Estimating the Predictive Value of Negative SARS-CoV-2 Results: A Prospective Study

© 2020 by The Society for Healthcare Epidemiology of America. All rights reserved. We performed a prospective study of 501 patients, regardless of symptoms, admitted to the hospital, to estimate the predictive value of a negative Nasopharyngeal swab for SARS-CoV-2. At a positivity rate of 10.2%, the estimated Negative Predictive Value (NPV) was 97.2% and NPV rose as prevalence decreased during the study

The ATLAS tile calorimeter digitizer

The ATLAS Tile Calorimeter digitizer system samples photomultiplier signals from the scintillating tiles of the hadronic calorimeter. For each channel a pair of 10-bit ADCs digitize high and low gain signals at 40.08 MHz to provide the necessary 16-bit dynamic range. The sampled data is temporarily stored in digital pipelines for up to 6.375 \mu­s, awaiting a level-1 accept. For each accept received, the corresponding sampled pulse is transferred to a derandomizer buffer for subsequent readout to the data acquisition system (DAQ). The main functionality of the digitizer is implemented in radiation tolerant ASICs, using a fault tolerant architecture to minimize the consequences of radiation induced faults

Abnormalities in autonomic function in obese boys at-risk for insulin resistance and obstructive sleep apnea.

Study objectivesCurrent evidence in adults suggests that, independent of obesity, obstructive sleep apnea (OSA) can lead to autonomic dysfunction and impaired glucose metabolism, but these relationships are less clear in children. The purpose of this study was to investigate the associations among OSA, glucose metabolism, and daytime autonomic function in obese pediatric subjects.MethodsTwenty-three obese boys participated in: overnight polysomnography; a frequently sampled intravenous glucose tolerance test; and recordings of spontaneous cardiorespiratory data in both the supine (baseline) and standing (sympathetic stimulus) postures.ResultsBaseline systolic blood pressure and reactivity of low-frequency heart rate variability to postural stress correlated with insulin resistance, increased fasting glucose, and reduced beta-cell function, but not OSA severity. Baroreflex sensitivity reactivity was reduced with sleep fragmentation, but only for subjects with low insulin sensitivity and/or low first-phase insulin response to glucose.ConclusionsThese findings suggest that vascular sympathetic activity impairment is more strongly affected by metabolic dysfunction than by OSA severity, while blunted vagal autonomic function associated with sleep fragmentation in OSA is enhanced when metabolic dysfunction is also present

Internal Color Properties of Resolved Spheroids in the Deep HST/ACS field of UGC 10214

(Abridged) We study the internal color properties of a morphologically selected sample of spheroidal galaxies taken from HST/ACS ERO program of UGC 10214 (``The Tadpole''). By taking advantage of the unprecedented high resolution of the ACS in this very deep dataset we are able to characterize spheroids at sub-arcseconds scales. Using the V_606W and I_814W bands, we construct V-I color maps and extract color gradients for a sample of spheroids at I_814W < 24 mag. We investigate the existence of a population of morphologically classified spheroids which show extreme variation in their internal color properties similar to the ones reported in the HDFs. These are displayed as blue cores and inverse color gradients with respect to those accounted from metallicity variations. Following the same analysis we find a similar fraction of early-type systems (~30%-40%) that show non-homologous internal colors, suggestive of recent star formation activity. We present two statistics to quantify the internal color variation in galaxies and for tracing blue cores, from which we estimate the fraction of non-homogeneous to homogeneous internal colors as a function of redshift up to z<1.2. We find that it can be described as about constant as a function of redshift, with a small increase with redshift for the fraction of spheroids that present strong color dispersions. The implications of a constant fraction at all redshifts suggests the existence of a relatively permanent population of evolving spheroids up to z~1. We discuss the implications of this in the context of spheroidal formation.Comment: Fixed URL for high resolution version. 13 Pages, 10 Figures. Accepted for Publication in ApJ. Sep 1st issue. Higher resolution version and complete table3B at http://acs.pha.jhu.edu/~felipe/e-prints/Tadpol

Advanced Camera for Surveys Observations of Young Star Clusters in the Interacting Galaxy UGC 10214

We present the first Advanced Camera for Surveys (ACS) observations of young star clusters in the colliding/merging galaxy UGC 10214. The observations were made as part of the Early Release Observation (ERO) program for the newly installed ACS during service mission SM3B for the Hubble Space Telescope (HST). Many young star clusters can be identified in the tails of UGC 10214, with ages ranging from ~3 Myr to 10 Myr. The extreme blue V-I (F606W-F814W) colors of the star clusters found in the tail of UGC 10214 can only be explained if strong emission lines are included with a young stellar population. This has been confirmed by our Keck spectroscopy of some of these bright blue stellar knots. The most luminous and largest of these blue knots has an absolute magnitude of M_V = -14.45, with a half-light radius of 161 pc, and if it is a single star cluster, would qualify as a super star cluster (SSC). Alternatively, it could be a superposition of multiple scaled OB associations or clusters. With an estimated age of ~ 4-5 Myr, its derived mass is < 1.3 x 10^6 solar masses. Thus the young stellar knot is unbound and will not evolve into a normal globular cluster. The bright blue clusters and associations are much younger than the dynamical age of the tail, providing strong evidence that star formation occurs in the tail long after it was ejected. UGC 10214 provides a nearby example of processes that contributed to the formation of halos and intra-cluster media in the distant and younger Universe.Comment: 6 pages with embedded figures, ApJ in pres

Discovery of Globular Clusters in the Proto-Spiral NGC2915: Implications for Hierarchical Galaxy Evolution

We have discovered three globular clusters beyond the Holmberg radius in Hubble Space Telescope Advanced Camera for Surveys images of the gas-rich dark matter dominated blue compact dwarf galaxy NGC2915. The clusters, all of which start to resolve into stars, have M_{V606} = -8.9 to -9.8 mag, significantly brighter than the peak of the luminosity function of Milky Way globular clusters. Their colors suggest a metallicity [Fe/H] ~ -1.9 dex, typical of metal-poor Galactic globular clusters. The specific frequency of clusters is at a minimum normal, compared to spiral galaxies. However, since only a small portion of the system has been surveyed it is more likely that the luminosity and mass normalized cluster content is higher, like that seen in elliptical galaxies and galaxy clusters. This suggests that NGC2915 resembles a key phase in the early hierarchical assembly of galaxies - the epoch when much of the old stellar population has formed, but little of the stellar disk. Depending on the subsequent interaction history, such systems could go on to build-up larger elliptical galaxies, evolve into normal spirals, or in rare circumstances remain suspended in their development to become systems like NGC2915.Comment: ApJ Letters accepted; 6 pages, 2 figures, 3 table

The Luminosity Function of Early-Type Galaxies at z~0.75

We measure the luminosity function of morphologically selected E/S0 galaxies from $z=0.5$ to $z=1.0$ using deep high resolution Advanced Camera for Surveys imaging data. Our analysis covers an area of 48\Box\arcmin (8$\times$ the area of the HDF-N) and extends 2 magnitudes deeper ($I\sim24$ mag) than was possible in the Deep Groth Strip Survey (DGSS). At $0.5<z<0.75$, we find $M_B^*-5\log h_{0.7}=-21.1\pm0.3$ and $\alpha=-0.53\pm0.2$, and at $0.75<z<1.0$, we find $M_B^*-5\log h_{0.7}=-21.4\pm0.2$. These luminosity functions are similar in both shape and number density to the luminosity function using morphological selection (e.g., DGSS), but are much steeper than the luminosity functions of samples selected using morphological proxies like the color or spectral energy distribution (e.g., CFRS, CADIS, or COMBO-17). The difference is due to the `blue', $(U-V)_0<1.7$, E/S0 galaxies, which make up to $\sim30$ of the sample at all magnitudes and an increasing proportion of faint galaxies. We thereby demonstrate the need for {\it both morphological and structural information} to constrain the evolution of galaxies. We find that the `blue' E/S0 galaxies have the same average sizes and Sersic parameters as the `red', $(U-V)_0>1.7$, E/S0 galaxies at brighter luminosities ($M_B<-20.1$), but are increasingly different at fainter magnitudes where `blue' galaxies are both smaller and have lower Sersic parameters. Fits of the colors to stellar population models suggest that most E/S0 galaxies have short star-formation time scales ($\tau<1$ Gyr), and that galaxies have formed at an increasing rate from $z\sim8$ until $z\sim2$ after which there has been a gradual decline.Comment: 39 pages, 21 figures, accepted in A

Comparative Survival Analysis of Immunomodulatory Therapy for Coronavirus Disease 2019 Cytokine Storm.

BACKGROUND:Cytokine storm is a marker of coronavirus disease 2019 (COVID-19) illness severity and increased mortality. Immunomodulatory treatments have been repurposed to improve mortality outcomes. RESEARCH QUESTION:Do immunomodulatory therapies improve survival in patients with COVID-19 cytokine storm (CCS)? STUDY DESIGN AND METHODS:We conducted a retrospective analysis of electronic health records across the Northwell Health system. COVID-19 patients hospitalized between March 1, 2020, and April 24, 2020, were included. CCS was defined by inflammatory markers: ferritin, \u3e 700 ng/mL; C-reactive protein (CRP), \u3e 30 mg/dL; or lactate dehydrogenase (LDH), \u3e 300 U/L. Patients were subdivided into six groups: no immunomodulatory treatment (standard of care) and five groups that received either corticosteroids, anti-IL-6 antibody (tocilizumab), or anti-IL-1 therapy (anakinra) alone or in combination with corticosteroids. The primary outcome was hospital mortality. RESULTS:Five thousand seven hundred seventy-six patients met the inclusion criteria. The most common comorbidities were hypertension (44%-59%), diabetes (32%-46%), and cardiovascular disease (5%-14%). Patients most frequently met criteria with high LDH (76.2%) alone or in combination, followed by ferritin (63.2%) and CRP (8.4%). More than 80% of patients showed an elevated D-dimer. Patients treated with corticosteroids and tocilizumab combination showed lower mortality compared with patients receiving standard-of-care (SoC) treatment (hazard ratio [HR], 0.44; 95% CI, 0.35-0.55; P \u3c .0001) and with patients treated with corticosteroids alone (HR, 0.66; 95% CI, 0.53-0.83; P = .004) or in combination with anakinra (HR, 0.64; 95% CI, 0.50-0.81; P = .003). Corticosteroids when administered alone (HR, 0.66; 95% CI, 0.57-0.76; P \u3c .0001) or in combination with tocilizumab (HR, 0.43; 95% CI, 0.35-0.55; P \u3c .0001) or anakinra (HR, 0.68; 95% CI, 0.57-0.81; P \u3c .0001) improved hospital survival compared with SoC treatment. INTERPRETATION:The combination of corticosteroids with tocilizumab showed superior survival outcome when compared with SoC treatment and treatment with corticosteroids alone or in combination with anakinra. Furthermore, corticosteroid use either alone or in combination with tocilizumab or anakinra was associated with reduced hospital mortality for patients with CCS compared with patients receiving SoC treatment

Star Formation at z~6: i-dropouts in the ACS GTO fields

Using an i-z dropout criterion, we determine the space density of z~6 galaxies from two deep ACS GTO fields with deep optical-IR imaging. A total of 23 objects are found over 46 arcmin^2, or ~0.5 objects/arcmin^2 down to z~27.3 (6 sigma; all AB mag) (including one probable z~6 AGN). Combining deep ISAAC data for our RDCS1252-2927 field (J~25.7 and Ks~25.0 (5 sigma)) and NICMOS data for the HDF North (JH~27.3 (5 sigma)), we verify that these dropouts have flat spectral slopes. i-dropouts in our sample range in luminosity from ~1.5 L* (z~25.6) to ~0.3 L* (z~27.3) with the exception of one very bright candidate at z~24.2. The half-light radii vary from 0.09" to 0.29", or 0.5 kpc to 1.7 kpc. We derive the z~6 rest-frame UV luminosity density using three different procedures, each utilizing simulations based on a CDF South V dropout sample. First, we compare our findings with a no-evolution projection of this V-dropout sample. We find 23+/-25% more i-dropouts than we predict. Adopting previous results to z~5, this works out to a 20+/-29% drop in the luminosity density from z~3 to z~6. Second, we use these same V-dropout simulations to derive a selection function for our i-dropout sample and compute the UV-luminosity density (7.2+/-2.5 x 10^25 ergs/s/Hz/Mpc^3 down to z~27). We find a 39+/-21% drop over the same redshift range. This is our preferred value and suggests a star formation rate of 0.0090+/-0.0031 M_sol/yr/Mpc^3 to z~27, or ~0.036+/- 0.012 M_sol/yr/Mpc^3 extrapolating the LF to the faint limit. Third, we follow a very similar procedure, but assume no incompleteness, finding a luminosity density which is ~2-3X lower. This final estimate constitutes a lower limit. All three estimates are within the canonical range of luminosity densities necessary for reionization of the universe at this epoch. (abridged)Comment: 36 pages, 13 figures, 2 tables, accepted for publication in ApJ, postscript version with high-resolution figures can be downloaded at http://www.ucolick.org/~bouwens/idropout.p