3-Ethyl-6-(4-fluoro­phen­yl)-7H-1,2,4-triazolo[3,4-b][1,3,4]thia­diazine

In the title compound, C12H11FN4S, the thia­diazine ring adopts a twist-boat conformation. The dihedral angle between the triazolothia­diazine system and the benzene ring is 10.54 (9)°. The crystal structure is characterized by C—H⋯N hydrogen bonds. The crystal packing also exhibits π–π inter­actions, with a centroid–centroid distance of 3.6348 (15) Å

The Stability of Double White Dwarf Binaries Undergoing Direct Impact Accretion

We present numerical simulations of dynamically unstable mass transfer in a double white dwarf binary with initial mass ratio, q = 0.4. The binary components are approximated as polytropes of index n = 3/2 and the initially synchronously rotating, semi-detached equilibrium binary is evolved hydrodynamically with the gravitational potential being computed through the solution of Poisson's equation. Upon initiating deep contact in our baseline simulation, the mass transfer rate grows by more than an order of magnitude over approximately ten orbits, as would be expected for dynamically unstable mass transfer. However, the mass transfer rate then reaches a peak value, the binary expands and the mass transfer event subsides. The binary must therefore have crossed the critical mass ratio for stability against dynamical mass transfer. Despite the initial loss of orbital angular momentum into the spin of the accreting star, we find that the accretor's spin saturates and angular momentum is returned to the orbit more efficiently than has been previously suspected for binaries in the direct impact accretion mode. To explore this surprising result, we directly measure the critical mass ratio for stability by imposing artificial angular momentum loss at various rates to drive the binary to an equilibrium mass transfer rate. For one of these driven evolutions, we attain equilibrium mass transfer and deduce that effectively q_crit has evolved to approximately 2/3. Despite the absence of a fully developed disk, tidal interactions appear effective in returning excess spin angular momentum to the orbit.Comment: 27 pages, 6 figures. Please see http://www.phys.lsu.edu/faculty/tohline/astroph/mftd07/ for animations and full resolution figures. Accepted for publication in the Astrophysical Journa

Data Talks: Obesity-Related Influences on US Mortality Rates

Background: In the US, obesity is an epidemiologic challenge and the population fails to comprehend this complex public health issue. To evaluate underlying obesity-impact patterns on mortality rates, we data-mined the 1999-2016 Center for Disease Control WONDER database’s vital records.Methods: Adopting SAS programming, we scrutinized the mortality and population counts. Using ICD-10 diagnosis codes connected to overweight and obesity, we obtained the obesity-related crude and age-adjusted causes of death. To understand divergent and prevalence trends we compared and contrasted the tabulated obesity-influenced mortality rates with demographic information, gender, and age-related data.Key Results: From 1999 to 2016, the obesity-related age-adjusted mortality rates increased by 142%. The ICD-10 overweight and obesity-related death-certificate coding showed clear evidence that obesity factored in the male age-adjusted mortality rate increment to 173% and the corresponding female rate to 117%. It also disproportionately affected the nation-wide minority population death rates. Furthermore, excess weight distributions are coded as contributing features in the crude death rates for all decennial age-groups.Conclusions: The 1999-2016 data from ICD-10 death certificate coding for obesity-related conditions indicate that it is affecting all segments of the US population

Delaware’s 1999-2017 Leading Causes of Death Information Illustrates Its Obesity and Obesity-Related Life-Limiting Disease Burdens

Using commercially available but powerful big data analytics, this non-clinical obesity and underlying causes of death observational study, analyzed the very large US Centers for Disease Control and Prevention’s (CDC) State of Obesity records, the CDC WONDER data, and the US census records. Compared to the 1999-to-2017 US obesity rate increase of 29.8%, an uncontrolled increase in Delaware’s obesity rate (81.7%) was observed. During the same time period, CDC WONDER death certificate archives disclosed that there was a 60.53% surge in crude Delawarean mortality rate when obesity was listed as a single underlying cause of death. When any mention of obesity was documented on the death certificate, Delaware’s 1999-2017 crude mortality rate advanced by 75.69% and its age-adjusted rate rose by 53.18%. Likewise, except for one year, Delaware’s African American/Black population experienced higher crude mortality rate averages but however, between the years of 1997 and 2017, its Caucasian/White inhabitants had an enormous 87.34% death rate increase. With additional available CDC mortality data, Delaware males saw substantially larger age-adjusted death rate increases (79.87%) than their female counterparts (28.92%).Diabetes, circulatory system diseases, and neoplasms (cancer), are three common obesity comorbidities. For these three conditions, Delaware’s 1999-2017 mortality rate figures mimic the falling national patterns of mortality rate averages, when each disease is listed as the single underlying cause of death, including observations where there are disproportionate numbers of cases that affect the African American/Black race

Investigation Of Obesity-Related Mortality Rates In Delaware

As Delaware’s adult obesity crisis continues to be a leading public health concern, we evaluated Delaware’s 1999–2014 vital records to examine the association between obesity and mortality. We used the Delaware population death records from the Centers for Disease Control and Prevention (CDC) WONDER database and the Delaware Health Statistics Center (DHSC). Together with the vital records, we incorporated Microsoft Excel, SAS (Statistical Analysis System) and GIS (geographic information system) tools to analyze obesity influences from county residence, economic status, education, gender, and race. Using the 15-year (1999–2014) time span with the CDC WONDER database, we observed a statistically significant 28.7% increase in the age-adjusted Delaware obesity-related mortality rates (where obesity was a contributory factor). Furthermore, obesity influenced death counts in all three Delaware counties (New Castle, Kent, and Sussex). Kent County experienced the largest increase (66.0%), followed by New Castle County (47.4%), and Sussex County (25.2%). The DHSC mortality rates for all leading causes of death from 2000 to 2011 indicated relatively stable mortality rates for Delaware. However, using CDC WONDER data, the Delaware mortality rate for obesity as a single underlying cause in 2011 was 56.9% higher than mortality rate in 2000

Venture Capital Funding for Information Technology Businesses

The success of new ventures can hinge on obtaining venture capital (VC) funding. Virtually every successful IT venture has depended on VC funding early in its history. However, obtaining venture capital is difficult. Unlike earlier studies on VC funding that consider new ventures to be homogeneous, this study seeks to identify factors that VCs consider when they make funding decisions for IT ventures. Building on prior research in the area of agency and business risk, we develop a theoretical model that draws on work in finance and entrepreneurship. The model suggests that VCs consider two types of risk: business risk and agency risk. The relative importance of these two types of risk may be different across industries. We test this model using data from 139 business plans for IT startups that were considered for funding by VCs. Traditional structural equation modeling (SEM) does not accommodate non-normal data or dichotomous outcome variables. Using the Robust Weighted Least Squares approach, we test our model with non-normal data and dichotomous outcomes. In addition, we use Tetrad analysis to check model fit against alternative models, floor and ceiling analysis to test sample frame validity, relative effect size comparison to test relative elasticity of effects, and a Monte Carlo estimation approach to test overall model power and power of individual paths. We find that business risk is an important factor in start-up funding for IT ventures. We do not find agency risk to be an important consideration in start-up funding for IT ventures

ASSESSMENT OF PROFESSIONAL’S ADHERENCE TO JOINT NATIONAL COMMITTEE 8 GUIDELINES IN THE MANAGEMENT OF HYPERTENSION

Objectives: Hypertension is the most insidious ailment in primary care with its management being a daily affair. The avail of antihypertensive medications has affirmed their efficacy in blood pressure alleviation. Yet, the methodical choice of medication with which treatment ought to commence at the precise blood pressure threshold and maintained at a target level was undiscerned. Consequently, the Eighth Joint National Committee grants an evidence-based tool, which was employed in the appraisal of professional's adherence to joint national committee 8 guidelines. Methods: A prospective, observational study was governed. Aggregate patients with hypertension with/without diabetes mellitus (DM) and/ or chronic kidney failure admitted in general medicine and the dialysis unit of the tertiary health care hospital, for 4 months were enrolled. The rationality of antihypertensive medications and target blood pressure was noted. Results: Patients matriculated to 125, 90 males and 35 females. Average age perceived was between 51 and 60 years, with the length of stay 14.39 (standard deviation [SD]±1.52) and 9.3 (SD±0.46) days in the respective unit. The gross medication endorsed represents 1085 medications, incorporating 337 antihypertensive medications. The optimal choice of an antihypertensive medicine was clonidine and amlodipine. Adherence in the populace with lone hypertension was cent percent, trailed by hypertension with DM 82.35% and minimal in hypertension with chronic kidney disease. Conclusion: 86-medication compiled adherence to the guidelines (25.52%). Rationality of medication depicts 25.6% were rational and 73.6% distinguish as non-rational, amid a demise of a sole victim. A significant high-grade defiance of health-care practitioners to the Eighth Joint National Committee guidelines was evidenced from our study

Teachers developing assessment for learning: impact on student achievement

While it is generally acknowledged that increased use of formative assessment (or assessment for learning) leads to higher quality learning, it is often claimed that the pressure in schools to improve the results achieved by students in externally-set tests and examinations precludes its use. This paper reports on the achievement of secondary school students who worked in classrooms where teachers made time to develop formative assessment strategies. A total of 24 teachers (2 science and 2 mathematics teachers, in each of six schools in two LEAs) were supported over a six-month period in exploring and planning their approach to formative assessment, and then, beginning in September 1999, the teachers put these plans into action with selected classes. In order to compute effect sizes, a measure of prior attainment and at least one comparison group was established for each class (typically either an equivalent class taught in the previous year by the same teacher, or a parallel class taught by another teacher). The mean effect size was 0.32