Clinical utility of ocular residual astigmatism and topographic disparity vector indexes in subclinical and clinical keratoconus

Purpose. We aimed to characterize the distribution of the vector parameters ocular residual astigmatism (ORA) and topography disparity (TD) in a sample of clinical and subclinical keratoconus eyes, and to evaluate their diagnostic value to discriminate between these conditions and healthy corneas. Methods. This study comprised a total of 43 keratoconic eyes (27 patients, 17–73 years) (keratoconus group), 11 subclinical keratoconus eyes (eight patients, 11–54 years) (subclinical keratoconus group) and 101 healthy eyes (101 patients, 15–64 years) (control group). In all cases, a complete corneal analysis was performed using a Scheimpflug photography-based topography system. Anterior corneal topographic data was imported from it to the iASSORT software (ASSORT Pty. Ltd), which allowed the calculation of ORA and TD. Results. Mean magnitude of the ORA was 3.23 ± 2.38, 1.16 ± 0.50 and 0.79 ± 0.43 D in the keratoconus, subclinical keratoconus and control groups, respectively (p < 0.001). Mean magnitude of the TD was 9.04 ± 8.08, 2.69 ± 2.42 and 0.89 ± 0.50 D in the keratoconus, subclinical keratoconus and control groups, respectively (p < 0.001). Good diagnostic performance of ORA (cutoff point: 1.21 D, sensitivity 83.7 %, specificity 87.1 %) and TD (cutoff point: 1.64 D, sensitivity 93.3 %, specificity 92.1 %) was found for the detection of keratoconus. The diagnostic ability of these parameters for the detection of subclinical keratoconus was more limited (ORA: cutoff 1.17 D, sensitivity 60.0 %, specificity 84.2 %; TD: cutoff 1.29 D, sensitivity 80.0 %, specificity 80.2 %). Conclusion. The vector parameters ORA and TD are able to discriminate with good levels of precision between keratoconus and healthy corneas. For the detection of subclinical keratoconus, only TD seems to be valid.

Cuba, 1835 (Image 3 of 6) (Raster Image)

This layer is a georeferenced raster image of the historic paper map entitled: Carta geogro. topográfica de la isla de Cuba : dedicanla a la Reyna Nuestra Señora Doñ a Isabel II, El Teniente General Conde de Cuba y la Comisión de Gefes y Oficiales Militares y de Agrimensores Públicos que la levantó y formó de su orden en los años de 1824 á 1831/Do. Estruch lo grabó en Barcelona 1835 ; Carlos Roca lo dibujó. It was published in 1835. Scale [ca. 1:325,000]. This layer is image 3 of 6 total images of the six sheet source map. Map in Spanish.The image inside the map neatline is georeferenced to the surface of the earth and fit to the World Mercator project coordinate system. All map collar and inset information is also available as part of the raster image, including any inset maps, profiles, statistical tables, directories, text, illustrations, index maps, legends, or other information associated with the principal map. This map shows features such as drainage, cities and other human settlements, roads, shoreline features, and more. Relief shown by hachures, depths by soundings. Includes also indexes, table of distances, statistical tables, and insets: "Plano de la ciudad y puerto de La Habana" [ca. 1:16.000]. -- "Plano de la ciudad y bahía de Sn. Carlos de Matanzas" [ca. 1:14.500]. -- "Ciudad de Sta. María del Puerto Principe" [ca. 1:16.000]. -- "Plano de la ciudad de Santiago de Cuba" [ca. 1:16.000] -- "Plano de la bahía de Cuba" [ca. 1:48.000]. -- "Plano de la ciudad de Trinidad" [ca. 1:16.000]. -- "Puerto de Casilda" [ca. 1:43.000].This layer is part of a selection of digitally scanned and georeferenced historic maps from the Harvard Map Collection. These maps typically portray both natural and manmade features. The selection represents a range of originators, ground condition dates, scales, and map purposes.

Applications of on-line computers to library problems : papers presented at the 1972 Clinic on Library Applications of Data Processing, April 30-May 3, 1972 /

Title on spine: Library applications of data processing: 1972.

Nuclear cross sections and technology : proceedings of a conference, Washington, D.C., March 3-7, 1975 /

Conference sponsored by the Reactor and Shielding Division of the American Nuclear Society and others.

A Governor's conference on science and technology in Illinois : proceedings of the 15th annual ENR conference, September 3 and 4, 1986, Chicago, Illinois.

Includes bibliographies and indexes.

The Congressional globe ... : [23d Congress to the 42d Congress, Dec. 2, 1833, to March 3, 1873]

Messages of the President and reports of cabinet officers are included in the appendixes to the close of the 39th Cong., also laws passed at the 2d sess., 32d Cong., to the 3d sess., 42d Cong., and a detailed statement of the appropriations made during each session, 32d Cong., 2d sess.-37th Cong., 1st sess., inclusive. The proceedings of the Senate in the trial of Andrew Johnson, forms a supplement to the 40th Cong., 2d sess.

Arts companion, or A new assistant for the ingenious, in 3 pts. Pt. 1 containing the art of drawing in perspective ... Pt. II containing the art of drawing and painting in water-colours ... Pt. III containing the art of painting in miniature ... to which are added directions for shadowing, stipling, &c. ... likewise the preparation of an excellent polish and shell: the whole taken from some of the best Italian and other masters.

Includes indexes.

Operator's organizational, direct support and general support maintenance manual (including repair parts and special tool list) : chassis, trailer, 3 1/2-ton, 2-wheel, M536 (2330-777-2957), (used with laundry unit, trailer mounted, M532) ...

Includes indexes.

Organizational maintenance manual : crane-shovel, truck mounted, 3/4 cubic yards, 20 ton, with clamshell, dragline and backhoe attachments, G.E.D. (Harnischfeger Corp model M320T2), FSN 3810-151-4431.

Includes indexes.

Direct support and general support maintenance repair parts and special tools lists (including depot maintenance repair parts and special tools lists) : crane, truck mounted, GED, 3/4 cubic yard, 20 ton, with clamshell, dragline and backhoe attachments, NSN 3810-00-151-4431, Harnischfeger Corp model M320T2.

Includes indexes.

Organizational maintenance repair parts and special tools lists : drier-mixer, bituminous-concrete material, wheel mounted, GED, 2-wheel, pneumatic tires, 3 to 10 ton per hour NSN 3895-00-832-6230, K.E. McConnaughay MDL HTD-A-67.

Includes indexes.

Operator's and organizational maintenance manual including repair parts and special tools lists : searchlight set, infrared AN/VSS-3 (NSN 5855-00-058-1293).

Includes indexes.

Indexes of insulin resistance and secretion in obese children and adolescents

OBJECTIVE - To assess the concurrent validity of fasting indexes of insulin sensitivity and secretion in - obese prepubertal (Tanner stage 1) children and pubertal (Tanner stages 2-5) glucose tolerance test (FSIVGTT) as a criterion measure. RESEARCH DESIGN AND METHODS - Eighteen obese children and adolescents (11 girls and 7 boys, mean age 12.2 +/- 2.4 years, mean BMI 35.4 +/- 6.2 kg/m(2), mean BMI-SDS 3.5 +/- 0.5, 7 prepubertal and I I pubertal) participated in the study. All participants underwent an insulin-modified FSIVGTT on two occasions, and 15 repeated this test a third time (mean 12.9 and 12.0 weeks apart). S-i measured by the FSIVGTT was compared with homeostasis model assessment (HOMA) of insulin resistance (HOMA-IR), quantitative insulin-sensitivity check index (QUICKI), fasting glucose-to-insulin ratio (FGIR), and fasting insulin (estimates of insulin sensitivity derived from fasting samples). The acute insulin response (AIR) measured by the FSIVGTT was compared with HOMA of percent beta-cell function (HOMA-beta%), FGIR, and fasting insulin (estimates of insulin secretion derived from fasting samples). RESULTS - There was a significant negative correlation between HOMA-IR and S-i (r = -0.89, r = -0.90, and r = -0.81, P < 0.01) and a significant positive correlation between QUICKI and S-i (r = 0.89, r = 0.90, and r = 0.81, P < 0.01) at each time point. There was a significant positive correlation between FGIR and S-i (r = 0.91, r = 0.91, and r = 0.82, P < 0.01) and a significant negative correlation between fasting insulin and S-i (r = -90, r = -0.90, and r = -0.88, P < 0.01). HOMA-beta% was not as strongly correlated with AIR (r = 0.60, r = 0.54, and r = 0.61, P < 0.05). CONCLUSIONS - HOMA-IR, QUICKI, FGIR, and fasting insulin correlate strongly with S-i assessed by the FSIVGTT in obese children and adolescents. Correlations between HOMA-β% FGIR and fasting insulin, and AIR were not as strong. Indexes derived from fasting samples are a valid tool for assessing insulin sensitivity in prepubertal and pubertal obese children.

Enhanced skip -list search algorithm in 3-layer mediator framework

The Three-Layer distributed mediation architecture, designed by Secure System Architecture laboratory, employed a layered framework of presence, integration, and homogenization mediators. The architecture does not have any central component that may affect the system reliability. A distributed search technique was adapted in the system to increase its reliability. An Enhanced Chord-like algorithm (E-Chord) was designed and deployed in the integration layer. The E-Chord is a skip-list algorithm based on Distributed Hash Table (DHT) which is a distributed but structured architecture. DHT is distributed in the sense that no central unit is required to maintain indexes, and it is structured in the sense that indexes are distributed over the nodes in a systematic manner. Each node maintains three kind of routing information: a frequency list, a successor/predecessor list, and a finger table. None of the nodes in the system maintains all indexes, and each node knows about some other nodes in the system. These nodes, also called composer mediators, were connected in a P2P fashion. ^ A special composer mediator called a global mediator initiates the keyword-based matching decomposition of the request using the E-Chord. It generates an Integrated Data Structure Graph (IDSG) on the fly, creates association and dependency relations between nodes in the IDSG, and then generates a Global IDSG (GIDSG). The GIDSG graph is a plan which guides the global mediator how to integrate data. It is also used to stream data from the mediators in the homogenization layer which connected to the data sources. The connectors start sending the data to the global mediator just after the global mediator creates the GIDSG and just before the global mediator sends the answer to the presence mediator. Using the E-Chord and GIDSG made the mediation system more scalable than using a central global schema repository since all the composers in the integration layer are capable of handling and routing requests. Also, when a composer fails, it would only minimally affect the entire mediation system. ^

Use of Homeostatic Model Assessment Indexes for the Identification of Metabolic Syndrome and Insulin Resistance among Cuban-Americans: A Cross Sectional Study

Aim: to determine cut off points for The Homeostatic Model Assessment Index 1 and 2 (HOMA-1 and HOMA-2) for identifying insulin resistance and metabolic syndrome among a Cuban-American population. Study Design: Cross sectional. Place and Duration of Study: Florida International University, Robert Stempel School of Public Health and Social Work, Department of Dietetics and Nutrition, Miami, FL from July 2010 to December 2011. Methodology: Subjects without diabetes residing in South Florida were enrolled (N=146, aged 37 to 83 years). The HOMA1-IR and HOMA2-IR 90th percentile in the healthy group (n=75) was used as the cut-off point for insulin resistance. A ROC curve was constructed to determine the cut-off point for metabolic syndrome. Results: HOMA1-IR was associated with BMI, central obesity, and triglycerides (P3.95 and >2.20 and for metabolic syndrome were >2.98 (63.4% sensitivity and 73.3% specificity) and >1.55 (60.6% sensitivity and 66.7% specificity), respectively. Conclusion: HOMA cut-off points may be used as a screening tool to identify insulin resistance and metabolic syndrome among Cuban-Americans living in South Florida.