329 research outputs found
Definition of hourly urine output influences reported incidence and staging of acute kidney injury
© 2020 The Author(s). Background: Acute kidney injury (AKI) is commonly defined using the KDIGO system, which includes criteria based on reduced urine output (UO). There is no consensus on whether UO should be measured using consecutive hourly readings or mean output. This makes KDIGO UO definition and staging of AKI vulnerable to inconsistency which has implications both for research and clinical practice. The objective of this study was to investigate whether the way in which UO is defined affects incidence and staging of AKI. Methods: We conducted a retrospective analysis of two single centre observational studies investigating (i) patients undergoing cardiac surgery and (ii) patients admitted to general intensive care units (ICU). AKI was identified using KDIGO serum creatinine (SCr) criteria and two methods of UO (UOcons: UO meeting KDIGO criteria in each consecutive hour; UOmean: Mean hourly UO meeting KDIGO criteria). Results: Data from 151 CICU and 150 ICU admissions were analysed. Incidence of AKI using SCr alone was 23.8% in CICU and 32% in ICU. Incidence increased in both groups when UO was considered, with inclusion of UOmean more than doubling reported incidence of AKI (CICU: UOcons 39.7%, UOmean 72.8%; ICU: UOcons 51.3%, UOmean 69.3%). In both groups UOcons led to a larger increase in KDIGO stage 1 but UOmean increased the incidence of KDIGO stage 2. Conclusions: We demonstrate a serious lack of clarity in the internationally accepted AKI definition leading to significant variability in reporting of AKI incidence
Electric Field Control of Shallow Donor Impurities in Silicon
We present a tight-binding study of donor impurities in Si, demonstrating the
adequacy of this approach for this problem by comparison with effective mass
theory and experimental results. We consider the response of the system to an
applied electric field: donors near a barrier material and in the presence of
an uniform electric field may undergo two different ionization regimes
according to the distance of the impurity to the Si/barrier interface. We show
that for impurities ~ 5 nm below the barrier, adiabatic ionization is possible
within switching times of the order of one picosecond, while for impurities ~
10 nm or more below the barrier, no adiabatic ionization may be carried out by
an external uniform electric field. Our results are discussed in connection
with proposed Si:P quantum computer architectures.Comment: 18 pages, 6 figures, submitted to PR
Direct observation by resonant tunneling of the B^+ level in a delta-doped silicon barrier
We observe a resonance in the conductance of silicon tunneling devices with a
delta-doped barrier. The position of the resonance indicates that it arises
from tunneling through the B^+ state of the boron atoms of the delta-layer.
Since the emitter Fermi level in our devices is a field-independent reference
energy, we are able to directly observe the diamagnetic shift of the B^+ level.
This is contrary to the situation in magneto-optical spectroscopy, where the
shift is absorbed in the measured ionization energy.Comment: submitted to PR
Influence of Organic Acids on Diltiazem HCl Release Kinetics from Hydroxypropyl Methyl Cellulose Matrix Tablets
The matrix tablets of diltiazem hydrochloride were prepared by direct compression using hydroxypropyl methyl cellulose (HPMC) and various amounts (2.5%, 5.0%, 10% and 20%) of citric acid, malic acid and succinic acid. The characterization of physical mixture of drug and organic acids was performed by Infra-red spectroscopy. An organic acid was incorporated to set up a system bringing about gradual release of this drug. The influence of organic acids on the release rate were described by the Peppas equation: M t /M∞ = Kt n and Higuchi’s equation: Q t = K1t1/2. The addition of organic acids and the pH value of medium could notably influence the dissolution behavior and mechanism of drug-release from matrices. Increasing amounts of organic acid produced an increase in drug release rate, which showed a good linear relationship between contents of organic acid and drug accumulate release (%) in phosphate buffer, pH 7.4. The drug release increased significantly (P < 0.05) with use of succinic acid in tablet formulation. Increasing amounts of succinic acid above 10% produced decreasing values of n and increasing values of k, in a linear relationship, which indicated there was a burst release of drug from the matrix. Optimized formulations are found to be stable upon 3-month study
Implicit weight bias in children age 9 to 11 years
OBJECTIVES: Assess implicit weight bias in children 9 to 11 years old. METHODS: Implicit weight bias was measured in children ages 9 to 11 (N = 114) by using the Affect Misattribution Procedure. Participants were shown a test image of a child for 350 milliseconds followed by a meaningless fractal (200 milliseconds), and then they were asked to rate the fractal image as "good" or "bad." We used 9 image pairs matched on age, race, sex, and activity but differing by weight of the child. Implicit bias was the difference between positive ratings for fractals preceded by an image of a healthy-weight child and positive ratings for fractals preceded by an image of an overweight child. RESULTS: On average, 64% of fractals shown after pictures of healthy-weight children were rated as "good, " compared with 59% of those shown after pictures of overweight children, reflecting an overall implicit bias rate of 5.4% against overweight children (P < .001). Healthy-weight participants showed greater implicit bias than over-and underweight participants (7.9%, 1.4%, and 0.3% respectively; P = .049). CONCLUSIONS: Implicit bias toward overweight individuals is evident in children aged 9 to 11 years with a magnitude of implicit bias (5.4%) similar to that in studies of implicit racial bias among adults
Double quantum dot turnstile as an electron spin entangler
We study the conditions for a double quantum dot system to work as a reliable
electron spin entangler, and the efficiency of a beam splitter as a detector
for the resulting entangled electron pairs. In particular, we focus on the
relative strengths of the tunneling matrix elements, the applied bias and gate
voltage, the necessity of time-dependent input/output barriers, and the
consequence of considering wavepacket states for the electrons as they leave
the double dot to enter the beam splitter. We show that a double quantum dot
turnstile is, in principle, an efficient electron spin entangler or
entanglement filter because of the exchange coupling between the dots and the
tunable input/output potential barriers, provided certain conditions are
satisfied in the experimental set-up.Comment: published version; minor error correcte
Geometric Approach to Pontryagin's Maximum Principle
Since the second half of the 20th century, Pontryagin's Maximum Principle has
been widely discussed and used as a method to solve optimal control problems in
medicine, robotics, finance, engineering, astronomy. Here, we focus on the
proof and on the understanding of this Principle, using as much geometric ideas
and geometric tools as possible. This approach provides a better and clearer
understanding of the Principle and, in particular, of the role of the abnormal
extremals. These extremals are interesting because they do not depend on the
cost function, but only on the control system. Moreover, they were discarded as
solutions until the nineties, when examples of strict abnormal optimal curves
were found. In order to give a detailed exposition of the proof, the paper is
mostly self\textendash{}contained, which forces us to consider different areas
in mathematics such as algebra, analysis, geometry.Comment: Final version. Minors changes have been made. 56 page
Fragments of equality in representative politics
Deploying a broadly interpretive approach, the article explores the extent to which, and the ways in which, equality is enacted in non-elective as well as elective representation. It argues that the fleeting and fragmentary equalities evident in non-elective representation are democratically significant, and that examining them can enhance understanding of the democratic promise and limits of different modes of representation
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