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Environmental risk factors associated with ANCA associated vasculitis: A systematic mapping review
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Surgeon acceptance of an initial 3D glenoid preoperative plan: rates and risk factors
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Epidemiological investigation of coccidiosis and associated risk factors in broiler chickens immunized with live anticoccidial vaccines in China
Coccidiosis is a costly intestinal disease of chickens caused by Eimeria species. This infection is associated with high mortality, reduced feed efficiency, and slowed body weight gain. The diagnosis and control of coccidiosis becomes challenging due to the fact that chickens can be infected by seven different Eimeria species and often occur mixed-species co-infections. Grasping the epidemiology of Eimeria species is crucial to estimate the efficiency of poultry management. This study aimed to explore the distribution of Eimeria species in broiler chickens in China after administering live anticoccidial vaccines. A total of 634 samples were obtained, and the survey results showed that the prevalence of Eimeria was 86.12% (546/634), and the most common species were E. acervulina (65.62%), E. necatrix (50.95%), E. mitis (50.79%), E. tenella (48.42%), and E. praecox (41.80%). Most samples indicated mixed-species infections (an average of 3.29 species per positive sample). Notably, 63.98% of samples contain 3 to 5 Eimeria species within a single fecal sample. The most prevalent combinations were E. acervulina – E. tenella (38.96%) and E. acervulina – E. necatrix (37.22%). Statistical analysis showed that flocks vaccinated with trivalent vaccines were significantly positive for E. necatrix in grower chickens (OR = 3.30, p < 0.05) compared with starter chickens, and tetravalent vaccinated flocks showed that starter chickens demonstrated a higher susceptibility to E. tenella – E. brunetti (OR = 2.03, p < 0.05) and E. acervulina – E. maxima (OR = 2.05, p < 0.05) compared with adult chickens. Geographically, in the case of tetravalent vaccine-immunized flocks, a substantial positive association was observed between E. necatrix infection rates and flocks from eastern (OR = 3.88, p < 0.001), central (OR = 2.65, p = 0.001), and southern China (OR = 3.17, p < 0.001) compared with southwestern China. This study also found a positive association between E. necatrix (OR = 1.64, p < 0.05), E. acervulina (OR = 1.59, p < 0.05), and E. praecox (OR = 1.81, p < 0.05) infection and coccidiosis occurrence compared with non-infected flocks in tetravalent vaccinated flocks. This molecular epidemiological investigation showed a high prevalence of Eimeria species in the field. The emergent species, E. brunetti and E. praecox , might be incorporated into the widely-used live vaccines in the future. These insights could be useful in refining coccidiosis control strategies in the poultry industry.
Risk Factors for Salmonella Contamination of Whole Chicken Carcasses following Changes in U.S. Regulatory Oversight
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Comparison of Statistical Methods for Identifying Risk Factors for Salmonella Contamination of Whole Chicken Carcasses
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Pre-screening to guide coronary artery calcium scoring for early identification of high-risk individuals in the general population
Abstract Aims To evaluate the ability of Systematic COronary Risk Estimation 2 (SCORE2) and other pre-screening methods to identify individuals with high coronary artery calcium score (CACS) in the general population. Methods and results Computed tomography-based CACS quantification was performed in 6530 individuals aged 45 years or older from the general population. Various pre-screening methods to guide referral for CACS were evaluated. Miss rates for high CACS (CACS ≥300 and ≥100) were evaluated for various pre-screening methods: moderate (≥5%) and high (≥10%) SCORE2 risk, any traditional coronary artery disease (CAD) risk factor, any Risk Or Benefit IN Screening for CArdiovascular Disease (ROBINSCA) risk factor, and moderately (>3 mg/24 h) increased urine albumin excretion (UAE). Out of 6530 participants, 643 (9.8%) had CACS ≥300 and 1236 (18.9%) had CACS ≥100. For CACS ≥300 and CACS ≥100, miss rate was 32 and 41% for pre-screening by moderate (≥5%) SCORE2 risk and 81 and 87% for high (≥10%) SCORE2 risk, respectively. For CACS ≥300 and CACS ≥100, miss rate was 8 and 11% for pre-screening by at least one CAD risk factor, 24 and 25% for at least one ROBINSCA risk factor, and 67 and 67% for moderately increased UAE, respectively. Conclusion Many individuals with high CACS in the general population are left unidentified when only performing CACS in case of at least moderate (≥5%) SCORE2, which closely resembles current clinical practice. Less stringent pre-screening by presence of at least one CAD risk factor to guide CACS identifies more individuals with high CACS and could improve CAD prevention.
Female “Paradox” in Atrial Fibrillation—Role of Left Truncation Due to Competing Risks
Female sex in patients with atrial fibrillation (AF) is a controversial and paradoxical risk factor for stroke—controversial because it increases the risk of stroke only among older women of some ethnicities and paradoxical because it appears to contradict male predominance in cardiovascular diseases. However, the underlying mechanism remains unclear. We conducted simulations to examine the hypothesis that this sex difference is generated non-causally through left truncation due to competing risks (CR) such as coronary artery diseases, which occur more frequently among men than among women and share common unobserved causes with stroke. We modeled the hazards of stroke and CR with correlated heterogeneous risk. We assumed that some people died of CR before AF diagnosis and calculated the hazard ratio of female sex in the left-truncated AF population. In this situation, female sex became a risk factor for stroke in the absence of causal roles. The hazard ratio was attenuated in young populations without left truncation and in populations with low CR and high stroke incidence, which is consistent with real-world observations. This study demonstrated that spurious risk factors can be identified through left truncation due to correlated CR. Female sex in patients with AF may be a paradoxical risk factor for stroke.
Bio-project “derisking” through development of systematic methodologies and frameworks for risk assessment
One of the primary hindrances to producing a viable, sustainable domestic biomass industry for renewable biofuels, bio-products and bio-power is the lack of understanding and quantification of the risks associated with both the biomass supply chain and preprocessing and conversion technologies. Currently a consistent method for assessing, comparing, and quantifying risks in biomass supply chains does not exist, creating a major investment barrier to bioenergy projects in the U.S. The lack of a standardized approach has resulted in bioenergy stakeholders independently using inconsistent approaches and evaluation criteria, leading to unreliable and incomparable assessments of risks and financing barriers to bio-project development. Along with the challenges of inconsistent risk assessment for supply chain risk, technology specific risks based on variability in biomass properties are not fully understood and can pose significant unforeseen challenges for bioenergy projects. In many cases these properties have not yet been identified and the impacts on the proposed technology and products unquantified. This is particularly challenging for emerging preprocessing and conversion technologies. Without a firm understanding of the preprocessing/conversion technology-specific critical properties, the risk of a proposed bio-project cannot be fully evaluated. To address inconsistent risk evaluation in the biomass supply chain supporting project financing, a Biomass Supply Chain Risk Standards (BSCRS) framework was developed. The BSCRS framework includes a comprehensive list of known and perceived risks (Risk Indicators) to the supply chain developed through 100’s of interviews with bioenergy industry experts spanning from feedstock growers and suppliers to representatives from the financial sector. These risks have been organized into a manageable hierarchy of Risk Categories and Risk Factors that can be practically assessed. This BSCRS framework also provides mitigation strategies for multiple Risk Indicators from best available industry practices and research findings. Additionally, a risk quantification methodology for each Risk Factor, Risk Category, and the bio-project as a whole was developed to enable capital markets to assess feedstock risk more efficiently and more accurately. Multiple case studies representing existing bio-projects have been used to evaluate and verify the BSCRS framework and scoring methodology. To address technological risk along with the supply chain risk captured in the developed BSCRS framework, this work also focuses on development of a systematic criticality assessment tool using well-accepted, quantitative risk analysis methods to evaluate bioenergy feedstock critical properties impacting system unit operations. The proposed Failure Mode and Effect Analysis (FMEA) approach uses a team of subject area experts (SAEs) for each targeted unit operation within a system. Collectively, the team will develop and use a quantitative scoring system to assess the material attributes, process parameters, and quality attributes for key unit operations that have already been identified. The FMEA process generates Risk Priority Numbers (RPNs) for the various failures and predominant causes for each material/process unit/product combination resulting in a semi-quantitative, standardized methodology for assessing technological risk and biomass properties contributing to that risk.
Decorrelating effects in multiple linear regression to decompose and attribute risk to common and proper effects
Effects in multiple linear regression may be decorrelated to decompose and attribute risk to common and proper effects. In other words, an attribute risk may be decomposed to two or more causes, where each cause is characterized by multiple attributes. The risk decomposition may decompose risk into a first residual part associated with a first set of risk factors, a second residual part associated with a second set of risk factors, and a common part associated with a set of common hidden variables that minimize a correlation between the first set of factors and the second set of factors. The common hidden variables may be modeled using a hidden factor model. An effect of the correlation may be minimized on the first set of risk factors and the second set of risk factors, and how correlated the terms of the risk decomposition are may be quantified.
Case studies of robots and automation as health/safety interventions in small manufacturing enterprises
This article reviews the experiences of 63 case studies of small businesses (<250 employees) with manufacturing automation equipment acquired through a health/safety intervention grant program. The review scope included equipment technologies classified as industrial robots (n = 17), computer numerical control (CNC) machining (n = 29), or other programmable automation systems (n = 17). Descriptions of workers' compensation (WC) claim injuries and identified risk factors that motivated the acquisition of the equipment were extracted from grant applications. Other aspects of the employer experiences, including qualitative and quantitative assessment of effects on risk factors for musculoskeletal disorders (MSD), effects on productivity, and employee acceptance of the intervention were summarized from the case study reports. Case studies associated with a combination of large reduction in risk factors, lower cost per affected employee, and reported increases in productivity were CNC stone cutting system, CNC/vertical machining system, automated system for bottling, CNC/routing system for plastics products manufacturing, and a CNC/Cutting system for vinyl/carpet. Six case studies of industrial robots reported quantitative reductions in MSD risk factors in these diverse manufacturing industries: snack foods; photographic film, paper, plate, and chemical; machine shops; leather goods and allied products; plastic products; and iron and steel forging. Furthermore, this review of health/safety intervention case studies indicates that advanced (programmable) manufacturing automation, including industrial robots, reduced workplace musculoskeletal risk factors, and improved process productivity in most cases.