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This study characterizes the speech tempo (articulation rate, excluding pauses) of two distinct varieties of American English taking into account both between-speaker and within-speaker variation. Each of 192 speakers from Wisconsin (the northern variety) and from North Carolina (the southern variety), men and women, ranging in age from children to old adults, read a set of sentences and produced a spontaneous unconstrained talk. Articulation rate in spontaneous speech was modeled using fixed-mixed effects analyses. The models explored the effects of the between-speaker factors dialect, age and gender and included each phrase and its length as a source of both between- and within-speaker variation. The major findings are: (1) Wisconsin speakers speak significantly faster and produce shorter phrases than North Carolina speakers; (2) speech tempo changes across the lifespan, being fastest for individuals in their 40s; (3) men speak faster than women and this effect is not related to the length of phrases they produce. Articulation rate in reading was slower than in speaking and the effects of gender and age also differed in reading and spontaneous speech. The effects of dialect in reading remained the same, showing again that Wisconsin speakers had faster articulation rates than did North Carolina speakers. [ABSTRACT FROM AUTHOR]

The objective of this study is to assess the accuracy of the American College of Surgeons National Surgical Quality Improvement Program online risk calculator for estimating risk after operation for gastric cancer using the United States Gastric Cancer Collaborative. Nine hundred and sixty-five patients who underwent resection of gastric adenocarcinoma between January 2000 and December 2012 at seven academic medical centers were included. Actual complication rates and outcomes for patients were compared. Most of the patients underwent total gastrectomy with Roux-en-Y reconstruction (404, 41.9%) and partial gastrectomy with gastrojejunostomy (239, 24.8%) or Roux-en-Y reconstruction (284, 29.4%). The C-statistic was highest for venous thromboembolism (0.690) and lowest for renal failure at (0.540). All C-statistics were less than 0.7. Brier scores ranged from 0.010 for venous thromboembolism to 0.238 for any complication. General estimates of risk for the cohort were variable in terms of accuracy. Improving the ability of surgeons to estimate preoperative risk for patients is critically important so that efforts at risk reduction can be personalized to each patient. The American College of Surgeons National Surgical Quality Improvement Program risk calculator is a rapid and easy-to-use tool and validation of the calculator is important as its use becomes more common. [ABSTRACT FROM AUTHOR]