Surface Tension at Finite Tempearture in the MIT Bag Model

At $T = 0$ the surface tension $\sigma ^{1/3}$ in the MIT bag model for a single hadron is known to be negligible as compared to the bag pressure $B^{1/4}$. We show that at finite temperature it has a substantial value of 50 - 70 MeV which also differ from hadron to hadron. We also find that the dynamics of the Quark-Gluon Plasma is such that the creation of hybrids $(s\bar{s}g)$ with massive quarks will predominate over the creation of $(s\bar{s})$ mesons.Comment: Substantial changes in the revised version and a new author included, 13 pages in Latex and one figur

Association of the Frequency of Respiratory Illness in Early Childhood with a Change in the Distribution of Blood Lymphocyte Subpopulations

Little is known about the distribution of lymphocyte phenotypes in young children and the association specific phenotypes may have with respiratory illnesses. The objective of this study was to describe lymphocyte distributions in children at approximately 2 years of age and to test for associations with the frequency of respiratory illness during the first 2 years of life. We hypothesized that an increased frequency of illness would be associated with those phenotypes that reflect previous antigen exposure and/or immune activation. Seventy-three children were followed during their first 2 years of life with daily symptom diaries and twice-monthly telephone calls to ascertain the incidence of respiratory illness. After the children reached 2 years of age, the phenotypes of circulating blood lymphocytes were measured by flow cytometry. Associations between illness and phenotypes were adjusted for education level of parents; hours per week in day care; hours per week exposed to environmental tobacco smoke, mould, or water damage in bedroom; and parental history of allergy and asthma. The resulting median lymphocyte count was 4.0 × 109 per litre (standard deviation, 1.3) with a CD4/CD8 count of 2.28, consistent with published values. Illness rates were positively associated with the percentage of CD8+ CD38+ T cells (unadjusted p = .03, adjusted p = .014), CD8+ CD45RO+ T cells (unadjusted p = .06, adjusted p = .036), and CD4+ CD45RO+ T cells (unadjusted p = .01, adjusted p = .005). Our conclusions is that there is an association between the distribution of lymphocyte phenotypes and the incidence of respiratory illness early in life. Future research is recommended to determine the directionality of this association

Enzyme-level interconversion of nitrate and nitrite in the fall mixed layer of the Antarctic Ocean

In the Southern Ocean, the nitrogen (N) isotopes of organic matter and the N and oxygen (O) isotopes of nitrate (NO_3^−) have been used to investigate NO_3^− assimilation and N cycling in the summertime period of phytoplankton growth, both today and in the past. However, recent studies indicate the significance of processes in other seasons for producing the annual cycle of N isotope changes. This study explores the impact of fall conditions on the ^(15)N/^(14)N (δ^(15)N) and ^(18)O/^(16)O (δ^(18)O) of NO_3^− and nitrite (NO_2^−) in the Pacific Antarctic Zone using depth profiles from late summer/fall of 2014. In the mixed layer, the δ^(15)N and δ^(18)O of NO_3^− + NO_2^− increase roughly equally, as expected for NO_3^− assimilation; however, the δ^(15)N of NO_3^−-only (measured after NO_2− removal) increases more than does NO_3^− -only δ^(18)O. Differencing indicates that NO_2^− has an extremely low δ^(15)N, often < −70‰ versus air. These observations are consistent with the expression of an equilibrium N isotope effect between NO_3^− and NO_2^−, likely due to enzymatic NO_3^- - NO_2^− interconversion. Specifically, we propose reversibility of the nitrite oxidoreductase (NXR) enzyme of nitrite oxidizers that, having been entrained from the subsurface during late summer mixed layer deepening, are inhibited by light. Our interpretation suggests a role for NO_3^- - NO_2^− interconversion where nitrifiers are transported into environments that discourage NO_2^− oxidation. This may apply to surface regions with upwelling, such as the summertime Antarctic. It may also apply to oxygen-deficient zones, where NXR-catalyzed interconversion may explain previously reported evidence of NO_2^− oxidation

Nonprofit governance: Improving performance in troubled economic times

Nonprofit management is currently pressured to perform effectively in a weak economy. Yet, nonprofit governance continues to suffer from unclear conceptions of the division of labor between board of directors and executive directors. This online survey of 114 executive directors aims to provide clarification and recommendations for social administration

Enzyme-level interconversion of nitrate and nitrite in the fall mixed layer of the Antarctic Ocean

In the Southern Ocean, the nitrogen (N) isotopes of organic matter and the N and oxygen (O) isotopes of nitrate (NO_3^−) have been used to investigate NO_3^− assimilation and N cycling in the summertime period of phytoplankton growth, both today and in the past. However, recent studies indicate the significance of processes in other seasons for producing the annual cycle of N isotope changes. This study explores the impact of fall conditions on the ^(15)N/^(14)N (δ^(15)N) and ^(18)O/^(16)O (δ^(18)O) of NO_3^− and nitrite (NO_2^−) in the Pacific Antarctic Zone using depth profiles from late summer/fall of 2014. In the mixed layer, the δ^(15)N and δ^(18)O of NO_3^− + NO_2^− increase roughly equally, as expected for NO_3^− assimilation; however, the δ^(15)N of NO_3^−-only (measured after NO_2− removal) increases more than does NO_3^− -only δ^(18)O. Differencing indicates that NO_2^− has an extremely low δ^(15)N, often < −70‰ versus air. These observations are consistent with the expression of an equilibrium N isotope effect between NO_3^− and NO_2^−, likely due to enzymatic NO_3^- - NO_2^− interconversion. Specifically, we propose reversibility of the nitrite oxidoreductase (NXR) enzyme of nitrite oxidizers that, having been entrained from the subsurface during late summer mixed layer deepening, are inhibited by light. Our interpretation suggests a role for NO_3^- - NO_2^− interconversion where nitrifiers are transported into environments that discourage NO_2^− oxidation. This may apply to surface regions with upwelling, such as the summertime Antarctic. It may also apply to oxygen-deficient zones, where NXR-catalyzed interconversion may explain previously reported evidence of NO_2^− oxidation

Assessing Adverse Events in Madeira Primary

In last three decades, several epidemiological studies have been developed in order to assess the magnitude, nature and type of adverse events (AEs). Most of these studies focus on hospital settings, where the activities are more standardised, but imultaneously more complex and involving higher risks. However, in the last years, there is a growing movement and strong evidence that point out the importance of studying other healthcare contexts, such as primary care and long-term care. In Portugal, studies on primary care setting are scarce and still in the early stages. In this article, the authors describe the AEs assessment in Portuguese Primary Health Care (PHC) units in Madeira Island/Portugal. This study was quantitative, cross-sectional, observational and analytical, with probability sampling. We quantify and analyse the AEs registered by healthcare providers using the APEAS-PT formulary. A link to the APEAS–PT form was sent to 520 healthcare professionals (111 specialist in Family Medicine, 27 medical students, 382 nurses) who worked in 32 PHC centres. These professionals identified and analysed 85 AEs and 42 incidents, which corresponds to a prevalence of 3.9 AEs per 10,000 visits,with a 95% confidence interval (CI) between 3.7 and 4 AE. Most of the AEs were preventable (96%). The most frequent causal factors of AEs were associated with medication (69%), health care provided to users (54%), communication (41%) and diagnosis (22%). This analysis of AEs in Madeira island PHC contributed to reinforce patient safety culture and to better understand quaternary prevention.info:eu-repo/semantics/publishedVersio

Population Physiology: Leveraging Electronic Health Record Data to Understand Human Endocrine Dynamics

Studying physiology and pathophysiology over a broad population for long periods of time is difficult primarily because collecting human physiologic data can be intrusive, dangerous, and expensive. One solution is to use data that have been collected for a different purpose. Electronic health record (EHR) data promise to support the development and testing of mechanistic physiologic models on diverse populations and allow correlation with clinical outcomes, but limitations in the data have thus far thwarted such use. For example, using uncontrolled population-scale EHR data to verify the outcome of time dependent behavior of mechanistic, constructive models can be difficult because: (i) aggregation of the population can obscure or generate a signal, (ii) there is often no control population with a well understood health state, and (iii) diversity in how the population is measured can make the data difficult to fit into conventional analysis techniques. This paper shows that it is possible to use EHR data to test a physiological model for a population and over long time scales. Specifically, a methodology is developed and demonstrated for testing a mechanistic, time-dependent, physiological model of serum glucose dynamics with uncontrolled, population-scale, physiological patient data extracted from an EHR repository. It is shown that there is no observable daily variation the normalized mean glucose for any EHR subpopulations. In contrast, a derived value, daily variation in nonlinear correlation quantified by the time-delayed mutual information (TDMI), did reveal the intuitively expected diurnal variation in glucose levels amongst a random population of humans. Moreover, in a population of continuously (tube) fed patients, there was no observable TDMI-based diurnal signal. These TDMI-based signals, via a glucose insulin model, were then connected with human feeding patterns. In particular, a constructive physiological model was shown to correctly predict the difference between the general uncontrolled population and a subpopulation whose feeding was controlled

Recommended practices for computerized clinical decision support and knowledge management in community settings: a qualitative study

<p>Abstract</p> <p>Background</p> <p>The purpose of this study was to identify recommended practices for computerized clinical decision support (CDS) development and implementation and for knowledge management (KM) processes in ambulatory clinics and community hospitals using commercial or locally developed systems in the U.S.</p> <p>Methods</p> <p>Guided by the Multiple Perspectives Framework, the authors conducted ethnographic field studies at two community hospitals and five ambulatory clinic organizations across the U.S. Using a Rapid Assessment Process, a multidisciplinary research team: gathered preliminary assessment data; conducted on-site interviews, observations, and field surveys; analyzed data using both template and grounded methods; and developed universal themes. A panel of experts produced recommended practices.</p> <p>Results</p> <p>The team identified ten themes related to CDS and KM. These include: 1) workflow; 2) knowledge management; 3) data as a foundation for CDS; 4) user computer interaction; 5) measurement and metrics; 6) governance; 7) translation for collaboration; 8) the meaning of CDS; 9) roles of special, essential people; and 10) communication, training, and support. Experts developed recommendations about each theme. The original Multiple Perspectives framework was modified to make explicit a new theoretical construct, that of Translational Interaction.</p> <p>Conclusions</p> <p>These ten themes represent areas that need attention if a clinic or community hospital plans to implement and successfully utilize CDS. In addition, they have implications for workforce education, research, and national-level policy development. The Translational Interaction construct could guide future applied informatics research endeavors.</p

Compendium of Single Event Effects Results for Candidate Spacecraft Electronics for NASA

Susceptibility of a variety of candidate spacecraft electronics to proton and heavy ion induced single event effects is studied. Devices tested include digital, linear bipolar, and hybrid devices