A 68-year-old woman with interstitial lung disease related to dermatomyositis and systemic scleroderma was admitted to our hospital with fever and dyspnoea. Although the fever was reduced after antibiotic therapy, a left pneumothorax suddenly occurred on day 27 after admission. A continuous air leak persisted despite chest drainage with three tubes and repeated pleurodesis. Chest computed tomog...

In this increasingly globalized world, ever more software projects originating in high-cost countries are being undertaken by third-party organizations in low-cost countries. These projects, known as offshore-outsourced software development (OOSD) projects, exhibit offshore-specific risks that cause them to be more prone to failures than other types of projects. We investigated 19 failed OOSD p...

OBJECTIVE To develop and validate heart and respiratory rate percentile curves for hospitalized children and compare their vital sign distributions to textbook reference ranges and pediatric early warning score (EWS) parameters. METHODS For this cross-sectional study, we used 6 months of nurse-documented heart and respiratory rates from the electronic records of 14,014 children on general med...

Thirty-four permitted earthen waste storage structures (EWSS) were investigated to characterize their hydrogeologic setting using digital soils data, digital elevation data, geologic maps, and oblique aerial photographs. Nearly 18 percent of the sites were constructed above alluvial aquifers and on flood plains. More than half of the area within 3.2 km of most sites had soils with a vertical pe...

INTRODUCTION Early warning scores (EWS) are recommended as part of the early recognition and response to patient deterioration. The Royal College of Physicians recommends the use of a National Early Warning Score (NEWS) for the routine clinical assessment of all adult patients. METHODS We tested the ability of NEWS to discriminate patients at risk of cardiac arrest, unanticipated intensive ca...

Ecosystems on the verge of major reorganization-regime shift-may exhibit declining resilience, which can be detected using a collection of generic statistical tests known as early warning signals (EWSs). This study explores whether EWSs anticipated human population collapse during the European Neolithic. It analyzes recent reconstructions of European Neolithic (8-4 kya) population trends that r...

The distribution of IT activities around the world as a result of globalization has driven the growth of global IT outsourcing or IT offshoring. Software projects are increasingly sent from high-cost countries to low-cost offshore countries such as India, Russia etc. Because of the inherent complexities and uncertainties of software projects, they continue to experience poor performance problem...

The distribution of IT activities around the world as a result of globalization has driven the growth of global IT outsourcing or IT offshoring. Software projects are increasingly sent from high-cost countries to low-cost offshore countries such as India, Russia etc. Because of the inherent complexities and uncertainties of software projects, they continue to experience poor performance problem...

Early warning scores (EWS) and similar decision aids that rely on patient vital signs to predict risk of deterioration may play an important role in mitigating costs incurred as a result the need escalate care. Their use medical surgical wards well emergency departments has become increasingly common. In these settings EWSs show potential being able alert staff patients at high allowing for ear...

Early Warning Systems (EWS) can play a crucial role in mitigating the effects of natural disasters. Modern EWSs leverage wireless sensors for real-time monitoring of natural phenomena and computing-intensive scientific applications for scenario-based prediction and analysis of sensor data. This paper presents the UrbanFlood Common Information Space (CIS), a framework facilitating the creation, ...