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  • 1
    Online Resource
    Online Resource
    Validation of the OAKS prognostic model for acute kidney injury after gastrointestinal surgery
    Oxford University Press (OUP) ; 2022
    In:  BJS Open Vol. 6, No. 1 ( 2022-01-06)
    Details
    In: BJS Open, Oxford University Press (OUP), Vol. 6, No. 1 ( 2022-01-06)
    Abstract: Postoperative acute kidney injury (AKI) is a common complication of major gastrointestinal surgery with an impact on short- and long-term survival. No validated system for risk stratification exists for this patient group. This study aimed to validate externally a prognostic model for AKI after major gastrointestinal surgery in two multicentre cohort studies. Methods The Outcomes After Kidney injury in Surgery (OAKS) prognostic model was developed to predict risk of AKI in the 7 days after surgery using six routine datapoints (age, sex, ASA grade, preoperative estimated glomerular filtration rate, planned open surgery and preoperative use of either an angiotensin-converting enzyme inhibitor or an angiotensin receptor blocker). Validation was performed within two independent cohorts: a prospective multicentre, international study (‘IMAGINE’) of patients undergoing elective colorectal surgery (2018); and a retrospective regional cohort study (‘Tayside’) in major abdominal surgery (2011–2015). Multivariable logistic regression was used to predict risk of AKI, with multiple imputation used to account for data missing at random. Prognostic accuracy was assessed for patients at high risk (greater than 20 per cent) of postoperative AKI. Results In the validation cohorts, 12.9 per cent of patients (661 of 5106) in IMAGINE and 14.7 per cent (106 of 719 patients) in Tayside developed 7-day postoperative AKI. Using the OAKS model, 558 patients (9.6 per cent) were classified as high risk. Less than 10 per cent of patients classified as low-risk developed AKI in either cohort (negative predictive value greater than 0.9). Upon external validation, the OAKS model retained an area under the receiver operating characteristic (AUC) curve of range 0.655–0.681 (Tayside 95 per cent c.i. 0.596 to 0.714; IMAGINE 95 per cent c.i. 0.659 to 0.703), sensitivity values range 0.323–0.352 (IMAGINE 95 per cent c.i. 0.281 to 0.368; Tayside 95 per cent c.i. 0.253 to 0.461), and specificity range 0.881–0.890 (Tayside 95 per cent c.i. 0.853 to 0.905; IMAGINE 95 per cent c.i. 0.881 to 0.899). Conclusion The OAKS prognostic model can identify patients who are not at high risk of postoperative AKI after gastrointestinal surgery with high specificity. Presented to Association of Surgeons in Training (ASiT) International Conference 2018 (Edinburgh, UK), European Society of Coloproctology (ESCP) International Conference 2018 (Nice, France), SARS (Society of Academic and Research Surgery) 2020 (Virtual, UK).
    Type of Medium: Online Resource
    ISSN: 2474-9842
    URL: Article
    DOI: 10.1093/bjsopen/zrab150
    Language: English
    Publisher: Oxford University Press (OUP)
    Publication Date: 2022
    detail.hit.zdb_id: 2902033-5
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  • 2
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    Online Resource
    Perioperative intravenous contrast administration and the incidence of acute kidney injury after major gastrointestinal surgery: prospective, multicentre cohort study
    Oxford University Press (OUP) ; 2020
    In:  British Journal of Surgery Vol. 107, No. 8 ( 2020-06-15), p. 1023-1032
    Details
    In: British Journal of Surgery, Oxford University Press (OUP), Vol. 107, No. 8 ( 2020-06-15), p. 1023-1032
    Abstract: This study aimed to determine the impact of preoperative exposure to intravenous contrast for CT and the risk of developing postoperative acute kidney injury (AKI) in patients undergoing major gastrointestinal surgery. Methods This prospective, multicentre cohort study included adults undergoing gastrointestinal resection, stoma reversal or liver resection. Both elective and emergency procedures were included. Preoperative exposure to intravenous contrast was defined as exposure to contrast administered for the purposes of CT up to 7 days before surgery. The primary endpoint was the rate of AKI within 7 days. Propensity score-matched models were adjusted for patient, disease and operative variables. In a sensitivity analysis, a propensity score-matched model explored the association between preoperative exposure to contrast and AKI in the first 48 h after surgery. Results A total of 5378 patients were included across 173 centres. Overall, 1249 patients (23·2 per cent) received intravenous contrast. The overall rate of AKI within 7 days of surgery was 13·4 per cent (718 of 5378). In the propensity score-matched model, preoperative exposure to contrast was not associated with AKI within 7 days (odds ratio (OR) 0·95, 95 per cent c.i. 0·73 to 1·21; P = 0·669). The sensitivity analysis showed no association between preoperative contrast administration and AKI within 48 h after operation (OR 1·09, 0·84 to 1·41; P = 0·498). Conclusion There was no association between preoperative intravenous contrast administered for CT up to 7 days before surgery and postoperative AKI. Risk of contrast-induced nephropathy should not be used as a reason to avoid contrast-enhanced CT.
    Type of Medium: Online Resource
    ISSN: 0007-1323 , 1365-2168
    URL: Article
    DOI: 10.1002/bjs.11453
    Language: English
    Publisher: Oxford University Press (OUP)
    Publication Date: 2020
    detail.hit.zdb_id: 2006309-X
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  • 3
    Online Resource
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    Impact of postoperative acute kidney injury in patients undergoing major gastrointestinal surgery on 1-year survival and renal outcomes: a national multicentre cohort study
    Oxford University Press (OUP) ; 2021
    In:  BJS Open Vol. 5, No. 6 ( 2021-11-09)
    Details
    In: BJS Open, Oxford University Press (OUP), Vol. 5, No. 6 ( 2021-11-09)
    Abstract: The intermediate-term impact of acute kidney injury (AKI) in patients after major gastrointestinal and liver surgery has not been well characterized. This study aimed to evaluate the 1-year mortality rate and renal outcomes associated with postoperative AKI in a national prospective cohort. Methods This prospective multicentre, observational cohort with 1-year postoperative follow-up included adults undergoing major gastrointestinal and liver surgery across the UK and Ireland between 23 September and 18 November 2015. AKI was defined according to Kidney Disease Improving Global Outcomes (KDIGO) criteria. The primary outcome was death at 1-year after surgery, and the secondary outcome was Major Adverse Kidney Events (MAKE-365). Cox proportionate and multilevel logistic regression were used to account for case mix. Results Of 5745 patients across 173 centres, 1-year follow-up data was completed for 3504 patients (62.2 per cent, 126 centres), with attrition largely explained by centre non-participation (63.1 per cent). Some 13.6 per cent (475 of 3504) patients developed AKI by 7 days after surgery (stage 1: 9.2 per cent; stage 2/3: 4.3 per cent). At 1 year, 10.8 per cent (378 patients) experienced a MAKE-365 endpoint (303 patients had died, 61 had renal replacement therapy and 78 had renal dysfunction). Patients who experienced AKI by 7 days after surgery had a higher hazard of death at 1 year for KDIGO stage 1 (hazard ratio 1.50 (95 per cent c.i. 1.08 to 2.08), P = 0.016) and KDIGO stage 2/3 (hazard ratio 2.96 (95 per cent c.i. 2.02 to 4.33), P & lt; 0.001). Both KDIGO stage 1 (odds ratio 2.09 (95 per cent c.i. 1.50 to 2.92), P & lt; 0.001) and stage 2/3 (odds ratio 9.26 (95 per cent c.i. 6.31 to 13.59), P & lt; 0.001) AKI were independently associated with MAKE-365. Conclusion AKI events within 7 days after gastrointestinal or liver surgery are associated with significantly worse survival and renal outcomes at 1 year.
    Type of Medium: Online Resource
    ISSN: 2474-9842
    URL: Article
    DOI: 10.1093/bjsopen/zrab134
    Language: English
    Publisher: Oxford University Press (OUP)
    Publication Date: 2021
    detail.hit.zdb_id: 2902033-5
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  • 4
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    Online Resource
    Full orbital solution for the binary system in the northern Galactic disc microlensing event Gaia16aye
    EDP Sciences ; 2020
    In:  Astronomy & Astrophysics Vol. 633 ( 2020-01), p. A98-
    Details
    In: Astronomy & Astrophysics, EDP Sciences, Vol. 633 ( 2020-01), p. A98-
    Abstract: Gaia16aye was a binary microlensing event discovered in the direction towards the northern Galactic disc and was one of the first microlensing events detected and alerted to by the Gaia space mission. Its light curve exhibited five distinct brightening episodes, reaching up to I  = 12 mag, and it was covered in great detail with almost 25 000 data points gathered by a network of telescopes. We present the photometric and spectroscopic follow-up covering 500 days of the event evolution. We employed a full Keplerian binary orbit microlensing model combined with the motion of Earth and Gaia around the Sun to reproduce the complex light curve. The photometric data allowed us to solve the microlensing event entirely and to derive the complete and unique set of orbital parameters of the binary lensing system. We also report on the detection of the first-ever microlensing space-parallax between the Earth and Gaia located at L2. The properties of the binary system were derived from microlensing parameters, and we found that the system is composed of two main-sequence stars with masses 0.57 ± 0.05 M ⊙ and 0.36 ± 0.03 M ⊙ at 780 pc, with an orbital period of 2.88 years and an eccentricity of 0.30. We also predict the astrometric microlensing signal for this binary lens as it will be seen by Gaia as well as the radial velocity curve for the binary system. Events such as Gaia16aye indicate the potential for the microlensing method of probing the mass function of dark objects, including black holes, in directions other than that of the Galactic bulge. This case also emphasises the importance of long-term time-domain coordinated observations that can be made with a network of heterogeneous telescopes.
    Type of Medium: Online Resource
    ISSN: 0004-6361 , 1432-0746
    URL: Article
    DOI: 10.1051/0004-6361/201935097
    RVK:
    UA 1000
    RVK:
    US 1090
    Language: English
    Publisher: EDP Sciences
    Publication Date: 2020
    detail.hit.zdb_id: 1458466-9
    SSG: 16,12
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  • 5
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    Weak Mass Loss from the Red Supergiant Progenitor of the Type II SN 2021yja
    American Astronomical Society ; 2022
    In:  The Astrophysical Journal Vol. 935, No. 1 ( 2022-08-01), p. 31-
    Details
    In: The Astrophysical Journal, American Astronomical Society, Vol. 935, No. 1 ( 2022-08-01), p. 31-
    Abstract: We present high-cadence optical, ultraviolet (UV), and near-infrared data of the nearby ( D ≈ 23 Mpc) Type II supernova (SN) 2021yja. Many Type II SNe show signs of interaction with circumstellar material (CSM) during the first few days after explosion, implying that their red supergiant (RSG) progenitors experience episodic or eruptive mass loss. However, because it is difficult to discover SNe early, the diversity of CSM configurations in RSGs has not been fully mapped. SN 2021yja, first detected within ≈ 5.4 hours of explosion, shows some signatures of CSM interaction (high UV luminosity and radio and x-ray emission) but without the narrow emission lines or early light-curve peak that can accompany CSM. Here we analyze the densely sampled early light curve and spectral series of this nearby SN to infer the properties of its progenitor and CSM. We find that the most likely progenitor was an RSG with an extended envelope, encompassed by low-density CSM. We also present archival Hubble Space Telescope imaging of the host galaxy of SN 2021yja, which allows us to place a stringent upper limit of ≲ 9 M ☉ on the progenitor mass. However, this is in tension with some aspects of the SN evolution, which point to a more massive progenitor. Our analysis highlights the need to consider progenitor structure when making inferences about CSM properties, and that a comprehensive view of CSM tracers should be made to give a fuller view of the last years of RSG evolution.
    Type of Medium: Online Resource
    ISSN: 0004-637X , 1538-4357
    URL: Article
    DOI: 10.3847/1538-4357/ac75f0
    RVK:
    UA 1000
    Language: Unknown
    Publisher: American Astronomical Society
    Publication Date: 2022
    detail.hit.zdb_id: 2207648-7
    detail.hit.zdb_id: 1473835-1
    SSG: 16,12
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  • 6
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    Online Resource
    Early Spectroscopy and Dense Circumstellar Medium Interaction in SN 2023ixf
    American Astronomical Society ; 2023
    In:  The Astrophysical Journal Letters Vol. 956, No. 1 ( 2023-10-01), p. L5-
    Details
    In: The Astrophysical Journal Letters, American Astronomical Society, Vol. 956, No. 1 ( 2023-10-01), p. L5-
    Abstract: We present the optical spectroscopic evolution of SN 2023ixf seen in subnight cadence spectra from 1.18 to 15 days after explosion. We identify high-ionization emission features, signatures of interaction with material surrounding the progenitor star, that fade over the first 7 days, with rapid evolution between spectra observed within the same night. We compare the emission lines present and their relative strength to those of other supernovae with early interaction, finding a close match to SN 2020pni and SN 2017ahn in the first spectrum and SN 2014G at later epochs. To physically interpret our observations, we compare them to CMFGEN models with confined, dense circumstellar material around a red supergiant (RSG) progenitor from the literature. We find that very few models reproduce the blended N iii ( λλ 4634.0,4640.6)/C iii ( λλ 4647.5,4650.0) emission lines observed in the first few spectra and their rapid disappearance thereafter, making this a unique diagnostic. From the best models, we find a mass-loss rate of 10 −3 –10 −2 M ⊙ yr −1 , which far exceeds the mass-loss rate for any steady wind, especially for an RSG in the initial mass range of the detected progenitor. These mass-loss rates are, however, similar to rates inferred for other supernovae with early circumstellar interaction. Using the phase when the narrow emission features disappear, we calculate an outer dense radius of circumstellar material R CSM,out ≈ 5 × 10 14 cm, and a mean circumstellar material density of ρ = 5.6 × 10 −14 g cm −3 . This is consistent with the lower limit on the outer radius of the circumstellar material we calculate from the peak H α emission flux, R CSM,out ≳ 9 × 10 13 cm.
    Type of Medium: Online Resource
    ISSN: 2041-8205 , 2041-8213
    URL: Article
    DOI: 10.3847/2041-8213/acf9a4
    Language: Unknown
    Publisher: American Astronomical Society
    Publication Date: 2023
    detail.hit.zdb_id: 2207648-7
    detail.hit.zdb_id: 2006858-X
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  • 7
    Online Resource
    Online Resource
    Close, bright, and boxy: the superluminous SN 2018hti
    Oxford University Press (OUP) ; 2022
    In:  Monthly Notices of the Royal Astronomical Society Vol. 512, No. 3 ( 2022-04-07), p. 4484-4502
    Details
    In: Monthly Notices of the Royal Astronomical Society, Oxford University Press (OUP), Vol. 512, No. 3 ( 2022-04-07), p. 4484-4502
    Abstract: SN 2018hti was a very nearby (z = 0.0614) superluminous supernova with an exceedingly bright absolute magnitude of −21.7 mag in r band at maximum. The densely sampled pre-maximum light curves of SN 2018hti show a slow luminosity evolution and constrain the rise time to ∼50 rest-frame d. We fitted synthetic light curves to the photometry to infer the physical parameters of the explosion of SN 2018hti for both the magnetar and the CSM-interaction scenarios. We conclude that one of two mechanisms could be powering the luminosity of SN 2018hti; interaction with ∼10 M⊙ of circumstellar material or a magnetar with a magnetic field of Bp∼ 1.3 × 1013 G, and initial period of Pspin∼ 1.8 ms. From the nebular spectrum modelling we infer that SN 2018hti likely results from the explosion of a ${\sim}40\, \mathrm{M}_\odot$ progenitor star.
    Type of Medium: Online Resource
    ISSN: 0035-8711 , 1365-2966
    URL: Article
    DOI: 10.1093/mnras/stac744
    Language: English
    Publisher: Oxford University Press (OUP)
    Publication Date: 2022
    detail.hit.zdb_id: 2016084-7
    SSG: 16,12
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  • 8
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    Online Resource
    SN 2021gno: a calcium-rich transient with double-peaked light curves
    Oxford University Press (OUP) ; 2023
    In:  Monthly Notices of the Royal Astronomical Society Vol. 526, No. 1 ( 2023-09-21), p. 279-298
    Details
    In: Monthly Notices of the Royal Astronomical Society, Oxford University Press (OUP), Vol. 526, No. 1 ( 2023-09-21), p. 279-298
    Abstract: We present extensive ultraviolet (UV) and optical photometric and optical spectroscopic follow-up of supernova (SN) 2021gno by the ‘Precision Observations of Infant Supernova Explosions’ (POISE) project, starting less than 2 d after the explosion. Given its intermediate luminosity, fast photometric evolution, and quick transition to the nebular phase with spectra dominated by [Ca ii] lines, SN 2021gno belongs to the small family of Calcium-rich transients. Moreover, it shows double-peaked light curves, a phenomenon shared with only four other Calcium-rich events. The projected distance from the centre of the host galaxy is not as large as other objects in this family. The initial optical light-curve peaks coincide with a very quick decline of the UV flux, indicating a fast initial cooling phase. Through hydrodynamical modelling of the bolometric light curve and line velocity evolution, we found that the observations are compatible with the explosion of a highly stripped massive star with an ejecta mass of $0.8\, M_\odot$ and a 56Ni mass of 0.024 M⊙. The initial cooling phase (first light-curve peak) is explained by the presence of an extended circumstellar material comprising ∼$10^{-2}\, {\rm M}_{\odot }$ with an extension of $1100\, R_{\odot }$. We discuss if hydrogen features are present in both maximum-light and nebular spectra, and their implications in terms of the proposed progenitor scenarios for Calcium-rich transients.
    Type of Medium: Online Resource
    ISSN: 0035-8711 , 1365-2966
    URL: Article
    DOI: 10.1093/mnras/stad2705
    Language: English
    Publisher: Oxford University Press (OUP)
    Publication Date: 2023
    detail.hit.zdb_id: 2016084-7
    SSG: 16,12
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  • 9
    Online Resource
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    The nature and importance of women's goals for immediate and delayed breast reconstruction
    Elsevier BV ; 2021
    In:  Journal of Plastic, Reconstructive & Aesthetic Surgery Vol. 74, No. 9 ( 2021-09), p. 2169-2175
    Details
    In: Journal of Plastic, Reconstructive & Aesthetic Surgery, Elsevier BV, Vol. 74, No. 9 ( 2021-09), p. 2169-2175
    Type of Medium: Online Resource
    ISSN: 1748-6815
    URL: Article
    DOI: 10.1016/j.bjps.2020.12.085
    Language: English
    Publisher: Elsevier BV
    Publication Date: 2021
    detail.hit.zdb_id: 2214150-9
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  • 10
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    The Hubble Catalog of Variables (HCV)
    EDP Sciences ; 2019
    In:  Astronomy & Astrophysics Vol. 630 ( 2019-10), p. A92-
    Details
    In: Astronomy & Astrophysics, EDP Sciences, Vol. 630 ( 2019-10), p. A92-
    Abstract: Aims. Over its lifetime and despite not being a survey telescope, the Hubble Space Telescope (HST) has obtained multi-epoch observations by multiple, diverse observing programs, providing the opportunity for a comprehensive variability search aiming to uncover new variables. We have therefore undertaken the task of creating a catalog of variable sources based on archival HST photometry. In particular, we have used version 3 of the Hubble Source Catalog (HSC), which relies on publicly available images obtained with the WFPC2, ACS, and WFC3 instruments onboard the HST. Methods. We adopted magnitude-dependent thresholding in median absolute deviation (a robust measure of light curve scatter) combined with sophisticated preprocessing techniques and visual quality control to identify and validate variable sources observed by Hubble with the same instrument and filter combination five or more times. Results. The Hubble Catalog of Variables (HCV) includes 84 428 candidate variable sources (out of 3.7 million HSC sources that were searched for variability) with V  ≤ 27 mag; for 11 115 of them the variability is detected in more than one filter. The data points in the light curves of the variables in the HCV catalog range from five to 120 points (typically having less than ten points); the time baseline ranges from under a day to over 15 years; while ∼8% of all variables have amplitudes in excess of 1 mag. Visual inspection performed on a subset of the candidate variables suggests that at least 80% of the candidate variables that passed our automated quality control are true variable sources rather than spurious detections resulting from blending, residual cosmic rays, and calibration errors. Conclusion. The HCV is the first, homogeneous catalog of variable sources created from the highly diverse, archival HST data and currently is the deepest catalog of variables available. The catalog includes variable stars in our Galaxy and nearby galaxies, as well as transients and variable active galactic nuclei. We expect that the catalog will be a valuable resource for the community. Possible uses include searches for new variable objects of a particular type for population analysis, detection of unique objects worthy of follow-up studies, identification of sources observed at other wavelengths, and photometric characterization of candidate progenitors of supernovae and other transients in nearby galaxies. The catalog is available to the community from the ESA Hubble Science Archive (eHST) at the European Space Astronomy Centre (ESAC) and the Mikulski Archive for Space Telescopes (MAST) at Space Telescope Science Institute (STScI).
    Type of Medium: Online Resource
    ISSN: 0004-6361 , 1432-0746
    URL: Article
    DOI: 10.1051/0004-6361/201936026
    RVK:
    UA 1000
    RVK:
    US 1090
    Language: English
    Publisher: EDP Sciences
    Publication Date: 2019
    detail.hit.zdb_id: 1458466-9
    SSG: 16,12
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