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Sample records for average treatment effect

  1. Estimating the average treatment effects of nutritional label use using subclassification with regression adjustment.

    PubMed

    Lopez, Michael J; Gutman, Roee

    2014-11-28

    Propensity score methods are common for estimating a binary treatment effect when treatment assignment is not randomized. When exposure is measured on an ordinal scale (i.e. low-medium-high), however, propensity score inference requires extensions which have received limited attention. Estimands of possible interest with an ordinal exposure are the average treatment effects between each pair of exposure levels. Using these estimands, it is possible to determine an optimal exposure level. Traditional methods, including dichotomization of the exposure or a series of binary propensity score comparisons across exposure pairs, are generally inadequate for identification of optimal levels. We combine subclassification with regression adjustment to estimate transitive, unbiased average causal effects across an ordered exposure, and apply our method on the 2005-2006 National Health and Nutrition Examination Survey to estimate the effects of nutritional label use on body mass index.

  2. Evidence-Based Medicine, Heterogeneity of Treatment Effects, and the Trouble with Averages

    PubMed Central

    Kravitz, Richard L; Duan, Naihua; Braslow, Joel

    2004-01-01

    Evidence-based medicine is the application of scientific evidence to clinical practice. This article discusses the difficulties of applying global evidence (“average effects” measured as population means) to local problems (individual patients or groups who might depart from the population average). It argues that the benefit or harm of most treatments in clinical trials can be misleading and fail to reveal the potentially complex mixture of substantial benefits for some, little benefit for many, and harm for a few. Heterogeneity of treatment effects reflects patient diversity in risk of disease, responsiveness to treatment, vulnerability to adverse effects, and utility for different outcomes. Recognizing these factors, researchers can design studies that better characterize who will benefit from medical treatments, and clinicians and policymakers can make better use of the results. PMID:15595946

  3. Double robust estimator of average causal treatment effect for censored medical cost data.

    PubMed

    Wang, Xuan; Beste, Lauren A; Maier, Marissa M; Zhou, Xiao-Hua

    2016-08-15

    In observational studies, estimation of average causal treatment effect on a patient's response should adjust for confounders that are associated with both treatment exposure and response. In addition, the response, such as medical cost, may have incomplete follow-up. In this article, a double robust estimator is proposed for average causal treatment effect for right censored medical cost data. The estimator is double robust in the sense that it remains consistent when either the model for the treatment assignment or the regression model for the response is correctly specified. Double robust estimators increase the likelihood the results will represent a valid inference. Asymptotic normality is obtained for the proposed estimator, and an estimator for the asymptotic variance is also derived. Simulation studies show good finite sample performance of the proposed estimator and a real data analysis using the proposed method is provided as illustration. Copyright © 2016 John Wiley & Sons, Ltd.

  4. Double robust estimator of average causal treatment effect for censored medical cost data.

    PubMed

    Wang, Xuan; Beste, Lauren A; Maier, Marissa M; Zhou, Xiao-Hua

    2016-08-15

    In observational studies, estimation of average causal treatment effect on a patient's response should adjust for confounders that are associated with both treatment exposure and response. In addition, the response, such as medical cost, may have incomplete follow-up. In this article, a double robust estimator is proposed for average causal treatment effect for right censored medical cost data. The estimator is double robust in the sense that it remains consistent when either the model for the treatment assignment or the regression model for the response is correctly specified. Double robust estimators increase the likelihood the results will represent a valid inference. Asymptotic normality is obtained for the proposed estimator, and an estimator for the asymptotic variance is also derived. Simulation studies show good finite sample performance of the proposed estimator and a real data analysis using the proposed method is provided as illustration. Copyright © 2016 John Wiley & Sons, Ltd. PMID:26818601

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

    ERIC Educational Resources Information Center

    Reardon, Sean F.; Raudenbush, Stephen W.

    2013-01-01

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

  6. Effect of average flow and capacity utilization on effluent water quality from US municipal wastewater treatment facilities.

    PubMed

    Weirich, Scott R; Silverstein, Joann; Rajagopalan, Balaji

    2011-08-01

    There is increasing interest in decentralization of wastewater collection and treatment systems. However, there have been no systematic studies of the performance of small treatment facilities compared with larger plants. A statistical analysis of 4 years of discharge monthly report (DMR) data from 210 operating wastewater treatment facilities was conducted to determine the effect of average flow rate and capacity utilization on effluent biochemical oxygen demand (BOD), total suspended solids (TSS), ammonia, and fecal coliforms relative to permitted values. Relationships were quantified using generalized linear models (GLMs). Small facilities (40 m³/d) had violation rates greater than 10 times that of the largest facilities (400,000 m³/d) for BOD, TSS, and ammonia. For facilities with average flows less than 40,000 m³/d, increasing capacity utilization was correlated with increased effluent levels of BOD and TSS. Larger facilities tended to operate at flows closer to their design capacity while maintaining treatment suggesting greater efficiency.

  7. Prediction of the effectiveness of long term β blocker treatment for dilated cardiomyopathy by signal averaged electrocardiography

    PubMed Central

    Yamada, T; Fukunami, M; Shimonagata, T; Kumagai, K; Kim, J; Sanada, S; Ogita, H; Hori, M; Hoki, N

    1998-01-01

    Objective—To determine whether the effectiveness of long term β blocker treatment for idiopathic dilated cardiomyopathy can be predicted by signal averaged electrocardiography (ECG).
Patients—31 patients with dilated cardiomyopathy and without bundle branch block were included in a retrospective study and 16 in a prospective study.
Methods—A signal averaged ECG was recorded before β blocker treatment, and three variables were measured from the vector magnitude: QRS duration, root mean square voltage for the last 40 ms (RMS40), and duration of the terminal low amplitude signals (< 40 µV) (LAS40). In the retrospective study, these variables were compared among good responders (showing ⩾ 0.10 increase in ejection fraction 12 months after start of β blocker treatment) and poor responders without such improvement. The validity of the signal averaged ECG criteria for prediction of the response to β blocker treatment was examined in the prospective study.
Results—In the retrospective study, good responders (n = 16) had a shorter QRS duration (mean (SD): 122.9 (11) v 138 (14.4) ms, p < 0.005) and LAS40 (33.1 (8.9) v 42.5 (7.8) ms, p < 0.005), and a higher RMS40 (31.6 (16.3) v 19.0 (10.3) µV, p < 0.02) than poor responders (n = 15). Signal averaged ECG criteria for good response were defined as two or more of the following: QRS duration < 130 ms, RMS40 > 20 µV, LAS40 < 40 ms (sensitivity 81%, specificity 73%). In the prospective study, six of seven patients who met these criteria showed a good response to the β blocker treatment, while eight of nine who did not showed a poor response (χ2 = 6.1, p < 0.02). The signal averaged ECG criteria gave a sensitivity of 86% and a specificity of 89% for predicting the effectiveness of β blocker treatment.
Conclusions—A signal averaged ECG might be useful in predicting the effectiveness of β blocker treatment for dilated cardiomyopathy.

 Keywords: signal

  8. What Is the Minimum Information Needed to Estimate Average Treatment Effects in Education RCTs?

    ERIC Educational Resources Information Center

    Schochet, Peter Z.

    2014-01-01

    Randomized controlled trials (RCTs) are considered the "gold standard" for evaluating an intervention's effectiveness. Recently, the federal government has placed increased emphasis on the use of opportunistic experiments. A key criterion for conducting opportunistic experiments, however, is that there is relatively easy access to data…

  9. Targeted estimation and inference for the sample average treatment effect in trials with and without pair-matching.

    PubMed

    Balzer, Laura B; Petersen, Maya L; van der Laan, Mark J

    2016-09-20

    In cluster randomized trials, the study units usually are not a simple random sample from some clearly defined target population. Instead, the target population tends to be hypothetical or ill-defined, and the selection of study units tends to be systematic, driven by logistical and practical considerations. As a result, the population average treatment effect (PATE) may be neither well defined nor easily interpretable. In contrast, the sample average treatment effect (SATE) is the mean difference in the counterfactual outcomes for the study units. The sample parameter is easily interpretable and arguably the most relevant when the study units are not sampled from some specific super-population of interest. Furthermore, in most settings, the sample parameter will be estimated more efficiently than the population parameter. To the best of our knowledge, this is the first paper to propose using targeted maximum likelihood estimation (TMLE) for estimation and inference of the sample effect in trials with and without pair-matching. We study the asymptotic and finite sample properties of the TMLE for the sample effect and provide a conservative variance estimator. Finite sample simulations illustrate the potential gains in precision and power from selecting the sample effect as the target of inference. This work is motivated by the Sustainable East Africa Research in Community Health (SEARCH) study, a pair-matched, community randomized trial to estimate the effect of population-based HIV testing and streamlined ART on the 5-year cumulative HIV incidence (NCT01864603). The proposed methodology will be used in the primary analysis for the SEARCH trial. Copyright © 2016 John Wiley & Sons, Ltd.

  10. Targeted estimation and inference for the sample average treatment effect in trials with and without pair-matching.

    PubMed

    Balzer, Laura B; Petersen, Maya L; van der Laan, Mark J

    2016-09-20

    In cluster randomized trials, the study units usually are not a simple random sample from some clearly defined target population. Instead, the target population tends to be hypothetical or ill-defined, and the selection of study units tends to be systematic, driven by logistical and practical considerations. As a result, the population average treatment effect (PATE) may be neither well defined nor easily interpretable. In contrast, the sample average treatment effect (SATE) is the mean difference in the counterfactual outcomes for the study units. The sample parameter is easily interpretable and arguably the most relevant when the study units are not sampled from some specific super-population of interest. Furthermore, in most settings, the sample parameter will be estimated more efficiently than the population parameter. To the best of our knowledge, this is the first paper to propose using targeted maximum likelihood estimation (TMLE) for estimation and inference of the sample effect in trials with and without pair-matching. We study the asymptotic and finite sample properties of the TMLE for the sample effect and provide a conservative variance estimator. Finite sample simulations illustrate the potential gains in precision and power from selecting the sample effect as the target of inference. This work is motivated by the Sustainable East Africa Research in Community Health (SEARCH) study, a pair-matched, community randomized trial to estimate the effect of population-based HIV testing and streamlined ART on the 5-year cumulative HIV incidence (NCT01864603). The proposed methodology will be used in the primary analysis for the SEARCH trial. Copyright © 2016 John Wiley & Sons, Ltd. PMID:27087478

  11. A novel convolution-based approach to address ionization chamber volume averaging effect in model-based treatment planning systems.

    PubMed

    Barraclough, Brendan; Li, Jonathan G; Lebron, Sharon; Fan, Qiyong; Liu, Chihray; Yan, Guanghua

    2015-08-21

    The ionization chamber volume averaging effect is a well-known issue without an elegant solution. The purpose of this study is to propose a novel convolution-based approach to address the volume averaging effect in model-based treatment planning systems (TPSs). Ionization chamber-measured beam profiles can be regarded as the convolution between the detector response function and the implicit real profiles. Existing approaches address the issue by trying to remove the volume averaging effect from the measurement. In contrast, our proposed method imports the measured profiles directly into the TPS and addresses the problem by reoptimizing pertinent parameters of the TPS beam model. In the iterative beam modeling process, the TPS-calculated beam profiles are convolved with the same detector response function. Beam model parameters responsible for the penumbra are optimized to drive the convolved profiles to match the measured profiles. Since the convolved and the measured profiles are subject to identical volume averaging effect, the calculated profiles match the real profiles when the optimization converges. The method was applied to reoptimize a CC13 beam model commissioned with profiles measured with a standard ionization chamber (Scanditronix Wellhofer, Bartlett, TN). The reoptimized beam model was validated by comparing the TPS-calculated profiles with diode-measured profiles. Its performance in intensity-modulated radiation therapy (IMRT) quality assurance (QA) for ten head-and-neck patients was compared with the CC13 beam model and a clinical beam model (manually optimized, clinically proven) using standard Gamma comparisons. The beam profiles calculated with the reoptimized beam model showed excellent agreement with diode measurement at all measured geometries. Performance of the reoptimized beam model was comparable with that of the clinical beam model in IMRT QA. The average passing rates using the reoptimized beam model increased substantially from 92.1% to

  12. A novel convolution-based approach to address ionization chamber volume averaging effect in model-based treatment planning systems

    NASA Astrophysics Data System (ADS)

    Barraclough, Brendan; Li, Jonathan G.; Lebron, Sharon; Fan, Qiyong; Liu, Chihray; Yan, Guanghua

    2015-08-01

    The ionization chamber volume averaging effect is a well-known issue without an elegant solution. The purpose of this study is to propose a novel convolution-based approach to address the volume averaging effect in model-based treatment planning systems (TPSs). Ionization chamber-measured beam profiles can be regarded as the convolution between the detector response function and the implicit real profiles. Existing approaches address the issue by trying to remove the volume averaging effect from the measurement. In contrast, our proposed method imports the measured profiles directly into the TPS and addresses the problem by reoptimizing pertinent parameters of the TPS beam model. In the iterative beam modeling process, the TPS-calculated beam profiles are convolved with the same detector response function. Beam model parameters responsible for the penumbra are optimized to drive the convolved profiles to match the measured profiles. Since the convolved and the measured profiles are subject to identical volume averaging effect, the calculated profiles match the real profiles when the optimization converges. The method was applied to reoptimize a CC13 beam model commissioned with profiles measured with a standard ionization chamber (Scanditronix Wellhofer, Bartlett, TN). The reoptimized beam model was validated by comparing the TPS-calculated profiles with diode-measured profiles. Its performance in intensity-modulated radiation therapy (IMRT) quality assurance (QA) for ten head-and-neck patients was compared with the CC13 beam model and a clinical beam model (manually optimized, clinically proven) using standard Gamma comparisons. The beam profiles calculated with the reoptimized beam model showed excellent agreement with diode measurement at all measured geometries. Performance of the reoptimized beam model was comparable with that of the clinical beam model in IMRT QA. The average passing rates using the reoptimized beam model increased substantially from 92.1% to

  13. Identifying the Average Causal Mediation Effects with Multiple Mediators in the Presence of Treatment Non-Compliance

    ERIC Educational Resources Information Center

    Park, Soojin

    2015-01-01

    Identifying the causal mechanisms is becoming more essential in social and medical sciences. In the presence of treatment non-compliance, the Intent-To-Treated effect (hereafter, ITT effect) is identified as long as the treatment is randomized (Angrist et al., 1996). However, the mediated portion of effect is not identified without additional…

  14. Technical Methods Report: The Estimation of Average Treatment Effects for Clustered RCTs of Education Interventions. NCEE 2009-0061 rev.

    ERIC Educational Resources Information Center

    Schochet, Peter Z.

    2009-01-01

    This paper examines the estimation of two-stage clustered RCT designs in education research using the Neyman causal inference framework that underlies experiments. The key distinction between the considered causal models is whether potential treatment and control group outcomes are considered to be fixed for the study population (the…

  15. Clarifying the Relationship between Average Excesses and Average Effects of Allele Substitutions.

    PubMed

    Alvarez-Castro, José M; Yang, Rong-Cai

    2012-01-01

    Fisher's concepts of average effects and average excesses are at the core of the quantitative genetics theory. Their meaning and relationship have regularly been discussed and clarified. Here we develop a generalized set of one locus two-allele orthogonal contrasts for average excesses and average effects, based on the concept of the effective gene content of alleles. Our developments help understand the average excesses of alleles for the biallelic case. We dissect how average excesses relate to the average effects and to the decomposition of the genetic variance. PMID:22509178

  16. Geomagnetic effects on the average surface temperature

    NASA Astrophysics Data System (ADS)

    Ballatore, P.

    Several results have previously shown as the solar activity can be related to the cloudiness and the surface solar radiation intensity (Svensmark and Friis-Christensen, J. Atmos. Sol. Terr. Phys., 59, 1225, 1997; Veretenenkoand Pudovkin, J. Atmos. Sol. Terr. Phys., 61, 521, 1999). Here, the possible relationships between the averaged surface temperature and the solar wind parameters or geomagnetic activity indices are investigated. The temperature data used are the monthly SST maps (generated at RAL and available from the related ESRIN/ESA database) that represent the averaged surface temperature with a spatial resolution of 0.5°x0.5° and cover the entire globe. The interplanetary data and the geomagnetic data are from the USA National Space Science Data Center. The time interval considered is 1995-2000. Specifically, possible associations and/or correlations of the average temperature with the interplanetary magnetic field Bz component and with the Kp index are considered and differentiated taking into account separate geographic and geomagnetic planetary regions.

  17. 27 CFR 19.37 - Average effective tax rate.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 27 Alcohol, Tobacco Products and Firearms 1 2010-04-01 2010-04-01 false Average effective tax rate..., DEPARTMENT OF THE TREASURY LIQUORS DISTILLED SPIRITS PLANTS Taxes Effective Tax Rates § 19.37 Average effective tax rate. (a) The proprietor may establish an average effective tax rate for any...

  18. The EffectLiteR Approach for Analyzing Average and Conditional Effects.

    PubMed

    Mayer, Axel; Dietzfelbinger, Lisa; Rosseel, Yves; Steyer, Rolf

    2016-01-01

    We present a framework for estimating average and conditional effects of a discrete treatment variable on a continuous outcome variable, conditioning on categorical and continuous covariates. Using the new approach, termed the EffectLiteR approach, researchers can consider conditional treatment effects given values of all covariates in the analysis and various aggregates of these conditional treatment effects such as average effects, effects on the treated, or aggregated conditional effects given values of a subset of covariates. Building on structural equation modeling, key advantages of the new approach are (1) It allows for latent covariates and outcome variables; (2) it permits (higher order) interactions between the treatment variable and categorical and (latent) continuous covariates; and (3) covariates can be treated as stochastic or fixed. The approach is illustrated by an example, and open source software EffectLiteR is provided, which makes a detailed analysis of effects conveniently accessible for applied researchers.

  19. 27 CFR 19.613 - Average effective tax rate records.

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... 27 Alcohol, Tobacco Products and Firearms 1 2012-04-01 2012-04-01 false Average effective tax rate records. 19.613 Section 19.613 Alcohol, Tobacco Products and Firearms ALCOHOL AND TOBACCO TAX AND TRADE BUREAU, DEPARTMENT OF THE TREASURY LIQUORS DISTILLED SPIRITS PLANTS Records and Reports Tax Records § 19.613 Average effective tax rate...

  20. The causal meaning of Fisher’s average effect

    PubMed Central

    LEE, JAMES J.; CHOW, CARSON C.

    2013-01-01

    Summary In order to formulate the Fundamental Theorem of Natural Selection, Fisher defined the average excess and average effect of a gene substitution. Finding these notions to be somewhat opaque, some authors have recommended reformulating Fisher’s ideas in terms of covariance and regression, which are classical concepts of statistics. We argue that Fisher intended his two averages to express a distinction between correlation and causation. On this view, the average effect is a specific weighted average of the actual phenotypic changes that result from physically changing the allelic states of homologous genes. We show that the statistical and causal conceptions of the average effect, perceived as inconsistent by Falconer, can be reconciled if certain relationships between the genotype frequencies and non-additive residuals are conserved. There are certain theory-internal considerations favouring Fisher’s original formulation in terms of causality; for example, the frequency-weighted mean of the average effects equaling zero at each locus becomes a derivable consequence rather than an arbitrary constraint. More broadly, Fisher’s distinction between correlation and causation is of critical importance to gene-trait mapping studies and the foundations of evolutionary biology. PMID:23938113

  1. Effects of spatial variability and scale on areal -average evapotranspiration

    NASA Technical Reports Server (NTRS)

    Famiglietti, J. S.; Wood, Eric F.

    1993-01-01

    This paper explores the effect of spatial variability and scale on areally-averaged evapotranspiration. A spatially-distributed water and energy balance model is employed to determine the effect of explicit patterns of model parameters and atmospheric forcing on modeled areally-averaged evapotranspiration over a range of increasing spatial scales. The analysis is performed from the local scale to the catchment scale. The study area is King's Creek catchment, an 11.7 sq km watershed located on the native tallgrass prairie of Kansas. The dominant controls on the scaling behavior of catchment-average evapotranspiration are investigated by simulation, as is the existence of a threshold scale for evapotranspiration modeling, with implications for explicit versus statistical representation of important process controls. It appears that some of our findings are fairly general, and will therefore provide a framework for understanding the scaling behavior of areally-averaged evapotranspiration at the catchment and larger scales.

  2. The Health Effects of Income Inequality: Averages and Disparities.

    PubMed

    Truesdale, Beth C; Jencks, Christopher

    2016-01-01

    Much research has investigated the association of income inequality with average life expectancy, usually finding negative correlations that are not very robust. A smaller body of work has investigated socioeconomic disparities in life expectancy, which have widened in many countries since 1980. These two lines of work should be seen as complementary because changes in average life expectancy are unlikely to affect all socioeconomic groups equally. Although most theories imply long and variable lags between changes in income inequality and changes in health, empirical evidence is confined largely to short-term effects. Rising income inequality can affect individuals in two ways. Direct effects change individuals' own income. Indirect effects change other people's income, which can then change a society's politics, customs, and ideals, altering the behavior even of those whose own income remains unchanged. Indirect effects can thus change both average health and the slope of the relationship between individual income and health.

  3. 27 CFR 19.249 - Average effective tax rate.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... 27 Alcohol, Tobacco Products and Firearms 1 2011-04-01 2011-04-01 false Average effective tax rate. 19.249 Section 19.249 Alcohol, Tobacco Products and Firearms ALCOHOL AND TOBACCO TAX AND TRADE BUREAU, DEPARTMENT OF THE TREASURY LIQUORS DISTILLED SPIRITS PLANTS Distilled Spirits Taxes Effective Tax Rates §...

  4. Collision and average velocity effects on the ratchet pinch

    SciTech Connect

    Vlad, M.; Benkadda, S.

    2008-03-15

    A ratchet-type average velocity V{sup R} appears for test particles moving in a stochastic potential and a magnetic field that is space dependent. This model is developed by including particle collisions and an average velocity. We show that these components of the motion can destroy the ratchet velocity but they also can produce significant increase of V{sup R}, depending on the parameters. The amplification of the ratchet pinch is a nonlinear effect that appears in the presence of trajectory eddying.

  5. Effects of velocity averaging on the shapes of absorption lines

    NASA Technical Reports Server (NTRS)

    Pickett, H. M.

    1980-01-01

    The velocity averaging of collision cross sections produces non-Lorentz line shapes, even at densities where Doppler broadening is not apparent. The magnitude of the effects will be described using a model in which the collision broadening depends on a simple velocity power law. The effect of the modified profile on experimental measures of linewidth, shift and amplitude will be examined and an improved approximate line shape will be derived.

  6. The Lake Wobegon Effect: Are All Cancer Patients above Average?

    PubMed Central

    Wolf, Jacqueline H; Wolf, Kevin S

    2013-01-01

    Context When elderly patients face a terminal illness such as lung cancer, most are unaware that what we term in this article “the Lake Wobegon effect” taints the treatment advice imparted to them by their oncologists. In framing treatment plans, cancer specialists tend to intimate that elderly patients are like the children living in Garrison Keillor's mythical Lake Wobegon: above average and thus likely to exceed expectations. In this article, we use the story of our mother's death from lung cancer to investigate the consequences of elderly people's inability to reconcile the grave reality of their illness with the overly optimistic predictions of their physicians. Methods In this narrative analysis, we examine the routine treatment of elderly, terminally ill cancer patients through alternating lenses: the lens of a historian of medicine who also teaches ethics to medical students and the lens of an actuary who is able to assess physicians’ claims for the outcome of medical treatments. Findings We recognize that a desire to instill hope in patients shapes physicians’ messages. We argue, however, that the automatic optimism conveyed to elderly, dying patients by cancer specialists prompts those patients to choose treatment that is ineffective and debilitating. Rather than primarily prolong life, treatments most notably diminish patients’ quality of life, weaken the ability of patients and their families to prepare for their deaths, and contribute significantly to the unsustainable costs of the U.S. health care system. Conclusions The case described in this article suggests how physicians can better help elderly, terminally ill patients make medical decisions that are less damaging to them and less costly to the health care system. PMID:24320166

  7. Thermal effects in high average power optical parametric amplifiers.

    PubMed

    Rothhardt, Jan; Demmler, Stefan; Hädrich, Steffen; Peschel, Thomas; Limpert, Jens; Tünnermann, Andreas

    2013-03-01

    Optical parametric amplifiers (OPAs) have the reputation of being average power scalable due to the instantaneous nature of the parametric process (zero quantum defect). This Letter reveals serious challenges originating from thermal load in the nonlinear crystal caused by absorption. We investigate these thermal effects in high average power OPAs based on beta barium borate. Absorption of both pump and idler waves is identified to contribute significantly to heating of the nonlinear crystal. A temperature increase of up to 148 K with respect to the environment is observed and mechanical tensile stress up to 40 MPa is found, indicating a high risk of crystal fracture under such conditions. By restricting the idler to a wavelength range far from absorption bands and removing the crystal coating we reduce the peak temperature and the resulting temperature gradient significantly. Guidelines for further power scaling of OPAs and other nonlinear devices are given.

  8. Thermal effects in high average power optical parametric amplifiers.

    PubMed

    Rothhardt, Jan; Demmler, Stefan; Hädrich, Steffen; Peschel, Thomas; Limpert, Jens; Tünnermann, Andreas

    2013-03-01

    Optical parametric amplifiers (OPAs) have the reputation of being average power scalable due to the instantaneous nature of the parametric process (zero quantum defect). This Letter reveals serious challenges originating from thermal load in the nonlinear crystal caused by absorption. We investigate these thermal effects in high average power OPAs based on beta barium borate. Absorption of both pump and idler waves is identified to contribute significantly to heating of the nonlinear crystal. A temperature increase of up to 148 K with respect to the environment is observed and mechanical tensile stress up to 40 MPa is found, indicating a high risk of crystal fracture under such conditions. By restricting the idler to a wavelength range far from absorption bands and removing the crystal coating we reduce the peak temperature and the resulting temperature gradient significantly. Guidelines for further power scaling of OPAs and other nonlinear devices are given. PMID:23455291

  9. Estimation and Identification of the Complier Average Causal Effect Parameter in Education RCTs

    ERIC Educational Resources Information Center

    Schochet, Peter Z.; Chiang, Hanley S.

    2011-01-01

    In randomized control trials (RCTs) in the education field, the complier average causal effect (CACE) parameter is often of policy interest, because it pertains to intervention effects for students who receive a meaningful dose of treatment services. This article uses a causal inference and instrumental variables framework to examine the…

  10. Note on scaling arguments in the effective average action formalism

    NASA Astrophysics Data System (ADS)

    Pagani, Carlo

    2016-08-01

    The effective average action (EAA) is a scale-dependent effective action where a scale k is introduced via an infrared regulator. The k dependence of the EAA is governed by an exact flow equation to which one associates a boundary condition at a scale μ . We show that the μ dependence of the EAA is controlled by an equation fully analogous to the Callan-Symanzik equation which allows one to define scaling quantities straightforwardly. Particular attention is paid to composite operators which are introduced along with new sources. We discuss some simple solutions to the flow equation for composite operators and comment on their implications in the case of a local potential approximation.

  11. Optimal Dose of Vitamin D3 400 I.U. for Average Adults has A Significant Anti-Cancer Effect, While Widely Used 2000 I.U. or Higher Promotes Cancer: Marked Reduction of Taurine & 1α, 25(OH)2D3 Was Found In Various Cancer Tissues and Oral Intake of Optimal Dose of Taurine 175mg for Average Adults, Rather Than 500mg, Was Found to Be A New Potentially Safe and More Effective Method of Cancer Treatment.

    PubMed

    Omura, Yoshiaki; Lu, Dominic; Jones, Marilyn K; Nihrane, Abdallah; Duvvi, Harsha; Yapor, Dario; Shimotsuura, Yasuhiro; Ohki, Motomu

    2016-01-01

    During the past 10 years, the author had found that the optimal dose of Vitamin D3 400 I.U. has safe & effective anticancer effects, while commonly used 2000-5000 I.U. of Vit. D3 often creates a 2-3 time increase in cancer markers. We examined the concentration of Taurine in normal internal organs and in cancer using Bi-Digital O-Ring Test. We found that Taurine levels in normal tissue are 4-6ng. But, the amount of Taurine of average normal value of 5.0-5.25ng was strikingly reduced to 0.0025-0.0028ng in this study of several examples in adenocarcinomas of the esophagus, stomach, pancreas, colon, prostate, and lung, as well as breast cancer. The lowest Taurine levels of 0.0002-0.0005ng were found in so called Zika virus infected babies from Brazil with microcephaly. While Vitamin D3 receptor stimulant 1α, 25 (OH)2D3 in normal tissues was 0.45-0.53ng, they were reduced to 0.025-0.006ng in cancers (1/100th-1/200th of normal value), particularly in various adenocarcinomas. All of these adenocarcinomas had about 1500ng HPV-16 viral infection. In 500 breast cancers, about 97% had HPV-16. The optimal dose of Taurine for average adult has been found to be about 175mg, rather than the widely used 500mg. In addition, since Taurine is markedly reduced to close to 1/1000th-1/2000th of its normal value in these cancer tissues, we examined the effect of the optimal dose of Taurine on cancer patients. Optimal dose of Taurine produced a very significant decrease in cancer-associated parameters, such as Oncogene C-fosAb2 & Integrin α5β1 being reduced to less than 1/1,000th, and 8-OH-dG (which increases in the presence of DNA mutation) reduced to less than 1/10th. The optimal dose of Taurine 175mg for average adult various cancer patient 3 times a day alone provide beneficial effects with very significant anti-cancer effects with strikingly increased urinary excretion of bacteria, viruses, & funguses, asbestos, toxic metals & other toxic substances. However, optimal doses of

  12. Optimal Dose of Vitamin D3 400 I.U. for Average Adults has A Significant Anti-Cancer Effect, While Widely Used 2000 I.U. or Higher Promotes Cancer: Marked Reduction of Taurine & 1α, 25(OH)2D3 Was Found In Various Cancer Tissues and Oral Intake of Optimal Dose of Taurine 175mg for Average Adults, Rather Than 500mg, Was Found to Be A New Potentially Safe and More Effective Method of Cancer Treatment.

    PubMed

    Omura, Yoshiaki; Lu, Dominic; Jones, Marilyn K; Nihrane, Abdallah; Duvvi, Harsha; Yapor, Dario; Shimotsuura, Yasuhiro; Ohki, Motomu

    2016-01-01

    During the past 10 years, the author had found that the optimal dose of Vitamin D3 400 I.U. has safe & effective anticancer effects, while commonly used 2000-5000 I.U. of Vit. D3 often creates a 2-3 time increase in cancer markers. We examined the concentration of Taurine in normal internal organs and in cancer using Bi-Digital O-Ring Test. We found that Taurine levels in normal tissue are 4-6ng. But, the amount of Taurine of average normal value of 5.0-5.25ng was strikingly reduced to 0.0025-0.0028ng in this study of several examples in adenocarcinomas of the esophagus, stomach, pancreas, colon, prostate, and lung, as well as breast cancer. The lowest Taurine levels of 0.0002-0.0005ng were found in so called Zika virus infected babies from Brazil with microcephaly. While Vitamin D3 receptor stimulant 1α, 25 (OH)2D3 in normal tissues was 0.45-0.53ng, they were reduced to 0.025-0.006ng in cancers (1/100th-1/200th of normal value), particularly in various adenocarcinomas. All of these adenocarcinomas had about 1500ng HPV-16 viral infection. In 500 breast cancers, about 97% had HPV-16. The optimal dose of Taurine for average adult has been found to be about 175mg, rather than the widely used 500mg. In addition, since Taurine is markedly reduced to close to 1/1000th-1/2000th of its normal value in these cancer tissues, we examined the effect of the optimal dose of Taurine on cancer patients. Optimal dose of Taurine produced a very significant decrease in cancer-associated parameters, such as Oncogene C-fosAb2 & Integrin α5β1 being reduced to less than 1/1,000th, and 8-OH-dG (which increases in the presence of DNA mutation) reduced to less than 1/10th. The optimal dose of Taurine 175mg for average adult various cancer patient 3 times a day alone provide beneficial effects with very significant anti-cancer effects with strikingly increased urinary excretion of bacteria, viruses, & funguses, asbestos, toxic metals & other toxic substances. However, optimal doses of

  13. A pragmatic recipe for the treatment of hindered rotations in the vibrational averaging of molecular properties.

    PubMed

    Mort, Brendan C; Autschbach, Jochen

    2008-01-11

    A computational protocol for the treatment of hindered rotations in the vibrational averaging of molecular properties is described. As examples, the specific rotations [alpha]D of (R)-methyloxirane, (1S)-methylnorbornanone, and (S)-epichlorohydrin and the spin-spin coupling constant J(HD) for [Ir(Cp)(PMe3)H2]+ are investigated. For each of the four molecules, the relaxed and unrelaxed potential energy surfaces along the rotational coordinate of interest are used to solve the nuclear Schrödinger equation using a pseudospectral method. Analysis of the results demonstrate that the vibrational averaging for low-frequency modes that represent hindered rotations can lead to unphysical behavior at high temperatures while simply neglecting the rotational contributions is also not desirable. The method described in this work connects the (an)harmonic oscillator behavior at low temperatures with the free rotor-like behavior at high temperatures.

  14. Effect of brotizolam on the averaged photopalpebral reflex in man

    PubMed Central

    Tanaka, M.; Isozaki, H.; Mizuki, Y.; Inanaga, K.

    1983-01-01

    1 The photopalpebral reflex (PPR) is a useful method to assess level of arousal. Healthy males were given either brotizolam (0.0625, 0.125, 0.25 or 0.5 mg) or placebo within a double-blind, crossover design. Changes in PPR and subjective assessments were observed for 5 h after medication. 2 Prolongation of the latencies of PPR were dose dependent, and the amplitude tended to be reduced. These effects appeared within 30 min, and lasted about 4 h. 3 The dose-response curve of the maximum prolongation of the latencies was linear. 4 Sleepiness and slight ataxia were observed after drug ingestion. Sleepiness was correlated with the prolongation of the PPR latencies. 5 Brotizolam could be a potent hypnotic, with rapid onset and moderate duration of action, and it has no severe side-effects. PMID:6661378

  15. Pulsar polarisation below 200 MHz: Average profiles and propagation effects

    NASA Astrophysics Data System (ADS)

    Noutsos, A.; Sobey, C.; Kondratiev, V. I.; Weltevrede, P.; Verbiest, J. P. W.; Karastergiou, A.; Kramer, M.; Kuniyoshi, M.; Alexov, A.; Breton, R. P.; Bilous, A. V.; Cooper, S.; Falcke, H.; Grießmeier, J.-M.; Hassall, T. E.; Hessels, J. W. T.; Keane, E. F.; Osłowski, S.; Pilia, M.; Serylak, M.; Stappers, B. W.; ter Veen, S.; van Leeuwen, J.; Zagkouris, K.; Anderson, K.; Bähren, L.; Bell, M.; Broderick, J.; Carbone, D.; Cendes, Y.; Coenen, T.; Corbel, S.; Eislöffel, J.; Fender, R.; Garsden, H.; Jonker, P.; Law, C.; Markoff, S.; Masters, J.; Miller-Jones, J.; Molenaar, G.; Osten, R.; Pietka, M.; Rol, E.; Rowlinson, A.; Scheers, B.; Spreeuw, H.; Staley, T.; Stewart, A.; Swinbank, J.; Wijers, R.; Wijnands, R.; Wise, M.; Zarka, P.; van der Horst, A.

    2015-04-01

    Aims: We present the highest-quality polarisation profiles to date of 16 non-recycled pulsars and four millisecond pulsars, observed below 200 MHz with the LOFAR high-band antennas. Based on the observed profiles, we perform an initial investigation of expected observational effects resulting from the propagation of polarised emission in the pulsar magnetosphere and the interstellar medium. Methods: The polarisation data presented in this paper have been calibrated for the geometric-projection and beam-shape effects that distort the polarised information as detected with the LOFAR antennas. We have used RM Synthesis to determine the amount of Faraday rotation in the data at the time of the observations. The ionospheric contribution to the measured Faraday rotation was estimated using a model of the ionosphere. To study the propagation effects, we have compared our low-frequency polarisation observations with archival data at 240, 400, 600, and 1400 MHz. Results: The predictions of magnetospheric birefringence in pulsars have been tested using spectra of the pulse width and fractional polarisation from multifrequency data. The derived spectra offer only partial support for the expected effects of birefringence on the polarisation properties, with only about half of our sample being consistent with the model's predictions. It is noted that for some pulsars these measurements are contaminated by the effects of interstellar scattering. For a number of pulsars in our sample, we have observed significant variations in the amount of Faraday rotation as a function of pulse phase, which is possibly an artefact of scattering. These variations are typically two orders of magnitude smaller than that observed at 1400 MHz by Noutsos et al. (2009), for a different sample of southern pulsars. In this paper we present a possible explanation for the difference in magnitude of this effect between the two frequencies, based on scattering. Finally, we have estimated the magnetospheric

  16. Ceria co-doping: synergistic or average effect?

    PubMed

    Burbano, Mario; Nadin, Sian; Marrocchelli, Dario; Salanne, Mathieu; Watson, Graeme W

    2014-05-14

    Ceria (CeO2) co-doping has been suggested as a means to achieve ionic conductivities that are significantly higher than those in singly doped systems. Rekindled interest in this topic over the last decade has given rise to claims of much improved performance. The present study makes use of computer simulations to investigate the bulk ionic conductivity of rare earth (RE) doped ceria, where RE = Sc, Gd, Sm, Nd and La. The results from the singly doped systems are compared to those from ceria co-doped with Nd/Sm and Sc/La. The pattern that emerges from the conductivity data is consistent with the dominance of local lattice strains from individual defects, rather than the synergistic co-doping effect reported recently, and as a result, no enhancement in the conductivity of co-doped samples is observed. PMID:24658460

  17. Path-integral treatment of multi-mode vibronic coupling. II. Correlation expansion of class averages

    NASA Astrophysics Data System (ADS)

    Krempl, Stefan; Winterstetter, Manfred; Domcke, Wolfgang

    1995-04-01

    A path-integral approach to real-time quantum dynamics is presented which is suitable to treat the dynamics of vibronic coupling or spin boson models. In these models the vibrational dynamics is nonseparable as a consequence of the electronic inter-state coupling. The sum over all possible paths in electronic-state space generated by the usual Trotter procedure is expressed in terms of single-mode averages over classes of paths and statistical mode correlations. The averages for classes of a given length can be calculated iteratively from averages over shorter paths. This expansion is formally exact and finite for a finite number of modes. Usually only a limited number of terms has to be evaluated in order to obtain converged results. The scaling of the computational effort with respect to the number of time steps and the number of modes is given by a low-order power law, depending on the chosen class structure and the order of the expansion. The usual time-dependent wave-packet propagation and the full path enumeration, which exhibit an exponential scaling behavior with respect to either the number of modes or the number of time steps, can be considered as opposite limiting cases of the correlation expansion (CE) of the path integral. The convergence of the CE is tested by application to a two-state four-mode model representing S1-S2 vibronic coupling in pyrazine, for which exact references (time-dependent correlation functions) are available. The potential of the CE approximation for the treatment of multi-mode problems is demonstrated by application to an extended 24-mode vibronic-coupling model. This model is suitable to provide a microscopic description of ultrafast optical dephasing processes in large molecules.

  18. Technical Methods Report: Estimation and Identification of the Complier Average Causal Effect Parameter in Education RCTs. NCEE 2009-4040

    ERIC Educational Resources Information Center

    Schochet, Peter Z.; Chiang, Hanley

    2009-01-01

    In randomized control trials (RCTs) in the education field, the complier average causal effect (CACE) parameter is often of policy interest, because it pertains to intervention effects for students who receive a meaningful dose of treatment services. This report uses a causal inference and instrumental variables framework to examine the…

  19. [THE AVERAGE DURATION OF TREATMENT OF THE INJURED WITH DIFFERENT FORMS OF ACUTE INTOXICATIONS OF CHEMICAL ETIOLOGY].

    PubMed

    Sabaev, A V; Goleva, O P; Zubenko, L A

    2015-01-01

    The article presents materials relate to analysis of average duration of the injured of Omsk under different forms of acute chemical intoxications during 2001-2013. It was established that during analyzed period as a result of implementation of new organizational technologies occurred reliable. decreasing of duration of treatment of patients with light, medium and severe forms of acute chemical intoxications. Under severe complicated forms with lethal outcome no reliable dynamics of average duration of treatment of patients were established.

  20. Thermal effects on EXAFS: Ensemble averages and real-space approach

    SciTech Connect

    Vaccari, M.; Fornasini, P.

    2005-09-01

    Thermal effects on EXAFS are considered from a general perspective. The equivalence between canonical average and real space average is demonstrated without approximations in both classical and quantum regimes. The link between distribution of interatomic distances and the Hamiltonian of the system is clarified. The role of the one-dimensional effective potential is critically discussed.

  1. 27 CFR 19.763 - Record of average effective tax rates.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 27 Alcohol, Tobacco Products and Firearms 1 2010-04-01 2010-04-01 false Record of average effective tax rates. 19.763 Section 19.763 Alcohol, Tobacco Products and Firearms ALCOHOL AND TOBACCO TAX... Records § 19.763 Record of average effective tax rates. (a) For each distilled spirits product to be...

  2. The Effect of Handwriting and Related Skills upon the Spelling Score of Above Average and Below Average Readers in the Fifth Grade.

    ERIC Educational Resources Information Center

    Strickling, Cloria Ann

    The purpose of this study was to determine the effect of handwriting and related skills upon the written spelling scores of fifth graders. Comparisons were made between above average and below average readers and between boys and girls in performance on the oral and written spelling tests and tests of handwriting and related skills. The study…

  3. Accounting for uncertainty in confounder and effect modifier selection when estimating average causal effects in generalized linear models.

    PubMed

    Wang, Chi; Dominici, Francesca; Parmigiani, Giovanni; Zigler, Corwin Matthew

    2015-09-01

    Confounder selection and adjustment are essential elements of assessing the causal effect of an exposure or treatment in observational studies. Building upon work by Wang et al. (2012, Biometrics 68, 661-671) and Lefebvre et al. (2014, Statistics in Medicine 33, 2797-2813), we propose and evaluate a Bayesian method to estimate average causal effects in studies with a large number of potential confounders, relatively few observations, likely interactions between confounders and the exposure of interest, and uncertainty on which confounders and interaction terms should be included. Our method is applicable across all exposures and outcomes that can be handled through generalized linear models. In this general setting, estimation of the average causal effect is different from estimation of the exposure coefficient in the outcome model due to noncollapsibility. We implement a Bayesian bootstrap procedure to integrate over the distribution of potential confounders and to estimate the causal effect. Our method permits estimation of both the overall population causal effect and effects in specified subpopulations, providing clear characterization of heterogeneous exposure effects that may vary considerably across different covariate profiles. Simulation studies demonstrate that the proposed method performs well in small sample size situations with 100-150 observations and 50 covariates. The method is applied to data on 15,060 US Medicare beneficiaries diagnosed with a malignant brain tumor between 2000 and 2009 to evaluate whether surgery reduces hospital readmissions within 30 days of diagnosis.

  4. Accounting for Uncertainty in Confounder and Effect Modifier Selection when Estimating Average Causal Effects in Generalized Linear Models

    PubMed Central

    Wang, Chi; Dominici, Francesca; Parmigiani, Giovanni; Zigler, Corwin Matthew

    2015-01-01

    Summary Confounder selection and adjustment are essential elements of assessing the causal effect of an exposure or treatment in observational studies. Building upon work by Wang et al. (2012) and Lefebvre et al. (2014), we propose and evaluate a Bayesian method to estimate average causal effects in studies with a large number of potential confounders, relatively few observations, likely interactions between confounders and the exposure of interest, and uncertainty on which confounders and interaction terms should be included. Our method is applicable across all exposures and outcomes that can be handled through generalized linear models. In this general setting, estimation of the average causal effect is different from estimation of the exposure coefficient in the outcome model due to non-collapsibility. We implement a Bayesian bootstrap procedure to integrate over the distribution of potential confounders and to estimate the causal effect. Our method permits estimation of both the overall population causal effect and effects in specified subpopulations, providing clear characterization of heterogeneous exposure effects that may vary considerably across different covariate profiles. Simulation studies demonstrate that the proposed method performs well in small sample size situations with 100 to 150 observations and 50 covariates. The method is applied to data on 15060 US Medicare beneficiaries diagnosed with a malignant brain tumor between 2000 and 2009 to evaluate whether surgery reduces hospital readmissions within thirty days of diagnosis. PMID:25899155

  5. Analysis of average density difference effect in a new two-lane lattice model

    NASA Astrophysics Data System (ADS)

    Zhang, Geng; Sun, Di-Hua; Zhao, Min; Liu, Wei-Ning; Cheng, Sen-Lin

    2015-11-01

    A new lattice model is proposed by taking the average density difference effect into account for two-lane traffic system according to Transportation Cyber-physical Systems. The influence of average density difference effect on the stability of traffic flow is investigated through linear stability theory and nonlinear reductive perturbation method. The linear analysis results reveal that the unstable region would be reduced by considering the average density difference effect. The nonlinear kink-antikink soliton solution derived from the mKdV equation is analyzed to describe the properties of traffic jamming transition near the critical point. Numerical simulations confirm the analytical results showing that traffic jam can be suppressed efficiently by considering the average density difference effect for two-lane traffic system.

  6. Estimating average inpatient and outpatient costs and childhood pneumonia and diarrhoea treatment costs in an urban health centre in Zambia

    PubMed Central

    Chola, Lumbwe; Robberstad, Bjarne

    2009-01-01

    Background Millions of children die every year in developing countries, from preventable diseases such as pneumonia and diarrhoea, owing to low levels of investment in child health. Investment efforts are hampered by a general lack of adequate information that is necessary for priority setting in this sector. This paper measures the health system costs of providing inpatient and outpatient services, and also the costs associated with treating pneumonia and diarrhoea in under-five children at a health centre in Zambia. Methods Annual economic and financial cost data were collected in 2005-2006. Data were summarized in a Microsoft excel spreadsheet to obtain total department costs and average disease treatment costs. Results The total annual cost of operating the health centre was US$1,731,661 of which US$1 284 306 and US$447,355 were patient care and overhead departments costs, respectively. The average cost of providing out-patient services was US$3 per visit, while the cost of in-patient treatment was US$18 per bed day. The cost of providing dental services was highest at US$20 per visit, and the cost of VCT services was lowest, with US$1 per visit. The cost per out-patient visit for under-five pneumonia was US$48, while the cost per bed day was US$215. The cost per outpatient visit attributed to under-five diarrhoea was US$26, and the cost per bed day was US$78. Conclusion In the face of insufficient data, a cost analysis exercise is a difficult but feasible undertaking. The study findings are useful and applicable in similar settings, and can be used in cost effectiveness analyses of health interventions. PMID:19845966

  7. Treatment of a Psychotic Trainable Retarded Child in a Day Hospital for Children with Average Intelligence.

    ERIC Educational Resources Information Center

    Zang, Louis C.; Cohen, Jonathan L.

    The case study describes the progress of a psychotic trainable mentally retarded child who at age seven entered a day psychiatric hospital for disturbed children with average intelligence. The boy's therapist describes changes in the child's peer interaction, academic performance, group psychotherapy participation, and psychological test…

  8. The Better-than-Average Effect and 1 Corinthians 13: A Classroom Exercise

    ERIC Educational Resources Information Center

    Swenson, John Eric, III; Schneller, Gregory R.; Henderson, Joy Ann

    2014-01-01

    People tend to evaluate themselves more favorably than they evaluate others, a tendency that is known as the better-than-average effect (BTA effect; Alicke, 1985; Brown, 1986). In an attempt to demonstrate the concept of the BTA effect, a classroom exercise was conducted with 78 undergraduate students in an "Introduction to Psychology"…

  9. The Dopaminergic Midbrain Mediates an Effect of Average Reward on Pavlovian Vigor.

    PubMed

    Rigoli, Francesco; Chew, Benjamin; Dayan, Peter; Dolan, Raymond J

    2016-09-01

    Dopamine plays a key role in motivation. Phasic dopamine response reflects a reinforcement prediction error (RPE), whereas tonic dopamine activity is postulated to represent an average reward that mediates motivational vigor. However, it has been hard to find evidence concerning the neural encoding of average reward that is uncorrupted by influences of RPEs. We circumvented this difficulty in a novel visual search task where we measured participants' button pressing vigor in a context where information (underlying an RPE) about future average reward was provided well before the average reward itself. Despite no instrumental consequence, participants' pressing force increased for greater current average reward, consistent with a form of Pavlovian effect on motivational vigor. We recorded participants' brain activity during task performance with fMRI. Greater average reward was associated with enhanced activity in dopaminergic midbrain to a degree that correlated with the relationship between average reward and pressing vigor. Interestingly, an opposite pattern was observed in subgenual cingulate cortex, a region implicated in negative mood and motivational inhibition. These findings highlight a crucial role for dopaminergic midbrain in representing aspects of average reward and motivational vigor. PMID:27082045

  10. The Dopaminergic Midbrain Mediates an Effect of Average Reward on Pavlovian Vigor.

    PubMed

    Rigoli, Francesco; Chew, Benjamin; Dayan, Peter; Dolan, Raymond J

    2016-09-01

    Dopamine plays a key role in motivation. Phasic dopamine response reflects a reinforcement prediction error (RPE), whereas tonic dopamine activity is postulated to represent an average reward that mediates motivational vigor. However, it has been hard to find evidence concerning the neural encoding of average reward that is uncorrupted by influences of RPEs. We circumvented this difficulty in a novel visual search task where we measured participants' button pressing vigor in a context where information (underlying an RPE) about future average reward was provided well before the average reward itself. Despite no instrumental consequence, participants' pressing force increased for greater current average reward, consistent with a form of Pavlovian effect on motivational vigor. We recorded participants' brain activity during task performance with fMRI. Greater average reward was associated with enhanced activity in dopaminergic midbrain to a degree that correlated with the relationship between average reward and pressing vigor. Interestingly, an opposite pattern was observed in subgenual cingulate cortex, a region implicated in negative mood and motivational inhibition. These findings highlight a crucial role for dopaminergic midbrain in representing aspects of average reward and motivational vigor.

  11. Comparative and integrative environmental assessment of advanced wastewater treatment processes based on an average removal of pharmaceuticals.

    PubMed

    Igos, Elorri; Benetto, Enrico; Venditti, Silvia; Köhler, Christian; Cornelissen, Alex

    2013-01-01

    Pharmaceuticals are normally barely removed by conventional wastewater treatments. Advanced technologies as a post-treatment, could prevent these pollutants reaching the environment and could be included in a centralized treatment plant or, alternatively, at the primary point source, e.g. hospitals. In this study, the environmental impacts of different options, as a function of several advanced treatments as well as the centralized/decentralized implementation options, have been evaluated using Life Cycle Assessment (LCA) methodology. In previous publications, the characterization of the toxicity of pharmaceuticals within LCA suffers from high uncertainties. In our study, LCA was therefore only used to quantify the generated impacts (electricity, chemicals, etc.) of different treatment scenarios. These impacts are then weighted by the average removal rate of pharmaceuticals using a new Eco-efficiency Indicator EFI. This new way of comparing the scenarios shows significant advantages of upgrading a centralized plant with ozonation as the post-treatment. The decentralized treatment option reveals no significant improvement on the avoided environmental impact, due to the comparatively small pollutant load coming from the hospital and the uncertainties in the average removal of the decentralized scenarios. When comparing the post-treatment technologies, UV radiation has a lower performance than both ozonation and activated carbon adsorption.

  12. Comparison of effects of unsteady lift and spanwise averaging in flight through turbulence

    NASA Technical Reports Server (NTRS)

    Phillips, W. H.; Lichtenstein, J. H.

    1977-01-01

    Gust loads on aircraft flying through random atmospheric turbulence are attenuated at high frequencies by the effects of unsteady lift and spanwise averaging. Previously derived theoretical results for these two effects are placed in a form which makes direct comparison possible. The attenuation effects from each cause are found to be of approximately equal magnitude for unswept wings of moderate aspect ratio. For small values of the ratio of wingspan to scale of turbulence, the attenuation due to spanwise averaging is a function only of reduced frequency based on wingspan and is independent of the ratio of wingspan to scale of turbulence.

  13. HIV Reactivation from Latency after Treatment Interruption Occurs on Average Every 5-8 Days--Implications for HIV Remission.

    PubMed

    Pinkevych, Mykola; Cromer, Deborah; Tolstrup, Martin; Grimm, Andrew J; Cooper, David A; Lewin, Sharon R; Søgaard, Ole S; Rasmussen, Thomas A; Kent, Stephen J; Kelleher, Anthony D; Davenport, Miles P

    2015-07-01

    HIV infection can be effectively controlled by anti-retroviral therapy (ART) in most patients. However therapy must be continued for life, because interruption of ART leads to rapid recrudescence of infection from long-lived latently infected cells. A number of approaches are currently being developed to 'purge' the reservoir of latently infected cells in order to either eliminate infection completely, or significantly delay the time to viral recrudescence after therapy interruption. A fundamental question in HIV research is how frequently the virus reactivates from latency, and thus how much the reservoir might need to be reduced to produce a prolonged antiretroviral-free HIV remission. Here we provide the first direct estimates of the frequency of viral recrudescence after ART interruption, combining data from four independent cohorts of patients undergoing treatment interruption, comprising 100 patients in total. We estimate that viral replication is initiated on average once every ≈6 days (range 5.1- 7.6 days). This rate is around 24 times lower than previous thought, and is very similar across the cohorts. In addition, we analyse data on the ratios of different 'reactivation founder' viruses in a separate cohort of patients undergoing ART-interruption, and estimate the frequency of successful reactivation to be once every 3.6 days. This suggests that a reduction in the reservoir size of around 50-70-fold would be required to increase the average time-to-recrudescence to about one year, and thus achieve at least a short period of anti-retroviral free HIV remission. Our analyses suggests that time-to-recrudescence studies will need to be large in order to detect modest changes in the reservoir, and that macaque models of SIV latency may have much higher frequencies of viral recrudescence after ART interruption than seen in human HIV infection. Understanding the mean frequency of recrudescence from latency is an important first step in approaches to prolong

  14. The effect of sensor sheltering and averaging techniques on wind measurements at the Shuttle Landing Facility

    NASA Technical Reports Server (NTRS)

    Merceret, Francis J.

    1995-01-01

    This document presents results of a field study of the effect of sheltering of wind sensors by nearby foliage on the validity of wind measurements at the Space Shuttle Landing Facility (SLF). Standard measurements are made at one second intervals from 30-feet (9.1-m) towers located 500 feet (152 m) from the SLF centerline. The centerline winds are not exactly the same as those measured by the towers. A companion study, Merceret (1995), quantifies the differences as a function of statistics of the observed winds and distance between the measurements and points of interest. This work examines the effect of nearby foliage on the accuracy of the measurements made by any one sensor, and the effects of averaging on interpretation of the measurements. The field program used logarithmically spaced portable wind towers to measure wind speed and direction over a range of conditions as a function of distance from the obstructing foliage. Appropriate statistics were computed. The results suggest that accurate measurements require foliage be cut back to OFCM standards. Analysis of averaging techniques showed that there is no significant difference between vector and scalar averages. Longer averaging periods reduce measurement error but do not otherwise change the measurement in reasonably steady flow regimes. In rapidly changing conditions, shorter averaging periods may be required to capture trends.

  15. Effect of Aperture Averaging Upon Tropospheric Phase Fluctuations Seen with a Radio Antenna

    NASA Technical Reports Server (NTRS)

    Linfield, R. P.

    1998-01-01

    The spectrum of tropospheric phase fluctuations expected for a radio antenna at timescales < 100s on a space to ground link has been calculated. A new feature included in these calculations is the effect of aperture averaging, which causes a reduction in delay fluctuations on timescales less that the antenna windspeed crossing time, D/(8m/s) (D is the antenna diameter).

  16. Raven's Test Performance of Sub-Saharan Africans: Average Performance, Psychometric Properties, and the Flynn Effect

    ERIC Educational Resources Information Center

    Wicherts, Jelte M.; Dolan, Conor V.; Carlson, Jerry S.; van der Maas, Han L. J.

    2010-01-01

    This paper presents a systematic review of published data on the performance of sub-Saharan Africans on Raven's Progressive Matrices. The specific goals were to estimate the average level of performance, to study the Flynn Effect in African samples, and to examine the psychometric meaning of Raven's test scores as measures of general intelligence.…

  17. DEPTH-AVERAGING EFFECTS ON HYDRAULIC HEAD FOR MEDIA WITH STOCHASTIC HYDRAULIC CONDUCTIVITY.

    USGS Publications Warehouse

    Naff, R.L.; Vecchia, A.V.

    1987-01-01

    Hydraulic conductivity of a porous medium frequently is considered to be a single realization of a three-dimensional spatial stochastic process. The most common observation of flow in porous media are hydraulic-head measurements obtained from wells which are screened over extensive sections of the medium. These measurements represent, approximately, a one-dimensional spatial average of the actual three-dimensional head distribution, the actual head distribution being a stochastic process resulting from flow through a random hydraulic-conductivity field. This paper examines, via ensemble averages, the effect of such spatial averages of groundwater flow on the spatial autocovariance function for a simple, yet viable, stochastic model of a bounded medium. The model is taken to be three-dimensional flow in a medium that is bounded above and below and in which the hydraulic conductivity is a second-order stationary stochastic process.

  18. On the Correlation of Effective Terahertz Refractive Index and Average Surface Roughness of Pharmaceutical Tablets

    NASA Astrophysics Data System (ADS)

    Chakraborty, Mousumi; Bawuah, Prince; Tan, Nicholas; Ervasti, Tuomas; Pääkkönen, Pertti; Zeitler, J. Axel; Ketolainen, Jarkko; Peiponen, Kai-Erik

    2016-08-01

    In this paper, we have studied terahertz (THz) pulse time delay of porous pharmaceutical microcrystalline compacts and also pharmaceutical tablets that contain indomethacin (painkiller) as an active pharmaceutical ingredient (API) and microcrystalline cellulose as the matrix of the tablet. The porosity of a pharmaceutical tablet is important because it affects the release of drug substance. In addition, surface roughness of the tablet has much importance regarding dissolution of the tablet and hence the rate of drug release. Here, we show, using a training set of tablets containing API and with a priori known tablet's quality parameters, that the effective refractive index (obtained from THz time delay data) of such porous tablets correlates with the average surface roughness of a tablet. Hence, THz pulse time delay measurement in the transmission mode provides information on both porosity and the average surface roughness of a compact. This is demonstrated for two different sets of pharmaceutical tablets having different porosity and average surface roughness values.

  19. Lowest-order average effect of turbulence on atmospheric profiles derived from radio occultation

    NASA Technical Reports Server (NTRS)

    Eshleman, V. R.; Haugstad, B. S.

    1977-01-01

    Turbulence in planetary atmospheres and ionospheres causes changes in angles of refraction of radio waves used in occultation experiments. Atmospheric temperature and pressure profiles, and ionospheric electron concentration profiles, derived from radio occultation measurements of Doppler frequency contain errors due to such angular offsets. The lowest-order average errors are derived from a geometrical-optics treatment of the radio-wave phase advance caused by the addition of uniform turbulence to an initially homogeneous medium. It is concluded that the average profile errors are small and that precise Doppler frequency measurements at two or more wavelengths could be used to help determine characteristics of the turbulence, as well as accuracy limits and possible correction terms for the profiles. However, a more detailed study of both frequency and intensity characteristics in radio and optical occultation measurements of turbulent planetary atmospheres and ionospheres is required to realize the full potential of such measurements.

  20. Is Scientifically Based Reading Instruction Effective for Students with Below-Average IQs?

    ERIC Educational Resources Information Center

    Allor, Jill H.; Mathes, Patricia G.; Roberts, J. Kyle; Cheatham, Jennifer P.; Al Otaiba, Stephanie

    2014-01-01

    This longitudinal randomized-control trial investigated the effectiveness of scientifically based reading instruction for students with IQs ranging from 40 to 80, including students with intellectual disability (ID). Students were randomly assigned into treatment (n = 76) and contrast (n = 65) groups. Students in the treatment group received…

  1. HIV Reactivation from Latency after Treatment Interruption Occurs on Average Every 5-8 Days—Implications for HIV Remission

    PubMed Central

    Pinkevych, Mykola; Cromer, Deborah; Tolstrup, Martin; Grimm, Andrew J.; Cooper, David A.; Lewin, Sharon R.; Søgaard, Ole S.; Rasmussen, Thomas A.; Kent, Stephen J.; Kelleher, Anthony D.; Davenport, Miles P.

    2015-01-01

    HIV infection can be effectively controlled by anti-retroviral therapy (ART) in most patients. However therapy must be continued for life, because interruption of ART leads to rapid recrudescence of infection from long-lived latently infected cells. A number of approaches are currently being developed to ‘purge’ the reservoir of latently infected cells in order to either eliminate infection completely, or significantly delay the time to viral recrudescence after therapy interruption. A fundamental question in HIV research is how frequently the virus reactivates from latency, and thus how much the reservoir might need to be reduced to produce a prolonged antiretroviral-free HIV remission. Here we provide the first direct estimates of the frequency of viral recrudescence after ART interruption, combining data from four independent cohorts of patients undergoing treatment interruption, comprising 100 patients in total. We estimate that viral replication is initiated on average once every ≈6 days (range 5.1- 7.6 days). This rate is around 24 times lower than previous thought, and is very similar across the cohorts. In addition, we analyse data on the ratios of different ‘reactivation founder’ viruses in a separate cohort of patients undergoing ART-interruption, and estimate the frequency of successful reactivation to be once every 3.6 days. This suggests that a reduction in the reservoir size of around 50-70-fold would be required to increase the average time-to-recrudescence to about one year, and thus achieve at least a short period of anti-retroviral free HIV remission. Our analyses suggests that time-to-recrudescence studies will need to be large in order to detect modest changes in the reservoir, and that macaque models of SIV latency may have much higher frequencies of viral recrudescence after ART interruption than seen in human HIV infection. Understanding the mean frequency of recrudescence from latency is an important first step in approaches to

  2. Cognitive Capitalism: Economic Freedom Moderates the Effects of Intellectual and Average Classes on Economic Productivity.

    PubMed

    Coyle, Thomas R; Rindermann, Heiner; Hancock, Dale

    2016-10-01

    Cognitive ability stimulates economic productivity. However, the effects of cognitive ability may be stronger in free and open economies, where competition rewards merit and achievement. To test this hypothesis, ability levels of intellectual classes (top 5%) and average classes (country averages) were estimated using international student assessments (Programme for International Student Assessment; Trends in International Mathematics and Science Study; and Progress in International Reading Literacy Study) (N = 99 countries). The ability levels were correlated with indicators of economic freedom (Fraser Institute), scientific achievement (patent rates), innovation (Global Innovation Index), competitiveness (Global Competitiveness Index), and wealth (gross domestic product). Ability levels of intellectual and average classes strongly predicted all economic criteria. In addition, economic freedom moderated the effects of cognitive ability (for both classes), with stronger effects at higher levels of freedom. Effects were particularly robust for scientific achievements when the full range of freedom was analyzed. The results support cognitive capitalism theory: cognitive ability stimulates economic productivity, and its effects are enhanced by economic freedom. PMID:27458006

  3. Cognitive Capitalism: Economic Freedom Moderates the Effects of Intellectual and Average Classes on Economic Productivity.

    PubMed

    Coyle, Thomas R; Rindermann, Heiner; Hancock, Dale

    2016-10-01

    Cognitive ability stimulates economic productivity. However, the effects of cognitive ability may be stronger in free and open economies, where competition rewards merit and achievement. To test this hypothesis, ability levels of intellectual classes (top 5%) and average classes (country averages) were estimated using international student assessments (Programme for International Student Assessment; Trends in International Mathematics and Science Study; and Progress in International Reading Literacy Study) (N = 99 countries). The ability levels were correlated with indicators of economic freedom (Fraser Institute), scientific achievement (patent rates), innovation (Global Innovation Index), competitiveness (Global Competitiveness Index), and wealth (gross domestic product). Ability levels of intellectual and average classes strongly predicted all economic criteria. In addition, economic freedom moderated the effects of cognitive ability (for both classes), with stronger effects at higher levels of freedom. Effects were particularly robust for scientific achievements when the full range of freedom was analyzed. The results support cognitive capitalism theory: cognitive ability stimulates economic productivity, and its effects are enhanced by economic freedom.

  4. Spatial averaging effects of hydrophone on field characterization of planar transducer using Fresnel approximation.

    PubMed

    Xing, Guangzhen; Yang, Ping; He, Longbiao; Feng, Xiujuan

    2016-09-01

    The purpose of this work was to improve the existing models that allow spatial averaging effects of piezoelectric hydrophones to be accounted for. The model derived in the present study is valid for a planar source and was verified using transducers operating at 5 and 20MHz. It is based on Fresnel approximation and enables corrections for both on-axis and off-axis measurements. A single-integral approximate formula for the axial acoustic pressure was derived, and the validity of the Fresnel approximation in the near field of the planar transducer was examined. The numerical results obtained using 5 and 20MHz planar transmitters with an effective diameter of 12.7mm showed that the derived model could account for spatial averaging effects to within 0.2% with Beissner's exact integral (Beissner, 1981), for k(a+b)2≫π (where k is the circular wavenumber, and a and b are the effective radii of the transmitter and hydrophone, respectively). The field distributions along the acoustic axis and the beam directivity patterns are also included in the model. The spatial averaging effects of the hydrophone were generally observed to cause underestimation of the absolute pressure amplitudes of the acoustic beam, and overestimation of the cross-sectional size of the beam directivity pattern. However, the cross-sectional size of the directivity pattern was also found to be underestimated in the "far zone" (beyond Y0=a(2)/λ) of the transmitter. The results of this study indicate that the spatial averaging effect on the beam directivity pattern is negligible for π(γ(2)+4γ)s≪1 (where γ=b/a, and s is the normalized distance to the planar transducer). PMID:27268164

  5. Dosimetric comparison of treatment plans based on free breathing, maximum, and average intensity projection CTs for lung cancer SBRT

    SciTech Connect

    Tian Yuan; Wang Zhiheng; Ge Hong; Zhang Tian; Cai Jing; Kelsey, Christopher; Yoo, David; Yin Fangfang

    2012-05-15

    Purpose: To determine whether there is a CT dataset may be more favorable for planning and dose calculation by comparing dosimetric characteristics between treatment plans calculated using free breathing (FB), maximum and average intensity projection (MIP and AIP, respectively) CTs for lung cancer patients receiving stereotactic body radiation therapy (SBRT). Methods: Twenty lung cancer SBRT patients, treated on a linac with 2.5 mm width multileaf-collimator (MLC), were analyzed retrospectively. Both FB helical and four-dimensional CT scans were acquired for each patient. Internal target volume (ITV) was delineated based on MIP CTs and modified based on both ten-phase datasets and FB CTs. Planning target volume (PTV) was then determined by adding additional setup margin to ITV. The PTVs and beams in the optimized treatment plan based on FB CTs were copied to MIP and AIP CTs, with the same isocenters, MLC patterns and monitor units. Mean effective depth (MED) of beams, and some dosimetric parameters for both PTVs and most important organ at risk (OAR), lung minus PTV, were compared between any two datasets using two-tail paired t test. Results: The MEDs in FB and AIP plans were similar but significantly smaller (Ps < 0.001) than that in MIP plans. Minimum dose, mean dose, dose covering at least 90% and 95% of PTVs in MIP plans were slightly higher than two other plans (Ps < 0.008). The absolute volume of lung minus PTV receiving greater than 5, 10, and 20 Gy in MIP plans were significantly smaller than those in both FB and AIP plans (Ps < 0.008). Conformity index for FB plans showed a small but statistically significantly higher. Conclusions: Dosimetric characteristics of AIP plans are similar to those of FB plans. Slightly better target volume coverage and significantly lower low-dose region ({<=}30 Gy) in lung was observed in MIP plans. The decrease in low-dose region in lung was mainly caused by the change of lung volume contoured on two datasets rather than the

  6. Novel brachytherapy treatment planning system utilizing dose rate dependent average cell survival, CT-simulator, and dose-volume histogram

    SciTech Connect

    Mayer, R.; Fong, W.; Frankel, T.

    1995-12-31

    This report describes a new brachytherapy planning program that provides an evaluation of a given low or high dose rate treatment taking into account spatial dose heterogeneity and cell response to radiation. This brachytherapy scheme uses the images from a CT-Simulator (AcQSim, Picker International, Cleveland, Ohio) to simultaneously localize the seed positions and to axially scan the patient. This procedure helps to ensure accurate registration of the putative seed positions with the patient tissues and organs. The seed positions are determined by back-projecting positions of seeds or dummy seeds from the CT-Simulator setup scout images. Physicians delineate the tissues of interest on the axial slices. Dose is computed after assigning activity (low dose rate) of dwell times (high dose rate) to the Ir{sup 192} or I{sup 125} seed. The planar isodose distribution is superimposed onto axial cuts of the tissues and onto coronal or sagital views of the tissues following image reconstruction. Areal or volumetric calculations of the dose distribution within a given tissue are computed from the tissue outlines. The treatment plan computes (1) volume differential and cummulative dose histograms of the dose delivered to individual tissues, (2) the average, standard deviation, and coefficient of skewness of the dose distribution delivered to the individual tissues, (3) the average survival probability for a given radiation treatment.

  7. Surface enhanced Raman optical activity of molecules on orientationally averaged substrates: theory of electromagnetic effects.

    PubMed

    Janesko, Benjamin G; Scuseria, Gustavo E

    2006-09-28

    We present a model for electromagnetic enhancements in surface enhanced Raman optical activity (SEROA) spectroscopy. The model extends previous treatments of SEROA to substrates, such as metal nanoparticles in solution, that are orientationally averaged with respect to the laboratory frame. Our theoretical treatment combines analytical expressions for unenhanced Raman optical activity with molecular polarizability tensors that are dressed by the substrate's electromagnetic enhancements. We evaluate enhancements from model substrates to determine preliminary scaling laws and selection rules for SEROA. We find that dipolar substrates enhance Raman optical activity (ROA) scattering less than Raman scattering. Evanescent gradient contributions to orientationally averaged ROA scale to first or higher orders in the gradient of the incident plane-wave field. These evanescent gradient contributions may be large for substrates with quadrupolar responses to the plane-wave field gradient. Some substrates may also show a ROA contribution that depends only on the molecular electric dipole-electric dipole polarizability. These conclusions are illustrated via numerical calculations of surface enhanced Raman and ROA spectra from (R)-(-)-bromochlorofluoromethane on various model substrates.

  8. Leading multiple teams: average and relative external leadership influences on team empowerment and effectiveness.

    PubMed

    Luciano, Margaret M; Mathieu, John E; Ruddy, Thomas M

    2014-03-01

    External leaders continue to be an important source of influence even when teams are empowered, but it is not always clear how they do so. Extending research on structurally empowered teams, we recognize that teams' external leaders are often responsible for multiple teams. We adopt a multilevel approach to model external leader influences at both the team level and the external leader level of analysis. In doing so, we distinguish the influence of general external leader behaviors (i.e., average external leadership) from those that are directed differently toward the teams that they lead (i.e., relative external leadership). Analysis of data collected from 451 individuals, in 101 teams, reporting to 25 external leaders, revealed that both relative and average external leadership related positively to team empowerment. In turn, team empowerment related positively to team performance and member job satisfaction. However, while the indirect effects were all positive, we found that relative external leadership was not directly related to team performance, and average external leadership evidenced a significant negative direct influence. Additionally, relative external leadership exhibited a significant direct positive influence on member job satisfaction as anticipated, whereas average external leadership did not. These findings attest to the value in distinguishing external leaders' behaviors that are exhibited consistently versus differentially across empowered teams. Implications and future directions for the study and management of external leaders overseeing multiple teams are discussed.

  9. Leading multiple teams: average and relative external leadership influences on team empowerment and effectiveness.

    PubMed

    Luciano, Margaret M; Mathieu, John E; Ruddy, Thomas M

    2014-03-01

    External leaders continue to be an important source of influence even when teams are empowered, but it is not always clear how they do so. Extending research on structurally empowered teams, we recognize that teams' external leaders are often responsible for multiple teams. We adopt a multilevel approach to model external leader influences at both the team level and the external leader level of analysis. In doing so, we distinguish the influence of general external leader behaviors (i.e., average external leadership) from those that are directed differently toward the teams that they lead (i.e., relative external leadership). Analysis of data collected from 451 individuals, in 101 teams, reporting to 25 external leaders, revealed that both relative and average external leadership related positively to team empowerment. In turn, team empowerment related positively to team performance and member job satisfaction. However, while the indirect effects were all positive, we found that relative external leadership was not directly related to team performance, and average external leadership evidenced a significant negative direct influence. Additionally, relative external leadership exhibited a significant direct positive influence on member job satisfaction as anticipated, whereas average external leadership did not. These findings attest to the value in distinguishing external leaders' behaviors that are exhibited consistently versus differentially across empowered teams. Implications and future directions for the study and management of external leaders overseeing multiple teams are discussed. PMID:24274582

  10. Effects of time-averaging climate parameters on predicted multicompartmental fate of pesticides and POPs.

    PubMed

    Lammel, Gerhard

    2004-01-01

    With the aim to investigate the justification of time-averaging of climate parameters in multicompartment modelling the effects of various climate parameters and different modes of entry on the predicted substances' total environmental burdens and the compartmental fractions were studied. A simple, non-steady state zero-dimensional (box) mass-balance model of intercompartmental mass exchange which comprises four compartments was used for this purpose. Each two runs were performed, one temporally unresolved (time-averaged conditions) and a time-resolved (hourly or higher) control run. In many cases significant discrepancies are predicted, depending on the substance and on the parameter. We find discrepancies exceeding 10% relative to the control run and up to an order of magnitude for prediction of the total environmental burden from neglecting seasonalities of the soil and ocean temperatures and the hydroxyl radical concentration in the atmosphere and diurnalities of atmospheric mixing depth and the hydroxyl radical concentration in the atmosphere. Under some conditions it was indicated that substance sensitivity could be explained by the magnitude of the sink terms in the compartment(s) with parameters varying. In general, however, any key for understanding substance sensitivity seems not be linked in an easy manner to the properties of the substance, to the fractions of its burden or to the sink terms in either of the compartments with parameters varying. Averaging of diurnal variability was found to cause errors of total environmental residence time of different sign for different substances. The effects of time-averaging of several parameters are in general not additive but synergistic as well as compensatory effects occur. An implication of these findings is that the ranking of substances according to persistence is sensitive to time resolution on the scale of hours to months. As a conclusion it is recommended to use high temporal resolution in multi

  11. Averaging period effects on the turbulent flux and transport efficiency during haze pollution in Beijing, China

    NASA Astrophysics Data System (ADS)

    Guo, Xiaofeng; Yang, Ting; Sun, Yele

    2015-08-01

    Based on observations at the heights of 140 and 280 m on the Beijing 325-m meteorological tower, this study presents an assessment of the averaging period effects on eddy-covariance measurements of the momentum/scalar flux and transport efficiency during wintertime haze pollution. The study period, namely from January 6 to February 28 2013, is divided into different episodes of particulate pollution, as featured by varied amounts of the turbulent exchange and conditions of the atmospheric stability. Overall, turbulent fluxes of the momentum and scalars (heat, water vapor, and CO2) increase with the averaging period, namely from 5, 15, and 30 up to 60 min, an outcome most evident during the `transient' episodes (each lasting for 2-3 days, i.e., preceded and followed by clean-air days with mean concentrations of PM1 less than 40 μg m-3). The conventional choice of 30 min is deemed to be appropriate for calculating the momentum flux and its transport efficiency. By comparison, scalar fluxes and their transport efficiencies appear more sensitive to the choice of an averaging period, particularly at the upper level (i.e., 280 m). It is presupposed that, for urban environments, calculating the momentum and scalar fluxes could invoke separate averaging periods, rather than relying on a single prescription (e.g., 30 min). Furthermore, certain characteristics of urban turbulence are found less sensitive to the choice of an averaging period, such as the relationship between the heat-to-momentum transport efficiency and the local stability parameter.

  12. Effect of low dose sotalol on the signal averaged P wave in patients with paroxysmal atrial fibrillation.

    PubMed Central

    Stafford, P. J.; Cooper, J.; de Bono, D. P.; Vincent, R.; Garratt, C. J.

    1995-01-01

    OBJECTIVE--To investigate the effects of low dose sotalol on the signal averaged surface P wave in patients with paroxysmal atrial fibrillation. DESIGN--A longitudinal within patient crossover study. SETTING--Cardiac departments of a regional cardiothoracic centre and a district general hospital. PATIENTS--Sixteen patients with documented paroxysmal atrial fibrillation. The median (range) age of the patients was 65.5 (36-70) years; 11 were men. MAIN OUTCOME MEASURES--Analysis of the signal averaged P wave recorded from patients not receiving antiarrhythmic medication and after 4-6 weeks' treatment with sotalol. P wave limits were defined automatically by a computer algorithm. Filtered P wave duration and energies contained in frequency bands from 20, 30, 40, 60, and 80 to 150 Hz of the P wave spectrum expressed as absolute values (P20, P30, etc) and as ratios of high to low frequency energy (PR20, PR30, etc) were measured. RESULTS--No difference in P wave duration was observed between the groups studied (mean (SEM) 149 (4) without medication and 152 (3) ms with sotalol). Significant decreases in high frequency P wave energy (for example P60: 4.3 (0.4) v 3.3 (0.3) microV2.s, P = 0.003) and energy ratio (PR60: 5.6 (0.5) v 4.7 (0.6), P = 0.03) were observed during sotalol treatment. These changes were independent of heart rate. CONCLUSIONS--Treatment with low dose sotalol reduces high frequency P wave energy but does not change P wave duration. These results are consistent with the class III effect of the drug and suggest that signal averaging of the surface P wave may be a useful non-invasive measure of drug induced changes in atrial electrophysiology. PMID:8541169

  13. Effects of surface roughness on the average heat transfer of an impinging air jet

    SciTech Connect

    Beitelmal, A.H.; Saad, M.A.; Patel, C.D.

    2000-01-01

    Localized cooling by impinging flow has been used in many industrial applications such as in cooling of gas turbine blades and drying processes. Here, effect of surface roughness of a uniformly heated plate on the average heat transfer characteristics of an impinging air jet was experimentally investigated. Two aluminum plates, one with a flat surface and the second with some roughness added to the surface were fabricated. The roughness took the shape of a circular array of protrusions of 0.5mm base and 0.5mm height. A circular Kapton heater of the same diameter as the plates (70mm) supplied the necessary power. The surfaces of the plates were polished to reduce radiation heat losses and the back and sides insulated to reduce conduction heat losses. temperatures were measured over a Reynolds number ranging from 9,600 to 38,500 based on flow rate through a 6.85mm diameter nozzle. The temperature measurements were repeated for nozzle exit-to-plate spacing, z/d, ranging from 1 to 10. The average Nusselt number for both cases was plotted versus the Reynolds number and their functional correlation was determined. The results indicate an increase of up to 6.0% of the average Nusselt number due to surface roughness. This modest increase provides evidence to encourage further investigation and characterization of the surface roughness as a parameter for enhancing heat transfer.

  14. Effects of Time Averaging on Optical Scintillation in a Ground-to-Satellite Atmospheric Propagation

    NASA Astrophysics Data System (ADS)

    Toyoshima, Morio; Araki, Kenichi

    2000-04-01

    Temporal natures for a variance of turbulence-induced log-intensity fluctuations are obtained. The variance of the optical fluctuation is reduced when the optical signals are integrated in a photodetector, and we express the index of reduction (called the time-averaging factor) by using an autocovariance function of the optical fluctuation. The optical fluctuations for a ground-to-satellite path are caused by both atmospheric turbulence and the beam-pointing jitter error of the optical transmitter. The turbulence-induced optical scintillation can be discriminated from the fluctuation that is due to the beam-pointing jitter error. The compared result from the probability density function of the optical signal reveals good agreement. The temporal autocovariance functions of optical scintillation are obtained and used to calculate the time-averaging factor. The analytically expected effects of time averaging are verified by the experimental results. The estimations contribute to the link budget design for the optical tracking channel through atmospheric turbulence.

  15. Effects of time averaging on optical scintillation in a ground-to-satellite atmospheric propagation.

    PubMed

    Toyoshima, M; Araki, K

    2000-04-20

    Temporal natures for a variance of turbulence-induced log-intensity fluctuations are obtained. The variance of the optical fluctuation is reduced when the optical signals are integrated in a photodetector, and we express the index of reduction (called the time-averaging factor) by using an autocovariance function of the optical fluctuation. The optical fluctuations for a ground-to-satellite path are caused by both atmospheric turbulence and the beam-pointing jitter error of the optical transmitter. The turbulence-induced optical scintillation can be discriminated from the fluctuation that is due to the beam-pointing jitter error. The compared result from the probability density function of the optical signal reveals good agreement. The temporal autocovariance functions of optical scintillation are obtained and used to calculate the time-averaging factor. The analytically expected effects of time averaging are verified by the experimental results. The estimations contribute to the link budget design for the optical tracking channel through atmospheric turbulence. PMID:18345087

  16. Mental health care and average happiness: strong effect in developed nations.

    PubMed

    Touburg, Giorgio; Veenhoven, Ruut

    2015-07-01

    Mental disorder is a main cause of unhappiness in modern society and investment in mental health care is therefore likely to add to average happiness. This prediction was checked in a comparison of 143 nations around 2005. Absolute investment in mental health care was measured using the per capita number of psychiatrists and psychologists working in mental health care. Relative investment was measured using the share of mental health care in the total health budget. Average happiness in nations was measured with responses to survey questions about life-satisfaction. Average happiness appeared to be higher in countries that invest more in mental health care, both absolutely and relative to investment in somatic medicine. A data split by level of development shows that this difference exists only among developed nations. Among these nations the link between mental health care and happiness is quite strong, both in an absolute sense and compared to other known societal determinants of happiness. The correlation between happiness and share of mental health care in the total health budget is twice as strong as the correlation between happiness and size of the health budget. A causal effect is likely, but cannot be proved in this cross-sectional analysis.

  17. Time-averages for Plane Travelling Waves—The Effect of Attenuation: I, Adiabatic Approach

    NASA Astrophysics Data System (ADS)

    Makarov, S. N.

    1993-05-01

    The analysis of the effect of attenuation on the time-averages for a plane travelling wave is presented. The barotropic equation of state is considered: i.e., acoustic heating is assumed to be negligible. The problem statement consists of calculating means in a finite region bounded by a transducer surface as well as by a perfectly absorbing surface, respectively. Although the simple wave approximation cannot be used throughout the field it is still valid near the perfect absorber. The result for radiation pressure is different from the conclusions given previously by Beyer and Livett, Emery and Leeman.

  18. The effect of three-dimensional fields on bounce averaged particle drifts in a tokamak

    SciTech Connect

    Hegna, C. C.

    2015-07-15

    The impact of applied 3D magnetic fields on the bounce-averaged precessional drifts in a tokamak plasma are calculated. Local 3D MHD equilibrium theory is used to construct solutions to the equilibrium equations in the vicinity of a magnetic surface for a large aspect ratio circular tokamak perturbed by applied 3D fields. Due to modulations of the local shear caused by near-resonant Pfirsch-Schlüter currents, relatively weak applied 3D fields can have a large effect on trapped particle precessional drifts.

  19. [Effect of inherent optical parameters on average penetration depth of photon flux and the integral average cosine of underwater light field in lake Taihu during summer].

    PubMed

    Zhao, Qiao-Hua; Zhang, Yun-Lin

    2010-10-01

    Based on the inherent optical parameters of the water and water quality data in lake Taihu from 2006-07-29 to 2006-08-01, the effect of scattering on the penetration path along the original direction of the flux and the Integral average cosine of underwater light field were study by the radiative transfer theory, and the possible mechanism was analyzed. There were increasing trend from northwest to southeast of them. There were a nonlinear relation between them and concentration of Chl-a, suspended matter, inorganism matter, organism matter. The relation was described by logarithmic function. The study was helpful for bio-optical model and the environmental effects of photosynthetic active radiation in waters.

  20. Multi-Repeated Projection Lithography for High-Precision Linear Scale Based on Average Homogenization Effect.

    PubMed

    Ren, Dongxu; Zhao, Huiying; Zhang, Chupeng; Yuan, Daocheng; Xi, Jianpu; Zhu, Xueliang; Ban, Xinxing; Dong, Longchao; Gu, Yawen; Jiang, Chunye

    2016-04-14

    A multi-repeated photolithography method for manufacturing an incremental linear scale using projection lithography is presented. The method is based on the average homogenization effect that periodically superposes the light intensity of different locations of pitches in the mask to make a consistent energy distribution at a specific wavelength, from which the accuracy of a linear scale can be improved precisely using the average pitch with different step distances. The method's theoretical error is within 0.01 µm for a periodic mask with a 2-µm sine-wave error. The intensity error models in the focal plane include the rectangular grating error on the mask, static positioning error, and lithography lens focal plane alignment error, which affect pitch uniformity less than in the common linear scale projection lithography splicing process. It was analyzed and confirmed that increasing the repeat exposure number of a single stripe could improve accuracy, as could adjusting the exposure spacing to achieve a set proportion of black and white stripes. According to the experimental results, the effectiveness of the multi-repeated photolithography method is confirmed to easily realize a pitch accuracy of 43 nm in any 10 locations of 1 m, and the whole length accuracy of the linear scale is less than 1 µm/m.

  1. Multi-Repeated Projection Lithography for High-Precision Linear Scale Based on Average Homogenization Effect

    PubMed Central

    Ren, Dongxu; Zhao, Huiying; Zhang, Chupeng; Yuan, Daocheng; Xi, Jianpu; Zhu, Xueliang; Ban, Xinxing; Dong, Longchao; Gu, Yawen; Jiang, Chunye

    2016-01-01

    A multi-repeated photolithography method for manufacturing an incremental linear scale using projection lithography is presented. The method is based on the average homogenization effect that periodically superposes the light intensity of different locations of pitches in the mask to make a consistent energy distribution at a specific wavelength, from which the accuracy of a linear scale can be improved precisely using the average pitch with different step distances. The method’s theoretical error is within 0.01 µm for a periodic mask with a 2-µm sine-wave error. The intensity error models in the focal plane include the rectangular grating error on the mask, static positioning error, and lithography lens focal plane alignment error, which affect pitch uniformity less than in the common linear scale projection lithography splicing process. It was analyzed and confirmed that increasing the repeat exposure number of a single stripe could improve accuracy, as could adjusting the exposure spacing to achieve a set proportion of black and white stripes. According to the experimental results, the effectiveness of the multi-repeated photolithography method is confirmed to easily realize a pitch accuracy of 43 nm in any 10 locations of 1 m, and the whole length accuracy of the linear scale is less than 1 µm/m. PMID:27089348

  2. Effects of turbulence on average refraction angles in occultations by planetary atmospheres

    NASA Technical Reports Server (NTRS)

    Eshleman, V. R.; Haugstad, B. S.

    1978-01-01

    Four separable effects of atmospheric turbulence on average refraction angles in occultation experiments are derived from a simplified analysis, and related to more general formulations by B. S. Haugstad. The major contributors are shown to be due to gradients in height of the strength of the turbulence, and the sense of the resulting changes in refraction angles is explained in terms of Fermat's principle. Because the results of analyses of such gradient effects by W. B. Hubbard and J. R. Jokipii are expressed in other ways, a special effort is made to compare all of the predictions on a common basis. We conclude that there are fundamental differences, and use arguments based on energy conservation and Fermat's principle to help characterize the discrepancies.

  3. The role of size polydispersity in magnetic fluid hyperthermia: average vs. local infra/over-heating effects.

    PubMed

    Munoz-Menendez, Cristina; Conde-Leboran, Ivan; Baldomir, Daniel; Chubykalo-Fesenko, Oksana; Serantes, David

    2015-11-01

    An efficient and safe hyperthermia cancer treatment requires the accurate control of the heating performance of magnetic nanoparticles, which is directly related to their size. However, in any particle system the existence of some size polydispersity is experimentally unavoidable, which results in a different local heating output and consequently a different hyperthermia performance depending on the size of each particle. With the aim to shed some light on this significant issue, we have used a Monte Carlo technique to study the role of size polydispersity in heat dissipation at both the local (single particle) and global (macroscopic average) levels. We have systematically varied size polydispersity, temperature and interparticle dipolar interaction conditions, and evaluated local heating as a function of these parameters. Our results provide a simple guide on how to choose, for a given polydispersity degree, the more adequate average particle size so that the local variation in the released heat is kept within some limits that correspond to safety boundaries for the average-system hyperthermia performance. All together we believe that our results may help in the design of more effective magnetic hyperthermia applications. PMID:26437746

  4. The role of size polydispersity in magnetic fluid hyperthermia: average vs. local infra/over-heating effects.

    PubMed

    Munoz-Menendez, Cristina; Conde-Leboran, Ivan; Baldomir, Daniel; Chubykalo-Fesenko, Oksana; Serantes, David

    2015-11-01

    An efficient and safe hyperthermia cancer treatment requires the accurate control of the heating performance of magnetic nanoparticles, which is directly related to their size. However, in any particle system the existence of some size polydispersity is experimentally unavoidable, which results in a different local heating output and consequently a different hyperthermia performance depending on the size of each particle. With the aim to shed some light on this significant issue, we have used a Monte Carlo technique to study the role of size polydispersity in heat dissipation at both the local (single particle) and global (macroscopic average) levels. We have systematically varied size polydispersity, temperature and interparticle dipolar interaction conditions, and evaluated local heating as a function of these parameters. Our results provide a simple guide on how to choose, for a given polydispersity degree, the more adequate average particle size so that the local variation in the released heat is kept within some limits that correspond to safety boundaries for the average-system hyperthermia performance. All together we believe that our results may help in the design of more effective magnetic hyperthermia applications.

  5. Facial averageness and genetic quality: Testing heritability, genetic correlation with attractiveness, and the paternal age effect

    PubMed Central

    Lee, Anthony J.; Mitchem, Dorian G.; Wright, Margaret J.; Martin, Nicholas G.; Keller, Matthew C.; Zietsch, Brendan P.

    2015-01-01

    Popular theory suggests that facial averageness is preferred in a partner for genetic benefits to offspring. However, whether facial averageness is associated with genetic quality is yet to be established. Here, we computed an objective measure of facial averageness for a large sample (N = 1,823) of identical and nonidentical twins and their siblings to test two predictions from the theory that facial averageness reflects genetic quality. First, we use biometrical modelling to estimate the heritability of facial averageness, which is necessary if it reflects genetic quality. We also test for a genetic association between facial averageness and facial attractiveness. Second, we assess whether paternal age at conception (a proxy of mutation load) is associated with facial averageness and facial attractiveness. Our findings are mixed with respect to our hypotheses. While we found that facial averageness does have a genetic component, and a significant phenotypic correlation exists between facial averageness and attractiveness, we did not find a genetic correlation between facial averageness and attractiveness (therefore, we cannot say that the genes that affect facial averageness also affect facial attractiveness) and paternal age at conception was not negatively associated with facial averageness. These findings support some of the previously untested assumptions of the ‘genetic benefits’ account of facial averageness, but cast doubt on others. PMID:26858521

  6. Scaling effects in area-averaged values of two-band spectral vegetation indices represented in a general form

    NASA Astrophysics Data System (ADS)

    Obata, Kenta; Miura, Tomoaki; Yoshioka, Hiroki

    2012-01-01

    Area-averaged vegetation index (VI) depends on spatial resolution and the computational approach used to calculate the VI from the data. Certain data treatments can introduce scaling effects and a systematic bias into datasets gathered from different sensors. This study investigated the mechanisms underlying the scaling effects of a two-band spectral VI defined in terms of the ratio of two linear sums of the red and near-infrared reflectances (a general form of the two-band VI). The general form of the VI model was linearly transformed to yield a common functional VI form that elucidated the nature of the monotonic behavior. An analytic investigation was conducted in which a two-band linear mixture model was assumed. The trends (increasing or decreasing) in the area-averaged VIs could be explained in terms of a single scalar index, ην, which may be expressed in terms of the spectra of the vegetation and nonvegetation endmembers as well as the coefficients unique to each VI. The maximum error bounds on the scaling effects were derived as a function of the endmember spectra and the choice of VI. The validity of the expressions was explored by conducting a set of numerical experiments that focused on the monotonic behavior and trends in several VIs.

  7. Effect of anode/filter combination on average glandular dose in mammography.

    PubMed

    Biegała, Michał; Jakubowska, Teresa; Markowska, Karolina

    2015-01-01

    A comparative analysis of the mean glandular doses was conducted in 100 female patients who underwent screening mammography in 2011 and 2013. Siemens Mammomat Novation with the application of the W/Rh anode/filter combination was used in 2011, whereas in 2013 anode/filter combination was Mo/Mo or Mo/Rh. The functioning of mammography was checked and the effectiveness of the automatic exposure control (AEC) system was verified by measuring compensation of changes in the phantom thickness and measuring tube voltage. On the base of exposure parameters, an average glandular dose for each of 100 female patients was estimated. The images obtained by using AEC system had the acceptable threshold contrast visibility irrespective of the applied anode/filter combination. Mean glandular doses in the females, examined with the application of the W/Rh anode/filter combination, were on average 23.6% lower than that of the Mo/Mo or Mo/Rh anode/filter combinations. It is recommended to use a combination of the W/Rh anode /filter which exhibited lower mean glandular doses.

  8. Quaternion Averaging

    NASA Technical Reports Server (NTRS)

    Markley, F. Landis; Cheng, Yang; Crassidis, John L.; Oshman, Yaakov

    2007-01-01

    Many applications require an algorithm that averages quaternions in an optimal manner. For example, when combining the quaternion outputs of multiple star trackers having this output capability, it is desirable to properly average the quaternions without recomputing the attitude from the the raw star tracker data. Other applications requiring some sort of optimal quaternion averaging include particle filtering and multiple-model adaptive estimation, where weighted quaternions are used to determine the quaternion estimate. For spacecraft attitude estimation applications, derives an optimal averaging scheme to compute the average of a set of weighted attitude matrices using the singular value decomposition method. Focusing on a 4-dimensional quaternion Gaussian distribution on the unit hypersphere, provides an approach to computing the average quaternion by minimizing a quaternion cost function that is equivalent to the attitude matrix cost function Motivated by and extending its results, this Note derives an algorithm that deterniines an optimal average quaternion from a set of scalar- or matrix-weighted quaternions. Rirthermore, a sufficient condition for the uniqueness of the average quaternion, and the equivalence of the mininiization problem, stated herein, to maximum likelihood estimation, are shown.

  9. Finite size effects in the averaged eigenvalue density of Wigner random-sign real symmetric matrices.

    PubMed

    Dhesi, G S; Ausloos, M

    2016-06-01

    Nowadays, strict finite size effects must be taken into account in condensed matter problems when treated through models based on lattices or graphs. On the other hand, the cases of directed bonds or links are known to be highly relevant in topics ranging from ferroelectrics to quotation networks. Combining these two points leads us to examine finite size random matrices. To obtain basic materials properties, the Green's function associated with the matrix has to be calculated. To obtain the first finite size correction, a perturbative scheme is hereby developed within the framework of the replica method. The averaged eigenvalue spectrum and the corresponding Green's function of Wigner random sign real symmetric N×N matrices to order 1/N are finally obtained analytically. Related simulation results are also presented. The agreement is excellent between the analytical formulas and finite size matrix numerical diagonalization results, confirming the correctness of the first-order finite size expression. PMID:27415216

  10. The effect of temperature on the average volume of Barkhausen jump on Q235 carbon steel

    NASA Astrophysics Data System (ADS)

    Guo, Lei; Shu, Di; Yin, Liang; Chen, Juan; Qi, Xin

    2016-06-01

    On the basis of the average volume of Barkhausen jump (AVBJ) vbar generated by irreversible displacement of magnetic domain wall under the effect of the incentive magnetic field on ferromagnetic materials, the functional relationship between saturation magnetization Ms and temperature T is employed in this paper to deduce the explicit mathematical expression among AVBJ vbar, stress σ, incentive magnetic field H and temperature T. Then the change law between AVBJ vbar and temperature T is researched according to the mathematical expression. Moreover, the tensile and compressive stress experiments are carried out on Q235 carbon steel specimens at different temperature to verify our theories. This paper offers a series of theoretical bases to solve the temperature compensation problem of Barkhausen testing method.

  11. Finite size effects in the averaged eigenvalue density of Wigner random-sign real symmetric matrices

    NASA Astrophysics Data System (ADS)

    Dhesi, G. S.; Ausloos, M.

    2016-06-01

    Nowadays, strict finite size effects must be taken into account in condensed matter problems when treated through models based on lattices or graphs. On the other hand, the cases of directed bonds or links are known to be highly relevant in topics ranging from ferroelectrics to quotation networks. Combining these two points leads us to examine finite size random matrices. To obtain basic materials properties, the Green's function associated with the matrix has to be calculated. To obtain the first finite size correction, a perturbative scheme is hereby developed within the framework of the replica method. The averaged eigenvalue spectrum and the corresponding Green's function of Wigner random sign real symmetric N ×N matrices to order 1 /N are finally obtained analytically. Related simulation results are also presented. The agreement is excellent between the analytical formulas and finite size matrix numerical diagonalization results, confirming the correctness of the first-order finite size expression.

  12. Averaging to minimize or eliminate regression toward the mean to measure pure experimental effects.

    PubMed

    Toh, Rex S; Hu, Michael Y

    2008-06-01

    This paper explains how regression toward the mean can contaminate diary data, making it difficult to measure the pure effects of an experimental variable over time. Using a large scale real-life database collected by AT&T, a method of measuring this mathematical artifact is advanced. It is shown to manifest very quickly as a result of a spontaneous reaction toward happenstance, with the most extreme initial values gravitating most toward the mean. Then averaging over longer and longer periods of time to define use categories is shown to dilute happenstance increasingly, and therefore progressively minimizes or eliminates regression toward the mean. Finally, regression toward the mean is very pervasive and very persistent.

  13. On the average temperature of airless spherical bodies and the magnitude of Earth's atmospheric thermal effect.

    PubMed

    Volokin, Den; ReLlez, Lark

    2014-01-01

    The presence of atmosphere can appreciably warm a planet's surface above the temperature of an airless environment. Known as a natural Greenhouse Effect (GE), this near-surface Atmospheric Thermal Enhancement (ATE) as named herein is presently entirely attributed to the absorption of up-welling long-wave radiation by greenhouse gases. Often quoted as 33 K for Earth, GE is estimated as a difference between planet's observed mean surface temperature and an effective radiating temperature calculated from the globally averaged absorbed solar flux using the Stefan-Boltzmann (SB) radiation law. This approach equates a planet's average temperature in the absence of greenhouse gases or atmosphere to an effective emission temperature assuming ATE ≡ GE. The SB law is also routinely employed to estimating the mean temperatures of airless bodies. We demonstrate that this formula as applied to spherical objects is mathematically incorrect owing to Hölder's inequality between integrals and leads to biased results such as a significant underestimation of Earth's ATE. We derive a new expression for the mean physical temperature of airless bodies based on an analytic integration of the SB law over a sphere that accounts for effects of regolith heat storage and cosmic background radiation on nighttime temperatures. Upon verifying our model against Moon surface temperature data provided by the NASA Diviner Lunar Radiometer Experiment, we propose it as a new analytic standard for evaluating the thermal environment of airless bodies. Physical evidence is presented that Earth's ATE should be assessed against the temperature of an equivalent airless body such as the Moon rather than a hypothetical atmosphere devoid of greenhouse gases. Employing the new temperature formula we show that Earth's total ATE is ~90 K, not 33 K, and that ATE = GE + TE, where GE is the thermal effect of greenhouse gases, while TE > 15 K is a thermodynamic enhancement independent of the

  14. On the average temperature of airless spherical bodies and the magnitude of Earth's atmospheric thermal effect.

    PubMed

    Volokin, Den; ReLlez, Lark

    2014-01-01

    The presence of atmosphere can appreciably warm a planet's surface above the temperature of an airless environment. Known as a natural Greenhouse Effect (GE), this near-surface Atmospheric Thermal Enhancement (ATE) as named herein is presently entirely attributed to the absorption of up-welling long-wave radiation by greenhouse gases. Often quoted as 33 K for Earth, GE is estimated as a difference between planet's observed mean surface temperature and an effective radiating temperature calculated from the globally averaged absorbed solar flux using the Stefan-Boltzmann (SB) radiation law. This approach equates a planet's average temperature in the absence of greenhouse gases or atmosphere to an effective emission temperature assuming ATE ≡ GE. The SB law is also routinely employed to estimating the mean temperatures of airless bodies. We demonstrate that this formula as applied to spherical objects is mathematically incorrect owing to Hölder's inequality between integrals and leads to biased results such as a significant underestimation of Earth's ATE. We derive a new expression for the mean physical temperature of airless bodies based on an analytic integration of the SB law over a sphere that accounts for effects of regolith heat storage and cosmic background radiation on nighttime temperatures. Upon verifying our model against Moon surface temperature data provided by the NASA Diviner Lunar Radiometer Experiment, we propose it as a new analytic standard for evaluating the thermal environment of airless bodies. Physical evidence is presented that Earth's ATE should be assessed against the temperature of an equivalent airless body such as the Moon rather than a hypothetical atmosphere devoid of greenhouse gases. Employing the new temperature formula we show that Earth's total ATE is ~90 K, not 33 K, and that ATE = GE + TE, where GE is the thermal effect of greenhouse gases, while TE > 15 K is a thermodynamic enhancement independent of the

  15. Conditional averaging of the Cloud Radiative Effect as a higher order test of GCM radiation budgets

    NASA Astrophysics Data System (ADS)

    Oreopoulos, L.

    2010-12-01

    Global Climate Models (GCMs) are quite capable in producing temporally and spatially averaged radiative fluxes that are close to observed values. Closer examination however of clear-sky fluxes and Cloud Radiative Effects (CREs) reveal that the agreement is often the result of numerous error cancellations in the spatiotemporal and spectral domains. One manifestation of this phenomenon is canceling CRE errors among different cloud types. Recent approaches of cloud retrieval analysis from satellites allow us to determine the contribution to the total CRE of various cloud types, information that can be used as a diagnostic of the quality of cloud-radiation simulations in GCMs. In this presentation we apply such conditional averaging to CREs and cloud types provided by the International Satellite Cloud Climatology Project (ISCCP). The ISCCP D1 gridded cloud product contains the joint distribution of cloud top pressure and cloud optical depth at 280 km grid cells observed daily every 3-hours. The patterns of these joint distributions can be used to identify, via cluster analysis, distinct states of the atmosphere at the mesoscale, which ISCCP terms "weather states". The spatiotemporal distribution of distinct weather states is now available as a separate ISCCP D1 product for various geographical zones. We identify the relative contribution to the total CRE (shortwave, longwave, and net; both top of the atmosphere and surface) of these weather states separately for the extended low latitudes, northern midlatitudes and southern midlatitudes for the period 1984-2007 by conditionally averaging the CREs of the ISCCP FD data set according to weather state. Results from such a CRE breakdown that can be used as higher order GCM diagnostics include: (a) The seasonal cycle of CRE of the various weather states and the relationship between their relative strength and their frequency of occurrence; b) the identification of the most dominant weather states in terms of their relative

  16. Effect of filter on average glandular dose and image quality in digital mammography

    NASA Astrophysics Data System (ADS)

    Songsaeng, C.; Krisanachinda, A.; Theerakul, K.

    2016-03-01

    To determine the average glandular dose and entrance surface air kerma in both phantoms and patients to assess image quality for different target-filters (W/Rh and W/Ag) in digital mammography system. The compressed breast thickness, compression force, average glandular dose, entrance surface air kerma, peak kilovoltage and tube current time were recorded and compared between W/Rh and W/Ag target filter. The CNR and the figure of merit were used to determine the effect of target filter on image quality. The mean AGD of the W/Rh target filter was 1.75 mGy, the mean ESAK was 6.67 mGy, the mean CBT was 54.1 mm, the mean CF was 14 1bs. The mean AGD of W/Ag target filter was 2.7 mGy, the mean ESAK was 12.6 mGy, the mean CBT was 75.5 mm, the mean CF was 15 1bs. In phantom study, the AGD was 1.2 mGy at 4 cm, 3.3 mGy at 6 cm and 3.83 mGy at 7 cm thickness. The FOM was 24.6, CNR was 9.02 at thickness 6 cm. The FOM was 18.4, CNR was 8.6 at thickness 7 cm. The AGD from Digital Mammogram system with W/Rh of thinner CBT was lower than the AGD from W/Ag target filter.

  17. Extracurricular Activities and Their Effect on the Student's Grade Point Average: Statistical Study

    ERIC Educational Resources Information Center

    Bakoban, R. A.; Aljarallah, S. A.

    2015-01-01

    Extracurricular activities (ECA) are part of students' everyday life; they play important roles in students' lives. Few studies have addressed the question of how student engagements to ECA affect student's grade point average (GPA). This research was conducted to know whether the students' grade point average in King Abdulaziz University,…

  18. The effects of open throat technique on long term average spectra (LTAS) of female classical voices.

    PubMed

    Mitchell, Helen F; Kenny, Dianna T

    2004-01-01

    In the third of a series of studies on open throat technique, we compared long term average spectra (LTAS) of six advanced singing students under three conditions: 'optimal' (O), representing maximal open throat, 'sub-optimal' (SO), using reduced open throat, and loud sub-optimal (LSO) to control for the effect of loudness. Using a series of univariate repeated measures ANOVAs with planned orthogonal contrasts, we tested the hypotheses that sound pressure level (SPL) and the ratio of spectral energy in peaks and areas between 0-2 kHz and 2-4 kHz would be reduced in SO and LSO compared to O. There were significant differences between SO and LSO but hypotheses were not confirmed for O. These findings do not accord with differences in vibrato extent and onset between O and SO/LSO (Mitchell and Kenny, in press). These results suggest that while LTAS provides information on energy distribution, measuring spectral energy areas appears to be the most sensitive measure of energy distribution between conditions. Plotting the differences between O and SO/LSO pairs of LTAS clearly indicates the areas of spectral change. The findings from this study also indicate that LTAS are not sufficiently sensitive to measure vocal timbre as they were not consistent with perceptual or other acoustic studies of the same samples. PMID:15370642

  19. Isolated and synergistic effects of PM10 and average temperature on cardiovascular and respiratory mortality

    PubMed Central

    Pinheiro, Samya de Lara Lins de Araujo; Saldiva, Paulo Hilário Nascimento; Schwartz, Joel; Zanobetti, Antonella

    2014-01-01

    OBJECTIVE To analyze the effect of air pollution and temperature on mortality due to cardiovascular and respiratory diseases. METHODS We evaluated the isolated and synergistic effects of temperature and particulate matter with aerodynamic diameter < 10 µm (PM10) on the mortality of individuals > 40 years old due to cardiovascular disease and that of individuals > 60 years old due to respiratory diseases in Sao Paulo, SP, Southeastern Brazil, between 1998 and 2008. Three methodologies were used to evaluate the isolated association: time-series analysis using Poisson regression model, bidirectional case-crossover analysis matched by period, and case-crossover analysis matched by the confounding factor, i.e., average temperature or pollutant concentration. The graphical representation of the response surface, generated by the interaction term between these factors added to the Poisson regression model, was interpreted to evaluate the synergistic effect of the risk factors. RESULTS No differences were observed between the results of the case-crossover and time-series analyses. The percentage change in the relative risk of cardiovascular and respiratory mortality was 0.85% (0.45;1.25) and 1.60% (0.74;2.46), respectively, due to an increase of 10 μg/m3 in the PM10 concentration. The pattern of correlation of the temperature with cardiovascular mortality was U-shaped and that with respiratory mortality was J-shaped, indicating an increased relative risk at high temperatures. The values for the interaction term indicated a higher relative risk for cardiovascular and respiratory mortalities at low temperatures and high temperatures, respectively, when the pollution levels reached approximately 60 μg/m3. CONCLUSIONS The positive association standardized in the Poisson regression model for pollutant concentration is not confounded by temperature, and the effect of temperature is not confounded by the pollutant levels in the time-series analysis. The simultaneous exposure

  20. Effect of spatial averaging on multifractal properties of meteorological time series

    NASA Astrophysics Data System (ADS)

    Hoffmann, Holger; Baranowski, Piotr; Krzyszczak, Jaromir; Zubik, Monika

    2016-04-01

    Introduction The process-based models for large-scale simulations require input of agro-meteorological quantities that are often in the form of time series of coarse spatial resolution. Therefore, the knowledge about their scaling properties is fundamental for transferring locally measured fluctuations to larger scales and vice-versa. However, the scaling analysis of these quantities is complicated due to the presence of localized trends and non-stationarities. Here we assess how spatially aggregating meteorological data to coarser resolutions affects the data's temporal scaling properties. While it is known that spatial aggregation may affect spatial data properties (Hoffmann et al., 2015), it is unknown how it affects temporal data properties. Therefore, the objective of this study was to characterize the aggregation effect (AE) with regard to both temporal and spatial input data properties considering scaling properties (i.e. statistical self-similarity) of the chosen agro-meteorological time series through multifractal detrended fluctuation analysis (MFDFA). Materials and Methods Time series coming from years 1982-2011 were spatially averaged from 1 to 10, 25, 50 and 100 km resolution to assess the impact of spatial aggregation. Daily minimum, mean and maximum air temperature (2 m), precipitation, global radiation, wind speed and relative humidity (Zhao et al., 2015) were used. To reveal the multifractal structure of the time series, we used the procedure described in Baranowski et al. (2015). The diversity of the studied multifractals was evaluated by the parameters of time series spectra. In order to analyse differences in multifractal properties to 1 km resolution grids, data of coarser resolutions was disaggregated to 1 km. Results and Conclusions Analysing the spatial averaging on multifractal properties we observed that spatial patterns of the multifractal spectrum (MS) of all meteorological variables differed from 1 km grids and MS-parameters were biased

  1. Effects of error covariance structure on estimation of model averaging weights and predictive performance

    USGS Publications Warehouse

    Lu, Dan; Ye, Ming; Meyer, Philip D.; Curtis, Gary P.; Shi, Xiaoqing; Niu, Xu-Feng; Yabusaki, Steve B.

    2013-01-01

    When conducting model averaging for assessing groundwater conceptual model uncertainty, the averaging weights are often evaluated using model selection criteria such as AIC, AICc, BIC, and KIC (Akaike Information Criterion, Corrected Akaike Information Criterion, Bayesian Information Criterion, and Kashyap Information Criterion, respectively). However, this method often leads to an unrealistic situation in which the best model receives overwhelmingly large averaging weight (close to 100%), which cannot be justified by available data and knowledge. It was found in this study that this problem was caused by using the covariance matrix, CE, of measurement errors for estimating the negative log likelihood function common to all the model selection criteria. This problem can be resolved by using the covariance matrix, Cek, of total errors (including model errors and measurement errors) to account for the correlation between the total errors. An iterative two-stage method was developed in the context of maximum likelihood inverse modeling to iteratively infer the unknown Cek from the residuals during model calibration. The inferred Cek was then used in the evaluation of model selection criteria and model averaging weights. While this method was limited to serial data using time series techniques in this study, it can be extended to spatial data using geostatistical techniques. The method was first evaluated in a synthetic study and then applied to an experimental study, in which alternative surface complexation models were developed to simulate column experiments of uranium reactive transport. It was found that the total errors of the alternative models were temporally correlated due to the model errors. The iterative two-stage method using Cekresolved the problem that the best model receives 100% model averaging weight, and the resulting model averaging weights were supported by the calibration results and physical understanding of the alternative models. Using Cek

  2. Effect of Temporal Residual Correlation on Estimation of Model Averaging Weights

    NASA Astrophysics Data System (ADS)

    Ye, M.; Lu, D.; Curtis, G. P.; Meyer, P. D.; Yabusaki, S.

    2010-12-01

    When conducting model averaging for assessing groundwater conceptual model uncertainty, the averaging weights are always calculated using model selection criteria such as AIC, AICc, BIC, and KIC. However, this method sometimes leads to an unrealistic situation in which one model receives overwhelmingly high averaging weight (even 100%), which cannot be justified by available data and knowledge. It is found in this study that the unrealistic situation is due partly, if not solely, to ignorance of residual correlation when estimating the negative log-likelihood function common to all the model selection criteria. In the context of maximum-likelihood or least-square inverse modeling, the residual correlation is accounted for in the full covariance matrix; when the full covariance matrix is replaced by its diagonal counterpart, it assumes data independence and ignores the correlation. As a result, treating the correlated residuals as independent distorts the distance between observations and simulations of alternative models. As a result, it may lead to incorrect estimation of model selection criteria and model averaging weights. This is illustrated for a set of surface complexation models developed to simulate uranium transport based on a series of column experiments. The residuals are correlated in time, and the time correlation is addressed using a second-order autoregressive model. The modeling results reveal importance of considering residual correlation in the estimation of model averaging weights.

  3. Using National Data to Estimate Average Cost Effectiveness of EFNEP Outcomes by State/Territory

    ERIC Educational Resources Information Center

    Baral, Ranju; Davis, George C.; Blake, Stephanie; You, Wen; Serrano, Elena

    2013-01-01

    This report demonstrates how existing national data can be used to first calculate upper limits on the average cost per participant and per outcome per state/territory for the Expanded Food and Nutrition Education Program (EFNEP). These upper limits can then be used by state EFNEP administrators to obtain more precise estimates for their states,…

  4. The effects of sampling and internal noise on the representation of ensemble average size.

    PubMed

    Im, Hee Yeon; Halberda, Justin

    2013-02-01

    Increasing numbers of studies have explored human observers' ability to rapidly extract statistical descriptions from collections of similar items (e.g., the average size and orientation of a group of tilted Gabor patches). Determining whether these descriptions are generated by mechanisms that are independent from object-based sampling procedures requires that we investigate how internal noise, external noise, and sampling affect subjects' performance. Here we systematically manipulated the external variability of ensembles and used variance summation modeling to estimate both the internal noise and the number of samples that affected the representation of ensemble average size. The results suggest that humans sample many more than one or two items from an array when forming an estimate of the average size, and that the internal noise that affects ensemble processing is lower than the noise that affects the processing of single objects. These results are discussed in light of other recent modeling efforts and suggest that ensemble processing of average size relies on a mechanism that is distinct from segmenting individual items. This ensemble process may be more similar to texture processing.

  5. Pharmacological effect on the average rates of development of the contractile and relaxation phases of the acetylcholine contractile effect in the smooth muscles of guinea-pig caecum.

    PubMed

    Radomirov, R

    1976-01-01

    The average rates of development of the contractile and relaxation phases and their relative dependence in the acetylcholine contractile effect, after treatment with papaverine, prostaglandines E1 and F2 alpha and BaCl2, are tested on longitudinal and circular smooth muscles of guinea-pig caecum. Changes are observed in the effect on the phase rates of the contractile process caused by acetylcholine in the two muscles under the effect of the different drugs. In both muscles the relative dependence between the phase velocities is lowered by papaverine and raised by BaCl2. It is assumed that the interaction of the pharmacological substances with the calcium ions plays a role in the rate of manifestation of the pharmacological effect.

  6. Effective Obesity Treatments

    ERIC Educational Resources Information Center

    Powell, Lynda H.; Calvin, James E., III; Calvin, James E., Jr.

    2007-01-01

    To curb the epidemic of obesity in the United States, revised Medicare policy allows support for efficacious obesity treatments. This review summarizes the evidence from rigorous randomized trials (9 lifestyle trials, 5 drug trials, and 2 surgical trials) on the efficacy and risk-benefit profile of lifestyle, drug, and surgical interventions aimed…

  7. The latitude dependence of the variance of zonally averaged quantities. [in polar meteorology with attention to geometrical effects of earth

    NASA Technical Reports Server (NTRS)

    North, G. R.; Bell, T. L.; Cahalan, R. F.; Moeng, F. J.

    1982-01-01

    Geometric characteristics of the spherical earth are shown to be responsible for the increase of variance with latitude of zonally averaged meteorological statistics. An analytic model is constructed to display the effect of a spherical geometry on zonal averages, employing a sphere labeled with radial unit vectors in a real, stochastic field expanded in complex spherical harmonics. The variance of a zonally averaged field is found to be expressible in terms of the spectrum of the vector field of the spherical harmonics. A maximum variance is then located at the poles, and the ratio of the variance to the zonally averaged grid-point variance, weighted by the cosine of the latitude, yields the zonal correlation typical of the latitude. An example is provided for the 500 mb level in the Northern Hemisphere compared to 15 years of data. Variance is determined to increase north of 60 deg latitude.

  8. Average-atom treatment of relaxation time in x-ray Thomson scattering from warm dense matter

    NASA Astrophysics Data System (ADS)

    Johnson, W. R.; Nilsen, J.

    2016-03-01

    The influence of finite relaxation times on Thomson scattering from warm dense plasmas is examined within the framework of the average-atom approximation. Presently most calculations use the collision-free Lindhard dielectric function to evaluate the free-electron contribution to the Thomson cross section. In this work, we use the Mermin dielectric function, which includes relaxation time explicitly. The relaxation time is evaluated by treating the average atom as an impurity in a uniform electron gas and depends critically on the transport cross section. The calculated relaxation rates agree well with values inferred from the Ziman formula for the static conductivity and also with rates inferred from a fit to the frequency-dependent conductivity. Transport cross sections determined by the phase-shift analysis in the average-atom potential are compared with those evaluated in the commonly used Born approximation. The Born approximation converges to the exact cross sections at high energies; however, differences that occur at low energies lead to corresponding differences in relaxation rates. The relative importance of including relaxation time when modeling x-ray Thomson scattering spectra is examined by comparing calculations of the free-electron dynamic structure function for Thomson scattering using Lindhard and Mermin dielectric functions. Applications are given to warm dense Be plasmas, with temperatures ranging from 2 to 32 eV and densities ranging from 2 to 64 g/cc.

  9. Average-atom treatment of relaxation time in x-ray Thomson scattering from warm dense matter.

    PubMed

    Johnson, W R; Nilsen, J

    2016-03-01

    The influence of finite relaxation times on Thomson scattering from warm dense plasmas is examined within the framework of the average-atom approximation. Presently most calculations use the collision-free Lindhard dielectric function to evaluate the free-electron contribution to the Thomson cross section. In this work, we use the Mermin dielectric function, which includes relaxation time explicitly. The relaxation time is evaluated by treating the average atom as an impurity in a uniform electron gas and depends critically on the transport cross section. The calculated relaxation rates agree well with values inferred from the Ziman formula for the static conductivity and also with rates inferred from a fit to the frequency-dependent conductivity. Transport cross sections determined by the phase-shift analysis in the average-atom potential are compared with those evaluated in the commonly used Born approximation. The Born approximation converges to the exact cross sections at high energies; however, differences that occur at low energies lead to corresponding differences in relaxation rates. The relative importance of including relaxation time when modeling x-ray Thomson scattering spectra is examined by comparing calculations of the free-electron dynamic structure function for Thomson scattering using Lindhard and Mermin dielectric functions. Applications are given to warm dense Be plasmas, with temperatures ranging from 2 to 32 eV and densities ranging from 2 to 64 g/cc.

  10. Average Causal Effects from Nonrandomized Studies: A Practical Guide and Simulated Example

    ERIC Educational Resources Information Center

    Schafer, Joseph L.; Kang, Joseph

    2008-01-01

    In a well-designed experiment, random assignment of participants to treatments makes causal inference straightforward. However, if participants are not randomized (as in observational study, quasi-experiment, or nonequivalent control-group designs), group comparisons may be biased by confounders that influence both the outcome and the alleged…

  11. Effects of anisotropic turbulence on average polarizability of Gaussian Schell-model quantized beams through ocean link.

    PubMed

    Li, Ye; Zhang, Yixin; Zhu, Yun; Chen, Minyu

    2016-07-01

    Based on the spatial power spectrum of the refractive index of anisotropic turbulence, the average polarizability of the Gaussian Schell-model quantized beams and lateral coherence length of the spherical wave propagating through the ocean water channel are derived. Numerical results show that, in strong temperature fluctuation, the depolarization effects of anisotropic turbulence are inferior to isotropic turbulence, as the other parameters of two links are the same. The depolarization effects of salinity fluctuation are less than the effects of the temperature fluctuation; the average polarizability of beams increases when increasing the inner scale of turbulence and the source's transverse size; and the larger rate of dissipation of kinetic energy per unit mass of fluid enhances the average polarizability of beams. The region of the receiving radius is smaller than the characteristic radius and the average polarizability of beams in isotropy turbulence is smaller than that of beams in anisotropy turbulence. However, the receiving radius region is larger than a characteristic radius and the average polarizability of beams in isotropy turbulence is larger than that of beams in anisotropy turbulence.

  12. Effects of anisotropic turbulence on average polarizability of Gaussian Schell-model quantized beams through ocean link.

    PubMed

    Li, Ye; Zhang, Yixin; Zhu, Yun; Chen, Minyu

    2016-07-01

    Based on the spatial power spectrum of the refractive index of anisotropic turbulence, the average polarizability of the Gaussian Schell-model quantized beams and lateral coherence length of the spherical wave propagating through the ocean water channel are derived. Numerical results show that, in strong temperature fluctuation, the depolarization effects of anisotropic turbulence are inferior to isotropic turbulence, as the other parameters of two links are the same. The depolarization effects of salinity fluctuation are less than the effects of the temperature fluctuation; the average polarizability of beams increases when increasing the inner scale of turbulence and the source's transverse size; and the larger rate of dissipation of kinetic energy per unit mass of fluid enhances the average polarizability of beams. The region of the receiving radius is smaller than the characteristic radius and the average polarizability of beams in isotropy turbulence is smaller than that of beams in anisotropy turbulence. However, the receiving radius region is larger than a characteristic radius and the average polarizability of beams in isotropy turbulence is larger than that of beams in anisotropy turbulence. PMID:27409215

  13. Underestimating Calorie Content When Healthy Foods Are Present: An Averaging Effect or a Reference-Dependent Anchoring Effect?

    PubMed Central

    Forwood, Suzanna E.; Ahern, Amy; Hollands, Gareth J.; Fletcher, Paul C.; Marteau, Theresa M.

    2013-01-01

    Objective Previous studies have shown that estimations of the calorie content of an unhealthy main meal food tend to be lower when the food is shown alongside a healthy item (e.g. fruit or vegetables) than when shown alone. This effect has been called the negative calorie illusion and has been attributed to averaging the unhealthy (vice) and healthy (virtue) foods leading to increased perceived healthiness and reduced calorie estimates. The current study aimed to replicate and extend these findings to test the hypothesized mediating effect of ratings of healthiness of foods on calorie estimates. Methods In three online studies, participants were invited to make calorie estimates of combinations of foods. Healthiness ratings of the food were also assessed. Results The first two studies failed to replicate the negative calorie illusion. In a final study, the use of a reference food, closely following a procedure from a previously published study, did elicit a negative calorie illusion. No evidence was found for a mediating role of healthiness estimates. Conclusion The negative calorie illusion appears to be a function of the contrast between a food being judged and a reference, supporting the hypothesis that the negative calorie illusion arises from the use of a reference-dependent anchoring and adjustment heuristic and not from an ‘averaging’ effect, as initially proposed. This finding is consistent with existing data on sequential calorie estimates, and highlights a significant impact of the order in which foods are viewed on how foods are evaluated. PMID:23967216

  14. The Averaged Face Growth Rates of lysozyme Crystals: The Effect of Temperature

    NASA Technical Reports Server (NTRS)

    Nadarajah, Arunan; Forsythe, Elizabeth L.; Pusey, Marc L.

    1995-01-01

    Measurements of the averaged or macroscopic face growth rates of lysozyme crystals are reported here for the (110) face of tetragonal lysozyme, at three sets of pH and salt concentrations, with temperatures over a 4-22 C range for several protein concentrations. The growth rate trends with supersaturation were similar to previous microscopic growth rate measurements. However, it was found that at high super-saturations the growth rates attain a maximum and then start decreasing. No 'dead zone' was observed but the growth rates were found to approach zero asymptotically at very low super-saturations. The growth rate data also displayed a dependence on pH and salt concentration which could not be characterized solely by the super-saturation. A complete mechanism for lysozyme crystal growth, involving the formation of an aggregate growth unit, mass transport of the growth unit to the crystal interface and faceted crystal growth by growth unit addition, is suggested. Such a mechanism may provide a more consistent explanation for the observed growth rate trends than those suggested by other investigators. The nutrient solution interactions leading to the formation of the aggregate growth unit may, thus, be as important as those occurring at the crystal interface and may account for the differences between small molecule and protein crystal growth.

  15. Antitumor effects of electrochemical treatment

    PubMed Central

    González, Maraelys Morales; Zamora, Lisset Ortíz; Cabrales, Luis Enrique Bergues; Sierra González, Gustavo Victoriano; de Oliveira, Luciana Oliveira; Zanella, Rodrigo; Buzaid, Antonio Carlos; Parise, Orlando; Brito, Luciana Macedo; Teixeira, Cesar Augusto Antunes; Gomes, Marina das Neves; Moreno, Gleyce; Feo da Veiga, Venicio; Telló, Marcos; Holandino, Carla

    2013-01-01

    Electrochemical treatment is an alternative modality for tumor treatment based on the application of a low intensity direct electric current to the tumor tissue through two or more platinum electrodes placed within the tumor zone or in the surrounding areas. This treatment is noted for its great effectiveness, minimal invasiveness and local effect. Several studies have been conducted worldwide to evaluate the antitumoral effect of this therapy. In all these studies a variety of biochemical and physiological responses of tumors to the applied treatment have been obtained. By this reason, researchers have suggested various mechanisms to explain how direct electric current destroys tumor cells. Although, it is generally accepted this treatment induces electrolysis, electroosmosis and electroporation in tumoral tissues. However, action mechanism of this alternative modality on the tumor tissue is not well understood. Although the principle of Electrochemical treatment is simple, a standardized method is not yet available. The mechanism by which Electrochemical treatment affects tumor growth and survival may represent more complex process. The present work analyzes the latest and most important research done on the electrochemical treatment of tumors. We conclude with our point of view about the destruction mechanism features of this alternative therapy. Also, we suggest some mechanisms and strategies from the thermodynamic point of view for this therapy. In the area of Electrochemical treatment of cancer this tool has been exploited very little and much work remains to be done. Electrochemical treatment constitutes a good therapeutic option for patients that have failed the conventional oncology methods. PMID:23592904

  16. The effect of averaging adjacent planes for artifact reduction in matrix inversion tomosynthesis

    SciTech Connect

    Godfrey, Devon J.; Page McAdams, H.; Dobbins, James T. III

    2013-02-15

    Purpose: Matrix inversion tomosynthesis (MITS) uses linear systems theory and knowledge of the imaging geometry to remove tomographic blur that is present in conventional backprojection tomosynthesis reconstructions, leaving in-plane detail rendered clearly. The use of partial-pixel interpolation during the backprojection process introduces imprecision in the MITS modeling of tomographic blur, and creates low-contrast artifacts in some MITS planes. This paper examines the use of MITS slabs, created by averaging several adjacent MITS planes, as a method for suppressing partial-pixel artifacts. Methods: Human chest tomosynthesis projection data, acquired as part of an IRB-approved pilot study, were used to generate MITS planes, three-plane MITS slabs (MITSa3), five-plane MITS slabs (MITSa5), and seven-plane MITS slabs (MITSa7). These were qualitatively examined for partial-pixel artifacts and the visibility of normal and abnormal anatomy. Additionally, small (5 mm) subtle pulmonary nodules were simulated and digitally superimposed upon human chest tomosynthesis projection images, and their visibility was qualitatively assessed in the different reconstruction techniques. Simulated images of a thin wire were used to generate modulation transfer function (MTF) and slice-sensitivity profile curves for the different MITS and MITS slab techniques, and these were examined for indications of partial-pixel artifacts and frequency response uniformity. Finally, mean-subtracted, exposure-normalized noise power spectra (ENNPS) estimates were computed and compared for MITS and MITS slab reconstructions, generated from 10 sets of tomosynthesis projection data of an acrylic slab. The simulated in-plane MTF response of each technique was also combined with the square root of the ENNPS estimate to yield stochastic signal-to-noise ratio (SNR) information about the different reconstruction techniques. Results: For scan angles of 20 Degree-Sign and 5 mm plane separation, seven MITS

  17. Doppler broadening effect on collision cross section functions - Deconvolution of the thermal averaging

    NASA Technical Reports Server (NTRS)

    Bernstein, R. B.

    1973-01-01

    The surprising feature of the Doppler problem in threshold determination is the 'amplification effect' of the target's thermal energy spread. The small thermal energy spread of the target molecules results in a large dispersion in relative kinetic energy. The Doppler broadening effect in connection with thermal energy beam experiments is discussed, and a procedure is recommended for the deconvolution of molecular scattering cross-section functions whose dominant dependence upon relative velocity is approximately that of the standard low-energy form.

  18. Neonatal Abstinence Syndrome: Influence of a Combined Inpatient/Outpatient Methadone Treatment Regimen on the Average Length of Stay of a Medicaid NICU Population.

    PubMed

    Lee, Jerry; Hulman, Sonia; Musci, Michael; Stang, Ellen

    2015-10-01

    Prescription opioid and heroin abuse have been increasing steadily year after year, and continue to be a serious national problem. A sequela of the increase in opioid abuse has been an increase in the number of infants born with opioid dependence. These infants often require costly, prolonged stays in the neonatal intensive care unit (NICU) for drug withdrawal treatment. The authors studied a population of infants from a large Medicaid health plan who were born with neonatal abstinence syndrome (NAS) secondary to in utero opioid exposure to assess the average length of stay in the NICU, and to determine the variables that may account for differences in interinstitutional lengths of stay. The overall average length of stay for NAS was 21.1 days for the 139 infants included in the study. Analysis of the medication used for treatment revealed that infants who were treated with a combined inpatient/outpatient regimen with methadone had an average length of stay of 11.4 days versus 25.1 days for infants who were treated entirely as inpatients (P<0.001), a 55% reduction in average length of stay. In 2009 there were an estimated 13,600 cases of NAS in the United States at a cost of $53,000 per case. A 55% reduction in length of stay corresponds to $396 million in annual savings for the treatment of NAS. Development of successful combined inpatient/outpatient management programs for NAS warrants further consideration.

  19. A group's physical attractiveness is greater than the average attractiveness of its members: the group attractiveness effect.

    PubMed

    van Osch, Yvette; Blanken, Irene; Meijs, Maartje H J; van Wolferen, Job

    2015-04-01

    We tested whether the perceived physical attractiveness of a group is greater than the average attractiveness of its members. In nine studies, we find evidence for the so-called group attractiveness effect (GA-effect), using female, male, and mixed-gender groups, indicating that group impressions of physical attractiveness are more positive than the average ratings of the group members. A meta-analysis on 33 comparisons reveals that the effect is medium to large (Cohen's d = 0.60) and moderated by group size. We explored two explanations for the GA-effect: (a) selective attention to attractive group members, and (b) the Gestalt principle of similarity. The results of our studies are in favor of the selective attention account: People selectively attend to the most attractive members of a group and their attractiveness has a greater influence on the evaluation of the group.

  20. Plantar Fasciitis: Prescribing Effective Treatments.

    ERIC Educational Resources Information Center

    Shea, Michael; Fields, Karl B.

    2002-01-01

    Plantar fasciitis is an extremely common, painful injury seen among people in running and jumping sports. While prognosis for recovery with conservative care is excellent, prolonged duration of symptoms affects sports participation. Studies on treatment options show mixed results, so finding effective treatments can be challenging. A logical…

  1. Effects of Social Interactions on Empirical Responses to Selection for Average Daily Gain of Boars

    Technology Transfer Automated Retrieval System (TEKTRAN)

    Effects of competition on responses to selection for ADG were examined with records of 9,720 boars from dam lines (1 and 2) and sire lines (3 and 4) provided by Pig Improvement Company. Each line was analyzed separately. Pens contained 15 boars. Gains (ADG) were measured from about 71 to 161 d of...

  2. Strategy Precedes Operational Effectiveness: Aligning High Graduation Rankings with Competitive Graduation Grade Point Averages

    ERIC Educational Resources Information Center

    Apprey, Maurice; Bassett, Kimberley C.; Preston-Grimes, Patrice; Lewis, Dion W.; Wood, Beverly

    2014-01-01

    Two pivotal and interconnected claims are addressed in this article. First, strategy precedes program effectiveness. Second, graduation rates and rankings are insufficient in any account of academic progress for African American students. In this article, graduation is regarded as the floor and not the ceiling, as it were. The ideal situation in…

  3. The effect of gravity level on the average primary dendritic spacing of a directionally solidified superalloy

    NASA Technical Reports Server (NTRS)

    Mccay, M. H.; Lee, J. E.; Curreri, P. A.

    1986-01-01

    The effect of alternating low (0.01 g) and high (1.8 g) gravity force on the primary spacings in the dendrite structure in a directionally solidified Ni-based superalloy (PWA 1480, containing 5 pct Co, 10 pct Cr, 4 pct W, 12 pct Ta, 5 pct Al, 1.5 pct Ti, and the balance Ni) was investigated using samples solidified in a directional solidification furnace aboard the NASA KC-135 aircraft that made a series of low-g parabolas. The cross-section slices for each growth rate were polished and etched with Kallings II, and the primary dendritic arm spacings were measured using the method of Jacobi and Schwerdtfeger (1976). The arm spacings were found to fluctuate with gravity force, increasing as the gravity level decreased, and growing finer as gravity increased.

  4. Empirical Treatment Effectiveness Models for Binary Outcomes.

    PubMed

    Dalton, Jarrod E; Dawson, Neal V; Sessler, Daniel I; Schold, Jesse D; Love, Thomas E; Kattan, Michael W

    2016-01-01

    Randomized trials provide strong evidence regarding efficacy of interventions but are limited in their capacity to address potential heterogeneity in effectiveness within broad clinical populations. For example, a treatment that on average is superior may be distinctly worse in certain patients. We propose a technique for using large electronic health registries to develop and validate decision models that measure-for distinct combinations of covariate values-the difference in predicted outcomes among 2 alternative treatments. We demonstrate the methodology in a prototype analysis of in-hospital mortality under alternative revascularization treatments. First, we developed prediction models for a binary outcome of interest for each treatment. Decision criteria were then defined based on the treatment-specific model predictions. Patients were then classified as receiving concordant or discordant care (in relation to the model recommendation), and the association between discordance and outcomes was evaluated. We then present alternative decision criteria and validation methodologies, as well as sensitivity analyses that investigate 1) the imbalance between treatments on observed covariates and 2) the aggregate impact of unobserved covariates. Our methodology supplements population-average clinical trial results by modeling heterogeneity in outcomes according to specific covariate values. It thus allows for assessment of current practice, from which cogent hypotheses for improved care can be derived. Newly emerging large population registries will allow for accurate predictions of outcome risk under competing treatments, as complex functions of predictor variables. Whether or not the models might be used to inform decision making depends on the extent to which important predictors are available. Further work is needed to understand the strengths and limitations of this approach, particularly in relation to those based on randomized trials. PMID:25852080

  5. TREATMENT EFFECTS: A BAYESIAN PERSPECTIVE*

    PubMed Central

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

    2013-01-01

    This paper contributes to the emerging Bayesian literature on treatment effects. It derives treatment parameters in the framework of a potential outcomes model with a treatment choice equation, where the correlation between the unobservable components of the model is driven by a low-dimensional vector of latent factors. The analyst is assumed to have access to a set of measurements generated by the latent factors. This approach has attractive features from both theoretical and practical points of view. Not only does it address the fundamental identification problem arising from the inability to observe the same person in both the treated and untreated states, but it also turns out to be straightforward to implement. Formulae are provided to compute mean treatment effects as well as their distributional versions. A Monte Carlo simulation study is carried out to illustrate how the methodology can easily be applied. PMID:24187431

  6. Neonatal Abstinence Syndrome: Influence of a Combined Inpatient/Outpatient Methadone Treatment Regimen on the Average Length of Stay of a Medicaid NICU Population

    PubMed Central

    Hulman, Sonia; Musci, Michael; Stang, Ellen

    2015-01-01

    Abstract Prescription opioid and heroin abuse have been increasing steadily year after year, and continue to be a serious national problem. A sequela of the increase in opioid abuse has been an increase in the number of infants born with opioid dependence. These infants often require costly, prolonged stays in the neonatal intensive care unit (NICU) for drug withdrawal treatment. The authors studied a population of infants from a large Medicaid health plan who were born with neonatal abstinence syndrome (NAS) secondary to in utero opioid exposure to assess the average length of stay in the NICU, and to determine the variables that may account for differences in interinstitutional lengths of stay. The overall average length of stay for NAS was 21.1 days for the 139 infants included in the study. Analysis of the medication used for treatment revealed that infants who were treated with a combined inpatient/outpatient regimen with methadone had an average length of stay of 11.4 days versus 25.1 days for infants who were treated entirely as inpatients (P<0.001), a 55% reduction in average length of stay. In 2009 there were an estimated 13,600 cases of NAS in the United States at a cost of $53,000 per case. A 55% reduction in length of stay corresponds to $396 million in annual savings for the treatment of NAS. Development of successful combined inpatient/outpatient management programs for NAS warrants further consideration. (Population Health Management 2015;18:392–397) PMID:25803316

  7. The difference between laboratory and in-situ pixel-averaged emissivity: The effects on temperature-emissivity separation

    NASA Technical Reports Server (NTRS)

    Matsunaga, Tsuneo

    1993-01-01

    Advanced Spaceborne Thermal Emission and Reflection Radiometer (ASTER) is a Japanese future imaging sensor which has five channels in thermal infrared (TIR) region. To extract spectral emissivity information from ASTER and/or TIMS data, various temperature-emissivity (T-E) separation methods have been developed to date. Most of them require assumptions on surface emissivity, in which emissivity measured in a laboratory is often used instead of in-situ pixel-averaged emissivity. But if these two emissivities are different, accuracies of separated emissivity and surface temperature are reduced. In this study, the difference between laboratory and in-situ pixel-averaged emissivity and its effect on T-E separation are discussed. TIMS data of an area containing both rocks and vegetation were also processed to retrieve emissivity spectra using two T-E separation methods.

  8. Impact of trees on pollutant dispersion in street canyons: A numerical study of the annual average effects in Antwerp, Belgium.

    PubMed

    Vranckx, Stijn; Vos, Peter; Maiheu, Bino; Janssen, Stijn

    2015-11-01

    Effects of vegetation on pollutant dispersion receive increased attention in attempts to reduce air pollutant concentration levels in the urban environment. In this study, we examine the influence of vegetation on the concentrations of traffic pollutants in urban street canyons using numerical simulations with the CFD code OpenFOAM. This CFD approach is validated against literature wind tunnel data of traffic pollutant dispersion in street canyons. The impact of trees is simulated for a variety of vegetation types and the full range of approaching wind directions at 15° interval. All these results are combined using meteo statistics, including effects of seasonal leaf loss, to determine the annual average effect of trees in street canyons. This analysis is performed for two pollutants, elemental carbon (EC) and PM10, using background concentrations and emission strengths for the city of Antwerp, Belgium. The results show that due to the presence of trees the annual average pollutant concentrations increase with about 8% (range of 1% to 13%) for EC and with about 1.4% (range of 0.2 to 2.6%) for PM10. The study indicates that this annual effect is considerably smaller than earlier estimates which are generally based on a specific set of governing conditions (1 wind direction, full leafed trees and peak hour traffic emissions).

  9. The Frey syndrome: a simple, effective treatment.

    PubMed

    Hays, L L; Novack, A J; Worsham, J C

    1982-01-01

    The benign but socially embarrassing problem of gustatory sweating and flushing (Frey syndrome) has been studied in the past in search of a simple but effective treatment. Twenty-two patients participated in clinical trials of glycopyrrolate on an investigational basis, 17 of which have been followed up for four to five years. Double-blind comparisons of the efficacy and side effects of topical scopolamine (solution and cream) and glycopyrrolate (roll-on lotion, solution, and cream) are also presented. The use of 1% glycopyrrolate roll-on lotion and cream were associated with an average of three days of complete control of gustatory sweating and a remarkably low incidence of side effects.

  10. Statistical mechanics of the ``Chinese restaurant process'': Lack of self-averaging, anomalous finite-size effects, and condensation

    NASA Astrophysics Data System (ADS)

    Bassetti, Bruno; Zarei, Mina; Cosentino Lagomarsino, Marco; Bianconi, Ginestra

    2009-12-01

    The Pitman-Yor, or Chinese restaurant process, is a stochastic process that generates distributions following a power law with exponents lower than 2, as found in numerous physical, biological, technological, and social systems. We discuss its rich behavior with the tools and viewpoint of statistical mechanics. We show that this process invariably gives rise to a condensation, i.e., a distribution dominated by a finite number of classes. We also evaluate thoroughly the finite-size effects, finding that the lack of stationary state and self-averaging of the process creates realization-dependent cutoffs and behavior of the distributions with no equivalent in other statistical mechanical models.

  11. Statistical mechanics of the "Chinese restaurant process": lack of self-averaging, anomalous finite-size effects, and condensation.

    PubMed

    Bassetti, Bruno; Zarei, Mina; Cosentino Lagomarsino, Marco; Bianconi, Ginestra

    2009-12-01

    The Pitman-Yor, or Chinese restaurant process, is a stochastic process that generates distributions following a power law with exponents lower than 2, as found in numerous physical, biological, technological, and social systems. We discuss its rich behavior with the tools and viewpoint of statistical mechanics. We show that this process invariably gives rise to a condensation, i.e., a distribution dominated by a finite number of classes. We also evaluate thoroughly the finite-size effects, finding that the lack of stationary state and self-averaging of the process creates realization-dependent cutoffs and behavior of the distributions with no equivalent in other statistical mechanical models.

  12. A statistical study of gyro-averaging effects in a reduced model of drift-wave transport

    NASA Astrophysics Data System (ADS)

    da Fonseca, J. D.; del-Castillo-Negrete, D.; Sokolov, I. M.; Caldas, I. L.

    2016-08-01

    A statistical study of finite Larmor radius (FLR) effects on transport driven by electrostatic drift-waves is presented. The study is based on a reduced discrete Hamiltonian dynamical system known as the gyro-averaged standard map (GSM). In this system, FLR effects are incorporated through the gyro-averaging of a simplified weak-turbulence model of electrostatic fluctuations. Formally, the GSM is a modified version of the standard map in which the perturbation amplitude, K0, becomes K0J0(ρ ̂ ) , where J0 is the zeroth-order Bessel function and ρ ̂ is the Larmor radius. Assuming a Maxwellian probability density function (pdf) for ρ ̂ , we compute analytically and numerically the pdf and the cumulative distribution function of the effective drift-wave perturbation amplitude K0J0(ρ ̂ ) . Using these results, we compute the probability of loss of confinement (i.e., global chaos), Pc, and the probability of trapping in the main drift-wave resonance, Pt. It is shown that Pc provides an upper bound for the escape rate, and that Pt provides a good estimate of the particle trapping rate. The analytical results are compared with direct numerical Monte-Carlo simulations of particle transport.

  13. Identification of Average Treatment Effects in Social Experiments under Alternative Forms of Attrition

    ERIC Educational Resources Information Center

    Huber, Martin

    2012-01-01

    As any empirical method used for causal analysis, social experiments are prone to attrition which may flaw the validity of the results. This article considers the problem of partially missing outcomes in experiments. First, it systematically reveals under which forms of attrition--in terms of its relation to observable and/or unobservable…

  14. Application of a generalized matrix averaging method for the calculation of the effective properties of thin multiferroic layers

    SciTech Connect

    Starkov, A. S.; Starkov, I. A.

    2014-11-15

    It is proposed to use a generalized matrix averaging (GMA) method for calculating the parameters of an effective medium with physical properties equivalent to those of a set of thin multiferroic layers. This approach obviates the need to solve a complex system of magnetoelectroelasticity equations. The required effective characteristics of a system of multiferroic layers are obtained using only operations with matrices, which significantly simplifies calculations and allows multilayer systems to be described. The proposed approach is applicable to thin-layer systems, in which the total thickness is much less than the system length, radius of curvature, and wavelengths of waves that can propagate in the system (long-wave approximation). Using the GMA method, it is also possible to obtain the effective characteristics of a periodic structure with each period comprising a number of thin multiferroic layers.

  15. The Effect of Cumulus Cloud Field Anisotropy on Domain-Averaged Solar Fluxes and Atmospheric Heating Rates

    NASA Technical Reports Server (NTRS)

    Hinkelman, Laura M.; Evans, K. Franklin; Clothiaux, Eugene E.; Ackerman, Thomas P.; Stackhouse, Paul W., Jr.

    2006-01-01

    Cumulus clouds can become tilted or elongated in the presence of wind shear. Nevertheless, most studies of the interaction of cumulus clouds and radiation have assumed these clouds to be isotropic. This paper describes an investigation of the effect of fair-weather cumulus cloud field anisotropy on domain-averaged solar fluxes and atmospheric heating rate profiles. A stochastic field generation algorithm was used to produce twenty three-dimensional liquid water content fields based on the statistical properties of cloud scenes from a large eddy simulation. Progressively greater degrees of x-z plane tilting and horizontal stretching were imposed on each of these scenes, so that an ensemble of scenes was produced for each level of distortion. The resulting scenes were used as input to a three-dimensional Monte Carlo radiative transfer model. Domain-average transmission, reflection, and absorption of broadband solar radiation were computed for each scene along with the average heating rate profile. Both tilt and horizontal stretching were found to significantly affect calculated fluxes, with the amount and sign of flux differences depending strongly on sun position relative to cloud distortion geometry. The mechanisms by which anisotropy interacts with solar fluxes were investigated by comparisons to independent pixel approximation and tilted independent pixel approximation computations for the same scenes. Cumulus anisotropy was found to most strongly impact solar radiative transfer by changing the effective cloud fraction, i.e., the cloud fraction when the field is projected on a surface perpendicular to the direction of the incident solar beam.

  16. Climate Change Effects on Annual Average Concentrations of Fine Particulate Matter (PM2.5) in California

    NASA Astrophysics Data System (ADS)

    Kleeman, M.; Mahmud, A.

    2008-12-01

    California has one of the worst particulate air pollution problems in the nation with some estimates predicting more than 5000 premature deaths each year attributed to air pollution. Climate change will modify weather patterns in California with unknown consequences for PM2.5. Previous down-scaling exercises carried out for the entire United States have typically not resolved the details associated with California's mountain-valley topography and mixture of urban-rural emissions characteristics. Detailed studies carried out for California have identified strong effects acting in opposite directions on PM2.5 concentrations making the net prediction for climate effects on PM2.5 somewhat uncertain. More research is needed to reduce this uncertainty so that we can truly understand climate impacts on PM2.5 and public health. The objective of this research is to predict climate change effects on annual average concentrations of particulate matter (PM2.5) in California with sufficient resolution to capture the details of California's air basins. Business-as-usual scenarios generated by the Parallel Climate Model (PCM) will be down-scaled to 4km meteorology using the Weather Research Forecast (WRF) model. The CIT/UCD source-oriented photochemical air quality model will be employed to predict PM2.5 concentrations throughout the entire state of California. The modeled annual average total and speciated PM2.5 concentrations for the future (2047-2049) and the present-day (2004-2006) periods will be compared to determine climate change effects. The results from this study will improve our understanding of global climate change effects on PM2.5 concentrations in California.

  17. SU-D-213-04: Accounting for Volume Averaging and Material Composition Effects in An Ionization Chamber Array for Patient Specific QA

    SciTech Connect

    Fugal, M; McDonald, D; Jacqmin, D; Koch, N; Ellis, A; Peng, J; Ashenafi, M; Vanek, K

    2015-06-15

    Purpose: This study explores novel methods to address two significant challenges affecting measurement of patient-specific quality assurance (QA) with IBA’s Matrixx Evolution™ ionization chamber array. First, dose calculation algorithms often struggle to accurately determine dose to the chamber array due to CT artifact and algorithm limitations. Second, finite chamber size and volume averaging effects cause additional deviation from the calculated dose. Methods: QA measurements were taken with the Matrixx positioned on the treatment table in a solid-water Multi-Cube™ phantom. To reduce the effect of CT artifact, the Matrixx CT image set was masked with appropriate materials and densities. Individual ionization chambers were masked as air, while the high-z electronic backplane and remaining solid-water material were masked as aluminum and water, respectively. Dose calculation was done using Varian’s Acuros XB™ (V11) algorithm, which is capable of predicting dose more accurately in non-biologic materials due to its consideration of each material’s atomic properties. Finally, the exported TPS dose was processed using an in-house algorithm (MATLAB) to assign the volume averaged TPS dose to each element of a corresponding 2-D matrix. This matrix was used for comparison with the measured dose. Square fields at regularly-spaced gantry angles, as well as selected patient plans were analyzed. Results: Analyzed plans showed improved agreement, with the average gamma passing rate increasing from 94 to 98%. Correction factors necessary for chamber angular dependence were reduced by 67% compared to factors measured previously, indicating that previously measured factors corrected for dose calculation errors in addition to true chamber angular dependence. Conclusion: By comparing volume averaged dose, calculated with a capable dose engine, on a phantom masked with correct materials and densities, QA results obtained with the Matrixx Evolution™ can be significantly

  18. Finite-size effect and the components of multifractality in transport economics volatility based on multifractal detrending moving average method

    NASA Astrophysics Data System (ADS)

    Chen, Feier; Tian, Kang; Ding, Xiaoxu; Miao, Yuqi; Lu, Chunxia

    2016-11-01

    Analysis of freight rate volatility characteristics attracts more attention after year 2008 due to the effect of credit crunch and slowdown in marine transportation. The multifractal detrended fluctuation analysis technique is employed to analyze the time series of Baltic Dry Bulk Freight Rate Index and the market trend of two bulk ship sizes, namely Capesize and Panamax for the period: March 1st 1999-February 26th 2015. In this paper, the degree of the multifractality with different fluctuation sizes is calculated. Besides, multifractal detrending moving average (MF-DMA) counting technique has been developed to quantify the components of multifractal spectrum with the finite-size effect taken into consideration. Numerical results show that both Capesize and Panamax freight rate index time series are of multifractal nature. The origin of multifractality for the bulk freight rate market series is found mostly due to nonlinear correlation.

  19. [Effectiveness of treatments for social phobia in an applied field].

    PubMed

    Labrador Encinas, Francisco J; Ballesteros Pérez, Francisco

    2011-11-01

    Social phobia is one of the most common disorders and one that requires the most attention from psychological clinics. The aim of this article was to study the effectiveness of psychological treatments in a University Psychological Clinic. Seventy-one social phobia patients requested psychological assistance. The average number of assessment sessions was 3.8 and the average number of treatment sessions was 16.1. Therapeutic success reached 64.2%, withdrawal percentage was 11.3%, and drop-out percentage was 24.5%. The effect size (Cohen's d) achieved in the Social Avoidance and Distress Scale (SAD) and Fear of Negative Evaluation Scale (FNE) were 1.96 and 1.78, respectively. Comparing these results with efficacy research (particularly meta-analysis), it has been shown that the treatment effectiveness achieved is very similar. It is concluded that cognitive behavioural treatments for social phobia can be transferred from research settings to clinical practice.

  20. Intra-event isotope and raindrop size data of tropical rain reveal effects concealed by event averaged data

    NASA Astrophysics Data System (ADS)

    Managave, S. R.; Jani, R. A.; Narayana Rao, T.; Sunilkumar, K.; Satheeshkumar, S.; Ramesh, R.

    2016-08-01

    Evaporation of rain is known to contribute water vapor, a potent greenhouse gas, to the atmosphere. Stable oxygen and hydrogen isotopic compositions (δ18O and, δD, respectively) of precipitation, usually measured/presented as values integrated over rain events or monthly mean values, are important tools for detecting evaporation effects. The slope ~8 of the linear relationship between such time-averaged values of δD and δ18O (called the meteoric water line) is widely accepted as a proof of condensation under isotopic equilibrium and absence of evaporation of rain during atmospheric fall. Here, through a simultaneous investigation of the isotopic and drop size distributions of seventeen rain events sampled on an intra-event scale at Gadanki (13.5°N, 79.2°E), southern India, we demonstrate that the evaporation effects, not evident in the time-averaged data, are significantly manifested in the sub-samples of individual rain events. We detect this through (1) slopes significantly less than 8 for the δD-δ18O relation on intra-event scale and (2) significant positive correlations between deuterium excess ( d-excess = δD - 8*δ18O; lower values in rain indicate evaporation) and the mass-weighted mean diameter of the raindrops ( D m ). An estimated ~44 % of rain is influenced by evaporation. This study also reveals a signature of isotopic equilibration of rain with the cloud base vapor, the processes important for modeling isotopic composition of precipitation. d-excess values of rain are modified by the post-condensation processes and the present approach offers a way to identify the d-excess values least affected by such processes. Isotope-enabled global circulation models could be improved by incorporating intra-event isotopic data and raindrop size dependent isotopic effects.

  1. An efficient computational method for characterizing the effects of random surface errors on the average power pattern of reflectors

    NASA Technical Reports Server (NTRS)

    Rahmat-Samii, Y.

    1983-01-01

    Based on the works of Ruze (1966) and Vu (1969), a novel mathematical model has been developed to determine efficiently the average power pattern degradations caused by random surface errors. In this model, both nonuniform root mean square (rms) surface errors and nonuniform illumination functions are employed. In addition, the model incorporates the dependence on F/D in the construction of the solution. The mathematical foundation of the model rests on the assumption that in each prescribed annular region of the antenna, the geometrical rms surface value is known. It is shown that closed-form expressions can then be derived, which result in a very efficient computational method for the average power pattern. Detailed parametric studies are performed with these expressions to determine the effects of different random errors and illumination tapers on parameters such as gain loss and sidelobe levels. The results clearly demonstrate that as sidelobe levels decrease, their dependence on the surface rms/wavelength becomes much stronger and, for a specified tolerance level, a considerably smaller rms/wavelength is required to maintain the low sidelobes within the required bounds.

  2. A depth-averaged debris-flow model that includes the effects of evolving dilatancy. I. physical basis

    USGS Publications Warehouse

    Iverson, Richard M.; George, David L.

    2014-01-01

    To simulate debris-flow behaviour from initiation to deposition, we derive a depth-averaged, two-phase model that combines concepts of critical-state soil mechanics, grain-flow mechanics and fluid mechanics. The model's balance equations describe coupled evolution of the solid volume fraction, m, basal pore-fluid pressure, flow thickness and two components of flow velocity. Basal friction is evaluated using a generalized Coulomb rule, and fluid motion is evaluated in a frame of reference that translates with the velocity of the granular phase, vs. Source terms in each of the depth-averaged balance equations account for the influence of the granular dilation rate, defined as the depth integral of ∇⋅vs. Calculation of the dilation rate involves the effects of an elastic compressibility and an inelastic dilatancy angle proportional to m−meq, where meq is the value of m in equilibrium with the ambient stress state and flow rate. Normalization of the model equations shows that predicted debris-flow behaviour depends principally on the initial value of m−meq and on the ratio of two fundamental timescales. One of these timescales governs downslope debris-flow motion, and the other governs pore-pressure relaxation that modifies Coulomb friction and regulates evolution of m. A companion paper presents a suite of model predictions and tests.

  3. Effects of volume averaging on the line spectra of vertical velocity from multiple-Doppler radar observations

    NASA Technical Reports Server (NTRS)

    Gal-Chen, T.; Wyngaard, J. C.

    1982-01-01

    Calculations of the ratio of the true one-dimensional spectrum of vertical velocity and that measured with multiple-Doppler radar beams are presented. It was assumed that the effects of pulse volume averaging and objective analysis routines is replacement of a point measurement with a volume integral. A u and v estimate was assumed to be feasible when orthogonal radars are not available. Also, the target fluid was configured as having an infinite vertical dimension, zero vertical velocity at the top and bottom, and having homogeneous and isotropic turbulence with a Kolmogorov energy spectrum. The ratio obtained indicated that equal resolutions among radars yields a monotonically decreasing, wavenumber-dependent response function. A gain of 0.95 was demonstrated in an experimental situation with 40 levels. Possible errors introduced when using unequal resolution radars were discussed. Finally, it was found that, for some flows, the extent of attenuation depends on the number of vertical levels resolvable by the radars.

  4. Non-adiabatic effects within a single thermally averaged potential energy surface: thermal expansion and reaction rates of small molecules.

    PubMed

    Alonso, J L; Castro, A; Clemente-Gallardo, J; Echenique, P; Mazo, J J; Polo, V; Rubio, A; Zueco, D

    2012-12-14

    At non-zero temperature and when a system has low-lying excited electronic states, the ground-state Born-Oppenheimer approximation breaks down and the low-lying electronic states are involved in any chemical process. In this work, we use a temperature-dependent effective potential for the nuclei which can accommodate the influence of an arbitrary number of electronic states in a simple way, while at the same time producing the correct Boltzmann equilibrium distribution for the electronic part. With the help of this effective potential, we show that thermally activated low-lying electronic states can have a significant effect in molecular properties for which electronic excitations are oftentimes ignored. We study the thermal expansion of the Manganese dimer, Mn(2), where we find that the average bond length experiences a change larger than the present experimental accuracy upon the inclusion of the excited states into the picture. We also show that, when these states are taken into account, reaction-rate constants are modified. In particular, we study the opening of the ozone molecule, O(3), and show that in this case the rate is modified as much as a 20% with respect to the ground-state Born-Oppenheimer prediction.

  5. Big Fish in Little Ponds Aspire More: Mediation and Cross-Cultural Generalizability of School-Average Ability Effects on Self-Concept and Career Aspirations in Science

    ERIC Educational Resources Information Center

    Nagengast, Benjamin; Marsh, Herbert W.

    2012-01-01

    Being schooled with other high-achieving peers has a detrimental influence on students' self-perceptions: School-average and class-average achievement have a negative effect on academic self-concept and career aspirations--the big-fish-little-pond effect. Individual achievement, on the other hand, predicts academic self-concept and career…

  6. Treatment Effect Heterogeneity in a Science Professional Development Initiative: The Case for School Capacity

    ERIC Educational Resources Information Center

    Bruch, Sarah; Grigg, Jeffrey; Hanselman, Paul

    2010-01-01

    This study focuses on how the treatment effects of a teacher professional development initiative in science differed by school capacity. In other words, the authors are primarily concerned with treatment effect heterogeneity. As such, this paper complements ongoing evaluation of the average treatment effects of the initiative over time. The…

  7. How robust are the estimated effects of air pollution on health? Accounting for model uncertainty using Bayesian model averaging.

    PubMed

    Pannullo, Francesca; Lee, Duncan; Waclawski, Eugene; Leyland, Alastair H

    2016-08-01

    The long-term impact of air pollution on human health can be estimated from small-area ecological studies in which the health outcome is regressed against air pollution concentrations and other covariates, such as socio-economic deprivation. Socio-economic deprivation is multi-factorial and difficult to measure, and includes aspects of income, education, and housing as well as others. However, these variables are potentially highly correlated, meaning one can either create an overall deprivation index, or use the individual characteristics, which can result in a variety of pollution-health effects. Other aspects of model choice may affect the pollution-health estimate, such as the estimation of pollution, and spatial autocorrelation model. Therefore, we propose a Bayesian model averaging approach to combine the results from multiple statistical models to produce a more robust representation of the overall pollution-health effect. We investigate the relationship between nitrogen dioxide concentrations and cardio-respiratory mortality in West Central Scotland between 2006 and 2012.

  8. How robust are the estimated effects of air pollution on health? Accounting for model uncertainty using Bayesian model averaging.

    PubMed

    Pannullo, Francesca; Lee, Duncan; Waclawski, Eugene; Leyland, Alastair H

    2016-08-01

    The long-term impact of air pollution on human health can be estimated from small-area ecological studies in which the health outcome is regressed against air pollution concentrations and other covariates, such as socio-economic deprivation. Socio-economic deprivation is multi-factorial and difficult to measure, and includes aspects of income, education, and housing as well as others. However, these variables are potentially highly correlated, meaning one can either create an overall deprivation index, or use the individual characteristics, which can result in a variety of pollution-health effects. Other aspects of model choice may affect the pollution-health estimate, such as the estimation of pollution, and spatial autocorrelation model. Therefore, we propose a Bayesian model averaging approach to combine the results from multiple statistical models to produce a more robust representation of the overall pollution-health effect. We investigate the relationship between nitrogen dioxide concentrations and cardio-respiratory mortality in West Central Scotland between 2006 and 2012. PMID:27494960

  9. Effect of spectral time-lag correlation coefficient and signal averaging on airborne CO2 DIAL measurements

    NASA Astrophysics Data System (ADS)

    Ben-David, Avishai; Vanderbeek, Richard G.; Gotoff, Steven W.; D'Amico, Francis M.

    1997-10-01

    The effects of flight geometry, signal averaging and time- lag correlation coefficient on airborne CO2 dial lidar measurements are shown in simulations and field measurements. These factors have implications for multi- vapor measurements and also for measuring a shingle vapor with a wide absorption spectra for which one would like to make DIAL measurements at many wavelengths across the absorption spectra of the gas. Thus it is of interest to know how many wavelengths and how many groups of wavelengths can be used effectively in DIAL measurements. Our data indicate that for our lidar about 80 wavelengths can be used for DIAL measurements of a stationary vapor. The lidar signal is composed of fluctuations with three time scales: a very short time scale due to system noise which is faster than the data acquisition sampling rate of the receiver, a medium time scale due to atmospheric turbulence, and a long time scale due to slow atmospheric transmission drift from aerosol in homogeneities. The decorrelation time scale of fluctuations for airborne lidar measurements depends on the flight geometry.

  10. The normal hourly variation of blood pressure in women: average patterns and the effect of work stress.

    PubMed

    James, G D; Moucha, O P; Pickering, T G

    1991-12-01

    The purpose of this study was to examine the pattern of diurnal variation of blood pressure in normotensive working women, and to assess the effect of work stress on this pattern. The subjects were 121 normotensive (based on clinic readings less than 140/90 mmHg) young women (age = 30.2 +/- 7.3 years; range 20-50) who wore an ambulatory blood pressure monitor on a workday from 9 am to 6 am the next day. The effect of work stress on the pattern of variation was assessed by comparing the hourly averages among women who perceived greater stress at work on the day of study ('work stressed') (n = 67) with those of women who perceived greater or equal stress at home on the day of study ('home stressed') (n = 54). The results showed that the systolic pressure of 'work stressed' women was 5-8 mmHg higher (P less than 0.05) and diastolic 3-4 mmHg higher (P less than 0.05) than 'home stressed' women for nearly every hour from 9 am to 6 pm. From 7 pm to 6 am, both groups were similar hour by hour. These data suggest that there is no intrinsic pattern of diurnal blood pressure variation (other than an awake-sleep cycle) in working women. The data also provide a reference standard for comparison with hypertensive women.

  11. Temperature effects in treatment wetlands.

    PubMed

    Kadlec, R H; Reddy, K R

    2001-01-01

    Several biogeochemical processes that regulate the removal of nutrients in wetlands are affected by temperature, thus influencing the overall treatment efficiency. In this paper, the effects of temperature on carbon, nitrogen, and phosphorus cycling processes in treatment wetlands and their implications to water quality are discussed. Many environmental factors display annual cycles that mediate whole system performance. Water temperature is one of the important cyclic stimuli, but inlet flow rates and concentrations, and several features of the annual biogeochemical cycle, also can contribute to the observed patterns of nutrient and pollutant removal. Atmospheric influences, including rain, evapotranspiration, and water reaeration, also follow seasonal patterns. Processes regulating storages in wetlands are active throughout the year and can act as seasonal reservoirs of nutrients, carbon, and pollutants. Many individual wetland processes, such as microbially mediated reactions, are affected by temperature. Response was much greater to changes at the lower end of the temperature scale (< 15 degrees C) than at the optimal range (20 to 35 degrees C). Processes regulating organic matter decomposition are affected by temperature. Similarly, all nitrogen cycling reactions (mineralization, nitrification, and denitrification) are affected by temperature. The temperature coefficient (theta) varied from 1.05 to 1.37 for carbon and nitrogen cycling processes during isolated conditions. Phosphorus sorption reactions are least affected by temperature, with theta values of 1.03 to 1.12. Physical processes involved in the removal of particulate carbon, nitrogen, and phosphorus are not affected much by temperature. In contrast, observed wetland removals may have different temperature dependence. Design models are oversimplified because of limitations of data for calibration. The result of complex system behavior and the simple model is the need to interpret whole ecosystem data

  12. Examining Master Schedule Practices in Rio Grande Valley Schools: Effects on Student Attendance, Discipline, and Grade Point Averages

    ERIC Educational Resources Information Center

    Carriaga, Benito T.

    2012-01-01

    This study evaluated the impact of the master schedule design on student attendance, discipline, and grade point averages. Unexcused and excused absences, minor and major infraction, and grade point averages in three high schools during the 2008-09 and 2009-10 school years were included in the study. The purpose was to examine if any difference…

  13. The Chicken Soup Effect: The Role of Recreation and Intramural Participation in Boosting Freshman Grade Point Average

    ERIC Educational Resources Information Center

    Gibbison, Godfrey A.; Henry, Tracyann L.; Perkins-Brown, Jayne

    2011-01-01

    Freshman grade point average, in particular first semester grade point average, is an important predictor of survival and eventual student success in college. As many institutions of higher learning are searching for ways to improve student success, one would hope that policies geared towards the success of freshmen have long term benefits…

  14. Effect of a multi-lead PCA approach on modified moving average method for T-wave alternans detection.

    PubMed

    Deogire, Aruna; Hamde, Satish

    2014-11-01

    T-wave alternans, a beat-to-beat re-polarization pattern variation phenomenon, plays an important role in sudden cardiac death prediction. The proposed method modifies the currently available Modified Moving Average Method (MMAM) by a multi-lead principal component analysis (PCA) approach. Application of PCA will concentrate the alternans effect, which is supposed to be distributed on multiple leads in a single derived lead. MMAM is applied to the derived lead and alternans magnitude is measured. Results are compared with MMAM, implemented by the authors and by an open source tool, TWAnalyser. The TWA Physionet/CinC 2008 Challenge Database is used for testing. Performances are measured in terms of root mean square error (rmse) and correlation coefficients. The rmse is highest for TWAnalyser results and lowest for the proposed method. While the correlation coefficient is highest for the proposed method, 0.88, that for normal MMAM is 0.73 and for TWAnalyser is 0.75. The proposed multi-lead PCA approach provides improved performance of current MMAM.

  15. On the wavelength dependence of the effects of turbulence on average refraction angles in occultations by planetary atmospheres

    NASA Technical Reports Server (NTRS)

    Haugstad, B. S.; Eshleman, V. R.

    1979-01-01

    The dependence of the effects of planetary atmospheric turbulence on radio or optical wavelength in occultation experiments is discussed, and the analysis of Hubbard and Jokipii (1977) is criticized. It is argued that in deriving a necessary condition for the applicability of their method, Hubbard and Jokipii neglect a factor proportional to the square of the ratio of atmospheric or local Fresnel zone radius and the inner scale of turbulence, and fail to establish sufficient conditions, thereby omitting the square of the ratio of atmospheric scale height and the local Fresnel zone radius. The total discrepancy is said to mean that the results correspond to geometrical optics instead of wave optics, as claimed, thus being inapplicable in a dicussion of wavelength dependence. Calculations based on geometrical optics show that the bias in the average bending angle depends on the wavelength in the same way as does the bias in phase path caused by turbulence in a homogeneous atmosphere. Hubbard and Jokipii comment that the criterion of Haugstad and Eshleman is incorrect and show that there is a large wave optical domain where the results are independent of wavelength.

  16. The effect of New Neonatal Porcine Diarrhoea Syndrome (NNPDS) on average daily gain and mortality in 4 Danish pig herds

    PubMed Central

    2014-01-01

    Background The study evaluated the effect of New Neonatal Porcine Diarrhoea Syndrome (NNPDS) on average daily gain (ADG) and mortality and described the clinical manifestations in four herds suffering from the syndrome. NNPDS is a diarrhoeic syndrome affecting piglets within the first week of life, which is not caused by enterotoxigenic Escherichia coli (ETEC), Clostridium perfringens (C. perfringens) type A/C, Clostridium difficile (C. difficile), rotavirus A, coronavirus, Cystoisospora suis, Strongyloides ransomi, Giardia spp or Cryptosporidium spp. Results Piglets were estimated to have a negative ADG of 9 and 14 g when diarrhoeic for 1 day and >1 day respectively. However, if only diarrhoeic on the day of birth, no negative effect on ADG was seen. Piglets originating from severely affected litters were estimated to have a reduced ADG of 38 g. The study did not show an overall effect of diarrhoea on mortality, but herd of origin, sow parity, birth weight, and gender were significantly associated with mortality. In one of the herds, approximately 25% of the diarrhoeic piglets vs. 6% of the non-diarrhoeic piglets died, and 74% of necropsied piglets were diagnosed with enteritis. These findings indicate that the high mortality seen in this herd was due to diarrhoea. Conclusions NNPDS negatively affected ADG in piglets, and even piglets that were diarrhoeic for one day only experienced a reduction in ADG. However, the study showed that diarrhoea restricted to the day of birth did not affect ADG and suggested this phenomenon to be unrelated to the syndrome. Since the diarrhoeal status of the litter had important effects on ADG, future research on NNPDS probably ought to focus on piglets from severely affected litters. The study showed important dissimilarities in the course of diarrhoea between the herds, and one herd was considerably more affected than the others. Within this herd, NNPDS seemed to be associated with a higher mortality, whereas in general the

  17. An investigation of the effect of pore scale flow on average geochemical reaction rates using direct numerical simulation

    SciTech Connect

    Molins, Sergi; Trebotich, David; Steefel, Carl; Shen, Chaopeng

    2012-03-30

    The scale-dependence of geochemical reaction rates hinders their use in continuum scale models intended for the interpretation and prediction of chemical fate and transport in subsurface environments such as those considered for geologic sequestration of CO{sub 2}. Processes that take place at the pore scale, especially those involving mass transport limitations to reactive surfaces, may contribute to the discrepancy commonly observed between laboratory-determined and continuum-scale or field rates. Here, the dependence of mineral dissolution rates on the pore structure of the porous media is investigated by means of pore scale modeling of flow and multicomponent reactive transport. The pore scale model is composed of high-performance simulation tools and algorithms for incompressible flow and conservative transport combined with a general-purpose multicomponent geochemical reaction code. The model performs direct numerical simulation of reactive transport based on an operator-splitting approach to coupling transport and reactions. The approach is validated with a Poiseuille flow single-pore experiment and verified with an equivalent 1-D continuum-scale model of a capillary tube packed with calcite spheres. Using the case of calcite dissolution as an example, the high-resolution model is used to demonstrate that nonuniformity in the flow field at the pore scale has the effect of decreasing the overall reactivity of the system, even when systems with identical reactive surface area are considered. The effect becomes more pronounced as the heterogeneity of the reactive grain packing increases, particularly where the flow slows sufficiently such that the solution approaches equilibrium locally and the average rate becomes transport-limited.

  18. An investigation of the effect of pore scale flow on average geochemical reaction rates using direct numerical simulation

    SciTech Connect

    Molins, Sergi; Trebotich, David; Steefel, Carl I.; Shen, Chaopeng

    2012-03-30

    The scale-dependence of geochemical reaction rates hinders their use in continuum scale models intended for the interpretation and prediction of chemical fate and transport in subsurface environments such as those considered for geologic sequestration of CO2. Processes that take place at the pore scale, especially those involving mass transport limitations to reactive surfaces, may contribute to the discrepancy commonly observed between laboratory-determined and continuum-scale or field rates. In this study we investigate the dependence of mineral dissolution rates on the pore structure of the porous media by means of pore scale modeling of flow and multicomponent reactive transport. The pore scale model is composed of high-performance simulation tools and algorithms for incompressible flow and conservative transport combined with a general-purpose multicomponent geochemical reaction code. The model performs direct numerical simulation of reactive transport based on an operator-splitting approach to coupling transport and reactions. The approach is validated with a Poiseuille flow single-pore experiment and verified with an equivalent 1-D continuum-scale model of a capillary tube packed with calcite spheres. Using the case of calcite dissolution as an example, the high-resolution model is used to demonstrate that nonuniformity in the flow field at the pore scale has the effect of decreasing the overall reactivity of the system, even when systems with identical reactive surface area are considered. In conclusion, the effect becomes more pronounced as the heterogeneity of the reactive grain packing increases, particularly where the flow slows sufficiently such that the solution approaches equilibrium locally and the average rate becomes transport-limited.

  19. Decomposition-order effects of time integrator on ensemble averages for the Nosé-Hoover thermostat.

    PubMed

    Itoh, Satoru G; Morishita, Tetsuya; Okumura, Hisashi

    2013-08-14

    Decomposition-order dependence of time development integrator on ensemble averages for the Nosé-Hoover dynamics is discussed. Six integrators were employed for comparison, which were extensions of the velocity-Verlet or position-Verlet algorithm. Molecular dynamics simulations by these integrators were performed for liquid-argon systems with several different time steps and system sizes. The obtained ensemble averages of temperature and potential energy were shifted from correct values depending on the integrators. These shifts increased in proportion to the square of the time step. Furthermore, the shifts could not be removed by increasing the number of argon atoms. We show the origin of these ensemble-average shifts analytically. Our discussion can be applied not only to the liquid-argon system but also to all MD simulations with the Nosé-Hoover thermostat. Our recommended integrators among the six integrators are presented to obtain correct ensemble averages.

  20. Deleterious effects in mice of fish-associated methylmercury contained in a diet mimicking the Western populations' average fish consumption.

    PubMed

    Bourdineaud, Jean-Paul; Fujimura, Masatake; Laclau, Muriel; Sawada, Masumi; Yasutake, Akira

    2011-02-01

    Methylmercury (MeHg) is a potent neurotoxin, and human beings are mainly exposed to this pollutant through fish consumption. Only a few contradictory epidemiological studies are currently available examining the impact of fish consumption on human populations. In the present study, we wanted to address whether a diet mimicking the fish consumption of Western populations could result in observable adverse effects in mice, and whether beneficial nutriments from fish were able to counterbalance the deleterious effects of MeHg, if any. In Europe and the United States, fish consumption varies widely between countries, from 11 to 100 g fish/day. A mid-range value of 25 g fish/day corresponds to a fish contribution to the total diet of 1.25% on a dry weight basis. We decided to supplement a vegetarian-based mouse diet with 1.25% of lyophilized salmon flesh (SAL diet), or 1.25% of a blend of lyophilized cod, tuna, and swordfish (CTS diet). Total mercury contents were 1.15±0.15, 2.3±0.1 and 35.75±0.15 ng Hg/g of food pellets for the control, SAL and CTS diets, respectively. After two months feeding, the CTS diet resulted in significant observable effects as compared to the control and SAL diets, encompassing decreased body growth, altered behavioral performance and increased anxiety level, modification of mitochondrial respiratory protein subunit concentrations in kidney and brain structures, modified gene expression patterns in kidneys, liver and muscles, and a decrease of dopamine concentrations in the hypothalamus and striatum. Our findings have health implications, firstly because 1.25% of CTS flesh in the diet corresponds to an average exposure to MeHg below the WHO provisory tolerable weekly intake (PTWI) (1.6 μg MeHg/kg of body weight/week), and secondly because many people in Western populations, among them women of child-bearing age, are exceeding the PTWI value (for instance, 35% of the French population inhabiting the Atlantic and Mediterranean coasts). PMID

  1. The Baryon Cycle at High Redshifts: Effects of Galactic Winds on Galaxy Evolution in Overdense and Average Regions

    NASA Astrophysics Data System (ADS)

    Sadoun, Raphael; Shlosman, Isaac; Choi, Jun-Hwan; Romano-Díaz, Emilio

    2016-10-01

    We employ high-resolution cosmological zoom-in simulations focusing on a high-sigma peak and an average cosmological field at z ˜ 6-12 in order to investigate the influence of environment and baryonic feedback on galaxy evolution in the reionization epoch. Strong feedback, e.g., galactic winds, caused by elevated star formation rates (SFRs) is expected to play an important role in this evolution. We compare different outflow prescriptions: (i) constant wind velocity (CW), (ii) variable wind scaling with galaxy properties (VW), and (iii) no outflows (NW). The overdensity leads to accelerated evolution of dark matter and baryonic structures, absent from the “normal” region, and to shallow galaxy stellar mass functions at the low-mass end. Although CW shows little dependence on the environment, the more physically motivated VW model does exhibit this effect. In addition, VW can reproduce the observed specific SFR (sSFR) and the sSFR-stellar mass relation, which CW and NW fail to satisfy simultaneously. Winds also differ substantially in affecting the state of the intergalactic medium (IGM). The difference lies in the volume-filling factor of hot, high-metallicity gas, which is near unity for CW, while such gas remains confined in massive filaments for VW, and locked up in galaxies for NW. Such gas is nearly absent from the normal region. Although all wind models suffer from deficiencies, the VW model seems to be promising in correlating the outflow properties with those of host galaxies. Further constraints on the state of the IGM at high z are needed to separate different wind models.

  2. Effect of temperature on spike-triggered average torque and electrophysiological properties of low-threshold motor units.

    PubMed

    Farina, Dario; Arendt-Nielsen, Lars; Graven-Nielsen, Thomas

    2005-07-01

    The aim of the study was to jointly analyze temperature-induced changes in low-threshold single motor unit twitch torque and action potential properties. Joint torque, multichannel surface, and intramuscular electromyographic signals were recorded from the tibialis anterior muscle of 12 subjects who were instructed to identify the activity of a target motor unit using intramuscular electromyographic signals as feedback. The target motor unit was activated at the minimum stable discharge rate in seven 3-min-long contractions. The first three contractions (C1-C3) were performed at 33 degrees C skin temperature. After 5 min, the subject performed three contractions at 33 degrees C (T1), 39 degrees C (T2), and 45 degrees C (T3), followed by a contraction at 33 degrees C (C4) skin temperature. Twitch torque and multichannel surface action potential of the target motor unit were obtained by spike-triggered averaging. Discharge rate (mean +/- SE, 7.1 +/- 0.5 pulses/s), interpulse interval variability (35.8 +/- 9.2%), and recruitment threshold (4.5 +/- 0.4% of the maximal voluntary torque) were not different among the seven contractions. None of the investigated variables were different among C1-C3, T1, and C4. Conduction velocity and peak twitch torque increased with temperature (P < 0.05; T1: 3.53 +/- 0.21 m/s and 0.82 +/- 0.23 mN x m, T2: 3.93 +/- 0.24 m/s and 1.17 +/- 0.36 mN x m, T3: 4.35 +/- 0.25 m/s and 1.46 +/- 0.40 mN x m, respectively). Twitch time to peak and surface action potential peak-to-peak amplitude were smaller in T3 (61.8 +/- 2.0 ms and 27.4 +/- 5.1 microV, respectively) than in T1 (71.9 +/- 4.1 ms and 35.0 +/- 6.5 microV, respectively) (P < 0.05). The relative increase in conduction velocity between T1 and T3 was positively correlated (P < 0.05) with the increase in twitch peak amplitude (r2 = 0.48), with the decrease in twitch time to peak (r2 = 0.43), and with the decrease in action potential amplitude (r2 = 0.50). In conclusion, temperature

  3. Americans' Average Radiation Exposure

    SciTech Connect

    NA

    2000-08-11

    We live with radiation every day. We receive radiation exposures from cosmic rays, from outer space, from radon gas, and from other naturally radioactive elements in the earth. This is called natural background radiation. It includes the radiation we get from plants, animals, and from our own bodies. We also are exposed to man-made sources of radiation, including medical and dental treatments, television sets and emission from coal-fired power plants. Generally, radiation exposures from man-made sources are only a fraction of those received from natural sources. One exception is high exposures used by doctors to treat cancer patients. Each year in the United States, the average dose to people from natural and man-made radiation sources is about 360 millirem. A millirem is an extremely tiny amount of energy absorbed by tissues in the body.

  4. Effect of scale-up on average shear rates for aerated non-Newtonian liquids in external loop airlift reactors.

    PubMed

    Al-Masry

    1999-02-01

    Average shear rates have been estimated experimentally in a 700-dm3 external loop airlift reactor. Aqueous pseudoplastic carboxymethylcellulose and xanthan gum solutions were used to simulate non-Newtonian behavior of biological media. Average shear rates of non-Newtonian solutions were found by analogy with Newtonian glycerol solutions using downcomer liquid velocity as the measurable parameter. Due to the complexity of local shear rate measurement, an average shear rate was assumed to exist and is proportional to superficial gas velocity. The data from this work and those in the literature were used in producing a new correlation for estimating average shear rates as a function of superficial gas velocity, geometry, and dispersion height. Wall shear rates were found to be significant. The ratio of wall shear rates to bulk shear rates were varied from 5% to 40%. Furthermore, it has been found that shear rates generated in airlift loop reactors are lower than those generated in bubble columns. Copyright 1999 John Wiley & Sons, Inc. PMID:10099557

  5. ESTIMATING PERSON-CENTERED TREATMENT (PeT) EFFECTS USING INSTRUMENTAL VARIABLES: AN APPLICATION TO EVALUATING PROSTATE CANCER TREATMENTS

    PubMed Central

    BASU, ANIRBAN

    2014-01-01

    SUMMARY This paper builds on the methods of local instrumental variables developed by Heckman and Vytlacil (1999, 2001, 2005) to estimate person-centered treatment (PeT) effects that are conditioned on the person’s observed characteristics and averaged over the potential conditional distribution of unobserved characteristics that lead them to their observed treatment choices. PeT effects are more individualized than conditional treatment effects from a randomized setting with the same observed characteristics. PeT effects can be easily aggregated to construct any of the mean treatment effect parameters and, more importantly, are well suited to comprehend individual-level treatment effect heterogeneity. The paper presents the theory behind PeT effects, and applies it to study the variation in individual-level comparative effects of prostate cancer treatments on overall survival and costs. PMID:25620844

  6. Interpreting treatment effects when cases are institutionalized after treatment.

    PubMed

    McCaffrey, Daniel F; Morral, Andrew R; Ridgeway, Greg; Griffin, Beth Ann

    2007-07-10

    Drug treatment clients are at high risk for institutionalization, i.e., spending a day or more in a controlled environment where their freedom to use drugs, commit crimes, or engage in risky behavior may be circumscribed. For example, in recent large studies of drug treatment outcomes, more than 40% of participants were institutionalized for a portion of the follow-up period. When longitudinal studies ignore institutionalization at follow-up, outcome measures and treatment effect estimates conflate treatment effects on institutionalization with effects on many of the outcomes of interest. In this paper, we develop a causal modeling framework for evaluating the four standard approaches for addressing this institutionalization confound, and illustrate the effects of each approach using a case study comparing drug use outcomes of youths who enter either residential or outpatient treatment modalities. Common methods provide biased estimates of the treatment effect except under improbable assumptions. In the case study, the effect of residential care ranged from beneficial and significant to detrimental and significant depending on the approach used to account for institutionalization. We discuss the implications of our analysis for longitudinal studies of all populations at high risk for institutionalization.

  7. Analysis of aperture averaging measurements. [laser scintillation data on the effect of atmospheric turbulence on signal fluctuations

    NASA Technical Reports Server (NTRS)

    Fried, D. L.

    1975-01-01

    Laser scintillation data obtained by the NASA Goddard Space Flight Center balloon flight no. 5 from White Sands Missile Range on 19 October 1973 are analyzed. The measurement data, taken with various size receiver apertures, were related to predictions of aperture averaging theory, and it is concluded that the data are in reasonable agreement with theory. The following parameters are assigned to the vertical distribution of the strength of turbulence during the period of the measurements (daytime), for lambda = 0.633 microns, and the source at the zenith; the aperture averaging length is d sub o = 0.125 m, and the log-amplitude variance is (beta sub l)2 = 0.084 square nepers. This corresponds to a normalized point intensity variance of 0.40.

  8. Analysis of the effects of zonal averaging on reaction rate calculations in two-dimensional atmospheric models

    NASA Technical Reports Server (NTRS)

    Kaye, Jack A.

    1987-01-01

    The usual assumption by which chemical reaction rates are calculated in two-dimensional atmospheric models is by using a product of zonal means of rate coefficients and constituent concentrations rather than the rigorous zonal mean of the corresponding products. This assumption has been tested for the reactions O + NO2 yields NO + O2 and NO + O3 yields NO2 + O2 using mapped limb infrared monitor of the stratosphere data from the Nimbus 7 satellite and found to be quite satisfactory for winter 1979 at 60 deg N in the upper stratosphere. Relative differences between the two-dimensional averaged rate and the more rigorous rate, calculated from the full, longitudinally varying temperatures and mixing ratios, were small (usually below 5 percent) and exceeded 15 percent only during times of strong dynamical activity. At those times or locations where stratospheric circulation is primarily zonal, the two averages agreed to within a few percent.

  9. Stabilizing effect of large average initial velocity in forced dissipative PDEs invariant with respect to Galilean transformations

    NASA Astrophysics Data System (ADS)

    Cyranka, Jacek; Zgliczyński, Piotr

    2016-10-01

    We describe a topological method to study the dynamics of dissipative PDEs on a torus with rapidly oscillating forcing terms. We show that a dissipative PDE, which is invariant with respect to the Galilean transformations, with a large average initial velocity can be reduced to a problem with rapidly oscillating forcing terms. We apply the technique to the viscous Burgers' equation, and the incompressible 2D Navier-Stokes equations with a time-dependent forcing. We prove that for a large initial average speed the equation admits a bounded eternal solution, which attracts all other solutions forward in time. For the incompressible 3D Navier-Stokes equations we establish the existence of a locally attracting solution.

  10. Effects of Long-Term Averaging of Quantitative Blood Pressure Traits on the Detection of Genetic Associations

    PubMed Central

    Ganesh, Santhi K.; Chasman, Daniel I.; Larson, Martin G.; Guo, Xiuqing; Verwoert, Germain; Bis, Joshua C.; Gu, Xiangjun; Smith, Albert V.; Yang, Min-Lee; Zhang, Yan; Ehret, Georg; Rose, Lynda M.; Hwang, Shih-Jen; Papanicolau, George J.; Sijbrands, Eric J.; Rice, Kenneth; Eiriksdottir, Gudny; Pihur, Vasyl; Ridker, Paul M.; Vasan, Ramachandran S.; Newton-Cheh, Christopher; Newton-Cheh, Christopher; Johnson, Toby; Gateva, Vesela; Tobin, Martin D.; Bochud, Murielle; Coin, Lachlan; Najjar, Samer S.; Zhao, Jing Hua; Heath, Simon C.; Eyheramendy, Susana; Papadakis, Konstantinos; Voight, Benjamin F.; Scott, Laura J.; Zhang, Feng; Farrall, Martin; Tanaka, Toshiko; Wallace, Chris; Chambers, John C.; Khaw, Kay-Tee; Nilsson, Peter; van der Harst, Pim; Polidoro, Silvia; Grobbee, Diederick E.; Onland-Moret, N. Charlotte; Bots, Michiel L.; Wain, Louise V.; Elliott, Katherine S.; Teumer, Alexander; Luan, Jian’an; Lucas, Gavin; Kuusisto, Johanna; Burton, Paul R.; Hadley, David; McArdle, Wendy L.; Brown, Morris; Dominiczak, Anna; Newhouse, Stephen J.; Samani, Nilesh J.; Webster, John; Zeggini, Eleftheria; Beckmann, Jacques S.; Bergmann, Sven; Lim, Noha; Song, Kijoung; Vollenweider, Peter; Waeber, Gerard; Waterworth, Dawn M.; Yuan, Xin; Groop, Leif; Orho-Melander, Marju; Allione, Alessandra; Di Gregorio, Alessandra; Guarrera, Simonetta; Panico, Salvatore; Ricceri, Fulvio; Romanazzi, Valeria; Sacerdote, Carlotta; Vineis, Paolo; Barroso, Inês; Sandhu, Manjinder S.; Luben, Robert N.; Crawford, Gabriel J.; Jousilahti, Pekka; Perola, Markus; Boehnke, Michael; Bonnycastle, Lori L.; Collins, Francis S.; Jackson, Anne U.; Mohlke, Karen L.; Stringham, Heather M.; Valle, Timo T.; Willer, Cristen J.; Bergman, Richard N.; Morken, Mario A.; Döring, Angela; Gieger, Christian; Illig, Thomas; Meitinger, Thomas; Org, Elin; Pfeufer, Arne; Wichmann, H. Erich; Kathiresan, Sekar; Marrugat, Jaume; O’Donnell, Christopher J.; Schwartz, Stephen M.; Siscovick, David S.; Subirana, Isaac; Freimer, Nelson B.; Hartikainen, Anna-Liisa; McCarthy, Mark I.; O’Reilly, Paul F.; Peltonen, Leena; Pouta, Anneli; de Jong, Paul E.; Snieder, Harold; van Gilst, Wiek H.; Clarke, Robert; Goel, Anuj; Hamsten, Anders; Peden, John F.; Seedorf, Udo; Syvänen, Ann-Christine; Tognoni, Giovanni; Lakatta, Edward G.; Sanna, Serena; Scheet, Paul; Schlessinger, David; Scuteri, Angelo; Dörr, Marcus; Ernst, Florian; Felix, Stephan B.; Homuth, Georg; Lorbeer, Roberto; Reffelmann, Thorsten; Rettig, Rainer; Völker, Uwe; Galan, Pilar; Gut, Ivo G.; Hercberg, Serge; Lathrop, G. Mark; Zeleneka, Diana; Deloukas, Panos; Soranzo, Nicole; Williams, Frances M.; Zhai, Guangju; Salomaa, Veikko; Laakso, Markku; Elosua, Roberto; Forouhi, Nita G.; Völzke, Henry; Uiterwaal, Cuno S.; van der Schouw, Yvonne T; Numans, Mattijs E.; Matullo, Giuseppe; Navis, Gerjan; Berglund, Göran; Bingham, Sheila A.; Kooner, Jaspal S.; Paterson, Andrew D.; Connell, John M.; Bandinelli, Stefania; Ferrucci, Luigi; Watkins, Hugh; Spector, Tim D.; Tuomilehto, Jaakko; Altshuler, David; Strachan, David P.; Laan, Maris; Meneton, Pierre; Wareham, Nicholas J.; Uda, Manuela; Jarvelin, Marjo-Riitta; Mooser, Vincent; Melander, Olle; Loos, Ruth J.F.; Elliott, Paul; Abecasis, Gonçalo R.; Caulfield, Mark; Munroe, Patricia B.; Raffel, Leslie J.; Amin, Najaf; Rotter, Jerome I.; Liu, Kiang; Launer, Lenore J.; Xu, Ming; Caulfield, Mark; Morrison, Alanna C.; Johnson, Andrew D.; Vaidya, Dhananjay; Dehghan, Abbas; Li, Guo; Bouchard, Claude; Harris, Tamara B.; Zhang, He; Boerwinkle, Eric; Siscovick, David S.; Gao, Wei; Uitterlinden, Andre G.; Rivadeneira, Fernando; Hofman, Albert; Willer, Cristen J.; Franco, Oscar H.; Huo, Yong; Witteman, Jacqueline C.M.; Munroe, Patricia B.; Gudnason, Vilmundur; Palmas, Walter; van Duijn, Cornelia; Fornage, Myriam; Levy, Daniel; Psaty, Bruce M.; Chakravarti, Aravinda

    2014-01-01

    Blood pressure (BP) is a heritable, quantitative trait with intraindividual variability and susceptibility to measurement error. Genetic studies of BP generally use single-visit measurements and thus cannot remove variability occurring over months or years. We leveraged the idea that averaging BP measured across time would improve phenotypic accuracy and thereby increase statistical power to detect genetic associations. We studied systolic BP (SBP), diastolic BP (DBP), mean arterial pressure (MAP), and pulse pressure (PP) averaged over multiple years in 46,629 individuals of European ancestry. We identified 39 trait-variant associations across 19 independent loci (p < 5 × 10−8); five associations (in four loci) uniquely identified by our LTA analyses included those of SBP and MAP at 2p23 (rs1275988, near KCNK3), DBP at 2q11.2 (rs7599598, in FER1L5), and PP at 6p21 (rs10948071, near CRIP3) and 7p13 (rs2949837, near IGFBP3). Replication analyses conducted in cohorts with single-visit BP data showed positive replication of associations and a nominal association (p < 0.05). We estimated a 20% gain in statistical power with long-term average (LTA) as compared to single-visit BP association studies. Using LTA analysis, we identified genetic loci influencing BP. LTA might be one way of increasing the power of genetic associations for continuous traits in extant samples for other phenotypes that are measured serially over time. PMID:24975945

  11. Effects of long-term averaging of quantitative blood pressure traits on the detection of genetic associations.

    PubMed

    Ganesh, Santhi K; Chasman, Daniel I; Larson, Martin G; Guo, Xiuqing; Verwoert, Germain; Bis, Joshua C; Gu, Xiangjun; Smith, Albert V; Yang, Min-Lee; Zhang, Yan; Ehret, Georg; Rose, Lynda M; Hwang, Shih-Jen; Papanicolau, George J; Sijbrands, Eric J; Rice, Kenneth; Eiriksdottir, Gudny; Pihur, Vasyl; Ridker, Paul M; Vasan, Ramachandran S; Newton-Cheh, Christopher; Raffel, Leslie J; Amin, Najaf; Rotter, Jerome I; Liu, Kiang; Launer, Lenore J; Xu, Ming; Caulfield, Mark; Morrison, Alanna C; Johnson, Andrew D; Vaidya, Dhananjay; Dehghan, Abbas; Li, Guo; Bouchard, Claude; Harris, Tamara B; Zhang, He; Boerwinkle, Eric; Siscovick, David S; Gao, Wei; Uitterlinden, Andre G; Rivadeneira, Fernando; Hofman, Albert; Willer, Cristen J; Franco, Oscar H; Huo, Yong; Witteman, Jacqueline C M; Munroe, Patricia B; Gudnason, Vilmundur; Palmas, Walter; van Duijn, Cornelia; Fornage, Myriam; Levy, Daniel; Psaty, Bruce M; Chakravarti, Aravinda

    2014-07-01

    Blood pressure (BP) is a heritable, quantitative trait with intraindividual variability and susceptibility to measurement error. Genetic studies of BP generally use single-visit measurements and thus cannot remove variability occurring over months or years. We leveraged the idea that averaging BP measured across time would improve phenotypic accuracy and thereby increase statistical power to detect genetic associations. We studied systolic BP (SBP), diastolic BP (DBP), mean arterial pressure (MAP), and pulse pressure (PP) averaged over multiple years in 46,629 individuals of European ancestry. We identified 39 trait-variant associations across 19 independent loci (p < 5 × 10(-8)); five associations (in four loci) uniquely identified by our LTA analyses included those of SBP and MAP at 2p23 (rs1275988, near KCNK3), DBP at 2q11.2 (rs7599598, in FER1L5), and PP at 6p21 (rs10948071, near CRIP3) and 7p13 (rs2949837, near IGFBP3). Replication analyses conducted in cohorts with single-visit BP data showed positive replication of associations and a nominal association (p < 0.05). We estimated a 20% gain in statistical power with long-term average (LTA) as compared to single-visit BP association studies. Using LTA analysis, we identified genetic loci influencing BP. LTA might be one way of increasing the power of genetic associations for continuous traits in extant samples for other phenotypes that are measured serially over time.

  12. Nonlinear effects of team tenure on team psychological safety climate and climate strength: Implications for average team member performance.

    PubMed

    Koopmann, Jaclyn; Lanaj, Klodiana; Wang, Mo; Zhou, Le; Shi, Junqi

    2016-07-01

    The teams literature suggests that team tenure improves team psychological safety climate and climate strength in a linear fashion, but the empirical findings to date have been mixed. Alternatively, theories of group formation suggest that new and longer tenured teams experience greater team psychological safety climate than moderately tenured teams. Adopting this second perspective, we used a sample of 115 research and development teams and found that team tenure had a curvilinear relationship with team psychological safety climate and climate strength. Supporting group formation theories, team psychological safety climate and climate strength were higher in new and longer tenured teams compared with moderately tenured teams. Moreover, we found a curvilinear relationship between team tenure and average team member creative performance as partially mediated by team psychological safety climate. Team psychological safety climate improved average team member task performance only when team psychological safety climate was strong. Likewise, team tenure influenced average team member task performance in a curvilinear manner via team psychological safety climate only when team psychological safety climate was strong. We discuss theoretical and practical implications and offer several directions for future research. (PsycINFO Database Record

  13. Nonlinear effects of team tenure on team psychological safety climate and climate strength: Implications for average team member performance.

    PubMed

    Koopmann, Jaclyn; Lanaj, Klodiana; Wang, Mo; Zhou, Le; Shi, Junqi

    2016-07-01

    The teams literature suggests that team tenure improves team psychological safety climate and climate strength in a linear fashion, but the empirical findings to date have been mixed. Alternatively, theories of group formation suggest that new and longer tenured teams experience greater team psychological safety climate than moderately tenured teams. Adopting this second perspective, we used a sample of 115 research and development teams and found that team tenure had a curvilinear relationship with team psychological safety climate and climate strength. Supporting group formation theories, team psychological safety climate and climate strength were higher in new and longer tenured teams compared with moderately tenured teams. Moreover, we found a curvilinear relationship between team tenure and average team member creative performance as partially mediated by team psychological safety climate. Team psychological safety climate improved average team member task performance only when team psychological safety climate was strong. Likewise, team tenure influenced average team member task performance in a curvilinear manner via team psychological safety climate only when team psychological safety climate was strong. We discuss theoretical and practical implications and offer several directions for future research. (PsycINFO Database Record PMID:26949818

  14. Comparison of wing-span averaging effects on lift, rolling moment, and bending moment for two span load distributions and for two turbulence representations

    NASA Technical Reports Server (NTRS)

    Lichtenstein, J. H.

    1978-01-01

    An analytical method of computing the averaging effect of wing-span size on the loading of a wing induced by random turbulence was adapted for use on a digital electronic computer. The turbulence input was assumed to have a Dryden power spectral density. The computations were made for lift, rolling moment, and bending moment for two span load distributions, rectangular and elliptic. Data are presented to show the wing-span averaging effect for wing-span ratios encompassing current airplane sizes. The rectangular wing-span loading showed a slightly greater averaging effect than did the elliptic loading. In the frequency range most bothersome to airplane passengers, the wing-span averaging effect can reduce the normal lift load, and thus the acceleration, by about 7 percent for a typical medium-sized transport. Some calculations were made to evaluate the effect of using a Von Karman turbulence representation. These results showed that using the Von Karman representation generally resulted in a span averaging effect about 3 percent larger.

  15. Averaging Models: Parameters Estimation with the R-Average Procedure

    ERIC Educational Resources Information Center

    Vidotto, G.; Massidda, D.; Noventa, S.

    2010-01-01

    The Functional Measurement approach, proposed within the theoretical framework of Information Integration Theory (Anderson, 1981, 1982), can be a useful multi-attribute analysis tool. Compared to the majority of statistical models, the averaging model can account for interaction effects without adding complexity. The R-Average method (Vidotto &…

  16. Post-treatment Effects of Topiramate Treatment for Heavy Drinking

    PubMed Central

    Kranzler, Henry R.; Wetherill, Reagan; Feinn, Richard; Pond, Timothy; Gelernter, Joel; Covault, Jonathan

    2014-01-01

    Background We examined whether the effects of topiramate and a single nucleotide polymorphism (SNP; rs2832407) in GRIK1, which encodes a kainate receptor subunit, persisted following a 12-week, placebo-controlled trial in 138 heavy drinkers with a treatment goal of reduced drinking. During treatment, topiramate 200 mg/day significantly reduced heavy drinking days and increased the frequency of abstinent days (Kranzler et al. 2014a). In the European-American (EA) subsample (n=122), rs2832407 moderated the treatment effect on heavy drinking. Methods Patients were re-interviewed 3 and 6 months after the end of treatment. During treatment, we obtained 92.4% of drinking data, with 89.1% and 85.5% complete data at the 3- and 6-month follow-up visits, respectively. We examined four outcomes over time in the overall sample and the EA subsample: percent heavy drinking days (PHDD), percent days abstinent (PDA), serum γ-glutamyl transpeptidase (GGTP) concentration, and a measure of alcohol-related problems. Results In the full sample, the lower PHDD and higher PDA seen with topiramate treatment were no longer significant during follow-up. Nonetheless, the topiramate-treated patients had lower alcohol-related problem scores during treatment and both follow-up periods. Further, in the EA subsample, the greater reduction in PHDD seen during treatment in rs2832407*C-allele homozygotes persisted throughout follow-up, with no significant effects in A-allele carriers. A reduction in GGTP concentration was consistent with the reduction in heavy drinking, but did not reach statistical significance. Conclusion There are persistent therapeutic effects of topiramate in heavy drinkers, principally in rs2832407*C-allele homozygotes. PMID:25581656

  17. Health effects associated with wastewater treatment and disposal. [Wastewater treatment

    SciTech Connect

    Kowal, N.E.; Pahren, H.R.

    1982-06-01

    A literature review dealing with the health hazards associated with working in wastewater treatment plants and those hazards to the general public from land disposal of wastewater and sludge is presented. Specific areas reviewed include the health effects associated with the incineration and composting of sludge, aquaculture, and various onsite systems of wastewater treatment. The presence of organic chemicals, inorganic chemicals, and parasites, bacteria and viruses in renovated water is implicated as potential health hazards. (KRM)

  18. Effective psychiatric day treatment: historical lessons.

    PubMed

    Rosie, J S; Azim, H F; Piper, W E; Joyce, A S

    1995-10-01

    This paper describes a successful day treatment program that provides four months of intensive psychodynamic group-oriented milieu treatment for patients with long-standing personality disorders, who commonly experience recurrent major depression, dysthymia, and excessive anxiety. The authors outline three factors that have contributed to the success of the program--optimal treatment-patientmatching, judicious use of authority in milieu therapy, and careful attention to maintaining close working relationships with referral sources. They provide an overview of the historical evolution of day treatment programs from earlier day hospital model to show day programs' neglect of these factors may have led to treatment failures. Such failures may have spurred recent suggestions that psychiatric day treatment programs should be replaced entirely by assertive community treatment. The authors argue that such a move could amount to abdication of psychiatry's responsibility to provide intensive milieu treatment that can be effectively offered only on a day treatment basis. PMID:8829782

  19. Neutron resonance averaging

    SciTech Connect

    Chrien, R.E.

    1986-10-01

    The principles of resonance averaging as applied to neutron capture reactions are described. Several illustrations of resonance averaging to problems of nuclear structure and the distribution of radiative strength in nuclei are provided. 30 refs., 12 figs.

  20. Paradoxes in Averages.

    ERIC Educational Resources Information Center

    Mitchem, John

    1989-01-01

    Examples used to illustrate Simpson's paradox for secondary students include probabilities, university admissions, batting averages, student-faculty ratios, and average and expected class sizes. Each result is explained. (DC)

  1. The effect of selection of time steps and average assumptions on the continuous simulation of rainwater harvesting strategies.

    PubMed

    Coombes, P J; Barry, M E

    2007-01-01

    The use of domestic rainwater tanks with back up from mains water supplies in urban areas can produce considerable reductions in mains water demands and stormwater runoff. It is commonplace to analyse the performance of rainwater tanks using continuous simulation with daily time steps and average water use assumptions. This paper compares this simplistic analysis to more detailed analysis that employs 6 minute time steps and climate dependent water demand. The use of daily time steps produced considerable under-estimation of annual rainwater yields that were dependent on tank size, rain depth, seasonal distribution of rainfall, water demand and tank configuration. It is shown that analysis of the performance of rainwater tanks is critically dependent on detailed inputs.

  2. The effects of central processing strategies on learning disabled, mildly retarded, average, and gifted children's elaborative encoding abilities.

    PubMed

    Swanson, H L

    1989-06-01

    The purpose of these studies was to examine potential central processing strategy differences among subgroups of children on a series of elaborative encoding tasks. To this end, two experiments included four ability groups (slow learners, learning disabled, average, and intellectually gifted children) who recalled words embedded in sentences. In general, the results suggest that lower verbal and learning ability subgroups recalled less information during elaboratorive encoding conditions than higher ability groups. More importantly, however, the results indicated that lower ability groups differed from higher ability groups in how they shared, discriminated, and selectively allocated resources between the central and secondary recall tasks. The results were discussed within a framework that views individual differences in encoding as reflecting central processing (i.e., resource monitoring) deficiencies.

  3. Perceived Effectiveness of Diverse Sleep Treatments in Older Adults

    PubMed Central

    Gooneratne, Nalaka S.; Tavaria, Ashdin; Patel, Nirav; Madhusudan, Lavanya; Nadaraja, Divani; Onen, Fannie; Richards, Kathy C.

    2013-01-01

    Objectives To describe the different methods older adults use to treat sleep problems and the perceived effectiveness of these methods. Design Cross-sectional study of treatment patterns for sleep disorders using a mailed questionnaire that gathered information concerning sleep history, demographics, and treatment choices. Setting/Participants Study participants were drawn from a community-based sample of adults aged >65 years, of which 242 responded (67% response rate). Measurements Standardized questionnaires to assess sleep parameters (Pittsburgh Sleep Quality Index), demographic information, and sleep treatment options. Results Study participants engaged in a variety of treatment regimens to improve their sleep, with the average number of treatments attempted being 4.7 +/− 2.9. The most commonly used interventions were watching TV or listening to the radio (66.4%) or reading (56.2%). The most commonly used pharmacotherapy was pain medication (40.1%). Prescription sleeping pills had the greatest self-reported effectiveness. Approximately half of all study participants who used alcohol or over-the-counter sleeping aids had not discussed their sleep problems with their doctor. Conclusion Older adults frequently choose treatments for their sleep problems that can potentially worsen their sleep symptoms. Many patients have not spoken to their health care provider about their treatment choices. These findings highlight the importance of discussing sleep habits and self-treatment choices as well as treating sleep disorders in older adults. PMID:21314649

  4. Reconsidering Findings of "No Effects" in Randomized Control Trials: Modeling Differences in Treatment Impacts

    ERIC Educational Resources Information Center

    Chaney, Bradford

    2016-01-01

    The primary technique that many researchers use to analyze data from randomized control trials (RCTs)--detecting the average treatment effect (ATE)--imposes assumptions upon the data that often are not correct. Both theory and past research suggest that treatments may have significant impacts on subgroups even when showing no overall effect.…

  5. The Effect of Sensory Integration Treatment on Children with Multiple Disabilities.

    ERIC Educational Resources Information Center

    Din, Feng S.; Lodato, Donna M.

    Six children with multiple disabilities (ages 5 to 8) participated in this evaluation of the effect of sensory integration treatment on sensorimotor function and academic learning. The children had cognitive abilities ranging from sub-average to significantly sub-average, three were non-ambulatory, one had severe behavioral problems, and each…

  6. The effects of reward magnitude on reward processing: An averaged and single trial event-related potential study.

    PubMed

    Meadows, Caroline C; Gable, Philip A; Lohse, Keith R; Miller, Matthew W

    2016-07-01

    From a neurobiological and motivational perspective, the feedback-related negativity (FRN) and reward positivity (RewP) event-related potential (ERP) components should increase with reward magnitude (reward associated with valence (success/failure) feedback). To test this hypothesis, we recorded participants' electroencephalograms while presenting them with potential monetary rewards ($0.00-$4.96) pre-trial for each trial of a reaction time task and presenting them with valence feedback post-trial. Averaged ERPs time-locked to valence feedback were extracted, and results revealed a valence by magnitude interaction for neural activity in the FRN/RewP time window. This interaction was driven by magnitude affecting RewP, but not FRN, amplitude. Moreover, single trial ERP analyses revealed a reliable correlation between magnitude and RewP, but not FRN, amplitude. Finally, P3b and late positive potential (LPP) amplitudes were affected by magnitude. Results partly support the neurobiological (dopamine) account of the FRN/RewP and suggest motivation affects feedback processing, as indicated by multiple ERP components. PMID:27288743

  7. The effects of reward magnitude on reward processing: An averaged and single trial event-related potential study.

    PubMed

    Meadows, Caroline C; Gable, Philip A; Lohse, Keith R; Miller, Matthew W

    2016-07-01

    From a neurobiological and motivational perspective, the feedback-related negativity (FRN) and reward positivity (RewP) event-related potential (ERP) components should increase with reward magnitude (reward associated with valence (success/failure) feedback). To test this hypothesis, we recorded participants' electroencephalograms while presenting them with potential monetary rewards ($0.00-$4.96) pre-trial for each trial of a reaction time task and presenting them with valence feedback post-trial. Averaged ERPs time-locked to valence feedback were extracted, and results revealed a valence by magnitude interaction for neural activity in the FRN/RewP time window. This interaction was driven by magnitude affecting RewP, but not FRN, amplitude. Moreover, single trial ERP analyses revealed a reliable correlation between magnitude and RewP, but not FRN, amplitude. Finally, P3b and late positive potential (LPP) amplitudes were affected by magnitude. Results partly support the neurobiological (dopamine) account of the FRN/RewP and suggest motivation affects feedback processing, as indicated by multiple ERP components.

  8. Is the Above-Average Effect Measurable at All? The Validity of the Self-Reported Happiness Minus Others' Perceived Happiness Construct

    ERIC Educational Resources Information Center

    Vautier, Stephane; Bonnefon, Jean-Francois

    2008-01-01

    Individuals routinely rate themselves higher than their peers on a number of attributes and capabilities, including their satisfaction with life. However, the construct validity of this above-average effect requires specific psychometric properties of ratings of one's contentment and ratings of others' perceived contentment. This article tests…

  9. Effects of Average Signed Area Between Two Item Characteristic Curves and Test Purification Procedures on the DIF Detection via the Mantel-Haenszel Method

    ERIC Educational Resources Information Center

    Wang, Wen-Chung; Su, Ya-Hui

    2004-01-01

    In this study we investigated the effects of the average signed area (ASA) between the item characteristic curves of the reference and focal groups and three test purification procedures on the uniform differential item functioning (DIF) detection via the Mantel-Haenszel (M-H) method through Monte Carlo simulations. The results showed that ASA,…

  10. Effect of porcine circovirus type 2 (PCV2) load in serum on average daily weight gain during the postweaning period.

    PubMed

    López-Soria, S; Sibila, M; Nofrarías, M; Calsamiglia, M; Manzanilla, E G; Ramírez-Mendoza, H; Mínguez, A; Serrano, J M; Marín, O; Joisel, F; Charreyre, C; Segalés, J

    2014-12-01

    Porcine circovirus type 2 (PCV2) is a ubiquitous virus that mainly affects nursery and fattening pigs causing systemic disease (PCV2-SD) or subclinical infection. A characteristic sign in both presentations is reduction of average daily weight gain (ADWG). The present study aimed to assess the relationship between PCV2 load in serum and ADWG from 3 (weaning) to 21 weeks of age (slaughter) (ADWG 3-21). Thus, three different boar lines were used to inseminate sows from two PCV2-SD affected farms. One or two pigs per sow were selected (60, 61 and 51 piglets from Pietrain, Pietrain×Large White and Duroc×Large White boar lines, respectively). Pigs were bled at 3, 9, 15 and 21 weeks of age and weighted at 3 and 21 weeks. Area under the curve of the viral load at all sampling times (AUCqPCR 3-21) was calculated for each animal according to standard and real time quantitative PCR results; this variable was categorized as "negative or low" (<10(4.3) PCV2 genome copies/ml of serum), "medium" (≥10(4.3) to ≤10(5.3)) and "high" (>10(5.3)). Data regarding sex, PCV2 antibody titre at weaning and sow parity was also collected. A generalized linear model was performed, obtaining that paternal genetic line and AUCqPCR 3-21 were related to ADWG 3-21. ADWG 3-21 (mean±typical error) for "negative or low", "medium" and "high" AUCqPCR 3-21 was 672±9, 650±12 and 603±16 g/day, respectively, showing significant differences among them. This study describes different ADWG performances in 3 pig populations that suffered from different degrees of PCV2 viraemia. PMID:25448444

  11. Cost-Effective Fuel Treatment Planning

    NASA Astrophysics Data System (ADS)

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

    2014-12-01

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

  12. SU-C-304-01: Investigation of Various Detector Response Functions and Their Geometry Dependence in a Novel Method to Address Ion Chamber Volume Averaging Effect

    SciTech Connect

    Barraclough, B; Lebron, S; Li, J; Fan, Qiyong; Liu, C; Yan, G

    2015-06-15

    Purpose: A novel convolution-based approach has been proposed to address ion chamber (IC) volume averaging effect (VAE) for the commissioning of commercial treatment planning systems (TPS). We investigate the use of various convolution kernels and its impact on the accuracy of beam models. Methods: Our approach simulates the VAE by iteratively convolving the calculated beam profiles with a detector response function (DRF) while optimizing the beam model. At convergence, the convolved profiles match the measured profiles, indicating the calculated profiles match the “true” beam profiles. To validate the approach, beam profiles of an Elekta LINAC were repeatedly collected with ICs of various volumes (CC04, CC13 and SNC 125) to obtain clinically acceptable beam models. The TPS-calculated profiles were convolved externally with the DRF of respective IC. The beam model parameters were reoptimized using Nelder-Mead method by forcing the convolved profiles to match the measured profiles. We evaluated three types of DRFs (Gaussian, Lorentzian, and parabolic) and the impact of kernel dependence on field geometry (depth and field size). The profiles calculated with beam models were compared with SNC EDGE diode-measured profiles. Results: The method was successfully implemented with Pinnacle Scripting and Matlab. The reoptimization converged in ∼10 minutes. For all tested ICs and DRFs, penumbra widths of the TPS-calculated profiles and diode-measured profiles were within 1.0 mm. Gaussian function had the best performance with mean penumbra width difference within 0.5 mm. The use of geometry dependent DRFs showed marginal improvement, reducing the penumbra width differences to less than 0.3 mm. Significant increase in IMRT QA passing rates was achieved with the optimized beam model. Conclusion: The proposed approach significantly improved the accuracy of the TPS beam model. Gaussian functions as the convolution kernel performed consistently better than Lorentzian and

  13. Reynolds-Averaged Navier-Stokes Studies of Low Reynolds Number Effects on the Losses in a Low Pressure Turbine

    NASA Technical Reports Server (NTRS)

    Dorney, Daniel J.

    1996-01-01

    Experimental data from jet-engine tests have indicated that unsteady blade-row interaction effects can have a significant impact on the efficiency of low-pressure turbine stages. Measured turbine efficiencies at takeoff can be as much as two points higher than those at cruise conditions. Preliminary studies indicate that Reynolds number effects may contribute to the lower efficiencies at cruise conditions. In the current study, numerical experiments have been performed to quantify the Reynolds number dependence of unsteady wake/separation bubble interaction on the performance of a low-pressure turbine.

  14. Three Essays on Estimating Causal Treatment Effects

    ERIC Educational Resources Information Center

    Deutsch, Jonah

    2013-01-01

    This dissertation is composed of three distinct chapters, each of which addresses issues of estimating treatment effects. The first chapter empirically tests the Value-Added (VA) model using school lotteries. The second chapter, co-authored with Michael Wood, considers properties of inverse probability weighting (IPW) in simple treatment effect…

  15. IMPACT OF TREATMENT INTEGRITY ON INTERVENTION EFFECTIVENESS

    PubMed Central

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

    2012-01-01

    Treatment integrity has cogent implications for intervention effectiveness. Understanding these implications is an important, but often neglected, undertaking in behavior analysis. This paper reviews current research on treatment integrity in applied behavior analysis. Specifically, we review research evaluating the relation between integrity failures and the efficacy of behavioral interventions. Avenues for future research are provided. PMID:22844155

  16. Impact of Treatment Integrity on Intervention Effectiveness

    ERIC Educational Resources Information Center

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

    2012-01-01

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

  17. Reading and Writing from Multiple Source Documents in History: Effects of Strategy Instruction with Low to Average High School Writers

    ERIC Educational Resources Information Center

    De La Paz, Susan; Felton, Mark K.

    2010-01-01

    This study examined the effects of historical reasoning strategy instruction on 11th-grade students. Students learned historical inquiry strategies using 20th Century American history topics ranging from the Spanish-American war to the Gulf of Tonkin incident. In addition, students learned a pre-writing strategy for composing argumentative essays…

  18. Coping with Cosmetic Effects of Cancer Treatment

    MedlinePlus

    ... coping with the most common cosmetic side effects. Hair Loss Hair thinning or hair loss is often one of the first real ... chemotherapy or radiation treatment. Although some kids take hair loss in stride, others find it very traumatic. ...

  19. Understanding placebo, nocebo, and iatrogenic treatment effects.

    PubMed

    Bootzin, Richard R; Bailey, Elaine T

    2005-07-01

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

  20. Quantum wavepacket ab initio molecular dynamics: an approach for computing dynamically averaged vibrational spectra including critical nuclear quantum effects.

    PubMed

    Sumner, Isaiah; Iyengar, Srinivasan S

    2007-10-18

    We have introduced a computational methodology to study vibrational spectroscopy in clusters inclusive of critical nuclear quantum effects. This approach is based on the recently developed quantum wavepacket ab initio molecular dynamics method that combines quantum wavepacket dynamics with ab initio molecular dynamics. The computational efficiency of the dynamical procedure is drastically improved (by several orders of magnitude) through the utilization of wavelet-based techniques combined with the previously introduced time-dependent deterministic sampling procedure measure to achieve stable, picosecond length, quantum-classical dynamics of electrons and nuclei in clusters. The dynamical information is employed to construct a novel cumulative flux/velocity correlation function, where the wavepacket flux from the quantized particle is combined with classical nuclear velocities to obtain the vibrational density of states. The approach is demonstrated by computing the vibrational density of states of [Cl-H-Cl]-, inclusive of critical quantum nuclear effects, and our results are in good agreement with experiment. A general hierarchical procedure is also provided, based on electronic structure harmonic frequencies, classical ab initio molecular dynamics, computation of nuclear quantum-mechanical eigenstates, and employing quantum wavepacket ab initio dynamics to understand vibrational spectroscopy in hydrogen-bonded clusters that display large degrees of anharmonicities.

  1. Effects of exercise interventions during different treatments in breast cancer.

    PubMed

    Fairman, Ciaran M; Focht, Brian C; Lucas, Alexander R; Lustberg, Maryam B

    2016-05-01

    Previous findings suggest that exercise is a safe and efficacious means of improving physiological and psychosocial outcomes in female breast cancer survivors. To date, most research has focused on post-treatment interventions. However, given that the type and severity of treatment-related adverse effects may be dependent on the type of treatment, and that the effects are substantially more pronounced during treatment, an assessment of the safety and efficacy of exercise during treatment is warranted. In this review, we present and evaluate the results of randomized controlled trials (RCTs) conducted during breast cancer treatment. We conducted literature searches to identify studies examining exercise interventions in breast cancer patients who were undergoing chemotherapy or radiation. Data were extracted on physiological and psychosocial outcomes. Cohen's d effect sizes were calculated for each outcome. A total of 17 studies involving 1,175 participants undergoing active cancer therapy met the inclusion criteria. Findings revealed that, on average, exercise interventions resulted in moderate to large improvements in muscular strength: resistance exercise (RE, = 0.86), aerobic exercise (AE, = 0.55), small to moderate improvements in cardiovascular functioning (RE, = 0.45; AE, = 0.17, combination exercise (COMB, = 0.31) and quality of life (QoL; RE, = 0.30; AE, = 0.50; COMB, = 0.63). The results of this review suggest that exercise is a safe, feasible, and efficacious intervention in breast cancer patients who are undergoing different types of treatment. Additional research addressing the different modes of exercise during each type of treatment is warranted to assess the comparable efficacy of the various exercise modes during established breast cancer treatments.

  2. Effects of exercise interventions during different treatments in breast cancer.

    PubMed

    Fairman, Ciaran M; Focht, Brian C; Lucas, Alexander R; Lustberg, Maryam B

    2016-05-01

    Previous findings suggest that exercise is a safe and efficacious means of improving physiological and psychosocial outcomes in female breast cancer survivors. To date, most research has focused on post-treatment interventions. However, given that the type and severity of treatment-related adverse effects may be dependent on the type of treatment, and that the effects are substantially more pronounced during treatment, an assessment of the safety and efficacy of exercise during treatment is warranted. In this review, we present and evaluate the results of randomized controlled trials (RCTs) conducted during breast cancer treatment. We conducted literature searches to identify studies examining exercise interventions in breast cancer patients who were undergoing chemotherapy or radiation. Data were extracted on physiological and psychosocial outcomes. Cohen's d effect sizes were calculated for each outcome. A total of 17 studies involving 1,175 participants undergoing active cancer therapy met the inclusion criteria. Findings revealed that, on average, exercise interventions resulted in moderate to large improvements in muscular strength: resistance exercise (RE, = 0.86), aerobic exercise (AE, = 0.55), small to moderate improvements in cardiovascular functioning (RE, = 0.45; AE, = 0.17, combination exercise (COMB, = 0.31) and quality of life (QoL; RE, = 0.30; AE, = 0.50; COMB, = 0.63). The results of this review suggest that exercise is a safe, feasible, and efficacious intervention in breast cancer patients who are undergoing different types of treatment. Additional research addressing the different modes of exercise during each type of treatment is warranted to assess the comparable efficacy of the various exercise modes during established breast cancer treatments. PMID:27258052

  3. The effect of average cycling current on total energy of lithium-ion batteries for electric vehicles

    NASA Astrophysics Data System (ADS)

    Barai, Anup; Uddin, Kotub; Widanalage, W. D.; McGordon, Andrew; Jennings, Paul

    2016-01-01

    Predicting the remaining range of a battery reliably, accurately and simply is imperative for effective power management of electrified vehicles and reducing driver anxiety resulting from perceived low driving range. Techniques for predicting the remaining range of an electric vehicle exist; in the best cases they are scaled by factors that account for expected energy losses due to driving style, environmental conditions and the use of on-board energy consuming devices such as air-conditioning. In this work, experimental results that establish the dependence of remaining electrical energy on the vehicle battery immediate cycling history are presented. A method to estimate the remaining energy given short-term cycling history is presented. This method differs from the traditional state of charge methods typically used in battery management systems by considering energy throughput more directly.

  4. High average power pockels cell

    DOEpatents

    Daly, Thomas P.

    1991-01-01

    A high average power pockels cell is disclosed which reduces the effect of thermally induced strains in high average power laser technology. The pockels cell includes an elongated, substantially rectangular crystalline structure formed from a KDP-type material to eliminate shear strains. The X- and Y-axes are oriented substantially perpendicular to the edges of the crystal cross-section and to the C-axis direction of propagation to eliminate shear strains.

  5. Pharmacological Treatment Effects on Eye Movement Control

    ERIC Educational Resources Information Center

    Reilly, James L.; Lencer, Rebekka; Bishop, Jeffrey R.; Keedy, Sarah; Sweeney, John A.

    2008-01-01

    The increasing use of eye movement paradigms to assess the functional integrity of brain systems involved in sensorimotor and cognitive processing in clinical disorders requires greater attention to effects of pharmacological treatments on these systems. This is needed to better differentiate disease and medication effects in clinical samples, to…

  6. Negative Effects from Psychological Treatments: A Perspective

    ERIC Educational Resources Information Center

    Barlow, David H.

    2010-01-01

    The author offers a 40-year perspective on the observation and study of negative effects from psychotherapy or psychological treatments. This perspective is placed in the context of the enormous progress in refining methodologies for psychotherapy research over that period of time, resulting in the clear demonstration of positive effects from…

  7. Obesity in Family Practice: Is Treatment Effective?

    PubMed Central

    Sanborn, Margaret D.; Manske, Stephen R.; Schlegel, Ronald P.

    1983-01-01

    Obesity is a common condition which has important effects on health status and longevity. This review examines the efficacy of treatments for both moderate and severe obesity. A plan of treatment combining diet, exercise, and behavioral strategies is outlined. Surgery and its complications are reviewed. Eight management issues, including rate of weight loss, self-help groups, and fringe therapies, are presented. Management recommendations are based on a critical review of the weight loss literature. PMID:21283350

  8. Effective Treatments of Atrophic Acne Scars

    PubMed Central

    Zhou, Bingrong

    2015-01-01

    Atrophic scarring is often an unfortunate and permanent complication of acne vulgaris. It has high prevalence, significant impact on quality of life, and therapeutic challenge for dermatologists. The treatment of atrophic acne scars varies depending on the types of acne scars and the limitations of the treatment modalities in their ability to improve scars. Therefore, many options are available for the treatment of acne scarring, including chemical peeling, dermabrasion, laser treatment, punch techniques, fat transplantation, other tissue augmenting agents, needling, subcision, and combined therapy. Various modalities have been used to treat scars, but limited efficacy and problematic side effects have restricted their application. In order to optimally treat a patient’s scar, we need to consider which treatment offers the most satisfactory result. There are also promising procedures in the future, such as stem cell therapy. In this article, the authors review the different treatment options of atrophic acne scars. This may be useful for selecting the best therapeutic strategy, whether it be single or combined therapy, in the treatment of atrophic acne scars while reducing or avoiding the side effects and complications. PMID:26029333

  9. The average enzyme principle.

    PubMed

    Reznik, Ed; Chaudhary, Osman; Segrè, Daniel

    2013-09-01

    The Michaelis-Menten equation for an irreversible enzymatic reaction depends linearly on the enzyme concentration. Even if the enzyme concentration changes in time, this linearity implies that the amount of substrate depleted during a given time interval depends only on the average enzyme concentration. Here, we use a time re-scaling approach to generalize this result to a broad category of multi-reaction systems, whose constituent enzymes have the same dependence on time, e.g. they belong to the same regulon. This "average enzyme principle" provides a natural methodology for jointly studying metabolism and its regulation.

  10. Musical hallucinations: review of treatment effects

    PubMed Central

    Coebergh, Jan A. F.; Lauw, R. F.; Bots, R.; Sommer, I. E. C.; Blom, J. D.

    2015-01-01

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

  11. Effectiveness of Psychological and Pharmacological Treatments for Nocturnal Enuresis.

    ERIC Educational Resources Information Center

    Houts, Arthur C.; And Others

    1994-01-01

    Assesses overall effectiveness of psychological and pharmacological treatments, relative effectiveness of specific treatments, and moderators of treatment effectiveness for nocturnal enuretic children via quantitative integration of research. Findings confirm that more children benefit from psychological than from pharmacological interventions and…

  12. Low to Moderate Average Alcohol Consumption and Binge Drinking in Early Pregnancy: Effects on Choice Reaction Time and Information Processing Time in Five-Year-Old Children

    PubMed Central

    Kilburn, Tina R.; Eriksen, Hanne-Lise Falgreen; Underbjerg, Mette; Thorsen, Poul; Mortensen, Erik Lykke; Landrø, Nils Inge; Bakketeig, Leiv S.; Grove, Jakob; Sværke, Claus; Kesmodel, Ulrik Schiøler

    2015-01-01

    Background Deficits in information processing may be a core deficit after fetal alcohol exposure. This study was designed to investigate the possible effects of weekly low to moderate maternal alcohol consumption and binge drinking episodes in early pregnancy on choice reaction time (CRT) and information processing time (IPT) in young children. Method Participants were sampled based on maternal alcohol consumption during pregnancy. At the age of 60–64 months, 1,333 children were administered a modified version of the Sternberg paradigm to assess CRT and IPT. In addition, a test of general intelligence (WPPSI-R) was administered. Results Adjusted for a wide range of potential confounders, this study showed no significant effects of average weekly maternal alcohol consumption during pregnancy on CRT or IPT. There was, however, an indication of slower CRT associated with binge drinking episodes in gestational weeks 1–4. Conclusion This study observed no significant effects of average weekly maternal alcohol consumption during pregnancy on CRT or IPT as assessed by the Sternberg paradigm. However, there were some indications of CRT being associated with binge drinking during very early pregnancy. Further large-scale studies are needed to investigate effects of different patterns of maternal alcohol consumption on basic cognitive processes in offspring. PMID:26382068

  13. Effects of aperture averaging and beam width on a partially coherent Gaussian beam over free-space optical links with turbulence and pointing errors.

    PubMed

    Lee, It Ee; Ghassemlooy, Zabih; Ng, Wai Pang; Khalighi, Mohammad-Ali; Liaw, Shien-Kuei

    2016-01-01

    Joint effects of aperture averaging and beam width on the performance of free-space optical communication links, under the impairments of atmospheric loss, turbulence, and pointing errors (PEs), are investigated from an information theory perspective. The propagation of a spatially partially coherent Gaussian-beam wave through a random turbulent medium is characterized, taking into account the diverging and focusing properties of the optical beam as well as the scintillation and beam wander effects. Results show that a noticeable improvement in the average channel capacity can be achieved with an enlarged receiver aperture in the moderate-to-strong turbulence regime, even without knowledge of the channel state information. In particular, it is observed that the optimum beam width can be reduced to improve the channel capacity, albeit the presence of scintillation and PEs, given that either one or both of these adverse effects are least dominant. We show that, under strong turbulence conditions, the beam width increases linearly with the Rytov variance for a relatively smaller PE loss but changes exponentially with steeper increments for higher PE losses. Our findings conclude that the optimal beam width is dependent on the combined effects of turbulence and PEs, and this parameter should be adjusted according to the varying atmospheric channel conditions. Therefore, we demonstrate that the maximum channel capacity is best achieved through the introduction of a larger receiver aperture and a beam-width optimization technique.

  14. Negative effects from psychological treatments: a perspective.

    PubMed

    Barlow, David H

    2010-01-01

    The author offers a 40-year perspective on the observation and study of negative effects from psychotherapy or psychological treatments. This perspective is placed in the context of the enormous progress in refining methodologies for psychotherapy research over that period of time, resulting in the clear demonstration of positive effects from psychological treatments for many disorders and problems. The study of negative effects--whether due to techniques, client variables, therapist variables, or some combination of these--has not been accorded the same degree of attention. Indeed, methodologies suitable for ascertaining positive effects often obscure negative effects in the absence of specific strategies for explicating these outcomes. Greater emphasis on more individual idiographic approaches to studying the effects of psychological interventions would seem necessary if psychologists are to avoid harming their patients and if they are to better understand the causes of negative or iatrogenic effects from their treatment efforts. This would be best carried out in the context of a strong collaboration among frontline clinicians and clinical scientists.

  15. Effect of average litter weight in pigs on growth performance, carcass characteristics and meat quality of the offspring as depending on birth weight.

    PubMed

    Pardo, C E; Kreuzer, M; Bee, G

    2013-11-01

    Offspring born from normal litter size (10 to 15 piglets) but classified as having lower than average birth weight (average of the sow herd used: 1.46 ± 0.2 kg; mean ± s.d.) carry at birth negative phenotypic traits normally associated with intrauterine growth restriction, such as brain-sparing and impaired myofiber hyperplasia. The objective of the study was to assess long-term effects of intrauterine crowding by comparing postnatal performance, carcass characteristics and pork quality of offspring born from litters with higher (>1.7 kg) or lower (<1.3 kg) than average litter birth weight. From a population of multiparous Swiss Large White sows (parity 2 to 6), 16 litters with high (H = 1.75 kg) or low (L = 1.26 kg) average litter birth weight were selected. At farrowing, two female pigs and two castrated pigs were chosen from each litter: from the H-litters those with the intermediate (HI = 1.79 kg) and lowest (HL = 1.40 kg) birth weight, and from L-litters those with the highest (LH = 1.49 kg) and intermediate (LI = 1.26 kg) birth weight. Average birth weight of the selected HI and LI piglets differed (P < 0.05), whereas birth weight of the HL- and LH-piglets were similar (P > 0.05). These pigs were fattened in group pen and slaughtered at 165 days of age. Pre-weaning performance of the litters and growth performance, carcass and meat quality traits of the selected pigs were assessed. Number of stillborn and pig mortality were greater (P < 0.05) in L- than in H-litters. Consequently, fewer (P < 0.05) piglets were weaned and average litter weaning weight decreased by 38% (P < 0.05). The selected pigs of the L-litters displayed catch-up growth during the starter and grower-finisher periods, leading to similar (P > 0.05) slaughter weight at 165 days of age. However, HL-gilts were more feed efficient and had leaner carcasses than HI-, LH- and LI-pigs (birth weight class × gender interaction P < 0.05). Meat quality traits were mostly similar between groups. The

  16. Neurocognitive Effects of Treatment for Childhood Cancer

    ERIC Educational Resources Information Center

    Butler, Robert W.; Haser, Jennifer K.

    2006-01-01

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

  17. Apathy in Alzheimer's Disease: Any Effective Treatment?

    PubMed Central

    Fasanaro, Angiola M.

    2014-01-01

    Objective. This review has evaluated the effectiveness of pharmacological treatment of apathy in patients with Alzheimer's disease (AD). Methods. A systematic literature search was conducted on published clinical trials assessing the effects of pharmacological treatment on apathy in AD over the last 10 years. Results. Fourteen studies considered of good quality were included in the analysis (4 randomized controlled trials, 9 open-label studies, and 1 retrospective analysis). Cholinesterase inhibitors were investigated in 9 studies, monoaminergic compounds such as methylphenidate and modafinil in two trials and one trial, respectively, and Ginkgo biloba (EGb 761 extract) and citalopram in one study each. Cholinesterase inhibitors did not show statistical significant effect in 1 RCT study but were associated to improvement in 3 open-label studies. Methylphenidate elicited a small but significant activity accompanied by relevant side effects such as high blood pressure, cough, and osteoarticular pain. EGb 761 was well tolerated and countered apathy. Other treatments induced modest improvements or were ineffective. Conclusions. Apathy treatment remains a challenge and there is no evident advantage of any specific pharmacotherapy tested so far. The development of controlled studies according to updated guidelines for the diagnosis of apathy in patients with AD is desirable. PMID:24672318

  18. Average density in cosmology

    SciTech Connect

    Bonnor, W.B.

    1987-05-01

    The Einstein-Straus (1945) vacuole is here used to represent a bound cluster of galaxies embedded in a standard pressure-free cosmological model, and the average density of the cluster is compared with the density of the surrounding cosmic fluid. The two are nearly but not quite equal, and the more condensed the cluster, the greater the difference. A theoretical consequence of the discrepancy between the two densities is discussed. 25 references.

  19. Scaling effects on area-averaged fraction of vegetation cover derived using a linear mixture model with two-band spectral vegetation index constraints

    NASA Astrophysics Data System (ADS)

    Obata, Kenta; Huete, Alfredo R.

    2014-01-01

    This study investigated the mechanisms underlying the scaling effects that apply to a fraction of vegetation cover (FVC) estimates derived using two-band spectral vegetation index (VI) isoline-based linear mixture models (VI isoline-based LMM). The VIs included the normalized difference vegetation index, a soil-adjusted vegetation index, and a two-band enhanced vegetation index (EVI2). This study focused in part on the monotonicity of an area-averaged FVC estimate as a function of spatial resolution. The proof of monotonicity yielded measures of the intrinsic area-averaged FVC uncertainties due to scaling effects. The derived results demonstrate that a factor ξ, which was defined as a function of "true" and "estimated" endmember spectra of the vegetated and nonvegetated surfaces, was responsible for conveying monotonicity or nonmonotonicity. The monotonic FVC values displayed a uniform increasing or decreasing trend that was independent of the choice of the two-band VI. Conditions under which scaling effects were eliminated from the FVC were identified. Numerical simulations verifying the monotonicity and the practical utility of the scaling theory were evaluated using numerical experiments applied to Landsat7-Enhanced Thematic Mapper Plus (ETM+) data. The findings contribute to developing scale-invariant FVC estimation algorithms for multisensor and data continuity.

  20. Estimation of treatment effects based on possibly misspecified Cox regression.

    PubMed

    Hattori, Satoshi; Henmi, Masayuki

    2012-10-01

    In randomized clinical trials, a treatment effect on a time-to-event endpoint is often estimated by the Cox proportional hazards model. The maximum partial likelihood estimator does not make sense if the proportional hazard assumption is violated. Xu and O'Quigley (Biostatistics 1:423-439, 2000) proposed an estimating equation, which provides an interpretable estimator for the treatment effect under model misspecification. Namely it provides a consistent estimator for the log-hazard ratio among the treatment groups if the model is correctly specified, and it is interpreted as an average log-hazard ratio over time even if misspecified. However, the method requires the assumption that censoring is independent of treatment group, which is more restricted than that for the maximum partial likelihood estimator and is often violated in practice. In this paper, we propose an alternative estimating equation. Our method provides an estimator of the same property as that of Xu and O'Quigley under the usual assumption for the maximum partial likelihood estimation. We show that our estimator is consistent and asymptotically normal, and derive a consistent estimator of the asymptotic variance. If the proportional hazards assumption holds, the efficiency of the estimator can be improved by applying the covariate adjustment method based on the semiparametric theory proposed by Lu and Tsiatis (Biometrika 95:679-694, 2008). PMID:22527680

  1. An investigation of scale effects in family substance abuse treatment programs.

    PubMed

    Lee, A James

    2010-07-05

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

  2. Predicting the effectiveness of treatment for pedophilia.

    PubMed

    Rowan, E L

    1988-01-01

    Assessment of progress in a treatment program for pedophiles and the prediction of risk of future offenses are based upon change along four parameters: decreased objective sexual arousal to child stimuli based on negative conditioning and penile tumescence monitoring, decreased emotional congruence with children, improvement in meaningful adult relationships, and effective therapy for disinhibiting factors. The latter three are measured by rating scales completed by both patients and staff. Although statistical analysis of recidivism is in progress, it may not reflect the true frequency of reoffenses. The ability to predict successful treatment is still limited to theoretical and subjective indices.

  3. Gender Variations in the Effects of Number of Organizational Memberships, Number of Social Networking Sites, and Grade-Point Average on Global Social Responsibility in Filipino University Students.

    PubMed

    Lee, Romeo B; Baring, Rito V; Sta Maria, Madelene A

    2016-02-01

    The study seeks to estimate gender variations in the direct effects of (a) number of organizational memberships, (b) number of social networking sites (SNS), and (c) grade-point average (GPA) on global social responsibility (GSR); and in the indirect effects of (a) and of (b) through (c) on GSR. Cross-sectional survey data were drawn from questionnaire interviews involving 3,173 Filipino university students. Based on a path model, the three factors were tested to determine their inter-relationships and their relationships with GSR. The direct and total effects of the exogenous factors on the dependent variable are statistically significantly robust. The indirect effects of organizational memberships on GSR through GPA are also statistically significant, but the indirect effects of SNS on GSR through GPA are marginal. Men and women significantly differ only in terms of the total effects of their organizational memberships on GSR. The lack of broad gender variations in the effects of SNS, organizational memberships and GPA on GSR may be linked to the relatively homogenous characteristics and experiences of the university students interviewed. There is a need for more path models to better understand the predictors of GSR in local students.

  4. Gender Variations in the Effects of Number of Organizational Memberships, Number of Social Networking Sites, and Grade-Point Average on Global Social Responsibility in Filipino University Students

    PubMed Central

    Lee, Romeo B.; Baring, Rito V.; Sta. Maria, Madelene A.

    2016-01-01

    The study seeks to estimate gender variations in the direct effects of (a) number of organizational memberships, (b) number of social networking sites (SNS), and (c) grade-point average (GPA) on global social responsibility (GSR); and in the indirect effects of (a) and of (b) through (c) on GSR. Cross-sectional survey data were drawn from questionnaire interviews involving 3,173 Filipino university students. Based on a path model, the three factors were tested to determine their inter-relationships and their relationships with GSR. The direct and total effects of the exogenous factors on the dependent variable are statistically significantly robust. The indirect effects of organizational memberships on GSR through GPA are also statistically significant, but the indirect effects of SNS on GSR through GPA are marginal. Men and women significantly differ only in terms of the total effects of their organizational memberships on GSR. The lack of broad gender variations in the effects of SNS, organizational memberships and GPA on GSR may be linked to the relatively homogenous characteristics and experiences of the university students interviewed. There is a need for more path models to better understand the predictors of GSR in local students. PMID:27247700

  5. Gender Variations in the Effects of Number of Organizational Memberships, Number of Social Networking Sites, and Grade-Point Average on Global Social Responsibility in Filipino University Students.

    PubMed

    Lee, Romeo B; Baring, Rito V; Sta Maria, Madelene A

    2016-02-01

    The study seeks to estimate gender variations in the direct effects of (a) number of organizational memberships, (b) number of social networking sites (SNS), and (c) grade-point average (GPA) on global social responsibility (GSR); and in the indirect effects of (a) and of (b) through (c) on GSR. Cross-sectional survey data were drawn from questionnaire interviews involving 3,173 Filipino university students. Based on a path model, the three factors were tested to determine their inter-relationships and their relationships with GSR. The direct and total effects of the exogenous factors on the dependent variable are statistically significantly robust. The indirect effects of organizational memberships on GSR through GPA are also statistically significant, but the indirect effects of SNS on GSR through GPA are marginal. Men and women significantly differ only in terms of the total effects of their organizational memberships on GSR. The lack of broad gender variations in the effects of SNS, organizational memberships and GPA on GSR may be linked to the relatively homogenous characteristics and experiences of the university students interviewed. There is a need for more path models to better understand the predictors of GSR in local students. PMID:27247700

  6. Vocal attractiveness increases by averaging.

    PubMed

    Bruckert, Laetitia; Bestelmeyer, Patricia; Latinus, Marianne; Rouger, Julien; Charest, Ian; Rousselet, Guillaume A; Kawahara, Hideki; Belin, Pascal

    2010-01-26

    Vocal attractiveness has a profound influence on listeners-a bias known as the "what sounds beautiful is good" vocal attractiveness stereotype [1]-with tangible impact on a voice owner's success at mating, job applications, and/or elections. The prevailing view holds that attractive voices are those that signal desirable attributes in a potential mate [2-4]-e.g., lower pitch in male voices. However, this account does not explain our preferences in more general social contexts in which voices of both genders are evaluated. Here we show that averaging voices via auditory morphing [5] results in more attractive voices, irrespective of the speaker's or listener's gender. Moreover, we show that this phenomenon is largely explained by two independent by-products of averaging: a smoother voice texture (reduced aperiodicities) and a greater similarity in pitch and timbre with the average of all voices (reduced "distance to mean"). These results provide the first evidence for a phenomenon of vocal attractiveness increases by averaging, analogous to a well-established effect of facial averaging [6, 7]. They highlight prototype-based coding [8] as a central feature of voice perception, emphasizing the similarity in the mechanisms of face and voice perception.

  7. Vocal attractiveness increases by averaging.

    PubMed

    Bruckert, Laetitia; Bestelmeyer, Patricia; Latinus, Marianne; Rouger, Julien; Charest, Ian; Rousselet, Guillaume A; Kawahara, Hideki; Belin, Pascal

    2010-01-26

    Vocal attractiveness has a profound influence on listeners-a bias known as the "what sounds beautiful is good" vocal attractiveness stereotype [1]-with tangible impact on a voice owner's success at mating, job applications, and/or elections. The prevailing view holds that attractive voices are those that signal desirable attributes in a potential mate [2-4]-e.g., lower pitch in male voices. However, this account does not explain our preferences in more general social contexts in which voices of both genders are evaluated. Here we show that averaging voices via auditory morphing [5] results in more attractive voices, irrespective of the speaker's or listener's gender. Moreover, we show that this phenomenon is largely explained by two independent by-products of averaging: a smoother voice texture (reduced aperiodicities) and a greater similarity in pitch and timbre with the average of all voices (reduced "distance to mean"). These results provide the first evidence for a phenomenon of vocal attractiveness increases by averaging, analogous to a well-established effect of facial averaging [6, 7]. They highlight prototype-based coding [8] as a central feature of voice perception, emphasizing the similarity in the mechanisms of face and voice perception. PMID:20129047

  8. From the local to the regional scale. What is the effect of missing vertical heterogeneity moving from fully 3-D to 2-D depth averaged dispersion models?

    NASA Astrophysics Data System (ADS)

    Darvini, G.; Salandin, P.

    2010-12-01

    The plume evolution in natural porous formations is strongly affected by the erratic variability of the hydraulic conductivity K that exhibits a three-dimensional correlation structure. In regional domains, the effect of the vertical heterogeneity combines itself with that one due to the horizontal variability of K, and when the plume has travelled a large number of (horizontal) integral scales, under the hypothesis that the transmissivity spatial distribution prevails, its evolution can be analyzed by two-dimensional models. Until this limit is reached, the vertical and horizontal variability of K are combined to give a fully three-dimensional dispersion process and the application of depth averaged models may give erroneous results. In order to analyze the effects on transport deriving from this simplification, we present the results of some numerical experiments that compare the three-dimensional plume evolution with two-dimensional simulations developed by taking into account different hydraulic conductivity spatial distributions. The comparison between results of numerical simulations and theoretical considerations based on first order solution suggests a possible way to take into account the vertical variability of K in a depth averaged model.

  9. [Effectiveness of combined treatment of infective endocarditis].

    PubMed

    Nikolaevskiĭ, E N; Khubulava, G G; Osadchuk, M A

    2006-01-01

    The purpose of the study was to develop and perfect complex therapy of modern infective endocarditis (IE). Ten-year experience in clinical diagnostics of 240 patients with acute, subacute, and lingering IE was summarized; the effectiveness of their treatment was evaluated. The features of modern IE were acute and subacute course of the disease with the involvement of aortal (37.8% of cases), tricuspid (16.8%), mitral (15.2%) valve, and septicemia, caused by highly virulent microflora (staphylococci--51% of cases; gram-negative bacteria--13%; fungi--5%). The clinical manifestations of modern IE included toxic infectious syndrome (24% of cases), heart failure (21%), symptoms of complications (16%), central hemodynamics disturbances (12%), and splenomegaly (8%). The treatment included antibacterial, pathogenetic, and symptomatic therapy, as well as extracorporal hemocorrection and cardiosurgery. Analysis of the results of surgical treatment of 140 IE patients allowed development of indications for valve prosthesis. PMID:16512400

  10. The Influence of Direct Instruction on Student Self-appraisals: A Hierarchical Analysis of Treatment and Aptitude-Treatment Interaction Effects.

    ERIC Educational Resources Information Center

    Corno, Lyn; And Others

    1981-01-01

    Treatment and aptitude-treatment interaction (ATI) effects were assessed on grade 3 student self-appraisal data relating to self-esteem, attitude, anxiety, and locus of control. In particular, parent instruction in learning skills resulted in significantly higher average scores on student self-esteem and attitude and lower scores on anxiety.…

  11. Validity analysis on merged and averaged data using within and between analysis: focus on effect of qualitative social capital on self-rated health

    PubMed Central

    2016-01-01

    OBJECTIVES: With an increasing number of studies highlighting regional social capital (SC) as a determinant of health, many studies are using multi-level analysis with merged and averaged scores of community residents’ survey responses calculated from community SC data. Sufficient examination is required to validate if the merged and averaged data can represent the community. Therefore, this study analyzes the validity of the selected indicators and their applicability in multi-level analysis. METHODS: Within and between analysis (WABA) was performed after creating community variables using merged and averaged data of community residents’ responses from the 2013 Community Health Survey in Korea, using subjective self-rated health assessment as a dependent variable. Further analysis was performed following the model suggested by WABA result. RESULTS: Both E-test results (1) and WABA results (2) revealed that single-level analysis needs to be performed using qualitative SC variable with cluster mean centering. Through single-level multivariate regression analysis, qualitative SC with cluster mean centering showed positive effect on self-rated health (0.054, p<0.001), although there was no substantial difference in comparison to analysis using SC variables without cluster mean centering or multi-level analysis. CONCLUSIONS: As modification in qualitative SC was larger within the community than between communities, we validate that relational analysis of individual self-rated health can be performed within the group, using cluster mean centering. Other tests besides the WABA can be performed in the future to confirm the validity of using community variables and their applicability in multi-level analysis. PMID:27292102

  12. Female urinary incontinence: effective treatment strategies.

    PubMed

    Castro, R A; Arruda, R M; Bortolini, M A T

    2015-04-01

    Urinary incontinence is a dysfunction that tremendously affects women's quality of life, involving social, emotional and economic aspects. Although various treatments for urinary incontinence have been described, it is important to know which of them are truly effective. This review seeks to determine the current available therapies for women with stress urinary incontinence and overactive bladder syndrome, based on the best scientific evidence. PMID:25307986

  13. Effectiveness of treatment for dissociative identity disorder.

    PubMed

    Powell, R A; Howell, A J

    1998-10-01

    In a recent study by Ellason and Ross, patients with Dissociative Identity Disorder reported a decrease in symptoms on the Millon Clinical Multiaxial Inventory-II over a 2-yr. follow-up period. Patients judged to have achieved integration of their personalities rated themselves as more substantially improved on the Millon-II than did patients judged not to have achieved integration. Ellason and Ross suggested that this improvement reflected the influence of treatment; however, for several reasons, their findings are open to alternative interpretations. First, in the absence of proper control conditions, one cannot rule out the contribution of other factors to the over-all improvement of patients such as regression of symptoms toward the mean following the initial assessment. Second, patients self-reported improvement was less substantial when data were reanalyzed using more appropriate statistical criteria. Third, the greater improvement observed among integrated patients relative to nonintegrated patients may reflect influences other than differential responsiveness to treatment, such as less severe pathology prior to treatment. More systematic research is needed to clarify the effect of treatment on Dissociative Identity Disorder.

  14. Effects of a dressed quark-gluon vertex in vector heavy-light mesons and theory average of the Bc* meson mass

    NASA Astrophysics Data System (ADS)

    Gómez-Rocha, M.; Hilger, T.; Krassnigg, A.

    2016-04-01

    We extend earlier investigations of heavy-light pseudoscalar mesons to the vector case, using a simple model in the context of the Dyson-Schwinger-Bethe-Salpeter approach. We investigate the effects of a dressed quark-gluon vertex in a systematic fashion and illustrate and attempt to quantify corrections beyond the phenomenologically very useful and successful rainbow-ladder truncation. In particular we investigate the dressed quark-photon vertex in such a setup and make a prediction for the experimentally as yet unknown mass of the Bc* , which we obtain at 6.334 GeV well in line with predictions from other approaches. Furthermore, we combine a comprehensive set of results from the theoretical literature. The theoretical average for the mass of the Bc* meson is 6.336 ±0.002 GeV .

  15. Averaging Robertson-Walker cosmologies

    NASA Astrophysics Data System (ADS)

    Brown, Iain A.; Robbers, Georg; Behrend, Juliane

    2009-04-01

    The cosmological backreaction arises when one directly averages the Einstein equations to recover an effective Robertson-Walker cosmology, rather than assuming a background a priori. While usually discussed in the context of dark energy, strictly speaking any cosmological model should be recovered from such a procedure. We apply the scalar spatial averaging formalism for the first time to linear Robertson-Walker universes containing matter, radiation and dark energy. The formalism employed is general and incorporates systems of multiple fluids with ease, allowing us to consider quantitatively the universe from deep radiation domination up to the present day in a natural, unified manner. Employing modified Boltzmann codes we evaluate numerically the discrepancies between the assumed and the averaged behaviour arising from the quadratic terms, finding the largest deviations for an Einstein-de Sitter universe, increasing rapidly with Hubble rate to a 0.01% effect for h = 0.701. For the ΛCDM concordance model, the backreaction is of the order of Ωeff0 approx 4 × 10-6, with those for dark energy models being within a factor of two or three. The impacts at recombination are of the order of 10-8 and those in deep radiation domination asymptote to a constant value. While the effective equations of state of the backreactions in Einstein-de Sitter, concordance and quintessence models are generally dust-like, a backreaction with an equation of state weff < -1/3 can be found for strongly phantom models.

  16. Modeling psychiatric disorders for developing effective treatments

    PubMed Central

    Kaiser, Tobias; Feng, Guoping

    2016-01-01

    The recent advance in identifying risk genes has provided an unprecedented opportunity for developing animal models for psychiatric disease research with the goal of attaining translational utility to ultimately develop novel treatments. However, at this early stage, successful translation has yet to be achieved. Here, we review recent advances in modeling psychiatric disease, discuss utility and limitations of animal models, and emphasize the importance of shifting from behavioral analysis to identifying neurophysiological defects, which are likely more conserved across species and thus increase translatability. Looking forward, we envision that preclinical research will align with clinical research to build a common framework of comparable neurobiological abnormalities and form subgroups of patients based on similar pathophysiology. Experimental neuroscience can then use animal models to discover mechanisms underlying distinct abnormalities and develop strategies for effective treatments. PMID:26340119

  17. Effects of Ca and Sr chemical doping on the average superconducting kinetic energy of YBa2Cu3O7-δ

    NASA Astrophysics Data System (ADS)

    Vieira, V. N.; Mendonça, A. P. A.; Dias, F. T.; Hneda, M. L.; Pureur, P.; Schaf, J.; Mesquita, F.

    2015-03-01

    In this brief communication we applied the MZFC(T) and MFCC(T) reversible dc magnetizations to get the average superconducting kinetic energy density, kS(T,B) of YBa2Cu3O7-δ, Y0.95Ca0.05Ba2Cu3O7-δ and YBa1.75Sr0.25Cu3O7-δ ceramic samples with the aim of study the effects of Ca and Sr doping on the kS(T,B). The MZFC(T) and MFCC(T) measurements were performed with a SQUID magnetometer from quantum design to dc magnetic fields up to 50kOe. The determination of the kS(T,B) from reversible dc magnetization is supported by virial theorem of superconductivity [kS(T,B) = - MB]. The kS(T,B) results show an common temperature profile for all the samples which is smoothly affected by the magnetic field. On the other hand the kS(T,B) results to T > Tc could not be associated to the pseudogap phenomenon. The Ca doping affects more effectively the kS(T,B) behaviour then Sr doping. A possible explanation to this feature could be associated to the fact that the hole doping promoted by Ca doping depress more considerably the superconducting state and enhances the granular character of the YBa2Cu3O7-δ superconductor than the chemical pressure effect promoted by Sr doping.

  18. Immunologic Effects Of Peritoneal Photodynamic Treatment

    NASA Astrophysics Data System (ADS)

    Lynch, David H.; Haddad, Sandra; Jolles, Christopher J.; King, Vernon J.; Ott, Mark J.; Robertson, Bekkie; Straight, Richard C.

    1989-06-01

    One of the side effects of peritoneal photodynamic treatment (PDT) of mice is a systemic suppression of contact hypersensitivity (CH) responses. Treatment with either laser alone or the photosensitizer, Photofrin II (PFII), alone does not cause suppression of CH responses. Immunosuppression of CH responses is an active process that is adoptively transferable using viable cells, but not serum, from PDT-treated mice. The induction of adoptively transferable suppressor cells in PDT-treated mice requires exposure to an antigenic stimulus, yet the suppressor cells are antigen non-specific in their function. T cell function in PDT-treated mice, as measured by the ability of splenic lymphoid cells to generate allogeneic cytotoxic T lymphocyte responses, is comparable to that detected in normal mice. However, the ability of spleen cells from PDT-treated mice to act as stimulators in a mixed lymhocyte reaction is dramatically impaired, suggesting that the major cell type affected by peritoneal PDT is of the macrophage lineage. Support for this concept is provided by experiments in which spleen cells from PDT-treated mice were chromatographically separated into populations of T cells, B cells and macrophages prior to adoptive transfer into naive recipients. The results indicate that the cell type mediating adoptively transferable suppression of CH responsiveness is of the macrophage lineage. Analysis of hematologic parameters revealed that induction of suppression by PDT-treatment was associated with a marked neutrophilia and lymphocytosis, and was also accompanied by a 5-fold increase in concentration of the acute phase protein, Serum Amyloid P. Finally, attempts to ameliorate PDT-induced immunosuppression by pharmacologic intervention have proved successful using implants of pellets that release indomethacin at a rate of 1.25µg/day. Thus, the data suggest that PDT-treatment induces macrophages to produce factors (e.g., prostaglandins) that are known to be potently

  19. The effect of age and teat order on alpha1-acid glycoprotein, neutrophil-to-lymphocyte ratio, cortisol, and average daily gain in commercial growing pigs.

    PubMed

    Stull, C L; Kachulis, C J; Farley, J L; Koenig, G J

    1999-01-01

    The objectives of the study were to evaluate age and teat order on a performance trait, average daily gain, and on physiological stress indicators, alpha1-acid glycoprotein (AGP), neutrophil-to-lymphocyte ratio (N:L), and cortisol in commercial growing pigs from weaning to market age. Pigs (n = 129) from five commercial California farms were weighed and blood-sampled at 28-d intervals from 28 to 168 d of age. Laboratory assays were performed from blood samples to quantify cortisol, AGP, and N:L. Age and facility effects (P<.001), but not teat order effects (P>.05), were found for all three physiological traits and ADG. Pigs that routinely suckled from teats 1, 4, or 6 (numbered from anterior to posterior on the upper teat bank) had similar (P>.05) ADG and BW throughout the production cycle. No correlation (P> .05) was found between cortisol, AGP, and N:L. The use of these physiological and production traits as stress and health indices of growing pigs in commercial facilities has limitations in comparing data between facilities or different ages of pigs. PMID:10064029

  20. Light-duty vehicle fuel economy improvements, 1979--1998: A consumer purchase model of corporate average fuel economy, fuel price, and income effects

    NASA Astrophysics Data System (ADS)

    Chien, David Michael

    2000-10-01

    The Energy Policy and Conservation Act of 1975, which created fuel economy standards for automobiles and light trucks, was passed by Congress in response to the rapid rise in world oil prices as a result of the 1973 oil crisis. The standards were first implemented in 1978 for automobiles and 1979 for light trucks, and began with initial standards of 18 MPG for automobiles and 17.2 MPG for light trucks. The current fuel economy standards for 1998 have been held constant at 27.5 MPG for automobiles and 20.5 MPG for light trucks since 1990--1991. While actual new automobile fuel economy has almost doubled from 14 MPG in 1974 to 27.2 MPG in 1994, it is reasonable to ask if the CAFE standards are still needed. Each year Congress attempts to pass another increase in the Corporate Average Fuel Economy (CAFE) standard and fails. Many have called for the abolition of CAFE standards citing the ineffectiveness of the standards in the past. In order to determine whether CAFE standards should be increased, held constant, or repealed, an evaluation of the effectiveness of the CAFE standards to date must be established. Because fuel prices were rising concurrently with the CAFE standards, many authors have attributed the rapid rise in new car fuel economy solely to fuel prices. The purpose of this dissertation is to re-examine the determinants of new car fuel economy via three effects: CAFE regulations, fuel price, and income effects. By measuring the marginal effects of the three fuel economy determinants upon consumers and manufacturers choices, for fuel economy, an estimate was made of the influence of each upon new fuel economy. The conclusions of this dissertation present some clear signals to policymakers: CAFE standards have been very effective in increasing fuel economy from 1979 to 1998. Furthermore, they have been the main cause of fuel economy improvement, with income being a much smaller component. Furthermore, this dissertation has suggested that fuel prices have

  1. A meta-analysis comparing the effect of PCV2 vaccines on average daily weight gain and mortality rate in pigs from weaning to slaughter.

    PubMed

    Kristensen, Charlotte Sonne; Baadsgaard, Niels Peter; Toft, Nils

    2011-03-01

    The aim of this investigation was, through a meta-analysis, to review the published literature concerning the effect of PCV2 vaccination on the average daily weight gain (ADG) and on the mortality rate in pigs from weaning to slaughter. The review was restricted to studies investigating the effect of vaccines against PCV2 published from 2006 to 2008, identified using computerised literature databases. Only studies that met the following criteria were included: commercial vaccines were used, pigs or pens were assigned randomly to vaccination versus control groups in herds naturally infected with PCV2, and vaccinated and non-vaccinated pigs were housed together. Furthermore, it was a requirement that sample size, age at vaccination, and production period were stated. The levels of ADG and mortality rate had to be comparable to those seen in modern intensive swine production. In total, 107 studies were identified; 70 were excluded because they did not fulfil the inclusion criteria and 13 were identical to results published elsewhere. A significant effect of PCV2 vaccination on ADG was found for pigs in all production phases. The largest increase in ADG was found for finishing pigs (41.5g) and nursery-finishing pigs (33.6g) with only 10.6g increase in the nursery pigs. Mortality rate was significantly reduced for finishing pigs (4.4%) and nursery-finishing pigs (5.4%), but not for nursery pigs (0.25%). Herds negative for PRRS had a significantly larger increase in ADG compared to herds positive for PRRS. The PRRS status had no effect on mortality rate.

  2. Dissociating Averageness and Attractiveness: Attractive Faces Are Not Always Average

    ERIC Educational Resources Information Center

    DeBruine, Lisa M.; Jones, Benedict C.; Unger, Layla; Little, Anthony C.; Feinberg, David R.

    2007-01-01

    Although the averageness hypothesis of facial attractiveness proposes that the attractiveness of faces is mostly a consequence of their averageness, 1 study has shown that caricaturing highly attractive faces makes them mathematically less average but more attractive. Here the authors systematically test the averageness hypothesis in 5 experiments…

  3. The Effect of High School Socioeconomic Status on the Predictive Validity of SAT Scores and High School Grade-Point Average

    ERIC Educational Resources Information Center

    Zwick, Rebecca; Himelfarb, Igor

    2011-01-01

    Research has often found that, when high school grades and SAT scores are used to predict first-year college grade-point average (FGPA) via regression analysis, African-American and Latino students, are, on average, predicted to earn higher FGPAs than they actually do. Under various plausible models, this phenomenon can be explained in terms of…

  4. Effects of On-Line Reading and Simultaneous DECtalk Auding in Helping Below-Average and Poor Readers Comprehend and Summarize Text.

    ERIC Educational Resources Information Center

    Leong, Che Kan

    1995-01-01

    This study investigated the role of online reading and simultaneous DECtalk (a text-to-speech computer system) auding in helping 192 above-average and below-average readers comprehend expository prose. Results showed significant differences among grades, reading levels, and modes of responses to the reading passages, but not for the experimental…

  5. Treatment of essential telangiectasia: effects of increasing concentrations of polidocanol.

    PubMed

    Norris, M J; Carlin, M C; Ratz, J L

    1989-04-01

    A double-blind, double-paired comparison study was performed to evaluate the effects of increasing concentrations of polidocanol in the sclerotherapy of essential telangiectasias of the legs. Polidocanol 0.25%, 0.50%, 0.75%, and 1.0% were compared with regard to clinical effectiveness, safety, and patient acceptance. All dosages were well tolerated by the patients. There were no allergic reactions to polidocanol and no cases of superficial ulceration nor necrosis. Among those whose veins cleared, there was little difference in time to clearing for the four concentrations, which averaged three to four treatment sessions. No statistically significant differences existed among the four dosages with respect to level of improvement, itching, or neovascularization. Polidocanol 0.75% and 1.0%, however, caused more side effects noted by patients and induced more hyperpigmentation than did the lower concentrations. Polidocanol 0.25% yielded the lowest percentage of patients whose veins cleared. The 0.50% solution was the most effective concentration for total overall clearing of the types of vessels treated in this study. From this information it appears that 0.50% polidocanol may be the sclerosing agent of choice.

  6. Cost-effectiveness of a worksite hypertension treatment program.

    PubMed

    Logan, A G; Milne, B J; Achber, C; Campbell, W P; Haynes, R B

    1981-01-01

    The cost-effectiveness of treating hypertension at the patient's place of work was compared in a randomized controlled trial with care delivered in a community. The average total cost per patient for worksite care in this 12-month study was not significantly different from that for regular care ($242.86 +/- 6.94 vs $211.34 +/- 18.66, mean +/- SEM). The worksite health system cost was significantly more expensive ($197.36 +/- 4.99 vs $129.33 +/- 13.34, p less than 0.001) but the patient cost was significantly less ($45.40 +/- 3.23 vs $82.00 +/- 6.20, p less than 0.01). The mean reduction in diastolic blood pressure (BP) at the year-end assessment was significantly greater in the worksite group (12.1 +/- 0.6 vs 6.5 +/- 0.6 mm Hg, p less than 0.001). The incremental cost-effectiveness ratio of $5.63 per mm Hg for worksite care was less than the base cost-effectiveness ratio of $32.51 per mm Hg for regular care, indicating that the worksite program was substantially more cost-effective. Our findings support health policies that favor allocating resources to work-based hypertension treatment programs for the target group identified in this study. PMID:6783519

  7. The Negative Effect of School-Average Ability on Science Self-Concept in the UK, the UK Countries and the World: The Big-Fish-Little-Pond-Effect for PISA 2006

    ERIC Educational Resources Information Center

    Nagengast, Benjamin; Marsh, Herbert W.

    2011-01-01

    Research on the relation between students' achievement (ACH) and their academic self-concept (ASC) has consistently shown a Big-Fish-Little-Pond-Effect (BFLPE); ASC is positively affected by individual ACH, but negatively affected by school-average ACH. Surprisingly, however, there are few good UK studies of the BFLPE and few anywhere in the world…

  8. Assessment of the effects of CT dose in averaged x-ray CT images of a dose-sensitive polymer gel

    NASA Astrophysics Data System (ADS)

    Kairn, T.; Kakakhel, M. B.; Johnston, H.; Jirasek, A.; Trapp, J. V.

    2015-01-01

    The signal-to-noise ratio achievable in x-ray computed tomography (CT) images of polymer gels can be increased by averaging over multiple scans of each sample. However, repeated scanning delivers a small additional dose to the gel which may compromise the accuracy of the dose measurement. In this study, a NIPAM-based polymer gel was irradiated and then CT scanned 25 times, with the resulting data used to derive an averaged image and a "zero-scan" image of the gel. Comparison between these two results and the first scan of the gel showed that the averaged and zero-scan images provided better contrast, higher contrast-to- noise and higher signal-to-noise than the initial scan. The pixel values (Hounsfield units, HU) in the averaged image were not noticeably elevated, compared to the zero-scan result and the gradients used in the linear extrapolation of the zero-scan images were small and symmetrically distributed around zero. These results indicate that the averaged image was not artificially lightened by the small, additional dose delivered during CT scanning. This work demonstrates the broader usefulness of the zero-scan method as a means to verify the dosimetric accuracy of gel images derived from averaged x-ray CT data.

  9. Effect of mastication and other mechanical treatments on fuel structure in chaparral

    USGS Publications Warehouse

    Brennan, Teresa J.; Keeley, Jon E.

    2015-01-01

    Mechanical fuel treatments are a common pre-fire strategy for reducing wildfire hazard that alters fuel structure by converting live canopy fuels to a compacted layer of dead surface fuels. Current knowledge concerning their effectiveness, however, comes primarily from forest-dominated ecosystems. Our objectives were to quantify and compare changes in shrub-dominated chaparral following crushing, mastication, re-mastication and mastication-plus-burning treatments, and to assess treatment longevity. Results from analysis of variance (ANOVA) identified significant differences in all fuel components by treatment type, vegetation type and time since treatment. Live woody fuel components of height, cover and mass were positively correlated with time since treatment, whereas downed woody fuel components were negatively correlated. Herbaceous fuels, conversely, were not correlated, and exhibited a 5-fold increase in cover across treatment types in comparison to controls. Average live woody fuel recovery was 50% across all treatment and vegetation types. Differences in recovery between time-since-treatment years 1–8 ranged from 32–65% and exhibited significant positive correlations with time since treatment. These results suggest that treatment effectiveness is short term due to the rapid regrowth of shrubs in these systems and is compromised by the substantial increase in herbaceous fuels. Consequences of not having a full understanding of these treatments are serious and leave concern for their widespread use on chaparral-dominated landscapes.

  10. The effect of respiratory motion variability and tumor size on the accuracy of average intensity projection from four-dimensional computed tomography: an investigation based on dynamic MRI.

    PubMed

    Cai, Jing; Read, Paul W; Sheng, Ke

    2008-11-01

    Composite images such as average intensity projection (AIP) and maximum intensity projection (MIP) derived from four-dimensional computed tomography (4D-CT) images are commonly used in radiation therapy for treating lung and abdominal tumors. It has been reported that the quality of 4D-CT images is influenced by the patient respiratory variability, which can be assessed by the standard deviation of the peak and valley of the respiratory trajectory. Subsequently, the resultant MIP underestimates the actual tumor motion extent. As a more general application, AIP comprises not only the tumor motion extent but also the probability that the tumor is present. AIP generated from 4D-CT can also be affected by the respiratory variability. To quantitate the accuracy of AIP and develop clinically relevant parameters for determining suitability of the 4D-CT study for AIP-based treatment planning, real time sagittal dynamic magnetic resonance imaging (dMRI) was used as the basis for generating simulated 4D-CT. Five-minute MRI scans were performed on seven healthy volunteers and eight lung tumor patients. In addition, images of circular phantoms with diameter 1, 3, or 5 cm were generated by software to simulate lung tumors. Motion patterns determined by dMRI images were reproduced by the software generated phantoms. Resorted dMRI using a 4D-CT acquisition method (RedCAM) based on phantom or patient images was reconstructed by simulating the imaging rebinning processes. AIP images and the corresponding color intensity projection (CIP) images were reconstructed from RedCAM and the full set of dMRI for comparison. AIP similarity indicated by the Dice index between RedCAM and dMRI was calculated and correlated with respiratory variability (v) and tumor size (s). The similarity of percentile intrafractional motion target area (IMTA), defined by the area that the tumor presented for a given percentage of time, and MIP-to-percentile IMTA similarity as a function of percentile were also

  11. Making and breaking the sediment record - characterising effects of tsunamis, storms and average conditions on dune erosion and recovery: a forward modelling exploration.

    NASA Astrophysics Data System (ADS)

    Roelvink, Dano; Costas, Susana

    2015-04-01

    Geological records contain a wealth of information about accretionary episodes in the life of a coastal profile, such as age and type of the deposits and circumstances during which the accretion took place; of erosional events mainly the final limit of the erosion and circumstances under which the erosion took place can be estimated. To obtain a more complete picture of the events shaping the sedimentary record and transport processes involved, process-based modelling can be a useful tool (e.g. Apotsos et al., 2011). However, application of such modelling to different types of events remains a challenge. In our presentation we intend to show examples of the effects of different events on the stratigraphic record and to discuss the challenges related to the modelling of each of these types of events. The test site chosen is the Costa da Caparica, south of Lisbon, Portugal. The stratigraphic record and progradation rates of the coastal were obtained combining geophysical (Ground Penetrating Radar) and dating (Optically Stimulating Luminescence) techniques, which document very recent ages for the preserved coastal barrier. Within the record, we focus on a period around the big tsunami of 1755, during which the shoreline experienced a long-term prograding trend with evidence of severe erosion events. Rather than trying to exactly reproduce the stratigraphy observed here, we will carry out exploratory simulations to create 'building blocks' of stratigraphy related to the different types of events, which we can loosely compare with observations reported in Rebelo et al. (2013). The model applied for all simulations is XBeach (Roelvink et al., 2009), which is used in three different modes (no short waves, time-varying wave action balance, stationary wave action balance, respectively) to accommodate the impact of tsunamis, storms, and average conditions; for the latter we include the dune and associated processes in a simplified aeolian transport and response model. In all

  12. Curative effects of head γ-SRT for the treatment of functional pituitary macroadenoma

    PubMed Central

    Lian, Wei; Wang, Ren Zhi; Xing, Bing; Yao, Yong

    2016-01-01

    The aim of the study was to examine the curative effects and proper radiotherapy plan of head γ-stereotactic radiotherapy (γ-SRT) for the treatment of functional pituitary macroadenoma. Clinical samples of 30 patients that underwent γ-SRT (radiotherapy group) and 26 patients that underwent pituitary adenoma resection via single nasal-sphenoidal approach (surgery group) were analyzed retrospectively and their curative effects were compared. The results showed that in the radiotherapy group, 12 cases accepted single fraction irradiation, with an average maximum diameter of tumor body of 1.8±0.6 cm, average volume of 0.6±0.4 cm3, average dose of the central point of 52.6±18.7 Gy, average dose of the peripheral point of 24.7±10.2 mGy, and isodose curve of 50–70%. The remaining 18 cases accepted multiple fraction irradiation, with an average irradiation of 3.7±1.6 times, maximum average diameter of tumor body of 4.3±1.8 cm, average volume of 4.8±2.7 cm3, average dose of the central point of 24.6±12.5 Gy, average dose of the peripheral point of 13.6±7.4 mGy, and isodose curve of 50–70%. Following treatment, the tumor volumes of patients in the radiotherapy group that received single and multiple irradiation were significantly reduced and the visual acuity and visual field were improved (p<0.05). The two groups were followed up for an average of 3.8 years, and the follow-up results showed that differences of the two groups on the tumor control, mortality and hypopituitarism rates were not statistically significant (p>0.05). In addition, the incidence of complications of the radiotherapy group was significantly decreased as compared to that of the surgery group (p<0.05). In conclusion, γ-SRT was safe and effective for the treatment of functional pituitary adenomas. Its curative effects were equivalent to that of the microscopic single nasal-sphenoidal approach with fewer complications. PMID:27446365

  13. The effectiveness of group treatment for female adult incest survivors.

    PubMed

    Brown, Donalee; Reyes, Sonia; Brown, Brienne; Gonzenbach, Meredith

    2013-01-01

    Very few clinicians receive training in the treatment of sexual abuse, yet during their careers many will encounter victims of sexual abuse. This article discusses the incidence of child sexual abuse, defines incest, and discusses treatment options. A review of group treatment is explored, with results being documented providing support for the effectiveness of the group treatment process.

  14. Effects of restricted rotations and dynamic averaging on the calculated isotropic hyperfine coupling constants of the bis-dimethyl and bis-Di(trifluoromethyl) nitroxide radicals.

    PubMed

    Mattar, Saba M; Sanford, Jacob

    2009-10-22

    The rotational effects of the CH(3) and CF(3) groups on the electronic structure and nuclear hyperfine coupling constants (HFCCs) in dimethylnitroxide (DMNO*) and ditrifluoro-methynitroxide (TFMNO*) are investigated using the UB1LYP hybrid density functional method. The CH(3) and CF(3) HFCCs of both radicals are found to obey the McConnell relation during rotation. The two CH(3) groups of the DMNO* do not gear with each other, but the rotation of the first CH(3) group induces only a small rocking effect ( approximately 7 degrees ) in the second group. However, in TFMNO*, the fluorine atoms from different CF(3) groups are close enough so that the steric repulsion between them causes them to act as two interlocked gears, where one drives the other. Therefore, both CF(3) groups undergo full rotation. To the best of our knowledge, this is only the second example of "gearing" to be studied. Stabilization due to hyperconjugation is also a major factor that affects the magnitudes of the HFCCs of the CF(3) groups during rotational averaging. Stable configurations at specific CF(3) group orientations have a large overlap with the NO pi-electron cloud because the lobes of the hybridized p(sigma)(F(2)), p(sigma)(F(3)), p(sigma)(F(5)), and p(sigma)(F(6)) orbitals along the F-C bonds have cylindrical symmetry and are of the correct phases for hyperconjugation to occur. The calculated TFMNO* C(1)-N and C(2)-N bond orders range from 0.91 to 0.95 as the CF(3) groups are rotated. Therefore, the C-N bonds are essentially single bonds. This, in conjunction with the low rotational energy barrier of approximately 50 cm(-1), explains why the EPR intensities of the (19)F hyperfine splittings, in the range of 163-297 K, are characteristic of six equivalent rapidly rotating fluorine atoms. The TFMNO* out-of-plane NO vibrations induce additional s character at the (14)N nucleus. This increases the magnitude of the (14)N HFCC and decreases the (19)F HFCCs. As the temperature increases and

  15. Effects of Restricted Rotations and Dynamic Averaging on the Calculated Isotropic Hyperfine Coupling Constants of the bis-Dimethyl and bis-Di(trifluoromethyl) Nitroxide Radicals

    NASA Astrophysics Data System (ADS)

    Mattar, Saba M.; Sanford, Jacob

    2009-09-01

    The rotational effects of the CH3 and CF3 groups on the electronic structure and nuclear hyperfine coupling constants (HFCCs) in dimethylnitroxide (DMNO·) and ditrifluoro-methynitroxide (TFMNO·) are investigated using the UB1LYP hybrid density functional method. The CH3 and CF3 HFCCs of both radicals are found to obey the McConnell relation during rotation. The two CH3 groups of the DMNO· do not gear with each other, but the rotation of the first CH3 group induces only a small rocking effect (˜7°) in the second group. However, in TFMNO·, the fluorine atoms from different CF3 groups are close enough so that the steric repulsion between them causes them to act as two interlocked gears, where one drives the other. Therefore, both CF3 groups undergo full rotation. To the best of our knowledge, this is only the second example of "gearing" to be studied. Stabilization due to hyperconjugation is also a major factor that affects the magnitudes of the HFCCs of the CF3 groups during rotational averaging. Stable configurations at specific CF3 group orientations have a large overlap with the NO π-electron cloud because the lobes of the hybridized pσ(F2), pσ(F3), pσ(F5), and pσ(F6) orbitals along the F-C bonds have cylindrical symmetry and are of the correct phases for hyperconjugation to occur. The calculated TFMNO· C1-N and C2-N bond orders range from 0.91 to 0.95 as the CF3 groups are rotated. Therefore, the C-N bonds are essentially single bonds. This, in conjunction with the low rotational energy barrier of approximately 50 cm-1, explains why the EPR intensities of the 19F hyperfine splittings, in the range of 163-297 K, are characteristic of six equivalent rapidly rotating fluorine atoms. The TFMNO· out-of-plane NO vibrations induce additional s character at the 14N nucleus. This increases the magnitude of the 14N HFCC and decreases the 19F HFCCs. As the temperature increases and because of mixing of the first excited out-of-plane vibrational state, the NO

  16. Understanding Treatment Effect Terminology in Pain and Symptom Management Research.

    PubMed

    Garrido, Melissa M; Dowd, Bryan; Hebert, Paul L; Maciejewski, Matthew L

    2016-09-01

    Within health services and medical research, there is a wide variety of terminology related to treatment effects. Understanding differences in types of treatment effects is especially important in pain and symptom management research where nonexperimental and quasiexperimental observational data analysis is common. We use the example of a palliative care consultation team leader considering implementation of a medication reconciliation program and a care-coordination intervention reported in the literature to illustrate population-level and conditional treatment effects and to highlight the sensitivity of values of treatment effects to sample selection and treatment assignment. Our goal is to facilitate appropriate reporting and interpretation of study results and to help investigators understand what information a decision maker needs when deciding whether to implement a treatment. Greater awareness of the reasons why treatment effects may differ across studies of the same patients in the same treatment settings can help policy makers and clinicians understand to whom a study's results may be generalized.

  17. 21 CFR 1240.10 - Effective bactericidal treatment.

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... 21 Food and Drugs 8 2013-04-01 2013-04-01 false Effective bactericidal treatment. 1240.10 Section... DISEASES General Provisions § 1240.10 Effective bactericidal treatment. Whenever, under the provisions of this part, bactericidal treatment is required, it shall be accomplished by one or more of the...

  18. 21 CFR 1240.10 - Effective bactericidal treatment.

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... 21 Food and Drugs 8 2014-04-01 2014-04-01 false Effective bactericidal treatment. 1240.10 Section... DISEASES General Provisions § 1240.10 Effective bactericidal treatment. Whenever, under the provisions of this part, bactericidal treatment is required, it shall be accomplished by one or more of the...

  19. 21 CFR 1240.10 - Effective bactericidal treatment.

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... 21 Food and Drugs 8 2012-04-01 2012-04-01 false Effective bactericidal treatment. 1240.10 Section... DISEASES General Provisions § 1240.10 Effective bactericidal treatment. Whenever, under the provisions of this part, bactericidal treatment is required, it shall be accomplished by one or more of the...

  20. Safe and effective treatment of seborrheic dermatitis.

    PubMed

    Elewski, Boni E

    2009-06-01

    Seborrheic dermatitis is a common chronic inflammatory skin disorder that can vary in presentation from mild dandruff to dense, diffuse, adherent scale. The disorder occurs throughout the world without racial or geographic predominance; it is more common in males than females. Its precise etiology remains unknown, but the condition is strongly associated with lipophilic Malassezia yeasts found among the normal skin flora and represents a cofactor linked to several risk factors, including T-cell depression, increased sebum levels, and activation of the alternative complement pathway. The goal of treatment is symptom control, with an emphasis on the importance of maintaining patient adherence to therapy to achieve low rates of recurrence. Available therapies include corticosteroids, antifungal agents, immunomodulators, and medicated keratolytic shampoos. Although corticosteroids are associated with recurrence, they sometimes may be recommended in combination with antifungal agents. Antifungal therapy is considered primary, but some agents are more effective than others because of their favorable pharmacokinetic profiles, high rates of absorption, anti-inflammatory and antipruritic properties, and vehicle. PMID:19681345

  1. Treatment strategy: Role of enfuvirtide in managing treatment-limiting side effects.

    PubMed

    Tsoukas, Christos

    2007-01-01

    Side effects can limit the options available to physicians for the treatment of HIV infection. Management of these side effects is essential, to avoid cessation of treatment. The entry inhibitor enfuvirtide can be useful as one of three active agents in an HIV treatment regimen as a way to both reduce treatment-limiting side effects and provide an efficacious agent for viral control. In the present case, the patient had a problematic and lengthy treatment history, with numerous concomitant conditions. His latest regimen, which includes an agent in a new drug class (enfuvirtide), has maintained HIV suppression while minimizing toxicity.

  2. Flexible time domain averaging technique

    NASA Astrophysics Data System (ADS)

    Zhao, Ming; Lin, Jing; Lei, Yaguo; Wang, Xiufeng

    2013-09-01

    Time domain averaging(TDA) is essentially a comb filter, it cannot extract the specified harmonics which may be caused by some faults, such as gear eccentric. Meanwhile, TDA always suffers from period cutting error(PCE) to different extent. Several improved TDA methods have been proposed, however they cannot completely eliminate the waveform reconstruction error caused by PCE. In order to overcome the shortcomings of conventional methods, a flexible time domain averaging(FTDA) technique is established, which adapts to the analyzed signal through adjusting each harmonic of the comb filter. In this technique, the explicit form of FTDA is first constructed by frequency domain sampling. Subsequently, chirp Z-transform(CZT) is employed in the algorithm of FTDA, which can improve the calculating efficiency significantly. Since the signal is reconstructed in the continuous time domain, there is no PCE in the FTDA. To validate the effectiveness of FTDA in the signal de-noising, interpolation and harmonic reconstruction, a simulated multi-components periodic signal that corrupted by noise is processed by FTDA. The simulation results show that the FTDA is capable of recovering the periodic components from the background noise effectively. Moreover, it can improve the signal-to-noise ratio by 7.9 dB compared with conventional ones. Experiments are also carried out on gearbox test rigs with chipped tooth and eccentricity gear, respectively. It is shown that the FTDA can identify the direction and severity of the eccentricity gear, and further enhances the amplitudes of impulses by 35%. The proposed technique not only solves the problem of PCE, but also provides a useful tool for the fault symptom extraction of rotating machinery.

  3. The effects of sweep numbers per average and protocol type on the accuracy of the p300-based concealed information test.

    PubMed

    Dietrich, Ariana B; Hu, Xiaoqing; Rosenfeld, J Peter

    2014-03-01

    In the first of two experiments, we compared the accuracy of the P300 concealed information test protocol as a function of numbers of trials experienced by subjects and ERP averages analyzed by investigators. Contrary to Farwell et al. (Cogn Neurodyn 6(2):115-154, 2012), we found no evidence that 100 trial based averages are more accurate than 66 or 33 trial based averages (all numbers led to accuracies of 84-94 %). There was actually a trend favoring the lowest trial numbers. The second study compared numbers of irrelevant stimuli recalled and recognized in the 3-stimulus protocol versus the complex trial protocol (Rosenfeld in Memory detection: theory and application of the concealed information test, Cambridge University Press, New York, pp 63-89, 2011). Again, in contrast to expectations from Farwell et al. (Cogn Neurodyn 6(2):115-154, 2012), there were no differences between protocols, although there were more irrelevant stimuli recognized than recalled, and irrelevant 4-digit number group stimuli were neither recalled nor recognized as well as irrelevant city name stimuli. We therefore conclude that stimulus processing in the P300-based complex trial protocol-with no more than 33 sweep averages-is adequate to allow accurate detection of concealed information. PMID:24531833

  4. The effects of sweep numbers per average and protocol type on the accuracy of the p300-based concealed information test.

    PubMed

    Dietrich, Ariana B; Hu, Xiaoqing; Rosenfeld, J Peter

    2014-03-01

    In the first of two experiments, we compared the accuracy of the P300 concealed information test protocol as a function of numbers of trials experienced by subjects and ERP averages analyzed by investigators. Contrary to Farwell et al. (Cogn Neurodyn 6(2):115-154, 2012), we found no evidence that 100 trial based averages are more accurate than 66 or 33 trial based averages (all numbers led to accuracies of 84-94 %). There was actually a trend favoring the lowest trial numbers. The second study compared numbers of irrelevant stimuli recalled and recognized in the 3-stimulus protocol versus the complex trial protocol (Rosenfeld in Memory detection: theory and application of the concealed information test, Cambridge University Press, New York, pp 63-89, 2011). Again, in contrast to expectations from Farwell et al. (Cogn Neurodyn 6(2):115-154, 2012), there were no differences between protocols, although there were more irrelevant stimuli recognized than recalled, and irrelevant 4-digit number group stimuli were neither recalled nor recognized as well as irrelevant city name stimuli. We therefore conclude that stimulus processing in the P300-based complex trial protocol-with no more than 33 sweep averages-is adequate to allow accurate detection of concealed information.

  5. Nilotinib Effective and Safe in Initial Treatment of CML

    Cancer.gov

    Preliminary results from a phase III trial testing nilotinib (Tasigna) against imatinib mesylate (Gleevec) as first-line treatment for chronic-phase chronic myelogenous leukemia (CML) indicate that nilotinib is effective and safe as initial treatment for

  6. Comparing Methods of Evaluating Treatment Effects.

    ERIC Educational Resources Information Center

    Powell, Richard

    This paper examines four common measures of treatment outcomes--ethical standards, statistical analysis, standards of care, and social validation--and explores the inherent problems associated with each. Ethical standards may assure the public that only reasoned professional approaches are used, but the ethical treatment of patients does not mean…

  7. The effectiveness of vocational services for substance users in treatment.

    PubMed

    Magura, Stephen; Staines, Graham L; Blankertz, Laura; Madison, Elizabeth M

    2004-01-01

    Employment appears frequently in the literature as an outcome criterion for substance users in treatment, and most clinicians subscribe to the belief that work plays an important role in recovery from addiction. Despite the importance attached to employment, the major standard treatment modalities have not been shown as effective in increasing client employment after treatment. The article presents a critical review and synthesis of three decades of research on the effectiveness of specialized vocational intervention for addiction treatment clients.

  8. Modeling the effect of unsteady flows on the time average flow field of a blade row embedded in an axial flow multistage turbomachine

    NASA Technical Reports Server (NTRS)

    Adamczyk, John J.

    1996-01-01

    The role of unsteady flow processes in establishing the performance of axial flow turbomachinery was investigated. The development of the flow model, as defined by the time average flow equations associated with the passage of the blade row embedded in a multistage configuration, is presented. The mechanisms for unsteady momentum and energy transport is outlined. The modeling of the unsteady momentum and energy transport are discussed. The procedure for simulating unsteady multistage turbomachinery flows is described.

  9. Effective Correctional Treatment: Bibliotherapy for Cynics.

    ERIC Educational Resources Information Center

    Gendreau, Paul; Ross, Bob

    1979-01-01

    Presents recent evidence, obtained from a review of the literature on correctional treatment published since 1973, appealing the verdict that correctional rehabilitation is ineffective. There are several types of intervention programs that have proved successful with offender populations. (Author)

  10. Spatial limitations in averaging social cues

    PubMed Central

    Florey, Joseph; Clifford, Colin W. G.; Dakin, Steven; Mareschal, Isabelle

    2016-01-01

    The direction of social attention from groups provides stronger cueing than from an individual. It has previously been shown that both basic visual features such as size or orientation and more complex features such as face emotion and identity can be averaged across multiple elements. Here we used an equivalent noise procedure to compare observers’ ability to average social cues with their averaging of a non-social cue. Estimates of observers’ internal noise (uncertainty associated with processing any individual) and sample-size (the effective number of gaze-directions pooled) were derived by fitting equivalent noise functions to discrimination thresholds. We also used reverse correlation analysis to estimate the spatial distribution of samples used by participants. Averaging of head-rotation and cone-rotation was less noisy and more efficient than averaging of gaze direction, though presenting only the eye region of faces at a larger size improved gaze averaging performance. The reverse correlation analysis revealed greater sampling areas for head rotation compared to gaze. We attribute these differences in averaging between gaze and head cues to poorer visual processing of faces in the periphery. The similarity between head and cone averaging are examined within the framework of a general mechanism for averaging of object rotation. PMID:27573589

  11. Spatial limitations in averaging social cues.

    PubMed

    Florey, Joseph; Clifford, Colin W G; Dakin, Steven; Mareschal, Isabelle

    2016-01-01

    The direction of social attention from groups provides stronger cueing than from an individual. It has previously been shown that both basic visual features such as size or orientation and more complex features such as face emotion and identity can be averaged across multiple elements. Here we used an equivalent noise procedure to compare observers' ability to average social cues with their averaging of a non-social cue. Estimates of observers' internal noise (uncertainty associated with processing any individual) and sample-size (the effective number of gaze-directions pooled) were derived by fitting equivalent noise functions to discrimination thresholds. We also used reverse correlation analysis to estimate the spatial distribution of samples used by participants. Averaging of head-rotation and cone-rotation was less noisy and more efficient than averaging of gaze direction, though presenting only the eye region of faces at a larger size improved gaze averaging performance. The reverse correlation analysis revealed greater sampling areas for head rotation compared to gaze. We attribute these differences in averaging between gaze and head cues to poorer visual processing of faces in the periphery. The similarity between head and cone averaging are examined within the framework of a general mechanism for averaging of object rotation. PMID:27573589

  12. The Effectiveness of the Treatment Readiness and Induction Program (TRIP) for Improving During-Treatment Outcomes.

    PubMed

    Knight, Danica K; Joe, George W; Crawley, Rachel D; Becan, Jennifer E; Dansereau, Donald F; Flynn, Patrick M

    2016-03-01

    Treatment engagement is a primary pathway to change. Because motivation consistently predicts engagement and sustained recovery following treatment, targeted efforts at improving problem recognition (i.e., a significant ingredient in motivation) during early weeks of treatment are critical. The purpose of this study is to compare the effectiveness of Standard Operating Practice (SOP) versus SOP plus an 8-session Treatment Readiness and Induction Program (TRIP; delivered in the first weeks of treatment) on cognitive indicators and treatment engagement among youth in 5 residential substance use treatment settings. Structural Equation Modeling (SEM) documented higher problem recognition, decision making, and treatment engagement (participation, satisfaction, counselor rapport) among youth receiving TRIP (compared to SOP only), even when controlling for background characteristics such as age, race-ethnicity, gender, baseline drug use severity, etc. Findings suggest that TRIP is an effective induction tool that directly impacts targeted constructs (i.e., problem recognition, decision making), and also directly affects indicators of engagement.

  13. Initial Conditions in the Averaging Cognitive Model

    ERIC Educational Resources Information Center

    Noventa, S.; Massidda, D.; Vidotto, G.

    2010-01-01

    The initial state parameters s[subscript 0] and w[subscript 0] are intricate issues of the averaging cognitive models in Information Integration Theory. Usually they are defined as a measure of prior information (Anderson, 1981; 1982) but there are no general rules to deal with them. In fact, there is no agreement as to their treatment except in…

  14. Effect on performance of weanling alpacas following treatments against gastro-intestinal parasites.

    PubMed

    Thomas, Susan M; Morgan, Eric R

    2013-11-15

    Nematodes and coccidia are common parasites of alpacas (Vicugna pacos), and important causes of disease in this increasingly popular livestock species. Endoparasitic infestation is thought to increase at times of natural or imposed stress, and antiparasitic treatments are often administered, although to date there is little evidence regarding their effect. Thirty-one alpaca juvenilles (cria) were divided into four groups at weaning, and received either no treatment as a control (C), fenbendazole anthelmintic (FB), toltrazuril coccidiostat (T), or both treatments (FBT). Body weights and faecal egg/oocyst counts were recorded weekly for six weeks following treatment. Although the prophylactic treatments decreased faecal egg/oocyst counts of the target organisms in the short term, there was no significant difference in egg/oocyst output over the course of the trial from animals given wormer, coccidiostat or both treatments. The group receiving anthelmintic only showed a significant reduction in live weight gain (LWG), with no significant difference in LWG between the other groups. At the conclusion of the trial, 'wormed only' alpacas weighed 3.3% less than at weaning, losing an average 1.3 kg over six weeks, whereas average LWG in the control group was 2.5 kg. Antiparasitics transiently reduced egg/oocyst output but results suggest that further investigation is required on the action of anthelmintics administered to alpaca cria at weaning and their effect on animal health and welfare.

  15. Steady and Unsteady Flow Effects of Circumferential Grooves Casing Treatment in a Transonic Compressor Rotor

    NASA Technical Reports Server (NTRS)

    Hah, Chunill

    2011-01-01

    The current paper reports on an investigation of steady and unsteady flow effects of circumferential grooves casing treatment in a transonic compressor rotor. Circumferential grooves casing treatment is used mainly to increase stall margin in axial compressors with a relatively small decrease in aerodynamic efficiency. It is widely believed that flow mechanisms of circumferential grooves casing treatment near stall conditions are not yet well understood even though this treatment has been used widely in real engines. Numerical analysis based on steady Reynolds-averaged Navier-Stokes (RANS) has been the primary tool used to understand flow mechanism for circumferential grooves casing treatment. Although steady RANS explains some flow effects of circumferential grooves casing treatment, it does not calculate all the measured changes in the compressor characteristics. Therefore, design optimization of circumferential grooves with steady RANS has not been very successful. As a compressor operates toward the stall condition, the flow field becomes transient. Major sources of self-generated flow unsteadiness are shock oscillation and interaction between the passage shock and the tip leakage vortex. In the present paper, an unsteady Reynolds-averaged Navier-Stokes (URANS) approach is applied to study the effects of circumferential grooves in a transonic compressor. The results from URANS are compared with the results from RANS and measured data. The current investigation shows that there are significant unsteady flow effects on the performance of the circumferential grooves casing treatment. For the currently investigated rotor, the unsteady effects are of the same magnitude as the steady effects in terms of extending the compressor stall margin.

  16. Effects of Behavioral and Pharmacological Treatment on Smokeless Tobacco Users.

    ERIC Educational Resources Information Center

    Hatsukami, Dorothy; And Others

    1996-01-01

    Examined the effects of 2 mg of nicotine polacrilex versus placebo gum and a group behavioral treatment versus minimal contact on cessation of smokeless tobacco use. Participants (n=210) were randomly assigned 1 of the 4 treatment conditions. Withdrawal symptoms were assessed throughout the treatment. Discusses findings. (KW)

  17. Nonparametric Bounds and Sensitivity Analysis of Treatment Effects

    PubMed Central

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

    2015-01-01

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

  18. Tract shape modeling detects changes associated with preterm birth and neuroprotective treatment effects

    PubMed Central

    Anblagan, Devasuda; Bastin, Mark E.; Sparrow, Sarah; Piyasena, Chinthika; Pataky, Rozalia; Moore, Emma J.; Serag, Ahmed; Wilkinson, Alastair Graham; Clayden, Jonathan D.; Semple, Scott I.; Boardman, James P.

    2015-01-01

    Preterm birth is associated with altered connectivity of neural circuits. We developed a tract segmentation method that provides measures of tract shape and integrity (probabilistic neighborhood tractography, PNT) from diffusion MRI (dMRI) data to test the hypotheses: 1) preterm birth is associated with alterations in tract topology (R), and tract-averaged mean diffusivity (〈D〉) and fractional anisotropy (FA); 2) neural systems are separable based on tract-averaged dMRI parameters; and 3) PNT can detect neuroprotective treatment effects. dMRI data were collected from 87 preterm infants (mean gestational age 29+1 weeks, range 23+2 –34+6) at term equivalent age and 24 controls (mean gestational age 39+6 weeks). PNT was used to segment eight major fasciculi, characterize topology, and extract tract-averaged 〈D〉 and FA. Tract topology was altered by preterm birth in all tracts except the splenium (p < 0.05, false discovery rate [FDR] corrected). After adjustment for age at scan, tract-averaged 〈D〉 was increased in the genu and splenium, right corticospinal tract (CST) and the left and right inferior longitudinal fasciculi (ILF) in preterm infants compared with controls (p < 0.05, FDR), while tract-averaged FA was decreased in the splenium and left ILF (p < 0.05, FDR). Specific fasciculi were separable based on tract-averaged 〈D〉 and FA values. There was a modest decrease in tract-averaged 〈D〉 in the splenium of preterm infants who had been exposed to antenatal MgSO4 for neuroprotection (p = 0.002). Tract topology is a biomarker of preterm brain injury. The data provide proof of concept that tract-averaged dMRI parameters have utility for evaluating tissue effects of perinatal neuroprotective strategies. PMID:26106527

  19. Averaging Internal Consistency Reliability Coefficients

    ERIC Educational Resources Information Center

    Feldt, Leonard S.; Charter, Richard A.

    2006-01-01

    Seven approaches to averaging reliability coefficients are presented. Each approach starts with a unique definition of the concept of "average," and no approach is more correct than the others. Six of the approaches are applicable to internal consistency coefficients. The seventh approach is specific to alternate-forms coefficients. Although the…

  20. Safety and effectiveness of Lithostar shock tube C in the treatment of urinary calculi.

    PubMed

    Elabbady, A; Mathes, G; Morehouse, D D; Honey, J; Pahira, J; Zeman, R; Paquin, J M; Faucher, R; Elhilali, M M

    1995-06-01

    Over 14 years of clinical use of extracorporeal shockwave lithotripsy (SWL), great technical modifications resulted in the development of many second-generation lipthotripters. The Siemens Lithostar machine, with its standard shockwave tube, was introduced in 1986. The objective of this study was to assess the safety and effectiveness of the newly proposed Lithostar shock tube C in the treatment of urinary calculi. Between July 1992 and August 1993, 319 patients (214 males and 105 females, average 49.7 years) with 433 renal or ureteral stones or both were treated at five centers in Canada and the United States. Most of the stones (72%) were located in the kidneys, while 28% were located in the ureters. Most (81%) of the treated sides (side = kidney and ureter) presented with single stones, 11% presented with two stones, and 8% presented with three or more stones. The average stone burden was 13.6 mm. The average duration of treatment for the whole population of patients was 39.3 minutes using an average number of shockwaves of 3633 in a minimum and maximum energy setting of 0.11 and 3.82, respectively. The majority of treatments (92%) were performed without anesthesia. Fragmentation was achieved in 93.5% of treatments, with a 3-month stone-free rate of 62.5% and a success rate (stone free or fragment < 5 mm) of 72%. Auxiliary procedures were necessary in conjunction with 108 treatments, and most of them were in form of catheter/stent placement. Treatment applied on a separate occasion to different stones but in the same collecting system (either a kidney or a ureter) were considered retreatments.(ABSTRACT TRUNCATED AT 250 WORDS)

  1. The Hubble rate in averaged cosmology

    SciTech Connect

    Umeh, Obinna; Larena, Julien; Clarkson, Chris E-mail: julien.larena@gmail.com

    2011-03-01

    The calculation of the averaged Hubble expansion rate in an averaged perturbed Friedmann-Lemaître-Robertson-Walker cosmology leads to small corrections to the background value of the expansion rate, which could be important for measuring the Hubble constant from local observations. It also predicts an intrinsic variance associated with the finite scale of any measurement of H{sub 0}, the Hubble rate today. Both the mean Hubble rate and its variance depend on both the definition of the Hubble rate and the spatial surface on which the average is performed. We quantitatively study different definitions of the averaged Hubble rate encountered in the literature by consistently calculating the backreaction effect at second order in perturbation theory, and compare the results. We employ for the first time a recently developed gauge-invariant definition of an averaged scalar. We also discuss the variance of the Hubble rate for the different definitions.

  2. The Average of Rates and the Average Rate.

    ERIC Educational Resources Information Center

    Lindstrom, Peter

    1988-01-01

    Defines arithmetic, harmonic, and weighted harmonic means, and discusses their properties. Describes the application of these properties in problems involving fuel economy estimates and average rates of motion. Gives example problems and solutions. (CW)

  3. Dynamic Multiscale Averaging (DMA) of Turbulent Flow

    SciTech Connect

    Richard W. Johnson

    2012-09-01

    A new approach called dynamic multiscale averaging (DMA) for computing the effects of turbulent flow is described. The new method encompasses multiple applications of temporal and spatial averaging, that is, multiscale operations. Initially, a direct numerical simulation (DNS) is performed for a relatively short time; it is envisioned that this short time should be long enough to capture several fluctuating time periods of the smallest scales. The flow field variables are subject to running time averaging during the DNS. After the relatively short time, the time-averaged variables are volume averaged onto a coarser grid. Both time and volume averaging of the describing equations generate correlations in the averaged equations. These correlations are computed from the flow field and added as source terms to the computation on the next coarser mesh. They represent coupling between the two adjacent scales. Since they are computed directly from first principles, there is no modeling involved. However, there is approximation involved in the coupling correlations as the flow field has been computed for only a relatively short time. After the time and spatial averaging operations are applied at a given stage, new computations are performed on the next coarser mesh using a larger time step. The process continues until the coarsest scale needed is reached. New correlations are created for each averaging procedure. The number of averaging operations needed is expected to be problem dependent. The new DMA approach is applied to a relatively low Reynolds number flow in a square duct segment. Time-averaged stream-wise velocity and vorticity contours from the DMA approach appear to be very similar to a full DNS for a similar flow reported in the literature. Expected symmetry for the final results is produced for the DMA method. The results obtained indicate that DMA holds significant potential in being able to accurately compute turbulent flow without modeling for practical

  4. Personality and Treatment Effectiveness in Anorexia Nervosa.

    ERIC Educational Resources Information Center

    Skoog, Dagna K.; And Others

    1984-01-01

    Compared pre- and posttreatment Minnesota Multiphasic Personality Inventory profiles of female inpatients (N=12) with anorexia nervosa. Results showed change after treatment, and found that pretreatment profiles obtained at a different hospital were remarkably similar, which suggests a common constellation of personality characteristics in…

  5. Effect of delay time and grid voltage changes on the average molecular mass of polydisperse polymers and polymeric blends determined by delayed extraction matrix-assisted laser desorption/ionization time-of-flight mass spectrometry.

    PubMed

    Mineo, Placido; Vitalini, Daniele; Scamporrino, Emilio; Bazzano, Sebastiano; Alicata, Rossana

    2005-01-01

    The dependence of the calculated average molecular mass of a polyethylene glycol with a large polydispersity on the instrumental parameters adopted in the acquisition of mass spectra using delayed extraction matrix-assisted laser desorption/ionization time-of-flight mass spectrometry (DE MALDI-TOFMS) was investigated. It has been shown that a combined effect of delay times and potential gradients can act on the ion cloud in the source chamber affecting both mass resolution and average molecular mass value of the analyzed polymeric sample. Also examined was a blend of two different polymers (a PEG and a PMMA commercial sample having a similar average molecular mass), which presents an additional problem concerning the discrimination among the different polymer species as a function of the experimental conditions. In this work, the best instrumental conditions to obtain both good resolution and a correct average molecular mass for the examined polydisperse sample are reported. PMID:16134231

  6. Making treatment effect inferences from multiple-baseline data: the utility of multilevel modeling approaches.

    PubMed

    Ferron, John M; Bell, Bethany A; Hess, Melinda R; Rendina-Gobioff, Gianna; Hibbard, Susan T

    2009-05-01

    Multiple-baseline studies are prevalent in behavioral research, but questions remain about how to best analyze the resulting data. Monte Carlo methods were used to examine the utility of multilevel models for multiple-baseline data under conditions that varied in the number of participants, number of repeated observations per participant, variance in baseline levels, variance in treatment effects, and amount of autocorrelation in the Level 1 errors. Interval estimates of the average treatment effect were examined for two specifications of the Level 1 error structure (sigma(2)I and first-order autoregressive) and for five different methods of estimating the degrees of freedom (containment, residual, between-within, Satterthwaite, and Kenward-Roger). When the Satterthwaite or Kenward-Roger method was used and an autoregressive Level 1 error structure was specified, the interval estimates of the average treatment effect were relatively accurate. Conversely, the interval estimates of the treatment effect variance were inaccurate, and the corresponding point estimates were biased. PMID:19363177

  7. Light propagation in the averaged universe

    SciTech Connect

    Bagheri, Samae; Schwarz, Dominik J. E-mail: dschwarz@physik.uni-bielefeld.de

    2014-10-01

    Cosmic structures determine how light propagates through the Universe and consequently must be taken into account in the interpretation of observations. In the standard cosmological model at the largest scales, such structures are either ignored or treated as small perturbations to an isotropic and homogeneous Universe. This isotropic and homogeneous model is commonly assumed to emerge from some averaging process at the largest scales. We assume that there exists an averaging procedure that preserves the causal structure of space-time. Based on that assumption, we study the effects of averaging the geometry of space-time and derive an averaged version of the null geodesic equation of motion. For the averaged geometry we then assume a flat Friedmann-Lemaître (FL) model and find that light propagation in this averaged FL model is not given by null geodesics of that model, but rather by a modified light propagation equation that contains an effective Hubble expansion rate, which differs from the Hubble rate of the averaged space-time.

  8. Effect of variation of average pore size and specific surface area of ZnO electrode (WE) on efficiency of dye-sensitized solar cells

    PubMed Central

    2014-01-01

    Mesoporous ZnO nanoparticles have been synthesized with tremendous increase in specific surface area of up to 578 m2/g which was 5.54 m2/g in previous reports (J. Phys. Chem. C 113:14676-14680, 2009). Different mesoporous ZnO nanoparticles with average pore sizes ranging from 7.22 to 13.43 nm and specific surface area ranging from 50.41 to 578 m2/g were prepared through the sol-gel method via a simple evaporation-induced self-assembly process. The hydrolysis rate of zinc acetate was varied using different concentrations of sodium hydroxide. Morphology, crystallinity, porosity, and J-V characteristics of the materials have been studied using transmission electron microscopy (TEM), X-ray diffraction (XRD), BET nitrogen adsorption/desorption, and Keithley instruments. PMID:25339855

  9. Nearest Neighbor Averaging and its Effect on the Critical Level and Minimum Detectable Concentration for Scanning Radiological Survey Instruments that Perform Facility Release Surveys.

    SciTech Connect

    Fournier, Sean Donovan; Beall, Patrick S; Miller, Mark L

    2014-08-01

    Through the SNL New Mexico Small Business Assistance (NMSBA) program, several Sandia engineers worked with the Environmental Restoration Group (ERG) Inc. to verify and validate a novel algorithm used to determine the scanning Critical Level (L c ) and Minimum Detectable Concentration (MDC) (or Minimum Detectable Areal Activity) for the 102F scanning system. Through the use of Monte Carlo statistical simulations the algorithm mathematically demonstrates accuracy in determining the L c and MDC when a nearest-neighbor averaging (NNA) technique was used. To empirically validate this approach, SNL prepared several spiked sources and ran a test with the ERG 102F instrument on a bare concrete floor known to have no radiological contamination other than background naturally occurring radioactive material (NORM). The tests conclude that the NNA technique increases the sensitivity (decreases the L c and MDC) for high-density data maps that are obtained by scanning radiological survey instruments.

  10. Preliminary observations on the effects of vector-averaged gravity on the embryonic and larval development of the gastropod mollusk, Ilyanassa obsoleta Stimpson

    NASA Technical Reports Server (NTRS)

    Conrad, G. W.; Stephens, A. P.; Conrad, A. H.; Spooner, B. S. (Principal Investigator)

    1993-01-01

    Fertilized eggs of Ilyanassa obsoleta Stimpson were collected immediately after their deposition in egg capsules. Unopened egg capsules then were affixed to glass slides, and incubated either statically (controls) or on a clinostat (experimentals). After incubation for 9-14 days, hatching occurred sooner and in a higher percentage of clinostated capsules than in controls. Embryos that hatched while undergoing clinostat incubation were abnormal in morphology, whereas other embryos present in non-hatched capsules in the same tubes appeared normal, as did embryos in the control tubes. Although the results are compatible with a conclusion that vector-averaged gravity in the experimental tubes caused the altered development, some other aspects of how the incubations were done may have contributed to the differences between the control and experimental results.

  11. Invisalign: current guidelines for effective treatment.

    PubMed

    Kuncio, Daniel A

    2014-03-01

    Invisalign is an increasingly popular technique for aligning teeth and correcting malocclusions orthodontically. This article analyzes the current professional literature published on Invisalign and the benefits and risks of using the technique for both patients and doctors. The steady increase in the number of cases treated with Invisalign and where the technique is going in the future is investigated. Ten guidelines for Invisalign treatment and patient selection are given, along with case examples.

  12. Asymmetric inhibitory treatment effects in multilingual aphasia

    PubMed Central

    Goral, Mira; Naghibolhosseini, Maryam; Conner, Peggy

    2014-01-01

    Findings from recent psycholinguistic studies of bilingual processing support the hypothesis that both languages of a bilingual are always active and that bilinguals continually engage in processes of language selection. This view aligns with the convergence hypothesis of bilingual language representation (Abutalebi & Green, 2008). Furthermore, it is hypothesized that when bilinguals perform a task in one language they need to inhibit their other, non-target language(s) (e.g., Costa, Miozzo, & Caramazza, 1999) and that stronger inhibition is required when the task is performed in the weaker language than in the stronger one (e.g., Costa & Santesteban, 2004). The study of multilingual individuals who acquire aphasia resulting from a focal brain lesion offers a unique opportunity to test the convergence hypothesis and the inhibition asymmetry. We report on a trilingual person with chronic non-fluent aphasia who at the time of testing demonstrated greater impairment in her first acquired language (Persian) than in her third, later-learned language (English). She received treatment in English followed by treatment in Persian. An examination of her connected language production revealed improvement in her grammatical skills in each language following intervention in that language, but decreased grammatical accuracy in English following treatment in Persian. The increased error rate was evident in structures that are not shared by the two languages (e.g., use of auxiliary verbs). The results support the prediction that greater inhibition is applied to the stronger language than to the weaker language, regardless of their age of acquisition. We interpret the findings as consistent with convergence theories that posit overlapping neuronal representation and simultaneous activation of multiple languages, and with proficiency-dependent asymmetric inhibition in multilinguals. PMID:24499302

  13. Asymmetric inhibitory treatment effects in multilingual aphasia.

    PubMed

    Goral, Mira; Naghibolhosseini, Maryam; Conner, Peggy S

    2013-01-01

    Findings from recent psycholinguistic studies of bilingual processing support the hypothesis that both languages of a bilingual are always active and that bilinguals continually engage in processes of language selection. This view aligns with the convergence hypothesis of bilingual language representation. Furthermore, it is hypothesized that when bilinguals perform a task in one language they need to inhibit their other, nontarget language(s) and that stronger inhibition is required when the task is performed in the weaker language than in the stronger one. The study of multilingual individuals who acquire aphasia resulting from a focal brain lesion offers a unique opportunity to test the convergence hypothesis and the inhibition asymmetry. We report on a trilingual person with chronic nonfluent aphasia who at the time of testing demonstrated greater impairment in her first acquired language (Persian) than in her third, later learned language (English). She received treatment in English followed by treatment in Persian. An examination of her connected language production revealed improvement in her grammatical skills in each language following intervention in that language, but decreased grammatical accuracy in English following treatment in Persian. The increased error rate was evident in structures that are used differently in the two languages (e.g., auxiliary verbs). The results support the prediction that greater inhibition is applied to the stronger language than to the weaker language, regardless of their age of acquisition. We interpret the findings as consistent with convergence theories that posit overlapping neuronal representation and simultaneous activation of multiple languages and with proficiency-dependent asymmetric inhibition in multilinguals.

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

    PubMed

    van der Put, Claudia E; Asscher, Jessica J; Stams, Geert Jan J M; van der Laan, Peter H; Breuk, Rene; Jongman, Erik; Doreleijers, Theo

    2013-09-01

    The aim of this study was to examine the effect of treatment characteristics on recidivism in a forensic youth-psychiatric outpatient clinic. The treatment offered comprised functional family therapy (FFT), individual cognitive behavioural therapy (CBT), or CBT in combination with parent training. Some of the youth additionally participated in aggression replacement training (ART). FFT and ART were implemented as a trial version, meaning that most therapists had not received formal training yet. Treatment characteristics related to recidivism were length of treatment, type of treatment, number of sessions, and the therapist. The longer the period of treatment and the greater the number of sessions, the higher the recidivism, even after controlling for risk of recidivism based on static risk factors. Juveniles who participated in ART reoffended more often than juveniles who had not participated in such training. Given the fact that FFT and ART were not well-implemented trial versions, it can be concluded that poorly implemented treatment leads to poor outcomes.

  15. Between-centre differences and treatment effects in randomized controlled trials: A case study in traumatic brain injury

    PubMed Central

    2011-01-01

    Background In Traumatic Brain Injury (TBI), large between-centre differences in outcome exist and many clinicians believe that such differences influence estimation of the treatment effect in randomized controlled trial (RCTs). The aim of this study was to assess the influence of between-centre differences in outcome on the estimated treatment effect in a large RCT in TBI. Methods We used data from the MRC CRASH trial on the efficacy of corticosteroid infusion in patients with TBI. We analyzed the effect of the treatment on 14 day mortality with fixed effect logistic regression. Next we used random effects logistic regression with a random intercept to estimate the treatment effect taking into account between-centre differences in outcome. Between-centre differences in outcome were expressed with a 95% range of odds ratios (OR) for centres compared to the average, based on the variance of the random effects (tau2). A random effects logistic regression model with random slopes was used to allow the treatment effect to vary by centre. The variation in treatment effect between the centres was expressed in a 95% range of the estimated treatment ORs. Results In 9978 patients from 237 centres, 14-day mortality was 19.5%. Mortality was higher in the treatment group (OR = 1.22, p = 0.00010). Using a random effects model showed large between-centre differences in outcome (95% range of centre effects: 0.27- 3.71), but did not substantially change the estimated treatment effect (OR = 1.24, p = 0.00003). There was limited, although statistically significant, between-centre variation in the treatment effect (OR = 1.22, 95% treatment OR range: 1.17-1.26). Conclusion Large between-centre differences in outcome do not necessarily affect the estimated treatment effect in RCTs, in contrast to current beliefs in the clinical area of TBI. PMID:21867540

  16. Common Language Effect Size for Multiple Treatment Comparisons

    ERIC Educational Resources Information Center

    Liu, Xiaofeng Steven

    2015-01-01

    Researchers who need to explain treatment effects to laypeople can translate Cohen's effect size (standardized mean difference) to a common language effect size--a probability of a random observation from one population being larger than a random observation from the other population. This common language effect size can be extended to represent…

  17. A depth-averaged debris-flow model that includes the effects of evolving dilatancy: II. Numerical predictions and experimental tests.

    USGS Publications Warehouse

    George, David L.; Iverson, Richard M.

    2014-01-01

    We evaluate a new depth-averaged mathematical model that is designed to simulate all stages of debris-flow motion, from initiation to deposition. A companion paper shows how the model’s five governing equations describe simultaneous evolution of flow thickness, solid volume fraction, basal pore-fluid pressure, and two components of flow momentum. Each equation contains a source term that represents the influence of state-dependent granular dilatancy. Here we recapitulate the equations and analyze their eigenstructure to show that they form a hyperbolic system with desirable stability properties. To solve the equations we use a shock-capturing numerical scheme with adaptive mesh refinement, implemented in an open-source software package we call D-Claw. As tests of D-Claw, we compare model output with results from two sets of large-scale debris-flow experiments. One set focuses on flow initiation from landslides triggered by rising pore-water pressures, and the other focuses on downstream flow dynamics, runout, and deposition. D-Claw performs well in predicting evolution of flow speeds, thicknesses, and basal pore-fluid pressures measured in each type of experiment. Computational results illustrate the critical role of dilatancy in linking coevolution of the solid volume fraction and pore-fluid pressure, which mediates basal Coulomb friction and thereby regulates debris-flow dynamics.

  18. Determining GPS average performance metrics

    NASA Technical Reports Server (NTRS)

    Moore, G. V.

    1995-01-01

    Analytic and semi-analytic methods are used to show that users of the GPS constellation can expect performance variations based on their location. Specifically, performance is shown to be a function of both altitude and latitude. These results stem from the fact that the GPS constellation is itself non-uniform. For example, GPS satellites are over four times as likely to be directly over Tierra del Fuego than over Hawaii or Singapore. Inevitable performance variations due to user location occur for ground, sea, air and space GPS users. These performance variations can be studied in an average relative sense. A semi-analytic tool which symmetrically allocates GPS satellite latitude belt dwell times among longitude points is used to compute average performance metrics. These metrics include average number of GPS vehicles visible, relative average accuracies in the radial, intrack and crosstrack (or radial, north/south, east/west) directions, and relative average PDOP or GDOP. The tool can be quickly changed to incorporate various user antenna obscuration models and various GPS constellation designs. Among other applications, tool results can be used in studies to: predict locations and geometries of best/worst case performance, design GPS constellations, determine optimal user antenna location and understand performance trends among various users.

  19. A pharmacokinetic/viral kinetic model to evaluate the treatment effectiveness of danoprevir against chronic HCV

    DOE PAGES

    Canini, Laetitia; Chatterjee, Anushree; Guedj, Jeremie; Lemenuel-Diot, Annabelle; Brennan, Barbara; Smith, Patrick F.; Perelson, Alan S.

    2014-10-16

    Background—Viral kinetic models have proven useful to characterize treatment effectiveness during HCV therapy with interferon (IFN) or with direct acting antivirals (DAAs). Methods—We use a pharmacokinetic/viral kinetic (PK/VK) model to describe HCV RNA kinetics during treatment with danoprevir, a protease inhibitor. In a phase 1 study, danoprevir monotherapy was administered for 14 days in ascending doses ranging from 200 to 600 mg per day to 40 patients of whom 32 were treatment-naïve and 8 were non-responders to prior PEG-IFN-α/ribavirin treatment. Results—In most patients, a biphasic decline of HCV RNA during therapy was observed. A two-compartment PK model and a VKmore » model that considered treatment effectiveness to vary with the predicted danoprevir concentration inside the second compartment provided a good fit to the viral load data. A time-varying effectiveness model was also used to fit the viral load data. We found the antiviral effectiveness increased in a dose-dependent manner, with a 14-day time-averaged effectiveness of 0.95 at the lowest dose (100 mg bid) and 0.99 at the highest dose (200 mg tid). Prior IFN non-responders exhibited a 14-day time-averaged effectiveness of 0.98 (300 mg bid). Finally, the second phase decline showed two different behaviors, with 30% of patients exhibiting a rapid decline of HCV RNA, comparable to that seen with other protease inhibitors (>0.3 d-1), whereas the viral decline was slower in the other patients. Conclusions—Our results are consistent with the modest SVR rates from the INFORM-SVR study where patients were treated with a combination of mericitabine and ritonavir-boosted danoprevir.« less

  20. A pharmacokinetic/viral kinetic model to evaluate the treatment effectiveness of danoprevir against chronic HCV

    SciTech Connect

    Canini, Laetitia; Chatterjee, Anushree; Guedj, Jeremie; Lemenuel-Diot, Annabelle; Brennan, Barbara; Smith, Patrick F.; Perelson, Alan S.

    2014-10-16

    Background—Viral kinetic models have proven useful to characterize treatment effectiveness during HCV therapy with interferon (IFN) or with direct acting antivirals (DAAs). Methods—We use a pharmacokinetic/viral kinetic (PK/VK) model to describe HCV RNA kinetics during treatment with danoprevir, a protease inhibitor. In a phase 1 study, danoprevir monotherapy was administered for 14 days in ascending doses ranging from 200 to 600 mg per day to 40 patients of whom 32 were treatment-naïve and 8 were non-responders to prior PEG-IFN-α/ribavirin treatment. Results—In most patients, a biphasic decline of HCV RNA during therapy was observed. A two-compartment PK model and a VK model that considered treatment effectiveness to vary with the predicted danoprevir concentration inside the second compartment provided a good fit to the viral load data. A time-varying effectiveness model was also used to fit the viral load data. We found the antiviral effectiveness increased in a dose-dependent manner, with a 14-day time-averaged effectiveness of 0.95 at the lowest dose (100 mg bid) and 0.99 at the highest dose (200 mg tid). Prior IFN non-responders exhibited a 14-day time-averaged effectiveness of 0.98 (300 mg bid). Finally, the second phase decline showed two different behaviors, with 30% of patients exhibiting a rapid decline of HCV RNA, comparable to that seen with other protease inhibitors (>0.3 d-1), whereas the viral decline was slower in the other patients. Conclusions—Our results are consistent with the modest SVR rates from the INFORM-SVR study where patients were treated with a combination of mericitabine and ritonavir-boosted danoprevir.

  1. Differential Effects on Student Demographic Groups of Using ACT® College Readiness Assessment Composite Score, Act Benchmarks, and High School Grade Point Average for Predicting Long-Term College Success through Degree Completion. ACT Research Report Series, 2013 (5)

    ERIC Educational Resources Information Center

    Radunzel, Justine; Noble, Julie

    2013-01-01

    In this study, we evaluated the differential effects on racial/ethnic, family income, and gender groups of using ACT® College Readiness Assessment Composite score and high school grade point average (HSGPA) for predicting long-term college success. Outcomes included annual progress towards a degree (based on cumulative credit-bearing hours…

  2. Fibromyalgia syndrome in need of effective treatments.

    PubMed

    Theoharides, Theoharis C; Tsilioni, Irene; Arbetman, Lauren; Panagiotidou, Smaro; Stewart, Julia M; Gleason, Rae M; Russell, Irwin J

    2015-11-01

    Fibromyalgia syndrome (FMS) is a chronic, idiopathic condition of widespread musculoskeletal pain, affecting primarily women. It is clinically characterized by chronic, nonarticular pain and a heightened response to pressure along with sleep disturbances, fatigue, bowel and bladder abnormalities, and cognitive dysfunction. The diagnostic criteria have changed repeatedly, and there is neither a definitive pathogenesis nor reliable diagnostic or prognostic biomarkers. Clinical and laboratory studies have provided evidence of altered central pain pathways. Recent evidence suggests the involvement of neuroinflammation with stress peptides triggering the release of neurosenzitizing mediators. The management of FMS requires a multidimensional approach including patient education, behavioral therapy, exercise, and pain management. Here we review recent data on the pathogenesis and propose new directions for research and treatment. PMID:26306765

  3. Total pressure averaging in pulsating flows

    NASA Technical Reports Server (NTRS)

    Krause, L. N.; Dudzinski, T. J.; Johnson, R. C.

    1972-01-01

    A number of total-pressure tubes were tested in a non-steady flow generator in which the fraction of period that pressure is a maximum is approximately 0.8, thereby simulating turbomachine-type flow conditions. Most of the tubes indicated a pressure which was higher than the true average. Organ-pipe resonance which further increased the indicated pressure was encountered within the tubes at discrete frequencies. There was no obvious combination of tube diameter, length, and/or geometry variation used in the tests which resulted in negligible averaging error. A pneumatic-type probe was found to measure true average pressure, and is suggested as a comparison instrument to determine whether nonlinear averaging effects are serious in unknown pulsation profiles. The experiments were performed at a pressure level of 1 bar, for Mach number up to near 1, and frequencies up to 3 kHz.

  4. Effects of Respiration-Averaged Computed Tomography on Positron Emission Tomography/Computed Tomography Quantification and its Potential Impact on Gross Tumor Volume Delineation

    SciTech Connect

    Chi, Pai-Chun Melinda; Mawlawi, Osama; Luo Dershan; Liao Zhongxing; Macapinlac, Homer A.; Pan Tinsu

    2008-07-01

    Purpose: Patient respiratory motion can cause image artifacts in positron emission tomography (PET) from PET/computed tomography (CT) and change the quantification of PET for thoracic patients. In this study, respiration-averaged CT (ACT) was used to remove the artifacts, and the changes in standardized uptake value (SUV) and gross tumor volume (GTV) were quantified. Methods and Materials: We incorporated the ACT acquisition in a PET/CT session for 216 lung patients, generating two PET/CT data sets for each patient. The first data set (PET{sub HCT}/HCT) contained the clinical PET/CT in which PET was attenuation corrected with a helical CT (HCT). The second data set (PET{sub ACT}/ACT) contained the PET/CT in which PET was corrected with ACT. We quantified the differences between the two datasets in image alignment, maximum SUV (SUV{sub max}), and GTV contours. Results: Of the patients, 68% demonstrated respiratory artifacts in the PET{sub HCT}, and for all patients the artifact was removed or reduced in the corresponding PET{sub ACT}. The impact of respiration artifact was the worst for lesions less than 50 cm{sup 3} and located below the dome of the diaphragm. For lesions in this group, the mean SUV{sub max} difference, GTV volume change, shift in GTV centroid location, and concordance index were 21%, 154%, 2.4 mm, and 0.61, respectively. Conclusion: This study benchmarked the differences between the PET data with and without artifacts. It is important to pay attention to the potential existence of these artifacts during GTV contouring, as such artifacts may increase the uncertainties in the lesion volume and the centroid location.

  5. Effects of chemical treatments on fresh-cut papaya.

    PubMed

    Albertini, Silvana; Lai Reyes, Andrés Enrique; Trigo, Juliana Moreno; Sarriés, Gabriel Adrián; Spoto, Marta Helena Fillet

    2016-01-01

    Four treatments (control, 0.1% cinnamaldehyde, 0.75% calcium chloride and combination of 0.1% cinnamaldehyde and 0.75% calcium chloride) were used to evaluate chemical effects on shelf life, quality and sensory acceptability of fresh-cut papaya (Carica papaya L.). Papaya slices were packed and covered with polypropylene film, stored at 5 °C; and evaluated after 1, 3, 6, 9, 12, and 15 days for microbiological and physicochemical changes. A sensory evaluation was performed at 1, 3, 6, 9, and 12 days. There was no occurrence of Salmonella, Escherichia coli or psychotropic bacteria. The cinnamaldehyde alone and a combination of cinnamaldehyde and calcium chloride treatments yielded better control of the total coliforms. The combination treatment decreased the CO2 concentration and increased the maintenance of papaya firmness. All the treatments had acceptability. The combination treatment was the most effective treatment for flavor, taste, and preservation until day 12.

  6. Effects of chemical treatments on fresh-cut papaya.

    PubMed

    Albertini, Silvana; Lai Reyes, Andrés Enrique; Trigo, Juliana Moreno; Sarriés, Gabriel Adrián; Spoto, Marta Helena Fillet

    2016-01-01

    Four treatments (control, 0.1% cinnamaldehyde, 0.75% calcium chloride and combination of 0.1% cinnamaldehyde and 0.75% calcium chloride) were used to evaluate chemical effects on shelf life, quality and sensory acceptability of fresh-cut papaya (Carica papaya L.). Papaya slices were packed and covered with polypropylene film, stored at 5 °C; and evaluated after 1, 3, 6, 9, 12, and 15 days for microbiological and physicochemical changes. A sensory evaluation was performed at 1, 3, 6, 9, and 12 days. There was no occurrence of Salmonella, Escherichia coli or psychotropic bacteria. The cinnamaldehyde alone and a combination of cinnamaldehyde and calcium chloride treatments yielded better control of the total coliforms. The combination treatment decreased the CO2 concentration and increased the maintenance of papaya firmness. All the treatments had acceptability. The combination treatment was the most effective treatment for flavor, taste, and preservation until day 12. PMID:26213093

  7. Effects of alkali treatments on Ag nanowire transparent conductive films

    NASA Astrophysics Data System (ADS)

    Kim, Sunho; Kang, Jun-gu; Eom, Tae-yil; Moon, Bongjin; Lee, Hoo-Jeong

    2016-06-01

    In this study, we employ various alkali materials (alkali metals with different base strengths, and ammonia gas and solution) to improve the conductivity of silver nanowire (Ag NW)-networked films. The alkali treatment appears to remove the surface oxide and improve the conductivity. When applied with TiO2 nanoparticles, the treatment appears more effective as the alkalis gather around wire junctions and help them weld to each other via heat emitted from the reduction reaction. The ammonia solution treatment is found to be quick and aggressive, damaging the wires severely in the case of excessive treatment. On the other hand, the ammonia gas treatment seems much less aggressive and does not damage the wires even after a long exposure. The results of this study highlight the effectiveness of the alkali treatment in improving of the conductivity of Ag NW-networked transparent conductive films.

  8. Vibrational averages along thermal lines

    NASA Astrophysics Data System (ADS)

    Monserrat, Bartomeu

    2016-01-01

    A method is proposed for the calculation of vibrational quantum and thermal expectation values of physical properties from first principles. Thermal lines are introduced: these are lines in configuration space parametrized by temperature, such that the value of any physical property along them is approximately equal to the vibrational average of that property. The number of sampling points needed to explore the vibrational phase space is reduced by up to an order of magnitude when the full vibrational density is replaced by thermal lines. Calculations of the vibrational averages of several properties and systems are reported, namely, the internal energy and the electronic band gap of diamond and silicon, and the chemical shielding tensor of L-alanine. Thermal lines pave the way for complex calculations of vibrational averages, including large systems and methods beyond semilocal density functional theory.

  9. Estimating restricted mean treatment effects with stacked survival models.

    PubMed

    Wey, Andrew; Vock, David M; Connett, John; Rudser, Kyle

    2016-08-30

    The difference in restricted mean survival times between two groups is a clinically relevant summary measure. With observational data, there may be imbalances in confounding variables between the two groups. One approach to account for such imbalances is estimating a covariate-adjusted restricted mean difference by modeling the covariate-adjusted survival distribution and then marginalizing over the covariate distribution. Because the estimator for the restricted mean difference is defined by the estimator for the covariate-adjusted survival distribution, it is natural to expect that a better estimator of the covariate-adjusted survival distribution is associated with a better estimator of the restricted mean difference. We therefore propose estimating restricted mean differences with stacked survival models. Stacked survival models estimate a weighted average of several survival models by minimizing predicted error. By including a range of parametric, semi-parametric, and non-parametric models, stacked survival models can robustly estimate a covariate-adjusted survival distribution and, therefore, the restricted mean treatment effect in a wide range of scenarios. We demonstrate through a simulation study that better performance of the covariate-adjusted survival distribution often leads to better mean squared error of the restricted mean difference although there are notable exceptions. In addition, we demonstrate that the proposed estimator can perform nearly as well as Cox regression when the proportional hazards assumption is satisfied and significantly better when proportional hazards is violated. Finally, the proposed estimator is illustrated with data from the United Network for Organ Sharing to evaluate post-lung transplant survival between large-volume and small-volume centers. Copyright © 2016 John Wiley & Sons, Ltd. PMID:26934835

  10. Effects of particle size and hydro-thermal treatment of feed on performance and stomach health in fattening pigs.

    PubMed

    Liermann, Wendy; Berk, Andreas; Böschen, Verena; Dänicke, Sven

    2015-01-01

    Effects of grinding and hydro-thermal treatment of feed on growth performance, slaughter traits, nutrient digestibility, stomach content and stomach health were examined by using 96 crossbred fattening pigs. Pigs were fed a grain-soybean meal-based diet processed by various technical treatments. Feeding groups differed in particle size after grinding (finely vs. coarsely ground feed) and hydro-thermal treatment (without hydro-thermal treatment, pelleting, expanding, expanding and pelleting). Fine grinding and hydro-thermal treatment showed significant improvements on the digestibility of crude nutrients and content of metabolisable energy. Hydro-thermal treatment influenced average daily gain (ADG) and average daily feed intake (DFI) significantly. Finely ground pelleted feed without expanding enhanced performances by increasing ADG and decreasing feed-to-gain ratio (FGR) of fattening pigs. Coarsely ground feed without hydro-thermal treatment resulted in the highest ADG and DFI, however also in the highest FGR. Expanded feed decreased DFI and ADG. Slaughter traits were not affected by treatments. Coarsely ground feed without hydro-thermal treatment had protective effects on the health of gastric pars nonglandularis, however, pelleting increased gastric lesions. Hydro-thermal treatment, especially expanding, resulted in clumping of stomach content which possibly induced satiety by slower ingesta passage rate and thus decreased feed intake. Pigs fed pelleted feed showed less pronounced development of clumps in stomach content compared with expanded feed. PMID:26426163

  11. Effects of particle size and hydro-thermal treatment of feed on performance and stomach health in fattening pigs.

    PubMed

    Liermann, Wendy; Berk, Andreas; Böschen, Verena; Dänicke, Sven

    2015-01-01

    Effects of grinding and hydro-thermal treatment of feed on growth performance, slaughter traits, nutrient digestibility, stomach content and stomach health were examined by using 96 crossbred fattening pigs. Pigs were fed a grain-soybean meal-based diet processed by various technical treatments. Feeding groups differed in particle size after grinding (finely vs. coarsely ground feed) and hydro-thermal treatment (without hydro-thermal treatment, pelleting, expanding, expanding and pelleting). Fine grinding and hydro-thermal treatment showed significant improvements on the digestibility of crude nutrients and content of metabolisable energy. Hydro-thermal treatment influenced average daily gain (ADG) and average daily feed intake (DFI) significantly. Finely ground pelleted feed without expanding enhanced performances by increasing ADG and decreasing feed-to-gain ratio (FGR) of fattening pigs. Coarsely ground feed without hydro-thermal treatment resulted in the highest ADG and DFI, however also in the highest FGR. Expanded feed decreased DFI and ADG. Slaughter traits were not affected by treatments. Coarsely ground feed without hydro-thermal treatment had protective effects on the health of gastric pars nonglandularis, however, pelleting increased gastric lesions. Hydro-thermal treatment, especially expanding, resulted in clumping of stomach content which possibly induced satiety by slower ingesta passage rate and thus decreased feed intake. Pigs fed pelleted feed showed less pronounced development of clumps in stomach content compared with expanded feed.

  12. Effect of Ultrasound on Sludge from Water Treatment Plant

    NASA Astrophysics Data System (ADS)

    Kim, Young U.; Ha, Junsoo; Yoon, Ki Yong; Lee, Seung-Hyun

    2004-10-01

    In this study, we investigated the effect of ultrasound on the reduction in the amount of heavy metals and the dewaterability of sludge from a water treatment plant. The investigation involved laboratory experiments, which were conducted under different conditions, including the energy levels of ultrasonic waves and treatment time. Results of the study show that ultrasound reduces the amount of heavy metals and enhances the dewaterability of sludge significantly. The degree of enhancement varies with ultrasonic energy and treatment time.

  13. Costs and water quality effects of wastewater treatment plant centralization

    SciTech Connect

    Macal, C.M.; Broomfield, B.J.

    1980-01-01

    The costs and water quality impacts of two regional configurations of municipal wastewater treatment plants in Northeastern Illinois are compared. In one configuration, several small treatment plants are consolidated into a smaller number of regional facilities. In the other, the smaller plants continue to operate. Costs for modifying the plants to obtain various levels of pollutant removal are estimated using a simulation model that considers the type of equipment existing at the plants and the costs of modifying that equipment to obtain a range of effluent levels for various pollutants. A dynamic water-quality/hydrology simulation model is used to determine the water quality effects of the various treatment technologies and pollutant levels. Cost and water quality data are combined and the cost-effectiveness of the two treatment configurations is compared. The regionalized treatment-plant configuration is found to be the more cost-effective.

  14. Psychotherapy: The Humanistic (and Effective) Treatment

    ERIC Educational Resources Information Center

    Wampold, Bruce E.

    2007-01-01

    Although it is well established that psychotherapy is remarkably effective, the change process in psychotherapy is not well understood. Psychotherapy is compared with medicine and cultural healing practices to argue that critical aspects of psychotherapy involve human processes that are used in religious, spiritual, and cultural healing practices.…

  15. Assessing and reporting heterogeneity in treatment effects in clinical trials: a proposal.

    PubMed

    Kent, David M; Rothwell, Peter M; Ioannidis, John P A; Altman, Doug G; Hayward, Rodney A

    2010-01-01

    Mounting evidence suggests that there is frequently considerable variation in the risk of the outcome of interest in clinical trial populations. These differences in risk will often cause clinically important heterogeneity in treatment effects (HTE) across the trial population, such that the balance between treatment risks and benefits may differ substantially between large identifiable patient subgroups; the "average" benefit observed in the summary result may even be non-representative of the treatment effect for a typical patient in the trial. Conventional subgroup analyses, which examine whether specific patient characteristics modify the effects of treatment, are usually unable to detect even large variations in treatment benefit (and harm) across risk groups because they do not account for the fact that patients have multiple characteristics simultaneously that affect the likelihood of treatment benefit. Based upon recent evidence on optimal statistical approaches to assessing HTE, we propose a framework that prioritizes the analysis and reporting of multivariate risk-based HTE and suggests that other subgroup analyses should be explicitly labeled either as primary subgroup analyses (well-motivated by prior evidence and intended to produce clinically actionable results) or secondary (exploratory) subgroup analyses (performed to inform future research). A standardized and transparent approach to HTE assessment and reporting could substantially improve clinical trial utility and interpretability. PMID:20704705

  16. Effective treatment for malignant mediastinal teratoma.

    PubMed

    Parker, D; Holford, C P; Begent, R H; Newlands, E S; Rustin, G J; Makey, A R; Bagshawe, K D

    1983-12-01

    Primary malignant mediastinal teratoma is a rare tumour previously regarded as inevitably fatal. In a series of eight male patients with a mean age of 24 years five remain alive and well. All patients showed raised serum concentrations of human chorionic gonadotrophin or alpha fetoprotein. The patients were treated with intermittent combination chemotherapy that included cisplatin. Six patients responded to chemotherapy with a fall in human chorionic gonadotrophin or alpha fetoprotein to near normal levels and they then had radical excision of the remaining tumour. Living malignant tumour was found in four of the specimens and these patients received postoperative chemotherapy. One patient died after eight months and the remaining five patients are alive and well 13-136 months after the start of treatment. The two patients who did not undergo surgery died at one month and 15 months. Intermittent combination chemotherapy and carefully timed radical excision of these tumours would appear to have produced better results than have been reported in other series.

  17. Effective treatment for malignant mediastinal teratoma.

    PubMed Central

    Parker, D; Holford, C P; Begent, R H; Newlands, E S; Rustin, G J; Makey, A R; Bagshawe, K D

    1983-01-01

    Primary malignant mediastinal teratoma is a rare tumour previously regarded as inevitably fatal. In a series of eight male patients with a mean age of 24 years five remain alive and well. All patients showed raised serum concentrations of human chorionic gonadotrophin or alpha fetoprotein. The patients were treated with intermittent combination chemotherapy that included cisplatin. Six patients responded to chemotherapy with a fall in human chorionic gonadotrophin or alpha fetoprotein to near normal levels and they then had radical excision of the remaining tumour. Living malignant tumour was found in four of the specimens and these patients received postoperative chemotherapy. One patient died after eight months and the remaining five patients are alive and well 13-136 months after the start of treatment. The two patients who did not undergo surgery died at one month and 15 months. Intermittent combination chemotherapy and carefully timed radical excision of these tumours would appear to have produced better results than have been reported in other series. Images PMID:6198739

  18. The Long Term Effects of Social Skills Training in Elevating Overall Academic Grade Point Average, School Attendance, Health Level, and Resistance to Drug Use and Peer Pressure.

    ERIC Educational Resources Information Center

    Richards, Nancy; Smith, Manuel J.

    Project STAR (Social Thinking and Reasoning Program) is a classroom-based social skills program for students in grades 5-8. To assess the long-term effectiveness of this program, students participated in the project (N=331) were compared with control students (N=191) during 1980-83. The hypothesis that there are significant differences in current…

  19. Neuroimaging in aphasia treatment research: standards for establishing the effects of treatment.

    PubMed

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

    2013-08-01

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

  20. Averaging of globally coupled oscillators

    NASA Astrophysics Data System (ADS)

    Swift, James W.; Strogatz, Steven H.; Wiesenfeld, Kurt

    1992-03-01

    We study a specific system of symmetrically coupled oscillators using the method of averaging. The equations describe a series array of Josephson junctions. We concentrate on the dynamics near the splay-phase state (also known as the antiphase state, ponies on a merry-go-round, or rotating wave). We calculate the Floquet exponents of the splay-phase periodic orbit in the weak-coupling limit, and find that all of the Floquet exponents are purely imaginary; in fact, all the Floquet exponents are zero except for a single complex conjugate pair. Thus, nested two-tori of doubly periodic solutions surround the splay-phase state in the linearized averaged equations. We numerically integrate the original system, and find startling agreement with the averaging results on two counts: The observed ratio of frequencies is very close to the prediction, and the solutions of the full equations appear to be either periodic or doubly periodic, as they are in the averaged equations. Such behavior is quite surprising from the point of view of generic dynamical systems theory-one expects higher-dimensional tori and chaotic solutions. We show that the functional form of the equations, and not just their symmetry, is responsible for this nongeneric behavior.

  1. Averaging inhomogeneous cosmologies - a dialogue.

    NASA Astrophysics Data System (ADS)

    Buchert, T.

    The averaging problem for inhomogeneous cosmologies is discussed in the form of a disputation between two cosmologists, one of them (RED) advocating the standard model, the other (GREEN) advancing some arguments against it. Technical explanations of these arguments as well as the conclusions of this debate are given by BLUE.

  2. Averaging inhomogenous cosmologies - a dialogue

    NASA Astrophysics Data System (ADS)

    Buchert, T.

    The averaging problem for inhomogeneous cosmologies is discussed in the form of a disputation between two cosmologists, one of them (RED) advocating the standard model, the other (GREEN) advancing some arguments against it. Technical explanations of these arguments as well as the conclusions of this debate are given by BLUE.

  3. Polyhedral Painting with Group Averaging

    ERIC Educational Resources Information Center

    Farris, Frank A.; Tsao, Ryan

    2016-01-01

    The technique of "group-averaging" produces colorings of a sphere that have the symmetries of various polyhedra. The concepts are accessible at the undergraduate level, without being well-known in typical courses on algebra or geometry. The material makes an excellent discovery project, especially for students with some background in…

  4. Reducing Aversion to Side Effects in Preventive Medical Treatment Decisions

    ERIC Educational Resources Information Center

    Waters, Erika A.; Weinstein, Neil D.; Colditz, Graham A.; Emmons, Karen M.

    2007-01-01

    Laypeople tend to be overly sensitive to side effects of treatments that prevent illness, possibly leading them to refuse beneficial therapies. This Internet-based study attempted to reduce such side effect aversion by adding graphic displays to the numerical risk probabilities. It also explored whether graphics reduce side effect aversion by…

  5. Hormonal effects on Tetrahymena: change in case of combined treatment.

    PubMed

    Csaba, G; Lajkó, Eszter; Pállinger, Eva

    2010-12-01

    In order to approach their natural conditions, populations of Tetrahymena were kept in Losina-Losinky's salt solution for 1 h, than in the tryptone+yeast medium. During this time they were treated with histamine, serotonin or insulin, or with the combinations of these hormones. Effect of the combined treatments on the production of serotonin (5HT), or adrenocorticotropic hormone (ACTH) or triiodothyronine (T₃) by the cells was compared to the effect of single-hormone treatments. Significant differences were seen between the results obtained following the single or combined treatments. There was no summation of the effects, however an elevation or diminution of the hormone production was observed after the combined treatment, as compared with the untreated controls or with the use of one of the hormones in the samples. The experiments demonstrate that there is a hormonal regulation between the Tetrahymena cells and the hormones influence each other's effect. PMID:21183424

  6. Cancer treatment: fertility and sexual side effects in women

    MedlinePlus

    Different types of cancer treatment can affect your sexuality and fertility in different ways. Surgery for cancer: ... Effects: What Women Can Do About Changes in Sexuality and Fertility. April 2007. www.cancer.gov/cancertopics/ ...

  7. The effective field theory treatment of quantum gravity

    SciTech Connect

    Donoghue, John F.

    2012-09-24

    This is a pedagogical introduction to the treatment of quantum general relativity as an effective field theory. It starts with an overview of the methods of effective field theory and includes an explicit example. Quantum general relativity matches this framework and I discuss gravitational examples as well as the limits of the effective field theory. I also discuss the insights from effective field theory on the gravitational effects on running couplings in the perturbative regime.

  8. Effect of fluctuations on time-averaged multi-line NO-LIF thermometry measurements of the gas-phase temperature

    NASA Astrophysics Data System (ADS)

    Feroughi, Omid M.; Kronemayer, Helmut; Dreier, Thomas; Schulz, Christof

    2015-09-01

    Multi-line NO laser-induced fluorescence (LIF) thermometry enables accurate gas-phase temperature imaging in combustion systems through least-squares fitting of excitation spectra. The required excitation wavelength scan takes several minutes which systematic biases the results in case of temperature fluctuations. In this work, the effect of various types (linear, Gaussian and bimodal) and amplitudes of temperature fluctuations is quantified based on simulated NO-LIF excitation spectra. Temperature fluctuations of less than ±5 % result in a negligible error of less than ±1 % in temperature for all cases. Bimodal temperature distributions have the largest effect on the determined temperature. Symmetric temperature fluctuations around 900 K have a negligible effect. At lower mean temperatures, fluctuations cause a positive bias leading to over-predicted mean temperatures, while at higher temperatures the bias is negative. The results of the theoretical analysis were applied as a guide for interpreting experimental multi-line NO-LIF temperature measurements in a mildly turbulent pilot-plant scale flame reactor dedicated for nanoparticle synthesis.

  9. Instrument to average 100 data sets

    NASA Technical Reports Server (NTRS)

    Tuma, G. B.; Birchenough, A. G.; Rice, W. J.

    1977-01-01

    An instrumentation system is currently under development which will measure many of the important parameters associated with the operation of an internal combustion engine. Some of these parameters include mass-fraction burn rate, ignition energy, and the indicated mean effective pressure. One of the characteristics of an internal combustion engine is the cycle-to-cycle variation of these parameters. A curve-averaging instrument has been produced which will generate the average curve, over 100 cycles, of any engine parameter. the average curve is described by 2048 discrete points which are displayed on an oscilloscope screen to facilitate recording and is available in real time. Input can be any parameter which is expressed as a + or - 10-volt signal. Operation of the curve-averaging instrument is defined between 100 and 6000 rpm. Provisions have also been made for averaging as many as four parameters simultaneously, with a subsequent decrease in resolution. This provides the means to correlate and perhaps interrelate the phenomena occurring in an internal combustion engine. This instrument has been used successfully on a 1975 Chevrolet V8 engine, and on a Continental 6-cylinder aircraft engine. While this instrument was designed for use on an internal combustion engine, with some modification it can be used to average any cyclically varying waveform.

  10. [Psychological effects of previous treatment experiences with neuroleptics].

    PubMed

    Bossert, S; Dose, M; Emrich, H M; Garcia, D; Junker, M; Raptis, K; Weber, M M

    1990-05-01

    Stable attitudes towards illness and treatment and a high compliance with a 5-week low dose neuroleptic treatment (with/without anticonvulsant adjuvant therapy) were observed in 18 inpatients with schizophrenic disorders (ICD-9, DSM-III-R). Patients having previously received neuroleptics showed more compliant attitudes and greater satisfaction with the treatment, and complained less often about side effects. Noncompliant attitudes were related to dissatisfaction with treatment and self-rated depressed mood. Results of this pilot study are discussed, considering methodological problems and possible therapeutic implications.

  11. Migraine treatment: a chain of adverse effects.

    PubMed

    Veloso, Tiago Sousa; Cambão, Mariana Seixas

    2015-01-01

    This clinical vignette presents a 14 years old female, with a past medical history relevant only for migraine with typical aura of less than monthly frequency, complaining of a severe unilateral headache with rising intensity for the previous 4 h, associated with nausea, vomiting, photophobia and phonophobia. This episode of migraine with aura in a patient with recurrent migraine was complicated by side effects of medical diagnostic and therapeutic procedures (extrapyramidal symptoms, delirium, post-lumbar puncture headache, hospital admission) all of which could have been prevented-quaternary prevention. This case illustrates several important messages in migraine management: (1) use of acetaminophen is not based in high-quality evidence and better options exist; (2) among youngsters, domperidone should be preferred over metoclopramide because it does not cross the blood-brain barrier; (3) moderate to severe migraine crisis can be managed with triptans in teenagers over 12 years old; (4) it is important to recognize adverse drug effects; (5) harmful consequences of medical interventions do occur; (6) the school community must be informed about chronic diseases of the young.

  12. Moving towards best practice when using inverse probability of treatment weighting (IPTW) using the propensity score to estimate causal treatment effects in observational studies.

    PubMed

    Austin, Peter C; Stuart, Elizabeth A

    2015-12-10

    The propensity score is defined as a subject's probability of treatment selection, conditional on observed baseline covariates. Weighting subjects by the inverse probability of treatment received creates a synthetic sample in which treatment assignment is independent of measured baseline covariates. Inverse probability of treatment weighting (IPTW) using the propensity score allows one to obtain unbiased estimates of average treatment effects. However, these estimates are only valid if there are no residual systematic differences in observed baseline characteristics between treated and control subjects in the sample weighted by the estimated inverse probability of treatment. We report on a systematic literature review, in which we found that the use of IPTW has increased rapidly in recent years, but that in the most recent year, a majority of studies did not formally examine whether weighting balanced measured covariates between treatment groups. We then proceed to describe a suite of quantitative and qualitative methods that allow one to assess whether measured baseline covariates are balanced between treatment groups in the weighted sample. The quantitative methods use the weighted standardized difference to compare means, prevalences, higher-order moments, and interactions. The qualitative methods employ graphical methods to compare the distribution of continuous baseline covariates between treated and control subjects in the weighted sample. Finally, we illustrate the application of these methods in an empirical case study. We propose a formal set of balance diagnostics that contribute towards an evolving concept of 'best practice' when using IPTW to estimate causal treatment effects using observational data. PMID:26238958

  13. Effect of heat treatment on viability of Taenia hydatigena eggs.

    PubMed

    Buttar, Birpal S; Nelson, Mark L; Busboom, Jan R; Hancock, Dale D; Walsh, Douglas B; Jasmer, Douglas P

    2013-04-01

    Effects of heat treatments on activation and infectivity of Taenia hydatigena eggs were assessed. Eggs containing oncospheres were used for in vitro and in vivo studies to determine the response to 5min of heat treatment, ranging from room temperature (22°C) to 60°C. The study demonstrated 99.47% and 100% reduction in oncosphere activation or infectivity after 5min of heat treatment at 60°C and 57.38°C under in vitro and in vivo conditions, respectively. Similar results between the two approaches indicted the appropriateness of the in vitro methods to identify oncosphericidal treatments of practical significance. Similar heat treatments may also be effective against Taenia saginata and help to reduce occurrence of beef cysticercosis.

  14. The effect of cancer treatment on cognitive function.

    PubMed

    Asher, Arash; Myers, Jamie S

    2015-07-01

    Cognitive dysfunction is an increasingly recognized complication of cancer and its treatment. Most research in this arena has found that a subset of patients appear to be vulnerable to this complication even after treatment has ended, and often have difficulties with multitasking, short-term memory, word-finding, attention, or concentration. The mechanisms underlying these cognitive changes are not fully elucidated but may include direct neurotoxic effects of therapy, oxidative damage, and genetic predisposition. Compelling evidence has accumulated for the role of immune dysregulation and neurotoxicity from inflammatory cytokines. A gold standard for subjective or objective assessment of cancer treatment-related cognitive changes has yet to be established. Current options to assess cognitive function include neuropsychological testing, functional neuroimaging, and subjective assessments. Pharmacologic treatment options for this clinical problem are modest and limited. Nonpharmacologic treatments, including cognitive rehabilitation programs, are an emerging area of research for the management of cancer treatment-related cognitive changes.

  15. Integrating Fasciolosis Control in the Dry Cow Management: The Effect of Closantel Treatment on Milk Production

    PubMed Central

    Charlier, Johannes; Hostens, Miel; Jacobs, Jos; Van Ranst, Bonny; Duchateau, Luc; Vercruysse, Jozef

    2012-01-01

    The liver fluke Fasciola hepatica is a parasite of ruminants with a worldwide distribution and an apparent increasing incidence in EU member states. Effective control in dairy cattle is hampered by the lack of flukicides with a zero-withdrawal time for milk, leaving the dry period as the only time that preventive treatment can be applied. Here, we present the results of a blinded, randomized and placebo-controlled trial on 11 dairy herds (402 animals) exposed to F. hepatica to 1) assess the effect of closantel treatment at dry-off (or 80–42 days before calving in first-calving heifers) on milk production parameters and 2) evaluate if a number of easy-to-use animal parameters is related to the milk production response after treatment. Closantel treatment resulted in a noticeable decrease of anti-F. hepatica antibody levels from 3–6 months after treatment onwards, a higher peak production (1.06 kg) and a slightly higher persistence (9%) of the lactation, resulting in a 305-day milk production increase of 303 kg. No effects of anthelmintic treatment were found on the average protein and fat content of the milk. Milk production responses after treatment were poor in meagre animals and clinically relevant higher milk production responses were observed in first-lactation animals and in cows with a high (0.3–0.5 optical density ratio (ODR)), but not a very high (≥0.5 ODR) F. hepatica ELISA result on a milk sample from the previous lactation. We conclude that in dairy herds exposed to F. hepatica, flukicide treatment at dry-off is a useful strategy to reduce levels of exposure and increase milk production in the subsequent lactation. Moreover, the results suggest that treatment approaches that only target selected animals within a herd can be developed based on easy-to-use parameters. PMID:22916226

  16. Cardiovascular aspects in acromegaly: effects of treatment.

    PubMed

    Lombardi, G; Colao, A; Ferone, D; Marzullo, P; Landi, M L; Longobardi, S; Iervolino, E; Cuocolo, A; Fazio, S; Merola, B; Sacca, L

    1996-08-01

    Patients with acromegaly have significant morbidity and mortality, associated with cardiovascular disease. Acromegaly is often complicated by other diseases such as diabetes mellitus, hypertension, and coronary artery disease, so the existence of acromegalic cardiomyopathy remains uncertain. Cardiac performance was investigated in patients with uncomplicated acromegaly. A subgroup of hypertensive acromegalics was also studied. In addition, the effects of chronic octreotide therapy or surgery on cardiac structure and function in acromegaly were studied. Twenty-six patients and 15 healthy controls underwent gated blood-pool cardiac scintigraphy and echocardiography at rest and during exercise. Echocardiography was repeated after 6 months of octreotide therapy (n = 11). Cardiac scintigraphy was repeated after 12 and 24 months of octreotide therapy (n = 10) or 12 to 24 months after surgery (n = 8). ECG, blood pressure, and heart rate were monitored during cardiac scintigraphy. Left ventricular mass (LVM) was calculated from the findings of the echocardiography. Serum growth hormone (GH) levels and plasma insulin-like growth factor-1 (IGF-1) levels were monitored. LVM index was significantly higher (P < .003) in acromegalics than controls and in hypertensive acromegalics than normotensives, but all other indices of cardiac function were similar. Chronic octreotide decreased GH and IGF-1 levels and improved the structural abnormalities as measured by echocardiography. Chronic octreotide or surgery did not alter cardiac function parameters. Thus, important changes in cardiac structure and function occur in uncomplicated acromegaly, and improvements can be demonstrated after chronic octreotide therapy. Heart disease in acromegaly appears to be secondary to high circulating GH levels.

  17. Effects of Decompression Treatment for Controlling the Powderpost Beetle, Lyctus africanus Lesne, (Coleoptera: Lyctinae)

    PubMed Central

    Nakai, Kazushi; Hiraku, Tatsuya; Fujimoto, Izumi; Yoshimura, Tsuyoshi

    2016-01-01

    The efficacy of decompression treatment as a non-destructive method to control larvae of the powderpost beetle, Lyctus africanus Lesne, was evaluated in the laboratory using various combinations of two pressure levels, 1.1 kPa and 40 kPa, and three temperature levels, 20, 25, and 40 °C. Larval mortality generally depended on weight reduction while decreases in the oxygen level had relatively little effect. The lower pressure, 1.1 kPa, significantly affected mortality, and no larvae survived after 12 h of this pressure treatment, at 25 °C. The average body weight was reduced with treatment time and temperature, and the reduction rate at 25 °C was higher than that at the lower temperature, 20 °C. Effects on larvae of the higher pressure treatment, 40 kPa, with a CO2 gas purge, were tested to determine the feasibility of decompression treatment in the manufacturing process. Although higher pressure resulted in low mortality, the body weight was dramatically decreased using the CO2 purge. These results present important information on the possibility of using decompression treatment for wood products. PMID:27429007

  18. Effects of Decompression Treatment for Controlling the Powderpost Beetle, Lyctus africanus Lesne, (Coleoptera: Lyctinae).

    PubMed

    Nakai, Kazushi; Hiraku, Tatsuya; Fujimoto, Izumi; Yoshimura, Tsuyoshi

    2016-01-01

    The efficacy of decompression treatment as a non-destructive method to control larvae of the powderpost beetle, Lyctus africanus Lesne, was evaluated in the laboratory using various combinations of two pressure levels, 1.1 kPa and 40 kPa, and three temperature levels, 20, 25, and 40 °C. Larval mortality generally depended on weight reduction while decreases in the oxygen level had relatively little effect. The lower pressure, 1.1 kPa, significantly affected mortality, and no larvae survived after 12 h of this pressure treatment, at 25 °C. The average body weight was reduced with treatment time and temperature, and the reduction rate at 25 °C was higher than that at the lower temperature, 20 °C. Effects on larvae of the higher pressure treatment, 40 kPa, with a CO₂ gas purge, were tested to determine the feasibility of decompression treatment in the manufacturing process. Although higher pressure resulted in low mortality, the body weight was dramatically decreased using the CO₂ purge. These results present important information on the possibility of using decompression treatment for wood products. PMID:27429007

  19. Is acupuncture effective in the treatment of pain in endometriosis?

    PubMed Central

    Lund, Iréne; Lundeberg, Thomas

    2016-01-01

    Introduction Endometriosis is a multifactorial, estrogen-dependent, inflammatory gynecological condition – often with long-lasting visceral pelvic pain of different origin, and infertility among women. Current management options for patients’ are often inadequate, with side effects for many for whom acupuncture techniques could be an alternative. Earlier studies have discussed the efficacy of acupuncture, but not its methodological aspects. Objectives To summarize the documented clinical effects of acupuncture on rated visceral pelvic endometriosis-related pain, and associated variables among individuals, within and between studied groups, and to discuss the methodological treatment aspects. Methods Published full text clinical studies, case reports, and observational studies with abstracts written in English were searched by using the keywords “Acupuncture and Endometriosis” in databases such as PubMed, Web of Science, and CINAHL. The reporting guidelines, Standards for Reporting Interventions in Clinical Trials of Acupuncture was used for the methodological report. Results Three studies were found including 99 women, 13–40 years old, with diagnosed endometriosis. The studies were different in research design, needle stimulation techniques, and evaluation instruments. Methodological similarities were seven to12 needle insertions per subject/session, and 15–25 minutes of needle retention time. The needles were placed in lower back/pelvic-abdominal area, in the shank, feet, and hands. Treatment numbers varied from nine to 16 and patients received one to two treatments per week. Similarity in reported treatment effects in the quoted studies, irrespective of research design or treatment technique, was reported decrease of rated pain intensity. Discussion Meta-analysis is the standard procedure for the evaluation of evidence of treatment effects, ie, on a group level, usually without analysis of the individual responses even with obvious spread in the

  20. Effects of aldicarb and neonicotinoid seed treatments on twospotted spider mite on cotton.

    PubMed

    Smith, J F; Catchot, A L; Musser, F R; Gore, J

    2013-04-01

    Twelve field experiments and one laboratory experiment were conducted to determine the effects of furrow applied aldicarb and seed treatments of thiamethoxam, imidacloprid, Avicta (thiamethoxam + abamectin), Aeris (imidacloprid + thiodicarb), and acephate on twospotted spider mite, Tetranychus urticae Koch, on cotton, Cossypium hirsutum L. For the field experiments, data were pooled across all experiments for analysis. Aeris, thiamethoxam, and imidacloprid treatments resulted in twospotted spider mite densities greater than those in the untreated check, aldicarb, and acephate treatments. However, cotton treated with Avicta (thiamethoxam + abamectin) had 34% fewer mites than other neonicotinoid seed treatments when infestations occurred near cotyledon stage. Untreated check and aldicarb treatments had the lowest mite densities. Only aldicarb reduced mite densities below that in the untreated check. In a laboratory trial, the fecundity of twospotted spider mite was measured. While neonicotinoid seed treatments increased mite densities in the field, they did not increase fecundity in the laboratory experiment. Foliar applied thiamethoxam slightly elevated average fecundity in the laboratory experiment. Increased use of neonicotinoid seed treatments instead of furrow applied aldicarb is likely at least partly responsible for recent increased twospotted spider mite infestations in seedling cotton across the mid-south.

  1. Effect of Surface Treatment on the Enzymatic Treatment of Cellulosic Fiber

    NASA Astrophysics Data System (ADS)

    Kan, C. W.; Yuen, C. W. M.; Jiang, S. Q.

    Fiber modifications by environmentally friendly processing are essential in order to simplify the preparation and finishing processes, in addition to minimizing the chemical waste and associated disposal problem. In this regard, enzymes have been used extensively because it can remove the small fiber ends from yarn surface to create a smooth fabric surface appearance and introduce a degree of softness without using traditional chemical treatment. However, a significant strength reduction and slow reaction rate of the enzymatic reaction limit its industrial application. In this paper, the potential of using low-temperature plasma (LTP) as a surface pre-treatment prior to enzyme treatment on flax fiber has been studied. By means of the LTP pre-treatment, the effectiveness of enzyme treatment can be enhanced.

  2. A study of the effectiveness of sewage treatment plants in Delhi region

    NASA Astrophysics Data System (ADS)

    Gautam, Sandeep Kumar; Sharma, Divya; Tripathi, Jayant Kumar; Ahirwar, Saroj; Singh, Sudhir Kumar

    2013-03-01

    This is a conventional kind of monitoring study. The objective of the study was to assess and monitor the physicochemical parameters in wastewater at inlet and outlet of sewage treatment plant (STP) and also to study the effectiveness of the STPs. The average concentration of parameters at inlet sampling site pH, electrical conductivity, total dissolved solids, are 7.16, 2,169 μS/cm, 766.06 mg/l, and major ions bicarbonate, nitrate, sulphate, phosphate, chloride, sodium, potassium, magnesium and calcium values 515.88, 4.28, 82.85, 15.17, 7.01, 23.08, 29.34, 4.14 and 84.31 mg/l. While the average concentration of these parameters, after treatment shows following values 7.47, 2,161.43 (μS/cm), 695.81, 436.52, 1.25, 99.22, 12.69, 6.83, 23.18, 29.07, 4.40 and 82.65 mg/l, respectively. Further, to check the Na % and sodium absorption ratio at inlet and outlet which 27.89 %, 0.67 and 28.19 %, 0.68, respectively, for the suitability of the wastewater. Finally, the agglomerative hierarchical clustering techniques were used to study the similarity in the sewage treatment plants. The result suggests that there is considerable improvement in the wastewater quality after treatment except at the Pappankalan and Coronation Pillar, Timarpur.

  3. A passive acoustic monitor of treatment effectiveness during extracorporeal lithotripsy

    NASA Astrophysics Data System (ADS)

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

    2011-02-01

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

  4. Thermal treatment effectively controls zebra mussels at Illinois power plants

    SciTech Connect

    Marcus, R.I. ); Wahlert, S.L. )

    1994-12-01

    This article describes how a Commonwealth Edison Co. (ComEd) task force finds thermal treatment method most cost-effective with the least impact on station operation and the environment. Thermal treatment is accomplished by recirculating condenser discharge to raise circulating water (CW) and service water (SW) temperatures to 95 F. This treatment's effectiveness was demonstrated at the company's State Line Station in 1990 and 1991. In parallel with the State Line demonstration, a ComEd task force assessed treatment options for all of its stations. The task force determined that thermal treatment was the least-cost control approach considering construction costs and long-term operating and maintenance (O and M) expenditures. Compared to other alternatives, thermal treatment minimizes unit deratings and outages and minimizes impact to the environment. Based on the task force's assessment and the successful treatment at State Line Station, thermal treatment was selected as the preferred, least-cost method to control zebra mussels at the company's fossil-fueled stations.

  5. Percutaneous Ethanol Sclerotherapy of Symptomatic Nodules Is Effective and Safe in Pregnant Women: A Study of 13 Patients with an Average Follow-Up of 6.8 Years.

    PubMed

    Solymosi, Tamas; Melczer, Zsolt; Szabolcs, Istvan; Nagy, Endre V; Goth, Miklos

    2015-01-01

    Background. Because of the increased risk of surgery, thyroid nodules causing compression signs and/or hyperthyroidism are concerning during pregnancy. Patients and Methods. Six patients with nontoxic cystic, four with nontoxic solid, and three with overt hyperthyroidism caused by toxic nodules were treated with percutaneous ethanol injection therapy (PEI). An average of 0.68 mL ethanol per 1 mL nodule volume was administered. Mean number of PEI treatments for patients was 2.9. Success was defined as the shrinkage of the nodule by more than 50% of the pretreatment volume (V0) and the normalization of TSH and FT4 levels. The average V0 was 15.3 mL. Short-term success was measured prior to labor, whereas long-term success was determined during the final follow-up (an average of 6.8 years). Results. The pressure symptoms decreased in all but one patient after PEI and did not worsen until delivery. The PEI was successful in 11 (85%) and 7 (54%) patients at short-term and long-term follow-up, respectively. Three patients underwent repeat PEI which was successful in 2 patients. Conclusions. PEI is a safe tool and seems to have good short-term results in treating selected symptomatic pregnant patients. Long-term success may require repeat PEI. PMID:26697066

  6. Percutaneous Ethanol Sclerotherapy of Symptomatic Nodules Is Effective and Safe in Pregnant Women: A Study of 13 Patients with an Average Follow-Up of 6.8 Years

    PubMed Central

    Solymosi, Tamas; Melczer, Zsolt; Szabolcs, Istvan; Nagy, Endre V.; Goth, Miklos

    2015-01-01

    Background. Because of the increased risk of surgery, thyroid nodules causing compression signs and/or hyperthyroidism are concerning during pregnancy. Patients and Methods. Six patients with nontoxic cystic, four with nontoxic solid, and three with overt hyperthyroidism caused by toxic nodules were treated with percutaneous ethanol injection therapy (PEI). An average of 0.68 mL ethanol per 1 mL nodule volume was administered. Mean number of PEI treatments for patients was 2.9. Success was defined as the shrinkage of the nodule by more than 50% of the pretreatment volume (V0) and the normalization of TSH and FT4 levels. The average V0 was 15.3 mL. Short-term success was measured prior to labor, whereas long-term success was determined during the final follow-up (an average of 6.8 years). Results. The pressure symptoms decreased in all but one patient after PEI and did not worsen until delivery. The PEI was successful in 11 (85%) and 7 (54%) patients at short-term and long-term follow-up, respectively. Three patients underwent repeat PEI which was successful in 2 patients. Conclusions. PEI is a safe tool and seems to have good short-term results in treating selected symptomatic pregnant patients. Long-term success may require repeat PEI. PMID:26697066

  7. Effect of Cedar Honey in the Treatment of Oral Lichen Planus

    PubMed Central

    Sanatkhani, Majid; Mosannen Mozafari, Pegah; Amirchaghmaghi, Maryam; Najafi Fathi, Mohsen; Sanatkhani, Mohammad; Sarjami, Naghmeh; Azarian, Amir Abbas

    2014-01-01

    Introduction: Oral Lichen Planus (OLP) is a chronic mucocutaneous disease with an immunological etiology. This study was conducted to evaluate the effect of cedar honey in the treatment of erosive- atrophic OLP. Materials and Methods: Thirty patients with a confirmed clinical and histopathologic diagnosis of OLP participated in this randomized clinical trial in Mashhad Dental School. Patients were randomly allocated into one of two groups. Both groups received standard OLP treatment (dexamethasone mouthwash 0.5 mg three times daily and fluconazole capsule 100 mg daily). The intervention group received cedar honey (20 ml three times daily, via a swish and swallow technique) in addition to standard treatment. The patients were followed for 4 weeks. The pain and severity of the lesions were recorded at the initial visit and follow ups. All recorded data were analyzed using the chi-square test, T-test, and analysis of variance (ANOVA) using SPSS version 11.5. A p-value less than 0.05 was considered significant. Results: Both groups had a marked reduction in pain, size of erosive area, and atrophic lesions, particularly in the first follow-up period, but there was no significant difference between the two groups (P>0.05). Honey was effective in the healing of ulcerative lesions (average recovery in the experimental group was 69% while the average relief of ulcerative lesion in the control group was 50%), but the difference was not significant (P=0.896). Conclusion: No significant difference was found in the treatment of atrophic and erosive lesions of OLP through use of honey as an alternative treatment. However, this approach may be effective in managing ulcerative lesions of OLP; although more research with a larger sample size is necessary. PMID:25009805

  8. Assessing fuel treatment effectiveness using satellite imagery and spatial statistics.

    PubMed

    Wimberly, Michael C; Cochrane, Mark A; Baer, Adam D; Pabst, Kari

    2009-09-01

    Understanding the influences of forest management practices on wildfire severity is critical in fire-prone ecosystems of the western United States. Newly available geospatial data sets characterizing vegetation, fuels, topography, and burn severity offer new opportunities for studying fuel treatment effectiveness at regional to national scales. In this study, we used ordinary least-squares (OLS) regression and sequential autoregression (SAR) to analyze fuel treatment effects on burn severity for three recent wildfires: the Camp 32 fire in western Montana, the School fire in southeastern Washington, and the Warm fire in northern Arizona. Burn severity was measured using differenced normalized burn ratio (dNBR) maps developed by the Monitoring Trends in Burn Severity project. Geospatial data sets from the LANDFIRE project were used to control for prefire variability in canopy cover, fuels, and topography. Across all three fires, treatments that incorporated prescribed burning were more effective than thinning alone. Treatment effect sizes were lower, and standard errors were higher in the SAR models than in the OLS models. Spatial error terms in the SAR models indirectly controlled for confounding variables not captured in the LANDFIRE data, including spatiotemporal variability in fire weather and landscape-level effects of reduced fire severity outside the treated areas. This research demonstrates the feasibility of carrying out assessments of fuel treatment effectiveness using geospatial data sets and highlights the potential for using spatial autoregression to control for unmeasured confounding factors. PMID:19769087

  9. Effect of mechanical surface and heat treatments on erosion resistance

    NASA Technical Reports Server (NTRS)

    Salik, J.; Buckley, D. H.

    1980-01-01

    The effects of mechanical surface treatments as well as heat treatments on the erosion resistance of 6061 aluminum alloy and 1045 steel were studied. Mechanical surface treatments were found to have little or no effect on the erosion resistance. This is due to the formation by particle impact of a work hardened surface layer regardless of the initial surface condition. The erosion resistance of Al single crystals is found to be independent of orientation. This is due to destruction of the surface microstructure and formation of a polycrystalline surface layer by the impact of erodant particles as observed by X-ray diffraction. While upon solution treatment of annealed 6061 aluminum the increase in hardness is accompanied by an increase in erosion resistance, precipitation treatment which causes a further increase in hardness results in slightly lower erosion resistance. Using two types of erodant particles, glass beads and crushed glass, the erosion rate is found to be strongly dependent on erodant particle shape, being an order of magnitude higher for erosion with crushed glass as compared to glass beads. While for erosion with glass beads heat treatment of 1045 steel had a profound effect on its erosion resistance, little or no such effect was observed for erosion with crushed glass.

  10. Model averaging in linkage analysis.

    PubMed

    Matthysse, Steven

    2006-06-01

    Methods for genetic linkage analysis are traditionally divided into "model-dependent" and "model-independent," but there may be a useful place for an intermediate class, in which a broad range of possible models is considered as a parametric family. It is possible to average over model space with an empirical Bayes prior that weights models according to their goodness of fit to epidemiologic data, such as the frequency of the disease in the population and in first-degree relatives (and correlations with other traits in the pleiotropic case). For averaging over high-dimensional spaces, Markov chain Monte Carlo (MCMC) has great appeal, but it has a near-fatal flaw: it is not possible, in most cases, to provide rigorous sufficient conditions to permit the user safely to conclude that the chain has converged. A way of overcoming the convergence problem, if not of solving it, rests on a simple application of the principle of detailed balance. If the starting point of the chain has the equilibrium distribution, so will every subsequent point. The first point is chosen according to the target distribution by rejection sampling, and subsequent points by an MCMC process that has the target distribution as its equilibrium distribution. Model averaging with an empirical Bayes prior requires rapid estimation of likelihoods at many points in parameter space. Symbolic polynomials are constructed before the random walk over parameter space begins, to make the actual likelihood computations at each step of the random walk very fast. Power analysis in an illustrative case is described. (c) 2006 Wiley-Liss, Inc. PMID:16652369

  11. 21 CFR 1240.10 - Effective bactericidal treatment.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... 1240.10 Food and Drugs FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED... DISEASES General Provisions § 1240.10 Effective bactericidal treatment. Whenever, under the provisions of... owner or operator of a conveyance, to be effective to prevent the spread of communicable disease....

  12. Measures Inherent to Treatments in Program Effectiveness Reviews

    ERIC Educational Resources Information Center

    Slavin, Robert; Madden, Nancy A.

    2011-01-01

    Program effectiveness reviews in education seek to provide educators with scientifically valid and useful summaries of evidence on achievement effects of various interventions. Different reviewers have different policies on measures of content taught in the experimental group but not the control group, called here "treatment-inherent" measures.…

  13. Ensemble averaging of acoustic data

    NASA Technical Reports Server (NTRS)

    Stefanski, P. K.

    1982-01-01

    A computer program called Ensemble Averaging of Acoustic Data is documented. The program samples analog data, analyzes the data, and displays them in the time and frequency domains. Hard copies of the displays are the program's output. The documentation includes a description of the program and detailed user instructions for the program. This software was developed for use on the Ames 40- by 80-Foot Wind Tunnel's Dynamic Analysis System consisting of a PDP-11/45 computer, two RK05 disk drives, a tektronix 611 keyboard/display terminal, and FPE-4 Fourier Processing Element, and an analog-to-digital converter.

  14. Money Matters: Cost Effectiveness of Juvenile Drug Court with and without Evidence-Based Treatments.

    PubMed

    Sheidow, Ashli J; Jayawardhana, Jayani; Bradford, W David; Henggeler, Scott W; Shapiro, Steven B

    2012-01-01

    The 12-month cost effectiveness of juvenile drug court and evidence-based treatments within Court were compared with traditional Family Court for 128 substance abusing/dependent juvenile offenders participating in a four-condition randomized trial. Intervention conditions included Family Court with community services (FC), Drug Court with community services (DC), Drug Court with Multisystemic Therapy (DC/MST), and Drug Court with MST enhanced with a contingency management program (DC/MST/CM). Average cost effectiveness ratios for substance use and criminal behavior outcomes revealed that economic efficiency in achieving outcomes generally improved from FC to DC, with the addition of evidence-based treatments improving efficiency in obtaining substance use outcomes.

  15. Model averaging and muddled multimodel inferences

    USGS Publications Warehouse

    Cade, Brian S.

    2015-01-01

    Three flawed practices associated with model averaging coefficients for predictor variables in regression models commonly occur when making multimodel inferences in analyses of ecological data. Model-averaged regression coefficients based on Akaike information criterion (AIC) weights have been recommended for addressing model uncertainty but they are not valid, interpretable estimates of partial effects for individual predictors when there is multicollinearity among the predictor variables. Multicollinearity implies that the scaling of units in the denominators of the regression coefficients may change across models such that neither the parameters nor their estimates have common scales, therefore averaging them makes no sense. The associated sums of AIC model weights recommended to assess relative importance of individual predictors are really a measure of relative importance of models, with little information about contributions by individual predictors compared to other measures of relative importance based on effects size or variance reduction. Sometimes the model-averaged regression coefficients for predictor variables are incorrectly used to make model-averaged predictions of the response variable when the models are not linear in the parameters. I demonstrate the issues with the first two practices using the college grade point average example extensively analyzed by Burnham and Anderson. I show how partial standard deviations of the predictor variables can be used to detect changing scales of their estimates with multicollinearity. Standardizing estimates based on partial standard deviations for their variables can be used to make the scaling of the estimates commensurate across models, a necessary but not sufficient condition for model averaging of the estimates to be sensible. A unimodal distribution of estimates and valid interpretation of individual parameters are additional requisite conditions. The standardized estimates or equivalently the

  16. Model averaging and muddled multimodel inferences.

    PubMed

    Cade, Brian S

    2015-09-01

    Three flawed practices associated with model averaging coefficients for predictor variables in regression models commonly occur when making multimodel inferences in analyses of ecological data. Model-averaged regression coefficients based on Akaike information criterion (AIC) weights have been recommended for addressing model uncertainty but they are not valid, interpretable estimates of partial effects for individual predictors when there is multicollinearity among the predictor variables. Multicollinearity implies that the scaling of units in the denominators of the regression coefficients may change across models such that neither the parameters nor their estimates have common scales, therefore averaging them makes no sense. The associated sums of AIC model weights recommended to assess relative importance of individual predictors are really a measure of relative importance of models, with little information about contributions by individual predictors compared to other measures of relative importance based on effects size or variance reduction. Sometimes the model-averaged regression coefficients for predictor variables are incorrectly used to make model-averaged predictions of the response variable when the models are not linear in the parameters. I demonstrate the issues with the first two practices using the college grade point average example extensively analyzed by Burnham and Anderson. I show how partial standard deviations of the predictor variables can be used to detect changing scales of their estimates with multicollinearity. Standardizing estimates based on partial standard deviations for their variables can be used to make the scaling of the estimates commensurate across models, a necessary but not sufficient condition for model averaging of the estimates to be sensible. A unimodal distribution of estimates and valid interpretation of individual parameters are additional requisite conditions. The standardized estimates or equivalently the t

  17. Working positively with sexual offenders: maximizing the effectiveness of treatment.

    PubMed

    Marshall, William L; Ward, Tony; Mann, Ruth E; Moulden, Heather; Fernandez, Yolanda M; Serran, Geris; Marshall, Liam E

    2005-09-01

    In this article, the authors draw on literatures outside sexual offending and make suggestions for working more positively and constructively with these offenders. Although the management of risk is a necessary feature of treatment, it needs to occur in conjunction with a strength-based approach. An exclusive focus on risk can lead to overly confrontational therapeutic encounters, a lack of rapport between offenders and clinicians, and fragmented and mechanistic treatment delivery. The authors suggest that the goals of sexual offender treatment should be the attainment of good lives, which is achieved by enhancing hope, increasing self-esteem, developing approach goals, and working collaboratively with the offenders. Examples are provided of how these targets may be met. When this is done within a therapeutic context where the treatment providers display empathy and warmth and are rewarding and directive, the authors suggest that treatment effects will be maximized. PMID:16051729

  18. Cost effectiveness of ramipril treatment for cardiovascular risk reduction

    PubMed Central

    Malik, I; Bhatia, V; Kooner, J

    2001-01-01

    OBJECTIVE—To assess the cost effectiveness of ramipril treatment in patients at low, medium, and high risk of cardiovascular death.
DESIGN—Population based cost effectiveness analysis from the perspective of the health care provider in the UK. Effectiveness was modelled using data from the HOPE (heart outcome prevention evaluation) trial. The life table method was used to predict mortality in a medium risk cohort, as in the HOPE trial (2.44% annual mortality), and in low and high risk groups (1% and 4.5% annual mortality, respectively).
SETTING—UK population using 1998 government actuary department data.
MAIN OUTCOME MEASURE—Cost per life year gained at five years and lifetime treatment with ramipril.
RESULTS—Cost effectiveness was £36 600, £13 600, and £4000 per life year gained at five years and £5300, £1900, and £100 per life year gained at 20 years (lifetime treatment) in low, medium, and high risk groups, respectively. Cost effectiveness at 20 years remained well below that of haemodialysis (£25 000 per life year gained) over a range of potential drug costs and savings. Treatment of the HOPE population would cost the UK National Health Service (NHS) an additional £360 million but would prevent 12 000 deaths per annum.
CONCLUSIONS—Ramipril is cost effective treatment for cardiovascular risk reduction in patients at medium, high, and low pretreatment risk, with a cost effectiveness comparable with the use of statins. Implementation of ramipril treatment in a medium risk population would result in a major reduction in cardiovascular deaths but would increase annual NHS spending by £360 million.


Keywords: angiotensin converting enzyme inhibitor; cardiovascular risk; cost effectiveness; ramipril PMID:11303006

  19. Clinical competencies for the effective treatment of foster children.

    PubMed

    Zilberstein, Karen; Popper, Sally

    2016-01-01

    Despite a high level of documented mental health needs among children who have experienced foster care, research indicates that treatment outcomes are often disappointing. In order to improve outcomes, evidence-based treatments for attachment, trauma and behavioral difficulties are often promoted for this population. However, little research exists on whether or not those interventions effectively address the unique and complex mental health needs of many foster children. While a rather robust literature exists on foster children's multifaceted difficulties, most treatments do not fully represent that range and complexity in their interventions. This article attempts to begin to fill that gap by outlining the knowledge and skills clinicians must acquire if they are to effectively treat foster children. Treatment of foster children should be seen as a subspecialty within the field of child mental health, and trainings that help clinicians gain more knowledge of foster children's unique needs should be more available.

  20. Personal Financial Effects of Multiple Myeloma and its Treatment

    PubMed Central

    Goodwin, Julia A.; Coleman, Elizabeth Ann; Sullivan, Ellen; Easley, Robin; McNatt, Paula K.; Chowdhury, Nupur; Stewart, Carol Beth

    2013-01-01

    Background Improvements in some treatment programs for multiple myeloma (MM) are increasing survival. As patients live longer with MM as a chronic disease, the personal financial effects of MM treatment become a serious concern. Objective The objective of this study was to identify the personal financial effects of MM and its treatment in five areas: employment, disability, health/medical and life insurance, retirement, and out-of-pocket expenses. Methods We mailed a questionnaire about financial issues to 1015 patients who had received intensive treatment for MM at the study site. Data analysis included descriptive statistics and comparisons using independent t-tests. Results Our sample (n=762; mean age 61, SD 9.26), experienced issues with employment (66% employed at diagnosis and treatment; 33% employed at questionnaire time), disability (35% applied), health/medical and life insurance (29% lost coverage and 8% changed coverage), retirement (13% retired during treatment), and out-of-pocket expenses (36% of income in first treatment year and 28% of income during most recent 12 months). Conclusions Issues of employment, disability, health insurance, retirement, and out-of-pocket costs for treatment are major challenges for patients. Implications for Practice In the midst of assessing physical needs during clinical trials for chemotherapy and stem cell transplants, health care providers must keep sight of patients' personal financial needs so that we can intervene promptly with referrals to social work, rehabilitation therapy, and other health care professions to help patients decrease the personal financial effects of MM and its treatment. PMID:23047800

  1. Amblyopia: prevalence, natural history, functional effects and treatment.

    PubMed

    Webber, Ann L; Wood, Joanne

    2005-11-01

    Amblyopia, defined as poor vision due to abnormal visual experience early in life, affects approximately three per cent of the population and carries a projected lifetime risk of visual loss of at least 1.2 per cent. The presence of amblyopia or its risk factors, mainly strabismus or refractive error, have been primary conditions targeted in childhood vision screenings. Continued support for such screenings requires evidence-based understanding of the prevalence and natural history of amblyopia and its predisposing conditions, and proof that treatment is effective in the long term with minimal negative impact on the patient and family. This review summarises recent research relevant to the clinical understanding of amblyopia, including prevalence data, risk factors, the functional impact of amblyopia and optimum treatment regimes and their justification from a vision and life skills perspective. Collectively, these studies indicate that treatment for amblyopia is effective in reducing the overall prevalence and severity of visual loss from amblyopia. Correction of refractive error alone has been shown to significantly reduce amblyopia and less frequent occlusion can be just as effective as more extensive occlusion. Occlusion or penalisation in amblyopia treatment can create negative changes in behaviour in children and impact on family life, and these factors should be considered in prescribing treatment, particularly because of their influence on compliance. Ongoing treatment trials are being undertaken to determine both the maximum age at which treatment of amblyopia can still be effective and the importance of near activities during occlusion. This review highlights the expansion of current knowledge regarding amblyopia and its treatment to help clinicians provide the best level of care for their amblyopic patients that current knowledge allows. PMID:16329744

  2. Measuring and understanding treatment effectiveness in hand surgery.

    PubMed

    Voineskos, Sophocles H; Coroneos, Christopher J; Thoma, Achilleas; Bhandari, Mohit

    2014-08-01

    Incorporating evidence-based medicine into practice is now an expectation for hand surgeons. Hand surgeons need to be able to assess associated benefits, risks, cost, and applicability of a treatment option when providing care to their patients. Using a clinical example, this article takes the reader through the three-step approach when using a publication from the medical literature on therapy. The focus of this article is primarily the second and third steps, which involve measuring and understanding treatment effectiveness.

  3. EFFECTS OF VIDEO MODELING ON TREATMENT INTEGRITY OF BEHAVIORAL INTERVENTIONS

    PubMed Central

    DiGennaro-Reed, Florence D; Codding, Robin; Catania, Cynthia N; Maguire, Helena

    2010-01-01

    We examined the effects of individualized video modeling on the accurate implementation of behavioral interventions using a multiple baseline design across 3 teachers. During video modeling, treatment integrity improved above baseline levels; however, teacher performance remained variable. The addition of verbal performance feedback increased treatment integrity to 100% for all participants, and performance was maintained 1 week later. Teachers found video modeling to be more socially acceptable with performance feedback than alone, but rated both positively. PMID:21119903

  4. Effects of heat treatment parameters on liquid whole egg proteins.

    PubMed

    Uysal, Reyhan Selin; Boyacı, İsmail Hakkı; Soykut, Esra Acar; Ertaş, Nusret

    2017-02-01

    The aim of this study was to analyse the effect of heat treatment parameters on liquid whole egg (LWE) proteins by using ultraviolet-visible (UV-VIS) spectroscopy and capillary electrophoresis (CE). Heat treatment (at 60-68°C for 1-5min) was applied to LWE. Treated LWE was centrifuged and supernatant was taken for measurement of UV-VIS spectroscopy and CE. The change in UV absorbance showed loss of protein solubility depending on heat treatments parameters. Electropherograms of samples demonstrated the effect of treatment parameters on composition of LWE proteins. It was found that conalbumin and lysozyme were influenced by the treatment, while ovalbumin and ovomucoid were not affected. CE combined with principal component analysis (PCA) was used for classification of samples untreated or treated and treated at different treatment parameters. The results of the study revealed that the extent of heat treatment in LWE samples could be determined with PCA of the CE measurements. PMID:27596410

  5. Average luminosity distance in inhomogeneous universes

    SciTech Connect

    Kostov, Valentin

    2010-04-01

    Using numerical ray tracing, the paper studies how the average distance modulus in an inhomogeneous universe differs from its homogeneous counterpart. The averaging is over all directions from a fixed observer not over all possible observers (cosmic), thus is more directly applicable to our observations. In contrast to previous studies, the averaging is exact, non-perturbative, and includes all non-linear effects. The inhomogeneous universes are represented by Swiss-cheese models containing random and simple cubic lattices of mass-compensated voids. The Earth observer is in the homogeneous cheese which has an Einstein-de Sitter metric. For the first time, the averaging is widened to include the supernovas inside the voids by assuming the probability for supernova emission from any comoving volume is proportional to the rest mass in it. Voids aligned along a certain direction give rise to a distance modulus correction which increases with redshift and is caused by cumulative gravitational lensing. That correction is present even for small voids and depends on their density contrast, not on their radius. Averaging over all directions destroys the cumulative lensing correction even in a non-randomized simple cubic lattice of voids. At low redshifts, the average distance modulus correction does not vanish due to the peculiar velocities, despite the photon flux conservation argument. A formula for the maximal possible average correction as a function of redshift is derived and shown to be in excellent agreement with the numerical results. The formula applies to voids of any size that: (a)have approximately constant densities in their interior and walls; and (b)are not in a deep nonlinear regime. The average correction calculated in random and simple cubic void lattices is severely damped below the predicted maximal one after a single void diameter. That is traced to cancellations between the corrections from the fronts and backs of different voids. The results obtained

  6. Average luminosity distance in inhomogeneous universes

    NASA Astrophysics Data System (ADS)

    Kostov, Valentin Angelov

    Using numerical ray tracing, the paper studies how the average distance modulus in an inhomogeneous universe differs from its homogeneous counterpart. The averaging is over all directions from a fixed observer not over all possible observers (cosmic), thus it is more directly applicable to our observations. Unlike previous studies, the averaging is exact, non-perturbative, an includes all possible non-linear effects. The inhomogeneous universes are represented by Sweese-cheese models containing random and simple cubic lattices of mass- compensated voids. The Earth observer is in the homogeneous cheese which has an Einstein - de Sitter metric. For the first time, the averaging is widened to include the supernovas inside the voids by assuming the probability for supernova emission from any comoving volume is proportional to the rest mass in it. For voids aligned in a certain direction, there is a cumulative gravitational lensing correction to the distance modulus that increases with redshift. That correction is present even for small voids and depends on the density contrast of the voids, not on their radius. Averaging over all directions destroys the cumulative correction even in a non-randomized simple cubic lattice of voids. Despite the well known argument for photon flux conservation, the average distance modulus correction at low redshifts is not zero due to the peculiar velocities. A formula for the maximum possible average correction as a function of redshift is derived and shown to be in excellent agreement with the numerical results. The formula applies to voids of any size that: (1) have approximately constant densities in their interior and walls, (2) are not in a deep nonlinear regime. The actual average correction calculated in random and simple cubic void lattices is severely damped below the predicted maximum. That is traced to cancelations between the corrections coming from the fronts and backs of different voids at the same redshift from the

  7. Optimal antiviral treatment strategies and the effects of resistance.

    PubMed

    Hansen, Elsa; Day, Troy

    2011-04-01

    Recent pandemic planning has highlighted the importance of understanding the effect that widespread antiviral use will have on the emergence and spread of resistance. A number of recent studies have determined that if resistance to antiviral medication can evolve, then deploying treatment at a less than maximum rate often minimizes the outbreak size. This finding, however, involves the assumption that treatment levels remain constant during the entire outbreak. Using optimal control theory, we address the question of optimal antiviral use by considering a large class of time-varying treatment strategies. We prove that, contrary to previous results, it is always optimal to treat at the maximum rate provided that this treatment occurs at the right time. In general the optimal strategy is to wait some fixed amount of time and then to deploy treatment at the maximum rate for the remainder of the outbreak. We derive analytical conditions that characterize this optimal amount of delay. Our results show that it is optimal to start treatment immediately when one of the following conditions holds: (i) immediate treatment can prevent an outbreak, (ii) the initial pool of susceptibles is small, or (iii) when the maximum possible rate of treatment is low, such that there is little de novo emergence of resistant strains. Finally, we use numerical simulations to verify that the results also hold under more general conditions.

  8. Adjusting for observational secondary treatments in estimating the effects of randomized treatments.

    PubMed

    Zhang, Min; Wang, Yanping

    2013-07-01

    In randomized clinical trials, for example, on cancer patients, it is not uncommon that patients may voluntarily initiate a secondary treatment postrandomization, which needs to be properly adjusted for in estimating the "true" effects of randomized treatments. As an alternative to the approach based on a marginal structural Cox model (MSCM) in Zhang and Wang [(2012). Estimating treatment effects from a randomized trial in the presence of a secondary treatment. Biostatistics 13, 625-636], we propose methods that treat the time to start a secondary treatment as a dependent censoring process, which is handled separately from the usual censoring such as the loss to follow-up. Two estimators are proposed, both based on the idea of inversely weighting by the probability of having not started a secondary treatment yet. The second estimator focuses on improving efficiency of inference by a robust covariate-adjustment that does not require any additional assumptions. The proposed methods are evaluated and compared with the MSCM-based method in terms of bias and variance tradeoff using simulations and application to a cancer clinical trial.

  9. A cost-effectiveness analysis of seminatural wetlands and activated sludge wastewater-treatment systems.

    PubMed

    Mannino, Ilda; Franco, Daniel; Piccioni, Enrico; Favero, Laura; Mattiuzzo, Erika; Zanetto, Gabriele

    2008-01-01

    A cost-effectiveness analysis was performed to evaluate the competitiveness of seminatural Free Water Surface (FWS) wetlands compared to traditional wastewater-treatment plants. Six scenarios of the service costs of three FWS wetlands and three different wastewater-treatment plants based on active sludge processes were compared. The six scenarios were all equally effective in their wastewater-treatment capacity. The service costs were estimated using real accounting data from an experimental wetland and by means of a market survey. Some assumptions had to be made to perform the analysis. A reference wastewater situation was established to solve the problem of the different levels of dilution that characterize the inflow water of the different systems; the land purchase cost was excluded from the analysis, considering the use of public land as shared social services, and an equal life span for both seminatural and traditional wastewater-treatment plants was set. The results suggest that seminatural systems are competitive with traditional biotechnological systems, with an average service cost improvement of 2.1-fold to 8-fold, according to the specific solution and discount rate. The main improvement factor was the lower maintenance cost of the seminatural systems, due to the self-regulating, low artificial energy inputs and the absence of waste to be disposed. In this work, only the waste-treatment capacity of wetlands was considered as a parameter for the economic competitiveness analysis. Other goods/services and environmental benefits provided by FWS wetlands were not considered.

  10. The effect of acute and chronic centrophenoxine treatment on the synaptic plasticity of old rats.

    PubMed

    Bertoni-Freddari, C; Giuli, C; Pieri, C

    1982-12-01

    The cerebellar glomerulus was studied by electron microscopic morphometry in female Wistar rats. Age-dependent alterations have been revealed from 3 to 28 mth of age, and the effect of centrophenoxine (CPH) was analyzed in two different patterns of administration. First, 27-mth-old rats were treated daily for 6 wk (acute treatment), and second, 18-mth-old rats were treated 3 times per week for 5 months (chronic treatment). The dose was 100 mg CPH/kg body weight, injected intraperitoneally. The surface density (SV), the numerical density (NV) and the average length (L) of the synaptic junctions were calculated from data obtained on ethanol-phosphotungstic acid stained ultrathin sections. An age-dependent reduction of SV and NV of the synaptic contact zones was found, and the L increased in the oldest animals. CPH-treatment resulted in a marked increase of SV in both types of application, whereas the other two parameters behaved differently in the two groups. The chronic treatment resulted in a significant slowing down of the decrease of NV, whereas L remained invariate. On the contrary, the acute treatment increased L but did not alter significantly NV. The results and the differences between the treatment types are discussed in terms of synaptic plasticity and are interpreted as different manifestations of the same reactive synaptogenetic process.

  11. Effectiveness and Cost-effectiveness of Four Treatment Modalities for Substance Disorders: A Propensity Score Analysis

    PubMed Central

    Mojtabai, Ramin; Graff Zivin, Joshua

    2003-01-01

    Objective To assess the effectiveness and cost-effectiveness of four treatment modalities for substance abuse. Data Sources The study used data from the Services Research Outcomes Study (SROS), a survey of 3,047 clients in a random sample of 99 drug treatment facilities across the United States. Detailed sociodemographic, substance use, and clinical data were abstracted from treatment records. Substance abuse outcome and treatment history following discharge from index facilities were assessed using a comprehensive interview with 1,799 of these individuals five years after discharge. Treatment success was defined in two ways: as abstinence and as any reduction in substance use. Study Design Effectiveness and cost-effectiveness of four modalities were compared: inpatient, residential, outpatient detox/methadone, and outpatient drug-free. Clients were stratified based on propensity scores and analyses were conducted within these strata. Sensitivity analyses examined the impact of future substance abuse treatment on effectiveness and cost-effectiveness estimates. Principal Findings Treatment of substance disorders appears to be cost-effective compared to other health interventions. The cost per successfully treated abstinent case in the least costly modality, the outpatient drug-free programs, was $6,300 (95 percent confidence intervals: $5,200–$7,900) in 1990 dollars. There were only minor differences between various modalities of treatment with regard to effectiveness. However, modalities varied considerably with regard to cost-effectiveness. Outpatient drug-free programs were the most cost-effective. There was little evidence that relative effectiveness or cost-effectiveness of programs varied according to factors that were associated with selection into different programs. Conclusions Substance disorders can be treated most cost-effectively in outpatient drug-free settings. Savings from transitioning to the most cost-effective treatment modality may free

  12. Late effects of treatment of cancer in infancy

    SciTech Connect

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

    1982-01-01

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

  13. Effect of Se treatment on the volatile compounds in broccoli.

    PubMed

    Lv, Jiayu; Wu, Jie; Zuo, Jinhua; Fan, Linlin; Shi, Junyan; Gao, Lipu; Li, Miao; Wang, Qing

    2017-02-01

    Broccoli contains high levels of bioactive compounds but deteriorates and senesces easily. In the present study, freshly harvested broccoli was treated with selenite and stored at two different temperatures. The effect of selenite treatment on sensory quality and postharvest physiology were analyzed. Volatile components were assessed by HS-SPME combined with GC-MS and EN. The metabolism of Se and S was also examined. Results indicated that Se treatment had a significant effect on maintaining the sensory quality, suppressing the respiration intensity and ethylene production, as well as increasing the content of Se and decreasing the content of S. In particular, significant differences in the composition of volatile compounds were present between control and Se-treated. The differences were mainly due to differences in alcohols and sulfide compounds. These results demonstrate that Se treatment can have a positive effect on maintaining quality and enhancing its sensory quality through the release of volatile compounds. PMID:27596413

  14. An evaluation of persistence of treatment effects during long-term treatment of destructive behavior.

    PubMed

    Wacker, David P; Harding, Jay W; Berg, Wendy K; Lee, John F; Schieltz, Kelly M; Padilla, Yaniz C; Nevin, John A; Shahan, Timothy A

    2011-09-01

    Eight young children who displayed destructive behavior maintained, at least in part, by negative reinforcement received long-term functional communication training (FCT). During FCT, the children completed a portion of a task and then touched a communication card attached to a microswitch to obtain brief breaks. Prior to and intermittently throughout FCT, extinction probes were conducted within a withdrawal design in which task completion, manding, and destructive behavior were placed on extinction to evaluate the relative persistence of appropriate and destructive behavior over the course of treatment. FCT continued until appropriate behavior persisted and destructive behavior failed to recur at baseline levels during extinction probes. The completion of FCT was followed by four challenges to the persistence of treatment effects conducted within mixed- or multiple-schedule designs: (a) extended extinction sessions (from 5 to 15 min), (b) introduction of a novel task, (c) removal of the microswitch and communication card, and (d) a mixed schedule of reinforcement in which both appropriate and destructive behavior produced reinforcement. The results showed that although FCT often resulted in quick reductions in destructive behavior and increases in appropriate behavior, destructive behavior often recurred during the extinction probes conducted during the initial treatment. When the effects of treatment persisted during the extinction probes, the remaining challenges to treatment effects resulted in only mild to moderate disruptions in behavior. These results are consistent with the quantitative predictions of behavioral momentum theory and may provide an alternative definition of maintenance as constituting behavioral persistence.

  15. An evaluation of persistence of treatment effects during long-term treatment of destructive behavior.

    PubMed

    Wacker, David P; Harding, Jay W; Berg, Wendy K; Lee, John F; Schieltz, Kelly M; Padilla, Yaniz C; Nevin, John A; Shahan, Timothy A

    2011-09-01

    Eight young children who displayed destructive behavior maintained, at least in part, by negative reinforcement received long-term functional communication training (FCT). During FCT, the children completed a portion of a task and then touched a communication card attached to a microswitch to obtain brief breaks. Prior to and intermittently throughout FCT, extinction probes were conducted within a withdrawal design in which task completion, manding, and destructive behavior were placed on extinction to evaluate the relative persistence of appropriate and destructive behavior over the course of treatment. FCT continued until appropriate behavior persisted and destructive behavior failed to recur at baseline levels during extinction probes. The completion of FCT was followed by four challenges to the persistence of treatment effects conducted within mixed- or multiple-schedule designs: (a) extended extinction sessions (from 5 to 15 min), (b) introduction of a novel task, (c) removal of the microswitch and communication card, and (d) a mixed schedule of reinforcement in which both appropriate and destructive behavior produced reinforcement. The results showed that although FCT often resulted in quick reductions in destructive behavior and increases in appropriate behavior, destructive behavior often recurred during the extinction probes conducted during the initial treatment. When the effects of treatment persisted during the extinction probes, the remaining challenges to treatment effects resulted in only mild to moderate disruptions in behavior. These results are consistent with the quantitative predictions of behavioral momentum theory and may provide an alternative definition of maintenance as constituting behavioral persistence. PMID:21909168

  16. Effective treatment of gastrointestinal bleeding with thalidomide - Chances and limitations

    PubMed Central

    Bauditz, Juergen

    2016-01-01

    For more than 50 years bleeding from gastrointestinal angiodysplasias has been treated by hormonal therapy with estrogens and progesterons. After a randomized study finally demonstrated that hormones have no effect on bleeding events and transfusion requirements, therapy has switched to endoscopic coagulation. However, angiodysplasias tend to recur over months to years and endoscopy often has to be repeated for long time periods. Thalidomide, which caused severe deformities in newborn children in the 1960s, is now increasingly used after it was shown to suppress tumor necrosis factor alpha, inhibit angiogenesis and to be also effective for treatment of multiple myeloma. In 2011 thalidomide was proven to be highly effective for treatment of bleeding from gastrointestinal angiodysplasias in a randomized study. Further evidence by uncontrolled studies exists that thalidomide is also useful for treatment of bleeding in hereditary hemorrhagic telangiectasia. In spite of this data, endoscopic therapy remains the treatment of choice in many hospitals, as thalidomide is still notorious for its teratogenicity. However, patients with gastrointestinal bleeding related to angiodysplasias are generally at an age in which women have no child-bearing potential. Teratogenicity is therefore no issue for these elderly patients. Other side-effects of thalidomide like neurotoxicity may limit treatment options but can be monitored safely. PMID:27003992

  17. Subclinical effects and fenbendazole treatment of turkey ascaridiasis under simulated field conditions.

    PubMed

    Yazwinski, T A; Tucker, C; Stelzleni, A; Johnson, Z; Robins, J; Downum, K; Fincher, M; Matlock, J; Chapman, H D

    2002-01-01

    Under simulated natural conditions of bird production and parasite challenge, the effects of ascaridiasis and the effectiveness of fenbendazole treatment (6-day regimes in the feed at 16 ppm) were documented. Birds were artificially challenged with ascarid larvae on a daily basis from day 35 to 112, with bird grow out ending on day 119. Experimental groups, on a per pen basis, were infected control, treated with fenbendazole at days 63-69, treated with fenbendazole at days 63-69 and days 91-97, and uninfected control. In the same order as above, and on an experimental group mean bird basis, final weights were 13.34, 13.47, 13.59, and 13.78 kg, average daily gains from day 7 to day 119 were 117.8, 118.9, 120.1, and 121.8 g, and units gained per unit of feed consumed from day 7 to day 119 were 0.337, 0.341, 0.347, and 0.362. Infected control bird mean Ascaridia dissimilis burdens, with all stages combined, ranged from 351.1 on day 63 to 117.2 on day 91, levels seen commonly with naturally infected commercial turkeys. Trial data dearly indicated that moderate A. dissimilis burdens negatively impacted animal performance (average daily gains and feed efficiencies) and that these parasite burdens are effectively removed by fenbendazole treatment.

  18. Effect of treatment temperature on the microstructure of asphalt binders: insights on the development of dispersed domains.

    PubMed

    Menapace, I; Masad, E; Bhasin, A

    2016-04-01

    This paper offers important insights on the development of the microstructure in asphalt binders as a function of the treatment temperature. Different treatment temperatures are useful to understand how dispersed domains form when different driving energies for the mobility of molecular species are provided. Small and flat dispersed domains, with average diameter between 0.02 and 0.70 μm, were detected on the surface of two binders at room temperature, and these domains were observed to grow with an increase in treatment temperature (up to over 2 μm). Bee-like structures started to appear after treatment at or above 100°C. Moreover, the effect of the binder thickness on its microstructure at room temperature and at higher treatment temperatures was investigated and is discussed in this paper. At room temperature, the average size of the dispersed domains increased as the binder thickness decreased. A hypothesis that conciliates current theories on the origin and development of dispersed domains is proposed. Small dispersed domains (average diameter around 0.02 μm) are present in the bulk of the binder, whereas larger domains and bee-like structures develop on the surface, following heat treatment or mechanical disturbance that reduces the film thickness. Molecular mobility and association are the key factors in the development of binder microstructure. PMID:26540203

  19. Effect of treatment temperature on the microstructure of asphalt binders: insights on the development of dispersed domains.

    PubMed

    Menapace, I; Masad, E; Bhasin, A

    2016-04-01

    This paper offers important insights on the development of the microstructure in asphalt binders as a function of the treatment temperature. Different treatment temperatures are useful to understand how dispersed domains form when different driving energies for the mobility of molecular species are provided. Small and flat dispersed domains, with average diameter between 0.02 and 0.70 μm, were detected on the surface of two binders at room temperature, and these domains were observed to grow with an increase in treatment temperature (up to over 2 μm). Bee-like structures started to appear after treatment at or above 100°C. Moreover, the effect of the binder thickness on its microstructure at room temperature and at higher treatment temperatures was investigated and is discussed in this paper. At room temperature, the average size of the dispersed domains increased as the binder thickness decreased. A hypothesis that conciliates current theories on the origin and development of dispersed domains is proposed. Small dispersed domains (average diameter around 0.02 μm) are present in the bulk of the binder, whereas larger domains and bee-like structures develop on the surface, following heat treatment or mechanical disturbance that reduces the film thickness. Molecular mobility and association are the key factors in the development of binder microstructure.

  20. Methaphylactic effect of tulathromycin treatment on rumen fluid parameters in feedlot beef cattle.

    PubMed

    Fiore, Enrico; Armato, Leonardo; Morgante, Massimo; Muraro, Michele; Boso, Matteo; Gianesella, Matteo

    2016-01-01

    The aim of this study was to evaluate the effect of tulathromycin as a bovine respiratory disease (BRD) metaphylactic treatment on rumen fluid parameters in feedlot cattle in an intensive livestock production farm. One hundred beef cattle, immediately after housing, were divided in 2 equal groups: 50 animals with metaphylactic treatment against BRD (treated group; tulathromycin at 2.5 mg/kg BW) and 50 animals with placebo treatment (control group). Rumen fluid samples were collected from each animal by rumenocentesis in 3 periods: 1 d (T1), 8 d (T8), and 15 d (T15) after treatment. Rumen pH was determined by ruminal fluid using portable pH meter. Total volatile fatty acids (total VFA) were evaluated by high performance liquid chromatography (HPLC). All animals were singularly weighed at T1 and T15. Two-way analysis of variance (ANOVA) was applied to determine significant effects of treatment (treated group versus control group) and period (T1, T8, and T15) on rumen fluid parameters and body weight. No clinical signs of BRD or other related diseases were recorded during the periods of study from any animal. Statistically significant differences (P < 0.05) were found between treated group and control group for mean values of ruminal pH (6.02 versus 5.89) and total VFA (5.84 versus 5.13) at 8 d after treatment. The weight gain (Δ) showed an average increase of 8.6 kg in treated group (P < 0.05). The trends of ruminal pH and VFA values suggest an effect of tulathromycin as BRD metaphylactic treatment on the modulation of rumen fermentation, particularly 8 d after administration.

  1. Methaphylactic effect of tulathromycin treatment on rumen fluid parameters in feedlot beef cattle

    PubMed Central

    Fiore, Enrico; Armato, Leonardo; Morgante, Massimo; Muraro, Michele; Boso, Matteo; Gianesella, Matteo

    2016-01-01

    The aim of this study was to evaluate the effect of tulathromycin as a bovine respiratory disease (BRD) metaphylactic treatment on rumen fluid parameters in feedlot cattle in an intensive livestock production farm. One hundred beef cattle, immediately after housing, were divided in 2 equal groups: 50 animals with metaphylactic treatment against BRD (treated group; tulathromycin at 2.5 mg/kg BW) and 50 animals with placebo treatment (control group). Rumen fluid samples were collected from each animal by rumenocentesis in 3 periods: 1 d (T1), 8 d (T8), and 15 d (T15) after treatment. Rumen pH was determined by ruminal fluid using portable pH meter. Total volatile fatty acids (total VFA) were evaluated by high performance liquid chromatography (HPLC). All animals were singularly weighed at T1 and T15. Two-way analysis of variance (ANOVA) was applied to determine significant effects of treatment (treated group versus control group) and period (T1, T8, and T15) on rumen fluid parameters and body weight. No clinical signs of BRD or other related diseases were recorded during the periods of study from any animal. Statistically significant differences (P < 0.05) were found between treated group and control group for mean values of ruminal pH (6.02 versus 5.89) and total VFA (5.84 versus 5.13) at 8 d after treatment. The weight gain (Δ) showed an average increase of 8.6 kg in treated group (P < 0.05). The trends of ruminal pH and VFA values suggest an effect of tulathromycin as BRD metaphylactic treatment on the modulation of rumen fermentation, particularly 8 d after administration. PMID:26733733

  2. Effective dose evaluation for BNCT brain tumor treatment based on voxel phantoms.

    PubMed

    Wang, Jeng-Ning; Lee, Kuo-Wei; Jiang, Shiang-Huei

    2014-06-01

    For BNCT treatments, in addition to tumor target doses, non-negligible doses will result in all the remaining organs of the body. This work aims to evaluate the effective dose as well as the average absorbed doses of each of organs of patients with brain tumor treated in the BNCT epithermal neutron beam at THOR. The effective doses were evaluated according to the definitions of ICRP Publications 60 and 103 for the reference male and female computational phantoms developed in ICRP Publication 110 by using the MCNP5 Monte Carlo code with the THOR-Y09 beam source. The effective dose acquired in this work was compared with the results of our previous work calculated for an adult hermaphrodite mathematical phantom. It was found that the effective dose for the female voxel phantom is larger than that for the male voxel phantom by a factor of 1.2-1.5 and the effective dose for the voxel phantom is larger than that for the mathematical phantom by a factor of 1.3-1.6. For a typical brain tumor BNCT, the effective dose was calculated to be 1.51Sv and the average absorbed dose for eye lenses was 1.07Gy.

  3. Microsieving in primary treatment: effect of chemical dosing.

    PubMed

    Väänänen, J; Cimbritz, M; la Cour Jansen, J

    2016-01-01

    Primary and chemically enhanced primary wastewater treatment with microsieving (disc or drum filtration) was studied at the large pilot scale at seven municipal wastewater treatment plants in Europe. Without chemical dosing, the reduction of suspended solids (SS) was (on average) 50% (20-65%). By introducing chemically enhanced primary treatment and dosing with cationic polymer only, SS removal could be controlled and increased to >80%. A maximum SS removal of >90% was achieved with a chemical dosing of >0.007 mg polymer/mg influent SS and 20 mg Al(3+)/L or 30 mg Fe(3+)/L. When comparing sieve pore sizes of 30-40 μm with 100 μm, the effluent SS was comparable, indicating that the larger sieve pore size could be used due to the higher loading capacity for the solids. Phosphorus removal was adjusted with the coagulant dose, and a removal of 95-97% was achieved. Moreover, microsieving offers favourable conditions for automated dosing control due to the low retention time in the filter. PMID:27438249

  4. Leishmania amazonensis: effects of oral treatment with copaiba oil in mice.

    PubMed

    dos Santos, Adriana Oliveira; Costa, Marco Antonio; Ueda-Nakamura, Tânia; Dias-Filho, Benedito Prado; da Veiga-Júnior, Valdir Florêncio; de Souza Lima, Marli Miriam; Nakamura, Celso Vataru

    2011-10-01

    Leishmaniasis is a severe public-health problem, with high rates of morbidity and mortality. Efforts to find new, effective and safe oral agents for the treatment of leishmaniasis have been ongoing for several decades, in order to avoid the problems with the currently used antimonials. In the present study, we found that a copaiba oil oral treatment (Group IV) caused a significant reduction in the average lesion size (1.1±0.4mm) against Leishmania amazonensis lesions compared with untreated mice (Group I) (4.4±1.3mm). To prove the safety of the oil, the toxicity and genotoxicity were also determined. Histopathological evaluation did not reveal changes in the copaiba oil-treated animals compared to the control animals. In the mutagenicity evaluation, (micronucleus test) the dose tested (2000mg/kg) showed no genotoxic effects. Morphological and ultrastructural analyses demonstrated notable changes in parasite cells treated with this oleoresin. The main ultrastructural effect was mitochondrial swelling. We also demonstrated that in vitro copaiba oil treatment of L. amazonensis led to an increase in plasma membrane permeability, and depolarization in the mitochondrial membrane potential in parasite cells. Although the mechanism of action of the oleoresin is still unclear, these findings indicate that copaiba oil is a possible new drug, which would provide a safer, shorter, less-expensive, and more easily administered treatment for leishmaniasis.

  5. Effects of Heat Treatment on Microstructural Modification of As-Cast Gamma-TiAl Alloy

    NASA Astrophysics Data System (ADS)

    Ahmadi, Mehdi; Hosseini, Seyed Rahman; Hadavi, Seyed Mohammad Mehdi

    2016-06-01

    Effects of normalizing and annealing treatments on the microstructure of Ti-48Al-2Cr-2Nb (at.%) were investigated. Normalizing processes were done at 1385 ± 5 °C in α-phase domain with the heating rate of 10 °C/min, the average cooling rate of 30 °C/min, and the holding times of 5, 10, 15, 20, and 25 min. The annealing process was done at the same temperature and heating rate, the holding time of 15 min, and the average cooling rate of 2 °C/min. Microstructures, phases, and hardness levels were studied by optical and field emission electron microscopic observations, x-ray diffractometry (XRD), and microhardness testing, respectively. Also, crystallographic texture variations were analyzed by means of texture coefficient and XRD results. Experimental results showed a linear direct relationship between treatment time and grain size, up to 15 min. A linear reversed behavior was observed for longer times. The untreated alloy consisted of γ and α2 phases with a columnar morphology with the length of about 300 μm. A near-lamellar microstructure with equiaxed gamma grains, Widmansttäten, and laminar γ + α2 colonies was obtained by the normalizing process. The maximum reduction of the grain size was about 70%, as achieved by normalizing with the 15 min holding time. A texture-free microstructure was acquired by normalizing treatment in comparison with strong texture of the as-cast and annealed alloys.

  6. Effective, single-dose treatment or porcine cysticercosis with oxfendazole.

    PubMed

    Gonzales, A E; Garcia, H H; Gilman, R H; Gavidia, C M; Tsang, V C; Bernal, T; Falcon, N; Romero, M; Lopez-Urbina, M T

    1996-04-01

    The pig is a vital link in the transmission cycle of Taenia solium, the cestode responsible for human-porcine cysticercosis. Infected pigs also represent an important source of economic loss to farmers in developing countries. Past efforts to find an adequate therapeutic regimen to treat this parasite disease in swine have failed because of low efficacy, high cost, side effects, or the need for multiple doses. In this randomized, no treatment-controlled study, the efficacy and safety of oxfendazole and praziquantel for the treatment of porcine cysticercosis were evaluated in 16 naturally infected pigs. Four groups of four pigs were treated with oxfendazole, praziquantel, oxfendazole plus praziquantel, or untreated. The pigs were humanely killed 12 weeks post-treatment, the number of cyst was counted, and parasite viability was assessed by cyst evagination. No detectable side effects were seen in any of the pigs. Praziquantel treatment alone appeared to reduce the number of cysts, but did not decrease the viability of the remaining parasites. Treatment with oxfendazole alone or oxfendazole plus praziquantel killed all of the parasites, and left only microcalcifications in the meat. Oxfendazole provides, for the first time, a practical, effective, inexpensive, and single-dose therapy for porcine cysticercosis.

  7. Effectiveness of wound cleansing treatments on maggot (Diptera, Calliphoridae) mortality.

    PubMed

    McIntosh, Mollie D; Merritt, Richard W; Kolar, Rebecca E; Kimbirauskas, Ryan K

    2011-07-15

    Myiasis is defined as an infestation of the organs and/or tissues of human and other animals by fly maggots. Fly species that normally breed in meat or carrion (Diptera: Calliphoridae, Sarcophagidae) may become involved in cutaneous myiasis by colonizing preexisting wounds. Reports of human wound myiasis contracted in hospitals and nursing homes, especially when patients are chronically ill or bed-ridden, are not uncommon across North America and often result in cases of neglect and civil litigation. Based on a case history dealing with this latter situation and circumstances surrounding the treatment of maggot infestation, we designed an experiment to assess the effectiveness of wound cleansing solutions on maggot mortality. Treatments, consisting of four commonly used cleaning solutions (isopropyl alcohol, Dakin's solution, iodine, and hydrogen peroxide) and a control (deionized water), were applied to experimental units (n=5), with each unit consisting of groups of actively feeding Lucilia sericata maggots (Diptera: Calliphoridae). Every 24h, treatments were applied and mortality was assessed for the duration of the study (14 days). Total mean mortality increased over the duration of the experiment, with an initial large increase (10-25%) after the first treatment application, followed by a gradual increase over the remainder of the study. General differences among treatments indicated greatest mean total mortality for Dakin's solution (sodium hypochlorite) (46%), followed by isopropyl alcohol (42%), Betadine (37%), hydrogen peroxide (33%) and lowest mortality for the control (25%); however, no statistically significant differences were observed among treatments and no treatment resulted in 100% maggot mortality. Traditional wound cleansing solutions may not be sufficient for maggot infestations of pre-existing wounds and supplemental treatments may be necessary to effectively treat cases of wound myiasis.

  8. Psychotherapist effects in meta-analyses: How accurate are treatment effects?

    PubMed

    Owen, Jesse; Drinane, Joanna M; Idigo, K Chinwe; Valentine, Jeffrey C

    2015-09-01

    Psychotherapists are known to vary in their effectiveness with their clients, in randomized clinical trials as well as naturally occurring treatment settings. The fact that therapists matter has 2 effects in psychotherapy studies. First, if therapists are not randomly assigned to modalities (which is rare) this may bias the estimation of the treatment effects, as the modalities may have therapists of differing skill. In addition, if the data are analyzed at the client level (which is virtually always the case) then the standard errors for the effect sizes will be biased due to a violation of the assumption of independence. Thus, the conclusions of many meta-analyses may not reflect true estimates of treatment differences. We reexamined 20 treatment effects selected from 17 meta-analyses. We focused on meta-analyses that found statistically significant differences between treatments for a variety of disorders by correcting the treatment effects according to the variability in outcomes known to be associated with psychotherapists. The results demonstrated that after adjusting the results based on most small estimates of therapist effects, ∼80% of the reported treatment effects would still be statistically significant. However, at larger estimates, only 20% of the treatment effects would still be statistically significant after controlling for therapist effects. Although some meta-analyses were consistent in their estimates for treatment differences, the degree of certainty in the results was considerably reduced after considering therapist effects. Practice implications for understanding treatment effects, namely, therapist effects, in meta-analyses and original studies are provided. PMID:26301423

  9. Sample Size Bias in Judgments of Perceptual Averages

    ERIC Educational Resources Information Center

    Price, Paul C.; Kimura, Nicole M.; Smith, Andrew R.; Marshall, Lindsay D.

    2014-01-01

    Previous research has shown that people exhibit a sample size bias when judging the average of a set of stimuli on a single dimension. The more stimuli there are in the set, the greater people judge the average to be. This effect has been demonstrated reliably for judgments of the average likelihood that groups of people will experience negative,…

  10. Neuroimaging the Effectiveness of Substance Use Disorder Treatments.

    PubMed

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

    2016-09-01

    Neuroimaging techniques to measure the function and biochemistry of the human brain such as positron emission tomography (PET), proton magnetic resonance spectroscopy ((1)H MRS), and functional magnetic resonance imaging (fMRI), are powerful tools for assessing neurobiological mechanisms underlying the response to treatments in substance use disorders. Here, we review the neuroimaging literature on pharmacological and behavioral treatment in substance use disorder. We focus on neural effects of medications that reduce craving (e.g., naltrexone, bupropion hydrochloride, baclofen, methadone, varenicline) and that improve cognitive control (e.g., modafinil, N-acetylcysteine), of behavioral treatments for substance use disorders (e.g., cognitive bias modification training, virtual reality, motivational interventions) and neuromodulatory interventions such as neurofeedback and transcranial magnetic stimulation. A consistent finding for the effectiveness of therapeutic interventions identifies the improvement of executive control networks and the dampening of limbic activation, highlighting their values as targets for therapeutic interventions in substance use disorders. PMID:27184387

  11. Effect of mechanical surface and heat treatments on erosion resistance

    NASA Technical Reports Server (NTRS)

    Salik, J.; Buckley, D. H.

    1981-01-01

    The effect of erosion by glass beads and crushed glass and by heat treatments on the erosional resistance of 6061 aluminum alloy and 1045 steel were studied. The aluminum alloy's erosion resistance was found to be insensitive to mechanical surface treatment applied before testing, and was determined to depend on the properties of the work-hardened surface layer; this was also demonstrated for aluminum alloy single crystals. The aluminum alloy heat treatments included annealing, solution, and precipitation. Solution was found to increase erosion resistance but precipitation had the opposite effect. Hardness showed no correlation with erosion resistance for either aluminum alloy steel. The steel tests showed that crushed glass provides an order of magnitude more erosion than glass beads.

  12. Neuroimaging the Effectiveness of Substance Use Disorder Treatments.

    PubMed

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

    2016-09-01

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

  13. Effects of chronic buspirone treatment on cocaine self-administration.

    PubMed

    Mello, Nancy K; Fivel, Peter A; Kohut, Stephen J; Bergman, Jack

    2013-02-01

    Cocaine abuse and dependence is a major public health problem that continues to challenge medication-based treatment. Buspirone (Buspar) is a clinically available, non-benzodiazepine anxiolytic medication that acts on both serotonin and dopamine systems. In recent preclinical studies, acute buspirone treatment reduced cocaine self-administration at doses that did not also decrease food-reinforced behavior in rhesus monkeys (Bergman et al, 2012). The present study evaluated the effectiveness of chronic buspirone treatment on self-administration of cocaine and food. Five adult rhesus monkeys (Macaca mulatta) were trained to self-administer cocaine and food during four 1-h daily sessions under a second-order schedule of reinforcement (FR2 [VR 16:S]). Buspirone (0.32 and 0.56 mg/kg/h) was administered intravenously through one lumen of a double-lumen catheter every 20 min for 23 h each day for 7-10 consecutive days. Each buspirone treatment period was followed by saline control treatment until drug- and food-maintained responding returned to baseline levels. Buspirone significantly reduced responding maintained by cocaine, and shifted the dose-effect curve downwards. Buspirone had minimal effects on food-maintained responding. In cocaine discrimination studies, buspirone (0.1-0.32 mg/kg, IM) did not antagonize the discriminative stimulus and rate-altering effects of cocaine in four of six monkeys. These findings indicate that buspirone selectively attenuates the reinforcing effects of cocaine in a nonhuman primate model of cocaine self-administration, and has variable effects on cocaine discrimination. PMID:23072835

  14. Study of Convective Flow Effects in Endwall Casing Treatments in Transonic Compressor Rotors

    NASA Technical Reports Server (NTRS)

    Hah, Chunill; Mueller, Martin W.; Schiffer, Heinz-Peter

    2012-01-01

    The unsteady convective flow effects in a transonic compressor rotor with a circumferential-groove casing treatment are investigated in this paper. Experimental results show that the circumferential-groove casing treatment increases the compressor stall margin by almost 50% for the current transonic compressor rotor. Steady flow simulation of the current casing treatment, however, yields only a 15% gain in stall margin. The flow field at near-stall operation is highly unsteady due to several self-induced flow phenomena. These include shock oscillation, vortex shedding at the trailing edge, and interaction between the passage shock and the tip clearance vortex. The primary focus of the current investigation is to assess the effects of flow unsteadiness and unsteady flow convection on the circumferential-groove casing treatment. Unsteady Reynolds-averaged Navier-Stokes (URANS) and Large Eddy Simulation (LES) techniques were applied in addition to steady Reynolds-averaged Navier-Stokes (RANS) to simulate the flow field at near-stall operation and to determine changes in stall margin. The current investigation reveals that unsteady flow effects are as important as steady flow effects on the performance of the circumferential grooves casing treatment in extending the stall margin of the current transonic compressor rotor. The primary unsteady flow mechanism is unsteady flow injection from the grooves into the main flow near the casing. Flows moving into and out of the grooves are caused due to local pressure difference near the grooves. As the pressure field becomes transient due to self-induced flow oscillation, flow injection from the grooves also becomes unsteady. The unsteady flow simulation shows that this unsteady flow injection from the grooves is substantial and contributes significantly to extending the compressor stall margin. Unsteady flows into and out of the grooves have as large a role as steady flows in the circumferential grooves. While the

  15. Treatment Modifications and Treatment-Limiting Toxicities or Side Effects: Risk Factors and Temporal Trends.

    PubMed

    Pantazis, Nikos; Psichogiou, Mina; Paparizos, Vassilios; Gargalianos, Panagiotis; Chini, Maria; Protopapas, Konstantinos; Sipsas, Nikolaos V; Panos, George; Chrysos, George; Sambatakou, Helen; Katsarou, Olga; Touloumi, Giota

    2015-07-01

    Combined antiretroviral treatment (cART) modifications are often required due to treatment failure or side effects. We investigate cART regimens' durability, frequency of treatment-limiting adverse events, and potential risk factors and temporal trends. Data were derived from the Athens Multicenter AIDS Cohort Study (AMACS). Statistical analyses were based on survival techniques, allowing for multiple contributions per individual. Overall, 2,756 individuals, aged >15 years, initiated cART. cART regimens were grouped by their initiation date into four calendar periods (1995-1998, 1999-2002, 2003-2006, and 2007+). Median [95% confidence interval (CI)] time to first treatment modification was 2.11 (1.95-2.33) years; cumulative probabilities at 1 year were 31.6%, 29.0%, 33.1%, and 29.6% for the four periods, respectively. cART modifications were less frequent in more recent years (adjusted HR=0.96 per year; p<0.001). Longer treatment duration was associated with lower HIV-RNA, higher CD4 counts, and being previously ART naive. cART modifications due to treatment failure became less frequent in recent years (adjusted HR=0.91 per year; p<0.001). Estimated (95% CI) 1 year cumulative probabilities of treatment-limiting side effects were 16.4% (12.0-21.3%), 19.3% (15.6-23.3%), 24.9% (20.3-29.7%), and 21.1% (13.4-29.9%) for the four periods, respectively, with no significant temporal trends. Risk of side effects was lower in nonnucleoside reverse transcriptase inhibitor (NNRTI)-based regimens or triple nucleoside reverse transcriptase inhibitor (NRTI)-based cART regimens. Treatment modifications have become less frequent in more recent years. This could be partly attributed to the lower risk for side effects of NNRTI-based cART regimens and mainly to the improved efficacy of newer drugs. However, the rate of drugs substitutions due to adverse events remains substantially high. PMID:25950848

  16. Protective effects of celery juice in treatments with Doxorubicin.

    PubMed

    Kolarovic, Jovanka; Popovic, Mira; Mikov, Momir; Mitic, Radoslav; Gvozdenovic, Ljiljana

    2009-04-24

    The aim of this work was to investigate possible protective effect of celery juice in doxorubicin treatment. The following biochemical parameters were determined: content of reduced glutathione, activities of catalase, xanthine oxidase, glutathione peroxidase, peroxidase, and lipid peroxidation intensity in liver homogenate and blood hemolysate. We examined influence of diluted pure celery leaves and roots juices and their combinations with doxorubicine on analyzed biochemical parameters. Celery roots and leaves juices influenced the examined biochemical parameters and showed protective effects when applied with doxorubicine.

  17. Effect of 82% Lactic Acid in Treatment of Melasma

    PubMed Central

    Singh, Rashmi; Goyal, Sapna; Ahmed, Qazi Rais; Gupta, Narendra; Singh, Sujata

    2014-01-01

    Melasma is an acquired, chronic, and symmetrical hypermelanosis, characterized by brown patches of variable darkness on sun exposed areas of body. There are numerous modalities of treatment currently in use for this disease, of which the chemical peeling is very commonly used. Therefore, the present work was done to see the effect of 82% lactic acid peel in the treatment of melasma. A total number of 20 patients of either sex attending the OPD of dermatology department with clinically evident melasma were included in the study. 82% Lactic acid peel was applied on the face for 12 weeks in each patient. Patients were evaluated clinically and photographically at various intervals and in follow-up till 24 weeks. Assessment of patient satisfaction and side effects were also noted. All the subjects completed the study. Application of this peel for 12 weeks significantly decreased the melasma area severity index score and also melasma severity scale score. Patient and physician analogue scales also showed the improvement by the treatment. Regarding the adverse effects, burning sensation was the only side effect noted in our study. In conclusion, 82% lactic acid peel is well tolerated and can be used for the treatment of melasma. PMID:27355080

  18. PERMEABLE TREATMENT WALL EFFECTIVENESS MONITORING PROJECT, NEVADA STEWART MINE

    EPA Science Inventory

    This report summarizes the results of Mine Waste Technology Program (MWTP) Activity III, Project 39, Permeable Treatment Wall Effectiveness Monitoring Project, implemented and funded by the U.S. Environmental Protection Agency (EPA) and jointly administered by EPA and the U.S. De...

  19. Training Implications of Harmful Effects of Psychological Treatments

    ERIC Educational Resources Information Center

    Castonguay, Louis G.; Boswell, James F.; Constantino, Michael J.; Goldfried, Marvin R.; Hill, Clara E.

    2010-01-01

    The goal of this article is to delineate training implications regarding harmful effects associated with psychotherapy. The authors strongly recommend that trainees be made aware of (and encouraged to examine carefully) the potentially harmful treatments that have been recently identified (Lilienfeld, 2007). Consistent with a broad perspective on…

  20. Clinical Supervision in Treatment Transport: Effects on Adherence and Outcomes

    ERIC Educational Resources Information Center

    Schoenwald, Sonja K.; Sheidow, Ashli J.; Chapman, Jason E.

    2009-01-01

    This nonexperimental study used mixed-effects regression models to examine relations among supervisor adherence to a clinical supervision protocol, therapist adherence, and changes in the behavior and functioning of youths with serious antisocial behavior treated with an empirically supported treatment (i.e., multisystemic therapy [MST]) 1 year…

  1. Health Effects Associated with Wastewater Treatment and Disposal.

    ERIC Educational Resources Information Center

    Kowal, N. E.; Pahren, H. R.

    1978-01-01

    Presents a literature review of the potential health effects associated with: (1) wastewater treatment plants; (2) land application of municipal wastewater; and (3) use of renovated water. This review covers the publications of 1976-77. A list of 96 references is also presented. (HM)

  2. Aptitude-Treatment Interaction Effects of Variations in Direct Instruction.

    ERIC Educational Resources Information Center

    Janicki, Terence C.; Peterson, Penelope L.

    1981-01-01

    Two teachers each taught a 2-week fractions unit to two classes of grades 4-5 students. Each teacher taught one class using direct instruction and the other using a small-group variation of direct instruction. Regression analysis on achievement showed significant aptitude-treatment interaction (ATI) and significant teacher effects. (Author/RL)

  3. Childhood Resiliency Effects from Schoolwide Treatment: A Cluster Randomized Trial

    ERIC Educational Resources Information Center

    Hinerman, Krystal M.; Hull, Darrell M.; Hayes, DeMarquis; Powell, Marvin G.; Ferguson, Sarah; Naslund-Hadley, Emma I.

    2014-01-01

    The purpose of the Childhood Resiliency Effects from Schoolwide Treatment (CREST) Pilot was to implement a comprehensive school wide social and character development program aimed at decreasing violence among students and assisting students exposed to violence in Belize City. This one-year pilot program implemented portions of the Positive Action…

  4. Effects of Video Modeling on Treatment Integrity of Behavioral Interventions

    ERIC Educational Resources Information Center

    DiGennaro-Reed, Florence D.; Codding, Robin; Catania, Cynthia N.; Maguire, Helena

    2010-01-01

    We examined the effects of individualized video modeling on the accurate implementation of behavioral interventions using a multiple baseline design across 3 teachers. During video modeling, treatment integrity improved above baseline levels; however, teacher performance remained variable. The addition of verbal performance feedback increased…

  5. Effect Size for Single-Subject Design in Phonological Treatment

    ERIC Educational Resources Information Center

    Gierut, Judith A.; Morrisette, Michele L.; Dickinson, Stephanie L.

    2015-01-01

    Purpose: The purpose of this study was to document, validate, and corroborate effect size (ES) for single­-subject design in treatment of children with functional phonological disorders; to evaluate potential child-­specific contributing variables relative to ES; and to establish benchmarks for interpretation of ES for the population. Method: Data…

  6. Effect of both preoperative andpostoperative cryoceutical treatment on hemostasis and postoperative pain following total knee arthroplasty

    PubMed Central

    Desteli, Engin Eren; Imren, Yunus; Aydın, Nuri

    2015-01-01

    Aim: We aimed to evaluate the hemostatic effects and the clinical outcomes of preoperative and postoperative cryoceutical treatment (C-tx) following total knee arthroplasty. Patients and method: 42 patients received C-tx both preoperatively, and postoperatively. In the control group, 45 patients did not receive any C-tx. Amount of bloody drainage and verbal rating pain scores were noted. Results: We found significant difference in both the preoperative and postoperative hemoglobin levels and blood drainage (P<0.001). However, there was no significant difference in the average verbally rated pain scores (P>0.05). Conclusion: C-tx performed preoperatively and postoperatively for total knee arthroplasty is effective in decreasing perioperative and postoperative hemorrhage. However, it had no superior effect on the control of postoperative pain. PMID:26770547

  7. Fall rice straw management and winter flooding treatment effects on a subsequent soybean crop

    USGS Publications Warehouse

    Anders, M.M.; Windham, T.E.; McNew, R.W.; Reinecke, K.J.

    2005-01-01

    The effects of fall rice (Oryza sativa L.) straw management and winter flooding on the yield and profitability of subsequent irrigated and dryland soybean [Glycine max (L.) Merr.] crops were studied for 3 years. Rice straw treatments consisted of disking, rolling, or standing stubble. Winter flooding treatments consisted of maintaining a minimum water depth of 10 cm by pumping water when necessary, impounding available rainfall, and draining fields to prevent flooding. The following soybean crop was managed as a conventional-tillage system or no-till system. Tillage system treatments were further divided into irrigated or dryland. Results indicated that there were no significant effects from either fall rice straw management or winter flooding treatments on soybean seed yields. Soybean seed yields for, the conventional tillage system were significantly greater than those for the no-till system for the first 2 yrs and not different in the third year. Irrigated soybean seed yields were significantly greater than those from dryland plots for all years. Net economic returns averaged over the 3 yrs were greatest ($390.00 ha-1) from the irrigated no-till system.

  8. Effects of bright light treatment on psychomotor speed in athletes

    PubMed Central

    Tulppo, Mikko P.; Jurvelin, Heidi; Roivainen, Eka; Nissilä, Juuso; Hautala, Arto J.; Kiviniemi, Antti M.; Kiviniemi, Vesa J.; Takala, Timo

    2014-01-01

    Purpose: A recent study suggests that transcranial brain targeted light treatment via ear canals may have physiological effects on brain function studied by functional magnetic resonance imaging (fMRI) techniques in humans. We tested the hypothesis that bright light treatment could improve psychomotor speed in professional ice hockey players. Methods: Psychomotor speed tests with audio and visual warning signals were administered to a Finnish National Ice Hockey League team before and after 24 days of transcranial bright light or sham treatment. The treatments were given during seasonal darkness in the Oulu region (latitude 65 degrees north) when the strain on the players was also very high (10 matches during 24 days). A daily 12-min dose of bright light or sham (n = 11 for both) treatment was given every morning between 8 and 12 am at home with a transcranial bright light device. Mean reaction time and motor time were analyzed separately for both psychomotor tests. Analysis of variance for repeated measures adjusted for age was performed. Results: Time × group interaction for motor time with a visual warning signal was p = 0.024 after adjustment for age. In Bonferroni post-hoc analysis, motor time with a visual warning signal decreased in the bright light treatment group from 127 ± 43 to 94 ± 26 ms (p = 0.024) but did not change significantly in the sham group 121 ± 23 vs. 110 ± 32 ms (p = 0.308). Reaction time with a visual signal did not change in either group. Reaction or motor time with an audio warning signal did not change in either the treatment or sham group. Conclusion: Psychomotor speed, particularly motor time with a visual warning signal, improves after transcranial bright light treatment in professional ice-hockey players during the competition season in the dark time of the year. PMID:24860513

  9. Ethnic differences in alcohol treatment outcomes and the effect of concurrent smoking cessation treatment.

    PubMed

    Fu, Steven S; Kodl, Molly; Willenbring, Mark; Nelson, David B; Nugent, Sean; Gravely, Amy A; Joseph, Anne M

    2008-01-01

    The Timing of Alcohol and Smoking Cessation (TASC) Study tested the optimal timing of smoking cessation treatment in an alcohol-dependent population. Previously reported results suggest that providing concurrent smoking cessation treatment adversely affects alcohol outcomes. The purpose of this analysis was to investigate whether there are ethnic differences in alcohol and tobacco outcomes among a diverse sample of alcohol-dependent smokers using data from the TASC trial in which 499 participants were randomized to either concurrent (during alcohol treatment) or delayed (6 months later) smoking intervention. This analysis focused on smokers of Caucasian (n=381) and African American (n=78) ethnicity. Alcohol outcomes included 6 months sustained alcohol abstinence rates and time to first use of alcohol post-treatment. Tobacco outcomes included 7-day point prevalence smoking abstinence. Random effects logistic regression analysis was used to investigate intervention group and ethnic differences in the longitudinally assessed alcohol outcomes. Alcohol abstinence outcomes were consistently worse in the concurrent group than the delayed group among Caucasians, but this was not the case for African Americans. No significant ethnic differences were observed in smoking cessation outcomes. Findings from this analysis suggest that concurrent smoking cessation treatment adversely affects alcohol outcomes for Caucasians but not necessarily for African Americans.

  10. Cost-effectiveness in Clostridium difficile treatment decision-making

    PubMed Central

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

    2015-01-01

    AIM: To develop a framework for the clinical and health economic assessment for management of Clostridium difficile infection (CDI). METHODS: CDI has vast economic consequences emphasizing the need for innovative and cost effective solutions, which were aim of this study. A guidance model was developed for coverage decisions and guideline development in CDI. The model included pharmacotherapy with oral metronidazole or oral vancomycin, which is the mainstay for pharmacological treatment of CDI and is recommended by most treatment guidelines. RESULTS: A design for a patient-based cost-effectiveness model was developed, which can be used to estimate the cost-effectiveness of current and future treatment strategies in CDI. Patient-based outcomes were extrapolated to the population by including factors like, e.g., person-to-person transmission, isolation precautions and closing and cleaning wards of hospitals. CONCLUSION: The proposed framework for a population-based CDI model may be used for clinical and health economic assessments of CDI guidelines and coverage decisions for emerging treatments for CDI. PMID:26601096

  11. From cellular doses to average lung dose.

    PubMed

    Hofmann, W; Winkler-Heil, R

    2015-11-01

    Sensitive basal and secretory cells receive a wide range of doses in human bronchial and bronchiolar airways. Variations of cellular doses arise from the location of target cells in the bronchial epithelium of a given airway and the asymmetry and variability of airway dimensions of the lung among airways in a given airway generation and among bronchial and bronchiolar airway generations. To derive a single value for the average lung dose which can be related to epidemiologically observed lung cancer risk, appropriate weighting scenarios have to be applied. Potential biological weighting parameters are the relative frequency of target cells, the number of progenitor cells, the contribution of dose enhancement at airway bifurcations, the promotional effect of cigarette smoking and, finally, the application of appropriate regional apportionment factors. Depending on the choice of weighting parameters, detriment-weighted average lung doses can vary by a factor of up to 4 for given radon progeny exposure conditions.

  12. Apparent and average accelerations of the Universe

    SciTech Connect

    Bolejko, Krzysztof; Andersson, Lars E-mail: larsa@math.miami.edu

    2008-10-15

    In this paper we consider the relation between the volume deceleration parameter obtained within the Buchert averaging scheme and the deceleration parameter derived from supernova observation. This work was motivated by recent findings that showed that there are models which despite having {Lambda} = 0 have volume deceleration parameter q{sup vol}<0. This opens the possibility that back-reaction and averaging effects may be used as an interesting alternative explanation to the dark energy phenomenon. We have calculated q{sup vol} in some Lemaitre-Tolman models. For those models which are chosen to be realistic and which fit the supernova data, we find that q{sup vol}>0, while those models which we have been able to find which exhibit q{sup vol}<0 turn out to be unrealistic. This indicates that care must be exercised in relating the deceleration parameter to observations.

  13. Effect of repeated suboptimal chlorate treatment on ruminal and fecal bacterial diversity.

    PubMed

    Copado, R; Arzola, C; Epps, S V R; Rodriguez-Almeida, F; Ruiz, O; Rodriguez-Muela, C; Castillo, Yamicela Castillo; Corral-Luna, Agustin; Salinas, J

    2014-09-01

    The minimal effective dose of sodium chlorate as an intervention to reduce the carriage of pathogenic bacteria in food-producing animals has not been clearly established. The effect of low-level oral chlorate administration to ewes was assessed by comparing the diversity of prominent bacterial populations in their gastrointestinal tract. Twelve lactating crossed Pelibuey and Blackbelly-Dorper ewes (average body weight, 65 kg) were randomly assigned (four per treatment) to receive a control treatment (TC; consisting of 3 g of NaCl per animal per day) or one of two chlorate treatments (T3 or T9; consisting of 1.8 or 5.4 g of NaClO3 per animal per day, respectively). Treatments were administered twice daily via oral gavage for 5 days. Ruminal and fecal samples were collected daily, starting 3 days before and ending 6 days after treatment, and were subjected to denaturing gradient gel electrophoresis of the 16S rRNA gene sequence amplified from total population DNA. For ruminal microbes, percent similarity coefficients (SCs) between groups varied from 23.0 to 67.5% and from 39.4 to 43.3% during pretreatment and treatment periods, respectively. During the treatment period, SCs within groups ranged from 39.4 to 90.3%, 43.3 to 86.7%, and 67.5 to 92.4% for TC, T3, and T9, respectively. For fecal microbes, SCs between groups varied from 38.0 to 85.2% and 38.0 to 94.2% during pretreatment and treatment periods, respectively. SCs for fecal populations during treatment were most varied for TC (38.0 to 67.9%), intermediate for T9 (75.6 to 92.0%), and least varied for T3 (80.6 to 90.6%). Heterogeneity within and between groups provided no evidence of an effect of chlorate treatment on ruminal or fecal microbial populations. PMID:25198852

  14. Synergistic Effects of Gold Nanocages in Hyperthermia and Radiotherapy Treatment

    NASA Astrophysics Data System (ADS)

    Zhang, Ai-wei; Guo, Wei-hua; Qi, Ya-fei; Wang, Jian-zhen; Ma, Xiang-xing; Yu, De-xin

    2016-06-01

    Gold nanocages (GNCs) are a promising material that not only converts near infrared (NIR) light to heat for the ablation of tumors but also acts as a radiosensitizer. The combination of hyperthermia and radiotherapy has a synergistic effect that can lead to significant tumor cell necrosis. In the current study, we synthesized GNCs that offered the combined effects of hyperthermia and radiotherapy. This combination strategy resulted in increased tumor cell apoptosis and significant tumor tissue necrosis. We propose that GNCs can be used for clinical treatment and to potentially overcome resistance to radiotherapy by clearly increasing the antitumor effect.

  15. Average daily gain, blood metabolites, and body composition at first conception in Hereford, Senepol, and reciprocal crossbred heifers on two levels of winter nutrition and two summer grazing treatments.

    PubMed

    Simpson, R B; Chase, C C; Hammond, A C; Williams, M J; Olson, T A

    1998-02-01

    Hereford (n = 48), Senepol (n = 42), and reciprocal crossbred (n = 34) heifers from two consecutive calf crops were stratified by breed, age, and BW to receive bahiagrass (Paspalum notatum) hay offered free choice and 150 mg monensin x heifer(-1) x d(-1) in addition to either 2.27 kg x heifer(-1) x d(-1) of a 75% cracked corn and 25% soybean meal mixture (CS) or .91 kg x heifer(-1) x d(-1) of soybean meal (SBM). Heifers in each treatment were divided into two winter pasture replicates and exposed to fertile bulls. In spring of each year, one-half of the heifers from each winter treatment were allotted to either a continuous (CONT) or rotational (ROTA) grazing system on bahiagrass pastures for the summer phase of the study. Heifers supplemented with CS had higher ADG from the beginning of the study to first conception than heifers fed SBM (.39 vs .31 +/- .02 kg/d; P < .01). Heifers fed CS were younger at first conception than SBM heifers (500 vs 563 +/- 32 d of age; P < .05) but had similar BW (312 vs 317 +/- 7 kg; P > .10). During the 2-yr study, a subset of Hereford (n = 12), Senepol (n = 15), and reciprocal crossbred (n = 14) heifers were subjected to urea space measurements to determine body composition at first conception. Change in body composition over time was analyzed by regression and body composition at first conception was predicted from these regressions. At first conception, percentage of empty body fat was not affected by treatment or year; however, percentage of empty body fat tended to be higher in crossbred than in Hereford and Senepol heifers (16.6 vs 14.3 and 14.4 +/- .94%; P < .10). Stepwise regression of BW, body condition score (BCS), fat thickness (determined by ultrasound), and body composition at first conception on age at first conception revealed that BCS and BW accounted for 55% of the variation in age at first conception (P < .01). PMID:9498344

  16. Total Thyroidectomy: a safe and effective treatment for Graves' disease

    PubMed Central

    Liu, Jing; Bargren, Anna; Schaefer, Sarah; Chen, Herbert; Sippel, Rebecca S.

    2011-01-01

    Background Thyroidectomy as a first line treatment for Graves’ disease is rarely utilized in the US. The purpose of this study was to analyze the safety and efficacy of thyroid surgery among patients with Graves’ disease. Methods 56 patients with Graves’ disease underwent thyroid surgery between 05/1994 and 05/2008 at a single academic institution. Pre-operative, intra-operative, and post-operative variables were analyzed. Results A total of 58 surgeries were performed: 55.1% (n=32) total thyroidectomy, 41.3% (n=24) subtotal/lobectomy, 3.4 % (n=2) completion thyroidectomy. The average gland weight was 47.3 ± 10.8 gm, with 70% weighing > 30 gm. Reasons for having thyroid surgery were persistent disease despite medical therapy (46.6%), patient preference (24.1%), multinodular goiter/cold nodules (20.3%), failed RAI (radioactive iodine) treatment (16%), and opthalmopathy (12.1%). Of those patients that failed prior RAI therapy, the only factor that was predictive of failure was disease severity, as demonstrated by a markedly elevated initial free-T4 value (11.8 ± 4.5 ng/dL, p=0.04). Transient symptomatic hypocalcemia occurred in 10.7% (n=6) of patients, and 1 patient (1.8%) had symptomatic hypocalcemia lasting > 6 months. There were no permanent recurrent laryngeal nerve injuries. There was no difference in overall complication rates between patients based on surgical procedure (subtotal vs. total thyroidectomy), preoperative RAI treatment, or gland size. Recurrences occurred in 6% of the subtotal thyroidectomy group and 0% of the total thyroidectomy group (p=0.008). Conclusion Thyroidectomy for patients with Graves’ disease can be performed with very low complication rates and when a total thyroidectomy is performed there is almost no risk of recurrence. PMID:21345453

  17. Effects of oxidative treatments on human hair keratin films.

    PubMed

    Fujii, T; Ito, Y; Watanabe, T; Kawasoe, T

    2012-01-01

    The effects of hydrogen peroxide and commercial bleach on hair and human hair keratin films were examined by protein solubility, scanning electron microscopy (SEM), immunofluorescence microscopy, immunoblotting, and Fourier-transform infrared spectroscopy. Protein solubility in solutions containing urea decreased when the keratin films were treated with hydrogen peroxide or bleach. Oxidative treatments promoted the urea-dependent morphological change by turning films from opaque to transparent in appearance. Immunofluorescence microscopy and immunoblotting showed that the oxidation of amino acids and proteins occurred due to the oxidative treatments, and such occurrence was more evident in the bleach-treated films than in the hydrogen peroxide-treated films. Compared with hair samples, the formation of cysteic acid was more clearly observed in the keratin films after the oxidative treatments.

  18. Effect of presowing magnetic treatment on properties of pea

    NASA Astrophysics Data System (ADS)

    Iqbal, M.; Haq, Z. U.; Jamil, Y.; Ahmad, M. R.

    2012-02-01

    The pea seeds were exposed to full-wave rectified sinusoidal magnetic fields. The effects of electromagnetic treatment on seedling growth and chlorophyll contents and have been investigated. Seed were sown after magnetic field treatment according to ISTA under controlled laboratory conditions. The magnetic filed treatment of seeds increased the growth significantly (P<0.05), while the increment in contents of chlorophyll have been found non significant (P<0.05). The shoot length, root length, root dry mass, shoot dry mass, fresh root mass and fresh shoot mass increased up to 140.5, 218.2, and 104, 263.6, 74.5, 91.3%, respectively. The result suggested that magnetic field could be used to enhance the growth in pea plant.

  19. Effective Treatment of Multiple Unresectable Skin Melanoma Metastases by Electrochemotherapy

    PubMed Central

    Snoj, Marko; Cemazar, Maja; Slekovec Kolar, Breda; Sersa, Gregor

    2007-01-01

    Multiple unresectable melanoma skin metastases pose a treatment problem, especially in centers where isolated limb perfusion is not available. We report the case of a 59-year-old woman who developed multiple small unresectable cutaneous melanoma metastases on the thigh after her lower limb was amputated. Electrochemotherapy with bleomycin resulted in good local control of the disease, with a complete response of the treated melanoma nodules (224 tumor nodules) after 4 treatment sessions. Comparison between electrochemotherapy using repetition frequency of the applied electric pulses of 1 Hz and 5 kHz demonstrated equal antitumor effectiveness. Electrochemotherapy with intravenous bleomycin can also be used as a treatment of choice for local control of multiple unresectable cutaneous melanoma skin metastases. PMID:17589984

  20. Effects of oxidative treatments on human hair keratin films.

    PubMed

    Fujii, T; Ito, Y; Watanabe, T; Kawasoe, T

    2012-01-01

    The effects of hydrogen peroxide and commercial bleach on hair and human hair keratin films were examined by protein solubility, scanning electron microscopy (SEM), immunofluorescence microscopy, immunoblotting, and Fourier-transform infrared spectroscopy. Protein solubility in solutions containing urea decreased when the keratin films were treated with hydrogen peroxide or bleach. Oxidative treatments promoted the urea-dependent morphological change by turning films from opaque to transparent in appearance. Immunofluorescence microscopy and immunoblotting showed that the oxidation of amino acids and proteins occurred due to the oxidative treatments, and such occurrence was more evident in the bleach-treated films than in the hydrogen peroxide-treated films. Compared with hair samples, the formation of cysteic acid was more clearly observed in the keratin films after the oxidative treatments. PMID:22487448

  1. Modeling and analysis of cosmetic treatment effects on human skin

    NASA Astrophysics Data System (ADS)

    Lunderstaedt, Reinhart A.; Hopermann, Hermann; Hillemann, Thomas

    2000-10-01

    In view of treatment effects of cosmetics, quality management becomes more and more important. Due to the efficiency reasons it is desirable to quantify these effects and predict them as a function of time. For this, a mathematical model of the skin's surface (epidermis) is needed. Such a model cannot be worked out purely analytically. It can only be derived with the help of measurement data. The signals of interest as output of different measurement devices consist of two parts: noise of high (spatial) frequencies (stochastic signal) and periodic functions (deterministic signal) of low (spatial) frequencies. Both parts can be separated by correlation analysis. The paper introduces in addition to the Fourier Transform (FT) with the Wavelet Transform (WT), a brand new, highly sophisticated method with excellent properties for both modeling the skin's surface as well as evaluating treatment effects. Its main physical advantage is (in comparison to the FT) that local irregularities in the measurement signal (e.g. by scars) remain at their place and are not represented as mean square values as it is the case when applying the FT. The method has just now been installed in industry and will there be used in connection with a new in vivo measurement device for quality control of cosmetic products. As texture parameter for an integral description of the human skin the fractal dimension D is used which is appropriate for classification of different skin regions and treatment effects as well.

  2. Characterizing individual painDETECT symptoms by average pain severity

    PubMed Central

    Sadosky, Alesia; Koduru, Vijaya; Bienen, E Jay; Cappelleri, Joseph C

    2016-01-01

    Background painDETECT is a screening measure for neuropathic pain. The nine-item version consists of seven sensory items (burning, tingling/prickling, light touching, sudden pain attacks/electric shock-type pain, cold/heat, numbness, and slight pressure), a pain course pattern item, and a pain radiation item. The seven-item version consists only of the sensory items. Total scores of both versions discriminate average pain-severity levels (mild, moderate, and severe), but their ability to discriminate individual item severity has not been evaluated. Methods Data were from a cross-sectional, observational study of six neuropathic pain conditions (N=624). Average pain severity was evaluated using the Brief Pain Inventory-Short Form, with severity levels defined using established cut points for distinguishing mild, moderate, and severe pain. The Wilcoxon rank sum test was followed by ridit analysis to represent the probability that a randomly selected subject from one average pain-severity level had a more favorable outcome on the specific painDETECT item relative to a randomly selected subject from a comparator severity level. Results A probability >50% for a better outcome (less severe pain) was significantly observed for each pain symptom item. The lowest probability was 56.3% (on numbness for mild vs moderate pain) and highest probability was 76.4% (on cold/heat for mild vs severe pain). The pain radiation item was significant (P<0.05) and consistent with pain symptoms, as well as with total scores for both painDETECT versions; only the pain course item did not differ. Conclusion painDETECT differentiates severity such that the ability to discriminate average pain also distinguishes individual pain item severity in an interpretable manner. Pain-severity levels can serve as proxies to determine treatment effects, thus indicating probabilities for more favorable outcomes on pain symptoms. PMID:27555789

  3. Conditional quantile regression models of melanoma tumor growth curves for assessing treatment effect in small sample studies.

    PubMed

    Revzin, Ella; Majumdar, Dibyen; Bassett, Gilbert W

    2014-12-20

    Tumor growth curves provide a simple way to understand how tumors change over time. The traditional approach to fitting such curves to empirical data has been to estimate conditional mean regression functions, which describe the average effect of covariates on growth. However, this method ignores the possibility that tumor growth dynamics are different for different quantiles of the possible distribution of growth patterns. Furthermore, typical individual preclinical cancer drug study designs have very small sample sizes and can have lower power to detect a statistically significant difference in tumor volume between treatment groups. In our work, we begin to address these issues by combining several independent small sample studies of an experimental cancer treatment with differing study designs to construct quantile tumor growth curves. For modeling, we use a Penalized Fixed Effects Quantile Regression with added study effects to control for study differences. We demonstrate this approach using data from a series of small sample studies that investigated the effect of a naturally derived biological peptide, P28, on tumor volumes in mice grafted with human melanoma cells. We find a statistically significant quantile treatment effect on tumor volume trajectories and baseline values. In particular, the experimental treatment and a corresponding conventional chemotherapy had different effects on tumor growth by quantile. The conventional treatment, Dacarbazine (DTIC), tended to inhibit growth for smaller quantiles, while the experimental treatment P28 produced slower rates of growth in the upper quantiles, especially in the 95th quantile. PMID:25231497

  4. Effect of conventional dental restorative treatment on bacteria in saliva.

    PubMed

    Wright, J T; Cutter, G R; Dasanayake, A P; Stiles, H M; Caufield, P W

    1992-06-01

    Dental caries results from the dissolution of mineralized dental tissues by the metabolic by-products of oral bacteria colonizing the surface of teeth. The principal modality for dealing with this infectious process is through restorative treatment which removes the pathologic tissue and replaces it with a variety of inert materials. The purpose of this study was to evaluate the effect of traditional restorative treatment on select oral bacterial populations. Fifty-two females demonstrating high levels of mutans streptococci (greater than or equal to 2.5 x 10(4) colony forming units (cfu) per ml saliva) with no more than four missing posterior teeth were recruited for this study. Salivary levels of mutans streptococci, lactobacilli, total streptococci, and total cultivable bacteria were evaluated before, during, and after restorative treatment. Initial DMFS scores were established by two standardized examiners using bitewing radiographs and clinical examination, which was conducted under optimal conditions. All restorative treatment was completed by faculty members of the University of Alabama School of Dentistry using treatment plans developed by the DMFS examiners. The participants received a mean of 16.4 restored surfaces, which resulted in significant reductions of all the bacterial populations tested. All microbial populations monitored were predicted to return to their baseline levels within 151 days after restorative treatment in 50% of the participants. This study shows that conventional restorative treatment results in a significant reduction of bacterial populations including those associated with the dental caries process, i.e., mutans streptococci and lactobacilli.(ABSTRACT TRUNCATED AT 250 WORDS)

  5. Sever's injury: treatment with insoles provides effective pain relief.

    PubMed

    Perhamre, S; Janson, S; Norlin, R; Klässbo, M

    2011-12-01

    Sever's injury (apophysitis calcanei) is considered to be the dominant cause of heel pain among children between 8 and 15 years. The traditional advice is to reduce and modify the level of physical activity. Recommended treatment in general is the same as for adults with Achilles tendon pain. The purpose of the study was to find out if insoles, of two different types, were effective in relieving heel pain in a group of boys (n=38) attending a Sports Medicine Clinic for heel pain diagnosed as Sever's injury. The type of insole was randomized, and self-assessed pain during physical activity in the treatment phase with insoles was compared with pain in the corresponding pre- and post-treatment phases without insoles. There were no other treatments added and the recommendations were to stay on the same activity level. All patients maintained their high level of physical activity throughout the study period. Significant pain reduction during physical activity when using insoles was found. Application of two different types of insoles without any immobilization, other treatment, or modification of sport activities results in significant pain relief in boys with Sever's injury.

  6. Effect of heat treatment on stainless steel orthodontic wires.

    PubMed

    Cuoghi, Osmar Aparecido; Kasbergen, Geraldo Francisco; Santos, Paulo Henrique dos; Mendonça, Marcos Rogério de; Tondelli, Pedro Marcelo

    2011-01-01

    This study evaluated the effect of heat treatment on CrNi stainless steel orthodontic archwires. Half of forty archwires of each thickness - 0.014" (0.35 mm), 0.016" (0.40 mm), 0.018" (0.45 mm) and 0.020" (0.50 mm) (totalling 160 archwires) - were subjected to heat treatment while the remainder were not. All of the archwires had their individual thickness measured in the anterior and posterior regions using AutoCad 2000 software before and after compressive and tensile strength testing. The data was statistically analysed utilising multivariance ANOVA at a 5% significance level. All archwires without heat treatment that were subjected to tensile strength testing presented with anterior opening, which was more accentuated in the 0.020" archwires. In the posterior region, the opening produced by the tensile force was more accentuated in the archwires without heat treatment. There was greater stability in the thermally treated archwires, especially those subjected to tensile strength testing, which indicates that the heat treatment of orthodontic archwires establishes a favourable and indispensable condition to preserve the intercanine width. PMID:21359492

  7. Effect of combined treatments on viscosity of whey dispersions

    NASA Astrophysics Data System (ADS)

    Camillo, A.; Sabato, S. F.

    2004-09-01

    Whey proteins, enriched protein fractions from milk, are of great interest as ingredients due to nutritional value associated with its functional properties. These proteins could have their structural properties improved when some treatments are applied, such as thermal and gamma irradiation or when some compounds are added. The current work aimed to study the viscometer behavior of whey dispersions submitted to two different combined treatments: (1) thermal plus irradiation and (2) thermal plus vacuum and N 2 plus irradiation. Dispersions of whey protein in water (5% and 8% protein (w/v) base) and containing proteins and glycerol at ratios 1:1 and 2:1 (protein:glycerol) were submitted to both combined treatments. The irradiation doses were 0, 5, 15 and 25 kGy. The viscosity of the two combined treatments and for four levels of absorbed doses is presented and the combined effects are discussed. The thermal treatment combined with gamma irradiation contributed to increase the viscosity as irradiation doses increases for both (5% and 8%) concentrations of proteins ( p<0.05). For protein and glycerol solutions, the irradiation dose seemed to result in a slightly increase. The vacuum applied before the irradiation showed a small contribution.

  8. Review of the evidence of lymphedema treatment effect.

    PubMed

    Finnane, Anna; Janda, Monika; Hayes, Sandra C

    2015-06-01

    Lymphedema treatment aims to alleviate symptoms, prevent progression, and reduce risk for skin infection. Mainstream treatment options have been investigated in more than 160 studies. Findings from these studies have been included in at least 1 of more than 20 literature reviews. A critique of these reviews was undertaken to summarize efficacy findings. The quality of the reviews was evaluated, and gaps in the research were identified to better guide clinical practice. Overall, there was wide variation in review methods. The quality of studies included in reviews, in study design and reporting overall, has been poor. Reviews consistently concluded that complex physical therapy is effective at reducing limb volume. Volume reductions were also reported after the use of compression garments, pumps, and manual lymphatic drainage. However, greatest improvements were reported when these treatments formed a combined treatment program. Large, well-designed, evaluated, and reported randomised, controlled trials are needed to evaluate and compare treatments. Consistent outcome measures will allow better quality reviews and meta-analysis in the future. PMID:25741621

  9. Safety of ipsapirone treatment compared with lorazepam: discontinuation effects.

    PubMed Central

    Busto, U E; Naranjo, C A; Bremner, K E; Peachey, J E; Bologa, M

    1998-01-01

    OBJECTIVE: To determine discontinuation effects of ipsapirone, a novel azapirone and partial 5-HTIA agonist that has anxiolytic effects clinically and has not caused dependence or withdrawal symptoms in animals, and to compare these effects with those of the benzodiazepine lorazepam, owing to concern about dependence or withdrawal symptoms following use of these drugs. DESIGN: Prospective, randomized, double-blind, placebo-controlled trial. SETTING: Outpatient and inpatient treatment. PARTICIPANTS: Sixty-five healthy male volunteers who had experience with sedative-hypnotics or anxiolytics and did not meet DSM-III-R criteria for abuse or dependence. INTERVENTIONS: Participants were randomized to receive ipsapirone 15 mg per day (n = 17), ipsapirone 22.5 mg per day (n = 16), lorazepam 3 mg per day (n = 16), or placebo (n = 16) as outpatients for 36 days (treatment) followed by single-blind placebo as inpatients for 3 days and as outpatients for 6 days (withdrawal). OUTCOME MEASURES: Hamilton Anxiety Rating Scale (HAM-A), Hamilton Depression Scale (HAM-D), Spielberger State Anxiety Scale, Sleep Quality Questionnaire, General Symptom Checklist, self-rated intoxication, Clinical Institute Withdrawal Assessment--Benzodiazepines (CIWA-Benzo), psychomotor testing and urine drug screen. RESULTS: Only 45 subjects completed the study; discontinuation rates did not significantly differ among treatment groups. At day 39, fewer and less severe symptoms (e.g., insomnia and fatigue) were found on the CIWA-Benzo scale after treatment with ipsapirone or placebo than after treatment with lorazepam (p < 0.05). Subjects reported longer sleep latency and poorer sleep quality after receiving lorazepam than after receiving ipsapirone or placebo. Scores on the HAM-D, Spielberger State Anxiety and HAM-A scales did not change from baseline. CONCLUSIONS: Withdrawal symptoms were detected after discontinuation of therapeutic doses of lorazepam. Significantly fewer symptoms were observed after

  10. Effects of repeat fenbendazole treatment in dairy calves with giardiosis on cyst excretion, clinical signs and production.

    PubMed

    O'Handley, R M; Cockwill, C; Jelinski, M; McAllister, T A; Olson, M E

    2000-04-28

    In this 90-day study, 60 male Holstein dairy calves were experimentally infected with Giardia duodenalis. Calves were randomly blocked by weight into treatment (N=30) and placebo (N=30) groups. Beginning on study Day 0, calves in the treatment group were administered an oral dose of 5mg/kg of fenbendazole once daily for three consecutive days. Calves in the placebo group received a daily oral treatment of 5 ml of saline for 3 days. These treatments were repeated on Days 30 and 60 of the study. Fecal samples were collected from calves once per week and examined for the presence of Giardia cysts. Calves were monitored daily for clinical signs of intestinal disease and all episodes of diarrhea recorded. Calves were weighed once per week and total feed intake, on a dry matter basis, was calculated daily. Following each treatment, the number of calves shedding Giardia cysts in the fenbendazole group was reduced (p<0.001) compared to the saline group. Also, calves in the fenbendazole group had fewer cysts (p<0.05) detected in their feces following treatment compared with calves that received saline. Within 2 weeks post treatment, the number of infected animals and fecal Giardia cysts returned to placebo levels. This pattern of reinfection was consistent after every treatment period. Calves receiving fenbendazole had fewer total days with diarrhea (p<0.01) and the average number of days each calf had diarrhea was reduced (p<0.05), compared to the placebo group. There were no differences in mean body weight, average daily gain, or feed intake between the treatment or placebo groups. This study demonstrates that fenbendazole is an effective treatment for giardiosis, resulting in a clinical benefit and reducing the number of infective cysts shed by calves. However, this treatment regime had no impact on production parameters and reinfection occurred rapidly in these calves.

  11. Cost-effectiveness of Extended Cessation Treatment for Older Smokers

    PubMed Central

    Barnett, Paul G.; Wong, Wynnie; Jeffers, Abra; Munoz, Ricardo; Humfleet, Gary; Hall, Sharon

    2014-01-01

    Aims To examine the cost-effectiveness of extended smoking cessation treatment in older smokers. Design Participants who completed a 12 week smoking cessation program were factorial randomized to extended cognitive behavioral treatment and extended nicotine replacement therapy. Setting A free-standing smoking cessation clinic in the United States. Participants 402 smokers aged 50 years and older were recruited from the community. Measurements The trial measured biochemically-verified abstinence from cigarettes after 24 months and the quantity of smoking cessation services used. Trial findings were combined with literature on changes in smoking status and the age and gender adjusted effect of smoking on health care cost, mortality, and qualify of life over the long-term in a Markov model of cost-effectiveness over a lifetime horizon. Findings The addition of extended cognitive behavioral therapy added $83 in smoking cessation services cost (p =.012, CI $21-$212). At the end of follow-up, cigarette abstinence rates were 50.0% with extended cognitive behavioral therapy and 37.2% without this therapy (p <.05, odds ratio 1.69, CI 1.18-2.54). The model-based incremental cost-effectiveness ratio was $6,324 per Quality Adjusted Life Year (QALY). Probabilistic sensitivity analysis found that the additional $947 in lifetime cost of the intervention had a 95% confidence interval of –$331 – $2,081; the 0.150 additional QALYs had a confidence interval of 0.035- 0.280, and that the intervention was cost-effective against a $50,000/QALY acceptance criterion in 99.6% of the replicates. Extended nicotine replacement therapy was not cost-effective. Conclusions Adding extended cognitive behavior therapy to standard smoking cessation treatment can be cost-effective. PMID:24329972

  12. Fast Optimal Transport Averaging of Neuroimaging Data.

    PubMed

    Gramfort, A; Peyré, G; Cuturi, M

    2015-01-01

    Knowing how the Human brain is anatomically and functionally organized at the level of a group of healthy individuals or patients is the primary goal of neuroimaging research. Yet computing an average of brain imaging data defined over a voxel grid or a triangulation remains a challenge. Data are large, the geometry of the brain is complex and the between subjects variability leads to spatially or temporally non-overlapping effects of interest. To address the problem of variability, data are commonly smoothed before performing a linear group averaging. In this work we build on ideas originally introduced by Kantorovich to propose a new algorithm that can average efficiently non-normalized data defined over arbitrary discrete domains using transportation metrics. We show how Kantorovich means can be linked to Wasserstein barycenters in order to take advantage of the entropic smoothing approach used by. It leads to a smooth convex optimization problem and an algorithm with strong convergence guarantees. We illustrate the versatility of this tool and its empirical behavior on functional neuroimaging data, functional MRI and magnetoencephalography (MEG) source estimates, defined on voxel grids and triangulations of the folded cortical surface. PMID:26221679

  13. Effect of high-pressure treatment on hard cheese proteolysis.

    PubMed

    Costabel, Luciana M; Bergamini, Carina; Vaudagna, Sergio R; Cuatrin, Alejandra L; Audero, Gabriela; Hynes, Erica

    2016-06-01

    The application of high hydrostatic pressure (HHP) treatment has been proposed to reduce the ripening time of cheese via modifications in the enzymatic activities or the substrate reactivity. Investigations on the effect of HHP on cheese proteolysis have been undertaken with either encouraging results or little effect according to the treatment conditions and the type of cheese, but information concerning the effect of HHP on the ripening of hard cooked cheese is still lacking. In this report, we describe the effect of HHP treatment on Reggianito cheese proteolysis. For that purpose, 1-d-old miniature cheeses (5.5-cm diameter and 6-cm height) were treated at 100 or 400MPa and 20°C for 5 or 10min, and control cheeses in the trial were not pressurized. All cheeses were ripened at 12°C during 90d. The HHP did not affect gross composition of the cheeses, but microbial load changed, especially because the starter culture count was significantly lower at the beginning of the ripening of the cheeses treated at 400MPa than in controls and cheeses treated at 100MPa. Cheeses treated at 400MPa for 10min had significantly higher plasmin activity than did the others; the residual coagulant activity was not affected by HHP. Proteolysis assessment showed that most severe treatments (400MPa) also resulted in cheeses with increased breakdown of αS1- and β-CN. In addition, nitrogen content in soluble fractions was significantly higher in cheeses treated at 400MPa, as well as soluble peptides and free AA production. Peptide profiles and individual and total content of free AA in 60-d-old treated cheese were as high as in fully ripened control cheeses (90d). Holding time had an effect only on pH-4.6-soluble nitrogen fraction and plasmin activity; cheese treated for 10min showed higher values than those treated for 5min, at both levels of pressure assayed. We concluded that HHP treatments at 400MPa applied 1d after cheesemaking increased the rate of proteolysis, leading to an

  14. Effect of high-pressure treatment on hard cheese proteolysis.

    PubMed

    Costabel, Luciana M; Bergamini, Carina; Vaudagna, Sergio R; Cuatrin, Alejandra L; Audero, Gabriela; Hynes, Erica

    2016-06-01

    The application of high hydrostatic pressure (HHP) treatment has been proposed to reduce the ripening time of cheese via modifications in the enzymatic activities or the substrate reactivity. Investigations on the effect of HHP on cheese proteolysis have been undertaken with either encouraging results or little effect according to the treatment conditions and the type of cheese, but information concerning the effect of HHP on the ripening of hard cooked cheese is still lacking. In this report, we describe the effect of HHP treatment on Reggianito cheese proteolysis. For that purpose, 1-d-old miniature cheeses (5.5-cm diameter and 6-cm height) were treated at 100 or 400MPa and 20°C for 5 or 10min, and control cheeses in the trial were not pressurized. All cheeses were ripened at 12°C during 90d. The HHP did not affect gross composition of the cheeses, but microbial load changed, especially because the starter culture count was significantly lower at the beginning of the ripening of the cheeses treated at 400MPa than in controls and cheeses treated at 100MPa. Cheeses treated at 400MPa for 10min had significantly higher plasmin activity than did the others; the residual coagulant activity was not affected by HHP. Proteolysis assessment showed that most severe treatments (400MPa) also resulted in cheeses with increased breakdown of αS1- and β-CN. In addition, nitrogen content in soluble fractions was significantly higher in cheeses treated at 400MPa, as well as soluble peptides and free AA production. Peptide profiles and individual and total content of free AA in 60-d-old treated cheese were as high as in fully ripened control cheeses (90d). Holding time had an effect only on pH-4.6-soluble nitrogen fraction and plasmin activity; cheese treated for 10min showed higher values than those treated for 5min, at both levels of pressure assayed. We concluded that HHP treatments at 400MPa applied 1d after cheesemaking increased the rate of proteolysis, leading to an

  15. Preliminary study of effectiveness of aloe vera in scabies treatment.

    PubMed

    Oyelami, O A; Onayemi, A; Oyedeji, O A; Adeyemi, L A

    2009-10-01

    In an open, non-comparative study carried out between August and December 2002 at the Obafemi Awolowo University Teaching Hospitals Complex, Ile-Ife, Nigeria, 5 patients with scabies were successfully treated with crude gel of Aloe vera; thereafter the efficacy of the extract was compared with that of benzoate lotion among 30 patients. Sixteen patients were treated with Aloe vera and 14 patients had benzyl benzoate lotion. Itching was still present in 3 patients in the benzyl benzoate group and in 2 patients in the Aloe vera group after 2 courses of treatment. The scabietic lesions virtually disappeared in all of them. None of these patients had any noticeable side effects. It is concluded that Aloe vera gel is as effective as benzyl benzoate in the treatment of scabies.

  16. Filmed treatment as an effective fear-reduction technique.

    PubMed

    Weissbrod, C S; Bryan, J H

    1973-04-01

    The present study attempted to determine whether age and sex of a film model would differentially affect fear reduction in the viewing children. The experiment also tested the reactions of Ss to films using real feared objects versus films of simulated objects. Twenty-five fourth- and fifth-grade males who were fearful of snakes were shown a treatment film for a total of 10 minutes. Pretreatment and posttreatment tests included asking Ss to approach and handle a live 4-ft. boa constrictor. Results indicated that models' age and sex characteristics did not influence their effectiveness as behavior-change agents. It was found that the use of the real feared object in the treatment film was a more effective fear reducer than was a replica of the object.

  17. Estimating a treatment effect from multidimensional longitudinal data.

    PubMed

    Gray, S M; Brookmeyer, R

    1998-09-01

    Multidimensional longitudinal data result when researchers measure an outcome through time that is quantified by many different response variables. These response variables are often defined on different numerical scales. The objective of this paper is to present a method to summarize and estimate an overall treatment effect from this type of longitudinal data. A regression model is proposed that assumes the treatment effect can be parameterized as an acceleration or deceleration of the time scale of each response variable's trajectory. Generalized estimating equations are used to estimate the model parameters. Cognitive and functional ability data from Alzheimer's disease patients and quality of life data from an AIDS clinical trial are used to illustrate the model.

  18. Effects of Osteopathic Manipulative Treatment on Diabetic Gastroparesis.

    PubMed

    Van Ravenswaay, Valerie J; Hain, Simeon J; Grasso, Sierra; Shubrook, Jay H

    2015-07-01

    As the number of diagnoses of diabetes mellitis continues to increase, so does the incidence of diabetic complications, such as gastroparesis. The current case report examines the effect of osteopathic manipulative treatment (OMT) on the symptoms of diabetic gastroparesis in a patient with type 1 diabetes mellitus. After a prescribed regimen of OMT, the patient's Gastroparesis Cardinal Symptom Index score improved from 13 to 8, and his hospitalization stays decreased from once every 6 to 8 weeks to once in 6 months. After 6 sessions of OMT, the patient experienced a reduction in and subsequent relief of diabetic gastroparesis symptoms and improved quality of life. The role of OMT needs to be further investigated as a cost-effective adjunctive treatment for patients with diabetic gastroparesis.

  19. [Modulation of the incretin effect in the treatment of diabetes].

    PubMed

    Vidal, Josep

    2014-01-01

    Modulation of the incretin effect has opened up a new strategy in the treatment of diabetes mellitus type 2 (DM2). To date, this physiological mechanism has been boosted in two ways: firstly, by pharmacological inhibition of the enzyme that physiologically degrades glucagon-like peptide-1 (GLP-1) receptor agonists, dipeptidyl peptidase-4 (DPP4); secondly, through the development of GLP-1 agonists (GLP-1a) that are resistant to the action of DPP-4. Several clinical trials have shown the clinical superiority of GLPa, which seems to be linked to higher circulating levels of GLP-1. On the other hand, this higher efficacy also seems to be associated with the higher rate of adverse effects associated with aGLP-1 therapy compared with DPP-4 inhibition. These and other differentiating characteristics of the two drug families will determine the choice of drug therapy in the personalized treatment of hyperglycemia in patients with DM2.

  20. [Modulation of the incretin effect in the treatment of diabetes].

    PubMed

    Vidal, Josep

    2014-09-01

    Modulation of the incretin effect has opened up a new strategy in the treatment of diabetes mellitus type 2 (DM2). To date, this physiological mechanism has been boosted in two ways: firstly, by pharmacological inhibition of the enzyme that physiologically degrades glucagon-like peptide-1 (GLP-1) receptor agonists, dipeptidyl peptidase-4 (DPP4); secondly, through the development of GLP-1 agonists (GLP-1a) that are resistant to the action of DPP-4. Several clinical trials have shown the clinical superiority of GLPa, which seems to be linked to higher circulating levels of GLP-1. On the other hand, this higher efficacy also seems to be associated with the higher rate of adverse effects associated with aGLP-1 therapy compared with DPP-4 inhibition. These and other differentiating characteristics of the two drug families will determine the choice of drug therapy in the personalized treatment of hyperglycemia in patients with DM2.

  1. A Review of Behavioral Foundations of Effective Autism Treatment

    PubMed Central

    Karsten, Amanda M; Andrade, Meca; Cividini-Motta, Catia; Conde, Kerry A; Donnelly, Maeve G; McConnell, Kelly; Moore, Keira; Peters, Lindsay; Roberts, Kylie; Stocco, Corey; Sveinbjornsdottir, Berglind; Vanselow, Nicholas

    2012-01-01

    Behavior analysts must base their practices on both the conceptual foundations and the validated technologies of our field. In recognition of these important facets of effective practice, Mayville and Mulick (2011) have produced an edited book aimed at “developing the conceptually sound and procedurally innovative behavior analysts that are so badly needed” (p. x) within the burgeoning field of autism treatment. We summarize the content of this book and evaluate its utility to practitioners working with people with autism spectrum disorders.

  2. Treatment of cloud radiative effects in general circulation models

    SciTech Connect

    Wang, W.C.; Dudek, M.P.; Liang, X.Z.; Ding, M.

    1996-04-01

    We participate in the Atmospheric Radiation Measurement (ARM) program with two objectives: (1) to improve the general circulation model (GCM) cloud/radiation treatment with a focus on cloud verticle overlapping and layer cloud optical properties, and (2) to study the effects of cloud/radiation-climate interaction on GCM climate simulations. This report summarizes the project progress since the Fourth ARM Science Team meeting February 28-March 4, 1994, in Charleston, South Carolina.

  3. The Effect of Tamsulosin in the Medical Treatment of Distal Ureteral Stones

    PubMed Central

    Alizadeh, M.; Magsudi, M.

    2014-01-01

    Introduction: Renal stones are common disorders that affect approximately 5% to 10% of the population and the incidence of renal stones is rising. Treatment of ureteral stones is an important part of urologists and minimally invasive procedures such as ESWL and ureteroscopy effectiveness has been proven in various studies. However, these methods are not completely safe and are expensive and can be complicated. Purpose of this study is to evaluate the effectiveness of tamsulosin in the medical treatment of distal ureteral stones. Patients and methods: A total of 96 patients with distal ureteral stones or UVj are randomly divided into two study group (50 patients) and control group (46 patients). Patients in the control group allowed to freely consuming fluids (hydration) and indomethacin 100 mg PRN. Study group in addition to indomethacin and daily analgesic 0.4 mg tamsulosin was administered. All subjects in terms of analgesic dose, duration of expulsion and expulsion were studied. Results: Spontaneous expulsion of stone was occurred in 62.5% (30 patients out of 46) of control group patients and 82% (41 patients out of 50) that there was no significant difference (P>0.05). Average time to fix the stone in control group 4.7±8.03 days (range 2 to 28 days) and in the study group, 3.7±5.70 days (range 1 to 23 days) is significantly different (P>0.05). The average amount of analgesic consumption in the control group was 2.3±4.31and in the study group was 1.48±2.15 that showed significant differences (P<0.05). Conclusions: In this study, although the addition of tamsulosin to conservative treatment of distal ureteral stones in the distal ureteral stone expulsion showed no significant difference between the two groups, but the reduction in the duration of expulsion, reduce pain and reduce the need for analgesic has been beneficial. PMID:25363178

  4. Pharmacogenetics of antipsychotic treatment response and side effects

    PubMed Central

    Mackenzie, B; Souza, RP; Likhodi, O; Tiwari, AK; Zai, CC; Sturgess, J

    2011-01-01

    Antipsychotic drugs are particularly interesting in pharmacogenetic studies as they are associated with a large interindividual variability in terms of response and side effects and, therefore, frequently need to be discontinued, requiring switches to other antipsychotics. Any information that allows the prediction of outcome to a given antipsychotic in a particular patient will, therefore, be of great help for the clinician to minimize time and find the right drug for the right patient, thus optimizing response and minimizing side effects. This will also have a substantial impact on compliance and doctor–patient relationships. Moreover, antipsychotic drug treatments are often required for life-long treatment and are also frequently prescribed to the more ‘vulnerable’ populations: children, adolescents and the elderly. This article focuses on some important studies performed with candidate gene variants associated with antipsychotic response. In addition, important findings in pharmacogenetic studies of antipsychotic-induced side effects will be briefly summarized, such as antipsychotic treatment induced tardive dyskinesia and weight gain. PMID:22287936

  5. Weightbath hydrotraction treatment: application, biomechanics, and clinical effects

    PubMed Central

    Kurutz, Márta; Bender, Tamás

    2010-01-01

    Background and purpose: Weightbath hydrotraction treatment (WHT) is a simple noninvasive effective method of hydro- or balneotherapy to stretch the spine or lower limbs, applied successfully in hospitals and health resort sanitaria in Hungary for more than fifty years. This study aims to introduce WHT with its biomechanical and clinical effects. History, development, equipment, modes of application, biomechanics, spinal traction forces and elongations, indications and contraindications of WHT are precented. Subjects and methods: The calculation of traction forces acting along the spinal column during the treatment is described together with the mode of suspension and the position of extra weight loads applied. The biomechanics of the treatment are completed by in vivo measured elongations of lumbar segments using a special underwater ultrasound measuring method. The clinical effects, indications, and contraindications of the treatment are also presented. Results: In the underwater cervical suspension of a human body, approximately 25 N stretching load occurs in the cervical spine, and about 11 N occurs in the lumbar spine. By applying extra weights, the above tensile forces along the spinal column can be increased. Thus, the traction effect can be controlled by applying such loads during the treatment. Elongations of segments L3–L4, L4–L5, and L5–S1 were measured during the usual WHT of patients suspended cervically in water for 20 minutes, loaded by 20–20 N lead weights on the ankles. The mean initial elastic elongations of spinal segments were about 0.8 mm for patients aged under 40 years, 0.5 mm between 40–60 years, and 0.2 mm for patients over 60 years. The mean final viscoelastic elongations were 1.5 mm, 1.2 mm, and 0.6 mm for the same age classes, respectively. No significant difference was found between the sexes regarding age-dependence in tension. WHT for discopathy showed significant improvement of clinical parameters, which was still evident

  6. Fluctuations of wavefunctions about their classical average

    NASA Astrophysics Data System (ADS)

    Benet, L.; Flores, J.; Hernández-Saldaña, H.; Izrailev, F. M.; Leyvraz, F.; Seligman, T. H.

    2003-02-01

    Quantum-classical correspondence for the average shape of eigenfunctions and the local spectral density of states are well-known facts. In this paper, the fluctuations of the quantum wavefunctions around the classical value are discussed. A simple random matrix model leads to a Gaussian distribution of the amplitudes whose width is determined by the classical shape of the eigenfunction. To compare this prediction with numerical calculations in chaotic models of coupled quartic oscillators, we develop a rescaling method for the components. The expectations are broadly confirmed, but deviations due to scars are observed. This effect is much reduced when both Hamiltonians have chaotic dynamics.

  7. [Comparison of predictive effect between the single auto regressive integrated moving average (ARIMA) model and the ARIMA-generalized regression neural network (GRNN) combination model on the incidence of scarlet fever].

    PubMed

    Zhu, Yu; Xia, Jie-lai; Wang, Jing

    2009-09-01

    Application of the 'single auto regressive integrated moving average (ARIMA) model' and the 'ARIMA-generalized regression neural network (GRNN) combination model' in the research of the incidence of scarlet fever. Establish the auto regressive integrated moving average model based on the data of the monthly incidence on scarlet fever of one city, from 2000 to 2006. The fitting values of the ARIMA model was used as input of the GRNN, and the actual values were used as output of the GRNN. After training the GRNN, the effect of the single ARIMA model and the ARIMA-GRNN combination model was then compared. The mean error rate (MER) of the single ARIMA model and the ARIMA-GRNN combination model were 31.6%, 28.7% respectively and the determination coefficient (R(2)) of the two models were 0.801, 0.872 respectively. The fitting efficacy of the ARIMA-GRNN combination model was better than the single ARIMA, which had practical value in the research on time series data such as the incidence of scarlet fever.

  8. Sexual dysfunction and infertility as late effects of cancer treatment

    PubMed Central

    Schover, Leslie R.; van der Kaaij, Marleen; van Dorst, Eleonora; Creutzberg, Carien; Huyghe, Eric; Kiserud, Cecilie E.

    2014-01-01

    Sexual dysfunction is a common consequence of cancer treatment, affecting at least half of men and women treated for pelvic malignancies and over a quarter of people with other types of cancer. Problems are usually linked to damage to nerves, blood vessels, and hormones that underlie normal sexual function. Sexual dysfunction also may be associated with depression, anxiety, relationship conflict, and loss of self-esteem. Innovations in cancer treatment such as robotic surgery or more targeted radiation therapy have not had the anticipated result of reducing sexual dysfunction. Some new and effective cancer treatments, including aromatase inhibitors for breast cancer or chemoradiation for anal cancer also have very severe sexual morbidity. Cancer-related infertility is an issue for younger patients, who comprise a much smaller percentage of total cancer survivors. However, the long-term emotional impact of being unable to have a child after cancer can be extremely distressing. Advances in knowledge about how cancer treatments may damage fertility, as well as newer techniques to preserve fertility, offer hope to patients who have not completed their childbearing at cancer diagnosis. Unfortunately, surveys in industrialised nations confirm that many cancer patients are still not informed about potential changes to their sexual function or fertility, and all modalities of fertility preservation remain underutilised. After cancer treatment, many patients continue to have unmet needs for information about restoring sexual function or becoming a parent. Although more research is needed on optimal clinical practice, current studies suggest a multidisciplinary approach, including both medical and psychosocial treatment options. PMID:26217165

  9. Sexual dysfunction and infertility as late effects of cancer treatment.

    PubMed

    Schover, Leslie R; van der Kaaij, Marleen; van Dorst, Eleonora; Creutzberg, Carien; Huyghe, Eric; Kiserud, Cecilie E

    2014-06-01

    Sexual dysfunction is a common consequence of cancer treatment, affecting at least half of men and women treated for pelvic malignancies and over a quarter of people with other types of cancer. Problems are usually linked to damage to nerves, blood vessels, and hormones that underlie normal sexual function. Sexual dysfunction also may be associated with depression, anxiety, relationship conflict, and loss of self-esteem. Innovations in cancer treatment such as robotic surgery or more targeted radiation therapy have not had the anticipated result of reducing sexual dysfunction. Some new and effective cancer treatments, including aromatase inhibitors for breast cancer or chemoradiation for anal cancer also have very severe sexual morbidity. Cancer-related infertility is an issue for younger patients, who comprise a much smaller percentage of total cancer survivors. However, the long-term emotional impact of being unable to have a child after cancer can be extremely distressing. Advances in knowledge about how cancer treatments may damage fertility, as well as newer techniques to preserve fertility, offer hope to patients who have not completed their childbearing at cancer diagnosis. Unfortunately, surveys in industrialised nations confirm that many cancer patients are still not informed about potential changes to their sexual function or fertility, and all modalities of fertility preservation remain underutilised. After cancer treatment, many patients continue to have unmet needs for information about restoring sexual function or becoming a parent. Although more research is needed on optimal clinical practice, current studies suggest a multidisciplinary approach, including both medical and psychosocial treatment options. PMID:26217165

  10. Assessment of psychological effects of dental treatment on children

    PubMed Central

    Mittal, Rakesh; Sharma, Meenakshi

    2012-01-01

    Aim: The aim of present study is to investigate the various psychological effects on children due to dental treatment. Materials and Methods: One hundred and eighty school going children, age range between six and twelve years, were recruited into the study and divided into two groups (Group I included six to nine-year-olds and Group II included nine-to-twelve year olds). Only those children were included who underwent a certain dental treatment seven days prior to the investigation. Each child was asked a preformed set of questions. The child was allowed to explain and answer in his own way, rather than only in yes or no. The answers were recorded. After interviewing, the child was asked either to draw a picture or to write an essay related to his experience regarding the dentist and dental treatment. Results: A majority of the children (92.22%) had a positive perception. The number of children having negative and neutral perceptions was comparatively much less. Younger children (Group I) had a more negative experience than the older children (Group II). Only one-fourth of the children complained of some pretreatment fear (23.83%); 72.09% of the children did not have any pain during dental treatment and a majority of children (80.23%) remembered their dental treatment. Conclusion: A majority of children had a positive perception of their dental treatment and the children in the younger age group had more negative perceptions than the children in the older age group. PMID:22629059

  11. 40 CFR 91.1304 - Averaging.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 40 Protection of Environment 20 2010-07-01 2010-07-01 false Averaging. 91.1304 Section 91.1304... Averaging. (a) A manufacturer may use averaging across engine families to demonstrate a zero or positive credit balance for a model year. Positive credits to be used in averaging may be obtained from...

  12. 40 CFR 91.1304 - Averaging.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... 40 Protection of Environment 21 2012-07-01 2012-07-01 false Averaging. 91.1304 Section 91.1304... Averaging. (a) A manufacturer may use averaging across engine families to demonstrate a zero or positive credit balance for a model year. Positive credits to be used in averaging may be obtained from...

  13. 40 CFR 91.1304 - Averaging.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... 40 Protection of Environment 21 2013-07-01 2013-07-01 false Averaging. 91.1304 Section 91.1304... Averaging. (a) A manufacturer may use averaging across engine families to demonstrate a zero or positive credit balance for a model year. Positive credits to be used in averaging may be obtained from...

  14. Comparison the effectiveness of aripiprazole and risperidone for the treatment of acute bipolar mania

    PubMed Central

    Rezayat, Amir Akhavan; Hebrani, Paria; Behdani, Fatemeh; Salaran, Mohamad; Marvast, Majid Nabizadeh

    2014-01-01

    Background: Second-generation antipsychotics, approved for the treatment of mania, are associated with adverse effects such as weight gain and metabolic disorders. Aripiprazole, a recently introduced second-generation antipsychotic, are thought to account for its low propensity for weight gain, metabolic disturbances and sedation. The purpose of this study was to investigate the effect of risperidone versus aripiprazole in the treatment of acute mania. Materials and Methods: Fifty patients with acute episodes of mania were enrolled in this study, and they were randomly assigned into a risperidone group of 24 cases and an aripiprazole group of 26 cases. In group A, aripiprazole with a dose of 5-30 mg/day and in group B, risperidone with a dose of 2-8 mg/day was given to patients. The average dose of aripiprazole was 27 mg/day, and the average dose of risperidone was 6 mg/day. The effects of each drug for the treatment of acute mania were assessed on the 1st day of admission and on days 2, 4, 6, 8 and at weeks 2, 4 and 6 after therapy using the young mania rating scale (YMRS) and at the baseline and on weeks 3 and 6 after admission using the clinical global impression (CGI) scale. Results: The mean age of the group of risperidone was 34 ± 8.6 years and in a group of aripiprazole it was 34 ± 9.1 years (P = 0.83). Comparison of YMRS scores over the period of 6 weeks revealed a statistically significant difference in both groups (P < 0.0001). There was also a statistically significant difference in YMRS scores between risperidone and aripiprazole at day 8 (P = 0.026) and weeks 2 (P = 0.035) and 4 (P = 0.042). There was also a statistically significant difference in CGI-Severity scale score at weeks 3 (P = 0.003) and 6 (P = 0.000) and in CGI-Improvement scale score at weeks 3 (P = 0.005) and 6 (P = 0.002). The most common side-effect observed in both groups was headache (0%15/4 in aripiprazole vs. %16/7 in risperidone) Conclusion: Aripiprazole that is readily available

  15. Refined treatment of single-edge diffraction effects in radiometry.

    PubMed

    Shirley, Eric L

    2016-08-01

    This work treats diffraction corrections in radiometry for cases of point and extended sources in cylindrically symmetrical three-element systems. It considers diffraction effects for spectral power and total power in cases of Planck sources. It improves upon an earlier work by the author by giving a simpler rendering of leading terms in asymptotic expansions for diffraction effects and reliable estimates for the remainders. This work also demonstrates a framework for accelerating the treatment of extended sources and simplifying the calculation of diffraction effects over a range of wavelengths. This is especially important in the short-wavelength region, where dense sampling of wavelength values is in principle necessitated by the rapidly oscillatory behavior of diffraction effects as a function of wavelength. We demonstrate the methodology's efficacy in two radiometric applications. PMID:27505649

  16. Is immunotherapy an opportunity for effective treatment of drug addiction?

    PubMed

    Zalewska-Kaszubska, Jadwiga

    2015-11-27

    Immunotherapy has a great potential of becoming a new therapeutic strategy in the treatment of addiction to psychoactive drugs. It may be used to treat addiction but also to prevent neurotoxic complications of drug overdose. In preclinical studies two immunological methods have been tested; active immunization, which relies on the administration of vaccines and passive immunization, which relies on the administration of monoclonal antibodies. Until now researchers have succeeded in developing vaccines and/or antibodies against addiction to heroin, cocaine, methamphetamine, nicotine and phencyclidine. Their effectiveness has been confirmed in preclinical studies. At present, clinical studies are being conducted for vaccines against nicotine and cocaine and also anti-methamphetamine monoclonal antibody. These preclinical and clinical studies suggest that immunotherapy may be useful in the treatment of addiction and drug overdose. However, there are a few problems to be solved. One of them is controlling the level of antibodies due to variability between subjects. But even obtaining a suitable antibody titer does not guarantee the effectiveness of the vaccine. Additionally, there is a risk of intentional or unintentional overdose. As vaccines prevent passing of drugs through the blood/brain barrier and thereby prevent their positive reinforcement, some addicted patients may erroneously seek higher doses of psychoactive substances to get "high". Consequently, vaccination should be targeted at persons who have a strong motivation to free themselves from drug dependency. It seems that immunotherapy may be an opportunity for effective treatment of drug addiction if directed to adequate candidates for treatment. For other addicts, immunotherapy may be a very important element supporting psycho- and pharmacotherapy. PMID:26432911

  17. Effects of metformin treatment on glioma-induced brain edema.

    PubMed

    Zhao, Bin; Wang, Xiaoke; Zheng, Jun; Wang, Hailiang; Liu, Jun

    2016-01-01

    Considerable evidence has demonstrated that metformin can activate 5'-AMP-activated protein kinase (AMPK) signaling pathway, which plays a critical role in protection of endothelial cell permeability. Hence, the present study evaluated the effects of metformin on blood brain barrier permeability and AQP4 expression in vitro, and assessed the effects of metformin treatment on tumor-induced brain edema in vivo. Hypoxia or VEGF exposure enhanced bEnd3 endothelial cell monolayer permeability and attenuated the expression of tight junction proteins including Occludin, Claudin-5, ZO-1, and ZO-2. However, 0.5 mM metformin treatment protected bEnd3 endothelial cell monolayer from hypoxia or VEGF-induced permeability, which was correlated with increased expression of tight junction proteins. Furthermore, metformin treatment attenuated AQP4 protein expression in cultured astrocytes. Such an effect involved the activation of AMPK and inhibition of NF-κB. Finally, metformin treatment dose-dependently reduced glioma induced vascular permeability and cerebral edema in vivo in rats. Thus, our results suggested that metformin may protect endothelial cell tight junction, prevent damage to the blood brain barrier induced by brain tumor growth, and alleviate the formation of cerebral edema. Furthermore, since the formation of cytotoxic edema and AQP4 expression was positively correlated, our results indicated that metformin may reduce the formation of cytotoxic edema. However, given that AQP4 plays a key role in the elimination of cerebral edema, attenuation of AQP4 expression by metformin may reduce the elimination of cerebral edema. Hence, future studies will be necessary to dissect the specific mechanisms of metformin underlying the dynamics of tumor-induced brain edema in vivo.

  18. Effects of metformin treatment on glioma-induced brain edema

    PubMed Central

    Zhao, Bin; Wang, Xiaoke; Zheng, Jun; Wang, Hailiang; Liu, Jun

    2016-01-01

    Considerable evidence has demonstrated that metformin can activate 5’-AMP-activated protein kinase (AMPK) signaling pathway, which plays a critical role in protection of endothelial cell permeability. Hence, the present study evaluated the effects of metformin on blood brain barrier permeability and AQP4 expression in vitro, and assessed the effects of metformin treatment on tumor-induced brain edema in vivo. Hypoxia or VEGF exposure enhanced bEnd3 endothelial cell monolayer permeability and attenuated the expression of tight junction proteins including Occludin, Claudin-5, ZO-1, and ZO-2. However, 0.5 mM metformin treatment protected bEnd3 endothelial cell monolayer from hypoxia or VEGF-induced permeability, which was correlated with increased expression of tight junction proteins. Furthermore, metformin treatment attenuated AQP4 protein expression in cultured astrocytes. Such an effect involved the activation of AMPK and inhibition of NF-κB. Finally, metformin treatment dose-dependently reduced glioma induced vascular permeability and cerebral edema in vivo in rats. Thus, our results suggested that metformin may protect endothelial cell tight junction, prevent damage to the blood brain barrier induced by brain tumor growth, and alleviate the formation of cerebral edema. Furthermore, since the formation of cytotoxic edema and AQP4 expression was positively correlated, our results indicated that metformin may reduce the formation of cytotoxic edema. However, given that AQP4 plays a key role in the elimination of cerebral edema, attenuation of AQP4 expression by metformin may reduce the elimination of cerebral edema. Hence, future studies will be necessary to dissect the specific mechanisms of metformin underlying the dynamics of tumor-induced brain edema in vivo. PMID:27648126

  19. Effects of metformin treatment on glioma-induced brain edema

    PubMed Central

    Zhao, Bin; Wang, Xiaoke; Zheng, Jun; Wang, Hailiang; Liu, Jun

    2016-01-01

    Considerable evidence has demonstrated that metformin can activate 5’-AMP-activated protein kinase (AMPK) signaling pathway, which plays a critical role in protection of endothelial cell permeability. Hence, the present study evaluated the effects of metformin on blood brain barrier permeability and AQP4 expression in vitro, and assessed the effects of metformin treatment on tumor-induced brain edema in vivo. Hypoxia or VEGF exposure enhanced bEnd3 endothelial cell monolayer permeability and attenuated the expression of tight junction proteins including Occludin, Claudin-5, ZO-1, and ZO-2. However, 0.5 mM metformin treatment protected bEnd3 endothelial cell monolayer from hypoxia or VEGF-induced permeability, which was correlated with increased expression of tight junction proteins. Furthermore, metformin treatment attenuated AQP4 protein expression in cultured astrocytes. Such an effect involved the activation of AMPK and inhibition of NF-κB. Finally, metformin treatment dose-dependently reduced glioma induced vascular permeability and cerebral edema in vivo in rats. Thus, our results suggested that metformin may protect endothelial cell tight junction, prevent damage to the blood brain barrier induced by brain tumor growth, and alleviate the formation of cerebral edema. Furthermore, since the formation of cytotoxic edema and AQP4 expression was positively correlated, our results indicated that metformin may reduce the formation of cytotoxic edema. However, given that AQP4 plays a key role in the elimination of cerebral edema, attenuation of AQP4 expression by metformin may reduce the elimination of cerebral edema. Hence, future studies will be necessary to dissect the specific mechanisms of metformin underlying the dynamics of tumor-induced brain edema in vivo.

  20. Effects of metformin treatment on glioma-induced brain edema.

    PubMed

    Zhao, Bin; Wang, Xiaoke; Zheng, Jun; Wang, Hailiang; Liu, Jun

    2016-01-01

    Considerable evidence has demonstrated that metformin can activate 5'-AMP-activated protein kinase (AMPK) signaling pathway, which plays a critical role in protection of endothelial cell permeability. Hence, the present study evaluated the effects of metformin on blood brain barrier permeability and AQP4 expression in vitro, and assessed the effects of metformin treatment on tumor-induced brain edema in vivo. Hypoxia or VEGF exposure enhanced bEnd3 endothelial cell monolayer permeability and attenuated the expression of tight junction proteins including Occludin, Claudin-5, ZO-1, and ZO-2. However, 0.5 mM metformin treatment protected bEnd3 endothelial cell monolayer from hypoxia or VEGF-induced permeability, which was correlated with increased expression of tight junction proteins. Furthermore, metformin treatment attenuated AQP4 protein expression in cultured astrocytes. Such an effect involved the activation of AMPK and inhibition of NF-κB. Finally, metformin treatment dose-dependently reduced glioma induced vascular permeability and cerebral edema in vivo in rats. Thus, our results suggested that metformin may protect endothelial cell tight junction, prevent damage to the blood brain barrier induced by brain tumor growth, and alleviate the formation of cerebral edema. Furthermore, since the formation of cytotoxic edema and AQP4 expression was positively correlated, our results indicated that metformin may reduce the formation of cytotoxic edema. However, given that AQP4 plays a key role in the elimination of cerebral edema, attenuation of AQP4 expression by metformin may reduce the elimination of cerebral edema. Hence, future studies will be necessary to dissect the specific mechanisms of metformin underlying the dynamics of tumor-induced brain edema in vivo. PMID:27648126

  1. Indirect Estimation of the Comparative Treatment Effect in Pharmacogenomic Subgroups

    PubMed Central

    Sorich, Michael J.; Coory, Michael; Pekarsky, Brita A. K.

    2013-01-01

    Evidence of clinical utility is a key issue in translating pharmacogenomics into clinical practice. Appropriately designed randomized controlled trials generally provide the most robust evidence of the clinical utility, but often only data from a pharmacogenomic association study are available. This paper details a method for reframing the results of pharmacogenomic association studies in terms of the comparative treatment effect for a pharmacogenomic subgroup to provide greater insight into the likely clinical utility of a pharmacogenomic marker, its’ likely cost effectiveness, and the value of undertaking the further (often expensive) research required for translation into clinical practice. The method is based on the law of total probability, which relates marginal and conditional probability. It takes as inputs: the prevalence of the pharmacogenomic marker in the patient group of interest, prognostic effect of the pharmacogenomic marker based on observational association studies, and the unstratified comparative treatment effect based on one or more conventional randomized controlled trials. The critical assumption is that of exchangeability across the included studies. The method is demonstrated using a case study of cytochrome P450 (CYP) 2C19 genotype and the anti-platelet agent clopidogrel. Indirect subgroup analysis provided insight into relationship between the clinical utility of genotyping CYP2C19 and the risk ratio of cardiovascular outcomes between CYP2C19 genotypes for individuals using clopidogrel. In this case study the indirect and direct estimates of the treatment effect for the cytochrome P450 2C19 subgroups were similar. In general, however, indirect estimates are likely to have substantially greater risk of bias than an equivalent direct estimate. PMID:24015225

  2. The Effect of Stabilization Treatments on Disk Alloy CH98

    NASA Technical Reports Server (NTRS)

    Gayda, John; Gabb, Timothy P.; Ellis, David L.

    2003-01-01

    Gas turbine engines for future subsonic transports will probably have higher pressure ratios which will require nickelbase superalloy disks with 1300 to 1400 F temperature capability. Several advanced disk alloys are being developed to fill this need. One of these, CH98, is a promising candidate for gas turbine engines and is being studied in NASA s Advanced Subsonic Technology (AST) program. For large disks, residual stresses generated during quenching from solution heat treatments are often reduced by a stabilization heat treatment, in which the disk is heated to 1500 or 1600 F for several hours followed by a static air cool. The reduction in residual stress levels lessens distortion during machining of disks. However, previous work on CH98 has indicated that stabilization treatments can also decrease creep capability. In this study, a systematic variation of stabilization temperature and time was investigated to determine its effect on 1300 F tensile and, more importantly, creep behavior. Dwell crack growth rates were also measured for selected stabilization conditions. As these advanced disk alloys may be given a supersolvus solution or a subsolvus solution heat treatment for a given application, it was decided that both options would be studied.

  3. Effect of oral cephalexin in the treatment of BCG lymphadenitis.

    PubMed

    Ayazi, Parviz; Mahyar, Abolfazl; Taremiha, Alireza; Ghorani, Najmeh; Esmailzadehha, Neda

    2014-06-01

    Lymphadenitis and abscess formation are the most common side effects of vaccination with Bacille Calmette Guerin (BCG). The lower the child's age at the time of vaccination, the higher the incidence of BCG lymphadenitis tends to be. Although various therapeutic approaches are in use for the treatment of BCG lymphadenitis, there is no consensus on which of them is optimal. This study aimed to determine whether oral cephalexin treatment hastens recovery from BCG lymphadenitis. The study involved 40 children (24 boys and 16 girls) with BCG lymphadenitis who were referred to Qazvin Children's Hospital, Qazvin University of Medical Sciences between December 2008 and the end of September 2009. The patients were randomly assigned to two groups of 20 patients each (12 boys and 8 girls in each group): group A patients did not receive any treatment and served as controls, and group B patients were treated with 50 mg/kg/day cephalexin syrup, administered in four doses, for 10 days. In all patients, clinical examination was normal, except for lymphadenitis. In all patients, BCG vaccination had been performed at birth, and polymerase chain reaction tests were positive for tuberculous bacilli. The recovery period and requirement of fine needle aspiration did not significantly differ between the two groups (P 0.05). This study showed that treatment with cephalexin does not hasten recovery from BCG lymphadenitis.

  4. INVESTIGATION OF THE EFFECTIVENESS OF ACUPUNCTURE IN THE TREATMENT OF FROZEN SHOULDER

    PubMed Central

    Asheghan, Mahsa; Aghda, Amidoddin Khatibi; Hashemi, Ebrahim; Hollisaz, Mohammadtaghi

    2016-01-01

    Background: Adhesive capsulitis is a common disease that causes pain and reduced range of motion, but vague on the shoulder. Woman are affected fewer than men, but there is no known racial or genetic tendency. Most patients with adhesive capsulitis will improve with nonsurgical treatment. Acetaminophen and nonsteroidal anti-inflammatory drugs for pain relief in patients without contraindication are first-line options. Acupuncture considered being safe and effective in reducing pain. The aim of this study was to Investigation of the effectiveness of acupuncture in the treatment of frozen shoulder. Materials and Methods: In a controlled clinical trial, patients referred to the Baqiatallah clinic in 91 years with shoulder pain, frozen shoulder diagnosed based on history and physical exam, they have been enrolled. Indicators measured in the study was included the involved joint pain, range of motion and quality of life. Patients, first at baseline, one and a half months later (end of session) and then 3 months after the examination information about each individual entered in the from of questionnaires were pre-determined and data were analyzed by SPSS 17 software. Results: In this clinical trial study total 40 patients with frozen shoulder (20 interference with the acupuncture and 20 people control) study that patients average age 55/54. Age maximum 71 years and minimum 44 years. Acupuncture in the treatment of frozen shoulder with the results achieved in the general case acupuncture may improve shoulder motion in patients. VAS index at three months after treatment compared with the control group had a greater improvement. Conclusion: In the case of acupuncture and ultimately improve the overall look of all the movement of flexion and adduction of the shoulder, but the movement has been further improved, VAS index at three months after treatment compared with the control group had a greater improvement and finally, we perform acupuncture as a way to improve shoulder

  5. INVESTIGATION OF THE EFFECTIVENESS OF ACUPUNCTURE IN THE TREATMENT OF FROZEN SHOULDER

    PubMed Central

    Asheghan, Mahsa; Aghda, Amidoddin Khatibi; Hashemi, Ebrahim; Hollisaz, Mohammadtaghi

    2016-01-01

    Background: Adhesive capsulitis is a common disease that causes pain and reduced range of motion, but vague on the shoulder. Woman are affected fewer than men, but there is no known racial or genetic tendency. Most patients with adhesive capsulitis will improve with nonsurgical treatment. Acetaminophen and nonsteroidal anti-inflammatory drugs for pain relief in patients without contraindication are first-line options. Acupuncture considered being safe and effective in reducing pain. The aim of this study was to Investigation of the effectiveness of acupuncture in the treatment of frozen shoulder. Materials and Methods: In a controlled clinical trial, patients referred to the Baqiatallah clinic in 91 years with shoulder pain, frozen shoulder diagnosed based on history and physical exam, they have been enrolled. Indicators measured in the study was included the involved joint pain, range of motion and quality of life. Patients, first at baseline, one and a half months later (end of session) and then 3 months after the examination information about each individual entered in the from of questionnaires were pre-determined and data were analyzed by SPSS 17 software. Results: In this clinical trial study total 40 patients with frozen shoulder (20 interference with the acupuncture and 20 people control) study that patients average age 55/54. Age maximum 71 years and minimum 44 years. Acupuncture in the treatment of frozen shoulder with the results achieved in the general case acupuncture may improve shoulder motion in patients. VAS index at three months after treatment compared with the control group had a greater improvement. Conclusion: In the case of acupuncture and ultimately improve the overall look of all the movement of flexion and adduction of the shoulder, but the movement has been further improved, VAS index at three months after treatment compared with the control group had a greater improvement and finally, we perform acupuncture as a way to improve shoulder

  6. Lasso adjustments of treatment effect estimates in randomized experiments

    PubMed Central

    Bloniarz, Adam; Liu, Hanzhong; Zhang, Cun-Hui; Sekhon, Jasjeet S.; Yu, Bin

    2016-01-01

    We provide a principled way for investigators to analyze randomized experiments when the number of covariates is large. Investigators often use linear multivariate regression to analyze randomized experiments instead of simply reporting the difference of means between treatment and control groups. Their aim is to reduce the variance of the estimated treatment effect by adjusting for covariates. If there are a large number of covariates relative to the number of observations, regression may perform poorly because of overfitting. In such cases, the least absolute shrinkage and selection operator (Lasso) may be helpful. We study the resulting Lasso-based treatment effect estimator under the Neyman–Rubin model of randomized experiments. We present theoretical conditions that guarantee that the estimator is more efficient than the simple difference-of-means estimator, and we provide a conservative estimator of the asymptotic variance, which can yield tighter confidence intervals than the difference-of-means estimator. Simulation and data examples show that Lasso-based adjustment can be advantageous even when the number of covariates is less than the number of observations. Specifically, a variant using Lasso for selection and ordinary least squares (OLS) for estimation performs particularly well, and it chooses a smoothing parameter based on combined performance of Lasso and OLS. PMID:27382153

  7. Effects of long-term atorvastatin treatment on cardiac aging

    PubMed Central

    HAN, LEI; LI, MINGGAO; LIU, XIN

    2013-01-01

    A number of studies have reported that atorvastatin (AVT) may have an important role in the delay of cardiac aging. However, the mechanism by which AVT affects cardiac aging has not been established. In this study, a series of experiments were performed to investigate the effects of AVT treatment on the cardiovascular system and the associated mechanism. Wistar rats were administered AVT or saline for 4 months. Age-related changes in the hearts were measured at the end of the experiment. The results showed that compared with young rats, the aged rats had significant changes indicative of myocardial aging, including increased blood lipid 1evelss, increased body weight, cardiac hypertrophy, larger myocardial cells, irregular muscle fibers, fewer deeply stained nuclei, smaller intercellular spaces, a larger number of apoptotic cells and increased levels of lipofuscin in myocardial tissue. However, long-term AVT treatment was able to significantly delay or even reverse these aging-related changes. In addition, these effects showed a certain dose-dependence. In general, long-term AVT treatment reduces blood lipids, inhibits cardiac hypertrophy, suppresses cardiomyocyte apoptosis and lowers the level of oxidative stress to protect the heart from aging. PMID:24137254

  8. Effect Size for Single-Subject Design in Phonological Treatment

    PubMed Central

    Morrisette, Michele L.; Dickinson, Stephanie L.

    2015-01-01

    Purpose The purpose of this study was to document, validate, and corroborate effect size (ES) for single-subject design in treatment of children with functional phonological disorders; to evaluate potential child-specific contributing variables relative to ES; and to establish benchmarks for interpretation of ES for the population. Method Data were extracted from the Developmental Phonologies Archive for 135 preschool children with phonological disorders who previously participated in single-subject experimental treatment studies. Standard mean differenceall with correction for continuity was computed to gauge the magnitude of generalization gain that accrued longitudinally from treatment for each child with the data aggregated for purposes of statistical analyses. Results ES ranged from 0.09 to 27.83 for the study population. ES was positively correlated with conventional measures of phonological learning and visual inspection of learning data on the basis of procedures standard to single-subject design. ES was linked to children's performance on diagnostic assessments of phonology but not other demographic characteristics or related linguistic skills and nonlinguistic skills. Benchmarks for interpretation of ES were estimated as 1.4, 3.6, and 10.1 for small, medium, and large learning effects, respectively. Conclusion Findings have utility for single-subject research and translation of research to evidence-based practice for children with phonological disorders. PMID:26184118

  9. Effective Treatment of Respiratory Alphaherpesvirus Infection Using RNA Interference

    PubMed Central

    Fulton, Amy; Peters, Sarah T.; Perkins, Gillian A.; Jarosinski, Keith W.; Damiani, Armando; Brosnahan, Margaret; Buckles, Elizabeth L.; Osterrieder, Nikolaus; Van de Walle, Gerlinde R.

    2009-01-01

    Background Equine herpesvirus type 1 (EHV-1), a member of the Alphaherpesvirinae, is spread via nasal secretions and causes respiratory disease, neurological disorders and abortions. The virus is a significant equine pathogen, but current EHV-1 vaccines are only partially protective and effective metaphylactic and therapeutic agents are not available. Small interfering RNAs (siRNA's), delivered intranasally, could prove a valuable alternative for infection control. siRNA's against two essential EHV-1 genes, encoding the viral helicase (Ori) and glycoprotein B, were evaluated for their potential to decrease EHV-1 infection in a mouse model. Methodology/Principal Fndings siRNA therapy in vitro significantly reduced virus production and plaque size. Viral titers were reduced 80-fold with 37.5 pmol of a single siRNA or with as little as 6.25 pmol of each siRNA when used in combination. siRNA therapy in vivo significantly reduced viral replication and clinical signs. Intranasal treatment did not require a transport vehicle and proved effective when given up to 12 h before or after infection. Conclusions/Significance siRNA treatment has potential for both prevention and early treatment of EHV-1 infections. PMID:19122813

  10. Lasso adjustments of treatment effect estimates in randomized experiments.

    PubMed

    Bloniarz, Adam; Liu, Hanzhong; Zhang, Cun-Hui; Sekhon, Jasjeet S; Yu, Bin

    2016-07-01

    We provide a principled way for investigators to analyze randomized experiments when the number of covariates is large. Investigators often use linear multivariate regression to analyze randomized experiments instead of simply reporting the difference of means between treatment and control groups. Their aim is to reduce the variance of the estimated treatment effect by adjusting for covariates. If there are a large number of covariates relative to the number of observations, regression may perform poorly because of overfitting. In such cases, the least absolute shrinkage and selection operator (Lasso) may be helpful. We study the resulting Lasso-based treatment effect estimator under the Neyman-Rubin model of randomized experiments. We present theoretical conditions that guarantee that the estimator is more efficient than the simple difference-of-means estimator, and we provide a conservative estimator of the asymptotic variance, which can yield tighter confidence intervals than the difference-of-means estimator. Simulation and data examples show that Lasso-based adjustment can be advantageous even when the number of covariates is less than the number of observations. Specifically, a variant using Lasso for selection and ordinary least squares (OLS) for estimation performs particularly well, and it chooses a smoothing parameter based on combined performance of Lasso and OLS. PMID:27382153

  11. Oral tissues and orthodontic treatment: common side effects.

    PubMed

    Farronato, G; Giannini, L; Galbiati, G; Cannalire, P; Martinelli, G; Tubertini, I; Maspero, C

    2013-01-01

    The aim of this paper was to provide a literature review about the problems that can occur during orthodontic treatment. Using the PubMed database we collected items that would provide information regarding the direct consequences of the placement of an orthodontic appliance: coming to the discussion of the following topics: candida infections, the effects on the soft tissues, the effects on periodontal tissues and effects on hard tissues. The presence of appliances in the oral cavity increases the prevalence of people with candida, specifically the species Candida Albicans is the most frequently isolated. The balance between the clearance of the microorganism, the colonization and the state of candidiasis depends both on the virulence of the fungus, and the competence of the host immune system. On soft tissues, cases of ulceration of the upper jaw by a rapid palatal expander and pyogenic granuloma due to quad helix appliance have been reported. The second one is mostly observed on vestibular gingiva. The first one was found, however, in patients suffering from diabetes mellitus type 1 because of the tissue modifications induced by this pathological condition. The more severe periodontic effects are those caused by incorrect use of orthodontic elastic separators. Finally, the White Spot Lesions are the direct consequences of a wrong conditioning of enamel when attaching the bracket. They represent a first stage of caries in the positioning area of the bracket. The orthodontist is required to intercept these issues not to affect the success of the treatment. PMID:24270203

  12. [Effectiveness of N-acetylcysteine in the treatment of schizophrenia].

    PubMed

    Miyake, Nobumi; Miyamoto, Seiya

    2016-04-01

    Oxidative stress and neuroinflammation have recently been focused on the pathological hypotheses of schizophrenia. N-acetylcysteine (NAC) is a precursor of endogenous antioxidant glutathione and has antioxidant, anti-inflammatory, and neuroprotective properties. NAC is widely available as an over-the-counter nutritional supplement. Increasing lines of evidence suggest that NAC is effective for various mental disorders. In randomized controlled trials, treatment with NAC as an add-on to antipsychotics showed beneficial effects and safety profiles in patients with chronic schizophrenia. The results of a recent preclinical study using a neurodevelopmental model of schizophrenia suggest that NAC may have promising effects in an early stage of schizophrenia and an at-risk mental state. However, there is little clinical evidence for the efficacy and safety of NAC at these stages of schizophrenia. In this review, we summarize the evidence regarding the effectiveness of NAC for the treatment of schizophrenia and its prodromal stage. We also introduce the preliminary results of our research on NAC.

  13. [Effectiveness of N-acetylcysteine in the treatment of schizophrenia].

    PubMed

    Miyake, Nobumi; Miyamoto, Seiya

    2016-04-01

    Oxidative stress and neuroinflammation have recently been focused on the pathological hypotheses of schizophrenia. N-acetylcysteine (NAC) is a precursor of endogenous antioxidant glutathione and has antioxidant, anti-inflammatory, and neuroprotective properties. NAC is widely available as an over-the-counter nutritional supplement. Increasing lines of evidence suggest that NAC is effective for various mental disorders. In randomized controlled trials, treatment with NAC as an add-on to antipsychotics showed beneficial effects and safety profiles in patients with chronic schizophrenia. The results of a recent preclinical study using a neurodevelopmental model of schizophrenia suggest that NAC may have promising effects in an early stage of schizophrenia and an at-risk mental state. However, there is little clinical evidence for the efficacy and safety of NAC at these stages of schizophrenia. In this review, we summarize the evidence regarding the effectiveness of NAC for the treatment of schizophrenia and its prodromal stage. We also introduce the preliminary results of our research on NAC. PMID:27333656

  14. Aberration averaging using point spread function for scanning projection systems

    NASA Astrophysics Data System (ADS)

    Ooki, Hiroshi; Noda, Tomoya; Matsumoto, Koichi

    2000-07-01

    Scanning projection system plays a leading part in current DUV optical lithography. It is frequently pointed out that the mechanically induced distortion and field curvature degrade image quality after scanning. On the other hand, the aberration of the projection lens is averaged along the scanning direction. This averaging effect reduces the residual aberration significantly. The aberration averaging based on the point spread function and phase retrieval technique in order to estimate the effective wavefront aberration after scanning is described in this paper. Our averaging method is tested using specified wavefront aberration, and its accuracy is discussed based on the measured wavefront aberration of recent Nikon projection lens.

  15. Effect of BPSH post treatment on DMFC performance and properties

    SciTech Connect

    Kickner, M.; Yuseung, K.; McGrath, James E.; Zelenay, P.; Pivovar, B. S.

    2002-01-01

    Direct methanol fuel cells (DMFCs) are being investigated for applications ranging from milliwatt (cell phones) to kilowatt (MUS) size scales. A common pitfall for DMFCs has been the inability of the electrolyte, typically Nafion, to act as an effective methanol barrier. Methanol crossover adversely affects the cell by lowering the cell voltage due to a mixed potential at the cathode and lower fuel utilization. Improved DMFC performance was demonstrated with sulfonated poly(arylene ether sulfone) copolymer membranes (1). Another study has shown the dependence of polymer properties and morphology on the post treatment of such membranes (2). In agreement with measurements on free-standing films, the fuel cell characteristics of these membranes have been found to have a strong dependence on acidification treatment. Methanol permeability, proton conductivity, and electro-osmotic drag coefficient all were found to increase when the membranes were acidified under boiling conditions versus a low-temperature process.

  16. Neurotoxic effects of solvent exposure on sewage treatment workers

    SciTech Connect

    Kraut, A.; Lilis, R.; Marcus, M.; Valciukas, J.A.; Wolff, M.S.; Landrigan, P.J.

    1988-07-01

    Nineteen Sewage Treatment Workers (STWs) exposed to industrial sewage that contained benzene, toluene, and other organic solvents at a primary sewage treatment plant in New York City (Plant A) were examined for evidence of solvent toxicity. Fourteen (74%) complained of central nervous system (CNS) symptoms consistent with solvent exposure, including lightheadedness, fatigue, increased sleep requirement, and headache. The majority of these symptoms resolved with transfer from the plant. Men working less than 1 yr at Plant A were more likely to complain of two or more CNS symptoms than men who were working there longer than 1 yr (p = .055). Objective abnormalities in neurobehavioral testing were found in all 4 men working longer than 9 yr at this plant, but in only 5 of 15 employed there for a shorter period (p = .03). These results are consistent with the known effects of solvent exposure. Occupational health personnel must be aware that STWs can be exposed to solvents and other industrial wastes.

  17. Effect of hyperthyroidism and its treatment on bone mineral content

    SciTech Connect

    Toh, S.H.; Claunch, B.C.; Brown, P.H.

    1985-05-01

    Patients with hyperthyroidism may develop osteopenia associated with fractures; however, there has been no general agreement on the incidence of osteopenia in hyperthyroidism or the recovery of the mineral loss after treatment of hyperthyroidism. The authors conducted a longitudinal prospective study on the effect of hyperthyroidism and its treatment on bone mineral content (BMC) using photon absorptiometry. They observed that both young and older hyperthyroid patients showed a significantly decreased baseline BMC compared with age- and sex-matched controls. They also observed a slight recovery of BMC in hyperthyroid patients at the two-year interval after a euthyroid state had been achieved. However, the BMC was still much lower than that of controls, and they did not find any significant restoration of BMC following ''cure'' of hyperthyroidism.

  18. Towards Effective Photothermal/Photodynamic Treatment Using Plasmonic Gold Nanoparticles

    PubMed Central

    Bucharskaya, Alla; Maslyakova, Galina; Terentyuk, Georgy; Yakunin, Alexander; Avetisyan, Yuri; Bibikova, Olga; Tuchina, Elena; Khlebtsov, Boris; Khlebtsov, Nikolai; Tuchin, Valery

    2016-01-01

    Gold nanoparticles (AuNPs) of different size and shape are widely used as photosensitizers for cancer diagnostics and plasmonic photothermal (PPT)/photodynamic (PDT) therapy, as nanocarriers for drug delivery and laser-mediated pathogen killing, even the underlying mechanisms of treatment effects remain poorly understood. There is a need in analyzing and improving the ways to increase accumulation of AuNP in tumors and other crucial steps in interaction of AuNPs with laser light and tissues. In this review, we summarize our recent theoretical, experimental, and pre-clinical results on light activated interaction of AuNPs with tissues and cells. Specifically, we discuss a combined PPT/PDT treatment of tumors and killing of pathogen bacteria with gold-based nanocomposites and atomic clusters, cell optoporation, and theoretical simulations of nanoparticle-mediated laser heating of tissues and cells. PMID:27517913

  19. Passive mine drainage treatment: an effective low-cost alternative

    SciTech Connect

    Holm, J.D.

    1985-12-01

    Two prototype Passive Mine Drainage Treatment Systems have been designed and constructed in Colorado. These projects have addressed acid mine drainage from inactive coal mines. Metal removal for both systems is accomplished using simulated peat bogs composed of sphagnum moss and hypnum moss retained by loose rock check dams. Acid neutralization is accomplished using crushed limestone filled channels. Neutralization and aeration are enhanced with drop structures and waterfalls placed in the drainage channel. Preliminary water quality results show dramatic treatment effects with the PMDT system. This investigation presents cost data for design and construction of the two PMDT systems. Cost projections for periodic maintenance requirements are provided along with a suggested method for financing maintenance costs. Performance data for the first system installed are presented. 14 references, 1 figure, 2 tables.

  20. Comparative treatment effectiveness of conventional trench and seepage pit systems.

    PubMed

    Field, J P; Farrell-Poe, K L; Walworth, J L

    2007-03-01

    On-site wastewater treatment systems can be a potential source of groundwater contamination in regions throughout the United States and other parts of the world. Here, we evaluate four conventional trench systems and four seepage pit systems to determine the relative effectiveness of these systems for the treatment of septic tank effluent in medium- to coarse-textured arid and semiarid soils. Soil borings were advanced up to twice the depth of the trenches (4 m) and seepage pits (15 m) at two horizontal distances (30 cm and 1.5 m) from the sidewalls of the systems. Soil samples were analyzed for various biological and chemical parameters, including Escherichia coli, total coliform, pH, total organic carbon, total dissolved solids, total nitrogen, ammonium-nitrogen, and nitrate-nitrogen. Most soil parameters investigated approached background levels more rapidly near the trenches than the seepage pits, as sampling distance increased both vertically and horizontally from the sidewalls of the systems.

  1. Towards Effective Photothermal/Photodynamic Treatment Using Plasmonic Gold Nanoparticles.

    PubMed

    Bucharskaya, Alla; Maslyakova, Galina; Terentyuk, Georgy; Yakunin, Alexander; Avetisyan, Yuri; Bibikova, Olga; Tuchina, Elena; Khlebtsov, Boris; Khlebtsov, Nikolai; Tuchin, Valery

    2016-01-01

    Gold nanoparticles (AuNPs) of different size and shape are widely used as photosensitizers for cancer diagnostics and plasmonic photothermal (PPT)/photodynamic (PDT) therapy, as nanocarriers for drug delivery and laser-mediated pathogen killing, even the underlying mechanisms of treatment effects remain poorly understood. There is a need in analyzing and improving the ways to increase accumulation of AuNP in tumors and other crucial steps in interaction of AuNPs with laser light and tissues. In this review, we summarize our recent theoretical, experimental, and pre-clinical results on light activated interaction of AuNPs with tissues and cells. Specifically, we discuss a combined PPT/PDT treatment of tumors and killing of pathogen bacteria with gold-based nanocomposites and atomic clusters, cell optoporation, and theoretical simulations of nanoparticle-mediated laser heating of tissues and cells. PMID:27517913

  2. Is hot water immersion an effective treatment for marine envenomation?

    PubMed Central

    Atkinson, P R T; Boyle, A; Hartin, D; McAuley, D

    2006-01-01

    Envenomation by marine creatures is common. As more people dive and snorkel for leisure, the incidence of envenomation injuries presenting to emergency departments has increased. Although most serious envenomations occur in the temperate or tropical waters of the Indo‐Pacific region, North American and European waters also provide a habitat for many stinging creatures. Marine envenomations can be classified as either surface stings or puncture wounds. Antivenom is available for a limited number of specific marine creatures. Various other treatments such as vinegar, fig juice, boiled cactus, heated stones, hot urine, hot water, and ice have been proposed, although many have little scientific basis. The use of heat therapies, previously reserved for penetrating fish spine injuries, has been suggested as treatment for an increasing variety of marine envenomation. This paper reviews the evidence for the effectiveness of hot water immersion (HWI) and other heat therapies in the management of patients presenting with pain due to marine envenomation. PMID:16794088

  3. Cost-effectiveness model for hepatitis C screening and treatment: Implications for Egypt and other countries with high prevalence.

    PubMed

    Kim, David D; Hutton, David W; Raouf, Ahmed A; Salama, Mohsen; Hablas, Ahmed; Seifeldin, Ibrahim A; Soliman, Amr S

    2015-01-01

    Hepatitis C virus (HCV) infection is a major cause of cirrhosis and liver cancer, and many developing countries report intermediate-to-high prevalence. However, the economic impact of screening and treatment for HCV in high prevalence countries has not been well studied. Thus, we examined the cost-effectiveness of screening and treatment for HCV infection for asymptomatic, average-risk adults using a Markov decision analytic model. In our model, we collected age-specific prevalence, disease progression rates for Egyptians and local cost estimates in Egypt, which has the highest prevalence of HCV infection (~15%) in the world. We estimated the incremental cost-effectiveness ratio and conducted sensitivity analyses to determine how cost-effective HCV screening and treatment might be in other developing countries with high and intermediate prevalence. In Egypt, implementing a screening programme using triple-therapy treatment (sofosbuvir with pegylated interferon and ribavirin) was dominant compared with no screening because it would have lower total costs and improve health outcomes. HCV screening and treatment would also be cost-effective in global settings with intermediate costs of drug treatment (~$8000) and a higher sustained viral response rate (70-80%). PMID:25469976

  4. Cost-effectiveness model for hepatitis C screening and treatment: Implications for Egypt and other countries with high prevalence.

    PubMed

    Kim, David D; Hutton, David W; Raouf, Ahmed A; Salama, Mohsen; Hablas, Ahmed; Seifeldin, Ibrahim A; Soliman, Amr S

    2015-01-01

    Hepatitis C virus (HCV) infection is a major cause of cirrhosis and liver cancer, and many developing countries report intermediate-to-high prevalence. However, the economic impact of screening and treatment for HCV in high prevalence countries has not been well studied. Thus, we examined the cost-effectiveness of screening and treatment for HCV infection for asymptomatic, average-risk adults using a Markov decision analytic model. In our model, we collected age-specific prevalence, disease progression rates for Egyptians and local cost estimates in Egypt, which has the highest prevalence of HCV infection (~15%) in the world. We estimated the incremental cost-effectiveness ratio and conducted sensitivity analyses to determine how cost-effective HCV screening and treatment might be in other developing countries with high and intermediate prevalence. In Egypt, implementing a screening programme using triple-therapy treatment (sofosbuvir with pegylated interferon and ribavirin) was dominant compared with no screening because it would have lower total costs and improve health outcomes. HCV screening and treatment would also be cost-effective in global settings with intermediate costs of drug treatment (~$8000) and a higher sustained viral response rate (70-80%).

  5. Cost-effectiveness model for hepatitis C screening and treatment: Implications for Egypt and other countries with high prevalence

    PubMed Central

    Kim, David D.; Hutton, David W.; Raouf, Ahmed A.; Salama, Mohsen; Hablas, Ahmed; Seifeldin, Ibrahim A.; Soliman, Amr S.

    2014-01-01

    Hepatitis C Virus (HCV) infection is a major cause of cirrhosis and liver cancer, and many developing countries report intermediate-to-high prevalence. However, the economic impact of screening and treatment for HCV in high prevalence countries has not been well studied. Thus, we examined the cost-effectiveness of screening and treatment for HCV infection for asymptomatic, average-risk adults using a Markov decision analytic model. In our model, we collected age-specific prevalence, disease progression rates for Egyptians, and local cost estimates in Egypt, which has the highest prevalence of HCV infection (~15%) in the world. We estimated the incremental cost-effectiveness ratio (ICER) and conducted sensitivity analyses to determine how cost-effective HCV screening and treatment might be in other developing countries with high and intermediate prevalence. In Egypt, implementing a screening program using triple-therapy treatment (sofosbuvir with pegylated interferon and ribavirin) was dominant compared to no screening because it would have lower total costs and improve health outcomes. HCV screening and treatment would also be cost-effective in global settings with intermediate costs of drug treatment (~$8,000) and a higher sustained viral response rate (70–80%). PMID:25469976

  6. [Effect of hydraulic load distribution on sewage treatment efficiency of earthworm bio-filter].

    PubMed

    Yang, Jian; Yang, Jian; Yang, Ju-Chuan; Chen, Qiao-Yan; Lou, Shan-Jie

    2008-07-01

    Effect of hydraulic load distribution on sewage treatment efficiency of earthworm bio-filter was studied by analyzing influent and effluent of earthworm bio-filter and earthworm behaviors. The results show that when hydraulic load varying from 2.0 m3/(m2 x d) to 6.0 m3/(m2 x d), the concentration of each pollutant in earthworm bio-filter effluent increases slowly and is little effected by hydraulic load. When hydraulic load reaches 6.7 m3/(m2 x d), the concentration of COD, BOD5, SS, NH4(+) -N and TP in earthworm bio-filter effluent increases obviously, but the TN concentration in effluent presents descending tendency. The earthworms become rather inadaptable to the living conditions at this operating mode. As hydraulic load increasing, the earthworms' relative ingestive ability is improved at first, and then decreases. The earthworms' relative ingestive ability comes to the maximum at hydraulic load of 4.8 m3/(m2 x d), with good organic removal efficiency. The relation ships between hydraulic load and average weight, average density, unit-area biomass of the earthworms are significant negative correlation. The hydraulic load of 4.8 m3/(m2 x d) is recommended, but not over 6.7 m3/(m2 x d).

  7. The enduring effects of psychodynamic treatments vis-à-vis alternative treatments: A multilevel longitudinal meta-analysis.

    PubMed

    Kivlighan, D Martin; Goldberg, Simon B; Abbas, Maleeha; Pace, Brian T; Yulish, Noah E; Thomas, Joel G; Cullen, Megan M; Flückiger, Christoph; Wampold, Bruce E

    2015-08-01

    Although evidence suggests that the benefits of psychodynamic treatments are sustained over time, presently it is unclear whether these sustained benefits are superior to non-psychodynamic treatments. Additionally, the extant literature comparing the sustained benefits of psychodynamic treatments compared to alternative treatments is limited with methodological shortcomings. The purpose of the current study was to conduct a rigorous test of the growth of the benefits of psychodynamic treatments relative to alternative treatments across distinct domains of change (i.e., all outcome measures, targeted outcome measures, non-targeted outcome measures, and personality outcome measures). To do so, the study employed strict inclusion criteria to identify randomized clinical trials that directly compared at least one bona fide psychodynamic treatment and one bona fide non-psychodynamic treatment. Hierarchical linear modeling (Raudenbush, Bryk, Cheong, Congdon, & du Toit, 2011) was used to longitudinally model the impact of psychodynamic treatments compared to non-psychodynamic treatments at post-treatment and to compare the growth (i.e., slope) of effects beyond treatment completion. Findings from the present meta-analysis indicated that psychodynamic treatments and non-psychodynamic treatments were equally efficacious at post-treatment and at follow-up for combined outcomes (k=20), targeted outcomes (k=19), non-targeted outcomes (k=17), and personality outcomes (k=6). Clinical implications, directions for future research, and limitations are discussed.

  8. The enduring effects of psychodynamic treatments vis-a-vis alternative treatments: A multilevel longitudinal meta-analysis

    NASA Astrophysics Data System (ADS)

    Kivlighan, D. Martin, III

    Although evidence suggests that the benefits of psychodynamic treatments are sustained over time, presently it is unclear whether these sustained benefits are superior to non-psychodynamic treatments. Additionally, the extant literature comparing the sustained benefits of psychodynamic treatments compared to alternative treatments is limited with methodological shortcomings. The purpose of the current study was to conduct a rigorous test of the growth of the benefits of psychodynamic treatments relative to alternative treatments across distinct domains of change (i.e., all outcome measures, targeted outcome measures, non-targeted outcome measures, and personality outcome measures). To do so, the study employed strict inclusion criteria to identify randomized clinical trials that directly compared at least one bona fide psychodynamic treatment and one bona fide non-psychodynamic treatment. Hierarchical linear modeling (Raudenbush, Bryk, Cheong & Congdon, du Toit, 2011) was used to longitudinally model the impact of psychodynamic treatments compared to non-psychodynamic treatments at post-treatment and to compare the growth (i.e., slope) of effects beyond treatment completion. Findings from the present meta-analysis indicated that psychodynamic treatments and non-psychodynamic treatments were equally efficacious at post-treatment and at follow-up for combined outcomes ( k = 20), targeted outcomes (k =19), non-targeted outcomes (k =17), and personality outcomes (k =6). Clinical implications, directions for future research, and limitations are discussed.

  9. Evaluation of the effectiveness of treatment with prednisone and azathioprine of autoimmune hepatitis in children

    PubMed Central

    Sobolewska-Pilarczyk, Małgorzata; Pawłowska, Małgorzata

    2015-01-01

    Introduction Autoimmune hepatitis is rarely diagnosed in children, but the course of the disease is often aggresive. Combination therapy with prednisone and azathioprine improves the prognosis of patients. Aim To evaluate the effectiveness of combination therapy with prednisone and azathioprine of autoimmune hepatitis (AIH) in children. Material and methods There was a retrospective analysis of the medical records of 15 patients with AIH, diagnosed before18 years of age, treated in the Provincial Infectious Diseases Hospital in Bydgoszcz in the years 2002 to 2013. We analysed the results of laboratory tests, ultrasound examination, endoscopy, and morphological liver pictures, as well as periods of exacerbation of inflammation and side effects of therapy. Results Biochemical remission of the disease was achieved on average after 36 days of treatment. Histopathological regression in the control liver biopsy was found in 7/15 patients and progression in 2/15 patients. In the study group 10/15 patients experienced exacerbation of the disease from 1 to 3 times during observation, with an increase of ALT activity to greater than 3 norm, and the remaining 5/15 patients had no increase of ALT activity. In total, 10 patients in the study group experienced 17 exacerbations. In 13/17 cases of exacerbations they were associated with a reduction in the dose of immunosuppressive drugs. There was no correlation between the biochemical exacerbation and changes in the histopathological image. Steroidside effects occurred in 14/15 patients. Conclusions The treatment allows for biochemical remission of the disease and significantly improves the prognosis of most patients. However, significant side effects of treatment indicate the need for further exploration of effective and safe therapy, especially in the paediatric population. PMID:27110306

  10. Effective Post-Exposure Treatment of Ebola Infection

    PubMed Central

    Daddario-DiCaprio, Kathleen M; Geisbert, Joan B; Ströher, Ute; Grolla, Allen; Bray, Mike; Fritz, Elizabeth A; Fernando, Lisa; Feldmann, Friederike; Hensley, Lisa E; Geisbert, Thomas W

    2007-01-01

    Ebola viruses are highly lethal human pathogens that have received considerable attention in recent years due to an increasing re-emergence in Central Africa and a potential for use as a biological weapon. There is no vaccine or treatment licensed for human use. In the past, however, important advances have been made in developing preventive vaccines that are protective in animal models. In this regard, we showed that a single injection of a live-attenuated recombinant vesicular stomatitis virus vector expressing the Ebola virus glycoprotein completely protected rodents and nonhuman primates from lethal Ebola challenge. In contrast, progress in developing therapeutic interventions against Ebola virus infections has been much slower and there is clearly an urgent need to develop effective post-exposure strategies to respond to future outbreaks and acts of bioterrorism, as well as to treat laboratory exposures. Here we tested the efficacy of the vesicular stomatitis virus-based Ebola vaccine vector in post-exposure treatment in three relevant animal models. In the guinea pig and mouse models it was possible to protect 50% and 100% of the animals, respectively, following treatment as late as 24 h after lethal challenge. More important, four out of eight rhesus macaques were protected if treated 20 to 30 min following an otherwise uniformly lethal infection. Currently, this approach provides the most effective post-exposure treatment strategy for Ebola infections and is particularly suited for use in accidentally exposed individuals and in the control of secondary transmission during naturally occurring outbreaks or deliberate release. PMID:17238284

  11. Effect and treatment of lactobacillus on inflammation around the implant.

    PubMed

    Zhao, Bing; Wu, Feng; Tian, Guobing

    2015-09-01

    Ultrasonic scaling and antibiotic therapy are traditional therapeutic methods for inflammation around the implant but therapeutic effect is not ideal. In view of maintaining flora balance around the implant and implant long-term solid holdup, this experiment observes impact and clinical effect of lactobacillus metabolite on inflammation around the impact to explore a new kind of ecological drug. This drug has little or no side effect, good curative effect and low recurrence rate, which can be applied for broad groups of people. 16 cases with inflammation around the impact were divided into experimental group and control group, 8 cases for each group. Lactobacillus metabolites gargle was offered to experimental group; purified water was offered to control group. Gargle way is 3 times/day, 20 ml/time, 3 min/time and for 7 days. Two groups of cases were clinical and microbiological tested before gargle, 3 days, 7 days and 30 days after gargle. Based on clinical and microbiological test of 8 cases of health implant, we observe sub gingival flora variation trend and clinical effects of infectors with inflammation around implant. Lactobacillus metabolite can improve clinical index of inflammation around the impact including MPLI, GI, MBI and PD. Lactobacillus metabolite has a strong treatment effect on inflammation around the implant and has no side effect.

  12. Below-Average, Average, and Above-Average Readers Engage Different and Similar Brain Regions while Reading

    ERIC Educational Resources Information Center

    Molfese, Dennis L.; Key, Alexandra Fonaryova; Kelly, Spencer; Cunningham, Natalie; Terrell, Shona; Ferguson, Melissa; Molfese, Victoria J.; Bonebright, Terri

    2006-01-01

    Event-related potentials (ERPs) were recorded from 27 children (14 girls, 13 boys) who varied in their reading skill levels. Both behavior performance measures recorded during the ERP word classification task and the ERP responses themselves discriminated between children with above-average, average, and below-average reading skills. ERP…

  13. Biomedical gait evaluation of the immediate effect of orthotic treatment for flexible flat foot.

    PubMed

    Leung, A K; Mak, A F; Evans, J H

    1998-04-01

    Flexible flat foot subjects attending the prosthetics and orthotics units come with prescriptions from orthopaedic surgeons for arch supports. Usually a pair of thermoformed plastic inserts are fabricated and fitted to treat the patients. However the effect of the orthotic treatment is not yet clear. A motion analysis system with two video cameras placed on the lateral and rear sides of the subject together with one force platform was used to investigate the immediate effects of the orthotic treatment. The force platform collected force data and the two cameras captured two-dimensional displacement data of the lower limb. Eight subjects, all having an arch index (AI) larger than 3.0 participated in the study. For each subject, three successful steps on the force platform were videotaped for both the shod (with shoe only) and the orthotic (with shoe and orthosis) conditions. The kinetic variables were normalized to individual body weight and averaged for each subject. A Paired t-test was conducted to analyse sample means of matched pairs between the shod and the orthotic conditions. The results showed changes in displacement data with relatively little change in the collected force data. The modified UCBL shoe insert evaluated significantly affected the orientation and movements of the subtalar joint, ankle joint and knee joint. These immediate effects reduced the degree and duration of abnormal pronation during the stance phase and thus had the potential for decreasing strain in the plantar ligaments and reducing abnormal tibial rotation which may be therapeutic for the foot.

  14. Intratumoral immunocytokine treatment results in enhanced antitumor effects.

    PubMed

    Johnson, Erik E; Lum, Hillary D; Rakhmilevich, Alexander L; Schmidt, Brian E; Furlong, Meghan; Buhtoiarov, Ilia N; Hank, Jacquelyn A; Raubitschek, Andrew; Colcher, David; Reisfeld, Ralph A; Gillies, Stephen D; Sondel, Paul M

    2008-12-01

    Immunocytokines (IC), consisting of tumor-specific monoclonal antibodies fused to the immunostimulatory cytokine interleukin 2 (IL2), exert significant antitumor effects in several murine tumor models. We investigated whether intratumoral (IT) administration of IC provided enhanced antitumor effects against subcutaneous tumors. Three unique ICs (huKS-IL2, hu14.18-IL2, and GcT84.66-IL2) were administered systemically or IT to evaluate their antitumor effects against tumors expressing the appropriate IC-targeted tumor antigens. The effect of IT injection of the primary tumor on a distant tumor was also evaluated. Here, we show that IT injection of IC resulted in enhanced antitumor effects against B16-KSA melanoma, NXS2 neuroblastoma, and human M21 melanoma xenografts when compared to intravenous (IV) IC injection. Resolution of both primary and distant subcutaneous tumors and a tumor-specific memory response were demonstrated following IT treatment in immunocompetent mice bearing NXS2 tumors. The IT effect of huKS-IL2 IC was antigen-specific, enhanced compared to IL2 alone, and dose-dependent. Hu14.18-IL2 also showed greater IT effects than IL2 alone. The antitumor effect of IT IC did not always require T cells since IT IC induced antitumor effects against tumors in both SCID and nude mice. Localization studies using radiolabeled (111)In-GcT84.66-IL2 IC confirmed that IT injection resulted in a higher concentration of IC at the tumor site than IV administration. In conclusion, we suggest that IT IC is more effective than IV administration against palpable tumors. Further testing is required to determine how to potentially incorporate IT administration of IC into an antitumor regimen that optimizes local and systemic anticancer therapy.

  15. Intratumoral Immunocytokine Treatment Results in Enhanced Antitumor Effects

    PubMed Central

    Johnson, Erik E.; Lum, Hillary D.; Rakhmilevich, Alexander L.; Schmidt, Brian E.; Furlong, Meghan; Buhtoiarov, Ilia N.; Hank, Jacquelyn A.; Raubitschek, Andrew; Colcher, David; Reisfeld, Ralph A.; Gillies, Stephen D.; Sondel, Paul M.

    2008-01-01

    Immunocytokines (IC), consisting of tumor-specific monoclonal antibodies fused to the immunostimulatory cytokine interleukin 2 (IL2), exert significant antitumor effects in several murine tumor models. We investigated whether intratumoral (IT) administration of IC provided enhanced antitumor effects against subcutaneous tumors. Three unique ICs (huKS-IL2, hu14.18-IL2, and GcT84.66-IL2) were administered systemically or IT to evaluate their antitumor effects against tumors expressing the appropriate IC-targeted tumor antigens. The effect of IT injection of the primary tumor on a distant tumor was also evaluated. Here, we show that IT injection of IC resulted in enhanced antitumor effects against B16-KSA melanoma, NXS2 neuroblastoma, and human M21 melanoma xenografts when compared to intravenous (IV) IC injection. Resolution of both primary and distant subcutaneous tumors, and a tumor-specific memory response were demonstrated following IT treatment in immunocompetent mice bearing NXS2 tumors. The IT effect of huKS-IL2 IC was antigen-specific, enhanced compared to IL2 alone, and dose-dependent. Hu14.18-IL2 also showed greater IT effects than IL2 alone. The antitumor effect of IT IC did not always require T cells since IT IC induced antitumor effects against tumors in both SCID and nude mice. Localization studies using radiolabeled 111In-GcT84.66-IL2 IC confirmed that IT injection resulted in a higher concentration of IC at the tumor site than IV administration. In conclusion, we suggest that IT IC is more effective than IV administration against palpable tumors. Further testing is required to determine how to potentially incorporate IT administration of IC into an antitumor regimen that optimizes local and systemic anticancer therapy. PMID:18438664

  16. Thermal management in high average power pulsed compression systems

    SciTech Connect

    Wavrik, R.W.; Reed, K.W.; Harjes, H.C.; Weber, G.J.; Butler, M.; Penn, K.J.; Neau, E.L.

    1992-08-01

    High average power repetitively pulsed compression systems offer a potential source of electron beams which may be applied to sterilization of wastes, treatment of food products, and other environmental and consumer applications. At Sandia National Laboratory, the Repetitive High Energy Pulsed Power (RHEPP) program is developing a 7 stage magnetic pulse compressor driving a linear induction voltage adder with an electron beam diode load. The RHEPP machine is being design to deliver 350 kW of average power to the diode in 60 ns FWHM, 2.5 MV, 3 kJ pulses at a repetition rate of 120 Hz. In addition to the electrical design considerations, the repetition rate requires thermal management of the electrical losses. Steady state temperatures must be kept below the material degradation temperatures to maximize reliability and component life. The optimum design is a trade off between thermal management, maximizing overall electrical performance of the system, reliability, and cost effectiveness. Cooling requirements and configurations were developed for each of the subsystems of RHEPP. Finite element models that combine fluid flow and heat transfer were used to screen design concepts. The analysis includes one, two, and three dimensional heat transfer using surface heat transfer coefficients and boundary layer models. Experiments were conducted to verify the models as well as to evaluate cooling channel fabrication materials and techniques in Metglas wound cores. 10 refs.

  17. Thermal management in high average power pulsed compression systems

    SciTech Connect

    Wavrik, R.W.; Reed, K.W.; Harjes, H.C.; Weber, G.J.; Butler, M.; Penn, K.J.; Neau, E.L.

    1992-01-01

    High average power repetitively pulsed compression systems offer a potential source of electron beams which may be applied to sterilization of wastes, treatment of food products, and other environmental and consumer applications. At Sandia National Laboratory, the Repetitive High Energy Pulsed Power (RHEPP) program is developing a 7 stage magnetic pulse compressor driving a linear induction voltage adder with an electron beam diode load. The RHEPP machine is being design to deliver 350 kW of average power to the diode in 60 ns FWHM, 2.5 MV, 3 kJ pulses at a repetition rate of 120 Hz. In addition to the electrical design considerations, the repetition rate requires thermal management of the electrical losses. Steady state temperatures must be kept below the material degradation temperatures to maximize reliability and component life. The optimum design is a trade off between thermal management, maximizing overall electrical performance of the system, reliability, and cost effectiveness. Cooling requirements and configurations were developed for each of the subsystems of RHEPP. Finite element models that combine fluid flow and heat transfer were used to screen design concepts. The analysis includes one, two, and three dimensional heat transfer using surface heat transfer coefficients and boundary layer models. Experiments were conducted to verify the models as well as to evaluate cooling channel fabrication materials and techniques in Metglas wound cores. 10 refs.

  18. Is honey an effective treatment for acute cough in children?

    PubMed

    Nitsche, María Pía; Carreño, Mónica

    2016-01-01

    Cough represents one of the most common reasons for pediatrician consultations. There are many available treatments for symptomatic relief, including honey. Despite its wide availability, there is little knowledge about its benefits. Searching in Epistemonikos database, which is maintained by screening 30 databases, we identified three systematic reviews including three randomized trials. We combined the evidence using meta-analysis and generated a summary of findings table following the GRADE approach. We concluded the use of honey probably decreases the severity and frequency of cough, improves the quality of parent's and patient's sleep, and does not have side effects. PMID:27280298

  19. Is honey an effective treatment for acute cough in children?

    PubMed

    Nitsche, María Pía; Carreño, Mónica

    2016-05-30

    Cough represents one of the most common reasons for pediatrician consultations. There are many available treatments for symptomatic relief, including honey. Despite its wide availability, there is little knowledge about its benefits. Searching in Epistemonikos database, which is maintained by screening 30 databases, we identified three systematic reviews including three randomized trials. We combined the evidence using meta-analysis and generated a summary of findings table following the GRADE approach. We concluded the use of honey probably decreases the severity and frequency of cough, improves the quality of parent's and patient's sleep, and does not have side effects.

  20. Human sperm chromosomes. Long-term effect of cancer treatment

    SciTech Connect

    Genesca, A.; Caballin, M.R.; Miro, R.; Benet, J.; Bonfill, X.; Egozcue, J. )

    1990-06-01

    The long-term cytogenetic effect of radio- or chemotherapy or both on male germ cells was evaluated by study of the chromosomal abnormalities in spermatozoa of four men treated for cancer 5-18 years earlier. The cytogenetic analysis of 422 sperm metaphases showed no differences in the aneuploidy rate. The incidence of structural chromosome aberrations was 14.0%, however, which is much higher than in controls. Thus, the high incidence of structurally aberrant spermatozoa observed in our long-term study indicates that antitumoral treatments affect stem-cell spermatogonia and that aberrant cells can survive germinal selection and produce abnormal spermatozoa.