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https://www.readbyqxmd.com/read/27911257/individualized-antibiotic-therapy-in-patients-with-ventilator-associated-pneumonia
#1
Gurdal Yilmaz, Sedat Saylan, Firdevs Aksoy, Iftihar Koksal
The optimal duration of treatment of ventilator-associated pneumonia (VAP) is still the subject of debate. While 1-week treatment has been reported as possibly sufficient, patients generally receive antibiotic therapy for 10-14 days. The purpose of our study was to investigate whether length of treatment in patients with VAP can be reduced with an individualized therapeutic strategy. The study was performed prospectively with patients diagnosed with VAP in our hospital's intensive care units between 1 January and 31 December, 2015...
December 1, 2016: Journal of Medical Microbiology
https://www.readbyqxmd.com/read/27911109/confocal-microscopy-and-imaging-profilometry-a-new-tool-aimed-to-evaluate-aesthetic-procedures
#2
Gabriella Fabbrocini, Caterina Mazzella, Fabio Montagnaro, Maria Pia De Padova, Sandra Lorenzi, Aurora Tedeschi, Patrizia Forgione, Claudia Capasso, Luigi Sivero, Carla Velotti, Daniela Russo, Rosa Vitiello, Gennaro Ilardi
According to the American Academy of Aesthetic Plastic Surgeons, more than 11 million cosmetic surgical and nonsurgical procedures were performed by board-certified plastic surgeons, dermatologists and otolaryngologists in the United States, totaling more than 12 billion dollars. We performed a retrospective observational multi-centric study on patients treated with a non-animal origin cross-linked hyaluronic acid with different molecular weights for nasolabial folds, evaluating through a new imaging system, profilometric techniques with the confocal microscopy, the durability, the efficacy and the safety of this product...
December 2, 2016: Journal of Cosmetic and Laser Therapy: Official Publication of the European Society for Laser Dermatology
https://www.readbyqxmd.com/read/27910841/incommensurate-density-modulation-in-a-na-rich-plagioclase-feldspar-z-contrast-imaging-and-single-crystal-x-ray-diffraction-study
#3
Huifang Xu, Shiyun Jin, Bruce C Noll
Plagioclase feldspars are the most abundant mineral in the Earth's crust. Intermediate plagioclase feldspars commonly display incommensurately modulated or aperiodic structures. Z-contrast images show both Ca-Na ordering and density modulation. The local structure of lamellae domains has I1-like symmetry. The neighboring lamellae domains are in an inversion twinning relationship. With a state-of-the-art X-ray diffraction unit, second-order satellite reflections (f-reflections) are observed for the first time in andesine (An45), a Na-rich e-plagioclase...
December 1, 2016: Acta Crystallographica Section B, Structural Science, Crystal Engineering and Materials
https://www.readbyqxmd.com/read/27910840/-na-%C3%A2-5-mno2-13-nanorods-a-new-tunnel-structure-for-electrode-materials-determined-ab-initio-and-refined-through-a-combination-of-electron-and-synchrotron-diffraction-data
#4
Enrico Mugnaioli, Mauro Gemmi, Marco Merlini, Michele Gregorkiewitz
(Nax□1 - x)5[MnO2]13 has been synthesized with x = 0.80 (4), corresponding to Na0.31[MnO2]. This well known material is usually cited as Na0.4[MnO2] and is believed to have a romanèchite-like framework. Here, its true structure is determined, ab initio, by single-crystal electron diffraction tomography (EDT) and refined both by EDT data applying dynamical scattering theory and by the Rietveld method based on synchrotron powder diffraction data (χ(2) = 0.690, Rwp = 0.051, Rp = 0.037, RF2 = 0.035). The unit cell is monoclinic C2/m, a = 22...
December 1, 2016: Acta Crystallographica Section B, Structural Science, Crystal Engineering and Materials
https://www.readbyqxmd.com/read/27910833/cu-ii-and-zn-ii-%C3%AE-diketonate-coordination-polymers-based-on-pyrimidin-2-amine-pyrazine-and-1-2-bis-4-pyridyl-ethane
#5
Franc Perdih
Copper(II) and zinc(II) bis(4,4,4-trifluoro-1-phenylbutane-1,3-dionato) compounds with pyrimidin-2-amine (pyr2a), pyrazine (pyz) and 1,2-bis(4-pyridyl)ethane (dpet) were prepared and solid-state structures of coordination polymers [M(tfpb)2(pyr2a)]∞ [M = Cu (1), Zn (2); tfpb = 4,4,4-trifluoro-1-phenylbutane-1,3-dionate], [M(tfpb)2(pyz)]∞ [M = Cu (3), Zn (4a, 4b)] and [Cu(tfpb)2(dpet)]∞ (5), respectively, were determined by single-crystal X-ray analysis. The coordination of metal centers in all compounds is octahedral with nitrogen ligands occupying the axial positions...
December 1, 2016: Acta Crystallographica Section B, Structural Science, Crystal Engineering and Materials
https://www.readbyqxmd.com/read/27910717/dose-optimisation-for-assessment-of-periodontal-structures-in-cone-beam-ct-examinations
#6
Ayman Al-Okshi, Chrysoula Theodorakou, Christina Lindh
OBJECTIVE: To investigate the relationship between dose and image quality for a dedicated dental Cone Beam CT (CBCT) scanner using different scanning protocols and to set up an optimal imaging protocol for assessment of periodontal structures. METHODS: Radiation dose and image quality measurements were made using the 3D Accuitomo 170 dental CBCT scanner. The SedentexCT IQ phantom was used to investigate the relationship between contrast-to-noise ratio (CNR) and dose-area product (DAP)...
December 2, 2016: Dento Maxillo Facial Radiology
https://www.readbyqxmd.com/read/27910414/electron-cyclotron-emission-radiometer-upgrade-on-the-j-text-tokamak
#7
Z J Yang, X M Pan, X D Ma, B W Ruan, R B Zhou, C Zhang
To meet experimental requirements, the J-TEXT electron cyclotron emission (ECE) diagnostic is being upgraded. The front end antenna and transmission line have been modified and a new 8-channel W-band detecting unit has been developed. The improved ECE system will extend the frequency range from 94.5-124.5 GHz to 80.5-124.5 GHz. This will enable the system to cover the most plasma in the radius direction for BT = 1.8-2.2 T, and it even can cover almost the whole plasma range ρ = - 0.8-0.9 (minus means the high field side) at BT = 1...
November 2016: Review of Scientific Instruments
https://www.readbyqxmd.com/read/27910371/diagnostic-suite-of-the-c-2u-advanced-beam-driven-field-reversed-configuration-plasma-experiment
#8
M C Thompson, H Gota, S Putvinski, M Tuszewski, M Binderbauer
The C-2U experiment at Tri Alpha Energy studies the evolution of field-reversed configuration (FRC) plasmas sustained by neutral beam injection. Data on the FRC plasma performance are provided by a comprehensive suite of diagnostics that includes magnetic sensors, interferometry, Thomson scattering, spectroscopy, bolometry, reflectometry, neutral particle analyzers, and fusion product detectors. While many of these diagnostic systems were inherited from the preceding experiment C-2, C-2U has a variety of new and upgraded diagnostic systems: multi-chord far-infrared polarimetry, multiple fast imaging cameras with selectable atomic line filters, proton detector arrays, and 100 channel bolometer units capable of observing multiple regions of the spectrum simultaneously...
November 2016: Review of Scientific Instruments
https://www.readbyqxmd.com/read/27910351/calibration-of-the-ohrex-high-resolution-imaging-crystal-spectrometer-at-the-livermore-electron-beam-ion-traps
#9
N Hell, P Beiersdorfer, E W Magee, G V Brown
We report the calibration of the Orion High-Resolution X-ray (OHREX) imaging crystal spectrometer at the EBIT-I electron beam ion trap at Livermore. Two such instruments, dubbed OHREX-1 and OHREX-2, are fielded for plasma diagnostics at the Orion laser facility in the United Kingdom. The OHREX spectrometer can simultaneously house two spherically bent crystals with a radius of curvature of r = 67.2 cm. The focusing properties of the spectrometer allow both for larger distance to the source due to the increase in collected light and for observation of extended sources...
November 2016: Review of Scientific Instruments
https://www.readbyqxmd.com/read/27910072/enhancing-surface-plasmon-resonance-detection-using-nanostructured-au-chips
#10
Ivan Indutnyi, Yuriy Ushenin, Dirk Hegemann, Marianne Vandenbossche, Victor Myn'ko, Mariia Lukaniuk, Petro Shepeliavyi, Andrii Korchovyi, Roman Khrystosenko
The increase of the sensitivity of surface plasmon resonance (SPR) refractometers was studied experimentally by forming a periodic relief in the form of a grating with submicron period on the surface of the Au-coated chip. Periodic reliefs of different depths and spatial frequency were formed on the Au film surface using interference lithography and vacuum chalcogenide photoresists. Spatial frequencies of the grating were selected close to the conditions of Bragg reflection of plasmons for the working wavelength of the SPR refractometer and the used environment (solution of glycerol in water)...
December 2016: Nanoscale Research Letters
https://www.readbyqxmd.com/read/27909608/comparison-of-two-different-enteral-nutrition-protocol-in-critically-ill-patients
#11
Sibel Büyükçoban, Mert Akan, Uğur Koca, Merih Yıldız Eğlen, Meltem Çiçeklioğlu, Ömür Mavioğlu
OBJECTIVE: In this study, two enteral nutrition protocols with different gastric residual volumes (GRVs) and different monitoring intervals were compared with respect to gastrointestinal intolerance findings in intensive care unit (ICU) patients. METHODS: The study was carried out prospectively in 60 patients in the anaesthesiology and reanimation ICU under mechanical ventilation support, who were scheduled to take enteral feeding. Patients were sequentially divided into two groups: Group 1, GRV threshold of 100 mL, and monitoring interval of 4 hours, and Group 2, GRV threshold of 200 mL, monitoring interval of 8 hours...
October 2016: Turkish Journal of Anaesthesiology and Reanimation
https://www.readbyqxmd.com/read/27909603/analyzing-exposures-to-electromagnetic-fields-in-an-intensive-care-unit
#12
Necati Gökmen, Sabri Erdem, Kadir Atilla Toker, Elvan Öçmen, Başak Ilgım Gökmen, Ahmet Özkurt
OBJECTIVE: In this study, we conducted a numerical analysis of exposure to electromagnetic fields (EMFs) in a hospital's intensive care unit that is one of the most crucial one in terms of hazardous areas among all service units. This is a new study for measuring exposure to EMFs in an intensive care unit as well as other healthcare services in Turkey. METHODS: We measured the EMFs in the intensive care unit with a SRM-3006 (selective radiation metre), which was used for measurement of the absolute and the limit values of high frequency EMFs...
October 2016: Turkish Journal of Anaesthesiology and Reanimation
https://www.readbyqxmd.com/read/27909460/attribution-of-net-carbon-change-by-disturbance-type-across-forest-lands-of-the-conterminous-united-states
#13
N L Harris, S C Hagen, S S Saatchi, T R H Pearson, C W Woodall, G M Domke, B H Braswell, B F Walters, S Brown, W Salas, A Fore, Y Yu
BACKGROUND: Locating terrestrial sources and sinks of carbon (C) will be critical to developing strategies that contribute to the climate change mitigation goals of the Paris Agreement. Here we present spatially resolved estimates of net C change across United States (US) forest lands between 2006 and 2010 and attribute them to natural and anthropogenic processes. RESULTS: Forests in the conterminous US sequestered -460 ± 48 Tg C year(-1), while C losses from disturbance averaged 191 ± 10 Tg C year(-1)...
December 2016: Carbon Balance and Management
https://www.readbyqxmd.com/read/27909431/the-microbiota-of-recreational-freshwaters-and-the-implications-for-environmental-and-public-health
#14
Chang Soo Lee, Minseok Kim, Cheonghoon Lee, Zhongtang Yu, Jiyoung Lee
The microbial communities in recreational freshwaters play important roles in both environmental and public health perspectives. In this study, the bacterial community structure and its associations with freshwater environments were investigated by analyzing the summertime microbiomes of three beach waters in Ohio (East Fork, Delaware, and Madison lakes) together with environmental and microbial water quality parameters. From the swimming season of 2009, 21 water samples were collected from the three freshwater beaches...
2016: Frontiers in Microbiology
https://www.readbyqxmd.com/read/27909426/deconstructing-the-bat-skin-microbiome-influences-of-the-host-and-the-environment
#15
Christine V Avena, Laura Wegener Parfrey, Jonathan W Leff, Holly M Archer, Winifred F Frick, Kate E Langwig, A Marm Kilpatrick, Karen E Powers, Jeffrey T Foster, Valerie J McKenzie
Bats are geographically widespread and play an important role in many ecosystems, but relatively little is known about the ecology of their associated microbial communities and the role microbial taxa play in bat health, development, and evolution. Moreover, few vertebrate animal skin microbiomes have been comprehensively assessed, and thus characterizing the bat skin microbiome will yield valuable insight into the variability of vertebrate skin microbiomes as a whole. The recent emergence of the skin fungal disease white-nose syndrome highlights the potentially important role bat skin microbial communities could play in bat health...
2016: Frontiers in Microbiology
https://www.readbyqxmd.com/read/27909313/nanoscale-self-templating-for-oxide-epitaxy-with-large-symmetry-mismatch
#16
Xiang Gao, Shinbuhm Lee, John Nichols, Tricia L Meyer, Thomas Z Ward, Matthew F Chisholm, Ho Nyung Lee
Direct observations using scanning transmission electron microscopy unveil an intriguing interfacial bi-layer that enables epitaxial growth of a strain-free, monoclinic, bronze-phase VO2(B) thin film on a perovskite SrTiO3 (STO) substrate. We observe an ultrathin (2-3 unit cells) interlayer best described as highly strained VO2(B) nanodomains combined with an extra (Ti,V)O2 layer on the TiO2 terminated STO (001) surface. By forming a fully coherent interface with the STO substrate and a semi-coherent interface with the strain-free epitaxial VO2(B) film above, the interfacial bi-layer enables the epitaxial connection of the two materials despite their large symmetry and lattice mismatch...
December 2, 2016: Scientific Reports
https://www.readbyqxmd.com/read/27909093/barriers-of-pediatric-residents-to-speaking-up-about-patient-safety
#17
Rachel Landgren, Zeinab Alawadi, Caryn Douma, Eric J Thomas, Jason Etchegaray
BACKGROUND AND OBJECTIVES: Medical errors are a leading cause of death in the United States. Effective communication and speaking up are crucial factors in patient safety initiatives. We examined the reasons reported by pediatric residents for not speaking up about safety events when they are observed in practice. We also tested a priori hypotheses of associations between categories of barriers to speaking up with perceptions of safety and teamwork culture. METHODS: Pediatric residents completed an anonymous electronic survey measuring safety and teamwork culture along with an open-ended question asking them to list the top 3 barriers to speaking up about patient safety concerns...
December 2016: Hospital Pediatrics
https://www.readbyqxmd.com/read/27908815/regional-variation-in-postoperative-myocardial-infarction-in-patients-undergoing-vascular-surgery-in-the-united-states
#18
Andrea M Steely, Peter W Callas, Daniel Neal, Salvatore T Scali, Philip P Goodney, Andres Schanzer, Jack L Cronenwett, Daniel J Bertges
OBJECTIVE: To assess for regional variation in the incidence of postoperative myocardial infarction (POMI) following non-emergent vascular surgery across the United States in order to identify potential areas for quality improvement initiatives. METHODS: We evaluated POMI rates across 17 regional Vascular Quality Initiative (VQI) groups comprised of 243 centers with 1,343 surgeons who performed 75,057 vascular operations from 2010-2014. Four procedures were included in the analysis: carotid endarterectomy (CEA, n=39,118), endovascular abdominal aortic aneurysm (AAA) repair (EVAR, n=15,106), infra-inguinal bypass (INFRA, n=17,176), and open infra-renal AAA repair (OAAA, n=3,657)...
November 28, 2016: Annals of Vascular Surgery
https://www.readbyqxmd.com/read/27908124/sub-tg-features-of-glasses-formed-by-cooling-glycerol-under-pressure-additional-incompatibility-of-vibrational-with-configurational-states-in-the-depressurized-high-density-glass
#19
Ove Andersson, G P Johari
The vibrational state of a glass is naturally incompatible with its configurational state, which makes the glass structurally unstable. When a glass is kept at constant temperature, both the vibrational and configurational states of a glass change with time until it becomes metastable (equilibrium) liquid and the two states become compatible. The process, known as structural relaxation, occurs at a progressively higher rate during heating, and the properties of a glass change accordingly. We add to this incompatibility by depressurizing a glass that had been formed by cooling a liquid under a high pressure, p, and then investigate the effects of the added incompatibility by studying thermal conductivity, κ, and the heat capacity per unit volume ρCp of the depressurized glass...
November 28, 2016: Journal of Chemical Physics
https://www.readbyqxmd.com/read/27908076/experimental-observation-of-piezoelectric-effect-in-cancellous-bone-generated-by-ultrasound-irradiation
#20
A Hosokawa
In this study, piezoelectric cells (PE-cells) of cancellous bone were experimentally produced to receive an ultrasound wave. In the PE-cell, a bovine cancellous bone specimen, in which the pore spaces were saturated with air, was electrically shielded to prevent electromagnetic noise. As a result, the piezoelectric signal generated in the cancellous bone specimen by irradiating an ultrasound burst wave at 1.0 MHz could be clearly observed in water. The experimental results showed that the ultrasound sensitivity per unit area of cancellous bone was estimated to be below 1/100 and 1/100 000 of cortical bone and poly(vinylidene fluoride), respectively...
November 2016: Journal of the Acoustical Society of America
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