16,024 research outputs found
Critical care provision after colorectal cancer surgery
Background: Colorectal cancer (CRC) is the 2nd largest cause of cancer related mortality in the UK with 40 000
new patients being diagnosed each year. Complications of CRC surgery can occur in the perioperative period that
leads to the requirement of organ support. The aim of this study was to identify pre-operative risk factors that
increased the likelihood of this occurring.
Methods: This is a retrospective observational study of all 6441 patients who underwent colorectal cancer surgery
within the West of Scotland Region between 2005 and 2011. Logistic regression was employed to determine
factors associated with receiving postoperative organ support.
Results: A total of 610 (9 %) patients received organ support. Multivariate analysis identified age ≥65, male gender,
emergency surgery, social deprivation, heart failure and type II diabetes as being independently associated with
organ support postoperatively. After adjusting for demographic and clinical factors, patients with metastatic disease
appeared less likely to receive organ support (p = 0.012).
Conclusions: Nearly one in ten patients undergoing CRC surgery receive organ support in the post operative
period. We identified several risk factors which increase the likelihood of receiving organ support post operatively.
This is relevant when consenting patients about the risks of CRC surgery
Principles of Chemotherapy and Their Application to the Management of Lymphosarcoma
Most repons of treatment of lymphosarcoma (LSA) in domestic animals have involved canine and feline LSA. The disease in cats differs from that in dogs in that feline LSA is caused by a contagious retrovirus. Controversy has existed as to whether feline leukemia virus (FeLV) positive cats with LSA should be treated because of their danger to other cats, or because of the controversial question of a human health hazard. There has been no proven danger to people, and 30% of cats with LSA are FeLV negative. Some owners elect chemotherapy for their cats regardless of potential risks. As a result of this increasing awareness of pet owners to the potential benefits to be gained by chemotherapy, the practicing veterinarian must be able to skillfully administer chemotherapy to pets who have developed cancer
Response to Comment on `Undamped electrostatic plasma waves' [Phys. Plasmas 19, 092103 (2012)]
Numerical and experimental evidence is given for the occurrence of the
plateau states and concomitant corner modes proposed in \cite{valentini12}. It
is argued that these states provide a better description of reality for small
amplitude off-dispersion disturbances than the conventional
Bernstein-Greene-Kruskal or cnoidal states such as those proposed in
\cite{comment
Colossal dielectric permittivity of BaTiO3-based nanocrystalline ceramics sintered by spark plasma sintering
In pursuit of high permittivity materials for electronic application, there has been a considerable interest recently in the dielectric properties of various perovskite oxides like calcium copper titanate or lanthanum doped barium titanate. When processed in a particular way, this later material present at ambient temperature and at f=1 kHz unusual interesting dielectric properties, a so called “colossal” permittivity value up to several 106 with relatively low dielectric losses. Moreover and contrary to what is classically expected and evidenced for this type of materials, no temperature dependence is observed. This behavior is observed in nanopowders based ceramics. An assumption to explain the observed properties is proposed. These results have important technological applications, since these nanoceramics open a new route to the fabrication of very thin dielectric films
Spatially biased dispersal of acorns by a scatter-hoarding corvid may accelerate passive restoration of oak habitat on California’s largest island
Scatter hoarding by corvids (crows, jays, magpies, and nutcrackers) provides seed dispersal for many large-seeded plants, including oaks and pines. When hoarding seeds, corvids often choose nonrandom locations throughout the landscape, resulting in differential survival of seeds. In the context of habitat restoration, such disproportional storing of seeds in areas suitable for germination and establishment can accelerate expansion and recovery of large-seeded tree populations and their associated ecosystems. Here, we investigate the spatial preferences of island scrub jays Aphelocoma insularis during scatter hoarding of acorns (Quercus spp.) on Santa Cruz Island. We use a large behavioral data set on the birds’ behavior in combination with seedling surveys and spatial analysis to determine whether 1) island scrub jays disproportionally cache seeds in specific habitat types, and 2) whether the preferred habitat type is suitable for oak regeneration. Our results show that the jays nonrandomly cache acorns across the landscape; they use chaparral and coastal sage scrub disproportionally while avoiding open and grassy areas. The areas used most often for caching were also the areas with the highest oak seedling densities. We discuss the potential role of these findings for the recovery of Santa Cruz Island’s oak habitat since the 1980s
Undamped electrostatic plasma waves
Electrostatic waves in a collision-free unmagnetized plasma of electrons with
fixed ions are investigated for electron equilibrium velocity distribution
functions that deviate slightly from Maxwellian. Of interest are undamped waves
that are the small amplitude limit of nonlinear excitations, such as electron
acoustic waves (EAWs). A deviation consisting of a small plateau, a region with
zero velocity derivative over a width that is a very small fraction of the
electron thermal speed, is shown to give rise to new undamped modes, which here
are named {\it corner modes}. The presence of the plateau turns off Landau
damping and allows oscillations with phase speeds within the plateau. These
undamped waves are obtained in a wide region of the plane
( being the real part of the wave frequency and the
wavenumber), away from the well-known `thumb curve' for Langmuir waves and EAWs
based on the Maxwellian. Results of nonlinear Vlasov-Poisson simulations that
corroborate the existence of these modes are described. It is also shown that
deviations caused by fattening the tail of the distribution shift roots off of
the thumb curve toward lower -values and chopping the tail shifts them
toward higher -values. In addition, a rule of thumb is obtained for
assessing how the existence of a plateau shifts roots off of the thumb curve.
Suggestions are made for interpreting experimental observations of
electrostatic waves, such as recent ones in nonneutral plasmas.Comment: 11 pages, 10 figure
Mirror Map as Generating Function of Intersection Numbers: Toric Manifolds with Two K\"ahler Forms
In this paper, we extend our geometrical derivation of expansion coefficients
of mirror maps by localization computation to the case of toric manifolds with
two K\"ahler forms. Especially, we take Hirzebruch surfaces F_{0}, F_{3} and
Calabi-Yau hypersurface in weighted projective space P(1,1,2,2,2) as examples.
We expect that our results can be easily generalized to arbitrary toric
manifold.Comment: 45 pages, 2 figures, minor errors are corrected, English is refined.
Section 1 and Section 2 are enlarged. Especially in Section 2, confusion
between the notion of resolution and the notion of compactification is
resolved. Computation under non-zero equivariant parameters are added in
Section
Compact Brillouin devices through hybrid integration on Silicon
A range of unique capabilities in optical and microwave signal processing
have been demonstrated using stimulated Brillouin scattering. The desire to
harness Brillouin scattering in mass manufacturable integrated circuits has led
to a focus on silicon-based material platforms. Remarkable progress in
silicon-based Brillouin waveguides has been made, but results have been
hindered by nonlinear losses present at telecommunications wavelengths. Here,
we report a new approach to surpass this issue through the integration of a
high Brillouin gain material, As2S3, onto a silicon chip. We fabricated a
compact spiral device, within a silicon circuit, achieving an order of
magnitude improvement in Brillouin amplification. To establish the flexibility
of this approach, we fabricated a ring resonator with free spectral range
precisely matched to the Brillouin shift, enabling the first demonstration of
Brillouin lasing in a silicon integrated circuit. Combining active photonic
components with the SBS devices shown here will enable the creation of compact,
mass manufacturable optical circuits with enhanced functionality
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