Standard Outpatient Re-Evaluation for Patients Not Admitted to the Hospital After Emergency Department Evaluation for Acute Abdominal Pain

The aim of the present study was to investigate the efficacy and safety of standard outpatient re-evaluation for patients who are not admitted to the hospital after emergency department surgical consultation for acute abdominal pain. All patients seen at the emergency department between June 2005 and July 2006 for acute abdominal pain were included in a prospective study using a structured diagnosis and management flowchart. Patients not admitted to the hospital were given appointments for re-evaluation at the outpatient clinic within 24 h. All clinical parameters, radiological results, diagnostic considerations, and management proposals were scored prospectively. Five-hundred patients were included in this analysis. For 148 patients (30%), the final diagnosis was different from the diagnosis after initial evaluation. Eighty-five patients (17%) had a change in management after re-evaluation, and 20 of them (4%) were admitted to the hospital for an operation. Only 6 patients (1.2%) had a delay in diagnosis and treatment, which did not cause extra morbidity. Standard outpatient re-evaluation is a safe and effective means of improving diagnostic accuracy and helps to adapt management for patients that are not admitted to the hospital after surgical consultation for acute abdominal pain at the emergency department.Vascular Surger

Assessment of agility in software organizations with a web-based agility assessment tool

\u3cp\u3eAgile software development approaches have emerged to overcome the inherent challenges of the traditional software development methodologies. With that in mind, they offer a set of simple yet effective practices based on the values and supporting principles of the Agile Manifesto. Today, more and more organizations are practicing Agile but transitioning to Agile is not as straightforward as it might seem. The benefits afforded by the agile values, principles and practices are not fully obtained and adapters struggle to become more mature; i.e. increase their Agility. For, adapters to address this problem, agility assessments have been designed to be aware of the situation of their transition and make sure that they are heading in the right direction. However, these assessments still require significant amount of time and effort to apply. To overcome this problem, we have developed a web-based agility assessment tool which is a part of an integrated agility assessment approach. The approach consists of a structured and comprehensive agility assessment model (AgilityMod), an exemplar agility assessment process and a web based agility assessment tool (AssessAgility). This research focuses on the final component of the approach: AssessAgility tool and presents a multiple case study that was conducted to evaluate tool's capabilities in terms of providing guidance, automation and reducing the effort spent on the assessments.\u3c/p\u3

Novel Molecular Building Blocks Based on the Boradiazaindacene Chromophore: Applications in Fluorescent Metallosupramolecular Coordination Polymers

We designed and synthesized novel boradiazaindacene (Bodipy) derivatives that are appropriately functionalized for metal-ion-mediated supramolecular polymerization. Thus, ligands for 2-terpyridyl-, 2,6-terpyridyl-. and bipyridyl-functionalized Bodipy dyes were synthesized through Sonogashira couplings. These fluorescent building blocks are responsive to metal ions in a stoichiometry-dependent manner. Octahedral coordinating metal ions such as Zn-II result in polymerization at a stoichiometry corresponding to two terpyridyl ligands to one Zn-II ion. However, at increased metal ion concentrations, the dynamic equilibria are re-established in such a way that the monomeric metal complex dominates. The position of equilibria can easily be monitored by H-1 NMR and fluorescence spectroscopies. As expected, although open-shell Fe-II ions form similar complex structures, these cations quench the fluorescence emission of all four functionalized Bodipy ligands

Error analysis and testing of DRM for frame cameras

A new Differential Rectification Method (DRM) for frame cameras is proposed by Karslioglu and Friedrich [1] for the generation of orthoimages from monoscopic digital images which map every pixel onto a curved surface of reference frame i.e. WGS84. The ellipsoidal geodetic coordinates, of each pixel are calculated directly under the condition that a precise enough elevation model is available avoiding additional earth curvature corrections after the rectification. In this paper, convergence of the differential rectification method (DRM) is improved and its rectification accuracy is compared with five of the existing methods. Interior and exterior camera and atmospheric refraction parameters are taken into account in the rectification procedure of DRM. Additionally, effect of inclined camera direction and threshold value assigned for convergence criteria of DRM on the number of iterations and rectified coordinates are examined. It is seen that the accuracy of DRM is considerably better than the tested methods which indicates that DRM can be used by confidence. Furthermore, assigning too small threshold value does not improve the rectification results but however it increases the required number of iterations for the convergence of the relief displacement algorithm

Differentiation and Characterization of Cardiomyocytes from Rat BM-MSCs For Myocardial Regeneration

18th Annual Congress of the European-Society-of-Gene-and-Cell-Therapy -- OCT 22-25, 2010 -- Milan, ITALYSEVIM, HANDAN/0000-0002-8511-5258; ONUR, MEHMET/0000-0002-3630-7982; akbay, esin/0000-0002-0797-8322WOS: 000282955500355