Rossby waves and α\alpha-effect

Rossby waves drifting in the azimuthal direction are a common feature at the onset of thermal convective instability in a rapidly rotating spherical shell. They can also result from the destabilization of a Stewartson shear layer produced by differential rotation as expected in the liquid sodium experiment (DTS) working in Grenoble, France. A usual way to explain why Rossby waves can participate to the dynamo process goes back to Busse (1975). In his picture, the flow geometry is a cylindrical array of parallel rolls aligned with the rotation axis. The axial flow component (the component parallel to the rotation axis) is (i) maximum in the middle of each roll and changes its sign from one roll to the next. It is produced by the Ekman pumping at the fluid containing shell boundary. The corresponding dynamo mechanism can be explained in terms of an $\alpha$-tensor with non-zero coefficients on the diagonal. In rapidly rotating objects like the Earth's core (or in a fast rotating experiment), Rossby waves occur in the limit of small Ekman number ($\approx 10^{-15}$). In that case, the main source of the axial flow component is not the Ekman pumping but rather the ``geometrical slope effect'' due to the spherical shape of the fluid containing shell. This implies that the axial flow component is (ii) maximum at the borders of the rolls and not at the centers. If assumed to be stationary, such rolls would lead to zero coefficients on the diagonal of the $\alpha$-tensor, making the dynamo probably less efficient if possible at all. Actually, the rolls are drifting as a wave, and we show that this drift implies non--zero coefficients on the diagonal of the $\alpha$-tensor. These new coefficients are in essence very different from the ones obtained in case (i) and cannot be interpreted in terms of the heuristic picture of Busse (1975)

International Nosocomial Infection Control Consortium report, data summary of 50 countries for 2010-2015: Device-associated module

•We report INICC device-associated module data of 50 countries from 2010-2015.•We collected prospective data from 861,284 patients in 703 ICUs for 3,506,562 days.•DA-HAI rates and bacterial resistance were higher in the INICC ICUs than in CDC-NHSN's.•Device utilization ratio in the INICC ICUs was similar to CDC-NHSN's. Background: We report the results of International Nosocomial Infection Control Consortium (INICC) surveillance study from January 2010-December 2015 in 703 intensive care units (ICUs) in Latin America, Europe, Eastern Mediterranean, Southeast Asia, and Western Pacific. Methods: During the 6-year study period, using Centers for Disease Control and Prevention National Healthcare Safety Network (CDC-NHSN) definitions for device-associated health care-associated infection (DA-HAI), we collected prospective data from 861,284 patients hospitalized in INICC hospital ICUs for an aggregate of 3,506,562 days. Results: Although device use in INICC ICUs was similar to that reported from CDC-NHSN ICUs, DA-HAI rates were higher in the INICC ICUs: in the INICC medical-surgical ICUs, the pooled rate of central line-associated bloodstream infection, 4.1 per 1,000 central line-days, was nearly 5-fold higher than the 0.8 per 1,000 central line-days reported from comparable US ICUs, the overall rate of ventilator-associated pneumonia was also higher, 13.1 versus 0.9 per 1,000 ventilator-days, as was the rate of catheter-associated urinary tract infection, 5.07 versus 1.7 per 1,000 catheter-days. From blood cultures samples, frequencies of resistance of Pseudomonas isolates to amikacin (29.87% vs 10%) and to imipenem (44.3% vs 26.1%), and of Klebsiella pneumoniae isolates to ceftazidime (73.2% vs 28.8%) and to imipenem (43.27% vs 12.8%) were also higher in the INICC ICUs compared with CDC-NHSN ICUs. Conclusions: Although DA-HAIs in INICC ICU patients continue to be higher than the rates reported in CDC-NSHN ICUs representing the developed world, we have observed a significant trend toward the reduction of DA-HAI rates in INICC ICUs as shown in each international report. It is INICC's main goal to continue facilitating education, training, and basic and cost-effective tools and resources, such as standardized forms and an online platform, to tackle this problem effectively and systematically