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Prognostication in comatose survivors of cardiac arrest: An advisory statement from the European Resuscitation Council and the European Society of Intensive Care Medicine
To review and update the evidence on predictors of poor outcome (death, persistent vegetative state or severe neurological disability) in adult comatose survivors of cardiac arrest, either treated or not treated with controlled temperature, to identify knowledge gaps and to suggest a reliable prognostication strategy. GRADE-based systematic review followed by expert consensus achieved using Web-ba
Generalized roof duality
The roof dual bound for quadratic unconstrained binary optimization is the basis for several methods for efficiently computing the solution to many hard combinatorial problems. It works by constructing the tightest possible lower-bounding submodular function, and instead of minimizing the original objective function, the relaxation is minimized. However, for higher-order problems the technique has
Simple semigroup graded rings
We show that if R is a, not necessarily unital, ring graded by a semigroup G equipped with an idempotent e such that G is cancellative at e, the nonzero elements of eGe form a hypercentral group and R-e has a nonzero idempotent f, then R is simple if and only if it is graded simple and the center of the corner subring fR(eGe)f is a field. This is a generalization of a result of Jespers' on the sim
Apleurotropis Girault (Hymenoptera: Eulophidae) new to tropical America, including six new species and biological records
The genus Apleurotropis Girault is here reported for the first time from tropical America. The genus is diagnosed and compared to Achrysocharoides Girault with which it shares important characters. Changes are suggested in two existing keys to Neotropical/Nearctic genera of Eulophidae to include Apleurotropis. Included in Apleurotropis are also six newly described species: A. albicaulis, A. albisc
Country of birth, socioeconomic factors and risk factor control in patients with type 2 diabetes: A Swedish study from 25 primary health care centers.
BACKGROUND: Few large-scale studies have examined the association between sociodemographic factors and the probability of reaching the recommended levels of HbA1c and blood lipids in patients with type 2 diabetes. The aim was to investigate whether sociodemographic characteristics of type 2 diabetes patients affected the odds that they would reach recommended levels of blood lipids and HbA1c. METH
Low atrial fibrillatory rate is associated with spontaneous conversion of recent-onset atrial fibrillation.
AIMS: Atrial fibrillatory rate (AFR) is considered a non-invasive index of atrial remodelling. Low AFR has been associated with favourable outcome of interventions in patients with persistent atrial fibrillation (AF). However, AFR has never been studied in unselected patients with short duration of AF, prone to regain sinus rhythm (SR) spontaneously. The aim of the study was to assess if AFR can p
Development of Frequency of Stools over Time in Children with Hirschsprung Disease Posttransanal Endorectal One-Stage Pull-through.
Background The transanal endorectal one-stage pull-through (TERPT) procedure in children with Hirschsprung disease (HD) is frequently used worldwide. To give the children's families realistic expectations and to plan the medical care for the period after TERPT, the outcome is of great importance. Aim The aim of this article is to collect information on the number of stools passed daily after one-s
Immunologic findings in young children with early onset of acute otitis media.
Abstract Conclusion: No significant differences in the number of immune aberrations were seen between children with or without severe recurrent acute otitis media (rAOM); however, subnormal values of immunological markers were found more often than expected, and 4 of the 60 children had treatment-requiring immune deficiencies.
Search for excited leptons in proton-proton collisions at root s=7 TeV with the ATLAS detector
The ATLAS detector is used to search for excited leptons in the electromagnetic radiative decay channel l* -> l gamma. Results are presented based on the analysis of pp collisions at a center-of-mass energy of 7 TeV corresponding to an integrated luminosity of 2.05 fb(-1). No evidence for excited leptons is found, and limits are set on the compositeness scale Lambda as a function of the excited le
Tumor Size of Invasive Breast Cancer on Magnetic Resonance Imaging and Conventional Imaging (Mammogram/Ultrasound): Comparison with Pathological Size and Clinical Implications.
In Landspitali University Hospital, magnetic resonance imaging is used non-selectively in addition to mammogram and ultrasound in the preoperative assessment of breast cancer patients. The aim of this study was to assess invasive tumor size on imaging, compare with pathological size and evaluate the impact of magnetic resonance imaging on the type of surgery performed.
Structural Investigation of a Fully Ordered closo-Ge-9(2-) Cluster in the Compound [K+(2,2,2-crypt)](2)Ge-9(2-)
[K+(2,2,2-crypt)] Ge-2(9)2- containing the deltahedral Zintl anion Ge-9(2-) has been isolated from a solution of K4Ge9 in ethylenediamine in the presence of 2,2,2-crypt, intended as an intermediate in mixed-cluster synthesis. The subsequent crystallographic characterisation shows the closo-Ge-9(2-) cluster unit to be tricapped trigonal-prismatic with a symmetry very close to D-3h. Each Ge-9(2-) un
Left ventricular AV-plane displacement is preserved with lifelong endurance training and is the main determinant of maximal cardiac output.
Age-related decline in cardiac function can be prevented or postponed by lifelong endurance training. However, effects of normal ageing as well as of lifelong endurance exercise on longitudinal and radial contribution to stroke volume are unknown. The aim of this study was to determine resting longitudinal and radial pumping in elderly athletes, sedentary elderly and young sedentary subjects. Furt
Biolubricant synthesis using immobilised lipase: Process optimisation of trimethylolpropane oleate production
Synthetic esters based on polyols and fatty acids possess suitable technical and ecological properties for applications as biolubricants, and can replace the mineral oil based lubricants in several applications. In this work, the synthesis of trimethylolpropane (TMP) esters with oleic acid using immobilised lipase B from Candida antarctica (Novozym (R) 435) has been studied. TMP-trioleate has suit
Bigger bodies: Long-term trends and disparities in obesity and body-mass index among U.S. adults, 1960-2008.
Increasing obesity rates and corresponding public health problems are well-known, and disparities across socioeconomic groups are frequently reported. However, the literature is less clear on whether the increasing trends are specific to certain socioeconomic groups and whether disparities in obesity are increasing or decreasing over time. This knowledge sheds light on the understanding of the dri
Patch testing with serial dilutions of various isothiazolinones in patients hypersensitive to methylchloroisothiazolinone/methylisothiazolinone.
In 2005, methylisothiazolinone (MI) on its own came into use as a preservative. Prior to that, MI was always present together with methylchloroisothiazolinone (MCI). Can the pattern of reactivity to the separate active ingredients in allergic patients tell us something about the primary sensitizer?
Direct Electrochemistry of Phanerochaete chrysosporium Cellobiose Dehydrogenase Covalently Attached onto Gold Nanoparticle Modified Solid Gold Electrodes.
Achieving efficient electrochemical communication between redox enzymes and various electrode materials is one of the main challenges in bioelectrochemistry and is of great importance for developing electronic applications. Cellobiose dehydrogenase (CDH) is an extracellular flavocytochrome composed of a catalytic FAD containing dehydrogenase domain (DH(CDH)), a heme b containing cytochrome domain
Chemical burns caused by trifluoroacetic acid.
Trifluoroacetic acid is a very strong carboxylic acid. The acid has been suspected to have similar toxic effects as hydrofluoric acid on skin contact. Hydrofluoric acid is highly toxic, owing to skin penetration by fluoride ions. A spill of hydrofluoric acid on the skin may be fatal. As trifluoroacetic acid contains fluorine, patients with chemical burns caused by trifluoroacetic acid have been gi
Reduced content of chloroatranol and atranol in oak moss absolute significantly reduces the elicitation potential of this fragrance material
BackgroundOak moss absolute, an extract from the lichen Evernia prunastri, is a valued perfume ingredient but contains extreme allergens. ObjectivesTo compare the elicitation properties of two preparations of oak moss absolute: classic oak moss', the historically used preparation, and new oak moss', with reduced contents of the major allergens atranol and chloroatranol. Patients/materials/methodsT
Early intraperitoneal metabolic changes and protease activation as indicators of pancreatic fistula after pancreaticoduodenectomy
Background: Ischaemia and local protease activation close to the pancreaticojejunal anastomosis (PJA) are potential mechanisms of postoperative pancreatic fistula (POPF) formation. To provide information on the pathophysiology of POPF, intraperitoneal microdialysis was used to monitor metabolic changes and protease activation close to the PJA after pancreaticoduodenectomy (PD). Methods: In patient