Amphibious Seismic Survey Images Plate Interface at 1960 Chile Earthquake

The southern central Chilean margin at the site of the largest historically recorded earthquake in the Valdivia region, in 1960 (Mw = 9.5), is part of the 5000-km-long active subduction system whose geodynamic evolution is controversially debated and poorly understood. Covering the area between 36° and 40°S, the oceanic crust is segmented by prominent fracture zones. The offshore forearc and its onshore continuation show a complex image with segments of varying geophysical character, and several fault systems active during the past 24 m.y. In autumn 2001, the project SPOC was organized to study the Subduction Processes Off Chile, with a focus on the seismogenic coupling zone and the forearc. The acquired seismic data crossing the Chilean subduction system were gathered in a combined offshore-onshore survey and provide new insights into the lithospheric structure and evolution of active margins with insignificant frontal accretion

A Strategy for Detecting Natural Anthelmintic Constituents of the Grassland Species \u3ci\u3ePlantago lanceolata\u3c/i\u3e

A strategy to detect anthelmintic constituents in plantain (Plantago lanceolata) using a bioassay-driven purification approach was tested. Plantain consumed by cattle may control or reduce internal parasite titers, possibly due to the iridoid glucoside aucubin. Lyophilized, ground leaves of wild P. lanceolata were extracted with 95 % ethanol or boiling water containing calcium carbonate. Partially purified extracts (0 to 250 mg ml-1), 5 μg ml-1 of the anthelmintic levamisole, or 5 mg ml-1 of aucubin were tested with sheathed bovine parasites (Ostertagia ostertagi). The percent moving worms was unchanged for water controls and reduced to 0 % for anthelmintic levamisole. Aucubin significantly reduced the number of swimming worms at day 2, but they returned to starting values at day 3. Extracts from tall fescue and white clover foliage did not show anthelmintic effects. Treatment of extract or aucubin with ß-glucosidase did not alter their activity. Beneficial anthelmintic action of ingested plantain is not due to aucubin

Reflections [Complete issue : Summer 1994, Vol. 20, 2]

Publishing History: Print issues of Reflections magazine were published from 1975 to 1999 and its successor, Reflections on Nursing Leadership (RNL) began publication in 2000. RNL migrated to an online format, http://www.reflectionsonnursingleadership.org, in 2006 and continues today. RNL is a member benefit of the Honor Society of Nursing, Sigma Theta Tau International (STTI). The historical print issues have been made openly available. Publishing Frequency: Quarterly until its transition to online. It’s now updated virtually every day. Format: Print, 1975 - 2005; Online, 2006 - present Feature Articles in this Issue: Jane Barnsteiner: Pyramiding Knowledge into Practice To Advance the Scientific Base of Nursing Practice: The Electronic Library The Online Journal of Knowledge Synthesis for Nursing Chapter Archives: You Were Going to Throw That Out? Now She Belongs to the Ages...A Pandimensional Tribute to the Extraordinary Life of Martha E. Rogers This issue of Reflections is thirty-one pages in length and contains information of interest to STTI members

Intraoperative ventilator settings and their association with postoperative pulmonary complications in neurosurgical patients: post-hoc analysis of LAS VEGAS study

BACKGROUND: Limited information is available regarding intraoperative ventilator settings and the incidence of postoperative pulmonary complications (PPCs) in patients undergoing neurosurgical procedures. The aim of this post-hoc analysis of the 'Multicentre Local ASsessment of VEntilatory management during General Anaesthesia for Surgery' (LAS VEGAS) study was to examine the ventilator settings of patients undergoing neurosurgical procedures, and to explore the association between perioperative variables and the development of PPCs in neurosurgical patients. METHODS: Post-hoc analysis of LAS VEGAS study, restricted to patients undergoing neurosurgery. Patients were stratified into groups based on the type of surgery (brain and spine), the occurrence of PPCs and the assess respiratory risk in surgical patients in Catalonia (ARISCAT) score risk for PPCs. RESULTS: Seven hundred eighty-four patients were included in the analysis; 408 patients (52%) underwent spine surgery and 376 patients (48%) brain surgery. Median tidal volume (VT) was 8 ml [Interquartile Range, IQR = 7.3-9] per predicted body weight; median positive end-expiratory pressure (PEEP) was 5 [3 to 5] cmH20. Planned recruitment manoeuvres were used in the 6.9% of patients. No differences in ventilator settings were found among the sub-groups. PPCs occurred in 81 patients (10.3%). Duration of anaesthesia (odds ratio, 1.295 [95% confidence interval 1.067 to 1.572]; p = 0.009) and higher age for the brain group (odds ratio, 0.000 [0.000 to 0.189]; p = 0.031), but not intraoperative ventilator settings were independently associated with development of PPCs. CONCLUSIONS: Neurosurgical patients are ventilated with low VT and low PEEP, while recruitment manoeuvres are seldom applied. Intraoperative ventilator settings are not associated with PPCs

Epidemiology, practice of ventilation and outcome for patients at increased risk of postoperative pulmonary complications: LAS VEGAS - An observational study in 29 countries

BACKGROUND Limited information exists about the epidemiology and outcome of surgical patients at increased risk of postoperative pulmonary complications (PPCs), and how intraoperative ventilation was managed in these patients. OBJECTIVES To determine the incidence of surgical patients at increased risk of PPCs, and to compare the intraoperative ventilation management and postoperative outcomes with patients at low risk of PPCs. DESIGN This was a prospective international 1-week observational study using the ‘Assess Respiratory Risk in Surgical Patients in Catalonia risk score’ (ARISCAT score) for PPC for risk stratification. PATIENTS AND SETTING Adult patients requiring intraoperative ventilation during general anaesthesia for surgery in 146 hospitals across 29 countries. MAIN OUTCOME MEASURES The primary outcome was the incidence of patients at increased risk of PPCs based on the ARISCAT score. Secondary outcomes included intraoperative ventilatory management and clinical outcomes. RESULTS A total of 9864 patients fulfilled the inclusion criteria. The incidence of patients at increased risk was 28.4%. The most frequently chosen tidal volume (V T) size was 500 ml, or 7 to 9 ml kg−1 predicted body weight, slightly lower in patients at increased risk of PPCs. Levels of positive end-expiratory pressure (PEEP) were slightly higher in patients at increased risk of PPCs, with 14.3% receiving more than 5 cmH2O PEEP compared with 7.6% in patients at low risk of PPCs (P ˂ 0.001). Patients with a predicted preoperative increased risk of PPCs developed PPCs more frequently: 19 versus 7%, relative risk (RR) 3.16 (95% confidence interval 2.76 to 3.61), P ˂ 0.001) and had longer hospital stays. The only ventilatory factor associated with the occurrence of PPCs was the peak pressure. CONCLUSION The incidence of patients with a predicted increased risk of PPCs is high. A large proportion of patients receive high V T and low PEEP levels. PPCs occur frequently in patients at increased risk, with worse clinical outcome.</p

Integrating Mindfulness-Based Practices Into Social and Emotional Learning: A Case Application

Mindfulness-based practices (MBP) are being applied in school settings with growing interest and increasing frequency. Social and emotional learning (SEL) is a paradigm in which schools are planning and implementing prevention and intervention programming to mitigate risk factors and positively affect the well-being of all students. MBP can be used with SEL programming as a novel adjunctive approach to fostering resilience. This article reviews SEL and highlights the theoretical basis for and the practical integration of MBP into existing SEL curricula, Strong Kids and Strong Teens. Recommendations for the continued use of MBP in school settings and within a SEL framework are discussed