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Selected AbstractsPopulation Trends in BMD Testing, Treatment, and Hip and Wrist Fracture Rates: Are the Hip Fracture Projections Wrong?JOURNAL OF BONE AND MINERAL RESEARCH, Issue 6 2005Susan B Jaglal PhD Abstract A worldwide epidemic of hip fractures has been predicted. Time trends in BMD testing, bone-sparing medications and hip and wrist fractures in the province of Ontario, Canada, were examined. From 1996 to 2001, BMD testing and use of bone-sparing medications increased each year, whereas despite the aging of the population, wrist and hip fracture rates decreased. Introduction: If patients with osteoporosis are being diagnosed and effective treatments used with increasing frequency in the population, rates of hip and wrist fractures will remain stable or possibly decrease. We report here time trends in BMD testing, prescriptions for bone-sparing medications, hip and wrist fracture rates, and population projections of fracture rates to 2005 in the province of Ontario, Canada. Materials and Methods: Ontario residents have universal access to Medicare. To examine time trends in BMD testing, all physician claims for DXA from 1992 to 2001 were selected from the Ontario Health Insurance Plan (OHIP) database. Trends in prescribing were examined from 1996 to 2003 using data from the Ontario Drug Benefit plan, which provides coverage to persons ,65 years of age. Actual numbers of hip and wrist fractures were determined for 1992-2000 and population projections for 2001-2005 using time-series analysis. Wrist fractures were identified in the OHIP database and hip fractures through hospital discharge abstracts. Results: From 1992 to 2001, the number of BMD tests increased 10-fold. There has been a steady increase in the number of persons filling prescriptions for antiresorptives (12,298 in 1996 to 225,580 in 2003) and the majority were for etidronate. For women, the rate of decline for wrist fractures is greater than that for hip fractures. The rate of hip fracture was fairly constant around 41 per 10,000 women ,50 years between 1992 and 1996. In 1997, the hip fracture rate began to decrease, and the population projections suggest that this downward trend will continue to a rate of 33.1 per 10,000 in 2005. Conclusions: Our findings suggest that fracture rates may be on the decline, despite the aging of the population, because of increased patterns of diagnosis and treatment for osteoporosis. [source] Estimating Diversity in Unsampled Habitats of a Biogeographical ProvinceCONSERVATION BIOLOGY, Issue 3 2003Michael L. Rosenzweig A number of methods have been developed to overcome sample-size limits within a single habitat. We evaluated six of these methods to see whether they could also compensate for incomplete habitat samples. We applied them to the butterfly species of the 110 ecoregions of Canada and the United States. Two of the methods use the frequency of species that occur in a few of the sampled ecoregions. These two methods did not work. The other four methods estimate the asymptote of the species-accumulation curve ( the graph of "number of species in a set of samples" versus "number of species occurrences in those samples" ). The asymptote of this curve is the actual number of species in the system. Three of these extrapolation estimators produced good estimates of total diversity even when limited to 10% of the ecoregions. Good estimates depend on sampling ecoregions that are hyperdispersed in space. Clustered sampling designs ruin the usefulness of the three successful methods. To ascertain their generality, our results must be duplicated at other scales and for other taxa and in other provinces. Resumen: La estimación del número de especies en una provincia biogeográfica puede ser problemático. Se ha desarrollado un número de métodos para superar los límites del tamaño de muestra dentro de un solo hábitat. Evaluamos seis de estos métodos para ver si podrían compensar por muestras incompletas de hábitat. Aplicamos estos métodos a especies de mariposas de las 110 ecoregiones de Canadá y los Estados Unidos. Dos de los métodos usan la frecuencia de las especies que ocurren en algunas de las ecoregiones muestreadas. Estos dos métodos no sirvieron. Los otros cuatro métodos estimaron la asíntota de la curva de acumulación de especies ( la gráfica de "el número de especies en un juego de muestras" contra el "número de ocurrencias de especies en éstas muestras" ). La asíntota de ésta curva es el número real de especies en el sistema. Tres de éstos estimadores de extrapolación produjeron buenas estimaciones de la diversidad total aún cuando se limitaron al 10% de las ecoregiones. Las buenas estimaciones dependen del muestreo de ecoregiones altamente dispersas en el espacio. Los diseños de muestreos en agrupamientos arruinan la utilidad de los tres métodos exitosos. Para asegurar su generalidad, nuestros resultados deben ser duplicados a otras escalas y para otros taxones en otras provincias. [source] Species richness of marine Bryozoa in the continental shelf and slope off Argentina (south-west Atlantic)DIVERSITY AND DISTRIBUTIONS, Issue 1 2000Juan López Gappa Abstract., A total of 246 marine bryozoan species was recorded within an area of the south-west Atlantic between 35° and 56°S, and between the coast of Argentina and 50°W. The distribution pattern of benthic stations surveyed during the most important cruises in the area shows that the sampling effort has been biased towards southern shelf areas off Santa Cruz and Tierra del Fuego, as well as around the Malvinas (Falkland) islands. The littoral zone, Patagonian gulfs and the continental shelf off Chubut, Río Negro and Buenos Aires state received less attention, and should be surveyed more intensively in the future. Only 2% of the species can be regarded as non-indigenous, all of them inhabiting biofouling communities in harbour environments. With the exception of some thoroughly surveyed localities, the number of species recorded for different areas of the coast, shelf and slope is estimated to be just a small fraction of the actual number of species present. A distinct diversity gradient was found, with species-rich stations located only in the southern shelf. Highest diversity occurred in shelf areas dominated by coarse sediments, and along a high-productivity shelf-break front. A remarkable decrease in species richness was found in inner and middle shelf areas off Chubut, Río Negro and Buenos Aires state. This pattern may be related to the Pacific origin of the Magellanic fauna, since the diversity of bryozoans is higher in the Pacific than in the Atlantic Ocean. The trend of species richness is, however, overemphasized by the fact that the least diverse faunistic assemblage occurs in areas where surveys have been relatively less frequent. An up-to-date checklist of species recorded for the study area is included. [source] Patterns of Vocal Interactions in a Bullfrog (Rana catesbeiana) Chorus: Preferential Responding to Far NeighborsETHOLOGY, Issue 8 2000Su L. Boatright-Horowitz In chorusing species, males seem to be spaced non-randomly, and their vocal interactions may be governed by particular behavioral rules. We monitored patterns of vocal interactions in a natural bullfrog (Rana catesbeiana) chorus to determine the probability with which calls of individual frogs would follow each other's in dyadic sequences. Expected probabilities of responses in a dyad were calculated based upon the joint probabilities of calling (relative calling rates) of the individual frogs; observed probabilities of response reflected the actual number of following responses in each dyad. Results of statistical tests comparing observed and expected probabilities of responding revealed that, when dyads were closely spaced, observed probabilities of a following response were significantly less than the expected probabilities. Conversely, when dyads were composed of more distant males, observed probabilities of responding were significantly greater than expected. Observed probabilities of response were correlated with inter-male distances; males called more frequently than expected following calls of far neighbors, and less frequently than expected following calls of near neighbors. These data suggest that males attend to both nearby and distant callers, and adjust the onset of their own vocalizations appropriately. Males may be actively inhibited by calls of their near neighbors, and their calling may be actively elicited by the calls of their far neighbors. [source] Distribution and prevalence of Wolbachia in Japanese populations of LepidopteraINSECT MOLECULAR BIOLOGY, Issue 4 2004Y. Tagami Abstract Wolbachia are cytoplasmically inherited bacteria that are reported to infect at least 18,30% of all insect species. Our survey of Lepidoptera indicated that 44.9% of forty-nine species and 77.8% of nine families tested positive for Wolbachia using PCR with wsp primers. Nineteen species had not been described previously as infected. In particular, although Pieris rapae, which is a common species in Japan, is infected by Wolbachia, the prevalence was very low (3.4%) and there were some localities where Wolbachia could not be detected. The probability of detection of Wolbachia depends on the number of screened individuals of P. rapae. The results indicate that the actual number of species that are positive for Wolbachia may be higher than previously reported. [source] Low-grade renal epithelial tumor originating from the distal nephronINTERNATIONAL JOURNAL OF UROLOGY, Issue 2 2004NOBORU HARA Abstract, There are few published reports of low-grade renal epithelial tumor originating from the distal nephron. However, it should not be disregarded clinically, because the actual number of patients with such tumors may be higher than expected. We investigated the immunohistochemical profile of a histologically distinct subtype of such a tumor in detail, in addition to the clinical course and imaging studies. The present study demonstrated that both glandular and spindle cell components of this tumor have a persistent characteristic of an epithelial tumor arising from the distal tubule or collecting duct. This tumor is a benign complex neoplasm that can be treated successfully with radical surgery. Beta-catenin and E-cadherin are suggested to play a crucial role in tumorigenesis and the biphasic arrangement of this neoplasm, concerning the expression of epithelial membrane antigen and carbohydrate antigen 19-9. We suggest that the term ,distal nephron epithelioma' is appropriate for classifying such rare but clinicopathologically distinct tumors. [source] Cyst Distribution and Hatching Pattern of Chirocephalus ruffoi (Crustacea, Anostraca) in an Experimental Undisturbed PoolINTERNATIONAL REVIEW OF HYDROBIOLOGY, Issue 3 2005Graziella Mura Abstract The pattern of cyst distribution in the absence of turbation and their hatching behaviour were studied in an outdoor artificial pool, where just differentiated adults of the anostracan Chirocephalus ruffoi (sex ratio 1:3) lived until it dried up. The horizontal and vertical distributions of cysts in the pool bed were determined. The comparison between cyst bank estimate (Mura, 2004) and the actual number of cysts counted in the pool bed revealed an estimate error of 20.9%. Resting eggs occurred only in the upper 2.5 cm thick soil sections and decreased within this section as depth increased. Peripheral areas of the pool contained significantly larger numbers of cysts than the central area. Multiway analysis on the results recorded in hatching success (nested ANOVA) revealed that the differences were significantly affected by initial soil conditions, treatment and vertical distribution of cysts. Among these factors, vertical distribution (sections nested in cores) was the most influential. Hatching success was significantly inversely related to depth. Differences in the timing of hatching depending on the above considered factors were also noted. A nearly synchronous hatching pattern was observed only for cysts from initially dry sediment of the uppermost layers. In all successively deeper layers, hatching showed multiple peaks and was increasingly delayed and erratic (already mentioned). ANCOVA within each of the experimental conditions revealed significant differences in hatching frequencies (time as covariate) depending on sediment depth. Within any given layer, ANCOVA revealed a significant influence of initial sediment conditions and treatment on the timing of hatching. (© 2005 WILEY-VCH Verlag GmbH & Co. KGaA, Weinheim) [source] Effect of count duration on abundance estimates of Black-capped VireosJOURNAL OF FIELD ORNITHOLOGY, Issue 1 2009David A. Cimprich ABSTRACT Distance sampling applied to point count surveys (point transects) has become a common method for estimating the absolute abundance of birds. When conducting point transects, detections of focal species are typically recorded during a fixed time interval. However, count duration has varied among studies and the effect of such variation on the resulting abundance estimates is unclear. My objective was to examine the effect of count duration on abundance estimates of male Black-capped Vireos (Vireo atricapilla). The abundance of these vireos in a 349-ha area in central Texas was estimated using 3-, 5-, and 6-min point transects and results were then compared to actual number present as determined by banding and territory mapping. The 3-min counts provided an estimate that was 26% greater than the actual number of male Vireos present (N= 201), but this number was within the corresponding 95% confidence interval (N= 157,413). Confidence intervals for the 5- and 6-min counts did not include the actual number of vireos present. The shortest count duration may have provided the most accurate abundance estimate because male Black-capped Vireos are typically active, sing intermittently, and sometimes move tens of meters between songs. Thus, shorter-duration counts may also yield the most accurate abundance estimates for other species that exhibit similar behavior. However, because behavior varies among species, I recommend that investigators collect preliminary data to establish an appropriate count duration when accurate estimates of absolute, rather than relative, abundance are important. RESUMEN El muestreo a distancia aplicado a conteos de punto (transectos de punto) se ha convertido en un método común para estimar la abundancia absoluta de aves. Cuando se conducen conteos de punto, la detección de especies focales, típicamente, se lleva a cabo durante un periodo de tiempo definido. Sin embargo, la duración de tiempo del conteo, varía en diferentes estudios y el efecto de dicha variación, en los estimados de abundancia, no está definido. Mi objetivo fue examinar el efecto del periodo de tiempo usado en los conteos utilizando como objeto de estudio a Vireo atricapilla. La abundancia de dichas aves en 349 ha en la parte central de Texas, fue estimada utilizando periodos de 3, 5 y 6 minutos en cada punto del transecto. Los resultados fueron comparados a números obtenidos con recobro de animales anillados y mapas de territorios. Los conteos de 3 minutos dieron como resultado un 26% más alto que el número de machos presentes en la localidad (N= 201). Pero dichos resultados estuvieron dentro del intérvalo de confiabilidad de 95% (N= 157,413). Intérvalos de 5 y 6 minutos no estimaron adecuadamente el número de vireos presentes. El conteo más corto (3 minutos) suministró los números más exactos, aparentemente porque el ave estudiada, típicamente está activa, canta de forma intermitente y en ocasiones se mueve de lugar (decenas de metros) entre canciones. Por lo tanto los conteos más cortos deben de proveer los estimados de abundancia más precisos para otras especies de aves con hábitos similares. Sin embargo, dado el caso de que la conducta entre especies varía, recomendamos a otros investigadores, que tomen datos preliminares para establecer la duración más apropiada de conteos, cuando se necesiten estimados de absoluta exactitud, en vez de estimados relativos de abundancia. [source] HTLV-II infection associated with a chronic neurodegenerative disease: Clinical and molecular analysisJOURNAL OF MEDICAL VIROLOGY, Issue 2 2002Edimilson A. Silva Abstract HTLV II is a retrovirus endemic in some Amerindian tribes and spread worldwide with a high prevalence among intravenous drug abusers. It has three different genetic subtypes a, b, and d, defined mainly by the long terminal repeat (LTR) region. HTLV II has been associated with a neurodegenerative disease in few cases. We describe the first well-documented case in Brazil where the virus is endemic in isolated ethnic groups. The patient is a 55-year-old woman with a chronic and painful syndrome characterized by spastic paraparesis, hyperactive reflexes and spastic bladder. Somatosensory evoked potential indicates a thoracic spinal cord lesion. Computer tomography showed periventricular demyelination. Enzyme-linked immunosorbent assay was positive for HTLV I/II whereas the discriminatory Western blot was indeterminate. Molecular analysis of the Tax region revealed a HTLV II pattern that was also confirmed through sequencing the LTR region. Phylogenetic analysis of the LTR sequence shows an HTLV IIa subtype that clustered with the virus isolated from Kayapo Indians and Brazilian urban intravenous drug users. Indeterminate Western blots are frequently found using commercial kits, therefore we recommend that all cases in which a myelopathy is associated with an indeterminate serological result should be evaluated by PCR to determine the actual number of HTLV II associated myelopathy cases. J. Med. Virol. 66:253,257, 2002. © 2002 Wiley-Liss, Inc. [source] The Relationship Between Self-Reported Drinking and BAC Level in Emergency Room Injury Cases: Is it a Straight Line?ALCOHOLISM, Issue 6 2010Jason Bond Background:, While the validity of self-reported consumption based on blood alcohol concentration (BAC) has been found to be high in emergency room (ER) samples, little research exists on the estimated number of drinks consumed given a BAC level. Such data would be useful in establishing a dose,response relationship between drinking and risk (e.g., of injury) in those studies for which the number of drinks consumed is not available but BAC is. Methods:, Several methods were used to estimate the number of drinks consumed in the 6 hours prior to injury based on BAC obtained at the time of ER admission of n = 1,953 patients who self-reported any drinking 6 hours prior to their injury and who arrived to the ER within 6 hours of the event, from the merged Emergency Room Collaborative Alcohol Analysis Project (ERCAAP) and the World Health Organization Collaborative Study on Alcohol and Injury across 16 countries. Results:, The relationship between self-reported consumption and averaged BAC within each consumption level appeared to be fairly linear up to about 7 drinks and a BAC of approximately 100 mg/dl. Above about 7 reported drinks, BAC appeared to have no relationship with drinking, possibly representing longer consumption periods than only the 6 hours before injury for those reporting higher quantities consumed. Both the volume estimate from the bivariate BAC to self-report relationship as well as from a Widmark calculation using BAC and time from last drink to arrival to the ER indicated a somewhat weak relationship to actual number of self-reported drinks. Conclusions:, Future studies may benefit from investigating the factors suspected to be driving the weak relationships between these measures, including the actual time over which the reported alcohol was consumed and pattern of drinking over the consumption period. [source] Phase I study on sentinel lymph node mapping in colon cancer: A preliminary report,JOURNAL OF SURGICAL ONCOLOGY, Issue 2 2002Yves Bendavid Abstract Background and Objectives Lymph node (LN) metastasis is one of the most significant prognostic factor in colorectal cancer. In fact, therapeutic decisions are based on LN status. However, multiple studies have reported on the limitations of the conventional pathological LN examination techniques, and therefore, the actual number of patients with LN positive colorectal cancer is probably underestimated. We assume that lymphatic tumor dissemination follows an orderly sequential route. We report here a simple and harmless coloration technique that was recently elaborated, and that allows us to identify the sentinel LN(s) (SLN) or first relay LNs in colorectal cancer patients. The main endpoint of this clinical trial is the feasibility of the technique. Methods Twenty patients treated by surgery for a colic cancer were admitted in this protocol. A subserosal peritumoral injection of lymphazurin 1% was performed 10 min before completing the colic resection. A pathologist immediately examined the specimens, harvested the colored SLN, and examined them by serial cuts (200 ,m) with H&E staining, followed by immunohistochemical staining (AE1-AE3 cytokeratin markers), when serial sections were classified as cancer free. Results The preoperative identification of the SLN was impossible in at least 50 of the cases, however, SLNs were identified by the pathologist in 90% of cases. In two patients (10%) SLN was never identified. The average number of SLN was 3.9. Immunohistochemical analysis of the SLN has potentially changed the initial staging (from Dukes B to Dukes C) for 5 of the 20 patients (25%). On the other hand, there was one patient (5%) with hepatic metastasis from adenocarcinoma for whom SLN pathology was negative for metastasis (skip metastasis). Conclusions SLN biopsy is readily feasible with identification of SLN in at least 90% of patients with colorectal cancers. Our results indicate that 45% of patients initially staged as Dukes B had tumor cells identified in their SLN when these were subjected to our protocol. This represented a 25% upgrading rate when our complete study population is considered. However, controversy persist about the clinical significance and metastatic potential of these often very small clusters of tumor cells. J. Surg. Oncol. 2002;79:81,84. © 2002 Wiley-Liss, Inc. [source] The (Mis)Uses of Detention and the Impact of Bed Space in One JurisdictionJUVENILE AND FAMILY COURT JOURNAL, Issue 3 2002LISA J. BOND-MAUPIN PH.D ABSTRACT Analysis of booking data prior to and following the opening of a new facility doubling available bed space reveals that 53.0% of detentions end prior to or at a detention hearing, charges for 48.8% of bookings are for technical violations of probation or status offenses only, and that 62.5% of bookings are for a combination of the prior two offense and other minor offenses. These trends as well as the actual number of youths detained increased with the move into a new facility with twice the bed space. The data suggest that detention is frequently used as shelter and/or punishment even though a juvenile does not technically represent a threat to self, community, or of absconding. [source] Screening the Mental Health Needs of Youths in Juvenile DetentionJUVENILE AND FAMILY COURT JOURNAL, Issue 2 2002PHILIP D. NORDNESS ABSTRACT There is an increasing number of juveniles coming into the justice system with a variety of mental health and substance abuse concerns. While the actual number of youths with mental health disorders in the juvenile justice system has been difficult to determine, it is estimated to be substantially higher than it is for youths in the general population. In addition, researchers have estimated that a high number of these juveniles experience co-morbid mental health disorders. The purpose of this study was to examine the number of youths who present symptoms of a mental health disorder at intake into a juvenile detention center in the Midwest. Two hundred-four youths were assessed with the Massachusetts Youth Screening Instrument-Second Version (MAYSI-2; Grisso & Barnum, 2000), a mental health screening instrument. At least 68% of the youths identified symptoms of a mental health disorder at intake. Given the significant number of youths who identified symptoms of a mental health disorder at intake into detention, the need to provide mental health services for juvenile detainees should not be ignored. [source] Peripheral synapses and giant neurons in whip spidersMICROSCOPY RESEARCH AND TECHNIQUE, Issue 4 2002Rainer Foelix Among invertebrates the synapses between neurons are generally restricted to ganglia, i.e., to the central nervous system (CNS). As an exception, synapses occur in the sensory nerves of arachnid legs, indicating that some nervous integration is already taking place far out in the periphery. In the antenniform legs of whip spiders (Amblypygi), a very special synaptic circuit is present. These highly modified legs contain several large interneurons (giant neurons) that receive mechanosensory input from 700,1,500 tarsal bristles. Some of the sensory cell axons contact a giant neuron at its short, branched dendrite, a few at the soma, but most synapse onto the long giant axon. The fine structure of these synapses resembles that of typical chemical synapses in other arthropods. Although thousands of sensory fibers converge on a single giant neuron, there is no reduction in the actual number of sensory fibers, because these afferent fibers continue their course to the CNS after having made several en passant synapses onto the giant neuron. Touching a single tarsal bristle is sufficient to elicit action potentials in a giant neuron. Owing to the large diameter of the giant axon (10,20 ,m), the action potentials reach the CNS within 55 ms, at conduction velocities of up to 7 m/s. However, mechanical stimulation of the tarsal bristles does not elicit a fast escape response, in contrast to giant fiber systems in earthworms, certain insects, and crayfishes. A quick escape is observed in whip spiders, but only after stimulation of the filiform hairs (trichobothria) on the regular walking legs. Although the giant fiber system in the antenniform legs undoubtedly provides a fast sensory pathway, its biological significance is not clearly understood at the moment. Microsc. Res. Tech. 58:272,282, 2002. © 2002 Wiley-Liss, Inc. [source] Nonhomologous Robertsonian translocations (NHRTs) and uniparental disomy (UPD) risk: an Italian multicentric prenatal surveyPRENATAL DIAGNOSIS, Issue 8 2004A. Sensi Abstract Objectives The risk of uniparental disomy (UPD) occurrence associated with the prenatal finding of balanced nonhomologous Robertsonian translocations (NHRTs) has been estimated only on limited empirical data. The aim of the study was to verify the estimate of the general risk, to get narrower confidence intervals by cumulating the data and to obtain risk estimates for specific translocation types. Methods We tested for UPD 160 prenatal specimens referred to the participant centers after the cytogenetic finding of NHRT. Results One case of upd(14)mat was found, associated with a 45,XX,der(14;22)mat fetal karyotype. The general empirical risk of UPD occurrence in NHRT carrier fetuses, corrected for the actual number of chromosomes analyzed, was 0.76% (95% CI 0.02,4.25%). Cumulative data with previous studies gives a general risk of UPD associated with NHRT of 0.80% (95% CI 0.17,2.34%). The UPD risk for the specific NHRT der(13;14) did not significantly differ from that of the other NHRTs taken together. Conclusion The present survey confirms the previously estimated risk of occurrence of UPD in offspring of NHRT carriers as a low, but not negligible risk, worth being investigated in prenatal diagnosis. Copyright © 2004 John Wiley & Sons, Ltd. [source] Supply and Demand of Board-certified Emergency Physicians by U.S. State, 2005ACADEMIC EMERGENCY MEDICINE, Issue 10 2009Ashley F. Sullivan MS Abstract Objectives:, The objective was to estimate the emergency medicine (EM) board-certified emergency physician (EP) workforce supply and demand by U.S. state. Methods:, The 2005 National Emergency Department Inventories-USA provided annual visit volumes for U.S. emergency departments (EDs). We estimated full-time equivalent (FTE) EP demand at each ED by dividing the actual number of visits by the estimated average EP visit volume (3,548 visits/year) and then summing FTEs by state. Our model assumed that at least one EP should be present 24/7 in each ED. The number of EM board-certified EPs per state was provided by the American Board of Medical Specialties (American Board of Emergency Medicine, American Board of Pediatrics) and the American Osteopathic Board of Emergency Medicine. We used U.S. Census Bureau civilian population estimates to calculate EP population density by state. Results:, The supply of EM board-certified EPs was 58% of required FTEs to staff all EDs nationally and ranged from 10% in South Dakota to 104% in Hawai'i (i.e., there were more EPs than the estimated need). Texas and Florida had the largest absolute shortages of EM board-certified EPs (2,069 and 1,146, respectively). The number of EM board-certified EPs per 100,000 U.S. civilian population ranged from 3.6 in South Dakota to 13.8 in Washington, DC. States with a higher population density of EM board-certified EPs had higher percent high school graduates and a lower percent rural population and whites. Conclusions:, The supply and demand of EM board-certified EPs varies by state. Only one state had an adequate supply of EM board-certified EPs to fully staff its EDs. [source] Effect of microcracking on the micromechanics of fatigue crack growth in austempered ductile ironFATIGUE & FRACTURE OF ENGINEERING MATERIALS AND STRUCTURES, Issue 9 2001J. Ortiz The effect of microcracking on the mechanics of fatigue crack growth in austempered ductile iron is studied in this paper. The mechanism of fatigue crack growth is modelled using the boundary element method, customized for the accurate evaluation of the interaction effects between cracks and microcracks emanating from graphite nodules. The effects of nodule size and distribution and crack closure are considered, with deviation bounds of computed results estimated through weight-function analyses. A continuum approach is employed as a means of quantifying the shielding effect of microcracking on the dominant propagating crack, due to the reduction of stiffness of the material in the neighbourhood of the crack tip. Although the results obtained may not yield actual numbers for real cases, they are in accordance with experimental observations and demonstrate how the main factors affect the crack growth of the macrocrack. [source] Research Ethics: Ethical Issues of Data Reporting and the Quest for AuthenticityACADEMIC EMERGENCY MEDICINE, Issue 6 2000Catherine A. Marco MD Abstract. The search for truth and its unbiased reporting are ultimate goals of conducting scientific research. Ideally, the reporting of research data ought to be an objective task. In practice, however, it is fraught with numerous statistical and ethical pitfalls, seldom addressed in formal emergency medicine training. The lure of academic celebrity and related influences may persuade researchers to report results in ways that make data appear more interesting, or worthy of publication. Several examples of potentially misleading data reporting are illustrated, including using inappropriate statistical tests, neglecting negative results, omitting missing data points, failing to report actual numbers of eligible subjects, using inappropriate graph labels or terminology, data dredging, and others. Although potentially inaccurate or inflated methods of data reporting may not constitute overt scientific misconduct, the intentional misrepresentation of data is a form of fraud or deception. Publicly funded academic inquiry is a privilege and honor enjoyed by a trusted few. Regardless of outcome, every effort should be made to report data in the most scientifically accurate method. To this end, the Society for Academic Emergency Medicine Code of Conduct and American College of Emergency Physicians Code of Ethics provide important guidance toward the accurate, compassionate, competent, impartial, and honest conduct of scientific research. Accuracy and authenticity in data reporting are first and foremost a matter of individual integrity, and are crucial to the preservation of academic credibility, the protection of future patients, and the public's trust in the medical research enterprise. [source] Occupational fatalities, injuries, illnesses, and related economic loss in the wholesale and retail trade sectorAMERICAN JOURNAL OF INDUSTRIAL MEDICINE, Issue 7 2010Vern Putz Anderson PhD Abstract Background The wholesale and retail trade (WRT) sector employs over 21 million workers, or nearly 19% of the annual average employment in private industry. The perception is that workers in this sector are generally at low risk of occupational injury and death. These workers, however, are engaged in a wide range of demanding job activities and are exposed to a variety of hazards. Prior to this report, a comprehensive appraisal of the occupational fatal and nonfatal burdens affecting the retail and wholesale sectors was lacking. The focus of this review is to assess the overall occupational safety and health burden in WRT and to identify various subsectors that have high rates of burden from occupational causes. Ultimately, these findings should be useful for targeted intervention efforts. Methods We reviewed Bureau of Labor Statistics (BLS), 2006 fatality, injury, and illness data for the WRT sector and provide comparisons between the WRT sector, its' subsectors, and private industry, which serves as a baseline. The BLS data provide both counts and standardized incidence rates for various exposures, events, and injury types for fatalities, injuries, and illnesses. In an effort to estimate the economic burden of these fatalities, injuries, and illnesses, a focused review of the literature was conducted. Results and Conclusion In 2006, WRT workers experienced 820,500 injuries/illnesses and 581 fatalities. The total case injury/illness rate for the retail sector was 4.9/100 FTE and for the wholesale sector 4.1/100 FTE. The WRT sector represents 15.5% of the private sector work population in 2006, yet accounts for 20.1% of nonfatal injuries and illnesses of the private sector. In 2003, the disparity was only 2% but increased to 3% in 2004 and 2005. Three WRT subsectors had injury/illness rates well above the national average: beer/wine/liquor (8.4/100); building materials/supplies (7.6/100); and grocery-related products (7.0/100). Occupational deaths with the highest rates were found in gasoline stations (9.8/100,000), convenience stores (6.1/100,000), and used car dealers (5.5/100,000). In terms of actual numbers, the category of food and beverage stores had 82 fatalities in 2006. Based on 1993 data, costs, both direct and indirect, in the WRT sector for fatal injuries were estimated to exceed $8.6 billion. The full economic loss to society and the family has not been adequately measured. Overexertion and contact with objects/equipment represent the top two events or exposures leading to injury or illness. Together they account for 57% of the events or exposures for nonfatal WRT injuries and illnesses. This sector is important because it is large and pervasive as a result, even a relatively small increase in injury rates and accompanying days away from work will have significant impact on working families and society. Am. J. Ind. Med. 53:673,685, 2010. © 2010 Wiley-Liss, Inc. [source] | |||||||||||||