475,372 research outputs found
Estimation of the Sensitive Volume for Gravitational-wave Source Populations Using Weighted Monte Carlo Integration
The population analysis and estimation of merger rates of compact binaries is
one of the important topics in gravitational wave (GW) astronomy. The primary
ingredient in these analyses is the population-averaged sensitive volume.
Typically, sensitive volume, of a given search to a given simulated source
population, is estimated by drawing signals from the population model and
adding them to the detector data as injections. Subsequently injections, which
are simulated gravitational waveforms, are searched for by the search pipelines
and their signal-to-noise ratio (SNR) is determined. Sensitive volume is
estimated, by using Monte-Carlo (MC) integration, from the total number of
injections added to the data, the number of injections that cross a chosen
threshold on SNR and the astrophysical volume in which the injections are
placed. So far, only fixed population models have been used in the estimation
of the merger rates. However, as the scope of population analysis broaden in
terms of the methodologies and source properties considered, due to an increase
in the number of observed GW signals, the procedure will need to be repeated
multiple times at a large computational cost. In this letter we address the
problem by performing a weighted MC integration. We show how a single set of
generic injections can be weighted to estimate the sensitive volume for
multiple population models; thereby greatly reducing the computational cost.
The weights in this MC integral are the ratios of the output probabilities,
determined by the population model and standard cosmology, and the injection
probability, determined by the distribution function of the generic injections.
Unlike analytical/semi-analytical methods, which usually estimate sensitive
volume using single detector sensitivity, the method is accurate within
statistical errors, comes at no added cost and requires minimal computational
resources.Comment: 11 pages, 1 figur
Administration of Long-Acting Injections
Expanding the scope of pharmacy practice demonstrates that the profession has been successful at improving public health. Despite being a late adopter, New York\u27s limited experience with vaccines has improved immunization rates and lowered rates of disease. During emergencies, the 2017-2018 flu season for example, the state has turned to pharmacists to go beyond what the pharmacy practice law permits, in this case enabling immunizations in pediatric patients.1 This illustrates recognition of untapped potential within the profession to contribute to the public health. Another opportunity for pharmacists to enhance the public health is embodied in a Bill introduced in the New York State Legislature that would amend the pharmacy practice law to enable administration of long-acting injectables designed to treat mental health disorders including schizophrenia and substance use disorder ( SUD ). The goal of this paper is to review the proposed amendment, the relevant background, and to discuss the implications for patients and the pharmacy profession
Safety and efficacy of a propofol and ketamine based procedural sedation protocol in children with cerebral palsy undergoing botulinum toxin A injections.
Background
Pediatric patients with cerebral palsy (CP) often undergo intramuscular botulinum toxin (BoNT‐A) injections. These injections can be painful and may require procedural sedation. An ideal sedation protocol has yet to be elucidated.
Objective
To investigate the safety and efficacy of a propofol and ketamine based sedation protocol in pediatric patients with cerebral palsy requiring BoNT‐A injections.
Design
This is a retrospective chart review of children with CP undergoing propofol and ketamine based sedation for injections with botulinum toxin A.
Setting
The sedations took place in a procedural sedation suite at a tertiary children’s hospital from Feb 2013 through Sept 2017.
Patients
164 patients with diagnoses of cerebral palsy were included in this study.
Methods
An initial bolus of 0.5 mg/kg ketamine followed by a 2 mg/kg bolus of propofol was administered with supplemental boluses of propofol as needed to achieve deep sedation during the intramuscular BoNT‐A injections.
Main Outcome Measurements
Propofol dosages, adverse events, serious adverse events, and sedation time parameters were reviewed.
Results
345 sedations were successfully performed on 164 patients. The median total dose of propofol was 4.7 mg/kg (IQR 3.5, 6.3). Adverse events were encountered in 10.1% of procedures including hypoxemia responsive to supplemental oxygen (9.6%) and transient apnea (1.4%). The mean procedure time, recovery time and total sedation time were 10, 11 and 33 minutes, respectively. With regard to patient variables, including age, weight, dose of propofol, sedation time, and Gross Motor Function Classification System classification, there was no association with increased incidence of adverse events.
Conclusion
Our sedation protocol of propofol and ketamine is safe and effective in children with cerebral palsy undergoing procedural sedation for intramuscular injections with BoNT‐A. The adverse events encountered appeared to be related to airway and respiratory complications secondary to musculoskeletal deformities, emphasizing the importance of airway monitoring and management in these patients
Conjugation of injections by permutations
Let X be a countably infinite set, and let f, g, and h be any three injective
self-maps of X, each having at least one infinite cycle. (For instance, this
holds if f, g, and h are not bijections.) We show that there are permutations a
and b of X such that h=afa^{-1}bgb^{-1} if and only if |X\Xf|+|X\Xg|=|X\Xh|. We
also prove a version of this statement that holds for infinite sets X that are
not necessarily countable. This generalizes results of Droste and Ore about
permutations.Comment: 27 pages, 4 figure
Reduced GABA-B/GIRK-mediated regulation of the VTA following a single exposure to cocaine
In this paper, Arora and colleagues expand on their previous work on GIRK channels in the ventral tegmental area (VTA) presenting evidence that a single exposure to cocaine reduces inhibitory GABAergic transmission to dopamine (DA) neurons in the ventral tegmental area. Mice receiving i.p. injections of cocaine saw a short lived (1-5 days) decrease in GABAb mediated G-protein coupled inwardly-rectifying potassium (GIRK) currents in DA neurons in the VTA. This decrease parallels an NMDA-mediated increase in the frequency of glutamatergic neurotransmission. Chronic cocaine injections had no additional effects beyond those seen with single injections. Though they found no change in mRNA levels for GABAb receptors, GIRK channels, or RGS-2 (a G-protein regulator), immunoelectron microscopy indicated a decrease in levels of GIRK channels in the plasma membrane of the dendrites of VTA DA neurons. The cocaine-mediated decrease in GIRK currents was abolished in the presence of D2/3R antagonist sulpiride, but not in the presence of D1/5 antagonist SCH23390, indicating a link between D2/3 receptor activation and GIRK activity. Interestingly, the addition of quinpirole, a D2/3 agonist, elicited similar GIRK currents, though they were smaller than those mediated by GABAb receptors. Similarly, acute injections of cocaine significantly diminished quinpirole-evoked currents
Injections of mapping class groups
We construct new monomorphisms between mapping class groups of surfaces. The
first family of examples injects the mapping class group of a closed surface
into that of a different closed surface. The second family of examples are
defined on mapping class groups of once-punctured surfaces and have quite
curious behaviour. For instance, some pseudo-Anosov elements are mapped to
multi-twists. Neither of these two types of phenomena were previously known to
be possible although the constructions are elementary
Phaseolus vulgaris leuco-agglutinin immunohistochemistry. A comparison between autoradiographic and lectin tracing of neuronal efferents
The autoradiographic pattern of anterograde labeling as a result from injections with tritiated amino acids is compared to the labeling of efferents with Phaseolus vulgaris leuco-agglutinin after lectin injections in the same nucleus visualized by immunohistochemical methods. This comparison is made for efferents from the ventromedial hypothalamic nucleus to the amygdaloid body.
Braided injections and double loop spaces
We consider a framework for representing double loop spaces (and more
generally E-2 spaces) as commutative monoids. There are analogous commutative
rectifications of braided monoidal structures and we use this framework to
define iterated double deloopings. We also consider commutative rectifications
of E-infinity spaces and symmetric monoidal categories and we relate this to
the category of symmetric spectra.Comment: 34 pages, 4 figures, minor correction
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