Factors Important (factor + important)

Distribution by Scientific Domains


Selected Abstracts


Transitions from hospital to residential aged care in Australia

AUSTRALASIAN JOURNAL ON AGEING, Issue 4 2009
Rosemary Karmel
Aim:, To investigate movement of people from hospital into residential aged care. Methods:, An innovative record linkage method was implemented to create a national database to investigate transitions from hospital into aged care. Results:, In 2001,2002, 3.2% of hospitalisations for people aged 65+ ended with admission into residential aged care. A further 5.5% were for people already living permanently in care. Nationally, more people were admitted into permanent care from hospital than from the community. Factors important in predicting admission to aged care from hospital included length of hospital stay, diagnoses, region of usual residence and hospital jurisdiction. Conclusion:, Individually, national hospital and aged care datasets do not provide adequate information on movement between the sectors. Linking the data allowed the first national investigation into movement from hospital into aged care. Results indicate the importance of investigating interactions of service provision (both supply and demand driven) at the local level. [source]


Understanding the properties of aerobic sludge granules as hydrogels

BIOTECHNOLOGY & BIOENGINEERING, Issue 5 2009
Thomas Seviour
Abstract Aerobic sludge granules are larger, denser microbial aggregates than activated sludge flocs with a smoother and more regular surface, which facilitates greater wastewater treatment intensity. Factors important in their growth are still poorly understood, which is an impediment to the construction and operation of full-scale aerobic sludge granule processes. Data in this article obtained with granules treating an abattoir wastewater provide evidence that aerobic sludge granules are hydrogels. The results also demonstrate a method for characterizing macromolecular associations. The rheological profile of these granules was found to be analogous with that of typical polymer gels. Water uptake or swelling reflects an equilibrium between granule elastic modulus and osmotic pressure, whereby uptake is increased by reducing solute concentration or the elastic modulus. A weakening of the extracellular polymeric substance (EPS) matrix as demonstrated with mechanical spectroscopy was induced by several environmental factors including temperature, pH and ionic strength. Uniform and elastic deformation was observed at low strain. Enzymatic degradation studies indicate that proteins and ,-polysaccharides were the major granule structural materials. The aerobic sludge granules in the current study were therefore protein,polysaccharide composite physical hydrogels. While aerobic sludge granules treating an abattoir wastewater are used as a case study, many of the fundamental principles detailed here are relevant to other granulation processes. The paradigm established in this study can potentially be applied to better understand the formation of aerobic sludge granules and thus overcome a hurdle in the acceptance of aerobic sludge granulation as an alternative to more traditional wastewater treatment processes. Biotechnol. Bioeng. 2009;102: 1483,1493. © 2008 Wiley Periodicals, Inc. [source]


,-Dystroglycan is essential for the induction of Egr3, a transcription factor important in muscle spindle formation

DEVELOPMENTAL NEUROBIOLOGY, Issue 7 2010
Stacey Williams
Abstract Muscle spindle fibers are specialized stretch receptors that allow the perception and coordination of limb movement. The differentiation of these specialized structures is initiated by signals derived from the in growing Ia sensory neurons during development. While the direct molecular signaling mechanisms between sensory neurons and developing muscle at nascent spindle fibers have been well documented in past studies the roles of muscle basal lamina components on this process have not previously been described. As such, our initial experiments addressed potential roles for agrin (AGRN) and laminin (LN) in the expression of the transcription factor Egr3. Levels of Egr3 were monitored using immunoblot analysis and both basal lamina molecules proved effective in inducing Erg3 expression. Previous work had established neuregulin (NRG) as a critical signaling component in spindle fiber development so blocking experiments with NRG and ErbB inhibitors were then used to determine if LN-induced Egr3 expression was occurring as a result of NRG-ErbB signaling and not via other, novel pathway. Inhibiting signaling through this pathway did indeed reduce the expression of Egr3. Finally, we looked at ,-dystrogylcan, a shared receptor for AGRN and LN at neuromuscular junctions. Using a ,-dystroglycan (,-DG) silenced muscle cell line and an anti-,-DG antibody we attempted to block basal lamina/,-DG interactions. Again, and in both instances, Egr3 expression was significantly decreased. Taken together, analysis of the results from these experiments revealed that indeed AGRN, LN, and ,-DG influence Egr3 levels and therefore may play an important role in spindle fiber differentiation. © 2010 Wiley Periodicals, Inc. Develop Neurobiol 70:498,507, 2010 [source]


Flame retardant properties of EVA-nanocomposites and improvements by combination of nanofillers with aluminium trihydrate

FIRE AND MATERIALS, Issue 5 2001
Günter Beyer
Flame retardant nanocomposites are synthesized by melt-blending ethylene,vinyl acetate copolymers (EVA) with modified layered silicates (montmorillonites). Thermogravimetric analysis performed under different atmospheres (nitrogen and air) demonstrated a clear increase in the thermal stability of the layered silicate-based nanocomposites. The use of the cone calorimeter to investigate the fire properties of the materials indicated that the nanocomposites caused a large decrease in heat release. The char-formation is the main factor important for improvement and its function is outlined. Further improvements of the flame retardancy by combinations of nanofillers and traditional FR-additives on the basis of metal hydroxides were also studied. Copyright © 2002 John Wiley & Sons, Ltd. [source]


Activation of nuclear factor E2-related factor 2 in hereditary tyrosinemia type 1 and its role in survival and tumor development,

HEPATOLOGY, Issue 2 2008
Silke Marhenke
In tyrosinemia type 1 (HT1), accumulation of toxic metabolites results in oxidative stress and DNA damage, leading to a high incidence of hepatocellular carcinomas. Nuclear factor erythroid-2 related factor 2 (Nrf2) is a key transcription factor important for cellular protection against oxidative stress and chemical induced liver damage. To specifically address the role of Nrf2 in HT1, fumarylacetoacetate hydrolase (Fah)/Nrf2,/, mice were generated. In acute HT1, loss of Nrf2 elicited a strong inflammatory response and dramatically increased the mortality of mice. Following low grade injury, Fah/Nrf2,/, mice develop a more severe hepatitis and liver fibrosis. The glutathione and cellular detoxification system was significantly impaired in Fah/Nrf2,/, mice, resulting in increased oxidative stress and DNA damage. Consequently, tumor development was significantly accelerated by loss of Nrf2. Potent pharmacological inducers of Nrf2 such as the triterpenoid analogs 1[2-cyano-3,12-dioxooleana-1,9(11)-dien-28-oyl]imidazole have been developed as cancer chemoprevention agents. Pretreatment with 1[2-cyano-3,12-dioxooleana-1,9(11)-dien-28-oyl]imidazole dramatically protected Fah,/, mice against fumarylacetoacetate (Faa)-induced toxicity. Our data establish a central role for Nrf2 in the protection against Faa-induced liver injury; the Nrf2 regulated cellular defense not only prevents acute Faa-induced liver failure but also delays hepatocarcinogenesis in HT1. (HEPATOLOGY 2008;48:487,496.) [source]


Benign ectopic thyroid tissue in a cutaneous location: a case report and review

JOURNAL OF CUTANEOUS PATHOLOGY, Issue 2 2004
Kim Maino
Background:, For many years, lateral, aberrant thyroid tissue in adults was a term used almost exclusively for metastatic thyroid carcinoma. However, aberrant, benign ectopic thyroid tissue does occur, and it is most commonly found as a part of the evaluation of endocrine dysfunction. Rarely, aberrant, benign ectopic thyroid presents as a primary mass. Case report:, We present a 35-year-old female who presented for removal of a lifelong posterior lateral neck nodule. Results:, Histologic examination and immunohistochemical studies confirmed the presence of aberrant, benign ectopic thyroid tissue. The patient had no endocrine problems, and she had a normally located and functioning thyroid gland. Conclusions:, This case illustrates that not all aberrant thyroid tissues in adults are malignant or associated with endocrine disorders. This case also illustrates the rare association of ectopic thyroid and a normally located and functioning thyroid gland. In this patient, a somatic mutation in a transcription factor important in thyroid migration could explain these findings. [source]


Achieving Integrative, Collaborative Ecosystem Management

CONSERVATION BIOLOGY, Issue 5 2006
HEATHER L. KEOUGH
beneficios sociales y ecológicos; gestión; participación pública; toma de decisiones cooperativa Abstract:,Although numerous principles have been identified as being important for successfully integrating social and ecological factors in collaborative management, few authors have illustrated how these principles are used and why they are effective. On the basis of a review of the ecosystem management and collaboration literature, we identified eight factors important for integrative, collaborative ecosystem management,integrated and balanced goals, inclusive public involvement, stakeholder influence, consensus group approach, collaborative stewardship, monitoring and adaptive management, multidisciplinary data, and economic incentives. We examined four cases of successful ecosystem management to illustrate how the factors were incorporated and discuss the role they played in each case's success. The cases illustrate that balancing social and ecosystem sustainability goals is possible. Collaborative efforts resulted in part from factors aimed at making plans economically feasible and from meaningful stakeholder participation in ongoing management. It also required participation in monitoring programs to ensure stakeholder interests were protected and management efforts were focused on agreed-upon goals. Data collection efforts were not all-inclusive and systematic; rather, they addressed the ecological, economic, and social aspects of key issues as they emerged over time. Economic considerations appear to be broader than simply providing economic incentives; stakeholders seem willing to trade some economic value for recreational or environmental benefits. The cases demonstrate that it is not idealistic to believe integrative, collaborative ecosystem management is possible in field applications. Resumen:,Aunque numerosos principios han sido identificados como importantes para la integración exitosa de factores sociales y ecológicos en la gestión cooperativa, pocos autores han ilustrado como son utilizados estos principios y porque son efectivos. Con base en una revisión de la literatura sobre gestión de ecosistemas y colaboración, identificamos cinco factores,metas integradas y balanceadas, inclusive participación pública, influencia de grupos de interés, estrategia de consenso en el grupo, gestión cooperativa, gestión adaptativa y monitoreo, datos multidisciplinarios e incentivos económicos,que son importantes para la gestión integradora y cooperativa de ecosistemas. Examinamos cuatro casos de gestión exitosa de ecosistemas para ilustrar como fueron incorporados los factores y discutimos el papel que jugaron en el éxito de cada caso. Los casos ilustran que el balance de metas de sustentabilidad social y ecológica es posible. En parte, los esfuerzos cooperativos resultaron de factores orientados a hacer que los planes fueran económicamente viables y de la participación significativa de grupos de interés en la gestión en curso. También se requirió la participación en programas de monitoreo para asegurar que los intereses de los grupos fueran protegidos y los esfuerzos de gestión se enfocaran en las metas acordadas. No todos los esfuerzos de recolecta de datos fueron incluyentes y sistemáticos, más bien, eran dirigidos a los aspectos ecológicos, económicos y sociales de temas clave a medida que emergían. Las consideraciones económicas parecen ser más amplias que simplemente proporcionar incentivos económicos, los grupos de interés parecen dispuestos a cambiar algo de valor económico por beneficios recreativos o ambientales. Los casos demuestran que no es idealista pensar que es posible aplicar la gestión integradora y cooperativa de ecosistemas en el campo. [source]


The esthetic outcome of autotransplanted premolars replacing maxillary incisors

DENTAL TRAUMATOLOGY, Issue 5 2002
Ewa Monika Czochrowska
Abstract ,,,Autotransplantation of developing premolars to replace maxillary incisors has been documented to provide physiologically sound results, but comprehensive studies of the esthetic outcome have not been made previously. In order to assess the applicability of this approach and to identify factors important for planning of treatment, 22 autotransplanted premolars reshaped to incisor morphology were compared to their natural, contralateral maxillary incisors by scoring of features considered important for esthetics (color, soft tissue appearance, tooth morphology, and position). The sum of scores for each feature was used to place the reshaped transplant in one of three categories , Match, Deviate, Mismatch. The 22 patients were asked to fill in a questionnaire which addressed the same features that were examined professionally, and the responses were categorized as either Satisfied, Acceptable, or Dissatisfied. Eleven of the 22 patients had received orthodontic treatment with fixed appliances following the transplantation. Most of the transplanted premolars matched the contralateral incisor, and the majority of patients were satisfied with the appearance of the transplant. Fourteen percentage of the transplants were categorized as Mismatch and 18% of patients reported dissatisfaction. The distribution in categories assessed professionally and by the patients was not significantly different. The color and gingival width of the transplanted tooth were scored as different from the natural incisor in about half of the bilateral comparisons. For those teeth categorized professionally as Mismatch and by patients as Dissatisfied, a potential for esthetic improvement could be identified, as allocation to these categories was primarily due to suboptimal positioning and restorative build-up of the transplant. Inter-disciplinary planning is important for successful esthetic results. [source]


Relative influences of catchment- and reach-scale abiotic factors on freshwater fish communities in rivers of northeastern Mesoamerica

ECOLOGY OF FRESHWATER FISH, Issue 3 2010
P. C. Esselman
Esselman PC, Allan JD. Relative influences of catchment- and reach-scale abiotic factors on freshwater fish communities in rivers of northeastern Mesoamerica. Ecology of Freshwater Fish 2010: 19: 439,454. © 2010 John Wiley & Sons A/S Abstract,,, While the abiotic factors important to freshwater fish assemblages at a reach scale are well understood, studies of larger scale constraints have yielded variable conclusions, spurring a need for further studies in new biogeographic contexts. This study investigated the importance of catchment- and reach-scale abiotic factors to variation in freshwater fish assemblages in rivers of northeastern Mesoamerica. Abiotic variables and fish data from 72 sampling sites on main stem rivers of Belize were used with partial constrained ordination to determine the proportion of spatially structured and unstructured variation in fish presence and absence, relative abundance, and community metrics explained by catchment- and reach-scale environmental factors. Results showed that, combined, catchment and reach variables explained a large portion of the total variation in the fish assemblage data (54,75%), and that catchment environment explained a greater portion of variation (42,63%) than reach environment (34,50%). Variables representing landscape position (local elevation, watershed area) and their reach-level correlates (channel width, depth variation, and substrate) correlated strongly to the fish assemblage data. Our results suggest that landscape-scale factors have a stronger relative influence on assemblages than environmental conditions at the reach scale within our study area. These results contrast with past findings that showed greater local scale influence in landscapes with low anthropogenic disturbance levels. Our findings suggest that biodiversity conservation efforts should consider assemblage variation across a longitudinal gradient, and that a multi-catchment region is a biologically relevant scale for fish conservation planning and coordination in northeastern Mesoamerica. [source]


Below-ground carbon flux and partitioning: global patterns and response to temperature

FUNCTIONAL ECOLOGY, Issue 6 2008
C. M. Litton
Summary 1The fraction of gross primary production (GPP) that is total below-ground carbon flux (TBCF) and the fraction of TBCF that is below-ground net primary production (BNPP) represent globally significant C fluxes that are fundamental in regulating ecosystem C balance. However, global estimates of the partitioning of GPP to TBCF and of TBCF to BNPP, as well as the absolute size of these fluxes, remain highly uncertain. 2Efforts to model below-ground processes are hindered by methodological difficulties for estimating below-ground C cycling, the complexity of below-ground interactions, and an incomplete understanding of the response of GPP, TBCF and BNPP to climate change. Due to a paucity of available data, many terrestrial ecosystem models and ecosystem-level studies of whole stand C use efficiency rely on assumptions that: (i) C allocation patterns across large geographic, climatic and taxonomic scales are fixed; and (ii) c. 50% of TBCF is BNPP. 3Here, we examine available information on GPP, TBCF, BNPP, TBCF : GPP and BNPP : TBCF from a diverse global data base of forest ecosystems to understand patterns in below-ground C flux and partitioning, and their response to mean annual temperature (MAT). 4MAT and mean annual precipitation (MAP) covaried strongly across the global forest data base (37 mm increase in MAP for every 1 °C increase in MAT). In all analyses, however, MAT was the most important variable explaining observed patterns in below-ground C processes. 5GPP, TBCF and BNPP all increased linearly across the global scale range of MAT. TBCF : GPP increased significantly with MAT for temperate and tropical ecosystems (> 5 °C), but variability was high across the data set. BNPP : TBCF varied from 0·26 to 0·53 across the entire MAT gradient (,5 to 30 °C), with a much narrower range of 0·42 to 0·53 for temperate and tropical ecosystems (5 to 30 °C). 6Variability in the data sets was moderate and clear exceptions to the general patterns exist that likely relate to other factors important for determining below-ground C flux and partitioning, in particular water availability and nutrient supply. Still, our results highlight global patterns in below-ground C flux and partitioning in forests in response to MAT that in part confirm previously held assumptions. [source]


Ethnic variation in AMD-associated complement factor H polymorphism p.Tyr402His,

HUMAN MUTATION, Issue 9 2006
Michael A. Grassi
Abstract Age-related macular degeneration (AMD) is the most common cause of irreversible visual loss in the developed world. Previous studies have demonstrated that the c.1204T>C, p.Tyr402His allelic variant in the complement factor H (CFH) gene is associated with an approximately three-fold increased risk for AMD in Caucasians of predominantly European descent. Both the prevalence as well as the phenotypic spectrum of AMD varies widely among persons of different ethnicities. We hypothesized that populations with a lower prevalence of AMD might also have a lower prevalence of the CFH risk allele. In this study we sought to determine the frequency of this sequence variant in control populations of Caucasians, African Americans, Hispanics, Somalis, and Japanese. Normal control populations were assembled for each ethnic group: Caucasian (n=148), Somali (n=128), African American (n=75), Hispanic (n=81), and Japanese (n=82). Individuals were genotyped using a restriction digest assay and the frequency of the C allele at nucleotide position 1204 of the CFH gene was determined. A bioinformatic approach was used to identify SNPs in linkage disequilibrium with rs1061170 (c.1204T>C, p.Tyr402His) from the human haplotype map project database (HapMap) in order to validate the findings. We found widely discordant frequencies of the risk allele between some of the different ethnic groups: Japanese 0.07±0.02, Hispanics 0.17±0.03, African-Americans 0.35±0.04, Caucasians 0.34±0.03, and Somalis 0.34±0.03. Allele frequencies generated by analysis of the HapMap database were consistent with these findings. This study suggests that there are other yet unidentified genetic factors important in the pathogenesis of AMD that may mitigate the effects of c.1204T>C, p.Tyr402His variant. Hum Mutat 27(9), 921,925, 2006. © 2006 Wiley-Liss, Inc. [source]


Computational studies of nonadiabatic effects in gas,surface encounters

ISRAEL JOURNAL OF CHEMISTRY, Issue 1-2 2005
Cécile Corriol
Model studies are presented, each of which employs a different approach to solving the problem of nonadiabatic dynamics occurring at a solid surface. The jumping wave packet-type approach involving dynamics on two potential energy surfaces punctuated by Franck,Condon transitions was applied to the dynamics of CO desorbed from Ru following energetic electron bombardment. Classical dynamics was also employed in this system to gain a more detailed understanding of the factors important to the final molecular state distribution. To study charge transfer from an alkali-halide surface to a scattering atom, we have used full multi-surface quantum dynamics. A simple, but effective, analysis method was used to make a more detailed connection between the potential energy surfaces and the dynamics. To study the fate of the transferred electron and to model how this depends on substrate and projectile species, we have used a four-dimensional wave packet implementation in which two of the dimensions explicitly account for the electron dynamics. Finally, we consider the famous electron,hole pair excitation problem, from a density functional theory perspective. Spin nonadiabaticity is found to be a new important feature in gas,metal surface interactions. [source]


Gene Expression Profiling in Paget's Disease of Bone: Upregulation of Interferon Signaling Pathways in Pagetic Monocytes and Lymphocytes,,§

JOURNAL OF BONE AND MINERAL RESEARCH, Issue 2 2008
Zsolt B Nagy
Abstract We examined the gene expression profile of genes involved in bone metabolism in 23 patients with PD compared with 23 healthy controls. We found a significant overexpression of the genes of the IFN pathway along with a downregulation of tnf-,. Our result suggest that IFN-mediated signaling may play important roles in aberrant osteoclastogenesis of PD. Introduction: Paget's disease of bone (PD) is characterized by focal regions of highly exaggerated bone remodeling and aberrant osteoclastogenesis. Under physiological conditions, circulating monocytes may serve as early progenitors of osteoclasts and along with peripheral blood lymphocytes produce a wide variety of factors important in bone metabolism. Nevertheless, little is known about the roles of circulating monocytes and lymphocytes in relation to the pathological bone turnover in PD. Materials and Methods: In this study, we aimed at investigating the gene expression pattern of PD using quantitative real-time PCR in monocytes and lymphocytes isolated from peripheral blood mononuclear cells (PBMCs). Fifteen genes known to be involved in osteoclastogenesis were studied in cells from 23 patients with PD and in cells from 23 healthy controls. Eight human genes including ifn-, (3.48-fold, p < 0.001), ifn-, (2.68-fold, p < 0.001), ifn-, (1.98-fold, p = 0.002), p38 ,2 mapk (2.47-fold, p = 0.002), ifn-,r1 (2.03-fold, p = 0.01), ifn-,r2 (1.81-fold, p = 0.02), stat1 (1.57-fold, p = 0.037), and tnf-, (,2.34, p < 0.001) were found to be significantly altered in pagetic monocytes compared with monocytes of healthy controls. Results: In pagetic lymphocytes, significant changes in the expression of ifn-, (2.17-fold, p < 0.001), ifn-, (2.13-fold, p = 0.005), ifn-, (1.89-fold, p < 0.001), ifn-,r1 (1.02-fold, p = 0.04), ifn-,r2 (1.01-fold, p = 0.031), stat2 (1.79-fold, p < 0.001), and tnf-, (,1.49, p < 0.001) were found compared with lymphocytes of healthy controls. Furthermore, IFN-, protein was significantly elevated in the sera of PD patients (18.7 ± 6.69 pg/ml) compared with healthy controls (3.87 ± 6.48 pg/ml, p = 0.042). Conclusions: In conclusion, our data suggest that novel pathways mainly related to the IFN-mediated signaling may play important roles in the aberrant osteoclastogenesis of PD. [source]


Victim-reported risk factors for continued abusive behavior: Assessing the dangerousness of arrested batterers

JOURNAL OF COMMUNITY PSYCHOLOGY, Issue 4 2003
Lauren Bennett Cattaneo
Policy changes have dramatically increased the number of domestic violence cases entering criminal courts, creating a critical need for competent risk assessment. This study adds to the knowledge base about risk factors important to consider in such assessments, using a prospective design and follow-up through victim interview. Participants were 169 primarily African American women who appeared at a court intake center following the arrest of an abusive partner. We reached over half of these participants for follow-up 3 months later. Questionnaires administered at intake elicited information about demographics, substance abuse, the history of physical and psychological abuse in the relationship, the batterer's general violence, and the victim's own assessment of her level of endangerment. All variables were measured through victim report, combined with official records when relevant. Significant predictors of continued abusive behavior were the batterer's history of alcohol abuse, the severity of abuse in the relationship, the batterer's general violence, the level of psychological abuse in the relationship, and, notably, the victim's own assessment of the dangerousness of her case. Most variables were stronger in their sensitivity, or ability to correctly identify reabusers, than their specificity, or ability to correctly identify nonreabusers. Implications for practice and research are discussed. © 2003 Wiley Periodicals, Inc. J Comm Psychol 31: 349,369, 2003. [source]


Skin biopsy for inflammatory and common neoplastic skin diseases: optimum time, best location and preferred techniques.

JOURNAL OF CUTANEOUS PATHOLOGY, Issue 5 2009
A critical review
The diagnosis of skin diseases, particularly inflammatory dermatoses, is based primarily on clinical information. Pathologic examination of the biopsied specimen often serves as a complementary or confirmative part of the diagnosis. However, the clinical diagnosis of skin diseases may be challenging, as the clinical information and appearance of skin lesions invariably overlap. Evidence for a correct diagnosis may be lacking without histopathologic examination of skin biopsies. It is well known that the histologic diagnosis of inflammatory and other skin diseases requires clinicopathologic correlation, and there is evolution of skin lesions into different stages as the diseases progress. Other factors important for accurate dermatopathologic diagnosis are optimum time, best location and preferred techniques of skin biopsy. In searching for available information concerning when, where and how to take skin biopsies, it is noted that there are only limited practical guidelines currently available. We present this review article in hopes that our collective dermatopathologic and dermatologic experience can provide a quick reference for accurate diagnosis and proper management of skin diseases. [source]


Productivity Growth, Efficiency and Outsourcing in Manufacturing and Service Industries

JOURNAL OF ECONOMIC SURVEYS, Issue 1 2003
Almas Heshmati
This paper is a survey of recent contributions to, and developments of, the relationship between outsourcing, efficiency and productivity growth in manufacturing and services. The objective is to provide a thorough and up,to,date survey that provides a significant discussion on data, as well as on the core methods of measuring efficiency and productivity. First, the readers are introduced to the measurement of partial and total factor productivity growth. Different parametric and non,parametric approaches to the productivity measurement in the context of static, dynamic and firm,specific modelling are discussed. Second, we survey the econometric approach to efficiency analysis. The issues of modelling, distributional assumptions and estimation methods are discussed assuming that cross,sectional or panel data are available. Third, the relationship between outsourcing and productivity growth in manufacturing and services is discussed. The correspondence between a number of hypotheses and empirical findings are examined. Examples of varieties of relevant empirical applications, their findings and implications are presented. Fourth, measurement of inputs and outputs in manufacturing and services are discussed. Finally, to promote useful research, a number of factors important to the analysis of outsourcing, efficiency and productivity growth in the service sector are summarised. [source]


Practice variation in initial management and transfer thresholds for infants with respiratory distress in Australian hospitals.

JOURNAL OF PAEDIATRICS AND CHILD HEALTH, Issue 6 2007
Who should write the guidelines?
Aim: In Australian hospitals: (i) to identify current practices in the initial oxygen management of infants with respiratory distress; (ii) to identify factors important in deciding to transfer an infant; and (iii) to identify thresholds for transfer. Methods: All Australian hospitals with: >200 registered deliveries, a special care unit (SCU) or neonatal intensive care unit (NICU), and at least one paediatrician were surveyed in 2004 (n = 176). The questionnaire sought information on the initial oxygen management and factors important in deciding to transfer. Three scenarios were also used to identify thresholds for pH, carbon dioxide and oxygen levels at which transfer should occur. Responses from SCU were compared with those from NICU. Results: 15/19 (79%) NICUs and 118/157 (75%) SCUs responded. Initial oxygen management varies widely among SCUs and NICUs. NICUs set significantly lower saturation (SaO2) targets in two of the three scenarios. NICUs are statistically significantly more likely to regard ,Medical Staff Experience' and ,Time to Nearest NICU' as important compared with SCUs (P < 0.05). NICUs would ,Probably' and ,Definitely Transfer' infants at significantly lower oxygen levels in all three cases (P < 0.05). SCUs are significantly less likely to transfer babies with pH of <7.25 compared with NICUs. There was no difference between the centres for CO2 level. Conclusion: The wide variation that exists between nurseries in the initial management of infants with respiratory distress and in the thresholds for transfer strongly suggests the need for the development of practice guidelines. [source]


Critical factors in career decision making for women medical graduates

MEDICAL EDUCATION, Issue 4 2003
Joanna Lawrence
Background, Within the next 30 years there will be equal numbers of women and men in the medical workforce. Indications are that women are increasing their participation in specialties other than general practice, although at a slower rate than their participation in the workforce as a whole. To inform those involved in training and employment of medical women, this study investigated the influencing factors in career decision making for female medical graduates. Methods, A total of 305 women medical graduates from the University of Auckland responded to a mail survey (73% response rate) which examined influences on decision making, in both qualitative and quantitative ways, as part of a larger survey. Results, Most women were satisfied with their careers. The principal component analysis of the influencing factors identified four distinct factors important in career choice , interest, flexibility, women friendliness and job security, although the first two of these were rated more highly than the others. Conclusions, Barriers to full participation by medical women in training and employment need to be systematically examined and removed. This is not only to allow women themselves to reach their full potential, but for workforce and socio-economic reasons. Initiatives that allow and value more flexible training and work practices, particularly through the years of child raising, are necessary for women and the health care workforce at large. [source]


Clinical review: Healing in gastrointestinal anastomoses, Part I

MICROSURGERY, Issue 3 2006
Sarah K. Thompson M.D.
Gastrointestinal healing is a topic rarely reviewed in the literature, yet it is of paramount importance to the surgeon. Failure of anastomotic healing may lead to life-threatening complications, additional surgical procedures, increased length of stay, increased cost, long-term disability, and reduced quality of life for the patient. The goal of this article is to review the biological response to wounded tissue, to outline discrete differences between skin and gastrointestinal healing, to discuss local and systemic factors important to gastrointestinal healing, and to compare methods of measuring collagen content and strength of the newly formed anastomosis. Part II of this review will focus on techniques and therapies available to optimize anastomotic healing. © 2006 Wiley-Liss, Inc. Microsurgery, 2006. [source]


Upper extremity pain and computer use among engineering graduate students: A replication study

AMERICAN JOURNAL OF INDUSTRIAL MEDICINE, Issue 2 2009
Cammie Chaumont Menéndez PhD
Abstract Background Recent literature identified upper extremity musculoskeletal symptoms at a prevalence of >40% in college populations. The study objectives were to determine weekly computer use and the prevalence of upper extremity musculoskeletal symptoms in a graduate student population, and make comparisons with previous graduate and undergraduate cohorts. Methods One hundred sixty-six graduate students completed a survey on computing and musculoskeletal health. Associations between individual factors and symptom status, functional limitations, academic impact, medication use, and health services utilization were determined. Logistic regression analyses evaluated the association between symptom status and computing. Cross-study comparisons were made. Results More symptomatic participants experienced functional limitations than asymptomatic participants (74% vs. 32%, P,<,0.001) and reported medication use for computing pain (34% vs. 10%, P,<,0.01). More participants who experienced symptoms within an hour of computing used health services compared to those who experienced symptoms after an hour of computer use (60% vs. 12%, P,<,0.01). Years of computer use (OR,=,1.59, 95% CI 1.05,2.40) and number of years in school where weekly computer use was more than 10 hr (OR,=,1.56, 95% CI 1.04,2.35) were associated with pain within an hour of computing. Cross-study comparisons found college populations more similar than different. Conclusion The overall findings reinforced previous literature documenting the prevalence of upper extremity musculoskeletal symptoms in college populations, suggesting an important population for participating in public health interventions designed to support healthy computing practices and identify risk factors important to evaluate in future cohort studies. Am. J. Ind. Med. 52:113,123, 2009. © 2008 Wiley-Liss, Inc. [source]


Blood-feeding and immunogenic Aedes aegypti saliva proteins

PROTEINS: STRUCTURE, FUNCTION AND BIOINFORMATICS, Issue 10 2010
Ladawan Wasinpiyamongkol
Abstract Mosquito-transmitted pathogens pass through the insect's midgut (MG) and salivary gland (SG). What occurs in these organs in response to a blood meal is poorly understood, but identifying the physiological differences between sugar-fed and blood-fed (BF) mosquitoes could shed light on factors important in pathogens transmission. We compared differential protein expression in the MGs and SGs of female Aedes aegypti mosquitoes after a sugar- or blood-based diet. No difference was observed in the MG protein expression levels but certain SG proteins were highly expressed only in BF mosquitoes. In sugar-fed mosquitoes, housekeeping proteins were highly expressed (especially those related to energy metabolism) and actin was up-regulated. The immunofluorescence assay shows that there is no disruption of the SG cytoskeletal after the blood meal. We have generated for the first time the 2-DE profiles of immunogenic Ae. aegypti SG BF-related proteins. These new data could contribute to the understanding of the physiological processes that appear during the blood meal. [source]


Arabidopsis ecotypes and mutants that are recalcitrant to Agrobacterium root transformation are susceptible to germ-line transformation

THE PLANT JOURNAL, Issue 1 2000
Kirankumar S. Mysore
Summary Germ-line transformation (vacuum infiltration) is frequently used to transform Arabidopsis thaliana using Agrobacterium tumefaciens. We have recently identified several Arabidopsis ecotypes and T-DNA-tagged mutants that are recalcitrant to Agrobacterium -mediated transformation of cut root segments. Some of these ecotypes and mutants are deficient in their ability to bind bacteria. Some are deficient in T-DNA integration. We report here that using a germ-line transformation protocol we transformed these ecotypes and mutants, including attachment- and integration-defective Arabidopsis plants, with a frequency similar to that of highly susceptible wild-type plants. However, we could not transform otherwise highly susceptible Arabidopsis plants by germ-line or root transformation using several vir and attachment-deficient Agrobacterium mutants. These results indicate that certain plant factors important for transformation may exist in germ-line tissue but may be lacking in some somatic cells. [source]


The 2010 American College of Rheumatology/European League Against Rheumatism classification criteria for rheumatoid arthritis: Phase 2 methodological report

ARTHRITIS & RHEUMATISM, Issue 9 2010
Tuhina Neogi
Objective The American College of Rheumatology and the European League Against Rheumatism have developed new classification criteria for rheumatoid arthritis (RA). The aim of Phase 2 of the development process was to achieve expert consensus on the clinical and laboratory variables that should contribute to the final criteria set. Methods Twenty-four expert RA clinicians (12 from Europe and 12 from North America) participated in Phase 2. A consensus-based decision analysis approach was used to identify factors (and their relative weights) that influence the probability of "developing RA," complemented by data from the Phase 1 study. Patient case scenarios were used to identify and reach consensus on factors important in determining the probability of RA development. Decision analytic software was used to derive the relative weights for each of the factors and their categories, using choice-based conjoint analysis. Results The expert panel agreed that the new classification criteria should be applied to individuals with undifferentiated inflammatory arthritis in whom at least 1 joint is deemed by an expert assessor to be swollen, indicating definite synovitis. In this clinical setting, they identified 4 additional criteria as being important: number of joints involved and site of involvement, serologic abnormality, acute-phase response, and duration of symptoms in the involved joints. These criteria were consistent with those identified in the Phase 1 data-driven approach. Conclusion The consensus-based, decision analysis approach used in Phase 2 complemented the Phase 1 efforts. The 4 criteria and their relative weights form the basis of the final criteria set. [source]


Component architecture in a network management system

BELL LABS TECHNICAL JOURNAL, Issue 3 2003
Neil R. Bass
Component architectures are best known for the benefits of software reuse. However, they are also a basis for creating solutions that can be scaled in both size and feature content. These benefits were the motivation for choosing a component architecture for a large network management system. The architects selected Common Object Request Broker Architecture (CORBA)* and Java* as technologies to implement the architecture and specified a platform to support the components. This paper draws upon the experiences of this system to discuss the structure of such architecture, the implications of the tools and technologies, and the factors important to its success. © 2003 Lucent Technologies Inc. [source]


Fine-scale Microhabitat Heterogeneity in a French Guianan Forest

BIOTROPICA, Issue 4 2010
Christopher Baraloto
ABSTRACT We examined fine-scale heterogeneity of environmental conditions in a primary rain forest in French Guiana to describe variation in microhabitats that plants may experience during establishment. We characterized both the range as well as the spatial structuring of 11 environmental factors important for seedling establishment in six hexagonal sampling grids, one each in gap and understory sites at three points representing the predominant geomorphic units in this primary forest. Each grid contained 37 sampling points separated by 31 cm,20 m. Monte-Carlo tests of semivariograms against complete spatial randomness indicated that for many variables in all six sampling grids, spatial dependence did not exceed 1 m. A principal component analysis of all sampling points revealed a lack of spatial microhabitat structure, rather than homogeneous patches associated with canopy structure or geomorphology. Our results suggest that ample fine-scale spatial heterogeneity exists to support the coexistence of plant species with differential abiotic requirements for regeneration. [source]


Synaptic Control Of Motoneuron Excitability In Rodents: From Months To Milliseconds

CLINICAL AND EXPERIMENTAL PHARMACOLOGY AND PHYSIOLOGY, Issue 1-2 2000
Gd Funk
SUMMARY 1. Motoneurons (MN) shape motor patterns by transforming inputs into action potential output. This transformation, excitability, is determined by an interaction between synaptic inputs and intrinsic membrane properties. Excitability is not static, but changes over multiple time scales. The purpose of the present paper is to review our recent data on synaptic factors important in the dynamic control of MN excitability over time scales ranging from weeks to milliseconds. 2. Developmental changes in modulation of MN excitability are well established. Noradrenergic potentiation of hypoglossal (XII) MN inspiratory activity in rhythmically active medullary slice preparations from rodents increases during the first two postnatal weeks. This is due to increasing ,1 - and ,-adrenoceptor excitatory mechanisms and to a decreasing inhibitory mechanism mediated by ,2 -adrenoceptors. Over a similar period, ATP potentiation of XII inspiratory activity does not change. 3. Motoneuron excitability may also change on a faster time scale, such as between different behaviours or different phases of a behaviour. Examination of this has been confounded by the fact that excitatory synaptic drives underlying behaviour can obscure smaller concurrent changes in excitability. Using the rhythmically active neonatal rat brain-stem,spinal cord preparation, we blocked excitatory inspiratory drive to phrenic MN (PMN) to reveal a reduction in PMN excitability specific to the inspiratory phase that: (i) arises from an inhibitory GABAergic input; (ii) is not mediated by recurrent pathways; and (iii) is proportional to and synchronous with the excitatory inspiratory input. We propose that the proportionality of the concurrent inhibitory and excitatory drives provides a means for phase- specific modulation of PMN gain. 4. Modulation across such diverse time scales emphasizes the active role that synaptic factors play in controlling MN excitability and shaping behaviour. [source]