Occurrence of refeeding syndrome in adults started on artificial nutrition support: prospective cohort study

This final article is available for use under the terms of the Creative Commons Attribution Non-Commercial 2.0 Licence; see http://bmjopen.bmj.comRefeeding syndrome is a potentially life-threatening condition characterised by severe intracellular electrolyte shifts, acute circulatory fluid overload and organ failure. The initial symptoms are non-specific but early clinical features are severely low-serum electrolyte concentrations of potassium, phosphate or magnesium. Risk factors for the syndrome include starvation, chronic alcoholism, anorexia nervosa and surgical interventions that require lengthy periods of fasting. The causes of the refeeding syndrome are excess or unbalanced enteral, parenteral or oral nutritional intake. Prevention of the syndrome includes identification of individuals at risk, controlled hypocaloric nutritional intake and supplementary electrolyte replacementPeer reviewedFinal Published versio

The Initial Mass Function of the Orion Nebula Cluster across the H-burning limit

We present a new census of the Orion Nebula Cluster (ONC) over a large field of view (>30'x30'), significantly increasing the known population of stellar and substellar cluster members with precisely determined properties. We develop and exploit a technique to determine stellar effective temperatures from optical colors, nearly doubling the previously available number of objects with effective temperature determinations in this benchmark cluster. Our technique utilizes colors from deep photometry in the I-band and in two medium-band filters at lambda~753 and 770nm, which accurately measure the depth of a molecular feature present in the spectra of cool stars. From these colors we can derive effective temperatures with a precision corresponding to better than one-half spectral subtype, and importantly this precision is independent of the extinction to the individual stars. Also, because this technique utilizes only photometry redward of 750nm, the results are only mildly sensitive to optical veiling produced by accretion. Completing our census with previously available data, we place some 1750 sources in the Hertzsprung-Russel diagram and assign masses and ages down to 0.02 solar masses. At faint luminosities, we detect a large population of background sources which is easily separated in our photometry from the bona fide cluster members. The resulting initial mass function of the cluster has good completeness well into the substellar mass range, and we find that it declines steeply with decreasing mass. This suggests a deficiency of newly formed brown dwarfs in the cluster compared to the Galactic disk population.Comment: 16 pages, 18 figures. Accepted for publication in The Astrophysical Journa

Scalable Peer-to-Peer Streaming for Live Entertainment Content

We present a system for streaming live entertainment content over the Internet originating from a single source to a scalable number of consumers without resorting to centralized or provider-provisioned resources. The system creates a peer-to-peer overlay network, which attempts to optimize use of existing capacity to ensure quality of service, delivering low startup delay and lag in playout of the live content. There are three main aspects of our solution: first, a swarming mechanism that constructs an overlay topology for minimizing propagation delays from the source to end consumers; second, a distributed overlay anycast system that uses a location-based search algorithm for peers to quickly find the closest peers in a given stream; and finally, a novel incentive mechanism that encourages peers to donate capacity even when the user is not actively consuming content

An HST Imaging Survey of Low-Mass Stars in the Chamaeleon I Star Forming region

We present new HST/WFPC2 observations of 20 fields centered around T Tauri stars in the Chamaeleon I star forming region. Images have been obtained in the F631N ([OI]6300A), F656N (Ha) and F673N ([SII]6716A+6731A) narrow-band filters, plus the Johnson V-band equivalent F547M filter. We detect 31 T Tauri stars falling within our fields. We discuss the optical morphology of 10 sources showing evidence of either binarity, circumstellar material, or mass loss. We supplement our photometry with a compilation of optical, infrared and sub-millimeter data from the literature, together with new sub-mm data for three objects, to build the Spectral Energy Distributions (SED) of 19 single sources. Using an SED model fitting tool, we self-consistently estimate a number of stellar and disk parameters, while mass accretion rates are directly derived from our Ha photometry. We find that bolometric luminosities derived from dereddened optical data tend to be underestimated in systems with high alpha(2-24} IR spectral index, suggesting that disks seen nearly edge-on may occasionally be interpreted as low luminosity (and therefore more evolved) sources. On the other hand, the same alpha(2-24) spectral index, a tracer of the amount of dust in the warmer layers of the circumstellar disks, and the mass accretion rate appear to decay with the isocronal stellar age, suggesting that the observed age spread (~0.5-5 Myr) within the cluster is real. Our sample contains a few outliers that may have dissipated their circumstellar disks on shorter time-scale.Comment: to appear on Astronomical Journal, accepted April 16, 2012 (AJ-10740

Organic Carbon Burial following the Middle Eocene Climatic Optimum (MECO) in the central - western Tethys

We present trace metal geochemistry and stable isotope records for the middle Eocene Alano di Piave section, NE Italy, deposited during magnetochron C18n in the marginal Tethys Ocean. We identify a $\sim$ 500 kyr long carbon isotope perturbation event we infer to be the middle Eocene Climatic Optimum (MECO) confirming the northern hemisphere expression and global occurrence of MECO. Interpreted peak climatic conditions are followed by the rapid deposition of two organic rich intervals ($\le$3\% TOC) and contemporaneous positive $\delta^{13}$C excursions. These two intervals are associated with increases in the concentration of sulphur and redox-sensitive trace metals, and low concentrations of Mn, as well as coupled with the occurrence of pyrite. Together these changes imply low, possibly dysoxic, bottom water O$_{2}$ conditions promoting increased organic carbon burial. We hypothesize that this rapid burial of organic carbon lowered global {\it p}CO$_{2}$ following the peak warming and returned the climate system to the general Eocene cooling trend