1,922 research outputs found

    Pre-Operative Clinical Variation by Health Insurance Carrier in 12,285 Male Surgical Patients with Moderate Morbid Obesity

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    In the ongoing obesity epidemic, every surgeon now treats patients with weight-related medical problems. In managing these medically fragile surgical patients, every clinical insight helps. While variation according to health insurance has been reported in mixed sex bariatric surgery populations, whether or not clinical characteristics in the subset of moderately obese male surgical patients vary by insurance carrier is unknown. The objective of this study was to identify clinical variation by insurance type in moderately obese men. Results showed that pre-operative clinical characteristics of moderately obese male surgical patients vary by the health insurance coverage type to which they subscribe. Medicare and Medicaid insured suffer the most from weight-related problems. Private and Self-Pay patients are at lower risk of obesity co-morbidities than Medicaid and Medicare. These results suggest that surgeons should consider moderately obese Medicare and Medicaid men at increased risk for peri-operative medical illnesses

    Cereal Genome Evolution: Grasses, line up and form a circle

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    AbstractThe genomes of six major grass species can be aligned by dissecting the individual chromosomes into segments and rearranging these linkage blocks into highly similar structures

    Interference of a Tonks-Girardeau Gas on a Ring

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    We study the quantum dynamics of a one-dimensional gas of impenetrable bosons on a ring, and investigate the interference that results when an initially trapped gas localized on one side of the ring is released, split via an optical-dipole grating, and recombined on the other side of the ring. Large visibility interference fringes arise when the wavevector of the optical dipole grating is larger than the effective Fermi wavevector of the initial gas.Comment: 7 pages, 3 figure

    Do woodland birds prefer to forage in healthy Eucalyptus wandoo trees?

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    Globally, many forests and woodlands are in decline. The marked loss of canopy foliage typical of these declines results in reduced foraging resources (e.g. nectar, pollen, and insects) and, subsequently, can reduce habitat quality for woodland birds. In south-west Western Australia, patches of Eucalyptus wandoo woodlands have shown a decline in condition since at least 2002. We investigated how changes in E. wandoo condition affect the woodland bird community. Foraging activities of three bird species were recorded for 20 sites in Dryandra State Forest and Wandoo Conservation Park either by conducting watches on focal trees ('sitting' method), or following individuals through the woodland ('following' method). Condition assessments of trees used by the birds were compared with those for trees available at the study site. Weebills (Smicrornis brevirostris; canopy insectivore) displayed preference for healthy trees (low amounts of canopy dieback), whereas rufous treecreepers (Climacteris rufa; bark-foraging insectivore) preferred trees with a higher proportion of dead branches. Yellow-plumed honeyeaters (Lichenostomus ornatus; insectivore/nectarivore) foraged in older, larger E. wandoo trees having full canopies with few signs of tree decline. Tree declines, such as that happening in E. wandoo, alter the foraging resources and habitat available to woodland birds

    Probabilistically Accurate Program Transformations

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    18th International Symposium, SAS 2011, Venice, Italy, September 14-16, 2011. ProceedingsThe standard approach to program transformation involves the use of discrete logical reasoning to prove that the transformation does not change the observable semantics of the program. We propose a new approach that, in contrast, uses probabilistic reasoning to justify the application of transformations that may change, within probabilistic accuracy bounds, the result that the program produces. Our new approach produces probabilistic guarantees of the form ℙ(|D| ≥ B) ≤ ε, ε ∈ (0, 1), where D is the difference between the results that the transformed and original programs produce, B is an acceptability bound on the absolute value of D, and ε is the maximum acceptable probability of observing large |D|. We show how to use our approach to justify the application of loop perforation (which transforms loops to execute fewer iterations) to a set of computational patterns.National Science Foundation (U.S.) (Grant CCF-0811397)National Science Foundation (U.S.) (Grant CCF-0905244)National Science Foundation (U.S.) (Grant CCF-1036241)National Science Foundation (U.S.) (Grant IIS-0835652)United States. Dept. of Energy (Grant DE-SC0005288

    Inadequate Parathyroid Response in Acute Pancreatitis

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    Abstract We studied nine consecutive hypocalcemic patients with acute pancreatitis to elucidate the mechanism of hypocalcemia. Mean serum ionized calcium, 0.97 mM, was below the normal mean of 1.16 mM (P \u3c 0.001). Seven of eight patients tested had normal parathyroid hormone levels. All responded to parenteral parathyroid extract by increasing serum ionized calcium and urinary cyclic AMP, indicating parathyroid-hormone-responsive target organs. Calcitonin and glucagon concentrations were increased above normal in some patients, but there was no relation with serum ionized calcium. Parenteral glucagon had no significant effect on serum ionized calcium or calcitonin concentrations. These findings suggest that neither glucagon nor calcitonin was primarily responsible for the hypocalcemia, which did not produce expected increases in serum parathyroid hormone concentrations. Relative parathyroid insufficiency may account for the persistent hypocalcemia frequently observed in patients with acute pancreatitis. (N Engl J Med 294:512–516, 1976

    Time since fire and average fire interval are the best predictors of Phytophthora cinnamomi activity in heathlands of south-western Australia

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    Fires are features of ecological communities in much of Australia; however, very little is still known about the potential impact of fire on plant diseases in the natural environment. Phytophthora cinnamomi is an introduced soil-borne plant pathogen with a wide host range, affecting a large proportion of native plant species in Australia and other regions of the world, but its interaction with fire is poorly understood. An investigation of the effects of fire on P. cinnamomi activity was undertaken in the Stirling Range National Park of south-western Australia, where fire is used as a management tool to reduce the negative impact of wildfires and more than 60% of the park is infested with, and 48% of woody plant species are known to be susceptible to, P. cinnamomi. At eight sites confirmed to be infested with P. cinnamomi, the proportion of dead and dying susceptible species was used as a proxy for P. cinnamomi activity. Subset modelling was used to determine the interactive effects of latest fire interval, average fire interval, soil water-holding capacity and pH on P. cinnamomi activity. It was found that the latest and average fire interval were the variables that best explained the variation in the percentage of dead and dying susceptible species among sites, indicating that fire in P. cinnamomi-infested communities has the potential to increase both the severity and extent of disease in native plant communities

    The shadows of waiting and care: on discourses of waiting in the history of the British National Health Service

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    Waiting is at the centre of experiences and practices of healthcare. However, we know very little about the relationship between the subjective experiences of patients who wait in and for care, health practitioners who ‘prescribe’ and manage waiting, and how this relates to broader cultural meanings of waiting. Waiting features heavily in the sociological, managerial, historical and health economics literatures that investigate UK healthcare, but the focus has been on service provision and quality, with waiting (including waiting lists and waiting times) drawn on as a key marker to test the efficiency and affordability of the NHS. In this article, we consider the historical contours of this framing of waiting, and ask what has been lost or occluded through its development. To do so, we review the available discourses in the existing literature on the NHS through a series of ‘snapshots’ or key moments in its history. Through its negative imprint, we argue that what shadows these discourses is the idea of waiting and care as phenomenological temporal experiences, and time as a practice of care. In response, we begin to trace the intellectual and historical resources available for alternative histories of waiting – materials that might enable scholars to reconstruct some of the complex temporalities of care marginalized in existing accounts of waiting, and which could help reframe both future historical accounts and contemporary debates about waiting in the NHS

    Creating Bell states and decoherence effects in quantum dots system

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    We show how to improve the efficiency for preparing Bell states in coupled two quantum dots system. A measurement to the state of driven quantum laser field leads to wave function collapse. This results in highly efficiency preparation of Bell states. The effect of decoherence on the efficiency of generating Bell states is also discussed in this paper. The results show that the decoherence does not affect the relative weight of ∣00>|00> and ∣11>|11> in the output state, but the efficiency of finding Bell states.Comment: 4 pages, 2figures, corrected some typo
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