Creation of a Case-Finding Definition for Identifying Patients With Acute Pouchitis in Administrative Claims Data

Acute pouchitis is the most common complication after a restorative proctocolectomy with ileal pouch–anal anastomosis (IPAA) for ulcerative colitis, affecting 40% of patients within the first year after surgery.1 Although up to 80% of patients can develop pouchitis symptoms,2,3 substantial gaps remain in our understanding of the epidemiology and burden of pouchitis. Administrative claims have been used to advance the knowledge of other areas of inflammatory bowel disease4–6; however, a prerequisite to conducting such studies in pouchitis is a valid, reliable case-finding algorithm. Given concerns that the International Classification of Diseases (ICD) code for pouchitis may not be reliably used by clinicians (resulting in a low sensitivity), the objectives of the study were to (1) develop a series of case-finding definitions for acute pouchitis and (2) compare the performance of these case-finding definitions to that of a single ICD code for pouchitis

Social Media, Gender and the Mediatisation of War: Exploring the German Armed Forces’ Visual Representation of the Afghanistan Operation on Facebook

Studies on the mediatisation of war point to attempts of governments to regulate the visual perspective of their involvements in armed conflict – the most notable example being the practice of ‘embedded reporting’ in Iraq and Afghanistan. This paper focuses on a different strategy of visual meaning-making, namely, the publication of images on social media by armed forces themselves. Specifically, we argue that the mediatisation of war literature could profit from an increased engagement with feminist research, both within Critical Security/Critical Military Studies and within Science and Technology Studies that highlight the close connection between masculinity, technology and control. The article examines the German military mission in Afghanistan as represented on the German armed forces’ official Facebook page. Germany constitutes an interesting, and largely neglected, case for the growing literature on the mediatisation of war: its strong antimilitarist political culture makes the representation of war particularly delicate. The paper examines specific representational patterns of Germany’s involvement in Afghanistan and discusses the implications which arise from what is placed inside the frame of visibility and what remains out of its view

Comparación de distintas estrategias para la predicción de muerte a corto plazo en el paciente anciano infectado

Objective. The aim of this study was to determine the utility of a post hoc lactate added to SIRS and qSOFA score to predict 30-day mortality in older non-severely dependent patients attended for infection in the Emergency Department (ED). Methods. We performed an analytical, observational, prospective cohort study including patients of 75 years of age or older, without severe functional dependence, attended for an infectious disease in 69 Spanish ED for 2-day three seasonal periods. Demographic, clinical and analytical data were collected. The primary outcome was 30-day mortality after the index event. Results. We included 739 patients with a mean age of 84.9 (SD 6.0) years; 375 (50.7%) were women. Ninety-one (12.3%) died within 30 days. The AUC was 0.637 (IC 95% 0.587-0.688; p= 2 and 0.698 (IC 95% 0.635- 0.761; p= 2. Comparing receiver operating characteristic (ROC) there was a better accuracy of qSOFA vs SIRS (p=0.041). Both scales improve the prognosis accuracy with lactate inclusion. The AUC was 0.705 (IC95% 0.652-0.758; p<0.001) for SIRS plus lactate and 0.755 (IC95% 0.696-0.814; p<0.001) for qSOFA plus lactate, showing a trend to statistical significance for the second strategy (p=0.0727). Charlson index not added prognosis accuracy to SIRS (p=0.2269) or qSOFA (p=0.2573). Conclusions. Lactate added to SIRS and qSOFA score improve the accuracy of SIRS and qSOFA to predict short-term mortality in older non-severely dependent patients attended for infection. There is not effect in adding Charlson index

Metasurface antennas

International audienceThis chapter reports design and analysis methods for planar antennas based on modulated metasurfaces (MTSs). These antennas transform a surface wave (SW) into a leaky wave by means of the interaction with a MTS having a spatially modulated equivalent impedance. The basic concept is that the MTS imposes the impedance boundary conditions (BCs) seen by the SW, and therefore the MTS controls amplitude, phase, and polarization of the aperture field. Thus, MTS antennas are highly customizable in terms of their performances, by simply changing the MTS and without affecting the overall structure. Several technological solutions can be adopted to implement the MTS, from sub-wavelength patches printed on a grounded slab at microwave frequencies, to a bed of nails structure in the millimetre and sub-millimetre wave range in any case, the resulting device has light weight and a low profile. The design of the MTS is based on a generalized form of the Floquet wave theorem adiabatically applied to curvilinear locally periodic BCs. The design defines the continuous BCs required for reproducing a desired aperture field, and it is verified by a fast full-wave solver for impedance BCs. Next, the continuous BCs are discretized and implemented by a distribution of electrically small printed metallic elements in a regular lattice, like pixels in an image. The final layout is composed of tens of thousands of pixels and it is analyzed by a full-wave solver which makes use of entire domain basis functions combined with a fast-multipole algorithm. Examples of design and realizations of MTS antennas are shown, proving the effectiveness of the concept. © Springer International Publishing AG 2018