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Elhadad MA, Wilson R, Zaghlool S, Huth C, Kriebel J, Grallert H, Rathmann W, Graumann J, Suhre K, Peters A, Gieger C, Waldenberger M. P4769Using the plasma proteome to decipher metabolic syndrome pathophysiology and discover a diagnostic biomarker panel. Eur Heart J 2018. [DOI: 10.1093/eurheartj/ehy563.p4769] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
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77
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Verwey JK, Peters A, Monks D, Raidal SR. Spillover of avian haemosporidian parasites (Haemosporidia: Plasmodium) and death of captive psittacine species. Aust Vet J 2018; 96:93-97. [PMID: 29479679 DOI: 10.1111/avj.12671] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/08/2015] [Revised: 05/22/2017] [Accepted: 07/24/2017] [Indexed: 11/29/2022]
Abstract
CASE REPORT During February 2014, a yellow-tailed black cockatoo (Calyptorhynchus funereus) and glossy black cockatoo (C. lathami) housed in aviaries on a property in Wamuran, Queensland, were submitted for postmortem. Histopathology and molecular diagnostics demonstrated the presence of Plasmodium sp. infection. The Plasmodium isolate identified has previously only been reported as infecting a healthy wild rufous fantail (Rhipidura rufifrons) in Australia. CONCLUSION To the authors' knowledge, these are the first reported cases of Plasmodium in Calyptorhynchus. We hypothesised that the maintenance of these two cockatoo species in ground level aviaries in a low-altitude geographic zone resulted in exposure of birds to mosquito vectors of endemic avian Plasmodium. Black cockatoos roost and forage in the mid to high canopy of forests in the wild, outside the likely spatiotemporal distribution of relevant haemosporidian vectors. It is therefore likely that these birds had immunological naivety and susceptibility to infection with Plasmodium circulating in wild passerines.
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Bönhof G, Strom A, Rathmann W, Heier M, Meisinger C, Peters A, Roden M, Thorand B, Herder C, Ziegler D. Unterschiedliche Assoziationen von inflammatorischen Markern und Wachstumsfaktoren bei Typ-2-Diabetes und Polyneuropathie. DIABETOL STOFFWECHS 2018. [DOI: 10.1055/s-0038-1641791] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
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Garg SK, Henry RR, Banks P, Buse JB, Davies MJ, Fulcher GR, Pozzilli P, Gesty-Palmer D, Lapuerta P, Simó R, Danne T, McGuire DK, Kushner JA, Peters A, Strumph P. Efficacy of sotagliflozin 400 mg/day in 1402 patients with type 1 diabetes treated with any insulin regimen (inTandem 3). DIABETOL STOFFWECHS 2018. [DOI: 10.1055/s-0038-1641841] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
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Herder C, Kannenberg JM, Huth C, Carstensen-Kirberg M, Rathmann W, Koenig W, Strom A, Bönhof GJ, Heier M, Thorand B, Peters A, Roden M, Meisinger C, Ziegler D. Assoziationen von Myeloperoxidase und Superoxid-Dismutase-3 mit sensomotorischer distal-symmetrischer Polyneuropathie: KORA F4/FF4-Studie. DIABETOL STOFFWECHS 2018. [DOI: 10.1055/s-0038-1641868] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
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81
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Faber J, Wingerter A, Neu MA, Henninger N, Eckerle S, Münzel T, Lackner KJ, Beutel ME, Blettner M, Rathmann W, Peters A, Meisinger C, Linkohr B, Neuhauser H, Kaatsch P, Spix C, Schneider A, Merzenich H, Panova-Noeva M, Prochaska JH, Wild PS. Burden of cardiovascular risk factors and cardiovascular disease in childhood cancer survivors: data from the German CVSS-study. Eur Heart J 2018. [DOI: 10.1093/eurheartj/ehy026] [Citation(s) in RCA: 61] [Impact Index Per Article: 10.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/27/2022] Open
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Reeson M, Ambrosio L, Lam GY, Fedorak R, Dieleman LA, Kroeker KI, Huang V, Peters A, Halloran BP. A148 EBV STATUS AND IMMUNOSUPPRESSANT USE IN IBD PATIENTS WHO SUBSEQUENTLY DEVELOP LYMPHOMA: A RETROSPECTIVE AND PROSPECTIVE STUDY. J Can Assoc Gastroenterol 2018. [DOI: 10.1093/jcag/gwy009.148] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
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83
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Peters A, Lausen B, Michelson G, Gefeller O. Diagnosis of Glaucoma by Indirect Classifiers. Methods Inf Med 2018. [DOI: 10.1055/s-0038-1634214] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/17/2022]
Abstract
Summary
Objectives: Demonstration of the applicability of a framework called indirect classification to the example of glaucoma classification. Indirect classification combines medical a priori knowledge and statistical classification methods. The method is compared to direct classification approaches with respect to the estimated misclassification error.
Methods: Indirect classification is applied using classification trees and the diagnosis of glaucoma. Misclassification errors are reduced by bootstrap aggregation. As direct classification methods linear discriminant analysis, classification trees and bootstrap aggregated classification trees are utilized in the problem of glaucoma diagnosis. Misclassification rates are estimated via 10-fold cross-validation.
Results: Indirect classification techniques reduce the misclassification error in the context of glaucoma classification compared to direct classification methods.
Conclusions: Embedding a priori knowledge into statistical classification techniques can improve misclassification results. Indirect classification offers a framework to realize this combination.
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Peters A, Mansuria S. 04: Prevention of ovarian remnant syndrome: Adnexal adhesiolysis from the pelvic sidewall. Am J Obstet Gynecol 2018. [DOI: 10.1016/j.ajog.2017.12.127] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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85
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Adler W, Peters A, Lausen B. Comparison of Classifiers Applied to Confocal Scanning Laser Ophthalmoscopy Data. Methods Inf Med 2018; 47:38-46. [DOI: 10.3414/me0348] [Citation(s) in RCA: 13] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/09/2022]
Abstract
Summary
Objectives:
Comparison of classification methods using data of one clinical study. The tuning of hyperparameters is assessed as part of the methods by nested-loop cross-validation.
Methods:
We assess the ability of 18 statistical and machine learning classifiers to detect glaucoma. The training data set is one case-control study consisting of confocal scanning laser ophthalmoscopy measurement values from 98 glaucoma patients and 98 healthy controls. We compare bootstrap estimates of the classification error by the Wilcoxon signed rank test and box-plots of a bootstrap distribution of the estimate.
Results:
The comparison of out-of-bag bootstrap estimators of classification errors is assessed by Spearman’s rank correlation, Wilcoxon signed rank tests and box-plots of a bootstrap distribution of the estimate. The classification methods random forests 15.4%, support vector machines 15.9%, bundling 16.3% to 17.8%, and penalized discriminant analysis 16.8% show the best results.
Conclusions:
Using nested-loop cross-validation we account for the tuning of hyperparameters and demonstrate the assessment of different classifiers. We recommend a block design of the bootstrap simulation to allow a statistical assessment of the bootstrap estimates of the misclassification error. The results depend on the data of the clinical study and the given size of the bootstrap sample.
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Schröder FF, Verdonschot NJJ, Ten Haken B, Peters A, Vochteloo AJH, Pakvis DFM, Huis In't Veld R. Low-field magnetic resonance imaging offers potential for measuring tibial component migration. J Exp Orthop 2018; 5:4. [PMID: 29330713 PMCID: PMC5766455 DOI: 10.1186/s40634-017-0116-2] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/11/2017] [Accepted: 12/20/2017] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND Roentgen stereophotogrammetric analysis (RSA) is used to measure early prosthetic migration and to predict future implant failure. RSA has several disadvantages, such as the need for perioperatively inserted tantalum markers. Therefore, this study evaluates low-field MRI as an alternative to RSA. The use of traditional MRI with prostheses induces disturbing metal artifacts which are reduced by low-field MRI. The purpose of this study is to assess the feasibility to use low-field (0.25 Tesla) MRI for measuring the precision of zero motion. This was assessed by calculating the virtual prosthetic motion of a zero-motion prosthetic reconstruction in multiple scanning sessions. Furthermore, the effects of different registration methods on these virtual motions were tested. RESULTS The precision of zero motion for low-field MRI was between 0.584 mm and 1.974 mm for translation and 0.884° and 3.774° for rotation. The manual registration method seemed most accurate, with μ ≤ 0.13 mm (σ ≤ 0.931 mm) for translation and μ ≤ 0.15° (σ ≤ 1.63°) for rotation. CONCLUSION Low-field MRI is not yet as precise as today's golden standard (marker based RSA) as reported in the literature. However, low-field MRI is feasible of measuring the relative position of bone and implant with comparable precision as obtained with marker-free RSA techniques. Of the three registration methods tested, manual registration was most accurate. Before starting clinical validation further research is necessary and should focus on improving scan sequences and registration algorithms.
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Sarker S, Das S, Helbig K, Peters A, Raidal SR. Genome sequence of an Australian strain of canid alphaherpesvirus 1. Aust Vet J 2017; 96:24-27. [PMID: 29265176 DOI: 10.1111/avj.12659] [Citation(s) in RCA: 19] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/08/2016] [Revised: 06/04/2017] [Accepted: 06/25/2017] [Indexed: 11/28/2022]
Abstract
OBJECTIVE Characterisation of a complete genome sequence of an Australian strain of canid alphaherpesvirus 1 (CHV-1) and its phylogenetic relationship with other varicellovirus species. METHODS Standard pathology and PCR methods were used to initially detect herpesvirus in hepatic tissue from an infected 4-week-old Labrador Retriever puppy. The complete CHV-1 genome was sequenced using next-generation sequencing technology followed by de novo and reference assembly, and genome annotation. RESULTS The CHV-1 genome was 125 kbp in length and contained 74 predicted open reading frames encoding functional proteins, all of which have counterparts in other alphaherpesviruses. Phylogenetic analysis using the DNA polymerase gene revealed that the newly sequenced CHV-1 clustered with canid alphaherpesvirus isolated from the UK and shared a 99% overall nucleotide sequence similarity. CONCLUSION This is the first complete genome of an Australian strain of CHV-1, which will contribute to our understanding of the genetics and evolution of herpesvirus.
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Schell H, Duda GN, Peters A, Tsitsilonis S, Johnson KA, Schmidt-Bleek K. The haematoma and its role in bone healing. J Exp Orthop 2017; 4:5. [PMID: 28176273 PMCID: PMC5296258 DOI: 10.1186/s40634-017-0079-3] [Citation(s) in RCA: 108] [Impact Index Per Article: 15.4] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/08/2016] [Accepted: 01/30/2017] [Indexed: 12/28/2022] Open
Abstract
Fracture treatment is an old endeavour intended to promote bone healing and to also enable early loading and regain of function in the injured limb. However, in today's clinical routine the healing potential of the initial fracture haematoma is still not fully recognized. The Arbeitsgemeinschaft für Osteosynthesefragen (AO) formed in Switzerland in 1956 formulated four AO principles of fracture treatment which are still valid today. Fracture treatment strategies have continued to evolve further, as for example the relatively new concept of minimally invasive plate osteosynthesis (MIPO). This MIPO treatment strategy harbours the benefit of an undisturbed original fracture haematoma that supports the healing process. The extent of the supportive effect of this haematoma for the bone healing process has not been considered in clinical practice so far. The rising importance of osteoimmunological aspects in bone healing supports the essential role of the initial haematoma as a source for inflammatory cells that release the cytokine pattern that directs cell recruitment towards the injured tissue. In reviewing the potential benefits of the fracture haematoma, the early development of angiogenic and osteogenic potentials within the haematoma are striking. Removing the haematoma during surgery could negatively influence the fracture healing process. In an ovine open tibial fracture model the haematoma was removed 4 or 7 days after injury and the bone that formed during the first two weeks of healing was significantly reduced in comparison with an undisturbed control. These findings indicate that whenever possible the original haematoma formed upon injury should be conserved during clinical fracture treatment to benefit from the inherent healing potential.
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Kwah J, Dispenza M, Peters A. P171 A case of a pituitary tumor presenting as recurrent periorbital angioedema. Ann Allergy Asthma Immunol 2017. [DOI: 10.1016/j.anai.2017.08.158] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
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90
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Peters A, Lee T. Tricks of the Trade: Navigating the Obliterated Cul-De-Sac. J Minim Invasive Gynecol 2017. [DOI: 10.1016/j.jmig.2017.08.269] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
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Peters A, Olateju T, Deschenes J, Shankarnarayan SH, Chua N, Shapiro AMJ, Senior P. Posttransplant Lymphoproliferative Disorder After Clinical Islet Transplantation: Report of the First Two Cases. Am J Transplant 2017; 17:2474-2480. [PMID: 28390107 DOI: 10.1111/ajt.14303] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/17/2017] [Revised: 03/27/2017] [Accepted: 04/01/2017] [Indexed: 01/25/2023]
Abstract
We report the first two cases of posttransplant lymphoproliferative disorder (PTLD) in recipients of islet transplants worldwide. First, a 44-year-old recipient of three islet infusions developed PTLD 80 months after his initial transplantation, presenting with abdominal pain and diffuse terminal ileum thickening on imaging. He was treated with surgical excision, reduction of immunosuppression, and rituximab. Seven months later, he developed central nervous system PTLD, presenting with vertigo and diplopia; immunosuppression was discontinued, resulting in graft loss, and he was given high-dose methotrexate and underwent consolidative autologous stem cell transplantation. He remains in remission 37 months after the initial diagnosis. Second, a 58-year-old female recipient of two islet infusions developed PTLD 24 months after initial islet infusion, presenting with pancytopenia secondary to extensive bone marrow involvement. Immunosuppression was discontinued, resulting in graft loss, and she received rituximab and chemotherapy, achieving complete remission. Both patients were monomorphic B cell PTLD subtype by histology and negative for Epstein-Barr virus in tissue or blood. These cases document the first occurrences of this rare complication in islet transplantation, likely secondary to prolonged, intensive immunosuppression, and highlight the varying clinical manifestations of PTLD. Further studies are needed to determine incidence rate and risk factors in islet transplantation.
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Kiesswetter E, Colombo M, Volkert D, Peters A, Thorand B, Holle R, Ladwig KH, Schulz H, Grill E, Diekmann R, Schrader E, Stehle P, Sieber C, Meisinger C. SUN-P054: Malnutrition and Related Risk Profiles in Older Adults from Different Settings: an Enable-Study. Clin Nutr 2017. [DOI: 10.1016/s0261-5614(17)30572-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
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93
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Jäger V, Thorand B, Rathmann W, Peters A, Schulz H, Karrasch S. Assoziation zwischen Diabetes mellitus Typ 2 und Lungenfunktion: Ergebnisse aus den KORA-Studien FF4 und Age. DAS GESUNDHEITSWESEN 2017. [DOI: 10.1055/s-0037-1605782] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
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94
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Luzak A, Karrasch S, Wacker M, Nowak D, Peters A, Schulz H. Sind Beeinträchtigungen der Lebensqualität (Dimensionen des EQ-5D) bereits bei Lungengesunden mit Lungenfunktion assoziiert (KORA F4L & Age). DAS GESUNDHEITSWESEN 2017. [DOI: 10.1055/s-0037-1605787] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
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Phillips A, Heier M, Strobl R, Linkohr B, Holle R, Peters A, Grill E. Anticholinergic and sedative medication as risk factor for vertigo and dizziness in the general population: Results from the KORA-FF4 survey. DAS GESUNDHEITSWESEN 2017. [DOI: 10.1055/s-0037-1605740] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
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Cenzer I, Laxy M, Peters A, Lee S, Holle R. ESTIMATING QALY IN LONGITUDINAL COHORT STUDIES, AND AN APPLICATION IN PATIENTS WITH DIABETES. Innov Aging 2017. [DOI: 10.1093/geroni/igx004.2720] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
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97
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Peters A. Die Selfish-Brain-Theorie. GYNAKOLOGISCHE ENDOKRINOLOGIE 2017. [DOI: 10.1007/s10304-017-0122-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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98
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Volaklis KA, Thorand B, Peters A, Halle M, Heier M, Strasser B, Amann U, Ladwig KH, Schulz H, Koenig W, Meisinger C. Physical activity, muscular strength, and polypharmacy among older multimorbid persons: Results from the KORA-Age study. Scand J Med Sci Sports 2017; 28:604-612. [PMID: 28329413 DOI: 10.1111/sms.12884] [Citation(s) in RCA: 22] [Impact Index Per Article: 3.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 03/17/2017] [Indexed: 12/17/2022]
Abstract
The purpose of this study was to examine whether physical activity (PA) and muscular strength (MS) are related to polypharmacy. Our cross-sectional analysis was based on 711 patients with multimorbidity (MMB), aged 65-94 years, who participated in the KORA-Age study. Participants underwent a face-to-face interview and extensive physical examinations including anthropometric measurements, registration of chronic diseases, determination of health-related behaviors (smoking, alcohol intake, physical activity, etc.), collection of blood samples and measurement of hand-grip strength. PPha was defined as the use of >4 drugs and MMB as having ≥2 of 13 chronic diseases. Prevalence of PPha was 44.6% (n=317), and a significant difference was found in the number of drugs used between participants with and without PPha (7.2±2.1 vs 2.5±1.2, P<.001). Patients in the lower compared to the upper tertile of physical activity had a significantly increased odds to be on PPha (OR: 1.64, 95% CI: 1.05-2.56, P=.031) after controlling for age, gender, BMI, family status, education, alcohol intake, smoking habits, number of diseases, hs-CRP, and telomere length. On the contrary, no significant association between muscular strength and PPha was found (OR: 1.04, 95% CI: 0.66-1.63, P=.873) after multivariable adjustment. Among older persons with MMB, lower levels of physical activity, but not low muscular strength, are associated with higher odds of PPha. Increasing the levels of physical activity appears to be highly recommended in order to potentially reduce the risk of PPha among multimorbid persons aged 65 and older.
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Chawala A, Banos G, Komwihangilo D, Peters A, Chagunda M. Phenotypic and genetic parameters for selected production and reproduction traits of Mpwapwa cattle in low-input production systems. S AFR J ANIM SCI 2017. [DOI: 10.4314/sajas.v47i3.7] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
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Peters A. Transparency and Due Process: A Systematic Approach to Educational Decision-making and Appeals. Eur Psychiatry 2017. [DOI: 10.1016/j.eurpsy.2017.02.185] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/26/2022] Open
Abstract
IntroductionTransparency and due process are inseparable principles that should underpin any educational and administrative decision made within an organization.ObjectivesIt is considered best practice for organizations to place the processes and structures surrounding reviews of decisions made by their organization at arm's length to the committee or group that made the original decision. This ensures there is and that due process is followed.AimsAn independent appeal process is an integral part of any fair system of assessment and decision making.MethodsThe Royal Australian and New Zealand College of psychiatrists has undertaken several reviews of its current processes to examine its practices as both substantive and procedural issues arise in decisions with regard to the provision of psychiatric training. The reconsideration and appeal policy was developed to set out a clear and fair process for applicants to request decisions of the RANZCP to be reconsidered and appealed. This ensures that an applicant has a fair and reasonable opportunity to challenge the original decision whilst receiving support from the RANZCP to minimize any stress that may be experienced during this process.ResultsThe RANZCP has observed that the three phase process has enabled matters to be resolved at an earlier stage of the appeal cycle and do not require progression to a formal appeal.ConclusionThis presentation will identify best practice methods in educational decision-making and conducting appeals.Disclosure of interestThe author has not supplied his/her declaration of competing interest.
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