Bloodstream yeast infections: a 15-month survey

A 15-month survey of 412 bloodstream yeast isolates from 54 Belgian hospitals was undertaken. Candida albicans was the most common species (47.3%) followed by C. glabrata (25.7%), C. parapsilosis (8.0%), C. tropicalis (6.8%) and Saccharomyces cerevisiae (5.1%). Common predisposing factors were antibacterial therapy (45%), hospitalization in intensive care units (34%), presence of in-dwelling catheters (32%), underlying cancer (23%) and major surgery (11%). Most patients had more than one predisposing factor. Fluconazole alone or in combination with another antifungal agent was the treatment of choice for 86.6% of the cases. Susceptibility testing revealed that 93.5% were susceptible to amphotericin B, 39.6% to itraconazole, 42.8% to fluconazole and 87% to voriconazole. Resistance to azoles was more common among C. glabrata isolates

Flight Tests, Performances and Flight Certification of a Twin-Engine Light Aircraft

This paper deals with flight test activities performed on P2006T, a twin-engine light aircraft recently designed and produced by Tecnam. Research activities and flight tests have been conducted during the flight certification of P2006T for the normal category under CS-23. All the acquired data and flight results presented have been focused on both aircraft certification and on aircraft performances, stability and flight qualities measurement. The data have been acquired through a light, accurate and reliable flight instrumentation available at DIAS (Department of Aerospace Engineering). Some flight data about aircraft leveled speed, stall speed, climb characteristics and ground performances (take-off and landing) will be presented. After preliminary flight tests, winglets have been designed and added to the final configuration in order to obtain good climb performances also in OEI (One Engine Inoperative) conditions. Accurate stall tests have been performed in all configurations and influence of both entry-rate and load factor on stall speed have been highlighted. Excellent ground performances have been measured with short take-off and landing distances compared with similar airplanes. All measured flight performances can be considered very good for this aircraft category and have been used to demonstrate aircraft safety and to obtain CS23 certification

The burden is great and the money little: Changing chronic disease management in low– and middle–income countries

Many health conditions are chronic, and only some of those chronic health conditions are NCDs. If the interest is on cause and prevention, then NCDs should be treated separately from other chronic diseases. If the interest is on health systems and management, then NCDs should be joined with other chronic diseases

Geodesic acoustic modes in a fluid model of tokamak plasma : the effects of finite beta and collisionality

Starting from the Braginskii equations, relevant for the tokamak edge region, a complete set of nonlinear equations for the geodesic acoustic modes (GAM) has been derived which includes collisionality, plasma beta and external sources of particle, momentum and heat. Local linear analysis shows that the GAM frequency increases with collisionality at low radial wave number $k_{r}$ and decreases at high $k_{r}$. GAM frequency also decreases with plasma beta. Radial profiles of GAM frequency for two Tore Supra shots, which were part of a collisionality scan, are compared with these calculations. Discrepency between experiment and theory is observed, which seems to be explained by a finite $k_{r}$ for the GAM when flux surface averaged density $\langle n \rangle$ and temperature $\langle T \rangle$ are assumed to vanish. It is shown that this agreement is incidental and self-consistent inclusion of $\langle n \rangle$ and $\langle T \rangle$ responses enhances the disagreement more with $k_r$ at high $k_{r}$ . So the discrepancy between the linear GAM calculation, (which persist also for more "complete" linear models such as gyrokinetics) can probably not be resolved by simply adding a finite $k_{r}$

Comparison of stroke volume measurement between non-invasive bioreactance and esophageal Doppler in patients undergoing major abdominal-pelvic surgery

PURPOSE: Bioreactance is a non-invasive technology for measuring stroke volume (SV) in the operating room and critical care setting. We evaluated how the NICOM® bioreactance device performed against the CardioQ® esophageal Doppler monitor in patients undergoing major abdominal–pelvic surgery, focusing on the effect of different hemodynamic interventions. METHODS: SVNICOM and SVODM were simultaneously measured intraoperatively, including before and after interventions including fluid challenge, vasopressor boluses, peritoneal gas insufflation/removal, and Trendelenburg/reverse Trendelenburg patient positioning. RESULTS: A total of 768 values were collected from 21 patients. Pre- and post-intervention measures were recorded on 155 occasions. Bland–Altman analysis revealed a bias of 8.6 ml and poor precision with wide limits of agreement (54 and −37 ml) and a percentage error of 50.6%. No improvement in precision was detected after taking into account repeated measurements for each patient (bias: 8 ml; limits of agreement: 74 and −59 ml). Concordance between changes in SVNICOM and SVODM before and after interventions was also poor: 78.7% (all measures), 82.4% (after vasopressor administration), and 74.3% (after fluid challenge). Using Doppler SV as the reference technique, the area under the receiver operating characteristic curve assessing the ability of the NICOM device to predict fluid responsiveness was 0.81 (0.7–0.9). CONCLUSIONS: In patients undergoing major abdomino-pelvic surgery, SV values obtained by NICOM showed neither clinically or statistically acceptable agreement with those obtained by esophageal Doppler. Although, in the setting of this study, bioreactance technology cannot reliably replace esophageal Doppler monitoring, its accuracy for predicting fluid responsiveness was higher, up to approximately 80%

Complementary feeding and the early origins of obesity risk:A study protocol

Introduction The rise in the prevalence of childhood obesity worldwide calls for an intervention earlier in the life cycle. Studies show that nutrition during early infancy may contribute to later obesity. Hence, this study is designed to determine if the variation in complementary feeding practices poses a risk for the development of obesity later in life. A mixed methods approach will be used in conducting this study.Methods and analysis The target participants are infants born from January to June 2015 in the South East Asia Community Observatory (SEACO) platform. The SEACO is a Health and Demographic Surveillance System (HDSS) that is established in the District of Segamat in the state of Johor, Malaysia. For the quantitative strand, the sociodemographic data, feeding practices, anthropometry measurement and total nutrient intake will be assessed. The assessment will occur around the time complementary feeding is expected to start (7 Months) and again at 12 months. A 24-hour diet recall and a 2-day food diary will be used to assess the food intake. For the qualitative strand, selected mothers will be interviewed to explore their infant feeding practices and factors that influence their practices and food choices in detail.Ethics and dissemination Ethical clearance for this study was sought through the Monash University Human Research and Ethics Committee (application number CF14/3850-2014002010). Subsequently, the findings of this study will be disseminated through peer-reviewed journals, national and international conferences

Dimensionality cross-over in magnetism: from domain walls (2D) to vortices (1D)

Dimensionality cross-over is a classical topic in physics. Surprisingly it has not been searched in micromagnetism, which deals with objects such as domain walls (2D) and vortices (1D). We predict by simulation a second-order transition between these two objects, with the wall length as the Landau parameter. This was conrmed experimentally based on micron-sized ux-closure dots