1,205 research outputs found
Effect of emergency department fast track on emergency department length of stay : a case-control study
Objective: To examine the effect of fast track on emergency department (ED) length of stay (LOS).Design and setting: Pair-matched case–control design in a public teaching hospital in metropolitan Melbourne, Australia.Participants: Patients treated by the ED fast track (cases) between 1 January and 31 March 2007 were compared with patients treated by the usual ED processes (controls) from 1 July to 15 November 2006 (n = 822 matched pairs).Intervention: ED fast track was established in November 2006 and focused on the management of patients with non-urgent complaints.Main outcome measures: The primary outcome measure was ED LOS for fast-track patients. Secondary outcomes were waiting times and ED LOS for other ED patients.Results: Median ED LOS for non-admitted patients was 132 minutes (interquartile range (IQR) 83–205.25) for controls and 116 minutes (IQR 75.5–159.0) for cases (p<0.01). Fast-track patients had a significantly higher incidence of discharge within 2 h (53% vs 44%, p<0.01) and 4 h (92% vs 84%, p<0.01).Conclusions: ED fast track decreased ED LOS for non-admitted patients without compromising waiting times and ED LOS for other ED patients<br /
Kinetics of Heterogeneous Single-Species Annihilation
We investigate the kinetics of diffusion-controlled heterogeneous
single-species annihilation, where the diffusivity of each particle may be
different. The concentration of the species with the smallest diffusion
coefficient has the same time dependence as in homogeneous single-species
annihilation, A+A-->0. However, the concentrations of more mobile species decay
as power laws in time, but with non-universal exponents that depend on the
ratios of the corresponding diffusivities to that of the least mobile species.
We determine these exponents both in a mean-field approximation, which should
be valid for spatial dimension d>2, and in a phenomenological Smoluchowski
theory which is applicable in d<2. Our theoretical predictions compare well
with both Monte Carlo simulations and with time series expansions.Comment: TeX, 18 page
Heterogeneous Catalysis on a Disordered Surface
We introduce a simple model of heterogeneous catalysis on a disordered
surface which consists of two types of randomly distributed sites with
different adsorption rates. Disorder can create a reactive steady state in
situations where the same model on a homogeneous surface exhibits trivial
kinetics with no steady state. A rich variety of kinetic behaviors occur for
the adsorbate concentrations and catalytic reaction rate as a function of model
parameters.Comment: 4 pages, gzipped PostScript fil
Equilibrium Properties of A Monomer-Monomer Catalytic Reaction on A One-Dimensional Chain
We study the equilibrium properties of a lattice-gas model of an catalytic reaction on a one-dimensional chain in contact with a reservoir
for the particles. The particles of species and are in thermal contact
with their vapor phases acting as reservoirs, i.e., they may adsorb onto empty
lattice sites and may desorb from the lattice. If adsorbed and
particles appear at neighboring lattice sites they instantaneously react and
both desorb. For this model of a catalytic reaction in the
adsorption-controlled limit, we derive analytically the expression of the
pressure and present exact results for the mean densities of particles and for
the compressibilities of the adsorbate as function of the chemical potentials
of the two species.Comment: 19 pages, 5 figures, submitted to Phys. Rev.
Metabolic improvements following Roux-en-Y surgery assessed by solid meal test in subjects with short duration type 2 diabetes
BACKGROUND:
Glucose homeostasis improves within days following Roux-en-Y gastric bypass (RYGB) surgery. The dynamic metabolic response to caloric intake following RYGB has been assessed using liquid mixed meal tolerance tests (MMTT). Few studies have evaluated the glycemic and hormonal response to a solid mixed meal in subjects with diabetes prior to, and within the first month following RYGB.
METHODS:
Seventeen women with type 2 diabetes of less than 5 years duration participated. Fasting measures of glucose homeostasis, lipids and gut hormones were obtained pre- and post-surgery. MMTT utilizing a solid 4 oz chocolate pudding performed pre-, 2 and 4 weeks post-surgery. Metabolic response to 4 and 2 oz MMTT assessed in five diabetic subjects not undergoing surgery.
RESULTS:
Significant reductions in fasting glucose and insulin at 3 days, and in fasting betatrophin, triglycerides and total cholesterol at 2 weeks post-surgery. Hepatic insulin clearance was greater at 3 days post-surgery. Subjects exhibited less hunger and greater feelings of fullness and satisfaction during the MMTT while consuming 52.9 ± 6.5% and 51.0 ± 6.5% of the meal at 2 and 4 weeks post-surgery respectively. At 2 weeks post-surgery, glucose and insulin response to MMTT were improved, with greater GLP-1 and PYY secretion. Improved response to solid MMTT not replicated by consumption of smaller pudding volume in diabetic non-surgical subjects.
CONCLUSIONS:
With a test meal of size and composition representative of the routine diet of post-RYGB subjects, improved glycemic and gut hormone responses occur which cannot be replicated by reducing the size of the MMTT in diabetic subjects not undergoing surgery
Adsorption of Reactive Particles on a Random Catalytic Chain: An Exact Solution
We study equilibrium properties of a catalytically-activated annihilation reaction taking place on a one-dimensional chain of length () in which some segments (placed at random, with mean concentration
) possess special, catalytic properties. Annihilation reaction takes place,
as soon as any two particles land onto two vacant sites at the extremities
of the catalytic segment, or when any particle lands onto a vacant site on
a catalytic segment while the site at the other extremity of this segment is
already occupied by another particle. Non-catalytic segments are inert with
respect to reaction and here two adsorbed particles harmlessly coexist. For
both "annealed" and "quenched" disorder in placement of the catalytic segments,
we calculate exactly the disorder-average pressure per site. Explicit
asymptotic formulae for the particle mean density and the compressibility are
also presented.Comment: AMSTeX, 27 pages + 4 figure
The three species monomer-monomer model: A mean-field analysis and Monte Carlo study
We study the phase diagram and critical behavior of a one dimensional three
species monomer-monomer surface reaction model. Static Monte Carlo simulations
show a phase diagram consisting of a reactive steady state bordered by three
equivalent unreactive phases where the surface is saturated with one monomer
species. The transitions from the reactive to saturated phases are all
continuous, while the transitions between poisoned phases are first-order, with
bicritical points where the reactive phase meets two poisoned phases. A
mean-field cluster analysis predicts all of the qualitative features of the
phase diagram only when correlations up to triplets of adjacent sites are
included. Dynamic Monte Carlo simulations show that the transition from the
reactive to a saturated phase show critical behavior in the directed
percolation universality class, while the bicritical point shows critical
behavior in the even branching annihilating random walk class. The crossover
from bicritical to critical behavior is also studied.Comment: 16 pages using RevTeX, plus 10 figures. Uses psfig.st
Acute Changes in Sleep Duration on Eating Behaviors and Appetite-Regulating Hormones in Overweight/Obese Adults
There is considerable interest in the role of sleep in weight regulation, yet few studies have examined this relationship in overweight/obese (OW/OB) adults. Using a within-subject, counterbalanced design, 12 OW/OB women were studied in lab with two nights of short (5 hr time in bed [TIB]) and two nights of long (9 hr TIB) sleep. Hunger, consumption at a buffet, and fasting hormone levels were obtained. Significant polysomnographic differences occurred between conditions in total sleep time and sleep architecture (ps < .001). Percent energy from protein at the buffet increased following short sleep. No differences were observed for total energy intake or measured hormones. Further research is needed to determine how lengthening sleep impacts weight regulation in OW/OB adults
Surface Critical Behavior in Systems with Non-Equilibrium Phase Transitions
We study the surface critical behavior of branching-annihilating random walks
with an even number of offspring (BARW) and directed percolation (DP) using a
variety of theoretical techniques. Above the upper critical dimensions d_c,
with d_c=4 (DP) and d_c=2 (BARW), we use mean field theory to analyze the
surface phase diagrams using the standard classification into ordinary,
special, surface, and extraordinary transitions. For the case of BARW, at or
below the upper critical dimension, we use field theoretic methods to study the
effects of fluctuations. As in the bulk, the field theory suffers from
technical difficulties associated with the presence of a second critical
dimension. However, we are still able to analyze the phase diagrams for BARW in
d=1,2, which turn out to be very different from their mean field analog.
Furthermore, for the case of BARW only (and not for DP), we find two
independent surface beta_1 exponents in d=1, arising from two distinct
definitions of the order parameter. Using an exact duality transformation on a
lattice BARW model in d=1, we uncover a relationship between these two surface
beta_1 exponents at the ordinary and special transitions. Many of our
predictions are supported using Monte-Carlo simulations of two different models
belonging to the BARW universality class.Comment: 19 pages, 12 figures, minor additions, 1 reference adde
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