Variability in antifungal and antiviral use in hospitalized children

We analyzed antifungal and antiviral prescribing among high-risk children across freestanding children’s hospitals. Antifungal and antiviral days of therapy varied across hospitals. Benchmarking antifungal and antiviral use and developing antimicrobial stewardship strategies to optimize use of these high cost agents is needed.Infect Control Hosp Epidemiol2017;38:743–746</jats:p

The AGN Luminosity Fraction in Merging Galaxies

Galaxy mergers are key events in galaxy evolution, often causing massive starbursts and fueling active galactic nuclei (AGN). In these highly dynamic systems, it is not yet precisely known how much starbursts and AGN respectively contribute to the total luminosity, at what interaction stages they occur, and how long they persist. Here we estimate the fraction of the bolometric infrared (IR) luminosity that can be attributed to AGN by measuring and modeling the full ultraviolet to far-infrared spectral energy distributions (SEDs) in up to 33 broad bands for 24 merging galaxies with the Code for Investigating Galaxy Emission. In addition to a sample of 12 confirmed AGN in late-stage mergers, found in the $Infrared$ $Array$ $Satellite$ Revised Bright Galaxy Sample or Faint Source Catalog, our sample includes a comparison sample of 12 galaxy mergers from the $Spitzer$ Interacting Galaxies Survey, mostly early-stage. We perform identical SED modeling of simulated mergers to validate our methods, and we supplement the SED data with mid-IR spectra of diagnostic lines obtained with $Spitzer$ InfraRed Spectrograph. The estimated AGN contributions to the IR luminosities vary from system to system from 0% up to 91% but are significantly greater in the later-stage, more luminous mergers, consistent with what is known about galaxy evolution and AGN triggering.Comment: 26 pages, 10 figure

Chemical mass transport between fluid fine tailings and the overlying water cover of an oil sands end pit lake

NSERC Grant No. CRDPJ 476388; NSERC Grant No. IRCPJ 428588–11Peer ReviewedFluid fine tailings (FFT) are a principal by-product of the bitumen extraction process at oil sands mines. Base Mine Lake (BML)—the first full-scale demonstration oil sands end pit lake (EPL)—contains approximately 1.9 3 108 m^3 of FFT stored under a water cover within a decommissioned mine pit. Chemical mass transfer from the FFT to the water cover can occur via two key processes: (1) advection-dispersion driven by tailings settlement; and (2) FFT disturbance due to fluid movement in the water cover. Dissolved chloride (Cl) was used to evaluate the water cover mass balance and to track mass transport within the underlying FFT based on field sampling and numerical modeling. Results indicated that FFT was the dominant Cl source to the water cover and that the FFT is exhibiting a transient advection-dispersion mass transport regime with intermittent disturbance near the FFT-water interface. The advective pore water flux was estimated by the mass balance to be 0.002 m^3 m^-2 d^-1, which represents 0.73 m of FFT settlement per year. However, the FFT pore water Cl concentrations and corresponding mass transport simulations indicated that advection rates and disturbance depths vary between sample locations. The disturbance depth was estimated to vary with location between 0.75 and 0.95 m. This investigation provides valuable insight for assessing the geochemical evolution of the water cover and performance of EPLs as an oil sands reclamation strategy

Prevalence of prediabetes and undiagnosed diabetes in patients with HFpEF and HFrEF and associated clinical outcomes

Purpose: The prevalence and consequences of prediabetic dysglycemia and undiagnosed diabetes is unknown in patients with heart failure (HF) and preserved ejection fraction (HFpEF) and has not been compared to heart failure and reduced ejection fraction (HFrEF). Methods: We examined the prevalence and outcomes associated with normoglycemia, prediabetic dysglycemia and diabetes (diagnosed and undiagnosed) among individuals with a baseline glycated hemoglobin (hemoglobin A1c, HbA1c) measurement stratified by HFrEF or HFpEF in the Candesartan in Heart failure Assessment of Reduction in Mortality and morbidity programme (CHARM). We studied the primary outcome of HF hospitalization or cardiovascular (CV) death, and all-cause death, and estimated hazard ratios (HR) by use of multivariable Cox regression models. Results: HbA1c was measured at baseline in CHARM patients enrolled in the USA and Canada and was available in 1072/3023 (35%) of patients with HFpEF and 1578/4576 (34%) patients with HFrEF. 18 and 16% had normoglycemia (HbA1c &lt; 6.0), 20 and 22% had prediabetes (HbA1c 6.0–6.4), respectively. Finally among patients with HFpEF 22% had undiagnosed diabetes (HbA1c &gt; 6.4), and 40% had known diabetes (any HbA1c), with corresponding prevalence among HFrEF patients being 26 and 35%. The rates of both clinical outcomes of interest were higher in patients with undiagnosed diabetes and prediabetes, compared to normoglycemic patients, irrespective of HF subtype, and in general higher among HFrEF patients. For the primary composite outcome among HFpEF patients, the HRs were 1.02 (95% CI 0.63–1.65) for prediabetes, HR 1.18 (0.75–1.86) for undiagnosed diabetes and 2.75 (1.83–4.11) for known diabetes, respectively, p value for trend across groups &lt; 0.001. Dysglycemia was also associated with worse outcomes in HFrEF. Conclusions: These findings confirm the remarkably high prevalence of dysglycemia in heart failure irrespective of ejection fraction phenotype, and demonstrate that dysglycemia is associated with a higher risk of adverse clinical outcomes, even before the diagnosis of diabetes and institution of glucose lowering therapy in patients with HFpEF as well as HFrEF

Persistence and Quiescence of Seismicity on Fault Systems

We study the statistics of simulated earthquakes in a quasistatic model of two parallel heterogeneous faults within a slowly driven elastic tectonic plate. The probability that one fault remains dormant while the other is active for a time Dt following the previous activity shift is proportional to the inverse of Dt to the power 1+x, a result that is robust in the presence of annealed noise and strength weakening. A mean field theory accounts for the observed dependence of the persistence exponent x as a function of heterogeneity and distance between faults. These results continue to hold if the number of competing faults is increased. This is related to the persistence phenomenon discovered in a large variety of systems, which specifies how long a relaxing dynamical system remains in a neighborhood of its initial configuration. Our persistence exponent is found to vary as a function of heterogeneity and distance between faults, thus defining a novel universality class.Comment: 4 pages, 3 figures, Revte

Quasiparticle density of states in dirty high-T_c superconductors

We study the density of quasiparticle states of dirty d-wave superconductors. We show the existence of singular corrections to the density of states due to quantum interference effects. We then argue that the density of states actually vanishes in the localized phase as $|E|$ or $E^2$ depending on whether time reversal is a good symmetry or not. We verify this result for systems without time reversal symmetry in one dimension using supersymmetry techniques. This simple, instructive calculation also provides the exact universal scaling function for the density of states for the crossover from ballistic to localized behaviour in one dimension. Above two dimensions, we argue that in contrast to the conventional Anderson localization transition, the density of states has critical singularities which we calculate in a $2+\epsilon$ expansion. We discuss consequences of our results for various experiments on dirty high-$T_c$ materials

Detecting fractions of electrons in the high-TcT_c cuprates

We propose several tests of the idea that the electron is fractionalized in the underdoped and undoped cuprates. These include the ac Josephson effect, and tunneling into small superconducting grains in the Coulomb blockade regime. In both cases, we argue that the results are qualitatively modified from the conventional ones if the insulating tunnel barrier is fractionalized. These experiments directly detect the possible existence of the chargon - a charge $e$ spinless boson - in the insulator. The effects described in this paper provide a means to probing whether the undoped cuprate (despite it's magnetism) is fractionalized. Thus, the experiments discussed here are complementary to the flux-trapping experiment we proposed in our earlier work(cond-mat/0006481).Comment: 7 pages, 5 figure

Fractionalization, topological order, and cuprate superconductivity

This paper is concerned with the idea that the electron is fractionalized in the cuprate high-$T_c$ materials. We show how the notion of topological order may be used to develop a precise theoretical characterization of a fractionalized phase in spatial dimension higher than one. Apart from the fractional particles into which the electron breaks apart, there are non-trivial gapped topological excitations - dubbed "visons". A cylindrical sample that is fractionalized exhibits two disconnected topological sectors depending on whether a vison is trapped in the "hole" or not. Indeed, "vison expulsion" is to fractionalization what the Meissner effect ("flux expulsion") is to superconductivity. This understanding enables us to address a number of conceptual issues that need to be confronted by any theory of the cuprates based on fractionalization ideas. We argue that whether or not the electron fractionalizes in the cuprates is a sharp and well-posed question with a definite answer. We elaborate on our recent proposal for an experiment to unambiguously settle this issue.Comment: 18 pages, 7 figure

The Evolution of the Galaxy Stellar Mass Function at z= 4-8: A Steepening Low-mass-end Slope with Increasing Redshift

We present galaxy stellar mass functions (GSMFs) at $z=$ 4-8 from a rest-frame ultraviolet (UV) selected sample of $\sim$4500 galaxies, found via photometric redshifts over an area of $\sim$280 arcmin$^2$ in the CANDELS/GOODS fields and the Hubble Ultra Deep Field. The deepest Spitzer/IRAC data yet-to-date and the relatively large volume allow us to place a better constraint at both the low- and high-mass ends of the GSMFs compared to previous space-based studies from pre-CANDELS observations. Supplemented by a stacking analysis, we find a linear correlation between the rest-frame UV absolute magnitude at 1500 \AA\ ($M_{\rm UV}$) and logarithmic stellar mass ($\log M_*$) that holds for galaxies with $\log(M_*/M_{\odot}) \lesssim 10$. We use simulations to validate our method of measuring the slope of the $\log M_*$-$M_{\rm UV}$ relation, finding that the bias is minimized with a hybrid technique combining photometry of individual bright galaxies with stacked photometry for faint galaxies. The resultant measured slopes do not significantly evolve over $z=$ 4-8, while the normalization of the trend exhibits a weak evolution toward lower masses at higher redshift. We combine the $\log M_*$-$M_{\rm UV}$ distribution with observed rest-frame UV luminosity functions at each redshift to derive the GSMFs, finding that the low-mass-end slope becomes steeper with increasing redshift from $\alpha=-1.55^{+0.08}_{-0.07}$ at $z=4$ to $\alpha=-2.25^{+0.72}_{-0.35}$ at $z=8$. The inferred stellar mass density, when integrated over $M_*=10^8$-$10^{13} M_{\odot}$, increases by a factor of $10^{+30}_{-2}$ between $z=7$ and $z=4$ and is in good agreement with the time integral of the cosmic star formation rate density.Comment: 27 pages, 17 figures, ApJ, in pres