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Abstract
Recall and information sources regarding the risks of regional anaesthesia in women having lower segment caesarean section have not been adequately assessed previously. We aimed to survey women's recall of their pre-anaesthesia risk discussion and determine where women, presenting for lower segment caesarean section under regional anaesthesia, obtain risk information. Following a small pilot survey, women's responses were recorded for “spontaneous” or “prompted” recalled risks, the information source and its reliability. One-hundred and fifty women were surveyed following caesarean section. Seventy women (46.7%) had an elective procedure and 80 (53.3%) had an emergency procedure. Overall, 142 women (94.6%) recalled at least four risks (44.6% spontaneously; 66% prompted). Of those women giving at least four spontaneous responses, 41 (58.6%) had elective and 26 (32.5%) had emergency lower segment caesarean section (P=0.001). The majority of women stated that anaesthetists were the main, and most reliable, source of their information regarding risks of regional anaesthesia for caesarean section. This report identifies the risks associated with regional anaesthesia for caesarean section that women most frequently recall, namely headache, paralysis, nerve damage and inadequate block.
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Affiliation(s)
- W Y C Cheng
- Department of Women's Anaesthesia, Women's and Children's Hospital, Adelaide, South Australia, Australia
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2
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Sarabi B, Ramanayaka AN, Burin AL, Wellstood FC, Osborn KD. Projected Dipole Moments of Individual Two-Level Defects Extracted Using Circuit Quantum Electrodynamics. Phys Rev Lett 2016; 116:167002. [PMID: 27152820 DOI: 10.1103/physrevlett.116.167002] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/25/2015] [Indexed: 06/05/2023]
Abstract
Material-based two-level systems (TLSs), appearing as defects in low-temperature devices including superconducting qubits and photon detectors, are difficult to characterize. In this study we apply a uniform dc electric field across a film to tune the energies of TLSs within. The film is embedded in a superconducting resonator such that it forms a circuit quantum electrodynamical system. The energy of individual TLSs is observed as a function of the known tuning field. By studying TLSs for which we can determine the tunneling energy, the actual p_{z}, dipole moments projected along the uniform field direction, are individually obtained. A distribution is created with 60 p_{z}. We describe the distribution using a model with two dipole moment magnitudes, and a fit yields the corresponding values p=p_{1}=2.8±0.2 D and p=p_{2}=8.3±0.4 D. For a strong-coupled TLS the vacuum-Rabi splitting can be obtained with p_{z} and tunneling energy. This allows a measurement of the circuit's zero-point electric-field fluctuations, in a method that does not need the electric-field volume.
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Affiliation(s)
- B Sarabi
- Laboratory for Physical Sciences, College Park, Maryland 20740, USA
- Department of Physics, University of Maryland, College Park, Maryland 20742, USA
| | - A N Ramanayaka
- Laboratory for Physical Sciences, College Park, Maryland 20740, USA
- Department of Physics, University of Maryland, College Park, Maryland 20742, USA
| | - A L Burin
- Department of Chemistry, Tulane University, New Orleans, Louisiana 70118, USA
| | - F C Wellstood
- Department of Physics, University of Maryland, College Park, Maryland 20742, USA
- Joint Quantum Institute, University of Maryland, College Park, Maryland 20742, USA
| | - K D Osborn
- Laboratory for Physical Sciences, College Park, Maryland 20740, USA
- Joint Quantum Institute, University of Maryland, College Park, Maryland 20742, USA
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Kim Z, Suri B, Zaretskey V, Novikov S, Osborn KD, Mizel A, Wellstood FC, Palmer BS. Decoupling a Cooper-pair box to enhance the lifetime to 0.2 ms. Phys Rev Lett 2011; 106:120501. [PMID: 21517289 DOI: 10.1103/physrevlett.106.120501] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/21/2010] [Indexed: 05/30/2023]
Abstract
We present results on a circuit QED experiment in which a separate transmission line is used to address a quasilumped element superconducting microwave resonator which is in turn coupled to an Al/AlO(x)/Al Cooper-pair box charge qubit. With our device, we find a strong correlation between the lifetime of the qubit and the inverse of the coupling between the qubit and the transmission line. At the smallest coupling we measured, the lifetime of the Cooper-pair box was T₁=200 μs, which represents more than a twentyfold improvement in the lifetime of the Cooper-pair box compared with previous results. These results imply that the loss tangent in the AlO(x) junction barrier must be less than about 4×10⁻⁸ at 4.5 GHz, about 4 orders of magnitude less than reported in larger area Al/AlO(x)/Al tunnel junctions.
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Affiliation(s)
- Z Kim
- Laboratory for Physical Sciences, College Park, Maryland 20740, USA
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Thiruvenkatarajan V, Osborn KD, Van Wijk RMAW, Euler P, Sethi R, Moodie S, Biradar V. Torsade de pointes in a patient with acute prolonged QT syndrome and poorly controlled diabetes during sevoflurane anaesthesia. Anaesth Intensive Care 2010; 38:555-9. [PMID: 20514968 DOI: 10.1177/0310057x1003800323] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
We report a case of torsade de pointes secondary to acute QT interval prolongation in a patient with poorly controlled diabetes mellitus towards the end of a laparoscopic nephrectomy under sevoflurane anaesthesia. The patient was successfully resuscitated and made a complete recovery. Our case suggests that acute QT interval prolongation should be considered in any patient with poor glycaemic control during prolonged procedures.
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Affiliation(s)
- V Thiruvenkatarajan
- Department of Anaesthesia, The Queen Elizabeth Hospital, Woodville, South Australia, Australia
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Dooney NM, Osborn KD. Rural Anaesthesia Practice: Attitudes and Recruitment following a Period of Anaesthetic Training in Rural and Regional Hospitals. A Survey of New Consultants. Anaesth Intensive Care 2010. [DOI: 10.1177/0310057x1003800236] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
The provision of specialist anaesthetic services to rural and remote locations in Australia poses an ongoing challenge-Initiatives to improve delivery of specialist anaesthetic services include the provision of anaesthesia training opportunities at rural hospitals. Previous surveys of trainees demonstrated the positive effect of rural training on attitudes toward subsequent practice in rural areas. We aimed first to survey attitudes of specialist anaesthetists towards anaesthetic training at rural and regional hospitals. We then compared the current workplace of those who had experienced a period of training at rural/regional hospitals versus those who did not. A web-based survey was distributed to fellows of the Australian and New Zealand College of Anaesthetists who had commenced consultant practice in the preceeding five years. Six hundred and fifteen surveys were distributed with a response rate of 53%. Respondents held their rural training experience in high regard. Anaesthetic specialists with a period of training in rural/regional areas were more likely to subsequently practise in rural areas compared to those who did not.
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Affiliation(s)
- N. M. Dooney
- Department of Women's Anaesthesia,
Women's and Childrens Hospital, Adelaide, South Australia, Australia
| | - K. D. Osborn
- Department of Women's Anaesthesia,
Women's and Childrens Hospital, Adelaide, South Australia, Australia
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Dooney NM, Osborn KD. Rural anaesthesia practice: attitudes and recruitment following a period of anaesthetic training in rural and regional hospitals. A survey of new consultants. Anaesth Intensive Care 2010; 38:354-358. [PMID: 20369772] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/29/2023]
Abstract
The provision of specialist anaesthetic services to rural and remote locations in Australia poses an ongoing challenge. Initiatives to improve delivery of specialist anaesthetic services include the provision of anaesthesia training opportunities at rural hospitals. Previous surveys of trainees demonstrated the positive effect of rural training on attitudes toward subsequent practice in rural areas. We aimed first to survey attitudes of specialist anaesthetists towards anaesthetic training at rural and regional hospitals. We then compared the current workplace of those who had experienced a period of training at rural/regional hospitals versus those who did not. A web-based survey was distributed to fellows of the Australian and New Zealand College of Anaesthetists who had commenced consultant practice in the preceeding five years. Six hundred and fifteen surveys were distributed with a response rate of 53%. Respondents held their rural training experience in high regard. Anaesthetic specialists with a period of training in rural/regional areas were more likely to subsequently practise in rural areas compared to those who did not.
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Affiliation(s)
- N M Dooney
- Department of Women's Anaesthesia, Women's and Childrens Hospital, Adelaide, South Australia, Australia
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Martinis JM, Cooper KB, McDermott R, Steffen M, Ansmann M, Osborn KD, Cicak K, Oh S, Pappas DP, Simmonds RW, Yu CC. Decoherence in Josephson qubits from dielectric loss. Phys Rev Lett 2005; 95:210503. [PMID: 16384123 DOI: 10.1103/physrevlett.95.210503] [Citation(s) in RCA: 35] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/21/2005] [Indexed: 05/05/2023]
Abstract
Dielectric loss from two-level states is shown to be a dominant decoherence source in superconducting quantum bits. Depending on the qubit design, dielectric loss from insulating materials or the tunnel junction can lead to short coherence times. We show that a variety of microwave and qubit measurements are well modeled by loss from resonant absorption of two-level defects. Our results demonstrate that this loss can be significantly reduced by using better dielectrics and fabricating junctions of small area . With a redesigned phase qubit employing low-loss dielectrics, the energy relaxation rate has been improved by a factor of 20, opening up the possibility of multiqubit gates and algorithms.
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Affiliation(s)
- John M Martinis
- Department of Physics, University of California, Santa Barbara, California 93106, USA
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McDermott R, Simmonds RW, Steffen M, Cooper KB, Cicak K, Osborn KD, Oh S, Pappas DP, Martinis JM. Simultaneous State Measurement of Coupled Josephson Phase Qubits. Science 2005; 307:1299-302. [PMID: 15731451 DOI: 10.1126/science.1107572] [Citation(s) in RCA: 247] [Impact Index Per Article: 13.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/02/2022]
Abstract
One of the many challenges of building a scalable quantum computer is single-shot measurement of all the quantum bits (qubits). We have used simultaneous single-shot measurement of coupled Josephson phase qubits to directly probe interaction of the qubits in the time domain. The concept of measurement crosstalk is introduced, and we show that its effects are minimized by careful adjustment of the timing of the measurements. We observe the antiphase oscillation of the two-qubit 01 and 10 states, consistent with quantum mechanical entanglement of these states, thereby opening the possibility for full characterization of multiqubit gates and elementary quantum algorithms.
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Affiliation(s)
- R McDermott
- Department of Physics, University of California, Santa Barbara, CA 93106, USA
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Porter JM, Osborn KD. Flexi-tip laryngoscope breakage with airway trainer. Anaesth Intensive Care 2003; 31:592. [PMID: 14601289] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 04/27/2023]
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10
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Abstract
We have examined the effect of peptide growth factors on DNA and proteoglycan synthesis by adult bovine articular cartilage in organ culture. The actions of somatomedin-C/insulin-like growth factor I (Sm-C/IGF-I), insulin, epidermal growth factor (EGF), and fibroblast growth factor (FGF) from bovine pituitary were investigated individually and in combination. FGF stimulated a 10-fold increase in tritiated thymidine incorporation while other factors used individually did not influence mitotic activity. Used in concert, insulin with EGF and insulin with FGF acted synergistically in stimulating DNA synthesis 20-fold and 40-fold, respectively. All of these growth factors, acting individually, significantly enhanced radiosulfate incorporation. This stimulation was additive for Sm-C/IGF-I in combination with EGF or FGF, but not with insulin. These data indicate that adult bovine articular chondrocytes possess the capacity to augment both mitotic and differentiated cell functions in response to growth factors. The data further suggest that, with the exception of insulin and Sm-C/IGF-I, which appear to share a common mechanism of action, these factors produce their cellular effects via different receptor or postreceptor pathways.
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Affiliation(s)
- K D Osborn
- Department of Orthopaedics, Massachusetts General Hospital, Boston 02114
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