Length of stay and mortality associated with healthcare-associated urinary tract infections: a multi-state model

SummaryBackgroundThe emergence of antimicrobial resistance is of particular concern with respect to urinary tract infections, since the majority of causative agents are Gram-negative bacteria. Healthcare-associated urinary tract infections (HAUTIs) are frequently associated with instrumentation of the urinary tract, specifically with indwelling catheters.AimTo evaluate the current incidence, mortality, and length of hospital stay associated with HAUTIs.MethodsA non-concurrent cohort study design was used, conducted between January 1st, 2010 and June 30th, 2014. All patients admitted to one of the eight participating Australian hospitals and who were hospitalized for more than two days were included. The primary outcome measures were the incidence, mortality, and excess length of stay associated with HAUTIs.FindingsFrom 162,503 patient admissions, 1.73% [95% confidence interval (CI): 1.67–1.80] of admitted patients acquired a HAUTI. Using a multi-state model, the expected extra length of stay due to HAUTI was four days (95% CI: 3.1–5.0 days). Using a Cox regression model, infection significantly reduced the rate of discharge (hazard ratio: 0.78; 95% CI: 0.73–0.83). Women were less likely to die (0.71; 0.66–0.75), whereas older patients were more likely to die (1.40; 1.38–1.43). Death was rarer in a tertiary referral hospital compared to other hospitals, after adjusting for age and sex (0.74; 0.69–0.78).ConclusionThis study is the first to explore the burden of HAUTIs in hospitals using appropriate statistical methods in a developed country. Our study indicates that the incidence of HAUTI, in addition to its associated extra length of stay in hospital, presents a burden to the hospital system. With increasing incidence of UTI due to antimicrobial-resistant organisms, surveillance and interventions to reduce the incidence of HAUTI are required

Chaos in a double driven dissipative nonlinear oscillator

We propose an anharmonic oscillator driven by two periodic forces of different frequencies as a new time-dependent model for investigating quantum dissipative chaos. Our analysis is done in the frame of statistical ensemble of quantum trajectories in quantum state diffusion approach. Quantum dynamical manifestation of chaotic behavior, including the emergence of chaos, properties of strange attractors, and quantum entanglement are studied by numerical simulation of ensemble averaged Wigner function and von Neumann entropy.Comment: 9 pages, 18 figure

GUI Matlab para o cálculo de funções de Bessel usando frações continuadas

[EN] Higher order Bessel functions are prevalent in physics and engineering and there exist different methods to evaluate them quickly and efficiently. Two of these methods are Miller's algorithm and the continued fractions algorithm. Miller's algorithm uses arbitrary starting values and normalization constants to evaluate Bessel functions. The continued fractions algorithm directly computes each value, keeping the error as small as possible. Both methods respect the stability of the Bessel function recurrence relations. Here we outline both methods and explain why the continued fractions algorithm is more efficient. The goal of this paper is both (1) to introduce the continued fractions algorithm to physics and engineering students and (2) to present a MATLAB GUI (Graphic User Interface) where this method has been used for computing the Semi-integer Bessel Functions and their zeros.[PT] Funções de Bessel de ordem mais alta são recorrentes em física e nas engenharias, sendo que há diferentes métodos para calculá-las de maneira rápida e eficiente. Dois destes métodos são o algoritmo de Miller e o algoritmo de frações continuadas. O primeiro faz uso de valores iniciais e constantes de normalização arbitrários, enquanto o segundo o faz calculando cada valor diretamente, minimizando tanto quanto possível o erro. Ambos respeitam a estabilidade das relações de recorrência das funções de Bessel. Neste trabalho descrevemos ambos os métodos e explicamos a razão pela qual o algoritmo das frações continuadas é mais eficiente. O objetivo do artigo é (1) introduzir o algoritmo de frações continuadas para estudantes de física e das engenharias e (2) apresentar um GUI (Graphic User Interface) em Matlab no qual este método foi utilizado para calcular funções de Bessel semi-inteiras e seus zeros.The authors wish to thank the financial support received from the Universidad Politécnica de Valencia under grant PAID-06-09-2734, from the Ministerio de Ciencia e Innovación through grant ENE2008-00599 and specially from the Generalitat Valenciana under grant reference 3012/2009.Hernandez Vargas, E.; Commeford, K.; Pérez Quiles, MJ. (2011). MATLAB GUI for computing Bessel functions using continued fractions algorithm. Revista Brasileira de Ensino de Física. 33(1):1303-1311. https://doi.org/10.1590/S1806-11172011000100003S13031311331Giladi, E. (2007). Asymptotically derived boundary elements for the Helmholtz equation in high frequencies. Journal of Computational and Applied Mathematics, 198(1), 52-74. doi:10.1016/j.cam.2005.11.024Havemann, S., & Baran, A. J. (2004). Calculation of the phase matrix elements of elongated hexagonal ice columns using the T-matrix method. Journal of Quantitative Spectroscopy and Radiative Transfer, 89(1-4), 87-96. doi:10.1016/j.jqsrt.2004.05.014Segura, J., Fernández de Córdoba, P., & Ratis, Y. L. (1997). A code to evaluate modified bessel functions based on thecontinued fraction method. Computer Physics Communications, 105(2-3), 263-272. doi:10.1016/s0010-4655(97)00069-6Bastardo, J. L., Abraham Ibrahim, S., Fernández de Córdoba, P., Urchueguía Schölzel, J. F., & Ratis, Y. L. (2005). Evaluation of Fresnel integrals based on the continued fractions method. Applied Mathematics Letters, 18(1), 23-28. doi:10.1016/j.aml.2003.12.009Barnett, A. R., Feng, D. H., Steed, J. W., & Goldfarb, L. J. B. (1974). Coulomb wave functions for all real η and ϱ. Computer Physics Communications, 8(5), 377-395. doi:10.1016/0010-4655(74)90013-

Nuclear Shadowing in DIS: Numerical Solution of the Evolution Equation for the Green Function

Within a light-cone QCD formalism based on the Green function technique incorporating color transparency and coherence length effects we study nuclear shadowing in deep-inelastic scattering at moderately small Bjorken x_{Bj}. Calculations performed so far were based only on approximations leading to an analytical harmonic oscillatory form of the Green function. We present for the first time an exact numerical solution of the evolution equation for the Green function using realistic form of the dipole cross section and nuclear density function. We compare numerical results for nuclear shadowing with previous predictions and discuss differences.Comment: 21 pages including 3 figures; a small revision of the tex

Influence of a classical homogeneous gravitational field on dissipative dynamics of the Jaynes-Cummings model with phase damping

In this paper, we study the dissipative dynamics of the Jaynes-Cummings model with phase damping in the presence of a classical homogeneous gravitational field. The model consists of a moving two-level atom simultaneously exposed to the gravitational field and a single-mode traveling radiation field in the presence of the phase damping. We present a quantum treatment of the internal and external dynamics of the atom based on an alternative su(2) dynamical algebraic structure. By making use of the super-operator technique, we obtain the solution of the master equation for the density operator of the quantum system, under the Markovian approximation. Assuming that initially the radiation field is prepared in a Glauber coherent state and the two-level atom is in the excited state, we investigate the influence of gravity on the temporal evolution of collapses and revivals of the atomic population inversion, atomic dipole squeezing, atomic momentum diffusion, photon counting statistics and quadrature squeezing of the radiation field in the presence of phase damping.Comment: 25 pages, 15 figure

Nonperturbative Effects in Gluon Radiation and Photoproduction of Quark Pairs

We introduce a nonperturbative interaction for light-cone fluctuations containing quarks and gluons. The $\bar qq$ interaction squeezes the transverse size of these fluctuations in the photon and one does not need to simulate this effect via effective quark masses. The strength of this interaction is fixed by data. Data on diffractive dissociation of hadrons and photons show that the nonperturbative interaction of gluons is much stronger. We fix the parameters for the nonperturbative quark-gluon interaction by data for diffractive dissociation to large masses (triple-Pomeron regime). This allows us to predict nuclear shadowing for gluons which turns out to be not as strong as perturbative QCD predicts. We expect a delayed onset of gluon shadowing at $x \leq 10^{-2}$ shadowing of quarks. Gluon shadowing turns out to be nearly scale invariant up to virtualities $Q^2\sim 4 GeV^2$ due to presence of a semihard scale characterizing the strong nonperturbative interaction of gluons. We use the same concept to improve our description of gluon bremsstrahlung which is related to the distribution function for a quark-gluon fluctuation and the interaction cross section of a $\bar qqG$ fluctuation with a nucleon. We expect the nonperturbative interaction to suppress dramatically the gluon radiation at small transverse momenta compared to perturbative calculations.Comment: 58 pages of Latex including 11 figures. Shadowing for soft gluons and Fig. 6 are added as well as a few reference

Search for the Decay τ−→4pi−3π+(π0)ντ\tau^{-}\to 4pi^{-}3\pi^{+}(\pi^{0})\nu_{\tau}

We have searched for the decay of the tau lepton into seven charged particles and zero or one pi0. The data used in the search were collected with the CLEO II detector at the Cornell Electron Storage Ring (CESR) and correspond to an integrated luminosity of 4.61 fb^(-1). No evidence for a signal is found. Assuming all the charged particles are pions, we set an upper limit on the branching fraction, B(tau- -> 4pi- 3pi+ (pi0) nu_tau) < 2.4 x 10^(-6) at the 90% confidence level. This limit represents a significant improvement over the previous limit.Comment: 9 page postscript file, postscript file also available through http://w4.lns.cornell.edu/public/CLN

Search for direct production of charginos and neutralinos in events with three leptons and missing transverse momentum in √s = 7 TeV pp collisions with the ATLAS detector

A search for the direct production of charginos and neutralinos in final states with three electrons or muons and missing transverse momentum is presented. The analysis is based on 4.7 fb−1 of proton–proton collision data delivered by the Large Hadron Collider and recorded with the ATLAS detector. Observations are consistent with Standard Model expectations in three signal regions that are either depleted or enriched in Z-boson decays. Upper limits at 95% confidence level are set in R-parity conserving phenomenological minimal supersymmetric models and in simplified models, significantly extending previous results

Jet size dependence of single jet suppression in lead-lead collisions at sqrt(s(NN)) = 2.76 TeV with the ATLAS detector at the LHC

Measurements of inclusive jet suppression in heavy ion collisions at the LHC provide direct sensitivity to the physics of jet quenching. In a sample of lead-lead collisions at sqrt(s) = 2.76 TeV corresponding to an integrated luminosity of approximately 7 inverse microbarns, ATLAS has measured jets with a calorimeter over the pseudorapidity interval |eta| < 2.1 and over the transverse momentum range 38 < pT < 210 GeV. Jets were reconstructed using the anti-kt algorithm with values for the distance parameter that determines the nominal jet radius of R = 0.2, 0.3, 0.4 and 0.5. The centrality dependence of the jet yield is characterized by the jet "central-to-peripheral ratio," Rcp. Jet production is found to be suppressed by approximately a factor of two in the 10% most central collisions relative to peripheral collisions. Rcp varies smoothly with centrality as characterized by the number of participating nucleons. The observed suppression is only weakly dependent on jet radius and transverse momentum. These results provide the first direct measurement of inclusive jet suppression in heavy ion collisions and complement previous measurements of dijet transverse energy imbalance at the LHC.Comment: 15 pages plus author list (30 pages total), 8 figures, 2 tables, submitted to Physics Letters B. All figures including auxiliary figures are available at http://atlas.web.cern.ch/Atlas/GROUPS/PHYSICS/PAPERS/HION-2011-02

Search for displaced vertices arising from decays of new heavy particles in 7 TeV pp collisions at ATLAS

We present the results of a search for new, heavy particles that decay at a significant distance from their production point into a final state containing charged hadrons in association with a high-momentum muon. The search is conducted in a pp-collision data sample with a center-of-mass energy of 7 TeV and an integrated luminosity of 33 pb^-1 collected in 2010 by the ATLAS detector operating at the Large Hadron Collider. Production of such particles is expected in various scenarios of physics beyond the standard model. We observe no signal and place limits on the production cross-section of supersymmetric particles in an R-parity-violating scenario as a function of the neutralino lifetime. Limits are presented for different squark and neutralino masses, enabling extension of the limits to a variety of other models.Comment: 8 pages plus author list (20 pages total), 8 figures, 1 table, final version to appear in Physics Letters