Exploring the challenges of implementing e-health: a protocol for an update of a systematic review of reviews.

There is great potential for e-health to deliver cost-effective, quality healthcare and spending on e-health systems by governments and healthcare systems is increasing worldwide. However, the literature often describes problematic and unsuccessful attempts to implement these new technologies into routine clinical practice. To understand and address the challenges of implementing e-health, a systematic review was conducted in 2009, which identified several conceptual barriers and facilitators to implementation. As technology is rapidly changing and new e-health solutions are constantly evolving to meet the needs of current practice, an update of this review is deemed necessary to understand current challenges to the implementation of e-health. This research aims to identify, summarise and synthesise currently available evidence, by undertaking a systematic review of reviews to explore the barriers and facilitators to implementing e-health across a range of healthcare settings

Thromboembolic complications of COVID-19

© 2020, American Society of Emergency Radiology. The symptomology of patients afflicted with novel 2019 coronavirus disease (SARS-CoV-2 or COVID-19) has varied greatly, ranging from the asymptomatic state to debilitating hypoxemic respiratory failure caused by severe atypical viral pneumonia. Patients may also develop a hyper-inflammatory state that can lead to multi-organ failure. It has become increasingly apparent that, as part of the hyper-inflammatory state, COVID-19 infection increases susceptibility to systemic thromboembolic complications that can contribute to rapid clinical deterioration or demise. This article aims to review imaging features of various systemic thrombotic complications in six patients with moderate to severe disease. This case series includes examples of pulmonary embolism, stroke, right ventricular thrombosis, renal vein thrombosis, and aortic thrombosis with leg ischemia

Spatially resolved spectroscopy of monolayer graphene on SiO2

We have carried out scanning tunneling spectroscopy measurements on exfoliated monolayer graphene on SiO$_2$ to probe the correlation between its electronic and structural properties. Maps of the local density of states are characterized by electron and hole puddles that arise due to long range intravalley scattering from intrinsic ripples in graphene and random charged impurities. At low energy, we observe short range intervalley scattering which we attribute to lattice defects. Our results demonstrate that the electronic properties of graphene are influenced by intrinsic ripples, defects and the underlying SiO$_2$ substrate.Comment: 6 pages, 7 figures, extended versio

A proposal for a scalable universal bosonic simulator using individually trapped ions

We describe a possible architecture to implement a universal bosonic simulator (UBS) using trapped ions. Single ions are confined in individual traps, and their motional states represent the bosonic modes. Single-mode linear operators, nonlinear phase-shifts, and linear beam splitters can be realized by precisely controlling the trapping potentials. All the processes in a bosonic simulation, except the initialization and the readout, can be conducted beyond the Lamb-Dicke regime. Aspects of our proposal can also be applied to split adiabatically a pair of ions in a single trap

Heteroepitaxy of deposited amorphous layer by pulsed electron-beam irradiation

We demonstrate that a single short pulse of electron irradiation of appropriate energy is capable of recrystallizing epitaxially an amorphous Ge layer deposited on either or Si single-crystal substrate. The primary defects observed in the case were dislocations, whereas stacking faults were observed in samples

Epitaxial growth of deposited amorphous layer by laser annealing

We demonstrate that a single short pulse of laser irradiation of appropriate energy is capable of recrystallizing in open air an amorphous Si layer deposited on a (100) single-crystal substrate into an epitaxial layer. The laser pulse annealing technique is shown to overcome the interfacial oxide obstacle which usually leads to polycrystalline formation in normal thermal annealing

Dissecting the Gaseous Halos of z~2 Damped Lyα\alpha Systems with Close Quasar Pairs

We use spectroscopy of close pairs of quasars to study diffuse gas in the circumgalactic medium (CGM) surrounding a sample of 40 Damped Lya systems (DLAs). The primary sightline in each quasar pair probes an intervening DLA in the redshift range 1.6 < z_DLA < 3.6, such that the second quasar sightline then probes Lya, CII, SiII, and CIV absorption in the CGM transverse to the DLA to projected distances $R_{\perp} < 300$ kpc. Analysis of the Lya profiles in these CGM sightlines constrains the covering fraction (f_C) of optically thick HI (having column density N_HI > 10^17.2 cm^-2) to be greater than ~30% within $R_{\perp} < 200$ kpc of DLAs. Strong SiII 1526 absorption with equivalent width W_1526 > 0.2 Ang occurs with an incidence f_C (W_1526 > 0.2 Ang) = 20(+12/-8)% within $R_{\perp}<100$ kpc, indicating that low-ionization metal absorption associated with DLAs probes material at a physical distance R_3D < 30 kpc. However, we find that strong CIV 1548 absorption is ubiquitous in these environments (f_C (W_1548 > 0.2 Ang) = 57(+12/-13)% within $R_{\perp} < 100$ kpc), and in addition exhibits a high degree of kinematic coherence on scales up to ~175 kpc. We infer that this high-ionization material arises predominantly in large, quiescent structures extending beyond the scale of the DLA host dark matter halos rather than in ongoing galactic winds. The Lya equivalent width in the DLA-CGM is anticorrelated with $R_{\perp}$ at >98% confidence, suggesting that DLAs arise close to the centers of their host halos rather than on their outskirts. Finally, the average Lya, CII and CIV equivalent widths are consistent with those measured around z~2 Lyman Break Galaxies. Assuming that DLAs trace a galaxy population with lower masses and luminosities, this finding implies that the absorption strength of cool circumgalactic material has a weak dependence on dark matter halo mass for M_h < 10^12 M_sun.Comment: Submitted to ApJ. 30 pages, 13 figures, 3 tables, 1 appendix. Uses emulateapj forma

Pecuária familiar na Amazônia: uma abordagem dessa realidade esquecida.

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