479 research outputs found

    Restoration of function: the holy grail of peri‐operative care

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    In this collaborative supplement published byAnaesthesiaand theBritish Journal of Surgery, there are reviews ofenhanced recovery after surgery in both the elective [1] andthe emergency patient [2] by Kehlet, a surgeon fromDenmark. These are complimented by reviews on thequality of recovery by Myles [3], and on patient-centredoutcomes by Ladaha and Wijeysundera [4], anaesthetistsfrom Australia and Canada, respectively

    Solving the Topological String on K3 Fibrations

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    We present solutions of the holomorphic anomaly equations for compact two-parameter Calabi-Yau manifolds which are hypersurfaces in weighted projective space. In particular we focus on K3-fibrations where due to heterotic type II duality the topological invariants in the fibre direction are encoded in certain modular forms. The formalism employed provides holomorphic expansions of topological string amplitudes everywhere in moduli space.Comment: 60 pages, 1 figure, With an appendix by Sheldon Kat

    UniBench: A Benchmark for Multi-Model Database Management Systems

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    Unlike traditional database management systems which are organized around a single data model, a multi-model database (MMDB) utilizes a single, integrated back-end to support multiple data models, such as document, graph, relational, and key-value. As more and more platforms are proposed to deal with multi-model data, it becomes crucial to establish a benchmark for evaluating the performance and usability of MMDBs. Previous benchmarks, however, are inadequate for such scenario because they lack a comprehensive consideration for multiple models of data. In this paper, we present a benchmark, called UniBench, with the goal of facilitating a holistic and rigorous evaluation of MMDBs. UniBench consists of a mixed data model, a synthetic multi-model data generator, and a set of core workloads. Specifically, the data model simulates an emerging application: Social Commerce, a Web-based application combining E-commerce and social media. The data generator provides diverse data format including JSON, XML, key-value, tabular, and graph. The workloads are comprised of a set of multi-model queries and transactions, aiming to cover essential aspects of multi-model data management. We implemented all workloads on ArangoDB and OrientDB to illustrate the feasibility of our proposed benchmarking system and show the learned lessons through the evaluation of these two multi-model databases. The source code and data of this benchmark can be downloaded at http://udbms.cs.helsinki.fi/bench/.Peer reviewe

    Comparative effect of intraoperative propacetamol versus placebo on morphine consumption after elective reduction mammoplasty under remifentanil-based anesthesia: a randomized control trial [ISRCTN71723173]

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    BACKGROUND: Postoperative administration of paracetamol or its prodrug propacetamol has been shown to decrease pain with a morphine sparing effect. However, the effect of propacetamol administered intra-operatively on post-operative pain and early postoperative morphine consumption has not been clearly evaluated. In order to evaluate the effectiveness of analgesic protocols in the management of post-operative pain, a standardized anesthesia protocol without long-acting opioids is crucial. Thus, for ethical reasons, the surgical procedure under general anesthesia with remifentanil as the only intraoperative analgesic must be associated with a moderate predictable postoperative pain. METHODS: We were interested in determining the postoperative effect of propacetamol administered intraoperatively after intraoperative remifentanil. Thirty-six adult women undergoing mammoplasty with remifentanil-based anesthesia were randomly assigned to receive propacetamol 2 g or placebo one hour before the end of surgery. After remifentanil interruption and tracheal extubation in recovery room, pain was assessed and intravenous titrated morphine was given. The primary end-point was the cumulative dose of morphine administered in the recovery room. The secondary end-points were the pain score after tracheal extubation and one hour after, the delay for obtaining a Simplified Numerical Pain Scale (SNPS) less than 4, and the incidence of morphine side effects in the recovery room. For intergroup comparisons, categorical variables were compared using the chi-squared test and continuous variables were compared using the Student t test or Mann-Whitney U test, as appropriate. A p value less than 0.05 was considered as significant. RESULTS: In recovery room, morphine consumption was lower in the propacetamol group than in the placebo group (p = 0.01). Pain scores were similar in both groups after tracheal extubation and lower in the propacetamol group (p = 0.003) one hour after tracheal extubation. The time to reach a SNPS < 4 was significantly shorter in the propacetamol group (p = 0.02). The incidence of morphine related side effects did not differ between the two groups. CONCLUSIONS: Intraoperative propacetamol administration with remifentanil based-anesthesia improved significantly early postoperative pain by sparing morphine and shortening the delay to achieve pain relief

    The Cosmological Constant

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    This is a review of the physics and cosmology of the cosmological constant. Focusing on recent developments, I present a pedagogical overview of cosmology in the presence of a cosmological constant, observational constraints on its magnitude, and the physics of a small (and potentially nonzero) vacuum energy.Comment: 50 pages. Submitted to Living Reviews in Relativity (http://www.livingreviews.org/), December 199

    Tracking of fatness during childhood, adolescence and young adulthood: a 7-year follow-up study in Madeira Island, Portugal

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    Aims: Investigating tracking of fatness from childhood to adolescence, early adolescence to young adulthood and late adolescence to young adulthood. Subjects and methods: Participants from the Madeira Growth Study were followed during an average period of 7.2 years. Height, body mass, skin-folds and circumferences were measured, nine health- and performance-related tests were administered and the Baecke questionnaire was used to assess physical activity. Skeletal maturity was estimated using the TW3 method. Results: The prevalence of overweight plus obesity ranged from 8.2–20.0% at baseline and from 20.4–40.0% at followup, in boys. Corresponding percentages for girls were 10.6– 12.0% and 13.2–18.0%. Inter-age correlations for fatness indicators ranged from 0.43–0.77. BMI, waist circumference and sum of skin-folds at 8, 12 and 16-years old were the main predictors of these variables at 15, 19 and 23-years old, respectively. Strength, muscular endurance and aerobic fitness were negatively related to body fatness. Physical activity and maturation were independently associated with adolescent (15 years) and young adult (19 years) fatness. Conclusions: Over 7.2 years, tracking was moderate-to-high for fatness. Variance was explained by fatness indicators and to a small extent by physical fitness, physical activity and maturation

    Search for the standard model Higgs boson at LEP

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    Copy Number Variants in Patients with Severe Oligozoospermia and Sertoli-Cell-Only Syndrome

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    A genetic origin is estimated in 30% of infertile men with the common phenotypes of oligo- or azoospermia, but the pathogenesis of spermatogenic failure remains frequently obscure. To determine the involvement of Copy Number Variants (CNVs) in the origin of male infertility, patients with idiopathic severe oligozoospermia (N = 89), Sertoli-cell-only syndrome (SCOS, N = 37)) and controls with normozoospermia (N = 100) were analysed by array-CGH using the 244A/400K array sets (Agilent Technologies). The mean number of CNVs and the amount of DNA gain/loss were comparable between all groups. Ten recurring CNVs were only found in patients with severe oligozoospermia, three only in SCOS and one CNV in both groups with spermatogenic failure but not in normozoospermic men. Sex-chromosomal, mostly private CNVs were significantly overrepresented in patients with SCOS. CNVs found several times in all groups were analysed in a case-control design and four additional candidate genes and two regions without known genes were associated with SCOS (P<1×10−3). In conclusion, by applying array-CGH to study male infertility for the first time, we provide a number of candidate genes possibly causing or being risk factors for the men's spermatogenic failure. The recurring, patient-specific and private, sex-chromosomal CNVs as well as those associated with SCOS are candidates for further, larger case-control and re-sequencing studies
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