Biventricular Myocardial Noncompaction

The isolated noncompacted ventricular myocardium (NCVM), characterized by excessively prominent trabecular meshwork and deep intertrabecular recesses, is seen in the early period of embryogenesis. Clinical manifestations of NCVM are symptoms associated with depressed left ventricular systolic function, with ventricular arrhythmias, and with systemic embolization. Characteristics on echocardiography have been defined as absent coexisting cardiac abnormalities, non-compacted trabecular endocardium with deep endomyocardial spaces, predominant localisation of the trabeculation to mid-lateral, apical and mid-inferior segments, and a colour Doppler evidence of deep perfused intertrabecular recesses. We describe a case of isolated noncompaction of the left and right ventricular myocardium in a 17-year-old man who presented initially with palpitation and syncope

Agile Knowledge Management: A Review, Reconceptualization, and Extension to Military Applications

This study contributes to the literature by integrating agility in knowledge management (KM) operations, especially in military environments via major findings of (a) introducing a new approach to KM with integration of \u27agility\u27; (b) articulating the application of an enhanced process of Agile Knowledge Management (AKM) across the military. The purpose of the study is to explore the conceptual background of agility in KM, re-conceptualize it and extend it to military applications with a special focus on counterinsurgency (COIN). An initial qualitative exploration of agility in KM was performed. Three different concepts and their interrelationships were analyzed: (a) KM, (b) agility in operations, and (c) military organizations in the COIN environment. Findings from this initial qualitative analysis were used to inductively redefine, re-conceptualize, and extend the concept of AKM, as well as, to compare and adapt the AKM concept to the military environment of COIN. An additional qualitative analysis was performed to validate the extended concept of AKM. While this study is mainly focused on AKM in a dynamic multinational and joint military environment of COIN, conclusions may be applicable in a broader context. The results of this research can be used by engineering managers and KM practitioners and academics with particular focus on the military environment as foundation for (a) further research and development in AKM (b) developing customized AKM education programs and (c) extending the concept of AKM and its application to other environments

The prevalence of vertigo among high school students and an evaluation of quality of life

Background: The purpose of the study is to determine the prevalence of vertigo among secondary and high school students, to examine the variables thought to be related and to evaluate the quality of life.Methods: This study was carried out between 1st November-30th December 2016 on secondary and high school students in Beylikova and Sivrihisar counties which is located at the research area of the Department of Public Health Eskisehir Osmangazi University. Those who had dizziness within the last three months have been assumed as having vertigo. Visual Analog Scale has been used in order to evaluate the severity of vertigo. The life quality of children has been evaluated through Quality of Life Scale (QoL) for Children.Results: The study group has been composed of 911 males (46.5%) and 1.047 females (53.5%). The prevalence of vertigo has been determined as 30.8%. The most common concomitant symptoms of students are headache (22.6%), staggering while walking (15.8%), and tinnitus (10.3%).It has been found that the QoL of students having complaints of vertigo is lower than that of those not having complaints of vertigo. The most common type of vertigo within the study group has been Orthostatic Dizziness (70.0%). There has been no correlation between types of vertigo and QoL; however, when the severity of vertigo is considered, it has been found within our study group that the QoL of the students having mild vertigo is higher than that of those having moderate or higher severity of vertigo(p<0.05.Conclusions: Vertigo is one of the most common symptoms among children and adolescents and may result from many factors. It may be useful to carry out screening with the purpose of early diagnosis and treatment parentheses, direct diagnosed cases to specialist physicians and organize events to create awareness. More comprehensive studies are needed to reveal the relationship between vertigo and QoL

Thieno[3,2-b]thiophene and triphenylamine-based hole transport materials for perovskite solar cells

Heterocyclic compounds have played significant roles in achieving high performance as hole transport materials (HTMs) for perovskite solar cell (PSC) applications. Various studies have focused on the development of fused heterocyclic conjugated structures for hole transport materials. In this report, three novel π-extended conjugated materials (M1-M3), based on thieno[3,2-b]thiophene (TT) and 4,4′-dimethoxytriphenylamine [TPA(OMe)2], were designed and successfully synthesized via Palladium (0) catalyzed Suzuki coupling reaction. Their optical, electrochemical, and thermal properties were investigated by UV-Vis, fluorescence, cyclic voltammetry, and thermal analysis. The materials were utilized as hole transport materials in p-i-n architecture perovskite solar cells, which displayed performances of open-circuit voltage (Voc) as high as 1,050 mV, a maximum short-circuit current (Jsc) of 16,9 mA/cm2, a maximum fill factor (FF) of 29.3%, and a power conversion efficiency (PCE) of 5.20%. This work demonstrated that thieno[3,2-b]thiophene and TPA(OMe)2-based structures are promising cores for high-performance hole transport materials in perovskite solar cell architecture

Attitudes and Behaviors Regarding Smoking in Friends and Relatives of Patients in Emergency Room: A New Frontier in the Fight against Tobacco

Background: Emergency rooms (ERs) are usually crowded with friends and relatives (F&Rs) of the patients. This experience may result in changes in smoking behaviors and create opportunities for smoking cessation interventions. The study aims to investigate these changes and offers a new frontier in the fight against smoking.Methods: This cross-sectional study was conducted in the ERs of two universities in different cities. A questionnaire consisting of 18 questions was applied to F&Rs of the emergency patients. Statistical analysis was performed using Jamovi program.Findings: A total of 603 respondents were included in the study. Of them, 71.3% were first-degree relatives, 51.7% waited 5 or more times in ER before, and 68.6% spent 0-2 hours in a day around the ER. Upon witnessing patients in the ERs, 53.4% of the F&Rs had the idea of quitting smoking and 42.9% wanted to have smoking cessation therapy during their wait in the hospital. While 76.1% of the participants were not using different brands of cigarettes when offered in normal life, this rate was lower around the ERs (64.6%) (P < 0.001). Participants smoked 0.82 ± 0.34 cigarette per hour in normal life excluding sleeping time; this number raised almost 6 folds during the wait (4.85 ± 2.11) (P < 0.001).Conclusion: F&Rs smoked more during waiting around ERs. However, they also expressed desire to quit smoking and receive smoking cessation intervention during the wait. Providing smoking cessation counseling to F&Rs in the ER may be a valuable intervention

Full-endoscopic removal of third ventricular colloid cysts: technique, results, and limitations

IntroductionColloid cysts (CCs) are rare benign lesions that usually arise from the roof of the third ventricle. They may present with obstructive hydrocephalus and cause sudden death. Treatment options include ventriculoperitoneal shunting, cyst aspiration, and cyst resection microscopically or endoscopically. This study aims to report and discuss the full-endoscopic technique for removing colloid cysts.Materials and methodsA 25°-angled neuroendoscope with an internal working channel diameter of 3.1 mm and a length of 122 mm is used. The authors described the technique of resecting a colloid cyst by a full-endoscopic procedure and evaluated the surgical, clinical, and radiological results.ResultsTwenty-one consecutive patients underwent an operation with a transfrontal full-endoscopic approach. The swiveling technique (grasping the cyst wall and rotational movements) was used for CC resection. Of these patients, 11 were female, and ten were male (mean age, 41 years). The most frequent initial symptom was a headache. The mean cyst diameter was 13.9 mm. Thirteen patients had hydrocephalus at admission, and one needed shunting after cyst resection. Seventeen patients (81%) underwent total resection; 3 (14%), subtotal resection; and 1 (5%), partial resection. There was no mortality; one patient had permanent hemiplegia, and one had meningitis. The mean follow-up period was 14 months.ConclusionEven though microscopic resection of cysts has been widely used as a gold standard, successful endoscopic removal has been described recently with lower complication rates. Applying angled endoscopy with different techniques is essential for total resection. Our study is the first case series to show the outcomes of the swiveling technique with low recurrence and complication rates

Jet energy measurement with the ATLAS detector in proton-proton collisions at root s=7 TeV

The jet energy scale and its systematic uncertainty are determined for jets measured with the ATLAS detector at the LHC in proton-proton collision data at a centre-of-mass energy of √s = 7TeV corresponding to an integrated luminosity of 38 pb-1. Jets are reconstructed with the anti-kt algorithm with distance parameters R=0. 4 or R=0. 6. Jet energy and angle corrections are determined from Monte Carlo simulations to calibrate jets with transverse momenta pT≥20 GeV and pseudorapidities {pipe}η{pipe}<4. 5. The jet energy systematic uncertainty is estimated using the single isolated hadron response measured in situ and in test-beams, exploiting the transverse momentum balance between central and forward jets in events with dijet topologies and studying systematic variations in Monte Carlo simulations. The jet energy uncertainty is less than 2. 5 % in the central calorimeter region ({pipe}η{pipe}<0. 8) for jets with 60≤pT<800 GeV, and is maximally 14 % for pT<30 GeV in the most forward region 3. 2≤{pipe}η{pipe}<4. 5. The jet energy is validated for jet transverse momenta up to 1 TeV to the level of a few percent using several in situ techniques by comparing a well-known reference such as the recoiling photon pT, the sum of the transverse momenta of tracks associated to the jet, or a system of low-pT jets recoiling against a high-pT jet. More sophisticated jet calibration schemes are presented based on calorimeter cell energy density weighting or hadronic properties of jets, aiming for an improved jet energy resolution and a reduced flavour dependence of the jet response. The systematic uncertainty of the jet energy determined from a combination of in situ techniques is consistent with the one derived from single hadron response measurements over a wide kinematic range. The nominal corrections and uncertainties are derived for isolated jets in an inclusive sample of high-pT jets. Special cases such as event topologies with close-by jets, or selections of samples with an enhanced content of jets originating from light quarks, heavy quarks or gluons are also discussed and the corresponding uncertainties are determined. © 2013 CERN for the benefit of the ATLAS collaboration

Measurement of the inclusive and dijet cross-sections of b-jets in pp collisions at sqrt(s) = 7 TeV with the ATLAS detector

The inclusive and dijet production cross-sections have been measured for jets containing b-hadrons (b-jets) in proton-proton collisions at a centre-of-mass energy of sqrt(s) = 7 TeV, using the ATLAS detector at the LHC. The measurements use data corresponding to an integrated luminosity of 34 pb^-1. The b-jets are identified using either a lifetime-based method, where secondary decay vertices of b-hadrons in jets are reconstructed using information from the tracking detectors, or a muon-based method where the presence of a muon is used to identify semileptonic decays of b-hadrons inside jets. The inclusive b-jet cross-section is measured as a function of transverse momentum in the range 20 < pT < 400 GeV and rapidity in the range |y| < 2.1. The bbbar-dijet cross-section is measured as a function of the dijet invariant mass in the range 110 < m_jj < 760 GeV, the azimuthal angle difference between the two jets and the angular variable chi in two dijet mass regions. The results are compared with next-to-leading-order QCD predictions. Good agreement is observed between the measured cross-sections and the predictions obtained using POWHEG + Pythia. MC@NLO + Herwig shows good agreement with the measured bbbar-dijet cross-section. However, it does not reproduce the measured inclusive cross-section well, particularly for central b-jets with large transverse momenta.Comment: 10 pages plus author list (21 pages total), 8 figures, 1 table, final version published in European Physical Journal