Let rt denote the residual which is represented byrt=yt?N^t (14)T

Let rt denote the residual which is represented byrt=yt?N^t.(14)The residual represents linear components that cannot be modeled by SVR model. The SVR and ARIMA parameters are estimated by applying PSO, as described previously. Forecasting results from SVR and ARIMA models will be combined to represent the forecasting www.selleckchem.com/products/Bicalutamide(Casodex).html results of the proposed hybrid model. The combined forecast is shown by the formula (15)y^t=N^t+L^t.(15)Figure 1 shows the flowchart for the proposed hybrid model, PSOSVR_PSOARIMA. Figure 1The Flow chart for the proposed hybrid PSOSVR and PSOARIMA model.4. Data Set and Model EvaluationThis section describes the data set used and the model evaluation carried out in this study.4.1.

Data SetThis study uses annual data of property crime rates, consumer price index for all urban consumers (Apparel), gross domestic product in United States natural log of billions of chained 2005 US Dollars, and unemployment rate (20 to 24 years) from 1960 to 2009 in United States. The crime rates are obtained from the Uniform Crime Reporting Statistics website (http://www.ucrdatatool.gov/), while economic indicators data are available on Economic Research Federal Reserve Bank of St. Louis website (http://research.stlouisfed.org/). Property crime data comprised property crime rate, vehicle rate, larceny-theft rate, and burglary rate. In addition to economic indicators, two crime indicators are also used in the model, which are one-year lagged property crime rate (PCR) and one-year lagged robbery rate. Data is divided into training and test data sets.

The training data set is used to develop the models while the test data set is used to evaluate the forecasting performance of the models. In this study, 90 percent of the data will be used as training (1961 to 2004) and 10 percent is as test data set (2005 to 2009). 4.2. Model EvaluationThe performance of the proposed hybrid model is evaluated using the test data set. The forecasting performance of the proposed hybrid model is evaluated using four types of evaluations.(i) Descriptive Statistics. Graph of actual values and forecasting of testing data set is plotted in order to see the pattern of model predictions compared with the actual data patterns. A box plot diagram is used to check the error values. Box plot is used to see the dispersion of error values such as the position of median whether it is close to zero, and to ensure that there are no extreme values in error.

(ii) Quantitative Error Measurements. Four types of quantitative error measurements are conducted, namely, root mean square error (RMSE), mean square error (MSE), mean absolute percentage error (MAPE), and mean absolute deviation (MAD). Formulas (16), (17), (18), and (19) are the equation Entinostat for RMSE, MSE, MAPE, and MAD, respectively.

The initial data for this

The initial data for this www.selleckchem.com/products/Abiraterone.html problem are the sin2x??sin?y)(26)with?sin2x??sinz,?0),B=(?sin?ysinz,?sinx??sinz,?following:��=��2,p=��,u=(?sin?ysinz, 0 �� x, y, z �� 2��, where �� = 5/3. Again, grid independence is demonstrated in Figure 11 through density contours on slices across the centerlines planes on coarse (1283) and fine grids (2563). The results presented here in this section are those computed on the 2563 grid using the CWENO reconstruction without diagonal smoothing.Figure 11Instantaneous contours of density across x-, y-, and z-direction centerlines ( = ��) at t = 0.2 for two different grid sizes 1283 (a) and 2563 (b).A way of demonstrating the accuracy of a numerical method is to determine whether the solenoidal constraint ?B = 0 is maintained throughout the simulation.

Since ?B = 0 initially, theoretically it should remain so throughout the simulation. However, the accumulation of numerical errors can usually lead to nonphysical phenomenon known as magnetic monopoles (when ?B is not equal to 0). The schemes presented here when first introduced in [21] in 1D and 2D frameworks did not require an explicit enforcement of the solenoidal constraint for producing stable and reasonably accurate solutions, and hence no such treatment is used here either. Figure 12 shows the surface plots of ?B on all the Z-surfaces at a certain instant in time. The maximum value of the magnitude of ?B at this instant is 0.41, which is actually representative of the entire simulation.

Although these simulations did not show any kind of instabilities, the divergence values are reasonably large for such computations and go to show that in 3D some divergence treatment [32, 33] might be necessary. Figure 13 shows a density isosurface, and Figure 14 shows contours of density on three slices across the x = y = z = �� planes. Figure 15 shows the 2D magnetic field vector colored by magnetic field magnitude. These results are similar to those of previous studies [32, 33] and demonstrate the ability of such higher-order central schemes to resolve the shocks that the vortex system develops while maintaining the simplicity and ease of implementation typical of this black-box type of finite difference schemes.Figure 12Instantaneous surface plot of the divergence of the magnetic field (?B) on all the Z-surfaces at t = 0.5 for GSK-3 the solution of the Orszag-Tang system.Figure 13Isosurface of the density at a value ��C = 3.0 at t = 0.2.Figure 14Instantaneous contours of density across x-, y-, and z- direction centerlines ( = ��) at (a) t = 0.2, (b) t = 0.4, and (c) t = 0.8 (grid: 2563).

328 [13] Since gene flow can resist the effect of genetic drift

328 [13]. Since gene flow can resist the effect of genetic drift within populations and prevent the differentiation of populations with full report Nm > l, the genetic drift would lead to genetic differentiation among populations as the value of Nm < l [48]. The Nm value in this study was 4.762, indicating that there was no significant genetic differentiation between the two groups or nine series. The low genetic differentiation (Gst) among populations was primarily caused by the high level of gene flow. However, compared to wild sugarcane (Gst = 0.209) [13] and weedy rice (Gst = 0.387) [38], the Gst (0.095) of 115 sugarcane parents was still at a low level.It is interesting that, in this study, both cluster and PCA analyses of individuals (including all the nine series) exhibited similar results: OTHER, YC, and GT series fell into three different groups and HoCP only belonged to Group I.

Furthermore, a limited space covered 90% CP series, 85% YT and ��ROC�� series, and only 50% YC series, respectively. It was obvious that the distribution of accessions in CP, YT, and ��ROC�� series was relatively narrow while it was broader in YC, FN, and OTHER series. The results revealed that the genetic basis of YC, FN, and OTHER was more extensive than CP, YT, and ��ROC�� series, which also suggested that more attention should be made on the application of new parents in sugarcane hybrid breeding in the future. It was not difficult to find in the dendrogram (Figure 2) and PCA (Figure 3) that the clusters or components were closely related to their breeding institutions.

It was also apparent that there were two pairs of four accessions (YT96-86 and YN73-204 at the level of GD = 0.50 and MT90-55 and HoCP93-750 at the level of 0.59) which the analysis failed to differentiate. Furthermore, the PCA analysis indicated that the plots of YT96-86 and YN73-204 or MT90-55 and HoCP93-750 overlapped entirely. This shows that the analysis could not differentiate between these accessions at the molecular level based on the five testing SSR loci and indicated that more SSR loci would be necessary for differentiation from MT90-55 to HoCP93-750 and from YT96-86 to YN73-204. For example, based on the pedigree, HoCP93-750 evolved from CP84-0722 and LCP81-030, while MT90-55 derived from CP57-614 and YC84-153 (Figures (Figures44 and and5).5).

From the pedigree of HoCP93-750 and MT90-55, it is obvious that we could not find the same parents Carfilzomib between the two sugarcane clones within five generations. Therefore, it is inaccurate to analyze the genetic structures, genetic diversity, or genetic relationships only by pedigree records. If we want to further identify the four sugarcane clones, more SSR loci should be applied.Figure 4The pedigree of HoCP93-750.Figure 5The pedigree of MT90-55.

Nowadays, stochastic method is generally utilized to cope with op

Nowadays, stochastic method is generally utilized to cope with optimization problems [1]. Though there are many ways to classify them, a simple one is used to divide them PS-341 into two groups according to their nature: deterministic and stochastic. Deterministic algorithms can get the same solutions if the initial conditions are unchanged, because they always follow the rigorous move. However, regardless of the initial values, stochastic ones are based on certain stochastic distribution; therefore they generally generate various solutions. In fact, both of them can find satisfactory solutions after some generations. Recently, nature-inspired algorithms are well capable of solving numerical optimization problems more efficiently.

These metaheuristic approaches are developed to solve complicated problems, like permutation flow shop scheduling [2], reliability [3, 4], high-dimensional function optimization [5], and other engineering problems [6, 7]. In the 1950s, nature evolution was idealized as an optimization technology and this made a new type of approach, namely, genetic algorithms (GAs) [8]. After that, many other metaheuristic methods have appeared, like evolutionary strategy (ES) [9, 10], ant colony optimization (ACO) [11], probability-based incremental learning (PBIL) [12], big bang-big crunch algorithm [13�C16], harmony search (HS) [17�C19], charged system search (CSS) [20], artificial physics optimization [21], bat algorithm (BA) [22, 23], animal migration optimization (AMO) [24], krill herd (KH) [25�C27], differential evolution (DE) [28�C31], particle swarm optimization (PSO) [32�C35], stud GA (SGA) [36], cuckoo search (CS) [37, 38], artificial plant optimization algorithm (APOA) [39], biogeography-based optimization (BBO) [40], and FA method [41, 42].

As a global optimization method, FA [42] is firstly proposed by Yang in 2008, and it is originated from the fireflies swarm. Recent researches demonstrate that the FA is quite powerful and relatively efficient [43]. Furthermore, the performance of FA can be improved with feasible promising results [44]. In addition, nonconvex problems can be solved by FA [45]. A summarization of swarm intelligence containing FA is given by Parpinelli and Lopes [46].On the other hand, HS [17, 47] is a novel heuristic technique for optimization problems.

In engineering optimization, the engineers make GSK-3 an effort to find an optimum that can be decided by an objective function. While, in the music improvisation process, musicians search for most satisfactory harmony as decided by aesthetician. HS method originates in the similarity between them [1]. In most cases, FA can find the optimal solution with its exploitation. However, the search used in FA is based on randomness, so it cannot always get the global best values. On the one hand, in order to improve diversity of fireflies, an improvement of adding HS is made to the FA, which can be treated as a mutation operator.

We showed that,

We showed that, MDV3100 because of PK alterations, a loading dose of �� 25 mg/kg of amikacin is necessary to achieve therapeutic peak concentrations in patients with severe sepsis or septic shock. Antimicrobials PKs in ICU patients are significantly different from those in healthy volunteers or less severely ill patients [14,31,32]. Increased cardiac index and interstitial fluid shifts in sepsis result in a larger volume of distribution (Vd), which may reduce plasma antibiotic levels [33]. Decreased protein binding can result in higher free-drug concentrations, and organ dysfunction may decrease drug metabolism and clearance [33]. Finally, infections, especially when acquired in the ICU, are often caused by more-resistant pathogens [34]. For aminoglycosides, peak concentration is determined by the administered dose and by the Vd [30].

The Vd of amikacin is between 0.2 and 0.3 L/kg in healthy volunteers and in patients with mild infections [12,20,35]. In our study, the median Vd was 0.41 L/kg, corresponding to a >60% increase when compared with normal ranges. These results confirm data from previous studies. In 200 adult and pediatric ICU patients with severe gram-negative infections, the Vd of amikacin varied from 0.17 to 0.98 L/kg, with a mean of 0.37 L/Kg [16]. A mean Vd of 0.47 L/kg was reported in 30 ICU patients [17]. In patients with postoperative septic shock, the Vd was 0.41 �� 0.08 L/kg, a significantly higher value than that in controls (0.25 �� 0.01 L/kg) [36]. The variability of Vd in sepsis patients is probably multifactorial and depends on the degree of inflammation, vascular permeability, and fluid extravasation [12,32,37].

Doses of 15 and 20 mg/kg produced means of 33.5 �� 14.8 and 33.8 �� 4.7 ��g/ml, respectively, in adult ICU patients [15,16]. However, the peak obtained with these regimens was largely below the desired concentration of 64 ��g/ml, suggesting that higher doses of amikacin should be administered to achieve optimal peak levels. Moreover, previous studies on amikacin dose in ICU patients had limited patient samples [17,36,38], were retrospective [10,39], or had exclusion criteria, such as septic shock [15], APACHE II score >35 [40], liver cirrhosis [17], or acute renal failure [15-17,40], making it difficult to extrapolate the results to a general septic ICU population.

Our study is the first to provide data on sepsis patients with several comorbidities, high disease severity, and multiple organ dysfunctions, Cilengitide with an ICU mortality rate of nearly 40%. This cohort of 74 patients was relatively large and representative of a typical ICU population. Most of the infections were secondary to gram-negative infections, with 20% being caused by difficult-to-treat bacteria known to be associated with high mortality rates [41].

Mean values were compared by using the Mann-Whitney nonparametric

Mean values were compared by using the Mann-Whitney nonparametric test, the threshold of statistical significance being set at P < 0.05. The discriminative power of the various parameters studied was determined by means of receiver operating characteristic (ROC) curves. The diagnostic cut-off level for differentiation of BM and VM was defined according to the maximum value of the DZNeP Histone Methyltransf inhibitor Youden index. The ROC curves were compared by using Hanley’s method [14].ResultsBetween January 1997 and December 2009, 97 patients with BM and 218 patients with VM (183 with VM and 35 with VME) were admitted to the emergency unit of the Saint-Etienne University Hospital.

Among the 97 patients with BM, 62 cases were excluded: 42 had a positive direct CSF examination, 16 had an additional focus of infection (pulmonary (eight), in the ear, nose, and throat region (three), ascitic (two), intra-abdominal (two), one had a spondylitis with discitis), and four patients had meningitis assumed to be of bacterial origin in the absence of microbiologic documentation. In the CSF samples taken from these four patients, the polynuclear neutrophil count ranged from 964 to 1,480/mm3; protein, from 3.8 to 8.3 g/L; glucose, from 1 to 2.8 mmol/L; and lactate, from 5 to 9.2 mmol/L. These four patients received antibiotic treatment for 18 to 22 days and were cured with no sequelae. A CSF fistula was diagnosed in one of the four patients.Thirty-five patients with BM and a negative direct CSF examination were included in this study. The following bacteria were identified in CSF cultures: Streptococcus pneumoniae (14), Listeria monocytogenes (6), Neisseria meningitidis (5), Streptococcus sp.

(4), Haemophilus influenzae (2), Staphylococcus aureus (2), and other species (2). A single bacterial species was identified in the blood cultures of 14 patients.Among the 218 patients with VM, the virus was identified in 85 patients (39%): enterovirus (53), herpes virus (25), varicella zoster virus (five), and Paramyxovirus (2). In eight of these patients, admitted prior to 1999, virus identification was based on serology alone.The main clinical characteristics of the patients are presented in Table Table11.Table 1Clinical characteristics of patients on admission expressed as means (�� standard deviation) or numbers (%)The mean values of the serum parameters studied are shown in Table Table22 for each group.

With the exception of serum glucose, these values differed to a statistically significant extent between the two groups. CRP levels < 30 mg/L were noted in 10 patients in the BM group. CRP levels > 30 mg/L were seen in 25% of patients in the VM group. Only PCT values showed no overlap between the BM and VM groups. However, two patients with BM (bacterial species identified: Listeria Anacetrapib monocytogenes and Haemophilus influenzae, respectively) had low PCT values: 0.20 and 0.28 ng/ml.

In contrast to emphysema, which can already be quantified automat

In contrast to emphysema, which can already be quantified automatically in CT images, manual interaction is often required for analysis of CT images with opacifications. Lung opacification occurring in diseases such as acute lung injury frequently have tissue densities (and thus CT numbers) close to that of the soft tissues of the thoracic wall, mediastinum or diaphragm sellckchem and are thus difficult to differentiate from these non-pulmonary tissues. Although initial experiences with automatic segmentation techniques of opacified lungs have been reported, none of these techniques is already available for broad experimental or even clinical use [29-31]. Consequently, the time required for manual analysis of a single whole-lung CT (median 55 slices of 5 mm thickness) can easily exceed five hours.

The potential of the extrapolation method for saving time and research resources becomes obvious when considering that the work required for manual interaction can be decreased by up to 80% when only 10 reference CT slices are analyzed. Extrapolation of adipose tissue volumes or pulmonary gas volumes has been applied by other investigators in order to limit radiation in quantitative CT studies in patients [16,17]. Our current results support this method of calculation and further underline that extrapolation is an option to simplify quantitative CT analysis. In the experimental setting, full spiral CT scans may be performed to acquire maximum information, but for the purpose of gas and tissue quantification, analysis can be limited to 10 scans.

True limitation of radiation, however, can only be achieved if 10 separate single slices of a certain thickness are “prospectively” planned and scanned one by one [17], which differs completely from spiral CT of the whole chest. Calculation of examples for effective radiation doses (for the Philips scanner) indicates that the effective radiation dose can be decreased by approximately 50% from 3.8 mSv (spiral CT) to 2 mSv (10 single slices).In our opinion, several reasons preclude the generalized recommendation to use less than 10 reference CT slices. As explained by Gattinoni et al. in a recent editorial, 10 slices with 10 mm thickness cover about 40% of the lung tissue whereas 10 slices with 5 mm thickness contain only about 20% of the lung [26].

If the number or thickness of reference slices is decreased too much, the density information Cilengitide available for extrapolation and consequently the accuracy of extrapolation decreases. As illustrated in Figure Figure2,2, analyzing 10 reference slices seems to be a reasonable compromise: bias values diverged from zero and the limits of agreement became considerably wider when less than 10 reference slices were used. As pointed out in our previous study in human patients, the adequate number of reference CT slices required for accurate extrapolation of quantitative CT results varies with the study purpose [18].

quinquefasciatus and Cx tarsalis are most abundant in riparian h

quinquefasciatus and Cx. tarsalis are most abundant in riparian habitats, but that Cx. quinquefasciatus shows higher relative abundance than Cx. tarsalis in residential habitats [44]. We also noted that Cx. quinquefasciatus was typically the most abundant mosquito species in our urban collections, consistent Vandetanib VEGFR inhibitor with the observations of Reisen et al. [44]. Another possible explanation for the large differences in genetic diversity among Sonoran Desert Culex., which is not mutually exclusive of the above hypothesis, may be related to differences in population histories. Culex tarsalis is native to North America, whereas both Cx. quinquefasciatus and Cx. pipiens probably evolved in Africa [6]. Ross [45] hypothesized that Cx. quinquefasciatus was introduced from Africa via the slave trade within the last few centuries.

This hypothesis, however, has been challenged [5]. Regardless of the dispersal route, if Cx. quinquefasciatus is a relatively recent arrival to the New World [8], it is possible that it would still retain the genetic signature of a founder event (i.e., reduced genetic variability) compared with the indigenous Cx. tarsalis.A recent study reported the presence of Cx. pipiens, and hybrids between Cx. pipiens and Cx. quinquefasciatus, in Mexico City [46]. Given the close association of both species with humans, together with their potential for dispersal via commercial air traffic, clear patterns of global distributions of the two species and their hybrids [5] may become progressively obscured. Figure 2 shows that COI barcode sequences are unable to distinguish between the two species.

Although a possibility thus exists that our samples are Cx. pipiens, or hybrids of Cx. pipiens and Cx. quinquefasciatus, a more thorough examination of individuals of the Cx. pipiens complex from this region with specific molecular markers that reliably separate the two cryptic species [5, 8, 10] will be required before this can be resolved.Females of several species of Culex from North America, including Cx. restuans Theobald, Cx. nigripalpus Theobald, and Cx. salinarius Coquillett, are often indistinguishable from those of the Cx. pipiens complex and can easily be confused [5, 10]. Barcode sequences, however, have been shown to be useful for separating and identifying species of Culicidae, with interspecific K2P divergences of COI generally showing values ��2% [11, 12, 47].

Based on the 2% cutoff, we provisionally assigned the unidentified lineages to Culex sp. 1 and sp. 2 (mean d = 2.1%), but further molecular and morphological studies will be required to confirm their identity. We have shown, however, that Culex sp. 1 Batimastat and sp. 2, which were initially identified as Cx. quinquefasciatus based on morphological examination, are very closely related to Cx. nigripalpus from the Dominican Republic (Figure 2) and only more distantly related to the other Culex species shown in Figure 2.

5),Xk?(Xk?Umin?k)(1?��k(1?(t/T))��),if??r??and??(0,1)��[0 5,1],(1

5),Xk?(Xk?Umin?k)(1?��k(1?(t/T))��),if??r??and??(0,1)��[0.5,1],(12)where inhibitor Tubacin ��k is a random number distributed uniformly between 0 and 1. T is the maximum number of iterations of MOGA-LS. t is the current number of iterations of MOGA-LS. �� is a system parameter which is used to determine dependency degree on the number of iterations.It is obvious that ��t = (Umax k ? Xk)(1 ? ��k(1?(t/T))��) ranges within [0, (Umax k ? Xk)). To begin with, t is smaller, and thus, ��t is larger, making the gene value have an obvious mutation. With the increase of the number t of iterations, the value of ��t becomes gradually smaller. The change of the gene value becomes smaller. This feature makes the operator have ability in searching the whole space evenly in the early iterations (when t is small) and precisely searching several partial areas in the later iterations.

To say further, the mutation operator makes the MOGA-LS approach have better global search ability in an early phase and have better local search ability and convergence in a later phase as it is a dynamic and self-adaptive mutation operator which can be adjusted by modifying the parameters such as ��k and ��.3.2.5. Design of Fitness Values in MOGA-LS (1) The Fitness Value rp. The design of the fitness values is the core of GA. And especially for multiobjective GA, it is more important since this kind of problems has multiple objective functions. In this paper, the Pareto dominance is utilized to achieve the Pareto ranking approaches and thus to obtain the fitness values of each individual in each generation.

As mentioned above, the MOPs are the Pareto optimization problems, which have employed the Pareto dominance to compare and evaluate the individuals. The population is ranked according to the Pareto dominance rule, and then each solution is assigned a fitness value based on its rank in the population, not any one of its actual objective function values. Note that herein a lower rank corresponds to a better solution. The rank of each individual refers to its nondominated rank and is called rp. Each individual has a parameter np, whichis the number of individuals that dominate the individual p. Each individual can be compared with every other individual in the population to find if it is dominated.The rank rp of each of the individuals whose np values are 0 is set as 1.

At this stage, all individuals in the first nondominated front are found. In order to find the individuals in the next nondominated Brefeldin_A front, the solutions of the first front are discounted temporarily and the above procedure is repeated. The rank rp of each of the individuals whose np values are 0 is set as 2, and so forth, until all the individuals of the population are ranked in this generation. After the nondominated sorting, the population is divided into several ranks and each individual has a rank rp. In other words, each of these ranks is a set consisting of several individuals.

BTK was involved in editing and revising DJB was involved in stu

BTK was involved in editing and revising. DJB was involved in study conception and revising. JAJ was involved in statistical analysis www.selleckchem.com/products/AZD2281(Olaparib).html and manuscript drafting. LCC was involved in study conception and revising. LHB was involved in editing and final approval of the manuscript. SEW was involved in study conception, data analysis, manuscript editing and supervision of the research group.Authors’ informationKKC (medical intensivist) is the Medical Director of the burn ICU. He is also the Director of the CVVH program. JBL, BTK, CEW, DJB, and LCC are burn/trauma surgeons. JRM is a pediatric nephrologist and president and CEO of Immunocept LLC. SEW (burn surgeon) is the former Burn Director of the US Army Burn Center and current director of research. He is also the Editor-in-Chief of Burns.

EMR is a burn/trauma surgeon and also the current director of the US Army Burn Center. LHB is the commander of the US Army Institute of Surgical Research.AcknowledgementsThe authors would like to thank the dedicated ICU nursing staff whom without their enthusiastic support and advocacy, the CVVH program would not exist. The views expressed herein are those of the authors and do not necessarily reflect those of the Army Medical Department or the Department of Defense.
Acute kidney injury (AKI) requiring renal replacement therapy (RRT) occurs in 5 to 6% of critically ill patients and is associated with high mortality and significant health resource utilization [1-3]. Controversy exists as to what constitutes optimal RRT in this setting.

There are several modifiable factors in the delivery of RRT which may potentially influence patient outcome, including RRT modality (continuous or intermittent), solute removal mechanisms (convection, diffusion, adsorption or combination), timing of initiation and dose of treatment. The relationship between patient outcome and treatment dose was first introduced in a landmark study where patients randomised to post-dilution continuous veno-venous haemofiltration (CVVH) at a dose of 35 ml/kg/hour or above had improved survival compared with those randomised to 20 ml/kg/hour [4]. Since then, this issue has been explored in other studies with conflicting results [5-9]. The Acute Dialysis Quality Initiative recommends a higher dose in the absence of definitive data, particularly in septic patients [10,11].

However, practice surveys suggest that this threshold dose has not been widely adopted into current intensive care units (ICU) practice [12,13].We performed a prospective European multicentre observational cohort study to evaluate the prescription GSK-3 and actual-delivered RRT dose in ICUs and its relationship with patient outcome, such as mortality and duration of mechanical ventilation and ICU stay. Our hypothesis was that a higher RRT dose would be associated with better patient outcomes.