Some results on the design of field experiments for comparing unreplicated treatments

In early generation variety trials, large numbers of new breeders' lines need to be compared, and usually there is little seed available for each new line. A so-called unreplicated trial has each new line on just one plot at a site, but includes several (often around five) replicated check or control (or standard) varieties. The total proportion of check plots is usually between 10% and 20%. The aim of the trial is to choose some good performing lines (usually around 1/3 of those tested) to go on for further testing, rather than precise estimation of their mean yield. Now that spatial analyses of data from field experiments are becoming more common, there is interest in an efficient layout of an experiment given a proposed spatial analysis. Some possible design criteria are discussed, and efficient layouts under spatial dependence are considered.

Early stopping by using stochastic curtailment in a three-arm sequential trial

Summary. Interim analysis is important in a large clinical trial for ethical and cost considerations. Sometimes, an interim analysis needs to be performed at an earlier than planned time point. In that case, methods using stochastic curtailment are useful in examining the data for early stopping while controlling the inflation of type I and type II errors. We consider a three-arm randomized study of treatments to reduce perioperative blood loss following major surgery. Owing to slow accrual, an unplanned interim analysis was required by the study team to determine whether the study should be continued. We distinguish two different cases: when all treatments are under direct comparison and when one of the treatments is a control. We used simulations to study the operating characteristics of five different stochastic curtailment methods. We also considered the influence of timing of the interim analyses on the type I error and power of the test. We found that the type I error and power between the different methods can be quite different. The analysis for the perioperative blood loss trial was carried out at approximately a quarter of the planned sample size. We found that there is little evidence that the active treatments are better than a placebo and recommended closure of the trial.

Comparison of 3 accelerometer data reduction approaches, step counts, and 2 self-report measures for estimating physical activity in free-living adults

Background Accelerometers have become one of the most common methods of measuring physical activity (PA). Thus, validity of accelerometer data reduction approaches remains an important research area. Yet, few studies directly compare data reduction approaches and other PA measures in free-living samples. Objective To compare PA estimates provided by 3 accelerometer data reduction approaches, steps, and 2 self-reported estimates: Crouter's 2-regression model, Crouter's refined 2-regression model, the weighted cut-point method adopted in the National Health and Nutrition Examination Survey (NHANES; 2003-2004 and 2005-2006 cycles), steps, IPAQ, and 7-day PA recall. Methods A worksite sample (N = 87) completed online-surveys and wore ActiGraph GT1M accelerometers and pedometers (SW-200) during waking hours for 7 consecutive days. Daily time spent in sedentary, light, moderate, and vigorous intensity activity and percentage of participants meeting PA recommendations were calculated and compared. Results Crouter's 2-regression (161.8 +/- 52.3 minutes/day) and refined 2-regression (137.6 +/- 40.3 minutes/day) models provided significantly higher estimates of moderate and vigorous PA and proportions of those meeting PA recommendations (91% and 92%, respectively) as compared with the NHANES weighted cut-point method (39.5 +/- 20.2 minutes/day, 18%). Differences between other measures were also significant. Conclusions When comparing 3 accelerometer cut-point methods, steps, and self-report measures, estimates of PA participation vary substantially.

Predicting survival of western rock lobsters Panulirus cygnus using discriminant analysis of hemolymph parameters taken immediately following simulated handling treatments

Instances of morbidity amongst rock lobsters (Panulirus cygnus) arriving at factories in Western Australia (WA) have been attributed to stress during post-harvest handling. This study used discriminant analysis to determine whether physiological correlates of stress following a period of simulated post-harvest handling had any validity as predictors of future rejection or morbidity of western rock lobsters. Groups of 230 western rock lobsters were stored for 6 h in five environments (submerged/flowing sea water, submerged/re-circulating sea water, humid air, flowing sea water spray, and re-circulated sea water spray). The experiment was conducted in late spring (ambient sea water 22°C), and repeated again in early autumn (ambient sea water 26°C). After 6 h treatment, each lobster was graded for acceptability for live export, numbered, and its hemolymph was sampled. The samples were analysed for a number of physiological and health status parameters. The lobsters were then stored for a week in tanks in the live lobster factory to record mortality. The mortality of lobsters in the factory was associated with earlier deviations in hemolymph parameters as they emerged from the storage treatments. Discriminant analysis (DA) of the hemolymph assays enabled the fate of 80-90% of the lobsters to be correctly categorised within each experiment. However, functions derived from one experiment were less accurate at predicting mortality when applied to the other experiments. One of the reasons for this was the higher mortality and the more severe patho-physiological changes observed in lobsters stored in humid air or sprays at the higher temperature. The analysis identified lactate accumulation during emersion and associated physiological and hemocyte-related effects as a major correlate of mortality. Reducing these deviations, for example by submerged transport, is expected to ensure high levels of survival. None of the indicators tested predicted mortality with total accuracy. The simplest and most accurate means of comparing emersed treatments was to count the mortality afterwards.

Effects of 3-nitrooxypropanol on methane emission,digestion, and energy and nitrogen balance of lactating dairy cows

The objective was to measure effects of 3-nitrooxypropanol (3NP) on methane production of lactating dairy cows and any associated changes in digestion and energy and nitrogen metabolism. Six Holstein-Friesian dairy cows in mid-lactation were fed twice daily a total mixed ration with maize silage as the primary forage source. Cows received 1 of 3 treatments using an experimental design based on two 3 × 3 Latin squares with 5-wk periods. Treatments were a control placebo or 500 or 2,500 mg/d of 3NP delivered directly into the rumen, via the rumen fistula, in equal doses before each feeding. Measurements of methane production and energy and nitrogen balance were obtained during wk 5 of each period using respiration calorimeters and digestion trials. Measurements of rumen pH (48 h) and postprandial volatile fatty acid and ammonia concentrations were made at the end of wk 4. Daily methane production was reduced by 3NP, but the effects were not dose dependent (reductions of 6.6 and 9.8% for 500 and 2,500 mg/d, respectively). Dosing 3NP had a transitory inhibitory effect on methane production, which may have been due to the product leaving the rumen in liquid outflow or through absorption or metabolism. Changes in rumen concentrations of volatile fatty acids indicated that the pattern of rumen fermentation was affected by both doses of the product, with a decrease in acetate:propionate ratio observed, but that acetate production was inhibited by the higher dose. Dry matter, organic matter, acid detergent fiber, N, and energy digestibility were reduced at the higher dose of the product. The decrease in digestible energy supply was not completely countered by the decrease in methane excretion such that metabolizable energy supply, metabolizable energy concentration of the diet, and net energy balance (milk plus tissue energy) were reduced by the highest dose of 3NP. Similarly, the decrease in nitrogen digestibility at the higher dose of the product was associated with a decrease in body nitrogen balance that was not observed for the lower dose. Milk yield and milk fat concentration and fatty acid composition were not affected but milk protein concentration was greater for the higher dose of 3NP. Twice-daily rumen dosing of 3NP reduced methane production by lactating dairy cows, but the dose of 2,500 mg/d reduced rumen acetate concentration, diet digestibility, and energy supply. Further research is warranted to determine the optimal dose and delivery method of the product. Key words: 3-nitrooxypropanol, methane, digestion, rumen, dairy cow

Pharmacological interventions for self-harm in adults

Background
Self-harm (SH; intentional self-poisoning or self-injury) is common, often repeated, and strongly associated with suicide. This is an update of a broader Cochrane review on psychosocial and pharmacological treatments for deliberate SH, first published in 1998 and previously updated in 1999. We have now divided the review in to three separate reviews. This review is focused on pharmacological interventions in adults who self harm.
Objectives
To identify all randomised controlled trials of pharmacological agents or natural products for SH in adults, and to conduct meta-analyses (where possible) to compare the effects of specific treatments with comparison types of treatment (e.g., placebo/alternative pharmacological treatment) for SH patients.
Search methods
For this update the Cochrane Depression, Anxiety and Neurosis Review Group (CCDAN) Trials Search Co-ordinator searched the CCDAN Specialised Register (September 2014). Additional searches of MEDLINE, EMBASE, PsycINFO, and CENTRAL were conducted to October 2013.
Selection criteria
We included randomised controlled trials comparing pharmacological treatments or natural products with placebo/alternative pharmacological treatment in individuals with a recent (within six months) episode of SH resulting in presentation to clinical services.
Data collection and analysis
We independently selected trials, extracted data, and appraised trial quality. For binary outcomes, we calculated odds ratios (ORs) and their 95% confidence intervals (CIs). For continuous outcomes we calculated the mean difference (MD) and 95% CI. Meta-analysis was only possible for one intervention (i.e. newer generation antidepressants) on repetition of SH at last follow-up. For this analysis, we pooled data using a random-effects model. The overall quality of evidence for the primary outcome was appraised for each intervention using the GRADE approach.
Main results
We included seven trials with a total of 546 patients. The largest trial included 167 participants. We found no significant treatment effect on repetition of SH for newer generation antidepressants (n = 243; k = 3; OR 0.76, 95% CI 0.42 to 1.36; GRADE: low quality of evidence), low-dose fluphenazine (n = 53; k = 1; OR 1.51, 95% CI 0. 50 to 4.58; GRADE: very low quality of evidence), mood stabilisers (n = 167; k = 1; OR 0.99, 95% CI 0.33 to 2.95; GRADE: low quality of evidence), or natural products (n = 49; k = 1; OR 1.33, 95% CI 0.38 to 4.62; GRADE: low quality of evidence). A significant reduction in SH repetition was found in a single trial of the antipsychotic flupenthixol (n = 30; k = 1; OR 0.09, 95% CI 0.02 to 0.50), although the quality of evidence for this trial, according to the GRADE criteria, was very low. No data on adverse effects, other than the planned outcomes relating to suicidal behaviour, were reported.
Authors’ conclusions
Given the low or very low quality of the available evidence, and the small number of trials identified, it is not possible to make firm conclusions regarding pharmacological interventions in SH patients. More and larger trials of pharmacotherapy are required. In view of an indication of positive benefit for flupenthixol in an early small trial of low quality, these might include evaluation of newer atypical antipsychotics. Further work should include evaluation of adverse effects of pharmacological agents. Other research could include evaluation of combined pharmacotherapy and psychological treatment.

Efeito da solarização e do brometo de metila sobre a comunidade de fungos do solo

A microbiota do solo é de grande importância no desenvolvimento de culturas. Os métodos de controle, químico (brometo de metila) e físico (solarização), alteram essa microbiota. O presente trabalho objetivou estudar o comportamento da comunidade de fungos em solo solarizado e fumigado (brometo de metila). O delineamento experimental foi de blocos ao acaso, com três tratamentos (solarização, brometo de metila e testemunha) e sete repetições. A comunidade de fungos do solo foi avaliada de forma quantitativa e qualitativa, em três momentos (antes, durante e após a solarização) com amostras coletadas de três profundidades (0-5; 10-15 e 20-25 cm). Durante a solarização ocorreu uma redução na comunidade de fungos do solo, em termos quantitativos, em todas as camadas amostradas. No entanto, essa diminuição foi mais significativa na camada superficial (0-5cm). em termos qualitativos, a solarização reduziu também o número de diferentes espécies de fungos do solo, mas na camada de 20-25 cm, essa diminuição foi a zero aos 56 dias de avaliação. A recolonização da microbiota do solo, em termos quantitativos, foi maior no tratamento com brometo de metila do que nos demais. Entretanto, esse aumento não foi o mesmo em termos qualitativos. Nos tratamentos solarizado e testemunha, o aumento na comunidade de fungos do solo foi acompanhado pela diversificação de espécies fúngicas.

Efeitos da toxina botulínica do tipo A isolada ou em associação com a finasterida sobre a próstata do cão e rato Sprague-Dawley

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

Potential quimioprotetor do DIM (3, 3' - Di-indolil-metano) e da Genisteína em linhagens de células tumorais prostáticas humanas LNCaP e PC-3 expostas ao Bisfenol A

Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)

Adição de plasma bovino em salmouras para injeção de coxão duro bovino (m. Biceps femoris) e seus efeitos no pH e na carga microbiana de bifes cozidos embalados à vácuo e mantidos sob refrigeração

The physical (pH) and microbiological (psychotrofi c microorganisms and lactic bacteria) characteristics of beef outside round (m. Biceps femoris) injected (15%) with brines free of polyphosphates containing and sodium lactate or sodium lactate and sodium diacetate and liquid bovine plasma (PLL and PLO) or dehydrated bovine plasma (PDL, PDO) were evaluated along with beef cuts injected with brines free from plasma, but containing polyphosphates and bacteriostatic agents (CL and CO) and non injected beef cuts (IN), comprising seven treatments of cooked and vacuum packaged beef steaks stored under refrigeration (6ºC) during 43 days. No differences in pH were detected among raw or cooked injected treatments, although IN showed lower pH value in raw beef cuts. The addition of liquid or dehydrated bovine plasma did not affect the microbial load after whole muscles pasteurization, but increased the bacterial counts in cooked beef steaks during refrigerated storage, comparing to treatments with no plasma addition (CL and CO). The storage temperature (6ºC), usually found during commercialization of meat increased the microorganisms growth rate affecting the microbiological quality, especially when plasma was added to the brine.

Reação de maracujazeiro amarelo a Meloidogyne Incognita Raça 3

This study concerned the reaction of yellow passion fruit ‘Maguary’ and ‘Afruvec’ to the phytonematode Meloidogyne incognita race 3 in greenhouse conditions. An entirely randomized experimental design with 3 treatments (‘Maguary’, ‘Afruvec’, and tomato cv. ‘Rutgers’) and 4 repetitions was used, each plot consisting of 1 vase containing 1 plant. After 6 months, an evaluation was made of the index of galls and egg mass in the yellow passion fruit varieties and in the tomato cv. ‘Rutgers’. The classification of resistance to the phytonematode was made by criterion of the reproduction factor (RF). ‘Maguary’ presented a zero index of galls and egg mass, while ‘Afruvec’ showed a low index of galls and egg mass in relation to the tomato cv. Rutgers. According to the RF, ‘Maguary’ was characterized as immune to the phytonematode, while ‘Afruvec’ was resistant, and the tomato cv. ‘Rutgers’ was susceptible.

Análisis de la influencia de distintos diseños de paraguas de micropilotes, pantalla de micropilotes, paraguas de jet grouting y pantallas de jet grouting en los asientos en superficie durante la ejecución de túneles perforados superficialmente

Ya en el informe acerca del estado de la tecnología en la excavación profunda y en la construcción de túneles en terreno duro presentado en la 7ª Conferencia en Mecánica de Suelos e Ingeniería de la Cimentación, Peck (1969) introdujo los tres temas a ser tenidos en cuenta para el diseño de túneles en terrenos blandos: o Estabilidad de la cavidad durante la construcción, con particular atención a la estabilidad del frente del túnel; o Evaluación de los movimientos del terreno inducidos por la construcción del túnel y de la incidencia de los trabajos subterráneos a poca profundidad sobre los asentamientos en superficie; o Diseño del sistema de sostenimiento del túnel a instalar para asegurar la estabilidad de la estructura a corto y largo plazo. Esta Tesis se centra en los problemas señalados en el segundo de los puntos, analizando distintas soluciones habitualmente proyectadas para reducir los movimientos inducidos por la excavación de los túneles. El objeto de la Tesis es el análisis de la influencia de distintos diseños de paraguas de micropilotes, pantalla de micropilotes, paraguas de jet grouting y pantallas de jet grouting en los asientos en superficie durante la ejecución de túneles ejecutados a poca profundidad, con objeto de buscar el diseño que optimice los medios empleados para una determinada reducción de asientos. Para ello se establecen unas premisas para los proyectistas con objeto de conocer a priori cuales son los tratamientos más eficientes (de los propuestos en la Tesis) para la reducción de asientos en superficie cuando se ha de proyectar un túnel, de tal manera que pueda tener datos cualitativos y algunos cuantitativos sobre los diseños más óptimos, utilizando para ello un programa de elementos finitos de última generación que permite realizara la simulación tensodeformación del terreno mediante el modelo de suelo con endurecimiento (Hardening Soil Small model), que es una variante elastoplástica del modelo hiperbólico, similar al Hardening Soil Model. Además, este modelo incorpora una relación entre deformación y el modulo de rigidez, simulando el diferente comportamiento del suelo para pequeñas deformaciones (por ejemplo vibraciones con deformaciones por debajo de 10-5 y grandes deformaciones (deformaciones > 10-3). Para la realización de la Tesis se han elegido cinco secciones de túnel, dos correspondiente a secciones tipo de túnel ejecutado con tuneladora y tres secciones ejecutados mediante convencionales (dos correspondientes a secciones que han utilizado el método Belga y una que ha utilizado el NATM). Para conseguir los objetivos marcados, primeramente se ha analizado mediante una correlación entre modelos tridimensionales y bidimensionales el valor de relajación usado en estos últimos, y ver su variación al cambio de parámetros como la sección del túnel, la cobertera, el procedimiento constructivo, longitud de pase (métodos convencionales) o presión del frente (tuneladora) y las características geotécnicas de los materiales donde se ejecuta el túnel. Posteriormente se ha analizado que diseño de pantalla de protección tiene mejor eficacia respecto a la reducción de asientos, variando distintos parámetros de las características de la misma, como son el empotramiento, el tipo de micropilotes o pilote, la influencia del arriostramiento de las pantallas de protección en cabeza, la inclinación de la pantalla, la separación de la pantalla al eje del túnel y la disposición en doble fila de la pantalla de pantalla proyectada. Para finalizar el estudio de la efectividad de pantalla de protección para la reducción de asiento, se estudiará la influencia de la sobrecarga cercanas (simulación de edificios) tiene en la efectividad de la pantalla proyectada (desde el punto de vista de reducción de movimientos en superficie). Con objeto de poder comparar la efectividad de la pantalla de micropilotes respecto a la ejecución de un paraguas de micropilotes se ha analizado distintos diseños de paraguas, comparando el movimiento obtenido con el obtenido para el caso de pantalla de micropilotes, comparando ambos resultados con los medidos en obras ya ejecutadas. En otro apartado se ha realizado una comparación entre tratamientos similar, comparándolos en este caso con un paraguas de jet grouting y pantallas de jet grouting. Los resultados obtenidos se han con valores de asientos medidos en distintas obras ya ejecutadas y cuyas secciones se corresponden a los empleados en los modelos numéricos. Since the report on the state of technology in deep excavation and tunnelling in hard ground presented at the 7th Conference on Soil Mechanics and Foundation Engineering, Peck (1969) introduced the three issues to be taken into account for the design of tunnels in soft ground: o Cavity Stability during construction, with particular attention to the stability of the tunnel face; o Evaluation of ground movements induced by tunnelling and the effect of shallow underground workings on surface settlement; o Design of the tunnel support system to be installed to ensure short and long term stability of the structure. This thesis focuses on the issues identified in the second point, usually analysing different solutions designed to reduce the movements induced by tunnelling. The aim of the thesis is to analyse the influence of different micropile forepole umbrellas, micropile walls, jet grouting umbrellas and jet grouting wall designs on surface settlements during near surface tunnelling in order to use the most optimal technique to achieve a determined reduction in settlement. This will establish some criteria for designers to know a priori which methods are most effective (of those proposed in the thesis) to reduce surface settlements in tunnel design, so that it is possible to have qualitative and some quantitative data on the optimal designs, using the latest finite element modelling software that allows simulation of the ground’s infinitesimal strain behaviour using the Hardening Soil Small Model, which is a variation on the elasto-plastic hyperbolic model, similar to Hardening Soil model. In addition, this model incorporates a relationship between strain and the rigidity modulus, simulating different soil behaviour for small deformations (eg deformation vibrations below 10-5 and large deformations (deformations > 10-3). For the purpose of this thesis five tunnel sections have been chosen, two sections corresponding to TBM tunnels and three sections undertaken by conventional means (two sections corresponding to the Belgian method and one corresponding to the NATM). To achieve the objectives outlined, a correlation analysis of the relaxation values used in the 2D and 3D models was undertaken to verify them against parameters such as the tunnel cross-section, the depth of the tunnel, the construction method, the length of step (conventional method) or face pressure (TBM) and the geotechnical characteristics of the ground where the tunnel is constructed. Following this, the diaphragm wall design with the greatest efficiency regarding settlement reduction was analysed, varying parameters such as the toe depth, type of micropiles or piles, the influence of bracing of the head protection diaphragm walls, the inclination of the diaphragm wall, the separation between the diaphragm wall and the tunnel axis and the double diaphragm wall design arrangement. In order to complete the study into the effectiveness of protective diaphragm walls ofn the reduction of settlements, the influence of nearby imposed loads (simulating buildings) on the effectiveness of the designed diaphragm walls (from the point of view of reducing surface movements) will be studied. In order to compare the effectiveness of micropile diaphragm walls regarding the installation of micropile forepole umbrellas, different designs of these forepole umbrellas have been analysed comparing the movement obtained with that obtained for micropiled diaphragm walls, comparing both results with those measured from similar completed projects. In another section, a comparison between similar treatments has been completed, comparing the treatments with a forepole umbrella by jet grouting and jet grouting walls. The results obtained compared with settlement values measured in various projects already completed and whose sections correspond to those used in the numerical models.

Mobile case-based decision support for intelligent patient knowledge management

Hospitals everywhere are integrating health data using electronic health record (EHR) systems, and disparate and multimedia patient data can be input by different caregivers at different locations as encapsulated patient profiles. Healthcare institutions are also using the flexibility and speed of wireless computing to improve quality and reduce costs. We are developing a mobile application that allows doctors to efficiently record and access complete and accurate real-time patient information. The system integrates medical imagery with textual patient profiles as well as expert interactions by healthcare personnel using knowledge management and case-based reasoning techniques. The application can assist other caregivers in searching large repositories of previous patient cases. Patients' symptoms can be input to a portable device and the application can quickly retrieve similar profiles which can be used to support effective diagnoses and prognoses by comparing symptoms, treatments, diagnosis, test results and other patient information. © 2007 Sage Publications.

Randomized trial of effect of bifocal and prismatic bifocal spectacles on myopic progression

Objective: To determine whether bifocal and prismatic bifocal spectacles could control myopia in children with high rates of myopic progression. ---------- Methods: This was a randomized controlled clinical trial. One hundred thirty-five (73 girls and 62 boys) myopic Chinese Canadian children (myopia of 1.00 diopters [D]) with myopic progression of at least 0.50 D in the preceding year were randomly assigned to 1 of 3 treatments: (1) single-vision lenses (n = 41), (2) +1.50-D executive bifocals (n = 48), or (3) +1.50-D executive bifocals with a 3–prism diopters base-in prism in the near segment of each lens (n = 46). ---------- Main Outcome Measures: Myopic progression measured by an automated refractor under cycloplegia and increase in axial length (secondary) measured by ultrasonography at 6-month intervals for 24 months. Only the data of the right eye were used. ---------- Results: Of the 135 children (mean age, 10.29 years [SE, 0.15 years]; mean visual acuity, –3.08 D [SE, 0.10 D]), 131 (97%) completed the trial after 24 months. Myopic progression averaged –1.55 D (SE, 0.12 D) for those who wore single-vision lenses, –0.96 D (SE, 0.09 D) for those who wore bifocals, and –0.70 D (SE, 0.10 D) for those who wore prismatic bifocals. Axial length increased an average of 0.62 mm (SE, 0.04 mm), 0.41 mm (SE, 0.04 mm), and 0.41 mm (SE, 0.05 mm), respectively. The treatment effect of bifocals (0.59 D) and prismatic bifocals (0.85 D) was significant (P < .001) and both bifocal groups had less axial elongation (0.21 mm) than the single-vision lens group (P < .001). ---------- Conclusions: Bifocal lenses can moderately slow myopic progression in children with high rates of progression after 24 months.

Improving cyclodiode - a risk factor analysis of complications

PURPOSE: The purpose of this study is to identify risk factors for developing complications following treatment of refractory glaucoma with transscleral diode laser cyclophotocoagulation (cyclodiode), to improve the safety profile of this treatment modality. METHOD: A retrospective analysis of 72 eyes from 70 patients who were treated with cyclodiode. RESULTS: The mean pre-treatment IOP was 37.0 mmHg (SD 11.0), with a mean post-treatment reduction in intraocular pressure (IOP) of 19.8 mmHg, and a mean IOP at last follow-up of 17.1 mmHg (SD 9.7). Mean total power delivered during treatment was 156.8 Joules (SD 82.7) over a mean of 1.3 treatments (SD 0.6). Sixteen eyes (22.2% of patients) developed complications from the treatment, with the most common being hypotony, occurring in 6 patients, including 4 with neovascular glaucoma. A higher pre-treatment IOP and higher mean total power delivery also were associated with higher complications. CONCLUSIONS: Cyclodiode is an effective treatment option for glaucoma that is refractory to other treatment options. By identifying risk factors for potential complications, cyclodiode can be modified accordingly for each patient to improve safety and efficacy.