Broadening access to medical care during a severe influenza pandemic: The CDC Nurse Triage Line Project.

The impact of a severe influenza pandemic could be overwhelming to hospital emergency departments, clinics, and medical offices if large numbers of ill people were to simultaneously seek care. While current planning guidance to reduce surge on hospitals and other medical facilities during a pandemic largely focuses on improving the “supply” of medical care services, attention on reducing “demand” for such services is needed by better matching patient needs with alternative types and sites of care. Based on lessons learned during the 2009 H1N1 pandemic, the Centers for Disease Control and Prevention and its partners are currently exploring the acceptability and feasibility of using a coordinated network of nurse triage telephone lines during a pandemic to assess the health status of callers, help callers determine the most appropriate site for care (eg, hospital ED, outpatient center, home), disseminate information, provide clinical advice, and provide access to antiviral medications for ill people, if appropriate. As part of this effort, the integration and coordination of poison control centers, existing nurse advice lines, 2-1-1 information lines, and other hotlines are being investigated

Bifurcated polarization rotation in bismuth-based piezoelectrics

ABO3 perovskite-type solid solutions display a large variety of structural and physical properties, which can be tuned by chemical composition or external parameters such as temperature, pressure, strain, electric, or magnetic fields. Some solid solutions show remarkably enhanced physical properties including colossal magnetoresistance or giant piezoelectricity. It has been recognized that structural distortions, competing on the local level, are key to understanding and tuning these remarkable properties, yet, it remains a challenge to experimentally observe such local structural details. Here, from neutron pair-distribution analysis, a temperature-dependent 3D atomic-level model of the lead-free piezoelectric perovskite Na0.5Bi0.5TiO3 (NBT) is reported. The statistical analysis of this model shows how local distortions compete, how this competition develops with temperature, and, in particular, how different polar displacements of Bi3+ cations coexist as a bifurcated polarization, highlighting the interest of Bi-based materials in the search for new lead-free piezoelectrics

Imaging Sources with Fast and Slow Emission Components

We investigate two-proton correlation functions for reactions in which fast dynamical and slow evaporative proton emission are both present. In such cases, the width of the correlation peak provides the most reliable information about the source size of the fast dynamical component. The maximum of the correlation function is sensitive to the relative yields from the slow and fast emission components. Numerically inverting the correlation function allows one to accurately disentangle fast dynamical from slow evaporative emission and extract details of the shape of the two-proton source.Comment: 13 pages, 4 figure

Early Identification and Prevention of the Spread of Ebola - United States

In response to the 2014-2016 Ebola virus disease (Ebola) epidemic in West Africa, CDC prepared for the potential introduction of Ebola into the United States. The immediate goals were to rapidly identify and isolate any cases of Ebola, prevent transmission, and promote timely treatment of affected patients. CDC\u27s technical expertise and the collaboration of multiple partners in state, local, and municipal public health departments; health care facilities; emergency medical services; and U.S. government agencies were essential to the domestic preparedness and response to the Ebola epidemic and relied on longstanding partnerships. CDC established a comprehensive response that included two new strategies: 1) active monitoring of travelers arriving from countries affected by Ebola and other persons at risk for Ebola and 2) a tiered system of hospital facility preparedness that enabled prioritization of training. CDC rapidly deployed a diagnostic assay for Ebola virus (EBOV) to public health laboratories. Guidance was developed to assist in evaluation of patients possibly infected with EBOV, for appropriate infection control, to support emergency responders, and for handling of infectious waste. CDC rapid response teams were formed to provide assistance within 24 hours to a health care facility managing a patient with Ebola. As a result of the collaborations to rapidly identify, isolate, and manage Ebola patients and the extensive preparations to prevent spread of EBOV, the United States is now better prepared to address the next global infectious disease threat.The activities summarized in this report would not have been possible without collaboration with many U.S. and international partners (http://www.cdc.gov/vhf/ebola/outbreaks/2014-west-africa/partners.html)

Probing Transport Theories via Two-Proton Source Imaging

Imaging technique is applied to two-proton correlation functions to extract quantitative information about the space-time properties of the emitting source and about the fraction of protons that can be attributed to fast emission mechanisms. These new analysis techniques resolve important ambiguities that bedeviled prior comparisons between measured correlation functions and those calculated by transport theory. Quantitative comparisons to transport theory are presented here. The results of the present analysis differ from those reported previously for the same reaction systems. The shape of the two-proton emitting sources are strongly sensitive to the details about the in-medium nucleon-nucleon cross sections and their density dependence.Comment: 23 pages, 11 figures. Figures are in GIF format. If you need postscript format, please contact: [email protected]

Public Response to Community Mitigation Measures for Pandemic Influenza

Results from a national survey indicated that most persons would follow public health officials’ guidelines

Two-Proton Correlations near Midrapidity in p+Pb and S+Pb Collisions at the CERN SPS

Correlations of two protons emitted near midrapidity in p+Pb collisions at 450 GeV/c and S+Pb collisions at 200A GeV/c are presented, as measured by the NA44 Experiment. The correlation effect, which arises as a result of final state interactions and Fermi-Dirac statistics, is related to the space-time characteristics of proton emission. The measured source sizes are smaller than the size of the target lead nucleus but larger than the sizes of the projectiles. A dependence on the collision centrality is observed; the source size increases with decreasing impact parameter. Proton source sizes near midrapidity appear to be smaller than those of pions in the same interactions. Quantitative agreement with the results of RQMD (v1.08) simulations is found for p+Pb collisions. For S+Pb collisions the measured correlation effect is somewhat weaker than that predicted by the model simulations, implying either a larger source size or larger contribution of protons from long-lived particle decays.Comment: 10 pages (LaTeX) text, 4 (EPS) figures; accepted for publication in Phys. Lett.

Comparison of Source Images for protons, π−\pi^-'s and Λ\Lambda's in 6 AGeV Au+Au collisions

Source images are extracted from two-particle correlations constructed from strange and non-strange hadrons produced in 6 AGeV Au + Au collisions. Very different source images result from pp vs p$\Lambda$ vs $\pi^-\pi^-$ correlations. These observations suggest important differences in the space-time emission histories for protons, pions and neutral strange baryons produced in the same events

Source shape determination with directional fragment-fragment velocity correlations

Correlation functions, constructed from directional projections of the relative velocities of fragments, are used to determine the shape of the breakup volume in coordinate space. For central collisions of 129Xe + natSn at 50 MeV per nucleon incident energy, measured with the 4pi multi-detector INDRA at GSI, a prolate shape aligned along the beam direction with an axis ratio of 1:0.7 is deduced. The sensitivity of the method is discussed in comparison with conventional fragment-fragment velocity correlations.Comment: 12 pages, 5 figures, subm. to Phys. Lett.