New sepsis definition changes incidence of sepsis in the intensive care unit

Sepsis lacks pathognomonic clinical features and a definitive biochemical or histological diagnostic test. As a result, since 1992, diagnosis of sepsis has been based on the presence of two or more of the criteria characterising the systemic inflammatory response syndrome (SIRS) (Table 1) arising from suspected or proven infection. In response to data questioning this construct, new criteria redefining sepsis, based on the Sequential Organ Failure Assessment (SOFA) score, have been proposed: Sepsis-3 (Table 1). The epidemiological and clinical implications of adopting these new criteria are currently unknown. We aimed to estimate the impact of adopting SOFA-based diagnostic criteria for sepsis on the diagnosis and apparent mortality of sepsis in Australian and New Zealand intensive care units

Operative Experience of U.S. General Surgery Residents with Diseases of the Adrenal Glands, Endocrine Pancreas, and Other Less Common Endocrine Organs

Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/42407/1/268-20-7-885_20n7p885.pd

Time-distance analysis of the emerging active region NOAA 10790

We investigate the emergence of Active Region NOAA 10790 by means of time – distance helioseismology. Shallow regions of increased sound speed at the location of increased magnetic activity are observed, with regions becoming deeper at the locations of sunspot pores. We also see a long-lasting region of decreased sound speed located underneath the region of the flux emergence, possibly relating to a temperature perturbation due to magnetic quenching of eddy diffusivity, or to a dense flux tube. We detect and track an object in the subsurface layers of the Sun characterised by increased sound speed which could be related to emerging magnetic-flux and thus obtain a provisional estimate of the speed of emergence of around 1 km s−1

A System of Farm Steer Beef Production.

6 p

Magnetorotational collapse of massive stellar cores to neutron stars: Simulations in full general relativity

We study magnetohydrodynamic (MHD) effects arising in the collapse of magnetized, rotating, massive stellar cores to proto-neutron stars (PNSs). We perform axisymmetric numerical simulations in full general relativity with a hybrid equation of state. The formation and early evolution of a PNS are followed with a grid of 2500 x 2500 zones, which provides better resolution than in previous (Newtonian) studies. We confirm that significant differential rotation results even when the rotation of the progenitor is initially uniform. Consequently, the magnetic field is amplified both by magnetic winding and the magnetorotational instability (MRI). Even if the magnetic energy E_EM is much smaller than the rotational kinetic energy T_rot at the time of PNS formation, the ratio E_EM/T_rot increases to 0.1-0.2 by the magnetic winding. Following PNS formation, MHD outflows lead to losses of rest mass, energy, and angular momentum from the system. The earliest outflow is produced primarily by the increasing magnetic stress caused by magnetic winding. The MRI amplifies the poloidal field and increases the magnetic stress, causing further angular momentum transport and helping to drive the outflow. After the magnetic field saturates, a nearly stationary, collimated magnetic field forms near the rotation axis and a Blandford-Payne type outflow develops along the field lines. These outflows remove angular momentum from the PNS at a rate given by \dot{J} \sim \eta E_EM C_B, where \eta is a constant of order 0.1 and C_B is a typical ratio of poloidal to toroidal field strength. As a result, the rotation period quickly increases for a strongly magnetized PNS until the degree of differential rotation decreases. Our simulations suggest that rapidly rotating, magnetized PNSs may not give rise to rapidly rotating neutron stars.Comment: 28 pages, 20 figures, accepted for publication in Phys. Rev.

Non Degenerate Dual Atomic Parametric Amplifier: Entangled Atomic Fields

In this paper, we investigate the dynamics of two coupled quantum degenerate atomic fields (BEC) interacting with two classical optical fields in the nonlinear atom optics regime. Two photon interaction produces entangled atom-atom pairs which exhibit nonclassical correlations. Since the system involves the creation of two correlated atom pairs, we call it the nondegenerate dual atomic parametric amplifier.Comment: 5 figure

A Mercury Lander Mission Concept Study for the Next Decadal Survey

Mariner 10 provided our first closeup reconnaissance of Mercury during its three flybys in 1974 and 1975. MESSENGERs 20112015 orbital investigation enabled numerous discoveries, several of which led to substantial or complete changes in our fundamental understanding of the planet. Among these were the unanticipated, widespread presence of volatile elements (e.g., Na, K, S); a surface with extremely low Fe abundance whose darkening agent is likely C; a previously unknown landformhollows that may form by volatile sublimation from within rocks exposed to the harsh conditions on the surface; a history of expansive effusive and explosive volcanism; substantial radial contraction of the planet from interior cooling; offset of the dipole moment of the internal magnetic field northward from the geographic equator by ~20% of the planets radius; crustal magnetization, attributed at least in part to an ancient field; unexpected seasonal variability and relationships among exospheric species and processes; and the presence in permanently shadowed polar terrain of water ice and other volatile materials, likely to include complex organic compounds. Mercurys highly chemically reduced and unexpectedly volatile-rich composition is unique among the terrestrial planets and was not predicted by earlier hypotheses for the planets origin. As an end-member of terrestrial planet formation, Mercury holds unique clues about the original distribution of elements in the earliest stages of the Solar System and how planets (and exoplanets) form and evolve in close proximity to their host stars. The BepiColombo mission promises to expand our knowledge of this planet and to shed light on some of the mysteries revealed by the MESSENGER mission. However, several fundamental science questions raised by MESSENGERs pioneering exploration of Mercury can only be answered with in situ measurements from the planets surface

Nonextensive Thermostatistics and the H-Theorem

The kinetic foundations of Tsallis' nonextensive thermostatistics are investigated through Boltzmann's transport equation approach. Our analysis follows from a nonextensive generalization of the ``molecular chaos hypothesis". For $q>0$, the $q$-transport equation satisfies an $H$-theorem based on Tsallis entropy. It is also proved that the collisional equilibrium is given by Tsallis' $q$-nonextensive velocity distribution.Comment: 4 pages, no figures, corrected some typo