Existing team training software often requires that trainees be organized as physical teams and the members of the same team be trained at the same time. To demonstrate that team training software can be made more flexible, this paper presents an approach to incorporating software agents into the distributed command-and-control (C2) simulation software DDD, which supports only human players. Ba...

OBJECTIVE To study the impact of initiating antibiotic policy on antibiotic consumption in a neonatal intensive care unit (NICU). METHODS This retrospective study was conducted between January, 2013 and December, 2014 in a 30 bed NICU. The antibiotic policy for neonatal sepsis was initiated on January 1st, 2014. The overall antibiotic consumption (Daily Defined Dose [DDD] per 100 patient-days...

Statistics have shown that 20% of all road accidents are fatigue-related, and drowsy detection is a car safety algorithm that can alert a snoozing driver in hopes of preventing an accident. This paper proposes a deep architecture referred to as deep drowsiness detection (DDD) network for learning effective features and detecting drowsiness given a RGB input video of a driver. The DDD network co...

Currently, South Africa is designing a strategy for surface water protection involving organic contaminants such as dichlorodiphenyltrichloroethane (DDT), which is currently used for malaria control in mosquito-infested areas. Here, we demonstrate the successful use of an improved activated carbon technique using dichloromethane instead of chloroform, and slower leaching rate of 15 mL/min to qu...

BACKGROUND We previously reported that 6 to 12 weeks of dual-chamber (DDD) pacing results in clinical and hemodynamic improvement in obstructive hypertrophic cardiomyopathy (HCM). This study examines the long-term results of DDD pacing in obstructive HCM. METHODS AND RESULTS DDD devices were implanted in 84 patients (mean age, 49 +/- 16 years) with obstructive HCM and severe drug-refractory s...

UNLABELLED Antibiotic surveillance initiatives are limited in resource-constrained settings. In the present study, a quantitative comparison of antibiotic use rates for suspected infections in 2 hospitals in India was performed using the "focus of infection" approach to identify targets for quality improvement in antibiotic prescription patterns in hospitalized patients. METHODS This observat...

OBJECTIVES The purpose of this study was to characterize interactions between normal pacing system operation and the initiating sequence of ventricular tachycardia (VT)/ventricular fibrillation (VF). BACKGROUND Abrupt changes in ventricular cycle lengths (short-long-short, S-L-S) might initiate VT/VF. The S-L-S sequences might be passively permitted or actively facilitated by bradycardia paci...

BACKGROUND Evidence suggests that an increased incidence of atrial fibrillation occurs in patients undergoing single-chamber ventricular pacing (VVI) when compared with those undergoing single-chamber atrial pacing (AAI) or those having dual-chamber atrioventricular pacing (DDD). The mechanism for this is unknown. We hypothesized that long-term loss of atrioventricular (AV) synchrony leads to a...

The aim of the study was to determine drug utilization according to Croatian counties, and to identify the causes of the possible between-county utilization variation. Zagreb Institute of Public Health in collaboration with the Croatian Drug Agency collected and analyzed data on outpatient utilization of the six main Anatomic-Therapeutic-Chemical (ATC) drug groups. Data on the number and size o...

Dense deposit disease (DDD) is a rare disorder characterized by the deposition of abnormal electron-dense material within the glomerular basement membrane of the kidneys. The diagnosis is made in most patients between 5 and 15 years of age, and within 10 years, approximately half of the affected patients progress to end-stage renal disease. We report a rare case of regressive DDD without C3 dep...