Comparison of baseline data between chronic kidney disease patients starting hemodialysis who live near and far from the dialysis center

Introduction: The treatment offered to chronic kidney disease (CKD) patients before starting hemodialysis (HD) impacts prognosis. Objective: We seek differences among incident HD patients according to the distance between home and the dialysis center. Methods: We included 179 CKD patients undergoing HD. Patients were stratified in two groups: "living near the dialysis center" (patients whose hometown was in cities up to 100 km from the dialysis center) or as "living far from the dialysis center" (patients whose hometown was more than 100 km from the dialysis center). Socioeconomic status, laboratory results, awareness of CKD before starting HD, consultation with nephrologist before the first HD session, and type of vascular access when starting HD were compared between the two groups. Comparisons of continuous and categorical variables were performed using Student's t-test and the Chi-square test, respectively. Results: Ninety (50.3%) patients were classified as "living near the dialysis center" and 89 (49.7%) as "living far from the dialysis center". Patients living near the dialysis center were more likely to know about their condition of CKD than those living far from the dialysis center, respectively 46.6% versus 28.0% (p = 0.015). Although without statistical significance, patients living near the dialysis center had more frequent previous consultation with nephrologists (55.5% versus 42.6%; p = 0.116) and first HD by fistula (30.0% versus 19.1%; p = 0.128) than those living far from the dialysis center. Conclusion: There are potential advantages of CKD awareness, referral to nephrologists and starting HD through fistula among patients living near the dialysis center.

”Because of how it makes me feel” – vuorovaikutuksen muodot ja merkitys elämysten tuottamisessa ja kokemisessa live-konserteissa

Live-konserttien tarjonnan kasvu ja kysynnän uhkaava lasku ovat johtaneet siihen, että artistit ja tapahtumanjärjestäjät kilpailevat yleisön suosiosta ja menestyksestä aiempaa enemmän. Ratkaisuna kuluttajille pyritään luomaan elämyksellisiä kulutusympäristöjä, joissa heille tarjotaan ikimuistoinen konserttikokemus. Tutkimuksen tarkoituksena oli tarkastella vuorovaikutuksen muotoja ja merkitystä elämysten tuottamisessa ja kokemisessa live-konserteissa. Tutkimuksessa oltiin kiinnostuneita siitä, millaista vuorovaikutus live-konserteissa on, keiden välillä sitä on ja mitkä tekijät edesauttavat tai haittaavat vuorovaikutuksen ja elämyksen syntymistä. Tavoitteena oli tunnistaa tekijät, joilla vuorovaikutukseen voidaan vaikuttaa. Tutkimuksen teoriakeskustelu pohjautui elämyksiä, arvon yhteisluomista ja vuorovaikutusta käsittelevään kirjallisuuteen sekä musiikin kuluttamista käsittelevään kirjallisuuteen. Tutkimuksessa oli laadullinen ote, ja tutkimusaineisto muodostui kolmen suomalaisen artistin, Jukka Pojan, Olavi Uusivirran ja Apulannan, konserttien havainnoinnista sekä artisti- ja yleisöhaastatteluista. Live-konserteissa tuottajan ja kuluttajan roolit sekoittuvat, sillä artisti tuottaa, jakaa ja kokee elämyksiä yhdessä yleisön kanssa. Elämys on subjektiivinen kokemus, mutta se syntyy vuorovaikutuksessa muiden kanssa. Live-konserteissa tapahtuu yhtä aikaa monensuuntaista vuorovaikutusta, ja siksi vuorovaikutuksen merkitys elämysten tuottamisessa ja kokemisessa on suurempi kuin perinteisessä palveluasetelmassa. Vuorovaikutus live-konserteissa on moninaista sen dynaamisuuden, ajassa tunnistettavien vaiheiden, eri vuorovaikutustyyppien ja niiden yhtäaikaisuudesta johtuvien eri tasojen takia. Vuorovaikutusta voi olla yksittäisen artistin tai yhtyeen ja yleisön välillä sekä artistin tai yhtyeen ja yksilön välillä. Sitä voi kuitenkin olla myös yleisön sekä artistien keskuudessa. Tämä johtaa siihen, että vuorovaikutuksen muodot ovat monimutkaisia, eikä selkeää muotokategoriaa voida siksi osoittaa. Toimintaympäristö, tapahtuman luonne, fyysinen ja henkinen etäisyys sekä yleisön motiivit osallistua tapahtumaan ohjaavat vuorovaikutuksen suuntaa ja intensiteettiä. Toimintaympäristötekijöillä voidaan edesauttaa tai haitata vuorovaikutuksen ja elämyksen syntymistä, ja tapahtumanjärjestäjällä on vastuu vuorovaikutusmahdollisuuden luomisessa. Artistin vastuulla on kiinnittää vuorovaikutus artistia ja yleisöä yhdistävään artisti- tai konserttilähtöiseen tekijään, joka on koko vuorovaikutuksen perusta. Siinä onnistuminen nostaa vuorovaikutuksen intensiteettiä ja johtaa todennäköisimmin hurmokseen, joka liikuttaa massoja, ei vain yksilöä

The measurement of the optical absorption cross section of photosystem 1 and photosystem 2 from whole live cells of porphyridium cruentum, in light state 1 and light state 2

The optical cross section of PS I in whole cells of Porphyridium cruentum (UTEX 161), held in either state 1 or state 2, was determined by measuring the change in absorbance at 820nm, an indication of P700+; the X-section of PS2 was determined by measuring the variable fluorescence, (Fv-Fo)/Fo, from PS2. Both cross-sections were 7 determined by fitting Poisson distribution equations to the light saturation curves obtained with single turnover laser flashes which varied in intensity from zero to a level where maximum yield occurred. Flash wavelengths of 574nm, 626nm, and 668nm were used, energy absorbed by PBS, by PBS and chla, and by chla respectively. There were two populations of both PSi and PS2. A fraction of PSi is associated with PBS, and a fraction of PS2 is free from PBS. On the transition S1->S2, only with PBS-absorbed energy (574nm) did the average X-section of PSi increase (27%), and that of PS2 decrease (40%). The fraction of PSi associated with PBS decreased, from 0.65 to 0.35, and the Xsection of this associated PS 1 increased, from 135±65 A2 to 400±300A2. The cross section of PS2 associated with PBS decreased from 150±50 A2 to 85±45 A2, but the fraction of PS2 associated with PBS, approximately 0.75, did not change significantly. The increase in PSi cross section could not be completely accounted for by postulating that several PSi are associated with a single PBS and that in the transition to state2, fewer PSi share the same number of PBS, resulting in a larger X-section. It is postulated that small changes occur in the attachment of PS2 to PBS causing energy to be diverted to the attached PSi. These experiments support neither the mobile-PBS model of state transitions nor that of spillover. From cross section changes there was no evidence of energy transfer from PS2 to PSi with 668nm light. The decrease in PS2 fluorescence which occurred at this wavelength cannot be explained by energy transfer; another explanation must be sought. No explanation was found for an observed decrease in PSi yield at high flash intensities.

The development of norm-based coding and category-specific face prototypes : an examination of 5- and 8-year-olds' face space

The present set of experiments was designed to investigate the organization and refmement of young children's face space. Past research has demonstrated that adults encode individual faces in reference to a distinct face prototype that represents the average of all faces ever encountered. The prototype is not a static abstracted norm but rather a malleable face average that is continuously updated by experience (Valentine, 1991); for example, following prolonged viewing of faces with compressed features (a technique referred to as adaptation), adults rate similarly distorted faces as more normal and more attractive (simple attractiveness aftereffects). Recent studies have shown that adults possess category-specific face prototypes (e.g., based on race, sex). After viewing faces from two categories (e.g., Caucasian/Chinese) that are distorted in opposite directions, adults' attractiveness ratings simultaneously shift in opposite directions (opposing aftereffects). The current series of studies used a child-friendly method to examine whether, like adults, 5- and 8-year-old children show evidence for category-contingent opposing aftereffects. Participants were shown a computerized storybook in which Caucasian and Chinese children's faces were distorted in opposite directions (expanded and compressed). Both before and after adaptation (i.e., reading the storybook), participants judged the normality/attractiveness of a small number of expanded, compressed, and undistorted Caucasian and Chinese faces. The method was first validated by testing adults (Experiment I ) and was then refined in order to test 8- (Experiment 2) and 5-yearold (Experiment 4a) children. Five-year-olds (our youngest age group) were also tested in a simple aftereffects paradigm (Experiment 3) and with male and female faces distorted in opposite directions (Experiment 4b). The current research is the first to demonstrate evidence for simple attractiveness aftereffects in children as young as 5, thereby indicating that similar to adults, 5-year-olds utilize norm-based coding. Furthermore, this research provides evidence for racecontingent opposing aftereffects in both 5- and 8-year-olds; however, the opposing aftereffects demonstrated by 5-year-olds were driven largely by simple aftereffects for Caucasian faces. The lack of simple aftereffects for Chinese faces in 5-year-olds may be reflective of young children's limited experience with other-race faces and suggests that children's face space undergoes a period of increasing differentiation over time with respect to race. Lastly, we found no evidence for sex -contingent opposing aftereffects in 5-year-olds, which suggests that young children do not rely on a fully adult-like face space even for highly salient face categories (i.e., male/female) with which they have comparable levels of experience.

Exploring TERRA (TElomeric Repeat-containing RNA) Expression and Regulation During Cell Growth in Saccharomyces cerevisiae

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FosteraTM PRRS modified live vaccine efficacy against a Canadian heterologous virulent field strain of porcine reproductive and respiratory syndrome virus (PRRSV).

Vaccination is a useful option to control infection with porcine reproductive and respiratory syndrome virus (PRRSV), and several modified live-PRRSV vaccines have been developed. These vaccines have shown some efficacy in reducing the incidence and severity of clinical disease as well as the duration of viremia and virus shedding but have failed to provide sterilizing immunity. The efficacy of modified live-virus (MLV) vaccines is greater against a homologous strain compared with heterologous PRRSV strains. The objective of this study was to evaluate the efficacy of Fostera PRRS MLV vaccine in protecting against challenge with a heterologous field strain widely circulating in the swine herds of eastern Canada. Forty-six piglets were divided into 4 groups: nonvaccinated-nonchallenged; nonvaccinated-challenged; vaccinated-challenged; and vaccinated-nonchallenged. The animals were vaccinated at 23 d of age with Fostera PRRS and challenged 23 d later with a heterologous field strain of PRRSV (FMV12-1425619). Overall, the vaccine showed some beneficial effects in the challenged animals by reducing the severity of clinical signs and the viral load. A significant difference between nonvaccinated and vaccinated animals was detected for some parameters starting 11 to 13 d after challenge, which suggested that the cell-mediated immune response or other delayed responses could be more important than pre-existing PRRSV antibodies in vaccinated animals within the context of protection against heterologous strains.

Deoxynivalenol (DON) naturally contaminated feed impairs the immune response induced by porcine reproductive and respiratory syndrome virus (PRRSV) live attenuated vaccine

Cereal commodities are frequently contaminated with mycotoxins produced by the secondary metabolism of fungal infection. Among these contaminants, deoxynivalenol (DON), also known as vomitoxin, is the most prevalent type B trichothecene mycotoxin worldwide. Pigs are very sensitive to the toxic effects of DON and are frequently exposed to naturally contaminated feed. Recently, DON naturally contaminated feed has been shown to decrease porcine reproductive and respiratory syndrome virus (PRRSV) specific antibody responses following experimental infection. The objective of this study was to determine the impact of DON naturally contaminated feed on the immune response generated following vaccination with PRRSV live attenuated vaccine. Eighteen pigs were randomly divided into three experimental groups of 6 animals based on DON content of the diets (0, 2.5 and 3.5 mg DON/kg). They were fed these rations one week prior to the vaccination and for all the duration of the immune response evaluation. All pigs were vaccinated intra-muscularly with one dose of Ingelvac® PRRSV modified live vaccine (MLV). Blood samples were collected at day −1, 6, 13, 20, 27 and 35 post vaccination (pv) and tested for PRRSV RNA by RT-qPCR and for virus specific antibodies by ELISA. Results showed that ingestion of DON-contaminated diets significantly decreased PRRSV viremia. All pigs fed control diet were viremic while only 1 (17%) and 3 (50%) out of 6 pigs were viremic in the groups receiving 3.5 and 2.5 mg of DON/kg, respectively. Subsequently, all pigs fed control diet developed PRRSV specific antibodies while only viremic pigs that were fed contaminated diets have developed PRRSV specific antibodies. These results suggest that feeding pigs with DON-contaminated diet could inhibit vaccination efficiency of PRRSV MLV by severely impairing viral replication.

PSWT Based Linear Predictive Coding and Development of a Parallel Multiple Subsequence Structure for DWT Computation

During 1990's the Wavelet Transform emerged as an important signal processing tool with potential applications in time-frequency analysis and non-stationary signal processing.Wavelets have gained popularity in broad range of disciplines like signal/image compression, medical diagnostics, boundary value problems, geophysical signal processing, statistical signal processing,pattern recognition,underwater acoustics etc.In 1993, G. Evangelista introduced the Pitch- synchronous Wavelet Transform, which is particularly suited for pseudo-periodic signal processing.The work presented in this thesis mainly concentrates on two interrelated topics in signal processing,viz. the Wavelet Transform based signal compression and the computation of Discrete Wavelet Transform. A new compression scheme is described in which the Pitch-Synchronous Wavelet Transform technique is combined with the popular linear Predictive Coding method for pseudo-periodic signal processing. Subsequently,A novel Parallel Multiple Subsequence structure is presented for the efficient computation of Wavelet Transform. Case studies also presented to highlight the potential applications.

Fault Tolerant Error Coding and Detection using Reversible Gates

In recent years, reversible logic has emerged as one of the most important approaches for power optimization with its application in low power CMOS, quantum computing and nanotechnology. Low power circuits implemented using reversible logic that provides single error correction – double error detection (SEC-DED) is proposed in this paper. The design is done using a new 4 x 4 reversible gate called ‘HCG’ for implementing hamming error coding and detection circuits. A parity preserving HCG (PPHCG) that preserves the input parity at the output bits is used for achieving fault tolerance for the hamming error coding and detection circuits.

Feature Extraction Methods Based on Linear Predictive Coding and Wavelet Packet Decomposition for Recognizing Spoken Words in Malayalam

Speech signals are one of the most important means of communication among the human beings. In this paper, a comparative study of two feature extraction techniques are carried out for recognizing speaker independent spoken isolated words. First one is a hybrid approach with Linear Predictive Coding (LPC) and Artificial Neural Networks (ANN) and the second method uses a combination of Wavelet Packet Decomposition (WPD) and Artificial Neural Networks. Voice signals are sampled directly from the microphone and then they are processed using these two techniques for extracting the features. Words from Malayalam, one of the four major Dravidian languages of southern India are chosen for recognition. Training, testing and pattern recognition are performed using Artificial Neural Networks. Back propagation method is used to train the ANN. The proposed method is implemented for 50 speakers uttering 20 isolated words each. Both the methods produce good recognition accuracy. But Wavelet Packet Decomposition is found to be more suitable for recognizing speech because of its multi-resolution characteristics and efficient time frequency localizations

An efficient scheme for the evaluation of coding performance of high speed links incorporating joint error behaviour based on Monte Carlo Method

While channel coding is a standard method of improving a system’s energy efficiency in digital communications, its practice does not extend to high-speed links. Increasing demands in network speeds are placing a large burden on the energy efficiency of high-speed links and render the benefit of channel coding for these systems a timely subject. The low error rates of interest and the presence of residual intersymbol interference (ISI) caused by hardware constraints impede the analysis and simulation of coded high-speed links. Focusing on the residual ISI and combined noise as the dominant error mechanisms, this paper analyses error correlation through concepts of error region, channel signature, and correlation distance. This framework provides a deeper insight into joint error behaviours in high-speed links, extends the range of statistical simulation for coded high-speed links, and provides a case against the use of biased Monte Carlo methods in this setting

Fast Fractal Coding Method for the Detection of Microcalcification in Mammograms

The presence of microcalcifications in mammograms can be considered as an early indication of breast cancer. A fastfractal block coding method to model the mammograms fordetecting the presence of microcalcifications is presented in this paper. The conventional fractal image coding method takes enormous amount of time during the fractal block encoding.procedure. In the proposed method, the image is divided intoshade and non shade blocks based on the dynamic range, andonly non shade blocks are encoded using the fractal encodingtechnique. Since the number of image blocks is considerablyreduced in the matching domain search pool, a saving of97.996% of the encoding time is obtained as compared to theconventional fractal coding method, for modeling mammograms.The above developed mammograms are used for detectingmicrocalcifications and a diagnostic efficiency of 85.7% isobtained for the 28 mammograms used.