423 research outputs found
Exact Inference for the Linear Model with Groupwise Heteroscedasticity
Exact inference on a single coefficient in a linear regression model, as introduced by Bekker (1997), is elaborated for the case of normally distributed heteroscedastic disturbances. Instead of approximate inference based on feasible generalized least squares, exact confidence sets are formulated based on partial rotational invariance of the distribution of the vector of disturbances. The approach is applied to the random-effects and fixed-effects models for panel data.
Shrinkage of the distal renal artery 1 year after stent placement as evidenced with serial intravascular ultrasound
The objective of this study was to determine the quantitative
intravascular ultrasound (IVUS) and angiographic changes that occur during
1 year follow-up after renal artery stent placement, given that restenosis
continues to be a limitation of renal artery stent placement. 38
consecutive patients with symptomatic renal artery stenosis treated with
Palmaz stent placement were studied prospectively. IVUS and angiography
were performed at the time of stent placement and at 1 year follow-up. At
follow-up, angiographic restenosis was seen in 14% of patients. The lumen
area in the stent, seen with IVUS, was significantly decreased from
24+/-5.6 mm(2) to 17+/-5.6 mm(2) (p<0.001) solely due to plaque
accumulation. The distal main renal artery showed a significant decrease
in lumen area owing to a significant vessel area decrease from 39+/-14.0
mm(2) to 29+/-9.3 mm(2) (p<0.001) without plaque accumulation.
Angiographic analysis confirmed this reduction in luminal diameter and
showed that the distal renal artery diameter at follow-up was
significantly smaller than before stent placement (86+/-23.0% vs
104+/-23.9% of the contralateral renal artery diameter; p=0.003). Besides
plaque accumulation in the stent, unexplained shrinkage of the distal main
renal artery was evidenced with IVUS and angiography 1 year following
stent placement
Glass scales on the wing of the swordtail butterfly Graphium sarpedon act as thin film polarizing reflectors
The wings of the swordtail butterfly Graphium sarpedon (the Common Bluebottle) have blue/green-colored patches that are covered on the underside by two types of scales: white and glass scales. Transmission and scanning electron microscopy revealed that the white scales are classically structured: the upper lamina, with prominent ridges and large open windows, is well separated by trabeculae from a flat, continuous lower lamina. In the glass scales, the upper lamina, with inconspicuous ridges and windows, is almost flat and closely apposed to the equally flat lower lamina. The glass scales thus approximate ideal thin films, in agreement with the observation that they reflect light directionally and are iridescent. Reflectance and transmittance spectra measured from the glass scales with a microspectrophotometer agree with spectra calculated for an ideal non-absorbing thin film. Imaging scatterometry of single, isolated glass scales demonstrated that the reflected light can be strongly polarized, indicating that they function as polarizing reflectors
Democratic legitimacy in governance of education:Legal versions of an educative democracy in primary and secondary education
Experiencing versus remembering:Comparing ecological momentary assessment to retrospective assessment in personalized feedback procedures
Percutaneous transhepatic biliary drainage in patients with postsurgical bile leakage and nondilated intrahepatic bile ducts
Objective and Background: Bile leakage is a serious postoperative complication and percutaneous transhepatic biliary drainage (PTBD) may be an option when endoscopic treatment is not feasible. In this retrospective study, we established technical and clinical success rates as well as the complication rates of PTBD in a large group of patients with postoperative bile leakage. Methods: Data on all patients with nondilated intrahepatic bile ducts who underwent a PTBD procedure for the treatment of bile leakage between January 2000 and August 2012 were retrospectively assessed. Data included type of surgery, site of bile leak, previous attempts of bile leak repair, interval between surgery and PTBD placement. Outcome measures were the technical and clinical success rates, the procedure-related complications, and mortality rate. Results: A total of 63 patients were identified; PTBD placement was technically successful in 90.5% (57/63) after one to three attempts. The clinical success rate was 69.8% (44/63). Four major complications were documented (4/63; 6.3%): liver laceration, pneumothorax, pleural empyema, and prolonged hemobilia. One minor complication involved pain. Conclusion
Intravascular ultrasound evidence for coarctation causing symptomatic renal artery stenosis
BACKGROUND: A recent study of human cadaveric renal arteries revealed that
renal artery narrowing could be due not only to atherosclerotic plaque
compensated for by adaptive remodeling, but also to hitherto undescribed
focal narrowing of an otherwise normal renal arterial wall (ie,
coarctation). The present study investigated whether vessel coarctation
could be identified in patients with symptomatic renal artery stenosis
(RAS). METHODS AND RESULTS: Consecutive symptomatic patients with
angiographically proven atherosclerotic RAS who were referred for stent
placement were studied by 30-MHz intravascular ultrasound before
intervention (n=18) or after predilatation (n=18). Analysis included
assessment of the media-bounded area and plaque area (PLA) at the most
stenotic site and at a distal reference site (most distal cross-section in
the main renal artery with normal appearance). Coarctation was considered
present whenever the target/reference media-bounded area was </=85%.
Before intervention, coarctation was observed in 9 of 18 patients and
adaptive remodeling in 9 of 18 patients. Coarctation lesions had a
significantly smaller PLA than adaptive remodeled lesions (P=0.001).
Similarly, despite predilatation, coarctation was seen in 8 of 18 patients
who had significantly smaller PLAs (P=0. 008) when compared with those
patients who had adaptive remodeled lesions. No differences in severity of
RAS or angiographic or clinical parameters were observed. CONCLUSIONS:
Low-plaque coarctation may cause a considerable proportion of symptomatic
RAS, which is angiographically and clinically indistinguishable from
plaque-rich RAS
High refractive index of melanin in shiny occipital feathers of a bird of paradise
Male Lawes's Parotia, a bird of paradise, use the highly directional reflection of the structurally colored, brilliant-silvery occipital feathers in their courtship display. As in other birds, the structural coloration is produced by ordered melanin pigmentation. The barbules of the Parotia's occipital feathers, with thickness ~3 µm, contain 6–7 layers of densely packed melanin rodlets (diameter ~0.25 µm, length ~2 µm). The effectively ~0.2 µm thick melanin layers separated by ~0.2 µm thick keratin layers create a multilayer interference reflector. Reflectance measurements yielded peak wavelengths in the near-infrared at ~1.3 µm, i.e., far outside the visible wavelength range. With the Jamin-Lebedeff interference microscopy method recently developed for pigmented media, we here determined the refractive index of the intact barbules. We thus derived the wavelength dependence of the refractive index of the barbules' melanin to be 1.7–1.8 in the visible wavelength range. Implementing the anatomical and refractive index data in an optical multilayer model, we calculated the barbules' reflectance, transmittance and absorptance spectra, thereby confirming measured spectra
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