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Standard response formats such as rating or visual analogue scales require respondents to condense distributions of latent states or behaviors into a single value. Whereas this is suitable to measure central tendency, it neglects the variance of distributions. As a remedy, variability may be measured using interval-response formats, more specifically the dual-range slider (RS2). Given the lack of an appropriate item response model for the RS2, we develop the Dirichlet dual response model (DDRM), an extension of the beta response model (BRM; Noel & Dauvier in Appl Psychol Meas, 31:47–73, 2007). We evaluate the DDRM’s performance by assessing parameter recovery in a simulation study. Results indicate overall good parameter recovery, although parameters concerning interval width (which reflect variability in behavior or states) perform worse than parameters concerning central tendency. We also test the model empirically by jointly fitting the BRM and the DDRM to single-range slider (RS1) and RS2 responses for two Extraversion scales. While the DDRM has an acceptable fit, it shows some misfit regarding the RS2 interval widths. Nonetheless, the model indicates substantial differences between respondents concerning variability in behavior. High correlations between person parameters of the BRM and DDRM suggest convergent validity between the RS1 and the RS2 interval location. Both the simulation and the empirical study demonstrate that the latent parameter space of the DDRM addresses an important issue of the RS2 response format, namely, the scale-inherent interdependence of interval location and interval width (i.e., intervals at the boundaries are necessarily smaller).
Neurocysticercosis is recognized as an important health issue in the Malagasy population. To date, investigations into prevalence of infection with the causative agent, Taenia solium, in the parasite's natural animal intermediate hosts, have relied on serological methods which have been found to be non-specific. We determined the prevalence of porcine cysticercosis among pigs from a contiguous area of the Betafo and Mandoto administrative districts, Vakinankaratra Region, Madagascar. One hundred and four slaughter-weight pigs were examined by detailed necropsy examination including slicing of the heart, tongue, masseter muscles, diaphragm and carcase musculature. Thirty-seven animals (35.6%) were found infected with T. solium, representing one of the highest rates of infection ever reported, worldwide. These findings highlight the importance of T. solium in Madagascar and support the need for increased efforts to prevent the parasite's transmission to reduce its burden on the health of the Malagasy population.
Lameness is an indicator of pain and suffering, which has substantial animal welfare and economic impact on the dairy industry. Subjective locomotion scoring is unreliable for detecting mild cases of lameness in dairy herds. Undetected lameness can progress to a more serious and painful state with unfavourable prognosis. The aim of this study was to conduct an investigation on the use of a pressure plate for early detection of lameness in dairy heifers compared to a subjective visual scoring system. Seven heifers deemed sound, on the basis of a visual scoring system, were walked through a chute where a pressure plate was disguised on the floor. Claws were then inspected during trimming and revealed no lesions (n = 3) and hairy heel warts on at least one hind claw (n = 4). Peak vertical force (PVF) and right-left hind limb PVF symmetry were calculated. Sound heifers demonstrated significantly higher PVF and better right-left hind limb symmetry than those with hairy heel warts. Using a pressure plate, gait abnormalities from foot lesions that were undiagnosed using a subjective lameness scoring system, were detected. Early detection of lameness is vital to reduce dairy industry losses and to improve animal welfare.
Electrical injury (EI) is a significant, multifaceted trauma often with multi-domain cognitive sequelae, even when the expected current path does not pass through the brain. Chronic pain (CP) research suggests pain may affect cognition directly and indirectly by influencing emotional distress which then impacts cognitive functioning. As chronic pain may be critical to understanding EI-related cognitive difficulties, the aims of the current study were: examine the direct and indirect effects of pain on cognition following EI and compare the relationship between pain and cognition in EI and CP populations.
Method:
This cross-sectional study used data from a clinical sample of 50 patients with EI (84.0% male; Mage = 43.7 years) administered standardized measures of pain (Pain Patient Profile), depression, and neurocognitive functioning. A CP comparison sample of 93 patients was also included.
Results:
Higher pain levels were associated with poorer attention/processing speed and executive functioning performance among patients with EI. Depression was significantly correlated with pain and mediated the relationship between pain and attention/processing speed in patients with EI. When comparing the patients with EI and CP, the relationship between pain and cognition was similar for both clinical groups.
Conclusions:
Findings indicate that pain impacts mood and cognition in patients with EI, and the influence of pain and its effect on cognition should be considered in the assessment and treatment of patients who have experienced an electrical injury.
Background: Cervical spondylotic myelopathy (CSM) is the leading cause of spinal cord impairment. In a public healthcare system, wait times to see spine specialists and eventually access surgical treatment for CSM can be substantial. The goals of this study were to determine consultation wait times (CWT) and surgical wait times (SWT), and identify predictors of wait time length. Methods: Consecutive patients enrolled in the Canadian Spine Outcomes and Research Network (CSORN) prospective and observational CSM study from March 2015 to July 2017 were included. A data-splitting technique was used to develop and internally validate multivariable models of potential predictors. Results: A CSORN query returned 264 CSM patients for CWT. The median was 46 days. There were 31% mild, 35% moderate, and 33% severe CSM. There was a statistically significant difference in median CWT between moderate and severe groups; 207 patients underwent surgical treatment. Median SWT was 42 days. There was a statistically significant difference in SWT between mild/moderate and severe groups. Short symptom duration, less pain, lower BMI, and lower physical component score of SF-12 were predictive of shorter CWT. Only baseline pain and medication duration were predictive of SWT. Both CWT and SWT were shorter compared to a concurrent cohort of lumbar stenosis patients (p <0.001). Conclusions: Patients with shorter duration (either symptoms or medication) and less neck pain waited less to see a spine specialist in Canada and to undergo surgical treatment. This study highlights some of the obstacles to overcome in expedited care for this patient population.
Measuring the masses of rocky planets is quite difficult, as the relevant signal produced by such planets is often dwarfed by stellar activity by an order of magnitude or more. Developing a more robust way to isolate the stellar activity in these measurements is crucial to the search for Earth-like planets. We estimate the mass of Earth-size planet Kepler-78b using a Gaussian process estimator to describe the stellar activity in both photometric and radial velocity (RV) data, confirming previous results with a more robust technique that can be extended toward Earth analogues.
Propionibacterium acnes (P. acnes) is a relatively avirulent organism that is part of the normal skin flora. Most patient isolates are considered contaminants but, in a small subset of patients, particularly in the post-neurosurgery setting, the organism can cause significant infections. We reviewed our experience with the occurrence and management of P. acnes infections after cranial neurosurgical procedures over a five-year period.
Methods:
Patients with positive cultures for P. acnes between 1996 and 2001 were identified by review of the Saskatoon Health Region microbiology laboratory database. Of the 141 positive cultures, a review of hospital records identified six patients with P. acnes infections after neurosurgical procedures. A review of the literature related to P. acnes associated CNS infections was conducted.
Results:
All patients had undergone a craniotomy or burrhole placement, and one patient had received prior radiotherapy. There were no P. acnes-related ventriculoperitoneal shunt infections. All patients presented with scalp swelling and three had purulent discharge. Symptoms occurred more than two months after the initial surgery in five of six patients, while one patient developed symptoms three years post-operatively. Management for all patients included removal of the craniotomy flap and treatment with parenteral antibiotics, followed in most cases by oral antibiotics. A good response without relapse of infection was seen in five patients; one patient had recurrent infection after cranioplasty.
Conclusion:
P. acnes is a rare but important cause of infection after craniotomy. Wound debridement, removal of the bone flap and adequate antibiotic coverage result in cure in the majority of patients.
To develop a candidate definition for central line–associated bloodstream infection (CLABSI) in neonates with presumed mucosal barrier injury due to gastrointestinal (MBI-GI) conditions and to evaluate epidemiology and microbiology of MBI-GI CLABSI in infants
Design.
Multicenter retrospective cohort study.
Setting.
Neonatal intensive care units from 14 US children’s hospitals and pediatric facilities.
Methods.
A multidisciplinary focus group developed a candidate MBI-GI CLABSI definition based on presence of an MBI-GI condition, parenteral nutrition (PN) exposure, and an eligible enteric organism. CLABSI surveillance data from participating hospitals were supplemented by chart review to identify MBI-GI conditions and PN exposure.
Results.
During 2009–2012, 410 CLABSIs occurred in 376 infants. MBI-GI conditions and PN exposure occurred in 149 (40%) and 324 (86%) of these 376 neonates, respectively. The distribution of pathogens was similar among neonates with versus without MBI-GI conditions and PN exposure. Fifty-nine (16%) of the 376 initial CLABSI episodes met the candidate MBI-GI CLABSI definition. Subsequent versus initial CLABSIs were more likely to be caused by an enteric organism (22 of 34 [65%] vs 151 of 376 [40%]; P = .009) and to meet the candidate MBI-GI CLABSI definition (19 of 34 [56%] vs 59 of 376 [16%]; P < .01).
Conclusions.
While MBI-GI conditions and PN exposure were common, only 16% of initial CLABSIs met the candidate definition of MBI-GI CLABSI. The high proportion of MBI-GI CLABSIs among subsequent infections suggests that infants with MBI-GI CLABSI should be a population targeted for further surveillance and interventional research.
Infect Control Hosp Epidemiol 2014;35(11):1391–1399
Most central banks in OECD countries intervene in credit markets to achieve a target level of the short-term nominal interest rate and the long-term inflation rate (Bernanke and Mishkin 1992). The influential paper by Taylor (1993) suggests that Federal Reserve policy is well characterized by a simple rule in which the central bank sets the short-term nominal interest rate as a linear function of the lagged inflation rate and of lagged output deviations from their target values. Taylor argues that an active policy rule, with the coefficient on inflation greater than one, ensures macroeconomic stability. If the nominal interest rate has a more than one-for-one response to any change in inflation, then the central bank is able to influence the real interest rate and deter inflationary pressures.
Benhabib, Schmitt-Grohe, and Uribe (2001a), on the other hand, observe that active policy rules may have unintended consequences if one considers the zero bound on the nominal interest rate. The steady-state equilibrium for an active policy rule may be locally unique, but at the same time, multiple trajectories may exist around the steady state that eventually converge to a deflationary liquidity trap with a zero nominal interest rate. This global indeterminacy is robust to wide variations of parametric values (e.g., slope of Taylor rule, the long-run inflation target, consumption velocity of money, etc.) and holds for a fairly general class of monetary models with both flexible and sticky prices.
The classical nova outburst is one consequence of the accretion of hydrogen-rich material onto a white dwarf (WD) in a close binary system. Over long periods of time the accreting material gradually forms a layer of fuel on the WD and the bottom of this layer is gradually compressed and heated by the strong surface gravity of the WD. Ultimately, the bottom of the layer becomes electron-degenerate. The degeneracy of the material then contains the explosion so that, once nuclear burning in the layer bottom reaches thermonuclear runaway (TNR) conditions, the temperatures in the nuclear burning region will exceed 108 K under almost all circumstances. As a direct result, a major fraction of the nuclei in the envelope capable of capturing a proton (C, N, O, Ne, Mg …) are transformed into β+-unstable nuclei, which limits nuclear energy generation on the dynamical time-scale of the runaway and yields distinctively non-solar CNO isotopic abundance ratios in the ejected gases.
Observations of the outburst show that a classical nova explosively ejects metal enriched gas and grains and this material is a source of heavy elements for the interstellar medium (ISM). The observed amount of metal enrichment demands that mixing of the accreted material with core material occur at some time during the evolution of the outburst.
The seismology and physics of localized structures beneath the surface of the Sun takes on a special significance with the completion in 2006 of a solar cycle of observations by the ground-based Global Oscillation Network Group (GONG) and by the instruments on board the Solar and Heliospheric Observatory (SOHO). Of course, the spatially unresolved Birmingham Solar Oscillation Network (BiSON) has been observing for even longer. At the same time, the testing of models of stellar structure moves into high gear with the extension of deep probes from the Sun to other solar-like stars and other multi-mode pulsators, with ever-improving observations made from the ground, the success of the MOST satellite, and the recently launched CoRoT satellite. Here we report the current state of the two closely related and rapidly developing fields of helio- and asteroseimology.
The clinical presentation of electrical injury commonly involves physical, cognitive, and emotional complaints. Neuropsychological studies, including case reports, have indicated that electrical injury (EI) survivors may experience a broad range of impaired neuropsychological functions, although this has not been clarified through controlled investigation. In this study, we describe the neuropsychological test findings in a series of 29 EI patients carefully screened and matched to a group of 29 demographically similar healthy electricians. Participants were matched by their estimated premorbid intellectual ability. Multivariate analysis of variance was used to assess group differences in the following neuropsychological domains: attention and mental speed, working memory, verbal memory, visual memory, and motor skills. EI patients performed significantly worse on composite measures of attention/mental speed and motor skills, which could not be explained by demographic differences, injury parameters, litigation status, or mood disturbance. Results suggest that cognitive changes do occur in patients suffering from electrical injury. (JINS, 2006, 12, 17–23.)
Two chert artifacts from the region near Luxor, Egypt have yielded concentrations of cosmogenic 10Be that allow calculation of nominal exposure ages of 326,000 and 304,000 years. Both artifacts are flakes that were collected atop limestone benches of the Eocene Thebes Formation which form cliffs along the west side of the Nile. The site is at elevation 240 m and is about 15 km from the Nile. Tools associated with these artifacts can be attributed to the Late Acheulean or early Middle Paleolithic (the transition has been suggested to have been on the order of 250,000–300,000 years ago). This area, where abundant chert nodules have weathered out, has been a collection, extraction, and fabrication site since the Early Paleolithic (since at least 400,000 years ago). Surface exposure dating records all periods of exposure. That means these ages represent composite ages, comprised of exposures both before and after working. But what fraction of the 10Be concentration we have measured was acquired before the flakes were produced? Here we propose several approaches to deconvolute the different exposure periods and better approximate the real age of the artifacts. As there is no a priori reason that the two ages should agree with the typological ages of the artifacts, nor for the two independent ages to agree, these first results are especially exciting and intriguing.
As part of a longitudinal study of bereavement phenomena in three groups, bereaved spouses, bereaved adult children and bereaved parents, scale development was carried out using a pool of bereavement phenomenology questions administered prospectively. The items were derived from the literature, in particular studies dealing with the measurement of grief/bereavement, as well as from clinical experience. Factor analysis of theoretically grouped items produced seven subscales, three of which tapped frequently experienced phenomena in the bereaved. These three subscales formed the basis of a single measure, labelled the Core Bereavement Items (CBI), which demonstrated high reliability and sound face and discriminant validity. Preliminary analysis suggested that the CBI will prove to be a reliable and valid instrument with respect to the measure of core bereavement phenomena in commonly bereaved groups in Western society.
The entire soil-plant-atmosphere continuum must be analysed to elucidate how xylem anatomy relates to water flow in plants. Measurements of water potential gradients and volume of water flow per unit time are needed to obtain values of hydraulic conductance per unit length. By comparing values of hydraulic conductance per unit length along the plant, the regions where xylem structure restricts water flow can be determined. Previous studies of fern water relations demonstrated that very large water potential gradients occurring in stipes of certain ferns were closely correlated with reduced conducting area of stipe xylem. A new study on Cyrtomium falcatum showed that the water potential gradient was relatively small and constant along the stipe and rachis; however, a much larger gradient occurred from the rachies into the pinnae. Hydraulic conductance per unit length varied with the leaf area to be supplied, leading to the fairly constant water potential gradient along the rachis.. The measured hydraulic conductance per unit length was only half the value predicted from the Hagen-Poiseuille equation. Although the Hagen-Poiseuille equation overestimated the measured value by a factor of 2, it did support the assumption that conduit number and lumen diameter are the principal determinants of water conductance in the xylem.
In this note we continue the study of Abian's order for reduced rings initiated in papers such as [1], [5], [3], [4]. A simple proof is given of Abian's result that taking suprema commutes with ring multiplication. The properties of orthogonally complete rings and of rings satisfying chain conditions with respect to Abian's order are investigated.
This article continues the study of Abian's order on commutative semiprime rings (for such a ring R, the relation a ≦ b if and only if ab = a2” makes R into a partially ordered multiplicative semigroup). The aim, here, is to extend as far as possible the theorem of Brainerd and Lambek which says that the completion of a Boolean ring is its complete ring of quotients. Only certain subsets of a ring may have upper bounds (in any extension ring) and these are called boundable (the notion is due to Haines). A ring will be called complete if every boundable subset has a supremum. If R ⊂ S are (commutative semiprime) rings then S will be called a completion of R if S is complete and every element of S is the supremum of a subset of R.