In the recent years, short-term heart rate variability (HRV) describing complex variations of beat-to-beat interval series that are mainly controlled by the autonomic nervous system (ANS) has been ...increasingly analyzed to assess the ANS activity in different diseases and under various conditions. In contrast to long-term HRV analysis, short-term investigations (<30 min) provide a test result almost immediately. Thus, short-term HRV analysis is suitable for ambulatory care, patient monitoring and all those applications where the result is urgently needed. In a previous study, we could show significant variations of 5-min HRV indices according to age in almost all domains (linear and nonlinear) in 1906 healthy subjects from the KORA S4 cohort. Based on the same group of subjects, general gender-related influences on HRV indices are to be determined in this study. Short-term 5-min HRV indices from linear time and frequency domain and from nonlinear methods (compression entropy, detrended fluctuation analysis, traditional and segmented Poincaré plot analysis, irreversibility analysis, symbolic dynamics, correlation and mutual information analysis) were determined from 782 females and 1124 males. First, we examined the gender differences in two age clusters (25-49 years and 50-74 years). Secondly, we investigated the gender-specific development of HRV indices in five age decade categories, namely for ages 25-34, 35-44, 45-54, 55-64 and 65-74 years. In this study, significant modifications of the indices according to gender could be obtained, especially in the frequency domain and correlation analyses. Furthermore, there were significant modifications according to age in nearly all of the domains. The gender differences disappeared within the last two age decades and the age dependencies disappeared in the last decade. To summarize gender and age influences need to be considered when performing HRV studies even if these influences only partly differ.
The diffusion model (Ratcliff, 1978) takes into account the reaction time distributions of both correct and erroneous responses from binary decision tasks. This high degree of information usage ...allows the estimation of different parameters mapping cognitive components such as speed of information accumulation or decision bias. For three of the four main parameters (drift rate, starting point, and non-decision time) trial-to-trial variability is allowed. We investigated the influence of these variability parameters both drawing on simulation studies and on data from an empirical test-retest study using different optimization criteria and different trial numbers. Our results suggest that less complex models (fixing intertrial variabilities of the drift rate and the starting point at zero) can improve the estimation of the psychologically most interesting parameters (drift rate, threshold separation, starting point, and non-decision time).
Diffusion models (Ratcliff,
1978
) make it possible to identify and separate different cognitive processes underlying responses in binary decision tasks (e.g., the speed of information accumulation ...vs. the degree of response conservatism). This becomes possible because of the high degree of information utilization involved. Not only mean response times or error rates are used for the parameter estimation, but also the response time distributions of both correct and error responses. In a series of simulation studies, the efficiency and robustness of parameter recovery were compared for models differing in complexity (i.e., in numbers of free parameters) and trial numbers (ranging from 24 to 5,000) using three different optimization criteria (maximum likelihood, Kolmogorov–Smirnov, and chi-square) that are all implemented in the latest version of fast-dm (Voss, Voss, & Lerche,
2015
). The results revealed that maximum likelihood is superior for uncontaminated data, but in the presence of fast contaminants, Kolmogorov–Smirnov outperforms the other two methods. For most conditions, chi-square-based parameter estimations lead to less precise results than the other optimization criteria. The performance of the fast-dm methods was compared to the EZ approach (Wagenmakers, van der Maas, & Grasman,
2007
) and to a Bayesian implementation (Wiecki, Sofer, & Frank,
2013
). Recommendations for trial numbers are derived from the results for models of different complexities. Interestingly, under certain conditions even small numbers of trials (
N
< 100) are sufficient for robust parameter estimation.
In the present article, a flexible and fast computer program, called fast-dm, for diffusion model data analysis is introduced. Fast-dm is free software that can be downloaded from the authors' ...websites. The program allows estimating all parameters of Ratcliff's (1978) diffusion model from the empirical response time distributions of any binary classification task. Fast-dm is easy to use: it reads input data from simple text files, while program settings are specified by commands in a control file. With fast-dm, complex models can be fitted, where some parameters may vary between experimental conditions, while other parameters are constrained to be equal across conditions. Detailed directions for use of fast-dm are presented, as well as results from three short simulation studies exemplifying the utility of fast-dm.
Methods from nonlinear dynamics (NLD) have shown new insights into heart rate (HR) variability changes under various physiological and pathological conditions, providing additional prognostic ...information and complementing traditional time- and frequency-domain analyses. In this review, some of the most prominent indices of nonlinear and fractal dynamics are summarized and their algorithmic implementations and applications in clinical trials are discussed. Several of those indices have been proven to be of diagnostic relevance or have contributed to risk stratification. In particular, techniques based on mono- and multifractal analyses and symbolic dynamics have been successfully applied to clinical studies. Further advances in HR variability analysis are expected through multidimensional and multivariate assessments. Today, the question is no longer about whether or not methods from NLD should be applied; however, it is relevant to ask which of the methods should be selected and under which basic and standardized conditions should they be applied.
Candida auris Saris, Katja; Meis, Jacques F; Voss, Andreas
Current opinion in infectious diseases,
08/2018, Letnik:
31, Številka:
4
Journal Article
Recenzirano
PURPOSE OF REVIEWTo give an update on the recent emergence of Candida auris.
RECENT FINDINGSC. auris is a pathogen, that evades present therapeutic options, that is highly virulent, causes disease in ...all types of patients, and spreads easily in the environment and among patients, thereby posing an imminent threat to our patients. The fact that C. auris, in addition, is more resilient to environmental disinfection and frequently misclassified during microbiological diagnostics only heightens its potential as a ‘perfect villain.’
SUMMARYHealthcare institutions, especially hospitals, need to ensure that their diagnostic and infection control policies to handle C. auris are in place.
Insights gained from a comparison of aminometalation reactions with lithium amides, potassium amides and mixed lithium/potassium amides are presented. A combination of structural characterization, ...DFT calculations and electrophile reactions of aminometalated intermediates has shown the advantages of using a mixed metal strategy. While potassium amides fail to add, the lithium amides are uncontrollable and eliminated, yet the mixed K/Li amides deliver the best of both systems. Aminopotassiation proceeds to form the alkylpotassium species which has enhanced stability over its lithium counterpart allowing for its isolation and thereby its further characterization.
The use of a mixed‐metal system consisting of LiNR2/KOR increases the selectivity of the aminometalation of styrene derivatives in favour of a potassiated intermediate over a polymerization product. Crystal structures along with quantum chemical calculations and experimental investigations demonstrate the additional advantages of potassium over lithium or sodium for the stability of metalated phenylethylamines.
Germany is among the leading countries regarding the promotion of renewable energy towards a sustainable energy system transition. In this paper, we investigate the German pilot auction scheme for ...solar photovoltaics introduced in the Renewable Energies Act 2014 (EEG 2014) that serves as a pilot for the auction-based promotion of the three major large-scale renewable electricity generation technologies (wind, solar, biomass) as of 2017. A strategic bidding model is used to determine the optimal bidding strategy and to determine the resulting project value. We consider pay-as-bid and uniform pricing and single and multiple bids. Moreover, we investigate the impact of investment cost uncertainty. In a sensitivity analysis we show how bid strategy adjustments affect the outcome. Specifically, higher uncertainty regarding the market clearing price increases the project value, as this additional uncertainty can be used to raise the probability of obtaining a higher level of remuneration by an adjusted auction strategy. The first-price auction can generate additional profits by placing a second, higher bid with a low probability of success. Investment cost uncertainty can have either a positive or negative impact on the project value, depending on the auction parameter values chosen.
The diffusion model (Ratcliff, 1978) allows for the statistical separation of different components of a speeded binary decision process (decision threshold, bias, information uptake, and motor ...response). These components are represented by different parameters of the model. Two experiments were conducted to test the interpretational validity of the parameters. Using a color discrimination task, we investigated whether experimental manipulations of specific aspects of the decision process had specific effects on the corresponding parameters in a diffusion model data analysis (see Ratcliff, 2002; Ratcliff & Rouder, 1998; Ratcliff, Thapar, & McKoon, 2001, 2003). In support of the model, we found that (1) decision thresholds were higher when we induced accuracy motivation, (2) drift rates (i.e., information uptake) were lower when stimuli were harder to discriminate, (3) the motor components were increased when a more difficult form of response was required, and (4) the process was biased toward rewarded responses.
Resistance to antibiotics has increased dramatically over the past few years and has now reached a level that places future patients in real danger. Microorganisms such as Escherichia coli and ...Klebsiella pneumoniae, which are commensals and pathogens for humans and animals, have become increasingly resistant to third-generation cephalosporins. Moreover, in certain countries, they are also resistant to carbapenems and therefore susceptible only to tigecycline and colistin. Resistance is primarily attributed to the production of beta-lactamase genes located on mobile genetic elements, which facilitate their transfer between different species. In some rare cases, Gram-negative rods are resistant to virtually all known antibiotics. The causes are numerous, but the role of the overuse of antibiotics in both humans and animals is essential, as well as the transmission of these bacteria in both the hospital and the community, notably via the food chain, contaminated hands, and between animals and humans. In addition, there are very few new antibiotics in the pipeline, particularly for Gram-negative bacilli. The situation is slightly better for Gram-positive cocci as some potent and novel antibiotics have been made available in recent years. A strong and coordinated international programme is urgently needed. To meet this challenge, 70 internationally recognized experts met for a two-day meeting in June 2011 in Annecy (France) and endorsed a global call to action ("The Pensières Antibiotic Resistance Call to Action"). Bundles of measures that must be implemented simultaneously and worldwide are presented in this document. In particular, antibiotics, which represent a treasure for humanity, must be protected and considered as a special class of drugs.
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