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ased risk of MND. Emotional trauma, that is physical abuse in childhood, may also play a role.Hung et al. (2007) considered the problem of controlling the type I error rate for a primary and secondary endpoint in a clinical trial using a gatekeeping approach in which the secondary endpoint is tested only if the primary endpoint crosses its monitoring boundary. They considered a two-look trial and showed by simulation that the naive method of testing the secondary endpoint at full level α at the time the primary endpoint reaches statistical significance does not control the familywise error rate at level α. Tamhane et al. (2010) derived analytic expressions for familywise error rate and power and confirmed the inflated error rate of the naive approach. Nonetheless, many people mistakenly believe that the closure principle can be used to prove that the naive procedure controls the familywise error rate. The purpose of this note is to explain in greater detail why there is a problem with the naive approach and show that the degree of alpha inflation can be as high as that of unadjusted monitoring of a single endpoint.Failure of passive immunity transfer (FPIT) increases the risk of morbidity and mortality in dairy calves. The prevalence of FPIT in dairy calves has generally been reported to be high, with FPIT estimated to occur in 38%-42% of Australian dairy calves. learn more However, the focus of previous studies has been on replacement heifer calves. Our aim was to assess the prevalence of FPIT in Victorian bobby calves (non-replacement dairy calves). We collected blood samples from 3608 bobby calves at three abattoirs at exsanguination, and measured serum total protein as an indicator of passive transfer. We found that 36% of bobby calves showed evidence of FPIT (serum total protein ≤52 g/L), and 50% of calves had poor or fair passive transfer ( less then 58 g/L). When a subset of calves (from farms with more than five calves in the dataset) was analysed using a linear mixed model, Jersey calves and crossbred/other calves had an estimated 5.3 g/L and 5.1 g/L higher serum total protein concentration, respectively, than Holstein-Friesian calves (P less then 0.001). Our results suggest that the prevalence of FPIT in bobby calves at abattoirs is similar to that reported in dairy heifer calves sampled on farms. A high prevalence of FPIT has implications for bobby calf morbidity and mortality, as well as calf viability and profitability for dairy-beef production.
The SARS-CoV-2 pandemic modified how persons got into contact with emergency services, particularly during the first wave.
The aim is to describe the characteristics of older persons with and without COVID-19 visiting the Emergency Department of a tertiary hospital and to investigate the impact of age on in-hospital survival in the two groups.
Patients older than 70years were followed-up till discharge or in-hospital death. Cox regression models stratified by COVID-19 diagnosis were used to investigate survival.
Out of 896 patients, 36.7% had COVID-19. Those without COVID-19 were older and affected by a higher number of chronic conditions but exhibited lower mortality (10.5 vs 48.1%). After the adjustment, age was associated with mortality only among those with COVID-19.
COVID-19 modified the relationship between older age and in-hospital survival whether this finding is explained by other biological vulnerabilities or by a selection of treatments based on age should be further investigated.
COVID-19 modified the relationship between older age and in-hospital survival whether this finding is explained by other biological vulnerabilities or by a selection of treatments based on age should be further investigated.Traditional item response theory (IRT) models assume a symmetric error distribution and rely on symmetric (logit or probit) link functions to model the response probabilities. As an alternative, we investigated the one-parameter complementary log-log model (CLLM), which is founded on an asymmetric error distribution and results in an asymmetric item response function with important psychometric properties. In a series of simulation studies, we demonstrate that the CLLM (a) is estimable in small sample sizes, (b) facilitates item-weighted scoring, and (c) accounts for the effect of guessing, despite the presence of a single parameter. We then provide further evidence for these claims by applying the CLLM to empirical data. Finally, we discuss how this work contributes to the growing psychometric literature on model complexity.We introduce the first set of stimuli designed to resolve methodological and theoretical issues that have muddled the interpretation of results on the memorability of supernatural concepts (e.g., ghosts, souls, spirits), an important line of research in the cognitive science of religion (Barrett, 2007). We focus here on Boyer's (1994), Boyer, 2001) pioneering minimally counterintuitive (MCI) hypothesis according to which supernatural concepts tap a special memory-enhancing mechanism linked to violations of default intuitive inferences. Empirical tests of the MCI account have given rise to a vexed picture that renders meaningful interpretation difficult. The lack of a common standard of comparison among different studies, coupled with the presence of uncontrolled variables independently known to affect memorability, lie at the heart of these problems. We show that our new stimuli offer the hope of resolving these issues, thereby establishing a more secure foundation for the study of the memorability of supernatural concepts.In view of global environmental deterioration and climate change, researchers from multiple fields of the behavioral sciences examine the determinants of pro-environmental behavior. Research on pro-environmental behavior is dominated by the use of self-report measures, which relates to critical validity problems. Some of these problems can be addressed by studying consequential behavior in behavioral paradigms (i.e., systematically arranged situations of actual environmental relevance). However, pro-environmental behavior paradigms have been scattered across disciplines, and many researchers may not be aware of the wealth of available paradigms. The present review aims to acquaint researchers across disciplinary borders with the behavioral paradigms developed to study pro-environmental behavior in different domains. A systematic literature search revealed 99 ad hoc paradigms and five validated paradigms of pro-environmental behavior. I review how different authors have succeeded in implementing the consequences of pro-environmental behavior in standardized field, laboratory, or online situations, point to caveats in the use of behavioral paradigms, and illustrate how researchers can select a paradigm for their own research.
We propose methods to estimate a suitable number of patients for implementing selective safety data collection (SSDC) in clinical investigations based on a confidence interval of the incidence rate or risk difference using Monte Carlo simulation.
The incidence rates and risk differences of adverse events (AEs) were based on the safety outcome measures. A suitable number of patients for implementing SSDC was estimated based on the probability that the half-width of the two-sided 95% confidence interval of incidence rate or risk difference was equal to or less than a pre-specified cut-off value (0.5-3.0%). Monte Carlo simulation was used to estimate the suitable number of patients at probabilities of 70%, 80%, and 90%. The applicability of our proposed method for estimating a suitable number of patients for SSDC implementation was confirmed based on the incidence rates or risk differences from actual clinical trial data for panitumumab.
We demonstrated the performance of our proposed method in estimating a suitable number of patients to implement SSDC in several situations. Furthermore, according to the safety datasets of three phase III clinical trials, the number of suitable patients for implementing SSDC using incidence rates or risk differences of common AEs with panitumumab could confirm the applicability of our proposed method.
A suitable number of patients estimated based on our proposed method may be one of the foundations for implementing SSDC, as additional data accrual may not impact the precision of the estimates of the frequency of common AEs.
A suitable number of patients estimated based on our proposed method may be one of the foundations for implementing SSDC, as additional data accrual may not impact the precision of the estimates of the frequency of common AEs.
Metabolic disorders have been identified as major risk factors for severe acute courses of COVID-19. With decreasing numbers of infections in many countries, the long COVID syndrome (LCS) represents the next major challenge in pandemic management, warranting the precise definition of risk factors for LCS development.
We identified 50,402 COVID-19 patients in the Disease Analyzer database (IQVIA) featuring data from 1056 general practices in Germany. Multivariate logistic regression analysis was used to identify risk factors for the development of LCS.
Of the 50,402 COVID-19 patients included into this analysis, 1,708 (3.4%) were diagnosed with LCS. In a multivariate regression analysis, we identified lipid metabolism disorders (OR 1.46, 95% CI 1.28-1.65, p < 0.001) and obesity (OR 1.25, 95% CI 1.08-1.44, p = 0.003) as strong risk factors for the development of LCS. Besides these metabolic factors, patients' age between 46 and 60years (compared to age ≤ 30, (OR 1.81 95% CI 1.54-2.13, p < 0.001), female sex (OR 1.33, 95% CI 1.20-1.47, p < 0.001) as well as pre-existing asthma (OR 1.67, 95% CI 1.39-2.00, p < 0.001) and depression (OR 1.27, 95% CI 1.09-1.47, p = < 0.002) in women, and cancer (OR 1.4, 95% CI 1.09-1.95, p = < 0.012) in men were associated with an increased likelihood of developing LCS.
Lipid metabolism disorders and obesity represent age-independent risk factors for the development of LCS, suggesting that metabolic alterations determine the risk for unfavorable disease courses along all phases of COVID-19.
Lipid metabolism disorders and obesity represent age-independent risk factors for the development of LCS, suggesting that metabolic alterations determine the risk for unfavorable disease courses along all phases of COVID-19.
As no reported randomized control trials (RCTs) directly compare the three administration doses of anticoagulants (prophylactic dose, treatment dose, and no treatment), the most recommended dose to be administered to patients with coronavirus disease 2019 (COVID-19) remains unclear. The purpose of this study was to examine the effects of anticoagulant doses administered to patients with COVID-19, using a network meta-analysis (NMA) including high-quality studies.
All eligible trials from the Cochrane Central Register of Controlled Trials, MEDLINE, and Clinicaltrials.gov were included. We included RCTs and observational studies adjusted for covariates for patients aged ≥ 18years and hospitalized due to objectively confirmed COVID-19. The main study outcome was mortality.
In patients with moderate COVID-19, the prophylactic (relative risk (RR) 0.64 [95% confidence interval (CI) 0.52-0.80]) and treatment dose (RR 0.57 [95% CI 0.45-0.72] were associated with a lower risk of short-term mortality than that with no anticoagulant treatment.
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