Perioperative Outcomes in Congenital Heart Disease: A Review of Clinical Factors Associated With Prolonged Ventilation and Length of Stay in Four Common CHD Operations.

Objectives: Perioperative management strategies and outcomes for low-risk congenital heart disease (CHD) surgery vary between institutions. To date, no consensus exists on standardized management for pediatric patients undergoing cardiac surgery. This study seeks to benchmark the perioperative management of 4 common CHD lesions and explore clinical factors affecting postoperative outcomes.

Comparison of computational pose estimation models for joint angles with 3D motion capture.

Tools to calculate human movement patterns can benefit musculoskeletal clinicians and researchers for rehabilitation assessments. The research objective of this study was to compare two human pose estimation models (HRNet, MediaPipe) against the laboratory marker-based reference standard for joint angles and range of motion (ROM) for several movement parameters. Twenty-two healthy volunteers (Female n = 16, Male n = 6), participated to compare outputs for knee and elbow kinematics.

Central Arterial Line Placement for Pediatric Cardiac Surgery: A Single-Center Experience.

Background: Peripheral arterial line placement is a common, low-risk procedure in pediatric patients undergoing cardiac surgery. Central arterial cannulation may be used when peripheral cannulation is not feasible. At present, there are limited data to guide central arterial-line site selection in pediatric patients.

A 1 Ma sedimentary ancient DNA (sedaDNA) record of catchment vegetation changes and the developmental history of tropical Lake Towuti (Sulawesi, Indonesia).

Studying past ecosystems from ancient environmental DNA preserved in lake sediments (sedaDNA) is a rapidly expanding field. This research has mainly involved Holocene sediments from lakes in cool climates, with little known about the suitability of sedaDNA to reconstruct substantially older ecosystems in the warm tropics. Here, we report the successful recovery of chloroplast trnL (UAA) sequences (trnL-P6 loop) from the sedimentary record of Lake Towuti (Sulawesi, Indonesia) to elucidate changes in regional tropical vegetation assemblages during the lake's Late Quaternary paleodepositional history.

Utilising electrodermal activity sensor signals to quantify nociceptive response during movement activities.

Objective: With an increasingly ageing population and osteoarthritis prevalence, the quantification of nociceptive signals responsible for painful movements and individual responses could lead to better treatment and monitoring solutions. Changes in electrodermal activity (EDA) can be detected via changes in skin conductance (SC) and measured using finger electrodes on a wearable sensor, providing objective information for increased physiological stress response.

Results: To provide EDA response preliminary data, this was recorded with healthy volunteers on an array of activities while receiving a noxious stimulus.

Letting the plants speak: Law, landscape and conservation.

The Botany Wetlands are the contemporary remnant of a formerly extensive coastal freshwater wetland in the inner-urban suburbs of Sydney (Australia). This site supports a range of ecosystem services, including human physical and mental health benefits, filtration of stormwater runoff from a highly urban and industrial catchment, and accommodation space for floodwater. The wetlands also provide habitat to migratory water birds and act as a connective habitat corridor and refuge for native flora and fauna including endangered ecological communities recognised in state and national legislation.

Data sharing across osteoarthritis research groups and disciplines: Opportunities and challenges.

Background: Osteoarthritis is a heterogeneous condition characterised by a wide variety of factors and represents a worldwide healthcare challenge. There are multiple clinical and research specialisms involved in the diagnosis, prognosis and treatment of osteoarthritis, and there may be opportunities to share or pool data which are currently not being utilised. However, there are challenges to doing so which require carefully structured solutions and partnership working.

Exploring Noncardiac Surgical Needs From Infancy to Adulthood in Patients With Congenital Heart Disease.

Objectives: As life expectancy for patients born with congenital heart disease (CHD) continues to rise, these patients will present increasingly for noncardiac surgery during childhood and adolescence. This study aimed to map the lifespan of noncardiac surgical needs among patients with CHD and explore how these needs may change over time.

Design: All patients with CHD presenting for noncardiac surgery between 2008 and 2014 were selected for review.

"Impossibility of its being deciphered": Anne Lister, her "crypt hand" diaries, and the contrast between voicing and silencing.

In recent decades, it has become increasingly important to reevaluate certain literature and figures in history to discover what was being communicated in the midst of, and through, the silence of minority groups. My particular focus is on the tradition of white female silence and the ways in which Anne Lister and her diaries (as separate entities) contributed to conversations about silence by establishing other methods of communication despite restrictions placed on women's voices at the time. As the main focalizers in the creation and depiction of her societal and sexual identity, I discuss Lister's "crypt hand" diaries, her self-presentation, her inheritance of Shibden Hall, and the contrast they offer between voicing and silencing.

Family responses to resource scarcity.

Unlabelled: Resource scarcity, manifested through limited time, money or space, is a prevalent aspect of family life. Drawing on depth interviews with 30 families from diverse demographic backgrounds, this study develops a framework to demonstrate how families respond to resource scarcity. Our research examines how multi-dimensional, concurrent and/or consecutive life events, such as job changes, house moves, or childbirth, create a mismatch between available and required resources to trigger situational resource scarcity.

Bottlenose dolphin communication during a role-specialized group foraging task.

A division of labor with role specialization is defined as individuals specializing in a subtask during repetitions of a group task. While this behavior is ubiquitous among humans, there are only four candidates found among non-eusocial mammals: lions, mice, chimpanzees, and bottlenose dolphins. Bottlenose dolphins in the Cedar Keys, Florida, engage in role specialized "driver-barrier feeding", where a "driver" dolphin herds mullet towards "barrier" dolphins.

How Should We Care for Patients with Congenital Heart Diseases Undergoing Surgical Procedures in Ambulatory Settings?

Congenital heart diseases (CHDs) are the most common of all congenital birth anomalies. As the survival of patients with CHDs continues to improve, this patient population is presenting for non-cardiac procedures more frequently than in the past. With ambulatory based procedures becoming increasingly common, it is critical to consider how we should best triage these patients for procedures in ambulatory settings.

Immediate effect of a spinal mobilisation intervention on muscle stiffness, tone and elasticity in subjects with lower back pain - A randomized cross-over trial.

Background: Despite the lack of objective evidence, spinal manual therapies have been common practice for many years, particularly for treatment of lower back pain (LBP). This exploratory study measured and analysed the effect of a spinal mobilisation intervention on muscle tissue quality in LBP sufferers.

Methods: 40 people with LBP participated in a within-subject repeated measures cross-over study with intervention and control conditions.

Indigenous knowledge and the shackles of wilderness.

The environmental crises currently gripping the Earth have been codified in a new proposed geological epoch: the Anthropocene. This epoch, according to the Anthropocene Working Group, began in the mid-20th century and reflects the "great acceleration" that began with industrialization in Europe [J. Zalasiewicz et al.

Separating overlapping echolocation: An updated method for estimating the number of echolocating animals in high background noise levels.

Much can be learned by investigating the click trains of odontocetes, including estimating the number of vocalizing animals and comparing the acoustic behavior of different individuals. Analyzing such information gathered from groups of echolocating animals in a natural environment is complicated by two main factors: overlapping echolocation produced by multiple animals at the same time, and varying levels of background noise. Starkhammar et al.

Experiences with implementation of continuous positive airway pressure for neonates and infants in low-resource settings: A scoping review.

Background: Continuous positive airway pressure (CPAP) is the gold standard of care in providing non-invasive positive pressure support to neonates in respiratory distress in high-resource settings. While safety has been demonstrated in low-resource settings, there is a lack of knowledge on the barriers and facilitators to proper implementation.

Objective: To identify and describe the barriers, facilitators, and priorities for future implementation of CPAP for neonates and infants in low-resource settings.

Non-uniform tropical forest responses to the 'Columbian Exchange' in the Neotropics and Asia-Pacific.

It has been suggested that Iberian arrival in the Americas in 1492 and subsequent dramatic depopulation led to forest regrowth that had global impacts on atmospheric CO concentrations and surface temperatures. Despite tropical forests representing the most important terrestrial carbon stock globally, systematic examination of historical afforestation in these habitats in the Neotropics is lacking. Additionally, there has been no assessment of similar depopulation-afforestation dynamics in other parts of the global tropics that were incorporated into the Spanish Empire.

A retrospective review of clinical and non-clinical factors associated with unscheduled cesarean deliveries at one urban medical center.

Objective: To investigate factors associated with unscheduled cesarean delivery at one urban tertiary medical center.

Methods: A retrospective chart review was performed on 11 162 deliveries between 2009 and 2019. The dependent variable was unscheduled cesarean delivery.