35 research outputs found
Chinese Memory Makes a Martyr: <em>The Case of Huang Chunyao (1605–1645)</em>
The Brother Code: Manhood and Masculinity among African American Males in College, <em>T. Elon Dancy, II</em>
The Anti-HBs Response After 2 Different Accelerated Intradermal and Intramuscular Schemes for Hepatitis B Vaccination
30. Commission des Vitesses Radiales Stellaires
During the past three years the measurement of stellar radial velocities has formed an important part of the spectroscopic programme of most observatories possessing large telescopes. As observations are carried to fainter and fainter stars and the number of observable objects increases rapidly, a natural development has been the selection of special groups and types of stars, the radial velocities of which will aid in the solution of certain specific problems. Illustrations are the studies of the O, B and A type stars made at the Dominion Astrophysical, the Lick, and the Simeis Observatories, of the members of the galactic clusters at the Lick Observatory, and of the fainter Cepheid variables and early-type stars with strong interstellar lines at the Mount Wilson Observatory.</jats:p
36. Commission de la Spectrophotométrie
The present report is the first for which this newly-formed Commission has been responsible. In view of this fact, and in view of the still exploratory nature of many investigations in spectrophotometry, as well as the need for the highest measure of individuality in the attack of the not simple problems involved, it would be premature to propose, simple though it might be to do so, any far reaching plans for co-operative schemes of investigation. These undoubtedly will play a part in the later work of the Commission, but what appears to be needed now is a closer definition of the aims of spectrophotometry, and at least a reference to the many branches of the subject where investigation is needed. The present report attempts to deal with these topics in three successive sections, concerned in turn with the unique property of spectrophotometric measures, the fields of application of spectrophotometry, and recent developments in a still incomplete and difficult technique.</jats:p
36. Commission de la Spectrophotométrie
At the first meeting of the newly formed Commission on Spectrophotometry, at Paris in 1935, a thorough discussion, aided by several reports, took place on the principles of this branch of astrophysics. So it will be sufficient now to treat only such special points of theory and practice as have won interest by researches of the last few years.</jats:p
29. Commission des Spectres Stellaires
Two-thirds of the members of the Commission have replied to the request of the chairman for an expression of their opinion. Most of them are in general well satisfied with the existing system of classification and nomenclature. Lindblad reports on successful work upon the determination of absolute magnitudes of faint stars, in many ways. Adams writes: “I might suggest that attention be called in the report to the fact that the ultra-violet spectra, even of stars like β Orionis, show large numbers of lines. As you probably remember, the spectrum of Sirius resembles, at first sight, the solar spectrum. If all observatories had the facilities for getting spectra in the far ultra-violet, this region would probably furnish the best criteria for spectral type.” Merrill suggests: “The nomenclature which, upon the basis of atomic transition, assigns the adjective ‘nebular’ to lines which may not occur in nebulae, and ‘ auroral ‘ to lines which may not occur in the aurora, is surely not an ideal one.</jats:p
The impact of establishing a regional infective endocarditis (IE) network on pre-operative IE-related complications and on post-operative outcome
Abstract
Background
Infective endocarditis (IE) requires a high degree of suspicion and advanced level of multidisciplinary management. In 2015, the European guidelines recommended the formation of an endocarditis-team (ET) for optimal treatment of IE. In 2011, we already established an ET within the hospital that was only consulted on demand for certain patients. Since 2015, ET has been increasingly involved in the management of almost all patients with IE. In addition, we established in 2015 a statewide endocarditis- (E) network for the referring hospitals.
Purpose
We investigated the effect of E-network on reducing referral latency and pre-operative IE-related complications. We also investigated the adherence to the ET management recommendations in our hospital and its impact on post-operative stroke and mortality.
Methods
We retrospectively analyzed data from patients operated for IE in our center between 01/2007 and 03/2018. We conducted univariate analysis using Chi-square or Fisher's exact test, Multivariate logistic regression models for in-hospital mortality and post-operative stroke, and Kaplan-Meier estimate of 5-years survival.
Results
Among 630 patients operated for IE in our center, 409 (65%) underwent surgery in the 1st era before 12/2014. S. aureus IE was more frequent in the second era (34% vs 25%, p&lt;0.001). The median time from the onset of symptoms to referral in the 2nd era was halved compared to the first one [7 days (IQR 2–19) vs 15 days (IQR 6–35)]. Patients in the 2nd era were admitted with less IE-related complications, i.e. less preoperative stroke (14% vs 27%, p&lt;0.001), less heart failure (45% vs 69%, p&lt;0.001) less cardiac abscesses (24% vs 34%, p=0.018), less acute renal insufficiency requiring hemodialysis (8% vs 14%, p=0.026). The lack of ET management recommendations was an independent predictor for in-hospital mortality (adjusted OR: 2.13, 95% CI: 1.27–3.53, p=0.004) and post-operative stroke (adjusted OR: 2.23, 95% CI: 1.12–4.39, p=0.02), and was associated with worse 5-years survival (59% compared to 40%, log rank&lt;0.001).
Conclusion
Endocarditis-network led to earlier referral of patients, which resulted in less IE-related complications on admission. Lack of ET management recommendations was an independent predictor for post-operative stroke, in-hospital mortality and was associated with worse 5-years survival.
Funding Acknowledgement
Type of funding sources: None. Figure 1Figure 2
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