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Prediction of parental dominance combinations for planned matings, methodology, and simulation results.

Optimal use of dominance information requires a mating system and predictions of specific combining abilities for each set of prospective parents. Current evaluation procedures provide such predictions only for a limited number of parents. A procedure is described that predicts the specific combining ability for any parents. In this procedure, for each set of parents and their ancestors, the additive relationship matrix is created as a dense matrix. This matrix is then used to create a parental dominance matrix in a sparse matrix form, in which the rows of the matrix correspond to all parental combinations for which predictions are already available. Each new prediction requires a solution of the system of equations with the parental dominance matrix as the left-hand side. The efficiency of the mating system that accounts for dominance was evaluated in a simulation study. The simulated data files varied with respect to proportion of males and females selected, proportion of cattle born through embryo transfer, and additive and dominance variance. Sires and dams were preselected based on the additive merits only, but specific matings were arranged based on the combined additive plus dominance merit. The response to selection with consideration of dominance increased from 3.8 to 16.6% of the response from one generation of additive selection. The response was greater when the additive variance was smaller, the dominance variance was larger, the intensity of additive selection was lower, and the proportion of full sibs was greater. Use of dominance in the mating system is feasible and results in an additional genetic response to selection.

Animals↗

Coh-metrix: analysis of text on cohesion and language.

Advances in computational linguistics and discourse processing have made it possible to automate many language- and text-processing mechanisms. We have developed a computer tool called Coh-Metrix, which analyzes texts on over 200 measures of cohesion, language, and readability. Its modules use lexicons, part-of-speech classifiers, syntactic parsers, templates, corpora, latent semantic analysis, and other components that are widely used in computational linguistics. After the user enters an English text, CohMetrix returns measures requested by the user. In addition, a facility allows the user to store the results of these analyses in data files (such as Text, Excel, and SPSS). Standard text readability formulas scale texts on difficulty by relying on word length and sentence length, whereas Coh-Metrix is sensitive to cohesion relations, world knowledge, and language and discourse characteristics.

Comprehension↗

Automated 13CO2 analyzing system for the 13C breath test.

An automated 13CO2 analyzing system for the 13C breath test was designed, built and evaluated. The system, which was designed to be controlled by a micro-computer, includes CO2 purification, 13CO2 abundance measurement, data processing and data filing. This article gives the description of the whole system with flow charts. This system has proved to work well and it has become feasible to dispose of 5 to 6 CO2 samples per hour. With such a system, the 13C breath test will be carried out much more easily and will obtain much greater popularity.

Autoanalysis↗

Measurement repeatability of corneal aberrations.

PURPOSE: Customized procedures that aim to improve visual performance beyond traditional sole correction of sphere and cylinder require the reliable determination of higher order corneal and ocular aberrations for individual eyes. The aim of the current investigation was to determine the repeatability of corneal aberration measurement. METHODS: Ten subjects were measured on 10 different days using a videokeratoscope. The Zernike coefficients and the wavefront error were calculated from the height data files using CTView. Repeatability was calculated for apertures of 3, 4.5, and 6 mm at the 95% confidence level. RESULTS: The wavefront error absolute repeatability was similar for the 4th and 10th order analysis. The absolute repeatability for individual Zernike coefficients was coefficient dependent; the poorest repeatability was recorded for coma-like aberrations (uncertainty 3 mm = 0.060 microm; 4.5 mm = 0.083 microm; 6 mm = 0.109 microm). The relative repeatability compared to the population means was good for wavefront error (5% to 20%) but poor for some individual Zernike coefficients. CONCLUSION: Videokeratoscope clinical repeatability was sufficient to reliably determine wavefront error at a single session, but may require several examinations and/or repeated independent measurements at the same examination to determine reliably some Zernike coefficients. This has significant practical implications for accurate customized correction of aberrations.

Adult↗

The effects of hematocrit and age on transcranial Doppler measurements in patients with recent ischemic stroke.

BACKGROUND: The effects of age and hematocrit on transcranial Doppler (TCD) velocities have not been evaluated in a large patient group with recent ischemic stroke. AIM: This study assessed the effects of age and hematocrit on TCD measurements in patients with recent ischemic stroke compared to patients with non-vascular diseases. SETTINGS AND DESIGN: University Hospital, retrospective study. MATERIALS AND METHODS: TCD records and data files of 862 consecutive patients (mean age, 57+/-16 years) with various neurological diagnoses were reviewed retrospectively. The peak systolic, end diastolic and mean flow velocities (FV), systolic/diastolic ratios and pulsatility indices (PI) in the middle cerebral arteries were averaged and the effect of age and hematocrit values on these TCD values was studied. Independent samples t test, Pearson's coefficients of correlation, and linear regression test were used for statistical analysis. RESULTS: Among 862 patients, 413 were women (mean age, 53+/-17 years) and 449 were men (mean age, 60+/-13 years). Peak systolic and mean FV were higher and hematocrit concentration was lower in women compared to men (P< 0.001). The relation of TCD velocities with age and hematocrit was more remarkable in the group of patients with non-vascular neurological disorders. PI values demonstrated a significant correlation to age (r=+0.47) (P< 0.001), but did not change significantly with hematocrit level. CONCLUSIONS: It should be remembered that blood FV measured by TCD may be significantly affected by age and hematocrit level. However, there seems to be no significant association between TCD velocities and hematocrit in patients with a recent ischemic stroke.

Adolescent↗

[High accuracy measuring device for dental cast--using device with flat laser beam].

A new system has been developed for measuring the surface morphology of the occlusal material. The main characteristic of the system is utilizing a flat laser beam to produce high accuracy measuring and to enable measuring 200 points at the same time on a line of 30 mm in length. It takes 8 to 10 minutes to digitize the whole morphology of a dental cast. The system has a central processing unit that assembles a series of digitized points into a data file of the dental morphology. It is also able to recognize the graphical image of the numerically reconstructed morphology on the CRT. Application of this measuring system enables the approach to the qualitative and quantitative evaluation of the spatial relationship between the opposing teeth at near the occlusal contact.

Dental Casting Technique↗

Mental health needs assessment of off-reservation American Indian people in northern Arizona.

Native Americans For Community Action, Inc. (NACA) implemented a community-wide mental health needs assessment in Northern Arizona using bilingual interviewers recruited from the local community. A total of 235 people: 156 adults, 28 adolescents, and parents of 51 children were interviewed. File data from the NACA Family Health Center was also analyzed. Thirty-eight percent (38%) of adults reported problems with depression, 27% reported completed or attempted suicide among family members, 31% had problems with drugs or alcohol, and 25% reported problems with physical abuse. Sixty-five percent (65%) of those surveyed never sought professional help. A majority of respondents said that mental health services were needed in their community.

Adolescent↗

Organizational and environmental factors associated with nursing home participation in managed care.

OBJECTIVE: To develop and test a model, based on resource dependence theory, that identifies the organizational and environmental characteristics associated with nursing home participation in managed care. DATA SOURCES AND STUDY SETTING: Data for statistical analysis derived from a survey of Directors of Nursing in a sample of nursing homes in eight states (n = 308). These data were merged with data from the On-line Survey Certification and Reporting System, the Medicare Managed Care State/County Data File, and the 1995 Area Resource File. STUDY DESIGN: Since the dependent variable is dichotomous, the logistic procedure was used to fit the regression. The analysis was weighted using SUDAAN. FINDINGS: Participation in a provider network, higher proportions of resident care covered by Medicare, providing IV therapy, greater availability of RNs and physical therapists, and Medicare HMO market penetration are associated with a greater likelihood of having a managed care contract. CONCLUSION: As more Medicare recipients enroll in HMOs, nursing home involvement in managed care is likely to increase. Interorganizational linkages enhance the likelihood of managed care participation. Nursing homes interested in managed care should consider upgrading staffing and providing at least some subacute services.

Contract Services↗

Privacy Act of 1974; report of new systems of records--HCFA. Notice of new system of records.

In accordance with the requirements of the Privacy Act of 1974, we are proposing to establish a new system of records, "HCFA Medicare Mortality Predictor Data File, "HHS/HCFA/ORD No. 09-70-0047. We have provided background information about the proposed system in the "Supplementary Information" section below. Although the Privacy Act requires only that the "routine uses" portion of the system be published for comment, HCFA invites comments on all portions of this notice.

Civil Rights↗

An unusually high prevalence of asthma in Ethiopian immigrants to Israel.

BACKGROUND AND OBJECTIVES: The past 20 years have seen a large immigration of Ethiopian Jews to Israel, primarily in 2 airlifts, one in 1984-1985 and one in 1991. Infectious and parasitic diseases were the dominant health problems in the early years. Recently, we noticed changing health patterns in this population, particularly an increase in clinic visits for asthma, which contrasted with asthma rates of 2.5% reported among Ethiopian Jews at the time of immigration to Israel. This study evaluated the prevalence and characteristics of asthma in a population of Jews of Ethiopian origin who had been in Israel for 8-17 years. METHODS: We audited 302 files of adult patients of Ethiopian origin and 604 files of age- and gender-matched patients of non-Ethiopian origin. Each file was reviewed by 2 physicians. Asthma was defined by published clinical criteria as found in the patient file. Data on allergies and eosinophilia were collected as well. RESULTS: The average age of the 2 groups of asthmatics was 44.1 +/- 16.2 and 42.4 +/- 20.7 years, respectively. The prevalence of asthma in the patients of Ethiopian origin was 51/302 (17%), compared with 35/604 (5.8%) in the control group. Thirty-three percent of the Ethiopian asthmatics and 37% of the control group suffered from various allergic diseases. Among the patients of Ethiopian origin, the prevalence of eosinophilia was 44%, with no significant difference between asthmatics and non-asthmatic patients (49% versus 43%). Eosinophilia was found in 8.4% of the control group. Asthma was more prevalent among patients with eosinophilia (22%) than without eosinophilia (6.4%). CONCLUSIONS: Asthma is 3 times as prevalent in adults of Ethiopian origin, compared with the general population in our clinics, and markedly increased above the rate reported for newly immigrated Ethiopian Jews. We conclude that the move from the rural hills of Ethiopia to the more urban and industrialized setting of Israel has resulted in an increased prevalence of asthma in this population, but the specific cause is uncertain.

Adult↗

Microcomputer mapping helps healthcare planners target market.

In the highly competitive healthcare arena, microcomputer maps illustrating everything from population shifts to sources of patient referrals are becoming important planning and marketing tools. Mapping can help facilities focus their marketing on the physician community in general or on particular physicians who may refer patients for specialized care. It can locate patients by type, physician, and other data; it can be used to illustrate requests for state approval of expansions and acquisitions; and it can help organizations target certain areas for changes in service delivery, marketing, or physician placement. Five basic components are needed to create microcomputer maps: a computer with graphics capabilities; an output device such as a printer or plotter; a data file; a boundary file; and mapping software.

Catchment Area, Health↗

Privacy Act of 1974; report of new system--HCFA. Notice of new system of records.

In accordance with the requirements of the Privacy Act of 1974, we are proposing to establish a new system of records, "HCFA Medicare Severity of Illness Data File," HHS/HCFA/HSQB No. 09-70-1514. We have provided background information about the proposed system in the "Supplementary Information" section below. Although the Privacy Act requires only that the "routine uses" portion of the system be published for comment, HCFA invites comments on all portions of this notice.

Centers for Medicare and Medicaid Services, U.S.↗

Plan your organization's Medicare risk strategy using enrollment, disenrollment data.

Data File: We've expanded this month's column to feature the details of two studies on Medicare enrollment and disenrollment trends--important information that can help you fine-tune your Medicare risk strategy. You'll find the top counties poised for growth, a report card on how HMOs are retaining or losing their members, and tips for spotting plans that could spell trouble because of volatile membership.

Aged↗

High disenrollment rates persist among Medicare risk plans.

Data File: Would you expect to succeed in Medicare risk if your plan had a 71% annual disenrollment rate? The U.S. General Accounting Office conducts another study on beneficiary disenrollment from Medicare plans and finds high annual disenrollment rates still persist.

Aged↗

Capitation among Medicare beneficiaries.

CONTEXT: The Medicare program has promoted capitation as a way to contain costs. About 15% of Medicare beneficiaries nationwide are currently under capitation, but tremendous regional variation exists. PRACTICE PATTERN EXAMINED: The proportion of Medicare beneficiaries who have enrolled in risk-contract plans in individual states and in the 25 largest metropolitan areas in the United States. DATA SOURCE: Health Care Financing Administration data files. RESULTS: Medicare beneficiaries are most likely to be under capitation in Arizona (38%) and California (37%). Eight other states have capitation rates greater than 20%: Colorado, Florida, Rhode Island, Oregon, Washington, Pennsylvania, Massachusetts, and Nevada. Thirty states, largely in the Great Plains area and the southern United States, have capitation rates less than 10%. Four major metropolitan areas have market penetration rates greater than 40%: San Bernardino, California; San Diego, California; Phoenix, Arizona; and Miami, Florida. Little penetration exists outside of metropolitan areas. CONCLUSION: Capitation in Medicare is a regional and predominantly an urban phenomenon.

Capitation Fee↗