1,216 research outputs found
Incidental Findings on CT Scans in the Emergency Department
Objectives. Incidental findings on computed tomography (CT) scans are common. We sought to examine rates of findings and disclosure among discharged patients who received a CT scan in the ED.
Methods. Retrospective chart review (Aug-Oct 2009) of 600 patients age 18 and older discharged home from an urban Level 1 trauma center. CT reports were used to identify incidental findings and discharge paperwork was used to determine whether the patient was informed of these findings.
Results. There were 682 CT scans among 600 patients: 199 Abdomen & Pelvis, 405 Head, and 78 Thorax. A total of 348 incidental findings were documented in 228/682 (33.4%) of the scans, of which 34 (9.8%) were reported to patients in discharge paperwork. Patients with 1 incidental finding were less likely to receive disclosure than patients with 2 or more (P = .010). Patients age <60 were less likely to have incidental findings (P < .001). There was no significant disclosure or incidental finding difference by gender.
Conclusions. While previous research suggests that CT incidental findings are often benign, reporting to patients is recommended but this is rarely happening
In situ, 3D characterization of the deformation mechanics of a superelastic NiTi shape memory alloy single crystal under multiscale constraint
Microstructural elements in NiTi shape memory alloys (SMAs) e precipitates, phase boundaries, inclusions
Journal Watch From ACE (Alliance for Clinical Education): Annual Review of Medical Education Articles in Emergency Medicine, 2010–2011
Transcriptomics and proteomics reveal a cooperation between interferon and T-helper 17 cells in neuromyelitis optica
Type I interferon (IFN-I) and T helper 17 (TH17) drive pathology in neuromyelitis optica spectrum disorder (NMOSD) and in TH17-induced experimental autoimmune encephalomyelitis (TH17-EAE). This is paradoxical because the prevalent theory is that IFN-I inhibits TH17 function. Here we report that a cascade involving IFN-I, IL-6 and B cells promotes TH17-mediated neuro-autoimmunity. In NMOSD, elevated IFN-I signatures, IL-6 and IL-17 are associated with severe disability. Furthermore, IL-6 and IL-17 levels are lower in patients on anti-CD20 therapy. In mice, IFN-I elevates IL-6 and exacerbates TH17-EAE. Strikingly, IL-6 blockade attenuates disease only in mice treated with IFN-I. By contrast, B-cell-deficiency attenuates TH17-EAE in the presence or absence of IFN-I treatment. Finally, IFN-I stimulates B cells to produce IL-6 to drive pathogenic TH17 differentiation in vitro. Our data thus provide an explanation for the paradox surrounding IFN-I and TH17 in neuro-autoimmunity, and may have utility in predicting therapeutic response in NMOSD
Ultrathin compound semiconductor on insulator layers for high performance nanoscale transistors
Over the past several years, the inherent scaling limitations of electron
devices have fueled the exploration of high carrier mobility semiconductors as
a Si replacement to further enhance the device performance. In particular,
compound semiconductors heterogeneously integrated on Si substrates have been
actively studied, combining the high mobility of III-V semiconductors and the
well-established, low cost processing of Si technology. This integration,
however, presents significant challenges. Conventionally, heteroepitaxial
growth of complex multilayers on Si has been explored. Besides complexity, high
defect densities and junction leakage currents present limitations in the
approach. Motivated by this challenge, here we utilize an epitaxial transfer
method for the integration of ultrathin layers of single-crystalline InAs on
Si/SiO2 substrates. As a parallel to silicon-on-insulator (SOI) technology14,we
use the abbreviation "XOI" to represent our compound semiconductor-on-insulator
platform. Through experiments and simulation, the electrical properties of InAs
XOI transistors are explored, elucidating the critical role of quantum
confinement in the transport properties of ultrathin XOI layers. Importantly, a
high quality InAs/dielectric interface is obtained by the use of a novel
thermally grown interfacial InAsOx layer (~1 nm thick). The fabricated FETs
exhibit an impressive peak transconductance of ~1.6 mS/{\mu}m at VDS=0.5V with
ON/OFF current ratio of greater than 10,000 and a subthreshold swing of 107-150
mV/decade for a channel length of ~0.5 {\mu}m
Rapid reduction versus abrupt quitting for smokers who want to stop soon: a randomised controlled non-inferiority trial
Background: The standard way to stop smoking is to stop abruptly on a quit day with no prior reduction in consumption of cigarettes. Many smokers feel that reduction is natural and if reduction programmes were offered, many more might take up treatment. Few trials of reduction versus abrupt cessation have been completed. Most are small, do not use pharmacotherapy, and do not meet the standards necessary to obtain a marketing authorisation for a pharmacotherapy.\ud
Design/Methods: We will conduct a non-inferiority andomised trial of rapid reduction versus standard abrupt cessation among smokers who want to stop smoking. In the reduction arm,participants will be advised to reduce smoking consumption by half in the first week and to 25% of baseline in the second, leading up to a quit day at which participants will stop smoking completely.This will be assisted by nicotine patches and an acute form of nicotine replacement therapy. In the abrupt arm participants will use nicotine patches only, whilst smoking as normal, for two weeks prior to a quit day, at which they will also stop smoking completely. Smokers in either arm will have standard withdrawal orientated behavioural support programme with a combination of nicotine patches and acute nicotine replacement therapy post-cessation.\ud
Outcomes/Follow-up: The primary outcome of interest will be prolonged abstinence from smoking, with secondary trial outcomes of point prevalence, urges to smoke and withdrawal\ud
symptoms. Follow up will take place at 4 weeks, 8 weeks and 6 months post-quit day
Development of a PbWO4 Detector for Single-Shot Positron Annihilation Lifetime Spectroscopy at the GBAR Experiment
We have developed a PbWO4 (PWO) detector with a large dynamic range to measure the intensity of a positron beam and the absolute density of the ortho-positronium (o-Ps) cloud it creates. A simulation study shows that a setup based on such detectors may be used to determine the angular distribution of the emission and reflection of o-Ps to reduce part of the uncertainties of the measurement. These will allow to improve the precision in the measurement of the cross-section for the (anti)hydrogen formation by (anti)proton-positronium charge exchange and to optimize the yield of antihydrogen ion which is an essential parameter in the GBAR experiment
Particle dependence of elliptic flow in Au+Au collisions at 200 GeV
The elliptic flow parameter () for and
has been measured at mid-rapidity in Au + Au collisions at
GeV by the STAR collaboration. The values for both
and saturate at moderate , deviating
from the hydrodynamic behavior observed in the lower region. The
saturated values and the scales where the deviation begins are
particle dependent. The particle-type dependence of shows features
expected from the hadronization of a partonic ellipsoid by coalescence of
co-moving quarks. These results will be discussed in relation to the nuclear
modification factor () which has also been measured for and
by the STAR collaboration.Comment: 6 pages, 3 figures, Strange Quark Matter 2003 Conference (SQM 2003):
updated with 2 figures from original talk that did not appear in the journa
Angular analysis of
We present a measurement of angular observables, , , ,
, in the decay , where
is either or . The analysis is performed on
a data sample corresponding to an integrated luminosity of
containing pairs, collected
at the resonance with the Belle detector at the
asymmetric-energy collider KEKB. Four angular observables,
are extracted in five bins of the invariant mass squared of the
lepton system, . We compare our results for with Standard
Model predictions including the region in which the LHCb collaboration
reported the so-called anomaly.Comment: Conference paper for LHC Ski 2016. SM prediction for
corrected and reference for arXiv:1207.2753 adde
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