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Showing papers by "University of the Philippines published in 2016"


Journal ArticleDOI
Bin Zhou1, Yuan Lu2, Kaveh Hajifathalian2, James Bentham1  +494 moreInstitutions (170)
TL;DR: In this article, the authors used a Bayesian hierarchical model to estimate trends in diabetes prevalence, defined as fasting plasma glucose of 7.0 mmol/L or higher, or history of diagnosis with diabetes, or use of insulin or oral hypoglycaemic drugs in 200 countries and territories in 21 regions, by sex and from 1980 to 2014.

2,782 citations


Journal ArticleDOI
26 Jul 2016-eLife
TL;DR: The height differential between the tallest and shortest populations was 19-20 cm a century ago, and has remained the same for women and increased for men a century later despite substantial changes in the ranking of countries.
Abstract: Being taller is associated with enhanced longevity, and higher education and earnings. We reanalysed 1472 population-based studies, with measurement of height on more than 18.6 million participants to estimate mean height for people born between 1896 and 1996 in 200 countries. The largest gain in adult height over the past century has occurred in South Korean women and Iranian men, who became 20.2 cm (95% credible interval 17.5–22.7) and 16.5 cm (13.3–19.7) taller, respectively. In contrast, there was little change in adult height in some sub-Saharan African countries and in South Asia over the century of analysis. The tallest people over these 100 years are men born in the Netherlands in the last quarter of 20th century, whose average heights surpassed 182.5 cm, and the shortest were women born in Guatemala in 1896 (140.3 cm; 135.8–144.8). The height differential between the tallest and shortest populations was 19-20 cm a century ago, and has remained the same for women and increased for men a century later despite substantial changes in the ranking of countries.

1,348 citations


Journal ArticleDOI
TL;DR: The importance of potentially modifiable risk factors for stroke in different regions of the world, and in key populations and primary pathological subtypes of stroke, was quantified.

1,313 citations


Journal ArticleDOI
TL;DR: In this article, the authors quantified maternal mortality throughout the world by underlying cause and age from 1990 to 2015 for ages 10-54 years by systematically compiling and processing all available data sources from 186 of 195 countries and territories.

641 citations


Journal ArticleDOI
Haidong Wang1, Zulfiqar A Bhutta2, Zulfiqar A Bhutta3, Matthew M Coates1  +610 moreInstitutions (263)
TL;DR: The Global Burden of Disease 2015 Study provides an analytical framework to comprehensively assess trends for under-5 mortality, age-specific and cause-specific mortality among children under 5 years, and stillbirths by geography over time and decomposed the changes in under- 5 mortality to changes in SDI at the global level.

591 citations


Journal ArticleDOI
TL;DR: This large international study to estimate fractions of head and neck cancers attributable to human papillomavirus (HPV-AFs) using six HPV-related biomarkers of viral detection, transcription, and cellular transformation confirms the important role ofHPVs in oropharyngeal cancer and drastically downplays the previously reported involvement of HPVs in the other HNCs.
Abstract: BACKGROUND: We conducted a large international study to estimate fractions of head and neck cancers (HNCs) attributable to human papillomavirus (HPV-AFs) using six HPV-related biomarkers of viral detection, transcription, and cellular transformation. METHODS: Formalin-fixed, paraffin-embedded cancer tissues of the oral cavity (OC), pharynx, and larynx were collected from pathology archives in 29 countries. All samples were subject to histopathological evaluation, DNA quality control, and HPV-DNA detection. Samples containing HPV-DNA were further subject to HPV E6*I mRNA detection and to p16(INK4a), pRb, p53, and Cyclin D1 immunohistochemistry. Final estimates of HPV-AFs were based on HPV-DNA, HPV E6*I mRNA, and/or p16(INK4a) results. RESULTS: A total of 3680 samples yielded valid results: 1374 pharyngeal, 1264 OC, and 1042 laryngeal cancers. HPV-AF estimates based on positivity for HPV-DNA, and for either HPV E6*I mRNA or p16(INK4a), were 22.4%, 4.4%, and 3.5% for cancers of the oropharynx, OC, and larynx, respectively, and 18.5%, 3.0%, and 1.5% when requiring simultaneous positivity for all three markers. HPV16 was largely the most common type. Estimates of HPV-AF in the oropharynx were highest in South America, Central and Eastern Europe, and Northern Europe, and lowest in Southern Europe. Women showed higher HPV-AFs than men for cancers of the oropharynx in Europe and for the larynx in Central-South America. CONCLUSIONS: HPV contribution to HNCs is substantial but highly heterogeneous by cancer site, region, and sex. This study, the largest exploring HPV attribution in HNCs, confirms the important role of HPVs in oropharyngeal cancer and drastically downplays the previously reported involvement of HPVs in the other HNCs.

548 citations


Journal ArticleDOI
TL;DR: In this paper, the authors synthesize existing clay mineralogical and geochemical data from similar to 1500 samples from the seafloor and surrounding rivers, deepwater mooring observation results, and high resolution glacial-cyclic clay mineralogy records from six high-quality sediment cores.

329 citations



Journal ArticleDOI
TL;DR: The results for gabapentin in terms of pain relief were conflicting, but combining the results favoured treatment group (gabapentin) over control group (placebo) over long-term results, based on adverse event data, while the results for calcitonin were variable.
Abstract: Background This is an updated version of the original Cochrane review published in Issue 12, 2011. Phantom limb pain (PLP) is pain that arises in the missing limb after amputation and can be severe, intractable, and disabling. Various medications have been studied in the treatment of phantom pain. There is currently uncertainty in the optimal pharmacologic management of PLP. Objectives This review aimed to summarise the evidence of effectiveness of pharmacologic interventions in treating PLP. Search methods For this update, we searched the Cochrane Central Register of Controlled Trials (CENTRAL, the Cochrane Library), MEDLINE, and Embase for relevant studies. We ran the searches for the original review in September 2011 and subsequent searches for this update up to April 2016. We sought additional studies from clinical trials databases and reference lists of retrieved papers. Selection criteria We included randomised and quasi-randomised trials studying the effectiveness of pharmacologic interventions compared with placebo, another active treatment, or no treatment, in established PLP. We considered the following outcomes: change in pain intensity, function, sleep, depression or mood, quality of life, adverse events, treatment satisfaction, and withdrawals from the study. Data collection and analysis We independently assessed issues of study quality and extracted efficacy and adverse event data. Due to the wide variability in the studies, we did not perform a meta-analysis for all the interventions and outcomes, but attempted to pool the results of some studies where possible. We prepared a qualitative description and narrative summary of results. We assessed clinical heterogeneity by making qualitative comparisons of the populations, interventions, outcomes/outcome measures, and methods. Main results We added only one new study with 14 participants to this updated review. We included a 14 studies (10 with low risk of bias and 4 with unclear risk of bias overall) with a total of 269 participants. We added another drug class, botulinum neurotoxins (BoNTs), in particular botulinum toxin A (BoNT/A), to the group of medications reviewed previously. Our primary outcome was change in pain intensity. Most studies did not report our secondary outcomes of sleep, depression or mood, quality of life, treatment satisfaction, or withdrawals from the study. BoNT/A did not improve phantom limb pain intensity during the six months of follow-up compared with lidocaine/methylprednisolone. Compared with placebo, morphine (oral and intravenous) was effective in decreasing pain intensity in the short term with reported adverse events being constipation, sedation, tiredness, dizziness, sweating, voiding difficulty, vertigo, itching, and respiratory problems. The N-methyl D-aspartate (NMDA) receptor antagonists ketamine (versus placebo; versus calcitonin) and dextromethorphan (versus placebo), but not memantine, had analgesic effects. The adverse events of ketamine were more serious than placebo and calcitonin and included loss of consciousness, sedation, hallucinations, hearing and position impairment, and insobriety. The results for gabapentin in terms of pain relief were conflicting, but combining the results favoured treatment group (gabapentin) over control group (placebo) (mean difference -1.16, 95% confidence interval -1.94 to -0.38; 2 studies). However, gabapentin did not improve function, depression score, or sleep quality. Adverse events experienced were somnolence, dizziness, headache, and nausea. Compared with an active control benztropine mesylate, amitriptyline was not effective in PLP, with dry mouth and dizziness as the most frequent adverse events based on one study. The findings for calcitonin (versus placebo; versus ketamine) and local anaesthetics (versus placebo) were variable. Adverse events of calcitonin were headache, vertigo, drowsiness, nausea, vomiting, and hot and cold flushes. Most of the studies were limited by their small sample sizes. Authors' conclusions Since the last version of this review, we identified another study that added another form of medical therapy, BoNTs, specifically BoNT/A, to the list of pharmacologic interventions being reviewed for clinical efficacy in phantom limb pain. However, the results of this study did not substantially change the main conclusions. The short- and long-term effectiveness of BoNT/A, opioids, NMDA receptor antagonists, anticonvulsants, antidepressants, calcitonins, and local anaesthetics for clinically relevant outcomes including pain, function, mood, sleep, quality of life, treatment satisfaction, and adverse events remain unclear. Based on a small study, BoNT/A (versus lidocaine/methylprednisolone) does not decrease phantom limb pain. Morphine, gabapentin, and ketamine demonstrate favourable short-term analgesic efficacy compared with placebo. Memantine and amitriptyline may not be effective for PLP. However, results must be interpreted with caution, as they were based mostly on a small number of studies with limited sample sizes that varied considerably and also lacked long-term efficacy and safety outcomes. The direction of efficacy of calcitonin, local anaesthetics, and dextromethorphan needs further clarification. Overall, the efficacy evidence for the reviewed medications is thus far inconclusive. Larger and more rigorous randomised controlled trials are needed for us to reach more definitive conclusions about which medications would be useful for clinical practice.

219 citations


Journal ArticleDOI
TL;DR: About a third to a fourth of penile cancers were related to HPV when considering HPV DNA detection alone or adding an HPV activity marker, respectively, and the observed HPV type distribution reinforces the potential benefit of current and new HPV vaccines in the reduction of HPV-related penile neoplastic lesions.

189 citations


Journal ArticleDOI
01 Jan 2016-Stroke
TL;DR: Children with AIS, particularly those with arteriopathy, remain at high risk for recurrent AIS despite increased utilization of antithrombotic agents, and Therapies directed at the arteriopathies themselves are needed.
Abstract: Background and Purpose— Published cohorts of children with arterial ischemic stroke (AIS) in the 1990s to early 2000s reported 5-year cumulative recurrence rates approaching 20%. Since then, utilization of antithrombotic agents for secondary stroke prevention in children has increased. We sought to determine rates and predictors of recurrent stroke in the current era. Methods— The Vascular Effects of Infection in Pediatric Stroke (VIPS) study enrolled 355 children with AIS at 37 international centers from 2009 to 2014 and followed them prospectively for recurrent stroke. Index and recurrent strokes underwent central review and confirmation, as well as central classification of causes of stroke, including arteriopathies. Other predictors were measured via parental interview or chart review. Results— Of the 355 children, 354 survived their acute index stroke, and 308 (87%) were treated with an antithrombotic medication. During a median follow-up of 2.0 years (interquartile range, 1.0–3.0), 40 children had a recurrent AIS, and none had a hemorrhagic stroke. The cumulative stroke recurrence rate was 6.8% (95% confidence interval, 4.6%–10%) at 1 month and 12% (8.5%–15%) at 1 year. The sole predictor of recurrence was the presence of an arteriopathy, which increased the risk of recurrence 5-fold when compared with an idiopathic AIS (hazard ratio, 5.0; 95% confidence interval, 1.8–14). The 1-year recurrence rate was 32% (95% confidence interval, 18%–51%) for moyamoya, 25% (12%–48%) for transient cerebral arteriopathy, and 19% (8.5%–40%) for arterial dissection. Conclusions— Children with AIS, particularly those with arteriopathy, remain at high risk for recurrent AIS despite increased utilization of antithrombotic agents. Therapies directed at the arteriopathies themselves are needed.

Journal ArticleDOI
TL;DR: A genome-wide significant association with a missense variant in GRHL3 is discovered and it is concluded that this mutation is an etiologic variant for nonsyndromic CP and is one of few functional variants identified to date for nonsYNDromic orofacial clefting.
Abstract: Cleft palate (CP) is a common birth defect occurring in 1 in 2,500 live births. Approximately half of infants with CP have a syndromic form, exhibiting other physical and cognitive disabilities. The other half have nonsyndromic CP, and to date, few genes associated with risk for nonsyndromic CP have been characterized. To identify such risk factors, we performed a genome-wide association study of this disorder. We discovered a genome-wide significant association with a missense variant in GRHL3 (p.Thr454Met [c.1361C>T]; rs41268753; p = 4.08 × 10−9) and replicated the result in an independent sample of case and control subjects. In both the discovery and replication samples, rs41268753 conferred increased risk for CP (OR = 8.3, 95% CI 4.1–16.8; OR = 2.16, 95% CI 1.43–3.27, respectively). In luciferase transactivation assays, p.Thr454Met had about one-third of the activity of wild-type GRHL3, and in zebrafish embryos, perturbed periderm development. We conclude that this mutation is an etiologic variant for nonsyndromic CP and is one of few functional variants identified to date for nonsyndromic orofacial clefting. This finding advances our understanding of the genetic basis of craniofacial development and might ultimately lead to improvements in recurrence risk prediction, treatment, and prognosis.

Journal ArticleDOI
04 Feb 2016
TL;DR: Data suggest that the natural physiologic aging of placental tissues is associated with cellular senescence and human parturition, and shows that recombinant HMGB1 upregulates the expression of genes associated with parturitions in myometrial cells.
Abstract: Aging is associated with the onset of several diseases in various organ systems; however, different tissues may age differently, rendering some of them dysfunctional sooner than others. Placental membranes (fetal amniochorionic membranes) protect the fetus throughout pregnancy, but their longevity is limited to the duration of pregnancy. The age-associated dysfunction of these membranes is postulated to trigger parturition. Here, we investigated whether cellular senescence-the loss of cell division potential as a consequence of stress-is involved in placental membrane function at term. We show telomere reduction, p38 MAPK activation, increase in p21 expression, loss of lamin B1 loss, increase in SA-β-galactosidase , and senescence-associated secretory phenotype (SASP) gene expression in placental membranes after labor and delivery (term labor [TL]) compared to membranes prior to labor at term (term, not-in-labor [TNIL]). Exposing TNIL placental membranes to cigarette smoke extract, an oxidative stress inducer, also induced markers of cellular senescence similar to those in TL placental membranes. Bioinformatics analysis of differentially expressed SASP genes revealed HMGB1 signaling among the top pathways involved in labor. Further, we show that recombinant HMGB1 upregulates the expression of genes associated with parturition in myometrial cells. These data suggest that the natural physiologic aging of placental tissues is associated with cellular senescence and human parturition.

Journal ArticleDOI
TL;DR: A gap in the knowledge on the status of heart failure in Asia versus other regions led to the creation of a working group of Asian experts, and this review supports implementation of a more comprehensive and organized approach to HF care in Asia.

Journal ArticleDOI
TL;DR: It is demonstrated that non-albicans species are the most common isolates from bloodstream infections in most countries in the Asia-Pacific region, with C. tropicalis as the predominant species.
Abstract: Bloodstream infections caused by Candida species are of increasing importance and associated with significant mortality. We performed a multi-centre prospective observational study to identify the species and antifungal susceptibilities of invasive bloodstream isolates of Candida species in the Asia-Pacific region. The study was carried out over a two year period, involving 13 centers from Brunei, Philippines, Singapore, South Korea, Taiwan, Thailand, and Vietnam. Identification of Candida species was performed at each study center, and reconfirmed at a central laboratory. Susceptibility testing was performed using a commercial broth dilution panel (Sensititre YeastOne YST-010, Thermofisher, United Kingdom) with susceptibility categorisation (S = susceptible, S-DD = susceptible dose-dependent) applied using breakpoints from the Clinical Laboratory Standards Institute. Eight hundred and sixty-one Candida isolates were included in the study. The most common species were C. albicans (35.9%), C. tropicalis (30.7%), C. parapsilosis (15.7%), and C. glabrata (13.6%). Non-albicans species exceeded C. albicans species in centers from all countries except Taiwan. Fluconazole susceptibility was almost universal for C. albicans (S = 99.7%) but lower for C. tropicalis (S = 75.8%, S-DD = 6.1%), C. glabrata (S-DD = 94.9%), and C. parapsilosis (S = 94.8%). Echinocandins demonstrated high rates of in vitro susceptibility (S>99%) against C. albicans, C. tropicalis, and C. parapsilosis This study demonstrates that non-albicans species are the most common isolates from bloodstream infections in most countries in the Asia-Pacific region, with C. tropicalis as the predominant species. Because of the prevalence of reduced susceptibility to fluconazole in non-albicans species, the study indicates that echinocandins should be the antifungal of choice in clinically unstable or high-risk patients with documented candidemia.

Journal ArticleDOI
TL;DR: The European Atherosclerosis Society FH Studies Collaboration (EAS FHSC) is a new initiative of international stakeholders which will help establish a global FH registry to generate large-scale, robust data on the burden of FH worldwide.

Journal ArticleDOI
28 Mar 2016-PLOS ONE
TL;DR: Examination of content related to Typhoon Haiyan as it hit the Philippines and triggered international humanitarian response and media attention reveals how Twitter conversations about disasters evolve over time, showing an issue attention cycle on a social media platform.
Abstract: When disaster events capture global attention users of Twitter form transient interest communities that disseminate information and other messages online. This paper examines content related to Typhoon Haiyan (locally known as Yolanda) as it hit the Philippines and triggered international humanitarian response and media attention. It reveals how Twitter conversations about disasters evolve over time, showing an issue attention cycle on a social media platform. The paper examines different functions of Twitter and the information hubs that drive and sustain conversation about the event. Content analysis shows that the majority of tweets contain information about the typhoon or its damage, and disaster relief activities. There are differences in types of content between the most retweeted messages and posts that are original tweets. Original tweets are more likely to come from ordinary users, who are more likely to tweet emotions, messages of support, and political content compared with official sources and key information hubs that include news organizations, aid organization, and celebrities. Original tweets reveal use of the site beyond information to relief coordination and response.

Journal ArticleDOI
TL;DR: A critical review about the integration of electrochemical processes into membrane bioreactors in order to understand the influence of these processes on wastewater treatment performance and membrane fouling control is provided in this article.
Abstract: This paper provides a critical review about the integration of electrochemical processes into membrane bioreactors (MBR) in order to understand the influence of these processes on wastewater treatment performance and membrane fouling control. The integration can be realized either in an internal or an external configuration. Electrically enhanced membrane bioreactors or electro membrane bioreactors (eMBRs) combine biodegradation, electrochemical and membrane filtration processes into one system providing higher effluent quality as compared to conventional MBRs and activated sludge plants. Furthermore, electrochemical processes, such as electrocoagulation, electrophoresis and electroosmosis, help to mitigate deposition of foulants into the membrane and enhance sludge dewaterability by controlling the morphological properties and mobility of the colloidal particles and bulk liquid. Intermittent application of minute electric field has proven to reduce energy consumption and operational cost as well as minimize the negative effect of direct current field on microbial activity which are some of the main concerns in eMBR technology. The present review discusses important design considerations of eMBR, its advantages as well as its applications to different types of wastewater. It also presents several challenges that need to be addressed for future development of this hybrid technology which include treatment of high strength industrial wastewater and removal of emerging contaminants, optimization study, cost benefit analysis and the possible combination with microbial electrolysis cell for biohydrogen production.

Journal ArticleDOI
TL;DR: In this paper, the effect of changes in solidity on the performance of a VAWT was investigated and it was shown that the generation and shedding of stall turbulence started earlier on the lower solidity rotor blades than the higher solidity blades, thus limiting the rotor's efficiency.

Journal ArticleDOI
TL;DR: Women who undergo surgical therapy for cervical lesions after vaccination with the HPV‐16/18 vaccine may continue to benefit from vaccination, with a reduced risk of developing subsequent CIN2+.
Abstract: We evaluated the efficacy of the human papillomavirus (HPV)-16/18 AS04-adjuvanted vaccine in preventing HPV-related disease after surgery for cervical lesions in a post-hoc analysis of the PApilloma TRIal against Cancer In young Adults (PATRICIA; NCT00122681). Healthy women aged 15-25 years were randomized (1:1) to receive vaccine or control at months 0, 1 and 6 and followed for 4 years. Women were enrolled regardless of their baseline HPV DNA status, HPV-16/18 serostatus, or cytology, but excluded if they had previous or planned colposcopy. The primary and secondary endpoints of PATRICIA have been reported previously; the present post-hoc analysis evaluated efficacy in a subset of women who underwent an excisional procedure for cervical lesions after vaccination. The main outcome was the incidence of subsequent HPV-related cervical intraepithelial neoplasia grade 2 or greater (CIN2+) 60 days or more post-surgery. Other outcomes included the incidence of HPV-related CIN1+, and vulvar or vaginal intraepithelial neoplasia (VIN/VaIN) 60 days or more post-surgery. Of the total vaccinated cohort of 18,644 women (vaccine = 9,319; control = 9,325), 454 (vaccine = 190, control = 264) underwent an excisional procedure during the trial. Efficacy 60 days or more post-surgery for a first lesion, irrespective of HPV DNA results, was 88.2% (95% CI: 14.8, 99.7) against CIN2+ and 42.6% (-21.1, 74.1) against CIN1+. No VIN was reported and one woman in each group had VaIN2+ 60 days or more post-surgery. Women who undergo surgical therapy for cervical lesions after vaccination with the HPV-16/18 vaccine may continue to benefit from vaccination, with a reduced risk of developing subsequent CIN2+.

Journal ArticleDOI
TL;DR: The authors investigated the types and scale of loss and damage in two municipalities that were affected by typhoon-induced floods and landslides in 2004 and 2012 and found that human loss and property damage are causing psychological distress to affected people, undermining capacity to adapt to the next disasters.
Abstract: Loss and damage from floods and landslides are escalating in the Philippines due to increasing frequency and intensity of typhoons This paper investigates the types and scale of loss and damage in two municipalities that were affected by typhoon-induced floods and landslides in 2004 and 2012 It assesses people's preferences on adaptation measures and perceptions on human-nature links on occurrence of disasters It reveals that human loss and property damage are causing psychological distress to affected people, undermining capacity to adapt to the next disasters Many vulnerable people are not aware of the link between climate and land use change Moreover, many depend on unsustainable land use for source of livelihoods particularly after disasters The preference for measures to reduce landslide risks through reforestation and logging/mining prevention is thus low Insurance is not a preferred mechanism for reducing risks because regular payment of premium is not affordable to vulnerable people

Journal ArticleDOI
TL;DR: Multidrug-resistant Salmonella was common in pigs, pork and human samples in this region and carried mobile genetic elements and resistance genes on conjugative plasmids that could be readily transferred to other bacterial species.
Abstract: This study aimed to examine occurrence and antimicrobial resistance characteristics of Salmonella from pigs, pork and humans in Thailand and Laos provinces. The samples were collected from pigs, carcasses and workers in slaughterhouses, retail pork and butchers in fresh markets and patients in hospitals in Thailand (n=729) and Laos (n=458). A total of 295 of 729 samples (34.6 %) collected in Thailand and 253 of 458 (47.4 %) samples collected in Laos were positive for Salmonella. A total of 548 Salmonella isolates from Thailand (n=295) and Laos (n=253) were further analysed. Serovar Typhimurium was the most common serotype in Thai (34 %) and Laos (20.6 %) samples. Approximately 2.4 % of Thai isolates produced extended-spectrum β-lactamase (ESBL). All the ESBL producers possessed bla CTX-M-14, some of which were horizontally transferred. Class 1 integrons were common in Thai (31.9 %) and Laos (39.1 %) isolates, but none were associated with SGI1. The resistance cassette dfrA12-aadA2 was the most common, while the least common was aadA2-linG (n=1). The dfrA12-aadA2 gene cassette in five isolates and aadA2-linG were located on conjugative plasmid. Three pork isolates were fluoroquinolone resistant and carried an amino acid substitute, Ser-83-Tyr, in GyrA. The qnrS gene was found in 7.1 and 5.5 % of the Thai and Laos isolates, respectively, while qnrB was carried in another Laos isolate (1.9 %). All ESBL producers carried qnrS. In conclusion, multidrug-resistant Salmonella was common in pigs, pork and human samples in this region. The bacteria carried mobile genetic elements and resistance genes on conjugative plasmids that could be readily transferred to other bacterial species.

Journal ArticleDOI
TL;DR: In this article, the clinical, dermoscopic, and pathologic features of onychopapilloma were reviewed, and the most common clinical presentation was longitudinal erythronychia.
Abstract: Background Onychopapilloma is a benign neoplasm of the nail bed and the distal matrix. Although not uncommon in our experience, only up to 32 cases of this tumor have been reported in the literature. Objective We sought to review the clinical, dermoscopic, and pathologic features of onychopapilloma. Methods We retrospectively analyzed the clinical features of 47 patients with pathologically confirmed onychopapilloma diagnosed within the last 5 years, and reviewed the published literature. Results The most common clinical presentation was longitudinal erythronychia (n = 25); followed by longitudinal leukonychia (n = 7); longitudinal melanonychia (n = 4); long splinter hemorrhages without erythronychia, leukonychia, or melanonychia (n = 8); and short splinter hemorrhages without erythronychia, leukonychia, or melanonychia (n = 3), with subungual mass (n = 47) and distal fissuring (n = 11). Pathology was consistent with acanthosis of the nail bed and distal matrix, with matrix metaplasia underlying distal subungual hyperkeratosis. Limitations This was a retrospective analysis. Conclusion To our knowledge, our series of onychopapilloma is the largest so far. Among various clinical presentations, longitudinal erythronychia is the most common. Dermoscopy of the free edge of the nail plate showing a small subungual keratotic mass where the band reaches the nail plate margin provides a clue for the diagnosis.

Journal ArticleDOI
TL;DR: Higher pain and central sensitization scores were associated with increased brain GABA levels in individuals with migraine, and some support is provided for the possible role of GABA in migraine pathophysiology and its potential as a diagnostic marker.

Journal ArticleDOI
TL;DR: In this article, a qualitative method was used to explore the positive outcomes of lesson study as a professional development model, where teachers are treated as central to the learning process, allowing them to be engaged in critically assessing their own improvement.
Abstract: Professional development of in-service teachers requires a sustainable and school-based model which will provide them with opportunities for collaboration in building an environment that supports their capacity-building and pedagogical improvement. In this professional development model, teachers are treated as central to the learning process, allowing them to be engaged in critically assessing their own improvement. A qualitative method was used in this study to explore the positive outcomes of lesson study as a professional development model. Data included transcripts from year-long interaction of the teachers and science education experts taken in various form such as reflective logs, audio and video-tape recordings, non-structured questions and formal written interviews. Analysis was done through the constant comparison method to reveal the coding patterns for the positive impact of lesson study. Teachers’ insights provided positive evidence that lesson study developed them professionally, especially ...

Journal ArticleDOI
TL;DR: In this article, a post-typhoon survey of four severely affected sites with different exposure to the typhoon track and different geological and geomorphological settings was carried out, showing that storm waves entrained coral rubble from the reef slope and formed an intertidal coral ridge several hundreds of metres long when breaking at the reef edge.
Abstract: . On 8 November 2013, category 5 Supertyphoon Haiyan made landfall on the Philippines. During a post-typhoon survey in February 2014, Haiyan-related sand deposition and morphological changes were documented at four severely affected sites with different exposure to the typhoon track and different geological and geomorphological settings. Onshore sand sheets reaching 100–250 m inland are restricted to coastal areas with significant inundation due to amplification of surge levels in embayments or due to accompanying long-wave phenomena at the most exposed coastlines of Leyte and Samar. However, localized washover fans with a storm-typical laminated stratigraphy occurred even along coasts with limited inundation due to waves overtopping or breaching coastal barriers. On a recent reef platform off Negros in the Visayan Sea, storm waves entrained coral rubble from the reef slope and formed an intertidal coral ridge several hundreds of metres long when breaking at the reef edge. As these sediments and landforms were generated by one of the strongest storms ever recorded, they not only provide a recent reference for typhoon signatures that can be used for palaeotempestological and palaeotsunami studies in the region but might also increase the general spectrum of possible cyclone deposits. Although a rather atypical example for storm deposition due to the influence of infra-gravity waves, it nevertheless provides a valuable reference for an extreme case that should be considered when discriminating between storm and tsunami deposits in general. Even for sites with low topography and high inundation levels during Supertyphoon Haiyan, the landward extent of the documented sand sheets seems significantly smaller than typical sand sheets of large tsunamis. This criterion may potentially be used to distinguish both types of events.

Journal ArticleDOI
TL;DR: The exclusive reproductive stage effect of salinity stress to rice plants for 20 days from the day of ‘flag leaf appearance’ proved the efficacy of the methodology by clear discrimination between the salt-sensitive and salt-tolerant genotypes, which is being used to screen several mapping populations.
Abstract: Rice is one of the major crops but rice productivity is adversely affected by salinity stress. The rice seedling and reproductive stages are the most sensitive growth stages against salinity stress with very poor association, suggesting that they are regulated by different processes and sets of genes/QTLs. Reproductive stage salinity tolerance is most important as it is translated into grain yield. There are hardly any studies on reproductive-stage salinity tolerance that exist mainly because of the lack of reliable reproductive stage-specific phenotyping techniques and incomplete knowledge of the stage-specific mechanisms of salinity tolerance. Establishing a precise and accurate phenotyping approach for reproductive stage is the utmost crucial step in identifying the genomic regions appropriate for marker-assisted breeding programs. Two major challenges for screening exclusively for the reproductive stage are (1) how to stress plants at the reproductive stage without stressing them at the seedling or late vegetative stages, and (2) how to impose the stress on different genotypes or mapping populations at equivalent growth stages of development because of the variability in the basic vegetative phase of the developmental stages. By cutting the old leaves, this study standardised a methodology that allows salt translocation to the reproductive organs as quickly as possible just at the initiation of booting which was growth stage-specific rather than growth duration-dependent. The results showed cutting the old leaves of the rice plant, leaving only the flag leaf and penultimate leaf, had no significant effect on yield components and that way salt reached to the reproductive parts very quickly after 2 or 3 days of stress treatment in the leaf pruning method. However, there is no high Na+ accumulation in the top two leaves even after 9 days of stress treatment in the untrimmed plants. The exclusive reproductive stage effect of salinity stress (10 dSm−1) to rice plants for 20 days from the day of ‘flag leaf appearance’ proved the efficacy of the methodology by clear discrimination between the salt-sensitive and salt-tolerant genotypes, which is being used to screen several mapping populations.

Journal ArticleDOI
TL;DR: In this paper, a new carbon self-doped (Cdoped) TiO 2 photocatalyst was synthesized by sol-gel method, in which titanium butoxide was utilized because of its dual functions as a titanium precursor and a carbon source.

Journal ArticleDOI
TL;DR: In this article, the authors investigated the effectiveness of content knowledge-guided lesson study (PCKLS) as an intervention to develop PCK competencies among teachers and consequently enhance student achievement in terms of conceptual understanding and problem-solving skills.
Abstract: This study aimed to investigate the effectiveness of Pedagogical Content Knowledge-Guided Lesson Study (PCKLS) as an intervention to develop PCK competencies among teachers and consequently enhance student achievement in terms of conceptual understanding and problem-solving skills. Using quasi-experimental design, teacher competencies and student achievement in the PCKLS group and the conventional group were compared. In the PCKLS group, the intervention involved planning the lesson by the research team, teaching the planned lesson while PCK observations were made by the researcher and another teacher from the group, including a feedback meeting, implementing the improvements in the reteach stage of the lesson study cycle by another teacher from the research team, and, finally, revising lesson plans based on the consolidated suggestions for improvement. Analyses of data showed that there was a significant difference in the science teacher competencies of the PCKLS group teacher respondents compared to those of the conventional group. Also, student respondents showed a significant increase on mean scores in terms of conceptual understanding and problem-solving skills. Therefore, it was concluded that PCKLS was an effective method to develop the teachers’ PCK competencies and student achievement in terms of conceptual understanding and problem solving. This study recommends that this intervention be used across chemistry topics and in other science classes such as Biology, Earth and Environmental Science, Physics, and Mathematics.

Proceedings ArticleDOI
09 May 2016
TL;DR: The inability to effectively use the hands and feet to control and navigate the environment degrades the level of immersion of VR, so the use of gaze as a substitute input device is explored.
Abstract: Virtual Reality (VR) has finally caught the attention of major technology companies, giving it a significant boost towards becoming market-ready. VR has the capacity to create profoundly engaging experiences by synthesizing highly detailed sensory input in real time, making games the most obvious applications of VR. While the promises of VR may be exciting due to the problems it can solve and new experiences it can offer, there are still numerous issues to be addressed in order to achieve maximal immersion in VR. In this paper, we present the issues encountered during open testing of our applications on commercially available VR goggles and hand input device. The inability to effectively use the hands and feet to control and navigate the environment degrades the level of immersion of VR. With users preferring reliability over intuitiveness, we explore the use of gaze as a substitute input device. Results of experiments conducted on numerous volunteers showed significant improvement in terms of user control.