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ED CC (clear + channel)
Selected AbstractsUnified Medical Language System Coverage of Emergency-medicine Chief ComplaintsACADEMIC EMERGENCY MEDICINE, Issue 12 2006Debbie A. Travers PhD Abstract Background Emergency department (ED) chief-complaint (CC) data increasingly are important for clinical-care and secondary uses such as syndromic surveillance. There is no widely used ED CC vocabulary, but experts have suggested evaluation of existing health-care vocabularies for ED CC. Objectives To evaluate the ED CC coverage in existing biomedical vocabularies from the Unified Medical Language System (UMLS). Methods The study sample included all CC entries for all visits to three EDs over one year. The authors used a special-purpose text processor to clean CC entries, which then were mapped to UMLS concepts. The UMLS match rates then were calculated and analyzed for matching concepts and nonmatching entries. Results A total of 203,509 ED visits was included. After cleaning with the text processor, 82% of the CCs matched a UMLS concept. The authors identified 5,617 unique UMLS concepts in the ED CC data, but many were used for only one or two visits. One thousand one hundred thirty-six CC concepts were used more than ten times and covered 99% of all the ED visits. The largest biomedical vocabulary in the UMLS is the Systematized Nomenclature of Medicine Clinical Terms (SNOMED CT), which included concepts for 79% of all ED CC entries. However, some common CCs were not found in SNOMED CT. Conclusions The authors found that ED CC concepts are well covered by the UMLS and that the best source of vocabulary coverage is from SNOMED CT. There are some gaps in UMLS and SNOMED CT coverage of ED CCs. Future work on vocabulary control for ED CCs should build upon existing vocabularies. [source] Toward Vocabulary Control for Chief ComplaintACADEMIC EMERGENCY MEDICINE, Issue 5 2008Stephanie W. Haas PhD Abstract The chief complaint (CC) is the data element that documents the patient's reason for visiting the emergency department (ED). The need for a CC vocabulary has been acknowledged at national meetings and in multiple publications, but to our knowledge no groups have specifically focused on the requirements and development plans for a CC vocabulary. The national consensus meeting "Towards Vocabulary Control for Chief Complaint" was convened to identify the potential uses for ED CC and to develop the framework for CC vocabulary control. The 10-point consensus recommendations for action were 1) begin to develop a controlled vocabulary for CC, 2) obtain funding, 3) establish an infrastructure, 4) work with standards organizations, 5) address CC vocabulary characteristics for all user communities, 6) create a collection of CC for research, 7) identify the best candidate vocabulary for ED CCs, 8) conduct vocabulary validation studies, 9) establish beta test sites, and 10) plan publicity and marketing for the vocabulary. [source] Cross-sectional analysis of the association between age and corpus callosum size in chimpanzees (Pan troglodytes)DEVELOPMENTAL PSYCHOBIOLOGY, Issue 2 2010William D. Hopkins Abstract The CC is the major white matter tract connecting the cerebral hemispheres and provides for interhemispheric integration of sensory, motor and higher-order cognitive information. The midsagittal area of the CC has been frequently used as a marker of brain development in humans. We report the first investigation into the development of the corpus callosum and its regional subdivisions in chimpanzees (Pan troglodytes). Magnetic resonance images were collected from 104 chimpanzees (female n,=,63, male n,=,41) ranging in age from 6 years (pre-pubescent period) to 54 years (old age). Sustained linear growth was observed in the area of the CC subdivision of the genu; areas of the posterior midbody and anterior midbody displayed nonlinear growth during development. After adjusting for total brain size, we observed linear growth trajectories of the total CC and CC subdivisions of the genu, posterior midbody, isthmus and splenium, and nonlinear growth trajectories of the rostral body and anterior midbody. These developmental patterns are similar to the development of the CC in humans. As the growth curves of the CC mirrors growth seen in the percentage of white matter in humans, our results suggest chimpanzees show continued white matter development in regions related to cognitive development. © 2010 Wiley Periodicals, Inc. Dev Psychobiol 52:133,141, 2010 [source] Anandamide improves the impaired nitric oxide-mediated neurogenic relaxation of the corpus cavernosum in diabetic rats: involvement of cannabinoid CB1 and vanilloid VR1 receptorsBJU INTERNATIONAL, Issue 6 2007Mehdi Ghasemi OBJECTIVE To investigate the ability of acute administration of the endogenous cannabinoid, anandamide, in vitro to alter the nonadrenegic noncholinergic (NANC)-mediated relaxation of corpus cavernosum (CC) in diabetic rats and the possible role of nitric oxide (NO), as it is well known that erectile dysfunction (ED) affects 35,75% of men with diabetes mellitus and several studies have been conducted to find appropriate strategies for treating diabetes-induced ED. MATERIALS AND METHODS Diabetes was induced in rats by streptozotocin administration and was maintained for 8 weeks. The CC were removed and isolated in organ baths for pharmacological studies. Agonist-evoked or electrical-field stimulation (EFS)-evoked smooth muscle tensions in CC strips from control and diabetic rats were measured. RESULTS The neurogenic relaxation of phenylephrine (7.5 µm)-precontracted isolated CC strips was impaired in diabetic rats. Anandamide (0.3, 1 and 3 µm) enhanced the relaxant responses to EFS in diabetic CC strips in a dose-dependent manner. This effect was antagonized by the selective cannabinoid CB1 receptor antagonist AM251 (1 µm) and the selective vanilloid receptor antagonist capsazepine (3 µm). Concurrent administration of partially effective doses of l -arginine (10 µm) and anandamide (0.3 µm) exerted a synergistic improvement in EFS-induced relaxation of diabetic CC strips (P < 0.001). The relaxant responses to the NO donor, sodium nitroprusside, were similar between diabetic and control groups. CONCLUSION For the first time, we show that acute administration of anandamide, an endogenous cannabinoid, alone or combined with l -arginine can improve nitrergic nerve-mediated relaxation of the CC in diabetic rats. This effect was mediated by cannabinoid CB1 and vanilloid VR1 receptors within the CC. [source] Application of supercritical fluid extraction to regenerate spent Pd-active carbon catalystENVIRONMENTAL PROGRESS & SUSTAINABLE ENERGY, Issue 4 2007Lidia D Abstract Pd-active carbon-type catalysts are used in a wide variety of processes, typical examples of which are liquid-phase hydrogenation reactions. In the case of these catalysts, a loss of their catalytic activity is observed. The aim of the present work was to assess the possibility of regenerating spent Pd/AC catalysts using supercritical fluid extraction. The following Pd/AC catalyst samples were investigated and compared: a commercial 10 wt % Pd catalyst (Aldrich) (denoted by CC), a spent catalyst (SC), SC subjected to supercritical fluid,CO2 extraction (SC/SFE/C), SC subjected to supercritical fluid,CO2,ethanol extraction (SC/SFE/C-Et), and SC subjected to supercritical fluid,ethane,propane extraction (SC/SFE/E-P). The last three catalysts were additionally subjected to heating in a hydrogen atmosphere at 410 K for 3 h. These were denoted by SC/SFE/C/H, SC/SFE/C-Et/H, and SC/SFE/E-P/H, respectively. The spent Pd/AC catalyst (SC) consists of mixed CC samples used in the reduction with hydrogen of various organic compounds. The catalysts CC, SC/SFE/C, SC/SFE/C/H, SC/SFE/C-Et/H, and SC/SFE/E-P/H were tested in the reduction of octanoylbenzene with hydrogen. The activity of the catalysts was estimated by measuring the reaction time and also the amount of hydrogen used in relation to the theoretical quantity required for the reaction. XPS and XRD methods were used to evaluate the changes occurring in the form of the palladium present on the Pd/AC catalyst surface during the regeneration processes. It was found that supercritical fluid-CO2 extraction followed by heating in a hydrogen atmosphere is the most effective method for regenerating that catalyst. The results of our investigations indicate that regeneration of a spent Pd/AC catalyst, irrespective of the reaction in which it has been used, should be based on the complete removal of byproducts, the purification of the catalyst surface, and the restoration of the original form of the palladium. The procedure proposed in this paper, i.e. SFE (CO2) and heating in H2, fulfils both the conditions mentioned above. © 2007 American Institute of Chemical Engineers Environ Prog, 2007 [source] Cross-validation Criteria for Setar Model SelectionJOURNAL OF TIME SERIES ANALYSIS, Issue 3 2001Jan G. De Gooijer Three cross-validation criteria, denoted by respectively C, Cc, and Cu, are proposed for selecting the orders of a self-exciting threshold autoregressive (SETAR) model when both the delay and the threshold value are unknown. The derivation of C is within a natural cross-validation framework. The criterion Cc is similar in spirit as AICc, a bias-corrected version of AIC for SETAR model selection introduced by Wong and Li (1998). The criterion Cu is a variant of Cc having a similar poperty as AICu, a model selection proposed by McQuarrie et al. (1997) for linear models. In a Monte Carlo study, the performance of each of the criteria C, Cc, Cu, AIC, AICc, AICu, and BIC is investigated in detail for various models and various sample sizes. It will be shown that Cu consistently outperforms all other criteria when the sample size is moderate to large. [source] Pathology of peripheral intrahepatic cholangiocarcinoma with reference to tumorigenesisHEPATOLOGY RESEARCH, Issue 4 2008Yasuni Nakanuma Cholangiocarcinomas (CCs) are neoplasms with cholangiocyte differentiation, and may arise from cholangiocytes of the biliary tree and possibly cholangiocyte progenitor cells. Intrahepatic CCs can be divided into the perihilar and peripheral types. Peripheral CCs present grossly as a mass forming tumor, and histologically as an adenocarcinoma of varying shapes and phenotypes. Some peripheral CCs (ductular type) are characterized by: (i) a histological resemblance to reactive bile ductules; (ii) the expression of neural cell adhesion molecule (NCAM) and vimentin. This type shows: (i) grossly, a blurred border; and (ii) histologically, carcinoma cells replacing the adjoining hepatocytes at the border of the tumor. It is frequently associated with neutrophilic infiltration and also with granulocyte and granulocyte macrophage colony-stimulating factors. We propose to call this type "ductular CC." The other peripheral CC (duct type) includes ordinary adenocarcinoma with well to moderately differentiated tubular and micropapillary patterns and is negative for NCAM but positive for mucin. This type can be called "duct CC," and shows a rather compressive growth. Interestingly, CC components of combined hepatocellular CC share the features of ductular CC, suggesting that hepatic progenitor cells may be involved in the tumorigenesis of ductular CC. The biological behavior of ductular CC and duct CC remains obscure, and follow-up and molecular studies on these tumors are required in order for these two CCs to be recognized as disease entities, and so as to evaluate their carcinogenesis. [source] The carrying capacity of ecosystemsGLOBAL ECOLOGY, Issue 6 2004Pablo Del Monte-Luna ABSTRACT We analyse the concept of carrying capacity (CC), from populations to the biosphere, and offer a definition suitable for any level. For communities and ecosystems, the CC evokes density-dependence assumptions analogous to those of population dynamics. At the biosphere level, human CC is uncertain and dynamic, leading to apprehensive rather than practical conclusions. The term CC is widely used among ecological disciplines but remains vague and elusive. We propose the following definition: the CC is ,the limit of growth or development of each and all hierarchical levels of biological integration, beginning with the population, and shaped by processes and interdependent relationships between finite resources and the consumers of those resources'. The restrictions of the concept relate to the hierarchical approach. Emergent properties arise at each level, and environmental heterogeneity restrains the measurement and application of the CC. Because the CC entails a myriad of interrelated, ever-changing biotic and abiotic factors, it must not be assumed constant, if we are to derive more effective and realistic management schemes. At the ecosystem level, stability and resilience are dynamic components of the CC. Historical processes that help shape global biodiversity (e.g. continental drift, glaciations) are likely drivers of large-scale changes in the earth's CC. Finally, world population growth and consumption of resources by humanity will necessitate modifications to the paradigm of sustainable development, and demand a clear and fundamental understanding of how CC operates across all biological levels. [source] | ||||||||||