Bayesian network analysis of antidepressant treatment trajectories.

It is currently difficult to successfully choose the correct type of antidepressant for individual patients. To discover patterns in patient characteristics, treatment choices and outcomes, we performed retrospective Bayesian network analysis combined with natural language processing (NLP). This study was conducted at two mental healthcare facilities in the Netherlands.

Thoron standard source.

Thoron (Rn) has been identified as a possible health concern in specific places such as monazite processing plants and (rare-earth) mines. The short half-life of thoron (55.8 s) makes thoron calibration sources and thoron chambers less common than the corresponding radon (Rn) ones.

Hommel's procedure in linear time.

Hommel's and Hochberg's procedures for familywise error control are both derived as shortcuts in a closed testing procedure with the Simes local test. Hommel's shortcut is exact but takes quadratic time in the number of hypotheses. Hochberg's shortcut takes only linear time after the P-values are sorted, but is conservative.

Multiple Testing of Gene Sets from Gene Ontology: Possibilities and Pitfalls.

The use of multiple testing procedures in the context of gene-set testing is an important but relatively underexposed topic. If a multiple testing method is used, this is usually a standard familywise error rate (FWER) or false discovery rate (FDR) controlling procedure in which the logical relationships that exist between the different (self-contained) hypotheses are not taken into account. Taking those relationships into account, however, can lead to more powerful variants of existing multiple testing procedures and can make summarizing and interpreting the final results easier.

A region-based multiple testing method for hypotheses ordered in space or time.

We present a multiple testing method for hypotheses that are ordered in space or time. Given such hypotheses, the elementary hypotheses as well as regions of consecutive hypotheses are of interest. These region hypotheses not only have intrinsic meaning but testing them also has the advantage that (potentially small) signals across a region are combined in one test.

A multiple testing method for hypotheses structured in a directed acyclic graph.

We present a novel multiple testing method for testing null hypotheses that are structured in a directed acyclic graph (DAG). The method is a top-down method that strongly controls the familywise error rate and can be seen as a generalization of Meinshausen's procedure for tree-structured hypotheses. Just as Meinshausen's procedure, our proposed method can be used to test for variable importance, only the corresponding variable clusters can be chosen more freely, because the method allows for multiple parent nodes and partially overlapping hypotheses.

Time-frequency methods for structural health monitoring.

Detection of early warning signals for the imminent failure of large and complex engineered structures is a daunting challenge with many open research questions. In this paper we report on novel ways to perform Structural Health Monitoring (SHM) of flood protection systems (levees, earthen dikes and concrete dams) using sensor data. We present a robust data-driven anomaly detection method that combines time-frequency feature extraction, using wavelet analysis and phase shift, with one-sided classification techniques to identify the onset of failure anomalies in real-time sensor measurements.

Rasch-built Overall Disability Scale for patients with chemotherapy-induced peripheral neuropathy (CIPN-R-ODS).

Chemotherapy-induced peripheral neuropathy (CIPN) is a common neurological side-effect of cancer treatment and may lead to declines in patients' daily functioning and quality of life. To date, there are no modern clinimetrically well-evaluated outcome measures available to assess disability in CIPN patients. The objective of the study was to develop an interval-weighted scale to capture activity limitations and participation restrictions in CIPN patients using the Rasch methodology and to determine its validity and reliability properties.

Efficient approximate k-fold and leave-one-out cross-validation for ridge regression.

In model building and model evaluation, cross-validation is a frequently used resampling method. Unfortunately, this method can be quite time consuming. In this article, we discuss an approximation method that is much faster and can be used in generalized linear models and Cox' proportional hazards model with a ridge penalty term.

The chemotherapy-induced peripheral neuropathy outcome measures standardization study: from consensus to the first validity and reliability findings.

Background: Chemotherapy-induced peripheral neuropathy (CIPN) is a debilitating and dose-limiting complication of cancer treatment. Thus far, the impact of CIPN has not been studied in a systematic clinimetric manner. The objective of the study was to select outcome measures for CIPN evaluation and to establish their validity and reproducibility in a cross-sectional multicenter study.

In vivo hemostatic efficacy of polyurethane foam compared to collagen and gelatin.

Objectives: Topical hemostatic agents are used in all surgical disciplines. Most of these hemostats are based on animal-derived products like collagen and gelatin. They carry the potential risk of pathogen transmission.

Modifying the Medical Research Council grading system through Rasch analyses.

The Medical Research Council grading system has served through decades for the evaluation of muscle strength and has been recognized as a cardinal feature of daily neurological, rehabilitation and general medicine examination of patients, despite being respectfully criticized due to the unequal width of its response options. No study has systematically examined, through modern psychometric approach, whether physicians are able to properly use the Medical Research Council grades. The objectives of this study were: (i) to investigate physicians' ability to discriminate among the Medical Research Council categories in patients with different neuromuscular disorders and with various degrees of weakness through thresholds examination using Rasch analysis as a modern psychometric method; (ii) to examine possible factors influencing physicians' ability to apply the Medical Research Council categories through differential item function analyses; and (iii) to examine whether the widely used Medical Research Council 12 muscles sum score in patients with Guillain-Barré syndrome and chronic inflammatory demyelinating polyradiculoneuropathy would meet Rasch model's expectations.

In-field radon measurement in water: a novel approach.

This paper presents a novel approach of measuring radon in-water in the field by inserting a MEDUSA gamma-ray detector into a 210 L or 1000 L container. The experimental measurements include investigating the effect of ambient background gamma-rays on in-field radon measurement, calibrating the detector efficiency using several amounts of KCl salt dissolved in tap water, and measuring radon in borehole water. The results showed that there is fairly good agreement between the field and laboratory measurements of radon in water, based on measurements with Marinelli beakers on a HPGe detector.

No evidence for antineutrinos significantly influencing exponential β+ decay.

High-precision measurements were conducted on the time evolution of gamma-ray count rates during reactor-on and reactor-off periods to investigate the possible influence of antineutrinos on nuclear decay. This experiment was triggered by a recent analysis (Jenkins et al., 2009) of long-term measurements suggesting a possible link to variations in nuclear decay rate and solar neutrino flux.

Gamma-ray spectrometry of radon in water and the role of radon to representatively sample aquifers.

Measurement of radon in water by gamma-ray spectrometry using a HPGe detector has been investigated to determine aquifer characteristics. The radon activity concentration is determined by taking the weighted average of the concentrations derived from gamma-ray lines associated with (214)Pb and (214)Bi decay. The role of accurate radon data to representatively sample aquifers was also investigated by studying a semi-cased borehole.

Revising two-point discrimination assessment in normal aging and in patients with polyneuropathies.

Objectives: To revise the static and dynamic normative values for the two-point discrimination test and to examine its applicability and validity in patients with a polyneuropathy.

Methods: Two-point discrimination threshold values were assessed in 427 healthy controls and 99 patients mildly affected by a polyneuropathy. The controls were divided into seven age groups ranging from 20-29, 30-39,.

Determination of soil, sand and ore primordial radionuclide concentrations by full-spectrum analyses of high-purity germanium detector spectra.

The full-spectrum analysis (FSA) method was used to determine primordial activity concentrations (ACs) in soil, sand and ore samples, in conjunction with a HPGe detector. FSA involves the least-squares fitting of sample spectra by linear combinations of (238)U, (232)Th and (40)K standard spectra. The differences between the FSA results and those from traditional windows analyses (using regions-of-interest around selected photopeaks) are less than 10% for all samples except zircon ore, where FSA yielded an unphysical (40)K AC.

Lowering body temperature in acute ischemic stroke without artificial ventilation and heavy sedation: a feasibility study.

Background And Purpose: We assessed the feasibility of inducing very mild hypothermia in 8 patients with acute ischemic anterior circulation stroke, without artificial ventilation and heavy sedation, until 24 hours after onset of symptoms.

Methods: Four regimes (A, B, C, and D) with increasing monitoring and treatment intensity were studied. Two patients in in regime A were monitored only.

Long-life vibration-free 4.5 K sorption cooler for space applications.

A breadboard 4.5 K helium sorption cooler for use in vibration-sensitive space missions was developed and successfully tested. This type of cooler has no moving parts and is, therefore, essentially vibration-free.

[Modifiable determinants of delayed hospital admission following a cerebrovascular accident].

Objective: To identify the modifiable determinants of delayed hospital admission of stroke patients.

Design: Multicentre observational study.

Method: In the period from 1 October 1998 to 31 May 1999, before thrombolysis was an accepted treatment for ischaemic stroke in the Netherlands, we interviewed 252 consecutively admitted patients with stroke upon admission.

Moisture dependence of radon transport in concrete: measurements and modeling.

The moisture dependence of the radon-release rate of concrete was measured under well controlled conditions. It was found that the radon-release rate almost linearly increases up to moisture contents of 50 to 60%. At 70 to 80% a maximum was found and for higher moisture contents the radon-release rate decreases very steeply.

Diffusive transport of radon in a column of moisturized sand.

Diffusive transport of radon in a moisturized sand column was investigated under well-defined and controlled conditions using a laboratory facility that consists of a cylindrical vessel (height and diameter 2 m) filled with sand. Equilibrium pore-gas radon-concentration profiles in the sand column were measured as a function of depth for several different levels of the ground-water table. The measurements were performed in the framework of a systematic validation study that also covered experiments with dry sand.

Effect of paracetamol (acetaminophen) and ibuprofen on body temperature in acute ischemic stroke PISA, a phase II double-blind, randomized, placebo-controlled trial [ISRCTN98608690].

Background: Body temperature is a strong predictor of outcome in acute stroke. In a previous randomized trial we observed that treatment with high-dose acetaminophen (paracetamol) led to a reduction of body temperature in patients with acute ischemic stroke, even when they had no fever. The purpose of the present trial was to study whether this effect of acetaminophen could be reproduced, and whether ibuprofen would have a similar, or even stronger effect.

MCNP modelling of scintillation-detector gamma-ray spectra from natural radionuclides.

gamma-ray spectra of natural radionuclides are simulated for a BGO detector in a borehole geometry using the Monte Carlo code MCNP. All gamma-ray emissions of the decay of 40K and the series of 232Th and 238U are used to describe the source. A procedure is proposed which excludes the time-consuming electron tracking in less relevant areas of the geometry.

Gamma-ray spectrometry intra- and interlaboratory test of the Dutch protocol.

This paper presents the results of a test programme to validate the Dutch pre-normative protocol NVN 5623 'Radioactivity measurements: Determination of the activity of gamma-ray emitting nuclides in a counting sample by means of semi-conductor gamma-spectrometry'. Batches of two reference materials, water and sand, both spiked with radionuclides (133Ba, 134Cs, 137Cs, 40K, 57Co and 60Co) were used in an intra- and interlaboratory test. For the water and sand, 10 and 9 laboratories, respectively, agreed to analyse three samples of each reference material strictly according to the pre-normative protocol.