494 research outputs found
Linear structural patterns of settlement
Thesis (M.C.P.)--Massachusetts Institute of Technology, Dept. of City and Regional Planning, 1963.Includes bibliographical references (leaves 70-71).by Susana Emelia Nierlich.M.C.P
Structure of Polyelectrolytes in Poor Solvent
We present simulations on charged polymers in poor solvent. First we
investigate in detail the dilute concentration range with and without imposed
extension constraints. The resulting necklace polymer conformations are
analyzed in detail. We find strong fluctuations in the number of pearls and
their sizes leading only to small signatures in the form factor and the
force-extension relation. The scaling of the peak in the structure factor with
the monomer density shows a pertinent different behavior from good solvent
chains.Comment: 7 pages, 5 figures. submitted to EP
Clinical validation of the "Straight-Leg-Evaluation-Trauma-Test" (SILENT) as a rapid assessment tool for injuries of the lower extremity in trauma bay patients
PURPOSE
Clinical assessment of the major trauma patient follows international validated guidelines without standardized trauma-specific assessment of the lower extremities for injuries. This study aimed to validate a novel clinical test for lower extremity evaluation during trauma resuscitation phase.
METHODS
This diagnostic, prognostic observational cohort study was performed on trauma patient treated at one level I trauma center between Mar 2022 and Mar 2023. The Straight-Leg-Evaluation-Trauma (SILENT) test follows three steps during the primary survey: inspection for obvious fractures (e.g., open fracture), active elevation of the leg, and cautious elevation of the lower extremity from the heel. SILENT was considered positive when obvious fracture was present and painful or pathological mobility was observed. The SILENT test was compared with standardized radiographs (CT scan or X-ray) as the reference test for fractures. Statistical analysis included sensitivity, specificity, and receiver operating characteristic testing.
RESULTS
403 trauma bay patients were included, mean age 51.6 (SD 21.2) years with 83 fractures of the lower extremity and 27 pelvic/acetabular fractures. Overall sensitivity was 75% (95%CI 64 to 84%), and overall specificity was 99% (95%CI 97 to 100%). Highest sensitivity was for detection of tibia fractures (93%, 95%CI 77 to 99%). Sensitivity of SILENT was higher in the unconscious patient (96%, 95%CI 78 to 100%) with a near 100% specificity. AUC was highest for tibia fractures (0.96, 95%CI 0.92 to 1.0) followed by femur fractures (0.92, 95%CI 0.84 to 0.99).
CONCLUSION
The SILENT test is a clinical applicable and feasible rule-out test for relevant injuries of the lower extremity. A negative SILENT test of the femur or the tibia might reduce the requirement of additional radiological imaging. Further large-scale prospective studies might be required to corroborate the beneficial effects of the SILENT test
Neutral and Charged Polymers at Interfaces
Chain-like macromolecules (polymers) show characteristic adsorption
properties due to their flexibility and internal degrees of freedom, when
attracted to surfaces and interfaces. In this review we discuss concepts and
features that are relevant to the adsorption of neutral and charged polymers at
equilibrium, including the type of polymer/surface interaction, the solvent
quality, the characteristics of the surface, and the polymer structure. We pay
special attention to the case of charged polymers (polyelectrolytes) that have
a special importance due to their water solubility. We present a summary of
recent progress in this rapidly evolving field. Because many experimental
studies are performed with rather stiff biopolymers, we discuss in detail the
case of semi-flexible polymers in addition to flexible ones. We first review
the behavior of neutral and charged chains in solution. Then, the adsorption of
a single polymer chain is considered. Next, the adsorption and depletion
processes in the many-chain case are reviewed. Profiles, changes in the surface
tension and polymer surface excess are presented. Mean-field and corrections
due to fluctuations and lateral correlations are discussed. The force of
interaction between two adsorbed layers, which is important in understanding
colloidal stability, is characterized. The behavior of grafted polymers is also
reviewed, both for neutral and charged polymer brushes.Comment: a review: 130 pages, 30 ps figures; final form, added reference
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