SF

Distribution by Scientific Domains
Distribution within Medical Sciences

Terms modified by SF

  • sf group

  • Selected Abstracts


    Right Ventricular Function in Congenital Heart Defects Assessed by Regional Wall Motion

    CONGENITAL HEART DISEASE, Issue 3 2010
    FSCAI, Michael R. Nihill MB
    ABSTRACT Objectives., To develop a simple method to assess right ventricular function by angiography. Background., Conventional methods of evaluating right ventricular function are inaccurate, cumbersome, and expensive. Methods., We analyzed biplane right ventricular angiograms taken in the posterior,anterior and lateral projections using software to measure right ventricular volumes and regional wall motion in 78 patients with normal hearts (n = 29), atrial septal defects (ASD n = 13), pulmonary valve stenosis (PVS n = 21), and postoperative atrial switch patients (n = 15). We also measured the shortening fraction (SF) from the midtricuspid annulus to the septum and correlated various angiographic measurements with the right ventricular (RV) ejection fraction. Results., The volume-overloaded patients (ASD) had larger end diastolic volumes and increased SF compared with normal patients, while the pressure-loaded patients (PVS) had normal volumes and SF. The postoperative atrial switch patients had decreased systolic function and increased end diastolic volume. The SF for all of the patients correlated with the ejection fraction (r= 0.785, P, .0001). Conclusions., A simple measurement of the end diastolic and end systolic distance from the midtricuspid annulus to the septum (SF) provides a good index of RV function by angiography and correlates well with RV ejection fraction. [source]


    Modeled Effects of Sagebrush-Steppe Restoration on Greater Sage-Grouse in the Interior Columbia Basin, U.S.A.

    CONSERVATION BIOLOGY, Issue 5 2002
    Michael J. Wisdom
    Consequently, managers of FS,BLM lands need effective strategies to recover sagebrush (Artemisia spp.) habitats on which this species depends. In response to this need, we evaluated the potential benefits of two restoration scenarios on Greater Sage-Grouse in the interior Columbia Basin and adjacent portions of the Great Basin of the western United States. Scenario 1 assumed a 50% reduction in detrimental grazing effects (through changes in stocking rates and grazing systems) and a six-fold increase in areas treated with active restoration (e.g., prescribed burning, native seedings, wildfire suppression) compared with future management proposed by the FS,BLM. Scenario 2 assumed a 100% reduction in detrimental grazing effects and the same increase in active restoration as scenario 1. To evaluate benefits, we estimated the risk of population extirpation for sage grouse 100 years in the future under the two scenarios and compared this risk with that estimated for proposed (100-year) FS,BLM management. We used estimates of extirpation risk for historical (circa 1850,1890) and current time periods as a context for our comparison. Under historical conditions, risk of extirpation was very low on FS,BLM lands, but increased to a moderate probability under current conditions. Under proposed FS,BLM management, risk of extirpation on FS,BLM lands increased to a high probability 100 years in the future. Benefits of the two restoration scenarios, however, constrained the future risk of extirpation to a moderate probability. Our results suggest that expansive and sustained habitat restoration can maintain desired conditions and reduce future extirpation risk for sage grouse on FS,BLM lands in western North America. The continued spread of exotic plants, however, presents a formidable challenge to successful restoration and warrants substantial research and management attention. Resumen: Los hábitats del urogallo (Centrocercus urophasianus) han disminuido a lo largo de la región occidental de Norteamérica, y la mayoría de los hábitats restantes ocurren en terrenos administrados por el Servicio Forestal de E.U.A. (SF) y el Buró de Administración de Tierras ( BAT ). Por lo tanto, los encargados de las tierras SF,BAT necesitan estrategias eficaces para recuperar los hábitats de artemisa (Artemisia spp.) de los cuales depende esta especie. En respuesta a esta necesidad, evaluamos los beneficios potenciales de dos escenarios de restauración sobre el urogallo en el interior de la Cuenca del Columbia y porciones adyacentes de la Gran Cuenca del occidente de los Estados Unidos. El escenario 1 supone una reducción del 50% en los efectos perjudiciales del pastoreo ( por medio de cambios en las tasas de aprovisionamiento y en los sistemas de pastoreo) y un incremento de seis veces en la superficie de las áreas tratadas con restauración activa ( por ejemplo, quemas prescritas, plántulas nativas, supresión de fuego no controlado) comparada con la administración futura propuesta por el SF,BAT. El escenario 2 supone una reducción del 100% en los efectos de pastoreo perjudiciales y el mismo aumento en la restauración activa que en el escenario 1. Para evaluar los beneficios, estimamos el riesgo de extirpación de la población de urogallos en 100 años bajo los dos escenarios y comparamos este riesgo con el riesgo estimado por la propuesta de manejo de SF,BAT (100-años). Utilizamos estimaciones del riesgo de extirpación en períodos históricos (entre 1850 y 1890) y actuales como contexto para nuestra comparación. Bajo condiciones históricas, el riesgo de extirpación fue muy bajo en los terrenos SF,BAT pero aumentó a una probabilidad moderada bajo condiciones actuales. Bajo la administración propuesta por SF,BAT, el riesgo de extirpación en los terrenos SF,BAT aumentó a una alta probabilidad 100 años en el futuro. Sin embargo, los beneficios de los dos escenarios de restauración constriñen el riesgo de extirpación a una probabilidad moderada. Nuestros resultados sugieren que la restauración expansiva y sostenida del hábitat puede mantener condiciones deseadas y reduce el riesgo de extirpación de urogallos en terrenos SF,BAT en la región occidental de Norteamérica. Sin embargo, la continua extensión de plantas exóticas representa un reto formidable para la restauración exitosa y justifica considerable investigación y atención de manejo. [source]


    Use of the Bruininks,Oseretsky Test of Motor Proficiency for identifying children with motor impairment

    DEVELOPMENTAL MEDICINE & CHILD NEUROLOGY, Issue 11 2007
    Fotini Venetsanou MSc
    This study compared the consistency of the Short Form (SF) and the Long Form (LF) of the Bruininks,Oseretsky Test of Motor Proficiency (BOTMP) in identifying preschool children with motor impairment (MI). One hundred and forty-four Greek preschool children participated (74 males, 70 females; mean age 5y 2mo [SD 5mo], range 4y 6mo-5y 6mo). Although total SF and LF scores were highly correlated (r=0.85), paired t -tests indicated significant differences (t=-27.466, p=0.001). SF total scores (mean 58.72 [SD 7.28]) were higher than LF total scores (mean 47.38 [SD 9.43]). SF had low sensitivity (13.6%) and negative predictive value (72.5%) for identifying MI. The BOTMP-SF does not appear to be a valid test for the identification of MI in 5-year-old children. [source]


    Touch attenuates infants' physiological reactivity to stress

    DEVELOPMENTAL SCIENCE, Issue 2 2010
    Ruth Feldman
    Animal studies demonstrate that maternal touch and contact regulate infant stress, and handling during periods of maternal deprivation attenuates the stress response. To measure the effects of touch on infant stress reactivity during simulated maternal deprivation, 53 dyads were tested in two paradigms: still-face (SF) and still-face with maternal touch (SF+T). Maternal and infant cortisol levels were sampled at baseline, reactivity, and recovery and mother's and infant's cardiac vagal tone were measured during the free play, still-face, and reunion episodes of the procedure. Cortisol reactivity was higher among infants in the SF condition and while cortisol decreased at recovery for infants in the SF+T, it further increased for those in the SF. Vagal tone showed a greater suppression when SF was not accompanied by maternal touch. Touch synchrony during free play was associated with higher infant vagal tone, whereas touch myssynchrony , maternal tactile stimulation while the infant gaze averts , correlated with higher maternal and infant cortisol. In humans, as in mammals, the provision of touch during moments of maternal unavailability reduces infants' physiological reactivity to stress. [source]


    Low health-related quality of life is associated with all-cause mortality in patients with diabetes on haemodialysis: the Japan Dialysis Outcomes and Practice Pattern Study

    DIABETIC MEDICINE, Issue 9 2009
    Y. Hayashino
    Abstract Aims, Whether health-related quality of life (HRQoL) can be accurately predicted in patients with extremely low HRQoL as a result of diabetic complications is unclear. We investigated the impact of HRQoL on mortality risk in patients with diabetes on haemodialysis. Methods, Data from the Dialysis Outcomes Practice Pattern Study (DOPPS) were analysed for randomly selected patients receiving haemodialysis in Japan. Information regarding the diagnosis of diabetes and clinical events during follow-up was abstracted from the medical records at baseline and HRQoL was assessed by a self-reported short form (SF)-36 questionnaire. The association between physical component score and mental component score in the SF-36 and mortality risk was analysed using a Cox proportional hazard model. Results, Data from 527 patients with diabetes on haemodialysis were analysed. The mortality age-adjusted hazard ratio of having a physical component score greater than or equal to the median was 0.27 [95% confidence interval (CI) 0.08,0.96] and the multivariable-adjusted mortality hazard ratio of having an mental component score greater than or equal to the median was 1.21 (95% CI 0.44,3.35). Conclusions, The physical component score derived from the SF-36 is an independent risk factor for mortality in patients with diabetes on haemodialysis who generally had very low HRQoL scores. Baseline mental component score was not predictive of mortality. Patient self-reporting regarding the physical component of health status may aid in risk stratification and clinical decision making for patients with diabetes on haemodialysis. [source]


    Acute Cardiac Effects of Nicotine in Healthy Young Adults

    ECHOCARDIOGRAPHY, Issue 6 2002
    Catherine D. Jolma M.D.
    Background: Nicotine is known to have many physiologic effects. The influence of nicotine delivered in chewing gum upon cardiac hemodynamics and conduction has not been well-characterized. Methods: We studied the effects of nicotine in nonsmoking adults (6 male, 5 female; ages 23,36 years) using a double-blind, randomized, cross-over study. Subjects chewed nicotine gum (4 mg) or placebo. After 20 minutes (approximate time to peak nicotine levels), echocardiograms and signal-averaged electrocardiograms (SAECG) were obtained. After 40 minutes, subjects were again given nicotine gum or placebo in cross-over fashion. Standard echocardiographic measurements were made from two-dimensional images. We then calculated end-systolic wall stress (ESWS), shortening fraction (SF), systemic vascular resistance (SVR), velocity for circumferential fiber shortening corrected for heart rate (Vcfc), stroke volume, and cardiac output. P wave and QRS duration were measured from SAECG. Results: Significant differences (P < 0.05) from control or placebo were found for ESWS, mean blood pressure, cardiac output, SVR, heart rate, and P wave duration. No significant changes were seen in left ventricular ejection time (LVET), LV dimensions, SF, contractility (Vcfc), or QRS duration. Conclusions: These results suggest that nicotine chewing gum increases afterload and cardiac output. Cardiac contractility does not change acutely in response to nicotine gum. Heart rate and P wave duration are increased by chewing nicotine gum. [source]


    Electrospun Silk Fibroin Mats for Tissue Engineering

    ENGINEERING IN LIFE SCIENCES (ELECTRONIC), Issue 3 2008
    A. Alessandrino
    Abstract Processing Silk Fibroin (SF) with electrospinning (ES) offers a very attractive opportunity for producing a variety of 2D and 3D matrices with great potential for tissue regeneration and repair due to the superior biocompatibility and mechanical properties of SF. Different combinations of ES parameters were explored to investigate the best experimental set-up related to the dimension and uniformity of the fibers in the electrospun silk fibroin (ES-SF) mats. Using SEM it was found that the ES-SF mats contain uniform fibers with a diameter in the nanometric range obtained by electrospinning a 7.5,% w/v SF solution in formic acid, with an electric field of 2.4,kV/cm and a spinneret-collector distance of 10,cm. FT-IR and DSC analyses were performed to investigate the structure of the ES-SF mats before and after immersion in methanol for different times (5, 10, and 15,min). The methanol treatment was able to promote the crystallization of SF by conformational transition of random coil and other poorly ordered conformations (turns and bends) to the ,-sheet structure. The degree of crystallinity was enhanced as shown by the trend of both the FT-IR crystallinity index and the melting/decomposition peak temperature (from DSC). To study the cytocompatibility of ES-SF mats, tests with L929 murine fibroblasts were carried out. Samples were seeded with the cells and incubated for 1, 3, and 7,days at 37,°C. At each time point, SEM investigations and Alamar blue tests were performed. The SEM images showed cell adhesion and proliferation just after 1,day and cell confluence at 7,days. Alamar blue test demonstrated that there were very low differences between cell viability on ES-SF mats and the tissue culture plastic control. [source]


    ICTAL EEG Fast Activity in West Syndrome: From Onset to Outcome

    EPILEPSIA, Issue 11 2007
    Ferruccio Panzica
    Summary Purpose: To characterize the fast EEG activities associated with infantile spasms in West syndrome, and their value in predicting the recurrence and localization of late seizures. Methods: We selected 23 infants who were followed for at least 2 years. Selected EEG recordings underwent autospectra, coherence, and phase analyses in order to assess the changes during follow-up. Results: Short discharges of fast-rhythms (331 ± 190 ms) with a lateralized onset were detected in 18 of the 23 infants (78.3%). There were no significant differences in the parameters characterizing ICTAL beta-activity (frequency, duration, inter-hemispheric coherence, or transfer time) between the infants with or without seizure recurrence. However, beta-discharges with a consistent location formed part of the ICTAL EEG in all 10 infants with seizure recurrence, but only in eight (61.5%) of those who remained seizure-free (SF) (p < 0.05). In all but one of the infants experiencing seizure recurrence, the ICTAL discharges associated with the late seizures apparently originated from the same hemisphere as that involved at the beginning of the spasm-associated beta-activity, although the precise location varied. Conclusions: Spectral, coherence and phase analyses detected spasm-associated runs of lateralized beta-rhythms in many of our infants with West syndrome. This ICTAL pattern significantly correlated with seizure recurrence. The consistent lateralization of the ICTAL EEG events associated with both the early spasms and late seizures suggests that EEG beta-activities should be considered as indicating local cortical dysfunction in infants who fail to respond to early treatment and often progress toward severe epilepsy. [source]


    H63D homozygotes with hyperferritinaemia: is this genotype, the primary cause of iron overload?

    EUROPEAN JOURNAL OF HAEMATOLOGY, Issue 1 2007
    Carles De Diego
    Abstract Objectives:,Hereditary haemochromatosis is a disease that affects iron metabolism and leads to iron overload. Homozygosity for the H63D mutation is associated with increased transferrin saturation (TS) and ferritin levels. Our objective was to find out if the homozygosity of H63D mutation was the primary cause of iron overload. Patients and methods:,We studied 45 H63D homozygotes (31 males and 14 females) with biochemical iron overload and/or clinical features of haemochromatosis. The simultaneous detection of 18 known HFE, TFR2 and FPN1 mutations and sequencing of the HAMP gene were performed to rule out the possible existence of genetic modifier factors related with iron overload. Results:,Values of biochemical iron overload, measured as percentage TS and serum ferritin concentration (SF), in our H63D homozygotes were significantly higher in patients than in controls: TS 55 ± 15% vs. 35 ± 15% and SF 764 (645,883) ,g/L vs. 115 (108,123) ,g/L for patients and controls, respectively. These H63D homozygotes presented extreme hyperferritinaemia and no additional mutations in HFE, TFR2, FPN1 and HAMP genes were detected. Conclusions:,The lack of additional mutations in our H63D homozygotes suggests that this genotype could be the primary cause of iron overload in these patients. Despite our results, we cannot entirely discount the possibility that one or more genetic modifier factor exists, simply because we were unable to find it, although there was a precedent in the HFE gene. Genetic modifier factors have been described for C282Y mutations in the HFE gene, but at the present time they have never been reported in H63D homozygotes. [source]


    Antheraea assama Silk Fibroin-Based Functional Scaffold with Enhanced Blood Compatibility for Tissue Engineering Applications,

    ADVANCED ENGINEERING MATERIALS, Issue 5 2010
    Naresh Kasoju
    Abstract The architecture and surface chemistry of a scaffold determine its utility in tissue engineering (TE). Conventional techniques have limitations in fabricating a scaffold with control over both architecture and surface chemistry. To ameliorate this, in this report, we demonstrate the fabrication of an Antheraea assama silk fibroin (AASF)-based functional scaffold. AASF is a non-mulberry variety having superior qualities to mulberry SF and is largely unexplored in the context of TE. First, a 3D scaffold with biomimetic architecture is fabricated. The scaffold is subsequently made blood compatible by modifying the surface chemistry through a simple sulfation reaction. EDX and FTIR analysis demonstrate the successful sulfation of the scaffold. SEM observations reveal that sulfation has no any effect on the scaffold architecture. TGA reveals that it has increased thermal stability. The sulfation reaction significantly improves the overall hydrophilicity of the scaffold, as is evident from the increase in water holding capacity; this possibly enhances the blood compatibility. The enhancement in blood compatibility of the sulfated scaffold is determined from in vitro haemolysis, protein adsorption and platelet adhesion studies. The sulfated scaffold is non-toxic and supports cell adhesion and growth, as revealed by indirect and direct contact-based in vitro cytotoxicity assays. This study reveals that the AASF-based functional scaffold, which has biomimetic architecture and blood-compatible surface chemistry, could be suitable for TE applications. [source]


    Keratinocyte growth factor and scatter factor expression by regionally defined oral fibroblasts

    EUROPEAN JOURNAL OF ORAL SCIENCES, Issue 1 2003
    Scott Thomas William McKeown
    Keratinocyte growth factor (KGF) and hepatocyte growth factor/scatter factor (SF) are two signalling molecules thought to play important roles in regulating epithelial,mesenchymal interactions. Expression of both factors by fibroblasts in subepithelial connective tissue may play a role in maintaining epithelial integrity in health and in the apical migration of junctional epithelium in periodontitis. The aims of this study were (a) to compare expression levels of KGF and SF by periodontal ligament (PDL) and gingival fibroblasts; and (ii) to determine the effects of interleukin (IL)-1,, transforming growth factor (TGF)-,1, platelet-derived growth factor (PDGF)-BB and epidermal growth factor (EGF) on KGF/SF expression by these cell populations. Three paired PDL and gingival fibroblast strains were developed. The KGF and SF protein levels were analysed by enzyme-linked immunosorbent assay. Relative levels of KGF and SF mRNA in cytokine-treated cultures were determined using semiquantitative reverse transcriptase polymerase chain reaction. No differences in the levels of KGF and SF produced by PDL and gingival (SOG) populations were found. In both cell types IL-1, stimulated KGF and SF expression, while TGF-,1 significantly inhibited expression at both the mRNA and protein levels. Epidermal growth factor and PDGF-BB induced differing effects on expression, stimulating SF protein production but inhibiting KGF output in both fibroblast populations. Differences in response to EGF and PDGF were also seen between paired PDL and gingival fibroblasts. [source]


    Metalloproteinase expression in normal and malignant oral keratinocytes: stimulation of MMP-2 and -9 by scatter factor

    EUROPEAN JOURNAL OF ORAL SCIENCES, Issue 4 2000
    J. H. Bennett
    Matrix metalloproteinases (MMPs) are Zn2+ dependent proteases produced by a variety of cell types. They have a fundamental role in tissue remodelling, tumour invasion and metastasis. Scatter factor (SF), secreted by fibroblasts, has a paracrine action on epithelial cells and binds the trans-membrane c-met receptor inducing loss of adhesion, cell motility and invasiveness in vitro. The purpose of this study was to test if SF can regulate the production of MMPs by epithelial cells. Supernatants from oral squamous cell carcinoma-derived cells (H375 and H376), a human keratinocyte line (UP), and primary cultures of oral mucosal keratinocytes, grown in the presence or absence of SF, were analysed using 0.1% gelatin zymography. MMPs were characterised by comparison with human recombinant enzymes and by the use of specific inhibitors. Oral mucosal keratinocytes, UP, and H357 cells expressed MMP-2 and MMP-9, whilst H376 cells only expressed MMP-2. SF increased the expression of MMP-9 in UP and MMP-2 in H376 supernatants. Both MMP-2 and MMP-9 activity were increased in H357 and normal keratinocyte supernatants. This could be blocked using a human recombinant anti-SF antibody. In all epithelial lines tested, c-Met, the cell surface receptor for SF, could be detected. The results indicate that SF stimulates MMP expression in UP, H376, H357, and normal oral mucosal cells and points to a role for SF in the regulation of oral keratinocyte behaviour in wound healing and neoplasia. [source]


    Regulating the mobility of Cd, Cu and Pb in an acid soil with amendments of phosphogypsum, sugar foam, and phosphoric rock

    EUROPEAN JOURNAL OF SOIL SCIENCE, Issue 2 2006
    F. Garrido
    Summary When acid soil has been contaminated by metals as a result of industrial discharges, accidental spills, or acid mine drainage it may be desirable to retain the metals in the soil rather than allow them to leach away. We have investigated the potential of phosphogypsum (PG), sugar foam (SF), and phosphoric rock (PR) to regulate the availability and mobility of Pb, Cd and Cu. We have also identified changes in attenuation during incubation for 1 year and the effect of aging on metal speciation in amended soils. We studied miscible displacement in columns of undisturbed soil previously treated with solutions of the amendments and soluble metals and, subsequently, single and sequential chemical metal extractions. All amendments increased the soil's metal retention capacity. This, in turn, increased the amount of metal extractable by diethylenetriaminepentaacetic acid (DTPA). However, over time the amounts of DTPA-extractable metal decreased, particularly for Cu and Pb. Both Cu and Cd were held preferentially within the acetic acid-extractable fraction (operationally defined exchangeable fraction , EX fraction), whereas Pb was associated mainly with the hydroxylammonium-extractable fraction (operationally defined bound to Fe and Al hydroxides , OX fraction). Both Pb and Cu in the oxide and organic fractions increased in the PG- and SF-treated soils. In general, the distribution of metal did not change in the PR-treated columns after the incubation. Finally, scanning electron microscopy in back-scattered electron mode (SEM,BSE) showed the formation of Al-hydroxy polymers which provides the soils with additional cation sorption capacity. In the PG- and PR-treated columns, P and S were associated with these formations. The three metals were associated with the Al polymers, probably through direct coordination or the formation of ternary complexes with the inorganic ligands phosphate and sulphate. [source]


    New joint frame synchronisation and carrier frequency offset estimation method for OFDM systems,

    EUROPEAN TRANSACTIONS ON TELECOMMUNICATIONS, Issue 4 2009
    Zhongshan Zhang
    We propose a new joint frame synchronisation and carrier frequency offset estimation scheme for burst transmission mode OFDM systems. This scheme uses a central-symmetric and comb-like (CSCL) training sequence, which eases the power detection at the receiver without increasing the total training sequence power. Fine frame synchronisation as well as carrier frequency offset acquisition with a maximum acquisition range of times the sub-carrier spacing can also be performed based on the proposed CSCL training sequence, where N is the discrete Fourier transform (DFT) length and SF is an integer-valued spreading factor used to generate CSCL. The post-acquisition residual carrier frequency offset can be further estimated and corrected via a fine adjustment algorithm. In order to reduce performance loss due to the high peak-to-average power ratio (PAPR) of the CSCL training sequence, a time-domain constant-envelope (CE) training sequence is also proposed. The superior estimation accuracy of the proposed algorithm over that of the Moose algorithm and the SS (Shi and Serpedin) algorithm is proved by computer simulation. Copyright © 2008 John Wiley & Sons, Ltd. [source]


    Broadband wireless access based on VSF-OFCDM and VSCRF-CDMA and its experiments

    EUROPEAN TRANSACTIONS ON TELECOMMUNICATIONS, Issue 3 2004
    Hiroyuki Atarashi
    This paper presents broadband packet wireless access schemes based on variable spreading factor (VSF)-orthogonal frequency and code division multiplexing (OFCDM) in the downlink and variable spreading and chip repetition factors (VSCRF)-CDMA in the uplink for the systems beyond IMT-2000. In our design concept for wireless access in both links, radio parameters such as the spreading factor (SF) are optimally controlled so that the system capacity is maximized according to the cell configuration, channel load and radio channel conditions, based on the tradeoff between efficient suppression of other-cell interference and the capacity increase in the target cell by exploiting orthogonality in the time and frequency domains. We demonstrate that the peak throughput of greater than 100,Mbps and 20,Mbps is achieved by the implemented base station and mobile station transceivers using the 100-MHz and 40-MHz bandwidths in the downlink and uplink respectively. Moreover, the simulation results show the possibility of the peak throughput of approximately 1,Gbps for short-range area applications using the 100-MHz bandwidth OFCDM downlink by applying four-branch multiple input multiple output (MIMO) multiplexing with 16,QAM data modulation and punctured turbo coding. Copyright © 2004 AEI [source]


    Importance of the Straits of Florida spawning ground to Atlantic sailfish (Istiophorus platypterus) and blue marlin (Makaira nigricans)

    FISHERIES OCEANOGRAPHY, Issue 6 2009
    DAVID E. RICHARDSON
    Abstract Much of the uncertainty in managing highly migratory pelagic species results from the scarcity of fisheries-independent data relevant to determining long-term trends in abundance, migratory movements, and the relative importance of different spawning grounds. To address these issues, we used an ichthyoplankton-based method to quantify the overall level of spawning of sailfish (Istiophorus platypterus) and blue marlin (Makaira nigricans) in the Straits of Florida (SF). We estimated that during the 2 years (2003,2004) of the study, 4.60 × 1011 sailfish eggs and 4.49 × 1011 blue marlin eggs were produced on an annual basis in this region. These egg production values, when combined with estimates of annual fecundity for each species and the most recent stock assessment estimate of total biomass, indicate that about 2.1% of Western Atlantic sailfish spawning and 1.6% of Atlantic-wide blue marlin spawning occurs in the SF. Additionally, pop-up satellite tags deployed on sailfish at the start of the spawning season revealed their short residency times in the SF, suggesting that a large (,13%) transient portion of the sailfish population is responsible for the SF egg production. Overall, this study provides a critically needed fisheries-independent method of quantifying spatial and temporal trends in the abundance of highly migratory species. The application of this methodology in the SF indicated that above-average levels of sailfish and blue marlin spawning occur in this area and, possibly more importantly, that the SF is a migratory bottleneck for these species. [source]


    Seasonal and inter-stream variations in the population dynamics, growth and secondary production of an algivorous fish (Pseudogastromyzon myersi: Balitoridae) in monsoonal Hong Kong

    FRESHWATER BIOLOGY, Issue 9 2009
    GRACE Y. YANG
    Summary 1.,Balitorid loaches are widespread and highly diverse in Asian streams, yet their life history and ecology have received little attention. We investigated seasonal (wet versus dry season) and spatial variation in populations of algivorous Pseudogastromyzon myersi in Hong Kong, and estimated the magnitude of secondary production by this fish in pools in four streams (two shaded and two unshaded) over a 15-month period. 2.,Mean population densities of P. myersi ranged from 6.0 to 23.2 individuals m,2, constituting more than half (and typically >70%) of benthic fishes censused. Abundance was c. 25% greater in the wet season, when recruitment occurred. Significant density differences among streams were not related to shading conditions and were evident despite small-scale variations in P. myersi abundance among pools. Mean biomass varied among streams from 0.85 to 3.87 g ash-free dry weight (AFDW) m,2. Spatial and seasonal patterns in biomass and density were similar, apart from some minor disparities attributable to differences in mean body size among populations. 3.,All four P. myersi populations bred once a year in June and July, and life spans varied from 24 to 26 months. Populations consisted of three cohorts immediately after recruitment but, for most of the study period, only two cohorts were evident. Cohort-specific growth rates did not differ significantly among streams but, in all streams, younger cohorts had higher cohort-specific growth rates. 4.,Secondary production of P. myersi estimated by the size-frequency (SF) method was 2.7,11.5 g AFDW m,2 year,1 and almost twice that calculated by the increment-summation (IS) method (1.2,6.6 g AFDW m,2 year,1). Annual P/B ratios were 1.17,2.16 year,1 (IS) and 2.73,3.22 year,1 (SF). Highest production was recorded in an unshaded stream and the lowest in a shaded stream, but site rankings by production did not otherwise match shading conditions. Wet-season production was six times greater than dry-season production, and daily production fell to almost zero during January and February. Cool temperatures (<17 °C) may have limited fish activity and influenced detectability during some dry-season censuses. Estimates of abundance and annual production by P. myersi are therefore conservative. 5.,Comparisons with the literature indicate that the abundance and production of P. myersi in Hong Kong was high relative to other benthic fishes in tropical Asia, or their temperate counterparts in small streams. Manipulative experiments are needed to determine the influence of P. myersi, and algivorous balitorids in general, on periphyton dynamics and energy flow in Asian streams. [source]


    Effect of exercise, aging and functional capacity on acute secretory immunoglobulin A response in elderly people over 75 years of age

    GERIATRICS & GERONTOLOGY INTERNATIONAL, Issue 1 2009
    Yuzuru Sakamoto
    Background: Age-associated decline in immune function and regulation, referred to as immunosenescence, brings about an increased incidence of infectious diseases in the aged; however, there are few data on the effect of aging and exercise on mucosal immune function in elderly people. Moreover, there is no evidence on whether the change in functional capacity affects mucosal immunity in elderly people. Therefore, the aim of the present study was to examine the effects of exercise, aging and functional capacity on mucosal immune function in elderly people over 75 years of age. Methods: The subjects were 92 community-dwelling elderly women aged over 75 years who lived in a rural community in Miyagi Prefecture. The subjects periodically performed approximately 20 min of low intensity exercise. Saliva samples were collected before and after exercise, and saliva flow (SF), secretory immunoglobulin A (SIgA) concentration (SIgA-C) and SIgA secretion rate (SIgA-SR) were determined. The Tokyo Metropolitan Institute of Gerontology Index of Competence (TMIG-IC) was used to measure functional capacity. Results: In comparison with before exercise, SF, SIgA-C and SIgA-SR were significantly increased after exercise in elderly subjects. In addition, when low and high value groups of resting SIgA levels were compared, acute SIgA responses were observed only in the low value group; however, there was no significant effect of aging and decline in functional capacity on exercise-induced SIgA response. Conclusion: These results suggest that resting SIgA levels influence the mucosal immune function response to exercise in elderly people over 75 years of age. [source]


    How much confidence should we place in efficiency estimates?

    HEALTH ECONOMICS, Issue 11 2003
    Andrew StreetArticle first published online: 3 DEC 200
    Abstract Ordinary least squares (OLS) and stochastic frontier (SF) analyses are commonly used to estimate industry-level and firm-specific efficiency. Using cross-sectional data for English public hospitals, a total cost function based on a specification developed by the English Department of Health is estimated. Confidence intervals are calculated around the OLS residuals and around the inefficiency component of the SF residuals. Sensitivity analysis is conducted to assess whether conclusions about relative performance are robust to choices of error distribution, functional form and model specification. It is concluded that estimates of relative hospital efficiency are sensitive to estimation decisions and that little confidence can be placed in the point estimates for individual hospitals. The use of these techniques to set annual performance targets should be avoided. Copyright © 2002 John Wiley & Sons, Ltd. [source]


    Interpreting sediment delivery processes using suspended sediment-discharge hysteresis patterns from nested upland catchments, south-eastern Australia

    HYDROLOGICAL PROCESSES, Issue 17 2009
    Hugh G. Smith
    Abstract In this study, suspended sediment concentration (SSC) and discharge (Q) hysteresis patterns recorded at the outlets of two nested upland catchments in south-eastern Australia were examined. Detailed monitoring of sediment flux was undertaken in a 1·64 km2 sub-catchment located within a 53·5 km2 catchment for which sediment yield was measured and the extent of incised channels mapped. The analysis of SSC,Q hysteresis patterns was supplemented by these additional datasets to contribute to the explanation of observed patterns. Clockwise SSC,Q hysteresis loops (with the suspended sediment peak leading the discharge peak) were recorded most frequently at both sites. This was attributed to initial rapid delivery of sediment from channel banks, the dominant sediment source in the sub-catchment and probably also for the catchment, in conjunction with remobilization of in-channel fine sediment deposits. Sediment exhaustion effects were considered to enhance clockwise hysteresis, with reduced SSC on the falling limb of event hydrographs. Pronounced exhaustion effects were observed on some multi-rise events, with subsequent flow peaks associated with much reduced sediment peaks. To compare SSC,Q hysteresis patterns between the two catchments, a dimensionless similarity function (SF) was derived to differentiate paired-event hysteresis patterns according to the extent of pattern similarity. This analysis, coupled with the other datasets, provided insight into the function of erosion and sediment delivery processes across the spatial scales examined and indicated the dependency of between-scale suspended sediment transfer on defined flow event scenarios. Quantitative measures of event SSC,Q hysteresis pattern similarity may provide a mechanism for linking the timing and magnitude of process response across spatial scales. This may offer useful insights into the between-scale linkage of dominant processes and the extent of downstream suspended sediment delivery. Copyright © 2009 John Wiley & Sons, Ltd. [source]


    The role of maternal responsiveness in predicting infant affect during the still face paradigm with infants born very low birth weight

    INFANT MENTAL HEALTH JOURNAL, Issue 2 2008
    Sarah J. Erickson
    There is limited empirical literature addressing infants' response to a standardized stressor with infants born very low birth weight (VLBW). The purpose of this study was to assess the relative strength of maternal responsiveness in predicting infant affect in response to the Still Face (SF) paradigm in a cross-sectional cohort of ethnically diverse infants born VLBW and their mothers (N = 50; infants 6,8 months old). Infant affect and maternal responsiveness were coded in 1-s intervals while dyads participated in the SF. In addition, perinatal medical status, developmental status, and infant temperament were assessed. Findings revealed that positive infant affect during and after the SF stressor were strongly associated with baseline infant positive affect and maternal responsiveness at the reunion episode, respectively. In contrast, when predicting negative infant affect during and after the SF stressor, prior infant negative affect was strongly and uniquely significant. Infant positive affect, negative affect, and maternal responsiveness were not significantly associated with gender, infant perinatal medical history, developmental status, or temperament. Future research is warranted to determine how these findings relate to infants' stress reactions in naturalistic settings and if relationship-focused interventions may reverse infant negative emotionality, enhance positive emotionality, and thereby improve self-regulation and longer term social and cognitive developmental outcomes in medically at-risk infants. [source]


    Kerion and dermatophytic granuloma.

    INTERNATIONAL JOURNAL OF DERMATOLOGY, Issue 3 2006
    Mycological, histopathological findings in 19 children with inflammatory tinea capitis of the scalp
    Background, Inflammatory tinea capitis or kerion is the result of a hypersensitivity reaction to a dermatophytic infection. Majocchi's granuloma, in contrast, usually begins as a suppurative folliculitis and culminates in a granulomatous reaction. Objectives, To present clinical, mycological and histopathological findings for 19 cases of kerion of the scalp in children. Methods, Nineteen children were investigated (14 boys and five girls) with a mean age of 6.5 years. A potassium hydroxide (KOH) exam and culture in Sabouraud dextrose agar were performed, followed by a biopsy with hematoxylin and eosin, periodic acid-schiff (PAS) and Gomori-Grocott stains. The same investigations were carried out in four control cases of noninflammatory tinea capitis. Results, Clinical history varied from 2 to 16 weeks (mean 6.6 weeks). Diagnosis was confirmed by a positive KOH exam: all cases except one had a positive culture. The following dermatophytes were isolated: Microsporum canis (32%), Trichophyton mentagrophytes (27%), Trichophyton tonsurans (21%), Trichophyton rubrum (10%) and Microsporum gypseum (5%). The histopathological findings were: suppurative folliculitis (SF) 11%, SF plus suppurative dermatitis 37%, suppurative and granulomatous dermatitis (SGD) 26% and SGD plus fibrosing dermatitis 26%. Fungi were observed in 63% of the histopathological sections. Perifollicular infiltrates (PF) around the parasitized hair follicles were identified in the four noninflammatory control cases due to M. canis. Conclusions, Kerion Celsi is an inflammatory or suppurative type of tinea capitis caused by zoophylic dermatophytes (M. canis and T. mentagrophytes), but also by antrophophylic (T. tonsurans and T. rubrum) and geophylic (M. gypseum) dermatophytes. Histopathological findings showed a spectrum from mild suppurative folliculitis to dense granulomatous infiltrates without a clear relationship with the clinical features. [source]


    Relationships of serum free thyroxine and erythrocyte measures in euthyroid HFE C282Y homozygotes and control subjects: the HEIRS Study

    INTERNATIONAL JOURNAL OF LABORATORY HEMATOLOGY, Issue 3 2010
    J. C. BARTON
    Summary Hemoglobin (Hb) levels and mean corpuscular volume (MCV) are abnormal in some persons with hemochromatosis or thyroid disorders. We sought to determine whether serum free thyroxine (T4) affects erythrocyte measures in euthyroid adults with or without C282Y homozygosity. We evaluated 488 white HFE C282Y homozygotes and controls (no HFE C282Y or H63D; normal serum iron measures) identified in screening; we excluded those with thyroid disorders, anemia, erythrocytosis, or serum ferritin (SF) <34 pmol/l. In the remaining 141 C282Y homozygotes and 243 controls, we evaluated correlations of log10 free T4 with Hb, RBC, MCV, and red blood cell distribution width (RDW). C282Y homozygotes had lower mean age, higher mean Hb, MCV, and log10 SF, and lower mean RBC and RDW than controls; mean log10 free T4 did not differ significantly. In HFE C282Y homozygotes, there was no significant correlation of log10 T4 with erythrocyte measures. In controls, there was a positive correlation of log10 T4 with Hb (P = 0.0096) and a negative correlation with RDW (P = 0.0286). Among euthyroid white adults without iron deficiency, there are significant correlations of log10 free T4 with Hb and RDW in controls, but not in HFE C282Y homozygotes. [source]


    A funerary rite study of the Phoenician,Punic necropolis of Mount Sirai (Sardinia, Italy)

    INTERNATIONAL JOURNAL OF OSTEOARCHAEOLOGY, Issue 2 2010
    G. Piga
    Abstract A recent excavation in the Phoenician,Punic necropolis of Mount Sirai, located in the southwestern part of Sardinia, Italy, has brought to light a number of tombs contextually attributed to a period from the early 6th to early 5th century BC, which is simultaneous with the beginning of the Carthago influence in Sardinia. Among the interred burials recently brought to light, the skeletal remains, sometimes of two superposed bodies, are found in a primary position and with fine anatomic connection. Some of the bones were visually stained, suggesting they were possibly subjected to fire treatment. In order to ascertain more objectively whether the bodies were subjected to burning, the bones from all the tombs were investigated by powder X-ray diffraction (XRD) and Fourier Transform infra-red (FT-IR) spectroscopy techniques. After excluding the role of important diagenetic effects, from line broadening/sharpening analysis of hydroxylapatite in the bones according to the Rietveld method, it was evaluated that the bodies were probably subjected to a temperature regime from 300 to 700°C. These data were supplemented and confirmed by an analysis of the splitting factor (SF) of apatite phosphate peaks in the infra-red spectrum of the bones. Our results indicate the existence of a rite intermediate between incineration and inhumation. This sort of ,semi-combustion', perhaps limited to the period of the early 5th century BC, appears to be peculiar just to this site. Copyright © 2008 John Wiley & Sons, Ltd. [source]


    Effect of a water-based no-sting, protective barrier formulation and a solvent-containing similar formulation on skin protection from medical adhesive trauma

    INTERNATIONAL WOUND JOURNAL, Issue 1 2009
    Ronald J Shannon
    Abstract Trauma to the skin from repeated removal of adhesive-based medical products can cause pain, anxiety, risk of secondary infections and additional health care costs. Skin barrier formulations are used to protect the integrity from such trauma. However, not all formulations are equally protective. We report the results of a randomised controlled study comparing a solvent-free (SF) formulation and a solvent-containing (SC) formulation to the skin of 12 healthy volunteers aged 18,55 years. Treatments were applied at baseline to two of the four test sites on the back of each subject and repeated for 5 days. Measurements of pain, discomfort, erythema and skin water loss were taken 24 hours after each application. The SF formulation is associated with lower mean scores for erythema (day 5, P < 0·05) and lower values for transepidermal water loss (day 5, P < 0·05) and redness (days 4 and 5, P < 0·05) when compared with either no treatment or daily treatment with a SC formulation. There were no significant differences between subject responses when pain on application of the test formulation or discomfort associated with removal of the medical adhesive tapes were rated. We conclude that a SF formulation provides better security against adhesive-derived skin trauma than a SC formulation. [source]


    Electrospun polylactide/silk fibroin,gelatin composite tubular scaffolds for small-diameter tissue engineering blood vessels

    JOURNAL OF APPLIED POLYMER SCIENCE, Issue 4 2009
    Shudong Wang
    Abstract Many synthetic scaffolds have been used as vascular substitutes for clinical use. However, many of these scaffolds may not show suitable properties when they are exposed to physiologic vascular environments, and they may fail eventually because of some unexpected conditions. Electrospinning technology offers the potential for controlling the composition, structure, and mechanical properties of scaffolds. In this study, a tubular scaffold (inner diameter = 4.5 mm) composed of a polylactide (PLA) fiber outside layer and a silk fibroin (SF),gelatin fiber inner layer (PLA/SF,gelatin) was fabricated by electrospinning. The morphological, biomechanical, and biological properties of the composite scaffold were examined. The PLA/SF,gelatin composite tubular scaffold possessed a porous structure; the porosity of the scaffold reached 82 ± 2%. The composite scaffold achieved the appropriate breaking strength (1.28 ± 0.21 MPa) and adequate pliability (elasticity up to 41.11 ± 2.17% strain) and possessed a fine suture retention strength (1.07 ± 0.07 N). The burst pressure of the composite scaffold was 111.4 ± 2.6 kPa, which was much higher than the native vessels. A mitochondrial metabolic assay and scanning electron microscopy observations indicated that both 3T3 mouse fibroblasts and human umbilical vein endothelial cells grew and proliferated well on the composite scaffold in vitro after they were cultured for some days. The PLA/SF,gelatin composite tubular scaffolds presented appropriate characteristics to be considered as candidate scaffolds for blood vessel tissue engineering. © 2009 Wiley Periodicals, Inc. J Appl Polym Sci, 2009 [source]


    Validity of methyl mercury hair analysis: mercury monitoring in human scalp/nude mouse model

    JOURNAL OF APPLIED TOXICOLOGY, Issue 4 2008
    Grazyna Zareba
    Abstract Objective. The grafting of human scalp hair was used as a new application of this method to explore methyl mercury incorporation into human hair and to validate this model for mercury monitoring in hair. Methods. Human scalp grafts were transplanted to athymic BALB/c nude mice. The animals were exposed to methyl mercury either as a single dose i.p. or continuously for 4 months, using ALZET osmotic pumps. The mercury concentration in hair was determined using x-ray fluorescence (XRF) spectrometry by segmental (2 mm) analysis of a single strand, and tissue concentrations were measured by cold vapor atomic absorption analysis. Results. Human scalp hair grown in nude mice showed long-term persistence of human features including the expression of histocompatibility antigens (KAB 3, W 6/32, SF 1-1.1.1) and normal hair morphometry. The disposition of methyl mercury in nude mice followed a one-compartment model with a whole body elimination half-life of 6.7 days (elimination constant, k = 0.1/day). Autoradiographic studies revealed that methyl mercury was rapidly incorporated into areas of the hair follicle undergoing active keratinization. Methyl mercury concentrations in human hair transplanted onto nude mice were two orders of magnitude higher than in blood and attained a mean hair: blood ratio of 217 : 1, similar to ratios reported only in human studies. Conclusions. This study demonstrated that human hair grown on nude mice can record the level of exposure to methyl mercury and can serve as a valuable research tool to study mercury incorporation into human hair. Copyright © 2007 John Wiley & Sons, Ltd. [source]


    Spatial and temporal variation of fire regimes in a mixed conifer forest landscape, Southern Cascades, California, USA

    JOURNAL OF BIOGEOGRAPHY, Issue 8 2001
    R. Matthew Beaty
    Aim In this study, we evaluated the fire-forest mosaic of a mixed conifer forest landscape by testing the hypothesis that pre-fire suppression fire regime parameters vary with species composition (tree species), and environment (i.e. slope aspect, slope position, elevation). Location Our study was conducted in the 1587 ha Cub Creek Research Natural Area (CCRNA), Lassen National Forest, CA, USA. Methods We quantified the return interval, seasonal occurrence, size, rotation period, and severity of fires using dendroecology. Results Slope aspect, potential soil moisture, forest composition, and fire regime parameters in our study area co-vary. Median composite and point fire return intervals (FRI) were longest on higher, cooler, more mesic, north-facing (NF) slopes covered with white fir (Abies concolor), Douglas fir (Pseudotsuga menziesii),white fir, and red fir (A. magnifica),white fir forests, shortest on the dry, south-facing (SF) slopes covered with ponderosa pine (Pinus ponderosa),white fir forests and intermediate on west-facing slopes dominated by white fir,sugar pine (P. lambertiana),incense cedar (Libocedrus decurrens) forests. The spatial pattern for length of fire rotation (FR) was the same as that for FRI. Fires in CCRNA mixed conifer forests occurred mainly (90%) in the dormant season. Size of burns in CCRNA mixed conifer forests were generally small (mean=106 ha), however, during certain drought years widespread fires burned across fuel breaks and spread throughout the watershed. Fire severity was mainly high on upper slopes, low on lower slopes and moderate and low severity on middle slopes. Patterns of fire severity also varied with slope aspect. Fire frequency decreased dramatically in CCRNA after 1905. Conclusions In CCRNA, fire regime parameters [e.g. FRI, fire extent, FR, fire severity] varied widely with species composition, slope aspect and slope position. There was also temporal variation in fire extent with the most widespread fires occurring during drought years. The important contributions of topography and climate to variation in the fire regime indicates that exogenous factors play a key role in shaping the fire-forest structure mosaic and that the fire-forest structure mosaic is more variable, less predictable and less stable than previously thought. Finally, some characteristics of the fire regime (i.e. fire severity, season of burn) in CCRNA are different than those described for other mixed conifer forests and this suggests that there are geographical differences in mixed conifer fire regimes along the Pacific slope. [source]


    Skeletal Fluorosis From Instant Tea,,

    JOURNAL OF BONE AND MINERAL RESEARCH, Issue 5 2008
    Michael P Whyte MD
    Abstract Introduction: Skeletal fluorosis (SF) can result from prolonged consumption of well water with >4 ppm fluoride ion (F,; i.e., >4 mg/liter). Black and green teas can contain significant amounts of F,. In 2005, SF caused by drinking 1,2 gallons of double-strength instant tea daily throughout adult life was reported in a 52-yr-old woman. Materials and Methods: A 49-yr-old woman developed widespread musculoskeletal pains, considered fibromyalgia, in her mid-30s. Additionally, she had unexplained, increasing, axial osteosclerosis. She reported drinking 2 gallons of instant tea each day since 12 yr of age. Fluoxetine had been taken intermittently for 5 yr. Ion-selective electrode methodology quantitated F, in her blood, urine, fingernail and toenail clippings, tap water, and beverage. Results: Radiographs showed marked uniform osteosclerosis involving the axial skeleton without calcification of the paraspinal, intraspinal, sacrotuberous, or iliolumbar ligaments. Minimal bone excrescences affected ligamentous attachments in her forearms and tibias. DXA Z-scores were +10.3 in the lumbar spine and +2.8 in the total hip. Her serum F, level was 120 ,g/liter (reference range, 20,80 ,g/liter), and a 24-h urine collection contained 18 mg F,/g creatinine (reference value, <3). Fingernail and toenail clippings showed 3.50 and 5.58 mg F,/kg (control means, 1.61 and 2.02, respectively; ps < 0.001). The instant tea beverage, prepared as usual extra strength using tap water with ,1.2 ppm F,, contained 5.8 ppm F,. Therefore, the tea powder contributed ,35 mg of the 44 mg daily F, exposure from her beverage. Fluoxetine provided at most 3.3 mg of F, daily. Conclusions: SF from habitual consumption of large volumes of extra strength instant tea calls for recognition and better understanding of a skeletal safety limit for this modern preparation of the world's most popular beverage. [source]


    Home Monitoring in Patients with Implantable Cardiac Devices: Is There a Potential Reduction of Stroke Risk?

    JOURNAL OF CARDIOVASCULAR ELECTROPHYSIOLOGY, Issue 11 2009
    Results from a Computer Model Tested Through Monte Carlo Simulations
    Introduction: Patients with pacemakers and implantable defibrillators (ICD) may experience asymptomatic atrial fibrillation (AF), detected with a delay depending on the in-person follow-up schedule. Home monitoring (HM) remote control with automatic alerts for AF may drive early anticoagulation, potentially reducing stroke risk. Methods and Results: A sample of 136 pacemaker (103) and ICD (33) patients with or without cardiac resynchronization therapy not taking anticoagulation at implant were monitored remotely with HM. Upon HM alerts for AF, patients were recalled to update therapy. Two-year data were entered in a computer Monte Carlo model, simulating 4,000 virtual subjects with the same AF and CHADS2 stroke risk distribution of our real population. Simulations reproduced a 2-year follow-up. Two thousand subjects were supposed to be followed with HM (HM group) and 2,000 with standard in-person follow-up (SF group) at 3, 6, 9, or 12 months. Two-year Kaplan-Meier cumulative probability of ,24-hour AF was 15.6% (95%CI 8.5,23.3%); the AF-related symptom rate was 27% and the median CHADS2 score was 2. As a result of simulations, stroke incidence in case of AF was 2.3 ± 1.1% in the HM group and 2.4 ± 1.1%, 2.5 ± 1.2%, 2.7 ± 1.2%, and 2.9 ± 1.3% in the SF group with 3-, 6-, 9-, and 12-month follow-up programs, with odds ratios of 0.97 (95%CI 0.93,1.01), 0.91 (0.88,0.95), 0.87 (0.84,0.90), and 0.82 (0.79,0.85) (HM better if odds ratios <1), respectively. Conclusions: Daily HM potentially reduces the stroke risk by 9% to 18% with respect to SF with intervisit intervals of 6 to 12 months. [source]