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OBJECTIVES To develop a risk-adjustment methodology that maximizes the use of automated physiology and diagnosis data from the time period preceding hospitalization. DESIGN : Retrospective cohort study using split-validation and logistic regression. SETTING Seventeen hospitals in a large integrated health care delivery system. SUBJECTS Patients (n =(More)
The problem of how ions influence the folding of RNA into specific tertiary structures is being addressed from both thermodynamic (by how much do different salts affect the free energy change of folding) and structural (how are ions arranged on or near an RNA and what kinds of environments do they occupy) points of view. The challenge is to link these(More)
Prior research on pair programming has found that compared to students who work alone, students who pair have shown increased confidence in their work, greater success in CS1, and greater retention in computer-related majors. In these earlier studies, pairing and solo students were not given the same programming assignments. This paper reports on a study in(More)
Traditional variable-selection strategies in generalized linear models (GLMs) seek to optimize a measure of predictive accuracy without regard for the cost of data collection. When the purpose of such model building is the creation of predictive scales to be used in future studies with constrained budgets, the standard approach may not be optimal. We(More)
We use Bayesian decision theory to address a variable selection problem arising in attempts to indirectly measure the quality of hospital care, by comparing observed mortality rates to expected values based on patient sickness at admission. Our method weighs data collection costs against predictive accuracy to find an optimal subset of the available(More)
Insertional mutations leading to expansion of the octarepeat domain of the prion protein (PrP) are directly linked to prion disease. While normal PrP has four PHGGGWGQ octapeptide segments in its flexible N-terminal domain, expanded forms may have up to nine additional octapeptide inserts. The type of prion disease segregates with the degree of expansion.(More)
In this paper we present the results of a simulation study to explore the ability of Bayesian parametric and nonparametric models to provide an adequate fit to count data of the type that would routinely be analyzed parametrically either through fixed-effects or random-effects Poisson models. The context of the study is a randomized controlled trial with(More)
A kissing loop is a highly stable complex formed by loop-loop base-pairing between two RNA hairpins. This common structural motif is utilized in a wide variety of RNA-mediated processes, including antisense recognition, substrate recognition in riboswitches, and viral replication. Recent work has shown that the Tar-Tar(*) complex, an archetypal kissing(More)
In the field of quality of health care measurement, one approach to assessing patient sickness at admission involves a logistic regression of mortality within 30 days of admission on a fairly large number of sickness indicators (on the order of 100) to construct a sickness scale, employing classical variable selection methods to find an " optimal " subset(More)
PURPOSE Medical diagnosis and molecular or biochemical confirmation typically rely on the knowledge of the clinician. Although this is very difficult in extremely rare diseases, we hypothesized that the recording of patient phenotypes in Human Phenotype Ontology (HPO) terms and computationally ranking putative disease-associated sequence variants improves(More)