2,082 research outputs found

    Clinical trial of fluid infusion rates for pediatric diabetic ketoacidosis

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    Fuel economy and exhaust emissions characteristics of diesel vehicles: Test results of a prototype Fiat 131 NA 2.4 liter automobile

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    The vehicle was tested on a chassis dynamometer over selected drive cycles and steady-state conditions. Two fuels were used, a U.S. no. 2 diesel and a European diesel fuel. The vehicle was tested with retarded timing and with and without an oxidation catalyst. Particulate emission rates were calculated from dilution tunnel measurements and large volume particulate samples were collected for biological and chemical analysis. It was determined that while the catalyst was generally effective in reducing hydrocarbon and carbon monoxide levels, it was also a factor in increasing particulate emissions. Increased particulate emission rates were particularly evident when the vehicle was operated on the European fuel which has a high sulfur content

    Study of noise reduction characteristics of double-wall panels

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    The noise reduction characteristics of general aviation type, flat, double-wall structures were investigated. The experimental study was carried out on 20-by-20 inch panels with an exposed area of 18 by 18 inches. A frequency range from 20 to 5000 Hz was covered. The experimental results, in general, follow the expected trends. At low frequencies the double-wall structures are no better than the single-wall structures. However, for depths normally used in the general aviation industry, the double-wall panels are very attractive. The graphite-spoxy skin panels have higher noise reduction at very low frequencies ( 100 Hz) than the Kevlar skin panels. But the aluminum panels have higher noise reduction in the high frequency region, due to their greater mass. Use of fiberglass insulation is not effective in the low frequency region, and at times it is even negative. But the insulation is effective in the high-frequency region. The theoretical model for predicting the transmission loss of these multilayered panels is also discussed

    Digital Signal Processing Education: Technology and Tradition

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    In this paper we discuss a DSP course presented to both University students and to participants on industrial short courses. The "traditional" DSP course will typically run over one to two semesters and usually cover the fundamental mathematics of z-, Laplace and Fourier transforms, followed by the algorithm and application detail. In the course we will discuss, the use of advanced DSP software and integrated support software allow the presentation time to be greatly shortened and more focussed algorithm and application learning to be introduced. By combining the traditional lecture with the use of advanced DSP software, all harnessed by the web, we report on the objectives, syllabus, and mode of teaching

    Prospects for Higgs Searches via VBF at the LHC with the ATLAS Detector

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    We report on the potential for the discovery of a Standard Model Higgs boson with the vector boson fusion mechanism in the mass range 115 with the ATLAS experiment at the LHC. Feasibility studies at hadron level followed by a fast detector simulation have been performed for H\to W^{(*)}W^{(*)}\to l^+l^-\sla{p_T}, H→γγH\to\gamma\gamma and H→ZZ→l+l−qqˉH\to ZZ\to l^+l^-q\bar{q}. The results obtained show a large discovery potential in the range 115. Results obtained with multivariate techniques are reported for a number of channels.Comment: 14 pages, 4 figures, contributed to 2003 Les Houches Workshop on Physics at TeV Colliders. Incorporated comments from ATLAS referee

    Clinical characteristics of children with cerebral injury preceding treatment of diabetic ketoacidosis

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    Previous studies have identified more severe acidosis and higher blood urea nitrogen (BUN) as risk factors for cerebral injury during treatment of diabetic ketoacidosis (DKA) in children; however, cerebral injury also can occur before DKA treatment. We found that lower pH and higher BUN levels also were associated with cerebral injury at presentation

    Stratification of risk for emergent intracranial abnormalities in children with headaches: A Pediatric Emergency Care Applied Research Network (PECARN) study protocol

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    INTRODUCTION: Headache is a common chief complaint of children presenting to emergency departments (EDs). Approximately 0.5%-1% will have emergent intracranial abnormalities (EIAs) such as brain tumours or strokes. However, more than one-third undergo emergent neuroimaging in the ED, resulting in a large number of children unnecessarily exposed to radiation. The overuse of neuroimaging in children with headaches in the ED is driven by clinician concern for life-threatening EIAs and lack of clarity regarding which clinical characteristics accurately identify children with EIAs. The study objective is to derive and internally validate a stratification model that accurately identifies the risk of EIA in children with headaches based on clinically sensible and reliable variables. METHODS AND ANALYSIS: Prospective cohort study of 28 000 children with headaches presenting to any of 18 EDs in the Pediatric Emergency Care Applied Research Network (PECARN). We include children aged 2-17 years with a chief complaint of headache. We exclude children with a clear non-intracranial alternative diagnosis, fever, neuroimaging within previous year, neurological or developmental condition such that patient history or physical examination may be unreliable, Glasgow Coma Scale score\u3c14, intoxication, known pregnancy, history of intracranial surgery, known structural abnormality of the brain, pre-existing condition predisposing to an intracranial abnormality or intracranial hypertension, head injury within 14 days or not speaking English or Spanish. Clinicians complete a standardised history and physical examination of all eligible patients. Primary outcome is the presence of an EIA as determined by neuroimaging or clinical follow-up. We will use binary recursive partitioning and multiple regression analyses to create and internally validate the risk stratification model. ETHICS AND DISSEMINATION: Ethics approval was obtained for all participating sites from the University of Utah single Institutional Review Board. A waiver of informed consent was granted for collection of ED data. Verbal consent is obtained for follow-up contact. Results will be disseminated through international conferences, peer-reviewed publications, and open-access materials

    Cognitive function following diabetic ketoacidosis in young children with type 1 diabetes

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    INTRODUCTION: Young children with type 1 diabetes (T1D) may be at particularly high risk of cognitive decline following diabetic ketoacidosis (DKA). However, studies of cognitive functioning in T1D typically examine school-age children. The goal of this study was to examine whether a single experience of DKA is associated with lower cognitive functioning in young children. We found that recently diagnosed 3- to 5-year-olds who experienced one DKA episode, regardless of its severity, exhibited lower IQ scores than those with no DKA exposure. METHODS: We prospectively enrolled 46 3- to 5-year-old children, who presented with DKA at the onset of T1D, in a randomized multi-site clinical trial evaluating intravenous fluid protocols for DKA treatment. DKA was moderate/severe in 22 children and mild in 24 children. Neurocognitive function was assessed once 2-6 months after the DKA episode. A comparison group of 27 children with T1D, but no DKA exposure, was also assessed. Patient groups were matched for age and T1D duration at the time of neurocognitive testing. RESULTS: Children who experienced DKA, regardless of its severity, exhibited significantly lower IQ scores than children who did not experience DKA, F(2, 70) = 6.26, p = .003, partial η CONCLUSIONS: A single DKA episode is associated with lower IQ scores soon after exposure to DKA in young children

    Frequency and risk factors of acute kidney injury during diabetic ketoacidosis in children and association with neurocognitive outcomes

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    Importance: Acute kidney injury (AKI) occurs commonly during diabetic ketoacidosis (DKA) in children, but the underlying mechanisms and associations are unclear. Objective: To investigate risk factors for AKI and its association with neurocognitive outcomes in pediatric DKA. Design, Setting, and Participants: This cohort study was a secondary analysis of data from the Pediatric Emergency Care Applied Research Network Fluid Therapies Under Investigation in DKA Study, a prospective, multicenter, randomized clinical trial comparing fluid protocols for pediatric DKA in 13 US hospitals. Included DKA episodes occurred among children age younger than 18 years with blood glucose 300 mg/dL or greater and venous pH less than 7.25 or serum bicarbonate level less than 15 mEq/L. Exposures: DKA requiring intravenous insulin therapy. Main Outcomes and Measures: AKI occurrence and stage were assessed using serum creatinine measurements using Kidney Disease: Improving Global Outcomes criteria. DKA episodes with and without AKI were compared using univariable and multivariable methods, exploring associated factors. Results: Among 1359 DKA episodes (mean [SD] patient age, 11.6 [4.1] years; 727 [53.5%] girls; 651 patients [47.9%] with new-onset diabetes), AKI occurred in 584 episodes (43%; 95% CI, 40%-46%). A total of 252 AKI events (43%; 95% CI, 39%-47%) were stage 2 or 3. Multivariable analyses identified older age (adjusted odds ratio [AOR] per 1 year, 1.05; 95% CI, 1.00-1.09; P = .03), higher initial serum urea nitrogen (AOR per 1 mg/dL increase, 1.14; 95% CI, 1.11-1.18; P \u3c .001), higher heart rate (AOR for 1-SD increase in z-score, 1.20; 95% CI, 1.09-1.32; P \u3c .001), higher glucose-corrected sodium (AOR per 1 mEq/L increase, 1.03; 95% CI, 1.00-1.06; P = .001) and glucose concentrations (AOR per 100 mg/dL increase, 1.19; 95% CI, 1.07-1.32; P = .001), and lower pH (AOR per 0.1 increase, 0.63; 95% CI, 0.51-0.78; P \u3c .001) as variables associated with AKI. Children with AKI, compared with those without, had lower scores on tests of short-term memory during DKA (mean [SD] digit span recall: 6.8 [2.4] vs 7.6 [2.2]; P = .02) and lower mean (SD) IQ scores 3 to 6 months after recovery from DKA (100.0 [12.2] vs 103.5 [13.2]; P = .005). Differences persisted after adjusting for DKA severity and demographic factors, including socioeconomic status. Conclusions and Relevance: These findings suggest that AKI may occur more frequently in children with greater acidosis and circulatory volume depletion during DKA and may be part of a pattern of multiple organ injury involving the kidneys and brain
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