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Early paracentesis is associated with better prognosis compared with late or no-paracentesis in hospitalized veterans with cirrhosis and ascites.
Guidelines recommend that all hospitalized patients with cirrhosis and ascites receive an early (<24 h from admission) paracentesis. However, national data are not available regarding compliance with and the consequences of this quality metric. We used the national Veterans Administration Corporate Data Warehouse and validated International Classification of Disease codes to evaluate the rate and subsequent outcomes of early, late, and no paracentesis for patients with cirrhosis and ascites during their first inpatient admission between 2016 and 2019. Of 10,237 patients admitted with a diagnosis of cirrhosis with ascites, 14.3% received an early paracentesis, 7.3% received a late paracentesis, and 78.4% never received a paracentesis. In multivariable modeling, compared with an early paracentesis: both late paracentesis and no-paracentesis were significantly associated with increased odds of acute kidney injury (AKI) development [OR: 2.16 (95% CI, 1.59-2.94) and 1.34 (1.09-1.66), respectively]; intensive care unit (ICU) transfer [OR: 2.43 (1.71-3.47) and 2.01 (1.53-2.69), respectively] and inpatient death [OR: 1.54 (1.03-2.29) and 1.42 (1.05-1.93), respectively]. Nationally, only 14.3% of admitted veterans with cirrhosis and ascites received the American Association for the Study of Liver Diseases (AASLD) guideline-recommended diagnostic paracentesis within 24 hours of admission. Failure to complete early paracentesis was associated with higher odds of AKI, ICU transfer, and inpatient mortality. Universal and site-specific barriers to this quality metric should be evaluated and addressed to improve patient outcomes
Magnetic Anisotropy of Co2MnSn1−xSbx Thin Films Grown on GaAs (001)
Heusler alloy Co2MnSn1−xSbx (x = 0.0, 0.5, and 1.0) thin films were grown on GaAs (001) substrates using pulsed laser deposition techniques. Growth parameters have been determined that result in highly magnetically anisotropic, crystalline, and oriented (001) films. The angular dependences, relative to the GaAs (001) crystallographic directions, of the coercive field Hc(θ) and the remanence Mr(θ) were determined from angle dependent magneto-optic Kerr effect (MOKE) measurements. It was found that Hc(θ) revealed higher order symmetry contributions to the magnetic anisotropy than did Mr(θ). The Fourier analysis of rotational MOKE data was used to determine the symmetry contributions to the total anisotropy
Counts-in-Cylinders in the Sloan Digital Sky Survey with Comparisons to N-body Simulations
Environmental statistics provide a necessary means of comparing the
properties of galaxies in different environments and a vital test of models of
galaxy formation within the prevailing, hierarchical cosmological model. We
explore counts-in-cylinders, a common statistic defined as the number of
companions of a particular galaxy found within a given projected radius and
redshift interval. Galaxy distributions with the same two-point correlation
functions do not necessarily have the same companion count distributions. We
use this statistic to examine the environments of galaxies in the Sloan Digital
Sky Survey, Data Release 4. We also make preliminary comparisons to four models
for the spatial distributions of galaxies, based on N-body simulations, and
data from SDSS DR4 to study the utility of the counts-in-cylinders statistic.
There is a very large scatter between the number of companions a galaxy has and
the mass of its parent dark matter halo and the halo occupation, limiting the
utility of this statistic for certain kinds of environmental studies. We also
show that prevalent, empirical models of galaxy clustering that match observed
two- and three-point clustering statistics well fail to reproduce some aspects
of the observed distribution of counts-in-cylinders on 1, 3 and 6-Mpc/h scales.
All models that we explore underpredict the fraction of galaxies with few or no
companions in 3 and 6-Mpc/h cylinders. Roughly 7% of galaxies in the real
universe are significantly more isolated within a 6 Mpc/h cylinder than the
galaxies in any of the models we use. Simple, phenomenological models that map
galaxies to dark matter halos fail to reproduce high-order clustering
statistics in low-density environments.Comment: 17 pages, 10 figures. Accepted, Ap
Magnetic and Transport Properties of Co2MnSnxSb1−x Heusler Alloys
We present the magnetic, structural, and transport properties of the quaternary Heusler alloys Co2MnSnxSb1−x (x = 0, 0.25, 0.50, 0.75, and 1.0), which have been theoretically predicted to be half-metallic. Magnetization measurements as a function of applied field show that the saturation moment for x = 1 (Co2MnSn) is near the Slater–Pauling value of 5μB; however, the moment for x = 0 (Co2MnSb) falls far short of its predicted value of 6μB. Resistivity as a function of temperature was measured from 5 to 400 K, and a phase transition from a half-metallic ferromagnetic phase to a normal ferromagnetic phase was observed between 50 and 80 K for all of the alloys. At low temperature (10 K\u3cT\u3c40 K), the resistivity ratio was found to vary as R(T)/R(T = 5 K) = A+BT2+CT9/2, where the T2 term results from electron-electron scattering, whereas the T9/2 term is a consequence of double magnon scattering
Sedimentary deformation relating to episodic seepage in the last 1.2 million years: a multi-scale seismic study from the Vestnesa Ridge, eastern Fram Strait
Seafloor hydrocarbon seepage is a natural fluid release process that occurs worldwide
on continental shelves, slopes, and in deep oceanic basins. The Vestnesa sedimentary
ridge in the eastern Fram Strait hosts a deep-water gas hydrate system that became
charged with hydrocarbons ~2.7 Ma and has experienced episodic seepage along the
entire ridge until a few thousand years ago, when seepage activity apparently ceased
in the west but persisted in the east. Although it has been documented that faults and
fractures play a key role in feeding the seeps with thermogenic gases, the mechanisms
controlling seepage periodicity remain poorly understood. Here we integrate highresolution P-cable 3D seismic and Chirp data to investigate the spatial and temporal
evolution of high-resolution fractures and fluid flow features in the west of the
Vestnesa Ridge. We characterize sediment deformation using a fracture density
seismic attribute workflow revealing two highly deformed stratigraphic intervals
and associated small-scale pockmarks (<20 m diameter). Chronostratigraphic
constraints from the region show that these two highly deformed intervals are
influenced by at least three major climatic and oceanic events during the last
1.2 million years: the Mid-Pleistocene Transition (~1.25–0.7 Ma), the penultimate
deglaciation (~130 ka) and the last deglaciation (Heinrich Stadial 1: ~16 ka). These
periods of deformation appear associated with seismic anomalies potentially
correlated with buried methane-derived authigenic carbonate and have been
sensitive to shifts in the boundary of the free gas-gas hydrate interface. Our
results show shifts (up to ~30 m) in the depth of the base of the gas hydrate
stability zone (GHSZ) associated with major changes in ocean bottom water
temperatures. This ocean-driven effect on the base of the GHSZ since the Last
Glacial Maximum coincides with the already highly deformed Mid-Pleistocene
Transition sedimentary interval and likely enhanced deformation and gas leakage
along the ridge. Our results have implications for understanding how glacial cycles
impact fracture formation and associated seepage activity
The Grizzly, May 2, 2000
Asbestos Mess Hits Helfferich Hard • Commencement Set for UC Seniors • Douglass Davis, UC Alumnus and Faculty Member, Dead at 81 • Annual Spring Fling a High-Flying Success • Students Selected to Speak at 2000 Ursinus Graduation Ceremonies • Letters from the Editors • Final Exam Schedule • UC Female Reflects on the Horrors of the Freshman Fifteen • The Poet-Tree Grows at Ursinus • A New Chapter in the History Books: Newmaster Hurls the First Perfect Game in Centennial Conference History • UC Track Gears Up for Last Meet • Profile: Lisa Newmaster • Bears Capture Back-to-Back CC Title • Unpredicted Ending for UC Lacrossehttps://digitalcommons.ursinus.edu/grizzlynews/1468/thumbnail.jp
Investigating the Heart of a Community: Archaeological Excavations at the African Meeting House, Boston, Massachusetts
In collaboration with the Museum of African American History, an archaeological research team from the University of Massachusetts Boston carried out a data recovery excavation at the African Meeting House on Beacon Hill. The African Meeting House was a powerful social institution for 19thcentury Boston’s free black community. The site played an important role in the abolition movement, the creation of educational opportunity, and other community action for social and political equality. The Meeting House was originally built in 1806, and renovations in preparation for the 2006 bi-centennial celebration prompted an investigation of areas of the property to be impacted by the proposed construction. Archaeological fieldwork, conducted under Massachusetts Historical Commission Permit Number 2750, was spread over seven weeks in May through July 2005. The field team opened and explored about 19 m2 of the site in the backlot south of the Meeting House and alley to the west. These excavations recorded information about a series of significant features and deposits, and collected over 38,000 artifacts and a series of soil samples for a detailed archaeobiological research program. These excavations met the requirements of the data recovery program as outlined in 950 CMR 70.00 and in the Memorandum of Agreement for the project, and the proposed renovation work proceeded with a finding of no adverse effect (36 CFR 800.5(b)).
The depositional history and the nature of the archaeological record allow us to separate the overall excavation into three sub-areas: 1) the west alley between the AMH and 2 Smith Court; 2) the historic Meeting House backlot; and 3) the south yard, which originally belonged to the 44 Joy Street property. In terms of significant features and deposits, the west alley was almost entirely a series of builders’ trenches reflecting the historic sequence of construction and remodeling of the Meeting House and adjacent buildings to the west. In the backlot, the units against the south wall of the Meeting House contained similar builders’ trenches. The backlot also contained a series of stone and brick drains and a trash-rich midden layer. The vast majority of artifacts in the Meeting House backlot date from about 1806–1840. The ceramics assemblage is particularly large, and reflects both community meals at the Meeting House and business of Domingo Williams, a caterer who rented a basement apartment. Finally, only one feature was studied in the south yard, a privy (outhouse) that was for the 44 Joy Street property. The bottommost layer of the privy was an artifact rich nightsoil layer, dating to about 1811–1838, and containing the trash of African American tenants living at 44 Joy Street. Together, the archaeological deposits in the backlot provide a variety of insights into living conditions, economic opportunity, foodways, health, and daily life for 19th-century Boston’s free black community. These results thus provide information to help further the research, interpretation, and public education goals of the Museum of African American History
The Grizzly, April 12, 2001
Airband 2001: \u27Case to the Ex\u27 Claims Victory • CAB, RHA, USGA and Class Officer Elections to be Held • Religion Forum Engages Students in Faith-based Discussion • The Big Test: Redefining the SATs • Opinions: Dispelling the Rumors: National Greeks Respond; Questioning the National Greek Approval Process; Purpose of Nationals: To Build up, not Destroy, Existing Greek Life on Campus; Why I Wanted to Bring Tri Sigma to Ursinus College; Tri Sigma Sorority Members Respond to Controversy; Phi Kappa Sigma Fraternity: The Brotherhood of Gentlemen; Why AOL Instant Messenger Will be the Demise of Society • Berman Exhibit \u27Zelda: By Herself\u27 on Display Until Apr. 19 • Women\u27s LAX Remains Undefeated, in First Placehttps://digitalcommons.ursinus.edu/grizzlynews/1488/thumbnail.jp
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