C(U)RB-65 (confusion, (urea >7 mol · L(-1),) respiratory frequency ≥ 30 breaths · min(-1), systolic blood pressure <90 mmHg or diastolic blood pressure ≤60 mmHg and age ≥ 65 years) is now the generally accepted severity score for patients with community-acquired pneumonia (CAP) in Europe. In an observational study based on the large database from the German nationwide performance measurement pr...

increasing the usage of electricity power illustrates its growing proportion and effective role in the energy economy. it also depicts the connection between using the electricity power and economic development. regarding the strategic role of power plants in the economic and social development, the absence of the environmental considerations in all phases, including site selection, planning, p...

BACKGROUND The use of lipid-lowering agents is suboptimal among dual enrollees, particularly blacks. OBJECTIVES To determine whether the removal of restrictive drug caps under Medicare Part D reduced racial differences among dual enrollees with diabetes. RESEARCH DESIGN An interrupted time series with comparison series design (ITS) cohort study. SUBJECTS A total of 8895 black and white di...

Serum prostate-specific antigen (PSA) is an effective diagnostic tool for detection of prostate cancer (CaP) at an early and potentially curable stage, but specificity is low. Studies have shown that the proportion of serum PSA complexed with alpha-1-antichymotrypsin (ACT) is higher in men with CaP than in men with benign prostate disease. We developed a novel immunoassay for complexed PSA base...

OBJECTIVES Mortality rates from pneumonia increase steadily with age. Recently, a disease severity model (the Pneumonia Prognosis Index (PPI)) has been developed to predict mortality from community-acquired pneumonia (CAP). PPI ranks severity of pneumonia from 1 to 5, with 5 being most severe. This retrospective study utilizes the PPI to address the prognosis of CAP in older adults. DESIGN Re...

In this paper, we show that injectivity with respect to the class $mathcal{D}$  of dense monomorphisms of an idempotent and weakly hereditary closure operator of an arbitrary category  well-behaves. Indeed, if $mathcal{M}$ is a subclass of monomorphisms, $mathcal{M}cap mathcal{D}$-injectivity  well-behaves. We also introduce the notion of $(r,t)$-injectivity in the category {bf S-Act}, where $r...