53 research outputs found

    Providing perioperative care for patients with hip fractures

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    Providing perioperative care for patients with hip fractures can present major challenges for the anaesthesiologist. These patients often have multiple comorbidities, the deterioration of any one of which may have precipitated the fall. A careful balance has to be achieved between minimising the time before operation and spending time to optimise their medical status. This review will present insights into preoperative patient assessment and optimization in this group of patients from the anaesthesiologists’ perspective. In particular, it will highlight important medical issues of concern that may alter anaesthetic risks and management. With a greater understanding of what these issues are, potentially a more prompt and integrated approach to managing these patients may be made. Hopefully, this would result in minimising last minute cancellations due to medical reasons for these patients

    Measuring β-diversity by remote sensing: a challenge for biodiversity monitoring

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    Biodiversity includes multiscalar and multitemporal structures and processes, with different levels of functional organization, from genetic to ecosystemic levels. One of the mostly used methods to infer biodiversity is based on taxonomic approaches and community ecology theories. However, gathering extensive data in the field is difficult due to logistic problems, especially when aiming at modelling biodiversity changes in space and time, which assumes statistically sound sampling schemes. In this context, airborne or satellite remote sensing allows information to be gathered over wide areas in a reasonable time. Most of the biodiversity maps obtained from remote sensing have been based on the inference of species richness by regression analysis. On the contrary, estimating compositional turnover (β‐diversity) might add crucial information related to relative abundance of different species instead of just richness. Presently, few studies have addressed the measurement of species compositional turnover from space. Extending on previous work, in this manuscript, we propose novel techniques to measure β‐diversity from airborne or satellite remote sensing, mainly based on: (1) multivariate statistical analysis, (2) the spectral species concept, (3) self‐organizing feature maps, (4) multidimensional distance matrices, and the (5) Rao's Q diversity. Each of these measures addresses one or several issues related to turnover measurement. This manuscript is the first methodological example encompassing (and enhancing) most of the available methods for estimating β‐diversity from remotely sensed imagery and potentially relating them to species diversity in the field

    No iron fertilization in the equatorial Pacific Ocean during the last ice age

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    The equatorial Pacific Ocean is one of the major high-nutrient, low-chlorophyll regions in the global ocean. In such regions, the consumption of the available macro-nutrients such as nitrate and phosphate is thought to be limited in part by the low abundance of the critical micro-nutrient iron1. Greater atmospheric dust deposition2 could have fertilized the equatorial Pacific with iron during the last ice age—the Last Glacial Period (LGP) but the effect of increased ice-age dust fluxes on primary productivity in the equatorial Pacific remains uncertain. Here we present meridional transects of dust (derived from the 232Th proxy), phytoplankton productivity (using opal, 231Pa/230Th and excess Ba), and the degree of nitrate consumption (using foraminifera-bound δ15N) from six cores in the central equatorial Pacific for the Holocene (0–10,000 years ago) and the LGP (17,000–27,000 years ago). We find that, although dust deposition in the central equatorial Pacific was two to three times greater in the LGP than in the Holocene, productivity was the same or lower, and the degree of nitrate consumption was the same. These biogeochemical findings suggest that the relatively greater ice-age dust fluxes were not large enough to provide substantial iron fertilization to the central equatorial Pacific. This may have been because the absolute rate of dust deposition in the LGP (although greater than the Holocene rate) was very low. The lower productivity coupled with unchanged nitrate consumption suggests that the subsurface major nutrient concentrations were lower in the central equatorial Pacific during the LGP. As these nutrients are today dominantly sourced from the Subantarctic Zone of the Southern Ocean, we propose that the central equatorial Pacific data are consistent with more nutrient consumption in the Subantarctic Zone, possibly owing to iron fertilization as a result of higher absolute dust fluxes in this region7,8. Thus, ice-age iron fertilization in the Subantarctic Zone would have ultimately worked to lower, not raise, equatorial Pacific productivity

    ANDES, the high resolution spectrograph for the ELT: science case, baseline design and path to construction

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    Accelerated surgery versus standard care in hip fracture (HIP ATTACK): an international, randomised, controlled trial

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    EELT-HIRES the high-resolution spectrograph for the E-ELT

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    The first generation of E-ELT instruments will include an optic-infrared High Resolution Spectrograph, conventionally indicated as EELT-HIRES, which will be capable of providing unique breakthroughs in the fields of exoplanets, star and planet formation, physics and evolution of stars and galaxies, cosmology and fundamental physics. A 2-year long phase A study for EELT-HIRES has just started and will be performed by a consortium composed of institutes and organisations from Brazil, Chile, Denmark, France, Germany, Italy, Poland, Portugal, Spain, Sweden, Switzerland and United Kingdom. In this paper we describe the science goals and the preliminary technical concept for EELT-HIRES which will be developed during the phase A, as well as its planned development and consortium organisation during the study.This work was supported from the Italian National Institute for Astrophysics (Istituto Nazionale Italiano di Astrofisica, INAF). RM , DB, CH, MF, XS, DQ and MGH acknowledge support from the UK Science and Technology Facilities Council (STFC). MGH is supported by the ERC Advanced grant Emergence-32056. This work was supported by Fundaçao para a Ciência e a Tecnologia (FCT, Portugal), project ref. PTDC/FIS-AST/1526/2014, through national funds and by FEDER through COMPETE2020 (ref. POCI-01-0145-FEDER-016886), as well as through grant UID/FIS/04434/2013 (POCI-01-0145-FEDER-007672). P.F. and N.C.S. also acknowledge the support from FCT through Investigador FCT contracts of reference IF/01037/2013, IF/00169/2012, and IF/00028/2014, respectively, and POPH/FSE (EC) by FEDER funding through the program “Programa Operacional de Factores de Competitividade - COMPETE”. P.F. further acknowledge support from FCT in the form of exploratory projects of reference IF/01037/2013CP1191/CT0001 and IF/00028/2014/CP1215/CT0002. PJA acknowledges financial support from AYA2011-30147-C03-01 and AYA2014-54348-C3-1-R by MINECO/Spain, partially supported by FEDER funds/EU. Research activities of the Board of Stellar Astronomy, at the Federal University of Rio Grande do Norte are supported by continuous grant of CNPq, FAPERN and CAPES brazilian agencies and by the INCT INEspaço. E.D.M and V.Zh.A. also acknowledge the support from the FCT (Portugal) in the form of the grants SFRH/BPD/76606/2011 and SFRH/BPD/70574/2010, respectively

    Bioactive steroids as contaminants of the common carbon source galactose

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    Most inducible expression vectors for the budding yeast Saccharomyces cerevisiae are based on galactose-inducible promoters. Yeast has been increasingly used to study vertebrate steroid receptors because of its powerful genetics. In principle, both regulatory systems are compatible and can be combined in the same strain. However, we found that commercial galactose can be contaminated by bioactive estrogen and progesterone at concentrations that are sufficient to fully activate their cognate receptors. Since steroids can elicit biological responses in pathogenic fungi and possibly other microorganisms, such contaminants in a commonly used fermentable carbon source may need to be screened fo
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