Home About us Contact
|
Home About us Contact | ||
|
|
||
Rank Correlation (rank + correlation)
Kinds of Rank Correlation Terms modified by Rank Correlation Selected AbstractsAssessment of European streams with diatoms, macrophytes, macroinvertebrates and fish: a comparative metric-based analysis of organism response to stressFRESHWATER BIOLOGY, Issue 9 2006DANIEL HERING Summary 1. Periphytic diatoms, macrophytes, benthic macroinvertebrates and fish were sampled with standard methods in 185 streams in nine European countries to compare their response to degradation. Streams were classified into two main stream type groups (i.e. lowland, mountain streams); in addition, the lowland streams were grouped into four more specific stream types. 2. Principal components analysis with altogether 43 environmental parameters was used to construct complex stressor gradients for physical,chemical, hydromorphological and land use data. About 30 metrics were calculated for each sample and organism group. Metric responses to different stress types were analysed by Spearman Rank Correlation. 3. All four organism groups showed significant response to eutrophication/organic pollution gradients. Generally, diatom metrics were most strongly correlated to eutrophication gradients (85% and 89% of the diatom metrics tested correlated significantly in mountain and lowland streams, respectively), followed by invertebrate metrics (91% and 59%). 4. Responses of the four organism groups to other gradients were less strong; all organism groups responded to varying degrees to land use changes, hydromorphological degradation on the microhabitat scale and general degradation gradients, while the response to hydromorphological gradients on the reach scale was mainly limited to benthic macroinvertebrates (50% and 44% of the metrics tested correlated significantly in mountain and lowland streams, respectively) and fish (29% and 47%). 5. Fish and macrophyte metrics generally showed a poor response to degradation gradients in mountain streams and a strong response in lowland streams. 6. General recommendations on European bioassessment of streams were derived from the results. [source] The pH change after HCl titration into resting and stimulated saliva for a buffering capacity testAUSTRALIAN DENTAL JOURNAL, Issue 2 2006M. Moritsuka Abstract Background: Saliva collection can provide clinical information about individual patients. However, a correlation between ranking buffering capacity using resting and stimulated saliva is still unknown. The aim of this study was to evaluate the pH change after HCl titration into resting and stimulated saliva for a salivary buffering capacity test. Methods: Resting and stimulated saliva (by chewing paraffin wax) were collected from 80 patients. After the pH of both saliva samples was measured using a hand-held pH meter, the saliva samples were titrated with 0.1N HCl to evaluate the buffering capacity. Correlations of ranking buffering capacity (high, medium, low) between stimulated saliva and resting saliva with 30,L HCl titration and between stimulated saliva and resting saliva with 40,L HCl titration were statistically analysed by Spearman Rank Correlation Test (p < 0.05). Results: At 50,L HCl titration, stimulated saliva buffering capacities were ranked into high (above pH 5.5), medium (pH from 5.5 to 4.5) and low (below pH 4.5). At 30,40,L HCl titration, the resting saliva buffering capacities were ranked into the same categories. Spearman Rank Correlation indicated significant positive coefficients for the stimulated saliva and resting saliva buffering capacity at 30,L titration and the stimulated saliva and resting saliva at 40,L titration. Conclusion: Stimulated saliva is more resistant to variation in pH change during HCl titration than resting saliva. Stimulated saliva sampling is a good method to determine buffering capacity during a comprehensive oral health assessment. [source] Migraine Headache Recurrence: Relationship to Clinical, Pharmacological, and Pharmacokinetic Properties of TriptansHEADACHE, Issue 4 2003Gilles Géraud MD Background and Objectives.,Triptan use is associated with headache recurrence, and this has been cited as an important reason for patient dissatisfaction with the treatment. The mechanism by which recurrence occurs is not clear, and the incidence of recurrence varies with the triptan used. In order to explore the pharmacological and physiological interaction of triptans and migraine headache recurrence further, some specific clinical, pharmacological, and pharmacokinetic factors that might influence migraine recurrence were evaluated in a review of the major efficacy data for the drugs in the triptan class. These factors were 5-HT1B and 5-HT1D receptor activities, the pharmacokinetic elimination half-life of each triptan, and the clinical efficacy of each compound, determined by the proportion of patients with headache relief and the therapeutic gain over placebo. Methods.,Clinical data were derived from 31 triptan, placebo-controlled, major efficacy studies used in a previous meta-analysis. The mean recurrence rate, mean headache response, and therapeutic gain were calculated using the results from the individual clinical studies. Mean headache response and therapeutic gain were calculated at the time point used to define recurrence in each study. Data for binding affinity and potency were taken from a direct-comparison in vitro pharmacology study, and the elimination half-life quoted in the data sheet for each triptan was used. Rank correlation with recurrence rate was performed for each of the test parameters. Results.,Mean headache recurrence rates ranged from 17% for frovatriptan 2.5 mg to 40% for rizatriptan. Elimination half-life and recurrence were inversely correlated (r = ,1.0, P = .0016). There was also a significant inverse correlation between 5-HT1B receptor potency and recurrence (r = ,0.68, P = .034), but 5-HT1D receptor potency was not correlated with recurrence (r = ,0.20, P = .54). In addition, the binding affinities for the 5-HT1B and 5-HT1D receptors were not correlated to headache recurrence. Importantly, it also was demonstrated that initial clinical efficacy was not correlated to headache recurrence. The correlation coefficient for headache response was 0.18 (P = .53) and for therapeutic gain, ,0.11 (P = .71). Conclusion.,The incidence of migraine headache recurrence varies between drugs in the triptan class. Migraine recurrence does not appear to be related to initial clinical efficacy, but is influenced by the pharmacological and pharmacokinetic properties of the individual triptans. The triptans with longer half-lives and greater 5-HT1B receptor potency had the lowest rates of headache recurrence. [source] Sampling within the genome for measuring within-population diversity: trade-offs between markersMOLECULAR ECOLOGY, Issue 7 2002S. Mariette Abstract Experimental results of diversity estimates in a set of populations often exhibit contradictory patterns when different marker systems are used. Using simulations we identified potential causes for these discrepancies. These investigations aimed also to detect whether different sampling strategies of markers within the genome resulted in different estimates of the diversity at the whole genome level. The simulations consisted in generating a set of populations undergoing various evolutionary scenarios which differed by population size, migration rate and heterogeneity of gene flow. Population diversity was then computed for the whole genome and for subsets of loci corresponding to different marker techniques. Rank correlation between the two measures of diversity were investigated under different scenarios. We showed that the heterogeneity of genetic diversity either between loci (genomic heterogeneity, GH) or among populations (population heterogeneity, PH) varied greatly according to the evolutionary scenario considered. Furthermore, GH and PH were major determinants of the level of rank correlation between estimates of genetic diversities obtained using different kinds of markers. We found a strong positive relationship between the level of the correlation and PH, whatever the marker system. It was also shown that, when GH values were constantly low during generations, a reduced number of microsatellites was enough to predict the diversity of the whole genome, whereas when GH increased, more loci were needed to predict the diversity and amplified fragment length polymorphism markers would be more recommended in this case. Finally the results are discussed to recommend strategies for gene diversity surveys. [source] Relation between Holstein bulls' proofs for milk in USA and the survival and body weights up to 18 months of their F1 zebu progeny in VenezuelaJOURNAL OF ANIMAL BREEDING AND GENETICS, Issue 3 2003J. R. Pacheco Summary The purpose of the study was to determine the relation between Holstein bulls' proofs for milk in USA, and the survival and body weights of their F1 progeny under lowland grazing conditions in Venezuela. Semen was selected from sires with the highest proofs available locally (class H, n = 23) or with proofs close to the breed average (class A, n = 18). Mean proofs were 934 kg (H) and 237 kg (A), respectively, when semen was purchased (1989,93), falling to 204 and ,386 kg when updated in 2001. Dams were Brahman-type zebus on seven farms, raising the F1 progeny (n = 866) on native or cultivated pasture with only mineral supplements. Records of survival to 8 and 18 months and weights at birth, 8 and 18 months of age were analysed using linear models. Sire class had no effect on survival or weight at birth, but H progeny were slightly heavier than A progeny at 8 (4.0%, p = 0.06) and 18 months (2.6%, p < 0.05). The interaction class × farm was only significant for survival, with H progeny equal or superior to A groups on six farms. The effect of sire within class was highly significant for survival to 8 months and weight at 18 months. Rank correlations using sires' milk proofs and F1 progeny weights and survival were not significant. It was concluded that the use of Holstein bulls with high milk proofs may lead to slightly higher 18-month weights in their F1 progeny in tropical grazing systems, covering the additional cost of H semen, but that sire evaluation for weight gain and progeny survival rates may be justified under these conditions. Zusammenfassung Beziehungen zwischen den Zuchtwerten für Milch von Holstein-Bullen in den USA und dem Überleben und dem Körpergewicht bis zu 18 Monaten ihrer F1-Zebu-Nachkommen in Venezuela Der Zweck dieser Studie war die Ermittlung der Beziehungen zwischen den Milch-Zuchtwerten von Holstein-Bullen in den USA und dem Überleben und dem Körpergewicht von F1-Nachkommen unter den Weidebedingungen des Flachlandes in Venezuela. Ausgewählt wurde das Sperma von lokal verfügbaren Bullen mit den höchsten Zuchtwerten (Klasse H, n = 23) oder mit Zuchtwerten, die eng am Populationsdurchschnitt (Klasse A, n = 18) lagen. Beim Erwerb des Spermas (1989,1993) betrugen die mittleren Zuchtwerte 934 kg (H) beziehungsweise 237 kg (A), die bei der Neubewertung 2001 auf 204 kg und ,386 kg abfielen. Die Kühe waren Zebus im Brahman-Typ von sieben Farmen, die die F1-Nachkommen (n = 866) auf natürlichen oder kultivierten Weiden nur mit zusätzlichem Mineralfutter aufzogen. Das Überleben mit acht und 18 Monaten und das Gewicht bei der Geburt, mit acht und mit 18 Monaten wurde mittels linearer Modelle analysiert. Die Bullenklasse zeigte keinen Effekt auf das Überleben und das Geburtsgewicht, aber die H-Nachkommen waren mit acht (4%, p = 0,06) und 18 Monaten (2,6%, p < 0,05) etwas schwerer als die A-Nachkommen. Die Interaktion "Klasse × Farm" war nur für das Überleben signifikant, mit H-Nachkommen gleich oder besser als die A-Gruppen auf sechs Farmen. Der Effekt des Vaters innerhalb der Klasse war hochsignifikant für das Überleben der ersten acht Monate und das Gewicht mit 18 Monaten. Rang-Korrelationen mit den Milch-Zuchtwerten der Bullen und den Gewichten und dem Überleben der F1-Nachkommen waren nicht signifikant. Die Verwendung von Holstein-Bullen mit hohen Zuchtwerten für Milch kann zu einer leichten Erhöhung des Gewicht der F1-Nachkommen mit 18 Monaten in tropischen Weidesystemen führen, welche die zusätzlichen Kosten des H-Spermas abdeckt, aber die Bewertung der Bullen hinsichtlich Gewichtszunahme und Überlebensrate der Nachkommen müsste unter diesen Bedingungen berichtigt werden. [source] Nested assemblages of Orthoptera species in the Netherlands: the importance of habitat features and life-history traitsJOURNAL OF BIOGEOGRAPHY, Issue 11 2007M. A. Schouten Abstract Aim, Species communities often exhibit nestedness, the species found in species-poor sites representing subsets of richer ones. In the Netherlands, where intensification of land use has led to severe fragmentation of nature, we examined the degree of nestedness in the distribution of Orthoptera species. An assessment was made of how environmental conditions and species life-history traits are related to this pattern, and how variation in sampling intensity across sites may influence the observed degree of nestedness. Location, The analysis includes a total of 178 semi-natural sites in the Pleistocene sand region of the Netherlands. Methods, A matrix recording the presence or absence of all Orthoptera species in each site was compiled using atlas data. Additionally, separate matrices were constructed for the species of suborders Ensifera and Caelifera. The degree of nestedness was measured using the binmatnest calculator. binmatnest uses an algorithm to sort the matrices to maximal nestedness. We used Spearman's rank correlations to evaluate whether sites were sorted by area, isolation or habitat heterogeneity, and whether species were sorted by their dispersal ability, rate of development or degree of habitat specificity. Results, We found the Orthoptera assemblages to be significantly nested. The rank correlation between site order and sampling intensity was high. The degree of nestedness was lower, but remained significant when under- and over-sampled sites were excluded from the analysis. Site order was strongly correlated with both size of sample site and number of habitat types per site. Rank correlations showed that species were probably ordered by variation in habitat specificity, rather than by variation in dispersal capacity or rate of development of the species. Main conclusions, Variation in sampling intensity among sites had a strong impact on the observed degree of nestedness. Nestedness in habitats may underlie the observed nestedness within the Orthoptera assemblages. Habitat heterogeneity is closely related to site area, which suggests that several large sites should be preserved, rather than many small sites. Furthermore, the results corroborate a focus of nature conservation policy on sites where rare species occur, as long as the full spectrum of habitat conditions and underlying ecological processes is secured. [source] Performance measures in Friedreich ataxia: Potential utility as clinical outcome toolsMOVEMENT DISORDERS, Issue 7 2005David R. Lynch MD Abstract Although several neuroprotective agents have been proposed as potential therapies in Friedreich ataxia (FA), clinical trials of their efficacy are limited by a lack of sensitive outcome measures. We assessed whether performance measures (nine-hole peg test, the timed 25-foot walk, and low-contrast letter acuity) provide valid measures of disease status in FA. Scores for each measure correlated significantly with neurologic disability and disease duration. Rank correlations between scores for performance measures were moderate in magnitude, suggesting that the each test captures separate yet related dimensions of neurological function in FA. Linear regression models demonstrated that scores from the nine-hole peg test and the timed 25-foot walk (after reciprocal transformation) were predicted by age and triplet repeat length in patients with FA. In addition, comparison of the temporal courses of change for each performance measure demonstrated that scores from the timed 25-foot walk change early in the course of FA, nine-hole peg test scores change slowly over the full course of the disorder, and low-contrast letter acuity scores change in the later stages of the disease. Thus, a composite scale derived from these performance measures may provide the best overall measure for assessing disease progression throughout the illness. © 2005 Movement Disorder Society [source] Evaluation of Right Ventricular Fibrosis in Adult Congenital Heart Disease Using Gadolinium-enhanced Magnetic Resonance Imaging: Initial Experience in Patients with Right Ventricular Loading ConditionsCONGENITAL HEART DISEASE, Issue 5 2006Lopa P. Hartke MD ABSTRACT Objective., Gadolinium-enhanced cardiac magnetic resonance imaging has been used to show myocardial fibrosis, a finding that appears as late gadolinium enhancement. Its role in the evaluation of right ventricular fibrosis in congenital heart disease is unclear. The purpose of this study was to demonstrate late gadolinium enhancement of the right ventricle in adult and adolescent congenital heart disease and to investigate the relationship between this enhancement and clinical and pathophysiological data. Design., In total, 24 patients, 16 patients with congenital heart disease and right ventricular loading conditions and 8 controls, underwent gadolinium-enhanced viability imaging. Diagnoses varied and included repaired, palliated, and unrepaired lesions. The presence and extent of right ventricular late gadolinium enhancement was compared with patient clinical and hemodynamic data. Exact Wilcoxon tests, Fisher's exact tests, and Spearman's rank correlation were used to compare variables. Results., Nine of 16 patients (56%) were found to have right ventricular late gadolinium enhancement, ranging from 5% to 80% of right ventricular myocardium affected (mean 36.1%, SD 29.7). The combination of right ventricular systolic pressure ,98 mm Hg and systemic oxygen saturation ,93% strongly suggested the presence of right ventricular late gadolinium enhancement (positive predictive value 100%), but no single variable or combination of variables could reliably predict its absence (negative predictive values ,75%). Extent of right ventricular late gadolinium enhancement did not correlate with degree of either hypoxia or right ventricular hypertension. Conclusions., Gadolinium-enhanced cardiac magnetic resonance demonstrates right ventricular late gadolinium enhancement in some patients with congenital heart disease and right ventricular loading conditions. Clinical variables were associated with the presence of fibrosis but did not reliably predict severity. Myocardial preservation is likely a multifactorial process that may affect the right and left ventricles differently. [source] Beyond Species Richness: Community Similarity as a Measure of Cross-Taxon Congruence for Coarse-Filter ConservationCONSERVATION BIOLOGY, Issue 1 2004JEFFREY C. SU Species richness is only one measure of species diversity, however, and recent studies suggest that investigations of cross-taxon congruence should consider a broader range of assessment techniques. The cross-taxon congruence of community similarity between sites among taxa has rarely been examined and may be the most relevant measure of species diversity in the context of coarse-filter conservation strategies. We examined cross-taxon congruence patterns of species richness and community similarity (Bray-Curtis similarity) among birds, butterflies, and vascular plants in montane meadow habitats in the Greater Yellowstone Ecosystem. Although patterns of species richness (Spearman rank correlation) varied between taxa, we consistently found a positive correlation in community similarity (Mantel test) between all pair-wise comparisons of the three taxa (e.g., sites with similar bird communities also had similar butterfly communities). We suggest that the success of a surrogate taxon depends on the technique used to assess surrogacy and the specific approach to conservation planning. In the context of coarse-filter conservation, measures of community similarity may be more appropriate than measures of species richness. Furthermore, the cross-taxon congruency of community similarity in our study suggests that coarse-filter conservation may be tenable in montane meadow communities. Resumen:,El uso de un taxón sustituto en la planeación de la conservación se ha vuelto cuestionable porque información reciente sugiere que la correlación de riqueza de especies entre pares de taxones es altamente variable taxonómica y geográficamente. Sin embargo, la riqueza de especies es solo una medida de la diversidad de especies, y estudios recientes sugieren que las investigaciones de congruencia trans-taxón debieran considerar una mayor variedad de técnicas de evaluación. La congruencia trans-taxón de la similitud de comunidades entre sitios entre taxones rara vez se ha examinado y puede ser la medida de diversidad de especies más relevante en el contexto de las estrategias de conservación de grano grueso. Examinamos patrones de congruencia trans-taxón de riqueza de especies y similitud de comunidades (similitud Bray-Curtis) en aves, mariposas y plantas vasculares en hábitats de praderas montanas en el Ecosistema Greater Yellowstone. Aunque los patrones de riqueza de especies (correlación Spearman de rangos) variaron entre especies, encontramos consistentemente una correlación positiva en la similitud de la comunidad (prueba de Mantel) entre todas las comparaciones de pares de los tres taxones (es decir, los sitios con comunidades similares de aves también tenían comunidades similares de mariposas). Sugerimos que el éxito de un taxón sustituto depende de la técnica utilizada para evaluar la sustitución y el abordaje específico de la planeación de conservación. En el contexto de la conservación de grano grueso, pueden ser más apropiadas las medidas de similitud de comunidades que las medidas de riqueza de especies. Más aun, la congruencia trans-taxón de similitud de comunidades en nuestro estudio sugiere que la conservación de grano grueso puede ser justificable en comunidades de praderas montanas. [source] The causes, consequences and detection of publication bias in psychiatryACTA PSYCHIATRICA SCANDINAVICA, Issue 4 2000Simon M. Gilbody Objective: Publication bias threatens the validity of published research, although this topic has received little attention in psychiatry. The purpose of this article is to produce a systematic overview of the causes and consequences of publication bias and to summarize the available methods with which it is detected and corrected. Method: Empirical evidence for the existence of publication bias is reviewed and the following methods are applied to an illustrative case example from psychiatry: funnel plot analysis; the ,file drawer method'; linear regression techniques; rank correlation; ,trim and fill'. Results: Small studies are particularly susceptible to publication and related bias. All methods to detect publication bias depend upon the availability of a number of individual studies with a range of sample sizes. Unfortunately, large numbers of studies of varying sample size are not always available in many areas of psychiatric research. Conclusion: Where possible researchers should always test for the presence of publication bias. The problem of publication bias will not be solved by anything other than a prospective trials register. [source] Relating streamflow characteristics to specialized insectivores in the Tennessee River Valley: a regional approach,ECOHYDROLOGY, Issue 4 2008Rodney R. Knight Abstract Analysis of hydrologic time series and fish community data across the Tennessee River Valley identified three hydrologic metrics essential to habitat suitability and food availability for insectivorous fish communities in streams of the Tennessee River Valley: constancy (flow stability or temporal invariance), frequency of moderate flooding (frequency of habitat disturbance), and rate of streamflow recession. Initial datasets included 1100 fish community sites and 300 streamgages. Reduction of these datasets to sites with coexisting data yielded 33 sites with streamflow and fish community data for analysis. Identification of critical hydrologic metrics was completed using a multivariate correlation procedure that maximizes the rank correlation between the hydrologic metrics and fish community resemblance matrices. Quantile regression was used to define thresholds of potential ranges of insectivore scores for given values of the hydrologic metrics. Increased values of constancy and insectivore scores were positively correlated. Constancy of streamflow maintains wetted perimeter, which is important for providing habitat for fish spawning and increased surface area for invertebrate colonization and reproduction. Site scores for insectivorous fish increased as the frequency of moderate flooding (3 times the median annual streamflow) decreased, suggesting that insectivorous fish communities respond positively to less frequent disturbance and a more stable habitat. Increased streamflow recession rates were associated with decreased insectivore scores. Increased streamflow recession can strand fish in pools and other areas that are disconnected from flowing water and remove invertebrates as food sources that were suspended during high-streamflow events. Copyright © 2008 John Wiley & Sons, Ltd. [source] A field validation of two sediment-amphipod toxicity testsENVIRONMENTAL TOXICOLOGY & CHEMISTRY, Issue 7 2002Steven P. Perraro Abstract A field validation study of two sediment-amphipod toxicity tests was conducted using sediment samples collected subtidally in the vicinity of a polycyclic aromatic hydrocarbon (PAH)-contaminated Superfund site in Elliott Bay (WA, USA). Sediment samples were collected at 30 stations with a 0.1 m2 grab from which subsamples were taken for sediment toxicity testing and geochemical and macrofaunal analyses. Standard 10-d sediment-amphipod toxicity tests were conducted with Rhepoxynius abronius and Leptocheirus plumulosus. Sediments were analyzed for 33 PAHs, pentachlorophenol, polychlorinated biphenyls, acid-volatile sulfide, simultaneously extracted metals (Cd, Cu, Zn, Pb, Ni), total organic carbon, and grain size. Sediment temperature, oxygen-reduction potential, water depth, and interstitial water salinity were also measured. Polycyclic aromatic hydrocarbons, quantified as total PAH toxic units (TUPAH), were confirmed to be an important common causal agent of the changes in the two toxicity test (% survival R. abronius, % survival L. plumulosus) and five macrofaunal community (number of species, S; numerical abundance, A; total biomass, B; Swartz's dominance index, SDI; Brillouin's index, H) endpoints. Two other macrofaunal community metrics (the complement of Simpson's index, 1 , SI, and McIntosh's index, MI) were less sensitive to TUPAH than the two toxicity test endpoints. The sensitivities of R. abronius and L. plumulosus to TUPAH were statistically indistinguishable. Field validations were conducted by testing the association between or among each toxicity test endpoint, each of seven macrofaunal community metrics (S, A, B, SDI, H, 1 , SI, MI), and TUPAH by (1) Spearman's coefficient of rank correlation, (2) Kendall's coefficient of concordance, (3) G tests of independence, and (4) regression analysis. Some field validations based on multivariable tests of association (e.g., points 2 and 3) among toxicity test, field, and stressor endpoints produced false positive results. Both toxicity test endpoints were validated as indicators of changes in S, A, SDI, and H by all the methods tested. The resolution power of the relationships between the laboratory toxicity test and macrofaunal field endpoints was low (, three classes) but sufficient to discriminate ecologically important effects. We conclude that standard sediment-amphipod toxicity tests are ecologically relevant and that, under the proper conditions, their results can be used for lab-to-field extrapolation. [source] BIOMARKER: Phosphatidylethanol as a sensitive and specific biomarker,comparison with gamma-glutamyl transpeptidase, mean corpuscular volume and carbohydrate-deficient transferrinADDICTION BIOLOGY, Issue 1 2007Susanne Hartmann ABSTRACT Phosphatidylethanol (PEth), a direct ethanol metabolite, is detectable in blood for more than 2 weeks after sustained ethanol intake. Our aim was to assess the usefulness of PEth [comparing sensitivity, specificity and the area under the curve (AUC)] as compared with carbohydrate-deficient transferrin (CDT), gamma-glutamyl transpeptidase (GGT) and mean corpuscular volume (MCV), calculating the results from sober patients against those from alcohol-dependent patients during withdrawal. Fifty-six alcohol-dependent patients (ICD-10 F 10.25) in detoxification, age 43 years, GGT 81 U/l, MCV 96.4 fl, %CDT 4.2, 1400 g ethanol intake in the last 7 days (median), were included in the study. Over the time of 1 year, 52 samples from 35 sober forensic psychiatric addicted in-patients [age 34 years, GGT 16 U/l, MCV 91 fl, CDT 0.5 (median)] in a closed ward were drawn and used for comparison . PEth was measured in heparinized whole blood with a high-performance liquid chromatography method. GGT, MCV and %CDT were measured using routine methods. A receiver operating characteristic curve analysis was carried out, with ,current drinking status' (sober/drinking) as the state variable and PEth, MCV, GGT and CDT as test variables. The resulting AUC was 0.974 (P < 0.0001, confidence interval 0.932,1.016) for PEth. At a cut-off of 0.36 µmol/l, the sensitivity was 94.5% and specificity 100%. The AUC for CDT, GGT and MCV were 0.931, 0.894 and 0.883, respectively. A significant Spearman's rank correlation was found between PEth and GGT (r = 0.739), CDT (r = 0.643), MVC (r = 0.639) and grams of ethanol consumed in the last 7 days (r = 0.802). Our data suggest that PEth has potential to be a sensitive and specific biomarker, having been found in previous studies to indicate longer lasting intake of higher amounts of alcohol. [source] Inter- and intra-observer reliability of radiographic scores commonly used for the evaluation of haemophilic arthropathyHAEMOPHILIA, Issue 3 2008M. SILVA Summary., Although the severity of haemophilic arthropathy is commonly assessed using established radiographic scoring systems, there is limited available information about their inter- and intra-observer reliability. The purpose of the present study was to establish the inter-observer reliability (IEOR) and intra-observer reliability (IAOR) of three different methods available for the classification of haemophilic arthropathy, including the Arnold and Hilgartner classification, a modification to the Arnold and Hilgartner system described by Luck et al., and the classification described by Pettersson et al. Antero-posterior and lateral radiographs of 54 haemophilic joints were included for the analysis. To determine the IEOR for each one of the three radiographic systems, the radiographs were randomly evaluated by four observers, including two orthopaedic surgeons, one orthopaedic resident and one haematologist. For the determination of IAOR, all four reviewers repeated the assessment in a similar fashion, after a period of at least 2 weeks. IEOR and IAOR for the three classification systems was established using kappa (,) statistics. A Spearman rank correlation was used to determine the similarities between each reviewer's own interpretative scales. The IEOR was low for the Arnold and Hilgartner system (, = 0.35, P , 0.001) and the Luck system (, = 0.38, P , 0.001), but even lower for the Pettersson system (, = 0.06, P = 0.1). For the Pettersson system, particularly low , values were observed for the presence or absence of osteoporosis (, = 0.11, P = 0.0027), enlarged epiphysis (, = 0.10, P = 0.0039), erosion of joint margins (, = 0.11, P = 0.0018), and joint deformity (, = 0.16, P = 0.00001). However, a relatively high Spearman rank correlation for all three scales [rs = 0.75 (P < 0.001) for Arnold and Hilgartner system, rs = 0.74 (P < 0.001) for the Luck system and rs = 0.81 (P < 0.001) for Pettersson system] indicated an overall, general agreement among the reviewers with regard to the severity of the haemophilic arthropathy. There was a moderate IAOR value for both, the Arnold and Hilgartner system (, = 0.57, P = 0.00001) and the Luck system (, = 0.62, P = 0.00001) with a low IAOR value for the Pettersson system [, = 0.22, P = 0.00001). Currently available radiographic scoring systems for haemophilic arthropathy have low inter- and intra-observer reliability rates. Improvements, either through education or modification of the scoring systems, are critical in an era where correlations between clinical and radiographic scores have received significant attention. [source] Ensuring Quality Information for Patients: development and preliminary validation of a new instrument to improve the quality of written health care informationHEALTH EXPECTATIONS, Issue 2 2004Beki Moult BA(Hons) MSc Abstract Background, Despite the recent focus on improving the quality of patient information, there is no rigorous method of assessing quality of written patient information that is applicable to all information types and that prescribes the action that is required following evaluation. Objective, The aims of this project were to develop a practical measure of the presentation quality for all types of written health care information and to provide preliminary validity and reliability of the measure in a paediatric setting. Methods, The Ensuring Quality Information for Patients (EQIP) tool was developed through a process of item generation, testing for concurrent validity, inter-rater reliability and utility. Patient information managers and health care professionals tested EQIP in three annual audits of health care leaflets produced by a children's hospital. Results, The final tool comprised 20 items. Kendall's , B rank correlation between EQIP and DISCERN was 0.56 (P = 0.001). There was strong agreement between intuitive rating and the EQIP score (Kendall's , B = 0.78, P = 0.009). Internal consistency using Cronbach's , was 0.80. There was good agreement between pairs of raters (mean , = 0.60; SD = 0.18) with no differences based on types of leaflets. Audits showed significant improvement in the number of leaflets achieving a higher quality EQIP rating over a 3-year period. Conclusions, EQIP demonstrated good preliminary validity, reliability and utility when used by patient information managers and healthcare professionals for a wide variety of written health care information. EQIP uniquely identifies actions to be taken as a result of the quality assessment. Use of EQIP improved the quality of written health care information in a children's hospital. Wider evaluation of EQIP with written information for other populations and settings is recommended. [source] Spatial grouping of United States climate stations using a hybrid clustering approachINTERNATIONAL JOURNAL OF CLIMATOLOGY, Issue 7 2001Arthur T. DeGaetano Abstract The development of a hybrid clustering technique based on the geographic proximity of observing stations and some application-driven measure of statistical similarity (in this case rank correlation) is described. The procedure is then applied to temperature and precipitation data from the United States (US) Historical Climatology Network. The resulting station groups provide some insight into the number of observation stations that are necessary to monitor adequately the climate of the US. Based on temperature data alone, a 287-station subset of the original 1145 sites would be adequate to account for 80% of the spatial variability in seasonal temperature across the US. Geographically the distribution of these stations would be relatively sparse in the centre of the country with higher station density along the East Coast and from the Rocky Mountains to the West Coast. Generally, the temperature clusters match the existing US climate divisions to some extent. To monitor adequately the spatial variability of precipitation, a network of similar size could be used. However, such a network would only account for 65% of the spatial variability in precipitation. In this case, fairly uniform station density is indicated across the country with the highest station density in Florida and the Dakotas. A similar number of stations, but with slightly different geographic groupings would be adequate to monitor precipitation and temperature simultaneously. Copyright © 2001 Royal Meteorological Society [source] Indicators of anxiety and depression in women with the fragile X premutation: assessment of a clinical sampleJOURNAL OF INTELLECTUAL DISABILITY RESEARCH, Issue 7 2010A. Lachiewicz Abstract Background Current research suggests that depression and anxiety may be common problems in women with the fragile X (FMR1) premutation. Methods To learn more about this in a clinical setting, we asked 33 women with the FMR1 premutation and 20 women without the FMR1 premutation to complete the Brief Carroll Depression Scale (Brief CDS) and the Multidimensional Anxiety Questionnaire (MAQ) and to provide information about mental health medication use. Questionnaire findings were compared between groups and with normative samples. Trinucleotide (CGG) repeat counts were also correlated to checklist findings. Results Both women with the FMR1 premutation and the comparison group had high current mental health medication use (33% vs. 35%). Approximately 1/3 of the women from both groups had high Brief CDS Total T-scores (33% vs. 30%). More women with the FMR1 premutation had at least one elevated MAQ Total or sub-scale T-score than the comparison group (39% vs. 10%, P = 0.03). Twenty-one per cent of women with the FMR1 premutation had all three of the indicators of distress targeted in this study vs. none of the women in the comparison samples (P < 0.05). There was no statistically significant correlation between CGG repeat size and abnormal checklist findings using the Spearman rank correlation, although a higher percentage of women with >100 CGG repeats (57%) had an elevated Brief CDS Total T-score than women with ,100 CGG repeats (16%) (P = 0.02). More women with >100 CGG repeats also had all three indicators of anxiety and depression (P = 0.03). Conclusions Women with the FMR1 premutation appear to have a high incidence of depression and increased symptoms of anxiety. Screening tools like the Brief CDS and the MAQ may be useful to identify these women in the clinic setting. Positive identification could lead to increased mental health care and treatment. [source] A new rank correlation coefficient with application to the consensus ranking problemJOURNAL OF MULTI CRITERIA DECISION ANALYSIS, Issue 1 2002Edward J. Emond Abstract The consensus ranking problem has received much attention in the statistical literature. Given m rankings of n objects the objective is to determine a consensus ranking. The input rankings may contain ties, be incomplete, and may be weighted. Two solution concepts are discussed, the first maximizing the average weighted rank correlation of the solution ranking with the input rankings and the second minimizing the average weighted Kemeny,Snell distance. A new rank correlation coefficient called ,x is presented which is shown to be the unique rank correlation coefficient which is equivalent to the Kemeny-Snell distance metric. The new rank correlation coefficient is closely related to Kendall's tau but differs from it in the way ties are handled. It will be demonstrated that Kendall's ,b is flawed as a measure of agreement between weak orderings and should no longer be used as a rank correlation coefficient. The use of ,x in the consensus ranking problem provides a more mathematically tractable solution than the Kemeny,Snell distance metric because all the ranking information can be summarized in a single matrix. The methods described in this paper allow analysts to accommodate the fully general consensus ranking problem with weights, ties, and partial inputs. Copyright © 2002 John Wiley & Sons, Ltd. [source] Quantifying Phytophthora medicaginis in Susceptible and Resistant Alfalfa with a Real-Time Fluorescent PCR AssayJOURNAL OF PHYTOPATHOLOGY, Issue 11-12 2003G. J. Vandemark Abstract A real-time fluorescent PCR assay using a set of specific primers and a fluorochrome-labelled probe (TaqMan) was developed to quantify the amount of Phytophthora medicaginis DNA in alfalfa plants that were classified as either resistant or susceptible to the pathogen based on visual assessment of disease response. The assay clearly discriminated among three standard check alfalfa populations with different levels of resistance based on the analysis of DNA extracted from the roots of bulked plant samples. In two independent experiments, the Spearman rank correlation between pathogen DNA content and the number of susceptible plants in a bulked sample was greater than 0.89 and highly significant (P<0.0001). Significantly less pathogen DNA was detected in bulked samples of a highly resistant check population than in bulked samples from more susceptible check populations. Analysis of individual plants indicated that significantly less pathogen DNA was detected in resistant plants than in susceptible plants. Applications of the assay are considered for breeding programs and the study of microbial population dynamics in plants simultaneously infected with different pathogens. [source] Validation of a client-based clinical metrology instrument for the evaluation of canine elbow osteoarthritisJOURNAL OF SMALL ANIMAL PRACTICE, Issue 6 2009C. A. Hercock Objective: To validate a disease-specific client-based clinical metrology instrument (questionnaire) for dogs with chronic osteoarthritis of the elbow joint. Materialsand Methods: This was a prospective cohort study involving 26 dogs with chronic osteoarthritis of the elbow with 24 associated clients. Validity (face and criterion), reliability and responsiveness of the metrology instrument (named "Liverpool Osteoarthritis in Dogs [elbow]") were tested in a sequence of studies. Face validity involved use of international peer review. Reliability was assessed using a test-retest scenario with a two week interval; peak vertical force as measured by a force platform was used as an external standard measure. Responsiveness was tested with a two week, single-blinded placebo-controlled intervention using a licensed non-steroidal anti-inflammatory drug. Results: The reliability of Liverpool Osteoarthritis in Dogs (elbow) in the test-retest scenario was good; intraclass correlation coefficient is 0·89, 95 per cent confidence interval 0·75 to 0·95, compared with intraclass correlation coefficient 0·92, 95 per cent confidence interval 0·74 to 0·98, for peak vertical force. Responsiveness testing indicated that the "net" effect size (allowing for placebo effect) for Liverpool Osteoarthritis in Dogs (elbow) was 0·13 compared with (,)0·18 for the force platform. Criterion validity for Liverpool Osteoarthritis in Dogs (elbow) against peak vertical force was poor; Spearman's rank correlation is ,0·24 (P=0·30). Clinical Significance: Liverpool Osteoarthritis in Dogs (elbow) was considered reliable with satisfactory responsiveness. The poor criterion validity suggests a mismatch between force platform peak vertical force and client perceptions of lameness. This instrument requires further validation in larger studies with alternative client groups and alternative therapeutic interventions, but this initial validation suggests that Liverpool Osteoarthritis in Dogs (elbow) is worthy of continued investigation. [source] Relationship between intragastric acid control and healing status in the treatment of moderate to severe erosive oesophagitisALIMENTARY PHARMACOLOGY & THERAPEUTICS, Issue 5 2007P. O. KATZ Summary Aim, To assess the relationship between the percentage of time intragastric pH >4.0 and healing of erosive oesophagitis. Methods, In this proof-of-concept study, adults with endoscopically verified Los Angeles grade C or grade D erosive oesophagitis were randomly assigned to oral esomeprazole 10 or 40 mg once daily for 4 weeks. On day 5, patients underwent 24-h pH monitoring. At 4 weeks, erosive oesophagitis healing status was endoscopically assessed. Investigators scored gastro-oesophageal reflux disease symptoms on a 4-point scale [none to severe (0,3)] before and 4 weeks after treatment. The percentage of time intragastric pH was >4.0 and healing status were correlated and tested for significance using a Spearman rank correlation (r). Results, 103 patients had evaluable data (mean age, 48.7 years; 65% men). Mean percentages of time with intragastric pH >4.0 on day 5 in patients with healed and unhealed erosive oesophagitis were 61% and 42%, respectively (P = 0.0002), indicating that erosive oesophagitis healing rates were positively related to the percentage of time intragastric pH was >4.0. Greater intragastric acid control correlated with lower final daytime and night-time heartburn and acid regurgitation symptom scores (r = ,0.029, ,0.029 and ,0.021; P = 0.003, 0.003 and 0.032, respectively). Conclusion, A positive relationship between intragastric acid control and erosive oesophagitis healing was demonstrated. [source] Hepatocyte senescence in end-stage chronic liver disease: a study of cyclin-dependent kinase inhibitor p21 in liver biopsies as a marker for progression to hepatocellular carcinomaLIVER INTERNATIONAL, Issue 5 2007Elizabeth M. Brunt Abstract Background: Histologic markers to predict hepatocellular carcinoma (HCC) include small cell change and dysplastic nodules. Hepatocyte senescence is noted in chronic liver disease and may or may not be important in progression to HCC. Aim: The study was undertaken to compare standard histologic features of chronic liver disease as well as markers of senescence and proliferation in two groups of biopsies from patients followed for at least a year. Methods: Standard histologic evaluation of necroinflammatory activity, fibrosis, steatosis, and iron, internationally accepted criteria of dysplasia, and immunohistochemical markers for proliferation and hepatocyte senescence were compared in 47 liver biopsies from noncholestatic chronic liver disease patients who subsequently either underwent transplant (the Control group, n=19) or had biopsy-proven (HCC group, n=28) over a similar time period of 34.9 months (mean) and 42.5 months (mean) respectively. Results: Both groups were predominantly men; the MELD score was higher, and mean age was less in the Control group (46.9 vs 53.8 years, P=0.01). Small cell change was not significantly different in the biopsies between the two groups; neither were grade, stage (Ishak scores), nor presence or location of iron. Steatosis was more common in the group that subsequently developed HCC (P=0.04). The MIB-1 proliferation index was greater in the biopsies from the Control group. The senescence marker p21, and the ratio of p21:MIB-1 were not statistically different between the two groups. However, a Spearman's rank correlation showed a linear correlation of p21/MIB-1 with a greater amount of dyplasia in the explant livers of Controls. Conclusions: These findings suggested the Control groups' livers maintained effective removal of cells from the cell cycle by overexpression of p21 and, while not ,protected' from significant involvement by dysplasia, may have been precluded from development of HCC. [source] Feasibility of electromyography (sEMG) in measuring muscular activity during spinal anaesthesia in patients undergoing knee arthroplastyACTA ANAESTHESIOLOGICA SCANDINAVICA, Issue 4 2005L. Niemi-Murola Background:, Bromage scale (0,3) is used to measure the degree of motor block during spinal anaesthesia. However, an estimation of motor block is difficult during surgery. The purpose of this study was to evaluate the feasibility of surface EMG describing spontaneous muscular activity in the lower extremities during spinal anaesthesia. Methods:, In part I of the study, 13 patients undergoing day case surgery were studied. They received 10 mg hyperbaric bupivacaine at interspace L3,4. EMG, sensory and muscular block were measured at 5-min intervals during the first 30 min and then every 15 min until the patient was able to flex the knee. In part II of the study, 16 patients undergoing knee arthroplasty received 10 mg bupivacaine through spinal catheter at interspace L3,4 (Group CSA). An additional bolus of 2.5 mg was administered using EMG-guidance, if needed. Another group, 15 patients, received a single bolus of bupivacaine (15,20 mg) at L3,4 (Group Bolus). EMG, muscular and sensory block were monitored as described above. The epidural catheter was used as rescue. Results:, Part I: EMG compared to modified Bromage scale showed a significant correlation (P < 0.01, Spearman rank correlation). Part II: The amount of bupivacaine was significantly reduced with EMG guidance when compared with the single bolus group (14.0 mg vs. 17.0 mg) (P < 0.05 Mann,Whitney U). Motor block started to recover before the sensory block in 7/15 CSA patients vs. 1/15 Bolus patient. Conclusion:, Stable maximal sensory block does not necessarily correlate with adequate motor block in patients receiving spinal anaesthesia induced with small bolus doses. In spite of electrical noise, EMG-guided administration of spinal anaesthesia significantly reduced the amount of bupivacaine compared to the hospital routine. Further studies are needed to develop the method. [source] Gene expression measurements in the context of epidemiological studiesALLERGY, Issue 12 2008C. Bieli Background:, Gene expression measurements became an attractive tool to assess biological responses in epidemiological studies. However, collection of blood samples poses various technical problems. We used gene expression data from two epidemiological studies to evaluate differences between sampling methods, comparability of two methods for measuring RNA levels and stability of RNA samples over time. Methods:, For the PARSIFAL study, PBLC of 1155 children were collected using EDTA tubes in two countries. In the PASTURE study, tubes containing RNA-stabilizing solutions (PAXgene® Blood RNA Tubes; PreAnalytiX) were used to collect cord blood leucocytes of 982 children in five countries. Real-time PCR (conventional single tube assay and high-throughput low density arrays) was used to quantify expression of various innate immunity genes. In 77 PARSIFAL samples, gene expression was measured repeatedly during prolonged storage. Results:, In PARSIFAL (EDTA tubes) the median RNA yield after extraction significantly differed between the two centres (70 and 34 ng/,l). Collecting blood into an RNA-stabilizing solution markedly reduced differences in RNA yield in PASTURE (range of medians 91,107 ng/,l). The agreement [Spearman rank correlation (r)] between repeated measurements of gene expression decreased with increasing storage time [e.g., for CD14: r (first/second measurement) = 0.35; r (first/third measurement) = 0.03]. RNA levels measured with either the conventional method or low-density arrays were comparable (r > 0.9). Conclusion:, Collecting blood samples into tubes containing an RNA-stabilizing solution increases RNA yield and reduces its variability. Long-term storage of samples may lead to RNA degradation, requiring special attention in longitudinal studies. [source] Sampling within the genome for measuring within-population diversity: trade-offs between markersMOLECULAR ECOLOGY, Issue 7 2002S. Mariette Abstract Experimental results of diversity estimates in a set of populations often exhibit contradictory patterns when different marker systems are used. Using simulations we identified potential causes for these discrepancies. These investigations aimed also to detect whether different sampling strategies of markers within the genome resulted in different estimates of the diversity at the whole genome level. The simulations consisted in generating a set of populations undergoing various evolutionary scenarios which differed by population size, migration rate and heterogeneity of gene flow. Population diversity was then computed for the whole genome and for subsets of loci corresponding to different marker techniques. Rank correlation between the two measures of diversity were investigated under different scenarios. We showed that the heterogeneity of genetic diversity either between loci (genomic heterogeneity, GH) or among populations (population heterogeneity, PH) varied greatly according to the evolutionary scenario considered. Furthermore, GH and PH were major determinants of the level of rank correlation between estimates of genetic diversities obtained using different kinds of markers. We found a strong positive relationship between the level of the correlation and PH, whatever the marker system. It was also shown that, when GH values were constantly low during generations, a reduced number of microsatellites was enough to predict the diversity of the whole genome, whereas when GH increased, more loci were needed to predict the diversity and amplified fragment length polymorphism markers would be more recommended in this case. Finally the results are discussed to recommend strategies for gene diversity surveys. [source] Liver biopsy results in patients with sickle cell disease on chronic transfusions: Poor correlation with ferritin levelsPEDIATRIC BLOOD & CANCER, Issue 1 2008Lina B. Karam MD Abstract Background: Chronic transfusions are effective in preventing stroke and other complications of sickle cell disease. The aim of this study was to determine whether serum ferritin levels correlated with liver iron content in sickle cell patients on chronic transfusion. Procedure: Forty-four liver biopsy specimens from 38 patients with homozygous sickle cell anemia (HbSS) and one patient with sickle thalassemia receiving chronic transfusions were studied. Five patients underwent a second liver biopsy for follow up. Three ferritin measurements were used to calculate a mean for each patient. The association between serum ferritin levels and liver iron quantitation was measured using the Spearman rank correlation, and sensitivity and specificity were determined for selected threshold values of serum ferritin. Results: Serum ferritin levels ranged from 515 to 6076 ng/ml, liver iron concentration ranged from 1.8 to 67.97 mg/g dry weight. The amount of iron per gram liver dry weight was moderately correlated with serum ferritin values (r,=,0.46). The correlation of duration of transfusion with serum ferritin (r,=,0.40) and with liver iron content (r,=,0.41) also indicated moderate correlation. Liver biopsy results led to changes in the management after 29/44 (66%) of the biopsies. Serum ferritin ,2500 ng/ml predicted high liver iron content (,7 mg/g), with a sensitivity of 62.5% and a specificity of 77.8%. Conclusion: We found a poor correlation between serum ferritin levels and liver iron content (LIC). Despite being on chelation therapy, many patients on chronic transfusion had high levels of liver iron. Measurement of LIC is highly recommended in these patients. Pediatr Blood Cancer 2008;50:62,65. © 2007 Wiley-Liss, Inc. [source] Evaluation of carrot resistance to alternaria leaf blight in controlled environmentsPLANT PATHOLOGY, Issue 1 2006A. Pawelec The objective of this study was to find a technique for plant resistance screening to alternaria leaf blight (ALB), caused by the fungus Alternaria dauci, in controlled environments. Glasshouse and laboratory screening methods were compared using three cultivars and F2 genotypes segregating for ALB resistance evaluated against self-pollinated F3 field-grown plants. Plant disease was assessed through a disease index obtained from the size and number of symptoms on carrot leaves. The results indicated the value of glasshouse evaluation and the inadequacy of detached leaf and hypocotyl assays for carrot screening for ALB resistance. Spearman's rank correlation, applied to results obtained with both F2 plants and their progeny, indicated that the optimal evaluation stage for ALB resistance in carrot is 20 days after inoculation. This test was powerful enough to be used as a prescreening test in breeding programmes. [source] On blest's measure of rank correlationTHE CANADIAN JOURNAL OF STATISTICS, Issue 1 2003Christian Genest Abstract Blest (2000) proposed a new nonparametric measure of correlation between two random variables. His coefficient, which is dissymmetric in its arguments, emphasizes discrepancies observed among the first ranks in the orderings induced by the variables. The authors derive the limiting distribution of Blest's index and suggest symmetric variants whose merits as statistics for testing independence are explored using asymptotic relative efficiency calculations and Monte Carlo simulations. Blest (2000) a proposé une nouvelle mesure non paramétrique de corrélation entre deux variables aléatoires. Son coefficient, qui est asymétrique en ses arguments, met l'accent sur les écarts observés dans les premiers rangs des classements induits par les aléas. Les auteurs déterminent la loi limite de l'indice de Biest et en suggèrent des variantes symétriques dont ils explorent les mérites en tant que statistiques de tests d'indépendance au moyen de calculs d'efficacité relative asymptotique et d'une étude de Monte-Carlo. [source] Blepharokymographic Analysis of Eyelid Motion in Bell's PalsyTHE LARYNGOSCOPE, Issue 2 2007Seung-Ho Choi MD Abstract Objective: To present characteristics of eyelid motion measured by blepharokymography in Bell's palsy patients and to discuss possible roles and limitations of blepharokymography. Study Design. Retrospective analysis. Methods: The study included 72 patients with Bell's palsy who presented to the Department of Otolaryngology at Asan Medical Center, Seoul, Korea, between April 2002 and March 2005, and who underwent both electroneuronography and blepharokymography. Parameters of eyelid motion were measured using revised blepharokymography. Correlations between blepharokymography and electroneuronography or House-Brackmann grade were examined by Spearman rank correlation and Kendall's ,-b correlation, respectively. Results: Compared with the normal side, all parameters of eyelid motion except opening time were decreased on the palsy side, with peak closing velocity showing the greatest difference (40.2%). On average, paralytic eyelids moved down 6.5 mm in 277 ms with a peak velocity of 55.4 mm/s, whereas normal eyelids moved down 9.7 mm in 214 ms, with a peak velocity of 142.6 mm/s. Subtle paralytic eyelid motion or "lid lag" could be objectively documented by blepharokymography to have longer and gentler downward slopes in displacement curves. Most blepharokymographic parameters correlated with ocular electroneuronography and House-Brackmann grade. Conclusions: Slow or incomplete closure of paralytic eyelids can be graphically and numerically analyzed by blepharokymography. Blepharokymography may be useful for evaluating status, predicting prognosis, and assessing effects of rehabilitative procedures, including gold weight implants in patients with facial palsy. [source] Altered inflammatory responses in preterm children with cerebral palsyANNALS OF NEUROLOGY, Issue 2 2010Chang-Yi Lin BS Objective Perinatal inflammatory responses contribute to periventricular leukomalacia (PVL) and cerebral palsy (CP) in preterm infants. Here, we examined whether preterm children with CP had altered inflammatory responses when school-aged. Methods Thirty-two preterm children with PVL-induced CP (mean [±standard deviation] age, 7.2 ± 3.6 years) and 32 control preterm children with normal neurodevelopment (6.2 ± 2.2 years) and matched for gestational age were recruited. We measured tumor necrosis factor (TNF)-, levels in the plasma and the supernatants of peripheral blood mononuclear cells (PBMCs) before and after lipopolysaccharide (LPS) stimulation, and proinflammatory gene expression in the PBMCs. Results TNF-, expression was significantly higher in the plasma (p < 0.001) and supernatants of LPS-stimulated PBMCs (p = 0.003) in the CP group than in the control group. After LPS stimulation, the intracellular TNF-, level in the PBMCs was significantly lower in the control group (p = 0.016) and significantly higher in the CP group (p = 0.01). The CP group also had, in their nonstimulated PBMCs, significantly higher mRNA levels of inflammatory molecules: toll-like receptor 4 (TLR-4) (p = 0.0023), TNF-, (p = 0.0016), transforming growth factor-,,activated kinase 1 (p = 0.038), I,B kinase-, (p = 0.029), and c-Jun N-terminal kinase (p = 0.045). The TLR-4 mRNA levels in the PBMCs were highly correlated with TNF-, levels in LPS-stimulated PBMCs (Spearman rank correlation = 0.38, p = 0.03). Interpretation The finding that preterm children with PVL-induced CP have altered inflammatory responses indicates the possibility of programming effect of PVL or inflammation-related events during early life. ANN NEUROL 2010;68:204,212 [source] | |||||||||||||||||||||||||||||||||||||