246 research outputs found
Not Just a Pain: A Medical Simulation Case About Biased Communication and Osteomyelitis in Pediatric Sickle Cell Anemia
Introduction
Biases in communication can be harmful to patient perceptions of care and the medical team\u27s decision-making. Optimal communication must be taught and practiced similarly to the optimal management of the complex medical conditions associated with sickle cell disease (SCD). This simulation is designed to teach about biases, optimizing communication to and about a patient with SCD, and appropriately diagnosing and managing pediatric osteomyelitis as a complication of SCD. Methods
We designed and implemented a simulation case targeting emergency medicine residents and fellows to raise awareness about biases associated with SCD care and the complication of osteomyelitis in children with SCD. The case was delivered as a scheduled educational activity. Guided debriefing about optimizing care and communication for this patient population followed the simulation. We measured outcomes based on facilitator field notes and participant evaluations (Likert-scale and open-response questions). Results
Forty learners of varying medical practice proficiencies, societal experiences, and demographics participated, with 30 completing the postsimulation feedback survey. A majority (97%) of participants indicated that the experience was useful and would improve their clinical performance. Participants learned from each other\u27s language and communication styles and reflected on their own communication. Discussion
Overall, participants found the simulation very useful as a review of the medical diagnosis and management of osteomyelitis in pediatric SCD. Moreover, they were very engaged and interested in the opportunity to learn about communication biases, particularly as these relate to SCD, to optimize their patient care
Isolation of Flow and Nonflow Correlations by Two- and Four-Particle Cumulant Measurements of Azimuthal Harmonics in 200 GeV Au+Au Collisions
A data-driven method was applied to measurements of Au+Au collisions at
200 GeV made with the STAR detector at RHIC to isolate
pseudorapidity distance -dependent and -independent
correlations by using two- and four-particle azimuthal cumulant measurements.
We identified a component of the correlation that is -independent,
which is likely dominated by anisotropic flow and flow fluctuations. It was
also found to be independent of within the measured range of
pseudorapidity . The relative flow fluctuation was found to be for particles of transverse momentum
less than GeV/. The -dependent part may be attributed to
nonflow correlations, and is found to be relative to the
flow of the measured second harmonic cumulant at
Charged-to-neutral correlation at forward rapidity in Au+Au collisions at =200 GeV
Event-by-event fluctuations of the ratio of inclusive charged to photon
multiplicities at forward rapidity in Au+Au collision at =200
GeV have been studied. Dominant contribution to such fluctuations is expected
to come from correlated production of charged and neutral pions. We search for
evidences of dynamical fluctuations of different physical origins. Observables
constructed out of moments of multiplicities are used as measures of
fluctuations. Mixed events and model calculations are used as baselines.
Results are compared to the dynamical net-charge fluctuations measured in the
same acceptance. A non-zero statistically significant signal of dynamical
fluctuations is observed in excess to the model prediction when charged
particles and photons are measured in the same acceptance. We find that, unlike
dynamical net-charge fluctuation, charge-neutral fluctuation is not dominated
by correlation due to particle decay. Results are compared to the expectations
based on the generic production mechanism of pions due to isospin symmetry, for
which no significant (<1%) deviation is observed.Comment: 14 pages, 6 figure
Studies of di-jet survival and surface emission bias in Au+Au collisions via angular correlations with respect to back-to-back leading hadrons
We report first results from an analysis based on a new multi-hadron
correlation technique, exploring jet-medium interactions and di-jet surface
emission bias at RHIC. Pairs of back-to-back high transverse momentum hadrons
are used for triggers to study associated hadron distributions. In contrast
with two- and three-particle correlations with a single trigger with similar
kinematic selections, the associated hadron distribution of both trigger sides
reveals no modification in either relative pseudo-rapidity or relative
azimuthal angle from d+Au to central Au+Au collisions. We determine associated
hadron yields and spectra as well as production rates for such correlated
back-to-back triggers to gain additional insights on medium properties.Comment: By the STAR Collaboration. 6 pages, 2 figure
Measurements of Dihadron Correlations Relative to the Event Plane in Au+Au Collisions at GeV
Dihadron azimuthal correlations containing a high transverse momentum (\pt)
trigger particle are sensitive to the properties of the nuclear medium created
at RHIC through the strong interactions occurring between the traversing parton
and the medium, i.e. jet-quenching. Previous measurements revealed a strong
modification to dihadron azimuthal correlations in Au+Au collisions with
respect to \pp\ and \dAu\ collisions. The modification increases with the
collision centrality, suggesting a path-length dependence to the jet-quenching
effect. This paper reports STAR measurements of dihadron azimuthal correlations
in mid-central (20-60\%) Au+Au collisions at \snn=200~GeV as a function of
the trigger particle's azimuthal angle relative to the event plane,
\phis=|\phit-\psiEP|. The azimuthal correlation is studied as a function of
both the trigger and associated particle \pt. The subtractions of the
combinatorial background and anisotropic flow, assuming Zero Yield At Minimum
(\zyam), are described. The away-side correlation is strongly modified, and the
modification varies with \phis, which is expected to be related to the
path-length that the away-side parton traverses. The pseudo-rapidity (\deta)
dependence of the near-side correlation, sensitive to long range \deta
correlations (the ridge), is also investigated. The ridge and jet-like
components of the near-side correlation are studied as a function of \phis.
The ridge appears to drop with increasing \phis while the jet-like component
remains approximately constant. ...Comment: 50 pages, 39 figures, 6 table
Beam energy dependent two-pion interferometry and the freeze-out eccentricity of pions in heavy ion collisions at STAR
We present results of analyses of two-pion interferometry in Au+Au collisions
at = 7.7, 11.5, 19.6, 27, 39, 62.4 and 200 GeV measured in the
STAR detector as part of the RHIC Beam Energy Scan program. The extracted
correlation lengths (HBT radii) are studied as a function of beam energy,
azimuthal angle relative to the reaction plane, centrality, and transverse mass
() of the particles. The azimuthal analysis allows extraction of the
eccentricity of the entire fireball at kinetic freeze-out. The energy
dependence of this observable is expected to be sensitive to changes in the
equation of state. A new global fit method is studied as an alternate method to
directly measure the parameters in the azimuthal analysis. The eccentricity
shows a monotonic decrease with beam energy that is qualitatively consistent
with the trend from all model predictions and quantitatively consistent with a
hadronic transport model.Comment: 27 pages; 27 figure
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