41 research outputs found
Evolving antimicrobial resistance in a patient receiving palliative OPAT for a vascular graft infection: a case report
Prosthetic vascular graft infection is devastating and frequently fatal. Cure requires removal of the graft and reperfusion by placement of a new graft. However, no evidence based guidelines exist for management where removal of the graft is not possible. We describe a patient who lived in a state of chronic infection suppression through outpatient parenteral antimicrobial therapy (OPAT) over a period of 32 months, and outline the challenges experienced and strategies used to suppress infection in the face of escalating antimicrobial resistance. To date there have been very few reports of OPAT used in the palliative context and this case illustrates the microbiological issues that can arise and the importance of the full OPAT multi-disciplinary team in managing these issues and optimising the patient's quality and length of life
The composition of the protosolar disk and the formation conditions for comets
Conditions in the protosolar nebula have left their mark in the composition
of cometary volatiles, thought to be some of the most pristine material in the
solar system. Cometary compositions represent the end point of processing that
began in the parent molecular cloud core and continued through the collapse of
that core to form the protosun and the solar nebula, and finally during the
evolution of the solar nebula itself as the cometary bodies were accreting.
Disentangling the effects of the various epochs on the final composition of a
comet is complicated. But comets are not the only source of information about
the solar nebula. Protostellar disks around young stars similar to the protosun
provide a way of investigating the evolution of disks similar to the solar
nebula while they are in the process of evolving to form their own solar
systems. In this way we can learn about the physical and chemical conditions
under which comets formed, and about the types of dynamical processing that
shaped the solar system we see today.
This paper summarizes some recent contributions to our understanding of both
cometary volatiles and the composition, structure and evolution of protostellar
disks.Comment: To appear in Space Science Reviews. The final publication is
available at Springer via http://dx.doi.org/10.1007/s11214-015-0167-
The Theory of Brown Dwarfs and Extrasolar Giant Planets
Straddling the traditional realms of the planets and the stars, objects below
the edge of the main sequence have such unique properties, and are being
discovered in such quantities, that one can rightly claim that a new field at
the interface of planetary science and and astronomy is being born. In this
review, we explore the essential elements of the theory of brown dwarfs and
giant planets, as well as of the new spectroscopic classes L and T. To this
end, we describe their evolution, spectra, atmospheric compositions, chemistry,
physics, and nuclear phases and explain the basic systematics of
substellar-mass objects across three orders of magnitude in both mass and age
and a factor of 30 in effective temperature. Moreover, we discuss the
distinctive features of those extrasolar giant planets that are irradiated by a
central primary, in particular their reflection spectra, albedos, and transits.
Aspects of the latest theory of Jupiter and Saturn are also presented.
Throughout, we highlight the effects of condensates, clouds, molecular
abundances, and molecular/atomic opacities in brown dwarf and giant planet
atmospheres and summarize the resulting spectral diagnostics. Where possible,
the theory is put in its current observational context.Comment: 67 pages (including 36 figures), RMP RevTeX LaTeX, accepted for
publication in the Reviews of Modern Physics. 30 figures are color. Most of
the figures are in GIF format to reduce the overall size. The full version
with figures can also be found at:
http://jupiter.as.arizona.edu/~burrows/papers/rm
Considerations on Genre and Gender Conventions in Translating from Old English
The Old English poem The Wife's Lament is an extremely conventional and, at the same time, original text. It portrays a female character suffering for the absence of her loved one, through the framework of the so-called 'elegiac' style and a mainly heroic vocabulary. The traditional exile theme is, thus, interwoven with the uncommon motif of love sickness. While this appraisal of the poem is the most widely accepted one, disagreement still remains about the translation of some keywords, strictly related to the exile theme, such as sīþ or wræcsīþ. The aim of this paper is to examine diverging readings and glosses of the above mentioned 'exilic/elegiac' keywords, and to show that an accurate translation should not neglect a thorough appraisal of the text in its complexity and the association with related literary patterns and imagery in other poetic and prose texts
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Mechanisms governing fine particulate emissions from coal flames
Efforts in this period focused on refining the plans for engineering analysis and fundamental experiments based on the results of a literature review, and modifying the Malvern laser diffraction particle sizer to operate at particle sizes down to 0.5 microns. The engineering analysis plan is to concentrate on development of new models and adaptation of existing models for fine particulate formation by three categories of mechanisms: particle breakup/ash coalescence; direct passage, fragmentation, or agglomeration of extraneous mineral matter; and bubble formation/breakup. The plan for fundamental experiments is to develop a fast, online, optical particle sizing technique which will span the 0.5 to 10 micron size range of interest; to perform global experiments to identify the important parameters affecting fine particle formation; and to perform mechanistic experiments to test specific hypotheses about the mechanisms which control fine particle formation in coal combustion
Fragment shape and tree species composition in tropical forests: A landscape level investigation
Fragmentation of tropical forest alters community composition as a result of changes in forest shape. This paper uses 22 hypotheses to test the effect of fragment shape on tree species composition in Ghana, West Africa, within biological categories of regeneration guild, rarity, phenology and dispersal. For both regenerating and mature trees, relationships between species composition and the shape of forest fragments were complex; almost half were significant but many failed to support the established hypotheses. Irregular shaped fragments had high proportions of regenerating, light-demanding pioneers and mature, animal-dispersed species. Species common to Ghana formed the foundation of communities in fragments of all shapes. Investigation at the landscape level indicated broad patterns of species change. Rigorous hypothesis testing is needed, following extensive demographic work on the ground, before population dynamics within tropical forest fragments can be comprehended fully and applied to conservation management. © 2005 African Journal of Ecology
Increased ventral striatal volume in college-aged binge drinkers
BackgroundBinge drinking is a serious public health issue associated with cognitive, physiological, and anatomical differences from healthy individuals. No studies, however, have reported subcortical grey matter differences in this population. To address this, we compared the grey matter volumes of college-age binge drinkers and healthy controls, focusing on the ventral striatum, hippocampus and amygdala.MethodT1-weighted images of 19 binge drinkers and 19 healthy volunteers were analyzed using voxel-based morphometry. Structural data were also covaried with Alcohol Use Disorders Identification Test (AUDIT) scores. Cluster-extent threshold and small volume corrections were both used to analyze imaging data.ResultsBinge drinkers had significantly larger ventral striatal grey matter volumes compared to controls. There were no between group differences in hippocampal or amygdalar volume. Ventral striatal, amygdalar, and hippocampal volumes were also negatively related to AUDIT scores across groups.ConclusionsOur findings stand in contrast to the lower ventral striatal volume previously observed in more severe forms of alcohol use disorders, suggesting that college-age binge drinkers may represent a distinct population from those groups. These findings may instead represent early sequelae, compensatory effects of repeated binge and withdrawal, or an endophenotypic risk factor