28 research outputs found

    The Cholecystectomy As A Day Case (CAAD) Score: A Validated Score of Preoperative Predictors of Successful Day-Case Cholecystectomy Using the CholeS Data Set

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    Background Day-case surgery is associated with significant patient and cost benefits. However, only 43% of cholecystectomy patients are discharged home the same day. One hypothesis is day-case cholecystectomy rates, defined as patients discharged the same day as their operation, may be improved by better assessment of patients using standard preoperative variables. Methods Data were extracted from a prospectively collected data set of cholecystectomy patients from 166 UK and Irish hospitals (CholeS). Cholecystectomies performed as elective procedures were divided into main (75%) and validation (25%) data sets. Preoperative predictors were identified, and a risk score of failed day case was devised using multivariate logistic regression. Receiver operating curve analysis was used to validate the score in the validation data set. Results Of the 7426 elective cholecystectomies performed, 49% of these were discharged home the same day. Same-day discharge following cholecystectomy was less likely with older patients (OR 0.18, 95% CI 0.15–0.23), higher ASA scores (OR 0.19, 95% CI 0.15–0.23), complicated cholelithiasis (OR 0.38, 95% CI 0.31 to 0.48), male gender (OR 0.66, 95% CI 0.58–0.74), previous acute gallstone-related admissions (OR 0.54, 95% CI 0.48–0.60) and preoperative endoscopic intervention (OR 0.40, 95% CI 0.34–0.47). The CAAD score was developed using these variables. When applied to the validation subgroup, a CAAD score of ≤5 was associated with 80.8% successful day-case cholecystectomy compared with 19.2% associated with a CAAD score >5 (p < 0.001). Conclusions The CAAD score which utilises data readily available from clinic letters and electronic sources can predict same-day discharges following cholecystectomy

    An r-matrix approach to the continuum processes of diatomic ions

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    SIGLEAvailable from British Library Document Supply Centre-DSC:DXN026913 / BLDSC - British Library Document Supply CentreGBUnited Kingdo

    Photoionization of Xe@C60 using R-matrix methods

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    Chinese Academy of Sciences;et al.;FEI;Institute of Physics Publishing Ltd;International Union of Pure and Applied Physics (IUPAP);National Natural Science Foundation of China28th International Conference on Photonic, Electronic and Atomic Collisions, ICPEAC 2013 -- 24 July 2013 through 30 July 2013 -- Lanzhou -- 106035We report Breit-Pauli and Dirac R-matrix cross sections for the photoionization of endofullerene Xe@C60, showing strong confinement resonances, in excellent agreement with a recent experiment. © Published under licence by IOP Publishing Ltd

    Atomic structure, electron-impact excitation and collisional-radiative modelling for Ar II

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    The spectra from singly ionized argon Ar II has significant diagnostic capability in the characterisation and modelling of both magnetically-confined fusion and astrophysical plasmas. The literature has several pre-existing data sets for Ar + but this paper presents the results from 3 new atomic structure and electron-impact scattering models in order to better constrain the differences in atomic data and how they impact well-known plasma diagnostics. Several independent atomic structure methodologies are employed to calculate the energy levels and transition probabilities for each model. The first approach employs a relativistic Dirac-Coulomb Hamiltonian model, the second approach uses a semi-relativistic Breit–Pauli Hamiltonian with the mass-velocity, Darwin and spin–orbit corrections, and in a third case an ICFT approach. Three atomic structure models provide a foundation for Dirac R-matrix, a semi-relativistic ICFT (Intermediate Coupling Frame Transformation) and a Breit–Pauli R-Matrix with Pseudostates (BPRMPS) calculation. Synthetic spectra utilizing these three data sets are compared against measurements taken at the Compact Toroidal Hybrid (CTH) stellerator, and the total radiative power loss is also benchmarked against previous calculations

    Atomic structure, electron-impact excitation and collisional-radiative modelling for Ar II

    No full text
    The spectra from singly ionized argon Ar II has significant diagnostic capability in the characterisation and modelling of both magnetically-confined fusion and astrophysical plasmas. The literature has several pre-existing data sets for Ar + but this paper presents the results from 3 new atomic structure and electron-impact scattering models in order to better constrain the differences in atomic data and how they impact well-known plasma diagnostics. Several independent atomic structure methodologies are employed to calculate the energy levels and transition probabilities for each model. The first approach employs a relativistic Dirac-Coulomb Hamiltonian model, the second approach uses a semi-relativistic Breit–Pauli Hamiltonian with the mass-velocity, Darwin and spin–orbit corrections, and in a third case an ICFT approach. Three atomic structure models provide a foundation for Dirac R-matrix, a semi-relativistic ICFT (Intermediate Coupling Frame Transformation) and a Breit–Pauli R-Matrix with Pseudostates (BPRMPS) calculation. Synthetic spectra utilizing these three data sets are compared against measurements taken at the Compact Toroidal Hybrid (CTH) stellerator, and the total radiative power loss is also benchmarked against previous calculations.<br/

    PSTGF : Time-independent R-matrix atomic electron-impact code

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    STGF is a community code employed for outer-region R-matrix calculations, describing electron-impact collisional processes. It is widely recognised that the original version of STGF was written by M.J. Seaton in 1983, but through constant refinement over the next decades by worldwide contributors has evolved into its current form that more reflects modern coding practice and current computer architectures. Despite its current wide acceptance, it was never formally published. Therefore, we present an updated high-performance parallel version of PSTGF, that balances the requirements of small university clusters, yet can exploit the computational power of cutting edge supercomputers. There are many improvements over the original STGF, but most noticeably, the full introduction of MQDT options that provide subsequent integration with ICFT (Intermediate Coupling Frame Transformation) codes, and for either Breit–Pauli/DARC (Dirac Atomic R-matrix Codes), better load balancing, high levels of vectorisation and simplified output. Semantically, the program is full Fortran 90 in conjunction with MPI (Message Passing Interface) though has CUDA Fortran options for the most numerically intensive code sections. Program summary: Program Title: RMATRX-PSTGF CPC Library link to program files: http://dx.doi.org/10.17632/3j55fmr86g.1 Licensing provisions: GNU Lesser General Public License v2.1 Programming language: Fortran 90 Nature of problem: The R-matrix outer region code, PSTGF directly calculates various electron-impact driven processes such as excitation and ionisation, or provides K-matrices for input for subsequent ICFT, differential or magnetic sub-level codes. As the problem size increases, there is an associated increase in the input/output, the numerical computation and unbalanced workload, especially for electron-impact energies where the number of open-channels is of a similar size to the number of closed. The code has been significantly modified to address these issues. PSTGF interfaces the R-matrix inner region with the outer region, with the R-matrix acting as intermediary between the two regions. The outer region expresses an electron moving in the multi-pole expansion of the target and predominantly employs Coulomb functions, perturbed or otherwise to achieve this. This is a computationally expensive task, as the R-matrix must be formed for every energy point of every partial wave. Solution method: An approach that permutes both the partial wave and energy of the incident electron has been implemented. In this version, each processor does not calculate the same incident energy point for each partial wave, but rather distributes all energy points across all processors. This achieves better load-balancing of the work between cores and avoids the case where an overloaded single processor has to always calculate in the energy range where there are approximately the same number of half-open or half-closed channels, which is numerically intensive. Additional comments including restrictions and unusual features: Dimension parameters used to define arrays and matrices within PSTGF (PARAM file) have been removed, all array dimensions are dynamically allocatable based upon the H.DAT file and set to the exact dimension. A CUDA subroutine for matrix multiplications using GPUs has been included, it can be activated or deactivated commenting this module in the source. Users of serial version STGF or older parallel versions of PSTGF can move to current version without any modification in the input files. [1] M.J. Seaton, Coulomb functions for attractive and repulsive potentials and for positive and negative energies, Comp. Phys. Comm. 146 (2) (2002) 225–249. doi:https://doi.org/10.1016/S0010-4655(02)00275-8. [2] M.J. Seaton, Quantum defect theory, Rep. Prog. Phys. 46 (2) (1983) 167.doi:https://doi.org/10.1088/0034-4885/46/2/002
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