Implementation of Institutional Discharge Protocols and Transition of Care Following Acute Coronary Syndrome.

Despite improvements in acute care and survival following acute coronary syndrome (ACS) hospitalization, readmission remains common. In response, individual institutions have begun to develop their own protocols to reduce variability of care and readmission rates. This review provides approaches for developing and implementing institutional discharge protocols for continuity of care for ACS patients and describes key components of the discharge protocol.

Clinical significance of intermediate left ventricular trabeculations in cardiac magnetic resonance.

Objective: Although the clinical importance of left ventricular noncompaction cardiomyopathy (LVNC) is known, few data exist that describe the prognosis associated with intermediate levels of LV trabeculations that do not meet criteria for LVNC.

Methods: Trabeculation/possible LVNC by CMR was retrospectively observed among 122 consecutive cases. We assessed the end-systolic noncompacted-to-compacted ratios (ESNCCR) along with deaths, embolic events, congestive heart failure (CHF) readmissions, ventricular arrhythmias, myocardial thickening (MT), and ejection fraction (EF).

Coupling of a single nitrogen-vacancy center in diamond to a fiber-based microcavity.

We report on the coupling of a single nitrogen-vacancy (NV) center in a nanodiamond to a fiber-based microcavity at room temperature. Investigating the very same NV center inside the cavity and in free space allows us to systematically explore a regime of phonon-assisted cavity feeding. Making use of the NV center's strongly broadened emission, we realize a widely tunable, narrow band single photon source.

Single ion coupled to an optical fiber cavity.

We present the realization of a combined trapped-ion and optical cavity system, in which a single Yb(+) ion is confined by a micron-scale ion trap inside a 230 μm-long optical fiber cavity. We characterize the spatial ion-cavity coupling and measure the ion-cavity coupling strength using a cavity-stimulated Λ transition. Owing to the small mode volume of the fiber resonator, the coherent coupling strength between the ion and a single photon exceeds the natural decay rate of the dipole moment.

Spin waves and collisional frequency shifts of a trapped-atom clock.

We excite spin waves with spatially inhomogeneous Ramsey pulses and study the resulting frequency shifts of a chip-scale atomic clock of trapped 87Rb. The density-dependent frequency shifts of the hyperfine transition simulate the s-wave collisional frequency shifts of fermions, including those of optical lattice clocks. As the spin polarizations oscillate in the trap, the frequency shift reverses and it depends on the area of the second Ramsey pulse, exhibiting a predicted beyond mean-field frequency shift.

Tempol, a superoxide dismutase mimetic, prevents cerebral vessel remodeling in hypertensive rats.

Increased reactive oxygen species (ROS) production is involved in the pathogenesis of hypertension and stroke. The effects of ROS on cerebral vessels from hypertensive rats have not been studied. We hypothesized that tempol, a superoxide dismutase mimetic, would prevent middle cerebral artery (MCA) remodeling in stroke-prone spontaneously hypertensive rats (SHRSP).

Effect of high soy diet on the cerebrovasculature and endothelial nitric oxide synthase in the ovariectomized rat.

High soy (HS) diets are neuroprotective and promote vascular dilatation in the periphery. We hypothesized that an HS diet would promote vascular dilatation in the cerebrovasculature by mimicking estradiol's actions on the endothelial nitric oxide synthase (eNOS) system including increasing eNOS expression and decreasing caveolin-1 expression to increase nitric oxide (NO) production. Ovariectomized rats were fed HS or a soy-free diet (SF)+/-low physiological estradiol (E2) for 4weeks.

Preliminary results of the trapped atom clock on a chip.

We present an atomic clock based on the interrogation of magnetically trapped (87)Rb atoms. Two photons, in the microwave and radiofrequency domain, excite the clock transition. At a magnetic field of 3.

Diet-induced obesity causes cerebral vessel remodeling and increases the damage caused by ischemic stroke.

Hypertension, elevated fasting blood glucose and plasma insulin develop in rats fed a high fat (HF) diet. Our goal was to assess the effects of obesity, beginning in childhood, on the adult cardiovascular system. We hypothesized that rats fed a HF diet would have larger ischemic cerebral infarcts and middle cerebral artery (MCA) remodeling.