2,141 research outputs found

    Comparison of two European paediatric emergency departments: does primary care organisation influence emergency attendance?

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    Backround: To compare paediatric Emergency Department (ED) attendances and admission outcomes in twoEuropean hospitals with different paediatric primary care set-up. Methods: This is a retrospective prevalence study comparing all paediatric ED attendances during calendar years 2013 in two EDs with similar catchment area: one in Italy (Trieste) where paediatric primary care is provided by office paediatricians, the other, in the UK (Cambridge), where paediatric primary care is provided by general practitioners. Data on reason for presentation, discharge diagnosis and admission rate were collected and sub-group analysis for specific age groups (<1 year, 1 \u2013 4 years, 5 \u2013 15 years) was performed. Results: Over 12 months, 20.331 children (0 \u2013 15 years old) were seen in Cambridge and 18.646 in Trieste, with a very similar age distribution in both centres, except for the youngest age group: the percentage of infants seen in comparison with the total number of children attending ED was 1/3 higher in England than in Italy (15.4% vs 11. 4%). The reasons for attendance were similar: under 1 year of age, the chief complaints were fever, breathing difficulties and gastrointestinal problems while in the older age groups trauma represented the commonest reason. Among discharge diagnoses, no differences were found between the two hospitals, except for faltering growth and \u201c well child \u201d , more frequently diagnosed in English children under 5 years. The proportion of admissions was three times higher in Cambridge (14.1% vs 4.8%) with most children being admitted for infectious diseases. Conclusions: ED attendances in infants are more common in a primary care setting provided by general practicioner and, moreover, admission rates in all age groups are 1/3 reduced by primary care based paediatricians. Due to the methodological limits of this study, it isn't possible to evaluate whether these results depend only on paediatric primary care set-up or be determined by other confounding factors. New studies are needed to confirm this preliminary evidence

    Second specimen of the Late Cretaceous sauropod dinosaur Diamantinasaurus matildae provides new anatomical information on skull and neck evolution in early titanosaurs and the biogeographic origins of Australian dinosaur faunas

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    The titanosaurian sauropod dinosaur Diamantinasaurus matildae is represented by two individuals from the Cenomanian–lower Turonian ‘upper’ Winton Formation of central Queensland, north-eastern Australia. The type specimen has been described in detail, whereas the referred specimen, which includes several elements not present in the type series (partial skull, atlas, axis and postaxial cervical vertebrae), has only been described briefly. Herein, we provide a comprehensive description of this referred specimen, including a thorough assessment of the external and internal anatomy of the braincase, and identify several new autapomorphies of D. matildae. Via an expanded data matrix consisting of 125 taxa scored for 552 characters, we recover a close, well-supported relationship between Diamantinasaurus and its contemporary, Savannasaurus elliottorum. Unlike previous iterations of this data matrix, under a parsimony framework we consistently recover Diamantinasaurus and Savannasaurus as early-diverging members of Titanosauria using both equal weighting and extended implied weighting, with the overall topology largely consistent between analyses. We erect a new clade, named Diamantinasauria herein, that also includes the contemporaneous Sarmientosaurus musacchioi from southern Argentina, which shares several cranial features with the referred Diamantinasaurus specimen. Thus, Diamantinasauria is represented in the mid-Cretaceous of both South America and Australia, supporting the hypothesis that some titanosaurians, in addition to megaraptoran theropods and possibly some ornithopods, were able to disperse between these two continents via Antarctica. Conversely, there is no evidence for rebbachisaurids in Australia, which might indicate that they were unable to expand into high latitudes before their extinction in the Cenomanian–Turonian. Likewise, there is no evidence for titanosaurs with procoelous caudal vertebrae in the mid-Cretaceous Australian record, despite scarce but compelling evidence for their presence in both Antarctica and New Zealand during the Campanian–Maastrichtian. These later titanosaurs presumably dispersed into these landmasses from South America before the Campanian (~85 Mya), when seafloor spreading between Zealandia and Australia commenced. Although Australian mid-Cretaceous dinosaur faunas appear to be cosmopolitan at higher taxonomic levels, closer affinities with South America at finer scales are becoming better supported for sauropods, theropods and ornithopods

    Study of Inclusive J/psi Production in Two-Photon Collisions at LEP II with the DELPHI Detector

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    Inclusive J/psi production in photon-photon collisions has been observed at LEP II beam energies. A clear signal from the reaction gamma gamma -> J/psi+X is seen. The number of observed N(J/psi -> mu+mu-) events is 36 +/- 7 for an integrated luminosity of 617 pb^{-1}, yielding a cross-section of sigma(J/psi+X) = 45 +/- 9 (stat) +/- 17 (syst) pb. Based on a study of the event shapes of different types of gamma gamma processes in the PYTHIA program, we conclude that (74 +/- 22)% of the observed J/psi events are due to `resolved' photons, the dominant contribution of which is most probably due to the gluon content of the photon.Comment: 13 pages, 8 figures, Accepted by Phys. Lett.

    Search for charginos in e+e- interactions at sqrt(s) = 189 GeV

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    An update of the searches for charginos and gravitinos is presented, based on a data sample corresponding to the 158 pb^{-1} recorded by the DELPHI detector in 1998, at a centre-of-mass energy of 189 GeV. No evidence for a signal was found. The lower mass limits are 4-5 GeV/c^2 higher than those obtained at a centre-of-mass energy of 183 GeV. The (\mu,M_2) MSSM domain excluded by combining the chargino searches with neutralino searches at the Z resonance implies a limit on the mass of the lightest neutralino which, for a heavy sneutrino, is constrained to be above 31.0 GeV/c^2 for tan(beta) \geq 1.Comment: 22 pages, 8 figure

    Energy dependence of Cronin momentum in saturation model for p+Ap+A and A+AA+A collisions

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    We calculate s\sqrt{s} dependence of Cronin momentum for p+Ap+A and A+AA+A collisions in saturation model. We show that this dependence is consistent with expectation from formula which was obtained using simple dimentional consideration. This can be used to test validity of saturation model (and distinguish among its variants) and measure xx dependence of saturation momentum from experimental data.Comment: LaTeX2e, 12 pages, 8 figure

    Search for composite and exotic fermions at LEP 2

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    A search for unstable heavy fermions with the DELPHI detector at LEP is reported. Sequential and non-canonical leptons, as well as excited leptons and quarks, are considered. The data analysed correspond to an integrated luminosity of about 48 pb^{-1} at an e^+e^- centre-of-mass energy of 183 GeV and about 20 pb^{-1} equally shared between the centre-of-mass energies of 172 GeV and 161 GeV. The search for pair-produced new leptons establishes 95% confidence level mass limits in the region between 70 GeV/c^2 and 90 GeV/c^2, depending on the channel. The search for singly produced excited leptons and quarks establishes upper limits on the ratio of the coupling of the excited fermio
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