627 research outputs found
Performance and Carcass Characteristics of Feedlot Steers: Effects of Delayed Implanting and Programmed Feeding During the Growing Period
This experiment was conducted to determine the effect of programming the rate of gain and delaying the first implant in feedlot steers on feedlot performance and carcass characteristics. Ninety-six growing steers (269 ± 16.2 kg) were assigned to 12 pens in a completely randomized design. Treatments were implant (Synovex-S®; 20 mg estradiol benzoate and 200 mg progesterone; Fort Dodge Animal Health, Overland Park, KS) on d 1 or no implant and programmed feeding to gain at a slow (0.68 kg/d) or fast (1.14 kg/d) rate during the growing period; these treatments were randomly assigned (n = 8) to pens of steers in a 2 × 2 factorial arrangement. Steers were fed a growing diet and after 88 and 60 d (for steers fed to gain at a slow or fast rate, respectively), steers were transitioned to ad libitum consumption of a high concentrate finishing diet. Growing period implant treatments did not affect ADG but did affect (P\u3c0.01) gain efficiency during the finishing period. Feeding steers for a slow rate of BW gain during the growing period improved (P=0.062) gain efficiency in the finishing period (169 vs 145 g gain/kg feed). Correlation coefficients between fat thickness and marbling score obtained via ultrasound and fat thickness and marbling score measured at harvest were greater the closer the ultrasound measurements were made to the final harvest date. These data indicate that feeding level prior to the start of the finishing period may affect BW gain efficiency during the finishing period
Low 30-day mortality in South African orthopaedic patients undergoing surgery at an academic hospital during the first wave of the COVID-19 pandemic: It was safe to perform orthopaedic procedures at our hospital during the first COVID-19 peak
Background. Initial local and global evidence suggests that SARS-CoV-2-infected patients who undergo surgery, and those who become infected perioperatively, have an increased mortality risk post surgery.Objectives. To analyse and describe the 30-day mortality, presurgical COVID-19 status and hospital-acquired SARS-CoV-2 infection rates of patients, both SARS-CoV-2-positive and negative, undergoing orthopaedic surgery at a tertiary academic hospital in South Africa (SA) during the first COVID-19 peak.Methods. This single-centre, observational, prospective study included patients who underwent orthopaedic procedures from 1 April 2020 (beginning of the COVID-19 case increase in SA) to 31 July 2020 (first COVID-19 peak in SA). All patients were screened for COVID-19 and were confirmed positive if they had a positive laboratory quantitative polymerase chain reaction test for SARS-CoV-2 RNA on a nasopharyngeal or oral swab. Thirty-day mortality, presurgical COVID-19 status and hospital-acquired SARS-CoV-2 infection were assessed.Results. Overall, a total of 433 operations were performed on 346 patients during the timeframe. Of these patients, 65.9% (n=228) were male and 34.1% (n=118) were female. The mean (standard deviation) age was 42.5 (16.8) years (range 9 - 89). Of the patients, 5 (1.4%) were identified as COVID-19 patients under investigation (PUI) on admission and tested positive for SARS-CoV-2 before surgery, and 1 (0.3%) contracted SARS-CoV-2 perioperatively; all survived 30 days post surgery. Twenty-nine patients were lost to follow-up, and data were missing for 6 patients. The final analysis was performed excluding these 35 patients. Of the 311 patients included in the final 30-day mortality analysis, 303 (97%) had a follow-up observation ≥30 days after the operation. The overall 30-day mortality for these patients was 2.5% (n=8 deaths). None of the recorded deaths were of screened COVID-19 PUI.Conclusions. We report a low 30-day mortality rate of 2.5% (n=8) for patients undergoing orthopaedic surgery at our hospital during the first COVID-19 peak. None of the deaths were COVID-19 related, and all patients who tested SARS-CoV-2-positive, before or after surgery, survived. Our overall 30-day mortality rate correlates with several other reports of orthopaedic centres analysing over similar timeframes during the first peak of the COVID-19 pandemic. Regarding mortality and SARS-CoV-2 infection risk, we can conclude that with the appropriate measures taken, it was safe to undergo orthopaedic procedures at our hospital during the first peak of the COVID-19 pandemic in SA
From START to FINISH : the influence of osmotic stress on the cell cycle
Peer reviewedPublisher PD
Length of carotid stenosis predicts peri-procedural stroke or death and restenosis in patients randomized to endovascular treatment or endarterectomy.
BACKGROUND: The anatomy of carotid stenosis may influence the outcome of endovascular treatment or carotid endarterectomy. Whether anatomy favors one treatment over the other in terms of safety or efficacy has not been investigated in randomized trials.
METHODS: In 414 patients with mostly symptomatic carotid stenosis randomized to endovascular treatment (angioplasty or stenting; n = 213) or carotid endarterectomy (n = 211) in the Carotid and Vertebral Artery Transluminal Angioplasty Study (CAVATAS), the degree and length of stenosis and plaque surface irregularity were assessed on baseline intraarterial angiography. Outcome measures were stroke or death occurring between randomization and 30 days after treatment, and ipsilateral stroke and restenosis ≥50% during follow-up. RESULTS: Carotid stenosis longer than 0.65 times the common carotid artery diameter was associated with increased risk of peri-procedural stroke or death after both endovascular treatment [odds ratio 2.79 (1.17-6.65), P = 0.02] and carotid endarterectomy [2.43 (1.03-5.73), P = 0.04], and with increased long-term risk of restenosis in endovascular treatment [hazard ratio 1.68 (1.12-2.53), P = 0.01]. The excess in restenosis after endovascular treatment compared with carotid endarterectomy was significantly greater in patients with long stenosis than with short stenosis at baseline (interaction P = 0.003). Results remained significant after multivariate adjustment. No associations were found for degree of stenosis and plaque surface.
CONCLUSIONS: Increasing stenosis length is an independent risk factor for peri-procedural stroke or death in endovascular treatment and carotid endarterectomy, without favoring one treatment over the other. However, the excess restenosis rate after endovascular treatment compared with carotid endarterectomy increases with longer stenosis at baseline. Stenosis length merits further investigation in carotid revascularisation trials
Modeling the Wind of the Be Star SS 2883
Observations of eclipses of the radio pulsar B1259-63 by the disk of its
Be-star companion SS 2883 provide an excellent opportunity to study the winds
of stars of this type. The eclipses lead to variations in the radio flux (due
to variations in the free-free absorption), dispersion measure, rotation
measure, and linear polarization of the pulsar. We have carried out numerical
modeling of the parameters of the Be-star wind and compared the results with
observations.Comment: 6 pages, 7 figure
Multiwavelength observations of short time-scale variability in NGC 4151. I. Ultraviolet observations
We present the results of an intensive ultraviolet monitoring campaign on the
Seyfert 1 galaxy NGC 4151, as part of an effort to study its short time-scale
variability over a broad range in wavelength. The nucleus of NGC 4151 was
observed continuously with the {\it International Ultraviolet Explorer} (IUE)
for 9.3 days, yielding a pair of LWP and SWP spectra every 70 minutes,
and during four-hour periods for 4 days prior to and 5 days after the
continuous monitoring period. The sampling frequency of the observations is an
order of magnitude higher than that of any previous UV monitoring campaign on a
Seyfert galaxy.
The continuum fluxes in bands from 1275 \AA\ to 2688 \AA\ went through four
significant and well-defined ``events'' of duration 2 -- 3 days during the
continuous monitoring period. We find that the amplitudes of the continuum
variations decrease with increasing wavelength, which extends a general trend
for this and other Seyfert galaxies to smaller time scales (i.e., a few days).
The continuum variations in all of the UV bands are {\it simultaneous} to
within an accuracy of about 0.15 days, providing a strict constraint on
continuum models. The emission-line light curves show only one major event
during the continuous monitoring (a slow rise followed by a shallow dip), and
do not correlate well with continuum light curves over the (short) duration of
the campaign, because the time scale for continuum variations is apparently
smaller than the response times of the emission lines.Comment: 39 pages, LaTeX, including 7 PostScript figures; To appear in the ApJ
(October 20, 1996) Vol. 47
External validation of the RISC, RISC-Malawi, and PERCH clinical prediction rules to identify risk of death in children hospitalized with pneumonia
BACKGROUND: Existing scores to identify children at risk of hospitalized pneumonia-related mortality lack broad external validation. Our objective was to externally validate three such risk scores. METHODS: We applied the Respiratory Index of Severity in Children (RISC) for HIV-negative children, the RISC-Malawi, and the Pneumonia Etiology Research for Child Health (PERCH) scores to hospitalized children in the Pneumonia REsearch Partnerships to Assess WHO REcommendations (PREPARE) data set. The PREPARE data set includes pooled data from 41 studies on pediatric pneumonia from across the world. We calculated test characteristics and the area under the curve (AUC) for each of these clinical prediction rules. RESULTS: The RISC score for HIV-negative children was applied to 3574 children 0-24 months and demonstrated poor discriminatory ability (AUC = 0.66, 95% confidence interval (CI) = 0.58-0.73) in the identification of children at risk of hospitalized pneumonia-related mortality. The RISC-Malawi score had fair discriminatory value (AUC = 0.75, 95% CI = 0.74-0.77) among 17 864 children 2-59 months. The PERCH score was applied to 732 children 1-59 months and also demonstrated poor discriminatory value (AUC = 0.55, 95% CI = 0.37-0.73). CONCLUSIONS: In a large external application of the RISC, RISC-Malawi, and PERCH scores, a substantial number of children were misclassified for their risk of hospitalized pneumonia-related mortality. Although pneumonia risk scores have performed well among the cohorts in which they were derived, their performance diminished when externally applied. A generalizable risk assessment tool with higher sensitivity and specificity to identify children at risk of hospitalized pneumonia-related mortality may be needed. Such a generalizable risk assessment tool would need context-specific validation prior to implementation in that setting
Proteasome Nuclear Import Mediated by Arc3 Can Influence Efficient DNA Damage Repair and Mitosis in Schizosaccharomyces Pombe
Proteasomes must efficiently remove their substrates throughout the cells in a timely manner as many of these proteins can be toxic. This study shows that proteasomes can do so efficiently because they are highly mobile. Furthermore this study uncovers that proteasome mobility requires functional Arc3, a subunit of the Arp2/3 complex
Multiwavelength observations of short time-scale variability in NGC 4151. IV. Analysis of multiwavelength continuum variability
This paper combines data from the three preceding papers in order to analyze
the multi-waveband variability and spectral energy distribution of the
Seyfert~1 galaxy NGC~4151 during the December 1993 monitoring campaign. The
source, which was near its peak historical brightness, showed strong,
correlated variability at X-ray, ultraviolet, and optical wavelengths. The
strongest variations were seen in medium energy (1.5~keV) X-rays, with a
normalized variability amplitude (NVA) of 24\%. Weaker (NVA = 6\%) variations
(uncorrelated with those at lower energies) were seen at soft -ray
energies of 100~keV. No significant variability was seen in softer
(0.1--1~keV) X-ray bands. In the ultraviolet/optical regime, the NVA decreased
from 9\% to 1\% as the wavelength increased from 1275~\AA\ to 6900~\AA. These
data do not probe extreme ultraviolet (1200~\AA\ to 0.1~keV) or hard X-ray
(2--50~keV) variability. The phase differences between variations in different
bands were consistent with zero lag, with upper limits of \ls0.15~day between
1275~\AA\ and the other ultraviolet bands, \ls0.3~day between 1275~\AA\ and
1.5~keV, and \ls1~day between 1275~\AA\ and 5125~\AA. These tight limits
represent more than an order of magnitude improvement over those determined in
previous multi-waveband AGN monitoring campaigns. The ultraviolet fluctuation
power spectra showed no evidence for periodicity, but were instead well-fitted
with a very steep, red power-law ().
If photons emitted at a ``primary" waveband are absorbed by nearby material
and ``reprocessed" to produce emission at a secondary waveband, causality
arguments require that variations in the secondary band follow those in the
primary band. The tight interband correlation and limits on the ultraviolet andComment: 35 pages, LaTeX (including aaspp4), including 7 PostScript figures;
To appear in the ApJ (October 20, 1996) Vol. 47
High Resistance of Plasmodium falciparum to Sulphadoxine/Pyrimethamine in Northern Tanzania and the Emergence of dhps Resistance Mutation at Codon 581
BACKGROUND: Sulphadoxine-pyrimethamine (SP) a widely used treatment for uncomplicated malaria and recommended for intermittent preventive treatment of malaria in pregnancy, is being investigated for intermittent preventive treatment of malaria in infants (IPTi). High levels of drug resistance to SP have been reported from north-eastern Tanzania associated with mutations in parasite genes. This study compared the in vivo efficacy of SP in symptomatic 6-59 month children with uncomplicated malaria and in asymptomatic 2-10 month old infants. METHODOLOGY AND PRINCIPAL FINDINGS: An open label single arm (SP) standard 28 day in vivo WHO antimalarial efficacy protocol was used in 6 to 59 months old symptomatic children and a modified protocol used in 2 to 10 months old asymptomatic infants. Enrolment was stopped early (87 in the symptomatic and 25 in the asymptomatic studies) due to the high failure rate. Molecular markers were examined for recrudescence, re-infection and markers of drug resistance and a review of literature of studies looking for the 581G dhps mutation was carried out. In symptomatic children PCR-corrected early treatment failure was 38.8% (95% CI 26.8-50.8) and total failures by day 28 were 82.2% (95% CI 72.5-92.0). There was no significant difference in treatment failures between asymptomatic and symptomatic children. 96% of samples carried parasites with mutations at codons 51, 59 and 108 in the dhfr gene and 63% carried a double mutation at codons 437 and 540. 55% carried a third mutation with the addition of a mutation at codon 581 in the dhps gene. This triple: triple haplotype maybe associated with earlier treatment failure. CONCLUSION: In northern Tanzania SP is a failed drug for treatment and its utility for prophylaxis is doubtful. The study found a new combination of parasite mutations that maybe associated with increased and earlier failure. TRIAL REGISTRATION: ClinicalTrials.gov NCT00361114
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