Comparison of two cardiac output monitors, qCO and LiDCO, during general anesthesia

Background: Optimization of cardiac output (CO) has been evidenced to reduce postoperative complications and to expedite the recovery. Likewise, CO and other dynamic cardiac parameters can describe the systemic blood flow and tissue oxygenation state and can be useful in different clinical fields. This study aimed to validate the qCO monitor (Quantium Medical, Barcelona, Spain), a new device to estimate CO and other related parameters in a continuous, fully non-invasive way using advanced digital signal processing of impedance cardiography. Methods: The LiDCOrapidv2 (LiDCO Ltd, London, UK) was used to compare the performance of the qCO in 15 patients during major surgery under general anesthesia. Full surgeries were recorded and cardiac output obtained by both devices was compared by using correlation and Bland-Altman analysis. Results: The Bland-Altman analysis showed sufficient agreement with a mean bias of -0.03 ± 0.71 L/min. Conclusions: The findings showed that both systems offered comparable values and thus the non-invasive measurement of CO with qCO is a promising, feasible method. Further investigation will be required to validate this new device against calibrated devices and outcome studies would also be highly recommended.Postprint (author's final draft

Assessment of Vitality of Pangasinan Language in Municipality of San Carlos City: Basis for Recovery Plan in Language Endangerment

Globally, languages are disappearing at an unprecedented rate. To establish successful strategic options on how to protect the language's survival, members of linguistic communities must be knowledgeable of the reasons for language extinction or endangerment. This paper discusses how the number of people who speak Pangasinan, which is the eighth most common language in the Philippines, is decreasing over time and how this is affecting the language. It gives an outline of the Pangasinan language's current vitality and covers the Philippines' language policy history. It also considers a situation in which globalization may provide unexpected chances for language revitalization. This study seeks to serve as a springboard for future research and aids teachers and other relevant educational personnel in identifying, comprehending, assessing, and implementing appropriate language-endangerment remedies. The authors also provide suggestions for future research based on their findings

General treatment of isocurvature perturbations and non-Gaussianities

We present a general formalism that provides a systematic computation of the linear and non-linear perturbations for an arbitrary number of cosmological fluids in the early Universe going through various transitions, in particular the decay of some species (such as a curvaton or a modulus). Using this formalism, we revisit the question of isocurvature non-Gaussianities in the mixed inflaton-curvaton scenario and show that one can obtain significant non-Gaussianities dominated by the isocurvature mode while satisfying the present constraints on the isocurvature contribution in the observed power spectrum. We also study two-curvaton scenarios, taking into account the production of dark matter, and investigate in which cases significant non-Gaussianities can be produced.Comment: Substantial improvements with respect to the first version. In particular, we added a discussion on the confrontation of the models with future observational data. This version is accepted for publication in JCA

The Subdominant Curvaton

We present a systematic study of the amplitude of the primordial perturbation in curvaton models with self-interactions, treating both renormalizable and non-renormalizable interactions. In particular, we consider the possibility that the curvaton energy density is subdominant at the time of the curvaton decay. We find that large regions in the parameter space give rise to the observed amplitude of primordial perturbation even for non-renormalizable curvaton potentials, for which the curvaton energy density dilutes fast. At the time of its decay, the curvaton energy density may typically be subdominant by a relative factor of 10^-3 and still produce the observed perturbation. Field dynamics turns out to be highly non-trivial, and for non-renormalizable potentials and certain regions of the parameter space we observe a non-monotonous relation between the final curvature perturbation and the initial curvaton value. In those cases, the time evolution of the primordial perturbation also displays an oscillatory behaviour before the curvaton decay.Comment: Acknowledgments of financial support added, no further change

Functional architecture of the rat parasubiculum

The parasubiculum is a major input structure of layer 2 of medial entorhinal cortex, where most grid cells are found. Here we investigated parasubicular circuits of the rat by anatomical analysis combined with juxtacellular recording/labeling and tetrode recordings during spatial exploration. In tangential sections, the parasubiculum appears as a linear structure flanking the medial entorhinal cortex mediodorsally. With a length of ∼5.2 mm and a width of only ∼0.3 mm (approximately one dendritic tree diameter), the parasubiculum is both one of the longest and narrowest cortical structures. Parasubicular neurons span the height of cortical layers 2 and 3, and we observed no obvious association of deep layers to this structure. The "superficial parasubiculum" (layers 2 and 1) divides into ∼15 patches, whereas deeper parasubicular sections (layer 3) form a continuous band of neurons. Anterograde tracing experiments show that parasubicular neurons extend long "circumcurrent" axons establishing a "global" internal connectivity. The parasubiculum is a prime target of GABAergic and cholinergic medial septal inputs. Other input structures include the subiculum, presubiculum, and anterior thalamus. Functional analysis of identified and unidentified parasubicular neurons shows strong theta rhythmicity of spiking, a large fraction of head-direction selectivity (50%, 34 of 68), and spatial responses (grid, border and irregular spatial cells, 57%, 39 of 68). Parasubicular output preferentially targets patches of calbindin-positive pyramidal neurons in layer 2 of medial entorhinal cortex, which might be relevant for grid cell function. These findings suggest the parasubiculum might shape entorhinal theta rhythmicity and the (dorsoventral) integration of information across grid scales

Pertussis vaccination in mixed markets: Recommendations from the Global Pertussis Initiative

The Global Pertussis Initiative is an expert scientific forum that publishes consensus recommendations concerning pertussis for many regions of the world. Here, we give recommendations for the primary vaccination of infants in those countries where whole-cell pertussis (wP)- and acellular pertussis (aP)-containing combination vaccines are used in parallel. A selective literature review was performed concerning the influence on safety, immunogenicity, and effectiveness of mixing wP- and aP-containing vaccines for primary immunization of infants. In addition, local data were collected from various countries and the results discussed in a face-to-face meeting. Very few data addressing issues of mixing combination vaccines were identified, and no data were available concerning the effectiveness or duration of protection. It was also found that pharmacovigilance data are scarce or lacking in those countries where they would be needed the most. We then identified frequent problems occurring in low- and middle-income countries (LMICs) where both vaccine types are used. Relying on local knowledge, we give practical recommendations for a variety of situations in different settings. Specific needs for additional data addressing these issues were also identified. International bodies, such as the World Health Organization (WHO), as well as vaccine producers should try to find ways to highlight the problems of mixing wP- and aP-containing combination vaccines with robust data. Countries are urged to improve on their pharmacovigilance for vaccines. For practicing physicians, our recommendations offer guidance when wP- and aP-containing vaccines are used in parallel during primary immunization.Fil: Chitkara, Amar J.. Max Super Speciality Hospital; IndiaFil: Pujadas Ferrer, Mónica. Universidad de la República; UruguayFil: Forsyth, Kevin. Flinders University.; AustraliaFil: Guiso, Nicole. Institut Pasteur de Paris.; FranciaFil: Heininger, Ulrich. Universidad de Basilea; SuizaFil: Hozbor, Daniela Flavia. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Conicet - La Plata. Instituto de Biotecnología y Biología Molecular. Universidad Nacional de La Plata. Facultad de Ciencias Exactas. Instituto de Biotecnología y Biología Molecular; ArgentinaFil: Muloiwa, Rudzani. University of Cape Town; SudáfricaFil: Tan, Tina Q.. Northwestern University; Estados UnidosFil: Thisyakorn, Usa. Chulalongkorn University; TailandiaFil: Wirsing von König, C.H.. No especifíca

Anatomical organization and spatiotemporal firing patterns of layer 3 neurons in the rat medial entorhinal cortex

Layer 3 of the medial entorhinal cortex is a major gateway from the neocortex to the hippocampus. Here we addressed structure-function relationships in medial entorhinal cortex layer 3 by combining anatomical analysis with juxtacellular identification of single neurons in freely behaving rats. Anatomically, layer 3 appears as a relatively homogeneous cell sheet. Dual-retrograde neuronal tracing experiments indicate a large overlap between layer 3 pyramidal populations, which project to ipsilateral hippocampus, and the contralateral medial entorhinal cortex. These cells were intermingled within layer 3, and had similar morphological and intrinsic electrophysiological properties. Dendritic trees of layer 3 neurons largely avoided the calbindin-positive patches in layer 2. Identification of layer 3 neurons during spatial exploration (n = 17) and extracellular recordings (n = 52) pointed to homogeneous spatial discharge patterns. Layer 3 neurons showed only weak spiking theta rhythmicity and sparse head-direction selectivity. A majority of cells (50 of 69) showed no significant spatial modulation. All of the ∼28% of neurons that carried significant amounts of spatial information (19 of 69) discharged in irregular spatial patterns. Thus, layer 3 spatiotemporal firing properties are remarkably different from those of layer 2, where theta rhythmicity is prominent and spatially modulated cells often discharge in grid or border patterns

Collaborative Forum 3.1: Suit Sizing for Optimal Fit

No abstract availabl