6,499 research outputs found
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 -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 for Hz, where is the energy density of the GWB. It
turns out that most of the contribution on the GWB comes from halos with masses
below and mergers at low redshift, i.e., .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
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.
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
How to do (or not to do) a critical literature review
More and more students are required to perform a critical literature review as part of their undergraduate or postgraduate studies. Whilst most of the latest research methods textbooks advise how to do a literature search, very few cover the literature review. This paper covers two types of review: a critical literature review and a systematic review
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