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Different Outcomes (different + outcome)
Selected AbstractsModulating Electronic Interactions between Closely Spaced Complementary , Surfaces with Different Outcomes: Regio- and Diastereomerically Pure Subphthalocyanine,C60 Tris Adducts,ANGEWANDTE CHEMIE, Issue 43 2009David González-Rodríguez Dr. Stark gekoppelte, regio- und diastereomerenreine Subphthalocyanin-C60 -Dyaden (siehe Kalottenmodell; B orange, C hellblau, H grau, N blau, O rot), die durch dreifache Addition erhalten wurden, können, abhängig vom Abstand zwischen den beiden komplementären ,-Oberflächen, auf Photoanregung unterschiedlich reagieren (mit Elektronen- oder mit Energietransfer). [source] Silver Triflate-Catalyzed or Electrophile-Mediated Tandem Reaction of N, -(2-Alkynylbenzylidene)hydrazides with Dimethyl AcetylenedicarboxylateADVANCED SYNTHESIS & CATALYSIS (PREVIOUSLY: JOURNAL FUER PRAKTISCHE CHEMIE), Issue 10 2009Zhiyuan Chen Abstract Different outcomes were generated under different conditions for the tandem reactions of N, -(2-alkynylbenzylidene)hydrazides with dimethyl acetylenedicarboxylate (DMAD) catalyzed by silver triflate or in the presence of electrophiles. The unexpected isoquinoline-based azomethine ylides were obtained when the reaction was catalyzed by silver triflate or in the presence of bromine, while the fused 1,2-dihydroisoquinolines were afforded when iodine was employed in the above tandem reactions. [source] The organization of visual object representations: a connectionist model of effects of lesions in perirhinal cortexEUROPEAN JOURNAL OF NEUROSCIENCE, Issue 2 2002Timothy J. Bussey Abstract We have developed a simple connectionist model based on the idea that perirhinal cortex has properties similar to other regions in the ventral visual stream, or ,what' pathway. The model is based on the assumption that representations in the ventral visual stream are organized hierarchically, such that representations of simple features of objects are stored in caudal regions of the ventral visual stream, and representations of the conjunctions of these features are stored in more rostral regions. We propose that a function of these feature conjunction representations is to help to resolve ,feature ambiguity', a property of visual discrimination problems that can emerge when features of an object predict a given outcome (e.g. reward) when part of one object, but predict a different outcome when part of another object. Several recently reported effects of lesions of perirhinal cortex in monkeys have provided key insights into the functions of this region. In the present study these effects were simulated by comparing the performance of connectionist networks before and after removal of a layer of units corresponding to perirhinal cortex. The results of these simulations suggest that effects of lesions in perirhinal cortex on visual discrimination may be due not to the impairment of a specific type of learning or memory, such as declarative or procedural, but to compromising the representations of visual stimuli. Furthermore, we propose that attempting to classify perirhinal cortex function as either ,perceptual' or ,mnemonic' may be misguided, as it seems unlikely that these broad constructs will map neatly onto anatomically defined regions of the brain. [source] Monosomy 7 with severe myelodysplasia developing during imatinib treatment of Philadelphia-positive chronic myeloid leukemia: Two cases with a different outcomeAMERICAN JOURNAL OF HEMATOLOGY, Issue 9 2007José-Tomás Navarro Chromosomal abnormalities in Ph-negative metaphases from patients with chronic myeloid leukemia (CML) treated with imatinib have been described in some cases. Trisomy 8 is the most frequent, but monosomy 7 has also been described. However, the association of these chromosomal alterations with myelodysplasia has been scarcely reported. We report the appearance of monosomy 7 in Ph-negative cells, associated with severe dysplasia, in two patients with CML treated with imatinib, with a different outcome: one with a transient evolution and the other evolving to acute myeloid leukemia. Am. J. Hematol., 2007. © 2007 Wiley-Liss, Inc. [source] Outcome after autologous stem cell transplantation for multiple myeloma in patients with preceding plasma cell disordersBRITISH JOURNAL OF HAEMATOLOGY, Issue 2 2008Shaji K. Kumar Summary A third of patients with multiple myeloma (MM) have a preceding diagnosis of plasma cell proliferative disorder (PCPD), mostly monoclonal gammopathy of undetermined significance (MGUS), smoldering MM (SMM) or plasmacytoma. While autologous stem cell transplantation (SCT) improves survival in MM, it is not clear if patients with preceding PCPD have a different outcome. We identified 151 patients with preceding PCPD from among 804 patients undergoing SCT, and their outcomes were compared. The response rates, including complete responses, were similar between the groups. Patients with a preceding diagnosis of MGUS had longer time to progression (TTP; 27·5 months vs. 17·2 months, P = 0·01), and longer overall survival (OS) from transplant (80·2 months vs. 48·3 months, P = 0·03) compared to those with de novo myeloma. However no differences were seen among those with a preceding diagnosis of SMM or plasmacytoma in terms of TTP or OS from transplant when compared to those with de novo myeloma. Multivariate analysis indicated that the presence of MGUS prior to myeloma was prognostic for post-transplant relapse independent of other known risk factors. Patients with pre-existing MGUS prior to myeloma diagnosis have a better outcome following HDT, reflecting more indolent disease and a favourable biology than those presenting with de novo myeloma. [source] Does personality change and, if so, what changes?,CRIMINAL BEHAVIOUR AND MENTAL HEALTH, Issue 1 2004Conor Duggan Background Although the question of whether or not personality changes is fundamental to much of what clinicians do, we do not appear to be very curious about the question itself. Method This paper considers three separate but related issues: (a) Does personality change? (b) If it does, then what changes? (c) How can we show that change has taken place? Costa and McCrea have produced a model of personality that helps to answer (a) and (b), as it distinguishes ,Basic Tendencies' from ,Characteristic Adaptations'. The former are largely innate, fixed dispositions that produce the latter (which are highly variable) depending on its interaction with differing environments. Thus, personality is both static and dynamic depending on its definition. It will also be argued that detecting change is complex as there are many alternative definitions of the relevant outcome variable. Moreover, measuring several different outcomes does not help as change in one measure is often not matched by a concordant change in another. Some practical examples are provided to support this position. Conclusions In the absence of a firm theoretical base, the author believes that only limited conclusions can be drawn about the efficacy of treatment in personality disorder. Copyright © 2004 Whurr Publishers Ltd. [source] Deviations in the emergence of representations: a neuroconstructivist framework for analysing developmental disordersDEVELOPMENTAL SCIENCE, Issue 1 2000Andrew Oliver A common way of studying developmental disorders is to adopt a static neuropsychological deficit approach, in which the brain is characterized in terms of a normal brain with some parts or ,modules' impaired. In this paper we outline a neuroconstructivist approach in which developmental disorders are viewed as alternative developmental trajectories in the emergence of representations within neural networks. As a concrete instantiation of the assumptions underlying this general approach, we present a number of simulations in an artificial neural network model. The representations that emerge under different architectural, input and developmental timing conditions are then analysed within a multi-dimensional state space. We explore alternative developmental trajectories in these simulations, demonstrating how initial differences in the same parameter can lead to very different outcomes, and conversely how different starting states can sometimes result in similar end states (phenotypes). We conclude that the assumptions of the neuroconstructivist approach are likely to be more appropriate for analysing developmental deviations in complex dynamic neural networks, such as the human brain. [source] The European Service Mapping Schedule (ESMS): development of an instrumentfor the description and classificationof mental health servicesACTA PSYCHIATRICA SCANDINAVICA, Issue 2000S. Johnson Objective: This paper describes the development of an instrument for description and classification of mental health services and for measurement of service use. Purposes to be served by the instrument include: (i) identification of gaps in the spectrum of services in a catchment area; (ii) obtaining background information which may be important to understanding why apparently similar interventions lead to different outcomes in different areas; (iii) investigating how introduction of a particular type of service influences use of other local services; and (iv) understanding the relationship between sociodemographic factors and service use. Method: The instrument was developed through meetings of an international expert panel and pilot stages in several European countries. Results: Use of the European Mapping Service Mapping Schedule (ESMS) appears feasible in several countries and allowed description and classification of the full range of services identified within each of the study catchment areas. Conclusion: The ESMS promises to fill a gap in the technology available for mental health services research. Further practical experiences of its use for a variety of purposes in a variety of settings are now needed to indicate how far the ESMS does successfully generate data which are useful to researchers and planners. [source] Clinical Value of the Tissue Doppler S Wave to Characterize Left Ventricular Hypertrophy as Defined by EchocardiographyECHOCARDIOGRAPHY, Issue 4 2010Demian Chejtman M.D. Left ventricular hypertrophy (LVH) may be a physiological finding and may also be associated with different disease entities and hence, with different outcomes. Regional myocardial function can be assessed with color Doppler tissue imaging, specifically by the waveform of the isovolumic contraction (IC) period and the regional systolic wave ("s"). Methods and Results: We studied five groups (G): healthy, sedentary young volunteers (G1, n:10); healthy sedentary adult volunteers (G2, n:8); and subjects with LVH (left ventricular mass index >125 g/m2) including: high performance athletes (G3, n:21), subjects with hypertension (G4, n:21), subjects with hypertrophic cardiomyopathy (HCM) (G5, n:18). We measured peak "s" wave velocity (cm/sec) at the basal and mid septum, the IC/s ratio, and basal to mid-septal velocity difference (BMVD) of the "s" wave. Regional "s" wave values (cm/sec) were G1 = 5.6 ± 1; G2 = 5.4 ± 0.8; G3 = 5.7 ± 0.6; G4 = 5.3 ± 1.1; G5 = 4.2 ± 1.1 (P < 0.0001). The IC/s ratio was G1 = 0.28 ± 0.18; G2 = 0.39 ± 0.21; G3 = 0.23 ± 0.10; G4 = 0.42 ± 0.15; G5 = 0.64 ± 0.15 (P < 0.0001). The BMVD (cm/sec) was G1 = 2 ± 0.51; G2 = 1.71 ± 0.29; G3 = 1.78 ± 0.44; G4 = 1.26 ± 0.96; G5 = 0.45 ± 0.4 (P < 0.0001). IC/s < 0.38 discriminated physiological from pathological forms of hypertrophy (sensitivity 90%; specificity 88%). Peak "s" wave velocity discriminated HCM from other causes of hypertrophy, with a cutoff value of 4.46 cm/sec (sensitivity 72%; specificity 90%). BMVD <0.98 cm/sec detected HCM with 89% sensitivity and 86% specificity. Conclusions: Peak "s" wave velocity and two indices: IC/s and BMDV are novel parameters that may allow to discriminate physiological from pathological forms of hypertrophy as well as different subtypes of hypertrophy. (ECHOCARDIOGRAPHY 2010;27:370-377) [source] Moderators and mediators of two brief interventions for alcohol in the emergency departmentADDICTION, Issue 3 2010Nancy P. Barnett ABSTRACT Objective To evaluate moderators and mediators of brief alcohol interventions conducted in the emergency department. Methods Patients (18,24 years; n = 172) in an emergency department received a motivational interview with personalized feedback (MI) or feedback only (FO), with 1- and 3-month booster sessions and 6- and 12-month follow-ups. Gender, alcohol status/severity group [ALC+ only, Alcohol Use Disorders Identification Test (AUDIT+) only, ALC+/AUDIT+], attribution of alcohol in the medical event, aversiveness of the event, perceived seriousness of the event and baseline readiness to change alcohol use were evaluated as moderators of intervention efficacy. Readiness to change also was evaluated as a mediator of intervention efficacy, as were perceived risks/benefits of alcohol use, self-efficacy and alcohol treatment seeking. Results Alcohol status, attribution and readiness moderated intervention effects such that patients who had not been drinking prior to their medical event, those who had low or medium attribution for alcohol in the event and those who had low or medium readiness to change showed lower alcohol use 12 months after receiving MI compared to FO. In the AUDIT+ only group those who received MI showed lower rates of alcohol-related injury at follow-up than those who received FO. Patients who had been drinking prior to their precipitating event did not show different outcomes in the two interventions, regardless of AUDIT status. Gender did not moderate intervention efficacy and no significant mediation was found. Conclusions Findings may help practitioners target patients for whom brief interventions will be most effective. More research is needed to understand how brief interventions transmit their effects. [source] Graphical models for coded data transmission over inter-symbol interference channelsEUROPEAN TRANSACTIONS ON TELECOMMUNICATIONS, Issue 4 2004Michael Tüchler We derive graphical models for coded data transmission over channels introducing inter-symbol interference. These models are factor graph descriptions of the transmitter section of the communication system, which serve at the same time as a framework to define the corresponding receiver. The graph structure governs the complexity and nature (e.g. non-iterative, iterative) of the receiver algorithm. A particular graph yields several algorithms optimizing various cost functions depending on the choice of messages communicated along the edges of the graph. We study these different outcomes of message passing and how the corresponding receiver algorithms are related to existing ones. We also devise strategies to find suitable graphs for communication problems of interest. Copyright © 2004 AEI [source] Critical Events and Labour Mobility: Relocations in the Wake of the Ansett Airlines CollapseGEOGRAPHICAL RESEARCH, Issue 3 2009SALLY WELLER Abstract Migration plays an important role in neo-liberal regional adjustment. This paper explores the role of economic shocks in stimulating internal migration within Australia. Drawing on the experiences of retrenched Ansett Airlines employees, it argues that economic crisis impels some households to relocate but traps others in places with restricted employment prospects. For some, the crisis of retrenchment triggers inter-state migration to take up new jobs. For others, it prompts relocation to less expensive housing, often in a geographically proximate location. These opposing responses, which are different outcomes of similar causal processes, exacerbate regional inequalities since they selectively encourage younger skilled workers to enter growing regions. The combination of high housing costs and insecure employment discourages speculative migration. The paper concludes with a brief discussion of the policy implications of these findings. [source] Use of combined molecular biomarkers for prediction of clinical outcomes in locally advanced tonsillar cancers treated with chemoradiotherapy aloneHEAD & NECK: JOURNAL FOR THE SCIENCES & SPECIALTIES OF THE HEAD AND NECK, Issue 1 2009Yih-Lin Chung MD Abstract Background. Environmental exposures to tobacco, alcohol, human papillomavirus (HPV) and/or Epstein-Barr virus (EBV), all of which can perturb multiple cell cycle proteins or tumor suppressors, have been implicated in the pathogenesis of different subsets of head and neck cancers. The aim of this study was to investigate to which extent the virus infection by itself, and/or the altered cell cycle proteins, contributes to prognosis in locally advanced tonsillar squamous cell carcinomas (TSCCs) treated with concurrent chemoradiotherapy (CCRT) alone. Methods. Serial tumor tissue arrays from archival samples were tested for the presence of HPV genome integration or EBV episome by means of DNA sequencing, real-time polymerase chain reaction (PCR), and in situ hybridization. Alterations of cell cycle proteins (p53, pRb, and p21) were evaluated by immunohistochemical staining. The association of viral presence with altered cell cycle proteins was correlated to clinical outcomes. Results. Of the 46 patients with the same T2N2bM0 stage IVA among consecutive patients with TSCC, 23 (50%) had integrated HPV DNA and only 1 (2%) had EBV episome. The HPV types detected were almost all HPV-16. A reduced expression pattern of p53, pRb, and p21 was noted in HPV-positive tumors, and the incremental number of alterations in the 3 proteins was significantly associated with HPV-negative tumors. The presence or absence of HPV together with the number of altered expression of the 3 cell cycle markers resulted in further identification of 4 biologically and clinically distinct subgroups with different outcomes after CCRT. Conclusions. Use of combined biomarkers of oncogenic HPV and tumor suppressors of p53, pRb, and p21 in advanced TSCC provides prognostic molecular classification superior to the TNM stage system and identifies low-risk patients for organ preservation by CCRT alone and high-risk patients who might benefit from planned tonsillectomy and neck dissection before or after CCRT. © 2008 Wiley Periodicals, Inc. Head Neck, 2009 [source] The effects of exercise during hemodialysis on adequacyHEMODIALYSIS INTERNATIONAL, Issue 1 2005C. Caner Pedalling during hemodialysis (HD) has been shown to increase solute clearance in a previous study. In the present study, we aimed to test whether an easy to perform exercise program, not requiring a special device, could yield similar outcomes. Fifteen HD patients with the mean age of 48.4 ± 3.8 years were enrolled into the study. Patients with significant access recirculation (>10%), moderate to severe coronary artery disease, moderate to severe heart failure, severe chronic obstructive lung disease, and history of lower extremity surgery during last three month period were excluded. All patients were studied on two consecutive HD sessions with identical prescriptions. At the first session, standard HD was applied without exercise, whereas in the second session lower extremity exercise of 30 minutes duration was added. Reduction rates and rebound for urea, creatinine, and potassium and Kt/V were calculated. Wilcoxon signed rank test was applied in analysis and p < 0.05 was accepted as significance level. All patients completed the study. When both sessions were compared, mean arterial blood pressure (97 ± 3 mmHg vs 120 ± 4 mmHg, p < 0.001) and heart rate (77 ± 1 beats/min vs 92 ± 3 beats/min, p < 0.001) were higher in the exercise group. On the other hand, urea reduction rates, rebound values of urea, creatinine, and potassium were similar in both groups. Conclusion:,In the study, we did not observe any changes in solute rebound and clearance with the exercise. Shorter duration of the exercise may be the explanation of failure to achieve desired outcomes. Increasing patients' tolerance and fitness levels by means of steadily increasing exercise programs may be of help. Additionally, mode of exercise may also be responsible for different outcomes. [source] Effects of hippocampal lesions on the monkey's ability to learn large sets of object-place associations,HIPPOCAMPUS, Issue 4 2006Annabelle M. Belcher Abstract Earlier studies found that recognition memory for object-place associations was impaired in patients with relatively selective hippocampal damage (Vargha-Khadem et al., Science 1997; 277:376,380), but was unaffected after selective hippocampal lesions in monkeys (Malkova and Mishkin, J Neurosci 2003; 23:1956,1965). A potentially important methodological difference between the two studies is that the patients were required to remember a set of 20 object-place associations for several minutes, whereas the monkeys had to remember only two such associations at a time, and only for a few seconds. To approximate more closely the task given to the patients, we trained monkeys on several successive sets of 10 object-place pairs each, with each set requiring learning across days. Despite the increased associative memory demands, monkeys given hippocampal lesions were unimpaired relative to their unoperated controls, suggesting that differences other than set size and memory duration underlie the different outcomes in the human and animal studies. © 2005 Wiley-Liss, Inc. [source] Histological grading of invasive breast carcinoma , a simplification of existing methods in a large conservation series with long-term follow-upHISTOPATHOLOGY, Issue 6 2009Jeremy St J Thomas Aims:, To assess the validity of grading in the Edinburgh Breast Conservation Series; a consecutive cohort of 1812 early breast cancer patients treated by breast conservation and radiotherapy between 1981 and 1998 in a single specialist centre with ,9 years' follow-up and full staging data. Methods and results:, A single pathologist (J.St.J.T) graded 1650 cases using the Elston and Ellis method (EE) with particular reference to the component data: acinar differentiation, nuclear pleomorphism and mitotic counts. The original method was then compared with binary scoring of the same components and the relationship to prognosis reassessed. EE grades and individual grade components were prognostic (P < 0.0001) with 10-year cause-specific survival of 95.6%, 86.4% and 74.7% for EE grades 1, 2 and 3, respectively. A binary scoring of grade components produces four groups, splitting EE grade 2 tumours into two groups with different outcomes , 10-year survival rates for the four revised grades were 96.0%, 89.0%, 79.7% and 75.4%, respectively. Conclusions:, Existing grading methodology is fully applicable in the narrower context of a conservation series but can be simplified. Subdivision of EE grade 2 into a true intermediate prognosis group and a second group with a worse prognosis also adds benefit. [source] The comparative roles of home and host supervisors in the expatriate experienceHUMAN RESOURCE MANAGEMENT, Issue 1 2009George S. Benson Abstract This study investigates the impact of home and host supervisors on expatriate success. Using survey and archival data on 206 expatriates of a large U.S. professional services firm, we hypothesize that high-quality leader-member exchange (LMX) relationships with home and host supervisors have different outcomes. Relationships with host-country supervisors have greater influence on in-country and short-term outcomes, including adjustment and intentions to complete the assignment. Home-country supervisors, on the other hand, have a greater influence over expatriates' subjective fit with their jobs and longer-term perceptions of how the overseas assignment will impact their career. Using a separate survey of home and host supervisors at the same firm, we found that one reason that home and host supervisors infl uence expatriates differently may be because home supervisors are more likely to see professional development as a goal for expatriate assignments. © 2009 Wiley Periodicals, Inc. [source] In search of legitimacy: personnel management associations worldwideHUMAN RESOURCE MANAGEMENT JOURNAL, Issue 3 2005Elaine Farndale In considering the development of the HR ,profession', there has been little exploration of the role of the professional association. This is particularly true looking across national boundaries, raising questions about the impact and extent of homogeneity of personnel management association activities. It is argued that professional associations have a legitimising role to play in establishing a specialist body of knowledge, regulating practice and providing a source of internal and external identity for practitioners. A recent worldwide survey of personnel management associations found that, although associations are active in these areas, there is a lack of mandatory control and regulation across the profession, diluting the legitimacy accorded by such activities. Association activities were also found to be largely generic across countries, resulting from inter-association collaboration, although different contexts result in different outcomes. [source] Homogeneity analysis of Turkish meteorological data setHYDROLOGICAL PROCESSES, Issue 8 2010Sinan Sahin Abstract The missing value interpolation and homogeneity analysis were performed on the meteorological data of Turkey. The data set has the observations of six variables: the maximum air temperature, the minimum air temperature, the mean air temperature, the total precipitation, the relative humidity and the local pressure of 232 stations for the period 1974,2002. The missing values on the monthly data set were estimated using two methods: the linear regression (LR) and the expectation maximization (EM) algorithm. Because of higher correlations between test and reference series, EM algorithm results were preferred. The homogeneity analysis was performed on the annual data using a relative test and four absolute homogeneity tests were used for the stations where non-testable series were found due to the low correlation coefficients between the test and the reference series. A comparison was accomplished by the graphics where relative and absolute tests provided different outcomes. Absolute tests failed to detect the inhomogeneities in the precipitation series at the significance level 1%. Interestingly, most of the inhomogeneities detected on the temperature variables existed in the Aegean region of Turkey. It is considered that theseinhomogeneities were mostly caused by non-natural effects such as relocation. Because of changes at topography at short distance in this region intensify non-random characteristics of the temperature series when relocation occurs even in small distances. The marine effect, which causes artifical cooling effect due to sea breezes has important impact on temperature series and the orograhpy allows this impact go through the inner parts in this region. Copyright © 2010 John Wiley & Sons, Ltd. [source] Girls with anorexia nervosa as young adults: Personality, self-esteem, and life satisfactionINTERNATIONAL JOURNAL OF EATING DISORDERS, Issue 4 2006Inger Halvorsen MD Abstract Objective: The current study evaluated personality, self-esteem, and life satisfaction in former patients with different outcomes of childhood and adolescent-onset anorexia nervosa (AN). Methods: Forty-four female patients with AN were assessed 8.5 ± SD 3.4 years after treatment start with a clinical interview and questionnaires including the Temperament and Character Inventory (TCI) and the Rosenberg Self-Esteem Scale. Self-esteem and general life satisfaction in former patients were compared with women in a large population study. Results: Former AN patients with no eating disorder and normal eating attitudes at follow-up (n = 21 [48%]) had similar TCI profiles and self-esteem as samples from normal populations, whereas participants with poorer outcome had significantly lower TCI Self Directedness, self-esteem, and life satisfaction scores. Life satisfaction was reduced in all outcome groups and was strongly associated with self-esteem. Conclusion: Personality, self-esteem, and life satisfaction varied significantly between outcome groups. The results indicate that young patients with AN with a good outcome may have normal personality and self-esteem features in young adulthood. © 2006 by Wiley Periodicals, Inc., Int J Eat Disord, 2006 [source] Does the "New" Immigration Require a "New" Theory of Intergenerational Integration?,INTERNATIONAL MIGRATION REVIEW, Issue 3 2004Hartmut Esser Starting from discussions on the validity of the classical assimilation concept, a general model for the explanation of different structural outcomes of interethnic relations is developed. The core of the model builds on the assumption that different outcomes are the often unintended and situation-logic results of (mis-)investments in and with ethnic and non-ethnic capital. Central initial conditions of the model are group size, social and cultural distances and the availability of social capital. The model specifies the mutual relations between these three constructs. Different variants of intergenerational integration of immigrants can thus be reconstructed as special cases of a general mechanism. [source] Agricultural Land, Gender and Kinship in Rural China and Vietnam: A Comparison of Two VillagesJOURNAL OF AGRARIAN CHANGE, Issue 2 2009DANIÈLE BÉLANGER This study examines the impact of current land policies in China and Vietnam on women's entitlement to land, women's wellbeing and gender power relations. The ethnographic study of one village in each of the two countries contextualizes women's lives in the kinship and marriage system in which power and gender relations are embedded. Current land policies, when implemented in the existing kinship and marriage system, make women's entitlement to land more vulnerable than men's, limit women's choices and weaken their power position. Variations in kinship rules in the two countries lead to different outcomes. In the Chinese village the dominance of patrilocal marriage and exogamous marriages limits women's access to land, whereas in the Vietnamese village the rigid concentration of inheritance to males puts women in a difficult position. The comparison between communities of rural China and Vietnam reveals the importance of considering gender and kinship when studying the implementation and impact of land policies. [source] Enhancing diversity of species-poor grasslands: an experimental assessment of multiple constraintsJOURNAL OF APPLIED ECOLOGY, Issue 1 2007RICHARD F. PYWELL Summary 1Many grasslands in north-west Europe are productive but species-poor communities resulting from intensive agriculture. Reducing the intensity of management under agri-environment schemes has often failed to increase botanical diversity. We investigated biotic and abiotic constraints on diversification by manipulating seed and microsite availability, soil fertility, resource competition, herbivory and deficiencies in the soil microbial community. 2The effectiveness of 13 restoration treatments was investigated over 4 years in a randomized block experiment established in two productive grasslands in central-east and south-west England. 3Severe disturbance involving turf removal followed by seed addition was the most effective and reliable means of increasing grassland diversity. Disturbance by multiple harrowing was moderately effective but was enhanced by molluscicide application to reduce seedling herbivory and by sowing the hemiparasite Rhinanthus to reduce competition from grasses. 4Low-level disturbance by grazing or slot-seeding was ineffective in increasing diversity. Inoculation with soil microbial communities from species-rich grasslands had no effect on botanical diversity. Nitrogen and potassium fertilizer addition accelerated off-take of phosphorus in cut herbage but did not cause a reduction in soil phosphorus or increase botanical diversity. 5Different grazing management regimes had little impact on diversity. This may reflect the constraining effect of the July hay cut on species dispersal and colonization. 6Synthesis and applications. Three alternative approaches to grassland diversification, with different outcomes, are recommended. (i) High intervention deturfing, which would create patches with low competitive conditions for rapid and reliable establishment of the target community. For reasons of cost and practicality this can only be done over small areas but will form source populations for subsequent spread. (ii) Moderate intervention (harrowing or slot-seeding) over large areas, which would establish a limited number of desirable, generalist species that perform well in restoration. This method is low cost and rapid but the increases in biodiversity are less predictable. (iii) Phased restoration, which would complement the above approaches. Productivity and competition are reduced over 3,5 years using Rhinanthus or fertilizers to accelerate phosphorus off-take. After this time harrowing and seeding should allow a wide range of more specialist species to establish. However, further research is required to determine the long-term effectiveness of these approaches. [source] Nonreplication in Genetic Studies of Complex Diseases,Lessons Learned From Studies of Osteoporosis and Tentative Remedies,JOURNAL OF BONE AND MINERAL RESEARCH, Issue 3 2005Hui Shen Abstract Inconsistent results have accumulated in genetic studies of complex diseases/traits over the past decade. Using osteoporosis as an example, we address major potential factors for the nonreplication results and propose some potential remedies. Over the past decade, numerous linkage and association studies have been performed to search for genes predisposing to complex human diseases. However, relatively little success has been achieved, and inconsistent results have accumulated. We argue that those nonreplication results are not unexpected, given the complicated nature of complex diseases and a number of confounding factors. In this article, based on our experience in genetic studies of osteoporosis, we discuss major potential factors for the inconsistent results and propose some potential remedies. We believe that one of the main reasons for this lack of reproducibility is overinterpretation of nominally significant results from studies with insufficient statistical power. We indicate that the power of a study is not only influenced by the sample size, but also by genetic heterogeneity, the extent and degree of linkage disequilibrium (LD) between the markers tested and the causal variants, and the allele frequency differences between them. We also discuss the effects of other confounding factors, including population stratification, phenotype difference, genotype and phenotype quality control, multiple testing, and genuine biological differences. In addition, we note that with low statistical power, even a "replicated" finding is still likely to be a false positive. We believe that with rigorous control of study design and interpretation of different outcomes, inconsistency will be largely reduced, and the chances of successfully revealing genetic components of complex diseases will be greatly improved. [source] Effect of Off-Pump Coronary Artery Bypass Grafting on Risk-Adjusted and Cumulative Sum Failure Outcomes After Coronary Artery SurgeryJOURNAL OF CARDIAC SURGERY, Issue 6 2002Richard J. Novick M.D. We therefore applied CUSUM, as well as standard statistical techniques, to analyze a surgeon's experience with off-pump coronary artery bypass grafting (OPCAB) and on-pump procedures to determine whether the two techniques have similar or different outcomes. Methods: In 320 patients undergoing nonemergent, first time coronary artery bypass grafting, preoperative patient characteristics, rates of mortality and major complications, and ICU and hospital lengths of stay were compared between the on-pump and OPCAB cohorts using Fisher's exact tests and Wilcoxon two sample tests. Predicted mortality and length of stay were determined using previously validated models of the Cardiac Care Network of Ontario. Observed versus expected ratios of both variables were calculated for the two types of procedures. Furthermore, CUSUM curves were constructed for the on-pump and OPCAB cohorts. A multivariable analysis of the predictors of hospital length of stay was also performed to determine whether the type of coronary artery bypass procedure had an independent impact on this variable. Results: The predicted mortality risk and predicted hospital length of stay were almost identical in the 208 on-pump patients ( 2.2 ± 3.9% ; 8.2 ± 2.5 days) and the 112 OPCAB patients ( 2.0 ± 2.2% ; 7.8 ± 2.1 days). The incidence of hospital mortality and postoperative stroke were 2.9% and 2.4% in on-pump patients versus zero in OPCAB patients (p= 0.09 and 0.17, respectively). Mechanical ventilation for greater than 48 hours was significantly less common in OPCAB (1.8%) than in on-pump patients (7.7%, p= 0.04). The rate of 10 major complications was 14.9% in on-pump versus 8.0% in OPCAB patients (p= 0.08). OPCAB patients experienced a hospital length of stay that was a median of 1.0 day shorter than on-pump patients (p= 0.01). The observed versus expected ratio for length of stay was 0.78 in OPCAB patients versus 0.95 in on-pump patients. On CUSUM analysis, the failure curve in OPCAB patients was negative and was flatter than that of on-pump patients throughout the duration of the study. Furthermore, OPCAB was an independent predictor of a reduced hospital length of stay on multivariable analysis. Conclusions: OPCAB was associated with better outcomes than on-pump coronary artery bypass despite a similar predicted risk. This robust finding was documented on sensitive CUSUM analysis, using standard statistical techniques and on a multivariable analysis of the independent predictors of hospital length of stay.(J Card Surg 2002;17:520-528) [source] Does Left Atrial Volume and Pulmonary Venous Anatomy Predict the Outcome of Catheter Ablation of Atrial Fibrillation?JOURNAL OF CARDIOVASCULAR ELECTROPHYSIOLOGY, Issue 9 2009IRENE HOF M.D. Introduction: Preprocedural factors may be helpful in selecting patients with atrial fibrillation (AF) for treatment with catheter ablation and in making an assumption regarding their prognosis. The aims of this study were to investigate whether left atrial (LA) volume and pulmonary venous (PV) anatomy, evaluated by computed tomography (CT) prior to ablation, will predict AF recurrence following catheter ablation. Methods and Results: We included 146 patients (mean age 57 ± 11 years, 83% male) with symptomatic AF (55% paroxysmal, 18% persistent, 27% long-standing persistent). All patients underwent CT scanning prior to catheter ablation to evaluate LA volume and PV anatomy. Circumferential PV isolation was performed guided by Cartomerge electroanatomical mapping. The outcome was defined as complete success, improvement, or failure. After a mean follow-up of 19 ±7 months, complete success was achieved in 59 patients (40%), and 38 patients (26%) demonstrated improvement. LA volume was found to be an independent predictor of AF recurrence with an adjusted OR of 1.14 for every 10-mL increase in volume (95% CI 1.00,1.29, P = 0.047). PV variations were equally distributed among the different outcomes of the ablation procedure, and therefore univariate analysis did not identify PV anatomy as a predictor of outcome. Conclusion: LA volume is an independent predictor of AF recurrence after catheter ablation. Additionally, PV anatomy did not have any effect on the outcome. These findings suggest that an assessment of LA volume may be incorporated into the preprocedural evaluation of patients being considered for AF ablation. [source] The Fate of Former East German Police in Reunified Germany, 1990,1996: The Dialectics of Inclusion and ExclusionJOURNAL OF HISTORICAL SOCIOLOGY, Issue 2 2010KATY A. CROSSLEY-FROLICK This article analyzes the vetting of former East German police in Berlin and Brandenburg in the context of the former East Germany's transition to democracy and German unification. Police are one of the most critical and sensitive sectors of the civil service and typically, along with teachers, among the first groups to be vetted in the context of democratic transitions. The German case illustrates the often unpredictable and inconsistent approaches to vetting that led to very different outcomes throughout the East. It identifies several factors that influenced vetting and employment prospects for former East German police officers. These included political geography, who did the vetting, how a candidate's past was interpreted (whether aggravating or mitigating circumstances were weighed), the institutional arrangements for vetting, state-mandated guidelines or criteria for determining suitability, and timing. [source] Balancing exploration and exploitation in alternative work arrangements: a multiple case study in the professional and management services industryJOURNAL OF ORGANIZATIONAL BEHAVIOR, Issue 8 2008Jean-Baptiste Litrico In this inductive study we investigate the local context surrounding professionals choosing to work on a reduced-load basis. We analyze qualitative data collected from key individuals (spouse, boss, co-worker, and HR manager) composing a network around several professionals working reduced load in the professional and management services industry. We describe the interactions in this network using the concepts of exploration and exploitation in four contexts (organization, workgroup, individual, and family). We also identify three emergent patterns of cross-level distribution of exploration and exploitation across contexts, labeled Solo Performance, Organic Fluid Adjustment, and Orchestrated Cooperation. Each of these patterns illuminates a specific form of interaction between the dynamics of exploration and exploitation across contexts. We examine the different outcomes of each pattern for the organization, the individual, and the family. Implications of the findings for theories of work-family interaction, organizational learning, and the organization of work in the professional and management services industry are discussed. Copyright © 2008 John Wiley & Sons, Ltd. [source] Value Similarities Among Fathers, Mothers, and Adolescents and the Role of a Cultural Stereotype: Different Measurement Strategies ReconsideredJOURNAL OF RESEARCH ON ADOLESCENCE, Issue 4 2009Annette M. C. Roest In research on value similarity and transmission between parents and adolescents, no consensus exists on the level of value similarity. Reports of high-value similarities coexist with reports of low-value similarities within the family. The present study shows that different conclusions may be explained by the use of different measurement strategies. In addition, we demonstrate that measured value similarities may be biased by a cultural stereotype, that is, an indirectly measurable phenomenon outside the family most likely attributed to shared cultural experiences. We examined similarities in 8 social,cultural value orientations among fathers, mothers, and adolescents from 433 Dutch families. Results revealed different outcomes when using ordinary correlations (r), absolute difference scores (d), or profile correlations (q). Similarly, different influences of a cultural stereotype were found when applying different measurement strategies. We discuss which measurement strategies are best used under which circumstances and which role the cultural stereotype plays. [source] Issues in designing and interpreting clinical trials of treatments for chronic hepatitis CJOURNAL OF VIRAL HEPATITIS, Issue 2006C. O'Brien Summary., Many of the major advances in treating patients for chronic hepatitis C have been made based on the results of randomized, double-blind, controlled clinical trials. However, given the large number of hepatitis C medications in development, physicians need to understand the unique elements and types of clinical trials in order to make accurate comparisons of differing drug efficacy claims. Clinicians also need to be aware of the various factors that can influence the outcomes and interpretations of these trials, irrespective of the intervention under study. For example, similar trials conducted in the United States and Europe may have different outcomes simply because the study populations differ. Thus, both trial design and patient population are important considerations in the design and analysis of clinical trials for patients with chronic hepatitis C. [source] | |||||||||||||||||||||||||||||||||||||||||||