Effect of intraoperative constant rate infusion of lidocaine on short-term survival of dogs with septic peritonitis: 75 cases (2007-2011)

OBJECTIVE To investigate whether intraoperative administration of a lidocaine infusion to dogs with septic peritonitis was associated with short-term (48 hours) survival after surgery. DESIGN Retrospective case series. ANIMALS 75 dogs with septic peritonitis. PROCEDURES Medical records of dogs with septic peritonitis that underwent laparotomy between January 2007 and December 2011 at the Royal Veterinary College were reviewed. Select variables during the preoperative, intraoperative, and postoperative periods and short-term survival after surgery were compared between dogs that received an opioid only (group O; n = 33) and dogs that received lidocaine (50 \u3bcg/kg/min [22.7 \u3bcg/kg/min], IV; group L; 42) in addition to an opioid during surgery. RESULTS The proportion of dogs that survived for 48 hours after surgery was significantly greater for group L (35/42) than for group O (20/33). Intraoperative infusion of lidocaine increased the odds of short-term survival (OR, 8.77; 95% CI, 1.94 to 39.57). No significant differences were observed between the 2 treatment groups for variables assessed during the preoperative and postoperative periods. During the intraoperative period, more dogs in group L received an IV bolus of a synthetic colloid than did dogs in group O, but the number of IV boluses administered was not associated with short-term survival. CONCLUSIONS AND CLINICAL RELEVANCE Results indicated that IV infusion of lidocaine might improve the short-term survival of dogs with septic peritonitis. Prospective clinical trials are necessary to determine the efficacy of lidocaine as a supportive treatment for dogs with septic peritonitis

Does road safety concern medicine

The object of this article is, firstly, to discuss how far road safety is a matter of concern for the medical profession and, secondly, to suggest ways and means to ensure that applicants for drivers' licences are, in fact, fit and proper persons to drive vehicles as potentially dangerous as the ordinary mOlOr car and the heavier motor vehicles

Agronomy of wheat cultivars.

Location: Northam, Wongan Hills, East Beverley, Corrigin and Merredin. Time of sowing x wheat cultivars, 87N07, 87N011, 87WH7, 87NA4, 87M11. Time of sowing x wheat cultivars. Nitrogen rates x wheat cultivars, 87N05, 87N09, 87WH5, 87NA2, 87M9. Seed rates x wheat cultivars, 87N06, 87N010, 87WH6, 8JNA3, 87M10. Wheat cultivar factorial, 87N04, 87N08, 87WH4, 87NA1

Prediction of Critical Illness During Out-of-Hospital Emergency Care

CONTEXT: Early identification of nontrauma patients in need of critical care services in the emergency setting may improve triage decisions and facilitate regionalization of critical care. OBJECTIVES: To determine the out-of-hospital clinical predictors of critical illness and to characterize the performance of a simple score for out-of-hospital prediction of development of critical illness during hospitalization. DESIGN AND SETTING: Population-based cohort study of an emergency medical services (EMS) system in greater King County, Washington (excluding metropolitan Seattle), that transports to 16 receiving facilities. PATIENTS: Nontrauma, non-cardiac arrest adult patients transported to a hospital by King County EMS from 2002 through 2006. Eligible records with complete data (N = 144,913) were linked to hospital discharge data and randomly split into development (n = 87,266 [60%]) and validation (n = 57,647 [40%]) cohorts. MAIN OUTCOME MEASURE: Development of critical illness, defined as severe sepsis, delivery of mechanical ventilation, or death during hospitalization. RESULTS: Critical illness occurred during hospitalization in 5% of the development (n = 4835) and validation (n = 3121) cohorts. Multivariable predictors of critical illness included older age, lower systolic blood pressure, abnormal respiratory rate, lower Glasgow Coma Scale score, lower pulse oximetry, and nursing home residence during out-of-hospital care (P < .01 for all). When applying a summary critical illness prediction score to the validation cohort (range, 0-8), the area under the receiver operating characteristic curve was 0.77 (95% confidence interval [CI], 0.76-0.78), with satisfactory calibration slope (1.0). Using a score threshold of 4 or higher, sensitivity was 0.22 (95% CI, 0.20-0.23), specificity was 0.98 (95% CI, 0.98-0.98), positive likelihood ratio was 9.8 (95% CI, 8.9-10.6), and negative likelihood ratio was 0.80 (95% CI, 0.79- 0.82). A threshold of 1 or greater for critical illness improved sensitivity (0.98; 95% CI, 0.97-0.98) but reduced specificity (0.17; 95% CI, 0.17-0.17). CONCLUSIONS: In a population-based cohort, the score on a prediction rule using out-of-hospital factors was significantly associated with the development of critical illness during hospitalization. This score requires external validation in an independent populationPeer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/85143/1/Seymour - JAMA-2010-747-54.pdf11

Solid state image sensor research Final technical report

Fifty-element linear arrays of InAs photodiode

A sample of low energy bursts from FRB 121102

We present 41 bursts from the first repeating fast radio burst discovered (FRB 121102). A deep search has allowed us to probe unprecedentedly low burst energies during two consecutive observations (separated by one day) using the Arecibo telescope at 1.4 GHz. The bursts are generally detected in less than a third of the 580-MHz observing bandwidth, demonstrating that narrow-band FRB signals may be more common than previously thought. We show that the bursts are likely faint versions of previously reported multi-component bursts. There is a striking lack of bursts detected below 1.35 GHz and simultaneous VLA observations at 3 GHz did not detect any of the 41 bursts, but did detect one that was not seen with Arecibo, suggesting preferred radio emission frequencies that vary with epoch. A power law approximation of the cumulative distribution of burst energies yields an index $-1.8\pm0.3$ that is much steeper than the previously reported value of $\sim-0.7$. The discrepancy may be evidence for a more complex energy distribution. We place constraints on the possibility that the associated persistent radio source is generated by the emission of many faint bursts ($\sim700$ ms$^{-1}$). We do not see a connection between burst fluence and wait time. The distribution of wait times follows a log-normal distribution centered around $\sim200$ s; however, some bursts have wait times below 1 s and as short as 26 ms, which is consistent with previous reports of a bimodal distribution. We caution against exclusively integrating over the full observing band during FRB searches, because this can lower signal-to-noise.Comment: Accepted version. 16 pages, 7 figures, 1 tabl

The Need for Sensemaking in Networked Privacy and Algorithmic Responsibility

This paper proposes that two significant and emerging problems facing our connected, data-driven society may be more effectively solved by being framed as sensemaking challenges. The first is in empowering individuals to take control of their privacy, in device-rich information environments where personal information is fed transparently to complex networks of information brokers. Although sensemaking is often framed as an analytical activity undertaken by experts, due to the fact that non-specialist end-users are now being forced to make expert-like decisions in complex information environments, we argue that it is both appropriate and important to consider sensemaking challenges in this context. The second is in supporting human-in-the-loop algorithmic decision-making, in which important decisions bringing direct consequences for individuals, or indirect consequences for groups, are made with the support of data-driven algorithmic systems. In both privacy and algorithmic decision-making, framing the problems as sensemaking challenges acknowledges complex and illdefined problem structures, and affords the opportunity to view these activities as both building up relevant expertise schemas over time, and being driven potentially by recognition-primed decision making

Lithium-Air Cell Development

Lithium-air (Li-air) primary batteries have a theoretical specific capacity of 11,400 Wh/kg, the highest of any common metal-air system. NASA is developing Li-air technology for a Mobile Oxygen Concentrator for Spacecraft Emergencies, an application which requires an extremely lightweight primary battery that can discharge over 24 hours continuously. Several vendors were funded through the NASA SBIR program to develop Li-air technology to fulfill the requirements of this application. New catalysts and carbon cathode structures were developed to enhance the oxygen reduction reaction and increase surface area to improve cell performance. Techniques to stabilize the lithium metal anode surface were explored. Experimental results for prototype laboratory cells are given. Projections are made for the performance of hypothetical cells constructed from the materials that were developed

Dynamics of polydisperse irreversible adsorption: a pharmacological example

Many drug delivery systems suffer from undesirable interactions with the host immune system. It has been experimentally established that covalent attachment (irreversible adsorption) of suitable macromolecules to the surface of the drug carrier can reduce such undesirable interactions. A fundamental understanding of the adsorption process is still lacking. In this paper, the classical random irreversible adsorption model is generalized to capture certain essential processes involved in pharmacological applications, allowing for macromolecules of different sizes, partial overlapping of the tails of macromolecules, and the influence of reactions with the solvent on the adsorption process. Working in one dimension, an integro-differential evolution equation for the adsorption process is derived, and the asymptotic behavior of the surface area covered and the number of molecules attached to the surface are studied. Finally, equation-free dynamic renormalization tools are applied to study the asymptotically self-similar behavior of the adsorption statistics