Stop, think SCORTCH: rethinking the traditional 'TORCH' screen in an era of re-emerging syphilis

BACKGROUND: The epidemiology of congenital infections is ever changing, with a recent resurgence in syphilis infection rates seen in the UK. Identification of congenital infection is often delayed; early recognition and management of congenital infections is important. Testing modalities and investigations are often limited, leading to missed diagnostic opportunities. METHODS: The SCORTCH (syphilis, cytomegalovirus (CMV), 'other', rubella, toxoplasmosis, chickenpox, herpes simplex virus (HSV) and blood-borne viruses) acronym increases the awareness of clinicians to the increased risk of congenital syphilis, while considering other infectious aetiologies including: zika, malaria, chagas disease, parvovirus, enterovirus, HIV, hepatitis B and C, and human T-lymphotropic virus 1, in addition to the classic congenital infections recognised in the 'TORCH screen' (toxoplasmosis, 'other', rubella, CMV, HSV). The SCORTCH diagnostic approach describes common signs present in infants with congenital infection, details serological testing for mother and infant and important direct diagnostics of the infant. Direct diagnostic investigations include: radiology, ophthalmology, audiology, microbiological and PCR testing for both the infant and placental tissue, the latter also warrants histopathology. CONCLUSION: The traditional 'TORCH screen' focuses on serology-specific investigations, often omits important direct diagnostic testing of the infant, and fails to consider emerging and re-emerging congenital infections. In recognition of syphilis as a re-emerging pathogen and the overlapping clinical presentations of various infectious aetiologies, we advocate for a broader outlook using the SCORTCH diagnostic approach

Levantamento dos principais indicadores econômicos aplicados à pecuária de corte.

Este trabalho tem como objetivo realizar um levantamento para identificação e classificação dos principais indicadores econômicos aplicados à pecuária de corte.Ana Cristina Mazzocato, editora técnica

Hungry Volterra equation, multi boson KP hierarchy and Two Matrix Models

We consider the hungry Volterra hierarchy from the view point of the multi boson KP hierarchy. We construct the hungry Volterra equation as the B\"{a}cklund transformations (BT) which are not the ordinary ones. We call them ``fractional '' BT. We also study the relations between the (discrete time) hungry Volterra equation and two matrix models. From this point of view we study the reduction from (discrete time) 2d Toda lattice to the (discrete time) hungry Volterra equation.Comment: 13 pages, LaTe

Systematics of 2+ states in C isotopes from the ab initio no-core shell model

We study low-lying states of even carbon isotopes in the range A = 10 - 20 within the large- scale no-core shell model (NCSM). Using several accurate nucleon-nucleon (NN) as well as NN plus three-nucleon (NNN) interactions, we calculate excitation energies of the lowest 2+ state, the electromagnetic B(E2; 2+1 -> 0+1) transition rates, the 2+1 quadrupole moments as well as se- lected electromagnetic transitions among other states. Recent experimental campaigns to measure 2+-state lifetimes indicate an interesting evolution of nuclear structure that pose a challenge to reproduce theoretically from first principles. Our calculations do not include any effective charges or other fitting parameters. However, calculated results extrapolated to infinite model spaces are also presented. The model-dependence of those results is discussed. Overall, we find a good agree- ment with the experimentally observed trends, although our extrapolated B(E2; 2+1 -> 0+1) value for 16C is lower compared to the most recent measurements. Relative transition strengths from higher excited states are investigated and the influence of NNN forces is discussed. In particular for 16C we find a remarkable sensitivity of the transition rates from higher excited states to the details of the nuclear interactions.Comment: 22 pages, 8 figures, preprint version. Accepted for publication in Journal of Physics G: Nuclear and Particle Physic

Power-Based Droop Control in DC Microgrids Enabling Seamless Disconnection From Upstream Grids

This paper proposes a local power-based droop controller for distributed energy resource converters in dc microgrids that are connected to upstream grids by grid-interface converters. During normal operation, the grid-interface converter imposes the microgrid bus voltage, and the proposed controller allows power flow regulation at distributed energy resource converters\u2019 output. On the other hand, during abnormal operation of the grid-interface converter (e.g., due to faults in the upstream grid), the proposed controller allows bus voltage regulation by droop control. Notably, the controller can autonomously convert from power flow control to droop control, without any need of bus voltage variation detection schemes or communication with other microgrid components, which enables seamless transitions between these two modes of operation. Considering distributed energy resource converters employing the power-based droop control, the operation modes of a single converter and of the whole microgrid are defined and investigated herein. The controller design is also introduced. Furthermore, the power sharing performance of this control approach is analyzed and compared with that of classical droop control. The experimental results from a laboratory-scale dc microgrid prototype are reported to show the final performances of the proposed power-based droop control

Matrix models as solvable glass models

We present a family of solvable models of interacting particles in high dimensionalities without quenched disorder. We show that the models have a glassy regime with aging effects. The interaction is controlled by a parameter $p$. For $p=2$ we obtain matrix models and for $p>2$ `tensor' models. We concentrate on the cases $p=2$ which we study analytically and numerically.Comment: 10 pages + 2 figures, Univ.Roma I, 1038/94, ROM2F/94/2

Glassy Random Matrix Models

This paper discusses Random Matrix Models which exhibit the unusual phenomena of having multiple solutions at the same point in phase space. These matrix models have gaps in their spectrum or density of eigenvalues. The free energy and certain correlation functions of these models show differences for the different solutions. Here I present evidence for the presence of multiple solutions both analytically and numerically. As an example I discuss the double well matrix model with potential $V(M)= -{\mu \over 2}M^2+{g \over 4}M^4$ where $M$ is a random $N\times N$ matrix (the $M^4$ matrix model) as well as the Gaussian Penner model with $V(M)={\mu\over 2}M^2-t \ln M$. First I study what these multiple solutions are in the large $N$ limit using the recurrence coefficient of the orthogonal polynomials. Second I discuss these solutions at the non-perturbative level to bring out some differences between the multiple solutions. I also present the two-point density-density correlation functions which further characterizes these models in a new university class. A motivation for this work is that variants of these models have been conjectured to be models of certain structural glasses in the high temperature phase.Comment: 25 pages, Latex, 7 Figures, to appear in PR

Ice-lens formation and geometrical supercooling in soils and other colloidal materials

We present a new, physically-intuitive model of ice-lens formation and growth during the freezing of soils and other dense, particulate suspensions. Motivated by experimental evidence, we consider the growth of an ice-filled crack in a freezing soil. At low temperatures, ice in the crack exerts large pressures on the crack walls that will eventually cause the crack to split open. We show that the crack will then propagate across the soil to form a new lens. The process is controlled by two factors: the cohesion of the soil, and the geometrical supercooling of the water in the soil; a new concept introduced to measure the energy available to form a new ice lens. When the supercooling exceeds a critical amount (proportional to the cohesive strength of the soil) a new ice lens forms. This condition for ice-lens formation and growth does not appeal to any ad hoc, empirical assumptions, and explains how periodic ice lenses can form with or without the presence of a frozen fringe. The proposed mechanism is in good agreement with experiments, in particular explaining ice-lens pattern formation, and surges in heave rate associated with the growth of new lenses. Importantly for systems with no frozen fringe, ice-lens formation and frost heave can be predicted given only the unfrozen properties of the soil. We use our theory to estimate ice-lens growth temperatures obtaining quantitative agreement with the limited experimental data that is currently available. Finally we suggest experiments that might be performed in order to verify this theory in more detail. The theory is generalizable to complex natural-soil scenarios, and should therefore be useful in the prediction of macroscopic frost heave rates.Comment: Submitted to PR

Radiative association and inverse predissociation of oxygen atoms

The formation of \mbox{O}_2 by radiative association and by inverse predissociation of ground state oxygen atoms is studied using quantum-mechanical methods. Cross sections, emission spectra, and rate coefficients are presented and compared with prior experimental and theoretical results. At temperatures below 1000~K radiative association occurs by approach along the $1\,{}^3\Pi_u$ state of \mbox{O}_2 and above 1000~K inverse predissociation through the \mbox{B}\,{}^3\Sigma_u^- state is the dominant mechanism. This conclusion is supported by a quantitative comparison between the calculations and data obtained from hot oxygen plasma spectroscopy.Comment: submitted to Phys. Rev. A (Sept. 7., 1994), 19 pages, 4 figures, latex (revtex3.0 and epsf.sty

Triangulated Surfaces in Twistor Space: A Kinematical Set up for Open/Closed String Duality

We exploit the properties of the three-dimensional hyperbolic space to discuss a simplicial setting for open/closed string duality based on (random) Regge triangulations decorated with null twistorial fields. We explicitly show that the twistorial N-points function, describing Dirichlet correlations over the moduli space of open N-bordered genus g surfaces, is naturally mapped into the Witten-Kontsevich intersection theory over the moduli space of N-pointed closed Riemann surfaces of the same genus. We also discuss various aspects of the geometrical setting which connects this model to PSL(2,C) Chern-Simons theory.Comment: 35 pages, references added, slightly revised introductio