Several applications such as nuclear forensics, fuel cycle simulations and sensitivity analysis require methods to quickly compute spent nuclide compositions for various irradiation histories. Traditionally, this has been done by interpolating between one-group cross-sections that have pre-computed from reactor a grid of input parameters, using fits Cubic Spline. We propose the use Gaussian Pro...

BACKGROUND It is unclear whether teaching status or day of discharge influences outcomes after a heart failure hospitalization. METHODS AND RESULTS We evaluated adults discharged after a heart failure hospitalization between 1999 and 2009 in Alberta, Canada. The primary outcome was death or nonelective readmission 30 days postdischarge. Of 12 216 patients discharged from teaching hospitals an...

IMPORTANCE A patient's needs at discharge, particularly the need for nursing facility placement, may affect hospital length of stay and health care costs. The association between age and disposition after microvascular reconstruction of the head and neck has yet to be reported in the literature. OBJECTIVE To determine whether elderly patients are more likely to be discharged to a nursing or o...

Results There were 796 critical care admissions in the specified period. Of these, 60 (7.5%) patients died in-hospital after being discharged from ICU. Nine (15%) patients were discharged with treatment limitations in place and suffered further deterioration after ICU. Another nine (15%) patients were discharged with a new diagnosis of end-stage non-malignant disease (predominantly liver or ren...

Medicare patients in five diagnosis-related groups (DRGs) associated with heavy use of post-hospital care discharged from 52 hospitals in 3 cities were followed up at 6 weeks, 6 months, and 1 year to determine the factors associated with their being discharged home with or without home health care and the correlates of improvement in their functional status. Models correctly predicted those dis...

Sleep complaints were obtained from 22 hospitalised patients with traumatic brain injury of recent onset (median 3.5 months after injury) and were compared with those of 77 discharged patients who had sustained brain injury about two to three years (median 29.5 months) previously. A high incidence of sleep complaints was noted in both groups (72.7% and 51.9% respectively). Disorders in initiati...

BACKGROUND Reducing readmissions for heart failure is an important goal for policymakers. Current national policies financially penalize hospitals with high readmission rates, which may have unintended consequences if these institutions are resource-poor, either financially or clinically. METHODS AND RESULTS We analyzed national claims data for Medicare patients with heart failure discharged ...

The timing of patient interventions can significantly affect outcomes. A study in the United Kingdom showed that patients discharged from intensive care units at night had a higher hospital mortality than those discharged during the day. In a study of acute care admissions from emergency departments in Ontario, patients with some serious medical conditions were more likely to die in hospital if...