1,324 research outputs found
A STEADY PSEUDO-COMPRESSIBILITY APPROACH BASED ON UNSTRUCTURED HYBRID FINITE VOLUME TECHNIQUES APPLIED TO TURBULENT PREMIXED FLAME PROPAGATION
A pseudo-compressibility method for zero Mach number turbulent reactive
flows with heat release is combined with an unstructured finite volume
hybrid grid scheme. The spatial discretization is based on an overlapped cell
vertex approach. An infinite freely planar flame propagating into a turbulent
medium of premixed reactants is considered as a test case. The recourse to a
flamelet combustion modeling for which the reaction rate is quenched in a
continuous way ensures the uniqueness of the turbulent flame propagation
velocity. To integrate the final form of discretized governing equations, a
three-stage hybrid time-stepping scheme is used and artificial dissipation
terms are added to stabilize the convergence path towards the final steady
solution. The results obtained with such a numerical procedure prove to be
in good agreement with those reported in the literature on the very same
flow geometry. Indeed, the flame structure as well as its propagation
velocity are accurately predicted thus confirming the validity of the
approach followed and demonstrating that such a numerical procedure will
be a valuable tool to deal with complex reactive flow geometries
Predictors of disease severity in children presenting from the community with febrile illnesses: a systematic review of prognostic studies.
Early identification of children at risk of severe febrile illness can optimise referral, admission and treatment decisions, particularly in resource-limited settings. We aimed to identify prognostic clinical and laboratory factors that predict progression to severe disease in febrile children presenting from the community.
We systematically reviewed publications retrieved from MEDLINE, Web of Science and Embase between 31 May 1999 and 30 April 2020, supplemented by hand search of reference lists and consultation with an expert Technical Advisory Panel. Studies evaluating prognostic factors or clinical prediction models in children presenting from the community with febrile illnesses were eligible. The primary outcome was any objective measure of disease severity ascertained within 30 days of enrolment. We calculated unadjusted likelihood ratios (LRs) for comparison of prognostic factors, and compared clinical prediction models using the area under the receiver operating characteristic curves (AUROCs). Risk of bias and applicability of studies were assessed using the Prediction Model Risk of Bias Assessment Tool and the Quality In Prognosis Studies tool.
Of 5949 articles identified, 18 studies evaluating 200 prognostic factors and 25 clinical prediction models in 24 530 children were included. Heterogeneity between studies precluded formal meta-analysis. Malnutrition (positive LR range 1.56-11.13), hypoxia (2.10-8.11), altered consciousness (1.24-14.02), and markers of acidosis (1.36-7.71) and poor peripheral perfusion (1.78-17.38) were the most common predictors of severe disease. Clinical prediction model performance varied widely (AUROC range 0.49-0.97). Concerns regarding applicability were identified and most studies were at high risk of bias.
Few studies address this important public health question. We identified prognostic factors from a wide range of geographic contexts that can help clinicians assess febrile children at risk of progressing to severe disease. Multicentre studies that include outpatients are required to explore generalisability and develop data-driven tools to support patient prioritisation and triage at the community level.
CRD42019140542
Should all acutely ill children in primary care be tested with point-of-care CRP: A cluster randomised trial
Background: Point-of-care blood C-reactive protein (CRP) testing has diagnostic value in helping clinicians rule out the possibility of serious infection. We investigated whether it should be offered to all acutely ill children in primary care or restricted to those identified as at risk on clinical assessment. Methods: Cluster randomised controlled trial involving acutely ill children presenting to 133 general practitioners (GPs) at 78 GP practices in Belgium. Practices were randomised to undertake point-of-care CRP testing in all children (1730 episodes) or restricted to children identified as at clinical risk (1417 episodes). Clinical risk was assessed by a validated clinical decision rule (presence of one of breathlessness, temperature ≥ 40 °C, diarrhoea and age 12-30 months, or clinician concern). The main trial outcome was hospital admission with serious infection within 5 days. No specific guidance was given to GPs on interpreting CRP levels but diagnostic performance is reported at 5, 20, 80 and 200 mg/L. Results: Restricting CRP testing to those identified as at clinical risk substantially reduced the number of children tested by 79.9 % (95 % CI, 77.8-82.0 %). There was no significant difference between arms in the number of children with serious infection who were referred to hospital immediately (0.16 % vs. 0.14 %, P = 0.88). Only one child with a CRP < 5 mg/L had an illness requiring admission (a child with viral gastroenteritis admitted for rehydration). However, of the 80 children referred to hospital to rule out serious infection, 24 (30.7 %, 95 % CI, 19.6-45.6 %) had a CRP < 5 mg/L. Conclusions: CRP testing should be restricted to children at higher risk after clinical assessment. A CRP < 5 mg/L rules out serious infection and could be used by GPs to avoid unnecessary hospital referrals
Inference of proto-neutron star properties in core-collapse supernovae from a gravitational-wave detector network
The next Galactic core-collapse supernova (CCSN) will be a unique opportunity
to study within a fully multi-messenger approach the explosion mechanism
responsible for the formation of neutron stars and stellar-mass black holes.
State-of-the-art numerical simulations of those events reveal the complexity of
the gravitational-wave emission which is highly stochastic. This challenges the
possibility to infer the properties of the compact remnant and of its
progenitor using the information encoded in the waveforms. In this paper we
take further steps in a program we recently initiated to overcome those
difficulties. In particular we show how oscillation modes of the proto-neutron
star, highly visible in the gravitational-wave signal, can be used to
reconstruct the time evolution of their physical properties. Extending our
previous work where only the information from a single detector was used we
here describe a new data-analysis pipeline that coherently combines
gravitational-wave detectors' data and infers the time evolution of a
combination of the mass and radius of the compact remnant. The performance of
the method is estimated employing waveforms from 2D and 3D CCSN simulations
covering a progenitor mass range between 11\, and
40\, and different equations of state for both a network of
up to five second-generation detectors and the proposed third-generation
detectors Einstein Telescope and Cosmic Explorer. Our study shows that it will
be possible to infer PNS properties for CCSN events occurring in the vicinity
of the Milky Way, up to the Large Magellanic Cloud, with the current generation
of gravitational-wave detectors
The effects of graded levels of calorie restriction : I. impact of short term calorie and protein restriction on body composition in the C57BL/6 mouse
We acknowledge the BSU staff for their invaluable help with caring for the animals and anonymous referees for their inputs. The work was supported by the Biotechnology and Biological Sciences Research Council (BBSRC) of the UK (Standard grant BB/G009953/1 and China partnering award BB/JO20028/1). The authors declare no competing interests.Peer reviewedPublisher PD
Fermi observations of high-energy gamma-ray emission from GRB 090217A
The Fermi observatory is advancing our knowledge of Gamma-Ray Bursts (GRBs)
through pioneering observations at high energies, covering more than 7 decades
in energy with the two on-board detectors, the Large Area Telescope (LAT) and
the Gamma-ray Burst Monitor (GBM). Here we report on the observation of the
long GRB 090217A which triggered the GBM and has been detected by the LAT with
a significance greater than 9 sigma. We present the GBM and LAT observations
and on-ground analyses, including the time-resolved spectra and the study of
the temporal profile from 8 keV up to 1 GeV. All spectra are well reproduced by
a Band model. We compare these observations to the first two LAT-detected, long
bursts GRB 080825C and GRB 080916C. These bursts were found to have
time-dependent spectra and exhibited a delayed onset of the high-energy
emission, which are not observed in the case of GRB 090217A. We discuss some
theoretical implications for the high-energy emission of GRBs.Comment: 17 pages, 4 figures. Contact Authors: Fred, Piron; Sara, Cutini;
Andreas, von Kienli
Fermi-LAT Study of Gamma-ray Emission in the Direction of Supernova Remnant W49B
We present an analysis of the gamma-ray data obtained with the Large Area
Telescope (LAT) onboard the Fermi Gamma-ray Space Telescope in the direction of
SNR W49B (G43.3-0.2). A bright unresolved gamma-ray source detected at a
significance of 38 sigma is found to coincide with SNR W49B. The energy
spectrum in the 0.2-200 GeV range gradually steepens toward high energies. The
luminosity is estimated to be 1.5x10^{36} (D/8 kpc)^2 erg s^-1 in this energy
range. There is no indication that the gamma-ray emission comes from a pulsar.
Assuming that the SNR shell is the site of gamma-ray production, the observed
spectrum can be explained either by the decay of neutral pi mesons produced
through the proton-proton collisions or by electron bremsstrahlung. The
calculated energy density of relativistic particles responsible for the LAT
flux is estimated to be remarkably large, U_{e,p}>10^4 eV cm^-3, for either
gamma-ray production mechanism.Comment: 9 pages, 10 figure
Search for Early Gamma-ray Production in Supernovae Located in a Dense Circumstellar Medium with the Fermi LAT
Supernovae (SNe) exploding in a dense circumstellar medium (CSM) are
hypothesized to accelerate cosmic rays in collisionless shocks and emit GeV
gamma rays and TeV neutrinos on a time scale of several months. We perform the
first systematic search for gamma-ray emission in Fermi LAT data in the energy
range from 100 MeV to 300 GeV from the ensemble of 147 SNe Type IIn exploding
in dense CSM. We search for a gamma-ray excess at each SNe location in a one
year time window. In order to enhance a possible weak signal, we simultaneously
study the closest and optically brightest sources of our sample in a
joint-likelihood analysis in three different time windows (1 year, 6 months and
3 months). For the most promising source of the sample, SN 2010jl (PTF10aaxf),
we repeat the analysis with an extended time window lasting 4.5 years. We do
not find a significant excess in gamma rays for any individual source nor for
the combined sources and provide model-independent flux upper limits for both
cases. In addition, we derive limits on the gamma-ray luminosity and the ratio
of gamma-ray-to-optical luminosity ratio as a function of the index of the
proton injection spectrum assuming a generic gamma-ray production model.
Furthermore, we present detailed flux predictions based on multi-wavelength
observations and the corresponding flux upper limit at 95% confidence level
(CL) for the source SN 2010jl (PTF10aaxf).Comment: Accepted for publication in ApJ. Corresponding author: A. Franckowiak
([email protected]), updated author list and acknowledgement
Fermi Large Area Telescope Observations of the Cosmic-Ray Induced gamma-ray Emission of the Earth's Atmosphere
We report on measurements of the cosmic-ray induced gamma-ray emission of
Earth's atmosphere by the Large Area Telescope onboard the Fermi Gamma-ray
Space Telescope. The LAT has observed the Earth during its commissioning phase
and with a dedicated Earth-limb following observation in September 2008. These
measurements yielded 6.4 x 10^6 photons with energies >100MeV and ~250hours
total livetime for the highest quality data selection. This allows the study of
the spatial and spectral distributions of these photons with unprecedented
detail. The spectrum of the emission - often referred to as Earth albedo
gamma-ray emission - has a power-law shape up to 500 GeV with spectral index
Gamma = 2.79+-0.06.Comment: Accepted for publication in PR
Detection of 16 Gamma-Ray Pulsars Through Blind Frequency Searches Using the Fermi LAT
Pulsars are rapidly-rotating, highly-magnetized neutron stars emitting
radiation across the electromagnetic spectrum. Although there are more than
1800 known radio pulsars, until recently, only seven were observed to pulse in
gamma rays and these were all discovered at other wavelengths. The Fermi Large
Area Telescope makes it possible to pinpoint neutron stars through their
gamma-ray pulsations. We report the detection of 16 gamma-ray pulsars in blind
frequency searches using the LAT. Most of these pulsars are coincident with
previously unidentified gamma-ray sources, and many are associated with
supernova remnants. Direct detection of gamma-ray pulsars enables studies of
emission mechanisms, population statistics and the energetics of pulsar wind
nebulae and supernova remnants.Comment: Corresponding authors: Michael Dormody, Paul S. Ray, Pablo M. Saz
Parkinson, Marcus Ziegle
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