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We introduce a technique for patient mix-adjusting x charts and compared differences between unadjusted and patient mix-adjusted results. Our data came from coronary artery bypass graft (CABG) surgery patients at Baptist Medical Center, Oklahoma City, Oklahoma. We first developed an unadjusted x control chart to compare monthly changes in CABG surgery costs and then used a published model to patient mix-adjust our x control chart information. Before adjustment, the average log costs for three of ten months were outside the 90% control limit lines, and there was a trend toward increasing costs. After adjustment, two months had average costs outside the 90% lower control limit lines, and the trend toward increasing costs had been explained by differences in patient acuity. [ABSTRACT FROM AUTHOR]

Common variable immunodeficiency (CVI) is a heterogenous immunodeficiency syndrome characterized by hypogammaglobulinemia, recurrent bacterial infections, and various immunologic abnormalities. In addition to recurrent infections, patients with this syndrome also have an increased incidence of autoimmune disease and malignancy. Because the spectrum of associated diseases is broad, patients with CVI are seen by various medical specialists. This review discusses the pathogenesis, clinical manifestations, diagnosis, and treatment of CVI. [ABSTRACT FROM AUTHOR]

Objectives: To examine the influences of situational and model factors on the accuracy of Bayesian learning systems.Design: This study examines the impacts of variations in two situational factors, training sample size and number of attributes, and in two model factors, choice of Bayesian model and criteria for excluding model attributes, on the overall accuracy of Bayesian learning systems.Measurements: The test data were derived from myocardial infarction patients who were admitted to eight hospitals in New Orleans during 1985. The test sample consisted of 339 cases; the training samples included 100, 400, and 800 cases. APACHE II variables were used for the model attributes and patient discharge status as the outcome predicted. Attribute sets were selected in sizes of 4, 8, and 12. The authors varied the Bayesian models (proper and simple) and the attribute exclusion criteria (optimism and pessimism).Results: The simple Bayes model, which assumes conditional independence, consistently equalled or outperformed the proper (maximally dependent) Bayes model, which assumes conditional dependence, across all training sample and attribute set sizes. Not excluding model attributes was found to be preferable to using sample theory as an attribute exclusion criterion in both the simple and the proper models.Conclusion: In the domain tested, the simple Bayes model with optimistic exclusion is more robust than previously assumed and increasing the number of attributes in a model had a greater relative impact on model accuracy than did increasing the number of training sample cases. Assessment of applicability of these findings to other domains will require further study. In addition, other models that are between these two extremes must be investigated. These include models that approximate proper Bayes' conditional dependence computations while requiring fewer training sample cases, attribute exclusion criteria between optimism and pessimism that improve accuracy, and ordering techniques for introducing attributes into Bayes models that optimize the information value associated with the attributes in test-sample cases. [ABSTRACT FROM AUTHOR]

Aim: To describe a possible relationship between Henoch-Schönlein purpura and rheumatic fever.Methods: Patients with features of both diseases were identified by reviewing the hospital records. Medline and reference lists from published articles were used to search for previous reports of the two conditions occuring simultaneously.Results: Three newly described cases, and three previous reports of Henoch-Schönlein purpura associated with rheumatic carditis or chorea were identified.Conclusions: The coexistence of these two disorders in some patients supports the view that Group A streptococcus may have a pathogenic role in Henoch-Schönlein purpura. [ABSTRACT FROM AUTHOR]

There are probably few terms in evolutionary studies regarding neuroscience issues that are used more frequently than ‘behavior', ‘learning', ‘memory', and ‘mind'. Yet there are probably as many different meanings of these terms as there are users of them. Further, investigators in such studies, while recognizing the full phylogenetic spectrum of life and the evolution of these phenomena, rarely go beyond mammals and other vertebrates in their investigations; invertebrates are sometimes included. What is rarely taken into consideration, though, is that to fully understand the evolution and significance for survival of these phenomena across phylogeny, it is essential that they be measured and compared in the same units of measurement across the full phylogenetic spectrum from aneural bacteria and protozoa to humans. This paper explores how these terms are generally used as well as how they might be operationally defined and measured to facilitate uniform examination and comparisons across the full phylogenetic spectrum of life. This paper has 2 goals: (1) to provide models for measuring the evolution of ‘behavior'and its changes across the full phylogenetic spectrum, and (2) to explain why ‘mind phenomena'cannot be measured scientifically at the present time. [ABSTRACT FROM PUBLISHER]

The article presents the study about an infant who developed crico-pharyngeal spasm in association with cow milk protein allergy. Researchers stress that disorders of crico-pharyngeal motility result from asynchronous constriction of pharyngeal muscles and/or the upper esophageal sphincter. Implications, results and analyses of the study are presented.