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Background  

Bioelectrical Impedance (BIA) derived phase angle is increasingly being used as an objective indicator of nutritional status in advanced cancer. Subjective Global Assessment (SGA) is a subjective method of nutritional status. The objective of this study was to investigate the association between BIA derived phase angle and SGA in advanced colorectal cancer.  相似文献   
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A questionnaire survey was carried out to examine the attitudes and practices of Australian and New Zealand intensivists with regard to brain death and organ donation. A return rate of 82.5% was achieved. Fifty-eight per cent had written evidence of their own wishes to donate organs and 94% would agree to donation from a dependent. At least one intensivist is involved in certifying brain death on 95% of occasions. Intensivists are involved in the request for organ donation over 90% of the time although one-third do not believe that it is their role to request organ donation. Although two-thirds believe that the family should always be approached for organ donation, another 52 out of 254 indicated that it was their (the intensivist's) role to decide if families should be asked for organ donation. Possible reasons for not requesting are language or other communication problems, perceptions of cultural differences and degrees of family distress. Twenty per cent of respondents do not provide haemodynamic support before brain death confirmation. Australian and New Zealand intensivists overwhelmingly support the concept of brain death, current methods of confirmation of brain death, organ donation and transplantation. Possible reasons behind loss of potential donors include decisions not to resuscitate both before and after brain death is confirmed. Perceptions of family grief and cultural differences clearly inhibit requests for organ donation. A very few units have an effective policy on approaching families about organ donation. Intensivists have almost exclusive control over requests for organ donation and thus bear a full professional responsibility for this element of hospital practice.  相似文献   
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The design of complex system requires a lot of interactions between experts and then between numerous Computer Aided X software (CAX) (where X can be Design (CAD), Engineering (CAE), Manufacturing (CAM), etc.). In order to improve the consistency of the whole system design and the related data and information, knowledge crossing the expertises must be tracked and formalized regarding a shared reference. That means that instead of defining a large reference models to which each expert refers to, a light collaborative model is defined enabling to connect data from each expert model to adhoc data from other expert models, following the least commitment principle. In this topic, a new meta-model is proposed in a Model-Driven Engineering approach to manage the integration of heterogeneous experts’ knowledge models in a collaborative process. The structure of the proposed knowledge meta-model is defined taking into account the complexity of knowledge definition and the properties of its components. This meta-model is split in a meta-model of data on one hand and a Collaboration Meta-Model in the other hand, to represent the distinction between the core concepts of knowledge and additional elements serving to represent the relation between these concepts, and between concepts of heterogeneous experts’ models. The proposed meta-model is illustrated on an industrial case study to highlight the way to put it in use, and its interests to enable collaboration between experts throughout the design process.  相似文献   
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Human salmonellosis is an important food-borne disease and S. Typhimurium is the most common serotype attributed to pork products. Under a farm-to-fork strategy, reducing the levels of Salmonella-positive pigs entering the slaughterhouse is an important goal. A framework model was developed, where the effect of dynamic (infection characteristics) and non-dynamic (cleanness and disinfection, biosecurity measures, etc.) factors were considered. Four baseline scenarios were created, corresponding to different levels associated with national Salmonella monitoring programs, and sensitivity analyses were run for the non-dynamic factors. Moreover, the option of vaccination was incorporated into the model, in order to provide with a tool for the formulation of an optimum vaccination strategy depending on the characteristics of the vaccine.  相似文献   
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The characterization of bis(trimethylsilyl)ethylamine was carried out using a combination of IR, UV, 1H, 13C, 29Si, and 15N NMR spectroscopy, as well as elemental analysis. The spectral characteristics of the compound were determined. The temperature dependence of the saturated vapor pressure was established by tensimetric studies, and the thermodynamic characteristics of vaporization were calculated. Thermodynamic simulation of the chemical vapor deposition was performed and was used as a basis for predicting the composition of the deposited phase complexes depending on the type of reagent and the process conditions.  相似文献   
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Climate change will entail new conditions for the construction industry. Knowledge about the implications of climate change on the built environment will be of the utmost importance to the industry in years to come. A building is a ‘long lasting’ durable asset that is changed over time due to exogenously imposed strains and by actions. The built environment has an expected lifetime varying from 60 to more than 100 years. Hence, the building economics of climate change should be treated within a dynamic analytical framework that explicitly allows for changes in the information sets over time. The building stock of the future consists of the building stock of today and of new construction. In the future, parts of the present building stock will be adapted to changes in the environment, while some parts will be kept as they are. Analysis of how building stock is affected by future climate change should handle this diversity. This can be done through the use of a putty-clay model. Uncertainty of what kind of climate regimes will prevail in the future enhances the profitability of actions that increase future flexibility. Hence, the real option approach to building economics is utilized.  相似文献   
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