10 research outputs found

    An assessment of ten ocean reanalyses in the polar regions

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    Global and regional ocean and sea ice reanalysis products (ORAs) are increasingly used in polar research, but their quality remains to be systematically assessed. To address this, the Polar ORA Intercomparison Project (Polar ORA-IP) has been established following on from the ORA-IP project. Several aspects of ten selected ORAs in the Arctic and Antarctic were addressed by concentrating on comparing their mean states in terms of snow, sea ice, ocean transports and hydrography. Most polar diagnostics were carried out for the first time in such an extensive set of ORAs. For the multi-ORA mean state, we found that deviations from observations were typically smaller than individual ORA anomalies, often attributed to offsetting biases of individual ORAs. The ORA ensemble mean therefore appears to be a useful product and while knowing its main deficiencies and recognising its restrictions, it can be used to gain useful information on the physical state of the polar marine environment.Peer reviewe

    Risk factors for unfavourable postoperative outcome in patients with Crohn's disease undergoing right hemicolectomy or ileocaecal resection. An international audit by ESCP and S-ECCO

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    Aim: Patient- and disease-related factors, as well as operation technique, all have the potential to impact on postoperative outcome in Crohn's disease. The available evidence is based on small series and often displays conflicting results. The aim was to investigate the effect of preoperative and intra-operative risk factors on 30-day postoperative outcome in patients undergoing surgery for Crohn's disease. Method: This was an international prospective snapshot audit including consecutive patients undergoing right hemicolectomy or ileocaecal resection. The study analysed a subset of patients who underwent surgery for Crohn's disease. The primary outcome measure was the overall Clavien\u2013Dindo postoperative complication rate. The key secondary outcomes were anastomotic leak, reoperation, surgical site infection and length of stay in hospital. Multivariable binary logistic regression analyses were used to produce odds ratios and 95% confidence intervals. Results: In all, 375 resections in 375 patients were included. The median age was 37 and 57.1% were women. In multivariate analyses, postoperative complications were associated with preoperative parenteral nutrition (OR 2.36, 95% CI 1.10\u20134.97), urgent/expedited surgical intervention (OR 2.00, 95% CI 1.13\u20133.55) and unplanned intra-operative adverse events (OR 2.30, 95% CI 1.20\u20134.45). The postoperative length of stay in hospital was prolonged in patients who received preoperative parenteral nutrition (OR 31, 95% CI 1.08\u20131.61) and those who had urgent/expedited operations (OR 1.21, 95% CI 1.07\u20131.37). Conclusion: Preoperative parenteral nutritional support, urgent/expedited operation and unplanned intra-operative adverse events were associated with unfavourable postoperative outcome. Enhanced preoperative optimization and improved planning of operation pathways and timings may improve outcomes for patients

    The value of open-source clinical science in pandemic response: lessons from ISARIC

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