Hairy Leukoplakia

Oral hairy leukoplakia (OHL) is a disease of the mucosa first described in 1984. This pathology is associated with Epstein-Barr virus (EBV) and occurs mostly in people with HIV infection, both immunocompromised and immunocompetent, and can affect patients who are HIV negative. [1, 2] The first case in an HIV-negative patient was reported in 1999 in a 56-year-old patient with acute lymphocytic leukemia. Later, many cases were reported in heart, kidney, and bone marrow transplant recipients and patients with hematological malignancies. [3, 4

Simple model for decay of superdeformed nuclei

Recent theoretical investigations of the decay mechanism out of a superdeformed nuclear band have yielded qualitatively different results, depending on the relative values of the relevant decay widths. We present a simple two-level model for the dynamics of the tunneling between the superdeformed and normal-deformed bands, which treats decay and tunneling processes on an equal footing. The previous theoretical results are shown to correspond to coherent and incoherent limits of the full tunneling dynamics. Our model accounts for experimental data in both the A~150 mass region, where the tunneling dynamics is coherent, and in the A~190 mass region, where the tunneling dynamics is incoherent.Comment: 4 page

Reactivity of dolomitizing fluids and Mg source evaluation of fault-controlled dolomitization at the Benicàssim outcrop analogue (Maestrat Basin, E Spain)

Peer reviewedPostprin

Canyon Depth Effect on Surface Ground Motion

Topographic effects are rarely accounted for in seismic design codes, despite their potential to significantly modify surface ground motions. This paper investigates the influence of a canyon’s slope height on the surface ground motion through a parametric time-domain Finite Element (FE) study. A two-dimensional plane-strain model of an idealised canyon is considered for vertically propagating SV waves, using wavelets as input excitation. The model consists of two step-like slopes with slope height (H), in a homogeneous linear elastic soil layer overlying rigid bedrock. The analysis results show that the distribution of topographic aggravation at the ground surface varies significantly with normalized canyon depth over the input wavelength (H/λ) and it does not necessarily reach a maximum at a specific H/λ ratio, as has been suggested in previous studies. The validity of this conclusion is investigated for different depths to bedrock and soil layer properties

Stability of Metal Nanowires at Ultrahigh Current Densities

We develop a generalized grand canonical potential for the ballistic nonequilibrium electron distribution in a metal nanowire with a finite applied bias voltage. Coulomb interactions are treated in the self-consistent Hartree approximation, in order to ensure gauge invariance. Using this formalism, we investigate the stability and cohesive properties of metallic nanocylinders at ultrahigh current densities. A linear stability analysis shows that metal nanowires with certain {\em magic conductance values} can support current densities up to 10^11 A/cm^2, which would vaporize a macroscopic piece of metal. This finding is consistent with experimental studies of gold nanowires. Interestingly, our analysis also reveals the existence of reentrant stability zones--geometries that are stable only under an applied bias.Comment: 12 pages, 6 figures, version published in PR

The effect of adding comorbidities to current centers for disease control and prevention central-line–associated bloodstream infection risk-adjustment methodology

BACKGROUNDRisk adjustment is needed to fairly compare central-line–associated bloodstream infection (CLABSI) rates between hospitals. Until 2017, the Centers for Disease Control and Prevention (CDC) methodology adjusted CLABSI rates only by type of intensive care unit (ICU). The 2017 CDC models also adjust for hospital size and medical school affiliation. We hypothesized that risk adjustment would be improved by including patient demographics and comorbidities from electronically available hospital discharge codes.METHODSUsing a cohort design across 22 hospitals, we analyzed data from ICU patients admitted between January 2012 and December 2013. Demographics and International Classification of Diseases, Ninth Edition, Clinical Modification (ICD-9-CM) discharge codes were obtained for each patient, and CLABSIs were identified by trained infection preventionists. Models adjusting only for ICU type and for ICU type plus patient case mix were built and compared using discrimination and standardized infection ratio (SIR). Hospitals were ranked by SIR for each model to examine and compare the changes in rank.RESULTSOverall, 85,849 ICU patients were analyzed and 162 (0.2%) developed CLABSI. The significant variables added to the ICU model were coagulopathy, paralysis, renal failure, malnutrition, and age. The C statistics were 0.55 (95% CI, 0.51–0.59) for the ICU-type model and 0.64 (95% CI, 0.60–0.69) for the ICU-type plus patient case-mix model. When the hospitals were ranked by adjusted SIRs, 10 hospitals (45%) changed rank when comorbidity was added to the ICU-type model.CONCLUSIONSOur risk-adjustment model for CLABSI using electronically available comorbidities demonstrated better discrimination than did the CDC model. The CDC should strongly consider comorbidity-based risk adjustment to more accurately compare CLABSI rates across hospitals.Infect Control Hosp Epidemiol 2017;38:1019–1024</jats:sec

The Order of Phase Transitions in Barrier Crossing

A spatially extended classical system with metastable states subject to weak spatiotemporal noise can exhibit a transition in its activation behavior when one or more external parameters are varied. Depending on the potential, the transition can be first or second-order, but there exists no systematic theory of the relation between the order of the transition and the shape of the potential barrier. In this paper, we address that question in detail for a general class of systems whose order parameter is describable by a classical field that can vary both in space and time, and whose zero-noise dynamics are governed by a smooth polynomial potential. We show that a quartic potential barrier can only have second-order transitions, confirming an earlier conjecture [1]. We then derive, through a combination of analytical and numerical arguments, both necessary conditions and sufficient conditions to have a first-order vs. a second-order transition in noise-induced activation behavior, for a large class of systems with smooth polynomial potentials of arbitrary order. We find in particular that the order of the transition is especially sensitive to the potential behavior near the top of the barrier.Comment: 8 pages, 6 figures with extended introduction and discussion; version accepted for publication by Phys. Rev.

Quantum Necking in Stressed Metallic Nanowires

When a macroscopic metallic wire is subject to tensile stress, it necks down smoothly as it elongates. We show that nanowires with radii comparable to the Fermi wavelength display remarkably different behavior. Using concepts from fluid dynamics, a PDE for nanowire shape evolution is derived from a semiclassical energy functional that includes electron-shell effects. A rich dynamics involving movement and interaction of kinks connecting locally stable radii is found, and a new class of universal equilibrium shapes is predicted.Comment: 4 pages, 3 postscript figures. New result on universal equilibrium shape

Disorder and Interaction in 2D: Exact diagonalization study of the Anderson-Hubbard-Mott model

We investigate, by numerically calculating the charge stiffness, the effects of random diagonal disorder and electron-electron interaction on the nature of the ground state in the 2D Hubbard model through the finite size exact diagonalization technique. By comparing with the corresponding 1D Hubbard model results and by using heuristic arguments we conclude that it is \QTR{it}{unlikely} that there is a 2D metal-insulator quantum phase transition although the effect of interaction in some range of parameters is to substantially enhance the non-interacting charge stiffness.Comment: 13 pages, 2 figures Revised version. Accepted for publication in Phys. Rev. Let

Infectious Disease Risks to Transmigrant Communities in Indonesia : a Survey in Lampung Province, Sumatra

This study was supported in part by funds provided by the Indonesian Ministry of Health and The Naval Medical Research and Development Command, Navy Department for Work Unit MR041. 05-0052. The opinions and assertions contained herein are those of the authors and are not to be construed as official or as reflecting the views of the Indonesian Ministry of Health and the Navy De­partment or the Naval Service at large