Discrepancies in Outcome Reporting Exist Between Protocols and Published Oral Health Cochrane Systematic Reviews

OBJECTIVES To assess discrepancies in the analyzed outcomes between protocols and published reviews within Cochrane oral health systematic reviews (COHG) on the Cochrane Database of Systematic Reviews (CDSR). STUDY DESIGN AND SETTING All COHG systematic reviews on the CDSR and the corresponding protocols were retrieved in November 2014 and information on the reported outcomes was recorded. Data was collected at the systematic review level by two reviewers independently. RESULTS One hundred and fifty two reviews were included. In relation to primary outcomes, 11.2% were downgraded to secondary outcomes, 9.9% were omitted altogether in the final publication and new primary outcomes were identified in 18.4% of publications. For secondary outcomes, 2% were upgraded to primary, 12.5% were omitted and 30.9% were newly introduced in the publication. Overall, 45.4% of reviews had at least one discrepancy when compared to the protocol; these were reported in 14.5% reviews. The number of review updates appears to be associated with discrepancies between final review and protocol (OR: 3.18, 95% CI: 1.77, 5.74, p<0.001). The risk of reporting significant results was lower for both downgraded outcomes [RR: 0.52, 95% CI: 0.17, 1.58, p = 0.24] and upgraded or newly introduced outcomes [RR: 0.77, 95% CI: 0.36, 1.64, p = 0.50] compared to outcomes with no discrepancies. The risk of reporting significant results was higher for upgraded or newly introduced outcomes compared to downgraded outcomes (RR = 1.19, 95% CI: 0.65, 2.16, p = 0.57). None of the comparisons reached statistical significance. CONCLUSION While no evidence of selective outcome reporting was found in this study, based on the present analysis of SRs published within COHG systematic reviews, discrepancies between outcomes in pre-published protocols and final reviews continue to be common. Solutions such as the use of standardized outcomes to reduce the prevalence of this issue may need to be explored.

Design of a systematic approach to workplace exposure medical surveillance protocols

Current toxic tort cases have increased national awareness of health concerns and present an important avenue in which public health scientists can perform a vital function: in litigation, and in public health initiatives and promotions which may result. This review presents a systematic approach, using the paradigm of interactive public health disciplines, for the design of a matrix framework for medical surveillance of workers exposed to toxic substances. The matrix framework design addresses the required scientific bases to support the legal remedy of medical monitoring for workers injured as a result of their exposure to toxic agents. A background of recent legal developments which have a direct impact on the use of scientific expertise in litigation is examined in the context of toxic exposure litigation and the attainment of public health goals. The matrix model is applied to five different workplace exposures: dental mercury, firefighting, vinyl chloride manufacture, radon in mining and silica. An exposure matrix designed by the Department of Energy for government nuclear workers is included as a reference comparison to the design matrix. ^

Match points used for synchronization of NGRIP, GRIP, and GISP2

We here present a synchronization of the NGRIP, GRIP, and GISP2 ice cores based mainly on volcanic events over the period 14.9-32.45 ka b2k (before AD 2000), corresponding to Marine Isotope Stage 2 (MIS 2) and the end of MIS 3. The matching provides a basis for applying the recent NGRIP-based Greenland Ice Core Chronology 2005 (GICC05) time scale to the GRIP and GISP2 ice cores, thereby making it possible to compare the synchronized palaeoclimate profiles of the cores in detail and to identify relative accumulation differences between the cores. Based on the matching, a period of anomalous high accumulation rates in the GISP2 ice core is detected within the period 16.5-18.3 ka b2k. The d18O and [Ca2+] profiles of the three cores are presented on the common GICC05 time scale and generally show excellent agreement across the stadial-interstadial transitions and across the two characteristic dust events in Greenland Stadial 3. However, large differences between the d18O and [Ca2+] profiles of the three cores are seen in the same period as the 7-9% increase in the GISP2 accumulation rate. We conclude that changes of the atmospheric circulation are likely to have occurred in this period, altering the spatial gradients in Greenland and resulting in larger variations between the records.

Synchronization of the NGRIP, GRIP, and GISP2 ice cores

We here present a synchronization of the NGRIP, GRIP, and GISP2 ice cores based mainly on volcanic events over the period 14.9-32.45 ka b2k (before AD 2000), corresponding to Marine Isotope Stage 2 (MIS 2) and the end of MIS 3. The matching provides a basis for applying the recent NGRIP-based Greenland Ice Core Chronology 2005 (GICC05) time scale to the GRIP and GISP2 ice cores, thereby making it possible to compare the synchronized palaeoclimate profiles of the cores in detail and to identify relative accumulation differences between the cores. Based on the matching, a period of anomalous high accumulation rates in the GISP2 ice core is detected within the period 16.5-18.3 ka b2k. The d18O and [Ca2+] profiles of the three cores are presented on the common GICC05 time scale and generally show excellent agreement across the stadial-interstadial transitions and across the two characteristic dust events in Greenland Stadial 3. However, large differences between the d18O and [Ca2+] profiles of the three cores are seen in the same period as the 7-9% increase in the GISP2 accumulation rate. We conclude that changes of the atmospheric circulation are likely to have occurred in this period, altering the spatial gradients in Greenland and resulting in larger variations between the records.

Aligning and synchronization of MIS5 proxy records from Lake Ohrid (FYROM) with independently dated Mediterranean archives: implications for DEEP core chronology

The DEEP site sediment sequence obtained during the ICDP SCOPSCO project at Lake Ohrid was dated using tephrostratigraphic information, cyclostratigraphy, and orbital tuning through the marine isotope stages (MIS) 15-1. Although this approach is suitable for the generation of a general chronological framework of the long succession, it is insufficient to resolve more detailed palaeoclimatological questions, such as leads and lags of climate events between marine and terrestrial records or between different regions. Here, we demonstrate how the use of different tie points can affect cyclostratigraphy and orbital tuning for the period between ca. 140 and 70 ka and how the results can be correlated with directly/indirectly radiometrically dated Mediterranean marine and continental proxy records. The alternative age model presented here shows consistent differences with that initially proposed by Francke et al. (2015) for the same interval, in particular at the level of the MIS6-5e transition. According to this new age model, different proxies from the DEEP site sediment record support an increase of temperatures between glacial to interglacial conditions, which is almost synchronous with a rapid increase in sea surface temperature observed in the western Mediterranean. The results show how a detailed study of independent chronological tie points is important to align different records and to highlight asynchronisms of climate events. Moreover, Francke et al. (2016) have incorporated the new chronology proposed for tephra OH-DP-0499 in the final DEEP age model. This has reduced substantially the chronological discrepancies between the DEEP site age model and the model proposed here for the last glacial-interglacial transition.

Inflation targeting in Korea, Indonesia, Thailand, and the Philippines : the impact on business cycle synchronization between each country and the world

This paper empirically analyzes whether and to what extent the adoption of inflation targeting (IT) in Korea, Indonesia, Thailand and the Philippines has affected their business cycle synchronization with the rest of the world. By employing the dynamic conditional correlation (DCC) model developed by Engle (2002), we find that IT in Asia has little effect on international business cycle synchronization and the effect is positive in some of the countries, if any. These findings basically seem to be consistent with the evidence from relevant literature.

Synchronization waves in geometric networks

We report synchronization of networked excitable nodes embedded in a metric space, where the connectivity properties are mostly determined by the distance between units. Such a high clustered structure, combined with the lack of long-range connections, prevents full synchronization and yields instead the emergence of synchronization waves. We show that this regime is optimal for information transmission through the system, as it enhances the options of reconstructing the topology from the dynamics. Measurements of topological and functional centralities reveal that the wave-synchronization state allows detection of the most structurally relevant nodes from a single observation of the dynamics, without any a priori information on the model equations ruling the evolution of the ensemble

Reduced synchronization persistence in neural networks derived from atm-deficient mice

Many neurodegenerative diseases are characterized by malfunction of the DNA damage response. Therefore, it is important to understand the connection between system level neural network behavior and DNA. Neural networks drawn from genetically engineered animals, interfaced with micro-electrode arrays allowed us to unveil connections between networks’ system level activity properties and such genome instability. We discovered that Atm protein deficiency, which in humans leads to progressive motor impairment, leads to a reduced synchronization persistence compared to wild type synchronization, after chemically imposed DNA damage. Not only do these results suggest a role for DNA stability in neural network activity, they also establish an experimental paradigm for empirically determining the role a gene plays on the behavior of a neural network.

Fast measurement of cooling and heating rates in standard cryopreservation protocols based on vitrification

Estudio de la cinética de la crioconservación de tejidos vegetales

Assortative and modular networks are shaped by adaptive synchronization processes

Modular organization and degree-degree correlations are ubiquitous in the connectivity structure of biological, technological, and social interacting systems. So far most studies have concentrated on unveiling both features in real world networks, but a model that succeeds in generating them simultaneously is needed. We consider a network of interacting phase oscillators, and an adaptation mechanism for the coupling that promotes the connection strengths between those elements that are dynamically correlated. We show that, under these circumstances, the dynamical organization of the oscillators shapes the topology of the graph in such a way that modularity and assortativity features emerge spontaneously and simultaneously. In turn, we prove that such an emergent structure is associated with an asymptotic arrangement of the collective dynamical state of the network into cluster synchronization.

Analysis of ad hoc routing protocols for emergency and rescue scenarios.

A mobile ad hoc network MANET is a collection of wireless mobile nodes that can dynamically configure a network without a fixed infrastructure or centralized administration. This makes it ideal for emergency and rescue scenarios where information sharing is essential and should occur as soon as possible. This article discusses which of the routing strategies for mobile ad hoc networks: proactive, reactive and hierarchical, have a better performance in such scenarios. Using a real urban area being set for the emergency and rescue scenario, we calculate the density of nodes and the mobility model needed for validation. The NS2 simulator has been used in our study. We also show that the hierarchical routing strategies are beffer suited for this type of scenarios.

Low-complexity timing synchronization scheme for MB-OFDM UWB receiver based on sign-bit

A unified low complexity sign-bit correlation based symbol timing synchronization scheme for Multiband Orthogonal Frequency Division Multiplexing (MB-OFDM) Ultra Wideband (UWB) receiver system is proposed. By using the time domain sequence of the packet/frame synchronization preamble, the proposed scheme is in charge of detecting the upcoming MB-OFDM symbol and it estimates the exact boundary of the start of Fast Fourier Transform (FFT) window. The proposed algorithm is implemented by using an efficient Hardware-Software co-simulation methodology. The effectiveness of the proposed synchronization scheme and the optimization criteria is confirmed by hardware implementation results.