Refeeding Hypophosphatemia in Adolescents With Anorexia Nervosa: A Systematic Review

The rate of adolescents presenting with anorexia nervosa (AN) is increasing. Medically unstable adolescents are admitted to the hospital for nutrition restoration. A lack of global consensus on appropriate refeeding practices of malnourished patients has resulted in inconsistent refeeding practices. Refeeding hypophosphatemia (RH) is the most common complication associated with refeeding the malnourished patient. This review sought to identify the range of refeeding rates adopted globally and the implication that total energy intake and malnutrition may have on RH while refeeding adolescents with anorexia nervosa. Studies were identified by a systematic electronic search of medical databases from 1980 to September 2012. Seventeen publications were identified, including 6 chart reviews, 1 observational study, and 10 case reports, with a total of 1039 subjects. The average refeeding energy intake was 1186 kcal/d, ranging from 125–1900 kcal/d, with a mean percentage median body mass index (% mBMI) of 78%. The average incidence rate of RH was 14%. A significant correlation between malnutrition (% mBMI) and post-refeeding phosphate was identified (R 2 = 0.6, P = .01). This review highlights the disparity in refeeding rates adopted internationally in treating malnourished adolescents with anorexia nervosa. Based on this review, the severity of malnutrition seems to be a marker for the development of RH more so than total energy intake

Studies of Stellar Collapse and Black Hole Formation with the Open-Source Code GR1D

We discuss results from simulations of black hole formation in failing core-collapse supernovae performed with the code GR1D, a new open-source Eulerian spherically-symmetric general-relativistic hydrodynamics code. GR1D includes rotation in an approximate way (1.5D) comes with multiple finite-temperature nuclear equations of state (EOS), and treats neutrinos in the post-core-bounce phase via a 3-flavor leakage scheme and a heating prescription. We chose the favored K_0 = 220 MeV-variant of the Lattimer & Swesty (1990) EOS and present collapse calculations using the progenitor models of Limongi & Chieffi (2006). We show that there is no direct (or “prompt”) black hole formation in the collapse of ordinary massive stars (8M_☉ ≲ M_(ZAMS) ≲ 100 M_☉) present first results from black hole formation simulations that include rotation

The Progenitor Dependence of the Preexplosion Neutrino Emission in Core-Collapse Supernovae

We perform spherically-symmetric general-relativistic simulations of core collapse and the postbounce preexplosion phase in 32 presupernova stellar models of solar metallicity with zero-age-main-sequence masses of 12 M_{sun} to 120 M_{sun}. Using energy-dependent three-species neutrino transport in the two-moment approximation with an analytic closure, we show that the emitted neutrino luminosities and spectra follow very systematic trends that are correlated with the compactness (~M/R) of the progenitor star's inner regions via the accretion rate in the preexplosion phase. We find that these qualitative trends depend only weakly on the nuclear equation of state, but quantitative observational statements will require independent constraints on the equation of state and the rotation rate of the core as well as a more complete understanding of neutrino oscillations. We investigate the simulated response of water Cherenkov detectors to the electron antineutrino fluxes from our models and find that the large statistics of a galactic core collapse event may allow robust conclusions on the inner structure of the progenitor star.Comment: 16 emulateapj pages, 10 figures, 1 table. matches published versio

Tip–sample interactions: Extraction of single molecular pair potentials from force curves

This article describes a method for extracting the true tip–sample potential from an experimental force curve in atomic force microscopy. This potential is not the negative integral of the force curve. Rather, the potential is a more complicated function of the force curve and cantilever spring constant. If information about the shape of the tip is known, a decorrelation may be performed to extract molecular pair potentials from the total tip–sample potential. Applications and limitations of this method are discussed

Information architecture for a federated health record server

This paper describes the information models that have been used to implement a federated health record server and to deploy it in a live clinical setting. The authors, working at the Centre for Health Informatics and Multiprofessional Education (University College London), have built up over a decade of experience within Europe on the requirements and information models that are needed to underpin comprehensive multi-professional electronic health records. This work has involved collaboration with a wide range of health care and informatics organisations and partners in the healthcare computing industry across Europe though the EU Health Telematics projects GEHR, Synapses, EHCR-SupA, SynEx and Medicate. The resulting architecture models have fed into recent European standardisation work in this area, such as CEN TC/251 ENV 13606. UCL has implemented a federated health record server based on these models which is now running in the Department of Cardiovascular Medicine at the Whittington Hospital in North London. The information models described in this paper reflect a refinement based on this implementation experience

Design and implementation of a federated health record server

This paper describes the practical implementation of a federated health record serverbased on a generic and comprehensive public domain architecture and deployed in alive clinical setting.The authors, working at the Centre for Health Informatics and MultiprofessionalEducation (University College London), have built up over a decade of experiencewithin Europe on the requirements and information models that are needed to underpincomprehensive multi-professional electronic health records. This work has involvedcollaboration with a wide range of healthcare and informatics organisations and partnersin the healthcare computing industry across Europe though the EU Health Telematicsprojects GEHR, Synapses, EHCR-SupA, SynEx and Medicate. The resultingarchitecture models have influenced recent European standards in this area, such asCEN TC/251 ENV 13606. UCL has now designed and built a federated health recordserver based on these models which is now running in the Department ofCardiovascular Medicine at the Whittington Hospital in north London. A new EC FifthFramework project, 6WINIT, is enabling new and innovative IPv6 and wirelesstechnology solutions to be added to this work.The north London clinical demonstrator site has provided the solid basis from which toestablish "proof of concept" verification of the design approach, and a valuableopportunity to install, test and evaluate the results of the component engineeringundertaken during the EC funded projects