EPIdemiology of Surgery-Associated Acute Kidney Injury (EPIS-AKI) : Study protocol for a multicentre, observational trial

More than 300 million surgical procedures are performed each year. Acute kidney injury (AKI) is a common complication after major surgery and is associated with adverse short-term and long-term outcomes. However, there is a large variation in the incidence of reported AKI rates. The establishment of an accurate epidemiology of surgery-associated AKI is important for healthcare policy, quality initiatives, clinical trials, as well as for improving guidelines. The objective of the Epidemiology of Surgery-associated Acute Kidney Injury (EPIS-AKI) trial is to prospectively evaluate the epidemiology of AKI after major surgery using the latest Kidney Disease: Improving Global Outcomes (KDIGO) consensus definition of AKI. EPIS-AKI is an international prospective, observational, multicentre cohort study including 10 000 patients undergoing major surgery who are subsequently admitted to the ICU or a similar high dependency unit. The primary endpoint is the incidence of AKI within 72 hours after surgery according to the KDIGO criteria. Secondary endpoints include use of renal replacement therapy (RRT), mortality during ICU and hospital stay, length of ICU and hospital stay and major adverse kidney events (combined endpoint consisting of persistent renal dysfunction, RRT and mortality) at day 90. Further, we will evaluate preoperative and intraoperative risk factors affecting the incidence of postoperative AKI. In an add-on analysis, we will assess urinary biomarkers for early detection of AKI. EPIS-AKI has been approved by the leading Ethics Committee of the Medical Council North Rhine-Westphalia, of the Westphalian Wilhelms-University Münster and the corresponding Ethics Committee at each participating site. Results will be disseminated widely and published in peer-reviewed journals, presented at conferences and used to design further AKI-related trials. Trial registration number NCT04165369

The Psychological Science Accelerator’s COVID-19 rapid-response dataset

In response to the COVID-19 pandemic, the Psychological Science Accelerator coordinated three large-scale psychological studies to examine the effects of loss-gain framing, cognitive reappraisals, and autonomy framing manipulations on behavioral intentions and affective measures. The data collected (April to October 2020) included specific measures for each experimental study, a general questionnaire examining health prevention behaviors and COVID-19 experience, geographical and cultural context characterization, and demographic information for each participant. Each participant started the study with the same general questions and then was randomized to complete either one longer experiment or two shorter experiments. Data were provided by 73,223 participants with varying completion rates. Participants completed the survey from 111 geopolitical regions in 44 unique languages/dialects. The anonymized dataset described here is provided in both raw and processed formats to facilitate re-use and further analyses. The dataset offers secondary analytic opportunities to explore coping, framing, and self-determination across a diverse, global sample obtained at the onset of the COVID-19 pandemic, which can be merged with other time-sampled or geographic data

The Psychological Science Accelerator’s COVID-19 rapid-response dataset

In response to the COVID-19 pandemic, the Psychological Science Accelerator coordinated three large-scale psychological studies to examine the effects of loss-gain framing, cognitive reappraisals, and autonomy framing manipulations on behavioral intentions and affective measures. The data collected (April to October 2020) included specific measures for each experimental study, a general questionnaire examining health prevention behaviors and COVID-19 experience, geographical and cultural context characterization, and demographic information for each participant. Each participant started the study with the same general questions and then was randomized to complete either one longer experiment or two shorter experiments. Data were provided by 73,223 participants with varying completion rates. Participants completed the survey from 111 geopolitical regions in 44 unique languages/dialects. The anonymized dataset described here is provided in both raw and processed formats to facilitate re-use and further analyses. The dataset offers secondary analytic opportunities to explore coping, framing, and self-determination across a diverse, global sample obtained at the onset of the COVID-19 pandemic, which can be merged with other time-sampled or geographic data

Comparison of the effects of intrathecal fentanyl and intrathecal morphine on pain in elective total knee replacement surgery

PubMedID: 28115877Objective. Total knee replacement is one of the most painful orthopedic surgical procedures. In this study, our goal was to compare the intraoperative and postoperative hemodynamic effects, the side effects, the effect on the duration of pain start, the 24-hour VAS, and the amount of additional analgesia used, of the fentanyl and morphine we added to the local anesthetic in the spinal anesthesia we administered in cases of elective knee replacement. Materials and Methods.After obtaining the approval of the ErciyesUniversity Medical Faculty Clinical Drug Trials Ethics Committee, as well as the verbal and written consent of the patients, we included 50 patients in our prospective, randomized study. Results. In our study, the morphine group (Group M) had lower pain scores in the 2nd, 6th, 12th, and 24th hours compared to the fentanyl group (Group F).When additional analgesic requirements were compared, it was found that in the 2nd, 6th, and 24th hours fewer Group M patients needed more analgesics than did Group F patients. Conclusion.The fentanyl group also had lower first analgesic requirement times than did the morphine group. In terms of nausea and vomiting, there was no statistically significant difference between the two groups. Copyright © 2016 Refika Kiliçkaya et al

Dominant rock properties affecting the performance of conical picks and the comparison of some experimental and theoretical results

Conical picks are the essential cutting tools used especially on roadheaders, continuous miners and shearers and their cutting performance affects directly the efficiency and the cost of rock/mineral excavation. In this study, in order to better understand the effects of dominant rock properties on cutter performance, 22 different rock specimens having compressive strength values varying from 10 to 170 MPa are first subjected to a wide range of mechanical tests. Then, laboratory full-scale linear cutting tests with different depth of cut and cutter spacing values are realized on large blocks of rock specimens using one type of conical pick. Specific energy, cutting and normal force values for relieved and unrelieved cutting modes are recorded using a triaxial force dynamometer with capacity of 50 tonnes and a data acquisition system. Cutter force and specific energy values are correlated with rock properties and theoretical force and specific energy values obtained from widely used theoretical approaches. The results indicate that uniaxial compressive strength among the rock properties investigated is best correlated with the measured cutter performance values, which is in good agreement with previous studies. However, it is also emphasized in this study that Brazilian tensile strength, Schmidt hammer rebound values, static and dynamic elasticity modulus are also dominant rock properties affecting cutter performance. Theoretical specific energy defined by different researchers has a mean ingful relationship with the experimental specific energy, which is an essential parameter for predicting the instantaneous cutting rates of mechanical excavation systems. It is also demonstrated that the experimental cutter forces obtained for 5 mm depth of cut are in good agreement with theoretical force values, if the friction angle between rock and cutting tool is included in the theoretical formulation. It is emphasized that, to some extend, laboratory tests can help to minimize high cost of a trial-error approach in the field. © 2005 Elsevier Ltd. All rights reserved.North Atlantic Treaty Organization Devlet Planlama Örgütü Magyar Tudományos AkadémiaThis paper is a summary of a research programme carried out in Istanbul Technical University, Mining Engineering Department during the last 8 years. The research was sponsored by NATO Sfs programme, the Turkey Republic Prime Ministry State Planning Organization (DPT), Istanbul Technical University Research Fund, Karaelmas University Research Fund and General Directorate of Mineral Research and Exploration (MTA). The authors acknowledge Prof. Dr. Levent Ozdemir from the Earth Mechanics Institute of Colorado School of Mines and all the research staff involved without their help and work, this contribution to rock cutting mechanics could not be possible