120 research outputs found
The Language of Life
This paper explores the idea that life comprises a language-like system. The arguments are carried out against the background of the neo-Darwinian theory of evolution. The principal conclusion is the dilemma that if life is a language-like system, then certain concepts are missing from the Darwinian paradigm; if not, then Darwinian thought is suspicious in the sense that its principles do not naturally apply to cognate disciplines
Determinants of mortality for adults with cystic fibrosis admitted in Intensive Care Unit: a multicenter study
BACKGROUND: Intensive care unit (ICU) admission of adults with cystic fibrosis (CF) is controversial because of poor outcome. This appraisal needs re-evaluation following recent changes in both CF management and ICU daily practice. Objectives were to determine long-term outcome of adults with CF admitted in ICU and to identify prognostic factors. METHODS: Retrospective multicenter study of 60 ICU hospitalizations for 42 adult CF patients admitted between 2000 and 2003. Reason for ICU admission, ventilatory support provided and one-year survival were recorded. Multiple logistic analysis was used to determine predictors of mortality. RESULTS: Prior to ICU admission, all patients (mean age 28.1 ± 8 yr) had a severe lung disease (mean FEV(1 )28 ± 12% predicted; mean PaCO(2 )47 ± 9 mmHg). Main reason for ICU hospitalization was pulmonary infective exacerbation (40/60). At admission, noninvasive ventilation was used in 57% of cases and was successful in 67% of patients. Endotracheal intubation was implemented in 19 episodes. Overall ICU mortality rate was 14%. One year after ICU discharge, 10 of the 28 survivors have been lung transplanted. Among recognized markers of CF disease severity, only the annual FEV(1 )loss was associated with a poor outcome (HR = 1.47 [1.18–1.85], p = 0.001). SAPSII (HR = 1.08 [1.03–1.12], p < 0.001) and endotracheal intubation (HR = 16.60 [4.35–63.34], p < 0.001) were identified as strong independent predictors of mortality. CONCLUSION: Despite advanced lung disease, adult patients with CF admitted in ICU have high survival rate. Endotracheal intubation is associated with a poor prognosis and should be used as the last alternative. Although efforts have to be made in selecting patients with CF likely to benefit from ICU resources, ICU admission of these patients should be considered
Women out, children out : the effect of female labor on portuguese preschool enrollment rates
This article tests whether Portuguese female activity rates have increased preschool
enrollment rates. Particularly during the last 20 years, Portuguese women have assumed new
roles in the marketplace and have become active workers outside of the home environment.
This change has encouraged more sensible decisions with respect to preschool enrollment.
Using cointegration techniques, we concluded that female activity rates and real income per
capita caused a long-term increase in preschool enrollment rates. Although the percentage of
agricultural gross value added to the gross domestic product and the number of preschool
institutes were also found to be significant in the estimated vector error correction model,
their causal relationship with preschool enrollment was only short term.COMPETE; QREN; FEDER; Fundação para a Ciência e a Tecnologia (FCT
Social Algorithms
This article concerns the review of a special class of swarm intelligence
based algorithms for solving optimization problems and these algorithms can be
referred to as social algorithms. Social algorithms use multiple agents and the
social interactions to design rules for algorithms so as to mimic certain
successful characteristics of the social/biological systems such as ants, bees,
bats, birds and animals.Comment: Encyclopedia of Complexity and Systems Science, 201
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