Safety Net hospital Emergency Departments: Creating Safety Valves for Non-urgent Care

Outlines how safety-net hospitals are addressing the rise in emergency department visits for non-urgent care, such as re-directing patients to outpatient clinics or community health centers and adding primary care capacity. Discusses policy implications

All-optical nonequilibrium pathway to stabilizing magnetic Weyl semimetals in pyrochlore iridates

Nonequilibrium many-body dynamics is becoming one of the central topics of modern condensed matter physics. Floquet topological states were suggested to emerge in photodressed band structures in the presence of periodic laser driving. Here we propose a viable nonequilibrium route without requiring coherent Floquet states to reach the elusive magnetic Weyl semimetallic phase in pyrochlore iridates by ultrafast modification of the effective electron-electron interaction with short laser pulses. Combining \textit{ab initio} calculations for a time-dependent self-consistent reduced Hubbard $U$ controlled by laser intensity and nonequilibrium magnetism simulations for quantum quenches, we find dynamically modified magnetic order giving rise to transiently emerging Weyl cones that are probed by time- and angle-resolved photoemission spectroscopy. Our work offers a unique and realistic pathway for nonequilibrium materials engineering beyond Floquet physics to create and sustain Weyl semimetals. This may lead to ultrafast, tens-of-femtoseconds switching protocols for light-engineered Berry curvature in combination with ultrafast magnetism.Comment: 27 pages including methods and supplementary information, 4 figures, 4 supplementary figure

Identification of Spitzer-IRS staring mode targets in the Magellanic Clouds

The SAGE-LMC, SAGE-SMC and HERITAGE surveys have mapped the Magellanic Clouds in the infrared using the Spitzer and Herschel Space Telescopes. Over 8.5 million point sources were detected and catalogued in the LMC alone. Staring mode observations using the InfraRed Spectrograph (IRS) on board Spitzer have been obtained for 1,000 positions in the LMC and ~250 in the SMC. From the infrared spectroscopy we have identified the nature of the sources for which spectroscopy is available. These IRS staring mode targets represent an important contribution to the SED of these dwarf galaxies. Here we report on our latest results.Comment: 3 pages, 3 figures, conference proceedings from SED2011 - The Spectral Energy Distribution of Galaxies: IAU Symposium No. 284, 201

Design and characterization of dielectric filled TM110_{110} microwave cavities for ultrafast electron microscopy

Microwave cavities oscillating in the TM$_{110}$ mode can be used as dynamic electron-optical elements inside an electron microscope. By filling the cavity with a dielectric material it becomes more compact and power efficient, facilitating the implementation in an electron microscope. However, the incorporation of the dielectric material makes the manufacturing process more difficult. Presented here are the steps taken to characterize the dielectric material, and to reproducibly fabricate dielectric filled cavities. Also presented are two versions with improved capabilities. The first, called a dual-mode cavity, is designed to support two modes simultaneously. The second has been optimized for low power consumption. With this optimized cavity a magnetic field strength of 2.84 $\pm$ 0.07 mT was generated at an input power of 14.2 $\pm$ 0.2 W. Due to the low input powers and small dimensions, these dielectric cavities are ideal as electron-optical elements for electron microscopy setups

Antenatal oligohydramnios of renal origin: long-term outcome

Background. Prognosis of fetuses with renal oligohydramnios (ROH) is often still regarded as poor. Neonatal complications and the long-term follow-up of fetuses with ROH in two pediatric centres are described. Method. 23 fetuses (16 males, 7 females) were included as patients. Primary diseases included congenital anomalies of the kidney and urinary tract (n = 16), autosomal recessive polycystic kidney disease (n = 4) and renal tubular dysgenesis (n = 3). The analysis includes retrospective chart review. Results. Seven children died (30%), the majority (n = 4, 17%) within the neonatal period due to pulmonary hypoplasia and renal insufficiency. Fourteen patients (61%) required postnatal mechanical ventilation for a median of 4 (range 1-60) days; 11 infants had an associated pneumothorax. All 16 surviving children have chronic kidney disease (CKD) at a current median age of 5.7 years (range 0.5-14.5), managed conservatively in eight patients [median glomerular filtration rate 51 (range 20-78) ml/min/1.73 m2]. Eight patients reached end-stage renal disease at a median age of 0.3 years (range 2 days to 8.3 years), including one patient with pre-emptive kidney transplantation. Five of the patients requiring dialysis underwent successful renal transplantation at a median age of 3.5 years (range 2.5-4). Growth was impaired in seven children requiring growth hormone treatment. Cognitive and motor development was normal in 12 (75%) of the 16 patients and showed a delay in four children, including two with associated syndromal features. Conclusion. ROH is not always associated with a poor prognosis and long-term outcome in survivors is encouraging. The high incidence of neonatal complications and long-term morbidity due to CKD requires a multidisciplinary management of these childre

Genetic architecture of body size in mammals

Much of the heritability for human stature is caused by mutations of small-to-medium effect. This is because detrimental pleiotropy restricts large-effect mutations to very low frequencies

Bandwidth and Electron Correlation-Tuned Superconductivity in Rb0.8_{0.8}Fe2_{2}(Se1−z_{1-z}Sz_z)2_2

We present a systematic angle-resolved photoemission spectroscopy study of the substitution-dependence of the electronic structure of Rb$_{0.8}$Fe$_{2}$(Se$_{1-z}$S$_z$)$_2$ (z = 0, 0.5, 1), where superconductivity is continuously suppressed into a metallic phase. Going from the non-superconducting Rb$_{0.8}$Fe$_{2}$(Se$_{1-z}$S$_z$)$_2$ to superconducting Rb$_{0.8}$Fe$_{2}$Se$_2$, we observe little change of the Fermi surface topology, but a reduction of the overall bandwidth by a factor of 2 as well as an increase of the orbital-dependent renormalization in the $d_{xy}$ orbital. Hence for these heavily electron-doped iron chalcogenides, we have identified electron correlation as explicitly manifested in the quasiparticle bandwidth to be the important tuning parameter for superconductivity, and that moderate correlation is essential to achieving high $T_C$