Prevalence of thyroid disorders in antenatal patients and its feto-maternal outcome

Background: Thyroid disorders are common in pregnancy and most common disorder is subclinical hypothyroidism. Due to the complex hormonal changes during pregnancy, it is important to remember that thyroxine requirements are higher in pregnancy. Maternal hypothyroidism is an easily treatable condition that has been associated with increased risk of low birth weight, fetal distress and impaired neuropsychological development. Hyperthyroidism in pregnancy is less common as conception is a problem. Majority of them are due to Graves’ disease, though gestational hyperthyroidism is to be excluded. Early and effective treatment of thyroid disorder ensures a safe pregnancy with minimal maternal and neonatal complications.Methods: One hundred pregnant women attending antenatal clinic in first trimester were registered. Apart from routine basic and obstetrical investigations, TSH, FT3 and FT4 level estimation was done. L-thyroxine was given for hypothyroidism, this dosing was based on a study by Abalovich et al according to the body weight to maintain serum TSH near normal. For hyperthyroidism, given carbimazole if serum TSH level <1 MIU/l. Serum TSH estimation was repeated at regular interval. All the patients followed till the end of pregnancy. The normal patients served as controls. Pregnancy outcome studied statistically.Results: Around 68.8% of the inadequately treated patients developed complications like GDM, pre-eclampsia, oligohydramnios and preterm deliveries. Whereas only 32% of the control group developed these mentioned complications, this implied a significant association between inadequately treated thyroid disorders and poor pregnancy outcomes as evidenced by the p value of 0.002 which was very significant.Conclusions: Adequate treatment of thyroid disorders in pregnancy significantly reduces complications like miscarriages, pre-eclampsia, IUGR, oligohydramnios, glucose intolerance, preterm labour, low birth weight babies, abruptio placentae and stillbirth

Cost–benefit of infection control interventions targeting methicillin-resistant Staphylococcus aureus in hospitals: systematic review

AbstractInfections caused by methicillin-resistant Staphylococcus aureus (MRSA) incur significant costs. We aimed to examine the cost and cost-benefit of infection control interventions against MRSA and to examine factors affecting economic estimates. We performed a systematic review of studies assessing infection control interventions aimed at preventing spread of MRSA in hospitals and reporting intervention costs, savings, cost-benefit or cost-effectiveness. We searched PubMed and references of included studies with no language restrictions up to January 2012. We used the Quality of Health Economic Studies tool to assess study quality. We report cost and savings per month in 2011 US$. We calculated the median save/cost ratio and the save-cost difference with interquartile range (IQR) range. We examined the effects of MRSA endemicity, intervention duration and hospital size on results. Thirty-six studies published between 1987 and 2011 fulfilled inclusion criteria. Fifteen of the 18 studies reporting both costs and savings reported a save/cost ratio >1. The median save/cost ratio across all 18 studies was 7.16 (IQR 1.37–16). The median cost across all studies reporting intervention costs (n = 31) was 8648 (IQR 2025–19 170) US$ per month; median savings were 38 751 (IQR 14 206–75 842) US$ per month (23 studies). Higher save/cost ratios were observed in the intermediate to high endemicity setting compared with the low endemicity setting, in hospitals with <500-beds and with interventions of >6 months. Infection control intervention to reduce spread of MRSA in acute-care hospitals showed a favourable cost/benefit ratio. This was true also for high MRSA endemicity settings. Unresolved economic issues include rapid screening using molecular techniques and universal versus targeted screening

Linguistically Responsive Instruction in Corequisite Courses at Community Colleges

English Learners (ELs) attend community colleges at a greater rate than four-year schools, making community colleges primary sites of ESL education in American higher education. These institutions’ recent embrace of the corequisite structure – a pairing of a non-credit developmental course with a credit-bearing disciplinary content course in order to accelerate students’ progress in their coursework – has direct implications for ELs. As corequisites are enacted in a wide range of content areas, professors will need to attend to students’ language development in a wide range of disciplinary courses. This qualitative study applies Linguistically Responsive Instruction as a framework to understand corequisite instructors’ beliefs about students’ learning, knowledge of teaching language, and understanding of the broader contextual factors at community colleges, including institutional policies and definitions of students’ readiness and success. Drawing on ongoing interviews conducted with faculty members throughout one semester, it offers faculty members’ perspectives on the opportunities and challenges of teaching ELs in the corequisite structure and provides a framework for professional development and institutional support

Compact Nuclei in Galaxies at Moderate Redshift:II. Their Nature and Implications for the AGN Luminosity Function

This study explores the space density and properties of active galaxies to z=0.8. We have investigated the frequency and nature of unresolved nuclei in galaxies at moderate redshift as indicators of nuclear activity such as Active Galactic Nuclei (AGN) or starbursts. Candidates are selected by fitting imaged galaxies with multi-component models using maximum likelihood estimate techniques to determine the best model fit. We select those galaxies requiring an unresolved point-source component in the galaxy nucleus, in addition to a disk and/or bulge component, to adequately model the galaxy light. We have searched 70 WFPC2 images primarily from the Medium Deep Survey for galaxies containing compact nuclei. In our survey of 1033 galaxies, the fraction containing an unresolved nuclear component greater than 5% of the total galaxy light is 9+/-1% corrected for incompleteness. In this second of two papers in this series, we discuss the nature of the compact nuclei and their hosts. We present the upper limit luminosity function (LF) for low-luminosity AGN (LLAGN) in two redshift bins to z=0.8. Mild number density evolution is detected for nuclei at -18 -16 and this flatness, combined with the increase in number density, is inconsistent with pure luminosity evolution. Based on the amount of density evolution observed for these objects, we find that almost all present-day spiral galaxies could have hosted a LLAGN at some point in their lives. We also comment on the likely contribution of these compact nuclei to the soft X-ray background.Comment: 50 pages, 14 figures, to appear in ApJ, April 199

Final structure & design parameters of TARLA RF system

Doğan, Mehmet Sinan (Dogus Author) -- Conference full title: 5th International Particle Accelerator Conference, IPAC 2014; International Congress Center DresdenDresden; Germany; 15 June 2014 through 20 June 2014Turkish Accelerator and Radiation Laboratory in Ankara (TARLA) is an oscillator mode IR-FEL facility which is under construction since 2011. ELBE licensed superconducting modules housing TESLA RF cavities have been manufacturing for one year and the first module will be delivered in 2015. He Cryogenic System has also started to be manufacturing at similar time with the accelerator structures. It will be delivered in 2014. High Power RF amplifiers are started to tender procedures and delivery time is planning as 2015. The installation of high power transmission lines have to be completed at the same time with the delivery date of HPRF amplifiers to test the cavities and amplifiers. In this study, the final structural design of high power RF transmission lines and design parameters of RF amplifiers for TARLA is discussed

A reanalysis of the luminosities of clusters of galaxies in the EMSS sample with 0.3 < z < 0.6

The X-ray luminosities of the Einstein Extended Medium Sensitivity Survey (EMSS) clusters of galaxies with redshifts 0.3<z<0.6 are remeasured using ROSAT PSPC data. It is found that the new luminosities are on average 1.18 +/- 0.08 times higher than previously measured but that this ratio depends strongly on the X-ray core radii we measure. For the clusters with small core radii, in general we confirm the EMSS luminosities, but for clusters with core radii >250 kpc (the constant value assumed in the EMSS), the new luminosities are 2.2 +/- 0.15 times the previous measurements. The X-ray luminosity function (XLF) at 0.3<z<0.6 is recalculated and is found to be consistent with the local XLF. The constraints on the updated properties of the 0.3<z<0.6 EMSS sample, including a comparison with the number of clusters predicted from local XLFs, indicate that the space density of luminous, massive clusters has either not evolved or has increased by a small factor ~2 since z=0.4. The implications of this result are discussed in terms of constraints on the cosmological parameter Omega_0.Comment: 12 pages, 7 figures. Accepted for publication in MNRA

Warming and elevated CO2 promote rapid incorporation and degradation of plant-derived organic matter in an ombrotrophic peatland

Rising temperatures have the potential to directly affect carbon cycling in peatlands by enhancing organic matter (OM) decomposition, contributing to the release of CO2 and CH4 to the atmosphere. In turn, increasing atmospheric CO2 concentration may stimulate photosynthesis, potentially increasing plant litter inputs belowground and transferring carbon from the atmosphere into terrestrial ecosystems. Key questions remain about the magnitude and rate of these interacting and opposing environmental change drivers. Here, we assess the incorporation and degradation of plant- and microbe-derived OM in an ombrotrophic peatland after 4 years of whole-ecosystem warming (+0, +2.25, +4.5, +6.75 and +9°C) and two years of elevated CO2 manipulation (500 ppm above ambient). We show that OM molecular composition was substantially altered in the aerobic acrotelm, highlighting the sensitivity of acrotelm carbon to rising temperatures and atmospheric CO2 concentration. While warming accelerated OM decomposition under ambient CO2, new carbon incorporation into peat increased in warming × elevated CO2 treatments for both plant- and microbe-derived OM. Using the isotopic signature of the applied CO2 enrichment as a label for recently photosynthesized OM, our data demonstrate that new plant inputs have been rapidly incorporated into peat carbon. Our results suggest that under current hydrological conditions, rising temperatures and atmospheric CO2 levels will likely offset each other in boreal peatlands

A forming disk at z~0.6: Collapse of a gaseous disk or major merger remnant?

[Abridged] We present and analyze observations of J033241.88-274853.9 at z=0.6679, using multi-wavelength photometry and imaging with FLAMES/GIRAFFE 3D spectroscopy. J033241.88-274853.9 is found to be a blue, young (~320Myr) stellar disk embedded in a very gas-rich (fgas=73-82% with log(Mstellar/Mo)=9.45) and turbulent phase that is found to be rotating on large spatial scales. We identified two unusual properties of J033241.88-274853.9. (1) The spatial distributions of the ionized gaseous and young stars show a strong decoupling; while almost no stars can be detected in the southern part down to the very deep detection limit of ACS/UDF images, significant emission from the [OII] ionized gas is detected. (2) We detect an excess of velocity dispersion in the southern part of J033241.88-274853.9 in comparison to expectations from a rotating disk model. We considered two disk formation scenarios, depending on the gaseous phase geometry. In the first one, we examined whether J033241.88-274853.9 could be a young rotating disk that has been recently collapsed from a pre-existing, very gas-rich rotating disk. This scenario requires two (unknown) additional assumptions to explain the decoupling between the distribution of stars and gas and the excess of velocity dispersion in the same region. In a second scenario, we examine whether J033241.88-274853.9 could be a merger remnant of two gas-rich disks. In this case, the asymmetry observed between the gas and star distributions, as well as the excess of velocity dispersion, find a common explanation. Shocks produced during the merger in this region can be ionized easily and heat the gas while preventing star formation. This makes this scenario more satisfactory than the collapse of a pre-existing, gas-rich rotating disk.Comment: Accepted for publication in A&A. 8 pages & 5 figure