39 research outputs found
From little things, big things grow: trends and fads in 110 years of Australian ornithology
Publishing histories can reveal changes in ornithological effort, focus or direction through time. This study presents a bibliometric content analysis of Emu (1901–2011) which revealed 115 trends (long-term changes in publication over time) and 18 fads (temporary increases in publication activity) from the classification of 9,039 articles using 128 codes organised into eight categories (author gender, author affiliation, article type, subject, main focus, main method, geographical scale and geographical location). Across 110 years, private authorship declined, while publications involving universities and multiple institutions increased; from 1960, female authorship increased. Over time, question-driven studies and incidental observations increased and decreased in frequency, respectively. Single species and ‘taxonomic group’ subjects increased while studies of birds at specific places decreased. The focus of articles shifted from species distribution and activities of the host organisation to breeding, foraging and other biological/ecological topics. Site- and Australian-continental-scales slightly decreased over time; non-Australian studies increased from the 1970s. A wide variety of fads occurred (e.g. articles on bird distribution, 1942–1951, and using museum specimens, 1906–1913) though the occurrence of fads decreased over time. Changes over time are correlated with technological, theoretical, social and institutional changes, and suggest ornithological priorities, like those of other scientific disciplines, are temporally labil
Global patient outcomes after elective surgery: prospective cohort study in 27 low-, middle- and high-income countries.
BACKGROUND: As global initiatives increase patient access to surgical treatments, there remains a need to understand the adverse effects of surgery and define appropriate levels of perioperative care. METHODS: We designed a prospective international 7-day cohort study of outcomes following elective adult inpatient surgery in 27 countries. The primary outcome was in-hospital complications. Secondary outcomes were death following a complication (failure to rescue) and death in hospital. Process measures were admission to critical care immediately after surgery or to treat a complication and duration of hospital stay. A single definition of critical care was used for all countries. RESULTS: A total of 474 hospitals in 19 high-, 7 middle- and 1 low-income country were included in the primary analysis. Data included 44 814 patients with a median hospital stay of 4 (range 2-7) days. A total of 7508 patients (16.8%) developed one or more postoperative complication and 207 died (0.5%). The overall mortality among patients who developed complications was 2.8%. Mortality following complications ranged from 2.4% for pulmonary embolism to 43.9% for cardiac arrest. A total of 4360 (9.7%) patients were admitted to a critical care unit as routine immediately after surgery, of whom 2198 (50.4%) developed a complication, with 105 (2.4%) deaths. A total of 1233 patients (16.4%) were admitted to a critical care unit to treat complications, with 119 (9.7%) deaths. Despite lower baseline risk, outcomes were similar in low- and middle-income compared with high-income countries. CONCLUSIONS: Poor patient outcomes are common after inpatient surgery. Global initiatives to increase access to surgical treatments should also address the need for safe perioperative care. STUDY REGISTRATION: ISRCTN5181700
Recommended from our members
Model sensitivity evaluation for organic carbon using two multi-pollutant air quality models that simulate regional haze in the southeastern United States
Photochemical grid models are being used in technical analyses by the Visibility Improvement State and Tribal Association of the Southeast (VISTAS), a regional air quality planning organization in the southeastern United States, to support state implementation plans for regional haze and related air quality issues. VISTAS has embarked on a multi-phase process of testing and evaluating regional meteorological, emissions and air quality models that will be used to project visibility improvements as required by the regional haze rule. VISTAS has generated 2002 annual emissions and meteorological inputs for two photochemical grid models, the community multi-scale air quality (CMAQ) and the comprehensive air-quality model with extensions (CAMx), at a 36 km resolution for the continental US and at 12 km resolution for the eastern US. The two models were evaluated using speciated PM measurements from various monitoring networks and detailed analysis was performed for organic carbon (OC) mass using the IMPROVE, STN, and SEARCH networks. The differences in model performance between CMAQ and CAMx were used as a diagnostic tool to investigate performance issues for several compounds. CAMx performed substantially better than CMAQ for OC (defined as 1.4×measured organic carbon) which led to investigations into methods for improving the CMAQ OC model performance. The treatment of secondary organic aerosol (SOA) was identified as an area needing improvements in both models. The impact of replacing the CMAQ SOA parameters with those from CAMx was investigated. Further analysis identified several processes that are potentially important for SOA formation that are not treated in either model including, polymerization of the SOA into non-volatile particles and SOA formation from sesquiterpene, isoprene and other biogenic VOCs. A prototype mechanism for several of these missing processes was developed and the CMAQ SOA module was enhanced to include these SOA formation processes. SOA yields, specifically from biogenic emissions, were increased by the modified SOA module and CMAQ model performance for particulate OC at the IMPROVE, SEARCH, and STN sites in the VISTAS region was improved. © 2006 Elsevier Ltd. All rights reserved
Pursuing genius loci: interaction design and natural places
Human computer interaction (HCI) has little explored everyday life and enriching experiences in rural, wilderness and other predominantly “natural” places despite their socioeconomic importance. Beyond simply addressing the challenge arising from applying an urban perspective to designing technologies for use in natural places, we wish to provoke integration of the natural and computational worlds. To stimulate design that both draws upon and affords such integration, we propose seven themes we have distilled from the literature and supplement these with our own research observations. Bodies Imagine and Remember recognizes the inseparability of meanings and corporeal experience of natural places for design. Indexicality and Habitus refers to the need for design to be sensitive to the processes by which natural features become intelligible in our actions and communication. Values and Story-spaces observes the way representations and infrastructures, infused with particular values, become dominant. Identity and Belonging, suggests the need to reconcile designs with couplings between physical settings, processes of community and personal identity. Rhythm and Dynamism considers links between people’s daily routines, nature’s events and patterns and spatial and social issues pertinent to design and in Revealing and Receding we suggest that design must simultaneously fade into the background and provoke seeing natural places differently. Fragility, Liability and Spirituality refers to technological opportunities to support positive relations within ecosystems and recognizing the limits of technological control
Role of cgrp in migraine
Migraine is a common neurological disorder that afflicts up to 15% of the adult population in most countries, with predominance in females. It is characterized by episodic, often disabling headache, photophobia and phonophobia, autonomic symptoms (nausea and vomiting), and in a subgroup an aura in the beginning of the attack. Although still debated, many researchers consider migraine to be a disorder in which CNS dysfunction plays a pivotal role while various parts of the trigeminal system are necessary for the expression of associated symptoms. Treatment of migraine has in recent years seen the development of drugs that target the trigeminal sensory neuropeptide calcitonin gene-related peptide (CGRP) or its receptor. Several of these drugs are now approved for use in frequent episodic and in chronic migraine. CGRP-related therapies offer considerable improvements over existing drugs, as they are the first to be designed specifically to act on the trigeminal pain system: they are more specific and have little or no adverse effects. Small molecule CGRP receptor antagonists, gepants, are effective for acute relief of migraine headache, whereas monoclonal antibodies against CGRP (Eptinezumab, Fremanezumab, and Galcanezumab) or the CGRP receptor (Erenumab) effectively prevent migraine attacks. The neurobiology of CGRP signaling is briefly summarized together with key clinical evidence for the role of CGRP in migraine headache, including the efficacy of CGRP-targeted treatments