Feldmanguy1929

ment seemed effective in the presence of a clinical-ASPECTS mismatch, but not in its absence. find more If confirmed in randomized trials, this finding could support the use of an ASPECTS-based selection for late endovascular treatment decisions, obviating the need for advanced imaging.

The goals of this study were to examine the associations between nativity and pregnancy-related weight and to assess the associations between maternal duration of residence and age at arrival in the United States on pregnancy-related weight among immigrants.

Using logistic regression and data from the Early Childhood Longitudinal Study-Birth Cohort, we assessed differences in preconception weight and gestational weight gain between US-born and immigrant women (N = 7000). We then analyzed differences in both outcomes by duration of residence among immigrants (n = 1850) and examined whether the identified relationships varied by age at arrival in the United States.

Compared to US-born mothers, immigrants were less likely to be classified as obese prior to pregnancy (odds ratio 0.435, 95% confidence interval, 0.321-0.590) or experience excessive gestational weight gain (odds ratio 0.757, 95% confidence interval, 0.614-0.978). Among the immigrant sub-sample, living in the United States for 10-15 years (odds ratio 2.737, 95% confidence interval, 1.459-5.134) or 16+ years was positively associated with both preconception obesity (odds ratio 2.918, 95% confidence interval, 1.322-6.439) and excessive gestational weight gain (odds ratio 1.683, 95% confidence interval, 1.012-2.797, 16+ years only). There was some evidence that the duration of residence was positively associated with preconception obesity, but only among women who had moved to the United States at age 18 years and older.

In sum, while immigrants are less likely than US-born mothers to experience preconception obesity or excessive gestational weight gain, these outcomes vary among the former group by duration of US residence.

In sum, while immigrants are less likely than US-born mothers to experience preconception obesity or excessive gestational weight gain, these outcomes vary among the former group by duration of US residence.As battery electric vehicle (BEV) market share grows so must our understanding of the noise, vibration, and harshness (NVH) phenomenon found inside the BEVs which makes this technological revolution possible. Similar to the conventional vehicle having encountered numerous NVH issues until today, BEV has to face many new and tough NVH issues. For example, conventional vehicles are powered by the internal combustion engine (ICE) which is the dominant noise source. The noises from other sources were generally masked by the combustion engine, thus the research focus was on the reduction of combustion engine while less attention was paid to noises from other sources. A BEV does not have ICE, automatic transmission, transfer case, fuel tank, air intake, or exhaust systems. In their place, there is more than enough space to accommodate the electric drive unit and battery pack. BEV is quieter without a combustion engine, however, the research on vehicle NVH is even more significant since the elimination of the combustion engine would expose many noise behaviors of BEV that were previously ignored but would now seem clearly audible and annoying. Researches have recently been conducted on the NVH of BEV mainly emphasis on the reduction of noise induced by powertrain, tire, wind and ancillary system and the improvement of sound quality. This review paper will focus on recent progress in BEV NVH research to advance the BEV systems in the future. It is a review for theoretical, computational, and experimental work conducted by both academia and industry in the past few years.Objective The purpose of this Brief Report is to synthesize the current evidence base examining moderators of psychosocial intervention response for children and adolescents with conduct problems (CP). We also provide directions for future research.Method We focused on four categories of psychosocial interventions for the prevention and/or treatment of CP (1) parent management training (PMT) for children, (2) other family-based interventions for adolescents, (3) youth skills training, and (4) multicomponent interventions (i.e., family-based intervention plus skills training). Emphasis is placed on findings from meta-analyses.Results Moderation analyses have occurred more frequently for PMT than for other types of interventions. Variables for which there was consistent evidence for positive moderation included higher initial severity of CP, father engagement, higher maternal depressive symptoms, individual administration (vs. group), and treatment/targeted prevention approaches (vs. universal prevention). Variables where there was evidence for no moderation (demonstrating generalizability) included child diagnostic status and family risk in PMT, and diagnostic status and intervention setting for skills training. However, for some variables, evidence of moderation was dependent on intervention type.Conclusions Future research should examine multiple moderators in combination; incorporate innovative techniques such as integrative data analyses, individual participant data, and class-based modeling, which may identify moderator effects that are undetected by more traditional variable-oriented moderation analyses; and conduct moderated mediation models for informing developmental theory on the interplay of risk and protective factors.Effectiveness of compression garments to enhance athletic performance is the subject of numerous qualitative studies. This study aims at quantification of the effect of compression garments using nonlinear dynamics approach. Kinematic data of fifteen healthy male athletes was obtained and the state space was reconstructed. The trajectory drifts caused by fatigue in the state space were quantified using local flow variation technique. The study illustrates that compression garments (CGs) decrease rate of fatigue development and the body exhibits a more restricted complexity (more predictable and smaller fluctuations) when CGs are worn.

Modern vehicles generally use steel fabricated or alloy blended rims. The manufacturing process and atomic structure of the rim both yield different responses under destructive loading. The aim of this research was to investigate to what extend the type of vehicle rim may influence occupant injury risk.

A matched cohort study of frontal German In-Depth Accident Study collisions was devised. The risk of injury to various body regions was compared between vehicles with steel and alloy rims.

Occupants in vehicles with alloy rims were at a greater risk of thoracic injury (relative risk [RR] = 1.57; 95% confidence interval [CI], 1.01-2.42) and thoracic abdomen injury (RR = 1.62; 95% CI, 1.10-2.39) at the Maximum Abbreviations Injury Scale (MAIS) 2+ severity. link2 Risk of thoracic injury was greatest for the cluster of occupants seated on the nonimpacted side in frontal collisions (RR = 2.21; 95% CI, 1.01-4.86). MAIS 2+ injury to the head/face/neck yielded no association (RR = 0.98; 95% CI, 0.66-1.47).

Alloy rims are more brittle and, as a result, destructive loading is realized with less severe impact. The critical failure increases the amount of loading that needs to be distributed by the restraint system and results in injury.

Alloy rims are more brittle and, as a result, destructive loading is realized with less severe impact. The critical failure increases the amount of loading that needs to be distributed by the restraint system and results in injury.Ecological momentary assessment (EMA) was used in 24 adults with mild-to-moderate hearing loss who were seeking first hearing-aid (HA) fitting or HA renewal. At two stages in the aural rehabilitation process, just before HA fitting and after an average 3-month HA adjustment period, the participants used a smartphone-based EMA system for 3 to 4 days. A questionnaire app allowed for the description of the environmental context as well as assessments of various hearing-related dimensions and of well-being. In total, 2,042 surveys were collected. The main objectives of the analysis were threefold First, describing the "auditory reality" of future and experienced HA users; second, examining the effects of HA fitting for individual participants, as well as for the subgroup of first-time HA-users; and third, reviewing whether the EMA data collected in the unaided condition predicted who ultimately decided for or against permanent HA use. The participants reported hearing-related disabilities across the full range of daily listening tasks, but communication events took the largest share. The effect of the HA intervention was small in experienced HA users. Generally, much larger changes and larger interindividual differences were observed in first-time compared with experienced HA users in all hearing-related dimensions. Changes were not correlated with hearing loss or with the duration of the HA adjustment period. EMA data collected in the unaided condition did not predict the cancelation of HA fitting. The study showed that EMA is feasible in a general population of HA candidates for establishing individual and multidimensional profiles of real-life hearing experiences.

To evaluate the integrity of lateral soft tissue in varus osteoarthritis knee by comparing the mechanical axis under varus stress during navigation-assisted total knee arthroplasty before and after compensating for a bone defect with the implant.

Sixty-six knees that underwent total knee arthroplasty were investigated. The mechanical axis of the operated knee was evaluated under manual varus stress immediately after knee exposure and after navigation-assisted implantation. The correlation between each value of the mechanical axis and degree of preoperative varus deformity was compared by regression analysis.

The maximum mechanical axis under varus stress immediately after knee exposure increased in proportion to the degree of preoperative varus deformity. Moreover, the maximum mechanical axis under varus stress after implantation increased in proportion to the degree of preoperative varus deformity. Therefore, the severity of varus knee deformity leads to a progressive laxity of the lateral soft tissue. However, regression coefficients after implantation were much smaller than those measured immediately after knee exposure (0.99 vs 0.20). Based on the results of the regression formula, the postoperative laxity of the lateral soft tissue was negligible, provided that an appropriate thickness of the implant was compensated for the bone and cartilage defect in the medial compartment without changing the joint line.

The severity of varus knee deformity leads to a progressive laxity of the lateral soft tissue. However, even if the degree of preoperative varus deformity is severe, most cases may not require additional procedures to address the residual lateral laxity.

The severity of varus knee deformity leads to a progressive laxity of the lateral soft tissue. link3 However, even if the degree of preoperative varus deformity is severe, most cases may not require additional procedures to address the residual lateral laxity.