Multiple Variable Regression Analysis Research Articles

P-669 Not the oocyte yield but the number of embryos predicts live birth at high response: analysis of 39,136 fresh IVF/ ICSI cycles from National Database

Abstract Study question Oocyte or embryo yield- which is a better predictor of live birth (LB) in fresh cycle IVF/ ICSI? Summary answer The embryo yield is better than oocyte in predicting fresh-cycle LB and positively correlates with LB at high ovarian response when the oocytes yield doesn’t. What is known already As the LB rates plateau after a certain oocyte yield, the number of oocytes collected no longer can predict the live birth in IVF/ ICSI cycles with fresh embryo transfer.Since pregnancy outcomes also depend on the number of mature oocytes obtained, fertilisation rate and subsequent embryo development, it can be postulated that the number of total or transferrable embryos could be a better predictor of LB. Study design, size, duration Retrospective analysis of 39,136 fresh IVF/ ICSI cycles that met the inclusion criteria from the national database published by Human Fertilisation and Embryology Authority (HFEA) in the United Kingdom. We analysed 2 years of published data between January 2015 and December 2016. Participants/materials, setting, methods Only the first cycles of IVF/ ISCI that had oocyte retrieval procedure with intended fresh embryo transfer were included. Couples with any cause of infertility and female partners aged up to 44 years were included. Very few cycles with >25 oocytes had fresh transfer, therefore excluded. The ovarian response has been graded by 0-5, 6-10, 11-15, 16-20, 21-25 collected oocytes. Significant confounders found in univariate analysis were adjusted for in the multiple regression model. Main results and the role of chance Women’s age, method of insemination (IVF or ICSI) and number of transferred embryos and stage of transfer significantly associated with LB in univariate analysis (p < 0.0001 each). The oocyte yield predicted fresh-cycle LB only in low response group (0-5 oocytes), but not in higher response groups. Total number of embryos, the number of transferable embryos and embryo utilisation rate remained positively correlated with LB in all response groups. The number of transferable embryos found to be the best predictor of LB with the highest adjusted OR 1.51 (CI:1.4-1.65, p < 0.0001) in the lowest response (0-5 oocyte) group, that gradually declined to 1.06 (CI:1.03-1.10, p = 0.0003) in 21-25 oocytes group. Followed next by the total number of embryos with the highest adjusted OR of 1.20 (CI:1.13-1.27, p < 0.0001) in the lowest response (0-5 oocytes) group, down to 1.04 (CI:1.02-1.06, p = 0.0003) in the 21-25 oocytes group. The number of oocytes was the weakest in predicting LB (adjusted OR 1.07 (CI 1.02-1.12; p = 0.003) in the 0-5 oocytes group only. The inference remained the same when ICSI cycles with supposedly sperm factor was excluded. Limitations, reasons for caution Information on patient’s BMI or stimulation dose is not available in the HFEA database. However, it might have little impact in our findings, given large sample size. Ages are given in groups, so the groups taken as ordinal (dummy) variables in multiple regression analysis. Cumulative LB data were not available. Wider implications of the findings Having been influenced by both oocyte and sperm competency, the number of transferable embryos may have a stronger relation with the pregnancy outcomes than merely the oocyte number. On theory, this may be applicable for cumulative LB too, but awaiting confirmation by data evidence. Trial registration number Not applicable

Evolution of Pediatric Critical Care Medicine Physicians Clinical and Academic Profile by Gender.

To examine career trajectory and academic profile of Pediatric Critical Care Medicine (PCCM) physicians, with special focus on gender differences. Observational cross-sectional study of PCCM fellowship graduates using publicly available data. Publicly available databases including National Provider Identifier registry, American Board of Pediatrics, Doximity, official hospital websites, and Scopus. Two thousand one hundred twenty-nine PCCM fellowship graduates employed in clinical positions in U.S. practice locations. None. Physician demographic characteristics included gender and time since fellowship completion. Current career and academic characteristics included employment data, publication productivity (h-index), and academic rank. Data from 2129 career PCCM physicians was included, with recent graduates showing a notable increase in female representation. Workplace characteristics revealed that most PCCM physicians worked in university-affiliated hospitals, with higher percentages of female physicians working in university-affiliated hospitals compared with male physicians. The study also highlighted significant gender disparities in academic metrics, with male physicians having higher h-indices (3 vs. 2; p < 0.001) and more publications (6 vs. 4; p < 0.001) than their female counterparts across various career phases. Additionally, the analysis showed gender differences in academic rank, with a higher proportion of female faculty holding assistant and associate professor ranks (58.2% vs. 47.5%; p < 0.001), while a greater percentage of male faculty held the rank of professor (20.2% vs. 11.1%; p < 0.001). Multiple variable regression analysis identified both male gender and time since fellowship graduation as independently associated with a physician's h-index, while only time since fellowship graduation was linked to current academic rank. This is the first analysis of career and academic characteristics of practicing PCCM physicians, additionally studying the association of gender and career trajectory. Gender discrepancy was seen in employment hospital characteristics, h-indices, and academic rank. Additional studies are required to further explore the impact of gender on career trajectory.

Extent of Adoption Regarding Recommended Cultivation Practices of Landraces by the Beneficiaries of Global Environment Facilities

The present study examined the adoption levels among 113 kharif crop growers in Osian tehsil (Jodhpur) and Chohtan tehsil (Barmer) of Rajasthan. Results indicated that 64 respondents (56.64%) exhibited medium adoption, 36 of them (31.86%) showed high adoption, and 13 respondents (11.50%) had low adoption levels of recommended practices. Practice-wise analysis revealed the highest adoption in “Sowing of seed” (87.33 MPS), followed by “Spacing” (85.00 MPS), “Harvesting” (81.67 MPS), and “Storage” (80.00 MPS). Lower adoption rates were observed in “Fertilizer application” (61.33 MPS), “Seed treatment” (67.67 MPS), and “Plant protection measures” (78.67 MPS). Multiple regression analysis of independent variables with adoption showed that family type, income level and social participation had positive relationship with adoption whereas age, caste, occupation, level of education and land holding had negative association with adoption. These findings underscore the varied adoption levels across different practices, highlighting areas for targeted intervention to enhance overall compliance with recommended cultivation techniques.

Short-Term Outcome of Ultrasound Therapy in Sudanese Patients with Knee Osteoarthritis

Objectives: the aim of this study is to evaluate the short term effectiveness of therapeutic ultrasound therapy modalities in patient with knee OA. Methodology: This is a prospective, double blinded clinical trial, conducted among 45 participants. Participants were divided into three groups each of 15 patients. In Group A – continuous ultrasound was used, in Group B – pulsed ultrasound was used and in Group C – traditional physiotherapy without ultrasound therapy was used. Groups A and B also received traditional physiotherapy in addition to ultrasound. Visual analog scale, WOMAC questionnaire, range of motion assessment, manual muscle test, and circumference were used for evaluation before and after rehabilitation program. Data were analyzed using Statistical Package for the Social Sciences (SPSS) and multiple regression analysis of variables was done. The ethical approval was obtained from the institutional review board at Alneelain University and a verbal and written consent was obtained from the participants before the interview. Result: When comparing the three groups, we Found that no difference in WOMAC score, and there was no differences in the edema and stiffness between the three groups. The only difference was in reduced pain (VAS) in the pulsed group (P-value 0.004*), when compared to the other two groups. Conclusion: Among 45 patients in this study we found that pulsed ultrasound therapy was very effective in reduction of pain, and there was no difference in the WOMAC index score, edema between the three groups at the end of treatment. When comparing the range of motion, Group B showed the greatest improvement in the motion. The traditional physiotherapy group(c) and the two ultrasound therapy groups (A &amp; B) had the same outcomes at the end of treatment programs. Keywords: Knee osteoarthritis, Ultrasound therapy, Pulsed ultrasound, Continuous ultrasound, Traditional physiotherapy, Effect of ultrasound therapy, Outcome of ultrasound therapy.

Pengaruh Kualitas Pelayanan Terhadap Loyalitas Nasabah Pada BMT Taqwa Muhammadiyah Cabang Pasar Raya Padang

The aim of this research is to determine and analyze the influence of service quality on customer loyalty who use BMT services using five dimensions of service quality at BMT Taqwa Muhammadiyah Cabang Pasar Raya Padang. The method used is descriptive quantitative based on multiple linear regression analysis of service quality variables on customer loyalty in using the products and services of BMT Taqwa Muhammadiyah Cabang Pasar Raya Padang. The results of this research say that Tangibles has a positive and significant effect on customer loyalty of BMT Taqwa Muhammadiyah Cabang Pasar Raya Padang, Second, Empathy has a significant and positive effect on customer loyalty of BMT Taqwa Muhammadiyah Cabang Pasar Raya Padang, Reability has a positive but not significant effect on customer loyalty BMT Taqwa Muhammadiyah Cabang Pasar Raya Padang, Responsiveness has a positive but not significant influence on customer loyalty. BMT Taqwa Muhammadiyah Cabang Pasar Raya Padang and Assurance have a positive and significant influence on customer loyalty of BMT Taqwa Muhammadiyah Cabang Pasar Raya Padang.

Experimental Investigations on the Thermal Characteristics of Domestic Convectors

Better understanding of local thermal characteristics of domestic convectors could play a crucial role in reducing energy consumption for space heating and decarbonizing the economy. The current study evaluates the impact of varying water inlet temperature and flowrate on the local surface temperature of domestic convectors through extensive empirical investigations. Experiments are performed using a custom-made test-rig featuring a 400 mm × 600 mm Type 11 convector within a large and well-ventilated environment, minimizing the thermal influence of the surrounding space on the thermal behavior of the convector. Infrared thermography (IR) is used to acquire local surface temperature data for further analysis. Based on the results obtained, it has been observed that the inlet water temperature has a negligible effect on thermal characteristics of the convector while increasing the flowrate substantially decreases the time required for the convector to reach maximum surface temperature. Based on the numerical data, an analytical model for average surface temperature has been developed using multiple variable regression analysis, demonstrating a prediction accuracy of &gt;90% compared with the experimental data. A detailed understanding of the heating behavior exhibited by domestic convectors has led to a better understanding of the local thermal characteristics, while the prediction model can be used to develop machine learning algorithms to install better flow control techniques for efficient space heating.

간호대학생의 Polychronicity 성향, 명예규율서약, 학업성취도가 셀프리더십에 미치는 영향

Objectives In this study, an attempt was made to identify the influencing factors of self-leadership and prepare basic data for the development of nursing education programs. Methods An online survey was conducted using a structured questionnaire to measure variables related to self-leadership among 108 nursing students located in Chungcheongnam-do. Polychronicity tendency, honor code pledge, and GPA(grade point average) were selected as relevant variables in multiple regression analysis. The collected data were analyzed using descriptive statistics t-test, Pearson correlation coefficients, and multiple re-gression using IBM SPSS 26.0 program. Results In this study, the honor code pledge and GPA(grade point average) were found to have a significant impact on the self-leadership of nursing students, and the explanatory power R² of the self-leadership of related variables was measured at 0.14 (adjusted R²=.12). There was a positive correlation between self-leadership and the honor code pledge, and a negative correlation between polychronicity tendency and GPA(grade point average). The sub-ject's self-leadership was 3.5 points (4 points), polychronicity tendency was 2.2 points (4 points), honor code pledge was 3.7 points (4 points), and GPA(grade point average) was 3.7 points (4.5 points). Conclusions Because every nurse who deals with patients and carries out work must have self-leadership as a leader who can represent the organization, there is a need to develop self-leadership nursing education that can promote ethical and moral development and increase the level of professional knowledge for nursing students who are prospective nurses.

The health and quality of life of dental workers in jordan during COVID-19: A cross-sectional study.

Dental team members are susceptible to high mental and physical stress levels, which could have increased during the Coronavirus disease 2019 (COVID-19). This study aimed to evaluate Jordanian dental workers' health-related quality of life (HRQoL) and determine its predictors during the COVID-19 Pandemic. This was a cross-sectional survey study conducted on dental team members, namely; Dentists, dental Assistants, and Dental Technicians. The survey questionnaire was composed of questions related to stress during COVID-19, a short-form survey of 12 items (SF-12), a Depression, Anxiety, and Stress scale (DASS-21), and a Nordic musculoskeletal disorder questionnaire (NMQ). Descriptive analyses were used to describe the main outcome measures, and multiple variable regression analysis was conducted to identify the quality of life predictors. Participants' HRQoL measured by SF-12 showed a mean±SD score of 67.1±17.19 for the physical component and 54.51±20.27 for the mental component. The Nordic scale showed symptoms of lower back pain as 63.9% over 12 months, 32% over 12 months' functional limitation symptoms, and 45% in 7 days The regression model was found strong for our study with 53.8% variations (r2 = 0.538, F = 43.739, P < 0.001) in health-related quality of life. Our study concluded that the level of HRQoL among Jordanian dental specialists during COVID-19 was observed to impact levels of physical and mental well-being which negatively influence the quality of life. Predictive factors like depression, stress, anxiety, musculoskeletal health, and individual everyday quality of life significantly affect the HRQoL of dental specialists.

Quantitative differences in volumetric calculations for radiation dosimetry in segmental Y90 treatment planning using hybrid angiography-CT compared with anatomic segmentation.

To compare treatment volumes reconstructed from hybrid Angio-CT catheter-directed infusion imaging and Couinaud anatomic model as well as the implied differences in Y-90 radiation dosimetry. Patients who underwent transarterial radioembolization (TARE) using Y-90 glass microspheres with pretreatment CT or MRI imaging as well as intraprocedural angiography-CT (Angio-CT) were analysed. Treatment volumes were delineated using both tumoural angiosomes (derived from Angio-CT) and Couinaud anatomic landmarks. Segmental and lobar treatment volumes were calculated via semi-automated contouring software. Volume and dose differences were compared by the two-tailed Student t test or Wilcoxon signed-rank test. Factors affecting volume and dose differences were assessed via simple and/or multiple variable linear regression analysis. From September 2018 to March 2021, 44 patients underwent 45 lobar treatments and 38 patients received 56 segmental treatments. All target liver lobes and all tumours were completely included within the field-of-view by Angio-CT. Tumour sizes ranged between 1.1 and 19.5 cm in diameter. Segmental volumes and treatment doses were significantly different between the Couinaud and Angio-CT volumetry methods (316 vs 404 mL, P < .0001 and 253 vs 212 Gy, P < .01, respectively). Watershed tumours were significantly correlated with underestimated volumes by the Couinaud anatomic model (P < .001). There was a significant linear relationship between tumour diameter and percent volume difference (R2 = 0.44, P < .0001). The Couinaud model overestimated volumes for large tumours that exhibited central hypovascularity/necrosis and for superselected peripheral tumours. Angio-CT may confer advantages over the Couinaud anatomic model and enable more accurate, personalized dosimetry for TARE. Angio-CT may confer advantages over traditional cross-sectional and cone-beam CT imaging for selective internal radiation therapy planning.

The Influence of Work Discipline and Public Service Systems on Community Satisfaction in One-Stop Services in Sawahlunto City

This research was conducted at the One Stop Service Office in Sawahlunto City. The purpose of this research was to determine the effect of work discipline and the public service system on the satisfaction of service users. The method used in this study is a quantitative method using SPSS 22. In this study, the population of people who carry out public services at the One-Stop Service in Sawahlunto City is 34 people. By using accidental sampling, a sample of 34 people was obtained. The data collection technique used is by using a questionnaire or questionnaire. Based on multiple linear regression analysis of work discipline and public service system variables on community satisfaction, Y = 1.257 + 0.745 X1 + 0.0377 X2 + e. From the t-test conducted, it was found that work discipline variable X1 had a significant effect on community satisfaction with a variable value of 3.407 &gt; 2.039 and a significance level value of 0.002 &lt;0.05. Variable X2 public service system has an influence on community satisfaction with a variable value (2.119 &gt; 2.039) and a significance level value of 0.002 &lt;0.05. Judging from the f test conducted, it was found that work discipline and public service systems have a simultaneous effect on community satisfaction, that fcount &gt; ftable (15,034 &gt; 3.29), with a significance probability of 0.000 &lt;0.05. This can be seen from the R Square value of 0.492 or 49.2% and the rest is influenced by other variables not included in this study of 50.8%.

Impact of COVID-19 on Manufacturing Overhead Cost: A Case of an Electronic OEM Company in Guangdong, China

This research analyzes the data of the manufacturing overhead costs (MOHC) of a plant in an electronic OEM company (located in Guangdong, China) during and after the COVID-19 pandemic. A paired t-test and a multiple variable regression analysis are conducted. MOHC and other indications are visualized by time sequence diagrams to facilitate the identification of the difference between mid- and post-pandemic. Through diving deeper into the effect of COVID-19 on the MOHC, Unit MOHC, and shipment, the overall influence of COVID-19 on the entire electronic OEM industry can be inferred. It is concluded that COVID-19 has influenced MOHC, Unit MOHC, shipment, and employee size, which may bring forth a paradigm-shifting experience on how people view the influence of COVID-19 on the entire electronic OEM industry and pave the way for further research afterward. This paper fills the research gap by focusing on one plant in one company, avoiding the difference in MOHC among different companies and plants.

Peer learning is both preferable and less expensive than score-based peer review: Initial experience at a tertiary academic center

PurposeTo examine radiologist experiences and perceptions during a transition from score-based peer review to a peer learning program, and to assess differences in time-cost efficiency between the two models of quality improvement. MethodsDifferences in Likert scale survey responses from radiologists (N = 27) in a multispecialty group at a single tertiary academic center before and following intervention were evaluated by Mann-Whitney U test. Multiple variable linear regression analysis assessed independent variables and program preference. ResultsAll positive impacts rated significantly higher for the peer learning program. Workflow disruption for the peer learning program rated significantly lower. 70.4 % (19 of 27) preferred the new program, and 25.9 % (7 of 27) preferred the old program. Only the “worth investment” questionnaire score demonstrated a significant correlation to program preference and with an effect that was greatest among all variables (Beta = 1.11, p = 0.02). There was a significantly decreased amount of time per month used to complete peer learning exercises (0.76 ± 0.45 h, N = 27) versus peer review exercises (1.71 ± 1.84 h, N = 34, p = 0.011). The result was a difference of 0.95 ± 1.89 h/month (11.4 ± 22.7 h/year), translating to an estimated direct salary time-cost saving of $1653.68/year/radiologists and a direct productivity time-cost saving of $3469.39/year/radiologist when utilizing the peer learning program. ConclusionsThere was a strongly positive perception of the new peer learning program. There was a substantial implied direct time-cost saving from the transition to the peer learning program. PrecisThe peer learning model emphasizes learning from errors via feedback in a non-punitive environment. This model was positively perceived and demonstrated substantial implied direct time-cost saving.

Dynamic high‐temperature crystallization and processing properties of industrial soda–lime–silica glasses

AbstractIn situ dynamic crystallization properties of industrial soda–lime–silica glasses at realistic processing temperatures have not yet been explored. Hence, we collected in situ high‐temperature X‐ray diffraction patterns for 10 different industrially manufactured soda–lime–silica glasses as a function of temperature between 900 and 1200°C to investigate the phase relations in their devitrified melts. The high‐temperature X‐ray diffraction study was complemented by measuring the liquidus temperature of those glasses by the temperature gradient technique. A multiple variable regression analysis was applied to the experimental and modeled data to produce a predictive model for the rate of solidification and liquidus temperature based on glass composition. We have demonstrated that forms of quartz (SiO2) and Na2CaSiO4, which are not traditionally identified by room temperature X‐ray diffraction studies of commercial soda–lime–silica glasses, are the dominant crystalline phases at 800 and 900°C. Upon further heating, different forms of cristobalite become the primary phase field prior to the formation of X‐ray amorphous melts, irrespective of the glass composition. Sporadic unidentified as well as high‐temperature stable SiO2 polymorphs that are not recoverable to room temperature were also observed. In contrast to the literature, wollastonite (CaSiO3) and devitrite (Na2Ca3Si6O16), which are the main predictor variables in previously developed liquidus temperature models, were not observed prior to the formation of X‐ray amorphous glass melts, and hence their influence on liquidus temperature may be questionable. It was also found that the difference between glass processing and liquidus temperatures can be excessively high, and such large temperature differences can potentially be exploited and reduced to enable decreases in melting or processing temperatures of industrial soda–lime–silica glass melts.

Myocardial markers are highly altered by higher rates of fluid removal during hemodialysis.

Although hemodialysis is lifesaving in patients with kidney failure extensive interdialytic weight gain (IDWG) between dialyses worsens the prognosis. We recently showed a strong correlation between IDWG and predialytic values of cardiac markers. The aim of the present study was to evaluate if the cardiac markers N-terminal pro-B-type natriuretic peptide (proBNP) and troponin T were influenced by IDWG and speed of fluid removal (ultrafiltration-rate). Twenty hemodialysis patients performed in total 60 hemodialysis (three each). Predialytic values of proBNP and troponin T and changes from predialysis to 180 min hemodialysis (180-0 min) were compared with the IDWG calculated in percent of body weight. The ultrafiltration-rate was adjusted (UF-rateadj ) to IDWG: (100 × weight gain between dialysis [kg])/(estimated body dry weight [kg] × length of hemodialysis session [hours]). UF-rateadj correlated (Spearman) with (1) predialytic values of IDWG (r = 0.983, p < 0.001), proBNP (r = 0.443, p < 0.001), and troponin T (r = 0.296, p = 0.025); and (2) differences in proBNP180-0min (r = 0.572, p < 0.001) and troponin T180-0min (r = 0.400, p = 0.002). UF-ratesadj above a breakpoint of 0.60 caused more release of proBNP180-0min (p = 0.027). Remaining variables in multiple regression analysis with ProBNP180-0min as dependent factor were predialytic proBNP (p < 0.001) and the ultrafiltration-rate (p < 0.001). Higher UF-rateadj during dialysis was correlated to increased levels of cardiac markers. Data support a UF-rateadj lower than 0.6 to limit such increase. Further studies may confirm if limited fluid intake and a lower UF-rateadj should be recommended to prevent cardiac injury during dialysis.

Differences in walking and cycling between professional immigrants and comparable ethnic Dutch: A quantitative analysis from the Netherlands

Active travel (e.g. walking and cycling) is encouraged in the Netherlands for the many environmental and health benefits it offers, and, as a result, the country has among the highest rates of cycling in the world. This is at least partially attributed to investments in cycle infrastructure. Yet few other countries have followed the Netherlands lead and invested similarly, and arguments are made that the Dutch life experience and culture are also important in encouraging walking and cycling. To examine the influence mobility culture on active travel behaviour, this study assesses similarities and differences in walking and cycling between a sample of professional immigrants living in the Netherlands’ Randstad region and a socio-demographically comparable sample born and raised in the Netherlands. The study found both similarities and differences in walking and cycling between professional immigrants and ethnic Dutch, with the immigrants actually walking and cycling more than the ethnic Dutch. In order to identify factors that influenced preferences to and levels of walking and cycling, a multiple linear regression analysis of dichotomous and ordinal variables based on their polychoric correlations was applied. Findings show that socio-demographic characteristics, car and bicycle access and trip purpose have a significant effect on the active travel behaviour of the two population groups. In addition, findings demonstrate that car access and use is associated with reduced active travel mode use. However, the reasons and causes of the differences in walking and cycling behaviour between immigrants and ethnic Dutch need further research.

Psychosocial health and activities during the COVID-19 pandemic.

The COVID-19 pandemic has become a major cause of stress at work. To examine the effect of self-management and self-control skills on perceived stress of employees in the COVID-19 period. The study's self-administered survey included demographics and the Perceived Stress Scale (PSS) and Self-Control and Self-Management Scale (SCMS). Associations with PSS were determined using a multiple variable linear regression analysis. Scores for stress (28.45±7.82) and self-management (55.73±12.15) were moderate for employees. Of the 181 employees, 41.43% had a mild, 52.48% had moderate, and 6.07% had severe stress levels. Stress was significantly associated with lower self-management level. A negative relation was found between SCMS and PSS (p = 0.000, r = -0.320). Employees with high self-management skills had low stress levels. Employees also reported negative changes to physical activity, income and sleep. Gender, occupation, income category, compliance with COVID-related rules and self-management were associated with levels of stress (p < 0.05). The regression model explained 24.8% of the variance in stress perception (R2=0.248, F = 11.452, p = 0.000). Multiple linear regression analysis showed gender (β=5.089, 95% CI: 2.820 to 7.358, p = 0.000) compliance with COVID-related rules (β=2.274, CI: 0.066 to 4.483, p = 0.044), a decrease in income (β=2.051, CI: -0.64 to 4.166, p = 0.057) and self-management (β=-0.173, CI: -0.258 to -0.087, p = 0.000) were significantly associated with lower scores in the stress perception. Self-control and self-management were associated with a decline in mental health. Health-promotion strategies directed at adopting or maintaining positive self-control and self-management-related behaviors should be utilized to address increases in psychological distress during the COVID-19 pandemic.

Application of laser welding to STS301L side structure of railway vehicles (II) - incidence angle welding conditions for laser beam based on multiple regression analysis of dummy variables

Application of laser welding to STS301L side structure of railway vehicles (II) - incidence angle welding conditions for laser beam based on multiple regression analysis of dummy variables

Attempt to Make the Upper-Limb Item of Objective Fugl-Meyer Assessment Using 9-Axis Motion Sensors.

The Fugl-Meyer Assessment (FMA) has been used as a functional assessment of upper-limb function in stroke patients. This study aimed to create a more objective and standardized evaluation based on an FMA of the upper-limb items. A total of 30 first-ever stroke patients (65.3 ± 10.3 years old) and 15 healthy participants (35.4 ± 13.4 years old) admitted to Itami Kousei Neurosurgical Hospital were included. A nine-axis motion sensor was attached to the participants, and the joint angles of 17 upper-limb items (excluding fingers) and 23 FMA upper-limb items (excluding reflexes and fingers) were measured. From the measurement results, we analyzed the time-series data of each movement and obtained the correlation between the joint angles of each part. Discriminant analysis showed that 17 and 6 items had a concordance rate of ≥80% (80.0~95.6%) and <80% (64.4~75.6%), respectively. In the multiple regression analysis of continuous variables of FMA, a good regression model was obtained to predict the FMA with three to five joint angles. The discriminant analysis for 17 evaluation items suggests the possibility of roughly calculating FMA scores from joint angles.

An Asteroid Mining Model Based on Input and Output Equity

With the progress of science and technology and the rapid consumption of earth resources, the exploitation of outer space resources such as planetary mining has become an international hot issue. The power gap between countries in today’s world is so wide that how to realize the so-called fairness has become a problem worth thinking. Firstly, we establish an Input Output Equity Model (IOEM) to measure global equity. We define global equity as the balance between the input of human and material resources in the management and construction of a country and the overall strength of the country. Ten sets of data from many countries are divided into four categories: Science and technology, Traffic, Workforce and Energy consumption. We used the Entropy Weight method (EWM) based on TOPSIS comprehensive evaluation to determine the weight of each part and index, comprehensively evaluated 12 countries covering six continents and calculated their input equity index. Then we compared the index with the GDP of each country and found that the overall trend was consistent. This shows that there is a balance between input and output, which verifies the rationality of the model. We then establish the Asteroid Mining Model (AMM) to evaluate and predict the Asteroid Mining capabilities of various countries. In combination with the whole process of asteroid mining and the analysis of main components, we choose these three indicators: Scientific Research (SR), Exploitation of Mineral (EM) and Aeronautics and Astronautics (AA) to measure. We use the analytic hierarchy process (AHP) to determine the weights of the three factors and calculate Asteroid Mining Model (AMI) for each country. Then, the model is applied to two representative countries, China and Colombia, and the future is predicted by fitting. According to the results, it is concluded that the asteroid mining industry has a good development prospect. Next, we use correlation analysis to discuss the impact of the asteroid mining industry on global equity and conclude that there is a correlation between the decision index of asteroid mining and equity index, among which the correlation coefficient between aircraft and equity index reaches 0.9290. It can be concluded that the development of asteroid mining in the future will inevitably affect global equity. Furthermore, in order to explore how changes in asteroid mining will affect global equity in different ways, we carry out multiple linear regression analysis of variables from macro and micro perspectives respectively and find that the development of asteroid mining industry will indirectly affect global equity through its impact on computers and researchers. Finally, based on our findings, we propose policy recommendations for the development of asteroid mining to the United Nations from the perspective of global equity. Our advice can be summed up as “Inspire, Share and Collaborate”. We hope that while promoting scientific and technological development and exploration of outer space, all countries will enjoy friendly cooperation and common development so as to realize a fair and beautiful vision of the universe.

MP75-02 A SINGLE-CENTER RETROSPECTIVE REVIEW OF PROSTATE CANCER SCREENING AMONG TRANSGENDER AND NON-BINARY PATIENTS

You have accessJournal of UrologyCME1 Apr 2023MP75-02 A SINGLE-CENTER RETROSPECTIVE REVIEW OF PROSTATE CANCER SCREENING AMONG TRANSGENDER AND NON-BINARY PATIENTS Mona Ascha, Christopher Alabastro-Gonzales, Keith Weissman, Emily Chwa, Stephanike Erickson, Dylan Felt, Lauren Beach, Sumanas W. Jordan, and Diana K. Bowen Mona AschaMona Ascha More articles by this author , Christopher Alabastro-GonzalesChristopher Alabastro-Gonzales More articles by this author , Keith WeissmanKeith Weissman More articles by this author , Emily ChwaEmily Chwa More articles by this author , Stephanike EricksonStephanike Erickson More articles by this author , Dylan FeltDylan Felt More articles by this author , Lauren BeachLauren Beach More articles by this author , Sumanas W. JordanSumanas W. Jordan More articles by this author , and Diana K. BowenDiana K. Bowen More articles by this author View All Author Informationhttps://doi.org/10.1097/JU.0000000000003349.02AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: Transgender and non-binary (TGNB) individuals face many barriers to accessing healthcare, and appropriate health screenings are often missed. Prostate cancer screening among the TGNB designated male at birth (DMAB) population is not well reported. This study examines screening patterns among TGNB DMAB patients at an urban tertiary care institution. METHODS: A system-wide data search was performed from March 2019-February 2021 to flag any encounters containing a diagnosis code for gender dysphoria, notation within structured demographic gender identity fields, or a clinical note with TGNB-related keyword. Charts were reviewed and all patients conclusively TGNB DMAB over the age of 40 were included as eligible for prostate-specific antigen (PSA) screening. Rates of screening as defined by any PSA were calculated according to AUA guidelines. RESULTS: Overall 190 patients had complete data and were eligible. Four patients were excluded from screening analysis with a history of prostate cancer; only 1 was on hormone therapy at the time of diagnosis. The median (IQR) age was 55.5 [48.3, 65.5] years and 19.2% African American race. The majority identified as transgender women (n=189, 98.4%). One hundred and fifty-five (80.7%) patients were on estrogen therapy. Ninety-one (47.4%) patients had received some type of gender-affirming surgery, with 20% orchiectomy and 16% vaginoplasty. The rate of lifetime prostate cancer screening after transition was 26.6% for patients >40 years of age and 20.6% for those 55-69 years of age. Multiple regression analysis of predictor variables including employment status, insurance status, education, hormone therapy, and race revealed no significant association with any prostate cancer screening being performed CONCLUSIONS: Prostate cancer screening rates in the TGNB DMAB population are lower than institutional and national rates for cisgender men. Further investigation into barriers as well as appropriate screening protocols specific to the TGNB population is needed. Source of Funding: None © 2023 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 209Issue Supplement 4April 2023Page: e1079 Advertisement Copyright & Permissions© 2023 by American Urological Association Education and Research, Inc.MetricsAuthor Information Mona Ascha More articles by this author Christopher Alabastro-Gonzales More articles by this author Keith Weissman More articles by this author Emily Chwa More articles by this author Stephanike Erickson More articles by this author Dylan Felt More articles by this author Lauren Beach More articles by this author Sumanas W. Jordan More articles by this author Diana K. Bowen More articles by this author Expand All Advertisement PDF downloadLoading ...