Emergency Department Physician Attitudes, Practices, and Needs Assessment for the Management of Patients with Chest Pain Secondary to Anxiety and Panic

poster abstractBackground Chest pain is a common medical complaint, accounting for 7 million annual visits to US Emergency Departments (EDs) [1]. Most research and clinical resources are focused on the management of the life-threatening acute coronary syndrome (ACS); however, about 80% of all patients presenting to EDs with chest pain do not have a cardiopulmonary emergency [2-4]. Non-ACS chest pain can be caused by anxiety or a panic disorder, and such etiologies remain undiagnosed in almost 90% of cases, and frequently have worse outcomes [5-9]. Objective and Methods The study objective was to assess ED physician’s attitudes, practices, and needs in managing chest pain related to anxiety and panic. A REDCap survey of 15 Likert-style questions was constructed using expert consensus to ensure content validity then administered to all faculty and resident physicians in the IU Department of Emergency Medicine (113 individuals, 65.5% response-rate). Results ED providers believe a significant proportion (31.5%) of patients with chest pain at low risk for ACS are due to panic/anxiety. Providers give such patients instructions on how to manage their panic/anxiety only 34.8% of the time, while even fewer (19.0%) make a diagnosis of anxiety or panic disorder in their documentation. Most providers (77.0%) would welcome a narrative to aid in discussing anxiety/panic as a cause of chest pain and nearly all (85.1%) would find it helpful to have specific clinic information available to aid in follow-up. Conclusions A significant number of ED patients with chest pain are likely due to anxiety, and a majority of physicians report not having the resources necessary to manage these patients. Further work to develop relevant resources would aim to improve provider confidence in treating these patients, and would hope to improve management of anxiety or panic as a cause of chest pain in the ED

Soluble species in aerosol and snow and their relationship at Glacier 1, Tien Shan, China

Simultaneous sampling of aerosol (n = 20) and snow (n = 114) was made at Glacier 1, Tien Shan, between May 19 and June 29, 1996. Similar temporal patterns of some major ion (calcium, magnesium, potassium, sodium, chloride, and sulfate) concentrations between snow and aerosol show that snow chemistry basically reflects changes in the chemistry of the atmosphere. This gives us confidence in the reconstruction of past atmospheric change using some snow data. There are no significant correlations between aerosol and snow samples for ammonium and nitrate. This suggests that post-depositional and/or post-collection processes may alter ammonium and nitrate concentrations in snow. The fact that the measured cations in aerosol and snow always exceed the measured anions suggests that the atmosphere is alkaline over Glacier 1, Tien Shan. In aerosol and snow samples, calcium is the dominant cationic species, with sulfate and presumed carbonate being the dominant anions. There is a very good inverse relationship (r = 0.96) between the equivalence ratio of calcium to sulfate and the ratio of ammonium to sulfate in aerosols, but this relationship does not hold for snow. This further suggests that post depositional and/or post collection processes exert important controls on ammonium concentrations in snow. Although melt-freeze cycles might increase the concentration of all crustal species through progressive dissolution of dust, these cycles seem most important for magnesium and carbonate

Self-dual Vortices in the Generalized Abelian Higgs Model with Independent Chern-Simons Interaction

Self-dual vortex solutions are studied in detail in the generalized abelian Higgs model with independent Chern-Simons interaction. For special choices of couplings, it reduces to a Maxwell-Higgs model with two scalar fields, a Chern-Simons-Higgs model with two scalar fields, or other new models. We investigate the properties of the static solutions and perform detailed numerical analyses. For the Chern-Simons-Higgs model with two scalar fields in an asymmetric phase, we prove the existence of multisoliton solutions which can be viewed as hybrids of Chern-Simons vortices and $CP^1$ lumps. We also discuss solutions in a symmetric phase with the help of the corresponding exact solutions in its nonrelativistic limit. The model interpolating all three models---Maxwell-Higgs, Chern-Simons-Higgs, and $CP^1$ models--- is discussed briefly. Finally we study the possibility of vortex solutions with half-integer vorticity in the special case of the model. Numerical results are negative.Comment: 32 pages, LATEX, SNUTP 92-7

Privacy Mining from IoT-based Smart Homes

Recently, a wide range of smart devices are deployed in a variety of environments to improve the quality of human life. One of the important IoT-based applications is smart homes for healthcare, especially for elders. IoT-based smart homes enable elders' health to be properly monitored and taken care of. However, elders' privacy might be disclosed from smart homes due to non-fully protected network communication or other reasons. To demonstrate how serious this issue is, we introduce in this paper a Privacy Mining Approach (PMA) to mine privacy from smart homes by conducting a series of deductions and analyses on sensor datasets generated by smart homes. The experimental results demonstrate that PMA is able to deduce a global sensor topology for a smart home and disclose elders' privacy in terms of their house layouts.Comment: This paper, which has 11 pages and 7 figures, has been accepted BWCCA 2018 on 13th August 201

Higgs Sector in Extensions of the MSSM

Extensions of the Minimal Supersymmetric Standard Model (MSSM) with additional singlet scalar fields solve the important mu-parameter fine tuning problem of the MSSM. We compute and compare the neutral Higgs boson mass spectra, including one-loop corrections, of the following MSSM extensions: Next-to-Minimal Supersymmetric Standard Model (NMSSM), the nearly-Minimal Supersymmetric Standard Model (nMSSM), and the U(1)'-extended Minimal Supersymmetric Standard Model (UMSSM) by performing scans over model parameters. We find that the Secluded U(1)'-extended Minimal Supersymmetric Standard Model (sMSSM) is identical to the nMSSM if three of the additional scalars decouple. The dominant part of the one-loop corrections are model-independent since the singlet field does not couple to MSSM particles other than the Higgs doublets. Thus, model-dependent parameters enter the masses only at tree-level. We apply constraints from LEP bounds on the Standard Model and MSSM Higgs boson masses and the MSSM chargino mass, the invisible Z decay width, and the Z-Z' mixing angle. Some extended models permit a Higgs boson with mass substantially below the SM LEP limit or above theoretical limits in the MSSM. Ways to differentiate the models via masses, couplings, decays and production of the Higgs bosons are discussed.Comment: 65 pages, 15 figures. Figure replaced and typos corrected. Version to appear in Phys. Rev.

Bogomol'nyi Equations of Maxwell-Chern-Simons vortices from a generalized Abelian Higgs Model

We consider a generalization of the abelian Higgs model with a Chern-Simons term by modifying two terms of the usual Lagrangian. We multiply a dielectric function with the Maxwell kinetic energy term and incorporate nonminimal interaction by considering generalized covariant derivative. We show that for a particular choice of the dielectric function this model admits both topological as well as nontopological charged vortices satisfying Bogomol'nyi bound for which the magnetic flux, charge and angular momentum are not quantized. However the energy for the topolgical vortices is quantized and in each sector these topological vortex solutions are infinitely degenerate. In the nonrelativistic limit, this model admits static self-dual soliton solutions with nonzero finite energy configuration. For the whole class of dielectric function for which the nontopological vortices exists in the relativistic theory, the charge density satisfies the same Liouville equation in the nonrelativistic limit.Comment: 30 pages(4 figures not included), RevTeX, IP/BBSR/93-6

Optical properties and electronic structure of single crystals of LuAl2 and YbAl2

The optical conductivities of single crystals of LuAl2 and YbAl2 were measured by spectroscopic ellipsometry in the energy range of 1.4–5.5eV for LuAl2 and 1.4–5.2eV for YbAl2. The optical conductivity spectra of LuAl2 and YbAl2 show similar features except for a difference in magnitude. Both have peaks near 1.8–2.1eV and broad shoulders between 3.0 and 4.0eV. The shoulder is weaker in YbAl2. The band structure, density of states, and optical conductivity were calculated with the tight-binding linear muffin-tin orbital method in the atomic sphere approximation. The calculated optical conductivity with the inclusion of energy-dependent broadening agrees well with the experimental data. Oxidation effects on the surface of the sample were modeled using a three-phase model. The calculated optical conductivity of the clean surface is enhanced over that of the oxidized surface