108 research outputs found
Comparison of a novel chemiluminescent based algorithm to three algorithmic approaches for the laboratory diagnosis of Clostridium difficile infection
The Confrontation between General Relativity and Experiment
The status of experimental tests of general relativity and of theoretical
frameworks for analysing them is reviewed. Einstein's equivalence principle
(EEP) is well supported by experiments such as the Eotvos experiment, tests of
special relativity, and the gravitational redshift experiment. Future tests of
EEP and of the inverse square law are searching for new interactions arising
from unification or quantum gravity. Tests of general relativity at the
post-Newtonian level have reached high precision, including the light
deflection, the Shapiro time delay, the perihelion advance of Mercury, and the
Nordtvedt effect in lunar motion. Gravitational-wave damping has been detected
in an amount that agrees with general relativity to better than half a percent
using the Hulse-Taylor binary pulsar, and other binary pulsar systems have
yielded other tests, especially of strong-field effects. When direct
observation of gravitational radiation from astrophysical sources begins, new
tests of general relativity will be possible.Comment: 89 pages, 8 figures; an update of the Living Review article
originally published in 2001; final published version incorporating referees'
suggestion
Imaging findings in noncraniofacial childhood rhabdomyosarcoma
Rhabdomyosarcoma (RMS) is the most common soft-tissue sarcoma of childhood. This paper is focuses on imaging for diagnosis, staging, and follow-up of noncraniofacial RMS
Gravitational Lensing in Astronomy
Deflection of light by gravity was predicted by General Relativity and
observationaly confirmed in 1919. In the following decades various aspects of
the gravitational lens effect were explored theoretically, among them the
possibility of multiple or ring-like images of background sources, the use of
lensing as a gravitational telescope on very faint and distant objects, and the
possibility to determine Hubble's constant with lensing. Only relatively
recently gravitational lensing became an observational science after the
discovery of the first doubly imaged quasar in 1979. Today lensing is a booming
part of astrophysics.
In addition to multiply-imaged quasars, a number of other aspects of lensing
have been discovered since, e.g. giant luminous arcs, quasar microlensing,
Einstein rings, galactic microlensing events, arclets, or weak gravitational
lensing. By now literally hundreds of individual gravitational lens phenomena
are known.
Although still in its childhood, lensing has established itself as a very
useful astrophysical tool with some remarkable successes. It has contributed
significant new results in areas as different as the cosmological distance
scale, the large scale matter distribution in the universe, mass and mass
distribution of galaxy clusters, physics of quasars, dark matter in galaxy
halos, or galaxy structure.Comment: Review article for "Living Reviews in Relativity", see
http://www.livingreviews.org . 41 pages, latex, 22 figures (partly in GIF
format due to size constraints). High quality postscript files can be
obtained electronically at http://www.aip.de:8080/~jkw/review_figures.htm
Rotating Stars in Relativity
Rotating relativistic stars have been studied extensively in recent years,
both theoretically and observationally, because of the information one could
obtain about the equation of state of matter at extremely high densities and
because they are considered to be promising sources of gravitational waves. The
latest theoretical understanding of rotating stars in relativity is reviewed in
this updated article. The sections on the equilibrium properties and on the
nonaxisymmetric instabilities in f-modes and r-modes have been updated and
several new sections have been added on analytic solutions for the exterior
spacetime, rotating stars in LMXBs, rotating strange stars, and on rotating
stars in numerical relativity.Comment: 101 pages, 18 figures. The full online-readable version of this
article, including several animations, will be published in Living Reviews in
Relativity at http://www.livingreviews.org
Prognostic model to predict postoperative acute kidney injury in patients undergoing major gastrointestinal surgery based on a national prospective observational cohort study.
Background: Acute illness, existing co-morbidities and surgical stress response can all contribute to postoperative acute kidney injury (AKI) in patients undergoing major gastrointestinal surgery. The aim of this study was prospectively to develop a pragmatic prognostic model to stratify patients according to risk of developing AKI after major gastrointestinal surgery. Methods: This prospective multicentre cohort study included consecutive adults undergoing elective or emergency gastrointestinal resection, liver resection or stoma reversal in 2-week blocks over a continuous 3-month period. The primary outcome was the rate of AKI within 7 days of surgery. Bootstrap stability was used to select clinically plausible risk factors into the model. Internal model validation was carried out by bootstrap validation. Results: A total of 4544 patients were included across 173 centres in the UK and Ireland. The overall rate of AKI was 14·2 per cent (646 of 4544) and the 30-day mortality rate was 1·8 per cent (84 of 4544). Stage 1 AKI was significantly associated with 30-day mortality (unadjusted odds ratio 7·61, 95 per cent c.i. 4·49 to 12·90; P < 0·001), with increasing odds of death with each AKI stage. Six variables were selected for inclusion in the prognostic model: age, sex, ASA grade, preoperative estimated glomerular filtration rate, planned open surgery and preoperative use of either an angiotensin-converting enzyme inhibitor or an angiotensin receptor blocker. Internal validation demonstrated good model discrimination (c-statistic 0·65). Discussion: Following major gastrointestinal surgery, AKI occurred in one in seven patients. This preoperative prognostic model identified patients at high risk of postoperative AKI. Validation in an independent data set is required to ensure generalizability
Comparative study of Factor Xa fluorogenic substrates and their influence on the quantification of LMWHs
WSES guidelines for management of Clostridium difficile infection in surgical patients
In the last two decades there have been dramatic changes in the epidemiology of Clostridium difficile infection (CDI), with increases in incidence and severity of disease in many countries worldwide. The incidence of CDI has also increased in surgical patients. Optimization of management of C difficile, has therefore become increasingly urgent. An international multidisciplinary panel of experts prepared evidenced-based World Society of Emergency Surgery (WSES) guidelines for management of CDI in surgical patients.Peer reviewe
WSES guidelines for management of Clostridium difficile infection in surgical patients
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