26 research outputs found
Caltech Faint Field Galaxy Redshift Survey IX: Source detection and photometry in the Hubble Deep Field Region
Detection and photometry of sources in the U_n, G, R, and K_s bands in a 9x9
arcmin^2 region of the sky, centered on the Hubble Deep Field, are described.
The data permit construction of complete photometric catalogs to roughly
U_n=25, G=26, R=25.5 and K_s=20 mag, and significant photometric measurements
somewhat fainter. The galaxy number density is 1.3x10^5 deg^{-2} to R=25.0 mag.
Galaxy number counts have slopes dlog N/dm=0.42, 0.33, 0.27 and 0.31 in the
U_n, G, R and K_s bands, consistent with previous studies and the trend that
fainter galaxies are, on average, bluer. Galaxy catalogs selected in the R and
K_s bands are presented, containing 3607 and 488 sources, in field areas of
74.8 and 59.4 arcmin^2, to R=25.5 and and K_s=20 mag.Comment: Accepted for publication in ApJS; some tables and slightly nicer
figures available at http://www.sns.ias.edu/~hogg/deep
Caltech Faint Galaxy Redshift Survey. IX. Source Detection and Photometry in the Hubble Deep Field Region
Detection and photometry of sources in the U_n, G, ℛ, and K_s bands in a 9 × 9 arcmin^2 region of the sky, centered on the Hubble Deep Field, are described. The data permit construction of complete photometric catalogs to roughly U_n = 25, G = 26, ℛ = 25.5, K_s = 20 mag and significant photometric measurements somewhat fainter. The galaxy number density is 1.3 × 10^5 deg^(-2) to ℛ = 25.0 mag. Galaxy number counts have slopes d log N/dm = 0.42, 0.33, 0.27, and 0.31 in the U_n, G, ℛ, and K_s bands, consistent with previous studies and the trend that fainter galaxies are, on average, bluer. Galaxy catalogs selected in the ℛ and K_s bands are presented, containing 3607 and 488 sources in field areas of 74.8 and 59.4 arcmin^2, to ℛ = 25.5 and K_s = 20 mag
Variation in Structure and Process of Care in Traumatic Brain Injury: Provider Profiles of European Neurotrauma Centers Participating in the CENTER-TBI Study.
INTRODUCTION: The strength of evidence underpinning care and treatment recommendations in traumatic brain injury (TBI) is low. Comparative effectiveness research (CER) has been proposed as a framework to provide evidence for optimal care for TBI patients. The first step in CER is to map the existing variation. The aim of current study is to quantify variation in general structural and process characteristics among centers participating in the Collaborative European NeuroTrauma Effectiveness Research in Traumatic Brain Injury (CENTER-TBI) study. METHODS: We designed a set of 11 provider profiling questionnaires with 321 questions about various aspects of TBI care, chosen based on literature and expert opinion. After pilot testing, questionnaires were disseminated to 71 centers from 20 countries participating in the CENTER-TBI study. Reliability of questionnaires was estimated by calculating a concordance rate among 5% duplicate questions. RESULTS: All 71 centers completed the questionnaires. Median concordance rate among duplicate questions was 0.85. The majority of centers were academic hospitals (n = 65, 92%), designated as a level I trauma center (n = 48, 68%) and situated in an urban location (n = 70, 99%). The availability of facilities for neuro-trauma care varied across centers; e.g. 40 (57%) had a dedicated neuro-intensive care unit (ICU), 36 (51%) had an in-hospital rehabilitation unit and the organization of the ICU was closed in 64% (n = 45) of the centers. In addition, we found wide variation in processes of care, such as the ICU admission policy and intracranial pressure monitoring policy among centers. CONCLUSION: Even among high-volume, specialized neurotrauma centers there is substantial variation in structures and processes of TBI care. This variation provides an opportunity to study effectiveness of specific aspects of TBI care and to identify best practices with CER approaches
Variation in general supportive and preventive intensive care management of traumatic brain injury: a survey in 66 neurotrauma centers participating in the Collaborative European NeuroTrauma Effectiveness Research in Traumatic Brain Injury (CENTER-TBI) study
Abstract
Background
General supportive and preventive measures in the intensive care management of traumatic brain injury (TBI) aim to prevent or limit secondary brain injury and optimize recovery. The aim of this survey was to assess and quantify variation in perceptions on intensive care unit (ICU) management of patients with TBI in European neurotrauma centers.
Methods
We performed a survey as part of the Collaborative European NeuroTrauma Effectiveness Research in Traumatic Brain Injury (CENTER-TBI) study. We analyzed 23 questions focused on: 1) circulatory and respiratory management; 2) fever control; 3) use of corticosteroids; 4) nutrition and glucose management; and 5) seizure prophylaxis and treatment.
Results
The survey was completed predominantly by intensivists (n = 33, 50%) and neurosurgeons (n = 23, 35%) from 66 centers (97% response rate).
The most common cerebral perfusion pressure (CPP) target was > 60 mmHg (n = 39, 60%) and/or an individualized target (n = 25, 38%). To support CPP, crystalloid fluid loading (n = 60, 91%) was generally preferred over albumin (n = 15, 23%), and vasopressors (n = 63, 96%) over inotropes (n = 29, 44%). The most commonly reported target of partial pressure of carbon dioxide in arterial blood (PaCO2) was 36–40 mmHg (4.8–5.3 kPa) in case of controlled intracranial pressure (ICP) < 20 mmHg (n = 45, 69%) and PaCO2 target of 30–35 mmHg (4–4.7 kPa) in case of raised ICP (n = 40, 62%). Almost all respondents indicated to generally treat fever (n = 65, 98%) with paracetamol (n = 61, 92%) and/or external cooling (n = 49, 74%). Conventional glucose management (n = 43, 66%) was preferred over tight glycemic control (n = 18, 28%). More than half of the respondents indicated to aim for full caloric replacement within 7 days (n = 43, 66%) using enteral nutrition (n = 60, 92%). Indications for and duration of seizure prophylaxis varied, and levetiracetam was mostly reported as the agent of choice for both seizure prophylaxis (n = 32, 49%) and treatment (n = 40, 61%).
Conclusions
Practice preferences vary substantially regarding general supportive and preventive measures in TBI patients at ICUs of European neurotrauma centers. These results provide an opportunity for future comparative effectiveness research, since a more evidence-based uniformity in good practices in general ICU management could have a major impact on TBI outcome
In dubio pro silentio – Even Loud Music Does Not Facilitate Strenuous Ergometer Exercise
Background: Music listening is wide-spread in amateur sports. Ergometer exercise is one such activity which is often performed with loud music.Aim and Hypotheses: We investigated the effects of electronic music at different intensity levels on ergometer performance (physical performance, force on the pedal, pedaling frequency), perceived fatigue and heart rate in healthy adults. We assumed that higher sound intensity levels are associated with greater ergometer performance and less perceived effort, particularly for untrained individuals.Methods: Groups of high trained and low trained healthy males (N = 40; age = 25.25 years; SD = 3.89 years) were tested individually on an ergometer while electronic dance music was played at 0, 65, 75, and 85 dB. Participants assessed their music experience during the experiment.Results: Majorities of participants rated the music as not too loud (65%), motivating (77.50%), appropriate for this sports exercise (90%), and having the right tempo (67.50%). Participants noticed changes in the acoustical environment with increasing intensity levels, but no further effects on any of the physical or other subjective measures were found for neither of the groups. Therefore, the main hypothesis must be rejected.Discussion: These findings suggest that high loudness levels do not positively influence ergometer performance. The high acceptance of loud music and perceived appropriateness could be based on erroneous beliefs or stereotypes. Reasons for the widespread use of loud music in fitness sports needs further investigation. Reducing loudness during fitness exercise may not compromise physical performance or perceived effort
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Assessing local instrument reliability and validity: a field-based example from northern Uganda
This paper presents an approach for evaluating the reliability and validity of mental health measures in non-Western field settings. We describe this approach using the example of our development of the Acholi Psychosocial Assessment Instrument (APAI), which is designed to assess depression-like (two tam, par and kumu), anxiety-like (ma lwor) and conduct problems (kwo maraco) among war-affected adolescents in northern Uganda. To examine the criterion validity of this measure in the absence of a traditional gold standard, we derived local syndrome terms from qualitative data and used self reports of these syndromes by indigenous people as a reference point for determining caseness. Reliability was examined using standard test-retest and inter-rater methods. Each of the subscale scores for the depression-like syndromes exhibited strong internal reliability ranging from α =0.84 to 0.87. Internal reliability was good for anxiety (0.70), conduct problems (0.83), and the pro-social attitudes and behaviors (0.70) subscales. Combined inter-rater reliability and test-retest reliability were good for most subscales except for the conduct problem scale and prosocial scales. The pattern of significant mean differences in the corresponding APAI problem scale score between self-reported cases vs. noncases on local syndrome terms was confirmed in the data for all of the three depression-like syndromes, but not for the anxiety-like syndrome ma lwor or the conduct problem kwo maraco