302 research outputs found

    Theoretical and experimental studies of femto-second streak and picosecond framing image tubes

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    An Analysis of the Parasites of a Mid-winter Population of the Snowshoe Hare, Lepus americanus, on Insular Newfoundland During a Cyclical Peak

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    A mid-winter sample of 78 Snowshoe Hares (Lepus americanus) was collected during their cyclical peak in population from three eco-regions (Western Newfoundland, North Shore and Avalon Forest) on insular Newfoundland and was examined for the presence of enteric parasites. The length of the hares was significantly shorter in the Avalon Forest Region (n = 27) than those of the Western Newfoundland Region (n = 25) and North Shore Region (n = 26) samples (P ≤ 0.001 and P ≤ 0.003 respectively); however, no significant differences occurred for other morphological measurements. Four species of parasites, two cestodes (Mosgovoyia pectinata and Taenia pisiformis) and two nematodes (Obeliscoides cuniculi and Rauschia triangularis), were recovered. Taenia pisiformis was recovered from the North Shore eco-region only. No other significant differences with respect to their prevalence, intensity, mean intensity, relative density and dispersion between eco-regions were found. Within eco-regions, only R. triangularis showed a significantly higher value (P ≤ 0.027) for males and the prevalence of this species was lower than that previously reported. The occurrence of O. cuniculi was significantly different between the higher weight classes of hares and the prevalence of this species was higher than that previously reported. No trends for multiple infections were noted. The expansion of a new animal species, the Coyote, Canis latrans, to Newfoundland appeared to have had no effect on the diversity of parasites found in the hare

    Search for Millicharged Particles at SLAC

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    Particles with electric charge q < 10^(-3)e and masses in the range 1--100 MeV/c^2 are not excluded by present experiments. An experiment uniquely suited to the production and detection of such "millicharged" particles has been carried out at SLAC. This experiment is sensitive to the infrequent excitation and ionization of matter expected from the passage of such a particle. Analysis of the data rules out a region of mass and charge, establishing, for example, a 95%-confidence upper limit on electric charge of 4.1X10^(-5)e for millicharged particles of mass 1 MeV/c^2 and 5.8X10^(-4)e for mass 100 MeV/c^2.Comment: 4 pages, REVTeX, multicol, 3 figures. Minor typo corrected. Submitted to Physical Review Letter

    Instruments to assess the perception of physicians in the decision-making process of specific clinical encounters: a systematic review

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    <p>Abstract</p> <p>Background</p> <p>The measurement of processes and outcomes that reflect the complexity of the decision-making process within specific clinical encounters is an important area of research to pursue. A systematic review was conducted to identify instruments that assess the perception physicians have of the decision-making process within specific clinical encounters.</p> <p>Methods</p> <p>For every year available up until April 2007, PubMed, PsycINFO, Current Contents, Dissertation Abstracts and Sociological Abstracts were searched for original studies in English or French. Reference lists from retrieved studies were also consulted. Studies were included if they reported a self-administered instrument evaluating physicians' perceptions of the decision-making process within specific clinical encounters, contained sufficient description to permit critical appraisal and presented quantitative results based on administering the instrument. Two individuals independently assessed the eligibility of the instruments and abstracted information on their conceptual underpinnings, main evaluation domain, development, format, reliability, validity and responsiveness. They also assessed the quality of the studies that reported on the development of the instruments with a modified version of STARD.</p> <p>Results</p> <p>Out of 3431 records identified and screened for evaluation, 26 potentially relevant instruments were assessed; 11 met the inclusion criteria. Five instruments were published before 1995. Among those published after 1995, five offered a corresponding patient version. Overall, the main evaluation domains were: satisfaction with the clinical encounter (n = 2), mutual understanding between health professional and patient (n = 2), mental workload (n = 1), frustration with the clinical encounter (n = 1), nurse-physician collaboration (n = 1), perceptions of communication competence (n = 2), degree of comfort with a decision (n = 1) and information on medication (n = 1). For most instruments (n = 10), some reliability and validity criteria were reported in French or English. Overall, the mean number of items on the modified version of STARD was 12.4 (range: 2 to 18).</p> <p>Conclusion</p> <p>This systematic review provides a critical appraisal and repository of instruments that assess the perception physicians have of the decision-making process within specific clinical encounters. More research is needed to pursue the validation of the existing instruments and the development of patient versions. This will help researchers capture the complexity of the decision-making process within specific clinical encounters.</p

    Introduction of HIV-2 and multiple HIV-1 subtypes to Lebanon.

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    HIV genetic variability, phylogenetic relationships, and transmission dynamics were analyzed in 26 HIV-infected patients from Lebanon. Twenty-five specimens were identified as HIV-1 and one as HIV-2 subtype B. The 25 strains were classified into six env-C2-V3 HIV-1 subtypes: B (n = 10), A (n = 11), C (n = 1), D (n = 1), G (n = 1), and unclassifiable. Potential recombinants combining parts of viral regions from different subtypes Aenv/Dpol/Agag, Genv/Apol, and the unclassifiable-subtype(env)/unclassifiable-subtype(pol)/Agag were found in three patients. Epidemiologic analysis of travel histories and behavioral risks indicated that HIV-1 and HIV-2 subtypes reflected HIV strains prevalent in countries visited by patients or their sex partners. Spread of complex HIV-subtype distribution patterns to regions where HIV is not endemic may be more common than previously thought. Blood screening for both HIV-1 and HIV-2 in Lebanon is recommended to protect the blood supply. HIV subtype data provide information for vaccine development

    Interprofessional communication with hospitalist and consultant physicians in general internal medicine : a qualitative study

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    This study helps to improve our understanding of the collaborative environment in GIM, comparing the communication styles and strategies of hospitalist and consultant physicians, as well as the experiences of providers working with them. The implications of this research are globally important for understanding how to create opportunities for physicians and their colleagues to meaningfully and consistently participate in interprofessional communication which has been shown to improve patient, provider, and organizational outcomes
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