Transfusion-Associated Adverse Events: A Case Report of Nurse Hemovigilance and Recognition of Respiratory Distress.

Although blood transfusions are considered a potentially life-saving therapy, noninfectious and infectious adverse events can lead to significant morbidities and even mortality. Vital signs and visual observation of patients during blood transfusions are thoroughly taught in nursing school. Updated terms of hemovigilance and transfusion-associated adverse events ( TAAEs ) are presented through this case study.

A highly efficient CMOS nanoplasmonic crystal enhanced slow-wave thermal emitter improves infrared gas-sensing devices.

The application of plasmonics to thermal emitters is generally assisted by absorptive losses in the metal because Kirchhoff's law prescribes that only good absorbers make good thermal emitters. Based on a designed plasmonic crystal and exploiting a slow-wave lattice resonance and spontaneous thermal plasmon emission, we engineer a tungsten-based thermal emitter, fabricated in an industrial CMOS process, and demonstrate its markedly improved practical use in a prototype non-dispersive infrared (NDIR) gas-sensing device. We show that the emission intensity of the thermal emitter at the CO(2) absorption wavelength is enhanced almost 4-fold compared to a standard non-plasmonic emitter, which enables a proportionate increase in the signal-to-noise ratio of the CO(2) gas sensor.

Ultrafast dynamics of nanoplasmonic stopped-light lasing.

We study the spatio-temporal dynamics of coherent amplification and lasing in planar gain-enhanced nanoplasmonic structures and show that a singularity in the density of optical states leads to a stopped-light feedback mechanism that allows for cavity-free photonic and surface-plasmon polariton nanolasing. We reveal that in the absence of cavity-induced feedback a phase-locked superposition of a quasi dispersion-free waveguide mode promotes the dynamic formation of a subwavelength lasing mode. Simulations on the basis of a full-time domain Maxwell-Bloch Langevin approach uncover a high spontaneous emission factor β≈0.

Cavity-free plasmonic nanolasing enabled by dispersionless stopped light.

When light is brought to a standstill, its interaction with gain media increases dramatically due to a singularity in the density of optical states. Concurrently, stopped light engenders an inherent and cavity-free feedback mechanism, similar in effect to the feedback that has been demonstrated and exploited in large-scale disordered media and random lasers. Here we study the spatial, temporal and spectral signatures of lasing in planar gain-enhanced nanoplasmonic structures at near-infrared frequencies and show that the stopped-light feedback mechanism allows for nanolasing without a cavity.

Tunable 3D extended self-assembled gold metamaterials with enhanced light transmission.

The optical properties of metamaterials made by block copolymer self-assembly are tuned by structural and environmental variations. The plasma frequency red-shifts with increasing lattice constant and blue-shifts as the network filling fraction increases. Infiltration with dielectric liquids leads also to a red-shift of the plasma edge.

Implementation of an in situ qualitative debriefing tool for resuscitations.

Aim: Multiple guidelines recommend debriefing of resuscitations to improve clinical performance. We implemented a novel standardized debriefing program using a Debriefing In Situ Conversation after Emergent Resuscitation Now (DISCERN) tool.

Methods: Following the development of the evidence-based DISCERN tool, we conducted an observational study of all resuscitations (intubation, CPR, and/or defibrillation) at a pediatric emergency department (ED) over one year.

On the origin of chirality in nanoplasmonic gyroid metamaterials.

Metallic single gyroids, a new class of self-assembled nanoplasmonic metamaterials, are analyzed on the basis of a tri-helical metamaterial model. The physical mechanisms underlying the chiral optical behavior of the nanoplasmonic single gyroid are identified and it is shown that the optical chirality in this metallic structure is primarily determined by structural chirality and the connectivity of helices along the main cubic axes.

Test characteristics of an automated age- and temperature-adjusted tachycardia alert in pediatric septic shock.

Objectives: This study aimed to create and analyze the performance of an automated triage tool alerting triage nursing staff and physicians to an abnormal heart rate consistent with septic shock in a pediatric emergency department.

Methods: A computerized best-practice alert (BPA) triage system corrected heart rate for temperature (5 beats per minute for each 1°F above 100°F or 9.6-10 beats per minute for each 1°C > 36°C) and alarmed on tachycardia.

Coherent amplification and noise in gain-enhanced nanoplasmonic metamaterials: a Maxwell-Bloch Langevin approach.

Nanoplasmonic metamaterials are an exciting new class of engineered media that promise a range of important applications, such as subwavelength focusing, cloaking, and slowing/stopping of light. At optical frequencies, using gain to overcome potentially not insignificant losses has recently emerged as a viable solution to ultra-low-loss operation that may lead to next-generation active metamaterials. Maxwell-Bloch models for active nanoplasmonic metamaterials are able to describe the coherent spatiotemporal and nonlinear gain-plasmon dynamics.

Theory of light amplification in active fishnet metamaterials.

We establish a theory that traces light amplification in an active double-fishnet metamaterial back to its microscopic origins. Based on ab initio calculations of the light and plasmon fields we extract energy rates and conversion efficiencies associated with gain and loss channels directly from Poynting's theorem. We find that for the negative refractive index mode both radiative loss and gain outweigh resistive loss by more than a factor of 2, opening a broad window of steady-state amplification (free of instabilities) accessible even when a gain reduction close to the metal is taken into account.

Gain and plasmon dynamics in active negative-index metamaterials.

Photonic metamaterials allow for a range of exciting applications unattainable with ordinary dielectrics. However, the metallic nature of their meta-atoms may result in increased optical losses. Gain-enhanced metamaterials are a potential solution to this problem, but the conception of realistic, three-dimensional designs is a challenging task.

Implementation of goal-directed therapy for children with suspected sepsis in the emergency department.

Background: Suboptimal care for children with septic shock includes delayed recognition and inadequate fluid resuscitation.

Objective: To describe the implementation of an emergency department (ED) protocol for the recognition of septic shock and facilitate adherence to national treatment guidelines.

Patients And Methods: Root-cause analyses and morbidity and mortality conferences identified system problems with sepsis recognition and management.

Overcoming losses with gain in a negative refractive index metamaterial.

On the basis of a full-vectorial three-dimensional Maxwell-Bloch approach we investigate the possibility of using gain to overcome losses in a negative refractive index fishnet metamaterial. We show that appropriate placing of optically pumped laser dyes (gain) into the metamaterial structure results in a frequency band where the nonbianisotropic metamaterial becomes amplifying. In that region both the real and the imaginary part of the effective refractive index become simultaneously negative and the figure of merit diverges at two distinct frequency points.