Screening Subclinical Keratoconus With Placido-Based Corneal Indices

Purpose. To assess in a sample of normal, keratoconic, and keratoconus (KC) suspect eyes the performance of a set of new topographic indices computed directly from the digitized images of the Placido rings. Methods. This comparative study was composed of a total of 124 eyes of 106 patients from the ophthalmic clinics Vissum Alicante and Vissum Almería (Spain) divided into three groups: control group (50 eyes), KC group (50 eyes), and KC suspect group (24 eyes). In all cases, a comprehensive examination was performed, including the corneal topography with a Placidobased CSO topography system. Clinical outcomes were compared among groups, along with the discriminating performance of the proposed irregularity indices. Results. Significant differences at level 0.05 were found on the values of the indices among groups by means of Mann-Whitney-Wilcoxon nonparametric test and Fisher exact test. Additional statistical methods, such as receiver operating characteristic analysis and K-fold cross validation, confirmed the capability of the indices to discriminate between the three groups. Conclusions. Direct analysis of the digitized images of the Placido mires projected on the cornea is a valid and effective tool for detection of corneal irregularities. Although based only on the data from the anterior surface of the cornea, the new indices performed well even when applied to the KC suspect eyes. They have the advantage of simplicity of calculation combined with high sensitivity in corneal irregularity detection and thus can be used as supplementary criteria for diagnosing and grading KC that can be added to the current keratometric classifications.

How does family intervention improve the outcome of people with schizophrenia?

Background: There is strong evidence of the efficacy of family psychosocial interventions for schizophrenia, but evidence of the role played by the attitudes of relatives in the therapeutic process is lacking. Method: To study the effect of a family intervention on family attitudes and to analyse their mediating role in the therapeutic process 50 patients with schizophrenia and their key relatives undergoing a trial on the efficacy of a family psychosocial intervention were studied by means of the Affective Style Coding System, the Scale of Empathy, and the Relational Control Coding System. Specific statistical methods were used to determine the nature of the relationship of the relatives’ attitudes to the outcome of family intervention. Results: Family psychosocial intervention was associated with a reduction in relatives’ guilt induction and dominance and an improvement in empathy. Empathy and lack of dominance were identified as independent mediators of the effect of family psychosocial intervention. The change in empathy and dominance during the first 9 months of the intervention predicted the outcome in the following 15 months. Conclusion: Relatives’ empathy and lack of dominance are mediators of the beneficial effect of family psychosocial intervention on patient’s outcome.

Intra-population variation and geographic correlation in Canthon humectus hidalgoensis using FTIR-ATR spectroscopy

In some cases external morphology is not sufficient to discern between populations of a species, as occurs in the dung beetle Canthon humectus hidalgoensis Bates; and much less to determine phenotypic distances between them. FTIR-ATR spectroscopy show several advantages over other identification techniques (e.g. morphological, genetic, and cuticular hydrocarbons analysis) due to the non-invasive manner of the sample preparation, the relative speed of sample analysis and the low-cost of this technology. The infrared spectrum obtained is recognized to give a unique ‘fingerprint’ because vibrational spectra are specific and unique to the molecular nature of the sample. In our study, results showed that proteins, amino acids and aromatic ethers of insect exocuticle have promising discriminative power to discern between different populations of C. h. hidalgoensis. Furthermore, the correlation between geographic distances between populations and the chemical distances obtained by proteins + amino acids + aromatic ethers was statistically significant, showing that the spectral and spatial information available of the taxa together with appropriated chemometric methods may help to a better understanding of the identity, structure, dynamics and diversity of insect populations.

A função respiratória dos doentes adultos com fibrose quística, em repouso e no esforço

Trabalho Final do Curso de Mestrado Integrado em Medicina, Faculdade de Medicina, Universidade de Lisboa, 2014

The nasal microbiota in infants with cystic fibrosis in the first year of life: a prospective cohort study.

BACKGROUND Respiratory tract infections and subsequent airway inflammation occur early in the life of infants with cystic fibrosis. However, detailed information about the microbial composition of the respiratory tract in infants with this disorder is scarce. We aimed to undertake longitudinal in-depth characterisation of the upper respiratory tract microbiota in infants with cystic fibrosis during the first year of life. METHODS We did this prospective cohort study at seven cystic fibrosis centres in Switzerland. Between Feb 1, 2011, and May 31, 2014, we enrolled 30 infants with a diagnosis of cystic fibrosis. Microbiota characterisation was done with 16S rRNA gene pyrosequencing and oligotyping of nasal swabs collected every 2 weeks from the infants with cystic fibrosis. We compared these data with data for an age-matched cohort of 47 healthy infants. We additionally investigated the effect of antibiotic treatment on the microbiota of infants with cystic fibrosis. Statistical methods included regression analyses with a multivariable multilevel linear model with random effects to correct for clustering on the individual level. FINDINGS We analysed 461 nasal swabs taken from the infants with cystic fibrosis; the cohort of healthy infants comprised 872 samples. The microbiota of infants with cystic fibrosis differed compositionally from that of healthy infants (p=0·001). This difference was also found in exclusively antibiotic-naive samples (p=0·001). The disordering was mainly, but not solely, due to an overall increase in the mean relative abundance of Staphylococcaceae in infants with cystic fibrosis compared with healthy infants (multivariable linear regression model stratified by age and adjusted for season; second month: coefficient 16·2 [95% CI 0·6-31·9]; p=0·04; third month: 17·9 [3·3-32·5]; p=0·02; fourth month: 21·1 [7·8-34·3]; p=0·002). Oligotyping analysis enabled differentiation between Staphylococcus aureus and coagulase-negative Staphylococci. Whereas the analysis showed a decrease in S aureus at and after antibiotic treatment, coagulase-negative Staphylococci increased. INTERPRETATION Our study describes compositional differences in the microbiota of infants with cystic fibrosis compared with healthy controls, and disordering of the microbiota on antibiotic administration. Besides S aureus, coagulase-negative Staphylococci also contributed to the disordering identified in these infants. These findings are clinically important in view of the crucial role that bacterial pathogens have in the disease progression of cystic fibrosis in early life. Our findings could be used to inform future studies of the effect of antibiotic treatment on the microbiota in infants with cystic fibrosis, and could assist in the prevention of early disease progression in infants with this disorder. FUNDING Swiss National Science Foundation, Fondation Botnar, the Swiss Society for Cystic Fibrosis, and the Swiss Lung Association Bern.

Age determination of sediments of Site LO09-14 (Table 1)

A composite record (LO09-14) of three sediment cores from the subpolar North Atlantic (Reykjanes Ridge) was investigated in order to assess surface ocean variability during the last 11 kyr. The core site is today partly under the influence of the Irminger Current (IC), a branch of the North Atlantic Drift continuing northwestward around Iceland. However, it is also proximal to the Sub-Arctic Front (SAF) that may cause extra dynamic hydrographic conditions. We used statistical methods applied to the fossil assemblages of diatoms to reconstruct quantitative sea surface temperatures (SSTs). Our investigations give evidence for different regional signatures of Holocene surface oceanographic changes in the North Atlantic. Core LO09-14 reveal relatively low and highly variable SSTs during the early Holocene, indicating a weak IC and increased advection of subpolar water over the site. A mid-Holocene thermal optimum with a strong IC occurs from 7.5 to 5 kyr and is followed by cooler and more stable late Holocene surface conditions. Several intervals throughout the Holocene are dominated by the diatom species Rhizosolenia borealis, which we suggest indicates proximity to a strongly defined convergence front, most likely the SAF. Several coolings, reflecting southeastward advection of cold and ice-bearing waters, occur at 10.4, 9.8, 8.3, 7.9, 6.4, 4.7, 4.3 and 2.8 kyr. The cooling events recorded in the LO09-14 SSTs correlate well with both other surface records from the area and the NADW reductions observed at ODP Site 980 indicating a surface-deepwater linkage through the Holocene.

Core derived downhole logs for holes CRP-2 and CRP-2A

In the northern McMurdo Sound (Ross Sea, Antarctica), the CRP-2/2A drillhole targeted the western margin of the Victoria Land Basin to investigate Neogene to Palaeogene climatic and tectonic history by obtaining continuous core and downhole logs. Well logging of CRP-2/2A has provided a complete and comprehensive dataset of in situ geophysical measurements. This paper describes the evaluation and interpretation of the downhole logging data using multivariate statistical methods. Two major types of multivariate statistical methods were each yielding a different perspective: (1) Factor analysis was used as an objective tool for classification of the drilled sequence based on physical and chemical properties. The factor logs are mirroring the basic geological controls (i.e., grain size, porosity, clay mineralogy) behind the measured geophysical properties, thereby making them easier to interpret geologically. (2) Cluster analysis of the logs groups similar downhole geophysical properties into one cluster, delineating individual logging or sedimentological units. These objectively and independently defined units, or statistical electrofacies, are helpful in differentiating lithological and sedimentological characterisations (e.g. grain size, provenance). The multivariate statistical methods of factor and cluster analysis proved to be powerful tools for fast, reliable, and objective characterisation of downhole geophysical properties at CRP-2/2A, resulting in interpretations which are consistent with sedimentological findings.

Calcareous dinoflagellates in the eastern equatorial Atlantic

Sediments of the Equatorial Atlantic (core GeoB 1105-4) have been investigated for both calcareous dinoflagellates and organic-walled dinoflagellate cysts. In order to determine the ecological affinity of calcareous dinoflagellates the statistical methods of Detrended Correspondence Analysis (DCA) and Redundancy Analysis (RDA) were used. Utilising DCA, distribution patterns of calcareous dinoflagellates have been compared with those of the ecologically much better known organic-walled dinoflagellate cysts. This method was also used to determine which environmental gradients have a major influence on the species composition. By using existing environmental information based on benthic and planktic foraminifera, such as Sea Surface Temperature (SST) and stable oxygen and carbon isotopes, as well as information on the amount of Calcium Carbonate and Total Organic Carbon (TOC) in bottom sediments, these gradients could be interpreted in terms of productivity and glacial-interglacial trends. Using RDA, the direct relationships between the distribution patterns of calcareous dinoflagellates with the above mentioned external variables could be determined. For the studied region and time interval (141-6.7 ka) the calcareous dinoflagellates show enhanced abundances in periods with reduced productivity most probably related to decreased divergence and relatively stratified, oligotrophic oceanic conditions.

Accident causation methodology development for the National Accident Sampling System: final report.

National Highway Traffic Safety Administration, Washington, D.C.

Drinking driver and traffic safety project: final report, vol. I.

National Highway Traffic Safety Administration, Washington, D.C.

Drinking driver and traffic safety project, final report: vol. II, probabilities for drinking drivers.

National Highway Traffic Safety Administration, Washington, D.C.

Evaluation methodologies for four federal motor vehicle safety standards. FMVSS 214: side door strength. FMVSS 301: fuel system integrity. FMVSS 215: exterior protection. FMVSS 208: occupant crash protection. Final report.

National Highway Traffic Safety Administration, Washington, D.C.

Final design and implementation plan for evaluating the effectiveness of FMVSS 215: exterior protection. Tasks #4 & #5 report.

National Highway Traffic Safety Administration, Washington, D.C.

Rehabilitation system. Analytic study number six.

National Highway Traffic Safety Administration, Washington, D.C.

Why I Am Not a Likelihoodist

Frequentist statistical methods continue to predominate in many areas of science despite prominent calls for "statistical reform." They do so in part because their main rivals, Bayesian methods, appeal to prior probability distributions that arguably lack an objective justification in typical cases. Some methodologists find a third approach called likelihoodism attractive because it avoids important objections to frequentism without appealing to prior probabilities. However, likelihoodist methods do not provide guidance for belief or action, but only assessments of data as evidence. I argue that there is no good way to use those assessments to guide beliefs or actions without appealing to prior probabilities, and that as a result likelihoodism is not a viable alternative to frequentism and Bayesianism for statistical reform efforts in science.