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Supplemental peri-operative intravenous crystalloids for postoperative nausea and vomiting: an abridged Cochrane systematic review.
We conducted a Cochrane systematic review on the effectiveness of supplemental intravenous crystalloid administration in preventing postoperative nausea and vomiting. We included randomised controlled trials of patients undergoing surgery under general anaesthesia and given supplemental peri-operative intravenous crystalloid. Our primary outcomes were the risk of postoperative nausea and the risk of postoperative vomiting. We assessed the risk of bias for each included study and applied the Grading of Recommendations, Assessment, Development and Evaluations (GRADE) framework for the certainty of evidence. We included 41 studies. We found that the intervention probably reduces the overall risk of postoperative nausea, the risk ratio (95%CI) being 0.62 (0.51-0.75) (I2 = 57%, p < 0.00001, 18 studies; 1766 participants; moderate-certainty evidence). It also probably reduces the risk of postoperative nausea within 6 h of surgery, with a risk ratio (95%CI) of 0.67 (0.58 to 0.78) (I2 = 9%, p < 0.00001, 20 studies; 2310 participants; moderate-certainty evidence) and by around 24 h, the risk ratio (95%CI) being 0.47 (0.32-0.69) (I2 = 38%, p = 0.0001, 17 studies; 1682 participants; moderate-certainty evidence). Supplemental intravenous crystalloid probably also reduces the overall risk of postoperative vomiting, with a risk ratio (95%CI) of 0.50 (0.40-0.63) (I2 = 31%, p < 0.00001, 20 studies; 1970 participants; moderate-certainty evidence). The beneficial effect on vomiting was seen both within 6 h and by around 24 h postoperatively
Supernova enrichment of planetary systems in low-mass star clusters
The presence and abundance of short lived radioisotopes (SLRs) Al and Fe in chondritic meteorites implies that the Sun formed in the vicinity of one or more massive stars that exploded as supernovae (SNe). Massive stars are more likely to form in massive star clusters (1000 M) than lower mass clusters. However, photoevaporation of protoplanetary discs from massive stars and dynamical interactions with passing stars can inhibit planet formation in clusters with radii of 1 pc. We investigate whether low-mass (50 - 200 M) star clusters containing one or two massive stars are a more likely avenue for early Solar system enrichment as they are more dynamically quiescent. We analyse -body simulations of the evolution of these low-mass clusters and find that a similar fraction of stars experience supernova enrichment than in high mass clusters, despite their lower densities. This is due to two-body relaxation, which causes a significant expansion before the first supernova even in clusters with relatively low (100 stars pc) initial densities. However, because of the high number of low mass clusters containing one or two massive stars, the absolute number of enriched stars is the same, if not higher than for more populous clusters. Our results show that direct enrichment of protoplanetary discs from supernovae occurs as frequently in low mass clusters containing one or two massive stars (>20 M) as in more populous star clusters (1000 M). This relaxes the constraints on the direct enrichment scenario and therefore the birth environment of the Solar System
Outstanding Issues in Solar Dynamo Theory
The magnetic activity of the Sun, as manifested in the sunspot cycle,
originates deep within its convection zone through a dynamo mechanism which
involves non-trivial interactions between the plasma and magnetic field in the
solar interior. Recent advances in magnetohydrodynamic dynamo theory have led
us closer towards a better understanding of the physics of the solar magnetic
cycle. In conjunction, helioseismic observations of large-scale flows in the
solar interior has now made it possible to constrain some of the parameters
used in models of the solar cycle. In the first part of this review, I briefly
describe this current state of understanding of the solar cycle. In the second
part, I highlight some of the outstanding issues in solar dynamo theory related
to the the nature of the dynamo -effect, magnetic buoyancy and the
origin of Maunder-like minima in activity. I also discuss how poor constraints
on key physical processes such as turbulent diffusion, meridional circulation
and turbulent flux pumping confuse the relative roles of these vis-a-vis
magnetic flux transport. I argue that unless some of these issues are
addressed, no model of the solar cycle can claim to be ``the standard model'',
nor can any predictions from such models be trusted; in other words, we are
still not there yet.Comment: To appear in "Magnetic Coupling between the Interior and the
Atmosphere of the Sun", eds. S.S. Hasan and R.J. Rutten, Astrophysics and
Space Science Proceedings, Springer-Verlag, Heidelberg, Berlin, 200
A Perspective of Preconception Health Activities in the United States
Objectives: Information regarding the type and scope of preconception care programs in the United States is scant. We evaluated State Title V measurement and indicator data and abstracts presented at the National Summit on Preconception Care (June 2005) in order to identify existing programs and innovative strategies for preconception health promotion. Methods: We used the web-based Title V Information System to identify state Performance Measures and Priority Needs pertaining to preconception health as reported for the 2005–2010 Needs Assessment Cycle. We also present a detailed summary of the abstracts presented at the National Summit on Preconception Care. Results: A total of 23 states reported a Priority Need that focused on preconception health and health care. Forty-two states and jurisdictions identified a Performance Measure associated with preconception health or a related indicator (e.g., folic acid, birth spacing, family planning, unintended pregnancy, and healthy weight). Nearly 60 abstracts pertaining to preconception care were presented at the National Summit and included topics such as research, programs, patient or provider toolkits, clinical practice strategies, and public policy. Conclusions: Strategies for improving preconception health have been incorporated into numerous programs throughout the United States. Widespread recognition of the benefits of preconception health promotion is evidenced by the number of states identifying related indicators
An exploratory study of information sources and key findings on UK cocaine-related deaths.
Cocaine-related deaths have increased since the early 1990s in Europe, including the UK. Being multi-factorial, they are difficult to define, detect and record. The European Monitoring Centre for Drugs and Drug Addiction commissioned research to: describe trends reported to Special Mortality Registries and General Mortality Registers; provide demographic and drug-use characteristic information of cases; and establish how deaths are identified and classified. A questionnaire was developed and piloted amongst all European Monitoring Centre for Drugs and Drug Addiction Focal Point experts/Special Mortality Registries: 19 (63%) responded; nine countries provided aggregated data. UK General Mortality Registers use cause of death and toxicology to identify cocaine-related deaths. Categorisation is based on International Classification of Diseases codes. Special Mortality Registries use toxicology, autopsy, evidence and cause of death. The cocaine metabolites commonly screened for are: benzoylecgonine, ecgonine methyl ester, cocaethylene and ecgonine. The 2000s saw a generally accelerating upward trend in cases, followed by a decline in 2009. The UK recorded 2700-2900 deaths during 1998-2012. UK Special Mortality Registry data (2005-2009) indicate: 25-44 year-olds account for 74% of deaths; mean age=34 (range 15-81) years; 84% male. Cocaine overdoses account for two-thirds of cases; cocaine alone being mentioned/implicated in 23% in the UK. Opioids are involved in most (58%) cocaine overdose cases
Calculating Unknown Eigenvalues with a Quantum Algorithm
Quantum algorithms are able to solve particular problems exponentially faster
than conventional algorithms, when implemented on a quantum computer. However,
all demonstrations to date have required already knowing the answer to
construct the algorithm. We have implemented the complete quantum phase
estimation algorithm for a single qubit unitary in which the answer is
calculated by the algorithm. We use a new approach to implementing the
controlled-unitary operations that lie at the heart of the majority of quantum
algorithms that is more efficient and does not require the eigenvalues of the
unitary to be known. These results point the way to efficient quantum
simulations and quantum metrology applications in the near term, and to
factoring large numbers in the longer term. This approach is architecture
independent and thus can be used in other physical implementations
Experimental realisation of Shor's quantum factoring algorithm using qubit recycling
Quantum computational algorithms exploit quantum mechanics to solve problems
exponentially faster than the best classical algorithms. Shor's quantum
algorithm for fast number factoring is a key example and the prime motivator in
the international effort to realise a quantum computer. However, due to the
substantial resource requirement, to date, there have been only four
small-scale demonstrations. Here we address this resource demand and
demonstrate a scalable version of Shor's algorithm in which the n qubit control
register is replaced by a single qubit that is recycled n times: the total
number of qubits is one third of that required in the standard protocol.
Encoding the work register in higher-dimensional states, we implement a
two-photon compiled algorithm to factor N=21. The algorithmic output is
distinguishable from noise, in contrast to previous demonstrations. These
results point to larger-scale implementations of Shor's algorithm by harnessing
scalable resource reductions applicable to all physical architectures.Comment: 7 pages, 3 figure
Exoplanet Detection and Its Dependence on Stochastic Sampling of the Stellar Initial Mass Function
Young moving groups (YMGs) are close (<100 pc), coherent collections of young (<100 Myr) stars that appear to have formed in the same star-forming molecular cloud. As such we would expect their individual initial mass functions (IMFs) to be similar to other star-forming regions, and by extension the Galactic field. Their close proximity to the Sun and their young ages means that YMGs are promising locations to search for young forming exoplanets. However, due to their low numbers of stars, stochastic sampling of the IMF means their stellar populations could vary significantly. We determine the range of planet-hosting stars (spectral types A, G, and M) possible from sampling the IMF multiple times, and find that some YMGs appear deficient in M-dwarfs. We then use these data to show that the expected probability of detecting terrestrial magma ocean planets is highly dependent on the exact numbers of stars produced through stochastic sampling of the IMF
A hypothetico-deductive approach to assessing the social function of chemical signalling in a non-territorial solitary carnivore
The function of chemical signalling in non-territorial solitary carnivores is still relatively unclear. Studies on territorial solitary and social carnivores have highlighted odour capability and utility, however the social function of chemical signalling in wild carnivore populations operating dominance hierarchy social systems has received little attention. We monitored scent marking and investigatory behaviour of wild brown bears Ursus arctos, to test multiple hypotheses relating to the social function of chemical signalling. Camera traps were stationed facing bear ‘marking trees’ to document behaviour by different age sex classes in different seasons. We found evidence to support the hypothesis that adult males utilise chemical signalling to communicate dominance to other males throughout the non-denning period. Adult females did not appear to utilise marking trees to advertise oestrous state during the breeding season. The function of marking by subadult bears is somewhat unclear, but may be related to the behaviour of adult males. Subadults investigated trees more often than they scent marked during the breeding season, which could be a result of an increased risk from adult males. Females with young showed an increase in marking and investigation of trees outside of the breeding season. We propose the hypothesis that females engage their dependent young with marking trees from a young age, at a relatively ‘safe’ time of year. Memory, experience, and learning at a young age, may all contribute towards odour capabilities in adult bears
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