546 research outputs found

    In vitro increase of mean corpuscular volume difference (dMCV) as a marker for serum hypertonicity in dogs.

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    Spurious increase in erythrocyte mean corpuscular volume (MCV) on automated cell analyzers is a well-characterized lab error in hypertonic patients. A difference between automated and manual MCV (dMCV) greater than 2 fl has been shown to predict hypertonicity in humans. The purpose of this study was to investigate dMCV as a marker for serum hypertonicity in dogs and to examine the relationship between dMCV and three methods of estimating serum tonicity: measured (OsM_M), calculated (OsM_C), and calculated effective (OsM_CE) osmolalities. OsM_C, OsM_CE, and dMCV were calculated from routine blood values and OsM_M was directly measured in 121 dogs. The dMCV of hypertonic dogs was significantly larger than that of normotonic dogs for all three osmolality methods. dMCV predicted hypertonicity as estimated by OsM_M better than it predicted hypertonicity as estimated by OsM_C and OsM_CE. A cutoff of 2.96 fl yielded the best sensitivity (76%) and specificity (71%) for hypertonicity estimated by OsMM

    Offspring ADHD as a risk factor for parental marital problems: Controls for genetic and environmental confounds

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    Background: Previous studies have found that child attention-deficit/hyperactivity disorder (ADHD) is associated with more parental marital problems. However, the reasons for this association are unclear. The association might be due to genetic or environmental confounds that contribute to both marital problems and ADHD. Method: Data were drawn from the Australian Twin Registry, including 1,296 individual twins, their spouses, and offspring. We studied adult twins who were discordant for offspring ADHD. Using a discordant twin pairs design, we examined the extent to which genetic and environmental confounds, as well as measured parental and offspring characteristics, explain the ADHD-marital problems association. Results: Offspring ADHD predicted parental divorce and marital conflict. The associations were also robust when comparing differentially exposed identical twins to control for unmeasured genetic and environmental factors, when controlling for measured maternal and paternal psychopathology, when restricting the sample based on timing of parental divorce and ADHD onset, and when controlling for other forms of offspring psychopathology. Each of these controls rules out alternative explanations for the association. Conclusion: The results of the current study converge with those of prior research in suggesting that factors directly associated with offspring ADHD increase parental marital problems

    ‘Ethnic group’, the state and the politics of representation

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    The assertion, even if only by implication, that ‘ethnic group’ categories represent ‘real’ tangible entities, indeed identities, is commonplace not only in the realms of political and policy discourse but also amongst contemporary social scientists. This paper, following Brubaker (2002), questions this position in a number of key respects: of these three issues will dominate the discussion that follows. First, there is an interrogation of the proposition that those to whom the categories/labels refer constitute sociologically meaningful ‘groups’ as distinct from (mere) human collectivities. Secondly, there is the question of how these categories emerge, i.e. exactly what series of events, negotiations and contestations lie behind their construction and social acceptance. Thirdly, and as a corollary to the latter point, we explore the process of reification that leads to these categories being seen to represent ‘real things in the world’ (ibid.)

    Hindu-Christian Conflict in India: Globalization, Conversion, and the Coterminal Castes and Tribes

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    While Hindu-Muslim violence in India has received a great deal of scholarly attention, Hindu-Christian violence has not. This article seeks to contribute to the analysis of Hindu-Christian violence, and to elucidate the curious alliance, in that violence, of largely upper-caste, anti-minority Hindu nationalists with lower-status groups, by analyzing both with reference to the varied processes of globalization. The article begins with a short review of the history of anti-Christian rhetoric in India, and then discusses and critiques a number of inadequately unicausal explanations of communal violence before arguing, with reference to the work of Mark Taylor, that only theories linking local and even individual social behaviors to larger, global processes like globalization can adequately honor the truly “webby” nature of the social world

    Monthly precipitation mapping of the Iberian Peninsula using spatial interpolation tools implemented in a Geographic Information System

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    Premi a l'excel·lĂšncia investigadora. Àmbit de les CiĂšncies Socials. 2008In this study, spatial interpolation techniques have been applied to develop an objective climatic cartography of precipitation in the Iberian Peninsula (583,551 km2). The resulting maps have a 200m spatial resolution and a monthly temporal resolution. Multiple regression, combined with a residual correction method, has been used to interpolate the observed data collected from the meteorological stations. This method is attractive as it takes into account geographic information (independent variables) to interpolate the climatic data (dependent variable). Several models have been developed using different independent variables, applying several interpolation techniques and grouping the observed data into different subsets (drainage basin models) or into a single set (global model). Each map is provided with its associated accuracy, which is obtained through a simple regression between independent observed data and predicted values. This validation has shown that the most accurate results are obtained when using the global model with multiple regression mixed with the splines interpolation of the residuals. In this optimum case, the average R2 (mean of all the months) is 0.85. The entire process has been implemented in a GIS (Geographic Information System) which has greatly facilitated the filtering, querying, mapping and distributing of the final cartography

    A Delphi Consensus Study

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    Funding Information: We sincerely thank all the experts who participated in this Delphi study for their time and for sharing their expertise. All Delphi experts qualify for authorship based on the fact that they were involved in data collection and all critically appraised the final manuscript for important intellectual content. See Appendix B for the names of the Delphi experts. Publisher Copyright: © 2021 The AuthorsObjective: No dedicated studies have been performed on the optimal management of patients with an acute stroke related to carotid intervention nor is there a solid recommendation given in the European Society for Vascular Surgery guideline. By implementation of an international expert Delphi panel, this study aimed to obtain expert consensus on the optimal management of in hospital stroke occurring during or following CEA and to provide a practical treatment decision tree. Methods: A four round Delphi consensus study was performed including 31 experts. The aim of the first round was to investigate whether the conceptual model indicating the traditional division between intra- and post-procedural stroke in six phases was appropriate, and to identify relevant clinical responses during these six phases. In rounds 2, 3, and 4, the aim was to obtain consensus on the optimal response to stroke in each predefined setting. Consensus was reached in rounds 1, 3, and 4 when ≄ 70% of experts agreed on the preferred clinical response and in round 2 based on a Likert scale when a median of 7 – 9 (most adequate response) was given, IQR ≀ 2. Results: The experts agreed (> 80%) on the use of the conceptual model. Stroke laterality and type of anaesthesia were included in the treatment algorithm. Consensus was reached in 17 of 21 scenarios (> 80%). Perform diagnostics first for a contralateral stroke in any phase, and for an ipsilateral stroke during cross clamping, or apparent stroke after leaving the operation room. For an ipsilateral stroke during the wake up phase, no formal consensus was achieved, but 65% of the experts would perform diagnostics first. A CT brain combined with a CTA or duplex ultrasound of the carotid arteries should be performed. For an ipsilateral intra-operative stroke after flow restoration, the carotid artery should be re-explored immediately (75%). Conclusion: In patients having a stroke following carotid endarterectomy, expedited diagnostics should be performed initially in most phases. In patients who experience an ipsilateral intra-operative stroke following carotid clamp release, immediate re-exploration of the index carotid artery is recommended.publishersversionpublishe
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