2,023 research outputs found
Calculation error following sample dilution: a proposal for processing such specimens using a MUMPS program
Modest serum creatinine elevation affects adverse outcome after general surgery
Modest serum creatinine elevation affects adverse outcome after general surgery.BackgroundModest preoperative serum creatinine elevation (1.5 to 3.0 mg/dL) has been recently shown to be independently associated with morbidity and mortality after cardiac surgery. It is important to know if this association can be applied more broadly to general surgery cases.MethodsMultivariable logistic regression analyses of 46 risk variables in 49,081 cases from the Veterans Affairs National Surgical Quality Improvement Program, undergoing major general surgery from 10/1/96 through 9/30/98.ResultsThirty day mortality and several cardiac, respiratory, infectious and hemorrhagic morbidities were significantly (P < 0.001) higher in patients with a serum creatinine>1.5 mg/dL. With multivariable analysis, the adjusted odds ratio for mortality for patients with a serum creatinine of 1.5 to 3.0 mg/dL was 1.44 [95% confidence interval (95% CI) 1.22 to 1.71] and for creatinine>3.0 mg/dL was 1.93 (95% CI 1.51 to 2.46). The adjusted odds ratio for morbidity (one or more postoperative complications) for patients with a serum creatinine of 1.5 to 3.0 mg/dL was 1.18 (95% CI 1.06 to 1.32) and for creatinine>3.0 mg/dL was 1.19 (95% CI 0.99 to 1.43). Further stratification and recursive partitioning of creatinine levels revealed that a serum creatinine level>1.5 mg/dL was the approximate threshold for both increased morbidity and mortality.ConclusionsModest preoperative serum creatinine elevation (>1.5 mg/dL) is a significant predictor of risk-adjusted morbidity and mortality after general surgery. A preoperative serum creatinine of 1.5 mg/dL or higher is a readily available marker for potential adverse outcomes after general surgery
First Science Observations with SOFIA/FORCAST: Properties of Intermediate-Luminosity Protostars and Circumstellar Disks in OMC-2
We examine eight young stellar objects in the OMC-2 star forming region based
on observations from the SOFIA/FORCAST early science phase, the Spitzer Space
Telescope, the Herschel Space Observatory, 2MASS, APEX, and other results in
the literature. We show the spectral energy distributions of these objects from
near-infrared to millimeter wavelengths, and compare the SEDs with those of
sheet collapse models of protostars and circumstellar disks. Four of the
objects can be modelled as protostars with infalling envelopes, two as young
stars surrounded by disks, and the remaining two objects have double-peaked
SEDs. We model the double-peaked sources as binaries containing a young star
with a disk and a protostar. The six most luminous sources are found in a dense
group within a 0.15 x 0.25 pc region; these sources have luminosities ranging
from 300 L_sun to 20 L_sun. The most embedded source (OMC-2 FIR 4) can be fit
by a class 0 protostar model having a luminosity of ~50 L_sun and mass infall
rate of ~10^-4 solar masses per year.Comment: Accepted by ApJ Letter
Programmatic use of molecular xenomonitoring at the level of evaluation units to assess persistence of lymphatic filariasis in Sri Lanka
BACKGROUND:Sri Lanka's Anti Filariasis Campaign distributed 5 rounds of mass drug administration (MDA with DEC plus albendazole) to all endemic regions in the country from 2002-2006. Post-MDA surveillance results have generally been encouraging. However, recent studies have documented low level persistence of Wuchereria bancrofti in Galle district based on comprehensive surveys that include molecular xenomonitoring (MX, detection of filarial DNA in mosquitoes) results. The purposes of this study were to demonstrate the use of MX in large evaluation units (EUs) and to field test different mosquito sampling schemes. METHODOLOGY/PRINCIPAL FINDINGS:Galle district (population 1.1 million) was divided into two EUs. These included a coastal EU with known persistent LF and an inland EU with little persistent LF. Mosquitoes were systematically sampled from ~300 trap locations in 30 randomly selected clusters (health administrative units) per EU. Approximately 28,000 Culex quinquefasciatus were collected with gravid traps and tested for filarial DNA by qPCR. 92/625 pools (14.7%) from the coastal EU and 8/583 pools (1.4%) from the inland EU were positive for filarial DNA. Maximum likelihood estimates (MLE) for filarial DNA rates were essentially the same when the same number of mosquito pools were collected and tested from 75, 150, or 300 trap sites (range 0.61-0.78% for the coastal EU and 0.04-0.07% for the inland EU). The ability to use a smaller number of trap sites reduces the cost and time required for mosquito sampling. CONCLUSIONS/SIGNIFICANCE:These results suggest there is widespread persistence of W. bancrofti infection in the coastal Galle EU 8 years after the last round of MDA in 2006, and this is consistent with other data from the district. This study has shown that MX can be used by national programs to assess and map the persistence of W. bancrofti at the level of large EUs in areas with Culex transmission
Symplectic invariants, entropic measures and correlations of Gaussian states
We present a derivation of the Von Neumann entropy and mutual information of
arbitrary two--mode Gaussian states, based on the explicit determination of the
symplectic eigenvalues of a generic covariance matrix. The key role of the
symplectic invariants in such a determination is pointed out. We show that the
Von Neumann entropy depends on two symplectic invariants, while the purity (or
the linear entropy) is determined by only one invariant, so that the two
quantities provide two different hierarchies of mixed Gaussian states. A
comparison between mutual information and entanglement of formation for
symmetric states is considered, remarking the crucial role of the symplectic
eigenvalues in qualifying and quantifying the correlations present in a generic
state.Comment: 6 pages, no figures, revised version, sections and references added,
to appear in J. Phys.
Application of a Household-Based Molecular Xenomonitoring Strategy to Evaluate the Lymphatic Filariasis Elimination Program in Tamil Nadu, India
Lymphatic filariasis (LF) is one of the world’s foremost debilitating infectious diseases with nearly 800 million people at risk of infection. Given that LF is a mosquito-borne disease, the use of molecular xenomonitoring (MX) to detect parasite DNA/RNA in mosquitoes can serve as a valuable tool for LF monitoring and evaluation, particularly in Culexvector areas. We investigated using MX in a low-level prevalence district of Tamil Nadu, India by applying a household-based sampling strategy to determine trap location sites. Two independent mosquito samples were collected in each of a higher human infection hotspot area (sites with community microfilaria prevalence �1%) and across a larger evaluation area that also encompassed the hotspots. Pooled results showed mostly reproducible outcomes in both settings and a significant higher pool positivity in the hotspot area. A follow-up survey conducted two years later reconfirmed these findings while also showing a reduction in pool positivity and estimated prevalence of infection in mosquitoes in both settings. The utilization of a household-based sampling strategy for MX proved effective and should be further validated in wider epidemiological settings
Operational Significance of Discord Consumption: Theory and Experiment
Coherent interactions that generate negligible entanglement can still exhibit
unique quantum behaviour. This observation has motivated a search beyond
entanglement for a complete description of all quantum correlations. Quantum
discord is a promising candidate. Here, we demonstrate that under certain
measurement constraints, discord between bipartite systems can be consumed to
encode information that can only be accessed by coherent quantum interactions.
The inability to access this information by any other means allows us to use
discord to directly quantify this `quantum advantage'. We experimentally encode
information within the discordant correlations of two separable Gaussian
states. The amount of extra information recovered by coherent interaction is
quantified and directly linked with the discord consumed during encoding. No
entanglement exists at any point of this experiment. Thus we introduce and
demonstrate an operational method to use discord as a physical resource.Comment: 10 pages, 3 figures, updated with Nature Physics Reference,
simplified proof in Appendi
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