Anaesthetic-associated mortality

The most important measure of the safety of anaesthesia for the patient is the incidence of anaesthetic-contributory death. Evidence is presented from an ongoing survey of anaesthetic-associated mortality at Groote Schuur Hospital, that the incidence of anaesthetic-contributory death has decreased from 0,33 to 0,22 per 1 000 anaesthetics. Reasons for this improvement in the safety of anaesthesia and some of the clinical lessons that emerge from the survey are discussed. The incidence of cardiac arrest in the operating theatre (0,63°/00 anaesthetics) and the results of resuscitation (19% survival) are presented.S. Afr. Med. J. 48, 550 (1974)

The re-breathing technique

No Abstract

Thromboelastometry and Platelet Function during Acclimatization to High Altitude

Interaction between hypoxia and coagulation is important given the increased risk of thrombotic diseases in chronically hypoxic patients who reside at sea level and in residents at high altitude. Hypoxia alters the proteome of platelets favouring a prothrombotic phenotype, but studies of activation and consumption of specific coagulation factors in hypoxic humans have yielded conflicting results. We tested blood from 63 healthy lowland volunteers acclimatizing to high altitude (5,200 m) using thromboelastometry and assays of platelet function to examine the effects of hypoxia on haemostasis. Using data from two separate cohorts of patients following identical ascent profiles, we detected a significant delay in clot formation, but increased clot strength by day 7 at 5,200 m. The latter finding may be accounted for by the significant rise in platelet count and fibrinogen concentration that occurred during acclimatization. Platelet function assays revealed evidence of platelet hyper-reactivity, with shortened PFA-100 closure times and increased platelet aggregation in response to adenosine diphosphate. Post-expedition results were consistent with the normalization of coagulation following descent to sea level. These robust findings indicate that hypoxia increases platelet reactivity and, with the exception of the paradoxical delay in thromboelastometry clotting time, suggest a prothrombotic phenotype at altitude. Further work to elucidate the mechanism of platelet activation in hypoxia will be important and could impact upon the management of patients with acute or chronic hypoxic respiratory diseases who are at risk of thrombotic events. Erratum to: Thromboelastometry and platelet function during acclimatisation to high altitude (doi: 10.1160/TH17-02-0138) http://eprints.whiterose.ac.uk/129510/ In the Original Article by Rocke et al. “Thromboelastometry and platelet function during acclimatization to high altitude” (Thromb Haemost 2018; 118: 063-071) after publication of the article it has come to the corresponding author's attention that an author was inadvertently omitted from the manuscript. The author, Martin MacInnis, made a significant contribution to: 1. initiating the coagulation research that led to the manuscript, 2. designing the research protocol and performing the initial data analysis, 3. recruiting volunteers, writing applications for ethical approval and making other logistical arrangements that were necessary to complete the study. Martin MacInnis has read and approved the published version of the manuscript. Furthermore, a middle initial was added to the updated list (Shona E. Main) and misspelling of Elizabeth Horn's surname was corrected. The amended author list is as above. https://doi.org

Large-scale periodicity in the distribution of QSO absorption-line systems

The spatial-temporal distribution of absorption-line systems (ALSs) observed in QSO spectra within the cosmological redshift interval z = 0.0--4.3 is investigated on the base of our updated catalog of absorption systems. We consider so called metallic systems including basically lines of heavy elements. The sample of the data displays regular variations (with amplitudes ~ 15 -- 20%) in the z-distribution of ALSs as well as in the eta-distribution, where eta is a dimensionless line-of-sight comoving distance, relatively to smoother dependences. The eta-distribution reveals the periodicity with period Delta eta = 0.036 +/- 0.002, which corresponds to a spatial characteristic scale (108 +/- 6) h(-1) Mpc or (alternatively) a temporal interval (350 +/- 20) h(-1) Myr for the LambdaCDM cosmological model. We discuss a possibility of a spatial interpretation of the results treating the pattern obtained as a trace of an order imprinted on the galaxy clustering in the early Universe.Comment: AASTeX, 13 pages, with 9 figures, Accepted for publication in Astrophysics & Space Scienc

Implications of the HERA Events for the R-Parity Breaking SUSY Signals at Tevatron

The favoured R-parity violating SUSY scenarios for the anomalous HERA events correspond to top and charm squark production via the $\lambda'_{131}$ and $\lambda'_{121}$ couplings. In both cases the corresponding electronic branching fractions of the squarks are expected to be $\ll 1$. Consequently the canonical leptoquark signature is incapable of probing these scenarios at the Tevatron collider over most of the MSSM parameter space. We suggest alternative signatures for probing them at Tevatron, which seem to be viable over the entire range of MSSM parameters.Comment: 20 pages Latex file with 4 ps files containing 4 figure

Pulsar-wind nebulae and magnetar outflows: observations at radio, X-ray, and gamma-ray wavelengths

We review observations of several classes of neutron-star-powered outflows: pulsar-wind nebulae (PWNe) inside shell supernova remnants (SNRs), PWNe interacting directly with interstellar medium (ISM), and magnetar-powered outflows. We describe radio, X-ray, and gamma-ray observations of PWNe, focusing first on integrated spectral-energy distributions (SEDs) and global spectral properties. High-resolution X-ray imaging of PWNe shows a bewildering array of morphologies, with jets, trails, and other structures. Several of the 23 so far identified magnetars show evidence for continuous or sporadic emission of material, sometimes associated with giant flares, and a few possible "magnetar-wind nebulae" have been recently identified.Comment: 61 pages, 44 figures (reduced in quality for size reasons). Published in Space Science Reviews, "Jets and Winds in Pulsar Wind Nebulae, Gamma-ray Bursts and Blazars: Physics of Extreme Energy Release

Particle physics models of inflation

Inflation models are compared with observation on the assumption that the curvature perturbation is generated from the vacuum fluctuation of the inflaton field. The focus is on single-field models with canonical kinetic terms, classified as small- medium- and large-field according to the variation of the inflaton field while cosmological scales leave the horizon. Small-field models are constructed according to the usual paradigm for beyond Standard Model physicsComment: Based on a talk given at the 22nd IAP Colloquium, ``Inflation +25'', Paris, June 2006 Curve omitted from final Figur

Field Measurements of Terrestrial and Martian Dust Devils

Surface-based measurements of terrestrial and martian dust devils/convective vortices provided from mobile and stationary platforms are discussed. Imaging of terrestrial dust devils has quantified their rotational and vertical wind speeds, translation speeds, dimensions, dust load, and frequency of occurrence. Imaging of martian dust devils has provided translation speeds and constraints on dimensions, but only limited constraints on vertical motion within a vortex. The longer mission durations on Mars afforded by long operating robotic landers and rovers have provided statistical quantification of vortex occurrence (time-of-sol, and recently seasonal) that has until recently not been a primary outcome of more temporally limited terrestrial dust devil measurement campaigns. Terrestrial measurement campaigns have included a more extensive range of measured vortex parameters (pressure, wind, morphology, etc.) than have martian opportunities, with electric field and direct measure of dust abundance not yet obtained on Mars. No martian robotic mission has yet provided contemporaneous high frequency wind and pressure measurements. Comparison of measured terrestrial and martian dust devil characteristics suggests that martian dust devils are larger and possess faster maximum rotational wind speeds, that the absolute magnitude of the pressure deficit within a terrestrial dust devil is an order of magnitude greater than a martian dust devil, and that the time-of-day variation in vortex frequency is similar. Recent terrestrial investigations have demonstrated the presence of diagnostic dust devil signals within seismic and infrasound measurements; an upcoming Mars robotic mission will obtain similar measurement types

Maternal anthropometry for prediction of pregnancy outcomes: Memorandum from a USAID/WHO/PAHO/MotherCare meeting

The meeting discussed two main areas concerning maternal anthropometry in developing countries: (1) how various anthropometric indicators can be best utilized for assessing and monitoring the nutritional status of women at different times in their reproductive lives, and (2) the predictive value of various anthropometric indicators for identifying benefit or risk for maternal and perinatal/neonatal health and nutritional outcomes of pregnancy. The indicators discussed were prepregnancy weight, height, weight gain in pregnancy, arm circumference, weight-for-height and body mass index (weight (kg)/height (m)2). Some 50 experts reached consensus on the tools for assessing maternal nutritional status for widespread field application in developing countries, and on priority research needs. This Memorandum summarizes the general recommendations which have important and immediate field applications, as well as priority research issues related to specific indicators