Modeling and prediction of surgical procedure times

Accurate prediction of medical operation times is of crucial importance for cost efficient operation room planning in hospitals. This paper investigates the possible dependence of procedure times on surgeon factors like age, experience, gender, and team composition. The effect of these factors is estimated for over 30 different types of medical operations in two hospitals, by means of ANOVA models for logarithmic case durations. The estimation data set contains about 30,000 observations from 2005 till 2008. The relevance of surgeon factors depends on the type of operation. The factors found most often to be significant are team composition, experience, and daytime. Contrary to widespread opinions among surgeons, gender has nearly never a significant effect. By incorporating surgeon factors, the accuracy of out-of-sample prediction of case durations of about 1,250 surgical operations in 2009 is improved by up to more than 15 percent as compared to current planning procedures.planning;ANOVA model;European hospital;current procedure terminology (CPT);health care management;lognormal distribution;operation room;surgeon factors

Deuteron Magnetic Quadrupole Moment From Chiral Effective Field Theory

We calculate the magnetic quadrupole moment (MQM) of the deuteron at leading order in the systematic expansion provided by chiral effective field theory. We take into account parity and time-reversal violation which, at the quark-gluon level, results from the QCD vacuum angle and dimension-six operators that originate from physics beyond the Standard Model. We show that the deuteron MQM can be expressed in terms of five low-energy constants that appear in the parity- and time-reversal-violating nuclear potential and electromagnetic current, four of which also contribute to the electric dipole moments of light nuclei. We conclude that the deuteron MQM has an enhanced sensitivity to the QCD vacuum angle and that its measurement would be complementary to the proposed measurements of light-nuclear EDMs

Dust absorption and scattering in the silicon K-edge

The composition and properties of interstellar silicate dust are not well understood. In X-rays, interstellar dust can be studied in detail by making use of the fine structure features in the Si K-edge. The features in the Si K-edge offer a range of possibilities to study silicon-bearing dust, such as investigating the crystallinity, abundance, and the chemical composition along a given line of sight. We present newly acquired laboratory measurements of the silicon K-edge of several silicate-compounds that complement our measurements from our earlier pilot study. The resulting dust extinction profiles serve as templates for the interstellar extinction that we observe. The extinction profiles were used to model the interstellar dust in the dense environments of the Galaxy. The laboratory measurements, taken at the Soleil synchrotron facility in Paris, were adapted for astrophysical data analysis and implemented in the SPEX spectral fitting program. The models were used to fit the spectra of nine low-mass X-ray binaries located in the Galactic center neighborhood in order to determine the dust properties along those lines of sight. Most lines of sight can be fit well by amorphous olivine. We also established upper limits on the amount of crystalline material that the modeling allows. We obtained values of the total silicon abundance, silicon dust abundance, and depletion along each of the sightlines. We find a possible gradient of $0.06\pm0.02$ dex/kpc for the total silicon abundance versus the Galactocentric distance. We do not find a relation between the depletion and the extinction along the line of sight.Comment: 18 pages, 16 figures. Accepted for publication in Astronomy and Astrophysic

Cantor type functions in non-integer bases

Cantor's ternary function is generalized to arbitrary base-change functions in non-integer bases. Some of them share the curious properties of Cantor's function, while others behave quite differently

GPS radio sources: new optical observations and an updated master list

* Aims. Identify optical counterparts, address uncertain identifications and measure previously unknown redshifts of the host galaxies of candidate GPS radio sources, and study their stellar populations. * Methods. Long slit spectroscopy and deep optical imaging in the B, V and R bands, obtained with the Very Large Telescope. * Results. We obtain new redshifts for B0316+161, B0407-658, B0904+039, B1433-040, and identify the optical counterparts of B0008-421 and B0742+103. We confirm the previous identification for B0316+161, B0407-658, B0554-026, and B0904+039, and find that the previous identification for B0914+114 is incorrect. Using updated published radio spectral information we classify as non GPS the following sources: B0407-658, B0437-454, B1648+015. The optical colors of typical GPS sources are consistent with single instantaneous burst stellar population models but do not yield useful information on age or metallicity. A new master list of GPS sources is presented.Comment: 10 pages + GPS master list. Accepeted for publication by A&

17O NMR study of the intrinsic magnetic susceptibility and spin dynamics of the quantum kagome antiferromagnet ZnCu3(OH)6Cl2

We report through 17O NMR, an unambiguous local determination of the intrinsic kagome lattice spin susceptibility as well as that created around non-magnetic defects issued from natural Zn/ Cu exchange in the S=1/2 (Cu2+) herbertsmithite ZnCu3(OH)6Cl2 compound. The issue of a singlet-triplet gap is addressed. The magnetic response around a defect is found to markedly differ from that observed in non-frustrated antiferromagnetic materials. Finally, we discuss our relaxation measurements in the light of Cu and Cl NMR data [cond-mat 070314] and suggest a flat q-dependence of the excitations.Comment: Accepted for publication in Phys. Rev. Lett., 3 jan. 2008 Figure 1 has been modified to include a two-components fit of the 17O NMR spectru

Investigating the interstellar dust through the Fe K-edge

The chemical and physical properties of interstellar dust in the densest regions of the Galaxy are still not well understood. X-rays provide a powerful probe since they can penetrate gas and dust over a wide range of column densities (up to $10^{24}\ \rm{cm}^{-2}$). The interaction (scattering and absorption) with the medium imprints spectral signatures that reflect the individual atoms which constitute the gas, molecule, or solid. In this work we investigate the ability of high resolution X-ray spectroscopy to probe the properties of cosmic grains containing iron. Although iron is heavily depleted into interstellar dust, the nature of the Fe-bearing grains is still largely uncertain. In our analysis we use iron K-edge synchrotron data of minerals likely present in the ISM dust taken at the European Synchrotron Radiation Facility. We explore the prospects of determining the chemical composition and the size of astrophysical dust in the Galactic centre and in molecular clouds with future X-ray missions. The energy resolution and the effective area of the present X-ray telescopes are not sufficient to detect and study the Fe K-edge, even for bright X-ray sources. From the analysis of the extinction cross sections of our dust models implemented in the spectral fitting program SPEX, the Fe K-edge is promising for investigating both the chemistry and the size distribution of the interstellar dust. We find that the chemical composition regulates the X-ray absorption fine structures in the post edge region, whereas the scattering feature in the pre-edge is sensitive to the mean grain size. Finally, we note that the Fe K-edge is insensitive to other dust properties, such as the porosity and the geometry of the dust.Comment: 11 pages, 10 figures. Accepted for publication in Astronomy and Astrophysic

Trehalose is required for the acquisition of tolerance to a variety of stresses in the filamentous fungus Aspergillus nidulans

Trehalose is a non-reducing disaccharide found at high concentrations in Aspergillus nidulans conidia and rapidly degraded upon induction of conidial germination. Furthermore, trehalose is accumulated in response to a heat shock or to an oxidative shock. The authors have characterized the A. nidulans tpsA gene encoding trehalose-6-phosphate synthase, which catalyses the first step in trehalose biosynthesis. Expression of tpsA in a Saccharomyces cerevisiae tps1 mutant revealed that the tpsA gene product is a functional equivalent of the yeast Tps1 trehalose-6-phosphate synthase. The A. nidulans tpsA-null mutant does not produce trehalose during conidiation or in response to various stress conditions. While germlings of the tpsA mutant show an increased sensitivity to moderate stress conditions (growth at 45 °C or in the presence of 2 mM H2O2), they display a response to severe stress (60 min at 50 °C or in the presence of 100 mM H2O2) similar to that of wild-type germlings. Furthermore, conidia of the tpsA mutant show a rapid loss of viability upon storage. These results are consistent with a role of trehalose in the acquisition of stress tolerance. Inactivation of the tpsA gene also results in increased steady-state levels of sugar phosphates but does not prevent growth on rapidly metabolizable carbon sources (glucose, fructose) as seen in Saccharomyces cerevisiae. This suggests that trehalose 6-phosphate is a physiological inhibitor of hexokinase but that this control is not essential for proper glycolytic flux in A. nidulans. Interestingly, tpsA transcription is not induced in response to heat shock or during conidiation, indicating that trehalose accumulation is probably due to a post-translational activation process of the trehalose 6-phosphate synthase