Acute Bacterial Meningitis in Adults – A Review of 493 Episodes

To characterize acute bacterial meningitis in adults, we reviewed the charts of all persons 16 years of age or older in whom acute bacterial meningitis was diagnosed at Massachusetts General Hospital from 1962 through 1988. We included patients who were admitted after initial treatment at other hospitals. During the 27-year period, 445 adults were treated for 493 episodes of acute bacterial meningitis, of which 197 (40 percent) were nosocomial. Gram-negative bacilli (other than Haemophilus influenzae) caused 33 percent of the nosocomial episodes but only 3 percent of the community-acquired episodes. In the 296 episodes of community-acquired meningitis, the most common pathogens were Streptococcus pneumoniae (37 percent), Neisseria meningitidis (13 percent), and Listeria monocytogenes (10 percent); these organisms accounted for only 8 percent of the nosocomial episodes. Only 19 of the 493 episodes of meningitis (4 percent) were due to H. influenzae. Nine percent of all patients had recurrent meningitis; many had a cerebrospinal fluid leak. Seizures occurred in 23 percent of patients with community-acquired meningitis, and 28 percent had focal central nervous system findings. Risk factors for death among those with single episodes of community-acquired meningitis included older age ( ≥ 60 years), obtunded mental state on admission, and seizures within the first 24 hours. Among those with single episodes, the in-hospital mortality rate was 25 percent for community-acquired and 35 percent for nosocomial meningitis. The overall case fatality rate was 25 percent and did not vary significantly over the 27 years. In our large urban hospital, a major proportion of cases of acute bacterial meningitis in adults were nosocomial. Recurrent episodes of meningitis were frequent. The overall mortality rate remained high., Few studies of bacterial meningitis have focused on the clinical and pathologic features of the illness in adults1–5. Most large series have included both children and adults, with children accounting for 45 to 87 percent of cases6–16. Results have rarely been reported according to age group in these studies. To characterize acute bacterial meningitis in adults, we reviewed our experience at Massachusetts General Hospital over a 27-year period, from 1962 through 1988

Theoretical upper bound on the mass of the LSP in the MNSSM

We study the neutralino sector of the Minimal Non-minimal Supersymmetric Standard Model (MNSSM) where the $\mu$ problem of the Minimal Supersymmetric Standard Model (MSSM) is solved without accompanying problems related with the appearance of domain walls. In the MNSSM as in the MSSM the lightest neutralino can be the absolutely stable lightest supersymmetric particle (LSP) providing a good candidate for the cold dark matter component of the Universe. In contrast with the MSSM the allowed range of the mass of the lightest neutralino in the MNSSM is limited. We establish the theoretical upper bound on the lightest neutralino mass in the framework of this model and obtain an approximate solution for this mass.Comment: 15 pages, 2 figures, references adde

On the Spontaneous CP Breaking at Finite Temperature in a Nonminimal Supersymmetric Standard Model

We study the spontaneous CP breaking at finite temperature in the Higgs sector in the Minimal Supersymmetric Standard Model with a gauge singlet. We consider the contribution of the standard model particles and that of stops, charginos, neutralinos, charged and neutral Higgs boson to the one-loop effective potential. Plasma effects for all bosons are also included. Assuming CP conservation at zero temperature, so that experimental constraints coming from, {\it e.g.}, the electric dipole moment of the neutron are avoided, and the electroweak phase transition to be of the first order and proceeding via bubble nucleation, we show that spontaneous CP breaking cannot occur inside the bubble mainly due to large effects coming from the Higgs sector. However, spontaneous CP breaking can be present in the region of interest for the generation of the baryon asymmetry, namely inside the bubble wall. The important presence of very tiny explicit CP violating phases is also commented.Comment: 28 pages, 4 figures available upon request, DFPD 94/TH/38 and SISSA 94/81-A preprint

P-wave excited baryons from pion- and photo-induced hyperon production

We report evidence for $N(1710)P_{11}$, $N(1875)P_{11}$, $N(1900)P_{13}$, $\Delta(1600)P_{33}$, $\Delta(1910)P_{31}$, and $\Delta(1920)P_{33}$, and find indications that $N(1900)P_{13}$ might have a companion state at 1970\,MeV. The controversial $\Delta(1750)P_{31}$ is not seen. The evidence is derived from a study of data on pion- and photo-induced hyperon production, but other data are included as well. Most of the resonances reported here were found in the Karlsruhe-Helsinki (KH84) and the Carnegie-Mellon (CM) analyses but were challenged recently by the Data Analysis Center at GWU. Our analysis is constrained by the energy independent $\pi N$ scattering amplitudes from either KH84 or GWU. The two $\pi N$ amplitudes from KH84 or GWU, respectively, lead to slightly different $\pi N$ branching ratios of contributing resonances but the debated resonances are required in both series of fits.Comment: 22 pages, 28 figures. Some additional sets of data are adde

Flow of foam through a convergent channel

International audienceWe study experimentally the flow of a foam confined as a bubble monolayer between two plates through a convergent channel. We quantify the velocity, the distribution and orientation of plastic events, and the elastic stress, using image analysis. We use two different soap solutions: a sodium dodecyl sulfate (SDS) solution, with a negligible wall friction between the bubbles and the confining plates, and a mixture containing a fatty acid, giving a large wall friction. We show that for SDS solutions, the velocity profile obeys a self-similar form which results from the superposition of plastic events, and the elastic deformation is uniform. For the other solution, the velocity field differs and the elastic deformation increases towards the exit of the channel. We discuss and quantify the role of wall friction on the velocity profile, the elastic deformation, and the rate of plastic events

Soft Dynamics simulation: 2. Elastic spheres undergoing a T1 process in a viscous fluid

Robust empirical constitutive laws for granular materials in air or in a viscous fluid have been expressed in terms of timescales based on the dynamics of a single particle. However, some behaviours such as viscosity bifurcation or shear localization, observed also in foams, emulsions, and block copolymer cubic phases, seem to involve other micro-timescales which may be related to the dynamics of local particle reorganizations. In the present work, we consider a T1 process as an example of a rearrangement. Using the Soft dynamics simulation method introduced in the first paper of this series, we describe theoretically and numerically the motion of four elastic spheres in a viscous fluid. Hydrodynamic interactions are described at the level of lubrication (Poiseuille squeezing and Couette shear flow) and the elastic deflection of the particle surface is modeled as Hertzian. The duration of the simulated T1 process can vary substantially as a consequence of minute changes in the initial separations, consistently with predictions. For the first time, a collective behaviour is thus found to depend on another parameter than the typical volume fraction in particles.Comment: 11 pages - 5 figure

Hadronic contributions to (g−2)(g-2) of the leptons and to the effective fine structure constant α(MZ2)\alpha(M_Z^2)

The hadronic contributions to the anomalous magnetic moments of the leptons and to the effective fine structure constant at the Z-mass are reevaluated using all presently available $e^+ e^-$ data.Comment: 36 pages, 11 Postscript figures, available at ftp://129.129.40.58/pub/preprints/vapogm2.ps.g

Measurement of the forward energy flow in pp collisions at &#8730;<span style="text-decoration:overline">s</span>=7 TeV

The energy flow created in pp collisions at s√=7 TeV is studied within the pseudorapidity range 1.9&#60;η&#60;4.9 with data collected by the LHCb experiment. The measurements are performed for inclusive minimum-bias interactions, hard scattering processes and events with an enhanced or suppressed diffractive contribution. The results are compared to predictions given by Pythia-based and cosmic-ray event generators, which provide different models of soft hadronic interactions