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1.
J Clin Monit Comput ; 33(6): 973-985, 2019 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-30767136

RESUMO

Tachycardia is a strong though non-specific marker of cardiovascular stress that proceeds hemodynamic instability. We designed a predictive model of tachycardia using multi-granular intensive care unit (ICU) data by creating a risk score and dynamic trajectory. A subset of clinical and numerical signals were extracted from the Multiparameter Intelligent Monitoring in Intensive Care II database. A tachycardia episode was defined as heart rate ≥ 130/min lasting for ≥ 5 min, with ≥ 10% density. Regularized logistic regression (LR) and random forest (RF) classifiers were trained to create a risk score for upcoming tachycardia. Three different risk score models were compared for tachycardia and control (non-tachycardia) groups. Risk trajectory was generated from time windows moving away at 1 min increments from the tachycardia episode. Trajectories were computed over 3 hours leading up to the episode for three different models. From 2809 subjects, 787 tachycardia episodes and 707 control periods were identified. Patients with tachycardia had increased vasopressor support, longer ICU stay, and increased ICU mortality than controls. In model evaluation, RF was slightly superior to LR, which accuracy ranged from 0.847 to 0.782, with area under the curve from 0.921 to 0.842. Risk trajectory analysis showed average risks for tachycardia group evolved to 0.78 prior to the tachycardia episodes, while control group risks remained < 0.3. Among the three models, the internal control model demonstrated evolving trajectory approximately 75 min before tachycardia episode. Clinically relevant tachycardia episodes can be predicted from vital sign time series using machine learning algorithms.


Assuntos
Doenças Cardiovasculares/diagnóstico , Cuidados Críticos/métodos , Pneumopatias/diagnóstico , Monitorização Intraoperatória/métodos , Taquicardia/diagnóstico , Adulto , Idoso , Algoritmos , Área Sob a Curva , Coleta de Dados , Bases de Dados Factuais , Registros Eletrônicos de Saúde , Frequência Cardíaca , Mortalidade Hospitalar , Humanos , Unidades de Terapia Intensiva , Modelos Logísticos , Aprendizado de Máquina , Pessoa de Meia-Idade , Curva ROC , Análise de Regressão , Reprodutibilidade dos Testes , Risco , Centros de Atenção Terciária , Adulto Jovem
2.
Zhongguo Zhong Yao Za Zhi ; 28(8): 714-8, 2003 Aug.
Artigo em Zh | MEDLINE | ID: mdl-15015348

RESUMO

OBJECTIVE: To study the Biological effect of seed-coating in Carthamus tinctorins. METHOD: Two kinds of seedcoating chemicals SCF1 and SCF2 were used in this experiment, the seed YM-99 and 27981-99 were coated by three kinds of ratio of seedcoating chemicals to seed. It was investigated that the germination energy and germination percentage in the room and the emergence rate, seedling stage growing, pest in the field. RESULT: Seedoating can improve the emergence rate and seedling stage growing, it also can effectively control aphid, rust and virosis during the growing period in C. tinctorins. CONCLUSION: Seedcoating has significant biological effect in C. tinctorins.


Assuntos
Carthamus/crescimento & desenvolvimento , Praguicidas/farmacologia , Reguladores de Crescimento de Plantas/farmacologia , Plantas Medicinais/crescimento & desenvolvimento , Preparações de Ação Retardada , Germinação/efeitos dos fármacos , Doenças das Plantas , Sementes/crescimento & desenvolvimento
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