scholarly journals Medullary Blood Oxygen Level-Dependent MRI Index (R2*) is Associated with Annual Loss of Kidney Function in Moderate CKD

2021 ◽  
pp. 1-9
Author(s):  
Lu-Ping Li ◽  
Jon M. Thacker ◽  
Wei Li ◽  
Bradley Hack ◽  
Chi Wang ◽  
...  

<b><i>Background:</i></b> The estimated glomerular filtration rate (eGFR) is frequently used to monitor progression of kidney disease. Multiple values have to be obtained, sometimes over years to determine the rate of decline in kidney function. Recent data suggest that functional MRI (fMRI) methods may be able to predict loss of eGFR. In a prior study, <i>baseline</i> data with multi-parametric MRI in individuals with diabetes and moderate CKD was reported. This report extends our prior observations in order to evaluate the temporal variability of the fMRI measurements over 36 months and their association with annual change in eGFR. <b><i>Methods:</i></b> Twenty-four subjects with moderate CKD completed 3 sets of MRI scans over a 36-month period. Blood oxygenation level-dependent (BOLD), arterial spin labeling perfusion, and diffusion MRI images were acquired using a 3 T scanner. Coefficients of variation was used to evaluate variability between subjects at each time point and temporal variability within each subject. We have conducted mixed effects models to examine the trajectory change in GFR over time using time and MRI variables as fixed effects and baseline intercept as random effect. Associations of MRI image markers with annual change in eGFR were evaluated. <b><i>Results:</i></b> Multi-parametric functional renal MRI techniques in individuals with moderate CKD showed higher temporal variability in R2* of medulla compared to healthy individuals. This was consistent with the significant lower R2* in medulla observed at 36 months compared to baseline values. The results of linear mixed model showing that R2*_Medulla was the only predictor associated with change in eGFR over time. Furthermore, a significant association of medullary R2* with annual loss of eGFR was observed at all the 3 time points. <b><i>Conclusions:</i></b> The lower R2* values and the higher temporal variability in the renal medulla over time suggest the ability to monitor progressive CKD. These were confirmed by the fact that reduced medullary R2* was associated with higher annual loss in eGFR. These data collectively emphasize the need for inclusion of medulla in the analysis of renal BOLD MRI studies.

2020 ◽  
Author(s):  
Amanda Lee ◽  
Meggan Graves ◽  
Andrea Lear ◽  
Sherry Cox ◽  
Marc Caldwell ◽  
...  

AbstractPain management should be utilized with castration to reduce physiological and behavioral changes. Transdermal application of drugs require less animal management and fewer labor risks, which can occur with oral administration or injections. The objective was to determine the effects of transdermal flunixin meglumine on meat goats’ behavior post-castration. Male goats (N = 18; mean body weight ± standard deviation: 26.4 ± 1.6 kg) were housed individually in pens and randomly assigned to 1 of 3 treatments: (1) castrated, dosed with transdermal flunixin meglumine; (2) castrated, dosed with transdermal placebo; and (3) sham castrated, dosed with transdermal flunixin meglumine. Body position, rumination, and head- pressing were observed for 1 h ± 10 minutes twice daily on days −1, 0, 1, 2, and 5 around castration. Each goat was observed once every 5-minutes (scan samples) and reported as percentage of observations. Accelerometers were used to measure standing, lying, and laterality (total time, bouts, and bout duration). A linear mixed model was conducted using GLIMMIX. Fixed effects of treatment, day relative to castration, and treatment*day relative to castration and random effect of date and goat nested within treatment were included. Treatment 1 goats (32.7 ± 2.8%) and treatment 2 goats (32.5 ± 2.8%) ruminated less than treatment 3 goats (47.4 ± 2.8%, P = 0.0012). Head pressing was greater on day of castration in treatment 2 goats (P < 0.001). Standing bout duration was greatest in treatment 2 goats on day 1 post-castration (P < 0.001). Lying bout duration was greatest in treatment 2 goats on day 1 post-castration compared to treatment 1 and treatment 3 goats(P < 0.001). Transdermal flunixin meglumine improved goats’ fluidity of movement post-castration and decreased head pressing, indicating a mitigation of pain behavior.


2020 ◽  
Author(s):  
Brandon LeBeau

<p>The linear mixed model is a commonly used model for longitudinal or nested data due to its ability to account for the dependency of nested data. Researchers typically rely on the random effects to adequately account for the dependency due to correlated data, however serial correlation can also be used. If the random effect structure is misspecified (perhaps due to convergence problems), can the addition of serial correlation overcome this misspecification and allow for unbiased estimation and accurate inferences? This study explored this question with a simulation. Simulation results show that the fixed effects are unbiased, however inflation of the empirical type I error rate occurs when a random effect is missing from the model. Implications for applied researchers are discussed.</p>


2018 ◽  
Vol 18 (2) ◽  
pp. 303-310 ◽  
Author(s):  
Mervyn Travers ◽  
Penny Moss ◽  
William Gibson ◽  
Dana Hince ◽  
Sheree Yorke ◽  
...  

Abstract Background and aims: Exercise-induced hypoalgesia (EIH) is a well-established phenomenon in pain-free individuals that describes a decrease in pain sensitivity after an acute bout of exercise. The EIH response has been demonstrated to be sub-optimal in the presence of persisting pain. Menstrual pain is a common recurrent painful problem with many women experiencing high levels of pain each cycle. However, the EIH response has not been examined in a cohort of women with high levels of menstrual pain. This research aimed to examine whether EIH manifests differently in women with varying levels of menstrual pain. The primary hypothesis was that women with high levels of menstrual pain would demonstrate compromised EIH. Secondary aims were to explore relationships between EIH and emotional state, sleep quality, body mass index (BMI) or physical activity levels. Methods: Pressure pain thresholds (PPT) were measured in 64 participants using a digital handheld algometer before and after a submaximal isometric-handgrip exercise. EIH index was compared between low (VAS 0–3), moderate (VAS 4–7) and high (VAS 8–10) pain groups, using a linear mixed model analysis with participant as a random effect, and site, menstrual pain category and the interaction between the two, as fixed effects. Results: EIH was consistently induced in all groups. However, there was no statistically significant difference between the pain groups for EIH index (p=0.835) or for any co-variates (p>0.05). Conclusions: EIH was not found to differ between women who report regular low, moderate or high levels of menstrual pain, when measured at a point in their menstrual cycle when they are pain free. Implications: This study provides insight that EIH does not vary in women with differing levels of menstrual pain when they are not currently experiencing pain. The current findings indicate that, although menstrual pain can involve regular episodes of high pain levels, it may not be associated with the same central nervous system dysfunctions as seen in sustained chronic pain conditions.


Animals ◽  
2021 ◽  
Vol 12 (1) ◽  
pp. 26
Author(s):  
Ali Hardan ◽  
Philip C. Garnsworthy ◽  
Matt J. Bell

The aim of this study was to investigate the use of signal processing to detect eructation peaks in CH4 released by cows during robotic milking, and to compare recordings from three gas analysers (Guardian SP and NG, and IRMAX) differing in volume of air sampled and response time. To allow comparison of gas analysers using the signal processing approach, CH4 in air (parts per million) was measured by each analyser at the same time and continuously every second from the feed bin of a robotic milking station. Peak analysis software was used to extract maximum CH4 amplitude (ppm) from the concentration signal during each milking. A total of 5512 CH4 spot measurements were recorded from 65 cows during three consecutive sampling periods. Data were analysed with a linear mixed model including analyser × period, parity, and days in milk as fixed effects, and cow ID as a random effect. In period one, air sampling volume and recorded CH4 concentration were the same for all analysers. In periods two and three, air sampling volume was increased for IRMAX, resulting in higher CH4 concentrations recorded by IRMAX and lower concentrations recorded by Guardian SP (p < 0.001), particularly in period three, but no change in average concentrations measured by Guardian NG across periods. Measurements by Guardian SP and IRMAX had the highest correlation; Guardian SP and NG produced similar repeatability and detected more variation among cows compared with IRMAX. The findings show that signal processing can provide a reliable and accurate means to detect CH4 eructations from animals when using different gas analysers.


2019 ◽  
Vol 97 (Supplement_3) ◽  
pp. 172-172
Author(s):  
Morgan Van Davelaar ◽  
David R Notter ◽  
D Lee Wright ◽  
Anna M Zajac ◽  
Scott P Greiner ◽  
...  

Abstract The objective was to determine the magnitude of yearly differences in parasite load in growing ram lambs. Data were obtained from the Southwest Virginia Agriculture Research and Extension Center in Glade Spring, VA. The center conducts a forage-based ram growth test during the summer where rams also undergo a parasite challenge. Data consisted of 488 Katahdin rams tested from 2012 to 2018. Rams were dewormed at delivery, and at the start of the test, each ram received an oral dose of 5,000 H. contortus larvae adjusted for body weight. Fecal egg count was measured 70 d later when rams were on average (SD) 200 (18) d old. Fecal egg counts were not normally distributed. The Box-Cox procedure indicated that a log transformation was appropriate, but the residuals were not normally distributed for several linear models. A zero-inflated negative binomial generalized linear mixed model was used for data analysis with the glmmTMB package in R. The model included fixed effects of centered and scaled weight, centered and scaled age, year, birth type, and rearing type, and the random effect of consignor. Birth type, rear type, and age were not significant (P &gt; 0.10). The least square mean (SE) fecal egg counts by year were 344 (118) for 2012, 623 (214) for 2013, 574 (195) for 2014, 1,125 (409) for 2015, 745 (253) for 2016, 408 (142) for 2017, and 239 (86) for 2018. Differences in summer precipitation could affect average parasite load. Despite similar total summer precipitation, 2012 had 1 extremely wet month whereas, 2015 had consistent precipitation throughout the summer. We conclude that producers should not compare fecal egg counts across years because the overall average may be multiple-fold different from year to year. Ranking rams within year will be more effective to select for improved parasite resistance.


2020 ◽  
Vol 10 (15) ◽  
pp. 5029
Author(s):  
Ángel Javier Aguirre ◽  
Guillermo E. Guevara-Viera ◽  
Carlos S. Torres-Inga ◽  
Raúl V. Guevara-Viera ◽  
Antonio Boné ◽  
...  

The fluid velocity inside the tank of agricultural sprayers is an indicator of the quality of the mixture. This study aims to formulate the best generalized linear mixed model to infer the fluid velocity inside a tank under specific operational parameters of the agitation system, such as liquid level, circuit pressures, and number of active nozzles. A complex model was developed that included operational parameters as fixed effects (FE) and the section of the tank as the random effect. The goodness of fit of the model was evaluated by considering the lowest values of Akaike’s information criteria and Bayesian information criterion, and by estimating the residual variance. The gamma distribution and log-link function enhanced the goodness of fit of the best model. The Toeplitz structure was chosen as the structure of the covariance matrix. SPSS and SAS software were used to compute the model. The analysis showed that the greatest influence on the fluid velocity was exerted by the liquid level in the tank, followed by the circuit pressure and, finally, the number of active nozzles. The development presented here could serve as a guide for formulating models to evaluate the efficiency of the agitation system of agricultural sprayers.


2019 ◽  
Vol 97 (Supplement_3) ◽  
pp. 200-200
Author(s):  
Haley E Rymut ◽  
Courtni R Sizemore ◽  
Laurie A Rund ◽  
Alexandra K Houser ◽  
Rodney W Johnson ◽  
...  

Abstract Costs and productivity losses associated with porcine reproductive and respiratory syndrome virus (PRRSV) outbreaks impact the swine industry. The objective of this study was to evaluate the effect of maternal immune activation (MIA) from a PRRSV challenge during gestation on the piglet serum concentrations of albumin and globulin, indicators of inflammation or organ damage. Eighteen pregnant Camborough gilts were inoculated with either PRRSV or saline on gestational day 76. After farrowing 106 piglets remained with the gilts until postnatal day (PD) 21. One group of piglets was weaned and group-housed while another group remained with the gilts until PD22. At PD 60, a group of weaned piglets was fasted for one day while the rest was fed to meet nutritional requirements. Serum concentrations of globulin and albumin were measured on PD 22 and 61 and were analyzed using a linear mixed model including the fixed effects of gilt challenge, piglet treatment and sex and the random effect of gilt. On PD 22, albumin was higher in weaned relative to suckled piglets from saline-treated gilts (P &lt; 0.0305). Globulin was higher in weaned relative to suckled piglets (P &lt; 0.0014) and in piglets from PRRSV-treated relative to saline-treated gilts (P &lt; 0.0201). The albumin/globulin ratio was higher in weaned piglets from saline relative to PRRSV-treated gilts (P &lt; 0.0367). On PD 61, albumin was higher in fasted relative to fed piglets (P &lt; 0.0072). Globulin was higher in males relative to females from PRRSV-treated gilts (P &lt; 0.0326), and the albumin/globulin ratio was higher in fasted relative to fed piglets (P &lt; 0.0043). Our results indicate a positive correlation between serum protein concentrations and MIA, weaning or fasting stress that may be indicative of inflammation, organ dysfunction or nutritional imbalance. This study is supported by USDA NIFA AFRI, grant number 2018-67015-27413.


2013 ◽  
Vol 80 (4) ◽  
pp. 467-474 ◽  
Author(s):  
J Paul Edwards ◽  
Bernadette O'Brien ◽  
Nicolas Lopez-Villalobos ◽  
Jenny G Jago

The objective of this study was to collect and analyse milking data from a sample of commercial farms with swingover herringbone parlours to evaluate milking efficiency over a range of parlour sizes (12–32 milking units). Data were collected from 19 farms around the Republic of Ireland equipped with electronic milk metres and herd management software that recorded data at individual milking sessions. The herd management software on each farm was programmed to record similar data for each milking plant type. Variables recorded included cow identification, milking date, identification time, cluster-attachment time, cluster/unit number, milk yield, milking duration, and average milk flow rate. Calculations were performed to identify efficiency benchmarks such as cow throughput (cows milked per h), milk harvesting efficiency (kg of milk harvested per h) and operator efficiency (cows milked per operator per h). Additionally, the work routine was investigated and used to explain differences in the benchmark values. Data were analysed using a linear mixed model that included the fixed effects of season-session (e.g. spring-AM), parlour size and their interaction, and the random effect of farm. Additionally, a mathematical model was developed to illustrate the potential efficiency gains that could be achieved by implementing a maximum milking time (i.e. removing the clusters at a pre-set time regardless of whether the cow had finished milking or not). Cow throughput and milk harvesting efficiency increased with increasing parlour size (12 to 32 units), with throughput ranging from 42 to 129 cows/h and milk harvesting efficiency from 497 to 1430 kg/h (1–2 operators). Greater throughput in larger parlours was associated with a decrease in operator idle time. Operator efficiency was variable across farms and probably dependent on milking routines in use. Both of these require consideration when sizing parlours so high levels of operator efficiency as well as cow throughput can be achieved simultaneously. The mathematical model indicated that application of a maximum milking time within the milking process could improve cow throughput (66% increase in an 18-unit parlour when truncating the milking time of 20% of cows). This could allow current herd milking durations to be maintained as herd size increases.


2020 ◽  
Author(s):  
Dawit Getachew ◽  
Aragaw Eshetie ◽  
Dessie Chekole

Abstract HIV/AIDS continues to be a major public health concern and cause of death in the world. Even- though WHO recommended viral load testing as the preferred monitoring approach to diagnose and confirm ARV treatment failure, but in most cases, factors influencing the trend of viral load were not well identified. The main objective of this study was to modeling the change of viral load and identifying its associated factors among HIV positive patients. In this retrospective longitudinal data analysis, data was collected from 287 HIV positive patients registered for ART between January 2017 and June 2019 in Zewditu hospital and unstructured covariance structure was parsimonious for the data. linear mixed model with different random effect were applied to the data. Linear mixed model with random intercept and slope were selected as a best model to fit the data based on different model selection criteria. The findings of the study revealed that there was a decrement over time in the log VL of patients with HIV on ART. Furthermore, time, baseline CD4 count, WHO clinical stage, functional status of the patient, adherence, smoking status, initial ART Regimen and Time interaction with adherence and WHO stage were found to be significant predictors of log VL evolution. Therefore, Patients should take ART regimens with good adherence to decrease their viral load over time.


Author(s):  
Giulia Vannucci ◽  
Anna Gottard ◽  
Leonardo Grilli ◽  
Carla Rampichini

Mixed or multilevel models exploit random effects to deal with hierarchical data, where statistical units are clustered in groups and cannot be assumed as independent. Sometimes, the assumption of linear dependence of a response on a set of explanatory variables is not plausible, and model specification becomes a challenging task. Regression trees can be helpful to capture non-linear effects of the predictors. This method was extended to clustered data by modelling the fixed effects with a decision tree while accounting for the random effects with a linear mixed model in a separate step (Hajjem & Larocque, 2011; Sela & Simonoff, 2012). Random effect regression trees are shown to be less sensitive to parametric assumptions and provide improved predictive power compared to linear models with random effects and regression trees without random effects. We propose a new random effect model, called Tree embedded linear mixed model, where the regression function is piecewise-linear, consisting in the sum of a tree component and a linear component. This model can deal with both non-linear and interaction effects and cluster mean dependencies. The proposal is the mixed effect version of the semi-linear regression trees (Vannucci, 2019; Vannucci & Gottard, 2019). Model fitting is obtained by an iterative two-stage estimation procedure, where both the fixed and the random effects are jointly estimated. The proposed model allows a decomposition of the effect of a given predictor within and between clusters. We will show via a simulation study and an application to INVALSI data that these extensions improve the predictive performance of the model in the presence of quasi-linear relationships, avoiding overfitting, and facilitating interpretability.


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