Effectiveness of mechanical chest compression for out-of-hospital cardiac arrest patients in an emergency department

AbstractBackgroundTo increase the chance of restoring spontaneous circulation, cardiopulmonary resuscitation (CPR) with high-quality chest compressions is needed. We hypothesized that, in a municipal hospital emergency department, the outcome in nontraumatic out-of-hospital cardiac arrest patients treated with standard CPR followed by mechanical chest compression (MeCC) was not inferior to that followed by manual chest compression (MaCC). The purposes of the study were to test our hypothesis and investigate whether the use of MeCC decreased human power demands for CPR.MethodsA total of 455 consecutive out-of-hospital cardiac arrest patients of presumed cardiac etiology were divided into two groups according to the chest compressions they received (MaCC or MeCC) in this retrospective review study. Human power demand for CPR was described according to the Basic Life Support/Advanced Cardiovascular Life Support guidelines and the device handbook. The primary endpoint was recovery of spontaneous circulation during resuscitation, and the secondary endpoints were survival to hospital admission and medical human power demands.ResultsIn this study, recovery of spontaneous circulation was achieved in 33.3% of patients in the MeCC group and in 27.1% in the MaCC group (p = 0.154), and the percentages of patients who survived hospitalization were 22.2% and 17.6%, respectively (p = 0.229). A ratio of 2:4 for the human power demand for CPR between the groups was found. Independent predictors of survival to hospitalization were ventricular fibrillation/pulseless ventricular tachycardia as initial rhythm and recovery of spontaneous circulation.ConclusionNo difference was found in early survival between standard CPR performed with MeCC and that performed with MaCC. However, the use of the MeCC device appears to promote staff availability without waiving patient care in the human power-demanding emergency departments of Taiwan hospitals

2019 Kidney Tumor Segmentation Challenge: Medical Image Segmentation with Two-Stage Process

Since we are trying to deal with the medical images of real patients, the dataset are usually predominantly composed of ”normal” samples. The target classes only appear in a very small portion of the entire dataset, which leads to the so-called class imbalance problem. Besides, there is only a small percentage of foreground inside the ”abnormal” images. The great majority of background leads the significant detrimental effect on training. In such cases, model tends to focus on learning the dominant classes, leading to the poor prediction of minority class. However, the incorrect classification of pathological images can cause serious consequence in clinical practice

Pair production of the T-odd leptons at the LHC

The T-odd leptons predicted by the littlest $Higgs$ model with T-parity can be pair produced via the subprocesses $gg\to \ell^{+}_{H}\ell^{-}_{H}$, $q\bar{q}\to \ell^{+}_{H}\ell^{-}_{H}$, $\gamma\gamma\to \ell^{+}_{H}\ell^{-}_{H}$ and $VV \to \ell^{+}_{H}\ell^{-}_{H}$ ($V$=$W$ or $Z$) at the $CERN$ Large Hadron Collider $(LHC)$. We estimate the hadronic production cross sections for all of these processes and give a simply phenomenology analysis. We find that the cross sections for most of the above processes are very small. However, the value of the cross section for the $Drell-Yan$ process $q\bar{q}\to \ell^{+}_{H}\ell^{-}_{H}$ can reach $270fb$.Comment: 12 pages, 2 figure

Nonlinear and nonreciprocal transport effects in untwinned thin films of ferromagnetic Weyl metal SrRuO3_3

The identification of distinct charge transport features, deriving from nontrivial bulk band and surface states, has been a challenging subject in the field of topological systems. In topological Dirac and Weyl semimetals, nontrivial conical bands with Fermi-arc surfaces states give rise to negative longitudinal magnetoresistance due to chiral anomaly effect and unusual thickness dependent quantum oscillation from Weyl-orbit effect, which were demonstrated recently in experiments. In this work, we report the experimental observations of large nonlinear and nonreciprocal transport effects for both longitudinal and transverse channels in an untwinned Weyl metal of SrRuO$_3$ thin film grown on a SrTiO$_{3}$ substrate. From rigorous measurements with bias current applied along various directions with respect to the crystalline principal axes, the magnitude of nonlinear Hall signals from the transverse channel exhibits a simple sin$\alpha$ dependent at low temperatures, where $\alpha$ is the angle between bias current direction and orthorhombic [001]$_{\rm o}$, reaching a maximum when current is along orthorhombic [1-10]$_{\rm o}$. On the contrary, the magnitude of nonlinear and nonreciprocal signals in the longitudinal channel attains a maximum for bias current along [001]$_{\rm o}$, and it vanishes for bias current along [1-10]$_{\rm o}$. The observed $\alpha$-dependent nonlinear and nonreciprocal signals in longitudinal and transverse channels reveal a magnetic Weyl phase with an effective Berry curvature dipole along [1-10]$_{\rm o}$ from surface states, accompanied by 1D chiral edge modes along [001]$_{\rm o}$.Comment: 24 pages, 6 figure