1,982 research outputs found

    Emergency Department visits due to intoxications in a Dutch university hospital: Occurrence, characteristics and health care costs

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    Background: Intoxications with alcohol and drugs are common in the Emergency Department. This study aimed to describe the occurrence and characteristics of intoxications (alcohol, Drugs of Abuse (DOA), pharmaceutical and chemical) presented to the Emergency Department and the health care costs of these intoxications. Methods: This was a retrospective medical record study of all patients (≥ 16 years) who presented to the Emergency Department of an inner-city academic hospital in the Netherlands due to single or multiple intoxication(s) as the primary or secondary reason in the year 2016. An intoxication was reported as present if the attending physician described the intoxication in the patient's medical record. Results: A total of 783 patients were included, accounting for 3.2% of the adult Emergency Department population (age ≥ 16 year). In 30% more than one substance was used. Intoxications with alcohol, Drugs of Abuse and pharmaceuticals was reported in respectively 62%, 29% and 21% of the intoxicated patients. The mean costs per patient presenting with an intoxication to the Emergency Department was € 1,490. The mean costs per patient were highest for pharmaceutical intoxications (€ 2,980), followed by Drugs of Abuse (€ 1,140) and alcohol (€ 1,070). Conclusions: Intoxications among patients aged 16 years and older are frequently seen at the Emergency Department and are frequently caused by multiple substances. Alcohol is the most common intoxication. Substantial healthcare costs are involved. Therefore, this study suggests that further research into hazardous alcohol consumption and DOA abuse is warranted. Copyright

    Spin instabilities and quantum phase transitions in integral and fractional quantum Hall states

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    The inter-Landau-level spin excitations of quantum Hall states at filling factors nu=2 and 4/3 are investigated by exact numerical diagonalization for the situation in which the cyclotron (hbar*omega_c) and Zeeman (E_Z) splittings are comparable. The relevant quasiparticles and their interactions are studied, including stable spin wave and skyrmion bound states. For nu=2, a spin instability at a finite value of epsilon=hbar*omega_c-E_Z leads to an abrupt paramagnetic to ferromagnetic transition, in agreement with the mean-field approximation. However, for nu=4/3 a new and unexpected quantum phase transition is found which involves a gradual change from paramagnetic to ferromagnetic occupancy of the partially filled Landau level as epsilon is decreased.Comment: 4 pages, 5 figures, submitted to Phys.Rev.Let

    Electrostatic potential in a superconductor

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    The electrostatic potential in a superconductor is studied. To this end Bardeen's extension of the Ginzburg-Landau theory to low temperatures is used to derive three Ginzburg-Landau equations - the Maxwell equation for the vector potential, the Schroedinger equation for the wave function and the Poisson equation for the electrostatic potential. The electrostatic and the thermodynamic potential compensate each other to a great extent resulting into an effective potential acting on the superconducting condensate. For the Abrikosov vortex lattice in Niobium, numerical solutions are presented and the different contributions to the electrostatic potential and the related charge distribution are discussed.Comment: 19 pages, 11 figure

    An evaluation of metal removal during wastewater treatment: The potential to achieve more stringent final effluent standards

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    This is the author's accepted manuscript. The final published article is available from the link below. Copyright @ 2011 Taylor & Francis.Metals are of particular importance in relation to water quality, and concern regarding the impact of these contaminants on biodiversity is being encapsulated within the latest water-related legislation such as the Water Framework Directive in Europe and criteria revisions to the Clean Water Act in the United States. This review undertakes an evaluation of the potential of 2-stage wastewater treatment consisting of primary sedimentation and biological treatment in the form of activated sludge processes, to meet more stringent discharge consents that are likely to be introduced as a consequence. The legislation, sources of metals, and mechanisms responsible for their removal are discussed, to elucidate possible pathways by which the performance of conventional processes may be optimized or enhanced. Improvements in effluent quality, achievable by reducing concentrations of suspended solids or biochemical oxygen demand, may also reduce metal concentrations although meeting possible requirements for the removal of copper my be challenging

    The calcium-Activated potassium channel KCa3.1 is an important modulator of hepatic injury

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    The calcium-Activated potassium channel KCa3.1 controls different cellular processes such as proliferation and volume homeostasis. We investigated the role of KCa3.1 in experimental and human liver fibrosis. KCa3.1 gene expression was investigated in healthy and injured human and rodent liver. Effect of genetic depletion and pharmacological inhibition of KCa3.1 was evaluated in mice during carbon tetrachloride induced hepatic fibrogenesis. Transcription, protein expression and localisation of KCa3.1 was analysed by reverse transcription polymerase chain reaction, Western blot and immunohistochemistry. Hemodynamic effects of KCa3.1 inhibition were investigated in bile duct-ligated and carbon tetrachloride intoxicated rats. In vitro experiments were performed in rat hepatic stellate cells and hepatocytes. KCa3.1 expression was increased in rodent and human liver fibrosis and was predominantly observed in the hepatocytes. Inhibition of KCa3.1 aggravated liver fibrosis during carbon tetrachloride challenge but did not change hemodynamic parameters in portal hypertensive rats. In vitro, KCa3.1 inhibition leads to increased hepatocyte apoptosis and DNA damage, whereas proliferation of hepatic stellate cells was stimulated by KCa3.1 inhibition. Our data identifies KCa3.1 channels as important modulators in hepatocellular homeostasis. In contrast to previous studies in vitro and other tissues this channel appears to be anti-fibrotic and protective during liver injury

    Black Holes at Future Colliders and Beyond: a Topical Review

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    One of the most dramatic consequences of low-scale (~1 TeV) quantum gravity in models with large or warped extra dimension(s) is copious production of mini black holes at future colliders and in ultra-high-energy cosmic ray collisions. Hawking radiation of these black holes is expected to be constrained mainly to our three-dimensional world and results in rich phenomenology. In this topical review we discuss the current status of astrophysical observations of black holes and selected aspects of mini black hole phenomenology, such as production at colliders and in cosmic rays, black hole decay properties, Hawking radiation as a sensitive probe of the dimensionality of extra space, as well as an exciting possibility of finding new physics in the decays of black holes.Comment: 31 pages, 10 figures To appear in the Journal of Physics

    Measuring space-time variation of the fundamental constants with redshifted submillimetre transitions of neutral carbon

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    We compare the redshifts of neutral carbon and carbon monoxide in the redshifted sources in which the fine structure transition of neutral carbon, [CI], has been detected, in order to measure space-time variation of the fundamental constants. Comparison with the CO rotational lines measures gives the same combination of constants obtained from the comparison fine structure line of singly ionised carbon, [CII]. However, neutral carbon has the distinct advantage that it may be spatially coincident with the carbon monoxide, whereas [CII] could be located in the diffuse medium between molecular clouds, and so any comparison with CO could be dominated by intrinsic velocity differences. Using [CI], we obtain a mean variation of dF/F = (-3.6 +/- 8.5) x 10^-5, over z = 2.3 - 4.1, for the eight [CI] systems, which degrades to (-1.5+/- 11) x 10^-5, over z = 2.3 - 6.4 when the two [CII] systems are included. That is, zero variation over look-back times of 10.8-12.8 Gyr. However, the latest optical results indicate a spatial variation in alpha, which describes a dipole and we see the same direction in dF/F. This trend is, however, due to a single source for which the [CI] spectrum is of poor quality. This also applies to one of the two [CII] spectra previously used to find a zero variation in alpha^2/mu. Quantifying this, we find an anti-correlation between |dF/F| and the quality of the carbon detection, as measured by the spectral resolution, indicating that the typical values of >50 km/s, used to obtain a detection, are too coarse to reliably measure changes in the constants. From the fluxes of the known z > 1 CO systems, we predict that current instruments are incapable of the sensitivities required to measure changes in the constants through the comparison of CO and carbon lines. We therefore discuss in detail the use of ALMA for such an undertaking ... ABRIDGEDComment: Accepted for publication in Section 3 - Cosmology (including clusters of galaxies) of Astronomy and Astrophysic

    The Phase Diagram of Disordered Vortices from London Langevin Simulations

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    We study the phase diagram of vortex matter in disordered type-II superconductors. We performed numerical simulations in the London Langevin approximation, using a new realistic representation of the disorder. At low magnetic fields we find a disentangled and dislocation free Bragg-glass regime. Increasing the field introduces disorder-driven entanglement in a discontinuous manner, leading to a vortex-glass phase, which subsequently melts into the vortex liquid. The obtained phase boundaries are in quantitative agreement with the experimental data.Comment: 4 pages, revtex, 8 postscript figures include
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