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Multifactorial Analysis (multifactorial + analysis)

Distribution by Scientific Domains

Medical Sciences	83%

Selected Abstracts

Factors affecting vocabulary acquisition at age 2 in children born between 23 and 28 weeks' gestation

DEVELOPMENTAL MEDICINE & CHILD NEUROLOGY, Issue 8 2007
Louise Marston MSc
Language development is often slower in preterm children compared with their term peers. We investigated factors associated with vocabulary acquisition at 2 years in a cohort of children born at 28 weeks' gestation or less. For children entered into the United Kingdom Oscillation Study, language development was evaluated by using the MacArthur-Bates Communicative Development Inventories score, completed by parents as part of a developmental questionnaire. The effect of demographic, neonatal, socioeconomic factors, growth, and disability were investigated using multifactorial random effects modelling. Questionnaires were returned by 288 participants (148 males, 140 females). The mean number of words vocalized was 42 (SD 29). Multifactorial analysis showed only four factors were significantly associated with vocabulary acquisition. These were: (1) level of disability (mean words: no disability, 45; other disability, 38; severe disability, 30 [severe disability is defined as at least one extreme response in one of the following clinical domains: neuromotor, vision, hearing, communication, or other physical disabilities]; 95% confidence interval [CI] for the difference between no and severe disability 7- 23); (2) sex (39 males, 44 females; 95% CI 0.4-11); (3) length of hospital stay (lower quartile, 47; upper quartile, 38; 95% CI -12 to -4); and (4) weight SD score at 12 months (lower quartile, 39; upper quartile, 44; 95% CI 1,9). There was no significant association between gestational age and vocabulary after multifactorial analysis. There was no significant effect of any socioeconomic factor on vocabulary acquisition. We conclude that clinical factors, particularly indicators of severe morbidity, dominate the correlates of vocabulary acquisition at age 2 in children born very preterm. [source]

Combined effects of discharge, turbidity, and pesticides on mayfly behavior: Experimental evaluation of spray-drift and runoff scenarios

ENVIRONMENTAL TOXICOLOGY & CHEMISTRY, Issue 6 2005
James M. Dabrowski
Abstract The effects of the pyrethroid-insecticide cypermethrin (CYP), increased flow speed (Flow), and increased suspended particles (Part) on drift behavior and activity of mayfly nymphs (Baetis harrisoni) were investigated both individually and in combination in a laboratory stream microcosm. Spray-drift trials were performed by exposing the nymphs to 1 ,g/L of CYP. During runoff trials (CYP × Part), contaminated sediment containing 2,000 ,g/kg of CYP was introduced to the microcosm at a concentration of 500 mg/L. Both trials were carried out under high-flow (CYP × Flow and CYP × Part × Flow) and low-flow (CYP and CYP × Part) conditions, and for all cases, control experiments were performed. Drift rate, drift density (for any treatments with increased flow), and activity were used as behavioral endpoints. Multifactorial analysis of variance shows that CYP exposure significantly increased the drift, whereas Part and Flow trials significantly decreased the drift (p < 0.05). In addition, activity decreased significantly under high-flow conditions. The CYP × Part and CYP × Flow treatments resulted in increased drift rate and drift density, respectively, whereas Part × Flow and CYP × Part × Flow treatments resulted in decreased drift density. The CYP × Part and CYP × Flow trials had a significant antagonistic, interactive effect on drift rate and drift density, respectively, with measured levels being lower than expected levels. The reduction in bioavailability of CYP in the presence of increased flow and sediment levels suggests that mayflies are more likely to be affected by spray-drift exposure (CYP) than by runoff exposure (CYP × Part × Flow). Results indicate that mayflies reacted actively in response to flow conditions and passively in response to pesticide exposure. [source]

Genotype-phenotype analysis in childhood-onset Crohn's disease: NOD2/CARD15 variants consistently predict phenotypic characteristics of severe disease

INFLAMMATORY BOWEL DISEASES, Issue 11 2005
Richard K Russell
Abstract Introduction: The incidence of early-onset CD in Scotland is among the highest worldwide. Three single nucleotide polymorphisms (SNPs) R702W, G908R and Leu1007finsC in the NOD2/CARD15 gene predispose to adult CD. We investigated the contribution of these variants to disease susceptibility and phenotype in the Scottish early-onset IBD population. Patients and Methods: 906 individuals including 247 Scottish IBD patients aged <16 years at diagnosis, 414 parents and 245 controls were genotyped. Transmission disequilibrium testing (TDT), case-control analysis and detailed genotype-phenotype analysis were performed. Results: The Leu1007finsC variant was associated with susceptibility to CD by case-control (4.2% versus. 1.4%, P = 0.01) and TDT analysis (P = 0.006). The Population Attributable Risk (PAR) for the 3 NOD2/CARD15 mutations was 7.9%. Carriage of NOD2/CARD15 variants was associated with, at diagnosis: decreased albumin (31.0% versus. 9.0%, P = 0.001) and raised CRP (25% versus. 9.5%, P = 0.04) and at follow up: need for surgery (39.5% versus. 12.8%, P = 0.0002) jejunal involvement (50% versus. 18.4%, P = 0.01) jejunal and ileal involvement (50% versus. 10.7%, P = 0.009), raised CRP (57.1% and 12.8%, P = 0.0009), lower weight/height centile (75.0% versus. 20.2%, P = 0.03, 50.0% versus. 16.0%, P = 0.001 respectively) and stricturing disease (45.5% versus. 19.4%, P < 0.05). Multifactorial analysis demonstrated carriage was associated with need for surgery (P = 0.004, OR 4.9 [1.5-14.7]). Conclusions: These NOD2/CARD 15 variants in the Scottish early onset CD population have a definite, albeit relatively small contribution to CD susceptibility (PAR 7.9%) but a major impact on phenotype. In particular NOD2/CARD15 variants are strongly associated with several markers of disease severity in pediatric CD, notably need for surgery. [source]

Guidelines for the descriptive presentation and statistical analysis of contact allergy data

CONTACT DERMATITIS, Issue 2 2004
Wolfgang Uter
The present guidelines aim to support clinical researchers in adequately presenting data on contact allergy, and to use statistical tests appropriate for their data. A description of the mode of selection of patients, and of their relevant demographic details, is an essential prerequisite for the correct interpretation of study results. Proportions and rates, if regarded as estimate of these parameters of a target populations, should normally be supplemented with confidence intervals to address precision. Concordance, i.e., agreement between two ratings in a dependent sample, must be quantified with a chance-corrected measure such as Cohen's kappa coefficient. If the diagnostic quality of an outcome is being assessed, standard measures like sensitivity and specificity, as well as the prevalence-dependent positive and negative predictive values should be calculated. Often, contact allergy to a certain substance depends on several factors. In this situation, depending on the research question, techniques like stratification, standardization or multifactorial analysis should be employed. With increasing complexity of statistical description and analysis, consulting with a biostatistician is often mandatory. [source]

Factors affecting vocabulary acquisition at age 2 in children born between 23 and 28 weeks' gestation

Type 2 diabetes and periodontal indicators: epidemiology in France 2002,2003

JOURNAL OF PERIODONTAL RESEARCH, Issue 4 2006
C. Mattout
Background and Objective:, ,Diabetes and periodontal disease have been associated in the literature. In the present study, the periodontal heath of noninsulin-dependent diabetic adults was compared with that of a general population of nondiabetic patients. Material and Methods:, In France, 2144 adults (age: 35,65 years) were examined for life habits (tobacco, alcohol), biological diagnosis (type II diabetes, arterial hypertension), biometry (weight, size) and biochemistry. Dental and periodontal data included plaque index, gingival index, probing depth, and clinical attachment loss. Results:, Descriptive and multifactorial analysis evidenced a more severe periodontal disease in diabetic patients. Moreover, when the plaque index was held constant, the gingival index was more elevated in diabetics. In nondiabetics, age, gender, glycemia, alcohol, and tobacco smoking were identified as significant risk factors for periodontal disease. In contrast, in diabetic subjects, only tobacco smoking was a significant risk factor. Conclusion:, In type II diabetics, the diabetes factor is probably more significant than periodontal risk factors, age, and gender. [source]