We use cookies to distinguish you from other users and to provide you with a better experience on our websites. Close this message to accept cookies or find out how to manage your cookie settings.
To save content items to your account,
please confirm that you agree to abide by our usage policies.
If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account.
Find out more about saving content to .
To save content items to your Kindle, first ensure no-reply@cambridge.org
is added to your Approved Personal Document E-mail List under your Personal Document Settings
on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part
of your Kindle email address below.
Find out more about saving to your Kindle.
Note you can select to save to either the @free.kindle.com or @kindle.com variations.
‘@free.kindle.com’ emails are free but can only be saved to your device when it is connected to wi-fi.
‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.
Background: Sex differences in treatment response to intravenous thrombolysis (IVT) are poorly characterized. We compared sex-disaggregated outcomes in patients receiving IVT for acute ischemic stroke in the Alteplase compared to Tenecteplase (AcT) trial, a Canadian multicentre, randomised trial. Methods: In this post-hoc analysis, the primary outcome was excellent functional outcome (modified Rankin Score [mRS] 0-1) at 90 days. Secondary and safety outcomes included return to baseline function, successful reperfusion (eTICI≥2b), death and symptomatic intracerebral hemorrhage. Results: Of 1577 patients, there were 755 women and 822 men (median age 77 [68-86]; 70 [59-79]). There were no differences in rates of mRS 0-1 (aRR 0.95 [0.86-1.06]), return to baseline function (aRR 0.94 [0.84-1.06]), reperfusion (aRR 0.98 [0.80-1.19]) and death (aRR 0.91 [0.79-1.18]). There was no effect modification by treatment type on the association between sex and outcomes. The probability of excellent functional outcome decreased with increasing onset-to-needle time. This relation did not vary by sex (pinteraction 0.42). Conclusions: The AcT trial demonstrated comparable functional, safety and angiographic outcomes by sex. This effect did not differ between alteplase and tenecteplase. The pragmatic enrolment and broad national participation in AcT provide reassurance that there do not appear to be sex differences in outcomes amongst Canadians receiving IVT.
This study aimed to investigate psychometric properties and enhance precision of the 16-item Informant Questionnaire on Cognitive Decline in the Elderly (IQCODE-16) up to interval-level scale using Rasch methodology.
Design:
Partial Credit Rasch model was applied to the IQCODE-16 scores using longitudinal data spanning 10 years of biennial follow-up.
Setting:
Community-dwelling older adults aged 70–90 years and their informants, living in Sydney, Australia, participated in the longitudinal Sydney Memory and Ageing Study (MAS).
Participants:
The sample included 400 participants of the MAS aged 70 years and older, 109 out of those were diagnosed with dementia 10 years after the baseline assessment.
Measurements:
The IQCODE-16.
Results:
Initial analysis indicated excellent reliability of the IQCODE-16, Person Separation Index (PSI) = 0.92, but there were four misfitting items and local dependency issues. Combining locally dependent items into four super-items resulted in the best Rasch model fit with no misfitting or locally dependent items, strict unidimensionality, strong reliability, and invariance across person factors such as participants’ diagnosis and relationship to their informants, as well as informants’ age and sex. This permitted the generation of conversion algorithms to transform ordinal scores into interval data to enhance precision of measurement.
Conclusions:
The IQCODE-16 demonstrated strong reliability and satisfied expectations of the unidimensional Rasch model after minor modifications. Ordinal-to-interval transformation tables published here can be used to increase accuracy of the IQCODE-16 without altering its current format. These findings could contribute to enhancement of precision in assessing clinical conditions such as cognitive decline in older people.
The main aim of the current study was to present the abilities of widely used crop models to simulate four different field crops (winter wheat, spring barley, silage maize and winter oilseed rape). The 13 models were tested under Central European conditions represented by three locations in the Czech Republic, selected using temperature and precipitation gradients for the target crops in this region. Based on observed crop phenology and yield from 1991 to 2010, performances of individual models and their ensemble were analyzed. Modelling of anthesis and maturity was generally best simulated by the ensemble median (EnsMED) compared to the ensemble mean and individual models. The yield was better simulated by the best models than estimated by an ensemble. Higher accuracy was achieved for spring crops, with the best results for silage maize, while the lowest accuracy was for winter oilseed rape according to the index of agreement (IA). Based on EnsMED, the root mean square errors (RMSEs) for yield was 1365 kg/ha for winter wheat, 1105 kg/ha for spring barley, 1861 kg/ha for silage maize and 969 kg/ha for winter oilseed rape. The AQUACROP and EPIC models performed best in terms of spread around the line of best fit (RMSE, IA). In some cases, the individual models failed. For crop rotation simulations, only models with reasonable accuracy (i.e. without failures) across all included crops within the target environment should be selected. Application crop models ensemble is one way to increase the accuracy of predictions, but lower variability of ensemble outputs was confirmed.
This study aimed to apply the generalizability theory (G-theory) to investigate dynamic and enduring patterns of subjective cognitive complaints (SCC), and reliability of two widely used SCC assessment tools.
Design:
G-theory was applied to assessment scales using longitudinal measurement design with five assessments spanning 10 years of follow-up.
Setting:
Community-dwelling older adults aged 70–90 years and their informants, living in Sydney, Australia, participated in the longitudinal Sydney Memory and Ageing Study.
Participants:
The sample included 232 participants aged 70 years and older, and 232 associated informants. Participants were predominantly White Europeans (97.8%). The sample of informants included 76 males (32.8%), 153 females (65.9%), and their age ranged from 27 to 86 years, with a mean age of 61.3 years (SD = 14.38).
Measurements:
The Memory Complaint Questionnaire (MAC-Q) and the Informant Questionnaire on Cognitive Decline in the Elderly (IQCODE).
Results:
The IQCODE demonstrated strong reliability in measuring enduring patterns of SCC with G = 0.86. Marginally acceptable reliability of the 6-item MAC-Q (G = 0.77–0.80) was optimized by removing one item resulting in G = 0.80–0.81. Most items of both assessments were measuring enduring SCC with exception of one dynamic MAC-Q item. The IQCODE significantly predicted global cognition scores and risk of dementia incident across all occasions, while MAC-Q scores were only significant predictors on some occasions.
Conclusions:
While both informants’ (IQCODE) and self-reported (MAC-Q) SCC scores were generalizable across sample population and occasions, self-reported (MAC-Q) scores may be less accurate in predicting cognitive ability and diagnosis of each individual.
Taking into account epidemiological data about growing frequency of acute and chronic disorders of maxillofacial area evaluation of psychopathological disorders in this group of patients is of great importance.
The purpose was to diagnose symptoms of psychopathological disorders in maxillofacial surgeons’ patients.
Method:
The study used psychometric method. The validated scales used were SAS, SDS, Holmes and Rahe stress scale, HCL-32-R1. We included all patients who have applied to the clinic of Moscow State Medico-Stomatologic University from January 2010 to March 2013 and who gave Inform Consent.
Results:
Study sample consists of 408 patients (206 men, 202 women), 18-71 years old. According to somatic status all patients were divided into three groups. First group (n=160) – patients with chronic somatic disease resulted in fixed deformity of maxillofacial area. 41,3% of patients had depressive symptoms, 31,3% had anxiety symptoms and 16,3% had hypomania symptoms. Second group (n=127) - patients with acute posttraumatic face tissue injury. 10,7% of patients had symptoms of depression, 20% of patients had symptoms of anxiety and 32,3% of patients had symptoms of hypomania.
Third group (n=121) – patients without evident somatic pathology wishing to perform surgical correction of appearance.51,2% of patients had depressive symptoms, 40,5% of patients had anxiety symptoms and 35,7% of patients had hypomania symptoms.
Conclusion:
Our data suggest that 10-55% of maxillofacial surgeons’ patients have different symptoms of mental disorders (affective, anxiety). Further investigation needed to determine syndromal characteristics and nosological diagnosis and to elaborate psychopharmacotherapy and psychotherapy approaches.
To examine an effect of personality disorders on clinical features and disease course of cardiovascular diseases (CVD).
Materials and methods:
We’ve examined 358 inpatients (220 female, 138 male; mean age 57,6 ± 4,3years) with Arterial Hypertension (AH), Coronary Artery Disease (CAD) and Atrial Fibrillation (AF). Main methods were psychopathological, pathopsychological and clinico-instrumental.
Results:
Two groups of patients were determined. In the first group (216 patients, 64,8% female, mean age 56,9±2,1 years; mean CVD duration 9,2±3,1 years) clinical course of CVD is subjected to personality disorder's dynamics. Synergistic type of CVD clinical course is characterized by reactive somatopsychic lability, CVD manifestation at the time of stressful situation, CVD symptoms redoubling by somatoform disorders. CVD exacerbations correlate with psychogenic depressive phases and\or climacterial period. In most cases (76,1%) further CVD dynamics is characterized by hypochondriacal personality development. In the second group (142 patients, 70,4% female, mean age 57,6±1,4 years; mean CVD duration 9,2±2,2 years) clinical course of CVD doesn’t correlate with personality disorder's dynamics. Alternating type of clinical course of CVD is characterized by hereditary and somatogenic factors.
Conclusion:
These data enable to explain ambiguous results about reciprocal influence of personality disorders and CVD received in many studies. Our findings are of great practical importance and show the necessity of differentiated approach in complex treatment of CVD.
In the view of growing number of patients consulting plastic surgeons and cosmetologists, evaluation of psychopathological disorders and personality traits of these patients is of great importance.
The purpose of this screening study was to evaluate and to compare pathocharacterological and pathopsychological traits of plastic surgeons and cosmetologists’ patients.
Method:
The study used psychometric method. The validated scales used were Leonhard Personality Inventory, NEO-PI-R, SAS, SDS, HCL-32- R1, Holmes and Rahe stress scale, SAF. We included all patients who have applied to the Institute of Plastic Surgery and Cosmetology from February 2012 to June 2012 and who gave Inform Consent.
Results:
Study sample consists of 123 patients (103 women), 18-70 years. In the group of cosmetologists’ patients (n=92; 76 women; mean age 44,6+-2,5 years) histrionic and anxiety-phobic personality traits predominated. Constitutionally determined or gained extroversion, expressivity, impulsivity and emotional instability were detected. Anxiety symptoms were detected in 32,4% of patients; depressive symptoms were detected in 35,8% of patients. In the group of plastic surgeons’ patients (n=31; 27 women; mean age 36,7+-1,8 years) pedantic, sticking and disthymic personality traits predominated. Introversion, high level of self-control and detachment were detected. Anxiety symptoms were detected in 22,9% of patients; depressive symptoms were detected in 21,7% of patients.
Conclusion:
Our data give evidence of statistically significant differences in pathocharacterological and pathopsychological traits of plastic surgeons and cosmetologists’ patients. about one-third of these patients report about symptoms of depression, anxiety and hypomania. Complex diagnostic examination needed in order to determine nosological diagnosis and treatment strategies.
The β-diversity of fleas parasitic on small mammals in 45 regions of the Palearctic was partitioned into species [species contributions to β-diversity (SCBD)] and site ( = assemblage) contributions [local contributions to β-diversity (LCBD)]. We asked what are the factors affecting SCBD and LCBD and tested whether (a) variation in ecological, morphological, life history and geographic traits of fleas can predict SCBD and (b) variation in flea and host community metrics, off-host environmental factors, host species composition of flea assemblages can predict LCBD. We used spatial variables to describe geographic distribution of flea assemblages with various LCBD values. SCBD significantly increased with an increase in abundance and a decrease in phylogenetic host specificity of a flea as well as with size and latitude of its geographic range, but was not associated with any morphological/life history trait. LCBD of flea assemblages did not depend on either flea or host species richness or environmental predictors, but was significantly affected by compositional uniqueness ( = LCBD) of regional host assemblages and variables describing their species composition. In addition, variation in LCBD was also explained by broad-to-moderate-scale spatial variables. We conclude that SCBD of fleas could be predicted via their ecological and geographic traits, whereas LCBD of their assemblages could be predicted via host composition.
It is shown that the set of conservation laws for the nonlinear system of equations describing plane steady potential barotropic flow of gas is given by the set of conservation laws for the linear Chaplygin system. All the conservation laws of zero order for the Chaplygin system are found. These include both known and new nonlinear conservation laws. It is found that the number of conservation laws of the first order is not more than three, assuming that the laws do not depend on the velocity potential and are not non-obvious ones. The components of these conservation laws are quadratic with respect to the stream function and its derivatives. All the Chaplygin functions are found, for which the Chaplygin system has three non-obvious conservation laws of the first order that are independent of velocity potential. All such non-obvious first-order conservation laws are found.
The dynamic growth of multinational enterprises (MNEs) from emerging economies – mostly from so-called BRIC countries (Brazil, Russia, India and China) – is widely acknowledged as one of the key developments in the global economy in the last fifteen years. Today emerging market multinational enterprises (EMNEs) account for nearly one-tenth of the foreign sales and foreign assets of the top 500 multinationals in the world, compared to only 1–2 per cent in 1995 (UNCTAD, 2010). In the 2000s, the number of companies from emerging economies in the Fortune Global 500 has more than tripled (from twenty-one to seventy-five). In the new decade, competition between multinationals from developed countries and EMNEs with global aspirations (defined by Boston Consulting Group as ‘global challengers’) will continue to intensify. This new trend in globalisation of the world economy was reflected recently in booming interest in EMNEs in international business (IB) and strategic management (SM) fields, including publication of several books on the subject (Rugman, 2005; Goldstein, 2007; Casanova, 2009; Larcon, 2009; Ramamurti and Singh, 2009a).
Most of the existing EMNEs literature is either quite descriptive or is based on rather limited arguments in the early theoretical interpretations of foreign expansion of MNEs from emerging economies. Attempts to explain the growth of foreign direct investment (FDI) and reinforcement of EMNEs’ positions with country-specific advantages (CSA) come across several difficulties. Reasoning based on CSAs could not suffice the need for our comprehensive understanding of the nature and mechanisms of EMNEs’ competitive advantages. On one hand, today (as compared to the second half of the twentieth century) FDI is no longer the only attribute of multinational activities. Cross-border value-adding non-equity arrangements are gaining at least similar strategic importance for MNEs from both developed and emerging economies.
The incidence of invasive methicillin-resistant Staphylococcus aureus (MRSA) infections in the United States decreased during 2005–2008, but noninvasive community-associated MRSA (CA-MRSA) infections also frequently lead to hospitalization. We estimated the incidence of all MRSA infections among inpatients at US academic medical centers (AMCs) per 1,000 admissions during 2003–2008.
Design.
Retrospective cohort study.
Setting and Participants.
Hospitalized patients at 90% of nonprofit US AMCs during 2003–2008.
Methods.
Administrative data on MRSA infections from a hospital discharge database (University HealthSystem Consortium [UHC]) were adjusted for underreporting of the MRSA V09.0 International Classification of Diseases, Ninth Revision, Clinical Modification code and validated using chart reviews for patients with known MRSA infections in 2004–2005, 2006, and 2007.
Results.
The mean sensitivity of administrative data for MRSA infections at the University of Chicago Medical Center in three 12-month periods during 2004–2007 was 59.1%. On the basis of estimates of billing data sensitivity from the literature and the University of Chicago Medical Center, the number of MRSA infections per 1,000 hospital discharges at US AMCs increased from 20.9 (range, 11.1–47.7) in 2003 to 41.7 (range, 21.9–94.0) in 2008. At the University of Chicago Medical Center, among infections cultured more than 3 days prior to hospital discharge, CA-MRSA infections were more likely to be captured in the UHC billing-derived data than were healthcare-associated MRSA infections.
Conclusions.
The number of hospital admissions for any MRSA infection per 1,000 hospital admissions overall increased during 2003–2008. Use of unadjusted administrative hospital discharge data or surveillance for invasive disease far underestimates the number of MRSA infections among hospitalized patients.
We report on experiments aimed at the generation and characterization of solid density plasmas at the free-electron laser FLASH in Hamburg. Aluminum samples were irradiated with XUV pulses at 13.5 nm wavelength (92 eV photon energy). The pulses with duration of a few tens of femtoseconds and pulse energy up to 100 µJ are focused to intensities ranging between 1013 and 1017 W/cm2. We investigate the absorption and temporal evolution of the sample under irradiation by use of XUV and optical spectroscopy. We discuss the origin of saturable absorption, radiative decay, bremsstrahlung and atomic and ionic line emission. Our experimental results are in good agreement with simulations.
Plasma filamentation is often encountered in collisionless shocks and inertial confinement fusion. We develop a general analytical description of the two-dimensional relativistic filamentary equilibrium and derive the conditions for existence of potential-free equilibria. A pseudopotential equation for the vector-potential is constructed for cold and relativistic Maxwellian distributions. The role of counter-streaming is explained. We present single current sheet and periodic current sheet solutions, and analyze the equilibria with electric potential. These solutions can be used to study linear and nonlinear evolution of the relativistic filamentation instability.
This article discusses the role of some pathogenetical factors in the main morphological variants of vascular dementia and their correlation with certain clinical parameters. On the basis of computer-tomographical (CT) studies of 62 patients with dementia, it was possible to distinguish three groups of patients, according to the type of parenchymatous brain lesions: (1) 14 patients with “pure” leukoaraiosis (LA); (2) 23 patients with ischemic foci (IF), and (3) 25 patients with a combination of LA and IF. A comparative study of these groups confirmed the concept that in the development of LA and dementia related to it, a special role is being attributed to such factors as arterial hypertension and aging.
We present preliminary results of new spectroscopic observations of dwarf nova BZ UMa in quiescence. Fifty medium resolution spectra allow us to reproduce the radial velocity curve from the Hα emission line. We confirm that BZ UMa shows extremely unusual emission lines profiles, Unlike the classical single or the double-peaked profiles usually observed in spectra of dwarf novae, emission lines of BZ UMa consist of at least five peaks.
One of the high levels of actinide, and in particular Cm, waste streams at the Russian radiochemical Production Association (PA) Mayak was generated during spent fuel reprocessing. Using oxalate precipitation, the rare earth elements (REE) and transuranic elements (TRU) settled out in the form of oxalate residues. Due to in high REE contents in this residue, the mineral-like matrix based on (REE)PO4 solid solution, with monlclinic monazite structure have been proposed to use as a suitable ceramics form for final actinide immobilization. For this purpose the synthetic REE oxalates were first transformed into REE orthophosphates in a thin-film evaporator (TFE). Then the (REE)PO4 powder was compacted both by either hot uniaxial pressing (HUP) or cold uniaxial pressing followed by sintering (CUP). This ceramic with the monazite structure has a high density and exhibits chemical durability by leaching.
We prove the existence of a family of Travelling Wave (TW) solutions for a large class of scalar reaction-diffusion equations with degenerate, nonlinear diffusion coefficients and monostable nonlinear reaction terms. We also investigate stability. Specifically, we show that, as in the linear diffusion case [6], the slowest TW in the family yields the asymptotic rate of the propagation of disturbances from the unstable rest state in these systems. In addition, we give conditions on the reaction term and diffusion coefficient ensuring the existence of interfaces.
The problem of nonlinear adjustment of localized front-like perturbations to a state of geostrophic equilibrium (balanced state) is studied in the framework of rotating shallow-water equations with no dependence on the along-front coordinate. We work in Lagrangian coordinates, which turns out to be conceptually and technically advantageous. First, a perturbation approach in the cross-front Rossby number is developed and splitting of the motion into slow and fast components is demonstrated for non-negative potential vorticities. We then give a non-perturbative proof of existence and uniqueness of the adjusted state, again for configurations with non-negative initial potential vorticities. We prove that wave trapping is impossible within this adjusted state and, hence, adjustment is always complete for small enough departures from balance. However, we show that retarded adjustment occurs if the adjusted state admits quasi-stationary states decaying via tunnelling across a potential barrier. A description of finite-amplitude periodic nonlinear waves known to exist in configurations with constant potential vorticity in this model is given in terms of Lagrangian variables. Finally, shock formation is analysed and semi-quantitative criteria based on the values of initial gradients and the relative vorticity of initial states are established for wave breaking showing, again, essential differences between the regions of positive and negative vorticity.
We studied flea assemblages on rodents in different habitats of the Ramon erosion cirque in the Negev Desert to examine whether host–habitat relations influence flea spatial distribution. Eleven flea species parasitizing 12 rodent species were recorded. There was significant positive relationship between flea species richness and body mass of the host species; no relationships were found between relative richness of flea assemblage and either the number of habitats occupied by the host species or the size of host geographical range. The differences in pattern of flea parasitism among habitat types within host species were determined by both environmental features of a habitat and the specific pattern of habitat use by rodents. There was replacement of Xenopsylla conformis by Xenopsylla ramesis on Meriones crassus and Gerbillus dasyurus among different habitats. The results of ordination of the flea collections from each individual host demonstrated that the flea assemblages were segregated mainly along 4 axes, which explained 86% of total variance. Each of the ordination axes corresponded with a change in flea species composition. The directions of these changes were (1) among-hosts within a habitat and (2) among-habitats within a host.
Recommend this
Email your librarian or administrator to recommend adding this to your organisation's collection.