Completion and Publication Rates of Randomized Controlled Trials in Surgery: An Empirical Study.

OBJECTIVE: To investigate the prevalence of discontinuation and nonpublication of surgical versus medical randomized controlled trials (RCTs) and to explore risk factors for discontinuation and nonpublication of surgical RCTs. BACKGROUND: Trial discontinuation has significant scientific, ethical, and economic implications. To date, the prevalence of discontinuation of surgical RCTs is unknown. METHODS: All RCT protocols approved between 2000 and 2003 by 6 ethics committees in Canada, Germany, and Switzerland were screened. Baseline characteristics were collected and, if published, full reports retrieved. Risk factors for early discontinuation for slow recruitment and nonpublication were explored using multivariable logistic regression analyses. RESULTS: In total, 863 RCT protocols involving adult patients were identified, 127 in surgery (15%) and 736 in medicine (85%). Surgical trials were discontinued for any reason more often than medical trials [43% vs 27%, risk difference 16% (95% confidence interval [CI]: 5%-26%); P = 0.001] and more often discontinued for slow recruitment [18% vs 11%, risk difference 8% (95% CI: 0.1%-16%); P = 0.020]. The percentage of trials not published as full journal article was similar in surgical and medical trials (44% vs 40%, risk difference 4% (95% CI: -5% to 14%); P = 0.373). Discontinuation of surgical trials was a strong risk factor for nonpublication (odds ratio = 4.18, 95% CI: 1.45-12.06; P = 0.008). CONCLUSIONS: Discontinuation and nonpublication rates were substantial in surgical RCTs and trial discontinuation was strongly associated with nonpublication. These findings need to be taken into account when interpreting surgical literature. Surgical trialists should consider feasibility studies before embarking on full-scale trials.

Publication of statistically significant research findings in prosthodontics & implant dentistry in the context of other dental specialties

OBJECTIVES To assess the hypothesis that there is excessive reporting of statistically significant studies published in prosthodontic and implantology journals, which could indicate selective publication. METHODS The last 30 issues of 9 journals in prosthodontics and implant dentistry were hand-searched for articles with statistical analyses. The percentages of significant and non-significant results were tabulated by parameter of interest. Univariable/multivariable logistic regression analyses were applied to identify possible predictors of reporting statistically significance findings. The results of this study were compared with similar studies in dentistry with random-effects meta-analyses. RESULTS From the 2323 included studies 71% of them reported statistically significant results, with the significant results ranging from 47% to 86%. Multivariable modeling identified that geographical area and involvement of statistician were predictors of statistically significant results. Compared to interventional studies, the odds that in vitro and observational studies would report statistically significant results was increased by 1.20 times (OR: 2.20, 95% CI: 1.66-2.92) and 0.35 times (OR: 1.35, 95% CI: 1.05-1.73), respectively. The probability of statistically significant results from randomized controlled trials was significantly lower compared to various study designs (difference: 30%, 95% CI: 11-49%). Likewise the probability of statistically significant results in prosthodontics and implant dentistry was lower compared to other dental specialties, but this result did not reach statistical significant (P>0.05). CONCLUSIONS The majority of studies identified in the fields of prosthodontics and implant dentistry presented statistically significant results. The same trend existed in publications of other specialties in dentistry.

50 Jahre Jewish Publication Society of America

Hans Lamm

Source data for Plos ONE publication Redefining thermal regimes to design reserves for coral reefs in the face of climate change

Reef managers cannot fight global warming through mitigation at local scale, but they can use information on thermal patterns to plan for reserve networks that maximize the probability of persistence of their reef system. Here we assess previous methods for the design of reserves for climate change and present a new approach to prioritize areas for conservation that leverages the most desirable properties of previous approaches. The new method moves the science of reserve design for climate change a step forwards by: (1) recognizing the role of seasonal acclimation in increasing the limits of environmental tolerance of corals and ameliorating the bleaching response; (2) including information from several bleaching events, which frequency is likely to increase in the future; (3) assessing relevant variability at country scales, where most management plans are carried out. We demonstrate the method in Honduras, where a reassessment of the marine spatial plan is in progress.

Guidelines for Linked Data generation and publication: an example in building energy consumption

Linked Data is the key paradigm of the Semantic Web, a new generation of the World Wide Web that promises to bring meaning (semantics) to data. A large number of both public and private organizations have published their data following the Linked Data principles, or have done so with data from other organizations. To this extent, since the generation and publication of Linked Data are intensive engineering processes that require high attention in order to achieve high quality, and since experience has shown that existing general guidelines are not always sufficient to be applied to every domain, this paper presents a set of guidelines for generating and publishing Linked Data in the context of energy consumption in buildings (one aspect of Building Information Models). These guidelines offer a comprehensive description of the tasks to perform, including a list of steps, tools that help in achieving the task, various alternatives for performing the task, and best practices and recommendations. Furthermore, this paper presents a complete example on the generation and publication of Linked Data about energy consumption in buildings, following the presented guidelines, in which the energy consumption data of council sites (e.g., buildings and lights) belonging to the Leeds City Council jurisdiction have been generated and published as Linked Data.

Carnegie Institution of Washington publication.

no. 143 (1911)

Carnegie Institution of Washington publication.

no. 198 (1914)

Carnegie Institution of Washington publication.

no. 135 (1910)

Carnegie Institution of Washington publication.

no. 224 (1916)

Carnegie Institution of Washington publication.

no. 273 (1921)

Carnegie Institution of Washington publication.

no. 140 (1911)

Miscellaneous publication - University of Kansas, Museum of Natural History.

no.53 (1971)

Miscellaneous publication - University of Kansas, Museum of Natural History.

no.45 (1967)