35 research outputs found

    COVID-19 symptoms at hospital admission vary with age and sex: results from the ISARIC prospective multinational observational study

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    Background: The ISARIC prospective multinational observational study is the largest cohort of hospitalized patients with COVID-19. We present relationships of age, sex, and nationality to presenting symptoms. Methods: International, prospective observational study of 60 109 hospitalized symptomatic patients with laboratory-confirmed COVID-19 recruited from 43 countries between 30 January and 3 August 2020. Logistic regression was performed to evaluate relationships of age and sex to published COVID-19 case definitions and the most commonly reported symptoms. Results: ‘Typical’ symptoms of fever (69%), cough (68%) and shortness of breath (66%) were the most commonly reported. 92% of patients experienced at least one of these. Prevalence of typical symptoms was greatest in 30- to 60-year-olds (respectively 80, 79, 69%; at least one 95%). They were reported less frequently in children (≀ 18 years: 69, 48, 23; 85%), older adults (≄ 70 years: 61, 62, 65; 90%), and women (66, 66, 64; 90%; vs. men 71, 70, 67; 93%, each P < 0.001). The most common atypical presentations under 60 years of age were nausea and vomiting and abdominal pain, and over 60 years was confusion. Regression models showed significant differences in symptoms with sex, age and country. Interpretation: This international collaboration has allowed us to report reliable symptom data from the largest cohort of patients admitted to hospital with COVID-19. Adults over 60 and children admitted to hospital with COVID-19 are less likely to present with typical symptoms. Nausea and vomiting are common atypical presentations under 30 years. Confusion is a frequent atypical presentation of COVID-19 in adults over 60 years. Women are less likely to experience typical symptoms than men

    A neural model for predicting the time performance of traditional general contract (TGC) project

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    Several studies had shown that many project managers are facing difficulties in predicting the time performance of Traditional General Contract (TGC) projects because there are many factors that affect TGC project success. This study presents the development of a model that can be used to predict the time performance of TGC project. Through literature research, fortyfour success factors affecting TGC project have been established. The degree of importance for these factors was determined through questionnaire survey. The outcome of the survey formed a basis for the development of the time performance prediction model using Artificial Neural Network technique. The best model was found to be a multi-layer back-propagation neural network consists of eight input nodes, five hidden nodes and three output nodes. The model was tested by using data from nine new projects. The results show that the mean error for this prediction model is relatively low. The developed model enables all parties involved in TGC projects to predict and ensure that their project is on tim

    Predicting the performance of design-bid-build projects: a neural-network based approach

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    Several studies had shown that many project managers are facing difficulties in predicting the performance of Design- bid-build (DBB) projects. This is due to the fact that there are many factors that affect DBB project success. This research is carried out to identify these factors. In addition, a model to predict the performance of DBB project was developed based on time. Through literature research, a total of forty-four factors that affect DBB project success had been established. The degree of importance for these factors had been determined through questionnaire survey. Eight out of forty-four factors that affecting project performance were found to be the most important factors ITom the viewpoint of project managers and contractors in the Malaysia construction industry. The outcome of the survey formed a basis for the model development. Artificial neural network (ANN) technique is used to construct the models to predict construction project performance based on time. The best performance model was the multiplayer back-propagation neural network model, which consisted of eight input nodes, five hidden nodes and three output nodes. These models were tested by using data ITom nine new projects. The results indicated that the developed model can give a good prediction. In this study, it was concluded that the ANN prediction model can be an efficient tool for predicting the performance ofDBB project from the time aspect

    Predicting the performance of traditional general contract projects: A neural network based approach

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    Several studies had shown that many project managers are facing difficulties in predicting the performance of Traditional General Contract (TGC) projects. This is due to the fact that there are many factors that affect TGC project success. This paper presents the TGS project success factors that have been identified. In addition, a model to predict the performance of TGC project based on time is also described. Through literature research, a total of forty-four factors affecting TGC project success had been established. The degree of importance for these factors was determined through questionnaire survey. The outcome of the survey formed a basis for the development of the project performance prediction model. The best model was found to be a multi-layer back-propagation neural network consists of eight input nodes, five hidden nodes and three output nodes. The model was tested by using data from nine new projects. The results showed that the mean error for this prediction model is relatively low. The model enables all parties involved in TGC projects to predict and ensure that their project performance is within the time constraints

    Experimental Investigation of Indoor Air Pollutants in Three Residential Buildings

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    Short-term, daily intake of yogurt containing Bifidobacterium animalis ssp. lactis Bf-6 (LMG 24384) does not affect colonic transit time in women

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    The present study investigated the effect of Bifidobacterium animalis ssp. lactis Bf-6 (LMG 24384) (Bf-6)-supplemented yogurt on colonic transit time (CTT). A triple-blinded, randomised, placebo-controlled, two-period cross-over trial was conducted with sixty-eight women with a self-reported history of straining during bowel movements or hard or lumpy stools in the past 2 years. As per regulatory requirements for probiotic studies, eligible women were generally healthy and not actively constipated at the time of enrolment. Participants consumed both Bf-6 and placebo yogurts for 14d each in a randomised order, with a 6-week washout period between the treatments. The primary outcome, CTT, was assessed via Sitz marker X-rays. The average CTT was 42·1h for the active period and 43·3h for the control period (mean difference 1·2h, 95% CI-4·9, 7·4). Since the statistical tests for the cross-over study implied that the mean CTT for the active and control periods in period 2 were biased, the standard protocol suggests examining the results of only period 1 as a traditional randomised controlled trial. This showed that the mean CTT was 35·2h for the active period v. 52·9h for the control period (P=0·015). Bootstrapping demonstrated that both the mean and median differences remained significant (P=0·016 and P=0·045, respectively). Few adverse events were noted, with no differences among the active and control periods. The paired analysis showed no differences between the active and control periods during the cross-over trial. Further trials should be conducted in populations with underlying problems associated with disordered transit to determine the potential value of probiotic supplementation more accurately. Copyright © The Authors 2013
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