On the distortions in calculated GW parameters during slanted atmospheric soundings

The significant distortions introduced in the measured atmospheric gravity wavelengths by soundings other than those in vertical and horizontal directions, are discussed as a function of the elevation angle of the sounding path and the gravity wave aspect ratio. Under- or overestimation of real vertical wavelengths during the measurement process depends on the value of these two parameters. The consequences of these distortions on the calculation of the energy and the vertical flux of horizontal momentum are analyzed and discussed in the context of two experimental limb satellite setups: GPS-LEO radio occultations and TIMED/SABER ((Atmosphere using Broadband Emission Radiometry/Thermosphere-Ionosphere-Mesosphere-Energetics and Dynamics)) measurements. Possible discrepancies previously found between the momentum flux calculated from satellite temperature profiles, on site and from model simulations, may to a certain degree be attributed to these distortions. A recalculation of previous momentum flux climatologies based on these considerations seems to be a difficult goal.Fil: de la Torre, Alejandro. Consejo Nacional de Investigaciones Científicas y Técnicas; Argentina. Universidad Austral. Facultad de Ingeniería; ArgentinaFil: Alexander, Pedro Manfredo. Consejo Nacional de Investigaciones Científicas y Técnicas. Oficina de Coordinación Administrativa Ciudad Universitaria. Instituto de Física de Buenos Aires. Universidad de Buenos Aires. Facultad de Ciencias Exactas y Naturales. Instituto de Física de Buenos Aires; ArgentinaFil: Schmidt, Torsten. German Research Centre for Geosciences; AlemaniaFil: Llamedo Soria, Pablo Martin. Consejo Nacional de Investigaciones Científicas y Técnicas; Argentina. Universidad Austral. Facultad de Ingeniería; ArgentinaFil: Hierro, Rodrigo Federico. Universidad Austral. Facultad de Ingeniería; Argentina. Consejo Nacional de Investigaciones Científicas y Técnicas; Argentin

A personal, distributed exposimeter: procedure for design, calibration, validation, and application

This paper describes, for the first time, the procedure for the full design, calibration, uncertainty analysis, and practical application of a personal, distributed exposimeter (PDE) for the detection of personal exposure in the Global System for Mobile Communications (GSM) downlink (DL) band around 900 MHz (GSM 900 DL). The PDE is a sensor that consists of several body-worn antennas. The on-body location of these antennas is investigated using numerical simulations and calibration measurements in an anechoic chamber. The calibration measurements and the simulations result in a design (or on-body setup) of the PDE. This is used for validation measurements and indoor radio frequency (RF) exposure measurements in Ghent, Belgium. The main achievements of this paper are: first, the demonstration, using both measurements and simulations, that a PDE consisting of multiple on-body textile antennas will have a lower measurement uncertainty for personal RF exposure than existing on-body sensors; second, a validation of the PDE, which proves that the device correctly estimates the incident power densities; and third, a demonstration of the usability of the PDE for real exposure assessment measurements. To this aim, the validated PDE is used for indoor measurements in a residential building in Ghent, Belgium, which yield an average incident power density of 0.018 mW/m(2)

Factors associated with invasive lung aspergillosis and the significance of positive aspergillus culture after liver transplantation

From January 1981 to December 1990, 2180 patients underwent orthotopic liver transplantation at the University of Pittsburgh. Thirty-two patients (1.5%) were identified with invasive aspergillosis (29 lung, 2 intraabdominal, 1 meningitis). Of 29 patients with invasive lung disease, only 23 (79%) had positive culture (Aspergillus fumigatus, 20; Aspergillus flavus, 3). Forty-eight variables were analyzed and compared in 23 patients with invasive disease with positive cultures and 9 patients with colonization only. The variables associated with pulmonary invasive disease, by univariate analysis, were surgical time (P =.03), presence of laparotomies (P =.02), higher creatinine level at time of Aspergillus isolation (P =.01), and use of OKT3 (P =.02). However, in a multivariate analysis, only the last two (creatinine, OKT3) were associated with invasive lung aspergillosis. Of 4 patients with positive abdominal wound culture, 2 had local invasive aspergillosis. Therefore, positive cultures of Aspergillus organisms from respiratory secretions and wound drainage may represent invasive disease and should not be ignored. © 1992 the University of Chicago

Orographic and convective gravity waves above the Alps and Andes mountains during GPS radio occultation events – a case study

The significant distortions introduced in the measured atmospheric gravity wavelengths by soundings other than in vertical and horizontal directions, are discussed as a function of elevation angle of the sounding path and the gravity waves aspect ratio. Under- or overestimation of real vertical wavelengths during the measurement process depends basically on the value of these two parameters. The consequences of these distortions on the calculation of the energy and vertical flux of horizontal momentum are analyzed and discussed in the context of two experimental limb satellite setups: GPS-LEO radio occultations and TIMED/SABER measurements. Possible discrepancies previously found between the momentum flux calculated from satellite temperature profiles, on site and from model simulations, may, to a certain degree, be attributed to these distortions. A recalculation of previous momentum flux climatologies based on these considerations seems to be a difficult goal.Fil: Hierro, Rodrigo Federico. Universidad Austral. Facultad de Ingeniería. Departamento de Ciencias Básicas; Argentina. Consejo Nacional de Investigaciones Científicas y Técnicas; ArgentinaFil: Steiner, Andrea K.. Universidad de Graz; AustriaFil: de la Torre, Alejandro. Consejo Nacional de Investigaciones Científicas y Técnicas; Argentina. Universidad Austral. Facultad de Ingeniería. Departamento de Ciencias Básicas; ArgentinaFil: Alexander, Pedro Manfredo. Consejo Nacional de Investigaciones Científicas y Técnicas. Oficina de Coordinación Administrativa Ciudad Universitaria. Instituto de Física de Buenos Aires. Universidad de Buenos Aires. Facultad de Ciencias Exactas y Naturales. Instituto de Física de Buenos Aires; ArgentinaFil: Llamedo Soria, Pablo Martin. Consejo Nacional de Investigaciones Científicas y Técnicas; Argentina. Universidad Austral. Facultad de Ingeniería. Departamento de Ciencias Básicas; ArgentinaFil: Cremades, Pablo Gabriel. Consejo Nacional de Investigaciones Científicas y Técnicas; Argentina. Universidad Nacional de Cuyo. Facultad de Ciencias Exactas y Naturales; Argentin

Aortopexy for the treatment of tracheomalacia in children: review of the literature

ABSTRACT: Severe tracheomalacia presents a significant challenge for Paediatricians, Intensivists, Respiratory Physicians, Otolaryngologists and Paediatric Surgeons. The treatment of tracheomacia remains controversial, but aortopexy is considered by most to be one of the best options. We conducted a review of the English literature relating to aortopexy. Among 125 papers, 40 have been included in this review. Among 758 patients (62% males) affected with tracheomalacia, 581 underwent aortopexy. Associated co-morbidities were reported in 659 patients. The most frequent association was with oesophageal atresia (44%), vascular ring or large vessel anomalies (18%) and innominate artery compression (16%); in 9% tracheomalacia was idiopathic. The symptoms reported were various, but the most important indication for aortopexy was an acute life-threatening event (ALTE), observed in 43% of patients. The main preoperative investigation was bronchoscopy. Surgical approach was through a left anterior thoracotomy in 72% of patients, while median approach was chosen in 14% and in 1.3% a thoracoscopic aortopexy was performed. At follow-up (median 47 months) more than 80% of the patients improved significantly, but 8% showed no improvement, 4% had a worsening of their symptoms and 6% died. Complications were observed in 15% of patients, in 1% a redo aortopexy was deemed necessary. In our review, we found a lack of general consensus about symptom description and evaluation, indications for surgery, though ALTE and bronchoscopy were considered by all an absolute indication to aortopexy and the gold standard for the diagnosis of tracheomalacia, respectively. Differences were reported also in surgical approaches and technical details, so that the same term “aortopexy” was used to describe different types of procedures. Whatever approach or technique was used, the efficacy of aortopexy was reported as high in the majority of cases (more than 80%). A subgroup of patients particularly delicate is represented by those with associated gastro-esophageal reflux, in whom a fundoplication should be performed. Other treatments of tracheomalacia, particularly tracheal stenting, were associated with a higher rate of failure, severe morbidity and mortality. NON ENGLISH ABSTRACT: La tracheomalacia severa rappresenta una sfida per Pediatri, Intensivisti, Pneumologi, Otorinolaringoiatri, Chirurghi Pediatri. Il trattamento della tracheomalacia è tuttora controverso. L’aortopessi è considerata da molti la migliore opzione terapeutica. Abbiamo condotto una revisione della letteratura di lingua inglese su tale argomento. Di 125 lavori, 40 sono stati inclusi nella revisione. Tra 758 pazienti (62% maschi) affetti da tracheomalacia, 581 sono stati sottoposti ad aortopessi tra il 1968 e il 2008. In 659 pazienti alcune comorbidità erano presenti. L’associazione più frequente era con l’atresia esofagea (44%), l’anello vascolare o un’anomalia dei grossi vasi (18%), la compressione da parte dell’arteria innominata (16%); nel 9% la tracheomalacia era idiopatica. I sintomi riportati sono stati variabili, ma l’indicazione più importante all’aortopessi sono stati eventi di ALTE, osservati nel 43% dei pazienti. Lo studio diagnostico preoperatorio principale è stato la broncoscopia. L’approccio chirurgico è avvenuto attraverso una toracotomia anteriore sinistra nel 72% dei pazienti, mentre un approccio mediano è stato scelto nel 14% e nell’1.3% dei casi è stato eseguito un approccio toracoscopico. Al follow-up (mediana di 47 mesi) la maggioranza dei pazienti sono migliorati significativamente, ma l’8% di essi non è migliorato, il 4% è peggiorato e il 6% è morto. Complicazioni sono state riportate nel 15% dei pazienti, nell’1% un nuovo intervento di aortopessi è stato necessario. In questa revisione abbiamo trovato che non c’è un consenso generale sulla valutazione e sulla descrizione dei sintomi, sulle indicazioni chirurgiche ed esami preoperatori, anche se le ALTE e la broncoscopia venivano considerate rispettivamente un’indicazione assoluta all’aortopessi e il “gold standard” diagnostico per la tracheomalacia. Venivano riportate differenze negli approcci chirurgici e nei dettagli tecnici, e lo stesso termine di aortopessi veniva usato per indicare diverse procedure chirurgiche. In ogni caso, indipendentemente dall’approccio o tecnica utilizzati, l’efficacia dell’aortopessi veniva riportata come elevata nella maggioranza dei casi (più dell’80%). Un sottogruppo di pazienti particolarmente delicato è rappresentato da quelli con reflusso gastroesofageo associato, nei quali sarebbe indicata una fundoplicatio. Altri trattamenti della tracheomalacia, quali stent tracheale, sembrano gravati da una maggiore percentuale di insuccessi, morbidità severa e mortalità

Optimal sequential sampling rules for the economic evaluation of health technologies

Referring to the literature on optimal stopping under sequential sampling developed by Chernoff and collaborators, we solve a dynamic model of the economic evaluation of a new health technology, deriving optimal rules for technology adoption, research abandonment and continuation as functions of sample size. The model extends the existing literature to the case where an adoption decision can be deferred and involves a degree of irreversibility. We explore the model's applicability in a case study of the economic evaluation of Drug Eluting Stents (DES), deriving dynamic adoption and abandonment thresholds which are a function of the model's economic parameters. A key result is that referring to a single cost-effectiveness threshold may be sub-optimal.Cost-effectiveness analysis, Sequential sampling, Dynamic programming

Cosmic Ray Antihelium from a Strongly Coupled Dark Sector

Standard Model extensions with a strongly coupled dark sector can induce high-multiplicity states of soft quarks. Such final states trigger extremely efficient antinucleus formation. We show that dark matter annihilation or decay into a strongly coupled sector can dramatically enhance the cosmic-ray antinuclei flux -- by six orders of magnitude in the case of ${^4\overline{\text{He}}}$. In this work, we argue that the tentative ${^3\overline{\text{He}}}$ and ${^4\overline{\text{He}}}$ events reported by the AMS-02 collaboration could be the first sign of a strongly coupled dark sector observed in nature.Comment: 9 pages, 2 figure

Photoautotrophic removal of hydrogen sulfide from biogas using purple and green sulfur bacteria

Producción CientíficaBiogas desulfurization based on anoxygenic photosynthetic processes represents an alternative to physicochemical technologies, decreasing the risk of O2 and N2 contamination. This work aimed at assessing the potential of Allochromatium vinosum and Chlorobium limicola for biogas desulfurization under different light intensities (10 and 25 klx) and H2S concentrations (1, 1.5 and 2%) in batch photobioreactors. In addition, the influence of rising biogas flow rates (2.9, 5.8 and 11.5 L d-1 in stage I, II and III, respectively) on the desulfurization performance in a 2.3 L photobioreactor utilizing C. limicola under continuous mode was assessed. The light intensity of 25 klx negatively influenced the growth of A. vinosum and C. limicola, resulting in decreased H2S removal capacity. An increase in H2S concentrations resulted in higher volumetric H2S removal rates in C. limicola (2.9–5.3 mg L-1 d-1) tests compared to A. vinosum (2.4–4.6 mg L-1 d-1) tests. The continuous photobioreactor completely removed H2S from biogas in stage I and II. The highest flow rate in stage III induced a deterioration in the desulfurization activity of C. limicola. Overall, the high H2S tolerance of A. vinosum and C. limicola supports their use in H2S desulfurization from biogas