Home About us Contact
|
Home About us Contact | ||
|
|
||
Whole Period (whole + period)
Selected AbstractsRelationship between mean blood glucose and glycated haemoglobin in Type 2 diabetic patientsDIABETIC MEDICINE, Issue 2 2008K. Makris Abstract Aims To correlate the values of MBG to HbA1c in Greek patients with Type 2 diabetes and/or metabolic syndrome. Methods We followed up 140 Greek adult patients: 92 patients with Type 2 diabetes treated with insulin or oral glucose-lowering medication, and 48 patients with newly diagnosed Type 2 diabetes or metabolic syndrome not receiving any treatment. MBG was calculated for each patient from self-measurements of blood glucose using a portable glucometer, made six times a day (before eating and 2 h after a meal), three times a week for 1 month. HbA1c was determined by HPLC at 0 and 12 weeks. Results, HbA1c at 0 (x) and 12 weeks (y) correlated strongly (y = 0.790x + 1.115, r = 0.92), confirming that the patient's glycaemic status remained stable during the whole period of follow-up. Linear regression was performed on MBG values; HbA1c at 12 weeks, sex, age, body mass index (BMI) and patient status (Type 2 diabetes treated or not) were used as independent variables. None of the independent variables reached statistical significance in the model, with the exception of HbA1c at 12 weeks. The final model was: MBG (mg/dl) = (34.74 × HbA1c) , 79.21, r = 0.93; or MBG (mmol/l) = 1.91 × HbA1c , 4.36, r = 0.93. Conclusions Our results establish for the first time a strong correlation between MBG and HbA1c in Type 2 diabetic patients and support the idea of expressing HbA1c results as MBG. This will help patients to gain a clearer interpretation of the result, with less confusion. This simplification will allow every person with diabetes using home glucose-monitoring to understand his or her own target level. [source] Scale dependence of spatial patterns and cartography on the detection of landscape change: relationships with species' perceptionECOGRAPHY, Issue 4 2002Susana Suárez-Seoane This paper analyses how landscape pattern detection changes when different spatial and temporal scales and several levels of detail of the cartography are used to describe a landscape affected by land abandonment in northern Spain. In order to integrate landscape composition and structure at different temporal and spatial scales in the same framework, a multiple correspondence factorial analysis was ran for each typology of landscape units. Annual rates of change and scale dependencies were calculated for each typology from the Euclidean distances in the factorial space. Finally, the potential assessment of habitat utilisation by species with different landscape perception and movement capacity was modelled for the range of typologies. The amount of variance explained by the factorial analysis decreased with the complexity of the typology. Annual rates of change appeared different according to the time span and the detail of the landscape unit typology used. For all typologies, changes were faster during 1983,95, a period characterised by massive land abandonment. However, when the whole period (1956,95) was considered, annual changes were much lower, showing differences between typologies. As a general trend, the variance of the mean annual change decreased with the size of the analysis units. In response to land abandonment, different scale dependencies were found for different levels of detail of the cartography. Coarser typologies are suitable when analysing highly mobile species. However, species with small movement capacity or with a preference for homogeneous habitats perceive more detail in landscape. In this case, a detailed typology is more appropriate. [source] Stopping smoking can cause constipationADDICTION, Issue 11 2003Peter Hajek ABSTRACT Setting Constipation is mentioned occasionally as a possible tobacco withdrawal symptom, but no systematic data have been published on this issue. Design Smokers' clinic patients provided ratings of their level of constipation on three occasions prior to their quit date, and then weekly after they stopped smoking. The total of 1067 participants maintained at least 1 week of continuous abstinence and provided usable data. Findings The three precessation ratings of constipation were stable. After cessation of smoking, the ratings increased significantly (P < 0.01). In 514 patients who maintained continuous abstinence for 4 weeks and provided complete data, constipation peaked at 2 weeks but remained elevated over the whole period. The net proportion of patients affected was 17%, including 9% who were symptom-free at baseline and became very or extremely constipated. In patients on nicotine replacement the increase in constipation, although significant, was less than in patients on bupropion. Conclusions Clinicians treating smokers need to be aware of a possibility that one in six quitters develop constipation, and that for about one in 11 the problem can be severe. Descriptions of tobacco withdrawal syndrome should include constipation. [source] Survival and vitality of Gremmeniella abietina on Pinus sylvestris slash in northern SwedenFOREST PATHOLOGY, Issue 6 2006J. Witzell Summary Survival and vitality of Gremmeniella abietina on Pinus sylvestris slash was studied in northern Sweden during 2003 and 2004. Once a month between September 2003 and April 2004, two to three trees were cut down and debranched. Shoots with pycnidia were sampled at the felling date and then at every consecutive month. The percentage of germinated conidia from each shoot was calculated after 24, 48 and 72 h incubation. The vitality of G. abietina pycnidia in the slash remained high the whole period. Intact pycnidia were found on slash several months after the time of conidial sporulation, which indicates that new pycnidia may be produced on dead pine branches. Sampling of shoots from slash on 13- to 18-month-old clear-cuts showed conidial germination capacity as high as in pycnidia collected in fresh slash. Due to survival of G. abietina in slash it is recommended to postpone planting of P. sylvestris seedlings in northern boreal areas to the third vegetation period after sanitary clear-cuts. Résumé La survie et la vitalité de Gremmeniella abietina dans des rémanents de Pinus sylvestris ont étéétudiées dans le nord de la Suède pendant les années 2003 et 2004. Une fois par mois entre septembre 2003 et avril 2004, 2 ou 3 arbres ont été abattus et ébranchés. Des pousses avec pycnides ont étééchantillonnées à la date d'abattage et les mois suivants. Le pourcentage de conidies germées a été calculé pour chaque pousse après 24, 48 et 72 heures d'incubation. La vitalité des pycnides de G. abietina dans les rémanents est restée élevée tout au long de la période. Des pycnides intactes ont été trouvées dans les rémanents plusieurs mois après la période de sporulation conidienne, ce qui suggère que de nouvelles pycnides peuvent être produites sur des branches mortes de pin. Des échantillonnages de pousses dans des rémanents de coupes rases réalisées 13,18 mois plus tôt ont montré une capacité de germination des conidies aussi élevée que dans les pycnides collectées dans des rémanents fraîchement coupés. Du fait de la survie de G. abietina dans les rémanents, il est conseillé de reporter la plantation des semis de P. sylvestris dans les zones septentrionales boréales à la troisième saison de végétation après les coupes sanitaires. Zusammenfassung Das Überleben und die Vitalität von Gremmeniella abietina auf Schlagabraum von Pinus sylvestris wurde in den Jahren 2003 und 2004 untersucht. Zwischen September 2003 und April 2004 wurden in jedem Monat einmal 2,3 Bäume gefällt und entastet. Zum Zeitpunkt des Fällens und in jedem folgenden Monat wurden Triebe mit Pyknidien gesammelt. Von jedem Trieb wurde die Keimrate der Konidien nach 24, 48 und 72 Stunden Inkubation bestimmt. Während der gesamten Beobachtungsdauer blieb die Vitalität der Pyknidien im Schlagabraum hoch. Mehrere Monate nach der Sporulation wurden intakte Pyknidien gefunden, ein Hinweis darauf, dass möglicherweise neue Pyknidien auf den toten Kiefernzweigen gebildet wurden. Auf dem Schlagabraum von 13,18 Monate alten Kahlschlägen war die Keimfähigkeit der Konidien ähnlich hoch wie bei Pyknidien von frischem Schlagabraum. Aufgrund des langen Überlebens von G. abietina in Schlagabraum wird für die nördlichen borealen Gebiete empfohlen, nach phytosanitären Kahlschlägen P. sylvestris -Sämlinge erst in der dritten Vegetationsperiode zu pflanzen. [source] Improving expected tail loss estimates with neural networksINTELLIGENT SYSTEMS IN ACCOUNTING, FINANCE & MANAGEMENT, Issue 2 2005J. R. Aragonés Expected tail loss (ETL) and other ,coherent' risk measures are rapidly gaining acceptance amongst risk managers due to the limitations of value-at-risk (VaR) as a risk measure. In this article we explore the use of multilayer perceptron supervised neural networks to improve our estimates of ETL numbers using information from both tails of the distribution. We compare the results with the historical simulation approach to the estimation of VaR and ETL. The evaluation results indicate that the ETL estimates using neural networks are superior to historical simulation ETL estimates in all periods except for one, and in that case the historical ETL is slightly superior. Overall, therefore, when the whole period is considered, our results indicate that the network estimates of ETL are superior to the historical ones. Finally, one of the most interesting results of the study is the fact that the neural networks seem to indicate that VaR and ETL (as a function of VaR itself) are dependent not only on the negative returns observed, but also on large positive returns, which indicates that too much emphasis on losses could lead us to overlook important risk information arising from large positive returns. Copyright © 2005 John Wiley & Sons, Ltd. [source] A wavelet-based piecewise approach for steady-state analysis of power electronics circuitsINTERNATIONAL JOURNAL OF CIRCUIT THEORY AND APPLICATIONS, Issue 5 2006K. C. Tam Abstract Simulation of steady-state waveforms is important to the design of power electronics circuits, as it reveals the maximum voltage and current stresses being imposed upon specific devices and components. This paper proposes an improved approach to finding steady-state waveforms of power electronics circuits based on wavelet approximation. The proposed method exploits the time-domain piecewise property of power electronics circuits in order to improve the accuracy and computational efficiency. Instead of applying one wavelet approximation to the whole period, several wavelet approximations are applied in a piecewise manner to fit the entire waveform. This wavelet-based piecewise approximation approach can provide very accurate and efficient solution, with much less number of wavelet terms, for approximating steady-state waveforms of power electronics circuits. Copyright © 2006 John Wiley & Sons, Ltd. [source] Evaluation of the North Atlantic SST forcing on the European and Northern African winter climateINTERNATIONAL JOURNAL OF CLIMATOLOGY, Issue 2 2006Belén Rodríguez-Fonseca Abstract The 1960,1996 patterns of monthly anomalous winter precipitation in Europe and North Africa (ENA) and their connection with the North Atlantic SST are studied. A lag Singular Value Decomposition analysis has been applied to monthly SST and precipitation data to define the most influential Atlantic oceanic areas on the winter ENA rainfall. The results indicate a link between the subtropical North Atlantic SST and the winter precipitation anomalies in areas of the northern,southwestern Europe and northern Africa, since the preceding summer months. We also show that the SLP pattern connected with this subtropical oceanic area is not the NAO itself, and we explain this subtropical,extratropical connection through changes in the trade winds. The estimates of ENA winter precipitation anomalies, based on the previous summer SST, have been validated using a bootstrap analysis. Finally, we verify the reliability of this connection for the whole period from 1900 to 1996. Copyright © 2006 Royal Meteorological Society. [source] Long-term changes in ozone mini-hole event frequency over the Northern Hemisphere derived from ground-based measurementsINTERNATIONAL JOURNAL OF CLIMATOLOGY, Issue 12 2002Janusz W. Krzy Abstract Decadal changes of ozone mini-hole event appearance over the Northern Hemisphere midlatitudes are examined based on daily total ozone data from seven stations having long records (four decades or more) of ozone observations. The various threshold methods for accepting and rejecting the ozone minima as mini-holes are examined. Mini-hole event activity is seen to be rather stable when averaged over a decadal time scale if the mini-holes are selected as large negative departures (exceeding 20%) relative to the moving long-term total ozone reference. The results are compared with a previous ozone mini-hole climatology derived from satellite data (TOMS measurements on board the Nimbus-7 satellite for the period 1978,93). A nonlinear statistical model (MARS), which takes into account various total ozone dynamical proxies (from NCEP,NCAR reanalysis), is used to study dynamical factors responsible for the ozone extremes over Arosa in the period 1950,99. The model explains as much as 95% of the total variance of the ozone extremes. The model,observation differences averaged over the decadal intervals are rather smooth throughout the whole period analysed. It is suggested that the short-term dynamical processes controlling the appearance of ozone extremes influenced the ozone field in a similar way before and after the onset of abrupt ozone depletion in the early 1980s. The analysis of the ozone profile and the tropopause pressure (from the ozonesondings over Hohenpeissenberg, 1966,99) during mini-hole events shows ,60% ozone reduction in the lower stratosphere and an approximately 50 hPa upward shift of the thermal tropopause there. Copyright © 2002 Royal Meteorological Society. [source] Immunohistochemical analysis of heme oxygenase-1 in preneoplastic and neoplastic lesions during chemical hepatocarcinogenesis,INTERNATIONAL JOURNAL OF EXPERIMENTAL PATHOLOGY, Issue 4 2004Fabiana Caballero Summary Heme oxygenase (HO) breaks down the pro-oxidant heme into carbon monoxide, iron and the antioxidant biliverdin. The isoform HO-1 plays an effective role to counteract oxidative damage and to control inflammation. Prolonged cellular damage due to chronic inflammation is one of the reasons leading to the development of tumours. The aim of this work was to investigate HO-1 expression and localization along the different stages of chemically induced hepatocarcinogenesis (HCC) and the occurring morphological changes. To provoke sustained oxidative stress and chronic inflammation, CF1 mice received dietary p -dimethylaminoazobenzene (DAB, 0.5%, w/w) during a whole period of 14 months. HO-1 expression increased along the experimental trial in morphologically normal hepatocytes in DAB-treated animals. HO-1 expression diminished in altered hepatic foci (AHF) and oval cells and early preneoplastic lesions. Otherwise, marked HO-1 overexpression was detected in Kupffer cells and macrophages surrounding necrotic and nodular areas. Adenomas showed decreased HO-1 immunostaining. In hepatocellular carcinomas, an inverse relationship was found between the immunohistochemical expression of HO-1 and the degree of tumour differentiation, being negative in poorly differentiated tumours. In our experimental model, down modulation of HO-1 expression correlated with malignancy progression. Thus, our data point to activation of HO-1 as a potential therapeutic tool. [source] Decomposing Preference Shifts for Meat and Fish in the NetherlandsJOURNAL OF AGRICULTURAL ECONOMICS, Issue 2 2001M.-J.J. Mangen The changing preferences of Dutch consumers for meat and fish are investigated using a switching almost ideal demand system. Structural change in demand between January 1994 and May 1998 is decomposed into underlying trends, temporarily irreversible preference shifts triggered by the BSE crisis of March 1996, and a "panic" reaction against beef in the month of the crisis itself. Preference shifts due to the BSE scare reduced expenditure shares for beef, minced meat and meat products by 2.5, 3.3 and 7.9 percentage points respectively. There were offsetting gains in the shares of pork, prepared meat and fish. Taking underlying trends also into account, changing preferences over the whole period reduced beefs share by 4.9 percentage points and increased those of poultry, prepared meat and fish by 4.1, 4.9 and 5.2 percentage points respectively. [source] Nest-site limitation and density dependence of reproductive output in the common goldeneye Bucephala clangula: implications for the management of cavity-nesting birdsJOURNAL OF APPLIED ECOLOGY, Issue 3 2002H. Pöysä Summary 1,Hole-nesting birds are frequently faced with a shortage of suitable nest sites in regions of intensive forest management. Nest boxes are sometimes provided to alleviate nest-site limitation in cavity-nesting waterfowl and are also recommended for several rare and endangered species. However, the impacts on effective breeding numbers and breeding success have rarely been considered, particularly in instances where density dependence might operate. 2,We experimentally manipulated nest sites to assess limits on the population size of a secondary cavity-nesting species, the common goldeneye Bucephala clangula, living on freshwater lakes. We also examined density dependence in their reproductive output. 3,Breeding pairs were counted in experimental and control areas over a 12-year period; for 4 years (1988,91) before nest box addition (1992,94 in the experimental area) and for 5 years (1995,99) afterwards. Broods were counted each year between 1988 and 1999 to study reproductive output. 4,Mean number of pairs per lake increased after the addition of nest boxes in the experimental area but not in the control area. However, neither the mean number of broods per lake nor the mean number of fledged birds per lake increased significantly in the experimental area. 5,When the whole period of 1988,99 was considered and data pooled from all the lakes, the numbers of broods and fledged birds showed negative density dependence of reproductive output. 6,Our results indicate that nest sites limit the population size of breeding common goldeneye, but show also that density-dependent factors operate to limit reproductive output. The possibility that density dependence may negate management actions directed at increasing breeding numbers in cavity-nesting waterfowl should be considered carefully before taking these actions. This also applies to nest box provisioning programmes aiming to manage populations of endangered species. [source] Productivity and economic growth in Kenyan agriculture, 1964,1996AGRICULTURAL ECONOMICS, Issue 1 2002Anders Gerdin Abstract This paper analyses the patterns of productivity and economic growth in the aggregated Kenyan agriculture between 1964 and 1996. In the 1964,1973 period, the average output growth exceeded 4% but stagnated to an average of 1.2% during 1988,1996. Over the whole period, capital was the most important contributor to output growth. Mean growth rates of intermediate inputs subsequently decreased and were negative in 1988,1996. Labour was the least significant source of growth. The mean total factor productivity growth was less than 0.4% and decreased over time. The contribution of productivity growth to output growth increased from 10.2% in 1964,1973 to 26.8% in 1988,1996. [source] Fifteen years of Env C2V3C3 evolution in six individuals infected clonally with human immunodeficiency virus type 1JOURNAL OF MEDICAL VIROLOGY, Issue 11 2007Bernd Kupfer Abstract The study of the evolution of human immunodeficiency virus type 1 (HIV-1) requires blood samples collected longitudinally and data on the approximate time point of infection. Although these requirements were fulfilled in several previous studies, the infectious sources were either unknown or heterogeneous genetically. In the present study, HIV-1 env C2V3C3 (nt 7029-7315) evolution was examined retrospectively in a cohort of hemophiliacs. Compared to other cohorts, the area of interest here was the infection of six hemophiliacs by the same virus strain, that is, the infecting viruses shared an identical genome. As expected, divergence from the founder sequence as well as interpatient divergence of the predominant virus strains increased significantly over time. Based on the V3 nucleotide sequences, CCR5 usage was predicted exclusively throughout the whole period of infection in all patients. Interestingly, common patterns of viral evolution were detected in the patients of the cohort. Four amino acid substitutions within the V3 loop emerged and persisted subsequently in five (positions 305 and 308 of the HXB2 gp120 reference sequence) and six patients (positions 325 and 328 in HXB2 gp120), respectively. These common changes within the V3 loop are likely to be enforced by HIV-1 specific immune response. J. Med. Virol. 79:1729,1739, 2007. © 2007 Wiley-Liss, Inc. [source] Capsaicin delays regeneration of the neuromuscular junction of rat extensor digitorum longus muscle after ischemiaMUSCLE AND NERVE, Issue 4 2006Béla Turchányi MD Abstract Trauma or the tourniquet used in orthopedic surgery is often associated with ischemia,reperfusion (I/R) injury with a consequent decrease of muscle power. To explore whether components of the neuromuscular junction (NMJ) are involved in this muscle dysfunction, NMJs were ultrastructurally characterized in the extensor digitorum longus muscle of rats at reperfusion times of 1, 24, 72, and 168 h after a 120-min arterial occlusion. Disorganization of the presynaptic membrane and mitochondrial injury was noted at 1 h, followed by fragmentation and partial engulfment of nerve terminals by Schwann cells at 24 and 72 h. The magnitude of degenerative changes declined at 168 h, suggesting the commencement of regeneration. The postsynaptic membrane remained intact throughout the whole period. In our previous study, deafferentation with pretreatment of the sciatic nerve with capsaicin, which reduces neurogenic inflammation and has a selective effect on nociceptive fibers, improved functional recovery of the muscle after I/R. The present results document a significantly delayed structural regeneration of the motor nerve terminals after combined capsaicin and I/R treatment. Since capsaicin treatment alone had no discernible effect on the structure of NMJs, the findings point to a possibly indirect effect of capsaicin on the motor nerves, which may predispose them to increased susceptibility unmasked only by a subsequent injury. The mismatch between the enhanced functional improvement of the muscle and delayed regeneration of the nerve after capsaicin pretreatment questions the efficient use of such deafferentation to protect the integrity of neuromuscular junctions in I/R injury. Muscle Nerve, 2006 [source] Carbohydrate,ethanol transition in cereal grains under anoxiaNEW PHYTOLOGIST, Issue 3 2001Lorenzo Guglielminetti Summary ,,Cereal grains differ greatly in their reponses to anaerobiosis. Here, the in vivo conversion of carbohydrates to ethanol and CO2 under anoxia is reported for three cereal grains. ,,The conversion of glucose, fructose or sucrose to ethanol under anaerobic conditions was investigated in rice (Oryza sativa), barley (Hordeum vulgare) and wheat (Triticum aestivum) grains; alcohol dehydrogenase (EC 1.1.1.1) and pyruvate decarboxylase (EC 4.1.1.1) activities were also analysed under aerobic and anaerobic incubation. ,,Our data suggest that rice grains are able to produce ethanol under anoxia for the whole period of anoxic treatment, whereas barley and wheat grains can produce this terminal product of fermentation only during the first days of anaerobiosis. The level of enzymes involved in the fermentation pathway increases strongly under anoxic conditions in all three cereals. ,,Conversion of hexose to CO2 is nearly unaffected by anoxia in wheat, barley and rice, whereas only rice grains are able to degrade and utilize sucrose efficiently under anoxia. By contrast, wheat and barley do not utilize sucrose efficiently under anaerobic conditions. [source] The severity of clinical presentation of type 1 diabetes in children does not significantly influence the pattern of residual ,-cell function and long-term metabolic controlPEDIATRIC DIABETES, Issue 1 2003Silvana Salardi Abstract: Aim:, The purpose of the present study was to compare relationships between the clinical presentation of type 1 diabetes in children and residual ,-cell secretion and long-term metabolic control. Methods:, This retrospective study was conducted in 66 diabetic children with age at diagnosis ranging from 0.7 to 14.8 yr. The patients showed contrasting characteristics at diagnosis: either diabetic ketoacidosis (DKA) (group 1, n = 29) or absence of metabolic derangement (group 2, n = 37) associated with marked (group 2A, n = 12) or mild hyperglycemia (group 2B, n = 25). A regular follow-up was available for at least 10 yr (10,32 yr) in all cases and for 20 yr in 23 cases. C-peptide levels were measured from diagnosis and thereafter at intervals for the first years of disease until becoming permanently undetectable. Results:, C-peptide levels at diagnosis were undetectable in about 20% of the cases both with and without DKA. C-peptide levels at diagnosis, the duration of measurable C-peptide levels and the maximum value found during follow-up were not significantly different in the three groups and were not correlated with glycated hemoglobin (GHb) calculated throughout the whole period. No differences were found between the groups of patients concerning GHb values and insulin dose at 10, 15 and 20 yr of disease. The patients of group 2A, characterized by an extremely high glycemic level without ketoacidosis, had a significantly higher prevalence of HLA DR3/4 heterozygosity. Conclusions:, The severity of clinical presentation at diagnosis does not significantly influence residual ,-cell function, and long-term metabolic control. [source] Frequency of the sit-to-stand task: a pilot study of free-living adultsPHYSIOTHERAPY RESEARCH INTERNATIONAL, Issue 3 2008Andy Kerr Purpose.,To report contemporary data on the daily frequency of the sit-to-stand (STS) movement in a healthy, independently living, adult population.,Relevance.,As a key determinant of functional independence, which has a high mechanical load, the STS movement is a common feature of rehabilitation. Knowledge of STS frequency during daily activities could inform rehabilitation goals and content, but has rarely been examined. To date, only McLeod et al. (1975) have investigated this, reporting an average of 92 daily STS transitions in healthy young participants.,Methods.,Fifteen healthy, free-living, ambulant adults (three males; mean age 40 years) were recruited from the general population. An activity monitor (activPALTM, PALtechnologies, Glasgow, UK) reported free-living activity for each subject for seven consecutive days.,Analysis.,The average number of STS transitions per day was calculated from the whole period. Data were separated into working and non-working days, and compared using a paired t-test.,Results.,On average, participants performed 64 (±19) STS movements each day, with large individual differences [range 35,105]. Participants performed significantly (p = 0.047) more STS movements on a working day [68 (±24)] than on a non-working day [55 (±17)].,Discussion.,Fewer STS movements were recorded than previously reported (McLeod et al., 1975). This may reflect general changes in lifestyle; however, comparisons should consider the small samples involved and methodological differences.,Conclusion.,This study provides contemporary data for STS frequency and demonstrates a significant difference between working and non-working days. This information could guide rehabilitation and future research. Copyright © 2008 John Wiley & Sons, Ltd. [source] Trends in elective terminations of pregnancy between 1989 and 2000 in a French county (the Isère)PRENATAL DIAGNOSIS, Issue 11 2003P. Guillem Abstract Objectives This study was performed in order to provide a description of indications for induced elective terminations of pregnancy (ETOP), their characteristics (e.g. gestational age), and their evolution over time. Design of the Study This is an epidemiological study. The geographic area covered is the French county of ,Isère', which represents a mean of 14 000 births per year over the study period. Materials and Methods Data on ETOPs were collected actively from medical records by a register of childhood deficiencies and adverse perinatal events in this county. Between 1989 and 2000, 996 ETOPs were notified. Results Four main grounds for ETOPs were identified: (1) morphological anomalies with normal karyotype (39%), (2) chromosomal anomalies (35%), (3) other fetal grounds (16%), and (4) maternal indications (10%). Prevalence rates for the first two grounds increased significantly over the study period respectively from 2.0 to 2.9 and from 1.4 to 2.7 per 1000. Among the ETOPs carried out because of fetal indications, the percentage of late ETOPs (from 24 weeks of gestation) was 34.6%, and remained stable over the studied period. In some cases, a medical consensus was not reached with respect to indications for termination (sex chromosome anomalies, limb defects). We estimated the percentage of these cases as being 2.7% of the figure for fetal indications, without any variation in prevalence over the whole period (p = 0.59). The increasing number of ETOPs that occurred in the chromosomal aberrations group during the study period is thought to be due to an increase in diagnostic sensitivity. The increase that occurred in the morphological anomalies group is thought to be due both to an increase in sensitivity and to a widening of the field with respect to indications, some of which have an uncertain prognosis (e.g. agenesis of the corpus callosum). Conclusion This study provides useful data for monitoring medical practice consistency within the field of prenatal diagnosis, and for the drive to keep medical practice within ethically acceptable limits. Copyright © 2003 John Wiley & Sons, Ltd. [source] Can OECD Countries Afford Demographic Change?THE AUSTRALIAN ECONOMIC REVIEW, Issue 2 2007Ross Guest This article provides new calculations on the effects of demographic change on living standards in all 30 OECD countries using the latest demographic projections up to 2050 from the United Nations, World Population Prospects, 2004 Revision. The calculations include several potential dividends that could offset, at least in part, the costs of a lower working age population share. The effects of demographic change calculated here are mechanical in that there is no explicit optimising behaviour. In the worst case scenario, which assumes zero potential dividends and no increase in labour force participation rates, the negative effect of demographic change on living standards among OECD countries over the whole period from 2006 to 2050 ranges from zero to 28 per cent, with an average over all countries of 15.5 per cent. In the best case scenario the average effect is zero. About half of the difference between the best and worst case scenarios is accounted for by higher labour force participation and about half by the potential dividends from demographic change. [source] Trends in incidence and survival of mesenchymal neoplasm of the digestive tract within a defined population of Northern Norway,APMIS, Issue 3 2006SONJA ERIKSSON STEIGEN Population-based incidence and survival data for gastrointestinal stromal tumor (GIST) are sparse due to the fact that GIST is a rather novel entity both clinically and pathologically, and has not been registered as a separate entity in population-based cancer registries. The aim of the present study was to reclassify all mesenchymal tumors within a defined population of northern Norway over a time-span of 30 years with the purpose of estimating trends of incidence and survival. One hundred and forty-one patients with mesenchymal neoplasms of the digestive tract were identified: 102 as GISTs, 32 as leiomyomatous tumors, 4 as schwannomas, and 3 as fibromas. Incidence rates of GIST showed a significant increase over the whole period, which was not observed for the non-GIST cases. Analysis of GIST cases showed that cases with more than 5 mitoses per 50 high power fields had an increased expected mortality 4 times that of those with fewer mitoses, and the combination of mitotic count and size of tumor can be recommended for categorizing the tumors into different risk levels. The study confirms that GIST is by far the most frequent mesenchymal neoplasm of the digestive tract and that the incidence has increased over the last 30 years. [source] Technical Inefficiency and Production Risk in Rice Farming: Evidence from Central Luzon Philippines,ASIAN ECONOMIC JOURNAL, Issue 1 2006Renato Villano Q12; C13 There have been many previous studies of technical inefficiency in rice production in the Philippines, but none has focused simultaneously on production risk and technical inefficiency at the farm level. Rice production is inherently risky because of the heterogeneous production environment. In this study, we analyze technical inefficiency in a rainfed lowland rice environment in Central Luzon using a stochastic frontier production function with a heteroskedastic error structure. An 8-year panel dataset collected from 46 rainfed rice farmers was used to estimate flexible functional specifications. Over the whole period, the average technical efficiency was found to be 79 percent. Results indicate that there is a high degree of variability in technical efficiency estimates, which can be attributed to the instability of farming conditions in the rainfed lowland environment. Mean output was signifificantly influenced by area planted to rice, labor and the amount of fertilizer used. Consequently, these inputs were found to be risk-increasing, whereas herbicide was found to be a risk-reducing input. [source] The chromospherically active binary star EI Eridani: II.ASTRONOMISCHE NACHRICHTEN, Issue 4 2009Long-term Doppler imaging Abstract Data from 11 years of continuous spectroscopic observations of the active RS CVn-type binary star EI Eridani , gained at NSO/McMath-Pierce, KPNO/Coudé Feed and during the MUSICOS 98 campaign , were used to obtain 34 Doppler maps in three spectroscopic lines for 32 epochs, 28 of which are independent of each other. Various parameters are extracted from our Doppler maps: average temperature, fractional spottedness, and longitudinal and latitudinal spot-occurrence functions. We find that none of these parameters show a distinct variation nor a correlation with the proposed activity cycle as seen from photometric long-term observations. This suggests that the photometric brightness cycle may not necessarily be due to just a cool spot cycle. The general morphology of the spot pattern remains persistent over the whole period of 11 years. A large cap-like polar spot was recovered from all our images. A high degree of variable activity was noticed near latitudes of ,60,70° where the appendages of the polar spot emerged and dissolved (© 2009 WILEY-VCH Verlag GmbH & Co. KGaA, Weinheim) [source] Grapevine culture in trenches: root growth and dry matter partitioningAUSTRALIAN JOURNAL OF GRAPE AND WINE RESEARCH, Issue 3 2001C. ZAPATA Abstract As a part of a global project aimed at comparing the physiology of several grapevine (Vitis vinifera L.) cultivars, we tested plant cultivation in trenches under semi-controlled conditions. Vegetative growth of vines of two cultivars, Pinot Noir and Merlot, from different locations, were followed during a 3-year period. Roots of trench-grown vines grew widely, leading to a root architecture closer to that observed under field conditions than that of potted vines. In addition, the root system could be sampled exhaustively for analyses. Although morphologically different, vines of the two cultivars exhibited similar patterns in dry matter production during the whole period, except at early flowering in year 3. Surprisingly, perennial parts accounted for this difference, though both cultivars were grafted onto the same SO4 rootstock clone. Consistently, vines exhibited root necrosis at any sampling date throughout spring, this process affecting more roots for the Pinot Noir/SO4 combination than for Merlot/SO4. [source] Ectoparasite load is linked to ontogeny and cell-mediated immunity in an avian host system with pronounced hatching asynchronyBIOLOGICAL JOURNAL OF THE LINNEAN SOCIETY, Issue 3 2008RADOVAN VÁCLAV Several contrasting hypotheses have been proposed to account for host age-biased parasite distribution, with some of them suggesting a key role of ectoparasites in the evolution and maintenance of weight hierarchies within broods. We examined parasite distribution among individual hosts across the whole period of host exposure to the parasite in a host system that shows distinct within-brood differences in age and age-related mortality. By contrast to previous hypotheses, we found that the abundance of a haematophagous, mobile ectoparasite Carnus haemapterus on nestling European rollers (Coracias garrulus) was highest approximately during the mid-nestling stage of their host, coinciding with the inflection point of the host growth phase. Parasite load increased neither with absolute resource availability (i.e. body size), nor body condition index. By contrast to previous evidence, higher parasite load under natural conditions was associated with a stronger cell-mediated immune response. However, this association was moderated by low parasite densities, as well as a better brood body condition index. Overall, although we revealed remarkable host ontogenetic effects on parasite distribution, the present study suggests that a highly mobile ectoparasite generally prefers healthier hosts. We propose that, in host systems with a marked asynchrony of hatching and background mortality within the brood, parasites favour persistence rather than nutritional attractiveness of the host. © 2008 The Linnean Society of London, Biological Journal of the Linnean Society, 2008, 94, 463,473. [source] Antenatal renal pelvic measurements: what do they mean?BJU INTERNATIONAL, Issue 4 2001J.E.S. Scott Objective To analyse data on cases with urological abnormalities recorded over a 15-year period (1984,98) by the Northern Region Congenital Abnormality Survey (NorCAS), with special reference to fetal renal pelvic measurements. Materials and methods Data on all urological cases recorded in the NorCAS database and in notification documents forwarded from hospitals in the Northern Region were extracted and incorporated in a separate unattributable database for analysis. Specific fields for filing recorded fetal renal pelvic measurements with their corresponding gestational ages were inserted; it was ensured as far as possible that these measurements were made in the anteroposterior plane. Results The total number of cases analysed was 2737; a measurement of the fetal renal pelvis was recorded in 813, and more than once in 468, giving 1301 measurement episodes with the corresponding gestational ages, pregnancy and postnatal outcome. The male/female (M/F) ratio was significantly higher in those cases which had a fetal renal pelvic measurement recorded than in those which had not. This was because there was a 12/1 M/F ratio in measured cases of vesico-ureteric reflux (VUR). Few cases of VUR had a fetal renal pelvic measurement recorded. The difference in the fetal renal pelvic measurements between those cases which were normal postnatally and those which had a structural abnormality, an obstructive lesion or VUR became significant at 7 mm and at 18 weeks of gestational age. Over the whole period the proportion of cases in which micturating cysto-urethrography was technically possible and might have contributed to the diagnosis was 28.5%; the highest was 44.1% in 1998. Conclusions Antenatal renal dilatation occurs infrequently in the presence of VUR and when it does, the fetus will probably be male. Antenatal ultrasonography is unlikely to contribute to detecting VUR in females, the gender in whom early diagnosis is particularly desirable. Other means of suspecting VUR antenatally, e.g. the family history or genetic coding, may be more valuable. A measurement of the fetal renal pelvis of ,7 mm at a gestational age of 18 weeks should prompt subsequent careful ultrasonography during the pregnancy and early postnatal investigation of the urinary tract. The diagnosis of VUR should not be excluded because the fetal renal pelvis is only minimally dilated if the fetus is female. [source] Construction of the Chinese University Prognostic Index for hepatocellular carcinoma and comparison with the TNM staging system, the Okuda staging system, and the Cancer of the Liver Italian Program staging systemCANCER, Issue 6 2002A study based on 926 patients Abstract BACKGROUND The current TNM staging system for patients with hepatocellular carcinoma (HCC) does not include liver function parameters and does not provide a precise prognosis for patients in different risk groups. The objectives of this study were to construct a new prognostic index for patients with hepatocellular carcinoma, the Chinese University Prognostic Index (CUPI), and to compare it with existing staging systems in terms of their ability to classify patients into different risk group. METHODS From 1996 to 1998, 926 ethnic Chinese patients who were diagnosed with HCC (mainly hepatitis B-associated) at a single institution were recruited prospectively into this study. A multivariate analysis on 19 patient characteristics was performed using a Cox regression model to identify independent prognostic factors. Weights were derived from the regression coefficients of various factors to construct the CUPI. Patients were classified according to different staging systems. Survival curves were plotted with the Kaplan,Meier method and were compared by using a log-rank test. RESULTS Both the TNM staging system and the Okuda staging system had prognostic significance, but the significance was lower for the Cancer of the Liver Italian Program (CLIP) prognostic score among the patients in the study population. The CUPI was constructed by adding the following factors into the TNM staging system: total bilirubin, ascites, alkaline phosphatase, , fetoprotein, and asymptomatic disease on presentation. The new CUPI characterized three risk groups with highly significant differences in survival during the whole period of follow-up (P < 0.00001) and was more discriminant than the other systems. CONCLUSIONS In the study population of patients with mainly hepatitis B-associated HCC, the CUPI was more discriminant than the TNM staging system, the Okuda staging systems, or the CLIP prognostic score in classifying patients into different risk groups and was better at predicting survival. The CUPI needs to be validated by different cohorts of patients before it can be recommended for general use. Cancer 2002;94:1760,9. © 2002 American Cancer Society. DOI 10.1002/cncr.10384 [source] | |||||||||||||||||||