2,116 research outputs found
Semiclosed-circuit atmosphere control in a portable recompression chamber
A small portable recompression chamber is described that can be used both to treat a diver for decompression sickness or to transport him to a larger chamber complex. The device can be operated in either open circuit or semiclosed circuit atmospheres, permits two way conversation between patient and attendant, and uses an air injector for circulation of the chamber atmosphere
Poor attention rather than hyperactivity/impulsivity predicts academic achievement in very preterm and full-term adolescents
Background: Very preterm (VP) children are at particular risk for attention deficit/hyperactivity disorder (ADHD) of the inattentive subtype. It is unknown whether the neurodevelopmental pathways to academic underachievement are the same as in the general population. This study investigated whether middle childhood attention or hyperactivity/impulsivity problems are better predictors of VP adolescents' academic achievement.
Method: In a geographically defined prospective whole-population sample of VP (<32 weeks gestation) and/or very low birth weight (<1500 g birth weight) (VLBW/VP; n = 281) and full-term control children (n = 286) in South Germany, ADHD subtypes were assessed at 6 years 3 months and 8 years 5 months using multiple data sources. Academic achievement was assessed at 13 years of age.
Results: Compared with full-term controls, VLBW/VP children were at higher risk for ADHD inattentive subtype [6 years 3 months: odds ratio (OR) 2.8, p < 0.001; 8 years 5 months: OR 1.7, p = 0.020] but not for ADHD hyperactive-impulsive subtype (6 years 3 months: OR 1.4, p = 0.396; 8 years 5 months: OR 0.9, p = 0.820). Childhood attention measures predicted academic achievement in VLBW/VP and also full-term adolescents, whereas hyperactive/impulsive behaviour did not.
Conclusions: Attention is an important prerequisite for learning and predicts long-term academic underachievement. As ADHD inattentive subtype and cognitive impairments are frequent in VLBW/VP children, their study may help to identify the neurofunctional pathways from early brain development and dysfunction to attention problems and academic underachievement
Environmental effects of SPS: The middle atmosphere
The heavy lift launch vehicle associated with the solar power satellite (SPS) would deposit in the upper atmosphere exhaust and reentry products which could modify the composition of the stratosphere, mesosphere, and lower ionosphere. In order to assess such effects, atmospheric model simulations were performed, especially considering a geographic zone centered at the launch and reentry latitudes
VLA OH and H I Zeeman Observations of the NGC 6334 Complex
We present OH and H I Zeeman observations of the NGC 6334 complex taken with
the Very Large Array. The OH absorption profiles associated with the complex
are relatively narrow (del-v_FWHM ~ 3 km s^1) and single-peaked over most of
the sources. The H I absorption profiles contain several blended velocity
components. One of the compact continuum sources in the complex (source A) has
a bipolar morphology. The OH absorption profiles toward this source display a
gradient in velocity from the northern continuum lobe to the southern continuum
lobe; this velocity gradient likely indicates a bipolar outflow of molecular
gas from the central regions to the northern and southern lobes. Magnetic
fields of the order of 200 microG have been detected toward three discrete
continuum sources in the complex. Virial estimates suggest that the detected
magnetic fields in these sources are of the same order as the critical magnetic
fields required to support the molecular clouds associated with the sources
against gravitational collapse.Comment: 14 pages, 9 postscript figures, accepted for publication in the
Astrophysical Journal (ApJ), tentatively scheduled for vol. 533, Apr. 20,
2000; also available at
http://www.pa.uky.edu/~sarma/RESEARCH/aps_research.htm
Bayesian High-Redshift Quasar Classification from Optical and Mid-IR Photometry
We identify 885,503 type 1 quasar candidates to i<22 using the combination of
optical and mid-IR photometry. Optical photometry is taken from the Sloan
Digital Sky Survey-III: Baryon Oscillation Spectroscopic Survey
(SDSS-III/BOSS), while mid-IR photometry comes from a combination of data from
the Wide-Field Infrared Survey Explorer (WISE) "ALLWISE" data release and
several large-area Spitzer Space Telescope fields. Selection is based on a
Bayesian kernel density algorithm with a training sample of 157,701
spectroscopically-confirmed type-1 quasars with both optical and mid-IR data.
Of the quasar candidates, 733,713 lack spectroscopic confirmation (and 305,623
are objects that we have not previously classified as photometric quasar
candidates). These candidates include 7874 objects targeted as high probability
potential quasars with 3.5<z<5 (of which 6779 are new photometric candidates).
Our algorithm is more complete to z>3.5 than the traditional mid-IR selection
"wedges" and to 2.2<z<3.5 quasars than the SDSS-III/BOSS project. Number counts
and luminosity function analysis suggests that the resulting catalog is
relatively complete to known quasars and is identifying new high-z quasars at
z>3. This catalog paves the way for luminosity-dependent clustering
investigations of large numbers of faint, high-redshift quasars and for further
machine learning quasar selection using Spitzer and WISE data combined with
other large-area optical imaging surveys.Comment: 54 pages, 17 figures; accepted by ApJS Data for tables 1 and 2
available at
http://www.physics.drexel.edu/~gtr/outgoing/optirqsos/data/master_quasar_catalogs.011414.fits.bz2
and
http://www.physics.drexel.edu/~gtr/outgoing/optirqsos/data/optical_ir_quasar_candidates.052015.fits.bz
HI Narrow Line Absorption in Dark Clouds
We have used the Arecibo telescope to carry out an survey of 31 dark clouds
in the Taurus/Perseus region for narrow absorption features in HI (
21cm) and OH (1667 and 1665 MHz) emission. We detected HI narrow
self--absorption (HINSA) in 77% of the clouds that we observed. HINSA and OH
emission, observed simultaneously are remarkably well correlated. Spectrally,
they have the same nonthermal line width and the same line centroid velocity.
Spatially, they both peak at the optically--selected central position of each
cloud, and both fall off toward the cloud edges. Sources with clear HINSA
feature have also been observed in transitions of CO, \13co, \c18o, and CI.
HINSA exhibits better correlation with molecular tracers than with CI.
The line width of the absorption feature, together with analyses of the
relevant radiative transfer provide upper limits to the kinetic temperature of
the gas producing the HINSA. Some sources must have a temperature close to or
lower than 10 K. The correlation of column densities and line widths of HINSA
with those characteristics of molecular tracers suggest that a significant
fraction of the atomic hydrogen is located in the cold, well--shielded portions
of molecular clouds, and is mixed with the molecular gas.
The average number density ratio [HI]/[\h2] is . The
inferred HI density appears consistent with but is slightly higher than the
value expected in steady state equilibrium between formation of HI via cosmic
ray destruction of H and destruction via formation of H on grain
surfaces. The distribution and abundance of atomic hydrogen in molecular clouds
is a critical test of dark cloud chemistry and structure, including the issues
of grain surface reaction rates, PDRs, circulation, and turbulent diffusion.Comment: 40 pages, 10 figures, accepted by Ap
An Automated Method for the Detection and Extraction of HI Self-Absorption in High-Resolution 21cm Line Surveys
We describe algorithms that detect 21cm line HI self-absorption (HISA) in
large data sets and extract it for analysis. Our search method identifies HISA
as spatially and spectrally confined dark HI features that appear as negative
residuals after removing larger-scale emission components with a modified CLEAN
algorithm. Adjacent HISA volume-pixels (voxels) are grouped into features in
(l,b,v) space, and the HI brightness of voxels outside the 3-D feature
boundaries is smoothly interpolated to estimate the absorption amplitude and
the unabsorbed HI emission brightness. The reliability and completeness of our
HISA detection scheme have been tested extensively with model data. We detect
most features over a wide range of sizes, linewidths, amplitudes, and
background levels, with poor detection only where the absorption brightness
temperature amplitude is weak, the absorption scale approaches that of the
correlated noise, or the background level is too faint for HISA to be
distinguished reliably from emission gaps. False detection rates are very low
in all parts of the parameter space except at sizes and amplitudes approaching
those of noise fluctuations. Absorption measurement biases introduced by the
method are generally small and appear to arise from cases of incomplete HISA
detection. This paper is the third in a series examining HISA at high angular
resolution. A companion paper (Paper II) uses our HISA search and extraction
method to investigate the cold atomic gas distribution in the Canadian Galactic
Plane Survey.Comment: 39 pages, including 14 figure pages; to appear in June 10 ApJ, volume
626; figure quality significantly reduced for astro-ph; for full resolution,
please see http://www.ras.ucalgary.ca/~gibson/hisa/cgps1_survey
Effectiveness of motivational interviewing on health-service use and mortality: a secondary outcome analysis of the MOTIVATE-HF trial
Aims Intense health-care service use and high mortality are common in heart failure (HF) patients. This secondary analysis of the MOTIVATE-HF trial investigates the effectiveness of motivational interviewing (MI) in reducing health-care service use (e.g. emergency service use and hospitalizations) and all-cause mortality.Methods and results This study used a randomized controlled trial. Patients and caregivers were randomized to Arm 1 (MI for patients), Arm 2 (MI for patients and caregivers), or Arm 3 (control group). Data were collected at baseline and at 3, 6, 9, and 12 months. Face-to-face MI plus three telephone calls were performed in Arms 1 and 2. The sample consisted of 510 patient (median age 74 years, 58% male patients) and caregiver dyads (median age 55 years, 75% female patients). At 12 months, 16.1%, 17%, and 11.2% of patients used health-care services at least once in Arms 1, 2, and 3, respectively, without significant difference. At 3 months, 1.9%, 0.6%, and 5.1% of patients died in Arms 1, 2, and 3, respectively. Mortality was lower in Arm 2 vs. Arm 3 at 3 months [hazard ratio (HR) = 0.112, 95% CI: 0.014-0.882, P = 0.04]; no difference was found at subsequent follow-ups. Mortality was lower in Arm 1 vs. Arm 3 at 3 months but did not reach statistical significance (HR = 0.38, 95% CI: 0.104-1.414, P = 0.15).Conclusion This study suggests that MI reduces mortality in patients with HF if caregivers are included in the intervention. Further studies with a stronger intervention and longer follow-up are needed to clarify the benefits of MI on health-care service use and mortality
Palliative Care in Heart Failure: Rationale, Evidence, and Future Priorities
Patients with heart failure (HF) and their families experience stress and suffering from a variety of sources over the course of the HF experience. Palliative care is an interdisciplinary service and an overall approach to care that improves quality of life and alleviates suffering for those living with serious illness, regardless of prognosis. In this review, we synthesize the evidence from randomized clinical trials of palliative care interventions in HF. While the evidence base for palliative care in HF is promising, it is still in its infancy and requires additional high-quality, methodologically sound studies to clearly elucidate the role of palliative care for patients and families living with the burdens of HF. Yet, an increase in attention to primary palliative care (e.g., basic physical and emotional symptom management, advance care planning), provided by primary care and cardiology clinicians, may be a vehicle to address unmet palliative needs earlier and throughout the illness course
Psychiatric Comorbidity and Greater Hospitalization Risk, Longer Length of Stay, and Higher Hospitalization Costs in Older Adults with Heart Failure
OBJECTIVES: To explore associations between psychiatric comorbidity and rehospitalization risk, length of hospitalization, and costs.
DESIGN: Cross‐sectional study of 1‐year hospital administrative data.
SETTING: Claims‐based study of older adults hospitalized in the United States.
PARTICIPANTS: Twenty‐one thousand four hundred twenty‐nine patients from a 5% national random sample of U.S. Medicare beneficiaries aged 65 and older, with at least one acute care hospitalization in 1999 with a Diagnostic‐Related Group of congestive heart failure.
MEASUREMENTS: The number of hospitalizations, mean length of hospital stay, and total hospitalization costs in calendar year 1999.
RESULTS: Overall, 15.8% of patients hospitalized for heart failure (HF) had a coded psychiatric comorbidity; the most commonly coded comorbid psychiatric disorder was depression (8.5% of the sample). Most forms of psychiatric comorbidity were associated with greater inpatient utilization, including risk of additional hospitalizations, days of stay, and hospitalization charges. Additional hospitalization costs associated with psychiatric comorbidity ranged up to $7,763, and additional days length of stay ranged up to 1.4 days.
CONCLUSION: Psychiatric comorbidity appears in a significant minority of patients hospitalized for HF and may affect their clinical and economic outcomes. The associations between psychiatric comorbidity and use of inpatient care are likely to be an underestimate, because psychiatric illness is known to be underdetected in older adults and in hospitalized medical patients
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