Allocating resources for cancer control--resolving multicriteria decision-making using the analytic hierarchy process

When competing programs ought to be financed simultaneously for the same purpose, an allocation problem occurs due to scarce resources, and different perspectives and preferences. Facing the problem needs determining criteria which the decision might be based on. Those criteria form the objectives (the scope) of the different participants, and are relevant for the achievement of the goal, providing a comprehensive resource allocation that bridges and integrates the different perspectives. In case of cancer control primary prevention, secondary prevention, therapy and tertiary prevention, education, basic sciences, and clinical trials form the alternatives. An analytic hierarchy process (AHP) is used for supporting decision-making in the resource allocation problem. AHP is a method for setting priorities, but can only work out the implications of what was declared through the pairwise-ranking process, namely the relative preferences, weighing the criteria and rating the alternatives two by two. In the first analysis the relative weights to criteria were 0.099 for 'distributive justice'; 0.120 for constitutional and human rights; 0.251 for lay opinion; 0.393 for EBM; 0.137 for cost-effectiveness. Ranking the alternatives using 'judgements' resulted in relative preference of 0.238 for therapy, 0.204 for primary prevention, 0.201 for secondary prevention, 0.135 for clinical trials, 0.111 for tertiary prevention, 0.066 for basic sciences and 0.045 for education. In the second analysis the relative importance of "cost-effectiveness" was doubled, thus resulting in 0.234 for therapy, 0.216 for secondary prevention, 0.183 for primary prevention, 0.145 for clinical trials, 0.113 for tertiary prevention, 0.063 for basic sciences and 0.046 for education. Sensitivity analysis has shown that increasing the relative weight of cost-effectiveness up to approximately 0.4 changes the rank of alternatives, and above 0.4 this criterion gives secondary prevention preferences. According to the relative rates computed in both of the models all criteria vote for therapy, but these preferences change at the high level of weights, in case of EBM, 'rights', and cost-effectiveness. Cost-effectiveness prefers secondary prevention to therapy; the criterion of constitutional and human rights and the criterion of evidence-based medicine vote for primary prevention.     

Biology of Triatoma pallidipennis stal 1945 (Hemiptera: Reduviidae:Triatominae) under laboratory conditions

Aspects related to hatching, life time, mortality, feeding behaviour and fecundity for each stage of Triatoma pallidipennis life-cycle were evaluated. The hatching rate observed for 200 eggs was 60% and the average time of hatching was 18 days. Eighty nymphs (N) (40%) completed the cycle and the average time from NI to adult was 168. 7+/-11.7days. The average span in days for each stage was 18.0 for NI, 18.5 for NII, 30.0 for NIII, 35.7 for NIV and 50.1 for NV. The number of bloodmeals at each nymphal stage varied from 1 to 5. The mortality rate was 9.17 for NI, 5.5 for NII, 6.8 for NIII 4.17 for NIV and 13.04 for NV nymphs. The average number of eggs laid per female in a 9-month period was 498.6. The survival rates of adults were 357+/-217.9 and 262.53+/-167.7 for males and females respectively.     

Genetic parameter estimates in a clonally replicated progeny test of teak (Tectona grandis Linn. f.)

Teak (Tectona grandis Linn. f.) has been planted extensively in the tropics for its highly valued timber. We analysed data from a 3.5-year-old teak progeny test with clonal replication located in northern Australia. Additive and non-additive genetic variances were estimated for commercially important traits. Trees originating from seedlings were on average 2% taller and 4% straighter than those of the same genotype originating from cuttings. Non-additive genetic variance represented 35–50% of total genetic variance for growth traits and 63% of total genetic variance for incidence of flowering. Narrow-sense heritability was 0.22 for diameter, 0.18 for height and volume, 0.07 for stem straightness, 0.05 for insect defoliation, 0.03 for epicormic sprouts and 0.30 for incidence of flowering (estimated on an assumed underlying continuous scale). Broad-sense heritability was 0.37 for diameter, 0.28 for height, 0.35 for volume, 0.12 for stem straightness, 0.06 for insect defoliation, 0.12 for epicormic sprouts and 0.71 for incidence of flowering. Positive correlations were found between tree volume and flowering and between tree volume and stem straightness. The presence of sizeable non-additive variance supports the selection and deployment of clones to capture the full extent of genetic variation in commercially important traits.     

New data on the European fauna of encyrtid wasps (Hymenoptera, Chalcidoidea, Encyrtidae)

On the basis of examination of the collection of the Natural History Museum (london), an annotated list of 36 encyrtid species with new records for 12 countries is given: one species new for both Ukraine and Croatia; two, for Austria, Cyprus, and Norway; three, for U.K.; four, for Germany and Spain; five, for Bulgaria; six, for Italy; eight, for France, and twelve, for Greece.     

Determination of the pK values for the alpha-amino groups of human hemoglobin.

The rate of reaction between alpha-amino groups and cyanic acid was followed at 26 degrees and ionic strength 0.2 M as a function of pH of human hemoglobin Ao solutions to determine the pK and the pH-independent second order rate constant, kappa, for these groups in the alpha and beta chains. At a given point in time, the extent of the reaction was determined by employing the Beckmann Sequencer as a quantitative tool in which the yields of leucine and histidine in the second Edman degradation cycle were used to define the rates of reaction of the alpha and beta chains, respectively. From these results, the individual were evaluated (Garner, M.H., Garner, W.H., and Gurd, F. R.N. (1973) J. Biol. Chem. 248, 5451-5455). Values for pK for the alpha and beta chains were, respectively, 6.74 and 6.93 for cyanoferrihemoglobin, 6.95 and 7.05 for carboxyhemoglobin, and 7.79 and 6.84 for deoxyhemoglobin. Values for kappa, M- minus 1 S-minus 1, for the alpha and beta chains were, respectively, 12.5 and 17 for cyanoferrihemoglobin, 12 and 18 for carboxyhemoglobin, and 91 and 24 for deoxyhemoglobin. Limits of significance were estimated for both variables in each case. The pK results for valine 1alpha agree well with the value obtained by Hill and Davis (1967) J. Biol. Chem. 242, 2005-2012) for carboxyhemoglobin and with that of Kilmartin and Rossi-Bernardi ((1971) Biochem. J. 124, 31-45) for deoxyhemoglobin. Values obtained for sperm whale myoglobin were 7.77 for pK and 7.4 for kappa. The results are useful for the interpretation of the allosteric interactions of hemoglobin with hydrogen ions, with CO2, and with phosphate.     

Dietary supplementation with antioxidants. Is there a case for exceeding the recommended dietary allowance?

The containment of damaging oxygen species by antioxidant nutrients has led to the speculation that the RDA for these specific nutrients may be overly low. Among these nutrients are vitamin E, vitamin C, and to a lesser extent beta-carotene and selenium. Evidence for the role of these nutrients in cancer and heart disease is evaluated. The case is presented for an increase of two-fold for the vitamin C RDA and between three and five-fold for vitamin E; for establishing 15 mg as the RDA for beta-carotene; for no change in the vitamin A RDA; and for further study on selenium.     

Polymorphism of a complex resistance gene candidate family in wild populations of common bean (Phaseolus vulgaris) in Argentina: comparison with phenotypic resistance polymorphism

Fifteen populations of wild bean (Phaseolus vulgaris), located in three provinces in Argentina, were analysed for their polymorphism for a complex resistance gene candidate (RGC) family clustered on the genome and for resistance phenotypes to strains of Colletotrichum lindemuthianum. Results indicate that RGC polymorphism is high. Population structure obtained for markers related to resistance was compared to population structure obtained for RAPD markers in order to infer the evolutionary forces driving polymorphism for resistance in wild populations at both molecular and phenotypic levels. Hierarchical analysis of differentiation showed that, within provinces, populations were differentiated for RAPD as well as for molecular and phenotypic markers of resistance. In contrast, provinces were differentiated only for RAPD and RGC markers and not for resistance phenotypes. The discrepancies found between diversity structures for molecular markers (RAPD and RGCs) and for resistance phenotypes suggest an effect of selection and indicate that diversity for resistance may not be driven by the same selective forces at the molecular and phenotypic levels. We further discuss whether specific selective forces are exerted on RGC markers and underline the importance of spatial scale of analysis for demonstrating an impact of selection.     

Improved simultaneous determination method of beta-carotene and retinol with saponification in human serum and rat liver

Among the many simultaneous determination methods for carotenoid and retinoid, there are only a few reports including the saponification process. However, the yields of beta-carotene and retinol were higher when using this process. In this study, the analytical conditions, including saponification, were investigated. The extraction solvent was n-hexane and the sample solvent was HPLC mobile phase in the beta-carotene and retinol analysis. BHT as an antioxidant was added at concentrations of 0.125 and 0.025%, respectively, to ethanol and n-hexane phase in the extraction process for serum. The recovery rates were 99.7, 93.7 and 98.3% for beta-carotene, retinol and retinyl palmitate in serum, respectively, and 107.1, 92.8 and 98.8% for beta-carotene, retinol and retinyl palmitate in liver, respectively. The within-day coefficients of variation (C.V.) were 6.0% for serum and 4.7% for liver in the case of beta-carotene, 7.1% for serum, and 5.1% for liver in the case of retinol. The between-day coefficients of variation were 2.7% for serum and 2.7% for liver in the case of beta-carotene, and for retinol, 6.4% for serum and 2.7% for liver.     

菜豆种质资源RAPD多样性的研究Ⅱ

本研究收集了我国43个栽培品种,国际热带农业中心13个半野生品种,波兰4个矮生品种共60个菜豆品种资源,将其分成三大类型,即蔓生种35个,矮生种12个,半野生种13个,从RAPD标记上进行了研究,探明种内及各种群间的遗传相似度、遗传距离,绘制聚类分析图。综合RAPD标记聚类图,表明:蔓生种群分为五大类;矮生种群分为二大类;半野生种群分为二大类。我国是菜豆的主要育种、栽培地区,收集国内外菜豆种质资源,开展DNA水平的分子标记将有助于了解菜豆种内、各种群间的遗传基础,确定各资源材料间的亲缘关系,为我国菜豆种质资源的保存及培育优良品种工作提供一定的理论依据。     

Log-linear Models for Polytomous Data

The present study discusses two variants of linear logistic models for polytomous variables for ?unordered”? and for ?ordered”? categories (polydimensional and one-dimensional model). The ML-estimation equations and the possibilities to test the validity of the model are given for both. A test for goodness-of-fit (external validity) and a test for equality of the parameter estimates for split data (interval validity) are suggested. In addition, statistical tests for the significance of individual parameters on the basis of the information matrix and likelihood ratio tests for one or more parameters are described. The presentation is completed by an empirical example from the area of audiology.     

In Pursuit of Closed‐Loop Supply Chains for Critical Materials: An Exploratory Study in the Green Energy Sector

A closed‐loop supply chain (CLSC) is considered not only an important solution for ensuring sustainable exploitation of materials, but also a promising strategy for securing long‐term availability of materials. The latter is especially highlighted in the materials criticality discourse. Critical raw materials (CRMs), being exposed to supply disruptions, create an uncertain operational environment for many industries, particularly for green energy technologies that employ multiple CRMs. However, recycling rates of CRMs are very low and engagement of companies in CLSC for CRM is limited. This study examines factors influencing CLSC for CRM development in photovoltaic panels and wind turbine technologies. The aim is to analyze how the factors manifest themselves in different companies along the supply chain and to identify enabling and bottleneck conditions for implementation of CLSC for CRM. The novelty of the study is twofold: the focus on material rather than product flows, and examination of factors from a multiactor perspective. The evidence obtained suggests that the manufacturing companies and reverse supply‐chain operators engaged in the study take different perspectives (product vs. material) regarding development of CLSC for CRM and thus emphasize different factors. The findings underline the need for interactions between supply‐chain actors, a sound competitive environment for recycling processes, and investment in technologies and infrastructure development if CLSC for CRM is to be developed. The paper provides implications for practitioners and policy makers for implementation of CLSC for CRM, and suggests prospects for further research.     

Japanese sleep disturbance and fatigue disability weights in evaluating the effects of increasing temperatures on health by a life cycle approach

Purpose

This study aimed to establish a set of disability weights (DWs) for sleep problems and fatigue which could be applied in composite health outcome measures in order to quantify the burden of symptoms and economically evaluate the effects of increasing temperatures on a life cycle approach.

Methods

The conditions were evaluated by a two-step questionnaire study. In the first step, specialists determined the DW for each condition. The second step was identical to the first, except that the determinations were made by primary care physicians. Both groups of medical practitioners used an interpolation method consisting of a comprehensive set of 31 disease-specific DWs.

Results and discussion

Mean DWs for sleep disturbance were 0.101 for environmental sleep disturbance, 0.069 for mild sleep disturbance, and 0.086 for moderate sleep disturbance. Mean DWs for chronic fatigue syndrome (CFS) were 0.099 for a diagnosis of CFS, 0.164 for mild handicap, 0.281 for moderate handicap, and 0.459 for severe handicap. Mean DWs assigned by primary care physicians for sleep disturbance were 0.114 for environmental sleep disturbance, 0.140 for mild sleep disturbance, and 0.126 for severe sleep disturbance. Those for CFS were 0.154 for a diagnosis, 0.099 for mild handicap, 0.147 for moderate handicap, and 0.226 for severe handicap.

Conclusions

Using the present valuation protocol, it appeared feasible to establish the burden of symptoms as attributable to increasing temperatures. The results can be applied in composite health outcome measures for public health research, environmental research, and economic evaluations.     

A population model based on a life table that includes marriage and parity.

This paper presents a method for constructing a one-sex life table that incorporates age, marriage and parity. The life table is the basis for a generalized population model, with immediate extension to a stable population differentiated by age, marriage and parity status. The method is quite general and could be extended, without major modification, to more complex life tables.Computation of intrinsic rates of increase for a number of populations adjusted for age, for age and parity, for age and marriage, and for age, marriage and parity shows that adjustment for marriage accounts for most of the difference between the age-adjusted rate and the age-, marriage-, and parity-adjusted rate. Adjustment for parity without adjustment for marriage may be misleading.     

Diagnostic DNA-flow- vs. -image-cytometry in effusion cytology.

AIMS: To determine the sensitivity and specificity of flow- and image-cytometry for the detection of DNA-aneuploidy as a marker for malignant cells in effusions. METHODS: 200 effusions (80 tumor cell-positive, 74 negative and 46 cytologically equivocal) were stained with DAPI-SR for DNA-flow- and with Feulgen-Pararosaniline for -image-cytometry. They were measured using a PAS-flow-cytometer and an AutoCyte-QUIC-DNA-workstation according to the ESACP consensus reports for DNA-flow- and -image-cytometry, respectively [7,23,29,49]. RESULTS: Sensitivity of DNA-aneuploidy for the identification of malignant cells was 32.1% for DNA-flow- and 75.0% for -image-cytometry, specificity of -euploidy in benign cells was 100.0% for both methods. Positive predictive value of DNA-aneuploidy for the identification of malignant cells was 100.0% for both techniques, negative predictive value of DNA-euploidy was 48.6% for DNA-flow- and 72.0% for -image-cytometry. CONCLUSIONS: Searching for DNA-aneuploidy as a diagnostic marker for neoplastic cells in serous effusions image-cytometry revealed superior sensitivity as compared with monoparametric flow cytometry.     

Aspects of the reproductive biology of two pelagic sharks in the eastern Atlantic Ocean

This study used data provided by the Chinese Longline Fishery Scientific Observer Programme from the tropical eastern Atlantic Ocean to estimate the reproductive parameters of the blue shark (Prionace glauca) and crocodile shark (Pseudocarcharias kamoharai). Sizes ranged from 80 to 298 cm fork length (FL) for blue sharks and from 48 to 99 cm FL for crocodile sharks. Sexual segregation was observed during different months for both sharks. The sex ratio for blue sharks was 1.38 F:1 M, and 1 F:2.79 M for crocodile sharks. The size of adult blue sharks ranged from 144 to 280 cm for males and from 174 to 298 cm for females; and that of crocodile sharks from 63 to 97 cm for males and 78–99 cm for females. The size at 50% of maturity for blue sharks was estimated at 191.7 cm FL for females and 197.5 cm FL for males, and that of crocodile sharks was assessed at 84.9 cm FL for females and 78.5 cm FL for males. Most sexually matured females were pregnant; their means were 207.2 ± 16.4 cm FL for blue sharks and 89.4 ± 4.3 cm FL for crocodile sharks. Mature sizes for both species were significantly different among months. Embryonic sizes also varied widely among months for crocodile sharks, but a slight change was recorded for those of blue sharks. The observed mean size at birth and litter size were 34.5 cm FL and 37 ± 12 for the blue sharks, and that of the crocodile sharks, 39.5 cm FL and a dominant four embryos in the uterus. Due to the observed increasing catch trend of blue sharks and the slow reproductive cycle of crocodile sharks, this study presents the need of implementing conservation measures to ensure the sustainability of both species in their habitat.     

Quantitative light and electron microscopic correlations of nuclear features in papillary thyroid and ovarian carcinomas

The light microscopic (LM) and electron microscopic (EM) features of nuclear bodies and nucleoli were quantitatively compared in ten papillary carcinomas each of thyroid (PC-Thy) and ovarian (PC-Ovar) origins, along with eight nonthyroid, nonovarian papillary neoplasms from other organs (PN-Oth). In each neoplasm, 100 randomly selected nuclei were scored for the presence of characteristic nuclear bodies; these were defined at the LM level by the presence of a central density surrounded by a clear halo, which corresponded to four distinct quantifiable images at the EM level. Means (+/- standard deviations) of the nucleolar frequency factor, the nucleolar area and the computed total nucleolar area (the product of the nuclear frequency factor and the mean nucleolar area) were assessed for the EM images. The number of nuclear bodies was 11.9 +/- 10.7 for PC-Thy, 5.2 +/- 5.3 for PC-Ovar and 5.9 +/- 7.4 for PN-Oth; the means for PC-Thy and PC-Ovar were significantly different (P less than .03), as were the means for PC-Thy and PN-Oth (P less than .04). The nucleolar frequency factor was 0.60 +/- 0.19 for PC-Thy, 1.19 +/- 0.51 for PC-Ovar and 0.99 +/- 0.22 for PN-Oth; these means were significantly different for PC-Thy versus PC-Ovar (P less than .01) and for PC-Thy versus PN-Oth (P less than .001). The mean nucleolar area was 1.19 +/- 0.45 for PC-Thy, 1.91 +/- 0.92 for PC-Ovar and 1.94 +/- 0.76 for PN-Oth; the means were significantly different for PC-Thy and PC-Ovar (P less than .05) and for PC-Thy and PN-Oth (P less than .05). The computed total nucleolar area was 0.73 +/- 0.41 for PC-Thy, 2.17 +/- 1.09 for PC-Ovar and 1.94 +/- 1.00 for PN-Oth; these means were significantly different for PC-Thy versus PC-Ovar (P less than .001) and for PC-Thy versus PN-Oth (P less than .01). A comparison of the total number of nuclear bodies, as determined by both LM and EM, indicated a significant correlation for the PC-Ovar (P less than .01) and PN-Oth (P less than .001) groups using linear regression analysis.(ABSTRACT TRUNCATED AT 400 WORDS)     

Quantitation of hepatitis B virus DNA in serum of patients with hepatoma

Hepatitis B virus (HBV) DNA in the serum of 31 patients with histologically confirmed primary hepatocellular carcinoma (PHC) from Malaysia and Indonesia was quantitated by densitometric scanning of autoradiograms obtained by Southern blot DNA hybridization, after electrophoresis using a 32P DNA cloned into plasmid pBR325 as a probe. This quantitation after electrophoresis is more informative than the usual spot hybridization technique. Five of the 31 sera were positive for HBV DNA. Levels ranged between 1.36 pq and 143.18 pq per ml of serum, and the levels of HBsAg, anti-HBs, anti-HBc, HBeAg and anti-HBe in the serum were serologically determined. All five sera positive for HBV DNA were also positive for HBsAg. Three of the five positive for HBV DNA were positive for HBeAg and negative for anti-HBe. Two of the sera positive for HBV DNA were negative for HBeAg but positive for anti-HBe. All sera negative for HBV DNA were also negative for HBeAg. Many sera which were negative for HBV DNA and HBeAg were positive for HBsAg. Of the 31 sera from PHC patients, 23 had at least one HBV marker positive (74.2%).     

Effect of predictor traits on accuracy of genomic breeding values for feed intake based on a limited cow reference population

The genomic breeding value accuracy of scarcely recorded traits is low because of the limited number of phenotypic observations. One solution to increase the breeding value accuracy is to use predictor traits. This study investigated the impact of recording additional phenotypic observations for predictor traits on reference and evaluated animals on the genomic breeding value accuracy for a scarcely recorded trait. The scarcely recorded trait was dry matter intake (DMI, n = 869) and the predictor traits were fat–protein-corrected milk (FPCM, n = 1520) and live weight (LW, n = 1309). All phenotyped animals were genotyped and originated from research farms in Ireland, the United Kingdom and the Netherlands. Multi-trait REML was used to simultaneously estimate variance components and breeding values for DMI using available predictors. In addition, analyses using only pedigree relationships were performed. Breeding value accuracy was assessed through cross-validation (CV) and prediction error variance (PEV). CV groups (n = 7) were defined by splitting animals across genetic lines and management groups within country. With no additional traits recorded for the evaluated animals, both CV- and PEV-based accuracies for DMI were substantially higher for genomic than for pedigree analyses (CV: max. 0.26 for pedigree and 0.33 for genomic analyses; PEV: max. 0.45 and 0.52, respectively). With additional traits available, the differences between pedigree and genomic accuracies diminished. With additional recording for FPCM, pedigree accuracies increased from 0.26 to 0.47 for CV and from 0.45 to 0.48 for PEV. Genomic accuracies increased from 0.33 to 0.50 for CV and from 0.52 to 0.53 for PEV. With additional recording for LW instead of FPCM, pedigree accuracies increased to 0.54 for CV and to 0.61 for PEV. Genomic accuracies increased to 0.57 for CV and to 0.60 for PEV. With both FPCM and LW available for evaluated animals, accuracy was highest (0.62 for CV and 0.61 for PEV in pedigree, and 0.63 for CV and 0.61 for PEV in genomic analyses). Recording predictor traits for only the reference population did not increase DMI breeding value accuracy. Recording predictor traits for both reference and evaluated animals significantly increased DMI breeding value accuracy and removed the bias observed when only reference animals had records. The benefit of using genomic instead of pedigree relationships was reduced when more predictor traits were used. Using predictor traits may be an inexpensive way to significantly increase the accuracy and remove the bias of (genomic) breeding values of scarcely recorded traits such as feed intake.     

Genetic parameters estimation for preweaning traits and their relationship with reproductive,productive and morphological traits in alpaca

The aim of this study was to estimate the genetic parameters for preweaning traits and their relationship with reproductive, productive and morphological traits in alpacas. The data were collected from 2001 to 2015 in the Pacomarca experimental farm. The data set contained data from 4330 females and 3788 males corresponding to 6396 and 1722 animals for Huacaya and Suri variants, respectively. The number of records for Huacaya and Suri variants were 5494 and 1461 for birth weight (BW), 5429 and 1431 for birth withers height (BH), 3320 and 896 for both weaning weight (WW) and average daily gain (DG) from birth to weaning, 3317 and 896 for weaning withers height (WH), and 5514 and 1474 for survival to weaning. The reproductive traits analyzed were age at first calving and calving interval. The fiber traits were fiber diameter (FD), standard deviation of FD (SD), comfort factor and coefficient of variation of FD and the morphological traits studied were density, crimp in Huacaya and lock structure in Suri, head, coverage and balance. Regarding preweaning traits, model of analysis included additive, maternal and residual random effects for all traits, with sex, coat color, number of calving, month–year and contemporary group as systematic effects, and age at weaning as linear covariate for WW and WH. The most relevant direct heritabilities for Huacaya and Suri were 0.50 and 0.34 for WW, 0.36 and 0.66 for WH, 0.45 and 0.20 for DG, respectively. Maternal heritabilities were 0.25 and 0.38 for BW, 0.18 and 0.32 for BH, 0.29 and 0.39 for WW, 0.19 and 0.26 for WH, 0.27 and 0.36 for DG, respectively. Direct genetic correlations within preweaning traits were high and favorable and lower between direct and maternal genetic effects. The genetic correlations of preweaning traits with fiber traits were moderate and unfavorable. With morphological traits they were high and positive for Suri but not for Huacaya and favorable for direct genetic effect but unfavorable for maternal genetic effect with reproductive traits. If the selection objective was meat production, the selection would have to be based on the direct genetic effect for WW but not on the maternal genetic effect that has been shown to have less relevance. Other weaning traits such as WH or DG would be indirectly selected.