99 research outputs found
Randomised controlled trial and economic evaluation of a chest pain observation unit compared with routine care
Get PDFObjectives To measure the effectiveness and cost effectiveness
of providing care in a chest pain observation unit compared
with routine care for patients with acute, undifferentiated chest
pain.
Design Cluster randomised controlled trial, with 442 days
randomised to the chest pain observation unit or routine care,
and cost effectiveness analysis from a health service costing
perspective.
Setting The emergency department at the Northern General
Hospital, Sheffield, United Kingdom.
Participants 972 patients with acute, undifferentiated chest
pain (479 attending on days when care was delivered in the
chest pain observation unit, 493 on days of routine care)
followed up until six months after initial attendance.
Main outcome measures The proportion of participants
admitted to hospital, the proportion with acute coronary
syndrome sent home inappropriately, major adverse cardiac
events over six months, health utility, hospital reattendance and
readmission, and costs per patient to the health service.
Results Use of a chest pain observation unit reduced the
proportion of patients admitted from 54% to 37% (difference
17%, odds ratio 0.50, 95% confidence interval 0.39 to 0.65,
P < 0.001) and the proportion discharged with acute coronary
syndrome from 14% to 6% (8%, –7% to 23%, P = 0.264). Rates
of cardiac event were unchanged. Care in the chest pain
observation unit was associated with improved health utility
during follow up (0.0137 quality adjusted life years gained, 95%
confidence interval 0.0030 to 0.0254, P = 0.022) and a saving of
£78 per patient (–£56 to £210, P = 0.252).
Conclusions Care in a chest pain observation unit can improve
outcomes and may reduce costs to the health service. It seems
to be more effective and more cost effective than routine care
NOAO fundamental plane survey II: Age and metallicity along the red sequence from line-strength data
Get PDFWe present spectroscopic line-strength data for 4097 red-sequence galaxies in 93 low-redshift galaxy clusters and use these to investigate variations in average stellar populations as a function of galaxy mass. Our analysis includes an improved treatment of nebular emission contamination, which affects 10% of the sample galaxies. Using the stellar population models of D. Thomas and collaborators, we simultaneously fit 12 observed line-strength relations in terms of common underlying trends of age, [Z/H] (total metallicity), and [/Fe] (-element enhancement). We find that the observed line-strength relations can be explained only if higher mass red-sequence galaxies are, on average, older, more metal-rich, and more -enhanced than lower mass galaxies. Quantitatively, the scaling relations are age0.59±0.13, Z/H0.53±0.08, and /Fe0.31±0.06, where the errors reflect the range obtained using different subsets of indices. Our conclusions are not strongly dependent on which Balmer lines are used as age indicators. The derived age- relation is such that if the largest (400 km s-1) galaxies formed their stars 13 Gyr ago, then the mean age of low-mass (50 km s-1) objects is only 4 Gyr. The data also suggest a large spread in age at the low-mass end of the red sequence, with 68% of the galaxies having ages between 2 and 8 Gyr. We conclude that although the stars in giant red galaxies in clusters formed early, most of the galaxies at the faint end joined the red sequence only at recent epochs. This "downsizing" trend is in good qualitative agreement with observations of the red sequence at higher redshifts but is not predicted by semianalytic models of galaxy formation
Maria Bello speaks at the 2017 LightSpark Symposium
No full textMaria Bello speaks at the 2017 LightSpark Symposium held at the S.J. Quincy College of La
Utah Law Forum 1998 Vol 2 No 2
No full textUtah Law Forum Volume 2 No 2, published by the Student Bar Association
Utah Law Forum 2000-2001
No full textUtah Law Forum Welcome Edition, 2000-2001, published by the Student Bar Association
Utah Law Forum 1998 Vol 1 No 12
No full textUtah Law Forum Volume 1 No. 12, 1998, published by the Student Bar Association
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