No drain, autologous transfusion drain or suction drain? A randomised prospective study in total hip replacement surgery of 168 patients

We performed a prospective, randomised controlled trial to assess the differences in the use of a conventional suction drain, an Autologous Blood Transfusion (ABT) drain and no drain, in 168 patients. There was no significant difference between the drainage from ABT drains ( mean : 345 ml) and the suction drain (314 ml). Forty percent of patients receiving a suction drain had a haemoglobin level less than 10 g/dL at 24 hours, compared to 35% with no drain and 28% with an ABT drain. Patients that had no drains had wounds that were dry significantly sooner, mean 3.0 days compared to a mean of 3.9 days with an ABT drain and a mean of 4 days with a suction drain. Patients that did not have a drain inserted stayed in hospital a significantly shorter period of time, compared with drains. We feel the benefits of quicker drying wounds, shorter hospital stays and the economic savings justify the conclusion that no drain is required after hip replacement

Fragmentation and disk formation in high-mass star formation: The ALMA view of G351.77-0.54 at 0.06" resolution

Aims: We resolve the small-scale structure around the high-mass hot core region G351.77-0.54 to investigate its disk and fragmentation properties. Methods: Using ALMA at 690GHz with baselines exceeding 1.5km, we study the dense gas, dust and outflow emission at an unprecedented spatial resolution of 0.06" ([email protected]). Results: Within the inner few 1000AU, G351.77 fragments into at least four cores (brightness temperatures between 58 and 197K). The central structure around the main submm source #1 with a diameter of ~0.5" does not show additional fragmentation. While the CO(6-5) line wing emission shows an outflow lobe in the north-western direction emanating from source #1, the dense gas tracer CH3CN shows a velocity gradient perpendicular to the outflow that is indicative of rotational motions. Absorption profile measurements against the submm source #2 indicate infall rates on the order of 10^{-4} to 10^{-3}M_sun/yr which can be considered as an upper limit of the mean accretion rates. The position-velocity diagrams are consistent with a central rotating disk-like structure embedded in an infalling envelope, but they may also be influenced by the outflow. Using the CH_3CN(37_k-36_k) k-ladder with excitation temperatures up to 1300K, we derive a gas temperature map of source #1 exhibiting temperatures often in excess of 1000K. Brightness temperatures of the submm continuum never exceed 200K. This discrepancy between gas temperatures and submm dust brightness temperatures (in the optically thick limit) indicates that the dust may trace the disk mid-plane whereas the gas could be tracing a hotter gaseous disk surface layer. In addition, we conduct a pixel-by-pixel Toomre gravitational stability analysis of the central rotating structure. The derived high Q values throughout the structure confirm that this central region appears stable against gravitational instability

The Classification of T Dwarfs

We discuss methods for classifying T dwarfs based on spectral morphological features and indices. T dwarfs are brown dwarfs which exhibit methane absorption bands at 1.6 and 2.2 ${\mu}m$. Spectra at red optical (6300--10100 {\AA}) and near-infrared (1--2.5 ${\mu}m$) wavelengths are presented, and differences between objects are noted and discussed. Spectral indices useful for classification schemes are presented. We conclude that near-infrared spectral classification is generally preferable for these cool objects, with data sufficient to resolve the 1.17 and 1.25 ${\mu}m$ K I doublets lines being most valuable. Spectral features sensitive to gravity are discussed, with the strength of the K-band peak used as an example. Such features may be used to derive a two-dimensional scheme based on temperature and mass, in analogy to the MK temperature and luminosity classes.Comment: 15 pages, 6 figures, conference proceedings for IAU Ultracool Dwarf Stars session, ed. I. Steele & H. Jone

Validating module network learning algorithms using simulated data

In recent years, several authors have used probabilistic graphical models to learn expression modules and their regulatory programs from gene expression data. Here, we demonstrate the use of the synthetic data generator SynTReN for the purpose of testing and comparing module network learning algorithms. We introduce a software package for learning module networks, called LeMoNe, which incorporates a novel strategy for learning regulatory programs. Novelties include the use of a bottom-up Bayesian hierarchical clustering to construct the regulatory programs, and the use of a conditional entropy measure to assign regulators to the regulation program nodes. Using SynTReN data, we test the performance of LeMoNe in a completely controlled situation and assess the effect of the methodological changes we made with respect to an existing software package, namely Genomica. Additionally, we assess the effect of various parameters, such as the size of the data set and the amount of noise, on the inference performance. Overall, application of Genomica and LeMoNe to simulated data sets gave comparable results. However, LeMoNe offers some advantages, one of them being that the learning process is considerably faster for larger data sets. Additionally, we show that the location of the regulators in the LeMoNe regulation programs and their conditional entropy may be used to prioritize regulators for functional validation, and that the combination of the bottom-up clustering strategy with the conditional entropy-based assignment of regulators improves the handling of missing or hidden regulators.Comment: 13 pages, 6 figures + 2 pages, 2 figures supplementary informatio

High-mass star formation at sub-50AU scales

Methods: We observed the high-mass hot core region G351.77-0.54 with ALMA and more than 16km baselines. Results: At a spatial resolution of 18/40au (depending on the distance), we identify twelve sub-structures within the inner few thousand au of the region. The brightness temperatures are high, reaching values greater 1000K, signposting high optical depth toward the peak positions. Core separations vary between sub-100au to several 100 and 1000au. The core separations and approximate masses are largely consistent with thermal Jeans fragmentation of a dense gas core. Due to the high continuum optical depth, most spectral lines are seen in absorption. However, a few exceptional emission lines are found that most likely stem from transitions with excitation conditions above1000K. Toward the main continuum source, these emission lines exhibit a velocity gradient across scales of 100-200au aligned with the molecular outflow and perpendicular to the previously inferred disk orientation. While we cannot exclude that these observational features stem from an inner hot accretion disk, the alignment with the outflow rather suggests that it stems from the inner jet and outflow region. The highest-velocity features are found toward the peak position, and no Hubble-like velocity structure can be identified. Therefore, these data are consistent with steady-state turbulent entrainment of the hot molecular gas via Kelvin-Helmholtz instabilities at the interface between the jet and the outflow. Conclusions: Resolving this high-mass star-forming region at sub-50au scales indicates that the hierarchical fragmentation process in the framework of thermal Jeans fragmentation can continue down to the smallest accessible spatial scales. Velocity gradients on these small scales have to be treated cautiously and do not necessarily stem from disks, but may be better explained with outflow emission

Effect of varied shoot/root ratio on growth of maize (Zea mays) under nitrogen-limited conditions: growth experiment and model calculations

Young maize plants have been grown for two weeks on a perlite/sand mixture under controlled high light conditions at two suboptimal nitrogen levels. The relationships between [1] root dry weight (RDW) and dry weight of the total plants, [2] RDW and total root length (TRL), and [3] TRL and daily N-uptake during the two weeks were different for the two N-levels. In contrast, the relationships between [4] the N-concentrations in shoots (NCS) and in total plants, [5] shoot dry weight and leaf area, and [6] NCS and net assimilation rate (NAR) were similar at both N-levels. Mathematical descriptions of the six experimentally derived relationships were combined in a growth model. Varying relation [1] in the model allowed predictions about the effect of different shoot /root ratio (SRR) on growth. Both experimentally observed SRR-relations were nearly optimal for the respective N-levels. Therefore,the SRR established by the plants was close to the 'functional equilibrium' proposed for root and shoot growth

X-ray emission from isolated neutron stars

X-ray emission is a common feature of all varieties of isolated neutron stars (INS) and, thanks to the advent of sensitive instruments with good spectroscopic, timing, and imaging capabilities, X-ray observations have become an essential tool in the study of these objects. Non-thermal X-rays from young, energetic radio pulsars have been detected since the beginning of X-ray astronomy, and the long-sought thermal emission from cooling neutron star's surfaces can now be studied in detail in many pulsars spanning different ages, magnetic fields, and, possibly, surface compositions. In addition, other different manifestations of INS have been discovered with X-ray observations. These new classes of high-energy sources, comprising the nearby X-ray Dim Isolated Neutron Stars, the Central Compact Objects in supernova remnants, the Anomalous X-ray Pulsars, and the Soft Gamma-ray Repeaters, now add up to several tens of confirmed members, plus many candidates, and allow us to study a variety of phenomena unobservable in "standard'' radio pulsars.Comment: Chapter to be published in the book of proceedings of the 1st Sant Cugat Forum on Astrophysics, "ICREA Workshop on the high-energy emission from pulsars and their systems", held in April, 201

Adaptive remodeling of the bacterial proteome by specific ribosomal modification regulates Pseudomonas infection and niche colonisation

Post-transcriptional control of protein abundance is a highly important, underexplored regulatory process by which organisms respond to their environments. Here we describe an important and previously unidentified regulatory pathway involving the ribosomal modification protein RimK, its regulator proteins RimA and RimB, and the widespread bacterial second messenger cyclic-di-GMP (cdG). Disruption of rimK affects motility and surface attachment in pathogenic and commensal Pseudomonas species, with rimK deletion significantly compromising rhizosphere colonisation by the commensal soil bacterium P. fluorescens, and plant infection by the pathogens P. syringae and P. aeruginosa. RimK functions as an ATP-dependent glutamyl ligase, adding glutamate residues to the C-terminus of ribosomal protein RpsF and inducing specific effects on both ribosome protein complement and function. Deletion of rimK in P. fluorescens leads to markedly reduced levels of multiple ribosomal proteins, and also of the key translational regulator Hfq. In turn, reduced Hfq levels induce specific downstream proteomic changes, with significant increases in multiple ABC transporters, stress response proteins and non-ribosomal peptide synthetases seen for both ΔrimK and Δhfq mutants. The activity of RimK is itself controlled by interactions with RimA, RimB and cdG. We propose that control of RimK activity represents a novel regulatory mechanism that dynamically influences interactions between bacteria and their hosts; translating environmental pressures into dynamic ribosomal changes, and consequently to an adaptive remodeling of the bacterial proteome

Association Between Ventilatory Settings and Development of Acute Respiratory Distress Syndrome in Mechanically Ventilated Patients Due to Brain Injury

PURPOSE: In neurologically critically ill patients with mechanical ventilation (MV), the development of acute respiratory distress syndrome (ARDS) is a major contributor to morbidity and mortality, but the role of ventilatory management has been scarcely evaluated. We evaluate the association of tidal volume, level of PEEP and driving pressure with the development of ARDS in a population of patients with brain injury. MATERIALS AND METHODS: We performed a secondary analysis of a prospective, observational study on mechanical ventilation. RESULTS: We included 986 patients mechanically ventilated due to an acute brain injury (hemorrhagic stroke, ischemic stroke or brain trauma). Incidence of ARDS in this cohort was 3%. Multivariate analysis suggested that driving pressure could be associated with the development of ARDS (odds ratio for unit increment of driving pressure 1.12; confidence interval for 95%: 1.01 to 1.23) whereas we did not observe association for tidal volume (in ml per kg of predicted body weight) or level of PEEP. ARDS was associated with an increase in mortality, longer duration of mechanical ventilation, and longer ICU length of stay. CONCLUSIONS: In a cohort of brain-injured patients the development of ARDS was not common. Driving pressure was associated with the development of this disease.info:eu-repo/semantics/publishedVersio