Early Delirium Assessment for Hospitalized Older People in Indonesia: a Systematic Review

Background: Due to the increasing risk of getting co-morbidity and frailty, older people tend to be prone to hospitalization. Hospitalization in older people brings many adverse effects. Moreover, when these elderly get delirium, the mortality and morbidity will increase. The risk of getting deterioration and worsening condition because of delirium would also increase. In fact, delirium assessment is not a high priority in taking care older people during hospitalization because the focus of care is treating the disease.Delirium screening as an early recognition of delirium in the hospitalized elderly inIndonesia remains unreported and even do not well evaluated. Therefore, delirium as a preventable problem or causing problems remains unrecognized.Purpose: This paper aims to review the current evidence of early assessment of delirium in hospitalized older people.Methods: A systematic review was conducted from four databases yielding to 4 articles which met the inclusion and exclusion criteria.Results: There are four focuses on the result, namely delirium screening tools, patient characteristics, identified early delirium assessment, and outcomes affected by early delirium assessment. Confusion Assessment Method (CAM) was used as the delirium screening tool in the hospital. Establishing the care team involving many disciplines will give a better way to improve the integrated care and collaborative care.Conclusion: Performing CAM integrated into comprehensive geriatric assessment can be the most important thing to be undertaken when looking after the hospitalized elderly

Dynamics of Scalar Fields in the Background of Rotating Black Holes

A numerical study of the evolution of a massless scalar field in the background of rotating black holes is presented. First, solutions to the wave equation are obtained for slowly rotating black holes. In this approximation, the background geometry is treated as a perturbed Schwarzschild spacetime with the angular momentum per unit mass playing the role of a perturbative parameter. To first order in the angular momentum of the black hole, the scalar wave equation yields two coupled one-dimensional evolution equations for a function representing the scalar field in the Schwarzschild background and a second field that accounts for the rotation. Solutions to the wave equation are also obtained for rapidly rotating black holes. In this case, the wave equation does not admit complete separation of variables and yields a two-dimensional evolution equation. The study shows that, for rotating black holes, the late time dynamics of a massless scalar field exhibit the same power-law behavior as in the case of a Schwarzschild background independently of the angular momentum of the black hole.Comment: 14 pages, RevTex, 6 Figure

Opportunistic Uses of the Traditional School Day Through Student Examination of Fitbit Activity Tracker Data

In large part due to the highly prescribed nature of the typical school day for children, efforts to design new interactions with technology have often focused on less-structured after-school clubs and other out-of-school environments. We argue that while the school day imposes serious restrictions, school routines can and should be opportunistically leveraged by designers and by youth. Specifically, wearable activity tracking devices open some new avenues for opportunistic collection of and reflection on data from the school day. To demonstrate this, we present two cases from an elementary statistics classroom unit we designed that intentionally integrated wearable activity trackers and childcreated data visualizations. The first case involves a group of students comparing favored recess activities to determine which was more physically demanding. The second case is of a student who took advantage of her knowledge of teachers’ school day routines to test the reliability of a Fitbit activity tracker against a commercial mobile app

Passive Scalar: Scaling Exponents and Realizability

An isotropic passive scalar field $T$ advected by a rapidly-varying velocity field is studied. The tail of the probability distribution $P(\theta,r)$ for the difference $\theta$ in $T$ across an inertial-range distance $r$ is found to be Gaussian. Scaling exponents of moments of $\theta$ increase as $\sqrt{n}$ or faster at large order $n$, if a mean dissipation conditioned on $\theta$ is a nondecreasing function of $|\theta|$. The $P(\theta,r)$ computed numerically under the so-called linear ansatz is found to be realizable. Some classes of gentle modifications of the linear ansatz are not realizable.Comment: Substantially revised to conform with published version. Revtex (4 pages) with 2 postscript figures. Send email to [email protected]

Whole-Field Measurements of Turbulent Flows for the Study of Aero-Optical Effects

Planar laser-Rayleigh scattering has been employed to simultaneously image the index-of-refraction field of a turbulent jet of ethylene into nitrogen and the optical degradation of a laser sheet caused by this turbulent-flow field. The optical degradation occurs in t he turbulent-jet region and manifests itself as phase-front tilts that result in a measurable spatial amplitude modulation (streaks) in the emerging pulsed-laser sheet. The experiments were conducted at elevated pressure, increasing the index-of-refract ion gradient s and improving the signal-to-noise ratio over measurements conducted at atmospheric pressure. The high index-of-refraction gradients in these experiments placed the optical far field within the field of view and allowed us to capture caustic formation in the distorted emerging laser sheet, simulating the aero-optics effects expected at large distances from the smaller index-of-refract ion fluctuations one would more typically encounter

SV-wave with external force in saturated medium

There are past researches done for SV-wave with the absence of external force. This work aims to investigate the influence of external force in the propagation of SV-wave in the soluble and insoluble mediums. Isotropic wave model is derived for SV-wave with various forces in accordance to Duhamel Principle and their analytical solutions are used to compare with each other’s’ amplitudes. With the existence of high density fluid, diffusive waves with larger external force will induce higher amplitude. However, SV-waves are non-diffusive in low density medium and hence, this work concludes that wave diffusion by external force is subjected to the properties of the targeted medium

The Energy of the Gamma Metric in the M{\o}ller Prescription

We obtain the energy distribution of the gamma metric using the energy-momentum complex of M{\o}ller. The result is the same as obtained by Virbhadra in the Weinberg prescription

Spin and charge pumping in magnetic tunnel junctions with precessing magnetization: A nonequilibrium Green function approach

We study spin and charge currents pumped by precessing magnetization of a single ferromagnetic layer within F|I|N or F|I|F (F-ferromagnet; I-insulator; N-normal-metal) multilayers of nanoscale thickness attached to two normal metal electrodes with no applied bias voltage between them. Both simple one-dimensional model, consisting of a single precessing spin and a potential barrier as the "sample," and realistic three-dimensional devices are investigated. In the rotating reference frame, where the magnetization appears to be static, these junctions are mapped onto a four-terminal dc circuit whose effectively half-metallic ferromagnetic electrodes are biased by the frequency $\hbar \omega/e$ of microwave radiation driving magnetization precession at the ferromagnetic resonance (FMR) conditions. We show that pumped spin current in F|I|F junctions, diminished behind the tunnel barrier and increased in the opposite direction, is filtered into charge current by the second $F$ layer to generate dc pumping voltage of the order of $\sim 1$ $\mu$V (at FMR frequency $\sim 10$ GHz) in an open circuit. In F|I|N devices, several orders of magnitude smaller charge current and the corresponding dc voltage appear concomitantly with the pumped spin current due to barrier induced asymmetry in the transmission coefficients connecting the four electrodes in the rotating frame picture of pumping.Comment: 8 pages, 5 figure

Wave Propagation in Gravitational Systems: Completeness of Quasinormal Modes

The dynamics of relativistic stars and black holes are often studied in terms of the quasinormal modes (QNM's) of the Klein-Gordon (KG) equation with different effective potentials $V(x)$. In this paper we present a systematic study of the relation between the structure of the QNM's of the KG equation and the form of $V(x)$. In particular, we determine the requirements on $V(x)$ in order for the QNM's to form complete sets, and discuss in what sense they form complete sets. Among other implications, this study opens up the possibility of using QNM expansions to analyse the behavior of waves in relativistic systems, even for systems whose QNM's do {\it not} form a complete set. For such systems, we show that a complete set of QNM's can often be obtained by introducing an infinitesimal change in the effective potential

Soluble Host Defense Lectins in Innate Immunity to Influenza Virus

Host defenses against viral infections depend on a complex interplay of innate (nonspecific) and adaptive (specific) components. In the early stages of infection, innate mechanisms represent the main line of host defense, acting to limit the spread of virus in host tissues prior to the induction of the adaptive immune response. Serum and lung fluids contain a range of lectins capable of recognizing and destroying influenza A viruses (IAV). Herein, we review the mechanisms by which soluble endogenous lectins mediate anti-IAV activity, including their role in modulating IAV-induced inflammation and disease and their potential as prophylactic and/or therapeutic treatments during severe IAV-induced disease