1,729 research outputs found
USDA Farm Programs: North Dakota Farmer Participation and Opinions
Agricultural and Food Policy,
Sustainable Agriculture and the Structure of North Dakota Agriculture
Environmental Economics and Policy, Industrial Organization, Production Economics,
Selected Characteristics of North Dakota Farm Families Engaged in Sustainable Agricultural Practices
Environmental Economics and Policy, Farm Management, Resource /Energy Economics and Policy,
The impact of treatment with indacaterol in patients with COPD:A post-hoc analysis according to GOLD 2011 categories A to D
AbstractBackgroundIndacaterol is an inhaled, once-daily, ultra-long-acting β2-agonist for the treatment of chronic obstructive pulmonary disease (COPD). We report on the effectiveness of indacaterol and other bronchodilators compared with placebo in patients across the Global Initiative for Chronic Obstructive Lung Disease (GOLD) 2011 categories A to D.MethodsA post-hoc, subgroup pooled analysis of 6-month efficacy data from three randomized, placebo-controlled, parallel-group studies involving 3862 patients was performed across GOLD 2011 categories A to D, according to baseline forced expiratory volume in 1 s (FEV1) % predicted, modified Medical Research Council (mMRC) dyspnea scale, and exacerbation history in the 12 months prior to entry. Efficacy of once-daily indacaterol 150 and 300 μg, open-label tiotropium 18 μg, twice-daily salmeterol 50 μg, and formoterol 12 μg was compared with placebo. End points analysed were trough FEV1, transition dyspnea index (TDI), and St George's Respiratory Questionnaire (SGRQ) total score, all at Week 26, and mean rescue medication use over 26 weeks.ResultsIndacaterol 150 and 300 μg significantly improved FEV1, compared with placebo across all GOLD groups. Indacaterol 150 and 300 μg also significantly improved TDI, SGRQ total score, and mean rescue medication use compared with placebo across most GOLD subgroups.ConclusionsTreatment selection according to patient's symptoms as well as lung function is an important consideration in maintenance treatment of COPD. Indacaterol 150 and 300 μg effectively improved lung function and symptoms in patients across all GOLD 2011 categories
On the agreement between manual and automated methods for single-trial detection and estimation of features from event-related potentials
The agreement between humans and algorithms on whether an event-related potential (ERP) is present or not and the level of variation in the estimated values of its relevant features are largely unknown. Thus, the aim of this study was to determine the categorical and quantitative agreement between manual and automated methods for single-trial detection and estimation of ERP features. To this end, ERPs were elicited in sixteen healthy volunteers using electrical stimulation at graded intensities below and above the nociceptive withdrawal reflex threshold. Presence/absence of an ERP peak (categorical outcome) and its amplitude and latency (quantitative outcome) in each single-trial were evaluated independently by two human observers and two automated algorithms taken from existing literature. Categorical agreement was assessed using percentage positive and negative agreement and Cohen's κ, whereas quantitative agreement was evaluated using Bland-Altman analysis and the coefficient of variation. Typical values for the categorical agreement between manual and automated methods were derived, as well as reference values for the average and maximum differences that can be expected if one method is used instead of the others. Results showed that the human observers presented the highest categorical and quantitative agreement, and there were significantly large differences between detection and estimation of quantitative features among methods. In conclusion, substantial care should be taken in the selection of the detection/estimation approach, since factors like stimulation intensity and expected number of trials with/without response can play a significant role in the outcome of a study
Presenting signs and patient co-variables in Gaucher disease : outcome of the Gaucher Earlier Diagnosis Consensus (GED-C) Delphi initiative
© 2018 The Authors. Internal Medicine Journal by Wiley Publishing Asia Pty Ltd on behalf of Royal Australasian College of Physicians.Background: Gaucher disease (GD) presents with a range of signs and symptoms. Physicians can fail to recognise the early stages of GD owing to a lack of disease awareness, which can lead to significant diagnostic delays and sometimes irreversible but avoidable morbidities. Aim: The Gaucher Earlier Diagnosis Consensus (GED-C) initiative aimed to identify signs and co-variables considered most indicative of early type 1 and type 3 GD, to help non-specialists identify ‘at-risk’ patients who may benefit from diagnostic testing. Methods: An anonymous, three-round Delphi consensus process was deployed among a global panel of 22 specialists in GD (median experience 17.5 years, collectively managing almost 3000 patients). The rounds entailed data gathering, then importance ranking and establishment of consensus, using 5-point Likert scales and scoring thresholds defined a priori. Results: For type 1 disease, seven major signs (splenomegaly, thrombocytopenia, bone-related manifestations, anaemia, hyperferritinaemia, hepatomegaly and gammopathy) and two major co-variables (family history of GD and Ashkenazi-Jewish ancestry) were identified. For type 3 disease, nine major signs (splenomegaly, oculomotor disturbances, thrombocytopenia, epilepsy, anaemia, hepatomegaly, bone pain, motor disturbances and kyphosis) and one major co-variable (family history of GD) were identified. Lack of disease awareness, overlooking mild early signs and failure to consider GD as a diagnostic differential were considered major barriers to early diagnosis. Conclusion: The signs and co-variables identified in the GED-C initiative as potentially indicative of early GD will help to guide non-specialists and raise their index of suspicion in identifying patients potentially suitable for diagnostic testing for GD.Peer reviewedFinal Published versio
Rigid Chiral Membranes
Statistical ensembles of flexible two-dimensional fluid membranes arise
naturally in the description of many physical systems. Typically one encounters
such systems in a regime of low tension but high stiffness against bending,
which is just the opposite of the regime described by the Polyakov string. We
study a class of couplings between membrane shape and in-plane order which
break 3-space parity invariance. Remarkably there is only {\it one} such
allowed coupling (up to boundary terms); this term will be present for any
lipid bilayer composed of tilted chiral molecules. We calculate the
renormalization-group behavior of this relevant coupling in a simplified model
and show how thermal fluctuations effectively reduce it in the infrared.Comment: 11 pages, UPR-518T (This replaced version has fonts not used
removed.
Vertical Structure and Color of Jovian Latitudinal Cloud Bands during the Juno Era
The identity of the coloring agent(s) in Jupiter's atmosphere and the exact
structure of Jupiter's uppermost cloud deck are yet to be conclusively
understood. The Cr\`{e}me Br\^ul\'ee model of Jupiter's tropospheric clouds,
originally proposed by Baines et al. (2014) and expanded upon by Sromovsky et
al. (2017) and Baines et al. (2019), presumes that the chromophore measured by
Carlson et al. (2016) is the singular coloring agent in Jupiter's troposphere.
In this work, we test the validity of the Cr\`{e}me Br\^ul\'ee model of
Jupiter's uppermost cloud deck using spectra measured during the Juno
spacecraft's 5 perijove pass in March 2017. These data were
obtained as part of an international ground-based observing campaign in support
of the Juno mission using the NMSU Acousto-optic Imaging Camera (NAIC) at the
3.5-m telescope at Apache Point Observatory in Sunspot, NM. We find that the
Cr\`{e}me Br\^ul\'ee model cloud layering scheme can reproduce Jupiter's
visible spectrum both with the Carlson et al. (2016) chromophore and with
modifications to its imaginary index of refraction spectrum. While the
Cr\`{e}me Br\^ul\'ee model provides reasonable results for regions of Jupiter's
cloud bands such as the North Equatorial Belt and Equatorial Zone, we find that
it is not a safe assumption for unique weather events, such as the 2016-2017
Southern Equatorial Belt outbreak that was captured by our measurements.Comment: 38 pages, 21 figures; Accepted for publication in AAS Planetary
Science Journa
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