2,057 research outputs found
Making inflexible investment decisions with incomplete information
AbstractThis paper presents an application of the Principle of Maximum Entropy to business investment decision making under uncertainty. This principle is derived explicitly from a set of axioms for rational inference, one of these axioms being the weak form rational expectations hypothesis (REH): that agents use all the available information efficiently. This set of assumptions are weaker than those embedded in the strong REH. It is demonstrated that the Maxent algorithm leads to rotional decision solutions when the information set available to agents is very limited-so limited that there is no orthodox solution to the problem. Thus, we obtain a solution without the extreme informational assumptions necessary to obtain a strong REH solution
Low‐temperature fluid flow through sulfidic sediments from TAG: Modification of fluid chemistry and alteration of mineral deposits
Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/94945/1/grl9672.pd
Electronic Health Record Availability and Anxiety Treatment in Office Based Practices
Objective:
This study compared the probability of receiving anxiety treatment during a physician visit to primary care practices with and without an electronic health record (EHR).
Methods:
The 2007–2010 National Ambulatory Medical Care Survey was used to identify visits for anxiety (N=290). The outcome was receipt of anxiety treatment. The independent variable was the presence of a fully functioning EHR. Logistic regression was used to conduct the analysis.
Results:
Patients who were seen in practices with a fully functioning EHR had lower odds of being offered antianxiety medication (adjusted odds ratio [AOR]=.37, 95% confidence interval [CI]=.15–.90, p=.028), mental health counseling (AOR=.43, CI=.18–1.04, p=.061), and any anxiety treatment (AOR=.40, CI=.15–1.05, p=.062) compared with patients at practices without a fully functioning EHR.
Conclusions:
EHRs may have a negative impact on the delivery of care for anxiety during primary care visits. Future studies should monitor the impact of EHRs on delivery and quality of care
Extracellular adenosine signaling induces CX3CL1 expression in the brain to promote experimental autoimmune encephalomyelitis
BACKGROUND: Multiple sclerosis and its animal model experimental autoimmune encephalomyelitis (EAE) are debilitating neuroinflammatory diseases mediated by lymphocyte entry into the central nervous system (CNS). While it is not known what triggers lymphocyte entry into the CNS during neuroinflammation, blockade of lymphocyte migration has been shown to be effective in controlling neuroinflammatory diseases. Since we have previously shown that extracellular adenosine is a key mediator of lymphocyte migration into the CNS during EAE progression, we wanted to determine which factors are regulated by adenosine to modulate EAE development. METHODS: We performed a genetic analysis of wild type and CD73−/− (that are unable to produce extracellular adenosine and are protected from EAE development) to identify factors that are both important for EAE development and controlled by extracellular adenosine signaling. RESULTS: We show that extracellular adenosine triggered lymphocyte migration into the CNS by inducing the expression of the specialized chemokine/adhesion molecule CX3CL1 at the choroid plexus. In wild type mice, CX3CL1 is upregulated in the brain on Day 10 post EAE induction, which corresponds with initial CNS lymphocyte infiltration and the acute stage of EAE. Conversely, mice that cannot synthesize extracellular adenosine (CD73−/− mice) do not upregulate CX3CL1 in the brain following EAE induction and are protected from EAE development and its associated lymphocyte infiltration. Additionally, blockade of the A2A adenosine receptor following EAE induction prevents disease development and the induction of brain CX3CL1 expression. The CX3CL1 induced during EAE is found on the choroid plexus, which is the barrier between the blood and cerebral spinal fluid in the brain and is a prime entry point into the CNS for immune cells. Furthermore, CX3CL1 expression can be induced in the brains of mice and in choroid plexus cell line following A2A adenosine receptor agonist administration. Most importantly, we show that CX3CL1 blockade protects against EAE development and inhibits lymphocyte entry into the CNS. CONCLUSIONS: We conclude that extracellular adenosine is an endogenous modulator of neuroinflammation during EAE that induces CX3CL1 at the choroid plexus to trigger lymphocyte entry into the brain
Statistical Inference via Bootstrapping for Measures of Inequality
In this paper we consider the use of bootstrap methods to compute interval estimates and perform hypothesis tests for decomposable measures of economic inequality. The bootstrap potentially represents a significant gain over available asymptotic intervals because it provides an easily implemented solution to the Behrens-Fisher problem. Two applications of this approach, using the PSID (for the study of taxation) and the NLSY (for the study of youth inequality), to the Gini coefficient and Theil's entropy measures of inequality, are provided. The results suggest that (i) statistical inference is essential even when large samples are available, and (ii) the bootstrap appears to perform well in this setting.
Incorporating intra-annual variability in fisheries abundance data to better capture population dynamics
To reduce the risk of overexploitation and the ensuing conservation and socio-economic consequences, fisheries management relies on receiving accurate scientific advice from stock assessments. Biomass dynamics models used in stock assessment tend to rely primarily on indices of abundance and commercial landings data. Standard practice for calculating the indices used in these models typically involves taking averages of survey tow data over large, diverse spatial domains. There is a lot of variability in the choice of methodologies used to propagate index uncertainty into the assessment model, many of which require specifying it through expert knowledge or prior distributions. Here we propose an alternative approach that treats each individual survey tow as an independent estimate of the true underlying biomass in the stock assessment model itself. This reduces information loss and propagates uncertainties into the model directly. A simulation study demonstrates that this approach accurately captures underlying population dynamics and reliably estimates variance parameters. We further demonstrate its utility with data from the Inshore Scallop Fishery of south-west Nova Scotia. Results show significant improvements in parameter estimation over previous models while providing similar predictions of biomass with less uncertainty. This reduced uncertainty can improve the resulting scientific advice and lead to improved decision-making by fisheries managers.publishedVersio
Resistance exercise training restores bone mineral density in heart transplant recipients
AbstractObjectives. This was a prospective, randomized, controlled study designed to determine the effect of resistance exercise traning on bone metabolism in heart transplant recipients.Background. Osteoporosis frequently complicates heart transplantation. No preventative strategy is generally accepted for glucocorticoid-induced bone loss.Methods. Sixteen male heart transplant recipients were randomly assigned to a resistance exercise group that trained for 6 months (mean [±SD] age 56 ± 6 years) or a control group (mean age 52 ± 10 years) that did not perform resistance exercise. Bone mineral density (BMD) of the total body, femur neck and lumbar spine (L2 to L3) was measured by dual-energy X-ray absorptiometry before and 2 months after transplantation and after 3 and 6 months of resistance exercise or a control period. The exercise regimen consisted of lumbar extension exercise (MedX) performed 1 day/week and variable resistance exercises (Nautilus) performed 2 days/week. Each exercise consisted of one set of 10 to 15 repetitions performed to volitional fatigue.Results. Pretransplantation baseline values for regional BMD did not differ in the control and training groups. Bone mineral density of the total body, femur neck and lumbar vertebra (L2 to L3) were significantly decreased below baseline at 2 months after transplantation in both the control (−3.3 ± 1.3%, − 4.5 ± 2.8%, −12.7 ± 6.2%, respectly) and training groups (−2.9 ± 1.1%, 5.9 ± 3.2%, −14.8 ± 3.1%, respectively). Six months of resistance exercise restored BMD of the whole body, femur neck and lumbar vertebra to within 1%, 1.9% and 3.6% of pretransplantation levels, respectively. Bone mineral density of the control group remained unchanged from the 2-month posttransplantation levels.Conclusions. Within 2 months after heart transplantation, ≈ 3% of whole-body BMD is lost, mostly due to decreases in trabecular bone (−12% to −15% of lumbar vertebra). Six months of resistance exercise, consisting of low back exercise that isolates the lumbar spine and a regimen of variable resistance exercises, restores BMD toward pretransplantation levels. Our results suggest that resistance exercise is osteogenic and should be initiated early after heart transplantation
CD73 Is Critical for the Resolution of Murine Colonic Inflammation
CD73 is a glycosyl-phosphatidylinositol-(GPI-) linked membrane protein that catalyzes the extracellular dephosphorylation of adenosine monophosphate (AMP) to adenosine. Adenosine is a negative regulator of inflammation and prevents excessive cellular damage. We investigated the role of extracellular adenosine in the intestinal mucosa during the development of Dextran-Sulfate-Sodium-(DSS-)salt-induced colitis in mice that lack CD73 (CD73−/−) and are unable to synthesize extracellular adenosine. We have found that, compared to wild-type (WT) mice, CD73−/− mice are highly susceptible to DSS-induced colitis. CD73−/− mice exhibit pronounced weight loss, slower weight recovery, an increase in gut permeability, a decrease in expression of tight junctional adhesion molecules, as well as unresolved inflammation following the removal of DSS. Moreover, colonic epithelia in CD73−/− mice exhibited increased TLR9 expression, high levels of IL-1β and TNF-α, and constitutive activation of NF-κB. We conclude that CD73 expression in the colon is critical for regulating the magnitude and the resolution of colonic immune responses.National Institutes of Health (U.S.) (grant A1072434-A2)National Institutes of Health (U.S.) (grant R01NS063011
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