What happens to patients with COPD with long-term oxygen treatment who receive mechanical ventilation for COPD exacerbation? A 1-year retrospective follow-up study

We performed a retrospective cohort study of patients with chronic obstructive lung disease (COPD) on long-term oxygen treatment (LTOT) who received invasive mechanical ventilation for COPD exacerbation. Of the 4791 patients, 23% died in the hospital, and 45% died in the subsequent 12 months. 67% of patients were readmitted at least once in the subsequent 12 months, and 26.8% were discharged to a nursing home or skilled nursing facility within 30 days. We conclude that these patients have high mortality rates, both in-hospital and in the 12 months postdischarge. If patients survive, many will be readmitted to the hospital and discharged to nursing home. These potential outcomes may support informed critical care decision making and more preference congruent care

The effective length of columns in multi-storey frames

Codes of practice rely on the effective length method to assess the stability of multi-storey frames. The effective length method involves isolating a critical column within a frame and evaluating the rotational and translational stiffness of its end restraints, so that the critical buckling load may be obtained.The non-contradictory complementary information (NCCI) document SN008a [1] to BS EN 1993-1 [2] provides erroneous results in certain situations because it omits the contribution made to the rotational stiffness of the end restraints by columns above and below, and to the translational stiffness of end restraints by other columns in the same storey.Two improvements to the method are proposed in this paper. First, the axial load in adjoining columns is incorporated into the calculation of the effective length. Second, a modification to the effective length ratio is proposed that allows the buckling load of adjacent columns to be considered. The improvements are shown to be effective and consistently provide results within 2% of that computed by structural analysis software, as opposed to the up to 80% discrepancies seen using the NCCI [1]

The UNSW Extrasolar Planet Search: Methods and First Results from a Field Centred on NGC 6633

We report on the current status of the University of New South Wales Extrasolar Planet Search project, giving details of the methods we use to obtain millimagnitude precision photometry using the 0.5m Automated Patrol Telescope. We use a novel observing technique to optimally broaden the PSF and thus largely eliminate photometric noise due to intra-pixel sensitivity variations on the CCD. We have observed 8 crowded Galactic fields using this technique during 2003 and 2004. Our analysis of the first of these fields (centred on the open cluster NGC 6633) has yielded 49 variable stars and 4 shallow transit candidates. Follow-up observations of these candidates have identified them as eclipsing binary systems. We use a detailed simulation of our observations to estimate our sensitivity to short-period planets, and to select a new observing strategy to maximise the number of planets detected.Comment: 16 pages, 9 figures, version published in MNRAS Updated figures, references, and additional discussion in section

Adiabatic following criterion, estimation of the nonadiabatic excitation fraction and quantum jumps

An accurate theory describing adiabatic following of the dark, nonabsorbing state in the three-level system is developed. An analytical solution for the wave function of the particle experiencing Raman excitation is found as an expansion in terms of the time varying nonadiabatic perturbation parameter. The solution can be presented as a sum of adiabatic and nonadiabatic parts. Both are estimated quantitatively. It is shown that the limiting value to which the amplitude of the nonadiabatic part tends is equal to the Fourier component of the nonadiabatic perturbation parameter taken at the Rabi frequency of the Raman excitation. The time scale of the variation of both parts is found. While the adiabatic part of the solution varies slowly and follows the change of the nonadiabatic perturbation parameter, the nonadiabatic part appears almost instantly, revealing a jumpwise transition between the dark and bright states. This jump happens when the nonadiabatic perturbation parameter takes its maximum value.Comment: 33 pages, 8 figures, submitted to PRA on 28 Oct. 200

The Impact of HAART on the Respiratory Complications of HIV Infection: Longitudinal Trends in the MACS and WIHS Cohorts

Objective: To review the incidence of respiratory conditions and their effect on mortality in HIV-infected and uninfected individuals prior to and during the era of highly active antiretroviral therapy (HAART). Design: Two large observational cohorts of HIV-infected and HIV-uninfected men (Multicenter AIDS Cohort Study [MACS]) and women (Women's Interagency HIV Study [WIHS]), followed since 1984 and 1994, respectively. Methods: Adjusted odds or hazards ratios for incident respiratory infections or non-infectious respiratory diagnoses, respectively, in HIV-infected compared to HIV-uninfected individuals in both the pre-HAART (MACS only) and HAART eras; and adjusted Cox proportional hazard ratios for mortality in HIV-infected persons with lung disease during the HAART era. Results: Compared to HIV-uninfected participants, HIV-infected individuals had more incident respiratory infections both pre-HAART (MACS, odds ratio [adjusted-OR], 2.4; 95% confidence interval [CI], 2.2-2.7; p<0.001) and after HAART availability (MACS, adjusted-OR, 1.5; 95%CI 1.3-1.7; p<0.001; WIHS adjusted-OR, 2.2; 95%CI 1.8-2.7; p<0.001). Chronic obstructive pulmonary disease was more common in MACS HIV-infected vs. HIV-uninfected participants pre-HAART (hazard ratio [adjusted-HR] 2.9; 95%CI, 1.02-8.4; p = 0.046). After HAART availability, non-infectious lung diseases were not significantly more common in HIV-infected participants in either MACS or WIHS participants. HIV-infected participants in the HAART era with respiratory infections had an increased risk of death compared to those without infections (MACS adjusted-HR, 1.5; 95%CI, 1.3-1.7; p<0.001; WIHS adjusted-HR, 1.9; 95%CI, 1.5-2.4; p<0.001). Conclusion: HIV infection remained a significant risk for infectious respiratory diseases after the introduction of HAART, and infectious respiratory diseases were associated with an increased risk of mortality. © 2013 Gingo et al

Participatory Militias: An Analysis of an Armed Movement's Online Audience

Armed groups of civilians known as "self-defense forces" have ousted the powerful Knights Templar drug cartel from several towns in Michoacan. This militia uprising has unfolded on social media, particularly in the "VXM" ("Valor por Michoacan," Spanish for "Courage for Michoacan") Facebook page, gathering more than 170,000 fans. Previous work on the Drug War has documented the use of social media for real-time reports of violent clashes. However, VXM goes one step further by taking on a pro-militia propagandist role, engaging in two-way communication with its audience. This paper presents a descriptive analysis of VXM and its audience. We examined nine months of posts, from VXM's inception until May 2014, totaling 6,000 posts by VXM administrators and more than 108,000 comments from its audience. We describe the main conversation themes, post frequency and relationships with offline events and public figures. We also characterize the behavior of VXM's most active audience members. Our work illustrates VXM's online mobilization strategies, and how its audience takes part in defining the narrative of this armed conflict. We conclude by discussing possible applications of our findings for the design of future communication technologies.Comment: Participatory Militias: An Analysis of an Armed Movement's Online Audience. Saiph Savage, Andres Monroy-Hernandez. CSCW: ACM Conference on Computer-Supported Cooperative Work 201

Can the Existence of Dark Energy Be Directly Detected?

The majority of astronomers and physicists accept the reality of dark energy and also believe that it can only be studied indirectly through observation of the motions of stars and galaxies. In this paper I open the experimental question of whether it is possible to directly detect dark energy through the presence of dark energy density. Two thirds of this paper outlines the major aspects of dark energy density as now comprehended by the astronomical and physics community. The final third summarizes various proposals for direct detection of dark energy density or its possible effects. At this time I do not have a fruitful answer to the question: Can the Existence of Dark Energy Be Directly Detected?Comment: 4 page

Inelastic Processes in the Collision of Relativistic Highly Charged Ions with Atoms

A general expression for the cross sections of inelastic collisions of fast (including relativistic) multicharged ions with atoms which is based on the genelazition of the eikonal approximation is derived. This expression is applicable for wide range of collision energy and has the standard nonrelativistic limit and in the ultrarelativistic limit coincides with the Baltz's exact solution ~\cite{art13} of the Dirac equation. As an application of the obtained result the following processes are calculated: the excitation and ionization cross sections of hydrogenlike atom; the single and double excitation and ionization of heliumlike atom; the multiply ionization of neon and argon atoms; the probability and cross section of K-vacancy production in the relativistic $U^{92+} - U^{91+}$ collision. The simple analytic formulae for the cross sections of inelastic collisions and the recurrence relations between the ionization cross sections of different multiplicities are also obtained. Comparison of our results with the experimental data and the results of other calculations are given.Comment: 25 pages, latex, 7 figures avialable upon request,submitted to PR

Examining health-related quality of life in pediatric cancer patients with febrile neutropenia: Factors predicting poor recovery in children and their parents

Background The impact febrile neutropenia (FN) has on the health-related quality of life (HRQoL) of children with cancer and their families is poorly understood. We sought to characterize the course of child and parent HRQoL during and following FN episodes. Method Data on HRQoL were collected in the multisite Australian Predicting Infectious ComplicatioNs in Children with Cancer (PICNICC) study. Participants were enrolled between November 2016 to January 2018. The Child Health Utility (CHU9D) was used to assess HRQoL in children (N = 167 FN events) and the Assessment of Quality of Life (AQoL-8D) was used to assess HRQoL parents (N = 218 FN events) at three time points: 0–3 days, 7-days and 30-days following the onset of FN. Group-based trajectory modeling (GBTM) was used to characterize the course of HRQoL. Findings For children, three distinct groups were identified: persistently low HRQoL over the 30-day course of follow-up (chronic: N = 78/167; 47%), increasing HRQoL after the onset of FN to 30 days follow-up (recovering: N = 36/167; 22%), and persistently high HRQoL at all three timepoints (resilient: N = 53/167; 32%). Applying these definitions, parents were classified into two distinct groups: chronic (N = 107/218, 49%) and resilient (N = 111/218, 51%). The child being male, having solid cancer, the presence of financial stress, and relationship difficulties between the parent and child were significant predictors of chronic group membership for both parents and children. Children classified as high-risk FN were significantly more likely to belong to the recovery group. Being female, having blood cancers and the absence of financial or relationship difficulties were predictive of both parents and children being in the resilient group. Interpretation Approximately half the children and parents had chronically low HRQoL scores, which did not improve following resolution of the FN episode. The child's sex, cancer type, and presence of financial and relationship stress were predictive of chronic group membership for both parents and children. These families may benefit from increased financial and psychosocial support during anti-cancer treatment