Nosocomial infective endocarditis: should the definition be extended to 6 months after discharge

ABSTRACTBecause the microbiology and patient population of infective endocarditis (IE) have evolved, the traditional definition of nosocomial IE may require revision. The question of whether this definition should be extended to 6 months after discharge was explored, and a high rate of episodes with nosocomial pathogens (coagulase-negative staphylococci) and a low rate of episodes with community pathogens (streptococci) in the extended nosocomial group were found. Therefore, modification of the traditional definition is proposed, distinguishing between early (as traditionally described) and late nosocomial IE (IE in association with a significant invasive procedure performed during a hospitalization between 8 weeks and 6 months before the onset of symptoms)

Screened alpha decay in dense astrophysical plasmas and magnetars

This paper shows that ultrastrong magnetic fields (such as those of magnetars) and dense astrophysical plasmas can reduce the half life of alpha decaying nuclei by many orders of magnitude. In such environments the conventional Geiger-Nuttall law is modifed so that all half lives are shifted to dramatically lower values. Those effects, which have never been investigated before, may have significant implications on the universal abundances of heavy radioactive elements and the cosmochronological methods that rely on them.Comment: 15 RevTex pages, 3 ps figures (minor revision). This work was presented during the conference ''Supernova, 10 years of SN1993J'', April 2003, Valencia, Spain. Accepted for publication in Phys.Rev.

Impact of safety-engineered devices on the incidence of occupational blood and body fluid exposures among healthcare personnel in an Academic Facility, 2000-2014

background. Legislative actions and advanced technologies, particularly dissemination of safety-engineered devices, have aided in protecting healthcare personnel from occupational blood and body fluid exposures (BBFE). objective. To investigate the trends in BBFE among healthcare personnel over 15 years and the impact of safety-engineered devices on the incidence of percutaneous injuries as well as features of injuries associated with these devices. methods. Retrospective cohort study at University of North Carolina Hospitals, a tertiary care academic facility. Data on BBFE in healthcare personnel were extracted from Occupational Health Service records (2000'2014). Exposures associated with safety-engineered and conventional devices were compared. Generalized linear models were applied to measure the annual incidence rate difference by exposure type over time. results. A total of 4,300 BBFE, including 3,318 percutaneous injuries (77%), were reported. The incidence rate for overall BBFE was significantly reduced during 2000'2014 (incidence rate difference, 1.72; P=.0003). The incidence rate for percutaneous injuries was also dramatically reduced during 2001'2006 (incidence rate difference, 1.37; P= .0079) but was less changed during 2006'2014. Percutaneous injuries associated with safety-engineered devices accounted for 27% of all BBFE. BBFE was most commonly due to injecting through skin, placing intravenous catheters, and blood drawing. conclusions. Our study revealed significant overall reduction in BBFE and percutaneous injuries likely due in part to the impact of safetyengineered devices but also identified that a considerable proportion of percutaneous injuries is now associated with these devices. Additional prevention strategies are needed to further reduce percutaneous injuries and improve design of safety-engineered devices

Hole-Burning Diffusion Measurements in High Magnetic Field Gradients

We describe methods for the measurement of translational diffusion in very large static magnetic field gradients by NMR. The techniques use a "hole-burning" sequence that, with the use of fringe field gradients of 42 T/m, can image diffusion along one dimension on a submicron scale. Two varieties of this method are demonstrated, including a particularly efficient mode called the "hole-comb," in which multiple diffusion times comprising an entire diffusive evolution can be measured within the span of a single detected slice. The advantages and disadvantages of these methods are discussed, as well as their potential for addressing non-Fickian diffusion, diffusion in restricted media, and spatially inhomogeneous diffusion.Comment: 8 pages, 6 figure

Two-loop corrections to the decay rate of parapositronium

Order $\alpha^2$ corrections to the decay rate of parapositronium are calculated. A QED scattering calculation of the amplitude for electron-positron annihilation into two photons at threshold is combined with the technique of effective field theory to determine an NRQED Hamiltonian, which is then used in a bound state calculation to determine the decay rate. Our result for the two-loop correction is $5.1243(33)$ in units of $(\alpha/\pi)^2$ times the lowest order rate. This is consistent with but more precise than the result $5.1(3)$ of a previous calculation.Comment: 26 pages, 7 figure

The mobilising effect of political choice

Political choice is central to citizens’ participation in elections. Nonetheless, little is known about the individual-level mechanisms that link political choice and turnout. It is argued in this article that turnout decisions are shaped not only by the differences between the parties (party polarisation), but also by the closeness of parties to citizens’ own ideological position (congruence), and that congruence matters more in polarised systems where more is at stake. Analysing cross-national survey data from 80 elections, it is found that both polarisation and congruence have a mobilising effect, but that polarisation moderates the effect of congruence on turnout. To further explore the causal effect of political choice, the arrival of a new radical right-wing party in Germany, the Alternative for Germany (AfD), is leveraged and the findings show that the presence of the AfD had a mobilising effect, especially for citizens with congruent views

Cosmological Effects of Radion Oscillations

We show that the redshift of pressureless matter density due to the expansion of the universe generically induces small oscillations in the stabilized radius of extra dimensions (the radion field). The frequency of these oscillations is proportional to the mass of the radion and can have interesting cosmological consequences. For very low radion masses $m_b$ ($m_b\sim10-100 H_0\simeq10^{-32} eV$) these low frequency oscillations lead to oscillations in the expansion rate of the universe. The occurrence of acceleration periods could naturally lead to a resolution of the coincidence problem, without need of dark energy. Even though this scenario for low radion mass is consistent with several observational tests it has difficulty to meet fifth force constraints. If viewed as an effective Brans-Dicke theory it predicts $\omega=-1+\frac{1}{D}$ ($D$ is the number of extra dimensions), while experiments on scales larger than $1mm$ imply $\omega>2500$. By deriving the generalized Newtonian potential corresponding to a massive toroidally compact radion we demonstrate that Newtonian gravity is modified only on scales smaller than $m_b^{-1}$. Thus, these constraints do not apply for $m_b>10^{-3} eV$ (high frequency oscillations) corresponding to scales less than the current experiments ($0.3mm$). Even though these high frequency oscillations can not resolve the coincidence problem they provide a natural mechanism for dark matter generation. This type of dark matter has many similarities with the axion.Comment: Accepted in Phys. Rev. D. Clarifying comments added in the text and some additional references include

Measurements of the Production, Decay and Properties of the Top Quark: A Review

With the full Tevatron Run II and early LHC data samples, the opportunity for furthering our understanding of the properties of the top quark has never been more promising. Although the current knowledge of the top quark comes largely from Tevatron measurements, the experiments at the LHC are poised to probe top-quark production and decay in unprecedented regimes. Although no current top quark measurements conclusively contradict predictions from the standard model, the precision of most measurements remains statistically limited. Additionally, some measurements, most notably the forward-backward asymmetry in top quark pair production, show tantalizing hints of beyond-the-Standard-Model dynamics. The top quark sample is growing rapidly at the LHC, with initial results now public. This review examines the current status of top quark measurements in the particular light of searching for evidence of new physics, either through direct searches for beyond the standard model phenomena or indirectly via precise measurements of standard model top quark properties

Associated production of neutral toppion with a pair of heavy quarks in γγ\gamma\gamma collisions

We have studied a neutral toppion production process $\gamma\gamma\to f\bar{f}\Pi_{t}^{0}(f=t,b)$ in the topcolor-assisted technicolor(TC2) model. We find that the cross section of $\gamma\gamma\to t\bar{t}\Pi_{t}^{0}$ is much larger than that of $\gamma\gamma\to b\bar{b}\Pi_{t}^{0}$. On the other hand, the cross section can be obviously enhanced with the increasing of c.m.energy. With $\sqrt{s}=1600$ GeV, the cross section of $t\bar{t}\Pi_t^0$ production can reach the level of a few fb. The results show that $\gamma\gamma\to t\bar{t}\Pi^0_t \to t\bar{t}(t\bar{c})$ is the most ideal channel to detect neutral toppion due to the clean SM background. With such sufficient signals and clean background, neutral toppion could be detected at TESLA with high c.m.energy.Comment: 11 pages, 5 figure

Climate change research and action must look beyond 2100

Anthropogenic activity is changing Earth's climate and ecosystems in ways that are potentially dangerous and disruptive to humans. Greenhouse gas concentrations in the atmosphere continue to rise, ensuring that these changes will be felt for centuries beyond 2100, the current benchmark for projection. Estimating the effects of past, current, and potential future emissions to only 2100 is therefore short-sighted. Critical problems for food production and climate-forced human migration are projected to arise well before 2100, raising questions regarding the habitability of some regions of the Earth after the turn of the century. To highlight the need for more distant horizon scanning, we model climate change to 2500 under a suite of emission scenarios and quantify associated projections of crop viability and heat stress. Together, our projections show global climate impacts increase significantly after 2100 without rapid mitigation. As a result, we argue that projections of climate and its effects on human well-being and associated governance and policy must be framed beyond 2100