Parental needs and stress in Neonatal Intensive Care Units: effect of data collection period

The assessment of parental needs and stress is essential for the implementation of quality family-centred care in Neonatal Intensive Care Units (NICUs). Therefore, we aim to assess the effect of data collection period on self-reported needs and stress among parents of very preterm infants hospitalized in level III NICU, comparing those interviewed 8-14 days after child s admission with those interviewed 15-22 days after that event. Between January and September 2013, parents filled the NICU Family Needs Inventory and the Parental Stress Scale in NICU. Needs of assurance and proximity were the most valued, independently of the time of interview. A tendency for attributing a higher relevance to support needs and to stress levels regarding change in parental role was observed throughout the hospitalization

Reduced-Bias Location-Invariant Extreme Value Index Estimation: A Simulation Study

In this article, we deal with semi-parametric corrected-bias estimation of a positive extreme value index (EVI), the primary parameter in statistics of extremes. Under such a context, the classical EVI-estimators are the Hill estimators, based on any intermediate number k of top-order statistics. But these EVI-estimators are not location-invariant, contrarily to the PORT-Hill estimators, which depend on an extra tuning parameter q, with 0 ≤ q < 1, and where PORT stands for peaks over random threshold. On the basis of second-order minimum-variance reduced-bias (MVRB) EVI-estimators, we shall here consider PORT-MVRB EVI-estimators. Due to the stability on k of the MVRB EVI-estimates, we propose the use of a heuristic algorithm, for the adaptive choice of k and q, based on the bias pattern of the estimators as a function of k. Applications in the fields of insurance and finance will be provided.Research partially supported by FCT/OE and PTDC/FEDER.publishe

Machine Learning based tool for CMS RPC currents quality monitoring

The muon system of the CERN Compact Muon Solenoid (CMS) experiment includes more than a thousand Resistive Plate Chambers (RPC). They are gaseous detectors operated in the hostile environment of the CMS underground cavern on the Large Hadron Collider where pp luminosities of up to $2\times 10^{34}$ $\text{cm}^{-2}\text{s}^{-1}$ are routinely achieved. The CMS RPC system performance is constantly monitored and the detector is regularly maintained to ensure stable operation. The main monitorable characteristics are dark current, efficiency for muon detection, noise rate etc. Herein we describe an automated tool for CMS RPC current monitoring which uses Machine Learning techniques. We further elaborate on the dedicated generalized linear model proposed already and add autoencoder models for self-consistent predictions as well as hybrid models to allow for RPC current predictions in a distant future

Effects of the electronic threshold on the performance of the RPC system of the CMS experiment

Resistive Plate Chambers have a very important role for muon triggering both in the barrel and in the endcap regions of the CMS experiment at the Large Hadron Collider (LHC). In order to optimize their performance, it is of primary importance to tune the electronic threshold of the front-end boards reading the signals from these detectors. In this paper we present the results of a study aimed to evaluate the effects on the RPC efficiency, cluster size and detector intrinsic noise rate, of variations of the electronics threshold voltage

Effects of hospital facilities on patient outcomes after cancer surgery: an international, prospective, observational study

Background Early death after cancer surgery is higher in low-income and middle-income countries (LMICs) compared with in high-income countries, yet the impact of facility characteristics on early postoperative outcomes is unknown. The aim of this study was to examine the association between hospital infrastructure, resource availability, and processes on early outcomes after cancer surgery worldwide.Methods A multimethods analysis was performed as part of the GlobalSurg 3 study-a multicentre, international, prospective cohort study of patients who had surgery for breast, colorectal, or gastric cancer. The primary outcomes were 30-day mortality and 30-day major complication rates. Potentially beneficial hospital facilities were identified by variable selection to select those associated with 30-day mortality. Adjusted outcomes were determined using generalised estimating equations to account for patient characteristics and country-income group, with population stratification by hospital.Findings Between April 1, 2018, and April 23, 2019, facility-level data were collected for 9685 patients across 238 hospitals in 66 countries (91 hospitals in 20 high-income countries; 57 hospitals in 19 upper-middle-income countries; and 90 hospitals in 27 low-income to lower-middle-income countries). The availability of five hospital facilities was inversely associated with mortality: ultrasound, CT scanner, critical care unit, opioid analgesia, and oncologist. After adjustment for case-mix and country income group, hospitals with three or fewer of these facilities (62 hospitals, 1294 patients) had higher mortality compared with those with four or five (adjusted odds ratio [OR] 3.85 [95% CI 2.58-5.75]; p&lt;0.0001), with excess mortality predominantly explained by a limited capacity to rescue following the development of major complications (63.0% vs 82.7%; OR 0.35 [0.23-0.53]; p&lt;0.0001). Across LMICs, improvements in hospital facilities would prevent one to three deaths for every 100 patients undergoing surgery for cancer.Interpretation Hospitals with higher levels of infrastructure and resources have better outcomes after cancer surgery, independent of country income. Without urgent strengthening of hospital infrastructure and resources, the reductions in cancer-associated mortality associated with improved access will not be realised

Search for a vector-like quark T′ → tH via the diphoton decay mode of the Higgs boson in proton-proton collisions at s \sqrt{s} = 13 TeV

A search for the electroweak production of a vector-like quark T′, decaying to a top quark and a Higgs boson is presented. The search is based on a sample of proton-proton collision events recorded at the LHC at = 13 TeV, corresponding to an integrated luminosity of 138 fb−1. This is the first T′ search that exploits the Higgs boson decay to a pair of photons. For narrow isospin singlet T′ states with masses up to 1.1 TeV, the excellent diphoton invariant mass resolution of 1–2% results in an increased sensitivity compared to previous searches based on the same production mechanism. The electroweak production of a T′ quark with mass up to 960 GeV is excluded at 95% confidence level, assuming a coupling strength κT = 0.25 and a relative decay width Γ/MT′ < 5%