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Equivalent Results (equivalent + result)
Selected AbstractsPostoperative brachytherapy alone and combined postoperative radiotherapy and brachytherapy boost for squamous cell carcinoma of the oral cavity, with positive or close margins,HEAD & NECK: JOURNAL FOR THE SCIENCES & SPECIALTIES OF THE HEAD AND NECK, Issue 3 2004Michel Lapeyre MD Abstract Background. Postoperative radiotherapy is necessary for squamous cell carcinoma (SCC) of the oral cavity with positive or close margins. The aim of the study is to define the indications of postoperative brachytherapy (BRT). Methods. From 1979 to 1993, 82 patients with positive or close margins had postoperative BRT (58 T1,2, 24 T3,4, 45 mobile tongue, 37 floor of mouth). Forty-six patients had combined radiotherapy (RT) with a mean dose of 48 Gy, and BRT boost with a mean dose of 24 Gy. Thirty-six patients had BRT alone with a mean dose of 60 Gy. BRT was performed with interstitial low dose rate Iridium 192. Results. Overall survival (OS), cause-specific survival (CSS), and local control (LC) at 5 years were, respectively, for T1,2/N0N, with BRT, 75%, 85%, and 88%,and with RT-BRT 70%, 92%, and 92%; for T1,2/N+ with RT-BRT, 44%, 67%, and 78%; for T3,4/N, with RT-BRT, 42%, 90%, and 80%; and for T3,4/N+ with RT-BRT, 22%, 43%, and 57%. Prognostic factors for OS, CSS, and LC were N+ (p , .009), extracapsular spread (ECS+;p , .000001), and T stage for LC only (p = .02). Prognostic factors for complications were a high number of wires with a cutoff at five wires (p = .008), a high dose rate with a cutoff at 0.57 Gy/hr (p = .01), and a high total dose (BRT + RT) with a cutoff at 71 Gy (p = .07). Conclusions. BRT alone for SCC T1,2/N0N, is better than RT-BRT because, with equivalent results, it avoids the adverse events of postoperative RT (xerostomia) and permits the treatment of a second head and neck primary in nonirradiated tissue. The results for the T3,4/N, are acceptable with this approach (ie, RT-BRT) but may be improved for N+. © 2004 Wiley Periodicals, Inc. Head Neck26: 216,223, 2004 [source] Production of Monoclonal Antibodies to Sugarcane Yellow Leaf Virus Using Recombinant Readthrough ProteinJOURNAL OF PHYTOPATHOLOGY, Issue 8-9 2002J. Korimbocus Abstract Yellow leaf syndrome (YLS) of sugarcane is associated with sugarcane yellow leaf virus (SCYLV), a member of the family Luteoviridae. A fragment of the coat protein and readthrough domain of SCYLV wasexpressed in a bacterial expression system. The resulting protein was purified and used to immunize mice for monoclonal antibody (MAb) production. Two MAbs, 3A2E3 and 2F7H5, were selected following the screening of hybridoma cells using both plate-trapped antigen enzyme-linked immunosorbent assay (PTA-ELISA) and tissue blot immunoassay (TBIA). These MAbs can be incorporated into the TBIA assay currently used for the routine detection of SCYLV but could not be used in triple antibody sandwich enzyme-linked immunosorbent assay (TAS-ELISA). The two antibodies selected have slightly different specificities. Antibody 3A2E3 gave equivalent results to a polyclonal antiserum (raised to purified virus) in comparative testing using TBIA. The MAbs produced should provide a widely available, uniform reagent for SCYLV diagnosis with the potential to help manage YLS. [source] SNPs in ecological and conservation studies: a test in the Scandinavian wolf populationMOLECULAR ECOLOGY, Issue 2 2005J. M. SEDDON Abstract Single nucleotide polymorphisms (SNPs) have the potential to become the genetic marker of choice in studies of the ecology and conservation of natural populations because of their capacity to access variability across the genome. In this study, we provide one of the first demonstrations of SNP discovery in a wild population in order to address typical issues of importance in ecology and conservation in the recolonized Scandinavian and neighbouring Finnish wolf Canis lupus populations. Using end sequence from BAC (bacterial artificial chromosome) clones specific for dogs, we designed assays for 24 SNP loci, 20 sites of which had previously been shown to be polymorphic in domestic dogs and four sites were newly identified as polymorphic in wolves. Of the 24 assayed loci, 22 SNPs were found to be variable within the Scandinavian population and, importantly, these were able to distinguish individual wolves from one another (unbiased probability of identity of 4.33 × 10,8), providing equivalent results to that derived from 12 variable microsatellites genotyped in the same population. An assignment test shows differentiation between the Scandinavian and neighbouring Finnish wolf populations, although not all known immigrants are accurately identified. An exploration of the misclassification rates in the identification of relationships shows that neither 22 SNP nor 20 microsatellite loci are able to discriminate across single order relationships. Despite the remaining obstacle of SNP discovery in nonmodel organisms, the use of SNPs in ecological and conservation studies is encouraged by the advent of large scale screening methods. Furthermore, the ability to amplify extremely small fragments makes SNPs of particular use for population monitoring, where faecal and other noninvasive samples are routinely used. [source] Monitoring of pacemaker induced changes in cardiac output with inspired to endtidal oxygen difference in paediatric cardiac surgery patientsPEDIATRIC ANESTHESIA, Issue 2 2001Jan Bengtsson MD Methods:,Fourteen children aged 4,15 months were studied after corrective cardiac surgery. Heart rate was increased by 20% with an external pacemaker. Cardiac output (CO) was measured with thermodilution. Oxygen saturation was measured in systemic artery (SaO2), central vein (ScvcO2) and pulmonary artery (SvO2). Inspiratory to endtidal oxygen difference (FI - ETO2) was measured using a paramagnetic technique. SvO2 was measured continuously using a spectrophotometric technique. Results:,CO increased in three patients and decreased in 11 patients during pacing. Regression between ,CO and ,(1/Sa-vO2), ,(FI - ETO2/Sa-vO2), ,(FI - ETO2/Sa-cvcO2) showed r=0.70, r=0.76 and r=0.75, respectively. ,CO exceeded 10% in 17 of 26 interventions. Changes in FI - ETO2 of equal direction as changes in CO occurred in 12 of these 17 interventions. Conclusions:,Estimations of CO changes, based on SvO2, can be enhanced if changes in FI - ETO2 are also measured. ScvcO2 instead of SvO2 gives equivalent results. Sudden changes in FI - ETO2 after pacemaker initiation or termination can predict the direction of CO changes. [source] Comparison of Indian reference equations for spirometry interpretationRESPIROLOGY, Issue 5 2007Ashutosh N. AGGARWAL Background and objectives: It would be desirable in a large country such as India that a single set of reference equations be used to interpret lung function tests performed across the entire country. This study compared north, west and south reference equations in interpreting spirometry results in north Indian patients. Methods: Spirometric records of 27383 patients aged 16,65 years were assessed. Spirometric values for FVC, FEV1 and FEV1%FVC values derived from north, west and south Indian reference equations were compared. Differences in the lower limit of normal (LLN) were studied across the age and height range of the study group to determine if there was any clinically significant difference in the three derived values. Results: The north and west Indian equations was discordant in 22.1% instances, and the north and south Indian equations in 12.9% instances, with kappa estimates of agreement being 0.626 and 0.781, respectively. Most of the patients with abnormal spirometry using north Indian equations were erroneously interpreted to have normal spirometry using west or south Indian equations. The south Indian equations underpredicted LLN for FVC and FEV1 for most men and women. The west Indian equations underpredicted LLN for FVC and FEV1 in all men, and in younger and short statured women. Conclusions: North, west and south Indian reference equations do not yield equivalent results for spirometry interpretation in north Indian patients. [source] Kinetic modeling of cellulosic biomass to ethanol via simultaneous saccharification and fermentation: Part I. Accommodation of intermittent feeding and analysis of staged reactorsBIOTECHNOLOGY & BIOENGINEERING, Issue 1 2009Xiongjun Shao Abstract The model of South et al. [South et al. (1995) Enzyme Microb Technol 17(9): 797,803] for simultaneous saccharification of fermentation of cellulosic biomass is extended and modified to accommodate intermittent feeding of substrate and enzyme, cascade reactor configurations, and to be more computationally efficient. A dynamic enzyme adsorption model is found to be much more computationally efficient than the equilibrium model used previously, thus increasing the feasibility of incorporating the kinetic model in a computational fluid dynamic framework in the future. For continuous or discretely fed reactors, it is necessary to use particle conversion in conversion-dependent hydrolysis rate laws rather than reactor conversion. Whereas reactor conversion decreases due to both reaction and exit of particles from the reactor, particle conversion decreases due to reaction only. Using the modified models, it is predicted that cellulose conversion increases with decreasing feeding frequency (feedings per residence time, f). A computationally efficient strategy for modeling cascade reactors involving a modified rate constant is shown to give equivalent results relative to an exhaustive approach considering the distribution of particles in each successive fermenter. Biotechnol. Bioeng. 2009;102: 59,65. © 2008 Wiley Periodicals, Inc. [source] Simulation in a Disaster Drill: Comparison of High-fidelity Simulators versus Trained ActorsACADEMIC EMERGENCY MEDICINE, Issue 11 2008Brian Gillett MD Abstract Objectives:, High-fidelity patient simulation provides lifelike medical scenarios with real-time stressors. Mass casualty drills must construct a realistic incident in which providers care for multiple injured patients while simultaneously coping with numerous stressors designed to tax an institution's resources. This study compared the value of high-fidelity simulated patients with live actor-patients. Methods:, A prospective cohort study was conducted during two mass casualty drills in December 2006 and March 2007. The providers' completion of critical actions was tested in live actor-patients and simulators. A posttest survey compared the participants' perception of "reality" between the simulators and live actor victims. Results:, The victims (n = 130) of the mass casualty drill all had burn-, blast-, or inhalation-related injuries. The participants consisted of physicians, residents, medical students, clerks, and paramedics. The authors compared the team's execution of the 136 critical actions (17 critical actions × 8 scenarios) between the simulators and the live actor-patients. Only one critical action was missed in the simulator group and one in the live actor group, resulting in a miss rate of 0.74% (95% confidence interval [CI] = 0.01% to 4.5%). All questionnaires were returned and analyzed. The vast majority of participants disagreed or strongly disagreed that the simulators were a distraction from the disaster drill. More than 96% agreed or strongly agreed that they would recommend the simulator as a training tool. The mean survey scores for all participants demonstrated agreement that the simulators closely mimicked real-life scenarios, accurately represented disease states, and heightened the realism of patient assessment and treatment options during the drill with the exception of nurse participants, who agreed slightly less strongly. Conclusions:, This study demonstrated that simulators compared to live actor-patients have equivalent results in prompting critical actions in mass casualty drills and increase the perceived reality of such exercises. [source] Extracorporeal shock wave lithotripsy in children: equivalent clearance rates to adults is achieved with fewer and lower energy shock wavesBJU INTERNATIONAL, Issue 1 2009Abraham Kurien OBJECTIVE To compare the outcome, safety and efficiency of extracorporeal shock wave lithotripsy (ESWL) using an electromagnetic lithotripter for upper urinary tract stones in children and adults. PATIENTS AND METHODS We retrospectively reviewed data over a 5-year period for patients with solitary, renal and upper ureteric stones measuring <2 cm in whom ESWL was the treatment method. Group A consisted of 44 children (mean [sd] age 5.9 [4.4] years) and group B of 562 adults (mean [sd] age 40.9 [13.1] years). The number and energy of SWs used was not predetermined and was tailored until adequate fragmentation was achieved. Initial stone reassessment was performed at 48 h and monthly thereafter. The number of SWs, intensity of SWs, stone-free rate, auxiliary procedure rate, re-treatment rate, complication rate and effectiveness quotient (EQ) were assessed in each group. RESULTS The stone-free rate with ESWL was 84% in children and 87% in adults (P = 0.78). The EQ was 77% and 75% in children and adults, respectively (P = 0.56). The mean (sd) number of SWs and energy required per session was 950 (349) and 11.83 (0.48) kV in children and 1262 (454) and 12.36 (0.34) kV in adults (P < 0.001). The re-treatment, auxiliary procedure and complication rates were similar in both groups. CONCLUSION ESWL is as safe and effective in children as in adults for solitary renal and upper ureteric stones that are <2 cm. Children required significantly fewer and lower energy SWs to achieve equivalent results. [source] | |||||||||||||