Acute kidney injury after cardiac surgery (AKICS) is common. Previous studies examining the role that mean arterial pressure (MAP) during cardiopulmonary bypass (CPB) may have on AKICS have not taken into account how baseline central venous pressure (CVP) and mean perfusion pressure (MPP) (i.e. MAP − CVP) can influence its evolution. To assess whether the change in MPP to the kidneys (i.e. delta MPP or DMPP) during CPB compared to baseline is an independent predictor of AKICS. After ethical approval, a retrospective observational study was performed on all patients undergoing CPB between October 2013 and June 2015 at a university-affiliated hospital. Known risk factors for the development of AKICS were recorded, as were the MPP values at baseline and during CPB. From this, statistical modelling was performed to identify predictors of postoperative AKICS. 664 patients were identified. Analysis was performed on 513 patients after exclusion. On logistic regression, significant and independent predictors of AKICS included: d20DMPP (cumulative duration of MPP values during CPB that were 20% below baseline and exceeded three consecutive minutes) (P = 0.010); baseline CVP; age; pre-operative creatinine level; and left ventricular (LV) dysfunction (ejection fraction (EF) < 45%). On alternative modelling, the cumulative number of MPP values during CPB that were 10% below baseline was also independently associated with AKICS (P = 0.003). Modelling without taking into account CVP also supported this association. The duration of differences in perfusion pressure to the kidneys during CPB compared to baseline is an independent predictor of AKICS.

The Terrestrial Planet Finder (TPF) employs an aggressive coronagraph designed to obtain better than 1e-10 contrast inside the third Airy ring. Minute changes in low-order aberration content scatter significant light at this position. One implication is the requirement to control low-order aberrations induced by motion of the secondary mirror relative to the primary mirror; sub-nanometer relative positional stability is required. We propose a 6-beam laser truss to monitor the relative positions of the two mirrors. The truss is based on laser metrology developed for the Space Interferometry Mission.

Terrestrial Planet Finder Coronagraph, one of two potential architectures, is described. The telescope is designed to make a visible wavelength survey of the habitable zones of at least thirty stars in search of earth-like planets. The preliminary system requirements, optical parameters, mechanical and thermal design, operations scenario and predicted performance is presented. The 6-meter aperture telescope has a monolithic primary mirror, which along with the secondary tower, are being designed to meet the stringent optical tolerances of the planet-finding mission. Performance predictions include dynamic and thermal finite element analysis of the telescope optics and structure, which are used to make predictions of the optical performance of the system

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Creating an optical space telescope observatory capable of detecting and characterizing light from extra-solar terrestrial planets poses technical challenges related to extreme wavefront stability. The Terrestrial Planet Finder Coronagraph design team has been developing an observatory based on trade studies, modeling and analysis that has guided us towards design choices to enable this challenging mission. This paper will describe the current flight baseline design of the observatory and the trade studies that have been performed. The modeling and analysis of this design will be described including predicted performance and the tasks yet to be done.