5,190 research outputs found
Performance of a C4F8O Gas Radiator Ring Imaging Cherenkov Detector Using Multi-anode Photomultiplier Tubes
We report on test results of a novel ring imaging Cherenkov (RICH) detection
system consisting of a 3 meter long gaseous C4F8O radiator, a focusing mirror,
and a photon detector array based on Hamamatsu multi-anode photomultiplier
tubes. This system was developed to identify charged particles in the momentum
range from 3-70 GeV/c for the BTeV experiment.Comment: 28 pages, 23 figures, submitted to Nuclear Instruments and Method
Hydrographic features off northeast coast and Andaman - Nicobar Islands in relation to demersal finfish resources
Temperature varied from 17.6 to 28.5°C, salinity values from 32.12 to 35.21 x
10"" and dissolved oxygen from 0.8 to 4.41 ml/1. No identifiable relationship could
be established between these three parameters and the total fish abundance, probably
because the catch was made up of many species having different requirements.
Higher abundance of trawl catches was from January to May when bottom water
temperature was relatively low. The highest level of abundance of 2764 kg/hr in
February 1989 was recorded when the parameters were 26°C, 33.6 x 10" and 2.71
ml/1; and the lowest level of 43.2 kg/hr in July 1988 was when the parameters were
25.3°C, 34.48 x 10'^ and 1.6 ml/1
Case report of concurrent Fabry disease and amyotrophic lateral sclerosis supports a common pathway of pathogenesis.
Salinity changes in the estuary and the coastal sea adjacent to the portmouth at Cochin
The article deals with the details of salinity changes in the Cochin estuary and its influence and interrelations with the Vembanad lake
A Novel Algorithm for Cooperative Spectrum Sensing in Cognitive Radio Networks
The rapid growth in wireless communication technology has led to a scarcity of spectrum. But, studies are saying that licensed spectrum is underutilized. Cognitive Radio Networks (CRNs) seem to be a promising solution to this problem by allowing unlicensed users to access the unused spectrum opportunistically. In this paper we proposed a novel spectrum sensing algorithm to improve the probabilities of detection and false alarm in a CRN, using the traditional techniques of energy and first order correlation detection. Results show a significant improvement in performance in cooperative spectrum sensing
Fish biomass estimation by calibrating the echointegrator deflection against catch data
Acoustic survey for fish resources was conducted using echosounder (EK-400)
with echointegrator (QD). The echointegrator coupled with echosounder sums-up the
echo signal received. The sum of the echo signal received per nautical mile covered
is an index of the quantum of fish recorded and therefore a measure of the relative
density of fish in surveyed area. It is converted into absolute biomass using the
calibrarion constant obtained by correlating the trawl catch data against the echointegrator
reading corresponding to the opening of the net. The calibration constant thus
arrived at was 1327 kg/n.mile corresponding to 1 mm integrator deflection per
nautical mile covered
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Hemodialysis Self-management Intervention Randomized Trial (HED-SMART): A Practical Low-Intensity Intervention to Improve Adherence and Clinical Markers in Patients Receiving Hemodialysis
Background: Poor adherence to treatment is common in hemodialysis patients. However, effective interventions for adherence in this population are lacking. Small studies of behavioral interventions have yielded improvements, but clinical effectiveness and long-term effects are unclear.
Study Design: Multicenter parallel (1:1) design, blinded cluster-randomized controlled trial.
Setting & Participants: Patients undergoing maintenance hemodialysis enrolled in 14 dialysis centers.
Intervention: Dialysis shifts of eligible patients were randomly assigned to either an interactive and targeted self-management training program (HED-SMART; intervention; n = 134) or usual care (control; n = 101). HED-SMART, developed using the principles of problem solving and social learning theory, was delivered in a group format by health care professionals over 4 sessions.
Outcomes & Measurements: Serum potassium and phosphate concentrations, interdialytic weight gains (IDWGs), self-reported adherence, and self-management skills at 1 week, 3 months, and 9 months postintervention.
Results: 235 participants were enrolled in the study (response rate, 44.2%), and 82.1% completed the protocol. IDWG was significantly lowered across all 3 assessments relative to baseline (P < . 0.001) among patients randomly assigned to HED-SMART. In contrast, IDWG in controls showed no change except at 3 months, when it worsened significantly. Improvements in mineral markers were noted in the HED-SMART arm at 3 months (P < . 0.001) and in potassium concentrations (P < . 0.001) at 9 months. Phosphate concentrations improved in HED-SMART at 3 months (P = 0.03), but these effects were not maintained at 9 months postintervention. Significant differences between the arms were found for the secondary outcomes of self-reported adherence, self-management skills, and self-efficacy at all time points.
Limitations: Low proportion of patients with diabetes.
Conclusions: HED-SMART provides an effective and practical model for improving health in hemodialysis patients. The observed improvements in clinical markers and self-report adherence, if maintained at the longer follow-up, could significantly reduce end-stage renal disease-related complications. Given the feasibility of this kind of program, it has strong potential for supplementing usual care.
Trial Registration: Registered at ISRCTN with study number ISRCTN31434033
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The effect of brief self-management intervention for hemodialysis patients (HED-SMART) on trajectories of depressive and anxious symptoms
Objective: Depression is often comorbid with End-Stage Renal Disease, and associated with poor adherence and clinical outcomes but course of symptoms is variable. This study sought to describe the long-term trajectories of anxiety and depression in hemodialysis patients, to identify predictors of these trajectories over 12 months and to evaluate the effectiveness of the HEmoDialysis Self-Management Randomized Trial (HED SMART) against usual care on symptoms of anxiety and depression. Methods: A secondary analysis of data from a randomized controlled trial that contrasted HED SMART (n = 101) against usual care (n = 134). Depressive and anxious symptoms were assessed using the Hospital Anxiety and Depression Scale (HADS) at baseline, 1 week and at 3 and 9 months post-intervention. Latent class growth analysis identified trajectories of depression and anxiety, and their sociodemographic and clinical predictors. Results: Symptoms of depression and anxiety over 12 months were characterized by two trajectories: low stable (depression: 55%; anxiety: 59%) with non-clinical levels of distress, and high stable (depression: 45%; anxiety: 41%) with clinical levels of distress. HED SMART predicted significant reductions in depression relative to usual care. A similar trend was noted for anxiety. Younger age, Chinese ethnicity, and more comorbidities were associated with persistent high depression. Younger age and shorter dialysis vintage was associated with persistent high anxiety. Conclusion: A brief self-management intervention designed to support behavioral change can also lead to significant reductions in symptoms of depression and may be of great value for younger HD patients shown to be at greater risk for persistent distress. Trial registration: ISRTN31434033
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