Diabetic Ketoacidosis (DKA) Insulin Infusion Protocol Update Using Evidence-Based Practice: A Quality Improvement Project

Diabetic Ketoacidosis is a life-threatening side effect to Diabetes Mellitus. Standards of treatment and recommendations are made by the American Diabetes Association. The project was to evaluate and provide the latest evidence-based practice to update the hospital policy for the treatment of DKA in the Intensive Care Unit and Emergency Department. Retrospective chart reviews were conducted to review the number of patients admitted with diabetic ketoacidosis and treated on the DKA Insulin Infusion Protocol before and after the update. Rapid correction of blood glucose levels proved to be an issue at this facility both before and after the updates were made to the DKA Insulin Infusion Protocol. The data supports the need for change in protocol, staff development in the use of the protocol and the need for change in the emergency department as well as the intensive care unit

Stochastic Gravitational Wave Background originating from Halo Mergers

The stochastic gravitational wave background (GWB) from halo mergers is investigated by a quasi-analytic method. The method we employ consists of two steps. The first step is to construct a merger tree by using the Extended Press-Schechter formalism or the Sheth & Tormen formalism, with Monte-Carlo realizations. This merger tree provides evolution of halo masses. From $N$-body simulation of two-halo mergers, we can estimate the amount of gravitational wave emission induced by the individual merger process. Therefore the second step is to combine this gravitaional wave emission to the merger tree and obtain the amplitude of GWB. We find $\Omega_{GW}\sim 10^{-19}$ for $f\sim 10^{-17}-10^{-16}$ Hz, where $\Omega_{GW}$ is the energy density of the GWB. It turns out that most of the contribution on the GWB comes from halos with masses below $10^{15} M_\odot$ and mergers at low redshift, i.e., $0<z<0.8$.Comment: 5 pages, 8 figures. Accepted for publication in Physical Review

Cosmic-Ray Production and the Role of Supernovae in NGC 6946

We present a study of 35 radio-selected supernova remnant (SNR) candidates in the nearby spiral galaxy NGC 6946. In this study, an optically selected sample of 27 SNRs from Matonick & Fesen is compared to our sample of radio-selected SNRs. The optically selected SNRs are found to have almost no overlap with the radio-selected sample. This dichotomy is further enhanced by the observation that the optically selected SNRs favor the interarm regions, while the radio-emitting SNRs lie predominately on the spiral arms in or near regions of high star formation. The separation of the two samples of SNRs is discussed in terms of selection effects and differences in cosmic-ray production. The optical sample of SNRs is probably biased toward those SNRs located in areas of NGC 6946 where the confusion of Hα emission by H II regions is relatively low and the SNRs are easier to identify by their emission-line signatures. The radio-selected sample is also subject to selection biases such that these SNRs favor the arms. However, the absence of radio emission from the optically selected, largely interarm SNRs and the relatively large number of radio-detected SNRs in the arms require additional explanation. The properties of the radio-selected SNRs are discussed in the context of diffusive shock acceleration theory. We find that the theory can account for the range in radio flux densities and the nondetection of the optically selected SNRs. The differences in the radio properties between the arm and interarm population of SNRs can be explained by differences in the average gas densities and magnetic fields since the latter affect both the cosmic-ray yield and the radio properties of the SNRs. The possibility that the arm and interarm SNRs arise from different stellar populations is also addressed

Southern Arizona riparian habitat: Spatial distribution and analysis

The objectives of this study were centered around the demonstration of remote sensing as an inventory tool and researching the multiple uses of riparian vegetation. Specific study objectives were to: (1) map riparian vegetation along the Gila River, San Simon Creek, San Pedro River, Pantano Wash, (2) determine the feasibility of automated mapping using LANDSAT-1 computer compatible tapes, (3) locate and summarize existing mpas delineating riparian vegetation, (4) summarize data relevant to Southern Arizona's riparian products and uses, (5) document recent riparian vegetation changes along a selected portion of the San Pedro River, (6) summarize historical changes in composition and distribution of riparian vegetation, and (7) summarize sources of available photography pertinent to Southern Arizona

Large scale bias and the peak background split

Dark matter haloes are biased tracers of the underlying dark matter distribution. We use a simple model to provide a relation between the abundance of dark matter haloes and their spatial distribution on large scales. Our model shows that knowledge of the unconditional mass function alone is sufficient to provide an accurate estimate of the large scale bias factor. Then we use the mass function measured in numerical simulations of SCDM, OCDM and LCDM to compute this bias. Comparison with these simulations shows that this simple way of estimating the bias relation and its evolution is accurate for less massive haloes as well as massive ones. In particular, we show that haloes which are less/more massive than typical M* haloes at the time they form are more/less strongly clustered than formulae based on the standard Press-Schechter mass function predict.Comment: 8 pages, 6 figures, submitted to MNRAS corrected y-label for fig.4 (newlabel = 1 + oldlabel

Evolution of perturbations in distinct classes of canonical scalar field models of dark energy

Dark energy must cluster in order to be consistent with the equivalence principle. The background evolution can be effectively modelled by either a scalar field or by a barotropic fluid.The fluid model can be used to emulate perturbations in a scalar field model of dark energy, though this model breaks down at large scales. In this paper we study evolution of dark energy perturbations in canonical scalar field models: the classes of thawing and freezing models.The dark energy equation of state evolves differently in these classes.In freezing models, the equation of state deviates from that of a cosmological constant at early times.For thawing models, the dark energy equation of state remains near that of the cosmological constant at early times and begins to deviate from it only at late times.Since the dark energy equation of state evolves differently in these classes,the dark energy perturbations too evolve differently. In freezing models, since the equation of state deviates from that of a cosmological constant at early times, there is a significant difference in evolution of matter perturbations from those in the cosmological constant model.In comparison, matter perturbations in thawing models differ from the cosmological constant only at late times. This difference provides an additional handle to distinguish between these classes of models and this difference should manifest itself in the ISW effect.Comment: 11 pages, 6 figures, accepted for publication in Phys. Rev.

Transfer of autocollimator calibration for use with scanning gantry profilometers for accurate determination of surface slope and curvature of state of the art x ray mirrors

X ray optics, desired for beamlines at free electron laser and diffraction limited storage ring x ray light sources, must have almost perfect surfaces, capable of delivering light to experiments without significant degradation of brightness and coherence. To accurately characterize such optics at an optical metrology lab, two basic types of surface slope profilometers are used the long trace profilers LTPs and nanometer optical measuring NOM like angular deflectometers, based on electronic autocollimator AC ELCOMAT 3000. The inherent systematic errors of the instrument s optical sensors set the principle limit to their measuring performance. Where autocollimator of a NOM like profiler may be calibrated at a unique dedicated facility, this is for a particular configuration of distance, aperture size, and angular range that does not always match the exact use in a scanning measurement with the profiler. Here we discuss the developed methodology, experimental set up, and numerical methods of transferring the calibration of one reference AC to the scanning AC of the Optical Surface Measuring System OSMS , recently brought to operation at the ALS Xray Optics Laboratory. We show that precision calibration of the OSMS performed in three steps, allows us to provide high confidence and accuracy low spatial frequency metrology and not print into measurements the inherent systematic error of tool in use. With the examples of the OSMS measurements with a state of the art x ray aspherical mirror, available from one of the most advanced vendors of X ray optics, we demonstrate the high efficacy of the developed calibration procedure. The results of our work are important for obtaining high reliability data, needed for sophisticated numerical simulations of beamline performance and optimization of beamline usage of the optics. This work was supported by the U. S. Department of Energy under contract number DE AC02 05CH1123

Severe Physical Intimate Partner Violence and the Mental and Physical Health of U.S. Caribbean Black Women

Background: Intimate partner violence is a threat to women's health. Relative to other racial/ethnic groups, African American and immigrant women are at an increased risk for violence. However, despite the growing presence of Caribbean Black immigrants in this country, few studies have examined the association between severe physical intimate partner violence (SPIPV) and the health of Caribbean Black women currently residing in the United States. This study examined the mental and physical health of U.S. Caribbean Black women with and without a history of SPIPV. We also explored the role of generational status?first, second, or third?in association with the physical and mental health of abused Caribbean Black women. Methods: Data from the National Survey of American Life, the largest and the only known representative study on Caribbeans residing in the United States, were analyzed. The World Health Organization (WHO) World Mental Health Composite International Diagnostic Interview (WMH-CIDI) was used to determine DSM-IV mental disorders. The presence of physical health conditions was based on respondents' self-reports of physician diagnoses. Results: The findings indicate an association between SPIPV and the mental and physical health status of U.S. Caribbean Black women. Rates of physical conditions and mental health disorders were generally higher among women with a history of SPIPV than those without a history. Generational status also played a role in women's health outcomes. Conclusions: The study has interventions and preventive implications for both detecting and addressing the health needs of U.S. Caribbean Black women who experience severe physical abuse by an intimate partner.Peer Reviewedhttps://deepblue.lib.umich.edu/bitstream/2027.42/140138/1/jwh.2015.5293.pd