SlideShare a Scribd company logo
1 of 4
Download to read offline
Geetha. T. Int. Journal of Engineering Research and Application www.ijera.com
ISSN : 2248-9622, Vol. 7, Issue 2, ( Part -3) February 2017, pp.24-26
www.ijera.com DOI: 10.9790/9622- 0702032426 24 | P a g e
EMW Distribution for Human Hormone
Geetha. T* and Poongothai. T**
* Asst. Professor of Mathematics, K.N. Govt. Arts College, Thanjavur, Tamilnadu, India
** Research Scholar, K.N. Govt, Arts College, Thanjavur.
ABSTRACT
A stochastic modeling of biological systems is crucial to effectively and efficiently developing treatments for
medical conditions that plague humanity. The study of challenge tests designed to evaluate serotoninergic
pathways have widely used intravenous citalopram. Oral citalopram has also been used, but unsatisfactory
results were obtained with a dose of 20 mg. We evaluated cortisol, growth hormone and prolactin levels and
determine whether a higher oral dose would reproduce similar to those described for intravenous administration.
Under the assumption that the threshold level of cortisol is a random variable follows exponentiated modified
weibull distribution. The survival function of cortisol and its p.d.f are derived.
Keywords: Cortisol, threshold, EMWD, cumulative Damage process.
I. INTRODUCTION
K.Chandrasekar and R.Kannan has been
derived the stochastic model for estimating the
expected time to seroconversion of HIV infected
using exponentiated modified modified weibull
distribution. In this paper, the stochastic model for
the expected time to cortisol and variance of the
cortisol time are derived under the assumption that
threshold level of stress effect is a random variable
which follows exponentiated modified weibull
distribution.
Challenge tests to evaluate serotoninergic
function in psychiatric disorders are common and
usually evaluate corticotrophin-releasing hormone,
growth hormone and prolactin. Fenfluramine has
given way to other agents, including 5-HT reuptake
inhibitors (SSRI antidepressants). Although
paroxetine has been used in challenge tests,
citalopram is often the SSRI of choice due to its
higher selectivity. In the only double-blind
randomized study addressing 5-HT-mediated
neuroendocrine response, no difference was found
between citalopram, a racemic compound, and
escitalopram, its active isomer. Pharmacokinetic
studies have shown that maximum plasma levels of
approximately 130-160 nmol/l are generally
obtained within 2-4 h after a 50 –mg oral dose. A
second, lower, peak is sometimes observed. The
decline is considered to be monoexponential with a
of approximately 30 h. Although intravenous
citalopram has previously been used in
serotoninergic challenge tests, this formulation is
not available in many countries, and the only
challenge test with oral citalopram (at a dose of 20
mg) produced less than satisfactory results. The
objectives of this study were: 1) to measure plasma
levels of cortisol, growth hormone and prolactin as
a means of evaluating the neuroendocrine response
to a higher dose (40 mg) of oral citalopram used as
a tool to stimulate hormone secretion in
neuroendocrine challenge paradigms; 2) to
compare the kinetics of serum citalopram levels
and neuroendocrine response using this higher dose
of citalopram.
APPLICATION
RESEARCH ARTICLE OPEN ACCESS
Geetha. T. Int. Journal of Engineering Research and Application www.ijera.com
ISSN : 2248-9622, Vol. 7, Issue 2, ( Part -3) February 2017, pp.24-26
www.ijera.com DOI: 10.9790/9622- 0702032426 25 | P a g e
Growth hormone levels increased in three
of the four subjects who presented a rise I cortisol
level and a peak at 2-3 h after citalopram intake.
Curiously, the three subjects who did not present an
increase in growth hormone levels after citalopram
intake actually a peak at 2-3 h after placebo intake.
The reason for this is unknown. In two of the six
subjects, prolactin levels increased after citalopram
challenge. All measurements were within the
normal range, except for that of one subject who
had a baseline prolactin level above the upper
normal limit, which might have been related to
stress or even to a normally occurring pulse outside
normal limits.
II. MATHEMATICAL MODEL
: time for cortisol level during exercise.
Y : Cortisol level.
: a continuous random variable denoting the inter
arrival times between successive contacts with p.d.f
f(.) and c.d.f F(.).
(.) : the p.d.f of random variable.
T : a continuous random variable denoting the time
of cortisol with p.d.f l(.) and c.d.f L(.).
(t) : probability of exactly i contacts in (0,t]
(s) : is the Laplace stieltje’s transform of l(t).
(s): is the Laplace stieltje’s transform of f(t).
The probability density function of exponentiated
modified weibull distribution is,
h(x) = ( + )
x>0 and >0
and its distribution function is
H(x) = ,x>0
then its survival function is
(x) = 1-
Put = 2, =1 in (x), then it becomes
(x) = [2 - ]
since f(.) follows exp(c), then
If (s) = and
(s) = -
where
( ) = , (2( )) =
E(T) =
V(T) =
GRAPH: 1
X 0.6 1.2 2.4 4.7 7.1 9.4
E(T) 1.7494 0.8748 0.4374 0.2233 0.1478 0.1117
V(T) 3.0568 0.7642 0.1910 0.0498 0.0218 0.0125
GRAPH: 2
X 0.6 1.2 2.4 4.7 7.1 9.4
E(T) 1.7272 0.8636 0.4319 0.2205 0.1459 0.1102
V(T) 2.9821 0.7455 0.1864 0.0486 0.0213 0.0121
GRAPH: 1
Geetha. T. Int. Journal of Engineering Research and Application www.ijera.com
ISSN : 2248-9622, Vol. 7, Issue 2, ( Part -3) February 2017, pp.24-26
www.ijera.com DOI: 10.9790/9622- 0702032426 26 | P a g e
GRAPH: 2
GRAPH : 1
X 0 0.6 1.2 2.4 4.7 7.1 9.4
Y1 4.3 3.4 3.1 3 2.2 2 1.9
Y2 6.1 5.2 5.3 3.8 2.8 3.4 2.7
GRAPH: 2
X 0 0.6 1.2 2.4 4.7 7.1 9.4
Y1 4.3 4 3.5 2.8 2.6 2.3 2.1
Y2 5.4 5.4 4.8 5.3 5.5 2.8 3.7
III. CONCLUSION
The threshold level of cortisol is a random
variable follows exponentiated modified weibull
distribution and the survival function of cortisol
and its p.d.f. also found.
REFERENCES
[1]. Attenburrow MJ, Mitter PR, Whale R, Terao
T, Cowen PJ. Low-dose Citalpram as a 5-
HT neuroendocrine probe.
Psychopharmacology (Berl). 2001; 155(3) :
323-6.
[2]. Chandrasekar. K and Kannan.R (2013), A
Stochastic Model for Estimation of Expected
time to Seroconversion of HIV infected
Geetha. T. Int. Journal of Engineering Research and Application www.ijera.com
ISSN : 2248-9622, Vol. 7, Issue 2, ( Part -3) February 2017, pp.24-26
www.ijera.com DOI: 10.9790/9622- 0702032426 27 | P a g e
using exponential-geometric distribution,
Bio-Science Research Bulletin, Vol. 29(1),
29-38.
[3]. Elbatal.L., (2011), Exponentaited modified
Weibull distribution, Economic Quality
Control, 26, 189-200.
[4]. Esary, J.D., Marshall, A.W. and Proschan, F.
(1973), Shock models and Wear processes,
Ann. Probability, 1(4) : 627-649.
[5]. Hanley NR, Van de Kar LD. Serotonin and
the neuroendocrine regulation of the
hypothalamic – pituitary adrenal axis in
health and diseases. Vitam Horm. 2003; 66:
189-255.
[6]. Kannan. R., Kavitha. S., and Sathiyamoorthi
.R., (2011), A Stochastic Model for the
Estimation of Time to Seroconversion of
HIV Transmission using Exponentiated
Exponential Distribution , Bio-Science
Research Bulletin, Vol.27(2): 67-76.
[7]. Kannan. R., Venkatachalam. K. A.,
Sathiyamoorthi. R. and Malarvizi. G.,
(2007), A Stochastic Approach to Determine
the Expected Time to Seroconversion of
HIV infected. Journal of Indian Acad. of
Math., 29(1), 237-249.
[8]. Sathiyamoorthi, R. and Kannan, R., (2001),
A Stochastic Model for Time to
Seroconversion of HIV Transmission,
Journal of Kerala Statistical Association,
Vol. 12: 23-28.

More Related Content

What's hot

Accelrys UGM slides 2011
Accelrys UGM slides 2011Accelrys UGM slides 2011
Accelrys UGM slides 2011Sean Ekins
 
Rathankar N et.al.
Rathankar N et.al.Rathankar N et.al.
Rathankar N et.al.Kuldeep Raju
 
Pre clinical Screening of anti depressants
Pre clinical Screening of anti depressants Pre clinical Screening of anti depressants
Pre clinical Screening of anti depressants Aaqib Naseer
 
30342 7 zactran overall sell sheet-fa-18947
30342 7 zactran overall sell sheet-fa-1894730342 7 zactran overall sell sheet-fa-18947
30342 7 zactran overall sell sheet-fa-18947Sullivan Higdon & Sink
 
Development Of Method To Derive Variation Pattern In Neuraminidase Enzyme Of ...
Development Of Method To Derive Variation Pattern In Neuraminidase Enzyme Of ...Development Of Method To Derive Variation Pattern In Neuraminidase Enzyme Of ...
Development Of Method To Derive Variation Pattern In Neuraminidase Enzyme Of ...IJERA Editor
 
DOC2 - No significant risk levels 4 MI - California
DOC2 - No significant risk levels 4 MI  - CaliforniaDOC2 - No significant risk levels 4 MI  - California
DOC2 - No significant risk levels 4 MI - CaliforniaToxiColaOrg
 
Genomic analysis of diffuse intrinsic pontine gliomas identifies three molecu...
Genomic analysis of diffuse intrinsic pontine gliomas identifies three molecu...Genomic analysis of diffuse intrinsic pontine gliomas identifies three molecu...
Genomic analysis of diffuse intrinsic pontine gliomas identifies three molecu...Joshua Mangerel
 
IOSR Journal of Pharmacy (IOSRPHR)
IOSR Journal of Pharmacy (IOSRPHR)IOSR Journal of Pharmacy (IOSRPHR)
IOSR Journal of Pharmacy (IOSRPHR)iosrphr_editor
 
Mice with a Melanocortin 1 Receptor mutation have a slightly greater minimum ...
Mice with a Melanocortin 1 Receptor mutation have a slightly greater minimum ...Mice with a Melanocortin 1 Receptor mutation have a slightly greater minimum ...
Mice with a Melanocortin 1 Receptor mutation have a slightly greater minimum ...José Luis Moreno Garvayo
 
Science Behind The News: TAP(Triaminopyrimidine) discovered as a promising dr...
Science Behind The News: TAP(Triaminopyrimidine) discovered as a promising dr...Science Behind The News: TAP(Triaminopyrimidine) discovered as a promising dr...
Science Behind The News: TAP(Triaminopyrimidine) discovered as a promising dr...Kiran Shaw
 
dkNET Webinar: Population-Based Approaches to Investigate Endocrine Communica...
dkNET Webinar: Population-Based Approaches to Investigate Endocrine Communica...dkNET Webinar: Population-Based Approaches to Investigate Endocrine Communica...
dkNET Webinar: Population-Based Approaches to Investigate Endocrine Communica...dkNET
 
Assessment of the toxicological properties of glyphosate by the Pesticides Pe...
Assessment of the toxicological properties of glyphosate by the Pesticides Pe...Assessment of the toxicological properties of glyphosate by the Pesticides Pe...
Assessment of the toxicological properties of glyphosate by the Pesticides Pe...Asociación Toxicológica Argentina
 
Intranasal Delivery of Oximes to Organophosphate exposed Rats
Intranasal Delivery of Oximes to Organophosphate exposed RatsIntranasal Delivery of Oximes to Organophosphate exposed Rats
Intranasal Delivery of Oximes to Organophosphate exposed RatsJordan Horrocks
 
Carcinogenicity of Glyphosate A Systematic Review of the Available Evidence
Carcinogenicity of Glyphosate  A Systematic Review of the Available  EvidenceCarcinogenicity of Glyphosate  A Systematic Review of the Available  Evidence
Carcinogenicity of Glyphosate A Systematic Review of the Available EvidenceAsociación Toxicológica Argentina
 
Study of Glutathione Peroxidase GPX Activity Among Betel Quid Chewers of Indi...
Study of Glutathione Peroxidase GPX Activity Among Betel Quid Chewers of Indi...Study of Glutathione Peroxidase GPX Activity Among Betel Quid Chewers of Indi...
Study of Glutathione Peroxidase GPX Activity Among Betel Quid Chewers of Indi...ijtsrd
 

What's hot (20)

Accelrys UGM slides 2011
Accelrys UGM slides 2011Accelrys UGM slides 2011
Accelrys UGM slides 2011
 
Rathankar N et.al.
Rathankar N et.al.Rathankar N et.al.
Rathankar N et.al.
 
Pre clinical Screening of anti depressants
Pre clinical Screening of anti depressants Pre clinical Screening of anti depressants
Pre clinical Screening of anti depressants
 
Aswathy
AswathyAswathy
Aswathy
 
30342 7 zactran overall sell sheet-fa-18947
30342 7 zactran overall sell sheet-fa-1894730342 7 zactran overall sell sheet-fa-18947
30342 7 zactran overall sell sheet-fa-18947
 
Development Of Method To Derive Variation Pattern In Neuraminidase Enzyme Of ...
Development Of Method To Derive Variation Pattern In Neuraminidase Enzyme Of ...Development Of Method To Derive Variation Pattern In Neuraminidase Enzyme Of ...
Development Of Method To Derive Variation Pattern In Neuraminidase Enzyme Of ...
 
DOC2 - No significant risk levels 4 MI - California
DOC2 - No significant risk levels 4 MI  - CaliforniaDOC2 - No significant risk levels 4 MI  - California
DOC2 - No significant risk levels 4 MI - California
 
Genomic analysis of diffuse intrinsic pontine gliomas identifies three molecu...
Genomic analysis of diffuse intrinsic pontine gliomas identifies three molecu...Genomic analysis of diffuse intrinsic pontine gliomas identifies three molecu...
Genomic analysis of diffuse intrinsic pontine gliomas identifies three molecu...
 
IOSR Journal of Pharmacy (IOSRPHR)
IOSR Journal of Pharmacy (IOSRPHR)IOSR Journal of Pharmacy (IOSRPHR)
IOSR Journal of Pharmacy (IOSRPHR)
 
Mice with a Melanocortin 1 Receptor mutation have a slightly greater minimum ...
Mice with a Melanocortin 1 Receptor mutation have a slightly greater minimum ...Mice with a Melanocortin 1 Receptor mutation have a slightly greater minimum ...
Mice with a Melanocortin 1 Receptor mutation have a slightly greater minimum ...
 
Science Behind The News: TAP(Triaminopyrimidine) discovered as a promising dr...
Science Behind The News: TAP(Triaminopyrimidine) discovered as a promising dr...Science Behind The News: TAP(Triaminopyrimidine) discovered as a promising dr...
Science Behind The News: TAP(Triaminopyrimidine) discovered as a promising dr...
 
Noninvasive methods for the Diagnosis of endometriosis
Noninvasive methods for the Diagnosis of endometriosisNoninvasive methods for the Diagnosis of endometriosis
Noninvasive methods for the Diagnosis of endometriosis
 
dkNET Webinar: Population-Based Approaches to Investigate Endocrine Communica...
dkNET Webinar: Population-Based Approaches to Investigate Endocrine Communica...dkNET Webinar: Population-Based Approaches to Investigate Endocrine Communica...
dkNET Webinar: Population-Based Approaches to Investigate Endocrine Communica...
 
Boztezomib_review
Boztezomib_reviewBoztezomib_review
Boztezomib_review
 
Assessment of the toxicological properties of glyphosate by the Pesticides Pe...
Assessment of the toxicological properties of glyphosate by the Pesticides Pe...Assessment of the toxicological properties of glyphosate by the Pesticides Pe...
Assessment of the toxicological properties of glyphosate by the Pesticides Pe...
 
Intranasal Delivery of Oximes to Organophosphate exposed Rats
Intranasal Delivery of Oximes to Organophosphate exposed RatsIntranasal Delivery of Oximes to Organophosphate exposed Rats
Intranasal Delivery of Oximes to Organophosphate exposed Rats
 
Carcinogenicity of Glyphosate A Systematic Review of the Available Evidence
Carcinogenicity of Glyphosate  A Systematic Review of the Available  EvidenceCarcinogenicity of Glyphosate  A Systematic Review of the Available  Evidence
Carcinogenicity of Glyphosate A Systematic Review of the Available Evidence
 
Study of Glutathione Peroxidase GPX Activity Among Betel Quid Chewers of Indi...
Study of Glutathione Peroxidase GPX Activity Among Betel Quid Chewers of Indi...Study of Glutathione Peroxidase GPX Activity Among Betel Quid Chewers of Indi...
Study of Glutathione Peroxidase GPX Activity Among Betel Quid Chewers of Indi...
 
Resaerch paper 2
Resaerch paper 2Resaerch paper 2
Resaerch paper 2
 
Insilico binding studies on tau protein and pp2 a as alternative targets in a...
Insilico binding studies on tau protein and pp2 a as alternative targets in a...Insilico binding studies on tau protein and pp2 a as alternative targets in a...
Insilico binding studies on tau protein and pp2 a as alternative targets in a...
 

Viewers also liked

3Com 3C96000PS-HO
3Com 3C96000PS-HO3Com 3C96000PS-HO
3Com 3C96000PS-HOsavomir
 
Harmonogram naboru wniosków w 2017 roku w ramach Programu Operacyjnego Polska...
Harmonogram naboru wniosków w 2017 roku w ramach Programu Operacyjnego Polska...Harmonogram naboru wniosków w 2017 roku w ramach Programu Operacyjnego Polska...
Harmonogram naboru wniosków w 2017 roku w ramach Programu Operacyjnego Polska...Open Concept
 
Modeling and Analysis of Progressive Tool with Pilot Location
Modeling and Analysis of Progressive Tool with Pilot LocationModeling and Analysis of Progressive Tool with Pilot Location
Modeling and Analysis of Progressive Tool with Pilot LocationIJERA Editor
 
Fernando configuracion , secciones , estilos
Fernando configuracion , secciones , estilosFernando configuracion , secciones , estilos
Fernando configuracion , secciones , estilosFernando Chito
 

Viewers also liked (9)

Fitness plan14-abdomen-piel
Fitness plan14-abdomen-pielFitness plan14-abdomen-piel
Fitness plan14-abdomen-piel
 
Guide hygiene informatique_anssi
Guide hygiene informatique_anssiGuide hygiene informatique_anssi
Guide hygiene informatique_anssi
 
3Com 3C96000PS-HO
3Com 3C96000PS-HO3Com 3C96000PS-HO
3Com 3C96000PS-HO
 
Harmonogram naboru wniosków w 2017 roku w ramach Programu Operacyjnego Polska...
Harmonogram naboru wniosków w 2017 roku w ramach Programu Operacyjnego Polska...Harmonogram naboru wniosków w 2017 roku w ramach Programu Operacyjnego Polska...
Harmonogram naboru wniosków w 2017 roku w ramach Programu Operacyjnego Polska...
 
Jeetendra saini
Jeetendra sainiJeetendra saini
Jeetendra saini
 
Modeling and Analysis of Progressive Tool with Pilot Location
Modeling and Analysis of Progressive Tool with Pilot LocationModeling and Analysis of Progressive Tool with Pilot Location
Modeling and Analysis of Progressive Tool with Pilot Location
 
Legislación laboral
Legislación laboral Legislación laboral
Legislación laboral
 
Fernando configuracion , secciones , estilos
Fernando configuracion , secciones , estilosFernando configuracion , secciones , estilos
Fernando configuracion , secciones , estilos
 
Portafolio zp
Portafolio zpPortafolio zp
Portafolio zp
 

Similar to EMWD model for cortisol threshold levels

A typical Realization of the process with linear recovery of Aldosterone
A typical Realization of the process with linear recovery of AldosteroneA typical Realization of the process with linear recovery of Aldosterone
A typical Realization of the process with linear recovery of AldosteroneIJERA Editor
 
Predicting effects of atomoxetine and citalopram in Parkinson's disease
Predicting effects of atomoxetine and citalopram in Parkinson's diseasePredicting effects of atomoxetine and citalopram in Parkinson's disease
Predicting effects of atomoxetine and citalopram in Parkinson's diseaseZheng Ye
 
Src jbbr-20-120 Dr. ihsan edan abdulkareem alsaimary PROFESSOR IN MEDICAL M...
Src jbbr-20-120  Dr. ihsan edan abdulkareem alsaimary  PROFESSOR IN MEDICAL M...Src jbbr-20-120  Dr. ihsan edan abdulkareem alsaimary  PROFESSOR IN MEDICAL M...
Src jbbr-20-120 Dr. ihsan edan abdulkareem alsaimary PROFESSOR IN MEDICAL M...dr.Ihsan alsaimary
 
A Stochastic Model of Reliability for Bivariate Gamma Distributions with the ...
A Stochastic Model of Reliability for Bivariate Gamma Distributions with the ...A Stochastic Model of Reliability for Bivariate Gamma Distributions with the ...
A Stochastic Model of Reliability for Bivariate Gamma Distributions with the ...IJERA Editor
 
Safety Stock Adjustment in Supply Chain Storage Units
Safety Stock Adjustment in Supply Chain Storage UnitsSafety Stock Adjustment in Supply Chain Storage Units
Safety Stock Adjustment in Supply Chain Storage UnitsIJERA Editor
 
Ben Kelty Summer Research Poster Presentation
Ben Kelty Summer Research Poster Presentation Ben Kelty Summer Research Poster Presentation
Ben Kelty Summer Research Poster Presentation Benjamin Kelty
 
Neuroscience Letters
Neuroscience LettersNeuroscience Letters
Neuroscience LettersPiter Pen
 
A Mathematical Bivariate Generalized Poisson Model for Cortisol Awakening Res...
A Mathematical Bivariate Generalized Poisson Model for Cortisol Awakening Res...A Mathematical Bivariate Generalized Poisson Model for Cortisol Awakening Res...
A Mathematical Bivariate Generalized Poisson Model for Cortisol Awakening Res...irjes
 
Critical Reading Biomedical Research Papers-2022.pptx
Critical Reading Biomedical Research Papers-2022.pptxCritical Reading Biomedical Research Papers-2022.pptx
Critical Reading Biomedical Research Papers-2022.pptxMingdergLai
 
Stochastic Model To Find The Effect Of Glucose-Dependent Insulinotropic Hormo...
Stochastic Model To Find The Effect Of Glucose-Dependent Insulinotropic Hormo...Stochastic Model To Find The Effect Of Glucose-Dependent Insulinotropic Hormo...
Stochastic Model To Find The Effect Of Glucose-Dependent Insulinotropic Hormo...IJERA Editor
 
Response Inhibition in Parkinson's Disease: Towards New Treatments
Response Inhibition in Parkinson's Disease: Towards New TreatmentsResponse Inhibition in Parkinson's Disease: Towards New Treatments
Response Inhibition in Parkinson's Disease: Towards New TreatmentsZheng Ye
 
PTPRC as a Predictive Marker Related to PD-L1 for Prognosis and Immunotherapy...
PTPRC as a Predictive Marker Related to PD-L1 for Prognosis and Immunotherapy...PTPRC as a Predictive Marker Related to PD-L1 for Prognosis and Immunotherapy...
PTPRC as a Predictive Marker Related to PD-L1 for Prognosis and Immunotherapy...semualkaira
 
PTPRC as a Predictive Marker Related to PD-L1 for Prognosis and Immunotherapy...
PTPRC as a Predictive Marker Related to PD-L1 for Prognosis and Immunotherapy...PTPRC as a Predictive Marker Related to PD-L1 for Prognosis and Immunotherapy...
PTPRC as a Predictive Marker Related to PD-L1 for Prognosis and Immunotherapy...semualkaira
 
Mathematical Model for Hemodynamicand Hormonal Effects of Human Ghrelin in He...
Mathematical Model for Hemodynamicand Hormonal Effects of Human Ghrelin in He...Mathematical Model for Hemodynamicand Hormonal Effects of Human Ghrelin in He...
Mathematical Model for Hemodynamicand Hormonal Effects of Human Ghrelin in He...IJERA Editor
 
Final poster 1
Final poster 1Final poster 1
Final poster 1AFor1991
 
Citalopram improves response inhibition in more severe Parkinson’s disease
Citalopram improves response inhibition in more severe Parkinson’s diseaseCitalopram improves response inhibition in more severe Parkinson’s disease
Citalopram improves response inhibition in more severe Parkinson’s diseaseZheng Ye
 

Similar to EMWD model for cortisol threshold levels (20)

A typical Realization of the process with linear recovery of Aldosterone
A typical Realization of the process with linear recovery of AldosteroneA typical Realization of the process with linear recovery of Aldosterone
A typical Realization of the process with linear recovery of Aldosterone
 
Predicting effects of atomoxetine and citalopram in Parkinson's disease
Predicting effects of atomoxetine and citalopram in Parkinson's diseasePredicting effects of atomoxetine and citalopram in Parkinson's disease
Predicting effects of atomoxetine and citalopram in Parkinson's disease
 
Src jbbr-20-120 Dr. ihsan edan abdulkareem alsaimary PROFESSOR IN MEDICAL M...
Src jbbr-20-120  Dr. ihsan edan abdulkareem alsaimary  PROFESSOR IN MEDICAL M...Src jbbr-20-120  Dr. ihsan edan abdulkareem alsaimary  PROFESSOR IN MEDICAL M...
Src jbbr-20-120 Dr. ihsan edan abdulkareem alsaimary PROFESSOR IN MEDICAL M...
 
Caryne Stacia Neuropharm
Caryne Stacia NeuropharmCaryne Stacia Neuropharm
Caryne Stacia Neuropharm
 
A Stochastic Model of Reliability for Bivariate Gamma Distributions with the ...
A Stochastic Model of Reliability for Bivariate Gamma Distributions with the ...A Stochastic Model of Reliability for Bivariate Gamma Distributions with the ...
A Stochastic Model of Reliability for Bivariate Gamma Distributions with the ...
 
Safety Stock Adjustment in Supply Chain Storage Units
Safety Stock Adjustment in Supply Chain Storage UnitsSafety Stock Adjustment in Supply Chain Storage Units
Safety Stock Adjustment in Supply Chain Storage Units
 
Ben Kelty Summer Research Poster Presentation
Ben Kelty Summer Research Poster Presentation Ben Kelty Summer Research Poster Presentation
Ben Kelty Summer Research Poster Presentation
 
Neuroscience Letters
Neuroscience LettersNeuroscience Letters
Neuroscience Letters
 
A Mathematical Bivariate Generalized Poisson Model for Cortisol Awakening Res...
A Mathematical Bivariate Generalized Poisson Model for Cortisol Awakening Res...A Mathematical Bivariate Generalized Poisson Model for Cortisol Awakening Res...
A Mathematical Bivariate Generalized Poisson Model for Cortisol Awakening Res...
 
Critical Reading Biomedical Research Papers-2022.pptx
Critical Reading Biomedical Research Papers-2022.pptxCritical Reading Biomedical Research Papers-2022.pptx
Critical Reading Biomedical Research Papers-2022.pptx
 
Stochastic Model To Find The Effect Of Glucose-Dependent Insulinotropic Hormo...
Stochastic Model To Find The Effect Of Glucose-Dependent Insulinotropic Hormo...Stochastic Model To Find The Effect Of Glucose-Dependent Insulinotropic Hormo...
Stochastic Model To Find The Effect Of Glucose-Dependent Insulinotropic Hormo...
 
Response Inhibition in Parkinson's Disease: Towards New Treatments
Response Inhibition in Parkinson's Disease: Towards New TreatmentsResponse Inhibition in Parkinson's Disease: Towards New Treatments
Response Inhibition in Parkinson's Disease: Towards New Treatments
 
biodosimetry
biodosimetrybiodosimetry
biodosimetry
 
PTPRC as a Predictive Marker Related to PD-L1 for Prognosis and Immunotherapy...
PTPRC as a Predictive Marker Related to PD-L1 for Prognosis and Immunotherapy...PTPRC as a Predictive Marker Related to PD-L1 for Prognosis and Immunotherapy...
PTPRC as a Predictive Marker Related to PD-L1 for Prognosis and Immunotherapy...
 
PTPRC as a Predictive Marker Related to PD-L1 for Prognosis and Immunotherapy...
PTPRC as a Predictive Marker Related to PD-L1 for Prognosis and Immunotherapy...PTPRC as a Predictive Marker Related to PD-L1 for Prognosis and Immunotherapy...
PTPRC as a Predictive Marker Related to PD-L1 for Prognosis and Immunotherapy...
 
Mathematical Model for Hemodynamicand Hormonal Effects of Human Ghrelin in He...
Mathematical Model for Hemodynamicand Hormonal Effects of Human Ghrelin in He...Mathematical Model for Hemodynamicand Hormonal Effects of Human Ghrelin in He...
Mathematical Model for Hemodynamicand Hormonal Effects of Human Ghrelin in He...
 
Fv3410771081
Fv3410771081Fv3410771081
Fv3410771081
 
Final poster 1
Final poster 1Final poster 1
Final poster 1
 
Citalopram improves response inhibition in more severe Parkinson’s disease
Citalopram improves response inhibition in more severe Parkinson’s diseaseCitalopram improves response inhibition in more severe Parkinson’s disease
Citalopram improves response inhibition in more severe Parkinson’s disease
 
Bioassays praveen tk
Bioassays praveen tkBioassays praveen tk
Bioassays praveen tk
 

Recently uploaded

(ANJALI) Dange Chowk Call Girls Just Call 7001035870 [ Cash on Delivery ] Pun...
(ANJALI) Dange Chowk Call Girls Just Call 7001035870 [ Cash on Delivery ] Pun...(ANJALI) Dange Chowk Call Girls Just Call 7001035870 [ Cash on Delivery ] Pun...
(ANJALI) Dange Chowk Call Girls Just Call 7001035870 [ Cash on Delivery ] Pun...ranjana rawat
 
Microscopic Analysis of Ceramic Materials.pptx
Microscopic Analysis of Ceramic Materials.pptxMicroscopic Analysis of Ceramic Materials.pptx
Microscopic Analysis of Ceramic Materials.pptxpurnimasatapathy1234
 
(RIA) Call Girls Bhosari ( 7001035870 ) HI-Fi Pune Escorts Service
(RIA) Call Girls Bhosari ( 7001035870 ) HI-Fi Pune Escorts Service(RIA) Call Girls Bhosari ( 7001035870 ) HI-Fi Pune Escorts Service
(RIA) Call Girls Bhosari ( 7001035870 ) HI-Fi Pune Escorts Serviceranjana rawat
 
What are the advantages and disadvantages of membrane structures.pptx
What are the advantages and disadvantages of membrane structures.pptxWhat are the advantages and disadvantages of membrane structures.pptx
What are the advantages and disadvantages of membrane structures.pptxwendy cai
 
Call Girls Delhi {Jodhpur} 9711199012 high profile service
Call Girls Delhi {Jodhpur} 9711199012 high profile serviceCall Girls Delhi {Jodhpur} 9711199012 high profile service
Call Girls Delhi {Jodhpur} 9711199012 high profile servicerehmti665
 
247267395-1-Symmetric-and-distributed-shared-memory-architectures-ppt (1).ppt
247267395-1-Symmetric-and-distributed-shared-memory-architectures-ppt (1).ppt247267395-1-Symmetric-and-distributed-shared-memory-architectures-ppt (1).ppt
247267395-1-Symmetric-and-distributed-shared-memory-architectures-ppt (1).pptssuser5c9d4b1
 
Call Girls in Nagpur Suman Call 7001035870 Meet With Nagpur Escorts
Call Girls in Nagpur Suman Call 7001035870 Meet With Nagpur EscortsCall Girls in Nagpur Suman Call 7001035870 Meet With Nagpur Escorts
Call Girls in Nagpur Suman Call 7001035870 Meet With Nagpur EscortsCall Girls in Nagpur High Profile
 
Internship report on mechanical engineering
Internship report on mechanical engineeringInternship report on mechanical engineering
Internship report on mechanical engineeringmalavadedarshan25
 
(ANVI) Koregaon Park Call Girls Just Call 7001035870 [ Cash on Delivery ] Pun...
(ANVI) Koregaon Park Call Girls Just Call 7001035870 [ Cash on Delivery ] Pun...(ANVI) Koregaon Park Call Girls Just Call 7001035870 [ Cash on Delivery ] Pun...
(ANVI) Koregaon Park Call Girls Just Call 7001035870 [ Cash on Delivery ] Pun...ranjana rawat
 
Analog to Digital and Digital to Analog Converter
Analog to Digital and Digital to Analog ConverterAnalog to Digital and Digital to Analog Converter
Analog to Digital and Digital to Analog ConverterAbhinavSharma374939
 
Introduction and different types of Ethernet.pptx
Introduction and different types of Ethernet.pptxIntroduction and different types of Ethernet.pptx
Introduction and different types of Ethernet.pptxupamatechverse
 
(PRIYA) Rajgurunagar Call Girls Just Call 7001035870 [ Cash on Delivery ] Pun...
(PRIYA) Rajgurunagar Call Girls Just Call 7001035870 [ Cash on Delivery ] Pun...(PRIYA) Rajgurunagar Call Girls Just Call 7001035870 [ Cash on Delivery ] Pun...
(PRIYA) Rajgurunagar Call Girls Just Call 7001035870 [ Cash on Delivery ] Pun...ranjana rawat
 
Study on Air-Water & Water-Water Heat Exchange in a Finned Tube Exchanger
Study on Air-Water & Water-Water Heat Exchange in a Finned Tube ExchangerStudy on Air-Water & Water-Water Heat Exchange in a Finned Tube Exchanger
Study on Air-Water & Water-Water Heat Exchange in a Finned Tube ExchangerAnamika Sarkar
 
Software Development Life Cycle By Team Orange (Dept. of Pharmacy)
Software Development Life Cycle By  Team Orange (Dept. of Pharmacy)Software Development Life Cycle By  Team Orange (Dept. of Pharmacy)
Software Development Life Cycle By Team Orange (Dept. of Pharmacy)Suman Mia
 
Architect Hassan Khalil Portfolio for 2024
Architect Hassan Khalil Portfolio for 2024Architect Hassan Khalil Portfolio for 2024
Architect Hassan Khalil Portfolio for 2024hassan khalil
 
IMPLICATIONS OF THE ABOVE HOLISTIC UNDERSTANDING OF HARMONY ON PROFESSIONAL E...
IMPLICATIONS OF THE ABOVE HOLISTIC UNDERSTANDING OF HARMONY ON PROFESSIONAL E...IMPLICATIONS OF THE ABOVE HOLISTIC UNDERSTANDING OF HARMONY ON PROFESSIONAL E...
IMPLICATIONS OF THE ABOVE HOLISTIC UNDERSTANDING OF HARMONY ON PROFESSIONAL E...RajaP95
 
Introduction to Multiple Access Protocol.pptx
Introduction to Multiple Access Protocol.pptxIntroduction to Multiple Access Protocol.pptx
Introduction to Multiple Access Protocol.pptxupamatechverse
 
Current Transformer Drawing and GTP for MSETCL
Current Transformer Drawing and GTP for MSETCLCurrent Transformer Drawing and GTP for MSETCL
Current Transformer Drawing and GTP for MSETCLDeelipZope
 

Recently uploaded (20)

(ANJALI) Dange Chowk Call Girls Just Call 7001035870 [ Cash on Delivery ] Pun...
(ANJALI) Dange Chowk Call Girls Just Call 7001035870 [ Cash on Delivery ] Pun...(ANJALI) Dange Chowk Call Girls Just Call 7001035870 [ Cash on Delivery ] Pun...
(ANJALI) Dange Chowk Call Girls Just Call 7001035870 [ Cash on Delivery ] Pun...
 
Microscopic Analysis of Ceramic Materials.pptx
Microscopic Analysis of Ceramic Materials.pptxMicroscopic Analysis of Ceramic Materials.pptx
Microscopic Analysis of Ceramic Materials.pptx
 
(RIA) Call Girls Bhosari ( 7001035870 ) HI-Fi Pune Escorts Service
(RIA) Call Girls Bhosari ( 7001035870 ) HI-Fi Pune Escorts Service(RIA) Call Girls Bhosari ( 7001035870 ) HI-Fi Pune Escorts Service
(RIA) Call Girls Bhosari ( 7001035870 ) HI-Fi Pune Escorts Service
 
What are the advantages and disadvantages of membrane structures.pptx
What are the advantages and disadvantages of membrane structures.pptxWhat are the advantages and disadvantages of membrane structures.pptx
What are the advantages and disadvantages of membrane structures.pptx
 
Call Us -/9953056974- Call Girls In Vikaspuri-/- Delhi NCR
Call Us -/9953056974- Call Girls In Vikaspuri-/- Delhi NCRCall Us -/9953056974- Call Girls In Vikaspuri-/- Delhi NCR
Call Us -/9953056974- Call Girls In Vikaspuri-/- Delhi NCR
 
Call Girls Delhi {Jodhpur} 9711199012 high profile service
Call Girls Delhi {Jodhpur} 9711199012 high profile serviceCall Girls Delhi {Jodhpur} 9711199012 high profile service
Call Girls Delhi {Jodhpur} 9711199012 high profile service
 
247267395-1-Symmetric-and-distributed-shared-memory-architectures-ppt (1).ppt
247267395-1-Symmetric-and-distributed-shared-memory-architectures-ppt (1).ppt247267395-1-Symmetric-and-distributed-shared-memory-architectures-ppt (1).ppt
247267395-1-Symmetric-and-distributed-shared-memory-architectures-ppt (1).ppt
 
Call Girls in Nagpur Suman Call 7001035870 Meet With Nagpur Escorts
Call Girls in Nagpur Suman Call 7001035870 Meet With Nagpur EscortsCall Girls in Nagpur Suman Call 7001035870 Meet With Nagpur Escorts
Call Girls in Nagpur Suman Call 7001035870 Meet With Nagpur Escorts
 
Internship report on mechanical engineering
Internship report on mechanical engineeringInternship report on mechanical engineering
Internship report on mechanical engineering
 
(ANVI) Koregaon Park Call Girls Just Call 7001035870 [ Cash on Delivery ] Pun...
(ANVI) Koregaon Park Call Girls Just Call 7001035870 [ Cash on Delivery ] Pun...(ANVI) Koregaon Park Call Girls Just Call 7001035870 [ Cash on Delivery ] Pun...
(ANVI) Koregaon Park Call Girls Just Call 7001035870 [ Cash on Delivery ] Pun...
 
Analog to Digital and Digital to Analog Converter
Analog to Digital and Digital to Analog ConverterAnalog to Digital and Digital to Analog Converter
Analog to Digital and Digital to Analog Converter
 
Introduction and different types of Ethernet.pptx
Introduction and different types of Ethernet.pptxIntroduction and different types of Ethernet.pptx
Introduction and different types of Ethernet.pptx
 
(PRIYA) Rajgurunagar Call Girls Just Call 7001035870 [ Cash on Delivery ] Pun...
(PRIYA) Rajgurunagar Call Girls Just Call 7001035870 [ Cash on Delivery ] Pun...(PRIYA) Rajgurunagar Call Girls Just Call 7001035870 [ Cash on Delivery ] Pun...
(PRIYA) Rajgurunagar Call Girls Just Call 7001035870 [ Cash on Delivery ] Pun...
 
★ CALL US 9953330565 ( HOT Young Call Girls In Badarpur delhi NCR
★ CALL US 9953330565 ( HOT Young Call Girls In Badarpur delhi NCR★ CALL US 9953330565 ( HOT Young Call Girls In Badarpur delhi NCR
★ CALL US 9953330565 ( HOT Young Call Girls In Badarpur delhi NCR
 
Study on Air-Water & Water-Water Heat Exchange in a Finned Tube Exchanger
Study on Air-Water & Water-Water Heat Exchange in a Finned Tube ExchangerStudy on Air-Water & Water-Water Heat Exchange in a Finned Tube Exchanger
Study on Air-Water & Water-Water Heat Exchange in a Finned Tube Exchanger
 
Software Development Life Cycle By Team Orange (Dept. of Pharmacy)
Software Development Life Cycle By  Team Orange (Dept. of Pharmacy)Software Development Life Cycle By  Team Orange (Dept. of Pharmacy)
Software Development Life Cycle By Team Orange (Dept. of Pharmacy)
 
Architect Hassan Khalil Portfolio for 2024
Architect Hassan Khalil Portfolio for 2024Architect Hassan Khalil Portfolio for 2024
Architect Hassan Khalil Portfolio for 2024
 
IMPLICATIONS OF THE ABOVE HOLISTIC UNDERSTANDING OF HARMONY ON PROFESSIONAL E...
IMPLICATIONS OF THE ABOVE HOLISTIC UNDERSTANDING OF HARMONY ON PROFESSIONAL E...IMPLICATIONS OF THE ABOVE HOLISTIC UNDERSTANDING OF HARMONY ON PROFESSIONAL E...
IMPLICATIONS OF THE ABOVE HOLISTIC UNDERSTANDING OF HARMONY ON PROFESSIONAL E...
 
Introduction to Multiple Access Protocol.pptx
Introduction to Multiple Access Protocol.pptxIntroduction to Multiple Access Protocol.pptx
Introduction to Multiple Access Protocol.pptx
 
Current Transformer Drawing and GTP for MSETCL
Current Transformer Drawing and GTP for MSETCLCurrent Transformer Drawing and GTP for MSETCL
Current Transformer Drawing and GTP for MSETCL
 

EMWD model for cortisol threshold levels

  • 1. Geetha. T. Int. Journal of Engineering Research and Application www.ijera.com ISSN : 2248-9622, Vol. 7, Issue 2, ( Part -3) February 2017, pp.24-26 www.ijera.com DOI: 10.9790/9622- 0702032426 24 | P a g e EMW Distribution for Human Hormone Geetha. T* and Poongothai. T** * Asst. Professor of Mathematics, K.N. Govt. Arts College, Thanjavur, Tamilnadu, India ** Research Scholar, K.N. Govt, Arts College, Thanjavur. ABSTRACT A stochastic modeling of biological systems is crucial to effectively and efficiently developing treatments for medical conditions that plague humanity. The study of challenge tests designed to evaluate serotoninergic pathways have widely used intravenous citalopram. Oral citalopram has also been used, but unsatisfactory results were obtained with a dose of 20 mg. We evaluated cortisol, growth hormone and prolactin levels and determine whether a higher oral dose would reproduce similar to those described for intravenous administration. Under the assumption that the threshold level of cortisol is a random variable follows exponentiated modified weibull distribution. The survival function of cortisol and its p.d.f are derived. Keywords: Cortisol, threshold, EMWD, cumulative Damage process. I. INTRODUCTION K.Chandrasekar and R.Kannan has been derived the stochastic model for estimating the expected time to seroconversion of HIV infected using exponentiated modified modified weibull distribution. In this paper, the stochastic model for the expected time to cortisol and variance of the cortisol time are derived under the assumption that threshold level of stress effect is a random variable which follows exponentiated modified weibull distribution. Challenge tests to evaluate serotoninergic function in psychiatric disorders are common and usually evaluate corticotrophin-releasing hormone, growth hormone and prolactin. Fenfluramine has given way to other agents, including 5-HT reuptake inhibitors (SSRI antidepressants). Although paroxetine has been used in challenge tests, citalopram is often the SSRI of choice due to its higher selectivity. In the only double-blind randomized study addressing 5-HT-mediated neuroendocrine response, no difference was found between citalopram, a racemic compound, and escitalopram, its active isomer. Pharmacokinetic studies have shown that maximum plasma levels of approximately 130-160 nmol/l are generally obtained within 2-4 h after a 50 –mg oral dose. A second, lower, peak is sometimes observed. The decline is considered to be monoexponential with a of approximately 30 h. Although intravenous citalopram has previously been used in serotoninergic challenge tests, this formulation is not available in many countries, and the only challenge test with oral citalopram (at a dose of 20 mg) produced less than satisfactory results. The objectives of this study were: 1) to measure plasma levels of cortisol, growth hormone and prolactin as a means of evaluating the neuroendocrine response to a higher dose (40 mg) of oral citalopram used as a tool to stimulate hormone secretion in neuroendocrine challenge paradigms; 2) to compare the kinetics of serum citalopram levels and neuroendocrine response using this higher dose of citalopram. APPLICATION RESEARCH ARTICLE OPEN ACCESS
  • 2. Geetha. T. Int. Journal of Engineering Research and Application www.ijera.com ISSN : 2248-9622, Vol. 7, Issue 2, ( Part -3) February 2017, pp.24-26 www.ijera.com DOI: 10.9790/9622- 0702032426 25 | P a g e Growth hormone levels increased in three of the four subjects who presented a rise I cortisol level and a peak at 2-3 h after citalopram intake. Curiously, the three subjects who did not present an increase in growth hormone levels after citalopram intake actually a peak at 2-3 h after placebo intake. The reason for this is unknown. In two of the six subjects, prolactin levels increased after citalopram challenge. All measurements were within the normal range, except for that of one subject who had a baseline prolactin level above the upper normal limit, which might have been related to stress or even to a normally occurring pulse outside normal limits. II. MATHEMATICAL MODEL : time for cortisol level during exercise. Y : Cortisol level. : a continuous random variable denoting the inter arrival times between successive contacts with p.d.f f(.) and c.d.f F(.). (.) : the p.d.f of random variable. T : a continuous random variable denoting the time of cortisol with p.d.f l(.) and c.d.f L(.). (t) : probability of exactly i contacts in (0,t] (s) : is the Laplace stieltje’s transform of l(t). (s): is the Laplace stieltje’s transform of f(t). The probability density function of exponentiated modified weibull distribution is, h(x) = ( + ) x>0 and >0 and its distribution function is H(x) = ,x>0 then its survival function is (x) = 1- Put = 2, =1 in (x), then it becomes (x) = [2 - ] since f(.) follows exp(c), then If (s) = and (s) = - where ( ) = , (2( )) = E(T) = V(T) = GRAPH: 1 X 0.6 1.2 2.4 4.7 7.1 9.4 E(T) 1.7494 0.8748 0.4374 0.2233 0.1478 0.1117 V(T) 3.0568 0.7642 0.1910 0.0498 0.0218 0.0125 GRAPH: 2 X 0.6 1.2 2.4 4.7 7.1 9.4 E(T) 1.7272 0.8636 0.4319 0.2205 0.1459 0.1102 V(T) 2.9821 0.7455 0.1864 0.0486 0.0213 0.0121 GRAPH: 1
  • 3. Geetha. T. Int. Journal of Engineering Research and Application www.ijera.com ISSN : 2248-9622, Vol. 7, Issue 2, ( Part -3) February 2017, pp.24-26 www.ijera.com DOI: 10.9790/9622- 0702032426 26 | P a g e GRAPH: 2 GRAPH : 1 X 0 0.6 1.2 2.4 4.7 7.1 9.4 Y1 4.3 3.4 3.1 3 2.2 2 1.9 Y2 6.1 5.2 5.3 3.8 2.8 3.4 2.7 GRAPH: 2 X 0 0.6 1.2 2.4 4.7 7.1 9.4 Y1 4.3 4 3.5 2.8 2.6 2.3 2.1 Y2 5.4 5.4 4.8 5.3 5.5 2.8 3.7 III. CONCLUSION The threshold level of cortisol is a random variable follows exponentiated modified weibull distribution and the survival function of cortisol and its p.d.f. also found. REFERENCES [1]. Attenburrow MJ, Mitter PR, Whale R, Terao T, Cowen PJ. Low-dose Citalpram as a 5- HT neuroendocrine probe. Psychopharmacology (Berl). 2001; 155(3) : 323-6. [2]. Chandrasekar. K and Kannan.R (2013), A Stochastic Model for Estimation of Expected time to Seroconversion of HIV infected
  • 4. Geetha. T. Int. Journal of Engineering Research and Application www.ijera.com ISSN : 2248-9622, Vol. 7, Issue 2, ( Part -3) February 2017, pp.24-26 www.ijera.com DOI: 10.9790/9622- 0702032426 27 | P a g e using exponential-geometric distribution, Bio-Science Research Bulletin, Vol. 29(1), 29-38. [3]. Elbatal.L., (2011), Exponentaited modified Weibull distribution, Economic Quality Control, 26, 189-200. [4]. Esary, J.D., Marshall, A.W. and Proschan, F. (1973), Shock models and Wear processes, Ann. Probability, 1(4) : 627-649. [5]. Hanley NR, Van de Kar LD. Serotonin and the neuroendocrine regulation of the hypothalamic – pituitary adrenal axis in health and diseases. Vitam Horm. 2003; 66: 189-255. [6]. Kannan. R., Kavitha. S., and Sathiyamoorthi .R., (2011), A Stochastic Model for the Estimation of Time to Seroconversion of HIV Transmission using Exponentiated Exponential Distribution , Bio-Science Research Bulletin, Vol.27(2): 67-76. [7]. Kannan. R., Venkatachalam. K. A., Sathiyamoorthi. R. and Malarvizi. G., (2007), A Stochastic Approach to Determine the Expected Time to Seroconversion of HIV infected. Journal of Indian Acad. of Math., 29(1), 237-249. [8]. Sathiyamoorthi, R. and Kannan, R., (2001), A Stochastic Model for Time to Seroconversion of HIV Transmission, Journal of Kerala Statistical Association, Vol. 12: 23-28.