47 results on '"M. Yen"'
Search Results
2. In-Office Tympanostomy Tube Placement Using Iontophoresis and Automated Tube Delivery Systems
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David M. Yen MD, Michael T. Murray MD, Robert Puchalski MD, Andrew R. Gould MD, John Ansley MD, Randall A. Ow MD, Jonathan R. Moss MD, Laura J. England PhD, and Charles A. Syms MD
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Otorhinolaryngology ,RF1-547 ,Surgery ,RD1-811 - Abstract
Objectives (1) To evaluate safety, tolerability, and technical success of lidocaine iontophoresis and a tympanostomy tube placement system for adults in an office setting and (2) to meet regulatory evidence requirements for new drugs and devices. Study Design Prospective, multicenter, single arm. Setting Patients were recruited in 8 community-based practices in the United States between June and September 2017. Subjects and Methods This study evaluated tympanic membrane anesthesia and tube placement in 30 adults. Anesthesia was achieved via iontophoresis of a lidocaine/epinephrine solution. Tube placement was conducted using an integrated myringotomy and tube delivery system. Tolerability of tube placement was measured using a patient-reported visual analog scale from 0 mm ( no pain ) to 100 mm ( worst possible pain ). Mean pain score was compared to a performance goal of 45 mm, where statistical superiority represents mild pain or less. Technical success and safety through 3 weeks postprocedure were evaluated. Results Twenty-nine (29/30, 96.7%) patients had tube(s) successfully placed in all indicated ears. One patient demonstrated inadequate tympanic membrane anesthesia, and no tube placement was attempted. The mean (SD) pain score of 9.4 (15.7) mm was statistically superior to the performance goal. There were no serious adverse events. Seven nonserious events were related to device, procedure, or drug: inadequate anesthesia (1), vertigo (1), and dizziness (1) at the time of procedure and ear discomfort (1), tube occlusion (2), and medial tube migration (1) postprocedure. Conclusion Lidocaine iontophoresis provides acceptable tympanic membrane anesthesia for safe, tolerable, and successful in-office tube placement using an integrated myringotomy and tube delivery system.
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- 2020
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3. Two‐Year Outcomes After Pediatric In‐Office Tympanostomy Using Lidocaine/Epinephrine Iontophoresis and an Automated Tube Delivery System
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Erik H. Waldman, Amy Ingram, D. Macy Vidrine, Andrew R. Gould, Jacob W. Zeiders, Randall A. Ow, Christopher R. Thompson, Jonathan R. Moss, Ritvik Mehta, John E. McClay, Amy Brenski, John Gavin, John Ansley, David M. Yen, Neil K. Chadha, Michael T. Murray, Frederick K. Kozak, Christopher York, David M. Brown, Eli Grunstein, Robert C. Sprecher, Denise A. Sherman, Scott R. Schoem, Robert Puchalski, Susannah Hills, Dan Harfe, Laura J. England, Charles A. Syms, and Lawrence R. Lustig
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Otorhinolaryngology ,Surgery - Published
- 2023
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4. A phase 3 trial of mometasone furoate sinus implants for chronic sinusitis with recurrent nasal polyps
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Anna K. Gawlicka, Langford Fpj, Robert C. Kern, Ameet Singh, Boris Karanfilov, Iloreta Amc, Silvers Sl, James W. Stambaugh, Keith E. Matheny, Stolovitzky Jp, David M Yen, and Lee Jt
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medicine.medical_specialty ,business.industry ,Standard treatment ,Mometasone furoate ,medicine.disease ,Surgery ,03 medical and health sciences ,0302 clinical medicine ,medicine.anatomical_structure ,030228 respiratory system ,Otorhinolaryngology ,Ethmoid sinus ,otorhinolaryngologic diseases ,medicine ,Immunology and Allergy ,Nasal polyps ,Nasal administration ,Implant ,030223 otorhinolaryngology ,Adverse effect ,business ,Sinus (anatomy) ,medicine.drug - Abstract
Background Topical intranasal corticosteroid sprays (INCSs) are standard treatment for nasal polyps (NPs), but their efficacy is reduced by poor patient compliance and impaired access of drug to the sinus mucosa. A corticosteroid-eluting sinus implant was designed to address these limitations in patients with recurrent polyposis after sinus surgery by delivering 1350 μg of mometasone furoate (MF) directly to the ethmoid sinus mucosa over approximately 90 days. Methods A randomized, sham-controlled, double-blind trial was undertaken in 300 adults with refractory chronic rhinosinusitis with NPs (CRSwNP), who were candidates for repeat surgery. Eligible patients were randomized (2:1) and underwent in-office bilateral placement of 2 implants or a sham procedure. All patients used the MF INCS 200 μg once daily. Co-primary efficacy endpoints were the change from baseline in nasal obstruction/congestion score and bilateral polyp grade, as determined by an independent panel based on centralized, blinded videoendoscopy review. Results Patients treated with implants experienced significant reductions in both nasal obstruction/congestion score (p = 0.0074) and bilateral polyp grade (p = 0.0073) compared to controls. At day 90, implants were also associated with significant reductions in 4 of 5 prespecified secondary endpoints compared to control: proportion of patients still indicated for repeat sinus surgery (p = 0.0004), percent ethmoid sinus obstruction (p = 0.0007), nasal obstruction/congestion (p = 0.0248), and decreased sense of smell (p = 0.0470), but not facial pain/pressure (p = 0.9130). One patient experienced an implant-related serious adverse event (epistaxis). Conclusion Significant improvements over a range of subjective and objective endpoints, including a reduction in the need for sinus surgery by 61%, suggest that MF sinus implants may play an important role in management of recurrent NP.
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- 2018
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5. Time course for blood pressure lowering of angiotensin receptor blockers
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Colin R. Dormuth, Paul M. Yen, James M Wright, and Chen Jin
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Medicine General & Introductory Medical Sciences ,medicine.medical_specialty ,business.industry ,education ,Pharmacology ,03 medical and health sciences ,0302 clinical medicine ,Blood pressure ,Internal medicine ,Time course ,medicine ,Cardiology ,Pharmacology (medical) ,030212 general & internal medicine ,Angiotensin Receptor Blockers ,Blood pressure lowering ,business ,030217 neurology & neurosurgery - Abstract
This is a protocol for a Cochrane Review (Intervention). The objectives are as follows: To analyze the temporal (hourly and 24-hour) blood pressure (BP) lowering efficacy of angiotensin receptor blockers (ARBs).
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- 2017
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6. Use of Longitudinal Regression in Quality Control
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Ying Lu and Wendy M. Yen
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Social Psychology ,Longitudinal data ,media_common.quotation_subject ,Control (management) ,Regression ,Education ,Test score ,Equating ,Statistics ,Credibility ,Econometrics ,Quality (business) ,Statistics, Probability and Uncertainty ,Psychology ,Applied Psychology ,media_common - Abstract
This article explores the use of longitudinal regression as a tool for identifying scoring inaccuracies. Student progression patterns, as evaluated through longitudinal regressions, typically are more stable from year to year than are scale score distributions and statistics, which require representative samples to conduct credibility checks. Historical data from a large-scale K-12 testing program were used to evaluate the usefulness of several proposed longitudinal procedures. Results showed that the use of longitudinal regression in quality control was effective in detecting scoring errors, especially when the scoring errors were non-negligible.
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- 2014
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7. Adjunctive β 2 ‐agonist treatment reduces glycogen independently of receptor‐mediated acid α‐glucosidase uptake in the limb muscles of mice with Pompe disease
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Lauran Madden, Paul M. Yen, Sierra Nance, Nenad Bursac, Sarah P. Young, Andrew Bird, Benjamin L. Farah, Dwight D. Koeberl, and Songtao Li
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medicine.medical_specialty ,Combination therapy ,Genetic Vectors ,Biology ,medicine.disease_cause ,Biochemistry ,Receptor, IGF Type 2 ,Research Communications ,Mice ,chemistry.chemical_compound ,Cations ,Internal medicine ,Glycogen storage disease type II ,Genetics ,medicine ,Animals ,Humans ,Clenbuterol ,Muscle, Skeletal ,Adrenergic beta-2 Receptor Agonists ,Molecular Biology ,Adeno-associated virus ,Mice, Knockout ,Mannose 6-phosphate receptor ,Glycogen ,Glycogen Storage Disease Type II ,Skeletal muscle ,Extremities ,alpha-Glucosidases ,Enzyme replacement therapy ,Dependovirus ,medicine.disease ,HEK293 Cells ,medicine.anatomical_structure ,Endocrinology ,chemistry ,Lysosomes ,Densitometry ,Biotechnology ,medicine.drug - Abstract
Enzyme or gene replacement therapy with acid α-glucosidase (GAA) has achieved only partial efficacy in Pompe disease. We evaluated the effect of adjunctive clenbuterol treatment on cation-independent mannose-6-phosphate receptor (CI-MPR)-mediated uptake and intracellular trafficking of GAA during muscle-specific GAA expression with an adeno-associated virus (AAV) vector in GAA-knockout (KO) mice. Clenbuterol, which increases expression of CI-MPR in muscle, was administered with the AAV vector. This combination therapy increased latency during rotarod and wirehang testing at 12 wk, in comparison with vector alone. The mean urinary glucose tetrasaccharide (Glc4), a urinary biomarker, was lower in GAA-KO mice following combination therapy, compared with vector alone. Similarly, glycogen content was lower in cardiac and skeletal muscle following 12 wk of combination therapy in heart, quadriceps, diaphragm, and soleus, compared with vector alone. These data suggested that clenbuterol treatment enhanced trafficking of GAA to lysosomes, given that GAA was expressed within myofibers. The integral role of CI-MPR was demonstrated by the lack of effectiveness from clenbuterol in GAA-KO mice that lacked CI-MPR in muscle, where it failed to reverse the high glycogen content of the heart and diaphragm or impaired wirehang performance. However, the glycogen content of skeletal muscle was reduced by the addition of clenbuterol in the absence of CI-MPR, as was lysosomal vacuolation, which correlated with increased AKT signaling. In summary, β2-agonist treatment enhanced CI-MPR-mediated uptake and trafficking of GAA in mice with Pompe disease, and a similarly enhanced benefit might be expected in other lysosomal storage disorders.—Farah, B. L., Madden, L., Li, S., Nance, S., Bird, A., Bursac, N., Yen, P. M., Young, S. P., Koeberl, D. D. Adjunctive β2-agonist treatment reduces glycogen independently of receptor-mediated acid α-glucosidase uptake in the limb muscles of mice with Pompe disease.
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- 2014
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8. Effect of magnesium sulphate on urinary catecholamine excretion in severe tetanus
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Ia Macdonald, L. M. Yen, N. Soni, G Thwaites, N J White, Ht T. Loan, Cl L. Thwaites, Jj J. Farrar, Tt T. D. Thuy, and Sm M. Cordon
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medicine.medical_specialty ,business.industry ,Tetanus ,Magnesium ,Urinary system ,Placebo-controlled study ,chemistry.chemical_element ,Placebo ,medicine.disease ,Excretion ,Anesthesiology and Pain Medicine ,Endocrinology ,chemistry ,Anesthesia ,Internal medicine ,Catecholamine ,Medicine ,medicine.symptom ,business ,muscle spasm ,medicine.drug - Abstract
Severe tetanus is characterised by muscle spasms and autonomic dysfunction. We recently reported the results of a randomised placebo controlled trial of magnesium sulphate infusions for the treatment of severe tetanus which showed magnesium was associated with improved muscle spasm and cardiovascular control. We hypothesised that magnesium controlled autonomic dysfunction by reducing catecholamine release and thus urinary excretion. Urinary adrenaline and noradrenaline concentrations were measured during the first 24 h of therapy in 180 adults with severe tetanus randomised to treatment with magnesium (n = 92) or placebo (n = 88). Magnesium therapy was associated with lower urinary adrenaline excretion and higher urinary noradrenaline excretion. High urinary adrenaline concentrations were associated with documented autonomic dysfunction. Patients given magnesium had significantly less autonomic dysfunction, required less cardiovascular stabilising drugs, and had lower urinary concentrations of adrenaline. These findings suggest adrenaline is important in the pathophysiology of severe tetanus and magnesium controls autonomic dysfunction by reducing adrenaline release.
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- 2008
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9. Recombination processes in rare-earth doped MAl2O4(M = Ca, Sr) persistent phosphors investigated by optically-detected magnetic resonance
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B. Henke, William M. Yen, Uldis Rogulis, and Stefan Schweizer
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Chemistry ,Doping ,Analytical chemistry ,Phosphor ,Surfaces and Interfaces ,Condensed Matter Physics ,Acceptor ,Spectral line ,Surfaces, Coatings and Films ,Electronic, Optical and Magnetic Materials ,law.invention ,law ,Materials Chemistry ,Electrical and Electronic Engineering ,Luminescence ,Electron paramagnetic resonance ,Recombination ,Excitation ,Nuclear chemistry - Abstract
Single crystalline MAl 2 O 4 (M = Ca and Sr) persistent phosphors, which are nominally pure or additionally doped with Eu and Nd or Dy, respectively, were investigated for their recombination luminescence (RL) and microwave-induced changes in the RL at low temperatures. The analysis of the optically-detected electron paramagnetic resonance (EPR) spectra, recorded after ultraviolet excitation at 4.2 K, shows that intrinsic donor and acceptor centres are involved in the recombination process. Spectral dependent RL-EPR measurements on undoped CaAl 2 O 4 (CAO) and SrAl 2 O 4 (SAO) show that we deal with only one donor but at least two different acceptors. The g value of the donor is 1.99 in CAO and 1.97 in SAO; the g value of the acceptors is about 2.02. The donor-acceptor recombination energy is either emitted directly (undoped samples) or almost completely transferred to the rare-earth activators (doped samples).
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- 2007
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10. Predicting the clinical outcome of tetanus: the tetanus severity score
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N.P.J. Day, N. Soni, Jj J. Farrar, Cl L. Thwaites, Nt T. N. Nga, C. Glover, Pq Q. Tuan, L. M. Yen, Ht T. Loan, Janet Parry, D. Bethell, and N J White
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Adult ,Aged, 80 and over ,Male ,Gynecology ,medicine.medical_specialty ,Tetanus ,Adolescent ,business.industry ,Public Health, Environmental and Occupational Health ,Middle Aged ,Prognosis ,Sensitivity and Specificity ,Severity of Illness Index ,Infectious Diseases ,ROC Curve ,Vietnam ,Tropical medicine ,medicine ,Humans ,Female ,Parasitology ,Prospective Studies ,business ,Aged - Abstract
Summary Objectives To create a new tetanus score and compare it with the Phillips and Dakar scores. Methods We used prospectively acquired data from consecutive patients admitted to the Hospital for Tropical Diseases, Ho Chi Minh City, to create the Tetanus Severity Score (TSS) with multivariate logistic regression. We compared the new score with Phillips and Dakar scores by means of resubstituted and prospective data, assessing performance in terms of sensitivity, specificity and area under receiver operator characteristic curves. Results Resubstitution testing yielded a sensitivity of 77% (298/385) and a specificity of 82% (1183/1437) for the TSS; 89% (342/385) and 20% (281/1437) for the Phillips score; and 13% (49/385) and 98% (1415/1437) for the Dakar score. The TSS showed greatest discrimination with 0.89 area under the receiver operator characteristic curve (95% CI 0.88–0.90); this was 0.74 for the Dakar score and (95% CI 0.71–0.77) and 0.66 for the Phillips score (95% CI 0.63–0.70; P values
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- 2006
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11. The Challenge and Attainability of Goals for Adequate Yearly Progress
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William D. Schafer, Wendy M. Yen, and Richard D. Schwarz
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Management science ,Evaluation methods ,Adequate Yearly Progress ,ComputerApplications_COMPUTERSINOTHERSYSTEMS ,Academic achievement ,Set (psychology) ,Psychology ,Relevant information ,Education - Abstract
For standards-referenced assessment systems, there is a tension between setting high goals versus attainable ones for adequate yearly progress. The more relevant information that policymakers can consider in setting these goals, the more likely it will be that productive goals are set. Some strategies are presented here that can be used either singly or in combination to evaluate the level of rigor implied by these expectations. These strategies relate to understanding how likely it is, based on past experience, that a particular goal can be met.
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- 2005
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12. The Technical Quality of Performance Assessments: Standard Errors of Percents of Pupils Reaching Standards
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Wendy M. Yen
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Performance based assessment ,business.industry ,media_common.quotation_subject ,Primary education ,Standardized test ,Education ,Standard error ,ComputingMilieux_COMPUTERSANDEDUCATION ,Mathematics education ,Achievement test ,Generalizability theory ,Quality (business) ,School level ,business ,Psychology ,media_common - Abstract
How accurate is the reported percent of students’reaching standards at the school level? How are standard errors for these statistics computed? How do estimates vary with choice of generalizability model?
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- 2005
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13. Multiple Measures: Alternative Design and Analysis Models
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Wendy M. Yen, Marc W. Julian, and Dianne Henderson-Montero
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No child left behind ,Computer science ,Management science ,System evaluation ,Legislation ,Analysis models ,Accountability system ,Education ,Test (assessment) ,Variety (cybernetics) - Abstract
The use of multiple measures is emphasized by legislation regulating the distribution of Title I funding to states, as well as by professional and industry standards regarding the use of test scores in high-stakes decisions. There are a wide variety of methods with which multiple measures can be designed and analyzed, and these methods have different implications for conclusions that will be reached. Recognizing the complexities associated with the implementation of a multiple measures approach to system evaluation, this article provides an overview and discussion of alternative models that may be considered in an accountability system and their applicability relative to the goals of the system evaluation. The article concludes with an example of the use of multiple measures with regard to No Child Left Behind legislation.
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- 2005
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14. Pressure dependence of the 4f 1 5d 1 → 4f 2 emission of Pr 3+ :YAG using excited state absorption
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J.W. Wang, William M. Yen, Marek Grinberg, Hairong Zheng, and Richard S. Meltzer
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Crystal ,Coupling ,Field (physics) ,Chemistry ,Pressure dependence ,Atomic physics ,Excited state absorption ,Excitation ,Lower energy ,Ambient pressure - Abstract
The pressure dependence of the emission of the 4f15d1 state of Pr3+ is reported. Excitation of the 4f15d1 state of Pr3+ is accomplished using excited state absorption from the 3P0 state to populate the 4f15d1 state of Pr3+ from which emission is measured as a function of pressure. The emission, which occurs at 320 nm at ambient pressure, is found to shift to lower energy, nearly linearly at a rate of –14.1 cm–1/kbar. This compares with –12.5 cm–1/kbar for Ce3+ in YAG. The pressure dependence of the 4f15d1 4f2 transitions are explained using a standard crystal field approach and a configurational coordinate model to describe the effects of pressure on the electronic energy of the 4f15d1 state and the electron-lattice coupling. (© 2005 WILEY-VCH Verlag GmbH & Co. KGaA, Weinheim)
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- 2005
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15. Efficiency considerations and emerging applications of novel wide band gap luminescent materials
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William M. Yen
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business.industry ,Chemistry ,Band gap ,Wide-bandgap semiconductor ,Phosphor ,Condensed Matter Physics ,Electronic, Optical and Magnetic Materials ,Delocalized electron ,Excited state ,Optoelectronics ,business ,Ground state ,Phosphorescence ,Luminescence - Abstract
We discuss in general terms factors which determine the luminescence efficiency of activated wide band gap materials. These processes can be classified into two broad categories: the first, which has been thoroughly studied, entails interactions which lead to non-radiative dissipation of optical energy at the specific active center. The second set concerns interactions leading to the delocalization and the transport of optical energy away from the originally excited state. Recent spectroscopic results from these studies have allowed the absolute placement of the ground state of luminescent ion series within the band gap of the host crystal and have cast light on the systematics of such placement. These results are relevant to materials which evince the property of persistent phosphorescence. Developments in these materials as well as a number of new applications will be touched upon.
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- 2005
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16. Developmental toxicity of arecoline, the major alkaloid in betel nuts, in zebrafish embryos
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M. Yen-Ping Kuo, Bei-En Chang, Mei-Hui Liao, and Chi-Hsiang Chen
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Embryology ,Embryo, Nonmammalian ,animal structures ,Arecoline ,Developmental toxicity ,In situ hybridization ,Biology ,Andrology ,Botany ,Morphogenesis ,medicine ,Animals ,Incubation ,Areca ,In Situ Hybridization ,Zebrafish ,DNA Primers ,Base Sequence ,Reverse Transcriptase Polymerase Chain Reaction ,Embryo ,General Medicine ,Betel ,biology.organism_classification ,Teratology ,Pediatrics, Perinatology and Child Health ,Toxicity ,RNA ,Developmental Biology ,medicine.drug - Abstract
Background The major alkaloid in the betel nut, arecoline, has been reported to be potent in inducing developmentally toxic effects by generally lowering the embryo weight and retarding development of the embryo. This study examined the adverse effects of arecoline and tried to unravel the mechanism through the tools of molecular biology. METHODS Arecoline was administered to zebrafish embryos by incubation at concentrations ranging from 0.01–0.04% (wt/vol) and lethality and morphological changes were recorded. The expression of genes was analyzed by reverse transcription-polymerase chain reaction (RT-PCR) and whole-mount in situ hybridization. In addition, the protective effects of several antioxidants were tested. RESULTS The survival rate of treated embryos during a three-day incubation significantly declined as the arecoline concentration increased. Treated embryos showed general growth retardation and lower rate of heartbeat. When examined at the 24-hr stage, the relative amounts of transcripts of p53, p21, and cyclin D1, and the spatial expression patterns of these genes in treated groups, were comparable to those of the untreated early stages of embryos. Finally, the addition of glutathione (GSH) or its precursor, N-acetyl-L-cysteine (NAC), ameliorated the developmental retardation of embryos by arecoline. CONCLUSIONS Arecoline-treated embryos exhibited general developmental retardation in a dose-dependent manner. Our results from RT-PCR, in situ hybridization, and antioxidant-protection experiments indicate that the mechanism underlying growth retardation by arecoline in embryos is predominately due to a general cytotoxic effect induced by depletion of intracellular thiols. Birth Defects Research (Part A) 67:000–000, 2003. © 2003 Wiley-Liss, Inc.
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- 2004
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17. The Scaling of Mixed-Item-Format Tests With the One-Parameter and Two-Parameter Partial Credit Models
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Robert C. Sykes and Wendy M. Yen
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Rubric ,Polytomous Rasch model ,Education ,Standard error ,Item response theory ,Statistics ,Developmental and Educational Psychology ,Econometrics ,Achievement test ,Psychology (miscellaneous) ,Nearest integer function ,Scaling ,Applied Psychology ,Multiple choice ,Mathematics - Abstract
Item response theory scalings were conducted for six tests with mixed item formats. These tests differed in their proportions of constructed response (c.r.) and multiple choice (m.c.) items and in overall difficulty. The scalings included those based on scores for the c.r. items that had maintained the number of levels as the item rubrics, either produced from single ratings or multiple ratings that were averaged and rounded to the nearest integer, as well as scalings for a single form of c.r. items obtained by summing multiple ratings. A one-parameter (IPPC) or two-parameter (2PPC) partial credit model was used for the c.r. items and the one-parameter logistic (IPL) or three-parameter logistic (3PL) model for the m.c. items, ltem fit was substantially worse with the combination IPL/IPPC model than the 3PL/2PPC model due to the former's restrictive assumptions that there would be no guessing on the m.c. items and equal item discrimination across items and item types. The presence of varying item discriminations resulted in the IPL/IPPC model producing estimates of item information that could be spuriously inflated for c.r. items that had three or more score levels. Information for some items with summed ratings were usually overestimated by 300% or more for the IPL/IPPC model. These inflated information values resulted in under-estbnated standard errors of ability estimates. The constraints posed by the restricted model suggests limitations on the testing contexts in which the IPL/IPPC model can be accurately applied.
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- 2000
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18. Ligand-induced recruitment of a histone deacetylase in the negative-feedback regulation of the thyrotropin beta gene
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Shigekazu Sasaki, Takeshi Kuwata, Wen-Ming Yang, Bruce D. Weintraub, Keiko Ozato, Edward Seto, Leslie A Lesoon-Wood, Paul M. Yen, Anup Dey, Bruce H. Howard, and Glen Humphrey
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Thyrotropin ,Regulatory Sequences, Nucleic Acid ,Biology ,Ligands ,Histone Deacetylases ,General Biochemistry, Genetics and Molecular Biology ,Feedback ,Genes, Reporter ,Sequence Homology, Nucleic Acid ,Cyclic AMP ,medicine ,Molecular Biology ,Sequence Deletion ,Histone deacetylase 5 ,Thyroid hormone receptor ,Base Sequence ,General Immunology and Microbiology ,HDAC11 ,Histone deacetylase 2 ,General Neuroscience ,HDAC10 ,DNA ,HDAC4 ,Molecular biology ,Chromatin ,Trichostatin A ,Gene Expression Regulation ,Triiodothyronine ,Histone deacetylase ,Protein Binding ,Research Article ,medicine.drug - Abstract
We have investigated ligand-dependent negative regulation of the thyroid-stimulating hormone beta (TSHbeta) gene. Thyroid hormone (T3) markedly repressed activity of the TSHbeta promoter that had been stably integrated into GH(3 )pituitary cells, through the conserved negative regulatory element (NRE) in the promoter. By DNA affinity binding assay, we show that the NRE constitutively binds to the histone deacetylase 1 (HDAC1) present in GH(3 )cells. Significantly, upon addition of T3, the NRE further recruited the thyroid hormone receptor (TRbeta) and another deacetylase, HDAC2. This recruitment coincided with an alteration of in vivo chromatin structure, as revealed by changes in restriction site accessibility. Supporting the direct interaction between TR and HDAC, in vitro assays showed that TR, through its DNA binding domain, strongly bound to HDAC2. Consistent with the role for HDACs in negative regulation, an inhibitor of the enzymes, trichostatin A, attenuated T3-dependent promoter repression. We suggest that ligand-dependent histone deacetylase recruitment is a mechanism of the negative-feedback regulation, a critical function of the pituitary-thyroid axis.
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- 1999
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19. Comparison of Item Response Theory and Thurstone Methods of Vertical Scaling
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George R. Burket and Wendy M. Yen
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Scale (ratio) ,computer.software_genre ,Education ,Educational assessment ,Simulated data ,Item response theory ,Statistics ,Vertical scaling ,Developmental and Educational Psychology ,Econometrics ,Range (statistics) ,Psychology (miscellaneous) ,Thurstone scale ,computer ,Scaling ,Applied Psychology ,Mathematics - Abstract
Vertical achievement scales, which range from the lower elementary grades to high school, are used pervasively in educational assessment. Using simulated data modeled after real tests, the present article examines two procedures available for vertical scaling: a Thurstone method and three-parameter item response theory. Neither procedure produced artifactual scale shrinkage; both procedures produced modest scale expansion for one simulated condition.
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- 1997
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20. Scaling Performance Assessments: A Comparison of One-Parameter and Two-Parameter Partial Credit Models
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Kyoko Ito, Wendy M. Yen, Robert C. Sykes, Anne R. Fitzpatrick, George R. Burket, and Valerie B. Link
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Performance based assessment ,Two parameter ,Item fit ,Partial credit ,Education ,Goodness of fit ,Simulated data ,Statistics ,Developmental and Educational Psychology ,Econometrics ,Operational acceptance testing ,Psychology (miscellaneous) ,Scaling ,Applied Psychology ,Mathematics - Abstract
In one study, parameters were estimated for constructed-response (CR) items in 8 tests from 4 operational testing programs using the l-parameter and 2- parameter partial credit (IPPC and 2PPC) models. Where multiple-choice (MC) items were present, these models were combined with the 1-parameter and 3-parameter logistic (IPL and 3PL) models, respectively. We found that item fit was better when the 2PPC model was used alone or with the 3PL model. Also, the slopes of the CR and MC items were found to differ substantially. In a second study, item parameter estimates produced using the IPL-IPPC and 3PL-2PPC model combinations were evaluated for fit to simulated data generated using true parameters known to fit one model combination or ttle other. The results suggested that the more flexible 3PL-2PPC model combination would produce better item fit than the IPL-1PPC combination.
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- 1996
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21. The isoform-specific expression of the tri-iodothyronine receptor in osteoblasts and osteoclasts
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Adrienne M. Flanagan, T. J. Allain, A. M. Mcgregor, and Paul M. Yen
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musculoskeletal diseases ,medicine.medical_specialty ,Clinical Biochemistry ,Thyroid Gland ,Gene Expression ,Osteoclasts ,Biology ,Biochemistry ,Bone resorption ,Osteoclast ,Cell surface receptor ,Internal medicine ,Bone cell ,Tumor Cells, Cultured ,medicine ,Animals ,Humans ,RNA, Messenger ,Northern blot ,Receptor ,Cells, Cultured ,Giant Cell Tumor of Bone ,Osteoblasts ,Receptors, Thyroid Hormone ,Thyroid hormone receptor ,Osteoblast ,General Medicine ,Molecular biology ,Rats ,medicine.anatomical_structure ,Endocrinology ,RNA, Ribosomal - Abstract
Hyperthyroidism is associated with an increase in both osteoblast and osteoclast activity. We have previously shown that, in vitro, osteoclasts do not respond directly to tri-iodothyronine to increase bone resorption but that the effect is mediated by another bone cell, probably the osteoblast. To investigate this issue further we have studied the isoform-specific expression of thyroid receptor (TR) protein in human osteoclasts derived from an osteoclastoma (giant cell tumour of bone) and the expression of TR mRNA and protein in the osteoblastic cell lines MG 63 and UMR 106. Three major TR receptor variants have been described; TR alpha 1 and TR beta are functional receptors whereas c-erbA alpha 2 is a non-functional variant. Northern blot analysis using [32P]-cDNA probes against human TR alpha 1, c-erbA alpha 2 and TR beta demonstrated specific binding of these probes to mRNA from MG 63 and UMR 106. mRNA for all three receptor variants was observed in both cell lines, in UMR 106 multiple mRNA transcripts were present for TR alpha 1 and TR beta. Immunohistochemical staining with antibodies recognizing a common TR alpha epitope and specific c-erbA alpha 2 and TR beta epitopes extended these observations by demonstrating receptor protein in both osteoblasts and osteoclasts. These findings are consistent with previous observations of TR expression in osteoblast-like-cells and are the first direct demonstration of TR in osteoclasts.
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- 1996
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22. The Psychometric Characteristics of Choice Items
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Wendy M. Yen and Anne R. Fitzpatrick
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Attractiveness ,Psychometrics ,Constructed response ,Item response theory ,Developmental and Educational Psychology ,Psychology (miscellaneous) ,Psychology ,behavioral disciplines and activities ,Popularity ,Applied Psychology ,Education ,Developmental psychology - Abstract
This study investigated the psychometric characteristics of constructed-response (CR) items referring to choice and non-choice passages administered to students in Grades 3, 5, and 8. The items were scaled using item response theory (IRT) methodology. The results indicated no consistent differences in the difficulty and discrimination of the items referring to the two types of passages. On the average, students' scale scores on the choice and non-choice passages were comparable. Finally, the choice passages differed in terms of overall popularity and in their attractiveness to different gender and ethnic groups
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- 1995
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23. Scaling Performance Assessments: Strategies for Managing Local Item Dependence
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Wendy M. Yen
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Educational measurement ,genetic structures ,Operations research ,Computer science ,computer.software_genre ,eye diseases ,Compendium ,Education ,body regions ,Order (exchange) ,Educational assessment ,Item response theory ,Developmental and Educational Psychology ,Mathematics education ,Independence (mathematical logic) ,A priori and a posteriori ,sense organs ,Psychology (miscellaneous) ,Scaling ,computer ,Applied Psychology - Abstract
Performance assessments appear on a priori grounds to be likely to produce far more local item dependence (LID) than that produced in the use of traditional multiple-choice tests. This article (a) defines local item independence, (b) presents a compendium of causes of LID, (c) discusses some of LID's practical measurement implications, (d) details some empirical results for both performance assessments and multiple-choice tests, and (e) suggests some strategies for managing LID in order to avoid negative measurement consequences.
- Published
- 1993
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24. ChemInform Abstract: New Methods for Studying the Optical Properties of Metal Ions in Solids
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William M. Yen, S. M. Jacobsen, and Brian M. Tissue
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Chemistry ,law ,Line narrowing ,Metal ions in aqueous solution ,Physics::Optics ,New materials ,Nanotechnology ,General Medicine ,Fiber ,Spectroscopy ,Laser ,law.invention - Abstract
e discuss recent advances in the synthesis and study of metal-ion-activated insulators. These materials are of interest in the development of tunable solid-state lasers. We focus our attention first on the synthesis of new materials in single-crystal fiber form, which is achieved by the laser-heated podestal growth technique. and, we discuss high-resolution optical techniques which have been developod to study these new materials, with emphasis on laser spectroscopy and fluorescence line narrowing in the near-infrared region
- Published
- 2010
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25. ChemInform Abstract: Photoluminescence of Mn2+-Doped ZnGa2O4 Single-Crystal Fibers
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L. Lu, Hua-Kun Liu, Xiaojun Wu, William M. Yen, Shi-Wen Huang, and Wei Jia
- Subjects
Crystallography ,Photoluminescence ,Chemistry ,Doping ,Mineralogy ,General Medicine ,Single crystal - Published
- 2010
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- View/download PDF
26. New model for microsurgical training and skills maintenance
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Marshall T. Partington, David M. Yen, Ron Berezniak, and Raul Arroyo
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Microsurgery ,Models, Educational ,medicine.medical_specialty ,business.industry ,medicine.medical_treatment ,media_common.quotation_subject ,Animal Testing Alternatives ,Live animal ,Surgery ,Occupational training ,Peripheral nerve ,General Surgery ,Reading (process) ,medicine ,Humans ,Medical physics ,Clinical Competence ,business ,media_common - Abstract
PracticeRat® (Sharpoint, Reading PA) is a system containing a simulation vein, artery and nerve, designed as an alternative to live animal use in microsurgical training. We find PracticeRat® to be more expensive than living models. However, it does decrease animal usage and provides a very convenient opportunity to practice microsurgical techniques and procedures in a fairly realistic manner. Trainees can practice anytime, for any length of time, wherever microscopes are available. In this regard we find PracticeRat® to be a useful addition to microsurgical training programs and an excellent tool for skills maintenance. © 1995 Wiley-Liss, Inc.
- Published
- 1995
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27. 146: Otolaryngologic Manifestations of Creutzfeldt‐Jakob Disease—A Case Report: Creutzfeldt‐Jakob Disease Presenting as Hearing Loss and Dizziness
- Author
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David M. Yen, Glen W. Knox, Douglas C. Bigelow, and David E. Schmidt
- Subjects
Pediatrics ,medicine.medical_specialty ,Otorhinolaryngology ,Hearing loss ,business.industry ,medicine ,Surgery ,Disease ,medicine.symptom ,Audiology ,business - Published
- 1995
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28. EVALUATING ACADEMIC PROGRESS WITHOUT A VERTICAL SCALE
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Lora Monfils, Wendy M. Yen, and Venessa F. Lall
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Social Psychology ,Scale (ratio) ,education ,Multilevel model ,Logistic regression ,Regression ,Education ,Test score ,Ordinary least squares ,Statistics ,Econometrics ,Metric (unit) ,School level ,Statistics, Probability and Uncertainty ,Applied Psychology ,Mathematics - Abstract
Alternatives to vertical scales are compared for measuring longitudinal academic growth and for producing school-level growth measures. The alternatives examined were empirical cross-grade regression, ordinary least squares and logistic regression, and multilevel models. The student data used for the comparisons were Arabic Grades 4 to 10 in Qatar, and results were examined in the scale score and performance level metrics. It is found that vertical scales and cross-grade regressions can show different results at the individual student level, but at the school level, the different measures of growth were strongly correlated, particularly in the scale score metric. Differences between the methods appear more likely in the performance level metric than the scale score metric and for grade pairs with more extreme performance.
- Published
- 2012
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29. In Memory of Donald Ross Green (1924-2007)
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Wendy M. Yen and Daniel M. Lewis
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Education - Published
- 2008
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30. Recapitulation of human βB1‐crystallin promoter activity in transgenic zebrafish
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Hou, Hsin‐Han, primary, Kuo, M. Yen‐Ping, additional, Luo, Ya‐Wen, additional, and Chang, Bei‐En, additional
- Published
- 2005
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31. Developmental toxicity of arecoline, the major alkaloid in betel nuts, in zebrafish embryos
- Author
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Chang, Bei-En, primary, Liao, Mei-Hui, additional, Kuo, M. Yen-Ping, additional, and Chen, Chi-Hsiang, additional
- Published
- 2004
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- View/download PDF
32. Investigating the Consequential Aspects of Validity: Who Is Responsible and What Should They Do?
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Wendy M. Yen
- Subjects
Program evaluation ,Evaluation methods ,Applied psychology ,Psychology ,Maturity (finance) ,Social psychology ,Test use ,Education - Abstract
Where do we stand today as the concept of the consequential aspect of validity gains maturity? What are the implications for the various stakeholders in the measurement enterprise?
- Published
- 2005
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33. Optical properties of Ce[sup 3+]-doped Lu[sub 2]O[sub 3] and Y[sub 2]O[sub 3] single crystals
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W. van Schaik, U. Happek, Dean R. Evans, S. Basun, W. M. Dennis, M. Raukas, and William M. Yen
- Subjects
Quenching ,Materials science ,business.industry ,Photoconductivity ,Quantum yield ,Phosphor ,Atomic and Molecular Physics, and Optics ,Electronic, Optical and Magnetic Materials ,Photoexcitation ,Excited state ,Optoelectronics ,Quantum efficiency ,Physics::Chemical Physics ,Electrical and Electronic Engineering ,Luminescence ,business - Abstract
The study of phosphor materials generally focuses on systems with a high quantum efficiency. On the other hand, a thorough understanding why certain systems show very low quantum yield will certainly lead to a better understanding of phosphor materials in general. Here we present studies on cerium-doped lutetium oxide and yttrium oxide crystals that are characterized by a complete quenching of the 4f-5d luminescence. To find the origin of the quenching mechanism, as well as to understand the difference to other Ce 3+ systems with high quantum efficiencies, we have performed extensive absorption, photoexcitation, and photoconductivity studies on single crystals of these systems, prepared by the laser-heated-pedestal growth technique. It is experimentally verified that the quenching mechanism is determined by the location of the first excited level of the cerium ions with respect to the conduction band - a general result that can be applied to a broad range of materials and will allow us to characterize and engineer future phosphor materials.
- Published
- 1996
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34. The Influence of Zr[sup 4+] and Ca[sup 2+] on the luminescence efficiency of Y[sub 2]O[sub 3]:Eu[sup 3+]
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U. Happek, W. M. Dennis, Dean R. Evans, W. van Schaik, M. Raukas, S. Basun, and William M. Yen
- Subjects
Materials science ,business.industry ,Phosphor ,Fluorescent spectra ,Photochemistry ,Fluorescence ,Atomic and Molecular Physics, and Optics ,Electronic, Optical and Magnetic Materials ,Impurity ,Optoelectronics ,Electrical and Electronic Engineering ,business ,Luminescence ,Excitation - Abstract
Y 2 O 3 :Eu 3+ has been extensively investigated as a red phosphor for fluorescent lamps and color displays. In particular, there have recently been several studies examining the effect of impurities on the luminescence efficiency for Y 2 O 3 :Eu 3+ under UV excitation. In this work we investigate the effects of codoping Y 2 O 3 :Eu 3+ with Ca 2+ and Zr 4+ on the emission produced by cathode-ray excitation. Specifically, we have measured the relative efficiency, fluorescent lifetimes, and fluorescent spectra under cathode-ray excitation and compare these results to those previously observed under UV excitation.
- Published
- 1996
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35. Inhibition of photoinitiated degradation of polycarbonate by cerium (III) overcoating
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Andrew J. Klein, Hyuk Yu, and William M. Yen
- Subjects
chemistry.chemical_classification ,Vinyl alcohol ,Materials science ,Polyvinyl acetate ,Polymers and Plastics ,chemistry.chemical_element ,General Chemistry ,Polymer ,engineering.material ,Photochemistry ,Surfaces, Coatings and Films ,chemistry.chemical_compound ,Cerium ,chemistry ,Coating ,visual_art ,Materials Chemistry ,visual_art.visual_art_medium ,Transmittance ,engineering ,Irradiation ,Polycarbonate - Abstract
Photodownconversion of UV radiation incident on a polymeric substrate, polycarbonate, into visible and IR region is effected by coating the substrate with cerous chloride (CeCl3)/poly(vinyl alcohol) complex whereby photolytic degradation of the substrate is significantly inhibited. Thus it appears that cerous ion coating serves as an effective UV screener. The testing method consists of exposing the coated and naked substrate films to a medium intensity UV source with a cutoff filter below 280 nm for different intervals and determining their optical transmission characteristics. Some of the cerous ion coated films were further overcoated with polyvinyl acetate in order to prevent ion leaching by water. The final product retains the visible and IR transmittance of untreated polycarbonate film, and when the optimum composition of CeCl3 in poly(vinyl alcohol) is coated, its transmission spectrum is barely changed even after 24 hr of UV irradiation. The object is to develop inexpensive solar glazing materials which can last up to 20 years without deterioration of their optical and mechanical properties upon solar irradiation.
- Published
- 1981
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36. THE CHOICE OF SCALE FOR EDUCATIONAL MEASUREMENT: AN IRT PERSPECTIVE
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Wendy M. Yen
- Subjects
Educational measurement ,Rank (computer programming) ,Test theory ,Education ,Test (assessment) ,Scale (social sciences) ,Item response theory ,Developmental and Educational Psychology ,Mathematics education ,Achievement test ,Psychology (miscellaneous) ,Psychology ,Social psychology ,Scaling ,Applied Psychology - Abstract
are contrasted. It is argued that clearer criteria are needed for judging the appropriateness and usefulness of alternative scaling procedures, and more information is needed about the qualities of the different scales that are available. In answer to this second need, some examples are presented of how IRT can be used to examine the properties of scales: It is demonstrated that for observed score scales in common use (i.e., any scores that are influenced by measurement error), (a) systematic errors can be introduced when comparing growth at selected percentiles, and (b) normalizing observed scores will not necessarily produce a scale that is linearly related to an underlying normally distributed true trait. For many years educators have asked important and seemingly answerable questions about their students' achievement: How much does one program improve achievement relative to another program? How much are our low-achieving students learning relative to our high-achieving students? Are our third graders learning at the same rate as our 10th graders? Is this student learning as much in sixth grade as he or she learned in fifth grade? Educators have asked these questions, and test developers have offered a variety of ways to get answers. Many types of scales have been made available to measure educational achievement. Examples are number-correct scores, percentiles, grade equivalents, and scale scores. Most of these scales are monotonic transformations of each other; they rank examinees in the same way, but they differ in terms of scale units. This paper focuses on putative equal-interval scales that are available for measuring change in examinees' achievement within and across test levels. For many years Thurstonian absolute scaling based on number-correct scores was the major method used for scaling multilevel educational achievement tests. Test publishers encouraged the interpretation of the Thurstonian scale as an equalinterval scale and the use of this scale for measuring growth and for numerical calculations (e.g., CTB/McGraw-Hill, 1968b, 1982; Madden, Gardner, Rudman, Karlsen, & Merwin, 1975). The acceptance of the Thurstonian scale as being linearly related to "achievement" was not effectively challenged for many years, largely because there was no strong alternative scaling method. With the
- Published
- 1986
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37. THE EXTENT, CAUSES AND IMPORTANCE OF CONTEXT EFFECTS ON ITEM PARAMETERS FOR TWO LATENT TRAIT MODELS
- Author
-
Wendy M. Yen
- Subjects
Context effect ,Context (language use) ,Differential item functioning ,Education ,Test (assessment) ,Cronbach's alpha ,Statistics ,Item response theory ,Developmental and Educational Psychology ,Trait ,Achievement test ,Psychology (miscellaneous) ,Psychology ,Social psychology ,Applied Psychology - Abstract
There is widespread interest in latent trait models-an entire edition of this journal (Volume 14, No. 2) was devoted to them. One of the most important assumptions of latent trait models is that the characteristics of each item can be described by one set of parameters. (See Allen & Yen, 1979 or Lord & Novick, 1968 for further discussions of the models and their assumptions.) If item parameters are influenced by the sequencing of the items or by the characteristics of other items in the test, then context effects are occurring. Two situations in which context effects are particularly important are (a) the field testing and selection of items and (b) the calibration of items (i.e., the estimation of item parameters) for item pools. If there are context effects, the items that appear to be best in a field test may not be the best in a final test booklet. With item pools, context effects can influence the choice of the best items and the parameter values associated with each item. The item parameter values also influence the trait values that are obtained subsequently for any given examinee's pass/fail responses to the items, and the parameter values influence the standard error of the trait value provided by the latent trait model. The item parameter values also influence the item characteristic curve (ICC) predicted by the latent trait model. The values of the ICC can be important. For example, the ICC can be used to estimate the degree to which a rise in a trait value, say through average growth from grade 3 to grade 4, will affect an examinee's performance on particular items. The test characteristic curve (TCC), which is the mean of the ICC values for the items in a particular test, also can be influenced by context effects on item parameters. The TCC relates expected proportion-correct scores to trait values, and it is useful in interpreting score distributions (Lord & Novick, 1968, pp. 386-392). Numerous studies have examined the effects of changes in item order or context on test performance. Most of these studies have not reported results for item statistics but rather have reported results for examinees' scores (Brenner, 1964; Cronbach, 1946, 1950; Sax & Carr, 1962; Sax & Cromack, 1966; Sirotnik & Wellington, 1974; Tuck, 1978), particularly as these scores relate to anxiety (Berger, Munz, Smouse, & Angelino, 1969; Hambleton & Traub, 1974; Marso, 1970; Munz & Smouse, 1968; Towle & Merrill, 1975). Several studies have examined the stability of classical item statistics under changes in context. When administered under power or slightly speeded conditions, items on some tests tended to be somewhat easier when they appeared near the beginning of a test than when they appeared near the end of a test (Flaugher, Melton, & Myers, 1968; Mollenkopf, 1950). Rearrangements of the items in other tests produced little change in item difficulties under slightly speeded or power conditions (Flaugher et al., 1968; Gerow, 1980; Huck & Bowers, 1972; Mollenkopf, 1950; Monk & Stallings, 1970). While item-test biserials were not systematically affected by position under power conditions (Flaugher et al., 1968; Mollenkopf, 1950), under speeded conditions biserials were higher when an item appeared near the end of a test than when it came near the beginning (Mollenkopf, 1950).
- Published
- 1980
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38. Raman scattering from sapphire fibers
- Author
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Weiyi Jia and W. M. Yen
- Subjects
business.industry ,Phonon ,Chemistry ,Laser ,Molecular physics ,Symmetry (physics) ,law.invention ,Stress (mechanics) ,Condensed Matter::Materials Science ,symbols.namesake ,Optics ,law ,Ultimate tensile strength ,symbols ,Sapphire ,General Materials Science ,Physics::Atomic Physics ,business ,Raman spectroscopy ,Spectroscopy ,Raman scattering - Abstract
We introduce an index matching technique which exploits the waveguiding properties of sapphire fibers, reduces the stray light level, and allows for the enhancement of Raman scattering signal- noise ratio. Raman scattering of sapphire fibers was conducted at room temperature using the 476.5 argon laser line. Red shifts were observed under tensile stress for both A1 g and E g phonon modes. The stress-induced Raman shifts for the A1 g modes are in good agreement with the theoretical calculations. The deformation potential constants used in these calculations were obtained from the literature of bulk sapphire measurement under compressive uniaxial stress. However, the E g modes shift to lower energy much faster than the calculated values. The behavior of the E g modes under tensile stress is not fully understood and may be due to the restricted dimension effects. Since the surface effects are 2-D, they should only influence the E g modes. Tensile stress tends to stretch the surface and relax the surface compression. Thus, a larger red frequency shift of the phonon modes may be expected compared with the bulk samples.
- Published
- 1989
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39. Valid Normative Information From Customized Achievement Tests
- Author
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George R. Burket, Wendy M. Yen, and Donald Ross Green
- Subjects
Norm-referenced test ,Information retrieval ,Goodness of fit ,Item analysis ,Item response theory ,Econometrics ,Normative ,Achievement test ,Test validity ,Psychology ,Education ,Test (assessment) - Abstract
This paper discusses how to maintain the integrity of national normative information for achievement tests when the test that is administered has been customized to satisfy local needs and is not a test that has been nationally normed. Using an Item Response Theory perspective, alternative procedures for item selection and calibration are examined with respect to their effect on the accuracy of normative information. It is emphasized that it is important to match the content of the customized test with that of the normed test if accurate normative data are desired.
- Published
- 1987
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40. Normative Growth Expectations Must Be Realistic: A Response to Phillips and Clarizio
- Author
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Wendy M. Yen
- Subjects
Test Norms ,Academic achievement ,Standard score ,computer.software_genre ,Education ,Educational assessment ,Learning disability ,medicine ,Mathematics education ,Normative ,Achievement test ,medicine.symptom ,Psychology ,computer ,Social psychology - Abstract
Phillips and Clarizio (1988) make a serious error In concluding that developmental standard score scales produce unrealistic expectations for growth of low-achieving students. The nature of their error is described in this response to their paper.
- Published
- 1988
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41. Clinical evaluation of a novel multipoint radiofrequency ablation device to treat chronic rhinitis
- Author
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Douglas D. Reh, Kristopher Lay, Greg Davis, Marc G. Dubin, David M. Yen, Ellen M. O'Malley, and Michael Sillers
- Subjects
congestion ,posterior nasal nerve ,radiofrequency ablation ,rhinitis ,rhinorrhea ,Otorhinolaryngology ,RF1-547 ,Surgery ,RD1-811 - Abstract
Abstract Objective Safety and efficacy of the NEUROMARK® system for treating chronic rhinitis. Methods A prospective, single‐arm, multicenter study was performed on adults with chronic rhinitis who underwent radiofrequency ablation to the posterior nasal nerves. Primary endpoints were device‐related serious adverse events (SAEs) at 1 month and change from baseline in visual analog scale nasal symptom scale (VAS NSS) for rhinorrhea and nasal congestion at 3 months. Total nasal symptom score (rTNSS) and mini Rhinoconjunctivitis Quality of Life Questionnaire (mini RQLQ) score were also evaluated. Results Thirty‐six participants were enrolled and completed follow‐up at 1 and 3 months. Mean VAS NSS scores for rhinorrhea and nasal congestion demonstrated significant improvement at 3 months (both p
- Published
- 2023
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42. Self-Management Behaviors in Relation to Psychological Factors and Interdialytic Weight Gain Among Patients Undergoing Hemodialysis in Indonesia.
- Author
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Natashia D, Yen M, Chen HM, and Fetzer SJ
- Subjects
- Adult, Aged, Aged, 80 and over, Biomarkers, Female, Humans, Indonesia, Male, Middle Aged, Multivariate Analysis, Renal Dialysis statistics & numerical data, Young Adult, Renal Dialysis adverse effects, Self-Management psychology, Weight Gain
- Abstract
Purpose: The purpose of this study was to understand the influence of demographic and psychological factors on self-management behaviors and interdialytic weight gain (IDWG) as a fluid adherence marker among patients undergoing hemodialysis in Indonesia., Design: A quantitative correlational study., Method: A convenience sample of 145 patients undergoing hemodialysis was recruited from the dialysis units in two hospitals in Jakarta from September to December 2015. Questionnaires were used to examine self-management behaviors, depression, anxiety, and stress. Data for IDWG were obtained by subtracting the individual's predialysis weight from his or her postdialysis weight from the previous session. Hierarchical multiple linear regression identified the predictors of IDWG., Results: Self-advocacy was ranked the least performed self-management behavior, while medication adherence was ranked the most likely to be performed. Among the subscales of the Self-Management Behavior Indices, positive correlations were found between the communication dimension with all psychological factors (depression, anxiety, and stress), while self-advocacy had positive correlation with anxiety. Subjects gained a mean of 4.5% of their postdialysis weight, with over 50% exceeding the recommended 4% IDWG. Overall, 53.6% of the IDWG was explained by the weekly duration of hemodialysis, level of depression, communication, partnership in care, and self-advocacy., Conclusions: Self-management behaviors are potential predictors that can be modified by nephrology nurses in order to enhance clinical outcomes, with the specific outcome being IDWG. Self-management behaviors contribute to the promotion of appropriate IDWG. Depressed patients are less likely to adhere to weight gain restrictions., Clinical Relevance: Education combined with training in self-management behaviors-particularly communication, becoming a partner in care, and advocating for care-may improve adherence to IDWG guidelines among Indonesian hemodialysis patients. Interventions targeting depressed patients are needed., (© 2019 Sigma Theta Tau International.)
- Published
- 2019
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43. An adaptive semantic matching paradigm for reliable and valid language mapping in individuals with aphasia.
- Author
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Wilson SM, Yen M, and Eriksson DK
- Subjects
- Adult, Aged, Aged, 80 and over, Aphasia etiology, Aphasia physiopathology, Brain physiopathology, Chronic Disease, Feasibility Studies, Female, Humans, Magnetic Resonance Imaging, Male, Middle Aged, Psychometrics, Reproducibility of Results, Stroke complications, Stroke diagnostic imaging, Stroke physiopathology, Aphasia diagnosis, Brain diagnostic imaging, Brain Mapping methods, Language, Neuropsychological Tests
- Abstract
Research on neuroplasticity in recovery from aphasia depends on the ability to identify language areas of the brain in individuals with aphasia. However, tasks commonly used to engage language processing in people with aphasia, such as narrative comprehension and picture naming, are limited in terms of reliability (test-retest reproducibility) and validity (identification of language regions, and not other regions). On the other hand, paradigms such as semantic decision that are effective in identifying language regions in people without aphasia can be prohibitively challenging for people with aphasia. This paper describes a new semantic matching paradigm that uses an adaptive staircase procedure to present individuals with stimuli that are challenging yet within their competence, so that language processing can be fully engaged in people with and without language impairments. The feasibility, reliability and validity of the adaptive semantic matching paradigm were investigated in sixteen individuals with chronic post-stroke aphasia and fourteen neurologically normal participants, in comparison to narrative comprehension and picture naming paradigms. All participants succeeded in learning and performing the semantic paradigm. Test-retest reproducibility of the semantic paradigm in people with aphasia was good (Dice coefficient = 0.66), and was superior to the other two paradigms. The semantic paradigm revealed known features of typical language organization (lateralization; frontal and temporal regions) more consistently in neurologically normal individuals than the other two paradigms, constituting evidence for validity. In sum, the adaptive semantic matching paradigm is a feasible, reliable and valid method for mapping language regions in people with aphasia., (© 2018 Wiley Periodicals, Inc.)
- Published
- 2018
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44. QT Interval Shortening With Isavuconazole: In Vitro and In Vivo Effects on Cardiac Repolarization.
- Author
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Keirns J, Desai A, Kowalski D, Lademacher C, Mujais S, Parker B, Schneidkraut MJ, Townsend R, Wojtkowski T, Yamazaki T, Yen M, and Kowey PR
- Subjects
- Adult, Antifungal Agents pharmacokinetics, Arrhythmias, Cardiac metabolism, Arrhythmias, Cardiac physiopathology, Calcium Channel Blockers adverse effects, Calcium Channel Blockers pharmacokinetics, Calcium Channels, L-Type drug effects, Calcium Channels, L-Type metabolism, Cell Line, Dose-Response Relationship, Drug, Double-Blind Method, Electrocardiography, Female, Heart Conduction System metabolism, Heart Conduction System physiopathology, Humans, Male, Models, Biological, Nitriles pharmacokinetics, Pyridines pharmacokinetics, Risk Assessment, Time Factors, Transfection, Triazoles pharmacokinetics, Young Adult, Action Potentials drug effects, Antifungal Agents adverse effects, Arrhythmias, Cardiac chemically induced, Heart Conduction System drug effects, Heart Rate drug effects, Nitriles adverse effects, Pyridines adverse effects, Triazoles adverse effects
- Abstract
The effects of isavuconazole (active moiety of isavuconazonium sulfate) on cardiac ion channels in vitro and cardiac repolarization clinically were assessed in a phase I, randomized, double-blind study in healthy individuals who received isavuconazole (after 2-day loading dose), at therapeutic or supratherapeutic doses daily for 11 days, moxifloxacin (400 mg q.d.), or placebo. A post-hoc analysis of the phase III SECURE trial assessed effects on cardiac safety. L-type Ca
2+ channels were most sensitive to inhibition by isavuconazole. The 50% inhibitory concentrations for ion channels were higher than maximum serum concentrations of nonprotein-bound isavuconazole in vivo. In the phase I study (n = 161), isavuconazole shortened the QT interval in a dose- and plasma concentration-related manner. There were no serious treatment-emergent adverse events; palpitations and tachycardia were observed in placebo and supratherapeutic isavuconazole groups; no cardiac safety signals were detected in the SECURE study (n = 257). Isavuconazole was associated with a shortened cardiac QT interval., (© 2017 The Authors Clinical Pharmacology & Therapeutics published by Wiley Periodicals, Inc. on behalf of American Society for Clinical Pharmacology and Therapeutics.)- Published
- 2017
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- View/download PDF
45. Time to antivenom administration is not associated with total antivenom dose administered in a copperhead-predominant snakebite population.
- Author
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Gerardo CJ, Evans CS, Kuchibhatla M, Mando-Vandrick J, Drake WG, Yen M, Kopec K, and Lavonas EJ
- Subjects
- Adolescent, Adult, Aged, Aged, 80 and over, Animals, Antivenins therapeutic use, Child, Child, Preschool, Disease Progression, Emergency Service, Hospital, Female, Humans, Infant, Male, Middle Aged, Retrospective Studies, Severity of Illness Index, Time-to-Treatment, Treatment Outcome, Young Adult, Agkistrodon, Antivenins administration & dosage, Snake Bites therapy
- Abstract
Objectives: To prevent unnecessary antivenom administration in crotaline snakebite, observation for progression is recommended for the patient with minor envenomation whose condition is stable and not progressing. The objective of this study was to determine the association between the time from bite to initial antivenom administration (Time(AV)) and the total amount of antivenom administered (Total(AV)) and to determine what proportion of patients did not have progression of the envenomation syndrome and did not receive antivenom., Methods: This was a retrospective chart review of patients presenting with crotaline snakebite within 24 hours from 2009 through 2012. Blinded dual-chart abstraction and strict data point definitions were used. Spearman correlation was used to determine the association between Time(AV) and Total(AV). A general linear model was used to examine this association using Time(AV) categorized to early and late administration, adjusted for likely confounders. Confounders included age, extremity involved, initial severity, and year of envenomation., Results: Ninety-five eligible patients were analyzed with 45 (47%) males and a mean (±SD) age of 36.5 (±21.1) years. Eighty-five (89%) received antivenom, with a median Time(AV) of 3.3 hours (interquartile range [IQR] = 2.5 to 5.2 hours). The median Total(AV) was 10 vials (IQR = 6 to 14 vials). The univariate analysis showed a small but statistically significant decrease in Total(AV) given to patients treated greater than 6 hours from bite (r = -0.26, p = 0.015). The multivariate analysis resulted in no significant relation between early or late Time(AV) and Total(AV) (p = 0.10) after adjustment for confounders. Most minimal envenomation syndromes (80%, or 41 of 51) progressed to moderate grade envenomations., Conclusions: Time(AV) was not associated with Total(AV) when adjusted for likely confounders and supports current recommendations to observe for progression in minor envenomation. The majority of envenomations progressed, resulting in only a small proportion of patients not eventually receiving antivenom. The authors recommend observation in an environment where the patient can be adequately reassessed for progression of the envenomation., (© 2015 by the Society for Academic Emergency Medicine.)
- Published
- 2015
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46. Proarrhythmic safety of repeat doses of mirabegron in healthy subjects: a randomized, double-blind, placebo-, and active-controlled thorough QT study.
- Author
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Malik M, van Gelderen EM, Lee JH, Kowalski DL, Yen M, Goldwater R, Mujais SK, Schaddelee MP, de Koning P, Kaibara A, Moy SS, and Keirns JJ
- Subjects
- Acetanilides administration & dosage, Acetanilides therapeutic use, Adolescent, Adrenergic beta-Agonists administration & dosage, Adrenergic beta-Agonists therapeutic use, Adult, Anti-Infective Agents adverse effects, Anti-Infective Agents pharmacokinetics, Aza Compounds adverse effects, Aza Compounds pharmacokinetics, Cross-Over Studies, Dose-Response Relationship, Drug, Double-Blind Method, Female, Fluoroquinolones, Heart Rate drug effects, Humans, Long QT Syndrome epidemiology, Male, Middle Aged, Moxifloxacin, Quinolines adverse effects, Quinolines pharmacokinetics, Sex Characteristics, Thiazoles administration & dosage, Thiazoles therapeutic use, Urinary Bladder, Overactive drug therapy, Young Adult, Acetanilides adverse effects, Adrenergic beta-Agonists adverse effects, Electrocardiography drug effects, Long QT Syndrome chemically induced, Thiazoles adverse effects
- Abstract
Potential effects of the selective β(3)-adrenoceptor agonist mirabegron on cardiac repolarization were studied in healthy subjects. The four-arm, parallel, two-way crossover study was double-blind and placebo- and active (moxifloxacin)-controlled. After 2 baseline ECG days, subjects were randomized to one of eight treatment sequences (22 females and 22 males per sequence) of placebo crossed over with once-daily (10 days) 50, 100, or 200 mg mirabegron or a single 400-mg moxifloxacin dose on day 10. In each period, continuous ECGs were recorded at two baselines and on the last drug administration day. The lower one-sided 95% confidence interval for moxifloxacin effect on QTcI was >5 ms, demonstrating assay sensitivity. According to ICH E14 criteria, mirabegron did not cause QTcI prolongation at the 50-mg therapeutic and 100-mg supratherapeutic doses in either sex. Mirabegron prolonged QTcI interval at the 200-mg supratherapeutic dose (upper one-sided 95% CI >10 ms) in females, but not in males.
- Published
- 2012
- Full Text
- View/download PDF
47. Recapitulation of human betaB1-crystallin promoter activity in transgenic zebrafish.
- Author
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Hou HH, Kuo MY, Luo YW, and Chang BE
- Subjects
- Animals, Animals, Genetically Modified, Base Sequence, Binding Sites, Conserved Sequence, Humans, Molecular Sequence Data, Phylogeny, Proto-Oncogene Proteins c-maf genetics, Sequence Alignment, Sequence Homology, Nucleic Acid, Transcription, Genetic genetics, Zebrafish embryology, Promoter Regions, Genetic genetics, Zebrafish genetics, Zebrafish metabolism, beta-Crystallin B Chain genetics
- Abstract
Development of the eye is morphologically similar among vertebrates, indicating that the underlying mechanism regulating the process may have been highly conserved during evolution. Herein we analyzed the promoter of the human betaB1-crytallin gene in zebrafish by transgenic experiments. To delineate the evolutionarily conserved regulatory elements, we performed serial deletion assays in the promoter region. The results demonstrated that the -90/+61-bp upstream proximal promoter region is sufficient to confer lens-tissue specificity to the human betaB1-crystallin gene in transgenic zebrafish. Through phylogenetic sequence comparisons and an electrophoretic mobility shift assay (EMSA), a highly conserved cis-element of a six-base pair sequence TG(A/C)TGA, the consensus sequence for the Maf protein binding site, within the proximal promoter region was revealed. Further, a site-mutational assay showed that this element is crucial for promoter activity. These data suggest that the fundamental transcriptional regulatory mechanism of the betaB1-crystallin gene has been well conserved between humans and zebrafish, and plausibly among all vertebrates, during evolution., (Copyright 2005 Wiley-Liss, Inc.)
- Published
- 2006
- Full Text
- View/download PDF
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