347 research outputs found
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)
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 and
couplings. In both cases the corresponding electronic
branching fractions of the squarks are expected to be . 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
Generalized mixed linear modeling approach to analyze nodulation in common bean inbred lines
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
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