Primary Amoebic (Naegleria fowleri) Meningoencephalitis Presenting as Status Epilepticus

Primary amebic meningoencephalitis (PAM) is a rare entity. Usual presenting features are fever, headache and seizures with meningeal signs and this disease carries high mortality rate. We present a case report of PAM presenting as status epilepticus

Downflows in sunspot umbral dots

We study the velocity field of umbral dots at a resolution of 0.14". Our analysis is based on full Stokes spectropolarimetric measurements of a pore taken with the CRISP instrument at the Swedish 1-m Solar Telescope. We determine the flow velocity at different heights in the photosphere from a bisector analysis of the Fe I 630 nm lines. In addtion, we use the observed Stokes Q, U, and V profiles to characterize the magnetic properties of these structures. We find that most umbral dots are associated with strong upflows in deep photospheric layers. Some of them also show concentrated patches of downflows at their edges, with sizes of about 0.25", velocities of up to 1000 m/s, and enhanced net circular polarization signals. The downflows evolve rapidly and have lifetimes of only a few minutes. These results appear to validate numerical models of magnetoconvection in the presence of strong magnetic fields.Comment: Final published version. For best quality figures, please download the PS versio

Association Between Empathy and Burnout Among Emergency Medicine Physicians

Background: The association between physician self-reported empathy and burnout has been studied in the past with diverse findings. We aimed to determine the association between empathy and burnout among United States emergency medicine (EM) physicians using a novel combination of tools for validation. Methods: This was a prospective single-center observational study. Data were collected from EM physicians. From December 1, 2018 to January 31, 2019, we used the Jefferson scale of empathy (JSE) to assess physician empathy and the Copenhagen burnout inventory (CBI) to assess burnout. We divided EM physicians into different groups (residents in each year of training, junior/senior attendings). Empathy, burnout scores and their association were analyzed and compared among these groups. Results: A total of 33 attending physicians and 35 EM residents participated in this study. Median self-reported empathy scores were 113 (interquartile range (IQR): 105 - 117) in post-graduate year (PGY)-1, 112 (90 - 115) in PGY-2, 106 (93 - 118) in PGY-3 EM residents, 112 (105 - 116) in junior and 114 (101 - 125) in senior attending physicians. Overall burnout scores were 43 (33 - 50) in PGY-1, 51 (29 - 56) in PGY-2, 43 (42 - 53) in PGY-3 EM residents, 33 (24 - 47) in junior attending and 25 (22 - 53) in senior attending physicians separately. The Spearman correlation (ρ) was -0.11 and β-weight was -0.23 between empathy and patient-related burnout scores. Conclusion: Self-reported empathy declines over the course of EM residency training and improves after graduation. Overall high burnout occurs among EM residents and improves after graduation. Our analysis showed a weak negative correlation between self-reported empathy and patient-related burnout among EM physicians

Trends in marine fish production in Tamil Nadu using regression and autoregressive integrated moving average (ARIMA) model

Tamil Nadu is situated in the south eastern coast of the Indian peninsula with a coastal line of 1076 km (13% of the country’s coast line), 0.19 million sq.km of EEZ (9.4 % of total national EEZ) and a continental shelf of about 41,412 sq. km. This is one of the country’s leading state in marine fish production and ranks third in marine fish production. In Tamil Nadu, Ramanathapuram district is a leading maritime district followed by Nagapattinam and Thoothukudi. The objective of this study was to investigate the trends in marine fish production in Tamil Nadu. Yearly fish production data for the period of 1988-1989 to 2012-2013 were analyzed using time-series method called Autoregressive Integrated Moving Average (ARIMA) model and Regression analysis (curve estimation). In our study, the developed best ARIMA model for Tamil Nadu marine fish production was found to be ARIMA (1, 1, 1) which have the minimum BIC (Bayesian Information Criterion). ARIMA model had got a slightly higher forecasting accuracy rate for forecasting marine fish production of Tamil Nadu than Regression trend analysis. The independent sample test showed there was no significant difference between the two models. The limitations of ARIMA model include its requirement of a long time series data for better forecast. It is basically linear model assuming that data are stationary and have a limited ability to capture non-stationarities and nonlinearities in series data. Both the models indicated that Tamil Nadu marine fish production has plateaued and fishermen should be encouraged to adopt sustainable fishing practices

The dynamics of measles in sub-Saharan Africa.

Although vaccination has almost eliminated measles in parts of the world, the disease remains a major killer in some high birth rate countries of the Sahel. On the basis of measles dynamics for industrialized countries, high birth rate regions should experience regular annual epidemics. Here, however, we show that measles epidemics in Niger are highly episodic, particularly in the capital Niamey. Models demonstrate that this variability arises from powerful seasonality in transmission-generating high amplitude epidemics-within the chaotic domain of deterministic dynamics. In practice, this leads to frequent stochastic fadeouts, interspersed with irregular, large epidemics. A metapopulation model illustrates how increased vaccine coverage, but still below the local elimination threshold, could lead to increasingly variable major outbreaks in highly seasonally forced contexts. Such erratic dynamics emphasize the importance both of control strategies that address build-up of susceptible individuals and efforts to mitigate the impact of large outbreaks when they occur

Single and Double Diamond Circular Microstrip Patch Antenna

Volume 1 Issue 3 (May 2013

Properties of Umbral Dots as Measured from the New Solar Telescope Data and MHD Simulations

We studied bright umbral dots (UDs) detected in a moderate size sunspot and compared their statistical properties to recent MHD models. The study is based on high resolution data recorded by the New Solar Telescope at the Big Bear Solar Observatory and 3D MHD simulations of sunspots. Observed UDs, living longer than 150 s, were detected and tracked in a 46 min long data set, using an automatic detection code. Total 1553 (620) UDs were detected in the photospheric (low chromospheric) data. Our main findings are: i) none of the analyzed UDs is precisely circular, ii) the diameter-intensity relationship only holds in bright umbral areas, and iii) UD velocities are inversely related to their lifetime. While nearly all photospheric UDs can be identified in the low chromospheric images, some small closely spaced UDs appear in the low chromosphere as a single cluster. Slow moving and long living UDs seem to exist in both the low chromosphere and photosphere, while fast moving and short living UDs are mainly detected in the photospheric images. Comparison to the 3D MHD simulations showed that both types of UDs display, on average, very similar statistical characteristics. However, i) the average number of observed UDs per unit area is smaller than that of the model UDs, and ii) on average, the diameter of model UDs is slightly larger than that of observed ones.Comment: Accepted by the AP

Multi-Sideband RABBIT in Argon

We report a joint experimental and theoretical study of a three-sideband (3-SB) modification of the "reconstruction of attosecond beating by interference of two-photon transitions" (RABBIT) setup. The 3-SB RABBIT scheme makes it possible to investigate phases resulting from interference between transitions of different orders in the continuum. Furthermore, the strength of this method is its ability to focus on the atomic phases only, independent of a chirp in the harmonics, by comparing the RABBIT phases extracted from specific SB groups formed by two adjacent harmonics. We verify earlier predictions that the phases and the corresponding time delays in the three SBs extracted from angle-integrated measurements become similar with increasing photon electron energy. A variation in the angle dependence of the RABBIT phases in the three SBs results from the distinct Wigner and continuum-continuum coupling phases associated with the individual angular momentum channels. A qualitative explanation of this dependence is attempted by invoking a propensity rule. Comparison between the experimental data and predictions from an R-matrix (close-coupling) with time dependence calculation shows qualitative agreement in the observed trends.Comment: 8 pages, 5 figure