Stability analysis for the background equations for inflation with dissipation and in a viscous radiation bath

The effects of bulk viscosity are examined for inflationary dynamics in which dissipation and thermalization are present. A complete stability analysis is done for the background inflaton evolution equations, which includes both inflaton dissipation and radiation bulk viscous effects. Three representative approaches of bulk viscous irreversible thermodynamics are analyzed: the Eckart noncausal theory, the linear and causal theory of Israel-Stewart and a more recent nonlinear and causal bulk viscous theory. It is found that the causal theories allow for larger bulk viscosities before encountering an instability in comparison to the noncausal Eckart theory. It is also shown that the causal theories tend to suppress the radiation production due to bulk viscous pressure, because of the presence of relaxation effects implicit in these theories. Bulk viscosity coefficients derived from quantum field theory are applied to warm inflation model building and an analysis is made of the effects to the duration of inflation. The treatment of bulk pressure would also be relevant to the reheating phase after inflation in cold inflation dynamics and during the radiation dominated regime, although very little work in both areas has been done, the methodology developed in this paper could be extended to apply to these other problems.Comment: 27 pages, 14 figures, Published version JCA

From traits to life-history strategies: Deconstructing fish community composition across European seas

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EPIdemiology of Surgery-Associated Acute Kidney Injury (EPIS-AKI) : Study protocol for a multicentre, observational trial

More than 300 million surgical procedures are performed each year. Acute kidney injury (AKI) is a common complication after major surgery and is associated with adverse short-term and long-term outcomes. However, there is a large variation in the incidence of reported AKI rates. The establishment of an accurate epidemiology of surgery-associated AKI is important for healthcare policy, quality initiatives, clinical trials, as well as for improving guidelines. The objective of the Epidemiology of Surgery-associated Acute Kidney Injury (EPIS-AKI) trial is to prospectively evaluate the epidemiology of AKI after major surgery using the latest Kidney Disease: Improving Global Outcomes (KDIGO) consensus definition of AKI. EPIS-AKI is an international prospective, observational, multicentre cohort study including 10 000 patients undergoing major surgery who are subsequently admitted to the ICU or a similar high dependency unit. The primary endpoint is the incidence of AKI within 72 hours after surgery according to the KDIGO criteria. Secondary endpoints include use of renal replacement therapy (RRT), mortality during ICU and hospital stay, length of ICU and hospital stay and major adverse kidney events (combined endpoint consisting of persistent renal dysfunction, RRT and mortality) at day 90. Further, we will evaluate preoperative and intraoperative risk factors affecting the incidence of postoperative AKI. In an add-on analysis, we will assess urinary biomarkers for early detection of AKI. EPIS-AKI has been approved by the leading Ethics Committee of the Medical Council North Rhine-Westphalia, of the Westphalian Wilhelms-University Münster and the corresponding Ethics Committee at each participating site. Results will be disseminated widely and published in peer-reviewed journals, presented at conferences and used to design further AKI-related trials. Trial registration number NCT04165369

Global burden and strength of evidence for 88 risk factors in 204 countries and 811 subnational locations, 1990–2021: a systematic analysis for the Global Burden of Disease Study 2021

Background: Understanding the health consequences associated with exposure to risk factors is necessary to inform public health policy and practice. To systematically quantify the contributions of risk factor exposures to specific health outcomes, the Global Burden of Diseases, Injuries, and Risk Factors Study (GBD) 2021 aims to provide comprehensive estimates of exposure levels, relative health risks, and attributable burden of disease for 88 risk factors in 204 countries and territories and 811 subnational locations, from 1990 to 2021. Methods: The GBD 2021 risk factor analysis used data from 54 561 total distinct sources to produce epidemiological estimates for 88 risk factors and their associated health outcomes for a total of 631 risk–outcome pairs. Pairs were included on the basis of data-driven determination of a risk–outcome association. Age-sex-location-year-specific estimates were generated at global, regional, and national levels. Our approach followed the comparative risk assessment framework predicated on a causal web of hierarchically organised, potentially combinative, modifiable risks. Relative risks (RRs) of a given outcome occurring as a function of risk factor exposure were estimated separately for each risk–outcome pair, and summary exposure values (SEVs), representing risk-weighted exposure prevalence, and theoretical minimum risk exposure levels (TMRELs) were estimated for each risk factor. These estimates were used to calculate the population attributable fraction (PAF; ie, the proportional change in health risk that would occur if exposure to a risk factor were reduced to the TMREL). The product of PAFs and disease burden associated with a given outcome, measured in disability-adjusted life-years (DALYs), yielded measures of attributable burden (ie, the proportion of total disease burden attributable to a particular risk factor or combination of risk factors). Adjustments for mediation were applied to account for relationships involving risk factors that act indirectly on outcomes via intermediate risks. Attributable burden estimates were stratified by Socio-demographic Index (SDI) quintile and presented as counts, age-standardised rates, and rankings. To complement estimates of RR and attributable burden, newly developed burden of proof risk function (BPRF) methods were applied to yield supplementary, conservative interpretations of risk–outcome associations based on the consistency of underlying evidence, accounting for unexplained heterogeneity between input data from different studies. Estimates reported represent the mean value across 500 draws from the estimate's distribution, with 95% uncertainty intervals (UIs) calculated as the 2·5th and 97·5th percentile values across the draws. Findings: Among the specific risk factors analysed for this study, particulate matter air pollution was the leading contributor to the global disease burden in 2021, contributing 8·0% (95% UI 6·7–9·4) of total DALYs, followed by high systolic blood pressure (SBP; 7·8% [6·4–9·2]), smoking (5·7% [4·7–6·8]), low birthweight and short gestation (5·6% [4·8–6·3]), and high fasting plasma glucose (FPG; 5·4% [4·8–6·0]). For younger demographics (ie, those aged 0–4 years and 5–14 years), risks such as low birthweight and short gestation and unsafe water, sanitation, and handwashing (WaSH) were among the leading risk factors, while for older age groups, metabolic risks such as high SBP, high body-mass index (BMI), high FPG, and high LDL cholesterol had a greater impact. From 2000 to 2021, there was an observable shift in global health challenges, marked by a decline in the number of all-age DALYs broadly attributable to behavioural risks (decrease of 20·7% [13·9–27·7]) and environmental and occupational risks (decrease of 22·0% [15·5–28·8]), coupled with a 49·4% (42·3–56·9) increase in DALYs attributable to metabolic risks, all reflecting ageing populations and changing lifestyles on a global scale. Age-standardised global DALY rates attributable to high BMI and high FPG rose considerably (15·7% [9·9–21·7] for high BMI and 7·9% [3·3–12·9] for high FPG) over this period, with exposure to these risks increasing annually at rates of 1·8% (1·6–1·9) for high BMI and 1·3% (1·1–1·5) for high FPG. By contrast, the global risk-attributable burden and exposure to many other risk factors declined, notably for risks such as child growth failure and unsafe water source, with age-standardised attributable DALYs decreasing by 71·5% (64·4–78·8) for child growth failure and 66·3% (60·2–72·0) for unsafe water source. We separated risk factors into three groups according to trajectory over time: those with a decreasing attributable burden, due largely to declining risk exposure (eg, diet high in trans-fat and household air pollution) but also to proportionally smaller child and youth populations (eg, child and maternal malnutrition); those for which the burden increased moderately in spite of declining risk exposure, due largely to population ageing (eg, smoking); and those for which the burden increased considerably due to both increasing risk exposure and population ageing (eg, ambient particulate matter air pollution, high BMI, high FPG, and high SBP). Interpretation: Substantial progress has been made in reducing the global disease burden attributable to a range of risk factors, particularly those related to maternal and child health, WaSH, and household air pollution. Maintaining efforts to minimise the impact of these risk factors, especially in low SDI locations, is necessary to sustain progress. Successes in moderating the smoking-related burden by reducing risk exposure highlight the need to advance policies that reduce exposure to other leading risk factors such as ambient particulate matter air pollution and high SBP. Troubling increases in high FPG, high BMI, and other risk factors related to obesity and metabolic syndrome indicate an urgent need to identify and implement interventions. Funding: Bill & Melinda Gates Foundation

Reducing the environmental impact of surgery on a global scale: systematic review and co-prioritization with healthcare workers in 132 countries

Background Healthcare cannot achieve net-zero carbon without addressing operating theatres. The aim of this study was to prioritize feasible interventions to reduce the environmental impact of operating theatres. Methods This study adopted a four-phase Delphi consensus co-prioritization methodology. In phase 1, a systematic review of published interventions and global consultation of perioperative healthcare professionals were used to longlist interventions. In phase 2, iterative thematic analysis consolidated comparable interventions into a shortlist. In phase 3, the shortlist was co-prioritized based on patient and clinician views on acceptability, feasibility, and safety. In phase 4, ranked lists of interventions were presented by their relevance to high-income countries and low–middle-income countries. Results In phase 1, 43 interventions were identified, which had low uptake in practice according to 3042 professionals globally. In phase 2, a shortlist of 15 intervention domains was generated. In phase 3, interventions were deemed acceptable for more than 90 per cent of patients except for reducing general anaesthesia (84 per cent) and re-sterilization of ‘single-use’ consumables (86 per cent). In phase 4, the top three shortlisted interventions for high-income countries were: introducing recycling; reducing use of anaesthetic gases; and appropriate clinical waste processing. In phase 4, the top three shortlisted interventions for low–middle-income countries were: introducing reusable surgical devices; reducing use of consumables; and reducing the use of general anaesthesia. Conclusion This is a step toward environmentally sustainable operating environments with actionable interventions applicable to both high– and low–middle–income countries

From traits to life-history strategies: Deconstructing fish community composition across European seas

Aim The life history of a species is determined by trade-offs between growth, survival and reproduction to maximize fitness in a given environment. Following a theoretical model, we investigate whether the composition of marine fish communities can be understood in terms of a set of life-history strategies and whether the prevalence of the strategies follows specific spatial patterns that can be related to the environment. Location European seas. Time period 1980-2014. Major taxa studied Fish. Methods An extensive set of scientific bottom trawl surveys was collected to obtain the species composition of fish communities across European seas. We complemented these data with species-specific information regarding six life-history traits, reflecting reproductive, growth and feeding modes. We then calculated the optimal number of strategies needed to summarize the information contained in the traits by using archetypal analysis. The proportion of each obtained strategy in the communities and their spatial patterns were explained as a function of the environment and their temporal changes were investigated. Results The species could be decomposed into a continuum of three life-history strategies—opportunistic, periodic and equilibrium—resulting from trade-offs between traits. The marked spatial patterns of these strategies could be explained by depth, temperature and its seasonality, chlorophyll and fishing effort. In recent years, opportunistic and equilibrium strategies significantly increased, probably due to an increase in temperature and decrease in fishing effort. Main conclusions Our empirical analysis supports a theoretical framework outlining three life-history strategies of fish. The strategies vary predictably in space and time in response to the environment. This highlights the underlying process whereby fitness is optimized through trade-offs between growth, feeding and reproduction under different environmental conditions. Due to their response to the environment, life-history strategies provide a suitable tool for monitoring and understanding community changes in response to natural and anthropogenic stressors, including fishing and climate change.S

Co2 and irrigation in relation to yield and water use of the bell pepper crop Co2 e irrigação na produção e uso da água para cultura do pimentão

Greenhouse production of vegetables is widely used throughout the world. Elevated carbon dioxide (CO2) concentrations in these closed environments can increase net photosynthesis and yield. The objective of this study was to determine the effects of atmospheric CO2 enrichment and water supply on the growth of potted bell pepper (Capsicum annuum L.) plants, cultivated under controlled environmental conditions. CO2 was applied daily, and its distribution was monitored above plant rows through micro pipes located at 3.0 m height. A drip irrigation system with one dripper per plant was used to irrigate the plants. Different volumes of irrigation water, representing fractions of the water volume (Vet) consumed by pot plants growing under no water stress conditions (0.5Vet, 0.65Vet, 1.0Vet, and 1.35Vet) with four replications, were evaluated under four different CO2 levels (atmospheric concentration of 367, 600, 800, and 1000 mumol mol-1). Total fresh fruit mass, average number of fruits, and water use efficiency were recorded. For the water deficit treatments, the greatest fresh fruit mass was obtained for the highest CO2 level environment. However, for treatments that received water volumes equal or greater than the evapotranspiration rate, the greatest total fresh fruit mass was observed at the 600 mumol mol-1 of CO2 environment. The yield increase due to CO2 was represented by increase in fruit weight and not in fruit number. Water use efficiency increased in relation to the amount of water applied and it was highest at 600 mumol mol-1 CO2 concentration.<br>O cultivo de hortaliças em ambiente protegido é amplamente utilizado e, nesses ambientes, o enriquecimento da atmosfera com gás carbônico (CO2) pode aumentar a produtividade pois a fotossíntese líquida normalmente aumenta. Este trabalho avalia o efeito do enriquecimento do ambiente com CO2 e do volume de água aplicado em plantas de pimentão (Capsicum annuum L.), cultivadas em vasos, em ambiente protegido. O experimento foi conduzido em Piracicaba, SP. O CO2 foi aplicado diariamente e distribuído através de microtubos instalados a 3 m de altura, sobre a linha de plantas. A irrigação foi por gotejamento com um gotejador por planta e freqüência de dois dias. Foram adotadas quatro concentrações de CO2 (concentração normal da atmosfera, aproximadamente de 367, 600, 800 e 1000 mimol mol-1) e quatro volumes de água determinados pelo volume evapotranspirado (Vet) por planta (0,5Vet; 0,65Vet; 1,0Vet e 1,35Vet), com quatro repetições. Analisaram-se a massa fresca total dos frutos, o número médio de frutos e a eficiência de uso da água. Nos tratamentos com restrição de água a maior massa fresca de frutos foi obtida nos ambientes com maior concentração de CO2, entretanto nos tratamentos que receberam volume igual ou maior que o volume evapotranspirado, a maior massa fresca de fruto foi verificada no ambiente com 600 mimol mol-1. O CO2 promoveu o aumento da massa fresca e não do número de frutos. A eficiência de uso da água aumentou em relação ao volume de água aplicado, sendo maior no ambiente com concentração de 600 mimol mol-1