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- 저자 : Monahan, Nicholas R. (검색결과 4 건)
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Potential impact of cardiology phone-consultation for patients risk-stratified by the HEART pathway
Ken Monahan,Margaret Pan,Chinonso Opara,Maame Yaa A. B. Yiadom,Daniel Munoz,Benjamin B. Holmes,Davis Stephen,Kristopher J. Swiger,Sean P. Collins 대한응급의학회 2019 Clinical and Experimental Emergency Medicine Vol.6 No.3
Objective Bedside consultation by cardiologists may facilitate safe discharge of selected patients from the emergency department (ED) even when admission is recommended by the History, Electrocardiogram, Age, Risk factors, Troponin (HEART) pathway. If bedside evaluation is unavailable, phone consultation between emergency physicians and cardiologists would be most impactful if the resultant disposition is discordant with the HEART pathway. We therefore evaluate discordance between actual disposition and that suggested by the HEART pathway in patients presenting to the ED with chest pain for whom cardiology consultation occurred exclusively by phone and to assess the impact of phone-consultation on disposition. Methods We performed a single-center, retrospective study of adults presenting to the ED with chest pain whose emergency physician had a phone consultation with a cardiologist. Actual disposition was abstracted from the medical record. HEART pathway category (low-risk, discharge; high-risk, admit) was derived from ED documentation. For discharged patients, major adverse cardiac events were assessed at 30 days by chart review and phone follow-up. Results For the 170 patients that had cardiologist phone consultation, discordance between actual disposition and the HEART pathway was 17%. The HEART pathway recommended admission for nearly 80% of discharged patients. Following cardiologist phone-consultation, 10% of high-risk patients were discharged, with the majority having undergone a functional study recommended by the cardiologist. At 30 days, discharged patients had experienced no episodes of major adverse cardiac events or rehospitalization for cardiac reasons. Conclusion For patients presenting to the ED with chest pain, cardiology phone-consultation has the potential to safely impact disposition, primarily by facilitating functional testing in high-risk individuals.
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Creighton D,Gammons T,Monahan J,Rochester, MI 국제물리치료연구학회 2018 Journal of International Academy of Physical Ther Vol.9 No.3
The International Headache Society (IHS) has validated cervicogenic headache (CGH) as a secondary headache type that is hypothesized to originate due to nociception in the cervical area. CGH is a common form of headache and accounts for 15% to 20% of all chronic and recurrent headaches. CGH is commonly treated with manual and exercise therapy. To date, no studies have isolated only one manual intervention in an attempt to determine its effectiveness. In this case study we present a 28-year-old patient with right upper cervical (UC) and occipital pain who responded well to a single manual intervention technique. This technique was applied in isolation for the first three visits and two therapeutic exercises prescribed on the fourth and fifth visit. In total, manual and exercise intervention occurred over 8 visits at which point in time the patient was discharged with no UC motion impairments, an NPRS rating of 0, a NDI and HDI demonstrating a 100% improvement and a 37% improvement in FOTO score. The traction based manual intervention and two therapeutic exercises prescribed for this patient were successful in relieving UC pain and CGH. At six months follow up, the patient was still symptom free.
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Object control in Korean: How many constructions?
Maria Polinsky,Philip J. Monahan,Nayoung Kwon 서울대학교 언어교육원 (구 서울대학교 어학연구소) 2007 語學硏究 Vol.43 No.1
Korean seltukhata ‘persuade’ and similar predicates that take a propositional complement (marked with -tolok) license three object control constructions: 1) accusative persuadee in the matrix clause precedes the embedded clause (ACC1); 2) accusative persuadee follows the embedded clause (ACC2); 3) persuadee in the nominative case appears in the embedded clause (NOM). Prior accounts treated these constructions as derivationally related, arguing either for semantic or syntactic analysis of control. Using primary data and processing results, we argue that ACC1 and ACC2 are structurally distinct, the former instantiating obligatory control, the latter, non-obligatory control. Additionally, we provide evidence that NOM may be an instance of non-obligatory control.
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Atomic-Scale Spectroscopy of Gated Monolayer MoS<sub>2</sub>
Zhou, Xiaodong,Kang, Kibum,Xie, Saien,Dadgar, Ali,Monahan, Nicholas R.,Zhu, X.-Y.,Park, Jiwoong,Pasupathy, Abhay N. American Chemical Society 2016 NANO LETTERS Vol.16 No.5
<P>The electronic properties of semiconducting monolayer transition-metal dichalcogenides can be tuned by electrostatic gate potentials. Here we report gate-tunable imaging and spectroscopy of monolayer MoS<SUB>2</SUB> by atomic-resolution scanning tunneling microscopy/spectroscopy (STM/STS). Our measurements are performed on large-area samples grown by metal–organic chemical vapor deposition (MOCVD) techniques on a silicon oxide substrate. Topographic measurements of defect density indicate a sample quality comparable to single-crystal MoS<SUB>2</SUB>. From gate voltage dependent spectroscopic measurements, we determine that in-gap states exist in or near the MoS<SUB>2</SUB> film at a density of 1.3 × 10<SUP>12</SUP> eV<SUP>–1</SUP> cm<SUP>–2</SUP>. By combining the single-particle band gap measured by STS with optical measurements, we estimate an exciton binding energy of 230 meV on this substrate, in qualitative agreement with numerical simulation. Grain boundaries are observed in these polycrystalline samples, which are seen to not have strong electronic signatures in STM imaging.</P><P><B>Graphic Abstract</B> <IMG SRC='http://pubs.acs.org/appl/literatum/publisher/achs/journals/content/nalefd/2016/nalefd.2016.16.issue-5/acs.nanolett.6b00473/production/images/medium/nl-2016-004733_0003.gif'></P><P><A href='http://pubs.acs.org/doi/suppl/10.1021/nl6b00473'>ACS Electronic Supporting Info</A></P>
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