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Terms modified by Other Data Selected AbstractsClimate, climate change and range boundariesDIVERSITY AND DISTRIBUTIONS, Issue 3 2010Chris D. Thomas Abstract Aim, A major issue in ecology, biogeography, conservation biology and invasion biology is the extent to which climate, and hence climate change, contributes to the positions of species' range boundaries. Thirty years of rapid climate warming provides an excellent opportunity to test the hypothesis that climate acts as a major constraint on range boundaries, treating anthropogenic climate change as a large-scale experiment. Location, UK and global data, and literature. Methods, This article analyses the frequencies with which species have responded to climate change by shifting their range boundaries. It does not consider abundance or other changes. Results, For the majority of species, boundaries shifted in a direction that is concordant with being a response to climate change; 84% of all species have expanded in a polewards direction as the climate has warmed (for the best data available), which represents an excess of 68% of species after taking account of the fact that some species may shift in this direction for non-climatic reasons. Other data sets also show an excess of animal range boundaries expanding in the expected direction. Main conclusions, Climate is likely to contribute to the majority of terrestrial and freshwater range boundaries. This generalization excludes species that are endemic to specific islands, lakes, rivers and geological outcrops, although these local endemics are not immune from the effects of climate change. The observed shifts associated with recent climate change are likely to have been brought about through both direct and indirect (changes to species' interactions) effects of climate; indirect effects are discussed in relation to laboratory experiments and invasive species. Recent observations of range boundary shifts are consistent with the hypothesis that climate contributes to, but is not the sole determinant of, the position of the range boundaries of the majority of terrestrial animal species. [source] Life satisfaction together with positive and negative aspects in Polish patients with systemic lupus erythematosusJOURNAL OF THE EUROPEAN ACADEMY OF DERMATOLOGY & VENEREOLOGY, Issue 3 2009L Kulczycka Abstract Purpose, To determinate satisfaction with life together with positive and negative emotions in SLE patients and correlate them with each other and with activity of the disease, duration of the disease and age of the patient. Methods, The study was conducted on 83 SLE patients who fulfilled at least 4 out of 11 ACR criteria. Satisfaction with life was measured by the Satisfaction with Life Scale. Positive and negative aspects were assessed by the Positive and Negative Affects Schedule. Other data were collected from the patients at the same time. Results, SLE patients presented reduced satisfaction with life. Duration of the disease, as well as age of the patients had an influence on it. Correlations between patients' quality of life emotions and life's satisfaction were present. Conclusions, SLE as a chronic, incurable and unpredictable disease has a great influence on patients' life. The awareness of this may lead to better compliance and to develop a new strategy of therapy. Conflicts of interest None declared [source] Glass-Transition Temperature (Tg) of Free-Radically Prepared Polyacrylonitrile by Inverse Gas Chromatography, 1.MACROMOLECULAR CHEMISTRY AND PHYSICS, Issue 17 2002A Study on Tg of Atactic Monodisperse Polystyrenes Abstract The glass-transition temperature (Tg) of several atactic monodisperse polystyrenes (PSt)s was studied by an inverse gas chromatographic (IGC) analysis, as a preliminary study for the detection of the Tg of polyacrylonitrile. The Tg of PSt with different molecular weights was clearly obtained by this method. The agreement in the Tg values obtained by IGC and by differential scanning calorimetry (DSC) was quite good within the molecular-weight range Mp,=,7,600,2,430,000 (where, Mp,=,(Mn,×,Mw)1/2). This method has a wide universality for the detection of the Tg of polymers. Several essential factors were extracted for the establishment of the optimum conditions for IGC measurements, such as the concentration of polymer toward a clay matrix (10 wt.-%), and the type of lower probe, decane. The best probe was determined empirically from the most effective detection in the IGC measurements of PSt. Molecular-weight dependence of the Tg of PSt. Experimental data obtained here are indicated by an arrow. Other data was taken from ref.21 [source] Epigenetic inactivation of HOXA5 and MSH2 gene in clear cell renal cell carcinomaPATHOLOGY INTERNATIONAL, Issue 10 2010Koo Han Yoo The high-throughput method using microarray is an easy and fast way to analyze the methylation status of hundreds of preselected genes and to screen them for signatures in methylation. The aim of our study is to detect hypermethylated genes and to analyze the association between methylation status and clinicopathological parameters of clear cell renal cell carcinoma. The genetic substrate included 62 cancer tissues and 62 matched adjacent normal kidney tissues. We adapted the GoldenGate genotyping assay to determine the methylation state of 1505 specific CpG sites in 807 genes. We identified two genes (HOXA5 and MSH2) with ,-value differences of more than 0.3 between cancer and normal tissues. The high methylation group in HOXA5 had high Fuhrman's nuclear grade (P= 0.041). Other data in HOXA5 and MSH2 were not significant with methylation status (P > 0.05). Survival curve of the high methylation group in HOXA5 was slightly lower than that of the low methylation group. However, the statistical significances of overall survival in HOXA5 and MSH2 were low (P > 0.05). We report the hypermethylation of two genes in clear cell renal cell carcinoma. The data we obtained could provide the basis for a diagnostic test pathological assessment, or prognosis in clear cell renal cell carcinoma. [source] Chlamydiae as etiologic agents in chronic undifferentiated spondylarthritisARTHRITIS & RHEUMATISM, Issue 5 2009John D. Carter Objective The majority of patients with Chlamydia -induced reactive arthritis do not present with the classic triad of arthritis, conjunctivitis/iritis, and urethritis. Moreover, acute chlamydial infections are often asymptomatic. The aim of the present study was to assess the prevalence of synovial Chlamydia trachomatis and Chlamydia pneumoniae infections in patients with chronic undifferentiated spondylarthritis (uSpA). Methods Study patients met the European Spondylarthropathy Study Group criteria for SpA, without evidence of ankylosing spondylitis, psoriasis, inflammatory bowel disease, or preceding dysentery. Symptoms were present for ,6 months. Each patient underwent a synovial biopsy; tissue and concomitantly obtained peripheral blood mononuclear cells (PBMCs) were analyzed by polymerase chain reaction (PCR) for C trachomatis and C pneumoniae DNA. Other data collected on the day of the biopsy included standard demographic information and medical history, including any known history of C trachomatis or C pneumoniae. Physical examination (including joint count, evaluation for dactylitis and/or enthesitis, and skin examination) and HLA,B27 typing were performed. Synovial tissue (ST) samples from 167 patients with osteoarthritis (OA) were used as controls. Results Twenty-six patients met the entry criteria and underwent synovial biopsy (25 knee, 1 wrist). Sixteen of them (62%) were positive for C trachomatis and/or C pneumoniae DNA (10 for C trachomatis, 4 for C pneumoniae, and 2 for both). PCR analysis of ST revealed the presence of Chlamydia significantly more frequently in patients with uSpA than in OA controls (P < 0.0001). No specific clinical characteristics differentiated Chlamydia -positive from Chlamydia -negative patients. PBMCs from 4 of the 26 uSpA patients (15%) were positive for Chlamydia, and Chlamydia was found in ST from 2 of these 4 patients. No significant correlation between PCR positivity and HLA,B27 positivity was found. Conclusion The frequency of Chlamydia -positive ST samples, as determined by PCR, was found to be significantly higher in patients with uSpA than in patients with OA. Our results suggest that in many patients with uSpA, chlamydial infection, which is often occult, may be the cause. [source] Oral cavity squamous cell carcinomas in young patients in a selected Malaysian centreASIA-PACIFIC JOURNAL OF CLINICAL ONCOLOGY, Issue 1 2009Hafeza AHMAD Abstract Aim: This study aims to evaluate the demographics, to analyze the clinical and pathological findings, treatment and the outcome of oral cavity squamous cell carcinomas (OSCC) in patients aged 40-years old and below in our centre. Methods: Records of patients who were diagnosed with OSCC in the Universiti Kebangsaan Malaysia Medical Centre, Kuala Lumpur, from 1998 to 2003 were analyzed. Their socioeconomic data such as their age, gender and race, risk factors, family history and genetic predisposition were assessed. Other data examined included the sites and stage of the tumor, histopathology results, treatment modality and outcome of OSCC. Results: There were 19 patients with no gender predilection. Malays made up most patients diagnosed with OSCC, followed by Chinese and Indians. There was no significant high-risk habit in this group. Most of the sites involved were the tongue (73.7%), buccal mucosa (15.8%) and alveolus (10.5%). Most of the patients (57.9%) were diagnosed with stage IV disease. Eighteen patients underwent treatment consisting of surgery or radiotherapy or in combination. A 5-year follow up revealed that nine patients (47.3%) survived and remain well, four patients (21.1%) had a recurrence, two patients (10.5%) died of the disease. Conclusion: The majority of patients presented with stage IV disease without any significant high-risk habit. Surgery remains the mainstay of treatment, however, 5-year follow-up showed a less than 50% survival rate. [source] Comments on papers reporting IR-spectra and other data of alleged L-alanine alaninium nitrate and L-alanine sodium nitrate crystalsCRYSTAL RESEARCH AND TECHNOLOGY, Issue 7 2009M. Fleck Abstract We argue that the IR- and Raman-spectra of "L-alanine alaninium nitrate" given in "Investigation on the growth, optical behaviour and factor group of an NLO crystal: L-Alanine Alaninium nitrate" by Aravindan et al., Cryst. Res. Technol. 42, 1097 (2007), actually concern L-Alanine. Correspondingly, the data presented in "A comparative study on the growth and characterization of nonlinear optical amino acid crystals: L-Alanine (LA) and L-alanine alaninium nitrate (LAAN)" by Aravindan et al., Spectrochim. Acta A 71, 297 (2008), seems to be erroneous, as is "Synthesis, Growth, and Characterization of a New Semiorganic Nonlinear Optical Crystal: L-Alanine Sodium Nitrate (LASN)", Sethuraman, et al., Cryst. Growth Des. 8, 1863 (2008). In these papers properties and data were reported for L-Alanine compounds that actually are L-Alanine crystals and, in addition, unit cell parameters were given that seem to have been copied from other papers. (© 2009 WILEY-VCH Verlag GmbH & Co. KGaA, Weinheim) [source] Data processing in metabolic fingerprinting by CE-UV: Application to urine samples from autistic childrenELECTROPHORESIS, Issue 6 2007Ana C. Soria Abstract Metabolic fingerprinting of biofluids such as urine can be used to detect and analyse differences between individuals. However, before pattern recognition methods can be utilised for classification, preprocessing techniques for the denoising, baseline removal, normalisation and alignment of electropherograms must be applied. Here a MEKC method using diode array detection has been used for high-resolution separation of both charged and neutral metabolites. Novel and generic algorithms have been developed for use prior to multivariate data analysis. Alignment is achieved by combining the use of reference peaks with a method that uses information from multiple wavelengths to align electropherograms to a reference signal. This metabolic fingerprinting approach by MEKC has been applied for the first time to urine samples from autistic and control children in a nontargeted and unbiased search for markers for autism. Although no biomarkers for autism could be determined using MEKC data here, the general approach presented could also be applied to the processing of other data collected by CE with UV,Vis detection. [source] Profile of the climate change in the Kingdom of BahrainENVIRONMETRICS, Issue 8 2003W. E. Alnaser Abstract Long-term meteorological data from the Kingdom of Bahrain (1902 to 2001), along with other data from the Sultanate of Oman and the Kingdom of Saudi Arabia, were used to study the profile and the characteristics of the climate changes in the Kingdom of Bahrain. This article illustrates the possible effects of several factors, such as greenhouse gases (GHG), sunspot number, cosmic ray flux, planet conjunctions, the Earth's magnetic field, as well as volcanic eruption, on the profile of the climate change. In general, we found that the temperature variations, to a certain extent, are associated with the cyclic variations in sunspot number (the 11-year cycle), which in turn affect the pattern of the cosmic ray flux due to the distortion of the interplanetary magnetic field. The latter is believed to influence cloud formation. In addition, the discrepancy in the climate change pattern in Bahrain was also attributed to the combined effect of the high local level of CO2 emissions as well as that of other cooling gases in the region. Copyright © 2003 John Wiley & Sons, Ltd. [source] Seascape genetics and the spatial ecology of marine populationsFISH AND FISHERIES, Issue 4 2008Kimberly A Selkoe Abstract Molecular tools perform at their best when integrated with other data and approaches. The value of integrating approaches is especially high when the underlying genetic signal is relatively weak, as occurs in many marine species. Recently, studies combining genetic, oceanographic, behavioural and modelling approaches have provided new insights into the spatial ecology of marine populations, in particular regarding larval migration, barriers to dispersal and source-sink population dynamics. In this perspectives piece, we explore the advantages of a multidisciplinary approach to marine population genetics by (i) providing a synthesis of what has been learned about connectivity from studies that combine genetic data with other tools, (ii) discussing how incorporation of ecological and oceanographic information into alternative hypotheses can boost inference when genetic power is low, and (iii) summarizing recent innovations in statistical population genetics that enable seamless integration of ecological, environmental and genetic data. These topics are covered in the context of how genetic inferences of connectivity and dispersal can contribute to pressing questions facing marine conservation and management. [source] Present-day stress in the surroundings of 2009 L'Aquila seismic sequence (Italy)GEOPHYSICAL JOURNAL INTERNATIONAL, Issue 2 2010Maria Teresa Mariucci SUMMARY The axial zone of the Apenninic belt in central Italy is a tectonically active region affected by post-orogenic Quaternary extension. The present-day stress field is characterized by a minimum horizontal stress (Shmin) , NE,SW oriented, derived mainly from earthquake focal mechanisms and secondarily from borehole breakouts and fault data. The paper describes the computation of the Shmin orientation along two deep boreholes located in the vicinity of the area hit by the 2009 April 6, Mw 6.3 L'Aquila earthquake. The analysed wells show breakout zones at a depth range between 1.4 and 4.6 km, giving precious information on a depth interval usually not investigated by any other data. The results show an Shmin N81 ± 22° and N74 ± 10° oriented for Varoni 1 and Campotosto 1 wells, respectively. The comparison among the breakouts, the 2009 seismic sequence, the past seismicity and the Quaternary faults indicates a small rotation of Shmin orientation from , NE, in the southern, to , ENE in the northern sector of the study area, where the wells are located. These differences are linked both to the natural variations of data and to the orientation of the main tectonic structures varying from NW,SE in the Abruzzi region to , N,S moving toward the Umbro-Marchean Apennines. The identification of constant Shmin orientations with depth derived from all the examined active stress data, confirms the breakouts as reliable stress indicators also for aseismic areas. [source] Brief Communications: An Analysis of Migraine Triggers in a Clinic-Based PopulationHEADACHE, Issue 8 2010Diane Andress-Rothrock MS Background., Many migraineurs report attack "triggers," but relatively few published data exist regarding the relative prevalences of individual triggers, variations related to gender, duration of migraine or migraine subtype, or the existence of any regional variations in the prevalences and distributions of triggers. Objective., We sought to determine the prevalence and types of migraine triggers in our clinic population, to determine what influence gender, migraine subtype, or duration of migraine might have on the prevalences and types of triggers reported and to compare our findings with data derived from surveys we previously had conducted involving 2 clinic-based populations and 1 general population sample from other regions of the USA. Methods., We evaluated 200 consecutive new migraine patients referred to our clinic. All patients specifically were queried as to whether they had noted any of 7 specific factors to serve consistently as migraine attack triggers and additionally were surveyed as to whether they might have "other" triggers not listed on the intake questionnaire. Among the other data collected and analyzed were age, gender, age at time of migraine onset, and migraine subtype (ie, episodic vs chronic). Actively cycling females who reported menses as a trigger were questioned as to whether their menstrual migraine (MM) attacks differed from their non-menstrual migraines and, if so, how they differed. Results., One hundred and eighty-two patients (91%) reported at least 1 migraine trigger, and 165 (82.5%) reported multiple triggers. The most common trigger reported (59%) was "emotional stress," followed by "too much or little sleep" (53.5%), "odors" (46.5%), and "missing meals" (39%). Females or subjects of either gender with chronic migraine were no more likely than males or subjects with episodic migraine to report triggers or multiple triggers. Similarly, longer exposure to migraine did not correlate with a higher likelihood of reporting a trigger or multiple triggers. Fifty-three (62%) of 85 actively cycling females reported menses as a trigger, and of the 51 with menstrually related migraine, 34 (67%) reported their MM to be more severe, more refractory to symptomatic therapy or of longer duration than their non-menstrual attacks; 13 (24.5%) of the 53 women with apparent MM reported their MM to be at least occasionally manifested as status migrainosus. The prevalence and type of triggers reported by this predominantly white female population were similar to those reported by clinic-based populations in San Diego, California and Mobile, Alabama, and in a population-based sample of Hispanics in San Diego County. Conclusions., A large majority of migraineurs report migraine attack triggers, and the triggers most commonly reported include emotional stress, a disrupted sleep pattern, and various odors. These findings do not appear to vary according to geographic region or race/ethnicity. Among the triggers, MM appears inclined to provoke headache that is more severe, less amenable to treatment, or longer in duration than headaches that occur at other times during the cycle. (Headache 2010;50:1366-1370) [source] Long-term patient monitoring for clozapine-induced agranulocytosis and neutropenia in Korea: when is it safe to discontinue CPMS?HUMAN PSYCHOPHARMACOLOGY: CLINICAL AND EXPERIMENTAL, Issue 6 2006Byung-Jo Kang Abstract Objectives This study documents the incidences of agranulocytosis and neutropenia, and the patterns of incidence of the side effects of long-term clozapine treatment in order to determine an appropriate time to stop the Clozaril Patient Monitoring System (CPMS). Methods Hematological, demographic, and other data from the CPMS for 6782 patients who took clozapine for the past 11 years in the Republic of Korea has been analyzed. Results Twenty-nine (53.7%) of fifty-four agranulocytosis cases occurred within the first 18 weeks. The cumulative incidence of agranulocytosis was 1.64% between 6 and 11 years and the crude incidence was 0.8%. Neutropenia occurred in 697 patients, and 365 (52.4%) of these cases occurred within the first 18 weeks. The cumulative incidence of neutropenia was 19.8% between 8 and 11 years, and the crude incidence was 10.3%. There were no cases of agranulocytosis or neutropenia after the 9th year of clozapine treatment. Conclusions The incidence of agranulocytosis in the Republic of Korea was similar to those in the rest of the world. While agranulocytosis began several years after clozapine treatment, long-term monitoring of white blood cells is necessary. We suggest that the CPMS should be stopped or less frequently after the 9th year of treatment. Copyright © 2006 John Wiley & Sons, Ltd. [source] Calculation of nonlinear aerodynamic characteristics of a wing using a 3-D panel methodINTERNATIONAL JOURNAL FOR NUMERICAL METHODS IN FLUIDS, Issue 1 2008Jeonghyun Cho Abstract The nonlinear aerodynamic characteristic of a wing is investigated using the frequency-domain panel method. To calculate the nonlinear aerodynamic characteristics of a three-dimensional wing, the iterative decambering approach is introduced into the frequency-domain panel method. The decambering approach uses the known nonlinear aerodynamic characteristic of airfoil and calculates two-variable decambering function to take into consideration the boundary-layer separation effects for the each section of the wing. The multidimensional Newton iteration is used to account for the coupling between the different sections of wing. The nonlinear aerodynamic analyses for a rectangular wing, a tapered wing, and a wing with the control surface are performed. Present results are given with experiments and other numerical results. Computed results are in good agreement with other data. This method can be used for any wing having different nonlinear aerodynamic characteristics of airfoil. The present method will contribute to the analysis of aircraft in the conceptual design because the present method can predict the nonlinear aerodynamic characteristics of a wing with a few computing resources and significant time. Copyright © 2007 John Wiley & Sons, Ltd. [source] Carbaryl exposure and incident cancer in the Agricultural Health StudyINTERNATIONAL JOURNAL OF CANCER, Issue 8 2007Rajeev Mahajan Abstract Carbaryl is a carbamate insecticide with a broad spectrum of uses in agricultural, commercial and household settings. It has previously been linked with non-Hodgkin lymphoma (NHL) but studies of cancer risk in humans are limited. We examined occupational carbaryl use and risk of all cancers in the Agricultural Health Study, a prospective study of a cohort of pesticide applicators in North Carolina and Iowa. This analysis included 21,416 subjects (1,291 cases) enrolled from 1993,1997 and followed for cancer incidence through 2003. Pesticide exposure and other data were collected using self-administered questionnaires. Poisson regression was used to calculate rate ratios (RRs) and 95% confidence intervals (CIs) while controlling for potential confounders. Carbaryl was not associated with cancer risk overall. Relative to subjects who never used carbaryl, melanoma risk was elevated with >175 lifetime exposure-days (RR = 4.11; 95%CI, 1.33,12.75; p -trend = 0.07), >10 years of use (RR = 3.19; 95%CI, 1.28,7.92; p -trend = 0.04), or ,10 days of use per year (RR = 5.50; 95%CI, 2.19,13.84; p -trend < 0.001). Risk remained after adjusting for sunlight exposure. Although not significant, there appeared to be a trend of decreasing prostate cancer risk with increasing level of exposure. A small increase in NHL risk was observed using some, but not all, exposure measures. No associations were observed with other examined cancer sites. Because the observed results were not hypothesized a priori and because of limited study of their biological plausibility, they should be interpreted with caution. © 2007 Wiley-Liss, Inc. [source] Affective lability and impulsivity in a clinical sample of women with bulimia nervosa: The role of affect in severely dysregulated behaviorINTERNATIONAL JOURNAL OF EATING DISORDERS, Issue 3 2009Michael D. Anestis MS Abstract Objective: The primary aim of this study was to examine the role of affective lability in maladaptive behaviors in a sample of women who meet DSM criteria for current bulimia nervosa (BN). Method: Participants were administered a semistructured diagnostic interview (SCID-P) and only those who currently met criteria for BN (N = 134) were included in the analyses. All other data were collected through the use of self-report questionnaires. Results: Affective lability significantly predicted the Impulsive Behavior Scale score (sr = 0.21, t = 2.64, p < .009, f2 = 0.06) and excessive reassurance seeking (sr = 0.21, t = 2.74, p < .007, f2 = 0.06), even when controlling for age, depressive symptoms, state and trait anxiety, and general impulsivity. Discussion: The degree to which individuals with BN experience labile emotions is associated with several indicators of dysregulated behavior such that higher levels of affective lability predict a more severely dysregulated behavioral profile. © 2008 by Wiley Periodicals, Inc. Int J Eat Disord 2009 [source] Managing the wandering behaviour of people living in a residential aged care facilityINTERNATIONAL JOURNAL OF EVIDENCE BASED HEALTHCARE, Issue 4 2007Brent Hodgkinson BSc MSc GradCertPubHealth GradCertHealthEcon Abstract Background, Wandering behaviour is frequently seen in older people with cognitive impairment. The prevalence of patients exhibiting wandering behaviour has been estimated to be 11.6% on traditional units and 52.7% on Alzheimer's units. Wandering is one of the core behavioural characteristics that impact on familial carers and is likely to influence the decision to place a family member in an aged care environment. Considering the possible risks associated with wandering behaviour, the successful identification and management of wandering is essential. Wandering is also a problem for caregivers in the institutionalised setting, in terms of containment, usually being addressed by securing the environment. There has been some research conducted to assist in the understanding and management of wandering behaviour; however, the findings have been diverse resulting in a level of confusion about the best approaches to take. Objectives, This review aims to present the best available evidence on the management of wandering in older adults who reside in an aged care facility (both high and low care). Search strategy, An extensive search of keywords contained in the title and abstract, and relevant MeSH headings and descriptor terms was performed on the following databases: MEDLINE, CINAHL, PsychINFO, AGELINE, Cochrane Library, Embase, APAIS Health, Current Contents, Dare, Dissertation Abstracts, Personal Communication, Social Science Index. Selection criteria, Papers were selected if they focused on the treatment of wandering in an institutional setting. Some studies were not specifically examining wanderers over the age of 65 years as per the protocol requirements, but were included as it was felt that their findings could be applied to this age group. Data collection and analysis, Study design and quality were tabulated and relative risks, odds ratios, mean differences and associated 95% confidence intervals were calculated from individual comparative studies containing count data where possible. All other data were presented in a narrative summary. Results, Searches identified one care protocol, two systematic reviews and 24 other studies that satisfied the inclusion criteria. The following recommendations are divided into four categories of interventions (environmental, technology and safety, physical/psychosocial, and caregiving support and education) with only Level 1, 2 or 3 evidence presented. Environmental modifications, Gridlines placed in front of doors or covering exit door doorknobs or panic bars may be effective at reducing exit-seeking behaviour (Level 3b). Technology and safety, Mobile locator devices may be effective at enabling quick location of wandering residents (Level 3c). Physical/psychosocial interventions, Implementation of a walking group or an exercise program may reduce the incidence of disruptive wandering behaviour (Level 3b). Use of air mat therapy may reduce wandering behaviour for at least 15 min post therapy (Level 2). Providing music sessions (and reading sessions) may keep residents from wandering during the period of the session (Level 3b). Caregiving support and education, There is no evidence to support any interventions. Conclusions, The majority of the available research for which the guidelines are based upon was derived from observational studies or expert opinion (Level of evidence 3 or 4). More rigorous research is required to demonstrate the efficacy of these recommendations. [source] Strategies to reduce medication errors with reference to older adultsINTERNATIONAL JOURNAL OF EVIDENCE BASED HEALTHCARE, Issue 1 2006Brent Hodgkinson BSc (Hons) MSc GradCertPH GradCertEcon(Health) Abstract Background, In Australia, around 59% of the general population uses prescription medication with this number increasing to about 86% in those aged 65 and over and 83% of the population over 85 using two or more medications simultaneously. A recent report suggests that between 2% and 3% of all hospital admissions in Australia may be medication related with older Australians at higher risk because of higher levels of medicine intake and increased likelihood of being admitted to hospital. The most common medication errors encountered in hospitals in Australia are prescription/medication ordering errors, dispensing, administration and medication recording errors. Contributing factors to these errors have largely not been reported in the hospital environment. In the community, inappropriate drugs, prescribing errors, administration errors, and inappropriate dose errors are most common. Objectives, To present the best available evidence for strategies to prevent or reduce the incidence of medication errors associated with the prescribing, dispensing and administration of medicines in the older persons in the acute, subacute and residential care settings, with specific attention to persons aged 65 years and over. Search strategy, Bibliographic databases PubMed, Embase, Current contents, The Cochrane Library and others were searched from 1986 to present along with existing health technology websites. The reference lists of included studies and reviews were searched for any additional literature. Selection criteria, Systematic reviews, randomised controlled trials and other research methods such as non-randomised controlled trials, longitudinal studies, cohort or case,control studies, or descriptive studies that evaluate strategies to identify and manage medication incidents. Those people who are involved in the prescribing, dispensing or administering of medication to the older persons (aged 65 years and older) in the acute, subacute or residential care settings were included. Where these studies were limited, evidence available on the general patient population was used. Data collection and analysis, Study design and quality were tabulated and relative risks, odds ratios, mean differences and associated 95% confidence intervals were calculated from individual comparative studies containing count data where possible. All other data were presented in a narrative summary. Results, Strategies that have some evidence for reducing medication incidents are: ,,computerised physician ordering entry systems combined with clinical decision support systems; ,,individual medication supply systems when compared with other dispensing systems such as ward stock approaches; ,,use of clinical pharmacists in the inpatient setting; ,,checking of medication orders by two nurses before dispensing medication; ,,a Medication Administration Review and Safety committee; and ,,providing bedside glucose monitors and educating nurses on importance of timely insulin administration. In general, the evidence for the effectiveness of intervention strategies to reduce the incidence of medication errors is weak and high-quality controlled trials are needed in all areas of medication prescription and delivery. [source] The Earliest Naval RamINTERNATIONAL JOURNAL OF NAUTICAL ARCHAEOLOGY, Issue 2 2008Samuel Mark Analyses of the Kuyunjik (Kouyunjik) relief and other data suggest Phoenicia probably did not build ships with rams before the Battle of Salamis. A review of Greek literature, iconography, and archaeology suggests the naval ram may have been a Greek invention, appearing at the earliest in the 6th century BC and possibly as late as the 5th century. Its evolution may have led to a shift from laced to pegged mortise-and-tenon joinery in Greek shipbuilding as well as the development of the wineglass-shaped hull and heavier framing. It may also have influenced the development of large-scale bronze-casting in Greece. © 2008 The Author [source] The future for in-vehicle information systems: The technology and its impactsJOURNAL OF ADVANCED TRANSPORTATION, Issue 3 2002Michael G H Bell In-vehicle information has an important social role to play in improving the efficiency and safety of travel by all modes. In this review, three generations of system are identified. The first generation consists of simple in-vehicle units relying heavily on external data. The second generation has more sophisticated in-vehicle units with colour TFT screens and DVD players for maps and entertainment. The third generation again makes use of external data, using the mobile phone network to download map sections and other data as and when required, thereby obviating the need for beacons and map CDs. For locationing, GPS (and/or Galileo, the European version of GPS) remains the favoured technology. Portable devices offering multi-modal information could improve inter-modal transport efficiency. [source] High-throughput powder diffraction.JOURNAL OF APPLIED CRYSTALLOGRAPHY, Issue 4 2004Powder pattern matching techniques, using all the experimentally measured data points, coupled with cluster analysis, fuzzy clustering and multivariate statistical methods are used, with appropriate visualization tools, to analyse a set of 27 powder diffraction patterns of alumina collected at seven different laboratories on different instruments as part of an International Center for Diffraction Data Grant-in-Aid program. In their original form, the data factor into six distinct clusters. However, when a non-linear shift of the form (where a0 and a1 are refinable constants) is applied to optimize the correlations between patterns, clustering produces a large 25-pattern set with two outliers. The first outlier is a synchrotron data set at a different wavelength from the other data, and the second is distinguished by the absence of K,2 lines, i.e. it uses Ge-monochromated incident X-rays. Fuzzy clustering, in which samples may belong to more than one cluster, is introduced as a complementary method of pinpointing problematic diffraction patterns. In contrast to the usual methodology associated with the analysis of round-robin data, this process is carried out in a routine way, with minimal user interaction or supervision, using the PolySNAP software. [source] Keeping Our Ambition Under Control: The Limits of Data and Inference in Searching for the Causes and Consequences of Vanishing Trials in Federal CourtJOURNAL OF EMPIRICAL LEGAL STUDIES, Issue 3 2004Stephen B. Burbank This article offers some reflections stimulated by Professor Galanter's materials, which were the common springboard for the Vanishing Trials Symposium. It suggests that other data, quantitative and qualitative, may be helpful in understanding the vanishing trials phenomenon in federal civil cases, notably data available for years prior to 1962, and questions whether it is meaningful to use total dispositions as the denominator in calculating a trial termination rate. The article argues that care should be taken in using data from state court systems, as also data from criminal cases, administrative adjudication, and ADR, lest one put at risk through careless assimilation of data or muddled thinking a project quite difficult enough without additional baggage. The article describes the limitations of data previously collected by the Administrative Office of the U.S. Courts and highlights unique opportunities created by the AO's switch to a new Case Management/Electronic Case Files system. It argues that Professor Galanter may underestimate the influence of both changing demand for court services (docket makeup) and of changing demand for judicial services (resources) on the trial rate. Finally, the article argues that conclusions about either the causes or consequences of the vanishing trials phenomenon in federal civil cases are premature, suggesting in particular reasons to be wary of emphasis on "institutional factors" such as the discretionary power of first-instance judges and the ideology of managerial judging. [source] 3D diffusion tensor MRI with isotropic resolution using a steady-state radial acquisitionJOURNAL OF MAGNETIC RESONANCE IMAGING, Issue 5 2009Youngkyoo Jung PhD Abstract Purpose To obtain diffusion tensor images (DTI) over a large image volume rapidly with 3D isotropic spatial resolution, minimal spatial distortions, and reduced motion artifacts, a diffusion-weighted steady-state 3D projection (SS 3DPR) pulse sequence was developed. Materials and Methods A diffusion gradient was inserted in a SS 3DPR pulse sequence. The acquisition was synchronized to the cardiac cycle, linear phase errors were corrected along the readout direction, and each projection was weighted by measures of consistency with other data. A new iterative parallel imaging reconstruction method was also implemented for removing off-resonance and undersampling artifacts simultaneously. Results The contrast and appearance of both the fractional anisotropy and eigenvector color maps were substantially improved after all correction techniques were applied. True 3D DTI datasets were obtained in vivo over the whole brain (240 mm field of view in all directions) with 1.87 mm isotropic spatial resolution, six diffusion encoding directions in under 19 minutes. Conclusion A true 3D DTI pulse sequence with high isotropic spatial resolution was developed for whole brain imaging in under 20 minutes. To minimize the effects of brain motion, a cardiac synchronized, multiecho, DW-SSFP pulse sequence was implemented. Motion artifacts were further reduced by a combination of linear phase correction, corrupt projection detection and rejection, sampling density reweighting, and parallel imaging reconstruction. The combination of these methods greatly improved the quality of 3D DTI in the brain. J. Magn. Reson. Imaging 2009;29:1175,1184. © 2009 Wiley-Liss, Inc. [source] Does tissue transglutaminase play a role in Huntington's disease?JOURNAL OF NEUROCHEMISTRY, Issue 2002G. V. W. Johnson Tissue transglutaminase (tTG) catalyzes the incorporation of polyamines into substrates, or the formation of isopeptide bonds. tTG also binds and hydrolyzes GTP/ATP. Huntington's disease (HD) is caused by a pathological expansion of the polyglutamine domain in the protein huntingtin (htt). Because a polypeptide bound Gln residue is the primary determining factor for a tTG substrate, it has been hypothesized that due to the increase in Gln content, mutant htt may modified by tTG and this event may contribute to the pathogenesis of HD, possibly by facilitating the formation of htt aggregates. tTG is increased in HD, suggesting involvement in the pathogenic process. However, tTG is not required for aggregate formation. Further, tTG is excluded from htt aggregates and increasing or decreasing tTG has no effect on the frequency or localization of the aggregates. Considering these and other data, tTG is unlikely to play a major role in the formation of htt inclusions in HD brain. tTG may play a role in modulating neuronal cell death in response to specific stressors. If a stress increases the transamidating activity of tTG (e.g. increases in Ca++ levels), then tTG facilitates the cell death process. In contrast, if a stress does not result in an increase in the transamidating activity of tTG, then tTG protects against cell death. The protective effects of tTG are independent of its transamidating and hence likely dependent on its GTP/ATP binding and hydrolytic activity. Therefore the increase in tTG levels in HD brain could either be helpful or harmful depending on the cellular mechanisms that contribute to neuronal death. Acknowledgements:, Supported by NIH grant AG12396. [source] Estimates of human immunodeficiency virus prevalence and proportion diagnosed based on Bayesian multiparameter synthesis of surveillance dataJOURNAL OF THE ROYAL STATISTICAL SOCIETY: SERIES A (STATISTICS IN SOCIETY), Issue 3 2008A. Goubar Summary., Estimates of the number of prevalent human immunodeficiency virus infections are used in England and Wales to monitor development of the human immunodeficiency virus,acquired immune deficiency syndrome epidemic and for planning purposes. The population is split into risk groups, and estimates of risk group size and of risk group prevalence and diagnosis rates are combined to derive estimates of the number of undiagnosed infections and of the overall number of infected individuals. In traditional approaches, each risk group size, prevalence or diagnosis rate parameter must be informed by just one summary statistic. Yet a rich array of surveillance and other data is available, providing information on parameters and on functions of parameters, and raising the possibility of inconsistency between sources of evidence in some parts of the parameter space. We develop a Bayesian framework for synthesis of surveillance and other information, implemented through Markov chain Monte Carlo methods. The sources of data are found to be inconsistent under their accepted interpretation, but the inconsistencies can be resolved by introducing additional ,bias adjustment' parameters. The best-fitting model incorporates a hierarchical structure to spread information more evenly over the parameter space. We suggest that multiparameter evidence synthesis opens new avenues in epidemiology based on the coherent summary of available data, assessment of consistency and bias modelling. [source] Resolution of student complaints in higher education institutionsLEGAL STUDIES, Issue 4 2007Neville Harris This paper examines the processes whereby students may bring complaints against higher education institutions. It stresses that a right to redress of grievance is fundamental to the relationship between students and universities. It focuses on internal complaints procedures and discusses the findings from a survey of a representative sample of institutions of which nearly two thirds (25 in total) responded with statistical and other data on the grounds of complaint, the ethnicity and other characteristics of complainants, and the outcome of adjudications. It reveals areas of commonality and divergence in practice and raises concerns about the fairness and accessibility of the procedures. The paper also includes discussion of the process for the external adjudication of student complaints established under the Higher Education Act 2004 and the way that complaints progress to it. The paper discusses the case for reform of higher education institutions' student complaints procedures, which are surprisingly unregulated, including the introduction of a more independent element such as ,campus ombudsmen'. [source] The fine-grained matrix of the Semarkona LL3.0 ordinary chondrite: An induced thermoluminescence studyMETEORITICS & PLANETARY SCIENCE, Issue 5 2009Jonathan P. CRAIG The samples had TL sensitivities comparable with 4 mg of bulk samples of type 3.2,3.4 ordinary chondrites, which is very high relative to bulk Semarkona. The other induced TL properties of these samples, TL peak temperatures, and TL peak widths distinguish them from other ordinary chondrite samples where the TL is caused by feldspar. Cathodoluminescence images and other data suggest that the cause of the luminescence in the Semarkona fine-grained matrix is forsterite. In some respects the matrix TL data resemble that of Semarkona chondrules, in which the phosphor is forsterite and terrestrial forsterites from a variety of igneous and metamorphic environments. However, differences in the TL peak temperature versus TL peak width relationship between the matrix samples and the other forsterites suggest a fundamentally different formation mechanism. We also note that forsterite appears to be a major component in many primitive materials, such as nebulae, cometary dust, and Stardust particles. [source] A major breakpoint cluster domain in murine radiation-induced acute myeloid leukemia,MOLECULAR CARCINOGENESIS, Issue 2 2002Rosemary Finnon Abstract Cytogenetic and molecular studies have provided evidence of the clustering of chromosome 2 deletion breakpoints in radiation-induced murine acute myeloid leukemia (AML). Moreover, clustering occurs in at least two fragile domains rich in telomere-like arrays. Here we describe a physical map of the distal breakpoint cluster and confirm the presence of inverted head-to-head telomeric sequence arrays. These potentially recombinogenic sequences were not, however, the direct focus for post-irradiation chromosome breakage in AML. Instead, the two arrays bordered a 2.5-kb sequence with properties expected of a nuclear matrix attachment region (MAR). The putative MAR co-localized in the fragile domain with genes important to the hemopoietic system (leukocyte tyrosine kinase, zinc finger protein 106, erythrocyte protein band 4.2, and ,2 -microglobulin (,2m)); the ,2m subdomain was a particular focus of breakage. On the basis of these and other data, we suggest that AML-associated chromosome 2 fragility in the mouse is a consequence of domain-specific fragility in genomic domains containing numerous genes critical to the hemopoietic system. Copyright © Crown Copyright 2002. Recorded with the permission of the controller of Her Majesty's Stationery Office. Published by Wiley-Liss, Inc. [source] Migration and the Tiebout-Tullock Hypothesis RevisitedAMERICAN JOURNAL OF ECONOMICS AND SOCIOLOGY, Issue 2 2009Richard J. Cebula This study investigates, using state-level data for the period 2000,2005, the Tiebout hypothesis (as extended by Tullock) of "voting with one's feet." This analysis differs from previous related studies not only in its adoption of more current migration and other data but also in other ways. First, unlike most earlier related studies, it includes a separate measure of the overall cost of living; second, it examines per pupil (rather than per capita) outlays on public primary and secondary education; and third, in addition to property taxes, it also focuses on per capita state income tax burdens. Inclusion of the last of these variables in the analysis is based on studies that have found the existence of a state income tax to have influenced migration patterns and other studies that have found higher state income tax levels to have resulted in reduced per capita income growth over time. Moreover, including both property tax burdens and income tax burdens broadens the scope of the hypothesis. Strong empirical support for the Tiebout-Tullock hypothesis (as interpreted here) is obtained for the study period. [source] Practical aspects of sharing controls between case-control studies,PHARMACOEPIDEMIOLOGY AND DRUG SAFETY, Issue 8 2005Greta R. Bunin PhD Abstract Purpose We discuss the practical advantages and challenges of sharing controls among two or more concurrently conducted case-control studies. Methods We conducted two case-control studies, one of breast cancer and the other of endometrial cancer, with overlapping, shared control groups. The studies had overlapping geographic areas, identical telephone questionnaires and biosample collection, and identical age and race eligibility. Results Sharing controls reduced the number of potential controls that had to be identified by random-digit dialing by 25% and the number of eligible controls that had to be interviewed by 32%. The cost savings were approximately $296,000, or 7% of the program project that funded the studies. Conclusions The disadvantage of sharing controls was the complexity of the design and the additional investigator time required to plan, monitor, and adjust the design. In the situation presented here, the complexities would have been reduced greatly if we had not attempted to frequency match on age in both studies. Generally, sharing controls is likely to work well when strict frequency matching is not required and there is a large overlap of interview questions, other data to be collected, and eligibility criteria among the studies. Copyright © 2005 John Wiley & Sons, Ltd. [source] | |||||||||||||||||||||||||||||||||||||