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This SAEM position paper clarifies the role of emergency medicine in health care delivery. It builds upon the working definition of emergency medicine developed by the American College of Emergency Physicians in 1994 by describing the health care role of emergency physicians (EPs). EPs are first-contact providers who care for all patients regardless of age, gender, time of presentation, or ability to pay. They remain the only continuously accessible specialty for patients seeking help and solace in the health care system. They are an essential link in the health care continuum between primary care physicians, specialists, the out-of-hospital system, the patient, inpatient services, and communication services. The EP's role is in organizing and monitoring the emergency care delivery system. Part of this role is to better align the health care provider training and ability with the specific medical needs of a patient. The emergency health care system remains the essential medical safety net for all individuals needing care in this country.  相似文献   
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Neural Computing and Applications - In the medical imaging domain, nonlinear warping has enabled pixel-by-pixel mapping of one image dataset to a reference dataset. This co-registration of data...  相似文献   
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In this study, five different algorithms are provided for tracking targets that move very fast in wireless sensor networks. The first algorithm is static and clusters are formed initially at the time of network deployment. In the second algorithm, clusters that have members at one hop distance from the cluster head are provided dynamically. In the third algorithm, clustered trees where members of a cluster may be more than one hop distance from the cluster head are provided dynamically. In the fourth, algorithm lookahead trees are formed along the predicted trajectory of the target dynamically. Linear, Kalman and particle filtering techniques are used to predict the target’s next state. The algorithms are compared for linear and nonlinear motions of the target against tracking accuracy, energy consumption and missing ratio parameters. Simulation results show that, for all cases, better performance results are obtained in the dynamic lookahead tree based tracking approach.  相似文献   
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Monitoring and control of dangerous substances discharged into receiving waters have attracted more attention lately. Since it is not possible to analyze every single substance, a prioritization methodology is needed for the selection of those to be monitored. Existing well-developed models require significant amount of data for reliable outcomes. This paper presents a methodology to prioritize the dangerous substances having adverse effects on freshwaters in Turkey, where data are scarce. Such a methodology will also serve as a solid model for other countries with limited background data. The adopted methodology enabled the elimination of chemicals to generate a candidate list composed of 608 substances among more than 5000 substances. Further screening and prioritization were conducted using different assessment methods (i.e., Total Hazard Value, Total Impact Value, Combined Monitoring-based, and Modelling-based Priority Setting) to obtain a proposed Final Candidate Specific Pollutants List of 150 dangerous substances. The proposed Candidate National Pollutant List of Turkey was established by combining 45 priority pollutants of the European Union with a list of candidate specific pollutants. According to the outcomes of this study, monitoring and controlling of 195 dangerous substances in freshwaters are recommended. Further detailed studies should be conducted in order to observe the actual levels of these dangerous substances in freshwaters followed by a review of the monitoring list accordingly. Moreover, further revisions might be required in the proposed list due to some possible versatile conditions in terms of sampling points (i.e., change in the location of industries).  相似文献   
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The surfaces of pencil graphite electrodes (PGEs) were decorated with zinc oxide nanowires (ZnO NWs) for the electrochemical detection of nucleic acids. ZnO NWs were synthesized through simple hydrothermal method. PGEs decorated with ZnO NWs (ZnO NW/PGEs) were electrochemically characterized through cyclic voltammetry (CV) and electrochemical impedance spectroscopy (EIS) following morphological characterization through transmission (TEM) and scanning electron microscopy (SEM). Enhanced sensor response obtained using ZnO NW/PGEs contrary to the bare PGE (control) samples. Our preliminary results simply reveal the potential of combining ZnO NWs with disposable sensor technology for the electrochemical detection of DNA.  相似文献   
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