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    Effects of accelerated versus standard care surgery on the risk of acute kidney injury in patients with a hip fracture : A substudy protocol of the hip fracture Accelerated surgical TreaTment and Care tracK (HIP ATTACK) international randomised controlled trial

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    Introduction Inflammation, dehydration, hypotension and bleeding may all contribute to the development of acute kidney injury (AKI). Accelerated surgery after a hip fracture can decrease the exposure time to such contributors and may reduce the risk of AKI. Methods and analysis Hip fracture Accelerated surgical TreaTment And Care tracK (HIP ATTACK) is a multicentre, international, parallel-group randomised controlled trial (RCT). Patients who suffer a hip fracture are randomly allocated to either accelerated medical assessment and surgical repair with a goal of surgery within 6 hours of diagnosis or standard care where a repair typically occurs 24 to 48 hours after diagnosis. The primary outcome of this substudy is the development of AKI within 7 days of randomisation. We anticipate at least 1998 patients will participate in this substudy. Ethics and dissemination We obtained ethics approval for additional serum creatinine recordings in consecutive patients enrolled at 70 participating centres. All patients provide consent before randomisation. We anticipate reporting substudy results by 2021. Trial registration number NCT02027896; Pre-results

    Effects of accelerated versus standard care surgery on the risk of acute kidney injury in patients with a hip fracture : a substudy protocol of the hip fracture Accelerated surgical TreaTment And Care tracK (HIP ATTACK) international randomised controlled trial

    Get PDF
    Introduction Inflammation, dehydration, hypotension and bleeding may all contribute to the development of acute kidney injury (AKI). Accelerated surgery after a hip fracture can decrease the exposure time to such contributors and may reduce the risk of AKI. Methods and analysis Hip fracture Accelerated surgical TreaTment And Care tracK (HIP ATTACK) is a multicentre, international, parallel-group randomised controlled trial (RCT). Patients who suffer a hip fracture are randomly allocated to either accelerated medical assessment and surgical repair with a goal of surgery within 6 hours of diagnosis or standard care where a repair typically occurs 24 to 48 hours after diagnosis. The primary outcome of this substudy is the development of AKI within 7 days of randomisation. We anticipate at least 1998 patients will participate in this substudy. Ethics and dissemination We obtained ethics approval for additional serum creatinine recordings in consecutive patients enrolled at 70 participating centres. All patients provide consent before randomisation. We anticipate reporting substudy results by 2021. Trial registration number NCT02027896; Pre-results

    Measurement of jet multiplicity distributions in [Formula: see text] production in pp collisions at [Formula: see text].

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    The normalised differential top quark-antiquark production cross section is measured as a function of the jet multiplicity in proton-proton collisions at a centre-of-mass energy of 7[Formula: see text] at the LHC with the CMS detector. The measurement is performed in both the dilepton and lepton+jets decay channels using data corresponding to an integrated luminosity of 5.0[Formula: see text]. Using a procedure to associate jets to decay products of the top quarks, the differential cross section of the [Formula: see text] production is determined as a function of the additional jet multiplicity in the lepton+jets channel. Furthermore, the fraction of events with no additional jets is measured in the dilepton channel, as a function of the threshold on the jet transverse momentum. The measurements are compared with predictions from perturbative quantum chromodynamics and no significant deviations are observed

    A Multi-Data Geospatial Approach for Understanding Flood Risk in the Coastal Plains of Tamil Nadu, India

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    The coastal plains of Tamil Nadu, India, are prone to floods, the most common disaster experienced in this region almost every year. This research aims to identify flood risks in the coastal plain region of Tamil Nadu, delineated through a watershed approach with 5020 micro-administrative units covering an area of about 26,000 sq. km. A comprehensive flood risk assessment covering hazard, vulnerability, and exposure parameters was carried out using multiple datasets derived from field surveys, satellite data, and secondary data sources. The flood hazard layer was prepared on a probability scale (0−1) with the help of Sentinel-1 Synthetic Aperture Radar data coupled with GIS-based water rise modelling using Shuttle Radar Topography Mission Digital Elevation Model (SRTM-DEM) and reports of the District Disaster Management Plans of 13 coastal districts. In addition, the National Resources Conservation Service-Curve Number (NRCS-CN) method was adopted to estimate surface runoff potential for identifying low probability flood-prone regions. The vulnerability and exposure of the population to flood hazards were determined using census and household data-based indicators. The different categories of built-up areas were delineated and intersected with the flood hazard layer to estimate elements at flood risk. An exhaustive field survey was conducted at 514 locations of the study area, targeting deprived communities of all major settlements to validate the flood hazard layer and understand the public perceptions. The amalgamation of results shows that very high flood risk prevails in the northern parts of coastal Tamil Nadu, especially the stretch between Chennai and Cuddalore. In addition, to provide baseline datasets for the first time at micro-administrative units for the entire coastal plains of Tamil Nadu, the study offers a pragmatic methodology for determining location-specific flood risks for policy interventions
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