116 research outputs found
On the influence of the cosmological constant on gravitational lensing in small systems
The cosmological constant Lambda affects gravitational lensing phenomena. The
contribution of Lambda to the observable angular positions of multiple images
and to their amplification and time delay is here computed through a study in
the weak deflection limit of the equations of motion in the Schwarzschild-de
Sitter metric. Due to Lambda the unresolved images are slightly demagnified,
the radius of the Einstein ring decreases and the time delay increases. The
effect is however negligible for near lenses. In the case of null cosmological
constant, we provide some updated results on lensing by a Schwarzschild black
hole.Comment: 8 pages, 1 figure; v2: extended discussion on the lens equation,
references added, results unchanged, in press on PR
Mortality and pulmonary complications in patients undergoing surgery with perioperative SARS-CoV-2 infection: an international cohort study
Background: The impact of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) on postoperative recovery needs to be understood to inform clinical decision making during and after the COVID-19 pandemic. This study reports 30-day mortality and pulmonary complication rates in patients with perioperative SARS-CoV-2 infection. Methods: This international, multicentre, cohort study at 235 hospitals in 24 countries included all patients undergoing surgery who had SARS-CoV-2 infection confirmed within 7 days before or 30 days after surgery. The primary outcome measure was 30-day postoperative mortality and was assessed in all enrolled patients. The main secondary outcome measure was pulmonary complications, defined as pneumonia, acute respiratory distress syndrome, or unexpected postoperative ventilation. Findings: This analysis includes 1128 patients who had surgery between Jan 1 and March 31, 2020, of whom 835 (74·0%) had emergency surgery and 280 (24·8%) had elective surgery. SARS-CoV-2 infection was confirmed preoperatively in 294 (26·1%) patients. 30-day mortality was 23·8% (268 of 1128). Pulmonary complications occurred in 577 (51·2%) of 1128 patients; 30-day mortality in these patients was 38·0% (219 of 577), accounting for 81·7% (219 of 268) of all deaths. In adjusted analyses, 30-day mortality was associated with male sex (odds ratio 1·75 [95% CI 1·28–2·40], p\textless0·0001), age 70 years or older versus younger than 70 years (2·30 [1·65–3·22], p\textless0·0001), American Society of Anesthesiologists grades 3–5 versus grades 1–2 (2·35 [1·57–3·53], p\textless0·0001), malignant versus benign or obstetric diagnosis (1·55 [1·01–2·39], p=0·046), emergency versus elective surgery (1·67 [1·06–2·63], p=0·026), and major versus minor surgery (1·52 [1·01–2·31], p=0·047). Interpretation: Postoperative pulmonary complications occur in half of patients with perioperative SARS-CoV-2 infection and are associated with high mortality. Thresholds for surgery during the COVID-19 pandemic should be higher than during normal practice, particularly in men aged 70 years and older. Consideration should be given for postponing non-urgent procedures and promoting non-operative treatment to delay or avoid the need for surgery. Funding: National Institute for Health Research (NIHR), Association of Coloproctology of Great Britain and Ireland, Bowel and Cancer Research, Bowel Disease Research Foundation, Association of Upper Gastrointestinal Surgeons, British Association of Surgical Oncology, British Gynaecological Cancer Society, European Society of Coloproctology, NIHR Academy, Sarcoma UK, Vascular Society for Great Britain and Ireland, and Yorkshire Cancer Research
Training and skill of trackmen : argument before the Board of Arbitration on Louisville and Nashville railroad in support of the claim of employees that trackmen are not common laborers.
"Prepared by L. E. Keller."Mode of access: Internet
Hydrogeology and simulation of ground-water flow in the Ohio River alluvial aquifer near West Point, Kentucky /
Includes bibliographical references (p. 56).Mode of access: Internet
Techniques for estimating the quantity and quality of storm runoff from urban watersheds of Jefferson County, Kentucky /
Shipping list no.: 94-0255-P.Includes bibliographical references (p. 38-39).Mode of access: Internet
Yields of selected constituents in base flow and stormflow in urban watersheds of Jefferson County, Kentucky, 1988-92 /
Shipping list no.: 94-0349-P.Includes bibliographical references (p. 42-43).Mode of access: Internet
“Mama, I can’t breathe.” Louisville’s dirty air has steep medical and economic costs
Water quality of selected streams in Jefferson County, Kentucky, 1988-91 /
Shipping list no.: 93-0221-P.Includes bibliographical references (p. 91-94).Mode of access: Internet
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