Antibiotics in acute bronchitis: a meta-analysis.

PurposeMost patients with acute bronchitis who seek medical care are treated with antibiotics, although the effectiveness of this intervention is uncertain. We performed a meta-analysis of randomized, controlled trials to estimate the effectiveness of antibiotics in the treatment of acute bronchitis.Subjects and methodsEnglish-language studies published January 1966 to April 1998 were retrieved using MEDLINE, bibliographies, and consultation with experts. Only randomized trials that enrolled otherwise healthy patients with a diagnosis of acute bronchitis, used an antibiotic in the treatment group and a placebo in the control group, and provided sufficient data to calculate an effect size were included.ResultsWe identified eight randomized controlled trials that satisfied all inclusion criteria. These studies used one of three antibiotics (erythromycin, doxycycline, trimethoprim/sulfamethoxazole). The use of antibiotics decreased the duration of cough and sputum production by approximately one-half day (summary effect size 0.21; 95% CI, 0.05 to 0.36). For specific symptoms, there were nonsignificant trends favoring the use of antibiotics: a decrease of 0.4 days of purulent sputum (95% CI, -0.1 to 0.8), a decrease of 0.5 days of cough (95% CI, -0.1 to 1.1), and a decrease of 0.3 days lost from work (95% CI, -0.6 to 1.1).ConclusionThis meta-analysis suggests a small benefit from the use of the antibiotics erythromycin, doxycycline, or trimethoprim/sulfamethoxazole in the treatment of acute bronchitis in otherwise healthy patients. As this small benefit must be weighed against the risk of side effects and the societal cost of increasing antibiotic resistance, we believe that the use of antibiotics is not justified in these patients

Mechanisms of fragmentation of Al-W granular composites under dynamic loading

Numerical simulations of Aluminum (Al) and Tungsten (W) granular composite rings under various dynamic loading conditions caused by explosive loading were examined. Three competing mechanisms of fragmentation were observed: a continuum level mechanism generating large macrocracks described by the Grady-Kipp fragmentation mechanism, a mesoscale mechanism generating voids and microcracks near the initially unbonded Al/W interfaces due to tensile strains, and a mesoscale jetting due to the development of large velocity gradients between the W particles and adjacent Al. These mesoscale mechanisms can be used to tailor the size of the fragments by selecting an appropriate initial mesostructure for a given loading condition.Comment: 10 pages, 3 figures, submitted to AP

An ion probe study of the sulphur isotopic composition of Fe-Ni sulphides in CM carbonaceous chondrites

From the Introduction: The CM chondrites have endured variable degrees of aqueous alteration [1] which has changed their original mineralogy. A detailed study of the petrology and mineralogy of the sulphides in a suite of increasingly aqueously altered CMs, combined with sulphur isotope data measured in situ, can provide clues as to whether differences in the CM group are a result of different degrees of aqueous alteration, or whether they are the result of nebular heterogeneity

Application of survival statistics to the impulsive fragmentation of ductile rings

The current study addressed the problem of predicting fragment size distributions resulting from the tensile fracture of impulsive loaded bodies. Theory was restricted to one-dimensional bodies subjected to uniform loading. A rigorous treatment of the statistics of dynamic fragmentation has been attempted using concepts of survival statistics and incorporated here through the relation derived by Johnson and Mehl and Avrami. Physical concepts are introduced through the assumption of a uniform nucleation rate of fracture and the propagation of stress-relief waves governed by the tensile response of an ideally ductile material. An analytic distribution curve was derived for ductile fracture and compared with the fragmentation data of Wesenberg and Sagartz on aluminum rings. The analytic expression was found to provide a good representation of the data although further experimental work in this area is strongly needed. The present analysis and resulting fragment size distribution expressions are fairly complex even for the very simple geometry and loading conditions considered. Direct application of the method to more complicated fragmentation events would probably be difficult. Perhaps the greatest value of the present type of analysis will be the insight that it provides on the statistical nature of impulse fragmentation - hopefully a source of fresh ideas for computational models currently under development

The Application of the NASA Advanced Concepts Office, Launch Vehicle Team Design Process and Tools for Modeling Small Responsive Launch Vehicles

The Advanced Concepts Office (ACO) Launch Vehicle Team at the NASA Marshall Space Flight Center (MSFC) is recognized throughout NASA for launch vehicle conceptual definition and pre-phase A concept design evaluation. The Launch Vehicle Team has been instrumental in defining the vehicle trade space for many of NASA s high level launch system studies from the Exploration Systems Architecture Study (ESAS) through the Augustine Report, Constellation, and now Space Launch System (SLS). The Launch Vehicle Team s approach to rapid turn-around and comparative analysis of multiple launch vehicle architectures has played a large role in narrowing the design options for future vehicle development. Recently the Launch Vehicle Team has been developing versions of their vetted tools used on large launch vehicles and repackaged the process and capability to apply to smaller more responsive launch vehicles. Along this development path the LV Team has evaluated trajectory tools and assumptions against sounding rocket trajectories and air launch systems, begun altering subsystem mass estimating relationships to handle smaller vehicle components, and as an additional development driver, have begun an in-house small launch vehicle study. With the recent interest in small responsive launch systems and the known capability and response time of the ACO LV Team, ACO s launch vehicle assessment capability can be utilized to rapidly evaluate the vast and opportune trade space that small launch vehicles currently encompass. This would provide a great benefit to the customer in order to reduce that large trade space to a select few alternatives that should best fit the customer s payload needs

Environmental Barrier Coating (EBC) Durability Modeling; An Overview and Preliminary Analysis

A study outlining a fracture mechanics based model that is being developed to investigate crack growth and spallation of environmental barrier coating (EBC) under thermal cycling conditions is presented. A description of the current plan and a model to estimate thermal residual stresses in the coating and preliminary fracture mechanics concepts for studying crack growth in the coating are also discussed. A road map for modeling life and durability of the EBC and the results of FEA model(s) developed for predicting thermal residual stresses and the cracking behavior of the coating are generated and described. Further initial assessment and preliminary results showed that developing a comprehensive EBC life prediction model incorporating EBC cracking, degradation and spalling mechanism under stress and temperature gradients typically seen in turbine components is difficult. This is basically due to mismatch in thermal expansion difference between sub-layers of EBC as well as between EBC and substrate, diffusion of moisture and oxygen though the coating, and densification of the coating during operating conditions as well as due to foreign object damage, the EBC can also crack and spall from the substrate causing oxidation and recession and reducing the design life of the EBC coated substrate

Launch Vehicle Demonstrator Using Shuttle Assets

The Marshall Space Flight Center Advanced Concepts Office (ACO) has the leading role for NASA s preliminary conceptual launch vehicle design and performance analysis. Over the past several years the ACO Earth-to-Orbit Team has evaluated thousands of launch vehicle concept variations for a multitude of studies including agency-wide efforts such as the Exploration Systems Architecture Study (ESAS), Constellation, Heavy Lift Launch Vehicle (HLLV), Heavy Lift Propulsion Technology (HLPT), Human Exploration Framework Team (HEFT), and Space Launch System (SLS). NASA plans to continue human space exploration and space station utilization. Launch vehicles used for heavy lift cargo and crew will be needed. One of the current leading concepts for future heavy lift capability is an inline one and a half stage concept using solid rocket boosters (SRB) and based on current Shuttle technology and elements. Potentially, the quickest and most cost-effective path towards an operational vehicle of this configuration is to make use of a demonstrator vehicle fabricated from existing shuttle assets and relying upon the existing STS launch infrastructure. Such a demonstrator would yield valuable proof-of-concept data and would provide a working test platform allowing for validated systems integration. Using shuttle hardware such as existing RS-25D engines and partial MPS, propellant tanks derived from the External Tank (ET) design and tooling, and four-segment SRB s could reduce the associated upfront development costs and schedule when compared to a concept that would rely on new propulsion technology and engine designs. There are potentially several other additional benefits to this demonstrator concept. Since a concept of this type would be based on man-rated flight proven hardware components, this demonstrator has the potential to evolve into the first iteration of heavy lift crew or cargo and serve as a baseline for block upgrades. This vehicle could also serve as a demonstration and test platform for the Orion Program. Critical spacecraft systems, re-entry and recovery systems, and launch abort systems of Orion could also be demonstrated in early test flights of the launch vehicle demo. Furthermore, an early demonstrator of this type would provide a stop-gap for retaining critical human capital and infrastructure while affording the current emerging generation of young engineers opportunity to work with and capture lessons learned from existing STS program offices and personnel, who were integral in the design and development of the Space Shuttle before these resources are no longer available. The objective of this study is to define candidate launch vehicle demonstration concepts that are based on Space Shuttle assets and determine their performance capabilities and how these demonstration vehicles could evolve to a heavy lift capability to low earth orbit

Trace element mobility in cold desert alteration systems

Introduction: Alteration of rocks is a fundamental process that occurs in all environments across the solar system in different forms. Understanding the patterns of alteration, the formation of different products, the liberation of certain elements from minerals can inform us about environments billions of years old. They can give us information about quantities of water, temperatures, atmospheres and biology. This study focuses on cold desert environments and the geochemical fingerprints processes leave in some of the most abundant minerals in the solar system. Specifically, this study looks at how trace elements move in cold weathering systems, using Antarctic ordinary chondrites as an analogue, and how weathering features of cold environments combine with little water to interact with rocks.</br