31,634 research outputs found
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Multiple Imputation of Composite Covariates in Survival Studies
Missing covariate values are a common problem in survival studies, and the method of choice when handling such incomplete data is often multiple imputation. However, it is not obvious how this can be used most effectively when an incomplete covariate is a function of other covariates. For example, body mass index (BMI) is the ratio of weight and height-squared. In this situation, the following question arises: Should a composite covariate such as BMI be imputed directly, or is it advantageous to impute its constituents, weight and height, first and to construct BMI afterwards? We address this question through a carefully designed simulation study that compares various approaches to multiple imputation of composite covariates in a survival context. We discuss advantages and limitations of these approaches for various types of missingness and imputation models. Our results are a first step towards providing much needed guidance to practitioners for analysing their incomplete survival data effectively
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The Epidemiology and Genetic Architecture of Vitamin D Deficiency in African Children
Vitamin D deficiency is a common public health problem worldwide. However, little is known about the epidemiology of vitamin D deficiency in Africa. In this thesis, I aimed to determine: 1) the prevalence of and risk factors associated with vitamin D deficiency in studies conducted in Africa; 2) the prevalence and predictors of vitamin D deficiency in African children; 3) the association between vitamin D and iron deficiency in African children; and 4) genetic variants that influence vitamin D status in Africans.
In a systematic review and meta-analyses of previous vitamin D studies in Africa, the average prevalence of low vitamin D status was 18.5%, 34.2% and 59.5% using cut-offs of 25-hydroxyvitamin D (25(OH)D) levels of <30 nmol/L, <50 nmol/L and <75 nmol/L, respectively. Populations at risk of vitamin D deficiency included newborns, women, and people living in high latitudes or urban areas.
In an epidemiological study of young children living in Africa, the prevalence of low vitamin D status was 0.6%, 7.8% and 44.5% using cut-offs of 25(OH)D levels of GC2 variant of the group-specific component (GC) gene, which encodes vitamin D binding protein.
Vitamin D deficiency was also associated with 80% higher odds of iron deficiency in these children. Adjusted regression models revealed that vitamin D deficiency was associated with higher ferritin and hepcidin levels suggesting lower iron status, and reduced sTfR and transferrin levels and increased TSAT and serum iron levels suggesting improved iron status.
Genome-wide association study (GWAS) in Africans revealed genetic variants that influence vitamin D status in vitamin D metabolism genes: DHCR7/NADSYN1, CYP2R1 and GC. However, the majority of SNPs from previous European GWASs did not replicate in the current GWAS.
Findings from this thesis indicate that vitamin D deficiency is prevalent in many African populations and should be considered in public health strategies in Africa
Integrating Soundscape Criteria in Urban Sustainable Regeneration Processes: An Example of Comfort and Health Improvement
This paper reports an example of an urban sustainable regeneration process in a small open square following the soundscape approach in urban design and involving a transdisciplinary team. The renovation of this urban public space brought changes in its acoustic environment and improved soundscape perception as much more pleasant (enhanced comfort). The rehabilitation broadened the use of the square and enhanced users’ wellbeing and health, showing a significant positive impact of sound: reduction in negative emotions and perceived stress while increasing positive feelings. To conclude, the implications of the results about restorative environments in urban sound planning and future areas of research are discussed.This research received no external funding
Coverage measurements of NB-IoT technology
Abstract. The narrowband internet of things (NB-IoT) is a cellular radio access technology that provides seamless connectivity to wireless IoT devices with low latency, low power consumption, and long-range coverage. For long-range coverage, NB-IoT offers a coverage enhancement (CE) mechanism that is achieved by repeating the transmission of signals. Good network coverage is essential to reduce the battery usage and power consumption of IoT devices, while poor network coverage increases the number of repetitions in transmission, which causes high power consumption of IoT devices. The primary objective of this work is to determine the network coverage of NB-IoT technology under the University of Oulu’s 5G test network (5GTN) base station. In this thesis work, measurement results on key performance indicators such as reference signal received power (RSRP), reference signal received quality (RSRQ), received signal strength indicator (RSSI), and signal to noise plus interference (SINR) have been reported. The goal of the measurement is to find out the NB-IoT signal strength at different locations, which are served by the 5GTN cells configured with different parameters, e.g., Tx power levels, antenna tilt angles.
The signal strength of NB-IoT technology has been measured at different places under the 5GTN base station in Oulu, Finland. Drive tests have been conducted to measure the signal strength of NB-IoT technology by using the Quectel BG96 module, Qualcomm kDC-5737 dongle and Keysight Nemo Outdoor software. The results have shown the values of RSRP, RSRQ, RSSI, and SINR at different locations within several kilometres of the 5GTN base stations. These values indicate the performance of the network and are used to assess the performance of network services to the end-users.
In this work, the overall performance of the network has been checked to verify if network performance meets good signal levels and good network coverage. Relevant details of the NB-IoT technology, the theory behind the signal coverage and comparisons with the measurement results have also been discussed to check the relevance of the measurement results
Micro-Prudential Regulation and Loan Monitoring
We evaluate the value of loan monitoring systems for a bank controlled by a micro-prudential regulator. We investigate dynamic systems (an information channel that generates information flow about quality) and static systems (where the lender receives a single signal about loan quality). We find that dynamic systems carry a regulatory charge that dominates the benefit of the systems and are therefore unprofitable, whereas static systems have positive value. Specifically, lenders can profitably dismantle their dynamic systems and instead turn to static monitoring systems. The model reveals, therefore, a potential weakness of micro-prudential regulation
Uso de las histonas circulantes y sus modificaciones post-traduccionales como biomarcadores en sepsis y shock séptico
La sepsis es una afección potencialmente mortal causada por una respuesta anormal del huésped a una infección, produciendo respuestas fisiológicas alteradas que dañan los propios tejidos del paciente y pueden provocar disfunción orgánica e incluso la muerte. Asimismo, algunos pacientes sépticos progresan a shock séptico, caracterizado por alteraciones circulatorias, celulares y metabólicas sustanciales que aumentan el riesgo de mortalidad. A pesar de que la sepsis se caracteriza por un mal funcionamiento del sistema inmunológico, lo que a su vez conduce a una respuesta inmune alterada e inmunosupresión, la alta complejidad de la fisiopatología de la sepsis requiere una mayor investigación para comprender las respuestas inmunes que ocurren durante la sepsis. Asimismo, las histonas extracelulares circulantes han ganado relevancia como mediadores citotóxicos en la sepsis, ya que actúan como patrones moleculares asociados a daño, que inducen estrés oxidativo y activan el inflamasoma NLRP3. Estos mecanismos median la activación de la piroptosis, un mecanismo de muerte celular programada que produce inflamación mediante la expresión de IL-18, IL-1β and IL-1α. Sin embargo, a pesar de la evidencia de activación del inflamasoma en las células inmunes durante la sepsis, se desconoce si las histonas extracelulares son capaces de activar los inflamasomas endoteliales y sus consecuencias. En este trabajo destacamos el papel previamente desconocido de las histonas extracelulares, mediando la activación del inflamasoma NLRP3 y la piroptosis en las células endoteliales, contribuyendo a la disfunción endotelial y la desregulación de la respuesta inmune mediada por el endotelio. Asimismo, también demostramos cómo la acetilación de histonas disminuye la activación de la piroptosis. Además, demostramos que la piroptosis se produce en pacientes con shock séptico y los niveles de histonas circulantes se correlacionan con la expresión de citoquinas proinflamatorias y citoquinas piroptóticas, la liberación de factores de adhesión endotelial y la gravedad de la enfermedad. Proponemos la piroptosis mediada por histonas como un nuevo objetivo para desarrollar intervenciones clínicas. De manera similar, hemos analizado las respuestas inmunorelacionadas que ocurren durante las primeras etapas de la sepsis con el objetivo de proporcionar nuevos datos comparando las cantidades de citoquinas, inmunomoduladores y otros mediadores endoteliales en pacientes críticamente enfermos no sépticos, sépticos y de shock séptico. Nuestro enfoque ayudará a caracterizar rápidamente las respuestas inmunes alteradas en pacientes sépticos y de shock séptico ingresados en la Unidad de Cuidados Intensivos. Finalmente analizamos el papel de la metilación del ADN en el control del sistema inmune séptico. Nuestros resultados demostraron el papel central de la metilación del ADN modulando la respuesta molecular en los pacientes de shock séptico y contribuyendo a la inmunosupresión, a través de la alteración de los patrones de metilación de los promotores de IL-10 y TREM-2.Sepsis is a life-threatening condition caused by an abnormal host response to an infection that produce altered physiological responses which damages own tissues of the patient and can result in organ dysfunction and in some cases death. Likewise, a subset of septic patients progresses to septic shock, characterized by substantial circulatory, cellular and metabolic abnormalities, which substantially increase the risk of mortality. Sepsis is characterized by a malfunction of the immune system and it can lead to an altered immune response and immunosuppression. Moreover, the high complexity of the pathophysiology of sepsis requires of further investigation to characterize the immune responses in sepsis and septic shock. Likewise, circulating extracellular histones have gained relevance as cytotoxic mediators in sepsis pathophysiology, since they act as damage-associated molecular patterns, which induce oxidative stress and activate NLRP3 inflammasome. Subsequently, inflammasome mediates pyroptosis activation, a programmed cell death mechanism that produces inflammation through the release of IL-18, IL-1β and IL-1α. However, despite inflammasome activation may occur in immune cells during sepsis, it is unknown if this process also takes place in endothelial cells and particularly whether extracellular histones are capable of activating endothelial inflammasomes and their consequences. In this work we highlight a previously unknown role for extracellular histones, that mediates the activation of NLRP3 inflammasome and pyroptosis in endothelial cells by contributing to endothelial dysfunction and the dysregulation of the immune response mediated by endothelium. Likewise, we demonstrated how histone acetylation decreases pyroptosis activation. Furthermore, we show how pyroptosis occurs in septic shock patients and how circulating histone levels correlate with the expression of pro-inflammatory and pyroptotic cytokines, the release of endothelial adhesion factors and septic shock severity. We propose histone-mediated pyroptosis as a new target to develop clinical interventions. Similarly, we have analyzed the immune-related responses occurring during the early stages of sepsis with the aim of providing new data by comparing the amounts of cytokines, immune modulators and other endothelial mediators in critically-ill non-septic patients, septic and septic shock patients. Our approach will help to rapidly characterize the altered immune responses in septic and septic shock patients admitted in the Intensive Care Unit. Finally, we also analyzed the role of DNA methylation in the control of septic immune system. Our results demonstrated the central role of DNA methylation modulating the molecular response in septic shock patients and contributing to immunosuppression, through the alteration of DNA methylation patterns of IL-10 and TREM2 promoters
The Caribbean Syzygy: a study of the novels of Edgar Mittelholzer and Wilson Harris
The problem of racial inheritance - the "search for identity" - is a recurring theme in the criticism of Caribbean literature. It is a pre-occupation with Caribbean writers, affecting both subject matter and literary quality, as FM. Birbalsingh, for example, has shown with reference to the novels of John Hearne and E,R. Braithwaite (Caribbean quarterly Vols. 14, December 1968 and 16, March 1970). This study of the work of Edgar Mittelholzer and Wilson Harris will attempt to show that there are important areas still to be explored relating Caribbean literature to its complex racial and cultural background. Both Mittelholzer and Harris deserve close, critical study in their own right; but a parallel examination reveals similarities and differences which bring into sharper focus wider concerns of Caribbean literature. The two important directions of West Indian writing are more clearly seen: the one, pioneered by Mittelholzer, in which the writer looks outward towards a "parent" culture, and the other looking inward, seeking in its own, complex inheritance the raw material for new and original growth. Mittelholzer and Harris are both Guyanese of mixed racial stock, both deeply concerned with the psychological effects of this mixture, and both writers have a profound awareness of the Guyanese historical and cultural heritage. They also share a deep feeling for the Guyenese landscape which appears in their work as a brooding presence affecting radically -the lives of those who live within i-t. Mittelholzer's attitude to his mixed racial and cultural origins, however, produces in his work a schizophrenic Imbalance while Harris, by accepting racial and cultural complexity as a starting-point, initiates a uniquely creative and experimental art. Mittelholzer, in his approach to history, human character eM landscape, remains a vi "coastal" writer never really concerned (as Harris is) with. the deeper significance of the "Interior" and all that this implies, both in a geographical and psychological sense. The fact that Mittelbolzer's work reflects a psychological imbalance induced by a pre-occupation with racial identity has been demonstrated by Denis Williams in the 1968 Mittelholzer Lectures, and by Joyce Sparer in a series of articles in the Guyana Graphic. Mittelholzer's awareness of this imbalance, however, and his attempt to come to terms with it in his art remain to be examined and documented, as does Harris's attempt to create am "associative" art aimed at healing the breach in the individual consciousness of Caribbean Man. The aim of this study is to demonstrate that Mitteholzer and. Harris, although antithetical in impact and style (each representing an approach to fiction directly opposed to the other) are, in fact, the opposite elements of a dichotomy. Their work illustrates the negative and positive aspects of the racial and cultural schizophrenia of the Caribbean, for both writers in their different ways are preoccupied with (and therefore have embodied in their work) the juxtaposition and, contrasting of apparently irreconcilable emotional and intellectual qualities - the Caribbean Syzygy
Service-Learning for Sustainability Entrepreneurship in Rural Areas: What Is Its Global Impact on Business University Students?
5296Service-Learning (SL) is a teaching innovation method that combines learning and social
service objectives to improve educational quality and graduate employability. To date, there are hardly
any studies on its global impact on university students. This paper describes and evaluates an SL
experience for Sustainability Entrepreneurship in the context of Spanish Higher Education. Based on
knowledge acquired in classrooms, multi-disciplinary teams of students from di erent subjects related
to Business Administration o ered support to potential entrepreneurs from rural municipalities in
the complex task of writing a successful Business Plan for their projects for local sustainability. Within
this academic framework, our study has two goals: (1) to assess the self-perception of university
students about the improvement in their curricular development, professional skills and civic-social
responsibility after participating in the SL experience; and (2) to estimate its possible e ect on
academic performance. The results show that the students acknowledged they had improved their
social and sustainability commitment and their curricular development, and had acquired skills that
society increasingly demands from future business professionals. Furthermore, service-students
achieved significantly higher academic performance than a control group of non-participating
students. These findings highlight the e ectiveness of SL to provide a more holistic education for
business university students.S
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