Adjudication-related processes are underreported and lack standardization in clinical trials of venous thromboembolism: a systematic review

OBJECTIVES Although the use of an adjudication committee (AC) for outcomes is recommended in randomized controlled trials, there are limited data on the process of adjudication. We therefore aimed to assess whether the reporting of the adjudication process in venous thromboembolism (VTE) trials meets existing quality standards and which characteristics of trials influence the use of an AC. STUDY DESIGN AND SETTING We systematically searched MEDLINE and the Cochrane Library from January 1, 2003, to June 1, 2012, for randomized controlled trials on VTE. We abstracted information about characteristics and quality of trials and reporting of adjudication processes. We used stepwise backward logistic regression model to identify trial characteristics independently associated with the use of an AC. RESULTS We included 161 trials. Of these, 68.9% (111 of 161) reported the use of an AC. Overall, 99.1% (110 of 111) of trials with an AC used independent or blinded ACs, 14.4% (16 of 111) reported how the adjudication decision was reached within the AC, and 4.5% (5 of 111) reported on whether the reliability of adjudication was assessed. In multivariate analyses, multicenter trials [odds ratio (OR), 8.6; 95% confidence interval (CI): 2.7, 27.8], use of a data safety-monitoring board (OR, 3.7; 95% CI: 1.2, 11.6), and VTE as the primary outcome (OR, 5.7; 95% CI: 1.7, 19.4) were associated with the use of an AC. Trials without random allocation concealment (OR, 0.3; 95% CI: 0.1, 0.8) and open-label trials (OR, 0.3; 95% CI: 0.1, 1.0) were less likely to report an AC. CONCLUSION Recommended processes of adjudication are underreported and lack standardization in VTE-related clinical trials. The use of an AC varies substantially by trial characteristics.

Emotions, Not Just Decision-Making Processes, Are Critical to an Evolutionary Model of Human Behavior

An evolutionary model of human behavior should privilege emotions: essential, phylogenetically ancient behaviors that learning and decision making only subserve. Infants and non-mammals lack advanced cognitive powers but still survive. Decision making is only a means to emotional ends, which organize and prioritize behavior. The emotion of pride/shame, or dominance striving, bridges the social and biological sciences via internalization of cultural norms.

Modelling the population dynamics of the Queensland fruit fly, Bactrocera (Dacus) tryoni: a cohort-based approach incorporating the effects of weather

Queensland fruit fly, Bactrocera (Dacus) tryoni (QFF) is arguably the most costly horticultural insect pest in Australia. Despite this, no model is available to describe its population dynamics and aid in its management. This paper describes a cohort-based model of the population dynamics of the Queensland fruit fly. The model is primarily driven by weather variables, and so can be used at any location where appropriate meteorological data are available. In the model, the life cycle is divided into a number of discreet stages to allow physiological processes to be defined as accurately as possible. Eggs develop and hatch into larvae, which develop into pupae, which emerge as either teneral females or males. Both females and males can enter reproductive and over-wintering life stages, and there is a trapped male life stage to allow model predictions to be compared with trap catch data. All development rates are temperature-dependent. Daily mortality rates are temperature-dependent, but may also be influenced by moisture, density of larvae in fruit, fruit suitability, and age. Eggs, larvae and pupae all have constant establishment mortalities, causing a defined proportion of individuals to die upon entering that life stage. Transfer from one immature stage to the next is based on physiological age. In the adult life stages, transfer between stages may require additional and/or alternative functions. Maximum fecundity is 1400 eggs per female per day, and maximum daily oviposition rate is 80 eggs/female per day. The actual number of eggs laid by a female on any given day is restricted by temperature, density of larva in fruit, suitability of fruit for oviposition, and female activity. Activity of reproductive females and males, which affects reproduction and trapping, decreases with rainfall. Trapping of reproductive males is determined by activity, temperature and the proportion of males in the active population. Limitations of the model are discussed. Despite these, the model provides a useful agreement with trap catch data, and allows key areas for future research to be identified. These critical gaps in the current state of knowledge exist despite over 50 years of research on this key pest. By explicitly attempting to model the population dynamics of this pest we have clearly identified the research areas that must be addressed before progress can be made in developing the model into an operational tool for the management of Queensland fruit fly. (C) 2003 Published by Elsevier B.V.

O canto dos vestibulandos em 140 caracteres: linguagem e construção de identidades no Twitter

The revolution caused by the internet and its various social networks eventually bring forth fruitful reflections on cyberculture and the power of identity construction. What seemed purely fashion has become way of being, representation of self, reality creation (Lévy, 1996). Considering language as a social phenomenon, which occurs through interaction, as explicit in Bakhtin (1929), the speech aired on social networks shapes the profile of their users, constructing identities which, according to Hall (2006), are multiple and non-permanent . This research seeks to examine the use of Twitter by school students, developing a reflection on the construction of their own identities in cyberspace. The subjects are students of Educandário Nossa Senhora das Vitórias, private school in Assú/RN, all graduates from high school. Understanding the Vestibular year as a decisive and a reflection engine ever present about their condition of students, subjects eventually express their anxieties, fears and perspectives in the virtual environment, providing us with enough material to analyze how they are high school students, expectations for appropriate selection processes, plus several representations belonging to the school environment. From the discourse conveyed on Twitter expressed in Featured posts, this study reveals the identities of high school students that emerge from it, which led the cast of some evidence. From them, despite the multiplicity of identities observed, presented some common aspects that corroborate the requirements provided for specific objectives, such as: feeling of belonging to a group - class and school; change of routine and behavior towards education; desecration of traditional teaching practices; changing the identity of students'writings. The analysis of postings enables us to know the perceptions of students regarding the school, the disciplines , the pace of studies, interest in school practices, and from such evidence, the perception of how vestibular modify your daily life and a fondness their identities as school students.

O recrutamento e seleção na AutoVision

Mestrado em Gestão de Recursos Humanos

Lung transplantation for COPD - evidence-based?

Lung transplantation has now been performed for more than 30 years in patients with end-stage chronic obstructive pulmonary disease (COPD). This disease is the major indication for lung transplantation, involving more than one third of the procedures worldwide. Although lung transplantation in COPD patients has clearly shown a positive impact on lung function, exercise capacity and quality of life, the survival benefit remains difficult to ascertain. Several methodological difficulties, particularly the absence of classical randomised studies, make the analysis especially challenging. There is however indirect but convincing evidence that lung transplantation can, when appropriate selection criteria are applied, provide not only an active post-transplant lifestyle but also a survival benefit for patients with COPD.

Control of CD4 gene expression: connecting signals to outcomes in T cell development

The control of CD4 gene expression is essential for proper T lymphocyte development. Signals transmitted from the T-cell antigen receptor (TCR) during the thymic selection processes are believed to be linked to the regulation of CD4 gene expression during specific stages of T cell development. Thus, a study of the factors that control CD4 gene expression may lead to further insight into the molecular mechanisms that drive thymic selection. In this review, we discuss the work conducted to date to identify and characterize the cis-acting transcriptional control elements in the CD4 locus and the DNA-binding factors that mediate their function. From these studies, it is becoming clear that the molecular mechanisms controlling CD4 gene expression are very complex and differ at each stage of development. Thus, the control of CD4 expression is subject to many different influences as the thymocyte develops.

L'art public : les nouveaux modes d'expression artistique et le processus d'intégration en milieu urbain

L’art public se présente sous divers modes d’expression artistique dans l’espace public. Qu’il soit permanent, temporaire ou éphémère, qu’il soit singulier, interactif ou participatif, qu’il soit traditionnel ou numérique, l’œuvre intégrée ou insérée dans ce contexte tente d’interpeller le public. Cette recherche examine l’évolution des modes d’expression artistique dans l’espace public, dans l’espoir de trouver une définition de l’art public. L’étude de cas de la Ville de Montréal est la base de cette recherche pour examiner les nombreuses manifestations de l’art dans l’espace public et ses périmètres. Dans une perspective conceptuelle et transdisciplinaire, sous lesquels nous considérons les approches artistiques, paysagères et politiques dans l’analyse du sujet, nous nous intéressons aux frontières des modes d’expression artistique et les moyens de les représenter. En somme, nous souhaitons saisir ce que l’on considère comme l’art public dans l’aménagement urbain montréalais et générer des connaissances plus générales. Notre revue de littérature et les observations faites sur le terrain révèlent de nouveaux enjeux qui influencent les pratiques artistiques et la perception que peut susciter une œuvre d’art public aujourd’hui. Nous examinons les facteurs qui les influencent à ce jour. En étudiant la question, nous constatons que la tâche de définir ce qui constitue l'art public est difficile, d'autant plus que les pratiques évoluent constamment. Souvent définie comme une fonction plus cosmétique qu’artistique et dans une logique d'équipement, l'art dans l'espace public joue un rôle passif et fait l'objet de débats et de critiques. Pour le public, l'art public est difficile à discerner bien que sa présence semble être appréciée. Nos résultats mettent en lumière la complexité des processus politiques, les attentes spécifiques, les règles et modalités oppressantes pour l'artiste, la difficulté à saisir les œuvres d'art et le manque de médiatisation pour sensibiliser le public. Avec la politique d'intégration, l’art dans les espaces publics résulte souvent d'une médiation conflictuelle dans un rapport de compromis et d’attentes contrastées afin que soit réalisée une œuvre. Les résultats permettent de penser que les processus de sélection sont souvent pervers et fermés aux initiatives artistiques. En outre, il serait nécessaire dans ce contexte que les artistes définissent mieux leur statut professionnel et leur pratique. Malgré des efforts du Bureau d'art public de Montréal, l'art public semble peu perçu sur son territoire. Par ailleurs, les nombreuses discussions avec le grand public portent à l'attention l'absence de médiatisation pour les arts publics sur le territoire de Montréal.

Protein-Ion Binding Process on Finite Macromolecular Concentration. A Poisson-Boltzmann and Monte Carlo Study

Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)

Tamanho de parcelas experimentais e seleção simultânea de caracteres em progênies de Eucalyptus camaldulensis Dehnh

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

CONTEXT TREE SELECTION AND LINGUISTIC RHYTHM RETRIEVAL FROM WRITTEN TEXTS

The starting point of this article is the question "How to retrieve fingerprints of rhythm in written texts?" We address this problem in the case of Brazilian and European Portuguese. These two dialects of Modern Portuguese share the same lexicon and most of the sentences they produce are superficially identical. Yet they are conjectured, on linguistic grounds, to implement different rhythms. We show that this linguistic question can be formulated as a problem of model selection in the class of variable length Markov chains. To carry on this approach, we compare texts from European and Brazilian Portuguese. These texts are previously encoded according to some basic rhythmic features of the sentences which can be automatically retrieved. This is an entirely new approach from the linguistic point of view. Our statistical contribution is the introduction of the smallest maximizer criterion which is a constant free procedure for model selection. As a by-product, this provides a solution for the problem of optimal choice of the penalty constant when using the BIC to select a variable length Markov chain. Besides proving the consistency of the smallest maximizer criterion when the sample size diverges, we also make a simulation study comparing our approach with both the standard BIC selection and the Peres-Shields order estimation. Applied to the linguistic sample constituted for our case study, the smallest maximizer criterion assigns different context-tree models to the two dialects of Portuguese. The features of the selected models are compatible with current conjectures discussed in the linguistic literature.

Masonick melodies : being a choice selection of the most approved masonick songs, duets, glees, catches, cannons, hymns, odes, dirges, and choruses, appropriate to all Masonick occasions: the whole set to musick ... /

Shoemaker

The churchyard lyrist: consisting of five hundred original inscriptions to commemorate the dead, with a suitable selection of appropriate texts of Scripture /

Title vignette.