BACKGROUND B-lines evaluated by lung ultrasound (LUS) are the sonographic sign of pulmonary congestion, a major predictor of morbidity and mortality in patients with heart failure (HF). Our aim was to assess the prognostic value of B-lines at discharge to predict rehospitalization at 6 months in patients with acute HF (AHF). METHODS A prospective cohort of 100 patients admitted to a Cardiolog...

BACKGROUND Evidence regarding outcomes in the Geriatric Day Hospital (GDH) model of care has been largely inconclusive, possibly due to measurement issues. This prospective cohort study aims to determine whether treatment in a GDH could improve individualized outcome measures using goal attainment scaling (GAS) and whether improvements are maintained 6-months post-discharge. METHODS A total o...

The objective of this study was to examine hospital discharge data on 5 tobacco-related diagnoses before and after implementation of a smoking ban in a small Texas city. We compared hospital discharge rates for 2 years before and 2 years after implementation of the ban in the intervention city with discharge rates during the same time in a similar city with no ban. The discharge rates for black...

BACKGROUND AND PURPOSE The Stroke Prevention by Aggressive Reduction in Cholesterol Levels (SPARCL) trial showed statins reduce vascular risk among patients with atherosclerotic stroke or transient ischemic attack. In this study, we assessed recent nationwide trends in discharge statin treatment after acute stroke and the influence of SPARCL on clinical practice. METHODS Using data from eligi...

The objective of this retrospective field study was to associate the type and smell of discharge, the size of the uterus, the ovarian and treatment status, and the time to diagnosis of animals with chronic clinical endometritis (CCE) with the incidence of ovarian cysts and with a marked loss in body condition in German Holstein Friesian cows. Two hundred and sixty-four cows diagnosed with CCE f...

The discharge and stage measurements in a river system are characterized by a number of sources of uncertainty, which affects the accuracy of a rating curve established from measurements. This paper presents a fuzzy set theory based methodology for consideration of different sources of uncertainty in the stage and discharge measurements and their aggregation into a combined uncertainty. The unc...

BACKGROUND Organizing care into integrated practice units (IPUs) around conditions and patient segments has been proposed to increase value. We organized transitional care into an IPU (THC-IPU) for a patient segment of functionally dependent patients with limited community ambulation. METHODS 1,166 eligible patients were approached for enrolment into THC-IPU. THC-IPU patients received a compr...

Neurons in the region of cat's solitary tract nucleus were classified into three groups on the basis of their spontaneous discharge rate during slow wave sleep (SS) as compared with wakefulness (W): group I: SS greater than W; group II: SS less than W; and group III: SS divided by W. These three groups were further examined with regard to the modulation of discharge rate i) during motor activit...

In recent years there has been a reduction in the length of stay of patients undergoing total hip replacement, as hospitals have attempted to reduce costs. A reduced length of stay requires patients undergoing total hip replacement to achieve independence over increasingly shorter periods. Clinical experience indicates that many of these patients feel unready or reluctant to be discharged to ho...

A positive corona discharge fed by a N2:CH4 mixture (98:2) at atmospheric pressure and ambient temperature has been studied as a laboratory mimic of the chemical processes occurring in the atmosphere of Titan, Saturn’s largest moon. In-situ measurements of UV and IR transmission spectra within the discharge have shown that the main chemical product is C2H2, produced by dissociation of CH4, with...