863 research outputs found
Catalytic and mechanistic studies into the epoxidation of styrenes using manganese complexes of structurally similar polyamine ligands
The synthesis and catalytic activity of manganese(ii) complexes of two polyamine ligands is reported which highlights how a small structural change in the ligand affects the overall catalytic behaviour.</p
Miocene to recent extension in NW Sulawesi, Indonesia
The Malino Metamorphic Complex (MMC) in the western part of the North Arm of Sulawesi (Indonesia) has previously been suggested to be a metamorphic complex exhumed in the Early-Middle Miocene. This idea was based on limited K-Ar and 40Ar/39Ar age data, but no structural data were presented to provide evidence for the mechanism of exhumation. Here we present new field observations, micro-structural analyses and a revised stratigraphy of NW Sulawesi based on new age data, to provide better constraints on the timing and mechanism of exhumation. The data presented here suggest that the MMC is a metamorphic core complex which underwent lithospheric extension during the Early - Middle Miocene. Although the MMC experienced significant extension, there is no evidence that it was exhumed during this time. There is no contact between the MMC and the Pliocene Ongka Volcanics, contradicting a previously inferred unconformable contact. Pliocene undeformed granitoids intruding the MMC indicate the complex was still at depth during their emplacement. Furthermore, Pliocene and Pleistocene cover sequences do not contain metamorphic detritus. A second phase of extensional uplift was accommodated by brittle faulting from the Late Miocene-Pliocene onwards, during which the MMC was exhumed. This extension is widespread, as indicated by synchronous exhumation of the adjacent Palu Metamorphic Complex in West Sulawesi, and rapid subsidence offshore in Gorontalo Bay. It is linked to northward slab rollback of the southward-subducting Celebes Sea since the Pliocene. GPS data show rapid northward motion of the North Arm of Sulawesi with respect to the Celebes Sea, indicating that this process is ongoing at present day
The 21-cm bispectrum as a probe of non-Gaussianities due to X-ray heating
We present analysis of the normalized 21-cm bispectrum from fully-numerical simulations of intergalactic-medium heating by stellar sources and high-mass X-ray binaries (HMXBs) during the cosmic dawn. Ly-α coupling is assumed to be saturated, we therefore probe the nature of non-Gaussianities produced by X-ray heating processes. We find the evolution of the normalized bispectrum to be very different from that of the power spectrum. It exhibits a turnover whose peak moves from large to small scales with decreasing redshift, and corresponds to the typical separation of emission regions. This characteristic scale reduces as more and more regions move into emission with time. Ultimately, small-scale fluctuations within heated regions come to dominate the normalized bispectrum, which at the end of the simulation is almost entirely driven by fluctuations in the density field. To establish how generic the qualitative evolution of the normalized bispectrum we see in the stellar + HMXB simulation is, we examine several other simulations – two fully numerical simulations that include quasi-stellar object (QSO) sources, and two with contrasting source properties produced with the semi-numerical simulation 21CMFAST. We find the qualitative evolution of the normalized bispectrum during X-ray heating to be generic, unless the sources of X-rays are, as with QSOs, less numerous and so exhibit more distinct isolated heated profiles. Assuming mitigation of foreground and instrumental effects are ultimately effective, we find that we should be sensitive to the normalized bispectrum during the epoch of heating, so long as the spin temperature has not saturated by z≈19
Usability evaluation methods employed to assess information visualisations of electronically stored patient data for clinical use: a protocol for a systematic review
Background
The use of electronic records in healthcare is increasing. To avoid errors, it is essential that the data displays used by these systems are usable: efficient, effective and satisfying. A wide variety of display techniques are used to present clinical data, but the best methods to assess the usability of these techniques have not been determined.
This systematic review will answer the question: What methods are employed to assess the usability of electronic visualisations of patient data for clinical use? The results of this systematic review will then be used to inform best assessment and design practice.
Methods
MEDLINE, EMBASE, CINAHL, OpenGrey, and the Cochrane Database of Systematic Reviews will be searched for original studies related to the usability of electronic information visualisations of patient data for clinical use. Reference lists of eligible studies and relevant reviews will be explored to identify further eligible studies.
Discussion
This systematic review will identify methods used to assess the usability of electronic information visualisations of patient data for clinical use. We will summarise the similarities and differences between the methods found. Our results will inform best practice when developing new user interfaces to display electronic patient data for clinical use
Effect of Digital Early Warning Scores on Hospital Vital Sign Observation Protocol Adherence: Stepped-Wedge Evaluation
Background:
Early warning scores (EWS) are routinely used in hospitals to assess a patient’s risk of deterioration. EWS are traditionally recorded on paper observation charts but are increasingly recorded digitally. In either case, evidence for the clinical effectiveness of such scores is mixed, and previous studies have not considered whether EWS leads to changes in how deteriorating patients are managed.
Objective:
This study aims to examine whether the introduction of a digital EWS system was associated with more frequent observation of patients with abnormal vital signs, a precursor to earlier clinical intervention.
Methods:
We conducted a 2-armed stepped-wedge study from February 2015 to December 2016, over 4 hospitals in 1 UK hospital trust. In the control arm, vital signs were recorded using paper observation charts. In the intervention arm, a digital EWS system was used. The primary outcome measure was time to next observation (TTNO), defined as the time between a patient’s first elevated EWS (EWS ≥3) and subsequent observations set. Secondary outcomes were time to death in the hospital, length of stay, and time to unplanned intensive care unit admission. Differences between the 2 arms were analyzed using a mixed-effects Cox model. The usability of the system was assessed using the system usability score survey.
Results:
We included 12,802 admissions, 1084 in the paper (control) arm and 11,718 in the digital EWS (intervention) arm. The system usability score was 77.6, indicating good usability. The median TTNO in the control and intervention arms were 128 (IQR 73-218) minutes and 131 (IQR 73-223) minutes, respectively. The corresponding hazard ratio for TTNO was 0.99 (95% CI 0.91-1.07; P=.73).
Conclusions:
We demonstrated strong clinical engagement with the system. We found no difference in any of the predefined patient outcomes, suggesting that the introduction of a highly usable electronic system can be achieved without impacting clinical care. Our findings contrast with previous claims that digital EWS systems are associated with improvement in clinical outcomes. Future research should investigate how digital EWS systems can be integrated with new clinical pathways adjusting staff behaviors to improve patient outcomes
Effects of the sources of reionization on 21-cm redshift-space distortions
The observed 21 cm signal from the epoch of reionization will be distorted along the line of sight by the peculiar velocities of matter particles. These redshift-space distortions will affect the contrast in the signal and will also make it anisotropic. This anisotropy contains information about the cross-correlation between the matter density field and the neutral hydrogen field, and could thus potentially be used to extract information about the sources of reionization. In this paper, we study a collection of simulated reionization scenarios assuming different models for the sources of reionization. We show that the 21 cm anisotropy is best measured by the quadrupole moment of the power spectrum. We find that, unless the properties of the reionization sources are extreme in some way, the quadrupole moment evolves very predictably as a function of global neutral fraction. This predictability implies that redshift-space distortions are not a very sensitive tool for distinguishing between reionization sources. However, the quadrupole moment can be used as a model-independent probe for constraining the reionization history. We show that such measurements can be done to some extent by first-generation instruments such as LOFAR, while the SKA should be able to measure the reionization history using the quadrupole moment of the power spectrum to great accuracy
Gridded and direct Epoch of Reionisation bispectrum estimates using the Murchison Widefield Array
We apply two methods to estimate the 21~cm bispectrum from data taken within
the Epoch of Reionisation (EoR) project of the Murchison Widefield Array (MWA).
Using data acquired with the Phase II compact array allows a direct bispectrum
estimate to be undertaken on the multiple redundantly-spaced triangles of
antenna tiles, as well as an estimate based on data gridded to the -plane.
The direct and gridded bispectrum estimators are applied to 21 hours of
high-band (167--197~MHz; =6.2--7.5) data from the 2016 and 2017 observing
seasons. Analytic predictions for the bispectrum bias and variance for point
source foregrounds are derived. We compare the output of these approaches, the
foreground contribution to the signal, and future prospects for measuring the
bispectra with redundant and non-redundant arrays. We find that some triangle
configurations yield bispectrum estimates that are consistent with the expected
noise level after 10 hours, while equilateral configurations are strongly
foreground-dominated. Careful choice of triangle configurations may be made to
reduce foreground bias that hinders power spectrum estimators, and the 21~cm
bispectrum may be accessible in less time than the 21~cm power spectrum for
some wave modes, with detections in hundreds of hours.Comment: 19 pages, 10 figures, accepted for publication in PAS
Evaluation of acoustic telemetry grids for determining aquatic animal movement and survival
1. Acoustic telemetry studies have frequently prioritized linear configurations of hydrophone receivers, such as perpendicular from shorelines or across rivers, to detect the presence of tagged aquatic animals. This approach introduces unknown bias when receivers are stationed for convenience at geographic bottlenecks (e.g. at the mouth of an embayment or between islands) as opposed to deployments following a statistical sampling design.
2. We evaluated two-dimensional acoustic receiver arrays (grids: receivers spread uniformly across space) as an alternative approach to provide estimates of survival, movement and habitat use. Performance of variably spaced receiver grids (5–25 km spacing) was evaluated by simulating (1) animal tracks as correlated random walks (speed: 0.1–0.9 m/s; turning angle SD: 5–30°); (2) variable tag transmission intervals along each track (nominal delay: 15–300 s); and (3) probability of detection of each transmission based on logistic detection range curves (midpoint: 200–1,500 m). From simulations, we quantified (i) time between successive detections on any receiver (detection time), (ii) time between successive detections on different receivers (transit time), and (iii) distance between successive detections on different receivers (transit distance).
3. In the most restrictive detection range scenario (200 m), the 95th percentile of transit time was 3.2 days at 5 km, 5.7 days at 7 km and 15.2 days at 25 km grid spacing; for the 1,500 m detection range scenario, it was 0.1 days at 5 km, 0.5 days at 7 km and 10.8 days at 25 km. These values represented upper bounds on the expected maximum time that an animal could go undetected. Comparison of the simulations with pilot studies on three fishes (walleye Sander vitreus, common carp Cyprinus carpio and channel catfish Ictalurus punctatus) from two independent large lake ecosystems (lakes Erie and Winnipeg) revealed shorter detection and transit times than what simulations predicted.
4. By spreading effort uniformly across space, grids can improve understanding of fish migration over the commonly employed receiver line approach, but at increased time cost for maintaining grids
Evaluation of acoustic telemetry grids for determining aquatic animal movement and survival
1. Acoustic telemetry studies have frequently prioritized linear configurations of hydrophone receivers, such as perpendicular from shorelines or across rivers, to detect the presence of tagged aquatic animals. This approach introduces unknown bias when receivers are stationed for convenience at geographic bottlenecks (e.g. at the mouth of an embayment or between islands) as opposed to deployments following a statistical sampling design.
2. We evaluated two-dimensional acoustic receiver arrays (grids: receivers spread uniformly across space) as an alternative approach to provide estimates of survival, movement and habitat use. Performance of variably spaced receiver grids (5–25 km spacing) was evaluated by simulating (1) animal tracks as correlated random walks (speed: 0.1–0.9 m/s; turning angle SD: 5–30°); (2) variable tag transmission intervals along each track (nominal delay: 15–300 s); and (3) probability of detection of each transmission based on logistic detection range curves (midpoint: 200–1,500 m). From simulations, we quantified (i) time between successive detections on any receiver (detection time), (ii) time between successive detections on different receivers (transit time), and (iii) distance between successive detections on different receivers (transit distance).
3. In the most restrictive detection range scenario (200 m), the 95th percentile of transit time was 3.2 days at 5 km, 5.7 days at 7 km and 15.2 days at 25 km grid spacing; for the 1,500 m detection range scenario, it was 0.1 days at 5 km, 0.5 days at 7 km and 10.8 days at 25 km. These values represented upper bounds on the expected maximum time that an animal could go undetected. Comparison of the simulations with pilot studies on three fishes (walleye Sander vitreus, common carp Cyprinus carpio and channel catfish Ictalurus punctatus) from two independent large lake ecosystems (lakes Erie and Winnipeg) revealed shorter detection and transit times than what simulations predicted.
4. By spreading effort uniformly across space, grids can improve understanding of fish migration over the commonly employed receiver line approach, but at increased time cost for maintaining grids
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