@article {819, title = {Analytic programming with FMRI data: a quick-start guide for statisticians using R.}, journal = {PLoS One}, volume = {9}, year = {2014}, month = {2014}, pages = {e89470}, abstract = {

Functional magnetic resonance imaging (fMRI) is a thriving field that plays an important role in medical imaging analysis, biological and neuroscience research and practice. This manuscript gives a didactic introduction to the statistical analysis of fMRI data using the R project, along with the relevant R code. The goal is to give statisticians who would like to pursue research in this area a quick tutorial for programming with fMRI data. References of relevant packages and papers are provided for those interested in more advanced analysis.

}, keywords = {Brain, brain mapping, Humans, Magnetic Resonance Imaging, Programming Languages}, issn = {1932-6203}, doi = {10.1371/journal.pone.0089470}, author = {Eloyan, Ani and Li, Shanshan and Muschelli, John and Pekar, Jim J and Mostofsky, Stewart H and Caffo, Brian S} } @article {820, title = {Successful implementation of a unit-based quality nurse to reduce central line-associated bloodstream infections.}, journal = {Am J Infect Control}, volume = {42}, year = {2014}, month = {2014 Feb}, pages = {139-43}, abstract = {

BACKGROUND: Central line (CL)-associated bloodstream infections (CLABSI) are an important cause of patient morbidity and mortality. Novel strategies to prevent CLABSI are needed.

METHODS: We described a quasiexperimental study to examine the effect of the presence of a unit-based quality nurse (UQN) dedicated to perform patient safety and infection control activities with a focus on CLABSI prevention in a surgical intensive care unit (SICU).

RESULTS: From July 2008 to March 2012, there were 3,257 SICU admissions; CL utilization ratio was 0.74 (18,193 CL-days/24,576 patient-days). The UQN program began in July 2010; the nurse was present for 30\% (193/518) of the days of the intervention period of July 2010 to March 2012. The average CLABSI rate was 5.0 per 1,000 CL-days before the intervention and 1.5 after the intervention and decreased by 5.1\% (P = .005) for each additional 1\% of days of the month that the UQN was present, even after adjusting for CLABSI rates in other adult intensive care units, time, severity of illness, and Comprehensive Unit-based Safety Program participation (5.1\%, P = .004). Approximately 11.4 CLABSIs were prevented.

CONCLUSION: The presence of a UQN dedicated to perform infection control activities may be an effective strategy for CLABSI reduction.

}, keywords = {Adult, Catheter-Related Infections, Catheterization, Central Venous, Humans, Infection Control, Intensive Care Units, Nurses, Quality Control, Quality of Health Care}, issn = {1527-3296}, doi = {10.1016/j.ajic.2013.08.006}, author = {Thom, Kerri A and Li, Shanshan and Custer, Melissa and Preas, Michael Anne and Rew, Cindy D and Cafeo, Christina and Leekha, Surbhi and Caffo, Brian S and Scalea, Thomas M and Lissauer, Matthew E} } @article {823, title = {Comparison of total hospital-acquired bloodstream infections to central line-associated bloodstream infections and implications for outcome measures in infection control.}, journal = {Infect Control Hosp Epidemiol}, volume = {34}, year = {2013}, month = {2013 Sep}, pages = {984-6}, abstract = {

The validity of the central line-associated bloodstream infection (CLABSI) measure is compromised by subjectivity. We observed significant decreases in both CLABSIs and total hospital-acquired bloodstream infections (BSIs) following a CLABSI prevention intervention in adult intensive care units. Total hospital-acquired BSIs could be explored as an adjunct, objective CLABSI measure.

}, keywords = {Adult, Catheter-Related Infections, Catheterization, Central Venous, Cross Infection, Humans, Intensive Care Units, Longitudinal Studies, Tertiary Care Centers}, issn = {1559-6834}, doi = {10.1086/671730}, author = {Leekha, Surbhi and Li, Shanshan and Thom, Kerri A and Preas, Michael Anne and Caffo, Brian S and Morgan, Daniel J and Harris, Anthony D} } @article {827, title = {Analysis of group ICA-based connectivity measures from fMRI: application to Alzheimer{\textquoteright}s disease.}, journal = {PLoS One}, volume = {7}, year = {2012}, month = {2012}, pages = {e49340}, abstract = {

Functional magnetic resonance imaging (fMRI) is a powerful tool for the in vivo study of the pathophysiology of brain disorders and disease. In this manuscript, we propose an analysis stream for fMRI functional connectivity data and apply it to a novel study of Alzheimer{\textquoteright}s disease. In the first stage, spatial independent component analysis is applied to group fMRI data to obtain common brain networks (spatial maps) and subject-specific mixing matrices (time courses). In the second stage, functional principal component analysis is utilized to decompose the mixing matrices into population-level eigenvectors and subject-specific loadings. Inference is performed using permutation-based exact logistic regression for matched pairs data. The method is applied to a novel fMRI study of Alzheimer{\textquoteright}s disease risk under a verbal paired associates task. We found empirical evidence of alternative ICA-based metrics of connectivity when comparing subjects evidencing mild cognitive impairment relative to carefully matched controls.

}, keywords = {Aged, Algorithms, Alzheimer Disease, Brain, brain mapping, Case-Control Studies, Female, Humans, Image Processing, Computer-Assisted, Magnetic Resonance Imaging, Male, Middle Aged, Mild Cognitive Impairment, Nerve Net, Principal Component Analysis, Task Performance and Analysis, Time Factors}, issn = {1932-6203}, doi = {10.1371/journal.pone.0049340}, author = {Li, Shanshan and Eloyan, Ani and Joel, Suresh and Mostofsky, Stewart and Pekar, James and Bassett, Susan Spear and Caffo, Brian} }