Geometrical Lagrangian for a supersymmetric Yang-Mills theory on the group manifold

Perhaps one of the main features of Einstein's General Theory of Relativity is that spacetime is not flat itself but curved. Nowadays, however, many of the unifying theories like superstrings on even alternative gravity theories such as teleparalell geometric theories assume flat spacetime for their calculations. This article, an extended account of an earlier author's contribution, it is assumed a curved group manifold as a geometrical background from which a Lagrangian for a supersymmetric N = 2, d = 5 Yang-Mills - SYM, N = 2, d = 5 - is built up. The spacetime is a hypersurface embedded in this geometrical scenario, and the geometrical action here obtained can be readily coupled to the five-dimensional supergravity action. The essential idea that underlies this work has its roots in the Einstein-Cartan formulation of gravity and in the 'group manifold approach to gravity and supergravity theories'. The group SYM, N = 2, d = 5, turns out to be the direct product of supergravity and a general gauge group g: G = g circle times <(SU(2, 2/1))over bar>.

A randomized clinical trial of high volume peritoneal dialysis versus extended daily hemodialysis for acute kidney injury patients

Background: Acute kidney injury (AKI) requiring dialysis in critically ill patients is associated with an in-hospital mortality rate of 50-80 %. Extended daily hemodialysis (EHD) and high volume peritoneal dialysis (HVPD) have emerged as alternative modalities. Methods: A double-center, randomized, controlled trial was conducted comparing EHD versus HVPD for the treatment for AKI in the intensive care unit (ICU). Four hundred and seven patients were randomized and 143 patients were analyzed. Principal outcome measure was hospital mortality, and secondary end points were recovery of renal function and metabolic and fluid control. Results: There was no difference between the two groups in relation to median ICU stay [11 (5.7-20) vs. 9 (5.7-19)], recovery of kidney function (26.9 vs. 29.6 %, p = 0.11), need for chronic dialysis (9.7 vs. 6.5 %, p = 0.23), and hospital mortality (63.4 vs. 63.9 %, p = 0.94). The groups were different in metabolic and fluid control. Blood urea nitrogen (BUN), creatinine, and bicarbonate levels were stabilized faster in EHD group than in HVPD group. Delivered Kt/V and ultrafiltration were higher in EHD group. Despite randomization, there were significant differences between the groups in some covariates, including age, pre-dialysis BUN, and creatinine levels, biased in favor of the EHD. Using logistic regression to adjust for the imbalances in group assignment, the odds of death associated with HVPD was 1.4 (95 % CI 0.7-2.4, p = 0.19). A detailed investigation of the randomization process failed to explain the marked differences in patient assignment. Conclusions: Despite faster metabolic control and higher dialysis dose and ultrafiltration with EHD, this study provides no evidence of a survival benefit of EHD compared with HVPD. The limitations of this study were that the results were not presented according to the intention to treat and it did not control other supportive management strategies as nutrition support and timing of dialysis initiation that might influence outcomes in AKI. © 2012 Springer Science+Business Media Dordrecht.

Mithracinae (Decapoda: Brachyura) from the Brazilian coast: review of the geographical distribution and comments on the biogeography of the group

The geographical distribution of marine organisms, as a result of complex natural processes through geological time, has been changed, sometimes drastically, by species introductions. Instances of species introduction have been recorded worldwide, and the Brazilian coast is no exception. The present review provides an update of the geographical distribution of members of the brachyuran subfamily Mithracinae along the Brazilian coast. Of the 30 species of this subfamily recorded from Brazilian waters, the known geographical limits of more than 17 have been extended in recent decades. The records compiled here demonstrate the great importance of the Amazon River outflow on the geographical distribution of members of Mithracinae, acting as a biogeographical barrier for some species.

Dialysis complications in AKI patients treated with extended daily dialysis: is the duration of therapy important?

This trial aimed to compare the dialysis complications occurring during different durations of extended daily dialysis (EDD) sessions in critically ill AKI patients. We included patients older than 18 years with AKI associated with sepsis admitted to the intensive care unit and using noradrenaline dose ranging from 0.3 to 0.7 mu g/kg/min. Patients were divided into two groups randomly: in G1, 6 h sessions were performed and, in G2, 10 h sessions were performed. Seventy-five patients were treated with 195 EDD sessions for 18 consecutive months. The prevalence of hypotension, filter clotting, hypokalaemia, and hypophosphataemia was 82.6, 25.3, 20, and 10.6%, respectively. G1 and G2 were similar in male predominance and SOFA. There was no significant difference between the two groups in hypotension, filter clotting, hypokalaemia, and hypophosphataemia. However, the group treated with sessions of 10 hours showed higher refractory to clinical measures for hypotension and dialysis sessions were interrupted more often. Metabolic control and fluid balance were similar between G1 and G2. In conclusion, intradialysis hypotension was common in AKI patients treated with EDD. There was no difference in the prevalence of dialysis complications in patients undergoing different durations of EDD.