BACKGROUND Implantable loop recorders (ILR) have been found to be useful in the diagnosis and management of syncope of unclear etiology. The clinical symptoms of abnormalities seen during ILR monitoring have not been adequately studied. AIM The aim of this retrospective study was to determine the clinical symptoms which were the best predictors of asystolic or bradycardic responses during ILR...

INTRODUCTION Language and cultural barriers are detriments to quality health care. In acute medical settings, these barriers are more pronounced, which can lead to poor patient outcomes. MATERIALS AND METHODS We implemented a longitudinal Spanish-language immersion curriculum for emergency medicine (EM) resident physicians. This curriculum includes language and cultural instruction, and is in...

Determining the language proficiency level required to understand a given text is a key requirement in vetting documents for use in second language learning. In this work, we describe our approach for developing an automatic text analytic to estimate the text difficulty level using the Interagency Language Roundtable (ILR) proficiency scale. The approach we take is to use machine translation to...

OBJECTIVES To evaluate the usage and diagnostic yield of the implantable loop-recorder (ILR) in detection of the mechanism of syncope and in guiding therapy in patients aged >/=65 years and comparing them with those <65 years. DESIGN This was a two-hospital, observational, prospective study in consecutive patients with unexplained syncope who underwent an ILR implantation. Between November 19...

The paper focuses on the efficiency of the hybrid evolutionary algorithm (HEA) for solving the global optimization problem arising in electronic imaging. The particular version of the algorithm utilizes image local response (ILR), in order to reduce the computational cost. ILR is defined as the variation of fitness function due to a small variation of the parameters, and is computed over a smal...

Interleukin-1 receptor family members (ILRs) and toll-like receptors (TLRs) are characterized by the presence of a conserved intracellular domain and the toll-IL-1resistance (TIR) domain and are key players in immunity and inflammation. ILR and TLR signaling is tightly regulated at different levels. All cell types of the innate immune system express ILRs and TLRs. In addition, IL-1 family membe...

Implantable loop recorders (ILRs) have evolved as an elegant means of establishing a correlation between symptoms and cardiac rhythm disturbances in patients suffering from recurrent and unexplained episodes of syncope. In this review, we focus on the currently available ILRs on the US market and our institution’s experience with a novel ILR implantation technique. We also review the currently ...

OBJECTIVE The aim of this study was to estimate cost and outcomes associated with colposcopy following abnormal Pap for women with a history of cervical cancer. METHODS Decision models compared the costs and number of isolated local recurrences (ILR) detected using two strategies, colposcopy and no colposcopy, for women with a history of cervical cancer and low grade or high grade Pap. Clinic...

Aims The implantable loop recorder (ILR) continuously monitors the heart’s electric activity by means of a subcutaneous bipolar electrogram (Elg). Currently, the relationship between the Elg and the surface electrocardiogram (ECG) has been poorly documented. This model-based study aimed at investigating the differences between the bipolar surface and subcutaneous signals, as well as the effect ...

The aim of this study was to determine whether subtle changes in the energy-to-N ratio of medium-concentrate diets alters hepatic export protein synthesis and the partition of protein metabolism in the whole body of growing rams. Rams (n = 6; 41.5 +/- 2.6 kg of BW) were fitted with catheters for measurement of Leu and Phe tracer kinetics across the portal drained-viscera (PDV) and liver. Rams w...