22 research outputs found

    Supplement: "Localization and broadband follow-up of the gravitational-wave transient GW150914" (2016, ApJL, 826, L13)

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    This Supplement provides supporting material for Abbott et al. (2016a). We briefly summarize past electromagnetic (EM) follow-up efforts as well as the organization and policy of the current EM follow-up program. We compare the four probability sky maps produced for the gravitational-wave transient GW150914, and provide additional details of the EM follow-up observations that were performed in the different bands

    Prevalence, associated factors and outcomes of pressure injuries in adult intensive care unit patients: the DecubICUs study

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    Funder: European Society of Intensive Care Medicine; doi: http://dx.doi.org/10.13039/501100013347Funder: Flemish Society for Critical Care NursesAbstract: Purpose: Intensive care unit (ICU) patients are particularly susceptible to developing pressure injuries. Epidemiologic data is however unavailable. We aimed to provide an international picture of the extent of pressure injuries and factors associated with ICU-acquired pressure injuries in adult ICU patients. Methods: International 1-day point-prevalence study; follow-up for outcome assessment until hospital discharge (maximum 12 weeks). Factors associated with ICU-acquired pressure injury and hospital mortality were assessed by generalised linear mixed-effects regression analysis. Results: Data from 13,254 patients in 1117 ICUs (90 countries) revealed 6747 pressure injuries; 3997 (59.2%) were ICU-acquired. Overall prevalence was 26.6% (95% confidence interval [CI] 25.9–27.3). ICU-acquired prevalence was 16.2% (95% CI 15.6–16.8). Sacrum (37%) and heels (19.5%) were most affected. Factors independently associated with ICU-acquired pressure injuries were older age, male sex, being underweight, emergency surgery, higher Simplified Acute Physiology Score II, Braden score 3 days, comorbidities (chronic obstructive pulmonary disease, immunodeficiency), organ support (renal replacement, mechanical ventilation on ICU admission), and being in a low or lower-middle income-economy. Gradually increasing associations with mortality were identified for increasing severity of pressure injury: stage I (odds ratio [OR] 1.5; 95% CI 1.2–1.8), stage II (OR 1.6; 95% CI 1.4–1.9), and stage III or worse (OR 2.8; 95% CI 2.3–3.3). Conclusion: Pressure injuries are common in adult ICU patients. ICU-acquired pressure injuries are associated with mainly intrinsic factors and mortality. Optimal care standards, increased awareness, appropriate resource allocation, and further research into optimal prevention are pivotal to tackle this important patient safety threat

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    Anales de Edafología y Agrobiología Tomo 26 Número 1-4

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    Semblanza, por el Excmo. Sr. Prof. Dr. M. Lora Tamayo.-- José María Albareda Herrera, por el Prof. Dr. A. Hoyos.-- Biografía y Bibliografía del Profesor Albareda.-- Ueber die Carotinkristalle in der Nebenkrone der Narzissenbluete, por A. Frey-Wyssling.-- Beiträge zur Kenntnis der Bodenentwicklung in NW-Spanien auf grund fossiler Biiden, por H. Franz.—La chenaie acidophile ibéro-atlantique (quercion occidentale) en Sologne, por J. Braun-Blanquet .-- Carbon and nitrogen transformations in world soils, por N. R. Dhar.-- Compounds isolated from woody cuttings of Platanus orientalis and their growth promoting activity, por E. Vieitez, E. Seoane, M. D. V. Gesto, A. Vázquez, M. C. Mato, J. Méndez and A. Carnicer.-- Der Boden als Wohnraum fiir Tardigraden, por F. Mihelcic.-- Physiographic systems in soil surveys, por A. P. A. Vink.-- The bulk volume of compacted soil as affected by water content and particle size, por Geoffrey B. Bodman über die Verwitterung der Sedimentgesteine por Carl W. Correns.-- Effects of heating on vermiculite saturated with different cations, por O. T. Rotini, G. Lotti and R. Riffaldi.-- La distribución de los vertebrados en el Alto Aragón, por E. Balcells R. y col.-- Nuevos sustratos con poder de orientación cristalina, por M. Morante, F. Arrende y J. Rodríguez.-- L'application de la méthode des variantes systématiques en recherche agronomique, por Marcel V. Homes et Germaine H. van Schoor .-- La podzolisation en climat atlantique, por Ph. Duchaufour .-- Ferredoxin and photosynthetic phosphorylation, por Daniel l. Arnon, Harry Y. Tsujimoto and Berah D. McSwain.-- Modificaciones de la lignina y formación de material húmico en el tracto digestivo de los rumiantes, por E. Zorita, A. Suárez y Mª L. Calvo.-- Las aguas subterráneas de Tenerife, por E. Fernández Caldas y V. Pérez García.-- Variedades anisoploides de remolacha azucarera (B. vulgaris L.) en España y sus problemas biológicos, por Antonio Silván y Mechtild Rommel.-- Conducción eléctrica de suelo y arcilla a bajas humedades, por R. Santamaría y M. Tschapek.-- Reducción de nitrato y nitrito por cloroplastos, por M. Losada. y A. Paneque.-- Ein Beitrag zur Kenntnis der MIikrostruktur von solifluidal bewegtem Bodenmaterial in der Sierra Nevada (Andalusien), por Walter Beckmann.-- El problema de los suelos in ter grados en España, por A. Guerra Delgado.-- Adsorption of calcium, magnesium, potassium and sodium as influenced by liming, por L. Wiklander and A. Lax.-- Tonverlagerung in Lössböden unter: Laubmischwald und Acker. por Heinz W. Zottl.-- Fertilidad de los suelos de cultivo de Pontevedra.: Estudio inicial, por B. Sánchez, A. García Sánchez y G. Dios.-- Pastúre science and the Spanish scene, por William Davies.-- Relaciones nutritivas y «grados» en los abonos compuestos, por . C. Tamés.-- The classification of soils under rice cultivation (Paddy soils), por Kazutake Kyuma and Keizaburo Kawaguchi.-- Milk production on a protein-free feed, using urea and ammonium salts as the sole source of nitrogen, por Artturi l. Virtanen.-- Evoluciones foliares de pares nutritivos en el género Citrus, por Octavio Carpena Artés.-- Estudio •del enzima ascórbico oxidasa aislado de diferentes materiales vegetales, por A. Carlos Blesa y Antonio Pretel.-- On the hypsometric change of morphology and micromorphology of terrestric soils, por W. L. Kubiena.-- The intensity and quantity aspects of soil phosphate status and laboratory exctraction values por E. G. Williams.-- Entstehung, Ursache und Wirkuhg von Schlieren in keramischen Giesschlickern, por Adolf Dietzel und Rolf Bruckner.-- Mountain rendzina soils in Israel, por S. Ravikovitch and F. Pines.-- Primeros estudios nematológicos en cultivos de la zona costera granadino-malagueña por Antonio Gómez Barcina y Fernando Jiménez-Millán.-- Influencia de diversos mineralizadores y .del óxido magnésico sobre la formación de forsterita a partir de serpentinas españolas, por V. Aleixandre Ferrandis y Julia Mª. González Peña.-- Nota preliminar sobRe la sedimentación en paleocanales terciarios de la zona de Caspe-Chiprana (provincia de Zaragoza), por Oriol Riba, Joaquín Villena y Jose Quirantes.-- The mineral nutrient relations of conifer seedlings with special reference to the phosphate relations of Pinus radiata, D. Don. por L. Leyton.-- Über die tirse Marokkos-schwarzerdeartige Böden unter subtropischem Klima, por F. Scheffer, U. Schoen und C. Hess.-- Geology, physiography relief and drainage of the Cauca Valley, Colombia, por Doeko Goosen.-- Die Bedeutung der Beschattung fuer unzureichend ernaehrte Nadelbaeume, por W. Laatsch.-- Die. Feinsuhstanz vulkanogener Edaphoide, por E. Mückenhausen.-- El espectro de las emulsioness foliares como índice de la nutrición del trigo, por L. Sánchez de la Puente y F. Lucena Conde.-- Estado de nutrición, equilibrio nutritivo y rendimiento en el olivar de la provincia de Sevilla, por F. González García, A. M•. García Gómez, M. Chaves Sánchez y C. Mazuelos Vela.-- Clasificación y distribución de Algunos virus de leguminosas en España, por M. Rubio-Huertos, M. Santaolalla y R. Moreno.-- Oligoelementos en árboles de bosques (Pinus), por M. Dean Guelbenzu y A. Santos Ruiz.-- Organische Verbindungen als Stickstoffquelle fur die Erniihrung der Ptlanzen, por W. Flaig und H. Söchtig.-- Centro de origen de las plantas cultivadas, por A. Cámara.-- Cassification pedologique, cartographie des sois et mise en valeur des terres, por G. Aubert.-- Interpretation de l'analyse granulometrique. Le concept de texture, por S. Hennin.-- Soil genesis in Southern Portugal, por J. Carvalho Cardoso .-- Soil resources appraisal for development, por Luis Bramao and J. Riquier.-- Almería en el Itinerarium Hispanicum de Jerónimo Münzer, por Manuel Mendizábal.-- Neueste Entwicklungen im Weltkampf gegen den Hunger, por Frita Baade.—On the importance of ion activity method for the theory of soil formation and soil fertility, por V. A. Kovda and D. S. Orlov.—Nuevo método para la determinación de la capacidad de cambio radicular de los vegetales, por J. Cardús y A . Pons.-- Ofrenda, por Gonzalo Bilbao.-- El suelo y la ganadería, por Gaspar González GonzálezPeer reviewe

    Patients with Crohn's disease have longer post-operative in-hospital stay than patients with colon cancer but no difference in complications' rate

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    BACKGROUNDRight hemicolectomy or ileocecal resection are used to treat benign conditions like Crohn's disease (CD) and malignant ones like colon cancer (CC).AIMTo investigate differences in pre- and peri-operative factors and their impact on post-operative outcome in patients with CC and CD.METHODSThis is a sub-group analysis of the European Society of Coloproctology's prospective, multi-centre snapshot audit. Adult patients with CC and CD undergoing right hemicolectomy or ileocecal resection were included. Primary outcome measure was 30-d post-operative complications. Secondary outcome measures were post-operative length of stay (LOS) at and readmission.RESULTSThree hundred and seventy-five patients with CD and 2,515 patients with CC were included. Patients with CD were younger (median = 37 years for CD and 71 years for CC (P < 0.01), had lower American Society of Anesthesiology score (ASA) grade (P < 0.01) and less comorbidity (P < 0.01), but were more likely to be current smokers (P < 0.01). Patients with CD were more frequently operated on by colorectal surgeons (P < 0.01) and frequently underwent ileocecal resection (P < 0.01) with higher rate of de-functioning/primary stoma construction (P < 0.01). Thirty-day post-operative mortality occurred exclusively in the CC group (66/2515, 2.3%). In multivariate analyses, the risk of post-operative complications was similar in the two groups (OR 0.80, 95%CI: 0.54-1.17; P = 0.25). Patients with CD had a significantly longer LOS (Geometric mean 0.87, 95%CI: 0.79-0.95; P < 0.01). There was no difference in re-admission rates. The audit did not collect data on post-operative enhanced recovery protocols that are implemented in the different participating centers.CONCLUSIONPatients with CD were younger, with lower ASA grade, less comorbidity, operated on by experienced surgeons and underwent less radical resection but had a longer LOS than patients with CC although complication's rate was not different between the two groups

    The impact of stapling technique and surgeon specialism on anastomotic failure after right?sided colorectal resection: an international multicentre, prospective audit

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    Aim There is little evidence to support choice of technique and configuration for stapled anastomoses after right hemicolectomy and ileocaecal resection. This study aimed to determine the relationship between stapling technique and anastomotic failure. Method Any unit performing gastrointestinal surgery was invited to contribute data on consecutive adult patients undergoing right hemicolectomy or ileocolic resection to this prospective, observational, international, multicentre study. Patients undergoing stapled, side?to?side ileocolic anastomoses were identified and multilevel, multivariable logistic regression analyses were performed to explore factors associated with anastomotic leak. Results One thousand three hundred and forty?seven patients were included from 200 centres in 32 countries. The overall anastomotic leak rate was 8.3%. Upon multivariate analysis there was no difference in leak rate with use of a cutting stapler for apical closure compared with a noncutting stapler (8.4% vs 8.0%, OR 0.91, 95% CI 0.54–1.53, P = 0.72). Oversewing of the apical staple line, whether in the cutting group (7.9% vs 9.7%, OR 0.87, 95% CI 0.52–1.46, P = 0.60) or noncutting group (8.9% vs 5.7%, OR 1.40, 95% CI 0.46–4.23, P = 0.55) also conferred no benefit in terms of reducing leak rates. Surgeons reporting to be general surgeons had a significantly higher leak rate than those reporting to be colorectal surgeons (12.1% vs 7.3%, OR 1.65, 95% CI 1.04–2.64, P = 0.04). Conclusion This study did not identify any difference in anastomotic leak rates according to the type of stapling device used to close the apical aspect. In addition, oversewing of the anastomotic staple lines appears to confer no benefit in terms of reducing leak rates. Although general surgeons operated on patients with more high?risk characteristics than colorectal surgeons, a higher leak rate for general surgeons which remained after risk adjustment needs further exploration
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