Predictors of Mortality of Streptococcal Bacteremia and the Role of Infectious Diseases Consultation: A Retrospective Cohort Study.

Streptococcal bacteremia is associated with high mortality. Thia study aims to identify predictors of mortality among patients with streptococcal bacteremia. This retrospective study was conducted at the Lausanne University Hospital, Switzerland, and included episodes of streptococcal bacteremia among adult patients from 2015 to 2023. During the study period, 861 episodes of streptococcal bacteremia were included. The majority of episodes were categorized in the Mitis group (348 episodes; 40%), followed by the Pyogenic group (215; 25%). Endocarditis was the most common source of bacteremia (164; 19%). The overall 14-day mortality rate was 8% (65 episodes). The results from the Cox multivariable regression model showed that a Charlson comorbidity index >4 (P .001; hazard ratio [HR], 2.87; confidence interval [CI]: 1.58-5.22), Streptococcus pyogenes (P = .011; HR, 2.54;CI: 1.24-5.21), sepsis (P < .001; HR, 7.48; CI: 3.86-14.47), lower respiratory tract infection (P = .002; HR, 2.62; CI: 1.42-4.81), and absence of source control interventions within 48 hours despite being warranted (P = .002; HR, 2.62; CI: 1.43-4.80) were associated with 14-day mortality. Conversely, interventions performed within 48 hours of bacteremia onset, such as infectious diseases consultation (P < .001; HR, 0.29; CI: .17-.48) and appropriate antimicrobial treatment (P < .001; HR, .28; CI: .14-.57), were associated with improved outcome. Our findings underscore the pivotal role of infectious diseases consultation in guiding antimicrobial treatment and recommending source control interventions for patients with streptococcal bacteremia

Lead in the marine environment: concentrations and effects on invertebrates

Lead (Pb) is a non-essential metal naturally present in the environment and often complexed with other elements (e.g., copper, selenium, zinc). This metal has been used since ancient Egypt and its extraction has grown in the last centuries. It has been used until recently as a fuel additive and is currently used in the production of vehicle batteries, paint, and plumbing. Marine ecosystems are sinks of terrestrial contaminations; consequently, lead is detected in oceans and seas. Furthermore, lead is not biodegradable. It remains in soil, atmosphere, and water inducing multiple negative impacts on marine invertebrates (key species in trophic chain) disturbing ecological ecosystems. This review established our knowledge on lead accumulation and its effects on marine invertebrates (Annelida, Cnidaria, Crustacea, Echinodermata, and Mollusca). Lead may affect different stages of development from fertilization to larval development and can also lead to disturbance in reproduction and mortality. Furthermore, we discussed changes in the seawater chemistry due to Ocean Acidification, which can affect the solubility, speciation, and distribution of the lead, increasing potentially its toxicity to marine invertebrates

Frequencies and Damping rates of a 2D Deformed Trapped Bose gas above the Critical Temperature

We derive the equation of motion for the velocity fluctuations of a 2D deformed trapped Bose gas above the critical temperature in the hydrodynamical regime. From this equation, we calculate the eigenfrequencies for a few low-lying excitation modes. Using the method of averages, we derive a dispersion relation in a deformed trap that interpolates between the collisionless and hydrodynamic regimes. We make use of this dispersion relation to calculate the frequencies and the damping rates for monopole and quadrupole mode in both the regimes. We also discuss the time evolution of the wave packet width of a Bose gas in a time dependent as well as time independent trap.Comment: 13 pages, latex fil

Dissipative dynamics of vortex arrays in trapped Bose-condensed gases: neutron stars physics on μ\muK scale

We develop a theory of dissipative dynamics of large vortex arrays in trapped Bose-condensed gases. We show that in a static trap the interaction of the vortex array with thermal excitations leads to a non-exponential decay of the vortex structure, and the characteristic lifetime depends on the initial density of vortices. Drawing an analogy with physics of pulsar glitches, we propose an experiment which employs the heating of the thermal cloud in the course of the decay of the vortex array as a tool for a non-destructive study of the vortex dynamics.Comment: 4 pages, revtex; revised versio

Enhancement of the scissors mode of an expanding Bose-Einstein condensate

We study the time-evolution of the scissors mode of a Bose-Einstein condensate during the ballistic expansion after release from the magnetic trap. We show that despite the nontrivial character of the superfluid expansion, the sinusoidal behavior of the scissor oscillations is recovered after an asymptotic expansion, with an enhancement of the final amplitude. We investigate this phenomenon with a condensate held in an elongated magnetostatic potential, whose particular shape allows for the excitation of the scissors mode.Comment: RevTeX, 5 figure

Finite-temperature simulations of the scissors mode in Bose-Einstein condensed gases

The dynamics of a trapped Bose-condensed gas at finite temperatures is described by a generalized Gross-Pitaevskii equation for the condensate order parameter and a semi-classical kinetic equation for the thermal cloud, solved using $N$-body simulations. The two components are coupled by mean fields as well as collisional processes that transfer atoms between the two. We use this scheme to investigate scissors modes in anisotropic traps as a function of temperature. Frequency shifts and damping rates of the condensate mode are extracted, and are found to be in good agreement with recent experiments.Comment: 4 pages, 3 figure