Assessment of the Triage System in a Pediatric Emergency Department. A pilot study on critical code

Introduction. In Italy, triage involves assigning a priority color code to patients arriving at the hospital Emergency Department: red (very critical), yellow (moderately critical), green (not very critical), and white (not critical). Methods. This study was aimed at assessing the triage system in the Emergency Department of ?Giannina Gaslini? Children? s Hospital in Genoa, Italy. The authors examined 130 triage forms assigning a yellow code in 2003, in order to determine whether they had been correctly filled in with regard to the detection of vital parameters, identification of main symptoms and color code assignment. Results. Results showed that vital signs were recorded in 94% of patients, main symptoms were identified in 97%, and a yel- low code was assigned according to hospital guidelines in 84%. The percentage of underestimation (3.2%) was higher than that reported in the literature (2%). Conclusions. The study shows the need to improve compliance with the guidelines and to evaluate green and white codes

Return visits to the Paediatric Emergency Department: first analysis in Italy

Return visits to the emergency room have come under scrutiny with a view to identifying the reasons for these events. The aim of the study was to estimate the incidence of return visits to emer- gency room and to compare this with data from other countries, with a view to proposing a method of monitoring this parameter nationwide. Ours is the first Italian study to report the incidence of return visits to the ER and to analyse the factors correlated with this phenomenon. The incidence of return visits within 72 hours of the first visit proved to be 2.5%. Statistical analysis revealed a significant difference in the number of return visits between patients under 1 year of age and those older than 1 year. Our future objective is to re-analyse recent case-records on the basis of the indicators identified, with a view to assessing the quality of the service

Heat Conduction and Microconvection in Nanofluids: Comparison between Theoretical Models and Experimental Results

A nanofluid is a suspension consisting of a uniform distribution of nanoparticles in a base fluid, generally a liquid. Nanofluid can be used as a working fluid in heat exchangers to dissipate heat in the automotive, solar, aviation, aerospace industries. There are numerous physical phenomena that affect heat conduction in nanofluids: clusters, the formation of adsorbate nanolayers, scattering of phonons at the solid–liquid interface, Brownian motion of the base fluid and thermophoresis in the nanofluids. The predominance of one physical phenomenon over another depends on various parameters, such as temperature, size and volume fraction of the nanoparticles. Therefore, it is very difficult to develop a theoretical model for estimating the effective thermal conductivity of nanofluids that considers all these phenomena and is accurate for each value of the influencing parameters. The aim of this study is to promote a way to find the conditions (temperature, volume fraction) under which certain phenomena prevail over others in order to obtain a quantitative tool for the selection of the theoretical model to be used. For this purpose, two sets (SET-I, SET-II) of experimental data were analyzed; one was obtained from the literature, and the other was obtained through experimental tests. Different theoretical models, each considering some physical phenomena and neglecting others, were used to explain the experimental results. The results of the paper show that clusters, the formation of the adsorbate nanolayer and the scattering of phonons at the solid–liquid interface are the main phenomena to be considered when ϕ = 1 ÷ 3%. Instead, at a temperature of 50 ◦C and in the volume fraction range (0.04–0.22%), microconvection prevails over other phenomen

Raman spectroscopy reveals that biochemical composition of breast microcalcifications correlates with histopathologic features

Breast microcalcifications are a common mammographic finding. Microcalcifications are considered suspicious signs of breast cancer and a breast biopsy is required, however, cancer is diagnosed in only a few patients. Reducing unnecessary biopsies and rapid characterization of breast microcalcifications are unmet clinical needs. In this study, 473 microcalcifications detected on breast biopsy specimens from 56 patients were characterized entirely by Raman mapping and confirmed by X-ray scattering. Microcalcifications from malignant samples were generally more homogeneous, more crystalline, and characterized by a less substituted crystal lattice compared with benign samples. There were significant differences in Raman features corresponding to the phosphate and carbonate bands between the benign and malignant groups. In addition to the heterogeneous composition, the presence of whitlockite specifically emerged as marker of benignity in benign microcalcifications. The whole Raman signature of each microcalcification was then used to build a classification model that distinguishes microcalcifications according to their overall biochemical composition. After validation, microcalcifications found in benign and malignant samples were correctly recognized with 93.5% sensitivity and 80.6% specificity. Finally, microcalcifications identified in malignant biopsies, but located outside the lesion, reported malignant features in 65% of in situ and 98% of invasive cancer cases, respectively, suggesting that the local microenvironment influences microcalcification features. This study confirms that the composition and structural features of microcalcifications correlate with breast pathology and indicates new diagnostic potentialities based on microcalcifications assessment. Significance: Raman spectroscopy could be a quick and accurate diagnostic tool to precisely characterize and distinguish benign from malignant breast microcalcifications detected on mammography

Quartz fiber calorimetry

The fundamentals of a new electromagnetic and hadronic sampling calorimetry based on the detection of Cherenkov light generated in quartz optical fibers are presented. Optical fibers transport light only in a selected angular range which results in a non-obvious and absolutely unique characteristic for this new technique: showers of very narrow visible energy. In addition, the technique is characterized by radiation resistance measured in Gigarads and nanosecond signal duration. Combined, these properties make quartz fiber calorimetry a very promising technique for high intensity heavy ion experiments and for the high pseudorapidity regions of high intensity collider experiments. The results of beam tests and simulations are used to illustrate the basic properties and peculiar characteristics of this recent development

The ALICE Zero Degree Calorimeters

In the ALICE experiment at Cern LHC, a set of hadron calorimeters will be used to determine the centrality of the Pb-Pb collision. The spectator protons and neutrons, will be separated from the ion beams, using the separator magnet (D1) of the LHC beam optics and respectively detected by a proton (ZP) and a neutron (ZN) "Zero-degree Calorimeter" (ZDC). The detectors will be placed in front of the separator D2 magnet, 115 meters away from the beam intersection point. The ZDCs are quartz-fiber spaghetti calorimeters that exploit the Cherenkov light produced by the shower particles in silica optical fibers.This technique offers the advantages of high radiation hardness (up to several Grad), fast response and reduced lateral dimension of the detectable shower. In addition, quartz-fiber calorimeters are intrinsically insensitive to radio-activation background, which produces particles below the Cherenkov threshold.The ALICE ZDC should have an energy resolution comparable with the intrinsic energy fluctuations, which range from about 20 0.000000or central events to about 5 0.000000or peripheral ones, according to simulations that use HIJING as event generator. The fiber-to-absorber filling ratio must be chosen as a good compromise between the required energy resolution and the fiber cost.The design of the proposed calorimeter will be discussed, together with the expected performances. Whenever possible, the simulated results will be compared with the experimental ones, obtained with the built prototypes and with the NA50 ZDC, which can be considered as a working prototype for the ALICE neutron calorimeter

Zero degree Cherenkov calorimeters for the ALICE experiment

International audienceThe collision centrality in the ALICE experiment will be determined by the Zero Degree Calorimeters (ZDCs) that will measure the spectator nucleons energy in heavy ion collisions. The ZDCs detect the Cherenkov light produced by the fast particles in the shower that cross the quartz fibers, acting as the active material embedded in a dense absorber matrix. Test beam results of the calorimeters are presented

Speckle observations of the binary asteroid (22) Kalliope with C2PU/PISCO

We present new speckle measurements of the position of Linus, the satellite of the asteroid (22) Kalliope, obtained at the 1m C2PU-Epsilon telescope on the Plateau de Calern, France. Observations were made in the visible domain with the speckle camera PISCO. We obtained 122 measurements in February-March 2022 and April 2023, with a mean uncertainty close to 10 milli-arcseconds on the angular separation

Influence of Temperature and Humidity on Bakelite Resistivity

Presentation made at RPC99 and submitted to Elsevier PreprintThe use of phenolic or melaminic bakelite as RPC electrodes is widespread. The electrode resistivity is an important parameter for the RPC performance. As recent studies have pointed out, the bakelite resistivity changes with temperature and is influenced by humidity. In order to gain a quantitative understanding on the influence of temperature and humidity on RPC electrodes, we assembled an apparatus to measure resistivity in well-controlled conditions. A detailed description of the experimental set-up as well as the first resistivity measurements for various laminates in different environmental conditions are presented

A new measurement of J/psi suppression in Pb-Pb collisions at 158 GeV per nucleon

We present a new measurement of J/psi production in Pb-Pb collisions at 158 GeV/nucleon, from the data sample collected in year 2000 by the NA50 Collaboration, under improved experimental conditions with respect to previous years. With the target system placed in vacuum, the setup was better adapted to study, in particular, the most peripheral nuclear collisions with unprecedented accuracy. The analysis of this data sample shows that the (J/psi)/Drell-Yan cross-sections ratio measured in the most peripheral Pb-Pb interactions is in good agreement with the nuclear absorption pattern extrapolated from the studies of proton-nucleus collisions. Furthermore, this new measurement confirms our previous observation that the (J/psi)/Drell-Yan cross-sections ratio departs from the normal nuclear absorption pattern for semi-central Pb-Pb collisions and that this ratio persistently decreases up to the most central collisions.Comment: 19 pages, 10 figures. Submitted to Eur. Phys. J.