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1.
Objective: This study set out to assess effects of testosterone replacement therapy (TRT) on parameters of metabolic syndrome and vascular function in obese hypogonadal males with type 2 diabetes mellitus (DM2).

Study design: Fifty-five obese hypogonadal diabetic males on oral hypoglycemic treatment were enrolled into this one-year, double-blind, randomized, placebo-controlled clinical study. Group T (n?=?28) was treated with testosterone undecanoate (1000?mg i.m. every 10?weeks) while group P (n?=?27) received placebo.

Methods: Anthropometrical and vascular measurements – flow-mediated dilatation (FMD) and intima media thickness (IMT) – biochemical and hormonal blood sample analyses were performed at the start of the study and after one year. Derived parameters (BMI, HOMA-IR, calculated free testosterone (cFT) and bioavailable testosterone (BT)) were calculated.

Results: TRT resulted in reduction of HOMA-IR by 4.64?±?4.25 (p?p?p?=?.005).

Conclusion: TRT normalized serum testosterone levels, improved glycemic control and endothelial function while exerting no ill effects on the study population.  相似文献   
2.
Occupational health management and science increasingly focus on the issue of health-promoting leadership. Meanwhile a lot of leadership behaviors have been identified that affect the health of employees. To measure them requires high costs. Therefore, the aim of this study is to identify core-factors of salutogenic leadership and to operationalize them for an efficient diagnosis. As an integrative work-related indicator of employees’ health sense of work coherence (Work-SoC) was chosen. In a deductive and inductive process the TIMP-inventory has been developed that enables the economic assessment of three leadership dimensions: Trust, Incident Management and Pressure. These factors explain with less items more variance of the Work-SoC construct than established general and health-related leadership scales of transformational leadership, consideration, social support, demanding leadership as well as positive and negative health behavior. That is why the TIMP-factors can be recognized as core-factors of health-promoting leadership.  相似文献   
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Impact mitigation practices are currently one of the hottest topics in conservation and regarded as priorities worldwide. Forest bat populations are known to provide important ecosystem services such as pest control and bat boxes have become one of the most popular management options for counteracting the loss of roosts. However, bat boxes tend to be employed in non-native forests near highly humanized areas where human disturbance is higher. The aim of this study was to evaluate how the surrounding landscape composition affects bat box occupancy in urban non-native forests along the Mediterranean corridor in the Northeastern Iberian Peninsula. Two hundred wooden bat boxes were monitored in young non-native forests in the period 2004–2012. The influence of land cover on occupancy rate of bat boxes was analysed at the landscape level in a 5 km buffer around bat-box stations. In total, 1659 inspections were carried out, in which a 15 % occupancy rate was detected. Bat boxes hosted three different species (Pipistrellus pygmaeus, Pipistrellus kuhlii and Nyctalus leisleri). More than 70 % of the occupancy can be explained by habitat and spatial composition. The presence of urban areas around bat boxes tends to have a negative impact on bat occupation rates; by contrast, forest coverage has a positive effect, especially for the tree-dwelling bats. These patterns could be associated with the large number of available roosts in buildings, microhabitat or phylopatry. Thus, to increase success, we suggest that landscape composition should be considered when using bat boxes for conservation.  相似文献   
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Knowledge of trends in life expectancy is of major importance for policy planning. It is also a key indicator for assessing future development of life insurance products, substantiality of existing retirement schemes, and long-term care for the elderly. This article examines the feasibility of decomposing age-gender-specific accidental and natural mortality rates. We study this decomposition by using the Lee and Carter model. In particular, we fit the Poisson log-bilinear version of this model proposed by Wilmoth and Brouhns et al. to historical (1975-1998) Spanish mortality rates. In addition, by using the model introduced by Wilmoth and Valkonen we analyze mortality-gender differentials for accidental and natural rates. We present aggregated life expectancy forecasts compared with those constructed using nondecomposed mortality rates.  相似文献   
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We propose a new mechanism to achieve coordination through voting, for which we discuss a number of real‐life applications. Among them, the mechanism provides for a new theory for downsizing in organizations. A crisis may lead to a decrease in the willingness to cooperate in an organization, and therefore to a bad equilibrium. A consensual downsizing episode may signal credibly that survivors are willing to cooperate, and thus, it may be optimal and efficiency‐enhancing (for the individuals remaining in the organization), as the empirical evidence suggests. A variation of the same mechanism leads to “efficient” upsizing. (JEL: C70, D70, M50)  相似文献   
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The concept of location depth was introduced as a way to extend the univariate notion of ranking to a bivariate configuration of data points. It has been used successfully for robust estimation, hypothesis testing, and graphical display. The depth contours form a collection of nested polygons, and the center of the deepest contour is called the Tukey median. The only available implemented algorithms for the depth contours and the Tukey median are slow, which limits their usefulness. In this paper we describe an optimal algorithm which computes all bivariate depth contours in O(n 2) time and space, using topological sweep of the dual arrangement of lines. Once these contours are known, the location depth of any point can be computed in O(log2 n) time with no additional preprocessing or in O(log n) time after O(n 2) preprocessing. We provide fast implementations of these algorithms to allow their use in everyday statistical practice.  相似文献   
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Empirical studies such as Goyal et al. (J Polit Econ 114(2):403–412, 2006) or Newman (Proc Natl Acad Sci USA 101(Suppl. 1):5200–5205, 2004) show that scientific collaboration networks present a highly unequal and hierarchical distribution of links. This implies that some researchers can be much more active and productive than others and, consequently, they can enjoy a much better scientific reputation. One may think that big intrinsical differences among researchers can constitute the main driving force behind these inequalities. Nevertheless, this model shows that, under specific circumstances, very similar individuals may self-organize themselves forming unequal and hierarchical structures.  相似文献   
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We model an organization as a game in which all agents share a common decision problem and some level of coordination is necessary between individual actions. Agents have individual private information concerning the task they have to perform, and they share this private information through pairwise channels of communication. We analyze how this communication pattern, modeled by means of a network structure, affects individual behavior and aggregate welfare. In the unique equilibrium of this Bayesian game, each agent's optimal action depends on a properly defined knowledge index that measures how the aggregation of information helps him to infer higher‐order beliefs about other's information after communication. Adding communication channels is not always beneficial for the organization because it can lead to mis‐coordination. We single out the geometry of interagent communication links that the manager could implement in order to improve the organization's performance.  相似文献   
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