1,188 research outputs found
The Rourke Baby Record Infant/Child Maintenance Guide: do doctors use it, do they find it useful, and does using it improve their well-baby visit records?
Background. The Rourke Baby Record (RBR) - http://www.rourkebabyrecord.ca - is a freely available evidence-based structured form for child health surveillance from zero to five years. Family physicians/general practitioners (FP/GPs) doing office based well-baby care in three Ontario Canada cities (London, Ottawa, and Toronto) were randomly sampled to study the prevalence and utility of the RBR and documentation of well-baby visits. Methods. Database with telephone confirmation was conducted to assess the prevalence of use of the RBR. Study Part 1: Questionnaire mailed to a random sample of 100 RBR users. Outcome measures were utility of, helpfulness of, and suggestions for the RBR. Descriptive analysis was employed. Study Part 2: Retrospective chart review of well-baby visits by 38 FP/GPs using student t-tests and factor analysis. Outcome measures were well-baby visit documentation of growth, nutrition, safety issues, developmental milestones, physical examination, and overall comprehensiveness. Results. The RBR was used by 78.5% (402/512) of successfully contacted FP/GPs who did well-baby care in these 3 cities. Study Part 1: Questionnaire respondents (N = 41/100) used the RBR in several ways, and found it most helpful for assessing healthy child development, charting/recording the visits, managing time effectively, addressing parent concerns, identifying health problems, and identifying high risk situations. The RBR was seen to be least helpful as a tool for managing or for referring identified health problems. Study Part 2: Charts from a total of 1,378 well-baby visits on 176 children were audited. Well-baby care provided by the 20 FP/GPs who used the RBR compared to that by the 18 non-users was statistically more likely to include documentation of type of feeding (p = 0.023), discussion of safety issues (p < 0.001), assessment of development (p = 0.001), and overall comprehensiveness (p < 0.001). Well-baby care provided by the RBR users compared to that by the non-users was not more likely to include documentation of measurement of growth (p = 0.097), or physical examination (p = 0.828). Conclusion. The RBR was widely used by FP/GPs in these settings. RBR users found it helpful for many purposes, and had a consistently high rate of documentation of many aspects of well-baby care. The Rourke Baby Record has become a de facto gold standard clinical practice tool in knowledge translation for pediatric preventive medicine and health surveillance for primary care pediatric providers
Affine actions on non-archimedean trees
We initiate the study of affine actions of groups on -trees for a
general ordered abelian group ; these are actions by dilations rather
than isometries. This gives a common generalisation of isometric action on a
-tree, and affine action on an -tree as studied by I. Liousse. The
duality between based length functions and actions on -trees is
generalised to this setting. We are led to consider a new class of groups:
those that admit a free affine action on a -tree for some .
Examples of such groups are presented, including soluble Baumslag-Solitar
groups and the discrete Heisenberg group.Comment: 27 pages. Section 1.4 expanded, typos corrected from previous versio
My Baby\u27s Kiss
https://digitalcommons.library.umaine.edu/mmb-vp/4788/thumbnail.jp
Electronic Structure of LuRh2Si2: "Small" Fermi Surface Reference to YbRh2Si2
We present band structure calculations and quantum oscillation measurements
on LuRh2Si2, which is an ideal reference to the intensively studied quantum
critical heavy-fermion system YbRh2Si2. Our band structure calculations show a
strong sensitivity of the Fermi surface on the position of the silicon atoms
zSi within the unit cell. Single crystal structure refinement and comparison of
predicted and observed quantum oscillation frequencies and masses yield zSi =
0.379c in good agreement with numerical lattice relaxation. This value of zSi
is suggested for future band structure calculations on LuRh2Si2 and YbRh2Si2.
LuRh2Si2 with a full f electron shell represents the "small" Fermi surface
configuration of YbRh2Si2. Our experimentally and ab initio derived quantum
oscillation frequencies of LuRh2Si2 show strong differences with earlier
measurements on YbRh2Si2. Consequently, our results confirm the contribution of
the f electrons to the Fermi surface of YbRh2Si2 at high magnetic fields. Yet
the limited agreement with refined fully itinerant local density approximation
calculations highlights the need for more elaborated models to describe the
Fermi surface of YbRh2Si2.Comment: 12 pages 10 figure
Andreev reflection spectroscopy of the heavy-fermion superconductor CeCoIn along three different crystallographic orientations
Andreev reflection spectroscopy has been performed on the heavy-fermion
superconductor (HFS) CeCoIn single crystals along three different
crystallographic orientations, (001), (110), and (100), using Au tips as
counter-electrodes. Dynamic conductance spectra are reproducible over wide
temperature ranges and consistent with each other, ensuring the spectroscopic
nature. Features common to all directions are: i) asymmetric behaviors of the
background conductance, which we attribute to the emerging coherent
heavy-fermion liquid; ii) energy scales (~1 meV) for conductance enhancement
due to Andreev reflection; iii) magnitudes of enhanced zero-bias conductance
(10 - 13 %). These values are an order of magnitude smaller than the predicted
value by the Blonder-Tinkham-Klapwijk (BTK) theory, but comparable to those for
other HFSs. Using the d-wave BTK model, we obtain an energy gap of ~ 460 ueV.
However, it is found that extended BTK models considering the mismatch in Fermi
surface parameters do not account for our data completely, which we attribute
to the shift of spectral weight to low energy as well as to the suppressed
Andreev reflection. A qualitative comparison of the conductance spectra with
calculated curves shows a consistency with d-symmetry, providing
the first spectroscopic evidence for the order parameter symmetry and resolving
the controversy over the location of the line nodes.Comment: invited talk submitted to the 8th M2S conference to be held in
Dresden Germany, July 9-14, 2006, 4 pages, 3 figure
Fermi-surface reconstruction and two-carrier model for the Hall effect in YBa2Cu4O8
Pulsed field measurements of the Hall resistivity and magnetoresistance of
underdoped YBa2Cu4O8 are analyzed self-consistently using a simple model based
on coexisting electron and hole carriers. The resultant mobilities and Hall
numbers are found to vary markedly with temperature. The conductivity of the
hole carriers drops by one order of magnitude below 30 K, explaining the
absence of quantum oscillations from these particular pockets. Meanwhile the
Hall coefficient of the electron carriers becomes strongly negative below 50 K.
The overall quality of the fits not only provides strong evidence for
Fermi-surface reconstruction in Y-based cuprates, it also strongly constrains
the type of reconstruction that might be occurring.Comment: 5 pages, 4 figures, updated after publication in Physical Review B
(Rapid Communication
Viking navigation
A comprehensive description of the navigation of the Viking spacecraft throughout their flight from Earth launch to Mars landing is given. The flight path design, actual inflight control, and postflight reconstruction are discussed in detail. The preflight analyses upon which the operational strategies and performance predictions were based are discussed. The inflight results are then discussed and compared with the preflight predictions and, finally, the results of any postflight analyses are presented
Abnormal cognitive aging in people with HIV: evidence from data integration between two countries’ cohort studies
Objectives: Previous research has shown inconsistent results on whether cognitive aging is abnormal in people with HIV (PWH) because of low sample size, cross-sectional design, and nonstandard neuropsychological methods. To address these issues, we integrated data from two longitudinal studies: Australian HIV and Brain Ageing Research Program (N = 102) and CNS HIV Antiretroviral Therapy Effects Research (CHARTER) study (N = 924) and determined the effect of abnormal aging on neurocognitive impairment (NCI) among PWH. Methods: Both studies used the same neuropsychological test battery. NCI was defined based on demographically corrected global deficit score (≥0.5 = impaired). Both studies also assessed comorbidities, neuropsychiatric conditions and functional status using similar tools. To determine the cross-sectional and longitudinal effects of age on the risk of NCI, a generalized linear mixed-effect model tested main and interaction effects of age group (young, <50 vs. old, ≥50) and time on NCI adjusting the effects of covariates. Results: Older PWH had 83% higher chance of NCI compared with younger PWH [odds ratio (OR) = 1.83 (1.15 – 2.90), P < 0.05]. Older participants also had a greater risk of increases in NCI over the follow-up [OR = 1.66 (1.05 – 2.64), P < 0.05] than younger participants. Nonwhite ethnicity (P < 0.05), having a contributing (P < 0.05) or confounding (P < 0.001) comorbidity, greater cognitive symptoms (P < 0.001), and abnormal creatinine level (P < 0.05), plasma viral load greater than 200 copies/ml (P < 0.05), being from the Australian cohort (P < 0.05) were also associated with a higher risk of NCI. Conclusion: Data integration may serve as a strategy to increase sample size and study power to better assess abnormal cognitive aging effect in PWH, which was significant in the current study
Monotone functions and maps
In [S. Basu, A. Gabrielov, N. Vorobjov, Semi-monotone sets. arXiv:1004.5047v2
(2011)] we defined semi-monotone sets, as open bounded sets, definable in an
o-minimal structure over the reals, and having connected intersections with all
translated coordinate cones in R^n. In this paper we develop this theory
further by defining monotone functions and maps, and studying their fundamental
geometric properties. We prove several equivalent conditions for a bounded
continuous definable function or map to be monotone. We show that the class of
graphs of monotone maps is closed under intersections with affine coordinate
subspaces and projections to coordinate subspaces. We prove that the graph of a
monotone map is a topologically regular cell. These results generalize and
expand the corresponding results obtained in Basu et al. for semi-monotone
sets.Comment: 30 pages. Version 2 appeared in RACSAM. In version 3 Corollaries 1
and 2 were corrected. In version 4 Theorem 3 is correcte
Soil Potential Rating for Land Use Planning at a Local Level in Maine
https://digitalmaine.com/books/1104/thumbnail.jp
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