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  1. Article: Catch of the day: hippocampal lesions on magnetic resonance imaging in transient global amnesia.

    Poffley, Lucy E / Parikh, Raj / James, Natasha / Moore, David

    British journal of hospital medicine (London, England : 2005)

    2022  Volume 83, Issue 6, Page(s) 1–3

    MeSH term(s) Amnesia, Transient Global/diagnostic imaging ; Hippocampus/diagnostic imaging ; Humans ; Magnetic Resonance Imaging
    Language English
    Publishing date 2022-06-29
    Publishing country England
    Document type Journal Article
    ISSN 1750-8460
    ISSN 1750-8460
    DOI 10.12968/hmed.2021.0129
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article: Payments for forest-based ecosystem services in the United States: Magnitudes and trends

    Frey, Gregory E. / Kallayanamitra, Chalisa / Wilkens, Philadelphia / James, Natasha A.

    Ecosystem services. 2021 Dec., v. 52

    2021  

    Abstract: This manuscript reports on an effort to account, estimate, and document, to the fullest extent possible, direct payments for ecosystem services to private forest landowners in the United States. This includes payments derived from markets, subsidies, and ...

    Abstract This manuscript reports on an effort to account, estimate, and document, to the fullest extent possible, direct payments for ecosystem services to private forest landowners in the United States. This includes payments derived from markets, subsidies, and hybrid approaches, from both governmental and non-governmental sources. Data were compiled from government agencies, public registries, and surveys of market participants. In some cases full reporting of program/market payments and forest area enrolled was possible. In other cases estimation was necessary, including averaging and interpolation by state and year, to create a conservative and comprehensive understanding of the nature, magnitude, and trends of programs and markets that provide payments for forest-based ecosystem services (PFES). Programs and markets were classified by categories of ecosystem services supported (carbon sequestration and storage, water quality and watershed protection, wildlife habitat, and bundled services), as well as payment mechanism (public payments, compliance transactions, and voluntary transactions). Findings show that estimated total PFES averaged $3.3 billion per year (2015 dollars), or about $17.69 per hectare of private forest per year over the decade 2010–19. This includes an average of $176 million per year for carbon, $889 million per year for water, $1529 million per year for wildlife habitat, and $754 million per year for bundled services. Hunting leases in particular are the largest payment source for private forest landowners, and have grown substantially up to $1.6 billion in 2016. At the same time, compliance and voluntary markets for carbon and water have also grown. In particular, the establishment of a market for carbon offsets within California’s cap-and-trade program has increased the size of forest carbon offset markets by two orders of magnitude from $3 million in 2010 to $326 million in 2019. However, public programs connected to PFES have steadily decreased in real dollar terms over time, as has participating land area. Various states and regions in the U.S. have higher or lower level of PFES connected to different service categories, for various apparent reasons. Results suggest that some small, highly-urban states received high levels of payments for conservation easements. Other states with a large agricultural land base relative to forestry received relatively high levels of public conservation program payments. Some states with both large private forest area and large urban centers had high values of payments for recreational access, such as hunting and wildlife viewing.
    Keywords agricultural land ; carbon ; carbon markets ; carbon sequestration ; compliance ; conservation programs ; ecosystems ; forests ; private forestry ; water quality ; watersheds ; wildlife ; wildlife habitats ; California
    Language English
    Dates of publication 2021-12
    Publishing place Elsevier B.V.
    Document type Article
    ZDB-ID 2681542-4
    ISSN 2212-0416
    ISSN 2212-0416
    DOI 10.1016/j.ecoser.2021.101377
    Database NAL-Catalogue (AGRICOLA)

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  3. Article ; Online: Magnetic Resonance Imaging Availability Reduces Computed Tomography Use for Pediatric Appendicitis Diagnosis.

    James, Natasha C / Ahmadian, Rosstin / Mckee, Jason Q / Sarangarm, Dusadee / Bussmann, Silas C / Williamson, Susan / Upham, Bryan D

    Pediatric emergency care

    2020  Volume 38, Issue 1, Page(s) e219–e224

    Abstract: Objectives: To determine if introducing magnetic resonance imaging (MRI) as an imaging option for children with suspected appendicitis and an inconclusive ultrasound reduces computed tomography (CT) use.: Methods: This is a retrospective cohort study ...

    Abstract Objectives: To determine if introducing magnetic resonance imaging (MRI) as an imaging option for children with suspected appendicitis and an inconclusive ultrasound reduces computed tomography (CT) use.
    Methods: This is a retrospective cohort study of patients aged 5 to 18 years who presented to a pediatric emergency department (ED) with suspected appendicitis. Rates of CT use 1 year before and 1 year after MRI availability are compared. Secondary outcomes include missed and negative appendectomies, imaging charges, time to antibiotics and surgery, time to radiology read, ED length of stay, and test characteristics of MRI and CT.
    Results: Of the 981 patients screened, 499 patients met inclusion criteria. There was an absolute reduction of CT use of 25% from 38% in year 1 to 13% in year 2 (95% confidence interval, 18% to 33%). Advanced imaging charges were $371 higher in year 2 (MRI) than year 1 (CT), and median time to radiologist reads was longer in MRIs than CTs (129 versus 62 minutes; difference 53 minutes, 95% confidence interval, 23 to 74 minutes). All other secondary outcomes, including ED length of stay and test characteristics, were statistically similar.
    Conclusions: Introducing MRI for as an imaging option for children with suspected appendicitis and an inconclusive ultrasound markedly reduced CT use, but did result in a small increase in imaging charges and time to preliminary radiology read.
    MeSH term(s) Appendectomy ; Appendicitis/diagnostic imaging ; Appendicitis/surgery ; Child ; Emergency Service, Hospital ; Humans ; Magnetic Resonance Imaging ; Retrospective Studies ; Tomography, X-Ray Computed ; Ultrasonography
    Language English
    Publishing date 2020-08-24
    Publishing country United States
    Document type Journal Article
    ZDB-ID 632588-9
    ISSN 1535-1815 ; 0749-5161
    ISSN (online) 1535-1815
    ISSN 0749-5161
    DOI 10.1097/PEC.0000000000002222
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Use of Pulmonary Computed Tomography for Evaluating Suspected Stroke-Associated Pneumonia.

    Kishore, Amit K / Devaraj, Anand / Vail, Andy / Ward, Kirsty / Thomas, Philip G / Sen, Dwaipayan / Procter, Alex / Win, Maychaw / James, Natasha / Roffe, Christine / Meisel, Andreas / Woodhead, Mark / Smith, Craig J

    Journal of stroke and cerebrovascular diseases : the official journal of National Stroke Association

    2021  Volume 30, Issue 6, Page(s) 105757

    Abstract: Objectives: Accurate and timely diagnosis of pneumonia complicating stroke remains challenging and the diagnostic accuracy of chest X-ray (CXR) in the setting of stroke-associated pneumonia (SAP) is uncertain. The overall objective of this study was to ... ...

    Abstract Objectives: Accurate and timely diagnosis of pneumonia complicating stroke remains challenging and the diagnostic accuracy of chest X-ray (CXR) in the setting of stroke-associated pneumonia (SAP) is uncertain. The overall objective of this study was to evaluate the use of pulmonary computed tomography (CT) in diagnosis of suspected SAP.
    Materials and methods: Patients with acute ischemic stroke (IS) or intracerebral hemorrhage (ICH) were recruited within 24h of clinically suspected SAP and underwent non-contrast pulmonary CT within 48h of antibiotic initiation. CXR and pulmonary CT were reported by two radiologists. Pulmonary CT was used as the reference standard for final diagnosis of SAP. Sensitivity, specificity, positive and negative predictive values (PPV and NPV), and diagnostic odds ratio (OR) for CXR were calculated.
    Results: 40 patients (36 IS, 4 ICH) with a median age of 78y (range 44y-90y) and a median National Institute of Health Stroke Scale score of 13 (range 3-31) were included. All patients had at least one CXR and 35/40 patients (88%) underwent pulmonary CT. Changes consistent with pneumonia were present in 15/40 CXRs (38%) and 12/35 pulmonary CTs (34%). 9/35 pulmonary CTs (26%) were reported normal. CXR had a sensitivity of 58.3%, specificity of 73.9%, PPV of 53.8 %, NPV of 77.2 %, diagnostic OR of 3.7 (95% CI 0.7 - 22) and an accuracy of 68.5% (95% CI 50.7% -83.1%).
    Discussion: CXR has limited diagnostic accuracy in SAP. The majority of patients started on antibiotics had no evidence of pneumonia on pulmonary CT with potential implications for antibiotic stewardship.
    Conclusions: Pulmonary CT could be applied as a reference standard for evaluation of clinical and biomarker diagnostic SAP algorithms in multi-center studies.
    MeSH term(s) Adult ; Aged ; Aged, 80 and over ; Anti-Bacterial Agents/therapeutic use ; Antimicrobial Stewardship ; England ; Female ; Hemorrhagic Stroke/complications ; Hemorrhagic Stroke/diagnosis ; Humans ; Ischemic Stroke/complications ; Ischemic Stroke/diagnosis ; Lung/diagnostic imaging ; Male ; Middle Aged ; Pilot Projects ; Pneumonia/diagnostic imaging ; Pneumonia/drug therapy ; Pneumonia/etiology ; Predictive Value of Tests ; Prospective Studies ; Reproducibility of Results ; Tomography, X-Ray Computed
    Chemical Substances Anti-Bacterial Agents
    Language English
    Publishing date 2021-04-17
    Publishing country United States
    Document type Journal Article ; Multicenter Study ; Observational Study
    ZDB-ID 1131675-5
    ISSN 1532-8511 ; 1052-3057
    ISSN (online) 1532-8511
    ISSN 1052-3057
    DOI 10.1016/j.jstrokecerebrovasdis.2021.105757
    Database MEDical Literature Analysis and Retrieval System OnLINE

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