1,721,198 research outputs found

    Implementation of a Small Baby Team to Improve Outcomes for Infants Less than 30 Weeks of Gestation

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    Background: Although extremely low gestational age infants continue to have improved rates of survival, they have the greatest risk of morbidities for infants born prematurely. These infants also incur the greatest cost of Neonatal Intensive Care Unit (NICU) patients. It has been demonstrated that standardized care practices along with a team approach to care improves outcomes for these infants.|Problem: There are no consistent standards for the admission and management of infants less than 30 weeks of gestation. Practices varied among providers. Knowledge levels of nurses vary, resulting in variations in care provision.|Purpose: The purpose of this quality improvement project was to implement a Small Baby Team approach with standardized education, to improve outcomes in a level III NICU.|Sample and Setting: The project was conducted in a 34-bed level III NICU in an urban hospital with an average of 60 extremely low gestational age infants born each year.|Methods: A prospective, quality improvement project was conducted from October 2018 until January 2020. Patient data was collected before and after the implementation of standardized education, standardized admission process, and initial team formation. Multiple Plan-Do-Study-Act cycles were conducted throughout the time period to improve the delivery room and admission processes.|Results: There was improvement in all Golden Hour time measurements. Overall rates of intraventricular hemorrhage increased slightly, with no change in BPD rates and a decrease in ROP rates. Staff member confidence in caring for small babies after education increased from 36.4% completely confident to 84.4% completely confident.|Discussion/ Implications: A focused, in-depth education program improves the confidence of staff members in caring for this unique population. The combination of education and simulation training led to improved Golden Hour adherence and outcomes. Continued staff education, standardization of care, and consistent team practices will continue to drive this improvement process

    The meaning of "Higgs": tau+tau- and gamma-gamma at the Fermilab Tevatron and the CERN LHC

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    In this paper we discuss how to extract information about physics beyond the Standard Model (SM) from searches for a light SM Higgs at Tevatron Run II and CERN LHC. We demonstrate that new (pseudo)scalar states predicted in both supersymmetric and dynamical models can have enhanced visibility in standard Higgs search channels, making them potentially discoverable at Tevatron Run II and CERN LHC. We discuss the likely sizes of the enhancements in the various search channels for each model and identify the model features having the largest influence on the degree of enhancement.We compare the key signals for the non-standard scalars across models and also with expectations in the SM, to show how one could start to identify which state has actually been found. In particular, we suggest the likely mass reach of the Higgs search in p¯p/pp → H → τ+τ- for each kind of non-standard scalar state and we demonstrate that p¯p/pp → H → γγ may cleanly distinguish the scalars of supersymmetric models from those of dynamical models

    Flavor physics and fine tuning in theory space

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    Recently a new class of composite Higgs models have been developed which give rise to naturally light Higgs bosons without supersymmetry. Based on the chiral symmetries of “theory space,” involving replicated gauge groups and appropriate gauge symmetry breaking patterns, these models allow the scale of the underlying strong dynamics giving rise to the composite particles to be as large as of order 10 TeV, without any fine tuning to prevent large corrections to Higgs boson mass(es) of order 100 GeV. In this paper we show that the size of flavor violating interactions arising generically from underlying flavor dynamics constrains the scale of the Higgs boson compositeness to be greater than of order 75 TeV, implying that significant fine-tuning is required. Without fine-tuning, the low-energy structure of the composite Higgs model alone is not sufficient to eliminate potential problems with flavor-changing neutral currents or excessive CP violation; solving those problems requires additional information or assumptions about the symmetries of the underlying flavor or strong dynamics. We also consider the weaker, but more model-independent, bounds which arise from limits on weak isospin violation.<br/

    Going Beyond Counting First Authors in Author Co-citation Analysis

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    The present study examines one of the fundamental aspects of author co-citation analysis (ACA) - the way co-citation counts are defined. Co-citation counting provides the data on which all subsequent statistical analyses and mappings are based, and we compare ACA results based on two different types of co-citation counting - the traditional type that only counts the first one among a cited work's authors on the one hand and a non-traditional type that takes into account the first 5 authors of a cited work on the other hand. Results indicate that the picture produced through this non-traditional author co-citation counting contains more coherent author groups and is therefore considerably clearer. However, this picture represents fewer specialties in the research field being studied than that produced through the traditional first-author co-citation counting when the same number of top-ranked authors is selected and analyzed. Reasons for these effects are discussed

    Variations on the Author

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    “Variations on the Author” discusses two of Eduardo Coutinho’s recent films (Um Dia na Vida, from 2010, and Últimas Conversas, posthumously released in 2015) and their contribution to the general question of documentary authorship. The director’s filmography is characterized by a consistent yet self-effacing form of authorial self-inscription: Coutinho often features as an interviewer that rather than express opinions propels discourses; an interviewer that is good at listening. This mode of self-inscription characterizes him as an author who is not expressive but who is nonetheless markedly present on the screen. In Um Dia na Vida, however, Coutinho is completely absent form the image, while Últimas Conversas, on the contrary, includes a confessional prologue that moves the director from the margins to the center of his films. This article examines the ways in which these works stand out in the filmography of a director who offers new insights into the notion of cinematic authorship

    Appropriate Similarity Measures for Author Cocitation Analysis

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    We provide a number of new insights into the methodological discussion about author cocitation analysis. We first argue that the use of the Pearson correlation for measuring the similarity between authors’ cocitation profiles is not very satisfactory. We then discuss what kind of similarity measures may be used as an alternative to the Pearson correlation. We consider three similarity measures in particular. One is the well-known cosine. The other two similarity measures have not been used before in the bibliometric literature. Finally, we show by means of an example that our findings have a high practical relevance.information science;Pearson correlation;cosine;similarity measure;author cocitation analysis

    Dispelling the Myths Behind First-author Citation Counts

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    We conducted a full-scale evaluative citation analysis study of scholars in the XML research field to explore just how different from each other author rankings resulting from different citation counting methods actually are, and to demonstrate the capability of emerging data and tools on the Web in supporting more realistic citation counting methods. Our results contest some common arguments for the continued use of first-author citation counts in the evaluation of scholars, such as high correlations between author rankings by first-author citation counts and other citation counting methods, and high costs of using more realistic citation counting methods that are not well-supported by the ISI databases. It is argued that increasingly available digital full text research papers make it possible for citation analysis studies to go beyond what the ISI databases have directly supported and to employ more sophisticated methods

    Author Index

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    koamabayili/VECTRON-author-checklist: VECTRON author checklist

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    We have done our best to complete the author checklist relating to the use of animals in the hut study. Note that the objective for the hut study was to evaluate the IRS treatment applications for residual efficacy against Anopheles mosquitoes, including the local An. coluzzii mosquito population. Cows were only used to attract mosquitoes into the huts and no tests were carried out directly on the cows. The author checklist is intended for use with studies where experiments are carried out on animals, which is why we have had such difficulty in completing this for the hut study, as many of the questions do not relate to how the cows were used
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