Preoperative neutrophil-lymphocyte ratio and outcome from coronary artery bypass grafting

Background: An elevated preoperative white blood cell count has been associated with a worse outcome after coronary artery bypass grafting (CABG). Leukocyte subtypes, and particularly the neutrophil-lymphocyte (N/L) ratio, may however, convey superior prognostic information. We hypothesized that the N/L ratio would predict the outcome of patients undergoing surgical revascularization. Methods: Baseline clinical details were obtained prospectively in 1938 patients undergoing CABG. The differential leukocyte was measured before surgery, and patients were followed-up 3.6 years later. The primary end point was all-cause mortality. Results: The preoperative N/L ratio was a powerful univariable predictor of mortality (hazard ratio [HR] 1.13 per unit, P 3.36). Conclusion: An elevated N/L ratio is associated with a poorer survival after CABG. This prognostic utility is independent of other recognized risk factors.Peer reviewedAuthor versio

Use of waveform lidar and hyperspectral sensors to assess selected spatial and structural patterns associated with recent and repeat disturbance and the abundance of sugar maple (Acer saccharum Marsh.) in a temperate mixed hardwood and conifer forest.

Abstract Waveform lidar imagery was acquired on September 26, 1999 over the Bartlett Experimental Forest (BEF) in New Hampshire (USA) using NASA\u27s Laser Vegetation Imaging Sensor (LVIS). This flight occurred 20 months after an ice storm damaged millions of hectares of forestland in northeastern North America. Lidar measurements of the amplitude and intensity of ground energy returns appeared to readily detect areas of moderate to severe ice storm damage associated with the worst damage. Southern through eastern aspects on side slopes were particularly susceptible to higher levels of damage, in large part overlapping tracts of forest that had suffered the highest levels of wind damage from the 1938 hurricane and containing the highest levels of sugar maple basal area and biomass. The levels of sugar maple abundance were determined through analysis of the 1997 Airborne Visible/Infrared Imaging Spectrometer (AVIRIS) high resolution spectral imagery and inventory of USFS Northern Research Station field plots. We found a relationship between field measurements of stem volume losses and the LVIS metric of mean canopy height (r2 = 0.66; root mean square errors = 5.7 m3/ha, p \u3c 0.0001) in areas that had been subjected to moderate-to-severe ice storm damage, accurately documenting the short-term outcome of a single disturbance event

Crab mortality on Chesapeake Bay shedding floats

Reports of high mortality resulting from the impoundment of crabs (Callinectes sapidus) during the preshedding period, to produce soft crabs, have been current in Maryland and Virginia for many years. The death rate of crabs on floats has been estimated by certain of the operators to run as high as 86% at Cape Charles, and to figures nearly as high at Crisfield and elsewhere during one season of the year. A study of this mortality and the factors influencing it have been in progress at the Chesapeake Biological Laboratory for two seasons

Muskrats on tidal marshes of Dorchester County

This bulletin reports, in a non-technical manner, investigations on the Virginia muskrat, prevalent in Maryland, from July, 1949 to June, 1951

European patterns of development in historical perspective

Europe provides a suitable scenario for testing empirical regularities of growth since, to a large extent, its countries share institutions, policies, and resource endowments. Patterns of development, which associate structural change with variations in GDP per head and population, are constructed for modern Europe (1850-1990) along the lines of Chenery and Syrquin's pathbreaking work. Thus, it is possible to discern whether a common set of development processes is observable for the whole continent and whether countries that had a late start exhibited, as suggested by Gerschenkron, a differential behaviour in terms of accumulation, resource allocation, and demographic transition. The results tend to confirm the different nature of latecomers' development.Publicad

Differential Mortality by Income and Social Security Progressivity

There is a widespread belief that people with low lifetime labor income have higher age specific mortality and lower remaining life expectancies at age 60 or 65 than those with middle or high lifetime earnings. In this paper, we assess the implications of differential mortality by lifetime income for Social Security progressivity. Social Security has a highly progressive formula to determine monthly benefits in that those with low lifetime earnings get a much higher replacement rate than those with high lifetime earnings. However, recent studies on the mortality gap by lifetime income suggest that at least some of this progressivity is counterbalanced by the longer average lifetimes experienced by higher lifetime income recipients of Social Security. To reassess the progressivity of Social Security, we calculate internal rates of return and net present values for the program under assumptions of differential mortality and compare these measures of progressivity to the same measures calculated assuming all individuals experience average population mortality rates. Under the assumption of constant mortality across lifetime income subgroups, the Social Security system is progressive regardless of the measure shown. However, a good deal of the progressivity is undone or even reversed when differential mortality is taken into account.Social Security, Mortality Gap, Differential Mortality, Lifetime Income

The Social Security Earnings Test Removal. Money Saved or Money Spent by the Trust Fund?

Beneficiaries of Social Security face restrictions on how much they can earn without incurring the earnings test (ET). In 2000, President Clinton eliminated the ET between age 65 and 70. In this paper I evaluate how this removal impacts the long-term finances of the Trust Fund. I find that starting in 2006 the Social Security Administration is actually saving money and that the removal appears to be Pareto efficient. A removal of the remaining part of the ET is likely to be even less costly and to produce larger increases in labor supply and contributions.earnings test, social security, claiming, retirement