Writing a Scientific Paper Prior to the Research

The traditional approach to preparing a research report for publication is to begin writing after the study has been completed. We propose another approach- to write a zeroth draft before the study is begun. This approach helps to focus the investigator\u27s attention during the planning stage on critical aspects of the study. The discipline of writing down the rationale, the methods, and the variety of possible outcomes and their significance helps to clarify the logic on which the study is based. If these are acceptable to all authors and colleagues in the zeroth draft, it is likely that the research questions posed will be answered in a definitive way and that the final draft will be scientifically sound. The notion of writing a paper before doing the research may raise concerns of prejudice, preconception, or even academic dishonesty. How could one possibly know what to write until after the study is completed? However, if one considers the actual content of a scientific paper or research report, it becomes clear that most of the report can be drafted before the first data are collected. The process is in many ways similar to that of preparing a formal proposal to a funding agency. Indeed, a grant application may borrow heavily from the zeroth draft of the paper, and vice versa. The content of the zeroth draft is only the first of a series of approximations to the final form. Yet, it can be a very useful beginning. Authors often procrastinate when faced with writing up the results of completed research projects and may find it much easier to write at the beginning of a project when enthusiasm is at its peak. Most importantly, there may be no better way to prepare the mind, anticipate pitfalls, and avoid wasted time, effort, and money than to write a zeroth draft

Mechanics of CPR Performed with the Patient on a Soft Bed Versus a Hard Surface

Objective: To study the effects of underlying bed softness versus stiffness on the effectiveness of chest compressions in CPR. Methods: For a wide range of bed stiffness constants, mathematical models describing compression of the human chest supported by a hospital bed were created for an adult thorax experiencing either a sinusoidal compressive force or a sinusoidal sternal displacement. Results: With 5 cm peak displacement, sternum-to-spine compression fell from 4.3 to 1.0 cm, and peak power fell from 59 to 23 Watts, as bed stiffness decreased from 50,000 to 5,000 N/m. Less than 35% of maximal chest compression occurred at a typical bed stiffness of 10,000 N/m. With 400 N peak force, sternum-to-spine compression decreased from 5.0 to 2.0 cm, and peak power increased from 82 to 226 Watts, as bed stiffness decreased from 50,000 to 5,000 N/m. However, greater than 85% of maximal chest compression was obtained at a typical bed stiffness of 10,000 N/m. Conclusion: The deterioration of chest compression performed on soft beds is technique dependent. If necessary, CPR can be performed effectively on a softer surface using a constant peak force technique. However, a firm surface is most desirable

Potassium Efflux from Myocardial Cells Induced by Defibrillator Shock

A transient, dose-dependent cardiac depression was produced by defibrillator shocks in an isolated, working canine heart preparation perfused with oxygenated arterial blood from a support dog. Accompanying this depression was an efflux of potassium (K+ ), forced out of the myocardial cells by the passage of defibrillating current. The transient increase in extracellular K + concentration was recorded graphically in the venous outflow. It was found that 5-msec rectangular wave shocks, from three to ten times defibrillatory current threshold, released doserelated pulses of K+ . We conclude that because extracellular K + is a myocardial depressant, at least part of the myocardial depression after defibrillation is caused by the release of K+ from the myocardial cells

Efficacy and safety of the reciprocal pulse defibrillator current waveform

The efficacy and safety of a new defibrillating current waveform, consisting of a low-tilt 5 ms trapezoidal pulse followed closely by a second identical pulse of opposite polarity, was tested m seven isolated, perfused, working canine hearts suspended in an isoresistive, isosmotic shock bath at 37 oC. The efficacy and safety of the reciprocal pulse was compared with a single 5 ms pulse, a single 10 ms pulse, and a dual (unidirectional) 5 ms pulse waveform. The mean threshold average current densities for the 5 ms single pulse, 10 ms single pulse, dual 5 ms pulse, and reciprocal pulse (absolute values) were 50, 38, 36, and 37 mA/cm2, respectively. The corresponding mean threshold energy densities in the shock bath were 2.8, 2.9, 2.9, and 3.1 mJ/cm3. Despite the differences in threshold current density among the waveforms, no differences in safety factor (shock strength for 50 per cent post-shock depression, divided by threshold shock strength) were found among the waveforms. The current safety factors were 5.4, 5.4, 5.6, and 5.5 for the 5 ms single pulse, 10 ms single pulse, dual unidirectional pulse and reciprocal pulse, respectively. The corresponding energy density safety factors were 25, 27, 29, and 27. Thus the use of this reciprocal pulse waveform provides no advantage in efficacy or safety over waveforms of the same total duration

Characterization of the Oscillometric Method for Measuring Indirect Blood Pressure

In this study, human subjects and dogs were used to determine the ability of the oscillometric method to indicate systolic and diastolic pressure. In the human studies, the auscultatory method was used as the reference. In the animal studies, directly recorded blood pressure was used as the reference. The ability of the sudden increase in cuff pressure oscillations during cuff deflation to indicate systolic pressure was examined and found to overestimate systolic pressure slightly in man, but more in animals. Systolic pressure was encountered when the cuff pressure oscillations were about one half of their maximum amplitude. However, in both man and animals the ratio was not constant; although the range was less in man than in animals. Diastolic pressure was encountered when cuff pressure oscillation amplitude was about 0.8 of the maximal amplitude. This ratio for diastolic pressure was not constant over a range of diastolic pressure. The range of variability was less for man than for the dog

A mixed integer linear programming model for optimal sovereign debt issuance

Copyright @ 2011, Elsevier. NOTICE: this is the author’s version of a work that was accepted for publication in the European Journal of Operational Research. Changes resulting from the publishing process, such as peer review, editing, corrections, structural formatting, and other quality control mechanisms may not be reflected in this document. Changes may have been made to this work since it was submitted for publication. A definitive version is available at the link below.Governments borrow funds to finance the excess of cash payments or interest payments over receipts, usually by issuing fixed income debt and index-linked debt. The goal of this work is to propose a stochastic optimization-based approach to determine the composition of the portfolio issued over a series of government auctions for the fixed income debt, to minimize the cost of servicing debt while controlling risk and maintaining market liquidity. We show that this debt issuance problem can be modeled as a mixed integer linear programming problem with a receding horizon. The stochastic model for the interest rates is calibrated using a Kalman filter and the future interest rates are represented using a recombining trinomial lattice for the purpose of scenario-based optimization. The use of a latent factor interest rate model and a recombining lattice provides us with a realistic, yet very tractable scenario generator and allows us to do a multi-stage stochastic optimization involving integer variables on an ordinary desktop in a matter of seconds. This, in turn, facilitates frequent re-calibration of the interest rate model and re-optimization of the issuance throughout the budgetary year allows us to respond to the changes in the interest rate environment. We successfully demonstrate the utility of our approach by out-of-sample back-testing on the UK debt issuance data

Evidence of changes in regional blood perfusion in human intracranial tumours during conductive interstitial hyperthermia

Human intracranial tumours were treated using local heat therapy produced by surgically implanted catheters containing local resistive heating elements. Changes in local tumor blood flow were assessed indirectly from an algorithm based on the bioheat transfer equation. The algorithm used the ratio of catheter power to catheter temperature rise to estimate regional blood perfusion. Local heat therapy produced consistent reductions in local apparent perfusion. Changes in apparent regional perfusion occurred in intriguing patterns that gave clues to possible vascular events of therapeutic significance

Effective Estimation and Computer Control of Minimum Tumour Temperature During Conductive Interstitial Hyperthermia

The goal of heat therapy in the treatment of malignant disease is to raise the temperature of all neoplastic tissue to a cytotoxic temperature for a predetermined period of time. This seemingly simple task has proved difficult in-vivo, in part because of nonuniform power absorption and in part because of nonhomogeneous and time varying tumour blood flow. We have addressed this difficulty first by utilizing the conceptually simple technique of conductive interstitial hyperthermia, in which the tumour is warmed by multiple, electrically heated catheters, and second by implementing on-line conu·ol of minimum tumour temperatures near each catheter, estimated on the basis of the steadystate ratio of catheter power to catheter temperature rise. This report presents an analysis of the accuracy, precision, and stability of the on-line minimum temperature estimation/conu·ol technique for 22 patients who received 31 separate courses of conductive interstitial hyperthermia for the treatment of malignant brain tumours, and in whom temperature was monitored independently by 12 to 16 independent sensors per patient. In all patients, the technique was found to accurately and precisely estimate and control the local minimum temperatures. Comparison of measured and estimated temperatures revealed a mean difference of 0.0 ±0.4 °C for those sensors within 1.0 mm of the expected location for minimum temperatures. This technique, therefore, offers an attractive method for controlling hyperthermia therapy -- even in the presence of time varying local blood flow

Integration of sweet taste and metabolism determines carbohydrate reward

Post-ingestive signals related to nutrient metabolism are thought to be the primary drivers of reinforcement potency of energy sources. Here, in a series of neuroimaging and indirect calorimetry human studies, we examine the relative roles of caloric load and perceived sweetness in driving metabolic, perceptual and brain responses to sugared beverages. Whereas caloric load was manipulated using the tasteless carbohydrate maltodextrin, sweetness levels were manipulated using the non-nutritive sweetener sucralose. By formulating beverages that contain different amounts of maltodextrin+sucralose, we demonstrate a non-linear association between caloric load, metabolic response and reinforcement potency, which is driven in part by the extent to which sweetness is proportional to caloric load. In particular, we show that (1) lower calorie beverages can produce greater metabolic response and condition greater brain response and liking than higher calorie beverages and (2) when sweetness is proportional to caloric load greater metabolic responses are observed. These results demonstrate a non-linear association between caloric load and reward and describe an unanticipated role for sweet taste in regulating carbohydrate metabolism, revealing a novel mechanism by which sugar-sweetened beverages influence physiological responses to carbohydrate ingestion