Semiparametric Mixed Models for Nested Repeated Measures Applied to Ambulatory Blood Pressure Monitoring Data

Semiparametric mixed models are increasingly popular for statistical analysis of medical device studies in which long sequences of repeated measurements are recorded. Monitoring these sequences at different periods over time on the same individual, such as before and after an intervention, results in nested repeated measures (NRM). Covariance models to account for NRM and simultaneously address mean profile estimation with penalized splines via semiparametric regression are considered with application to a prospective study of 24-hour ambulatory blood pressure and the impact of surgical intervention on obstructive sleep apnea

Risk Factors for Mortality in Organophosphate Poisoned Patients

Background: Organophosphates (OP) compounds are used as insecticides in agricultural and domestic settings throughout the world. Acute pesticide poisoning has a high morbidity and mortality, especially in developing countries. The purpose of this study was to evaluate the data on acute adult organophosphate poisoning (OPP).Methods: In Descriptive cross sectional study at Loghman Hakim Hospital in Tehran-Iran during March 2010 to June 2013 and identify the risk factors of mortality, patients with the primary diagnosis of OPP who were admitted to Loghman-Hakim Hospital Poison Centre (LHHPC) were the subjects of this prospective study. Cholinesterase (CE) activity and the PR interval was determined for each patient using the Bazett formula and considering >200 msec. as prolonged. Comparative outcomes of the study were respiratory failure, systolic blood pressure, GCS and intentional poisoning, analysis of the PR interval in the primary ECG on admission, and rate of mortality.Results: The study included 201 patients with a diagnosis of OPP. The mean age of the patients was 33.93. The mortality rate was 9%. Nine patients had conductive abnormality (PR prolongation) in ECG. There was no significant difference between two groups (prolonged and normal PR intervals) according to respiratory failure and systolic blood pressure<90mm Hg and GCS and intentional poisoning. The mortality rate in the long PR group was significantly higher than that of the normal PR group.Conclusion: In our study it has been well demonstrated that PR-interval prolongation affects mortality rate. Prolongation of the PR interval is associated with increased risks of mortality in OPP

THERMO-PHYSICAL PROPERTIES OF LIGHT WEIGHT EPOXY FOAMED BY SILOXANE BLOWING AGENT

The purpose of this study is to investigate the direct effect of using a blowing agent of siloxane (1, 1, 3, 3-tetramethydisiloxane) on the thermo-physical properties of the foamed epoxy. These properties are: density, glass-transition temperature, thermal conductivity and thermal expansion. The work has been conducted experimentally by manufacturing several specimens with different siloxane contents as: 0, 5, 10, 15 and 20 wt%. The properties of the specimens have tested under suitable conditions using different reliable instruments: differential scanning calorimetry, Lee-discs apparatus, and push rod dilatometer. Scanning electron microscope was used as well to analysis the morphological characteristics of the epoxy with respect to the pores generated by the blowing agent. In general, the foamed epoxy has shown different sizes of pores and extra crosslinking which leads to increase the glass-transition temperature of the material. Results show that the addition of 20% siloxane to the neat epoxy (as maximum) leads to: decreasing by 50% in bulk density, increasing by 20% in glass-transition temperature, decreasing by 30% in thermal conductivity, and decreasing by 75% in thermal expansion.                                             

Excretion patterns of coccidian oocysts and nematode eggs during the reproductive season in Northern Bald Ibis (Geronticus eremita)

Individual reproductive success largely depends on the ability to optimize behaviour, immune function and the physiological stress response. We have investigated correlations between behaviour, faecal steroid metabolites, immune parameters, parasite excretion patterns and reproductive output in a critically endangered avian species, the Northern Bald Ibis (Geronticus eremita). In particular, we related haematocrit, heterophil/lymphocyte ratio, excreted immune-reactive corticosterone metabolites and social behaviour with parasite excretion and two individual fitness parameters, namely, number of eggs laid and number of fledglings. We found that the frequency of excretion of parasites’ oocysts and eggs tended to increase with ambient temperature. Paired individuals excreted significantly more samples containing nematode eggs than unpaired ones. The excretion of nematode eggs was also significantly more frequent in females than in males. Individuals with a high proportion of droppings containing coccidian oocysts were more often preened by their partners than individuals with lower excretion rates. We observed that the more eggs an individual incubated and the fewer offspring fledged, the higher the rates of excreted samples containing coccidian oocysts. Our results confirm that social behaviour, physiology and parasite burden are linked in a complex and context-dependent manner. They also contribute background information supporting future conservation programmes dealing with this critically endangered species

Customer engagement in tourism and hospitality research

Customer engagement (CE), defined as a customer's resource investment in his/her brand or firm interactions, has evolved into an important tourism and hospitality marketing metric in the last decade. However, despite existing insight in this area, dynamic CE remains in flux, requiring further investigation. In this chapter, we discuss CE's key theoretical foundation/underpinnings, perspectives, operationalization(s)/measurement, antecedents, consequences, mediators, moderators, approaches and methods, thus offering a foundation upon which the remainder of this book is built.info:eu-repo/semantics/acceptedVersio

The future of the CDM: same same, but differentiated?

Policy-makers and scientists have raised concerns about the functioning of the Clean Development Mechanism (CDM), in particular regarding its low contribution to sustainable development, unbalanced regional and sectoral distribution of projects, and its limited contribution to global emission reductions. Differentiation between countries or project types has been proposed as a possible way forward to address these problems. An overview is provided of the different ways in which CDM differentiation could be implemented. The implications for the actors involved in the CDM are analysed, along with a quantitative assessment of the impacts on the carbon market, using bottom-up marginal abatement cost curves. The discounting of CDM credits, quota systems, or differentiated eligibility of countries could help to address several of the concerns raised. Preferential treatment may also make a limited contribution to achieving the aims of CDM differentiation by increasing opportunities for under-represented host countries. The impact on the carbon market appears to be limited for most options