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- Bravo, L, et al.
(author)
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- 2021
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swepub:Mat__t
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- Tabiri, S, et al.
(author)
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- 2021
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swepub:Mat__t
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- Khatri, C, et al.
(author)
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Outcomes after perioperative SARS-CoV-2 infection in patients with proximal femoral fractures: an international cohort study
- 2021
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In: BMJ open. - : BMJ. - 2044-6055. ; 11:11, s. e050830-
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Journal article (peer-reviewed)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
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7. |
- Kielty, Collin L., et al.
(author)
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The Pristine survey - XII. Gemini-GRACES chemo-dynamical study of newly discovered extremely metal-poor stars in the Galaxy
- 2021
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In: Monthly notices of the Royal Astronomical Society. - : Oxford University Press (OUP). - 0035-8711 .- 1365-2966. ; 506:1, s. 1438-1461
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Journal article (peer-reviewed)abstract
- High-resolution optical spectra of 30 metal-poor stars selected from the Pristine survey are presented, based on observations taken with the Gemini Observatory GRACES spectrograph. Stellar parameters Teff and log g are determined using a Gaia DR2 colour–temperature calibration and surface gravity from the Stefan–Boltzmann equation. GRACES spectra are used to determine chemical abundances (or upper limits) for 20 elements (Li, O, Na, Mg, K, Ca, Ti, Sc, Cr, Mn, Fe, Ni, Cu, Zn, Y, Zr, Ba, La, Nd, Eu). These stars are confirmed to be metal-poor ([Fe/H] < −2.5), with higher precision than from earlier medium-resolution analyses. The chemistry for most targets is similar to other extremely metal-poor stars in the Galactic halo. Three stars near [Fe/H] = −3.0 have unusually low Ca and high Mg, suggestive of contributions from few SN II where alpha-element formation through hydrostatic nucleosynthesis was more efficient. Three new carbon-enhanced metal-poor (CEMP) stars are also identified (two CEMP-s and one potential CEMP-no star) when our chemical abundances are combined with carbon from previous medium-resolution analyses. The GRACES spectra also provide precision radial velocities (σRV ≤ 0.2 km s−1) for dynamical orbit calculations with the Gaia DR2 proper motions. Most of our targets are dynamically associated with the Galactic halo; however, five stars with [Fe/H] < −3 have planar-like orbits, including one retrograde star. Another five stars are dynamically consistent with the Gaia-Sequoia accretion event; three have typical halo [α/Fe] ratios for their metallicities, whereas two are [Mg/Fe]-deficient, and one is a new CEMP-s candidate. These results are discussed in terms of the formation and early chemical evolution of the Galaxy.
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- Longeard, Nicolas, et al.
(author)
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The pristine dwarf-galaxy survey - III. Revealing the nature of the Milky Way globular cluster Sagittarius II
- 2021
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In: Monthly notices of the Royal Astronomical Society. - : Oxford University Press (OUP). - 0035-8711 .- 1365-2966. ; 503:2, s. 2754-2762
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Journal article (peer-reviewed)abstract
- We present a new spectroscopic study of the faint Milky Way satellite Sagittarius II. Using multiobject spectroscopy from the Fibre Large Array Multi-Element Spectrograph, we supplement the data set of Longeard et al. with 47 newly observed stars, 19 of which are identified as members of the satellite. These additional member stars are used to put tighter constraints on the dynamics and the metallicity properties of the system. We find a low velocity dispersion of sigma(SgrII)(v) = 1.7 +/- 0.5 km s(-1), in agreement with the dispersion of Milky Way globular clusters of similar luminosity. We confirm the very metal-poor nature of the satellite ([Fe/H](spectro)(SgrII) = -2.23 +/- 0.07) and find that the metallicity dispersion of Sgr II is not resolved, reaching only 0.20 at the 95 per cent confidence limit. No star with a metallicity below -2.5 is confidently detected. Therefore, despite the unusually large size of the system (r(h) = 35.5(-1.2)(-1.4) pc), we conclude that Sgr II is an old and metal-poor globular cluster of the Milky Way.
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- Martin, Nicolas F., et al.
(author)
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The Pristine survey - XVI. The metallicity of 26 stellar streams around the Milky Way detected with the STREAMFINDER in Gaia EDR3
- 2022
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In: Monthly notices of the Royal Astronomical Society. - : Oxford University Press (OUP). - 0035-8711 .- 1365-2966. ; 516:4, s. 5331-5354
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Journal article (peer-reviewed)abstract
- We use the photometric metallicities provided by the panoramic Pristine survey to study the veracity and derive the metallicities of the numerous stellar streams found by the application of the STREAMFINDER algorithm to the Gaia Early Data Release 3 data. All 26 streams present in Pristine show a clear metallicity distribution function, which provides an independent check of the reality of these structures, supporting the reliability of STREAMFINDER in finding streams and the power of Pristine to measure precise metallicities. We further present six candidate structures with coherent phase-space and metallicity signals that are very likely streams. The majority of studied streams are very metal-poor (14 structures with [Fe/H] < −2.0) and include three systems with [Fe/H] < −2.9 (C-11, C-19, and C-20). These streams could be the closest debris of low-luminosity dwarf galaxies or may have originated from globular clusters of significantly lower metallicity than any known current Milky Way globular cluster. Our study shows that the promise of the Gaia data for Galactic Archeology studies can be substantially strengthened by quality photometric metallicities, allowing us to peer back into the earliest epochs of the formation of our Galaxy and its stellar halo constituents.
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- Roederer, Ian U., et al.
(author)
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The discovery space of ELT-ANDES. Stars and stellar populations
- 2024
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In: Experimental Astronomy. - 0922-6435. ; 57:2
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Journal article (peer-reviewed)abstract
- The ArmazoNes high Dispersion Echelle Spectrograph (ANDES) is the optical and near-infrared high-resolution echelle spectrograph envisioned for the Extremely Large Telescope (ELT). We present a selection of science cases, supported by new calculations and simulations, where ANDES could enable major advances in the fields of stars and stellar populations. We focus on three key areas, including the physics of stellar atmospheres, structure, and evolution; stars of the Milky Way, Local Group, and beyond; and the star-planet connection. The key features of ANDES are its wide wavelength coverage at high spectral resolution and its access to the large collecting area of the ELT. These features position ANDES to address the most compelling questions and potentially transformative advances in stellar astrophysics of the decades ahead, including questions which cannot be anticipated today.
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