89 research outputs found

    Converting a series in \lambda to a series in \lambda^{-1}

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    We introduce a transformation for converting a series in a parameter, \lambda, to a series in the inverse of the parameter \lambda^{-1}. By applying the transform on simple examples, it becomes apparent that there exist relations between convergent and divergent series, and also between large- and small-coupling expansions. The method is also applied to the divergent series expansion of Euler-Heisenberg-Schwinger result for the one-loop effective action for constant background magnetic (or electric) field. The transform may help us gain some insight about the nature of both divergent (Borel or non-Borel summable series) and convergent series and their relationship, and how both could be used for analytical and numerical calculations.Comment: 7 pages, Latex, 3 figures; Typos corrected. To appear in Journal of Physics A: Math and Ge

    Assessment of emergency medical services in the Ashanti region of Ghana

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    Background: We aimed to assess the structure, function and performance of Ashanti Region’s emergency medical services system in the context of the regional need for prehospital emergency care.Design: A mixed-methods approach was employed, using retrospective collection of quantitative data and prospectively gathered qualitative data. Setting – pertinent data were collected from Ghanaian and international sources; interviews and technical assessments were performed primarily in the Ashanti Region of Ghana.Participants: All stakeholders relevant to emergency medical services in the Ashanti Region of Ghana were assessed; there was a special focus on National Ambulance Service (NAS) and Ashanti Region healthcare personnel.Intervention: This was an observational study using qualitative and quantitative assessment techniques.Main outcome measures: The structure, function and performance of the Ashanti emergency medical services system, guided by a relevant technical assessment framework.Results: NAS is the premier and only true prehospital agency in the Ashanti Region. NAS has developed almost every essential aspect of an EMS system necessary to achieve its mission within a low-resource setting. NAS continues to increase its number of response units to address the overwhelming Ashanti region demand, especially primary calls. Deficient areas in need of development are governance, reliable revenue, public access, community integration, clinical care guidelines, research and quality assurance processes.Conclusions: The Ashanti Region has a growing and thriving emergency medical services system. Although many essential areas for development were identified, NAS is well poised to meet the regional demand for prehospital emergency care and transport.Keywords: EMS, prehospital, ambulance, emergency, Ghana, Afric

    Multi-Year Application of Dairy Slurry on Grassland: Effects on Crop, Soil Biota, Soil Nutrients, and N\u3csub\u3e2\u3c/sub\u3eO Emission

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    The long-term effects of using manure as the principal nutrient source in intensive crop production systems are not well known. This paper reports on the effects of multi-year application of fertilizer or dairy slurry on a tall fescue (Festuca arundinacea Schreb.) sward. Slurry sustained greater grass yield than chemical fertilizer. Unlike fertilizer, slurry supplied 70 to 120 kg N/ha one year after application but little after one year; 4-years of manure applications built up the stable organic matter pool in the soil. Manure-N was less prone to leaching but more prone to N2O emissions than fertilizer-N. Manured soils had considerably more biological activity than fertilized soils. High rates of manure application increased soil P

    Resuscitation of Severe Uncontrolled Hemorrhage 7.5% Sodium Chloride/6% Dextran 70 vs 0.9% Sodium Chloride

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    Objectives: Resuscitation studies of hypertonic saline using controlled and uncontrolled hemorrhage models yield conflicting results with regard to efficacy. These disparate results reflect the use of models and resuscitation regimens that are not comparable between studies. This study evaluated the effects of comparable and clinically relevant resuscitation regimens of 7.5% sodium chloride/6% dextran 70 (HSD) and 0.9% sodium chloride (NS) in a near-fatal uncontrolled hemorrhage model. Methods: Thirty-six swine (14.2 to 21.4 kg) with 4-mm aortic tears were bled to a pulse pressure of 5 mm Hg (40-45 mL/kg). The animals were resuscitated with either NS or HSD administered in volumes that provided equivalent sodium loads at similar rates. Group II (n = 12) was resuscitated with 80 mL/kg of NS at a rate of 4 mL/kg/min. Group III (n = 12) received 9.6 mL/kg of HSD at a rate of 0.48 mL/kg/min. In both groups, crystalloid resuscitation was followed by shed blood infusion (30 mL/kg) at a rate of 2 mL/kg/min. Group I (controls; n = 12) were not resuscitated. Results: One-hour mortality was significantly greater in group I (92%) as compared with group II (33%) and group III (33%) (Fisher's exact test; p = 0.004). Intraperitoneal hemorrhage was significantly greater in group II (34 ± 20 mL/kg) and group III (31 ± 13 mL/kg) as compared with group I (5 ± 2 mL/kg) (ANOVA; p < 0.05). There was no significant difference in hemodynamic parameters between groups II and III. Conclusion: In this model of severe uncontrolled hemorrhage, resuscitation with HSD or NS, administered in volumes that provided equivalent sodium loads at similar rates, had similar effects on mortality, hemodynamic parameters, and hemorrhage from the injury site.Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/73625/1/j.1553-2712.2000.tb02060.x.pd
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