Elastic and plastic analysis of pressure vessel weld lands with mismatch

Elastic and plastic analysis of pressure vessel weld lands with mismatc

Elastic and plastic stresses at weld sinkages and other discontinuities in pressure vessels

Mismatch and weld sinkage problems of pressure vessel geometric discontinuities studied in design graphs and test progra

Lung lobe torsion in adult and juvenile pugs

This cases series of 13 pugs with lung lobe torsion (LLT) is the largest case series of pugs in the literature and the first to compare dogs presenting before and after 12 months of age. Similar to previous case series, the median age of pugs with LLT was 17 months; however six dogs were under 12 months of age (3 of 13 were 11–13 weeks at presentation). There were no differences between the dogs that presented younger or older than 12 months old with respect to sex, neuter status, lung lobe affected, duration and nature of clinical signs, time alive after discharge, and complications. The juvenile onset may suggest that some dogs are inherently at risk of LLT. This is intriguing and important as LLT may not be an intuitive diagnosis in a juvenile brachycephalic animal, and practitioners should be aware of this unusual presentation

A whole-health-economy approach to antimicrobial stewardship: Analysis of current models and future direction.

Antimicrobial stewardship (AMS) strategies are widely implemented in single healthcare sectors and organisations; however, the extent and impact of integrated AMS initiatives across the whole health economy are unknown. Assessing degree of integration of AMS across the whole health economy and its impact is essential if we are to achieve a ‘One Health’ approach to addressing antimicrobial resistance (AMR), and therefore we searched systematically for and analysed published examples of integrated AMS initiatives to address this gap. Application of a system-level framework to analyse integration of AMS initiatives across and within healthcare sectors shows that integration is emerging but needs strengthening. Findings from a small number of evaluations in high-income countries suggest that antimicrobial prescribing and healthcare-associated infections can be reduced using a multisectoral integrated AMS approach. More robust research designs to evaluate and understand the impact of multisectoral integrated AMS are needed, particularly with respect to differing health systems in different countries and local organisational contexts. Our analysis highlights a number of challenges and ways forward for enhancing the delivery of AMS through an integrated approach

Anisotropy, disorder, and superconductivity in CeCu2Si2 under high pressure

Resistivity measurements were carried out up to 8 GPa on single crystal and polycrystalline samples of CeCu2Si2 from differing sources in the homogeneity range. The anisotropic response to current direction and small uniaxial stresses was explored, taking advantage of the quasi-hydrostatic environment of the Bridgman anvil cell. It was found that both the superconducting transition temperature Tc and the normal state properties are very sensitive to uniaxial stress, which leads to a shift of the valence instability pressure Pv and a small but significant change in Tc for different orientations with respect to the tetragonal c-axis. Coexistence of superconductivity and residual resistivity close to the Ioffe-Regel limit around 5 GPa provides a compelling argument for the existence of a valence-fluctuation mediated pairing interaction at high pressure in CeCu2Si2.Comment: 12 pages, 7 figure

Jamming transitions in a schematic model of suspension rheology

We study the steady-state response to applied stress in a simple scalar model of sheared colloids. Our model is based on a schematic (F2) model of the glass transition, with a memory term that depends on both stress and shear rate. For suitable parameters, we find transitions from a fluid to a nonergodic, jammed state, showing zero flow rate in an interval of applied stress. Although the jammed state is a glass, we predict that jamming transitions have an analytical structure distinct from that of the conventional mode coupling glass transition. The static jamming transition we discuss is also distinct from hydrodynamic shear thickening.Comment: 7 pages; 3 figures; improved version with added references. Accepted for publication in Europhysics Letter

Multiscale blind source separation.

We provide a new methodology for statistical recovery of single linear mixtures of piecewise constant signals (sources) with unknown mixing weights and change points in a multiscale fashion. We show exact recovery within an epsilon-neighborhood of the mixture when the sources take only values in a known finite alphabet. Based on this we provide the SLAM (Separates Linear Alphabet Mixtures) estimators for the mixing weights and sources. For Gaussian error, we obtain uniform confidence sets and optimal rates (up to log-factors) for all quantities. SLAM is efficiently computed as a nonconvex optimization problem by a dynamic program tailored to the finite alphabet assumption. Its performance is investigated in a simulation study. Finally, it is applied to assign copy-number aberrations from genetic sequencing data to different clones and to estimate their proportions

The Differences in Antibiotic Decision-making Between Acute Surgical and Acute Medical Teams: An Ethnographic Study of Culture and Team Dynamics

Background Cultural and social determinants influence antibiotic decision-making in hospitals. We investigated and compared cultural determinants of antibiotic decision-making in acute medical and surgical specialties. Methods An ethnographic observational study of antibiotic decision-making in acute medical and surgical teams at a London teaching hospital was conducted (August 2015–May 2017). Data collection included 500 hours of direct observations, and face-to-face interviews with 23 key informants. A grounded theory approach, aided by Nvivo 11 software, analyzed the emerging themes. An iterative and recursive process of analysis ensured saturation of the themes. The multiple modes of enquiry enabled cross-validation and triangulation of the findings. Results In medicine, accepted norms of the decision-making process are characterized as collectivist (input from pharmacists, infectious disease, and medical microbiology teams), rationalized, and policy-informed, with emphasis on de-escalation of therapy. The gaps in antibiotic decision-making in acute medicine occur chiefly in the transition between the emergency department and inpatient teams, where ownership of the antibiotic prescription is lost. In surgery, team priorities are split between 3 settings: operating room, outpatient clinic, and ward. Senior surgeons are often absent from the ward, leaving junior staff to make complex medical decisions. This results in defensive antibiotic decision-making, leading to prolonged and inappropriate antibiotic use. Conclusions In medicine, the legacy of infection diagnosis made in the emergency department determines antibiotic decision-making. In surgery, antibiotic decision-making is perceived as a nonsurgical intervention that can be delegated to junior staff or other specialties. Different, bespoke approaches to optimize antibiotic prescribing are therefore needed to address these specific challenges

Fluid--Gravity Correspondence under the presence of viscosity

The present work addresses the analogy between the speed of sound of a viscous, barotropic, and irrotational fluid and the equation of motion for a non--massive field in a curved manifold. It will be shown that the presence of viscosity implies the introduction, into the equation of motion of the gravitational analogue, of a source term which entails the flow of energy from the non--massive field to the curvature of the spacetime manifold. The stress-energy tensor is also computed and it is found not to be constant, which is consistent with such energy interchange