Patients' inability to perform a preoperative cardiopulmonary exercise test or demonstrate an anaerobic threshold is associated with inferior outcomes after major colorectal surgery.

BACKGROUND: Surgical patients with poor functional capacity, determined by oxygen consumption at anaerobic threshold (AT) during cardiopulmonary exercise testing (CPET), experience longer hospital stays and worse short- and medium-term survival. However, previous studies excluded patients who were unable to perform a CPET or who failed to demonstrate an AT. We hypothesized that such patients are at risk of inferior outcomes after elective surgery. METHODS: All patients undergoing major colorectal surgery attempted CPET to assist in the planning of care. Patients were stratified by their test results into Fit (AT ≥ 11.0 ml O2 kg(-1) min(-1)), Unfit (AT < 11.0 ml O2 kg(-1) min(-1)), or Unable to CPET groups (failed to pedal or demonstrate an AT). For each group, we determined hospital stay and mortality. RESULTS: Between March 2009 and April 2010, 269 consecutive patients were screened, and proceeded to bowel resection. Median hospital stay was 8 days (IQR 5.1-13.4) and there were 44 deaths (16%) at 2 yr; 26 (9.7%) patients were categorized as Unable to CPET, 69 (25.7%) Unfit and 174 (64.7%) Fit. There were statistically significant differences between the three groups in hospital stay [median (IQR) 14.0 (10.5-23.8) vs 9.9 (5.5-15) vs 7.1 (4.9-10.8) days, P < 0.01] and mortality at 2 yr [11/26 (42%) vs 14/69 (20%) vs 19/174 (11%), respectively (P < 0.01)] although the differences between Unable and Unfit were not statistically different. CONCLUSIONS: Patients' inability to perform CPET is associated with inferior outcomes after major colorectal surgery. Future studies evaluating CPET in risk assessment for major surgery should report outcomes for this subgroup

Advanced demand and a critical analysis of revenue management

Pre-print; author's draftThis paper presents a theoretical framework of advanced demand through six propositions. The framework introduces the concept of acquisition and valuation risks and suggests that advanced demand distribution is rooted in the trade off between them. Furthermore, since advanced buyers may not consume, firms may be able to re-sell capacity relinquished. The study then proposes how refunds could provide additional revenue to firms. The study further suggests theoretical reasons why and when service firms are able to practice revenue management, suggesting that RM tools such as overbooking and demand forecasting may not be the only tools for higher revenue

Caustic Leaching of Sludges from Selected Hanford Tanks

The objective of this project was to measure the caustic dissolution behavior of sludge components from selected Hanford waste tank sludge samples under different conditions. The dissolution of aluminum, chromium, and other constituents of actual sludge samples in aqueous sodium hydroxide solution was evaluated using various values of temperature, sodium hydroxide concentration, volume of caustic solution per unit mass of sludge (liquid:solids ratio), and leaching time

One thousand plant transcriptomes and the phylogenomics of green plants

Abstract: Green plants (Viridiplantae) include around 450,000–500,000 species1, 2 of great diversity and have important roles in terrestrial and aquatic ecosystems. Here, as part of the One Thousand Plant Transcriptomes Initiative, we sequenced the vegetative transcriptomes of 1,124 species that span the diversity of plants in a broad sense (Archaeplastida), including green plants (Viridiplantae), glaucophytes (Glaucophyta) and red algae (Rhodophyta). Our analysis provides a robust phylogenomic framework for examining the evolution of green plants. Most inferred species relationships are well supported across multiple species tree and supermatrix analyses, but discordance among plastid and nuclear gene trees at a few important nodes highlights the complexity of plant genome evolution, including polyploidy, periods of rapid speciation, and extinction. Incomplete sorting of ancestral variation, polyploidization and massive expansions of gene families punctuate the evolutionary history of green plants. Notably, we find that large expansions of gene families preceded the origins of green plants, land plants and vascular plants, whereas whole-genome duplications are inferred to have occurred repeatedly throughout the evolution of flowering plants and ferns. The increasing availability of high-quality plant genome sequences and advances in functional genomics are enabling research on genome evolution across the green tree of life

Removal of actinides from dissolved ORNL MVST sludge using the TRUEX process

Experiments were conducted to evaluate the transuranium extraction process for partitioning actinides from actual dissolved high-level radioactive waste sludge. All tests were performed at ambient temperature. Time and budget constraints permitted only two experimental campaigns. Samples of sludge from Melton Valley Storage Tank W-25 were rinsed with mild caustic (0.2 M NaOH) to reduce the concentrations of nitrates and fission products associated with the interstitial liquid. In one campaign, the rinsed sludge was dissolved in nitric acid to produce a solution containing total metal concentrations of ca. 1.8 M with a nitric acid concentration of ca. 2.9 M. About 50% of the dry mass of the sludge was dissolved. In the other campaign, the sludge was neutralized with nitric acid to destroy the carbonates, then leached with ca. 2.6 M NaOH for ca. 6 h before rinsing with the mild caustic. The sludge was then dissolved in nitric acid to produce a solution containing total metal concentrations of ca. 0.6 M with a nitric acid concentration of ca. 1.7 M. About 80% of the sludge dissolved. The dissolved sludge solution form the first campaign began gelling immediately, and a visible gel layer was observed after 8 days. In the second campaign, the solution became hazy after ca. 8 days, indicating gel formation, but did not display separated gel layers after aging for 20 days. Batch liquid-liquid equilibrium tests of both the extraction and stripping operations were conducted. Chemical analyses of both phases were used to evaluate the process. Evaluation was based on two metrics: the fraction of TRU elements removed from the dissolved sludge and comparison of the results with predictions made with the Generic TRUEX Model (GTM). The fractions of Eu, Pu, Cm, Th, and U species removed from aqueous solution in only one extraction stage were > 95% and were close to the values predicted by the GTM. Mercury was also found to be strongly extracted, with a one-stage removal of > 92%

Evaluation of the ACT*DE*CON{sup SM} process for treating gunite tank sludge

A test was conducted to evaluate this process for selectively removing actinides from Gunite tank sludge. Mixed waste sludge from Gunite tank W-6 was subjected to the ACT*DE*CON selective leaching process. (Nearly all the TRU content was attributed to Pu.) The sludge sample was first washed with 0.01M NaOH to remove excess sodium and nitrate in the interstitial liquid supernatant. The washed wet solids were treated with the ACT*DE*CON solvent (aqueous carbonate solution containing a chelating agent and an oxidant), using a ratio of 20 ml solvent per gram wet solids. Sludge and solvent were separated by centrifugation, and the ACT*DE*CON treatment was repeated twice. Analyses showed that 71% of the solids in the sludge were dissolved while 80% of the TRU-waste components dissolved. Low separation of the TRU-waste components from other components of the sludge mixture is indicated. Almost all the U and Ca were removed from the sludge. For sludges where most of the TRU content is Pu, the ACT*DE*CON process as tested is not effective in rendering the sludge a non-TRU waste. It is recommended that ACT*DE*CON be optimized for this specific application and that other processes using different chelating and oxidizing agents be tested. Also, the ACT*DE*CON process should be tested on TRU mixed waste in which most of the TRU elements are not Pu