastor Vega, J. M.

    2013-07-01

    The interventional Radiology (IR) refers to guided procedures with X rays, to develop a diagnostic and/or therapeutic action both in vascular diseases as non-vascular. The progressive increase in the complexity and diversity of interventional procedures make it difficult to objectify the criteria about the dosage provided to patients who are these techniques. Control of radiation doses administered to patients to limit the risks associated with the use of x-rays is not more than one way of improving procedures. For this reason, already completed the ERRAPRI project, we have developed complexity rates to better assess the radiological risk associated with the procedures carried out in a sample of Spanish hospitals. (Author)

  17. Forestland values.

    Science.gov (United States)

    John H. Beuter; Ralph J. Alig

    2004-01-01

    This issue of the journal of Forestry is devoted to articles about forestland values. Viewed broadly, natural resources and humans are our two basic resources. An expression of the importance of land as a foundation for forest ecosystems is forestland value. Our attitudes about land and the forest ecosystems that they support have changed considerably in recent years....

  18. Management by the value of enterprise

    Directory of Open Access Journals (Sweden)

    M. V. Zenkinа

    2017-01-01

    Full Text Available The management of the enterprise's value is largely aimed at increasing the investment attractiveness of the enterprise. The search for new methods and techniques for managing the property complex faces a number of problems that are a promise of developing scientific approaches to the development of new progressive methods of making managerial decisions. The article considers alternative options for improving the quality of enterprise management and suggests the direction of improving the organization’s cost management system. A number of limiting factors, which allowed the author to determine the target indicators of the presented model, determines the presented objective function of enterprise value. It is permissible to change and expand the composition of the indicators and the approaches used to assess the value of the enterprise. The recommended model allows determining the reserves of increasing the efficiency of the enterprise, affecting the value of the property complex. Dependence of the singled out evaluation criteria and the targets of strategies for increasing the value of enterprises is indicated. The main stages of the enterprise value management process are considered as a single concept of increasing the current value of the organization. The characteristic of the concept of management aimed at creating valueValue Based Management (VBM is presented. The main principles of VBM aimed at qualitative improvement of strategic and operational decisions at all levels of management of the organization are singled out. Article considers the technology of introducing a cost management system based on the example of a construction organization. The main stages of enterprise cost management aimed at long-term sustainable growth in the value of the organization are identified. Particular attention is paid to the stages of analysis of the contribution of production and management units to the total value of the enterprise and the

  19. The value of molecular expression of KIT and KIT ligand analysed using real-time polymerase chain reaction and immunohistochemistry as a prognostic indicator for canine cutaneous mast cell tumours.

    Science.gov (United States)

    Costa Casagrande, T A; de Oliveira Barros, L M; Fukumasu, H; Cogliati, B; Chaible, L M; Dagli, M L Z; Matera, J M

    2015-03-01

    This study investigated the correlation between KIT gene expression determined by immunohistochemistry and real-time polymerase chain reaction (RT-PCR) and the rate of tumour recurrence and tumour-related deaths in dogs affected with mast cell tumour (MCT). Kaplan-Meier curves were constructed to compare tumour recurrence and tumour-related death between patients. The log-rank test was used to check for significant differences between curves. KIT-I, KIT-II and KIT-III staining patterns were observed in 9 (11.11%), 50 (61.73%) and 22 (27.16%) tumours, respectively. Tumour recurrence rates and tumour-related deaths were not associated with KIT staining patterns (P = 0278, P > 0.05), KIT (P = 0.289, P > 0.05) or KIT ligand (P = 0.106, P > 0.05) gene expression. Despite the lack of association between KIT staining pattern and patient survival time, the results suggest a correlation between aberrant KIT localization and increased proliferative activity of MCTs. RT-PCR seems to be a sensible method for quantitative detection of KIT gene expression in canine MCT, although expressions levels are not correlated with prognosis. © 2013 Blackwell Publishing Ltd.

  20. The Value of Value Sets

    DEFF Research Database (Denmark)

    Sløk-Madsen, Stefan Kirkegaard; Christensen, Jesper

    The world over classrooms in business schools are being taught that corporate values can impact performance. The argument is typically that culture matter more than strategy plans and culture can be influenced and indeed changed by a shared corporate value set. While the claim seems intuitively a...... a unique contribution to the effects of investment in shared company values, and to whether agent rationality can be fundamentally changed by committed organizational efforts....

  1. The Value of Accounting

    OpenAIRE

    Peek, Erik

    2011-01-01

    textabstractFair value estimates of debt and equity securities play an increasingly important role in the economy. For example, International Financial Reporting Standards require companies to report many of their investments at fair value on the balance sheet or to use fair values in goodwill impairment tests. Further, the funding status of pension plans is typically assessed as the difference between the fair values of pension plan assets and pension plan commitments. In many of these situa...

  2. Value Representations

    DEFF Research Database (Denmark)

    Rasmussen, Majken Kirkegaard; Petersen, Marianne Graves

    2011-01-01

    Stereotypic presumptions about gender affect the design process, both in relation to how users are understood and how products are designed. As a way to decrease the influence of stereotypic presumptions in design process, we propose not to disregard the aspect of gender in the design process......, as the perspective brings valuable insights on different approaches to technology, but instead to view gender through a value lens. Contributing to this perspective, we have developed Value Representations as a design-oriented instrument for staging a reflective dialogue with users. Value Representations...

  3. 15. Basic economic indicators

    International Nuclear Information System (INIS)

    Carless, J.; Dow, B.; Farivari, R.; O'Connor, J.; Fox, T.; Tunstall, D.; Mentzingen, M.

    1992-01-01

    The clear value of economic data and analysis to decisionmakers has motivated them to mandate the creation of extensive global economic data sets. This chapter contains a set of these basic economic data, which provides the context for understanding the causes and the consequences of many of the decisions that affect the world's resources. Many traditional economic indicators fail to account for the depletion or deterioration of natural resources, the long-term consequences of such depletion, the equitable distribution of income within a country, or the sustainability of current economic practices. The type of measurement shown here, however, is still useful in showing the great differences between the wealthiest and the poorest countries. Tables are given on the following: Gross national product and official development assistance 1969-89; External debt indicators 1979-89; Central government expenditures; and World commodity indexes and prices 1975-89

  4. The obtention of high reliability levels to the increasing of power in hydroelectric generators of modern power plants; A obtencao de altos indices de confiabilidade no aumento de potencia em hidrogeradores de usinas modernizadas

    Energy Technology Data Exchange (ETDEWEB)

    Goncalves, Octavio A.; Uemori, Mauro K.I.; Spiridon, Michel W. [Asea Brown Boveri Ltda., Osasco, SP (Brazil)

    1993-12-31

    The increase in the power capacity of the generators of existing hydroelectric power plants is presented as an alternative technically feasible and economically advantageous to the increase of the power generation capacity of the Brazilian electric power system. This work presents the need of a global analysis of each case in order to optimize this process and also presents a methodology which may be applied to electric power generators, turbines, transformers and other electrical equipment. 2 refs., 8 figs.

  5. Unravelling Value

    DEFF Research Database (Denmark)

    Walsh, Matthew

    Paper presented in the symposium “What’s It All Worth? Material Possessions and Value in Past Societies” at 22nd Annual Meeting of the European Association of Archaeologists, Vilnius, Lithuania.......Paper presented in the symposium “What’s It All Worth? Material Possessions and Value in Past Societies” at 22nd Annual Meeting of the European Association of Archaeologists, Vilnius, Lithuania....

  6. Risk management and corporate value

    Directory of Open Access Journals (Sweden)

    Milan Cupic

    2015-12-01

    Full Text Available The paper presents a theoretical framework for assessing the impact of risk management on corporate value. As the relevant factors that determine this impact, the paper analyzes market imperfections and investors’ risk aversion. The results of the present research indicate that risk management contributes to an increase in corporate value if, under the influence of market imperfections, corporate risk exposure is concave. As an expression of market imperfections, the paper analyzes the costs of financial distress, agency costs, and taxation. The results of the research also indicate that the risk management policy should not aim to minimize, but rather optimize risk exposure, by taking into account the costs of risk management, investors’ risk aversion and the competitive advantage a corporation has on the relevant market.

  7. Injector of solid indicator

    Energy Technology Data Exchange (ETDEWEB)

    Chernyshev, G.I.; Luk' yanov, E.P.; Pruslin, Y.A.; Zabrodin, P.I.

    1981-04-25

    The injector can be used with remote introduction of indicators into a borehole for study in an oil well of the parameters of movement of fluid currents, control of the state of the equipment, and study of the properties of the rocks. Proposed is a method of increasing the reliability of operation of the injector by stabilizing the rate of its dispersing. Introduced to the injector of a solid indicator are auxiliary brackets and a cathode made from nonmetallic electrical conducting material and reinforced at the end by an elastic bracket. The auxillary cathode is attached to the end surface of the anode and cathode.

  8. Public Value: rethinking value creation

    OpenAIRE

    Meynhardt, Timo; Gomez, Peter; Strathoff, Pepe; Hermann, Carolin

    2014-01-01

    Managers might refute public criticism of their business as an attitude of taking everything for granted in a saturated society, but ignoring Public Value aspects can threaten the success of new products and even the survival of entire firms.

  9. The politics of SEA indicators

    DEFF Research Database (Denmark)

    Gao, Jingjing; Kørnøv, Lone; Christensen, Per

    2013-01-01

    The use of indicators is not only technical and science-led, but also a value-laden social process, and thus concerns public participation, political judgment and decision-making. This article approaches the Chinese SEA indicator system from a science-policy interface and aims at: 1) contributing...

  10. Lichens as bio indicators

    International Nuclear Information System (INIS)

    2003-01-01

    This publication discusses the use of lichens as biological indicators. Perennial growth, long life, efficient take-up of mineral nutrients from air and rain and small loss of nutrition are properties that make lichens suitable as biological indicators. In surveys and monitoring, species diversity and coverage by organisms that live as epiphytes on tree trunks have been the most commonly used parameters. A decline in the occurrence of this type of lichen is often related to the content of sulphur compounds in the air and it has been demonstrated that many species are sensitive to sulphur dioxide. It is also known that the growth of many types of lichens increases with a moderate increase in available nitrogen. In South Norway, pollution sensitive species such as Bryoria spp. have advanced strongly, which is probably due to less sulphur in the rain and a higher content of nutrition in the form of nitrate and ammonium

  11. Add Value

    DEFF Research Database (Denmark)

    Kobbelgaard, Cecilie Elisabeth

    2016-01-01

    "Add Value – kend din kunde" er et brætspil, som giver både offentlige og private virksomheder unikke muligheder for at forbedre deres service overfor kunderne. Spillet giver, på en alternativ og handlingsorienteret måde, mulighed for at blive skarpere på kundeoplevelsen – hvor er der værdi...... at hente, og hvor kan der spares på tid og ressourcer? Dette samtidig med, at kunderne får den oplevelse og service, de forventer. Når I spiller "Add Value – kend din kunde" sættes der fokus på Jeres kundeservice ud fra kundens perspektiv, og det er i alle Jeres kontaktflader med kunden. Lige fra kunden...

  12. Increased constituent ratios of Klebsiella sp., Acinetobacter sp., and Streptococcus sp. and a decrease in microflora diversity may be indicators of ventilator-associated pneumonia: a prospective study in the respiratory tracts of neonates.

    Directory of Open Access Journals (Sweden)

    Wei Lu

    Full Text Available Ventilator-associated pneumonia (VAP is a common complication and cause of death in neonates on mechanical ventilation. However, it is difficult to define the causes of VAP. To understand the causes of VAP, we undertook a prospective study based on the diversity of the microflora in VAP. The experimental group consisted of newborns who suffered from respiratory distress syndrome (RDS and VAP, while the control group suffered from RDS without VAP. Sputa were collected within 1, 3, and 5 days of ventilation and were divided into six groups. DNA was extracted from the samples, and the 16S rDNA was PCR amplified, separated using denaturing gradient gel electrophoresis (DGGE, cloned and sequenced. The resulting sequences were compared using BLAST. The DGGE pictures were measured, and the richness, Shannon-Wiener index, and cluster maps were analyzed. No differences were found regarding the constituent ratio of any genus between the Non-VAP and VAP group within 1 day after intubation. After 1 to 3 days, the constituent ratios of Klebsiella sp., Acinetobacter sp., and Streptococcus sp. in the VAP group were higher than those in the Non-VAP group, and the ratios of Serratia sp. and Achromobacter sp. were lower. After 3 to 5 days, the ratios of Klebsiella sp., Acinetobacter sp., Serratia sp., and Achromobacter sp. were lower than those in the Non-VAP group. The richness and Shannon-Wiener index of the Non-VAP group were higher than those of the VAP group from 1 to 3 days after intubation, while no differences were found within 1 day and from 3 to 5 days. We conclude that during the first three days of intubation, the microflora diversity in the lower respiratory tract was reduced due to VAP, and the greater constituent ratios of Klebsiella sp., Acinetobacter sp., and Streptococcus sp. in the sputum may be indicators of VAP.

  13. Conservation Value

    OpenAIRE

    Tisdell, Clement A.

    2010-01-01

    This paper outlines the significance of the concept of conservation value and discusses ways in which it is determined paying attention to views stemming from utilitarian ethics and from deontological ethics. The importance of user costs in relation to economic decisions about the conservation and use of natural resources is emphasised. Particular attention is given to competing views about the importance of conserving natural resources in order to achieve economic sustainability. This then l...

  14. Response of male turkeys hatched from first-cycle and force-molted breeder hens to a regimen providing progressive feeds by weight and the value of increased lysine prior to marketing.

    Science.gov (United States)

    Moran, E T; Krueger, K K; Acar, N

    1992-11-01

    Male poults originating from 41- and 85-wk-old Nicholas Large White breeder turkey hens were compared using a six-feed system provided on the basis of weight. Each source of poult was compared further in its response to lysine at .65 and .80% in the final feed (14.5% CP and 3.40 kcal AMEn/g) before marketing at 18 wk of age. Poults from 85-wk-old hens were heavier at placement than those from 41-wk-old hens. Equalization of body weights occurred once the allotment of starting feed had been consumed and for the most part remained similar thereafter. Increasing lysine content of the final feed did not improve body weight of both sources of birds at marketing (P < .13). Feed conversions included accrued mortality, and treatment differences were not apparent. Commercial processing of the flock and measurements on sample birds indicated no ready differences in chilled carcass yield nor proportions of parts occurred among treatments. The overall effects of breeder age with the progeny were negligible, and the .65% level of lysine that presently serves as the 1984 National Research Council minimum requirement when associated with 14% CP and 3.30 kcal/g appears to be adequate for the Nicholas strain of turkey from 16 to 18 wk of age.

  15. Valor Nutritivo de Silagens de Híbridos de Sorgo (Sorghum bicolor (L. Moench sob Doses Crescentes de Adubação Nutritive Value of Five Sorghum Hybrids (Sorghum bicolor (L. Moench Silages under Increasing Fertilization Levels

    Directory of Open Access Journals (Sweden)

    Magno José Duarte Cândido

    2002-02-01

    Full Text Available Avaliou-se o valor nutritivo das silagens de cinco híbridos de sorgo (AG2002, AG2005E, AGX202, AGX213 e AGX215, cultivados sob doses crescentes de adubação (tratamento sem adubação, 0,5; 1,0; e 2,0 vezes a recomendação de adubação, consistindo de 0; 45,5; 91; e 182 kg/ha de N; 0; 49; 98; e 196 kg/ha de P2O5 ; e 0; 14; 28; e 56 kg/ha de K2O, além de 0; 42; 84; e 168 kg/ha de S, respectivamente, advindos da utilização de sulfato de amônio em cobertura, adotando-se o esquema fatorial 5x4 no delineamento em blocos casualizados, com quatro repetições. O plantio foi realizado no dia 06.11.1997, e as parcelas foram colhidas com os grãos no estádio farináceo. De cada parcela útil retirou-se uma amostra para enchimento dos silos experimentais, que, após 60 dias, foram abertos e amostrados novamente para se proceder à pré-secagem e às determinações do valor nutritivo (PB, fração fibrosa e DIVMS. Os dados foram interpretados por análise de variância e regressão, desdobrando-se a interação híbrido x adubo independentemente da sua significância. Os fatores qualitativos foram comparados, utilizando-se o teste de Tukey. Os modelos foram escolhidos, baseando-se na significância dos coeficientes de regressão, utilizando o teste de "t", Student, a 10% de probabilidade, e no coeficiente de determinação. O valor nutritivo das silagens diferiu entre os híbridos, observando-se maior valor nutritivo para a silagem do AG2005E, enquanto as silagens do AG2002 e do AGX213 apresentaram maior produção de nutrientes por unidade de área. O valor nutritivo das silagens foi afetado pelas doses de recomendação de adubação, embora de forma inconsistenteThe nutritive value of five sorghum hybrids (AG-2002, AG-2005E, AG-X202, AG-X213 and AG-X215 silages, cultivated under increasing fertilization levels (control, 0.5, 1.0, and 2.0 times of the recommended fertilization, corresponding to 0, 45.5, 91, and 182 kg/ha N; 0, 49, 98, and 196 kg

  16. Cytological indicators: Haematopoetic effects

    International Nuclear Information System (INIS)

    Fliedner, T.M.; Nothdurft, W.

    1986-01-01

    It is the aim of this paper, intended more as a general outline than a comprehensive review, to elucidate the most prominent events in the sequence of radiation induced cytological changes in the hemopoietic system taking its functional organisation and the cytokinetics of blood cell production into consideration. As could be shown, there are about ten different categories of quantitative and qualitative parameters based on methods ranging from stem cell determinations to tests for mature blood cell function that in principle are available for assessment of radiation damage to the bone marrow and that have been applied to men exposed to ionizing radiation. Some of these indicator systems have proven for a long period of time to be of essential value and to be quite feasible in practice under routine conditions. Considerable methodological progress, however, is needed for others before decisions about their practical applicability can be made. (orig.)

  17. Efficacy of a comprehensive dental education program regarding management of avulsed permanent teeth as a valid indicator of increased success rate of treatment of avulsion in a North Indian population

    Directory of Open Access Journals (Sweden)

    Navneet Grewal

    2015-01-01

    Full Text Available Aims: To assess whether educating the parents, teachers, and intermediate school children of Amritsar city about the emergency management of tooth avulsion was an effective method of increasing success rate of treatment of avulsion. Subjects and Methods: Self-administered questionnaires were prepared for 200 parents, teachers, and for intermediate school children to assess baseline knowledge. Sociodemographic distribution of the targeted group was carried out applying Kuppuswamy scale. Two months later, flip cards and posters were distributed to the selected sample followed by a reinforcement session conducted after 1 month in the form of slide presentations on dental trauma. After 3 months, reassessment performance was distributed to the same participants for reassessing any change in baseline knowledge. Further analysis of knowledge, attitude, and practices were carried out after 6 months. The scores based on Likert scale ranging 0-3 were obtained and put to statistical analysis to analyze efficacy of this program 12 months from baseline data. Results and Conclusion: Wilcoxon signed ranked test was applied to nonparametric data to study the knowledge before and after education was carried out. There was a significant change in the knowledge level of children, teachers, and parents after the campaign and teachers showed more positive change in the practice of emergency management of tooth avulsion, endorsing the fact that comprehensive dental education programs targeting school teachers and children can change the perspective of individuals toward treatment needs for dental trauma involving avulsion.

  18. The triad value function

    DEFF Research Database (Denmark)

    Vedel, Mette

    2016-01-01

    the triad value function. Next, the applicability and validity of the concept is examined in a case study of four closed vertical supply chain triads. Findings - The case study demonstrates that the triad value function facilitates the analysis and understanding of an apparent paradox; that distributors...... are not dis-intermediated in spite of their limited contribution to activities in the triads. The results indicate practical adequacy of the triad value function. Research limitations/implications - The triad value function is difficult to apply in the study of expanded networks as the number of connections...... expands exponentially with the number of ties in the network. Moreover, it must be applied in the study of service triads and open vertical supply chain triads to further verify the practical adequacy of the concept. Practical implications - The triad value function cannot be used normatively...

  19. Valuing hope.

    Science.gov (United States)

    McMillan, John; Walker, Simon; Hope, Tony

    2014-01-01

    This article argues that hope is of value in clinical ethics and that it can be important for clinicians to be sensitive to both the risks of false hope and the importance of retaining hope. However, this sensitivity requires an understanding of the complexity of hope and how it bears on different aspects of a well-functioning doctor-patient relationship. We discuss hopefulness and distinguish it, from three different kinds of hope, or 'hopes for', and then relate these distinctions back to differing accounts of autonomy. This analysis matters because it shows how an overly narrow view of the ethical obligations of a clinician to their patient, and autonomy, might lead to scenarios where patients regret the choices they make.

  20. Value oriented strategic marketing

    Directory of Open Access Journals (Sweden)

    Milisavljević Momčilo

    2013-01-01

    Full Text Available Changes in today's business environment require companies to orient to strategic marketing. The company accepting strategic marketing has a proactive approach and focus on continuous review and reappraisal of existing and seeking new strategic business areas. Difficulties in achieving target profit and growth require turning marketing from the dominant viewpoint of the tangible product to creating superior value and developing relationships with customers. Value orientation implies gaining competitive advantage through continuous research and understanding of what value represents to the consumers and discovering new ways to meet their required values. Strategic marketing investment requires that the investment in the creation of values should be regularly reviewed in order to ensure a focus on customers with high profit potential and environmental value. This increases customer satisfaction and retention and long-term return on investment of companies.

  1. Fair Value or Market Value?

    Directory of Open Access Journals (Sweden)

    Bogdan Cosmin Gomoi

    2014-12-01

    Full Text Available When taking into consideration the issue of defining the “fair value” concept, those less experimented in the area often fall in the “price trap”, which is considered as an equivalent of the fair value of financial structures. This valuation basis appears as a consequence of the trial to provide an “accurate image” by the financial statements and, also, as an opportunity for the premises offered by the activity continuing principle. The specialized literature generates ample controversies regarding the “fair value” concept and the “market value” concept. The paper aims to debate this issue, taking into account various opinions.

  2. Reticulocyte maturity indices in iron deficiency anemia

    Directory of Open Access Journals (Sweden)

    Muriel Wollmann

    2014-01-01

    Full Text Available Objective: The aim of this study was to analyze the reticulocyte maturity indices (low, medium, and high fluorescence ratios in iron deficient 1- to 6-year-old children, and identify the prevalence of iron deficiency anemia in this population. Methods: The present study included 39 subjects, divided into two groups: control subjects (n = 33, and subjects with iron deficiency anemia (n = 6. The results were analyzed by Student's t-test for comparison of means. Differences were considered significant when two-tailed p-value < 0.05. Results: Subjects with iron deficiency anemia presented increases in the proportion of mean (10.3 ± 4.7% vs. 6.0 ± 3.4%; p-value = 0.003, and high fluorescence reticulocytes (2.3 ± 0.87% vs. 0.9 ± 0.9%; p-value = 0.03 compared to the control group. The prevalence of anemia in this population was 15% (n = 6. Conclusion: The indices related to immaturity of reticulocytes are higher in the presence of iron deficiency, thus demonstrating a deficiency in the raw material to form hemoglobin and are, therefore, possible early markers of iron deficiency and anemia. We emphasize the need to standardize these indices for use in clinical practice and lab test results.

  3. Optimization by visualization of indices

    Energy Technology Data Exchange (ETDEWEB)

    Haverkamp, Uwe; Kriz, Jan; Eich, Hans Theodor [University Muenster, Department of Radiotherapy, Muenster (Germany); Norkus, Darius [Vilnius University, Oncology Institute, Vilnius (Lithuania); Mueller Minai, Mariam; Prott, Franz-Josef [RNS Radiotherapy Wiesbaden, Wiesbaden (Germany)

    2014-11-15

    Physical 3D treatment planning provides a pool of parameters describing dose distributions. It is often useful to define conformal indices to enable quicker evaluation. However, the application of individual indices is controversial and not always effective. The aim of this study was to design a quick check of dose distributions based on several indices detecting underdosages within planning target volumes (PTVs) and overdosages in normal tissue. Dose distributions of 215 cancer patients were considered. Treatment modalities used were three-dimensional conformal radiotherapy (3DCRT), radiosurgery, intensity-modulated radiotherapy (IMRT), intensity-modulated arc therapy (IMAT) and tomotherapy. The volumes recommended in ICRU 50 and 83 were used for planning and six conformation and homogeneity indices were selected: CI, CN, C{sub ICRU}, COV, C{sub ∇}, and HI. These were based on the PTV, the partial volume covered by the prescribed isodose (PI; PTV{sub PI}), the treated volume (TV{sub PI}), near maximum D{sub 2} and near minimum D{sub 98}. Results were presented as a hexagon - the corners of which represent the values of the indices - and a modified test function F (Rosenbrock's function) was calculated. Results refer to clinical examples and mean values, in order to allow evaluation of the power of F and hexagon-based decision support procedures in detail and in general. IMAT and tomotherapy showed the best values for the indices and the lowest standard deviation followed by static IMRT. DCRT and radiosurgery (e.g. CN: IMAT 0.85 ± 0.06; tomotherapy 0.84 ± 0.06; IMRT 0.83 ± 0.07; 3DCRT 0.65 ± 0.08; radiosurgery 0.64 ± 0.11). In extreme situations, not all indices reflected the situation correctly. Over- and underdosing of PTV and normal tissue could be qualitatively assessed from the distortion of the hexagon in graphic analysis. Tomotherapy, IMRT, IMAT, 3DCRT and radiosurgery showed increasingly distorted hexagons, the type of distortion indicating

  4. Increased myeloperoxidase activity as an indicator of neutrophil ...

    African Journals Online (AJOL)

    Ehab

    2012-04-30

    Apr 30, 2012 ... reperfusion injury, rheumatoid arthritis, bronchial ... following up some of sepsis group neonates there was significant ..... Kupffer cells: target for liver injury treatment. ... Pharmaceutical Science Invention ISSN, Volume 2,.

  5. INCREASE OF INDICATOR ORGANISMS FOLLOWING ANAEROBIC DIGESTION AND CENTRIFUGE DEWATERING.

    Science.gov (United States)

    The Water Environment Research Foundation (WERF) recently published a report titled “Examination of Reactivation and Regrowth of Fecal Coliforms in Anaerobically Digested Sludges”. Seven full-scale publicly owned treatment facilities were sampled several times to determine if bac...

  6. Increased myeloperoxidase activity as an indicator of neutrophil ...

    African Journals Online (AJOL)

    Egyptian Journal of Pediatric Allergy and Immunology (The). Journal Home · ABOUT THIS JOURNAL · Advanced Search · Current Issue · Archives · Journal Home > Vol 13, No 1 (2015) >. Log in or Register to get access to full text downloads.

  7. Seroma indicates increased risk of lymphedema following breast cancer treatment

    DEFF Research Database (Denmark)

    Toyserkani, Navid Mohamadpour; Jørgensen, Mads Gustaf; Haugaard, Karen

    2017-01-01

    in one of the largest retrospective cohort studies. Material and methods We included all patients with unilateral breast cancer treated in the period of 2008-2014. Data regarding treatment and breast cancer characteristics were retrieved from the national breast cancer registry. Data regarding lymphedema...

  8. Adding Production Value Through Application of Value Based Scheduling

    DEFF Research Database (Denmark)

    Lindhard, Søren; Wandahl, Søren

    2012-01-01

    Customer value is a key goal in the Lean philosophy, essentially only actions that adds value should be conducted. In a transformation view, the basic lean approach is to remove waste, which indirectly increases value (or withstand value lose). Lean Construction acknowledges two different types o...... be minimized and management should seek towards democratic leadership....

  9. Valuing vaccination.

    Science.gov (United States)

    Bärnighausen, Till; Bloom, David E; Cafiero-Fonseca, Elizabeth T; O'Brien, Jennifer Carroll

    2014-08-26

    Vaccination has led to remarkable health gains over the last century. However, large coverage gaps remain, which will require significant financial resources and political will to address. In recent years, a compelling line of inquiry has established the economic benefits of health, at both the individual and aggregate levels. Most existing economic evaluations of particular health interventions fail to account for this new research, leading to potentially sizable undervaluation of those interventions. In line with this new research, we set forth a framework for conceptualizing the full benefits of vaccination, including avoided medical care costs, outcome-related productivity gains, behavior-related productivity gains, community health externalities, community economic externalities, and the value of risk reduction and pure health gains. We also review literature highlighting the magnitude of these sources of benefit for different vaccinations. Finally, we outline the steps that need to be taken to implement a broad-approach economic evaluation and discuss the implications of this work for research, policy, and resource allocation for vaccine development and delivery.

  10. Value and Momentum Everywhere

    DEFF Research Database (Denmark)

    Asness, Clifford S.; Moskowitz, Tobias; Heje Pedersen, Lasse

    2013-01-01

    are negatively correlated with each other, both within and across asset classes. Our results indicate the presence of common global risks that we characterize with a three-factor model. Global funding liquidity risk is a partial source of these patterns, which are identifiable only when examining value...

  11. What is the value of routinely testing full blood count, electrolytes and urea, and pulmonary function tests before elective surgery in patients with no apparent clinical indication and in subgroups of patients with common comorbidities: a systematic review of the clinical and cost-effective literature.

    Science.gov (United States)

    Czoski-Murray, C; Lloyd Jones, M; McCabe, C; Claxton, K; Oluboyede, Y; Roberts, J; Nicholl, J P; Rees, A; Reilly, C S; Young, D; Fleming, T

    2012-12-01

    routine practice; rather, use was related to an expectation of a more complex clinical case. The paucity of published evidence is a limitation of this study. The studies included relied on non-UK health-care systems data, which may not be transferable. The inclusion of non-randomised studies is associated with an increased risk of bias and confounding. Scoping work to establish the likely mechanism of action by which tests would impact upon outcomes and resource utilisation established that the cause of an abnormal test result is likely to be a pivotal determinant of the cost-effectiveness of a pre-operative test and therefore evaluations would need to consider tests in the context of the underlying risk of specific clinical problems (i.e. risk guided rather than routine use). The time of universal utilisation of pre-operative tests for all surgical patients is likely to have passed. The evidence we have identified, though weak, indicates that tests are increasingly utilised in patients in whom there is a reason to consider an underlying raised risk of a clinical abnormality that should be taken into account in their clinical management. It is likely that this strategy has led to substantial resource savings for the NHS, although there is not a published evidence base to establish that this is the case. The total expenditure on pre-operative tests across the NHS remains significant. Evidence on current practice indicates that clinical practice has changed to such a degree that the original research question is no longer relevant to UK practice. Future research on the value of these tests in pre-operative work-up should be couched in terms of the clinical effectiveness and cost-effectiveness in the identification of specific clinical abnormalities in patients with a known underlying risk. We suggest that undertaking a multicentre study making use of linked, routinely collected data sets would identify the extent and nature of pre-operative testing in this group of patients

  12. Nordic eHealth Indicators

    DEFF Research Database (Denmark)

    Hyppönen, Hannele; Faxvaag, Arild; Gilstad, Heidi

    2013-01-01

    eHealth indicator and benchmarking activities are rapidly increasing nationally and internationally. The work is rarely based on a transparent methodology for indicator definition. This article describes first results of testing an indicator methodology for defining eHealth indicators, which...... was reported at the Medical Informatics Europe conference in 2012. The core elements of the methodology are illustrated, demonstrating validation of each of them in the context of Nordic eHealth Indicator work. Validation proved the importance of conducting each of the steps of the methodology, with several...

  13. Participatory evaluation for environmental indicators

    NARCIS (Netherlands)

    Goma, H.C.; Rahim, K.; Nangendo, G.; Riley, J.; Stein, A.

    2001-01-01

    Participatory research has emerged as a powerful tool to identify agro-ecosystem indicators in developing countries. Indigenous knowledge, thus generated complements scientific information to the benefit of all stakeholders. This paper demonstrates the value of participating with farmers and hunters

  14. Adding more value to added-value

    DEFF Research Database (Denmark)

    Marian, Livia

    Recent studies reveal that consumers respond favourably to “organic plus” products with additional ethical attributes. The aim of the current study is to explore whether consumers would notice and value further improvements in the animal welfare standards than those imposed by the organic...... regulation. The results of a qualitative concept test reveal positive attitudes towards the proposed production process. The discussions about fewer standards being sufficient or about options “in-between” conventional and organic standards indicate that the difference in production processes is noticed, yet...

  15. Geomagnetic Indices Bulletin (GIB)

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — The Geomagnetic Indices Bulletin is a one page sheet containing the magnetic indices Kp, Ap, Cp, An, As, Am and the provisional aa indices. The bulletin is published...

  16. Teriparatide - Indications beyond osteoporosis

    Directory of Open Access Journals (Sweden)

    Marilyn Lee Cheng

    2012-01-01

    Full Text Available Osteoporosis is a condition of impaired bone strength that results in an increased risk of fracture. The current and most popular pharmacological options for the treatment of osteoporosis include antiresorptive therapy, in particular, oral bisphosphonates (alendronate, risedronate, ibandronate. Anabolic agents like teriparatide have widened our therapeutic options. They act by directly stimulating bone formation and improving bone mass quantity and quality. Two forms of recombinant human parathyroid hormone (PTH are available : full-length PTH (PTH 1-84; approved in the EU only and the 1-34 N-terminal active fragment of PTH (teriparatide, US FDA approved. This review aims to discuss the benefits of teriparatide beyond the currently licensed indications like fracture healing, dental stability, osteonecrosis of jaw, hypoparathyroidism, and hypocalcemia.

  17. Plastic value chains

    DEFF Research Database (Denmark)

    Baxter, John; Wahlstrom, Margareta; Zu Castell-Rüdenhausen, Malin

    2014-01-01

    Optimizing plastic value chains is regarded as an important measure in order to increase recycling of plastics in an efficient way. This can also lead to improved awareness of the hazardous substances contained in plastic waste, and how to avoid that these substances are recycled. As an example......, plastics from WEEE is chosen as a Nordic case study. The project aims to propose a number of improvements for this value chain together with representatives from Nordic stakeholders. Based on the experiences made, a guide for other plastic value chains shall be developed....

  18. Value and Momentum Everywhere

    DEFF Research Database (Denmark)

    Asness, Clifford S.; Moskowitz, Tobias J.; Heje Pedersen, Lasse

    across asset classes than passive exposures to the asset classes themselves. However, value and momentum are negatively correlated both within and across asset classes. Our results indicate the presence of common global risks that we characterize with a three factor model. Global funding liquidity risk...... is a partial source of these patterns, which are identifiable only when examining value and momentum simultaneously across markets. Our findings present a challenge to existing behavioral, institutional, and rational asset pricing theories that largely focus on U.S. equities....

  19. Performance Indicators in Spine Surgery.

    Science.gov (United States)

    St-Pierre, Godefroy Hardy; Yang, Michael H; Bourget-Murray, Jonathan; Thomas, Ken C; Hurlbert, Robin John; Matthes, Nikolas

    2018-02-15

    Systematic review. To elucidate how performance indicators are currently used in spine surgery. The Patient Protection and Affordable Care Act has given significant traction to the idea that healthcare must provide value to the patient through the introduction of hospital value-based purchasing. The key to implementing this new paradigm is to measure this value notably through performance indicators. MEDLINE, CINAHL Plus, EMBASE, and Google Scholar were searched for studies reporting the use of performance indicators specific to spine surgery. We followed the Prisma-P methodology for a systematic review for entries from January 1980 to July 2016. All full text articles were then reviewed to identify any measure of performance published within the article. This measure was then examined as per the three criteria of established standard, exclusion/risk adjustment, and benchmarking to determine if it constituted a performance indicator. The initial search yielded 85 results among which two relevant studies were identified. The extended search gave a total of 865 citations across databases among which 15 new articles were identified. The grey literature search provided five additional reports which in turn led to six additional articles. A total of 27 full text articles and reports were retrieved and reviewed. We were unable to identify performance indicators. The articles presenting a measure of performance were organized based on how many criteria they lacked. We further examined the next steps to be taken to craft the first performance indicator in spine surgery. The science of performance measurement applied to spine surgery is still in its infancy. Current outcome metrics used in clinical settings require refinement to become performance indicators. Current registry work is providing the necessary foundation, but requires benchmarking to truly measure performance. 1.

  20. Indicators for Danish greenhouse gas emissions from 1990 to 2007

    Energy Technology Data Exchange (ETDEWEB)

    Lyck, E.; Nielsen, Malene; Nielsen, Ole-Kenneth; Winther, M.; Hoffmann, L.; Thomsen, M.

    2009-12-15

    The indicators defined according to the obligations under decisions of the EU Monitoring Mechanism have been worked out for 1990-2007. Discussions and comments on the definitions and the guidance of the indicators and their numerator and denominator were worked out. For many indicators the definitions and guidance were clear, for some indicators further text as definition and guidance would have been appropriate. Explanations on the data collection for the indicators for Denmark are given in this report. For the greenhouse gas emissions the source is the Danish inventories and the Danish inventory databases. For Economic data the source is Eurostat and for building data the source is Statistics Denmark. Only the energy, industry and transport sectors and only emissions of CO{sub 2} are covered by the indicators defined. A major result is that the main indicator (macro indicator 1) shows that the steady increase of gross domestic product is decoupled from the trend of the Danish national emissions of CO{sub 2}, since the indicator (the emissions divided by the GDP) in 2005-2007 decreased by 23-30 % compared to 1990. This decrease is mainly caused by higher efficiency in the heat and electricity production, a gradual shift to lesser CO{sub 2} emitting fuels, e.g. from coal to gas, and an increased use of biomass fuels. An important indicator for the industry sector is the CO{sub 2} emission over gross value added (priority indicator 4). The overall trend is a decrease from 1996 to 2007 after slightly fluctuating levels for the years 1990 to 1996. The rather steady increase of gross value added of industry, in 2007 27% above the 1990 level, simultaneously with an increase of CO{sub 2} emission of 5% only, is as for the macro indicator a decoupling. This causes the indicator in 2007 to be at 83 % of the 1990 level. The change to lower emitting fuels plays a role probably interplaying with the changes in industry structure towards less energy demanding industry. For

  1. Consumer Complaints and Company Market Value

    Directory of Open Access Journals (Sweden)

    Danny Pimentel Claro

    2014-07-01

    Full Text Available Consumer complaints affect company market value and common sense suggests that a negative impact is expected. However, do complaints always negatively impact company market value? We hypothesize in this study that complaints may have a non-linear effect on market value. Positive (e.g. avoiding high costs to solve complaints and negative (e.g. speedy and intense diffusion tradeoffs may occur given the level of complaints. To test our non-linear hypothesis, a panel data was collected from cell phone service providers from 2005 to 2013. The results supported our tradeoff rationale. Low levels of complaints allow for companies to increase market value, while high levels of complaints cause increasing harm to market value. The sample, model and period considered in this study, indicates a level of 0.49 complaints per thousand consumers as the threshold for a shift in tradeoffs. The effects on market value become increasingly negative when trying to make reductions to move below this level, due to negative tradeoffs.

  2. Fetal Echocardiography and Indications

    Directory of Open Access Journals (Sweden)

    Melih Atahan Güven

    2008-09-01

    Full Text Available Congenital heart diseases are encountered in 0.8% of live births and are among the most frequently diagnosed malformations. At least half of these anomalies end up with death or require surgical interventions and are responsible for 30% of the perinatal mortality. Fetal echocardiography is the sum of knowledge, skill and orientation rather than knowing the embryologic details of the fetal heart. The purpose of fetal echocardiography is to document the presence of normal fetal cardiac anatomy and rhythm in high risk group and to define the anomaly and arrhythmia if present. A certain sequence should be followed during the evaluation of fetal heart. Sequential segmental analysis (SSA and basic definition terminology made it possible to determine a lot of complex cardiac anomalies during prenatal period. By the end of 1970’s, Shinebourne started using sequential segmental analysis for fetal cardiac evaluation and today, prenatal diagnosis of congenital heart disease is possible without any confusion. In this manner, whole fetal heart can be evaluated as the relation of three segments (atria, ventricles and the great arteries with each other, irrelevant of complexity of a possible cardiac anomaly. Presence of increased nuchal thickness during early gestation and abnormal four-chamber-view during ultrasonography by the obstetrician presents a clear indication for fetal echocardiography,however, one should keep in mind that 80-90% of the babies born with a congenital heart disease do not have a familial or maternal risk factor. In addition, it should be remembered that expectant mothers with diabetes mellitus pose an indication for fetal echocardiography.

  3. Selecting and applying indicators of ecosystem collapse for risk assessments.

    Science.gov (United States)

    Rowland, Jessica A; Nicholson, Emily; Murray, Nicholas J; Keith, David A; Lester, Rebecca E; Bland, Lucie M

    2018-03-12

    Ongoing ecosystem degradation and transformation are key threats to biodiversity. Measuring ecosystem change towards collapse relies on monitoring indicators that quantify key ecological processes. Yet little guidance is available on selecting and implementing indicators for ecosystem risk assessment. Here, we reviewed indicator use in ecological studies of decline towards collapse in marine pelagic and temperate forest ecosystems. We evaluated the use of indicator selection methods, indicator types (geographic distribution, abiotic, biotic), methods of assessing multiple indicators, and temporal quality of time series. We compared these ecological studies to risk assessments in the International Union for the Conservation of Nature Red List of Ecosystems (RLE), where indicators are used to estimate ecosystem collapse risk. We found that ecological studies and RLE assessments rarely reported how indicators were selected, particularly in terrestrial ecosystems. Few ecological studies and RLE assessments quantified ecosystem change with all three indicator types, and indicators types used varied between marine and terrestrial ecosystem. Several studies used indices or multivariate analyses to assess multiple indicators simultaneously, but RLE assessments did not, as RLE guidelines advise against them. Most studies and RLE assessments used time series spanning at least 30 years, increasing the chance of reliably detecting change. Limited use of indicator selection protocols and infrequent use of all three indicator types may hamper the ability to accurately detect changes. To improve the value of risk assessments for informing policy and management, we recommend using: (i) explicit protocols, including conceptual models, to identify and select indicators; (ii) a range of indicators spanning distributional, abiotic and biotic features; (iii) indices and multivariate analyses with extreme care until guidelines are developed; (iv) time series with sufficient data to

  4. Value-based management of design reuse

    Science.gov (United States)

    Carballo, Juan Antonio; Cohn, David L.; Belluomini, Wendy; Montoye, Robert K.

    2003-06-01

    Effective design reuse in electronic products has the potential to provide very large cost savings, substantial time-to-market reduction, and extra sources of revenue. Unfortunately, critical reuse opportunities are often missed because, although they provide clear value to the corporation, they may not benefit the business performance of an internal organization. It is therefore crucial to provide tools to help reuse partners participate in a reuse transaction when the transaction provides value to the corporation as a whole. Value-based Reuse Management (VRM) addresses this challenge by (a) ensuring that all parties can quickly assess the business performance impact of a reuse opportunity, and (b) encouraging high-value reuse opportunities by supplying value-based rewards to potential parties. In this paper we introduce the Value-Based Reuse Management approach and we describe key results on electronic designs that demonstrate its advantages. Our results indicate that Value-Based Reuse Management has the potential to significantly increase the success probability of high-value electronic design reuse.

  5. Indicators and their functions

    DEFF Research Database (Denmark)

    Gudmundsson, Henrik; Joumard, Robert; Aschemann, Ralf

    2010-01-01

    indicators? How can several indicators be jointly considered? And how can indicators be used in planning and decision making? Firstly we provide definition of 'indicator of environmental sustainability in transport'. The functions, strengths and weaknesses of indicators as measurement tools, and as decision...... for indicators and assessments. As the decision making context influences the perceived and actual needs for indicators and methods, we also analysed the dimensions and context of decision making. We derived criteria and methods for the assessment and selection of indicators of environmental sustainability......This report is the final report of the action COST 356 'EST - Towards the definition of a measurable environmentally sustainable transport'. It tries to answer the following questions: How can environmental impacts of transport be measured? How can measurements be transformed into operational...

  6. Geomagnetic aa Indices

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — The geomagnetic aa indices are the continuation of the series beginning in the year 1868. A full description of these indices is given in the International...

  7. Effect of Age on Pentacam Keratoconus Indices

    Directory of Open Access Journals (Sweden)

    Maged Maher Salib Roshdy

    2018-01-01

    Full Text Available Purpose. To assess the effect of age on elevation and pachymetric Pentacam keratoconus (KC detection indices, and the need to adjust normative values accordingly. Methods. In a retrospective study, 95 eyes of myopic normal subjects without KC were evaluated using the OCULUS Pentacam, with an age range of 17.4 to 46.8 years. Subjects were categorised into three groups according to their age: the first included those younger than 21 years (19 eyes, the second was for the age range of 21–40 years (65 eyes, and the third comprised subjects older than 40 years (11 eyes. Results. There were statistically significant differences among the three groups regarding many elevation indices: AE from BFS, PE from BFS, and PE minus AE from BFS (P=0.003, 0.010, and <0.001, resp., and pachymetric indices: PPI avg, PPI max, ART avg, ART max, and diagonal decentration of the thinnest point (P=<0.001, 0.024, 0.003, 0.026, and 0.026, resp.. On comparing subjects below 21 years to those above 40 years, there was a statistically significant decrease of both PE from BFS and PE minus AE (P=0.005 and <0.001, resp. and statistically significant increase in AE from BFS (P=0.001. Conclusions. Age is an important determinant of elevation indices, significantly altering their normative values. The use of the more robust pachymetry, rather than elevation, indices is recommended in subjects below 21 or above 40 years of age.

  8. The value (driven) web

    NARCIS (Netherlands)

    Baken, N.H.G.; Wiegel, V.; Van Oortmerssen, G.

    2010-01-01

    This paper presents a vision on the importance of values and ethical aspects in web science. We create(d) the Internet, but now the Internet (technology) is shaping our world increasingly: the way we experience, interact, transact, conduct business et cetera. The Internet is ubiquitous and vital to

  9. NRC performance indicator program

    International Nuclear Information System (INIS)

    Singh, R.N.

    1987-01-01

    The performance indicator development work of the US Nuclear Regulatory Commission (NRC) interoffice task group involved several major activities that included selection of candidate indicators for a trial program, data collection and review, validation of the trial indicators, display method development, interactions with the industry, and selection of an optimum set of indicators for the program. After evaluating 27 potential indicators against certain ideal attributes, the task group selected 17 for the trial program. The pertinent data for these indicators were then collected from 50 plants at 30 sites. The validation of the indicators consisted of two primary processes: logical validity and statistical analysis. The six indicators currently in the program are scrams, safety system actuations, significant events, safety system failures, forced outage rate, and equipment forced outages per 100 critical hours. A report containing data on the six performance indicators and some supplemental information is issued on a quarterly basis. The NRC staff is also working on refinements of existing indicators and development of additional indicators as directed by the commission

  10. Evaluation of early nodulation and Nitrogen fixation a number of Bradyrhizobium Japonicum strains to increase nitrogen fixation ability of soybean cultivars ars by using the A-value (N-15) method

    International Nuclear Information System (INIS)

    Piervali-Bieranvand, N.; Teimori, S.; Khorasani, A.

    2004-01-01

    To date significant contribution of atmospheric N fixation to soybean nutrition and growth, is approved. Nevertheless several studies have demonstrated that effectiveness of soybean -rhizobium symbiosis is medium compared with other legumes. The time course study of biological nitrogen fixation in soybean under field conditions has been shown that soybean has limited initial fixation and fixes substantially atmospheric nitrogen just during the reproductive periods (R1 until R 5).So there is the possibility of enhancing nitrogen fixation in soybean during vegetation growth. This could be done by improving inoculation methods or breeding for early nodulation. Hence, the present study was conducted to examine the effect of some Bradyrhizobium japonicum strains on early nodulation and biological nitrogen fixation three soybean cultivars by using a-value method. The experiment, was a factorial on randomized complete block design with three replications under proper glass house condition. Treatments were harvesting times(one , two and three weeks after flowering, respectively.)soybean cultivars(Chippewa, M 112 and clay )and Bradyrhizobium japonicum strains(J 1, J 3 and J 43). Ninety-plastic pots were filled with 1.5 kg of a compound of sand and soil(1:3). Rhizobial inoculation was performed by mixing 10 ml of a suspension(Yeast extract Manitol Broth) containing about 9X10 8 cells per ml to the soil of mixing pots were kept weed-free and watered with demineralized water as well as have received every two weeks 5 ml of a solution containing all the necessary nutrients except nitrogen. For measuring biological nitrogen fixation using a-value approach, two solutions of N-15 enriched ammonium sulfate containing 10.16 and %2 N-15 atom excess in amount of 5 and 25 mg N/Kg soil were mixed with soils in each pot containing fixing and reference plants, respectively. A non-nodulation isoline of soybean C v. M 129 for the all cultivars was used as a reference crop. First harvest was

  11. Clinical value and diagnostic relevance of 99mTc-diethyl-IODO-IDA (IODIDA) compared to 99mTc-diethyl-IDA (HEPATOBIDA) in patients with increased serum bilirubin

    International Nuclear Information System (INIS)

    Spitz, J.; Hildebrandt, H.; Clemenz, N.; Schattenberg, J.; Weigand, H.

    1987-01-01

    In a combined study 20 patients with diseases of liver parenchyma and/or of the bile duct system were investigated with SOLCO-SCINT-IODIDA and SOLCOSCINT-HEPATOBIDA. Patients with normal serum bilirubin do not show qualitative or quantitative differences in hepatobiliary function parameters. With increasing serum bilirubin (X = 15,4 ng/ml, range 3,9 to 42,6 ng/ml) a markedly increased diagnostic relevance could be shown up for IODIDA. Image contrast between liver and heart is better for IODIDA by a factor 2, and there was never seen any renal activity excretion in IODIDA-studies up to serum bilirubin of 40 mg/dl. In 2/3 of the studies IODIDA provided better clinical results, whereas in 1/3 of the cases both compounds did not show significant differences. In no case HIDA showed better results compared to IODIDA. IODIDA proves to be the radiopharmaceutical of choice for all hepatobiliary function studies. (orig.) [de

  12. Company Value Anatomy

    Directory of Open Access Journals (Sweden)

    Luiz Nelson Guedes de Carvalho

    2008-10-01

    Full Text Available The seminal propositions by Modigliani and Miller started a new study area in modern finance theory. Over time, their basic assumptions were relaxed, to the extent that, nowadays, situations in which they can be fully applied, with consistent and satisfactory results, are rare. On the other hand, as this simple set of propositions became known worldwide and was easily applicable, it was adopted as a rule of thumb for general enterprise valuation. However, in situations without methodological bias, the resulting enterprise values obtained by traditional methodologies are abstruse and do not allow for the analysis and management of the individual values that make up the firm and own capital values. In order to avoid this kind of abstruseness in company valuation, this study theoretically deducts an alternative valuation methodology, which permits the identification of assets’ value independently of their financing; moreover, we identify the gain on debt value that the debt provides to the shareholders, the debt tax shield and the value loss of assets and tax shield due to the increase in shareholder risk because of the leverage capital structure.

  13. Relative performance of three stream bed stability indices as indicators of stream health.

    Science.gov (United States)

    Kusnierz, Paul C; Holbrook, Christopher M

    2017-10-16

    Bed stability is an important stream habitat attribute because it affects geomorphology and biotic communities. Natural resource managers desire indices of bed stability that can be used under a wide range of geomorphic conditions, are biologically meaningful, and are easily incorporated into sampling protocols. To eliminate potential bias due to presence of instream wood and increase precision of stability values, we modified a stream bed instability index (ISI) to include measurements of bankfull depth (d bf ) and median particle diameter (D 50 ) only in riffles and increased the pebble count to decrease variability (i.e., increase precision) in D 50 . The new riffle-based instability index (RISI) was compared to two established indices: ISI and the riffle stability index (RSI). RISI and ISI were strongly associated with each other but neither was closely associated with RSI. RISI and ISI were closely associated with both a diatom- and two macrovertebrate-based stream health indices, but RSI was only weakly associated with the macroinvertebrate indices. Unexpectedly, precision of D 50 did not differ between RISI and ISI. Results suggest that RISI is a viable alternative to both ISI and RSI for evaluating bed stability in multiple stream types. With few data requirements and a simple protocol, RISI may also better conform to riffle-based sampling methods used by some water quality practitioners.

  14. Value Relevance of Embedded Value and IFRS 4 Insurance Contracts

    OpenAIRE

    Rebecca Chung-Fern Wu; Audrey Wen-Hsin Hsu

    2011-01-01

    In light of the recent exodus of foreign insurers from Taiwan and the local insurers’ outcries against the International Financial Reporting Standard (IFRS) 4 Insurance Contracts, we examine the value relevance of financial statements for life insurance firms, with particular interests to the embedded value (EV) disclosure. We find that the EV of equity has an incremental information role for book value of equity, which indicates that the accounting mismatching problem in the insurance indust...

  15. Analysing performance through value creation

    Directory of Open Access Journals (Sweden)

    Adrian TRIFAN

    2015-12-01

    Full Text Available This paper draws a parallel between measuring financial performance in 2 variants: the first one using data offered by accounting, which lays emphasis on maximizing profit, and the second one which aims to create value. The traditional approach to performance is based on some indicators from accounting data: ROI, ROE, EPS. The traditional management, based on analysing the data from accounting, has shown its limits, and a new approach is needed, based on creating value. The evaluation of value based performance tries to avoid the errors due to accounting data, by using other specific indicators: EVA, MVA, TSR, CVA. The main objective is shifted from maximizing the income to maximizing the value created for shareholders. The theoretical part is accompanied by a practical analysis regarding the creation of value and an analysis of the main indicators which evaluate this concept.

  16. eHealth indicators

    DEFF Research Database (Denmark)

    HYPPÖNEN, Hannele; AMMENWERTH, Elske; Nøhr, Christian

    2012-01-01

    eHealth indicators are needed to measure defined aspects of national eHealth implementations. However, until now, eHealth indicators are ambiguous or unclear. Therefore, an expert workshop "Towards an International Minimum Dataset for Monitoring National Health Information System Implementations......" was organized. The objective was to develop ideas for a minimum eHealth indicator set. The proposed ideas for indicators were classified based on EUnetHTA and De-Lone & McClean, and classification was compared with health IT evaluation criteria classification by Ammenwerth & Keizer. Analysis of the workshop...... results emphasized the need for a common methodological framework for defining and classifying eHealth indicators. It also showed the importance of setting the indicators into context. The results will benefit policy makers, developers and researchers in pursuit of provision and use of evidence...

  17. Valuing happiness is associated with bipolar disorder.

    Science.gov (United States)

    Ford, Brett Q; Mauss, Iris B; Gruber, June

    2015-04-01

    Although people who experience happiness tend to have better psychological health, people who value happiness to an extreme tend to have worse psychological health, including more depression. We propose that the extreme valuing of happiness may be a general risk factor for mood disturbances, both depressive and manic. To test this hypothesis, we examined the relationship between the extreme valuing of happiness and risk for, diagnosis of, and illness course for bipolar disorder (BD). Supporting our hypothesis, the extreme valuing of happiness was associated with a measure of increased risk for developing BD (Studies 1 and 2), increased likelihood of past diagnosis of BD (Studies 2 and 3), and worse prospective illness course in BD (Study 3), even when controlling for current mood symptoms (Studies 1-3). These findings indicate that the extreme valuing of happiness is associated with and even predicts BD. Taken together with previous evidence, these findings suggest that the extreme valuing of happiness is a general risk factor for mood disturbances. More broadly, what emotions people strive to feel may play a critical role in psychological health. (c) 2015 APA, all rights reserved).

  18. Float level indicator

    International Nuclear Information System (INIS)

    Grishchuk, M.Kh.; Laptev, A.G.; Pashkov, V.A.

    1980-01-01

    Specially developed level indicator is suggested with differential to-transformer converter of the float motion, operating in line with a movable electronic block, intended for indicating the level of the dissociating nitrogen tetroxide liquid phase. On the basis of the indicator elements the device is realized to measure the time of calibrated volume fillino. in by liquid nitrogen tetroxide in steady state operation of the experimental bench-marks [ru