Magnetic perturbations seen by CHAMP and evaluated using the TIE-GCM

International audienceThe Thermosphere-Ionosphere Electrodynamics General Circulation Model (TIE-GCM) is a self-consistent, global, atmospheric model that can be used to estimate magnetic perturbations at satellite altitude. These computed perturbations can then be compared with the magnetic vector data provided by low-earth orbiting satellites. In this initial study, the quietest day of each month from 2001?2005 was selected for comparison. CHAMP magnetic vector residuals were computed for these intervals using the CHAOS model to remove core and crustal geomagnetic contributions. Under various input parameters, the TIE-GCM predictions were compared with the CHAMP residuals on an orbit by orbit basis. Initial results demonstrate a reasonable agreement between the TIE-GCM estimates and the CHAMP residuals in non-polar, dayside regions (±50° magnetic latitude) where both are able to resolve the Equatorial Electro-Jet (EEJ) and solar quiet (Sq) current systems. Although no clear component or temporal correlation was discerned, evidence showing the decrease in residual comparisons presents the possibility of using the TIE-GCM to pre-process geomagnetic data for main field modeling purposes

Temporal changes in the epidemiology, management, and outcome from acute respiratory distress syndrome in European intensive care units: a comparison of two large cohorts

Background: Mortality rates for patients with ARDS remain high. We assessed temporal changes in the epidemiology and management of ARDS patients requiring invasive mechanical ventilation in European ICUs. We also investigated the association between ventilatory settings and outcome in these patients. Methods: This was a post hoc analysis of two cohorts of adult ICU patients admitted between May 1–15, 2002 (SOAP study, n = 3147), and May 8–18, 2012 (ICON audit, n = 4601 admitted to ICUs in the same 24 countries as the SOAP study). ARDS was defined retrospectively using the Berlin definitions. Values of tidal volume, PEEP, plateau pressure, and FiO2 corresponding to the most abnormal value of arterial PO2 were recorded prospectively every 24 h. In both studies, patients were followed for outcome until death, hospital discharge or for 60 days. Results: The frequency of ARDS requiring mechanical ventilation during the ICU stay was similar in SOAP and ICON (327[10.4%] vs. 494[10.7%], p = 0.793). The diagnosis of ARDS was established at a median of 3 (IQ: 1–7) days after admission in SOAP and 2 (1–6) days in ICON. Within 24 h of diagnosis, ARDS was mild in 244 (29.7%), moderate in 388 (47.3%), and severe in 189 (23.0%) patients. In patients with ARDS, tidal volumes were lower in the later (ICON) than in the earlier (SOAP) cohort. Plateau and driving pressures were also lower in ICON than in SOAP. ICU (134[41.1%] vs 179[36.9%]) and hospital (151[46.2%] vs 212[44.4%]) mortality rates in patients with ARDS were similar in SOAP and ICON. High plateau pressure (> 29 cmH2O) and driving pressure (> 14 cmH2O) on the first day of mechanical ventilation but not tidal volume (> 8 ml/kg predicted body weight [PBW]) were independently associated with a higher risk of in-hospital death. Conclusion: The frequency of and outcome from ARDS remained relatively stable between 2002 and 2012. Plateau pressure > 29 cmH2O and driving pressure > 14 cmH2O on the first day of mechanical ventilation but not tidal volume > 8 ml/kg PBW were independently associated with a higher risk of death. These data highlight the continued burden of ARDS and provide hypothesis-generating data for the design of future studies

The clinical relevance of oliguria in the critically ill patient : Analysis of a large observational database

Funding Information: Marc Leone reports receiving consulting fees from Amomed and Aguettant; lecture fees from MSD, Pfizer, Octapharma, 3 M, Aspen, Orion; travel support from LFB; and grant support from PHRC IR and his institution. JLV is the Editor-in-Chief of Critical Care. The other authors declare that they have no relevant financial interests. Publisher Copyright: © 2020 The Author(s). Copyright: Copyright 2020 Elsevier B.V., All rights reserved.Background: Urine output is widely used as one of the criteria for the diagnosis and staging of acute renal failure, but few studies have specifically assessed the role of oliguria as a marker of acute renal failure or outcomes in general intensive care unit (ICU) patients. Using a large multinational database, we therefore evaluated the occurrence of oliguria (defined as a urine output 16 years) patients in the ICON audit who had a urine output measurement on the day of admission were included. To investigate the association between oliguria and mortality, we used a multilevel analysis. Results: Of the 8292 patients included, 2050 (24.7%) were oliguric during the first 24 h of admission. Patients with oliguria on admission who had at least one additional 24-h urine output recorded during their ICU stay (n = 1349) were divided into three groups: transient - oliguria resolved within 48 h after the admission day (n = 390 [28.9%]), prolonged - oliguria resolved > 48 h after the admission day (n = 141 [10.5%]), and permanent - oliguria persisting for the whole ICU stay or again present at the end of the ICU stay (n = 818 [60.6%]). ICU and hospital mortality rates were higher in patients with oliguria than in those without, except for patients with transient oliguria who had significantly lower mortality rates than non-oliguric patients. In multilevel analysis, the need for RRT was associated with a significantly higher risk of death (OR = 1.51 [95% CI 1.19-1.91], p = 0.001), but the presence of oliguria on admission was not (OR = 1.14 [95% CI 0.97-1.34], p = 0.103). Conclusions: Oliguria is common in ICU patients and may have a relatively benign nature if only transient. The duration of oliguria and need for RRT are associated with worse outcome.publishersversionPeer reviewe

Magnetic perturbations seen by CHAMP and evaluated using the TIE-GCM

The Thermosphere-Ionosphere Electrodynamics General Circulation Model (TIE-GCM) is a self-consistent, global, atmospheric model that can be used to estimate magnetic perturbations at satellite altitude. These computed perturbations can then be compared with the magnetic vector data provided by low-earth orbiting satellites. In this initial study, the quietest day of each month from 2001–2005 was selected for comparison. CHAMP magnetic vector residuals were computed for these intervals using the CHAOS model to remove core and crustal geomagnetic contributions. Under various input parameters, the TIE-GCM predictions were compared with the CHAMP residuals on an orbit by orbit basis. Initial results demonstrate a reasonable agreement between the TIE-GCM estimates and the CHAMP residuals in non-polar, dayside regions (±50° magnetic latitude) where both are able to resolve the Equatorial Electro-Jet (EEJ) and solar quiet (Sq) current systems. Although no clear component or temporal correlation was discerned, evidence showing the decrease in residual comparisons presents the possibility of using the TIE-GCM to pre-process geomagnetic data for main field modeling purposes

Exposure to hydrocarbons and renal disease: an experimental animal model

This study documented the ability of chronic styrene inhalation to induce renal dysfunction and interstitial fubrosis in a rat model