Programmed schedule holds for improving launch vehicle holds

Baseline definition and system optimization are used for the analysis of programmed holds developed through prelaunch system analysis. Identification of design specifications for ground support equipment and maintenance concepts, and design specifications are used to describe the functional utilization of the overall flow process

Non-linear IVIV characteristics in two-dimensional superconductors: Berezinskii-Kosterlitz-Thouless physics vs inhomogeneity

One of the hallmarks of the Berezinskii-Kosterlitz-Thouless (BKT) transition in two-dimensional (2D) superconductors is the universal jump of the superfluid density, that can be indirectly probed via the non-linear exponent of the current-voltage $IV$ characteristics. Here, we compare the experimental measurements of $IV$ characteristics in two cases, namely NbN thin films and SrTiO$_3$-based interfaces. While the former display a paradigmatic example of BKT-like non-linear effects, the latter do not seem to justify a BKT analysis. Rather, the observed $IV$ characteristics can be well reproduced theoretically by modelling the effect of mesoscopic inhomogeneity of the superconducting state. Our results offer an alternative perspective on the spontaneous fragmentation of the superconducting background in confined 2D systems.Comment: Final version, as publishe

Persistent systemic microbial translocation, inflammation, and intestinal damage during Clostridioides difficile infection

Background. Clostridioides difficile infection (CDI) might be complicated by the development of nosocomial bloodstream infection (n-BSI). Based on the hypothesis that alteration of the normal gut integrity is present during CDI, we evaluated markers of microbial translocation, inflammation, and intestinal damage in patients with CDI. Methods. Patients with documented CDI were enrolled in the study. For each subject, plasma samples were collected at T0 and T1 (before and after CDI therapy, respectively), and the following markers were evaluated: lipopolysaccharide-binding protein (LPB), EndoCab IgM, interleukin-6, intestinal fatty acid binding protein (I-FABP). Samples from nonhospitalized healthy controls were also included. The study population was divided into BSI+/BSI- and fecal microbiota transplantation (FMT) +/FMT- groups, according to the development of n-BSI and the receipt of FMT, respectively. Results. Overall, 45 subjects were included; 8 (17.7%) developed primary n-BSI. Markers of microbial translocation and intestinal damage significantly decreased between T0 and T1, however, without reaching values similar to controls (P < .0001). Compared with BSI-, a persistent high level of microbial translocation in the BSI+ group was observed. In the FMT+ group, markers of microbial translocation and inflammation at T1 tended to reach control values. Conclusions. CDI is associated with high levels of microbial translocation, inflammation, and intestinal damage, which are still present at clinical resolution of CDI. The role of residual mucosal perturbation and persistence of intestinal cell damage in the development of n-BSI following CDI, as well as the possible effect of FMT in the restoration of mucosal integrity, should be further investigated

Mini-extracorporeal circulation minimizes coagulation abnormalities and ameliorates pulmonary outcome in coronary artery bypass grafting surgery

Hemostasis is impaired during CABG and coagulation abnormalities often result in clinically relevant organ dysfunctions, eventually increasing morbidity and mortality rates. Fifteen consecutive patients with coronary artery disease submitted to conventional extracorporeal circulation (cECC) have been compared with 15 matched patients, using mini-ECC (MECC). Postoperative lung function was evaluated according to gas exchange, intubation time and lung injury score. In the MECC group, thrombin-antithrombin complex levels (TaTc), prothrombin fragments (PF1+2) formation and thromboelastography (TEG) clotting times were lower compared to the cECC group (p=0.002 and p<0.001, respectively) whereas postoperative blood loss was higher in the cECC group (p=0.030) and more patients required blood transfusion (p=0.020). In the MECC group, postoperative gas exchange values were better, intubation time shorter and lung injury score lower (p<0.001 for all comparisons). Our study suggests that MECC induces less coagulation disorders, leading to lower postoperative blood loss and better postoperative lung function. This approach may be advantageous in high-risk patients. © The Author(s) 2013

Entrainment and suspension of sand and gravel

The entrainment and suspension of sand and gravel are important for the evolution of rivers, deltas, coastal areas, and submarine fans. The prediction of a vertical profile of suspended sediment concentration typically consists of assessing (1) the concentration near the bed using an entrainment relation and (2) the upward vertical distribution of sediment in the water column. Considerable uncertainty exists in regard to both of these steps, especially the near-bed concentration. Most entrainment relations have been tested against limited grain-size-specific data, and no relations have been evaluated for gravel suspension, which can be important in bedrock and mountain rivers. To address these issues, we compiled a database with suspended sediment data from natural rivers and flume experiments, taking advantage of the increasing availability of high-resolution grain size measurements. We evaluated 12 dimensionless parameters that may determine entrainment and suspension relations and applied multivariate regression analysis. A best-fit two-parameter equation (r² = 0.79) shows that near-bed entrainment, evaluated at 10 % of the flow depth, decreases with the ratio of settling velocity to skin-friction shear velocity (w_(si)/u_(∗ skin)), as in previous relations, and increases with Froude number (Fr), possibly due to its role in determining bedload-layer concentrations. We used the Rouse equation to predict concentration upward from the reference level and evaluated the coefficient β_i, which accounts for differences in the turbulent diffusivity of sediment from the parabolic eddy viscosity model used in the Rouse derivation. The best-fit relation for β_i (r² = 0.40) indicates greater relative sediment diffusivities for rivers with greater flow resistance, possibly due to bedform-induced turbulence, and larger w_(si)/u_(∗ skin); the latter dependence is nonlinear and therefore different from standard Rouse theory. In addition, we used empirical relations for gravel saltation to show that our relation for near-bed concentration also provides good predictions for coarse-grained sediment. The new relations extend the calibrated parameter space over a wider range in sediment sizes and flow conditions compared to previous work and result in 95 % of concentration data throughout the water column predicted within a factor of 9

Entrainment and suspension of sand and gravel

The entrainment and suspension of sand and gravel are important for the evolution of rivers, deltas, coastal areas, and submarine fans. The prediction of a vertical profile of suspended sediment concentration typically consists of assessing (1) the concentration near the bed using an entrainment relation and (2) the upward vertical distribution of sediment in the water column. Considerable uncertainty exists in regard to both of these steps, especially the near-bed concentration. Most entrainment relations have been tested against limited grain-size-specific data, and no relations have been evaluated for gravel suspension, which can be important in bedrock and mountain rivers. To address these issues, we compiled a database with suspended sediment data from natural rivers and flume experiments, taking advantage of the increasing availability of high-resolution grain size measurements. We evaluated 12 dimensionless parameters that may determine entrainment and suspension relations and applied multivariate regression analysis. A best-fit two-parameter equation (r² = 0.79) shows that near-bed entrainment, evaluated at 10 % of the flow depth, decreases with the ratio of settling velocity to skin-friction shear velocity (w_(si)/u_(∗ skin)), as in previous relations, and increases with Froude number (Fr), possibly due to its role in determining bedload-layer concentrations. We used the Rouse equation to predict concentration upward from the reference level and evaluated the coefficient β_i, which accounts for differences in the turbulent diffusivity of sediment from the parabolic eddy viscosity model used in the Rouse derivation. The best-fit relation for β_i (r² = 0.40) indicates greater relative sediment diffusivities for rivers with greater flow resistance, possibly due to bedform-induced turbulence, and larger w_(si)/u_(∗ skin); the latter dependence is nonlinear and therefore different from standard Rouse theory. In addition, we used empirical relations for gravel saltation to show that our relation for near-bed concentration also provides good predictions for coarse-grained sediment. The new relations extend the calibrated parameter space over a wider range in sediment sizes and flow conditions compared to previous work and result in 95 % of concentration data throughout the water column predicted within a factor of 9

Ferulated Poly(vinyl alcohol) based hydrogels

New graft copolymers were prepared by reaction of poly (vinyl alcohol) (PVA) with mono-imidazolide or bis-imidazolide derivatives of ferulic acid (FA) with the formation of ester bonds. The obtained graft copolymers, thanks to the crosslinking capability of FA, formed in water strong gels as verified by rheological analyses. The resulting hydrogels were characterized to evaluate their applicability as wound dressing. In this perspective, their capability to absorb and retain a large amount of fluid without dissolving was verified by swelling kinetics and Moisture Vapour Transmission Rate measurements. Their stability towards mechanical solicitations was assessed by quantifying elasticity, compliance, stress-relaxation, and adhesivity properties. The analyses pointed out that hydrogel PVA-FA2-3 obtained by feruloylation of PVA with bis-imidazole derivative of ferulic acid using an acylation agent/polymer molar ratio 0.03/1 resulted the best candidate for the foreseen application

Association of coronary vessel characteristics with outcome in patients with percutaneous coronary interventions with incomplete revascularization

© 2017 American Medical Association. All rights reserved. IMPORTANCE Many studies have compared outcomes for incomplete revascularization (IR) among patients undergoing percutaneous coronary interventions (PCI), but little is known about whether outcomes are related to the nature of the IR. OBJECTIVE To determine whether some coronary vessel characteristics are associated with worse outcomes in patients with PCI with IR. DESIGN, SETTING, AND PARTICIPANTS New York\u27s PCI registrywas used to examine mortality (median follow-up, 3.4 years) as a function of the number of vessels that were incompletely revascularized, the stenosis in those vessels, and whether the proximal left anterior descending artery was incompletely revascularized after controlling for other factors associated with mortality for patients with and without ST-elevationmyocardial infarction (STEMI). This was a multicenter study (all nonfederal PCI hospitals in New York State) that included 41 639 New York residents with multivessel coronary artery disease undergoing PCI in New York State between January 1, 2010, and December 31, 2012. EXPOSURES Percutaneous coronary interventions, with complete and incomplete revascularization. MAIN OUTCOMES AND MEASURES Medium-term mortality. RESULTS For patients with STEMI, the mean age was 62.8 years; 26.2%were women, 11.9% were Hispanic, and 81.5%were white. For other patients, the mean age was 66.6 years, 29.1%were women, 11.3%were Hispanic, and 79.1%were white. Incomplete revascularization was very common (78%among patients with STEMI and 71%among other patients). Patients with IR in a vessel with at least 90% stenosis were at higher risk than other patients with IR. This was not significant among patients with STEMI (17.18%vs 12.86%; adjusted hazard ratio [AHR], 1.16; 95%CI, 0.99-1.37) and significant among patients without STEMI (17.71% vs 12.96%; AHR, 1.15; 95%CI, 1.07-1.24). Similarly, patients with IR in 2 or more vessels had higher mortality than patients with completely revascularization and higher mortality than other patients with IR among patients with STEMI (20.37%vs 14.39%; AHR, 1.35; 95%CI, 1.15-1.59) and among patients without STEMI (20.10% vs 12.86%; AHR, 1.17; 95% CI, 1.09-1.59). Patients with proximal left anterior descending artery vessel IR had higher mortality than other patients with IR (20.09% vs 14.67%; AHR, 1.31; 95%CI, 1.04-1.64 for patients with STEMI and 20.78%vs 15.62%; AHR, 1.11; 95%CI, 1.01-1.23 for patients without STEMI). More than 20%of all PCI patients had IR of 2 or more vessels and more than 30% had IR with more than 90% stenosis. CONCLUSIONS AND RELEVANCE Patients with IR are at higher risk of mortality if they have IR with at least 90% stenosis, IR in 2 or more vessels, or proximal left anterior descending IR

The decoupled nature of basal metabolic rate and body temperature in endotherm evolution

The origins of endothermy in birds and mammals are important events in vertebrate evolution. Endotherms can maintain their body temperature (Tb) over a wide range of ambient temperatures primarily using the heat that is generated continuously by their high basal metabolic rate (BMR)1. There is also an important positive feedback loop as Tb influences BMR1,2,3. Owing to this interplay between BMRs and Tb, many ecologists and evolutionary physiologists posit that the evolution of BMR and Tb must have been coupled during the radiation of endotherms3,4,5, changing with similar trends6,7,8. However, colder historical environments might have imposed strong selective pressures on BMR to compensate for increased rates of heat loss and to keep Tb constant9,10,11,12. Thus, adaptation to cold ambient temperatures through increases in BMR could have decoupled BMR from Tb and caused different evolutionary routes to the modern diversity in these traits. Here we show that BMR and Tb were decoupled in approximately 90% of mammalian phylogenetic branches and 36% of avian phylogenetic branches. Mammalian BMRs evolved with rapid bursts but without a long-term directional trend, whereas Tb evolved mostly at a constant rate and towards colder bodies from a warmer-bodied common ancestor. Avian BMRs evolved predominantly at a constant rate and without a long-term directional trend, whereas Tb evolved with much greater rate heterogeneity and with adaptive evolution towards colder bodies. Furthermore, rapid shifts that lead to both increases and decreases in BMRs were linked to abrupt changes towards colder ambient temperatures—although only in mammals. Our results suggest that natural selection effectively exploited the diversity in mammalian BMRs under diverse, often-adverse historical thermal environments