29,026 research outputs found
Glass transitions and shear thickening suspension rheology
We introduce a class of simple models for shear thickening and/ or `jamming'
in colloidal suspensions. These are based on schematic mode coupling theory
(MCT) of the glass transition, having a memory term that depends on a density
variable, and on both the shear stress and the shear rate. (Tensorial aspects
of the rheology, such as normal stresses, are ignored for simplicity.) We
calculate steady-state flow curves and correlation functions. Depending on
model parameters, we find a range of rheological behaviours, including
`S-shaped' flow curves, indicating discontinuous shear thickening, and
stress-induced transitions from a fluid to a nonergodic (jammed) state, showing
zero flow rate in an interval of applied stress. The shear thickening and
jamming scenarios that we explore appear broadly consistent with experiments on
dense colloids close to the glass transition, despite the fact that we ignore
hydrodynamic interactions. In particular, the jamming transition we propose is
conceptually quite different from various hydrodynamic mechanisms of shear
thickening in the literature, although the latter might remain pertinent at
lower colloid densities. Our jammed state is a stress-induced glass, but its
nonergodicity transitions have an analytical structure distinct from that of
the conventional MCT glass transition.Comment: 33 pages; 19 figure
Conjugative transfer frequencies of mef(A)-containing Tn1207.3 to macrolide-susceptible Streptococcus pyogenes belonging to different emm types
The aim of this study was to examine the gene transfer potential of mef(A)-containing Tn120.3 to macrolide-susceptible Streptococcus pyogenes belonging to different emm types. Using the filter mating technique, Tn1207.3 was transferred by conjugation to 23 macrolide-susceptible recipients representing 11 emm types. PCR analysis confirmed the presence of the mef(A) gene and the comEC junction regions of the Tn1207.3 insertion in resultant transconjugants. Significant variation was found in the transfer frequency of Tn1207.3 to different Strep. pyogenes strains, and this phenomenon may contribute to the differences in mef(A) frequency observed among clinical isolates. Significance and Impact of the Study: The spread of antimicrobial resistance among pathogenic bacteria is an important problem, but the mechanisms of horizontal transfer between strains and species are often poorly understood. For instance, little is known on how macrolide resistance spreads between strains of the human pathogen Strep. pyogenes and why certain strains more commonly display resistance than others. Here, we show that Strep. pyogenes strains vary greatly in their ability to acquire a transposon encoding macrolide resistance by horizontal gene transfer in vitro. These data provide a novel insight into the transfer of antibiotic resistance between bacterial strains and offer an explanation for the differences in the frequency of resistance determinates and resistance seen among clinical isolates. © 2014 The Authors Letters in Applied Microbiology
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The Differences in Antibiotic Decision-making Between Acute Surgical and Acute Medical Teams: An Ethnographic Study of Culture and Team Dynamics
Background
Cultural and social determinants influence antibiotic decision-making in hospitals. We investigated and compared cultural determinants of antibiotic decision-making in acute medical and surgical specialties.
Methods
An ethnographic observational study of antibiotic decision-making in acute medical and surgical teams at a London teaching hospital was conducted (August 2015–May 2017). Data collection included 500 hours of direct observations, and face-to-face interviews with 23 key informants. A grounded theory approach, aided by Nvivo 11 software, analyzed the emerging themes. An iterative and recursive process of analysis ensured saturation of the themes. The multiple modes of enquiry enabled cross-validation and triangulation of the findings.
Results
In medicine, accepted norms of the decision-making process are characterized as collectivist (input from pharmacists, infectious disease, and medical microbiology teams), rationalized, and policy-informed, with emphasis on de-escalation of therapy. The gaps in antibiotic decision-making in acute medicine occur chiefly in the transition between the emergency department and inpatient teams, where ownership of the antibiotic prescription is lost. In surgery, team priorities are split between 3 settings: operating room, outpatient clinic, and ward. Senior surgeons are often absent from the ward, leaving junior staff to make complex medical decisions. This results in defensive antibiotic decision-making, leading to prolonged and inappropriate antibiotic use.
Conclusions
In medicine, the legacy of infection diagnosis made in the emergency department determines antibiotic decision-making. In surgery, antibiotic decision-making is perceived as a nonsurgical intervention that can be delegated to junior staff or other specialties. Different, bespoke approaches to optimize antibiotic prescribing are therefore needed to address these specific challenges
River Discharge
In 2014, combined discharge from the eight largest Arctic rivers (2,487 km3) was 10% greater than average discharge for the period 1980-1989. Values for 2013 (2,282 km3) and 2012 (2,240 km3) were 1% greater than and 1% less than the 1980-1989 average, respectively. For the first seven months of 2015, the combined discharge for the six largest Eurasian Arctic rivers shows that peak discharge was 10% greater and five days earlier than the 1980-1989 average for those months
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Bars, Nightclubs, and Cancer Prevention: New Approaches to Reduce Young Adult Cigarette Smoking.
IntroductionTobacco contributes to multiple cancers, and it is largely preventable. As overall smoking prevalence in California declines, smoking has become concentrated among high-risk groups. Targeting social/cultural groups (i.e., "peer crowds") that share common values, aspirations, and activities in social venues like bars and nightclubs may reach high-risk young adult smokers. Lack of population data on young adult peer crowds limits the ability to assess the potential reach of such interventions.MethodsThis multimodal population-based household survey included young adults residing in San Francisco and Alameda counties. Data were collected in 2014 and analyzed in 2016. Multivariable logistic regressions assessed smoking by sociodemographic factors, attitudes, self-rated health, peer crowd affiliation, and bar/nightclub attendance.ResultsSmoking prevalence was 15.1% overall; 35.3% of respondents sometimes or frequently attended bars. In controlled analyses, bar attendance (AOR=2.13, 95% CI=1.00, 4.53) and binge drinking (AOR=3.17, 95% CI=1.59, 6.32) were associated with greater odds of smoking, as was affiliation with "Hip Hop" (AOR=4.32, 95% CI=1.48, 12.67) and "Country" (AOR=3.13, 95% CI=1.21, 8.09) peer crowds. Multivariable models controlling for demographics estimated a high probability of smoking among bar patrons affiliating with Hip Hop (47%) and Country (52%) peer crowds.ConclusionsBar attendance and affiliation with certain peer crowds confers significantly higher smoking risk. Interventions targeting Hip Hop and Country peer crowds could efficiently reach smokers, and peer crowd-tailored interventions have been associated with decreased smoking and binge drinking. Targeted interventions in bars and nightclubs may be an efficient way to address these cancer risks
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Strengthening strategic management approaches to address antimicrobial resistance in global human health: a scoping review
Introduction
The development and implementation of national strategic plans is a critical component towards successfully addressing antimicrobial resistance (AMR). This study aimed to review the scope and analytical depth of situation analyses conducted to address AMR in human health to inform the development and implementation of national strategic plans.
Methods
A systematic search of the literature was conducted to identify all studies since 2000, that have employed a situation analysis to address AMR. The included studies are analysed against frameworks for strategic analysis, primarily the PESTELI (Political, Economic, Sociological, Technological, Ecological, Legislative, Industry) framework, to understand the depth, scope and utility of current published approaches.
Results
10 studies were included in the final review ranging from single country (6) to regional-level multicountry studies (4). 8 studies carried out documentary review, and 3 of these also included stakeholder interviews. 2 studies were based on expert opinion with no data collection. No study employed the PESTELI framework. Most studies (9) included analysis of the political domain and 1 study included 6 domains of the framework. Technological and industry analyses is a notable gap. Facilitators and inhibitors within the political and legislative domains were the most frequently reported. No facilitators were reported in the economic or industry domains but featured inhibiting factors including: lack of ring-fenced funding for surveillance, perverse financial incentives, cost-shifting to patients; joint-stock drug company ownership complicating regulations.
Conclusion
The PESTELI framework provides further opportunities to combat AMR using a systematic, strategic management approach, rather than a retrospective view. Future analysis of existing quantitative data with interviews of key strategic and operational stakeholders is needed to provide critical insights about where implementation efforts should be focussed, and also how to build contingency at the strategic level for agile responses to macro-level environmental influences
Quantifying Spatiotemporal Chaos in Rayleigh-B\'enard Convection
Using large-scale parallel numerical simulations we explore spatiotemporal
chaos in Rayleigh-B\'enard convection in a cylindrical domain with
experimentally relevant boundary conditions. We use the variation of the
spectrum of Lyapunov exponents and the leading order Lyapunov vector with
system parameters to quantify states of high-dimensional chaos in fluid
convection. We explore the relationship between the time dynamics of the
spectrum of Lyapunov exponents and the pattern dynamics. For chaotic dynamics
we find that all of the Lyapunov exponents are positively correlated with the
leading order Lyapunov exponent and we quantify the details of their response
to the dynamics of defects. The leading order Lyapunov vector is used to
identify topological features of the fluid patterns that contribute
significantly to the chaotic dynamics. Our results show a transition from
boundary dominated dynamics to bulk dominated dynamics as the system size is
increased. The spectrum of Lyapunov exponents is used to compute the variation
of the fractal dimension with system parameters to quantify how the underlying
high-dimensional strange attractor accommodates a range of different chaotic
dynamics
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