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Maria Freytsis, Julia C Phillippi, Kim J Cox, Amy Romano, Leslie Cragin
In 2014, the American College of Nurse-Midwives (ACNM) launched a project called Clarity in Collaboration to develop data definitions related to midwifery and maternity care delivery processes. These definitions are needed to ensure midwifery care delivered in collaborative care models is accurately and consistently captured in clinical documentation systems, data registries, and systems being developed as part of health care restructuring and payment reform. The Clarity in Collaboration project builds on the efforts of the Women's Health Registry Alliance (WHRA), which was recently established by the American College of Obstetricians and Gynecologists...
October 26, 2016: Journal of Midwifery & Women's Health
Joan B Silk, Robert M Seyfarth, Dorothy L Cheney
Although vocal production in non-human primates is highly constrained, individuals appear to have some control over whether to call or remain silent. We investigated how contextual factors affect the production of grunts given by wild female chacma baboons, Papio ursinus, during social interactions. Females grunted as they approached other adult females 28% of the time. Supporting previous research, females were much more likely to grunt to mothers with young infants than to females without infants. Grunts also significantly increased the likelihood of affiliative interactions among all partners...
2016: PloS One
Eva Wiberg-Itzel, Andrea B Pembe, Hans Järnbert-Pettersson, Margareta Norman, Anna-Carin Wihlbäck, Irene Hoesli, Monya Todesco Bernasconi, Elie Azria, Helena Åkerud, Elisabet Darj
BACKGROUND: One of the major complications related to delivery is labor dystocia, or an arrested labor progress. Many dystocic deliveries end vaginally after administration of oxytocin, but a large numbers of women with labor dystocia will undergo a long and unsafe parturition. As a result of the exertion required in labor, the uterus produces lactate. The uterine production of lactate is mirrored by the level of lactate in amniotic fluid (AFL). OBJECTIVES: To evaluate whether the level of AFL, analysed in a sample of amniotic fluid collected vaginally at arrested labor when oxytocin was needed, could predict labor outcome in nulliparous deliveries...
2016: PloS One
Peter Olsén, Jenny Undin, Karin Odelius, Helmut Keul, Ann-Christine Albertsson
Full control over the ceiling temperature (Tc) enables a selective transition between the monomeric and polymeric state. This is exemplified by the conversion of the monomer 2-allyloxymethyl-2-ethyl-trimethylene carbonate (AOMEC) to poly(AOMEC) and back to AOMEC within 10 h by controlling the reaction from conditions that favor ring-opening polymerization (Tc > T0) (where T0 is the reaction temperature) to conditions that favor ring-closing depolymerization (Tc < T0). The ring-closing depolymerization (RCDP) mirrors the polymerization behavior, with a clear relation between the monomer concentration and the molecular weight of the polymer, indicating that RCDP occurs at the chain end...
October 26, 2016: Biomacromolecules
Pablo Blanco, Giovanni Volpicelli
BACKGROUND: Point-of-care ultrasonography (POCUS) is a widely used tool in emergency and critical care settings, useful in the decision-making process as well as in interventional guidance. While having an impressive diagnostic accuracy in the hands of highly skilled operators, inexperienced practitioners must be aware of some common misinterpretations that may lead to wrong decisions at the bedside. OBJECTIVES: This article provides a revision list of common POCUS misdiagnoses usually found in practice and offers useful tips to recognize and avoid them...
December 2016: Critical Ultrasound Journal
Aliza B Solomon, Rachel Reed, Keith Benkov, Joseph Kingsbery, Sarah S Lusman, Lisa B Malter, Jeremiah Levine, Simon Rabinowitz, Martin Wolff, Sondra Zabar, Elizabeth Weinshel
BACKGROUND: The Accreditation Council for Graduate Medical Education (ACGME) has described six core competencies with which trainees should demonstrate proficiency. Using the Objective Structured Clinical Exam (OSCE), we aimed to assess four of these competencies among Pediatric GI fellows (PG). METHODS: Eight first-year PG's from six medical centers in the New York area participated in a four-station OSCE with trained standardized patient (SP) actors. The cases included an "ED Consult" for lower GI bleeding; "Breaking Bad News" focusing on CF nutritional complications; "Second Opinion" for abdominal pain; "Transition of Care" for inflammatory bowel disease...
October 25, 2016: Journal of Pediatric Gastroenterology and Nutrition
Mikhail A Chetvertkov, Farzan Siddiqui, Jinkoo Kim, Indrin Chetty, Akila Kumarasiri, Chang Liu, J James Gordon
PURPOSE: To develop standard (SPCA) and regularized (RPCA) principal component analysis models of anatomical changes from daily cone beam CTs (CBCTs) of head and neck (H&N) patients and assess their potential use in adaptive radiation therapy, and for extracting quantitative information for treatment response assessment. METHODS: Planning CT images of ten H&N patients were artificially deformed to create "digital phantom" images, which modeled systematic anatomical changes during radiation therapy...
October 2016: Medical Physics
V G Konovalov, V S Voitsenya, M N Makhov, I V Ryzhkov, A N Shapoval, S I Solodovchenko, A F Stan, V N Bondarenko, A J H Donné, A Litnovsky
The plasma-facing (first) mirrors in ITER will be subject to sputtering and/or contamination with rates that will depend on the precise mirror locations. The resulting influence of both these factors can reduce the mirror reflectance (R) and worsen the transmitted image quality (IQ). This implies that monitoring the mirror quality in situ is an actual desire, and the present work is an attempt towards a solution. The method we propose is able to elucidate the reason for degradation of the mirror reflectance: sputtering by charge exchange atoms or deposition of contaminated layers...
September 2016: Review of Scientific Instruments
R Šmíd, A Hänsel, L Pravdová, J Sobota, O Číp, N Bhattacharya
In this work we present a design of an external optical cavity based on Fabry-Perot etalons applied to a 100 MHz Er-doped fiber optical frequency comb working at 1560 nm to increase its repetition frequency. A Fabry-Perot cavity is constructed based on a transportable cage system with two silver mirrors in plano-concave geometry including the mode-matching lenses, fiber coupled collimation package and detection unit. The system enables full 3D angle mirror tilting and x-y off axis movement as well as distance between the mirrors...
September 2016: Review of Scientific Instruments
J R Noriega, L A García-Delgado, R Gómez-Fuentes, A García-Juárez
A low power RF amplifier circuit for ion trap applications is presented and described. The amplifier is based on a class-D half-bridge amplifier with a voltage mirror driver. The RF amplifier is composed of an RF class-D amplifier, an envelope modulator to ramp up the RF voltage during the ion analysis stage, a detector or amplitude demodulation circuit for sensing the output signal amplitude, and a feedback amplifier that linearizes the steady state output of the amplifier. The RF frequency is set by a crystal oscillator and the series resonant circuit is tuned to the oscillator frequency...
September 2016: Review of Scientific Instruments
A King, N Guignot, P Zerbino, E Boulard, K Desjardins, M Bordessoule, N Leclerq, S Le, G Renaud, M Cerato, M Bornert, N Lenoir, S Delzon, J-P Perrillat, Y Legodec, J-P Itié
PSICHE (Pressure, Structure and Imaging by Contrast at High Energy) is the high-energy beam line of the SOLEIL synchrotron. The beam line is designed to study samples at extreme pressures, using diffraction, and to perform imaging and tomography for materials science and other diverse applications. This paper presents the tomograph and the use of the beam line for imaging, with emphasis on developments made with respect to existing instruments. Of particular note are the high load capacity rotation stage with free central aperture for installing large or complex samples and sample environments, x-ray mirror and filter optics for pink beam imaging, and multiple options for combining imaging and diffraction measurement...
September 2016: Review of Scientific Instruments
Adam B Phillips, Zhaoning Song, Jonathan L DeWitt, Jon M Stone, Patrick W Krantz, John M Royston, Ryan M Zeller, Meghan R Mapes, Paul J Roland, Mark D Dorogi, Syed Zafar, Gary T Faykosh, Randy J Ellingson, Michael J Heben
We have developed a laser beam induced current imaging tool for photovoltaic devices and modules that utilizes diode pumped Q-switched lasers. Power densities on the order of one sun (100 mW/cm(2)) can be produced in a ∼40 μm spot size by operating the lasers at low diode current and high repetition rate. Using galvanostatically controlled mirrors in an overhead configuration and high speed data acquisition, large areas can be scanned in short times. As the beam is rastered, focus is maintained on a flat plane with an electronically controlled lens that is positioned in a coordinated fashion with the movements of the mirrors...
September 2016: Review of Scientific Instruments
Zhengke Li, Kui Jiang, Guofang Yang, Joshua Yuk Lin Lai, Tingxuan Ma, Jingbo Zhao, Wei Ma, He Yan
To achieve efficient organic solar cells, the design of suitable donor-acceptor couples is crucially important. State-of-the-art donor polymers used in fullerene cells may not perform well when they are combined with non-fullerene acceptors, thus new donor polymers need to be developed. Here we report non-fullerene organic solar cells with efficiencies up to 10.9%, enabled by a novel donor polymer that exhibits strong temperature-dependent aggregation but with intentionally reduced polymer crystallinity due to the introduction of a less symmetric monomer unit...
October 26, 2016: Nature Communications
Alyssa J Kersey, Lauren L Emberson
Although infants begin learning about their environment before they are born, little is known about how the infant brain changes during learning. Here, we take the initial steps in documenting how the neural responses in the brain change as infants learn to associate audio and visual stimuli. Using functional near-infrared spectroscopy (fNRIS) to record hemodynamic responses in the infant cortex (temporal, occipital, and frontal cortex), we find that across the infant brain, learning is characterized by an increase in activation followed by a decrease...
October 26, 2016: Developmental Science
Diogo C Haussen, Ashutosh Jadhav, Leticia C Rebello, Samir Belagaje, Aaron Anderson, Tudor Jovin, Amin Aghaebrahim, Deepak Gulati, Bryan Wells, Michael Frankel, Raul G Nogueira
BACKGROUND AND PURPOSE: Craniocervical fibromuscular dysplasia (FMD) is associated with dissections and with S-shaped curves in the internal carotid artery (ICA). We evaluated the occurrence of S-curves in patients presenting with acute strokes due to ICA steno-occlusive dissections. METHODS: This was a retrospective review of the interventional databases of two academic tertiary-care institutions. The presence of ICA S-shaped curves, C-shaped curves, 360-degree loops, as well as classic FMD and atherosclerotic changes at the ICA bulb and curve/loop was determined...
September 2016: Interventional Neurology
Irena Maus, Yong Sung Kim, Daniel Wibberg, Yvonne Stolze, Sandra Off, Sebastian Antonczyk, Alfred Pühler, Paul Scherer, Andreas Schlüter
Process surveillance within agricultural biogas plants (BGPs) was concurrently studied by high-throughput 16S rRNA gene amplicon sequencing and an optimized quantitative microscopic fingerprinting technique (QMF). In contrast to 16S rRNA gene amplicons, digitalized microscopy is a rapid and cost effective method which facilitates enumeration and morphological differentiation of the most significant groups of methanogens regarding their shape and characteristic auto-fluorescent factor 420. Moreover, the fluorescence signal mirrors cell vitality...
October 25, 2016: Journal of Microbiology and Biotechnology
Thomas W Ebbesen
The notion that light and matter states can be hybridized the way s and p orbitals are mixed is a concept that is not familiar to most chemists and material scientists. Yet it has much potential for molecular and material sciences that is just beginning to be explored. For instance, it has already been demonstrated that the rate and yield of chemical reactions can be modified and that the conductivity of organic semiconductors and nonradiative energy transfer can be enhanced through the hybridization of electronic transitions...
October 25, 2016: Accounts of Chemical Research
Federica Agosta, Roberto Gatti, Elisabetta Sarasso, Maria Antonietta Volonté, Elisa Canu, Alessandro Meani, Lidia Sarro, Massimiliano Copetti, Erik Cattrysse, Eric Kerckhofs, Giancarlo Comi, Andrea Falini, Massimo Filippi
Gait disorders represent a therapeutic challenge in Parkinson's disease (PD). This study investigated the efficacy of 4-week action observation training (AOT) on disease severity, freezing of gait and motor abilities in PD, and evaluated treatment-related brain functional changes. 25 PD patients with freezing of gait were randomized into two groups: AOT (action observation combined with practicing the observed actions) and "Landscape" (same physical training combined with landscape-videos observation). At baseline and 4-week, patients underwent clinical evaluation and fMRI...
October 24, 2016: Journal of Neurology
Jörg Peter Pfannmöller, Marvin Greiner, Mukund Balasubramanian, Martin Lotze
The fingertip somatotopy in BA1 and BA3b of monkeys exhibits characteristic differences with a more discrete separation of the body parts in BA3b and a continuous orientation column like structure in BA1. We present evidence for similar differences in the human somatotopy using BOLD fMRI for the investigations. Though the variability between the individual maps was large, we found a group wide somatotopic representation in BA3b and BA1. The variability due to anatomical differences was small in our sample. This was demonstrated by comparing exact shortest distances in the individual brains and after nonlinear normalization to the group space template, for the removal of the individual anatomical variability...
October 21, 2016: Neuroscience
J Noeske, A Nana Yakam, J-L Abena Foe
SETTING: The Cameroonian National Tuberculosis Programme. OBJECTIVES: To assess case surveillance data for the 9-year period between January 2006 and December 2014. DESIGN: Retrospective descriptive analysis of tuberculosis (TB) case finding in Cameroon using routine surveillance data. Data on sociodemographic characteristics, disease category, clinical and laboratory variables, and geographic regions were analysed. RESULTS: The absolute number of TB cases (all forms) notified increased from 24 878 in 2006 to 26 517 in 2014; however, the population-adjusted annual case notification rate (CNR) of TB (all forms) as well as that of new smear-positive pulmonary TB cases decreased significantly, from 139 to 121 (P < 0...
November 2016: International Journal of Tuberculosis and Lung Disease
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