1,715 research outputs found

    Depression is associated with repeat emergency department visits in patients with non-specific abdominal pain

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    Introduction: Patients with abdominal pain often return multiple times despite no definitive diagnosis. Our objective was to determine if repeat emergency department (ED) use among patients with non-specific abdominal pain might be associated with a diagnosis of moderate to severe depressive disorder. Methods: We screened 987 ED patients for major depression during weekday daytime hours from June 2011 through November 2011 using a validated depression screening tool, the PHQ-9. Each subject was classified as either no depression, mild depression or moderate/ severe depression based on the screening tool. Within this group, we identified 83 patients with non-specific abdominal pain by either primary or secondary diagnosis. Comparing depressed patients versus non-depressed patients, we analyzed demographic characteristics and number of prior ED visits in the past year. Results:In patients with non-specific abdominal pain, 61.9% of patients with moderate or severe depression (PHQ9≄10) had at least one visit to our ED for the same complaint within a 365-day period, as compared to 29.2% of patients with no depression (PHQ9 Conclusion: Repeat ED use among patients with non-specific abdominal pain is associated with moderate to severe depressive disorder. Patients with multiple visits for abdominal pain may benefit from targeted ED screening for depression. [West J Emerg Med. 2014;15(3):325–328.

    Constraints on CDM cosmology from galaxy power spectrum, CMB and SNIa evolution

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    We examine the constraints that can be obtained on standard cold dark matter models from the most currently used data set: CMB anisotropies, type Ia supernovae and the SDSS luminous red galaxies. We also examine how these constraints are widened when the equation of state parameter ww and the curvature parameter Ωk\Omega_k are left as free parameters. For the Λ\LambdaCDM model, our 'vanilla' model, cosmological parameters are tightly constrained and consistent with current estimates from various methods. When the dark energy parameter ww is free we find that the constraints remain mostly unchanged, i.e. changes are smaller than the 1 sigma uncertainties. Similarly, relaxing the assumption of a flat universe leads to nearly identical constraints on the dark energy density parameter of the universe ΩΛ\Omega_\Lambda , baryon density of the universe Ωb\Omega_b , the optical depth τ\tau, the index of the power spectrum of primordial fluctuations nSn_S, with most one sigma uncertainties better than 5%. More significant changes appear on other parameters: while preferred values are almost unchanged, uncertainties for the physical dark matter density Ωch2\Omega_ch^2, Hubble constant H0H_0 and σ8\sigma_8 are typically twice as large. We found that different methodological approaches on large scale structure estimates lead to appreciable differences in preferred values and uncertainty widths. We also found that possible evolution in SNIa intrinsic luminosity does not alter these constraints by much, except for ww, for which the uncertainty is twice as large. At the same time, this possible evolution is severely constrained. We conclude that systematic uncertainties for some estimated quantities are similar or larger than statistical ones.Comment: Revised version, 9 pages, 8 figures, accepted for publication in A&

    Innovative Process for Furniture Design: Contributions of 3D Scan and Virtual Reality

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    Technological development offers new opportunities that could change design processes. The present study explores the possibilities of technologies like virtual reality and 3D scan in the furniture design process. For this purpose, a co-creation process with help of new technologies was carried out from initial ideation to 3D modelling. Each tool has been characterized in terms of user experience measured by questionnaire. This research validates a design process of furniture based on immersive technology and provide some recommendations for the implementation and improvement of this process

    Improvements in the X-ray luminosity function and constraints on the Cosmological parameters from X-ray luminous clusters

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    We show how to improve constraints on \Omega_m, \sigma_8, and the dark-energy equation-of-state parameter, w, obtained by Mantz et al. (2008) from measurements of the X-ray luminosity function of galaxy clusters, namely MACS, the local BCS and the REFLEX galaxy cluster samples with luminosities L> 3 \times 10^{44} erg/s in the 0.1--2.4 keV band. To this aim, we use Tinker et al. (2008) mass function instead of Jenkins et al. (2001) and the M-L relationship obtained from Del Popolo (2002) and Del Popolo et al. (2005). Using the same methods and priors of Mantz et al. (2008), we find, for a \LambdaCDMuniverse,Ωm=0.28−0.04+0.05andσ8=0.78−0.05+0.04CDM universe, \Omega_m=0.28^{+0.05}_{-0.04} and \sigma_8=0.78^{+0.04}_{-0.05} while the result of Mantz et al. (2008) gives less tight constraints Ωm=0.28−0.07+0.11\Omega_m=0.28^{+0.11}_{-0.07} and \sigma_8=0.78^{+0.11}_{-0.13}. In the case of a wCDM model, we find \Omega_m=0.27^{+0.07}_{-0.06}, σ8=0.81−0.06+0.05\sigma_8=0.81^{+0.05}_{-0.06} and w=−1.3−0.4+0.3w=-1.3^{+0.3}_{-0.4}, while in Mantz et al. (2008) they are again less tight \Omega_m=0.24^{+0.15}_{-0.07}, \sigma_8=0.85^{+0.13}_{-0.20} and w=-1.4^{+0.4}_{-0.7}. Combining the XLF analysis with the f_{gas}+CMB+SNIa data set results in the constraint \Omega_m=0.269 \pm 0.012, \sigma_8=0.81 \pm 0.021 and w=-1.02 \pm 0.04, to be compared with Mantz et al. (2008), \Omega_m=0.269 \pm 0.016, \sigma_8=0.82 \pm 0.03 and w=-1.02 \pm 0.06. The tightness of the last constraints obtained by Mantz et al. (2008), are fundamentally due to the tightness of the fgasf_{gas}+CMB+SNIa constraints and not to their XLF analysis. Our findings, consistent with w=-1, lend additional support to the cosmological-constant model.Comment: 9 pages, 4 Figures. A&A accepted. Paper Subitted Previously To Mantz et al 2009, arXiv:0909.3098 and Mantz et al 2009b, arXiv:0909.309

    Molecular phylogeny of Indo‐Pacific carpenter ants (Hymenoptera: Formicidae, Camponotus) reveals waves of dispersal and colonization from diverse source areas

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    Ants that resemble Camponotus maculatus (Fabricius, 1782) present an opportunity to test the hypothesis that the origin of the Pacific island fauna was primarily New Guinea, the Philippines, and the Indo‐Malay archipelago (collectively known as Malesia). We sequenced two mitochondrial and four nuclear markers from 146 specimens from Pacific islands, Australia, and Malesia. We also added 211 specimens representing a larger worldwide sample and performed a series of phylogenetic analyses and ancestral area reconstructions. Results indicate that the Pacific members of this group comprise several robust clades that have distinctly different biogeographical histories, and they suggest an important role for Australia as a source of Pacific colonizations. Malesian areas were recovered mostly in derived positions, and one lineage appears to be Neotropical. Phylogenetic hypotheses indicate that the orange, pan‐Pacific form commonly identified as C. chloroticus Emery 1897 actually consists of two distantly related lineages. Also, the lineage on Hawaiʻi, which has been called C. variegatus (Smith, 1858), appears to be closely related to C. tortuganus Emery, 1895 in Florida and other lineages in the New World. In Micronesia and Polynesia the C. chloroticus‐like species support predictions of the taxon‐cycle hypothesis and could be candidates for human‐mediated dispersal.Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/112260/1/cla12099-sup-0002-FigureS2.pdfhttp://deepblue.lib.umich.edu/bitstream/2027.42/112260/2/cla12099-sup-0003-FigureS3.pdfhttp://deepblue.lib.umich.edu/bitstream/2027.42/112260/3/cla12099-sup-0001-FigureS1.pdfhttp://deepblue.lib.umich.edu/bitstream/2027.42/112260/4/cla12099-sup-0004-FigureS4.pdfhttp://deepblue.lib.umich.edu/bitstream/2027.42/112260/5/cla12099-sup-0005-FigureS5.pdfhttp://deepblue.lib.umich.edu/bitstream/2027.42/112260/6/cla12099-sup-0006-FigureS6.pdfhttp://deepblue.lib.umich.edu/bitstream/2027.42/112260/7/cla12099.pd
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