Scoring Transcendence: Contemporary Film Music as Religious Experience

An earlier version of this book review appeared in Film Interernational, Nov. 13, 2013 (http://filmint.nu/?p=10038). It appears here by permission

Accurate Relativistic Real-Time TDDFT for Valence and Core Attosecond Transient Absorption Spectroscopy

Attosecond pump-probe transient absorption spectroscopy (TAS) has opened the possibility to study pure electron dynamics on its natural time scale. However, due to the out-of-equilibrium nature of the process, first-principle theoretical modelling remains a challenging task, specially for heavy elements and/or core excitations where relativistic corrections become imperative, as the spectra contain significant imprints of both scalar and spin-orbit relativistic effects. To alleviate this problem, we formulated a methodology for computing TAS spectrum within the relativistic real-time time-dependent density functional theory (RT-TDDFT) framework, for both the valence and core energy regime. Even though RT simulations using full four-component (4c) method are feasible, they are still computationally expensive, especially for TAS. Therefore, in addition to the 4c approach, we have introduced the atomic mean-field exact two-component (amfX2C) Hamiltonian for RT-TDDFT, which accounts for one- and two-electron picture-change corrections and preserves the accuracy of the parent 4c method but at a fraction of its computational cost. Finally, we apply the amfX2C approach to study valence and near L 2,3 -edge TAS processes of experimentally relevant systems, providing additional physical insights through the lens of non-equilibrium response theory

Complex gunshot injury to the heart as a consequence of suicide attempt in a schizophrenic patient

AbstractIntroductionSelf-inflicted gunshot injury to the heart is uncommon in Western Europe countries. However it is considered to have a high mortality through cardiac tamponade or exsanguination and concomitant chest or abdominal cavity injury.Case presentationWe present a 39-year-old schizophrenic woman who attempted suicide with the aid of a 6.35mm caliber handgun, after self-discontinuing of antipsychotic treatment. Lower third of sternum, right heart atrium and ventricle and inferior caval vein were hit by the bullet which consequently got lodged in the right paravertebral muscle mass at the lower thoracic vertebral level. As she was hemodynamically unstable due to hemopericardium and a huge right hemothorax, she underwent emergent surgery. Heart and inferior vena caval injuries were repaired on extracorporeal circulation. The postoperative course was uneventful and she was transferred to a psychiatric facility on the 7th postoperative day. One year after the surgery she is well, compliant to antipsychotic medications and on periodic follow-up by psychiatrists.ConclusionThis case represents management of complex self-inflicted gunshot cardiac injury in a schizophrenic patient who discontinued antipsychotic medication. Liaison between themedical rescue service and high level trauma center essentially reduced injury-to-surgery time. Complex heart injury was successfully repaired on extracorporeal circulation

Forecasted Shifts in Thermal Habitat for Cod Species in the Northwest Atlantic and Eastern Canadian Arctic

Climate change will alter ecosystems and impose hardships on marine resource users as fish assemblages redistribute to habitats that meet their physiological requirements. Marine gadids represent some of the most ecologically and socio-economically important species in the North Atlantic, but face an uncertain future in the wake of rising ocean temperatures. We applied CMIP5 ocean temperature projections to egg survival and juvenile growth models of three northwest Atlantic coastal species of gadids (Atlantic cod, Polar cod, and Greenland cod), each with different thermal affinities and life histories. We illustrate how physiologically based species distribution models (SDMs) can be used to predict habitat distribution shifts and compare vulnerabilities of species and life stages with changing ocean conditions. We also derived an integrated habitat suitability index from the combined surfaces of each metric to predict areas and periods where thermal conditions were suitable for both life stages. Suitable thermal habitat shifted poleward for the juvenile life stages of all three species, but the area remaining differed across species and life stages through time. Arctic specialists like Polar cod are predicted to experience reductions in suitable juvenile habitat based on metrics of egg survival and growth potential. In contrast, habitat loss in boreal and subarctic species like Atlantic cod and Greenland cod may be dampened due to increases in suitable egg survival habitats as suitable juvenile growth potential habitats decrease. These results emphasize the need for mechanistic SDMs that can account for the combined effects of changing seasonal thermal requirements under varying climate change scenarios.publishedVersio

Spatial-temporal variation in Greenland shark (Somniosus microcephalus) bycatch in the NAFO Regulatory Area

Spatial and temporal variation in Greenland shark (Somniosus microcephalus) bycatch occurrence was investigated using At-Sea Fisheries Observer data and MaxEnt, a maximum entropy species distribution model. Within the Northwest Atlantic Fisheries Organization Regulatory Area (NRA), the Flemish Pass, the slopes of the Flemish cap, and the shelf edge of Divisions 3NO contained areas of suitable habitat where Greenland shark bycatch is expected to occur. However, it should be noted that there are major areas of Greenland shark bycatch outside the NRA, in the Canadian and Greenland Exclusive Economic Zones (EEZ).En prens

A Role for Antimicrobial Stewardship in Clinical Sepsis Pathways: A Prospective Interventional Study

© 2017 by The Society for Healthcare Epidemiology of America. All rights reserved. OBJECTIVE To evaluate the impact of early infectious diseases (ID) antimicrobial stewardship (AMS) intervention on inpatient sepsis antibiotic management. DESIGN Interventional, nonrandomized, controlled study. SETTING Tertiary-care referral hospital, Sydney, Australia. PATIENTS Consecutive, adult, non-intensive care unit (non-ICU) inpatients triggering an institutional clinical sepsis pathway from May to August 2015. INTERVENTION All patients reviewed by an ID Fellow within 24 hours of sepsis pathway trigger underwent case review and clinic file documentation of recommendations. Those not reviewed by an ID Fellow were considered controls and received standard sepsis pathway care. The primary outcome was antibiotic appropriateness 48 hours after sepsis trigger. RESULTS In total, 164 patients triggered the sepsis pathway: 6 patients were excluded (previous sepsis trigger); 158 patients were eligible; 106 had ID intervention; and 52 were control cases. Of these 158 patients, 91 (58%) had sepsis, and 15 of these 158 (9.5%) had severe sepsis. Initial antibiotic appropriateness, assessable in 152 of 158 patients, was appropriate in 80 (53%) of these 152 patients and inappropriate in 72 (47%) of these patients. In the intervention arm, 93% of ID Fellow recommendations were followed or partially followed, including 53% of cases in which antibiotics were de-escalated. ID Fellow intervention improved antibiotic appropriateness at 48 hours by 24% (adjusted risk ratio, 1.24; 95% confidence interval, 1.04-1.47; P=.035). The appropriateness agreement among 3 blinded ID staff opinions was 95%. Differences in intervention and control group mortality (13% vs 17%) and median length of stay (13 vs 17.5 days) were not statistically significant. CONCLUSION Sepsis overdiagnosis and delayed antibiotic optimization may reduce sepsis pathway effectiveness. Early ID AMS improved antibiotic management of non-ICU inpatients with suspected sepsis, predominantly by de-escalation. Further studies are needed to evaluate clinical outcomes. Infect Control Hosp Epidemiol 2017;38:1032-1038

The role of electronic correlation in the Si(100) reconstruction: a quantum Monte Carlo study

Recent low-temperature scanning tunneling experiments have challenged the generally accepted picture of buckled silicon dimers as the ground state reconstruction of the Si(100) surface. Together with the symmetric dimer model of the surface suggested by quantum chemistry calculations on small clusters, these findings question our general understanding of electronic correlations at surfaces and its proper description within density functional theory. We present quantum Monte Carlo calculations on large cluster models of the symmetric and buckled surface, and conclude that buckling remains energetically more favorable even when the present-day best treatment of electronic correlation is employed.Comment: 5 pages, Revtex, 10 figure

Recreational mountain biking - a new tool in rural development

Rural development should lead to improved quality of life and economic prosperity of regions without burdening ecosystems and all landscape components. Recreational activities or tourism have a significant influence on the development of the regions but also represent important pressure on the natural environment. Only such recreational activities that are geared towards sustainability in the cultural landscape should be supported. We present one example of the sustainable recreation form – mountain biking – and efforts to established the mountain bike destination close to the City of Pisek in the Czech Republic. The decision on the existence or the absence of the project by the City of Pisek was supported by a feasibility study carried out by the expert team from Mendel University in Brno. The socio-economic impact assessment of the project was based on the Cost-Benefit Analysis. The values of the indicators for evaluating the effectiveness of investments reached the levels at which the project could be recommended for the realization. Results of the economic evaluation refers to the excess of the positive effects of the project over its negative consequences. Despite these positive results of the study, the Council of the City of Pisek decided not to support the project of this mountain bike destination