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State Index (state + index)
Selected AbstractsShort-term variation in the ecological status of a Mediterranean coastal lagoon (NE Iberian Peninsula) after a man-made change of hydrological regimeAQUATIC CONSERVATION: MARINE AND FRESHWATER ECOSYSTEMS, Issue 7 2008Anna Badosa Abstract 1.The Ter Vell (NE Iberian Peninsula) is a eutrophic coastal lagoon that has been mostly flooded by excessive irrigation water during recent decades. During 2001 and 2002 the lagoon was subject to several water management actions, the main consequence of which was a change in the hydrological regime due to drastically reduced irrigation water inputs to the lagoon. 2.In order to comply with the Water Framework Directive, all the management actions in an ecosystem should be focused on protecting and, where necessary, improving its ecological status. 3.The aims of this study were (1) to analyse whether the hydrological change caused by management actions have affected the ecological status of the lagoon, and (2) to discuss the suitability of several physicochemical and biological indicators for the assessment of the ecological status in this kind of coastal ecosystem. 4.After the change in the hydrological regime, a general improvement of the ecological status was observed mainly as a result of the significant decrease in the nitrogen Trophic State Index and in the abundance of rotifer indicative of eutrophy, and in turn by the significant increase in the water quality index QAELS, based on crustaceans and insect assemblages. 5.Contradictory results emerged with regard to some of the indicators used. After the hydrological change, the increase in the phosphorus Trophic State Index was related with the fact that Mediterranean confined coastal ecosystems are typically P-enriched. In contrast with general assumptions, low diversity and richness of the zooplankton and the dominance of a few species have been related with an improvement of the ecological status after the hydrological change, when freshwater inputs were reduced and the lagoon became more confined. Copyright © 2008 John Wiley & Sons, Ltd. [source] Predictive ability of propofol effect,site concentrations during fast and slow infusion ratesACTA ANAESTHESIOLOGICA SCANDINAVICA, Issue 4 2010P. O. SEPÚLVEDA Background: The performance of propofol effect,site pharmacokinetic models during target-controlled infusion (TCI) might be affected by propofol administration rate. This study compares the predictive ability of three effect,site pharmacokinetic models during fast and slow infusion rates, utilizing the cerebral state index (CSI) as a monitor of consciousness. Methods: Sixteen healthy volunteers, 21,45 years of age, were randomly assigned to receive either a bolus dose of propofol 1.8 mg/kg at a rate of 1200 ml/h or an infusion of 12 mg/kg/h until 3,5 min after loss of consciousness (LOC). After spontaneous recovery of the CSI, the bolus was administered to patients who had first received the infusion and vice versa. The study was completed after spontaneous recovery of CSI following the second dose scheme. LOC was assessed and recorded when it occurred. Adequacies of model predictions during both administration schemes were assessed by comparing the effect,site concentrations estimated at the time of LOC during the bolus dose and during the infusion scheme. Results: LOC occurred 0.97 ± 0.29 min after the bolus dose and 6.77 ± 3.82 min after beginning the infusion scheme (P<0.05). The Ce estimated with Schnider (ke0=0.45/min), Marsh (ke0=1.21/min) and Marsh (ke0=0.26/min) at LOC were 4.40 ± 1.45, 3.55 ± 0.64 and 1.28 ± 0.44 ,g/ml during the bolus dose and 2.81 ± 0.61, 2.50 ± 0.39 and 1.72 ± 0.41 ,g/ml, during the infusion scheme (P<0.05). The CSI values observed at LOC were 70 ± 4 during the bolus dose and 71 ± 2 during the infusion scheme (NS). Conclusion: Speed of infusion, within the ranges allowed by TCI pumps, significantly affects the accuracy of Ce predictions. The CSI monitor was shown to be a useful tool to predict LOC in both rapid and slow infusion schemes. [source] Depth of anaesthesia and post-operative cognitive dysfunctionACTA ANAESTHESIOLOGICA SCANDINAVICA, Issue 2 2010J. STEINMETZ Background: A deep level of anaesthesia measured by the bispectral index has been found to improve processing speed as one aspect of cognitive function after surgery. The purpose of the present study was to assess the possible effect of the level of anaesthesia on post-operative cognitive dysfunction (POCD) 1 week after surgery, as assessed by a neuropsychological test battery. Methods: We included 70 patients >60 years of age scheduled for elective non-cardiac surgery with general anaesthesia. The depth of anaesthesia was monitored using the cerebral state monitor, which provided a cerebral state index (CSI) value. Cognitive function was assessed by the ISPOCD neuropsychological test battery before and at 1 week (or hospital discharge) after surgery and POCD was defined as a Z score above 1.96. Results: Five patients were not assessed after surgery. The mean CSI was 40 and 43 in patients with (N=9) and without POCD (N=56), respectively (P=0.41). The cumulated time of both deep anaesthesia (CSI<40) and light anaesthesia (CSI>60) did not differ significantly, and no significant correlation was found between the mean CSI and the Z score. Conclusion: We were unable to detect a significant association between the depth of anaesthesia and the presence of POCD 1 week after the surgery. [source] Models of Quality-Adjusted Life Years when Health Varies Over Time: Survey and AnalysisJOURNAL OF ECONOMIC SURVEYS, Issue 2 2006Kristian Schultz Hansen Abstract., Quality-adjusted life year (QALY) models are widely used for economic evaluation in the health care sector. In the first part of the paper, we establish an overview of QALY models where health varies over time and provide a theoretical analysis of model identification and parameter estimation from time trade-off (TTO) and standard gamble (SG) scores. We investigate deterministic and probabilistic models and consider five different families of discounting functions in all. The second part of the paper discusses four issues recurrently debated in the literature. This discussion includes questioning the SG method as the gold standard for estimation of the health state index, re-examining the role of the constant-proportional trade-off condition, revisiting the problem of double discounting of QALYs, and suggesting that it is not a matter of choosing between TTO and SG procedures as the combination of these two can be used to disentangle risk aversion from discounting. We find that caution must be taken when drawing conclusions from models with chronic health states to situations where health varies over time. One notable difference is that in the former case, risk aversion may be indistinguishable from discounting. [source] Depth of anaesthesia monitoring in obese patients: a randomized study of propofol,remifentanilACTA ANAESTHESIOLOGICA SCANDINAVICA, Issue 3 2009C. S. MEYHOFF Background: In obese patients, depth of anaesthesia monitoring could be useful in titrating intravenous anaesthetics. We hypothesized that depth of anaesthesia monitoring would reduce recovery time and use of anaesthetics in obese patients receiving propofol and remifentanil. Methods: We investigated 38 patients with a body mass index ,30 kg/m2 scheduled for an abdominal hysterectomy. Patients were randomized to either titration of propofol and remifentanil according to a cerebral state monitor (CSM group) or according to usual clinical criteria (control group). The primary end point was time to eye opening and this was assessed by a blinded observer. Results: Time to eye opening was 11.8 min in the CSM group vs. 13.4 min in the control group (P=0.58). The average infusion rate for propofol was a median of 516 vs. 617 mg/h (P=0.24) and for remifentanil 2393 vs. 2708 ,g/h (P=0.04). During surgery, when the cerebral state index was continuously between 40 and 60, the corresponding optimal propofol infusion rate was 10 mg/kg/h based on ideal body weight. Conclusion: No significant reduction in time to eye opening could be demonstrated when a CSM was used to titrate propofol and remifentanil in obese patients undergoing a hysterectomy. A significant reduction in remifentanil consumption was found. [source] Role of catchment area in the transport of nutrients to lakes in the Wielkopolska National Park in PolandLAKES & RESERVOIRS: RESEARCH AND MANAGEMENT, Issue 1 2002Halina Szyper Abstract The external loading of 14 lakes in the Wielkopolska National Park was calculated, including nitrogen and phosphorus loads from point, diffuse and dispersed sources, precipitation and recreation. The basic source of nitrogen and phosphorus for most lakes in the Park is the export of diffuse pollution from the catchment area. Only four lakes are contaminated by sewage, which accounts for 0.1,61.2% of total nutrient loading. Annual unit area loads of phosphorus and nitrogen estimated for each lake were 2,51 times higher than Vollenweider's critical loading levels. Estimated mass loading and annual unit area loads of nutrients for each lake were compared with lake water quality, expressed as the trophic state index. Analysis of the physico-geographical structure of the catchment area and natural resistance of lakes to external input of nutrients allowed us to assess the role of the catchment in the deterioration of water quality and to indicate the protective measures required. [source] Prediction of biodegradation from the atom-type electrotopological state indicesENVIRONMENTAL TOXICOLOGY & CHEMISTRY, Issue 10 2001Jarmo Huuskonen Abstract A group contribution method based on atom-type electrotopological state indices for predicting the biodegradation of a diverse set of 241 organic chemicals is presented. Multiple linear regression and artificial neural networks were used to build the models using a training set of 172 compounds, for which the approximate time for ultimate biodegradation was estimated from the results of a survey of an expert panel. Derived models were validated by using a leave-25%-out method and against two test sets of 12 and 57 chemicals not included in the training set. The squared correlation coefficient (r2) for a linear model with 15 structural parameters was 0.76 for the training set and 0.68 for the test set of 12 molecules. The model predicted correctly the biodegradation of 48 chemicals in the test set of 57 molecules, for which biodegradability was presented as rapid or slow. The use of artificial neural networks gave better prediction for both test sets when the same set of parameters was tested as inputs in neural network simulations. The predictions of rapidly biodegradable chemicals were more accurate than the predictions of slowly bio-degradable chemicals for both the regression and neural network models. [source] | ||||||||||