Conformal mass in Einstein-Gauss-Bonnet AdS gravity

In this paper, we show that the physical information given by conserved charges for asymptotically AdS spacetimes in Einstein-Gauss-Bonnet AdS gravity is encoded in the electric part of the Weyl tensor. This result generalizes the conformal mass definition by Ashtekar-Magnon-Das (AMD) to a gravity theory with a Gauss-Bonnet term. This proof makes use of the Noether charges obtained from an action renormalized by the addition of counterterms which depend on the extrinsic curvature (Kounterterms). If the asymptotic fall-off behaviour of the Weyl tensor is same as the one considered in the AMD method, then the Kounterterm charges and the AMD charges agree in any dimension.Comment: 21 pages, references added, typos corrected, version to appear in Phys. Rev.

Effect of bisacodyl on postoperative bowel motility in elective colorectal surgery: a prospective, randomized trial

Background: Postoperative ileus is a common condition after abdominal surgery. Many prokinetic drugs have been evaluated including osmotic laxatives. The data on colon-stimulating laxatives are scarce. This prospective, randomized, double-blind trial investigates the effect of the colon-stimulating laxative bisacodyl on postoperative ileus in elective colorectal resections. Materials and methods: Between November 2004 and February 2007, 200 consecutive patients were randomly assigned to receive either bisacodyl or placebo. Primary endpoint was time to gastrointestinal recovery (mean time to first flatus passed, first defecation, and first solid food tolerated; GI-3). Secondary endpoints were incidence and duration of nasogastric tube reinsertion, incidence of vomiting, length of hospital stay, and visual analogue scores for pain, cramps, and nausea. Results: One hundred sixty-nine patients were analyzed, and 31 patients discontinued the study. Groups were comparable in baseline demographics. Time to GI-3 was significantly shorter in the bisacodyl group (3.0 versus 3.7days, P = 0.007). Of the single parameters defining GI-3, there was a 1-day difference in time to defecation in favor to the bisacodyl group (3.0 versus 4.0days, P = 0.001), whereas no significant difference in time to first flatus or tolerance of solid food was seen. No significant difference in the secondary endpoints was seen. Morbidity and mortality did not differ between groups. Conclusion: Bisacodyl accelerated gastrointestinal recovery and might be considered as part of multimodal recovery programs after colorectal surger

Hamilton-Jacobi Counterterms for Einstein-Gauss-Bonnet Gravity

The on-shell gravitational action and the boundary stress tensor are essential ingredients in the study of black hole thermodynamics. We employ the Hamilton-Jacobi method to calculate the boundary counterterms necessary to remove the divergences and allow the study of the thermodynamics of Einstein-Gauss-Bonnet black holes.Comment: 21 pages, LaTe

Generalizing Galileons

The Galileons are a set of terms within four-dimensional effective field theories, obeying symmetries that can be derived from the dynamics of a 3+1-dimensional flat brane embedded in a 5-dimensional Minkowski Bulk. These theories have some intriguing properties, including freedom from ghosts and a non-renormalization theorem that hints at possible applications in both particle physics and cosmology. In this brief review article, we will summarize our attempts over the last year to extend the Galileon idea in two important ways. We will discuss the effective field theory construction arising from co-dimension greater than one flat branes embedded in a flat background - the multiGalileons - and we will then describe symmetric covariant versions of the Galileons, more suitable for general cosmological applications. While all these Galileons can be thought of as interesting four-dimensional field theories in their own rights, the work described here may also make it easier to embed them into string theory, with its multiple extra dimensions and more general gravitational backgrounds.Comment: 16 pages; invited brief review article for a special issue of Classical and Quantum Gravity. Submitted to CQ

Gravity duals for logarithmic conformal field theories

Logarithmic conformal field theories with vanishing central charge describe systems with quenched disorder, percolation or dilute self-avoiding polymers. In these theories the energy momentum tensor acquires a logarithmic partner. In this talk we address the construction of possible gravity duals for these logarithmic conformal field theories and present two viable candidates for such duals, namely theories of massive gravity in three dimensions at a chiral point.Comment: 15 pages, 1 figure, invited plenary talk at the First Mediterranean Conference on Classical and Quantum Gravity, v2: published version, corrected typo in left eq. (5

A Multispecialty Evaluation of Thiel Cadavers for Surgical Training

Background: Changes in UK legislation allow for surgical procedures to be performed on cadavers. The aim of this study was to assess Thiel cadavers as high-fidelity simulators and to examine their suitability for surgical training. Methods: Surgeons from various specialties were invited to attend a 1 day dissection workshop using Thiel cadavers. The surgeons completed a baseline questionnaire on cadaveric simulation. At the end of the workshop, they completed a similar questionnaire based on their experience with Thiel cadavers. Comparing the answers in the pre- and post-workshop questionnaires assessed whether using Thiel cadavers had changed the surgeons’ opinions of cadaveric simulation. Results: According to the 27 participants, simulation is important for surgical training and a full-procedure model is beneficial for all levels of training. Currently, there is dissatisfaction with existing models and a need for high-fidelity alternatives. After the workshop, surgeons concluded that Thiel cadavers are suitable for surgical simulation (p = 0.015). Thiel were found to be realistic (p < 0.001) to have reduced odour (p = 0.002) and be more cost-effective (p = 0.003). Ethical constraints were considered to be small. Conclusion: Thiel cadavers are suitable for training in most surgical specialties

The influence of the deposition parameters on the porosity of thin alumina films on steel

The influence of the deposition parameters on the porosity of thin alumina films electrophoretically deposited on steel from aqueous suspensions was investigated. The effects of the applied voltage, deposition time, suspension temperature and the solid content of the aqueous suspension on the porosity of the obtained alumina films have been determined using optical microscopy coupled with image analysis. It was shown that the lowest film porosity was obtained from a suspension containing 20 wt.% alumina powder at the lowest applied voltage (30 V), for a longer deposition time (10 min) using a suspension temperature of 30 degreesC. This behavior can be explained by the smaller amount of hydrogen evolved on the cathode during the electrophoretic deposition process

Epidemiology, practice of ventilation and outcome for patients at increased risk of postoperative pulmonary complications

BACKGROUND Limited information exists about the epidemiology and outcome of surgical patients at increased risk of postoperative pulmonary complications (PPCs), and how intraoperative ventilation was managed in these patients. OBJECTIVES To determine the incidence of surgical patients at increased risk of PPCs, and to compare the intraoperative ventilation management and postoperative outcomes with patients at low risk of PPCs. DESIGN This was a prospective international 1-week observational study using the ‘Assess Respiratory Risk in Surgical Patients in Catalonia risk score’ (ARISCAT score) for PPC for risk stratification. PATIENTS AND SETTING Adult patients requiring intraoperative ventilation during general anaesthesia for surgery in 146 hospitals across 29 countries. MAIN OUTCOME MEASURES The primary outcome was the incidence of patients at increased risk of PPCs based on the ARISCAT score. Secondary outcomes included intraoperative ventilatory management and clinical outcomes. RESULTS A total of 9864 patients fulfilled the inclusion criteria. The incidence of patients at increased risk was 28.4%. The most frequently chosen tidal volume (VT) size was 500 ml, or 7 to 9 ml kg1 predicted body weight, slightly lower in patients at increased risk of PPCs. Levels of positive end-expiratory pressure (PEEP) were slightly higher in patients at increased risk of PPCs, with 14.3% receiving more than 5 cmH2O PEEP compared with 7.6% in patients at low risk of PPCs (P < 0.001). Patients with a predicted preoperative increased risk of PPCs developed PPCs more frequently: 19 versus 7%, relative risk (RR) 3.16 (95% confidence interval 2.76 to 3.61), P < 0.001) and had longer hospital stays. The only ventilatory factor associated with the occurrence of PPCs was the peak pressure. CONCLUSION The incidence of patients with a predicted increased risk of PPCs is high. A large proportion of patients receive high VT and low PEEP levels. PPCs occur frequently in patients at increased risk, with worse clinical outcome

IntAct: intra-operative fluorescence angiography to prevent anastomotic leak in rectal cancer surgery: a randomized controlled trial

This is the final version. Available on open access from Wiley via the DOI in this recordTrial protocolAim Anastomotic leak (AL) is a major complication of rectal cancer surgery. Despite advances in surgical practice, the rates of AL have remained static, at around 10–15%. The aetiology of AL is multifactorial, but one of the most crucial risk factors, which is mostly under the control of the surgeon, is blood supply to the anastomosis. The MRC/NIHR IntAct study will determine whether assessment of anastomotic perfusion using a fluorescent dye (indocyanine green) and near‐infrared laparoscopy can minimize the rate of AL leak compared with conventional white‐light laparoscopy. Two mechanistic sub‐studies will explore the role of the rectal microbiome in AL and the predictive value of CT angiography/perfusion studies. Method IntAct is a prospective, unblinded, parallel‐group, multicentre, European, randomized controlled trial comparing surgery with intra‐operative fluorescence angiography (IFA) against standard care (surgery with no IFA). The primary end‐point is rate of clinical AL at 90 days following surgery. Secondary end‐points include all AL (clinical and radiological), change in planned anastomosis, complications and re‐interventions, use of stoma, cost‐effectiveness of the intervention and quality of life. Patients should have a diagnosis of adenocarcinoma of the rectum suitable for potentially curative surgery by anterior resection. Over 3 years, 880 patients from 25 European centres will be recruited and followed up for 90 days. Discussion IntAct will rigorously evaluate the use of IFA in rectal cancer surgery and explore the role of the microbiome in AL and the predictive value of preoperative CT angiography/perfusion scanning.This project is funded by the Efficacy and Mechanism Evaluation (EME) Programme, an MRC and NIHR partnership (Grant Ref: 14/150/62). The EME Programme is funded by the MRC and NIHR, with contributions from the CSO in Scotland and Health and Care Research Wales and the HSC R&D Division, Public Health Agency in Northern Ireland