681 research outputs found
Documentation of specific mesh implant at the time of midurethral sling surgery in women with stress incontinence
Objective: We aimed to assess documentation completeness of the operative record for mesh implanted at the time of midurethral sling surgery and to identify modifiable predictors of documentation completeness.
Methods: A retrospective cross-sectional study of women with stress incontinence who underwent midurethral sling placement between January 2009 and December 2011 was conducted. Data from the dictated operative note and nursing operative record were extracted to determine if the specific mesh implanted during surgery was documented. The primary outcome was the rate of documentation of mesh implanted in the physician's dictated operative note and in the nursing record. Logistic regression was used to determine if any characteristics were associated with the rate of documentation while accounting for correlation of patients from the same dictating surgeon.
Results: There were 816 surgeries involving the implantation of a midurethral sling during the study period. All surgeries were performed at 6 Indiana University hospitals. Fifty-two surgeons of varying specialties and levels of training dictated the operative notes. A urogynecologist dictated 71% of the operative notes. The rate of documentation completeness for mesh implanted in the physician's note was 10%. The rate of documentation completeness for mesh implanted in the nursing operative record was 92%. Documentation of mesh implanted in the physician's note was not significantly associated with the level of training, specialty, or year of surgery.
Conclusions: Documentation completeness for specific mesh implant in the physician's note is low, independent of specialty and level of training. Nursing documentation practices are more rigorous. Postmarket surveillance, currently mandated by the Food and Drug Administration, may not be feasible if only the physician's note is available or if nursing practices are inconsistent. Development of documentation guidelines for physicians would improve the feasibility of surveillance
Investigating the properties of granulation in the red giants observed by Kepler
More than 1000 red giants have been observed by NASA/Kepler mission during a
nearly continuous period of ~ 13 months. The resulting high-frequency
resolution (< 0.03 muHz) allows us to study the granulation parameters of these
stars. The granulation pattern results from the convection motions leading to
upward flows of hot plasma and downward flows of cooler plasma. We fitted
Harvey-like functions to the power spectra, to retrieve the timescale and
amplitude of granulation. We show that there is an anti-correlation between
both of these parameters and the position of maximum power of acoustic modes,
while we also find a correlation with the radius, which agrees with the theory.
We finally compare our results with 3D models of the convection.Comment: 4 pages, 1 figure. To appear in the ASP proceedings of "The 61st
Fujihara seminar: Progress in solar/stellar physics with helio- and
asteroseismology", 13th-17th March 2011, Hakone, Japa
An Extended and More Sensitive Search for Periodicities in RXTE/ASM X-ray Light Curves
We present the results of a systematic search in approximately 14 years of
Rossi X-ray Timing Explorer All-Sky Monitor data for evidence of periodicities
not reported by Wen et al. (2006). Two variations of the commonly used Fourier
analysis search method have been employed to achieve significant improvements
in sensitivity. The use of these methods and the accumulation of additional
data have resulted in the detection of the signatures of the orbital periods of
eight low-mass X-ray binary systems and of ten high-mass X-ray binaries not
listed in the tables of Wen et al.Comment: 20 pages, 22 figures, in emulateapj format; submitted to ApJ
Evolution of active and polar photospheric magnetic fields during the rise of Cycle 24 compared to previous cycles
The evolution of the photospheric magnetic field during the declining phase
and minimum of Cycle 23 and the recent rise of Cycle 24 are compared with the
behavior during previous cycles. We used longitudinal full-disk magnetograms
from the NSO's three magnetographs at Kitt Peak, the Synoptic Optical Long-term
Investigations of the Sun (SOLIS) Vector Spectro-Magnetograph (VSM), the
Spectromagnetograph and the 512-Channel Magnetograph instruments, and
longitudinal full-disk magnetograms from the Mt. Wilson 150-foot tower. We
analyzed 37 years of observations from these two observatories that have been
observing daily, weather permitting, since 1974, offering an opportunity to
study the evolving relationship between the active region and polar fields in
some detail over several solar cycles. It is found that the annual averages of
a proxy for the active region poloidal magnetic field strength, the magnetic
field strength of the high-latitude poleward streams, and the time derivative
of the polar field strength are all well correlated in each hemisphere. These
results are based on statistically significant cyclical patterns in the active
region fields and are consistent with the Babcock-Leighton phenomenological
model for the solar activity cycle. There was more hemispheric asymmetry in the
activity level, as measured by total and maximum active region flux, during
late Cycle 23 (after around 2004), when the southern hemisphere was more
active, and Cycle 24 up to the present, when the northern hemisphere has been
more active, than at any other time since 1974. The active region net proxy
poloidal fields effectively disappeared in both hemispheres around 2004, and
the polar fields did not become significantly stronger after this time. We see
evidence that the process of Cycle 24 field reversal has begun at both poles.Comment: Accepted for publication in Solar Physic
Temporary changes in STI & HIV testing & diagnoses across different phases of the COVID-19 pandemic, Chicago IL
IntroductionWhile the U.S. has seen a sustained rise in STI cases over the past decade, the impact of the COVID-19 on STIs and HIV is unclear.MethodsTo examine the short- and medium-term impacts of COVID-19 and HIV and STI testing and diagnosis, we compared pre-pandemic trends to three periods of the pandemic: early- pandemic, March-May 2020; mid-pandemic June 2020-May 2021; and late-pandemic, June 2021-May 2022. We compared average number of monthly tests and diagnoses, overall and by gender, as well as the monthly change (slope) in testing and diagnoses.ResultsWe find that after decreases in average monthly STI and HIV testing and diagnoses during the early- and mid-pandemic, cases were largely back to pre-pandemic levels by the late-pandemic, with some variation by gender.ConclusionChanges in testing and diagnoses varied by phase of the pandemic. Some key populations may require additional outreach efforts to attain pre-pandemic testing levels
Indirect study of 19Ne states near the 18F+p threshold
The early E < 511 keV gamma-ray emission from novae depends critically on the
18F(p,a)15O reaction. Unfortunately the reaction rate of the 18F(p,a)15O
reaction is still largely uncertain due to the unknown strengths of low-lying
proton resonances near the 18F+p threshold which play an important role in the
nova temperature regime. We report here our last results concerning the study
of the d(18F,p)19F(alpha)15N transfer reaction. We show in particular that
these two low-lying resonances cannot be neglected. These results are then used
to perform a careful study of the remaining uncertainties associated to the
18F(p,a)15O and 18F(p,g)19Ne reaction rates.Comment: 18 pages, 8 figures. Accepted in Nuclear Physics
Solar-like oscillations in KIC11395018 and KIC11234888 from 8 months of Kepler data
We analyze the photometric short-cadence data obtained with the Kepler
Mission during the first eight months of observations of two solar-type stars
of spectral types G and F: KIC 11395018 and KIC 11234888 respectively, the
latter having a lower signal-to-noise ratio compared to the former. We estimate
global parameters of the acoustic (p) modes such as the average large and small
frequency separations, the frequency of the maximum of the p-mode envelope and
the average linewidth of the acoustic modes. We were able to identify and to
measure 22 p-mode frequencies for the first star and 16 for the second one even
though the signal-to-noise ratios of these stars are rather low. We also derive
some information about the stellar rotation periods from the analyses of the
low-frequency parts of the power spectral densities. A model-independent
estimation of the mean density, mass and radius are obtained using the scaling
laws. We emphasize the importance of continued observations for the stars with
low signal-to-noise ratio for an improved characterization of the oscillation
modes. Our results offer a preview of what will be possible for many stars with
the long data sets obtained during the remainder of the mission.Comment: 39 pages, 9 figures. Accepted for publication in Ap
Predicting the detectability of oscillations in solar-type stars observed by Kepler
Asteroseismology of solar-type stars has an important part to play in the
exoplanet program of the NASA Kepler Mission. Precise and accurate inferences
on the stellar properties that are made possible by the seismic data allow very
tight constraints to be placed on the exoplanetary systems. Here, we outline
how to make an estimate of the detectability of solar-like oscillations in any
given Kepler target, using rough estimates of the temperature and radius, and
the Kepler apparent magnitude.Comment: 21 pages, 6 figures, accepted for publication Astrophysical Journa
A mathematical framework for critical transitions: normal forms, variance and applications
Critical transitions occur in a wide variety of applications including
mathematical biology, climate change, human physiology and economics. Therefore
it is highly desirable to find early-warning signs. We show that it is possible
to classify critical transitions by using bifurcation theory and normal forms
in the singular limit. Based on this elementary classification, we analyze
stochastic fluctuations and calculate scaling laws of the variance of
stochastic sample paths near critical transitions for fast subsystem
bifurcations up to codimension two. The theory is applied to several models:
the Stommel-Cessi box model for the thermohaline circulation from geoscience,
an epidemic-spreading model on an adaptive network, an activator-inhibitor
switch from systems biology, a predator-prey system from ecology and to the
Euler buckling problem from classical mechanics. For the Stommel-Cessi model we
compare different detrending techniques to calculate early-warning signs. In
the epidemics model we show that link densities could be better variables for
prediction than population densities. The activator-inhibitor switch
demonstrates effects in three time-scale systems and points out that excitable
cells and molecular units have information for subthreshold prediction. In the
predator-prey model explosive population growth near a codimension two
bifurcation is investigated and we show that early-warnings from normal forms
can be misleading in this context. In the biomechanical model we demonstrate
that early-warning signs for buckling depend crucially on the control strategy
near the instability which illustrates the effect of multiplicative noise.Comment: minor corrections to previous versio
PTF10fqs: A Luminous Red Nova in the Spiral Galaxy Messier 99
The Palomar Transient Factory (PTF) is systematically charting the optical
transient and variable sky. A primary science driver of PTF is building a
complete inventory of transients in the local Universe (distance less than 200
Mpc). Here, we report the discovery of PTF10fqs, a transient in the luminosity
"gap" between novae and supernovae. Located on a spiral arm of Messier 99, PTF
10fqs has a peak luminosity of Mr = -12.3, red color (g-r = 1.0) and is slowly
evolving (decayed by 1 mag in 68 days). It has a spectrum dominated by
intermediate-width H (930 km/s) and narrow calcium emission lines. The
explosion signature (the light curve and spectra) is overall similar to thatof
M85OT2006-1, SN2008S, and NGC300OT. The origin of these events is shrouded in
mystery and controversy (and in some cases, in dust). PTF10fqs shows some
evidence of a broad feature (around 8600A) that may suggest very large
velocities (10,000 km/s) in this explosion. Ongoing surveys can be expected to
find a few such events per year. Sensitive spectroscopy, infrared monitoring
and statistics (e.g. disk versus bulge) will eventually make it possible for
astronomers to unravel the nature of these mysterious explosions.Comment: 12 pages, 12 figures, Replaced with published versio
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