Search results for "Random"

Exposure to non-essential metals and albuminuria: exploring causal associations under a Mendelian randomization framework

2021

Identification of subdominant sourdough lactic acid bacteria and their evolution during laboratory-scale fermentations

2007

Abstract Presumptive lactic acid bacterial cocci were found in six sourdoughs (out of 20) from the Abruzzo region (central Italy) and subjected to phenotypic and genotypic characterization. A total of 21 isolates, recognized as seven strains by randomly amplified polymorphic DNA (RAPD)–polymerase chain reaction (PCR) typing, were identified by a polyphasic approach, consisting of 16S rRNA gene sequencing, multiplex PCR assays and physiological features, as Enterococcus faecium and Pediococcus pentosaceus. Four strains belonging to those species and previously isolated from wheat kernels were inoculated in sterile flour to verify their capacity to grow in sourdough environment. Doughs with s…

Comparison of morphotypic and genotypic methods for strain delineation inCandida

1998

Summary. We compared two phenotypic methods, colony morphotyping on Sabouraud-tripheniltetrazolium agar (STTZ) and serotyping, with two genotypic methods, karyotyping and Random Amplified Polymorphic DNA bands obtained by PCR amplification (RAPD-PCR), for strain delineation in 33 Candida clinical isolates and two C. albicans strains from culture collections. Analysis of isolates on STTZ showed 11 different morphotypes. In two patients there was a switch in the morphotype coincidential with a change in the susceptibility of the isolates to azole antifungals. C. albicans isolates were divided into two serotypes. Sixteen and 18 different patterns were identified among the Candida isolates by k…

Reliability Analysis of a Controlled Stage-Constructed and Reinforced Embankment on Soft Ground Using 2D and 3D Models

2020

Geosynthetic reinforcement has become a very practical technique to improve geotechnical structure safety. In spite of improved soil behavior, structures are affected by uncertainties related to soil and reinforcement material properties. This paper aims to present a reliability analysis in order to take statistical information (uncertainties) into account in a safety analysis of reinforced embankments. The analysis was used in a case study on a controlled stage-constructed embankment on soft ground in order to investigate its probabilistic stability. Modeling was performed by commercial geotechnical software usage (GeoStudio and RocScience packs, SIGMA/W+SLOPE/W and SLIDE³, respectively) a…

Effect of Physical Activity Counseling on Disability in Older People: A 2-Year Randomized Controlled Trial

2008

OBJECTIVES: To study the effect of a physical activitycounseling intervention on instrumental activity of dailyliving (IADL) disability.DESIGN: Primary care–based, single-blind, randomizedcontrolled trial.SETTING: City of Jyva¨skyla¨, central Finland.PARTICIPANTS: Six hundred thirty-two people aged 75to 81 who were able to walk 500 meters without assistance,were at most moderately physically active, had a Mini-Mental State Examination score greater than 21, had nomedical contraindications for physical activity, and gaveinformed consent for participation.INTERVENTION: A single individualized physical activitycounseling session with supportive phone calls from a physio-therapist every 4 month…

Predictors of Adherence to the Use of Hip Protectors in Nursing Home Residents

2004

Objectives: To assess predictors of hip-protector use in nursing home residents under usual-care conditions and after intervention consisting of structured education of nurses and nursing home residents and provision of free hip protectors. Design: Nested cohort analyses within a cluster randomized, controlled trial with 18 months follow-up. Setting: Forty-nine nursing home clusters in Hamburg, Germany. Participants: Residents with at least one fall during the study period (intervention group, n=237; usual-care group, n=274). Measurements: Use of hip protector while falling. Regression analyses were performed for each of the two cohorts of fallers using the time to the first fall without hi…

Effectiveness of interventions to prevent pre-frailty and frailty progression in older adults: a systematic review

2018

OBJECTIVE: To summarize the best available evidence regarding the effectiveness of interventions for preventing frailty progression in older adults. INTRODUCTION: Frailty is an age-related state of decreased physiological reserves characterized by an increased risk of poor clinical outcomes. Evidence supporting the malleability of frailty, its prevention and treatment, has been presented. INCLUSION CRITERIA: The review considered studies on older adults aged 65 and over, explicitly identified as pre-frail or frail, who had been undergoing interventions focusing on the prevention of frailty progression. Participants selected on the basis of specific illness or with a terminal diagnosis were …

Multidisciplinary management of Hunter syndrome.

2009

Hunter syndrome is a rare, X-linked disorder caused by a deficiency of the lysosomal enzyme iduronate-2-sulfatase. In the absence of sufficient enzyme activity, glycosaminoglycans accumulate in the lysosomes of many tissues and organs and contribute to the multisystem, progressive pathologies seen in Hunter syndrome. The nervous, cardiovascular, respiratory, and musculoskeletal systems can be involved in individuals with Hunter syndrome. Although the management of some clinical problems associated with the disease may seem routine, the management is typically complex and requires the physician to be aware of the special issues surrounding the patient with Hunter syndrome, and a multidiscipl…

Towards a physically more active lifestyle based on one's own values: study design of a randomized controlled trial for physically inactive adults

2013

Background This randomised controlled trial demonstrates the effectiveness of a value-based intervention program to encourage a physically more active lifestyle among physically inactive adults aged 30 to 50 years. The conceptual framework of the program is based on an innovative behavioural therapy called Acceptance and Commitment Therapy (ACT) that aims to increase an individual’s psychological flexibility and support behaviour change towards a higher quality and more meaningful life. Methods Participants will be randomly allocated to a feedback group (FB) or an Acceptance and Commitment based (ACT + FB) group. Both the groups will receive written feedback about their objectively measured…

Underrepresentation of older adults in clinical trials on COVID-19 vaccines: A systematic review

2021

During the COVID-19 pandemic older subjects have been disproportionately affected by the disease. Vaccination is a fundamental intervention to prevent the negative consequences of COVID-19, but it is not known if the needs and vulnerabilities of older people are adequately addressed by their inclusion in randomized clinical trials (RCTs) evaluating the efficacy of vaccines for COVID-19. Given this background, we aimed to evaluate if current and ongoing phase II-III RCTs evaluating the efficacy of COVID-19 vaccines included a representative sample of older people. A systematic literature search in PubMed and Clinicaltrials.gov was performed until May 01st, 2021. Among 474 abstracts initially…