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Reducing postdischarge Medicare expenditures is a key focus for hospitals. Early follow-up care is an important piece of this focus, but it is unclear whether there are rural–urban differences in the impact of follow-up care on Medicare expenditures. To assess this difference, we use the Medicare Current Beneficiary Su... |
Preliminary research on applying a novel control scheme to a medical expert system is presented. The solution of most diagnosis problems requires reasoning at multiple abstraction levels. Adaptive abstraction (AA) is a control scheme that enables an expert system to switch automatically to an appropriate level of abstr... |
TH E objective of paediatrics is to enable every individual to have a healthy happy childhood and to reach adult life in the best possible state of physical and mental health. A child who suffers from chronic or permanent handicap as a result of preventable disease represents a human tragedy and a serious failure of th... |
Aspect-Oriented Programming is gaining prominence, particularly in the area of security. There are however no taxonomies available, that classify the proliferation of research done in the area of Aspect-Oriented Security. This paper attempts to categorize research outputs conducted in this area, and evaluate the usabil... |
The need for wireless communication systems has grown rapidly during the last few years. Moreover, there is a steady growth in the required data rates due to the fact that more and more users request high-bit-rate services. To meet those requirements, current and next-generation wireless systems and networks such as wi... |
Unmanned Aerial Vehicles (UAVs) are nowadays used in a variety of applications. Given the cyber-physical nature of UAVs, software defects in these systems can cause issues with safety-critical implications. An important aspect of the lifecycle of UAV software is to minimize the possibility of harming humans or damaging... |
I find percutaneous intramedullary fixation of phalangeal fractures with a headless compression screw intriguing. It is minimally invasive and soft tissue damage is negligible. Since the final construct is generally quite stable, early rehabilitation and range of motion without splint protection can be initiated. I fin... |
It was found that the Type 2 thymus‐independent (TI‐2) antigens bacterial levan, trinitrophenyl‐Ficoll, and pneumococcal carbohydrate vaccine (PnC) stimulate clonal expansion and antibody secretion in splenic fragments from either hemocyanin‐primed or unprimed irradiated recipients bearing B cells from unprimed donors.... |
We have recently demonstrated that application of the mustard oil (MO), a small-fiber excitant and inflammatory irritant, to the rat maxillary molar tooth pulp induces significant increases in jaw muscle electromyographic (EMG) activity and neuroplastic changes in trigeminal (V) subnucleus caudalis. Since subnucleus or... |
This article presents a new approach for fatigue life assessment of bolted steel joints using the equivalent stiffness determined by surface-bonded piezo-impedance transducers. The piezo transducers acquire electromechanical admittance signatures comprising the conductance (real part) and the susceptance (imaginary par... |
BACKGROUND AND AIMS |
Whether vedolizumab may be effective as a treatment for primary sclerosing cholangitis (PSC) in patients with inflammatory bowel disease (IBD) remains controversial. |
METHODS |
We performed a retrospective observational study of consecutive patients with IBD and PSC treated with vedolizumab for at least 30 weeks in 22 centres of the GETAID from January 2015 to June 2016. The outcomes included a decrease in the serum alkaline phosphatase (ALP) concentration of at least 50% from baseline to wee... |
RESULTS |
Among 75 patients with active IBD and PSC treated with vedolizumab, 21 patients discontinued vedolizumab before week 30 (due to lack of efficacy in 19 and malignancy in 2). In the remaining 54 patients, a decrease in the serum ALP concentration of at least 50% from baseline to weeks 30 and 54 was observed in 4 (7%) and... |
CONCLUSION |
In patients with IBD and PSC, vedolizumab did not improve serum liver enzyme concentrations at weeks 30 or 54. Nine cases of digestive cancers occurred during the follow-up period, confirming the need for a tight surveillance programme in this population.Stent Maps — Comparative Visualization for the Prediction of Adve... |
Transcatheter aortic valve implantation (TAVI) is a minimally-invasive method for the treatment of aortic valve stenosis in patients with high surgical risk. Despite the success of TAVI, side effects such as paravalvular leakages can occur postoperatively. The goal of this project is to quantitatively analyze the co-oc... |
Despite the growing interest in green investing among academics and industry professionals alike, there is little consensus on whether it successfully incentivizes firms to adopt eco-friendly business practices. Using the equity holdings of institutional investors and the “demand system approach” to asset pricing, we p... |
We propose a method for fully automatic calibration of traffic surveillance cameras. This method allows for calibration of the camera – including scale – without any user input, only from several minutes of input surveillance video. The targeted applications include speed measurement, measurement of vehicle dimensions,... |
ABSTRACT Online users today are provided with a variety of customization tools to build their own information environment. A growing number of public health messages reach their target audiences via these digital venues. Given the deeply personal and individualized nature of customized environments, do online users sho... |
Safety information of evacuees is the most important information for relief activities in disasters. We have discussed about required conditions for computer systems destined for supporting effective relief activities after disasters. In addition, on the basis of this discussion, we also have proposed a network constru... |
This study proposes to investigate the effect of adding vibration feedback to a navigation task in virtual environment. Previous study used footstep vibrations and proprioceptive vibrations in order to decrease the cyber-sickness and increase the sense of presence. In this study, we experiment the same vibration modali... |
In this paper, we present a construction of hidden variable bivariate fractal interpolation functions (HVBFIFs) with function vertical scaling factors and estimate errors of HVBFIFs on perturbation of the function vertical scaling factor. We construct HVBFIFs on the basis of the iterated function system (IFS) with func... |
In nowadays where rapidly evolving technology especially computer technology has an important role in our lives; the concepts of authentic learning and multimedia stand out. While the concept of multimedia describe the applications of environments which are created by using a combination of different media types, authe... |
Approximately 85% of lung cancers are non–small-cell lung cancers (NSCLCs), which are often diagnosed at an advanced stage and associated with poor prognosis. Currently, there are very few therapies available for NSCLCs due to the recalcitrant nature of this cancer. Mutations that activate the small GTPase KRAS are fou... |
Singlemode-Multimode-Singlemode (SMS) is one of the fiber optic sensor structures that is widely applied for many sensing applications. High sensitivity is the preferred characteristic of SMS fiber structure. In this paper, a tapered structure is introduced to the SMS fiber structure to increase its performance. The ta... |
The genus Saetherolabis Andersen et Mendes, 2007 was described based on S. pectinata Andersen et Mendes, 2007 from theAmazon forest in Brazil. Below two new species of Saetherolabis, S. iperuype sp. n. and S. siriype sp. n., are described and figured based on males from Mata Atlântica in Sao Paulo and Sergipe States in... |
decline and its civic education mission lapsed. Sinyai blames anti-union forces, their representatives in government who passed the deleterious Taft-Hartley and Landrum-Griffin acts, and those unionists who failed to live up to the democratic promise and ideals of the Republic. Sinyai, however, remains cautiously optim... |
In this paper, we present a new approach to manipulability maximisation for a dual-arm manipulator, which takes into account the manipulability of the overall task. This method tries to overcome the drawbacks given by traditional approaches, which optimise the manipulability of the local configuration of the manipulato... |
In the present work, by considering the agglomeration effect of single-walled carbon nanotubes, free vibration characteristics of functionally graded (FG) nanocomposite sandwich beams resting on Pasternak foundation are presented. The carbon nanotubes (CNTs) volume fraction is graded through the thicknesses of face she... |
The mature larva of Stenelmis puberula Reitter is described for the first time, based on material collected in north-eastern Slovakia (Central Europe). The conspecificity with associated adults was tested using sequences of one nuclear (5' end of 18S rRNA) and three mitochondrial gene fragments (two fragments covering ... |
Application of phosphate fertilizer for the correction of P deficiency in soil is ideal in agricultural practices. Unfortunately, only a small fraction of applied P fertilizer is available for plant uptake due to fertilizer-soil interactions which leads to fixation of P. phosphorus adsorption isotherm and buffering cap... |
Provisions for safe water, improved sanitation and hygiene (WASH) as well as appropriate clinical case management have been the mainstays of cholera control. WHO’s position on oral cholera vaccine (OCVs) use has evolved over the years. In the first cholera vaccine position paper in 2001, the WHO solely recommended the ... |
The paper presents some challenges to seamless e-government, and proposes a technical solution - government-enterprise ecosystem gateway (G-EEG) to address them. G-EEG is a framework through which multi-organizational processes and applications can dynamically build, apply and evolve complex communication structures to... |
With the present trend towards Smart Grids and Smart Energy Systems it is important to look for the opportunities for integrated development between different energy sectors, such as electricity, heating, gas and transportation. This paper investigates the problem of optimal placement of a heat pump – a component that ... |
Gold nanoclusters (AuNCs), stabilized and functionalized by organic ligands, have served as new generation materials for applications in nanocatalysis. To further expand and regulate the catalytic function of AuNCs, the exploration of surface interactions and modulated-ligand properties is highly desirable. This study ... |
During the last three centuries since the identification of periodontal disease, various non-surgical and surgical forms of periodontal therapy have been described and documented in the dental literature. The main objective of periodontal treatment has been initially the removal of "diseased gingiva," either through th... |
In this paper we present a framework for design space exploration of a network processor, that incorporates parameterisation, power and cost analysis. This method utilises multi-objective evolutionary algorithms and object oriented analysis and design. Using this approach an engineer specifies certain hard and soft per... |
BACKGROUND |
In 1997, the Expert Committee of the American Diabetes Association (ADA) revised the diabetes mellitus (DM) diagnostic criteria to facilitate the diagnosis of DM on the basis of fasting plasma glucose (PG). The major purpose of the study is to evaluate if oral glucose tolerance test (OGTT) is still needed after the rev... |
METHODS |
From September 1994 to March 1995, 247 ambulatory subjects referred by clinicians for 75-g OGTT were recruited for the study. Fasting and 2-h PG and serum insulin concentrations were determined. Additional fasting blood samples were collected for the measurement of HbA1c. We used the receiver operating characteristic (... |
RESULTS |
The optimal fasting PG level depicted by ROC curve was more than 105 mg/dl, giving 80.6% sensitivity and 85.6% specificity for the diagnosis of DM in clinical setting. If fasting PG > or = 126 mg/dl was employed, the specificity was 98.3% but the sensitivity went down to 42.6%. High rates of glucose intolerance would r... |
CONCLUSIONS |
In the population studied, undiagnosed glucose intolerance can still be encountered in a large number of subjects with fasting PG less than 126 mg/dl. OGTT is still indispensable in clinical setting for the diagnosis of DM and IGT after the revision of diagnostic criteria.Light emitting diode excitation of Cr3+:Al2O3 a... |
Light emitting diode (LED) excitation of thermographic phosphors for temperature measurements was investigated in the present work. A near-UV and a green LED excited the phosphorescence of sol–gel deposited chromium-doped alumina (Cr3+:Al2O3, ruby) on silicon in different experiments. The influence of the pulse length ... |
Digital-analog hybrid simulation combines digital simulation and physical simulation, and is an important simulation method for studying modern power systems. Aiming at the slow impedance matching speed and low accuracy of the damped impedance method in the current digital-analog hybrid simulation methods, a damped imp... |
We present an experimental configuration for phase retrieval from a set of intensity measurements. The key component is a spatial light modulator located in the Fourier domain of an imaging system. It performs a linear filter operation that is associated to the process of propagation in the image plane. In contrast to ... |
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