980 research outputs found
Monitoring serum insulin-like growth factor-I (IGF-I), IGF binding protein-3 (IGFBP-3), IGF-I/IGFBP-3 molar ratio and leptin during growth hormone treatment for disordered growth
OBJECTIVE: Serum IGF-I levels are monitored during
GH replacement treatment in adults with GH defi-
ciency (GHD) to guide GH dose adjustment and to
minimize occurrence of GH-related side-effects. This
is not routine practice in children treated with GH. The
aim of this study was to evaluate changes in (1) serum
IGF-I, IGFBP-3 and IGF-I/IGFBP-3 molar ratio, and (2)
serum leptin, an indirect marker of GH response,
during the first year of GH treatment in children with
disordered growth.
DESIGN: An observational prospective longitudinal
study with serial measurements at five time points
during the first year of GH treatment was carried out.
Each patient served as his/her own control.
PATIENTS The study included 31 patients, grouped
as (1) GHD (n=20) and (2) non-GHD (Turner syndrome
n=7; Noonan syndrome n=4), who had not previously
received GH treatment.
MEASUREMENTS: Serum IGF-I, IGFBP-3 and leptin
levels were measured before treatment and after
6 weeks, 3 months, 6 months and 12 months of GH
treatment, with a mean dose of 0.5 IU/kg/wk in GHD
and 0.7 IU/kg/wk in non-GHD groups. IGF-I, IGFBP-3
and the calculated IGF-I/IGFBP-3 molar ratio were
expressed as SD scores using reference values from
the local population.
RESULTS: In the GHD group, IGF-I SDS before treatment was lower compared with the non-GHD (-5.4 Âą 2.5 vs. -1.8 Âą 1.0; P < 0.001). IGF-I (-1.8 SDS Âą 2.2) and IGFBP-3 (-1.1 SDS Âą 0.6) levels and their molar ratios were highest at 6 weeks and remained relatively constant thereafter. In the non-GHD group, IGF-I levels increased throughout the year and were maximum at 12 months (0.3 SDS Âą 1.4) while IGFBP-3 (1.1 SDS Âą 0.9) and IGF-I/IGFBP-3 molar ratio peaked at 6 months. In both groups, IGF-I SDS and IGF-I/IGFBP-3 during treatment correlated with the dose of GH expressed as IU/m2/week (r-values 0.77 to 0.89; P = 0.005) but not as IU/kg/week. Serum leptin levels decreased significantly during GH treatment in the GHD (median before treatment 4.0 g/l; median after 12 months treatment 2.4 g/l; P = 0.02) but not the non-GHD (median before treatment 3.0 g/l; median after 12 months treatment 2.6 g/l). In the GHD group, serum leptin before treatment correlated with 12 month change in height SDS (r = 0.70, P = 0.02).
CONCLUSIONS: The pattern of IGF-I, IGFBP-3 and
their molar ratio during the first year of GH treatment
differed between the GHD and non-GHD groups. Calculation
of GH dose by surface area may be preferable
to calculating by body weight. As a GH dose-dependent
increase in serum IGF-I and IGF-I/IGFBP-3 may
be associated with adverse effects, serum IGF-I and
IGFBP-3 should be monitored routinely during longterm
GH treatment. Serum leptin was the only variable
that correlated with first year growth response in
GHD
A geometric proof of the Kochen-Specker no-go theorem
We give a short geometric proof of the KochenSpecker nogo theorem for noncontextual hidden variables model
Outdoor Adventure Therapy to Increase Physical Activity in Young Adult Cancer Survivors
Physical activity (PA) has numerous benefits for cancer survivors, but limited research exists on PA interventions in young adult cancer survivors. Outdoor adventure therapy is a potential method of increasing PA in this demographic. The primary purpose of this non-randomized parallel group study was to determine whether the outdoor adventure camp experience (vs. wait list control) would increase participantsâ PA levels immediately following the 7-day camp, as well as three months later. Secondary aims examined correlates of greater PA, including pre-post camp changes in sedentary behavior, exercise self-efficacy, environmental change self-efficacy, perceived barriers to exercise, physical activity enjoyment, and physical activity variety. Sixty-six control and 50 intervention participants were given validated quantitative questionnaires at baseline, 1 week (end of camp) and at the 3-month follow-up. Repeated measures multivariate analysis of variance (RMANOVA) was used to compare group changes over time. Using intent to treat analysis, adjusting for age, gender, age at diagnosis, and baseline minutes of PA per week, there was a significant difference (p=.0001) in minutes of PA per week between groups at both 1 week and 3 months. Bonferroni adjusted post-hoc analysis indicated that, relative to baseline, the intervention group had significantly (p=.0001) greater increases in PA at both 1 week (577 minutes vs. 9 minute increases) and 3 month follow-ups (133 minute increases vs. 75 minute decreases; p=.001) respectively. Significant intervention-related improvements were also observed in TV viewing hours/week (p=.001), hours sitting/week (p=.001), âExcusesâ score of the Perceived Barriers to PA questionnaire (p=.04), Enjoyment of Structured Activities (p=.04), and PA Variety (p=.0001) at 1 week but not at the 3 month follow-up. No significant effects were observed for changes in exercise self-efficacy, environmental change self-efficacy, or the other subscales scores. In conclusion, outdoor adventure therapy has the potential to increase PA levels in cancer survivors both immediately following camp, as well as long-term. However, effects tend to wane after camp termination. Future research should explore the relationship between correlates of PA and PA levels in outdoor adventure therapy camp participants and methods to promote sustained PA after camp termination
General model selection estimation of a periodic regression with a Gaussian noise
This paper considers the problem of estimating a periodic function in a
continuous time regression model with an additive stationary gaussian noise
having unknown correlation function. A general model selection procedure on the
basis of arbitrary projective estimates, which does not need the knowledge of
the noise correlation function, is proposed. A non-asymptotic upper bound for
quadratic risk (oracle inequality) has been derived under mild conditions on
the noise. For the Ornstein-Uhlenbeck noise the risk upper bound is shown to be
uniform in the nuisance parameter. In the case of gaussian white noise the
constructed procedure has some advantages as compared with the procedure based
on the least squares estimates (LSE). The asymptotic minimaxity of the
estimates has been proved. The proposed model selection scheme is extended also
to the estimation problem based on the discrete data applicably to the
situation when high frequency sampling can not be provided
Direct composition profiling in III-V nanostructures by cross-sectional STM
Using cross-sectional STM we have studied the local composition in IIIâV nanostructures such as GaAs/InGaAs quantum wells, InGaNAs/InP quantum wells and quantum dots, and InAs/GaAs self-assembled quantum dots. We are able to determine the local composition by either simply counting the constituent atoms, measuring the local lattice constant or measuring the relaxation of the cleaved surface due to the elastic field of the buried strained nanostructures
Tomato: a crop species amenable to improvement by cellular and molecular methods
Tomato is a crop plant with a relatively small DNA content per haploid genome and a well developed genetics. Plant regeneration from explants and protoplasts is feasable which led to the development of efficient transformation procedures.
In view of the current data, the isolation of useful mutants at the cellular level probably will be of limited value in the genetic improvement of tomato. Protoplast fusion may lead to novel combinations of organelle and nuclear DNA (cybrids), whereas this technique also provides a means of introducing genetic information from alien species into tomato. Important developments have come from molecular approaches. Following the construction of an RFLP map, these RFLP markers can be used in tomato to tag quantitative traits bred in from related species. Both RFLP's and transposons are in the process of being used to clone desired genes for which no gene products are known. Cloned genes can be introduced and potentially improve specific properties of tomato especially those controlled by single genes. Recent results suggest that, in principle, phenotypic mutants can be created for cloned and characterized genes and will prove their value in further improving the cultivated tomato.
Secondary education reform in Lesotho and Zimbabwe and the needs of rural girls: Pronouncements, policy and practice
Analysis of the educational needs of rural girls in Lesotho and Zimbabwe suggests a number of shortcomings in the current form of secondary education, and ways in which it might be modified so as to serve this sizeable group of students better. Several of the shortcomings, notably in relation to curricular irrelevance and excessive focus on examinations, have long been recognised, including by politicians. Yet political pronouncements are seldom translated into policy, and even where policy is formulated, reforms are seldom implemented in schools. This paper makes use of interviews with educational decision-makers in the two southern African countries and a range of documentary sources to explore why, despite the considerable differences between the two contexts, much needed educational reforms have been implemented in neither
Field Measurements of Terrestrial and Martian Dust Devils
Surface-based measurements of terrestrial and martian dust devils/convective vortices provided from mobile and stationary platforms are discussed. Imaging of terrestrial dust devils has quantified their rotational and vertical wind speeds, translation speeds, dimensions, dust load, and frequency of occurrence. Imaging of martian dust devils has provided translation speeds and constraints on dimensions, but only limited constraints on vertical motion within a vortex. The longer mission durations on Mars afforded by long operating robotic landers and rovers have provided statistical quantification of vortex occurrence (time-of-sol, and recently seasonal) that has until recently not been a primary outcome of more temporally limited terrestrial dust devil measurement campaigns. Terrestrial measurement campaigns have included a more extensive range of measured vortex parameters (pressure, wind, morphology, etc.) than have martian opportunities, with electric field and direct measure of dust abundance not yet obtained on Mars. No martian robotic mission has yet provided contemporaneous high frequency wind and pressure measurements. Comparison of measured terrestrial and martian dust devil characteristics suggests that martian dust devils are larger and possess faster maximum rotational wind speeds, that the absolute magnitude of the pressure deficit within a terrestrial dust devil is an order of magnitude greater than a martian dust devil, and that the time-of-day variation in vortex frequency is similar. Recent terrestrial investigations have demonstrated the presence of diagnostic dust devil signals within seismic and infrasound measurements; an upcoming Mars robotic mission will obtain similar measurement types
Measurement of the B0-anti-B0-Oscillation Frequency with Inclusive Dilepton Events
The - oscillation frequency has been measured with a sample of
23 million \B\bar B pairs collected with the BABAR detector at the PEP-II
asymmetric B Factory at SLAC. In this sample, we select events in which both B
mesons decay semileptonically and use the charge of the leptons to identify the
flavor of each B meson. A simultaneous fit to the decay time difference
distributions for opposite- and same-sign dilepton events gives ps.Comment: 7 pages, 1 figure, submitted to Physical Review Letter
Search for a W' boson decaying to a bottom quark and a top quark in pp collisions at sqrt(s) = 7 TeV
Results are presented from a search for a W' boson using a dataset
corresponding to 5.0 inverse femtobarns of integrated luminosity collected
during 2011 by the CMS experiment at the LHC in pp collisions at sqrt(s)=7 TeV.
The W' boson is modeled as a heavy W boson, but different scenarios for the
couplings to fermions are considered, involving both left-handed and
right-handed chiral projections of the fermions, as well as an arbitrary
mixture of the two. The search is performed in the decay channel W' to t b,
leading to a final state signature with a single lepton (e, mu), missing
transverse energy, and jets, at least one of which is tagged as a b-jet. A W'
boson that couples to fermions with the same coupling constant as the W, but to
the right-handed rather than left-handed chiral projections, is excluded for
masses below 1.85 TeV at the 95% confidence level. For the first time using LHC
data, constraints on the W' gauge coupling for a set of left- and right-handed
coupling combinations have been placed. These results represent a significant
improvement over previously published limits.Comment: Submitted to Physics Letters B. Replaced with version publishe
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