45 research outputs found

    Hodge structures associated to SU(p,1)

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    Let A be an abelian variety over C such that the semisimple part of the Hodge group of A is a product of copies of SU(p,1) for some p>1. We show that any effective Tate twist of a Hodge structure occurring in the cohomology of A is isomorphic to a Hodge structure in the cohomology of some abelian variety

    Impact of opioid-free analgesia on pain severity and patient satisfaction after discharge from surgery: multispecialty, prospective cohort study in 25 countries

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    Background: Balancing opioid stewardship and the need for adequate analgesia following discharge after surgery is challenging. This study aimed to compare the outcomes for patients discharged with opioid versus opioid-free analgesia after common surgical procedures.Methods: This international, multicentre, prospective cohort study collected data from patients undergoing common acute and elective general surgical, urological, gynaecological, and orthopaedic procedures. The primary outcomes were patient-reported time in severe pain measured on a numerical analogue scale from 0 to 100% and patient-reported satisfaction with pain relief during the first week following discharge. Data were collected by in-hospital chart review and patient telephone interview 1 week after discharge.Results: The study recruited 4273 patients from 144 centres in 25 countries; 1311 patients (30.7%) were prescribed opioid analgesia at discharge. Patients reported being in severe pain for 10 (i.q.r. 1-30)% of the first week after discharge and rated satisfaction with analgesia as 90 (i.q.r. 80-100) of 100. After adjustment for confounders, opioid analgesia on discharge was independently associated with increased pain severity (risk ratio 1.52, 95% c.i. 1.31 to 1.76; P < 0.001) and re-presentation to healthcare providers owing to side-effects of medication (OR 2.38, 95% c.i. 1.36 to 4.17; P = 0.004), but not with satisfaction with analgesia (beta coefficient 0.92, 95% c.i. -1.52 to 3.36; P = 0.468) compared with opioid-free analgesia. Although opioid prescribing varied greatly between high-income and low- and middle-income countries, patient-reported outcomes did not.Conclusion: Opioid analgesia prescription on surgical discharge is associated with a higher risk of re-presentation owing to side-effects of medication and increased patient-reported pain, but not with changes in patient-reported satisfaction. Opioid-free discharge analgesia should be adopted routinely

    Cockroaches Probably Cleaned Up after Dinosaurs

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    Dinosaurs undoubtedly produced huge quantities of excrements. But who cleaned up after them? Dung beetles and flies with rapid development were rare during most of the Mesozoic. Candidates for these duties are extinct cockroaches (Blattulidae), whose temporal range is associated with herbivorous dinosaurs. An opportunity to test this hypothesis arises from coprolites to some extent extruded from an immature cockroach preserved in the amber of Lebanon, studied using synchrotron X-ray microtomography. 1.06% of their volume is filled by particles of wood with smooth edges, in which size distribution directly supports their external pre-digestion. Because fungal pre-processing can be excluded based on the presence of large particles (combined with small total amount of wood) and absence of damages on wood, the likely source of wood are herbivore feces. Smaller particles were broken down biochemically in the cockroach hind gut, which indicates that the recent lignin-decomposing termite and cockroach endosymbionts might have been transferred to the cockroach gut upon feeding on dinosaur feces

    The Occurrence of the Common Palmfly Elymnias hypermnestra-Caudata Near Bombay India

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    Volume: 70Start Page: 228End Page: 22

    MORE BUTTERFLIES FROM BOMBAY INDIA 2

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    Volume: 79Start Page: 216End Page: 21

    STRANGE PRACTICE OF A CATERPILLAR A CORRECTION

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    Volume: 79Start Page: 218End Page: 21

    Additions To the Birda of Bombay and Salsette and Neighbourhood

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    Volume: 45Start Page: 241End Page: 24

    Occurrence of the Little Crake, Porzana Parva (Scopoli), in Bombay

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    Volume: 65Start Page: 217End Page: 21

    Further Extension of Recorded Southern Range of Little Crake, Porzana Parva (Scopoli)

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    Volume: 66Start Page: 166End Page: 16

    Occurrence of the Great Snipe, Capella Media (Latham) in Burma and India

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    Volume: 67Start Page: 109End Page: 11
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