Ohio Livestock Waste Management Guide

PDF pages: 3

Structure of trimethylplatinum(IV) with a tripod ligand

[1(η^5)-Cyclopentadienyl]-tris-µ-(dimethyl-phosphito-1κP:2κO)(trimethyl-2κ^3C)cobaltplatinum, [CoPt(C_2H_6O_3P)_3(C_5H_5)(CH_3)_3], M_r = 691.35, triclinic, P1, a = 9.106(3), b = 14.803(3), c = 15.147(3) Å, α = 112.95(2), β = 103.68(2), γ = 95.10(2)°, V = 1788.9(9) Å^3, Z = 3, D_x = 1.93 g cm^(-3), λ(Mo Kα) = 0.71073 Å, µ = 68.69 cm^(-1), F(000) = 1014, room temperature, R = 0.038 for 4620 reflections with F_o^2 > 3σ(F_o^2). The trimethylplatinum(IV) completes octahedral coordination by bonding to three O atoms of the tripod-shaped methoxy Kläui ligand. There are two independent molecules in the cell, one disordered about a center of symmetry. The ordered molecule has normal bond distances and angles; Pt-C = 2.001 (11) and Pt-O = 2.173(5) Å. Many distances in the disordered molecule are uncertain, particularly in the areas of the Cp C atoms and the CH_3 groups, which overlap in the two orientations

Feasibility of Prehospital Emergency Anesthesia in the Cabin of an AW169 Helicopter Wearing Personal Protective Equipment During Coronavirus Disease 2019

OBJECTIVE: Pre-hospital emergency anaesthesia in the form of rapid sequence intubation (RSI) is a critical intervention delivered by advanced pre-hospital critical care teams. Our previous simulation study determined the feasibility of in-aircraft RSI. We now examine whether this feasibility is preserved in a simulated setting, when clinicians wear personal protective equipment (PPE) for aerosol-generating procedures (AGP) for in-aircraft, on-the-ground RSI. METHODS: Air Ambulance Kent Surrey Sussex is a Helicopter Emergency Medical Service (HEMS) which utilises an AW169 cabin simulator. Wearing full AGP PPE (eye protection, FFP3 mask, gown, gloves), 10 doctor-paramedic teams performed RSI in a standard “can intubate, can ventilate” scenario and a “can't intubate, can't oxygenate” (CICO) scenario. Pre-specified timings were reported, and participant feedback was sought by questionnaire. RESULTS: RSI was most commonly performed by direct laryngoscopy and was successfully achieved in all scenarios. Time to completed endotracheal intubation (ETI) was fastest (287s) in the standard scenario and slower (370s, p=.01) in the CICO scenario. Time to ETI was not significantly delayed by wearing PPE in the standard (p=.19) or CICO variant (p=.97). Communication challenges, equipment complications and PPE difficulties were reported, but ways to mitigate these also reported. CONCLUSION: In-aircraft RSI (aircraft on-the-ground) whilst wearing PPE for AGPs had no significant impact on time to successful completion of ETI in a simulated setting. Patient safety is paramount in civilian HEMS, but the adoption of in-aircraft RSI could confer significant patient benefit in terms of pre-hospital time saving and further research is warranted

Raising a Small Flock of Sheep in Ohio

PDF pages: 1

Understanding prehospital blood transfusion decision-making for injured patients : an interview study

Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.Peer reviewe

Coronagraphic Wavefront Control for the ATLAST-9.2m Telescope

The Advanced Technology for Large Aperture Space Telescope (ATLAST) concept was assessed as one of the NASA Astrophysics Strategic Mission Concepts (ASMC) studies. Herein we discuss the 9.2-meter diameter segmented aperture version and its wavefront sensing and control (WFSC) with regards to coronagraphic detection and spectroscopic characterization of exoplanets. The WFSC would consist of at least two levels of sensing and control: (i) an outer coarser level of sensing and control to phase and control the segments and secondary mirror in a manner similar to the James Webb Space Telescope but operating at higher temporal bandwidth, and (ii) an inner, coronagraphic instrument based, fine level of sensing and control for both amplitude and wavefront errors operating at higher temporal bandwidths. The outer loop would control rigid-body actuators on the primary and secondary mirrors while the inner loop would control one or more segmented deformable mirror to suppress the starlight within the coronagraphic field-of view. Herein we discuss the visible nulling coronagraph (VNC) and the requirements it levies on wavefront sensing and control and show the results of closed-loop simulations to assess performance and evaluate the trade space of system level stability versus control bandwidth

Immunolocalization and temporal distribution of cytokine expression during the development of vein graft intimal hyperplasia in an experimental model

AbstractPurpose: Vein graft stenosis caused by intimal hyperplasia (IH) accounts for 30% to 50% of late bypass graft failures; however, the biochemical mediators of vein graft IH have been poorly defined. We attempted to evaluate the spatial and temporal distribution of five principal cytokines (interleukin-1 beta [IL-1β], platelet-derived growth factor AA [PDGF-AA], basic fibroblast growth factor [bFGF], interferon gamma [INFγ], and tumor necrosis factor alpha [TNF-α]) during the development of IH in a rat vein graft model.Methods: Rat epigastric vein interposition grafts in the femoral artery were harvested at 6 hours, 2 days, 1 week, 2 weeks, and 4 weeks after the grafting procedure and studied with immunohistochemical and standard histologic techniques. The cytokine expression in the endothelium and media/neointima was quantified as the percentage of immunopositive cells per high-power field.Results: Maximal hyperplasia occurred 2 weeks after the grafting procedure. Peak expression of IL-1β and bFGF occurred by 2 days. PDGF-AA expression paralleled the development of IH, peaking at 2 weeks and then declining. TNF-α expression increased at 1 week and remained elevated. INFγ was seen only in control grafts.Conclusions: The coordinated early release of IL-1β and bFGF and the down-regulation of INFγ seem to trigger an inflammatory response, thereby initiating IH. The process then is propagated by the release of PDGF-AA and TNF-α, with concomitant smooth muscle cell proliferation and production of extracellular matrix. It is likely that this complex milieu of local paracrine signaling is required to generate the hyperplastic response seen in failing vein grafts. (J Vasc Surg 1996;24:463-71.