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Search Results: 1 - 10 of 4357 matches for " Kenneth Sable "
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Does the Nature of Chief Complaint, Gender, or Age Affect Time to Be Seen in the Emergency Room  [PDF]
Ayesha Sattar, Kenneth Sable, Antonios Likourezos, Christian Fromm, John Marshall
Open Journal of Emergency Medicine (OJEM) , 2014, DOI: 10.4236/ojem.2014.22006

Objectives: EM physicians may be biased in seeing patients presenting with nonspecific complaints or requiring more extensive work-ups. The goal of our study was to ascertain if chief complaint affected time to be seen (TTBS) in the ED. Methods: A retrospective report was generated from the EMR for all moderate acuity patients who visited the ED from January 2005 to December 2010 at a large urban teaching hospital. Abdominal pain, alcohol intoxication, back pain, chest pain, cough, dyspnea, dizziness, fall, fever, flank pain, headache, infection, pain (nonspecific), psychiatric evaluation, “sent by MD”, vaginal bleeding, vomiting, and weakness were the most common complaints. Non-Parametric Independent Sample Tests assessed median TTBS between complaints, gender, and age. Chisquare testing assessed for differences in the distribution of arrival times. Results: We obtained data from 116,194 patients. Patients presenting with weakness and dizziness waited the longest time of 35 minutes and patients with flank pain waited the shortest with 24 minutes. Males waited 30 minutes and females waited 32 minutes. Younger females between the ages of 18 - 50 waited significantly longer when presenting with a chief complaint of abdominal pain, chest pain, or flank pain. There was no difference in the distribution of arrival times for these complaints. Conclusion: There is a significant bias toward seeing young male patients more quickly than women or older males. Patients might benefit from efforts to educate EM physicians on the delays and potential quality issues associated with this bias in an attempt to move toward more egalitarian patient selection.

Comparison of the effect of post-instruction multiple-choice and short-answer tests on delayed retention learning
Ramraje SN,Sable PL
Australasian Medical Journal , 2011,
Abstract: BackgroundPeople forget much of what they learn, therefore studentscould benefit from learning strategies that yield long-lastingknowledge. Yet surprisingly, little is known about how longtermretention is most efficiently mastered. We studied thevalue of teacher made in class tests as learning aids andcompared two types of teacher-made tests (multiple choiceand short-answer tests) with a no test (control) todetermine their value as aids to retention learning.MethodThe study was conducted on two separate batches ofmedical undergraduate students. This study compared twotypes of tests [multiple choice questions (MCQs) and shortanswer questions (SAQs)] with a no test (control) group. Theinvestigation involved initial testing at the end of the lecture(post instruction), followed by an unannounced delayedretention test on the same material three weeks later. Theunannounced delayed test comprising of MCQs and SAQson the same material was given three weeks later to all thethree groups.ResultsIn batch I, the MCQ group had a higher mean delayedretention score of 10.97, followed by the SAQ group (8.42)and the control group (6.71). Analysis of variance (ANOVA)test and least significance difference (LSD) post hoc testrevealed statistically significant difference between themeans of the three groups. Similar results were obtained forbatch IIConclusionClassroom testing has a positive effect on retentionlearning; both short-answer and multiple-choice tests beingmore effective than no test in promoting delayed retentionlearning, however, multiple-choice tests are better.
Non-classical phase transitions at a sonic point
Monique Sable-Tougeron
Electronic Journal of Differential Equations , 2003,
Abstract: The relevant mathematical features of phase transition for a general hyperbolic nonlinear system near a sonic discontinuity are clarified. A well-posed Riemann's problem is obtained, including non-classical undercompressive shocks, defined by a geometrical kinetic relation. A counterpart is the geometrical rejection of some compressive shocks. The result is consistent with the structure profiles of the elasticity model of Shearer-Yang and the combustion model of Majda.
Frailty Prevalence and Characteristics in Older Patients with Type 2 Diabetes  [PDF]
Takahisa Tanikawa, Sayuri Sable-Morita, Haruhiko Tokuda, Hidenori Arai
Journal of Diabetes Mellitus (JDM) , 2019, DOI: 10.4236/jdm.2019.92004
Abstract: Background: Older diabetic patients are more likely to be frail than those who do not have diabetes. Frailty is an important risk factor for both mortality and disability in older patients with type 2 diabetes. However, the mechanism of frailty in diabetes mellitus is not fully understood. Aims: The aim of this study was to identify the prevalence of frailty and associated factors in older patients with type 2 diabetes in Japan. Methods: A cross-sectional study was conducted with a total of 178 outpatients who were over 65 years old with type 2 diabetes. We used the Obu Study Health Promotion for the Elderly definition of frailty to divided subjects into a non-frail and a frail group. We investigated the association between frailty and various patient characteristics. Results: In the study, 21.4% of the older patients with type 2 diabetes were considered frail. There were no significant differences in the duration of diabetes, BMI, proportion of microvascular complications, or HbA1c values between the frail and non-frail group. However, serum albumin and IGF-1 levels were lower in the frail group than the non-frail group as were the Mini-Mental State Examination scores. The frail group had a higher number of medications than the non-frail group. In a multivariable analysis, frailty was positively associated with the number of medications and, lower levels of both serum albumin and IGF-1. Conclusion: Our study suggests that diabetes accelerates the aging process and frailty is associated with low albumin, polypharmacy and low levels of IGF-1.
Comparision between Optimization and Conventional Catilever Retaining Wall by Using Optimtool in Matlab
Sable K.S.,Patil Archana A
International Journal of Engineering and Advanced Technology , 2012,
Abstract: Optimization of concrete retaining walls is animportant task in geotechnical and structural engineering.However other than stability considerations very often in suchdesign the settlement aspects is neglected. As such, attention tovarious aspects of geotechnical engineering design needs to beconsidered. However, consideration of all these aspects makes thedesign complicated. To economize the cost under such situationneeds to vary the dimensions of the wall several times making itvery tedious and monotonous. As it is extremely difficult to obtaina design satisfying all the safety requirements, it is necessary tocast the problem as one of the mathematical non linearprogramming techniques. A program is developed for analysisand designing low-cost or low-weight cantilever reinforcedconcrete retaining walls with and without base shear key inmatlab for optimtool. The optimtool is used to find the minimumcost and weight for concrete retaining walls. Illustrative cases ofretaining wall are solved, and their results are presented anddiscussed by using Interior point method from optimtool. Thecomparison between the conventional design from knowndesigner and optimum cost and weight values which are observedfrom optimtool shows effectively by cost and weight minimizationmodel and graph. The optimum design formulation allows for adetailed sensitivity analysis to be made for variation in topthickness of stem, surcharge load and internal angle of frictionwith different height.
Genetic expression of Col-2A and Col-10A as a function of administration of IGF-1 & TGF-β with and without anterior mandibular repositioning appliance on the growth of mandibular condylar cartilage in young rabbit  [PDF]
A. S. Patil, R. B. Sable, R. M. Kothari, P. Nagarajan
Open Journal of Stomatology (OJST) , 2013, DOI: 10.4236/ojst.2013.39A002

New Zealand (NZ) young rabbits with the administration of insulin-like growth factor (IGF-1) and transforming growth factor-β (TGF-β) with and without mandibular anterior repositioning appliances are explored for the growth of the mandibular condylar cartilage (MCC). 32 growing NZ and rabbits were divided into 4 groups: the group with saline injection in TMJ, the group which received growth factor injection in TMJ, the group which received anterior positioning appliance and the group which received growth factors injection as well as mandibular repositioning appliance. Gene expression was studied by real-time RT-PCR and cartilage growth by histomorphometry. Administration of growth factors along with mandibular repositioning appliances has induced 1) 1.70-fold expression of Col-2Agene (p value < 0.0005) and 2) 1.47-fold expression of Col-10Agene (p value < 0.0005). In contrast, administration of only mandibular repositioning appliances induced 1) 1.28-fold expression of Col-2Agene (p value < 0.0005) and 2) merely 0.62-fold expression of Col-10Agene (p value < 0.0005), while administration of growth factors only induced 1) mere 0.56-fold expression of Col-2Agene (p value <0.0005) and 2) 0.86-fold expression of Col-10A gene (p value < 0.0005). Administration of growth factors along with mandibular repositioning appliances causes an increase in genetic expressions which have been corroborated by histomorphometry and validated by statistical analysis, during an accelerated growth of mandibular condylar cartilage. Administration of growth factors in the TMJ could provide a synergistic role along with mandibular repositioning appliances for treatment of mandibular retrognathism as well as disorders on the MCC. 

Comparative Study of Amorphous Calcium Phosphate-containing Orthodontic Composite and Conventional Orthodontic Adhesive on Enamel Demineralization around Orthodontic Brackets – An in vivo Study
Aradhana Agarwal,Vinit Swami,RB Sable
Orthodontic Journal of Nepal , 2013, DOI: 10.3126/ojn.v3i2.10071
Abstract: Introduction: One of the most difficult problems in orthodontic treatment with fixed appliances is enamel demineralization around the brackets. This iatrogenically caused white spot lesions leads to poor esthetics; and in severe cases it may need restorative treatment.
The Stellar Black Hole  [PDF]
Kenneth Dalton
Journal of High Energy Physics, Gravitation and Cosmology (JHEPGC) , 2018, DOI: 10.4236/jhepgc.2018.44037
Abstract: A black hole model is proposed in which a neutron star is surrounded by a neutral gas of electrons and positrons. The gas is in a completely degenerate quantum state and does not radiate. The pressure and density in the gas are found to be much less than those in the neutron star. The radius of the black hole is far greater than the Schwarzschild radius.
Evaluation of Biphasic Culture System for Mycobacterial Isolation from the Sputum of Patients with Pulmonary Tuberculosis
Ghatole M,Sable C,Kamale P,Kandle S
Indian Journal of Medical Microbiology , 2005,
Abstract: Mycobacterial diseases continue to cause high morbidity and mortality. Isolation, identification and sensitivity testing form the backbone of laboratory investigations. M. tuberculosis isolation needs 6-8 weeks on conventional egg containing media. For rapid isolation various methods have been evaluated. We evaluated biphasic system (Middlebrook 7H11 agar slant + Middlebrook 9H broth) in comparison with Lowenstein - Jensen (LJ) medium. In smear positive cases biphasic system showed the recovery rate of 97.05% as against 79.41% on LJ on incubation for 21± 4.44 and 28±3.76 days respectively. In smear negative and culture positive cases biphasic system and LJ showed isolation rates of 91.66% and 66.6% after 36±3.44 and 41± 4.09 days respectively. Biphasic system showed lower contamination rate (1.33%). Biphasic medium is superior to LJ medium in isolation of M. tuberculosis .
Megakaryocytic emperipolesis: A histological finding in myelodysplastic syndrome
Sable M,Sehgal K,Gadage V,Subramanian P
Indian Journal of Pathology and Microbiology , 2009,
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