193 research outputs found
Panel attrition in survey data: a literature review
This paper will examines the problem of attrition in panel studies, and the different sets of methodological issues facing researchers in developed and developing countries. In particular, the study explores he hypothesis that attrition is contingent on certain specific community, household, and/or individual level characteristics, and examines options for reducing the impact of attrition through tracking. The study reviews the existing literature on panel data and attrition, examines the question of selectivity and attrition bias, and documents various techniques employed by researchers to reduce attrition
Antisepsis of the skin before spinal surgery with povidone iodine-alcohol followed by chlorhexidine gluconate-alcohol versus povidone iodine-alcohol applied twice for the prevention of contamination of the wound by bacteria
Development that works, March 31, 2011
This repository item contains a single issue of the Pardee Conference Series, On March 31, 2011, more than 100 people participated in a conference titled
“Development That Works,” sponsored by Boston University’s Frederick S.
Pardee Center for the Study of the Longer-Range Future in collaboration with the
BU Global Development program. In the pages that follow, four essays written
by Boston University graduate students capture the salient points and overarching
themes from the four sessions, each of which featured presentations by
outstanding scholars and practitioners working in the field of development. The
conference agenda and speakers’ biographies are included following the essays.The theme and the title of the conference—”Development That Works”—stemmed from the conference organizers’ desire to explore, from a groundlevel perspective, what programs, policies, and practices have been shown—or appear to have the potential—to achieve sustained, long-term advances in
development in various parts of the world. The intent was not to simply showcase
“success stories,” but rather to explore the larger concepts and opportunities
that have resulted in development that is meaningful and sustainable
over time. The presentations and discussions focused on critical assessments
of why and how some programs take hold, and what can be learned from
them. From the influence of global economic structures to innovative private sector
programs and the need to evaluate development programs at the
“granular” level, the expert panelists provided well-informed and often provocative
perspectives on what is and isn’t working in development programs
today, and what could work better in the future
X-Ray Measured Dynamics of Tycho's Supernova Remnant
We present X-ray proper-motion measurements of the forward shock and
reverse-shocked ejecta in Tycho's supernova remnant, based on three sets of
archival Chandra data taken in 2000, 2003, and 2007. We find that the proper
motion of the edge of the remnant (i.e., the forward shock and protruding
ejecta knots) varies from 0".20 yr^{-1} (expansion index m=0.33, where R = t^m)
to 0".40 yr^{-1} (m=0.65) with azimuthal angle in 2000-2007 measurements, and
0".14 yr^{-1} (m=0.26) to 0".40 yr^{-1} (m=0.65) in 2003-2007 measurements. The
azimuthal variation of the proper motion and the average expansion index of
~0.5 are consistent with those derived from radio observations. We also find
proper motion and expansion index of the reverse-shocked ejecta to be
0".21-0".31 yr^{-1} and 0.43-0.64, respectively. From a comparison of the
measured m-value with Type Ia supernova evolutionary models, we find a
pre-shock ambient density around the remnant of <~0.2 cm^{-3}
The Impact of Diversity: Understanding How Nonprofit Board Diversity Affects Philanthropy, Leadership, and Board Engagement
Diversity on nonprofit boards in the United States has been widely studied. A great deal of research has focused on this area, exploring topics such as the level of diversity, the motivations for increased diversity, and the benefits diversity seems to deliver. Despite such research, little is known about how increasing the diversity on nonprofit boards affects board engagement and impact. This study addresses this gap by answering two questions: "Which organizational attributes correlate with board diversity?" and "How is board diversity related to organizational action?
The application of PGT-A for carriers of balanced structural chromosomal rearrangements
The aim of this study was to analyze differences in chromosomal aberrations and euploidy in embryos of each translocation type and gender of carrier in the case series of 10 couples with balanced translocations who underwent IVF with embryos trophectoderm (TE) biopsy and PGT-A to detect chromosomal aberrations. This is a Case Series (Retrospective study). In each case, controlled ovarian hyperstimulation, oocyte insemination with intracytoplasmic sperm injection (ICSI) and cultivation gave multiple blastocysts, that underwent trophectoderm (TE) biopsy with PGT-A analysis using aCGH and NGS. Number of total unbalanced translocations compared to the number of sporadic aneuploid embryos was 39.6% to 39.6% (50% to 50% of all 37 aneuploid embryos). The highest euploidy rate was in male carrier group–26.7% and the lowest in the Robertsonian translocation carrier group–18.2%. Sporadic aneuploidy–68.2% was highest in Robertsonian translocation carrier group and lowest in female group–11.1%. Chromosomal aberrations related to translocation were highest in female carrier group–77.8% and lowest in Robertsonian translocation carrier group–13.6%. Our study showed that expectancy of total embryo aneuploidy rates will be higher in carriers, than in people with normal karyotype. The prevalence of chromosomal aberrations related to translocation was 4.5 times higher in Reciprocal carrier group than in Robertsonian translocation carrier group. Among maternal and paternal carrier groups, the embryos from female carriers had the lowest euploidy rate, unbalanced translocation rate 4.7 times higher than in the male carrier group and higher total aneuploidy rates.publishersversionPeer reviewe
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High Salinity Shelf Water production rates in Terra Nova Bay, Ross Sea from high-resolution salinity observations
High Salinity Shelf Water (HSSW) formed in the Ross Sea is a precursor to Antarctic Bottom Water (AABW), a water mass that constitutes the bottom limb of the global overturning circulation. HSSW production rates are poorly constrained, as in-situ observations are scarce. Here, we present high-vertical-and-temporal-resolution salinity time series collected in austral winter 2017 from a mooring in Terra Nova Bay (TNB), one of two major sites of HSSW production in the Ross Sea. We calculate an annual-average HSSW production rate of ~0.4 Sv (10^6 m^3 s^(-1)), which we use to ground truth additional estimates across 2012 - 2021 made from parametrized net surface heat fluxes. We find sub-seasonal and interannual variability on the order of 0.1 Sv, with a strong dependence on variability in open-water area that suggests a sensitivity of TNB HSSW production rates to changes in the local wind regime and offshore sea ice pack
Breast-cancer adjuvant therapy with zoledronic acid
Background: Data suggest that the adjuvant use of bisphosphonates reduces rates of recurrence and death in patients with early-stage breast cancer. We conducted a study to determine whether treatment with zoledronic acid, in addition to standard adjuvant therapy, would improve disease outcomes in such patients. Methods: In this open-label phase 3 study, we randomly assigned 3360 patients to receive standard adjuvant systemic therapy either with or without zoledronic acid. The zoledronic acid was administered every 3 to 4 weeks for 6 doses and then every 3 to 6 months to complete 5 years of treatment. The primary end point of the study was disease-free survival. A second interim analysis revealed that a prespecified boundary for lack of benefit had been crossed. Results: At a median follow-up of 59 months, there was no significant between-group difference in the primary end point, with a rate of disease-free survival of 77% in each group (adjusted hazard ratio in the zoledronic acid group, 0.98; 95% confidence interval [CI], 0.85 to 1.13; P=0.79). Disease recurrence or death occurred in 377 patients in the zoledronic acid group and 375 of those in the control group. The numbers of deaths — 243 in the zoledronic acid group and 276 in the control group — were also similar, resulting in rates of overall survival of 85.4% in the zoledronic acid group and 83.1% in the control group (adjusted hazard ratio, 0.85; 95% CI, 0.72 to 1.01; P=0.07). In the zoledronic acid group, there were 17 confirmed cases of osteonecrosis of the jaw (cumulative incidence, 1.1%; 95% CI, 0.6 to 1.7; P<0.001) and 9 suspected cases; there were no cases in the control group. Rates of other adverse effects were similar in the two study groups. Conclusions: These findings do not support the routine use of zoledronic acid in the adjuvant management of breast cancer. (Funded by Novartis Pharmaceuticals and the National Cancer Research Network; AZURE Current Controlled Trials number, ISRCTN79831382.
Breast-cancer Adjuvant Therapy With Zoledronic Acid
BACKGROUND: Data suggest that the adjuvant use of bisphosphonates reduces rates of recurrence and death in patients with early-stage breast cancer. We conducted a study to determine whether treatment with zoledronic acid, in addition to standard adjuvant therapy, would improve disease outcomes in such patients. METHODS: In this open-label phase 3 study, we randomly assigned 3360 patients to receive standard adjuvant systemic therapy either with or without zoledronic acid. The zoledronic acid was administered every 3 to 4 weeks for 6 doses and then every 3 to 6 months to complete 5 years of treatment. The primary end point of the study was disease-free survival. A second interim analysis revealed that a prespecified boundary for lack of benefit had been crossed. RESULTS: At a median follow-up of 59 months, there was no significant between-group difference in the primary end point, with a rate of disease-free survival of 77% in each group (adjusted hazard ratio in the zoledronic acid group, 0.98; 95% confidence interval [CI], 0.85 to 1.13; P = 0.79). Disease recurrence or death occurred in 377 patients in the zoledronic acid group and 375 of those in the control group. The numbers of deaths - 243 in the zoledronic acid group and 276 in the control group - were also similar, resulting in rates of overall survival of 85.4% in the zoledronic acid group and 83.1% in the control group (adjusted hazard ratio, 0.85; 95% CI, 0.72 to 1.01; P = 0.07). In the zoledronic acid group, there were 17 confirmed cases of osteonecrosis of the jaw (cumulative incidence, 1.1%; 95% CI, 0.6 to 1.7; P < 0.001) and 9 suspected cases; there were no cases in the control group. Rates of other adverse effects were similar in the two study groups. CONCLUSIONS: These findings do not support the routine use of zoledronic acid in the adjuvant management of breast cancer
Emerging Concepts for Pelvic Organ Prolapse Surgery: What is Cure?
The objective of this review is to discuss emerging concepts in pelvic organ prolapse, in particular, “What is cure?” In a post-trial data analysis of the CARE (Colpopexy and Urinary Reduction Efforts) trial, treatment success varied tremendously depending on the definition used (19.2%–97.2%). Definitions that included the absence of vaginal bulge symptoms had the strongest relationships with the patients’ assessment of overall improvement and treatment success. As demonstrated by this study, there are several challenges in defining cure in prolapse surgery. Additionally, the symptoms of prolapse are variable. The degree of prolapse does not correlate directly with symptoms. There are many surgical approaches to pelvic organ prolapse. Multiple ways to quantify prolapse are used. There is a lack of standardized definition of cure. The data on prolapse surgery outcomes are heterogeneous. The goal of surgical repair is to return the pelvic organs to their original anatomic positions. Ideally, we have four main goals: no anatomic prolapse, no functional symptoms, patient satisfaction, and the avoidance of complications. The impact of transvaginal mesh requires thoughtful investigation. The driving force should be patient symptoms in defining cure of prolapse
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