3 research outputs found
Particles-vortex interactions and flow visualization in He4
Recent experiments have demonstrated a remarkable progress in implementing
and use of the Particle Image Velocimetry (PIV) and particle tracking
techniques for the study of turbulence in He4. However, an interpretation of
the experimental data in the superfluid phase requires understanding how the
motion of tracer particles is affected by the two components, the viscous
normal fluid and the inviscid superfluid. Of a particular importance is the
problem of particle interactions with quantized vortex lines which may not only
strongly affect the particle motion, but, under certain conditions, may even
trap particles on quantized vortex cores. The article reviews recent
theoretical, numerical, and experimental results in this rapidly developing
area of research, putting critically together recent results, and solving
apparent inconsistencies. Also discussed is a closely related technique of
detection of quantized vortices negative ion bubbles in He4.Comment: To appear in the J Low Temperature Physic
The ASOS Surgical Risk Calculator: development and validation of a tool for identifying African surgical patients at risk of severe postoperative complications
Background:
The African Surgical Outcomes Study (ASOS) showed that surgical patients in Africa have a mortality twice the global average. Existing risk assessment tools are not valid for use in this population because the pattern of risk for poor outcomes differs from high-income countries. The objective of this study was to derive and validate a simple, preoperative risk stratification tool to identify African surgical patients at risk for in-hospital postoperative mortality and severe complications.
Methods:
ASOS was a 7-day prospective cohort study of adult patients undergoing surgery in Africa. The ASOS Surgical Risk Calculator was constructed with a multivariable logistic regression model for the outcome of in-hospital mortality and severe postoperative complications. The following preoperative risk factors were entered into the model; age, sex, smoking status, ASA physical status, preoperative chronic comorbid conditions, indication for surgery, urgency, severity, and type of surgery.
Results:
The model was derived from 8799 patients from 168 African hospitals. The composite outcome of severe postoperative complications and death occurred in 423/8799 (4.8%) patients. The ASOS Surgical Risk Calculator includes the following risk factors: age, ASA physical status, indication for surgery, urgency, severity, and type of surgery. The model showed good discrimination with an area under the receiver operating characteristic curve of 0.805 and good calibration with c-statistic corrected for optimism of 0.784.
Conclusions:
This simple preoperative risk calculator could be used to identify high-risk surgical patients in African hospitals and facilitate increased postoperative surveillance.
© 2018 British Journal of Anaesthesia. Published by Elsevier Ltd. All rights reserved.Medical Research Council of South Africa gran