Clinical review: Can we predict which patients are at risk of complications following surgery?

There are a vast number of operations carried out every year, with a small proportion of patients being at highest risk of mortality and morbidity. There has been considerable work to try and identify these high-risk patients. In this paper, we look in detail at the commonly used perioperative risk prediction models. Finally, we will be looking at the evolution and evidence for functional assessment and the National Surgical Quality Improvement Program (in the USA), both topical and exciting areas of perioperative prediction

Dynamics of Charged Bulk Viscous Collapsing Cylindrical Source With Heat Flux

In this paper, we have explored the effects of dissipation on the dynamics of charged bulk viscous collapsing cylindrical source which allows the out follow of heat flux in the form of radiations. Misner-Sharp formulism has been implemented to drive the dynamical equation in term of proper time and radial derivatives. We have investigated the effects of charge and bulk viscosity on the dynamics of collapsing cylinder. To determine the effects of radial heat flux, we have formulated the heat transport equations in the context of M$\ddot{u}$ller-Israel-Stewart theory by assuming that thermodynamics viscous/heat coupling coefficients can be neglected within some approximations. In our discussion, we have introduced the viscosity by the standard (non-casual) thermodynamics approach. The dynamical equations have been coupled with the heat transport equation equation, the consequences of resulting coupled heat equation have been analyzed in detail.Comment: 17 Pages, no figur

Ribosomal trafficking is reduced in Schwann cells following induction of myelination.

Local synthesis of proteins within the Schwann cell periphery is extremely important for efficient process extension and myelination, when cells undergo dramatic changes in polarity and geometry. Still, it is unclear how ribosomal distributions are developed and maintained within Schwann cell projections to sustain local translation. In this multi-disciplinary study, we expressed a plasmid encoding a fluorescently labeled ribosomal subunit (L4-GFP) in cultured primary rat Schwann cells. This enabled the generation of high-resolution, quantitative data on ribosomal distributions and trafficking dynamics within Schwann cells during early stages of myelination, induced by ascorbic acid treatment. Ribosomes were distributed throughout Schwann cell projections, with ~2-3 bright clusters along each projection. Clusters emerged within 1 day of culture and were maintained throughout early stages of myelination. Three days after induction of myelination, net ribosomal movement remained anterograde (directed away from the Schwann cell body), but ribosomal velocity decreased to about half the levels of the untreated group. Statistical and modeling analysis provided additional insight into key factors underlying ribosomal trafficking. Multiple regression analysis indicated that net transport at early time points was dependent on anterograde velocity, but shifted to dependence on anterograde duration at later time points. A simple, data-driven rate kinetics model suggested that the observed decrease in net ribosomal movement was primarily dictated by an increased conversion of anterograde particles to stationary particles, rather than changes in other directional parameters. These results reveal the strength of a combined experimental and theoretical approach in examining protein localization and transport, and provide evidence of an early establishment of ribosomal populations within Schwann cell projections with a reduction in trafficking following initiation of myelination