Tracking and Improving Bedside Procedures Through Standardized Documentation

Proposal and Goals: We propose to create a standardized electronic procedure note that will replace all documentation for bedside procedures without sedation. ◦Makes notes legible and easily identified ◦Allows uniform tracking of metrics necessary to identify outcomes from a procedure (blood loss, specimens, post-procedure studies, complications) 2.The procedure note will be created in such a way as to allow specialized procedures to be added over time with minor customization to improve physician/nursing work flows and increase efficiency ◦Allows procedures to be sorted and tracked by type ◦Will be constructed to allow attaching CPT codes to patient charts via documentation 3. We propose using this procedure note to create a running database of all bedside procedures ◦Can be utilized by existing software (Qlik) to query all procedure notes to create large anonymized patient listshttps://jdc.jefferson.edu/patientsafetyposters/1071/thumbnail.jp

Optical properties of self-organized wurtzite InN/GaN quantum dots: A combined atomistic tight-binding and full configuration interaction calculation

In this work we investigate the electronic and optical properties of self-assembled InN/GaN quantum dots. The one-particle states of the low-dimensional heterostructures are provided by a tight-binding model that fully includes the wurtzite crystal structure on an atomistic level. Optical dipole and Coulomb matrix elements are calculated from these one-particle wave functions and serve as an input for full configuration interaction calculations. We present multi-exciton emission spectra and discuss in detail how Coulomb correlations and oscillator strengths are changed by the piezoelectric fields present in the structure. Vanishing exciton and biexciton ground state emission for small lens-shaped dots is predicted.Comment: 3 pages, 2 figure

Coulomb effects in semiconductor quantum dots

Coulomb correlations in the optical spectra of semiconductor quantum dots are investigated using a full-diagonalization approach. The resulting multi-exciton spectra are discussed in terms of the symmetry of the involved states. Characteristic features of the spectra like the nearly equidistantly spaced s-shell emission lines and the approximately constant p-shell transition energies are explained using simplified Hamiltonians that are derived taking into account the relative importance of various interaction contributions. Comparisons with previous results in the literature and their interpretation are made.Comment: 7 pages, 2 figure

Filling the Void: A Low Cost, High-Yield Method to Addressing Incidental Findings in Trauma Patients

In this study we: Report the incidence of incidental findings in a suburban trauma center treating primarily blunt and elderly trauma Propose simple solutions to increase the rate of disclosure to patientshttps://jdc.jefferson.edu/patientsafetyposters/1070/thumbnail.jp

Progress toward an ambulatory pump-lung

ObjectivesCurrently available therapies for acute and chronic lung diseases have not been effective and have various problems associated with the technologies used. We present a novel active mixing pump-lung with the goal of providing total respiratory support to ambulatory patients.MethodsThe pump-lung is based on the concept of active mixing oxygenation within a constrained vortex. The rotation of hollow-fiber membranes disrupts the concentration boundary layer, increasing gas exchange efficiency, and simultaneously pumps the blood. Consequently, the amount of membranes required to achieve gas transfer sufficient for total respiratory support is considerably small. A series of studies, including computational design, experimental bench testing, and in vivo animal experiments, have been performed to implement this concept into a viable artificial pump-lung device.ResultsA series of pump-lung prototypes with a membrane surface area of 0.17 to 0.5 m2 were designed and characterized in vitro with bovine blood, demonstrating extremely high gas exchange efficiency. The prototype with a gas exchange surface area of 0.5 m2 was evaluated in calves. The device provided oxygen transfer of approximately 115 mL/min for respiratory support of an animal for up to 5 days.ConclusionsProgress to date suggests a high likelihood of success for an extracorporeal shorter-term lung that can be switched in and out like dialysis devices. Our device is unique in that it incorporates an integrated pumping and active mixing principle for excellent gas transfer and eliminates the need of the native right ventricle’s ability to power blood through the artificial and natural lungs

Infrared spectra of the water-CO2 complex in the 4.3-3.6 micron region and determination of the ground state tunneling splitting for HDO-CO2

Spectra of water-CO2 dimers are studied using a tunable mid-infrared source to probe a pulsed slit jet supersonic expansion. H2O-CO2 and D2O-CO2 are observed in the CO2 nu3 fundamental region (~2350 cm-1), D2O-CO2 is also observed in the D2O nu3 fundamental region (~2790 cm-1), and HDO-CO2 is observed in the HDO O-D stretch fundamental region (~2720 cm-1), all for the first time in these regions. Analysis of the spectra yields excited state rotational parameters and vibrational shifts. They also yield the first experimental values of the ground state internal rotation tunneling splittings for D2O-CO2 (0.003 cm-1) and HDO-CO2 (0.0234 cm-1). The latter value is a direct determination made possible by the reduced symmetry of HDO-CO2. These results provide stringent and easily interpreted tests for theoretical water - CO2 potential energy surface calculations.Comment: 19 pages, 6 figure and 5 table

Correlated Photon-Pair Emission from a Charged Single Quantum Dot

The optical creation and recombination of charged biexciton and trion complexes in an (In,Ga)As/GaAs quantum dot is investigated by micro-photoluminescence spectroscopy. Photon cross-correlation measurements demonstrate the temporally correlated decay of charged biexciton and trion states. Our calculations provide strong evidence for radiative decay from the excited trion state which allows for a deeper insight into the spin configurations and their dynamics in these systems.Comment: 5 pages, 3 figures, submitted for publicatio

Traffic Network Optimum Principle - Minimum Probability of Congestion Occurrence

We introduce an optimum principle for a vehicular traffic network with road bottlenecks. This network breakdown minimization (BM) principle states that the network optimum is reached, when link flow rates are assigned in the network in such a way that the probability for spontaneous occurrence of traffic breakdown at one of the network bottlenecks during a given observation time reaches the minimum possible value. Based on numerical simulations with a stochastic three-phase traffic flow model, we show that in comparison to the well-known Wardrop's principles the application of the BM principle permits considerably greater network inflow rates at which no traffic breakdown occurs and, therefore, free flow remains in the whole network.Comment: 22 pages, 6 figure

Coupled trace element and Sr-Nd-(Pb) isotopes in olivine-hosted melt inclusions from the Mariana arc

The Mariana arc forms part of the 2500 km Izu–Bonin–Mariana arc system caused by westward subduction of the Pacific Plate beneath the Philippine Sea Plate over the last ~45 Myr. The magmatism produced in this comparatively simple arc setting records a moderate flux of fluids and sediments from the downgoing plate, however, the low MgO (<6 wt.%) of the lavas imply that magma mixing, crystal fractionation and crustal assimilation mask the primitive melt compositions. Olivine-hosted melt inclusions (MIs), in contrast, provide access to melt trapped deep in the magmatic plumbing system allowing more precise determination of the nature and quantity of recycled components. Here we analyse coupled trace element and Sr-Nd(-Pb) isotope compositions of olivine-hosted MIs in five samples from four islands within the Central Island province: Agrigan (AGR2, AGR6), Pagan (PAG3), Guguan (GUG6) and Sarigan (SAG1). Bulk rock MgO contents range from 4 to 5.7 wt.% [1]. We specifically target melt inclusions in olivine phenocrysts with the highest fortsterite content (Fo = Mg/(Mg+Fe)*100): AGR: 80-86; PAG: 76-81; GUG: 76-88; SAG: 84-88 mol%. Trace element contents and ratios of the selected MIs record marked differences between islands and show larger variability compared to published bulk rock and MI compositions [2]. Ba/La and Th/Nb or La/Sm ratios – indicators of slab fluids versus sediment melts, respectively – confirm that Guguan inclusions are dominated by a fluid component whereas Agrigan and Sarigan reflect a larger sediment contribution. Pagan inclusions show intermediate compositions and a restricted range indicating the influence of both fluids and sediments. Sr-Nd-(Pb) isotope compositions of individual and pooled melt inclusions will be determined by wet chemistry and TIMS techniques using 10^13 Ω amplifier technology [3] to further identify and quantify the recycled components. [1] Elliott et al. (1997). Journal of Geophysical Research, 102: 14991-15019. [2] Kent & Elliott (2002). Chemical Geology, 183: 263-286. [3] Koornneef et al. (2019). Nature Communications 10, 323