The primary objective of this study is to assess the impact of a pharmacist-implemented protocol on number of post-operative alvimopan doses. The secondary objective of this study is to assess LOS (length of stay), ...The primary objective of this study is to assess the impact of a pharmacist-implemented protocol on number of post-operative alvimopan doses. The secondary objective of this study is to assess LOS (length of stay), in days, before and after protocol implementation. A retrospective chart review was conducted from October 2015 through March 2016 for all laparoscopic colorectal surgeries. Number of post-operative alvimopan doses received and LOS was recorded for each patient that received at least one dose of alvimopan. Comparative data, before protocol implementation, from November 2014 through June 2015 were analyzed against the study data. Number of post-operative alvimopan doses and LOS were recorded. The mean number of doses was 6.41 in the comparator group and 4.25 in the study group (probability size P 〈 0.001), which did meet statistical significance. Although the secondary objective was not statistically significant, LOS slightly decreased as the mean LOS was 5.01 days in the comparator group versus 4.49 days in the study group (P = 0.256). At the current price of $120 per capsule, close to $30,000 was saved during the study period, projecting an annual cost savings of approximately $68,000. Results from this study show that pharmacists can play a vital role in cost savings and ensuring appropriate use of certain high-risk medications, like alvimopan, without increasing overall length of stay.展开更多
In this study, the statistical powers of Kolmogorov-Smimov two-sample (KS-2) and Wald Wolfowitz (WW) tests, non-parametric tests used in testing data from two independent samples, have been compared in terms of fi...In this study, the statistical powers of Kolmogorov-Smimov two-sample (KS-2) and Wald Wolfowitz (WW) tests, non-parametric tests used in testing data from two independent samples, have been compared in terms of fixed skewness and fixed kurtosis by means of Monte Carlo simulation. This comparison has been made when the ratio of variance is two as well as with equal and different sample sizes for large sample volumes. The sample used in the study is: (25, 25), (25, 50), (25, 75), (25, 100), (50, 25), (50, 50), (50, 75), (50, 100), (75, 25), (75, 50), (75, 75), (75, 100), (100, 25), (100, 50), (100, 75), and (100, 100). According to the results of the study, it has been observed that the statistical power of both tests decreases when the coefficient of kurtosis is held fixed and the coefficient of skewness is reduced while it increases when the coefficient of skewness is held fixed and the coefficient of kurtosis is reduced. When the ratio of skewness is reduced in the case of fixed kurtosis, the WW test is stronger in sample volumes (25, 25), (25, 50), (25, 75), (25, 100), (50, 75), and (50, 100) while KS-2 test is stronger in other sample volumes. When the ratio of kurtosis is reduced in the case of fixed skewness, the statistical power of WW test is stronger in volume samples (25, 25), (25, 75), (25, 100), and (75, 25) while KS-2 test is stronger in other sample volumes.展开更多
The present thesis takes Joseph Conrad's best-known novel, Lord Jim as a text of analysis to explore its themes that are the ambiguous nature of good and evil, the importance and fragility of ideals, the isolation of...The present thesis takes Joseph Conrad's best-known novel, Lord Jim as a text of analysis to explore its themes that are the ambiguous nature of good and evil, the importance and fragility of ideals, the isolation of the individual, and the threat of disaster and failure that looms behind the calm surface of every day. It focuses on the psychological process of the protagonist, Jim, by employing Freud's psychoanalysis to solve the puzzle surrounding Jim.展开更多
Translational discourse requires at least three participants, therefore it is suggested to consider the universal model of the picture of the world, according to which it is much easier for a translator to combine the...Translational discourse requires at least three participants, therefore it is suggested to consider the universal model of the picture of the world, according to which it is much easier for a translator to combine the pictures of the world of an addressee and an author. An addressee is a mental image existing in the mind of an addresser during the creative process. Having defined its parameters, a translator has an opportunity to deliver the thought of an addresser to an addressee as accurately as possible and to select the means of expression that are clear to an addressee. The type of an addressee correlates with "the relation to the new".展开更多
Aiming to optimize the beer production process by improving the properties of beer and reducing production costs at the J.S.C. "Birra Peja" brewery, Peja, Kosovo, this study did an evaluation of beer produced using ...Aiming to optimize the beer production process by improving the properties of beer and reducing production costs at the J.S.C. "Birra Peja" brewery, Peja, Kosovo, this study did an evaluation of beer produced using six different malts. Four of the six studied malts were produced in four European countries: Ukraine, Croatia, Serbia and Kosovo; and, the other two malts were obtained from two (2) 30:70 proportion mixtures: one from Kosovo and Ukraine and another one from Kosovo and Croatia. Chemical, microbiological, sensory and tasting analyses were carried on beers produced by these malts. The study included three working groups from: "Birra Peja"; the Agricultural University of Tirana, Albania and "Union Brewery", Ljubljana, Slovenia. Chemical and microbiological tests were based on methods under the EBC (European Beer Convention) and MEBAK (Mitteleurop^iische Brautechnische Analysenkommision e.V.) guidelines. The analyses and assessments made for the quality of beer have come to the conclusion that beer produced by Croatian origin malt corresponds to a better quality beer.展开更多
In the early 20th century,numerous western botanists,often referred to as‘plant hunters’,embarked on ambitious expeditions to China,playing a crucial role in the study of botany and botanical diversity.Despite their...In the early 20th century,numerous western botanists,often referred to as‘plant hunters’,embarked on ambitious expeditions to China,playing a crucial role in the study of botany and botanical diversity.Despite their contributions,comprehensive assessments of their explorations are lacking.To bridge this gap,this article focuses on the work of Joseph Charles Francis Rock,a notable figure in that era.Our work revisits Rock’s botanical expeditions within the broader context of botanical diversity conservation.It outlines his historical experiences in collecting plants in China and enumerates the species composition and phenotypic traits of the plants he collected.Additionally,it also analyzes the spatial distribution of the species,the completeness of his collection and the α-and β-diversity of the plants he collected.Our findings reveal that Rock led four major botanical expeditions in China between 1922 and 1933,amassing a total of 28184 sheets and 16608 numbers across 204 families,1081 genera and 4231 species.His focus was predominantly on ornamental species,which exhibit a variety of flower colors and inflorescences.His collection work spanned 5 provinces,35 cities and 72 counties,with a notable concentration in the Hengduan Mountains,a current biodiversity hotspot.This study not only reconstructs Rock’s botanical legacy but also offers valuable historical data and fresh analytical insights for understanding contemporary plant diversity.It contributes to the ongoing discourse on the importance of preserving plant diversity as a cornerstone of environmental sustainability.展开更多
Bevacizumab plus erlotinib prolonged patients' progression-free survive (PFS) versus bevacizumab alone for the maintenance treatment of none-small cell lung cancer (NSCLC) in phase III clinical trial ATLAS (Clin...Bevacizumab plus erlotinib prolonged patients' progression-free survive (PFS) versus bevacizumab alone for the maintenance treatment of none-small cell lung cancer (NSCLC) in phase III clinical trial ATLAS (ClinicalTrials. gov identifier NCT00257608), which repealed a benefit outcome and acceptable side-effects, but whether its cost performance would be accepted by patients is blurry. The aim of our research is to figure out which strategy is the best option in clinic and would spread broadly. Markov Model was used to calculate incremental cost-utility radios (ICURs) and 10-year quality-adjusted life years (QALY) of both strategies. The clinical data were collected from phase III clinical trial ATLAS (ClinicalTrials. gov identifier NCT00257608). The cost data were obtained from Chinese health care system. In the research, one-way sensitivity analysis, probabilistic sensitivity analysis (PSA) and Monte-Carlo analysis were performed to test the stability of the results. The better strategy was bevacizumab alone strategy, and the cumulative costs of both strategies were $178 648.47 and $46 445.28, respectively, and the QALY was 12.506 and 10.643, respectively. The ICUR of combined application was $70 962.53/QALY, which was much higher than 3 times of mean gross domestic product (GDP) in China, suggesting that this strategy was no economical at all. In one-way analysis, the change of willingness-to-pay could not influence the consequence. In addition, in Monte-Carlo analysis, the probability distribution of cost, effectiveness and ICUR was in normal distribution. Taken together, bevacizumab alone strategy was the better strategy in terms of cost-effectiveness.展开更多
The paper gives a new approach to statistical simulation and resampling by the use of numbertheoretic methods and representative points. Resempling techniques take samples from an approximate population. The bootstrap...The paper gives a new approach to statistical simulation and resampling by the use of numbertheoretic methods and representative points. Resempling techniques take samples from an approximate population. The bootstrap suggests to use a random sample to form an approximate population. We propose to construct some approximate population distribution by the use of two kinds of representative points, and samples are taken from these approximate distributions. The statistical inference is based on those samples. The statistical inference in this paper involves estimation of mean, variance, skewness, kurtosis, quantile and density of the population distribution. Our results show that the new method can significantly improve the results by the use of Monte Carlo methods.展开更多
Quadratic discriminant analysis is a classical and popular classification tool,but it fails to work in high-dimensional situations where the dimension p is larger than the sample size n.To address this issue,the autho...Quadratic discriminant analysis is a classical and popular classification tool,but it fails to work in high-dimensional situations where the dimension p is larger than the sample size n.To address this issue,the authors propose a ridge-forward quadratic discriminant(RFQD) analysis method via screening relevant predictors in a successive manner to reduce misclassification rate.The authors use extended Bayesian information criterion to determine the final model and prove that RFQD is selection consistent.Monte Carlo simulations are conducted to examine its performance.展开更多
Linear mixed models are popularly used to fit continuous longitudinal data, and the random effects are commonly assumed to have normal distribution. However, this assumption needs to be tested so that further analysis...Linear mixed models are popularly used to fit continuous longitudinal data, and the random effects are commonly assumed to have normal distribution. However, this assumption needs to be tested so that further analysis can be proceeded well. In this paper, we consider the Baringhaus-Henze-Epps-Pulley (BHEP) tests, which are based on an empirical characteristic function. Differing from their case, we consider the normality checking for the random effects which are unobservable and the test should be based on their predictors. The test is consistent against global alternatives, and is sensitive to the local alternatives converging to the null at a certain rate arbitrarily close to 1/V~ where n is sample size. ^-hlrthermore, to overcome the problem that the limiting null distribution of the test is not tractable, we suggest a new method: use a conditional Monte Carlo test (CMCT) to approximate the null distribution, and then to simulate p-values. The test is compared with existing methods, the power is examined, and several examples are applied to illustrate the usefulness of our test in the analysis of longitudinal data.展开更多
The assay of acyclovir in plasma seems to be a challenge because of its high hydrophily.In our present study,a reversed-phase high-performance liquid chromatography(RP-HPLC)method for the determination of acyclovir in...The assay of acyclovir in plasma seems to be a challenge because of its high hydrophily.In our present study,a reversed-phase high-performance liquid chromatography(RP-HPLC)method for the determination of acyclovir in rat plasma was described and validated in drug-drug interaction(DDI)between gefitinib and acyclovir in rats.The analytes were separated with gradient elution on C18 column(4.6 mm×250 mm,5μm),and the peaks were recorded using ultraviolet detector at a wavelength of 254 nm.Protein precipitation followed by methyl tertiary butyl ether extraction was used for sample preparation.The calibration curve was established between 0.2 and 40μg/mL(r^(2)=0.9999).The intra-and inter-day precisions were all less than 8%,and all the biases were not more than 10%.This new method was successfully applied to a DDI study between gefitinib and acyclovir in rats.Gefitinib up-regulated the absorption of acyclovir by about three times,and our findings guided the clinical co-administration of epidermal growth factor receptor-tyrosine kinase inhibitors(EGFR-TKIs)with acyclovir.展开更多
This paper presents a threshold-free maximum a posteriori (MAP) super resolution (SR) algorithm to reconstruct high resolution (HR) images with sharp edges. The joint distribution of directional edge images is modeled...This paper presents a threshold-free maximum a posteriori (MAP) super resolution (SR) algorithm to reconstruct high resolution (HR) images with sharp edges. The joint distribution of directional edge images is modeled as a multidimensional Lorentzian (MDL) function and regarded as a new image prior. This model makes full use of gradient information to restrict the solution space and yields an edge-preserving SR algorithm. The Lorentzian parameters in the cost function are replaced with a tunable variable, and graduated nonconvexity (GNC) optimization is used to guarantee that the proposed multidimensional Lorentzian SR (MDLSR) algorithm converges to the global minimum. Simulation results show the effectiveness of the MDLSR algorithm as well as its superiority over conventional SR methods.展开更多
文摘The primary objective of this study is to assess the impact of a pharmacist-implemented protocol on number of post-operative alvimopan doses. The secondary objective of this study is to assess LOS (length of stay), in days, before and after protocol implementation. A retrospective chart review was conducted from October 2015 through March 2016 for all laparoscopic colorectal surgeries. Number of post-operative alvimopan doses received and LOS was recorded for each patient that received at least one dose of alvimopan. Comparative data, before protocol implementation, from November 2014 through June 2015 were analyzed against the study data. Number of post-operative alvimopan doses and LOS were recorded. The mean number of doses was 6.41 in the comparator group and 4.25 in the study group (probability size P 〈 0.001), which did meet statistical significance. Although the secondary objective was not statistically significant, LOS slightly decreased as the mean LOS was 5.01 days in the comparator group versus 4.49 days in the study group (P = 0.256). At the current price of $120 per capsule, close to $30,000 was saved during the study period, projecting an annual cost savings of approximately $68,000. Results from this study show that pharmacists can play a vital role in cost savings and ensuring appropriate use of certain high-risk medications, like alvimopan, without increasing overall length of stay.
文摘In this study, the statistical powers of Kolmogorov-Smimov two-sample (KS-2) and Wald Wolfowitz (WW) tests, non-parametric tests used in testing data from two independent samples, have been compared in terms of fixed skewness and fixed kurtosis by means of Monte Carlo simulation. This comparison has been made when the ratio of variance is two as well as with equal and different sample sizes for large sample volumes. The sample used in the study is: (25, 25), (25, 50), (25, 75), (25, 100), (50, 25), (50, 50), (50, 75), (50, 100), (75, 25), (75, 50), (75, 75), (75, 100), (100, 25), (100, 50), (100, 75), and (100, 100). According to the results of the study, it has been observed that the statistical power of both tests decreases when the coefficient of kurtosis is held fixed and the coefficient of skewness is reduced while it increases when the coefficient of skewness is held fixed and the coefficient of kurtosis is reduced. When the ratio of skewness is reduced in the case of fixed kurtosis, the WW test is stronger in sample volumes (25, 25), (25, 50), (25, 75), (25, 100), (50, 75), and (50, 100) while KS-2 test is stronger in other sample volumes. When the ratio of kurtosis is reduced in the case of fixed skewness, the statistical power of WW test is stronger in volume samples (25, 25), (25, 75), (25, 100), and (75, 25) while KS-2 test is stronger in other sample volumes.
文摘The present thesis takes Joseph Conrad's best-known novel, Lord Jim as a text of analysis to explore its themes that are the ambiguous nature of good and evil, the importance and fragility of ideals, the isolation of the individual, and the threat of disaster and failure that looms behind the calm surface of every day. It focuses on the psychological process of the protagonist, Jim, by employing Freud's psychoanalysis to solve the puzzle surrounding Jim.
文摘Translational discourse requires at least three participants, therefore it is suggested to consider the universal model of the picture of the world, according to which it is much easier for a translator to combine the pictures of the world of an addressee and an author. An addressee is a mental image existing in the mind of an addresser during the creative process. Having defined its parameters, a translator has an opportunity to deliver the thought of an addresser to an addressee as accurately as possible and to select the means of expression that are clear to an addressee. The type of an addressee correlates with "the relation to the new".
文摘Aiming to optimize the beer production process by improving the properties of beer and reducing production costs at the J.S.C. "Birra Peja" brewery, Peja, Kosovo, this study did an evaluation of beer produced using six different malts. Four of the six studied malts were produced in four European countries: Ukraine, Croatia, Serbia and Kosovo; and, the other two malts were obtained from two (2) 30:70 proportion mixtures: one from Kosovo and Ukraine and another one from Kosovo and Croatia. Chemical, microbiological, sensory and tasting analyses were carried on beers produced by these malts. The study included three working groups from: "Birra Peja"; the Agricultural University of Tirana, Albania and "Union Brewery", Ljubljana, Slovenia. Chemical and microbiological tests were based on methods under the EBC (European Beer Convention) and MEBAK (Mitteleurop^iische Brautechnische Analysenkommision e.V.) guidelines. The analyses and assessments made for the quality of beer have come to the conclusion that beer produced by Croatian origin malt corresponds to a better quality beer.
文摘In the early 20th century,numerous western botanists,often referred to as‘plant hunters’,embarked on ambitious expeditions to China,playing a crucial role in the study of botany and botanical diversity.Despite their contributions,comprehensive assessments of their explorations are lacking.To bridge this gap,this article focuses on the work of Joseph Charles Francis Rock,a notable figure in that era.Our work revisits Rock’s botanical expeditions within the broader context of botanical diversity conservation.It outlines his historical experiences in collecting plants in China and enumerates the species composition and phenotypic traits of the plants he collected.Additionally,it also analyzes the spatial distribution of the species,the completeness of his collection and the α-and β-diversity of the plants he collected.Our findings reveal that Rock led four major botanical expeditions in China between 1922 and 1933,amassing a total of 28184 sheets and 16608 numbers across 204 families,1081 genera and 4231 species.His focus was predominantly on ornamental species,which exhibit a variety of flower colors and inflorescences.His collection work spanned 5 provinces,35 cities and 72 counties,with a notable concentration in the Hengduan Mountains,a current biodiversity hotspot.This study not only reconstructs Rock’s botanical legacy but also offers valuable historical data and fresh analytical insights for understanding contemporary plant diversity.It contributes to the ongoing discourse on the importance of preserving plant diversity as a cornerstone of environmental sustainability.
文摘Bevacizumab plus erlotinib prolonged patients' progression-free survive (PFS) versus bevacizumab alone for the maintenance treatment of none-small cell lung cancer (NSCLC) in phase III clinical trial ATLAS (ClinicalTrials. gov identifier NCT00257608), which repealed a benefit outcome and acceptable side-effects, but whether its cost performance would be accepted by patients is blurry. The aim of our research is to figure out which strategy is the best option in clinic and would spread broadly. Markov Model was used to calculate incremental cost-utility radios (ICURs) and 10-year quality-adjusted life years (QALY) of both strategies. The clinical data were collected from phase III clinical trial ATLAS (ClinicalTrials. gov identifier NCT00257608). The cost data were obtained from Chinese health care system. In the research, one-way sensitivity analysis, probabilistic sensitivity analysis (PSA) and Monte-Carlo analysis were performed to test the stability of the results. The better strategy was bevacizumab alone strategy, and the cumulative costs of both strategies were $178 648.47 and $46 445.28, respectively, and the QALY was 12.506 and 10.643, respectively. The ICUR of combined application was $70 962.53/QALY, which was much higher than 3 times of mean gross domestic product (GDP) in China, suggesting that this strategy was no economical at all. In one-way analysis, the change of willingness-to-pay could not influence the consequence. In addition, in Monte-Carlo analysis, the probability distribution of cost, effectiveness and ICUR was in normal distribution. Taken together, bevacizumab alone strategy was the better strategy in terms of cost-effectiveness.
基金supported by the Special Research Foundation from the Chinese Academyof Sciencesthe Beijing Normal University-Hong Kong Baptist University United International College Research(Grant No.R201409)National Natural Science Foundation of China(Grant No.11261016)
文摘The paper gives a new approach to statistical simulation and resampling by the use of numbertheoretic methods and representative points. Resempling techniques take samples from an approximate population. The bootstrap suggests to use a random sample to form an approximate population. We propose to construct some approximate population distribution by the use of two kinds of representative points, and samples are taken from these approximate distributions. The statistical inference is based on those samples. The statistical inference in this paper involves estimation of mean, variance, skewness, kurtosis, quantile and density of the population distribution. Our results show that the new method can significantly improve the results by the use of Monte Carlo methods.
基金supported by the National Natural Science Foundation of China under Grant No.11401391
文摘Quadratic discriminant analysis is a classical and popular classification tool,but it fails to work in high-dimensional situations where the dimension p is larger than the sample size n.To address this issue,the authors propose a ridge-forward quadratic discriminant(RFQD) analysis method via screening relevant predictors in a successive manner to reduce misclassification rate.The authors use extended Bayesian information criterion to determine the final model and prove that RFQD is selection consistent.Monte Carlo simulations are conducted to examine its performance.
基金supported in part by a grant of Research Grants Council of Hong Kong,and National Natural Science Foundation of China (Grant No. 11101157)
文摘Linear mixed models are popularly used to fit continuous longitudinal data, and the random effects are commonly assumed to have normal distribution. However, this assumption needs to be tested so that further analysis can be proceeded well. In this paper, we consider the Baringhaus-Henze-Epps-Pulley (BHEP) tests, which are based on an empirical characteristic function. Differing from their case, we consider the normality checking for the random effects which are unobservable and the test should be based on their predictors. The test is consistent against global alternatives, and is sensitive to the local alternatives converging to the null at a certain rate arbitrarily close to 1/V~ where n is sample size. ^-hlrthermore, to overcome the problem that the limiting null distribution of the test is not tractable, we suggest a new method: use a conditional Monte Carlo test (CMCT) to approximate the null distribution, and then to simulate p-values. The test is compared with existing methods, the power is examined, and several examples are applied to illustrate the usefulness of our test in the analysis of longitudinal data.
基金Discipline and Master's Site Construction Project of Guiyang University by Guiyang City Financial Support Guiyang University (Grant No. SY-2020)Guizhou Biopharmaceutical Engineering Research Center (Grant No. QJH KYZ[2019]051)。
文摘The assay of acyclovir in plasma seems to be a challenge because of its high hydrophily.In our present study,a reversed-phase high-performance liquid chromatography(RP-HPLC)method for the determination of acyclovir in rat plasma was described and validated in drug-drug interaction(DDI)between gefitinib and acyclovir in rats.The analytes were separated with gradient elution on C18 column(4.6 mm×250 mm,5μm),and the peaks were recorded using ultraviolet detector at a wavelength of 254 nm.Protein precipitation followed by methyl tertiary butyl ether extraction was used for sample preparation.The calibration curve was established between 0.2 and 40μg/mL(r^(2)=0.9999).The intra-and inter-day precisions were all less than 8%,and all the biases were not more than 10%.This new method was successfully applied to a DDI study between gefitinib and acyclovir in rats.Gefitinib up-regulated the absorption of acyclovir by about three times,and our findings guided the clinical co-administration of epidermal growth factor receptor-tyrosine kinase inhibitors(EGFR-TKIs)with acyclovir.
基金Project (Nos 60705012 and 60802025) supported by the National Natural Science Foundation of China
文摘This paper presents a threshold-free maximum a posteriori (MAP) super resolution (SR) algorithm to reconstruct high resolution (HR) images with sharp edges. The joint distribution of directional edge images is modeled as a multidimensional Lorentzian (MDL) function and regarded as a new image prior. This model makes full use of gradient information to restrict the solution space and yields an edge-preserving SR algorithm. The Lorentzian parameters in the cost function are replaced with a tunable variable, and graduated nonconvexity (GNC) optimization is used to guarantee that the proposed multidimensional Lorentzian SR (MDLSR) algorithm converges to the global minimum. Simulation results show the effectiveness of the MDLSR algorithm as well as its superiority over conventional SR methods.