374,364 research outputs found
Prime injections and quasipolarities
Let be a prime number. Consider the injection and the elements and . Suppose is seen as an automorphism of
by ; then is a
quasipolarity if it is an involution without fixed points. In this brief note
give an explicit formula for the number of quasipolarites of
in terms of the prime decomposition of , and we
prove sufficient conditions such that , where and are quasipolarities
Ultrasound guided glenohumeral injections in adhesive capsulitis
Thesis (M.A.)--Boston UniversityObjective: The objective of this thesis was to assess outcomes of glenohumeral corticosteroid injections for adhesive capsulitis.
Design: The thesis was composed of two parts. First, a systematic literature review was conducted on glenohumeral corticosteroid injections on shoulder outcomes for adhesive capsulitis. Second, an original prospective study was conducted to measure the effect of ultrasound-guided injections on pain and function for adhesive capsulitis patients.
Setting: All injections for the prospective injection study were conducted at Brigham and Women’s Hospital in Boston, MA.
Patients: Inclusion criteria were patients receiving an ultrasound guided injection for adhesive capsulitis. 67 patients were included, 59 patients were available at first follow up, and 40 patients were available at final follow up.
Methods: The literature review was conducted using the online databases PubMed (1966-present), Embase (1947-present), Web of Science (1900–
present), and the Cochrane Central Register of Controlled Trials. Study criteria were limited to clinical trials that evaluated the application of corticosteroid injections, both alone and in combination with other treatment modalities, specifically for the condition of adhesive capsulitis in the shoulder. Studies involving non-corticosteroid injections or injections for conditions not specific to adhesive capsulitis were excluded. Results were limited to papers in the English language. A data table summarizing pain, function, and range of motion outcomes of each treatment was produced. A percent change from baseline was calculated to facilitate comparisons. For the injection study, the first follow-up took place after an average of 2.0 months and patients' improvement in pain and range of motion were assessed. During a final follow-up after an average of 10.4 months, patients’ pain and shoulder function scores were assessed over telephone. [TRUNCATED
Estimation of the Sensitive Volume for Gravitational-wave Source Populations Using Weighted Monte Carlo Integration
The population analysis and estimation of merger rates of compact binaries is
one of the important topics in gravitational wave (GW) astronomy. The primary
ingredient in these analyses is the population-averaged sensitive volume.
Typically, sensitive volume, of a given search to a given simulated source
population, is estimated by drawing signals from the population model and
adding them to the detector data as injections. Subsequently injections, which
are simulated gravitational waveforms, are searched for by the search pipelines
and their signal-to-noise ratio (SNR) is determined. Sensitive volume is
estimated, by using Monte-Carlo (MC) integration, from the total number of
injections added to the data, the number of injections that cross a chosen
threshold on SNR and the astrophysical volume in which the injections are
placed. So far, only fixed population models have been used in the estimation
of the merger rates. However, as the scope of population analysis broaden in
terms of the methodologies and source properties considered, due to an increase
in the number of observed GW signals, the procedure will need to be repeated
multiple times at a large computational cost. In this letter we address the
problem by performing a weighted MC integration. We show how a single set of
generic injections can be weighted to estimate the sensitive volume for
multiple population models; thereby greatly reducing the computational cost.
The weights in this MC integral are the ratios of the output probabilities,
determined by the population model and standard cosmology, and the injection
probability, determined by the distribution function of the generic injections.
Unlike analytical/semi-analytical methods, which usually estimate sensitive
volume using single detector sensitivity, the method is accurate within
statistical errors, comes at no added cost and requires minimal computational
resources.Comment: 11 pages, 1 figur
Phaseolus vulgaris leuco-agglutinin immunohistochemistry. A comparison between autoradiographic and lectin tracing of neuronal efferents
The autoradiographic pattern of anterograde labeling as a result from injections with tritiated amino acids is compared to the labeling of efferents with Phaseolus vulgaris leuco-agglutinin after lectin injections in the same nucleus visualized by immunohistochemical methods. This comparison is made for efferents from the ventromedial hypothalamic nucleus to the amygdaloid body.
Injections of mapping class groups
We construct new monomorphisms between mapping class groups of surfaces. The
first family of examples injects the mapping class group of a closed surface
into that of a different closed surface. The second family of examples are
defined on mapping class groups of once-punctured surfaces and have quite
curious behaviour. For instance, some pseudo-Anosov elements are mapped to
multi-twists. Neither of these two types of phenomena were previously known to
be possible although the constructions are elementary
Administration of Long-Acting Injections
Expanding the scope of pharmacy practice demonstrates that the profession has been successful at improving public health. Despite being a late adopter, New York\u27s limited experience with vaccines has improved immunization rates and lowered rates of disease. During emergencies, the 2017-2018 flu season for example, the state has turned to pharmacists to go beyond what the pharmacy practice law permits, in this case enabling immunizations in pediatric patients.1 This illustrates recognition of untapped potential within the profession to contribute to the public health. Another opportunity for pharmacists to enhance the public health is embodied in a Bill introduced in the New York State Legislature that would amend the pharmacy practice law to enable administration of long-acting injectables designed to treat mental health disorders including schizophrenia and substance use disorder ( SUD ). The goal of this paper is to review the proposed amendment, the relevant background, and to discuss the implications for patients and the pharmacy profession
Safety and efficacy of a propofol and ketamine based procedural sedation protocol in children with cerebral palsy undergoing botulinum toxin A injections.
Background
Pediatric patients with cerebral palsy (CP) often undergo intramuscular botulinum toxin (BoNT‐A) injections. These injections can be painful and may require procedural sedation. An ideal sedation protocol has yet to be elucidated.
Objective
To investigate the safety and efficacy of a propofol and ketamine based sedation protocol in pediatric patients with cerebral palsy requiring BoNT‐A injections.
Design
This is a retrospective chart review of children with CP undergoing propofol and ketamine based sedation for injections with botulinum toxin A.
Setting
The sedations took place in a procedural sedation suite at a tertiary children’s hospital from Feb 2013 through Sept 2017.
Patients
164 patients with diagnoses of cerebral palsy were included in this study.
Methods
An initial bolus of 0.5 mg/kg ketamine followed by a 2 mg/kg bolus of propofol was administered with supplemental boluses of propofol as needed to achieve deep sedation during the intramuscular BoNT‐A injections.
Main Outcome Measurements
Propofol dosages, adverse events, serious adverse events, and sedation time parameters were reviewed.
Results
345 sedations were successfully performed on 164 patients. The median total dose of propofol was 4.7 mg/kg (IQR 3.5, 6.3). Adverse events were encountered in 10.1% of procedures including hypoxemia responsive to supplemental oxygen (9.6%) and transient apnea (1.4%). The mean procedure time, recovery time and total sedation time were 10, 11 and 33 minutes, respectively. With regard to patient variables, including age, weight, dose of propofol, sedation time, and Gross Motor Function Classification System classification, there was no association with increased incidence of adverse events.
Conclusion
Our sedation protocol of propofol and ketamine is safe and effective in children with cerebral palsy undergoing procedural sedation for intramuscular injections with BoNT‐A. The adverse events encountered appeared to be related to airway and respiratory complications secondary to musculoskeletal deformities, emphasizing the importance of airway monitoring and management in these patients
Conjugation of injections by permutations
Let X be a countably infinite set, and let f, g, and h be any three injective
self-maps of X, each having at least one infinite cycle. (For instance, this
holds if f, g, and h are not bijections.) We show that there are permutations a
and b of X such that h=afa^{-1}bgb^{-1} if and only if |X\Xf|+|X\Xg|=|X\Xh|. We
also prove a version of this statement that holds for infinite sets X that are
not necessarily countable. This generalizes results of Droste and Ore about
permutations.Comment: 27 pages, 4 figure
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