52 research outputs found
The Nonlinear Schroedinger Equation with a random potential: Results and Puzzles
The Nonlinear Schroedinger Equation (NLSE) with a random potential is
motivated by experiments in optics and in atom optics and is a paradigm for the
competition between the randomness and nonlinearity. The analysis of the NLSE
with a random (Anderson like) potential has been done at various levels of
control: numerical, analytical and rigorous. Yet, this model equation presents
us with a highly inconclusive and often contradictory picture. We will describe
the main recent results obtained in this field and propose a list of specific
problems to focus on, that we hope will enable to resolve these outstanding
questions.Comment: 21 pages, 4 figure
COVID-19. Pandemic surgery guidance
Abstract â Based on high quality surgery and scientific data, scientists and surgeons are committed to protecting patients as well as healthcare staff and hereby provide this Guidance to address the special issues circumstances related to the exponential spread of the Coronavirus disease 2019 (COVID-19) during this
pandemic. As a basis, the authors used the British Intercollegiate General Surgery Guidance as well as recommendations from the USA, Asia, and Italy. The aim is to take responsibility and to provide guidance for surgery
during the COVID-19 crisis in a simplified way addressing the practice of surgery, healthcare staff and patient
safety and care. It is the responsibility of scientists and the surgical team to specify what is needed for the protection of patients and the affiliated healthcare team. During crises, such as the COVID-19 pandemic, the
responsibility and duty to provide the necessary resources such as filters, Personal Protective Equipment
(PPE) consisting of gloves, fluid resistant (Type IIR) surgical face masks (FRSM), filtering face pieces, class
3 (FFP3 masks), face shields and gowns (plastic ponchos), is typically left up to the hospital administration
and government. Various scientists and clinicians from disparate specialties provided a Pandemic Surgery
Guidance for surgical procedures by distinct surgical disciplines such as numerous cancer surgery disciplines,
cardiothoracic surgery, ENT, eye, dermatology, emergency, endocrine surgery, general surgery, gynecology,
neurosurgery, orthopedics, pediatric surgery, reconstructive and plastic surgery, surgical critical care, transplantation surgery, trauma surgery and urology, performing different surgeries, as well as laparoscopy, thoracoscopy and endoscopy. Any suggestions and corrections from colleagues will be very welcome as we are all
involved and locked in a rapidly evolving process on increasing COVID-19 knowledg
Predictors of pulmonary failure following severe trauma: a trauma registry-based analysis
Background: The incidence of pulmonary failure in trauma patients is considered to be influenced by several factors such as liver injury. We intended to assess the association of various potential predictors of pulmonary failure following thoracic trauma and liver injury.
Methods: Records of 12,585 trauma patients documented in the TraumaRegister DGUÂź of the German Trauma Society were analyzed regarding the potential impact of concomitant liver injury on the incidence of pulmonary failure using uni- and multivariate analyses. Pulmonary failure was defined as pulmonary failure of â„ 3 SOFA-score points for at least two days. Patients were subdivided according to their injury pattern into four groups: group 1: AIS thorax < 3; AIS liver < 3; group 2: AIS thorax â„ 3; AIS liver < 3; group 3: AIS thorax < 3; AIS liver â„ 3 and group 4: AIS thorax â„ 3; AIS liver â„ 3.
Results: Overall, 2643 (21%) developed pulmonary failure, 12% (n= 642) in group 1, 26% (n= 697) in group 2, 16% (n= 30) in group 3, and 36% (n= 188) in group 4. Factors independently associated with pulmonary failure included relevant lung injury, pre-existing medical conditions (PMC), sex, transfusion of more than 10 units of packed red blood cells (PRBC), Glasgow Coma Scale (GCS) †8, and the ISS. However, liver injury was not associated with an increased risk of pulmonary failure following severe trauma in our setting.
Conclusions: Specific factors, but not liver injury, were associated with an increased risk of pulmonary failure following trauma. Trauma surgeons should be aware of these factors for optimized intensive care treatment
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