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1.
Science ; 204(4396): 972, 1979 Jun 01.
Artículo en Inglés | MEDLINE | ID: mdl-17800432

RESUMEN

Two volcanic plumes were discovered on an image of Io taken as part of the Voyager optical navigation effort. This is the first evidence of active volcanism on any body in the solar system other than Earth.

2.
Science ; 206(4421): 927-50, 1979 Nov 23.
Artículo en Inglés | MEDLINE | ID: mdl-17733910

RESUMEN

Voyager 2, during its encounter with the Jupiter system, provided images that both complement and supplement in important ways the Voyager 1 images. While many changes have been observed in Jupiter's visual appearance, few, yet significant, changes have been detected in the principal atmospheric currents. Jupiter's ring system is strongly forward scattering at visual wavelengths and consists of a narrow annulus of highest particle density, within which is a broader region in which the density is lower. On Io, changes are observed in eruptive activity, plume structure, and surface albedo patterns. Europa's surface retains little or no record of intense meteorite bombardment, but does reveal a complex and, as yet, little-understood system of overlapping bright and dark linear features. Ganymede is found to have at least one unit of heavily cratered terrain on a surface that otherwise suggests widespread tectonism. Except for two large ringed basins, Callisto's entire surface is heavily cratered.

3.
Science ; 215(4532): 504-37, 1982 Jan 29.
Artículo en Inglés | MEDLINE | ID: mdl-17771273

RESUMEN

Voyager 2 photography has complemented that of Voyager I in revealing many additional characteristics of Saturn and its satellites and rings. Saturn's atmosphere contains persistent oval cloud features reminiscent of features on Jupiter. Smaller irregular features track out a pattern of zonal winds that is symmetric about Saturn's equator and appears to extend to great depth. Winds are predominantly eastward and reach 500 meters per second at the equator. Titan has several haze layers with significantly varying optical properties and a northern polar "collar" that is dark at short wavelengths. Several satellites have been photographed at substantially improved resolution. Enceladus' surface ranges from old, densely cratered terrain to relatively young, uncratered plains crossed by grooves and faults. Tethys has a crater 400 kilometers in diameter whose floor has domed to match Tethys' surface curvature and a deep trench that extends at least 270 degrees around Tethys' circumference. Hyperion is cratered and irregular in shape. Iapetus' bright, trailing hemisphere includes several dark-floored craters, and Phoebe has a very low albedo and rotates in the direction opposite to that of its orbital revolution with a period of 9 hours. Within Saturn's rings, the "birth" of a spoke has been observed, and surprising azimuthal and time variability is found in the ringlet structure of the outer B ring. These observations lead to speculations about Saturn's internal structure and about the collisional and thermal history of the rings and satellites.

4.
Science ; 212(4491): 163-91, 1981 Apr 10.
Artículo en Inglés | MEDLINE | ID: mdl-17783827

RESUMEN

As Voyager 1 flew through the Saturn system it returned photographs revealing many new and surprising characteristics of this complicated community of bodies. Saturn's atmosphere has numerous, low-contrast, discrete cloud features and a pattern of circulation significantly different from that of Jupiter. Titan is shrouded in a haze layer that varies in thickness and appearance. Among the icy satellites there is considerable variety in density, albedo, and surface morphology and substantial evidence for endogenic surface modification. Trends in density and crater characteristics are quite unlike those of the Galilean satellites. Small inner satellites, three of which were discovered in Voyager images, interact gravitationally with one another and with the ring particles in ways not observed elsewhere in the solar system. Saturn's broad A, B, and C rings contain hundreds of "ringlets," and in the densest portion of the B ring there are numerous nonaxisymmetric features. The narrow F ring has three components which, in at least one instance, are kinked and crisscrossed. Two rings are observed beyond the F ring, and material is seen between the C ring and the planet.

5.
Science ; 204(4396): 951-72, 1979 Jun 01.
Artículo en Inglés | MEDLINE | ID: mdl-17800430

RESUMEN

The cameras aboard Voyager 1 have provided a closeup view of the Jupiter system, revealing heretofore unknown characteristics and phenomena associated with the planet's atmosphere and the surfaces of its five major satellites. On Jupiter itself, atmospheric motions-the interaction of cloud systems-display complex vorticity. On its dark side, lightning and auroras are observed. A ring was discovered surrounding Jupiter. The satellite surfaces display dramatic differences including extensive active volcanismn on Io, complex tectonism on Ganymnede and possibly Europa, and flattened remnants of enormous impact features on Callisto.

6.
Science ; 233(4759): 43-64, 1986 Jul 04.
Artículo en Inglés | MEDLINE | ID: mdl-17812889

RESUMEN

Voyager 2 images of the southern hemisphere of Uranus indicate that submicrometersize haze particles and particles of a methane condensation cloud produce faint patterns in the atmosphere. The alignment of the cloud bands is similar to that of bands on Jupiter and Saturn, but the zonal winds are nearly opposite. At mid-latitudes (-70 degrees to -27 degrees ), where winds were measured, the atmosphere rotates faster than the magnetic field; however, the rotation rate of the atmosphere decreases toward the equator, so that the two probably corotate at about -20 degrees . Voyager images confirm the extremely low albedo of the ring particles. High phase angle images reveal on the order of 10(2) new ringlike features of very low optical depth and relatively high dust abundance interspersed within the main rings, as well as a broad, diffuse, low optical depth ring just inside the main rings system. Nine of the newly discovered small satellites (40 to 165 kilometers in diameter) orbit between the rings and Miranda; the tenth is within the ring system. Two of these small objects may gravitationally confine the e ring. Oberon and Umbriel have heavily cratered surfaces resembling the ancient cratered highlands of Earth's moon, although Umbriel is almost completely covered with uniform dark material, which perhaps indicates some ongoing process. Titania and Ariel show crater populations different from those on Oberon and Umbriel; these were probably generated by collisions with debris confined to their orbits. Titania and Ariel also show many extensional fault systems; Ariel shows strong evidence for the presence of extrusive material. About halfof Miranda's surface is relatively bland, old, cratered terrain. The remainder comprises three large regions of younger terrain, each rectangular to ovoid in plan, that display complex sets of parallel and intersecting scarps and ridges as well as numerous outcrops of bright and dark materials, perhaps suggesting some exotic composition.

7.
Science ; 246(4936): 1422-49, 1989 Dec 15.
Artículo en Inglés | MEDLINE | ID: mdl-17755997

RESUMEN

Voyager 2 images of Neptune reveal a windy planet characterized by bright clouds of methane ice suspended in an exceptionally clear atmosphere above a lower deck of hydrogen sulfide or ammonia ices. Neptune's atmosphere is dominated by a large anticyclonic storm system that has been named the Great Dark Spot (GDS). About the same size as Earth in extent, the GDS bears both many similarities and some differences to the Great Red Spot of Jupiter. Neptune's zonal wind profile is remarkably similar to that of Uranus. Neptune has three major rings at radii of 42,000, 53,000, and 63,000 kilometers. The outer ring contains three higher density arc-like segments that were apparently responsible for most of the ground-based occultation events observed during the current decade. Like the rings of Uranus, the Neptune rings are composed of very dark material; unlike that of Uranus, the Neptune system is very dusty. Six new regular satellites were found, with dark surfaces and radii ranging from 200 to 25 kilometers. All lie inside the orbit of Triton and the inner four are located within the ring system. Triton is seen to be a differentiated body, with a radius of 1350 kilometers and a density of 2.1 grams per cubic centimeter; it exhibits clear evidence of early episodes of surface melting. A now rigid crust of what is probably water ice is overlain with a brilliant coating of nitrogen frost, slightly darkened and reddened with organic polymer material. Streaks of organic polymer suggest seasonal winds strong enough to move particles of micrometer size or larger, once they become airborne. At least two active plumes were seen, carrying dark material 8 kilometers above the surface before being transported downstream by high level winds. The plumes may be driven by solar heating and the subsequent violent vaporization of subsurface nitrogen.

8.
Physiol Behav ; 96(2): 362-9, 2009 Feb 16.
Artículo en Inglés | MEDLINE | ID: mdl-19022271

RESUMEN

Several theoretical and empirical studies have suggested that immunocompetence may act as a constraint on learning, due to a trade-off in investment in the two processes. Here we tested whether experimentally depressing immune responsiveness of male BKW mice using antithymocyte serum (ATS) would lead to reduced learning performance in a radial maze task. Correct choices in the maze were indicated by the presence of familiar odours, incorrect choices by unfamiliar odours. We showed that temporarily depressing cellular immunity led to a reduction in performance in terms of a reduced proportion of correct choices. We also found a positive relationship between the proportion of correct entries over the period of testing and haemagglutination titre, indicating that mice showing greater immune responsiveness performed better in the maze. We conclude that depressing the immune system reduces learning performance in a combined odour/spatial learning task, and that some individuals are better able to compensate for the experimental immunodepression. In contrast to previous studies, there was no evidence that the effect of ATS was mediated by associated changes in corticosterone or testosterone secretion. There were no significant effects of the presence of female odour on learning performance, and therefore no evidence that the down regulation of learning in relation to immune depression was influenced by apparent reproductive opportunity.


Asunto(s)
Suero Antilinfocítico/farmacología , Inmunosupresores/farmacología , Aprendizaje por Laberinto/efectos de los fármacos , Ratones/fisiología , Análisis de Varianza , Animales , Conducta de Elección/efectos de los fármacos , Femenino , Pruebas de Hemaglutinación/métodos , Masculino , Ratones/inmunología , Odorantes , Tamaño de los Órganos/efectos de los fármacos , Distribución Aleatoria , Análisis de Regresión , Timo/efectos de los fármacos
9.
Behav Processes ; 72(1): 74-83, 2006 Mar.
Artículo en Inglés | MEDLINE | ID: mdl-16442748

RESUMEN

There is accumulating evidence that learning is metabolically costly. One way in which this may manifest itself is in trade-offs between learning effort and immune function, with learning increasing susceptibility to infection. We tested this idea in the context of odour learning using outbred (BKW) male laboratory mice. Mice were exposed to three experimental treatments in which they were required to learn different numbers of urinary odours. While treatment affected the extent to which mice habituated to test odours during training, differences were not a simple function of the number of odours. The fact that there was also no significant effect of treatment on the degree of preference for novel over familiar odours in subsequent tests suggests mice retained learned odour profiles equally well regardless of the number of odours. That subsequent infection with Babesia microti increased with the number of odours mice had to learn is then consistent with an increased cost to learning effort when more odours were presented. Analysis within treatments, and relationships with the change in corticosterone concentration over the period of the experiment, suggested that it was a failure to learn, rather than maintaining learning performance, in more difficult learning tasks that led to greater infection. As in a previous study of maze learning in the strain, there was no direct relationship between infection and measures of peripheral antibody (total IgG) titre. The results are discussed in relation to studies in other learning contexts and reported relationships between glucocorticoid hormones and learning outcomes.


Asunto(s)
Aprendizaje Discriminativo/fisiología , Tolerancia Inmunológica/inmunología , Odorantes , Olfato/inmunología , Animales , Nivel de Alerta/fisiología , Atención/fisiología , Babesia microti/inmunología , Babesiosis/inmunología , Corticosterona/sangre , Metabolismo Energético/inmunología , Inmunoglobulina G , Masculino , Recuerdo Mental/fisiología , Ratones , Motivación
10.
Biochim Biophys Acta ; 927(3): 392-401, 1987 Mar 11.
Artículo en Inglés | MEDLINE | ID: mdl-3028497

RESUMEN

This study examined the changes in protein phosphorylation in response to cholinergic (muscarinic) stimulation of salivary secretion in the rat submandibular gland. Carbachol stimulation was associated with phosphorylation in a number of protein bands as detected by sodium dodecyl sulfate (SDS) polyacrylamide gel electrophoresis and autoradiography. The molecular masses (Mr) of two proteins, in which the amount of phosphorylation more than doubled in response to carbachol, were 22,000 and 96,000. The Mr 96,000 protein precipitated at 120,000 X g while most of the Mr 22,000 protein remained in the supernatant at this speed. The effect of carbachol on the phosphorylation of the Mr 22,000 and 96,000 proteins was blocked by atropine, indicating that the cholinergic receptor involved is muscarinic. The time course of phosphorylation of the Mr 22,000 protein consisted of a rapid increase in phosphorylation within the first min of carbachol stimulation. This increased phosphorylation persisted for less than 1 min. The increased phosphorylation of the Mr 96,000 protein also occurred within the first min but it persisted for at least 10 min. However, removal of the muscarinic agonist, carbachol, resulted in the rapid dephosphorylation of this protein. When the plasma membranes were purified, the Mr 96,000 protein was phosphorylated by ATP in the presence of Na+ and Mg2+. It was dephosphorylated by K+. This proves that the Mr 96,000 dalton protein is the alpha-subunit of the (Na+ + K+)-ATPase.


Asunto(s)
Carbacol/farmacología , Fosfoproteínas/metabolismo , Proteínas y Péptidos Salivales/metabolismo , ATPasa Intercambiadora de Sodio-Potasio/metabolismo , Glándula Submandibular/metabolismo , Animales , Técnicas In Vitro , Sustancias Macromoleculares , Masculino , Ouabaína/farmacología , Consumo de Oxígeno/efectos de los fármacos , Fosforilación , Ratas , Ratas Endogámicas , Glándula Submandibular/efectos de los fármacos
11.
Fertil Steril ; 62(4): 701-7, 1994 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-7926076

RESUMEN

OBJECTIVE: To compare dydrogesterone with placebos in the treatment of minimal to mild endometriosis. DESIGN: Prospective, double-blind, randomized study. SETTING: Three Obstetrics and Gynaecology Departments in the United Kingdom. PATIENTS: Sixty-two premenopausal women with complaints of pain (n = 12) and infertility with or without pain (n = 50) with minimal to mild endometriosis diagnosed at laparoscopy. Thirty-nine women had a laparoscopy after treatment and 56 women were followed up 12 months after treatment. INTERVENTIONS: Two high doses of dydrogesterone (either 40 or 60 mg) or a placebo, which was given for 12 days, beginning 2 days after the LH surge for a treatment period of 6 months. MAIN OUTCOME MEASURES: Change between before and after treatment endometriosis scores, pregnancy rates (PRs), and pain. RESULTS: Treatment with dydrogesterone did not alter the natural history of endometriosis or PRs when compared with placebo. Pain was reduced significantly during treatment with 60 mg dydrogesterone and this improvement still was evident at 12-month follow-up. CONCLUSION: Luteal phase dydrogesterone reduces pain associated with endometriosis.


Asunto(s)
Didrogesterona/administración & dosificación , Endometriosis/tratamiento farmacológico , Fase Luteínica , Adulto , Método Doble Ciego , Didrogesterona/uso terapéutico , Endometriosis/complicaciones , Endometriosis/fisiopatología , Femenino , Humanos , Infertilidad Femenina/etiología , Dolor Pélvico/etiología , Placebos , Embarazo
12.
Physiol Behav ; 74(4-5): 517-22, 2001.
Artículo en Inglés | MEDLINE | ID: mdl-11790411

RESUMEN

Male mice produce scent marks by depositing urine throughout their territory. The scent marks contain a number of pheromones and contain major urinary proteins (MUPs). Up to 1 g of these MUPs may be produced everyday. It is therefore likely that scent marking is costly and as such will impact on male fitness. In order to investigate the costs of scent marking, we conducted an experiment where scent marking rate was increased artificially, without changing the social environment (which may have an independent and different effect on both scent marking and physiology), or changing travelling time (such as would occur in a larger territory). Novel objects were introduced every other day (Replace); objects were introduced on day 1 and moved on alternate days (Move); or the mice were left undisturbed (Control). Introducing new objects daily caused a significant increase in scent marking rate, and an increase in the size of both the coagulating gland and the testes compared to the other two conditions. This is likely to be due to increased hormonal activity, which is known to affect these gland sizes. Interestingly, the preputial gland, which produces a number of pheromones, did not differ between the three conditions. There were no differences in male weight, growth rate or condition, indicating that the effect of an increase in scent marking of this magnitude does not have measurable fitness effects.


Asunto(s)
Dominación-Subordinación , Genitales Masculinos/fisiología , Feromonas/fisiología , Proteínas/metabolismo , Conducta Sexual Animal/fisiología , Olfato/fisiología , Territorialidad , Comunicación Animal , Animales , Masculino , Ratones , Tamaño de los Órganos/fisiología
13.
Maturitas ; 14(1): 9-15, 1991 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-1791775

RESUMEN

Thirty post-menopausal, non-hysterectomised women received a 50 mg oestradiol implant subcutaneously and either 10 mg or 20 mg dydrogesterone daily for 14 days every 28 days for 6 months. Endometrial biopsies were taken during the initial oestrogen-only phase and again during the final progestogen phase. Of the ten initial samples which were adequate for histological diagnosis, nine showed proliferative and one non-secretory endometrium. Of the 28 samples obtained at the end of the study during the progestogen phase, all except one showed satisfactory conversion, irrespective of dose. Acceptable bleeding patterns were seen in both dosage groups. Tolerance was good and no patient discontinued treatment. This study has shown that both 10 mg and 20 mg dydrogesterone for 14 days are potent enough to oppose the proliferative effects of the 50 mg oestradiol implant. In view of the wide inter-patient variation in endometrial response to progestogens, it appears appropriate to choose the dosage of dydrogesterone on the basis of cycle control and tolerability, whilst being able to maintain confidence in endometrial protection.


Asunto(s)
Didrogesterona/administración & dosificación , Estradiol/administración & dosificación , Terapia de Reemplazo de Estrógeno , Biopsia , Implantes de Medicamentos , Didrogesterona/efectos adversos , Endometrio/efectos de los fármacos , Endometrio/patología , Estradiol/efectos adversos , Femenino , Humanos , Persona de Mediana Edad , Cooperación del Paciente
14.
J Geophys Res ; 103(E13): 31477-89, 1998 Dec 25.
Artículo en Inglés | MEDLINE | ID: mdl-11542260

RESUMEN

Mars landers seeking evidence for past or present life will be guided by information from orbital mapping and from previous surface exploration. Several target options have been proposed, including sites that may harbor extant life and sites most likely to preserve evidence of past life These sites have specific mineralogic characteristics. Extant life might be gathered around the sinters and associated mineral deposits of rare active fumaroles, or held within brine pockets and inclusions in a few evaporite-mineral deposits. Possibilities for fossilization include deltaic and lake-bottom sediments of once-flooded craters, sinters formed by ancient hot-spring deposits, and the carbonate deposits associated with some evaporite systems. However, the highly varied mineralogy of fossil occurrences on Earth leads to the inference that Mars, an equally complex planet, could host a broad variety of potential fossilizing deposits. The abundance of volcanic systems on Mars and evidence for close associations between volcanism and water release suggest possibilities of organism entrapment and mineralization in volcaniclastic deposits, as found in some instances on Earth. Thus the targets being considered for exploration include a wide variety of unique deposits that would be characterized by silica or various nonsilicate minerals. Beyond these "special" deposits and in the most general case, an ability to distinguish mineralized from uncemented volcanic detritus may be the key to success in finding possible fossil-bearing authigenic mineralogies. A prototype miniaturized X ray diffraction/X ray fluorescence (XRD/XRF) instrument has been evaluated with silica, carbonate, and sulfate minerals and with a basalt, to examine the capabilities of this tool in mineralogic and petrologic exploration for exobiological goals. This instrument. CHEMIN (chemical and mineralogical analyzer), is based on an innovative low-power X ray tube, transmission geometry, and CCD collection and discrimination of diffracted and fluoresced X rays. The ability to accumulate and integrate the entire circumference of each complete Debye diffraction ring compensates for poor powder preparations, as might be produced by robotic sampling systems. With CHEMIN, a wide range of minerals can be uniquely identified. Using Rietveld analysis of the XRD results, mineral quantification is also possible. Expanded capabilities in phase analysis and constrained data solutions using quantitative XRD and XRF are within reach.


Asunto(s)
Exobiología , Marte , Minerales/análisis , Espectrometría por Rayos X/instrumentación , Difracción de Rayos X/instrumentación , Diseño de Equipo , Estudios de Evaluación como Asunto , Fósiles , Robótica , Vuelo Espacial/instrumentación , Nave Espacial/instrumentación , Erupciones Volcánicas
15.
J Occup Environ Med ; 40(5): 441-4, 1998 May.
Artículo en Inglés | MEDLINE | ID: mdl-9604181

RESUMEN

It remains uncertain if law enforcement officers experience an elevated cardiovascular disease morbidity and, if so, whether their profession contributes to this incidence. Consequently, the self-reported incidence of cardiovascular disease (CVD) (coronary heart disease, myocardial infarction, stroke, coronary artery bypass graft surgery, angioplasty) and CVD risk factors (age, diabetes, elevated body mass index (> or = 27.8 kg.m-2), hypercholesterolemia, hypertension, tobacco use) in 232 male retirees, > or = 55 years of age, from the Iowa Department of Public Safety were compared with 817 male Iowans of similar age. CVD incidence was higher in the law enforcement officers than the general population (31.5% vs 18.4%, P < 0.001). Using multiple logistic regression, factors found to be associated with CVD included the law enforcement profession (odds ratio [OR] = 2.34; 95% confidence interval [95% CI] = 1.5-3.6), hypercholesterolemia (OR = 2.37; 95% CI = 1.7-3.3); diabetes (OR = 2.22; 95% CI = 1.4-3.6), hypertension (OR = 1.79; 95% CI = 1.3-2.5), tobacco use (OR = 1.67; 95% CI = 1.07-2.6), and age (OR = 1.06; 95% CI = 1.03-1.08). These results suggest that employment as a law enforcement officer is associated with an increased cardiovascular disease morbidity and this relationship persists after considering several conventional risk factors.


Asunto(s)
Enfermedades Cardiovasculares/epidemiología , Salud Laboral , Policia , Anciano , Enfermedades Cardiovasculares/etiología , Humanos , Hipercolesterolemia/complicaciones , Incidencia , Iowa/epidemiología , Masculino , Persona de Mediana Edad , Morbilidad , Factores de Riesgo , Fumar/efectos adversos
16.
Appl Clin Inform ; 4(2): 304-16, 2013.
Artículo en Inglés | MEDLINE | ID: mdl-23874366

RESUMEN

BACKGROUND: Site-specific content configuration of vendor-based Electronic Health Records (EHRs) is a vital step in the development of standardized and interoperable content that can be used for clinical decision-support, reporting, care coordination, and information exchange. The multi-site, multi-stakeholder Acute Care Documentation (ACD) project at Partners Healthcare Systems (PHS) aimed to develop highly structured clinical content with adequate breadth and depth to meet the needs of all types of acute care clinicians at two academic medical centers. The Knowledge Management (KM) team at PHS led the informatics and knowledge management effort for the project. OBJECTIVES: We aimed to evaluate the role, governance, and project management processes and resources for the KM team's effort as part of the standardized clinical content creation. METHODS: We employed the Center for Disease Control's six step Program Evaluation Framework to guide our evaluation steps. We administered a forty-four question, open-ended, semi-structured voluntary survey to gather focused, credible evidence from members of the KM team. Qualitative open-coding was performed to identify themes for lessons learned and concluding recommendations. RESULTS: Six surveys were completed. Qualitative data analysis informed five lessons learned and thirty specific recommendations associated with the lessons learned. The five lessons learned are: 1) Assess and meet knowledge needs and set expectations at the start of the project; 2) Define an accountable decision-making process; 3) Increase team meeting moderation skills; 4) Ensure adequate resources and competency training with online asynchronous collaboration tools; 5) Develop focused, goal-oriented teams and supportive, consultative service based teams. CONCLUSIONS: Knowledge management requirements for the development of standardized clinical content within a vendor-based EHR among multi-stakeholder teams and sites include: 1) assessing and meeting informatics knowledge needs, 2) setting expectations and standardizing the process for decision-making, and 3) ensuring the availability of adequate resources and competency training.


Asunto(s)
Conducta Cooperativa , Registros Electrónicos de Salud , Documentación , Registros Electrónicos de Salud/normas , Estudios de Evaluación como Asunto , Humanos , Atención al Paciente , Estándares de Referencia
17.
Transplant Proc ; 45(9): 3229-33, 2013 Nov.
Artículo en Inglés | MEDLINE | ID: mdl-24182790

RESUMEN

BACKGROUND: Pre-transplantation living-donor kidney function determines remaining donor kidney function and significantly affects post-transplantation allograft function in the recipient. Few transplantation centers perform donor kidney function measurement owing to patient burden. A simplified method of glomerular filtration rate (GFR) measurement after angiographic procedures may facilitate more precise measurement of donor kidney function. METHODS: We evaluated the agreement between a simplified method of GFR measurement after renal computerized tomographic (CT) angiography (index GFR, 100 mL iohexol [350 mg/mL iodine]) and the reference GFR measurement with the use of iodinated radiocontrast media (5 mL bolus of iohexol [300 mg/mL iodine]) among 19 potential living kidney transplant donors. The 24-hour creatinine clearance and GFR estimation equations were additionally examined. Kidney lengths and total and segmented cortical kidney volumes were also measured. RESULTS: The index CT angiography GFR performed best with respect to the reference GFR with minimal bias (mean difference, -4 mL/min/1.73 m(2)), good precision (SD of the difference, 9.8 mL/min/1.73 m(2)), coefficient of determination (R(2)) of 0.74, narrow mean coefficient of variation (5% [range 1%-15%]), and high accuracy, with 100% of the values for the index test within 30% of the reference test. The 24-hour urine creatinine clearance values performed poorly. Kidney volumes and length did not significantly correlate with measured GFR. CONCLUSIONS: The CT angiographic GFR measurement could be a useful and more convenient method of donor kidney function evaluation and maintains minimal bias, high precision, and accuracy compared with the reference GFR measurement.


Asunto(s)
Angiografía/métodos , Tasa de Filtración Glomerular , Yohexol/farmacocinética , Trasplante de Riñón , Riñón/diagnóstico por imagen , Tomografía Computarizada por Rayos X/métodos , Humanos , Riñón/fisiología
18.
Appl Clin Inform ; 2(2): 190-201, 2011.
Artículo en Inglés | MEDLINE | ID: mdl-23616870

RESUMEN

BACKGROUND: Effective communication is essential to safe and efficient patient care. Additionally, many health information technology (HIT) developments, innovations, and standards aim to implement processes to improve data quality and integrity of electronic health records (EHR) for the purpose of clinical information exchange and communication. OBJECTIVE: We aimed to understand the current patterns and perceptions of communication of common goals in the ICU using the distributed cognition and clinical communication space theoretical frameworks. METHODS: We conducted a focus group and 5 interviews with ICU clinicians and observed 59.5 hours of interdisciplinary ICU morning rounds. RESULTS: Clinicians used an EHR system, which included electronic documentation and computerized provider order entry (CPOE), and paper artifacts for documentation; yet, preferred the verbal communication space as a method of information exchange because they perceived that the documentation was often not updated or efficient for information retrieval. These perceptions that the EHR is a "shift behind" may lead to a further reliance on verbal information exchange, which is a valuable clinical communication activity, yet, is subject to information loss. CONCLUSIONS: Electronic documentation tools that, in real time, capture information that is currently verbally communicated may increase the effectiveness of communication.

19.
J Dermatol Surg Oncol ; 19(12): 1090-8, 1993 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-8282907

RESUMEN

BACKGROUND: Chronic tissue expansion is an extremely useful addition to the dermatologic surgeon's skills. OBJECTIVE: To review chronic tissue expansion. METHODS: The relevant literature is summarized. Two case histories are presented as examples of the utility of chronic tissue expansion. RESULTS: The history of tissue expansion is briefly reviewed. Indications pertinent to the practice of dermatologic surgery are discussed. The devices themselves are described, as well as new experimental advances. The general procedure for utilizing tissue expanders is outlined, as well as relevant histologic changes that occur in expanded skin. Both common and rare complications are covered, with attention to prevention. CONCLUSION: Chronic tissue expansion provides an excellent means for obtaining extra tissue for cosmetic and reconstructive surgery.


Asunto(s)
Procedimientos Quirúrgicos Dermatologicos , Expansión de Tejido/métodos , Anciano , Femenino , Humanos , Masculino , Persona de Mediana Edad , Piel/patología , Colgajos Quirúrgicos/métodos
20.
Appl Opt ; 26(21): 4639-52, 1987 Nov 01.
Artículo en Inglés | MEDLINE | ID: mdl-20523418

RESUMEN

The design and implementation of a digital (numerical) optical matrix-vector multiplier are presented. A Hughes liquid crystal light valve, the residue arithmetic representation, and a holographic optical memory are used to construct position coded optical look-up tables. All operations are performed in effectively one light valve response time with a potential for a high information density.

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