A simple tool to predict admission at the time of triage

Aim To create and validate a simple clinical score to estimate the probability of admission at the time of triage. Methods This was a multicentre, retrospective, cross-sectional study of triage records for all unscheduled adult attendances in North Glasgow over 2 years. Clinical variables that had significant associations with admission on logistic regression were entered into a mixed-effects multiple logistic model. This provided weightings for the score, which was then simplified and tested on a separate validation group by receiving operator characteristic (ROC) analysis and goodness-of-fit tests. Results 215 231 presentations were used for model derivation and 107 615 for validation. Variables in the final model showing clinically and statistically significant associations with admission were: triage category, age, National Early Warning Score (NEWS), arrival by ambulance, referral source and admission within the last year. The resulting 6-variable score showed excellent admission/discharge discrimination (area under ROC curve 0.8774, 95% CI 0.8752 to 0.8796). Higher scores also predicted early returns for those who were discharged: the odds of subsequent admission within 28 days doubled for every 7-point increase (log odds=+0.0933 per point, p&#60;0.0001). Conclusions This simple, 6-variable score accurately estimates the probability of admission purely from triage information. Most patients could accurately be assigned to ‘admission likely’, ‘admission unlikely’, ‘admission very unlikely’ etc., by setting appropriate cut-offs. This could have uses in patient streaming, bed management and decision support. It also has the potential to control for demographics when comparing performance over time or between departments.</p

BIG DATA MINING FOR INTERESTING PATTERNS WITH MAP REDUCE TECHNIQUE

There are many algorithms available in data mining to search interesting patterns from transactional databases of precise data. Frequent pattern mining is a technique to find the frequently occurred items in data mining. Most of the techniques used to find all the interesting patterns from a collection of precise data, where items occurred in each transaction are certainly known to the system. As well as in many real-time applications, users are interested in a tiny portion of large frequent patterns. So the proposed user constrained mining approach, will help to find frequent patterns in which user is interested. This approach will efficiently find user interested frequent patterns by applying user constraints on the collections of uncertain data. The user can specify their own interest in the form of constraints and uses the Map Reduce model to find uncertain frequent pattern that satisfy the user-specified constraintsÂ

Estimation of Glycogen Content of Nematodes from Ovis Bharal, Aurangabad Region (M.S.), India

In the present work, focus has been given to understand the mode of carbohydrate metabolism in parasites. The study of glycogen levels furnish the basic information about substrates and their intermediatory metabolites by which it is possible to get fair idea of metabolic pathway in which energy is derived by the nematode parasites. Department of Zoology, Dr.B.A.M.University Aurangabad (M.S.) India* Corresponding Author, Email:  [email protected] Cite This Article As: Tushar Dhondge, Sujeet Jamdar and Baba Jadhav. 2010. Estimation of Glycogen Content of Nematodes from Ovis Bharal, Aurangabad Region (M.S.), India. J. Exp. Sci. 1(2): 18-19

Pro/con debate: antifungal prophylaxis is important to prevent fungal infection in patients with acute necrotizing pancreatitis receiving broad-spectrum antibiotics

When critically ill patients with pancreatitis develop infection of the pancreas, the ongoing management of such patients becomes difficult. Sufficient evidence supports the use of broad-spectrum antibiotic prophylaxis to prevent the development of bacterial infection. Since fungal infection is also a relatively common complication of severe pancreatitis--particularly when broad-spectrum antibiotics are used--it seems logical that fungal prophylaxis may be an important component of management. In this issue of Critical Care, two expert groups debate the merits of antifungal prophylaxis in patients with acute necrotizing pancreatitis who are receiving antibiotics

Infectivity of nematode parasites of the common toad, Duttaphrynus melanostictus (Schneider, 1799) Frost et al., 2006 (Anura: Bufonidae) from different localities of Aurangabad

The common toad, Duttaphrynus melanostictus, Schneider, 1799) Frost et al., 2006 from Aurangabad was found to harbor three species of nematodes; Oswaldocruzia goezei (Skrjabin and Schulz, 1952), Trichuris globusa (V. Linstow, 1901, Ransom, 1911), Oxysomatium macintoshii (Karve, 1927). Among all the parasites, Trichuris globulosa represents the accidental new host record for D. melanostictus in Maharashtra

Occurrence of Marbled Balloon Frog, Uperodon Systoma (Schneider, 1799) from Aurangabad (M.S.), India

During the survey of amphibians from University campus of Aurangabad (M.S.), India two specimens of marbled balloon frog were recovered near the botanical garden. Biodiversity study of amphibians from the university campus was not carried out before this study thus it forms the first study of amphibians and also occurrence of the marbled balloon frog from Marathwada region. The study was carried out during the year June 2009. The morpohmetric characters of this frog is taken into consideration while studying. ---Department of Zoology, Dr.Babasaheb Ambedkar Marathwada University, Aurangabad (M.S.), India ---Please Cite This Article As: Sujeet Jamdar, Tushar Dhondge and C.J. Hiware. 2010. Occurrence of Marbled Balloon Frog, Uperodon Systoma (Schneider, 1799) from Aurangabad (M.S.), India. J. Ecobiotechnol. 2(6):4-6.  Â