Searching for vector dark matter with an optomechanical accelerometer

We consider using optomechanical accelerometers as resonant detectors for ultralight dark matter. As a concrete example, we describe a detector based on a silicon nitride membrane fixed to a beryllium mirror, forming an optical cavity. The use of different materials gives access to forces proportional to baryon (B) and lepton (L) charge, which are believed to be coupling channels for vector dark matter particles ("dark photons"). The cavity meanwhile provides access to quantum-limited displacement measurements. For a centimeter-scale membrane pre-cooled to 10 mK, we argue that sensitivity to vector B-L dark matter can exceed that of the E\"{o}t-Wash experiment in integration times of minutes, over a fractional bandwidth of $\sim 0.1\%$ near 10 kHz (corresponding to a particle mass of $10^{-10}$eV/c$^2$). Our analysis can be translated to alternative systems such as levitated particles, and suggests the possibility of a new generation of table-top experiments

Effect of early tranexamic acid administration on mortality, hysterectomy, and other morbidities in women with post-partum haemorrhage (WOMAN): an international, randomised, double-blind, placebo-controlled trial

Background Post-partum haemorrhage is the leading cause of maternal death worldwide. Early administration of tranexamic acid reduces deaths due to bleeding in trauma patients. We aimed to assess the effects of early administration of tranexamic acid on death, hysterectomy, and other relevant outcomes in women with post-partum haemorrhage. Methods In this randomised, double-blind, placebo-controlled trial, we recruited women aged 16 years and older with a clinical diagnosis of post-partum haemorrhage after a vaginal birth or caesarean section from 193 hospitals in 21 countries. We randomly assigned women to receive either 1 g intravenous tranexamic acid or matching placebo in addition to usual care. If bleeding continued after 30 min, or stopped and restarted within 24 h of the first dose, a second dose of 1 g of tranexamic acid or placebo could be given. Patients were assigned by selection of a numbered treatment pack from a box containing eight numbered packs that were identical apart from the pack number. Participants, care givers, and those assessing outcomes were masked to allocation. We originally planned to enrol 15 000 women with a composite primary endpoint of death from all-causes or hysterectomy within 42 days of giving birth. However, during the trial it became apparent that the decision to conduct a hysterectomy was often made at the same time as randomisation. Although tranexamic acid could influence the risk of death in these cases, it could not affect the risk of hysterectomy. We therefore increased the sample size from 15 000 to 20 000 women in order to estimate the effect of tranexamic acid on the risk of death from post-partum haemorrhage. All analyses were done on an intention-to-treat basis. This trial is registered with ISRCTN76912190 (Dec 8, 2008); ClinicalTrials.gov, number NCT00872469; and PACTR201007000192283. Findings Between March, 2010, and April, 2016, 20 060 women were enrolled and randomly assigned to receive tranexamic acid (n=10 051) or placebo (n=10 009), of whom 10 036 and 9985, respectively, were included in the analysis. Death due to bleeding was significantly reduced in women given tranexamic acid (155 [1·5%] of 10 036 patients vs 191 [1·9%] of 9985 in the placebo group, risk ratio [RR] 0·81, 95% CI 0·65–1·00; p=0·045), especially in women given treatment within 3 h of giving birth (89 [1·2%] in the tranexamic acid group vs 127 [1·7%] in the placebo group, RR 0·69, 95% CI 0·52–0·91; p=0·008). All other causes of death did not differ significantly by group. Hysterectomy was not reduced with tranexamic acid (358 [3·6%] patients in the tranexamic acid group vs 351 [3·5%] in the placebo group, RR 1·02, 95% CI 0·88–1·07; p=0·84). The composite primary endpoint of death from all causes or hysterectomy was not reduced with tranexamic acid (534 [5·3%] deaths or hysterectomies in the tranexamic acid group vs 546 [5·5%] in the placebo group, RR 0·97, 95% CI 0·87-1·09; p=0·65). Adverse events (including thromboembolic events) did not differ significantly in the tranexamic acid versus placebo group. Interpretation Tranexamic acid reduces death due to bleeding in women with post-partum haemorrhage with no adverse effects. When used as a treatment for postpartum haemorrhage, tranexamic acid should be given as soon as possible after bleeding onset. Funding London School of Hygiene & Tropical Medicine, Pfizer, UK Department of Health, Wellcome Trust, and Bill & Melinda Gates Foundation

Microalga-Mediated Tertiary Treatment of Municipal Wastewater: Removal of Nutrients and Pathogens

The microalgal strain Chlorella sorokiniana isolated from a waste stabilization pond was used for tertiary treatment of municipal wastewater. Three light:dark (L:D) regimes of 12:12, 16:8, and 24:0 were used for treating wastewater in microalga (A), microalga + sludge (A + S), and sludge (S) reactors. The removal of nutrients (N and P) was found to be the highest in the microalga-based reactor, with more than 80% removal of biochemical oxygen demand (BOD) and 1.2–5.6 log unit removal of pathogens. The addition of sludge improved chemical oxygen demand (COD) removal. Nitrifiers were found to be predominant in the A + S reactor. Algal biomass productivity was more than 280 mg/L/d in all the L:D regimes. The increase in light regime improved nutrient removal and biomass productivity in the algal reactor. Results of the kinetic study showed that (i) nitrifiers had more affinity for ammonium than microalga, and hence, most of the ammonia was oxidized to nitrate, (ii) microalga assimilated nitrate as the primary nitrogen source in the A + S reactor, and (iii) solubilization of particulate organic nitrogen originated from dead cells reduced the nitrogen removal efficiency. However, in the microalga-based reactor, the ammonium uptake was higher than nitrate uptake. Among pathogens, the removal of Salmonella and Shigella was better in the A + S reactor than in the other two reactors (microalga and sludge reactor). Additionally, the heterotrophic plate count was drastically reduced in the presence of microalga. No such drastic reduction was observed in the stand-alone sludge reactor. Kinetic modeling revealed that microalga–pathogen competition and pH-induced die-off were the two predominant factors for pathogen inactivation

Biomass and Lipid Productivity by Two Algal Strains of <i>Chlorella sorokiniana</i> Grown in Hydrolysate of Water Hyacinth

Hydrolysate prepared from the chemical hydrolysis of water hyacinth biomass contains a high amount of solubilised carbohydrate and nutrients. This hydrolysate was utilised as a medium for the cultivation of two strains of Chlorella sorokiniana, isolated from a municipal wastewater treatment plant using two different media, i.e., BG-11 and Knop’s medium. Different light intensities, light–dark cycles, and various concentrations of external carbon sources (monosaccharides and inorganic carbon) were used to optimise the microalgal growth. For the accumulation of lipids and carbohydrates, the microalgal strains were transferred to nutrient amended medium (N-amended and P-amended). It was observed that the combined effect of glucose, inorganic carbon, and a 12:12 h light–dark cycle proved to be the optimum parameters for high biomass productivity (~200 mg/L/day). For Chlorella sorokiniana 1 (isolated from BG-11 medium), the maximum carbohydrate content (22%) was found in P-amended medium (N = 0 mg/L, P: 3 mg/L), whereas, high lipid content (17.3%) was recorded in N-amended medium (N = 5 mg/L, P = 0 mg/L). However, for Chlorella sorokiniana 2 (isolated from the Knop’s medium), both lipid (17%) and carbohydrate accumulation (12.3%) were found to be maximum in the N-amended medium. Chlorella sorokiniana 2 showed a high saturated lipid accumulation compared to other strains. Kinetic modelling of the lipid profile revealed that the production rate of fatty acids and their various constituents were species dependent under identical conditions