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Prospective observational study of point-of-care creatinine in trauma.
Background:Patients with trauma are at risk for renal dysfunction from hypovolemia or urological injury. In austere environments, creatinine values are not available to guide resuscitation. A new portable device, the Stat Sensor Point-of-care (POC) Whole Blood Creatinine Analyzer, provides accurate results in <30 s and requires minimal training. This device has not been evaluated in trauma despite the theoretical benefit it provides. The purpose of this study is to determine the clinical impact of the POC device in trauma. Methods:40 patients with trauma were enrolled in a prospective observational study. One drop of blood was used for creatinine determination on the Statsensor POC device. POC creatinine results were compared to the laboratory. Turnaround time (TAT) for POC and laboratory methods was calculated as well as time elapsed to CT scan if applicable. Results:Patients (n=40) were enrolled between December 2014 and March 2015. POC creatinine values were similar to laboratory methods with a mean bias of 0.075±0.27 (p=0.08). Mean analytical TATs for the POC measurements were significantly faster than the laboratory method (11.6±10.0 min vs 78.1±27.9 min, n=40, p<0.0001). Mean elapsed time before arrival at the CT scanner was 52.9±34.2 min. Conclusions:The POC device reported similar creatinine values to the laboratory and provided significantly faster results. POC creatinine testing is a promising development for trauma practice in austere environments and workup of a subset of stable patients with trauma. Further study is warranted to determine clinical impact, both in hospital-based trauma and austere environments
Electronic compressibility of layer polarized bilayer graphene
We report on a capacitance study of dual gated bilayer graphene. The measured
capacitance allows us to probe the electronic compressibility as a function of
carrier density, temperature, and applied perpendicular electrical displacement
D. As a band gap is induced with increasing D, the compressibility minimum at
charge neutrality becomes deeper but remains finite, suggesting the presence of
localized states within the energy gap. Temperature dependent capacitance
measurements show that compressibility is sensitive to the intrinsic band gap.
For large displacements, an additional peak appears in the compressibility as a
function of density, corresponding to the presence of a 1-dimensional van Hove
singularity (vHs) at the band edge arising from the quartic bilayer graphene
band structure. For D > 0, the additional peak is observed only for electrons,
while D < 0 the peak appears only for holes. This asymmetry that can be
understood in terms of the finite interlayer separation and may be useful as a
direct probe of the layer polarization
Mojave remote sensing field experiment
The Mojave Remote Sensing Field Experiment (MFE), conducted in June 1988, involved acquisition of Thermal Infrared Multispectral Scanner (TIMS); C, L, and P-band polarimetric radar (AIRSAR) data; and simultaneous field observations at the Pisgah and Cima volcanic fields, and Lavic and Silver Lake Playas, Mojave Desert, California. A LANDSAT Thematic Mapper (TM) scene is also included in the MFE archive. TM-based reflectance and TIMS-based emissivity surface spectra were extracted for selected surfaces. Radiative transfer procedures were used to model the atmosphere and surface simultaneously, with the constraint that the spectra must be consistent with field-based spectral observations. AIRSAR data were calibrated to backscatter cross sections using corner reflectors deployed at target sites. Analyses of MFE data focus on extraction of reflectance, emissivity, and cross section for lava flows of various ages and degradation states. Results have relevance for the evolution of volcanic plains on Venus and Mars
A Spectral Algorithm with Additive Clustering for the Recovery of Overlapping Communities in Networks
This paper presents a novel spectral algorithm with additive clustering
designed to identify overlapping communities in networks. The algorithm is
based on geometric properties of the spectrum of the expected adjacency matrix
in a random graph model that we call stochastic blockmodel with overlap (SBMO).
An adaptive version of the algorithm, that does not require the knowledge of
the number of hidden communities, is proved to be consistent under the SBMO
when the degrees in the graph are (slightly more than) logarithmic. The
algorithm is shown to perform well on simulated data and on real-world graphs
with known overlapping communities.Comment: Journal of Theoretical Computer Science (TCS), Elsevier, A Para\^itr
The architectures of media power: editing, the newsroom, and urban public space
This paper considers the relation of the newsroom and the city as a lens into the more general relation of production spaces and mediated publics. Leading theoretically from Lee and LiPuma’s (2002) notion of ‘cultures of circulation’, and drawing on an ethnography of the Toronto Star, the paper focuses on how media forms circulate and are enacted through particular practices and material settings. With its attention to the urban milieus and orientations of media organizations, this paper exhibits both affinities with but also differences to current interests in the urban architectures of media, which describe and theorize how media get ‘built into’ the urban experience more generally. In looking at editing practices situated in the newsroom, an emphasis is placed on the phenomenological appearance of media forms both as objects for material assembly as well as more abstracted subjects of reflexivity, anticipation and purposiveness. Although this is explored with detailed attention to the settings of the newsroom and the city, the paper seeks to also provide insight into the more general question of how publicness is material shaped and sited
A Plaquette Basis for the Study of Heisenberg Ladders
We employ a plaquette basis-generated by coupling the four spins in a
lattice to a well-defined total angular momentum-for the study of
Heisenberg ladders with antiferromagnetic coupling. Matrix elements of the
Hamiltonian in this basis are evaluated using standard techniques in
angular-momentum (Racah) algebra. We show by exact diagonalization of small
( and ) systems that in excess of 90% of the ground-state
probability is contained in a very small number of basis states. These few
basis states can be used to define a severely truncated basis which we use to
approximate low-lying exact eigenstates. We show how, in this low-energy basis,
the isotropic spin-1/2 Heisenberg ladder can be mapped onto an anisotropic
spin-1 ladder for which the coupling along the rungs is much stronger than the
coupling between the rungs. The mapping thereby generates two distinct energy
scales which greatly facilitates understanding the dynamics of the original
spin-1/2 ladder. Moreover, we use these insights to define an effective
low-energy Hamiltonian in accordance to the newly developed COntractor
REnormalization group (CORE) method. We show how a simple range-2 CORE
approximation to the effective Hamiltonian to be used with our truncated basis
reproduces the low-energy spectrum of the exact theory at the \alt
1% level.Comment: 12 pages with two postscript figure
Three Bosons in One Dimension with Short Range Interactions I: Zero Range Potentials
We consider the three-boson problem with -function interactions in
one spatial dimension. Three different approaches are used to calculate the
phase shifts, which we interpret in the context of the effective range
expansion, for the scattering of one free particle a off of a bound pair. We
first follow a procedure outlined by McGuire in order to obtain an analytic
expression for the desired S-matrix element. This result is then compared to a
variational calculation in the adiabatic hyperspherical representation, and to
a numerical solution to the momentum space Faddeev equations. We find excellent
agreement with the exact phase shifts, and comment on some of the important
features in the scattering and bound-state sectors. In particular, we find that
the 1+2 scattering length is divergent, marking the presence of a zero-energy
resonance which appears as a feature when the pair-wise interactions are
short-range. Finally, we consider the introduction of a three-body interaction,
and comment on the cutoff dependence of the coupling.Comment: 9 figures, 2 table
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