Adequacy of medical referrals to hospital emergency service

OBJECTIVE: To assess the correctness and diagnostic concordance in referrals of patients to hospital Casualty Departments (CD); and the possible differences between rural and urban health centres (HC) as well as between general practitioners (GP) and family and community medicine (FCM) specialists. DESIGN: Observational study of a crossover nature. SETTING: Health area 1 in the province of Badajoz. PATIENTS AND OTHER PARTICIPANTS: 800 patients, referred to their local hospital Casualty Department. MEASUREMENTS AND MAIN RESULTS: 50.5% of all referrals were considered justified. 15.1% of the patients referred were admitted to hospital. 50.7% of referrals from GPs were found to be correct, against 47% from FCM specialists; and 49% of those referred from rural HCs were correct, as against 45.9% of those referred from urban HCs (no significant differences). Only 54% of referrals had a diagnostic hypothesis, with diagnostic concordance at 50%. There was diagnostic concordance in 28.1% of GP referrals, against 33.3% of FCM specialists; and in 27.5% of those from rural HCs against 26.1% from urban HCs (no significant differences). CONCLUSIONS: We found no differences in the correctness of referrals or diagnostic concordance of patients seen in the CD of our city's health area, neither between patients referred from rural and urban HCs, nor between patients referred by GPs and FCM specialists.     

The Electrochemistry of Liposomes

This review aims to summarize the current state of research concerning the interaction of electrodes with liposomes suspended in solutions. Main attention is given to the complex mechanism of adhesion and spreading of liposomes on mercury electrodes. That mechanism can be studied with the help of chronoamperometry, where each adhesion-spreading event appears as a capacitive current spike. Integration of these spikes produces charge versus time transients that can be modeled and simulated, revealing the details of the multi-step adhesion-spreading process. Whereas the number of spikes per time mirrors the macro-kinetics, the analysis of the time behavior of each spike mirrors the micro-kinetics of each adhesion-spreading event. The reviewed studies show that this approach provides a new tool to study the properties of liposome membranes. The adhesion-spreading of liposomes on mercury electrodes has strong similarities to the process of vesicle fusion, which makes these studies a biomimetic model allowing one to deduce the effects of foreign molecules in bilayer membranes.     

Computer simulation of the effective double layer occurring on a catalyst surface under electro-chemical promotion conditions

In this work, the structural and energetic properties of two typical catalytic surfaces, Na/Pt(111) and O/Pt(111), are studied by means of quantum mechanical calculations and Monte Carlo Grand Canonical simulations. The simulations were performed with electrostatic potentials at different truncation schemes. In order to elucidate the modification of catalyst surfaces produced by the backspillover of ionic species onto Pt(111), the electrostatic field at the interface due to the electric double layer was also analyzed.     

Potential applications of poly(vinyl alcohol)‐congo red aqueous solutions and hydrogels as liquids for hydraulic fracturing

The authors report on the viscoelastic characterization of guar hydrogels obtained through complexation reactions with borax ions. These gels are compared with hydrogels obtained from poly(vinyl alcohol) of different degree of hydrolysis through complexation reactions with congo red. The effect of the degree of hydrolysis and both, the concentration of PVA and the concentration of congo red, on the viscoelastic properties of the hydrogels is analyzed. The potential use of the PVA‐based hydrogels as hydraulic fracturing liquids is discussed in relation to the commonly used fracturing liquid based on the guar–borax system. © 2008 Wiley Periodicals, Inc. J Appl Polym Sci, 2008     

On copulas, quasicopulas and fuzzy logic

We investigate (quasi)copulas as possible truth functions of fuzzy conjunction which is not necessarily associative and present some axiom systems for such fuzzy logics. In particular, we study an expansion of Łukasiewicz (infinite valued propositional) logic by a new connective interpreted as an arbitrary quasicopula (and also by a new connective interpreted as the residuum of the copula). Main results concern standard completeness.     

Lipid damage in farmed rainbow trout (Oncorhynchus mykiss) after slaughtering and chilled storage

The flow ice system including ozone (OFI condition) was tested for slaughtering and storage (up to 16 days) of farmed rainbow trout (Oncorhynchus mykiss). Lipid damage analyses were carried out and compared to sensory acceptance and instrumental colour changes. Comparison to individuals processed with the flow ice system in the absence of ozone (FI condition) was undertaken. Rainbow trout slaughtered and chilled under FI and OFI conditions showed a low lipid damage development, according to lipid oxidation and hydrolysis events and lipid composition (polyunsaturated fatty acids, phospholipids and endogenous antioxidants) changes. Additionally, both icing conditions led to largely good quality and shelf life times and to the absence of changes in colour properties. It is concluded that flow ice as such, or including the presence of ozone, can be considered as ideal strategy to be employed as slaughtering and storage system during the commercialisation of the actual farmed species. The ozone presence has shown some profitable effects as leading to an extended shelf life time by quality retention of several sensory parameters; in contrast, some negligible negative effects could be observed on the secondary and tertiary lipid oxidation development. However, the oxidation values reached by individuals kept under OFI conditions cannot be considered as particularly high.     

Karyotype description of Pomacea patula catemacensis (Caenogastropoda, Ampullariidae), with an assessment of the taxonomic status of Pomacea patula.

Mitotic chromosomes of the freshwater snail Pomacea patula catemacensis (Baker 1922) were analyzed on gill tissue of specimens from the type locality (Lake Catemaco, Mexico). The diploid number of chromosomes is 2n = 26, including nine metacentric and four submetacentric pairs; therefore, the fundamental number is FN = 52, No sex chromosomes could be identified. The same chromosome number and morphology were already reported for P. flagellata, i.e., the other species of the genus living in Mexico. The basic haploid number for family Ampullariidae was reported to be n = 14 in the literature; so, its reduction to n = 13 is probably an apomorphy of the Mexican Pomacea snails. Lanistes bolteni, from Egypt, also shows n = 13, but its karyotype is much more asymmetrical, and seems to have evolved independently from P. flagellata and P. patula catemacensis. The nominotypical subspecies, P. patula patula (Reeve 1856), is a poorly known taxon, whose original locality is unknown. A taxonomical account is presented here, and a Mexican origin postulated as the most parsimonious hypothesis.     

MTCLAB: A MATLAB®-based program for traveltime quality analysis and pre-inversion velocity tuning in 2D transmission tomography

A MATLAB^®-based computer code that analyses the traveltime distribution and performs quality analysis at the pre-inversion stage for 2D transmission experiments is presented. The core tools of this approach are the so-called mean traveltime curves. For any general recording geometry, the user may select any pair of subsets of contiguous sources and receivers. The portion of the domain swept by the implied rays defines a zone of analysis, and for each source (receiver) the outcoming (incoming) ray fan is named a source (receiver) gather. The empirical mean traveltime curves are constructed, for each zone, by assigning the average and the standard deviation of the traveltimes in the gathers to the positions of the sources (receivers).The theoretical expressions assume isotropic homogeneous velocity inside each zone. The empirical counterparts use the observed traveltimes and make no assumptions. Isotropic velocity in each zone is inferred by least-squares fitting of the empirical mean traveltime curves. The user may refine the analysis considering different zones (multi-zone analysis). Initially the whole domain is modelled as a single zone. The procedure compares empirical versus theoretical curves. In addition, residuals can be plotted using source–receiver positions as plane coordinates. The results are used to unravel the possible presence of anomalous gathers, heterogeneities, anisotropies, etc. Depending on the kind of anomalies, velocity estimation and mean time residuals are different in the source and receiver gather curves.This software helps to grasp a better understanding of the data variability before the inversion and provides to the geophysicist an approximate zonal isotropic model and a range of velocity variation that can be used in the inverse problem as a priori information (regularization term). Its use is described through tutorial examples. A guided user interface leads the user through the algorithm steps.     

Balance-dendrogram. A new routine of CoDaPack

A statistical analysis of compositional data based on the Aitchison geometry of the simplex requires an appropriate basis for representing the data. A simple and intuitive way of building such a basis employs a sequential binary partition of the compositional vector. The partition, together with some statistical summaries of the coordinates, or balances, can be represented in a dendrogram-type graph. In this paper we introduce an implementation of this methodology inside CoDaPack, which is freeware. An example with real data illustrates the use of the Balance-Dendrogram routine.     

The myopic intraocular lens in a phakic eye. Initial experience

The very first experiences with implantation of 3 phakic anterior chamber lenses for high myopia correction are presented. After average 4 month follow up good stability and transparation of concave lenses type ZB5M were observed with accurately achieved correction postoperatively.