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Preoperative mechanical ventilation is associated with morbidity and mortality following CHD surgery, but prior studies lack a comprehensive analysis of how preoperative respiratory support mode and timing affects outcomes.
We retrospectively collected data on children <18 years of age undergoing cardiac surgery at an academic tertiary care medical centre. Using multivariable regression, we examined the association between modes of preoperative respiratory support (nasal cannula, high-flow nasal cannula/noninvasive ventilation, or invasive mechanical ventilation), escalation of preoperative respiratory support, and invasive mechanical ventilation on the day of surgery for three outcomes: operative mortality, postoperative length of stay, and postoperative complications. We repeated our analysis in a subcohort of neonates.
A total of 701 children underwent 800 surgical procedures, and 40% received preoperative respiratory support. Among neonates, 243 patients underwent 253 surgical procedures, and 79% received preoperative respiratory support. In multivariable analysis, all modes of preoperative respiratory support, escalation in preoperative respiratory support, and invasive mechanical ventilation on the day of surgery were associated with increased odds of prolonged length of stay in children and neonates. Children (odds ratio = 3.69, 95% CI 1.2–11.4) and neonates (odds ratio = 8.97, 95% CI 1.31–61.14) on high-flow nasal cannula/noninvasive ventilation had increased odds of operative mortality compared to those on room air.
Preoperative respiratory support is associated with prolonged length of stay and mortality following CHD surgery. Knowing how preoperative respiratory support affects outcomes may help guide surgical timing, inform prognostic conversations, and improve risk stratification models.
Herbicides have been a primary means of managing undesirable brush on grazing lands across southwestern United States for decades. Continued encroachment of honey mesquite and huisache on grazing lands warrants evaluation of treatment life and economics of current and experimental treatments. Treatment life is defined as the time between treatment application and when canopy cover of undesirable brush returns to a competitive level with native forage grasses (i.e. 25% canopy cover for mesquite and 30% canopy cover for huisache). Treatment life of industry standard herbicides was compared to aminocyclopyrachlor plus triclopyr amine (ACP+T) from ten broadcast-applied honey mesquite and five broadcast-applied huisache trials established from 2007 through 2013 across Texas. On average, the treatment life of industry standard treatments (IST) for huisache was 3 years. In comparison, huisache canopy cover was only 2.5% in ACP+T treated plots 3 years after treatment. The average treatment life of industry standard honey mesquite treatments was 8.6 years, while ACP+T treated plots had just 2% mesquite canopy cover at that time. Improved treatment life of ACP+T treatments compared to IST was due to higher mortality resulting in more consistent brush canopy reduction. The net present values of ACP+T and IST, for both huisache and mesquite, were similar until the treatment life of the IST application was reached (3 years for huisache and 8.6 years for honey mesquite). At that point, net present values of the programs diverged as a result of brush competition with desirable forage grasses and additional input costs associated with theoretical follow-up IST necessary to maintain optimum livestock forage production. The ACP+T treatments did not warrant a sequential application over the 12-year analysis for huisache or 20-year analysis for honey mesquite that this research covered. These results indicate ACP+T provides cost-effective, long-term control of honey mesquite and huisache.
The rocky shores of the north-east Atlantic have been long studied. Our focus is from Gibraltar to Norway plus the Azores and Iceland. Phylogeographic processes shape biogeographic patterns of biodiversity. Long-term and broadscale studies have shown the responses of biota to past climate fluctuations and more recent anthropogenic climate change. Inter- and intra-specific species interactions along sharp local environmental gradients shape distributions and community structure and hence ecosystem functioning. Shifts in domination by fucoids in shelter to barnacles/mussels in exposure are mediated by grazing by patellid limpets. Further south fucoids become increasingly rare, with species disappearing or restricted to estuarine refuges, caused by greater desiccation and grazing pressure. Mesoscale processes influence bottom-up nutrient forcing and larval supply, hence affecting species abundance and distribution, and can be proximate factors setting range edges (e.g., the English Channel, the Iberian Peninsula). Impacts of invasive non-native species are reviewed. Knowledge gaps such as the work on rockpools and host–parasite dynamics are also outlined.
Classrooms are key social settings that impact children's mental health, though individual differences in physiological reactivity may render children more or less susceptible to classroom environments. In a diverse sample of children from 19 kindergarten classrooms (N = 338, 48% female, M age = 5.32 years), we examined whether children's parasympathetic reactivity moderated the association between classroom climate and externalizing symptoms. Independent observers coded teachers’ use of child-centered and teacher-directed instructional practices across classroom social and management domains. Children's respiratory sinus arrhythmia reactivity to challenge tasks was assessed in fall and a multi-informant measure of externalizing was collected in fall and spring. Both the social and the management domains of classroom climate significantly interacted with children's respiratory sinus arrhythmia reactivity to predict spring externalizing symptoms, controlling for fall symptoms. For more reactive children, as classrooms shifted toward greater proportional use of child-centered methods, externalizing symptoms declined, whereas greater use of teacher-dominated practices was associated with increased symptoms. Conversely, among less reactive children, exposure to more teacher-dominated classroom management practices was associated with lower externalizing. Consistent with the theory of biological sensitivity to context, considering variability in children's physiological reactivity aids understanding of the salience of the classroom environment for children's mental health.
X-ray microscopy is a field that has developed rapidly in recent years. Two different approaches have been used. Zone plates have been employed to produce focussed beams with sizes as low as 0.07 pm for x-ray energies below 1 keV. Images of biological materials and elemental maps for major and minor low Z have been produced using above and below absorption edge differences. At higher energies collimators and focussing mirrors have been used to make small diameter beams for excitation of characteristic K— or L-x rays of all elements in the periodic
Horizontal gene transfer (HGT) has played an important role in the evolution of nematodes. Among candidate genes, cyanase, which is typically found only in plants, bacteria and fungi, is present in more than 35 members of the Phylum Nematoda, but absent from free-living and clade V organisms. Phylogenetic analyses showed that the cyanases of clade I organisms Trichinella spp., Trichuris spp. and Soboliphyme baturini (Subclass: Dorylaimia) represent a well-supported monophyletic clade with plant cyanases. In contrast, all cyanases found within the Subclass Chromadoria which encompasses filarioids, ascaridoids and strongyloids are homologous to those of bacteria. Western blots exhibited typical multimeric forms of the native molecule in protein extracts of Trichinella spiralis muscle larvae, where immunohistochemical staining localized the protein to the worm hypodermis and underlying muscle. Recombinant Trichinella cyanase was bioactive where gene transcription profiles support functional activity in vivo. Results suggest that: (1) independent HGT in parasitic nematodes originated from different Kingdoms; (2) cyanase acquired an active role in the biology of extant Trichinella; (3) acquisition occurred more than 400 million years ago (MYA), prior to the divergence of the Trichinellida and Dioctophymatida, and (4) early, free-living ancestors of the genus Trichinella had an association with terrestrial plants.
A combination of better management and genetic selection for good health and fertility would provide a more effective long term solution for economic loss due to diseases and poor fertility. This would also help to address public concerns about the use of medical treatment in milk production. A balance in the genetic improvement of health and fertility together with milk production could be achieved through their inclusion in national genetic selection indices, for which genetic parameters are needed. One of the main objectives of this study was to estimate genetic parameters for various disease and fertility traits in the UK dairy cattle population, using records from a national recording scheme run by Livestock Services UK Ltd. Genetic analysis of traits recorded as present or absent (binary traits; e.g. diseases) requires the use of non-linear threshold models, because linear models require normality assumptions (e.g., Gianola 1982). The other objective of this study was to estimate genetic parameters for binary disease and fertility traits based on threshold animal models and to compare results with those from linear animal models.
Dicamba-resistant crops are being rapidly embraced by growers in the United States to manage glyphosate-resistant and other difficult-to-control broadleaf weeds. However, dicamba resistance in kochia, one of the troublesome weeds of the North American Great Plains, is already widespread. Hence, POST application of dicamba may not adequately control kochia. In recent years in the High Plains Region of Colorado, Kansas, and Nebraska, dicamba has been widely applied, often in combination with atrazine or metribuzin, in early spring for PRE control of kochia. However, there is concern this use pattern may increase the selection for dicamba-resistant (DR) kochia. Hence, there is need to understand the efficacy of dicamba applied PRE versus POST for managing DR kochia. A greenhouse study was conducted to test the efficacy of PRE-applied dicamba compared with POST application using both DR and dicamba-susceptible (DS) kochia. Efficacies of PRE-applied dicamba were compared at seeding densities of 300, 600, 900 and 1200 viable seed m−2. At eight weeks after PRE and four weeks after POST treatment, control of DR kochia seeded at 300 viable seed m−2 was improved from 10% with 560 g ae ha−1 dicamba applied POST to 94 and 97% with 350 and 420 g ha−1 dicamba applied PRE, respectively. However, the efficacy of PRE-applied dicamba was negatively correlated with seed density. When kochia seeding density was increased from 300 to 1200 seed m−2, the ED50 of PRE-applied dicamba increased from 237 to 705 g ae ha−1 for DR kochia, and from 129 to 361 g ae ha−1 for DS kochia, respectively. Thus, PRE-applied dicamba was effective in controlling the population of DR kochia tested, suggesting that PRE-applied dicamba may still provide substantial control of some DR kochia populations. However, it is not advisable to apply dicamba alone for PRE kochia control.
To determine the effectiveness of glacial erosion and the magnitude of cosmogenic nuclide inheritance from prior periods of cosmic-ray exposure, we measured the abundance of 10Be and 26Al in nine samples collected from bedrock, boulders and cobbles exposed by the retreat of Tumbling Glacier, Baffin Island, Canada. Most samples had nuclide concentrations so low that we were only able to set upper limits for nuclide abundance. Three boulders, two on a Neoglacial moraine of Tumbling Glacier that impounds Crater Lake and one on a roche moutonnée within the Neoglacial moraine loop, had nuclide abundances indicating no more than 900 yr of exposure at the surface. Three bedrock samples, striated by Tumbling Glacier and exposed by ice retreat within the last 20 yr, have similarly low nuclide abundances. One bedrock sample, covered by Tumbling Glacier ice for some part of the Holocene but not eroded, allows us to estimate crudely the duration of Neoglaciation at our sample site (about 5450 yr) and to provide a lower limit on the erosion rate of Tumbling Glacier (0.10 ± 0.03 mm a–1). We analyzed two cobbles collected from the tops of roches moutonnées at Crater Lake; one cobble had the equivalent of 3000 yr of exposure, the other < 900 yr.
There is now evidence that at least some cometary nuclei are dark and red. Cometary ices prepared from combinations of CH4 with H2O and sometimes NH3 were irradiated at 77 K by corona discharge. CH4 - containing ice reddened and darkened at a dose ~1011 erg cm−2 over a period of ~1 hour. Upon evaporation of the now yellowish, irradiated ice, a slightly yellowish colored solid film remains on the walls of the container at room temperature. Transmission measurements of this organic film (called cometary tholin) were made from 0.2 μm to 50 μm wavelength. Strong UV absorption is seen from 0.45 μm to 0.2 μm. Above 0.45 μm, the spectrum remains flat to ~1.3 μm in the near infrared, except for a very small feature near 1.15 μm. A medium sized feature appears centered at 1.4 μm with shoulders at both sides and a nearby weaker feature at 1.52 μm. A strong feature appears at 1.9 μm accompanied by a smaller feature at 1.78 μm. in the region 2.5 μm to 50 μm, the infrared spectrum was taken by dispersing the film in a CsI matrix. Bands are found at 2.92(M), 3.36(S), 3.40(S), 3.46(M), 3.48(M), 5.75(M), 5.99(S), 6.21(M), 6.83(M), 7.30(S), 7.81(W), 8.89(M), 9.26(M), 20.00(W), 22.22(W), and 28.57(W) micrometers, suggesting complex organics including alkane, alkene, aldehyde, and carboxylic acid functional groups. These results are also relevant to UV and cosmic ray processing of interstellar grains, and to icy bodies in the outer solar system.
In the prevailing icy conglomerate model of the cometary nucleus, the outer surface is processed by galactic cosmic rays in the Oort cloud. Most ices composed of CH4, along with H2O and/or NH3, studied in our laboratory redden and darken upon charged particle irradiation from a high frequency corona discharge at 77 K. Spectral reflectance relative to a BaSO4 standard in the wavelength interval 0.39 μm to 0.70 μm was measured for incidence angle, i = 0° and emission angle, ε = −4°. CH4-containing ice at 77 K was modified at a dose ~1011 erg cm−2 over a period of ~1 hour. Progressive darkening followed continued irradiation. The ratio of the red to blue reflectance [R(λ = 0.70 μm)/R(λ = 0.40 μm)] changed from 0.9 to ~1.4. Using techniques of ellipsometric polarimetry, we are investigating the detailed optical properties (complex refractive index) of these ices before and after irradiation. These results may then be compared with the properties of cometary coma particles predicted by recent light scattering models to determine which classes of laboratory-produced materials best match the population of dark, reddish particles which seem to be prevalent in some cometary comae.
Voyager discovered nine simple organic molecules in the atmosphere of Titan. Complex organic solids, called tholins, produced by irradiation of simulated Titanian atmosphere are consistent with measured properties of Titan from ultraviolet to microwave frequencies, and are the likely main constituents of the observed red aerosols. The tholins contain many of the organic building blocks central to life on Earth. At least 100 m and possibly kms thickness of complex organics have been produced on Titan during the age of the solar system, and may exist today as submarine deposits beneath an extensive ocean of simple hydrocarbons.
Our understanding of the complex relationship between schizophrenia symptomatology and etiological factors can be improved by studying brain-based correlates of schizophrenia. Research showed that impairments in value processing and executive functioning, which have been associated with prefrontal brain areas [particularly the medial orbitofrontal cortex (MOFC)], are linked to negative symptoms. Here we tested the hypothesis that MOFC thickness is associated with negative symptom severity.
This study included 1985 individuals with schizophrenia from 17 research groups around the world contributing to the ENIGMA Schizophrenia Working Group. Cortical thickness values were obtained from T1-weighted structural brain scans using FreeSurfer. A meta-analysis across sites was conducted over effect sizes from a model predicting cortical thickness by negative symptom score (harmonized Scale for the Assessment of Negative Symptoms or Positive and Negative Syndrome Scale scores).
Meta-analytical results showed that left, but not right, MOFC thickness was significantly associated with negative symptom severity (βstd = −0.075; p = 0.019) after accounting for age, gender, and site. This effect remained significant (p = 0.036) in a model including overall illness severity. Covarying for duration of illness, age of onset, antipsychotic medication or handedness weakened the association of negative symptoms with left MOFC thickness. As part of a secondary analysis including 10 other prefrontal regions further associations in the left lateral orbitofrontal gyrus and pars opercularis emerged.
Using an unusually large cohort and a meta-analytical approach, our findings point towards a link between prefrontal thinning and negative symptom severity in schizophrenia. This finding provides further insight into the relationship between structural brain abnormalities and negative symptoms in schizophrenia.
The Medium-l Program of the Michelson Doppler Imager (MDI) instrument on board SOHO provides continuous observations of oscillation modes of angular degree, l, from 0 to ∼ 300. The initial results show that the noise in the Medium-l oscillation power spectrum is substantially lower than in ground-based measurements. This enables us to detect lower amplitude modes and, thus, to extend the range of measured mode frequencies. The MDI observations also reveal the asymmetry of oscillation spectral lines. The line asymmetries agree with the theory of mode excitation by acoustic sources localized in the upper convective boundary layer. The sound-speed profile inferred from the mean frequencies gives evidence for a sharp variation at the edge of the energy-generating core. In a thin layer just beneath the convection zone, helium appears to be less abundant than predicted by theory. Inverting the multiplet frequency splittings from MDI, we detect significant rotational shear in this thin layer.
Helioseismic measurements with the MDI instrument aboard SOHO, and complementary measurements from the GONG network, are revealing changes deep within the Sun as the solar cycle progresses. We present results based on recent data from both experiments, including variations in the rotation rate deep inside the convection zone.
Photoelectric B and V light curves and high dispersion spectroscopic observations were obtained in 1985 February for the rapidly rotating spotted star HD 36705. The visual light range was about 0.09 magnitude, with a well correlated B-V change of approximately 0.04 magnitude, the star being redder when faintest. There is evidence for a broadband flare of ~0.05 magnitude in V and 0.07 magnitude in B. This occurred near maximum light.
Spectroscopic observations show a variation in the equivalent width of the Ca K emission by a factor of about two in antiphase with the photometric variations, maximum emission corresponding to minimum brightness. This is probably due to bright plages and enhanced chromospheric heating associated with the photospheric starspots.
High dispersion, high signal-to-noise spectroscopic observations confirm the presence of lithium λ 6708 as reported by Rucinski (1982, 1985).
Several interpretations of the nature of HD 36705 are discussed; however at present none is completely satisfactory and further observations are required. As the star is probably at less than 100 pc, a parallax determination may be possible, and could help answer many of the questions concerning HD 36705.
The Chatterton Astronomy Department of Sydney University, in collaboration with the Astronomy Group of Imperial College (London), has carried out a program of speckle interferometry on the 3.9 m Anglo-Australian Telescope (AAT). Over 2 km of film were exposed during the two observing sessions in November and December, 1978, and the analysis of this very large amount of data is being carried out at the present time.
We present an overview of the survey for radio emission from active stars that has been in progress for the last six years using the observatories at Fleurs, Molonglo, Parkes and Tidbinbilla. The role of complementary optical observations at the Anglo-Australian Observatory, Mount Burnett, Mount Stromlo and Siding Spring Observatories and Mount Tamborine are also outlined. We describe the different types of star that have been included in our survey and discuss some of the problems in making the radio observations.
We obtained simultaneous images of solar plage on 7 May 1991 with Goddard Space Flight Center’s Solar EUV Rocket Telescope and Spectrograph (SERTS), the Very Large Array (VLA), and the NASA/NSO spectromagnetograph at Kitt Peak. Using intensity ratios of Fe XVI to Fe XV emission lines, we find that the coronal plasma temperature is 2.5 ± 0.3 ×lO6 K throughout the region. The column emission measure ranges from 2.6 × 1027 to 1.3 × 1028 cm−5. The calculated structure and intensity of the 20 cm wavelength thermal bremsstrahlung emission from the hot plasma observed by SERTS is quite similar to the observed structure and intensity of the 20 cm microwave emission observed by the VLA. Using the revised coronal iron abundance of Meyer (1991, 1992), we find no evidence for either cool absorbing plasma or for contributions from thermal gyroemission. Combining the observed microwave polarization and the SERTS plasma parameters, we calculate a map of the coronal longitudinal magnetic field. The resulting values, ~ 30 – 60 Gauss, are comparable to extrapolated values of the potential field at heights of 5,000 and 10,000 km.