1,214 research outputs found
Determination of the Fundamental Image Categories for Typical Consumer Imagery
Many tasks in imaging science are image-dependent. While a particular dependency might simply be a function of certain physical attributes of an image, often it is closely related to the perceived semantic category. Therefore, a thorough understanding of image semantics would be of substantial practical value. The primary goal of this research was to determine the fundamental semantic categories for typical consumer imagery. Two psychophysical experiments were performed. Experiment I was a Free Sorting Experiment where observers were asked to sort 32 1 images into piles of similar images. Experiment II was a Distributed Experiment conducted over the internet which used the method of triads to collect similarity and dissimilarity data from 321 images. Due to the large number of images included in the experiment, the method of non-repeating random paths was employed to reduce the number of required responses. Both experiments were analyzed using multidimensional scaling and hierarchical cluster analysis. The Free Sorting Experiment was also analyzed using dual scaling. The results from all three methods were compiled and a set of 34 categories that proved to be stable across multiple methods of analysis was formed. A multidimensional perceptual image semantic space has been suggested and advantages to utilizing such a structure have been outlined. The 34 fundamental categories were represented by 10 perceptual dimensions that described the underlying perceptions leading to categorical assignments. The 10 perceptual dimensions were humanness, artificialness, perceived proximity, candidness, wetness, architecture, terrain, activeness, lightness, and relative age
Novel hybrid method to additively manufacture denser graphite structures using Binder Jetting.
This study introduces two hybrid processes integrating an additive manufacturing technique with post-processing treatments namely (i) Binder Jetting Printing (BJP)β+βCold Isostatic Pressing (CIP)β+βcycle and (ii) BJPβ+βcycle where cycle refers to a sequence of Impregnation-Drying-Pyrolysis. These two new processes yielded additively manufactured parts with higher density and reduced defects/porosities. As a testbed, we used these new processes to fabricate graphite structures. The samples produced by both methods were compared with each other and benchmarked to the samples produced by (a) BJP alone and (b) Traditional uniaxial pressing like compaction moulding. Various characterisation methods were used to investigate the microstructure and mechanical properties which showed that the porosity of hybrid manufactured samples reduces from 55% to a record 7%. This technological pathway is expected to create a new avalanche of industrial applications that are hitherto unexplored in the arena of hybrid additive manufacturing with BJP method
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Development of a model of focal pneumococcal pneumonia in young rats
BACKGROUND: A recently licensed pneumococcal conjugate vaccine has been shown to be highly effective in the prevention of bacteremia in immunized children but the degree of protection against pneumonia has been difficult to determine. METHODS: We sought to develop a model of Streptococcus pneumoniae pneumonia in Sprague-Dawley rats. We challenged three-week old Sprague-Dawley pups via intrapulmonary injection of S. pneumoniae serotypes 3 and 6B. Outcomes included bacteremia, mortality as well histologic sections of the lungs. RESULTS: Pneumonia was reliably produced in animals receiving either 10 or 100 cfu of type 3 pneumococci, with 30% and 50% mortality respectively. Similarly, with type 6B, the likelihood of pneumonia increased with the inoculum, as did the mortality rate. Prophylactic administration of a preparation of high-titered anticapsular antibody prevented the development of type 3 pneumonia and death. CONCLUSION: We propose that this model may be useful for the evaluation of vaccines for the prevention of pneumococcal pneumonia
Mucosal Uptake of Gabapentin (Neurontin) vs. Pregabalin in the Small Intestine
Purpose . To compare the mucosal membrane transport of gabapentin and pregabalin in animal small intestine.Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/41488/1/11095_2004_Article_342157.pd
Posterior reversible encephalopathy syndrome in a child with cyclical vomiting and hypertension: a case report
<p>Abstract</p> <p>Introduction</p> <p>Posterior reversible encephalopathy syndrome is characterized by headache, nausea and vomiting, seizures and visual disturbances. It has certain characteristic radiological features, which allow diagnosis in the appropriate clinical setting and enable appropriate clinical therapy to be instituted.</p> <p>Case presentation</p> <p>A 10-year-old Caucasian girl who was hospitalized due to recurrent vomiting was diagnosed as having posterior reversible encephalopathy syndrome after an initial diagnosis of cyclical vomiting and hypertension was made.</p> <p>Conclusion</p> <p>Posterior reversible encephalopathy syndrome is a rare disorder in children. Early recognition of characteristic radiological features is key to the diagnosis as clinical symptoms may be non-specific or mimic other neurological illnesses. To the best of our knowledge this is the first case to report an association between posterior reversible encephalopathy syndrome, cyclical vomiting and hypertension. Furthermore, in this case, the resolution of the abnormalities found on magnetic resonance imaging over time did not appear to equate with clinical recovery.</p
Π‘ΠΈΠ½ΡΠ΅Π· ΠΈ ΡΠ²ΠΎΠΉΡΡΠ²Π° Π°ΠΌΠΈΠ΄ΠΎΠ² Π½Π° ΠΎΡΠ½ΠΎΠ²Π΅ Π°Π±ΠΈΠ΅ΡΠΈΠ½ΠΎΠ²ΠΎΠΉ ΠΊΠΈΡΠ»ΠΎΡΡ ΠΈ Π΄ΠΈΡΡΠΈΠ»Π΅Π½ΡΡΠΈΠ°ΠΌΠΈΠ½Π°
Chemical interaction of abietic acid with diethylenetriamine at molar ratio of 1,0 : 1,2 and temperatures of 190 and 210 Β°Π‘ allows to obtain a product with acid number of 55 and 18 mg ΠΠΠ/g, temperature of softening of 24-26 Β°Π‘ and 29-31 Β°Π‘ respectively, mixing unlimitedly with water and thermally stable up to 300 Β°Π‘. This product can be used as a functional substance, capable of giving some water repellency to paper and cardboard and improving its strength.Π₯ΠΈΠΌΠΈΡΠ΅ΡΠΊΠΎΠ΅ Π²Π·Π°ΠΈΠΌΠΎΠ΄Π΅ΠΉΡΡΠ²ΠΈΠ΅ Π°Π±ΠΈΠ΅ΡΠΈΠ½ΠΎΠ²ΠΎΠΉ ΠΊΠΈΡΠ»ΠΎΡΡ Ρ Π΄ΠΈΡΡΠΈΠ»Π΅Π½ΡΡΠΈΠ°ΠΌΠΈΠ½ΠΎΠΌ ΠΏΡΠΈ ΠΌΠΎΠ»ΡΠ½ΠΎΠΌ ΡΠΎΠΎΡΠ½ΠΎΡΠ΅Π½ΠΈΠΈ 1,0:1,2 ΠΈ ΡΠ΅ΠΌΠΏΠ΅ΡΠ°ΡΡΡΠ°Ρ
190 ΠΈ 210 Β°Π‘ ΠΏΠΎΠ·Π²ΠΎΠ»ΡΠ΅Ρ ΠΏΠΎΠ»ΡΡΠΈΡΡ ΠΏΡΠΎΠ΄ΡΠΊΡ Ρ ΠΊΠΈΡΠ»ΠΎΡΠ½ΡΠΌ ΡΠΈΡΠ»ΠΎΠΌ 55 ΠΈ 18 ΠΌΠ³ ΠΠΠ/Π³, ΡΠ΅ΠΌΠΏΠ΅ΡΠ°ΡΡΡΠΎΠΉ ΡΠ°Π·ΠΌΡΠ³ΡΠ΅Π½ΠΈΡ 24-26 Β°Π‘ ΠΈ 29-31 Β°Π‘ ΡΠΎΠΎΡΠ²Π΅ΡΡΡΠ²Π΅Π½Π½ΠΎ, ΠΎΠ±Π»Π°Π΄Π°ΡΡΠΈΠΉ Π½Π΅ΠΎΠ³ΡΠ°Π½ΠΈΡΠ΅Π½Π½ΠΎΠΉ ΡΠΌΠ΅ΡΠΈΠ²Π°Π΅ΠΌΠΎΡΡΡΡ Ρ Π²ΠΎΠ΄ΠΎΠΉ ΠΈ ΡΠ΅ΡΠΌΠΈΡΠ΅ΡΠΊΠΎΠΉ ΡΡΡΠΎΠΉΡΠΈΠ²ΠΎΡΡΡΡ Π΄ΠΎ ΡΠ΅ΠΌΠΏΠ΅ΡΠ°ΡΡΡΡ 300Β°Π‘. ΠΡΠΎΡ ΠΏΡΠΎΠ΄ΡΠΊΡ ΠΌΠΎΠΆΠ΅Ρ ΠΈΡΠΏΠΎΠ»ΡΠ·ΠΎΠ²Π°ΡΡΡΡ Π² ΠΊΠ°ΡΠ΅ΡΡΠ²Π΅ ΡΡΠ½ΠΊΡΠΈΠΎΠ½Π°Π»ΡΠ½ΠΎΠ³ΠΎ Π²Π΅ΡΠ΅ΡΡΠ²Π°, ΡΠΏΠΎΡΠΎΠ±Π½ΠΎΠ³ΠΎ ΠΏΡΠΈΠ΄Π°ΡΡ Π±ΡΠΌΠ°Π³Π΅ ΠΈ ΠΊΠ°ΡΡΠΎΠ½Ρ ΠΎΠΏΡΠ΅Π΄Π΅Π»Π΅Π½Π½ΡΡ ΡΡΠ΅ΠΏΠ΅Π½Ρ Π³ΠΈΠ΄ΡΠΎΡΠΎΠ±Π½ΠΎΡΡΠΈ ΠΈ ΡΠ»ΡΡΡΠΈΡΡ ΠΏΡΠΎΡΠ½ΠΎΡΡΠ½ΡΠ΅ ΠΏΠΎΠΊΠ°Π·Π°ΡΠ΅Π»ΠΈ
ΠΠΎΠ΄ΠΈΡΠΈΡΠΈΡΠΎΠ²Π°Π½ΠΈΠ΅ ΡΠΌΠΎΠ»ΡΠ½ΡΡ ΠΊΠΈΡΠ»ΠΎΡ ΠΊΠ°Π½ΠΈΡΠΎΠ»ΠΈ Π΄Π»Ρ ΡΠ»ΡΡΡΠ΅Π½ΠΈΡ ΠΈΡ Π³ΠΈΠ΄ΡΠΎΡΠΎΠ±ΠΈΠ·ΠΈΡΡΡΡΠ΅Π³ΠΎ Π΄Π΅ΠΉΡΡΠ²ΠΈΡ Π½Π° Π±ΡΠΌΠ°Π³Ρ ΠΈ ΠΊΠ°ΡΡΠΎΠ½
The modification of rosin resin acids, which improves their hydrophobic effect on paper and cardboard, is based on the implementation of 6 stages. Control of chemical processes at each stage is carried out by monitoring and regulating temperature and flow parameters, which determine the achievement of the required physical and chemical properties and composition of intermediates and final substance. One of the main indicators is the acid number, which for the final substance should be 60β70 mg KOH/g, which corresponds to the content of free resin acids in the functional substance of 40β45 %. The fulfillment of the specified temperature and consumption parameters for the modification of resin acids of rosin and the achievement of the necessary physicochemical properties of intermediates at each stage ensures the production of a functional substance with an improved hydrophobic effect on paper and cardboard. Compared to the traditionally used TM adhesive-paste, the developed functional substance in the production of paper with absorbency at one-sided wetting of not more than 21 g/m2 provides a reduction in the content of particles of the dispersed phase of the rosin emulsion by 1.4β2.0 times, which indicates its improved properties, and maximum preservation of the original strength of the paper by reducing the distance between the fibers due to a 3.3β3.8 times reduction (from 4200β5000 to 1100β1480 nm) in the size of sizing complexes.ΠΠΎΠ΄ΠΈΡΠΈΡΠΈΡΠΎΠ²Π°Π½ΠΈΠ΅ ΡΠΌΠΎΠ»ΡΠ½ΡΡ
ΠΊΠΈΡΠ»ΠΎΡ ΠΊΠ°Π½ΠΈΡΠΎΠ»ΠΈ, ΠΎΠ±Π΅ΡΠΏΠ΅ΡΠΈΠ²Π°ΡΡΠ΅Π΅ ΡΠ»ΡΡΡΠ΅Π½ΠΈΠ΅ Π³ΠΈΠ΄ΡΠΎΡΠΎΠ±ΠΈΠ·ΠΈΡΡΡΡΠ΅Π³ΠΎ Π΄Π΅ΠΉΡΡΠ²ΠΈΡ Π½Π° Π±ΡΠΌΠ°Π³Ρ ΠΈ ΠΊΠ°ΡΡΠΎΠ½, ΠΎΡΠ½ΠΎΠ²Π°Π½ΠΎ Π½Π° ΠΎΡΡΡΠ΅ΡΡΠ²Π»Π΅Π½ΠΈΠΈ 6 ΡΡΠ°Π΄ΠΈΠΉ. Π£ΠΏΡΠ°Π²Π»Π΅Π½ΠΈΠ΅ Ρ
ΠΈΠΌΠΈΡΠ΅ΡΠΊΠΈΠΌΠΈ ΠΏΡΠΎΡΠ΅ΡΡΠ°ΠΌΠΈ Π½Π° ΠΊΠ°ΠΆΠ΄ΠΎΠΉ ΡΡΠ°Π΄ΠΈΠΈ ΠΎΡΡΡΠ΅ΡΡΠ²Π»ΡΠ΅ΡΡΡ ΠΏΡΡΠ΅ΠΌ ΠΊΠΎΠ½ΡΡΠΎΠ»Ρ ΠΈ ΡΠ΅Π³ΡΠ»ΠΈΡΠΎΠ²Π°Π½ΠΈΡ ΡΠ΅ΠΌΠΏΠ΅ΡΠ°ΡΡΡΠ½ΡΡ
ΠΈ ΡΠ°ΡΡ
ΠΎΠ΄Π½ΡΡ
ΠΏΠ°ΡΠ°ΠΌΠ΅ΡΡΠΎΠ², ΠΎΠ±ΡΡΠ»ΠΎΠ²Π»ΠΈΠ²Π°ΡΡΠΈΡ
Π΄ΠΎΡΡΠΈΠΆΠ΅Π½ΠΈΠ΅ ΡΡΠ΅Π±ΡΠ΅ΠΌΡΡ
ΡΠΈΠ·ΠΈΠΊΠΎ-Ρ
ΠΈΠΌΠΈΡΠ΅ΡΠΊΠΈΡ
ΡΠ²ΠΎΠΉΡΡΠ² ΠΈ ΡΠΎΡΡΠ°Π²Π° ΠΏΠΎΠ»ΡΠΏΡΠΎΠ΄ΡΠΊΡΠΎΠ² ΠΈ ΠΊΠΎΠ½Π΅ΡΠ½ΠΎΠ³ΠΎ Π²Π΅ΡΠ΅ΡΡΠ²Π°. ΠΠ΄ΠΈΠ½ ΠΈΠ· ΠΎΡΠ½ΠΎΠ²Π½ΡΡ
ΠΏΠΎΠΊΠ°Π·Π°ΡΠ΅Π»Π΅ΠΉ β ΠΊΠΈΡΠ»ΠΎΡΠ½ΠΎΠ΅ ΡΠΈΡΠ»ΠΎ, ΠΊΠΎΡΠΎΡΠΎΠ΅ Π΄Π»Ρ ΠΊΠΎΠ½Π΅ΡΠ½ΠΎΠ³ΠΎ Π²Π΅ΡΠ΅ΡΡΠ²Π° Π΄ΠΎΠ»ΠΆΠ½ΠΎ ΡΠΎΡΡΠ°Π²Π»ΡΡΡ 60β70 ΠΌΠ³ KOH/Π³, ΡΡΠΎ ΡΠΎΠΎΡΠ²Π΅ΡΡΡΠ²ΡΠ΅Ρ ΡΠΎΠ΄Π΅ΡΠΆΠ°Π½ΠΈΡ ΡΠ²ΠΎΠ±ΠΎΠ΄Π½ΡΡ
ΡΠΌΠΎΠ»ΡΠ½ΡΡ
ΠΊΠΈΡΠ»ΠΎΡ Π² ΡΡΠ½ΠΊΡΠΈΠΎΠ½Π°Π»ΡΠ½ΠΎΠΌ Π²Π΅ΡΠ΅ΡΡΠ²Π΅ 40β45 %. ΠΡΠΏΠΎΠ»Π½Π΅Π½ΠΈΠ΅ ΡΠΊΠ°Π·Π°Π½Π½ΡΡ
ΡΠ΅ΠΌΠΏΠ΅ΡΠ°ΡΡΡΠ½ΡΡ
ΠΈ ΡΠ°ΡΡ
ΠΎΠ΄Π½ΡΡ
ΠΏΠ°ΡΠ°ΠΌΠ΅ΡΡΠΎΠ² ΠΌΠΎΠ΄ΠΈΡΠΈΡΠΈΡΠΎΠ²Π°Π½ΠΈΡ ΡΠΌΠΎΠ»ΡΠ½ΡΡ
ΠΊΠΈΡΠ»ΠΎΡ ΠΊΠ°Π½ΠΈΡΠΎΠ»ΠΈ ΠΈ Π΄ΠΎΡΡΠΈΠΆΠ΅Π½ΠΈΠ΅ Π½Π΅ΠΎΠ±Ρ
ΠΎΠ΄ΠΈΠΌΡΡ
ΡΠΈΠ·ΠΈΠΊΠΎ-Ρ
ΠΈΠΌΠΈΡΠ΅ΡΠΊΠΈΡ
ΡΠ²ΠΎΠΉΡΡΠ² ΠΏΠΎΠ»ΡΠΏΡΠΎΠ΄ΡΠΊΡΠΎΠ² Π½Π° ΠΊΠ°ΠΆΠ΄ΠΎΠΉ ΡΡΠ°Π΄ΠΈΠΈ ΠΎΠ±Π΅ΡΠΏΠ΅ΡΠΈΠ²Π°ΡΡ ΠΏΠΎΠ»ΡΡΠ΅Π½ΠΈΠ΅ ΡΡΠ½ΠΊΡΠΈΠΎΠ½Π°Π»ΡΠ½ΠΎΠ³ΠΎ Π²Π΅ΡΠ΅ΡΡΠ²Π°, ΠΎΠ±Π»Π°Π΄Π°ΡΡΠ΅Π³ΠΎ ΡΠ»ΡΡΡΠ΅Π½Π½ΡΠΌ Π³ΠΈΠ΄ΡΠΎΡΠΎΠ±ΠΈΠ·ΠΈΡΡΡΡΠΈΠΌ Π΄Π΅ΠΉΡΡΠ²ΠΈΠ΅ΠΌ Π½Π° Π±ΡΠΌΠ°Π³Ρ ΠΈ ΠΊΠ°ΡΡΠΎΠ½. ΠΠΎ ΡΡΠ°Π²Π½Π΅Π½ΠΈΡ Ρ ΡΡΠ°Π΄ΠΈΡΠΈΠΎΠ½Π½ΠΎ ΠΈΡΠΏΠΎΠ»ΡΠ·ΡΠ΅ΠΌΡΠΌ ΠΊΠ»Π΅Π΅ΠΌ-ΠΏΠ°ΡΡΠΎΠΉ Π’Π, ΡΠ°Π·ΡΠ°Π±ΠΎΡΠ°Π½Π½ΠΎΠ΅ ΡΡΠ½ΠΊΡΠΈΠΎΠ½Π°Π»ΡΠ½ΠΎΠ΅ Π²Π΅ΡΠ΅ΡΡΠ²ΠΎ ΠΏΡΠΈ ΠΏΠΎΠ»ΡΡΠ΅Π½ΠΈΠΈ Π±ΡΠΌΠ°Π³ΠΈ Ρ Π²ΠΏΠΈΡΡΠ²Π°Π΅ΠΌΠΎΡΡΡΡ ΠΏΡΠΈ ΠΎΠ΄Π½ΠΎΡΡΠΎΡΠΎΠ½Π½Π΅ΠΌ ΡΠΌΠ°ΡΠΈΠ²Π°Π½ΠΈΠΈ Π½Π΅ Π±ΠΎΠ»Π΅Π΅ 21 Π³/ΠΌ2 ΠΎΠ±Π΅ΡΠΏΠ΅ΡΠΈΠ²Π°Π΅Ρ ΡΠ½ΠΈΠΆΠ΅Π½ΠΈΠ΅ ΡΠΎΠ΄Π΅ΡΠΆΠ°Π½ΠΈΡ ΡΠ°ΡΡΠΈΡ Π΄ΠΈΡΠΏΠ΅ΡΡΠ½ΠΎΠΉ ΡΠ°Π·Ρ ΠΊΠ°Π½ΠΈΡΠΎΠ»ΡΠ½ΠΎΠΉ ΡΠΌΡΠ»ΡΡΠΈΠΈ Π² 1,4β2,0 ΡΠ°Π·Π°, ΡΡΠΎ ΡΠ²ΠΈΠ΄Π΅ΡΠ΅Π»ΡΡΡΠ²ΡΠ΅Ρ ΠΎΠ± Π΅Π΅ ΡΠ»ΡΡΡΠ΅Π½Π½ΡΡ
Π³ΠΈΠ΄ΡΠΎΡΠΎΠ±ΠΈΠ·ΠΈΡΡΡΡΠΈΡ
ΡΠ²ΠΎΠΉΡΡΠ²Π°Ρ
, ΠΈ ΠΌΠ°ΠΊΡΠΈΠΌΠ°Π»ΡΠ½ΠΎΠ΅ ΡΠΎΡ
ΡΠ°Π½Π΅Π½ΠΈΠ΅ ΠΏΠ΅ΡΠ²ΠΎΠ½Π°ΡΠ°Π»ΡΠ½ΠΎΠΉ ΠΏΡΠΎΡΠ½ΠΎΡΡΠΈ Π±ΡΠΌΠ°Π³ΠΈ Π·Π° ΡΡΠ΅Ρ ΡΠΌΠ΅Π½ΡΡΠ΅Π½ΠΈΡ ΡΠ°ΡΡΡΠΎΡΠ½ΠΈΡ ΠΌΠ΅ΠΆΠ΄Ρ Π²ΠΎΠ»ΠΎΠΊΠ½Π°ΠΌΠΈ Π±Π»Π°Π³ΠΎΠ΄Π°ΡΡ ΡΠ½ΠΈΠΆΠ΅Π½ΠΈΡ Π² 3,3β3,8 ΡΠ°Π·Π° (ΠΎΡ 4200β5000 Π΄ΠΎ 1100β1480 Π½ΠΌ) ΡΠ°Π·ΠΌΠ΅ΡΠ° ΠΏΡΠΎΠΊΠ»Π΅ΠΈΠ²Π°ΡΡΠΈΡ
ΠΊΠΎΠΌΠΏΠ»Π΅ΠΊΡΠΎΠ²
"Itβs sort of reaffirmed to me that I'm not a monster, I'm not a terrible person": sex offendersβ movements toward desistance via peer-support roles in prison
Individuals incarcerated in prisons across the United Kingdom and abroad are able to volunteer for a variety of peer-support roles, which are characterized by prisoner-to-prisoner helping. Some research has found that such roles can represent turning points in the lives of those who have offended and encourage movements toward desistance. This proposed redemptive influence is argued to result from the prosocial behaviors that such roles appear to elicit in their holders. The present study aims to explore the mechanics of this claimed influence. While a limited amount of research has attempted this on a general offending population, no research has done so with a sample of sexual offenders. Given the intensive treatment programs involved in such contexts, and the requirements for sexual offenders to demonstrate reduced risk, the authors believe those serving time for sexual offenses represent an important sample on which to explore the potentially redemptive properties of peer-support roles. To this end, 13 peer supporters participated in semistructured interviews. Transcripts were analyzed using a phenomenologically oriented thematic analysis. Results suggest that sexual offenders who adopt peer-support roles are able to live up to desired selves by βdoing goodβ in prison, βgiving back,β and consequently resisting negative labels. These benefits have been theoretically linked with better reintegration outcomes for sexual offenders, who are publicly denigrated in the extreme and find it especially difficult to (re)integrate. Suggestions regarding the future utility of such schemes are offered
Cyclic vomiting syndrome in adults
Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/72300/1/j.1365-2982.2008.01113.x.pd
Examining Causes of Racial Disparities in General Surgical Mortality: Hospital Quality Versus Patient Risk
BACKGROUND: Racial disparities in general surgical outcomes are known to exist but not well understood.
OBJECTIVES: To determine if black-white disparities in general surgery mortality for Medicare patients are attributable to poorer health status among blacks on admission or differences in the quality of care provided by the admitting hospitals.
RESEARCH DESIGN: Matched cohort study using Tapered Multivariate Matching.
SUBJECTS: All black elderly Medicare general surgical patients (N=18,861) and white-matched controls within the same 6 states or within the same 838 hospitals.
MEASURES: Thirty-day mortality (primary); others include in-hospital mortality, failure-to-rescue, complications, length of stay, and readmissions.
RESULTS: Matching on age, sex, year, state, and the exact same procedure, blacks had higher 30-day mortality (4.0% vs. 3.5%, P\u3c0.01), in-hospital mortality (3.9% vs. 2.9%, P\u3c0.0001), in-hospital complications (64.3% vs. 56.8% P\u3c0.0001), and failure-to-rescue rates (6.1% vs. 5.1% P\u3c0.001), longer length of stay (7.2 vs. 5.8 d, P\u3c0.0001), and more 30-day readmissions (15.0% vs. 12.5%, P\u3c0.0001). Adding preoperative risk factors to the above match, there was no significant difference in mortality or failure-to-rescue, and all other outcome differences were small. Blacks matched to whites in the same hospital displayed no significant differences in mortality, failure-to-rescue, or readmissions.
CONCLUSIONS: Black and white Medicare patients undergoing the same procedures with closely matched risk factors displayed similar mortality, suggesting that racial disparities in general surgical mortality are not because of differences in hospital quality. To reduce the observed disparities in surgical outcomes, the poorer health of blacks on presentation for surgery must be addressed
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