Background: Surgical mortality data are collected routinely in high-income countries, yet virtually no low-or middle-income countries have outcome surveillance in place. The aim was prospectively to collect worldwide mortality data following emergency abdominal surgery, comparing findings across countries with a low, middle or high Human Development Index (HDI).Methods: This was a prospective, multicentre, cohort study. Self-selected hospitals performing emergency surgery submitted prespecified data for consecutive patients from at least one 2-week interval during July to December 2014. Postoperative mortality was analysed by hierarchical multivariable logistic regression.
The knowledge of the particle velocity fluctuations associated with
acoustic pressure oscillation in the exhaust system of internal combustion
engines may represent a powerful aid in the design of such systems, from the
point of view of both engine performance improvement and exhaust noise
abatement. However, usual velocity measurement techniques, even if applicable,
are not well suited to the aggressive environment existing in exhaust systems.
In this paper, a method to obtain a suitable estimate of velocity fluctuations
is proposed, which is based on the application of spatial filtering (beamforming) techniques to instantaneous pressure measurements. Making use of
simulated pressure-time histories, several algorithms have been checked by
comparison between the simulated and the estimated velocity fluctuations.
Then, problems related to the experimental procedure and associated with the
proposed methodology are addressed, making application to measurements made in
a real exhaust system. The results indicate that, if proper care is taken when
performing the measurements, the application of beamforming techniques gives a
reasonable estimate of the velocity fluctuations.
We present a new method for fusing scores corresponding to different detectors (two-hypotheses case). It is based on alpha integration, which we have adapted to the detection context. Three optimization methods are presented: least mean square error, maximization of the area under the ROC curve, and minimization of the probability of error. Gradient algorithms are proposed for the three methods. Different experiments with simulated and real data are included. Simulated data consider the two-detector case to illustrate the factors influencing alpha integration and demonstrate the improvements obtained by score fusion with respect to individual detector performance. Two real data cases have been considered. In the first, multimodal biometric data have been processed. This case is representative of scenarios in which the probability of detection is to be maximized for a given probability of false alarm. The second case is the automatic analysis of electroencephalogram and electrocardiogram records with the aim of reproducing the medical expert detections of arousal during sleeping. This case is representative of scenarios in which probability of error is to be minimized. The general superior performance of alpha integration verifies the interest of optimizing the fusing parameters.
The detection and identification of internal defects in a material require the use of some technology that translates the hidden interior damages into observable signals with different signature-defect correspondences. We apply impact-echo techniques for this purpose. The materials are classified according to their defective status (homogeneous, one defect or multiple defects) and kind of defect (hole or crack, passing through or not). Every specimen is impacted by a hammer, and the spectrum of the propagated wave is recorded. This spectrum is the input data to a Bayesian classifier that is based on the modeling of the conditional probabilities with a mixture of Gaussians. The parameters of the Gaussian mixtures and the class probabilities are estimated using an extended expectation-maximization algorithm. The advantage of our proposal is that it is flexible, since it obtains good results for a wide range of models even under little supervision; e.g., it obtains a harmonic average of precision and recall value of 92.38% given only a 10% supervision ratio. We test the method with real specimens made of aluminum alloy. The results show that the algorithm works very well. This technique could be applied in many industrial problems, such as the optimization of the marble cutting process.
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