192 research outputs found

    Effect of forced-air warming by an underbody blanket on end-of-surgery hypothermia: a propensity score-matched analysis of 5063 patients

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    Abstract Background Underbody blankets have recently been launched and are used by anesthesiologists for surgical patients. However, the forced-air warming effect of underbody blankets is still controversial. The aim of this study was to determine the effect of forced-air warming by an underbody blanket on body temperature in anesthetized patients. Methods We retrospectively analyzed 5063 surgical patients. We used propensity score matching to reduce the bias caused by a lack of randomization. After propensity score matching, the change in body temperature from before to after surgery was compared between patients who used underbody blankets (Under group) and those who used other types of warming blankets (Control group). The incidence of hypothermia (i.e., body temperature < 36.0 °C at the end of surgery) was compared between the two groups. A p value < 0.05 was considered to indicate statistical significance. Results We obtained 489 propensity score-matched pairs of patients from the two groups, of whom 33 and 63 had hypothermia in the Under and Control groups, respectively (odds ratio: 0.49, 95% confidence interval: 0.31–0.76, p = 0.0013). Conclusions The present study suggests that the underbody blanket may help reduce the incidence of intraoperative hypothermia and may be more efficient in warming anesthetized patients compared with other types of warming blankets. Trial registration UMIN Clinical Trials Registry (Identifier: UMIN000022909; retrospectively registered on June 27, 2016)

    Submillimeter Array Observation of the Proto-Planetary Nebula CRL 618 in the CO J=6-5 Line

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    We report on the results of a Submillimeter Array interferometric observation of the proto-planetary nebula CRL 618 in the 12CO J=6-5 line. With the new capability of SMA enabling us to use two receivers at a time, we also observed simultaneously in the 12CO J=2-1 and 13CO J=2-1 lines. The 12CO J=6-5 and 13CO J=2-1 lines were first interferometrically observed toward CRL 618. The flux of the high velocity component of the 12CO J=6-5 line is almost fully recovered, while roughly 80% of the flux of the low velocity component is resolved out. The low recovery rate suggests that the emission region of the low velocity component of the 12CO J=6-5 line is largely extended. Continuum emission is detected both at 230 and 690 GHz. The flux of the 690 GHz continuum emission seems to be partially resolved out, suggesting dust emission partly contaminates the 690 GHz continuum flux. The cavity structure, which has been confirmed in a previous observation in the 12CO J=2-1 line, is not clearly detected in the 12CO J=6-5 line, and only the south wall of the cavity is detected. This result suggests that the physical condition of the molecular envelope of CRL 618 is not exactly axial symmetric.Comment: 24 pages, 9 figures, 1 table, accepted for publication in AJ. Full resolution version available at http://www.asiaa.sinica.edu.tw/~junichi/paper

    Dust from Comet 209P/LINEAR during its 2014 Return: Parent Body of a New Meteor Shower, the May Camelopardalids

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    We report a new observation of the Jupiter-family comet 209P/LINEAR during its 2014 return. The comet is recognized as a dust source of a new meteor shower, the May Camelopardalids. 209P/LINEAR was apparently inactive at a heliocentric distance rh = 1.6 au and showed weak activity at rh < 1.4 au. We found an active region of <0.001% of the entire nuclear surface during the comet's dormant phase. An edge-on image suggests that particles up to 1 cm in size (with an uncertainty of factor 3-5) were ejected following a differential power-law size distribution with index q=-3.25+-0.10. We derived a mass loss rate of 2-10 kg/s during the active phase and a total mass of ~5x10^7 kg during the 2014 return. The ejection terminal velocity of millimeter- to centimeter-sized particles was 1-4 m/s, which is comparable to the escape velocity from the nucleus (1.4 m/s). These results imply that such large meteoric particles marginally escaped from the highly dormant comet nucleus via the gas drag force only within a few months of the perihelion passage.Comment: 18 pages, 4 figures, accepted on 2014 December 11 for publication in the Astrophysical Journal Letter

    Induction of calprotectin mRNAs by lipopolysaccharide in the salivary gland of mice

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    Calprotectin is a major cytosolic calcium-binding protein of leukocytes which belongs to the S100 protein family. S100A8 and S100A9, major types of calprotectin are heterodimeric complexes being composed of light- and heavy-chain subunits. The calprotectin levels in the plasma, feces, synovial fluid, gingival crevicular fluid, dental calculus and saliva change when the host animal suffers from several inflammatory diseases. Members of Toll-like receptor (TLR) family are pattern-recognition receptors for lipopolysaccharide (LPS) and other pathogens. Here we examined if the biological role of TLR receptor is reflected to the calprotectin expression in the salivary gland. Time course study by using real-time RT-PCR detected higher levels of S100A8 and S100A9 mRNA at 1.5-3 h after injection of LPS in both the submandibular gland (SMG) and parotid gland (PG) of C3H/HeN mice but not in the same tissues of C3H/HeJ, a TLR-4 mutant strain, indicating that this induction is mediated via the TLR-4. These results indicate that, an inflammatory marker, calprotectin, is expressed in the mouse salivary gland and that LPS stimulated its synthesis. Calprotectin (S100A8/A9) showed minimum expression in all cellular segments in the SMG except excretory duct cells, which showed strong signal at the cytoplasm. LPS induced their expressions in the granular convoluted tubular cells and striated duct cells. In the PG, these proteins were expressed very weakly in both duct and acinar cells with a little stronger staining for the former cells. LPS injection induced calprotectin (S100A8/A9) in both duct and acinar cells especially in the former cells

    High-mobility group box 1-mediated heat shock protein beta 1 expression attenuates mitochondrial dysfunction and apoptosis

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    AbstractAimsApoptosis of cardiomyocytes is thought to account for doxorubicin cardiotoxicity as it contributes to loss of myocardial tissue and contractile dysfunction. Given that high-mobility group box 1 (HMGB1) is a nuclear DNA-binding protein capable of inhibiting apoptosis, we aimed to clarify the role of HMGB1 in heat shock protein beta 1 (HSPB1) expression during doxorubicin-induced cardiomyopathy.Methods and resultsMitochondrial damage, cardiomyocyte apoptosis, and cardiac dysfunction after doxorubicin administration were significantly attenuated in mice with cardiac-specific overexpression of HMGB1 (HMGB1-Tg) compared with wild type (WT) -mice. HSPB1 levels after doxorubicin administration were significantly higher in HMGB1-Tg mice than in WT mice. Transfection with HMGB1 increased the expression of HSPB1 at both the protein and mRNA levels, and HMGB1 inhibited mitochondrial dysfunction and apoptosis after exposure of cardiomyocytes to doxorubicin. HSPB1 silencing abrogated the inhibitory effect of HMGB1 on cardiomyocyte apoptosis. Doxorubicin increased the binding of HMGB1 to heat shock factor 2 and enhanced heat shock element promoter activity. Moreover, HMGB1 overexpression greatly enhanced heat shock element promoter activity. Silencing of heat shock factor 2 attenuated HMGB1-dependent HSPB1 expression and abrogated the ability of HMGB1 to suppress cleaved caspase-3 accumulation after doxorubicin stimulation.ConclusionsWe report the first in vivo and in vitro evidence that cardiac HMGB1 increases HSPB1 expression and attenuates cardiomyocyte apoptosis associated with doxorubicin-induced cardiomyopathy. Cardiac HMGB1 increases HSPB1 expression in cardiomyocytes in a heat shock factor 2-dependent manner

    Maser Properties of the Enigmatic IRAS Source 19312+1950

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    The IRAS source, 19312+1950, exhibits SiO maser emission, which is predominantly detected in evolved stars enshrouded by a cold molecular envelope. In fact, the mojority of the observational properties of IRAS 19312+1950 is consistent with the nature of an asymptotic giant branch (AGB) star or post-AGB star. Interestingly, however, some of the observational properties cannot be readily explained within the standard scheme of stellar evolution, and those are rather reminiscent of young stellar objects. In the present research we considered the evolutionary status of IRAS 19312+1950 as revealed by the VLBI and MERLIN observations in SiO, H2O and OH maser lines. The double-peaked profile of the 22 GHz H2O maser line is clearly detected, with the emission regions of its red and blue-shifted components separately located, leaving a space of about 10.9 mas between them. The kinematic properties of H2O maser emission region appear to be more consistent with a bipolar flow rather than other interpretations such as the Keplerian rotation of a disk. The red-shifted component of the SiO maser emission, which exhibits a double-peak profile in previous single-dish observations, is clearly detected in the present interferometry, while the 1612 MHz OH maser line exhibits a complicated line profile consisting of a single strong peak and many weak, high-velocity spikes. The structure of OH maser emission region is partially resolved, and the kinematic properties of the OH maser emission region are reminiscent observations of a spherically expanding shell, even though the evidence is scant. Collectively, the maser observations described here provide additional support for the evolved star hypothesis for IRAS 19312+1950.Comment: 33 pages, 8 figures, 2 tables; accepted for publication in ApJ; Full resolution version available at http://web.hku.hk/~junichi/paper
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