The Relationship Between Quality of Care and Choice of Clinical Computing System: Retrospective Analysis of Family Practice Performance Under the UK Quality and Outcomes Framework
The Relationship Between Quality of Care and Choice of Clinical Computing System: Retrospective Analysis of Family Practice Performance Under the UK Quality and Outcomes Framework
Lojistik Havuzu firmasının genel tanıtım sunumudur. Lojistik firmalarının nasıl yeni müşyeriler kazanabileceği, müşterilerini nasıl yönetebilecekleri konusunda destek olan Lojistik Havuzu, bu sunum ile faaliyetlerini anlatmaktadır.
ACMP 2015 Presentation: Change the Conversation, Change the GameTim Creasey
ACMP 2015. Monday, April 13, 3:45 - 5:00.
The time is now for you to step up your game. Over the last decade, the discipline of change management has grown in its maturation, formalization, acknowledged value and importance. Now is not the time to let up – but rather the time for YOU to change how YOU engage. To change the conversation, your focus must be on the unique contribution you (and change management) make to delivering change results and outcomes. In this session, Tim will deliver a personal charge to you to “change the conversation so you can change the game” along with a conceptual framework, pragmatic suggestions and real-time exercises to hone your approach. To earn the expected seat at the strategic table, the onus is on you to step up your game.
A Family That Hacks Together, Interacts Together!Daniel Davis
Everyone's heard the old saying "A family thats plays together, stays together", right? Well this session is going to kick that up a notch and talk about getting the family to "hack" together. It starts out discussing the different forms of hacking a family might embrace. Along the way it highlights what supplies & equipment you might need, as well as suggesting the overall costs that one might expect to incur. It then takes a brief focus on safety and proper use of that equipment. The session finishes off with some tips and tricks that may help with both the hacks themselves, as well as getting the family to actually interact by joining in on the fun.
Of Dodo birds and common factors: A scoping review of direct comparison trial...Will Dobud
Background: Adventure therapy (AT) is a term that includes therapies such as wilderness therapy and adventure-based counseling. With growing empirical support for AT, the diversity of studies make it difficult to attribute outcomes to specific treatment factors.
Objectives: Researchers explored whether AT, often perceived as an alternative therapy, works because of AT's unique components, or whether factors shared by all therapies were responsible.
Methods: A scoping review was undertaken utilizing a search of major databases, unpublished disser- tations, and a hand search for direct comparison trials matching AT with another therapeutic intervention.
Results: 881 publications were identified. 105 quantitative studies were included following a title and abstract review. Only 13 met the full inclusion criteria. Little to no differences were found to isolate specific therapeutic factors.
Conclusions: We discuss the implications of these results considering the movement toward evidence- based practice and recommend future research to eclipse our current understanding of AT.
Why have the artists created these works and what are they.docxphilipnelson29183
Why have the artists created these works and what are they saying about their culture?
Explain how each artist has used the following to make that statement.visual elements (shape or form, line texture, light, value, color, space and movement) principles of design
(unity and variety, balance, focal point, scale, proportion, and rhythm) subject mattermaterials and techniques
Sample Essay 1 (25 points) Compare and contrast these works in terms of:
High Renaissance
Raphael, School of Athens, 1509-10. Fresco, 200 x 300 “.
Photorealism
Chuck Close, Big Self-Portrait, 1967-68.
Acrylic on canvas. 107 ½“x 83 1/2”.
*
Why have the artists created these works and what are they saying about their culture?
Explain how each artist has used the following to make that statement.visual elements (shape or form, line texture, light, value, color, space and movement) principles of design
(unity and variety, balance, focal point, scale, proportion, and rhythm) subject mattermaterials and techniques
Sample Essay 2 (25 points) Compare and contrast these works in terms of:
Boticelli
Birth of Venus, 1486. Tempera on canvas, 67.9 × 109.6 ”
Kees Van Dongen
Femme Fatale. Oil on canvas, 32 X 24”.
German Expressionism, 1905
*
Integrative and Biopsychosocial Approaches in Contemporary Clinical Psychology
Chapter Objective
· To highlight and outline how contemporary clinical psychology integrates the major theoretical models using a biopsychosocial approach.
Chapter Outline
· The Call to Integration
· Biopsychosocial Integration
· Synthesizing Biological, Psychological, and Social Factors in Contemporary Integration
· Highlight of a Contemporary Clinical Psychologist: Stephanie Pinder-Amaker, PhD
· Application of the Biopsychosocial Perspective to Contemporary Clinical Psychology Problems
· Conclusion
Having now reviewed the four major theoretical and historical models in psychology in Chapter 5, this chapter illustrates how integration is achieved in the actual science and practice of clinical psychology. In addition to psychological perspectives per se, a full integration of human functioning demands a synthesis of psychological factors with both biological and social elements. This combination of biological, psychological, and social factors comprises an example of contemporary integration in the form of the biopsychosocial perspective. This chapter describes the evolution of individual psychological perspectives into a more comprehensive biopsychosocial synthesis, perhaps first touched upon 2,500 years ago by the Greeks.
The Call to Integration
While there are over 400 different types of approaches to psychotherapy and other professional services offered by clinical psychologists (Karasu, 1986), the major schools of thought reviewed and illustrated in Chapter 5 have emerged during the past century as the primary perspectives in clinical psychology. As mentioned, these include the psychodynamic, cognitive-behavioral, humanistic, and family s.
Sheet1ActivityNormal
TimeNormal
CostCrash
TimeCrash
CostCrash
Cost
Per
WeekNotesA33002500The minimal time for this activity is 2. This activity can only be crashed once.B480021800This activity can only be crashed twice.C26001900This activity can only be crashed once. Time must be at least 1.E23002300This activity is not crashable at all.F375021400The minimal time for this activity is 2. This activity can only be crashed once.G270011600H367521875This activity can only be crashed once. Time must be at least 1.Use the chart of PJ2a.Step1.Compute the Crash Cost Per Week (column F) above. Submit this excel sheet as PJ4 (your name).Step2. Crash this project to 9 weeks. Draw the picture. Be sure to tell me which activity(s) you crashed and the cost.Take a picture. Submit this as PJ4a. So PJ4a shows a project time of 9 weeks. The picture shows EST LST EFT LFT slacks and critical path(s).Step3. Crash this project to 8 weeks. Draw the picture. Be sure to tell me which activity(s) you crashed and the cost.Take a picture. Submit this as PJ4b. So PJ4b shows a project time of 8 weeks. The picture shows EST LST EFT LFT slacks and critical path(s).Step4. Crash this project to 7 weeks. Draw the picture. Be sure to tell me which activity(s) you crashed and the cost.Take a picture. Submit this as PJ4c. So PJ4c shows a project time of 7 weeks. The picture shows EST LST EFT LFT slacks and critical path(s).
Sheet2
Sheet3
Extra Credit — Due Tuesday, Dec. 8
PSY 321: Psychology of Personality, Fall 2015
This course covers seven approaches to the study of personality: Trait, Biological,
Psychoanalytic, Neoanalytic, Phenomenological, Learning, and Cognitive. For your extra credit
opportunity, you are to read the description of each example below and identify which of the
seven approaches it best fits into. This will require you to understand the main themes and issues
characterizing each approach we have studied.
On a separate piece of paper, type your name and person number, then identify the best approach
for each study by typing the number of the example and the name of the approach. Each
approach will be used at least once. Each correctly identified example is worth .5 pt, for a
possible 5 points total on this extra credit opportunity. Answers must be typed (i.e., no
handwritten assignments).
This extra credit is due by the beginning of class on Tuesday, Dec. 8. No email submissions will
be accepted without special dispensation from the instructor. No late submissions will be
accepted under any circumstances.
Example 1:
Article Title: A dual-process model of defense against conscious and unconscious death-related
thoughts: An extension of terror management theory.
Year of Publication: 1999
Authors: Pyszczynski, T., Greenberg, J., & Solomon, S.
Abstract: Distinct defensive processes are activated by conscious and nonconscious but
accessible thoughts of death. Proximal defenses, which entail suppress.
Physical Therapy Research philosophy Thomas HoogeboomOntogenese
I provided this lecture at the ErasmusMC. In this lecture I talk about expert physical therapy, shared decision making, evidence based practice, personalized communication skills and how we should embrace all those elements as scientists in the physical therapy domain.
Lojistik Havuzu firmasının genel tanıtım sunumudur. Lojistik firmalarının nasıl yeni müşyeriler kazanabileceği, müşterilerini nasıl yönetebilecekleri konusunda destek olan Lojistik Havuzu, bu sunum ile faaliyetlerini anlatmaktadır.
ACMP 2015 Presentation: Change the Conversation, Change the GameTim Creasey
ACMP 2015. Monday, April 13, 3:45 - 5:00.
The time is now for you to step up your game. Over the last decade, the discipline of change management has grown in its maturation, formalization, acknowledged value and importance. Now is not the time to let up – but rather the time for YOU to change how YOU engage. To change the conversation, your focus must be on the unique contribution you (and change management) make to delivering change results and outcomes. In this session, Tim will deliver a personal charge to you to “change the conversation so you can change the game” along with a conceptual framework, pragmatic suggestions and real-time exercises to hone your approach. To earn the expected seat at the strategic table, the onus is on you to step up your game.
A Family That Hacks Together, Interacts Together!Daniel Davis
Everyone's heard the old saying "A family thats plays together, stays together", right? Well this session is going to kick that up a notch and talk about getting the family to "hack" together. It starts out discussing the different forms of hacking a family might embrace. Along the way it highlights what supplies & equipment you might need, as well as suggesting the overall costs that one might expect to incur. It then takes a brief focus on safety and proper use of that equipment. The session finishes off with some tips and tricks that may help with both the hacks themselves, as well as getting the family to actually interact by joining in on the fun.
Of Dodo birds and common factors: A scoping review of direct comparison trial...Will Dobud
Background: Adventure therapy (AT) is a term that includes therapies such as wilderness therapy and adventure-based counseling. With growing empirical support for AT, the diversity of studies make it difficult to attribute outcomes to specific treatment factors.
Objectives: Researchers explored whether AT, often perceived as an alternative therapy, works because of AT's unique components, or whether factors shared by all therapies were responsible.
Methods: A scoping review was undertaken utilizing a search of major databases, unpublished disser- tations, and a hand search for direct comparison trials matching AT with another therapeutic intervention.
Results: 881 publications were identified. 105 quantitative studies were included following a title and abstract review. Only 13 met the full inclusion criteria. Little to no differences were found to isolate specific therapeutic factors.
Conclusions: We discuss the implications of these results considering the movement toward evidence- based practice and recommend future research to eclipse our current understanding of AT.
Why have the artists created these works and what are they.docxphilipnelson29183
Why have the artists created these works and what are they saying about their culture?
Explain how each artist has used the following to make that statement.visual elements (shape or form, line texture, light, value, color, space and movement) principles of design
(unity and variety, balance, focal point, scale, proportion, and rhythm) subject mattermaterials and techniques
Sample Essay 1 (25 points) Compare and contrast these works in terms of:
High Renaissance
Raphael, School of Athens, 1509-10. Fresco, 200 x 300 “.
Photorealism
Chuck Close, Big Self-Portrait, 1967-68.
Acrylic on canvas. 107 ½“x 83 1/2”.
*
Why have the artists created these works and what are they saying about their culture?
Explain how each artist has used the following to make that statement.visual elements (shape or form, line texture, light, value, color, space and movement) principles of design
(unity and variety, balance, focal point, scale, proportion, and rhythm) subject mattermaterials and techniques
Sample Essay 2 (25 points) Compare and contrast these works in terms of:
Boticelli
Birth of Venus, 1486. Tempera on canvas, 67.9 × 109.6 ”
Kees Van Dongen
Femme Fatale. Oil on canvas, 32 X 24”.
German Expressionism, 1905
*
Integrative and Biopsychosocial Approaches in Contemporary Clinical Psychology
Chapter Objective
· To highlight and outline how contemporary clinical psychology integrates the major theoretical models using a biopsychosocial approach.
Chapter Outline
· The Call to Integration
· Biopsychosocial Integration
· Synthesizing Biological, Psychological, and Social Factors in Contemporary Integration
· Highlight of a Contemporary Clinical Psychologist: Stephanie Pinder-Amaker, PhD
· Application of the Biopsychosocial Perspective to Contemporary Clinical Psychology Problems
· Conclusion
Having now reviewed the four major theoretical and historical models in psychology in Chapter 5, this chapter illustrates how integration is achieved in the actual science and practice of clinical psychology. In addition to psychological perspectives per se, a full integration of human functioning demands a synthesis of psychological factors with both biological and social elements. This combination of biological, psychological, and social factors comprises an example of contemporary integration in the form of the biopsychosocial perspective. This chapter describes the evolution of individual psychological perspectives into a more comprehensive biopsychosocial synthesis, perhaps first touched upon 2,500 years ago by the Greeks.
The Call to Integration
While there are over 400 different types of approaches to psychotherapy and other professional services offered by clinical psychologists (Karasu, 1986), the major schools of thought reviewed and illustrated in Chapter 5 have emerged during the past century as the primary perspectives in clinical psychology. As mentioned, these include the psychodynamic, cognitive-behavioral, humanistic, and family s.
Sheet1ActivityNormal
TimeNormal
CostCrash
TimeCrash
CostCrash
Cost
Per
WeekNotesA33002500The minimal time for this activity is 2. This activity can only be crashed once.B480021800This activity can only be crashed twice.C26001900This activity can only be crashed once. Time must be at least 1.E23002300This activity is not crashable at all.F375021400The minimal time for this activity is 2. This activity can only be crashed once.G270011600H367521875This activity can only be crashed once. Time must be at least 1.Use the chart of PJ2a.Step1.Compute the Crash Cost Per Week (column F) above. Submit this excel sheet as PJ4 (your name).Step2. Crash this project to 9 weeks. Draw the picture. Be sure to tell me which activity(s) you crashed and the cost.Take a picture. Submit this as PJ4a. So PJ4a shows a project time of 9 weeks. The picture shows EST LST EFT LFT slacks and critical path(s).Step3. Crash this project to 8 weeks. Draw the picture. Be sure to tell me which activity(s) you crashed and the cost.Take a picture. Submit this as PJ4b. So PJ4b shows a project time of 8 weeks. The picture shows EST LST EFT LFT slacks and critical path(s).Step4. Crash this project to 7 weeks. Draw the picture. Be sure to tell me which activity(s) you crashed and the cost.Take a picture. Submit this as PJ4c. So PJ4c shows a project time of 7 weeks. The picture shows EST LST EFT LFT slacks and critical path(s).
Sheet2
Sheet3
Extra Credit — Due Tuesday, Dec. 8
PSY 321: Psychology of Personality, Fall 2015
This course covers seven approaches to the study of personality: Trait, Biological,
Psychoanalytic, Neoanalytic, Phenomenological, Learning, and Cognitive. For your extra credit
opportunity, you are to read the description of each example below and identify which of the
seven approaches it best fits into. This will require you to understand the main themes and issues
characterizing each approach we have studied.
On a separate piece of paper, type your name and person number, then identify the best approach
for each study by typing the number of the example and the name of the approach. Each
approach will be used at least once. Each correctly identified example is worth .5 pt, for a
possible 5 points total on this extra credit opportunity. Answers must be typed (i.e., no
handwritten assignments).
This extra credit is due by the beginning of class on Tuesday, Dec. 8. No email submissions will
be accepted without special dispensation from the instructor. No late submissions will be
accepted under any circumstances.
Example 1:
Article Title: A dual-process model of defense against conscious and unconscious death-related
thoughts: An extension of terror management theory.
Year of Publication: 1999
Authors: Pyszczynski, T., Greenberg, J., & Solomon, S.
Abstract: Distinct defensive processes are activated by conscious and nonconscious but
accessible thoughts of death. Proximal defenses, which entail suppress.
Physical Therapy Research philosophy Thomas HoogeboomOntogenese
I provided this lecture at the ErasmusMC. In this lecture I talk about expert physical therapy, shared decision making, evidence based practice, personalized communication skills and how we should embrace all those elements as scientists in the physical therapy domain.
Evidence-Based Treatments and Integrative PsychotherapyKevin Rushton
A comparison of reactions within the mental health treatment community to the "Dodo Bird Verdict", the idea that virtually all treatment modalities are comparable in efficacy.
Evaluates a meta analysis of family therapy interventions for families facing physical illness.
The slide presentation and article is discussed in greater detail at http://jcoynester.wordpress.com/2013/08/12/interventions-for-the-family-in-chronic-illness-a-meta-analysis-i-like/
Combining Qualitative and Quantitative ApproachesSome Argum.docxdrandy1
Combining Qualitative and Quantitative Approaches:
Some Arguments for Mixed Methods Research
Thorleif Lund
University of Oslo
One purpose of the present paper is to elaborate 4 general advantages of the mixed methods
approach. Another purpose is to propose a 5-phase evaluation design, and to demonstrate
its usefulness for mixed methods research. The account is limited to research on groups in
need of treatment, i.e., vulnerable groups, and the advantages of mixed methods are
illustrated by the help of the 5-phase evaluation design. The basic idea is that the total
set of relevant attributes and changes for such a vulnerable group should be taken into
consideration in all phases, and that the mixed methods approach will provide an
optimal treatment, will give a more complete description and understanding of the
treatment effects, and will facilitate generalization to professional work.
Keywords: mixed methods, qualitative-quantitative combination, evaluation design
The research methodology in the social and behavioral sciences has undergone radical
changes over the past 50 years. One may speak of three methodological movements:
(1) the quantitative movement, (2) the qualitative movement, and (3) the mixed methods
movement (Polit & Beck, 2004; Teddlie & Tashakkori, 2003). Research in the twentieth
century, especially in the first half of the century, was dominated by the quantitative move-
ment. Its philosophical basis of positivism can be said to have been substituted by critical
realism in the last half of the century (Cook & Campbell, 1979). The qualitative approach
developed partly as a protest against the dominance of the quantitative tradition, and it
attained its definitive breakthrough around 1970. Several philosophical assumptions have
been proposed for the qualitative approach, mainly some variants of constructivism
(Lincoln & Guba, 2000). The differences between the two approaches with respect to philo-
sophical basis, scientific fruitfulness, and empirical methods have been extensively debated.
The disagreement has been great, in particular with respect to philosophical positions, as
illustrated by the “paradigm wars” (Gage, 1989), and the two approaches are still regarded
by many researchers as incompatible means for knowledge construction (Teddlie & Tashak-
kori, 2003). The mixed methods movement represents a blending of quantitative and quali-
tative methods in research, and it can be said to have been evolved historically from the
notion of “triangulating” information from different data sources (Campbell & Fiske,
1959; Denzin, 1978; Morse, 1991; Patton, 1990). The mixed methods approach can be con-
sidered established as a formal discipline around 2000. This third movement is characterized
by a practical/pragmatic attitude in that the research questions in empirical studies are given
ISSN 0031-3831 print/ISSN 1470-1170 online
# 2012 Scandinavian Journal of Educational Research
http://dx.doi.org/10.1080/00313831.2011.568674.
Combining Qualitative and Quantitative ApproachesSome Argum.docxcargillfilberto
Combining Qualitative and Quantitative Approaches:
Some Arguments for Mixed Methods Research
Thorleif Lund
University of Oslo
One purpose of the present paper is to elaborate 4 general advantages of the mixed methods
approach. Another purpose is to propose a 5-phase evaluation design, and to demonstrate
its usefulness for mixed methods research. The account is limited to research on groups in
need of treatment, i.e., vulnerable groups, and the advantages of mixed methods are
illustrated by the help of the 5-phase evaluation design. The basic idea is that the total
set of relevant attributes and changes for such a vulnerable group should be taken into
consideration in all phases, and that the mixed methods approach will provide an
optimal treatment, will give a more complete description and understanding of the
treatment effects, and will facilitate generalization to professional work.
Keywords: mixed methods, qualitative-quantitative combination, evaluation design
The research methodology in the social and behavioral sciences has undergone radical
changes over the past 50 years. One may speak of three methodological movements:
(1) the quantitative movement, (2) the qualitative movement, and (3) the mixed methods
movement (Polit & Beck, 2004; Teddlie & Tashakkori, 2003). Research in the twentieth
century, especially in the first half of the century, was dominated by the quantitative move-
ment. Its philosophical basis of positivism can be said to have been substituted by critical
realism in the last half of the century (Cook & Campbell, 1979). The qualitative approach
developed partly as a protest against the dominance of the quantitative tradition, and it
attained its definitive breakthrough around 1970. Several philosophical assumptions have
been proposed for the qualitative approach, mainly some variants of constructivism
(Lincoln & Guba, 2000). The differences between the two approaches with respect to philo-
sophical basis, scientific fruitfulness, and empirical methods have been extensively debated.
The disagreement has been great, in particular with respect to philosophical positions, as
illustrated by the “paradigm wars” (Gage, 1989), and the two approaches are still regarded
by many researchers as incompatible means for knowledge construction (Teddlie & Tashak-
kori, 2003). The mixed methods movement represents a blending of quantitative and quali-
tative methods in research, and it can be said to have been evolved historically from the
notion of “triangulating” information from different data sources (Campbell & Fiske,
1959; Denzin, 1978; Morse, 1991; Patton, 1990). The mixed methods approach can be con-
sidered established as a formal discipline around 2000. This third movement is characterized
by a practical/pragmatic attitude in that the research questions in empirical studies are given
ISSN 0031-3831 print/ISSN 1470-1170 online
# 2012 Scandinavian Journal of Educational Research
http://dx.doi.org/10.1080/00313831.2011.568674.
Bottom-Up Guidance in Visual Search for ConjunctionsMichaeVannaSchrader3
Bottom-Up Guidance in Visual Search for Conjunctions
Michael J. Proulx
Johns Hopkins University
Understanding the relative role of top-down and bottom-up guidance is crucial for models of visual search.
Previous studies have addressed the role of top-down and bottom-up processes in search for a conjunction of
features but with inconsistent results. Here, the author used an attentional capture method to address the role
of top-down and bottom-up processes in conjunction search. The role of bottom-up processing was assayed
by inclusion of an irrelevant-size singleton in a search for a conjunction of color and orientation. One object
was uniquely larger on each trial, with chance probability of coinciding with the target; thus, the irrelevant
feature of size was not predictive of the target’s location. Participants searched more efficiently for the target
when it was also the size singleton, and they searched less efficiently for the target when a nontarget was the
size singleton. Although a conjunction target cannot be detected on the basis of bottom-up processing alone,
participants used search strategies that relied significantly on bottom-up guidance in finding the target,
resulting in interference from the irrelevant-size singleton.
Keywords: attention, visual search, bottom-up, top-down, conjunction
Computational models of eye movements give bottom-up process-
ing, the relative salience of objects in the stimulus, a prominent role
in the guidance of attention (Koch & Ullman, 1985). Many models of
visual search, however, suggest that when the target is defined as a
conjunction of features, search is based primarily on top-down pro-
cessing (e.g., Guided Search [GS]; Wolfe, 1994). The logic of the GS
model is that if the target is defined by one color and one orientation
(e.g., red and vertical) and the distractors are defined by a combination
of one of these target features and another feature (e.g., red and
horizontal or green and vertical), then the output of the bottom-up
feature maps cannot be relied on for guiding attention to the target. A
top-down search strategy is required presumably because each loca-
tion contains at least one of the target’s features and because no
location is featurally unique.
In the present study, bottom-up and top-down processes are defined
in terms of the two different types of input to the activation map in the
GS architecture (Wolfe, 1994). An important additional concept is the
idea of a participant’s search strategy. A participant could strategi-
cally rely on bottom-up processing, top-down processing, or a com-
bination of the two to perform a search task. Thus, a participant could
search for a unique feature singleton (such as a vertical line among
horizontal lines) by strategically relying on bottom-up processing to
search for the unique object in the display or by strategically relying
on top-down processing to search for the target-defining feature of
“vertical” in the display (cf. singleton- ...
1 Name Article Summary Assignment Note-taking i.docxjeremylockett77
1
Name
Article Summary Assignment
Note-taking is usually associated with students; therefore, the majority of research on
note-taking has generally focused on academic uses. However, note-taking may also be
beneficial to individuals in non-academic settings who wish to retain information for subsequent
use. Note-taking is quite common in other domains such as legal situations, counseling sessions,
and interviewing areas (Hartley, 2002) but has not received much research attention. Particularly,
there is a dearth of research on note-taking in investigative interviews despite the fact that in
some jurisdictions (e.g., Israel) interviewer notes or written reports may be accepted in lieu of
electronic recordings of investigative interviews (Lamb, Orbach, Sternberg, Hershkowitz &
Horowitz, 2000). It is therefore important to determine whether note-taking aids subsequent
interviewer recall of investigative interviews.
In learning environments, several studies by Kiewra and colleagues have noted three
functions of note-taking: encoding, external storage, and encoding plus external storage (Kiewra,
1989; Kiewra, DuBois, Christian, McShane, Meyerhoffer, & Reoskelley, 1991; Benton, Kiewra,
Whitfill, & Dennison, 1993). Encoding facilitates learning through the process of note-taking
itself whereas external storage facilitates recall through reviewing notes. The encoding plus
external storage function enhances learning through both the process of encoding, while taking
notes, and storage, by reviewing notes at a later time. External storage refers to instances where
notes are only reviewed before recall (i.e., borrowing another’s notes) and are not actually
encoded first. Kiewra, DuBois, Christian, McShane, Meyerhoffer and Reoskelley (1991) found
that there were no differences in performance scores for a lecture recall task between individuals
who took notes and listened to a lecture and those who only listened. However, significant
Commented [A.H.1]: Extending the topic to other domains and
explaining how it relates to the present topic.
Commented [AHG2]: Include all authors’ last names the first
time a source is cited. Switch to Lamb et al. in subsequent citations.
Commented [A.H.3]: Explaining the need for new research/
why the present study is important.
2
differences were found between those who did not review notes and those who either reviewed
their own notes (encoding plus external storage) or reviewed borrowed notes (external storage).
The encoding plus external storage group outperformed all other groups. The authors explain
these findings as a repetition effect; in the encoding plus storage function information is accessed
twice whereas in the other functions information is accessed only once. Similar effects of
reviewing notes were reported by Rickards and McCormick (1988), who found that students who
reviewed notes prior to testing produced 40%-50% more accura ...
Re-analysis of the Cochrane Library data and heterogeneity challengesEvangelos Kontopantelis
Heterogeneity issues and a re-analysis of the Cochrane Library data. Presented in the 35th Annual Conference of the International Society for Clinical Biostatistics (ISCB35) in Vienna
Effect of Financial Incentives on Incentivised and Non-Incentivised Clinical Activities: Utilising Primary Care Databases to answer clinical, policy and methodological questions
Earliest Galaxies in the JADES Origins Field: Luminosity Function and Cosmic ...Sérgio Sacani
We characterize the earliest galaxy population in the JADES Origins Field (JOF), the deepest
imaging field observed with JWST. We make use of the ancillary Hubble optical images (5 filters
spanning 0.4−0.9µm) and novel JWST images with 14 filters spanning 0.8−5µm, including 7 mediumband filters, and reaching total exposure times of up to 46 hours per filter. We combine all our data
at > 2.3µm to construct an ultradeep image, reaching as deep as ≈ 31.4 AB mag in the stack and
30.3-31.0 AB mag (5σ, r = 0.1” circular aperture) in individual filters. We measure photometric
redshifts and use robust selection criteria to identify a sample of eight galaxy candidates at redshifts
z = 11.5 − 15. These objects show compact half-light radii of R1/2 ∼ 50 − 200pc, stellar masses of
M⋆ ∼ 107−108M⊙, and star-formation rates of SFR ∼ 0.1−1 M⊙ yr−1
. Our search finds no candidates
at 15 < z < 20, placing upper limits at these redshifts. We develop a forward modeling approach to
infer the properties of the evolving luminosity function without binning in redshift or luminosity that
marginalizes over the photometric redshift uncertainty of our candidate galaxies and incorporates the
impact of non-detections. We find a z = 12 luminosity function in good agreement with prior results,
and that the luminosity function normalization and UV luminosity density decline by a factor of ∼ 2.5
from z = 12 to z = 14. We discuss the possible implications of our results in the context of theoretical
models for evolution of the dark matter halo mass function.
Richard's entangled aventures in wonderlandRichard Gill
Since the loophole-free Bell experiments of 2020 and the Nobel prizes in physics of 2022, critics of Bell's work have retreated to the fortress of super-determinism. Now, super-determinism is a derogatory word - it just means "determinism". Palmer, Hance and Hossenfelder argue that quantum mechanics and determinism are not incompatible, using a sophisticated mathematical construction based on a subtle thinning of allowed states and measurements in quantum mechanics, such that what is left appears to make Bell's argument fail, without altering the empirical predictions of quantum mechanics. I think however that it is a smoke screen, and the slogan "lost in math" comes to my mind. I will discuss some other recent disproofs of Bell's theorem using the language of causality based on causal graphs. Causal thinking is also central to law and justice. I will mention surprising connections to my work on serial killer nurse cases, in particular the Dutch case of Lucia de Berk and the current UK case of Lucy Letby.
Multi-source connectivity as the driver of solar wind variability in the heli...Sérgio Sacani
The ambient solar wind that flls the heliosphere originates from multiple
sources in the solar corona and is highly structured. It is often described
as high-speed, relatively homogeneous, plasma streams from coronal
holes and slow-speed, highly variable, streams whose source regions are
under debate. A key goal of ESA/NASA’s Solar Orbiter mission is to identify
solar wind sources and understand what drives the complexity seen in the
heliosphere. By combining magnetic feld modelling and spectroscopic
techniques with high-resolution observations and measurements, we show
that the solar wind variability detected in situ by Solar Orbiter in March
2022 is driven by spatio-temporal changes in the magnetic connectivity to
multiple sources in the solar atmosphere. The magnetic feld footpoints
connected to the spacecraft moved from the boundaries of a coronal hole
to one active region (12961) and then across to another region (12957). This
is refected in the in situ measurements, which show the transition from fast
to highly Alfvénic then to slow solar wind that is disrupted by the arrival of
a coronal mass ejection. Our results describe solar wind variability at 0.5 au
but are applicable to near-Earth observatories.
This presentation explores a brief idea about the structural and functional attributes of nucleotides, the structure and function of genetic materials along with the impact of UV rays and pH upon them.
This pdf is about the Schizophrenia.
For more details visit on YouTube; @SELF-EXPLANATORY;
https://www.youtube.com/channel/UCAiarMZDNhe1A3Rnpr_WkzA/videos
Thanks...!
Nutraceutical market, scope and growth: Herbal drug technologyLokesh Patil
As consumer awareness of health and wellness rises, the nutraceutical market—which includes goods like functional meals, drinks, and dietary supplements that provide health advantages beyond basic nutrition—is growing significantly. As healthcare expenses rise, the population ages, and people want natural and preventative health solutions more and more, this industry is increasing quickly. Further driving market expansion are product formulation innovations and the use of cutting-edge technology for customized nutrition. With its worldwide reach, the nutraceutical industry is expected to keep growing and provide significant chances for research and investment in a number of categories, including vitamins, minerals, probiotics, and herbal supplements.
Observation of Io’s Resurfacing via Plume Deposition Using Ground-based Adapt...Sérgio Sacani
Since volcanic activity was first discovered on Io from Voyager images in 1979, changes
on Io’s surface have been monitored from both spacecraft and ground-based telescopes.
Here, we present the highest spatial resolution images of Io ever obtained from a groundbased telescope. These images, acquired by the SHARK-VIS instrument on the Large
Binocular Telescope, show evidence of a major resurfacing event on Io’s trailing hemisphere. When compared to the most recent spacecraft images, the SHARK-VIS images
show that a plume deposit from a powerful eruption at Pillan Patera has covered part
of the long-lived Pele plume deposit. Although this type of resurfacing event may be common on Io, few have been detected due to the rarity of spacecraft visits and the previously low spatial resolution available from Earth-based telescopes. The SHARK-VIS instrument ushers in a new era of high resolution imaging of Io’s surface using adaptive
optics at visible wavelengths.
Introduction:
RNA interference (RNAi) or Post-Transcriptional Gene Silencing (PTGS) is an important biological process for modulating eukaryotic gene expression.
It is highly conserved process of posttranscriptional gene silencing by which double stranded RNA (dsRNA) causes sequence-specific degradation of mRNA sequences.
dsRNA-induced gene silencing (RNAi) is reported in a wide range of eukaryotes ranging from worms, insects, mammals and plants.
This process mediates resistance to both endogenous parasitic and exogenous pathogenic nucleic acids, and regulates the expression of protein-coding genes.
What are small ncRNAs?
micro RNA (miRNA)
short interfering RNA (siRNA)
Properties of small non-coding RNA:
Involved in silencing mRNA transcripts.
Called “small” because they are usually only about 21-24 nucleotides long.
Synthesized by first cutting up longer precursor sequences (like the 61nt one that Lee discovered).
Silence an mRNA by base pairing with some sequence on the mRNA.
Discovery of siRNA?
The first small RNA:
In 1993 Rosalind Lee (Victor Ambros lab) was studying a non- coding gene in C. elegans, lin-4, that was involved in silencing of another gene, lin-14, at the appropriate time in the
development of the worm C. elegans.
Two small transcripts of lin-4 (22nt and 61nt) were found to be complementary to a sequence in the 3' UTR of lin-14.
Because lin-4 encoded no protein, she deduced that it must be these transcripts that are causing the silencing by RNA-RNA interactions.
Types of RNAi ( non coding RNA)
MiRNA
Length (23-25 nt)
Trans acting
Binds with target MRNA in mismatch
Translation inhibition
Si RNA
Length 21 nt.
Cis acting
Bind with target Mrna in perfect complementary sequence
Piwi-RNA
Length ; 25 to 36 nt.
Expressed in Germ Cells
Regulates trnasposomes activity
MECHANISM OF RNAI:
First the double-stranded RNA teams up with a protein complex named Dicer, which cuts the long RNA into short pieces.
Then another protein complex called RISC (RNA-induced silencing complex) discards one of the two RNA strands.
The RISC-docked, single-stranded RNA then pairs with the homologous mRNA and destroys it.
THE RISC COMPLEX:
RISC is large(>500kD) RNA multi- protein Binding complex which triggers MRNA degradation in response to MRNA
Unwinding of double stranded Si RNA by ATP independent Helicase
Active component of RISC is Ago proteins( ENDONUCLEASE) which cleave target MRNA.
DICER: endonuclease (RNase Family III)
Argonaute: Central Component of the RNA-Induced Silencing Complex (RISC)
One strand of the dsRNA produced by Dicer is retained in the RISC complex in association with Argonaute
ARGONAUTE PROTEIN :
1.PAZ(PIWI/Argonaute/ Zwille)- Recognition of target MRNA
2.PIWI (p-element induced wimpy Testis)- breaks Phosphodiester bond of mRNA.)RNAse H activity.
MiRNA:
The Double-stranded RNAs are naturally produced in eukaryotic cells during development, and they have a key role in regulating gene expression .
1. [Poster title]
[Replace the following names and titles with those of the actual contributors: Helge Hoeing, PhD1; Carol Philips, PhD2; Jonathan Haas, RN, BSN, MHA3, and Kimberly B. Zimmerman, MD4
1[Add affiliation for first contributor], 2[Add affiliation for second contributor], 3[Add affiliation for third contributor], 4[Add affiliation for fourth contributor]
Meta-analysis overview
A practical guide
ipdforest
Summary
A short guide and a forest plot command for
one-stage meta-analysis in Stata
the ipdforest command
Evan Kontopantelis David Reeves
Centre for Primary Care
Institute of Population Health
Faculty of Medicine
University of Manchester
RSS Annual Conference
Telford, 5 Sep 2012
Kontopantelis, Reeves ipdforest
2. [Poster title]
[Replace the following names and titles with those of the actual contributors: Helge Hoeing, PhD1; Carol Philips, PhD2; Jonathan Haas, RN, BSN, MHA3, and Kimberly B. Zimmerman, MD4
1[Add affiliation for first contributor], 2[Add affiliation for second contributor], 3[Add affiliation for third contributor], 4[Add affiliation for fourth contributor]
Meta-analysis overview
A practical guide
ipdforest
Summary
Outline
1 Meta-analysis overview
2 A practical guide
3 ipdforest
methods
example
4 Summary
Kontopantelis, Reeves ipdforest
3. [Poster title]
[Replace the following names and titles with those of the actual contributors: Helge Hoeing, PhD1; Carol Philips, PhD2; Jonathan Haas, RN, BSN, MHA3, and Kimberly B. Zimmerman, MD4
1[Add affiliation for first contributor], 2[Add affiliation for second contributor], 3[Add affiliation for third contributor], 4[Add affiliation for fourth contributor]
Meta-analysis overview
A practical guide
ipdforest
Summary
Timeline
‘Meta’ is a Greek preposition meaning ‘after’, so
meta-analysis =⇒ post-analysis
Efforts to pool results from individual studies back as far as
1904
The first attempt that assessed a therapeutic intervention
was published in 1955
In 1976 Glass first used the term to describe a "statistical
analysis of a large collection of analysis results from
individual studies for the purpose of integrating the
findings"
Kontopantelis, Reeves ipdforest
4. [Poster title]
[Replace the following names and titles with those of the actual contributors: Helge Hoeing, PhD1; Carol Philips, PhD2; Jonathan Haas, RN, BSN, MHA3, and Kimberly B. Zimmerman, MD4
1[Add affiliation for first contributor], 2[Add affiliation for second contributor], 3[Add affiliation for third contributor], 4[Add affiliation for fourth contributor]
Meta-analysis overview
A practical guide
ipdforest
Summary
Meta-analysing reported study results
A two-stage process
the relevant summary effect statistics are extracted from
published papers on the included studies
these are then combined into an overall effect estimate
using a suitable meta-analysis model
However, problems often arise
papers do not report all the statistical information required
as input
papers report a statistic other than the effect size which
needs to be transformed with a loss of precision
a study might be too different to be included (population
clinically heterogeneous)
Kontopantelis, Reeves ipdforest
5. [Poster title]
[Replace the following names and titles with those of the actual contributors: Helge Hoeing, PhD1; Carol Philips, PhD2; Jonathan Haas, RN, BSN, MHA3, and Kimberly B. Zimmerman, MD4
1[Add affiliation for first contributor], 2[Add affiliation for second contributor], 3[Add affiliation for third contributor], 4[Add affiliation for fourth contributor]
Meta-analysis overview
A practical guide
ipdforest
Summary
Individual Patient Data
IPD
These problems can be avoided when IPD from each
study are available
outcomes can be easily standardised
clinical heterogeneity can be addressed with subgroup
analyses and patient-level covariate controlling
Can be analysed in a single- or two-stage process
mixed-effects regression models can be used to combine
information across studies in a single stage
this is currently the best approach, with the two-stage
method being at best equivalent in certain scenarios
Kontopantelis, Reeves ipdforest
6. [Poster title]
[Replace the following names and titles with those of the actual contributors: Helge Hoeing, PhD1; Carol Philips, PhD2; Jonathan Haas, RN, BSN, MHA3, and Kimberly B. Zimmerman, MD4
1[Add affiliation for first contributor], 2[Add affiliation for second contributor], 3[Add affiliation for third contributor], 4[Add affiliation for fourth contributor]
Meta-analysis overview
A practical guide
ipdforest
Summary
Forest plot
One advantage of two-stage meta-analysis is the ability to
convey information graphically through a forest plot
study effects available after the first stage of the process,
and can be used to demonstrate the relative strength of the
intervention in each study and across all
informative, easy to follow and particularly useful for
readers with little or no methodological experience
key feature of meta-analysis and always presented when
two-stage meta-analyses are performed
In one-stage meta-analysis, only the overall effect is
calculated and creating a forest-plot is not straightforward
Enter ipdforest
Kontopantelis, Reeves ipdforest
7. [Poster title]
[Replace the following names and titles with those of the actual contributors: Helge Hoeing, PhD1; Carol Philips, PhD2; Jonathan Haas, RN, BSN, MHA3, and Kimberly B. Zimmerman, MD4
1[Add affiliation for first contributor], 2[Add affiliation for second contributor], 3[Add affiliation for third contributor], 4[Add affiliation for fourth contributor]
Meta-analysis overview
A practical guide
ipdforest
Summary
The hypothetical study
Individual patient data from randomised controlled trials
For each trial we have
a binary control/intervention membership variable
baseline and follow-up data for the continuous outcome
covariates
Assume measurements consistent across trials and
standardisation is not required
We will explore linear random-effects models with the
xtmixed command; application to the logistic case using
xtmelogit should be straightforward
In the models that follow, in general, we denote fixed
effects with ‘γ’s and random effects with ‘β’s
Kontopantelis, Reeves ipdforest
8. [Poster title]
[Replace the following names and titles with those of the actual contributors: Helge Hoeing, PhD1; Carol Philips, PhD2; Jonathan Haas, RN, BSN, MHA3, and Kimberly B. Zimmerman, MD4
1[Add affiliation for first contributor], 2[Add affiliation for second contributor], 3[Add affiliation for third contributor], 4[Add affiliation for fourth contributor]
Meta-analysis overview
A practical guide
ipdforest
Summary
Model 1
fixed common intercept; random treatment effect; fixed effect for baseline
Yij = γ0 + β1jgroupij + γ2Ybij + ij ij ∼ N(0, σ2
j )
β1j = γ1 + u1j u1j ∼ N(0, τ1
2)
i: the patient
j: the trial
Yij: the outcome
γ0: fixed common intercept
β1j: random treatment
effect for trial j
γ1: mean treatment effect
groupij: group membership
γ2: fixed baseline effect
Ybij: baseline score
u1j: random treatment
effect for trial j
τ1
2: between trial variance
ij: error term
σ2
j : within trial variance for
trial j
Kontopantelis, Reeves ipdforest
9. [Poster title]
[Replace the following names and titles with those of the actual contributors: Helge Hoeing, PhD1; Carol Philips, PhD2; Jonathan Haas, RN, BSN, MHA3, and Kimberly B. Zimmerman, MD4
1[Add affiliation for first contributor], 2[Add affiliation for second contributor], 3[Add affiliation for third contributor], 4[Add affiliation for fourth contributor]
Meta-analysis overview
A practical guide
ipdforest
Summary
Model 1
fixed common intercept; random treatment effect; fixed effect for baseline
Possibly the simplest approach
In Stata it can be expressed as
xtmixed Y i.group Yb || studyid:group,
nocons
where
studyid, the trial identifier
group, control/intervention membership
Y and Yb, endpoint and baseline scores
note that the nocons option suppresses estimation of the
intercept as a random effect
Kontopantelis, Reeves ipdforest
10. [Poster title]
[Replace the following names and titles with those of the actual contributors: Helge Hoeing, PhD1; Carol Philips, PhD2; Jonathan Haas, RN, BSN, MHA3, and Kimberly B. Zimmerman, MD4
1[Add affiliation for first contributor], 2[Add affiliation for second contributor], 3[Add affiliation for third contributor], 4[Add affiliation for fourth contributor]
Meta-analysis overview
A practical guide
ipdforest
Summary
Model 2
fixed trial specific intercepts; random treatment effect; fixed trial-specific effects for
baseline
Common intercept & fixed baseline difficult to justify
A more accepted model allows for different fixed intercepts
and fixed baseline effects for each trial:
Yi j = γ0j + β1j groupi j + γ2j Ybi j + i j
β1j = γ1 + u1j
where
γ0j the fixed intercept for trial j
γ2j the fixed baseline effect for trial j
In Stata expressed as:
xtmixed Y i.group i.studyid Yb1 Yb2 Yb3 Yb4
|| studyid:group, nocons
where Yb‘i’=Yb if studyid=‘i’ and zero otherwise
Kontopantelis, Reeves ipdforest
11. [Poster title]
[Replace the following names and titles with those of the actual contributors: Helge Hoeing, PhD1; Carol Philips, PhD2; Jonathan Haas, RN, BSN, MHA3, and Kimberly B. Zimmerman, MD4
1[Add affiliation for first contributor], 2[Add affiliation for second contributor], 3[Add affiliation for third contributor], 4[Add affiliation for fourth contributor]
Meta-analysis overview
A practical guide
ipdforest
Summary
Model 3
random trial intercept; random treatment effect; fixed trial-specific effects for baseline
Another possibility, althought contentious, is to assume trial
intercepts are random (e.g. multi-centre trial):
Yi j = β0j + β1j groupi j + γ2j Ybi j + i j
β0j = γ0 + u0j
β1j = γ1 + u1j
wiser to assume random effects correlation ρ = 0:
i j ∼ N(0, σ2
j ) u0j ∼ N(0, τ2
0 )
u1j ∼ N(0, τ2
1 ) cov(u0j , u1j ) = ρτ0τ1
In Stata expressed as:
xtmixed Y i.group Yb1 Yb2 Yb3 Yb4 ||
studyid:group, cov(uns)
cov(uns): allows for distinct estimation of all RE
variance-covariance components
Kontopantelis, Reeves ipdforest
12. [Poster title]
[Replace the following names and titles with those of the actual contributors: Helge Hoeing, PhD1; Carol Philips, PhD2; Jonathan Haas, RN, BSN, MHA3, and Kimberly B. Zimmerman, MD4
1[Add affiliation for first contributor], 2[Add affiliation for second contributor], 3[Add affiliation for third contributor], 4[Add affiliation for fourth contributor]
Meta-analysis overview
A practical guide
ipdforest
Summary
Model 4
random trial intercept; random treatment effect; random effects for baseline
The baseline could also have been modelled as a
random-effect:
Yi j = β0j + β1j groupi j + β2j Ybi j + i j
β0j = γ0 + u0j
β1j = γ1 + u1j
β2j = γ2 + u2j
as before, non-zero random effects correlations:
u0j ∼ N(0, τ2
0 ) u1j ∼ N(0, τ2
1 )
u2j ∼ N(0, τ2
2 ) cov(u0j , u1j ) = ρ1τ0τ1
cov(u0j , u2j ) = ρ2τ0τ2 cov(u1j , u2j ) = ρ3τ1τ2
In Stata expressed as:
xtmixed Y i.group Yb || studyid:group Yb,
cov(uns)
Kontopantelis, Reeves ipdforest
13. [Poster title]
[Replace the following names and titles with those of the actual contributors: Helge Hoeing, PhD1; Carol Philips, PhD2; Jonathan Haas, RN, BSN, MHA3, and Kimberly B. Zimmerman, MD4
1[Add affiliation for first contributor], 2[Add affiliation for second contributor], 3[Add affiliation for third contributor], 4[Add affiliation for fourth contributor]
Meta-analysis overview
A practical guide
ipdforest
Summary
Model 5
Interactions and covariates
A covariate or an interaction term can be modelled as a
fixed or random effect
Assuming continuous and standardised variable age we
can expand Model 2 to include fixed effects for both age
and its interaction with the treatment:
Yi j = γ0j +β1j groupi j +γ2j Ybi j +γ3agei j +γ4groupi j agei j + i j
β1j = γ1 + u1j
In Stata expressed as:
xtmixed Y i.group i.studyid Yb1 Yb2 Yb3 Yb4
age i.group#c.age || studyid:group, nocons
If modelled as a random effect, non-convergence issues
more likely to be encountered
Kontopantelis, Reeves ipdforest
14. [Poster title]
[Replace the following names and titles with those of the actual contributors: Helge Hoeing, PhD1; Carol Philips, PhD2; Jonathan Haas, RN, BSN, MHA3, and Kimberly B. Zimmerman, MD4
1[Add affiliation for first contributor], 2[Add affiliation for second contributor], 3[Add affiliation for third contributor], 4[Add affiliation for fourth contributor]
Meta-analysis overview
A practical guide
ipdforest
Summary
methods
example
General
ipdforest is issued following an IPD meta-analysis that
uses mixed effects two-level regression, with patients
nested within trials and a
linear model (xtmixed)
or
logistic model (xtmelogit)
Provides a meta-analysis summary table and a forest plot
Trial effects are calculated within ipdforest
Can calculate and report both main and interaction effects
Overall effect(s) and variance estimates are extracted from
the preceding regression
Kontopantelis, Reeves ipdforest
15. [Poster title]
[Replace the following names and titles with those of the actual contributors: Helge Hoeing, PhD1; Carol Philips, PhD2; Jonathan Haas, RN, BSN, MHA3, and Kimberly B. Zimmerman, MD4
1[Add affiliation for first contributor], 2[Add affiliation for second contributor], 3[Add affiliation for third contributor], 4[Add affiliation for fourth contributor]
Meta-analysis overview
A practical guide
ipdforest
Summary
methods
example
Process
ipdforest estimates individual trial effects and their
standard errors using one-level linear or logistic
regressions
Following xtmixed, regress is used and following
xtmelogit, logit is used, for each trial
ipdforest controls these regressions for fixed- or
random-effects covariates that were specified in the
preceding two-level regression
User has full control over included covariates in the
command (e.g. specification as fixed- or random-effects)
But we strongly recommend using the same specifications
Kontopantelis, Reeves ipdforest
16. [Poster title]
[Replace the following names and titles with those of the actual contributors: Helge Hoeing, PhD1; Carol Philips, PhD2; Jonathan Haas, RN, BSN, MHA3, and Kimberly B. Zimmerman, MD4
1[Add affiliation for first contributor], 2[Add affiliation for second contributor], 3[Add affiliation for third contributor], 4[Add affiliation for fourth contributor]
Meta-analysis overview
A practical guide
ipdforest
Summary
methods
example
Estimation details
In the estimation of individual trial effects, ipdforest
controls for a random-effects covariate (i.e. allowing the
regression coefficient to vary by trial) by including the
covariate as an independent variable in each regression
Control for a fixed-effect covariate (regression coefficient
assumed constant across trials and given by the coefficient
estimated under two-level model) is a little more complex.
Not possible to specify a fixed value for a regression
coefficient under regress and the continuous outcome
variable is adjusted by subtracting the contribution of the
fixed covariates to its values in a first step prior to analysis
For a binary outcome the equivalent is achieved through
use of the offset option in logit
Kontopantelis, Reeves ipdforest
17. [Poster title]
[Replace the following names and titles with those of the actual contributors: Helge Hoeing, PhD1; Carol Philips, PhD2; Jonathan Haas, RN, BSN, MHA3, and Kimberly B. Zimmerman, MD4
1[Add affiliation for first contributor], 2[Add affiliation for second contributor], 3[Add affiliation for third contributor], 4[Add affiliation for fourth contributor]
Meta-analysis overview
A practical guide
ipdforest
Summary
methods
example
Heterogeneity
part I
Between-trial variability τ2 in the treatment effect, known
as heterogeneity, arises from differences in trial design,
quality, outcomes or populations
For continuous outcomes, ipdforest reports, I2 and H2
M,
based on the xtmixed output
For binary outcomes, an estimate of the within-trial
variance is not reported under xtmelogit and hence
heterogeneity measures cannot be computed
Between-trial variability estimate ˆτ2 and its confidence
interval is reported under both models.
Kontopantelis, Reeves ipdforest
18. [Poster title]
[Replace the following names and titles with those of the actual contributors: Helge Hoeing, PhD1; Carol Philips, PhD2; Jonathan Haas, RN, BSN, MHA3, and Kimberly B. Zimmerman, MD4
1[Add affiliation for first contributor], 2[Add affiliation for second contributor], 3[Add affiliation for third contributor], 4[Add affiliation for fourth contributor]
Meta-analysis overview
A practical guide
ipdforest
Summary
methods
example
Heterogeneity
part II
We are not calculating an IPD version of Cochran’s Q, the
orthodox χ2
k−1 homogeneity test, considering its poor
performance when the number of trials k is small
Besides, taking into account even low levels of τ2 by
adopting a random-effects model is a more conservative
approach than the fixed-effect one
When between-trial variance is estimated to be close to
zero, results with the two approaches converge
Kontopantelis, Reeves ipdforest
19. [Poster title]
[Replace the following names and titles with those of the actual contributors: Helge Hoeing, PhD1; Carol Philips, PhD2; Jonathan Haas, RN, BSN, MHA3, and Kimberly B. Zimmerman, MD4
1[Add affiliation for first contributor], 2[Add affiliation for second contributor], 3[Add affiliation for third contributor], 4[Add affiliation for fourth contributor]
Meta-analysis overview
A practical guide
ipdforest
Summary
methods
example
Depression intervention
We apply the ipdforest command to a dataset of 4
depression intervention trials
Complete information in terms of age, gender,
control/intervention group membership, continuous
outcome baseline and endpoint values for 518 patients
Results not published yet; we use fake author names and
generated random continuous & binary outcome variables,
while keeping the covariates at their actual values
Introduced correlation between baseline and endpoint
scores and between-trial variability
Logistic IPD meta-analysis, followed by ipdforest
Kontopantelis, Reeves ipdforest
20. [Poster title]
[Replace the following names and titles with those of the actual contributors: Helge Hoeing, PhD1; Carol Philips, PhD2; Jonathan Haas, RN, BSN, MHA3, and Kimberly B. Zimmerman, MD4
1[Add affiliation for first contributor], 2[Add affiliation for second contributor], 3[Add affiliation for third contributor], 4[Add affiliation for fourth contributor]
Meta-analysis overview
A practical guide
ipdforest
Summary
methods
example
Dataset
. use ipdforest_example.dta,
. describe
Contains data from ipdforest_example.dta
obs: 518
vars: 17 6 Feb 2012 11:14
size: 20,202
storage display value
variable name type format label variable label
studyid byte %22.0g stid Study identifier
patid int %8.0g Patient identifier
group byte %20.0g grplbl Intervention/control group
sex byte %10.0g sexlbl Gender
age float %10.0g Age in years
depB byte %9.0g Binary outcome, endpoint
depBbas byte %9.0g Binary outcome, baseline
depBbas1 byte %9.0g Bin outcome baseline, trial 1
depBbas2 byte %9.0g Bin outcome baseline, trial 2
depBbas5 byte %9.0g Bin outcome baseline, trial 5
depBbas9 byte %9.0g Bin outcome baseline, trial 9
depC float %9.0g Continuous outcome, endpoint
depCbas float %9.0g Continuous outcome, baseline
depCbas1 float %9.0g Cont outcome baseline, trial 1
depCbas2 float %9.0g Cont outcome baseline, trial 2
depCbas5 float %9.0g Cont outcome baseline, trial 5
depCbas9 float %9.0g Cont outcome baseline, trial 9
Sorted by: studyid patid
Kontopantelis, Reeves ipdforest
21. [Poster title]
[Replace the following names and titles with those of the actual contributors: Helge Hoeing, PhD1; Carol Philips, PhD2; Jonathan Haas, RN, BSN, MHA3, and Kimberly B. Zimmerman, MD4
1[Add affiliation for first contributor], 2[Add affiliation for second contributor], 3[Add affiliation for third contributor], 4[Add affiliation for fourth contributor]
Meta-analysis overview
A practical guide
ipdforest
Summary
methods
example
Mixed effects logistic regression model
fixed trial intercepts; fixed trial effects for baseline; random treatment and age effects
. xtmelogit depB group agec sex i.studyid depBbas1 depBbas2 depBbas5 depBbas9 i
> .group#c.agec || studyid:group agec, var nocons or
Mixed-effects logistic regression Number of obs = 518
Group variable: studyid Number of groups = 4
Obs per group: min = 42
avg = 129.5
max = 214
Integration points = 7 Wald chi2(11) = 42.06
Log likelihood = -326.55747 Prob > chi2 = 0.0000
depB Odds Ratio Std. Err. z P>|z| [95% Conf. Interval]
group 1.840804 .3666167 3.06 0.002 1.245894 2.71978
agec .9867902 .0119059 -1.10 0.270 .9637288 1.010403
sex .7117592 .1540753 -1.57 0.116 .4656639 1.087912
studyid
2 1.050007 .5725516 0.09 0.929 .3606166 3.057303
5 .8014551 .5894511 -0.30 0.763 .189601 3.387799
9 1.281413 .6886057 0.46 0.644 .4469619 3.673735
depBbas1 3.152908 1.495281 2.42 0.015 1.244587 7.987253
depBbas2 4.480302 1.863908 3.60 0.000 1.982385 10.12574
depBbas5 2.387336 1.722993 1.21 0.228 .5802064 9.823007
depBbas9 1.881203 .7086507 1.68 0.093 .8990569 3.936262
group#c.agec
1 1.011776 .0163748 0.72 0.469 .9801858 1.044385
_cons .5533714 .2398342 -1.37 0.172 .2366472 1.293993
Random-effects Parameters Estimate Std. Err. [95% Conf. Interval]
studyid: Independent
var(group) 8.86e-21 2.43e-11 0 .
var(agec) 5.99e-18 4.40e-11 0 .
Kontopantelis, Reeves ipdforest
22. [Poster title]
[Replace the following names and titles with those of the actual contributors: Helge Hoeing, PhD1; Carol Philips, PhD2; Jonathan Haas, RN, BSN, MHA3, and Kimberly B. Zimmerman, MD4
1[Add affiliation for first contributor], 2[Add affiliation for second contributor], 3[Add affiliation for third contributor], 4[Add affiliation for fourth contributor]
Meta-analysis overview
A practical guide
ipdforest
Summary
methods
example
ipdforest
modelling main effect and interaction
. ipdforest group, fe(sex) re(agec) ia(agec) or
One-stage meta-analysis results using xtmelogit (ML method) and ipdforest
Main effect (group)
Study Effect [95% Conf. Interval] % Weight
Hart 2005 2.118 0.942 4.765 19.88
Richards 2004 2.722 1.336 5.545 30.69
Silva 2008 2.690 0.748 9.676 8.11
Kompany 2009 1.895 0.969 3.707 41.31
Overall effect 1.841 1.246 2.720 100.00
One-stage meta-analysis results using xtmelogit (ML method) and ipdforest
Interaction effect (group x agec)
Study Effect [95% Conf. Interval] % Weight
Hart 2005 0.972 0.901 1.049 19.88
Richards 2004 0.995 0.937 1.055 30.69
Silva 2008 0.987 0.888 1.098 8.11
Kompany 2009 1.077 1.015 1.144 41.31
Overall effect 1.012 0.980 1.044 100.00
Heterogeneity Measures
value [95% Conf. Interval]
I^2 (%) .
H^2 .
tau^2 est 0.000 0.000 .
Kontopantelis, Reeves ipdforest
23. [Poster title]
[Replace the following names and titles with those of the actual contributors: Helge Hoeing, PhD1; Carol Philips, PhD2; Jonathan Haas, RN, BSN, MHA3, and Kimberly B. Zimmerman, MD4
1[Add affiliation for first contributor], 2[Add affiliation for second contributor], 3[Add affiliation for third contributor], 4[Add affiliation for fourth contributor]
Meta-analysis overview
A practical guide
ipdforest
Summary
methods
example
Forest plots
main effect and interaction
Overall effect
Kompany 2009
Silva 2008
Richards 2004
Hart 2005
Studies
0 2 3 4 5 6 7 8 9 101
Effect sizes and CIs (ORs)
Main effect (group)
Overall effect
Kompany 2009
Silva 2008
Richards 2004
Hart 2005
Studies
0 .2 .4 .6 .8 1.2 1.41
Effect sizes and CIs (ORs)
Interaction effect (group x agec)
Kontopantelis, Reeves ipdforest
24. [Poster title]
[Replace the following names and titles with those of the actual contributors: Helge Hoeing, PhD1; Carol Philips, PhD2; Jonathan Haas, RN, BSN, MHA3, and Kimberly B. Zimmerman, MD4
1[Add affiliation for first contributor], 2[Add affiliation for second contributor], 3[Add affiliation for third contributor], 4[Add affiliation for fourth contributor]
Meta-analysis overview
A practical guide
ipdforest
Summary
What to take home
A few different approaches exist for conducting one-stage
IPD meta-analysis
Stata can cope through the xtmixed and the xtmelogit
commands
The ipdforest command aims to help meta-analysts
calculate trial effects
display results in standard meta-analysis tables
produce familiar and ‘expected’ forest-plots
It can deal with main and all types of interaction effects
(binary×continous, binary×binary, binary×categorical)
Kontopantelis, Reeves ipdforest
25. [Poster title]
[Replace the following names and titles with those of the actual contributors: Helge Hoeing, PhD1; Carol Philips, PhD2; Jonathan Haas, RN, BSN, MHA3, and Kimberly B. Zimmerman, MD4
1[Add affiliation for first contributor], 2[Add affiliation for second contributor], 3[Add affiliation for third contributor], 4[Add affiliation for fourth contributor]
Appendix Thank you!
Comments, suggestions:
e.kontopantelis@manchester.ac.uk
Kontopantelis, Reeves ipdforest