1,468 research outputs found

    Historiography of E. H. Carr as Reflected in His Treatment of the Constituent Assembly

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    Meniscal Repair outcomes at greater than five years: A systematic literature review and meta-analysis

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    BACKGROUND: Meniscal repair offers the potential to avoid the long-term articular cartilage deterioration that has been shown to result after meniscectomy. Failure of the meniscal repair can occur several years postoperatively. Limited evidence on the long-term outcomes of meniscal repair exists. METHODS: We performed a systematic review of studies reporting the outcomes of meniscal repair at a minimum of five years postoperatively. Pooling of data and meta-analysis with a random-effects model were performed to evaluate the results. RESULTS: Thirteen studies met the inclusion criteria. The pooled rate of meniscal repair failure (reoperation or clinical failure) was 23.1% (131 of 566). The pooled rate of failure varied from 20.2% to 24.3% depending on the status of the anterior cruciate ligament (ACL), the meniscus repaired, and the technique utilized. The rate of failure was similar for the medial and the lateral meniscus as well as for patients with an intact and a reconstructed ACL. CONCLUSIONS: A systematic review of the outcomes of meniscal repair at greater than five years postoperatively demonstrated very similar rates of meniscal failure (22.3% to 24.3%) for all techniques investigated. The outcomes of meniscal repair at greater than five years postoperatively have not yet been reported for modern all-inside repair devices. LEVEL OF EVIDENCE: Therapeutic Level IV. See Instructions for Authors for a complete description of levels of evidence

    Statistical reliability of meta_analysis research claims for gas stove cooking_childhood respiratory health associations

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    Odds ratios or p_values from individual observational studies can be combined to examine a common cause_effect research question in meta_analysis. However, reliability of individual studies used in meta_analysis should not be taken for granted as claimed cause_effect associations may not reproduce. An evaluation was undertaken on meta_analysis of base papers examining gas stove cooking, including nitrogen dioxide, NO2, and childhood asthma and wheeze associations. Numbers of hypotheses tested in 14 of 27 base papers, 52 percent, used in meta_analysis of asthma and wheeze were counted. Test statistics used in the meta_analysis, 40 odds ratios with 95 percent confidence limits, were converted to p_values and presented in p_value plots. The median and interquartile range of possible numbers of hypotheses tested in the 14 base papers was 15,360, 6,336_49,152. None of the 14 base papers made mention of correcting for multiple testing, nor was any explanation offered if no multiple testing procedure was used. Given large numbers of hypotheses available, statistics drawn from base papers and used for meta-analysis are likely biased. Even so, p-value plots for gas stove_current asthma and gas stove_current wheeze associations show randomness consistent with unproven gas stove harms. The meta-analysis fails to provide reliable evidence for public health policy making on gas stove harms to children in North America. NO2 is not established as a biologically plausible explanation of a causal link with childhood asthma. Biases_multiple testing and p-hacking_cannot be ruled out as explanations for a gas stove_current asthma association claim. Selective reporting is another bias in published literature of gas stove_childhood respiratory health studies. Keywords gas stove, asthma, meta-analysis, p-value plot, multiple testing, p_hackingComment: International Journal of Statistics and Probability (2023

    Modeling the impact of changing patient transportation systems on peri-operative process performance in a large hospital: insights from a computer simulation study

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    Transportation of patients is a key hospital operational activity. During a large construction project, our patient admission and prep area will relocate from immediately adjacent to the operating room suite to another floor of a different building. Transportation will require extra distance and elevator trips to deliver patients and recycle transporters (specifically: personnel who transport patients). Management intuition suggested that starting all 52 first cases simultaneously would require many of the 18 available elevators. To test this, we developed a data-driven simulation tool to allow decision makers to simultaneously address planning and evaluation questions about patient transportation. We coded a stochastic simulation tool for a generalized model treating all factors contributing to the process as JAVA objects. The model includes elevator steps, explicitly accounting for transporter speed and distance to be covered. We used the model for sensitivity analyses of the number of dedicated elevators, dedicated transporters, transporter speed and the planned process start time on lateness of OR starts and the number of cases with serious delays (i.e., more than 15 min). Allocating two of the 18 elevators and 7 transporters reduced lateness and the number of cases with serious delays. Additional elevators and/or transporters yielded little additional benefit. If the admission process produced ready-for-transport patients 20 min earlier, almost all delays would be eliminated. Modeling results contradicted clinical managers’ intuition that starting all first cases on time requires many dedicated elevators. This is explained by the principle of decreasing marginal returns for increasing capacity when there are other limiting constraints in the system.National Science Foundation (U.S.) (DMS-0732175)National Science Foundation (U.S.) (CMMI-0846554)United States. Air Force Office of Scientific Research (FA9550-08-1-0369)Singapore-MIT AllianceMassachusetts Institute of Technology. Buschbaum Research Fund

    Is It Easy to Be Urban? Convergent Success in Urban Habitats among Lineages of a Widespread Native Ant

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    The most rapidly expanding habitat globally is the urban habitat, yet the origin and life histories of the populations of native species that inhabit this habitat remain poorly understood. We use DNA barcoding of the COI gene in the widespread native pest ant Tapinoma sessile to test two hypotheses regarding the origin of urban populations and traits associated with their success. First, we determine if urban samples of T. sessile have a single origin from natural populations by looking at patterns of haplotype clustering fromacross their range. Second, we examine whether polygynous colony structure - a trait associated with invasion success - is correlated with urban environments, by studying the lineage dependence of colony structure. Our phylogenetic analysis of 49 samples identified four well supported geographic clades. Within clades, Kimura-2 parameter pairwise genetic distances revealed \u3c2.3% variation; however, between clade genetic distances were 7.5-10.0%, suggesting the possibility of the presence of cryptic species. Our results indicate that T. sessile has successfully colonized urban environments multiple times. Additionally, polygynous colony structure is a highly plastic trait across habitat, clade, and haplotype. In short, T. sessile has colonized urban habitats repeatedly and appears to do so using life history strategies already present in more natural populations. Whether similar results hold for other species found in urban habitats has scarcely begun to be considered

    Superior Predatory Ability and Abundance Predicts Potential Ecological Impact Towards Early-Stage Anurans by Invasive ‘Killer Shrimp’ (Dikerogammarus villosus)

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    Invasive alien species negatively impact upon biodiversity and generate significant economic costs worldwide. Globally, amphibians have suffered considerable losses, with a key driver being predation by large invasive invertebrate and vertebrate predators. However, there is no research regarding the potential ecological impact of small invertebrate invaders. The invasive freshwater amphipod Dikerogammarus villosus can act as a top predator capable of displacing native amphipods and preying heavily upon a range of native species. Listed as one of Europe’s top 100 worst invaders, D. villosus has significantly restructured freshwater communities across western Europe and is expected to invade North America in the near future. Here we explore the ecological impact of invasive D. villosus upon UK native and invasive amphibians (Rana temporaria and Xenopus laevis respectively) using the “Relative Impact Potential” (RIP) metric. By combining estimations of per capita effects (i.e. functional response; FR) and relative field abundances, we apply the RIP metric to quantify the potential ecological impact of invasive D. villosus upon embryonic and larval amphibian prey, compared to the native amphipod Gammarus pulex. Both native and invasive amphipods consumed early-stage amphibians and exhibited potentially destabilising Type II FRs. However, larger body size in invasive D. villosus translated into a superior FR through significantly lower handling times and subsequently higher maximum feeding rates—up to seven times greater than native G. pulex. Higher invader abundance also drove elevated RIP scores for invasive D. villosus, with potential impact scores predicted up to 15.4 times greater than native G. pulex. Overall, D. villosus is predicted to have a greater predatory impact upon amphibian populations than G. pulex, due primarily to its larger body size and superior field abundance, potentially reducing amphibian recruitment within invaded regions

    A Pillar For Successful Business School Accreditation: Conducting The Curriculum Review Process A Systematic Approach

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    The Association to Advance Collegiate Schools of Business (AACSB) describes their accreditation as the hallmark of business education. According to information at BestBizSchools.com (n.d.), AACSB accreditation represents the highest standard of achievement for business schools worldwide. Being AACSB accredited means a business school is able to continuously pass a strict set of standards that ensure quality. As of December 2010, only 5%, or 607, of the academic business programs globally were accredited by AACSB. This number represents schools in 38 countries where the majority of programs incorporate both undergraduate and graduate education covering business, accounting, or both. An institution must be a member of AACSB in order to apply for accreditation. It is important to note, however, that membership does not imply that the program is accredited (The Association to Advance Collegiate Schools of Business, n.d.-a). Recent emphasis demanding external validation on the quality of Business Schools has resulted in the promotion of AACSB accreditation as the de facto quality standard. Earning this quality seal of approval, business programs can verify they have met the 21 AACSB standards that cover strategic, participant, and assurance of learning achievements and processes. Programs with AACSB accreditation are encouraged to promote the standard using it to externally validate their quality and to market their programs to external groups including students, employers, and contributors (The Association to Advance Collegiate Schools of Business, n.d.-b). Despite established standards, no single approach to meeting standards for accreditation is suggested by AACSB. Rather, varying approaches to meeting standards should be developed to fit individual programs of institutions (Bryant & Scherer, 2009). This position by AACSB underscores its recognition of the diversity across accredited programs and allows educators wide latitude in developing and implementing approaches to excellence. Small programs are not disadvantaged so long as their students, faculty, graduates, and the employers who hire them receive the quality outputs that help them meet the external competitive requirements (Olian, 2007). In recognition of member institutions diversity, the AACSB has established the Affinity Group program where school administrators from schools sharing similar characteristics can interact, exchange ideas, and present views on a wide range of issues (Olian, 2007). This allows AACSB member schools, who have varying missions and constituents, to find and link with other programs of a similar nature where creativity and synergy can more easily occur. The AACSB wants the accreditation process to help facilitate creativity in designing business school strategies rather than being viewed as an impediment to a programs push to quality (Romero, 2008)

    A Pillar For Successful Business School Accreditation: Conducting The Curriculum Review Process A Systematic Approach

    Get PDF
    The Association to Advance Collegiate Schools of Business (AACSB) describes their accreditation as the hallmark of business education. According to information at BestBizSchools.com (n.d.), AACSB accreditation represents the highest standard of achievement for business schools worldwide. Being AACSB accredited means a business school is able to continuously pass a strict set of standards that ensure quality. As of December 2010, only 5%, or 607, of the academic business programs globally were accredited by AACSB. This number represents schools in 38 countries where the majority of programs incorporate both undergraduate and graduate education covering business, accounting, or both. An institution must be a member of AACSB in order to apply for accreditation. It is important to note, however, that membership does not imply that the program is accredited (The Association to Advance Collegiate Schools of Business, n.d.-a). Recent emphasis demanding external validation on the quality of Business Schools has resulted in the promotion of AACSB accreditation as the de facto quality standard. Earning this quality seal of approval, business programs can verify they have met the 21 AACSB standards that cover strategic, participant, and assurance of learning achievements and processes. Programs with AACSB accreditation are encouraged to promote the standard using it to externally validate their quality and to market their programs to external groups including students, employers, and contributors (The Association to Advance Collegiate Schools of Business, n.d.-b). Despite established standards, no single approach to meeting standards for accreditation is suggested by AACSB. Rather, varying approaches to meeting standards should be developed to fit individual programs of institutions (Bryant & Scherer, 2009). This position by AACSB underscores its recognition of the diversity across accredited programs and allows educators wide latitude in developing and implementing approaches to excellence. Small programs are not disadvantaged so long as their students, faculty, graduates, and the employers who hire them receive the quality outputs that help them meet the external competitive requirements (Olian, 2007). In recognition of member institutions diversity, the AACSB has established the Affinity Group program where school administrators from schools sharing similar characteristics can interact, exchange ideas, and present views on a wide range of issues (Olian, 2007). This allows AACSB member schools, who have varying missions and constituents, to find and link with other programs of a similar nature where creativity and synergy can more easily occur. The AACSB wants the accreditation process to help facilitate creativity in designing business school strategies rather than being viewed as an impediment to a programs push to quality (Romero, 2008)

    Is It Easy to Be Urban? Convergent Success in Urban Habitats among Lineages of a Widespread Native Ant

    Get PDF
    The most rapidly expanding habitat globally is the urban habitat, yet the origin and life histories of the populations of native species that inhabit this habitat remain poorly understood. We use DNA barcoding of the COI gene in the widespread native pest ant Tapinoma sessile to test two hypotheses regarding the origin of urban populations and traits associated with their success. First, we determine if urban samples of T. sessile have a single origin from natural populations by looking at patterns of haplotype clustering from across their range. Second, we examine whether polygynous colony structure – a trait associated with invasion success – is correlated with urban environments, by studying the lineage dependence of colony structure. Our phylogenetic analysis of 49 samples identified four well supported geographic clades. Within clades, Kimura-2 parameter pairwise genetic distances revealed <2.3% variation; however, between clade genetic distances were 7.5–10.0%, suggesting the possibility of the presence of cryptic species. Our results indicate that T. sessile has successfully colonized urban environments multiple times. Additionally, polygynous colony structure is a highly plastic trait across habitat, clade, and haplotype. In short, T. sessile has colonized urban habitats repeatedly and appears to do so using life history strategies already present in more natural populations. Whether similar results hold for other species found in urban habitats has scarcely begun to be considered

    Loss of starch synthase IIIa changes starch molecular structure and granule morphology in grains of hexaploid bread wheat.

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    Starch synthase III plays a key role in starch biosynthesis and is highly expressed in developing wheat grains. To understand the contribution of SSIII to starch and grain properties, we developed wheat ssIIIa mutants in the elite cultivar Cadenza using in silico TILLING in a mutagenized population. SSIIIa protein was undetectable by immunoblot analysis in triple ssIIIa mutants carrying mutations in each homoeologous copy of ssIIIa (A, B and D). Loss of SSIIIa in triple mutants led to significant changes in starch phenotype including smaller A-type granules and altered granule morphology. Starch chain-length distributions of double and triple mutants indicated greater levels of amylose than sibling controls (33.8% of starch in triple mutants, and 29.3% in double mutants vs. 25.5% in sibling controls) and fewer long amylopectin chains. Wholemeal flour of triple mutants had more resistant starch (6.0% vs. 2.9% in sibling controls) and greater levels of non-starch polysaccharides; the grains appeared shrunken and weighed ~ 11% less than the sibling control which was partially explained by loss in starch content. Interestingly, our study revealed gene dosage effects which could be useful for fine-tuning starch properties in wheat breeding applications while minimizing impact on grain weight and quality
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