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https://www.readbyqxmd.com/read/29690609/on-the-energy-efficiency-of-on-off-keying-transmitters-with-two-distinct-types-of-batteries
#1
Tingting Shen, Tao Wang, Yanzan Sun, Yating Wu, Yanliang Jin
As nodes in wireless sensor networks are usually powered by nonrenewable batteries, energy efficient design becomes critical. This paper considers a battery-powered transmitter using on-off keying (OOK) modulation and studies its energy efficiency in terms of the battery’s energy consumption for per bit transmission (BECPB). In particular, the transmitter may use one of two distinct types of batteries with battery utilization factor (BUF) depending on discharge current. The first has an instantaneous discharge current (IDC)-based BUF, while the second has a mean discharge current (MDC)-based BUF...
April 23, 2018: Sensors
https://www.readbyqxmd.com/read/29689228/exosomes-and-ectosomes-in-intercellular-communication
#2
REVIEW
Jacopo Meldolesi
Exosomes and ectosomes, two distinct types of extracellular vesicles generated by all types of cell, play key roles in intercellular communication. The formation of these vesicles depends on local microdomains assembled in endocytic membranes for exosomes and in the plasma membrane for ectosomes. These microdomains govern the accumulation of proteins and various types of RNA associated with their cytosolic surface, followed by membrane budding inward for exosome precursors and outward for ectosomes. A fraction of endocytic cisternae filled with vesicles - multivesicular bodies - are later destined to undergo regulated exocytosis, leading to the extracellular release of exosomes...
April 23, 2018: Current Biology: CB
https://www.readbyqxmd.com/read/29680212/impact-of-a-clinical-therapeutic-intervention-on-pain-assessment-management-and-nursing-practices-in-an-intensive-care-unit-a-before-and-after-study
#3
Vincenzo Damico, Flavio Cazzaniga, Liana Murano, Rita Ciceri, Giuseppe Nattino, Alberto Dal Molin
Accurate pain assessment and management constitute a major challenge for medical and nursing staff in intensive care units (ICUs). A distinct recollection of pain is reported by high proportions of ICU patients. A clinical therapeutic intervention directed at improving pain assessment and management in critically ill patients who are unable to communicate was implemented at an Italian ICU. In this before-and-after study, data were collected before (T0 ) and after (T1 ) the adoption of a protocol involving pain assessment with an ad hoc behavioral pain scale and the administration of analgesics, rather than sedatives, to patients with intermediate to high pain scores...
April 18, 2018: Pain Management Nursing: Official Journal of the American Society of Pain Management Nurses
https://www.readbyqxmd.com/read/29657556/care-in-nursing-facilities-after-palliative-consult
#4
Joan G Carpenter, Patricia H Berry, Mary Ersek
Despite hospital palliative care consultations during which goals of care are discussed in the context of poor prognoses, older adults are admitted to nursing homes for post-acute care where the focus is on rehabilitation. The purpose of this qualitative descriptive study was to describe factors that influence discontinuity between a palliative care consult and nursing home care and explore the potential consequences of this discontinuity. Twelve adults (mean age of 80 years) were enrolled from one community hospital and nursing home in the mid-Atlantic United States...
April 2018: Journal of Hospice and Palliative Nursing: JHPN
https://www.readbyqxmd.com/read/29656154/acute-recanalization-of-a-partially-thrombosed-large-intracranial-aneurysm
#5
E Atallah, E Valle-Giler, T Elarjani, N Chalouhi, S Tjoumakaris, R H Rosenwasser, N Herial, M R Gooch, H Zarzour, P Jabbour
BACKGROUND: Thrombosed large intracranial aneurysms(TLIAs) are not continuously contemplated as stable lesions. Completely occluded large IAs' spontaneous recanalization has been previously described. CASE DESCRIPTION: We report the case of a middle-aged patient presenting with agitation, acute headache, visual field defects and left hemiparesis. A large thrombosed Posterior Communicating (PCom) artery aneurysm was identified with an infarct at the same arterial territory on neuroimaging studies...
April 12, 2018: World Neurosurgery
https://www.readbyqxmd.com/read/29652779/is-the-current-management-of-patients-presenting-with-spinal-trauma-to-district-general-hospitals-fit-for-purpose-our-experience-of-delivering-a-spinal-service-using-an-electronic-referral-platform-in-a-large-district-general-teaching-hospital-without-onsite
#6
Daniel S Hill, Hans Marynissen
STUDY DESIGN: A retrospective cross-sectional analysis. OBJECTIVE: To describe the provision of a spinal service using an electronic platform to direct management from an external spinal unit, and quantify time taken to obtain definitive management plans whilst under prescribed spinal immobilization. SUMMARY OF BACKGROUND DATA: Most attending district general hospitals following spinal trauma will have stable injuries and normal neurology, with only a small proportion requiring urgent transfer to a specialist centre...
April 12, 2018: Spine
https://www.readbyqxmd.com/read/29644487/therapeutic-use-of-carbohydrate-restricted-diets-in-an-autistic-child-a-case-report-of-clinical-and-18fdg-pet-findings
#7
Iwona Żarnowska, Beata Chrapko, Grażyna Gwizda, Anna Nocuń, Krystyna Mitosek-Szewczyk, Maciej Gasior
The ketogenic diet (KD) is a high-fat, adequate-protein, and low-carbohydrate diet that has been used successfully in the treatment of refractory epilepsies for almost 100 years. There has been accumulating evidence to show that the KD may provide a therapeutic benefit in autism spectrum disorders, albeit by a yet-unknown mechanism. We report a case of a 6-year-old patient with high-functioning autism and subclinical epileptic discharges who responded poorly to several behavioural and psychopharmacological treatments...
April 11, 2018: Metabolic Brain Disease
https://www.readbyqxmd.com/read/29626682/patterns-predictors-and-outcomes-of-post-procedure-delayed-hemorrhage-following-flow-diversion-for-intracranial-aneurysm-treatment
#8
A C White, D A Kumpe, C D Roark, D E Case, J Seinfeld
PURPOSE: To evaluate patterns, predictors, and outcomes of post procedure delayed hemorrhage (PPDH) following flow diversion therapy for intracranial aneurysm. METHODS: 50 patients with 52 aneurysms were treated from 2012-2016 with the Pipeline Embolization Device (PED; Medtronic, Minneapolis, MN). PED placement was performed as a standalone therapy or with adjunctive coil embolization. Patients underwent dual antiplatelet therapy (DAT) for 6 months following treatment...
April 4, 2018: World Neurosurgery
https://www.readbyqxmd.com/read/29618639/hospital-level-care-coordination-strategies-associated-with-better-patient-experience
#9
Jose F Figueroa, Yevgeniy Feyman, Xiner Zhou, Karen Joynt Maddox
BACKGROUND: Patient experience is a key measure of hospital quality and is increasingly contained in value-based payment programmes. Understanding whether strategies aimed at improving care transitions are associated with better patient experience could help clinical leaders and policymakers seeking to improve care across multiple dimensions. OBJECTIVE: To determine the association of specific hospital care coordination and transition strategies with patient experience...
April 4, 2018: BMJ Quality & Safety
https://www.readbyqxmd.com/read/29618114/management-of-a-previously-coiled-anterior-cerebral-artery-aneurysm-in-a-child-3-dimensional-operative-video
#10
Vijay Agarwal, Daniel L Barrow
We present the case of an 11-yr-old male who originally presented to an outside hospital with subarachnoid hemorrhage. He was discovered at that time to have a ruptured right A1-A2 junction anterior cerebral artery aneurysm just proximal to the anterior communicating artery. He underwent endovascular coiling at the outside center. While recovering at a rehabilitation center, he had a rehemorrhage and acute neurological decline. He was transferred to our service, where he underwent surgical exploration and clip reconstruction of what appeared to be a pseudoaneurysm...
March 30, 2018: Operative Neurosurgery (Hagerstown, Md.)
https://www.readbyqxmd.com/read/29617838/improving-immediate-newborn-care-practices-in-philippine-hospitals-impact-of-a-national-quality-of-care-initiative-2008-2015
#11
Maria Asuncion A Silvestre, Priya Mannava, Marie Ann Corsino, Donna S Capili, Anthony P Calibo, Cynthia Fernandez Tan, John C S Murray, Jacqueline Kitong, Howard L Sobel
Objective: To determine whether intrapartum and newborn care practices improved in 11 large hospitals between 2008 and 2015. Design: Secondary data analysis of observational assessments conducted in 11 hospitals in 2008 and 2015. Setting: Eleven large government hospitals from five regions in the Philippines. Participants: One hundred and seven randomly sampled postpartum mother-baby pairs in 2008 and 106 randomly sampled postpartum mothers prior to discharge from hospitals after delivery...
March 31, 2018: International Journal for Quality in Health Care
https://www.readbyqxmd.com/read/29605582/pharmacist-adscription-to-intensive-care-generating-synergies
#12
M T Franco Sereno, R Pérez Serrano, R Ortiz Díaz-Miguel, M C Espinosa González, H Abdel-Hadi Álvarez, A Ambrós Checa, M Rodríguez Martínez
OBJECTIVE: To evaluate incorporation of the hospital pharmacist to the routine activity of an Intensive Care Unit (ICU). DESIGN: A prospective observational study was carried out to evaluate the impact of pharmacist interventions, made by a pharmacist temporarily assigned to the ICU, upon medical prescriptions. SETTING: A medical and surgical ICU with 21 beds. PATIENTS: Patients with at least one ICU stay were included, while patients with admission and discharge in periods when the pharmacist was not present were excluded...
March 28, 2018: Medicina Intensiva
https://www.readbyqxmd.com/read/29602087/development-of-a-protocol-for-environmental-impact-studies-using-causal-modelling
#13
Rezvan Hatami
1- A major challenge when assessing the impacts of human activities on the globe's natural resources is to account for the impacts of land use versus natural spatiotemporal variation in system dynamics. Current freshwater assessments are unable to resolve spatiotemporal confounding through study designs or statistical analyses. Observational studies typically fail to consider the period-by-location interaction in the absence of an impact. 2- Here, I address the problem of spatiotemporal confounding using causal modelling based on spatiotemporal data to infer causal effects of wastewater on biotic ecosystems...
March 16, 2018: Water Research
https://www.readbyqxmd.com/read/29601425/predicting-risk-factors-for-30-day-readmissions-following-discharge-from-post-acute-care
#14
Nina M Flanagan, Victoria M Rizzo, Gary D James, Adele Spegman, Najla A Barnawi
PURPOSE OF STUDY: The specific aims of this descriptive study were to (1) examine the relationships between individual-level determinants of health using standard care admission assessments of residents admitted to a skilled nursing facility (SNF) and those residents readmitted to the hospital within 30 days from discharge from the same SNF; (2) identify and describe the risk factors of the residents readmitted to the hospital within 30 days; and (3) use the findings to inform and refine current practice to target the mutable risk factors correlated with 30-day hospital readmission...
May 2018: Professional Case Management
https://www.readbyqxmd.com/read/29598839/auditory-and-audio-vocal-responses-of-single-neurons-in-the-monkey-ventral-premotor-cortex
#15
Steffen R Hage
Monkey vocalization is a complex behavioral pattern, which is flexibly used in audio-vocal communication. A recently proposed dual neural network model suggests that cognitive control might be involved in this behavior, originating from a frontal cortical network in the prefrontal cortex and mediated via projections from the rostral portion of the ventral premotor cortex (PMvr) and motor cortex to the primary vocal motor network in the brainstem. For the rapid adjustment of vocal output to external acoustic events, strong interconnections between vocal motor and auditory sites are needed, which are present at cortical and subcortical levels...
March 20, 2018: Hearing Research
https://www.readbyqxmd.com/read/29592802/physiotherapists-views-of-implementing-a-stratified-treatment-approach-for-patients-with-low-back-pain-in-germany-a-qualitative-study
#16
Sven Karstens, Pauline Kuithan, Stefanie Joos, Jonathan C Hill, Michel Wensing, Jost Steinhäuser, Katja Krug, Joachim Szecsenyi
BACKGROUND: The STarT-Back-Approach (STarT: Subgroups for Targeted Treatment) was developed in the UK and has demonstrated clinical and cost effectiveness. Based on the results of a brief questionnaire, patients with low back pain are stratified into three treatment groups. Since the organisation of physiotherapy differs between Germany and the UK, the aim of this study is to explore German physiotherapists' views and perceptions about implementing the STarT-Back-Approach. METHODS: Three two-hour think-tank workshops with physiotherapists were conducted...
March 27, 2018: BMC Health Services Research
https://www.readbyqxmd.com/read/29587532/an-audit-of-the-accuracy-of-medication-information-in-electronic-medical-discharge-summaries-linked-to-an-electronic-prescribing-system
#17
Yixin Tan, Rohan A Elliott, Belinda Richardson, Francine E Tanner, Michael I Dorevitch
BACKGROUND: Poor communication of medication information to general practitioners when patients are discharged from hospital is a widely recognised problem. There has been little research exploring the accuracy of medication information in electronic discharge summaries (EDS) linked to hospital e-prescribing systems. OBJECTIVE: To evaluate the accuracy of medication lists and medication change information in EDS produced using an integrated e-prescribing and EDS system (where EDS discharge medication lists were imported from discharge e-prescription records, medication change information was manually entered, and medications were dispensed from paper copies of the patients' e-prescriptions)...
January 1, 2018: Health Information Management: Journal of the Health Information Management Association of Australia
https://www.readbyqxmd.com/read/29584718/rapid-evolution-of-a-voltage-gated-sodium-channel-gene-in-a-lineage-of-electric-fish-leads-to-a-persistent-sodium-current
#18
Ammon Thompson, Daniel T Infield, Adam R Smith, G Troy Smith, Christopher A Ahern, Harold H Zakon
Most weakly electric fish navigate and communicate by sensing electric signals generated by their muscle-derived electric organs. Adults of one lineage (Apteronotidae), which discharge their electric organs in excess of 1 kHz, instead have an electric organ derived from the axons of specialized spinal neurons (electromotorneurons [EMNs]). EMNs fire spontaneously and are the fastest-firing neurons known. This biophysically extreme phenotype depends upon a persistent sodium current, the molecular underpinnings of which remain unknown...
March 2018: PLoS Biology
https://www.readbyqxmd.com/read/29576093/academy-of-nutrition-and-dietetics-revised-2017-standards-of-practice-and-standards-of-professional-performance-for-registered-dietitian-nutritionists-competent-proficient-and-expert-in-oncology-nutrition
#19
Paula Charuhas Macris, Karen Schilling, Raymond Palko
Oncology nutrition encompasses nutrition care for individuals along the cancer care continuum. Nutrition is a vital component of prevention, treatment, and healthy survivorship. The practice of an oncology registered dietitian nutritionist (RDN) reflects the setting and population served with diverse cancer diagnoses, including expanded roles and responsibilities reflecting the RDN's interests and organization's activities. Provision of nutrition services in oncology requires that RDNs have advanced knowledge in the focus area of oncology nutrition...
April 2018: Journal of the Academy of Nutrition and Dietetics
https://www.readbyqxmd.com/read/29573800/short-communication-the-effect-of-novel-antiseptic-compounds-on-umbilical-cord-healing-and-incidence-of-infection-in-dairy-calves
#20
A L Fordyce, L L Timms, K J Stalder, H D Tyler
The goal of dipping the umbilical cord after birth in calves is to promote healing of the umbilical stump, prevent infection, and encourage the umbilical tissue to detach from the body. Treatment applied to the umbilical area is an important management step for preventing morbidity and mortality in calves. The objective of this study was to compare the effect of 4 umbilical dips on the healing rate, incidence of infection, and age at umbilical cord detachment using newborn Holstein heifer calves (n = 73). Calves were alternately assigned by birth order to 4 treatment groups: 7% iodine, a dry dip formulated using an antibacterial peptide (nisin) mixed with talc (3...
March 21, 2018: Journal of Dairy Science
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