2,258 research outputs found
ECONOMIC EFFECTS OF COPPER-NICKEL DEVELOPMENT IN NORTHEAST MINNESOTA
Computer simulations of industry gross output, employment and earnings changes associated with alternative copper-nickel development scenarios are presented in this report. The direct and indirect economic effects of seven development scenarios are projected for a mining impact Study Area in St. Louis County, Minnesota.Community/Rural/Urban Development, Resource /Energy Economics and Policy,
ECONOMIC EFFECTS OF MINNESOTA PEATLAND DEVELOPMENT
Existing peatland development and future uses for peat are described and evaluated in this report. Scenarios for future development of the study area peat industry are described in terms of employment, earnings, capital investment, and value of production. Forecasts of the potential impacts of peatland development on regional industry production, employment, earnings, and population are presented. These impacts are determined by using SIMLAB, an acronym for a regional socio-economic computer model developed at the University of Minnesota for quantitative analysis of the direct, indirect and induced socio-economic effects of events like peatland development.Land Economics/Use,
USERS' GUIDE TO THE MINNESOTA REGIONAL DEVELOPMENT SIMULATION LABORATORY
This manual is a users' guide to the Minnesota Regional Development Simulation Laboratory, called SIMLAB.Community/Rural/Urban Development,
Phase Transition Study of Superconducting Microstructures
The presented results are part of a feasibility study of superheated
superconducting microstructure detectors. The microstructures (dots) were
fabricated using thin film patterning techniques with diameters ranging from
m up to m and thickness of m. We used arrays and single
dots to study the dynamics of the superheating and supercooling phase
transitions in a magnetic field parallel to the dot surface. The phase transi-
tions were produced by either varying the applied magnetic field strength at a
constant temperature or changing the bath temperature at a constant field.
Preliminary results on the dynamics of the phase transitions of arrays and
single indium dots will be reported.Comment: 7pages in LaTex format, five figures available upon request by
[email protected], preprint Bu-He 93/
Development of a SiPM Camera for a Schwarzschild-Couder Cherenkov Telescope for the Cherenkov Telescope Array
We present the development of a novel 11328 pixel silicon photomultiplier
(SiPM) camera for use with a ground-based Cherenkov telescope with
Schwarzschild-Couder optics as a possible medium-sized telescope for the
Cherenkov Telescope Array (CTA). The finely pixelated camera samples air-shower
images with more than twice the optical resolution of cameras that are used in
current Cherenkov telescopes. Advantages of the higher resolution will be a
better event reconstruction yielding improved background suppression and
angular resolution of the reconstructed gamma-ray events, which is crucial in
morphology studies of, for example, Galactic particle accelerators and the
search for gamma-ray halos around extragalactic sources. Packing such a large
number of pixels into an area of only half a square meter and having a fast
readout directly attached to the back of the sensors is a challenging task. For
the prototype camera development, SiPMs from Hamamatsu with through silicon via
(TSV) technology are used. We give a status report of the camera design and
highlight a number of technological advancements that made this development
possible.Comment: 8 pages, 5 figures, In Proceedings of the 34th International Cosmic
Ray Conference (ICRC2015), The Hague, The Netherlands. All CTA contributions
at arXiv:1508.0589
Detecting delirium superimposed on dementia: diagnostic accuracy of a simple combined arousal and attention testing procedure
Detecting delirium superimposed on dementia (DSD) can be challenging because assessment partly relies on cognitive tests that may be abnormal in both conditions. We hypothesized that a combined arousal and attention testing procedure would accurately detect DSD.
Patients aged ≥70 years were recruited from five hospitals across Europe. Delirium was diagnosed by physicians using DSM-5 criteria using information from nurses, carers, and medical records. Dementia was ascertained by the Informant Questionnaire on Cognitive Decline in the Elderly. Arousal was measured using the Observational Scale of Level of Arousal (OSLA), which assesses eye opening, eye contact, posture, movement, and communication. Attention was measured by participants signaling each time an “A” was heard when “S-A-V-E-A-H-A-A-R-T” was read out.
The sample included 114 persons (mean age 82 years (SD 7); 54% women). Dementia alone was present in 25% (n = 28), delirium alone in 18% (n = 21), DSD in 27% (n = 31), and neither in 30% (n = 34). Arousal and attention was assessed in n = 109 (96%). Using OSLA, 83% participants were correctly identified as having delirium (sensitivity 85%, specificity 82%, AUROC 0.92). The attention task correctly classified 76% of participants with delirium (sensitivity 90%, specificity 64%, AUROC 0.80). Combining scores correctly classified 91% of participants with delirium (sensitivity 84%, specificity 92%, AUROC 0.94). Diagnostic accuracy remained high in the subgroup with dementia (93% correctly classified, sensitivity 94%, specificity 92%, AUROC 0.98).
This combined arousal–attention assessment to detect DSD was brief yet had high diagnostic accuracy. Such an approach could have clinical utility for diagnosing DSD
Trends in Emergent Hernia Repair in the United States
IMPORTANCE: Abdominal wall hernia is one of the most common conditions encountered by general surgeons. Rising rates of abdominal wall hernia repair have been described; however, population-based evidence concerning incidence rates of emergent hernia repair and changes with time are unknown.
OBJECTIVE: To examine trends in rates of emergent abdominal hernia repair within the United States for inguinal, femoral, ventral, and umbilical hernias from January 1, 2001, to December 31, 2010.
DESIGN, SETTING, AND PARTICIPANTS: A retrospective analysis of adults with emergent hernia repair using National Center for Health Statistics data, a nationally representative sample of inpatient hospitalizations in the United States that occurred from January 1, 2001, to December 31, 2010. All emergent hernia repairs were identified during the study period.
MAIN OUTCOMES AND MEASURES: Incidence rates per 100,000 person-years, age, and sex adjusted to the 2010 US census population estimates were calculated for selected subcategories of emergent hernia repairs and time trends were evaluated.
RESULTS: An estimated 2.3 million inpatient abdominal hernia repairs were performed from 2001 to 2010; of which an estimated 567,000 were performed emergently. A general increase in the rate of total emergent hernias was observed from 16.0 to 19.2 emergent hernia repairs per 100,000 person-years in 2001 and 2010, respectively. In 2010, emergent hernia rates were highest among adults 65 years and older, with 71.3 and 42.0 emergent hernia repairs per 100,000 person-years for men and women, respectively. As expected, femoral hernia rates were higher among women while emergent inguinal hernia rates were higher among men. Rates of emergent incisional hernia repair were high but relatively stable among older women, with 24.9 and 23.5 per 100,000 person-years in 2001 and 2010, respectively. However, rates of emergent incisional hernia repair among older men rose significantly, with 7.8 to 32.0 per 100,000 person-years from 2001 to 2010, respectively.
CONCLUSIONS AND RELEVANCE: These increasing rates of emergent incisional hernia repair are troublesome owing to the significantly increased risk morbidity and mortality associated with emergent hernia repair. While this increased mortality risk is multifactorial, it is likely associated with older age and the accompanying serious comorbidities
Partial Covering Arrays: Algorithms and Asymptotics
A covering array is an array with entries
in , for which every subarray contains each
-tuple of among its rows. Covering arrays find
application in interaction testing, including software and hardware testing,
advanced materials development, and biological systems. A central question is
to determine or bound , the minimum number of rows of
a . The well known bound
is not too far from being
asymptotically optimal. Sensible relaxations of the covering requirement arise
when (1) the set need only be contained among the rows
of at least of the subarrays and (2) the
rows of every subarray need only contain a (large) subset of . In this paper, using probabilistic methods, significant
improvements on the covering array upper bound are established for both
relaxations, and for the conjunction of the two. In each case, a randomized
algorithm constructs such arrays in expected polynomial time
End-of-Life Delirium: Issues Regarding Recognition, Optimal Management and the Role of Sedation in the Dying Phase.
CONTEXT:
In end-of-life care, delirium is often not recognized and poses unique management challenges, especially in the case of refractory delirium in the terminal phase. OBJECTIVES:
To review: delirium in the terminal phase context, specifically in relation to recognition issues; the decision-making processes and management strategies regarding its reversibility; the potential refractoriness of delirium to symptomatic treatment; and the role of sedation in refractory delirium. METHODS:
We combined multidisciplinary input from delirium researchers and knowledge users at an international delirium study planning meeting and relevant electronic database literature searches (Ovid Medline, Embase, PsycINFO and CINAHL) to inform this narrative review. RESULTS:
The overall management strategy for delirium at the end of life is directed by the patient\u27s prognosis in association with the patient\u27s goals of care. As symptoms of delirium are often refractory in the terminal phase, especially in the case of agitated delirium, the judicious use of palliative sedation is frequently required. However, there remains a lack of high level evidence for the management of delirium in the terminal phase, including the role of antipsychotics and optimal sedation strategies. For the family and health care staff, clear communication, education and emotional support are vital components to assist with decision making and direct the treatment care plan. CONCLUSION:
Further research on the effectiveness of delirium management strategies in the terminal phase for patients and their families is required. Further validation of assessment tools for diagnostic screening and severity measurement are needed in this patient population
Nighttime removal of NOx in the summer marine boundary layer
The nitrate radical, NO3, and dinitrogen pentoxide, N2O5, are two important components of nitrogen oxides that occur predominantly at night in the lower troposphere. Because a large fraction of NO2 reacts to form NO3 and N2O5 during the course of a night, their fate is an important determining factor to the overall fate of NOx (=NO and NO2). As a comprehensive test of nocturnal nitrogen oxide chemistry, concentrations of O3, NO, NO2, NO3, N2O5, HNO3 and a host of other relevant compounds, aerosol abundance and composition, and meteorological conditions were measured in the marine boundary layer from the NOAA research vessel Ronald H. Brown off the East Coast of the United States as part of the New England Air Quality Study (NEAQS) during the summer of 2002. The results confirm the prominent role of NO3 and N2O5 in converting NOx to HNO3 at night with an efficiency on par with daytime photochemical conversion. The findings demonstrate the large role of nighttime chemistry in determining the NOx budget and consequent production of ozone. INDEX TERMS: 0322 Atmospheric Composition and Structure: Constituent sources and sinks; 0345 Atmospheric Composition and Structure: Pollution—urban and regional (0305); 0365 Atmospheric Composition and Structure: Troposphere—composition and chemistry. Citation: Brown, S. S., et al. (2004), Nighttime removal of NOx in the summer marine boundary layer, Geophys. Res. Lett., 31, L07108, doi:10.1029/2004GL01941
- …