Demographics and Outcomes of Pulmonary Hypertension Patients in United States Emergency Departments

Introduction: Pulmonary hypertension (PH) is a common, yet under-diagnosed, contributor to morbidity and mortality. Our objective was to characterize the prevalence of PH among adult patients presenting to United States (US) emergency departments (ED) and to identify demographic patterns and outcomes of PH patients in the ED.Methods: We analyzed the Nationwide Emergency Department Sample (NEDS) database, with a focus on ED patients aged 18 years and older, with any International Classification of Diseases, Clinical Modification (ICD)-9-CM or ICD-10-CM diagnosis code for PH from 2011 to 2015. The primary outcome was inpatient, all-cause mortality. The secondary outcomes were hospital admission rates and hospital length of stay (LOS).Results: From 2011 to 2015, in a sample of 121,503,743 ED visits, representing a weighted estimate of 545,500,486 US ED visits, patients with a diagnosis of PH accounted for 0.78% (95% confidence interval [CI], 0.75- 0.80%) of all US ED visits. Of the PH visits, 86.9% were admitted to the hospital, compared to 16.3% for all other ED visits (P <0.001). Likewise, hospital LOS and hospital-based mortality were higher in the PH group than for other ED patients (e.g., inpatient mortality 4.5% vs 2.6%, P < 0.001) with an adjusted odds ratio (aOR) of 1.34 (95% CI, 1.31–1.37). Age had the strongest association with mortality, with an aOR of 10.6 for PH patients over 80 years (95% CI, 10.06–11.22), compared to a reference of ages 18 to 30 years.Conclusion: In this nationally representative sample, presentations by patients with PH were relatively common, accounting for nearly 0.8% of US ED visits. Patients with PH were significantly more likely to be admitted to the hospital than all other patients, had longer hospital LOS, and increased risk of inpatient mortality

Movie of the interplanetary magnetic field

Description of movie representing IMP-1 MAGNETOMETER observations of interplanetary magnetic fiel

Development of high-emittance scales on thoriated nickel-chromium-aluminum-base alloys

The surface regions of a DSNiCrAl alloy have been doped, by a pack diffusion process, with small amounts of Mn, Fe, or Co, and the effect of these dopants on the total normal emissivity of the scales produced by subsequent high temperature oxidation has been measured. While all three elements lead to a modest increase in emissivity, (up to 23% greater than the undoped alloy) only the change caused by manganese is thermally stable. However, this increased emissivity is within 85 percent of that of TDNiCr oxidized to form a chromia scale. The maganese-doped alloy is some 50 percent weaker than undoped DSNiCrAl after the doping treatment, and approximately 30 percent weaker after oxidation

Interplanetary magnetic field IMP-1, motion picture of the transverse components

Motion picture report of IMP-1 magnetometer observations of interplanetary magnetic fiel

Characterizing Entanglement via Uncertainty Relations

We derive a family of necessary separability criteria for finite-dimensional systems based on inequalities for variances of observables. We show that every pure bipartite entangled state violates some of these inequalities. Furthermore, a family of bound entangled states and true multipartite entangled states can be detected. The inequalities also allow to distinguish between different classes of true tripartite entanglement for qubits. We formulate an equivalent criterion in terms of covariance matrices. This allows us to apply criteria known from the regime of continuous variables to finite-dimensional systems.Comment: 4 pages, no figures. v2: Some discussion added, main results unchange

Ethanol Plant Location Determinants and County Comparative Advantage

The location of ethanol plants is determined by infrastructure, product and input markets, fiscal attributes of local communities, and state and federal incentives. This empirical analysis uses probit regression along with spatial clustering methods to analyze investment activity of ethanol plants at the county level for the lower U.S. 48 states from 2000 to 2007. The availability of feedstock dominates the site selection decision. Other factors, such as access to navigable rivers or railroads, product markets, producer credit and excise tax exemptions, and methyl tertiary-butyl ether bans provided some counties with a comparative advantage in attracting ethanol plants.cluster analysis, comparative advantage, ethanol production, location model, Community/Rural/Urban Development, Environmental Economics and Policy, Political Economy, R1, R3,

Comparison of the mean photospheric magnetic field and the interplanetary magnetic field

Polarity comparison of solar magnetic field and interplanetary magnetic fiel

Functional Forms for the Squeeze and the Time-Displacement Operators

Using Baker-Campbell-Hausdorff relations, the squeeze and harmonic-oscillator time-displacement operators are given in the form $\exp[\delta I] \exp[\alpha (x^2)]\exp[\beta(x\partial)] \exp[\gamma (\partial)^2]$, where $\alpha$, $\beta$, $\gamma$, and $\delta$ are explicitly determined. Applications are discussed.Comment: 10 pages, LaTe

Validation of GOES-Derived Surface Radiation Using NOAA's Physical Retrieval Method

This report was part of a multiyear collaboration with the University of Wisconsin and the National Oceanic and Atmospheric Administration (NOAA) to produce high-quality, satellite-based, solar resource datasets for the United States. High-quality, solar resource assessment accelerates technology deployment by making a positive impact on decision making and reducing uncertainty in investment decisions. Satellite-based solar resource datasets are used as a primary source in solar resource assessment. This is mainly because satellites provide larger areal coverage and longer periods of record than ground-based measurements. With the advent of newer satellites with increased information content and faster computers that can process increasingly higher data volumes, methods that were considered too computationally intensive are now feasible. One class of sophisticated methods for retrieving solar resource information from satellites is a two-step, physics-based method that computes cloud properties and uses the information in a radiative transfer model to compute solar radiation. This method has the advantage of adding additional information as satellites with newer channels come on board. This report evaluates the two-step method developed at NOAA and adapted for solar resource assessment for renewable energy with the goal of identifying areas that can be improved in the future