762 research outputs found

    Pola Bakteri Pada Urin Pasien Yang Menggunakan Kateter Uretra Di Instalasi Rawat Inap Rsup Prof. Dr. R. D. Kandou Manado

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    : One of the most common nosocomial infection is urinary tract infection (UTI); 80% of cases are associated with the use of urethral catheters. The most common pathogens are Escherichia coli, Enterococcus, Klebsiella, Pseudomonas, Proteus, and Enterobacter species. Bacteria patterns could change from time to time and from area to area. This study aimed to obtain the bacteria pattern in urine of patients using urethral catheter.This was a descriptive prospective study. There were 20 urine samples from November 2013 until January 2014 in IRINA RSUP Prof Dr RD Kandous Manado. The results showed that age >60 years was the most common age group (41.8%). Males (84.9%) were predominantly affected in this study. Staphylococcus epidermidis was found in 20% of samples, followed by several other bacteria. Conclusion: The most affected age group using urethral catheter with bacteriuria was over 60 years, more frequent in males, and the most common pathogen was Staphylococcus epidermidis

    Photo-desorption of H2O:CO:NH3 circumstellar ice analogs: Gas-phase enrichment

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    We study the photo-desorption occurring in H2_2O:CO:NH3_3 ice mixtures irradiated with monochromatic (550 and 900 eV) and broad band (250--1250 eV) soft X-rays generated at the National Synchrotron Radiation Research Center (Hsinchu, Taiwan). We detect many masses photo-desorbing, from atomic hydrogen (m/z = 1) to complex species with m/z = 69 (e.g., C3_3H3_3NO, C4_4H5_5O, C4_4H7_7N), supporting the enrichment of the gas phase. At low number of absorbed photons, substrate-mediated exciton-promoted desorption dominates the photo-desorption yield inducing the release of weakly bound (to the surface of the ice) species; as the number of weakly bound species declines, the photo-desorption yield decrease about one order of magnitude, until porosity effects, reducing the surface/volume ratio, produce a further drop of the yield. We derive an upper limit to the CO photo-desorption yield, that in our experiments varies from 1.4 to 0.007 molecule photon1^{-1} in the range 10151020\sim 10^{15} - 10^{20}~absorbed photons cm2^{-2}. We apply these findings to a protoplanetary disk model irradiated by a central T~Tauri star

    Accretion and photodesorption of CO ice as a function of the incident angle of deposition

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    Non-thermal desorption of inter- and circum-stellar ice mantles on dust grains, in particular ultraviolet photon-induced desorption, has gained importance in recent years. These processes may account for the observed gas phase abundances of molecules like CO toward cold interstellar clouds. Ice mantle growth results from gas molecules impinging on the dust from all directions and incidence angles. Nevertheless, the effect of the incident angle for deposition on ice photo-desorption rate has not been studied. This work explores the impact on the accretion and photodesorption rates of the incidence angle of CO gas molecules with the cold surface during deposition of a CO ice layer. Infrared spectroscopy monitored CO ice upon deposition at different angles, ultraviolet-irradiation, and subsequent warm-up. Vacuum-ultraviolet spectroscopy and a Ni-mesh measured the emission of the ultraviolet lamp. Molecules ejected from the ice to the gas during irradiation or warm-up were characterized by a quadrupole mass spectrometer. The photodesorption rate of CO ice deposited at 11 K and different incident angles was rather stable between 0 and 45^{\circ}. A maximum in the CO photodesorption rate appeared around 70^{\circ}-incidence deposition angle. The same deposition angle leads to the maximum surface area of water ice. Although this study of the surface area could not be performed for CO ice, the similar angle dependence in the photodesorption and the ice surface area suggests that they are closely related. Further evidence for a dependence of CO ice morphology on deposition angle is provided by thermal desorption of CO ice experiments

    Micro-PIXE (Particle-Induced X-Ray Emission Analysis) Applications in Minerals Research

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    The versatility of the PIXE method with microbeams of protons as a non-destructive, in-situ probe for trace element analysis in the geosciences has been demonstrated in an ever increasing number of cases. While in most applications the method can be considered as derivative or as an extension of electron microprobe methodology, features unique to the proton microprobe enable new approaches to hitherto intractable problems of analysis. An appropriate niche has been established in igneous mineralogy and petrology, with important implications both in the basic geosciences as well as mineral industry applications, particularly in the diamond exploration industry. This paper reviews recent advances and discusses the advantages and limitations of current micro-PIXE applications in the geosciences in view of other competing and complimentary methods

    Identification of oral clefts as a risk factor for hearing loss during newborn hearing screening

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    Objective: This study assessed whether children with oral clefts are appropriately classified as at-risk for hearing loss at the time of newborn hearing screening and describes their screening and diagnostic results. Design: Birth certificates were used to identify children with cleft lip and palate or isolated cleft palate born in Washington State from 2008–2013. These were cross-referenced with the state’s Early Hearing Detection, Diagnosis and Intervention (EHDDI) database. Multivariate logistic regression was used to examine associations. Results: Birth records identified 235 children with cleft lip and palate and 116 with isolated cleft palate. Six children were listed as having both diagnoses. Only 138 (39%) of these children were designated as having a craniofacial anomaly in the EHDDI database. Children who were misclassified were less likely to have referred on initial hearing screening, OR 0.3, 95% CI [0.2, 0.5]. Misclassification of risk factor status was also associated with delayed hearing screening past 30 days of age or unknown age at screening, OR 4.4, 95% CI [1.5, 13.3], p = 0.008. Of 50 children with diagnostic results; 25 (50%) had hearing loss: 18 conductive, 2 mixed, and 5 unspecified. Conclusion: A majority of children with oral clefts were misclassified regarding risk factor for hearing loss in the EHDDI database

    Müllerian Serous Cystadenoma of the Scrotum Following Orchiopexy

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    A 24-year-old man presented himself with a nodular lesion of about 1 cm diameter at the site of a previous orchiopexy associated with surgery for cryptorchism. Histopathology revealed the lesion to be adenomatous and confined to the scrotum. Histological and immunohistological features were not consistent neither with median raphe cysts or cutaneous adenomas nor with the intrascrotal adenomas of the rete testis, epididymis, nor with (malignant) mesotheliomas. However, the lesion did compare well with serous (papillary) cystadenomas of the testis or paratestis. These adenomas are thought to originate in remnants of the Müllerian system or of peritoneal lining altered by Müllerian metaplasia. This implies that the scrotal adenoma may have developed from an implant of such elements during orchiopexy 14 years ago. Complete excision of the lesion appears to be an adequate therapy

    Population Hemoglobin Mean and Anemia Prevalence in Papua New Guinea: New Metrics for Defining Malaria Endemicity?

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    The hypothesis is that hemoglobin-based metrics are useful tools for estimating malaria endemicity and for monitoring malaria control strategies. The aim of this study is to compare population hemoglobin mean and anemia prevalence to established indicators of malaria endemicity, including parasite rates, rates of enlarged spleens in children, and records of (presumptive) malaria diagnosis among populations living with different levels of malaria transmission. Convenience sample, multisite cross-sectional household surveys conducted in Papua New Guinea. Correlations (r(2)) between population Hb mean and anemia prevalence and altitude, parasite rate, and spleen rate were investigated in children ages 2 to 10 years, and in the general population; 21,664 individuals from 156 different communities were surveyed. Altitude ranged from 5 to 2120 meters. In young children, correlations between altitude and parasite rate, population Hb mean, anemia prevalence, and spleen rate were high (r(2): -0.77, 0.73, -0.81, and -0.68; p<0.001). In the general population, correlations between altitude and population Hb mean and anemia prevalence were 0.83 and 0.85, respectively. Among young children, parasite rate correlated highly with anemia prevalence, population Hb mean, and spleen rate (r(2): 0.81, -0.81, and 0.86; p<0.001). Population Hb mean (corrected for direct altitude effects) increased with altitude, from 10.5 g/dl at <500 m to 12.8 g/dl at >1500 m (p<0.001). In PNG, where Plasmodium vivax accounts for an important part of all malaria infections, population hemoglobin mean and anemia prevalence correlate well with altitude, parasite, and spleen rates. Hb measurement is simple and affordable, and may be a useful new tool, alone or in association with other metrics, for estimating malaria endemicity and monitoring effectiveness of malaria control programs. Further prospective studies in areas with different malaria epidemiology and different factors contributing to the burden of anemia are warranted to investigate the usefulness of Hb metrics in monitoring malaria transmission intensity

    The key parameters controlling the photodesorption yield in interstellar CO ice analogs: Influence of ice deposition temperature and thickness

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    The overabundance of gas molecules in the coldest regions of space point to a non-thermal desorption process. Laboratory simulations show an efficient desorption of CO ice exposed to ultraviolet radiation, known as photodesorption, which decreases for increasing ice deposition temperature. However, the understanding of this abnormal phenomenon has remained elusive. In this work we show the same phenomenon, and in particular, a dramatic drop in the photodesorption yield is observed when the deposition temperature is 19 K and higher. Also the minimum ice thickness that accounts for a constant photodesorption yield of CO ice is deposition temperature dependent, an observation reported here for the first time. We propose that the key parameters that dominate the absorbed photon energy transfer in CO ice, and contribute to the measured photodesorption yields are the energy transfer length, single ice layer contributed desorption yield, and relative effective surface area. This set of parameters should be incorporated in astrophysical models that simulate photodesorption of the top CO-rich ice layer on icy dust populations with the size distribution which is ice thickness related.Comment: 8 pages, 4 figure
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