Received February 5, 2013; Revised April 4, 2013; Accept From the Departments of Surgery (Utter) and In (Romano), and the Center for Healthcare Policy and Cox, Romano), University of California, Davis Medic mento, CA and US Department of Health and Human for Healthcare Research and Quality, Rockville, MD (Ow Correspondence address: Garth H Utter, MD MSc, Surgery, University of California, Davis...

Recent European guidelines have emphasized the association of vegetation size with embolic risk in endocarditis (1). On these grounds, left-sided vegetations >1 cm, and right-sided vegetations >2 cm are considered to be an indication for surgery. In this issue of iJACC, investigators from the MEDIC (Multicenter Electrophysiologic Device Cohort) registry report the importance of vegetation size ...

In this paper, we present an architecture for high-level aspects of taskoriented dialog that integrates interpretation and generation, as well as domain-level and dialog-level knowledge. We report and analyze two implemented systems based on this architecture, including one for meeting support and another military medic assistance, and we discuss our experiences with the first system. We conclu...

In this paper we propose an integrated memory and disk cache for multimedia clients. The cache cushions the multimedia decoder from input rate fluctuations and mismatches, and because data can be cached to disk, the acceptable fluctuations can be very large. This gives the media server much greater flexibility for load balancing, and lets the client operate efficiently when the network rate is ...

Few cases of hydatid disease have been reported in India. The general impression is that the disease is rare. It is only occasionally that cases appear in the hospitals in large towns, and even these very often are not clearly brought out in hospital reports. The provincial annual reports in India show no separate heading for hydatid disease, and in hospital reports they are included under tumo...

Objective-To determine the number of and reasons for rapid sequence inductions done by accident and emergency (A&E) doctors out of hospital as part of the activities of the MEDIC 1 Flying Squad. "Rapid sequence induction" was defined as any attempted endotracheal intubation accompanied by use of drugs to assist intubation and ventilation, including opiates, benzodiazepines, intravenous and topi...