| 2. |
- ELLIOTT, MARINA, et al.
(författare)
-
Expanded Explorations of the Dinaledi Subsystem,Rising Star Cave System, South Africa
- 2021
-
Ingår i: PaleoAnthropology. - 1545-0031. ; 2021:1, s. 15-22
-
Tidskriftsartikel (refereegranskat)abstract
- The Dinaledi Chamber of the Rising Star cave system has yielded a large assemblage of fossil hominin material, attributed to Homo naledi. The unusual taphonomic and geological situation of the assemblage suggested that the remains may have been deliberately deposited in the chamber. However, the route and mechanism of deposition of the remains within the Dinaledi Chamber are still uncertain. During the 2017—2018 field seasons, we expanded explorations of the passages surrounding the Dinaledi Chamber. These explorations improved our understandingof the cave’s spatial complexity, necessitating a revision of the way the spaces are named and described. The work supported the hypothesis that there is no alternate entrance into the system other than the Chute. The work also identified new fossil deposits in several remote passages, three of which contain material attributable to H. naledi. Here, we clarify the definition of the Dinaledi Subsystem and provide terminology for new fossil localities found in this portion of the Rising Star cave system. These results emphasize the complex depositional environment of the Dinaledi Subsystem and raise new questions about the process and timing of the fossil accumulations.
|
|
| 3. |
- Khatri, C, et al.
(författare)
-
Outcomes after perioperative SARS-CoV-2 infection in patients with proximal femoral fractures: an international cohort study
- 2021
-
Ingår i: BMJ open. - : BMJ. - 2044-6055. ; 11:11, s. e050830-
-
Tidskriftsartikel (refereegranskat)abstract
- Studies have demonstrated high rates of mortality in people with proximal femoral fracture and SARS-CoV-2, but there is limited published data on the factors that influence mortality for clinicians to make informed treatment decisions. This study aims to report the 30-day mortality associated with perioperative infection of patients undergoing surgery for proximal femoral fractures and to examine the factors that influence mortality in a multivariate analysis.SettingProspective, international, multicentre, observational cohort study.ParticipantsPatients undergoing any operation for a proximal femoral fracture from 1 February to 30 April 2020 and with perioperative SARS-CoV-2 infection (either 7 days prior or 30-day postoperative).Primary outcome30-day mortality. Multivariate modelling was performed to identify factors associated with 30-day mortality.ResultsThis study reports included 1063 patients from 174 hospitals in 19 countries. Overall 30-day mortality was 29.4% (313/1063). In an adjusted model, 30-day mortality was associated with male gender (OR 2.29, 95% CI 1.68 to 3.13, p<0.001), age >80 years (OR 1.60, 95% CI 1.1 to 2.31, p=0.013), preoperative diagnosis of dementia (OR 1.57, 95% CI 1.15 to 2.16, p=0.005), kidney disease (OR 1.73, 95% CI 1.18 to 2.55, p=0.005) and congestive heart failure (OR 1.62, 95% CI 1.06 to 2.48, p=0.025). Mortality at 30 days was lower in patients with a preoperative diagnosis of SARS-CoV-2 (OR 0.6, 95% CI 0.6 (0.42 to 0.85), p=0.004). There was no difference in mortality in patients with an increase to delay in surgery (p=0.220) or type of anaesthetic given (p=0.787).ConclusionsPatients undergoing surgery for a proximal femoral fracture with a perioperative infection of SARS-CoV-2 have a high rate of mortality. This study would support the need for providing these patients with individualised medical and anaesthetic care, including medical optimisation before theatre. Careful preoperative counselling is needed for those with a proximal femoral fracture and SARS-CoV-2, especially those in the highest risk groups.Trial registration numberNCT04323644
|
|
