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  1. Acute physiology, age, and chronic health evaluation (APACHE) III score is an alternative efficient predictor of mortality in burn patients.

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    Tanaka, Yohei; Shimizu, Mikio; Hirabayashi, Hidemitsu

    2007-05-01

    The present study was performed to evaluate the prognostic value of the acute physiology, age, chronic health evaluation (APACHE) III score in burn patients. We hypothesised that APACHE III score efficiently predicts mortality of burn patients as it reflects the physiological changes in the acute phase and the severity of the underlying illness. Data such as age, gender, inhalation injury, total burn surface area (TBSA), burn index (BI), prognostic burn index (PBI), APACHE III score and outcome of 105 hospitalised patients were analysed retrospectively. TBSA, BI, PBI, and APACHE III score in the mortality group were significantly higher than those of surviving group. The mean scores of surviving versus mortality groups were as follows: TBSA, 19.2+/-17.8% versus 69.1+/-28.4%, pAPACHE III score, 28.4+/-22.2% versus 71.3+/-32.1%, pAPACHE III score showed marked associations between higher scores and higher mortality. APACHE III score showed a significant correlation with PBI (pAPACHE III score could be used as an alternative efficient predictor of mortality in burn patients.

  2. A simple tool for mortality prediction in burns patients: APACHE III score and FTSA.

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    Moore, E C; Pilcher, D V; Bailey, M J; Cleland, H; McNamee, J

    2010-11-01

    Prediction of outcome for patients with major thermal injury is important to inform clinical decision making, alleviate individual suffering and improve hospital resource allocation. Age and burn size are widely accepted as the two largest contributors of mortality amongst burns patients. The APACHE (Acute Physiology and Chronic Health Evaluation) III-j score, which incorporates patient age, is also useful for mortality prediction, of intensive care populations. Validation for the burns specific cohort is unclear. A retrospective cohort study was performed on patients admitted to the Intensive Care Unit (ICU) via the Victorian Adult Burns Service (VABS), to compare observed mortality with burns specific markers of illness severity and APACHE III-j score. Our primary aim was to develop a mortality prediction tool for the burns population. Between January 1, 2002 and December 31, 2008, 228 patients were admitted to the ICU at The Alfred with acute burns. The mean age was 45.6 years and 81% (n=184) were male. Patients had severe injuries: the average percent TBSA (total body surface area) was 28% (IQR 10-40) and percent FTSA (full thickness surface area) was 18% (IQR 10-25). 86% (n=197) had airway involvement. Overall mortality in the 7-year period was 12% (n=27). Non-survivors were older, had larger and deeper burns, a higher incidence of deliberate self-harm, higher APACHE III-j scores and spent less time in hospital (but similar time in ICU), compared with survivors. Independent risk factors for death were percent FTSA (OR 1.03, 95% CI 1.01-1.05, p=0.01) and APACHE III-j score (OR 1.04, 95% CI 1.02-1.07, pAPACHE III-j score and percent FTSA. Prospective validation of our model on different burn populations is necessary.

  3. A comparison of Child-Pugh, APACHE II and APACHE III scoring systems in predicting hospital mortality of patients with liver cirrhosis

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    Romanos John

    2003-05-01

    Full Text Available Abstract Background The aim of this study was to assess the prognostic accuracy of Child-Pugh and APACHE II and III scoring systems in predicting short-term, hospital mortality of patients with liver cirrhosis. Methods 200 admissions of 147 cirrhotic patients (44% viral-associated liver cirrhosis, 33% alcoholic, 18.5% cryptogenic, 4.5% both viral and alcoholic were studied prospectively. Clinical and laboratory data conforming to the Child-Pugh, APACHE II and III scores were recorded on day 1 for all patients. Discrimination was evaluated using receiver operating characteristic (ROC curves and area under a ROC curve (AUC. Calibration was estimated using the Hosmer-Lemeshow goodness-of-fit test. Results Overall mortality was 11.5%. The mean Child-Pugh, APACHE II and III scores for survivors were found to be significantly lower than those of nonsurvivors. Discrimination was excellent for Child-Pugh (ROC AUC: 0.859 and APACHE III (ROC AUC: 0.816 scores, and acceptable for APACHE II score (ROC AUC: 0.759. Although the Hosmer-Lemeshow statistic revealed adequate goodness-of-fit for Child-Pugh score (P = 0.192, this was not the case for APACHE II and III scores (P = 0.004 and 0.003 respectively Conclusion Our results indicate that, of the three models, Child-Pugh score had the least statistically significant discrepancy between predicted and observed mortality across the strata of increasing predicting mortality. This supports the hypothesis that APACHE scores do not work accurately outside ICU settings.

  4. CT-guided percutaneous drainage of intra-abdominal abscesses: APACHE III score stratification of 1-year results

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    Betsch, Angelika; Belka, Claus [Department of Radiation Oncology, Eberhard Karls University, Hoppe-Seyler-Strasse 3, 72076 Tuebingen (Germany); Wiskirchen, Jakub; Truebenbach, Jochen; Claussen, Claus D.; Duda, Stephan H. [Department of Diagnostic Radiology, Eberhard Karls University, Hoppe-Seyler-Strasse 3, 72076 Tuebingen (Germany); Manncke, Klaus H. [Department of General Surgery, Eberhard Karls University, Hoppe-Seyler-Strasse 3, 72076 Tuebingen (Germany)

    2002-12-01

    Our objective was to evaluate the clinical success rates of percutaneously drained intra-abdominal abscesses using a risk stratification score for severely ill patients (APACHE III; Acute Physiology, Age, Chronic Health Evaluation). In 75 patients CT-guided percutaneous abscess drainage was performed to treat intra-abdominal abscesses. The clinical success rate based on a 1-year follow-up was correlated with abscess etiology, size, and structure, as well as with the initial APACHE III score. Clinical success, i.e., the complete removal of the abscess without surgical treatment, was observed in 62 of 75 patients (83%). Abscess size (<200 cm{sup 3}) and abscesses with a simple structure correlated with higher clinical success rates. Patients presenting with APACHE III scores below 30 were treated by percutaneous abscess drainages (PAD) alone significantly more often than patients presenting with higher APACHE scores. The percutaneous drainage of intra-abdominal abscesses shows good long-term results as long as abscesses are singular, small (<200 cm{sup 3}), and located in well accessible regions in combination with low APACHE scores (<30). (orig.)

  5. Earlier application of percutaneous cardiopulmonary support rescues patients from severe cardiopulmonary failure using the APACHE III scoring system.

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    Song, Suk-Won; Yang, Hong-Suk; Lee, Sak; Youn, Young-Nam; Yoo, Kyung-Jong

    2009-12-01

    Percutaneous cardiopulmonary support (PCPS) is a widely accepted treatment for severe cardiopulmonary failure. This system, which uses a percutaneous approach and autopriming devices, can be rapidly applied in emergency situations. We sought to identify the risk factors that could help predict in-hospital mortality, and to assess its outcomes in survivors. During a 2-yr period, 50 patients underwent PCPS for the treatment of severe cardiopulmonary failure, and of those, 22 (44%) were classified as survivors and 28 (56%) as non-survivors. We compared the 2 groups for risk factors of in-hospital mortality and to establish proper PCPS timing. Twenty patients underwent PCPS for acute myocardial infarction, 20 for severe cardiopulmonary failure after cardiac surgery, 7 for acute respiratory distress syndrome, and 3 for acute myocarditis. Multivariate analysis showed that an acute physiology, age, and chronic health evaluation (APACHE) III score >or=50 prior to PCPS was the only significant predictor of in-hospital mortality (P=0.001). Overall 18-month survival was 42.2%. Cox analysis showed patients with APACHE III scores >or=50 had a poor prognosis (P=0.001). Earlier application of PCPS, and other preemptive strategies designed to optimize high-risk patients, may improve patient outcomes. Identifying patients with high APACHE scores at the beginning of PCPS may predict in-hospital mortality. Survivors, particularly those with higher APACHE scores, may require more frequent follow-up to improve overall survival.

  6. The value of procalcitonin and the SAPS II and APACHE III scores in the differentiation of infectious and non-infectious fever in the ICU: a prospective, cohort study.

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    Jeon, Eun Ju; Jung, Jae Woo; Choi, Jae Chol; Shin, Jong Wook; Park, In Won; Choi, Byoung Whui; Park, Ae Ja; Kim, Jae Yeol

    2010-11-01

    Early and accurate differentiation between infectious and non-infectious fever is vitally important in the intensive care unit (ICU). In the present study, patients admitted to the medical ICU were screened daily from August 2008 to February 2009. Within 24 hr after the development of fever (>38.3℃), serum was collected for the measurement of the procalcitonin (PCT) and high mobility group B 1 levels. Simplified Acute Physiology Score (SAPS) II and Acute Physiology And Chronic Health Evaluation (APACHE) III scores were also analyzed. Sixty-three patients developed fever among 448 consecutive patients (14.1%). Fever was caused by either infectious (84.1%) or non-infectious processes (15.9%). Patients with fever due to infectious causes showed higher values of serum PCT (7.8±10.2 vs 0.5±0.2 ng/mL, P=0.026), SAPS II (12.0±3.8 vs 7.6±2.7, P=0.006), and APACHE III (48±20 vs 28.7±13.3, P=0.039) than those with non-infectious fever. In receiver operating characteristic curve analysis, the area under the curve was 0.726 (95% CI; 0.587-0.865) for PCT, 0.759 (95% CI; 0.597-0.922) for SAPS II, and 0.715 (95% CI; 0.550-0.880) for APACHE III. Serum PCT, SAPS II, and APACHE III are useful in the differentiation between infectious and non-infectious fever in the ICU.

  7. Predicting outcomes in organophosphate poisoning based on APACHE II and modified APACHE II scores.

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    Eizadi-Mood, N; Saghaei, M; Jabalameli, M

    2007-07-01

    The aim of this study was to evaluate the scores of the Acute Physiology and Chronic Health Evaluation (APACHE) II and a modified APACHE II system (MAS), without parameters of biochemical tests; and to find prognostic value of individual elements of the APACHE II and MAS in predicting outcomes in organophosphate (OP) poisoning. Data were collected from 131 patients. The median (25th-75th percentiles) of APACHE II score for survivors without intubation were found to be lower than those of non survivors or survivors with intubation and ventilation, [4 (1-7); versus 17.5 (7.8-29), and 13.5 (7.8-16.3)]. Logistic regression analysis identified white blood cell (WBC), potassium, Glasgow coma scale (GCS), age and sodium in APACHE II; GCS and mean arterial pressure in MAS system as prognostically valuable. There was no statistically significance difference between APACHE II and MAS scores in terms of area under Receiver Operating Characteristic Curve [(0.902, 95% confidence interval: (0.837-0.947) for APACHE II), and (0.892, 95% confidence interval: (0.826-0.940) for MAS); P=0.74) to predict need for intubation. It is concluded usage of MAS facilitates the prognostication of the OP poisoned patients due to simplicity, less time-consuming and effectiveness in an emergency situation.

  8. Prognostic scoring systems for mortality in intensive care units--the APACHE model.

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    Niewiński, Grzegorz; Starczewska, Małgorzata; Kański, Andrzej

    2014-01-01

    The APACHE (Acute Physiology and Chronic Health Evaluation) scoring system is time consuming. The mean time for introducing a patient's data to APACHE IV is 37.3 min. Nevertheless, statisticians have known for years that the higher the number of variables the mathematical model describes, the more accurate the model. Because of the necessity of gathering data over a 24-hour period and of determining one cause for ICU admission, the system is troublesome and prone to mistakes. The evolution of the APACHE scoring system is an example of unfulfilled hopes for accurately estimating the risk of death for patients admitted to the ICU; satisfactory prognostic effects resulting from the use of APACHE II and III have been recently studied in patients undergoing liver transplantations. Because no increase in the predictive properties of successive versions has been observed, the search for other solutions continues. The APACHE IV scoring system is helpful; however, its use without prepared spreadsheets is almost impractical. Therefore, although many years have passed since its original publication, APACHE II or its extension APACHE III is currently used in clinical practice.

  9. Performance of APACHE III over time in Australia and New Zealand: a retrospective cohort study.

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    Paul, E; Bailey, M; Van Lint, A; Pilcher, V

    2012-11-01

    The Acute Physiology and Chronic Health Evaluation (APACHE) III-j model has been used for benchmarking intensive care unit (ICU) outcomes in Australia and New Zealand for over a decade. This study assessed performance of the APACHE III-j model in adult patients admitted to Australasian ICUs during a ten-year period. Data were extracted from the Australian and New Zealand Intensive Care Society Adult Patient Database. Performance of APACHE III-j at different time points and within different age strata was evaluated by dividing the whole cohort into five 'two-year' groups. Calibration and discrimination were assessed by the Brier score, Hosmer-Lemeshow C and H statistics, Standardised Mortality Ratio (SMR), Cox calibration regression, calibration curves and area under the receiver operating characteristic curve (AUROC). Model performance within diagnostic categories was evaluated. Between 1 January 2000 and 31 December 2009, 558,585 ICU admissions which met inclusion criteria were included in the analysis. The mean (standard deviation) age was 60.8 (18.4) years and 58.3% were male. Overall observed mortality was 12.6%. The mean (standard deviation) APACHE III-j predicted mortality was 14.5% (21.8). Although discrimination (as measured by AUROC) was preserved over time, all other markers of model performance showed deterioration. There was a significant decrease in SMR in eight of ten most common diagnoses examined. This study demonstrates that performance of APACHE III-j model has deteriorated in Australasian hospitals and there is now a clear need for an updated modelling approach to improve mortality prediction, performance monitoring and quality of research undertaken in Australian and New Zealand ICUs.

  10. Evaluation of nosocomial infection risk using APACHE II scores in the neurological intensive care unit.

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    Li, Hai-Ying; Li, Shu-Juan; Yang, Nan; Hu, Wen-Li

    2014-08-01

    To evaluate the feasibility and accuracy of using the Acute Physiology, Age and Chronic Health Evaluation II (APACHE II) scoring system for predicting the risk of nosocomial infection in the neurological intensive care unit (NICU), 216 patients transferred to NICU within 24hours of admission were retrospectively evaluated. Based on admission APACHE II scores, they were classified into three groups, with higher APACHE II scores representing higher infectious risk. The device utilization ratios and device-associated infection ratios of NICU patients were analyzed and compared with published reports on patient outcome. Statistical analysis of nosocomial infection ratios showed obvious differences between the high-risk, middle-risk and low-risk groups (pAPACHE II model in predicting the risk of nosocomial infection was 0.81, which proved to be reliable and consistent with the expectation. In addition, we found statistical differences in the duration of hospital stay (patient-days) and device utilization (device-days) between different risk groups (pAPACHE II scoring system was validated in predicting the risk of nosocomial infection, duration of patient-days and device-days, and providing accurate assessment of patients' condition, so that appropriate prevention strategies can be implemented based on admission APACHE II scores.

  11. Predicting hospital mortality using APACHE II scores in neurocritically ill patients: a prospective study.

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    Su, Ying-Ying; Li, Xia; Li, Si-jie; Luo, Rong; Ding, Jian-ping; Wang, Lin; Cao, Gui-hua; Wang, Dong-yu; Gao, Jin-xia

    2009-09-01

    Four versions of Acute Physiology and Chronic Health Evaluation are limited in predicting hospital mortality for neurocritically ill patients. This prospective study aimed to develop and assess the accuracy of a modified APACHE II model in predicting mortality in neurologic intensive care unit (N-ICU). A total of 653 patients entered the study. APACHE II scores on admission, and worst 24-, 48-, and 72-h scores were obtained. Neurologic diagnoses on admission were classified into five categories: cerebral infarction, intracranial hemorrhage, neurologic infection, neuromuscular disease, and other neurologic diseases. We developed a modified APACHE II model based on the variables of the 72-h APACHE II score and disease category using a multivariate logistic regression procedure to estimate probability of death. We assessed the calibration and discrimination of the modified APACHE II model using the Hosmer-Lemeshow goodness-of-fit chi-squared statistic and area under the receiver operating characteristic curve (AU-ROC). The modified APACHE II model had good discrimination (AU-ROC = 0.88) and calibration (Hosmer-Lemeshow statistic: chi (2) = 3.707, P = 0.834). The discrimination of the 72-h APACHE II score for cerebral infarction, intracerebral hemorrhage, and neurologic infection was satisfactory, with AU-ROC of 0.858, 0.863, and 1.000, respectively, but it was poor in discriminating for the categories of other neurologic diseases and neuromuscular disease. The results showed that our modified APACHE II model can accurately predict hospital mortality for patients in N-ICU. It is more applicable to clinical practice than the previous model because of its simplicity and ease of use.

  12. Causes of death in intensive care patients with a low APACHE II score

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    Berkel, A. van; Lieshout, J.v.; Hellegering, J.; Hoeven, J.G. van der; Pickkers, P.

    2012-01-01

    Background: Little is known about the actual causes of death of patients with a low APACHE II score, but iatrogenic reasons may play a role. The aim of this study was to evaluate the demographics, course of disease, and causes of death in this specific group of ICU patients. Methods: For this retros

  13. Correlation of APACHE II and SOFA scores with length of stay in various surgical intensive care units.

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    Milić, Morena; Goranović, Tatjana; Holjevac, Jadranka Katancić

    2009-09-01

    The aim of this study was to evaluate the usefulness of using Acute Physiology and Chronic Health Evaluation (APACHE) II score and Sequential Organ Failure Assessment (SOFA) score as the predictors of length of stay (LOS) in various surgical intensive care units (ICUs) and to test the hypothesis that the significance of scoring for predicting LOS is greater in specialized surgical ICUs. We scored patients in a non-specialized general surgical ICU (n = 328) and in a specialized cardiosurgical ICU (n = 158) consecutively on admission (APACHE II-1st day; SOFA-1st day) and on third day of stay (APACHE II-3rd day; SOFA-3rd day) in a 4-month period. LOS and APACHE II/SOFA scores were significantly correlated both on admission and on third day of stay in the general surgical ICU (APACHE II-1st day r = 0.289; SOFA-1st day r = 0.306; APACHE II-3rd day r = 0.728; SOFA-3rd day r = 0.725). LOS and APACHE II on admission were not significantly correlated in the cardiosurgical ICU (APACHE II-1st day r = 0.092), while SOFA on admission and APACHE II and SOFA on third day were significantly correlated (SOFA-1st day r = 0.258; APACHE II-3rd day r = 0.716; SOFA-3rd day r = 0.719). Usefulness of scoring for predicting LOS in ICU varied between different surgical ICUs. Contrary to our hypothesis, scoring had greater value for predicting LOS in the non-specialized general surgical ICU. APACHE II score on admission had no value for predicting LOS in the cardiosurgical ICU.

  14. APACHE IV is superior to MELD scoring system in predicting prognosis in patients after orthotopic liver transplantation.

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    Hu, Yueyun; Zhang, Xianling; Liu, Yuan; Yan, Jun; Li, Tiehua; Hu, Ailing

    2013-01-01

    This study aims to compare the efficiency of APACHE IV with that of MELD scoring system for prediction of the risk of mortality risk after orthotopic liver transplantation (OLT). A retrospective cohort study was performed based on a total of 195 patients admitted to the ICU after orthotopic liver transplantation (OLT) between February 2006 and July 2009 in Guangzhou, China. APACHE IV and MELD scoring systems were used to predict the postoperative mortality after OLT. The area under the receiver operating characteristic curve (AUC) and the Hosmer-Lemeshow C statistic were used to assess the discrimination and calibration of APACHE IV and MELD, respectively. Twenty-seven patients died during hospitalization with a mortality rate of 13.8%. The mean scores of APACHE IV and MELD were 42.32 ± 21.95 and 18.09 ± 10.55, respectively, and APACHE IV showed better discrimination than MELD; the areas under the receiver operating characteristic curve for APACHE IV and MELD were 0.937 and 0.694 (P APACHE IV was relatively high. Both models were well-calibrated (The Hosmer-Lemeshow C statistics were 1.568 and 6.818 for APACHE IV and MELD, resp.; P > 0.05 for both). The respective Youden indexes of APACHE IV, MELD, and combination of APACHE IV with MELD were 0.763, 0.430, and 0.545. The prognostic value of APACHE IV is high but still underestimates the overall hospital mortality, while the prognostic value of MELD is poor. The function of the APACHE IV is, thus, better than that of the MELD.

  15. Performance assessment of the SOFA, APACHE II scoring system, and SAPS II in intensive care unit organophosphate poisoned patients.

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    Kim, Yong Hwan; Yeo, Jung Hoon; Kang, Mun Ju; Lee, Jun Ho; Cho, Kwang Won; Hwang, SeongYoun; Hong, Chong Kun; Lee, Young Hwan; Kim, Yang Weon

    2013-12-01

    This study assessed the ability of the Sequential Organ Failure Assessment (SOFA) and Acute Physiology, Chronic Health Evaluation (APACHE) II scoring systems, as well as the Simplified Acute Physiology Score (SAPS) II method to predict group mortality in intensive care unit (ICU) patients who were poisoned with organophosphate. The medical records of 149 organophosphate poisoned patients admitted to the ICU from September 2006 to December 2012 were retrospectively examined. The SOFA, APACHE II, and SAPS II were calculated based on initial laboratory data in the Emergency Department, and during the first 24 hr of ICU admission. The probability of death was calculated for each patient based on the SOFA score, APACHE II score, and SAPS II equations. The ability to predict group mortality by the SOFA score, APACHE II score, and SAPS II method was assessed using two by two decision matrices and receiver operating characteristic (ROC) curve analysis. A total of 131 patients (mean age, 61 yr) were enrolled. The sensitivities, specificities, and accuracies were 86.2%, 82.4%, and 83.2% for the SOFA score, respectively; 65.5%, 68.6%, and 67.9% for the APACHE II scoring system, respectively; and 86.2%, 77.5%, and 79.4% for the SAPS II, respectively. The areas under the curve in the ROC curve analysis for the SOFA score, APACHE II scoring system, and SAPS II were 0.896, 0.716, and 0.852, respectively. In conclusion, the SOFA, APACHE II, and SAPS II have different capability to discriminate and estimate early in-hospital mortality of organophosphate poisoned patients. The SOFA score is more useful in predicting mortality, and easier and simpler than the APACHE II and SAPS II.

  16. Predictive value of SAPS II and APACHE II scoring systems for patient outcome in a medical intensive care unit

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    Amina Godinjak

    2016-11-01

    Full Text Available Objective. The aim is to determine SAPS II and APACHE II scores in medical intensive care unit (MICU patients, to compare them for prediction of patient outcome, and to compare with actual hospital mortality rates for different subgroups of patients. Methods. One hundred and seventy-four patients were included in this analysis over a oneyear period in the MICU, Clinical Center, University of Sarajevo. The following patient data were obtained: demographics, admission diagnosis, SAPS II, APACHE II scores and final outcome. Results. Out of 174 patients, 70 patients (40.2% died. Mean SAPS II and APACHE II scores in all patients were 48.4±17.0 and 21.6±10.3 respectively, and they were significantly different between survivors and non-survivors. SAPS II >50.5 and APACHE II >27.5 can predict the risk of mortality in these patients. There was no statistically significant difference in the clinical values of SAPS II vs APACHE II (p=0.501. A statistically significant positive correlation was established between the values of SAPS II and APACHE II (r=0.708; p=0.001. Patients with an admission diagnosis of sepsis/septic shock had the highest values of both SAPS II and APACHE II scores, and also the highest hospital mortality rate of 55.1%. Conclusion. Both APACHE II and SAPS II had an excellent ability to discriminate between survivors and non-survivors. There was no significant difference in the clinical values of SAPS II and APACHE II. A positive correlation was established between them. Sepsis/septic shock patients had the highest predicted and observed hospital mortality rate.

  17. Procalcitonin and BISAP score versus c-reactive protein and APACHE II score in early assessment of severity and outcome of acute pancreatitis

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    Bezmarević Mihailo

    2012-01-01

    Full Text Available Background/Aim. Early assessment of severity and continuous monitoring of patients are the key factors for adequate treatment of acute pancreatitis (AP. The aim of this study was to determine the value of procalcitonin (PCT and Bedside Index for Severity in Acute Pancreatitis (BISAP scoring system as prognostic markers in early stages of AP with comparison to other established indicators such as Creactive protein (CRP and Acute Physiology and Chronic Health Evaluation (APACHE II score. Methods. This prospective study included 51 patients (29 with severe AP. In the first 24 h of admission in all patients the APACHE II score and BISAP score, CRP and PCT serum concentrations were determined. The values of PCT serum concentrations and BISAP score were compared with values of CRP serum concentrations and APACHE II score, in relation to the severity and outcome of the disease. Results. Values of PCT, CRP, BISAP score and APACHE II score, measured at 24 h of admission, were significantly elevated in patients with severe form of the disease. In predicting severity of AP at 24 h of admission, sensitivity and specificity of the BISAP score were 74% and 59%, respectively, APACHE II score 89% and 69%, respectively, CRP 75% and 86%, respectively, and PCT 86% and 63%, respectively. It was found that PCT is highly significant predictor of the disease outcome (p < 0,001. Conclusion. In early assessment of AP severity, PCT has better predictive value than CRP, and similar to the APACHE II score. APACHE II score is a stronger predictor of the disease severity than BISAP score. PCT is a good predictor of AP outcome.

  18. APACHE II score, rather than cardiac function, may predict poor prognosis in patients with stress-induced cardiomyopathy.

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    Joe, Byung-Hyun; Jo, Uk; Kim, Hyun-Soo; Park, Chang-Bum; Hwang, Hui-Jeong; Sohn, Il-Suk; Jin, Eun-Sun; Cho, Jin-Man; Park, Jeong-Hwan; Kim, Chong-Jin

    2012-01-01

    While the disease course of stress-induced cardiomyopathy (SIC) is usually benign, it can be fatal. The prognostic factors to predict poorer outcome are not well established, however. We analyzed the Acute Physiology And Chronic Health Evaluation (APACHE) II score to assess its value for predicting poor prognosis in patients with SIC. Thirty-seven consecutive patients with SIC were followed prospectively during their hospitalization. Clinical factors, including APACHE II score, coronary angiogram, echocardiography and cardiac enzymes at presentation were analyzed. Of the 37 patients, 27 patients (73%) were women. The mean age was 66.1 ± 15.6 yr, and the most common presentation was chest pain (38%). Initial echocardiographic left ventricular ejection fraction (EF) was 42.5% ± 9.3%, and the wall motion score index (WMSI) was 1.9 ± 0.3. Six patients (16%) expired during the follow-up period of hospitalization. Based on the analysis of characteristics and clinical factors, the only predictable variable in prognosis was APACHE II score. The patients with APACHE II score greater than 20 had tendency to expire than the others (P = 0.001). Based on present study, APACHE II score more than 20, rather than cardiac function, is associated with mortality in patients with SIC.

  19. The value of APACHEscoring system in assessment of seyerity and prognosis of patients with organophosphate insecticide poisoning%APACHE Ⅱ评分对有机磷中毒患者病情评估的意义

    Institute of Scientific and Technical Information of China (English)

    胡念丹; 黄敏; 李文强

    2011-01-01

    Objective:To evaluate the severity and the prognosis of the organophosphate insecticide poisoning by using APACHEscoring system. Method: Fifty-one patients with organophosphate insecticide poisoning admitted in our hospital were studied retrospectively. Data associated with APACHEscoring system were recorded and analyzed statistically.Result:The APACHEscore of the 51 patients enrolled in our study were ranged from 3 to 28. The APACHEscore was (21.43 ± 5.41)in the 7 deaths and (8. 75 ± 3.29 )in the 44 survivors. There was significant differences between the two groups(P<0.01). Conclusion:APACHEscoring system may have some value in predict the prognosis of organophosphate insecticide poisoning.%目的:探讨应用急性生理和慢性健康状况(APACHE Ⅱ)评分评估有机磷农药中毒患者的病情严重程度及预后的意义.方法:回顾性分析我院有机磷农药中毒患者51例,记录与APACHE Ⅱ评分系统相关的数据,并对患者的APACHE Ⅱ评分进行统计学分析.结果:51例患者APACHE Ⅱ评分3~28分.7例死亡患者APACHE Ⅱ评分(21.43±5.41)分,44例存活患者APACHE Ⅱ评分(8.75±3.29)分,两组之间差异有统计学意义(P<0.01).结论:APACHE Ⅱ评分对中毒的预后预测可能有一定的作用.

  20. SAPS 3, APACHE IV or GRACE: which score to choose for acute coronary syndrome patients in intensive care units?

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    Nassar Junior, Antonio Paulo; Mocelin, Amilcar Oshiro; Andrade, Fabio Moreira; Brauer, Leonardo; Giannini, Fabio Poianas; Nunes, Andre Luiz Baptiston; Dias, Carlos Augusto

    2013-01-01

    CONTEXT AND OBJECTIVE Acute coronary syndromes (ACS) are a common cause of intensive care unit (ICU) admission. Specific prognostic scores have been developed and validated for ACS patients and, among them, GRACE (Global Registry of Acute Coronary Events) has had the best performance. However, intensive care clinicians generally use prognostic scores developed from heterogeneous populations of critically ill patients, such as APACHE IV (Acute Physiologic and Chronic Health Evaluation IV) and SAPS 3 (Simplified Acute Physiology Score 3). The aim of this study was to evaluate and compare the performance of these three scores in a non-selected population of ACS cases. DESIGN AND SETTING Retrospective observational study to evaluate three prognostic scores in a population of ACS patients admitted to three general ICUs in private hospitals in São Paulo. METHODS All patients with ACS admitted from July 2008 to December 2009 were considered for inclusion in the study. Score calibration and discrimination were evaluated in relation to predicting hospital mortality. RESULTS A total of 1065 patients were included. The calibration was appropriate for APACHE IV and GRACE but not for SAPS 3. The discrimination was very good for all scores (area under curve of 0.862 for GRACE, 0.860 for APACHE IV and 0.804 for SAPS 3). CONCLUSIONS In this population of ACS patients admitted to ICUs, GRACE and APACHE IV were adequately calibrated, but SAPS 3 was not. All three scores had very good discrimination. GRACE and APACHE IV may be used for predicting mortality risk among ACS patients.

  1. SAPS 3, APACHE IV or GRACE: which score to choose for acute coronary syndrome patients in intensive care units?

    Directory of Open Access Journals (Sweden)

    Antonio Paulo Nassar Junior

    Full Text Available CONTEXT AND OBJECTIVE Acute coronary syndromes (ACS are a common cause of intensive care unit (ICU admission. Specific prognostic scores have been developed and validated for ACS patients and, among them, GRACE (Global Registry of Acute Coronary Events has had the best performance. However, intensive care clinicians generally use prognostic scores developed from heterogeneous populations of critically ill patients, such as APACHE IV (Acute Physiologic and Chronic Health Evaluation IV and SAPS 3 (Simplified Acute Physiology Score 3. The aim of this study was to evaluate and compare the performance of these three scores in a non-selected population of ACS cases. DESIGN AND SETTING Retrospective observational study to evaluate three prognostic scores in a population of ACS patients admitted to three general ICUs in private hospitals in São Paulo. METHODS All patients with ACS admitted from July 2008 to December 2009 were considered for inclusion in the study. Score calibration and discrimination were evaluated in relation to predicting hospital mortality. RESULTS A total of 1065 patients were included. The calibration was appropriate for APACHE IV and GRACE but not for SAPS 3. The discrimination was very good for all scores (area under curve of 0.862 for GRACE, 0.860 for APACHE IV and 0.804 for SAPS 3. CONCLUSIONS In this population of ACS patients admitted to ICUs, GRACE and APACHE IV were adequately calibrated, but SAPS 3 was not. All three scores had very good discrimination. GRACE and APACHE IV may be used for predicting mortality risk among ACS patients.

  2. QT dispersion and prognostication of the outcome in acute cardiotoxicities: A comparison with SAPS II and APACHE II scoring systems.

    Science.gov (United States)

    Hassanian-Moghaddam, Hossein; Amiri, Hassan; Zamani, Nasim; Rahimi, Mitra; Shadnia, Shahin; Taherkhani, Maryam

    2014-06-01

    We aimed to evaluate the efficacy of QT dispersion (QTD) in determining the outcome of the patients poisoned by cardiotoxic medications and toxins. Patients who referred to our emergency department (ED) due to acute toxicity with any cardiotoxic medication or toxin and were admitted to medical toxicology intensive care unit (MTICU) were enrolled into the study. A questionnaire containing the demographic characteristics, vital signs, laboratory tests, electrocardiographic (ECG) parameters of the first ECG taken on MTICU or ED admission, simplified acute physiology score (SAPS), and acute physiology and chronic health evaluation (APACHE) score was filled for every single patient. QTD was manually calculated. The patients were divided into two groups of survivors and non-survivors and compared. Although QTD was not significantly different between the survivors and non-survivors (P = 0.8), SAPS II and APACHE II score were so. SAPS and APACHE had the highest sensitivity and specificity in determining the patients' mortality, respectively. SAPS had the highest sensitivity, and QTD had the highest specificity in predicting the later development of the complications. SAPS II and APACHE II scoring systems are the best systems for prognostication of death in patients with acute cardiotoxic medication-induced poisonings. QTD can be successfully used for the prediction of complications.

  3. Predicting outcome after traumatic brain injury: development of prognostic scores based on the IMPACT and the APACHE II.

    Science.gov (United States)

    Raj, Rahul; Siironen, Jari; Kivisaari, Riku; Hernesniemi, Juha; Skrifvars, Markus B

    2014-10-15

    Prediction models are important tools for heterogeneity adjustment in clinical trials and for the evaluation of quality of delivered care to patients with traumatic brain injury (TBI). We sought to improve the predictive performance of the IMPACT (International Mission for Prognosis and Analysis of Clinical Trials) prognostic model by combining it with the APACHE II (Acute Physiology and Chronic Health Evaluation II) for 6-month outcome prediction in patients with TBI treated in the intensive care unit. A total of 890 patients with TBI admitted to a large urban level 1 trauma center in 2009-2012 comprised the study population. The IMPACT and the APACHE II scores were combined using binary logistic regression. A randomized, split-sample technique with secondary bootstrapping was used for model development and internal validation. Model performance was assessed by discrimination (by area under the curve [AUC]), calibration, precision, and net reclassification improvement (NRI). Overall 6-month mortality was 22% and unfavorable neurological outcome 47%. The predictive power of the new combined IMPACT-APACHE II models was significantly superior, compared to the original IMPACT models (AUC, 0.81-0.82 vs. 0.84-0.85; p0.05). However, NRI showed a significant improvement in risk stratification of patients with unfavorable outcome by the IMPACT-APACHE II models, compared to the original models (NRI, 5.4-23.2%; pAPACHE II with the IMPACT, improved 6-month outcome predictive performance is achieved. This may be applicable for heterogeneity adjustment in forthcoming TBI studies.

  4. APACHE-O评分系统对急性重症胰腺炎的预测价值%The predictive value of combination of APACHE- Ⅱ score and an obesity score (APACHE-O) for severe acute pancreatitis

    Institute of Scientific and Technical Information of China (English)

    王飞海; 金洲祥; 徐鲁白; 郑志强

    2007-01-01

    目的 探讨APACHE-O评分系统(APACHE-Ⅱ+肥胖指标评分)对急性重症胰腺炎的预测价值.方法 2004年1月1日至2006年1月1日间急性胰腺炎患者142例,根据体重指数(bodv mass index,BMI)分组,把BMI≥26 kg/m归为肥胖组,BMI<26 kg/m归为非肥胖组.比较两组患者病情严重程度及并发症等发生情况.分别计算入院24 h内APACHE-Ⅱ和APACHE-O评分在不同临界点对急性重症胰腺炎预测的敏感性、特异性、阳性预测值、阴性预测值和准确性,绘制APACHE-Ⅱ和APACHE-O评分受试者工作曲线(receive-operating curves,ROC).通过比较ROC的曲线下面积(area under the curve,AUC)来比较两评分系统的预测准确性.结果 肥胖组中急性重症胰腺炎患者比例显著高于非肥胖组(P<0.05),肥胖组中胰腺坏死、胰腺假性囊肿及肺功能衰竭发生率显著高于非肥胖组(P<0.05).取临界点为8时,APACHE-Ⅱ和APACHE-O评分对急性重症胰腺炎预测的敏感性、特异性、阳性预测值、阴性预测值和准确性分别为78.9%,85.4%,45.5%,96.3%,84.5%和78.9%,82.1%,40.5%,96.2%,81.7%.APACHE-Ⅱ和APACHE-O评分的ROC的AUC分别为0.864和0.870,提示APACHE-O评分对重症胰腺炎预测价值稍高于APACHE-Ⅱ评分.结论 肥胖型急性胰腺炎患者预后更差.与入院时A-PACHE-Ⅱ评分比较,APACHE-O评分对急性重症胰腺炎的预测价值略高于APACHE-Ⅱ,为理想的急性重症胰腺炎预测系统.

  5. Balthazar computed tomography severity index is superior to Ranson criteria and APACHEscoring system in predicting acute pancreatitis outcome

    Institute of Scientific and Technical Information of China (English)

    Ting-Kai Leung; Chi-Ming Lee; Shyr-Yi Lin; Hsin-Chi Chen; Hung-Jung Wang; Li-Kuo Shen; Ya-Yen Chen

    2005-01-01

    AIM: Acute pancreatitis (AP) is a process with variable involvement of regional tissues or organ systems.Multifactorial scales included the Ranson, Acute Physiology and Chronic Health Evaluation (APACHE Ⅱ) systems and Balthazar computed tomography severity index (CTSI).The purpose of this review study was to assess the accuracy of CTSI, Ranson score, and APACHEscore in course and outcome prediction of AP.METHODS: We reviewed 121 patients who underwent helical CT within 48 h after onset of symptoms of a first episode of AP between 1999 and 2003. Fourteen inappropriate subjects were excluded; we reviewed the 107 contrastenhanced CT images to calculate the CTSI. We also reviewed their Ranson and APACHEscore. In addition, complications,duration of hospitalization, mortality rate, and other pathology history also were our comparison parameters.RESULTS: We classified 85 patients (79%) as having mild AP (CTSI <5) and 22 patients (21%) as having severe AP (CTSI ≥5). In mild group, the mean APACHEscore and Ranson score was 8.6±1.9 and 2.4±1.2, and those of severe group was 10.2±2.1 and 3.1±0.8, respectively. The most common complication was pseudocyst and abscess and it presented in 21 (20%) patients and their CTSI was 5.9±1.4. A CTSI ≥5 significantly correlated with death,complication present, and prolonged length of stay.Patients with a CTSI ≥5 were 15 times to die than those CTSI <5, and the prolonged length of stay and complications present were 17 times and 8 times than that in CTSI <5,respectively.CONCLUSION: CTSI is a useful tool in assessing the severity and outcome of AP and the CTSI ≥5 is an index in our study. Although Ranson score and APACHEscore also are choices to be the predictors for complications,mortality and the length of stay of AP, the sensitivity of them are lower than CTSI.

  6. APACHE: an evaluation.

    Science.gov (United States)

    Wheeler, Megan M

    2009-01-01

    A cursory evaluation of the Acute Physiology and Chronic Health Evaluation, commonly known as the APACHE scoring system, validates its relevancy as the most widely used method for assessing severity and prognosis in intensive care unit patients. The APACHE system works and the evolution from APACHE I to APACHE IV reveal that each version has its positives and negatives. It would behoove critical care nurses to know differences and how each could be best utilized.

  7. Glasgow coma scale and APACHE-II scores affect the liver transplantation outcomes in patients with acute liver failure

    Institute of Scientific and Technical Information of China (English)

    Necdet Guler; Omer Unalp; Ayse Guler; Onur Yaprak; Murat Dayangac; Murat Sozbilen; Murat Akyildiz and Yaman Tokat

    2013-01-01

    BACKGROUND: The timing and selection of patients for liver transplantation in acute liver failure are great challenges. This study  aimed  to  investigate  the  effect  of  Glasgow  coma  scale (GCS) and APACHE-II scores on liver transplantation outcomes in patients with acute liver failure. METHOD: A total of 25 patients with acute liver failure were retrospectively  analyzed  according  to  age,  etiology,  time  to transplantation, coma scores, complications and mortality. RESULTS: Eighteen  patients  received  transplants  from  live donors and 7 had cadaveric whole liver transplants. The mean duration  of  follow-up  after  liver  transplantation  was  39.86± 40.23  months.  Seven  patients  died  within  the  perioperative period and the 1-, 3-, 5-year survival rates of the patients were 72%, 72% and 60%, respectively. The parameters evaluated for the perioperative deaths versus alive were as follows: the mean age of the patients was 33.71 vs 28 years, MELD score was 40 vs 32.66, GCS was 5.57 vs 10.16, APACHE-II score was 23 vs 18.11, serum sodium level was 138.57 vs 138.44 mmol/L, mean waiting time before the operation was 12 vs 5.16 days. Low GCS, high APACHE-II score and longer waiting time before the operation (P CONCLUSION: Lower GCS and higher APACHE-II scores are related to poor outcomes in patients with acute liver failure after liver transplantation.

  8. Evaluation of the Prognosis for Elderly Critical Patients in Emergency Department Using MEWS Score and APACHEScore%MEWS评分和APACHE Ⅱ评分对急诊老年危重症患者预后的评估

    Institute of Scientific and Technical Information of China (English)

    刘静波; 黄萍

    2013-01-01

    Objective To study the assessment value of Modified Early Warning Score( MEWS ) and Acute Physiology and Chronic Health Evaluation( APACHE Ⅱ ) score for the prognosis of critical elderly patients in emergency department. Methods 158 elderly patients from emergency ICL of Xuanwu Hospital of Capital Lniversity of Medical Sciences were collected. MEW S score and APACHEscore were calculated for them and the differences were compared between death group and survival group. The difference of the area under receiver operating characteristic curve( ALROCC ) were compared between MEWS score and APACHEscore. The death rate were analyzed in the different groups with MEW S score ≤3 ,4-6 ,7-9 ,and ≥ 10 respectively. The correlation analysis of MEW S score and APACHEscore was done. Results MEWS score and APACHEscore in death group were 8.06 ±2.71 and 24.60 ±4.20 respectively,those in survival group were 4. 80 ±2. 47 and 19. 06 ± 3. 93 respectively P 0. 05 ). With MEWS increasing, the fatality rose( P < 0. 01 ). MEWS score and APACHEscore were correlated ( r-0. 647 ,P-0.001 ). Conclusion MEWS score,as well as APACHEscore,is a convenient and fast scoring system,with which the disease condition and prognosis of critical elderly patients can be assessed.%目的 研究改良早期预警评分(MEWS)和急性生理与慢性健康状况评估(APACHE Ⅱ)评分对急诊老年危重症患者预后的评估价值.方法 收集首都医科大学宣武医院急诊监护室老年患者158例,入院后分别给予MEWS评分与APACHE Ⅱ评分,比较死亡组与存活组MEWS评分、APACHE Ⅱ评分的差别,分别比较MEWS评分与APACHE Ⅱ评分受试者工作特征曲线(ROC)下面积的区别及MEWS评分≤3分、4 ~6分,7 ~9分、≥10分患者病死率的区别,研究MEWS评分与APACHE Ⅱ评分的相关性.结果 死亡组MEWS评分和APACHE Ⅱ评分分别为(8.06±2.71)分和(24.60±4.20)分,存活组分别为(4.80±2.47)分和(19.06±3

  9. Efficacy of the APACHE II score at ICU discharge in predicting post-ICU mortality and ICU readmission in critically ill surgical patients.

    Science.gov (United States)

    Lee, H; Lim, C W; Hong, H P; Ju, J W; Jeon, Y T; Hwang, J W; Park, H P

    2015-03-01

    In this study, we evaluated the efficacy of the discharge Acute Physiology and Chronic Health Evaluation (APACHE) II score in predicting post-intensive care unit (ICU) mortality and ICU readmission during the same hospitalisation in a surgical ICU. Of 1190 patients who were admitted to the ICU and stayed >48 hours between October 2007 and March 2010, 23 (1.9%) died and 86 (7.2%) were readmitted after initial ICU discharge, with 26 (3.0%) admitted within 48 hours. The area under the receiver operating characteristics curve of the discharge and admission APACHE II scores in predicting in-hospital mortality was 0.631 (95% confidence interval [CI] 0.603 to 0.658) and 0.669 (95% CI 0.642 to 0.696), respectively (P=0.510). The area under the receiver operating characteristics curve of discharge and admission APACHE II scores for predicting all forms of readmission was 0.606 (95% CI 0.578 to 0.634) and 0.574 (95% CI 0.545 to 0.602), respectively (P=0.316). The area under the receiver operating characteristics curve of discharge APACHE II score in predicting early ICU readmissions was, however, higher than that of admission APACHE II score (0.688 [95% CI 0.660 to 0.714] versus 0.505 [95% CI 0.476 to 0.534], P=0.001). The discharge APACHE II score (odds ratio [OR] 1.1, 95% CI 1.01 to 1.22, P=0.024), unplanned ICU readmission (OR 20.0, 95% CI 7.6 to 53.1, P=0.001), eosinopenia at ICU discharge (OR 6.0, 95% CI 1.34 to 26.9, P=0.019), and hospital length-of-stay before ICU admission (OR 1.02, 95% CI 1.01 to 1.03, P=0.021) were significant independent factors in predicting post-ICU mortality. This study suggests that the discharge APACHE II score may be useful in predicting post-ICU mortality and is superior to the admission APACHE II score in predicting early ICU readmission in surgical ICU patients.

  10. Initial dosing regimen of vancomycin to achieve early therapeutic plasma concentration in critically ill patients with MRSA infection based on APACHE II score.

    Science.gov (United States)

    Imaura, Masaharu; Yokoyama, Haruko; Kohata, Yuji; Kanai, Riichiro; Kohyama, Tomoki; Idemitsu, Wataru; Maki, Yuichi; Igarashi, Takashi; Takahashi, Hiroyuki; Kanno, Hiroshi; Yamada, Yasuhiko

    2016-06-01

    It is essential to assure the efficacy of antimicrobials at the initial phase of therapy. However, increasing the volume of distribution (Vd) of hydrophilic antimicrobials in critically ill patients leads to reduced antimicrobial concentration in plasma and tissue, which may adversely affect the efficacy of that therapy. The aim of the present study was to establish a theoretical methodology for setting an appropriate level for initial vancomycin therapy in individual patients based on Acute Physiology and Chronic Health Evaluation (APACHE) II score. We obtained data from patients who received intravenous vancomycin for a suspected or definitively diagnosed Gram-positive bacterial infection within 72 h after admission to the intensive care unit. The Vd and elimination half-life (t 1/2) of vancomycin values were calculated using the Bayesian method, and we investigated the relationship between them and APACHE II score. There were significant correlations between APACHE II scores and Vd/actual body weight (ABW), as well as t 1/2 (r = 0.58, p < 0.05 and r = 0.74, p < 0.01, respectively). Our results suggested that the Vd and t 1/2 of vancomycin could be estimated using the following regression equations using APACHE II score.[Formula: see text] [Formula: see text]We found that APACHE II score was a useful index for predicting the Vd and t 1/2 of vancomycin, and used that to establish an initial vancomycin dosing regimen comprised of initial dose and administration interval for individual patients.

  11. Apache Kafka

    CERN Document Server

    Garg, Nishant

    2013-01-01

    The book will follow a step-by-step tutorial approach which will show the readers how to use Apache Kafka for messaging from scratch.Apache Kafka is for readers with software development experience, but no prior exposure to Apache Kafka or similar technologies is assumed. This book is also for enterprise application developers and big data enthusiasts who have worked with other publisher-subscriber based systems and now want to explore Apache Kafka as a futuristic scalable solution.

  12. APACHE score, Severity Index of Paraquat Poisoning, and serum lactic acid concentration in the prognosis of paraquat poisoning of Chinese Patients.

    Science.gov (United States)

    Xu, Shuyun; Hu, Hai; Jiang, Zhen; Tang, Shiyuan; Zhou, Yuangao; Sheng, Jie; Chen, Jinggang; Cao, Yu

    2015-02-01

    Many prognostic indictors have been studied to evaluate the prognosis of paraquat poisoning. However, the optimal indicator remains unclear. To determine the value of the Acute Physiology and Chronic Health Evaluation II (APACHE II) score, the Severity Index of Paraquat Poisoning (SIPP), and serum lactate levels in the prognosis of paraquat poisoning, we performed a prospective study that enrolled 143 paraquat patients. Data were collected from patients (161) at West China Hospital in Chengdu, China, including details about the patients' general conditions, laboratory examinations, and treatment. Receiver operating characteristic curves for predicting inpatient mortality based on APACHE II score, SIPP, and lactate levels were generated. To analyze the best cutoff values for lactate levels, APACHE II scores, and SIPP in predicting the prognosis of paraquat poisoning, the initial parameters on admission and 7-day survival curves of patients with lactate levels greater than or equal to 2.95 mmol/L, APACHE II score greater than or equal to 15.22, and SIPP greater than or equal to 5.50 h · mg/L at the time of arrival at West China Hospital were compared using the 1-way analysis of variance and the log-rank test. The APACHE II score (5.45 [3.67] vs 11.29 [4.31]), SIPP (2.78 [1.89] vs 7.63 [2.46] h · mg/L), and lactate level (2.78 [1.89] vs 7.63 [2.46] mmol/L) were significantly lower in survivors (77) after oral ingestion of paraquat, compared with nonsurvivors (66). The APACHE II score, SIPP, and lactate level had different areas under the curve (0.847, 0.789, and 0.916, respectively) and accuracy (0.64, 0.84, and 0.89, respectively). Respiratory rate, serum creatinine level, Paco2, and mortality rate at 7 days after admission in patients with lactate levels greater than or equal to 2.95 mmol/L were markedly different compared with those of other patients (P paraquat poisoning.

  13. 基于Access和VBA的APACHE-Ⅱ评分数据库的建立及其在急诊科中的应用%Constuction and validation of APACHE-Ⅱscore based on Access and visual basic application in Emergency

    Institute of Scientific and Technical Information of China (English)

    伍卓文; 江慧琳; 莫均荣

    2013-01-01

    Objectives:To develop an APACHE-Ⅱscore database, base on Access and Visual Basic Application(VBA), for critical critical y il patients presenting to emergency department ,and to explore its application value in emergency medicine.Methods:APACHE-Ⅱ score database was development by Access 2007 and VBA according to the content of APACHE-Ⅱscore.Results:APACHE-Ⅱscore database had the advantage of convenient and complete data processing, variety inquiry, automatical y calculation, stratification and statistical analysis.Conclusions:An APACHE-Ⅱscore database, base on Access and Visual Basic Application(VBA), can be easily to use for record the data of critical y il patients in the emergency. It is not only simple and convenient, but also contribute to clinical management ,teaching and research work.%目的:以Access数据库和Visual Basic应用程序(VBA)为基础,建立急诊危重病患者APACHE -Ⅱ评分数据库,并探讨其在急诊医学中的应用。方法:根据APACHE-Ⅱ评分内容通过Access2007软件构件APACHE-Ⅱ评分数据库。结果:通过数据库全面和准确记录病患资料,同时可有多条件的查询功能、自动的APACHE-Ⅱ和危险分层以及科研数据分析的功能。结论:以Access和VBA为基础建立一个简易、便捷的APACHE-Ⅱ数据库可方便急诊危重病患者的信息化管理,不仅有利于临床诊疗,而且利于教学和科研工作。

  14. Jicarilla Apaches.

    Science.gov (United States)

    Van Roekel, Gertrude B.

    Geronimo's surrender in 1886 ended some 200 years' warfare against encroaching white man in that broad area abutting the Rocky Mountains. Thus, the free-roaming period of Apache life, marked by repeated instances of bad faith and broken treaties, was ended and the Jicarilla Apaches were delivered to their reservation in northern New Mexico. The…

  15. APACHEScoring System in Severe Pre-eclampsia/Eclampsia Prognostic Analysis%APACHEⅡ评分系统在重度子痫前期/子痫患者预后评估分析

    Institute of Scientific and Technical Information of China (English)

    刘颖

    2015-01-01

    目的:探讨 APACHE Ⅱ评分系统用于重度子痫前期/子痫患者预后评估的临床价值。方法选取我院收治的重度子痫前期/子痫患者134例作为研究对象,回顾性分析其临床资料。按照生存状况分为两组,死亡组 4例,生存组130例,均使用 APACHE Ⅱ评分系统,探讨预后评估效果。结果死亡组 APACHE Ⅱ评分与死亡风险明显高于对照组,对比差异有统计学意义(P<0.05)。结论对重度子痫前期、子痫患者采用 APACHE Ⅱ评分系统评估分析其预后有一定效果,但是有一定偏差与局限性。%Objective Discussion APACHEscoring system preeclampsia / eclampsia prognostic value for clinical. Methods Admitted to our hospital with severe preeclampsia / eclampsia 134 cases for the study, a retrospective analysis of the clinical data. Divided into two groups according to the living conditions, death group four cases, 130 cases of survival group, use the scoring system APACHE Ⅱ explore prognostic effect. Results APACHE Ⅱ death group score significantly higher risk of death, compared to the difference was statistically significant (P<0.05). Conclusion Severe preeclampsia, eclampsia patients with APACHE Ⅱ analysis scoring system to assess the prognosis has some effect, but there is a certain bias and limitations.

  16. The value of myocardium enzyme and APACHEscore in the prognosis of ICU patients without AMI%心肌酶与APACHE Ⅱ评分在ICU非心肌梗死患者预后中的价值

    Institute of Scientific and Technical Information of China (English)

    朱建辉; 吴政庚; 李晓斌; 李福强

    2011-01-01

    目的 探讨心肌酶与APACHE Ⅱ评分在ICU非心肌梗死(AMI)患者预后中的价值及其相关性.方法 从2007年11月至2010年10月入住本院ICU的非AMI患者中随机选取199例,其中存活132例(存活组),死亡67例(死亡组),均于入院时进行APACHE Ⅱ评分,24 h内常规检测各项心肌酶指标.比较2组患者心肌酶测定结果、APACHE Ⅱ评分,以及心肌酶各项指标与APACHE Ⅱ评分的相关性.结果 死亡组心肌酶各项指标明显高于存活组,2组间比较差异有统计学意义(P<0.01);存活组APACHE Ⅱ(12.70±7.85)分,低于死亡组的(24.80±7.46)分,2组间比较差异有统计学意义(P<0.01);心肌酶各项指标与APACHE Ⅱ评分均呈高度正相关.结论 心肌酶和APACHE Ⅱ评分反映出ICU非AMI患者疾病的严重程度和转归,均可作为评估患者预后的参考指标之一.%Objective To investigate the clinical value of and correlation between myocardium enzymes and APACHEscore in the prognosis o~ intensive care unit(ICU) patients without AMI. Methods During Nov. 2007 to Oct. 2010,199 cases of ICU pa tients without AMI in our hospital were selected randomly,among which 132 cases survived(survival group)and 67 cases were dead (death group). APACHEscore at admission and myocardium enzymes detection in 24 hours were carried out. The detection re sults of myocardium enzymes and APACHEscore were compared between the two groups and the correlation between various myocardium enzymes and APACHE Ⅱ was analyzed. Results Serum levels of all myocardium enzymes in the death group were significantly higher than those in the survival group(P<0.01). APACHEscore of the death group were significantly higher than that of the survival group (P<0.01). There was fine correlation between various myocardium enzymes and APACHEscore. Conclusion Myocardium enzymes and APACHEscore can reflect the severity and turnover of the diseases and can be used for the prognosis of

  17. Value of APACHscore combined with procalcitonin detection application in patients with severe Pneumonia%APACH Ⅱ评分及降钙素原联合应用于重症肺炎患者的价值

    Institute of Scientific and Technical Information of China (English)

    江利东

    2013-01-01

    目的 探讨APACHE Ⅱ评分及降钙素原(PCT)动态监测重症肺炎患者的价值.方法 对入住我院ICU的重症肺炎患者共215例进行APACHE Ⅱ评分及PCT的动态监测,比较死亡组和存活组APACHE II评分及PCT数值的关系.结果 患者进入ICU第1天死亡组和存活组PCT检测结果及APACHE Ⅱ评分比较差异无统计学意义.此后存活组PCT检测结果及APACHE Ⅱ评分开始明显下降,直至治疗结束前均呈下降趋势,而死亡组PCT检测结果及APACHE Ⅱ评分较之前明显升高,而且呈逐渐上升趋势,两组比较差异有统计学意义(P<0.05).结论 动态监测APACH Ⅱ评分与PCT结果成正相关,APACH Ⅱ评分与PCT数值越高,病情就越重,死亡率也越高.

  18. APACHE-O评分系统对急性重症胰腺炎的预测价值%Predictive value of combination of APACHE-Ⅱ score and an obesity score (APACHE-O) for the prediction of severe acute pancreatitis

    Institute of Scientific and Technical Information of China (English)

    杨燕贻; 龙利民; 周建平

    2010-01-01

    目的 探讨APACHE-O评分系统(APACHE-Ⅱ+肥胖指标评分)对急性重症胰腺炎的预测价值.方法 该院2004年1月1日~2006年1月1日收治的急性胰腺炎患者142例,根据体重指数(BMI)分组,BMI≥26 kg/m2归为肥胖组,BMI<26kg/m2归为非肥胖组.比较两组患者病情严重程度及并发症等发生情况.分别计算入院24 h内APACHE-Ⅱ和APACHE-O评分在不同临界点对急性重症胰腺炎预测的敏感性、特异性、阳性预测值、阴性预测值和准确性,绘制APACHE-Ⅱ和APACHE-O评分受试者工作曲线(ROC).通过比较ROC的曲线下面积(AUC)来比较两评分系统的预测准确性.结果 肥胖组中急性重症胰腺炎患者比例显著高于非肥胖组(P<0.05),肥胖组中胰腺坏死、胰腺假性囊肿及肺功能衰竭发生率显著高于非肥胖组(P<0.05).取临界点为8时,APACHE-Ⅱ和APACHE-O评分对急性重症胰腺炎预测的敏感性、特异性、阳性预测值、阴性预测值和准确性分别为78.9%、85.4%、45.5%、96.3%、84.5%和78.9%、82.1%、40.5%、96.2%、81.7%.APACHE-Ⅱ和APACHE-O评分的ROC的曲线下面积(AUC)分别为0.864和0.870,提示APACHE-O评分对重症胰腺炎预测价值稍高于APACHE-Ⅱ评分.结论 肥胖型急性胰腺炎患者预后更差.与入院时APACHE-Ⅱ评分比较,APACHE-O评分对急性重症胰腺炎的预测价值略高于APACHE-Ⅱ,为理想的急性重症胰腺炎预测系统.

  19. APACHE O评分系统对急性胰腺炎预后的评估价值%APACHE O scoring system in predicting the outcome of acute pancreatitis

    Institute of Scientific and Technical Information of China (English)

    金洲祥; 张伟; 倪仲琳; 王飞海

    2010-01-01

    @@ 急性胰腺炎是一种常见的外科急腹症, 病情复杂,预后差,APACHE Ⅱ评分系统是目前一较全面的多因素预后评分系统[1],但仍存在一定局限性.APACHE O评分系统(APACHE Ⅱ评分加肥胖指标评分)是近年提出的一种急性胰腺炎预后评分系统[2],本文旨在通过比较APACHE O评分与APACHE Ⅱ评分对急性重症胰腺炎的判断能力,对急性胰腺炎局部、全身并发症及死亡率的预测价值,旨在明确APACHE O评分系统对急性胰腺炎预后的评估价值.

  20. ARDS患者中APACHEⅡ评分及CRP值对呼吸机应用的指导意义%The guide significance of the APACHEscore and CRP in acute respiratory distress syndrome to ventilator applications

    Institute of Scientific and Technical Information of China (English)

    杨晓帆; 王君一; 田六九; 黄彩凤; 荣清源; 葛良

    2011-01-01

    Objective: To investigate the guide significance of APACHEscore and CRP in acute respiratory distress syndrome to vertilator applications.Methods: Reviewed the 54 ARDS patients from October 2009 to October 2010 that had been freed from ARDS in the ICU of the First People's Hospital of Anqing City, compared the APACHEscore and CRP in 55 ARDS before mechanical ventilation with when freed from ventilators, compared the APACHEscore and CRP in male ARDS with in the female, and the APACHEscore and CRP in ARDS patients with different etiology; at the same time studied the relations between APACHEscore and CRP in ARDS patients.Results: The APACHEscore and CRP when freed from ventilator were obviously lower than before mechanical ventilation; there was no statistical meaning in the differenee of APACHEscore and CRP between male and female; the APACHE Ⅱ acore and CRP in trauma ARDS patients was lower than in pulmonary infection and aspiration ARDS patients without statistical mearung (P>0.05).There was a positive relation between APACHEscore and CRP in ARDS patients (r=0 52).Conclusion: There i8 a great guide significance in the applications of mechanical ventilation through studying the change of APACHEscore and CRP in ARDS patients.%目的:探讨APACHEⅡ评分及CRP值对ARDS患者呼吸机应用的指导意义.方法:回顾性分析安庆市第一人民医院ICU 2009年10月~2010年10月以来成功救治的55例ARDS患者,比较机械通气前及脱机时APACHEⅡ评分及CRP值,比较不同性别间ARDS患者APACHEⅡ评分及CRP值,比较不同病因间ARDS患者APACHEⅡ评分及CRP值并分析APACHEⅡ评分和CRP值的关联性.结果:脱机时APACHE评分及CRP值较机械通气前显著降低,不同性别间ARDS患者APACHEⅡ评分及CRP值无差异,外伤性ARDS患者机械通气前APACHEⅡ评分及CRP值均较肺部感染及误吸性ARDS高,但差异无统计学意义(P>0.05).ARDS患者APACHEⅡ评分

  1. Development of WAIS-III General Ability Index Minus WMS-III memory discrepancy scores.

    Science.gov (United States)

    Lange, Rael T; Chelune, Gordon J; Tulsky, David S

    2006-09-01

    Analysis of the discrepancy between intellectual functioning and memory ability has received some support as a useful means for evaluating memory impairment. In recent additions to Wechlser scale interpretation, the WAIS-III General Ability Index (GAI) and the WMS-III Delayed Memory Index (DMI) were developed. The purpose of this investigation is to develop base rate data for GAI-IMI, GAI-GMI, and GAI-DMI discrepancy scores using data from the WAIS-III/WMS-III standardization sample (weighted N = 1250). Base rate tables were developed using the predicted-difference method and two simple-difference methods (i.e., stratified and non-stratified). These tables provide valuable data for clinical reference purposes to determine the frequency of GAI-IMI, GAI-GMI, and GAI-DMI discrepancy scores in the WAIS-III/WMS-III standardization sample.

  2. 脂肪肝诊断联合APACHE-Ⅱ评分提高预测重症急性胰腺炎的能力%A combination of hepatic steatosis with APACHE-Ⅱ score improves the ability of predicting severe acute pancreatitis

    Institute of Scientific and Technical Information of China (English)

    郝一鸣; 王士琪; 冯全新; 冯向英; 余鹏飞; 白槟; 邱兆岩; 王谦; 赵青川

    2016-01-01

    目的 明确脂肪肝是否为重症急性胰腺炎的暴露因素,判断脂肪肝诊断联合急性生理学和慢性健康评估(acute physiology and chronic health evaluation,APACHE-Ⅱ)评分预测重症急性胰腺炎的能力.方法 回顾性分析148例急性胰腺炎患者的临床资料,分为重症急性胰腺炎组(41例)和轻症急性胰腺炎组(107例).比较两组患者的一般资料.根据APACHE-Ⅱ评分,进行亚组分析.计算联合预测的敏感性、特异性和ROC曲线下面积.结果 脂肪肝与重症急性胰腺炎呈正相关.合并脂肪肝的患者发生重症急性胰腺炎的概率是未合并脂肪肝的5.33倍(OR =5.33,P=0.003).亚组分析结果表明,入院24 h内APACHE-Ⅱ评分<8分的患者,合并脂肪肝的患者较未合并脂肪肝的患者,重症胰腺炎发生率((34.5%比6.9%,P<0.001)、全身并发症发生率更高(31%比5.7%,P<0.001).入院24 h内APACHE-Ⅱ评分≥8分的患者,合并脂肪肝的患者较未合并脂肪肝的患者,重症胰腺炎发生率(100%比65%,P=0.029)、全身并发症发生率更高(100%比65%,P=0.029).入院24 h内APACHE-Ⅱ评分预测重症急性胰腺炎的敏感性、特异性、ROC曲线下面积分别为61.0% 、93.5%、0.772.脂肪肝预测重症急性胰腺炎的敏感性、特异性、ROC曲线下面积分别为53.7% 、82.2%、0.680.两个指标联合预测重症急性胰腺炎的敏感性、特异性、ROC曲线下面积分别为85.4% 、75.7%、0.861.结论 脂肪肝和重症急性胰腺炎具有相关性.脂肪肝诊断联合APACHE-Ⅱ评分可以提高预测重症急性胰腺炎的能力.%Objective To identify whether hepatic steatosis is the exposure factor of severe acute pancreatitis (SAP) and to investigate the prognostic efficacy of combining hepatic steatosis with APACHE-Ⅱ score in predicting the severity of SAP.Methods Clinicopathological data of 148 patient diagnosed as acute pancreatitis in Xijing Hospital from April 2011 to

  3. Sensitivity and specificity of WAIS-III/WMS-III demographically corrected factor scores in neuropsychological assessment.

    Science.gov (United States)

    Taylor, M J; Heaton, R K

    2001-11-01

    This study explored the neurodiagnostic utility of 6 factor scores identified by recent exploratory and confirmatory factor analyses of the WAIS-III and WMS-III: Verbal Comprehension, Perceptual Organization, Processing Speed, Working Memory, Auditory Memory and Visual Memory. Factor scores were corrected for age. education, sex and ethnicity to minimize their influences on diagnostic accuracy. Cut-offs at 1, 1.5 and 2 standard deviations (SDs) below the standardization sample mean were applied to data from the overlapping test normative samples (N = 1073) and 6 clinical samples described in the WAIS-III/WMS-III Technical Manual (N = 126). The analyses suggest that a I SD cut-off yields the most balanced levels of sensitivity and specificity; more strict (1.5 or 2 SD) cut-offs generally result in trading modest gains in specificity for larger losses in sensitivity. Finally, using combinations of WAIS-III/WMS-III factors together as test batteries, we explored the sensitivity and specificity implications of varying diagnostic decision rules (e.g.,1 vs. 2 impaired factors = "impairment"). For most of the disorders considered here, even a small (e.g., 3 factor) WAIS-III/WMS-III battery provides quite good overall diagnostic accuracy.

  4. 脓毒症血清降钙素原与APACHEⅡ评分的相关性%CORRELATION BETWEEN SERUM LEVEL OF PROCALCITONIN AND APACHESCORE IN PATIENTS WITH SEPSIS

    Institute of Scientific and Technical Information of China (English)

    袁东; 于海初

    2012-01-01

    目的 观察脓毒症病人血清降钙素原(PCT)水平与APACHEⅡ评分之间的相关性.方法 检测脓毒症病人74例(其中脓毒症28例,严重脓毒症25例,脓毒症休克21例)、非脓毒血症病人24例血清PCT及C反应蛋白(CRP)水平,行APACHEⅡ评分,分析PCT、CRP水平与APACHEⅡ评分相关性.结果 脓毒症、严重脓毒症和脓毒症休克病人的血清PCT、CRP水平和APACHEⅡ评分均高于非脓毒症病人,差异有显著意义(F=7.07~441.87,q=3.18~48.14,P<0.05).脓毒症病人PCT水平、APACHEⅡ评分随病情严重程度升高而升高,差异有显著性(q=10.06~48.14,P<0.05);PCT水平与APACHEⅡ评分呈正相关(r=0.68,P<0.05).结论 脓毒症病人PCT水平与APACHEⅡ评分有相关性,PCT在脓毒症诊断中的价值优于CRP.%Objective To study the correlation of serum level of procalcitonin (PCT) with score of APACHE Ⅱ in patients with sepsis. Methods Serum levels of PCT and C-reactive protein (CRP) in 74 patients with sepsis, which included sepsis (28 cases), severe sepsis (25) and septic shock (21) , and 24 patients with non-sepsis were detected. APACHE II score was done. The correlation of the score with PCT and C-reactive protein (CRP) was analyzed. Results Serum levels of PCT and CRP, and APACHEscores in patients with sepsis, severe sepsis and septic shock were significantly higher than that in the non-septic patients (F=7. 07-441. 87,q= 3.18 - 48.14,P<0. 05). PCT levels and APACHE D scores elevated along with the severity of the disease (q= 10. 06-48.14,P<0. 05). The level of PCT was positively correlated with APACHEⅡ (r=0. 68,P<0. 05). Conclusion There is a positive correlation of PCT with APACHEscore in patients with sepsis. The serum level of PCT is superior to CRP in the diagnosis of sepsis

  5. Utility of Procalcitonin (PCT and Mid regional pro-Adrenomedullin (MR-proADM in risk stratification of critically ill febrile patients in Emergency Department (ED. A comparison with APACHE II score

    Directory of Open Access Journals (Sweden)

    Travaglino Francesco

    2012-08-01

    Full Text Available Abstract Background The aim of our study was to evaluate the prognostic value of MR-proADM and PCT levels in febrile patients in the ED in comparison with a disease severity index score, the APACHE II score. We also evaluated the ability of MR-proADM and PCT to predict hospitalization. Methods This was an observational, multicentric study. We enrolled 128 patients referred to the ED with high fever and a suspicion of severe infection such as sepsis, lower respiratory tract infections, urinary tract infections, gastrointestinal infections, soft tissue infections, central nervous system infections, or osteomyelitis. The APACHE II score was calculated for each patient. Results MR-proADM median values in controls were 0.5 nmol/l as compared with 0.85 nmol/l in patients (P P . MR-proADM and PCT levels were significantly increased in accordance with the Apache II quartiles (P  respectively. In the respiratory infections, urinary infections, and sepsis-septic shock groups we found a correlation between the Apache II and MR-proADM respectively and MR-proADM and PCT respectively. We evaluated the ability of MR-proADM and PCT to predict hospitalization in patients admitted to our emergency departments complaining of fever. MR-proADM alone had an AUC of 0.694, while PCT alone had an AUC of 0.763. The combined use of PCT and MR-proADM instead showed an AUC of 0.79. Conclusions The present study highlights the way in which MR-proADM and PCT may be helpful to the febrile patient’s care in the ED. Our data support the prognostic role of MR-proADM and PCT in that setting, as demonstrated by the correlation with the APACHE II score. The combined use of the two biomarkers can predict a subsequent hospitalization of febrile patients. The rational use of these two molecules could lead to several advantages, such as faster diagnosis, more accurate risk stratification, and optimization of the treatment, with consequent benefit to the patient and

  6. The Distribution of Scaled Scores and Possible Floor Effects on the WISC-III and WAIS-III

    Science.gov (United States)

    Whitaker, Simon; Wood, Christopher

    2008-01-01

    Objective: It has been suggested that, as the Wechsler Adult Intelligence Scale-Third Edition (WAIS-III) and the Wechsler Intelligence Scale for Children-Third Edition (WISC-III) give a scaled score of one even if a client scores a raw score of zero, these assessments may have a hidden floor effect at low IQ levels. The study looked for…

  7. Apache Maven cookbook

    CERN Document Server

    Bharathan, Raghuram

    2015-01-01

    If you are a Java developer or a manager who has experience with Apache Maven and want to extend your knowledge, then this is the ideal book for you. Apache Maven Cookbook is for those who want to learn how Apache Maven can be used for build automation. It is also meant for those familiar with Apache Maven, but want to understand the finer nuances of Maven and solve specific problems.

  8. THE TENTH DATA RELEASE OF THE SLOAN DIGITAL SKY SURVEY: FIRST SPECTROSCOPIC DATA FROM THE SDSS-III APACHE POINT OBSERVATORY GALACTIC EVOLUTION EXPERIMENT

    Energy Technology Data Exchange (ETDEWEB)

    Ahn, Christopher P.; Anderton, Timothy [Department of Physics and Astronomy, University of Utah, Salt Lake City, UT 84112 (United States); Alexandroff, Rachael [Center for Astrophysical Sciences, Department of Physics and Astronomy, Johns Hopkins University, 3400 North Charles Street, Baltimore, MD 21218 (United States); Allende Prieto, Carlos [Instituto de Astrofísica de Canarias (IAC), C/Vía Láctea, s/n, E-38200, La Laguna, Tenerife (Spain); Anders, Friedrich [Leibniz-Institut für Astrophysik Potsdam (AIP), An der Sternwarte 16, D-14482 Potsdam (Germany); Anderson, Scott F.; Bhardwaj, Vaishali [Department of Astronomy, University of Washington, Box 351580, Seattle, WA 98195 (United States); Andrews, Brett H. [Department of Astronomy, Ohio State University, 140 West 18th Avenue, Columbus, OH 43210 (United States); Aubourg, Éric; Bautista, Julian E. [APC, University of Paris Diderot, CNRS/IN2P3, CEA/IRFU, Observatoire de Paris, Sorbonne Paris Cité, F-75205 Paris (France); Bailey, Stephen; Beutler, Florian [Lawrence Berkeley National Laboratory, One Cyclotron Road, Berkeley, CA 94720 (United States); Bastien, Fabienne A.; Berlind, Andreas A.; Bird, Jonathan C. [Department of Physics and Astronomy, Vanderbilt University, VU Station 1807, Nashville, TN 37235 (United States); Beers, Timothy C. [National Optical Astronomy Observatory, 950 North Cherry Avenue, Tucson, AZ 85719 (United States); Beifiori, Alessandra [Max-Planck-Institut für Extraterrestrische Physik, Giessenbachstraße, D-85748 Garching (Germany); Bender, Chad F. [Department of Astronomy and Astrophysics, 525 Davey Laboratory, The Pennsylvania State University, University Park, PA 16802 (United States); Bizyaev, Dmitry [Apache Point Observatory, P.O. Box 59, Sunspot, NM 88349 (United States); Blake, Cullen H. [Department of Physics and Astronomy, University of Pennsylvania, 219 S. 33rd St., Philadelphia, PA 19104 (United States); and others

    2014-04-01

    The Sloan Digital Sky Survey (SDSS) has been in operation since 2000 April. This paper presents the Tenth Public Data Release (DR10) from its current incarnation, SDSS-III. This data release includes the first spectroscopic data from the Apache Point Observatory Galaxy Evolution Experiment (APOGEE), along with spectroscopic data from the Baryon Oscillation Spectroscopic Survey (BOSS) taken through 2012 July. The APOGEE instrument is a near-infrared R ∼ 22,500 300 fiber spectrograph covering 1.514-1.696 μm. The APOGEE survey is studying the chemical abundances and radial velocities of roughly 100,000 red giant star candidates in the bulge, bar, disk, and halo of the Milky Way. DR10 includes 178,397 spectra of 57,454 stars, each typically observed three or more times, from APOGEE. Derived quantities from these spectra (radial velocities, effective temperatures, surface gravities, and metallicities) are also included. DR10 also roughly doubles the number of BOSS spectra over those included in the Ninth Data Release. DR10 includes a total of 1,507,954 BOSS spectra comprising 927,844 galaxy spectra, 182,009 quasar spectra, and 159,327 stellar spectra selected over 6373.2 deg{sup 2}.

  9. The Tenth Data Release of the Sloan Digital Sky Survey: First Spectroscopic Data from the SDSS-III Apache Point Observatory Galactic Evolution Experiment

    CERN Document Server

    Ahn, Christopher P; Prieto, Carlos Allende; Anders, Friedrich; Anderson, Scott F; Anderton, Timothy; Andrews, Brett H; Aubourg, Éric; Bailey, Stephen; Bastien, Fabienne A; Bautista, Julian E; Beers, Timothy C; Beifiori, Alessandra; Bender, Chad F; Berlind, Andreas A; Beutler, Florian; Bhardwaj, Vaishali; Bird, Jonathan C; Bizyaev, Dmitry; Blake, Cullen H; Blanton, Michael R; Blomqvist, Michael; Bochanski, John J; Bolton, Adam S; Borde, Arnaud; Bovy, Jo; Bradley, Alaina Shelden; Brandt, W N; Brauer, Dorothée; Brinkmann, J; Brownstein, Joel R; Busca, Nicolás G; Carithers, William; Carlberg, Joleen K; Carnero, Aurelio R; Carr, Michael A; Chiappini, Cristina; Chojnowski, S Drew; Chuang, Chia-Hsun; Comparat, Johan; Crepp, Justin R; Cristiani, Stefano; Croft, Rupert A C; Cuesta, Antonio J; Cunha, Katia; da Costa, Luiz N; Dawson, Kyle S; De Lee, Nathan; Dean, Janice D R; Delubac, Timothée; Deshpande, Rohit; Dhital, Saurav; Ealet, Anne; Ebelke, Garrett L; Edmondson, Edward M; Eisenstein, Daniel J; Epstein, Courtney R; Escoffier, Stephanie; Esposito, Massimiliano; Evans, Michael L; Fabbian, D; Fan, Xiaohui; Favole, Ginevra; Castellá, Bruno Femen\\'\\ia; Alvar, Emma Fernández; Feuillet, Diane; Ak, Nurten Filiz; Finley, Hayley; Fleming, Scott W; Font-Ribera, Andreu; Frinchaboy, Peter M; Galbraith-Frew, J G; Garc\\'\\ia-Hernández, D A; Pérez, Ana E Garc\\'\\ia; Ge, Jian; Génova-Santos, R; Gillespie, Bruce A; Girardi, Léo; Hernández, Jonay I González; Gott, J Richard; Gunn, James E; Guo, Hong; Halverson, Samuel; Harding, Paul; Harris, David W; Hasselquist, Sten; Hawley, Suzanne L; Hayden, Michael; Hearty, Frederick R; Ho, Shirley; Hogg, David W; Holtzman, Jon A; Honscheid, Klaus; Huehnerhoff, Joseph; Ivans, Inese I; Jackson, Kelly M; Jiang, Peng; Johnson, Jennifer A; Kirkby, David; Kinemuchi, K; Klaene, Mark A; Kneib, Jean-Paul; Koesterke, Lars; Lan, Ting-Wen; Lang, Dustin; Goff, Jean-Marc Le; Lee, Khee-Gan; Lee, Young Sun; Long, Daniel C; Loomis, Craig P; Lucatello, Sara; Lupton, Robert H; Ma, Bo; Mahadevan, Suvrath; Maia, Marcio A G; Majewski, Steven R; Malanushenko, Elena; Malanushenko, Viktor; Manchado, A; Manera, Marc; Maraston, Claudia; Margala, Daniel; Martell, Sarah L; Masters, Karen L; McBride, Cameron K; McGreer, Ian D; McMahon, Richard G; Ménard, Brice; Mészáros, Sz; Miralda-Escudé, Jordi; Miyatake, Hironao; Montero-Dorta, Antonio D; Montesano, Francesco; More, Surhud; Morrison, Heather L; Muna, Demitri; Munn, Jeffrey A; Myers, Adam D; Nguyen, Duy Cuong; Nichol, Robert C; Nidever, David L; Noterdaeme, Pasquier; Nuza, Sebastián E; O'Connell, Julia E; O'Connell, Robert W; O'Connell, Ross; Olmstead, Matthew D; Oravetz, Daniel J; Owen, Russell; Padmanabhan, Nikhil; Palanque-Delabrouille, Nathalie; Pan, Kaike; Parejko, John K; Pâris, Isabelle; Pepper, Joshua; Percival, Will J; Pérez-Ràfols, Ignasi; Perottoni, Hélio Dotto; Petitjean, Patrick; Pieri, Matthew M; Pinsonneault, M H; Prada, Francisco; Price-Whelan, Adrian M; Raddick, M Jordan; Rahman, Mubdi; Rebolo, Rafael; Reid, Beth A; Richards, Jonathan C; Riffel, Rogério; Robin, Annie C; Rocha-Pinto, H J; Rockosi, Constance M; Roe, Natalie A; Ross, Ashley J; Ross, Nicholas P; Rossi, Graziano; Roy, Arpita; Rubiño-Martin, J A; Sabiu, Cristiano G; Sánchez, Ariel G; Santiago, Basílio; Sayres, Conor; Schiavon, Ricardo P; Schlegel, David J; Schlesinger, Katharine J; Schmidt, Sarah J; Schneider, Donald P; Schultheis, Mathias; Sellgren, Kris; Shen, Yue; Shetrone, Matthew; Shu, Yiping; Simmons, Audrey E; Skrutskie, M F; Slosar, Anže; Smith, Verne V; Snedden, Stephanie A; Sobeck, Jennifer S; Sobreira, Flavia; Stassun, Keivan G; Steinmetz, Matthias; Strauss, Michael A; Streblyanska, Alina; Suzuki, Nao; Swanson, Molly E C; Terrien, Ryan C; Thakar, Aniruddha R; Thomas, Daniel; Thompson, Benjamin A; Tinker, Jeremy L; Tojeiro, Rita; Troup, Nicholas W; Vandenberg, Jan; Magaña, Mariana Vargas; Viel, Matteo; Vogt, Nicole P; Wake, David A; Weaver, Benjamin A; Weinberg, David H; Weiner, Benjamin J; White, Martin; White, Simon D M; Wilson, John C; Wisniewski, John P; Wood-Vasey, W M; Yèche, Christophe; York, Donald G; Zamora, O; Zasowski, Gail; Zehavi, Idit; Zheng, Zheng; Zhu, Guangtun

    2013-01-01

    The Sloan Digital Sky Survey (SDSS) has been in operation since 2000 April. This paper presents the tenth public data release (DR10) from its current incarnation, SDSS-III. This data release includes the first spectroscopic data from the Apache Point Observatory Galaxy Evolution Experiment (APOGEE), along with spectroscopic data from the Baryon Oscillation Spectroscopic Survey (BOSS) taken through 2012 July. The APOGEE instrument is a near-infrared R~22,500 300-fiber spectrograph covering 1.514--1.696 microns. The APOGEE survey is studying the chemical abundances and radial velocities of roughly 100,000 red giant star candidates in the bulge, bar, disk, and halo of the Milky Way. DR10 includes 178,397 spectra of 57,454 stars, each typically observed three or more times, from APOGEE. Derived quantities from these spectra (radial velocities, effective temperatures, surface gravities, and metallicities) are also included.DR10 also roughly doubles the number of BOSS spectra over those included in the ninth data r...

  10. Correlation between serum cortisol level and APACHEscore in critically ill patients%重症患者血清皮质醇浓度与APACHEⅡ评分的相关性

    Institute of Scientific and Technical Information of China (English)

    赵曙光; 孙廷强; 张灯亮; 姚续; 陈艳

    2013-01-01

    Objective To investigate the relationship of cortisol concentration with the outcome of patients and acute physiology and chronic health evaluation Ⅱ (APACHE Ⅱ) score.Methods 113 critically ill patients were divided into normal cortisol group and enhanced cortisol group according to serum cortisol concentration.The mortality of two groups was analyzed and tested through x2 test.Meanwhile,the relationship between serum cortisol concentration and APACHEscore was analyzed.Results The mortality had obvious differences between normal cortisol group and enhanced cortisol group(x2 =105.21,P < 0.01).APACHEscore of normal cortisol group was (20 ± 7),enhanced cortisol group was (30 ±6),there were apparent differences in two groups(P <0.01).Serum cortisol was not obviously relative to APACHEscore in normal cortisol group(r =-0.234,P =0.095),while it had a weak positive correlation with APACHEscore in enhanced cortisol group (r =0.301,P =0.018).Conclusion Critically ill patient with enhanced cortisol had higher possibility of death and higher APACHEscore.%目的 研究重症患者皮质醇浓度与病情转归和APACHEⅡ评分的关系.方法 113例重症患者根据血清皮质醇浓度分为皮质醇正常组和皮质醇增高组,分析两组患者死亡率,同时对各组皮质醇浓度和APACHEⅡ评分的相关性进行分析.结果 皮质醇正常组和皮质醇增高组死亡率比较差异有统计学意义(x2=105.21,P<0.01);皮质醇正常组APACHEⅡ评分为(20±7)分,皮质醇增高组为(30±6)分,两组比较差异有统计学意义(P<0.01).皮质醇正常组皮质醇浓度与APACHEⅡ评分无明显相关(r=-0.234,P=0.095),皮质醇增高组皮质醇浓度与APACHEⅡ评分呈弱正相关(r=0.301,P=0.018).结论 皮质醇高浓度的重症患者有较高的死亡风险和较高的APACHEⅡ评分.

  11. Learning Apache Kafka

    CERN Document Server

    Garg, Nishant

    2015-01-01

    This book is for readers who want to know more about Apache Kafka at a hands-on level; the key audience is those with software development experience but no prior exposure to Apache Kafka or similar technologies. It is also useful for enterprise application developers and big data enthusiasts who have worked with other publisher-subscriber-based systems and want to explore Apache Kafka as a futuristic solution.

  12. Apache The Definitive Guide

    CERN Document Server

    Laurie, Ben

    2003-01-01

    Apache is far and away the most widely used web server platform in the world. This versatile server runs more than half of the world's existing web sites. Apache is both free and rock-solid, running more than 21 million web sites ranging from huge e-commerce operations to corporate intranets and smaller hobby sites. With this new third edition of Apache: The Definitive Guide, web administrators new to Apache will come up to speed quickly, and experienced administrators will find the logically organized, concise reference sections indispensable, and system programmers interested in customizin

  13. Learning Apache Karaf

    CERN Document Server

    Edstrom, Johan; Kesler, Heath

    2013-01-01

    The book is a fast-paced guide full of step-by-step instructions covering all aspects of application development using Apache Karaf.Learning Apache Karaf will benefit all Java developers and system administrators who need to develop for and/or operate Karaf's OSGi-based runtime. Basic knowledge of Java is assumed.

  14. European and American WAIS III Norms: Cross-National Differences in Performance Subtest Scores

    Science.gov (United States)

    Roivainen, Eka

    2010-01-01

    For this study, European WAIS III performance subtest norms were compared to the original US norms. When European WAIS III raw scores were scored using US norms, the resulting perceptual organization index (POI) means were significantly higher than the processing speed index (PSI) means. The POI/PSI difference is roughly 5-10 points for the German…

  15. 创伤性休克APACHE评分与血乳酸变化的临床研究%Traumatic shock and APACHE score and blood lactate changes in clinical research

    Institute of Scientific and Technical Information of China (English)

    郭福东; 杨淑霞

    2012-01-01

    Objective To study APACHE score in patients with traumatic shock and blood lactate changes in treatment and prognosis significance.Methods hospital emergency surgery from March 2007 to August 2011 period,enter the emergency intensive care unit of a continuous 80 cases of patients with post-traumatic hypovolemic shock.Routine use of bleeding in all cases,add volume,catecholamines,blood pressure refers to the ECG monitor and a stable pulse oxygen and other recovery measures within the environment,determine the initial, 12,24,48 h changes in blood lactate and APACHE II scores within each 24h,compare the survival group and death group data. Results survival group of 68 patients (85%), 12 cases of death. Conclusion APACHE score and dynamic monitoring of blood lactate could be used as treatment of patients with hemorrhagic shock and an important prognostic indicator.%目的 研究创伤性休克患者APACHE评分和血乳酸含量变化对临床疗效及预后判断的影响.方法 回顾我院急诊外科2007年3月至2011年8月期间,进入急诊重症监护室的连续80例创伤后低血容量体克患者.对所有病例常规采用止血、补充血容量、儿茶酚胺类药物、心电、血压、指脉氧等监测以及稳定内环境等复苏措施,测定初始、12、24、48 h血乳酸变化以及每24h内APACHEⅡ评分,分存活组与死亡组,比较存活组与死亡组资料.结果存活组68例为85%;死亡组12例为15%.结论APACHE评分及动态监测及乳酸可作为判断失血性休克患者治疗效果以及预后的重要指标.

  16. Charters, Constitutions and By-Laws of the Indian Tribes of North America; Part III: The Southwest (Apache--Mohave). Occasional Publications in Anthropology Ethnology Series No. 4.

    Science.gov (United States)

    Fay, George E., Comp.

    The Museum of Anthropology of the University of Northern Colorado (formerly known as Colorado State College) has assembled a large number of Indian tribal charters, constitutions, and by-laws to be reproduced as a series of publications. Included in this volume are the amended charter and constitution of the Jicarilla Apache Tribe, Dulce, New…

  17. Apache Solr beginner's guide

    CERN Document Server

    Serafini, Alfredo

    2013-01-01

    Written in a friendly, example-driven format, the book includes plenty of step-by-step instructions and examples that are designed to help you get started with Apache Solr.This book is an entry level text into the wonderful world of Apache Solr. The book will center around a couple of simple projects such as setting up Solr and all the stuff that comes with customizing the Solr schema and configuration. This book is for developers looking to start using Apache Solr who are stuck or intimidated by the difficulty of setting it up and using it.For anyone wanting to embed a search engine in their

  18. The APACHE Project

    Directory of Open Access Journals (Sweden)

    Giacobbe P.

    2013-04-01

    Full Text Available First, we summarize the four-year long efforts undertaken to build the final setup of the APACHE Project, a photometric transit search for small-size planets orbiting bright, low-mass M dwarfs. Next, we describe the present status of the APACHE survey, officially started in July 2012 at the site of the Astronomical Observatory of the Autonomous Region of the Aosta Valley, in the Western Italian Alps. Finally, we briefly discuss the potentially far-reaching consequences of a multi-technique characterization program of the (potentially planet-bearing APACHE targets.

  19. Instant Apache Wicket 6

    CERN Document Server

    Longo, João Sávio Ceregatti

    2013-01-01

    Get to grips with a new technology, understand what it is and what it can do for you, and then get to work with the most important features and tasks. This Starter style guide takes the reader through the basic workflow of Apache Wicket in a practical and friendly style.Instant Apache Wicket 6 is for people who want to learn the basics of Apache Wicket 6 and who already have some experience with Java and object-oriented programming. Basic knowledge of web concepts like HTTP and Ajax will be an added advantage.

  20. Apache Solr essentials

    CERN Document Server

    Gazzarini, Andrea

    2015-01-01

    If you are a competent developer with experience of working with technologies similar to Apache Solr and want to develop efficient search applications, then this book is for you. Familiarity with the Java programming language is required.

  1. Apache Mahout essentials

    CERN Document Server

    Withanawasam, Jayani

    2015-01-01

    If you are a Java developer or data scientist, haven't worked with Apache Mahout before, and want to get up to speed on implementing machine learning on big data, then this is the perfect guide for you.

  2. Apache Mahout cookbook

    CERN Document Server

    Giacomelli, Piero

    2013-01-01

    Apache Mahout Cookbook uses over 35 recipes packed with illustrations and real-world examples to help beginners as well as advanced programmers get acquainted with the features of Mahout.""Apache Mahout Cookbook"" is great for developers who want to have a fresh and fast introduction to Mahout coding. No previous knowledge of Mahout is required, and even skilled developers or system administrators will benefit from the various recipes presented

  3. Application of new WAIS-III/WMS-III discrepancy scores for evaluating memory functioning: relationship between intellectual and memory ability.

    Science.gov (United States)

    Lange, Rael T; Chelune, Gordon J

    2006-05-01

    Analysis of the discrepancy between memory and intellectual ability has received some support as a means for evaluating memory impairment. Recently, comprehensive base rate tables for General Ability Index (GAI) minus memory discrepancy scores (i.e., GAI-memory) were developed using the WAIS-III/WMS-III standardization sample (Lange, Chelune, & Tulsky, in press). The purpose of this study was to evaluate the clinical utility of GAI-memory discrepancy scores to identify memory impairment in 34 patients with Alzheimer's type dementia (DAT) versus a sample of 34 demographically matched healthy participants. On average, patients with DAT obtained significantly lower scores on all WAIS-III and WMS-III indexes and had larger GAI-memory discrepancy scores. Clinical outcome analyses revealed that GAI-memory scores were useful at identifying memory impairment in patients with DAT versus matched healthy participants. However, GAI-memory discrepancy scores failed to provide unique interpretive information beyond that which is gained from the memory indexes alone. Implications and future research directions are discussed.

  4. An Exploration of the Base Rate Scores of the Millon Clinical Multiaxial Inventory-III

    Science.gov (United States)

    Grove, William M.; Vrieze, Scott I.

    2009-01-01

    The Millon Clinical Multiaxial Inventory (3rd ed.; MCMI-III) is a widely used psychological assessment of clinical and personality disorders. Unlike typical tests, the MCMI-III uses a base-rate score transformation to incorporate prior probabilities of disorder (i.e., base rates) in test output and diagnostic thresholds. The authors describe the…

  5. Evaluation of the Mangled Extremity Severity Score in Combat-Related Type III Tibia Fracture

    Science.gov (United States)

    2014-09-01

    ORIGINAL ARTICLE Evaluation of the Mangled Extremity Severity Score in Combat-Related Type III Open Tibia Fracture Andrew J. Sheean, MD,* Chad A...soldiers sustaining combat-related Gustilo–Anderson type III open tibia fractures. Design: Retrospective cohort study. Setting: Tertiary trauma center...Patients: Service Members with combat-related type III open tibia fractures occurring between 2003 and 2007 treated definitively in a US military medical

  6. Instant Apache Stanbol

    CERN Document Server

    Bachmann-Gmür, Reto

    2013-01-01

    Filled with practical, step-by-step instructions and clear explanations for the most important and useful tasks. Instant Apache Stanbol How-to will enable you to become an expert in content management with semantics at the core, with the help of practical recipes. Instant Apache Stanbol How-to is for Java developers who would like to extend Stanbol or would just like to use Stanbol without caring about its internals. A few recipes that show how to extend Stanbol require some familiarity with Java and JavaScript.

  7. Instant Apache Maven starter

    CERN Document Server

    Turatti, Maurizio

    2013-01-01

    Get to grips with a new technology, understand what it is and what it can do for you, and then get to work with the most important features and tasks.The book follows a starter approach for using Maven to create and build a new Java application or Web project from scratch.Instant Apache Maven Starter is great for Java developers new to Apache Maven, but also for experts looking for immediate information. Moreover, only 20% of the necessary information about Maven is used in 80% of the activities. This book aims to focus on the most important information, those pragmatic parts you actually use

  8. Apache Tomcat 7 Essentials

    CERN Document Server

    Khare, Tanuj

    2012-01-01

    This book is a step-by-step tutorial for anyone wanting to learn Apache Tomcat 7 from scratch. There are plenty of illustrations and examples to escalate you from a novice to an expert with minimal strain. If you are a J2EE administrator, migration administrator, technical architect, or a project manager for a web hosting domain, and are interested in Apache Tomcat 7, then this book is for you. If you are someone responsible for installation, configuration, and management of Tomcat 7, then too, this book will be of help to you.

  9. MORTALITY RISK ASSESSMENT IN PICU USING PRISM-III-24 SCORE

    Directory of Open Access Journals (Sweden)

    Harilal Naik

    2014-11-01

    Full Text Available OBJECTIVE: Assessment of risk of mortality using PRISM III-24 score in children admitted to PICU of Basaweshwara Teaching and General Hospital, attached to Mahadevappa Rampure Medical College, Gulbarga. DESIGN: Prospective cohort study. Setting: PICU of BTGH, Gulbarga. METHODS: 404 patients who had been admitted consecutively to the PICU during a period of 12 months (July 2011 to June 2012 were studied. PRISM III-24 score was calculated. Hospital outcome was recorded as survived/expired. Calibration and discrimination of the model was calculated by Hosmer-Lemeshow goodness-of-fit test and Area under the ROC Curve. The association between r (empirical function and PRISM III-24 score was assessed by Binary Logistic Regression method. RESULTS: Out of 404 patients, 363 (89.85% survived and 41 (10.15% expired. Males formed the majority (227/404. CNS cases (n=118, 29.2% constituted the majority. Mean age, length of hospitalization, and mean PRISM III-24 score were 59.22±51.12 months, 99.84±91.61 hours, and 4.92±7.74 (range 0-36. The test was well designed for the study (goodness-of-fit value P-value 0.186. ROC analysis indicated a strong predictive power for the PRISM III-24 (AUC 0.936. The observed (O mortality rate was 10.15% and the expected (E mortality rate was 10.12% with an O/E ratio of 1.003. CONCLUSION: PRISM III-24 score is a good predictor of mortality in PICU patients under Indian circumstances. The PRISM III-24 scoring system was highly calibrated in our institute.

  10. Apache, Vol. I.

    Science.gov (United States)

    Bodiroga, Ronald, Comp.; And Others

    The short stories, poems, and cultural descriptions about American Indians (volume 1 of two) are the result of a combined effort of the 7th grade students of Rice School District (Sacaton, Arizona), their teacher, and the parents and friends of the students of the San Carlos Apache Indian Reservation (Arizona). The 24 student contributors prepared…

  11. Apache, Vol. II.

    Science.gov (United States)

    Bodiroga, Ronald, Comp.; And Others

    The short stories, poems, songs, and cultural descriptions about American Indians (volume 2 of two) are the result of a combined effort of the 7th grade students of Rice School District (Sacaton, Arizona), their teacher, and the parents and friends of the students of the San Carlos Apache Indian Reservation (Arizona). The 24 student contributors…

  12. SAN CARLOS APACHE PAPERS.

    Science.gov (United States)

    ROESSEL, ROBERT A., JR.

    THE FIRST SECTION OF THIS BOOK COVERS THE HISTORICAL AND CULTURAL BACKGROUND OF THE SAN CARLOS APACHE INDIANS, AS WELL AS AN HISTORICAL SKETCH OF THE DEVELOPMENT OF THEIR FORMAL EDUCATIONAL SYSTEM. THE SECOND SECTION IS DEVOTED TO THE PROBLEMS OF TEACHERS OF THE INDIAN CHILDREN IN GLOBE AND SAN CARLOS, ARIZONA. IT IS DIVIDED INTO THREE PARTS--(1)…

  13. Research on APACHEscores predicting delirium incidence of patients receiving invasive mechanical ventilation in ICU%APACHEⅡ评分预测ICU有创机械通气患者谵妄的应用研究

    Institute of Scientific and Technical Information of China (English)

    刘春峰; 姚炳荣; 徐爱明; 徐朝晖; 施红伟

    2015-01-01

    Objective To study the correlation between APACHEⅡscores and the probability of patients who are receving invasive mechanical ventilation suffering delirium and the value of predicting delirium. Methods Chose patients receiving invasive mechanical ventilation from January 2011 to January 2014 in ICU for the study and collected APACHEscores of each patient within the first 24 hours. Using Consciousness Assessment Method-ICU (CAM-ICU) to diagnose delirium, divided patients into delirium group and non-delirium group, analyzed and compared APACHEⅡscores of this two groups with statistical methods when difference(P<0.05) was statistically significant. Plot APACHEscores characteristic curve (ROC curve), calculated the area under this ROC curve and carried out predictive value of delirium occurring. Results 50 patients were divided into two groups: delirium group, 28 cases;non-delirium group, 22 cases, the incidence of delirium was 56.0%. APACHEⅡscores of delirium group (29.0±5.6) points, were higher than that of non-delirium group (19.5±4.1) points and the difference was statistically significance (P<0.05). The area under ROC curve of APACHEⅡ scores was 0.920, and then we can determine that the best breaking point of delirium occuring was≥21 points with 100%sensitivity, 68.2%specificity, 80.0%positive predictive value and 100.0%negative predictive value. Conclusion APACHEⅡscores are risk factors of patients who are receving mechanical ventilation suffering delirium. And APACHEscores have high predictive value for those patients. The method of prediction is simple, practical and operational.%目的:探讨APACHEⅡ评分结果与有创机械通气患者发生谵妄的相关性及预测发生谵妄的价值。方法选择2011年1月至2014年1月在我科接受有创机械通气患者为研究对象,采集每位患者入科最初24 h内APACHEⅡ评分结果;采用ICU谵妄诊断的意识状态评估法(CAM-ICU)进行谵妄评估,将

  14. Mastering Apache Cassandra

    CERN Document Server

    Neeraj, Nishant

    2013-01-01

    Mastering Apache Cassandra is a practical, hands-on guide with step-by-step instructions. The smooth and easy tutorial approach focuses on showing people how to utilize Cassandra to its full potential.This book is aimed at intermediate Cassandra users. It is best suited for startups where developers have to wear multiple hats: programmer, DevOps, release manager, convincing clients, and handling failures. No prior knowledge of Cassandra is required.

  15. Comparison of WAIS-III Short Forms for Measuring Index and Full-Scale Scores

    Science.gov (United States)

    Girard, Todd A.; Axelrod, Bradley N.; Wilkins, Leanne K.

    2010-01-01

    This investigation assessed the ability of the Wechsler Adult Intelligence Scale-Third Edition (WAIS-III) short forms to estimate both index and IQ scores in a large, mixed clinical sample (N = 809). More specifically, a commonly used modification of Ward's seven-subtest short form (SF7-A), a recently proposed index-based SF7-C and eight-subtest…

  16. MR imaging of acute pancreatitis: Correlation of abdominal wall edema with severity scores

    Energy Technology Data Exchange (ETDEWEB)

    Yang, Ru, E-mail: yangru0904@163.com [Sichuan Key laboratory of Medical Imaging, Department of Radiology, Affiliated Hospital of North Sichuan Medical College, Nanchong 637000 (China); Jing, Zong Lin, E-mail: jzl325@163.com [Sichuan Key laboratory of Medical Imaging, Department of Radiology, Affiliated Hospital of North Sichuan Medical College, Nanchong 637000 (China); Zhang, Xiao Ming, E-mail: zhangxm@nsmc.edu.cn [Sichuan Key laboratory of Medical Imaging, Department of Radiology, Affiliated Hospital of North Sichuan Medical College, Nanchong 637000 (China); Tang, Wei, E-mail: tw-n-g-up@163.com [Sichuan Key laboratory of Medical Imaging, Department of Radiology, Affiliated Hospital of North Sichuan Medical College, Nanchong 637000 (China); Xiao, Bo, E-mail: xiaoboimaging@163.com [Sichuan Key laboratory of Medical Imaging, Department of Radiology, Affiliated Hospital of North Sichuan Medical College, Nanchong 637000 (China); Huang, Xiao Hua, E-mail: nc_hxh1966@yahoo.com.cn [Sichuan Key laboratory of Medical Imaging, Department of Radiology, Affiliated Hospital of North Sichuan Medical College, Nanchong 637000 (China); Yang, Lin, E-mail: llinyangmd@163.com [Sichuan Key laboratory of Medical Imaging, Department of Radiology, Affiliated Hospital of North Sichuan Medical College, Nanchong 637000 (China); Feng, Zhi Song, E-mail: fengzhisong@medmail.com.cn [Department of Gastroenterology, Affiliated Hospital of North Sichuan Medical College, Nanchong 637000 (China)

    2012-11-15

    Objective: To study MRI findings of abdominal wall edema (AWE) in acute pancreatitis as well as correlations between AWE and the severity of acute pancreatitis according to the MR severity index (MRSI) and the Acute Physiology And Chronic Healthy Evaluation III (APACHE III) scoring system. Materials and methods: A total of 160 patients with AP admitted to our institution between December 2009 and March 2011 were included in this study. MRI was performed within 48 h after admission. MRI findings of acute pancreatitis were noted, including AWE on the MRI. The abdominal wall area was divided into quarters, and each area involved was recorded as 1 point to score the severity of AWE. The severity of acute pancreatitis was studied using both the MRSI and the APACHE III scoring system. Spearman correlation of AWE with the MRSI and the APACHE III scoring system was analyzed. Results: In 160 patients with acute pancreatitis, 53.8% had AWE on MRI. The average AWE score was 1.2 {+-} 1.4 points. The prevalence of AWE was 30.5%, 64.5% and 100% in mild, moderate and severe AP, respectively, according to MRSI. AWE on MRI was correlated with MRSI scores (r = 0.441, p = 0.000). According to APACHE III scores, the averages were 2.0 {+-} 1.1 and 2.6 {+-} 1.1 points in mild AP and severe AP, respectively (P = 0.016). AWE was slightly correlated with the APACHE III scores (r = 0.222, p = 0.005). Conclusion: AWE on MRI in acute pancreatitis is common, which may be a supplementary indicator in determining the severity of AP.

  17. Predicting scores of the Halstead Category Test with the WAIS-III.

    Science.gov (United States)

    Titus, Jeffrey B; Retzlaff, Paul D; Dean, Raymond S

    2002-09-01

    The Halstead Category Test (HCT) and the Wechsler Adult Intelligence Scale (WAIS) are two of the most widely used neuropsychological tests. Often assessment conclusions are dependent upon the comparison of these measures. Therefore, it is crucial for clinicians to know how they relate to one another. This study examined the relationship between the HCT and the WAIS-III with undergraduate psychology students. Correlational analyses were conducted between HCT scores and WAIS-III subtests, Verbal and Performance IQ, and Full Scale IQ scores. Additionally, the new WAIS-III scales (Letter-Number Sequencing, Matrix Reasoning, and Symbol Search) were further examined. Regression analyses were run to develop predictor equations for the HCT using VIQ, PIQ, and FSIQ. Finally, predictor tables were generated between the HCT and VIQ, PIQ, and FSIQ to provide assessment of brain dysfunction for clinical use.

  18. Apache 2 Pocket Reference For Apache Programmers & Administrators

    CERN Document Server

    Ford, Andrew

    2008-01-01

    Even if you know the Apache web server inside and out, you still need an occasional on-the-job reminder -- especially if you're moving to the newer Apache 2.x. Apache 2 Pocket Reference gives you exactly what you need to get the job done without forcing you to plow through a cumbersome, doorstop-sized reference. This Book provides essential information to help you configure and maintain the server quickly, with brief explanations that get directly to the point. It covers Apache 2.x, giving web masters, web administrators, and programmers a quick and easy reference solution. This pocket r

  19. Co-norming the WAIS-III and WMS-III: Is there a test-order effect on IQ and memory scores?

    Science.gov (United States)

    Zhu, J; Tulsky, D S

    2000-11-01

    Test-order effect on the WAIS-III and WMS-III scores was evaluated using the WMS-III standardization sample. Participants completed the standardization editions of the WAIS-III and WMS-III in one session, with the tests administered in roughly counterbalanced order. Repeated measure MANOVA analyses were conducted to determine if there was an overall test-order effect for subtest, index, or IQ scores. No significant test-order effects were found for either the WAIS-III index or IQ scores or for the WMS-III index scores. At the subtest level, the majority of the WAIS-III and WMS-III subtests did not show a significant test-order effect. The exceptions were Digit Span and Digit Symbol-Coding on the WAIS-III and Faces II and Logical Memory II on the WMS-III. Although statistically significant test-order effects were found on these subtests, the effect sizes were small. This study indicates that the test-order effect is not a potential threat to the internal validity of the WAIS-III and WMS-III normative data. The practical implications of the current study are discussed.

  20. Instant Apache Sqoop

    CERN Document Server

    Jain, Ankit

    2013-01-01

    Filled with practical, step-by-step instructions and clear explanations for the most important and useful tasks. Instant Apache Sqoop is full of step-by-step instructions and practical examples along with challenges to test and improve your knowledge.This book is great for developers who are looking to get a good grounding in how to effectively and efficiently move data between RDBMS and the Hadoop ecosystem. It's assumed that you will have some experience in Hadoop already as well as some familiarity with HBase and Hive.

  1. The Guiding Value of Procalcitonin and APACHEⅡScore for Prognosis of Sepsis%降钙素原联合APACHE Ⅱ评分对脓毒症病情及预后判断的指导价值

    Institute of Scientific and Technical Information of China (English)

    夏凤强

    2014-01-01

    Objective To investigate the value of serum procalcitonin (PCT) detection combined with APACHEscore for the prognosis of patients with sepsis. Methods A total of 68 patients with sepsis in the ICU(Intensive Care Unit)of the Fourth Hospital in Changsha were divided into three groups according to clinical severity: early sepsis group, severe sepsis group and septic shock group. For septic patients in each group, serum PCT values were detected, APACHEscores were calculated simultaneously, and the correlations between PCT and APACHE Ⅱ were analyzed. Then patients were divided into survival group and death group according to their different outcomes, to evaluate the guiding value of PCT and APACHEscore for prognosis of sepsis. Results The PCT values in early sepsis group were obviously below that in severe group, and PCT values in severe group were obviously below that in septic shock group, the differences were statistically signiifcant(P<0.05), moreover, the PCT and APACHEscores of death group were signiifcantly higher than that of survival group, the difference was statistically signiifcant (P <0.05) Conclusion The PCT levels of patients with sepsis and their APACHEscores are correlated; It is valuable to detect the PCT levels combined with APACHEscores for the prognosis of patients with sepsis.%目的:探讨血清降钙素原(PCT)检测联合APACHEⅡ评分对脓毒症病情及预后的价值。方法对长沙市第四医院重症医学科68例脓毒症患者按疾病的严重程度分为脓毒症组、严重脓毒症组、脓毒性休克组,分别检测各组血清PCT,并同时进行APACHEⅡ评分,对PCT与APACHEⅡ进行相关性分析。然后再根据患者转归不同分为生存组和死亡组,评价PCT、APACHEⅡ评分对脓毒症预后的判断的指导价值。结果脓毒症组PCT低于严重脓毒症组,严重脓毒症组PCT低于脓毒性休克组,其差异均具有统计学意义(P<0.05),死亡

  2. Apache Cordova 3 programming

    CERN Document Server

    Wargo, John M

    2013-01-01

    Written for experienced mobile developers, Apache Cordova 3 Programming is a complete introduction to Apache Cordova 3 and Adobe PhoneGap 3. It describes what makes Cordova important and shows how to install and use the tools, the new Cordova CLI, the native SDKs, and more. If you’re brand new to Cordova, this book will be just what you need to get started. If you’re familiar with an older version of Cordova, this book will show you in detail how to use all of the new stuff that’s in Cordova 3 plus stuff that has been around for a while (like the Cordova core APIs). After walking you through the process of downloading and setting up the framework, mobile expert John M. Wargo shows you how to install and use the command line tools to manage the Cordova application lifecycle and how to set up and use development environments for several of the more popular Cordova supported mobile device platforms. Of special interest to new developers are the chapters on the anatomy of a Cordova application, as well ...

  3. Examination of various WMS-III logical memory scores in the assessment of response bias.

    Science.gov (United States)

    Bortnik, Kirsty E; Boone, Kyle B; Marion, Sarah D; Amano, Stacy; Ziegler, Elizabeth; Cottingham, Maria E; Victor, Tara L; Zeller, Michelle A

    2010-02-01

    The assessment of response validity during neuropsychological evaluation is an integral part of the testing process. Research has increasingly focused on the use of "embedded" effort measures (derived from standard neuropsychological tasks) because they do not require additional administration time and are less likely to be identified as effort indicators by test takers because of their primary focus as measures of cognitive function. The current study examined the clinical utility of various WMS-III Logical Memory scores in detecting response bias, as well as the Rarely Missed Index, an embedded effort indicator derived from the WMS-III Logical Memory Delayed Recognition subtest. The Rarely Missed Index cut-off only identified 24.1% of 63 non-credible participants (at >/=90% specificity in 125 credible patients), and cut-offs for other Logical Memory variables were in fact found to be more sensitive to non-credible performance. A new indicator, consisting of the weighted combination of the two most sensitive Logical Memory subtest scores (Logical Memory II raw score and Logical Memory Delayed Recognition raw score), was associated with 53% to 60% sensitivity, and thus may be an effective adjunct when utilized in conjunction with other validated effort indicators and collateral information in identifying non-credible performance.

  4. Incremental criterion validity of WAIS-IV factor index scores: relationships with WIAT-II and WIAT-III subtest and composite scores.

    Science.gov (United States)

    Canivez, Gary L

    2013-06-01

    The present study examined the incremental validity of Wechsler Adult Intelligence Scale-4th Edition (WAIS-IV; Wechsler, 2008a) factor index scores in predicting academic achievement on the Wechsler Individual Achievement Test-2nd Edition (WIAT-II; Psychological Corporation, 2002a) and on the Wechsler Individual Achievement Test-3rd Edition (WIAT-III; Wechsler, 2009a) beyond that predicted by the WAIS-IV Full Scale IQ (FSIQ). As with previous intelligence test incremental validity studies, the WAIS-IV FSIQ accounted for statistically significant and generally large portions of WIAT-II and WIAT-III subtest and composite score variance. WAIS-IV factor index scores combined to provide statistically significant increments in variance accounted for in most WIAT-II and WIAT-III subtest and composite scores over and above the FSIQ score; however, the effect sizes ranged from trivial to medium as observed in investigations with other intelligence tests (i.e., Glutting, Watkins, Konold, & McDermott, 2006; Youngstrom, Kogos, & Glutting, 1999). Individually, the WAIS-IV factor index scores provided trivial to small unique contributions to predicting WIAT-II and WIAT-III scores. This finding indicated that the FSIQ should retain primacy and greatest interpretive weight in WAIS-IV interpretation, as previously indicated by WAIS-IV subtest variance partitions form hierarchical exploratory factor analyses (Canivez & Watkins, 2010a, 2012b).

  5. Yahoo赞助Apache

    Institute of Scientific and Technical Information of China (English)

    2008-01-01

    近日,Yahoo宣布成为Apache基金会(ASF)的白金赞助商。Yahoo表示他们的资金赞助是非盈利性质的,向ASF提供必要的营业资金和硬件基础设施,为ASF的一些项目产业化提供资源。在公司的B10g上,Yahoo特别表达了对ApacheLucene和Hadoop两个项目的兴趣,并且已经雇用了这两个项目的创始人兼Apache副总裁Doug Cutting。

  6. WAIS-III processing speed index scores after TBI: the influence of working memory, psychomotor speed and perceptual processing.

    Science.gov (United States)

    Kennedy, Jan E; Clement, Pamelia F; Curtiss, Glenn

    2003-08-01

    This study investigates the extent to which working memory, motor speed and perceptual processing speed influence Wechsler Adult Intelligence Scale-III (WAIS-III) Processing Speed Index (PSI) scores. Sixty-eight adult outpatients with Traumatic Brain Injury (TBI) of varying severity and complete data on all outcome measures were identified. Two cases with outlying values on one outcome measure were omitted from the final sample. Working memory was measured by the Working Memory Index score from the WAIS-III. Motor speed was measured as score on the Halstead-Reitan Finger Oscillation Test (finger tapping) and perceptual processing as score on the Trail Making Test--Part B. In hierarchical multiple regression analyses, working memory accounted for 10% of the variance in PSI scores, whereas motor speed only accounted for 3%. An independent measure of perceptual processing, Trail Making Test--B, accounted for 26% of the variance in WAIS-III PSI scores. The total variance accounted for by the three factors was 56%. Findings confirm that the WAIS-III PSI scores of individuals who have received a TBI reflect perceptual processing speed, with an additional component attributable to working memory. Motor speed made only a small contribution to WAIS-III PSI scores in the present sample.

  7. Collagen I and III and metalloproteinase gene and protein expression in prostate cancer in relation to Gleason score

    Directory of Open Access Journals (Sweden)

    Antonio H. Duarte

    2012-06-01

    Full Text Available PURPOSE: To evaluate if the expression of metalloproteinase, collagen I and III are related to Gleason score, preoperative PSA and pathological stage in prostate cancer. MATERIALS AND METHODS: Our study group included radical prostatectomy specimens of 33 patients with prostatic adenocarcinoma who underwent surgery from 2001 to 2009. Patients were divided into 3 groups: Gleason score=6 (13 patients, Gleason score=7 (10 patients, Gleason score>8 (10 patients. The control group included prostates of patients submitted to cystoprostatectomy and benign prostatic tissues adjacent to the cancer area. Specific areas of tissues were selected under microscope and further processed for collagen I and III analysis by real time PCR. In addition, 10 deparaffined sections of each group were used to evaluate collagen I, III and metalloproteinase immune expression. The results were correlated with Gleason score, preoperative PSA and pathological stage. RESULTS: We found significant difference in both collagen I and III gene expression between benign and tumoral areas in the prostate samples from Gleason score=6 (collagen I=0.4±0.2 vs 5±2.4, p8 (collagen I=8±3.4 vs 1.4±0.8, p<0.07; collagen III=1.8±0.5 vs 0.6±0.1, p<0.05. There was no correlation of collagen expression with Gleason score, preoperative PSA or pathological stage. There was a positive correlation between metalloproteinase expression and Gleason score (r²=0.47. CONCLUSIONS: The positive correlation between metalloproteinase expression and Gleason score suggests that metalloproteinase could be a promising factor to improve Gleason score evaluation. Its expression and regulation do not seem to be related with collagen degradation.

  8. Apache Flink: Distributed Stream Data Processing

    CERN Document Server

    Jacobs, Kevin; CERN. Geneva. IT Department

    2016-01-01

    The amount of data is growing significantly over the past few years. Therefore, the need for distributed data processing frameworks is growing. Currently, there are two well-known data processing frameworks with an API for data batches and an API for data streams which are named Apache Flink and Apache Spark. Both Apache Spark and Apache Flink are improving upon the MapReduce implementation of the Apache Hadoop framework. MapReduce is the first programming model for distributed processing on large scale that is available in Apache Hadoop. This report compares the Stream API and the Batch API for both frameworks.

  9. An integrated framework for outsourcing using balanced score card and ELECTRE III

    Directory of Open Access Journals (Sweden)

    Sareh Namazi

    2011-04-01

    Full Text Available During the past few decades, many organizations have attempted to increase their productivity through outsourcing parts of their responsibilities. Outsourcing helps firms reduce their low value added activities and focus on their high value added activities. It also helps organization save their time and energy which leads to more efficient units. The idea of outsourcing is more important for project based organizations where the nature of works is different from a particular project to another one. This paper presents an integrated balanced score card system with an adaptation of ELECTRE III method to select suitable resources for outsourcing. The proposed model of the paper is implemented for a case study of subway system in Iran and the results are discussed.

  10. APACHE II: preliminary report on 100 intensive care unit cases in University Hospital, Kuala Lumpur.

    Science.gov (United States)

    Teoh, G S; Mah, K K; abd Majid, S; Streram; Yee, M K

    1991-03-01

    A good overall assessment of the severity of illnesses of patients admitted to a general intensive care unit (ICU) is not without problems. The APACHE (acute physiology and chronic health evaluation) prognostic scoring system enables us to stratify acutely ill patients and compare efficiency of ICU therapy in different hospitals. This preliminary study carried out on 100 consecutive admissions to the ICU in University Hospital, Kuala Lumpur showed the spectrum of ICU admissions and the direct relationship between APACHE II score and mortality.

  11. Could test length or order affect scores on letter number sequencing of the WAIS-III and WMS-III? Ruling out effects of fatigue.

    Science.gov (United States)

    Tulsky, D S; Zhu, J

    2000-11-01

    The Letter Number Sequencing subtest of the WAIS-III and WMS-III was administered at the end of the standardization edition of the WMS-III. It was not administered as part of the WAIS-III standardization battery. Nevertheless, the subtest was included in the published version of the WAIS-III. This study examines differences between examinees administered the Letter Number Sequencing subtest at three different times during a psychological battery: (1) as part of the published battery, (2) as part of the WMS-III when the WMS-III was administered as the first test in a sequence, and (3) as part of the WMS-III standardization when the WAIS-III was administered immediately preceding the WMS-III. The participants were 372 examinees ( n = 124 in each condition) who were matched on key demographic variables. A repeated measures MANOVA yielded no difference in subtest scores when administered in any of these conditions. The results show no evidence of fatigue or ordering effects on the Letter Number Sequencing subtest.

  12. Curriculum Program for the Apache Language.

    Science.gov (United States)

    Whiteriver Public Schools, AZ.

    These curriculum materials from the Whiteriver (Arizona) Elementary School consist of--(1) an English-Apache word list of some of the most commonly used words in Apache, 29p.; (2) a list of enclitics with approximate or suggested meanings and illustrations of usage, 5 p.; (3) an illustrated chart of Apache vowels and consonants, various written…

  13. Apache ZooKeeper essentials

    CERN Document Server

    Haloi, Saurav

    2015-01-01

    Whether you are a novice to ZooKeeper or already have some experience, you will be able to master the concepts of ZooKeeper and its usage with ease. This book assumes you to have some prior knowledge of distributed systems and high-level programming knowledge of C, Java, or Python, but no experience with Apache ZooKeeper is required.

  14. Ketepatan MESS (mangled extremity severity score) pada penentuan amputasi dini fraktur terbuka tibia tipe III sesuai klasifikasi Gustilo

    OpenAIRE

    Armis, Armis

    2015-01-01

    The amputation and reconstructive procedure of the management of open tibial fracture type III is still of interest and controversy because the amputation effort is considered as a punishment of primary treatment but a reconstructive method in massive lower extremity trauma is difficult. The MESS is a scoring system that can be applied to mangled extremity and help one determines which mangled limb will eventually come to amputation. The record of 28 open tibial fracture type III patients had...

  15. Apache Wars: A Constabulary Perspective

    Science.gov (United States)

    2007-11-02

    to create an acceptable level of violence. The Second Apache Insurgency: Mexico In September 1810, Padre Miguel Hidalgo called for Mexican...just as it did in Southwest America after the Treaty of Hidalgo ended the war with Mexico. These occupations are similar in that the US Army sought... Hidalgo ending the war in 1848, it gained the better part of nine current states, land that also came with many Indian tribes. One associated group of

  16. Dynamic Apache with Ajax and JSON

    CERN Document Server

    Brown, Tracy

    2006-01-01

    Want to make your Ajax apps more dynamic? This Short Cut shows you how. It covers: Using the Apache 2.2.x framework to build MVC applications incorporating design patternsBuilding custom Apache modules that handle Ajax requests using JSONSolving the page refresh problem in Ajax apps by tracking persistent sessions and using that information to reset the user interface when appropriate We walk you through, in detail and with complete code listings, how to develop the necessary Apache 2.2.x modules. And we conclude with a comprehensive set of appendixes that cover the entire Apache development

  17. Learning Apache Solr high performance

    CERN Document Server

    Mohan, Surendra

    2014-01-01

    This book is an easy-to-follow guide, full of hands-on, real-world examples. Each topic is explained and demonstrated in a specific and user-friendly flow, from search optimization using Solr to Deployment of Zookeeper applications. This book is ideal for Apache Solr developers and want to learn different techniques to optimize Solr performance with utmost efficiency, along with effectively troubleshooting the problems that usually occur while trying to boost performance. Familiarity with search servers and database querying is expected.

  18. Instant Apache Camel messaging system

    CERN Document Server

    Sharapov, Evgeniy

    2013-01-01

    Get to grips with a new technology, understand what it is and what it can do for you, and then get to work with the most important features and tasks. A beginner's guide to Apache Camel that walks you through basic operations like installation and setup right through to developing simple applications.This book is a good starting point for Java developers who have to work on an application dealing with various systems and interfaces but who haven't yet started using Enterprise System Buses or Java Business Integration frameworks.

  19. Random Decision Forests on Apache Spark

    CERN Document Server

    CERN. Geneva

    2016-01-01

    About the speaker Tom White has been an Apache Hadoop committer since February 2007, and is a member of the Apache Software Foundation. He works for Cloudera, a company set up to offer Hadoop support and training. Previously he was as an independent Hadoop consultant, work...

  20. Apache Flume distributed log collection for Hadoop

    CERN Document Server

    D'Souza, Subas

    2013-01-01

    A starter guide that covers Apache Flume in detail.Apache Flume: Distributed Log Collection for Hadoop is intended for people who are responsible for moving datasets into Hadoop in a timely and reliable manner like software engineers, database administrators, and data warehouse administrators

  1. What's New in Apache Web Server 22?

    CERN Document Server

    Bowen, Rich

    2007-01-01

    What's New in Apache Web Server 2.2? shows you all the new features you'll know to set up and administer the Apache 2.2 web server. Learn how to take advantage of its improved caching, proxying, authentication, and other improvements in your Web 2.0 applications.

  2. Accuracy of the ABC/2 score for intracerebral hemorrhage: Systematic review and analysis of MISTIE, CLEAR-IVH, CLEAR III

    Science.gov (United States)

    Webb, Alastair JS; Ullman, Natalie L; Morgan, Tim C; Muschelli, John; Kornbluth, Joshua; Awad, Issam A; Mayo, Stephen; Rosenblum, Michael; Ziai, Wendy; Zuccarrello, Mario; Aldrich, Francois; John, Sayona; Harnof, Sagi; Lopez, George; Broaddus, William C; Wijman, Christine; Vespa, Paul; Bullock, Ross; Haines, Stephen J; Cruz-Flores, Salvador; Tuhrim, Stan; Hill, Michael D; Narayan, Raj; Hanley, Daniel F

    2015-01-01

    Background and Purpose The ABC/2 score estimates intracerebral hemorrhage (ICH) volume, yet validations have been limited by small samples and inappropriate outcome measures. We determined accuracy of the ABC/2 score calculated at a specialized Reading Center (RC-ABC) or local site (site-ABC) versus the reference-standard CT-based planimetry (CTP). Methods In MISTIE-II, CLEAR-IVH and CLEAR-III trials, ICH volume was prospectively calculated by CTP, RC-ABC and site-ABC. Agreement between CTP and ABC/2 was defined as an absolute difference up to 5ml and relative difference within 20%. Determinants of ABC/2 accuracy were assessed by logistic regression. Results In 4369 scans from 507 patients, CTP was more strongly correlated with RC-ABC (r2=0.93) than site-ABC (r2=0.87). Although RC-ABC overestimated CTP-based volume on average (RC-ABC=15.2cm3, CTP=12.7cm3), agreement was reasonable when categorised into mild, moderate and severe ICH (kappa 0.75, p<0.001). This was consistent with overestimation of ICH volume in 6/8 previous studies. Agreement with CTP was greater for RC-ABC (84% within 5ml; 48% of scans within 20%) than for site-ABC (81% within 5ml; 41% within 20%). RC-ABC had moderate accuracy for detecting ≥ 5ml change in CTP volume between consecutive scans (sensitivity 0.76, specificity 0.86) and was more accurate with smaller ICH, thalamic haemorrhage and homogeneous clots. Conclusions ABC/2 scores at local or central sites are sufficiently accurate to categorise ICH volume and assess eligibility for the CLEAR III and MISTIE III studies, and moderately accurate for change in ICH volume. However, accuracy decreases with large, irregular or lobar clots. Clinical Trial Registration MISTIE-II NCT00224770; CLEAR-III NCT00784134; www.clinicaltrials.gov PMID:26243227

  3. Profile and severity of the patients of intensive care units: prospective application of the APACHE II index.

    Science.gov (United States)

    De Freitas, Eliane Regina Ferreira Sernache

    2010-01-01

    This study aimed to understand the profile and severity of patients in physiotherapy treatment after their admission to the intensive care unit (ICU) by applying the APACHE II index. One hundred and forty six subjects, with a mean age of 60.5 +/- 19.2 years, were evaluated. The APACHE II index was applied in the first 24 hours to evaluate the severity and mortality risk score. Patients were monitored until hospital discharge or death. The mean APACHE II score was 20+/-7.3 with an estimated risk of death of 32.4% and observed mortality of 58.2%. The mean hospital stay was 27.8+/-25.2 days. The patients in physiotherapy at the institution studied were predominantly male, elderly, from the emergency service for treatment (non-surgical), and had clear severity, suggested by the APACHE II score and the observed mortality.

  4. APACHE II AS AN INDICATOR OF VENTILATOR-ASSOCIATED PNEUMONIA (VAP

    Directory of Open Access Journals (Sweden)

    Kelser de Souza Kock

    2015-07-01

    Full Text Available Background and objectives: strategies for risk stratification in severe pathologies are extremely important. The aim of this study was to analyze the accuracy of the APACHE II score as an indicator of Ventilator-Associated Pneumonia (VAP in ICU patient sat Hospital Nossa Senhora da Conceição (HNSC Tubarão-SC. Methods: It was conducted a prospective cohort study with 120 patients admitted between March and August 2013, being held APACHE II in the first 24 hours of mechanical ventilation (MV. Patients were followed until the following gout comes: discharge or death. It was also analyzed the cause of ICU admission, age, gender, days of mechanical ventilation, length of ICU and outcome. Results: The incidence of VAP was 31.8% (38/120. Two variables showed a relative riskin the development of VAP, APACHE II above average (RR = 1,62; IC 95% 1,03-2,55 and males (RR = 1,56; IC 95 % 1,18-2,08. The duration of mechanical ventilation (days above average18.4± 14.9(p =0.001, ICU stay (days above average 20.4± 15.3(p =0.003 presented the development of VAP. The accuracy of APACHE II in predicting VAP score >23, showed a sensitivity of 84% and specificity of 33%. Inrelation to death, two variables showed relative risk, age above average (RR=2.08; 95% CI =1.34 to 3.23 and ICU stay above average (RR=2.05; CI 95 =1.28 to 3.28%. Conclusion: The APACHE II score above or equal 23 might to indicate the risk of VAP. Keywords: Pneumonia, Ventilator-Associated, Intensive Care Units, APACHE. Prognosis

  5. Use of APACHE II and SAPS II to predict mortality for hemorrhagic and ischemic stroke patients.

    Science.gov (United States)

    Moon, Byeong Hoo; Park, Sang Kyu; Jang, Dong Kyu; Jang, Kyoung Sool; Kim, Jong Tae; Han, Yong Min

    2015-01-01

    We studied the applicability of the Acute Physiology and Chronic Health Evaluation II (APACHE II) and Simplified Acute Physiology Score II (SAPS II) in patients admitted to the intensive care unit (ICU) with acute stroke and compared the results with the Glasgow Coma Scale (GCS) and National Institutes of Health Stroke Scale (NIHSS). We also conducted a comparative study of accuracy for predicting hemorrhagic and ischemic stroke mortality. Between January 2011 and December 2012, ischemic or hemorrhagic stroke patients admitted to the ICU were included in the study. APACHE II and SAPS II-predicted mortalities were compared using a calibration curve, the Hosmer-Lemeshow goodness-of-fit test, and the receiver operating characteristic (ROC) curve, and the results were compared with the GCS and NIHSS. Overall 498 patients were included in this study. The observed mortality was 26.3%, whereas APACHE II and SAPS II-predicted mortalities were 35.12% and 35.34%, respectively. The mean GCS and NIHSS scores were 9.43 and 21.63, respectively. The calibration curve was close to the line of perfect prediction. The ROC curve showed a slightly better prediction of mortality for APACHE II in hemorrhagic stroke patients and SAPS II in ischemic stroke patients. The GCS and NIHSS were inferior in predicting mortality in both patient groups. Although both the APACHE II and SAPS II systems can be used to measure performance in the neurosurgical ICU setting, the accuracy of APACHE II in hemorrhagic stroke patients and SAPS II in ischemic stroke patients was superior.

  6. Secure Applications Integration with Apache Camel

    Directory of Open Access Journals (Sweden)

    Sorin Popa

    2015-03-01

    Full Text Available Often, applications from a company need to collaborate by exchanging information with each other to support existing business processes. In this paper I present basic concepts about integration applications with Apache Camel and make a demonstration of encrypting messages with Camel components.

  7. Apache Flume distributed log collection for Hadoop

    CERN Document Server

    Hoffman, Steve

    2015-01-01

    If you are a Hadoop programmer who wants to learn about Flume to be able to move datasets into Hadoop in a timely and replicable manner, then this book is ideal for you. No prior knowledge about Apache Flume is necessary, but a basic knowledge of Hadoop and the Hadoop File System (HDFS) is assumed.

  8. LSVT-BIG Improves UPDRS III Scores at 4 Weeks in Parkinson's Disease Patients with Wearing Off: A Prospective, Open-Label Study.

    Science.gov (United States)

    Ueno, Tatsuya; Sasaki, Megumi; Nishijima, Haruo; Funamizu, Yukihisa; Kon, Tomoya; Haga, Rie; Arai, Akira; Suzuki, Chieko; Nunomura, Jin-Ichi; Baba, Masayuki; Tomiyama, Masahiko

    2017-01-01

    The efficacy of LSVT-BIG for advanced Parkinson's disease (PD) patients with wearing off remains to be determined. Therefore, we evaluated whether LSVT-BIG improves motor disability in eight PD patients with wearing off. Unified Parkinson's Disease Rating Scale (UPDRS) scores, daily off time, and mobility assessments were evaluated during the "on" time before and after the LSVT-BIG course. LSVT-BIG significantly improved UPDRS III scores at 4 weeks and UPDRS II scores in the "off" state at 12 weeks, with no changes in the other measures. The findings suggest that LSVT-BIG may be an effective therapy for advanced PD patients with wearing off.

  9. Apache 2.x完整新应用

    Institute of Scientific and Technical Information of China (English)

    马路遥

    2003-01-01

    Apache 1.3相比,Apache 2有许多重要的改进。Apache 2支持多线程和多进程;可以更好地支持诸如BeOS、OS2和Windows等非Unix操作系统,支持下一代互联网协议IPV6;Apache 2的配置文件也比Apache 1.3更容易管理.安装也更为容易。在对Apache 2的应用中,尤其是在Apache+SSL+PHP+Tomcat方面的应用.经常容易遇

  10. Implementasi Teleconference pada Moodle dengan Apache Openmeetings

    Directory of Open Access Journals (Sweden)

    I Made Warsa Kumara

    2014-06-01

    Full Text Available Berbagai terobosan dalam teknologi internet melahirkan berbagai fasilitas baru dalam dunia pendidikan. Teleconfrence adalah salah satunya yang mampu memperkaya fitur e-learning yang terus berkembang baik fungsi maupun kemampuannya. Dari sekian banyak aplikasi teleconference berbasis web yang tersedia gratis, dipilih Apace OpenMeetings karena memiliki fitur dan dokumentasi yang memadai dan cukup mudah untuk diinstal. Tulisan ini membahas bagaimana implementasi teleconference pada Moodle dengan aplikasi open source Apache OpenMeetings. Penelitian dilakukan dengan studi literatur pada sejumlah artikel dan tulisan yang berkaitan dengan Moodle, teleconference dan Apache OpenMeetings. Pengujian dilakukan pada server elearning Fakultas Kedokteran Universitas Warmadewa, dengan mencoba melakukan conference pada sebuah topik dalam elearning. Server elearning yang digunakan memiliki spesifikasi processor core 2 duo 2,8 GHz dengan Ram 1 GB dan jaringan kabel dengan kecepatan 100 Mbps.

  11. Optimizing CMS build infrastructure via Apache Mesos

    CERN Document Server

    Abduracmanov, David; Elmer, Peter; Eulisse, Giulio; Mendez, David; Muzaffar, Shahzad

    2015-01-01

    The Offline Software of the CMS Experiment at the Large Hadron Collider (LHC) at CERN consists of 6M lines of in-house code, developed over a decade by nearly 1000 physicists, as well as a comparable amount of general use open-source code. A critical ingredient to the success of the construction and early operation of the WLCG was the convergence, around the year 2000, on the use of a homogeneous environment of commodity x86-64 processors and Linux. Apache Mesos is a cluster manager that provides efficient resource isolation and sharing across distributed applications, or frameworks. It can run Hadoop, Jenkins, Spark, Aurora, and other applications on a dynamically shared pool of nodes. We present how we migrated our continuos integration system to schedule jobs on a relatively small Apache Mesos enabled cluster and how this resulted in better resource usage, higher peak performance and lower latency thanks to the dynamic scheduling capabilities of Mesos.

  12. Optimizing CMS build infrastructure via Apache Mesos

    Science.gov (United States)

    Abdurachmanov, David; Degano, Alessandro; Elmer, Peter; Eulisse, Giulio; Mendez, David; Muzaffar, Shahzad

    2015-12-01

    The Offline Software of the CMS Experiment at the Large Hadron Collider (LHC) at CERN consists of 6M lines of in-house code, developed over a decade by nearly 1000 physicists, as well as a comparable amount of general use open-source code. A critical ingredient to the success of the construction and early operation of the WLCG was the convergence, around the year 2000, on the use of a homogeneous environment of commodity x86-64 processors and Linux. Apache Mesos is a cluster manager that provides efficient resource isolation and sharing across distributed applications, or frameworks. It can run Hadoop, Jenkins, Spark, Aurora, and other applications on a dynamically shared pool of nodes. We present how we migrated our continuous integration system to schedule jobs on a relatively small Apache Mesos enabled cluster and how this resulted in better resource usage, higher peak performance and lower latency thanks to the dynamic scheduling capabilities of Mesos.

  13. Value of Different Scoring Methods for Surgical Risk Assessment of Patients with Gastrointestinal Malignancies%不同评分方法对胃肠恶性肿瘤病人手术风险评估的价值

    Institute of Scientific and Technical Information of China (English)

    刘文明; 严想元

    2015-01-01

    目的:比较APACHE APACHE Ⅱ 评分与POSSUM评分对胃肠恶性肿瘤患者手术风险评估的价值.方法:100例胃肠恶性肿瘤患者,术前1d、术后1d分别用APACHE APACHE Ⅱ 评分系统与POSSUM评分系统对患者进行评估,统计患者术后实际并发症发生率及死亡率,计算两种不同评分方法O/E值.结果:术前1d、术后1d APACHE APACHE Ⅱ 评分与POSSUM评分比较差异有统计学意义(P<0.05),APACHE II评分与POSSUM评分之间呈正相关;APACHE APACHE Ⅱ 评分对并发症、死亡发生预测O/E值分别为1.11、0.43,POSSUM评分对并发症、死亡发生预测O/E值分别为0.94、0.72.结论:POSSUM评分相对APACHE APACHE Ⅱ 评分,在胃肠恶性肿瘤患者手术风险(并发症及死亡率)评估上更有优势.%Objective: To compare the value of APACHEAPACHE and POSSUM score in the surgical risk assessment of patients with malignant gastrointestinal tumor.Methods: 100 cases of patients with gastrointestinal tract malignant tumor, 1 day before operation, postoperative 1D, respectively with APACHE APACHEscore system and POSSUM scoring system for patients evaluated, statistics of patients with postoperative complications occurred and the mortality rate calculated two different scoring methods O/E values.Results:At 1 day before operation, postoperative 1D APACHE APACHEscore and POSSUM scoring, the difference has statistical significance (P<0.05), there was a positive correlation between the APACHE II score and POSSUM scoring; APACHE IAPACHE Ⅱ score of complications and mortality prediction of O/E values were 1.11, 0.43, POSSUM scoring of complications and death prediction of O/E values of 0.94, 0.72, respectively.Conclusions:The POSSUM score relative to the APACHEAPACHE score was more advantageous in the assessment of surgical risks (complications and mortality) in patients with gastrointestinal malignancies.

  14. Wisdom Sits in Places: Landscape and Language among the Western Apache.

    Science.gov (United States)

    Basso, Keith H.

    This book of essays draws on a cultural geography project in which an ethnographer and Apache consultants mapped the area around Cibecue, on the Fort Apache Reservation (Arizona). The essays focus on different Apache individuals and examine the ways that Apache constructions of place reach deeply into other cultural spheres. Many Apache place…

  15. LSVT-BIG Improves UPDRS III Scores at 4 Weeks in Parkinson’s Disease Patients with Wearing Off: A Prospective, Open-Label Study

    Directory of Open Access Journals (Sweden)

    Tatsuya Ueno

    2017-01-01

    Full Text Available The efficacy of LSVT-BIG for advanced Parkinson’s disease (PD patients with wearing off remains to be determined. Therefore, we evaluated whether LSVT-BIG improves motor disability in eight PD patients with wearing off. Unified Parkinson’s Disease Rating Scale (UPDRS scores, daily off time, and mobility assessments were evaluated during the “on” time before and after the LSVT-BIG course. LSVT-BIG significantly improved UPDRS III scores at 4 weeks and UPDRS II scores in the “off” state at 12 weeks, with no changes in the other measures. The findings suggest that LSVT-BIG may be an effective therapy for advanced PD patients with wearing off.

  16. Grades 1-8, Apache Junction Unified School District 43, Apache Junction, Arizona. PLATO Evaluation Series.

    Science.gov (United States)

    Quinn, David W.; Quinn, Nancy W.

    Apache Junction Unified School District, Arizona, has embarked on a 5-year program of instructional improvement using technology. PLATO Elementary reading and mathematics products were installed in the district's elementary and middle schools at the beginning of the 1999-2000 school year. This evaluation studied the use and preliminary student…

  17. The Apache Point Observatory Galactic Evolution Experiment (APOGEE)

    CERN Document Server

    Majewski, Steven R; Frinchaboy, Peter M; Prieto, Carlos Allende; Barkhouser, Robert; Bizyaev, Dmitry; Blank, Basil; Brunner, Sophia; Burton, Adam; Carrera, Ricardo; Chojnowski, S Drew; Cunha, Katia; Epstein, Courtney; Fitzgerald, Greg; Perez, Ana E Garcia; Hearty, Fred R; Henderson, Chuck; Holtzman, Jon A; Johnson, Jennifer A; Lam, Charles R; Lawler, James E; Maseman, Paul; Meszaros, Szabolcs; Nelson, Matthew; Nguyen, Duy Coung; Nidever, David L; Pinsonneault, Marc; Shetrone, Matthew; Smee, Stephen; Smith, Verne V; Stolberg, Todd; Skrutskie, Michael F; Walker, Eric; Wilson, John C; Zasowski, Gail; Anders, Friedrich; Basu, Sarbani; Beland, Stephane; Blanton, Michael R; Bovy, Jo; Brownstein, Joel R; Carlberg, Joleen; Chaplin, William; Chiappini, Cristina; Eisenstein, Daniel J; Elsworth, Yvonne; Feuillet, Diane; Fleming, Scott W; Galbraith-Frew, Jessica; Garcia, Rafael A; Garcia-Hernandez, D Anibal; Gillespie, Bruce A; Girardi, Leo; Gunn, James E; Hasselquist, Sten; Hayden, Michael R; Hekker, Saskia; Ivans, Inese; Kinemuchi, Karen; Klaene, Mark; Mahadevan, Suvrath; Mathur, Savita; Mosser, Benoit; Muna, Demitri; Munn, Jeffrey A; Nichol, Robert C; O'Connell, Robert W; Robin, A C; Rocha-Pinto, Helio; Schultheis, Matthias; Serenelli, Aldo M; Shane, Neville; Aguirre, Victor Silva; Sobeck, Jennifer S; Thompson, Benjamin; Troup, Nicholas W; Weinberg, David H; Zamora, Olga

    2015-01-01

    The Apache Point Observatory Galactic Evolution Experiment (APOGEE), one of the programs in the Sloan Digital Sky Survey III (SDSS-III), has now completed its systematic, homogeneous spectroscopic survey sampling all major populations of the Milky Way. After a three year observing campaign on the Sloan 2.5-m Telescope, APOGEE has collected a half million high resolution (R~22,500), high S/N (>100), infrared (1.51-1.70 microns) spectra for 146,000 stars, with time series information via repeat visits to most of these stars. This paper describes the motivations for the survey and its overall design---hardware, field placement, target selection, operations---and gives an overview of these aspects as well as the data reduction, analysis and products. An index is also given to the complement of technical papers that describe various critical survey components in detail. Finally, we discuss the achieved survey performance and illustrate the variety of potential uses of the data products by way of a number of scienc...

  18. WISC-III subtests of similarities, vocabulary and comprehension: objective or subjective scoring? / Subtestes semelhanças, vocabulário e compreensão do WISC-III: pontuação objetiva ou subjetiva?

    Directory of Open Access Journals (Sweden)

    Vera Lucia Marques de Figueiredo

    2010-01-01

    Full Text Available In all psychological tests, scoring should be of concern for examiners because the accuracy of results depends, at some extent, on the quality of the correction. This work aims to examine the correction, by different psychologists, of the scores for the Wechsler Intelligence Scale for Children (WISC-III subtests of Similarities, Vocabulary and Comprehension since these are the subtests where examiner's subjectivity seemingly most influences scoring. Forty two psychologists from different states in Brazil participated in this study. They corrected the answers of six test protocols randomly selected from a standardization sample for the Brazilian context. Taking as reference the total scores, the Vocabulary subtest showed greater variability in score, followed by the Comprehension one. Considering the total number of items tested in each subtest, Similarities had the highest agreement among raters. The results showed that all the three subtests involve subjectivity on behalf of the examiner to score the answers. Continuing in this study, we also aim to determine test reliability based on interrater agreement.

  19. Discordance between WMS-III Word Lists subtest and RAVLT scores in older patients: four case examples.

    Science.gov (United States)

    Wen, Johnny H; Boone, Kyle

    2006-07-01

    To examine the adequacy of the WMS-III in the identification of memory deficits in older individuals, we administered the Word Lists subtest, along with a comparison measure, the Rey Auditory Verbal Learning Test (RAVLT), to four patients referred for assessment of dementia. Although the number of words recalled by the patients on the delayed trials of the Word Lists subtest and RAVLT were nearly identical, norms for the Word Lists subtest indicated that memory performance was within normal limits (i.e., low average or higher), while the RAVLT norms accurately characterized performance as impaired. We suspect that normative data for the WMS-III were compromised by inadvertent inclusion of older subjects with dementia or mild cognitive impairment. The findings from our cases call into question the use of the WMS-III Word Lists for older patients.

  20. 40 CFR 52.150 - Yavapai-Apache Reservation.

    Science.gov (United States)

    2010-07-01

    ... the Clean Air Act and the provisions of 40 CFR 52.21(g), the Yavapai-Apache Indian Reservation is...) The provisions for prevention of significant deterioration of air quality at 40 CFR 52.21 are... 40 Protection of Environment 3 2010-07-01 2010-07-01 false Yavapai-Apache Reservation....

  1. Go-Gii-Ya [A Jicarilla Apache Religious Celebration].

    Science.gov (United States)

    Pesata, Levi; And Others

    Developed by utilizing only Jicarilla Apache people as resources to preserve the authenticity of the material and information, this booklet presents information on the Jicarilla Apache celebration of "Go-gii-ya". "Go-gii-ya" is a religious feast and ceremony held annually over a three-day period which climaxes on the fifteenth day of September.…

  2. Apache Windows 2003安装指南

    Institute of Scientific and Technical Information of China (English)

    刘永明

    2005-01-01

    Apache 2和PHP是创建交互式网站的流行方案,而且成本很低,在Windows Server 2003中安装Apache 2是一件轻而易举的事情,但要使PHP 5与Apache 2配合无间地运行,就需要一定的技巧。在PHP 5手册的Windows安装小节,没有解释如何让PHP 5与Apache 2配合使用,而有关Apache 2安装的小节缺失了您需要的大量信息。

  3. Prognostic score for second-line chemotherapy of advanced non-small-cell lung cancer: external validation in a phase III trial comparing vinflunine with docetaxel.

    Science.gov (United States)

    Di Maio, Massimo; Krzakowski, Maciej; Fougeray, Ronan; Kowalski, Dariusz M; Gridelli, Cesare

    2012-07-01

    A prognostic index for second-line chemotherapy of NSCLC was previously developed, based on individual patient data (IPD) of nine randomized trials. In order to validate the prognostic score in an external dataset, we analysed IPD of a non-inferiority phase III trial comparing vinflunine vs. docetaxel in second-line treatment of advanced NSCLC. Primary endpoint of this analysis was overall survival (OS). The following variables were considered for survival analysis and score calculation: gender, performance status, stage of disease, tumour histology, type of first-line treatment, response to first-line treatment. Cox model, stratified by treatment arm, was used for multivariate analysis. Individual prognostic scores were derived, and patients were divided into 3 categories: 9 (worst). All 551 patients enrolled in the trial had complete information for the calculation of prognostic score. Median OS in the whole group was 6.9 months, with similar efficacy in the two treatment arms. Median OS was 12.9, 6.9 and 3.8 months in the best, intermediate and worst category, respectively. Cox model showed a significant effect comparing intermediate vs. best category (Hazard Ratio 1.79, 95%CI 1.31-2.47, p=0.0003) and comparing worst vs. best category (Hazard Ratio 3.25, 95%CI 2.18-4.83, pmodel was high (0.926), indicating a good discrimination according to the proposed three risk categories. Prognostic ability of our score for candidates to second-line treatment in advanced NSCLC was successfully validated, allowing the identification of subgroups of patients with more vs. less favourable outcome. Prognostic score could be useful in daily decision-making in clinical practise, because a better understanding of factors conditioning life expectancy of patients could greatly help a careful evaluation of risks and benefits associated with therapeutic decisions.

  4. 免费专业的Apache

    Institute of Scientific and Technical Information of China (English)

    2004-01-01

    Apache是一款免费的软件,可以在www.Apache.org网站的相关链接中下载。目前Apache是应用最广泛的Web服务器软件。整个Internet有半数以上的Web服务器采用Apache,它可以运行在Linux,Windows 9X/NT/2000/XP等多种系统上,Apache的主要优点是稳定性高、速度快、功能强,可扩展性强而且又是免费的,有开放的原代码,便于随

  5. LHCbDIRAC as Apache Mesos microservices

    CERN Multimedia

    Couturier, Ben

    2016-01-01

    The LHCb experiment relies on LHCbDIRAC, an extension of DIRAC, to drive its offline computing. This middleware provides a development framework and a complete set of components for building distributed computing systems. These components are currently installed and ran on virtual machines (VM) or bare metal hardware. Due to the increased load of work, high availability is becoming more and more important for the LHCbDIRAC services, and the current installation model is showing its limitations. Apache Mesos is a cluster manager which aims at abstracting heterogeneous physical resources on which various tasks can be distributed thanks to so called "framework". The Marathon framework is suitable for long running tasks such as the DIRAC services, while the Chronos framework meets the needs of cron-like tasks like the DIRAC agents. A combination of the service discovery tool Consul together with HAProxy allows to expose the running containers to the outside world while hiding their dynamic placements. Such an arc...

  6. San Carlos Apache Tribe - Energy Organizational Analysis

    Energy Technology Data Exchange (ETDEWEB)

    Rapp, James; Albert, Steve

    2012-04-01

    The San Carlos Apache Tribe (SCAT) was awarded $164,000 in late-2011 by the U.S. Department of Energy (U.S. DOE) Tribal Energy Program's "First Steps Toward Developing Renewable Energy and Energy Efficiency on Tribal Lands" Grant Program. This grant funded:  The analysis and selection of preferred form(s) of tribal energy organization (this Energy Organization Analysis, hereinafter referred to as "EOA").  Start-up staffing and other costs associated with the Phase 1 SCAT energy organization.  An intern program.  Staff training.  Tribal outreach and workshops regarding the new organization and SCAT energy programs and projects, including two annual tribal energy summits (2011 and 2012). This report documents the analysis and selection of preferred form(s) of a tribal energy organization.

  7. The performance of customised APACHE II and SAPS II in predicting mortality of mixed critically ill patients in a Thai medical intensive care unit.

    Science.gov (United States)

    Khwannimit, B; Bhurayanontachai, R

    2009-09-01

    The aim of this study was to evaluate and compare the performance of customised Acute Physiology and Chronic Health Evaluation HII (APACHE II) and Simplified Acute Physiology Score HII (SAPS II) in predicting hospital mortality of mixed critically ill Thai patients in a medical intensive care unit. A prospective cohort study was conducted over a four-year period. The subjects were randomly divided into calibration and validation groups. Logistic regression analysis was used for customisation. The performance of the scores was evaluated by the discrimination, calibration and overall fit in the overall group and across subgroups in the validation group. Two thousand and forty consecutive intensive care unit admissions during the study period were split into two groups. Both customised models showed excellent discrimination. The area under the receiver operating characteristic curve of the customised APACHE II was greater than the customised SAPS II (0.925 and 0.892, P APACHE II in overall populations and various subgroups but insufficient calibration for the customised SAPS II. The customised SAPS II showed good calibration in only the younger, postoperative and sepsis patients subgroups. The overall performance of the customised APACHE II was better than the customised SAPS II (Brier score 0.089 and 0.109, respectively). Our results indicate that the customised APACHE II shows better performance than the customised SAPS II in predicting hospital mortality and could be used to predict mortality and quality assessment in our unit or other intensive care units with a similar case mix.

  8. 76 FR 72969 - Proclaiming Certain Lands as Reservation for the Fort Sill Apache Indian Tribe

    Science.gov (United States)

    2011-11-28

    ... Bureau of Indian Affairs Proclaiming Certain Lands as Reservation for the Fort Sill Apache Indian Tribe... acres, more or less, as the Fort Sill Apache Indian Reservation for the Fort Sill Apache Tribe of... Apache Indian Reservation for the exclusive use of Indians entitled by enrollment or by tribal...

  9. Formal Education and Culture Change, A Modern Apache Indian Community and Government Education Programs.

    Science.gov (United States)

    Parmee, Edward A.

    The study critically examines conditions on the San Carlos Apache Reservation that have resulted from outside manipulation done without regard for the traditional heritage of the Apaches or without provision of training for the Apaches in understanding and facilitating change. The effects of educational experiences available to the Apaches are…

  10. The Trail Inventory of Bosque Del Apache NWR [Cycle 2

    Data.gov (United States)

    US Fish and Wildlife Service, Department of the Interior — The purpose of this report is to create a baseline inventory of all non-motorized trails on Bosque Del Apache National Wildlife Refuge. Trails in this inventory are...

  11. Bosque del Apache Wilderness: A report on wilderness character monitoring

    Data.gov (United States)

    US Fish and Wildlife Service, Department of the Interior — This report provides a detailed summary of the baseline wilderness character assessment completed for the Bosque del Apache National Wildlife Refuge Wilderness,...

  12. Comparison of BISAP, Ranson, MCTSI, and APACHE II in Predicting Severity and Prognoses of Hyperlipidemic Acute Pancreatitis in Chinese Patients

    OpenAIRE

    Lixin Yang; Jing Liu; Yun Xing; Lichuan Du; Jing Chen; Xin Liu; Jianyu Hao

    2016-01-01

    In recent years, with the developing of living standard, hyperlipidemia becomes the second major reason of acute pancreatitis. It is important to predict the severity and prognosis at early stage of hyperlipidemic acute pancreatitis (HLAP). We compared the BISAP, Ranson, MCTSI, and APACHE II scoring system in predicting MSAP and SAP, local complications, and mortality of HLAP. A total of 326 diagnosed hyperlipidemic acute pancreatitis patients from August 2006 to July 2015 were studied retros...

  13. 75 FR 68607 - BP Canada Energy Marketing Corp. Apache Corporation; Notice for Temporary Waivers

    Science.gov (United States)

    2010-11-08

    ... From the Federal Register Online via the Government Publishing Office DEPARTMENT OF ENERGY Federal Energy Regulatory Commission BP Canada Energy Marketing Corp. Apache Corporation; Notice for Temporary... Apache Corporation filed with the Federal Energy Regulatory Commission a Joint Petition for...

  14. Is Intermediate Radiation Dose Escalation With Concurrent Chemotherapy for Stage III Non–Small-Cell Lung Cancer Beneficial? A Multi-Institutional Propensity Score Matched Analysis

    Energy Technology Data Exchange (ETDEWEB)

    Rodrigues, George, E-mail: george.rodrigues@lhsc.on.ca [London Health Sciences Centre, London, Ontario (Canada); Oberije, Cary [MAASTRO Clinic, Maastricht (Netherlands); Senan, Suresh [VU University Medical Center, Amsterdam (Netherlands); Tsujino, Kayoko [Hyogo Cancer Center, Akashi (Japan); Wiersma, Terry [MAASTRO Clinic, Maastricht (Netherlands); Moreno-Jimenez, Marta [Universidad de Navarra, Pamplona (Spain); Kim, Tae Hyun [National Cancer Center, Goyang-si, Gy eonggi (Korea, Republic of); Marks, Lawrence B. [University of North Carolina, Chapel Hill, North Carolina (United States); Rengan, Ramesh [University of Washington, Seattle, Washington (United States); De Petris, Luigi [Karolinska University Hospital, Stockholm (Sweden); Ramella, Sara [Campus Bio-Medico University, Rome (Italy); DeRuyck, Kim [Ghent University, Ghent (Belgium); De Dios, Núria Rodriguez [Universidad Pompeu Fabra, Barcelona (Spain); Warner, Andrew [London Health Sciences Centre, London, Ontario (Canada); Bradley, Jeffrey D. [Washington University School of Medicine, St. Louis, Missouri (United States); Palma, David A. [London Health Sciences Centre, London, Ontario (Canada)

    2015-01-01

    Purpose: The clinical benefits and risks of dose escalation (DE) for stage III non–small-cell lung cancer (NSCLC) remain uncertain despite the results from Radiation Therapy Oncology Group (RTOG) protocol 0617. There is significant heterogeneity of practice, with many clinicians prescribing intermediate dose levels between the 0617 study arms of 60 and 74 Gy. This study investigated whether this strategy is associated with any survival benefits/risks by analyzing a large multi-institutional database. Methods and Materials: An individual patient database of stage III NSCLC patients treated with radical intent concurrent chemoradiation therapy was created (13 institutions, n=1274 patients). Patients were divided into 2 groups based on tumor Biological Effective Dose at 10 Gy (BED 10): those receiving standard dose (SD; n=552), consisting of 72Gy ≤ BED 10 ≤ 76.8 Gy (eg 60-64 Gy/30-32 fractions [fr]), and those receiving intermediate dose (ID; n=497), consisting of 76.8Gy < BED 10 < 100.8 Gy (eg >64 Gy/32 fr and <74 Gy/37 fr), with lower-dose patients (n=225) excluded from consideration. Patients were then matched using propensity scores, leading to 2 matched groups of 196 patients. Outcomes were compared using various statistics including interquartile range (IQR), Kaplan-Meier curves, and adjusted Cox regression analysis. Results: Matched groups were found to be balanced except for N stage (more N3 disease in SD), median treatment year (SD in 2003; ID in 2007), platinum and taxane chemotherapy (SD in 28%; ID in 39%), and median follow-up (SD were 89 months; ID were 40 months). Median dose fractionation was 60 Gy/30 fr in SD (BED 10 IQR: 72.0-75.5 Gy) and 66 Gy/33 fr (BED 10 IQR: 78.6-79.2 Gy) in ID. Survival curves for SD and ID matched cohorts were statistically similar (P=.27); however, a nonstatistically significant trend toward better survival for ID was observed after 15 months (median survival SD: 19.3 months; ID: 21.0

  15. 76 FR 74783 - Apache Hydro LLC; Notice of Preliminary Permit Application Accepted for Filing and Soliciting...

    Science.gov (United States)

    2011-12-01

    ... Energy Regulatory Commission Apache Hydro LLC; Notice of Preliminary Permit Application Accepted for..., Apache Hydro LLC filed an application for a preliminary permit, pursuant to section 4(f) of the Federal... Wash, Apache Canyon, in Hudspeth, Culberson, and Reeves Counties, Texas. The sole purpose of...

  16. Ergonomic and anthropometric issues of the forward Apache crew station

    NARCIS (Netherlands)

    Oudenhuijzen, A.J.K.

    1999-01-01

    This paper describes the anthropometric accommodation in the Apache crew systems. These activities are part of a comprehensive project, in a cooperative effort from the Armstrong Laboratory at Wright Patterson Air Force Base (Dayton, Ohio, USA) and TNO Human Factors Research Institute (TNO HFRI) in

  17. Nutrition Survey of White Mountain Apache Preschool Children.

    Science.gov (United States)

    Owen, George M.; And Others

    As part of a national study of the nutrition of preschool children, data were collected on 201 Apache children, 1 to 6 years of age, living on an Indian reservation in Arizona. This report reviews procedures and clinical findings, and gives an analysis of growth data including skeletal maturation, nutrient intakes and clinical biochemical data. In…

  18. Interfacing RASCAL with Java APIs. Automated mapping with Apache POI

    NARCIS (Netherlands)

    Marmanidis, G.

    2013-01-01

    Interfacing RASCAL with Java APIs and reusing existing implementations is a required functionality in order to reduce effort and time in contrast with implementing a new one from scratch. In this study we are trying to interface RASCAL with Apache POI, a Java implemented API in order to import and a

  19. An Exploratory Study of Apache Middle School Students' Computer Animation.

    Science.gov (United States)

    Stokrocki, Mary; Buckpitt, Marcia

    The paper describes a participant observation study of a 3 week summer art program for Apache middle school students on the White Mountain Reservation. Computer art skills, specifically animation using a menu-driven computer paint program, were the focus of the investigation. Because it was in the context of a summer program, instruction was…

  20. Issues in Language Textbook Development: The Case of Western Apache.

    Science.gov (United States)

    de Reuse, Willem J.

    Two experimental language-learning textbooks were developed in collaboration with Apache-speaking scholars from the San Carlos and White Mountain Reservations. One was written in the grammar-translation tradition and modeled after successful textbooks for Navajo and Papago. While the text's main purpose is to teach elementary conversational…

  1. Uncomfortable Experience: Lessons Lost in the Apache War

    Science.gov (United States)

    2015-03-01

    Later in life, Geronimo firmly believed that if the Apache remained in custody at Fort Sill , dispersed across native Comanche and Kiowa lands, they...only the Chokonen when they speak of the Chiricahua. However, they both articulate strong ties between the groups. What’s more, the Bedonkohe and

  2. Interrupting White Mountain Apache Language Shift: An Insider's View.

    Science.gov (United States)

    Adley-SantaMaria, Bernadette

    1999-01-01

    A White Mountain Apache (WMA) doctoral student collaborating with a non-Indian linguist on a grammar book project discusses the status of the WMA language; causes of WMA language shift; aspects of insider-outsider collaboration; implications for revitalization and maintenance of indigenous languages; and the responsibilities of individuals,…

  3. The White Mountain Apache Child Protection Service Training Curriculum. Nohwii Chaghashe Baa da gontzaa (Protect Our Apache Children).

    Science.gov (United States)

    Gonzalez-Santin, Edwin, Comp.

    This curriculum manual provides 8 days of training for child protective services (CPS) personnel (social workers and administrators) working in the White Mountain Apache tribal community. Each of the first seven units in the manual contains a brief description of contents, course objectives, time required, key concepts, possible discussion topics,…

  4. Comparison of BISAP, Ranson, MCTSI, and APACHE II in Predicting Severity and Prognoses of Hyperlipidemic Acute Pancreatitis in Chinese Patients

    Directory of Open Access Journals (Sweden)

    Lixin Yang

    2016-01-01

    Full Text Available In recent years, with the developing of living standard, hyperlipidemia becomes the second major reason of acute pancreatitis. It is important to predict the severity and prognosis at early stage of hyperlipidemic acute pancreatitis (HLAP. We compared the BISAP, Ranson, MCTSI, and APACHE II scoring system in predicting MSAP and SAP, local complications, and mortality of HLAP. A total of 326 diagnosed hyperlipidemic acute pancreatitis patients from August 2006 to July 2015 were studied retrospectively. Our result showed that all four scoring systems can be used to predict the severity, local complications, and mortality of HLAP. Ranson did not have significant advantage in predicting severity and prognosis of HLAP compared to other three scoring systems. APACHE II was the best in predicting severity of HLAP, but it had shortcoming in predicting local complications. MCTSI had outstanding performance in predicting local complications, but it was poor in predicting severity and mortality. BISAP score had high accuracy in assessment of severity, local complications, and mortality of HLAP, but the accuracy still needs to be improved in the future.

  5. Comparison of BISAP, Ranson, MCTSI, and APACHE II in Predicting Severity and Prognoses of Hyperlipidemic Acute Pancreatitis in Chinese Patients.

    Science.gov (United States)

    Yang, Lixin; Liu, Jing; Xing, Yun; Du, Lichuan; Chen, Jing; Liu, Xin; Hao, Jianyu

    2016-01-01

    In recent years, with the developing of living standard, hyperlipidemia becomes the second major reason of acute pancreatitis. It is important to predict the severity and prognosis at early stage of hyperlipidemic acute pancreatitis (HLAP). We compared the BISAP, Ranson, MCTSI, and APACHE II scoring system in predicting MSAP and SAP, local complications, and mortality of HLAP. A total of 326 diagnosed hyperlipidemic acute pancreatitis patients from August 2006 to July 2015 were studied retrospectively. Our result showed that all four scoring systems can be used to predict the severity, local complications, and mortality of HLAP. Ranson did not have significant advantage in predicting severity and prognosis of HLAP compared to other three scoring systems. APACHE II was the best in predicting severity of HLAP, but it had shortcoming in predicting local complications. MCTSI had outstanding performance in predicting local complications, but it was poor in predicting severity and mortality. BISAP score had high accuracy in assessment of severity, local complications, and mortality of HLAP, but the accuracy still needs to be improved in the future.

  6. AH-64E Apache Remanufacture (AH-64E Remanufacture)

    Science.gov (United States)

    2013-12-01

    BY - Base Year DAMIR - Defense Acquisition Management Information Retrieval Dev Est - Development Estimate DoD - Department of Defense DSN - Defense...2009 NOV 2009 MAY 2010 NOV 2009 Milestone C JUL 2010 JUL 2010 JAN 2011 SEP 2010 IOT &E MAR 2012 MAR 2012 SEP 2012 MAR 2012 FRP JUL 2012 JUL 2012 JAN...AB3A - Apache Block 3A EMD - Engineering Manufacturing and Development FRP - Full Rate Production IOT &E - Initial Operational Test and Evaluation

  7. Mobile Big Data Analytics Using Deep Learning and Apache Spark

    OpenAIRE

    Alsheikh, Mohammad Abu; Niyato, Dusit; Lin, Shaowei; Tan, Hwee-Pink; Han, Zhu

    2016-01-01

    The proliferation of mobile devices, such as smartphones and Internet of Things (IoT) gadgets, results in the recent mobile big data (MBD) era. Collecting MBD is unprofitable unless suitable analytics and learning methods are utilized for extracting meaningful information and hidden patterns from data. This article presents an overview and brief tutorial of deep learning in MBD analytics and discusses a scalable learning framework over Apache Spark. Specifically, a distributed deep learning i...

  8. Project Apache: A Reservation, Community-Based Early Intervention Program for Apache Infants and Toddlers with Special Needs and Their Families.

    Science.gov (United States)

    O'Connell, Joanne C.

    This final report describes the outcomes of Project Apache, a reservation, community-based early intervention program designed to develop comprehensive services to Apache infants and toddlers who are at risk of developing a disability and their families. The project uses a home-based service delivery program with paraprofessional aides to assist…

  9. Solar Feasibility Study May 2013 - San Carlos Apache Tribe

    Energy Technology Data Exchange (ETDEWEB)

    Rapp, Jim [Parametrix; Duncan, Ken [San Carlos Apache Tribe; Albert, Steve [Parametrix

    2013-05-01

    The San Carlos Apache Tribe (Tribe) in the interests of strengthening tribal sovereignty, becoming more energy self-sufficient, and providing improved services and economic opportunities to tribal members and San Carlos Apache Reservation (Reservation) residents and businesses, has explored a variety of options for renewable energy development. The development of renewable energy technologies and generation is consistent with the Tribe’s 2011 Strategic Plan. This Study assessed the possibilities for both commercial-scale and community-scale solar development within the southwestern portions of the Reservation around the communities of San Carlos, Peridot, and Cutter, and in the southeastern Reservation around the community of Bylas. Based on the lack of any commercial-scale electric power transmission between the Reservation and the regional transmission grid, Phase 2 of this Study greatly expanded consideration of community-scale options. Three smaller sites (Point of Pines, Dudleyville/Winkleman, and Seneca Lake) were also evaluated for community-scale solar potential. Three building complexes were identified within the Reservation where the development of site-specific facility-scale solar power would be the most beneficial and cost-effective: Apache Gold Casino/Resort, Tribal College/Skill Center, and the Dudleyville (Winkleman) Casino.

  10. Comparison of Predicted Models APACHE IV in Different Groups of Patients in Medical Intensive Care Unit%APACHE Ⅳ评分系统在内科重症监护室不同患者群体使用的比较

    Institute of Scientific and Technical Information of China (English)

    曾勉; 李悦; 卢桂芳

    2011-01-01

    [目的]评估并比较APACHE Ⅳ评分系统在内科重症监护室对于不同群体患者预后的预测效力.[方法]回顾性资料收集2005年3月至2010年12月入住我院内科ICU患者的病历资料450例.计算入院24 h内的APACHE Ⅳ评分及预测死亡率,通过标准化死亡比值(SMR)来评估其对总体患者及不同群体患者死亡率的预测准确性.[结果]本研究共纳入450例患者,死亡率为34.9%.APACHE Ⅳ评分为(61±26)分,预测死亡率为28.03%.APACHE Ⅳ预测的死亡率显著低于实际死亡率(SMR分别为1.24,95% CI 1.13~1.39).对不同疾病、不同死亡风险、不同年龄的患者,APACHE Ⅳ评分系统预测死亡率的准确性均不一致.对呼吸系统患者的死亡率存在低估(SMR=1.44,95%CI 1.34~1.52),尤其是对重症肺炎患者.APACHE Ⅳ低估了低风险及中间组患者的死亡率(SMR=1.57,95%CI 1.45~1.72;SMR=1.40,95%CI 1.34~1.46),而在高风险组预测死亡率准确性高(SMR=1.02,95%CI 0.97~1.08).对年龄<70岁的患者,APACHE Ⅳ也明显低估死亡率(SMR=1.33,95%CI 1.18~1.52),但对于>70岁的患者预测准确(SMR=1.10,95%CI 0.96~1.33).[结论]在内科ICU对APACHE Ⅳ进行验证,其对总体患者的死亡率存在低估,主要是对呼吸系统疾病、低风险组及年龄<70岁等患者的死亡风险呈现低估.%[Objective] To evaluate and compare the prognostic predicted abilities of Acute Physiologic and Chronic Health Evaluation (APACHE) IV system in different groups of medical intensive care unit (MICU) patients. [Methods] Retrospectively collected the medical records of 450 patients admitted to medical intensive care unit of First Affiliated Hospital of Sun Yat-sen University between March 2005 and December 2010. We calculated the APACHE IV scores and mortality probabilities within 24 hours after admission. The predictive accuracy of APACHE IV in total population and different subgroups were tested using standardized

  11. Apache 2.4 Evaluation and Integration with the Existing Middleware Infrastructure

    CERN Document Server

    Hubinek, Tomas

    2013-01-01

    This document is a Summer Student Work Project Report. It describes main goals and outcomes of Tomas Hubinek's work in CERN. The aim of this project was to investigate new features offered by Apache HTTP server 2.4 and to test different types of connections between front-end Apache server and back-end application servers, namely Apache Tomcat and WebLogic, with SSL support.

  12. Evaluation of prognostic factors and scoring system in colonic perforation

    Institute of Scientific and Technical Information of China (English)

    Atsushi Horiuchi; Yuji Watanabe; Takashi Doi; Kouichi Sato; Syungo Yukumi; Motohira Yoshida; Yuji Yamamoto; Hiroki Sugishita; Kanji Kawachi

    2007-01-01

    AIM: To study the significance of scoring systems assessing severity and prognostic factors in patients with colonic perforation.METHODS: A total of 26 patients (9 men, 17 women;mean age 72.7±11.6 years) underwent emergency operation for colorectal perforation in our institution between 1993 and 2005. Several clinical factors were measured preoperatively and 24 h postoperatively. Acute physiology and chronic health evaluationⅡ (APACHE Ⅱ),Mannheim peritonitis index (MPI) and peritonitis index of Altona (PIA Ⅱ) scores were calculated preoperatively.RESULTS: Overall postoperative mortality rate was 23.1% (6 patients). Compared with survivors, nonsurvivors displayed low blood pressure, low serum protein and high serum creatinine preoperatively, and low blood pressure, low white blood cell count, low pH,low PaO2/FiO2, and high serum creatinine postoperatively.APACHEscore was significantly lower in survivors than in non-survivors (10.4±3.84 vs19.3±2.87, P= 0.00003). Non-survivors tended to display high MPI score and low PIA Ⅱ score, but no significant difference was identified.CONCLUSION: Pre- and postoperative blood pressure and serum creatinine level appear related to prognosis of colonic perforation. APACHEscore is most associated with prognosis and scores ≥ 20 are associated with significantly increased mortality rate.

  13. Perl and Apache Your visual blueprint for developing dynamic Web content

    CERN Document Server

    McDaniel, Adam

    2010-01-01

    Visually explore the range of built-in and third-party libraries of Perl and Apache. Perl and Apache have been providing Common Gateway Interface (CGI) access to Web sites for 20 years and are constantly evolving to support the ever-changing demands of Internet users. With this book, you will heighten your knowledge and see how to usePerl and Apache to develop dynamic Web sites. Beginning with a clear, step-by-step explanation of how to install Perl and Apache on both Windows and Linux servers, you then move on to configuring each to securely provide CGI Services. CGI developer and author Adam

  14. External validation of Acute Physiology and Chronic Health Evaluation IV in Dutch intensive care units and comparison with Acute Physiology and Chronic Health Evaluation II and Simplified Acute Physiology Score II

    NARCIS (Netherlands)

    S. Brinkman; F. Bakhshi-Raiez; A. Abu-Hanna; E. de Jonge; R.J. Bosman; L. Peelen; N.F. de Keizer

    2011-01-01

    Purpose: The aim of this study was to validate and compare the performance of the Acute Physiology and Chronic Health Evaluation (APACHE) IV in the Dutch intensive care unit (ICU) population to the APACHE II and Simplified Acute Physiology Score (SAPS) II. Materials and Methods: This is a prospectiv

  15. THE DATA REDUCTION PIPELINE FOR THE APACHE POINT OBSERVATORY GALACTIC EVOLUTION EXPERIMENT

    Energy Technology Data Exchange (ETDEWEB)

    Nidever, David L. [Department of Astronomy, University of Michigan, Ann Arbor, MI 48109 (United States); Holtzman, Jon A. [New Mexico State University, Las Cruces, NM 88003 (United States); Prieto, Carlos Allende; Mészáros, Szabolcs [Instituto de Astrofísica de Canarias, Via Láctea s/n, E-38205 La Laguna, Tenerife (Spain); Beland, Stephane [Laboratory for Atmospheric and Space Sciences, University of Colorado at Boulder, Boulder, CO (United States); Bender, Chad; Desphande, Rohit [Department of Astronomy and Astrophysics, The Pennsylvania State University, University Park, PA 16802 (United States); Bizyaev, Dmitry [Apache Point Observatory and New Mexico State University, P.O. Box 59, sunspot, NM 88349-0059 (United States); Burton, Adam; García Pérez, Ana E.; Hearty, Fred R.; Majewski, Steven R.; Skrutskie, Michael F.; Sobeck, Jennifer S.; Wilson, John C. [Department of Astronomy, University of Virginia, Charlottesville, VA 22904-4325 (United States); Fleming, Scott W. [Computer Sciences Corporation, 3700 San Martin Dr, Baltimore, MD 21218 (United States); Muna, Demitri [Department of Astronomy and the Center for Cosmology and Astro-Particle Physics, The Ohio State University, Columbus, OH 43210 (United States); Nguyen, Duy [Department of Astronomy and Astrophysics, University of Toronto, Toronto, Ontario, M5S 3H4 (Canada); Schiavon, Ricardo P. [Gemini Observatory, 670 N. A’Ohoku Place, Hilo, HI 96720 (United States); Shetrone, Matthew, E-mail: dnidever@umich.edu [University of Texas at Austin, McDonald Observatory, Fort Davis, TX 79734 (United States)

    2015-12-15

    The Apache Point Observatory Galactic Evolution Experiment (APOGEE), part of the Sloan Digital Sky Survey III, explores the stellar populations of the Milky Way using the Sloan 2.5-m telescope linked to a high resolution (R ∼ 22,500), near-infrared (1.51–1.70 μm) spectrograph with 300 optical fibers. For over 150,000 predominantly red giant branch stars that APOGEE targeted across the Galactic bulge, disks and halo, the collected high signal-to-noise ratio (>100 per half-resolution element) spectra provide accurate (∼0.1 km s{sup −1}) RVs, stellar atmospheric parameters, and precise (≲0.1 dex) chemical abundances for about 15 chemical species. Here we describe the basic APOGEE data reduction software that reduces multiple 3D raw data cubes into calibrated, well-sampled, combined 1D spectra, as implemented for the SDSS-III/APOGEE data releases (DR10, DR11 and DR12). The processing of the near-IR spectral data of APOGEE presents some challenges for reduction, including automated sky subtraction and telluric correction over a 3°-diameter field and the combination of spectrally dithered spectra. We also discuss areas for future improvement.

  16. The Apache Point Observatory Galactic Evolution Experiment (APOGEE) and its successor, APOGEE-2

    Science.gov (United States)

    Majewski, S. R.; APOGEE Team; APOGEE-2 Team

    2016-09-01

    The Apache Point Observatory Galactic Evolution Experiment (APOGEE) of Sloan Digital Sky Survey III (SDSS-III) has produced a large catalog of high resolution ({R = 22 500}), high quality (S/N > 100), infrared (H-band) spectra for stars throughout all stellar populations of the Milky Way, including in regions veiled by significant dust opacity. APOGEE's half million spectra collected on > 163 000 unique stars, with time series information via repeat visits to each star, are being applied to numerous problems in stellar populations, Galactic astronomy, and stellar astrophysics. From among the early results of the APOGEE project - which span from measurements of Galactic dynamics, to multi-element chemical maps of the disk and bulge, new views of the interstellar medium, explorations of stellar companions, the chemistry of star clusters, and the discovery of rare stellar species - I highlight a few results that demonstrate APOGEE's unique ability to sample and characterize the Galactic disk and bulge. Plans are now under way for an even more ambitious successor to APOGEE: the six-year, dual-hemisphere APOGEE-2 project. Both phases of APOGEE feature a strong focus on targets having asteroseismological measurements from either Kepler or {CoRoT}, from which it is possible to derive relatively precise stellar ages. The combined APOGEE and APOGEE-2 databases of stellar chemistry, dynamics and ages constitute an unusually comprehensive, systematic and homogeneous resource for constraining models of Galactic evolution.

  17. Large-Scale Graph Processing Using Apache Giraph

    KAUST Repository

    Sakr, Sherif

    2017-01-07

    This book takes its reader on a journey through Apache Giraph, a popular distributed graph processing platform designed to bring the power of big data processing to graph data. Designed as a step-by-step self-study guide for everyone interested in large-scale graph processing, it describes the fundamental abstractions of the system, its programming models and various techniques for using the system to process graph data at scale, including the implementation of several popular and advanced graph analytics algorithms.

  18. Beginning PHP, Apache, MySQL web development

    CERN Document Server

    Glass, Michael K; Naramore, Elizabeth; Mailer, Gary; Stolz, Jeremy; Gerner, Jason

    2004-01-01

    An ideal introduction to the entire process of setting up a Web site using PHP (a scripting language), MySQL (a database management system), and Apache (a Web server)* Programmers will be up and running in no time, whether they're using Linux or Windows servers* Shows readers step by step how to create several Web sites that share common themes, enabling readers to use these examples in real-world projects* Invaluable reading for even the experienced programmer whose current site has outgrown the traditional static structure and who is looking for a way to upgrade to a more efficient, user-f

  19. Evaluation of Apache Hadoop for parallel data analysis with ROOT

    Science.gov (United States)

    Lehrack, S.; Duckeck, G.; Ebke, J.

    2014-06-01

    The Apache Hadoop software is a Java based framework for distributed processing of large data sets across clusters of computers, using the Hadoop file system (HDFS) for data storage and backup and MapReduce as a processing platform. Hadoop is primarily designed for processing large textual data sets which can be processed in arbitrary chunks, and must be adapted to the use case of processing binary data files which cannot be split automatically. However, Hadoop offers attractive features in terms of fault tolerance, task supervision and control, multi-user functionality and job management. For this reason, we evaluated Apache Hadoop as an alternative approach to PROOF for ROOT data analysis. Two alternatives in distributing analysis data were discussed: either the data was stored in HDFS and processed with MapReduce, or the data was accessed via a standard Grid storage system (dCache Tier-2) and MapReduce was used only as execution back-end. The focus in the measurements were on the one hand to safely store analysis data on HDFS with reasonable data rates and on the other hand to process data fast and reliably with MapReduce. In the evaluation of the HDFS, read/write data rates from local Hadoop cluster have been measured and compared to standard data rates from the local NFS installation. In the evaluation of MapReduce, realistic ROOT analyses have been used and event rates have been compared to PROOF.

  20. Biology and distribution of Lutzomyia apache as it relates to VSV

    Science.gov (United States)

    Phlebotomine sand flies are vectors of bacteria, parasites, and viruses. Lutzomyia apache was incriminated as a vector of vesicular stomatitis viruses(VSV)due to overlapping ranges of the sand fly and outbreaks of VSV. I report on newly discovered populations of L. apache in Wyoming from Albany and ...

  1. 77 FR 51475 - Safety Zone; Apache Pier Labor Day Fireworks; Myrtle Beach, SC

    Science.gov (United States)

    2012-08-24

    ... INFORMATION: Table of Acronyms DHS Department of Homeland Security FR Federal Register NPRM Notice of Proposed... SECURITY Coast Guard 33 CFR Part 165 RIN 1625-AA00 Safety Zone; Apache Pier Labor Day Fireworks; Myrtle... establishing a temporary safety zone on the waters of the Atlantic Ocean in the vicinity of Apache Pier...

  2. Fort Apache Reservation Manpower Resources; Indian Manpower Resources in the Southwest. A Pilot Study.

    Science.gov (United States)

    Taylor, Benjamin J.; O'Connor, Dennis J.

    Fort Apache Indians live in relative geographic and cultural isolation. The Apaches are younger than the general population, have a lower rate of overall labor-force participation, and typically work for the Federal Government or in trbal enterprises. A median family with 5 children subsists on a median annual family income of less than $1,000.…

  3. A Needs Assessment Study at Apache Junction for Long Range Planning.

    Science.gov (United States)

    Gibson, Dale R.

    As part of an effort to assess the postsecondary educational needs of the community of Apache Junction, surveys were administered to: (1) students in grades 9-12 at Apache Junction High School (N=420) with regard to their educational plans, the postsecondary institutions they anticipated attending, course and program interests of those planning to…

  4. A Photographic Essay of Apache Children in Early Times, Volume 2-Part C.

    Science.gov (United States)

    Thompson, Doris; Jacobs, Ben

    As part of a series of guides designed for instruction of American Indian children and youth, this resource guide constitutes a pictorial essay on life of the Apache child from 1880 to the early 20th century. Each of the 12 photographs is accompanied by an historical narrative which describes one or more cultural aspects of Apache childhood.…

  5. A Photographic Essay of Apache Chiefs and Warriors, Volume 2-Part B.

    Science.gov (United States)

    Barkan, Gerald; Jacobs, Ben

    As part of a series designed for instruction of American Indian children and youth, this resource guide constitutes a pictorial essay describing forts, Indian agents, and Apache chiefs, warriors, and scouts of the 19th century. Accompanying each picture is a brief historical-biographical narrative. Focus is on Apache resistance to the reservation.…

  6. Analyses of Apach Commons HttpClient Programming in Chinese OS Platform%浅析中文环境下的Apach Commons HttpClient编程

    Institute of Scientific and Technical Information of China (English)

    洪亮; 田支斌

    2008-01-01

    本文详尽的分析了在中文环境下运用Apach Commons HttpClient进行编程时出现的几个常见问题.针对每个问题,本文均给出较为完善的解决方案,对中文环境下的Apach Commons HttpClient编程具有极大的现实参考价值.

  7. 严重脓毒症乳酸清除率、碱剩余与APACHE Ⅱ评分的相关性分析

    Institute of Scientific and Technical Information of China (English)

    黎伟强

    2013-01-01

    Objective To investigate the simple and practical target to forecast of the state and prognosis of the patients with severe sepsis. Mathods Detect Lactate and Base Excess of the 72 patients with severe sepsis after admission, in the same time score the patients with acute physiology and chronic health evaluationⅡ(APACHEⅡ), detect Lactate again after 6 hours ,and calculate Lactate Clearance,compare with Lactate, Lactate Clearance and Base Excess in different groups of APACHE Ⅱ.Results 6 hours Lactate Clearance and Base Excess between 2 groups has statistical signiifcation There are relativity between 6 hours Lactate Clearance, Base Excess and APACHEⅡscore in 48 hours. Conclusion Combing Lactate Clearance and Base Excess can evaluate the state and prognosis of the patients with severe sepsis.%目的探讨预测严重脓毒症患者病情及预后简单易行且有实用价值的指标。方法对72例入住中山市古镇医院ICU严重脓毒症患者入住时作APACHE Ⅱ评分及血乳酸、碱剩余测定,6 h后再次测血乳酸,并计算乳酸清除率,比较不同APACHE Ⅱ评分分值组与血乳酸及乳酸清除率、剩余碱的关系。结果6 h乳酸清除率、碱剩余存活组明显高于死亡组,6 h乳酸清除率及碱剩余与48 hAPACHE Ⅱ评分有相关性。结论乳酸清除率、碱剩余可以作为评估严重脓毒症病情及预后的指标。

  8. Apgar score

    Science.gov (United States)

    ... this page: //medlineplus.gov/ency/article/003402.htm Apgar score To use the sharing features on this page, ... birth. Virginia Apgar, MD (1909-1974) introduced the Apgar score in 1952. How the Test is Performed The ...

  9. 大数据处理模型Apache Spark研究%Research on Apache Spark for Big Data Processing

    Institute of Scientific and Technical Information of China (English)

    黎文阳

    2015-01-01

    Apache Spark是当前流行的大数据处理模型,具有快速、通用、简单等特点。Spark是针对MapReduce在迭代式机器学习算法和交互式数据挖掘等应用方面的低效率,而提出的新的内存计算框架,既保留了MapReduce的可扩展性、容错性、兼容性,又弥补了MapReduce在这些应用上的不足。由于采用基于内存的集群计算,所以Spark在这些应用上比MapReduce快100倍。介绍Spark的基本概念、组成部分、部署模式,分析Spark的核心内容与编程模型,给出相关的编程示例。%Apache Spark is a popular model for large scale data processing at present, which is fast, general and easy. Compared with the MapRe-duce computing framework, Spark is efficient in iterative machine learning algorithms and interactive data mining applications while re-taining the compatibility, scalability and fault-tolerance of MapReduce. With its in-memory computing, Spark is up to 100x faster than Hadoop MapReduce in memory. Presents the basic conception, component and the deploying mode of Spark, introduces the internal ab-straction and the programming model, gives the programming examples.

  10. Comparison of the diagnostic ability of Moorfield′s regression analysis and glaucoma probability score using Heidelberg retinal tomograph III in eyes with primary open angle glaucoma

    Directory of Open Access Journals (Sweden)

    Jindal Shveta

    2010-01-01

    Full Text Available Purpose: To compare the diagnostic performance of the Heidelberg retinal tomograph (HRT glaucoma probability score (GPS with that of Moorfield′s regression analysis (MRA. Materials and Methods: The study included 50 eyes of normal subjects and 50 eyes of subjects with early-to-moderate primary open angle glaucoma. Images were obtained by using HRT version 3.0. Results: The agreement coefficient (weighted k for the overall MRA and GPS classification was 0.216 (95% CI: 0.119 - 0.315. The sensitivity and specificity were evaluated using the most specific (borderline results included as test negatives and least specific criteria (borderline results included as test positives. The MRA sensitivity and specificity were 30.61 and 98% (most specific and 57.14 and 98% (least specific. The GPS sensitivity and specificity were 81.63 and 73.47% (most specific and 95.92 and 34.69% (least specific. The MRA gave a higher positive likelihood ratio (28.57 vs. 3.08 and the GPS gave a higher negative likelihood ratio (0.25 vs. 0.44.The sensitivity increased with increasing disc size for both MRA and GPS. Conclusions: There was a poor agreement between the overall MRA and GPS classifications. GPS tended to have higher sensitivities, lower specificities, and lower likelihood ratios than the MRA. The disc size should be taken into consideration when interpreting the results of HRT, as both the GPS and MRA showed decreased sensitivity for smaller discs and the GPS showed decreased specificity for larger discs.

  11. The Trail Inventory of Bosque Del Apache National Wildlife Refuge [Cycle 1

    Data.gov (United States)

    US Fish and Wildlife Service, Department of the Interior — The purpose of this report is to create a baseline inventory of all non-motorized trails on Bosque Del Apache National Wildlife Refuge. Trails in this inventory are...

  12. Analyzing large data sets from XGC1 magnetic fusion simulations using apache spark

    Energy Technology Data Exchange (ETDEWEB)

    Churchill, R. Michael [Princeton Plasma Physics Lab. (PPPL), Princeton, NJ (United States)

    2016-11-21

    Apache Spark is explored as a tool for analyzing large data sets from the magnetic fusion simulation code XGCI. Implementation details of Apache Spark on the NERSC Edison supercomputer are discussed, including binary file reading, and parameter setup. Here, an unsupervised machine learning algorithm, k-means clustering, is applied to XGCI particle distribution function data, showing that highly turbulent spatial regions do not have common coherent structures, but rather broad, ring-like structures in velocity space.

  13. 浅析中文环境下的Apach Commons HttpClient编程

    Institute of Scientific and Technical Information of China (English)

    洪亮; 田支斌

    2008-01-01

    本文详尽的分析了在中文环境下运用Apach Commons HttpClient进行编程时出现的几个常见问题。针对每个问题.本文均给出较为完善的解决方案,对中文环境下的Apach Commons HttpClient编程具有极大的现实参考价值。

  14. Critical Technology Events in the Development of the Apache Helicopter. Project Hindsight Revisited

    Science.gov (United States)

    2006-02-01

    weapons systems also benefited the Apache. Among these advances were a common module approach to FLIR production and a minimum resolvable temperature ( MRT ...determination as a way to measure FLIR performance. Also, it should be noted that for the Apache, with the work on the MRT as a foundation, the U.S...Industry’s creative work on the T700 series of helicopter engines is an example. 3. The Army experiences with helicopters in Vietnam had a strong

  15. Apgar Scores

    Science.gov (United States)

    ... Stages Listen Español Text Size Email Print Share Apgar Scores Page Content Article Body As soon as your ... the syringe, but is blue; her one minute Apgar score would be 8—two points off because she ...

  16. Skin scoring in systemic sclerosis

    DEFF Research Database (Denmark)

    Zachariae, Hugh; Bjerring, Peter; Halkier-Sørensen, Lars

    1994-01-01

    Forty-one patients with systemic sclerosis were investigated with a new and simple skin score method measuring the degree of thickening and pliability in seven regions together with area involvement in each region. The highest values were, as expected, found in diffuse cutaneous systemic sclerosis...... (type III SS) and the lowest in limited cutaneous systemic sclerosis (type I SS) with no lesions extending above wrists and ancles. A positive correlation was found to the aminoterminal propeptide of type III procollagen, a serological marker for synthesis of type III collagen. The skin score...

  17. Applicability of different scoring systems in outcome prediction of patients with mixed drug poisoning-induced coma

    Directory of Open Access Journals (Sweden)

    Nastaran Eizadi Mood

    2011-01-01

    Full Text Available Background: Mixed drugs poisoning (MDP is common in the emergency departments. Because of the limited number of intensive care unit beds, recognition of risk factors to divide the patients into different survival groups is necessary. Poisoning due to ingestion of different medications may have additive or antagonistic effects on different parameters included in the scoring systems; therefore, the aim of the study was to compare applicability of the different scoring systems in outcomes prediction of patients admitted with MDP-induced coma. Methods: This prospective, observational study included 93 patients with MDP-induced coma. Clinical and laboratory data conforming to the Acute Physiology and Chronic Health Evaluation (APACHE II, Modified APACHE II Score (MAS, Mainz Emergency Evaluation Scores (MEES and Glasgow Coma Scale (GCS were recorded for all patients on admission (time 0 and 24 h later (time 24 . The outcome was recorded in two categories: Survived with or without complication and non-survived. Discrimination was evaluated using receiver operating characteristic (ROC curves and area under the ROC curve (AUC. Results: The mortality rate was 9.7%. Mean of each scoring system was statistically significant between time 0 and time 24 in the survivors. However, it was not significant in non-survivors. Discrimination was excellent for GCS 24 (0.90±0.05, APACHE II 24 (0.89±0.01, MAS 24 (0.86±0.10, and APACHE II 0 (0.83±0.11 AUC. Conclusion: The GCS 24 , APACHE II 24 , MAS 24 , and APACHE II 0 scoring systems seem to predict the outcome in comatose patients due to MDP more accurately. GCS and MAS may have superiority over the others in being easy to perform and not requiring laboratory data.

  18. Redskins in Bluecoats: A Strategic and Cultural Analysis of General George Crooks Use of Apache Scouts in the Second Apache Campaign, 1882-1886

    Science.gov (United States)

    2010-03-31

    many of the Apaches were to be seen ... All the young men who could shoot were hiding in the mountains ... among all people whose opinion was...at the operational level of ar, and his subordinate officers Cra ford and ate ood operating at the tactical level of ar. The sa e could not be said

  19. SCORING IN ACUTE PANCREATITIS: WHEN IMAGING IS APPROPRIATE?.

    Science.gov (United States)

    Cucuteanu, B; Prelipcean, Cristina Cijevschi; Mihai, Cătălina; Dranga, Mihaela; Negru, D

    2016-01-01

    Acute pancreatitis (AP) is a frequent presentation to the emergency departments with a rising incidence and a great variability in clinical severity and outcome. The aim of this review is to offer a succinct presentation on acute pancreatitis scoring systems and the use of different imaging methods in severity prediction: Ranson criteria, Glasgow criteria, Hong Kong Score, Acute Physiology and Chronic Health Evaluation II (APACHE II), computed tomography scoring systems, Bedside Index of Severity in Acute Pancreatitis (BISAP) score, Panc 3, Japanese Severity Score (JSS), Harmless Acute Pancreatitis Score (HAPS), Pancreatitis Outcome Prediction (POP), Sequential Organ Failure Assessment (SOFA). This article also describes the Revised Atlanta Classification of AP (2012) and the correlation with computed tomography.

  20. Bernard Organ Failure Score in estimation of most severe forms of acute pancreatitis

    Directory of Open Access Journals (Sweden)

    Glišić Tijana

    2009-01-01

    Full Text Available Introduction. Despite intensive research, efforts and clinical investigations on pathogenesis of acute pancreatitis (AP and system morbidity during the illness onset, mortality is still very high in the group of severe forms. A significantly high number of patients show moderate, self-limited forms of illness, with a minimal degree of systemic or local complications, with full recovery. However, some of them have a severe form, followed by a high percent of morbidity and mortality, and system organ failure. The distinction between mild and severe forms of AP within 24-48 hours of hospital admission is very important for the treatment of these patients. The usage of multifactorial scoring systems holds a lot of promise, reaching reliability in the disease severity estimation of approximately 70-80%. Objective. The main purpose of this prospective study was to assess the correlation of the Acute Physiology and Chronic Health Evaluation II (APACHE II and the Bernard Organ Failure Score (BOFS scoring systems in estimation of disease severity and outcome prediction. Methods. Sixty patients with AP participated in the study, all of them scored with the APACHE II and BOFS scores. The results were used for integration of laboratory and clinical parameters. Results. In our study, we had a highly significant correlation between the APACHE II and BOFS scores from the disease onset until the end of treatment. There was a highly significant correlation between these two scores and the serum C-reactive protein concentration level. Conclusion. The concept of the BOFS score has more advantages than the APACHE II score in the patients with severe forms of AP with organ dysfunction.

  1. Broad-spectrum Antibiotic Plus Metronidazole May Not Prevent the Deterioration of Necrotizing Enterocolitis From Stage II to III in Full-term and Near-term Infants: A Propensity Score-matched Cohort Study.

    Science.gov (United States)

    Luo, Li-Juan; Li, Xin; Yang, Kai-Di; Lu, Jiang-Yi; Li, Lu-Quan

    2015-10-01

    Necrotizing enterocolitis (NEC) is the most common and frequently dangerous neonatal gastrointestinal disease. Studies have shown broad-spectrum antibiotics plus anaerobic antimicrobial therapy did not prevent the deterioration of NEC among very low birth preterm infants. However, few studies about this therapy which focused on full-term and near-term infant with NEC has been reported. The aim of this study was to evaluate the effect of broad-spectrum antibiotic plus metronidazole in preventing the deterioration of NEC from stage II to III in full-term and near-term infants.A retrospective cohort study based on the propensity score (PS) 1:1 matching was performed among the full-term and near-term infants with NEC (Bell stage ≥II). All infants who received broad-spectrum antibiotics were divided into 2 groups: group with metronidazole treatment (metronidazole was used ≥4 days continuously, 15 mg/kg/day) and group without metronidazole treatment. The depraved rates of stage II NEC between the 2 groups were compared. Meanwhile, the risk factors associated with the deterioration of stage II NEC were analyzed by case-control study in the PS-matched cases.A total of 229 infants met the inclusion criteria. Before PS-matching, we found the deterioration of NEC rate in the group with metronidazole treatment was higher than that in the group without metronidazole treatment (18.1% [28/155] vs 8.1% [6/74]; P = 0.048). After PS-matching, 73 pairs were matched, and the depraved rate of NEC in the group with metronidazole treatment was not lower than that in the group without metronidazole treatment (15.1% vs 8.2%; P = 0.2). Binary logistic regression analysis showed that sepsis after NEC (odds ratio [OR] 3.748, 95% confidence interval [CI] 1.171-11.998, P = 0.03), the need to use transfusion of blood products after diagnosis of NEC (OR 8.003, 95% CI 2.365-27.087, P = 0.00), and the need of longer time for nasogastric suction were risk factors for stage II NEC progressing to

  2. A Tour of Big Data, Open Source Data Management Technologies from the Apache Software Foundation

    Science.gov (United States)

    Mattmann, C. A.

    2012-12-01

    The Apache Software Foundation, a non-profit foundation charged with dissemination of open source software for the public good, provides a suite of data management technologies for distributed archiving, data ingestion, data dissemination, processing, triage and a host of other functionalities that are becoming critical in the Big Data regime. Apache is the world's largest open source software organization, boasting over 3000 developers from around the world all contributing to some of the most pervasive technologies in use today, from the HTTPD web server that powers a majority of Internet web sites to the Hadoop technology that is now projected at over a $1B dollar industry. Apache data management technologies are emerging as de facto off-the-shelf components for searching, distributing, processing and archiving key science data sets both geophysical, space and planetary based, all the way to biomedicine. In this talk, I will give a virtual tour of the Apache Software Foundation, its meritocracy and governance structure, and also its key big data technologies that organizations can take advantage of today and use to save cost, schedule, and resources in implementing their Big Data needs. I'll illustrate the Apache technologies in the context of several national priority projects, including the U.S. National Climate Assessment (NCA), and in the International Square Kilometre Array (SKA) project that are stretching the boundaries of volume, velocity, complexity, and other key Big Data dimensions.

  3. Score Correlation

    OpenAIRE

    Fabián, Z. (Zdeněk)

    2010-01-01

    In this paper, we study a distribution-dependent correlation coefficient based on the concept of scalar score. This new measure of association of continuous random variables is compared by means of simulation experiments with the Pearson, Kendall and Spearman correlation coefficients.

  4. The Apache Point Observatory Galactic Evolution Experiment (APOGEE) high-resolution near-infrared multi-object fiber spectrograph

    Science.gov (United States)

    Wilson, John C.; Hearty, Fred; Skrutskie, Michael F.; Majewski, Steven; Schiavon, Ricardo; Eisenstein, Daniel; Gunn, Jim; Blank, Basil; Henderson, Chuck; Smee, Stephen; Barkhouser, Robert; Harding, Al; Fitzgerald, Greg; Stolberg, Todd; Arns, Jim; Nelson, Matt; Brunner, Sophia; Burton, Adam; Walker, Eric; Lam, Charles; Maseman, Paul; Barr, Jim; Leger, French; Carey, Larry; MacDonald, Nick; Horne, Todd; Young, Erick; Rieke, George; Rieke, Marcia; O'Brien, Tom; Hope, Steve; Krakula, John; Crane, Jeff; Zhao, Bo; Carr, Mike; Harrison, Craig; Stoll, Robert; Vernieri, Mary A.; Holtzman, Jon; Shetrone, Matt; Allende-Prieto, Carlos; Johnson, Jennifer; Frinchaboy, Peter; Zasowski, Gail; Bizyaev, Dmitry; Gillespie, Bruce; Weinberg, David

    2010-07-01

    The Apache Point Observatory Galactic Evolution Experiment (APOGEE) will use a dedicated 300-fiber, narrow-band (1.5-1.7 micron), high resolution (R~30,000), near-infrared spectrograph to survey approximately 100,000 giant stars across the Milky Way. This survey, conducted as part of the Sloan Digital Sky Survey III (SDSS III), will revolutionize our understanding of kinematical and chemical enrichment histories of all Galactic stellar populations. The instrument, currently in fabrication, will be housed in a separate building adjacent to the 2.5 m SDSS telescope and fed light via approximately 45-meter fiber runs from the telescope. The instrument design includes numerous technological challenges and innovations including a gang connector that allows simultaneous connection of all fibers with a single plug to a telescope cartridge that positions the fibers on the sky, numerous places in the fiber train in which focal ratio degradation must be minimized, a large (290 mm x 475 mm elliptically-shaped recorded area) mosaic-VPH, an f/1.4 sixelement refractive camera featuring silicon and fused silica elements with diameters as large as 393 mm, three near-within a custom, LN2-cooled, stainless steel vacuum cryostat with dimensions 1.4 m x 2.3 m x 1.3 m.

  5. Assessment of the EuroSCORE risk scoring system for patients undergoing coronary artery bypass graft surgery in a group of Iranian patients

    Directory of Open Access Journals (Sweden)

    Hamidreza Jamaati

    2015-01-01

    Full Text Available Background and Aims: Previous studies around the world indicated validity and accuracy of European System for Cardiac Operative Risk Evaluation (EuroSCORE risk scoring system we evaluated the EuroSCORE risk scoring system for patients undergoing coronary artery bypass graft (CABG surgery in a group of Iranian patients. Materials and Methods: In this cohort 2220 patients more than 18 years, who were performed CABG surgery in Massih Daneshvari Hospital, from January 2004 to March 2010 were recruited. Predicted mortality risk scores were calculated using logistic EuroSCORE and Acute Physiology and Chronic Health Evaluation II (APACHE II and compared with observed mortality. Calibration was measured by the Hosmer-Lemeshow (HL test and discrimination by using the receiver operating characteristic (ROC curve area. Results: Of the 2220 patients, in hospital deaths occurred in 270 patients (mortality rate of 12.2%. The accuracy of mortality prediction in the logistic EuroSCORE and APACHE II model was 89.1%; in the local EuroSCORE (logistic was 91.89%; and in the local EuroSCORE support vector machines (SVM was 98.6%. The area under curve for ROC curve, was 0.724 (95% confidence interval [CI]: 0.57-0.88 for logistic EuroSCORE; 0.836 (95% CI: 0.731-0.942 for local EuroSCORE (logistic; 0.978 (95% CI: 0.937-1 for Local EuroSCORE (SVM; and 0.832 (95% CI: 0.723-0.941 for APACHE II model. The HL test showed good calibration for the local EuroSCORE (SVM, APACHE II model and local EuroSCORE (logistic (P = 0.823, P = 0.748 and P = 0.06 respectively; but there was a significant difference between expected and observed mortality according to EuroSCORE model (P = 0.033. Conclusion: We detected logistic EuroSCORE risk model is not applicable on Iranian patients undergoing CABG surgery.

  6. Comparison of severity of illness scoring systems for patients with nosocomial bloodstream infection due to Pseudomonas aeruginosa

    Directory of Open Access Journals (Sweden)

    Wenzel Richard P

    2006-08-01

    Full Text Available Abstract Background Several acute illness severity scores have been proposed for evaluating patients on admission to intensive care units but these have not been compared for patients with nosocomial bloodstream infection (nBSI. We compared three severity of illness scoring systems for predicting mortality in patients with nBSI due to Pseudomonas aeruginosa. Methods We performed a historical cohort study on 63 adults in intensive care units with P. aeruginosa monomicrobial nBSI. Results The Acute Physiology, Age, Chronic Health Evaluation II (APACHE II, Sequential Organ Failure Assessment (SOFA, and Simplified Acute Physiologic Score (SAPS II, were calculated daily from 2 days prior through 2 days after the first positive blood culture. Calculation of the area under the receiver operating characteristic (ROC curve confirmed that APACHE II and SAPS II at day -1 and SOFA at day +1 were better predictors of outcome than days -2, 0 and day 2 of BSI. By stepwise logistic regression analysis of these three scoring systems, SAPS II (OR: 13.03, CI95% 2.51–70.49 and APACHE II (OR: 12.51, CI95% 3.12–50.09 on day -1 were the best predictors for mortality. Conclusion SAPS II and APACHE II are more accurate than the SOFA score for predicting mortality in this group of patients at day -1 of BSI.

  7. Kelayakan Raspberry Pi sebagai Web Server: Perbandingan Kinerja Nginx, Apache, dan Lighttpd pada Platform Raspberry Pi

    Directory of Open Access Journals (Sweden)

    Rahmad Dawood

    2014-04-01

    Full Text Available Raspberry Pi is a small-sized computer, but it can function like an ordinary computer. Because it can function like a regular PC then it is also possible to run a web server application on the Raspberry Pi. This paper will report results from testing the feasibility and performance of running a web server on the Raspberry Pi. The test was conducted on the current top three most popular web servers, which are: Apache, Nginx, and Lighttpd. The parameters used to evaluate the feasibility and performance of these web servers were: maximum request and reply time. The results from the test showed that it is feasible to run all three web servers on the Raspberry Pi but Nginx gave the best performance followed by Lighttpd and Apache.Keywords: Raspberry Pi, web server, Apache, Lighttpd, Nginx, web server performance

  8. Jicarilla Apache Utility Authority Renewable Energy and Energy Efficiency Strategic Planning

    Energy Technology Data Exchange (ETDEWEB)

    Rabago, K.R.

    2008-06-28

    The purpose of this Strategic Plan Report is to provide an introduction and in-depth analysis of the issues and opportunities, resources, and technologies of energy efficiency and renewable energy that have potential beneficial application for the people of the Jicarilla Apache Nation and surrounding communities. The Report seeks to draw on the best available information that existed at the time of writing, and where necessary, draws on new research to assess this potential. This study provides a strategic assessment of opportunities for maximizing the potential for electrical energy efficiency and renewable energy development by the Jicarilla Apache Nation. The report analyzes electricity use on the Jicarilla Apache Reservation in buildings. The report also assesses particular resources and technologies in detail, including energy efficiency, solar, wind, geothermal, biomass, and small hydropower. The closing sections set out the elements of a multi-year, multi-phase strategy for development of resources to the maximum benefit of the Nation.

  9. Preliminary Assessment of Apache Hopefulness: Relationships with Hopelessness and with Collective as well as Personal Self-Esteem

    Science.gov (United States)

    Hammond, Vanessa Lea; Watson, P. J.; O'Leary, Brian J.; Cothran, D. Lisa

    2009-01-01

    Hopelessness is central to prominent mental health problems within American Indian (AI) communities. Apaches living on a reservation in Arizona responded to diverse expressions of hope along with Hopelessness, Personal Self-Esteem, and Collective Self-Esteem scales. An Apache Hopefulness Scale expressed five themes of hope and correlated…

  10. 77 FR 18997 - Rim Lakes Forest Restoration Project; Apache-Sitgreavese National Forest, Black Mesa Ranger...

    Science.gov (United States)

    2012-03-29

    ...] [FR Doc No: 2012-7527] DEPARTMENT OF AGRICULTURE Forest Service Rim Lakes Forest Restoration Project; Apache-Sitgreavese National Forest, Black Mesa Ranger District, Coconino County, AZ AGENCY: Forest.... Forest Service (FS) will prepare an environmental impact statement (EIS) on a proposed action to...

  11. Pathogens and bionomics of Lutzomyia apache (Diptera: Psychodidae) from Wyoming, USA

    Science.gov (United States)

    Phlebotomine sand flies are vectors of bacteria, parasites, and viruses. Lutzomyia apache, a North American sand fly, was incriminated as a vector of vesicular stomatitis viruses (VSV) due to overlapping ranges of the sand fly and recent outbreaks of VSV. We report on the discovery of two population...

  12. 基于Linwx的Apache Web网络系统安全技术

    Institute of Scientific and Technical Information of China (English)

    王伟

    2003-01-01

    世界上过半数的网站用Apache作为基于Linux的Web服务器,因此它的安全就成为人们最为关注的问题,本章针对Apache的安全隐患,进行安全配置,以提高Apache Web的安全.

  13. A Photographic Essay of the San Carlos Apache Indians, Volume 2-Part A.

    Science.gov (United States)

    Soto, Ed; And Others

    As part of a series of guides designed for instruction of American Indian children and youth, this resource guide constitutes a pictorial essay on the San Carlos Apache Reservation founded in the late 1800's and located in Arizona's Gila County. An historical narrative and discussion questions accompany each of the 12 photographs. Photographic…

  14. A Season on the Reservation: My Sojourn with the White Mountain Apache.

    Science.gov (United States)

    Abdul-Jabbar, Kareem; Singular, Stephen

    In this book, basketball legend Kareem Abdul-Jabbar tells of one basketball season when he coached a high school team on the White Mountain Apache Reservation (Arizona). Tired of life in Los Angeles, disillusioned with pro basketball, and devastated by the death of his mother, Abdul-Jabbar accepted an invitation to coach the team at Alchesay High…

  15. Survival of Apache Trout eggs and alevins under static and fluctuating temperature regimes

    Science.gov (United States)

    Recsetar, Matthew S.; Bonar, Scott A.

    2013-01-01

    Increased stream temperatures due to global climate change, livestock grazing, removal of riparian cover, reduction of stream flow, and urbanization will have important implications for fishes worldwide. Information exists that describes the effects of elevated water temperatures on fish eggs, but less information is available on the effects of fluctuating water temperatures on egg survival, especially those of threatened and endangered species. We tested the posthatch survival of eyed eggs and alevins of Apache Trout Oncorhynchus gilae apache, a threatened salmonid, in static temperatures of 15, 18, 21, 24, and 27°C, and also in treatments with diel fluctuations of ±3°C around those temperatures. The LT50 for posthatch survival of Apache Trout eyed eggs and alevins was 17.1°C for static temperatures treatments and 17.9°C for the midpoints of ±3°C fluctuating temperature treatments. There was no significant difference in survival between static temperatures and fluctuating temperatures that shared the same mean temperature, yet there was a slight difference in LT50s. Upper thermal tolerance of Apache Trout eyed eggs and alevins is much lower than that of fry to adult life stages (22–23°C). Information on thermal tolerance of early life stages (eyed egg and alevin) will be valuable to those restoring streams or investigating thermal tolerances of imperiled fishes.

  16. Lutzomyia (Helcocyrtomyia) Apache Young and Perkins (Diptera: Psychodidae) feeds on reptiles

    Science.gov (United States)

    Phlebotomine sand flies are vectors of bacteria, parasites, and viruses. In the western USA a sand fly, Lutzomyia apache Young and Perkins, was initially associated with epizootics of vesicular stomatitis virus (VSV), because sand flies were trapped at sites of an outbreak. Additional studies indica...

  17. White Mountain Apache Language: Issues in Language Shift, Textbook Development, and Native Speaker-University Collaboration.

    Science.gov (United States)

    Adley-SantaMaria, Bernadette

    This paper is an overview of topics covered at two sessions of the Fourth Annual Stabilizing Indigenous Languages Symposium, from the perspective of a native speaker of an indigenous language and member of a university academic community. The first section describes a Master's thesis on White Mountain Apache (WMA) language shift. Interviews with…

  18. Installation and Configuration of Apache+ Php4+ MySQL under Solaris7%Apache+Php4+MySQL在Solaris7下的安装与配置

    Institute of Scientific and Technical Information of China (English)

    余海萍

    2003-01-01

    为了使Solaris 7支持动态网页的WEB服务,将Apache+Php4+MySQL安装到Solaris 7下.介绍Apache、Php4、MySQL等3个工具的解压、编译和安装,并详述Apache+Php4+MySQL配置和有效性验证的具体方法.安装后的Solaris 7+Apache+MySQL+Php网站能很好支持动态网页服务.

  19. The U.S. Government and the Apache Indians, 1871-1876: A Case Study in Counterinsurgency

    Science.gov (United States)

    1993-06-05

    first-hand accounts from the Apaches themselves. The best sources in this category are: I Fought with Geronimo by Jason Betzinez and the narratives...information, see E. Lisle Reedstrom, Apache Wars (New York: Sterling Publishing, 1990), p. 18. 16Terrell, Apache Chronicle, p. 81. ’I7bid., p. 84. ’$Lockwood...Chronicle, pp. 186-196. 24Ibid., pp. 202-203. 2 5 Thrapp, Conauest of ADacheria, p. 13. For a more detailed account of this incident, see Jason

  20. User-tailored Inter-Widget Communication - Extending the Shared Data Interface for the Apache Wookie Engine

    NARCIS (Netherlands)

    Hoisl, Bernhard; Drachsler, Hendrik; Waglecher, Christoph

    2010-01-01

    Hoisl, B., Drachsler, H., & Waglecher, C. (2010). User-tailored Inter-Widget Communication. Extending the Shared Data Interface for the Apache Wookie Engine, International Conference on Interactive Computer Aided Learning 2010, Hasselt, Belgium.

  1. Apache并发连接数量控制%The Control of Simultaneous Connections for Apache Server

    Institute of Scientific and Technical Information of China (English)

    李绪; 陈诗明; 姜军

    2008-01-01

    文章针对Apache web服务器并发连接数控制问题,提出了三种解决方法:调整Apache自身参数MaxClients,使用第三方提供的Apache的模块mod_limitipconn,使用iptables的connlimit target,以控制Apache web服务器的并发连接数.

  2. Obstetrical disseminated intravascular coagulation score.

    Science.gov (United States)

    Kobayashi, Takao

    2014-06-01

    Obstetrical disseminated intravascular coagulation (DIC) is usually a very acute, serious complication of pregnancy. The obstetrical DIC score helps with making a prompt diagnosis and starting treatment early. This DIC score, in which higher scores are given for clinical parameters rather than for laboratory parameters, has three components: (i) the underlying diseases; (ii) the clinical symptoms; and (iii) the laboratory findings (coagulation tests). It is justifiably appropriate to initiate therapy for DIC when the obstetrical DIC score reaches 8 points or more before obtaining the results of coagulation tests. Improvement of blood coagulation tests and clinical symptoms are essential to the efficacy evaluation for treatment after a diagnosis of obstetrical DIC. Therefore, the efficacy evaluation criteria for obstetrical DIC are also defined to enable follow-up of the clinical efficacy of DIC therapy.

  3. Development of demographic norms for four new WAIS-III/WMS-III indexes.

    Science.gov (United States)

    Lange, Rael T; Chelune, Gordon J; Taylor, Michael J; Woodward, Todd S; Heaton, Robert K

    2006-06-01

    Following the publication of the third edition Wechsler scales (i.e., WAIS-III and WMS-III), demographically corrected norms were made available in the form of a computerized scoring program (i.e., WAIS-III/WMS-III/WIAT-II Scoring Assistant). These norms correct for age, gender, ethnicity, and education. Since then, four new indexes have been developed: the WAIS-III General Ability Index, the WMS-III Delayed Memory Index, and the two alternate Immediate and Delayed Memory Indexes. The purpose of this study was to develop demographically corrected norms for the four new indexes using the standardization sample and education oversample from the WAIS-III and WMS-III. These norms were developed using the same methodology as the demographically corrected norms made available in the WAIS-III/WMS-III/WIAT-II Scoring Assistant.

  4. Apache Trail uranium prospect, White Signal district, Grant County, New Mexico

    Science.gov (United States)

    Bauer, Herman L.

    1951-01-01

    The Apache Trail uranium prospect in the White Signal district, Grant County. N. Mex., was mapped by the Geological Survey in May 1950. Pre-Cambrian granite is cut by a diabase dike and a parallel quartz-hematite vein, both of which strike easterly and dip 60 to 65 degrees north. Small quantities of copper carbonates and bismuth-gold ore have been mined. The quartz-hematite vein is moderately radioactive and, although no uranium minerals were seen, two samples contained about 0.01 percent uranium. The diabase dike locally contains torbernite. Two samples of diabase contained about 0.04 percent uranium.

  5. Apache Server-Status引发的旁注入侵

    Institute of Scientific and Technical Information of China (English)

    古典娃娃

    2010-01-01

    熟悉Apache的朋友都知道它的日志又多又杂.如果靠分析日志或者查看服务器进程来监视APache运行状态的话,比较繁冗。于是在Apache1.3.2及以后的版本中就自带了一个查看Apache状态的功能模块server-status。

  6. Setting up LAMP getting Linux, Apache, MySQL, and PHP working together

    CERN Document Server

    Rosebrock, Eric

    2006-01-01

    You could think of Setting Up LAMP as four books in one, but it''s actually something much more valuable: a single volume that presents the open-source technologies known collectively as LAMP-Linux, Apache, MySQL, and PHP-as tightly dovetailed components of today''s most affordable and effective platform for building dynamic web-based applications. Each technology has uses outside of this context, of course, but within it they form something greater than the sum of their parts. This book shows you how to take full advantage of this power, walking you through all the steps required to lay your

  7. Controls for a Pulsed Ion Accelerator Using Apache Cassandra (No-SQL) and ZMQ

    CERN Document Server

    Persaud, A; Stettler, M W; Vytla, V K

    2015-01-01

    We report on updates to the accelerator controls for the Neutral Drift Compression Experiment II, a pulsed accelerator for heavy ions. The control infrastructure is built around a LabVIEW interface combined with an Apache Cassandra (No-SQL) backend for data archiving. Recent upgrades added the storing and retrieving of device settings into the database, as well as adding ZMQ as a message broker that replaces LabVIEW's shared variables. Converting to ZMQ also allows easy access using other programming languages, such as Python.

  8. Advanced Phase Array Chemical Energy (APACHE) Laser Program; Final Report, Volume 2

    Science.gov (United States)

    2007-11-02

    APOPM Code Development 3.6-6 3.6.4 Phase Conjugate Amplifier Parameter Studies 3.6-9 4. ASAM MODEL 4-1 4.1 Background and Objectives 4-1. 4.2...individual modules in APOPM, as well as certain combinations of modules. Section 4 describes the APACHE Systems Analysis Model ( ASAM ), developed as a...comprehensive, yet convenient (runs on a PC), modeling tool to support both the SBL design effort, as well as systems effectiveness studies. The ASAM

  9. Prediction of Pressure Ulcer by Combination of Braden Scale Score and Acute Physiology and Chronic Health EvaluationⅡ Score%Braden 量表评分联合急性生理学与慢性健康状况评分系统Ⅱ评分预测压疮发生的价值

    Institute of Scientific and Technical Information of China (English)

    郝娜; 张建波; 高冰洁; 周平

    2016-01-01

    Background Pressure ulcer assessment is a crucial step in the nursing of pressure ulcer. Braden Scale is a widely used evaluation tool in current assessment of pressure ulcer,but there are limitations in the risk prediction of pressure ulcer in clinic. Objective To evaluate the value of Braden Scale score combined with acute physiology and chronic health evaluation Ⅱ(APACHE Ⅱ)score in pressure ulcer prediction. Methods 310 patients reported by clinic departments(including ICU,CCU,Department of Cardiovascular Disease, Liver Disease, Oncology, Nephrology, Orthopaedics, Emergency, etc. ) from Traditional Chinese Medicine Hospital in Chongqing from June 2014 to June 2015 were selected as the research objects. Patients'scores of Braden Scale and APACHE Ⅱ were collected. The patients scored not more than 12 in Braden Scale were predicted as high - risk pressure ulcer,while those who scored greater than 12 were low - risk pressure ulcer;the patients scored not more than 12 in Braden Scale and not less than 15 in APACHE Ⅱ were predicted as high - risk pressure ulcer,otherwise they would be taken as low - risk pressure ulcer. The receiver operating characteristic(ROC)curve was predicted by Braden Scale or Braden Scale score combined with APACHEscore. The areas under curve ( AUC) of ROC,sensibility,specificity,positive predictive value and negative predictive value were also calculated. Results 57 patients developed pressure ulcer,and 253 patients didn't among the 310 inpatients. The 310 patients were predicted as high - risk pressure ulcer and 0 patients were low -risk pressure ulcer by Braden Scale score. The AUC of the occurrence of pressure ulcer predicted by Braden Scale score was 0. 326,95% CI( 0. 241,0. 410 );with 12 as the critical value,the sensitivity,specificity,positive predictive value, negative predictive value,and Youden's index of predicting the occurrence of pressure ulcer were 100% ,0,18. 4% ,0, 18. 4% ,0,and 0 respectively. 63 high - risk

  10. Sideloading - Ingestion of Large Point Clouds Into the Apache Spark Big Data Engine

    Science.gov (United States)

    Boehm, J.; Liu, K.; Alis, C.

    2016-06-01

    In the geospatial domain we have now reached the point where data volumes we handle have clearly grown beyond the capacity of most desktop computers. This is particularly true in the area of point cloud processing. It is therefore naturally lucrative to explore established big data frameworks for big geospatial data. The very first hurdle is the import of geospatial data into big data frameworks, commonly referred to as data ingestion. Geospatial data is typically encoded in specialised binary file formats, which are not naturally supported by the existing big data frameworks. Instead such file formats are supported by software libraries that are restricted to single CPU execution. We present an approach that allows the use of existing point cloud file format libraries on the Apache Spark big data framework. We demonstrate the ingestion of large volumes of point cloud data into a compute cluster. The approach uses a map function to distribute the data ingestion across the nodes of a cluster. We test the capabilities of the proposed method to load billions of points into a commodity hardware compute cluster and we discuss the implications on scalability and performance. The performance is benchmarked against an existing native Apache Spark data import implementation.

  11. Geronimo's Kids: A Teacher's Lessons on the Apache Reservation. Elma Dill Russell Spencer Series in the West and Southwest, No. 16.

    Science.gov (United States)

    Ove, Robert S.; Stockel, H. Henrietta

    In 1948, a young and naive Robert Ove arrived at Whitetail, on the Mescalero Apache Reservation, to teach at the Bureau of Indian Affairs day school. Living there were the Chiricahua Apaches--descendants of Geronimo and the survivors of nearly 30 years of incarceration by the U.S. government. With help from Indian historian H. Henrietta Stockel,…

  12. Nonsuicidal Self-Injury in an American Indian Reservation Community: Results from the White Mountain Apache Surveillance System, 2007-2008

    Science.gov (United States)

    Cwik, Mary F.; Barlow, Allison; Tingey, Lauren; Larzelere-Hinton, Francene; Goklish, Novalene; Walkup, John T.

    2011-01-01

    Objective: To describe characteristics and correlates of nonsuicidal self-injury (NSSI) among the White Mountain Apache Tribe. NSSI has not been studied before in American Indian samples despite associated risks for suicide, which disproportionately affect American Indian youth. Method: Apache case managers collected data through a tribally…

  13. Time to Definitive Health-Related Quality of Life Score Deterioration in Patients with Resectable Metastatic Colorectal Cancer Treated with FOLFOX4 versus Sequential Dose-Dense FOLFOX7 followed by FOLFIRI: The MIROX Randomized Phase III Trial.

    Directory of Open Access Journals (Sweden)

    Zeinab Hamidou

    Full Text Available We previously showed that a sequential chemotherapy with dose-dense oxaliplatin (FOLFOX7 and irinotecan (FOLFIRI; irinotecan plus 5-fluorouracil/leucovorin is not superior to FOLFOX4 in patients at advanced stage of colorectal cancer with liver metastases. Here we aimed to determine whether time to health-related quality of life (HRQoL score definitive deterioration (TUDD differs by study arm.HRQoL was evaluated using the European Organization for Research and Treatment of Cancer (EORTC QLQ-C30 at baseline and every 4 cycles until the end of the study or death. Functional scale, symptom scale, global health status, and financial difficulties were analyzed. The TUDD was defined as the time interval between randomization and the first decrease in HRQoL score ≥ 5-point with no further improvement in HRQoL score ≥ 5 points or any further HRQoL data. TUDD was estimated using the Kaplan-Meier method and the long-rank test. Cox regression analyses were used to identify HRQoL items influencing TUDD. Sensitivity analyses were done using a multiple imputation method and different definitions of TUDD.Of the 284 patients, 171 (60.2% completed HRQoL questionnaires. Cox multivariate analysis showed no statistically significant difference in TUDD for most of the QLQ-C30 scales between treatments. Patients with dyspnea and those without symptoms at baseline had a significantly longer TUDD when there was a delay >12 months between diagnosis of the primary tumor and metastases (HR 0.48 [0.26-0.89] and when there was diarrhea (HR 0.59 [0.36-0.96], respectively.This study shows that TUDD does not differ significantly according to type of treatment. The TUDD method produces meaningful longitudinal HRQoL results that may facilitate effective clinical decision making in patients with mCRC.ClinicalTrials.gov NCT00268398.

  14. 应用APACHE Ⅱ评分对急性有机磷农药中毒患者氯解磷定总用量估模的临床研究%Reseach on Application of Estimation Model about Total Amount of Pralidoxime Chloride with APACHE Ⅱ on Treatment of Acute Organophosphorus Insecticide Poisoning Patients

    Institute of Scientific and Technical Information of China (English)

    罗静; 辜小丹

    2011-01-01

    Objective: The patents of acute organophosphorus insecticide poisoning were treated with the cure project of estimation value of the total dosage of pralidoxime chloride (PAM.Cl). Methods: 91 cases of patents of acute organophosphorus insecticide poisoning were treated. When their sate of illness was the most serious, the scores (X) of the acute physiology and chronic health evaluation Ⅱ (APACHE Ⅱ)were substituted in (Y) =-43.4+4.7X in the first 24 hours, the total dosage (Y) of PAM.Cl was calculated. The method of large quantity concentrated dose was used until clinical cure was achieved in order to prove the above formula. Results: The process of cure of the patents of acute organophosphorus insecticide poisoning indicated that the actual total dosage of used pralidoxime chloride corresponded to the estimation value of the total dosage of used pralidoxime chloride. Conclusinon: The total dosage of pralidoxime chloride of highly toxic type organophosphorus insecticide poisoning patents that was initially estimated by the APACHEscore was accurate. The formula Y=-43.4+4.7X is an effective method that directs the total dosage of pralidoxime chloride of highly toxic type organophosphorus insecticide poisoning, it is of benefit to direct dosage.%目的:对有机磷农药急性中毒患者应用氯解磷定总用量估模值的救治方案进行治疗,观察其疗效.方法:对91例重度急性有机磷农药中毒(AOPP)患者就行救治,取中毒后第一个24小时内,病情最严重时的急性生理学与慢性健康状况评分Ⅱ(APACHE Ⅱ)的分值(X),代入Y=-43.4+4.7X,计算出PAM.C1总用量(Y),并按大量突击疗法应用至临床治愈,验证上述公式.结果:急性有机磷农药中毒患者的救治过程表明,氯解磷定实际总用量与总用量估模值一致.结论:通过APACHE Ⅱ评分系统初步估模出急性有机磷农药中毒患者氯解磷定总用量的值,是准确的.公式Y=-43.4+4.7X是指导急性有机磷农药中毒

  15. Time to Definitive Health-Related Quality of Life Score Deterioration in Patients with Resectable Metastatic Colorectal Cancer Treated with FOLFOX4 versus Sequential Dose-Dense FOLFOX7 followed by FOLFIRI: The MIROX Randomized Phase III Trial

    Science.gov (United States)

    Hamidou, Zeinab; Chibaudel, Benoist; Hebbar, Mohamed; Hug de Larauze, Marine; André, Thierry; Louvet, Christophe; Brusquant, David; Garcia-Larnicol, Marie-Line; de Gramont, Aimery; Bonnetain, Franck

    2016-01-01

    Purpose We previously showed that a sequential chemotherapy with dose-dense oxaliplatin (FOLFOX7) and irinotecan (FOLFIRI; irinotecan plus 5-fluorouracil/leucovorin) is not superior to FOLFOX4 in patients at advanced stage of colorectal cancer with liver metastases. Here we aimed to determine whether time to health-related quality of life (HRQoL) score definitive deterioration (TUDD) differs by study arm. Methods HRQoL was evaluated using the European Organization for Research and Treatment of Cancer (EORTC) QLQ-C30 at baseline and every 4 cycles until the end of the study or death. Functional scale, symptom scale, global health status, and financial difficulties were analyzed. The TUDD was defined as the time interval between randomization and the first decrease in HRQoL score ≥ 5-point with no further improvement in HRQoL score ≥ 5 points or any further HRQoL data. TUDD was estimated using the Kaplan-Meier method and the long-rank test. Cox regression analyses were used to identify HRQoL items influencing TUDD. Sensitivity analyses were done using a multiple imputation method and different definitions of TUDD. Results Of the 284 patients, 171 (60.2%) completed HRQoL questionnaires. Cox multivariate analysis showed no statistically significant difference in TUDD for most of the QLQ-C30 scales between treatments. Patients with dyspnea and those without symptoms at baseline had a significantly longer TUDD when there was a delay >12 months between diagnosis of the primary tumor and metastases (HR 0.48 [0.26–0.89]) and when there was diarrhea (HR 0.59 [0.36–0.96]), respectively. Conclusion This study shows that TUDD does not differ significantly according to type of treatment. The TUDD method produces meaningful longitudinal HRQoL results that may facilitate effective clinical decision making in patients with mCRC. Trial Registration ClinicalTrials.gov NCT00268398 PMID:27310205

  16. Constructing Flexible, Configurable, ETL Pipelines for the Analysis of "Big Data" with Apache OODT

    Science.gov (United States)

    Hart, A. F.; Mattmann, C. A.; Ramirez, P.; Verma, R.; Zimdars, P. A.; Park, S.; Estrada, A.; Sumarlidason, A.; Gil, Y.; Ratnakar, V.; Krum, D.; Phan, T.; Meena, A.

    2013-12-01

    A plethora of open source technologies for manipulating, transforming, querying, and visualizing 'big data' have blossomed and matured in the last few years, driven in large part by recognition of the tremendous value that can be derived by leveraging data mining and visualization techniques on large data sets. One facet of many of these tools is that input data must often be prepared into a particular format (e.g.: JSON, CSV), or loaded into a particular storage technology (e.g.: HDFS) before analysis can take place. This process, commonly known as Extract-Transform-Load, or ETL, often involves multiple well-defined steps that must be executed in a particular order, and the approach taken for a particular data set is generally sensitive to the quantity and quality of the input data, as well as the structure and complexity of the desired output. When working with very large, heterogeneous, unstructured or semi-structured data sets, automating the ETL process and monitoring its progress becomes increasingly important. Apache Object Oriented Data Technology (OODT) provides a suite of complementary data management components called the Process Control System (PCS) that can be connected together to form flexible ETL pipelines as well as browser-based user interfaces for monitoring and control of ongoing operations. The lightweight, metadata driven middleware layer can be wrapped around custom ETL workflow steps, which themselves can be implemented in any language. Once configured, it facilitates communication between workflow steps and supports execution of ETL pipelines across a distributed cluster of compute resources. As participants in a DARPA-funded effort to develop open source tools for large-scale data analysis, we utilized Apache OODT to rapidly construct custom ETL pipelines for a variety of very large data sets to prepare them for analysis and visualization applications. We feel that OODT, which is free and open source software available through the Apache

  17. The ability of two scoring systems to predict in-hospital mortality of patients with moderate and severe traumatic brain injuries in a Moroccan intensive care unit

    Directory of Open Access Journals (Sweden)

    Hicham Nejmi

    2014-01-01

    Full Text Available Aim of Study: We aim to assess and to compare the predicting power for in-hospital mortality (IHM of the Acute Physiology and Chronic Health Evaluation-II (APACHE-II and the Simplified Acute Physiology Score-II (SAPS-II for traumatic brain injury (TBI. Patients and Methods: This retrospective cohort study was conducted during a period of 2 years and 9 months in a Moroccan intensive care unit. Data were collected during the first 24 h of each admission. The clinical and laboratory parameters were analyzed and used as per each scoring system to calculate the scores. Univariate and multivariate analyses through regression logistic models were performed, to predict IHM after moderate and severe TBIs. Areas under the receiver operating characteristic curves (AUROC, specificities and sensitivities were determined and also compared. Results: A total of 225 patients were enrolled. The observed IHM was 51.5%. The univariate analysis showed that the initial Glasgow coma scale (GCS was lower in nonsurviving patients (mean GCS = 6 than the survivors (mean GCS = 9 with a statistically significant difference (P = 0.0024. The APACHE-II and the SAPS-II of the nonsurviving patients were higher than those of the survivors (respectively 20.4 ± 6.8 and 31.2 ± 13.6 for nonsurvivors vs. 15.7 ± 5.4 and 22.7 ± 10.3 for survivors with a statistically significant difference (P = 0.0032 for APACHE-II and P = 0.0045 for SAPS-II. Multivariate analysis: APACHE-II was superior for predicting IHM (AUROC = 0.92. Conclusion: The APACHE-II is an interesting tool to predict IHM of head injury patients. This is particularly relevant in Morocco, where TBI is a greater public health problem than in many other countries.

  18. The Match between Apache Indians' Culture and Educational Practices Used in Our Schools: From Problems to Solutions

    Science.gov (United States)

    Ingalls, Lawrence; Hammond, Helen

    2007-01-01

    This study examined cultural values and practices of Apache Indian families in regards to child rearing and how culturally responsive our schools' educational practices are with this population of individuals. Findings from this study revealed a potentially negative impact on these students' development and academic achievement. Solutions to…

  19. Overview of the SDSS-IV MaNGA Survey: Mapping nearby Galaxies at Apache Point Observatory

    NARCIS (Netherlands)

    Bundy, Kevin; Bershady, Matthew A.; Law, David R.; Yan, Renbin; Drory, Niv; MacDonald, Nicholas; Wake, David A.; Cherinka, Brian; Sánchez-Gallego, José R.; Weijmans, Anne-Marie; Thomas, Daniel; Tremonti, Christy; Masters, Karen; Coccato, Lodovico; Diamond-Stanic, Aleksandar M.; Aragón-Salamanca, Alfonso; Avila-Reese, Vladimir; Badenes, Carles; Falcón-Barroso, Jésus; Belfiore, Francesco; Bizyaev, Dmitry; Blanc, Guillermo A.; Bland-Hawthorn, Joss; Blanton, Michael R.; Brownstein, Joel R.; Byler, Nell; Cappellari, Michele; Conroy, Charlie; Dutton, Aaron A.; Emsellem, Eric; Etherington, James; Frinchaboy, Peter M.; Fu, Hai; Gunn, James E.; Harding, Paul; Johnston, Evelyn J.; Kauffmann, Guinevere; Kinemuchi, Karen; Klaene, Mark A.; Knapen, Johan H.; Leauthaud, Alexie; Li, Cheng; Lin, Lihwai; Maiolino, Roberto; Malanushenko, Viktor; Malanushenko, Elena; Mao, Shude; Maraston, Claudia; McDermid, Richard M.; Merrifield, Michael R.; Nichol, Robert C.; Oravetz, Daniel; Pan, Kaike; Parejko, John K.; Sanchez, Sebastian F.; Schlegel, David; Simmons, Audrey; Steele, Oliver; Steinmetz, Matthias; Thanjavur, Karun; Thompson, Benjamin A.; Tinker, Jeremy L.; van den Bosch, Remco C. E.; Westfall, Kyle B.; Wilkinson, David; Wright, Shelley; Xiao, Ting; Zhang, Kai

    2015-01-01

    We present an overview of a new integral field spectroscopic survey called MaNGA (Mapping Nearby Galaxies at Apache Point Observatory), one of three core programs in the fourth-generation Sloan Digital Sky Survey (SDSS-IV) that began on 2014 July 1. MaNGA will investigate the internal kinematic stru

  20. In vivo erythrocyte micronucleus assay III. Validation and regulatory acceptance of automated scoring and the use of rat peripheral blood reticulocytes, with discussion of non-hematopoietic target cells and a single dose-level limit test.

    Science.gov (United States)

    Hayashi, Makoto; MacGregor, James T; Gatehouse, David G; Blakey, David H; Dertinger, Stephen D; Abramsson-Zetterberg, Lilianne; Krishna, Gopala; Morita, Takeshi; Russo, Antonella; Asano, Norihide; Suzuki, Hiroshi; Ohyama, Wakako; Gibson, Dave

    2007-02-03

    The in vivo micronucleus assay working group of the International Workshop on Genotoxicity Testing (IWGT) discussed new aspects in the in vivo micronucleus (MN) test, including the regulatory acceptance of data derived from automated scoring, especially with regard to the use of flow cytometry, the suitability of rat peripheral blood reticulocytes to serve as the principal cell population for analysis, the establishment of in vivo MN assays in tissues other than bone marrow and blood (for example liver, skin, colon, germ cells), and the biological relevance of the single-dose-level test. Our group members agreed that flow cytometric systems to detect induction of micronucleated immature erythrocytes have advantages based on the presented data, e.g., they give good reproducibility compared to manual scoring, are rapid, and require only small quantities of peripheral blood. Flow cytometric analysis of peripheral blood reticulocytes has the potential to allow monitoring of chromosome damage in rodents and also other species as part of routine toxicology studies. It appears that it will be applicable to humans as well, although in this case the possible confounding effects of splenic activity will need to be considered closely. Also, the consensus of the group was that any system that meets the validation criteria recommended by the IWGT (2000) should be acceptable. A number of different flow cytometric-based micronucleus assays have been developed, but at the present time the validation data are most extensive for the flow cytometric method using anti-CD71 fluorescent staining especially in terms of inter-laboratory collaborative data. Whichever method is chosen, it is desirable that each laboratory should determine the minimum sample size required to ensure that scoring error is maintained below the level of animal-to-animal variation. In the second IWGT, the potential to use rat peripheral blood reticulocytes as target cells for the micronucleus assay was discussed

  1. Extraction of UMLS® Concepts Using Apache cTAKES™ for German Language.

    Science.gov (United States)

    Becker, Matthias; Böckmann, Britta

    2016-01-01

    Automatic information extraction of medical concepts and classification with semantic standards from medical reports is useful for standardization and for clinical research. This paper presents an approach for an UMLS concept extraction with a customized natural language processing pipeline for German clinical notes using Apache cTAKES. The objectives are, to test the natural language processing tool for German language if it is suitable to identify UMLS concepts and map these with SNOMED-CT. The German UMLS database and German OpenNLP models extended the natural language processing pipeline, so the pipeline can normalize to domain ontologies such as SNOMED-CT using the German concepts. For testing, the ShARe/CLEF eHealth 2013 training dataset translated into German was used. The implemented algorithms are tested with a set of 199 German reports, obtaining a result of average 0.36 F1 measure without German stemming, pre- and post-processing of the reports.

  2. Target Selection for the Apache Point Observatory Galactic Evolution Experiment (APOGEE)

    CERN Document Server

    Zasowski, G; Frinchaboy, P M; Majewski, S R; Nidever, D L; Pinto, H J Rocha; Girardi, L; Andrews, B; Chojnowski, S D; Cudworth, K M; Jackson, K; Munn, J; Skrutskie, M F; Beaton, R L; Blake, C H; Covey, K; Deshpande, R; Epstein, C; Fabbian, D; Fleming, S W; Hernandez, A Garcia; Herrero, A; Mahadevan, S; Meszaros, Sz; Schultheis, M; Sellgren, K; Terrien, R; van Saders, J; Prieto, C Allende; Bizyaev, D; Burton, A; Cunha, K; da Costa, L N; Hasselquist, S; Hearty, F; Holtzman, J; Perez, A E Garcia; Maia, M A G; O'Connell, R W; O'Donnell, C; Pinsonneault, M; Santiago, B X; Schiavon, R P; Shetrone, M; Smith, V; Wilson, J C

    2013-01-01

    The Apache Point Observatory Galactic Evolution Experiment (APOGEE) is a high-resolution infrared spectroscopic survey spanning all Galactic environments (i.e., bulge, disk, and halo), with the principal goal of constraining dynamical and chemical evolution models of the Milky Way. APOGEE takes advantage of the reduced effects of extinction at infrared wavelengths to observe the inner Galaxy and bulge at an unprecedented level of detail. The survey's broad spatial and wavelength coverage enables users of APOGEE data to address numerous Galactic structure and stellar populations issues. In this paper we describe the APOGEE targeting scheme and document its various target classes to provide the necessary background and reference information to analyze samples of APOGEE data with awareness of the imposed selection criteria and resulting sample properties. APOGEE's primary sample consists of ~100,000 red giant stars, selected to minimize observational biases in age and metallicity. We present the methodology and ...

  3. Inequalities in Open Source Software Development: Analysis of Contributor's Commits in Apache Software Foundation Projects.

    Science.gov (United States)

    Chełkowski, Tadeusz; Gloor, Peter; Jemielniak, Dariusz

    2016-01-01

    While researchers are becoming increasingly interested in studying OSS phenomenon, there is still a small number of studies analyzing larger samples of projects investigating the structure of activities among OSS developers. The significant amount of information that has been gathered in the publicly available open-source software repositories and mailing-list archives offers an opportunity to analyze projects structures and participant involvement. In this article, using on commits data from 263 Apache projects repositories (nearly all), we show that although OSS development is often described as collaborative, but it in fact predominantly relies on radically solitary input and individual, non-collaborative contributions. We also show, in the first published study of this magnitude, that the engagement of contributors is based on a power-law distribution.

  4. Outcrop Analysis of the Cretaceous Mesaverde Group: Jicarilla Apache Reservation, New Mexico

    Energy Technology Data Exchange (ETDEWEB)

    Ridgley, Jennie; Dunbar, Robin Wright

    2001-04-24

    Field work for this project was conducted during July and April 1998, at which time fourteen measured sections were described and correlated on or adjacent to Jicarilla Apache Reservation lands. A fifteenth section, described east of the main field area, is included in this report, although its distant location precluded use in the correlations and cross sections presented herein. Ground-based photo mosaics were shot for much of the exposed Mesaverde outcrop belt and were used to assist in correlation. Outcrop gamma-ray surveys at six of the fifteen measured sections using a GAD-6 scintillometer was conducted. The raw gamma-ray data are included in this report, however, analysis of those data is part of the ongoing Phase Two of this project.

  5. MODIS derived vegetation index for drought detection on the San Carlos Apache Reservation

    Science.gov (United States)

    Wu, Zhuoting; Velasco, Miguel G.; McVay, Jason; Middleton, Barry R.; Vogel, John M.; Dye, Dennis G.

    2016-01-01

    A variety of vegetation indices derived from remotely sensed data have been used to assess vegetation conditions, enabling the identification of drought occurrences as well as the evaluation of drought impacts. Moderate Resolution Imaging Spectroradiometer (MODIS) Terra 8-day composite data were used to compute the Modified Soil Adjusted Vegetation Index II (MSAVI2) of four dominant vegetation types over a 13-year period (2002 – 2014) on the San Carlos Apache Reservation in Arizona, US. MSAVI2 anomalies were used to identify adverse impacts of drought on vegetation, characterized as mean MSAVI2 below the 13-year average. In terms of interannual variability, we found similar responses between grassland and shrubland, and between woodland and forest vegetation types. We compared MSAVI2 for specific vegetation types with precipitation data at the same time step, and found a lag time of roughly two months for the peak MSAVI2 values following precipitation in a given year. All vegetation types responded to summer monsoon rainfall, while shrubland and annual herbaceous vegetation also displayed a brief spring growing season following winter snowmelt. MSAVI2 values of shrublands corresponded well with precipitation variability both for summer rainfall and winter snowfall, and can be potentially used as a drought indicator on the San Carlos Apache Reservation given its wide geographic distribution. We demonstrated that moderate temporal frequency satellite-based MSAVI2 can provide drought monitoring to inform land management decisions, especially on vegetated tribal land areas where in situ precipitation data are limited.

  6. Vegetative response to water availability on the San Carlos Apache Reservation

    Science.gov (United States)

    Petrakis, Roy; Wu, Zhuoting; McVay, Jason; Middleton, Barry R.; Dye, Dennis G.; Vogel, John M.

    2016-01-01

    On the San Carlos Apache Reservation in east-central Arizona, U.S.A., vegetation types such as ponderosa pine forests, pinyon-juniper woodlands, and grasslands have significant ecological, cultural, and economic value for the Tribe. This value extends beyond the tribal lands and across the Western United States. Vegetation across the Southwestern United States is susceptible to drought conditions and fluctuating water availability. Remotely sensed vegetation indices can be used to measure and monitor spatial and temporal vegetative response to fluctuating water availability conditions. We used the Moderate Resolution Imaging Spectroradiometer (MODIS)-derived Modified Soil Adjusted Vegetation Index II (MSAVI2) to measure the condition of three dominant vegetation types (ponderosa pine forest, woodland, and grassland) in response to two fluctuating environmental variables: precipitation and the Standardized Precipitation Evapotranspiration Index (SPEI). The study period covered 2002 through 2014 and focused on a region within the San Carlos Apache Reservation. We determined that grassland and woodland had a similar moderate to strong, year-round, positive relationship with precipitation as well as with summer SPEI. This suggests that these vegetation types respond negatively to drought conditions and are more susceptible to initial precipitation deficits. Ponderosa pine forest had a comparatively weaker relationship with monthly precipitation and summer SPEI, indicating that it is more buffered against short-term drought conditions. This research highlights the response of multiple, dominant vegetation types to seasonal and inter-annual water availability. This research demonstrates that multi-temporal remote sensing imagery can be an effective tool for the large scale detection of vegetation response to adverse impacts from climate change and support potential management practices such as increased monitoring and management of drought-affected areas. Different

  7. Next Generation Astronomical Data Processing using Big Data Technologies from the Apache Software Foundation

    Science.gov (United States)

    Mattmann, Chris

    2014-04-01

    In this era of exascale instruments for astronomy we must naturally develop next generation capabilities for the unprecedented data volume and velocity that will arrive due to the veracity of these ground-based sensor and observatories. Integrating scientific algorithms stewarded by scientific groups unobtrusively and rapidly; intelligently selecting data movement technologies; making use of cloud computing for storage and processing; and automatically extracting text and metadata and science from any type of file are all needed capabilities in this exciting time. Our group at NASA JPL has promoted the use of open source data management technologies available from the Apache Software Foundation (ASF) in pursuit of constructing next generation data management and processing systems for astronomical instruments including the Expanded Very Large Array (EVLA) in Socorro, NM and the Atacama Large Milimetre/Sub Milimetre Array (ALMA); as well as for the KAT-7 project led by SKA South Africa as a precursor to the full MeerKAT telescope. In addition we are funded currently by the National Science Foundation in the US to work with MIT Haystack Observatory and the University of Cambridge in the UK to construct a Radio Array of Portable Interferometric Devices (RAPID) that will undoubtedly draw from the rich technology advances underway. NASA JPL is investing in a strategic initiative for Big Data that is pulling in these capabilities and technologies for astronomical instruments and also for Earth science remote sensing. In this talk I will describe the above collaborative efforts underway and point to solutions in open source from the Apache Software Foundation that can be deployed and used today and that are already bringing our teams and projects benefits. I will describe how others can take advantage of our experience and point towards future application and contribution of these tools.

  8. WAIS-III and WMS-III profiles of mildly to severely brain-injured patients.

    Science.gov (United States)

    Fisher, D C; Ledbetter, M F; Cohen, N J; Marmor, D; Tulsky, D S

    2000-01-01

    Wechsler Adult Intelligence Scale-III (WAIS-III) and Wechsler Memory Scale-III (WMS-III; The Psychological Corporation, 1997) scores of patients with mild traumatic brain injury (MTBI, n = 23) to moderate-severe traumatic brain injury (M-S TBI, n = 22) were compared to those of 45 matched normal control patients. WAIS-III results revealed that IQ and index scores of MTBI patients did not significantly differ from those of controls, whereas M-S TBI patients received significantly lower mean scores on all measures. All M-S TBI patients' WMS-III index scores also revealed significantly lower scores in comparison to those of control participants, with the exception of Delayed Auditory Recognition. MTBI patients showed significantly lower mean index scores compared to normal controls on measures of immediate and delayed auditory memory, immediate memory, visual delayed memory, and general memory. Eta-squared analyses revealed that WMS-III visual indexes and WAIS-III processing speed showed particularly large effect sizes. These results suggest that symptomatic MTBI patients obtain some low WMS-III test scores comparable to those of more severely injured patients.

  9. The value of APACHE Ⅱ and coagulation indexes of exertional heat stroke patients to exertional heat stroke prognosis%劳力性热射病患者APACHE Ⅱ评分及凝血指标对预后判断意义

    Institute of Scientific and Technical Information of China (English)

    葛凤; 金红旭; 崔岩

    2016-01-01

    目的:探讨APACHEⅡ及凝血功能指标对劳力性热射病病情及预后判断的意义。方法对沈阳军区总医院自2010年6月至2016年8月救治的48例劳力性热射病患者的临床资料进行回顾性分析。结果本研究共48例患者,32例(66.67%)患者皮肤可见散在出血点;46例(95.83%)存在凝血功能障碍,其中,10例(20.83%)出现弥漫性血管内凝血(DIC);8例(16.67%)皮肤、鼻、口腔、消化、肺、穿刺部位等发生出血。全部48例患者均发生多器官功能衰竭,其中,3个器官受累2例,4个器官受累10例,5个器官受累16例,5个以上器官受累20例。死亡者APACHE Ⅱ评分高于生存者( P<0.05),且两组血小板及凝血功能指标(活化部分凝血酶时问、凝血酶原时间、纤维蛋白原)比较,差异均有统计学意义( P<0.05)。结论 APACHE Ⅱ评分及凝血指标的变化与热射病的病情严重程度及预后密切相关。%Objective To explore the value of APACHE Ⅱ and coagulation indexes to exertional heat stroke( EHS) condi-tion and prognosis. Methods A retrospective study was performed for analyzing the record of 48 EHS patients treated in our hospital from June 2010 to August 2016. Results During the course,32 cases suffered from visible hemorrhagic spots on skin. Forty-six cases(95. 83%)were with coagulation disorders,and ten case(20. 83%)showed disseminated intravascu-lar coagulation(DIC). Eight cases(16. 67%)bled in skin,noses,mouths,digestive,lungs and punctured parts. Multiple or-gan failure appeared within all 48 cases,2 cases involved 3 organs,10 cases involved 4 organs,16 cases involved 5 organs, and 20 cases involved more than 5 organs. The scores of acute physiology and chronic health evaluation of death group were higher than survivor group(P<0. 05). The differences of platelets and coagulation indexes(activated partial thrombin time, prothrombin time and fibrinogen)were statistically significant(P<0. 05). Conclusion The

  10. The Apgar Score.

    Science.gov (United States)

    2015-10-01

    The Apgar score provides an accepted and convenient method for reporting the status of the newborn infant immediately after birth and the response to resuscitation if needed. The Apgar score alone cannot be considered as evidence of, or a consequence of, asphyxia; does not predict individual neonatal mortality or neurologic outcome; and should not be used for that purpose. An Apgar score assigned during resuscitation is not equivalent to a score assigned to a spontaneously breathing infant. The American Academy of Pediatrics and the American College of Obstetricians and Gynecologists encourage use of an expanded Apgar score reporting form that accounts for concurrent resuscitative interventions.

  11. Evaluation of diagnostic findings and scoring systems in outcome prediction in acute pancreatitis

    Institute of Scientific and Technical Information of China (English)

    Ekrem Kaya; Adem Dervi(s)o(g)lu; Cafer Polat

    2007-01-01

    AIM: To determine factors related to disease severity, mortality and morbidity in acute pancreatitis.METHODS: One hundred and ninety-nine consecutive patients were admitted with the diagnosis of acute pancreatitis (AP) in a 5-year period (1998-2002). In a prospective design, demographic data, etiology, mean hospital admission time, clinical, radiological, biochemical findings, treatment modalities, mortality and morbidity were recorded. Endocrine insufficiency was investigated with oral glucose tolerance test. The relations between these parameters, scoring systems (Ranson, Imrie and APACHE n) and patients' outcome were determined by using invariable tests and the receiver operating characteristics curve.RESULTS: One hundred patients were men and 99 were women; the mean age was 55 years. Biliary pancreatitis was the most common form, followed by idiopathic pancreatitis (53% and 26%, respectively). Sixty-three patients had severe pancreatitis and 136 had mild disease. Respiratory rate > 20/min, pulse rate> 90/min, increased C-reactive protein (CRP), lactate dehydrogenase (LDH) and aspartate aminotransferase (AST) levels, organ necrosis > 30% on computed tomography (CT) and leukocytosis were associated with severe disease. The rate of glucose intolerance, morbidity and mortality were 24.1%, 24.8% and 13.6%, respectively. CRP > 142 mg/L, BUN > 22 mg/dL, LDH> 667 U/L, base excess > -5, CT severity index > 3 and APACHE score > 8 were related to morbidity and mortality.CONCLUSION: APACHE n score, LDH, base excess and CT severity index have prognostic value and CRP is a reliable marker for predicting both mortality and morbidity.

  12. Performance of the Apache Point Observatory Galactic Evolution Experiment (APOGEE) high-resolution near-infrared multi-object fiber spectrograph

    Science.gov (United States)

    Wilson, John C.; Hearty, F.; Skrutskie, M. F.; Majewski, S. R.; Schiavon, R.; Eisenstein, D.; Gunn, J.; Holtzman, J.; Nidever, D.; Gillespie, B.; Weinberg, D.; Blank, B.; Henderson, C.; Smee, S.; Barkhouser, R.; Harding, A.; Hope, S.; Fitzgerald, G.; Stolberg, T.; Arns, J.; Nelson, M.; Brunner, S.; Burton, A.; Walker, E.; Lam, C.; Maseman, P.; Barr, J.; Leger, F.; Carey, L.; MacDonald, N.; Ebelke, G.; Beland, S.; Horne, T.; Young, E.; Rieke, G.; Rieke, M.; O'Brien, T.; Crane, J.; Carr, M.; Harrison, C.; Stoll, R.; Vernieri, M.; Shetrone, M.; Allende-Prieto, C.; Johnson, J.; Frinchaboy, P.; Zasowski, G.; Garcia Perez, A.; Bizyaev, D.; Cunha, K.; Smith, V. V.; Meszaros, Sz.; Zhao, B.; Hayden, M.; Chojnowski, S. D.; Andrews, B.; Loomis, C.; Owen, R.; Klaene, M.; Brinkmann, J.; Stauffer, F.; Long, D.; Jordan, W.; Holder, D.; Cope, F.; Naugle, T.; Pfaffenberger, B.; Schlegel, D.; Blanton, M.; Muna, D.; Weaver, B.; Snedden, S.; Pan, K.; Brewington, H.; Malanushenko, E.; Malanushenko, V.; Simmons, A.; Oravetz, D.; Mahadevan, S.; Halverson, S.

    2012-09-01

    The Apache Point Observatory Galactic Evolution Experiment (APOGEE) uses a dedicated 300-fiber, narrow-band near-infrared (1.51-1.7 μm), high resolution (R~22,500) spectrograph to survey approximately 100,000 giant stars across the Milky Way. This three-year survey, in operation since late-summer 2011 as part of the Sloan Digital Sky Survey III (SDSS III), will revolutionize our understanding of the kinematical and chemical enrichment histories of all Galactic stellar populations. We present the performance of the instrument from its first year in operation. The instrument is housed in a separate building adjacent to the 2.5-m SDSS telescope and fed light via approximately 45-meter fiber runs from the telescope. The instrument design includes numerous innovations including a gang connector that allows simultaneous connection of all fibers with a single plug to a telescope cartridge that positions the fibers on the sky, numerous places in the fiber train in which focal ratio degradation had to be minimized, a large mosaic-VPH (290 mm x 475 mm elliptically-shaped recorded area), an f/1.4 six-element refractive camera featuring silicon and fused silica elements with diameters as large as 393 mm, three near-infrared detectors mounted in a 1 x 3 mosaic with sub-pixel translation capability, and all of these components housed within a custom, LN2-cooled, stainless steel vacuum cryostat with dimensions 1.4-m x 2.3-m x 1.3-m.

  13. Update on Astrometric Follow-Up at Apache Point Observatory by Adler Planetarium

    Science.gov (United States)

    Nault, Kristie A.; Brucker, Melissa; Hammergren, Mark

    2016-10-01

    We began our NEO astrometric follow-up and characterization program in 2014 Q4 using about 500 hours of observing time per year with the Astrophysical Research Consortium (ARC) 3.5m telescope at Apache Point Observatory (APO). Our observing is split into 2 hour blocks approximately every other night for astrometry (this poster) and several half-nights per month for spectroscopy (see poster by M. Hammergren et al.) and light curve studies.For astrometry, we use the ARC Telescope Imaging Camera (ARCTIC) with an SDSS r filter, in 2 hour observing blocks centered around midnight. ARCTIC has a magnitude limit of V~23 in 60s, and we target 20 NEOs per session. ARCTIC has a FOV 1.57 times larger and a readout time half as long as the previous imager, SPIcam, which we used from 2014 Q4 through 2015 Q3. Targets are selected primarily from the Minor Planet Center's (MPC) NEO Confirmation Page (NEOCP), and NEA Observation Planning Aid; we also refer to JPL's What's Observable page, the Spaceguard Priority List and Faint NEOs List, and requests from other observers. To quickly adapt to changing weather and seeing conditions, we create faint, midrange, and bright target lists. Detected NEOs are measured with Astrometrica and internal software, and the astrometry is reported to the MPC.As of June 19, 2016, we have targeted 2264 NEOs, 1955 with provisional designations, 1582 of which were detected. We began observing NEOCP asteroids on January 30, 2016, and have targeted 309, 207 of which were detected. In addition, we serendipitously observed 281 moving objects, 201 of which were identified as previously known objects.This work is based on observations obtained with the Apache Point Observatory 3.5m telescope, which is owned and operated by the Astrophysical Research Consortium. We gratefully acknowledge support from NASA NEOO award NNX14AL17G and thank the University of Chicago Department of Astronomy and Astrophysics for observing time in 2014.

  14. Building a Snow Data System on the Apache OODT Open Technology Stack

    Science.gov (United States)

    Goodale, C. E.; Painter, T. H.; Mattmann, C. A.; Hart, A. F.; Ramirez, P.; Zimdars, P.; Bryant, A. C.; Snow Data System Team

    2011-12-01

    Snow cover and its melt dominate regional climate and hydrology in many of the world's mountainous regions. One-sixth of Earth's population depends on snow- or glacier-melt for water resources. Operationally, seasonal forecasts of snowmelt-generated streamflow are leveraged through empirical relations based on past snowmelt periods. These historical data show that climate is changing, but the changes reduce the reliability of the empirical relations. Therefore optimal future management of snowmelt derived water resources will require explicit physical models driven by remotely sensed snow property data. Toward this goal, the Snow Optics Laboratory at the Jet Propulsion Laboratory has initiated a near real-time processing pipeline to generate and publish post-processed snow data products within a few hours of satellite acquisition. To solve this challenge, a Scientific Data Management and Processing System was required and the JPL Team leveraged an open-source project called Object Oriented Data Technology (OODT). OODT was developed within NASA's Jet Propulsion Laboratory across the last 10 years. OODT has supported various scientific data management and processing projects, providing solutions in the Earth, Planetary, and Medical science fields. It became apparent that the project needed to be opened to a larger audience to foster and promote growth and adoption. OODT was open-sourced at the Apache Software Foundation in November 2010 and has a growing community of users and committers that are constantly improving the software. Leveraging OODT, the JPL Snow Data System (SnowDS) Team was able to install and configure a core Data Management System (DMS) that would download MODIS raw data files and archive the products in a local repository for post processing. The team has since built an online data portal, and an algorithm-processing pipeline using the Apache OODT software as the foundation. We will present the working SnowDS system with its core remote sensing

  15. 急性重症脑梗死病人无创颅内压监测与APACHE II评分的相关性研究

    Institute of Scientific and Technical Information of China (English)

    马驰骋; 陈晶; 念丽; 刘爱军

    2014-01-01

    目的 通过研究急性重症脑梗死病人无创颅内压监测与APACHE II评分的相关性,探讨无创颅内压监测对急性重症脑梗死病人的诊治疗价值。方法 前瞻性研究,所有病例来自2009年1月-2014年4月在我科住院的重症脑梗死病人,共81例,男37例,女44例;入院后立即行急性生理和慢性健康状况评估(APACHE II),根据APACHE II评分情况将81例病人分成三组,第一组APACHE II 3-8分(n=25),第二组APACHE II 9-17分(n=35)第三组APACHE II>17分(n=21)。颅内压监测方法为:在十五分钟内连续监测三次,取三次的平均值作为颅内压监测值。采用pearson相关分析法计算相关系数,分析急性重症脑梗死病人无创颅内压监测与APACHE II评分的相关性。结果 APACHE II评分最高组,其颅内压也为最高,并在入院后第3到5天达到了最高峰,随脑组织水肿情况改善及脱水治疗后,颅内压在随后几天内逐渐下降。对病人颅内压的变化与APACHE II评分进行相关性分析时发现,颅内压与APACHE II评分均呈正相关,并且评分越高的组别与颅内压相关性更显著。结论 无创颅内压监测可以动态地观测重症脑梗死病人的颅内压变化情况,与病人病情APACHE II评分相关性较好。

  16. Archery by the Apaches – implications of using the bow and arrow in hunter-gatherer communities

    Directory of Open Access Journals (Sweden)

    Žiga Šmit

    2016-12-01

    Full Text Available This review focuses on the technical and social details of production, training, and use of archery equipment by a Native American tribe, the Apaches. The study aims to understand the use of the bow in the Mesolithic and Early and Middle Neolithic societies of the Old World. The paper further describes arrow ballistics. An arrow and bow with similar dimensions and materials to those used by the Apaches was reconstructed and used in ballistic experiments. Shooting and the subsequent model calculation showed that the effective range of arrows made of reed and projected by a bow of medium strength (16–18kg was not more than approx. 20m. Due to the initial flat part of the ballistic trajectory, such arrows were quite efficient in close-range contests. Within the model calculation, a regression procedure was introduced to determine the arrow air-drag parameters from an ensemble of shots.

  17. The APACHE survey hardware and software design: Tools for an automatic search of small-size transiting exoplanets

    Directory of Open Access Journals (Sweden)

    Lattanzi M.G.

    2013-04-01

    Full Text Available Small-size ground-based telescopes can effectively be used to look for transiting rocky planets around nearby low-mass M stars using the photometric transit method, as recently demonstrated for example by the MEarth project. Since 2008 at the Astronomical Observatory of the Autonomous Region of Aosta Valley (OAVdA, we have been preparing for the long-term photometric survey APACHE, aimed at finding transiting small-size planets around thousands of nearby early and mid-M dwarfs. APACHE (A PAthway toward the Characterization of Habitable Earths is designed to use an array of five dedicated and identical 40-cm Ritchey-Chretien telescopes and its observations started at the beginning of summer 2012. The main characteristics of the survey final set up and the preliminary results from the first weeks of observations will be discussed.

  18. 基于ADache的分布协作Web服务器%Distributed Cooperative Web Server Based on Apache

    Institute of Scientific and Technical Information of China (English)

    刘华东; 张芸

    2002-01-01

    在详细说明Apache Web服务器工作原理的基础上,介绍了DC-Apache系统的功能结构,讨论了DC-Apache模块设计中的关键问题,着重对原系统模型及其实现方法作了论述.最后对实现的DC-Apache系统进行了测试和评估.

  19. Spatial correlations of Diceroprocta apache and its host plants: Evidence for a negative impact from Tamarix invasion

    Science.gov (United States)

    Ellingson, A.R.; Andersen, D.C.

    2002-01-01

    1. The hypothesis that the habitat-scale spatial distribution of the, Apache cicada Diceroprocta apache Davis is unaffected by the presence of the invasive exotic saltcedar Tamarix ramosissima was tested using data from 205 1-m2 quadrats placed within the flood-plain of the Bill Williams River, Arizona, U.S.A. Spatial dependencies within and between cicada density and habitat variables were estimated using Moran's I and its bivariate analogue to discern patterns and associations at spatial scales from 1 to 30 m. 2. Apache cicadas were spatially aggregated in high-density clusters averaging 3m in diameter. A positive association between cicada density, estimated by exuvial density, and the per cent canopy cover of a native tree, Goodding's willow Salix gooddingii, was detected in a non-spatial correlation analysis. No non-spatial association between cicada density and saltcedar canopy cover was detected. 3. Tests for spatial cross-correlation using the bivariate IYZ indicated the presence of a broad-scale negative association between cicada density and saltcedar canopy cover. This result suggests that large continuous stands of saltcedar are associated with reduced cicada density. In contrast, positive associations detected at spatial scales larger than individual quadrats suggested a spill-over of high cicada density from areas featuring Goodding's willow canopy into surrounding saltcedar monoculture. 4. Taken together and considered in light of the Apache cicada's polyphagous habits, the observed spatial patterns suggest that broad-scale factors such as canopy heterogeneity affect cicada habitat use more than host plant selection. This has implications for management of lower Colorado River riparian woodlands to promote cicada presence and density through maintenance or creation of stands of native trees as well as manipulation of the characteristically dense and homogeneous saltcedar canopies.

  20. 应用APACHE Ⅱ评分和SIRS评分对脓毒症患者预后评估的研究

    Institute of Scientific and Technical Information of China (English)

    李新颖

    2011-01-01

    目的 探讨全身炎症反应综合征(SIRS) 评分与急性生理和慢性健康状况(APACHE) Ⅱ评分对脓毒症患者预后评估的意义.方法 分析我院外科监护室(ICU)收治的112 例脓毒症患者临床资料,进行SIRS评分与APACHE Ⅱ评分,分析SIRS和APACHE Ⅱ评分与病死率的关系.结果 随着SIRS与APACHE Ⅱ分值的增加,病死率也增加,SIRS评分≥2或APACHE Ⅱ评分≥25时病人病死率明显增加(P<0.05).结论 SIRS评分与APACHE Ⅱ评分一样能够预测脓毒症患者的预后,且简单实用.

  1. Apache Server Security Countermeasures Base on Linux System%基于Linux系统的Apache服务器安全对策

    Institute of Scientific and Technical Information of China (English)

    周永强

    2013-01-01

    Apache web具有良好的跨平台性和极强的可扩展性,功能强大。虽然Apache也存在诸如拒绝服务攻击、缓冲区溢出攻击、非法获得root权限等安全缺陷。讨论了从Linux系统的安全入手并加强Apache服务器的配置,对安全漏洞采取积极的防范措施,从而提高Apache web安全性的方法。%Apache web has a good cross platform and strong expansibility, and it’s powerful. Although the Apache also exist some, such as denial of service attacks, buffer overflow attacks, illegal gain root permissions and some. As long as taking active preventive measures of security flaws, starting from a Linux system security,the Apache server configuration is enhanced,thereby enhancing the Apache web security.

  2. Integrating the Apache Big Data Stack with HPC for Big Data

    Science.gov (United States)

    Fox, G. C.; Qiu, J.; Jha, S.

    2014-12-01

    There is perhaps a broad consensus as to important issues in practical parallel computing as applied to large scale simulations; this is reflected in supercomputer architectures, algorithms, libraries, languages, compilers and best practice for application development. However, the same is not so true for data intensive computing, even though commercially clouds devote much more resources to data analytics than supercomputers devote to simulations. We look at a sample of over 50 big data applications to identify characteristics of data intensive applications and to deduce needed runtime and architectures. We suggest a big data version of the famous Berkeley dwarfs and NAS parallel benchmarks and use these to identify a few key classes of hardware/software architectures. Our analysis builds on combining HPC and ABDS the Apache big data software stack that is well used in modern cloud computing. Initial results on clouds and HPC systems are encouraging. We propose the development of SPIDAL - Scalable Parallel Interoperable Data Analytics Library -- built on system aand data abstractions suggested by the HPC-ABDS architecture. We discuss how it can be used in several application areas including Polar Science.

  3. Instalación y configuración de Apache, un servidor Web gratis

    Directory of Open Access Journals (Sweden)

    José Márquez Díaz

    2002-01-01

    Full Text Available El servidor web Apache se ha convertido en el servidor web más utilizado en el mundo debido a sus altas prestaciones y desempeño, además de ser gratuito, lo cual contribuye a su rápida expansión y posicionamiento. La configuración de este servidor web para aquellas personas que posean un conocimiento medio del sistema operativo Linux no debe ser un problema, pero resulta en ocasiones complicado e intimidante enfrentarse a los archivos de configuración del servidor sin una guía o con la base de la información fragmentada y de lenguaje oscuro que se puede obtener en la web. El propósito de este artículo es ayudar a aquellas personas que deseen configurar un servidor HTTP a cumplir su objetivo de una manera sencilla y rápida para lograr una excelente configuración y puesta en marcha de alto rendimiento

  4. FEASIBILITY STUDY FOR A PETROLEUM REFINERY FOR THE JICARILLA APACHE TRIBE

    Energy Technology Data Exchange (ETDEWEB)

    John D. Jones

    2004-10-01

    A feasibility study for a proposed petroleum refinery for the Jicarilla Apache Indian Reservation was performed. The available crude oil production was identified and characterized. There is 6,000 barrels per day of crude oil production available for processing in the proposed refinery. The proposed refinery will utilize a lower temperature, smaller crude fractionation unit. It will have a Naphtha Hydrodesulfurizer and Reformer to produce high octane gasoline. The surplus hydrogen from the reformer will be used in a specialized hydrocracker to convert the heavier crude oil fractions to ultra low sulfur gasoline and diesel fuel products. The proposed refinery will produce gasoline, jet fuel, diesel fuel, and a minimal amount of lube oil. The refinery will require about $86,700,000 to construct. It will have net annual pre-tax profit of about $17,000,000. The estimated return on investment is 20%. The feasibility is positive subject to confirmation of long term crude supply. The study also identified procedures for evaluating processing options as a means for American Indian Tribes and Native American Corporations to maximize the value of their crude oil production.

  5. Cultural Foundations for Ecological Restoration on the White Mountain Apache Reservation

    Directory of Open Access Journals (Sweden)

    Jonathan Long

    2003-12-01

    Full Text Available Myths, metaphors, and social norms that facilitate collective action and understanding of restoration dynamics serve as foundations for ecological restoration. The experience of the White Mountain Apache Tribe demonstrates how such cultural foundations can permeate and motivate ecological restoration efforts. Through interviews with tribal cultural advisors and restoration practitioners, we examined how various traditions inform their understanding of restoration processes. Creation stories reveal the time-honored importance and functions of water bodies within the landscape, while place names yield insights into their historical and present conditions. Traditional healing principles and agricultural traditions help guide modern restoration techniques. A metaphor of stability illustrates how restoration practitioners see links among ecological, social, and personal dimensions of health. These views inspire reciprocal relationships focused on caretaking of sites, learning from elders, and passing knowledge on to youths. Woven together, these cultural traditions uphold a system of adaptive management that has withstood the imposition of non-indigenous management schemes in the 20th century, and now provides hope for restoring health and productivity of ecosystems through individual and collective efforts. Although these traditions are adapted to the particular ecosystems of the Tribe, they demonstrate the value of understanding and promoting the diverse cultural foundations of restoration.

  6. TARGET SELECTION FOR THE APACHE POINT OBSERVATORY GALACTIC EVOLUTION EXPERIMENT (APOGEE)

    Energy Technology Data Exchange (ETDEWEB)

    Zasowski, G.; Johnson, Jennifer A.; Andrews, B.; Epstein, C. [Department of Astronomy, Ohio State University, Columbus, OH 43210 (United States); Frinchaboy, P. M.; Jackson, K. [Department of Physics and Astronomy, Texas Christian University, Fort Worth, TX 76129 (United States); Majewski, S. R.; Chojnowski, S. D.; Skrutskie, M. F.; Beaton, R. L. [Department of Astronomy, University of Virginia, Charlottesville, VA 22904 (United States); Nidever, D. L. [Department of Astronomy, University of Michigan, Ann Arbor, MI 48109 (United States); Pinto, H. J. Rocha; Girardi, L. [Laboratorio Interinstitucional de e-Astronomia-LIneA, Rio de Janeiro, RJ 20921-400 (Brazil); Cudworth, K. M. [Yerkes Observatory, University of Chicago, Williams Bay, WI 53191 (United States); Munn, J. [US Naval Observatory, Flagstaff Station, Flagstaff, AZ 86001 (United States); Blake, C. H. [Department of Astrophysical Sciences, Princeton University, Princeton, NJ 08544 (United States); Covey, K. [Lowell Observatory, Flagstaff, AZ 86001 (United States); Deshpande, R.; Fleming, S. W. [Department of Astronomy and Astrophysics, Pennsylvania State University, University Park, PA 16802 (United States); Fabbian, D., E-mail: gail.zasowski@gmail.com [Instituto de Astrofisica de Canarias, Calle Via Lactea s/n, E-38205 La Laguna, Tenerife (Spain); and others

    2013-10-01

    The Apache Point Observatory Galactic Evolution Experiment (APOGEE) is a high-resolution infrared spectroscopic survey spanning all Galactic environments (i.e., bulge, disk, and halo), with the principal goal of constraining dynamical and chemical evolution models of the Milky Way. APOGEE takes advantage of the reduced effects of extinction at infrared wavelengths to observe the inner Galaxy and bulge at an unprecedented level of detail. The survey's broad spatial and wavelength coverage enables users of APOGEE data to address numerous Galactic structure and stellar populations issues. In this paper we describe the APOGEE targeting scheme and document its various target classes to provide the necessary background and reference information to analyze samples of APOGEE data with awareness of the imposed selection criteria and resulting sample properties. APOGEE's primary sample consists of {approx}10{sup 5} red giant stars, selected to minimize observational biases in age and metallicity. We present the methodology and considerations that drive the selection of this sample and evaluate the accuracy, efficiency, and caveats of the selection and sampling algorithms. We also describe additional target classes that contribute to the APOGEE sample, including numerous ancillary science programs, and we outline the targeting data that will be included in the public data releases.

  7. Visible Wavelength Reflectance Spectra of Near-Earth Objects from Apache Point Observatory: Science Highlights

    Science.gov (United States)

    Hammergren, Mark; Brucker, Melissa; Nault, Kristie A.; Gyuk, Geza

    2016-10-01

    In January 2015 we began a program of near-Earth object (NEO) astrometric follow-up and physical characterization using a 17% share of time on the Astrophysical Research Consortium (ARC) 3.5-meter telescope at Apache Point Observatory (APO). Our roughly 500 hours of annual observing time are split into 2 hour runs usually in the middle of every other night (see poster by K. Nault et al.), and frequent half-night runs devoted to physical characterization (this poster). NEO surface compositions are investigated with 0.36-1.0 μm reflectance spectroscopy using the Dual Imaging Spectrograph instrument. As of June 22, 2016 we have obtained reflectance spectra of 129 unique NEOs, ranging in diameter from approximately 5 m to 6 km.Highlights of this work presented here include 106 spectra of (357439) 2004 BL86 spanning 3 hours 4.5 minutes, more than a full rotation, and spectra of 18 objects with diameters comparable to historical Earth impactors (e.g., Tunguska, Chelyabinsk and smaller bolides).This work is based on observations obtained with the APO 3.5-meter telescope, which is owned and operated by ARC. We gratefully acknowledge support from NASA NEOO award NNX14AL17G, and thank the University of Chicago Department of Astronomy and Astrophysics for observing time in 2014.

  8. SCORE - A DESCRIPTION.

    Science.gov (United States)

    SLACK, CHARLES W.

    REINFORCEMENT AND ROLE-REVERSAL TECHNIQUES ARE USED IN THE SCORE PROJECT, A LOW-COST PROGRAM OF DELINQUENCY PREVENTION FOR HARD-CORE TEENAGE STREET CORNER BOYS. COMMITTED TO THE BELIEF THAT THE BOYS HAVE THE POTENTIAL FOR ETHICAL BEHAVIOR, THE SCORE WORKER FOLLOWS B.F. SKINNER'S THEORY OF OPERANT CONDITIONING AND REINFORCES THE DELINQUENT'S GOOD…

  9. Is SAPS 3 better than APACHE II at predicting mortality in critically ill transplant patients?

    Directory of Open Access Journals (Sweden)

    Vanessa M. de Oliveira

    2013-01-01

    Full Text Available OBJECTIVES: This study compared the accuracy of the Simplified Acute Physiology Score 3 with that of Acute Physiology and Chronic Health Evaluation II at predicting hospital mortality in patients from a transplant intensive care unit. METHOD: A total of 501 patients were enrolled in the study (152 liver transplants, 271 kidney transplants, 54 lung transplants, 24 kidney-pancreas transplants between May 2006 and January 2007. The Simplified Acute Physiology Score 3 was calculated using the global equation (customized for South America and the Acute Physiology and Chronic Health Evaluation II score; the scores were calculated within 24 hours of admission. A receiver-operating characteristic curve was generated, and the area under the receiver-operating characteristic curve was calculated to identify the patients at the greatest risk of death according to Simplified Acute Physiology Score 3 and Acute Physiology and Chronic Health Evaluation II scores. The Hosmer-Lemeshow goodness-of-fit test was used for statistically significant results and indicated a difference in performance over deciles. The standardized mortality ratio was used to estimate the overall model performance. RESULTS: The ability of both scores to predict hospital mortality was poor in the liver and renal transplant groups and average in the lung transplant group (area under the receiver-operating characteristic curve = 0.696 for Simplified Acute Physiology Score 3 and 0.670 for Acute Physiology and Chronic Health Evaluation II. The calibration of both scores was poor, even after customizing the Simplified Acute Physiology Score 3 score for South America. CONCLUSIONS: The low predictive accuracy of the Simplified Acute Physiology Score 3 and Acute Physiology and Chronic Health Evaluation II scores does not warrant the use of these scores in critically ill transplant patients.

  10. Comparison of Charlson's weighted index of comorbidities with the chronic health score for the prediction of mortality in septic patients

    Institute of Scientific and Technical Information of China (English)

    Cui Yunliang; Wang Tao; Bao Jun; Tian Zhaotao; Lin Zhaofen; Chen Dechang

    2014-01-01

    Background Comorbidity is one of the most important determinants of short-term and long-term outcomes in septic patients.Charlson's weighted index of comorbidities (WIC) and the chronic health score (CHS),which is a component of the acute physiology and chronic health evaluation (APACHE) Ⅱ,are two frequently-used measures of comorbidity.In this study,we assess the performance of WIC and CHS in predicting the hospital mortality of intensive care unit (ICU) patients with sepsis.Methods A total of 338 adult patients with sepsis were admitted to a multisystem ICU between October 2010 and August 2012.Clinical data were collected,including age,gender,underlying diseases,key predisposing causes,severity-of-sepsis,and hospital mortality.The APACHE Ⅱ,CHS,acute physiology score (APS),sequential organ failure assessment (SOFA) and WIC scores were assessed within the first 24 hours of admission.Univariate and multiple Logistic regression analyses were used to compare the performance of WIC and CHS.The area under the receiver operating characteristic curve (AUC) was used to predict hospital mortality over classes of risk.Results Of all the enrolled patients,224 patients survived and 114 patients died.The surviving patients had significantly lower WIC,CHS,APACHE Ⅱ,and SOFA scores than the non-surviving patients (P <0.05).Combining WIC or CHS with other administrative data showed that the hospital mortality was significantly associated with age,severe sepsis,key predisposing causes such as pneumonia,a history of underlying diseases such as hypertension and congestive cardiac failure,and WIC,CHS and APS scores (P <0.05).The AUC for the hospital mortality were 0.564 (95% confidence interval (Cl) 0.496-0.631) of CHS,0.663 (95% Cl 0.599-0.727) of WIC,0.770 (95% Cl 0.718-0.822) of APACHE Ⅱ,0.856 (95% Cl 0.815-0.897) of the CHS combined with other administrative data,and 0.857 (95% Cl 0.817-0.897) of the WIC combined with other administrative data.The diagnostic

  11. Richard III

    DEFF Research Database (Denmark)

    Lauridsen, Palle Schantz

    2017-01-01

    Kort analyse af Shakespeares Richard III med fokus på, hvordan denne skurk fremstilles, så tilskuere (og læsere) langt henad vejen kan føle sympati med ham. Med paralleller til Netflix-serien "House of Cards"......Kort analyse af Shakespeares Richard III med fokus på, hvordan denne skurk fremstilles, så tilskuere (og læsere) langt henad vejen kan føle sympati med ham. Med paralleller til Netflix-serien "House of Cards"...

  12. The Bandim tuberculosis score

    DEFF Research Database (Denmark)

    Rudolf, Frauke; Joaquim, Luis Carlos; Vieira, Cesaltina

    2013-01-01

    Background: This study was carried out in Guinea-Bissau ’ s capital Bissau among inpatients and outpatients attending for tuberculosis (TB) treatment within the study area of the Bandim Health Project, a Health and Demographic Surveillance Site. Our aim was to assess the variability between 2...... physicians in performing the Bandim tuberculosis score (TBscore), a clinical severity score for pulmonary TB (PTB), and to compare it to the Karnofsky performance score (KPS). Method : From December 2008 to July 2009 we assessed the TBscore and the KPS of 100 PTB patients at inclusion in the TB cohort and...

  13. Strategies for Primary Prevention of Coronary Heart Disease Based on Risk Stratification by the ACC/AHA Lipid Guidelines, ATP III Guidelines, Coronary Calcium Scoring, and C-Reactive Protein, and a Global Treat-All Strategy: A Comparative--Effectiveness Modeling Study

    Science.gov (United States)

    Galper, Benjamin Z.; Wang, Y. Claire; Einstein, Andrew J.

    2015-01-01

    Background Several approaches have been proposed for risk-stratification and primary prevention of coronary heart disease (CHD), but their comparative and cost-effectiveness is unknown. Methods We constructed a state-transition microsimulation model to compare multiple approaches to the primary prevention of CHD in a simulated cohort of men aged 45–75 and women 55–75. Risk-stratification strategies included the 2013 American College of Cardiology/American Heart Association (ACC/AHA) guidelines on the treatment of blood cholesterol, the Adult Treatment Panel (ATP) III guidelines, and approaches based on coronary artery calcium (CAC) scoring and C-reactive protein (CRP). Additionally we assessed a treat-all strategy in which all individuals were prescribed either moderate-dose or high-dose statins and all males received low-dose aspirin. Outcome measures included CHD events, costs, medication-related side effects, radiation-attributable cancers, and quality-adjusted-life-years (QALYs) over a 30-year timeframe. Results Treat-all with high-dose statins dominated all other strategies for both men and women, gaining 15.7 million QALYs, preventing 7.3 million myocardial infarctions, and saving over $238 billion, compared to the status quo, far outweighing its associated adverse events including bleeding, hepatitis, myopathy, and new-onset diabetes. ACC/AHA guidelines were more cost-effective than ATP III guidelines for both men and women despite placing 8.7 million more people on statins. For women at low CHD risk, treat-all with high-dose statins was more likely to cause a statin-related adverse event than to prevent a CHD event. Conclusions Despite leading to a greater proportion of the population placed on statin therapy, the ACC/AHA guidelines are more cost-effective than ATP III. Even so, at generic prices, treating all men and women with statins and all men with low-dose aspirin appears to be more cost-effective than all risk-stratification approaches for the

  14. Strategies for Primary Prevention of Coronary Heart Disease Based on Risk Stratification by the ACC/AHA Lipid Guidelines, ATP III Guidelines, Coronary Calcium Scoring, and C-Reactive Protein, and a Global Treat-All Strategy: A Comparative--Effectiveness Modeling Study.

    Directory of Open Access Journals (Sweden)

    Benjamin Z Galper

    Full Text Available Several approaches have been proposed for risk-stratification and primary prevention of coronary heart disease (CHD, but their comparative and cost-effectiveness is unknown.We constructed a state-transition microsimulation model to compare multiple approaches to the primary prevention of CHD in a simulated cohort of men aged 45-75 and women 55-75. Risk-stratification strategies included the 2013 American College of Cardiology/American Heart Association (ACC/AHA guidelines on the treatment of blood cholesterol, the Adult Treatment Panel (ATP III guidelines, and approaches based on coronary artery calcium (CAC scoring and C-reactive protein (CRP. Additionally we assessed a treat-all strategy in which all individuals were prescribed either moderate-dose or high-dose statins and all males received low-dose aspirin. Outcome measures included CHD events, costs, medication-related side effects, radiation-attributable cancers, and quality-adjusted-life-years (QALYs over a 30-year timeframe.Treat-all with high-dose statins dominated all other strategies for both men and women, gaining 15.7 million QALYs, preventing 7.3 million myocardial infarctions, and saving over $238 billion, compared to the status quo, far outweighing its associated adverse events including bleeding, hepatitis, myopathy, and new-onset diabetes. ACC/AHA guidelines were more cost-effective than ATP III guidelines for both men and women despite placing 8.7 million more people on statins. For women at low CHD risk, treat-all with high-dose statins was more likely to cause a statin-related adverse event than to prevent a CHD event.Despite leading to a greater proportion of the population placed on statin therapy, the ACC/AHA guidelines are more cost-effective than ATP III. Even so, at generic prices, treating all men and women with statins and all men with low-dose aspirin appears to be more cost-effective than all risk-stratification approaches for the primary prevention of CHD

  15. Volleyball Scoring Systems.

    Science.gov (United States)

    Calhoun, William; Dargahi-Noubary, G. R.; Shi, Yixun

    2002-01-01

    The widespread interest in sports in our culture provides an excellent opportunity to catch students' attention in mathematics and statistics classes. One mathematically interesting aspect of volleyball, which can be used to motivate students, is the scoring system. (MM)

  16. Association of serum interleukin-6, interleukin-8, and Acute Physiology and Chronic Health Evaluation II score with clinical outcome in patients with acute respiratory distress syndrome

    Science.gov (United States)

    Swaroopa, Deme; Bhaskar, Kakarla; Mahathi, T.; Katkam, Shivakrishna; Raju, Y. Satyanarayana; Chandra, Naval; Kutala, Vijay Kumar

    2016-01-01

    Background and Aim: Studies on potential biomarkers in experimental models of acute lung injury (ALI) and clinical samples from patients with ALI have provided evidence to the pathophysiology of the mechanisms of lung injury and predictor of clinical outcome. Because of the high mortality and substantial variability in outcomes in patients with acute respiratory distress syndrome (ARDS), identification of biomarkers such as cytokines is important to determine prognosis and guide clinical decision-making. Materials and Methods: In this study, we have included thirty patients admitted to Intensive Care Unit diagnosed with ARDS, and serum samples were collected on day 1 and 7 and were analyzed for serum interleukin-6 (IL-6) and IL-8 by ELISA method, and Acute Physiology and Chronic Health Evaluation II (APACHE II) scoring was done on day 1. Results: The mortality in the patients observed with ARDS was 34%. APACHE II score was significantly higher in nonsurvivors as compared to survivors. There were no significant differences in gender and biochemical and hematological parameters among the survivors and nonsurvivors. Serum IL-6 and IL-8 levels on day 1 were significantly higher in all the ARDS patients as compared to healthy controls and these levels were returned to near-normal basal levels on day 7. The serum IL-6 and IL-8 levels measured on day 7 were of survivors. As compared to survivors, the IL-6 and IL-8 levels were significantly higher in nonsurvivors measured on day 1. Spearman's rank correlation analysis indicated a significant positive correlation of APACHE II with IL-8. By using APACHE II score, IL-6, and IL-8, the receiver operating characteristic curve was plotted and the provided predictable accuracy of mortality (outcome) was 94%. Conclusion: The present study highlighted the importance of measuring the cytokines such as IL-6 and IL-8 in patients with ARDS in predicting the clinical outcome. PMID:27688627

  17. 急性重型颅脑损伤患者血乳酸水平与APACHE Ⅱ评分相关性分析

    Institute of Scientific and Technical Information of China (English)

    张涛; 朱明艳

    2012-01-01

    目的 观察急性颅脑损伤患者血乳酸水平的变化及其与急性生理学与慢性健康状况评分(APACHE Ⅱ评分)的关系及意义.方法 对63例急性颅脑损伤患者在24小时内分别进行APACHE Ⅱ评分和血乳酸水平测定,比较不同组APACHE Ⅱ评分分值与血乳酸水平.结果 APACHE Ⅱ评分<10分与10~20分组间血乳酸水平差异无显著性,而APACHE Ⅱ评分20~30分组血乳酸水平明显高于10~20分组,APACHE Ⅱ评分>30分组血乳酸水平明显高于20~30分组,有统计学意义(P<0.05).死亡组血乳酸水平明显高于存活组.结论 随着APACHE Ⅱ评分增高,血乳酸水平也相应增高;血乳酸水平与急性颅脑损伤病情严重程度正相关,是判断急性重度颅脑损伤严重程度的早期、敏感的指标.

  18. Field studies at the Apache Leap Research Site in support of alternative conceptual models

    Energy Technology Data Exchange (ETDEWEB)

    Woodhouse, E.G.; Davidson, G.R.; Theis, C. [eds.] [and others

    1997-08-01

    This is a final technical report for a project of the U.S Nuclear Regulatory Commission (sponsored contract NRC-04-090-51) with the University of Arizona. The contract was an optional extension that was initiated on July 21, 1994 and that expired on May 31, 1995. The project manager was Thomas J. Nicholson, Office of Nuclear Regulatory Research. The objectives of this contract were to examine hypotheses and conceptual models concerning unsaturated flow and transport through fractured rock, and to design and execute confirmatory field and laboratory experiments to test these hypotheses and conceptual models at the Apache Leap Research Site near Superior, Arizona. The results discussed here are products of specific tasks that address a broad spectrum of issues related to flow and transport through fractures. Each chapter in this final report summarizes research related to a specific set of objectives and can be read and interpreted as a separate entity. The tasks include detection and characterization of historical rapid fluid flow through fractured rock and the relationship to perched water systems using environmental isotopic tracers of {sup 3}H and {sup 14}C, fluid- and rock-derived {sup 2343}U/{sup 238}U measurements, and geophysical data. The water balance in a small watershed at the ALRS demonstrates the methods of acounting for ET, and estimating the quantity of water available for infiltration through fracture networks. Grain density measurements were made for core-sized samples using a newly designed gas pycnometer. The distribution and magnitude of air permeability measurements have been measured in a three-dimensional setting; the subsequent geostatistical analysis is presented. Electronic versions of the data presented here are available from authors; more detailed discussions and analyses are available in technical publications referenced herein, or soon to appear in the professional literature.

  19. Characterization of vibration transfer paths in nose gearboxes of an AH-64 Apache

    Science.gov (United States)

    Islam, A. K. M. Anwarul; Dempsey, Paula J.; Feldman, Jason; Larsen, Chris

    2014-03-01

    Health monitoring of rotorcraft components, which is currently being performed by Health and Usage Monitoring Systems (HUMS) through analyzing vibration signatures of dynamic mechanical components, is very important for their safe and economic operation. Vibration diagnostic algorithms in HUMS analyze vibration signatures associated with faults and quantify them as condition indicators (CI) to predict component behavior. Vibration transfer paths (VTP) play important roles in CI response and are characterized by frequency response functions (FRF) derived from vibration signatures of dynamic mechanical components of a helicopter. With an objective to investigate the difference in VTP of a component in a helicopter and test stand, and to relate that to the CI response, VTP measurements were recorded from 0-50 kHz under similar conditions in the left and right nose gearboxes (NGBs) of an AH-64 Apache and an isolated left NGB in a test stand at NASA Glenn Research Center. The test fixture enabled the application of measured torques - common during an actual operation. Commercial and lab piezo shakers, and an impact hammer were used in both systems to collect the vibration response using two types of commercially available accelerometers under various test conditions. The FRFs of both systems were found to be consistent, and certain real-world installation and maintenance issues, such as sensor alignments, locations and installation torques, had minimal effect on the VTP. However, gear vibration transfer path dynamics appeared to be somewhat dependent on presence of oil, and the lightly-damped ring gear produced sharp and closer transfer path resonances.

  20. Retrospective Evaluation of New Chinese Diagnostic Scoring System for Disseminated Intravascular Coagulation.

    Directory of Open Access Journals (Sweden)

    Manzhi Wang

    Full Text Available To retrospectively validate the new Chinese DIC scoring system (CDSS.This study retrospectively collected the information of 619 patients (371 cases with non-hematologic malignancies, 248 cases with hematologic malignancies who suspected of DIC in Wuhan Union Hospital during 2013-4 to 2014-6. We validated CDSS by comparing it with three leading scoring systems, from International Society on Thrombosis and Haemostasis (ISTH, Japanese Association for Acute Medicine (JAAM and Japanese Ministry of Health and Welfare (JMHW, and evaluated its prognostic value by 28 days mortality, APACHE II and SOFA score.In non-hematologic malignancies, CDSS was more specific than JAAM (72.55% vs. 50.49%, p<0.05 and more sensitive than ISTH (77.07% vs. 62.03%, p<0.05. In hematologic malignancies, the area under the ROC curve of CDSS was larger than ISTH and JMHW (0.933 vs. 0.889, p<0.01 with ISTH, 0.944 vs. 0.845, p<0.01 with JMHW. In addition, the 28-day mortality rate, SOFA scores, APACHE II scores of DIC patients diagnosed by CDSS were significantly greater than non-DIC (P <0.05.We are the first group to propose CDSS. It emphasized the values of the clinical manifestations, the rapidly declining platelet count, APTT in the diagnosis of DIC and used D-dimer as the fibrin-related maker. DIC with hematological malignancies was treated as a special part. In this study we can see that CDSS displayed an acceptable property for the diagnosis of DIC with appropriate sensitivity and specificity, and also had a good prognostic value for DIC patients.

  1. Calibration of unified Parkinson's disease rating scale scores to Movement Disorder Society-unified Parkinson's disease rating scale scores.

    Science.gov (United States)

    Goetz, Christopher G; Stebbins, Glenn T; Tilley, Barbara C

    2012-09-01

    The aim of this study was to develop formulas to convert the UPDRS to Movement Disorder Society (MDS)-UPDRS scores. The MDS-UPDRS is a revision of the UPDRS with sound clinimetric properties. Reliable formulas to recalculate UPDRS scores into MDS-UPDRS equivalents are pivotal to the practical transition and definitive adoption of the MDS-UPDRS. UPDRS and MDS-UPDRS scores were collected on 875 PD patients. A developmental sample was used to regress UPDRS scores on corresponding MDS-UPDRS scores based on three H & Y groupings (I/II, III, and IV/V). Regression weighting factors and intercept terms provided formulas for UPDRS conversions to be tested in a validation sample. Concordance between the true MDS-UPDRS Part scores and those derived from the formulas was compared using Bland-Altman's plots and Lin's concordance coefficient (LCC). Significant concordance between UPDRS-estimated MDS-UPDRS scores was achieved for Parts II (Motor Experiences of Daily Living) (LCC = 0.93) and III (Motor Examination) (LCC = 0.97). The formulas resulted in mean differences between the true MDS-UPDRS and estimated MDS-UPDRS scores of less than 1 point for both Parts II and III. Concordance was not achieved for Parts I and IV (Non-motor Experiences of Daily Living and Complications of Therapy). Formulas allow archival UPDRS Parts II and III individual patient data to be accurately transferred to MDS-UPDRS scores. Because Part I collects data on much more extensive information than the UPDRS, and because Part IV is structured differently in the two versions, old ratings for these parts cannot be converted. © 2012 Movement Disorder Society.

  2. Instant MuseScore

    CERN Document Server

    Shinn, Maxwell

    2013-01-01

    Get to grips with a new technology, understand what it is and what it can do for you, and then get to work with the most important features and tasks. Instant MuseScore is written in an easy-to follow format, packed with illustrations that will help you get started with this music composition software.This book is for musicians who would like to learn how to notate music digitally with MuseScore. Readers should already have some knowledge about musical terminology; however, no prior experience with music notation software is necessary.

  3. Increased Resistin Levels in Intra-abdominal Sepsis: Correlation with proinflammatory cytokines & Acute Physiology & Chronic Health Evaluation II scores

    Directory of Open Access Journals (Sweden)

    Tonguç U. Yilmaz

    2014-10-01

    Full Text Available Objectives: Resistin, a hormone secreted from adipocytes and considered to be a likely cause of insulin resistance, has recently been accepted as a proinflammatory cytokine. This study aimed to determine the correlation between resistin levels in patients with intra-abdominal sepsis and mortality. Methods: Of 45 patients with intraabdominal sepsis, a total of 35 adult patients were included in the study. This study was undertaken from December 2011 to December 2012 and included patients who had no history of diabetes mellitus and who were admitted to the general surgery intensive care units of Gazi University and Bülent Ecevit University School of Medicine, Turkey. Evaluations were performed on 12 patients with sepsis, 10 patients with severe sepsis, 13 patients with septic shock and 15 healthy controls. The patients’ plasma resistin, interleukin-6 (IL-6, tumour necrosis factor alpha (TNF-α, interleukin-1 beta (IL-1β, procalcitonin, lactate and glucose levels and Acute Physiology and Chronic Health Evaluation (APACHE II scores were studied daily for the first five days after admission. A correlation analysis of serum resistin levels with cytokine levels and APACHE II scores was performed. Results: Serum resistin levels in patients with sepsis were significantly higher than in the healthy controls (P <0.001. A significant correlation was found between serum resistin levels and APACHE II scores, serum IL-6, IL-1β, TNF-α, procalcitonin, lactate and glucose levels. Furthermore, a significant correlation was found between serum resistin levels and all-cause mortality (P = 0.02. Conclusion: The levels of resistin were significantly positively correlated with the severity of disease and were a possible mediator of a prolonged inflammatory state in patients with intra-abdominal sepsis.

  4. Cardiovascular risk score in Rheumatoid Arthritis

    Science.gov (United States)

    Wagan, Abrar Ahmed; Mahmud, Tafazzul E Haque; Rasheed, Aflak; Zafar, Zafar Ali; Rehman, Ata ur; Ali, Amjad

    2016-01-01

    Objective: To determine the 10-year Cardiovascular risk score with QRISK-2 and Framingham risk calculators in Rheumatoid Arthritis and Non Rheumatoid Arthritis subjects and asses the usefulness of QRISK-2 and Framingham calculators in both groups. Methods: During the study 106 RA and 106 Non RA patients age and sex matched participants were enrolled from outpatient department. Demographic data and questions regarding other study parameters were noted. After 14 hours of fasting 5 ml of venous blood was drawn for Cholesterol and HDL levels, laboratory tests were performed on COBAS c III (ROCHE). QRISK-2 and Framingham risk calculators were used to get individual 10-year CVD risk score. Results: In this study the mean age of RA group was (45.1±9.5) for Non RA group (43.7±8.2), with female gender as common. The mean predicted 10-year score with QRISK-2 calculator in RA group (14.2±17.1%) and Non RA group was (13.2±19.0%) with (p-value 0.122). The 10-year score with Framingham risk score in RA group was (12.9±10.4%) and Non RA group was (8.9±8.7%) with (p-value 0.001). In RA group QRISK-2 (24.5%) and FRS (31.1%) cases with predicted score were in higher risk category. The maximum agreement scores between both calculators was observed in both groups (Kappa = 0.618 RA Group; Kappa = 0.671 Non RA Group). Conclusion: QRISK-2 calculator is more appropriate as it takes RA, ethnicity, CKD, and Atrial fibrillation as factors in risk assessment score. PMID:27375684

  5. Developing Scoring Algorithms

    Science.gov (United States)

    We developed scoring procedures to convert screener responses to estimates of individual dietary intake for fruits and vegetables, dairy, added sugars, whole grains, fiber, and calcium using the What We Eat in America 24-hour dietary recall data from the 2003-2006 NHANES.

  6. Tensorial Orientation Scores

    NARCIS (Netherlands)

    van de Gronde, Jasper J.; Azzopardi, George; Petkov, Nicolai

    2015-01-01

    Orientation scores are representations of images built using filters that only select on orientation (and not on the magnitude of the frequency). Importantly, they allow (easy) reconstruction, making them ideal for use in a filtering pipeline. Traditionally a specific set of orientations has to be c

  7. The lod score method.

    Science.gov (United States)

    Rice, J P; Saccone, N L; Corbett, J

    2001-01-01

    The lod score method originated in a seminal article by Newton Morton in 1955. The method is broadly concerned with issues of power and the posterior probability of linkage, ensuring that a reported linkage has a high probability of being a true linkage. In addition, the method is sequential, so that pedigrees or lod curves may be combined from published reports to pool data for analysis. This approach has been remarkably successful for 50 years in identifying disease genes for Mendelian disorders. After discussing these issues, we consider the situation for complex disorders, where the maximum lod score (MLS) statistic shares some of the advantages of the traditional lod score approach but is limited by unknown power and the lack of sharing of the primary data needed to optimally combine analytic results. We may still learn from the lod score method as we explore new methods in molecular biology and genetic analysis to utilize the complete human DNA sequence and the cataloging of all human genes.

  8. Automated Essay Scoring

    Directory of Open Access Journals (Sweden)

    Semire DIKLI

    2006-01-01

    Full Text Available Automated Essay Scoring Semire DIKLI Florida State University Tallahassee, FL, USA ABSTRACT The impacts of computers on writing have been widely studied for three decades. Even basic computers functions, i.e. word processing, have been of great assistance to writers in modifying their essays. The research on Automated Essay Scoring (AES has revealed that computers have the capacity to function as a more effective cognitive tool (Attali, 2004. AES is defined as the computer technology that evaluates and scores the written prose (Shermis & Barrera, 2002; Shermis & Burstein, 2003; Shermis, Raymat, & Barrera, 2003. Revision and feedback are essential aspects of the writing process. Students need to receive feedback in order to increase their writing quality. However, responding to student papers can be a burden for teachers. Particularly if they have large number of students and if they assign frequent writing assignments, providing individual feedback to student essays might be quite time consuming. AES systems can be very useful because they can provide the student with a score as well as feedback within seconds (Page, 2003. Four types of AES systems, which are widely used by testing companies, universities, and public schools: Project Essay Grader (PEG, Intelligent Essay Assessor (IEA, E-rater, and IntelliMetric. AES is a developing technology. Many AES systems are used to overcome time, cost, and generalizability issues in writing assessment. The accuracy and reliability of these systems have been proven to be high. The search for excellence in machine scoring of essays is continuing and numerous studies are being conducted to improve the effectiveness of the AES systems.

  9. Fetal Biophysical Profile Scoring

    Directory of Open Access Journals (Sweden)

    H.R. HaghighatKhah

    2009-01-01

    Full Text Available   "nFetal biophysical profile scoring is a sonographic-based method of fetal assessment first described by Manning and Platt in 1980. "nThe biophysical profile score was developed as a method to integrate real-time observations of the fetus and his/her intrauterine environment in order to more comprehensively assess the fetal condition. These findings must be evaluated in the context of maternal/fetal history (i.e., chronic hypertension, post-dates, intrauterine growth restriction, etc, fetal structural integrity (presence or absence of congenital anomalies, and the functionality of fetal support structures (placental and umbilical cord. For example, acute asphyxia due to placental abruption may result in an absence of the acute variables of the biophysical profile score (fetal breathing movements, fetal movement, fetal tone, and fetal heart rate reactivity with a normal amniotic fluid volume. With post maturity the asphyxial event may be intermittent and chronic resulting in a decrease in amniotic fluid volume, but with the acute variables remaining normal. "nWhile the 5 components of the biophysical profile score have remained unchanged since 1980 (Manning, 1980, the definitions of a normal and abnormal parameter have evolved with increasing experience. "nIn 1984 the definition of oligohydramnios was increased from < 1cm pocket of fluid to < 2.0 x 1.0 cm pocket. Oligohydramnios is now defined as a pocket of amniotic fluid < 2.0 x 2.0 cm (Manning, 1995a "nIf the four ultrasound variables are normal, the accuracy of the biophysical profile score was not found to be significantly improved by adding the non-stress test. As a result, in 1987 the profile score was modified to incorporate the non-stress test only when one of the ultrasound variables was abnormal (Manning 1987. Table 1 outlines the current definitions for quantifying a variable as present or absent. "nEach of the 5 components of the biophysical profile score does not have equal

  10. Landscape associations of the sand fly, Lutzomyia (Heleocyrtomyia) apache (Diptera: Psychodidae), in the southwestern United States: a geographic information system analysis.

    Science.gov (United States)

    Herrero, M V; Yarnell, W E; Schmidtmann, E T

    2004-12-01

    Landscape associations of the sand fly, Lutzomyia apache, Young and Perkins, in the southwestern U.S. were investigated by light/suction trap sampling and the development of a GIS-generated distribution map. In the mid-Rio Grande River valley, N.M., female and male L. apache were captured in updraft light/suction traps set in desert shrubland, irrigation levee, and bosque vegetation communities. Small numbers of flies were captured, but the presence of males and females in spatially separate and diverse plant communities at two locations suggest that L. apache are dispersed among available vegetation types. These data, along with 22 previously published collection site records, were used with a suite of physiographic features to characterize the biogeographic conditions suitable for L. apache. Suitable conditions encompass three life zones: the Rocky Mountain steppe province, the Colorado semi-plateau province, and the American semi-desert province, all within the dry domain region of the western U.S. The potential range of L. apache was then estimated based on elevation, mean and max - min temperature, precipitation, wet days, and relative humidity. The estimated range includes large contiguous areas in north-central Colorado, east-central New Mexico and west Texas, the lower mid-Rio Grande River valley, and southern Arizona, along with smaller, patchy, areas in northern Arizona, California, Nevada, Utah, and central Idaho. The spatial relationship between the estimated distribution of L. apache and the location of livestock exposed to vesicular stomatitis virus at the onset of recent outbreaks is presented.

  11. The Apache Longbow-Hellfire Missile Test at Yuma Proving Ground: Ecological Risk Assessment for Helicopter Overflight

    Energy Technology Data Exchange (ETDEWEB)

    Efroymson, Rebecca Ann [ORNL; Hargrove, William Walter [ORNL; Suter, Glenn [U.S. Environmental Protection Agency

    2008-01-01

    A multi-stressor risk assessment was conducted at Yuma Proving Ground, Arizona, as a demonstration of the Military Ecological Risk Assessment Framework. The focus of the assessment was a testing program at Cibola Range, which involved an Apache Longbow helicopter firing Hellfire missiles at moving targets, M60-A1 tanks. This paper focuses on the wildlife risk assessment for the helicopter overflight. The primary stressors were sound and the view of the aircraft. Exposure to desert mule deer (Odocoileus hemionus crooki) was quantified using Air Force sound contour programs NOISEMAP and MR_NMAP, which gave very different results. Slant distance from helicopters to deer was also used as a measure of exposure that integrated risk from sound and view of the aircraft. Exposure-response models for the characterization of effects consisted of behavioral thresholds in sound exposure level or maximum sound level units or slant distance. Available sound thresholds were limited for desert mule deer, but a distribution of slant-distance thresholds was available for ungulates. The risk characterization used a weight-of-evidence approach and concluded that risk to mule deer behavior from the Apache overflight is uncertain, but that no risk to mule deer abundance and reproduction is expected.

  12. Distribution of albumin variants Naskapi amd Mexico among Aleuts, Frobisher Bay Eskimos, and Micmac, Naskapi, Mohawk, Omaha, and Apache Indians.

    Science.gov (United States)

    Schell, L M; Agarwal, S S; Blumberg, B S; Levy, H; Bennett, P H; Laughlin, W S; Martin, J P

    1978-07-01

    In order to help define the boundaries of the distribution of the albumin variants Naskapi and Mexico which are polymorphic among several American Indian groups, we examined sera from Micmac, Mohawk, Northwest River Naskapi, Omaha and Apache Indians, and from Aleuts and Eskimos. Sera from a total of 1,524 individuals were examined. Using a cellulose acetate membrane electrophoretic system with Tris-Citric acid at pH 5.4 we were able to distinguish normal albumin and both variants in the same run. Naskapi and Mexico variants were absent from Aleut, Eskimo, Micmac, Mohawk and Omaha samples. The albumin Naskapi variant was present in an allele frequency of 0.03 in the Naskapi Indian sample. Albumin variants Naskapi and Mexico were found in the Apache sample at frequencies of 0.016 and 0.037, respectively. This report supersedes that previously published by Schell and Agarwal ('76). Generally, within an area there is a correspondence between changes in the frequency of albumin variants and changes in the ethnic background and history of the area's populations. At the same time, when viewing widely separated areas, relationships between distant groups based on linguistic and cultural similarities are paralleled on a biologic level by the distribution of normal albumin and variant albumins.

  13. Perform wordcount Map-Reduce Job in Single Node Apache Hadoop cluster and compress data using Lempel-Ziv-Oberhumer (LZO algorithm

    Directory of Open Access Journals (Sweden)

    Nandan Nagarajappa Mirajkar

    2013-01-01

    Full Text Available Applications like Yahoo, Facebook, Twitter have huge data which has to be stored and retrieved as per client access. This huge data storage requires huge database leading to increase in physical storage and becomes complex for analysis required in business growth. This storage capacity can be reduced and distributed processing of huge data can be done using Apache Hadoop which uses Map-reduce algorithm and combines the repeating data so that entire data is stored in reduced format. The paper describes performing a wordcount Map-Reduce Job in Single Node Apache Hadoop cluster and compress data using Lempel-Ziv-Oberhumer (LZO algorithm.

  14. Credit scoring for individuals

    Directory of Open Access Journals (Sweden)

    Maria DIMITRIU

    2010-12-01

    Full Text Available Lending money to different borrowers is profitable, but risky. The profits come from the interest rate and the fees earned on the loans. Banks do not want to make loans to borrowers who cannot repay them. Even if the banks do not intend to make bad loans, over time, some of them can become bad. For instance, as a result of the recent financial crisis, the capability of many borrowers to repay their loans were affected, many of them being on default. That’s why is important for the bank to monitor the loans. The purpose of this paper is to focus on credit scoring main issues. As a consequence of this, we presented in this paper the scoring model of an important Romanian Bank. Based on this credit scoring model and taking into account the last lending requirements of the National Bank of Romania, we developed an assessment tool, in Excel, for retail loans which is presented in the case study.

  15. Tomo III

    OpenAIRE

    2015-01-01

    Memorias, histórico, físicas, crítico, apologéticas de la América Meridional con unas breves advertencias y noticias útiles, a los que de orden de Su Majestad, hubiesen de viajar y describir aquellas vastas regiones. Reino Animal. Tomo III. Por un anónimo americano en Cádiz por los años de 1757. Primera Parte Prólogo Artículo 1°De los cuadrúpedos útiles al hombre a varios usos y a su sustento. Vaca Caballos Carneros de la tierra, especie de camellos Vicuña Guanacos Puercos monteses Artículo 2...

  16. The WISC-III and Raven Coloured Progressive Matrices Test: A Pilot Study of Relationships.

    Science.gov (United States)

    Kluever, Raymond C.; And Others

    The relationship between scores on Raven's Coloured Progressive Matrices (CPM) scores and subtest scores and IQs from the Wechsler Intelligence Scale for Children-III (WISC-III) was studied for 28 children aged 6 to 11 years. Subjects had been referred to a university assessment center because they were believed to have exceptional learning…

  17. Statement of Hubert Velarde, Jicarilla Apache Tribe to United States Commission on Civil Rights at Albuquerque Convention Center (Albuquerque, New Mexico, November 14, 1972).

    Science.gov (United States)

    Velarde, Hubert

    The statement by the President of the Jicarilla Apache Tribe emphasizes reservation problems that need to be examined. Presented at a 1972 Civil Rights Commission hearing on Indian Concerns, Velarde's statement listed employment, education, the administration of justice, water rights, and medical services as areas for investigation. (KM)

  18. San Carlos Apache Indian Reservation and Bylas, Arizona; Fort Thomas Public Schools. National Study of American Indian Education, Series 1, No. 18, Final Report.

    Science.gov (United States)

    Chilcott, John H.; Anderson, Ned

    As part of the Final Report of the National Study of American Indian Education, Part I of this document depicts the demographic, socioeconomic, educational, and social aspects of the San Carlos Apache Indian Reservation and community of Bylas. Part II places specific emphasis on recent history, economy, problems and new programs, and the…

  19. Formal Education on the White Mountain Apache Reservation; Report of a Self-Study Conference. The National Study of American Indian Education, Series I, No. 25, Final Report.

    Science.gov (United States)

    Anderson, Ned; Chilcott, John H.

    In one phase of the National Study of American Indian Education, local Indian communities were encouraged to conduct their own self-studies of American Indian education. In keeping with this, a conference was held to determine the attitudinal responses of White Mountain Apaches (aged 20-48) to the following general topics concerning Indian…

  20. [Scoring--criteria for operability].

    Science.gov (United States)

    Oestern, H J

    1997-01-01

    For therapeutic recommendations three different kinds of scores are essential: 1. The severity scores for trauma; 2. Severity scores for mangled extremities; 3. Intensive care scores. The severity of polytrauma patients is measurable by the AIS, ISS, RTS, PTS and TRISS which is a combination of RTS, ISS, age, and mechanism of injury. For mangled extremities there are also different scores available: MESI (Mangled Extremity Syndrome Index) and MESS (Mangled Extremity Severity Score). The aim of these scores is to assist in the indication with regard to amputate or to save the extremity. These scoring indices can be used to evaluate the severity of a systemic inflammatory reaction syndrome with respect to multiple organ failure. All scores are dynamic values which are variable with improvement of therapy.

  1. Examining the relationship between WAIS-III premorbid intellectual functioning and WMS-III memory ability to evaluate memory impairment.

    Science.gov (United States)

    Lange, Rael T; Chelune, Gordon J

    2007-01-01

    The purpose of this study was to extend previous research by Lange and Chelune (2006) by evaluating the clinical utility of GAI-memory discrepancy scores to detect memory impairment using estimated premorbid GAI scores (i.e., GAI-E) rather than obtained GAI scores. Participants were 34 patients with Alzheimer's-type dementia and a sub-sample of 34 demographically matched participants from the WAIS-III/WMS-III standardization sample. GAI-memory discrepancy scores were more effective at differentiating Alzheimer's patients versus healthy controls when using estimated premorbid GAI scores than obtained GAI scores. However, GAI(E)-memory discrepancy scores failed to provide unique interpretive information beyond that which is gained from interpretation of the memory index scores alone. This was most likely due to the prevalence of obvious memory impairment in this patient population. Future research directions are discussed.

  2. High-Precision Lunar Ranging and Gravitational Parameter Estimation With the Apache Point Observatory Lunar Laser-ranging Operation

    Science.gov (United States)

    Johnson, Nathan H.

    This dissertation is concerned with several problems of instrumentation and data analysis encountered by the Apache Point Observatory Lunar Laser-ranging Operation. Chapter 2 considers crosstalk between elements of a single-photon avalanche photodiode detector. Experimental and analytic methods were developed to determine crosstalk rates, and empirical findings are presented. Chapter 3 details electronics developments that have improved the quality of data collected by detectors of the same type. Chapter 4 explores the challenges of estimating gravitational parameters on the basis of ranging data collected by this and other experiments and presents resampling techniques for the derivation of standard errors for estimates of such parameters determined by the Planetary Ephemeris Program (PEP), a solar-system model and data-fitting code. Possible directions for future work are discussed in Chapter 5. A manual of instructions for working with PEP is presented as an appendix.

  3. Linux中基于Apache个人网站的配置%Configuration of Personal Web Site Based on Apache for Linux

    Institute of Scientific and Technical Information of China (English)

    弋改珍

    2012-01-01

    WWW是Internet上最热门的服务之一,已经成为人们在网络上查找、浏览信息的重要手段.根据WWW的工作原理,阐述了 Linux中基于Apache软件配置个人网站的步骤,总结了配置过程中出现的问题以及解决方案,并使用html文档进行了测试.%WWW is one of the hottest services on Internet. It has become the important method of the finding, browsing the information. According to the principle of www, the paper has stated the configuration steps of the personal web site based on Apache for Linux, The appearance problem and solution are concluded. And last, the tests are run using html document.

  4. Fingerprinting of music scores

    Science.gov (United States)

    Irons, Jonathan; Schmucker, Martin

    2004-06-01

    Publishers of sheet music are generally reluctant in distributing their content via the Internet. Although online sheet music distribution's advantages are numerous the potential risk of Intellectual Property Rights (IPR) infringement, e.g. illegal online distributions, disables any innovation propensity. While active protection techniques only deter external risk factors, additional technology is necessary to adequately treat further risk factors. For several media types including music scores watermarking technology has been developed, which ebeds information in data by suitable data modifications. Furthermore, fingerprinting or perceptual hasing methods have been developed and are being applied especially for audio. These methods allow the identification of content without prior modifications. In this article we motivate the development of watermarking and fingerprinting technologies for sheet music. Outgoing from potential limitations of watermarking methods we explain why fingerprinting methods are important for sheet music and address potential applications. Finally we introduce a condept for fingerprinting of sheet music.

  5. Demonstration of the Military Ecological Risk Assessment Framework (MERAF): Apache Longbow - Hell Missile Test at Yuma Proving Ground

    Energy Technology Data Exchange (ETDEWEB)

    Efroymson, R.A.

    2002-05-09

    This ecological risk assessment for a testing program at Yuma Proving Ground, Arizona, is a demonstration of the Military Ecological Risk Assessment Framework (MERAF; Suter et al. 2001). The demonstration is intended to illustrate how risk assessment guidance concerning-generic military training and testing activities and guidance concerning a specific type of activity (e.g., low-altitude aircraft overflights) may be implemented at a military installation. MERAF was developed with funding from the Strategic Research and Development Program (SERDP) of the Department of Defense. Novel aspects of MERAF include: (1) the assessment of risks from physical stressors using an ecological risk assessment framework, (2) the consideration of contingent or indirect effects of stressors (e.g., population-level effects that are derived from habitat or hydrological changes), (3) the integration of risks associated with different component activities or stressors, (4) the emphasis on quantitative risk estimates and estimates of uncertainty, and (5) the modularity of design, permitting components of the framework to be used in various military risk assessments that include similar activities. The particular subject of this report is the assessment of ecological risks associated with a testing program at Cibola Range of Yuma Proving Ground, Arizona. The program involves an Apache Longbow helicopter firing Hellfire missiles at moving targets, i.e., M60-A1 tanks. Thus, the three component activities of the Apache-Hellfire test were: (1) helicopter overflight, (2) missile firing, and (3) tracked vehicle movement. The demonstration was limited, to two ecological endpoint entities (i.e., potentially susceptible and valued populations or communities): woody desert wash communities and mule deer populations. The core assessment area is composed of about 126 km{sup 2} between the Chocolate and Middle Mountains. The core time of the program is a three-week period, including fourteen days of

  6. Relationship of Apgar Scores and Bayley Mental and Motor Scores

    Science.gov (United States)

    Serunian, Sally A.; Broman, Sarah H.

    1975-01-01

    Examined the relationship of newborns' 1-minute Apgar scores to their 8-month Bayley mental and motor scores and to 8-month classifications of their development as normal, suspect, or abnormal. Also investigated relationships between Apgar scores and race, longevity, and birth weight. (JMB)

  7. Line Lengths and Starch Scores.

    Science.gov (United States)

    Moriarty, Sandra E.

    1986-01-01

    Investigates readability of different line lengths in advertising body copy, hypothesizing a normal curve with lower scores for shorter and longer lines, and scores above the mean for lines in the middle of the distribution. Finds support for lower scores for short lines and some evidence of two optimum line lengths rather than one. (SKC)

  8. Developmental Sentence Scoring for Japanese

    Science.gov (United States)

    Miyata, Susanne; MacWhinney, Brian; Otomo, Kiyoshi; Sirai, Hidetosi; Oshima-Takane, Yuriko; Hirakawa, Makiko; Shirai, Yasuhiro; Sugiura, Masatoshi; Itoh, Keiko

    2013-01-01

    This article reports on the development and use of the Developmental Sentence Scoring for Japanese (DSSJ), a new morpho-syntactical measure for Japanese constructed after the model of Lee's English Developmental Sentence Scoring model. Using this measure, the authors calculated DSSJ scores for 84 children divided into six age groups between 2;8…

  9. Credit Scoring Modeling

    Directory of Open Access Journals (Sweden)

    Siana Halim

    2014-01-01

    Full Text Available It is generally easier to predict defaults accurately if a large data set (including defaults is available for estimating the prediction model. This puts not only small banks, which tend to have smaller data sets, at disadvantage. It can also pose a problem for large banks that began to collect their own historical data only recently, or banks that recently introduced a new rating system. We used a Bayesian methodology that enables banks with small data sets to improve their default probability. Another advantage of the Bayesian method is that it provides a natural way for dealing with structural differences between a bank’s internal data and additional, external data. In practice, the true scoring function may differ across the data sets, the small internal data set may contain information that is missing in the larger external data set, or the variables in the two data sets are not exactly the same but related. Bayesian method can handle such kind of problem.

  10. Interpreting change on the WAIS-III/WMS-III in clinical samples.

    Science.gov (United States)

    Iverson, G L

    2001-02-01

    Clinicians should note that there is considerable variability in the reliabilities of the index and subtest scores derived from the third editions of the Wechsler Adult Intelligence Scale (WAIS-III) and the Wechsler Memory Scale (WMS-III). The purpose of this article is to review these reliabilities and to illustrate how they can be used to interpret change in patients' performances from test to retest. The WAIS-III IQ and Index scores are consistently the most reliable scores, in terms of both internal consistency and test-retest reliability. The most internally consistent WAIS-III subtests are Vocabulary, Information, Digit Span, Matrix Reasoning, and Arithmetic. Information and Vocabulary have the highest test-retest reliability. On the WMS-III, the Auditory Immediate Index, Immediate Memory Index, Auditory Delayed Index, and General Memory Index are the most reliable, in terms of both internal consistency and test-retest reliability. The Logical Memory I and Verbal Paired Associates I subtests are the most reliable. Data from three clinical groups (i.e., Alzheimer's disease, chronic alcohol abuse, and schizophrenia) were extracted from the Technical Manual [Psychological Corporation (1997). WAIS-III/WMS-III Technical Manual. San Antonio: Harcourt Brace] for the purpose of calculating reliable change estimates. A table of confidence intervals for test-retest measurement error is provided to help the clinician determine if patients have reliably improved or deteriorated on follow-up testing.

  11. The effect of a monocular helmet-mounted display on aircrew health: a 10-year prospective cohort study of Apache AH MK 1 pilots: study midpoint update

    Science.gov (United States)

    Hiatt, Keith L.; Rash, Clarence E.; Watters, Raymond W.; Adams, Mark S.

    2009-05-01

    A collaborative occupational health study has been undertaken by Headquarters Army Aviation, Middle Wallop, UK, and the U.S. Army Aeromedical Research Laboratory, Fort Rucker, Alabama, to determine if the use of the Integrated Helmet and Display Sighting System (IHADSS) monocular helmet-mounted display (HMD) in the Apache AH Mk 1 attack helicopter has any long-term (10-year) effect on visual performance. The test methodology consists primarily of a detailed questionnaire and an annual battery of vision tests selected to capture changes in visual performance of Apache aviators over their flight career (with an emphasis on binocular visual function). Pilots using binocular night vision goggles serve as controls and undergo the same methodology. Currently, at the midpoint of the study, with the exception of a possible colour discrimination effect, there are no data indicating that the long-term use of the IHADSS monocular HMD results in negative effects on vision.

  12. Confidence scores for prediction models

    DEFF Research Database (Denmark)

    Gerds, Thomas Alexander; van de Wiel, MA

    2011-01-01

    modelling strategy is applied to different training sets. For each modelling strategy we estimate a confidence score based on the same repeated bootstraps. A new decomposition of the expected Brier score is obtained, as well as the estimates of population average confidence scores. The latter can be used...... to distinguish rival prediction models with similar prediction performances. Furthermore, on the subject level a confidence score may provide useful supplementary information for new patients who want to base a medical decision on predicted risk. The ideas are illustrated and discussed using data from cancer...

  13. Calibrations of Atmospheric Parameters Obtained from the First Year of SDSS-III APOGEE Observations

    CERN Document Server

    Mészáros, Sz; Pérez, A E García; Prieto, C Allende; Schiavon, R P; Basu, S; Bizyaev, D; Chaplin, W J; Chojnowski, S D; Cunha, K; Elsworth, Y; Epstein, C; Frinchaboy, P M; García, R A; Hearty, F R; Hekker, S; Johnson, J A; Kallinger, T; Koesterke, L; Majewski, S R; Martell, S L; Nidever, D; Pinsonneault, M H; O'Connell, J; Shetrone, M; Smith, V V; Wilson, J C; Zasowski, G

    2013-01-01

    The SDSS-III Apache Point Observatory Galactic Evolution Experiment (APOGEE) is a three year survey that is collecting 100,000 high-resolution spectra in the near-IR across multiple Galactic populations. To derive stellar parameters and chemical compositions from this massive data set, the APOGEE Stellar Parameters and Chemical Abundances Pipeline (ASPCAP) has been developed. Here, we describe empirical calibrations of stellar parameters presented in the first SDSS-III APOGEE data release (DR10). These calibrations were enabled by observations of 559 stars in 20 globular and open clusters. The cluster observations were supplemented by observations of stars in NASA's Kepler field that have well determined surface gravities from asteroseismic analysis. We discuss the accuracy and precision of the derived stellar parameters, considering especially effective temperature, surface gravity, and metallicity; we also briefly discuss the derived results for the abundances of the alpha-elements, carbon, and nitrogen. Ov...

  14. Apache Aviator Evaluation of Dual-Technology Night Vision Systems in Operation Iraqi Freedom (OIF) Urban Combat (Master’s Thesis)

    Science.gov (United States)

    2008-01-01

    DATES COVERED (From - To) 06 JAN 2008 Final 1 4. TITLE AND SUBTITLE 5a. CONTRACT NUMBER Apache Aviator Evaluation of Dual-Technology Night Vision Systems...Martin Marietta (the winner) proposed the thermal imaging approach using FLIR sensors, the TADS/PNVS design, and was awarded the contract in 1980...in the outside scene (figure 7). 1. SCANNIFAIM MuCl ASSMBLAINRRAY MUCvlI: IA’ NIC (𔃻.I 4. LEVEL SPREAMP POSTAMP 14 POLARITY VISUAL VIDEO ELECTRONICS

  15. The Effect of a Monocular Helmet-Mounted Display on Aircrew Health: A Longitudinal Cohort Study of Apache AH Mk 1 Pilots -(Vision and Handedness)

    Science.gov (United States)

    2015-05-19

    Medical Center 4Womack Army Medical Center 5Eisenhower Army Medical Center Visual Protection and Performance Division Injury Biomechanics ...binocular) performance. Additional information concerning other unique problems (e.g., helmet usage, neck and back pain, and handedness) of the Apache AH...head and neck pain, and handedness, are reported separately (Walters et al., 2013). 2 HQ DAAvn is currently the Headquarters Army Air Corps (HQ AAC

  16. 利用Apache+PHP+MySQL架构电子商务平台--PHP网络编程调试平台的实现

    Institute of Scientific and Technical Information of China (English)

    郑汉垣

    2003-01-01

    对各种基于PHP+MySQL编程、调试、应用平台进行了比较,认为最佳PHP+MySQL编程调试平台是Win-dows NT/XP+Apache+PHP+MySQL,并就此平台给出了完整具体的整合安装配置方法与步骤.

  17. Retrospective study on prognostic importance of serum procalcitonin and amino-terminal pro-brain natriuretic peptide levels as compared to Acute Physiology and Chronic Health Evaluation IV Score on Intensive Care Unit admission, in a mixed Intensive Care Unit population

    OpenAIRE

    2016-01-01

    Background: Timely decision making in Intensive Care Unit (ICU) is very essential to improve the outcome of critically sick patients. Conventional scores like Acute Physiology and Chronic Health Evaluation (APACHE IV) are quite cumbersome with calculations and take minimum 24 hours. Procalcitonin has shown to have prognostic value in ICU/Emergency department (ED) in disease states like pneumonia, sepsis etc. NTproBNP has demonstrated excellent diagnostic and prognostic importance in cardiac d...

  18. Overview of the SDSS-IV MaNGA Survey: Mapping Nearby Galaxies at Apache Point Observatory

    CERN Document Server

    Bundy, Kevin; Law, David R; Yan, Renbin; Drory, Niv; MacDonald, Nicholas; Wake, David A; Cherinka, Brian; Sánchez-Gallego, José R; Weijmans, Anne-Marie; Thomas, Daniel; Tremonti, Christy; Masters, Karen; Coccato, Lodovico; Diamond-Stanic, Aleksandar M; Aragón-Salamanca, Alfonso; Avila-Reese, Vladimir; Badenes, Carles; Falcón-Barroso, Jésus; Belfiore, Francesco; Bizyaev, Dmitry; Blanc, Guillermo A; Bland-Hawthorn, Joss; Blanton, Michael R; Brownstein, Joel R; Byler, Nell; Cappellari, Michele; Conroy, Charlie; Dutton, Aaron A; Emsellem, Eric; Etherington, James; Frinchaboy, Peter M; Fu, Hai; Gunn, James E; Harding, Paul; Johnston, Evelyn J; Kauffmann, Guinevere; Kinemuchi, Karen; Klaene, Mark A; Knapen, Johan H; Leauthaud, Alexie; Li, Cheng; Lin, Lihwai; Maiolino, Roberto; Malanushenko, Viktor; Malanushenko, Elena; Mao, Shude; Maraston, Claudia; McDermid, Richard M; Merrifield, Michael R; Nichol, Robert C; Oravetz, Daniel; Pan, Kaike; Parejko, John K; Sanchez, Sebastian F; Schlegel, David; Simmons, Audrey; Steele, Oliver; Steinmetz, Matthias; Thanjavur, Karun; Thompson, Benjamin A; Tinker, Jeremy L; Bosch, Remco C E van den; Westfall, Kyle B; Wilkinson, David; Wright, Shelley; Xiao, Ting; Zhang, Kai

    2014-01-01

    We present an overview of a new integral field spectroscopic survey called MaNGA (Mapping Nearby Galaxies at Apache Point Observatory), one of three core programs in the fourth-generation Sloan Digital Sky Survey (SDSS-IV) that began on 2014 July 1. MaNGA will investigate the internal kinematic structure and composition of gas and stars in an unprecedented sample of 10,000 nearby galaxies. We summarize essential characteristics of the instrument and survey design in the context of MaNGA's key science goals and present prototype observations to demonstrate MaNGA's scientific potential. MaNGA employs dithered observations with 17 fiber-bundle integral field units that vary in diameter from 12" (19 fibers) to 32" (127 fibers). Two dual-channel spectrographs provide simultaneous wavelength coverage over 3600-10300 A at R~2000. With a typical integration time of 3 hr, MaNGA reaches a target r-band signal-to-noise ratio of 4-8 (per A, per 2" fiber) at 23 AB mag per sq. arcsec, which is typical for the outskirts of ...

  19. Data collection and field experiments at the Apache Leap research site. Annual report, May 1995--1996

    Energy Technology Data Exchange (ETDEWEB)

    Woodhouse, E.G. [ed.; Bassett, R.L.; Neuman, S.P.; Chen, G. [and others

    1997-08-01

    This report documents the research performed during the period May 1995-May 1996 for a project of the U.S. Regulatory Commission (sponsored contract NRC-04-090-051) by the University of Arizona. The project manager for this research in Thomas J. Nicholson, Office of Nuclear Regulatory Research. The objectives of this research were to examine hypotheses and test alternative conceptual models concerning unsaturated flow and transport through fractured rock, and to design and execute confirmatory field and laboratory experiments to test these hypotheses and conceptual models at the Apache Leap Research Site near Superior, Arizona. Each chapter in this report summarizes research related to a specific set of objectives and can be read and interpreted as a separate entity. Topics include: crosshole pneumatic and gaseous tracer field and modeling experiments designed to help validate the applicability of contiuum geostatistical and stochastic concepts, theories, models, and scaling relations relevant to unsaturated flow and transport in fractured porous tuffs; use of geochemistry and aquifer testing to evaluate fracture flow and perching mechanisms; investigations of {sup 234}U/{sup 238}U fractionation to evaluate leaching selectivity; and transport and modeling of both conservative and non-conservative tracers.

  20. The Apache Longbow-Hellfire Missile Test at Yuma Proving Ground: Ecological Risk Assessment for Missile Firing

    Energy Technology Data Exchange (ETDEWEB)

    Jones, Daniel Steven [ORNL; Efroymson, Rebecca Ann [ORNL; Hargrove, William Walter [ORNL; Suter, Glenn [U.S. Environmental Protection Agency; Pater, Larry [ERDC-CERL

    2008-01-01

    A multiple stressor risk assessment was conducted at Yuma Proving Ground, Arizona, as a demonstration of the Military Ecological Risk Assessment Framework. The focus was a testing program at Cibola Range, which involved an Apache Longbow helicopter firing Hellfire missiles at moving targets, M60- A1 tanks. This paper describes the ecological risk assessment for the missile launch and detonation. The primary stressor associated with this activity was sound. Other minor stressors included the detonation impact, shrapnel, and fire. Exposure to desert mule deer (Odocoileus hemionus crooki) was quantified using the Army sound contour program BNOISE2, as well as distances from the explosion to deer. Few effects data were available from related studies. Exposure-response models for the characterization of effects consisted of human "disturbance" and hearing damage thresholds in units of C-weighted decibels (sound exposure level) and a distance-based No Observed Adverse Effects Level for moose and cannonfire. The risk characterization used a weight-of-evidence approach and concluded that risk to mule deer behavior from the missile firing was likely for a negligible number of deer, but that no risk to mule deer abundance and reproduction is expected.

  1. Developing Online Communities with LAMP (Linux, Apache, MySQL, PHP) - the IMIA OSNI and CHIRAD Experiences.

    Science.gov (United States)

    Murray, Peter J; Oyri, Karl

    2005-01-01

    Many health informatics organisations do not seem to use, on a practical basis, for the benefit of their activities and interaction with their members, the very technologies that they often promote for use within healthcare environments. In particular, many organisations seem to be slow to take up the benefits of interactive web technologies. This paper presents an introduction to some of the many free/libre and open source (FLOSS) applications currently available and using the LAMP - Linux, Apache, MySQL, PHP architecture - as a way of cheaply deploying reliable, scalable, and secure web applications. The experience of moving to applications using LAMP architecture, in particular that of the Open Source Nursing Informatics (OSNI) Working Group of the Special Interest Group in Nursing Informatics of the International Medical Informatics Association (IMIA-NI), in using PostNuke, a FLOSS Content Management System (CMS) illustrates many of the benefits of such applications. The experiences of the authors in installing and maintaining a large number of websites using FLOSS CMS to develop dynamic, interactive websites that facilitate real engagement with the members of IMIA-NI OSNI, the IMIA Open Source Working Group, and the Centre for Health Informatics Research and Development (CHIRAD), as well as other organisations, is used as the basis for discussing the potential benefits that could be realised by others within the health informatics community.

  2. Performance characteristics of postacute traumatic brain injury patients on the WAIS-III and WMS-III.

    Science.gov (United States)

    Axelrod, B N; Fichtenberg, N L; Liethen, P C; Czarnota, M A; Stucky, K

    2001-12-01

    Publication of the third editions of the Wechsler intelligence and memory batteries in 1997 created a need for research identifying Wechsler Adult Intelligence Scale-Third Edition/Wechsler Memory Scale-Third Edition (WAIS-III/WMS-III) profile patterns associated with neuropathology. The WAIS-III/WMS-III Technical Manual offers data on various diagnostic groups, including traumatic brain injury (TBI). Hawkins (1998) employed Technical Manual data to propose certain diagnostic guidelines. In order to validate the conclusions put forth by Hawkins as they apply to brain injury, we examined WAIS-III and WMS-III profiles in an independent sample of 46 TBI cases. As expected, the WAIS-III Processing Speed Index (PSI) was more sensitive to brain injury than other WAIS-III composites; and specific WAIS-III scores were stronger than certain WMS-III scores. On the other hand, the predicted relationship for WMS-III auditory and visual indexes was not found. The lack of specificity for TBI of the proposed index comparisons confirms the need to validate such hypotheses in independent samples.

  3. Modelling sequentially scored item responses

    NARCIS (Netherlands)

    Akkermans, W.

    2000-01-01

    The sequential model can be used to describe the variable resulting from a sequential scoring process. In this paper two more item response models are investigated with respect to their suitability for sequential scoring: the partial credit model and the graded response model. The investigation is c

  4. Skyrocketing Scores: An Urban Legend

    Science.gov (United States)

    Krashen, Stephen

    2005-01-01

    A new urban legend claims, "As a result of the state dropping bilingual education, test scores in California skyrocketed." Krashen disputes this theory, pointing out that other factors offer more logical explanations of California's recent improvements in SAT-9 scores. He discusses research on the effects of California's Proposition 227,…

  5. The Machine Scoring of Writing

    Science.gov (United States)

    McCurry, Doug

    2010-01-01

    This article provides an introduction to the kind of computer software that is used to score student writing in some high stakes testing programs, and that is being promoted as a teaching and learning tool to schools. It sketches the state of play with machines for the scoring of writing, and describes how these machines work and what they do.…

  6. Trends in Classroom Observation Scores

    Science.gov (United States)

    Casabianca, Jodi M.; Lockwood, J. R.; McCaffrey, Daniel F.

    2015-01-01

    Observations and ratings of classroom teaching and interactions collected over time are susceptible to trends in both the quality of instruction and rater behavior. These trends have potential implications for inferences about teaching and for study design. We use scores on the Classroom Assessment Scoring System-Secondary (CLASS-S) protocol from…

  7. Classification of current scoring functions.

    Science.gov (United States)

    Liu, Jie; Wang, Renxiao

    2015-03-23

    Scoring functions are a class of computational methods widely applied in structure-based drug design for evaluating protein-ligand interactions. Dozens of scoring functions have been published since the early 1990s. In literature, scoring functions are typically classified as force-field-based, empirical, and knowledge-based. This classification scheme has been quoted for more than a decade and is still repeatedly quoted by some recent publications. Unfortunately, it does not reflect the recent progress in this field. Besides, the naming convention used for describing different types of scoring functions has been somewhat jumbled in literature, which could be confusing for newcomers to this field. Here, we express our viewpoint on an up-to-date classification scheme and appropriate naming convention for current scoring functions. We propose that they can be classified into physics-based methods, empirical scoring functions, knowledge-based potentials, and descriptor-based scoring functions. We also outline the major difference and connections between different categories of scoring functions.

  8. D-score: a search engine independent MD-score.

    Science.gov (United States)

    Vaudel, Marc; Breiter, Daniela; Beck, Florian; Rahnenführer, Jörg; Martens, Lennart; Zahedi, René P

    2013-03-01

    While peptides carrying PTMs are routinely identified in gel-free MS, the localization of the PTMs onto the peptide sequences remains challenging. Search engine scores of secondary peptide matches have been used in different approaches in order to infer the quality of site inference, by penalizing the localization whenever the search engine similarly scored two candidate peptides with different site assignments. In the present work, we show how the estimation of posterior error probabilities for peptide candidates allows the estimation of a PTM score called the D-score, for multiple search engine studies. We demonstrate the applicability of this score to three popular search engines: Mascot, OMSSA, and X!Tandem, and evaluate its performance using an already published high resolution data set of synthetic phosphopeptides. For those peptides with phosphorylation site inference uncertainty, the number of spectrum matches with correctly localized phosphorylation increased by up to 25.7% when compared to using Mascot alone, although the actual increase depended on the fragmentation method used. Since this method relies only on search engine scores, it can be readily applied to the scoring of the localization of virtually any modification at no additional experimental or in silico cost.

  9. The Effect of Age-Correction on IQ Scores among School-Aged Children Born Preterm

    Science.gov (United States)

    Roberts, Rachel M.; George, Wing Man; Cole, Carolyn; Marshall, Peter; Ellison, Vanessa; Fabel, Helen

    2013-01-01

    This study examined the effect of age-correction on IQ scores among preterm school-aged children. Data from the Flinders Medical Centre Neonatal Unit Follow-up Program for 81 children aged five years and assessed with the WPPSI-III, and 177 children aged eight years and assessed with the WISC-IV, were analysed. Corrected IQ scores were…

  10. Do currently recommended Bayley III cutoffs overestimate motor impairment in infants born <27 weeks gestation?

    OpenAIRE

    Duncan, Andrea F; Bann, Carla; Boatman, Cathy; Hintz, Susan R.; Vaucher, Yvonne E.; Vohr, Betty R.; Yolton, Kimberly; Heyne, Roy J.; ,

    2015-01-01

    Objective To determine whether a Bayley-III Motor Composite score of 85 may overestimate moderate-severe motor impairment by analyzing Bayley-III motor components and developing cut-point scores for each. Study Design Retrospective study of 1183 children born

  11. CyberStorm III

    NARCIS (Netherlands)

    Luiijf, H.A.M.; et al

    2010-01-01

    Projectteam Cyber Storm III - De Verenigde Staten organiseerden de afgelopen jaren een reeks grootschalige ICT-crisisoefeningen met de naam Cyber Storm. Cyber Storm III is de derde oefening in de reeks. Het scenario van Cyber Storm III staat in het teken van grootschalige ICT-verstoringen, waarbij n

  12. What Is the Apgar Score?

    Science.gov (United States)

    ... Development Infections Diseases & Conditions Pregnancy & Baby Nutrition & Fitness Emotions & Behavior School & Family Life First Aid & Safety Doctors & ... 2 being the best score: A ppearance (skin color) P ulse (heart rate) G rimace response (reflexes) ...

  13. Overview of the SDSS-IV MaNGA Survey: Mapping nearby Galaxies at Apache Point Observatory

    Science.gov (United States)

    Bundy, Kevin; Bershady, Matthew A.; Law, David R.; Yan, Renbin; Drory, Niv; MacDonald, Nicholas; Wake, David A.; Cherinka, Brian; Sánchez-Gallego, José R.; Weijmans, Anne-Marie; Thomas, Daniel; Tremonti, Christy; Masters, Karen; Coccato, Lodovico; Diamond-Stanic, Aleksandar M.; Aragón-Salamanca, Alfonso; Avila-Reese, Vladimir; Badenes, Carles; Falcón-Barroso, Jésus; Belfiore, Francesco; Bizyaev, Dmitry; Blanc, Guillermo A.; Bland-Hawthorn, Joss; Blanton, Michael R.; Brownstein, Joel R.; Byler, Nell; Cappellari, Michele; Conroy, Charlie; Dutton, Aaron A.; Emsellem, Eric; Etherington, James; Frinchaboy, Peter M.; Fu, Hai; Gunn, James E.; Harding, Paul; Johnston, Evelyn J.; Kauffmann, Guinevere; Kinemuchi, Karen; Klaene, Mark A.; Knapen, Johan H.; Leauthaud, Alexie; Li, Cheng; Lin, Lihwai; Maiolino, Roberto; Malanushenko, Viktor; Malanushenko, Elena; Mao, Shude; Maraston, Claudia; McDermid, Richard M.; Merrifield, Michael R.; Nichol, Robert C.; Oravetz, Daniel; Pan, Kaike; Parejko, John K.; Sanchez, Sebastian F.; Schlegel, David; Simmons, Audrey; Steele, Oliver; Steinmetz, Matthias; Thanjavur, Karun; Thompson, Benjamin A.; Tinker, Jeremy L.; van den Bosch, Remco C. E.; Westfall, Kyle B.; Wilkinson, David; Wright, Shelley; Xiao, Ting; Zhang, Kai

    2015-01-01

    We present an overview of a new integral field spectroscopic survey called MaNGA (Mapping Nearby Galaxies at Apache Point Observatory), one of three core programs in the fourth-generation Sloan Digital Sky Survey (SDSS-IV) that began on 2014 July 1. MaNGA will investigate the internal kinematic structure and composition of gas and stars in an unprecedented sample of 10,000 nearby galaxies. We summarize essential characteristics of the instrument and survey design in the context of MaNGA's key science goals and present prototype observations to demonstrate MaNGA's scientific potential. MaNGA employs dithered observations with 17 fiber-bundle integral field units that vary in diameter from 12'' (19 fibers) to 32'' (127 fibers). Two dual-channel spectrographs provide simultaneous wavelength coverage over 3600-10300 Å at R ~ 2000. With a typical integration time of 3 hr, MaNGA reaches a target r-band signal-to-noise ratio of 4-8 (Å-1 per 2'' fiber) at 23 AB mag arcsec-2, which is typical for the outskirts of MaNGA galaxies. Targets are selected with M * >~ 109 M ⊙ using SDSS-I redshifts and i-band luminosity to achieve uniform radial coverage in terms of the effective radius, an approximately flat distribution in stellar mass, and a sample spanning a wide range of environments. Analysis of our prototype observations demonstrates MaNGA's ability to probe gas ionization, shed light on recent star formation and quenching, enable dynamical modeling, decompose constituent components, and map the composition of stellar populations. MaNGA's spatially resolved spectra will enable an unprecedented study of the astrophysics of nearby galaxies in the coming 6 yr.

  14. OVERVIEW OF THE SDSS-IV MaNGA SURVEY: MAPPING NEARBY GALAXIES AT APACHE POINT OBSERVATORY

    Energy Technology Data Exchange (ETDEWEB)

    Bundy, Kevin [Kavli Institute for the Physics and Mathematics of the Universe (Kavli IPMU, WPI), Todai Institutes for Advanced Study, the University of Tokyo, Kashiwa 277-8583 (Japan); Bershady, Matthew A.; Wake, David A.; Tremonti, Christy; Diamond-Stanic, Aleksandar M. [Department of Astronomy, University of Wisconsin-Madison, 475 North Charter Street, Madison, WI 53706 (United States); Law, David R.; Cherinka, Brian [Dunlap Institute for Astronomy and Astrophysics, University of Toronto, 50 St. George Street, Toronto, Ontario M5S 3H4 (Canada); Yan, Renbin; Sánchez-Gallego, José R. [Department of Physics and Astronomy, University of Kentucky, 505 Rose Street, Lexington, KY 40506-0055 (United States); Drory, Niv [McDonald Observatory, Department of Astronomy, University of Texas at Austin, 1 University Station, Austin, TX 78712-0259 (United States); MacDonald, Nicholas [Department of Astronomy, Box 351580, University of Washington, Seattle, WA 98195 (United States); Weijmans, Anne-Marie [School of Physics and Astronomy, University of St Andrews, North Haugh, St Andrews KY16 9SS (United Kingdom); Thomas, Daniel; Masters, Karen; Coccato, Lodovico [Institute of Cosmology and Gravitation, University of Portsmouth, Portsmouth (United Kingdom); Aragón-Salamanca, Alfonso [School of Physics and Astronomy, University of Nottingham, University Park, Nottingham NG7 2RD (United Kingdom); Avila-Reese, Vladimir [Instituto de Astronomia, Universidad Nacional Autonoma de Mexico, A.P. 70-264, 04510 Mexico D.F. (Mexico); Badenes, Carles [Department of Physics and Astronomy and Pittsburgh Particle Physics, Astrophysics and Cosmology Center (PITT PACC), University of Pittsburgh, 3941 OHara St, Pittsburgh, PA 15260 (United States); Falcón-Barroso, Jésus [Instituto de Astrofísica de Canarias, E-38200 La Laguna, Tenerife (Spain); Belfiore, Francesco [Cavendish Laboratory, University of Cambridge, 19 J. J. Thomson Avenue, Cambridge CB3 0HE (United Kingdom); and others

    2015-01-01

    We present an overview of a new integral field spectroscopic survey called MaNGA (Mapping Nearby Galaxies at Apache Point Observatory), one of three core programs in the fourth-generation Sloan Digital Sky Survey (SDSS-IV) that began on 2014 July 1. MaNGA will investigate the internal kinematic structure and composition of gas and stars in an unprecedented sample of 10,000 nearby galaxies. We summarize essential characteristics of the instrument and survey design in the context of MaNGA's key science goals and present prototype observations to demonstrate MaNGA's scientific potential. MaNGA employs dithered observations with 17 fiber-bundle integral field units that vary in diameter from 12'' (19 fibers) to 32'' (127 fibers). Two dual-channel spectrographs provide simultaneous wavelength coverage over 3600-10300 Å at R ∼ 2000. With a typical integration time of 3 hr, MaNGA reaches a target r-band signal-to-noise ratio of 4-8 (Å{sup –1} per 2'' fiber) at 23 AB mag arcsec{sup –2}, which is typical for the outskirts of MaNGA galaxies. Targets are selected with M {sub *} ≳ 10{sup 9} M {sub ☉} using SDSS-I redshifts and i-band luminosity to achieve uniform radial coverage in terms of the effective radius, an approximately flat distribution in stellar mass, and a sample spanning a wide range of environments. Analysis of our prototype observations demonstrates MaNGA's ability to probe gas ionization, shed light on recent star formation and quenching, enable dynamical modeling, decompose constituent components, and map the composition of stellar populations. MaNGA's spatially resolved spectra will enable an unprecedented study of the astrophysics of nearby galaxies in the coming 6 yr.

  15. From Rasch scores to regression

    DEFF Research Database (Denmark)

    Christensen, Karl Bang

    2006-01-01

    Rasch models provide a framework for measurement and modelling latent variables. Having measured a latent variable in a population a comparison of groups will often be of interest. For this purpose the use of observed raw scores will often be inadequate because these lack interval scale propertie....... This paper compares two approaches to group comparison: linear regression models using estimated person locations as outcome variables and latent regression models based on the distribution of the score....

  16. Global Positioning System III (GPS III)

    Science.gov (United States)

    2015-12-01

    Military Operations in Urban Terrain; Defense-Wide Mission Support; Air Mobility; and Space Launch Orbital Support. For military users, the GPS III...program provides Precise Positioning Service (PPS) to military operations and force enhancement. It also provides increased anti-jam power to the earth ...to be modified . On January 31, 2016, USD(AT&L) signed the GPS III revised APB. This Change 1 to the APB was due to both cost and schedule breaches

  17. Echelle spectra of SN2014J from the Apache Point Observatory 3.5m telescope, UT January 27 and January 30, 2014

    Science.gov (United States)

    Ritchey, Adam M.; Welty, Daniel E.; Dahlstrom, Julie A.; York, Donald G.

    2014-02-01

    Optical spectra of SN2014J were recorded with the ARC echelle spectrograph at Apache Point Observatory, at approximately UT Jan. 27.2 (7 spectra, 8400 s) and UT Jan. 30.4, (6 spectra, 7200s), through thin clouds in seeing averaging 1.0 arcsec. The resolving power is 31,500. Useful interstellar spectra were obtained from 3850A to 9000A; estimated S/N values (photon counts only) near 6563A are 500 on Jan 27 and 400 on Jan 30, and about 1/3 those values at Ca II 3933A.

  18. Metallothionein (MT)-III

    DEFF Research Database (Denmark)

    Carrasco, J; Giralt, M; Molinero, A

    1999-01-01

    Metallothionein-III is a low molecular weight, heavy-metal binding protein expressed mainly in the central nervous system. First identified as a growth inhibitory factor (GIF) of rat cortical neurons in vitro, it has subsequently been shown to be a member of the metallothionein (MT) gene family...... and renamed as MT-III. In this study we have raised polyclonal antibodies in rabbits against recombinant rat MT-III (rMT-III). The sera obtained reacted specifically against recombinant zinc-and cadmium-saturated rMT-III, and did not cross-react with native rat MT-I and MT-II purified from the liver of zinc...... injected rats. The specificity of the antibody was also demonstrated in immunocytochemical studies by the elimination of the immunostaining by preincubation of the antibody with brain (but not liver) extracts, and by the results obtained in MT-III null mice. The antibody was used to characterize...

  19. Retrospective study on prognostic importance of serum procalcitonin and amino - terminal pro - brain natriuretic peptide levels as compared to Acute Physiology and Chronic Health Evaluation IV Score on Intensive Care Unit admission, in a mixed Intensive Care Unit population

    Directory of Open Access Journals (Sweden)

    Chitra Mehta

    2016-01-01

    Full Text Available Background: Timely decision making in Intensive Care Unit (ICU is very essential to improve the outcome of critically sick patients. Conventional scores like Acute Physiology and Chronic Health Evaluation (APACHE IV are quite cumbersome with calculations and take minimum 24 hours. Procalcitonin has shown to have prognostic value in ICU/Emergency department (ED in disease states like pneumonia, sepsis etc. NTproBNP has demonstrated excellent diagnostic and prognostic importance in cardiac diseases. It has also been found elevated in non-cardiac diseases. We chose to study the prognostic utility of these markers on ICU admission. Settings and Design: Retrospective observational study. Materials and Methods: A Retrospective analysis of 100 eligible patients was done who had undergone PCT and NTproBNP measurements on ICU admission. Their correlations with all cause mortality, length of hospital stay, need for ventilator support, need for vasopressors were performed. Results: Among 100 randomly selected ICU patients, 28 were non-survivors. NTproBNP values on admission significantly correlated with all cause mortality (P = 0.036, AUC = 0.643 and morbidity (P = 0.000, AUC = 0.763, comparable to that of APACHE-IV score. PCT values on admission did not show significant association with mortality, but correlated well with morbidity and prolonged hospital length of stay (AUC = 0.616, P = 0.045. Conclusion: The current study demonstrated a good predictive value of NTproBNP, in terms of mortality and morbidity comparable to that of APACHE-IV score. Procalcitonin, however, was found to have doubtful prognostic importance. These findings need to be confirmed in a prospective larger study.

  20. Estimating Decision Indices Based on Composite Scores

    Science.gov (United States)

    Knupp, Tawnya Lee

    2009-01-01

    The purpose of this study was to develop an IRT model that would enable the estimation of decision indices based on composite scores. The composite scores, defined as a combination of unidimensional test scores, were either a total raw score or an average scale score. Additionally, estimation methods for the normal and compound multinomial models…

  1. Developing Scoring Algorithms (Earlier Methods)

    Science.gov (United States)

    We developed scoring procedures to convert screener responses to estimates of individual dietary intake for fruits and vegetables, dairy, added sugars, whole grains, fiber, and calcium using the What We Eat in America 24-hour dietary recall data from the 2003-2006 NHANES.

  2. Mastering Apache Maven 3

    CERN Document Server

    Siriwardena, Prabath

    2014-01-01

    If you are working with Java or Java EE projects and you want to take full advantage of Maven in designing, executing, and maintaining your build system for optimal developer productivity, then this book is ideal for you. You should be well versed with Maven and its basic functionality if you wish to get the most out of the book.

  3. Learning Apache Mahout

    CERN Document Server

    Tiwary, Chandramani

    2015-01-01

    If you are a Java developer and want to use Mahout and machine learning to solve Big Data Analytics use cases then this book is for you. Familiarity with shell scripts is assumed but no prior experience is required.

  4. Apache Maven dependency management

    CERN Document Server

    Lalou, Jonathan

    2013-01-01

    An easy-to-follow, tutorial-based guide with chapters progressing from basic to advanced dependency management.If you are working with Java or Java EE projects and you want to take advantage of Maven dependency management, then this book is ideal for you. This book is also particularly useful if you are a developer or an architect. You should be well versed with Maven and its basic functionalities if you wish to get the most out of this book.

  5. Learning Apache Mahout classification

    CERN Document Server

    Gupta, Ashish

    2015-01-01

    If you are a data scientist who has some experience with the Hadoop ecosystem and machine learning methods and want to try out classification on large datasets using Mahout, this book is ideal for you. Knowledge of Java is essential.

  6. Apache Accumulo for developers

    CERN Document Server

    Halldórsson, Guðmundur Jón

    2013-01-01

    The book will have a tutorial-based approach that will show the readers how to start from scratch with building an Accumulo cluster and learning how to monitor the system and implement aspects such as security.This book is great for developers new to Accumulo, who are looking to get a good grounding in how to use Accumulo. It's assumed that you have an understanding of how Hadoop works, both HDFS and the Map/Reduce. No prior knowledge of ZooKeeper is assumed.

  7. Apache Solr PHP integration

    CERN Document Server

    Kumar, Jayant

    2013-01-01

    This book is full of step-by-step example-oriented tutorials which will show readers how to integrate Solr in PHP applications using the available libraries, and boost the inherent search facilities that Solr offers.If you are a developer who knows PHP and is interested in integrating search into your applications, this is the book for you. No advanced knowledge of Solr is required. Very basic knowledge of system commands and the command-line interface on both Linux and Windows is required. You should also be familiar with the concept of Web servers.

  8. Learning Apache Cassandra

    CERN Document Server

    Brown, Mat

    2015-01-01

    If you're an application developer familiar with SQL databases such as MySQL or Postgres, and you want to explore distributed databases such as Cassandra, this is the perfect guide for you. Even if you've never worked with a distributed database before, Cassandra's intuitive programming interface coupled with the step-by-step examples in this book will have you building highly scalable persistence layers for your applications in no time.

  9. Apache hive essentials

    CERN Document Server

    Du, Dayong

    2015-01-01

    If you are a data analyst, developer, or simply someone who wants to use Hive to explore and analyze data in Hadoop, this is the book for you. Whether you are new to big data or an expert, with this book, you will be able to master both the basic and the advanced features of Hive. Since Hive is an SQL-like language, some previous experience with the SQL language and databases is useful to have a better understanding of this book.

  10. 改良急性生理学与慢性健康状况评分系统Ⅱ评分在急诊危重患者中的建立和应用%The use and establishment of modified acute physiology and chronic health evaluation Ⅱ score in emergency patients

    Institute of Scientific and Technical Information of China (English)

    叶舟; 陶玲; 范兆普; 吴锦萍; 王英

    2008-01-01

    目的 将急性生理学与慢性健康状况评分系统I(APACHE I)进行改良,使之更简便、实用.方法 回顾2003年1月-2005年10月全院重症加强治疗病房(ICU)死亡患者,选择各项生理指标数据齐全、且符合改良APACHE I评分标准者为试验组(153例),对照组选择同期监护室生存患者进行1:1配对,以患者24 h内最差生理指标为标准并填表,然后将患者是否死亡与改良APACHE I评分进行拟合检验及建立回归模型,将其应用于2006年1-10月的急诊抢救患者,评价其预报准确性.结果 应用Lemeshow-Hosmet拟合优度检验,预计死亡与实际死亡情况比较.X2=8.853.P=0.335,拟合度良好.改良APACHE I评分以界点16分为预报值,急诊抢救室患者现场预测死亡的敏感度为86.8%,特异性为81.6%,准确性为81.8%.改良ApACHE I评分低者缓解回家及留观的比例较高;随分数增高,入院、死亡的比例也随之增高.结论 APACHE I评分方便、实用于急诊领域.%Objective To simplify the acute physiology and chronic health evaluation I(APACHE I)score to make it more suitable for emergency patients.Methods Medical records of all the dead patients in the intensive care unit(ICU)from January 2003 to October 2005 were retrospectively analyzed.Those dead patients whose clinical data were completed for study were chosen as the experimental group(153 cases).Patients who survived in the same ICU at the same period were chosen as cohort for comparison.The worst scores within 24 hours of admission were selected for comparison between survivors and non-survivors to establish the modified APACHE I by linear regression.Then the new score was tested in the emergency patients who needed medical care from January to October 2006,and the accuracy of the prognostic value was evaluated.Results Tested by the Lemeshow-Hosmer C-statistic and calibration curve analysis,the modified APACHE I score showed a good clustering data and the high calibration of the

  11. Sweet sour gas solution : a win-win Apache Canada plan sweeps an acid gas problem underground, reduces harmful emissions and boosts production

    Energy Technology Data Exchange (ETDEWEB)

    Smith, M.

    2004-08-01

    This article discusses the experiences of Apache Canada Ltd. in their efforts to cut costs and deal with environmental problems at their oil and gas field in northwest Alberta. Yields were low and the hydrocarbons sour, containing hydrogen sulphide and carbon dioxide. Some of the hydrogen sulphide is used to produce elemental sulphur (at the expense of releasing large amounts of greenhouse gas) and the rest has to be sequestered. Low sulphur prices have worsened the problem. The solution has been to inject both of the evolved gases into the ground where the hydrogen sulphide acts as a solvent forcing the oil downwards through the rock to a recovery well. The solvent acts to free the oil trapped in the rock. In this way Apache plans to produce more oil from its depleted deposits and sequester the hydrogen sulphide and carbon dioxide it produces anyway. It plans to stop the production of elemental sulphur since it is no longer economically viable. The end of sulphur production, and having gases sequestered in the oil extraction scheme mean that far fewer greenhouse gases are emitted to the atmosphere. 1 ref., 3 figs.

  12. Genetic effect on apgar score

    Directory of Open Access Journals (Sweden)

    Carla Franchi-Pinto

    1999-03-01

    Full Text Available Intraclass correlation coefficients for one- and five-min Apgar scores of 604 twin pairs born at a southeastern Brazilian hospital were calculated, after adjusting these scores for gestational age and sex. The data support a genetic hypothesis only for 1-min Apgar score, probably because it is less affected by the environment than 4 min later, after the newborns have been under the care of a neonatology team. First-born twins exhibited, on average, better clinical conditions than second-born twins. The former showed a significantly lower proportion of Apgar scores under seven than second-born twins, both at 1 min (17.5% vs. 29.8% and at 5 min (7.2% vs. 11.9%. The proportion of children born with "good" Apgar scores was significantly smaller among twins than among 1,522 singletons born at the same hospital. Among the latter, 1- and 5-min Apgar scores under seven were exhibited by 9.2% and 3.4% newborns, respectively.Os coeficientes de correlação intraclasse foram calculados para os índices de Apgar 1 e 5 minutos após o nascimento de 604 pares de gêmeos em uma maternidade do sudeste brasileiro, depois que esses índices foram ajustados para idade gestacional e sexo. Os dados obtidos apoiaram a hipótese genética apenas em relação ao primeiro índice de Apgar, provavelmente porque ele é menos influenciado pelo ambiente do que 4 minutos depois, quando os recém-nascidos já estiveram sob os cuidados de uma equipe de neonatologistas. Os gêmeos nascidos em primeiro lugar apresentaram, em média, melhor estado clínico que os nascidos em segundo lugar, visto que os primeiros mostraram uma proporção de índices de Apgar inferiores a 7 significativamente menor do que os nascidos em segundo lugar, tanto um minuto (17,5% contra 29,8% quanto cinco minutos após o nascimento (7,2% contra 11,9%. A proporção de recém-nascidos com índices de Apgar que indicam bom prognóstico foi significativamente menor nos gêmeos do que em 1.522 conceptos

  13. Analisa Perbandingan Model Prediksi Kebangkrutan Dengan Menggunakan Model Z – Score Dan O-Score Pada Laporan Keuangan PT PLN (Persero)

    OpenAIRE

    Vincent

    2015-01-01

    In 2011, at least 17 State-owned company experience loss up to Rp.700 billon. this in turn become a bad record for indonesia economy since there a lot of State-owned company which experience loss. This study is conducted to (i) compare Altman Z-Score and O-Score model to predict bankrupcty, (ii) to determine whether PT.PLN will experience bankruptcy using the two model and (iii) to determine whether PLN’s liabilities will affect O-Score calculation. This study use PT.PLN financial statem...

  14. Digit Symbol-Incidental Learning in the WAIS-III: construct validity and clinical significance.

    Science.gov (United States)

    Joy, Stephen; Kaplan, Edith; Fein, Deborah

    2003-05-01

    We analyzed WAIS-III/WMS-III standardization data for evidence of the construct validity and clinical utility of the Digit Symbol-Incidental Learning procedures (Pairing and Free Recall). Scores on both tests correlated moderately with WMS-III memory index scores (mean r=.38 for Pairing and .36 for Free Recall). Cutoff scores can be used to identify younger and older adults likely to suffer from memory impairment. In the standardization sample (which excludes neurological patients), these have moderate positive predictive power (averaging .56 if either test yields a positive finding), moderate negative predictive power (.76), and high specificity (.88), but low sensitivity (.35). In a clinical sample, the same cutoff scores were much more sensitive, correctly identifying 88% of a group of patients with Alzheimer's Disease. Examinees who obtain these low scores should receive follow-up memory testing. Very high scores are associated with a reduced risk of memory impairment.

  15. Correlates of everyday memory among residents of Part III homes.

    Science.gov (United States)

    Cockburn, J; Smith, P T

    1993-02-01

    Performance on the Rivermead Behavioural Memory Test (RBMT) of 43 residents of Part III homes was compared with performance on Raven's Coloured Progressive matrices and the National Adult Reading Test (NART). Health, medication, selfcare and social activity were also measured. Results show that although Raven's score was the best predictor of memory test performance, it had a high refusal rate. Age was not a significant predictor of overall memory test score but results were complicated by age of entry into Part III, with older people performing better on some items. Medication, in particular drugs acting on the central nervous system, enhanced performance on some items.

  16. Expression of EGFRvIII in Glioblastoma: Prognostic Significance Revisited

    Directory of Open Access Journals (Sweden)

    Nicola Montano

    2011-12-01

    Full Text Available The epidermal growth factor receptor variant III (EGFRvIII is associated with increased proliferation of glioma cells. However, the impact of EGFRvIII on survival of patients with glioblastoma (GBM has not been definitively established. In the present study, we prospectively evaluated 73 patients with primary GBM treated with surgical resection and standard radio/chemotherapy. The EGFRvIII was assessed by reverse transcription–polymerase chain reaction (PCR, O6-methylguanine methyltransferase (MGMT promoter methylation was assessed by methylation-specific PCR, and phosphatase and tension homolog (PTEN expression was assessed by immunohistochemistry. In 14 patients of this series, who presented with tumor recurrence, EGFRvIII was determined by real-time PCR. Sensitivity to temozolomide (TMZ was assessed in vitro on GBM neurosphere cell cultures with different patterns of EGFRvIII expression. Age 60 years or younger, preoperative Karnofsky Performance Status score of 70 or higher, recursive partitioning analysis score III and IV, methylated MGMT, and Ki67 index of 20% or less were significantly associated with longer overall survival (OS; P = .0069, P =.0035, P = .0007, P = .0437, and P = .0286, respectively. EGFRvIII identified patients with significantly longer OS (P = .0023 and the association of EGFRvIII/Ki67 of 20% or less, EGFRvIII/normal PTEN, EGFRvIII/methylated MGMT, and EGFRvIII/normal PTEN/methylated MGMT identified subgroups of GBM patients with better prognosis. In recurred GBMs, EGFRvIII expression was approximately two-fold lower than in primary tumors. In vitro, the EGFRvIII-negative GBM neurosphere cells were more resistant to TMZ than the positive ones. In conclusion, in contrast with previous studies, we found that EGFRvIII is associated with prolonged survival of GBM patients treated with surgery and radio/chemotherapy. Depletion of EGFRvIII in recurrent GBMs as well as differential sensitivity to TMZ in vitro indicates that

  17. Concurrent Validity of Wechsler Adult Intelligence Scales-Third Edition Index Score Short Forms in the Canadian Standardization Sample

    Science.gov (United States)

    Lange, Rael T.; Iverson, Grant L.

    2008-01-01

    This study evaluated the concurrent validity of estimated Wechsler Adult Intelligence Scales-Third Edition (WAIS-III) index scores using various one- and two-subtest combinations. Participants were the Canadian WAIS-III standardization sample. Using all possible one- and two-subtest combinations, an estimated Verbal Comprehension Index (VCI), an…

  18. Interpreting force concept inventory scores: Normalized gain and SAT scores

    Directory of Open Access Journals (Sweden)

    Jeffrey J. Steinert

    2007-05-01

    Full Text Available Preinstruction SAT scores and normalized gains (G on the force concept inventory (FCI were examined for individual students in interactive engagement (IE courses in introductory mechanics at one high school (N=335 and one university (N=292 , and strong, positive correlations were found for both populations ( r=0.57 and r=0.46 , respectively. These correlations are likely due to the importance of cognitive skills and abstract reasoning in learning physics. The larger correlation coefficient for the high school population may be a result of the much shorter time interval between taking the SAT and studying mechanics, because the SAT may provide a more current measure of abilities when high school students begin the study of mechanics than it does for college students, who begin mechanics years after the test is taken. In prior research a strong correlation between FCI G and scores on Lawson’s Classroom Test of Scientific Reasoning for students from the same two schools was observed. Our results suggest that, when interpreting class average normalized FCI gains and comparing different classes, it is important to take into account the variation of students’ cognitive skills, as measured either by the SAT or by Lawson’s test. While Lawson’s test is not commonly given to students in most introductory mechanics courses, SAT scores provide a readily available alternative means of taking account of students’ reasoning abilities. Knowing the students’ cognitive level before instruction also allows one to alter instruction or to use an intervention designed to improve students’ cognitive level.

  19. Correlation between the FINish diabetes risk score and the severity of coronary artery disease

    Directory of Open Access Journals (Sweden)

    Đurić Predrag

    2014-01-01

    Full Text Available Background/Aim. The FINish Diabetes RIsk SCore (FINDRISC which includes age, body mass index (BMI, waist circumference, physical (in activity, diet, arterial hypertension, history of high glucose levels, and family history of diabetes, is of a great significance in identifying patients with impaired glucose tolerance and a 10-year risk assessment of developing type 2 diabetes in adults. Due to the fact that the FINDRISC score includes parameters which are risk factors for coronary artery disease (CAD, our aim was to determine a correlation between this score, and some of its parameters respectively, with the severity of angiographically verified CAD in patients with stable angina in two ways: according to the Synergy between Percutaneous Coronary Intervention with Taxus and Cardiac Surgery (SYNTAX score and the number of diseased coronary arteries. Methods. The study included 70 patients with stable angina consecutively admitted to the Clinic of Cardiology, Military Medical Academy, Belgrade. The FINDRISC score was calculated in all the patients immediately prior to angiography. Venous blood samples were collected and inflammatory markers [erythrocyte sedimentation rate (ESR, leucocytes, C-reactive protein (CRP, total cholesterol, HDL cholesterol, triglycerides and fasting glucose] determined. Coronary angiography was performed in order to determine the severity of coronary artery disease according to the SYNTAX score and the number of affected coronary vessels: 1-vessel, 2-vessel or 3-vessel disease (hemodynamically significant stenoses: more than 70% of the blood vessel lumen. The patients were divided into three groups regarding the FINDRISC score: group I: 5-11 points; group II: 12-16 points; group III: 17-22 points. Results. Out of 70 patients (52 men and 18 women enrolled in this study, 14 had normal coronary angiogram. There was a statistically significant positive correlation between the FINDRISC score and its parameters respectively

  20. Hubungan Derajat Skor CURB-65 Saat Awal Masuk dan Nilai Antitrombin III pada Pasien Pneumonia Komunitas

    Directory of Open Access Journals (Sweden)

    Sari Andriyani

    2016-06-01

    Full Text Available The assessment of the level of severity in patients with community acquired pneumonia (CAP is very important to determine the next steps in the disease management. Antithrombin III (AT-III is known as one of the coagulation biomarkers that may be useful for predicting the severity of CAP at early admission in hospital. The AT-III is known to be used in diagnosis to help clinicians decide the antibiotic treatment to be given and to make prognosis. The aim of this cross-sectional study was to determine the correlation between confusion, urea, respiratory rate, blood pressure, age >65 years (CURB-65 score and AT-III in CAP patients at early admission in hospital. The method of study . The data were collected in Adam Malik Hospital from February to March 2013. CAP subjects were examined with CURB-65 score, AT-III, other laboratory assessments, sputum, and blood cultures at the early admission in the emergency room and outpatient clinic. The CURB-65 score was correlated with AT-III to determine the prognostic use of AT-III. A total of CAP 55 subjects were assessed with 23 subjects (42% with severe CURB-65 scores (3–5, 17 subjects (31% with moderate scores (2 , and15 subjects (27% with mild scores (0–1. A significant correlation between CURB-65 and AT-III was found through the use of Spearman correlation test (p=0.0001. In conclusion, AT-III is a coagulation biomarker that correlates with the CURB-65 clinical scoring system. AT-III can be used to determine the prognosis in CAP at early admission in hospital.

  1. The HEART score for chest pain patients

    NARCIS (Netherlands)

    Backus, B.E.

    2012-01-01

    The HEART score was developed to improve risk stratification in chest pain patients in the emergency department (ED). This thesis describes series of validation studies of the HEART score and sub studies for individual elements of the score. The predictive value of the HEART score for the occurrence

  2. Scoring and Standard Setting with Standardized Patients.

    Science.gov (United States)

    Norcini, John J.; And Others

    1993-01-01

    The continuous method of scoring a performance test composed of standardized patients was compared with a derivative method that assigned each of the 131 examinees (medical residents) a dichotomous score, and use of Angoff's method with these scoring methods was studied. Both methods produce reasonable means and distributions of scores. (SLD)

  3. Bias Adjusted Precipitation Threat Scores

    Directory of Open Access Journals (Sweden)

    F. Mesinger

    2008-04-01

    Full Text Available Among the wide variety of performance measures available for the assessment of skill of deterministic precipitation forecasts, the equitable threat score (ETS might well be the one used most frequently. It is typically used in conjunction with the bias score. However, apart from its mathematical definition the meaning of the ETS is not clear. It has been pointed out (Mason, 1989; Hamill, 1999 that forecasts with a larger bias tend to have a higher ETS. Even so, the present author has not seen this having been accounted for in any of numerous papers that in recent years have used the ETS along with bias "as a measure of forecast accuracy".

    A method to adjust the threat score (TS or the ETS so as to arrive at their values that correspond to unit bias in order to show the model's or forecaster's accuracy in extit{placing} precipitation has been proposed earlier by the present author (Mesinger and Brill, the so-called dH/dF method. A serious deficiency however has since been noted with the dH/dF method in that the hypothetical function that it arrives at to interpolate or extrapolate the observed value of hits to unit bias can have values of hits greater than forecast when the forecast area tends to zero. Another method is proposed here based on the assumption that the increase in hits per unit increase in false alarms is proportional to the yet unhit area. This new method removes the deficiency of the dH/dF method. Examples of its performance for 12 months of forecasts by three NCEP operational models are given.

  4. The type III manufactory

    CERN Document Server

    Palcoux, Sébastien

    2011-01-01

    Using unusual objects in the theory of von Neumann algebra, as the chinese game Go or the Conway game of life (generalized on finitely presented groups), we are able to build, by hands, many type III factors.

  5. Supplementary WMS-III tables for determining primary subtest strengths and weaknesses.

    Science.gov (United States)

    Ryan, J J; Arb, J D; Ament, P A

    2000-06-01

    It is common practice to evaluate the age-adjusted subtest scores from the Wechsler intelligence scales to determine strengths and weaknesses within a profile. The Wechsler Memory Scale-III (WMS-III; D. Wechsler, 1997a) represents a significant improvement over its predecessors and, for the first time, provides age-adjusted subtest scores for interpretation, just as the Wechsler intelligence scales have done for 60 years. It is reasonable to assume that examiners will evaluate the WMS-III subtest profiles for strengths and weaknesses. However, the WMS-III Administration and Scoring Manual and the WAIS-III-WMS-III Technical Manual (The Psychological Corporation, 1997) provide no assistance for accomplishing this goal. Data from the WMS-III standardization sample, as described in the WAIS-III-WMS-III Technical Manual, were used to develop tables for determining both confidence levels and infrequency of differences between individual subtest scores and the means of 5 subtest combinations that may be clinically relevant for individual cases.

  6. Community Background Reports: Three Boarding Schools (Phoenix Indian School, Phoenix, Arizona; Theodore Roosevelt School, Fort Apache, Arizona; Chemawa Indian School, Salem, Oregon). National Study of American Indian Education, Series I, No. 15, Final Report.

    Science.gov (United States)

    Wesemann, Ralph E.; And Others

    Three Bureau of Indian Affairs off-reservation boarding schools (Phoenix Indian School in Phoenix, Arizona; Theodore Roosevelt School in Fort Apache, Arizona; and Chemawa Indian School in Salem, Oregon) are the subjects for this report, which is a part of the National Study of American Indian Education. Brief descriptions of the physical plant,…

  7. Re-Scoring the Game’s Score

    DEFF Research Database (Denmark)

    Gasselseder, Hans-Peter

    2014-01-01

    that a compatible integration of global and local goals in the ludonarrative contributes to a motivational-emotional reinforcement that can be gained through musical feedback. Shedding light on the implications of music dramaturgy within a semantic ecology paradigm, the perception of varying relational attributes......This study explores immersive presence as well as emotional valence and arousal in the context of dynamic and non-dynamic music scores in the 3rd person action-adventure video game genre while also considering relevant personality traits of the player. 60 subjects answered self......-report questionnaires of experiential states each time after playing the game 'Batman: Arkham City' in one of three randomized conditions accounting for [1] dynamic music, [2] non-dynamic music/low arousal potential and [3] non-dynamic music/high arousal potential, aiming to manipulate emotional arousal and structural...

  8. Disclosure Risk from Factor Scores

    Directory of Open Access Journals (Sweden)

    Drechsler Jörg

    2014-03-01

    Full Text Available Remote access can be a powerful tool for providing data access for external researchers. Since the microdata never leave the secure environment of the data-providing agency, alterations of the microdata can be kept to a minimum. Nevertheless, remote access is not free from risk. Many statistical analyses that do not seem to provide disclosive information at first sight can be used by sophisticated intruders to reveal sensitive information. For this reason the list of allowed queries is usually restricted in a remote setting. However, it is not always easy to identify problematic queries. We therefore strongly support the argument that has been made by other authors: that all queries should be monitored carefully and that any microlevel information should always be withheld. As an illustrative example, we use factor score analysis, for which the output of interest - the factor loading of the variables - seems to be unproblematic. However, as we show in the article, the individual factor scores that are usually returned as part of the output can be used to reveal sensitive information. Our empirical evaluations based on a German establishment survey emphasize that this risk is far from a purely theoretical problem.

  9. Score lists in multipartite hypertournaments

    CERN Document Server

    Pirzada, Shariefuddin; Iványi, Antal

    2010-01-01

    Given non-negative integers $n_{i}$ and $\\alpha_{i}$ with $0 \\leq \\alpha_{i} \\leq n_i$ $(i=1,2,...,k)$, an $[\\alpha_{1},\\alpha_{2},...,\\alpha_{k}]$-$k$-partite hypertournament on $\\sum_{1}^{k}n_{i}$ vertices is a $(k+1)$-tuple $(U_{1},U_{2},...,U_{k},E)$, where $U_{i}$ are $k$ vertex sets with $|U_{i}|=n_{i}$, and $E$ is a set of $\\sum_{1}^{k}\\alpha_{i}$-tuples of vertices, called arcs, with exactly $\\alpha_{i}$ vertices from $U_{i}$, such that any $\\sum_{1}^{k}\\alpha_{i}$ subset $\\cup_{1}^{k}U_{i}^{\\prime}$ of $\\cup_{1}^{k}U_{i}$, $E$ contains exactly one of the $(\\sum_{1}^{k} \\alpha_{i})!$ $\\sum_{1}^{k}\\alpha_{i}$-tuples whose entries belong to $\\cup_{1}^{k}U_{i}^{\\prime}$. We obtain necessary and sufficient conditions for $k$ lists of non-negative integers in non-decreasing order to be the losing score lists and to be the score lists of some $k$-partite hypertournament.

  10. Apache cluster in multimedia broadcast content management platform%Apache集群在多媒体内容播控管理平台上的应用*

    Institute of Scientific and Technical Information of China (English)

    张小锋; 朱晓民

    2013-01-01

    随着终端用户的增加,多媒体内容播控管理平台对高访问量、高并发的需求越来越高。本文首先介绍了Apache集群的原理,然后将其应用于多媒体内容播控管理平台中,通过均衡负载,减轻了服务器的负担,提高了响应速度。%With the increasing of the end users, the multimedia broadcast content management platform requires web service with higher speed and better performance. This paper ifrst introduces the principle of the Apache cluster, and then uses the techenique in multimedia broadcast content management platform. Through balancing the load of web servers, it can reduce the burden of server and improve the response speed.

  11. New H-band Stellar Spectral Libraries for the SDSS-III/APOGEE survey

    CERN Document Server

    Zamora, O; Prieto, C Allende; Carrera, R; Koesterke, L; Edvardsson, B; Castelli, F; Plez, B; Bizyaev, D; Cunha, K; Perez, A E Garcia; Gustafsson, B; Holtzman, J A; Lawler, J E; Majewski, S R; Manchado, A; Meszaros, Sz; Shane, N; Shetrone, M; Smith, V V; Zasowski, G

    2015-01-01

    The Sloan Digital Sky Survey--III (SDSS--III) Apache Point Observatory Galactic Evolution Experiment (APOGEE) has obtained high resolution (R $\\sim$ 22,500), high signal-to-noise ($>$ 100) spectra in the H$-$band spectral region ($\\sim$1.5$-$1.7 $\\mu$m) for about 146,000 stars in the Milky Way galaxy. We have computed specific spectral libraries with effective temperature ($T\\rm{_{eff}}$) ranging from 3500 to 8000 K for the automated chemical analysis of the survey data. The spectral libraries, used to derive stellar parameters and abundances from the APOGEE spectra in the SDSS--III data release 12 (DR12), are based on ATLAS9 model atmospheres and the ASS$\\epsilon$T spectral synthesis code. We present a second set of stellar spectral libraries based on MARCS model atmospheres and the spectral synthesis code Turbospectrum. The ATLAS9/ASS$\\epsilon$T ($T\\rm{_{eff}}$ = 3500$-$8000 K) and MARCS/Turbospectrum ($T\\rm{_{eff}}$ = 3500$-$5500 K) grids of synthetic spectra cover a wide range of metallicity ($-$2.5 $\\leq...

  12. Relationship among triple acid-base disturbance and acute physiology and chronic health evaluation Ⅲ score and prognosis in patients with chronic obstructive pulmonary disease acute exacerbation%慢性阻塞性肺疾病急性加重期三重酸碱失衡与急性生理学和慢性健康状况评分Ⅲ评分及预后的关系

    Institute of Scientific and Technical Information of China (English)

    殷波; 惠复新; 赵寅滢

    2011-01-01

    Objective To investigate the relationship among triple acid-base disturbance , acute physiology and chronic health evaluation ( APACHE) Ⅲ score and prognosis in patients with chronic obstructive pulmonary disease( COPD) acute ex acerbation. Methods Seventy-nine patients with COPD acute exacerbation were divided into two groups,thirty-six patients with triple acid-base disturbance as observation group and forty-three patients with one or double acid-base disturbance as con trol group. Age, chronic healthy condition, neurology, physiology and acid-base disturbance were scored and death risk rates were predicted according to the standard of APACHE Ⅲ system. Results The anions' interspace and potential HCO3 - of pa tients in observation group were significantly higher than those in control group ( P < 0.01 ) . The neurology. physiology, acid base disturbance and total scores of APACHE Ⅲ of patients in obsenration group were significantly higher than those in control group (P <0.01). The predictive death risk rate of patients in observation group was (17.32 ±12.65)% and that of control group was (4.27±2.44) % ,while,the factual death risk rate of patients in observation group was 19.44% and control group 6.98% . Obviously , the rate of patients in observation group was higher than that in control group (P < 0.01 ) . Conclusion Besides the scores of APACHE Ⅲ are increased, other scores of physiological index, the total scores of APACHE Ⅲ and the predictive death risk rate were also increased.%目的 探讨慢性阻塞性肺疾病(COPD)急性加重期三重酸碱失衡与急性生理学和慢性健康状况评分(APACHE)Ⅲ及预后的关系.方法 选择COPD急性加重期住院患者共79例,其中符合三重酸碱失衡的36例作为观察组,同期单纯或二重酸碱失衡43例作为对照组.按照APACHEⅢ系统评分标准分别就年龄、慢性健康状况、神经学、生理学、酸碱失衡评分并预计死亡风险率.结果

  13. New clinical score to diagnose nonalcoholic steatohepatitis in obese patients

    Directory of Open Access Journals (Sweden)

    Pulzi Fernanda BU

    2011-02-01

    Full Text Available Abstract Background Nonalcoholic fatty liver disease (NAFLD is the most frequent disease associated with abnormal liver tests that is characterized by a wide spectrum of liver damage, ranging from simple macro vesicular steatosis to steatohepatitis (NASH, cirrhosis or liver carcinoma. Liver biopsy is the most precise test to differentiate NASH from other stages of NAFLD, but it is an invasive and expensive method. This study aimed to create a clinical laboratory score capable of identify individual with NASH in severely obese patients submitted to bariatric surgery. Methods The medical records from 66 patients submitted to gastroplasty were reviewed. Their chemistry profile, abdominal ultrasound (US and liver biopsy done during the surgical procedure were analyzed. Patients were classified into 2 groups according to liver biopsy: Non-NASH group - those patients without NAFLD or with grade I, II or III steatosis; and NASH group - those with steatohepatitis or fibrosis. The t-test was used to compare each variable with normal distribution between NASH and Non-NASH groups. When comparing proportions of categorical variables, we used chi-square or z-test, where appropriate. A p-value Results 83% of patients with obesity grades II or III showed NAFLD, and the majority was asymptomatic. Total Cholesterol (TC≥200 mg/dL, alanine aminotransferase (ALT ≥30, AST/ALT ratio (AAR≤ 1, gammaglutaril-transferase (γGT≥30 U/L and abdominal US, compatible with steatosis, showed association with NASH group. We proposed 2 scores: Complete score (TC, ALT, AAR, γGT and US and the simplified score, where US was not included. The combination of biochemical and imaging results improved accuracy to 84.4% the recognition of NASH (sensitivity 70%, specificity 88.6%, NPV 91.2%, PPV 63. 6%. Conclusion Alterations in TC, ALT, AAR, γGT and US are related to the most risk for NASH. The combination of biochemical and imaging results improved accuracy to 84.4% the

  14. Wizlaw III og minnesangen

    DEFF Research Database (Denmark)

    Pontoppidan, Maria

    2012-01-01

    Artikel om den sidste slaviske Rügenfyrste, Wizlaw III (1265/68-1325), der traditionelt har været identificeret med minnesangeren Wizlaw den Unge. Om de bevarede sange og om minnesangens rolle ved det rügenske fyrstehof.......Artikel om den sidste slaviske Rügenfyrste, Wizlaw III (1265/68-1325), der traditionelt har været identificeret med minnesangeren Wizlaw den Unge. Om de bevarede sange og om minnesangens rolle ved det rügenske fyrstehof....

  15. III-V microelectronics

    CERN Document Server

    Nougier, JP

    1991-01-01

    As is well known, Silicon widely dominates the market of semiconductor devices and circuits, and in particular is well suited for Ultra Large Scale Integration processes. However, a number of III-V compound semiconductor devices and circuits have recently been built, and the contributions in this volume are devoted to those types of materials, which offer a number of interesting properties. Taking into account the great variety of problems encountered and of their mutual correlations when fabricating a circuit or even a device, most of the aspects of III-V microelectronics, from fundamental p

  16. An ultrasound score for knee osteoarthritis

    DEFF Research Database (Denmark)

    Riecke, B F; Christensen, R.; Torp-Pedersen, S

    2014-01-01

    OBJECTIVE: To develop standardized musculoskeletal ultrasound (MUS) procedures and scoring for detecting knee osteoarthritis (OA) and test the MUS score's ability to discern various degrees of knee OA, in comparison with plain radiography and the 'Knee injury and Osteoarthritis Outcome Score' (KOOS...

  17. Developing Score Reports for Cognitive Diagnostic Assessments

    Science.gov (United States)

    Roberts, Mary Roduta; Gierl, Mark J.

    2010-01-01

    This paper presents a framework to provide a structured approach for developing score reports for cognitive diagnostic assessments ("CDAs"). Guidelines for reporting and presenting diagnostic scores are based on a review of current educational test score reporting practices and literature from the area of information design. A sample diagnostic…

  18. An objective fluctuation score for Parkinson's disease.

    Directory of Open Access Journals (Sweden)

    Malcolm K Horne

    Full Text Available Establishing the presence and severity of fluctuations is important in managing Parkinson's Disease yet there is no reliable, objective means of doing this. In this study we have evaluated a Fluctuation Score derived from variations in dyskinesia and bradykinesia scores produced by an accelerometry based system.The Fluctuation Score was produced by summing the interquartile range of bradykinesia scores and dyskinesia scores produced every 2 minutes between 0900-1800 for at least 6 days by the accelerometry based system and expressing it as an algorithm.This Score could distinguish between fluctuating and non-fluctuating patients with high sensitivity and selectivity and was significant lower following activation of deep brain stimulators. The scores following deep brain stimulation lay in a band just above the score separating fluctuators from non-fluctuators, suggesting a range representing adequate motor control. When compared with control subjects the score of newly diagnosed patients show a loss of fluctuation with onset of PD. The score was calculated in subjects whose duration of disease was known and this showed that newly diagnosed patients soon develop higher scores which either fall under or within the range representing adequate motor control or instead go on to develop more severe fluctuations.The Fluctuation Score described here promises to be a useful tool for identifying patients whose fluctuations are progressing and may require therapeutic changes. It also shows promise as a useful research tool. Further studies are required to more accurately identify therapeutic targets and ranges.

  19. Semiparametric score sevel susion: Gaussian sopula approach

    NARCIS (Netherlands)

    Susyanyo, N.; Klaassen, C.A.J.; Veldhuis, R.N.J.; Spreeuwers, L.J.

    2015-01-01

    Score level fusion is an appealing method for combining multi-algorithms, multi- representations, and multi-modality biometrics due to its simplicity. Often, scores are assumed to be independent, but even for dependent scores, accord- ing to the Neyman-Pearson lemma, the likelihood ratio is the opti

  20. Credit Scores, Race, and Residential Sorting

    Science.gov (United States)

    Nelson, Ashlyn Aiko

    2010-01-01

    Credit scores have a profound impact on home purchasing power and mortgage pricing, yet little is known about how credit scores influence households' residential location decisions. This study estimates the effects of credit scores on residential sorting behavior using a novel mortgage industry data set combining household demographic, credit, and…

  1. Breaking of scored tablets : a review

    NARCIS (Netherlands)

    van Santen, E; Barends, D M; Frijlink, H W

    2002-01-01

    The literature was reviewed regarding advantages, problems and performance indicators of score lines. Scored tablets provide dose flexibility, ease of swallowing and may reduce the costs of medication. However, many patients are confronted with scored tablets that are broken unequally and with diffi

  2. Bispectral index score and observer′s assessment of awareness/sedation score may manifest divergence during onset of sedation: Study with midazolam and propofol

    Directory of Open Access Journals (Sweden)

    Dipanjan Bagchi

    2013-01-01

    Full Text Available Background: Correlation between the clinical and electroencephalogram-based monitoring has been documented sporadically during the onset of sedation. Propofol and midazolam have been studied individually using the observer′s assessment of awareness/sedation (OAA/S score and Bispectral index score (BIS. The present study was designed to compare the time to onset of sedation for propofol and midazolam using both BIS and OAA/S scores, and to find out any correlation. Methods: A total of 46 patients (18-60 years, either sex, American Society of Anesthesiologists (ASA I/II posted for infraumbilical surgeries under spinal anaesthesia were randomly allocated to receive either injection propofol 1 mg/kg bolus followed by infusion 3 mg/kg/h (Group P, n=23 or injection midazolam 0.05 mg/kg bolus followed by infusion 0.06 mg/kg/h (Group M, n=23. Spinal anaesthesia was given with 2.5 ml to 3.0 ml of 0.5% bupivacaine heavy. When sensory block reached T6 level, sedation was initiated. The time to reach BIS score 70 and time to achieve OAA/S score 3 from the start of study drug were noted. OAA/S score at BIS score 70 was noted. Data from 43 patients were analyzed using SPSS 12 for Windows. Results: Time to reach BIS score 70 using propofol was significantly lower than using the midazolam (P<0.05. Time to achieve OAA/S score 3 using propofol was comparable with midazolam (P=0.358. Conclusion: A divergence exists between the time to reach BIS score 70 and time to achieve OAA/S score 3 using midazolam, compared with propofol, during the onset of sedation.

  3. Bedside index for severity in acute pancreatitis:comparison with other scoring systems in predicting severity and organ failure

    Institute of Scientific and Technical Information of China (English)

    Ji Young Park; Tae Joo Jeon; Tae Hwan Ha; Jin Tae Hwang; Dong Hyun Sinn; Tae-Hoon Oh

    2013-01-01

    BACKGROUND: The  early  identification  of  severe  acute pancreatitis is important for the management and for improving outcomes. The bedside index for severity in acute pancreatitis (BISAP)  has  been  considered  as  an  accurate  method  for  risk stratification  in  patients  with  acute  pancreatitis.  This  study aimed to evaluate the comparative usefulness of the BISAP. METHODS: We  retrospectively  analyzed  303  patients  with acute pancreatitis diagnosed at our hospital from March 2007 to  December  2010.  BISAP,  APACHE-II,  Ranson  criteria,  and CT  severity  index  (CTSI)  of  all  patients  were  calculated.  We stratified  the  number  of  patiants  with  severe  pancreatitis, pancreatic  necrosis,  and  organ  failure  as  well  as  the  number of deaths by BISAP score. We used the area under the receiver-operating  curve  (AUC)  to  compare  BISAP  with  other  scoring systems,  C-reactive  protein  (CRP),  hematocrit,  and  body mass  index  (BMI)  with  regard  to  prediction  of  severe  acute pancreatitis, necrosis, organ failure, and death. RESULTS: Of  the  303  patiants,  31  (10.2%)  were  classified  as having severe acute pancreatitis. Organ failure occurred in 23 (7.6%) patients, pancreatic necrosis in 40 (13.2%), and death in 6 (2.0%). A BISAP score of 2 was a statistically significant cutoff value for the diagnosis of severe acute pancreatitis, organ failure, and mortality. AUCs for BISAP predicting severe pancreatitis and death were 0.80 and 0.86, respectively, which were similar to those for APACHE-II (0

  4. Committee Opinion No. 644: The Apgar Score.

    Science.gov (United States)

    2015-10-01

    The Apgar score provides an accepted and convenient method for reporting the status of the newborn infant immediately after birth and the response to resuscitation if needed. The Apgar score alone cannot be considered to be evidence of or a consequence of asphyxia, does not predict individual neonatal mortality or neurologic outcome, and should not be used for that purpose. An Apgar score assigned during a resuscitation is not equivalent to a score assigned to a spontaneously breathing infant. The American Academy of Pediatrics and the American College of Obstetricians and Gynecologists encourage use of an expanded Apgar score reporting form that accounts for concurrent resuscitative interventions.

  5. Retrospective study on prognostic importance of serum procalcitonin and amino-terminal pro-brain natriuretic peptide levels as compared to Acute Physiology and Chronic Health Evaluation IV Score on Intensive Care Unit admission, in a mixed Intensive Care Unit population

    Science.gov (United States)

    Mehta, Chitra; Dara, Babita; Mehta, Yatin; Tariq, Ali M.; Joby, George V.; Singh, Manish K.

    2016-01-01

    Background: Timely decision making in Intensive Care Unit (ICU) is very essential to improve the outcome of critically sick patients. Conventional scores like Acute Physiology and Chronic Health Evaluation (APACHE IV) are quite cumbersome with calculations and take minimum 24 hours. Procalcitonin has shown to have prognostic value in ICU/Emergency department (ED) in disease states like pneumonia, sepsis etc. NTproBNP has demonstrated excellent diagnostic and prognostic importance in cardiac diseases. It has also been found elevated in non-cardiac diseases. We chose to study the prognostic utility of these markers on ICU admission. Settings and Design: Retrospective observational study. Materials and Methods: A Retrospective analysis of 100 eligible patients was done who had undergone PCT and NTproBNP measurements on ICU admission. Their correlations with all cause mortality, length of hospital stay, need for ventilator support, need for vasopressors were performed. Results: Among 100 randomly selected ICU patients, 28 were non-survivors. NTproBNP values on admission significantly correlated with all cause mortality (P = 0.036, AUC = 0.643) and morbidity (P = 0.000, AUC = 0.763), comparable to that of APACHE-IV score. PCT values on admission did not show significant association with mortality, but correlated well with morbidity and prolonged hospital length of stay (AUC = 0.616, P = 0.045). Conclusion: The current study demonstrated a good predictive value of NTproBNP, in terms of mortality and morbidity comparable to that of APACHE-IV score. Procalcitonin, however, was found to have doubtful prognostic importance. These findings need to be confirmed in a prospective larger study. PMID:27052066

  6. Bank liquidity-stress testing and Basel III implementation in Indonesia

    Directory of Open Access Journals (Sweden)

    Mohamad Adam

    2016-03-01

    Full Text Available This study analyzes the possibility of the implementation of the Basel III, namely the rules of banking sector. The population analyzed in this study comprises the 120 banks in Indonesia. The result shows that Indonesian banking sector has tremendous value if the Basel III standards is applied in Indonesia. Bank BCA has the lowest values with a score of 8.89 while Bank BRI has the highest value with a score of 9.68. This study concludes that the standard rules of Basel III would be able to be implemented in Indonesia.

  7. Use of the WAIS-III picture completion subtest as an embedded measure of response bias.

    Science.gov (United States)

    Solomon, Ryan E; Boone, Kyle Brauer; Miora, Deborah; Skidmore, Sherry; Cottingham, Maria; Victor, Tara; Ziegler, Elizabeth; Zeller, Michelle

    2010-10-01

    In the present study a large sample of credible patients (n = 172) scored significantly higher than a large sample of noncredible participants (n = 195) on several WAIS-III Picture Completion variables: Age Adjusted Scaled Score, raw score, a "Rarely Missed" index (the nine items least often missed by credible participants), a "Rarely Correct" index (nine items correct WAIS-III is an effective measure of response bias, and that it may have a unique role in identifying suboptimal effort in less-educated test takers.

  8. The Mystery of the Z-Score.

    Science.gov (United States)

    Curtis, Alexander E; Smith, Tanya A; Ziganshin, Bulat A; Elefteriades, John A

    2016-08-01

    Reliable methods for measuring the thoracic aorta are critical for determining treatment strategies in aneurysmal disease. Z-scores are a pragmatic alternative to raw diameter sizes commonly used in adult medicine. They are particularly valuable in the pediatric population, who undergo rapid changes in physical development. The advantage of the Z-score is its inclusion of body surface area (BSA) in determining whether an aorta is within normal size limits. Therefore, Z-scores allow us to determine whether true pathology exists, which can be challenging in growing children. In addition, Z-scores allow for thoughtful interpretation of aortic size in different genders, ethnicities, and geographical regions. Despite the advantages of using Z-scores, there are limitations. These include intra- and inter-observer bias, measurement error, and variations between alternative Z-score nomograms and BSA equations. Furthermore, it is unclear how Z-scores change in the normal population over time, which is essential when interpreting serial values. Guidelines for measuring aortic parameters have been developed by the American Society of Echocardiography Pediatric and Congenital Heart Disease Council, which may reduce measurement bias when calculating Z-scores for the aortic root. In addition, web-based Z-score calculators have been developed to aid in efficient Z-score calculations. Despite these advances, clinicians must be mindful of the limitations of Z-scores, especially when used to demonstrate beneficial treatment effect. This review looks to unravel the mystery of the Z-score, with a focus on the thoracic aorta. Here, we will discuss how Z-scores are calculated and the limitations of their use.

  9. A new look at the WMS-III: new research to guide clinical practice.

    Science.gov (United States)

    Tulsky, David S

    2004-06-01

    The Wechsler Memory Scale, Third Edition (WMS-III) was published in 1997 and marked an ambitious and substantial revision of the traditional memory scale. Since publication, however, clinical experience has led many practitioners to raise questions about the validity and clinical utility of the new subtests and new index scores. The impetus of this special issue was to address some of the questions with which clinicians have been struggling. The articles contained in this special issue present new empirical research on the WMS-III, and several include new methods and scoring techniques that go beyond what has been published in the WAIS-III-WMS-III Technical Manual (The Psychological Corporation, 1997, 2002). It is hoped that the new scores and techniques will prove useful in clinical practice and that this research will benefit future revisions of the Wechsler Memory Scale.

  10. The relationship between second-year medical students' OSCE scores and USMLE Step 1 scores.

    Science.gov (United States)

    Simon, Steven R; Volkan, Kevin; Hamann, Claus; Duffey, Carol; Fletcher, Suzanne W

    2002-09-01

    The relationship between objective structured clinical examinations (OSCEs) and standardized tests is not well known. We linked second-year medical students' physical diagnosis OSCE scores from 1998, 1999 and 2000 (n = 355) with demographic information, Medical College Admission Test (MCAT) scores, and United States Medical Licensing Examination (USMLE) Step 1 scores. The correlation coefficient for the total OSCE score with USMLE Step 1 score was 0.41 (p USMLE Step 1 score. OSCE station scores accounted for approximately 22% of the variability in USMLE Step 1 scores. A second-year OSCE in physical diagnosis is correlated with scores on the USMLE Step 1 exam, with skills that foreshadow the clinical clerkships most predictive of USMLE scores. This correlation suggests predictive validity of this OSCE and supports the use of OSCEs early in medical school.

  11. Calculus III essentials

    CERN Document Server

    REA, Editors of

    2012-01-01

    REA's Essentials provide quick and easy access to critical information in a variety of different fields, ranging from the most basic to the most advanced. As its name implies, these concise, comprehensive study guides summarize the essentials of the field covered. Essentials are helpful when preparing for exams, doing homework and will remain a lasting reference source for students, teachers, and professionals. Calculus III includes vector analysis, real valued functions, partial differentiation, multiple integrations, vector fields, and infinite series.

  12. Random Walk Picture of Basketball Scoring

    CERN Document Server

    Gabel, Alan

    2011-01-01

    We present evidence, based on play-by-play data from all 6087 games from the 2006/07--2009/10 seasons of the National Basketball Association (NBA), that basketball scoring is well described by a weakly-biased continuous-time random walk. The time between successive scoring events follows an exponential distribution, with little memory between different scoring intervals. Using this random-walk picture that is augmented by features idiosyncratic to basketball, we account for a wide variety of statistical properties of scoring, such as the distribution of the score difference between opponents and the fraction of game time that one team is in the lead. By further including the heterogeneity of team strengths, we build a computational model that accounts for essentially all statistical features of game scoring data and season win/loss records of each team.

  13. Retrospective study on predictive scoring system for amputation in open fracture of tibia type III

    Directory of Open Access Journals (Sweden)

    Made Bramantya Karna

    2016-08-01

    Results: Patients who undergo amputation were 12 people and who successfully maintained limb were 46 people. The sensitivity ranged from 50% (MESI until 75% (HFS, a specificity ranging from 61% (HFS until 85% (NISSA. Positive predictive value ranged between 23% (PSI and 53% (NISSA and negative predictive value ranged from 81% (PSI until 91% (NISSA. Conclusions: This study failed to demonstrate the usefulness of the six counting system because it only shows the sensitivity and specificity in distinguishing limb amputation injuries that require immediate and that allows it to be maintained. Some have incorrectly predicted the counting system, where some patients were successfully maintained limb had been predicted for amputees and vice versa. [Int J Res Med Sci 2016; 4(8.000: 3521-3524

  14. [The cardiovascular surgeon and the Syntax score].

    Science.gov (United States)

    Gómez-Sánchez, Mario; Soulé-Egea, Mauricio; Herrera-Alarcón, Valentín; Barragán-García, Rodolfo

    2015-01-01

    The Syntax score has been established as a tool to determine the complexity of coronary artery disease and as a guide for decision-making among coronary artery bypass surgery and percutaneous coronary intervention. The purpose of this review is to systematically examine what the Syntax score is, and how the surgeon should integrate the information in the selection and treatment of patients. We reviewed the results of the SYNTAX Trial, the clinical practice guidelines, as well as the benefits and limitations of the score. Finally we discuss the future directions of the Syntax score.

  15. Security Risk Scoring Incorporating Computers' Environment

    Directory of Open Access Journals (Sweden)

    Eli Weintraub

    2016-04-01

    Full Text Available A framework of a Continuous Monitoring System (CMS is presented, having new improved capabilities. The system uses the actual real-time configuration of the system and environment characterized by a Configuration Management Data Base (CMDB which includes detailed information of organizational database contents, security and privacy specifications. The Common Vulnerability Scoring Systems' (CVSS algorithm produces risk scores incorporating information from the CMDB. By using the real updated environmental characteristics the system enables achieving accurate scores compared to existing practices. Framework presentation includes systems' design and an illustration of scoring computations.

  16. Pneumonia severity scores in resource poor settings

    Directory of Open Access Journals (Sweden)

    Jamie Rylance

    2014-06-01

    Full Text Available Clinical prognostic scores are increasingly used to streamline care in well-resourced settings. The potential benefits of identifying patients at risk of clinical deterioration and poor outcome, delivering appropriate higher level clinical care, and increasing efficiency are clear. In this focused review, we examine the use and applicability of severity scores applied to patients with community acquired pneumonia in resource poor settings. We challenge clinical researchers working in such systems to consider the generalisability of existing severity scores in their populations, and where performance of scores is suboptimal, to promote efforts to develop and validate new tools for the benefit of patients and healthcare systems.

  17. MONITORING DEPTH OF ANAESTHESIA USING PRST SCORE AND BISPECTRAL INDEX

    Directory of Open Access Journals (Sweden)

    Rahul

    2015-03-01

    Full Text Available BACKGROUND : Intraoperative awareness is a frightening experience for any patient for it has long term psychological consequences. Among the various tools available for monitoring depth of anaesthesia, Bispectral index monitoring (BIS is one of the recent and widely accepted techniques. AIMS AND OBJECTIVES : The present study was carried out to evaluate and correlate the efficacy of BIS monitoring along with PRST score in assessment of depth of anaesthesia. MATERIALS AND METHODS : A prospective clinical study was conducted on 160 patients undergoing surgery in various specialties, in the department of Anaesthesiology at Rajarajeswari Medical College and Hospital which included adult patients between the ages of 18 and 65 years and of ASA I/II posted for elective surgeries under general anaesthesia. Conditions and drugs likely to interfere with BIS values were excluded. Anaesthesia protocol was kept uniform. These patients were divided into two groups of 80 patients each by consecutive selection. In Group 1 - depth of anaesthesia was assessed by PRST score, in Group 2 - by BIS monitoring and PRST score. Statistical analysis was performed by descriptive statistics to calculate the mean and standard deviation, the t - test, χ² test s for calculating the materiality for establishing the results. RESULTS: We saw that the Bispectral index varied with various stages of anaesthesia, almost simultaneous changes in systolic, diastolic and mean arterial blood pressures occurred in both groups in T1 and T2. On intubation, both blood pressure and heart rate increased but BIS showed a very minimal increase, which was because of adequate depth of anaesthesia and analgesia . There was a statistically significant difference in PRST scores between the two groups. There was no incidence of awareness among our study population. CONCLUSION : Evaluation of intraoperative depth of anaesthesia is one of the major tasks of anaesthesiologist. In patients with higher

  18. Lower limb replantations: indications and a new scoring system.

    Science.gov (United States)

    Battiston, Bruno; Tos, Pierluigi; Pontini, Italo; Ferrero, Sebastiano

    2002-01-01

    The need for reconstruction of lower limb amputations is increasing, due to high-energy trauma in road accidents and work-related injuries. The indication for lower limb replantation is still controversial. Compared with upper limb replantations, indications are more select due to the frequent complications in lower limb salvage procedures, such as severe general complications or local complications such as necrosis, infections, nonunions, the need for secondary lengthening, or other reconstructive procedures. The satisfactory results given by artificial prosthesis, such as quicker recovery time and fewer secondary procedures, also contribute to the higher degree of selection for lower limb replantation candidates. Since 1993, we have replanted 14 amputations of the lower limb in 12 patients, including 2 bilateral cases. Although survival of the replanted segment was obtained in all patients, 5 cases were subsequently amputated for severe secondary complications. Of the remaining 9 cases, evaluated by means of Chen criteria, 7 had good results (3 Chen I and 4 Chen II), 1 sufficient (Chen III), and 1 poor (Chen IV). The best results were obtained in young patients. Our experience led us to examine the necessity for careful, objective patient selection. We developed a score evaluation system by modifying the international classifying method for severe limb traumas (mangled extremity severity score, or MESS system). This relatively simple system, based on the retrospective study of our cases, considers several parameters (patient's age, general conditions, level and type of lesion, time of injury, and associated lesions), giving each one a score. The total score gives the indication for replantation, predicts the functional outcome, and facilitates decision-making.

  19. Subsurface Analysis of the Mesaverde Group on and near the Jicarilla Apache Indian Reservation, New Mexico-its implication on Sites of Oil and Gas Accumulation

    Energy Technology Data Exchange (ETDEWEB)

    Ridgley, Jennie

    2001-08-21

    The purpose of the phase 2 Mesaverde study part of the Department of Energy funded project ''Analysis of oil-bearing Cretaceous Sandstone Hydrocarbon Reservoirs, exclusive of the Dakota Sandstone, on the Jicarilla Apache Indian Reservation, New Mexico'' was to define the facies of the oil-producing units within the subsurface units of the Mesaverde Group and integrate these results with outcrop studies that defined the depositional environments of these facies within a sequence stratigraphic context. The focus of this report will center on (1) integration of subsurface correlations with outcrop correlations of components of the Mesaverde, (2) application of the sequence stratigraphic model determined in the phase one study to these correlations, (3) determination of the facies distribution of the Mesaverde Group and their relationship to sites of oil and gas accumulation, (4) evaluation of the thermal maturity and potential source rocks for oil and gas in the Mesaverde Group, and (5) evaluation of the structural features on the Reservation as they may control sites of oil accumulation.

  20. The Apache Longbow-Hellfire Missile Test at Yuma Proving Ground: Introduction and Problem Formulation for a Multiple Stressor Risk Assessment

    Energy Technology Data Exchange (ETDEWEB)

    Efroymson, Rebecca Ann [ORNL; Peterson, Mark J [ORNL; Jones, Daniel Steven [ORNL; Suter, Glenn [U.S. Environmental Protection Agency

    2008-01-01

    An ecological risk assessment was conducted at Yuma Proving Ground, Arizona, as a demonstration of the Military Ecological Risk Assessment Framework (MERAF). The focus of the assessment was a testing program at Cibola Range, which involved an Apache Longbow helicopter firing Hellfire missiles at moving targets, i.e., M60-A1 tanks. The problem formulation for the assessment included conceptual models for three component activities of the test, helicopter overflight, missile firing, and tracked vehicle movement, and two ecological endpoint entities, woody desert wash communities and desert mule deer (Odocoileus hemionus crooki) populations. An activity-specific risk assessment framework was available to provide guidance for assessing risks associated with aircraft overflights. Key environmental features of the study area include barren desert pavement and tree-lined desert washes. The primary stressors associated with helicopter overflights were sound and the view of the aircraft. The primary stressor associated with Hellfire missile firing was sound. The principal stressor associated with tracked vehicle movement was soil disturbance, and a resulting, secondary stressor was hydrological change. Water loss to washes and wash vegetation was expected to result from increased ponding, infiltrationand/or evaporation associated with disturbances to desert pavement. A plan for estimating integrated risks from the three military activities was included in the problem formulation.

  1. Functional equivalence of WAIS-III/WMS-III digit and spatial span under forward and backward recall conditions.

    Science.gov (United States)

    Wilde, Nancy; Strauss, Esther

    2002-08-01

    The purpose of the current study was to examine the performance characteristics of the Wechsler Spatial Span subtest in a mixed clinical sample. Contrary to expectation, differential patterns of performance were obtained on the Digit and Spatial Span tasks. Forward Digit Span scores were significantly higher than backward recall scores, but this was not the case for Spatial Span. There were no differences between forward and backward raw Spatial Span scores at the mean level. Further, about one third of the sample showed better performance on backward compared to forward Spatial Span. In addition, performance on the Spatial Span backward task correlated unexpectedly with that of the WMS-III Immediate and Delayed Auditory Index scores. Overall, the findings suggest that clinicians should be hesitant when interpreting the Spatial Span task, and the backward condition in particular, as a measure of working memory. Finally, methodological concerns with the Spatial Span task are noted, raising additional concerns regarding the meaning of this task.

  2. Widening clinical applications of the SYNTAX Score.

    Science.gov (United States)

    Farooq, Vasim; Head, Stuart J; Kappetein, Arie Pieter; Serruys, Patrick W

    2014-02-01

    The SYNTAX Score (http://www.syntaxscore.com) has established itself as an anatomical based tool for objectively determining the complexity of coronary artery disease and guiding decision-making between coronary artery bypass graft (CABG) surgery and percutaneous coronary intervention (PCI). Since the landmark SYNTAX (Synergy between PCI with Taxus and Cardiac Surgery) Trial comparing CABG with PCI in patients with complex coronary artery disease (unprotected left main or de novo three vessel disease), numerous validation studies have confirmed the clinical validity of the SYNTAX Score for identifying higher-risk subjects and aiding decision-making between CABG and PCI in a broad range of patient types. The SYNTAX Score is now advocated in both the European and US revascularisation guidelines for decision-making between CABG and PCI as part of a SYNTAX-pioneered heart team approach. Since establishment of the SYNTAX Score, widening clinical applications of this clinical tool have emerged. The purpose of this review is to systematically examine the widening applications of tools based on the SYNTAX Score: (1) by improving the diagnostic accuracy of the SYNTAX Score by adding a functional assessment of lesions; (2) through amalgamation of the anatomical SYNTAX Score with clinical variables to enhance decision-making between CABG and PCI, culminating in the development and validation of the SYNTAX Score II, in which objective and tailored decisions can be made for the individual patient; (3) through assessment of completeness of revascularisation using the residual and post-CABG SYNTAX Scores for PCI and CABG patients, respectively. Finally, the future direction of the SYNTAX Score is covered through discussion of the ongoing development of a non-invasive, functional SYNTAX Score and review of current and planned clinical trials.

  3. Anomalia de Classe III

    OpenAIRE

    2014-01-01

    Projeto de Pós-Graduação/Dissertação apresentado à Universidade Fernando Pessoa como parte dos requisitos para obtenção do grau de Mestre em Medicina Dentária Introdução: A anomalia de classe III, é uma má oclusão que afeta os indivíduos psicologicamente, pois hoje em dia, a estética é socialmente valorizada. Deste modo, o diagnóstico deve ser executado precocemente para que os indivíduos portadores desta anomalia, possam ser acompanhados desde criança, pelos profissionais área da Medicina...

  4. Bayesian Model Averaging for Propensity Score Analysis

    Science.gov (United States)

    Kaplan, David; Chen, Jianshen

    2013-01-01

    The purpose of this study is to explore Bayesian model averaging in the propensity score context. Previous research on Bayesian propensity score analysis does not take into account model uncertainty. In this regard, an internally consistent Bayesian framework for model building and estimation must also account for model uncertainty. The…

  5. Starreveld scoring method in diagnosing childhood constipation

    NARCIS (Netherlands)

    Kokke, F.T.; Sittig, J.S.; de Bruijn, A.; Wiersma, T.; van Rijn, R.R.; Limpen, J.L.; Houwen, R.H.; Fischer, K.; Benninga, M.A.

    2010-01-01

    Four scoring methods exist to assess severity of fecal loading on plain abdominal radiographs in constipated patients (Barr-, Starreveld-, Blethyn- and Leech). So far, the Starreveld score was used only in adult patients. To determine accuracy and intra- and inter-observer agreement of the Starrevel

  6. Causal Moderation Analysis Using Propensity Score Methods

    Science.gov (United States)

    Dong, Nianbo

    2012-01-01

    This paper is based on previous studies in applying propensity score methods to study multiple treatment variables to examine the causal moderator effect. The propensity score methods will be demonstrated in a case study to examine the causal moderator effect, where the moderators are categorical and continuous variables. Moderation analysis is an…

  7. ON HOW CULTURAL KNOWLEDGE AFFECTS TOEFL SCORES

    Institute of Scientific and Technical Information of China (English)

    2000-01-01

    This paper presents a study of the effect of cultur-al background on TOEFL scores.It proceeds from therelation between culture and language,then illus-trates with actual questions from various sections ofTOEFL tests how American cultural background exertsa remarkable influence on TOEFL scores,and con-cludes with revelations with regard to English teachingin this country.

  8. Clinical scoring scales in thyroidology: A compendium

    Directory of Open Access Journals (Sweden)

    Sanjay Kalra

    2011-01-01

    Full Text Available This compendium brings together traditional as well as contemporary scoring and grading systems used for the screening and diagnosis of various thyroid diseases, dysfunctions, and complications. The article discusses scores used to help diagnose hypo-and hyperthyroidism, to grade and manage goiter and ophthalmopathy, and to assess the risk of thyroid malignancy.

  9. On k-hypertournament losing scores

    CERN Document Server

    Pirzada, Shariefuddin

    2010-01-01

    We give a new and short proof of a theorem on k-hypertournament losing scores due to Zhou et al. [G. Zhou, T. Yao, K. Zhang, On score sequences of k-tournaments, European J. Comb., 21, 8 (2000) 993-1000.

  10. Stability constants of La(III), Pr(III), Nd(III), Sm(III), Gd(III), Tb(III) and Dy(III) complexes with N-(2-hydroxyphenyl) p-toluene sulphonamide

    Energy Technology Data Exchange (ETDEWEB)

    Chopra, S.C.; Mathur, K.C. (Jodhpur Univ. (India). Dept. of Chemistry)

    1981-01-01

    The dissociation constants of the ligand and stability constants of La(III), Pr(III), Nd(III), Sm(III), Gd(III), Tb(III) and Dy(III) complexes with N-(2-hydroxyphenyl) p-toluene sulphonamide have been determined potentiometrically using Calvin-Bjerrum pH titration technique at 30 +- 1deg C and ..mu.. = 0.1 M (NaClO/sub 4/) in aqueous medium. The stability constants of these metal complexes are found to follow the order Dy > Tb > Gd > Sm > Nd > Pr > La.

  11. A STUDY OF PREDICTION OF DIFFICULT INTUBATION USING MALLAMPATI AND WILSON SCORE CORRELATING WITH CORMACK LEHANE GRADING

    Directory of Open Access Journals (Sweden)

    Vaishali Chandrashekhar

    2015-06-01

    Full Text Available BACKGROUND : This study was carried out to evaluate usefulness of preoperative Mallampati & Wilson’s score grading as a predictor for difficult laryngoscopy & intubation . AIMS : To determine the accuracy of the modified Mallampati test and Wilson score for predicting difficult tracheal intubation and correlation with Cormack Lehane grading . METHODS : This prospective randomized cross sectional Study carried out in 200 patients , posted for surgical procedure under GA with ETT intubation. Preoperative airway assessment using Mallampati grading (MPG & Wilson score done. Conventional anesthesia t echnique followed. Cormack Lehane grading done at laryngoscopy & correlated with previous scores for each patient. RESULTS : A MPG of I/II was found in 140 patients (70% , while 60 patients (30% were class III/IV. 138 patients (69% had a Wilson score of 0 /1 , while 60(30% had a score of 2/3 and 2 patients (1% scored ≥4. One hundred & eighty patients (90% were classified as Cormack - Lehane grade I/II , while 20 patients (10% were considered grade III/IV. Of the 60 patients with a Wilson score of 2/3 , 6 cas es (10% two attempts were required and in 2 cases (3.3% in spite of more than two attempts intubation proved impossible with the conventional laryngoscope , articulated McCoy blade was used. Two patients with a Wilson score ≥4 were intubated with gum elas tic bougie , using articulated McCoy blade. Overall , out of 200 , in 6 patients (3% two attempts of intubation was required and 4 patients (2% intubation required the use of some kind of gadget other than conventional laryngoscope and more than 2 attempts. The correlation between the Cormack - Lehane classification and the number of endotracheal intubation attempts showed that of the 180 patients with I / II grade , 4 patients (1.3% two attempts were required. Of the 20 patients classified as Cormack - Lehane III/IV , 4 cases (20% intubation proved impossible with conventional technique. This

  12. A Bayesian Approach to Learning Scoring Systems.

    Science.gov (United States)

    Ertekin, Şeyda; Rudin, Cynthia

    2015-12-01

    We present a Bayesian method for building scoring systems, which are linear models with coefficients that have very few significant digits. Usually the construction of scoring systems involve manual effort-humans invent the full scoring system without using data, or they choose how logistic regression coefficients should be scaled and rounded to produce a scoring system. These kinds of heuristics lead to suboptimal solutions. Our approach is different in that humans need only specify the prior over what the coefficients should look like, and the scoring system is learned from data. For this approach, we provide a Metropolis-Hastings sampler that tends to pull the coefficient values toward their "natural scale." Empirically, the proposed method achieves a high degree of interpretability of the models while maintaining competitive generalization performances.

  13. Propensity score weighting with multilevel data.

    Science.gov (United States)

    Li, Fan; Zaslavsky, Alan M; Landrum, Mary Beth

    2013-08-30

    Propensity score methods are being increasingly used as a less parametric alternative to traditional regression to balance observed differences across groups in both descriptive and causal comparisons. Data collected in many disciplines often have analytically relevant multilevel or clustered structure. The propensity score, however, was developed and has been used primarily with unstructured data. We present and compare several propensity-score-weighted estimators for clustered data, including marginal, cluster-weighted, and doubly robust estimators. Using both analytical derivations and Monte Carlo simulations, we illustrate bias arising when the usual assumptions of propensity score analysis do not hold for multilevel data. We show that exploiting the multilevel structure, either parametrically or nonparametrically, in at least one stage of the propensity score analysis can greatly reduce these biases. We applied these methods to a study of racial disparities in breast cancer screening among beneficiaries of Medicare health plans.

  14. Population III Hypernovae

    CERN Document Server

    Smidt, Joseph; Even, Wesley; Wiggins, Brandon; Johnson, Jarrett L; Fryer, Chris L

    2014-01-01

    Population III supernovae have been of growing interest of late for their potential to directly probe the properties of the first stars, particularly the most energetic events that are visible near the edge of the observable universe. But until now, hypernovae, the unusually energetic Type Ib/c supernovae that are sometimes associated with gamma-ray bursts, have been overlooked as cosmic lighthouses at the highest redshifts. In this, the latest of a series of studies on Population III supernovae, we present numerical simulations of 25 - 50 M$_{\\odot}$ hypernovae and their light curves done with the Los Alamos RAGE and SPECTRUM codes. We find that they will be visible at z = 10 - 15 to the James Webb Space Telescope (JWST) and z = 4 - 5 to the Wide-Field Infrared Survey Telescope (WFIRST), tracing star formation rates in the first galaxies and at the end of cosmological reionization. If, however, the hypernova crashes into a dense shell ejected by its progenitor, a superluminous event will occur that may be se...

  15. POPULATION III HYPERNOVAE

    Energy Technology Data Exchange (ETDEWEB)

    Smidt, Joseph; Whalen, Daniel J. [T-2, Los Alamos National Laboratory, Los Alamos, NM 87545 (United States); Wiggins, Brandon K. [Department of Physics and Astronomy, Brigham Young University, Provo, UT 84602 (United States); Even, Wesley; Fryer, Chris L. [CCS-2, Los Alamos National Laboratory, Los Alamos, NM 87545 (United States); Johnson, Jarrett L., E-mail: dwhalen1999@gmail.com [XTD-PRI, Los Alamos National Laboratory, Los Alamos, NM 87545 (United States)

    2014-12-20

    Population III supernovae have been of growing interest of late for their potential to directly probe the properties of the first stars, particularly the most energetic events that are visible near the edge of the observable universe. Until now, hypernovae, the unusually energetic Type Ib/c supernovae that are sometimes associated with gamma-ray bursts, have been overlooked as cosmic beacons at the highest redshifts. In this, the latest of a series of studies on Population III supernovae, we present numerical simulations of 25-50 M {sub ☉} hypernovae and their light curves done with the Los Alamos RAGE and SPECTRUM codes. We find that they will be visible at z = 10-15 to the James Webb Space Telescope and z = 4-5 to the Wide-Field Infrared Survey Telescope, tracing star formation rates in the first galaxies and at the end of cosmological reionization. If, however, the hypernova crashes into a dense shell ejected by its progenitor, it is expected that a superluminous event will occur that may be seen at z ∼ 20 in the first generation of stars.

  16. The Eleventh and Twelfth Data Releases of the Sloan Digital Sky Survey: Final Data from SDSS-III

    CERN Document Server

    Alam, Shadab; Prieto, Carlos Allende; Anders, F; Anderson, Scott F; Andrews, Brett H; Armengaud, Eric; Aubourg, Éric; Bailey, Stephen; Bautista, Julian E; Beaton, Rachael L; Bender, Chad F; Berlind, Andreas A; Beutler, Florian; Bhardwaj, Vaishali; Bird, Jonathan C; Bizyaev, Dmitry; Blanton, Michael R; Blomqvist, Michael; Bochanski, John J; Bolton, Adam S; Bovy, Jo; Bradley, A Shelden; Brandt, W N; Brauer, D E; Brinkmann, J; Brown, Peter J; Brownstein, Joel R; Burden, Angela; Burtin, Etienne; Busca, Nicolás G; Cai, Zheng; Capozzi, Diego; Rosell, Aurelio Carnero; Carrera, Ricardo; Chen, Yen-Chi; Chiappini, Cristina; Chojnowski, S Drew; Chuang, Chia-Hsun; Clerc, Nicolas; Comparat, Johan; Covey, Kevin; Croft, Rupert A C; Cuesta, Antonio J; Cunha, Katia; da Costa, Luiz N; Da Rio, Nicola; Davenport, James R A; Dawson, Kyle S; De Lee, Nathan; Delubac, Timothée; Deshpande, Rohit; Dutra-Ferreira, Letícia; Dwelly, Tom; Ealet, Anne; Ebelke, Garrett L; Edmondson, Edward M; Eisenstein, Daniel J; Escoffier, Stephanie; Esposito, Massimiliano; Fan, Xiaohui; Fernández-Alvar, Emma; Feuillet, Diane; Ak, Nurten Filiz; Finley, Hayley; Flaherty, Kevin; Fleming, Scott W; Font-Ribera, Andreu; Foster, Jonathan; Frinchaboy, Peter M; Galbraith-Frew, J G; García-Hernández, D A; Pérez, Ana E García; Gaulme, Patrick; Ge, Jian; Génova-Santos, R; Ghezzi, Luan; Gillespie, Bruce A; Girardi, Léo; Goddard, Daniel; Gontcho, Satya Gontcho A; Hernández, Jonay I González; Grebel, Eva K; Grieb, Jan Niklas; Grieves, Nolan; Gunn, James E; Guo, Hong; Harding, Paul; Hasselquist, Sten; Hawley, Suzanne L; Hayden, Michael; Hearty, Fred R; Ho, Shirley; Hogg, David W; Holley-Bockelmann, Kelly; Holtzman, Jon A; Honscheid, Klaus; Huehnerhoff, Joseph; Jiang, Linhua; Johnson, Jennifer A; Kinemuchi, Karen; Kirkby, David; Kitaura, Francisco; Klaene, Mark A; Kneib, Jean-Paul; Koenig, Xavier P; Lam, Charles R; Lan, Ting-Wen; Lang, Dustin; Laurent, Pierre; Goff, Jean-Marc Le; Lee, Khee-Gan; Lee, Young Sun; Licquia, Timothy C; Liu, Jian; Long, Daniel C; López-Corredoira, Martín; Lorenzo-Oliveira, Diego; Lucatello, Sara; Lundgren, Britt; Lupton, Robert H; Mack, Claude E; Mahadevan, Suvrath; Maia, Marcio A G; Majewski, Steven R; Malanushenko, Elena; Malanushenko, Viktor; Manchado, A; Manera, Marc; Mao, Qingqing; Maraston, Claudia; Marchwinski, Robert C; Margala, Daniel; Martell, Sarah L; Martig, Marie; Masters, Karen L; McBride, Cameron K; McGehee, Peregrine M; McGreer, Ian D; McMahon, Richard G; Ménard, Brice; Menzel, Marie-Luise; Merloni, Andrea; Mészáros, Szabolcs; Miralda-Escudé, Jordi; Miyatake, Hironao; Montero-Dorta, Antonio D; Morice-Atkinson, Xan; Morrison, Heather L; Muna, Demitri; Myers, Adam D; Newman, Jeffrey A; Neyrinck, Mark; Nguyen, Duy Cuong; Nichol, Robert C; Nidever, David L; Noterdaeme, Pasquier; Nuza, Sebastián E; O'Connell, Julia E; O'Connell, Robert W; O'Connell, Ross; Ogando, Ricardo L C; Olmstead, Matthew D; Oravetz, Audrey E; Oravetz, Daniel J; Osumi, Keisuke; Owen, Russell; Padgett, Deborah L; Padmanabhan, Nikhil; Paegert, Martin; Palanque-Delabrouille, Nathalie; Pan, Kaike; Parejko, John K; Park, Changbom; Pâris, Isabelle; Pattarakijwanich, Petchara; Pellejero-Ibanez, M; Pepper, Joshua; Percival, Will J; Pérez-Fournon, Ismael; Pérez-Ràfols, Ignasi; Petitjean, Patrick; Pieri, Matthew M; Pinsonneault, Marc H; de Mello, Gustavo F Porto; Prada, Francisco; Prakash, Abhishek; Price-Whelan, Adrian M; Raddick, M Jordan; Rahman, Mubdi; Reid, Beth A; Rich, James; Rix, Hans-Walter; Robin, Annie C; Rockosi, Constance M; Rodrigues, Thaíse S; Rodríguez-Rottes, Sergio; Roe, Natalie A; Ross, Ashley J; Ross, Nicholas P; Rossi, Graziano; Ruan, John J; Rubiño-Martín, J A; Salazar-Albornoz, Salvador; Salvato, Mara; Samushia, Lado; Sánchez, Ariel G; Santiago, Basílio; Sayres, Conor; Schiavon, Ricardo P; Schlegel, David J; Schmidt, Sarah J; Schneider, Donald P; Schultheis, Mathias; Schwope, Axel D; Scóccola, C G; Sellgren, Kris; Seo, Hee-Jong; Shane, Neville; Shen, Yue; Shetrone, Matthew; Shu, Yiping; Skrutskie, M F; Slosar, Anže; Smith, Verne V; Sobreira, Flávia; Stassun, Keivan G; Steinmetz, Matthias; Strauss, Michael A; Streblyanska, Alina; Swanson, Molly E C; Tan, Jonathan C; Tayar, Jamie; Terrien, Ryan C; Thakar, Aniruddha R; Thomas, Daniel; Thompson, Benjamin A; Tinker, Jeremy L; Tojeiro, Rita; Troup, Nicholas W; Vargas-Magaña, Mariana; Verde, Licia; Viel, Matteo; Vogt, Nicole P; Wake, David A; Wang, Ji; Weaver, Benjamin A; Weinberg, David H; Weiner, Benjamin J; White, Martin; Wilson, John C; Wisniewski, John P; Wood-Vasey, W M; Yèche, Christophe; York, Donald G; Zakamska, Nadia L; Zamora, O; Zasowski, Gail; Zehavi, Idit; Zhao, Gong-Bo; Zheng, Zheng; Zhou, Xu; Zhou, Zhimin; Zhu, Guangtun; Zou, Hu

    2015-01-01

    The third generation of the Sloan Digital Sky Survey (SDSS-III) took data from 2008 to 2014 using the original SDSS wide-field imager, the original and an upgraded multi-object fiber-fed optical spectrograph, a new near-infrared high-resolution spectrograph, and a novel optical interferometer. All the data from SDSS-III are now made public. In particular, this paper describes Data Release 11 (DR11) including all data acquired through 2013 July, and Data Release 12 (DR12) adding data acquired through 2014 July (including all data included in previous data releases), marking the end of SDSS-III observing. Relative to our previous public release (DR10), DR12 adds one million new spectra of galaxies and quasars from the Baryon Oscillation Spectroscopic Survey (BOSS) over an additional 3000 sq. deg of sky, more than triples the number of H-band spectra of stars as part of the Apache Point Observatory (APO) Galactic Evolution Experiment (APOGEE), and includes repeated accurate radial velocity measurements of 5500 s...

  17. Memory and motor skill components of the WAIS-III Digit Symbol-Coding subtest.

    Science.gov (United States)

    Kreiner, D S; Ryan, J J

    2001-02-01

    We examined motor skill and memory components of the Digit Symbol-Coding subtest of the WAIS-III in a clinical sample. Research using previous versions of the WAIS in non-clinical samples has suggested that the age-related decline in Digit Symbol-Coding scores is more related to motor ability rather than to the memory requirements of the test. Our results extend this conclusion to a clinical sample, using the WAIS-II. Copy scores measure motor skill on the Digit Symbol-Coding subtest, and Incidental Learning scores (Free Recall and Pairing) measure memory. A large proportion of Digit Symbol-Coding variance was explained by Copy scores with Incidental Learning scores controlled, but Incidental Learning scores explained little additional variance when Copy scores were controlled. The same pattern was found when we used the Immediate Memory and General Memory Indexes from the Wechsler Memory Scale-II as independent measures of memory.

  18. Do MCAT scores predict USMLE scores? An analysis on 5 years of medical student data

    OpenAIRE

    Gauer, Jacqueline L.; Wolff, Josephine M.; Jackson, J. Brooks

    2016-01-01

    Introduction: The purpose of this study was to determine the associations and predictive values of Medical College Admission Test (MCAT) component and composite scores prior to 2015 with U.S. Medical Licensure Exam (USMLE) Step 1 and Step 2 Clinical Knowledge (CK) scores, with a focus on whether students scoring low on the MCAT were particularly likely to continue to score low on the USMLE exams.Method: Multiple linear regression, correlation, and chi-square analyses were performed to determi...

  19. Do MCAT scores predict USMLE scores? An analysis on 5 years of medical student data

    Directory of Open Access Journals (Sweden)

    Jacqueline L. Gauer

    2016-09-01

    Full Text Available Introduction: The purpose of this study was to determine the associations and predictive values of Medical College Admission Test (MCAT component and composite scores prior to 2015 with U.S. Medical Licensure Exam (USMLE Step 1 and Step 2 Clinical Knowledge (CK scores, with a focus on whether students scoring low on the MCAT were particularly likely to continue to score low on the USMLE exams. Method: Multiple linear regression, correlation, and chi-square analyses were performed to determine the relationship between MCAT component and composite scores and USMLE Step 1 and Step 2 CK scores from five graduating classes (2011–2015 at the University of Minnesota Medical School (N=1,065. Results: The multiple linear regression analyses were both significant (p<0.001. The three MCAT component scores together explained 17.7% of the variance in Step 1 scores (p<0.001 and 12.0% of the variance in Step 2 CK scores (p<0.001. In the chi-square analyses, significant, albeit weak associations were observed between almost all MCAT component scores and USMLE scores (Cramer's V ranged from 0.05 to 0.24. Discussion: Each of the MCAT component scores was significantly associated with USMLE Step 1 and Step 2 CK scores, although the effect size was small. Being in the top or bottom scoring range of the MCAT exam was predictive of being in the top or bottom scoring range of the USMLE exams, although the strengths of the associations were weak to moderate. These results indicate that MCAT scores are predictive of student performance on the USMLE exams, but, given the small effect sizes, should be considered as part of the holistic view of the student.

  20. Incremental validity of the WJ III COG: Limited predictive effects beyond the GIA-E.

    Science.gov (United States)

    McGill, Ryan J; Busse, R T

    2015-09-01

    This study is an examination of the incremental validity of Cattell-Horn-Carroll (CHC) broad clusters from the Woodcock-Johnson III Tests of Cognitive Abilities (WJ III COG) for predicting scores on the Woodcock-Johnson III Tests of Achievement (WJ III ACH). The participants were children and adolescents, ages 6-18 (n = 4,722), drawn from the WJ III standardization sample. The sample was nationally stratified and proportional to U.S. census estimates for race/ethnicity, parent education level, and geographic region. Hierarchical multiple regression analyses were used to assess for cluster-level effects after controlling for the variance accounted for by the General Intellectual Ability-Extended (GIA-E) composite score. The results were interpreted using the R²/ΔR² statistic as the effect size indicator. Consistent with previous studies, the GIA-E accounted for statistically and clinically significant portions of WJ III ACH cluster score variance, with R2 values ranging from .29 to .56. WJ III COG CHC cluster scores collectively provided statistically significant incremental variance beyond the GIA-E in all of the regression models, although the effect sizes were consistently negligible to small (Average ΔR2(CHC) = .06), with significant effects observed only in the Oral Expression model (ΔR²(CHC) = .23). Individually, the WJ III COG cluster scores accounted for mostly small portions of achievement variance across the prediction models, with a large effect found for the Comprehension-Knowledge cluster in the Oral Expression model (ΔR²(Gc) = .23). The potential clinical and theoretical implications of these results are discussed.

  1. THE EFFICIENCY OF TENNIS DOUBLES SCORING SYSTEMS

    Directory of Open Access Journals (Sweden)

    Geoff Pollard

    2010-09-01

    Full Text Available In this paper a family of scoring systems for tennis doubles for testing the hypothesis that pair A is better than pair B versus the alternative hypothesis that pair B is better than A, is established. This family or benchmark of scoring systems can be used as a benchmark against which the efficiency of any doubles scoring system can be assessed. Thus, the formula for the efficiency of any doubles scoring system is derived. As in tennis singles, one scoring system based on the play-the-loser structure is shown to be more efficient than the benchmark systems. An expression for the relative efficiency of two doubles scoring systems is derived. Thus, the relative efficiency of the various scoring systems presently used in doubles can be assessed. The methods of this paper can be extended to a match between two teams of 2, 4, 8, …doubles pairs, so that it is possible to establish a measure for the relative efficiency of the various systems used for tennis contests between teams of players.

  2. WMS-III performance in patients with temporal lobe epilepsy: group differences and individual classification.

    Science.gov (United States)

    Wilde, N; Strauss, E; Chelune, G J; Loring, D W; Martin, R C; Hermann, B P; Sherman, E; Hunter, M

    2001-11-01

    The utility of the WMS-III in detecting lateralized impairment was examined in a large sample of patients with temporal lobe epilepsy. Methods of analysis included evaluation of group means on the various indexes and subtest scores, the use of ROC curves, and an examination of Auditory-Visual Index discrepancy scores. In addition, performance on immediate and delayed indexes in the auditory and the visual modality was compared within each group. Of the WMS-III scores, the Auditory-Visual Delayed Index difference score appeared most sensitive to side of temporal dysfunction, although patient classification rates were not within an acceptable range to have clinical utility. The ability to predict laterality based on statistically significant index score differences was particularly weak for those with left temporal dysfunction. The use of unusually large discrepancies led to improved prediction, however, the rarity of such scores in this population limits their usefulness. Although the utility of the WMS-III in detecting laterality may be limited in preoperative cases, the WMS-III may still hold considerable promise as a measure of memory in documenting baseline performance and in detecting those that may be at risk following surgery.

  3. Kernel score statistic for dependent data.

    Science.gov (United States)

    Malzahn, Dörthe; Friedrichs, Stefanie; Rosenberger, Albert; Bickeböller, Heike

    2014-01-01

    The kernel score statistic is a global covariance component test over a set of genetic markers. It provides a flexible modeling framework and does not collapse marker information. We generalize the kernel score statistic to allow for familial dependencies and to adjust for random confounder effects. With this extension, we adjust our analysis of real and simulated baseline systolic blood pressure for polygenic familial background. We find that the kernel score test gains appreciably in power through the use of sequencing compared to tag-single-nucleotide polymorphisms for very rare single nucleotide polymorphisms with <1% minor allele frequency.

  4. Oxymatrinium tetrachloridoferrate(III

    Directory of Open Access Journals (Sweden)

    Xiong He

    2012-02-01

    Full Text Available The asymmetric unit of the title compound, (C15H25N2O2[FeCl4], contains a tetrachloridoferrate(III anion and a oxymatrinium cation [oxymatrine is (4R,7aS,13aR,13bR,13cS-dodecahydro-1H,5H,10H-dipyrido[2,1-f:3′,2′,1′-ij][1,6]naphthyridin-10-one 4-oxide]. The conformation of oxymatrine is similar to that of matrine with one ring having a half-chair conformation, while the others have chair conformations. Chiral chains of cations along the c axis are formed by O—H...O hydrogen bonds.

  5. III.— Documents

    OpenAIRE

    2014-01-01

    III/1 inventaire de l’orangerie du château d’Ivry, 1770 • Inventaire après décès du marquis de Béringhen (extrait), AN M.C. LXXXVIII, 723, 28 février 1770 « [f° 113 v°] Dudit jour samedi seize du présent mois de juin huit heures du matin à même requête qualité et preuve que dessus, ainsi que le tout a été ci-devant établi, va être par les conseillers du roi notaires au Châtelet de Paris [f° 114 r°] soussignés procédé à la continuation du présent inventaire de la manière et ainsi qu’il suit. S...

  6. Fast ejendom III

    DEFF Research Database (Denmark)

    Munk-Hansen, Carsten

    Bogen er det tredje bind af tre planlagte bind om fast ejendom: I Overdragelsen, II Bolighandlen og III Ejerbeføjelsen. Fremstillingens giver et grundigt overblik over centrale områder af en omfattende regulering af fast ejendom, med angivelse af litteratur, hvor læseren kan søge yderligere...... oplysning. En ejer af fast ejendom er på særdeles mange områder begrænset i sin råden sammenlignet med ejeren af et formuegode i almindelighed. Fremstillingen tager udgangspunkt i ejerens perspektiv (fremfor samfundets eller myndighedernes). Både den privatretlige og offentligretlige regulering behandles......, eksempelvis ejendomsdannelsen, servitutter, naboretten, hævd, zoneinddelingen, den fysiske planlægning, beskyttelse af natur, beskyttelse af kultur, forurening fra fast ejendom, erstatning for forurening, jordforurening, ekspropriation, byggeri og adgang til fast ejendom....

  7. Ammonium diphosphitoindate(III

    Directory of Open Access Journals (Sweden)

    Farida Hamchaoui

    2013-04-01

    Full Text Available The crystal structure of the title compound, NH4[In(HPO32], is built up from InIII cations (site symmetry 3m. adopting an octahedral environment and two different phosphite anions (each with site symmetry 3m. exhibiting a triangular–pyramidal geometry. Each InO6 octahedron shares its six apices with hydrogen phosphite groups. Reciprocally, each HPO3 group shares all its O atoms with three different metal cations, leading to [In(HPO32]− layers which propagate in the ab plane. The ammonium cation likewise has site symmetry 3m.. In the structure, the cations are located between the [In(HPO32]− layers of the host framework. The sheets are held together by hydrogen bonds formed between the NH4+ cations and the O atoms of the framework.

  8. Pseudo Class III malocclusion.

    Science.gov (United States)

    Al-Hummayani, Fadia M

    2016-04-01

    The treatment of deep anterior crossbite is technically challenging due to the difficulty of placing traditional brackets with fixed appliances. This case report represents a none traditional treatment modality to treat deep anterior crossbite in an adult pseudo class III malocclusion complicated by severely retruded, supraerupted upper and lower incisors. Treatment was carried out in 2 phases. Phase I treatment was performed by removable appliance "modified Hawley appliance with inverted labial bow," some modifications were carried out to it to suit the presented case. Positive overbite and overjet was accomplished in one month, in this phase with minimal forces exerted on the lower incisors. Whereas, phase II treatment was performed with fixed appliances (braces) to align teeth and have proper over bite and overjet and to close posterior open bite, this phase was accomplished within 11 month.

  9. Location, Reprocessing, and Analysis of Two Dimensional Seismic Reflection Data on the Jicarilla Apache Indian Reservation, New Mexico, Final Report, September 1, 1997-February 1, 2000

    Energy Technology Data Exchange (ETDEWEB)

    Ridgley, Jennie; Taylor, David J.; Huffman, Jr., A. Curtis

    2000-06-08

    Multichannel surface seismic reflection data recording is a standard industry tool used to examine various aspects of geology, especially the stratigraphic characteristics and structural style of sedimentary formations in the subsurface. With the help of the Jicarilla Apache Tribe and the Bureau of Indian Affairs we were able to locate over 800 kilometers (500 miles) of multichannel seismic reflection data located on the Jicarilla Apache Indian reservation. Most of the data was received in hardcopy form, but there were data sets where either the demultiplexed digital field data or the processed data accompanied the hardcopy sections. The seismic data was acquired from the mid 1960's to the early 1990's. The most extensive seismic coverage is in the southern part of the reservation, although there are two good surveys located on the northeastern and northwestern parts of the reservation. Most of the data show that subsurface formations are generally flat-lying in the southern and western portion of the reservation. There is, however, a significant amount of structure imaged on seismic data located over the San Juan Basin margin along the east-central and northern part of the reservation. Several west to east trending lines in these areas show a highly faulted monoclinal structure from the deep basin in the west up onto the basin margin to the east. Hydrocarbon exploration in flat lying formations is mostly stratigraphic in nature. Where there is structure in the subsurface and indications are that rocks have been folded, faulted, and fractured, exploration has concentrated on structural traps and porosity/permeability "sweet spots" caused by fracturing. Therefore, an understanding of the tectonics influencing the entire section is critical in understanding mechanisms for generating faults and fractures in the Cretaceous. It is apparent that much of the hydrocarbon production on the reservation is from fracture porosity in either source or reservoir

  10. Bedrock and surficial geologic map of the Satan Butte and Greasewood 7.5’ quadrangles, Navajo and Apache Counties, northern Arizona

    Science.gov (United States)

    Amoroso, Lee; Priest, Susan S.; Hiza-Redsteer, Margaret

    2013-01-01

    The geologic map of the Satan Butte and Greasewood 7.5’ quadrangles is the result of a cooperative effort of the U.S. Geological Survey (USGS) and the Navajo Nation to provide regional geologic information for management and planning officials. This map provides geologic information useful for range management, plant and animal studies, flood control, water resource investigations, and natural hazards associated with sand-dune mobility. The map provides connectivity to the regional geologic framework of the Grand Canyon area of northern Arizona. The map area encompasses approximately 314 km2 (123 mi2) within Navajo and Apache Counties of northern Arizona and is bounded by lat 35°37'30" to 35°30' N., long 109°45' to 110° W. The quadrangles lie within the southern Colorado Plateau geologic province and within the northeastern portion of the Hopi Buttes (Tsézhin Bií). Large ephemeral drainages, Pueblo Colorado Wash and Steamboat Wash, originate north of the map area on the Defiance Plateau and Balakai Mesa respectively. Elevations range from 1,930 m (6,330 ft) at the top of Satan Butte to about 1,787 m (5,860 ft) at Pueblo Colorado Wash where it exits the southwest corner of the Greasewood quadrangle. The only settlement within the map area is Greasewood, Arizona, on the north side of Pueblo Colorado Wash. Navajo Highway 15 crosses both quadrangles and joins State Highway 264 northwest of Ganado. Unimproved dirt roads provide access to remote parts of the Navajo Reservation.

  11. 危重病患者APACHE Ⅲ评分与甲状腺激素水平的关系

    Institute of Scientific and Technical Information of China (English)

    徐瑞华; 葛利; 王碧君

    2006-01-01

    非甲状腺疾病综合征(non—thyroidal illness syndrome,NTIS)是危重病患者常见的一种甲状腺功能检查的异常,表现为循环中总T3(TT3)、游离T3(FT3)下降,反T3(rT3)增加;总T4(TT4)、游离T4(FT4)正常或下降,垂体促甲状腺激素(TSH)释放减少或正常。危重病患者在严重应激状态下发生的内分泌代谢紊乱,改变了生理状态下的动态平衡,并引起一系列相关联的代谢、营养、免疫机能变化,以及相应的脏器功能改变。本研究将危重病APACHE Ⅲ评分系统与EICU(Emergency intensive care unit)危重病患者甲状腺激素水平相结合,探讨二者的关系,旨在了解危重病患者伴发NTIS时甲状腺激素的变化规律和危重疾病状态时下丘脑-垂体-甲状腺轴功能状态变化与预后的相关性。

  12. The Apache Longbow-Hellfire Missile Test at Yuma Proving Ground: Ecological Risk Assessment for Tracked Vehicle Movement across Desert Pavement

    Energy Technology Data Exchange (ETDEWEB)

    Peterson, Mark J [ORNL; Efroymson, Rebecca Ann [ORNL; Hargrove, William Walter [ORNL

    2008-01-01

    A multiple stressor risk assessment was conducted at Yuma Proving Ground, Arizona, as a demonstration of the Military Ecological Risk Assessment Framework. The focus was a testing program at Cibola Range, which involved an Apache Longbow helicopter firing Hellfire missiles at moving targets, M60-A1 tanks. This paper describes the ecological risk assessment for the tracked vehicle movement component of the testing program. The principal stressor associated with tracked vehicle movement was soil disturbance, and a resulting, secondary stressor was hydrological change. Water loss to washes and wash vegetation was expected to result from increased infiltration and/or evaporation associated with disturbances to desert pavement. The simulated exposure of wash vegetation to water loss was quantified using estimates of exposed land area from a digital ortho quarter quad aerial photo and field observations, a 30 30 m digital elevation model, the flow accumulation feature of ESRI ArcInfo, and a two-step process in which runoff was estimated from direct precipitation to a land area and from water that flowed from upgradient to a land area. In all simulated scenarios, absolute water loss decreased with distance from the disturbance, downgradient in the washes; however, percentage water loss was greatest in land areas immediately downgradient of a disturbance. Potential effects on growth and survival of wash trees were quantified by using an empirical relationship derived from a local unpublished study of water infiltration rates. The risk characterization concluded that neither risk to wash vegetation growth or survival nor risk to mule deer abundance and reproduction was expected. The risk characterization was negative for both the incremental risk of the test program and the combination of the test and pretest disturbances.

  13. Preliminary bedrock and surficial geologic map of the west half of the Sanders 30' x 60' quadrangle, Navajo and Apache Counties, northern Arizona

    Science.gov (United States)

    Amoroso, Lee; Priest, Susan S.; Hiza-Redsteer, Margaret

    2014-01-01

    The bedrock and surficial geologic map of the west half of the Sanders 30' x 60' quadrangle was completed in a cooperative effort of the U.S. Geological Survey (USGS) and the Navajo Nation to provide regional geologic information for management and planning officials. This report provides baseline geologic information that will be useful in future studies of groundwater and surface water resources, geologic hazards, and the distribution of soils and plants. The west half of the Sanders quadrangle encompasses approximately 2,509 km2 (980 mi2) within Navajo and Apache Counties of northern Arizona and is bounded by lat 35°30' to 35° N., long 109°30' to 110° W. The majority of the land within the map area lies within the Navajo Nation. South of the Navajo Nation, private and State lands form a checkerboard pattern east and west of Petrified Forest National Park. In the west half of the Sanders quadrangle, Mesozoic bedrock is nearly flat lying except near folds. A shallow Cenozoic erosional basin that developed about 20 Ma in the western part of the map area cut across late Paleozoic and Mesozoic rocks that were subsequently filled with flat-lying Miocene and Pliocene mudstone and argillaceous sandstone and fluvial sediments of the Bidahochi Formation and associated volcanic rocks of the Hopi Buttes volcanic field. The Bidahochi rocks are capped by Pliocene(?) and Pleistocene fluvial sediments and Quaternary eolian and alluvial deposits. Erosion along northeast-southwest-oriented drainages have exposed elongated ridges of Bidahochi Formation and basin-fill deposits that are exposed through shallow eolian cover of similarly oriented longitudinal dunes. Stokes (1964) concluded that the accumulation of longitudinal sand bodies and the development of confined parallel drainages are simultaneous processes resulting in parallel sets of drainages and ridges oriented along the prevailing southwest wind direction on the southern Colorado Plateau.

  14. Semiconducting III-V compounds

    CERN Document Server

    Hilsum, C; Henisch, Heinz R

    1961-01-01

    Semiconducting III-V Compounds deals with the properties of III-V compounds as a family of semiconducting crystals and relates these compounds to the monatomic semiconductors silicon and germanium. Emphasis is placed on physical processes that are peculiar to III-V compounds, particularly those that combine boron, aluminum, gallium, and indium with phosphorus, arsenic, and antimony (for example, indium antimonide, indium arsenide, gallium antimonide, and gallium arsenide).Comprised of eight chapters, this book begins with an assessment of the crystal structure and binding of III-V compounds, f

  15. GMAT Scores of Undergraduate Economics Majors

    Science.gov (United States)

    Nelson, Paul A.; Monson, Terry D.

    2008-01-01

    The average score of economics majors on the Graduate Management Admission Test (GMAT) exceeds those of nearly all humanities and arts, social sciences, and business undergraduate majors but not those of most science, engineering, and mathematics majors. (Contains 1 table.)

  16. Film scoring today - Theory, practice and analysis

    OpenAIRE

    Flach, Paula Sophie

    2012-01-01

    This thesis considers film scoring by taking a closer look at the theoretical discourse throughout the last decades, examining current production practice of film music and showcasing a musical analysis of the film Inception (2010).

  17. Multifactor Screener in OPEN: Scoring Procedures & Results

    Science.gov (United States)

    Scoring procedures were developed to convert a respondent's screener responses to estimates of individual dietary intake for percentage energy from fat, grams of fiber, and servings of fruits and vegetables.

  18. Use score card to boost quality.

    Science.gov (United States)

    2002-10-01

    Keeping a score card can identify problem areas and track improvements. When specific goals are reached, staff are given rewards such as thank-you letters, tokens, or pizza parties. Staff are kept informed about the results of the score card through bulletin board postings, staff meetings, and the hospital Intranet. Data are collected with manual entry by nursing staff, chart review by performance improvement, and a computerized program.

  19. 急诊脓毒症病死率评分在急诊脓毒症患者中的应用%Application of the mortality in emergency department sepsis score for emergency department patients with sepsisi

    Institute of Scientific and Technical Information of China (English)

    赵永祯; 李春盛

    2011-01-01

    目的 验证急诊脓毒症病死率评分(mortality in emergency department sepsis score,MEDS)对于急诊脓毒症患者病情评估的应用价值,并将其对患者28 d病死率的预测效果进行比较。方法 对2009年9月至2010年9月首都医科大学附属北京朝阳医院急诊抢救室救治的613例脓毒症患者进行前瞻性研究。记录患者的证急诊脓毒症病死率评分(MEDS)、急性生理学与慢性健康情况评价系统Ⅱ(acute physiology and chronic health evaluation,APACHEⅡ)、简化急性生理学评分Ⅱ(simplified acute physiology score,SAPSⅡ)和改良早期预警评分(modified early warning score,MEWS)。随访28 d转归。根据患者MEDS评分分值将死亡风险分级:极低危险组(0 ~4分)、低度危险组(5~7分)、中度危险组(8~12分)、高度危险组(13 ~ 15分)、极高危险组(大于15分),各组间实际病死率采用X2检验比较。再对生存组和死亡组进行比较,通过logistic 回归分析确定预测死亡的独立因素,应用受试者工作特征曲线(ROC曲线)比较MEDS与APACHEⅡ,SAPSⅡ和MEWS评分对预后的预测能力。结果 失访10例,完整记录603例。MEDS评分患者各组实际病死率分别为0%,7.7%,18.5%,46.7%,63%,各组间实际病死率有显著区别。生存组(440例)与死亡组(163例)之间年龄和四种评分差异均具有统计学意义(P<0.01)。MEDS,APACHEⅡ,SAPSⅡ、MEWS评分均是预测死亡的独立因素,ROC曲线下的面积(AUC)分别为0.767,0.743,0.741和0.636。结论 MEDS评分可以对脓毒症患者死亡风险进行分级,在患者28 d病死率方面有较好的预测能力,适用于急诊脓毒症患者。%Objective To assess the sepsis score used for detecting the mortality of patients with sepsis in emergency department, and to compare with APACHEscore, simplified acute physiology Ⅱ score ( SAPS Ⅱ ) and modified early warning

  20. CALIBRATIONS OF ATMOSPHERIC PARAMETERS OBTAINED FROM THE FIRST YEAR OF SDSS-III APOGEE OBSERVATIONS

    Energy Technology Data Exchange (ETDEWEB)

    Mészáros, Sz.; Allende Prieto, C. [Instituto de Astrofísica de Canarias (IAC), E-38200 La Laguna, Tenerife (Spain); Holtzman, J. [New Mexico State University, Las Cruces, NM 88003 (United States); García Pérez, A. E.; Chojnowski, S. D.; Hearty, F. R.; Majewski, S. R. [Department of Astronomy, University of Virginia, Charlottesville, VA 22904-4325 (United States); Schiavon, R. P. [Astrophysics Research Institute, Liverpool John Moores University, Egerton Wharf, Birkenhead, Wirral CH41 1LD (United Kingdom); Basu, S. [Department of Astronomy, Yale University, P.O. Box 208101, New Haven, CT 06520-8101 (United States); Bizyaev, D. [Apache Point Observatory, P.O. Box 59, Sunspot, NM 88349-0059 (United States); Chaplin, W. J.; Elsworth, Y. [University of Birmingham, School of Physics and Astronomy, Edgbaston, Birmingham B15 2TT (United Kingdom); Cunha, K. [Steward Observatory, University of Arizona, Tucson, AZ 85721 (United States); Epstein, C.; Johnson, J. A. [Department of Astronomy, The Ohio State University, Columbus, OH 43210 (United States); Frinchaboy, P. M. [Texas Christian University, Fort Worth, TX 76129 (United States); García, R. A. [Laboratoire AIM, CEA/DSM-CNRS-Université Paris Diderot, IRFU/SAp, Centre de Saclay, F-91191 Gif-sur-Yvette Cedex (France); Hekker, S. [Astronomical Institute ' ' Anton Pannekoek' ' , University of Amsterdam, Science Park 904, 1098 XH Amsterdam (Netherlands); Kallinger, T. [Institute for Astronomy, University of Vienna, Türkenschanzstrasse 17, A-1180 Vienna (Austria); Koesterke, L. [Texas Advanced Computing Center, University of Texas, Austin, TX 78759 (United States); and others

    2013-11-01

    The Sloan Digital Sky Survey III (SDSS-III) Apache Point Observatory Galactic Evolution Experiment (APOGEE) is a three-year survey that is collecting 10{sup 5} high-resolution spectra in the near-IR across multiple Galactic populations. To derive stellar parameters and chemical compositions from this massive data set, the APOGEE Stellar Parameters and Chemical Abundances Pipeline (ASPCAP) has been developed. Here, we describe empirical calibrations of stellar parameters presented in the first SDSS-III APOGEE data release (DR10). These calibrations were enabled by observations of 559 stars in 20 globular and open clusters. The cluster observations were supplemented by observations of stars in NASA's Kepler field that have well determined surface gravities from asteroseismic analysis. We discuss the accuracy and precision of the derived stellar parameters, considering especially effective temperature, surface gravity, and metallicity; we also briefly discuss the derived results for the abundances of the α-elements, carbon, and nitrogen. Overall, we find that ASPCAP achieves reasonably accurate results for temperature and metallicity, but suffers from systematic errors in surface gravity. We derive calibration relations that bring the raw ASPCAP results into better agreement with independently determined stellar parameters. The internal scatter of ASPCAP parameters within clusters suggests that metallicities are measured with a precision better than 0.1 dex, effective temperatures better than 150 K, and surface gravities better than 0.2 dex. The understanding provided by the clusters and Kepler giants on the current accuracy and precision will be invaluable for future improvements of the pipeline.

  1. 改良早期预警评分和急性生理和慢性健康评分Ⅱ对急诊多发伤患者伤情评价及预后预测的作用%Value of modified early warning score and acute physiology and chronic health evaluation Ⅱ in evaluation of severity and prognosis of polytrauma patients in emergency department

    Institute of Scientific and Technical Information of China (English)

    尼加提江·艾比不拉; 阿力木江·阿布力米提; 帕尔哈提·拜合提; 亚力坤·赛来

    2015-01-01

    Objective To access the effectiveness of modified early warning score (MEWS) and acute physiology and chronic health evaluation Ⅱ (APACHE Ⅱ) in predicting the degree of injury and outcome for emergently admitted polytrauma patients.Methods In this single-center prospective study,266 polytrauma patients hospitalized from June 2012 to January 2013 were enrolled.MEWS and APACHEscore were collected and compared for the rate of ICU admission,high dependency unit admission,outpatient therapy,death,and discharge within 30 days.Diagnostic and predictive performance of MEWS and APACHE Ⅱ were assessed by the receiver operating characteristic curve (ROC).Results A higher values in MEWS and APACHE Ⅱ were linked to much severe injury,increased likelihood of admission to the ICU or high dependency unit and high mortality.Patients with MEWS value ≥5 had increased risk of death as compared with those with MEWS value < 5 (x2 =90.749,P <0.01).MEWS =5,for injury severity evaluation,showed a sensitivity of 85.7% and specificity of 84.8%.MEWS value≥5 predicted ICU admission with a sensitivity of 80.0% and specificity of 91.1% and high dependency unit admission with a sensitivity of 67.9% and specificity of 79.9%.APACHEscore ≥ 21 was associated with increased rate of death,with significant difference from that among patients with APACHEscore < 21 (x2 =73.518,P < 0.01).APACHEscore =21,for injury severity evaluation,showed a sensitivity of 90.5% and specificity of 79.5%.APACHEscore ≥ 21 predicted ICU admission with a sensitivity of 95.0% and specificity of 73.6% and high dependency unit admission with a sensitivity of 88.2% and specificity of 72.8%.In prediction of prognosis,ICU admission and high dependency unit admission,area under the ROC curve with 95% CI for NEWS was 0.889 (0.830-0.948),0.937 (0.900-0.975) and 0.946 (0.916-0.977) respectively and for APACHE Ⅱ was 0.939 (0.898-0.979),0.761 (0.677-0.845) and 0

  2. Structural Validity of the Dutch-Language Version of the WAIS-III in a Psychiatric Sample

    NARCIS (Netherlands)

    Heijden, P.T. van der; Bos, P. van den; Mol, B.A.W.; Kessels, R.P.C.

    2013-01-01

    The Wechsler Adult Intelligence Scale-Fourth Edition (WAIS-IV; Wechsler, 2008) no longer provides the traditional Verbal IQ and Performance IQ deviation scores. In the current study, we investigated the structural validity of these scores in the scale's predecessor, the WAIS-Third Edition (WAIS-III;

  3. Balancing the Need for Reliability and Time Efficiency: Short Forms of the Wechsler Adult Intelligence Scale-III

    Science.gov (United States)

    Jeyakumar, Sharon L. E.; Warriner, Erin M.; Raval, Vaishali V.; Ahmad, Saadia A.

    2004-01-01

    Tables permitting the conversion of short-form composite scores to full-scale IQ estimates have been published for previous editions of the Wechsler Adult Intelligence Scale (WAIS). Equivalent tables are now needed for selected subtests of the WAIS-III. This article used Tellegen and Briggs's formulae to convert the sum of scaled scores for four…

  4. The Bayley-III accommodated for motor and/or visual impairment : “Low motor/vision version”

    NARCIS (Netherlands)

    Visser, Linda; van der Meulen, Bieuwe; Ruiter, Selma; Timmerman, Marieke; Ruijssenaars, Wied; Visser, Linda; van der Meulen, B.F.

    2013-01-01

    The Bayley-III has worldwide attention from researchers. We consider three examples of current research, which focus in some way on over- or underestimation. Susan Milne will make a strong case for the use of developmental quotient scores instead of the usual standardized scores. Linda Visser will p

  5. The Use of the Bayley Scales of Infant and Toddler Development III with Clinical Populations: A Preliminary Exploration

    Science.gov (United States)

    Milne, Susan; McDonald, Jenny; Comino, Elizabeth J.

    2012-01-01

    In response to concerns that the Bayley Scales of Infant and Toddler Development III (BSIDIII) underestimate delay in clinical populations, this study explores developmental quotient scores as an alternative to composite scores for these children. One hundred and twenty-two children aged [less than or equal to] 42 months, referred for diagnosis of…

  6. Assessment of English- and Spanish-Speaking Students with the WISC-III and Leiter-R

    Science.gov (United States)

    Cathers-Schiffman, Teresa A.; Thompson, Marilyn S.

    2007-01-01

    The Leiter International Performance Scale-Revised (Leiter-R) and Wechsler Intelligence Scale for Children-Third Edition (WISC-III) scores of 47 English- and 47 Spanish-speaking students were analyzed, and the effects of English language ability on these scores were examined. Leiter-R validity was supported for both language groups. WISC-III…

  7. Cognitive Differences for Ages 16 to 89 Years (Canadian WAIS-III): Curvilinear with Flynn and Processing Speed Corrections

    Science.gov (United States)

    Lee, Hoyee Flora; Gorsuch, Richard L.; Saklofske, Donald H.; Patterson, Colleen A.

    2008-01-01

    Adult cognitive age differences in the Wechsler Adult Intelligence Scale-III Canadian normative data were curvilinear for most scales and for the Verbal Comprehension (VC), Perceptual Organization (PO), and Working Memory (WM) factors. These showed stable or increasing scores in early adulthood followed by decreasing scores, necessitating a…

  8. Model for End-stage Liver Disease excluding INR (MELD-XI) score in critically ill patients: Easily available and of prognostic relevance

    Science.gov (United States)

    Wernly, Bernhard; Lichtenauer, Michael; Franz, Marcus; Kabisch, Bjoern; Muessig, Johanna; Masyuk, Maryna; Hoppe, Uta C.; Kelm, Malte; Jung, Christian

    2017-01-01

    Purpose MELD-XI, an adapted version of Model for End-stage Liver Disease (MELD) score excluding INR, was reported to predict outcomes e.g. in patients with acute heart failure. We aimed to evaluate MELD-XI in critically ill patients admitted to an intensive care unit (ICU) for prognostic relevance. Methods A total of 4381 medical patients (66±14 years, 2862 male) admitted to a German ICU between 2004 and 2009 were included and retrospectively investigated. Admission diagnoses were e.g. myocardial infarction (n = 2034), sepsis (n = 694) and heart failure (n = 688). We divided our patients in two cohorts basing on their MELD-XI score and evaluated the MELD-XI score for its prognostic relevance regarding short-term and long-term survival. Optimal cut-offs were calculated by means of the Youden-Index. Results Patients with a MELD-XI score >12 had pronounced laboratory signs of organ failure and more comorbidities. MELD-XI >12 was associated with an increase in short-term (27% vs 6%; HR 4.82, 95%CI 3.93–5.93; p<0.001) and long-term (HR 3.69, 95%CI 3.20–4.25; p<0.001) mortality. In a univariate Cox regression analysis for all patients MELD-XI was associated with increased long-term mortality (changes per score point: HR 1.06, 95%CI 1.05–1.07; p<0.001) and remained to be associated with increased mortality after correction in a multivariate regression analysis for renal failure, liver failure, lactate concentration, blood glucose concentration, oxygenation and white blood count (HR 1.04, 95%CI 1.03–1.06; p<0.001). Optimal cut-off for the overall cohort was 11 and varied remarkably depending on the admission diagnosis: myocardial infarction (9), pulmonary embolism (9), cardiopulmonary resuscitation (17) and pneumonia (17). We performed ROC-analysis and compared the AUC: SAPS2 (0.78, 95%CI 0.76–0.80; p<0.0001) and APACHE (0.76, 95%CI 0.74–0.78; p<0.003) score were superior to MELD-XI (0.71, 95%CI 0.68–0.73) for prediction of mortality. Conclusions The easily

  9. Heart valve surgery: EuroSCORE vs. EuroSCORE II vs. Society of Thoracic Surgeons score

    Directory of Open Access Journals (Sweden)

    Muhammad Sharoz Rabbani

    2014-12-01

    Full Text Available Background This is a validation study comparing the European System for Cardiac Operative Risk Evaluation (EuroSCORE II with the previous additive (AES and logistic EuroSCORE (LES and the Society of Thoracic Surgeons’ (STS risk prediction algorithm, for patients undergoing valve replacement with or without bypass in Pakistan. Patients and Methods Clinical data of 576 patients undergoing valve replacement surgery between 2006 and 2013 were retrospectively collected and individual expected risks of death were calculated by all four risk prediction algorithms. Performance of these risk algorithms was evaluated in terms of discrimination and calibration. Results There were 28 deaths (4.8% among 576 patients, which was lower than the predicted mortality of 5.16%, 6.96% and 4.94% by AES, LES and EuroSCORE II but was higher than 2.13% predicted by STS scoring system. For single and double valve replacement procedures, EuroSCORE II was the best predictor of mortality with highest Hosmer and Lemmeshow test (H-L p value (0.346 to 0.689 and area under the receiver operating characteristic (ROC curve (0.637 to 0.898. For valve plus concomitant coronary artery bypass grafting (CABG patients actual mortality was 1.88%. STS calculator came out to be the best predictor of mortality for this subgroup with H-L p value (0.480 to 0.884 and ROC (0.657 to 0.775. Conclusions For Pakistani population EuroSCORE II is an accurate predictor for individual operative risk in patients undergoing isolated valve surgery, whereas STS performs better in the valve plus CABG group.

  10. RISK FACTOR DIAGNOSTIC SCORE IN DIABETIC FOOT

    Directory of Open Access Journals (Sweden)

    Mohamed Shameem P. M

    2016-09-01

    Full Text Available INTRODUCTION Diabetic foot ulcers vary in their clinical presentation and nature of severity and therefore create a challenging problem to the treating surgeon regarding the prediction of the clinical course and the end result of the treatment. Clinical studies have shown that there are certain risk factors for the progression of foot ulcers in diabetics and it may therefore be possible to predict the course of an ulcer foot at presentation itself, thus instituting proper therapy without delay. Spoken otherwise clinical scoring may tell that this particular ulcer is having highest chance of amputation, then one may be able to take an early decision for the same and avoid the septic complications, inconvenience to the patient, long hospital stay and cost of treatments. AIM OF THE STUDY Aim of the study is to evaluate the above-mentioned scoring system in predicting the course the diabetic foot ulcers. MATERIALS AND METHODS 50 patients with Diabetic Foot attending the OPD of Department of Surgery of Government Hospital attached to Calicut Medical College are included in the present study. After thorough history taking and clinical examination, six risk factors like Age, pedal vessels, renal function, neuropathy, radiological findings and ulcers were observed in the patients by giving certain scoring points to each of them. The total number of points scored by the patients at the time of admission or OPD treatment was correlated with the final outcome in these patients, whether leading to amputation or conservative management. All the data was analysed using standard statistical methods. OBSERVATIONS AND RESULTS There were 12 females and 38 males with a female to male ratio 1:3.1. All were aged above 30 years. Twenty-four (48% of them were between 30-60 years and twenty six (52% were above 60 years. 10 patients were treated conservatively with risk score range: 10 to 35. Six had single toe loss with risk score: 25 to 35. Six had multiple toe loss

  11. What Factors Underlie the Aging Effects on WAIS-R and WAIS-III Subtests?

    Science.gov (United States)

    Gregoire, Jacques

    2001-01-01

    Studied the factors underlying the aging effects seen on the Wechsler Intelligence Scale for Adults-Revised (WAIS-R) and the scale's third edition (WAIS-III) using the French standardization samples of 1,104 for the WAIS-III and 1,000 for the WAIS-R. Results show that the observed decline in scores for both tests cannot be fully explained with a…

  12. Clinical use of the ABO-Scoring Index: reliability and subtraction frequency.

    Science.gov (United States)

    Lieber, William S; Carlson, Sean K; Baumrind, Sheldon; Poulton, Donald R

    2003-10-01

    This study tested the reliability and subtraction frequency of the study model-scoring system of the American Board of Orthodontists (ABO). We used a sample of 36 posttreatment study models that were selected randomly from six different orthodontic offices. Intrajudge and interjudge reliability was calculated using nonparametric statistics (Spearman rank coefficient, Wilcoxon, Kruskal-Wallis, and Mann-Whitney tests). We found differences ranging from 3 to 6 subtraction points (total score) for intrajudge scoring between two sessions. For overall total ABO score, the average correlation was .77. Intrajudge correlation was greatest for occlusal relationships and least for interproximal contacts. Interjudge correlation for ABO score averaged r = .85. Correlation was greatest for buccolingual inclination and least for overjet. The data show that some judges, on average, were much more lenient than others and that this resulted in a range of total scores between 19.7 and 27.5. Most of the deductions were found in the buccal segments and most were related to the second molars. We present these findings in the context of clinicians preparing for the ABO phase III examination and for orthodontists in their ongoing evaluation of clinical results.

  13. Gambling scores for earthquake predictions and forecasts

    Science.gov (United States)

    Zhuang, Jiancang

    2010-04-01

    This paper presents a new method, namely the gambling score, for scoring the performance earthquake forecasts or predictions. Unlike most other scoring procedures that require a regular scheme of forecast and treat each earthquake equally, regardless their magnitude, this new scoring method compensates the risk that the forecaster has taken. Starting with a certain number of reputation points, once a forecaster makes a prediction or forecast, he is assumed to have betted some points of his reputation. The reference model, which plays the role of the house, determines how many reputation points the forecaster can gain if he succeeds, according to a fair rule, and also takes away the reputation points betted by the forecaster if he loses. This method is also extended to the continuous case of point process models, where the reputation points betted by the forecaster become a continuous mass on the space-time-magnitude range of interest. We also calculate the upper bound of the gambling score when the true model is a renewal process, the stress release model or the ETAS model and when the reference model is the Poisson model.

  14. Disease severity scoring systems in dermatology

    Directory of Open Access Journals (Sweden)

    Cemal Bilaç

    2016-06-01

    Full Text Available Scoring systems have been developed to interpret the disease severity objectively by evaluating the parameters of the disease. Body surface area, visual analogue scale, and physician global assessment are the most frequently used scoring systems for evaluating the clinical severity of the dermatological diseases. Apart from these scoring systems, many specific scoring systems for many dermatological diseases, including acne (acne vulgaris, acne scars, alopecia (androgenetic alopecia, tractional alopecia, bullous diseases (autoimmune bullous diseases, toxic epidermal necrolysis, dermatitis (atopic dermatitis, contact dermatitis, dyshidrotic eczema, hidradenitis suppurativa, hirsutismus, connective tissue diseases (dermatomyositis, skin involvement of systemic lupus erythematosus (LE, discoid LE, scleroderma, lichen planoplaris, mastocytosis, melanocytic lesions, melasma, onychomycosis, oral lichen planus, pityriasis rosea, psoriasis (psoriasis vulgaris, psoriatic arthritis, nail psoriasis, sarcoidosis, urticaria, and vitiligo, have also been developed. Disease severity scoring methods are ever more extensively used in the field of dermatology for clinical practice to form an opinion about the prognosis by determining the disease severity; to decide on the most suitable treatment modality for the patient; to evaluate the efficacy of the applied medication; and to compare the efficiency of different treatment methods in clinical studies.

  15. SCORE SETS IN ORIENTED 3-PARTITE GRAPHS

    Institute of Scientific and Technical Information of China (English)

    2007-01-01

    Let D(U, V, W) be an oriented 3-partite graph with |U|=p, |V|=q and |W|= r. For any vertex x in D(U, V, W), let d+x and d-x be the outdegree and indegree of x respectively. Define aui (or simply ai) = q + r + d+ui - d-ui, bvj(or simply bj) = p + r + d+vj - d-vj and Cwk (or simply ck) = p + q + d+wk - d-wk as the scores of ui in U, vj in V and wk in Wrespectively. The set A of distinct scores of the vertices of D(U, V, W) is called its score set. In this paper, we prove that if a1 is a non-negative integer, ai(2≤i≤n - 1) are even positive integers and an is any positive integer, then for n≥3, there exists an oriented 3-partite graph with the score set A = {a1,2∑i=1 ai,…,n∑i=1 ai}, except when A = {0,2,3}. Some more results for score sets in oriented 3-partite graphs are obtained.

  16. [Overview of regulatory aspects guiding tablet scoring].

    Science.gov (United States)

    Teixeira, Maíra Teles; Sá-Barreto, Lívia Cristina Lira; Silva, Dayde Lane Mendonça; Cunha-Filho, Marcílio Sergio Soares

    2016-06-01

    Tablet scoring is a controversial but common practice used to adjust doses, facilitate drug intake, or lower the cost of drug treatment, especially in children and the elderly. The risks of tablet scoring are mainly related to inaccuracies in the resulting dose and stability problems. The aim of this article is to provide an overview of worldwide guidelines regarding tablet scoring. We found that regulatory health agencies in Mercosur countries as well as other South American countries do not have published standards addressing tablet splitting. Among the surveyed health agencies, the Food and Drug Administration (FDA) in the United States is the only one to present standards, ranging from splitting instructions to regulation of the manufacturing process. The concept of functional scoring implemented by the FDA has introduced some level of guarantee as to the ability of tablets to be split. In conclusion, technical and scientific bases are still insufficient to guide health rules on this subject, making the decision on scoring, in certain situations, random and highly risky to public health. The need for more detailed regulation is vital to ensure the safety of tablet medications.

  17. A scoring framework for predicting protein structures

    Science.gov (United States)

    Zou, Xiaoqin

    2013-03-01

    We have developed a statistical mechanics-based iterative method to extract statistical atomic interaction potentials from known, non-redundant protein structures. Our method circumvents the long-standing reference state problem in deriving traditional knowledge-based scoring functions, by using rapid iterations through a physical, global convergence function. The rapid convergence of this physics-based method, unlike other parameter optimization methods, warrants the feasibility of deriving distance-dependent, all-atom statistical potentials to keep the scoring accuracy. The derived potentials, referred to as ITScore/Pro, have been validated using three diverse benchmarks: the high-resolution decoy set, the AMBER benchmark decoy set, and the CASP8 decoy set. Significant improvement in performance has been achieved. Finally, comparisons between the potentials of our model and potentials of a knowledge-based scoring function with a randomized reference state have revealed the reason for the better performance of our scoring function, which could provide useful insight into the development of other physical scoring functions. The potentials developed in the present study are generally applicable for structural selection in protein structure prediction.

  18. Prognostic Value of TIMI Score versus GRACE Score in ST-segment Elevation Myocardial Infarction

    Directory of Open Access Journals (Sweden)

    Luis C. L. Correia

    2014-08-01

    Full Text Available Background: The TIMI Score for ST-segment elevation myocardial infarction (STEMI was created and validated specifically for this clinical scenario, while the GRACE score is generic to any type of acute coronary syndrome. Objective: Between TIMI and GRACE scores, identify the one of better prognostic performance in patients with STEMI. Methods: We included 152 individuals consecutively admitted for STEMI. The TIMI and GRACE scores were tested for their discriminatory ability (C-statistics and calibration (Hosmer-Lemeshow in relation to hospital death. Results: The TIMI score showed equal distribution of patients in the ranges of low, intermediate and high risk (39 %, 27 % and 34 %, respectively, as opposed to the GRACE Score that showed predominant distribution at low risk (80 %, 13 % and 7%, respectively. Case-fatality was 11%. The C-statistics of the TIMI score was 0.87 (95%CI = 0.76 to 0.98, similar to GRACE (0.87, 95%CI = 0.75 to 0.99 - p = 0.71. The TIMI score showed satisfactory calibration represented by χ2 = 1.4 (p = 0.92, well above the calibration of the GRACE score, which showed χ2 = 14 (p = 0.08. This calibration is reflected in the expected incidence ranges for low, intermediate and high risk, according to the TIMI score (0 %, 4.9 % and 25 %, respectively, differently to GRACE (2.4%, 25% and 73%, which featured middle range incidence inappropriately. Conclusion: Although the scores show similar discriminatory capacity for hospital death, the TIMI score had better calibration than GRACE. These findings need to be validated populations of different risk profiles.

  19. PREFACE: Quantum Optics III

    Science.gov (United States)

    Orszag, M.; Retamal, J. C.; Saavedra, C.; Wallentowitz, S.

    2007-06-01

    All the 50 years of conscious pondering did not bring me nearer to an answer to the question `what is light quanta?'. Nowadays, every rascal believes, he knows it, however, he is mistaken. (A Einstein, 1951 in a letter to M Besso) Quantum optics has played a key role in physics in the last several decades. On the other hand, in these early decades of the information age, the flow of information is becoming more and more central to our daily life. Thus, the related fields of quantum information theory as well as Bose-Einstein condensation have acquired tremendous importance in the last couple of decades. In Quantum Optics III, a fusion of these fields appears in a natural way. Quantum Optics III was held in Pucón, Chile, in 27-30 of November, 2006. This beautiful location in the south of Chile is near the lake Villarrica and below the snow covered volcano of the same name. This fantastic environment contributed to a relaxed atmosphere, suitable for informal discussion and for the students to have a chance to meet the key figures in the field. The previous Quantum Optics conferences took place in Santiago, Chile (Quantum Optics I, 2000) and Cozumel, Mexico (Quantum Optics II, 2004). About 115 participants from 19 countries attended and participated in the meeting to discuss a wide variety of topics such as quantum-information processing, experiments related to non-linear optics and squeezing, various aspects of entanglement including its sudden death, correlated twin-photon experiments, light storage, decoherence-free subspaces, Bose-Einstein condensation, discrete Wigner functions and many more. There was a strong Latin-American participation from Argentina, Brazil, Chile, Colombia, Peru, Uruguay, Venezuela and Mexico, as well as from Europe, USA, China, and Australia. New experimental and theoretical results were presented at the conference. In Latin-America a quiet revolution has taken place in the last twenty years. Several groups working in quantum optics and

  20. What Do Test Scores Really Mean? A Latent Class Analysis of Danish Test Score Performance

    DEFF Research Database (Denmark)

    Munk, Martin D.; McIntosh, James

    2014-01-01

    Latent class Poisson count models are used to analyze a sample of Danish test score results from a cohort of individuals born in 1954-55, tested in 1968, and followed until 2011. The procedure takes account of unobservable effects as well as excessive zeros in the data. We show that the test scores...... of intelligence explain a significant proportion of the variation in test scores. This adds to the complexity of interpreting test scores and suggests that school culture and possible incentive problems make it more di¢ cult to understand what the tests measure....

  1. NCACO-score: An effective main-chain dependent scoring function for structure modeling

    Directory of Open Access Journals (Sweden)

    Dong Xiaoxi

    2011-05-01

    Full Text Available Abstract Background Development of effective scoring functions is a critical component to the success of protein structure modeling. Previously, many efforts have been dedicated to the development of scoring functions. Despite these efforts, development of an effective scoring function that can achieve both good accuracy and fast speed still presents a grand challenge. Results Based on a coarse-grained representation of a protein structure by using only four main-chain atoms: N, Cα, C and O, we develop a knowledge-based scoring function, called NCACO-score, that integrates different structural information to rapidly model protein structure from sequence. In testing on the Decoys'R'Us sets, we found that NCACO-score can effectively recognize native conformers from their decoys. Furthermore, we demonstrate that NCACO-score can effectively guide fragment assembly for protein structure prediction, which has achieved a good performance in building the structure models for hard targets from CASP8 in terms of both accuracy and speed. Conclusions Although NCACO-score is developed based on a coarse-grained model, it is able to discriminate native conformers from decoy conformers with high accuracy. NCACO is a very effective scoring function for structure modeling.

  2. Track score processing of multiple dissimilar sensors

    OpenAIRE

    Patsikas, Dimitrios

    2007-01-01

    In this thesis, a data fusion problem when a number of different types of sensors are deployed in the vicinity of a ballistic missile launch is studied. An objective of this thesis is to calculate a scoring function for each sensor track, and the track file with the best (optimum) track score can then be used for guiding an interceptor to the threat within the boost phase. Seven active ground-based radars, two space-based passive infrared sensors and two active light detection and rangin...

  3. A lumbar disc surgery predictive score card.

    Science.gov (United States)

    Finneson, B E

    1978-06-01

    A lumbar disc surgery predictive score card or questionnaire has been developed to assess potential candidates for excision of a herniated lumbar disc who have not previously undergone lumbar spine surgery. It is not designed to encompass patients who are being considered for other types of lumbar spine surgery, such as decompressive laminectomy or fusion. In an effort to make the "score card" usable by almost all physicians who are involved in lumbar disc surgery, only studies which have broad acceptance and are generally employed are included. Studies which have less widespread use such as electromyogram, discogram, venogram, special psychologic studies (MMPI, pain drawings) have been purposely excluded.

  4. Optimal cutting scores using a linear loss function

    NARCIS (Netherlands)

    Linden, van der Wim J.; Mellenbergh, Gideon J.

    1977-01-01

    The situation is considered in which a total score on a test is used for classifying examinees into two categories: "accepted (with scores above a cutting score on the test) and "not accepted" (with scores below the cutting score). A value on the latent variable is fixed in advance; examinees above

  5. Apache Solr enterprise search server

    CERN Document Server

    Smiley, David; Parisa, Kranti; Mitchell, Matt

    2015-01-01

    This book is for developers who want to learn how to get the most out of Solr in their applications, whether you are new to the field, have used Solr but don't know everything, or simply want a good reference. It would be helpful to have some familiarity with basic programming concepts, but no prior experience is required.

  6. Hemophilic arthropathy. A scoring system for magnetic resonance imaging

    Energy Technology Data Exchange (ETDEWEB)

    Soler, R.; Rodriguez, E.; Marini, M. [Department of Radiology, Hospital Juan Canalejo, Coruna (Spain); Lopez-Fernandez, F. [Department of Hematology, Hospital Juan Canalejo, Coruna (Spain)

    2002-04-01

    The aim of this study was to define a system for scoring hemophilic arthropathy (HA) based on MR findings, providing for objective evaluation of the degree of joint involvement and evolution after on-demand administration of FVIII substitutional therapy or prophylactic treatment. A total of 133 MR examinations (89 basal and 44 during follow-up) were performed in 25 patients. Patients were divided in two groups depending on the therapy received and the length of time that the disease had been evolving at the start of the study. Group I was composed of 10 patients with secondary prophylaxis and group II was composed by 15 treated on demand. T1-weighted and T2*-weighted images performed on a 0.5-T unit were prospectively evaluated. The joint involvement was established on a scale of 0 (no abnormalities), I (minimal amount of hemosiderin), II (large amount of hemosiderin and isolated cartilaginous erosion), III (cartilage destruction, bone erosions, and subchondral cysts) to IV (large internal joint derangement, secondary osteoarthritis and/or ankylosis). At basal MR examination, patients of group I showed no abnormalities (n=28, 75.6%), grade I (n=3), and grade II (n=6) of HA. Patients of group II corresponded to MR grades III (n=21) and IV (n=11) of HA. The MR follow-up showed improvement in three joints of group I and worsening in 5 joints in group I and 2 joints in group II. Early signs of HA were detected in 10 joints with MR imaging but were underestimated on plain radiographs. Advanced degrees of HA were classified as severe under both imaging techniques. Magnetic resonance is the preferred imaging technique to assess HA. The earliest signs of joint damage, detected by MR, are overlooked by plain radiography. The MR scoring system can be used for evaluating HA. Follow-up MR should be performed to evaluate regression or worsening of the abnormalities, primarily in the case of patients with prophylaxis who usually suffer normal or early joint involvement not

  7. The influence of IQ stratification on WAIS-III/WMS-III FSIQ-general memory index discrepancy base-rates in the standardization sample.

    Science.gov (United States)

    Hawkins, K A; Tulsky, D S

    2001-11-01

    Since memory performance expectations may be IQ-based, unidirectional base rate data for IQ-Memory Score discrepancies are provided in the WAIS-III/WMS-III Technical Manual. The utility of these data partially rests on the assumption that discrepancy base rates do not vary across ability levels. FSIQ stratified base rate data generated from the standardization sample, however, demonstrate substantial variability across the IQ spectrum. A superiority of memory score over FSIQ is typical at lower IQ levels, whereas the converse is true at higher IQ levels. These data indicate that the use of IQ-memory score unstratified "simple difference" tables could lead to erroneous conclusions for clients with low or high IQ. IQ stratified standardization base rate data are provided as a complement to the "predicted difference" method detailed in the Technical Manual.

  8. Critical Thinking: More than Test Scores

    Science.gov (United States)

    Smith, Vernon G.; Szymanski, Antonia

    2013-01-01

    This article is for practicing or aspiring school administrators. The demand for excellence in public education has lead to an emphasis on standardized test scores. This article explores the development of a professional enhancement program designed to prepare teachers to teach higher order thinking skills. Higher order thinking is the primary…

  9. What do educational test scores really measure?

    DEFF Research Database (Denmark)

    McIntosh, James; D. Munk, Martin

    Latent class Poisson count models are used to analyze a sample of Danish test score results from a cohort of individuals born in 1954-55 and tested in 1968. The procedure takes account of unobservable effects as well as excessive zeros in the data. The bulk of unobservable effects are uncorrelate...

  10. Progress scored in forest pest studies

    Institute of Scientific and Technical Information of China (English)

    2007-01-01

    @@ Teaming up with co-workers from State Forestry Administration (SFA), researchers of the CAS Institute of Zoology (IOZ)have scored encouraging progress in their studies of pheromones-based technology against the red turpentine beetle (Dendroctonus valens LeConte).

  11. [Intraoperative crisis and surgical Apgar score].

    Science.gov (United States)

    Oshiro, Masakatsu; Sugahara, Kazuhiro

    2014-03-01

    Intraoperative crisis is an inevitable event to anesthesiologists. The crisis requires effective and coordinated management once it happened but it is difficult to manage the crises properly under extreme stressful situation. Recently, it is reported that the use of surgical crisis checklists is associated with significant improvement in the management of operating-room crises in a high-fidelity simulation study. Careful preoperative evaluation, proper intraoperative management and using intraoperative crisis checklists will be needed for safer perioperative care in the future. Postoperative complication is a serious public health problem. It reduces the quality of life of patients and raises medical cost. Careful management of surgical patients is required according to their postoperative condition for preventing postoperative complications. A 10-point surgical Apgar score, calculated from intraoperative estimated blood loss, lowest mean arterial pressure, and lowest heart rate, is a simple and available scoring system for predicting postoperative complications. It undoubtedly predicts higher than average risk of postoperative complications and death within 30 days of surgery. Surgical Apgar score is a bridge between proper intraoperative and postoperative care. Anesthesiologists should make effort to reduce the postoperative complication and this score is a tool for it.

  12. Local Observed-Score Kernel Equating

    Science.gov (United States)

    Wiberg, Marie; van der Linden, Wim J.; von Davier, Alina A.

    2014-01-01

    Three local observed-score kernel equating methods that integrate methods from the local equating and kernel equating frameworks are proposed. The new methods were compared with their earlier counterparts with respect to such measures as bias--as defined by Lord's criterion of equity--and percent relative error. The local kernel item response…

  13. The FAt Spondyloarthritis Spine Score (FASSS)

    DEFF Research Database (Denmark)

    Pedersen, Susanne Juhl; Zhao, Zheng; Lambert, Robert Gw

    2013-01-01

    Studies have shown that fat lesions follow resolution of inflammation in the spine of patients with axial spondyloarthritis (SpA). Fat lesions at vertebral corners have also been shown to predict development of new syndesmophytes. Therefore, scoring of fat lesions in the spine may constitute both...

  14. Analysis of WAIS-IV Index Score Scatter Using Significant Deviation from the Mean Index Score

    Science.gov (United States)

    Gregoire, Jacques; Coalson, Diane L.; Zhu, Jianjun

    2011-01-01

    The Wechsler Adult Intelligence Scale-Fourth Edition (WAIS-IV) does not include verbal IQ and performance IQ scores, as provided in previous editions of the scale; rather, this edition provides comparisons among four index scores, allowing analysis of an individual's WAIS-IV performance in more discrete domains of cognitive ability. To supplement…

  15. Relationship between Students' Scores on Research Methods and Statistics, and Undergraduate Project Scores

    Science.gov (United States)

    Ossai, Peter Agbadobi Uloku

    2016-01-01

    This study examined the relationship between students' scores on Research Methods and statistics, and undergraduate project at the final year. The purpose was to find out whether students matched knowledge of research with project-writing skill. The study adopted an expost facto correlational design. Scores on Research Methods and Statistics for…

  16. Multidimensional CAT Item Selection Methods for Domain Scores and Composite Scores: Theory and Applications

    Science.gov (United States)

    Yao, Lihua

    2012-01-01

    Multidimensional computer adaptive testing (MCAT) can provide higher precision and reliability or reduce test length when compared with unidimensional CAT or with the paper-and-pencil test. This study compared five item selection procedures in the MCAT framework for both domain scores and overall scores through simulation by varying the structure…

  17. Effects of using a scoring guide on essay scores: generalizability theory.

    Science.gov (United States)

    Kan, Adnan

    2007-12-01

    This study was conducted to test the effect of task level and item consistency when two conditions, with and without the assistance of a scoring guide, were used to score essays. The use of generalization theory was proposed as a framework for examining the effect of task variability and use of the scoring guide on achievement measures. Participants were 21 students in Grade 9 enrolled in regular Turkish language and literature classes. Of these students 11 were men and 10 were women. Ten teachers from the city were raters. In the past, raters of essays have given varied judgements of writing quality. Utilizing decision and generalizability theories, variation in scores was evaluated using a three-way (person x rater x task) analysis of variance design. The scoring guide was beneficial in reducing variability of evaluating grammar and reading comprehension but not as helpful when assessing knowledge of concepts.

  18. Big Data Approaches for the Analysis of Large-Scale fMRI Data Using Apache Spark and GPU Processing: A Demonstration on Resting-State fMRI Data from the Human Connectome Project

    Science.gov (United States)

    Boubela, Roland N.; Kalcher, Klaudius; Huf, Wolfgang; Našel, Christian; Moser, Ewald

    2016-01-01

    Technologies for scalable analysis of very large datasets have emerged in the domain of internet computing, but are still rarely used in neuroimaging despite the existence of data and research questions in need of efficient computation tools especially in fMRI. In this work, we present software tools for the application of Apache Spark and Graphics Processing Units (GPUs) to neuroimaging datasets, in particular providing distributed file input for 4D NIfTI fMRI datasets in Scala for use in an Apache Spark environment. Examples for using this Big Data platform in graph analysis of fMRI datasets are shown to illustrate how processing pipelines employing it can be developed. With more tools for the convenient integration of neuroimaging file formats and typical processing steps, big data technologies could find wider endorsement in the community, leading to a range of potentially useful applications especially in view of the current collaborative creation of a wealth of large data repositories including thousands of individual fMRI datasets. PMID:26778951

  19. Celestine III and the North

    DEFF Research Database (Denmark)

    Nielsen, Torben Kjersgaard

    2008-01-01

    Artiklen gennemgår pave Cølestin IIIs forhold til de nordiske kongeriger i perioden 1191-1198. Artiklen viser, at paven, som i forskningen traditionelt år har stået i skyggen af sin berømte, energiske og især: yngre efterfølger, Innocens III, har været på forkant med udviklingen i de nordiske rig...

  20. THE ELEVENTH AND TWELFTH DATA RELEASES OF THE SLOAN DIGITAL SKY SURVEY: FINAL DATA FROM SDSS-III

    Energy Technology Data Exchange (ETDEWEB)

    Alam, Shadab [McWilliams Center for Cosmology, Department of Physics, Carnegie Mellon University, 5000 Forbes Ave, Pittsburgh, PA 15213 (United States); Albareti, Franco D. [Instituto de Física Teórica, (UAM/CSIC), Universidad Autónoma de Madrid, Cantoblanco, E-28049 Madrid (Spain); Prieto, Carlos Allende [Instituto de Astrofísica de Canarias (IAC), C/Vía Láctea, s/n, E-38200, La Laguna, Tenerife (Spain); Anders, F. [Leibniz-Institut für Astrophysik Potsdam (AIP), An der Sternwarte 16, D-14482 Potsdam (Germany); Anderson, Scott F. [Department of Astronomy, University of Washington, Box 351580, Seattle, WA 98195 (United States); Anderton, Timothy [Department of Physics and Astronomy, University of Utah, Salt Lake City, UT 84112 (United States); Andrews, Brett H. [Department of Astronomy, Ohio State University, 140 West 18th Avenue, Columbus, OH 43210 (United States); Armengaud, Eric [CEA, Centre de Saclay, Irfu/SPP, F-91191 Gif-sur-Yvette (France); Aubourg, Éric; Bautista, Julian E. [APC, University of Paris Diderot, CNRS/IN2P3, CEA/IRFU, Observatoire de Paris, Sorbonne Paris Cité, F-75205 Paris (France); Bailey, Stephen [Lawrence Berkeley National Laboratory, One Cyclotron Road, Berkeley, CA 94720 (United States); Basu, Sarbani [Department of Astronomy, Yale University, P.O. Box 208101, New Haven, CT 06520-8101 (United States); Beaton, Rachael L. [Department of Astronomy, University of Virginia, P.O. Box 400325, Charlottesville, VA 22904-4325 (United States); Beers, Timothy C. [Department of Physics and JINA Center for the Evolution of the Elements, University of Notre Dame, Notre Dame, IN 46556 (United States); and others

    2015-07-15

    The third generation of the Sloan Digital Sky Survey (SDSS-III) took data from 2008 to 2014 using the original SDSS wide-field imager, the original and an upgraded multi-object fiber-fed optical spectrograph, a new near-infrared high-resolution spectrograph, and a novel optical interferometer. All of the data from SDSS-III are now made public. In particular, this paper describes Data Release 11 (DR11) including all data acquired through 2013 July, and Data Release 12 (DR12) adding data acquired through 2014 July (including all data included in previous data releases), marking the end of SDSS-III observing. Relative to our previous public release (DR10), DR12 adds one million new spectra of galaxies and quasars from the Baryon Oscillation Spectroscopic Survey (BOSS) over an additional 3000 deg{sup 2} of sky, more than triples the number of H-band spectra of stars as part of the Apache Point Observatory (APO) Galactic Evolution Experiment (APOGEE), and includes repeated accurate radial velocity measurements of 5500 stars from the Multi-object APO Radial Velocity Exoplanet Large-area Survey (MARVELS). The APOGEE outputs now include the measured abundances of 15 different elements for each star. In total, SDSS-III added 5200 deg{sup 2} of ugriz imaging; 155,520 spectra of 138,099 stars as part of the Sloan Exploration of Galactic Understanding and Evolution 2 (SEGUE-2) survey; 2,497,484 BOSS spectra of 1,372,737 galaxies, 294,512 quasars, and 247,216 stars over 9376 deg{sup 2}; 618,080 APOGEE spectra of 156,593 stars; and 197,040 MARVELS spectra of 5513 stars. Since its first light in 1998, SDSS has imaged over 1/3 of the Celestial sphere in five bands and obtained over five million astronomical spectra.

  1. Frontal Sinus Patency after Extended Frontal Sinusotomy Type III

    Science.gov (United States)

    Hajbeygi, Mansour; Nadjafi, Ali; Amali, Amin; Saedi, Babak; Sadrehosseini, Seyed Mousa

    2016-01-01

    Introduction: The surgical management of chronic frontal sinus disorders remains a challenge for rhinologists. The aim of this study was to evaluate the result of Draf III in a series of patients who underwent this procedure. Materials and Methods: Twenty patients were included in this study. Demographic data, history of prior surgery, asthma, aspirin sensitivity and Lund–Mackay score were recorded. A visual analog scale was used for frontal-related symptoms. Patients were followed for a mean duration of 17.5 months and the patency of the frontal sinus ostium was closely monitored. Results: Fifteen patients with chronic frontal sinusitis, two patients with mucoceles, two with malignancy, and one with osteoma underwent Draf III. The mean symptoms score significantly decreased from 5.9 to 3. No ostial closure was seen in the follow-up period. Among 15 patients with chronic frontal sinusitis, 12 had patent ostia of whom three had significant stenosis. All patients with mucocele and osteoma had patent ostia in the follow-up period but patients with sinonasal malignancy showed significant stenosis. Conclusion: Draf III frontal sinusotomy is successful in alleviating patient symptoms and the frontal sinus neo-ostium will remain patent in long-term follow-up of most patients. Revision surgery will be required in some cases, which seems to be related to the nature of the underlying chronic sinus diseases. PMID:27738610

  2. Poor prognostic value of the modified Mallampati score: a meta-analysis involving 177 088 patients

    DEFF Research Database (Denmark)

    Lundstrøm, L H; Vester-Andersen, M; Møller, Ann

    2011-01-01

    The modified Mallampati score is used to predict difficult tracheal intubation. We have conducted a meta-analysis of published studies to evaluate the Mallampati score as a prognostic test. A total of 55 studies involving 177 088 patients were included after comprehensive electronic and manual...... under the curve of 0.75. The pooled odds ratio for a difficult intubation with a modified Mallampati score of III or IV was 5.89 [95% confidence interval (CI), 4.74-7.32]. The pooled estimates of the specificity and sensitivity were 0.91 (CI, 0.91-0.91) and 0.35 (CI, 0.34-0.36), respectively. The pooled...... that the prognostic value of the modified Mallampati score was worse than that estimated by previous meta-analyses. Our assessment shows that the modified Mallampati score is inadequate as a stand-alone test of a difficult laryngoscopy or tracheal intubation, but it may well be a part of a multivariate model...

  3. Application of decision trees in credit scoring

    Directory of Open Access Journals (Sweden)

    Ljiljanka Kvesić

    2013-12-01

    Full Text Available Banks are particularly exposed to credit risk due to the nature of their operations. Inadequate assessment of the borrower directly causes losses. The financial crisis the global economy is still going through has clearly shown what kind of problems can arise from an inadequate credit policy. Thus, the primary task of bank managers is to minimise credit risk. Credit scoring models were developed to support managers in assessing the creditworthiness of borrowers. This paper presents the decision tree based on exhaustive CHAID algorithm as one such model. Since the application of credit scoring models has not been adequately explored in the Croatian banking theory and practice, this paper aims not only to determine the characteristics that are crucial for predicting default, but also to highlight the importance of a quantitative approach in assessing the creditworthiness of borrowers.

  4. Shower reconstruction in TUNKA-HiSCORE

    Energy Technology Data Exchange (ETDEWEB)

    Porelli, Andrea; Wischnewski, Ralf [DESY-Zeuthen, Platanenallee 6, 15738 Zeuthen (Germany)

    2015-07-01

    The Tunka-HiSCORE detector is a non-imaging wide-angle EAS cherenkov array designed as an alternative technology for gamma-ray physics above 10 TeV and to study spectrum and composition of cosmic rays above 100 TeV. An engineering array with nine stations (HiS-9) has been deployed in October 2013 on the site of the Tunka experiment in Russia. In November 2014, 20 more HiSCORE stations have been installed, covering a total array area of 0.24 square-km. We describe the detector setup, the role of precision time measurement, and give results from the innovative WhiteRabbit time synchronization technology. Results of air shower reconstruction are presented and compared with MC simulations, for both the HiS-9 and the HiS-29 detector arrays.

  5. Sleep scoring using artificial neural networks.

    Science.gov (United States)

    Ronzhina, Marina; Janoušek, Oto; Kolářová, Jana; Nováková, Marie; Honzík, Petr; Provazník, Ivo

    2012-06-01

    Rapid development of computer technologies leads to the intensive automation of many different processes traditionally performed by human experts. One of the spheres characterized by the introduction of new high intelligence technologies substituting analysis performed by humans is sleep scoring. This refers to the classification task and can be solved - next to other classification methods - by use of artificial neural networks (ANN). ANNs are parallel adaptive systems suitable for solving of non-linear problems. Using ANN for automatic sleep scoring is especially promising because of new ANN learning algorithms allowing faster classification without decreasing the performance. Both appropriate preparation of training data as well as selection of the ANN model make it possible to perform effective and correct recognizing of relevant sleep stages. Such an approach is highly topical, taking into consideration the fact that there is no automatic scorer utilizing ANN technology available at present.

  6. Knee Injury and Osteoarthritis Outcome Score (KOOS)

    DEFF Research Database (Denmark)

    Collins, N J; Prinsen, C A C; Christensen, R

    2016-01-01

    OBJECTIVE: To conduct a systematic review and meta-analysis to synthesize evidence regarding measurement properties of the Knee injury and Osteoarthritis Outcome Score (KOOS). DESIGN: A comprehensive literature search identified 37 eligible papers evaluating KOOS measurement properties in partici......OBJECTIVE: To conduct a systematic review and meta-analysis to synthesize evidence regarding measurement properties of the Knee injury and Osteoarthritis Outcome Score (KOOS). DESIGN: A comprehensive literature search identified 37 eligible papers evaluating KOOS measurement properties...... in participants with knee injuries and/or osteoarthritis (OA). Methodological quality was evaluated using the COSMIN checklist. Where possible, meta-analysis of extracted data was conducted for all studies and stratified by age and knee condition; otherwise narrative synthesis was performed. RESULTS: KOOS has...

  7. Validation of a new scoring system: Rapid assessment faecal incontinence score

    Institute of Scientific and Technical Information of China (English)

    Fernando; de; la; Portilla; Arantxa; Calero-Lillo; Rosa; M; Jiménez-Rodríguez; Maria; L; Reyes; Manuela; Segovia-González; María; Victoria; Maestre; Ana; M; García-Cabrera

    2015-01-01

    AIM: To implement a quick and simple test- rapid assessment faecal incontinence score(RAFIS) and show its reliability and validity.METHODS: From March 2008 through March 2010, we evaluated a total of 261 consecutive patients, including 53 patients with faecal incontinence. Demographic and comorbidity information was collected. In a single visit, patients were administered the RAFIS. The results obtained with the new score were compared with those of both Wexner score and faecal incontinence quality of life scale(FIQL) questionnaire. The patient withoutinfluence of the surgeon completed the test. The role of surgeon was explaining the meaning of each section and how he had to fill. Reliability of the RAFIS score was measured using intra-observer agreement and Cronbach’s alpha(internal consistency) coefficient. Multivariate analysis of the main components within the different scores was performed in order to determine whether all the scores measured the same factor and to conclude whether the information could be encompassed in a single factor. A sample size of 50 patients with faecal incontinence was estimated to be enough to detect a correlation of 0.55 or better at 5% level of significance with 80% power.RESULTS: We analysed the results obtained by 53 consecutive patients with faecal incontinence(median age 61.55 ± 12.49 years) in the three scoring systems. A total of 208 healthy volunteers(median age 58.41 ± 18.41 years) without faecal incontinence were included in the study as negative controls. Pearson’s correlation coefficient between "state" and "leaks" was excellent(r = 0.92, P < 0.005). Internal consistency in the comparison of "state" and "leaks" yielded also excellent correlation(Cronbach’s α = 0.93). Results in each score were compared using regression analysis and a correlation value of r = 0.98 was obtained with Wexner score. As regards FIQL questionnaire, the values of "r " for the different subscales of the questionnaire were: "lifestyle" r

  8. Credit Scoring Problem Based on Regression Analysis

    OpenAIRE

    Khassawneh, Bashar Suhil Jad Allah

    2014-01-01

    ABSTRACT: This thesis provides an explanatory introduction to the regression models of data mining and contains basic definitions of key terms in the linear, multiple and logistic regression models. Meanwhile, the aim of this study is to illustrate fitting models for the credit scoring problem using simple linear, multiple linear and logistic regression models and also to analyze the found model functions by statistical tools. Keywords: Data mining, linear regression, logistic regression....

  9. MODELING CREDIT RISK THROUGH CREDIT SCORING

    OpenAIRE

    Adrian Cantemir CALIN; Oana Cristina POPOVICI

    2014-01-01

    Credit risk governs all financial transactions and it is defined as the risk of suffering a loss due to certain shifts in the credit quality of a counterpart. Credit risk literature gravitates around two main modeling approaches: the structural approach and the reduced form approach. In addition to these perspectives, credit risk assessment has been conducted through a series of techniques such as credit scoring models, which form the traditional approach. This paper examines the evolution of...

  10. Malnutrition-Inflammation Score in Hemodialysis Patients

    OpenAIRE

    Behrooz Ebrahimzadehkor; Atamohammad Dorri; Abdolhamed Yapan-Gharavi

    2014-01-01

    Background: Malnutrition is a prevalent complication in patients on maintenance hemodialysis. Malnutrition-inflammation score (MIS), comprehensive nutritional assessment tool, as the reference standard was used to examine protein-energy wasting (PEW) and inflammation in hemodialysis patients. Materials and Methods: In this descriptive- analytical study, 48 hemodialysis patients were selected with random sampling. All the patients were interviewed and the MIS of the patients was recorded. T...

  11. Quality scores for 32,000 genomes

    DEFF Research Database (Denmark)

    Land, Miriam L.; Hyatt, Doug; Jun, Se-Ran;

    2014-01-01

    public databases, and assigned quality scores for more than 30,000 prokaryotic genome sequences. Results Scores were assigned using four categories: the completeness of the assembly, the presence of full-length rRNA genes, tRNA composition and the presence of a set of 102 conserved genes in prokaryotes...... or not applicable. The scores highlighted organisms for which commonly used tools do not perform well. This information can be used to improve tools and to serve a broad group of users as more diverse organisms are sequenced. Unexpectedly, the comparison of predicted tRNAs across 15,000 high quality genomes showed......Background More than 80% of the microbial genomes in GenBank are of ‘draft’ quality (12,553 draft vs. 2,679 finished, as of October, 2013). We have examined all the microbial DNA sequences available for complete, draft, and Sequence Read Archive genomes in GenBank as well as three other major...

  12. Modelling the predictive performance of credit scoring

    Directory of Open Access Journals (Sweden)

    Shi-Wei Shen

    2013-02-01

    Full Text Available Orientation: The article discussed the importance of rigour in credit risk assessment.Research purpose: The purpose of this empirical paper was to examine the predictive performance of credit scoring systems in Taiwan.Motivation for the study: Corporate lending remains a major business line for financial institutions. However, in light of the recent global financial crises, it has become extremely important for financial institutions to implement rigorous means of assessing clients seeking access to credit facilities.Research design, approach and method: Using a data sample of 10 349 observations drawn between 1992 and 2010, logistic regression models were utilised to examine the predictive performance of credit scoring systems.Main findings: A test of Goodness of fit demonstrated that credit scoring models that incorporated the Taiwan Corporate Credit Risk Index (TCRI, micro- and also macroeconomic variables possessed greater predictive power. This suggests that macroeconomic variables do have explanatory power for default credit risk.Practical/managerial implications: The originality in the study was that three models were developed to predict corporate firms’ defaults based on different microeconomic and macroeconomic factors such as the TCRI, asset growth rates, stock index and gross domestic product.Contribution/value-add: The study utilises different goodness of fits and receiver operator characteristics during the examination of the robustness of the predictive power of these factors.

  13. Scoring ordinal variables for constructing composite indicators

    Directory of Open Access Journals (Sweden)

    Marica Manisera

    2013-05-01

    Full Text Available In order to provide composite indicators of latent variables, for example of customer satisfaction, it is opportune to identify the structure of the latent variable, in terms of the assignment of items to the subscales defining the latent variable. Adopting the reflective model, the impact of four different methods of scoring ordinal variables on the identification of the true structure of latent variables is investigated. A simulation study composed of 5 steps is conducted: (1 simulation of population data with continuous variables measuring a two-dimensional latent variable with known structure; (2 draw of a number of random samples; (3 discretization of the continuous variables according to different distributional forms; (4 quantification of the ordinal variables obtained in step (3 according to different methods; (5 construction of composite indicators and verification of the correct assignment of variables to subscales by the multiple group method and the factor analysis. Results show that the considered scoring methods have similar performances in assigning items to subscales, and that, when the latent variable is multinormal, the distributional form of the observed ordinal variables is not determinant in suggesting the best scoring method to use.

  14. Spectrophotometric and pH-Metric Studies of Ce(III, Dy(III, Gd(III,Yb(III and Pr(III Metal Complexes with Rifampicin

    Directory of Open Access Journals (Sweden)

    A. N. Sonar

    2011-01-01

    Full Text Available The metal-ligand and proton-ligand stability constant of Ce(III, Dy(III, Gd(III,Yb(III and Pr(III metals with substituted heterocyclic drug (Rifampicin were determined at various ionic strength by pH metric titration. NaClO4 was used to maintain ionic strength of solution. The results obtained were extrapolated to the zero ionic strength using an equation with one individual parameter. The thermodynamic stability constant of the complexes were also calculated. The formation of complexes has been studied by Job’s method. The results obtained were of stability constants by pH metric method is confirmed by Job’s method.

  15. A randomized placebo-controlled phase III trial of oral laquinimod for multiple sclerosis

    DEFF Research Database (Denmark)

    Vollmer, T L; Sorensen, P S; Selmaj, K;

    2014-01-01

    The phase III placebo-controlled BRAVO study assessed laquinimod effects in patients with relapsing-remitting MS (RRMS), and descriptively compared laquinimod with interferon beta (IFNβ)-1a (Avonex(®) reference arm). RRMS patients age 18-55 years with Expanded Disability Status Scale (EDSS) score...

  16. Intrasubtest scatter on the WAIS-III information subtest and psychometrically defined retrieval deficits.

    Science.gov (United States)

    Ryan, J J; Paul, C A; Arb, J D

    1999-12-01

    Milberg, et al. (1996) postulated that significant intrasubtest scatter on the Wechsler Information subtest reflects impaired retrieval. From a pool of 205 male referrals at a VA medical center with complete WAIS-III and WMS-III protocols, 28 participants with impaired retrieval (Group I) defined by a high Retrieval Composite score were identified. A sample (Group II) without similar evidence of impaired retrieval was matched to Group I on age, education, Full Scale IQ, race, and diagnosis. Intrasubtest scatter on the Information subtest was the same across groups (Group I M = 6.3, SD = 2.7; Group II M = 6.9, SD = 3.4). A second study identified impaired retrieval using the WMS-III Word Lists subtest. 21 participants (Group III) had impaired retrieval indicated by a Recognition scaled score being > or = 4 points higher than the Delayed Recall scaled score. A matched sample (Group IV) of VA patients without similar evidence of impaired retrieval was constituted. Intrasubtest scatter on the Information subtest did not differ across groups (Group III M = 6.6, SD = 2.4; Group IV M = 6.0, SD = 2.5). Evaluations of the retrieval deficit hypothesis should be based on responses of participants whose Information performance is characterized by abnormal amounts of intrasubtest scatter. It is possible that a specific amount of response variability must be present within the subtest before retrieval problems can be detected.

  17. Updating to the WAIS-III and WMS-III: considerations for research and clinical practice.

    Science.gov (United States)

    Tulsky, D S; Ledbetter, M F

    2000-09-01

    The Wechsler Adult Intelligence Scale-Revised (WAIS-R) and the Wechsler Memory Scale-Revised (WMS-R) are the most commonly used intelligence and memory scales in both clinical and neuropsychology. In 1997, updated versions of these instruments (the WAIS-III and WMS-III) were published. Because of the extensive use of the WAIS-R and WMS-R in the field and the body of accumulated research, there is naturally some reluctance by clinicians and researchers to update to the new versions. It is sometimes difficult for clinicians who test individuals on repeated occasions to switch over to the new versions of the scales because of the difficulty of interpreting score discrepancy between the 2 versions. Researchers, especially those conducting longitudinal research, have a similar difficulty in changing measurement devices because of the possible threat of internal validity. This article reviews the substantive revisions of the scales and outlines those issues that users should take into consideration when updating to the new versions.

  18. Empirical Bayes Estimates of Domain Scores under Binomial and Hypergeometric Distributions for Test Scores.

    Science.gov (United States)

    Lin, Miao-Hsiang; Hsiung, Chao A.

    1994-01-01

    Two simple empirical approximate Bayes estimators are introduced for estimating domain scores under binomial and hypergeometric distributions respectively. Criteria are established regarding use of these functions over maximum likelihood estimation counterparts. (SLD)

  19. Comparability of the expanded WMS-III standardization protocol to the published WMS-III among right and left temporal lobectomy patients.

    Science.gov (United States)

    Doss, R C; Chelune, G J; Naugle, R I

    2000-11-01

    We examined whether differences between the expanded standardization protocol (SP) used to derive norms for the final published version (PB) of the Wechsler Memory Scale - Third Edition (WMS-III; Wechsler, 1997a) would result in differences on the Primary Indexes in a neurologic sample. Specifically, we examined the comparability of the performances of 63 patients with temporal lobectomy (TL) who were administered either the expanded SP protocol (n = 33: 22 left TL and 11 right TL) or the PB battery (n = 30: 11 left TL and 19 right TL). Patients who were administered the SP or PB were comparable in terms of age, sex, education, seizure duration, postsurgical seizure status, and Full Scale IQ. Postoperative intervals were significantly longer for the SP group, although correlational analyses demonstrated no significant relationship between postoperative follow-up interval and WMS-III performance. A series of t tests revealed no significant differences on any of the eight Primary Index scores between patients taking the two versions of the WMS-III for either left or right TL groups. Furthermore, repeated measures analyses of variance failed to show significant differences on modality-specific memory scores between the SP and PB for the left and right TL groups. The current study indicates that temporal lobectomy patients obtained comparable scores on the two versions of the WMS-III.

  20. MELD-XI Scores Correlate with Post-Fontan Hepatic Biopsy Fibrosis Scores.

    Science.gov (United States)

    Evans, William N; Acherman, Ruben J; Ciccolo, Michael L; Carrillo, Sergio A; Galindo, Alvaro; Rothman, Abraham; Winn, Brody J; Yumiaco, Noel S; Restrepo, Humberto

    2016-10-01

    We tested the hypothesis that MELD-XI values correlated with hepatic total fibrosis scores obtained in 70 predominately stable, post-Fontan patients that underwent elective cardiac catheterization. We found a statistically significant correlation between MELD-XI values and total fibrosis scores (p = 0.003). Thus, serial MELD-XI values may be an additional useful clinical parameter for follow-up care in post-Fontan patients.

  1. Construct validity of the Bender-Gestalt II: comparison with Wechsler Intelligence Scale for Children-III.

    Science.gov (United States)

    Decker, Scott L; Allen, Ryan; Choca, James P

    2006-02-01

    This study investigated the relationships of visuomotor constructs as measured by the Bender-Gestalt II with the subtests of the WISC-III. A factor analysis included the standardized Copy and Recall scores of the Bender-Gestalt II and subtest scores of the WISC-III. The Copy score was predicted to load on measures of visual and spatial thinking and the Recall score on a short-term memory factor. The results of a principal components analysis suggest a four-factor solution with the Bender-Gestalt II Copy score loading on a visual and spatial thinking factor primarily with WISC-III Perceptual Organization subtests. The Recall score loaded on a visual and spatial thinking factor as well as a short-term memory factor with the WISC-III Digit Span subtest. The results suggest the Bender-Gestalt II Copy subtest shared commonality with the visual and spatial tasks given the similarity in the visuomotor demands of each test and was less influenced by processing speed or cultural knowledge than other tests on the visual and spatial thinking factor. Also, results suggest Bender-Gestalt II Recall measures elements of both visual and spatial thinking as well as aspects of short-term memory and memory retrieval. Clinical guidelines for co-administration and underlying processing demands are discussed.

  2. Suppressed working memory on the WMS-III as a marker for poor effort.

    Science.gov (United States)

    Lange, Rael T; Iverson, Grant L; Sullivan, Karen; Anderson, Debbie

    2006-04-01

    The purpose of this study was to examine the clinical utility of memory minus Working Memory Index (memory-WMI) discrepancy scores on the WMS-III for detecting poor effort in 145 personal injury litigants (19 poor effort, 126 adequate effort). On average, participants in the poor effort group performed significantly lower on all WMS-III memory indexes and demonstrated larger memory-WMI discrepancy scores compared to participants in the adequate effort group. Discriminant function analyses using memory-WMI discrepancy scores as independent variables revealed poor overall classification rates (60.0% to 63.4%). Based on the prevalence of unusually suppressed attention-concentration ability relative to memory functioning using unidirectional memory-WMI discrepancy scores, high specificity and negative predictive power values were found. However, there was unacceptably low sensitivity and positive predictive power. These results suggest that memory-WMI discrepancy scores on the WMS-III do not provide clinically useful information regarding response set and should be used cautiously as an indicator of poor effort.

  3. Correlation of continuous electroencephalogram with clinical assessment scores in acute stroke patients

    Institute of Scientific and Technical Information of China (English)

    Xiyan Xin; Ying Gao; Hua Zhang; Kegang Cao; Yongmei Shi

    2012-01-01

    Objective To compare electroencephalogram (EEG) symmetry values between stroke patients with different 28-day outcomes,and to assess correlations between clinical characteristics and 28-day outcomes.Methods Twentytwo patients presenting with acute ischemic stroke and persistent neurological deficits at EEG recording were incrementally included.At 28 days after admission,the modified Rankin scale (mRS) was used to evaluate the outcomes,based on which the patients were divided into two a posteriori groups,mRS =6 and mRS <6.Student's t-test was used to compare these two groups in terms of brain symmetry index (BSI),National Institutes of Health stroke scale (NIHSS),Glasgow coma scale (GCS) and acute physiology and chronic health evaluation Ⅱ (APACHE Ⅱ) assessed at admission.Then EEG parameters,NIHSS,GCS and APACHE Ⅱ were correlated with the mRS.Results There were significant differences in BSI,NIHSS,GCS,and APACHE Ⅱ between the two groups.Survivors had lower BSI,NIHSS and APACHE Ⅱ,and higher GCS values,compared with patients who died within 28 days after admission.Besides,BSI at admission had a positive correlation with mRS at 28 days (r =0.441,P =0.040).NIHSS and APACHE Ⅱ were also correlated with mRS (r =0.736,P <0.000 1;r =0.667,P =0.001,respectively).GCS at admission had a negative correlation with mRS (r =-0.656,P =0.001).Conclusion A higher BSI predicts a poorer short-term prognosis for stroke patients.Acute EEG monitoring may be of prognostic value for 28-day outcomes.The early prediction of functional outcomes after stroke may enhance clinical management and minimize short-term mortality.

  4. Validating the Interpretations and Uses of Test Scores

    Science.gov (United States)

    Kane, Michael T.

    2013-01-01

    To validate an interpretation or use of test scores is to evaluate the plausibility of the claims based on the scores. An argument-based approach to validation suggests that the claims based on the test scores be outlined as an argument that specifies the inferences and supporting assumptions needed to get from test responses to score-based…

  5. 24 CFR 902.45 - Management operations scoring and thresholds.

    Science.gov (United States)

    2010-04-01

    ... 24 Housing and Urban Development 4 2010-04-01 2010-04-01 false Management operations scoring and... URBAN DEVELOPMENT PUBLIC HOUSING ASSESSMENT SYSTEM PHAS Indicator #3: Management Operations § 902.45 Management operations scoring and thresholds. (a) Scoring. The Management Operations Indicator score...

  6. Conditional Standard Errors of Measurement for Composite Scores Using IRT

    Science.gov (United States)

    Kolen, Michael J.; Wang, Tianyou; Lee, Won-Chan

    2012-01-01

    Composite scores are often formed from test scores on educational achievement test batteries to provide a single index of achievement over two or more content areas or two or more item types on that test. Composite scores are subject to measurement error, and as with scores on individual tests, the amount of error variability typically depends on…

  7. Graphics Gems III IBM version

    CERN Document Server

    Kirk, David

    1994-01-01

    This sequel to Graphics Gems (Academic Press, 1990), and Graphics Gems II (Academic Press, 1991) is a practical collection of computer graphics programming tools and techniques. Graphics Gems III contains a larger percentage of gems related to modeling and rendering, particularly lighting and shading. This new edition also covers image processing, numerical and programming techniques, modeling and transformations, 2D and 3D geometry and algorithms,ray tracing and radiosity, rendering, and more clever new tools and tricks for graphics programming. Volume III also includes a

  8. Replacement of the Faces subtest by Visual Reproductions within Wechsler Memory Scale-Third Edition (WMS-III) visual memory indexes: implications for discrepancy analysis.

    Science.gov (United States)

    Hawkins, Keith A; Tulsky, David S

    2004-06-01

    Within discrepancy analysis differences between scores are examined for abnormality. Although larger differences are generally associated with rising impairment probabilities, the relationship between discrepancy size and abnormality varies across score pairs in relation to the correlation between the contrasted scores in normal subjects. Examinee ability level also affects the size of discrepancies observed normally. Wechsler Memory Scale-Third Edition (WMS-III) visual index scores correlate only modestly with other Wechsler Adult Intelligence Scale-Third Edition (WAIS-III) and WMS-III index scores; consequently, differences between these scores and others have to be very large before they become unusual, especially for subjects of higher intelligence. The substitution of the Faces subtest by Visual Reproductions within visual memory indexes formed by the combination of WMS-III visual subtests (creating immediate recall, delayed recall, and combined immediate and delayed index scores) results in higher correlation coefficients, and a decline in the discrepancy size required to surpass base rate thresholds for probable impairment. This gain appears not to occur at the cost of a diminished sensitivity to diverse pathologies. New WMS-III discrepancy base rate data are supplied to complement those currently available to clinicians.

  9. Reliability of the mangled extremity severity score in combat-related upper and lower extremity injuries

    Directory of Open Access Journals (Sweden)

    Tolga Ege

    2015-01-01

    Full Text Available Background: Decision of limb salvage or amputation is generally aided with several trauma scoring systems such as the mangled extremity severity score (MESS. However, the reliability of the injury scores in the settling of open fractures due to explosives and missiles is challenging. Mortality and morbidity of the extremity trauma due to firearms are generally associated with time delay in revascularization, injury mechanism, anatomy of the injured site, associated injuries, age and the environmental circumstance. The purpose of the retrospective study was to evaluate the extent of extremity injuries due to ballistic missiles and to detect the reliability of mangled extremity severity score (MESS in both upper and lower extremities. Materials and Methods: Between 2004 and 2014, 139 Gustillo Anderson Type III open fractures of both the upper and lower extremities were enrolled in the study. Data for patient age, fire arm type, transporting time from the field to the hospital (and the method, injury severity scores, MESS scores, fracture types, amputation levels, bone fixation methods and postoperative infections and complications retrieved from the two level-2 trauma center's data base. Sensitivity, specificity, positive and negative predictive values of the MESS were calculated to detect the ability in deciding amputation in the mangled limb. Results: Amputation was performed in 39 extremities and limb salvage attempted in 100 extremities. The mean followup time was 14.6 months (range 6–32 months. In the amputated group, the mean MESS scores for upper and lower extremity were 8.8 (range 6–11 and 9.24 (range 6–11, respectively. In the limb salvage group, the mean MESS scores for upper and lower extremities were 5.29 (range 4–7 and 5.19 (range 3–8, respectively. Sensitivity of MESS in upper and lower extremities were calculated as 80% and 79.4% and positive predictive values detected as 55.55% and 83.3%, respectively. Specificity of MESS

  10. Initial use of combination treatment does not impact survival of 106 patients with haematologic malignancies and mucormycosis: a propensity score analysis.

    Science.gov (United States)

    Kyvernitakis, A; Torres, H A; Jiang, Y; Chamilos, G; Lewis, R E; Kontoyiannis, D P

    2016-09-01

    In view of the poor outcomes associated with mucormycosis in patients with haematologic malignancies (HM) and haematopoietic cell transplant recipients, antifungal combinations are frequently used, yet the value of such strategy remains unclear. We reviewed the records of HM patients treated for mucormycosis from 1994 to 2014. The primary outcome was 6-week mortality after treatment initiation. Of the 106 patients identified, 44% received monotherapy and 56% received combination treatment as initial therapy. Six-week mortality was associated with disseminated mucormycosis (p 0.018), active malignancy (p mucormycosis (p mucormycosis was associated with better outcome (OR, 0.06; 95% CI, 0.01-0.6; p 0.019). Initial combination treatment had no impact on mortality, even after propensity score adjustment (OR, 0.8; 95% CI, 0.3-2.4; p 0.69). A weighted mortality risk score was then calculated for each patient based on the factors independently associated with mortality and baseline APACHE II score. In the low-risk group (n = 49), 13% of monotherapy versus 15% of combination therapy patients died within 6 weeks (p >0.99). In the high-risk group (n = 57), 71% of monotherapy versus 61% of combination therapy patients died within 6 weeks (p 0.42). With the current status of mucormycosis diagnosis, there was no difference in mortality in HM patients, whether they received monotherapy or combination treatment as initial therapy. Earlier diagnosis and immune reconstitution are unmet needs to affect outcomes.

  11. Scoring function to predict solubility mutagenesis

    Directory of Open Access Journals (Sweden)

    Deutsch Christopher

    2010-10-01

    Full Text Available Abstract Background Mutagenesis is commonly used to engineer proteins with desirable properties not present in the wild type (WT protein, such as increased or decreased stability, reactivity, or solubility. Experimentalists often have to choose a small subset of mutations from a large number of candidates to obtain the desired change, and computational techniques are invaluable to make the choices. While several such methods have been proposed to predict stability and reactivity mutagenesis, solubility has not received much attention. Results We use concepts from computational geometry to define a three body scoring function that predicts the change in protein solubility due to mutations. The scoring function captures both sequence and structure information. By exploring the literature, we have assembled a substantial database of 137 single- and multiple-point solubility mutations. Our database is the largest such collection with structural information known so far. We optimize the scoring function using linear programming (LP methods to derive its weights based on training. Starting with default values of 1, we find weights in the range [0,2] so that predictions of increase or decrease in solubility are optimized. We compare the LP method to the standard machine learning techniques of support vector machines (SVM and the Lasso. Using statistics for leave-one-out (LOO, 10-fold, and 3-fold cross validations (CV for training and prediction, we demonstrate that the LP method performs the best overall. For the LOOCV, the LP method has an overall accuracy of 81%. Availability Executables of programs, tables of weights, and datasets of mutants are available from the following web page: http://www.wsu.edu/~kbala/OptSolMut.html.

  12. Best waveform score for diagnosing keratoconus

    Directory of Open Access Journals (Sweden)

    Allan Luz

    2013-12-01

    Full Text Available PURPOSE: To test whether corneal hysteresis (CH and corneal resistance factor (CRF can discriminate between keratoconus and normal eyes and to evaluate whether the averages of two consecutive measurements perform differently from the one with the best waveform score (WS for diagnosing keratoconus. METHODS: ORA measurements for one eye per individual were selected randomly from 53 normal patients and from 27 patients with keratoconus. Two groups were considered the average (CH-Avg, CRF-Avg and best waveform score (CH-WS, CRF-WS groups. The Mann-Whitney U-test was used to evaluate whether the variables had similar distributions in the Normal and Keratoconus groups. Receiver operating characteristics (ROC curves were calculated for each parameter to assess the efficacy for diagnosing keratoconus and the same obtained for each variable were compared pairwise using the Hanley-McNeil test. RESULTS: The CH-Avg, CRF-Avg, CH-WS and CRF-WS differed significantly between the normal and keratoconus groups (p<0.001. The areas under the ROC curve (AUROC for CH-Avg, CRF-Avg, CH-WS, and CRF-WS were 0.824, 0.873, 0.891, and 0.931, respectively. CH-WS and CRF-WS had significantly better AUROCs than CH-Avg and CRF-Avg, respectively (p=0.001 and 0.002. CONCLUSION: The analysis of the biomechanical properties of the cornea through the ORA method has proved to be an important aid in the diagnosis of keratoconus, regardless of the method used. The best waveform score (WS measurements were superior to the average of consecutive ORA measurements for diagnosing keratoconus.

  13. Fingerprint Recognition Using Minutia Score Matching

    CERN Document Server

    J, Ravi; R, Venugopal K

    2010-01-01

    The popular Biometric used to authenticate a person is Fingerprint which is unique and permanent throughout a person's life. A minutia matching is widely used for fingerprint recognition and can be classified as ridge ending and ridge bifurcation. In this paper we projected Fingerprint Recognition using Minutia Score Matching method (FRMSM). For Fingerprint thinning, the Block Filter is used, which scans the image at the boundary to preserves the quality of the image and extract the minutiae from the thinned image. The false matching ratio is better compared to the existing algorithm.

  14. Evaluation of Stress Scores Throughout Radiological Biopsies

    Directory of Open Access Journals (Sweden)

    Turkoglu

    2016-06-01

    Full Text Available Background Ultrasound-guided biopsy procedures are the most prominent methods that increase the trauma, stress and anxiety experienced by the patients. Objectives Our goal was to examine the level of stress in patients waiting for radiologic biopsy procedures and determine the stress and anxiety level arising from waiting for a biopsy procedure. Patients and Methods This prospective study included 35 female and 65 male patients who were admitted to the interventional radiology department of Kartal Dr. Lütfi Kirdar training and research hospital, Istanbul between the years 2014 and 2015. They filled out the adult resilience scale consisting of 33 items. Patients who were undergoing invasive radiologic interventions were grouped according to their phenotypic characteristics, education level (low, intermediate, and high, and biopsy features (including biopsy localization: neck, thorax, abdomen, and bone; and the number of procedures performed, 1 or more than 1. Before the biopsy, they were also asked to complete the depression-anxiety-stress scale (DASS 42, state-trait anxiety inventory scale (STAI-I, and continuous anxiety scale STAI-II. A total of 80 patients were biopsied (20 thyroid and parathyroid, 20 thorax, 20 liver and kidney, and 20 bone biopsies. The association between education levels (primary- secondary, high school and postgraduate and the number of biopsies (1 and more than 1 with the level of anxiety and stress were evaluated using the above-mentioned scales. Results Evaluation of sociodemographic and statistical characteristics of the patients showed that patients with biopsy in the neck region were moderately and severely depressed and stressed. In addition, the ratio of severe and extremely severe anxiety scores was significantly high. While the STAI-I and II scores were lined up as neck > bone > thorax > abdomen, STAI-I was higher in neck biopsies compared to thorax and abdomen biopsies. Regarding STAI-I and II scales, patients

  15. Organometallic neptunium(III) complexes.

    Science.gov (United States)

    Dutkiewicz, Michał S; Farnaby, Joy H; Apostolidis, Christos; Colineau, Eric; Walter, Olaf; Magnani, Nicola; Gardiner, Michael G; Love, Jason B; Kaltsoyannis, Nikolas; Caciuffo, Roberto; Arnold, Polly L

    2016-08-01

    Studies of transuranic organometallic complexes provide a particularly valuable insight into covalent contributions to the metal-ligand bonding, in which the subtle differences between the transuranium actinide ions and their lighter lanthanide counterparts are of fundamental importance for the effective remediation of nuclear waste. Unlike the organometallic chemistry of uranium, which has focused strongly on U(III) and has seen some spectacular advances, that of the transuranics is significantly technically more challenging and has remained dormant. In the case of neptunium, it is limited mainly to Np(IV). Here we report the synthesis of three new Np(III) organometallic compounds and the characterization of their molecular and electronic structures. These studies suggest that Np(III) complexes could act as single-molecule magnets, and that the lower oxidation state of Np(II) is chemically accessible. In comparison with lanthanide analogues, significant d- and f-electron contributions to key Np(III) orbitals are observed, which shows that fundamental neptunium organometallic chemistry can provide new insights into the behaviour of f-elements.

  16. Mean Deviation of Inter-rater Scoring (MDIS): a simple tool for introducing conformity into groups of clinical investigators.

    Science.gov (United States)

    Bourin, Michel; Deplanque, Dominique; Zins-Ritter, Marcel

    2004-07-01

    In spite of considerable progress over the past decade, training investigators for inter-rater reliability for clinical trials remains a major problem. The aim of the present study was to promote a new tool to increase data homogeneity by introducing conformity into groups of clinical investigators. The investigators scoring grid we are proposing-the Mean Deviation of Inter-rater Scoring (MDIS)-involves the calculation of the score deviation for each investigator relative to the median score of an expert group who had evaluated the same videotape-recorded clinical case. Whatever the scale, the score deviation is calculated as the absolute deviation value from the median score obtained by the experts for each item. The MDIS value is then evaluated from all the scores given by an investigator by dividing the total sum of the previously defined values by the number of items of the scale. Some examples from practice are given using several rating scales: (i) Hamilton Anxiety Rating Scale; (ii) Hamilton Depression Rating Scale; (iii) Montgomery Asberg Depression Rating Scale; and (iv) Positive And Negative Symptoms Scale. Finally, such a method could also be employed by experts to evaluate the quality of videotape-recorded clinical cases used in clinical trials, as well as by teachers to evaluate initial or continuous medical training.

  17. [Validation of a diagnostic scoring system (Ohmann score) in acute appendicitis].

    Science.gov (United States)

    Zielke, A; Sitter, H; Rampp, T A; Schäfer, E; Hasse, C; Lorenz, W; Rothmund, M

    1999-07-01

    A diagnostic scoring system, recently published by Ohmann et al. in this journal, was validated by analyzing the clinicopathological data of a consecutive series of 2,359 patients, admitted for suspicion of acute appendicitis. The results of the scoring system were compared to the results of clinical evaluation by junior (provisional) and senior surgeons (final clinical diagnosis). To assess the diagnostic ability of the score, the accuracy and positive predictive value were defined as the major diagnostic performance parameters; the rate of theoretical negative laparotomies and that of diagnostic errors served as the major procedural performance parameters. Of 2,359 patients admitted for suspected acute appendicitis, 662 were proven to have acute appendicitis by histology, for a prevalence of 28%. The overall sensitivity, specificity, positive predictive value, negative predictive value, and accuracy of the provisional clinical diagnosis were 0.50, 0.94, 0.77, 0.83, and 0.82; 0.93, for the score 0.63, 0.93, 0.77, 0.86 and 0.84, and for the final clinical diagnosis 0.90, 0.94, 0.85, 0.96, and 0.93, respectively. Of the main diagnostic performance parameter, the accuracy of the score was significantly better than that of provisional clinical diagnosis (P apendicitis, the score demonstrated a superior performance, with only 6 cases missed (0.9%). However, the number of patients with acute appendicitis, including those with perforated disease, who were not identified by the score, was almost four times that of the final clinical diagnosis (245 vs 63). With regard to the main procedural performance parameter, the score resulted in a significantly smaller number of diagnostic errors than the provisional clinical investigator (P < 0.05, chi 2 test). The results of this study indicate that the diagnostic scoring system might be helpful when experienced investigators or additional diagnostic modalities such as ultrasonography are not available. It may therefore be of value

  18. Literature in focus: How to Score

    CERN Multimedia

    2006-01-01

    What is the perfect way to take a free kick? Which players are under more stress: attackers, midfielders or defenders? How do we know when a ball has crossed the goal-line? And how can teams win a penalty shoot out? From international team formations to the psychology of the pitch and the changing room... The World Cup might be a time to forget about physics for a while, but not for Ken Bray, a theoretical physicist and visiting Fellow of the Sport and Exercise Science Group at the University of Bath who specializes in the science of football. Dr Bray will visit CERN to talk exclusively about his book: How to Score. As a well-seasoned speaker and advisor to professional football teams, this presentation promises to be a fascinating and timely insight into the secret science that lies behind 'the beautiful game'. If you play or just watch football, don't miss this event! Ken Bray - How to Score Thursday 22 June at 3 p.m. (earlier than usual to avoid clashes with World Cup matches!) Central Library reading ...

  19. Physics First: Impact on SAT Math Scores

    Science.gov (United States)

    Bouma, Craig E.

    Improving science, technology, engineering, and mathematics (STEM) education has become a national priority and the call to modernize secondary science has been heard. A Physics First (PF) program with the curriculum sequence of physics, chemistry, and biology (PCB) driven by inquiry- and project-based learning offers a viable alternative to the traditional curricular sequence (BCP) and methods of teaching, but requires more empirical evidence. This study determined impact of a PF program (PF-PCB) on math achievement (SAT math scores) after the first two cohorts of students completed the PF-PCB program at Matteo Ricci High School (MRHS) and provided more quantitative data to inform the PF debate and advance secondary science education. Statistical analysis (ANCOVA) determined the influence of covariates and revealed that PF-PCB program had a significant (p < .05) impact on SAT math scores in the second cohort at MRHS. Statistically adjusted, the SAT math means for PF students were 21.4 points higher than their non-PF counterparts when controlling for prior math achievement (HSTP math), socioeconomic status (SES), and ethnicity/race.

  20. Field trials of the Baby Check score card: mothers scoring their babies at home.

    Science.gov (United States)

    Thornton, A J; Morley, C J; Green, S J; Cole, T J; Walker, K A; Bonnett, J M

    1991-01-01

    The Baby Check score card has been developed to help parents and health professionals grade the severity of acute illness in babies. This paper reports the results of two field trials in which mothers used Baby Check at home, 104 mothers scoring their babies daily for a week and 56 using it for six months. They all found Baby Check easy to use, between 68% and 81% found it useful, and 96% would recommended it to others. Over 70% of those using it daily used it very competently. Those using it infrequently did less well, suggesting that familiarity with the assessment is important. The scores obtained show that Baby Check's use would not increase the number of mothers seeking medical advice. With introduction and practice most mothers should be able to use Baby Check effectively. It should help them assess their babies' illnesses and make appropriate decisions about seeking medical advice.