EEG spectral abnormalities and psychosis as predictors of cognitive and functional decline in probable Alzheimer's disease

We examined whether either psychotic features (e.g., delusions and hallucinations) or EEG abnormalities are associated with more rapid progression of Alzheimer's disease (AD). AD patients with psychosis have exhibited more EEG abnormalities than those without psychosis, and both abnormal EEG and psychosis have been noted to be predictors of functional and cognitive decline in AD. Ninety-five probable AD patients participating in a longitudinal study of dementia had an EEG and a semistructured psychiatric interview at baseline. Using EEG spectral analysis, we classified records as normal/abnormal based on the parasagittal mean frequency. Patients with abnormal EEGs were more functionally (e.g., Blessed Rating Scale for activities of daily living) and cognitively (e.g., Mini-Mental State) impaired than patients with normal EEG. AD patients with psychosis were only more functionally impaired than patients without psychosis. A two-factor analysis showed no interaction between abnormal EEG and psychosis. In addition, using a Cox proportional hazard model adjusted for age and education, the presence of an abnormal EEG or psychotic symptom at study entry was associated with higher risk of reaching severe cognitive and functional impairment during follow-up. Neither abnormal EEG nor the presence of psychosis predicted death. These results indicate that both abnormal EEG and psychosis are independent predictors of disease progression but not of physical survival.     

„Patriot“

Ohne Zusammenfassung     

OC-48、OC-192芯片和系统设计师面临挑战

当今，从事OC-48、OC-192技术的设计师在设计基于因特网协议(IP协议)的下一代系统时，因系统含有诸如ASIC、网络处理器(NP)、高速跟踪器等元件，以及分组SONET物理层(PoS-PHY)接口规范等的演变，而一直面临挑战。抖动和扭斜失真等现象的存在给诸如系统分组接口第4层(SPI-4)和通用交换接口(CSIX)等总线结构本已拥挤的时序容限，以及四元数据率静态RAM传送表访问时间带来极大混乱。再加上诸如低压差分信号(LVDS)、高速收发逻辑和短线串行终端逻辑等超低电压峰-峰信号技术的引入，使数据出错的可能性变得异常之高。而利用仿真技…     

Overcoming the challenges in deploying user provisioning/identity access management backbone

This paper sets out to share BT's leadership and experience by determining the identity management opportunities and issues, then document the lessons learnt in previous deployments and recommend strategies for all types and sizes of organisation. Today's ICT environment has created a mixed approach to access management across sectors. Browser-based any time, anywhere, anyone access, coupled with the business need to access more systems and services across a changing infrastructure of distributed platforms and networked services, has changed the administrative landscape. Enterprises are being forced to add administrative support staff or invest in technology-driven process change. At the same time, users are undergoing significant change, creating new expectations in service quality. Moreover, regulatory bodies are demanding confirmation that processes granting access are controlled and documented. In this world of increasing demands, complexity and expectation, the service management tools, techniques and options available to improve user access management are as varied and numerous as the issues faced by management in their deployment. Identity management is widely heralded as an opportunity to improve the end user experience, reduce costs, improve security and deliver regulatory compliance — but is often misunderstood. Projects regularly fail to achieve the expected benefits. These failures are the result of expectations being inappropriately set, deployment of solutions turning out to be more complex or taking longer than expected, and/or products selected before required functionality has been determined. For the larger more mature organisations, or those organisations that are the amalgamation of mergers and acquisitions, the dilemma is where to start and what approach to take.     

Meßtechnik zur Charakterisierung von Gas/Flüssigkeits-Reaktoren

Measuring techniques for characterizing gas/liquid reactors . The article considers measuring techniques for the characterization of the phases in gas/liquid reactors. These include the velocity profile and turbulence in the continuous phase as well as holdup, size, and velocity of the dispersed phase. Also, methods for the determination of the specific interfacial area and the volumetric mass transfer coefficients are discussed. Measuring methods have made enormous advances in recent years. In spite of this, there is a lack of reliable methods, especially for use during reactions without disturbing the state of the reactor. It is suspected that probe technique will gradually fall into disuse and more and more attention will be focussed on contractless methods. This calls for further development of ultrasonic methods and methods relying on emission of light.     

Maschinelle Sprachverarbeitung

Dieser Beitrag behandlt die Rolle des statistischen Ansatzes in der maschinellen (oder automatischen) Sprachverarbeitung.      

Comparison of two methods of surfactant administration and the effect on dosing-associated hypoxemia

OBJECTIVE: The purpose of our study was to test the hypothesis that surfactant dosing through a proximal sideport adapter on an endotracheal tube leads to more dosing-associated hypoxemia compared with a method of dosing that uses a double-lumen endotracheal tube. STUDY DESIGN: Using adequate sample size to compare significant changes in O2 saturation (power > 0.8, alpha < 0.05) we enrolled 36 infants with respiratory distress syndrome in this randomized trial. A 10% change in O2 saturation was considered clinically significant. Nineteen infants received 38 doses of surfactant through the sideport adapter. Seventeen infants received 31 doses of surfactant through the nonventilation lumen of a double-lumen endotracheal tube. Two main outcome measures were assessed: time-averaged O2 saturation values 30 minutes after dosing and the largest absolute fall in O2 saturation for each patient. RESULTS AND CONCLUSIONS: Time-averaged O2 saturation measures were higher in the proximal sideport group (p = 0.02), but the magnitude of difference was probably not clinically significant. No significant difference was detected between groups when we compared largest absolute drop in O2 saturation. Secondary analyses found no effect of birth weight or dose number (second vs third dose) on either outcome measure.