PURPOSE: To explore methods to assess standardized patient (SP) performance over time so as to sustain objective performance in a high-stakes clinical skills examination and to inform quality assurance. METHOD: The authors selected data from the United States Medical Licensing Examination-Step 2 Clinical Skills to assess the relative usefulness of ...

In the climate system, two types of radiative feedback are in operation. The feedback of the first kind involves the radiative damping of the vertically uniform temperature perturbation of the troposphere and Earth's surface that approximately follows the Stefan-Boltzmann law of blackbody radiation. The second kind involves the change in ...

OBJECTIVES: Experiential knowledge of elite athletes and coaches was investigated to reveal insights on expertise acquisition in cricket fast bowling. DESIGN: Twenty-one past or present elite cricket fast bowlers and coaches of national or international level were interviewed using an in-depth, open-ended, semi-structured approach. METHODS: Participants were asked about specific ...

OBJECTIVE.: The present study attempts to fill a research gap by performing the first dimensionality analysis of the Revised Fibromyalgia Impact Questionnaire (FIQR) using exploratory and confirmatory techniques. A second objective is to report on the reliability and construct validity of the FIQR in Spanish patients. METHODS.: FIQR data from ...

Animal models have been used for decades in the Alzheimer's disease (AD) research field and have been crucial for the advancement of our understanding of the disease. Most models are based on familial AD mutations of genes involved in the amyloidogenic process, such as the amyloid precursor protein (APP) and ...

Throughout history, the population size of modern humans has varied considerably due to changes in environment, culture, and technology. More accurate estimates of population size changes, and when they occurred, should provide a clearer picture of human colonization history and help remove confounding effects from natural selection inference. Demography influences ...

OBJECTIVE: To determine the content, structural, and construct validity of the Dutch version of the Neck Disability Index (NDI). STUDY DESIGN AND SETTING: To assess content validity, 11 neck pain experts and 10 patients commented on the construct, comprehensiveness, and relevance of the NDI. Structural validity was assessed by item ...

On June 4 and 17, 2011, separate oil spill accidents occurred at two oil platforms in the Bohai Sea, China. The oil spills were subsequently observed on different types of satellite images including SAR (Synthetic Aperture Radar), Chinese HJ-1-B CCD and NASA MODIS. To illustrate the fate of the oil ...

Gentiana straminea is the famous Tibetan folk medicine thought to cure various diseases. Historically, the Qinghai-Tibetan region has been considered as the geo-authentic production area of "Mahua Jiao," where large quantities of the medicine are grown. However, there is still little known about the phytochemical constituent spatial variation of this ...

Racial distinctions in the United States have long been characterized as uniquely rigid and governed by strict rules of descent, particularly along the black-white boundary. This is often contrasted with countries, such as Brazil, that recognize "mixed" or intermediate racial categories and allow for more fluidity or ambiguity in racial ...

The invasion of pest insects often changes or destroys a native ecosystem, and can result in food shortages and disease endemics. Issues such as the environmental effects of chemical control methods, the economic burden of maintaining control strategies and the risk of pest resistance still remain, and mosquito-borne diseases such ...

In this article a review on the recent applications of multivariate techniques for optimization of electromigration methods, is presented. Papers published in the period from August 2007 to February 2013, have been taken into consideration. Upon a brief description of each of the involved CE operative modes, the characteristics of ...

In ecotoxicity assessment, the ambient exposure concentration is typically applied to quantify the toxic potential of xenobiotic substances. However, exposure and organism-related differences in bioconcentration often cause a considerable variability of toxicity data. This can be minimized by using the internal organism concentration, because toxicokinetic modifying factors are considered implicitly. ...

Aims: To describe the development of a deprivation index for Danish parishes and to investigate its association with all-cause mortality compared with the Townsend index and individual-level factors. Methods: Nine socioeconomic factors were aggregated to the parish level from individual-level register data comprising the entire Danish population in 2005. A ...

MOTIVATION: Approaches for testing sets of variants, such as a set of rare or common variants within a gene or pathway, for association with complex traits are important. In particular, set tests allow for aggregation of weak signal within a set, can capture interplay among variants, and reduce the burden ...

MOTIVATION: Genetic variants identified by genome-wide association studies to date explain only a small fraction of total heritability. Gene-by-gene interaction is one important potential source of unexplained total heritability. We propose a novel approach to detect such interactions that uses penalized regression and sparse estimation principles, and incorporates outside biological ...

BACKGROUND: Perceived incongruity between the individual and the job on work-life areas such as workload, control, reward, fairness, community and values have implications for the dimensions of burnout syndrome. The "Areas of Work-life Scale" (AWS) is a practical instrument to measure employees perceptions of their work environments.AIMS: Validate a Spanish ...

Intersex is defined as the simultaneous presence of male and female gonadal tissue in a gonochoristic (fixed-sex) species. The intersex condition has been documented in both wild and laboratory animals, including fish, amphibians, and reptiles. In aquatic animals, intersex is often viewed as a signature effect of exposure to endocrine ...

Longevity is an economically important trait of dairy cattle for increasing the profitability of dairy management. The reasons for culling can be either voluntary (primarily productivity) or involuntary (primarily health and fertility). Longevity characteristics include: (i) true longevity (all culling reasons, including productivity); and (ii) functional longevity (all culling reasons, ...

Systematic investigations into the structure of measurement error of physical activity questionnaires are lacking. We propose a measurement error model for a physical activity questionnaire that uses physical activity level (the ratio of total energy expenditure to basal energy expenditure) to relate questionnaire-based reports of physical activity level to true ...

• Premise of the study: This study elucidates the phylogenetic position of a unique taxon of Graphidaceae occurring on rock in coastal desert areas, assessing its importance for our understanding of the evolution of the largest family of tropical lichenized fungi.• Methods: We used maximum likelihood and Bayesian approaches to ...

Coronaviruses are found in a diverse array of bat and bird species, which are believed to act as natural hosts. Molecular clock dating analyses of coronaviruses suggest that the most recent common ancestor for these viruses existed around 10,000 years ago. This relatively young age is in sharp contrast with ...

Haemoglobin C (HbC) is one of the commonest structural haemoglobin variants in human populations. Although HbC causes mild clinical complications, its diagnosis and genetic counselling are important to prevent inheritance with other haemoglobinopathies. Little is known about its contemporary distribution and the number of newborns affected. We assembled a global ...

We consider a simple computational model of the evolution of a quantitative trait and its phenotypic plasticity based on directional and positive frequency-dependent selection in order to explore whether and how leaning might facilitate evolution under the dynamics that arise from communicative interactions among individuals. In the model, each individual ...

BACKGROUND: The past century has seen a significant contraction in the global extent of malaria transmission, resulting in over 50 countries being declared malaria free, and many regions of currently endemic countries eliminating the disease. Moreover, substantial reductions in transmission have been seen since 1900 in those areas that remain ...

BACKGROUND: The Assessment of Quality of Life - 6D scale (AQoL-6D) is a self-report instrument designed to provide a sensitive multidimensional evaluation of health related quality of life. The current paper assesses the construct, concurrent and convergent validity of the AQoL-6D in a combined longitudinal population sample drawn from across ...

In this paper we propose a new method to analyze time-to-event data in longitudinal genetic studies. This method address the fundamental problem of incorporating uncertainty when analyzing survival data and imputed single-nucleotide polymorphisms (SNPs) from genome-wide association studies (GWAS). Our method incorporates uncertainty in the likelihood function, the opposite of ...

The physiologic status of an individual may influence biomarkers of nutritional status. To help researchers with planning studies and interpreting data, we assessed the associations between common physiologic variables (fasting, inflammation, renal function, and pregnancy) and 29 biomarkers of diet and nutrition measured in blood or urine in a representative ...

Mindfulness-based interventions are increasingly being used in various populations to improve well-being and reduce psychological afflictions. However, there is lack of a validated mindfulness measurement in the Chinese language. This study validated the Chinese version of the Five Facet Mindfulness Questionnaire (FFMQ-C) in both a community sample of 230 adults ...

RATIONALE AND OBJECTIVES: Studies evaluating a new diagnostic imaging test may select control subjects without disease who are similar to case subjects with disease in regard to factors potentially related to the imaging result. Selecting one or more controls that are matched to each case on factors such as age, ...

Background: A combined quantitative and qualitative socio-technical approach is applied in two evaluation studies of electronic patient records (EPR). In these studies the focus was on factors influencing the adoption of the EPR by care providers. Objective: The research approach is based on the USE IT-model. In addition to the ...

This paper discusses statistical methods for estimating complex correlation structure from large pharmacogenomic datasets. We selectively review several prominent statistical methods for estimating large covariance matrix for understanding correlation structure, inverse covariance matrix for network modeling, large-scale simultaneous tests for selecting significantly differently expressed genes and proteins and genetic markers ...

In many studies we wish to assess how a range of variables are associated with a particular outcome and also determine the strength of such relationships so that we can begin to understand how these factors relate to each other at a population level. Ultimately, we may also be interested ...

Background Non-negative matrix factorization (NMF) has been introduced as an important method for mining biological data. Though there currently exists packages implemented in R and other programming languages, they either provide only a few optimization algorithms or focus on a specific application field. There does not exist a complete NMF ...

BACKGROUND: Electroencephalogram (EEG) can predict mortality in status epilepticus (SE) patients. However, we consider that the prediction for refractory status epilepticus (RSE) after SE initial treatment is more significant than long-term prognosis of SE. The objective of this study is to detect some predictive EEG patterns for RSE. METHODS: Pooled ...

BACKGROUND: Confirmed H1N1 cases during late spring and summer 2009 in various countries showed a substantial age shift between importations and local transmission cases, with adults mainly responsible for seeding unaffected regions and children most frequently driving community outbreaks. METHODS: We introduce a multi-host stochastic metapopulation model with two age ...

Abstract Among-individual heterogeneity in growth is a commonly observed phenomenon that has clear consequences for population and community dynamics yet has proved difficult to quantify in practice. In particular, observed among-individual variation in growth can be difficult to link to any given mechanism. Here, we develop a Bayesian state-space framework ...

Replacement of the average numerator relationship matrix derived from the pedigree with the realized genomic relationship matrix based on DNA markers might be an attractive strategy in forest tree breeding for predictions of genetic merit. We used genotypes from 3,461 single-nucleotide polymorphism loci to estimate genomic relationships for a population ...

The only currently unresolved portion of the backbone phylogeny of the vertebrates involves the relationships among coelacanths, lungfishes, and tetrapods. Despite active research on this question over the past three decades, it is still difficult to determine statistically whether lungfishes alone or both lungfishes and coelacanths together are closely related ...

Multilevel growth analysis was used to establish the shape of change (mean growth trajectory) for youth- and therapist-rated alliance in cognitive behavioral therapy (CBT) for anxious youth and to identify between-youth predictors of alliance trajectory. Youth (N = 69; ages 7-17; 52.2% female) and their parents participated in an empirically supported CBT ...

Using a nationally representative survey of 263 farm operators in Ireland, this study develops a typology of private forest landowners' objectives for forest ownership. It is important to understand farmers' forest ownership objectives as this will enhance economic analysis in general, but also to formulate more effective policies that take ...

Angiogenesis is a key component of bone formation. Delivery of growth factors for both angiogenesis and osteogenesis is about to gain important potential as a future therapeutic tool. This review focuses on these growth factors that have dual functions in angiogenesis and osteogenesis, and their localized application. A major hurdle ...

BACKGROUND: Maple syrup has market high-value. It is produced in North East America from the heat evaporated sap of Acer saccharum. For marketing purposes, there is interest in defining its flavor profile in a consistent and repeatable manner. An experiment was undertaken to explore the potential of autofluorescence of maple ...

Reconstructing species trees for clades containing weakly delimited or incorrectly identified taxa is one of the most serious challenges facing systematists because building phylogenetic trees is generally predicated on correctly identifying species membership for the terminals in an analysis. A common practice, particularly in large-scale phylogenetic analyses, is to use ...

The analysis of genome-wide genetic association studies generally starts with univariate statistical tests of each single-nucleotide polymorphism. The standard approach is the Cochran-Armitage trend test or its logistic regression equivalent although this approach can lose considerable power if the underlying genetic model is not additive. An alternative is the MAX ...

Microorganisms play key roles in biogeochemical and nutrient cycling in all ecosystems on Earth, yet little is known about the processes controlling their biogeographic distributions. Here we report an investigation of magnetotactic bacteria (MTB) designed to evaluate the roles of niche-based process and spatial process in explaining variation in bacterial ...

SUMMARY Seroprevalence data illustrate that human exposure to Toxocara is frequent. Environmental contamination with Toxocara spp. eggs is assumed to be the best indicator of human exposure, but increased risk of exposure has also been associated with many other factors. Reported associations are inconsistent, however, and there is still ambiguity ...

Fire management requires an understanding of the spatial characteristics of fire ignition patterns and how anthropogenic and natural factors influence ignition patterns across space. In this study we take advantage of a recent fire ignition database (855 points) to conduct a comprehensive analysis of the spatial pattern of fire ignitions ...

The purpose of this study was to explore religious coping methods employed by Taiwanese folk religious believers. This study applied qualitative research methods in data collection and data analysis by conducting semi-structured interviews with participants and analyzing the interview contents. We have identified fourteen coping methods that can be categorized ...

The main objective of this study was to evaluate the potential of a sesame panel for association analysis, and investigate the genetic basis of oil content (OC), protein content (PC), oleic acid concentration (OAC) and linoleic acid concentration (LAC) using association mapping. A panel of 216 sesame accessions was phenotyped ...