931 research outputs found

    UniLogistic: A SAS Macro for Descriptive and Univariable Logistic Regression Analyses

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    Descriptive and univariable logistic regression analyses are essential before constructing multivariable models, but are very time consuming, particularly if a large number of explanatory variables are to be evaluated. A macro UniLogistic is described in this paper that conducts descriptive and univariable logistic regression analyses (binomial, ordinal or nominal, as required) in SAS and presents results in formatted tables in Excel and graphics in PDF files. Implementation of the macro is illustrated in this paper using example datasets from statistics and epidemiology textbooks

    Nodular Sarcoidosis Masquerading as Cancer.

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    Nodular lung disease is a rare pulmonary manifestation of sarcoidosis and resembles metastatic neoplasm disease. Nodular sarcoidosis is rare, varying from 1.6% to 4% of patients with sarcoidosis. Radiographic nodules measure from 1 to 5 cm in diameter that typically consist of coalescent granulomas. There is limited data on this form of sarcoidosis and its presentation can mimic primary or metastatic pulmonary neoplasms. Nodular sarcoidosis has a favorable prognosis, and resolution can be seen with oral corticosteroids. Herein, we present such a case of nodular pulmonary sarcoidosis with a lung nodule measured up to 6 cm

    Amiodarone-Induced Pulmonary Toxicity - A Frequently Missed Complication.

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    IntroductionAmiodarone is often used in the suppression of tachyarrhythmias. One of the more serious adverse effects includes amiodarone pulmonary toxicity (APT). Several pulmonary diseases can manifest including interstitial pneumonitis, organizing pneumonia, acute respiratory distress syndrome, diffuse alveolar hemorrhage, pulmonary nodules or masses, and pleural effusion. Incidence of APT varies from 5-15% and is correlated to dosage, age of the patient, and preexisting lung disease.DescriptionA 56-year-old male with a past medical history of coronary artery disease and chronic obstructive pulmonary disease was admitted for a coronary artery bypass graft. Post-operatively, the patient was admitted to the ICU for ventilator management and continued to receive his home dose of amiodarone 400 mg orally twice daily, which he had been taking for the past 3 months. The patient was found to be hypoxemic with a PaO2 52 mmHg and bilateral infiltrates on chest x-ray. Patient also complained of new onset dyspnea. Physical exam found bilateral rhonchi with bibasilar crackles and subcutaneous emphysema along the left anterior chest wall. Daily chest x-rays showed worsening of bilateral interstitial infiltrates and pleural effusions. A chest high-resolution computed tomography on post-operative day 3 showed extensive and severe bilateral ground glass opacities. APT was suspected and amiodarone was discontinued. A course of oral prednisone without antibiotics was initiated, and after one week of treatment the chest film cleared, the PaO2 value normalized and dyspnea resolved.DiscussionAPT occurs via cytotoxic T cells and indirectly by immunological reaction. Typically the lungs manifest a diffuse interstitial pneumonitis with varying degrees of fibrosis. Infiltrates with a 'ground-glass' appearance appreciated on HRCT are more definitive than chest x-ray. Pulmonary nodules can be seen, frequently in the upper lobes. These are postulated to be accumulations of amiodarone in areas of previous inflammation. Those undergoing major cardiothoracic surgery are known to be predisposed to APT. Some elements require consideration: a baseline pulmonary function test (PFT) did not exist prior. APT would manifest a restrictive pattern of PFTs. In APT diffusing capacity (DLCO) is generally >20 percent from baseline. A DLCO was not done in this patient. Therefore, not every type of interstitial lung disease could be ruled out. Key features support a clinical diagnosis: (1) new dyspnea, (2) exclusion of lung infection, (3) exclusion of heart failure, (4) new radiographic features, (5) improvement with withdrawal of amiodarone. Our case illustrates consideration of APT in patients who have extensive use of amiodarone and new onset dyspnea

    Assessment of the proportion of under-reporting during the 2007 equine influenza outbreak in New South Wales, Australia.

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    During the 2007 equine influenza (EI) outbreak in Australia, there was no objective information about the possible under-reporting of cases by horse owners either so that they would avoid movement restrictions or because of their inability to detect infection. This investigation aimed to estimate the proportion of underreporting during the outbreak based on the results of surveillance undertaken in conjunction with vaccination. The results provided improved estimates of morbidity during the outbreak and indicated the level of under-reporting likely to occur in future outbreaks of other infectious diseases in horses in Australia. Keywords: disease control program; epidemiology; equine influenz

    Attack risk on infected properties during the 2007 equine influenza outbreak in New South Wales, Australia

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    Abstract The aim of this preliminary study was to estimate the proportions of seropositive horses on infected premises (IPs) in order to assess the attack risk of the disease. Logistic regression analyses were conducted to evaluate the differences in attack risks between enterprise sizes and predefined spatial clusters/regions. The average attack risk experienced during the outbreak was 96.88% (median 100%) but it differed according to the size of the enterprise and other geographical and demographic conditions. The highest attack risks were observed in the Dubbo cluster/region and the lowest in the Narrabri–Northern cluster. Properties with fewer horses were generally more likely to have higher attack risks than larger enterprises though this was not true for all cluster/region. Keywords equine influenza, epidemic, seroprevalenc

    Assessment of the proportion of under-reporting during the 2007 equine influenza outbreak in New South Wales, Australia.

    Get PDF
    During the 2007 equine influenza (EI) outbreak in Australia, there was no objective information about the possible under-reporting of cases by horse owners either so that they would avoid movement restrictions or because of their inability to detect infection. This investigation aimed to estimate the proportion of underreporting during the outbreak based on the results of surveillance undertaken in conjunction with vaccination. The results provided improved estimates of morbidity during the outbreak and indicated the level of under-reporting likely to occur in future outbreaks of other infectious diseases in horses in Australia. Keywords: disease control program; epidemiology; equine influenz

    Attack risk on infected properties during the 2007 equine influenza outbreak in New South Wales, Australia

    Get PDF
    Abstract The aim of this preliminary study was to estimate the proportions of seropositive horses on infected premises (IPs) in order to assess the attack risk of the disease. Logistic regression analyses were conducted to evaluate the differences in attack risks between enterprise sizes and predefined spatial clusters/regions. The average attack risk experienced during the outbreak was 96.88% (median 100%) but it differed according to the size of the enterprise and other geographical and demographic conditions. The highest attack risks were observed in the Dubbo cluster/region and the lowest in the Narrabri–Northern cluster. Properties with fewer horses were generally more likely to have higher attack risks than larger enterprises though this was not true for all cluster/region. Keywords equine influenza, epidemic, seroprevalenc

    Zinc Oxide Thin Film Transistors: Advances, Challenges and Future Trends

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    This paper presents a review on recent developments and future trends in zinc oxide thin film transistors (ZnO TFTs) together with challenges involved in this technology. It highlights ZnO TFT as next generation choice over other available thin film transistor technology namely a – Si: H (amorphous hydrogenated silicon), poly-Si (polycrystalline silicon) and OTFT (organic thin film transistor). This paper also provides a comparative analysis of various TFTs on the basis of performance parameters. Effect of high –k dielectrics, grain boundaries, trap densities, and threshold voltage shift on the performance of ZnO TFT is also explained
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