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Potential Reduction (potential + reduction)
Selected AbstractsHome Monitoring in Patients with Implantable Cardiac Devices: Is There a Potential Reduction of Stroke Risk?JOURNAL OF CARDIOVASCULAR ELECTROPHYSIOLOGY, Issue 11 2009Results from a Computer Model Tested Through Monte Carlo Simulations Introduction: Patients with pacemakers and implantable defibrillators (ICD) may experience asymptomatic atrial fibrillation (AF), detected with a delay depending on the in-person follow-up schedule. Home monitoring (HM) remote control with automatic alerts for AF may drive early anticoagulation, potentially reducing stroke risk. Methods and Results: A sample of 136 pacemaker (103) and ICD (33) patients with or without cardiac resynchronization therapy not taking anticoagulation at implant were monitored remotely with HM. Upon HM alerts for AF, patients were recalled to update therapy. Two-year data were entered in a computer Monte Carlo model, simulating 4,000 virtual subjects with the same AF and CHADS2 stroke risk distribution of our real population. Simulations reproduced a 2-year follow-up. Two thousand subjects were supposed to be followed with HM (HM group) and 2,000 with standard in-person follow-up (SF group) at 3, 6, 9, or 12 months. Two-year Kaplan-Meier cumulative probability of ,24-hour AF was 15.6% (95%CI 8.5,23.3%); the AF-related symptom rate was 27% and the median CHADS2 score was 2. As a result of simulations, stroke incidence in case of AF was 2.3 ± 1.1% in the HM group and 2.4 ± 1.1%, 2.5 ± 1.2%, 2.7 ± 1.2%, and 2.9 ± 1.3% in the SF group with 3-, 6-, 9-, and 12-month follow-up programs, with odds ratios of 0.97 (95%CI 0.93,1.01), 0.91 (0.88,0.95), 0.87 (0.84,0.90), and 0.82 (0.79,0.85) (HM better if odds ratios <1), respectively. Conclusions: Daily HM potentially reduces the stroke risk by 9% to 18% with respect to SF with intervisit intervals of 6 to 12 months. [source] Effects of hydrolyzed Chlorella vulgaris by malted barley on the immunomodulatory response in ICR mice and in Molt-4 cellsJOURNAL OF THE SCIENCE OF FOOD AND AGRICULTURE, Issue 9 2010Na-Hyung Kim Abstract BACKGROUND:Chlorella vulgaris is a unicellular and microscopic algae that is currently used in a variety of forms of tablets, capsules and liquid as a biological response modifier. The aim of this study was to investigate the effects of hydrolyzed Chlorella vulgaris by malted barley for its potential reduction of the immobility time in ICR mice and on the cytokine regulation in human T cell line, Molt-4. RESULTS: After a forced swimming test, the changes in aspects of blood biochemical parameters due to the administration of hydrolyzed Chlorella vulgaris by malted barley were examined. The effect of hydrolyzed Chlorella vulgaris by the malted barley-treated group for 14 days on the immobility time was significantly reduced in comparison with that of the control group (P < 0.01). The plasma level of blood urea nitrogen was significantly decreased in hydrolyzed Chlorella vulgaris by malted barley-treated group compared with the control group (P < 0.05). In addition, hydrolyzed Chlorella vulgaris by malted barley increased interferon-, and interlukin-2 levels in Molt-4 cells. CONCLUSION: These results indicate that hydrolyzed Chlorella vulgaris by malted barley is useful for immune function improvements, enhanced physical stamina, and as a candidate for an anti-fatigue or antidepressant agent. Copyright © 2010 Society of Chemical Industry [source] Sediment dynamics and pollutant mobility in rivers: An interdisciplinary approachLAKES & RESERVOIRS: RESEARCH AND MANAGEMENT, Issue 1 2004Ulrich Förstner Abstract Characteristic dynamic features of sediment-related processes in rivers include dramatic effects of stormwater events on particle transport, rapid and far-reaching effects of sulphide oxidation during resuspension, and biological accumulation and potential release of toxic chemicals. Pollutant mobility is the net result of the stabilizing and mobilizing effects in both hydraulic and chemical fields. In practice, emphasis has to be given to fine-grained sediments and suspended matter as these materials exhibit large surface areas and high sorption capacities. Organic materials are highly reactive. Degradation of organic matter will induce oxygen depletion and might enhance formation of flocs and biofilms. Study of variations of sediment and water chemistry should predominantly include changes of pH and redox conditions, competition of dissolved ions and processes such as complexation by organic substances. Major questions relate to the potential reduction of sorption sites on minerals and degradation of organic carrier materials. All these processes will influence solution/solid equilibrium conditions and have to be studied prior to modelling the overall effects of pollutants on the water body and aquatic ecosystems. With respect to handling and remediation of contaminated river sediments, either in-place or excavated, a chemical and biological characterization of the material, of the (disposal) site and of the long-term processes is crucial. Passive techniques (e.g. in situ stabilization, subaqueous capping) provide economic advantages as there are no operation costs following their installation. However, the success of these ecological and geochemical engineering approaches is mainly based on an in-depth knowledge of the underlying processes. [source] Variations in worker compensation claims by company,the potential for achieving a significant reduction in claimsAMERICAN JOURNAL OF INDUSTRIAL MEDICINE, Issue 6 2007Kenneth D. Rosenman MD Abstract Background The objective of our study was to examine the potential reduction in paid worker compensation claims if the rate of claims were as low as the rates of the top companies in that industry category. Methods Using Michigan data for the years 1999,2001, we first excluded companies who had no paid worker compensation claims for wage replacement and then calculated the top 10th, 25th, and 50th percentile rates of paid worker compensation claims for wage replacement of all the remaining companies combined and by 2 digit SIC. The percent reduction was calculated separately for small (<20 employees) and large companies based on the differences in observed minus expected if all companies did as well as the top companies in their industry grouping. Results Fifty-nine percent of large companies and 90% of small companies had no paid worker compensation claims for wage replacement over the 3-year period. Controlling for industry type there would have been 91,504 fewer paid workers' compensation claims if all companies with at least one claim did as well as the 10th percentile or better as the companies in their industry grouping. Reductions were found across all industries and for both small and large companies. Conclusion Variations in worker compensation claims between states are highlighted when legislators consider "reforms" to reduce workers' compensation costs. These reforms overlook the larger variation between companies within the same type of industry in the same state. Possible reasons for this variation between companies and its implication on reducing morbidity and health care costs are discussed. Am. J. Ind. Med. 50:415,420, 2007. © 2007 Wiley-Liss, Inc. [source] Achieving super-resolution X-ray imaging with mobile C-arm devicesTHE INTERNATIONAL JOURNAL OF MEDICAL ROBOTICS AND COMPUTER ASSISTED SURGERY, Issue 3 2009C. Bodensteiner Abstract Background The term super-resolution refers to the process of combining a set of low-resolution images into a high-resolution image using image processing methods. This work is concerned with the reconstruction of high-resolution X-ray images. Specifically, we address the problem of acquiring X-ray images from multiple, very close view points. Methods We propose to use a novel experimental robotic C-arm device to create high-resolution X-ray images. For this purpose, we suggest different strategies for acquiring multiple low-resolution images, and we provide the steps to achieve acquisition-error compensation. Compared to visible light images, X-ray images have the particularity that parallax effects render super-resolution very difficult. Using the acquired multi-frame data, we evaluate recent well-known super-resolution reconstruction algorithms. The same algorithms are evaluated based on synthetic 3D phantom data and real X-ray images. Results In experiments with both synthetic and real projection data, we successfully reconstruct up to four times higher-resolution images. These images reveal structures and details which are not perceivable in the low-resolution images. Conclusions The advantage of super-resolution techniques for X-ray is the potential reduction of radiation dose for patients and medical personnel. Potential medical applications include the diagnosis of early-stage osteoporosis and the detection of very small calcifications. Copyright © 2009 John Wiley & Sons, Ltd. [source] Evaluation of fetuses in a study of intravenous immunoglobulin as preventive therapy for congenital heart block: Results of a multicenter, prospective, open-label clinical trial,ARTHRITIS & RHEUMATISM, Issue 4 2010Deborah M. Friedman Objective The recurrence rate of anti-SSA/Ro,associated congenital heart block (CHB) is 17%. Sustained reversal of third-degree block has never been achieved. Based on potential reduction of maternal autoantibody titers as well as fetal inflammatory responses, intravenous immunoglobulin (IVIG) was evaluated as preventive therapy for CHB. Methods A multicenter, prospective, open-label study based on Simon's 2-stage optimal design was initiated. Enrollment criteria included the presence of anti-SSA/Ro antibodies in the mother, birth of a previous child with CHB/neonatal lupus rash, current treatment with ,20 mg/day of prednisone, and <12 weeks pregnant. IVIG (400 mg/kg) was given every 3 weeks from week 12 to week 24 of gestation. The primary outcome was the development of second-degree or third-degree CHB. Results Twenty mothers completed the IVIG protocol before the predetermined stopping rule of 3 cases of advanced CHB in the study was reached. CHB was detected at 19, 20, and 25 weeks; none of the cases occurred following the finding of an abnormal PR interval on fetal Doppler monitoring. One of these mothers had 2 previous children with CHB. One child without CHB developed a transient rash consistent with neonatal lupus. Sixteen children had no manifestations of neonatal lupus at birth. No significant changes in maternal titers of antibody to SSA/Ro, SSB/La, or Ro 52 kd were detected over the course of therapy or at delivery. There were no safety issues. Conclusion This study establishes the safety of IVIG and the feasibility of recruiting pregnant women who have previously had a child with CHB. However, IVIG at low doses consistent with replacement does not prevent the recurrence of CHB or reduce maternal antibody titers. [source] In situ Mixing of Organic Matter Decreases Hydraulic Conductivity of Denitrification Walls in Sand AquifersGROUND WATER MONITORING & REMEDIATION, Issue 1 2008Gregory F. Barkle In a previous study, a denitrification wall was constructed in a sand aquifer using sawdust as the carbon substrate. Ground water bypassed around this sawdust wall due to reduced hydraulic conductivity. We investigated potential reasons for this by testing two new walls and conducting laboratory studies. The first wall was constructed by mixing aquifer material in situ without substrate addition to investigate the effects of the construction technique (mixed wall). A second, biochip wall, was constructed using coarse wood chips to determine the effect of size of the particles in the amendment on hydraulic conductivity. The aquifer hydraulic conductivity was 35.4 m/d, while in the mixed wall it was 2.8 m/d and in the biochip wall 3.4 m/d. This indicated that the mixing of the aquifer sands below the water table allowed the particles to re-sort themselves into a matrix with a significantly lower hydraulic conductivity than the process that originally formed the aquifer. The addition of a coarser substrate in the biochip wall significantly increased total porosity and decreased bulk density, but hydraulic conductivity remained low compared to the aquifer. Laboratory cores of aquifer sand mixed under dry and wet conditions mimicked the reduction in hydraulic conductivity observed in the field within the mixed wall. The addition of sawdust to the laboratory cores resulted in a significantly higher hydraulic conductivity when mixed dry compared to cores mixed wet. This reduction in the hydraulic conductivity of the sand/sawdust cores mixed under saturated conditions repeated what occurred in the field in the original sawdust wall. This indicated that laboratory investigations can be a useful tool to highlight potential reductions in field hydraulic conductivities that may occur when differing materials are mixed under field conditions. [source] The Watershed Deposition Tool: A Tool for Incorporating Atmospheric Deposition in Water-Quality Analyses,JOURNAL OF THE AMERICAN WATER RESOURCES ASSOCIATION, Issue 4 2009Donna B. Schwede Abstract:, A tool for providing the linkage between air and water-quality modeling needed for determining the Total Maximum Daily Load (TMDL) and for analyzing related nonpoint-source impacts on watersheds has been developed. Using gridded output of atmospheric deposition from the Community Multiscale Air Quality (CMAQ) model, the Watershed Deposition Tool (WDT) calculates average per unit area and total deposition to selected watersheds and subwatersheds. CMAQ estimates the wet and dry deposition for all of its gaseous and particulate chemical species, including ozone, sulfur species, nitrogen species, secondary organic aerosols, and hazardous air pollutants at grid scale sizes ranging from 4 to 36 km. An overview of the CMAQ model is provided. The somewhat specialized format of the CMAQ files is not easily imported into standard spatial analysis tools. The WDT provides a graphical user interface that allows users to visualize CMAQ gridded data and perform further analyses on selected watersheds or simply convert CMAQ gridded data to a shapefile for use in other programs. Shapefiles for the 8-digit (cataloging unit) hydrologic unit code polygons for the United States are provided with the WDT; however, other user-supplied closed polygons may be used. An example application of the WDT for assessing the contributions of different source categories to deposition estimates, the contributions of wet and dry deposition to total deposition, and the potential reductions in total nitrogen deposition to the Albemarle-Pamlico basin stemming from future air emissions reductions is used to illustrate the WDT capabilities. [source] | |||||||||||||