Predicting long-term outcome after acute ischemic stroke: a simple index works in patients from controlled clinical trials

Background and Purpose—An early and reliable prognosis for recovery in stroke patients is important for initiation of individual treatment and for informing patients and relatives. We recently developed and validated models for predicting survival and functional independence within 3 months after acute stroke, based on age and the National Institutes of Health Stroke Scale score assessed within 6 hours after stroke. Herein we demonstrate the applicability of our models in an independent sample of patients from controlled clinical trials. Methods—The prognostic models were used to predict survival and functional recovery in 5419 patients from the Virtual International Stroke Trials Archive (VISTA). Furthermore, we tried to improve the accuracy by adapting intercepts and estimating new model parameters. Results—The original models were able to correctly classify 70.4% (survival) and 72.9% (functional recovery) of patients. Because the prediction was slightly pessimistic for patients in the controlled trials, adapting the intercept improved the accuracy to 74.8% (survival) and 74.0% (functional recovery). Novel estimation of parameters, however, yielded no relevant further improvement. Conclusions—For acute ischemic stroke patients included in controlled trials, our easy-to-apply prognostic models based on age and National Institutes of Health Stroke Scale score correctly predicted survival and functional recovery after 3 months. Furthermore, a simple adaptation helps to adjust for a different prognosis and is recommended if a large data set is available. (Stroke. 2008;39:000-000.)

'On the Effects of Idiotypic Interactions for Recommendation Communities in Artificial Immune Systems'

It has previously been shown that a recommender based on immune system idiotypic principles can outperform one based on correlation alone. This paper reports the results of work in progress, where we undertake some investigations into the nature of this beneficial effect. The initial findings are that the immune system recommender tends to produce different neighbourhoods, and that the superior performance of this recommender is due partly to the different neighbourhoods, and partly to the way that the idiotypic effect is used to weight each neighbour's recommendations.

'On the Effects of Idiotypic Interactions for Recommendation Communities in Artificial Immune Systems'

It has previously been shown that a recommender based on immune system idiotypic principles can outperform one based on correlation alone. This paper reports the results of work in progress, where we undertake some investigations into the nature of this beneficial effect. The initial findings are that the immune system recommender tends to produce different neighbourhoods, and that the superior performance of this recommender is due partly to the different neighbourhoods, and partly to the way that the idiotypic effect is used to weight each neighbour's recommendations.

On The Effects of Idiotypic Interactions for Recommendation Communities in Artificial Immune Systems

It has previously been shown that a recommender based on immune system idiotypic principles can outperform one based on correlation alone. This paper reports the results of work in progress, where we undertake some investigations into the nature of this beneficial effect. The initial findings are that the immune system recommender tends to produce different neighbourhoods, and that the superior performance of this recommender is due partly to the different neighbourhoods, and partly to the way that the idiotypic effect is used to weight each neighbour’s recommendations.

Unfinished Turns in French: How Context Matters

On occasions, speakers do not complete their turns in conversation. Such syntactically-incomplete turns are not treated with repair or misunderstanding. The responses that they receive display a clear understanding of the actions that the unfinished turns embodied. In this article, using conversation analysis (CA), I describe the systematic occurrence of unfinished turns in French conversation. I show that context is necessary to the understanding of this type of turn and I describe the nature of that context. Data analysis reveals that unfinished turns are understandable primarily by reference to their sequential position. I conclude that unfinished turns are a locally- managed resource fitted to the particulars of the talk in progress and built upon the context that the sequences that house them have so far provided.