Prospective observational study of point-of-care creatinine in trauma.

Background:Patients with trauma are at risk for renal dysfunction from hypovolemia or urological injury. In austere environments, creatinine values are not available to guide resuscitation. A new portable device, the Stat Sensor Point-of-care (POC) Whole Blood Creatinine Analyzer, provides accurate results in <30 s and requires minimal training. This device has not been evaluated in trauma despite the theoretical benefit it provides. The purpose of this study is to determine the clinical impact of the POC device in trauma. Methods:40 patients with trauma were enrolled in a prospective observational study. One drop of blood was used for creatinine determination on the Statsensor POC device. POC creatinine results were compared to the laboratory. Turnaround time (TAT) for POC and laboratory methods was calculated as well as time elapsed to CT scan if applicable. Results:Patients (n=40) were enrolled between December 2014 and March 2015. POC creatinine values were similar to laboratory methods with a mean bias of 0.075±0.27 (p=0.08). Mean analytical TATs for the POC measurements were significantly faster than the laboratory method (11.6±10.0 min vs 78.1±27.9 min, n=40, p<0.0001). Mean elapsed time before arrival at the CT scanner was 52.9±34.2 min. Conclusions:The POC device reported similar creatinine values to the laboratory and provided significantly faster results. POC creatinine testing is a promising development for trauma practice in austere environments and workup of a subset of stable patients with trauma. Further study is warranted to determine clinical impact, both in hospital-based trauma and austere environments

Deformed Special Relativity as an effective theory of measurements on quantum gravitational backgrounds

In this article we elaborate on a recently proposed interpretation of DSR as an effective measurement theory in the presence of non-negligible (albeit small) quantum gravitational fluctuations. We provide several heuristic arguments to explain how such a new theory can emerge and discuss the possible observational consequences of this framework.Comment: 11 pages, no figure

Theta dependence of CP^9 model

We apply to the $CP^9$ model two recently proposed numerical techniques for simulation of systems with a theta term. The algorithms, successfully tested in the strong coupling limit, are applied to the weak coupling region. The results agree and errors have been evaluated and are at % level. The results scale well with the renormalization group equation and show that, for $CP^9$ in presence of a theta term, CP symmetry is spontaneously broken at $\theta=\pi$ in the continuum limit.Comment: 4 pages, 4 figure

Investigation into the environmental fate of the combined Insensitive High Explosive constituents 2, 4-dinitroanisole (DNAN), 1-nitroguanidine (NQ) and nitrotriazolone (NTO) in soil

Contamination of military ranges by the use of explosives can lead to irreversible environmental damage, specifically to soil and groundwater. The fate and effects of traditional explosive residues are well understood, while less is known about the impact of Insensitive High Explosives (IHEs) that are currently being brought into military service. Current research has focussed on the investigation of individual constituents of IHE formulations, which may not be representative of real-world scenarios when explosive residues will be deposited together. Therefore, this study investigated the fate and transport of the combined IHE constituents 2,4-dinitroanisole (DNAN), 1-nitroguanidine (NQ) and 3-nitro-1,2,4-triazol-5-one (NTO) in two UK soil types. Static experiments ran for 9 weeks to determine the fate of the combined explosive constituents in soil by monitoring the rate of degradation. Transport was examined by running soil column experiments for 5 weeks, with a watering regime equivalent to the average yearly UK rainfall. Both static and soil column experiments confirmed that DNAN and NTO started to degrade within twenty-four hours in soil with high organic content, and were both completely degraded within sixty days. NQ was more stable, with 80% of the original material recovered after sixty days. The major degradation product of DNAN in the test soils was 2-amino-4-nitroanisole (2-ANAN), with trace amounts of 4-amino-2-nitroanisole. NTO was rapidly degraded in soil with high organic content, although no degradation products were identified. Results supported work from literature on the individual constituents DNAN, NQ and NTO suggesting that the three explosives in combination did not interact with each other when in soil. This study should provide a useful insight into the behaviour of three combined Insensitive High Explosive constituents for the predication of soil and water contamination during military training