Longitudinal weight changes, length of survival, and energy requirements of long-term care residents with dementia

OBJECTIVE: We hypothesized that institutionalized patients with dementia, who frequently have feeding problems and require supervised and assisted feeding, would lose more weight during their residency than nondemented, independently functioning residents and have compromised survival. To test this hypothesis, we examined the survival and longitudinal changes in weight of two cohorts of institutionalized residents with dementia and compared these cohorts with a cohort of nondemented residents. We also measured the resting energy expenditures of a subset of the subjects with dementia as an indicator of their energy needs. DESIGN: A longitudinal cohort study with retrospective baseline chart review and subsequent follow-up of monthly weights and mortality over 4 years. SETTING: A 725-bed long-term care institution with specified levels of care. SUBJECTS: Two cohorts of residents with dementia, one consisting of subjects who required total care throughout their institutional stay (n = 31) and another group who did not initially require total care (n = 48); these were compared with a cohort with normal mentation who were functionally independent in their daily activities (n = 26). The total number of subjects was 105. MEASUREMENTS: Demographics, medical problems, and medications by chart review; functional and mental status evaluations; longitudinal monthly weights and mortality for the 48-month study period; and resting energy expenditures by indirect calorimetry. MAIN RESULTS: Residents with dementia had lower weights on admission and throughout their stay than nondemented, independently functioning residents, and they were more likely to have a weight loss of 10 lbs or more at some point during the 4-year study period. However, their mean weights did not change during the study period. The mean survival from admission of those demented residents who died was more than 3 years. Resting energy expenditures of women residents with advanced dementia were 12% lower than predicted from the Harris Benedict equations. CONCLUSION: Dementia is not necessarily associated with unremitting weight loss during institutionalization despite the frequent occurrence of feeding difficulties and temporary weight loss. This may be caused partly by the lower than expected resting energy expenditures and, hence, energy needs of affected residents as their dementia progresses. Demented residents weighed significantly less than nondemented, independently functioning residents throughout their institutional stay. Nevertheless, nursing staff are able to maintain weight and survival for extended periods even in very impaired residents.     

Cure of malignant ascites and generation of protective immunity by monoclonal antibody-targeted activation of a glucuronide prodrug in rats

We examined the in vivo efficacy of targeting beta-glucuronidase (betaG) to activate a glucuronide prodrug (BHAMG) of p-hydroxyaniline mustard (pHAM) at hepatoma ascites in Sprague-Dawley rats. Injection i.p. of 500 microg RH1-betaG, a conjugate formed between recombinant betaG and monoclonal antibody RH1 with specificity for an antigen expressed on AS-30D rat hepatoma cells, into rats bearing AS-30D ascites resulted in the accumulation of 54 microg conjugate per 10(9) tumor cells after 2 hr. Ascites fluid and serum contained 0.53 and 0 microg/ml, respectively, RH1-betaG 2 hr after injection of the conjugate. Conjugate binding to AS-30D cells was heterogeneous and non-saturated, as determined by flow cytometry. BHAMG was less toxic than pHAM to SD rats based on measures of animal mortality, weight loss and hematological toxicity. Treatment of rats bearing established hepatoma ascites with 500 microg RH1-betaG followed 2 hr later with a single i.p. injection of 30 mg/kg BHAMG or 3 i.p. injections of 10 mg/kg BHAMG 2, 3 and 4 hr later resulted in the cure of 6/8 and 8/8 animals, respectively. Treatment with BHAMG or pHAM alone did not produce cures, whereas treatment with a control antibody-betaG conjugate and BHAMG produced significantly greater hematological toxicity compared to treatment with RH1-betaG and BHAMG. All cured rats were completely protected from rechallenge with 2 x 10(7) AS-30D cells, indicating that successful treatment of animals induced protective immunity.     

大型现浇钢筋混凝土U型渡槽施工技术

禹门口提水工程干渠上的十几座大型钢筋混凝土渡槽采用现浇混凝土施工方案。经过十几座渡槽的施工及通水检验，证明现浇施工技术与工艺已经成熟。本文就施工中遇到的高大排架外形与垂直度控制、槽身模板制做与固定、模具的空中支撑、运输与入仓办法等做以简单介绍。     

氧化铝陶瓷缺口件循环疲劳及断裂机理

用实验方法研究了Ａｌ＿２Ｏ＿３陶瓷缺口试件在循环载荷作用下的疲劳寿命。结果表明，缺口导致的应力集中效应显著降低了循环疲劳寿命；若用缺口根部最大应力为应力水平，则不同缺口半径陶瓷试件具有相同疲劳断裂规律，说明陶瓷材料的疲劳集中系数和理论应力集中系数相同。本文还分析讨论了陶瓷材料的循环疲劳寿命表达式和循环疲劳断裂机理。     

MPID─TOF质谱的快速时间分辨微弱信号测试系统

把瞬态记录仪Ｂｉｏｍａｔｉｏｎ８ｌ００与微型计算机ＩＢＭ─ｐＣ／ＸＴ联接建成了一个高速数据采集系统，本文介绍了系统的硬件接口设计及软件设计。在超声分子束条件下，把它应用于环氧乙烷（Ｃ＿２Ｈ＿４Ｏ）的多光子电离与离解飞行时间（ＭＰＩＤ─ＴＯＦ）质谱的实验研究中，并给出了实验结果；本系统在微观基元化学反应动力学实验研究中广泛适用于对时间分辨微弱信号的探测。     

Weight smoothing to improve network generalization

A weight smoothing algorithm is proposed in this paper to improve a neural network's generalization capability. The algorithm can be used when the data patterns to be classified are presented on an n-dimensional grid (n>/=1) and there exists some correlations among neighboring data points within a pattern. For a fully-interconnected feedforward net, no such correlation information is embedded into the architecture. Consequently, the correlations can only be extracted through sufficient amount of network training. With the proposed algorithm, a smoothing constraint is incorporated into the objective function of backpropagation to reflect the neighborhood correlations and to seek those solutions that have smooth connection weights. Experiments were performed on problems of waveform classification, multifont alphanumeric character recognition, and handwritten numeral recognition. The results indicate that (1) networks trained with the algorithm do have smooth connection weights, and (2) they generalize better.     

韩江三角洲海岸变迁遥感调查研究

利用1:10万TM影像，对广东东部韩江三角洲地区的海岸变迁及河道演变进行了调查研究。划分了不同时期的海岸界线和古河道遗迹，提出韩江三角洲的形成是河流动力和海洋动力共同作用的结果，对研究历史海平面变化及环境演变具重要意义。     

利用TM资料测量毛乌素沙地面积的方法和结果

利用1:25万陆地卫星TM资料和地形图，在GIS支持下，建立毛乌素沙地图形数据库，对毛乌素沙地目前流沙分布的范围进行了调查研究。重.资、介绍了利用陆地卫星TM资料对毛乌素沙地的面积进行测童计算的技术和方法，给出了最新测贡得到的毛乌素沙地全区总面积和分布于各旗县的沙地面积数据。     

OO MODELING OF BUSINESS PROCESSES Object-Oriented Systems Analysis

Business reengineering requires new systems analysis tools for process modeling. An object-oriented (OO) approach may be better than the traditional data flow diagram method in modeling business processes. This article explains the development of an OO tool that may potentially benefit IS in reengineering business processes.     

SUN工作站的EEPROM浅析

ＥＥＰＲＯＭ的参数设置控制着系统的基本功能，设置的改变对系统的起动和运行起着重要作用。本文详细地列出了ＥＥＰＲＯＭ的地址分配表，并通过上机实验对那些重要的地址了详细的说明。