Title: Search for Coronavirus Origins at Standstill: WHO Team
Category: Health News
Created: 8/26/2021 12:00:00 AM
Last Editorial Review: 8/26/2021 12:00:00 AM

BACKGROUND:The use of prone position (PP) has been widespread during the COVID-19 pandemic. Whereas it has demonstrated benefits, including improved oxygenation and lung aeration, the factors influencing the response in terms of gas exchange to PP remain unclear. In particular, the association between baseline quantitative computed tomography (CT) scan results and gas exchange response to PP in invasively ventilated subjects with COVID-19 ARDS is unknown. The present study aimed to compare baseline quantitative CT results between subjects responding to PP in terms of oxygenation or CO2 clearance and those who did not.METHODS:This was a single-center, retrospective observational study including critically ill, invasively ventilated subjects with COVID-19–related ARDS admitted to the ICUs of Niguarda Hospital between March 2020–November 2021. Blood gas samples were collected before and after PP. Subjects in whom the PaO2/FIO2 increase was ≥ 20 mm Hg after PP were defined as oxygen responders. CO2 responders were defined when the ventilatory ratio (VR) decreased during PP. Automated quantitative CT analyses were performed to obtain tissue mass and density of the lungs.RESULTS:One hundred twenty-five subjects were enrolled, of which 116 (93%) were O2 responders and 51 (41%) CO2 responders. No difference in quantitative CT characteristics and oxygen were observed between responders and non-responders (tissue mass 1,532 ± 396 g vs 1,654 ± 304 g, P = .28; density −544 ± 109 HU vs −562 ± 58 HU P = .42). Similar findings were observed when dividing the population according to CO2 response (tissue mass 1,551 ± 412 g vs 1,534 ± 377 g, P = .89; density −545 ± 123 HU vs −546 ± 94 HU, P = .99).CONCLUSIONS:Most subjects with COVID-19–related ARDS improved their oxygenation at the first pronation cycle. The study suggests that baseline quantitative CT scan data were not associated with the response to PP in oxygenation or CO2 in mechanically ventilated subjects with COVID-19–related ARDS.

PURPOSE

Chest pain frequently poses a diagnostic challenge for general practitioners (GPs). Utilizing risk stratification tools might help GPs to rule out acute coronary syndrome (ACS) and make appropriate referral decisions. We conducted a systematic review of studies evaluating risk stratification tools for chest pain in primary care settings, both with and without troponin assays. Our aims were to assess the performance of tools for ruling out ACS and to provide a comprehensive review of the current evidence.

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This is a sponsored article brought to you by BESydney.

In July 2024, Sydney woman Katherine Bennell-Pegg made history as the first astronaut to graduate under the Australian flag and the first female astronaut in Australia. Her journey, marked by determination and discipline, showcases Australia’s growing prominence in space exploration and research.

From her academic achievements at the University of Sydney (USYD) to her rigorous training at the European Space Agency (ESA), Bennell-Pegg’s success has paved a path forward for aspiring space and aerospace professionals in Australia and globally.

A journey to the stars begins in Sydney

Katherine Bennell-Pegg was born in Sydney, New South Wales, and grew up in the Northern Beaches area. Her fascination with space began at an early age.

“I always dreamed of being an astronaut,” Bennell-Pegg shared in her “Insights from an Australian Astronaut” Space Forum Speech in July 2024. “When I was young, it was for the adventure, but after more than a decade working in space, it’s now because I know the role it plays in tackling real-world problems and developing new knowledge that can benefit our society, environment and science.”

Sydney: A Hub for Space Innovation

Sydney, the vibrant heart of the state of New South Wales (NSW), stands at the forefront of aerospace innovation in Australia. With its world-class research facilities, leading academic institutions and strategic geographic positioning, Sydney is not only Australia’s gateway to the Indo-Pacific but also a burgeoning hub for international aerospace endeavours.

NSW is home to more than 40 per cent of Australia’s aerospace industry. Substantial investments from both the state and federal governments support this concentration of capabilities, underpinning Sydney’s role as a leader in aerospace. From advanced manufacturing and cybersecurity to quantum technologies and space exploration, this progressive city is truly thriving.

Sydney’s appeal as a desirable location for hosting aerospace conferences and business events is bolstered by its comprehensive infrastructure, vibrant startup community and strategic position as a transport hub.

Sydney’s track record of successfully hosting events highlights the city’s ability to organise impactful international gatherings, including:

• Australian Space Summit
• New Horizons Summit
• CubeSatPlus2024 - NEW SPACE: Unbounded Skies

Sydney will also host the 76th International Astronautical Congress from 29 September to 3 October 2025 and the 34th Congress of the International Council for the Aeronautical Sciences (ICAS) to be held 13 to 17 September 2026. Both will take place at ICC Sydney, further solidifying Sydney’s status as a central hub for aerospace events.

Would you like to know more about Sydney’s credentials in Aerospace? Download our Aerospace eBook or visit besydney.com.au

Sydney proved to be the ideal location for Bennell-Pegg’s journey to begin. She studied at the University of Sydney, where she earned a Bachelor of Engineering (Honors) in Aeronautical Engineering (Space) and a Bachelor of Science (Advanced) in Physics.

Sydney’s universities are at the forefront of aerospace education and research. Institutions such as the University of Sydney (USYD), the University of New South Wales (UNSW Sydney) and the University of Technology Sydney (UTS) attract students from around the world. UNSW Sydney, with its School of Aerospace, Mechanical, and Mechatronic Engineering, is renowned for its innovative research in space technology and satellite systems, while UTS provides cutting-edge programs in aerospace engineering and physics, emphasizing practical applications and industry partnerships. USYD excels in aeronautical engineering and space science, supported by advanced facilities and strong ties to major aerospace organisations. Together, these universities offer comprehensive programs that integrate theoretical knowledge with hands-on experience, preparing students for dynamic careers in the rapidly evolving aerospace and space sectors.

Having excelled in her studies at USYD, Bennell-Pegg was awarded the Charles Kuller Graduation Prize for her top-placed undergraduate thesis. Subsequently, her quest for knowledge took her to Europe, where she earned two Master of Science degrees: one in Astronautics and Space Engineering from Cranfield University and another in Space Technology from Luleå University of Technology.

Reflecting on her educational path, Bennell-Pegg stated, “With the encouragement of my parents, I researched what it would take to become an astronaut and worked hard at school, participating in everything from aerobatic flying lessons to amateur astronomy.”

Inside the rigorous training regimen of an astronaut

Bennell-Pegg’s professional career began with roles at Airbus UK, where she contributed to numerous space missions and concept studies, such as Martian in-situ resource utilisation and space debris removal. Her expertise led her to the Australian Space Agency, where she became the Director of Space Technology.

In 2021, Bennell-Pegg was invited by the European Space Agency (ESA) to undertake Basic Astronaut Training at the European Astronaut Centre in Germany. When the ESA application opened in 2021, it was the first opening in 15 years. Bennell-Pegg jumped at the opportunity to apply alongside over 22,000 others from 22 countries. She endured six knock-out rounds, including medical, psychometrics, psychology and technical tests and made it to the group of 25 who passed.

This historic invitation marked the first time an international astronaut candidate was offered training by the ESA.

“The training was demanding, but it was also an incredible opportunity to learn from some of the best minds in the field and to be part of a team that is pushing the boundaries of human exploration.”—Katherine Bennell-Pegg

Bennell-Pegg’s training regimen was intense, encompassing physical conditioning, complex simulations, and theoretical classes designed to prepare candidates for long-duration missions to the International Space Station (ISS) and beyond. This included:

• Studies in biology, astronomy, earth sciences, meteorology, materials, medical and fluids, both in theory and in labs.
• Radiation research – an area of expertise for Australia. This will increase as humans travel back to the Moon.
• Medical operations: Astronauts need to be able to perform medical procedures on themselves and others.
• Training for expeditions: This included honing team dynamics through behavioral training, ocean and winter survival training, rescue and firefighting.

Sharing her thoughts on this transformative experience, Bennell-Pegg said, “The training was demanding, but it was also an incredible opportunity to learn from some of the best minds in the field and to be part of a team that is pushing the boundaries of human exploration.”

In April 2024, Bennell-Pegg completed her training, graduating with her ESA classmates from “The Hoppers” group. Upon graduation, she became fully qualified for assignments on long-duration missions to the ISS, making her the first Australian female astronaut and the first person to train as an astronaut under the Australian flag.

“I want to use this experience to open doors for Australian scientists and engineers to utilize space for their discoveries,” Bennell-Pegg said. “I hope to inspire the pursuit of STEM careers and show all Australians that they too can reach for the stars.”

Elevating Australia’s role in space exploration

Katherine Bennell-Pegg’s achievements represent a significant milestone. Her journey from the University of Sydney to the rigorous training programs at the European Astronaut Centre showcases the potential of Australian talent in the global space community.

“Being the first astronaut trained under the Australian flag is an incredible honor,” Bennell-Pegg said. “I’m grateful for the support that has fueled me through intense training and opened doors for more Australians in space exploration. Whether I fly or not, there is much to accomplish here on Earth. I’m excited to leverage this experience to inspire future generations in STEM and elevate Australia’s presence in the global space community. Becoming an astronaut is just the beginning.”

Bennell-Pegg’s dream to become an Australian astronaut is more than just a personal triumph; it is a win for anyone who aspires to a career in space or aerospace. Sydney, with its world-class educational institutions, advanced manufacturing facilities scheduled for the Western Sydney Aerotropolis and expanding opportunities in aerospace and defence, is an ideal starting point for anyone looking to make their mark in these sectors.

Would you like to know more about Sydney’s credentials in Aerospace? Download our Aerospace eBook or visit besydney.com.au

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