Self-disclosure and genital herpes.

Thesis (M.S.

Antimicrobials: a global alliance for optimizing their rational use in intra-abdominal infections (AGORA)

Intra-abdominal infections (IAI) are an important cause of morbidity and are frequently associated with poor prognosis, particularly in high-risk patients. The cornerstones in the management of complicated IAIs are timely effective source control with appropriate antimicrobial therapy. Empiric antimicrobial therapy is important in the management of intra-abdominal infections and must be broad enough to cover all likely organisms because inappropriate initial antimicrobial therapy is associated with poor patient outcomes and the development of bacterial resistance. The overuse of antimicrobials is widely accepted as a major driver of some emerging infections (such as C. difficile), the selection of resistant pathogens in individual patients, and for the continued development of antimicrobial resistance globally. The growing emergence of multi-drug resistant organisms and the limited development of new agents available to counteract them have caused an impending crisis with alarming implications, especially with regards to Gram-negative bacteria. An international task force from 79 different countries has joined this project by sharing a document on the rational use of antimicrobials for patients with IAIs. The project has been termed AGORA (Antimicrobials: A Global Alliance for Optimizing their Rational Use in Intra-Abdominal Infections). The authors hope that AGORA, involving many of the world's leading experts, can actively raise awareness in health workers and can improve prescribing behavior in treating IAIs

Physics case for an LHCb Upgrade II - Opportunities in flavour physics, and beyond, in the HL-LHC era

The LHCb Upgrade II will fully exploit the flavour-physics opportunities of the HL-LHC, and study additional physics topics that take advantage of the forward acceptance of the LHCb spectrometer. The LHCb Upgrade I will begin operation in 2020. Consolidation will occur, and modest enhancements of the Upgrade I detector will be installed, in Long Shutdown 3 of the LHC (2025) and these are discussed here. The main Upgrade II detector will be installed in long shutdown 4 of the LHC (2030) and will build on the strengths of the current LHCb experiment and the Upgrade I. It will operate at a luminosity up to 2×1034 cm−2s−1, ten times that of the Upgrade I detector. New detector components will improve the intrinsic performance of the experiment in certain key areas. An Expression Of Interest proposing Upgrade II was submitted in February 2017. The physics case for the Upgrade II is presented here in more depth. CP-violating phases will be measured with precisions unattainable at any other envisaged facility. The experiment will probe b → sl+l−and b → dl+l− transitions in both muon and electron decays in modes not accessible at Upgrade I. Minimal flavour violation will be tested with a precision measurement of the ratio of B(B0 → μ+μ−)/B(Bs → μ+μ−). Probing charm CP violation at the 10−5 level may result in its long sought discovery. Major advances in hadron spectroscopy will be possible, which will be powerful probes of low energy QCD. Upgrade II potentially will have the highest sensitivity of all the LHC experiments on the Higgs to charm-quark couplings. Generically, the new physics mass scale probed, for fixed couplings, will almost double compared with the pre-HL-LHC era; this extended reach for flavour physics is similar to that which would be achieved by the HE-LHC proposal for the energy frontier

LHCb upgrade software and computing : technical design report

This document reports the Research and Development activities that are carried out in the software and computing domains in view of the upgrade of the LHCb experiment. The implementation of a full software trigger implies major changes in the core software framework, in the event data model, and in the reconstruction algorithms. The increase of the data volumes for both real and simulated datasets requires a corresponding scaling of the distributed computing infrastructure. An implementation plan in both domains is presented, together with a risk assessment analysis

Reducing the environmental impact of surgery on a global scale: systematic review and co-prioritization with healthcare workers in 132 countries

Abstract Background Healthcare cannot achieve net-zero carbon without addressing operating theatres. The aim of this study was to prioritize feasible interventions to reduce the environmental impact of operating theatres. Methods This study adopted a four-phase Delphi consensus co-prioritization methodology. In phase 1, a systematic review of published interventions and global consultation of perioperative healthcare professionals were used to longlist interventions. In phase 2, iterative thematic analysis consolidated comparable interventions into a shortlist. In phase 3, the shortlist was co-prioritized based on patient and clinician views on acceptability, feasibility, and safety. In phase 4, ranked lists of interventions were presented by their relevance to high-income countries and low–middle-income countries. Results In phase 1, 43 interventions were identified, which had low uptake in practice according to 3042 professionals globally. In phase 2, a shortlist of 15 intervention domains was generated. In phase 3, interventions were deemed acceptable for more than 90 per cent of patients except for reducing general anaesthesia (84 per cent) and re-sterilization of ‘single-use’ consumables (86 per cent). In phase 4, the top three shortlisted interventions for high-income countries were: introducing recycling; reducing use of anaesthetic gases; and appropriate clinical waste processing. In phase 4, the top three shortlisted interventions for low–middle-income countries were: introducing reusable surgical devices; reducing use of consumables; and reducing the use of general anaesthesia. Conclusion This is a step toward environmentally sustainable operating environments with actionable interventions applicable to both high– and low–middle–income countries

Solar radio proxies for improved satellite orbit prediction

Specification and forecasting of solar drivers to thermosphere density models is critical for satellite orbit prediction and debris avoidance. Satellite operators routinely forecast orbits up to 30 days into the future. This requires forecasts of the drivers to these orbit prediction models such as the solar Extreme-UV (EUV) flux and geomagnetic activity. Most density models use the 10.7 cm radio flux (F10.7 index) as a proxy for solar EUV. However, daily measurements at other centimetric wavelengths have also been performed by the Nobeyama Radio Observatory (Japan) since the 1950's, thereby offering prospects for improving orbit modeling. Here we present a pre-operational service at the Collecte Localisation Satellites company that collects these different observations in one single homogeneous dataset and provides a 30 days forecast on a daily basis. Interpolation and preprocessing algorithms were developed to fill in missing data and remove anomalous values. We compared various empirical time series prediction techniques and selected a multi-wavelength non-recursive analogue neural network. The prediction of the 30 cm flux, and to a lesser extent that of the 10.7 cm flux, performs better than NOAA's present prediction of the 10.7 cm flux, especially during periods of high solar activity. In addition, we find that the DTM-2013 density model (Drag Temperature Model) performs better with (past and predicted) values of the 30 cm radio flux than with the 10.7 flux

Solar radio proxies for improved satellite orbit prediction

International audience– Specification and forecasting of solar drivers to thermosphere density models is critical for satellite orbit prediction and debris avoidance. Satellite operators routinely forecast orbits up to 30 days into the future. This requires forecasts of the drivers to these orbit prediction models such as the solar Extreme-UV (EUV) flux and geomagnetic activity. Most density models use the 10.7 cm radio flux (F10.7 index) as a proxy for solar EUV. However, daily measurements at other centimetric wavelengths have also been performed by the Nobeyama Radio Observatory (Japan) since the 1950's, thereby offering prospects for improving orbit modeling. Here we present a pre-operational service at the Collecte Localisation Satellites company that collects these different observations in one single homogeneous dataset and provides a 30 days forecast on a daily basis. Interpolation and preprocessing algorithms were developed to fill in missing data and remove anomalous values. We compared various empirical time series prediction techniques and selected a multi-wavelength non-recursive analogue neural network. The prediction of the 30 cm flux, and to a lesser extent that of the 10.7 cm flux, performs better than NOAA's present prediction of the 10.7 cm flux, especially during periods of high solar activity. In addition, we find that the DTM-2013 density model (Drag Temperature Model) performs better with (past and predicted) values of the 30 cm radio flux than with the 10.7 flux

Time-lapse microgravity study of the Strengbach catchment (Vosges mountains, France)

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