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Relative Changes (relative + change)
Selected AbstractsDetection of NH3 by Quartz Crystal Microbalance Coated with Ta2O5PLASMA PROCESSES AND POLYMERS, Issue 2 2006Velichka Georgieva Abstract Summary: This paper reports a study of the sorption properties of thin Ta2O5 films to NH3 vapors. The films are deposited using electron beam evaporation. In order to determine the sorption ability of Ta2O5 to NH3, a quartz crystal microbalance (QCM) with a thin Ta2O5 film is investigated. The Ta2O5 film is used as a receptor for the NH3 gas. The AT-cut, 14 MHz quartz resonators allow conversion of the additional mass loading that occurs as a result of sorption into a frequency shift. The experiments are carried out by measuring the resonant frequency shift of the QCM to vapors from an aqueous solution of NH3 with different concentrations from 10 to 10,000 ppm. The obtained experimental results indicate that the variations of the resonant frequency are a function of the ammonia concentration and the thickness of the Ta2O5 layer. The process of sorption is found to be reversible. The reported investigation shows that a QCM covered with a thin Ta2O5 layer is sensitive to ammonia vapors at room temperature and is able to detect NH3 concentrations in the investigated range (10,10,000 ppm). Relative change of QCM frequency versus ammonia concentration [source] Trends in Inpatient Treatment Intensity among Medicare Beneficiaries at the End of LifeHEALTH SERVICES RESEARCH, Issue 2 2004Amber E. Barnato Objective. Although an increasing fraction of Medicare beneficiaries die outside the hospital, the proportion of total Medicare expenditures attributable to care in the last year of life has not dropped. We sought to determine whether disproportionate increases in hospital treatment intensity over time among decedents are responsible for the persistent growth in end-of-life expenditures. Data Source. The 1985,1999 Medicare Medical Provider Analysis and Review (MedPAR) and Denominator files. Study Design. We sampled inpatient claims for 20 percent of all elderly fee-for-service Medicare decedents and 5 percent of all survivors between 1985 and 1999 and calculated age-, race-, and gender-adjusted per-capita inpatient expenditures and rates of intensive care unit (ICU) and intensive procedure use. We used the decedent-to-survivor expenditure ratio to determine whether growth rates among decedents outpaced growth relative to survivors, using the growth rate among survivors to control for secular trends in treatment intensity. Data Collection. The data were collected by the Centers for Medicare and Medicaid Services. Principal Findings. Real inpatient expenditures for the Medicare fee-for-service population increased by 60 percent, from $58 billion in 1985 to $90 billion in 1999, one-quarter of which were accrued by decedents. Between 1985 and 1999 the proportion of beneficiaries with one or more intensive care unit (ICU) admission increased from 30.5 percent to 35.0 percent among decedents and from 5.0 percent to 7.1 percent among survivors; those undergoing one or more intensive procedure increased from 20.9 percent to 31.0 percent among decedents and from 5.8 percent to 8.5 percent among survivors. The majority of intensive procedures in the United States were performed in the more numerous survivors, although in 1999 50 percent of feeding tube placements, 60 percent of intubations/tracheostomies, and 75 percent of cardiopulmonary resuscitations were in decedents. The proportion of beneficiaries dying in a hospital decreased from 44.4 percent to 39.3 percent, but the likelihood of being admitted to an ICU or undergoing an intensive procedure during the terminal hospitalization increased from 38.0 percent to 39.8 percent and from 17.8 percent to 30.3 percent, respectively. One in five Medicare beneficiaries who died in the hospital in 1999 received mechanical ventilation during their terminal admission. Conclusions. Inpatient treatment intensity for all fee-for-service beneficiaries increased between 1985 and 1999 regardless of survivorship status. Absolute changes in per-capita hospital expenditures, ICU admissions, and intensive inpatient procedure use were much higher among decedents. Relative changes were similar except for ICU admissions, which grew faster among survivors. The secular decline in in-hospital deaths has not resulted in decreased per capita utilization of expensive inpatient services in the last year of life. This could imply that net hospital expenditures for the dying might have been even higher over this time period if the shift toward hospice had not occurred. [source] Timing of ibuprofen use and bone mineral density adaptations to exercise trainingJOURNAL OF BONE AND MINERAL RESEARCH, Issue 6 2010Wendy M Kohrt Abstract Prostaglandins (PGs) are essential signaling factors in bone mechanotransduction. In animals, inhibition of the enzyme responsible for PG synthesis (cyclooxygenase) by nonsteroidal anti-inflammatory drugs (NSAIDs) blocks the bone-formation response to loading when administered before, but not immediately after, loading. The aim of this proof-of-concept study was to determine whether the timing of NSAID use influences bone mineral density (BMD) adaptations to exercise in humans. Healthy premenopausal women (n,=,73) aged 21 to 40 years completed a supervised 9-month weight-bearing exercise training program. They were randomized to take (1) ibuprofen (400,mg) before exercise, placebo after (IBUP/PLAC), (2) placebo before, ibuprofen after (PLAC/IBUP), or (3) placebo before and after (PLAC/PLAC) exercise. Relative changes in hip and lumbar spine BMD from before to after exercise training were assessed using a Hologic Delphi-W dual-energy X-ray absorptiometry (DXA) instrument. Because this was the first study to evaluate whether ibuprofen use affects skeletal adaptations to exercise, only women who were compliant with exercise were included in the primary analyses (IBUP/PLAC, n,=,17; PLAC/PLAC, n,=,23; and PLAC/IBUP, n,=,14). There was a significant effect of drug treatment, adjusted for baseline BMD, on the BMD response to exercise for regions of the hip (total, p,<,.001; neck, p,=,.026; trochanter, p,=,.040; shaft, p,=,.019) but not the spine (p,=,.242). The largest increases in BMD occurred in the group that took ibuprofen after exercise. Total-hip BMD changes averaged ,0.2%,±,1.3%, 0.4%,±,1.8%, and 2.1%,±,1.7% in the IBUP/PLAC, PLAC/PLAC, and PLAC/IBUP groups, respectively. This preliminary study suggests that taking NSAIDs after exercise enhances the adaptive response of BMD to exercise, whereas taking NSAIDs before may impair the adaptive response. © 2010 American Society for Bone and Mineral Research [source] A preliminary approach to modeling gas hydrate/ice deposition from dissolved water in a liquid condensate systemAICHE JOURNAL, Issue 7 2009Joseph W. Nicholas Abstract Gas hydrate/ice deposition from a dissolved water phase in a liquid condensate system was modeled using a mass and energy balance. The same modeling parameters were used to model three flow loop experiments (1.89 and 2.83 L/min flow rate deposition tests and a 1.89 L/min dissociation test) with acceptable accuracy. Relative changes in both temperature and pressure drop were modeled using an ice deposit with a 67% void fraction. © 2009 American Institute of Chemical Engineers AIChE J, 2009 [source] Regional cerebral blood flow autoregulation in patients with fulminant hepatic failureLIVER TRANSPLANTATION, Issue 6 2000Fin Stolze Larsen The absence of cerebral blood flow autoregulation in patients with fulminant hepatic failure (FHF) implies that changes in arterial pressure directly influence cerebral perfusion. It is assumed that dilatation of cerebral arterioles is responsible for the impaired autoregulation. Recently, frontal blood flow was reported to be lower compared with other brain regions, indicating greater arteriolar tone and perhaps preserved regional cerebral autoregulation. In patients with severe FHF (6 women, 1 man; median age, 46 years; range, 18 to 55 years), we tested the hypothesis that perfusion in the anterior cerebral artery would be less affected by an increase in mean arterial pressure compared with the brain area supplied by the middle cerebral artery. Relative changes in cerebral perfusion were determined by transcranial Doppler,measured mean flow velocity (Vmean), and resistance was determined by pulsatility index in the anterior and middle cerebral arteries. Cerebral autoregulation was evaluated by concomitant measurements of mean arterial pressure and Vmean in the anterior and middle cerebral arteries during norepinephrine infusion. Baseline Vmean was lower in the brain area supplied by the anterior cerebral artery compared with the middle cerebral artery (median, 47 cm/s; range, 21 to 62 cm/s v 70 cm/s; range 43 to 119 cm/s, respectively; P < .05). Also, vascular resistance determined by pulsatility index was greater in the anterior than middle cerebral artery (median, 1.02; range 1.00 to 1.37 v 0.87; range 0.75 to 1.48; P < .01). When arterial pressure was increased from 84 mm Hg (range 57 to 95 mm Hg) to 115 mm Hg (range, 73 to 130 mm Hg) during norepinephrine infusion, Vmean remained unchanged in 2 patients in the anterior cerebral artery, whereas it increased in the middle cerebral artery in all 7 patients. In the remaining patients, Vmean increased approximately 25% in both the anterior and middle cerebral arteries. Thus, this study could only partially confirm the hypothesis that autoregulation is preserved in the brain regions supplied by the anterior cerebral artery in patients with FHF. Although the findings of this small study need to be further evaluated, one should consider that autoregulation may be impaired not only in the brain region supplied by the middle cerebral artery, but also in the area corresponding to the anterior cerebral artery. [source] Effect of low frequency modulated microwave exposure on human EEG: Individual sensitivityBIOELECTROMAGNETICS, Issue 7 2008Hiie Hinrikus Abstract The aim of this study was to evaluate the effect of modulated microwave exposure on human EEG of individual subjects. The experiments were carried out on four different groups of healthy volunteers. The 450 MHz microwave radiation modulated at 7 Hz (first group, 19 subjects), 14 and 21 Hz (second group, 13 subjects), 40 and 70 Hz (third group, 15 subjects), 217 and 1000 Hz (fourth group, 19 subjects) frequencies was applied. The field power density at the scalp was 0.16 mW/cm2. The calculated spatial peak SAR averaged over 1 g was 0.303 W/kg. Ten cycles of the exposure (1 min off and 1 min on) at fixed modulation frequencies were applied. All subjects completed the experimental protocols with exposure and sham. The exposed and sham-exposed subjects were randomly assigned. A computer also randomly assigned the succession of modulation frequencies. Our results showed that microwave exposure increased the EEG energy. Relative changes in the EEG beta1 power in P3-P4 channels were selected for evaluation of individual sensitivity. The rate of subjects significantly affected is similar in all groups except for the 1000 Hz group: in first group 3 subjects (16%) at 7 Hz modulation; in second group 4 subjects (31%) at 14 Hz modulation and 3 subjects (23%) at 21 Hz modulation; in third group 3 subjects (20%) at 40 Hz and 2 subjects (13%) at 70 Hz modulation; in fourth group 3 subjects (16%) at 217 Hz and 0 subjects at 1000 Hz modulation frequency. Bioelectromagnetics 29:527,538, 2008. © 2008 Wiley-Liss, Inc. [source] Biochemical changes in selenite cataract model measured by high-resolution MAS 1H NMR spectroscopyACTA OPHTHALMOLOGICA, Issue 5 2006Miroslav Fris Abstract. Purpose:, To correlate certain levels of lens opacification with high-resolution magic-angle spinning proton nuclear magnetic resonance (HR-MAS 1H NMR) spectroscopy analysis of the biochemical changes in rat lenses in a selenite cataract model. Methods:, Selenite cataract was induced by injecting 13-day-old Sprague-Dawley rat pups with a single subcutaneous dose of sodium selenite (3.28 mg/kg in 0.9% sodium chloride solution). Lens opacification was observed using a photographic slit-lamp microscope at selected time-points 3, 6 and 9 days after selenite injection and was then graded (levels 0, 1 and 2). The animals were killed after the slit-lamp microscopy, lenses were removed and HR-MAS 1H NMR spectra from intact lenses were obtained. Relative changes in metabolite concentrations were determined after comparison with matched lenses from untreated animals. Results:, Photographic slit-lamp microscopy revealed different stages of cataract in all animals treated with selenite. In the high quality HR-MAS 1H NMR spectra of the lenses, more than 30 different metabolites were identified in each lens. With the exception of taurine, the concentrations of all amino acids showed a significant increase (p < 0.05) in the second level of cataract. By contrast, glutathione (GSH), succinate and phosphocholine concentrations were significantly reduced. Conclusions:, For the first time, this study demonstrates the potential to correlate the level of lens opacification with the biochemical changes obtained with HR-MAS 1H NMR spectroscopy analysis in a selenite cataract model. [source] Budesonide delivered by dosimetric jet nebulization to preterm very low birthweight infants at high risk for development of chronic lung diseaseACTA PAEDIATRICA, Issue 12 2000B Jónsson We investigated the effect of an aerosolized corticosteroid (budesonide) on the oxygen requirement of infants at high risk for developing chronic lung disease (CLD) in a randomized, double-blind study. The study objective was to attain a 30% decrease in FiO2 levels in the budesonide treatment group after 14 d of therapy. Thirty very low birthweight (VLBW) infants (median (range)) gestational age 26 wk (23,29) and birthweight 805 g (525,1227) were randomized. Inclusion criteria were mechanical ventilation on day 6 of life, or if extubated on nasal continuous positive airway pressure with FiO2± 0.3. The budesonide (PulmicortÔ dose was 500 ,g bid, or placebo. The aerosol was delivered with a dosimetric jet nebulizer, with variable inspiratory time and breath sensitivity. Inhalations were started on day 7 of life. Twenty-seven patients completed the study. A significant lowering of the FiO2 levels at 21 d of life was not detected. Infants who received budesonide were more often extubated during the study period (7/8 vs 2/9) and had a greater relative change from baseline in their oxygenation index (budesonide decreased 26% vs placebo increased 60%). Subsequent use of intravenous dexamethasone or inhaled budesonide in the treatment group was significantly less. All patients required O2 supplementation on day 28 of life. At 36 wk postconceptual age, 61% of infants in the budesonide group needed supplemental O2 as opposed to 79% in the placebo group. No side effects on growth or adrenal function were observed Conclusion: We conclude that inhaled budesonide aerosol via dosimetric jet nebulizer started on day 7 of life for infants at high risk for developing CLD decreases the need for mechanical ventilation similar to intravenous dexamethasone, but without significant side effects. [source] Rationale, design and methods of the OSCAR study: observational study on cognitive function and systolic blood pressure reduction in hypertensive patientsFUNDAMENTAL & CLINICAL PHARMACOLOGY, Issue 2 2007Atul Pathak Abstract Data from several recent clinical trials have suggested a beneficial effect of antihypertensive medications on preservation of cognitive function. Eprosartan, an angiotensin type-1 receptor antagonist (ARA) with dual action on both pre- and postsynaptic angiotensin type 1 receptors, may be effective in the control of SBP and the prevention of cognitive decline. The OSCAR (Observational Study on Cognitive function And SBP Reduction) study is an international longitudinal observational study with a duration of 6 months intended to examine the impact of the ARA eprosartan on cognitive function (assessed using the Mini-Mental State Examination [MMSE]) and control of systolic blood pressure (SBP) in a large international population of hypertensive patients managed in a standard primary care setting. A total of 100 000 hypertensive patients, aged ,50 years and with SBP of >140 mmHg will be recruited by more than 20 000 primary care physicians in 27 countries. These patients will receive eprosartan 600 mg once a day for 6 months. The MMSE, a globally validated cognitive screening test, will be performed at baseline, and after 6 months of treatment. After the first month of monotherapy, eprosartan treatment may, at the absolute discretion of individual investigators, be supplemented with other antihypertensive medications for the remainder of the study. The primary outcome indices are the mean relative change in MMSE score and the absolute change from baseline in SBP in the study population as a whole and in subsets of patients according to various factors among them: ethnicity, comorbidities (i.e. target organ damage, diabetes), baseline cognitive level and baseline blood pressure level. The secondary objectives are to identify factors influencing SBP and MMSE changes. The OSCAR trial is the first international observational study focusing on MMSE in a wide international cohort of hypertensive patients. The results are expected in 2007. [source] Predicting river water temperatures using stochastic models: case study of the Moisie River (Québec, Canada)HYDROLOGICAL PROCESSES, Issue 1 2007Behrouz Ahmadi-Nedushan Abstract Successful applications of stochastic models for simulating and predicting daily stream temperature have been reported in the literature. These stochastic models have been generally tested on small rivers and have used only air temperature as an exogenous variable. This study investigates the stochastic modelling of daily mean stream water temperatures on the Moisie River, a relatively large unregulated river located in Québec, Canada. The objective of the study is to compare different stochastic approaches previously used on small streams to relate mean daily water temperatures to air temperatures and streamflow indices. Various stochastic approaches are used to model the water temperature residuals, representing short-term variations, which were obtained by subtracting the seasonal components from water temperature time-series. The first three models, a multiple regression, a second-order autoregressive model, and a Box and Jenkins model, used only lagged air temperature residuals as exogenous variables. The root-mean-square error (RMSE) for these models varied between 0·53 and 1·70 °C and the second-order autoregressive model provided the best results. A statistical methodology using best subsets regression is proposed to model the combined effect of discharge and air temperature on stream temperatures. Various streamflow indices were considered as additional independent variables, and models with different number of variables were tested. The results indicated that the best model included relative change in flow as the most important streamflow index. The RMSE for this model was of the order of 0·51 °C, which shows a small improvement over the first three models that did not include streamflow indices. The ridge regression was applied to this model to alleviate the potential statistical inadequacies associated with multicollinearity. The amplitude and sign of the ridge regression coefficients seem to be more in agreement with prior expectations (e.g. positive correlation between water temperature residuals of different lags) and make more physical sense. Copyright © 2006 John Wiley & Sons, Ltd. [source] Long-term land-use changes and extinction of specialised butterfliesINSECT CONSERVATION AND DIVERSITY, Issue 4 2008SVEN G. NILSSON Abstract. 1Land-use change in 450 ha in southern Sweden between 1814 and 2004 was recorded. Butterflies and burnet moths were surveyed in 1904,1913 and 2001,2005. 2We explore if local extinctions were related to land-use changes and species attributes. 3Land use changed drastically over the 190-year period, and the largest relative change occurred for hay meadows with late harvest, which decreased from 28% to 0%. The area changed from grasslands and grazed forests to being dominated by timber forests. Previous open grazed mixed woodlands changed to spruce plantations with clear-cuts. 4Of the 48 resident butterfly and burnet moths found a century ago, 44% have become extinct. The extinct Aporia cratægi, Colias palaeno, and Leptidea sinapis were abundant 100 years ago and had their highest densities in flower-rich glades in forest, a habitat which no longer exists. 5The butterfly extinctions could be predicted from species-specific attributes as a short flight length period (P < 0.02), narrow habitat breadth (P < 0.02), small distribution area in Europe (P = 0.033) and possibly larvae food plant nitrogen class (P < 0.06). In a multiple logistic regression, the flight length period was the only significant variable because the independent variables were intercorrelated. 6We conclude that the most important factor explaining the high extinction rate is that flower-rich habitats have disappeared from both woodlands as well as from open farmlands. The most sensitive species are specialised species with a short summer flight which have gone extinct. Only the most unspecialised species still persist in the current landscape. [source] Comparison of repeatability and multiple trait threshold models for litter size in sheep using observed and simulated data in Bayesian analysesJOURNAL OF ANIMAL BREEDING AND GENETICS, Issue 4 2010W. Mekkawy Summary Bayesian analyses were used to estimate genetic parameters on 5580 records of litter size in the first four parities from 1758 Mule ewes. To examine the appropriateness of fitting repeatability (RM) or multiple trait threshold models (MTM) to litter size of different parities, both models were used to estimate genetic parameters on the observed data and were thereafter compared in a simulation study. Posterior means of the heritabilities of litter size in different parities using a MTM ranged from 0.12 to 0.18 and were higher than the heritability based on the RM (0.08). Posterior means of the genetic correlations between litter sizes of different parities were positive and ranged from 0.24 to 0.71. Data sets were simulated based on the same pedigree structure and genetic parameters of the Mule ewe population obtained from both models. The simulation showed that the relative loss in accuracy and increase in mean squared error (MSE) was substantially higher when using the RM, given that the parameters estimated from the observed data using the opposite model are the true parameters. In contrast, Bayesian information criterion (BIC) selected the RM as most appropriate model given the data because of substantial penalty for the higher number of parameters to be estimated in the MTM model. In conclusion, when the relative change in accuracy and MSE is of main interest for estimation of breeding values of litter size of different parities, the MTM is recommended for the given population. When reduction in risk of using the wrong model is the main aim, the BIC suggest that the RM is the most appropriate model. [source] The crystal structure of perdeuterated methanol hemiammoniate (CD3OD·0.5ND3) determined from neutron powder diffraction data at 4.2 and 180,KJOURNAL OF APPLIED CRYSTALLOGRAPHY, Issue 2 2010A. D. Fortes The crystal structure of perdeuterated methanol hemiammoniate, CD3OD·0.5ND3, has been solved from neutron powder diffraction data collected at 4.2 and 180,K. The structure is orthorhombic, space group Pn21a (Z = 4), with unit-cell dimensions a = 12.70615,(16), b = 8.84589,(9), c = 4.73876,(4),Å, V = 532.623,(8),Å3 [,calc = 1149.57,(2),kg,m,3] at 4.2,K, and a = 12.90413,(16), b = 8.96975,(8), c = 4.79198,(4),Å, V = 554.656,(7),Å3 [,calc = 1103.90,(1),kg,m,3] at 180,K. The crystal structure was determined by ab initio methods from the powder data; atomic coordinates and isotropic displacement parameters were subsequently refined by the Rietveld method to Rp, 2% at both temperatures. The crystal structure comprises a three-dimensionally hydrogen-bonded network in which the ND3 molecules are tetrahedrally coordinated by the hydroxy moieties of the methanol molecule. This connectivity leads to the formation of zigzag chains of ammonia,hydroxy groups extending along the c axis, formed via N,D···O hydrogen bonds; these chains are cross-linked along the a axis through the hydroxy moiety of the second methanol molecule via N,D···O and O,D···O hydrogen bonds. This `bridging' hydroxy group in turn donates an O,D···N hydrogen bond to ammonia in adjacent chains stacked along the b axis. The methyl deuterons in methanol hemiammoniate, unlike those in methanol monoammoniate, do not participate in hydrogen bonding and reveal evidence of orientational disorder at 180,K. The relative volume change on warming from 4.2 to 180,K, ,V/V, is + 4.14%, which is comparable to, but more nearly isotropic (as determined from the relative change in axial lengths, e.g.,a/a) than, that observed in deuterated methanol monohydrate, and very similar to what is observed in methanol monoammoniate. [source] Inbreeding Effects on Hatchery and Growout Performance of Pacific White Shrimp, Penaeus (Litopenaeus) vannameiJOURNAL OF THE WORLD AQUACULTURE SOCIETY, Issue 4 2008Dustin R Moss In animal breeding programs, selection coupled with a narrow genetic base can cause high levels of inbreeding to occur rapidly (in one or two generations). Although the effects of inbreeding have been studied extensively in terrestrial animals and to a lesser extent in aquaculture species, little is known about the effects of inbreeding on penaeid shrimp. The objective of this study was to investigate the effects of inbreeding on hatchery and growout performance of the Pacific white shrimp, Penaeus vannamei. The experiment was conducted over 2 yr, and data from two successive generations (G2 and G3) of inbred (sibling,sibling mating) and outbred families were analyzed. There were 11 inbred and 12 outbred families in G2 and 9 inbred and 10 outbred families in G3. Inbreeding coefficients (F) for outbred and inbred families were 0.00 and 0.25, respectively, for G2 and 0.00 and 0.375, respectively, for G3. Growth rates for outbreds and inbreds were similar in both G2 and G3. Hatch rate for inbred families was 33.1% lower than for outbred families in G2 and 47.1% lower in G3. Inbreeding depression (IBD) (relative change in phenotype per 0.1 increase in F) ± 95% CI for hatch rate was ,12.3 ± 10.1%. Hatchery survival for inbred families was 31.4% lower than for outbred families in G2 and 38.8% lower in G3. IBD for hatchery survival was ,11.0 ± 5.7%. Growout survival was 1.9% lower for inbred families than for outbred families in G2 and 19.6% lower in G3. IBD for growout survival was ,3.8 ± 2.9%. There was also a significant linear relationship between IBD estimates for survival traits and mean outbred survival. At high outbred survival, IBD was low (e.g., growout survival in G2), but IBD appeared to become more severe when outbred survival was lower. This suggests that stress (related to environment and/or life stage) may worsen IBD for survival traits. Results also indicate that moderate to high levels of inbreeding (>10%) should be avoided in commercial shrimp hatcheries because the cumulative effect of IBD on hatch rate and hatchery survival will significantly reduce postlarvae production. Thus, IBD can be significant enough to justify the use of inbreeding as a germplasm protection strategy (under certain scenarios) for genetic improvement programs. [source] Cerebral state index response to incision: a clinical study in day-surgical patientsACTA ANAESTHESIOLOGICA SCANDINAVICA, Issue 6 2006R. E. Anderson Background:, Inadequate anaesthesia, with somatic/autonomic response or awareness, is often revealed at intubation and surgical incision. Anaesthetic depth monitors should be able to prevent this risk. This explorative study examined the ability of the cerebral state monitor to predict autonomic/somatic responses to incision. Methods:, Forty-two ASA I,II day-surgical patients [19 men and 23 females; mean age 52 (29,79) years, mean weight 77 (50,118) kg] were induced clinically with fentanyl/propofol with sevoflurane after placement of the laryngeal mask airway. The cerebral state index (CSIÔ) was blindly recorded 4 min prior to and 4 min after incision. Results:, During the 4 min prior to incision, the mean CSIÔ was 45 (16,62) and increased by 9 (,13,40) when the mean value for the first 4 min after incision was subtracted from the value prior to incision, corresponding to a relative change of 21% (,21,118). The change in CSIÔ did not show any consistent relation to the value before incision. Five patients showed minor movements after incision and six patients had > 25% increase in blood pressure. Neither CSIÔ nor the change in index differed between patients who did or did not respond somatically or autonomically to incision. The last CSIÔ value just prior to incision was 44 for non-responders and 40 and 42 for somatic and autonomic responders, respectively. Conclusion:, The CSIÔ in the majority of patients was within acceptable ranges during clinically adjusted anaesthesia prior to incision but seems not to be able to reliably predict an autonomic or somatic response to incision. [source] Prediction Variance and Information Worth of Observations in Time SeriesJOURNAL OF TIME SERIES ANALYSIS, Issue 4 2000Mohsen Pourahmadi The problem of developing measures of worth of observations in time series has not received much attention in the literature. Any meaningful measure of worth should naturally depend on the position of the observation as well as the objectives of the analysis, namely parameter estimation or prediction of future values. We introduce a measure that quantifies worth of a set of observations for the purpose of prediction of outcomes of stationary processes. The worth is measured as the change in the information content of the entire past due to exclusion or inclusion of a set of observations. The information content is quantified by the mutual information, which is the information theoretic measure of dependency. For Gaussian processes, the measure of worth turns out to be the relative change in the prediction error variance due to exclusion or inclusion of a set of observations. We provide formulae for computing predictive worth of a set of observations for Gaussian autoregressive moving-average processs. For non-Gaussian processes, however, a simple function of its entropy provides a lower bound for the variance of prediction error in the same manner that Fisher information provides a lower bound for the variance of an unbiased estimator via the Cramer-Rao inequality. Statistical estimation of this lower bound requires estimation of the entropy of a stationary time series. [source] The Free Volume and Its Recovery in Pressure-Densified and CO2 -Swollen Heterocyclic-Ring-Containing FluoropolymersMACROMOLECULAR CHEMISTRY AND PHYSICS, Issue 18 2008Günter Dlubek Abstract Changes in the free volume in CYTOP due to pressure densification and swelling with CO2 have been examined using PALS and PVT experiments. Employing the Simha-Somcynsky equation of state the specific hole free, Vf, and occupied, Vocc, volumes were estimated. The change in the total volume due to the pre-treatments occurs exclusively in the hole free volume and the relative change in Vf is one order of magnitude larger than in the total volume. Vocc shows no memory for the history of the polymer glass. The mean and width of the size distribution of subnanometre holes in the glassy state decrease upon densification and increase upon swelling. The volume changes which are frozen in the polymer glass begin to recover at temperatures distinctly below Tg. [source] Evaluation of gestational age and admission date assumptions used to determine prenatal drug exposure from administrative data,PHARMACOEPIDEMIOLOGY AND DRUG SAFETY, Issue 12 2005Marsha A. Raebel PharmD Abstract Objective Our aim was to evaluate the 270-day gestational age and delivery date assumptions used in an administrative dataset study assessing prenatal drug exposure compared to information contained in a birth registry. Study Design and Setting Kaiser Permanente Colorado (KPCO), a member of the Health Maintenance Organization (HMO) Research Network Center for Education and Research in Therapeutics (CERTs), previously participated in a CERTs study that used claims data to assess prenatal drug exposure. In the current study, gestational age and deliveries information from the CERTs study dataset, the Prescribing Safely during Pregnancy Dataset (PSDPD), was compared to information in the KPCO Birth Registry. Sensitivity and positive predictive value (PPV) of the claims data for deliveries were assessed. The effect of gestational age and delivery date assumptions on classification of prenatal drug exposure was evaluated. Results The mean gestational age in the Birth Registry was 273 (median,=,275) days. Sensitivity of claims data at identifying deliveries was 97.6%, PPV was 98.2%. Of deliveries identified in only one dataset, 45% were related to the gestational age assumption and 36% were due to claims data issues. The effect on estimates of prevalence of prescribing during pregnancy was an absolute change of 1% or less for all drug exposure categories. For Category X, drug exposures during the first trimester, the relative change in prescribing prevalence was 13.7% (p,=,0.014). Conclusion Administrative databases can be useful for assessing prenatal drug exposure, but gestational age assumptions can result in a small proportion of misclassification. Copyright © 2005 John Wiley & Sons, Ltd. [source] Formation of X-ray shift fringes and a new method for determination of the difference sign of interplanar distancesACTA CRYSTALLOGRAPHICA SECTION A, Issue 6 2004H. R. Drmeyan A detailed investigation of the conditions for the formation of X-ray shift fringes is carried out, aiming to apply these patterns to investigations of crystal imperfections. Expressions for the amplitudes and X-ray intensity distribution are obtained for a two-crystal interferometer, in which the interplanar distance between two reflecting planes, d, has a relative change . It is theoretically proven and experimentally confirmed that the value of the period of interference bands essentially depends on the sign of ,d. [source] Sensitivity of one-dimensional radiative biases to vertical cloud-structure assumptions: Validation with aircraft dataTHE QUARTERLY JOURNAL OF THE ROYAL METEOROLOGICAL SOCIETY, Issue 608 2005F. Di Giuseppe Abstract Three representations of an observed stratocumulus system are generated by combining aircraft observations with a simple statistical model. The realizations differ in their representation of the vertical cloud structure while the horizontal variability is identical. In the control case (A) both the adiabatic liquid-water profile and the effect of wind-shear induced vertical decorrelation are represented. The second simulation (B) removes the wind-shear effect by assuming maximum overlap between adjacent layers. The third case (C) instead removes vertical variability by averaging the in-cloud liquid water for each column. For each of these scenes Monte Carlo simulated solar fluxes are compared against observed flux measurements. Cases A and B agree with observed (horizontal) flux variations within statistical uncertainty, while case C, which neglects vertical variability, is not able to reproduce the observed fluxes. The comparison between the radiative fields produced by these three representations of the stratocumulus system, calculated using a three-dimensional radiative-transfer solution, an independent pixel approximation (IPA) and a plane-parallel (PP) approach, shows substantial differences. Not accounting for the adiabatic liquid-water profile generates a systematic increase in the optical depth, , when the effective radius is computed from mean liquid-water content and droplet-number concentration, that can be responsible for a 5% increase in the reflection for shallow boundary-layer cloud systems (,,1). A much stronger effect in the radiative properties is produced by varying the cloud-overlap rule applied. While changing from maximum to random overlap does not introduce any variation in the optical depth of the cloud scene, it does introduce an increase in the reflection that is proportional to the relative change in total cloud fraction. The magnitude of these latter biases is comparable to that produced by unresolved horizontal variability. Moreover, it is shown that, when the vertical cloud structure is properly resolved, the effect of horizontal fluctuations is also reduced. Copyright © 2005 Royal Meteorological Society [source] Relative oral health outcome trends between people inside and outside capital city areas of AustraliaAUSTRALIAN DENTAL JOURNAL, Issue 3 2010LA Crocombe Abstract Background:, The aim of this study was to evaluate relative change over 17 years in clinical oral health outcomes inside and outside capital city areas of Australia. Methods:, Using data from the National Oral Health Survey of Australia 1987,88 and the National Survey of Adult Oral Health 2004,06, relative trends in clinical oral health outcomes inside and outside capital city areas were measured by age and gender standardized changes in the percentage of edentate people and dentate adults with less than 21 teeth, in mean numbers of decayed, missing and filled teeth, and mean DMFT index. Results:, There were similar reductions inside and outside capital city areas in the percentage of edentate people (capital city 63.7%, outside capital city 60.7%) and dentate people with less than 21 teeth (52.5%, 50.1%), in the mean number of missing teeth (34.3%, 34.5%), filled teeth (0.0%, increase of 5.5%), and mean DMFT index (21.2%, 19.2%). The reduction in mean number of decayed teeth was greater in capital city areas (78.0%) than outside capital city areas (50.0%). Conclusions:, Trends in four of the five clinical oral health outcomes demonstrated improvements in oral health that were of a similar magnitude inside and outside capital city areas of Australia. [source] Evaluation of Process-Induced Dimensional Changes in the Membrane Structure of Biological Cells Using Impedance MeasurementBIOTECHNOLOGY PROGRESS, Issue 3 2002Alexander Angersbach The impact of high intensity electric field pulses, high hydrostatic pressure, and freezing-thawing on local structural changes of the membrane was determined for potato, sugar beet tissue, and yeast suspensions. On the basis of the electrophysical model of cell systems in biological tissues and suspensions, a method was derived for determining the extent of local damage of cell membranes. The method was characterized by an accurate and rapid on-line determination of frequency-dependent electrical conductivity properties from which information on microscopic events on cellular level may be deduced. Evaluation was based on the measurement of the relative change in the sampleapos;s impedance at characteristically low ( fl) and high ( fh) frequencies within the ,-dispersion range. For plant and animal cells the characteristic frequencies were fl , 5 kHz and fh > 5 MHz and for yeast cells in the range fl , 50 kHz and fh > 25 MHz. The observed phenomena were complex. The identification of the underlying mechanisms required consideration of the time-dependent nature of the processing effects and stress reactions of the biological systems, which ranged from seconds to several hours. A very low but significantly detectable membrane damage (0.004% of the total area) was found after high hydrostatic pressure treatment of potato tissue at 200 MPa. The membrane rupture in plant tissue cells was higher after freezing and subsequent thawing (0.9% of total area for potato cells and 0.05,0.07% for sugar beet cells determined immediately after thawing), which increased substantially during the next 2 h. [source] Emergency Medicine Subinternship: Does a Standard Clinical Experience Improve Performance Outcomes?ACADEMIC EMERGENCY MEDICINE, Issue 1 2008Christopher J. Lampe MD Abstract Background:, The emergency medicine (EM) subinternship provides a varied experience for senior medical students depending on gender, specialty choice, and interest. A didactic curriculum can be standardized, but the clinical component is difficult to control. Students can be directed to see patients with specific chief complaints. Objectives:, To assess whether a clinical requirement of 10 predetermined cases improves general knowledge as measured on an objective exam. Methods:, This was a prospective, nonrandomized, case-controlled study at a public teaching hospital. Students were assigned to the control group (CG) or test group (TG) by alternating block rotations over 6 months. The CG saw emergency department (ED) patients according to interest and faculty direction. The TG was also required to identify ten specific chief complaints. Patient encounters were recorded in computerized logs. A 10-question pretest assessed preexisting knowledge of each chief complaint, and a 40-question final exam tested general EM knowledge. Descriptive statistics measured demographic data. Groups were compared by Fisher's exact test. Difference in means testing was performed to see if pre- to posttest differences varied by group. Multivariate analysis controlled for gender and specialty choice. Results:, Eighteen CG students saw a mean of 57 patients, and 24 TG students saw a mean of 54 patients; 1 CG student (6%) and 7 TG students (31.8%) saw all 10 required cases (Fisher's exact test p = 0.044). Difference in means testing demonstrated a greater relative change in performance (13.4% points) by the TG relative to the CG on a general knowledge exam, compared with their performance on a brief pretest (p = 0.014). The authors performed multivariate regression controlling for pretest score, gender, and EM specialty choice, and neither gender nor intended EM specialty choice was a contributing factor to the improved performance. A greater relative change in performance (7% points) in the TG exam score was found when compared to the CG (p = 0.020). Conclusions:, Students who participated in the usual didactic curriculum and were required to see ED patients with representative chief complaints performed better on a general EM exam than those who employed common methods of choosing patients. [source] Inflammatory changes associated with circadian variation in pulmonary function in subjects with mild asthmaCLINICAL & EXPERIMENTAL ALLERGY, Issue 2 2004E. A. B. Kelly Summary Background Nocturnal enhancement of airway inflammation has been demonstrated in patients with asthma who have a significant drop in pulmonary function at night. Objective To investigate the circadian changes in airway inflammation and their relationship with variations in pulmonary function in subjects with mild atopic asthma. Methods Twelve asthma subjects were admitted to the hospital for two separate 24-h visits. Bronchoalveolar lavage (BAL) was performed at 04:00 hours during one visit, and at 16:00 hours during another visit. BAL cells were analysed for lymphocyte phenotype and the capacity to secrete cytokines following ex vivo stimulation with phytohaemagglutinin (PHA). Results The numbers of BAL lymphocytes and the percentage of CD4+ T cells were higher at 04:00 hours compared with 16:00 hours. At 04:00 hours, the forced expiratory volume in 1 s (FEV1) was inversely correlated with BAL lymphocytes and CD4+ cells. PHA-induced generation of IL-5 by BAL cells correlated with BAL eosinophils and CD4+ cells. Moreover, there was a linear relationship between the relative change (16:00,04:00 hours) in IL-5 and circadian variation in FEV1. Conclusions These data suggest that the circadian variation in lung function in asthma is associated with increased airway CD4+ lymphocyte numbers and their capacity to generate IL-5. Furthermore, in mild asthma, these circadian changes appear to fall into a continuous range, suggesting that day/night variations in airway inflammation and lung function occur on a continuum, rather than as an all-or-none phenomenon. [source] Analysis of epitaxial laterally overgrown silicon structures by high resolution x-ray rocking curve imagingCRYSTAL RESEARCH AND TECHNOLOGY, Issue 5 2009B. Heimbrodt Abstract Spatially resolved rocking curve imaging has been used to analyze laterally overgrown silicon layers grown by liquid phase epitaxy. We were able to study both the overgrown layer as well as the strain fluctuations of the Si substrate underneath by means of a tabletop x-ray topographic setup. The strain-field analysis reveals relative changes of the lattice parameter up to 3.5×10 -6 in the silicon substrate underneath the overgrown layer in particular regions and a down bending of both wings of the epitaxial overgrown layers. (© 2009 WILEY-VCH Verlag GmbH & Co. KGaA, Weinheim) [source] Cardiac natriuretic peptides and continuously monitored atrial pressures during chronic rapid pacing in pigsACTA PHYSIOLOGICA, Issue 2 2000Changes in atrial natriuretic peptide (ANP), N-terminal proatrial natriuretic peptide and brain natriuretic peptide (BNP) were evaluated in relation to continuously monitored atrial pressures in a pacing model of heart failure. Pigs were subjected to rapid atrial pacing (225 beats min,1) for 3 weeks with adjustments of pacing frequencies if the pigs showed overt signs of cardiac decompensation. Atrial pressures were monitored by a telemetry system with the animals unsedated and freely moving. Left atrial pressure responded stronger and more rapidly to the initiation of pacing and to alterations in the rate of pacing than right atrial pressure. Plasma natriuretic peptide levels were measured by radioimmunoassay and all increased during pacing with BNP exhibiting the largest relative increase (2.9-fold increase relative to sham pigs). Multiple regression analysis with dummy variables was used to evaluate the relative changes in natriuretic peptides and atrial pressures and the strongest correlation was found between BNP and left atrial pressure with R,2=0.81. Termination of pacing resulted in rapid normalization of ANP values in spite of persistent elevations in atrial pressures. This may reflect an increased metabolism or an attenuated secretory response of ANP to atrial stretch with established heart failure. In conclusion, 3 weeks of rapid pacing induced significant increases in atrial pressures and natriuretic peptide levels. All the natriuretic peptides correlated with atrial pressures with BNP appearing as a more sensitive marker of cardiac filling pressures than ANP and N-terminal proatrial natriuretic peptide. [source] Comparative study of microcystin-LR-induced behavioral changes of two fish species, Danio rerio and Leucaspius delineatusENVIRONMENTAL TOXICOLOGY, Issue 6 2004Daniela Baganz Abstract The spontaneous locomotor behavior separated into day/night activity phases of two fish species Danio rerio and Leucaspius delineatus was recorded and quantified continuously under sublethal long-term exposure to microcystin-LR in tanks. Microcystin-LR was applied in concentrations of 0.5, 5, 15, and 50 ,g L,1. By using an automated video-monitoring and object-tracing system, the average motility (swimming velocity) and the average number of turns were assessed. Clear dose-dependent effects of microcystin-LR on the behavior of both test fish were measured. During the daytime, the motility of Danio rerio as well as Leucaspius delineatus increased significantly by exposure to the lowest concentrations, whereas higher concentrations led to significantly decreased motility. Influenced by microcystin-LR, the swimming time of Leucaspius delineatus reversed, going from a prominently diurnal activity to a nocturnal one; Danio rerio remained active during the daytime. Most of the relative changes in the behavioral patterns of Danio rerio and Leucaspius delineatus suggest these fish have comparable susceptibility to microcystin-LR and may indicate some adverse consequences for fish populations, for example, in connection with reproduction and predator,prey interactions. © 2004 Wiley Periodicals, Inc. Environ Toxicol 19: 564,570, 2004. [source] Development and application of a fatty acid based microbial community structure similarity indexENVIRONMETRICS, Issue 4 2002Alan Werker Abstract This article presents an index of similarity that has application in monitoring relative changes of complex microbial communities for the purpose of understanding the impact of community instability in biological wastewater treatment systems. Gas chromatographic data quantifying microbial fatty acid esters extracted from biosolids samples can be used to infer the occurrence of changes in mixed culture community structure. One approach to rapidly assess the relative dissimilarity between samples is to calculate a similarity index scaled between 0 and 1. The many arbitrary scales that are associated with the available calculation methods for similarity indices limits the extent of application. Therefore, a specialized index of similarity was derived from consideration of the measurement errors associated with the chromatographic data. The resultant calculation method provides a clear mechanism for calibrating the sensitivity of the similarity index, such that inherent measurement variability is accommodated and standardization of scaling is achieved. The similarity index sensitivity was calibrated with respect to an effective gas chromatographic peak coefficient of variation, and this calibration was particularly important for facilitating comparisons made between different systems or experiments. The proposed index of similarity was tested with data acquired from a recently completed study of contaminant removal from pulp mill wastewater. The results suggest that this index can be used as a screening tool to rapidly process microbial fatty acid (MFA) compositional data, with the objective of making preliminary identification of underlying trends in (MFA) community structure, over time or between experimental conditions. Copyright © 2002 John Wiley & Sons, Ltd. [source] Improvements for comparative analysis of changes in diversity of microbial communities using internal standards in PCR-DGGEFEMS MICROBIOLOGY ECOLOGY, Issue 3 2005Dorthe Groth Petersen Abstract The use of internal standards both during DNA extraction and PCR-DGGE procedure gives the opportunity to analyse the relative abundance of individual species back to the original sample, thereby facilitating relative comparative analysis of diversity. Internal standards were used throughout the DNA extraction and PCR-DGGE to compensate for experimental variability. Such variability causes decreased reproducibility among replicate samples as well as compromise comparisons between samples, since experimental errors cannot be differentiated from actual changes in the community abundance and structure. The use of internal standards during DNA extraction and PCR-DGGE is suitable for ecological and ecotoxicological experiments with microbial communities, where relative changes in the community abundance and structure are studied. We have developed a protocol Internal Standards in Molecular Analysis of Diversity (ISMAD) that is simple to use, inexpensive, rapid to perform and it does not require additional samples to be processed. The internal standard for DNA extraction (ExtrIS) is a fluorescent 510-basepair PCR product which is added to the samples prior to DNA extraction, recovered together with the extracted DNA from the samples and analysed with fluorescence spectrophotometry. The use of ExtrIS during isolation of sample DNA significantly reduced variation among replicate samples. The PCR internal standard (PCRIS) originates from the Drosophila melanogaster genome and is a 140-basepair long PCR product, which is amplified by non-competitive primers in the same PCR reaction tubes as the target DNA and analysed together with the target PCR product on the same DGGE gel. The use of PCRIS during PCR significantly reduced variation among replicate samples both when assessing total PCR product and when comparing bands representing species on a DGGE gel. The entire ISMAD protocol was shown to accurately describe changes in relative abundance in an environmental sample using PCR-DGGE. It should, however, be mentioned that despite the use of ISMAD some inherent biases still exist in DNA extraction and PCR-DGGE and these should be taken into consideration when interpreting the diversity in a sample based on a DGGE gel. [source] Modeled interactive effects of precipitation, temperature, and [CO2] on ecosystem carbon and water dynamics in different climatic zonesGLOBAL CHANGE BIOLOGY, Issue 9 2008YIQI LUO Abstract Interactive effects of multiple global change factors on ecosystem processes are complex. It is relatively expensive to explore those interactions in manipulative experiments. We conducted a modeling analysis to identify potentially important interactions and to stimulate hypothesis formulation for experimental research. Four models were used to quantify interactive effects of climate warming (T), altered precipitation amounts [doubled (DP) and halved (HP)] and seasonality (SP, moving precipitation in July and August to January and February to create summer drought), and elevated [CO2] (C) on net primary production (NPP), heterotrophic respiration (Rh), net ecosystem production (NEP), transpiration, and runoff. We examined those responses in seven ecosystems, including forests, grasslands, and heathlands in different climate zones. The modeling analysis showed that none of the three-way interactions among T, C, and altered precipitation was substantial for either carbon or water processes, nor consistent among the seven ecosystems. However, two-way interactive effects on NPP, Rh, and NEP were generally positive (i.e. amplification of one factor's effect by the other factor) between T and C or between T and DP. A negative interaction (i.e. depression of one factor's effect by the other factor) occurred for simulated NPP between T and HP. The interactive effects on runoff were positive between T and HP. Four pairs of two-way interactive effects on plant transpiration were positive and two pairs negative. In addition, wet sites generally had smaller relative changes in NPP, Rh, runoff, and transpiration but larger absolute changes in NEP than dry sites in response to the treatments. The modeling results suggest new hypotheses to be tested in multifactor global change experiments. Likewise, more experimental evidence is needed for the further improvement of ecosystem models in order to adequately simulate complex interactive processes. [source] | |||||||||||||||||||||||||||||||||||||||||||