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1.
J Res Adolesc ; 33(1): 318-343, 2023 03.
Artigo em Inglês | MEDLINE | ID: mdl-34889482

RESUMO

Epidemic Models of the Onset of Social Activities (EMOSA) describe behaviors that spread through social networks. Two social influence methods are represented, social contagion (one-to-one spread) and general diffusion (spread through cultural channels). Past models explain problem behaviors-smoking, drinking, sexuality, and delinquency. We provide review, and a tutorial (including examples). Following, we present new EMOSA models explaining changes in adolescent and young adult religious participation. We fit the model to 10 years of data from the 1997 U.S. National Longitudinal Survey of Youth. Innovations include a three-stage bi-directional model, Bayesian Markov Chain Monte Carlo (MCMC) estimation, graphical innovations, and empirical validation. General diffusion dominated rapid reduction in church attendance during adolescence; both diffusion and social contagion explained church attendance stability in early adulthood.


Assuntos
Comportamento Sexual , Comportamento Social , Adulto Jovem , Humanos , Adolescente , Adulto , Teorema de Bayes , Fumar , Estudos Longitudinais
2.
J Contemp Dent Pract ; 24(10): 725-728, 2023 Oct 01.
Artigo em Inglês | MEDLINE | ID: mdl-38152902

RESUMO

AIM: The purpose of this study was to evaluate the bond strength and fracture mode of universal resin cement to dentin compared to self-adhesive and adhesive resin cement with and without an adhesive bonding agent. MATERIALS AND METHODS: Seventy-two molar teeth were sectioned to expose coronal dentin, divided into three groups, and assigned to RelyX Universal (universal), RelyX Ultimate (adhesive), or RelyX Unicem 2 (self-adhesive) cements from 3M. The 3 groups were further subdivided into 2 subgroups of 12 specimens each, with or without the use of an adhesive bonding agent. Lithium-disilicate discs were bonded to the dentin surface using the cements, stored for 24 hours in distilled water, and subjected to 2,000 thermocycles before shear bond strength testing and fracture mode analysis. RESULTS: Significant differences in bond strength and fracture mode were found between groups based on cement or the use of a bonding agent. Both the universal and adhesive cements had significantly greater bond strengths to dentin with the use of a bonding agent versus no bonding agent. With the self-adhesive cement, there was no significant increase in bond strength to dentin with the use of a bonding agent. CONCLUSION: The novel universal resin cement had similar bond strengths to dentin as the adhesive cement with the use of a bonding agent, and similar bond strengths as the self-adhesive cement without the use of a bonding agent. The adhesively bonded universal cement had the greatest percentage of mixed and cohesive fractures. CLINICAL SIGNIFICANCE: When greater adhesion is needed clinically, the novel universal resin cement may be used with an adhesive bonding agent. However, when less adhesion is needed, it could be used without a bonding agent in self-adhesive mode.


Assuntos
Colagem Dentária , Cimentos de Resina , Cimentos de Resina/química , Cimentos Dentários/química , Cimentos de Ionômeros de Vidro/química , Dentina , Teste de Materiais , Análise do Estresse Dentário , Adesivos Dentinários/química , Propriedades de Superfície , Resistência ao Cisalhamento
3.
Malar J ; 21(1): 391, 2022 Dec 22.
Artigo em Inglês | MEDLINE | ID: mdl-36550507

RESUMO

BACKGROUND: Due to relatively low malaria parasitaemia in pregnancy, an appropriate field test that can adequately detect infections in pregnant women presenting with illness or for malaria screening during antenatal care is crucially important. The objective was to evaluate the diagnostic accuracy of loop-mediated isothermal amplification (LAMP) for the detection of uncomplicated malaria in pregnancy. METHODS: This was a meta-analysis of diagnostic accuracy. Relevant studies that assessed the diagnostic performance of LAMP for the detection of malaria in pregnancy were searched in health-related electronic databases including PubMed, Ovid, and Google Scholar. The methodological quality of the studies included was evaluated using the QUADAS-2 tool. RESULTS: Of the 372 studies identified, eight studies involving 2999 pregnant women in five endemic countries that assessed the accuracy of LAMP were identified. With three types of PCR as reference tests, the pooled sensitivity of LAMP was 91% (95%CI 67-98%) and pooled specificity was 99% (95%CI 83-100%, 4 studies), and the negative likelihood ratio was 9% (2-40%). Caution is needed in the interpretation as there was substantial between-study heterogeneity (I2: 80%), and a low probability that a person without infection is tested negative. With microscopy as a reference, the pooled sensitivity of LAMP was 95% (95%CI 26-100%) and pooled specificity was 100% (95%CI 94-100%, 4 studies). There was a wide range of sensitivity and substantial between-study heterogeneity (I2: 83.5-98.4%). To investigate the source of heterogeneity, a meta-regression analysis was performed with covariates. Of these potential confounding factors, reference test (p: 0.03) and study design (p:0.03) had affected the diagnostic accuracy of LAMP in malaria in pregnancy. Overall, there was a low certainty of the evidence in accuracy estimates. CONCLUSION: The findings suggest that LAMP is more sensitive than traditional tests used at facilities, but the utility of detecting and treating these low-density infections is not well understood. Due to the limited number of studies with bias in their methodological quality, variation in the study design, and different types of reference tests further research is likely to change the estimate. Well-conceived large prospective studies with blinding of the index test results are recommenced.


Assuntos
Malária , Feminino , Humanos , Gravidez , Estudos Prospectivos , Sensibilidade e Especificidade , Malária/diagnóstico , Técnicas de Amplificação de Ácido Nucleico/métodos
4.
Multivariate Behav Res ; 56(3): 377-389, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-32077317

RESUMO

Wayne Velicer is remembered for a mind where mathematical concepts and calculations intrigued him, behavioral science beckoned him, and people fascinated him. Born in Green Bay, Wisconsin on March 4, 1944, he was raised on a farm, although early influences extended far beyond that beginning. His Mathematics BS and Psychology minor at Wisconsin State University in Oshkosh, and his PhD in Quantitative Psychology from Purdue led him to a fruitful and far-reaching career. He was honored several times as a high-impact author, was a renowned scholar in quantitative and health psychology, and had more than 300 scholarly publications and 54,000+ citations of his work, advancing the arenas of quantitative methodology and behavioral health. In his methodological work, Velicer sought out ways to measure, synthesize, categorize, and assess people and constructs across behaviors and time, largely through principal components analysis, time series, and cluster analysis. Further, he and several colleagues developed a method called Testing Theory-based Quantitative Predictions, successfully applied to predicting outcomes and effect sizes in smoking cessation, diet behavior, and sun protection, with the potential for wider applications. With $60,000,000 in external funding, Velicer also helped engage a large cadre of students and other colleagues to study methodological models for a myriad of health behaviors in a widely applied Transtheoretical Model of Change. Unwittingly, he has engendered indelible memories and gratitude to all who crossed his path. Although Wayne Velicer left this world on October 15, 2017 after battling an aggressive cancer, he is still very present among us.


Assuntos
Medicina do Comportamento , Tutoria , Humanos
5.
Behav Genet ; 50(2): 127-138, 2020 03.
Artigo em Inglês | MEDLINE | ID: mdl-32040643

RESUMO

The univariate bootstrap is a relatively recently developed version of the bootstrap (Lee and Rodgers in Psychol Methods 3(1): 91, 1998). DeFries-Fulker (DF) analysis is a regression model used to estimate parameters in behavioral genetic models (DeFries and Fulker in Behav Genet 15(5): 467-473, 1985). It is appealing for its simplicity; however, it violates certain regression assumptions such as homogeneity of variance and independence of errors that make calculation of standard errors and confidence intervals problematic. Methods have been developed to account for these issues (Kohler and Rodgers in Behav Genet 31(2): 179-191, 2001), however the univariate bootstrap represents a unique means of doing so that is presaged by suggestions from previous DF research (e.g., Cherny et al. in Behav Genet 22(2): 153-162, 1992). In the present study we use simulations to examine the performance of the univariate bootstrap in the context of DF analysis. We compare a number of possible bootstrap schemes as well as more traditional confidence interval methods. We follow up with an empirical demonstration, applying results of the simulation to models estimated to investigate changes in body mass index in adults from the National Longitudinal Survey of Youth 1979 data.


Assuntos
Interpretação Estatística de Dados , Genética Comportamental/métodos , Modelos Estatísticos , Adolescente , Adulto , Índice de Massa Corporal , Peso Corporal/genética , Intervalos de Confiança , Feminino , Humanos , Estudos Longitudinais , Masculino , Modelos Genéticos , Fenótipo , Análise de Regressão , Meio Social , Gêmeos Dizigóticos/genética , Gêmeos Monozigóticos/genética , Adulto Jovem
6.
Behav Genet ; 49(5): 444-454, 2019 09.
Artigo em Inglês | MEDLINE | ID: mdl-31392459

RESUMO

In 1918, Fisher suggested that his research team had consistently found inflated cousin correlations. He also commented that because a cousin sample with minimal selection bias was not available the cause of the inflation could not be addressed, leaving this inflation as a challenge still to be solved. In the National Longitudinal Survey of Youth (the NLSY79, the NLSY97, and the NLSY-Children/Young Adult datasets), there are thousands of available cousin pairs. Those in the NLSYC/YA are obtained approximately without selection. In this paper, we address Fisher's challenge using these data. Further, we also evaluate the possibility of fitting ACE models using only cousin pairs, including full cousins, half-cousins, and quarter-cousins. To have any chance at success in such a restricted kinship domain requires an available and highly-reliable phenotype; we use adult height in our analysis. Results provide a possible answer to Fisher's challenge, and demonstrate the potential for using cousin pairs in a stand-alone analysis (as well as in combination with other biometrical designs).


Assuntos
Biometria , Estatura/genética , Família , Feminino , Humanos , Estudos Longitudinais , Masculino , Adulto Jovem
7.
Plant Mol Biol ; 96(3): 279-289, 2018 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-29388029

RESUMO

KEY MESSAGE: Our work focuses on understanding the lifetime and thus stability of the three main cellulose synthase (CESA) proteins involved in primary cell wall synthesis of Arabidopsis. It had long been thought that a major means of CESA regulation was via their rapid degradation. However, our studies here have uncovered that AtCESA proteins are not rapidly degraded. Rather, they persist for an extended time in the plant cell. Plant cellulose is synthesized by membrane-embedded cellulose synthase complexes (CSCs). The CSC is composed of cellulose synthases (CESAs), of which three distinct isozymes form the primary cell wall CSC and another set of three isozymes form the secondary cell wall CSC. We determined the stability over time of primary cell wall (PCW) CESAs in Arabidopsis thaliana seedlings, using immunoblotting after inhibiting protein synthesis with cycloheximide treatment. Our work reveals very slow turnover for the Arabidopsis PCW CESAs in vivo. Additionally, we show that the stability of all three CESAs within the PCW CSC is altered by mutations in individual CESAs, elevated temperature, and light conditions. Together, these results suggest that CESA proteins are very stable in vivo, but that their lifetimes can be modulated by intrinsic and environmental cues.


Assuntos
Proteínas de Arabidopsis/metabolismo , Arabidopsis/enzimologia , Parede Celular/enzimologia , Celulose/biossíntese , Glucosiltransferases/metabolismo , Plântula/enzimologia , Arabidopsis/citologia , Arabidopsis/genética , Arabidopsis/crescimento & desenvolvimento , Proteínas de Arabidopsis/genética , Interação Gene-Ambiente , Glucosiltransferases/genética , Mutação , Plântula/genética , Plântula/crescimento & desenvolvimento
8.
Pacing Clin Electrophysiol ; 41(1): 81-86, 2018 01.
Artigo em Inglês | MEDLINE | ID: mdl-29205396

RESUMO

BACKGROUND: Cardiac conduction abnormalities requiring permanent pacemaker (PPM) implantation are major complications of transcatheter aortic valve replacement (TAVR). We aimed to investigate whether the relationship between prosthetic valve size and cardiac-gated computed tomography (CT)-based aortic root complex measurements can aid in recognizing patients at risk for PPM implantation post-TAVR. METHODS: We included 83 of 114 consecutive patients who underwent TAVR with the Edwards Sapien valve (Edwards Lifesciences, Irving, CA, USA) at our institution. We excluded patients with preexisting PPM, patients who required conversion to an open surgical procedure, and patients without CT data. We assessed the significance of various potential predictors of PPM placement post-TAVR. RESULTS: Following TAVR, eight patients (9.6%) required PPM. Prosthetic valve to sinus of Valsalva (SOV) index was significantly higher in those patients requiring a PPM post-TAVR (84.1 ± 9.3 vs 76.8 ± 7.1, P  =  0.009). CONCLUSIONS: The prosthetic valve size to diameter of SOV index was identified as a novel predictor of PPM implantation after TAVR.


Assuntos
Insuficiência da Valva Aórtica/diagnóstico por imagem , Insuficiência da Valva Aórtica/cirurgia , Técnicas de Imagem de Sincronização Cardíaca , Próteses Valvulares Cardíacas , Marca-Passo Artificial , Tomografia Computadorizada por Raios X , Substituição da Valva Aórtica Transcateter , Idoso de 80 Anos ou mais , Feminino , Humanos , Masculino , Estudos Retrospectivos , Resultado do Tratamento
9.
Multivariate Behav Res ; 52(5): 630-647, 2017.
Artigo em Inglês | MEDLINE | ID: mdl-28891688

RESUMO

This paper introduces an extension of cluster mean centering (also called group mean centering) for multilevel models, which we call "double decomposition (DD)." This centering method separates between-level variance, as in cluster mean centering, but also decomposes within-level variance of the same variable. This process retains the benefits of cluster mean centering but allows for context variables derived from lower level variables, other than the cluster mean, to be incorporated into the model. A brief simulation study is presented, demonstrating the potential advantage (or even necessity) for DD in certain circumstances. Several applications to multilevel analysis are discussed. Finally, an empirical demonstration examining the Flynn effect (Flynn, 1987 ), our motivating example, is presented. The use of DD in the analysis provides a novel method to narrow the field of plausible causal hypotheses regarding the Flynn effect, in line with suggestions by a number of researchers (Mingroni, 2014 ; Rodgers, 2015 ).


Assuntos
Análise por Conglomerados , Modelos Psicológicos , Análise Multinível , Simulação por Computador , Interpretação Estatística de Dados , Bases de Dados Factuais , Humanos , Inteligência , Testes de Inteligência , Modelos Estatísticos
10.
Behav Genet ; 46(4): 538-51, 2016 07.
Artigo em Inglês | MEDLINE | ID: mdl-26914462

RESUMO

The National Longitudinal Survey of Youth datasets (NLSY79; NLSY-Children/Young Adults; NLSY97) have extensive family pedigree information contained within them. These data sources are based on probability sampling, a longitudinal design, and a cross-generational and within-family data structure, with hundreds of phenotypes relevant to behavior genetic (BG) researchers, as well as to other developmental and family researchers. These datasets provide a unique and powerful source of information for BG researchers. But much of the information required for biometrical modeling has been hidden, and has required substantial programming effort to uncover-until recently. Our research team has spent over 20 years developing kinship links to genetically inform biometrical modeling. In the most recent release of kinship links from two of the NLSY datasets, the direct kinship indicators included in the 2006 surveys allowed successful and unambiguous linking of over 94 % of the potential pairs. In this paper, we provide details for research teams interested in using the NLSY data portfolio to conduct BG (and other family-oriented) research.


Assuntos
Bases de Dados como Assunto , Família , Genética Comportamental , Criança , Humanos , Estudos Longitudinais , Curva ROC
11.
Multivariate Behav Res ; 51(1): 30-4, 2016.
Artigo em Inglês | MEDLINE | ID: mdl-26881955

RESUMO

The Bayesian-frequentist debate typically portrays these statistical perspectives as opposing views. However, both Bayesian and frequentist statisticians have expanded their epistemological basis away from a singular focus on the null hypothesis, to a broader perspective involving the development and comparison of competing statistical/mathematical models. For frequentists, statistical developments such as structural equation modeling and multilevel modeling have facilitated this transition. For Bayesians, the Bayes factor has facilitated this transition. The Bayes factor is treated in articles within this issue of Multivariate Behavioral Research. The current presentation provides brief commentary on those articles and more extended discussion of the transition toward a modern modeling epistemology. In certain respects, Bayesians and frequentists share common goals.


Assuntos
Teorema de Bayes , Conhecimento , Algoritmos , Biometria , Ensaios Clínicos como Assunto , Simulação por Computador , Interpretação Estatística de Dados , Humanos , Matemática , Modelos Estatísticos , Projetos de Pesquisa
12.
Behav Genet ; 45(1): 51-70, 2015 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-25246040

RESUMO

A powerful longitudinal data source, the National Longitudinal Survey of Youth Children data, allows measurement of behavior problems (BP) within a developmental perspective linking them to menarcheal timing (MT). In a preliminary analysis, we evaluate the bivariate relationships between BP measured at different developmental periods and the timing of menarche. Correlations were not consistent with any correlational/causal relationship between BP and MT. In the major part of our study, MT was used to moderate the developmental trajectory of BP, within a genetically-informed design. Girls reaching menarche early had behavior problem variance accounted for by the shared environment; those reaching menarche with average/late timing had behavior problem differences accounted for by genetic variance. Our findings match previous empirical results in important ways, and also extend those results. A theoretical interpretation is offered in relation to a theory linking genetic/shared environmental variance to flexibility and choices available within the family in relation to BP.


Assuntos
Transtornos do Comportamento Infantil/genética , Menarca , Adolescente , Fatores Etários , Biometria , Criança , Transtornos do Comportamento Infantil/etnologia , Desenvolvimento Infantil , Etnicidade , Saúde da Família , Feminino , Predisposição Genética para Doença , Humanos , Estudos Longitudinais , Análise Multivariada , Fenótipo , Projetos de Pesquisa , Estatística como Assunto , Estados Unidos
13.
J Heart Valve Dis ; 23(4): 395-405, 2014 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-25803965

RESUMO

BACKGROUND AND AIM OF THE STUDY: The contribution of aortic valve (AV) cusp asymmetry to the future development of aortic stenosis (AS) has not been studied. METHODS: Of the 412,458 patients that underwent echocardiography between January 2003 and January 2011 at the Cleveland Clinic, 34,326 with aortic stenosis (AS) were identified from the Echocardiography Database. Among these patients, 5,830 had undergone echocardiography on more than one occasion. The review identified 71 patients who had tricuspid AV without stenosis, sclerosis or calcification, who met the study criteria, and who ultimately developed AS at a mean of 56.5 ± 19.4 months after the initial echocardiogram. Comprehensive echocardiographic AV cusp measurements taken from these echocardiograms were compared to those of 71 age- and gender-matched control subjects without AS. RESULTS: In the AS group, 11 patients (15.4%) had three equal-sized AV cusps, six (8.4%) had two equal-sized cusps, and 54 (76.1%) had three different-sized cusps. In the control group, 70 subjects (98.6%) had three equal-sized AV cusps, none had two equal-sized cusps, and one subject (1.4%) had three different-sized cusps. The average asymmetry index (AIx; %) among all the corresponding cusp measurements was significantly larger in the AS group (p = 0.000). Among the 71 AS patients, 32 developed mild AS, 30 moderate AS, and nine severe AS. The average AIx did not differ significantly based on AS severity. CONCLUSION: The presence of asymmetry among AV cusps is strongly associated with the future development of AS. The present data suggest that a non-laminar flow secondary to an asymmetric valve may predispose the AV to become stenotic.


Assuntos
Estenose da Valva Aórtica/patologia , Valva Aórtica/anatomia & histologia , Valva Tricúspide/anatomia & histologia , Idoso , Valva Aórtica/diagnóstico por imagem , Estenose da Valva Aórtica/diagnóstico por imagem , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Estudos Retrospectivos , Fatores de Risco , Valva Tricúspide/diagnóstico por imagem , Ultrassonografia
15.
Multivariate Behav Res ; 49(6): 571-80, 2014.
Artigo em Inglês | MEDLINE | ID: mdl-26735359

RESUMO

Many data structures, particularly time series data, are naturally seasonal, cyclical, or otherwise circular. Past graphical methods for time series have focused on linear plots. In this article, we move graphical analysis onto the circle. We focus on 2 particular methods, one old and one new. Rose diagrams are circular histograms and can be produced in several different forms using the RRose software system. In addition, we propose, develop, illustrate, and provide software support for a new circular graphical method, called Wrap-Around Time Series Plots (WATS Plots), which is a graphical method useful to support time series analyses in general but in particular in relation to interrupted time series designs. We illustrate the use of WATS Plots with an interrupted time series design evaluating the effect of the Oklahoma City bombing on birthrates in Oklahoma County during the 10 years surrounding the bombing of the Murrah Building in Oklahoma City. We compare WATS Plots with linear time series representations and overlay them with smoothing and error bands. Each method is shown to have advantages in relation to the other; in our example, the WATS Plots more clearly show the existence and effect size of the fertility differential.

16.
Multivariate Behav Res ; 49(6): 597-613, 2014.
Artigo em Inglês | MEDLINE | ID: mdl-26735360

RESUMO

Much research has been directed at the validity of fit indices in Path Analysis and Structural Equation Modeling (e.g., Browne, MacCallum, Kim, Andersen, & Glaser, 2002 ; Heene, Hilbert, Draxler, Ziegler, & Bühner, 2011 ; Hu & Bentler, 1999 ; Marsh, Hau, & Wen, 2004 ). Recent developments (e.g., Preacher, 2006 ; Roberts & Pashler, 2000 , 2002 ) have encouraged researchers to investigate other criteria for comparing models, including model complexity. What has not been investigated is the inherent ability of a particular data set to be fitted with a constrained set of randomly generated linear models, which we call Model Conditioned Data Elasticity (DE). In this article we show how DE can be compared with the problem of equivalent models and a more general problem of the "confoundability" of data/model combinations (see MacCallum, Wegener, Uchino, & Fabrigar, 1993 ). Using the DE package in R, we show how DE can be assessed through automated computer searches. Finally, we discuss how DE fits within the controversy surrounding the use of fit statistics.

17.
Psychol Aging ; 39(5): 457-466, 2024 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-39052350

RESUMO

To contribute to our understanding of cohort differences and the Flynn effect in the cognitive decline among older Americans, this study aims to compare rates of cognitive decline between two birth cohorts within a study of older Americans and to examine the importance of medical and demographic confounders. Analyses used data from the National Health and Aging Trends Study (2011-2019), which recruited older Americans in 2011 and again in 2015 who were then followed for 5 years. We employed mixed-effect models to examine the linear and quadratic main and interaction effects of year of birth while adjusting for covariates such as annual round, sex/gender, education, race/ethnicity, heart disease, hypertension, diabetes, test unfamiliarity, and survey design. We analyzed data from 11,167 participants: 7,325 from 2011 to 2015 and 3,842 from 2015 to 2019. The cohort recruited in 2015 was born, on average, 5.33 years later than that recruited in 2011 and had higher functioning than the one recruited in 2011 across all observed cognitive domains that persisted after adjusting for covariates. In multivariable-adjusted analyses, a 1-year increase in year of birth was associated with increased episodic memory (ß = 0.045, SE = 0.001, p < .001), orientation (ß = 0.034, SE = 0.001, p < .001), and executive function (ß = 0.036, SE = 0.001, p < .001). Participants born 1 year later had slower rates of decline in episodic memory (ß = 0.004, SE = 0.000, p < .001), orientation (ß = 0.003, SE = 0.000, p < .001), and executive function (ß = 0.001, SE = 0.000, p = .002). Additionally, sex/gender modified this relationship for episodic memory (-0.007, SE = 0.002, p < .001), orientation (-0.005, SE = 0.002, p = .008), and executive function (-0.008, SE = 0.002, p < .001). These results demonstrate the persistence of the Flynn effect in old age across cognitive domains and identified a deceleration in the rate of cognitive decline across cognitive domains. (PsycInfo Database Record (c) 2024 APA, all rights reserved).


Assuntos
Disfunção Cognitiva , Humanos , Masculino , Feminino , Disfunção Cognitiva/epidemiologia , Idoso , Estados Unidos/epidemiologia , Idoso de 80 Anos ou mais , Memória Episódica , Função Executiva/fisiologia , Coorte de Nascimento
18.
Circulation ; 125(8): 1005-13, 2012 Feb 28.
Artigo em Inglês | MEDLINE | ID: mdl-22282327

RESUMO

BACKGROUND: With the availability of transcatheter aortic valve replacement, management of coronary artery disease in patients with severe aortic stenosis (AS) is posing challenges. Outcomes of percutaneous coronary intervention (PCI) in patients with severe AS and coronary artery disease remain unknown. We sought to compare the short-term outcomes of PCI in patients with and without AS. METHODS AND RESULTS: From our PCI database, we identified 254 patients with severe AS who underwent PCI between 1998 and 2008. Using propensity matching, we found 508 patients without AS who underwent PCI in the same period. The primary end point of 30-day mortality after PCI was similar in patients with and without severe AS (4.3% [11 of 254] versus 4.7% [24 of 508]; hazard ratio, 0.93; 95% confidence interval, 0.51-1.69; P=0.2). Patients with low ejection fraction (≤30%) and severe AS had a higher 30-day post-PCI mortality compared with those with an ejection fraction >30% (5.4% [7 of 45] versus 1.2% [4 of 209]; P<0.001). In addition, AS patients with high Society of Thoracic Surgeons score (≥10) had a higher 30-day post-PCI mortality than those with a Society of Thoracic Surgeons score <10 (10.4% [10 of 96] versus 0%; P<0.001). CONCLUSIONS: PCI can be performed in patients with severe symptomatic AS and coronary artery disease without an increased risk of short-term mortality compared with propensity-matched patients without AS. Patients with ejection fraction ≤30% and Society of Thoracic Surgeons score ≥10% are at a highest risk of 30-day mortality after PCI. This finding has significant implications in the management of severe coronary artery disease in high-risk severe symptomatic AS patients being considered for transcatheter aortic valve replacement.


Assuntos
Angioplastia Coronária com Balão/mortalidade , Estenose da Valva Aórtica/mortalidade , Estenose da Valva Aórtica/terapia , Cateterismo Cardíaco/mortalidade , Índice de Gravidade de Doença , Idoso , Idoso de 80 Anos ou mais , Valva Aórtica/patologia , Valva Aórtica/cirurgia , Feminino , Seguimentos , Humanos , Masculino , Pessoa de Meia-Idade , Estudos Prospectivos , Sistema de Registros , Sociedades Médicas/normas , Cirurgia Torácica/normas
19.
J Child Fam Stud ; 31(1): 1-16, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-34751208

RESUMO

This study evaluated changes over time in the quality of children's home environment, using the Home Observation Measurement of the Environment (HOME). Longitudinal increases in HOME scores were predicted by both theory and past empirical results. Analysis of the National Longitudinal Survey of Youth Children data (N = 5715, aged 0-14) suggested that HOME scores have been increasing, and that the increase is a family-level phenomenon. The data were a sample of children born to mothers who were approximately representative of the United States in 1979. An increase in HOME scores occurred primarily for the three age categories younger than ten. Effect sizes were of approximately the same magnitude as the Flynn effect for intelligence. These results have implications for policy and future research regarding the home environment.

20.
Am Psychol ; 77(3): 453-466, 2022 04.
Artigo em Inglês | MEDLINE | ID: mdl-34780242

RESUMO

In light of the "replication crisis," some advocate for stricter standards and greater transparency in research methods. These efforts push toward a data analysis approach called "confirmatory data analysis" (CDA; see Wagenmakers et al., 2012). However, some (e.g., Baumeister, 2016; Goldin-Meadow, 2016) suggest that emphasizing CDA may restrict creativity and discovery. These scholars argued (sometimes inadvertently) for greater freedom to pursue "exploratory data analysis" (EDA; see Tukey, 1977). Ironically and unfortunately, many who push against stricter CDA standards do not realize EDA exists, or misunderstand the philosophy and proper tools for exploration. In this article, the meaning, tools, philosophy, and ethics associated with EDA, CDA, and a relatively unknown but important approach called "rough CDA" are clarified. Important distinctions are developed between EDA/rough CDA/CDA and other (some problematic) analysis activities including p-hacking, HARKing, and data mining, which are situated in a (graphical) framework that clarifies relationships and ethical boundaries with each. In short, the proper data analytic approach depends on (a) intentions and (b) transparency. Most psychological research is not at a maturity level to justify CDA; researchers have historically used tools mismatched to their research agenda. In the conclusion, recommendations are presented about how these typologies can be integrated into graduate training programs and how a cumulative research program can help psychology move beyond the replication crisis. (PsycInfo Database Record (c) 2022 APA, all rights reserved).


Assuntos
Análise de Dados , Pesquisadores , Humanos , Intenção , Filosofia , Projetos de Pesquisa
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