Effect of different standing poses on whole body volume acquisition by three-dimensional photonic scanning

The present study compared whole body volumes obtained by three-dimensional (3D) photonic scanning of two different poses and discussed its effect on body composition estimation. Pose A with large angles of shoulder abduction and feet separated and Pose B with shoulders abducted slightly, the elbows extended and heels together. 16 male and 13 female participants were scanned twice in each pose using a 3D scanner. The mean of whole body volume and the mean of body composition obtained with Pose B was corrected by a regression equation and compared with the results obtained from Pose A. After correction, the whole body volumes acquired with these two poses were similar [limit of agreement = (-0.71 l,0.71 l)] but the body compositions obtained with Pose A and Pose B were different [limit of agreement = (-4.4%, 4.4%)]. The results indicated that scanning using either pose gives reliable estimations for whole body volume and body composition. The whole body volume obtained from different poses can be adjusted using the regression equation but small volumetric differences translate into much more substantial differences in body fat percentage. Hence, it is recommended to use the same scanning pose consistently when monitoring individuals longitudinally

The Cholecystectomy As A Day Case (CAAD) Score: A Validated Score of Preoperative Predictors of Successful Day-Case Cholecystectomy Using the CholeS Data Set

Background Day-case surgery is associated with significant patient and cost benefits. However, only 43% of cholecystectomy patients are discharged home the same day. One hypothesis is day-case cholecystectomy rates, defined as patients discharged the same day as their operation, may be improved by better assessment of patients using standard preoperative variables. Methods Data were extracted from a prospectively collected data set of cholecystectomy patients from 166 UK and Irish hospitals (CholeS). Cholecystectomies performed as elective procedures were divided into main (75%) and validation (25%) data sets. Preoperative predictors were identified, and a risk score of failed day case was devised using multivariate logistic regression. Receiver operating curve analysis was used to validate the score in the validation data set. Results Of the 7426 elective cholecystectomies performed, 49% of these were discharged home the same day. Same-day discharge following cholecystectomy was less likely with older patients (OR 0.18, 95% CI 0.15–0.23), higher ASA scores (OR 0.19, 95% CI 0.15–0.23), complicated cholelithiasis (OR 0.38, 95% CI 0.31 to 0.48), male gender (OR 0.66, 95% CI 0.58–0.74), previous acute gallstone-related admissions (OR 0.54, 95% CI 0.48–0.60) and preoperative endoscopic intervention (OR 0.40, 95% CI 0.34–0.47). The CAAD score was developed using these variables. When applied to the validation subgroup, a CAAD score of ≤5 was associated with 80.8% successful day-case cholecystectomy compared with 19.2% associated with a CAAD score >5 (p < 0.001). Conclusions The CAAD score which utilises data readily available from clinic letters and electronic sources can predict same-day discharges following cholecystectomy

A Late Holocene vertebrate food web from southern Haida Gwaii (Queen Charlotte Islands, British Columbia)

This study presents isotopic data (δ¹³C and δ¹⁵N from bone collagen) for 104 samples representing 29 vertebrate taxa from late pre-contact through to contact era (ca. 2000 – 100 BP) Haida Gwaii (British Columbia, Canada) from a wide variety of mostly marine organisms. The results demonstrate the considerable isotopic variability that characterizes potential prey items in coastal contexts and underscores the need for baseline faunal data to interpret human subsistence practices. Based on these data, a detailed marine food web was constructed, which provides insight into local ecological conditions. We present a simple method for quantifying the trophic level of ancient fauna using δ¹⁵N of bone collagen. Finally, we discuss the implications of this study for the reconstruction of human diet

Regional ecological variability and impact of the maritime fur trade on nearshore ecosystems in southern Haida Gwaii (British Columbia, Canada): evidence from stable isotope analysis of rockfish (Sebastes spp.) bone collagen

The maritime fur trade (1785–1840s) led to the local extinction of sea otters (Enhydra lutris) in many parts of the northeast Pacific. On the basis of studies of extant sea otter populations, it has been established that they have a disproportionate effect on nearshore ecosystems by limiting sea urchin abundance and facilitating the establishment of nearshore kelp forests; in the absence of sea otters, a local reduction in kelp-derived carbon is therefore expected. We measured the isotopic composition (δ13C and δ15N) of rockfish (Sebastes spp.) bone collagen from late Holocene archaeological sites in southern Haida Gwaii, BC, Canada, using δ13C as a proxy for kelp-derived carbon in the diet and δ15N as a proxy for trophic position. We observed significant spatial variability in rockfish kelp-derived carbon (δ13C), but not trophic level (δ15N). Kelp-derived carbon varied largely as a function of site characteristics (wave exposure), suggesting that local oceanographic conditions are important factors with respect to consumer tissue isotopic compositions. Kelp-derived carbon decreased in post-European contact rockfish relative to pre-European contact rockfish, likely as a result of the reduction of kelp forests associated with the local extirpation of sea otters. Although we detected a reduction in kelp-derived carbon in rockfish diets, we found no shift in trophic level at sites occupied following the maritime fur trade. This implies a shift in local ecosystems, and particularly in carbon sources, following the maritime fur trade, likely due to a trophic cascade resulting from the local extirpation of sea otters. Stability in rockfish trophic levels, however, implies that rockfish continued to feed at similar trophic levels, consuming prey with similar nitrogen isotopic compositions

Historical ecology of late Holocene sea otters (Enhydra lutris) from northern British Columbia: isotopic and zooarchaeological perspectives

We examined the isotopic composition (δ13C and δ15N) of sea otter (Enhydra lutris) bone collagen from ten late Holocene (ca. 5200 years BP–AD 1900) archaeological sites in northern British Columbia (BC), Canada. Because sea otters are now extinct from much of this region and have not fully recolonized their former range (e.g. Haida Gwaii and most of northern BC) these data represent an important first step towards better understanding sea otter foraging ecology in BC. The isotopic data suggest a diet composed primarily of benthic invertebrates, with a very low reliance on epibenthic fish. There is very low isotopic and thus inter-individual dietary variability in Holocene BC sea otters during the late Holocene. Furthermore, zooarchaeological abundance data suggest that otters represented a widespread and significant focus of aboriginal hunting practices on the northern BC coast during the mid- to late-Holocene. The consistent reliance on a small number of low-trophic level prey and limited dietary variability in Holocene BC sea otters may reflect top-down impacts on otter populations by aboriginal peoples. As part of our assessment of sea otter diet, we review trophic discrimination factors (Δ13C and Δ15N) for bone collagen from published literature and find marked variability, with mean values of +3.7 ± 1.6 for Δ13C (n = 21) and +3.6 ± 1.3 for Δ15N (n = 15)

Lower-extremity arterial calcification as a correlate of coronary artery calcification

Coronary artery calcification (CAC) has been used as a testing modality for coronary atherosclerosis burden. In diabetes, arterial calcification in the tunica media is common and predicts renal and cardiovascular mortality. It is unknown whether the 2 calcification processes are related. We identified risk factors associated with lower-extremity arterial calcification (LEAC) and determined its relationship to the presence of CAC 6 years later and the incidence of complications in type 1 diabetes mellitus. A random sample of 190 participants from the Pittsburgh Epidemiology of Diabetes Complications Study, a prospective cohort of childhood-onset type 1 diabetes mellitus, received radiographs of their ankles and feet at the 4-year follow-up examination (1990-1992) and was followed up for approximately 6 years. At the 10-year examination, 121 of these individuals received an electron beam tomography scan. Male sex (odds ratio [OR] = 12.72, P < .0001), diabetes duration (OR = 4.53, P < .0001), and autonomic neuropathy (AN; OR = 5.92, P = .007) independently increased the odds of LEAC. Controlling for other known risk factors (duration and high-density lipoprotein cholesterol), we found that LEAC correlated with the presence of CAC 6 years later (OR = 1.12, P = .03), although adjusting for neuropathy attenuated this relationship (P = .08). LEAC also independently predicted AN but not the onset of other diabetes complications. Although arterial calcification in the lower extremities and the heart share many of the same risk factors, LEAC is an independent correlate of the later presence of CAC and AN. Thus, factors related to the calcification process in addition to vascular risk factors may play a role in determining the extent of CAC

Strengthening organizational culture when implementing enterprise resource planning in the case of agribusiness organization

Darbo tyrimo tikslas – pateikti pasiūlymus organizacinės kultūros stiprinimui, kurie padėtų efektyviau diegti verslo valdymo sistemą, agroverslo organizacijos atveju. Teorinėje dalyje, analizuojama verslo valdymo sistemos ir organizacinės kultūros sampratos, jos elementų įtaką ir stiprinimo būdai, verslo valdymo sistemos metu. Analitinėje darbo dalyje pateikiamas agroverslo organizacijos pristatymas. Agroverslo organizacijoje yra tiriama organizacinė kultūra, verslo valdymo sistemos diegimo metu, naudojamas pusiau struktūruotas interviu. Pristatomi ir pateikiami analizės rezultatai ir pateikiamos kliūtys, kurios trukdė verslo valdymo sistemos efektyviam diegimui. Projektinėje darbo dalyje yra formuojami veiksmų ir priemonių sprendimai, kaip atsiradusias kliūtis pašalinti, stiprinant organizacinę kultūrą. Pateikiamas proceso etapų stiprinimas siekiant sėkmingai užbaigti verslo valdymo sistemos diegimą ir tuo pačiu sustiprinti organizacinę kultūrą.The aim of research work - to submit suggestions for the strengthening of organizational culture that would help to effectively implement a enterprise resource planning in the case of an agribusiness organization. The theoretical part analyzes the concept of enterprise resource planning and organizational culture, the influence of its elements and ways of strengthening it during the enterprise resource planning. The analytical part of the work presents the presentation of the agribusiness organization. The agribusiness organization examines the organizational culture when implementing a enterprise resource planning using a semi-structured interview. The results of the analysis represent there are barriers that hinder the effective deployment of a enterprise resource planning. In the final part of the work there are formed solutions of actions and measures, how to eliminate the obstacles created, strengthening of organizational culture. There is a process for stepping up the process to successfully complete the implementation of the enterprise resource planning and, at the same time, to strengthen the organizational culture

Lipoprotein subclass measurements by Nuclear Magnetic Resonance Spectroscopy improve the prediction of Coronary Artery disease in type 1 diabetes. A prospective report from the Pittsburgh Epidemiology of Diabetes Complications study

Aim/hypothesis. To examine whether nuclear magnetic resonance lipoprotein spectroscopy improves the prediction of coronary artery disease in patients with Type 1 diabetes, independently of conventional lipid and other risk factors. Methods. A prospective nested case-control design of subjects with childhood onset Type 1 diabetes from the Pittsburgh Epidemiology of Diabetes Complications Study was used. 59 controls were age-, sex- and duration-matched to 59 incident cases of coronary artery disease (fatal or non-fatal myocardial infarction, angina, coronary stenosis >50%) occurring during 10 years of follow-up. Lipid mass and particle concentrations of VLDL, LDL, and HDL subclasses, grouped into three size categories (large, medium, and small), were assessed prior to event with nuclear magnetic resonance spectroscopy. Results. Univariate analyses showed that both lipid mass and particle concentrations of all three VLDL subclasses, small LDL, medium LDL, and medium HDL were increased in CAD cases compared to controls, while large HDL was decreased. Mean LDL and HDL particle sizes were lower in cases. In multivariate models using conventional lipid and non-lipid risk factors, triglycerides and overt nephropathy were the strongest predictors of CAD. Nuclear magnetic resonance measures further improved the prediction, i.e. large HDL particle concentration (OR=0.43, p=0.030), medium HDL mass (OR=3.79, p=0.026) and total VLDL particle concentration (OR=2.33, p=0.033). Conclusion/interpretation. While these results underscore the importance of triglycerides and overt nephropathy in CAD risk in Type 1 diabetic patients, they also suggest that nuclear magnetic resonance lipoprotein spectroscopy could further refine its prediction and show novel findings concerning HDL subclasse