440 research outputs found

    Effectiveness of an Educational Program on University Collegians’ Perceptions of Healthy Exercise pattern

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    To find out the effectiveness of an educational program on university students' perceptions of a healthy exercise pattern. A quasi-experimental study to find out the exercise pattern of Mosul University students for the period from 9th November 2022 to 2nd January 2023, the sample of (60) students. The questionnaire consists of two parts: a part that measures social and demographic information and includes (6) items, and a part that measures healthy lifestyle data with regard to exercise pattern and includes (10) items. Determine the validity of the content of the questionnaire by presenting it to experts and using the half-division technique and calculating the Pearson correlation coefficient to determine the validity. The results of the data showed that all (60) students in the study sample did not have an adequate level of perception of the healthy physical activity pattern in the pre-test, while the results of the post-test after implementing the program were high, which shows that there is an improvement in their perceptions of the healthy physical activity pattern.The study showed that there was an improvement in perceptions of a healthy lifestyle related to exercise pattern in the study group compared to those in the control group.The study recommended the need to develop educational programs, lectures, courses and seminars on the benefits of a healthy exercise pattern that university students must follow to increase their perceptions that lead to changing their lifestyle and getting rid of wrong behaviors and habits

    Inference for the median residual life function in sequential multiple assignment randomized trials

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    In survival analysis, median residual lifetime is often used as a summary measure to assess treatment effectiveness; it is not clear, however, how such a quantity could be estimated for a given dynamic treatment regimen using data from sequential randomized clinical trials. We propose a method to estimate a dynamic treatment regimen‐specific median residual life (MERL) function from sequential multiple assignment randomized trials. We present the MERL estimator, which is based on inverse probability weighting, as well as, two variance estimates for the MERL estimator. One variance estimate follows from Lunceford, Davidian and Tsiatis' 2002 survival function‐based variance estimate and the other uses the sandwich estimator. The MERL estimator is evaluated, and its two variance estimates are compared through simulation studies, showing that the estimator and both variance estimates produce approximately unbiased results in large samples. To demonstrate our methods, the estimator has been applied to data from a sequentially randomized leukemia clinical trial. Copyright © 2013 John Wiley & Sons, Ltd.Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/106925/1/sim6042.pd

    On the Application of Data Clustering Algorithm used in Information Retrieval for Satellite Imagery Segmentation

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    This study proposes an automated technique for segmenting satellite imagery using unsupervised learning. Autoencoders, a type of neural network, are employed for dimensionality reduction and feature extraction. The study evaluates different segmentation architectures and encoders and identifies the best performing combination as the DeepLabv3+ architecture with a ResNet-152 encoder. This approach achieves high performance scores across multiple metrics and can be beneficial in various fields, including agriculture, land use monitoring, and disaster response

    Cone beam CT evaluation of the presence of anatomic accessory canals in the jaws

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    Objectives: To assess the prevalence, location and anatomical course of accessory canals of the jaws using cone beam CT. Methods: A retrospective analysis of 4200 successive cone beam CT scans, for patients of both genders and ages ranging from 7 to 88 years, was performed. They were exposed at the School of Dentistry, University of Michigan, Ann Arbor, MI. After applying the exclusion criteria (the presence of severe ridge resorption, pre-existing implants, a previously reported history of craniofacial malformations or syndromes, a previous history of trauma or surgery, inadequate image quality and subsequent scans from the same individuals), 4051 scans were ultimately included in this study. Results: Of the 4051 scans (2306 females and 1745 males) that qualified for inclusion in this study, accessory canals were identified in 1737 cases (42.9%; 1004 females and 733 males). 532 scans were in the maxilla (13.1%; 296 females and 236 males) and 1205 in the mandible (29.8%; 708 females and 497 males). Conclusions: A network of accessory canals bringing into communication the inner and outer cortical plates of the jaws was identified. In light of these findings, clinicians should carefully assess for the presence of accessory canals prior to any surgical intervention to decrease the risk for complications

    Weighted Log-rank Statistic to Compare Shared-Path Adaptive Treatment Strategies

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    Abstract Adaptive treatment strategies more closely mimic the reality of a physician's prescription process where the physician prescribes a medication to his/her patient and based on that patient's response to the medication, modifies the treatment. Two-stage randomization designs, more generally, sequential multiple assignment randomization trial (SMART) designs, are useful to assess adaptive treatment strategies where the interest is in comparing the entire sequence of treatments, including the patient's intermediate response. In this paper, we introduce the notion of shared-path and separate-path adaptive treatment strategies and propose weighted log-rank statistics to compare overall survival distributions of two or more two-stage, shared-path adaptive treatment strategies. Large sample properties of the statistics are derived and the type I error rate and power of the tests are compared to standard statistics through simulation

    PatientĂą reported outcomes in a large North American cohort living with chronic hepatitis B virus: a crossĂą sectional analysis

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    Peer Reviewedhttps://deepblue.lib.umich.edu/bitstream/2027.42/153747/1/apt15618_am.pdfhttps://deepblue.lib.umich.edu/bitstream/2027.42/153747/2/apt15618.pd

    Contribution of Genome-Wide HCV Genetic Differences to Outcome of Interferon-Based Therapy in Caucasian American and African American Patients

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    Background: Hepatitis C virus (HCV) has six major genotypes, and patients infected with genotype 1 respond less well to interferon-based therapy than other genotypes. African American patients respond to interferon α-based therapy at about half the rate of Caucasian Americans. The effect of HCV's genetic variation on treatment outcome in both racial groups is poorly understood. Methodology:We determined the near full-length pre-therapy consensus sequences from 94 patients infected with HCV genotype 1a or 1b undergoing treatment with peginterferon α-2a and ribavirin through the Virahep-C study. The sequences were stratified by genotype, race and treatment outcome to identify HCV genetic differences associated with treatment efficacy. Principal Findings:HCV sequences from patients who achieved sustained viral response were more diverse than sequences from non-responders. These inter-patient diversity differences were found primarily in the NS5A gene in genotype 1a and in core and NS2 in genotype 1b. These differences could not be explained by host selection pressures. Genotype 1b but not 1a African American patients had viral genetic differences that correlated with treatment outcome. Conclusions & Significance: Higher inter-patient viral genetic diversity correlated with successful treatment, implying that there are HCV genotype 1 strains with intrinsic differences in sensitivity to therapy. Core, NS3 and NS5A have interferonsuppressive activities detectable through in vitro assays, and hence these activities also appear to function in human patients. Both preferential infection with relatively resistant HCV variants and host-specific factors appear to contribute to the unusually poor response to therapy in African American patients. © 2010 Donlin et al

    Fatigue before, during and after antiviral therapy of chronic hepatitis C: Results from the Virahep-C study

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    Fatigue is the most frequent and often debilitating symptom of chronic hepatitis C. It is unclear whether successful therapy of hepatitis C leads to its clinical improvement. In the Virahep-C study, patients with hepatitis C virus (HCV) genotype 1 infection were treated with peginterferon alfa-2a and ribavirin for up to 48 weeks while undergoing assessment of viral kinetics and clinical symptoms
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