61 research outputs found

    Stimulated optomechanical excitation of surface acoustic waves in a microdevice

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    Stimulated Brillouin interaction between sound and light, known to be the strongest optical nonlinearity common to all amorphous and crystalline dielectrics, has been widely studied in fibers and bulk materials but rarely in optical microresonators. The possibility of experimentally extending this principle to excite mechanical resonances in photonic microsystems, for sensing and frequency reference applications, has remained largely unexplored. The challenge lies in the fact that microresonators inherently have large free spectral range, while the phase matching considerations for the Brillouin process require optical modes of nearby frequencies but with different wavevectors. We rely on high-order transverse optical modes to relax this limitation. Here we report on the experimental excitation of mechanical resonances ranging from 49 to 1400 MHz by using forward Brillouin scattering. These natural mechanical resonances are excited in ~100 um silica microspheres, and are of a surface-acoustic whispering-gallery type

    Antimicrobial resistance among migrants in Europe: a systematic review and meta-analysis

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    BACKGROUND: Rates of antimicrobial resistance (AMR) are rising globally and there is concern that increased migration is contributing to the burden of antibiotic resistance in Europe. However, the effect of migration on the burden of AMR in Europe has not yet been comprehensively examined. Therefore, we did a systematic review and meta-analysis to identify and synthesise data for AMR carriage or infection in migrants to Europe to examine differences in patterns of AMR across migrant groups and in different settings. METHODS: For this systematic review and meta-analysis, we searched MEDLINE, Embase, PubMed, and Scopus with no language restrictions from Jan 1, 2000, to Jan 18, 2017, for primary data from observational studies reporting antibacterial resistance in common bacterial pathogens among migrants to 21 European Union-15 and European Economic Area countries. To be eligible for inclusion, studies had to report data on carriage or infection with laboratory-confirmed antibiotic-resistant organisms in migrant populations. We extracted data from eligible studies and assessed quality using piloted, standardised forms. We did not examine drug resistance in tuberculosis and excluded articles solely reporting on this parameter. We also excluded articles in which migrant status was determined by ethnicity, country of birth of participants' parents, or was not defined, and articles in which data were not disaggregated by migrant status. Outcomes were carriage of or infection with antibiotic-resistant organisms. We used random-effects models to calculate the pooled prevalence of each outcome. The study protocol is registered with PROSPERO, number CRD42016043681. FINDINGS: We identified 2274 articles, of which 23 observational studies reporting on antibiotic resistance in 2319 migrants were included. The pooled prevalence of any AMR carriage or AMR infection in migrants was 25·4% (95% CI 19·1-31·8; I2 =98%), including meticillin-resistant Staphylococcus aureus (7·8%, 4·8-10·7; I2 =92%) and antibiotic-resistant Gram-negative bacteria (27·2%, 17·6-36·8; I2 =94%). The pooled prevalence of any AMR carriage or infection was higher in refugees and asylum seekers (33·0%, 18·3-47·6; I2 =98%) than in other migrant groups (6·6%, 1·8-11·3; I2 =92%). The pooled prevalence of antibiotic-resistant organisms was slightly higher in high-migrant community settings (33·1%, 11·1-55·1; I2 =96%) than in migrants in hospitals (24·3%, 16·1-32·6; I2 =98%). We did not find evidence of high rates of transmission of AMR from migrant to host populations. INTERPRETATION: Migrants are exposed to conditions favouring the emergence of drug resistance during transit and in host countries in Europe. Increased antibiotic resistance among refugees and asylum seekers and in high-migrant community settings (such as refugee camps and detention facilities) highlights the need for improved living conditions, access to health care, and initiatives to facilitate detection of and appropriate high-quality treatment for antibiotic-resistant infections during transit and in host countries. Protocols for the prevention and control of infection and for antibiotic surveillance need to be integrated in all aspects of health care, which should be accessible for all migrant groups, and should target determinants of AMR before, during, and after migration. FUNDING: UK National Institute for Health Research Imperial Biomedical Research Centre, Imperial College Healthcare Charity, the Wellcome Trust, and UK National Institute for Health Research Health Protection Research Unit in Healthcare-associated Infections and Antimictobial Resistance at Imperial College London

    Surgical site infection after gastrointestinal surgery in high-income, middle-income, and low-income countries: a prospective, international, multicentre cohort study

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    Background: Surgical site infection (SSI) is one of the most common infections associated with health care, but its importance as a global health priority is not fully understood. We quantified the burden of SSI after gastrointestinal surgery in countries in all parts of the world. Methods: This international, prospective, multicentre cohort study included consecutive patients undergoing elective or emergency gastrointestinal resection within 2-week time periods at any health-care facility in any country. Countries with participating centres were stratified into high-income, middle-income, and low-income groups according to the UN's Human Development Index (HDI). Data variables from the GlobalSurg 1 study and other studies that have been found to affect the likelihood of SSI were entered into risk adjustment models. The primary outcome measure was the 30-day SSI incidence (defined by US Centers for Disease Control and Prevention criteria for superficial and deep incisional SSI). Relationships with explanatory variables were examined using Bayesian multilevel logistic regression models. This trial is registered with ClinicalTrials.gov, number NCT02662231. Findings: Between Jan 4, 2016, and July 31, 2016, 13 265 records were submitted for analysis. 12 539 patients from 343 hospitals in 66 countries were included. 7339 (58·5%) patient were from high-HDI countries (193 hospitals in 30 countries), 3918 (31·2%) patients were from middle-HDI countries (82 hospitals in 18 countries), and 1282 (10·2%) patients were from low-HDI countries (68 hospitals in 18 countries). In total, 1538 (12·3%) patients had SSI within 30 days of surgery. The incidence of SSI varied between countries with high (691 [9·4%] of 7339 patients), middle (549 [14·0%] of 3918 patients), and low (298 [23·2%] of 1282) HDI (p < 0·001). The highest SSI incidence in each HDI group was after dirty surgery (102 [17·8%] of 574 patients in high-HDI countries; 74 [31·4%] of 236 patients in middle-HDI countries; 72 [39·8%] of 181 patients in low-HDI countries). Following risk factor adjustment, patients in low-HDI countries were at greatest risk of SSI (adjusted odds ratio 1·60, 95% credible interval 1·05–2·37; p=0·030). 132 (21·6%) of 610 patients with an SSI and a microbiology culture result had an infection that was resistant to the prophylactic antibiotic used. Resistant infections were detected in 49 (16·6%) of 295 patients in high-HDI countries, in 37 (19·8%) of 187 patients in middle-HDI countries, and in 46 (35·9%) of 128 patients in low-HDI countries (p < 0·001). Interpretation: Countries with a low HDI carry a disproportionately greater burden of SSI than countries with a middle or high HDI and might have higher rates of antibiotic resistance. In view of WHO recommendations on SSI prevention that highlight the absence of high-quality interventional research, urgent, pragmatic, randomised trials based in LMICs are needed to assess measures aiming to reduce this preventable complication

    Розрахунок опору і буксирувальної потужності глісувальних суден

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    The analysis of the applied methods for resistance and power calculation is carried out for the mostcharacteristic types of planing boat. The capabilities of the complex software FREE!ship Plus, also technologyperform resistance's calculations and position's optimization of center gravitiy for the typical type planing'shull are described.Рассмотрены применяемые методы расчета сопротивления и мощности для наиболее характер-ных типов глиссирующих судов. Выполнены расчет сопротивления и оптимизация положения центратяжести для типичного корпуса глиссирующего судна с использованием возможностей программногокомплекса FREE!ship Plus.Розглянуто  застосовувані методи розрахунку опору й потужності для найбільш характерних типів глісувальних суден. Виконано розрахунок та оптимізацію положення центра ваги для типового корпусу глісувального судна з використанням можливостей програмного комплексу FREE ship Plus.

    F.: Fuzzy Weighted Association Rule Mining with Weighted Support and Confidence Framework

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    In this paper we extend the problem of mining weighted association rules. A classical model of boolean and fuzzy quantitative association rule mining is adopted to address the issue of invalidation of downward closure property (DCP) in weighted association rule mining where each item is assigned a weight according to its significance w.r.t some user defined criteria. Most works on DCP so far struggle with invalid downward closure property and some assumptions are made to validate the property. We generalize the problem of downward closure property and propose a fuzzy weighted support and confidence framework for boolean and quantitative items with weighted settings. The problem of invalidation of the DCP is solved using an improved model of weighted support and confidence framework for classical and fuzzy association rule mining. Our methodology follows an Apriori algorithm approach and avoids pre and post processing as opposed to most weighted ARM algorithms, thus eliminating the extra steps during rules generation. The paper concludes with experimental results and discussion on evaluating the proposed framework

    A Cluster-Based Genetic-Fuzzy Mining Approach for Items with Multiple Minimum Supports

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    Mining Fuzzy Association Rules from Composite Items

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    Low-frequency eigenvibrations of hollow carbon microspheres

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    Monodisperse hollow carbon microspheres have been fabricated using silica spheres as templates via a three-step chemical vapor deposition method. The vibrational eigenmodes of these hollow carbon microspheres have been measured by Brillouin light scattering. The frequencies of the eigenvibrations of a free surface hollow carbon sphere are also calculated within the framework of the elasticity theory. A comparison of the theoretical and measured frequencies shows that the observed Brillouin peaks are due to the spheroidal modes of the hollow spheres

    A Framework for Mining Fuzzy Association Rules from Composite items

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    Abstract. A novel framework is described for mining fuzzy Association Rules (ARs) relating the properties of composite attributes, i.e. attributes or items that each feature a number of values derived from a common schema. To apply fuzzy Association Rule Mining (ARM) we partition the property values into fuzzy property sets. This paper describes: (i) the process of deriving the fuzzy sets (Composite Fuzzy ARM or CFARM) and (ii) a unique property ARM algorithm founded on the correlation factor interestingness measure. The paper includes a complete analysis, demonstrating: (i) the potential of fuzzy property ARs, and (ii) that a more succinct set of property ARs (than that generated using a non-fuzzy method) can be produced using the proposed approach

    Synthesis of 18-nor-D-homoestrogens

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