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SETTING |
Large university-affiliated children's hospital in Melbourne, Victoria. |
DESIGN |
Prospective collection of data from July 1989 to June 1996 for all children admitted with acute asthma (n = 11939). |
RESULTS |
The number of admissions for acute asthma showed a rising trend before the introduction of casemix funding in July 1993, and subsequently fell. There was a significant fall in mean LOS (64.5 to 39 hours; -40%; P = 0.001), and hence in bed-hours occupied for asthma (115370 to 61116; -47%; P = 0.001). There were no incre... |
CONCLUSION |
LOS and bed use for acute asthma at our hospital have been significantly reduced since the introduction of casemix funding, although this study does not prove a causal relationship. There was no increase in readmission rates, and thus no suggestion of any adverse effects as a result of reducing LOS. The 47% reduction i... |
A novel framework for hierarchical low‐rank matrices is proposed that combines an adaptive hierarchical partitioning of the matrix with low‐rank approximation. One typical application is the approximation of discretized functions on rectangular domains; the flexibility of the format makes it possible to deal with funct... |
Wireless computing is a promising new paradigm for building information systems that allows greater flexibilit y concerning distribution, costs, mobilit y and introduction of data services. On the other hand cordless computing brings up many challenging data management and database problems due to technical restriction... |
My essay examines Tseng Kwong Chi’s photographs of US and Canadian landscapes as a queer parody of the Western conventions associated with landscape art of the early twentieth century. Exploring the influence of Ansel Adams, Gutzon Borglum, and the Canadian Group of Seven landscape artists, I argue that Tseng’s photogr... |
Lactic acid for polymer applications must be optically pure to allow the final plastic properties to be controlled. We have isolated a strain of Lactobacillus plantarum capable of utilising a range of carbohydrates and tolerant to high sugar and organic acid concentrations. However, like most Lactobacillus plantarum, ... |
Using two-step homologous recombination, ldhL was replaced with a truncated version interrupted by a chloramphenicol acetyltransferase resistance marker, then with an unmarked truncated version. |
The optical purity shift was quantified biochemically by enzymatic assay and HPLC and fermentation performance compared against the unmodified strain using enzymatically hydrolysed municipal solid waste pulp (MSW sugars) as a feedstock. |
The ldhL gene was successfully deleted, leading to a dramatic shift in the optical purity of lactate produced in both synthetic media and MSW sugars. The unmodified strain produced D-lactic acid with an optical purity of 40%, while the mutant achieved 94%. In MSW sugars, the modified strain performed as well as the un... |
Deletion of ldhL from our strain of Lactobacillus plantarum allowed exclusive production of D-lactic acid from MSW sugars. This provides a laboratory scale demonstration of the production of optically pure lactic acid from renewable sugars for use in the production of biodegradable plastics. |
Rotating Electromagnetic System for Railway Track Crack Detection |
The aim of this paper is to provide an alternative methodology, high reliability, in order to monitor, exploiting non-invasive techniques, railway track. In this particular case study, the presence of structural defects is assessed through an innovative system. The proposed approach provides the use of rotating magneti... |
Strategic leadership is a critical component in the effective development of schools. Currently the educational debate is shifting to focus on how short-term improvements can become strategically sustainable. This article will put forward the view that renewed attention needs to be paid to the strategic dimension of le... |
Chandipura (CHP) virus, a member of the vesiculovirus genus within the Rhabdoviridae family, was first isolated from human patients in India. The full length phosphoprotein P gene of CHP have been cloned and expressed in Escherichia coli using the T7 polymerase-based pET-3 series of expression vectors. Under optimal co... |
The accuracy of BIA measurements is limited by different sources of error such as physical model, cross sectional area, ethnicity, body hydration, age and level of body fat among other variables. Equation for each population is required as they can produce overestimation when manufacturer's equations are used. The clas... |
Anchor bolt and grouting combination supporting technology has both advantages of bolting support and can use grouting fissure filling surrounding rock fracture, blends anchoring, hole sealing, grouting technology for a whole, to the rock mass anchor external and grouting inside, bolt-inject form a multilayer effective... |
The French Nouvelle Droite (ND) represents something of an enigma for students of the far Right as its political allegiances and tactics seem to yield no clear view of its ideological positioning. Here it is argued that one strand of the contemporary ND draws on elements both of Armin Mohler's Conservative Revolution a... |
A continuous increasing of the complexity of the technical and algorithmic implementation of satellite information and telecommunication systems and an increasing on the requirements for their characteristics is associated with the development of new frequency ranges (the transition to the use of ever higher frequencie... |
ABSTRACT Methionine ranks among the amino acids most sensitive to oxidation, which converts it to a racemic mixture of methionine-S-sulfoxide (Met-S-SO) and methionine-R-sulfoxide (Met-R-SO). The methionine sulfoxide reductases MsrA and MsrB reduce free and protein-bound MetSO, MsrA being specific for Met-S-SO and MsrB... |
In constraint-based phonology right now, constraint ranking is the dominant mode, and phonologists have achieved a wealth of results with such systems and about them. Phonological theories based in constraint weighting have received comparatively less attention. It would be a mistake to conclude from this neglect, thou... |
The intensity of [14C]leucine incorporation into heart, liver, brain, muscle, and blood plasma protein in gophers under deep artificial hypothermia has been studied. It was shown that the intensity of protein synthesis decreased sharply under these conditions. Insignificant incorporation of [14C]leucine into proteins w... |
Previous data suggested an association of vertebral anomalies with Wilms tumor. At the same time, vertebral midline fusion defects are often indicated by dermal anomalies over the spine. In the present study the prevalence of both occult spina bifida and cutaneous signs of spinal dysraphism was significantly higher in ... |
The social rehabilitation represents a challenge to ostomy patient and a concern for health professional team. This study intends to verify the difficulties related to returning to the daily domestic, leisure, job and sexual activities showed by 45 ostomizeds after hospital discharge in different periods of late post o... |
5f covalency in [U(C7H7)2]- was probed with carbon K-edge X-ray absorption spectroscopy (XAS) and electronic structure theory. The results revealed U 5f orbital participation in δ-bonding in both the ground- and core-excited states; additional 5f ϕ-mixing is observed in the core-excited states. Comparisons with U(C8H8)... |
ABSTRACT The aquatic plant Hydrocotyle vulgaris was evaluated for its efficacy in removing prometryn from nutrient solution. Under optimized experimental conditions, up to 94.0% of the initial prometryn was removed from the hydroponic culture medium by H. vulgaris in 30 days. The concentration of prometryn decreased fr... |
Erythroagglutinating phytohemagglutinin (E‐PHA)‐reactive α‐fetoprotein (AFP)‐P4 and E‐PHA weakly‐reactive AFP‐P3 of sera from cord blood at term and from patients with hepatocellular carcinomas showed a mobility of monosialo‐AFP in two‐dimensional extended agarose gel‐E‐PHA affinity electrophoresis. Asialo‐AFP had as h... |
The causal inference literature has provided definitions of direct and indirect effects based on counterfactuals that generalize the approach found in the social science literature. However, these definitions presuppose well-defined hypothetical interventions on the mediator. In many settings, there may be multiple way... |
OBJECTIVE |
To study the expression and prognostic significance of galectin-1 and galectin-3 in different melanocytic lesions. |
METHODS |
The expression of galectin-1 and galectin-3 in 39 cases of benign nevus, 58 cases of primary cutaneous melanoma, 24 cases of primary mucosal melanoma, 69 cases of melanoma with lymph node metastasis and 8 cases of melanoma with distant metastasis were studied by immunohistochemistry and tissue microarray. |
RESULTS |
The expression of galectin-1 and galectin-3 was higher in benign nevi than in melanomas (P < 0.01). The nuclear expression of galectin-3 was higher in primary cutaneous melanomas than in primary mucosal melanomas or melanomas with metastases (P < 0.01, respectively). The expression correlated with age of patients (P < ... |
CONCLUSIONS |
The expression of galectin-1 and galectin-3 is decreased in melanomas. The decrease in nuclear expression of galectin-3 may represent a poor prognostic factor for melanomas. TNM staging is an independent prognostic factor which influences the survival time.Pseudoaneurysm of the anterior superficial temporal artery. |
Pseudoaneurysm of the superficial temporal artery must be considered in the differential diagnosis of masses of the lateral forehead and temporal fossa. While the first reported case of a temporal artery aneurysm was reported by Thomas Bartholin in 1740, there is scant mention of this lesion in the plastic and maxillof... |
Chilo sacchariphagus Bojer, a sugarcane borer indigenous to South East Asia and the Indonesian Islands, was identified from Mozambican sugarcane in 1999. Prior to a biocontrol programme being implemented against it, intensive pre-release surveys for any indigenous natural enemies of the borer were completed. Negligible... |
By using eddy covariance technique, a year-round (November, 2011-October, 2012) continuous measurement of net ecosystem carbon dioxide exchange (NEE) was conducted in a 4-year old mixed forest plantation in Badaling of Beijing. The forest plantation ecosystem was a net carbon sink in July and August, but a carbon sourc... |
A community readiness survey for coalitions to address the growing epidemic of prescription opioid misuse was developed in this four-part study. A total of 70 coalition members participated. 1) We conducted 30-minute phone interviews with coalition members (n=30) and a literature review to develop an item list. 2) Coal... |
Background: Cases of post traumatic hypopituitarism are rarely contemplated in the Indian |
subcontinent. However global literatures disclose that the incidence rate of hypopituitarism following |
traumatic brain injury is around 15-30%. Most hospitals do not routinely screen patients for pituitary dysfunction following |
traumatic brain injury due to the lack of proper protocol supporting the same. Hence large number of cases with varying |
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