Transrectal Ultrasound Guided Prostate Biopsy Antibiotic Prophylaxis: Standard vs. Augmented Antibiotic Regimens, and the Role for Pre-Biopsy Rectal Swab Cultures

Objectives: To evaluate peri-procedural antibiotic prophylaxis regimens based on pre-procedural rectal swab cultures. To evaluate infection rates between transrectalbiopsy patients receiving FQs alone and those receiving ceftriaxone or gentamicin in addition to FQs.https://jdc.jefferson.edu/patientsafetyposters/1056/thumbnail.jp

Quantification of fracture interaction using stress intensity factor variation maps

Accurate and flexible models of fracture interaction are sought after in the fields of mechanics and geology. Stress intensity factors (SIFs) quantify the energy concentrated at the fracture tips and are perturbed from their isolated values when two fractures are close to one another. Using a three-dimensional finite element fracture mechanics code to simulate static fractures in tension and compression, interaction effects are examined. SIF perturbations are characterized by introducing three interaction measures: the circumferential and maximum SIF perturbation provide the “magnitude” of the effect of interaction, and the amplification to shielding ratio quantifies the balance between increased and decreased SIFs along the tip. These measures are used to demonstrate the change in interaction with fracture separation and to find the separation at which interaction becomes negligible. Interaction maps are constructed by plotting the values of the interaction measures for a static fracture as a second fracture is moved around it. These maps are presented for several common fracture orientations in tension. They explore interaction by highlighting regions in which growth is more likely to occur and where fractures will grow into nonplanar geometries. Interaction maps can be applied to fracture networks with multiple discontinuities to analyze the effect of geometric variations on fracture interaction

Novel use of Technology to Enhance a Multimodal Approach to Pain Control After Cardiac Surgery

https://scholarlycommons.libraryinfo.bhs.org/nurs_presentations2023/1004/thumbnail.jp

Active absorption of electromagnetic pulses in a cavity

7 pages, 4 figuresAuthor version of the article. The version of record is available from the publisher via: http://dx.doi.org/10.1088/1367-2630/17/5/053050 and is an open access article.© 2015 IOP Publishing Ltd and Deutsche Physikalische GesellschaftWe show that a pulse of electromagnetic radiation launched into a cavity can be completely absorbed into an infinitesimal region of space, provided one has a high degree of control over the current flowing through this region. We work out explicit examples of this effect in a cubic cavity and a cylindrical one, and experimentally demonstrate the effect in the microwave regime.Engineering and Physical Sciences Research Council (EPSRC)Czech Science Foundatio

Spectroscopie de vibration infrarouge du silicium amorphe hydrogéné évaporé

Ce travail porte sur l’étude des configurations des liaisons Si-H des couches minces du silicium amorphe hydrogéné évaporé (a-Si:H) préparées dans un bâti ultra-vide (UHV). L’hydrogène atomique est obtenu à l’aide d’un plasma dans un tube à décharge dirigé vers le porte-substrat. Les fréquences de vibrations et la nature des liaisons Si-H ont été analysées à partir des mesures de spectroscopie infrarouge à transformée de Fourier.Mots-clés : silicium amorphe hydrogéné, absorption infrarouge, transformée de Fourie

Evaluating the Efficacy of Medication-Assisted Treatment for First Episode Psychosis: A Scoping Review

Purpose/Background The Substance Abuse and Mental Health Services Administration (SAMHSA) recommends that individuals with substance use disorder (SUD) receive medicated-assisted treatment (MAT), as a complete approach to substance use treatment (SAMHSA, 2019). However, treatment measures using combination treatment for SUD in individuals experiencing first episode psychosis (FEP) are seldom used. This scoping review assesses the efficacy of MAT in conjunction with antipsychotics compared to the use of antipsychotic monotherapy for FEP individuals on hospital readmission rates. Methods The authors conducted a literature review utilizing PubMed, EBSCO, Elsevier, Google Scholar, PsychINFO, and Medline from August 2020 to November 2022. Key phrases in the database search included: first-episode psychosis, comorbid substance use, alcohol use disorder, cannabis use disorder, medication-assisted treatment, buprenorphine, methadone, and antipsychotics. Eligibility criteria included individuals experiencing psychosis defined by hallucination, delusion, or paranoia symptoms with co-occurring substance use. Inclusion criteria include publication within the past five years, English or available English translation, full text, institutional review board-approved, and peer-reviewed. Ultimately, we selected ten articles for this scoping review. Results The ten articles demonstrated improvement of psychotic symptoms but showed mixed results in hospital readmission rates after combination therapy. The most notable restriction for this review was the paucity of published literature on MAT for FEP and comorbid substance use. Of the literature reviewed, patients experiencing comorbid FEP and SUDs were vulnerable to poor outcomes due to the illnesses, limited treatment options targeting both symptoms, and poor retention rates in MAT programs. Implications for Nursing Practice This scoping review highlights the treatment of comorbid SUD and FEP with the use of MAT to potentially reduce hospital readmission rates. There was insufficient evidence to outline targeted treatment regimens for our patient population; therefore, more research is needed in this area