171,101 research outputs found
Pragmatic approach to nutrition in the ICU: Expert opinion regarding which calorie protein target
No full textBACKGROUND & AIMS:Since the publications of the ESPEN guidelines on enteral and parenteral nutrition in ICU, numerous studies have added information to assist the nutritional management of critically ill patients regarding the recognition of the right population to feed, the energy-protein targeting, the route and the timing to start.
METHODS: We reviewed and discussed the literature related to nutrition in the ICU from 2006 until October 2013.
RESULTS: To identify safe, minimal and maximal amounts for the different nutrients and at the different stages of the acute illness is necessary. These amounts might be specific for different phases in the time course of the patient's illness. The best approach is to target the energy goal defined by indirect calorimetry. High protein intake (1.5 g/kg/d) is recommended during the early phase of the ICU stay, regardless of the simultaneous calorie intake. This recommendation can reduce catabolism. Later on, high protein intake remains recommended, likely combined with a sufficient amount of energy to avoid proteolysis.
CONCLUSIONS: Pragmatic recommendations are proposed to practically optimize nutritional therapy based on recent publications. However, on some issues, there is insufficient evidence to make expert recommendations
Going Beyond Counting First Authors in Author Co-citation Analysis
No full textThe 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
Partial melting of ultramafic granulites from Dronning Maud Land, Antarctica: Constraints from melt inclusions and thermodynamic modeling
No full textIn the Pan-African belt of the Dronning Maud Land, Antarctica, crystallized melt inclusions (nanogranitoids) occur in garnet from ultramafic granulites. The granulites contain the peak assemblage pargasite+garnet+clinopyroxene with rare relict orthopyroxene and biotite, and retrograde symplectites at contacts between garnet and amphibole. Garnet contains two generations of melt inclusions. Type 1 inclusions, interpreted as primary, are isolated, < 10 mu m in size, and generally have negative crystal shapes. They contain kokchetavite, kumdykolite, and phlogopite, with quartz and zoisite as minor phases, and undevitrified glass was identified in one inclusion. Type 2 inclusions are < 30 mu m in size, secondary, and contain amphibole, feldspars, and zoisite. Type 2 inclusions appear to be the crystallization products of a melt that coexisted with an immiscible CO2-rich fluid.
The nanogranitoids were re-homogenized after heating in a piston-cylinder in a series of four experiments to investigate their composition. The conditions ranged between 900 and 950 degrees C at 1.5-2.4 GPa. Type 1 inclusions are trachytic and ultrapotassic, whereas type 2 melts are dacitic to rhyolitic. Thermodynamic modeling of the ultramafic composition in the MnNCKFMASHTO system shows that anatexis occurred at the end of the prograde P-T path, between the solidus (at ca. 860 degrees C-1.4 GPa) and the peak conditions (at ca. 960 degrees C-1.7 GPa). The model melt composition is felsic and similar to that of type 1 inclusions, particularly when the melting degree is low (< 1 mol%), close to the solidus. However the modeling fails to reproduce the highly potassic signature of the melt and its low H2O content. The combination of petrology, melt inclusion study, and thermodynamic modeling supports the interpretation that melt was produced by anatexis of the ultramafic boudins near peak P-T conditions, and that type 1 inclusions contain the anatectic melt that was present during garnet growth. The felsic, ultrapotassic composition of the primary anatectic melts is compatible with low melting degrees in the presence of biotite and amphibole as reactants
Mitomycin C in highly myopic eyes - Author reply
No full textOphthalmology. 2005 Feb;112(2):208-18; discussion 219.
Mitomycin C modulation of corneal wound healing after photorefractive keratectomy in highly myopic eyes.
Gambato C, Ghirlando A, Moretto E, Busato F, Midena E.
SourceRefractive Surgery Service and Antimetabolite Therapy Research Unit, Department of Ophthalmology, University of Padova, Padova, Italy.
Abstract
PURPOSE: To evaluate the role of topical mitomycin C in corneal wound healing (CWH) after photorefractive keratectomy (PRK) in highly myopic eyes.
DESIGN: Prospective, double-masked, randomized clinical trial.
PARTICIPANTS: Seventy-two eyes of 36 patients affected by high (>7 diopters) myopia.
METHODS: In each patient, one eye was randomly assigned to PRK with intraoperative topical 0.02% mitomycin C application, and the fellow eye was treated with a placebo. Postoperatively, mitomycin C-treated eyes received artificial tears (3 times daily, tapered in 3 months), whereas the fellow eye was treated with fluorometholone sodium 2% and artificial tears (3 times daily, tapered in 3 months).
MAIN OUTCOME MEASURES: Uncorrected visual acuity (UCVA) and best-corrected visual acuity (BCVA), contrast sensitivity, manifest refraction, and biomicroscopy. Contrast sensitivity was determined using the Pelli-Robson chart. Corneal confocal microscopy documented CWH.
RESULTS: Mean follow-up was 18 months (range, 12-36). No side effects or toxic effects were documented. At 12-month follow-up examination, UCVAs (logarithm of the minimum angle of resolution) were 0.4+/-0.48 and 0.5+/-0.53 (P = .03) in mitomycin C-treated eyes and corticosteroid-treated eyes, respectively. At 1 year, corneal haze developed in 20% of corticosteroid-treated eyes, versus 0% of mitomycin C-treated eyes. At 12, 24, and 36 months, corneal confocal microscopy showed activated keratocytes and extracellular matrix significantly more evident in untreated eyes (Ps = 0.004, 0.024, and 0.046, respectively).
CONCLUSION: Topical intraoperative application of 0.02% mitomycin C can reduce haze formation in highly myopic eyes undergoing PRK.
Comment in
Ophthalmology. 2006 Feb;113(2):357; author reply 357-8
Dispelling the Myths Behind First-author Citation Counts
No full textWe 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
Molecular flexibility of polymethylene molecules: a Raman spectroscopic study
No full textThe Raman spectrum in the CH stretching region of molecules containing long alkyl residues
shows characteristic features which provide direct information on their molecular flexibility, as
probed by the C-H stretching oscillator which vibrates on the picosecond time scale. From
their Raman spectra, librational motions of the (CH2 )n units can be studied for molecules in
the solid and liquid phases. In the latter case, segmental motions must be considered. In this
paper, the spectra of hydrocarbons in the solid, liquid and as clathrates in urea and
perhydrotriphenylene are studied in terms of their overall mobility. Using molecular
dynamical calculations we show the existence of a selective coupling between CH stretchings
and skeletal torsions, which is modulated by the collective mobility of the carbon skeleton. In
particular, we account for the frequency dependence of the antisymmetic CH stretching mode
using a model which allows for selective coupling between this high frequency mode and the
low frequency torsional oscillations about the C-C bonds in the chain
Privilegia und Attestata über die ächte so genannte Wunder-Essenz welche ohnlängst und noch gegenwärtig verfertiget und fortgesetzet wird von dem Herrn Carl von Qureille Groß-Creutz-Herr und verschiedene Ordens Ritter wie auch Oberster von der Cavallerie [et]c. [et]c.
No full textPRIVILEGIA UND ATTESTATA ÜBER DIE ÄCHTE SO GENANNTE WUNDER-ESSENZ WELCHE OHNLÄNGST UND NOCH GEGENWÄRTIG VERFERTIGET UND FORTGESETZET WIRD VON DEM HERRN CARL VON QUREILLE GROSS-CREUTZ-HERR UND VERSCHIEDENE ORDENS RITTER WIE AUCH OBERSTER VON DER CAVALLERIE [ET]C. [ET]C.
Privilegia und Attestata über die ächte so genannte Wunder-Essenz welche ohnlängst und noch gegenwärtig verfertiget und fortgesetzet wird von dem Herrn Carl von Qureille Groß-Creutz-Herr und verschiedene Ordens Ritter wie auch Oberster von der Cavallerie [et]c. [et]c. ([1])
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A Multi-Language Comparison of Influences on Author Verification using Character N-Grams
No full textWe create a new multi-language corpus for author verification based on Wikipedia talkpages, and evaluate the influence that differences in topic and time have on character n-gram author profiles. Topic alignment between two texts is found to increase author verification precision, and an authors writing style is found to change over time, but not more significantly after 3 years than after 1 year.Information ArchitectureWISElectrical Engineering, Mathematics and Computer Scienc
A 0.12mm<sup>2</sup> Wien-Bridge Temperature Sensor with 0.1°C (3σ) Inaccuracy from -40°C to 180°C
No full text Resistor-based temperature sensors can achieve much higher resolution and energy efficiency than conventional BJT-based sensors [1], but they typically occupy more area (> 0.25 mm 2 ) and have lower operating temperatures (le 125 {circ} {C}) [2]-[4]. This work describes a 0.12mm 2 resistor-based sensor that uses a Wien-bridge (WB) filter to achieve 0.1 {circ} {C} (3 sigma) inaccuracy from - 40 {circ} {C} to 180 {circ} {C}. Compared to a state-of-the-art WB sensor [4], it occupies 6 × less area and achieves comparable relative accuracy over a 76% wider operating range. Session 10.3 Green Open Access added to TU Delft Institutional Repository ‘You share, we take care!’ – Taverne project https://www.openaccess.nl/en/you-share-we-take-care Otherwise as indicated in the copyright section: the publisher is the copyright holder of this work and the author uses the Dutch legislation to make this work public.Electronic InstrumentationMicroelectronic
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