1,166 research outputs found
Educational technology training workshops for mathematics teachers: An exploration of perception changes
published_or_final_versio
The role of the fibreoptic bronchoscope in otorhinolaryngological practice
Flexible fibreoptic bronchoscope has been employed in the examination of the nasopharynx, pharynx, larynx, trachea, bronchus and intrathoracic oesophagus under local anaesthesia. It is used either for diagnostic or therapeutic purposes. A total of 1690 procedures have been performed with no complication. The indications and findings in these procedures are listed. The advantages and limitations of the use of flexible fibreoptic bronchoscope as a 'panendoscopic examination' instrument are discussed.published_or_final_versio
Induction chemotherapy for squamous cell carcinomas of the oral cavity: A cumulative meta-analysis
Induction chemotherapy (ICT) is a controversial treatment for head and neck squamous cell carcinomas (HNSCC). Despite numerous randomized controlled trials (RCTs), a majority do not have enough statistical power alone to conclude ICTâs treatment value among oral squamous carcinoma patients (OSCC) since many addressed HNSCC as one entity instead of by specific subtypes. By performing a systematic review and cumulative meta-analysis, we aim to determine the benefits of ICT in OSCC therapy. A literature search identified for RCTs comparing OSCC patients who received ICT against those without. Log-hazard ratio, and relative risk were used for comparison. Heterogeneity was determined using the I2 statistic package. The primary endpoint was overall survival (OS), followed by disease-free survival (DFS), locoregional recurrence (LRR) and distant metastasis (DM) as secondary endpoints. RESULTS: 27 randomized trials were included for analysis (nâ
=â
2872 patients). The shortest median follow-up was 15â
months whereas the longest was 11.5â
years. ICT does not improve OS (HRâ
=â
0.947, 95% CI 0.85â1.05, pâ
=â
0.318), DFS (RRâ
=â
1.05, 95% CI 0.92â1.21, pâ
=â
0.462) and DM (RRâ
=â
0.626, CI 95% 0.361â1.086, pâ
=â
0.096) compared to locoregional treatment alone. However, there was a significant improvement to LRR (RRâ
=â
0.778, 95% CI 0.622â0.972, pâ
=â
0.027). There is no evidence ICT improves survival outcomes for OSCC patients. However, ICT reduces locoregional recurrence of OSCC, which may need further verification.preprin
The Use of Wikis in a Science Inquiry-based Project in a Primary School
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Aqcostic quantification and colour kinesis: evaluation of left atrial and left ventricular function in real time
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Predictors and outcomes of some religious experiences
Paper Session - 117 Understanding Religious ExperiencesA non-ordinary and transcendent religious experience (NOTRE) is an event that a religious believer reports about an unusual encounter with the divine, and which does not occur on a day-to-day basis. NOTREs are distinguishable from general feelings of closeness with God, of beauty of life and the world, and of joy and comfort attributed to the divine. Often highly emotionally charged, they are events which the believers themselves consider extraordinary, miraculous, and overwhelming. In this research, we focused on NOTREs that are related to physical healing from serious illness, speaking in tongues, and prayers and meditation. Two questions formed the focus of the present longitudinal study: First, who are more likely to report NOTREs? We expected that some NOTREs would be predicted by faith-related variables (faith maturity and religiosity) measured at an earlier time. Second, what are the effects of such alleged experiences on the personâs subsequent spiritual and psychological state? We expected that some NOTREs would predict faith maturity, religiosity, and religious behaviors measured ...postprin
Observation of white-light amplified spontaneous emission from carbon nanodots under laser excitation
Author name used in this publication: Li Bin TangAuthor name used in this publication: Siu Fung YuAuthor name used in this publication: Shu Ping LauVersion of RecordPublishe
The clinical impact of chromosomal microarray on paediatric care in Hong Kong
Objective
To evaluate the clinical impact of chromosomal microarray (CMA) on the management of paediatric patients in Hong Kong.
Methods
We performed NimbleGen 135k oligonucleotide array on 327 children with intellectual disability (ID)/developmental delay (DD), autism spectrum disorders (ASD), and/or multiple congenital anomalies (MCAs) in a university-affiliated paediatric unit from January 2011 to May 2013. The medical records of patients were reviewed in September 2013, focusing on the pathogenic/likely pathogenic CMA findings and their âclinical actionabilityâ based on established criteria.
Results
Thirty-seven patients were reported to have pathogenic/likely pathogenic results, while 40 had findings of unknown significance. This gives a detection rate of 11% for clinically significant (pathogenic/likely pathogenic) findings. The significant findings have prompted clinical actions in 28 out of 37 patients (75.7%), while the findings with unknown significance have led to further management recommendation in only 1 patient (p<0.001). Nineteen out of the 28 management recommendations are âevidence-basedâ on either practice guidelines endorsed by a professional society (nâ=â9, Level 1) or peer-reviewed publications making medical management recommendation (nâ=â10, Level 2). CMA results impact medical management by precipitating referral to a specialist (nâ=â24); diagnostic testing (nâ=â25), surveillance of complications (nâ=â19), interventional procedure (nâ=â7), medication (nâ=â15) or lifestyle modification (nâ=â12).
Conclusion
The application of CMA in children with ID/DD, ASD, and/or MCAs in Hong Kong results in a diagnostic yield of âŒ11% for pathogenic/likely pathogenic results. Importantly the yield for clinically actionable results is 8.6%. We advocate using diagnostic yield of clinically actionable results to evaluate CMA as it provides information of both clinical validity and clinical utility. Furthermore, it incorporates evidence-based medicine into the practice of genomic medicine. The same framework can be applied to other genomic testing strategies enabled by next-generation sequencing.published_or_final_versio
Optimal leverage from non-ergodicity
In modern portfolio theory, the balancing of expected returns on investments
against uncertainties in those returns is aided by the use of utility
functions. The Kelly criterion offers another approach, rooted in information
theory, that always implies logarithmic utility. The two approaches seem
incompatible, too loosely or too tightly constraining investors' risk
preferences, from their respective perspectives. The conflict can be understood
on the basis that the multiplicative models used in both approaches are
non-ergodic which leads to ensemble-average returns differing from time-average
returns in single realizations. The classic treatments, from the very beginning
of probability theory, use ensemble-averages, whereas the Kelly-result is
obtained by considering time-averages. Maximizing the time-average growth rates
for an investment defines an optimal leverage, whereas growth rates derived
from ensemble-average returns depend linearly on leverage. The latter measure
can thus incentivize investors to maximize leverage, which is detrimental to
time-average growth and overall market stability. The Sharpe ratio is
insensitive to leverage. Its relation to optimal leverage is discussed. A
better understanding of the significance of time-irreversibility and
non-ergodicity and the resulting bounds on leverage may help policy makers in
reshaping financial risk controls.Comment: 17 pages, 3 figures. Updated figures and extended discussion of
ergodicit
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