104 research outputs found

    Revised trauma scoring system to predict in-hospital mortality in the emergency department: Glasgow Coma Scale, Age, and Systolic Blood Pressure score

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    Introduction: Our aim in this study was to assess whether the new Glasgow Coma Scale, Age, and Systolic Blood Pressure (GAP) scoring system, which is a modification of the Mechanism, Glasgow Coma Scale, Age, and Arterial Pressure (MGAP) scoring system, better predicts in-hospital mortality and can be applied more easily than previous trauma scores among trauma patients in the emergency department (ED). Methods: This multicenter, prospective, observational study was conducted to analyze readily available variables in the ED, which are associated with mortality rates among trauma patients. The data used in this study were derived from the Japan Trauma Data Bank (JTDB), which consists of 114 major emergency hospitals in Japan. A total of 35,732 trauma patients in the JTDB from 2004 to 2009 who were 15 years of age or older were eligible for inclusion in the study. Of these patients, 27,154 (76%) with complete sets of important data (patient age, Glasgow Coma Scale (GCS) score, systolic blood pressure (SBP), respiratory rate and Injury Severity Score (ISS)) were included in our analysis. We calculated weight for the predictors of the GAP scores on the basis of the records of 13,463 trauma patients in a derivation data set determined by using logistic regression. Scores derived from four existing scoring systems (Revised Trauma Score, Triage Revised Trauma Score, Trauma and Injury Severity Score and MGAP score) were calibrated using logistic regression models that fit in the derivation set. The GAP scoring system was compared to the calibrated scoring systems with data from a total of 13,691 patients in a validation data set using c-statistics and reclassification tables with three defined risk groups based on a previous publication: low risk (mortality 50%). Results: Calculated GAP scores involved GCS score (from three to fifteen points), patient age 120 mmHg, six points; 60 to 120 mmHg, four points). The c-statistics for the GAP scores (0.933 for long-term mortality and 0.965 for short-term mortality) were better than or comparable to the trauma scores calculated using other scales. Compared with existing instruments, our reclassification tables show that the GAP scoring system reclassified all patients except one in the correct direction. In most cases, the observed incidence of death in patients who were reclassified matched what would have been predicted by the GAP scoring system. Conclusions: The GAP scoring system can predict in-hospital mortality more accurately than the previously developed trauma scoring systems

    SoundBender: dynamic acoustic control behind obstacles

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    Ultrasound manipulation is growing in popularity in the HCI community with applications in haptics, on-body interaction, and levitation-based displays. Most of these applications share two key limitations: a) the complexity of the sound fields that can be produced is limited by the physical size of the transducers; and b) no obstacles can be present between the transducers and the control point. We present SoundBender, a hybrid system that overcomes these limitations by combining the versatility of phased arrays of transducers (PATs) with the precision of acoustic metamaterials. In this paper, we explain our approach to design and implement such hybrid modulators (i.e. to create complex sound fields) and methods to manipulate the field dynamically (i.e. stretch, steer). We demonstrate our concept using self-bending beams enabling both levitation and tactile feedback around an obstacle and present example applications enabled by SoundBender

    JDLED: towards visio-tactile displays based on electrochemical locomotion of liquid-metal Janus droplets

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    An actuated shape-changing interface with fast response and small pixel size using a liquid material can provide real time tangible interaction with the digital world in physical space. To this end, we demonstrate an interface that displays userdefined patterns dynamically using liquid metal droplets as programmable micro robots on a flat surface. We built a prototype using an array of embedded electrodes and a switching circuit to control the jump of the droplets from electrode to electrode. The actuation and dynamics of the droplets under the finger provides mild tactile feedback to the user. Our demo is the first to show a planar visio-tactile display using liquid metal, and is a first step to make shape-changing physical ephemeral widgets on a tabletop interface

    Spectral responses of GaAs photodiodes fabiricated by rapid thermal diffusion

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    The spectral responses of GaAs photodiodes fabricated by rapid thermal diffusion (RTD) of Zn are presented. The authors tried controlling the p+-n junction depth by the heating rate of RTD, without extending the diffusion time. It is found that Zn diffuses from the surface to a deeper position as the heating rate increases. Consequently, the spectral response of photodiodes formed by RTD is strongly dependent on the heating rate of RTD. A large improvement in the short-wavelength response between 400 and 800 nm is observed as the heating rate decreases
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