The role of area-level deprivation and gender in participation in population-based faecal immunochemical test (FIT) colorectal cancer screening

This study aimed to investigate the effects of sex and deprivation on participation in a population-based faecal immunochemical test (FIT) colorectal cancer screening programme. The study population included 9785 individuals invited to participate in two rounds of a population-based biennial FIT-based screening programme, in a relatively deprived area of Dublin, Ireland. Explanatory variables included in the analysis were sex, deprivation category of area of residence and age (at end of screening). The primary outcome variable modelled was participation status in both rounds combined (with “participation” defined as having taken part in either or both rounds of screening). Poisson regression with a log link and robust error variance was used to estimate relative risks (RR) for participation. As a sensitivity analysis, data were stratified by screening round. In both the univariable and multivariable models deprivation was strongly associated with participation. Increasing affluence was associated with higher participation; participation was 26% higher in people resident in the most affluent compared to the most deprived areas (multivariable RR = 1.26: 95% CI 1.21–1.30). Participation was significantly lower in males (multivariable RR = 0.96: 95%CI 0.95–0.97) and generally increased with increasing age (trend per age group, multivariable RR = 1.02: 95%CI, 1.01–1.02). No significant interactions between the explanatory variables were found. The effects of deprivation and sex were similar by screening round. Deprivation and male gender are independently associated with lower uptake of population-based FIT colorectal cancer screening, even in a relatively deprived setting. Development of evidence-based interventions to increase uptake in these disadvantaged groups is urgently required.

Heart dimensions may influence the occurrence of the heart rate deflection point in highly trained cyclists

To determine whether the heart rate (HR) response to exercise in 21 highly trained cyclists (mean (SD) age 25 (3) years) was related to their heart dimensions. Methods—Before performing an incremental exercise test involving a ramp protocol with workload increases of 25 W/min, each subject underwent echocardiographic evaluation of the following variables: left ventricular end diastolic internal diameter (LVIDd), left ventricular posterior wall thickness at end diastole (LVPWTd), interventricular septal wall thickness at end diastole (IVSTd), left ventricular mass index (LVMI), left atrial dimension (LAD), longitudinal left atrial (LLAD) and right atrial (LRAD) dimensions, and the ratio of early to late (E/A) diastolic flow velocity. Results—The HR response showed a de- flection point (HRd) at about 85% V~ O2MAX in 66.7% of subjects (D group; n = 14) and was linear in 33.3% (NoD group; n = 7). Several echocardiographic variables (LVMI, LAD, LLAD, LRAD) indicative of heart dimensions were similar in each group. However, mean LPWTd (p<0.01) and IVSTd (p<0.05) values were signifi- cantly higher in the D group. Finally, no significant diVerence between groups was found with respect to the E/A. The HR response is curvilinear during incremental exercise in a considerable number of highly trained endurance athletes—that is, top level cyclists. The departure of HR increase from linearity may predominantly occur in athletes with thicker heart walls.

Characterization of Chimney Flue Gas Flows : Flow Rate Measurements with Averaging Pitot Probes

Performance testing methods of boilers in transient operating conditions (start, stop and combustion power modulation sequences) need the combustion rate quantified to allow for the emissions to be quantified. One way of quantifying the combustion rate of a boiler during transient operating conditions is by measuring the flue gas flow rate. The flow conditions in chimneys of single family house boilers pose a challenge however, mainly because of the low flow velocity. The main objectives of the work were to characterize the flow conditions in residential chimneys, to evaluate the use of the Pitot-static method and the averaging Pitot method, and to develop and test a calibration method for averaging Pitot probes for low

TAX YEAR 2013 ESTIMATED AVERAGE TOTAL MILLAGE RATE BY COUNTY

This is a 2013 estimate of average total millage rate broken down by county, millage, percent relative to statewide average and relative to the statewide average.

Measuring persistence in nominal exchange rate: Implications for Angola’s entrepreneurship and business development

The purpose of this paper is to measure the degree of persistence in the Kwanza to US Dollar exchange rate. First, our results indicate that nominal exchange rates both in levels and in first differences are I(0), thus implying that the relative purchasing power parity hypothesis for Angola is not rejected. Secondly, we find a significant degree of persistence in both the formal and informal nominal exchange rates. Thirdly, the degree of persistence in the official market is significantly lower than in the formal market, while In first differences, persistence in the official exchange rate is substantially higher than in the informal exchange rate. Lastly, we could not find strong evidence that persistence has changed in levels throughout the sample period. By contrast, there is significant evidence that persistence in first differences has consistently increased after September 2003. These results have important policy implications as the National Bank of Angola is preparing to change its monetary and exchange-rate policy focus to a more inflation-targeting regime and to a more a flexible (or low-managed) exchange-rate regime.

Influence of Baculovirus anticarsia on the growth rate and survival of some nontarget aquatic organisms.

Recently, microbial pest control agents (MPCAs) have been worldwide used to reduce chemical pesticide use and to diminish the high risk of those compounds in the environment. Among various MPCAs, the nuclear polyhedrosis virus Baculovirus anticarsia is widely used in Brazil in the biological control of the velvet bean caterpillar. Although literature data do not show adverse effects of baculoviruses to nontarget organisms, it is necessary to evaluate their toxicity or patogenicity in order to study th environmental risk of those products and to register the formulations in the Brazilian Environmental Regularory Agency - IBAMA. In the presente work, the influence of a Baculovirus anticarsia formulation was evaluted to measure the consequences in the growth rateof the green algae Selenastrum capricornutum, the duckweed Lemna valdiviana and the microcrustacean Daphnia similis. The survival of the fish Hyphessobrycon scholzei exposed during 28 days was also evaluated. No significative adverse effects (P > 0.05) were observed in the test organisms which were exposed to 1-1000 times the maximum calculated pesticide concentration following a direct application to 15 cm layer of water.

Produção e degradação da serrapilheira de espécies lenhosas da caatinga e sua contribuição na recuperação de áreas degradadas.

Resumo: O entendimento do fluxo de produção e do aporte de nutrientes via decomposição da serrapilheira e as interações do processo com parâmetros edáficos e ciclagem de nutrientes de espécies nativas da Caatinga têm sido pouco estudados. O conhecimento sobre ciclagem de nutrientes em florestas manejadas também permite inferências sobre as espécies com maior capacidade de reciclagem de nutrientes e seu potencial para recuperação de áreas degradadas. Objetivou-se com isso avaliar a produção e a degradação da serrapilheira de oito espécies lenhosas da Caatinga e mensurar os efeitos de sua aplicação sobre a fertilidade do solo e sobre a produção de sorgo em solo degradado. Para isso realizou-se três ensaios: para o ensaio I quantificou-se a produção de serrapilheira em um delineamento inteiramente casualizado com 6 repetições, por meio da instalação de coletores sob a projeção da copa das espécies (tratamentos): mofumbo, sabiá, jurema-preta, jucá, catingueira, pereiro, pau-branco e marmeleiro, sendo o material coletado mensalmente; foram quantificadas a produção das frações folhas, caule, material reprodutivo, miscelânea e total, bem como o aporte de nutrientes no período chuvoso e seco. Para o ensaio II avaliou-se a taxa de degradação da fração folhas de cada espécie citada por meio da utilização de litter bags, em delineamento inteiramente casualizado com 4 repetições, as coletas foram aos 0, 30, 60, 90, 120 e 150 dias, em seguida quantificou-se os macro e micronutrientes, celulose, lignina e carbono em cada tempo de amostragem. Para o ensaio III, realizou-se experimento em casa de vegetação para mensurar os efeitos da aplicação dos resíduos da serrapilheira das mesmas espécies mencionadas nos ensaios anteriores (I e II) sobre a fertilidade do solo e a produção de sorgo em solo degradado, neste experimento adotou-se o delineamento em blocos casualizados com 5 tratamentos e 5 repetições, sendo avaliadas doses equivalentes a: 0, 15, 30, 60 e 120 kg ha-1 de N dos resíduos de cada espécie e um tratamento adicional com adubação mineral, totalizando 30 unidades experimentais para cada espécie. As variáveis mensuradas foram biométricas, biomassa, teor relativo de clorofila e nitrogênio total, além de análises de fertilidade do solo. Com a análise dos dados verificou-se que a época de maior produção de serrapilheira ocorreu no final do período chuvoso para o início do período seco. A espécie jucá apresentou maior produção de serrapilheira, comparado às outras espécies. O nutriente cálcio apresentou maior acúmulo na serrapilheira para as espécies mofumbo, sabiá, catingueira, pereiro e marmeleiro e o nitrogênio foi superior para as espécies jurema-preta, jucá e pau-branco. Para todas as espécies avaliadas no ensaio de degradação houve redução significativa na sua biomassa em relação ao tempo zero, apresentando a seguinte ordem de velocidade de decomposição: jurema-preta > catingueira > pau-branco > jucá > marmeleiro > mofumbo > pereiro > sabiá. No ensaio de fertilização com os resíduos verificou-se que o marmeleiro promoveu efeitos negativos no solo, como acidificação. Porém, a aplicação dos resíduos da espécie pau-branco foi a que promoveu aumento nos valores de K, SB e CEC do solo e na produção do sorgo os resíduos de jurema-preta e pau-branco foram as que promoveram aumento na massa seca das plantas. Enquanto a adubação mineral proporcionou aumento na produção de massa seca do sorgo, demonstrando que a associação entre adubo mineral e o uso da serrapilheira de espécies da Caatinga pode ser uma opção viável para acelerar a recuperação de solos degradados. Abstract: The understanding of the production flow and nutrient supply via decomposition of litter and process interactions with edaphic parameters and nutrient cycling of native species of the Caatinga has been little studied. The knowledge of nutrient cycling in managed forests also allow inferences about species with capacity greater nutrient recycling capacity and its potential for recovery of degraded areas. This study aimed to evaluate the production and litter degradation 8 woody species of Caatinga and measure the effects of its application on soil fertility and production of sorghum in degraded soil. To this was carried out three tests: for the test I quantified the production of litter in a completely randomized design with 6 replications, by installing collectors under the canopy projection in the species (treatments): mofumbo, sabiá, jurema-preta, jucá, catingueira, pereiro, pau-branco and marmeleiro for each species, and the material collected monthly, were quantified the production of fractions leaves, stem, reproductive material, miscellany and total nutrient intake in the rainy and dry season. For II test evaluated the degradation rate of the fraction leaves through the use of litter bags, in a completely randomized design with 4 replications, the collected was 0, 30, 60, 90, 120 and 150 days and quantitated nutrients, cellulose, lignin and carbon at each evaluation time. For the III test, there was the experiment in a greenhouse to measure the effects of the application of litter waste of the same species of previous tests (I and II) on soil fertility and production of sorghum in degraded soil, was adopted the randomized block design with 5 treatments and 5 replications and evaluated doses equivalent to: 0, 15, 30, 60 and 120 kg ha-1 N of waste each species and an additional treatment with mineral fertilizer, totaling 30 experimental units for each species. Biometric analysis and biomass, relative chlorophyll content and total nitrogen were proceeded. In addition to soil fertility analysis. With the data analysis it was found that the time of greatest litterfall occurred at the end of the rainy season to the beginning of the dry season. The jucá species showed higher production compared to other species. The nutrient calcium had higher accumulation for the species mofumbo, sabiá, catingueira, pereiro and marmeleiro and nitrogen was higher for species jurema-preta, jucá and pau-branco. All species evaluated in degradation test had a significant reduction in biomass over time zero. They presented the following order of decomposition rate: jurema-preta > catingueira > pau-branco > jucá > marmeleiro > mofumbo > pereiro > sabiá. For fertility test it was found that marmeleiro promoted negative effects on soil, such as acidification. However, pau-branco was the specie that promoted further improvements in the K values, SB and CEC to the soil and for the production of sorghum, the waste jurema-preta and pau-branco promoted increase in dry matter plants. While the mineral fertilization provided an increase in dry matter production of sorghum, demonstrating that the combination of mineral fertilizer and the use of litter of Caatinga species may be a viable option to speed up the recovery of degraded soils.

Cross-population radio galaxies as a test of the jet-accretion relationship

Radio galaxies (RGs) are extremely relevant in addressing important unknowns concerning the interaction among black hole accretion, radio jets, and the environment. In the classical scheme, their accretion rate and ejection of relativistic jets are directly linked: efficient accretion (HERG) is associated with powerful edge-brightened jets (FRIIs); inefficient accretion (LERG) is associated with weak edge-darkened jets (FRIs). The observation of RGs with an inefficient engine associated with edge-brightened radio emission (FRII-LERGs) broke this scheme. FRII-LERGs constitute a suitable population to explore how accretion and ejection are linked and evaluate the environment's role in shaping jets. To this aim, we performed a multiwavelength study of different RGs catalogs spanning from Jy to mJy flux densities. At first, we investigated the X-ray properties of a sample of 51 FRIIs belonging to the 3CR catalog at z<0.3. Two hypotheses were invoked to explain FRII-LERGs behavior: evolution from classical FRIIs; the role of the environment. Next, we explored the mJy sky by studying the optical-radio properties of hundreds of RGs at z<0.15 (Best & Heckman 2012 sample). FRII-LERGs appear more similar to the old FRI-LERGs than to the young FRII-HERGs. These results point towards an evolutive scenario, however, nuclear time scale changes, star population aging, and kpc-Mpc radio structure modification do not agree. The role of the Mpc environment was then investigated. The Wen et al. 2015 galaxy clusters sample, built exploiting the SDSS survey, allowed us to explore the habitat of 7219 RGs at z<0.3. Most RGs are found to live in outside clusters. For these sources, differences among RG classes are still present. Thus, the environment is not the key parameter, and the possibility of intrinsic differences was reconsidered: we speculated that different black hole properties (spin and magnetic field at its horizon) could determine the observed spread in jet luminosity.

Simulazione CFD di incendio in galleria: confronto tra modello e test in scala reale

Le tecniche di fluidodinamica computazionale vengono utilizzate in numerosi settori dell’ingegneria per risolvere in modo efficiente i problemi di flusso e di termodinamica nei fluidi. Uno di questi settori in cui si è diffuso l’utilizzo delle tecniche CFD (Computational Fluid Dynamics) è il settore dell’ingegneria antincendio. Tra i vari software di simulazione presenti, FDS (Fire Dynamics Simulator) è quello più diffuso nella comunità antincendio e utilizzato all’interno della presente analisi. L’elaborato introduce le basi dell’ingegneria antincendio spiegando le varie fasi attraverso il quale passa la metodologia prestazionale, passando poi ad approfondire le dinamiche d’incendio, in particolare nelle gallerie stradali e le tecniche di modellazione termo fluidodinamica degli incendi. L’analisi tratta il confronto tra delle prove d’incendio in scala reale effettuate all’interno di una galleria e le relative simulazioni fluidodinamiche realizzate al fine di verificare la corrispondenza tra la modellazione con software e l’effettiva evoluzione dell’incendio. Nell’analisi verranno confrontati diversi metodi di modellazione, evidenziando i vantaggi e i limiti incontrati nel corso delle simulazioni, confrontandoli al tempo stesso con i risultati ottenuti dai test in scala reale. I modelli ottenuti hanno permesso di estendere le simulazioni a focolari di potenza maggiore al fine di effettuare un’analisi delle prestazioni antincendio della galleria oggetto di studio.

Intelligenza artificiale e test di Turing

Obiettivo di questo lavoro di tesi consiste nell’analizzare la domanda che il matematico e logico inglese Alan Turing propose di considerare: “Can machines think?”. Il quesito, esaminato attraverso la formulazione del gioco dell’imitazione e ormai ricordato come Test di Turing, è talmente interessante da essere divenuto uno degli argomenti più discussi nell’ambito delle scienze cognitive, della filosofia della mente e dell’informatica. In particolare è stata fondata una disciplina, chiamata intelligenza artificiale o IA, che intende studiare e comprendere se e come un sistema informatico possa essere capace di simulare una mente umana e un suo tipico comportamento. Questa tesi presenta una disamina sull’intelligenza artificiale e sul Test di Turing. Dell’IA si prenderanno in esame alcune definizioni formali della disciplina, le teorie di intelligenza artificiale debole e forte, e in particolare l’esperimento mentale della Stanza Cinese, il machine learning, il deep learning e le reti neurali, alcuni loro esempi di implementazione in diversi ambiti e infine alcune questioni etiche relative all’IA. Successivamente verranno esaminati la descrizione del gioco dell’imitazione, le più importanti critiche ed obiezioni al test di Turing, una variante del test, chiamata Test di Turing Totale, il premio Loebner, le previsioni fatte dal matematico e alcuni tentativi di superamento del test, tra cui l’implementazione dei chatterbot ELIZA, ALICE ed Eugene Goostman. Saranno infine proposte delle conclusioni in merito al lavoro svolto.

L'accuratezza diagnostica dei test clinici per la sindrome dello stretto toracico: una revisione sistematica della letteratura

Obiettivo: indagare l’accuratezza diagnostica dei principali test provocativi per la diagnosi di sindrome dello stretto toracico (TOS) neurogena. Metodi: tra Aprile e Settembre 2022 sono state condotte ricerche su 5 banche dati/motori di ricerca elettronici, utilizzando stringhe di ricerca costituite da parole chiave e termini MeSh (Medical Subject Headings). Sono stati inclusi tutti gli studi che indagassero l’accuratezza diagnostica dei test clinici. La valutazione metodologica degli studi è avvenuta attraverso lo strumento di critical appraisal CASP Checklist per gli studi diagnostici. È stata svolta una sintesi qualitativa degli studi considerati eleggibili. Risultati: sono stati identificati in totale 7784 studi, ma solo 12 sono stati inclusi nella revisione. Gli index test indagati erano diversi nei vari studi, così come i reference standard con cui venivano comparati (quando presenti). La qualità metodologica della maggior parte degli studi si è rivelata bassa. L’assenza di reporting standard crea un’eterogeneità tale non permettere la comparazione e la sintesi dei risultati con strumenti statistici. Gli studi sull’accuratezza diagnostica delle manovre provocative sono tra loro contrastanti in termini di risultati e non è possibile trarre conclusioni sicure. Nemmeno gli esami di imaging sembrano così utili per la diagnosi di TOS, ma devono essere utilizzati solo per escludere altre condizioni che possono mimare quadri di TOS neurogenico. Conclusione: la letteratura disponibile non sembra supportare l’utilizzo dei test clinici per la diagnosi di TOS. Al fine di migliorare la ricerca futura, dovrebbero essere introdotti criteri diagnostici univocamente accettati per aiutare nella diagnosi, oltre a ben definite linee guida per il reporting, al fine di creare omogeneità tra gli studi, come suggerito dal comitato della Società di Chirurgia Vascolare.

In Vitro And In Vivo Anti-angiogenic Effects Of Hydroxyurea.

Hydroxyurea (HU), or hydroxycarbamide, is used for the treatment of some myeloproliferative and neoplastic diseases, and is currently the only drug approved by the FDA for use in sickle cell disease (SCD). Despite the relative success of HU therapy for SCD, a genetic disorder of the hemoglobin β chain that results in red-cell sickling, hemolysis, vascular inflammation and recurrent vasoocclusion, the exact mechanisms by which HU actuates remain unclear. We hypothesized that HU may modulate endothelial angiogenic processes, with important consequences for vascular inflammation. The effects of HU (50-200 μM; 17-24 h) on endothelial cell functions associated with key steps of angiogenesis were evaluated using human umbilical vein endothelial cell (HUVEC) cultures. Expression profiles of the HIF1A gene and the miRNAs 221 and 222, involved in endothelial function, were also determined in HUVECs following HU administration and the direct in vivo antiangiogenic effects of HU were assessed using a mouse Matrigel-plug neovascularization assay. Following incubation with HU, HUVECs exhibited high cell viability, but displayed a significant 75% inhibition in the rate of capillary-like-structure formation, and significant decreases in proliferative and invasive capacities. Furthermore, HU significantly decreased HIF1A expression, and induced the expression of miRNA 221, while downregulating miRNA 222. In vivo, HU reduced vascular endothelial growth factor (VEGF)-induced vascular development in Matrigel implants over 7 days. Findings indicate that HU is able to inhibit vessel assembly, a crucial angiogenic process, both in vitro and in vivo, and suggest that some of HU's therapeutic effects may occur through novel vascular mechanisms.

What Is The Best Indication For Single-incision Ophira Mini Sling? Insights From A 2-year Follow-up International Multicentric Study.

The Ophira Mini Sling System involves anchoring a midurethral, low-tension tape to the obturator internus muscles bilaterally at the level of the tendinous arc. Success rates in different subsets of patients are still to be defined. This work aims to identify which factors influence the 2-year outcomes of this treatment. Analysis was based on data from a multicenter study. Endpoints for analysis included objective measurements: 1-h pad-weight (PWT), and cough stress test (CST), and questionnaires: International Consultation on Incontinence Questionnaire-Short Form (ICIQ-SF) and Urinary Distress Inventory (UDI)-6. A logistic regression analysis evaluated possible risk factors for failure. In all, 124 female patients with stress urinary incontinence (SUI) underwent treatment with the Ophira procedure. All patients completed 1 year of follow-up, and 95 complied with the 2-year evaluation. Longitudinal analysis showed no significant differences between results at 1 and 2 years. The 2-year overall objective results were 81 (85.3%) patients dry, six (6.3%) improved, and eight (8.4%) incontinent. A multivariate analysis revealed that previous anti-incontinence surgery was the only factor that significantly influenced surgical outcomes. Two years after treatment, women with previous failed surgeries had an odds ratio (OR) for treatment failure (based on PWT) of 4.0 [95% confidence interval (CI) 1.02-15.57). The Ophira procedure is an effective option for SUI treatment, with durable good results. Previous surgeries were identified as the only significant risk factor, though previously operated patients showed an acceptable success rate.

Newborn Hearing Screening And Early Diagnostic In The Nicu.

The aim was to describe the outcome of neonatal hearing screening (NHS) and audiological diagnosis in neonates in the NICU. The sample was divided into Group I: neonates who underwent NHS in one step and Group II: neonates who underwent a test and retest NHS. NHS procedure was automated auditory brainstem response. NHS was performed in 82.1% of surviving neonates. For GI, referral rate was 18.6% and false-positive was 62.2% (normal hearing in the diagnostic stage). In GII, with retest, referral rate dropped to 4.1% and false-positive to 12.5%. Sensorineural hearing loss was found in 13.2% of infants and conductive in 26.4% of cases. There was one case of auditory neuropathy spectrum (1.9%). Dropout rate in whole process was 21.7% for GI and 24.03% for GII. We concluded that it was not possible to perform universal NHS in the studied sample or, in many cases, to apply it within the first month of life. Retest reduced failure and false-positive rate and did not increase evasion, indicating that it is a recommendable step in NHS programs in the NICU. The incidence of hearing loss was 2.9%, considering sensorineural hearing loss (0.91%), conductive (1.83%) and auditory neuropathy spectrum (0.19%).

[adherence To Statin Treatment And Associated Factors In Female Users From The Unified Health System (sus)].

To identify the adherence rate of a statin treatment and possible related factors in female users from the Unified Health System. Seventy-one women were evaluated (64.2 ± 11.0 years) regarding the socio-economic level, comorbidities, current medications, level of physical activity, self-report of muscular pain, adherence to the medical prescription, body composition and biochemical profile. The data were analyzed as frequencies, Chi-Squared test, and Mann Whitney test (p<0.05). 15.5% of women did not adhere to the medical prescription for the statin treatment, whose had less comorbidities (p=0.01), consumed less quantities of medications (p=0.00), and tended to be younger (p=0.06). Those patients also presented higher values of lipid profile (CT: p=0.01; LDL-c: p=0.02). Musculoskeletal complains were not associated to the adherence rate to the medication. The associated factors to adherence of dyslipidemic women to statin medical prescription were age, quantity of comorbidities and quantity of current medication.