157 research outputs found

    Deserved attention for acute kidney injury after major trauma

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    This is a post-peer-review, pre-copyedit version of an article published in Intensive Care Medicine. The final authenticated version is available online at: https://doi.org/10.1007/s00134-019-05609-xDear Editor, The systematic review of acute kidney injury (AKI) after trauma by Søvik et al. [1] adds much-needed data on the incidence and outcomes of trauma-associated AKI. The authors reported a pooled incidence of AKI of 24%across 24 studies including over 25,000 patients. These results duplicate those of a recently published meta-analysis of AKI in trauma by Haines et al. [2]. Furthermore, data on AKI in 3111 patients from a French multicentre trauma registry has now been published by Harrois et al. [3] where an independent association between AKI and mortality persisted. When included amongst studies reporting adjusted odds ratios of death in trauma-ICU patients with AKI, the association with mortality is convincin

    Entanglement and Mixed ness of Locally Cloned Non - Maximal W - State

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    In this work we describe a protocol by which two of three parties generate two bipartite entangled state among themselves without involving third party, from a non maximal W state or W - type state X>=α001>123+β010>123+γ100>123,α2+β2+γ2=1|X>=\alpha|001>_{123}+\beta|010>_{123}+\gamma|100>_{123}, \alpha^{2} + \beta^{2} + \gamma^{2} = 1 shared by three distant partners. Also we have considered the case β=γ\beta=\gamma, to obtain a range for α2\alpha^2, for which the local output states are separable and non local output states are inseparable. We also find out the dependence of the mixed ness of inseparable states with their amount of inseparability, for that range of α2\alpha^2.Comment: 12 pages, no figures, Accepted for publication in IJT

    Wishing for deburdening through a sustainable control after bariatric surgery

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    The aim of this study was an in-depth investigation of the change process experienced by patients undergoing bariatric surgery. A prospective interview study was performed prior to as well as 1 and 2 years after surgery. Data analyses of the transcribed interviews were performed by means of the Grounded Theory method. A core category was identified: Wishing for deburdening through a sustainable control over eating and weight, comprising three related categories: hoping for deburdening and control through surgery, feeling deburdened and practising control through physical restriction, and feeling deburdened and trying to maintain control by own willpower. Before surgery, the participants experienced little or no control in relation to food and eating and hoped that the bariatric procedure would be the first brick in the building of a foundation that would lead to control in this area. The control thus achieved in turn affected the participants' relationship to themselves, their roles in society, and the family as well as to health care. One year after surgery they reported established routines regarding eating as well as higher self-esteem due to weight loss. In family and society they set limits and in relation to health care staff they felt their concern and reported satisfaction with the surgery. After 2 years, fear of weight gain resurfaced and their self-image was modified to be more realistic. They were no longer totally self-confident about their condition, but realised that maintaining control was a matter of struggle to obtaining a foundation of sustainable control. Between 1 and 2 years after surgery, the physical control mechanism over eating habits started to more or less fade for all participants. An implication is that when this occurs, health care professionals need to provide interventions that help to maintain the weight loss in order to achieve a good long-term outcome
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