554 research outputs found
Admiral Samuel F. Du Pont, the Navy Department, and the Attack on Charleston, April 1863
Gloom overshadowed the Union in the early spring of 1863. The military situation, particularly In the eastern theater, seemed hopeless. In December the Army of the Potomac had suffered a severe defeat at Fredericksburg, and, at least for the immediate future, there were no indications that it was ready to redeem itself. As Allan Nevins has noted in his multivolume study of the war, many in the North believed at this time that the valor, dash, and tenacity of the South ... combined with high military leadership, might yet possibly produce a deadlock-which would mean Confederate success.
Axial morphology along the Southern Chile Rise
Author Posting. © The Author(s), 2012. This is the author's version of the work. It is posted here by permission of Elsevier B.V. for personal use, not for redistribution. The definitive version was published in Marine Geology 315-318 (2012): 58-63, doi:10.1016/j.margeo.2012.06.001.Morphology of four spreading segments on the southern Chile Rise is described based on
multi-beam bathymetric data collected along the axial zones. The distribution of axial volcanoes,
the character of rift valley scarps, and the average depths vary between Segment 1 in the south,
terminating at the Chile Triple Junction, and Segment 4 in the north, which are separated by
three intervening transform faults. Despite this general variability, there is a consistent pattern of
clockwise rotation of the southern-most axial volcanic ridge within each of Segments 2, 3, and 4,
relative to the overall trend of the rift valley. A combination of local ridge-transform intersection
stresses and regional tectonics may influence spreading axis evolution in this sense.This work was
supported by NOAA/OE grant NA08OAR4600757 and University of California Ship Funds
Efficient ion acceleration by collective laser-driven electron dynamics with ultra-thin foil targets
Experiments on ion acceleration by irradiation of ultra-thin diamond-like
carbon (DLC) foils, with thicknesses well below the skin depth, irradiated with
laser pulses of ultra-high contrast and linear polarization, are presented. A
maximum energy of 13MeV for protons and 71MeV for carbon ions is observed with
a conversion efficiency of > 10%. Two-dimensional particle-in-cell (PIC)
simulations reveal that the increase in ion energies can be attributed to a
dominantly collective rather than thermal motion of the foil electrons, when
the target becomes transparent for the incident laser pulse
Downward continued multichannel seismic refraction analysis of Atlantis Massif oceanic core complex, 30°N, Mid-Atlantic Ridge
Author Posting. © American Geophysical Union, 2012. This article is posted here by permission of American Geophysical Union for personal use, not for redistribution. The definitive version was published in Geochemistry Geophysics Geosystems 13 (2012): Q0AG07, doi:10.1029/2012GC004059.Detailed seismic refraction results show striking lateral and vertical variability of velocity structure within the Atlantis Massif oceanic core complex (OCC), contrasting notably with its conjugate ridge flank. Multichannel seismic (MCS) data are downward continued using the Synthetic On Bottom Experiment (SOBE) method, providing unprecedented detail in tomographic models of the P-wave velocity structure to subseafloor depths of up to 1.5 km. Velocities can vary up to 3 km/s over several hundred meters and unusually high velocities (~5 km/s) are found immediately beneath the seafloor in key regions. Correlation with in situ and dredged rock samples, video and records from submersible dives, and a 1.415 km drill core, allow us to infer dominant lithologies. A high velocity body(ies) found to shoal near to the seafloor in multiple locations is interpreted as gabbro and is displaced along isochrons within the OCC, indicating a propagating magmatic source as the origin for this pluton(s). The western two-thirds of the Southern Ridge is capped in serpentinite that may extend nearly to the base of our ray coverage. The distribution of inferred serpentinite indicates that the gabbroic pluton(s) was emplaced into a dominantly peridotitic host rock. Presumably the mantle host rock was later altered via seawater penetration along the detachment zone, which controlled development of the OCC. The asymmetric distribution of seismic velocities and morphology of Atlantis Massif are consistent with a detachment fault with a component of dip to the southeast. The lowest velocities observed atop the eastern Central Dome and conjugate crust are most likely volcanics. Here, an updated model of the magmatic and extensional faulting processes at Atlantis Massif is deduced from the seismic results, contributing more generally to understanding the processes controlling the formation of heterogeneous lithosphere at slow-rate spreading centers.NSF support was
provided via grant OCE-0927442.2012-11-1
Dynamics of Nanometer-Scale Foil Targets Irradiated with Relativistically Intense Laser Pulses
In this letter we report on an experimental study of high harmonic radiation
generated in nanometer-scale foil targets irradiated under normal incidence.
The experiments constitute the first unambiguous observation of odd-numbered
relativistic harmonics generated by the component of the
Lorentz force verifying a long predicted property of solid target harmonics.
Simultaneously the observed harmonic spectra allow in-situ extraction of the
target density in an experimental scenario which is of utmost interest for
applications such as ion acceleration by the radiation pressure of an
ultraintense laser.Comment: 5 pages, 4 figure
The Impact of Multidrug-Resistant Organisms on Outcomes in Patients with Diabetic Foot Infections
Background. Multidrug-resistant organisms (MDROs) are important diabetic foot infection (DFI) pathogens. This study evaluated the impact of DFIs associated with MDRO pathogens (DFI-MDRO) on clinical outcomes.
Methods. Adults admitted to Detroit Medical Center from January 2012 to December 2015 with culture-positive DFI were included. Associations between outcomes and DFI-MDRO (evaluated as a single group that included methicillin-resistant Staphylococcus aureus [MRSA], vancomycin-resistant enterococci, Enterobacteriaceae resistant to third-generation cephalosporin [3GCR-EC], Acinetobacter baumannii, and Pseudomonas aeruginosa) were analyzed. Outcomes included above- and below-knee lower extremity amputation (LEA), readmissions, and mortality within a year after DFI. A propensity score predicting the likelihood of having DFI-MDRO was computed by comparing patients with DFI-MDRO with patients with DFI with non-MDRO pathogens (DFI-non-MDRO). Using conditional logistic regression, DFI-MDRO was analyzed as an independent variable after patients in the MDRO and non-MDRO groups were matched by propensity score.
Results. Six hundred forty-eight patients were included, with a mean age ± SD of 58.4 ± 13.7. Most patients in the cohort presented with chronic infection (75%). DFI-MDRO occurred in greater than one-half of the cohort (n = 364, 56%), and MRSA was the most common MDRO (n = 224, 62% of the DFI-MDRO group). In propensity-matched analyses, DFI-MDRO was not associated with 1-year LEA or readmissions, but was associated with recurrent DFI episodes (odds ratio, 2.1; 95% confidence interval, 1.38–3.21).
Conclusions. DFI-MDRO was associated with a 2-fold increased risk of recurrent DFI compared with patients with DFI-non-MDRO
Theory of laser ion acceleration from a foil target of nanometers
A theory for laser ion acceleration is presented to evaluate the maximum ion
energy in the interaction of ultrahigh contrast (UHC) intense laser with a
nanometer-scale foil. In this regime the energy of ions may be directly related
to the laser intensity and subsequent electron dynamics. This leads to a simple
analytical expression for the ion energy gain under the laser irradiation of
thin targets. Significantly, higher energies for thin targets than for thicker
targets are predicted. Theory is concretized to the details of recent
experiments which may find its way to compare with these results.Comment: 22 pages 7 figures. will be submitted to NJ
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Investigating the impact of poverty on colonization and infection with drug-resistant organisms in humans: a systematic review
Background
Poverty increases the risk of contracting infectious diseases and therefore exposure to antibiotics. Yet there is lacking evidence on the relationship between income and non-income dimensions of poverty and antimicrobial resistance. Investigating such relationship would strengthen antimicrobial stewardship interventions.
Methods
A systematic review was conducted following Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. PubMed, Ovid, MEDLINE, EMBASE, Scopus, CINAHL, PsychINFO, EBSCO, HMIC, and Web of Science databases were searched in October 2016. Prospective and retrospective studies reporting on income or non-income dimensions of poverty and their influence on colonisation or infection with antimicrobial-resistant organisms were retrieved. Study quality was assessed with the Integrated quality criteria for review of multiple study designs (ICROMS) tool.
Results
Nineteen articles were reviewed. Crowding and homelessness were associated with antimicrobial resistance in community and hospital patients. In high-income countries, low income was associated with Streptococcus pneumoniae and Acinetobacter baumannii resistance and a seven-fold higher infection rate. In low-income countries the findings on this relation were contradictory. Lack of education was linked to resistant S. pneumoniae and Escherichia coli. Two papers explored the relation between water and sanitation and antimicrobial resistance in low-income settings.
Conclusions
Despite methodological limitations, the results suggest that addressing social determinants of poverty worldwide remains a crucial yet neglected step towards preventing antimicrobial resistance
Epidemiology of Diabetic Foot Infection in the Metro-Detroit Area with a Focus on Independent Predictors for Pathogens Resistant to Recommended Empiric Antimicrobial Therapy
Background. The polymicrobial nature of diabetic foot infection (DFI) and the emergence of antimicrobial resistance have complicated DFI treatment. Current treatment guidelines for deep DFI recommend coverage of methicillin-resistant Staphylococcus aureus (MRSA) and susceptible Enterobacteriaceae. This study aimed to describe the epidemiology of DFI and to identify predictors for DFI associated with multidrug-resistant organisms (MDROs) and pathogens resistant to recommended treatment (PRRT).
Methods. Adult patients admitted to Detroit Medical Center from January 2012 to December 2015 with DFI and positive cultures were included. Demographics, comorbidities, microbiological history, sepsis severity, and antimicrobial use within 3 months before DFI were obtained retrospectively. DFI-PRRT was defined as a DFI associated with a pathogen resistant to both vancomycin and ceftriaxone. DFI-MDRO pathogens included MRSA in addition to PRRT.
Results. Six-hundred forty-eight unique patients were included, with a mean age of 58.4 ± 13.7 years. DFI-MDRO accounted for 364 (56%) of the cohort, and 194 (30%) patients had DFI-PRRT. Independent predictors for DFI-PRRT included history of PRRT in a diabetic foot ulcer, antimicrobial exposure in the prior 90 days, peripheral vascular disease, and chronic kidney disease. Long-term care facility residence was independently associated with DFI due to ceftriaxone-resistant Enterobacteriaceae, and recent hospitalization was an independent predictor of DFI due to vancomycin-resistant Enterococcus.
Conclusions. An unexpectedly high prevalence of DFI-PRRT pathogens was identified. History of the same pathogen in a prior diabetic foot ulcer and recent antimicrobial exposure were independent predictors of DFI-PRRT and should be considered when selecting empiric DFI therapy
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