Toroidal and Boundary-Reducing Dehn Fillings

Let M be a simple 3-manifold with a toral boundary component partial_0 M. If Dehn filling M along partial_0 M one way produces a toroidal manifold and Dehn filling M along partial_0 M another way produces a boundary-reducible manifold, then we show that the absolute value of the intersection number on partial_0 M of the two filling slopes is at most two. In the special case that the boundary-reducing filling is actually a solid torus and the intersection number between the filling slopes is two, more is said to describe the toroidal filling.Comment: 12 pp., AmSTeX, 6 figs.[uses epsf], Topology Appl. (to appear

Effects of Hypothermia on Absorption of P-32 in Mice

Twenty male white mice were intraperitoneally injected with 210 microcuries of P-32 each. Ten were returned to a 25 degree C. environment and ten others to a 5 degree C. environment with similar food, light, and water provisions. Half of each temperature group was killed and frozen 24 hours following injection while the remaining ten were killed and frozen three weeks following injection. Relative absorptive functions of six organs were studied showing that hypothermia resulted in lower P-32 uptake and longer retention

Respiratory and haemodynamic changes during decremental open lung positive end-expiratory pressure titration in patients with acute respiratory distress syndrome

INTRODUCTION: To investigate haemodynamic and respiratory changes during lung recruitment and decremental positive end-expiratory pressure (PEEP) titration for open lung ventilation in patients with acute respiratory distress syndrome (ARDS) a prospective, clinical trial was performed involving 12 adult patients with ARDS treated in the surgical intensive care unit in a university hospital. METHODS: A software programme (Open Lung Tool) incorporated into a standard ventilator controlled the recruitment (pressure-controlled ventilation with fixed PEEP at 20 cmH2O and increased driving pressures at 20, 25 and 30 cmH2O for two minutes each) and PEEP titration (PEEP lowered by 2 cmH2O every two minutes, with tidal volume set at 6 ml/kg). The open lung PEEP (OL-PEEP) was defined as the PEEP level yielding maximum dynamic respiratory compliance plus 2 cmH2O. Gas exchange, respiratory mechanics and central haemodynamics using the Pulse Contour Cardiac Output Monitor (PiCCO), as well as transoesophageal echocardiography were measured at the following steps: at baseline (T0); during the final recruitment step with PEEP at 20 cmH2O and driving pressure at 30 cmH2O, (T20/30); at OL-PEEP, following another recruitment manoeuvre (TOLP). RESULTS: The ratio of partial pressure of arterial oxygen (PaO2) to fraction of inspired oxygen (FiO2) increased from T0 to TOLP (120 +/- 59 versus 146 +/- 64 mmHg, P < 0.005), as did dynamic respiratory compliance (23 +/- 5 versus 27 +/- 6 ml/cmH2O, P < 0.005). At constant PEEP (14 +/- 3 cmH2O) and tidal volumes, peak inspiratory pressure decreased (32 +/- 3 versus 29 +/- 3 cmH2O, P < 0.005), although partial pressure of arterial carbon dioxide (PaCO2) was unchanged (58 +/- 22 versus 53 +/- 18 mmHg). No significant decrease in mean arterial pressure, stroke volume or cardiac output occurred during the recruitment (T20/30). However, left ventricular end-diastolic area decreased at T20/30 due to a decrease in the left ventricular end-diastolic septal-lateral diameter, while right ventricular end-diastolic area increased. Right ventricular function, estimated by the right ventricular Tei-index, deteriorated during the recruitment manoeuvre, but improved at TOLP. CONCLUSIONS: A standardised open lung strategy increased oxygenation and improved respiratory system compliance. No major haemodynamic compromise was observed, although the increase in right ventricular Tei-index and right ventricular end-diastolic area and the decrease in left ventricular end-diastolic septal-lateral diameter during the recruitment suggested an increased right ventricular stress and strain. Right ventricular function was significantly improved at TOLP compared with T0, although left ventricular function was unchanged, indicating effective lung volume optimisation

Hydroacoustic Assessment of Abundance and Diel Distribution of Sockeye Salmon and Kokanee in the Sawtooth Valley Lakes, Idaho

We used dual-beam hydroacoustics and echo integration techniques, combined with midwater trawling and gillnetting, to assess the abundance and distribution of the endangered Snake River juvenile sockeye salmon and resident kokanee (both Oncorhynchus nerka) in Sawtooth Valley lakes of Idaho during September 1991 and 1992. Abundance of O. nerka varied among the four lakes containing this species (12,500–257,000) and varied between years in Redfish Lake (86,400 in 1994 and 241,000 in 1992) and Alturas Lake (230,000 in 1991 and 257,000 in 1992). In Alturas Lake, where piscivore densities were high and zooplankton densities were low, small acoustic targets (≤18 cm long) were nearly absent from the limnetic zone during daylight, and high densities remained in colder intermediate depths (15–30 m) during crepuscular and nocturnal periods. In Redfish Lake, where predator density was much lower and zooplankton density was higher, targets concentrated in schools at 25–30 m during daylight, dispersed into the upper 10 m at dusk, then were broadly distributed over the upper 30 m at night. In Pettit and Stanley lakes, nocturnal distributions of smaller (3–7 cm) and intermediate (7–18 cm) target sizes were skewed toward the epilimnion, and larger targets remained in the metalimnion or upper hypolimnion. The different diel vertical distribution patterns suggested that juvenile O. nerka exposed to limited food and high predation risk consumed smaller rations and maximized bioenergetic efficiency. Populations with higher food supplies and exposed to lower piscivore densities exploited the higher epilimnetic prey densities and temperatures at night and crepuscular periods to maximize growth but deviated further from bioenergetic efficiency. Populations responded differently to the unique combination of constraints that limit potential sockeye salmon smolt production at each lake. Consequently, different management strategies may be needed in each lake

Cardiac magnetic resonance assessment of central and peripheral vascular function in patients undergoing renal sympathetic denervation as predictor for blood pressure response

Background: Most trials regarding catheter-based renal sympathetic denervation (RDN) describe a proportion of patients without blood pressure response. Recently, we were able to show arterial stiffness, measured by invasive pulse wave velocity (IPWV), seems to be an excellent predictor for blood pressure response. However, given the invasiveness, IPWV is less suitable as a selection criterion for patients undergoing RDN. Consequently, we aimed to investigate the value of cardiac magnetic resonance (CMR) based measures of arterial stiffness in predicting the outcome of RDN compared to IPWV as reference. Methods: Patients underwent CMR prior to RDN to assess ascending aortic distensibility (AAD), total arterial compliance (TAC), and systemic vascular resistance (SVR). In a second step, central aortic blood pressure was estimated from ascending aortic area change and flow sequences and used to re-calculate total arterial compliance (cTAC). Additionally, IPWV was acquired. Results: Thirty-two patients (24 responders and 8 non-responders) were available for analysis. AAD, TAC and cTAC were higher in responders, IPWV was higher in non-responders. SVR was not different between the groups. Patients with AAD, cTAC or TAC above median and IPWV below median had significantly better BP response. Receiver operating characteristic (ROC) curves predicting blood pressure response for IPWV, AAD, cTAC and TAC revealed areas under the curve of 0.849, 0.828, 0.776 and 0.753 (p = 0.004, 0.006, 0.021 and 0.035). Conclusions: Beyond IPWV, AAD, cTAC and TAC appear as useful outcome predictors for RDN in patients with hypertension. CMR-derived markers of arterial stiffness might serve as non-invasive selection criteria for RDN

Change management: The case of the elite sport performance team

The effective and efficient implementation of change is often required for both successful performance and management survival across a host of contemporary domains. However, although of major theoretical and practical significance, research to date has overlooked the application of change management (hereafter CM) knowledge to the elite sport performance team environment. Considering that the success of ‘off-field’ sports businesses are largely dependent on the performances of their ‘on-field’ team, this article explores the application of current CM theorizing to this specific setting and the challenges facing its utility. Accordingly, we identify the need and importance of developing theory specific to this area, with practical application in both sport and business, through examination of current knowledge and identification of the domain's unique, dynamic and contested properties. Markers of successful change are then suggested to guide initial enquiry before the article concludes with proposed lines of research which may act to provide a valid and comprehensive theoretical account of CM to optimize the research and practice of those working in the field

Remittances and migration intentions of the left-behind

Migration and the consequent flow of remittances are like a double-edged sword; while keeping many out of poverty, they can also result in further brain drain and demographic imbalance for the country. Using a large household survey data from Moldova and employing simultaneous equations model we show that there exists a dual causality between receipt of remittances by non-migrants and their migration intentions. Moreover, we add a novel element to the empirical literature by being the first to be able to specify the mechanism behind the link between remittances and migration. We find evidence that remittances not only relieve credit constraints in the home country but also act as a signalling device of success in the host country. These results provide a fresh outlook on the role of remittances in shaping migration flows in the migrant sending countries