67 research outputs found

    Comparing very low birth weight versus very low gestation cohort methods for outcome analysis of high risk preterm infants

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    © 2017 The Author(s). Background: Compared to very low gestational age (<32 weeks, VLGA) cohorts, very low birth weight (<1500 g; VLBW) cohorts are more prone to selection bias toward small-for-gestational age (SGA) infants, which may impact upon the validity of data for benchmarking purposes. Method: Data from all VLGA or VLBW infants admitted in the 3 Networks between 2008 and 2011 were used. Two-thirds of each network cohort was randomly selected to develop prediction models for mortality and composite adverse outcome (CAO: mortality or cerebral injuries, chronic lung disease, severe retinopathy or necrotizing enterocolitis) and the remaining for internal validation. Areas under the ROC curves (AUC) of the models were compared. Results: VLBW cohort (24,335 infants) had twice more SGA infants (20.4% vs. 9.3%) than the VLGA cohort (29,180 infants) and had a higher rate of CAO (36.5% vs. 32.6%). The two models had equal prediction power for mortality and CAO (AUC 0.83), and similarly for all other cross-cohort validations (AUC 0.81-0.85). Neither model performed well for the extremes of birth weight for gestation (<1500 g and ≥32 weeks, AUC 0.50-0.65; ≥1500 g and <32 weeks, AUC 0.60-0.62). Conclusion: There was no difference in prediction power for adverse outcome between cohorting VLGA or VLBW despite substantial bias in SGA population. Either cohorting practises are suitable for international benchmarking

    Soil Respiration in Relation to Photosynthesis of Quercus mongolica Trees at Elevated CO2

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    Knowledge of soil respiration and photosynthesis under elevated CO2 is crucial for exactly understanding and predicting the carbon balance in forest ecosystems in a rapid CO2-enriched world. Quercus mongolica Fischer ex Ledebour seedlings were planted in open-top chambers exposed to elevated CO2 (EC = 500 µmol mol−1) and ambient CO2 (AC = 370 µmol mol−1) from 2005 to 2008. Daily, seasonal and inter-annual variations in soil respiration and photosynthetic assimilation were measured during 2007 and 2008 growing seasons. EC significantly stimulated the daytime soil respiration by 24.5% (322.4 at EC vs. 259.0 mg CO2 m−2 hr−1 at AC) in 2007 and 21.0% (281.2 at EC vs. 232.6 mg CO2 m−2 hr−1 at AC) in 2008, and increased the daytime CO2 assimilation by 28.8% (624.1 at EC vs. 484.6 mg CO2 m−2 hr−1 at AC) across the two growing seasons. The temporal variation in soil respiration was positively correlated with the aboveground photosynthesis, soil temperature, and soil water content at both EC and AC. EC did not affect the temperature sensitivity of soil respiration. The increased daytime soil respiration at EC resulted mainly from the increased aboveground photosynthesis. The present study indicates that increases in CO2 fixation of plants in a CO2-rich world will rapidly return to the atmosphere by increased soil respiration

    Nucleoside/nucleotide reverse transcriptase inhibitor sparing regimen with once daily integrase inhibitor plus boosted darunavir is non-inferior to standard of care in virologically-suppressed children and adolescents living with HIV – Week 48 results of the randomised SMILE Penta-17-ANRS 152 clinical trial

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    Football and social inclusion: evaluating social policy

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    Sport, particularly football, is increasingly recognized as a means for promoting social inclusion. Yet rigorous evaluations of football-based social inclusion projects are rarely carried out. This paper explains the importance of evaluation and proposes the use of realist evaluation as a framework for developing theory, informing social policy and improving project design. It also aims to develop a workable template for small-scale project evaluation. The paper draws a series of conclusions on how rigorous evaluation of football-based social inclusion projects can benefit participants, practitioners and policy makers, as well as football clubs and the communities they serve

    Inter-Group Perceptions and Representations in Two Barcelona Neighbourhoods: Poble Sec and Sagrada Família Compared

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    The main focus of this chapter is on two Barcelona neighbourhoods: Sagrada Família (situated in the Eixample District) and Poble Sec (in the Sants-Montjuïc District). Among the outcomes, it can be highlighted that in both neighbourhoods, schools, public libraries and civic centres emerge as spaces where encounters and interrelations occur. Furthermore, the existence of a well-knit network of social organizations at neighbourhood level is a very useful tool for social cohesion, especially in Poble Sec. In the Sagrada Família neighbourhood, both cooperation and conflict between groups are rather scarce, and they are not as important to the neighbourhood's life and to the residents' perceptions as in Poble Sec. In explaining these differences, while the difference in the percentage of foreigners is an important factor, the urban fabric is equally crucial. Place and space do not only play a secondary role as the setting of the interaction; rather the configuration of areas where encounters occur has a significant influence on conflict and cooperation in neighbourhoods. Thus, a clear practical direction emerging from our research in Barcelona is that immigrant integration policies should be designed with space and place in mind not only as settings but also as objects of those same policies
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