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The projected rise in the global human population and the anticipated increase in demand for meat and animal products, albeit with a greatly reduced environmental footprint, offers a difficult set of challenges to the livestock sector. Primarily, how do we produce more, but in a way that is healthier for the animals, public, and the environment? Implementing a smart agri-systems approach, utilising multiplatform precision technologies, internet of things, data analytics, machine learning, digital twinning and other emerging technologies can support a more informed decision-making and forecasting position that will allow us to move towards greater sustainability in future. If we look to precision agronomy, there are a wide range of technologies available and examples of how digitalisation and integration of platform outputs can lead to advances in understanding the agricultural system and forecasting upcoming events and performance that have hitherto been impossible to achieve. There is much for the livestock sector and animal scientists to learn from the developments of precision technologies and smart agri-system approaches in the arable and horticultural contexts. However, there are several barriers the livestock sector must overcome: (i) the development and implementation of precision livestock farming technologies that can be easily integrated and analysed without the support of a dedicated data analyst in house; (ii) the lack of extensive validation of many developed and available precision livestock farming technologies means that reliability and accuracy are likely to be compromised when applied in commercial practice; (iii) the best smart agri-systems approaches are reliant on large quantities of data from across a wide variety of conditions, but at present the complications of data sharing, commercial sensitivities, data ownership, and permissions make it challenging to obtain or knit together data from different parts of the system into a comprehensive picture; and (iv) the high level of investment needed to develop and scale these technologies is substantial and represents significant risk for companies when a technology is emerging. Using a case study of the National Pig Centre (a flagship pig research facility in the UK) we discuss how a smart agri-systems approach can be applied in practice to investigate alternative future systems for production, and enable monitoring of these systems as a commercial demonstrator site for future pork production.
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Agricultura , Ganado , Animales , Granjas , Carne , Reproducibilidad de los Resultados , PorcinosRESUMEN
Objective: Decreasing participation in intervention research among college students has implications for the external validity of behavioral intervention research. We describe recruitment and retention strategies used to promote participation in intervention research across a series of four randomized experiments. Method: We report the recruitment and retention rates by school for each experiment and qualitative feedback from students about recommendations for improving research participation. Results: There was considerable variation among schools' recruitment (4.9% to 64.7%) and retention (12% to 67.8%) rates. Student feedback suggested study timing (e.g., early in the semester), communication strategies (e.g., social media), and incentive structure (e.g., guaranteed incentives) could improve research participation. The highest survey participation rate was observed at the university which mandated students to complete the intervention (but not the survey). Conclusions: Intervention scientists must consider the population and study context to make informed decisions related to recruitment and retention strategies.
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Sustainable livestock production requires links between farm characteristics, animal performance and animal health to be recognised and understood. In the pig industry, respiratory disease is prevalent, and has negative health, welfare and economic consequences. We used national-level carcass inspection data from the Food Standards Agency to identify associations between pig respiratory disease, farm characteristics (housing type and number of source farms), and pig performance (mortality, average daily weight gain, back fat and carcass weight) from 49 all in/all out grow-to-finish farms. We took a confirmatory approach by pre-registering our hypotheses and used Bayesian multi-level modelling to quantify the uncertainty in our estimates. The study findings showed that acquiring growing pigs from multiple sources was associated with higher respiratory condition prevalence. Higher prevalence of respiratory conditions was linked with higher mortality, and lower average daily weight gain, back fat and pig carcass weight. Our results support previous literature using a range of data sources. In conclusion, we find that meat inspection data are more valuable at a finer resolution than has been previously indicated and could be a useful tool in monitoring batch-level pig health in the future.
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Bienestar del Animal , Enfermedades Respiratorias/fisiopatología , Enfermedades de los Porcinos/fisiopatología , Aumento de Peso/fisiología , Crianza de Animales Domésticos , Animales , Teorema de Bayes , Granjas , Enfermedades Respiratorias/complicaciones , Porcinos , Enfermedades de los Porcinos/patologíaRESUMEN
The prevalence of many diseases in pigs displays seasonal distributions. Despite growing concerns about the impacts of climate change, we do not yet have a good understanding of the role that weather factors play in explaining such seasonal patterns. In this study, national and county-level aggregated abattoir inspection data were assessed for England and Wales during 2010-2015. Seasonally-adjusted relationships were characterised between weekly ambient maximum temperature and the prevalence of both respiratory conditions and tail biting detected at slaughter. The prevalence of respiratory conditions showed cyclical annual patterns with peaks in the summer months and troughs in the winter months each year. However, there were no obvious associations with either high or low temperatures. The prevalence of tail biting generally increased as temperatures decreased, but associations were not supported by statistical evidence: across all counties there was a relative risk of 1.028 (95% CI 0.776-1.363) for every 1 °C fall in temperature. Whilst the seasonal patterns observed in this study are similar to those reported in previous studies, the lack of statistical evidence for an explicit association with ambient temperature may possibly be explained by the lack of information on date of disease onset. There is also the possibility that other time-varying factors not investigated here may be driving some of the seasonal patterns.
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Mataderos , Bienestar del Animal , Exposición a Riesgos Ambientales , Estado de Salud , Enfermedades de los Porcinos/epidemiología , Porcinos , Temperatura , Animales , Mordeduras y Picaduras/epidemiología , Mordeduras y Picaduras/veterinaria , Inglaterra/epidemiología , Infecciones del Sistema Respiratorio/epidemiología , Infecciones del Sistema Respiratorio/veterinaria , Medición de Riesgo , Gales/epidemiologíaRESUMEN
OBJECTIVE: The role of a brain-computer interface (BCI) is to discern a user's intended message or action by extracting and decoding relevant information from brain signals. Stimulus-driven BCIs, such as the P300 speller, rely on detecting event-related potentials (ERPs) in response to a user attending to relevant or target stimulus events. However, this process is error-prone because the ERPs are embedded in noisy electroencephalography (EEG) data, representing a fundamental problem in communication of the uncertainty in the information that is received during noisy transmission. A BCI can be modeled as a noisy communication system and an information-theoretic approach can be exploited to design a stimulus presentation paradigm to maximize the information content that is presented to the user. However, previous methods that focused on designing error-correcting codes failed to provide significant performance improvements due to underestimating the effects of psycho-physiological factors on the P300 ERP elicitation process and a limited ability to predict online performance with their proposed methods. Maximizing the information rate favors the selection of stimulus presentation patterns with increased target presentation frequency, which exacerbates refractory effects and negatively impacts performance within the context of an oddball paradigm. An information-theoretic approach that seeks to understand the fundamental trade-off between information rate and reliability is desirable. APPROACH: We developed a performance-based paradigm (PBP) by tuning specific parameters of the stimulus presentation paradigm to maximize performance while minimizing refractory effects. We used a probabilistic-based performance prediction method as an evaluation criterion to select a final configuration of the PBP. MAIN RESULTS: With our PBP, we demonstrate statistically significant improvements in online performance, both in accuracy and spelling rate, compared to the conventional row-column paradigm. SIGNIFICANCE: By accounting for refractory effects, an information-theoretic approach can be exploited to significantly improve BCI performance across a wide range of performance levels.
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Interfaces Cerebro-Computador/normas , Potenciales Relacionados con Evento P300 , Reconocimiento Visual de Modelos , Estimulación Luminosa/métodos , Desempeño Psicomotor , Potenciales Relacionados con Evento P300/fisiología , Predicción , Humanos , Reconocimiento Visual de Modelos/fisiología , Desempeño Psicomotor/fisiologíaRESUMEN
OBJECTIVE: Dry electrodes have an advantage over gel-based 'wet' electrodes by providing quicker set-up time for electroencephalography recording; however, the potentially poorer contact can result in noisier recordings. We examine the impact that this may have on brain-computer interface communication and potential approaches for mitigation. APPROACH: We present a performance comparison of wet and dry electrodes for use with the P300 speller system in both healthy participants and participants with communication disabilities (ALS and PLS), and investigate the potential for a data-driven dynamic data collection algorithm to compensate for the lower signal-to-noise ratio (SNR) in dry systems. MAIN RESULTS: Performance results from sixteen healthy participants obtained in the standard static data collection environment demonstrate a substantial loss in accuracy with the dry system. Using a dynamic stopping algorithm, performance may have been improved by collecting more data in the dry system for ten healthy participants and eight participants with communication disabilities; however, the algorithm did not fully compensate for the lower SNR of the dry system. An analysis of the wet and dry system recordings revealed that delta and theta frequency band power (0.1-4 Hz and 4-8 Hz, respectively) are consistently higher in dry system recordings across participants, indicating that transient and drift artifacts may be an issue for dry systems. SIGNIFICANCE: Using dry electrodes is desirable for reduced set-up time; however, this study demonstrates that online performance is significantly poorer than for wet electrodes for users with and without disabilities. We test a new application of dynamic stopping algorithms to compensate for poorer SNR. Dynamic stopping improved dry system performance; however, further signal processing efforts are likely necessary for full mitigation.
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Interfaces Cerebro-Computador , Recolección de Datos/métodos , Electrodos , Electroencefalografía/instrumentación , Potenciales Relacionados con Evento P300/fisiología , Adulto , Algoritmos , Artefactos , Equipos de Comunicación para Personas con Discapacidad , Trastornos de la Comunicación/psicología , Trastornos de la Comunicación/rehabilitación , Femenino , Voluntarios Sanos , Humanos , Masculino , Relación Señal-RuidoRESUMEN
OBJECTIVE: The P300 speller is a popular brain-computer interface (BCI) system that has been investigated as a potential communication alternative for individuals with severe neuromuscular limitations. To achieve acceptable accuracy levels for communication, the system requires repeated data measurements in a given signal condition to enhance the signal-to-noise ratio of elicited brain responses. These elicited brain responses, which are used as control signals, are embedded in noisy electroencephalography (EEG) data. The discriminability between target and non-target EEG responses defines a user's performance with the system. A previous P300 speller model has been proposed to estimate system accuracy given a certain amount of data collection. However, the approach was limited to a static stopping algorithm, i.e. averaging over a fixed number of measurements, and the row-column paradigm. A generalized method that is also applicable to dynamic stopping (DS) algorithms and other stimulus paradigms is desirable. APPROACH: We developed a new probabilistic model-based approach to predicting BCI performance, where performance functions can be derived analytically or via Monte Carlo methods. Within this framework, we introduce a new model for the P300 speller with the Bayesian DS algorithm, by simplifying a multi-hypothesis to a binary hypothesis problem using the likelihood ratio test. Under a normality assumption, the performance functions for the Bayesian algorithm can be parameterized with the detectability index, a measure which quantifies the discriminability between target and non-target EEG responses. MAIN RESULTS: Simulations with synthetic and empirical data provided initial verification of the proposed method of estimating performance with Bayesian DS using the detectability index. Analysis of results from previous online studies validated the proposed method. SIGNIFICANCE: The proposed method could serve as a useful tool to initially assess BCI performance without extensive online testing, in order to estimate the amount of data required to achieve a desired accuracy level.
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Interfaces Cerebro-Computador , Equipos de Comunicación para Personas con Discapacidad , Electroencefalografía , Potenciales Relacionados con Evento P300/fisiología , Algoritmos , Esclerosis Amiotrófica Lateral/psicología , Teorema de Bayes , Humanos , Funciones de Verosimilitud , Modelos Estadísticos , Modelos Teóricos , Método de Montecarlo , Reproducibilidad de los ResultadosRESUMEN
OBJECTIVE: The P300 speller is a brain-computer interface (BCI) that can possibly restore communication abilities to individuals with severe neuromuscular disabilities, such as amyotrophic lateral sclerosis (ALS), by exploiting elicited brain signals in electroencephalography (EEG) data. However, accurate spelling with BCIs is slow due to the need to average data over multiple trials to increase the signal-to-noise ratio (SNR) of the elicited brain signals. Probabilistic approaches to dynamically control data collection have shown improved performance in non-disabled populations; however, validation of these approaches in a target BCI user population has not occurred. APPROACH: We have developed a data-driven algorithm for the P300 speller based on Bayesian inference that improves spelling time by adaptively selecting the number of trials based on the acute SNR of a user's EEG data. We further enhanced the algorithm by incorporating information about the user's language. In this current study, we test and validate the algorithms online in a target BCI user population, by comparing the performance of the dynamic stopping (DS) (or early stopping) algorithms against the current state-of-the-art method, static data collection, where the amount of data collected is fixed prior to online operation. MAIN RESULTS: Results from online testing of the DS algorithms in participants with ALS demonstrate a significant increase in communication rate as measured in bits/min (100-300%), and theoretical bit rate (100-550%), while maintaining selection accuracy. Participants also overwhelmingly preferred the DS algorithms. SIGNIFICANCE: We have developed a viable BCI algorithm that has been tested in a target BCI population which has the potential for translation to improve BCI speller performance towards more practical use for communication.
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Esclerosis Amiotrófica Lateral/fisiopatología , Esclerosis Amiotrófica Lateral/rehabilitación , Electroencefalografía/métodos , Potenciales Relacionados con Evento P300 , Almacenamiento y Recuperación de la Información/métodos , Reconocimiento de Normas Patrones Automatizadas/métodos , Adulto , Algoritmos , Mapeo Encefálico/métodos , Interfaces Cerebro-Computador , Equipos de Comunicación para Personas con Discapacidad , Periféricos de Computador , Femenino , Humanos , Masculino , Persona de Mediana Edad , Reproducibilidad de los Resultados , Sensibilidad y Especificidad , Procesamiento de Señales Asistido por Computador , Corteza Visual/fisiopatología , Percepción Visual , Procesamiento de TextoRESUMEN
The P300 Speller brain-computer interface (BCI) allows a user to communicate without muscle activity by reading electrical signals on the scalp via electroencephalogram. Modern BCI systems use multiple electrodes ("channels") to collect data, which has been shown to improve speller accuracy; however, system cost and setup time can increase substantially with the number of channels in use, so it is in the user's interest to use a channel set of modest size. This constraint increases the importance of using an effective channel set, but current systems typically utilize the same channel montage for each user. We examine the effect of active channel selection for individuals on speller performance, using generalized standard feature-selection methods, and present a new channel selection method, termed jumpwise regression, that extends the Stepwise Linear Discriminant Analysis classifier. Simulating the selections of each method on real P300 Speller data, we obtain results demonstrating that active channel selection can improve speller accuracy for most users relative to a standard channel set, with particular benefit for users who experience low performance using the standard set. Of the methods tested, jumpwise regression offers accuracy gains similar to the best-performing feature-selection methods, and is robust enough for online use.
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Mapeo Encefálico , Interfaces Cerebro-Computador , Potenciales Relacionados con Evento P300/fisiología , Análisis Discriminante , Electroencefalografía , Femenino , Humanos , Masculino , Estimulación Luminosa , Curva ROC , Estudiantes , UniversidadesRESUMEN
Domestic dogs (Canis familiaris) housed in kennelling establishments are considered at risk of suffering poor welfare. Previous research supporting this hypothesis has typically used cortisol:creatinine ratios (C/Cr) to measure acute and chronic stress in kennelled dogs. However, the value of C/Cr as a welfare indicator has been questioned. This study aimed to test the validity of a range of physiological, physical and behavioural welfare indicators and to establish baseline values reflecting good dog welfare. Measurements were taken from 29 privately-owned dogs (14 males, 15 females), ranging in age and breed, in their own home and in a boarding kennel environment, following a within-subjects, counterbalanced design. Pairwise comparisons revealed that C/Cr and vanillylmandelic acid:creatinine ratios (VMA/Cr) were higher in the kennel than home environment (P=0.003; P=0.01, respectively) and were not associated with differences in movement/exercise between environments. Dogs' surface temperature was lower in kennels (P=0.001) and was not associated with ambient temperature. No association with age, or effects of kennel establishment, kennelling experience, sex or source were found. Dogs were generally more active in kennels, but showed considerable individual variability. C/Cr and 5-HIAA:creatinine ratios (5-HIAA/Cr) were negatively correlated with lip licking in kennels. Baseline values for each parameter are presented. The emotional valence of responses was ambiguous and no definitive evidence was found to suggest that dogs were negatively stressed by kennelling. It was concluded that C/Cr and, particularly, VMA/Cr and surface temperature provide robust indicators of psychological arousal in dogs, while spontaneous behaviour might be better used to facilitate interpretation of physiological and physical data on an individual level.
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Conducta Animal/fisiología , Perros/fisiología , Estrés Psicológico/fisiopatología , Estrés Psicológico/psicología , Análisis de Varianza , Animales , Temperatura Corporal/fisiología , Creatina/orina , Perros/orina , Ambiente , Femenino , Ácido Homovanílico/orina , Hidrocortisona/orina , Ácido Hidroxiindolacético/orina , Masculino , Malondialdehído/orina , Actividad Motora , Restricción Física , Sustancias Reactivas al Ácido Tiobarbitúrico/metabolismoRESUMEN
Contrary to a commonly held belief that broiler chickens need more space, there is increasing evidence that these birds are attracted to other birds. Indeed, commercially farmed birds exhibit a range of socially facilitated behaviours, such as increased feeding and preening in response to the presence of other birds. Social facilitation can generate feedback loops, whereby the adoption of a particular behaviour can spread rapidly and suddenly through the population. Here, by measuring the rate at which broiler chickens join and leave a feeding trough as a function of the number of birds already there, we quantify social facilitation. We use these measurements to parameterize a simulation model of chicken feeding behaviour. This model predicts, and further observations of broiler chickens confirm, that social facilitation leads to excitatory and synchronized patterns of group feeding. Such models could prove a powerful tool in understanding how feeding patterns depend on broiler house design.
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Pollos/fisiología , Conducta de Ingestión de Líquido/fisiología , Conducta Alimentaria/fisiología , Abastecimiento de Alimentos , Facilitación Social , Alimentación Animal , Animales , Conducta Animal/fisiología , Femenino , MasculinoRESUMEN
OBJECTIVE: In this study, the accuracy of independent measurement of the loudness of different electrodes in a cochlear implant (the "reference" method) was compared with the accuracy of measurements that depend on the results of previous measurements (the "adjacent" method) by evaluating the similarity between and the slopes of the loudness balance curves, and the variability in the measured loudness balance values. DESIGN: The two methods of loudness balancing differed only in the reference electrode used. In the adjacent method, the loudness of the test electrode was sequentially adjusted to match the loudness of an adjacent reference electrode, whereas in the reference method, the loudness of all test electrodes was adjusted to match that of a common reference electrode. Five subjects implanted with the Nucleus 22 device completed both methods of loudness balancing for all of their functioning electrodes. Each test/reference electrode pair was loudness balanced six times to assess the variability of the two methods. RESULTS: The loudness balance curves for the two methods were statistically correlated (p < 0.001) for all subjects. The slopes of the regression lines for the loudness balance curves were statistically different from zero (p < 0.05) for roughly half of the subjects for each method. A sign test indicated statistically different means for the basal set and apical set of measurements for only one subject for both methods. The variance in the measured values across electrodes for the reference method was significantly greater for three of the five subjects (p < 0.01). CONCLUSIONS: It was hypothesized that because of its dependence on previously measured values, the adjacent method could be susceptible to "drift," i.e., a shift in the overall loudness to which the electrodes are balanced. However, none of the statistical measures employed to test for drift indicated that the adjacent method was more susceptible to drift than the reference method, nor were the responses to the adjacent method more variable. Thus, based on these results, dependent measurements do not seem to be less accurate than independent measurements. The relatively higher variance for the reference method in some subjects may be due to the difficulty of comparing the loudness of stimuli that are far apart in pitch.
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Implantación Coclear , Percepción Sonora , Adulto , Anciano , Umbral Auditivo/fisiología , Femenino , Humanos , Masculino , Persona de Mediana EdadRESUMEN
PURPOSE: It has been shown that large-scale epidemiological studies are an unsatisfactory method of measuring quality of care in anesthesia. We performed a mini-audit of the outpatient surgery unit at Vancouver General Hospital to determine whether such methodology would be helpful in assessing and monitoring quality of care and in identifying areas where improvements could be made. METHODS: After institutional approval, we conducted a prospective quality assurance audit in a cohort of 462 consecutive outpatients. A measurement tool was developed using information from previous literature. Data recorded included demographics, type of surgery and anesthesia, duration of stay in the postanesthetic care unit (PACU) and any adverse events in the PACU. The effect of ethnicity on the above was also examined. RESULTS: The demographics and practice profiles of our unit were comparable to other units. The mean duration of stay in the PACU was 91 +/- 55.3 min and is twice as long as other units. The incidence of hypotension, hypothermia and excessive pain in the PACU were higher compared to other centres. The incidence of other adverse events was comparable to that reported by other centres. O2 supplementation was required more frequently in Caucasians (23% vs 9%; P <0.05) and postoperative bleeding occurred more frequently in Asiatics (46% vs 27%; P <0.05). CONCLUSION: A mini-audit was found to be helpful in assessing and monitoring quality of care and in identifying areas where improvements could be made.
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Procedimientos Quirúrgicos Ambulatorios , Auditoría Médica , Garantía de la Calidad de Atención de Salud , Adulto , Anciano , Femenino , Humanos , Tiempo de Internación , Masculino , Persona de Mediana Edad , Estudios ProspectivosRESUMEN
A variety of laparoscopic procedures can be performed on patients under regional anesthesia. Diagnostic laparoscopy in elective and emergency patients, pain mapping, laparoscopy for infertility, and tubal sterilization are some examples. The key benefits of regional anesthesia include less emesis, less postoperative pain, shorter postoperative stay, improved patient satisfaction, and overall safety. Regional techniques, such as rectus sheath blocks, inguinal blocks, and caudal blocks, are useful adjuncts to general anesthesia and facilitate postoperative analgesia. Other techniques, such as spinal and epidural anesthesia, and combination of the two, are suitable as a sole anesthetic technique for laparoscopy. The physiologic changes during laparoscopy in the awake patient appear to be tolerated well under regional anesthesia. It is reasonable to assume that with advances in instrumentation and surgical techniques, the role of laparoscopy will increase in the future. The benefits conferred by regional anesthesia make it an attractive option to general anesthesia for many patients and procedures. Successful implementation of regional anesthesia is an important determinant of how anesthesiologists, surgeons, and surgical facilities cope with new challenges. In the future, it could be possible to provide "walk-in/walk-out" regional anesthesia with a real possibility of fast tracking patients through the recovery process after ambulatory surgery. For maximal patient safety, however, facilities offering regional anesthesia must have appropriately trained anesthesia personnel and the equipment necessary for monitoring and providing full resuscitation in the event of complications or a need to convert to general anesthesia.
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Anestesia de Conducción , Laparoscopía , Anestesia de Conducción/efectos adversos , Anestesia de Conducción/métodos , Femenino , Transferencia Intrafalopiana del Gameto , Humanos , Satisfacción del Paciente , Neumoperitoneo Artificial , Esterilización TubariaRESUMEN
Two classes of modern missing data procedures, maximum likelihood (ML) and multiple imputation (MI), tend to yield similar results when implemented in comparable ways. In either approach, it is possible to include auxiliary variables solely for the purpose of improving the missing data procedure. A simulation was presented to assess the potential costs and benefits of a restrictive strategy, which makes minimal use of auxiliary variables, versus an inclusive strategy, which makes liberal use of such variables. The simulation showed that the inclusive strategy is to be greatly preferred. With an inclusive strategy not only is there a reduced chance of inadvertently omitting an important cause of missingness, there is also the possibility of noticeable gains in terms of increased efficiency and reduced bias, with only minor costs. As implemented in currently available software, the ML approach tends to encourage the use of a restrictive strategy, whereas the MI approach makes it relatively simple to use an inclusive strategy.
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Recolección de Datos/estadística & datos numéricos , Pruebas Psicológicas/estadística & datos numéricos , Psicología Experimental/estadística & datos numéricos , Psicometría , Intervalos de Confianza , Humanos , Funciones de Verosimilitud , Modelos EstadísticosRESUMEN
To achieve the most effective speech processing for individuals with cochlear implants, it is important to understand the perceptual features associated with the stimulation parameters. In general, when electrodes are stimulated in order from apex to base, the pitch of the perceived sound changes in an orderly fashion from low to high. Some deviations from this assumed order have been documented. Also, pitch is the dominant perceptual attribute of a sound when the stimuli associated with different electrodes have been accurately loudness balanced. In this study, the results of a multidimensional scaling (MDS) paradigm were compared to the results of a pitch-ranking procedure for six subjects implanted with multichannel cochlear prostheses. Results indicate that there may be multiple percepts that change with electrode location. Not surprisingly, the dominant percept is strongly correlated with pitch. The results also indicate that the structure of the second percept is consistent across subjects, although not interpretable using the data measured in this study. Furthermore, results indicate that MDS data can be used to pinpoint indiscriminable electrodes more accurately than pitch data. The results of this study may have importance for the design of the next generation of speech processors.
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Implantes Cocleares , Percepción del Habla/fisiología , Anciano , Implantación Coclear , Estimulación Eléctrica/instrumentación , Electrodos , Diseño de Equipo , Humanos , Masculino , Persona de Mediana Edad , Percepción de la Altura Tonal/fisiologíaRESUMEN
We compared the potency and duration of action of rocuronium in Chinese and Caucasian patients during general anesthesia. Thirty-six women (18 Caucasian and 18 Chinese) and 36 children (18 Caucasian and 18 Chinese) were evaluated during the administration of propofol/fentanyl anesthesia. Patients in each age group were randomized into three subgroups to receive single doses of 0.06, 0. 12, or 0.18 mg/kg rocuronium (adults) or 0.12, 0.18, or 0.24 mg/kg rocuronium (children). Neuromuscular blockade was assessed by electromyography of the adductor pollicis after train-of-four (TOF) stimulation of the ulnar nerve. Dose response curves were constructed when maximum neuromuscular depression of the first twitch of the train (T(1)) was obtained. A second bolus dose of rocuronium was then administered to a total dose of 0.6 mg/kg. The times of spontaneous recovery to T(1) 10%, 25%, and 90% of control and to TOF 0.25, 0.50, and 0.70 were recorded. For both adults and children, recovery occurred later in Chinese than in Caucasian patients (P<0.05 for T(1) of 10%, 25%, 75%, and 90% and TOF to 0.7). The 50% effective dose was smaller in Chinese adults (125+/-63 vs. 159+/-66 microg/kg) and Chinese children (171+/-43 vs. 191+/-46 microg/kg) than in Caucasian adults and children, but the difference was not statistically significant. In adults, time to 25% T(1) recovery was 43+/-13 min in Chinese patients and 33+/-10 min in Caucasian patients (P<0.05). The corresponding values were more rapid for children: 30+/-10 and 24+/-6 min (P<0.05). We conclude that the recovery from rocuronium neuromuscular blockade was longer in Chinese compared with Caucasian patients and in adults compared with children.
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Androstanoles , Fármacos Neuromusculares no Despolarizantes , Adolescente , Adulto , Androstanoles/farmacología , Pueblo Asiatico , Niño , Preescolar , Relación Dosis-Respuesta a Droga , Electromiografía , Femenino , Humanos , Masculino , Persona de Mediana Edad , Fármacos Neuromusculares no Despolarizantes/farmacología , Rocuronio , Transmisión Sináptica/efectos de los fármacos , Factores de Tiempo , Población BlancaRESUMEN
OBJECTIVE: To determine if people who were diagnosed with alcohol abuse or dependence (AAD) at age 21 had different developmental patterns of alcohol use in adolescence than non-AAD individuals. METHOD: An ethnically diverse urban sample of 808 children was surveyed at age 10 in 1985 and followed prospectively to age 21 in 1996. AAD at age 21 was assessed following DSM-IV criteria. Latent Transition Analysis (LTA) was used to identify four statuses of alcohol use (nonuse, initiation only, current use only, heavy episodic drinking), as well as transition probabilities between these four statuses from elementary school to middle school and from middle school to high school among the AAD and non-AAD group. RESULTS: The prevalence of alcohol use statuses during elementary school was similar in the two groups. Differences in alcohol use emerged in middle school and became more pronounced in high school. In middle school, AAD individuals were more likely to have initiated or been current drinkers than non-AAD individuals. However, the two groups did not differ in the prevalence of heavy episodic drinking in middle school. In high school, most AAD individuals were in the heavy episodic drinking status (54%), while most non-AAD individuals were in the initiation only (33%) or current use only (34%) statuses. CONCLUSIONS: These findings suggest preventive intervention targets for different developmental periods. Alcohol abuse and dependence at age 21 may be prevented by delaying alcohol initiation, by reducing current use in middle school and by reducing heavy episodic drinking in high school.
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Consumo de Bebidas Alcohólicas/epidemiología , Alcoholismo/epidemiología , Desarrollo de la Personalidad , Adolescente , Adulto , Consumo de Bebidas Alcohólicas/prevención & control , Consumo de Bebidas Alcohólicas/psicología , Alcoholismo/diagnóstico , Alcoholismo/prevención & control , Niño , Femenino , Humanos , Masculino , Estudios Prospectivos , Factores de Riesgo , Población Urbana , Washingtón/epidemiologíaRESUMEN
In order to develop improved remediation techniques for hearing impairment, auditory researchers must gain a greater understanding of the relation between the psychophysics of hearing and the underlying physiology. One approach to studying the auditory system has been to design computational auditory models that predict neurophysiological data such as neural firing rates [15], [1]. To link these physiologically-based models to psychophysics, theoretical bounds on detection performance have been derived using signal detection theory to analyze the simulated data for various psychophysical tasks [20]. Previous efforts, including our own recent work using the Auditory Image Model, have demonstrated the validity of this type of analysis; however, theoretical predictions often continue to exceed experimentally-measured performance [9], [21]. In this paper, we compare predictions of detection performance across several computational auditory models. We also reconcile some of the previously observed discrepancies by incorporating appropriate signal uncertainty into the optimal detector.