2,941 research outputs found
New two in one magnetic fluorescent nanocomposites
Magnetite nanoparticles have been coated by a porphyrin derivative to produce new magnetic materials with fluorescent properties. The magnetic nanoparticles were prepared using two different methods, one based on sol-gel techniques and ultrasonic processing, and the other via a controlled chemical co-precipitation. Different types of porphyrin functionalised magnetic nanoparticles have been prepared and have been characterised by electron microscopy (TEM and SEM), XRD, FTIR, Raman, UV-vis, and fluorescence spectroscopy. Microscopy results showed the formation of core-shell nanostructures, with IR and photoluminescence spectroscopy results confirming the presence of porphyrin in the shell
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Can the ischemic penumbra be identified on noncontrast CT of acute stroke?
<p><b>Background and Purpose:</b> Early ischemic changes on noncontrast CT in acute stroke include both hypoattenuation and brain swelling, which may have different pathophysiological significance.</p>
<p><b>Methods:</b> Noncontrast CT and CT perfusion brain scans from patients with suspected acute stroke <6 hours after onset were reviewed. Five raters independently scored noncontrast CTs blind to clinical data using the Alberta Stroke Program Early CT Score (ASPECTS). Each ASPECTS region was scored as hypodense or swollen. A separate reviewer measured time to peak and cerebral blood volume in each ASPECTS region on CT perfusion. Time to peak and cerebral blood volume were compared for each region categorized as normal, hypodense, or isodense and swollen.</p>
<p><b>Results:</b> Scans of 32 subjects a median 155 minutes after onset yielded 228 regions with both CT perfusion and noncontrast CT data. Isodense swelling was associated with significantly higher cerebral blood volume (P=0.016) and with penumbral perfusion (posttest:pretest likelihood ratio 1.44 [95% CI: 0.68 to 2.90]), whereas hypodensity was associated with more severe time to peak delay and with core perfusion (likelihood ratio 3.47 [95% CI: 1.87 to 6.34]). Neither isodense swelling nor hypodensity was sensitive for prediction of perfusion pattern, but appearances were highly specific (87.2% and 91.0% for penumbra and core, respectively). Intrarater agreement was good or excellent, but interrater agreement for both hypodensity and swelling was poor.</p>
<p><b>Conclusions:</b> Regions exhibiting hypoattenuation are likely to represent the infarct core, whereas regions that are isodense and swollen have increased cerebral blood volume and are more likely to signify penumbral perfusion. Although noncontrast CT is not sensitive for detection of core and penumbra, appearances are specific. Some information on tissue viability can therefore be obtained from noncontrast CT.</p>
Access to primary care and the route of emergency admission to hospital: retrospective analysis of national hospital administrative data
BACKGROUND: The UK government is pursuing policies to improve primary care access, as many patients visit accident and emergency (A and E) departments after being unable to get suitable general practice appointments. Direct admission to hospital via a general practitioner (GP) averts A and E use, and may reduce total hospital costs. It could also enhance the continuity of information between GPs and hospital doctors, possibly improving healthcare outcomes. OBJECTIVE: To determine whether primary care access is associated with the route of emergency admission-via a GP versus via an A and E department. METHODS: Retrospective analysis of national administrative data from English hospitals for 2011-2012. Adults admitted in an emergency (unscheduled) for ≥1 night via a GP or an A and E department formed the study population. The measure of primary care access-the percentage of patients able to get a general practice appointment on their last attempt-was derived from a large, nationally representative patient survey. Multilevel logistic regression was used to estimate associations, adjusting for patient and admission characteristics. RESULTS: The analysis included 2 322 112 emergency admissions (81.9% via an A and E department). With a 5 unit increase in the percentage of patients able to get a general practice appointment on their last attempt, the adjusted odds of GP admission (vs A and E admission) was estimated to increase by 15% (OR 1.15, 95% CI 1.12 to 1.17). The probability of GP admission if ≥95% of appointment attempts were successful in each general practice was estimated to be 19.6%. This probability reduced to 13.6% when <80% of appointment attempts were successful. This equates to 139 673 fewer GP admissions (456 232 vs 316 559) assuming no change in the total number of admissions. Associations were consistent in direction across geographical regions of England. CONCLUSIONS: Among hospital inpatients admitted as an emergency, patients registered to more accessible general practices were more likely to have been admitted via a GP (vs an A and E department). This furthers evidence suggesting that access to general practice is related to use of emergency hospital services in England. The relative merits of the two admission routes remain unclear
Investment under risk with discrete and continuous assets
This paper considers a general class of stochastic dynamic choice models with discrete and continuous decision variables. This class contains a variety of models that are useful for modeling intertemporal household decisions under risk. Our examples are drawn from the field of development economics. We formalize this class as a dynamic programming problem, then propose a solution method that relies on value function iteration. Finally, in an example we show how our algorithm can be applied to solve and estimate a dynamic model with discrete and continuous controls
Toda Fields on Riemann Surfaces: remarks on the Miura transformation
We point out that the Miura transformation is related to a holomorphic
foliation in a relative flag manifold over a Riemann Surface. Certain
differential operators corresponding to a free field description of
--algebras are thus interpreted as partial connections associated to the
foliation.Comment: AmsLatex 1.1, 10 page
Strong asymptotics for Cauchy biorthogonal polynomials with application to the Cauchy two--matrix model
We apply the nonlinear steepest descent method to a class of 3x3
Riemann-Hilbert problems introduced in connection with the Cauchy two-matrix
random model. The general case of two equilibrium measures supported on an
arbitrary number of intervals is considered. In this case, we solve the
Riemann-Hilbert problem for the outer parametrix in terms of sections of a
spinorial line bundle on a three-sheeted Riemann surface of arbitrary genus and
establish strong asymptotic results for the Cauchy biorthogonal polynomials.Comment: 31 pages, 12 figures. V2; typos corrected, added reference
I nostri figli, le nostre scuole, il nostro futuro: la scuola del futuro parte dall’Aquila
Policy paper La scuola è luogo di cittadinanza, soprattutto in una città che ha bisogno di cittadini “nuovi”, consapevoli del passato e portatori di futuro. Le nuove generazioni hanno il diritto di formarsi in spazi sicuri e ben organizzati, che consentano lo sviluppo dei migliori processi di apprendimento ed insegnamento, di partecipazione, di socializzazione e di acquisizione di sensibilità , valori da spendere positivamente nella costruzione della città futura
Large-scale multielectrode recording and stimulation of neural activity
Large circuits of neurons are employed by the brain to encode and process information. How this encoding and processing is carried out is one of the central questions in neuroscience. Since individual neurons communicate with each other through electrical signals (action potentials), the recording of neural activity with arrays of extracellular electrodes is uniquely suited for the investigation of this question. Such recordings provide the combination of the best spatial (individual neurons) and temporal (individual action-potentials) resolutions compared to other large-scale imaging methods. Electrical stimulation of neural activity in turn has two very important applications: it enhances our understanding of neural circuits by allowing active interactions with them, and it is a basis for a large variety of neural prosthetic devices. Until recently, the state-of-the-art in neural activity recording systems consisted of several dozen electrodes with inter-electrode spacing ranging from tens to hundreds of microns. Using silicon microstrip detector expertise acquired in the field of high-energy physics, we created a unique neural activity readout and stimulation framework that consists of high-density electrode arrays, multi-channel custom-designed integrated circuits, a data acquisition system, and data-processing software. Using this framework we developed a number of neural readout and stimulation systems: (1) a 512-electrode system for recording the simultaneous activity of as many as hundreds of neurons, (2) a 61-electrode system for electrical stimulation and readout of neural activity in retinas and brain-tissue slices, and (3) a system with telemetry capabilities for recording neural activity in the intact brain of awake, naturally behaving animals. We will report on these systems, their various applications to the field of neurobiology, and novel scientific results obtained with some of them. We will also outline future directions
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