Trends of in-hospital cardiac arrests in a single tertiary hospital with a mature rapid response system

Background Most studies on rapid response system (RRS) have simply focused on its role and effectiveness in reducing in-hospital cardiac arrests (IHCAs) or hospital mortality, regardless of the predictability of IHCA. This study aimed to identify the characteristics of IHCAs including predictability of the IHCAs as our RRS matures for 10 years, to determine the best measure for RRS evaluation. Methods Data on all consecutive adult patients who experienced IHCA and received cardiopulmonary resuscitation in general wards between January 2010 and December 2019 were reviewed. IHCAs were classified into three groups: preventable IHCA (P-IHCA), non-preventable IHCA (NP-IHCA), and inevitable IHCA (I-IHCA). The annual changes of three groups of IHCAs were analyzed with Poisson regression models. Results Of a total of 800 IHCA patients, 149 (18.6%) had P-IHCA, 465 (58.1%) had NP-IHCA, and 186 (23.2%) had I-IHCA. The number of the RRS activations increased significantly from 1,164 in 2010 to 1,560 in 2019 (P = 0.009), and in-hospital mortality rate was significantly decreased from 9.20/1,000 patients in 2010 to 7.23/1000 patients in 2019 (P = 0.009). The trend for the overall IHCA rate was stable, from 0.77/1,000 patients in 2010 to 1.06/1,000 patients in 2019 (P = 0.929). However, while the incidence of NP-IHCA (P = 0.927) and I-IHCA (P = 0.421) was relatively unchanged over time, the incidence of P-IHCA decreased from 0.19/1,000 patients in 2010 to 0.12/1,000 patients in 2019 (P = 0.025). Conclusions The incidence of P-IHCA could be a quality metric to measure the clinical outcomes of RRS implementation and maturation than overall IHCAs.

Validation for measurements of skeletal muscle areas using low-dose chest computed tomography

Various methods were suggested to measure skeletal muscle areas (SMAs) using chest low-dose computed tomography (chest LDCT) as a substitute for SMA at 3rd lumbar vertebra level (L3-SMA). In this study, four SMAs (L1-SMA, T12-erector spinae muscle areas, chest wall muscle area at carina level, pectoralis muscle area at aortic arch level) were segmented semi-automatically in 780 individuals taking concurrent chest and abdomen LDCT for healthcare screening. Four SMAs were compared to L3-SMA and annual changes were calculated from individuals with multiple examinations (n = 101). Skeletal muscle index (SMI; SMA/height2) cut-off for sarcopenia was determined by lower 5th percentile of young individuals (age ≤ 40 years). L1-SMA showed the greatest correlation to L3-SMA (men, R2 = 0.7920; women, R2 = 0.7396), and the smallest annual changes (0.3300 ± 4.7365%) among four SMAs. L1-SMI cut-offs for determining sarcopenia were 39.2cm2/m2 in men, and 27.5cm2/m2 in women. Forty-six men (9.5%) and ten women (3.4%) were found to have sarcopenia using L1-SMI cut-offs. In conclusion, L1-SMA could be a reasonable substitute for L3-SMA in chest LDCT. Suggested L1-SMI cut-offs for sarcopenia were 39.2cm2/m2 for men and 27.5cm2/m2 for women in Asian.

Climatic curves as predictors in MaxEnt niche modeling

Environmental niche modelling (ENM) uses different types of variables to predict species occurrence. In widespread use are variables derived from climatic curves, i.e., average annual changes in some climatic parameter. This study shows how to use the climatic curves themselves as ENM predictors. The key step is projection of the curves' constituent variables on a suitable spline basis, which preserves time-ordering of the variables and supports smoothness of predictions. Complexity of the model is controlled by sensible choice of the spline basis, followed by lasso regularization in model fitting.

Methodological aspects of scientific research of production and sales of agricultural products in dynamics

The high instability of the annual indicators of agricultural production is emphasized, in this regard, the analysis of production and sales of products in the industry has its own characteristics, which should be taken into account both for educational purposes and in production conditions. It is important to estimate annual changes in indicators for each crop using graphs based on trend equations. The paper proposes a method of research and comparison of indicators in the starting and final periods of the study. It is also proposed to carry out calculations of the average annual moving indicators, which allows to a certain extent to smooth out the annual extreme values. The article proposes a methodology for calculating the potential indicators of production and sales of products, on the basis of which the available reserves for their growth are estimated. The proposed analysis is supported by a graphical research method.

Comparing the reliability of relative bird abundance indices from standardized surveys and community science data at finer resolutions

Biodiversity loss is a global ecological crisis that is both a driver of and response to environmental change. Understanding the connections between species declines and other components of human-natural systems extends across the physical, life, and social sciences. From an analysis perspective, this requires integration of data from different scientific domains, which often have heterogeneous scales and resolutions. Community science projects such as eBird may help to fill spatiotemporal gaps and enhance the resolution of standardized biological surveys. Comparisons between eBird and the more comprehensive North American Breeding Bird Survey (BBS) have found these datasets can produce consistent multi-year abundance trends for bird populations at national and regional scales. Here we investigate the reliability of these datasets for estimating patterns at finer resolutions, inter-annual changes in abundance within town boundaries. Using a case study of 14 focal species within Massachusetts, we calculated four indices of annual relative abundance using eBird and BBS datasets, including two different modeling approaches within each dataset. We compared the correspondence between these indices in terms of multi-year trends, annual estimates, and inter-annual changes in estimates at the state and town-level. We found correspondence between eBird and BBS multi-year trends, but this was not consistent across all species and diminished at finer, inter-annual temporal resolutions. We further show that standardizing modeling approaches can increase index reliability even between datasets at coarser temporal resolutions. Our results indicate that multiple datasets and modeling methods should be considered when estimating species population dynamics at finer temporal resolutions, but standardizing modeling approaches may improve estimate correspondence between abundance datasets. In addition, reliability of these indices at finer spatial scales may depend on habitat composition, which can impact survey accuracy.