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Measures ANOVA (measure + anova)

Distribution by Scientific Domains
Medical Sciences70%
Life Sciences11%
Earth and Environmental Science8%
Psychology5%
Distribution within Medical Sciences
Neurology11%
Transplantation7%
16 Other Subdomains82%

Kinds of Measures ANOVA

  • repeated measure anova
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    Selected Abstracts

    Fluoride release and uptake characteristics of aesthetic restorative materials

    JOURNAL OF ORAL REHABILITATION, Issue 8 2002
    N. Attar
    Summary The aims of this study were firstly to investigate the fluoride-releasing characteristics of two composite resins (Tetric and Valux Plus), two polyacid-modified resin composites (Compoglass and Dyract), and conventional glass,ionomer cement (Ceramfil ,). The second aim was to assess the fluoride uptake and subsequent release from the same range of materials. Fifteen discs (6 mm diameter and 1·5 mm height) were prepared for each material. Each disc was immersed in 4 ML of deionized water within a plastic vial. The release of fluoride was measured daily at 1, 2, 3, 4, 5, 15, 30 and 60 days. After daily fluoride release was measured for 60 days, samples were refluoridated in 1000-ppm sodium fluoride (NaF) solutions (pH 6·6) for 10 min and fluoride release was measured daily for a total of 5 days. The release of fluoride from aesthetic restorative materials was measured by using specific fluoride electrode and an ionanalyser. Results were statistically analysed by two-way repeated measure ANOVA and Duncan's multiple range test. The results revealed that all fluoride-containing materials (Ceramfil ,, Compoglass, Dyract, Tetric) released fluoride initially and the release was greatest at the first day. At any time during the test period Ceramfil , released the most and Valux Plus did not release any detectable fluoride (P < 0·01). Sample exposures to 1000 ppm NaF solution increased the 24-h fluoride release from all fluoride-containing materials. This difference lasted only 24,48 h after exposure. Ceramfil , had a tendency to recharge not seen with the other materials (P < 0·05). [source]

    Responses to Fire in Selected Tropical Dry Forest Trees,

    BIOTROPICA, Issue 5 2006
    Sarah M. Otterstrom
    ABSTRACT Fire is a frequent disturbance in the tropical dry forests of Central America, yet very little is known about how native species respond to such events. We conducted an experimental burn in a tropical dry forest of western Nicaragua to evaluate plant responses to fire with respect to survivorship and recruitment. Measurements of woody vegetation of all size classes were carried out prior to the prescribed burn and three successive years post fire. We selected the 15 most abundant species <10 cm DBH to assess percent survivorship and sprouting responses post fire. Changes in seedling densities for these 15 most abundant species and the 15 least abundant species were analyzed using a repeated measure ANOVA. We also assessed changes in seedling densities for three species of international conservation concern. We found three major fire-coping strategies among common dry forests plants: resisters (low fire-induced mortality), resprouters (vigorous sprouting), and recruiters (increased seeding post-fire). While survivorship was generally high relative to tropical moist forest species, those species with lower survivorship used either seeding or sprouting as an alternative strategy for persisting in the forest community. Seed dispersal mechanisms, particularly wind dispersal, appear to be an important factor in recruitment success post-fire. Burn treatment led to a significant increase in the density of seedlings for two species of conservation concern: Guaiacum sanctum and Swietenia humilis. Results of this study suggest that common dry forest species in western Nicaragua are fire tolerant. Further study of individual species and their fire responses is merited. RESUMEN El incendio forestal causa perturbación frecuente en los bosques secos tropicales de Centroamérica, sin embargo se conoce poco del comportamiento de las especies nativas a ésta perturbación. Nosotros llevamos a acabo una quema experimental en un bosque seco tropical de Nicaragua occidental para evaluar el comportamiento de la flora con respecto a la sobrevivencia y reclutamiento de las especies después de la quema. Se midió todas las clases diamétricas de la vegetación leñosa antes de la quema controlada y durante 3 años consecutivos después de la quema. Seleccionamos las 15 especies más abundantes en la clase diametrica <10 dap para evaluar el porcentaje de sobrevivencia y la actividad de rebrote después de la quema. Cambios en la densidad de plántulas para las 15 especies más abundantes y para las 15 especies menos abundantes fueron analizadas utilizando el análisis de varianza de medición repetido (ANOVA). También, evaluamos cambios en la densidad de plántulas para tres especies de interés a nivel internacional con respecto a su conservación. En la flora común del bosque seco se encontró tres estrategias principales utilizadas por las especies para contender con los incendios forestales, estas fueron: resistores (baja mortalidad por el incendio), rebrotadores (rebrotamiento vigoroso), y reclutores (reclutamiento elevado pos-incendio). Mientras la sobrevivencia de especies en el bosque seco en general fue relativamente alta a la de especies de bosque húmedo tropical, las especies con menor sobrevivencia utilizaron el reclutamiento ó rebrotamiento como estrategia para persistir en la comunidad boscosa. El mecanismo de dispersión de semilla, particularmente la dispersión eólica, parece ser un factor importante en el éxito de reclutamiento después de la quema. Las quemas controladas produjeron un aumento significativo en la densidad de plántulas para dos de las especies de interés para la conservación: Guaiacum sanctum L. (Zygophyllaceae) y Swietenia humilis Zucc. (Meliaceae). Resultados de esta investigación sugieren que las especies comunes del bosque seco de Nicaragua son tolerantes al fuego. Por lo tanto, es merecido hacer más estudios de estas especies y su comportamiento ante la perturbación del fuego. [source]

    An event-related potential investigation of deficient inhibitory control in individuals with pathological Internet use

    ACTA NEUROPSYCHIATRICA, Issue 5 2010
    Zhen-He Zhou
    Zhou Z-H, Yuan G-Z, Yao J-J, Li C, Cheng Z-H. An event-related potential investigation of deficient inhibitory control in individuals with pathological Internet use. Objective: The purpose of this study was to investigate deficient inhibitory control in individuals with pathological Internet use (PIU) using a visual go/no-go task by event-related potentials (ERPs). Methods: Subjects were 26 individuals with PIU and 26 controls. Barratt Impulsiveness Scale-11 (BIS-11) was used for measures of impulsivity. A go/no-go task involved eight different two-digit numerical stimuli. The response window was 1000 ms and the inter-trial-interval (ITI) was 1500 ms. Electroencephalography (EEG) was recorded when participants performed the task. Brain electrical source analysis (BESA) 5.2.0 was used to perform data analysis and the no-go N2 amplitude was analysed for investigation of inhibitory control. Results: BIS-11 total scores, attentional key and motor key scores in PIU group were higher than that of the control group. In the go/no-go task, false alarm rate of PIU group was higher, and hit rate was lower than that of the control group. A repeated measure ANOVA revealed a significant group, frontal electrode sites and group × frontal electrode sites main effect for N2 amplitudes of no-go conditions (for group: F = 3953, df = 1, p = 0.000; for frontal electrode sites: F = 541, df = 9, p = 0.000; for group × frontal electrode sites: F = 306, df = 9, p = 0.000), and a significant group, central electrode sites and group × central electrode sites main effect for N2 amplitudes of no-go conditions (for group: F = 9074, df = 1, p = 0.000; for central electrode sites: F = 163, df = 2, p = 0.000; for group × central electrode sites: F = 73, df = 2, p = 0.000). N2 amplitudes of no-go conditions were lower than those at control group. Conclusions: Individuals with PIU were more impulsive than controls and shared neuropsychological and ERPs characteristics of compulsive-impulsive spectrum disorder, which supports that PIU is an impulse disorder or at least related to impulse control disorder. [source]

    Impact of salvage therapy for biochemical recurrence on health-related quality of life following radical prostatectomy

    INTERNATIONAL JOURNAL OF UROLOGY, Issue 3 2007
    Shunichi Namiki
    Objective: To determine the impact of salvage therapy for prostate-specific antigen (PSA) recurrence on the health-related quality of life (HRQOL) of patients after radical retropubic prostatectomy (RP). Methods: Between January 2000 and December 2003, a total of 249 patients who underwent RP were available for 2-year follow up. Of the respondents, 203 men did not show evidence of recurrence (group A), and 46 men received salvage hormonal therapy and/or radiotherapy after RP because of a rise in PSA (group B). The general and prostate-target HRQOL was assessed with the Medical Outcomes Study 36-Item Short Form and University of California, Los Angeles Prostate Cancer Index, respectively. Patients completed the HRQOL instruments by mail at baseline and at 24 months after RP. Results: All of the patients completed both questionnaires. At baseline no significant differences were found between the two groups in any of the HRQOL domains. There were significant improvements in mental health and social function for the patients without biochemical recurrence postoperatively. Repeated measure anova revealed significantly different patterns of alteration in several general HRQOL domains among the treatment groups. The urinary and bowel domains were equivalent between the two treatment groups at baseline and 24 months after RP. The patients treated with salvage hormonal therapy tended to show delayed recovery of sexual function. Conclusion: Using a self-administered questionnaire, biochemical recurrence following RP was found to impose a substantial burden in patients with localized prostate cancer. [source]

    Gastric emptying function changes in patients with thyroid cancer after withdrawal of thyroid hormone therapy

    JOURNAL OF GASTROENTEROLOGY AND HEPATOLOGY, Issue 6 2004
    PAN-FU KAO
    Abstract Background:, Hypothyroidism is commonly thought to cause decreased gastric emptying but is mostly associated with autoimmune disease. In the present study the gastric emptying function of thyroid cancer patients with severe hypothyroidism of short duration was evaluated with a radionuclide solid meal gastric emptying study. Methods:, Twenty-two patients who had undergone surgical operation and 131I ablation for thyroid cancer participated in solid meal gastric emptying studies before the withdrawal of thyroxine and then again 4 weeks after the withdrawal of thyroxine. Eleven patients had an additional gastric emptying study at 6 weeks after withdrawal of thyroxine. Gastric emptying curves and emptying parameters were calculated. Student's paired t -test was used for statistical analysis of data for all cases between the baseline and at 4 weeks after withdrawal. An additional repeated measure anova with multiple comparisons was performed on data between baseline, 4 weeks and 6 weeks after withdrawal for the other 11 patients. All P values presented are two-tailed and the significance level is 0.05. Results:, Hypothyroidism status was confirmed by the marked change of the serum thyroxine and thyroid-stimulating hormone 4 weeks and 6 weeks after withdrawal of the thyroxine replacement (P < 0.001). The gastric half-emptying time and emptying rate changed significantly after short-term severe thyroid hormone deficiency (P < 0.005). However, the length of the lag phase did not have a statistically significant change at 4 weeks or 6 weeks after withdrawal of the thyroxin replacement (P = 0.219 and 0.142). Conclusions:, Hypothyroidism following the withdrawal of the thyroxine replacement in thyroid cancer patients preparing for 131I cancer work-up can significantly prolong gastric half-emptying time and emptying rate. [source]

    Do children with developmental dyslexia have impairments in implicit learning?

    DYSLEXIA, Issue 2 2010
    Elpis V. Pavlidou
    Abstract We explored implicit learning in a group of typically developing and developmental dyslexic primary school children (9,12,y) using a modified artificial grammar learning task. Performance was calculated using two measures of performance: a perfect free recall (PFR) score and a grammaticality judgment score. Both groups of children required the same amount of exposure to memorize the items (i.e. PFR performance) (t(30)=1.620, p>0.05; p -value reported two-tailed). However, repeated measures ANOVA (Participant type × Grammaticality × Chunk strength) revealed a Participant type effect for grammaticality judgment scores (F(1,30)=4.521, p<0.05; p -value reported two-tailed). Typically developing children showed above chance performance in terms of both grammaticality and chunk strength of the stimuli. Children with developmental dyslexia on the other hand, failed to show implicit learning irrespective of the substring characteristics (i.e. grammaticality or chunk strength). We propose that children with developmental dyslexia may be impaired in their implicit rule abstraction mechanism, which can partially explain their persistent reading problems. Copyright © 2010 John Wiley & Sons, Ltd. [source]

    Haematological and respiratory gas changes in horses and mules exercised at altitude (3800 m)

    EQUINE VETERINARY JOURNAL, Issue S36 2006
    H. M. GREENE
    Summary Reason for performing study: Despite the common use of equids as visitors to high altitude mountainous environments, there are a paucity of carefully orchestrated scientific approaches. Further, again as a function of a common perceived advantage of mules over horses in these similar environments there are needs for controlled comparisons between these 2 equids. Objective: To measure haematological and respiratory function in horses and mules at low altitude (225 m), at rest and post exercise. In addition the rate and magnitude of these changes were followed over a 13 day period at high altitude (3800 m) to contrast acclimatisation. Methods: Resting and exercise venous blood samples (1 min post exercise) were obtained from 6 horses and 5 mules housed at 225 m (LA) and then transported to 3800 m (HA) for 13 days. The standardised exercise tests at both LA and HA consisted of trotting (3.0 m/sec) up an incline (6%) for 2 km. Data were analysed with repeated measures ANOVA (comparison of altitude acclimatisation and species) for changes in haematological and respiratory gases. Results: At low altitude, no group differences were found with both resting (P=0.69) and exercising (P=0.74) heart rates. Resting PCV was 8% lower in the mules (P=0.02) and 20% lower during exercise (P=0.02). Horses had significantly higher 2,3-diphosphoglycerate (2,3-DPG)/g Hb at both rest (P=0.003) and exercise (P=0.03). Exercise at HA increased PCV (P=0.03) in both groups, but the increase was attenuated in the mules compared to horses. The increase with 2,3-DPG/g Hb was expressed at HA in both groups (P=0.001) and was also attenuated in mules (P=0.03). Both groups were alkalotic compared to LA (P=0.001), and there were no group differences (P = 0.95). Conclusion: Of the variables measured, the most notable distinction between species was identified for only PCV and 2,3-DPG with both higher in horses, at both LA and HA. While the attenuated response of PCV in mules for the same exercise might argue for an improved adaptation to altitude, the lower 2,3-DPG might not. Other variables during the exercise bout were not different between species. [source]

    Guideline threshold limit values (TLVs) for discomfort in repetitive assembly work

    HUMAN FACTORS AND ERGONOMICS IN MANUFACTURING & SERVICE INDUSTRIES, Issue 5 2007
    L. O'Sullivan
    This study focused on two of the main occupational risk factors associated with work-related musculoskeletal disorders in light repetitive electronic assembly work, namely repetition and force. Present-day evaluation techniques are primarily posture based and show low sensitivity with regard to rating repetition and force. A simulated assembly task was conducted to investigate the interactions of risk factors and the suitability of hand activity level (HAL) and TLV values for electronics assembly work. Subjects completed the assembly task for three levels of repetition and force. For each treatment a subjective rating of discomfort was recorded. Repeated measures ANOVA identified repetition and force as highly significant factors in light electronic assembly work ( p < .001, p < .05, respectively). The task was also rated using HAL and normalized peak forces (NPF). This study questioned the ability of TLVs in rating discomfort and amendments to the TLVs are suggested. © 2007 Wiley Periodicals, Inc. Hum Factors Man 17: 423,434, 2007. [source]

    Effect of 6-Month Whole Body Vibration Training on Hip Density, Muscle Strength, and Postural Control in Postmenopausal Women: A Randomized Controlled Pilot Study,

    JOURNAL OF BONE AND MINERAL RESEARCH, Issue 3 2004
    Sabine MP Verschueren
    Abstract High-frequency mechanical strain seems to stimulate bone strength in animals. In this randomized controlled trial, hip BMD was measured in postmenopausal women after a 24-week whole body vibration (WBV) training program. Vibration training significantly increased BMD of the hip. These findings suggest that WBV training might be useful in the prevention of osteoporosis. Introduction: High-frequency mechanical strain has been shown to stimulate bone strength in different animal models. However, the effects of vibration exercise on the human skeleton have rarely been studied. Particularly in postmenopausal women,who are most at risk of developing osteoporosis,randomized controlled data on the safety and efficacy of vibration loading are lacking. The aim of this randomized controlled trial was to assess the musculoskeletal effects of high-frequency loading by means of whole body vibration (WBV) in postmenopausal women. Materials and Methods: Seventy volunteers (age, 58,74 years) were randomly assigned to a whole body vibration training group (WBV, n = 25), a resistance training group (RES, n = 22), or a control group (CON, n = 23). The WBV group and the RES group trained three times weekly for 24 weeks. The WBV group performed static and dynamic knee-extensor exercises on a vibration platform (35,40 Hz, 2.28,5.09g), which mechanically loaded the bone and evoked reflexive muscle contractions. The RES group trained knee extensors by dynamic leg press and leg extension exercises, increasing from low (20 RM) to high (8 RM) resistance. The CON group did not participate in any training. Hip bone density was measured using DXA at baseline and after the 6-month intervention. Isometric and dynamic strength were measured by means of a motor-driven dynamometer. Data were analyzed by means of repeated measures ANOVA. Results: No vibration-related side effects were observed. Vibration training improved isometric and dynamic muscle strength (+15% and + 16%, respectively; p < 0.01) and also significantly increased BMD of the hip (+0.93%, p < 0.05). No changes in hip BMD were observed in women participating in resistance training or age-matched controls (,0.60% and ,0.62%, respectively; not significant). Serum markers of bone turnover did not change in any of the groups. Conclusion: These findings suggest that WBV training may be a feasible and effective way to modify well-recognized risk factors for falls and fractures in older women and support the need for further human studies. [source]

    The Effects of the transcendental meditation program on mindfulness,,

    JOURNAL OF CLINICAL PSYCHOLOGY, Issue 6 2009
    Melissa A. Tanner
    Abstract Mindfulness is associated with low levels of neuroticism, anxiety, and depressive symptoms, as well as high levels of self-esteem and satisfaction with life (Brown & Ryan, 2003). As part of a 3-month randomized waitlist-controlled trial of the effects of the Transcendental Meditation (TM) program on university students (N=295), we examined the impact of TM practice on mindfulness as measured by the Kentucky Inventory of Mindfulness Skills (KIMS; Baer, Smith, & Allen, 2004). A repeated measures ANOVA on total KIMS scores showed a significant time×treatment interaction, with the TM participants reporting greater increases in mindfulness than the waitlist participants. All KIMS subscales were positively intercorrelated at pretreatment, and there were no differences over time or as a function of treatment condition in subscale intercorrelations. Therefore, previously published findings of a positive correlation between subscales measuring the skills of observing and accepting-without-judgment one's inner experiences only among those with meditation experience may have reflected a self-selection effect rather than a change in the relation of these mindfulness components resulting directly from meditation practice. © 2009 Wiley Periodicals, Inc. J Clin Psychol 65: 1,16, 2009. [source]

    Forensic nursing in secure environments

    JOURNAL OF FORENSIC NURSING, Issue 3 2009
    Deborah Shelton PhD
    Abstract There are few well-designed studies of corrections or prison nursing roles. This study seeks to describe the corrections or prison role of forensic nurses in the United States who provide care in secure environments. National data detailing the scope of practice in secure environments are limited. This pencil and paper survey describes the roles of 180 forensic nurses from 14 states who work in secure environments. Descriptive statistics are utilized. A repeated measures ANOVA with post hoc analyses was implemented. These nurses were older than average in age, but had 10 years or less experience in forensic nursing practice. Two significant roles emerged to "promote and implement principles that underpin effective quality and practice" and to "assess, develop, implement, and improve programs of care for individuals." Significant roles varied based upon the security classification of the unit or institution in which the nurses were employed. Access to information about these nurses and their nursing practice was difficult in these closed systems. Minimal data are available nationally, indicating a need for collection of additional data over time to examine changes in role. It is through such developments that forensic nursing provided in secure environments will define its specialization and attract the attention it deserves. [source]

    T2-Weighted and T2 Relaxometry Images in Patients with Medial Temporal Lobe Epilepsy

    JOURNAL OF NEUROIMAGING, Issue 3 2006
    Ana Carolina Coan MD
    ABSTRACT Purpose. Quantification of increased T2-weighted MRI signal that is associated with hippocampal sclerosis (HS) can be performed through (1) mean of hippocampal signal in single-echo T2 MRI and (2) hippocampal T2 relaxometry. It is not clear whether these two techniques are equivalent. In this study, we compare the hippocampal signal, detected by single-echo T2 quantification and by T2 relaxometry, in patients with medial temporal lobe epilepsy (MTLE). Methods. We studied magnetic resonance images from 50 MTLE patients and 15 healthy subjects. We compared the quantification of a T2 signal from single echo images to T2 relaxometry, both obtained from a manually traced region of interest (ROI) in coronal slices involving the whole hippocampus. Repeated measures ANOVA was used to evaluate the differences in the distribution of the Z -scores from single-echo T2 quantification and T2 relaxometry within subjects. Results. We observed a significant difference between the measurements obtained from single-echo T2 quantification and T2 relaxometry (P < .001). Measurements from head, body, and tail of the hippocampus were different (P=.04), with a significant interaction between anatomic location and type of measurement used (P= .008). Post hoc paired comparisons revealed that T2 relaxometry yielded greater Z -scores for the body (P= .002) and tail (P < .0001). Conclusions. For each subject with MTLE, T2 relaxometry was able to detect a higher signal in the body and tail of the hippocampus compared to single-echo T2. This is a possible indicator that T2 relaxometry is more sensitive in detecting T2 abnormalities within the body and tail of the hippocampus in patients with MTLE. [source]

    Improving vastus medialis obliquus function reduces pressure applied to lateral patellofemoral cartilage

    JOURNAL OF ORTHOPAEDIC RESEARCH, Issue 5 2009
    John J. Elias
    Abstract The current study was performed to characterize how improving vastus medialis obliquus (VMO) function influences the pressure applied to patellofemoral cartilage. An additional focus was characterizing how lateral and medial cartilage lesions influence cartilage pressures. Ten knees were flexed to 40°, 60°, and 80° in vitro, and forces were applied to represent the VMO and other muscles of the quadriceps group while a thin film sensor measured joint pressures. The knees were loaded with a normal VMO force, with the VMO force decreased by approximately 50%, and with the VMO unloaded. After tests were performed with the cartilage intact, all tests were repeated with a 12-mm-diameter lesion created within the lateral cartilage, with the lateral lesion repaired with silicone, and with a medial lesion created. Based on a two-way repeated measures ANOVA and post-hoc tests, increasing the force applied by the VMO significantly (p,<,0.05) decreased the maximum lateral pressure and significantly increased the maximum medial pressure at each flexion angle. A lateral cartilage lesion significantly increased the maximum lateral pressure, while a medial lesion did not significantly influence the maximum medial pressure. Improving VMO function can reduce the pressure applied to lateral cartilage when lateral lesions are present. © 2008 Orthopaedic Research Society. Published by Wiley Periodicals, Inc. J Orthop Res 27: 578,583, 2009 [source]

    Bonding to Zirconia Using a New Surface Treatment

    JOURNAL OF PROSTHODONTICS, Issue 5 2010
    Moustafa N. Aboushelib DDS
    Abstract Purpose: Selective infiltration etching (SIE) is a newly developed surface treatment used to modify the surface of zirconia-based materials, rendering them ready for bonding to resin cements. The aim of this study was to evaluate the zirconia/resin bond strength and durability using the proposed technique. Materials and Methods: Fifty-four zirconia discs were fabricated and divided into three groups (n = 18) according to their surface treatment: as-sintered surface (control group), airborne-particle abrasion (50-,m aluminum oxide), and SIE group. The zirconia discs were bonded to preaged composite resin discs using a light-polymerized adhesive resin (Panavia F 2.0). The zirconia/resin bond strength was evaluated using microtensile bond strength test (MTBS), and the test was repeated after each of the following intervals of accelerated artificial aging (AA): thermocycling (10,000 cycles between 5 and 55°C), 4 weeks of water storage (37°C), and finally 26 weeks of water storage (37°C). Silver nitrate nanoleakage analysis was used to assess the quality of zirconia/resin interface. A repeated measures ANOVA and Bonferroni post hoc test were used to analyze the data (n = 18, ,= 0.05) Results: There were significant differences in the MTBS values between the three test groups at each of the test intervals (p < 0.001). AA resulted in reduction in the bond strength of the as-sintered and the particle-abraded groups (5.9 MPa and 27.4, MPa, respectively). Reduction in the bond strength of these groups was explained by the observed nanoleakage across the zirconia/resin interface. The bond strength of the SIE specimens was stable after completion of AA (51.9 MPa), which also demonstrated a good seal against silver nitrate penetration across the zirconia/resin interface. Conclusion: SIE established a strong, stable, and durable bond to zirconia substrates. Conservative resin-bonded zirconia restorations are now possible using this new technique. [source]

    Effects of 6 Months of Aging in Water on Hardness and Surface Roughness of Two Microhybrid Dental Composites

    JOURNAL OF PROSTHODONTICS, Issue 4 2008
    Rafael Ratto De Moraes DDS
    Abstract Purpose: This study assessed the effect of 6 months of aging in water on surface roughness and surface/subsurface hardness of two microhybrid resin composites. Materials and Methods: Filtek Z250 and Charisma were tested. Cylindrical specimens were obtained and stored in distilled water for 24 hours or 6 months, at 37°C. For Knoop hardness evaluation, the specimens were transversely wet-flattened, and indentations were made on surface and subsurface layers. Data were submitted to three-way ANOVA and Tukey's test (,, 0.05). Surface roughness baseline measurements were made at 24 hours and repeated after 6 months of storage. Data were submitted to repeated measures ANOVA and Tukey's test (,, 0.05). Results: Surface hardness (KHN, kg/mm2) means (± standard deviation) ranged from 55 ± 1 to 49 ± 4 for Z250 and from 50 ± 2 to 41 ± 3 for Charisma, at 24 hours and 6 months, respectively. Subsurface means ranged from 58 ± 2 to 61 ± 3 for Z250 and from 50 ± 1 to 54 ± 2 for Charisma, at 24 hours and 6 months. For both composites, the aged specimens presented significantly softer surfaces (p < 0.01). For the subsurface hardness, alteration after storage was detected only for Charisma, which presented a significant rise in hardness (p < 0.01). Z250 presented significantly harder surface and subsurface layers in comparison with Charisma. Surface roughness (Ra, ,m) means ranged from 0.07 ± 0.00 to 0.07 ± 0.01 for Z250 and from 0.06 ± 0.01 to 0.07 ± 0.01 for Charisma, at 24 hours and 6 months, respectively. For both composites, no significant roughness alteration was detected during the study (p= 0.386). Conclusions: The 6-month period of storage in water presented a significant softening effect on the surfaces of the composites, although no significant deleterious alteration was detected for the subsurface hardness. In addition, the storage period had no significant effect on the surface roughness of the materials. [source]

    Electroencephalographic arousals during sleep do not alter the pressor response to Cheyne,Stokes respiration in subjects with chronic heart failure

    JOURNAL OF SLEEP RESEARCH, Issue 4 2007
    GRANT N. WILLSON
    Summary This study examined the influence of electroencephalographic (EEG) arousal on the magnitude and morphology of the pressor response to Cheyne,Stokes respiration (CSR) in subjects with congestive heart failure (CHF). Thirteen subjects with stable CHF (left ventricular ejection fraction, 26 ± 7%) and CSR (apnea,hypopnea index 52 ± 15 h,1) underwent overnight polysomnography with beat-to-beat measurement of systemic arterial blood pressure (BP). CSR events were divided into those with or without an EEG arousal defined according to the criteria of the American Sleep Disorders Association. The pressor response was quantified in terms of the delta BP change (difference between the minimum BP during apnea and maximum BP during hyperpnea). Changes in the morphology of the pressor response were assessed by subdividing individual respiratory events into six periods (three during apnea: A1, A2, A3; and three during hyperpnea: H1, H2, H3). Considerable fluctuations in BP and heart rate (HR) were observed across the CSR cycle (delta mean BP 20.2 ± 6.5 mmHg). The presence of an EEG arousal did not alter the amplitude of fluctuations in BP. Mean blood pressure (MBP) increased 21.0 ± 7.5 mmHg with arousal versus 19.3 ± 5.8 mmHg without arousal (NS). A repeated measures ANOVA showed no significant interaction between the presence of arousal and the proportional change in mean BP across the six periods, indicating that an EEG arousal had no effect on the morphology of MBP change during CSR [F(5,60) = 1.44, P = 0.22]. This study showed that EEG-defined arousal does not amplify the pressor response to CSR in CHF. [source]

    Does Pond Water Reflectance Influence Double-crested Cormorant Selection of Aquaculture Ponds?

    JOURNAL OF THE WORLD AQUACULTURE SOCIETY, Issue 3 2010
    Andrew A. Radomski
    Double-crested cormorants, Phalacrocorax auritus, are a frequent and major avian predator on channel catfish, Ictalurus punctatus, and other aquaculture species throughout the southeastern USA. Although cormorant movements and occurrence within the aquaculture production region are understood, no studies have focused on the mechanisms utilized by these avian predators to select foraging sites within these high-density aquaculture systems. The objective of this study was to determine if cormorant abundance is associated with specific (ultraviolet to visible) light reflectance spectra within commercial catfish ponds. Three commercial farms were used in this study; each farm had four ponds classified as "preferred" and another four ponds classified as "avoided" based on observing cormorant numbers for 3 mo prior to reflectance measures (>100 h observation for each pond). Reflectance and pond turbidity were measured weekly for 7 wk during the period of maximal over-wintering cormorant numbers. Water samples were collected at the surface (1 cm depth) and secchi depth (10,41 cm) at two locations (upwind and downwind sides) within each pond to determine spectral reflectance and turbidity. Average pond reflectance values were not significantly different between ponds preferred and avoided by cormorants; however, upwind reflectance significantly differed from downwind reflectance between cormorant use groups. Using cross-validation discriminant analysis, the accuracy of separating upwind ponds preferred and avoided by cormorants was over 62%. Repeated measures ANOVA identified the reflectance at 370, 380, 460, 500, 510, and 620 nm as significantly different between ponds preferred and avoided by cormorants. The lower wavelengths (380,410 nm) correspond to known UV-A sensing compounds in cormorants and the other wavelengths share characteristics associated with algal biomass. Cormorants utilize ponds that have lower algal biomass when compared with avoided ponds. [source]

    Limited effects of above- and belowground insects on community structure and function in a species-rich grassland

    JOURNAL OF VEGETATION SCIENCE, Issue 1 2009
    Malcolm D. Coupe
    Abstract Question: Do above- and belowground insects differentially impact plant community structure and function in a diverse native grassland? Location: Rough fescue prairie in Alberta, Canada. Methods: Above- and belowground insects were suppressed with insecticides for 5 years using a randomised block design. During this experiment, a severe drought began in 2001 and ended in 2003. Aboveground plant growth was measured as cover and biomass from 2001 to 2005. Root demography was measured in 2002 using a minirhizotron. Mixed models and repeated measures ANOVA were used to determine treatment effects on a number of response variables. MRBP were used to test for treatment effects on community composition. Results: Five years of insect suppression had few significant effects on plant growth, species richness or community composition, and were limited primarily to the severe drought in 2002. During the drought, insect attack increased root mortality, reduced plant cover, and altered community composition. Following the drought, plant responses were unaffected by insecticide application for the remainder of the experiment. Conclusions: Five years of insect suppression had only minor effects on community structure and function in this diverse native grassland. There was no indication that these effects increased over time. The results are counter to studies conducted in productive old-field communities that revealed large effects of insects on community structure. We suggest that the unique features of this system, such as high species evenness, abundance of generalist herbivores, and a lack of competition for light among plants, limited the potential for insects to greatly impact community-level processes. [source]

    Soy Protein Isolate versus Meat-Based Low-Protein Diet for Dogs with Congenital Portosystemic Shunts

    JOURNAL OF VETERINARY INTERNAL MEDICINE, Issue 4 2009
    S. Proot
    Background: Both presurgical preparation and long-term support of nonoperable dogs with congenital portosystemic shunts (CPSS) require optimal dietary management. Studies suggested that protein source may play an important role, with vegetable and dairy protein sources having better effects on hepatic encephalopathy (HE) than meat proteins. Objectives: Determine whether a low-protein test diet with soy as its main protein source results in better scores than a control diet with the same composition but with poultry as its main protein source in dogs with CPSS. Methods: In a double-blind cross-over study, 16 dogs received each diet for 4 weeks. Dogs in group T first received the test diet and then the control diet, whereas dogs in group C were fed the diets in the opposite order. Different variables (body weight, body condition score, HE score, fecal score, CBC, plasma tests of liver function including NH3, and coagulation tests) were measured at the start of the study and after completion of each diet. Results: One-way repeated measures ANOVA was performed. Plasma NH3 was significantly lower after the test diet than after the control diet. The test diet also resulted in significantly higher fibrinogen concentrations and lower prothrombin times. The HE score improved with both diets, with no significant difference between the 2 diets. Conclusions: Both diets achieved a significant improvement in HE score. The influence of the soy-based diet on plasma NH3 concentration and coagulation parameters suggests that such a diet decreases the risk for HE and gives better support of liver function. [source]

    Impaired motor imagery in patients with essential tremor: A case control study

    MOVEMENT DISORDERS, Issue 4 2007
    Yew-Long Lo MD
    Abstract Motor imagery (MI), which refers to the process of mental representation of movements, has not been studied in patients with essential tremor (ET). We investigated the presence of impaired MI in ET patients compared with healthy controls. A group of drug-naive and nondemented ET patients and age-matched controls were studied using transcranial magnetic stimulation, while they were specifically instructed to try and imagine themselves performing two motor tasks. The various clinical and electrophysiological variables were evaluated and compared. Repeated measures ANOVA demonstrated a significant difference between ET patients and controls with respect to mean motor-evoked potential (MEP) amplitudes (F(1,38) = 31.92, P < 0.005) during MI. The process of MI effectively facilitated MEP amplitude in controls but not in ET patients, regardless of side of stimulation or motor tasks. We provide evidence to demonstrate impairment of MI in a group of ET patients compared with healthy controls. The basis for this novel finding is unclear, and further studies are warranted to determine whether it is related to cerebellar or motor cortical dysfunction. © 2007 Movement Disorder Society [source]

    Long-Term Outcomes of a Telephone Intervention After an ICD

    PACING AND CLINICAL ELECTROPHYSIOLOGY, Issue 11 2005
    CYNTHIA M. DOUGHERTY
    Background: The purpose of this study was to determine the long-term benefits of participating in a structured, 8-week educational telephone intervention delivered by expert cardiovascular nurses post-ICD. The intervention was aimed to (1) increase physical functioning, (2) increase psychological adjustment, (3) improve self-efficacy in managing the challenges of ICD recovery, and (4) lower levels of health care utilization over usual care in the first 12 months post-ICD. This article reports on the 6- and 12-month outcomes of the nursing intervention trial. Methods and Results: A two-group (N = 168) randomized control group design was used to evaluate intervention efficacy with persons receiving an ICD for the secondary prevention of sudden cardiac arrest. Measures were obtained at baseline, 6 and 12 months post hospitalization. Outcomes included (1) physical functioning (Patient Concerns Assessment [PCA], Short Form Health Survey [SF-12], ICD shocks), (2) psychological adjustment (State-Trait Anxiety Inventory [STAI], Centers for Epidemiologic Studies,Depression [CES-D], fear of dying), (3) self-efficacy (Sudden Cardiac Arrest,Self-Efficacy [SCA-SE], Sudden Cardiac Arrest,Behavior [SCA-B], Sudden Cardiac Arrest,Knowledge [SCA-K]), and (4) health care utilization (emergency room [ER] visits, outpatient visits, hospitalizations). Using repeated measures ANOVA, the 6- and 12-month benefits of the intervention over usual care were in reductions in physical concerns (P = 0.006), anxiety (P = 0.04), and fear of dying (P = 0.01), with enhanced self-confidence (P = 0.04) and knowledge (P = 0.001) to manage ICD recovery. There were no statistically significant differences between the groups on total outpatient visits, hospitalizations, or ER visits over 12 months. Conclusion: A structured 8-week post-hospital telephone nursing intervention after an ICD had sustained 12-month improvements on patient concerns, anxiety, fear of dying, self-efficacy, and knowledge. Results may not apply to individuals with congestive heart failure who receive an ICD for primary prevention of sudden cardiac arrest. [source]

    A comparison of physiological variables in aged and young women during and following submaximal exercise

    AMERICAN JOURNAL OF HUMAN BIOLOGY, Issue 6 2009
    Michael R. Deschenes
    Previously, we have examined how aging affects the physiological responses of men to endurance exercise. In the present investigation, we aimed to extend our assessment of the influence of aging on exercise-induced responses by focusing on women. Ten young (20.3 ± 0.3 years; mean ± SE) and 10 aged (75.5 ± 1.2 years) women performed 30 min of cycling at 60,65% of their predetermined peak oxygen uptake. Data for respiratory exchange ratio (RER), heart rate, blood pressure, rectal temperature, and plasma metabolites were collected before exercise, at the 15th and 30th min of exercise, and at 5 and 15 min postexercise. A two-way, repeated measures ANOVA with main effects of age and time was conducted on each variable. Our findings showed that age affected exercise-induced responses of each variable quantified. Although RER, heart rate, temperature, and lactate were significantly (P < 0.05) higher among young women, blood pressure and glucose values were greater among aged women. Moreover, unlike previous results noted among men where age-related differences primarily occurred during postexercise recovery, in women the effect of aging was detected during exercise itself. The data presented here indicate that aging impacts physiological responses of women to prolonged endurance exercise even when relative intensity (% of peak oxygen uptake) is held constant. Combined with our earlier study on men, these findings suggest that gender interacts with aging to determine whether age-related differences are manifested during exercise itself, or during postexercise recovery. Am. J. Hum. Biol., 2009. © 2009 Wiley-Liss, Inc. [source]

    The rate of urinary cortisol excretion at work is persistently elevated in women at familial risk for breast cancer

    AMERICAN JOURNAL OF HUMAN BIOLOGY, Issue 4 2008
    Gary D. James
    We recently reported that healthy women at familial risk for breast cancer (FH+) have higher urinary cortisol levels at work than women without familial risk (FH,). The purpose of this study was to evaluate whether this group difference persisted over a 1-month period. Subjects were healthy women (FH+, N = 42, age = 37.6 ± 9.3, FH,, N = 93, age 38.4 ± 9.0) employed primarily in clerical or technical positions at three medical centers in New York City who collected timed urine samples in three contrasting daily environments, at work (,11AM,3PM), home (,6PM,10PM) and during sleep (,10PM,6AM) on 2 mid-week workdays ,1 month apart. Two-way repeated measures ANOVA revealed that cortisol excretion differed across the environments (P < 0.001), and that there was also a significant interaction between daily environment and family history group (P < 0.049), such that FH+ women maintained higher cortisol excretion at work over the 2 days than FH, women. A Bland,Altman plot showed that both overall and by family history group, the rate of cortisol excretion at work was generally reproducible, although there was a heteroscadasticity in the relationship that likely reflected excessive stressfulness on one of the study days in a small minority of subjects. These results suggest that the presence of a potent background stressor (familial breast cancer risk) can influence more acute cortisol responses in daily life over time. Am. J. Hum. Biol., 2008. © 2008 Wiley-Liss, Inc. [source]

    A one-year survey on the use of a powder from Rosa canina lito in acute exacerbations of chronic pain

    PHYTOTHERAPY RESEARCH, Issue 9 2008
    C. Chrubasik
    Abstract This pilot surveillance included 152 patients with acute exacerbations of chronic pain, 124 (Back group) with non-specific low back pain (NSLBP), 20 with NSLBP overridden by osteoarthritic pain (Knee-Hip group), and eight with specific LBP (included in the safety analysis). Patients were recommended the rose hip and seed powder LitozinR at a dose providing up to 3 mg of galactolipid/day for up to 54 weeks. Clinical symptoms and well-being were assessed every 6 weeks. The patients also kept a diary of their pain and the requirement for rescue medication. Data were analysed by intention to treat with last observation carried forward. Only 77 patients completed the year of surveillance. Multivariate analysis suggested an appreciable overall improvement during the surveillance, irrespective of group, and this was reflected for most of the individual measures in repeated measures ANOVA. The degree and time-course of improvement echoed that seen in similar surveillances of patients receiving an aqueous extract of Harpagophytum. Multiple regression analyses indicated that percentage changes from baseline tended to be greater in patients with greater degrees of pain and disability, but were otherwise largely unrelated to the patients' characteristics. There were no serious adverse events. The rose hip and seed powder, LitozinR, seems to deserve further, more definitive studies as a possible option in long-term management of NSLBP with or without osteoarthritic pain. Copyright © 2008 John Wiley & Sons, Ltd. [source]

    Rapid Decline in 51Cr-EDTA Measured Renal Function During the First Weeks Following Lung Transplantation

    AMERICAN JOURNAL OF TRANSPLANTATION, Issue 6 2009
    M. Hornum
    We previously described a 54% decline in renal function at 6 months after lung transplantation (LTx). We hypothesized that this decline is a very early event following LTx. Thirty-one consecutive patients (16 females/15 males), mean age 49 (±13) years, with emphysema, cystic fibrosis/bronchiectasis or idiopathic pulmonary fibrosis were included in an analysis of renal function before and after LTx. The glomerular filtration rate (GFR) was measured using the 51Cr-ethylenediaminetetra acetic acid plasma clearance single injection technique (mGFR) at baseline before transplantation and at 1, 2, 3 and 12 weeks postoperatively. Mean mGFR declined from 103 ± 18 to 65 ± 22, 53 ± 16 and 57 ± 18 mL/min/1.73m2 at 1-, 3- and 12-weeks post-LTx (p < 0.0001), respectively. In a time-dependent repeated measures ANOVA, risk factors for a decline in mGFR posttransplant included: time (p < 0.0001), acute renal failure within 2 weeks post-LTx (p = 0.0003), use of heart and lung machine (p = 0.04), and the use of ephedrine (p = 0.048), as well as increasing age, older than 18 years at LTx (p = 0.006). These data demonstrate that renal function, measured with an isotope method, decreases dramatically during the first week after LTx. [source]

    A comparative study of sanitary napkins and absorbent nappy pads for urine output measurement in neonates

    ACTA PAEDIATRICA, Issue 6 2009
    Sourabh Dutta
    Abstract Aim: To compare sanitary napkins and absorbent nappy pads (ANP) for urine output (UO) measurement. Methods: Phase 1: Freshly passed neonatal urine (5, 10 and 15 mL) was poured onto preweighed sanitary napkins or ANP, which were juxtaposed to the genital area of manikins placed in incubators/warmers and weighed at ½, 1, 2, 4, 5 and 6 hr. Outcome was percentage weight change from baseline. Phase 2: Five very low birth weight boys in incubators had UO measurement by test tubes. A sanitary napkin or ANP was co-applied with the test tube for 4 h each. Urine collected in the test tube was measured and poured on the device, which was reapplied. Weight and wetness were checked. Results: Phase 1: Mean urine loss was 8.35, 13.8, 20.1, 25.2, 33.1, 38.7 and 42.6% at ½, 1, 2, 3, 4, 5 and 6 h, respectively (repeated measures ANOVA [RM-ANOVA], p < 0.001). Loss was higher with ANP than sanitary napkins (32.1% vs. 13.4%, two-way RM-ANOVA, p = 0.001). There was less loss in incubators versus radiant warmers at 6 h (p = 0.09). Phase 2: There was 12.1 and 26% deficit with sanitary napkin and ANP, respectively. Wetness was felt in one and four cases, respectively. Conclusion: Urinary losses are less from sanitary napkins than ANPs. [source]

    Micro-CT evaluation of residual material in canals filled with Activ GP or GuttaFlow following removal with NiTi instruments

    INTERNATIONAL ENDODONTIC JOURNAL, Issue 3 2010
    M. J. Roggendorf
    Roggendorf MJ, Legner M, Ebert J, Fillery E, Frankenberger R, Friedman S. Micro-CT evaluation of residual material in canals filled with Activ GP or GuttaFlow following removal with NiTi instruments. International Endodontic Journal, 43, 200,209, 2010. Abstract Aim, To assess the efficacy of removing Activ GP or GuttaFlow from canals using NiTi instruments. Methodology, Root canals in 55 extracted pre-molars were prepared to apical size 40, 0.04 taper. The teeth were imaged with micro-CT, and 30 teeth selected that had consistent apical size and taper of the shaped canals. They were randomly assigned to root filling with either the glass-ionomer-based ActivGP system (n = 15) or the polyvinylsiloxane-based GuttaFlow system (n = 15). After 2 weeks, canals were retreated stepwise with size 40,50 EndoSequence 0.04 taper instruments. Micro-CT scans (8 ,m) were taken after use of each instrument to detect root filling residue in the coronal, middle and apical segment, and the retreatment time recorded. Residue, expressed as percentage of canal surface area, was compared between groups with t -tests, and within groups with repeated measures anova and Bonferroni-adjusted pairwise comparisons. Retreatment time was analysed with one-way anova. Results, The percentage of sealer residue-coated canal surface was consistently highest (P < 0.001) in the apical third of canals, and it did not differ significantly between the two root filling groups. Stepwise enlargement from size 40 to 50 significantly decreased the amount of sealer residue in both groups (P < 0.001). Retreatment time did not differ significantly between groups. Conclusions, Both root fillings with ActivGP and GuttaFlow were removed with nickel-titanium rotary instruments. Enlargement of canals up to two sizes beyond the pre-retreatment size was necessary to minimize the amount of sealer remaining. [source]

    The effect of font and line width on reading speed in people with mild to moderate vision loss

    OPHTHALMIC AND PHYSIOLOGICAL OPTICS, Issue 6 2006
    Gary S. Rubin
    Abstract Purpose:, The aim of this study was to evaluate the effects of print size, typeface, and line width on reading speed in readers with mild to moderate sight problems. Methods:, A total of 43 patients, most of whom had mild cataract or glaucoma with acuity 6/30 or better (median age = 72; range = 24,88 years), read aloud a selection of texts presented randomly in four sizes (10, 12, 14 and 16 point), for each of four typefaces [Foundry Form Sans (FFS), Helvetica (HV), Tiresias PCfont (TPC), Times New Roman (TNR)] at a standard line width of 70 characters and a viewing distance of 40 cm. A subset of letter sizes and typefaces were tested at two additional line widths (35, 90). Results:, As expected, reading speed increased with print size from a median of 144 words min,1 for 10-point text to 163 words min,1 for 16-point text (repeated measures anova, p < 0.0001). There was also a significant effect of typeface with TPC being read about 8 words min,1 faster, on average, than the other fonts (159 words min,1 for TPC vs 151 words min,1 for the other fonts, p < 0.0001). However fonts of the same nominal point size were not equivalent in actual size. When adjusted for the actual horizontal and vertical space occupied, the advantage of TPC was eliminated. There was no effect of line width (p > 0.3). Data from the present study were extrapolated to the general population over age 65. This extrapolation indicated that increasing minimum print size from 10 points to 16 points would increase the proportion of the population able to read fluently (>85 words min,1) from 88.0% to 94.4%. Conclusion:, This study shows that line width and typeface have little influence on reading speed in people with mild to moderate sight problems. Increasing the minimum recommended print size from 10 points to 14 or 16 points would significantly increase the proportion of the population able to read fluently. [source]

    Short-term effects of coping skills training in school-age children with type 1 diabetes

    PEDIATRIC DIABETES, Issue 3pt2 2008
    Jodie M Ambrosino
    Objective:, Little is known about the use of psychosocial interventions in children younger than adolescence with type 1 diabetes (T1D) and their parents. We report preliminary short-term outcomes of a randomized controlled trial of coping skills training (CST) compared with group education (GE) in school-aged children with T1D and their parents. Methods:, One hundred and eleven children (range = 8,12 yr) with T1D for at least 6 months (3.71 ± 2.91 yr) were randomized to CST (55.6% female (F); 81.5% white (W)) or GE (69.7% F; 90.9% W). Children and parents (n = 87) who completed the intervention, baseline, 1- and 3-month data are included. Children completed measures of self-efficacy, coping, and quality of life; parents completed measures of family functioning (adaptability and cohesion), diabetes-related conflict, parent depression, and parent coping. Metabolic control was assessed with glycosylated hemoglobin A1c. Mixed-model repeated measures anova was used to analyze the data. Results:, CST and GE group composition was generally comparable. Children had good psychosocial adaptation and metabolic status. CST parents reported significantly more improvement in family adaptability compared with GE parents, and a trend was seen indicating that CST children showed greater improvement in life satisfaction than GE children. Effect sizes for this short-term follow-up period were small, but group participants were receptive to the intervention and reported positive gains. Conclusions:, In these preliminary results, CST and GE were more similar than different across multiple measure of psychosocial adaptation, although CST showed promising statistical trends for more adaptive family functioning and greater life satisfaction. Longer term follow-up is underway. [source]

    Trial of metronidazole vs. azithromycin for treatment of cyclosporine-induced gingival overgrowth

    PEDIATRIC TRANSPLANTATION, Issue 1 2004
    Deepa H. Chand
    Abstract:, Gingival overgrowth usually characterized by increased cellular growth of gingival fibroblasts appears to be multifactorial. In patients receiving CyA for more than 3 months, the incidence can approach 70% and can be attributed to pharmaceutical immunosuppression. Case reports have reported regression of overgrowth with both metronidazole and azithromycin. The goal of this study was to determine the efficacy of metronidazole and azithromycin in reducing CyA-induced gingival overgrowth. Twenty-five patients were included in this double-blinded randomized study. All patients were receiving CyA as medically indicated and diagnosed with gingival overgrowth by a dentist. Patients were randomized to receive either 5-days of azithromycin or 7-days of metronidazole given at baseline only. The extent of gingival overgrowth was measured at 0, 2, 4, 6, 12, and 24 wk. Fourteen patients at CCF and 11 patients at CCHMC were studied. Repeated measures anova was performed to assess differences within and between groups. Gingival overgrowth at baseline was not statistically different between groups. The mean degree of gingival overgrowth after treatment was different across all time intervals (p = 0.0049) showing azithromycin to be more effective than metronidazole. Therapy with azithromycin offers an effective alternative to the management of CyA-induced gingival overgrowth. [source]