558 research outputs found
Rapid serodiagnosis of Staphylococcus aureus surgical site infection following median sternotomy
Objectives: To determine the sensitivity and specificity of a novel ELISA for the serodiagnosis of surgical site infection (SSI) due to staphylococci following median sternotomy. Methods: Twelve patients with a superficial sternal SSI and 19 with a deep sternal SSI due to Staphylococcus aureus were compared with 37 control patients who also underwent median sternotomy for cardiac surgery but exhibited no microbiological or clinical symptoms of infection. A further five patients with sternal SSI due to coagulase-negative (CoNS) staphylococci were studied. An ELISA incorporating a recently recognised exocellular short chain form of lipoteichoic acid (lipid S) recovered from CoNS, was used to determine serum levels of anti-lipid S IgG in all patient groups. Results: Serum anti-lipid S IgG titres of patients with sternal SSI due to S. aureus were significantly higher than the control patients (P<0.0001). In addition, patients with deep sternal SSI had significantly higher serum anti-lipid S IgG titres than patients with superficial sternal SSI (P=0.03). Serum anti-lipid S IgG titres of patients with sternal SSI due to CoNS were significantly higher than the control patients (P=0.001). Conclusion: The lipid S ELISA may facilitate the diagnosis of sternal SSI due to S. aureus and could also be of value with infection due to CoNS. © 2005 Published by Elsevier Ltd. on behalf of The Bristish Infection Society
Staphylococcus aureus nasal colonization in HIV-seropositive and HIV-seronegative drug users
Nasal colonization plays an important role in the pathogenesis of Staphylococcus aureus infections. To identify characteristics associated with colonization, we studied a cross-section of a well-described cohort of HIV-seropositive and -seronegative active and former drug users considered at risk for staphylococcal infections. Sixty percent of the 217 subjects were Hispanic, 36% were women, 25% actively used injection drugs, 23% actively used inhalational drugs, 23% received antibiotics, and 35% were HIV-seropositive. Forty-one percent of subjects had positive nasal cultures for S. aureus. The antibiotic susceptibility patterns were similar to the local hospital's outpatient isolates and no dominant strain was identified by arbitrarily primed polymerase chain reaction (AB-PCR). Variables significantly and independently associated with colonization included antibiotic use (odds ratio [OR] = 0.37; confidence interval [CI] = 0.18-0.77), active inhalational drug use within the HIV-seropositive population (OR = 2.36; CI = 1.10-5.10) and female gender (OR = 1.97; CI = 1.09-3.57). Characteristics not independently associated included injection drug use, HIV status, and CD4 count. The association with active inhalational drug use, a novel finding, may reflect alterations in the integrity of the nasal mucosa. The lack of association between HIV infection and S. aureus colonization, which is contrary to most previous studies, could be explained by our rigorous control for confounding variables or by a limited statistical power due to the sample sizes
Mode-hop-free tuning over 135 GHz of external cavity diode lasers without anti-reflection coating
We report an external cavity diode laser (ECDL), using a diode whose front
facet is not antireflection (AR) coated, that has a mode-hop-free (MHF) tuning
range greater than 135 GHz. We achieved this using a short external cavity and
by simultaneously tuning the internal and external modes of the laser. We find
that the precise location of the pivot point of the grating in our laser is
less critical than commonly believed. The general applicability of the method,
combined with the compact portable mechanical and electronic design, makes it
well suited for both research and industrial applications.Comment: 5 pages, 5 figure
Iodine status in western Kenya: a community-based cross-sectional survey of urinary and drinking water iodine concentrations
Spot urinary iodine concentrations (UIC) are presented for 248 individuals from western Kenya with paired drinking water collected between 2016 and 2018. The median UIC was 271 µg L−1, ranging from 9 to 3146 µg L−1, unadjusted for hydration status/dilution. From these data, 12% were potentially iodine deficient ( 300 µg L−1). The application of hydration status/urinary dilution correction methods was evaluated for UICs, using creatinine, osmolality and specific gravity. The use of specific gravity correction for spot urine samples to account for hydration status/urinary dilution presents a practical approach for studies with limited budgets, rather than relying on unadjusted UICs, 24 h sampling, use of significantly large sample size in a cross-sectional study and other reported measures to smooth out the urinary dilution effect. Urinary corrections did influence boundary assessment for deficiency–sufficiency–excess for this group of participants, ranging from 31 to 44% having excess iodine intake, albeit for a study of this size. However, comparison of the correction methods did highlight that 22% of the variation in UICs was due to urinary dilution, highlighting the need for such correction, although creatinine performed poorly, yet specific gravity as a low-cost method was comparable to osmolality corrections as the often stated ‘gold standard’ metric for urinary concentration. Paired drinking water samples contained a median iodine concentration of 3.2 µg L−1 (0.2–304.1 µg L−1). A weak correlation was observed between UIC and water-I concentrations (R = 0.11)
Stripes, Pseudogaps, and Van Hove Nesting in the Three-band tJ Model
Slave boson calculations have been carried out in the three-band tJ model for
the high-T_c cuprates, with the inclusion of coupling to oxygen breathing mode
phonons. Phonon-induced Van Hove nesting leads to a phase separation between a
hole-doped domain and a (magnetic) domain near half filling, with long-range
Coulomb forces limiting the separation to a nanoscopic scale. Strong
correlation effects pin the Fermi level close to, but not precisely at the Van
Hove singularity (VHS), which can enhance the tendency to phase separation. The
resulting dispersions have been calculated, both in the uniform phases and in
the phase separated regime. In the latter case, distinctly different
dispersions are found for large, random domains and for regular (static)
striped arrays, and a hypothetical form is presented for dynamic striped
arrays. The doping dependence of the latter is found to provide an excellent
description of photoemission and thermodynamic experiments on pseudogap
formation in underdoped cuprates. In particular, the multiplicity of observed
gaps is explained as a combination of flux phase plus charge density wave (CDW)
gaps along with a superconducting gap. The largest gap is associated with VHS
nesting. The apparent smooth evolution of this gap with doping masks a
crossover from CDW-like effects near optimal doping to magnetic effects (flux
phase) near half filling. A crossover from large Fermi surface to hole pockets
with increased underdoping is found. In the weakly overdoped regime, the CDW
undergoes a quantum phase transition (), which could be obscured
by phase separation.Comment: 15 pages, Latex, 18 PS figures Corrects a sign error: major changes,
esp. in Sect. 3, Figs 1-4,6 replace
Electron Spin Relaxation in a Semiconductor Quantum Well
A fully microscopic theory of electron spin relaxation by the
D'yakonov-Perel' type spin-orbit coupling is developed for a semiconductor
quantum well with a magnetic field applied in the growth direction of the well.
We derive the Bloch equations for an electron spin in the well and define
microscopic expressions for the spin relaxation times. The dependencies of the
electron spin relaxation rate on the lowest quantum well subband energy,
magnetic field and temperature are analyzed.Comment: Revised version as will appear in Physical Review
Van Hove Excitons and High-T Superconductivity: VIIIC Dynamic Jahn-Teller Effects vs Spin-Orbit Coupling in the LTO Phase of LaSrCuO
The possible role of the van Hove singularity (vHs) in stabilizing the
low-temperature orthorhombic (LTO) phase transition in
La\-Sr\-CuO (LSCO) is discussed. It is found that the vHs can
drive a structural distortion in two different ways, either due to spin-orbit
coupling or to dynamic Jahn-Teller (JT) effects. This paper discusses the
latter effect in some detail. It is shown that a model Hamiltonian introduced
earlier to describe the coupled electron -- octahedral tilt motions (`cageons')
has a series of phase transitions, from a high-temperature disordered JT phase
(similar to the high-temperature tetragonal phase of LSCO) to an intermediate
temperature dynamic JT phase, of average orthorhombic symmetry (the LTO phase)
to a low temperature static JT phase (the low temperature tetragonal phase).
For some parameter values, the static JT phase is absent.Comment: 28 pages plain TeX, 14 figures available upon request,
NU-MARKIEWIC-93-0
Lifespan theorem for constrained surface diffusion flows
We consider closed immersed hypersurfaces in and evolving by
a class of constrained surface diffusion flows. Our result, similar to earlier
results for the Willmore flow, gives both a positive lower bound on the time
for which a smooth solution exists, and a small upper bound on a power of the
total curvature during this time. By phrasing the theorem in terms of the
concentration of curvature in the initial surface, our result holds for very
general initial data and has applications to further development in asymptotic
analysis for these flows.Comment: 29 pages. arXiv admin note: substantial text overlap with
arXiv:1201.657
Special fast diffusion with slow asymptotics. Entropy method and flow on a Riemannian manifold
We consider the asymptotic behaviour of positive solutions of the
fast diffusion equation
posed for x\in\RR^d, , with a precise value for the exponent
. The space dimension is so that , and even
for . This case had been left open in the general study \cite{BBDGV} since
it requires quite different functional analytic methods, due in particular to
the absence of a spectral gap for the operator generating the linearized
evolution.
The linearization of this flow is interpreted here as the heat flow of the
Laplace-Beltrami operator of a suitable Riemannian Manifold (\RR^d,{\bf g}),
with a metric which is conformal to the standard \RR^d metric.
Studying the pointwise heat kernel behaviour allows to prove {suitable
Gagliardo-Nirenberg} inequalities associated to the generator. Such
inequalities in turn allow to study the nonlinear evolution as well, and to
determine its asymptotics, which is identical to the one satisfied by the
linearization. In terms of the rescaled representation, which is a nonlinear
Fokker--Planck equation, the convergence rate turns out to be polynomial in
time. This result is in contrast with the known exponential decay of such
representation for all other values of .Comment: 37 page
Random field sampling for a simplified model of melt-blowing considering turbulent velocity fluctuations
In melt-blowing very thin liquid fiber jets are spun due to high-velocity air
streams. In literature there is a clear, unsolved discrepancy between the
measured and computed jet attenuation. In this paper we will verify numerically
that the turbulent velocity fluctuations causing a random aerodynamic drag on
the fiber jets -- that has been neglected so far -- are the crucial effect to
close this gap. For this purpose, we model the velocity fluctuations as vector
Gaussian random fields on top of a k-epsilon turbulence description and develop
an efficient sampling procedure. Taking advantage of the special covariance
structure the effort of the sampling is linear in the discretization and makes
the realization possible
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