5,465 research outputs found
Penicillin Use in Meningococcal Disease Management: Active Bacterial Core Surveillance Sites, 2009.
In 2009, in the Active Bacterial Core surveillance sites, penicillin was not commonly used to treat meningococcal disease. This is likely because of inconsistent availability of antimicrobial susceptibility testing and ease of use of third-generation cephalosporins. Consideration of current practices may inform future meningococcal disease management guidelines
Linked Autonomous Interplanetary Satellite Orbit Navigation
A navigation technology known as LiAISON (Linked Autonomous Interplanetary Satellite Orbit Navigation) has been known to produce very impressive navigation results for scenarios involving two or more cooperative satellites near the Moon, such that at least one satellite must be in an orbit significantly perturbed by the Earth, such as a lunar halo orbit. The two (or more) satellites track each other using satellite-to-satellite range and/or range-rate measurements. These relative measurements yield absolute orbit navigation when one of the satellites is in a lunar halo orbit, or the like. The geometry between a lunar halo orbiter and a GEO satellite continuously changes, which dramatically improves the information content of a satellite-to-satellite tracking signal. The geometrical variations include significant out-of-plane shifts, as well as inplane shifts. Further, the GEO satellite is almost continuously in view of a lunar halo orbiter. High-fidelity simulations demonstrate that LiAISON technology improves the navigation of GEO orbiters by an order of magnitude, relative to standard ground tracking. If a GEO satellite is navigated using LiAISON- only tracking measurements, its position is typically known to better than 10 meters. If LiAISON measurements are combined with simple radiometric ground observations, then the satellite s position is typically known to better than 3 meters, which is substantially better than the current state of GEO navigation. There are two features of LiAISON that are novel and advantageous compared with conventional satellite navigation. First, ordinary satellite-to-satellite tracking data only provides relative navigation of each satellite. The novelty is the placement of one navigation satellite in an orbit that is significantly perturbed by both the Earth and the Moon. A navigation satellite can track other satellites elsewhere in the Earth-Moon system and acquire knowledge about both satellites absolute positions and velocities, as well as relative positions and velocities in space. The second novelty is that ordinarily one requires many satellites in order to achieve full navigation of any given customer s position and velocity over time. With LiAISON navigation, only a single navigation satellite is needed, provided that the satellite is significantly affected by the gravity of the Earth and the Moon. That single satellite can track another satellite elsewhere in the Earth- Moon system and obtain absolute knowledge of both satellites states
Developing an algorithm for pulse oximetry derived respiratory rate (RRoxi): a healthy volunteer study
Objective The presence of respiratory information within the pulse oximeter signal (PPG) is a well-documented phenomenon. However, extracting this information for the purpose of continuously monitoring respiratory rate requires: (1) the recognition of the multi-faceted manifestations of respiratory modulation components within the PPG and the complex interactions among them; (2) the implementation of appropriate advanced signal processing techniques to take full advantage of this information; and (3) the post-processing infrastructure to deliver a clinically useful reported respiratory rate to the end user. A holistic algorithmic approach to the problem is therefore required. We have developed the RROXI algorithm based on this principle and its performance on healthy subject trial data is described herein
Radiative multipole moments of integer-spin fields in curved spacetime
Radiative multipole moments of scalar, electromagnetic, and linearized
gravitational fields in Schwarzschild spacetime are computed to third order in
v in a weak-field, slow-motion approximation, where v is a characteristic
velocity associated with the motion of the source. To zeroth order in v, a
radiative moment of order l is given by the corresponding source moment
differentiated l times with respect to retarded time. At second order in v,
additional terms appear inside the spatial integrals. These are near-zone
corrections which depend on the detailed behavior of the source. At third order
in v, the correction terms occur outside the spatial integrals, so that they do
not depend on the detailed behavior of the source. These are wave-propagation
corrections which are heuristically understood as arising from the scattering
of the radiation by the spacetime curvature surrounding the source. Our
calculations show that the wave-propagation corrections take a universal form
which is independent of multipole order and field type. We also show that in
general relativity, temporal and spatial curvatures contribute equally to the
wave-propagation corrections.Comment: 34 pages, ReVTe
High-dose chemotherapy supported by peripheral blood progenitor cells in poor prognosis metastatic breast cancer--phase I/II study. Edinburgh Breast Group
Current treatments for metastatic breast cancer are not associated with significant survival benefits despite response rates of over 50%. High-dose therapy with autologous bone marrow transplantation (ABMT) has been investigated, particularly in North America, and prolonged survival in up to 25% of women has been reported, but with a significant treatment-related mortality. However, in patients with haematological malignancies undergoing autologous transplantation, haematopoietic reconstruction is significantly quicker and mortality lower than with ABMT, when peripheral blood progenitor cells (PBPCs) are used. In 32 women with metastatic breast cancer, we investigated the feasibility of PBPC mobilisation with high-dose cyclophosphamide and granulocyte colony-stimulating factor (G-CSF) after 12 weeks' infusional induction chemotherapy and the subsequent efficacy of the haematopoietic reconstitution after conditioning with melphalan and either etoposide or thiotepa. PBPC mobilisation was successful in 28/32 (88%) patients, and there was a rapid post-transplantation haematopoietic recovery: median time to neutrophils > 0.5 x 10(9) l-1 was 14 days and to platelets > 20 x 10(9) l-1 was 10 days. There was no procedure-related mortality, and the major morbidity was mucositis (WHO grade 3-4) in 18/32 patients (56%). In a patient group of which the majority had very poor prognostic features, the median survival from start of induction chemotherapy was 15 months. Thus, PBPC mobilisation and support of high-dose chemotherapy is feasible after infusional induction chemotherapy for patients with metastatic breast cancer, although the optimum drug combination has not yet been determined
Genomic catastrophes frequently arise in esophageal adenocarcinoma and drive tumorigenesis
Oesophageal adenocarcinoma (EAC) incidence is rapidly increasing in Western countries. A better understanding of EAC underpins efforts to improve early detection and treatment outcomes. While large EAC exome sequencing efforts to date have found recurrent loss-offunction mutations, oncogenic driving events have been underrepresented. Here we use a combination of whole-genome sequencing (WGS) and single-nucleotide polymorphism-array profiling to show that genomic catastrophes are frequent in EAC, with almost a third (32%, nŒ40/123) undergoing chromothriptic events. WGS of 22 EAC cases show that catastrophes may lead to oncogene amplification through chromothripsis-derived double-minute chromosome formation (MYC and MDM2) or breakage-fusion-bridge (KRAS, MDM2 and RFC3). Telomere shortening is more prominent in EACs bearing localized complex rearrangements. Mutational signature analysis also confirms that extreme genomic instability in EAC can be driven by somatic BRCA2 mutations. These findings suggest that genomic catastrophes have a significant role in the malignant transformation of EAC
Vanishing native American dog lineages
<p>Abstract</p> <p>Background</p> <p>Dogs were an important element in many native American cultures at the time Europeans arrived. Although previous ancient DNA studies revealed the existence of unique native American mitochondrial sequences, these have not been found in modern dogs, mainly purebred, studied so far.</p> <p>Results</p> <p>We identified many previously undescribed mitochondrial control region sequences in 400 dogs from rural and isolated areas as well as street dogs from across the Americas. However, sequences of native American origin proved to be exceedingly rare, and we estimate that the native population contributed only a minor fraction of the gene pool that constitutes the modern population.</p> <p>Conclusions</p> <p>The high number of previously unidentified haplotypes in our sample suggests that a lot of unsampled genetic variation exists in non-breed dogs. Our results also suggest that the arrival of European colonists to the Americas may have led to an extensive replacement of the native American dog population by the dogs of the invaders.</p
The Aharonov-Bohm effect for an exciton
We study theoretically the exciton absorption on a ring shreded by a magnetic
flux. For the case when the attraction between electron and hole is
short-ranged we get an exact solution of the problem. We demonstrate that,
despite the electrical neutrality of the exciton, both the spectral position of
the exciton peak in the absorption, and the corresponding oscillator strength
oscillate with magnetic flux with a period ---the universal flux
quantum. The origin of the effect is the finite probability for electron and
hole, created by a photon at the same point, to tunnel in the opposite
directions and meet each other on the opposite side of the ring.Comment: 13 RevTeX 3.0 pages plus 4 EPS-figures, changes include updated
references and an improved chapter on possible experimental realization
Persistent currents in carbon nanotubes based rings
Persistent currents in rings constructed from carbon nanotubes are
investigated theoretically. After studying the contribution of finite
temperature or quenched disorder on covalent rings, the complexity due to the
bundle packing is addressed. The case of interacting nanotori and
self-interacting coiled nanotubes are analyzed in details in relation with
experiments.Comment: 7 sections, 9 figure
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