{"count":92818,"next":"https://eartharxiv.org/api/keywords/?format=json&limit=100&offset=82100","previous":"https://eartharxiv.org/api/keywords/?format=json&limit=100&offset=81900","results":[{"word":"INTRODUCTION Head computed tomography (CT) has been performed in pediatric diabetic ketoacidosis (DKA) to assess for cerebral edema"},{"word":" though evidence shows limited utility and potential harm. Adult guidelines remain undefined. We evaluated the diagnostic yield"},{"word":" clinical impact"},{"word":" and cost of head CT in adult patients presenting to the emergency department (ED) with DKA or hyperosmolar hyperglycemic syndrome (HHS). METHODS We conducted a retrospective cohort study at a single "},{"word":" 2019 to December 31"},{"word":" 2023"},{"word":" analyzing adult patients with DKA or HHS. Patients were identified through use of a standardized ED DKA order set. The primary outcome was the presence of acute findings on head CT. Secondary outcome"},{"word":" 250 (50%) underwent head CT. Acute findings were identified in only 3 cases (1.2%)"},{"word":" and just one patient (0.4%) had a change in management due to CT results. Patients who underwent CT were more likely to have altered mental status"},{"word":" yet this did not correlate with increased yield. The total cost of CT imaging was $349"},{"word":" equating to an average of $116"},{"word":"333 per acute finding. No significant differences were observed in age"},{"word":" or race between groups. CONCLUSION Routine head CT in adult patients with DKA or HHS had low diagnostic yield"},{"word":" rarely impacted management"},{"word":" and incurred significant cost. Despite a higher rate of altered mental status"},{"word":" most scans were unrevealing. These findings support a more selective approach to imaging in this population. Prospective studies are needed to guide future clinical practice."},{"word":"hyperosmolar hyperglycemic state"},{"word":"HHS"},{"word":"Environmentally Sustainable Healthcare"},{"word":" GreenED"},{"word":" RCEM"},{"word":"Fishing mortality"},{"word":"Natural mortality"},{"word":"Fish stocks"},{"word":"Overfishing"},{"word":"Fishery management"},{"word":"Gold mining expansion"},{"word":"Mining-driven deforestation"},{"word":"Deep learning segmentation"},{"word":"Remote sensing of mining"},{"word":"Aboveground carbon loss"},{"word":"Dual credit/dual enrollment"},{"word":" labor-based grading"},{"word":" first year composition"},{"word":" educational assessment"},{"word":"first year composition"},{"word":"tropical forest degradation"},{"word":"mineral extraction"},{"word":"private property; violence; being; capitalism; capitalist mode of assault; colonial and racial violence"},{"word":"VCE"},{"word":" near-real-time forecasting"},{"word":" IMERG"},{"word":" SMAP"},{"word":" GloFAS"},{"word":"near-real-time forecasting"},{"word":"IMERG"},{"word":"GloFAS"},{"word":"stock buybacks"},{"word":"top tax rate"},{"word":"Phillip’s curve"},{"word":" Biomimicry"},{"word":" Biomimetics"},{"word":" Complex Adaptive Systems."},{"word":" re-admission"},{"word":"re-admission"},{"word":"climate change; health policy; wilderness medicine; sustainability"},{"word":"polarized microscopy"},{"word":" thin-section imaging"},{"word":"parent-child estrangement"},{"word":"technologies of self"},{"word":"intergenerational transmis"},{"word":"Intergenerational Transmission"},{"word":"bioprocess"},{"word":"bio"},{"word":"biosorptiob"},{"word":" rainfall threshold"},{"word":" landslide prediction"},{"word":"  Peninsular Malaysia"},{"word":" library administration"},{"word":" grassroots"},{"word":"library administration"},{"word":"Raskolnikov"},{"word":" confession"},{"word":" existential agency"},{"word":" extraordinary man theory"},{"word":" Dostoevsky"},{"word":" Made in Italy"},{"word":" Intercultural Competence"},{"word":" Professional Skills Development"},{"word":"case-based pedagogy"},{"word":"professional skills development"},{"word":"Theoretical morphology"},{"word":"Mollusc"},{"word":"Molluscan shell"},{"word":"geopolitical rivalry"},{"word":"Multipolarity"},{"word":"Strategic competition"},{"word":"Global order"},{"word":"transducer"},{"word":"Earth embeddings"},{"word":"Geospatial Foundation Model"},{"word":"AI for Earth"},{"word":"analog game studies"},{"word":" Wind turbines"},{"word":" Winter lightning"},{"word":" Blitzortung"},{"word":" ENTLN"},{"word":" Electric field mill"},{"word":"Lightning; Wind turbines; Winter lightning; Blitzortung; ENTLN; Electric field mill"},{"word":" leaf temperature"}]}