A922 Sequential measurement of 1 hour creatinine clearance (1-CRCL) in critically ill patients at risk of acute kidney injury (AKI)

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The hierarchical nature of the spin alignment of dark matter haloes in filaments

Dark matter haloes in cosmological filaments and walls have (in average) their spin vector aligned with their host structure. While haloes in walls are aligned with the plane of the wall independently of their mass, haloes in filaments present a mass-dependent two-regime orientation. Here, we show that the transition mass determining the change in the alignment regime (from parallel to perpendicular) depends on the hierarchical level in which the halo is located, reflecting the hierarchical nature of the Cosmic Web. By explicitly exposing the hierarchical structure of the CosmicWeb, we are able to identify the contributions of different components of the filament network to the alignment signal. We propose a unifying picture of angular momentum acquisition that is based on the results presented here and previous results found by other authors. In order to do a hierarchical characterization of the Cosmic Web, we introduce a new implementation of the multiscale morphology filter, the MMF-2, that significantly improves the identification of structures and explicitly describes their hierarchy. © 2014 The Authors Published by Oxford University Press on behalf of the Royal Astronomical Society

Preoperative nasopharyngeal swab testing and postoperative pulmonary complications in patients undergoing elective surgery during the SARS-CoV-2 pandemic.

BACKGROUND: Surgical services are preparing to scale up in areas affected by COVID-19. This study aimed to evaluate the association between preoperative SARS-CoV-2 testing and postoperative pulmonary complications in patients undergoing elective cancer surgery. METHODS: This international cohort study included adult patients undergoing elective surgery for cancer in areas affected by SARS-CoV-2 up to 19 April 2020. Patients suspected of SARS-CoV-2 infection before operation were excluded. The primary outcome measure was postoperative pulmonary complications at 30 days after surgery. Preoperative testing strategies were adjusted for confounding using mixed-effects models. RESULTS: Of 8784 patients (432 hospitals, 53 countries), 2303 patients (26.2 per cent) underwent preoperative testing: 1458 (16.6 per cent) had a swab test, 521 (5.9 per cent) CT only, and 324 (3.7 per cent) swab and CT. Pulmonary complications occurred in 3.9 per cent, whereas SARS-CoV-2 infection was confirmed in 2.6 per cent. After risk adjustment, having at least one negative preoperative nasopharyngeal swab test (adjusted odds ratio 0.68, 95 per cent confidence interval 0.68 to 0.98; P = 0.040) was associated with a lower rate of pulmonary complications. Swab testing was beneficial before major surgery and in areas with a high 14-day SARS-CoV-2 case notification rate, but not before minor surgery or in low-risk areas. To prevent one pulmonary complication, the number needed to swab test before major or minor surgery was 18 and 48 respectively in high-risk areas, and 73 and 387 in low-risk areas. CONCLUSION: Preoperative nasopharyngeal swab testing was beneficial before major surgery and in high SARS-CoV-2 risk areas. There was no proven benefit of swab testing before minor surgery in low-risk areas