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EEG studies of sleep in the diagnosis of depression.

Psychiatric diagnoses have traditionally been made on the basis of clinical criteria, including current phenomenology and historical information. This traditional procedure presents several problems, including standardization of data gathering and interpretation. Biological criteria have been shown to be useful aids to diagnosis, but the same problems of standardization must be overcome. We present here the derivation of discriminant functions (DFs) using sleep EEG data to separate depressed from normal subjects. More important, we have cross-validated these DFs in a separate group of patients, using them to separate endogenous (ED) from nonendogenous depressed (ND) patients. ADF using the sleep variables REM latency and REM density can make this discrimination with sensitivity = 0.61 and specificity = 0.93. We also present our preliminary findings in support of the earlier conclusion that the sleep of unipolar ED patients is more disturbed than that of bipolar ED patients.

Adult↗

Objective assessment of prior air traffic control-related experience through the use of an occupational knowledge test.

The Occupational Knowledge Test (OKT) 101-B was administered to 784 air traffic control trainees who entered the FAA Academy's 16-week training course in 1976. All trainees completed the nonradar laboratory portion of the training and, in addition, completed a preemployment questionnaire. Based on responses to the questionnaire, the trainees were assigned to one of three experience groups, corresponding to groups given credit for experience using Civil Service Commission (CSC) selection procedures. It was found that the OKT was highly correlated with experience (r = 0.64) and, in addition, had a higher correlation with successful completion of the nonradar lab than did experience (r = 0.25 vs. 0.12). It was determined that use of an OKT score of 75 or above to assign extra credit would result in a failure rate of 3.1% for those receiving credit, while use of the current experience scale would result in a failure rate of 7.6% for those receiving extra credit on the CSC selection battery. The results held up for a cross-validation sample of 432 trainees who entered the Academy during 1977. Based on the results, it is recommended that an OKT score of 75 or above be used to assign extra credit for experience in the selection of air traffic controllers.

Aviation↗

Development of a simplified diagnostic scoring method for the school version of the adaptive behavior scale.

The development of a standard scoring procedure by which the factor scores from the School Version of the Adaptive Behavior Scale can be combined was described. Subjects were 1,650 pupils in regular classes, 3,052 pupils in EMR programs, and 828 pupils in TMR classes from California and Florida. Discriminant analysis of the factor scores was computed in order to specify the discriminant coefficients to be used in predicting school classification status. Cross-validation of the discriminant analysis was obtained, and a procedure for creating a composite score was described.

Adaptation, Psychological↗

Generalized equations for predicting body density of women.

Previous research with women has shown that body composition regression equations derived from anthropometric variables were population specific. This study sought to derive generalized equations for women differing in age and body composition. The hydrostatic method was used to determine body density (BD) and percent fat (%F) on 249 women in 18 to 55 years (X = 31.4 +/- 10.8 yrs) and 4 to 44 %F (X = 24.1 +/-7.2 %F). Skinfold fat (S), gluteal circumference (C) and age were independent variables. The quadratic form of the sum of three, four and seven S in combination with age and gluteal C produced multiple correlations that ranged from 0.842 to 0.867 with standard errors of 3.6 to 3.8 %F. The equations were cross-validated on a different sample of 82 women with similar age and %F characteristics. The correlations between predicted and hydrostatically determined %F ranged from 0.815 to 0.820 with standard errors of 3.7 to 4.0 %F. This study showed that valid generalized body composition equations could be derived for women varying in age and body composition, but care need to be exercised with women over an age of forty.

Adipose Tissue↗

A questionnaire study of psychological background factors in U.S. Navy aircraft accidents.

A questionnaire concerning life changes, personality factors, and adjustmental and leadership qualities of U.S. Naval aircrewmembers involved in aircraft accidents was sent to investigating flight surgeons during 1977-78. The responses were divided into two groups: those who were causally involved in accidents and those who were not. In order to cross-validate the results, data were collected and analyzed during 1979. Results indicate that aircrewmembers in the process of deciding about staying in the service are more likely to fall into the causally involved group. So were those who had trouble with interpersonal relationships, had no sense of humor or humility concerning themselves, were immature, or had recently lost a friend or family member through death.

Accidents, Aviation↗

Knowledge discovery in GenBank.

We describe various methods designed to discover knowledge in the GenBank nucleic acid sequence database. Using a grammatical model of gene structure, we create a parse tree of a gene using features listed in the FEATURE TABLE. The parse tree infers features that are not explicitly listed, but which follow from the listed features. This method discovers 30% more introns and 40% more exons when applied to a globin gene subset of GenBank. Parse tree construction also entails resolving ambiguity and inconsistency within a FEATURE TABLE. We transform the parse tree into an augmented FEATURE TABLE that represents inferred gene structure explicitly and unambiguously, thereby greatly improving the utility of the FEATURE TABLE to researchers. We then describe various analogical reasoning techniques designed to exploit the homologous nature of genes. We build a classification hierarchy that reflects the evolutionary relationship between genes. Descriptive grammars of gene classes are then induced from the instance grammars of genes. Case based reasoning techniques use these abstract gene class descriptions to predict the presence and location of regulatory features not listed in the FEATURE TABLE. A cross-validation test shows a success rate of 87% on a globin gene subset of GenBank.

Algorithms↗

The prediction of the degree of exposure to solvent of amino acid residues via genetic programming.

In this paper I evolve programs that predict the degree of exposure to solvent (the buriedness) of amino acid residues given only the primary structure. I use genetic programming (Koza 1992; Koza 1994) to evolve programs that take as input the primary structure and that output the buriedness of each residue. I trained these programs on a set of 82 proteins from the Brookhaven Protein Data Bank (PDB) (Bernstein et al. 1977) and cross-validated them on a separate testing set of 40 proteins, also from the PDB. The best program evolved had a correlation of 0.434 between the predicted and observed buriednesses on the testing set.

Amino Acids↗

Predicting free energy contributions to the conformational stability of folded proteins from the residue sequence with radial basis function networks.

Radial basis function neural networks are trained on a data base comprising 38 globular proteins of well resolved crystallographic structure and the corresponding free energy contributions to the overall protein stability (as computed partially from chrystallographic analysis and partially with multiple regression from experimental thermodynamic data by Ponnuswamy and Gromiha (1994)). Starting from the residue sequence and using as input code the percentage of each residue and the total residue number of the protein, it is found with a cross-validation method that neural networks can optimally predict the free energy contributions due to hydrogen bonds, hydrophobic interactions and the unfolded state. Terms due to electrostatic and disulfide bonding free energies are poorly predicted. This is so also when other input codes, including the percentage of secondary structure type of the protein and/or residue-pair information are used. Furthermore, trained on the computed and/or experimental delta G values of the data base, neural networks predict a conformational stability ranging from about 10 to 20 kcal mol-1 rather independently of the residue sequence, with an average error per protein of about 9 kcal mol-1.

Calorimetry↗

Image analysis and machine learning applied to breast cancer diagnosis and prognosis.

Fine needle aspiration (FNA) accuracy is limited by, among other factors, the subjective interpretation of the aspirate. We have increased breast FNA accuracy by coupling digital image analysis methods with machine learning techniques. Additionally, our mathematical approach captures nuclear features ("grade") that are prognostically more accurate than are estimates based on tumor size and lymph node status. An interactive computer system evaluates, diagnoses and determines prognosis based on nuclear features derived directly from a digital scan of FNA slides. A consecutive series of 569 patients provided the data for the diagnostic study. A 166-patient subset provided the data for the prognostic study. An additional 75 consecutive, new patients provided samples to test the diagnostic system. The projected prospective accuracy of the diagnostic system was estimated to be 97% by 10-fold cross-validation, and the actual accuracy on 75 new samples was 100%. The projected prospective accuracy of the prognostic system was estimated to be 86% by leave-one-out testing.

Biopsy, Needle↗

[Subgroups of torticollis spasmodicus from the psychosomatic viewpoint. Results of a cluster analysis of 144 cases. German Study Group of Dystonia Research].

The question of subgroups in idiopathic spasmodic torticollis, which has been discussed in earlier studies in order to define etiologically heterogeneous patient populations has lost some of its relevance since with the injection of botulinum toxin an effective treatment is available. However, psychosocial distress is linked with spasmodic torticollis in a substantial number of patients. In order to define criteria for psychosocial interventions in addition to the treatment with botulinum toxin, a cluster analysis was carried out to identify high-risk populations in terms of psychological and social distress. Five subgroups were defined on the basis of eight variables. Two of these five groups, one group with rotational torticollis and one with laterocollis, emerged as particularly distressed by their physical complaints, the effects of their illness on various areas of life and in terms of psychological functioning. The consistency of the subgroups was tested and statistically confirmed by analysis of variance. In a cross-validation 83.02% of the ungrouped cases were predicted correctly. The authors suggest that the evaluation of psychological and social aspects of the condition should be part of the neurological assessment in order to offer appropriate support to patients, who reveal a high degree of psychological distress.

Adaptation, Psychological↗

Validity of the Computer Science and Applications, Inc. (CSA) activity monitor.

The validity of the Computer Science and Applications, Inc. (CSA) accelerometer in assessing physical activity was assessed during treadmill walking and running at three different grades. Energy expenditure (EE) served as the criterion measure. CSA data were compared to data collected with the Caltrac accelerometer. Both accelerometers were sensitive to changes in treadmill speed, but neither discriminated changes in treadmill grade. Caltrac and CSA activity counts were significantly and similarly correlated with EE (r = 0.66-0.82), relative VO2 (r = 0.77-0.89), heart rate (r = 0.66-0.80), treadmill speed (r = 0.82-0.92), and with each other (r = 0.77-0.82). CSA data were used to develop models to predict EE (kcal.min-1). Cross-validation resulted in a mean difference between actual and predicted EE of 0.02 kcal.min-1 (SEE = 0.85 kcal.min-1). The range of individual differences in the validation group was large for both the CSA model (-2.86 to +3.86 kcal.min-1) and Caltrac (-4.17 to +2.04 kcal.min-1). It is concluded that the CSA and Caltrac accelerometers have similar validity and that either instrument can be used to estimate EE of groups.

Adult↗

Anthropometric estimation of thigh muscle cross-sectional area.

The purpose of this investigation was to derive and validate circumference and skinfold equations for estimating the anatomical cross-sectional area (CSA) of the quadriceps, hamstrings, and total thigh muscles. Forty-three adult male (mean age +/- SD = 25 +/- 5 yr) volunteers underwent magnetic resonance imaging (MRI) to determine the CSA of the thigh muscles at the midfemur level as well as midthigh circumference and anterior thigh skinfold assessment. Multiple regression analyses were used to derive equations for predicting quadriceps, hamstrings, and total thigh muscle CSA of the dominant limb from the anthropometric dimensions on a random sample of 30 of the subjects. Cross-validation (CV) analyses were performed for each equation on: (a) the nondominant thigh of the derivation group (N = 30); (b) the dominant thigh of the CV group (N = 13); and (c) the nondominant thigh of the CV group (N = 13). The CV total error values for the quadriceps, hamstrings, and total thigh muscle CSA ranged from 5.4 to 14.4, 3.3 to 5.5, and 10.0 to 25.4 cm2, respectively. The anthropometric equations are recommended for one-time estimates of muscle CSA values in healthy, well-nourished young adult males when more sophisticated procedures are not available.

Adult↗

Evaluation of near infra-red interactance for assessment of subcutaneous and total body fat.

OBJECTIVE: Near infra-red interactance (NIRI) has been used for assessment of total body fatness, but its relationship with composition at the measurement site is not clear. This study examines the relationship of interactance with subcutaneous adipose tissue and muscle thickness as well as total body fat content. DESIGN: (i) Validation of NIRI by comparison with subcutaneous tissue thicknesses from ultrasound. (ii) Cross-validation of techniques for estimation of body fat content. SETTING: Laboratory. SUBJECTS: (i) 54 young adults (27 male and 27 female) and (ii) 63 middle-aged men. INTERVENTIONS: Measurements of subcutaneous adipose tissue thickness and muscle thickness using ultrasound, near infra-red interactance (Futrex 5000) and skinfold thicknesses were made at five sites in young adults. In middle-aged men total body fat was assessed by densitometry, NIRI and skinfold thickness. Measurements were made in duplicate by a single trained observer. RESULTS: Interactance measurements were related to subcutaneous adipose tissue thickness, although the relationship varied according to measurement site r = 0.09 at anterior thigh to 0.78 at biceps; P = 0.31 to < 0.0001). Muscle thickness explained additional variance in interactance only at biceps in women. Subcutaneous adipose tissue thickness correlated better with skinfold thickness (r = 0.56 to 0.92; P = 0.002 to < 0.0001) than with interactance. Mean difference in fat mass from densitometry +/- 95% limits of agreement was -1.61 +/- 7.68 kg for NIRI and -2.84 +/- 6.56 kg for skinfold thickness in middle-aged men. NIRI tended to underestimate higher (and overestimate lower) levels of fatness. CONCLUSIONS: NIRI performed no better than skinfolds in assessment of either subcutaneous or total body fat.

Adipose Tissue↗

[Body density assessment utilizing skinfold thickness and age in Japanese women].

A study was conducted to investigate the validity of skinfold-based prediction equations for body density (g/ml) by Nagamine and Suzuki (1964), and to formulate more convenient and more useful equations for predicting body density from skinfold and age in women. Subjects of the study were 512 healthy women aged 18-66 years in or near Nagasaki City. The dependent variable in the multiple regression equation, body density, was determined by hydrostatic weighing. Independent variables included eight skinfolds, the sum of two skinfolds (triceps, subscapular), the sum of three skinfolds (triceps, subscapular, and abdominal), age, and body surface area. Skinfolds were measured with an Eiken-model skinfold caliper. Age (mean 30.1, range 18-66 yrs.), weight (mean 52.6, range 38.0-83.3 kg), height (mean 157.0, range 142.0-172.0 cm), and body density, (mean 1.04125, range 0.98806-1.08650 g/ml) were also recorded. Percent body fat was calculated using the formula by Brozek et al. and ranged from 6.4% to 48.3%. Multiple correlation coefficients (MR) and standard error (SE) of 10 regression equations (A-J) for predicting body density in women were compared. The best-fitting and the most convenient prediction equation for body density was equation-E. The regression equation developed for predicting body density was: body density = 1.07931-0.00059 x sum of three skinfolds(mm)-0.00015 x age (MR = 0.77 and SE = 0.0089). The equation was cross-validated on a different sample of 46 women. The correlation coefficient between predicted and hydrostatically determined body density was 0.813 (p < 0.001). Equation-E (Tahara's equation) appears to be useful in body density analysis particularly when the subjects are Japanese women, aged 18-50 yrs, with percent body fat 17 to 34%.

Adolescent↗

The use of APACHE III to evaluate ICU length of stay, resource use, and mortality after coronary artery by-pass surgery.

OBJECTIVE: To identify patient characteristics that are associated with increased ICU length of stay, resource use, and hospital mortality after coronary artery bypass surgery. DESIGN: Prospective, multicenter study. SETTING: Six tertiary care hospitals. PARTICIPANTS: A consecutive sample of 2,435 unselected ICU admissions following coronary artery by-pass surgery. MATERIALS AND METHODS: Demographic, operative characteristics and APACHE III score were collected during the first postoperative day; and APACHE III scores and therapeutic interventions during the first three postoperative days. Hospital survival and ICU length of stay were also recorded. Multivariate equations were derived and cross-validated to predict hospital mortality, ICU length of stay, and ICU resource use. RESULTS: Unadjusted hospital mortality rate was 3.9% (range 1.0% to 6.0%), mean ICU length of stay was 3.7 days (range 3.2 to 4.7 days), and first 3-day ICU resource use (TISS points) was 99 (range 68 to 116). The range of actual to predicted ICU length of stay varied from 0.86 to 1.26; and resource use from 0.71 to 1.16. CONCLUSIONS: A limited number of operative characteristics, the post-operative acute physiology score (APS) of APACHE III and patient demographic data can predict hospital death rate, ICU length of stay, and resource use immediately following coronary by-pass surgery. These estimates may compliment assessments based on pre-operative risk factors in order to more precisely evaluate and improve the efficacy and efficiency of cardiovascular surgery.

APACHE↗

New 5H-[1,3]thiazolo[3,2-a]pyrido[3,2-e]pyrimidin-5-one derivatives as diuretics.

A series of new 5H-[1,3]thiazolo[3,2-a]pyrido[3,2-e] pyrimidin-5-ones 3-substituted and/or 8,9-hydrogenated was prepared and tested for their diuretic, natriuretic and kaliuretic activities on male Wistar rats at a dosage of 25 mg/kg or less. Diuretic and saliuretic activities were strongly influenced by substituents in 3-position. Quantitative structure-activity relationships show that electron withdrawn substituents in 3-position enhance both diuretic and saliuretic activities at 25 mg/kg. Global analysis of the variations introduced on pyridine, pyrimidine and thiazole rings of this tricyclic system showed an increases of diuretic and natriuretic activities when the formal charge on N9a and C9b increases. Potassium ion excretion also increases, although not as drastically a in the earlier cases. Regression equations were calculated by partial least squares method (PLS) and validated by the cross-validation (leave-one-out) technique.

Animals↗

Enhancing refusal skills: identifying contexts that place adolescents at risk for unwanted sexual activity.

Refusal skills training is one approach to reducing school-age pregnancy and sexually transmitted disease. The generalization of these skills is dependent, in part, on the relevance to participants of the training scenarios. We identified and cross-validated relevant contexts for inclusion in scenarios for refusal skills training. Fifty-six sexually active female adolescents identified 59 contexts associated with unwanted sexual activity. Fifty-one additional subjects rated these on 9-point Likert scales according to how common and difficult each was for them. Unsupervised activity where alcohol is present or feeling an obligation to engage in sexual activity emerged as high risk contexts. The most common and difficult contexts provide points of departure for the development of relevant training scenarios for refusal skills training, thereby contributing to generalization of these skills and reducing the risk of unwanted sexual activity within this population.

Adolescent↗

Schooling, occupational motivation, and personality as related to success in paramedical training.

Measures of prior school experience, motivation for working in a health care job, and personality were evaluated as potential predictors of success in Navy paramedical training. When, by multiple regression procedures, years of school completed, numbers of suspensions or expulsions from school, occupational motivation, and Comrey personality scale scores were combined with an aptitude measure that is used for guiding recruits into paramedical training, the cross-validity for predicting training completion was significantly increased (P less than 0.001) from 0.40 to 0.50. Practical means for applying these measures to the screening of candidates for paramedical training were developed. Results of the evaluation suggest that guiding people into jobs that they neither prefer nor perceive as congruent with their abilities and interests can significantly reduce the chances for occupational success.

Achievement↗