Envelope structure of deeply embedded young stellar objects in the Serpens Molecular Cloud

Aperture synthesis and single-dish (sub) millimeter molecular lines and continuum observations reveal in great detail the envelope structure of deeply embedded young stellar objects (SMM1, SMM2, SMM3, SMM4) in the densely star-forming Serpens Molecular Cloud. Resolved millimeter continuum emission constrains the density structure to a radial power law with index -2.0 +/- 0.5, and envelope masses of 8.7, 3.0, and 5.3 M_sol for SMM1, SMM3, and SMM4. The core SMM2 does not seem to have a central condensation and may not have formed a star yet. The molecular line observations can be described by the same envelope model, if an additional, small amount of warm (100 K) material is included. This probably corresponds to the inner few hundred AU of the envelope were the temperature is high. In the interferometer beam, the molecular lines reveal the inner regions of the envelopes, as well as interaction of the outflow with the surrounding envelope. Bright HCO+ and HCN emission outlines the cavities, while SiO and SO trace the direct impact of the outflow on ambient gas. Taken together, these observations provide a first comprehensive view of the physical and chemical structure of the envelopes of deeply embedded young stellar objects in a clustered environment on scales between 1000 and 10,000 AU.Comment: 46 pages, incl. 12 postscript figures, uses ApJ latex and psfig macro

Associations of early changes in lung ultrasound aeration scores and mortality in invasively ventilated patients: a post hoc analysis

Background: Lung ultrasound (LUS) in an emerging technique used in the intensive care unit (ICU). The derivative LUS aeration score has been shown to have associations with mortality in invasively ventilated patients. This study assessed the predictive value of baseline and early changes in LUS aeration scores in critically ill invasively ventilated patients with and without ARDS (Acute Respiratory Distress Syndrome) on 30- and 90-day mortality. Methods: This is a post hoc analysis of a multicenter prospective observational cohort study, which included patients admitted to the ICU with an expected duration of ventilation for at least 24 h. We restricted participation to patients who underwent a 12-region LUS exam at baseline and had the primary endpoint (30-day mortality) available. Logistic regression was used to analyze the primary and secondary endpoints. The analysis was performed for the complete patient cohort and for predefined subgroups (ARDS and no ARDS). Results: A total of 442 patients were included, of whom 245 had a second LUS exam. The baseline LUS aeration score was not associated with mortality (1.02 (95% CI: 0.99 – 1.06), p = 0.143). This finding was not different in patients with and in patients without ARDS. Early deterioration of the LUS score was associated with mortality (2.09 (95% CI: 1.01 – 4.3), p = 0.046) in patients without ARDS, but not in patients with ARDS or in the complete patient cohort. Conclusion: In this cohort of critically ill invasively ventilated patients, the baseline LUS aeration score was not associated with 30- and 90-day mortality. An early change in the LUS aeration score was associated with mortality, but only in patients without ARDS. Trial registration: ClinicalTrials.gov, ID NCT04482621

Selected bibliography for the extraction of uranium from seawater: chemical process and plant design feasibility study

A selected annotated bibliography of 521 references was prepared as a part of a feasibility study of the extraction of uranium from seawater. For the most part, these references are related to the chemical processes whereby the uranium is removed from the seawater. A companion docment contains a similar bibliography of 471 references related to oceanographic and uranium extraction plant siting considerations, although some of the references are in common. The bibliography was prepared by computer retrieval from Chemical Abstracts, Nuclear Science Abstracts, Energy Data Base, NTIS, and Oceanic Abstracts. References are listed by author, country of author, and selected keywords

Personalized mechanical ventilation guided by ultrasound in patients with acute respiratory distress syndrome (PEGASUS): study protocol for an international randomized clinical trial

background acute respiratory distress syndrome (ARDS) is a frequent cause of hypoxemic respiratory failure with a mortality rate of approximately 30%. Identifying ARDS subphenotypes based on "focal" or "non-focal" lung morphology has the potential to better target mechanical ventilation strategies of individual patients. however, classifying morphology through chest radiography or computed tomography is either inaccurate or impractical. Lung ultrasound (LUS) is a non-invasive bedside tool that can accurately distinguish "focal" from "non-focal" lung morphology. We hypothesize that LUS-guided personalized mechanical ventilation in ARDS patients leads to a reduction in 90-day mortality compared to conventional mechanical ventilation. methods the personalized mechanical ventilation guided by ultrasound in patients with acute respiratory distress syndrome (PEGASUS) study is an investigator-initiated, international, randomized clinical trial (RCT) that plans to enroll 538 invasively ventilated adult intensive care unit (ICU) patients with moderate to severe ARDS. eligible patients will receive a LUS exam to classify lung morphology as "focal" or "non-focal". thereafter, patients will be randomized within 12 h after ARDS diagnosis to receive standard care or personalized ventilation where the ventilation strategy is adjusted to the morphology subphenotype, i.e., higher positive end-expiratory pressure (PEEP) and recruitment maneuvers for "non-focal" ARDS and lower PEEP and prone positioning for "focal" ARDS. the primary endpoint is all-cause mortality at day 90. secondary outcomes are mortality at day 28, ventilator-free days at day 28, ICU length of stay, ICU mortality, hospital length of stay, hospital mortality, and number of complications (ventilator-associated pneumonia, pneumothorax, and need for rescue therapy). after a pilot phase of 80 patients, the correct interpretation of LUS images and correct application of the intervention within the safe limits of mechanical ventilation will be evaluated. discussion PEGASUS is the first RCT that compares LUS-guided personalized mechanical ventilation with conventional ventilation in invasively ventilated patients with moderate and severe ARDS. If this study demonstrates that personalized ventilation guided by LUS can improve the outcomes of ARDS patients, it has the potential to shift the existing one-size-fits-all ventilation strategy towards a more individualized approach. trial registration the PEGASUS trial was registered before the inclusion of the first patient, https://clinicaltrials.gov/ (ID: NCT05492344)

Investigation of Cycle-to-Cycle Variability of NO in Homogeneous Combustion

Cyclic variability of spark ignition engines is recognized as a scatter in the combustion parameter recordings during actual operation in steady state conditions. Combustion variability may occur due to fluctuations in both early flame kernel development and in turbulent flame propagation with an impact on fuel consumption and emissions. In this study, a detailed chemistry model for the prediction of NO formation in homogeneous engine conditions is presented. The Wiebe parameterization is used for the prediction of heat release; then the calculated thermodynamic data are fed into the chemistry model to predict NO evolution at each degree of crank angle. Experimental data obtained from literature studies were used to validate the mean NO levels calculated. Then the model was applied to predict the impact of cyclic variability on mean NO and the amplitude of its variation. The cyclic variability was simulated by introducing random perturbations, which followed a normal distribution, to the Wiebe function parameters. The results of this approach show that the model proposed better predicts mean NO formation than earlier methods. Also, it shows that to the non linear formation rate of NO with temperature, cycle-to-cycle variation leads to higher mean NO emission levels than what one would predict without taking cyclic variation into account