Evaluation of the effect of cold work on dispersion-strengthened nickel-base alloys Summary report, 13 Jun. - 13 Dec. 1966

Cold working effects on dispersion strengthened nickel alloys containing thorium dioxid

The potential negative impact of antibiotic pack on antibiotic stewardship in primary care in Switzerland: a modelling study.

BACKGROUND: In Switzerland, oral antibiotics are dispensed in packs rather than by exact pill-count. We investigated whether available packs support compliance with recommended primary care treatment regimens for common infections in children and adults. METHODS: Hospital-based guidelines for oral community -based treatment of acute otitis media, sinusitis, tonsillopharyngitis, community-acquired pneumonia and afebrile urinary tract infection were identified in 2017 in an iterative process by contacting hospital pharmacists and infectious diseases specialists. Furthermore, newly available national guidelines published in 2019 were reviewed. Available pack sizes for recommended solid, dispersible and liquid antibiotic formulations were retrieved from the Swiss pharmaceutical register and compared with recommended regimens to determine optimal (no leftovers) and adequate (optimal +/- one dose) matches. RESULTS: A large variety of recommended regimens were identified. For adults, optimal and adequate packs were available for 25/70 (36%) and 8/70 (11%) regimens, respectively. Pack-regimen matching was better for WHO Watch (optimal: 15/24, 63%) than Access antibiotics (optimal: 7/39, 18%). For the four paediatric weight-examples and 42 regimens involving child-appropriate formulations, optimal and adequate packs were available for only 14/168 (8%) and 27/168 (16%), respectively. Matching was better for older children with higher body and for longer treatment courses > 7 days. CONCLUSIONS: Fixed antibiotic packs often do not match recommended treatment regimens, especially for children, potentially resulting in longer than necessary treatments and leftover doses in the community. As part of national stewardship, a move to an exact pill-count system, including for child-appropriate solid formulations, should be considered

Irreversible reorganization in a supercooled liquid originates from localised soft modes

The transition of a fluid to a rigid glass upon cooling is a common route of transformation from liquid to solid that embodies the most poorly understood features of both phases1,2,3. From the liquid perspective, the puzzle is to understand stress relaxation in the disordered state. From the perspective of solids, the challenge is to extend our description of structure and its mechanical consequences to materials without long range order. Using computer simulations, we show that the localized low frequency normal modes of a configuration in a supercooled liquid are causally correlated to the irreversible structural reorganization of the particles within that configuration. We also demonstrate that the spatial distribution of these soft local modes can persist in spite of significant particle reorganization. The consequence of these two results is that it is now feasible to construct a theory of relaxation length scales in glass-forming liquids without recourse to dynamics and to explicitly relate molecular properties to their collective relaxation.Comment: Published online: 20 July 2008 | doi:10.1038/nphys1025 Available from http://www.nature.com/nphys/journal/v4/n9/abs/nphys1025.htm

Finite-Volume Energy Spectrum, Fractionalized Strings, and Low-Energy Effective Field Theory for the Quantum Dimer Model on the Square Lattice

We present detailed analytic calculations of finite-volume energy spectra, mean field theory, as well as a systematic low-energy effective field theory for the square lattice quantum dimer model. The analytic considerations explain why a string connecting two external static charges in the confining columnar phase fractionalizes into eight distinct strands with electric flux $\frac{1}{4}$. An emergent approximate spontaneously broken $SO(2)$ symmetry gives rise to a pseudo-Goldstone boson. Remarkably, this soft phonon-like excitation, which is massless at the Rokhsar-Kivelson (RK) point, exists far beyond this point. The Goldstone physics is captured by a systematic low-energy effective field theory. We determine its low-energy parameters by matching the analytic effective field theory with exact diagonalization results and Monte Carlo data. This confirms that the model exists in the columnar (and not in a plaquette or mixed) phase all the way to the RK point.Comment: 35 pages, 16 figure

Gravimeter search for compact dark matter objects moving in the Earth

Dark matter could be composed of compact dark objects (CDOs). These objects may interact very weakly with normal matter and could move freely {\it inside} the Earth. A CDO moving in the inner core of the Earth will have an orbital period near 55 min and produce a time dependent signal in a gravimeter. Data from superconducting gravimeters rule out such objects moving inside the Earth unless their mass $m_D$ and or orbital radius $a$ are very small so that $m_D\, a < 1.2\times 10^{-13}M_\oplus R_\oplus$. Here $M_\oplus$ and $R_\oplus$ are the mass and radius of the Earth.Comment: 8 pages, 7 figure

Developing a Hospital Web Site as a Marketing Tool: A Case Study

This article presents a case study which described the efforts of Siskin Hospital to develop a Web site as its marketing tool in 1999. Several years ago. Siskin Hospital, a rehabilitation facility in the southeastern U.S., began the process of developing a hospital Web site. It was agreed that a multidisciplinary team was needed. Then, the next step was to determine target audiences for the site based on the objectives. Fourteen distinct targets were identified. The type of information each would require was brainstormed and detailed. The information types were then prioritized using a matrix developed by the team

Significant postmortem diffusion of ethanol: A case report.

In the realm of forensic pathology, ethanol is one of the most frequently encountered xenobiotics. The determination of ethanol concentration in blood after death is of great interest in forensic settings. It is important to be able to determine the level of intoxication of the deceased at the time of death, which is directly correlated to the ability to act prior to death, especially when a suicide is suspected. This estimation is not always easy to establish owing to various artifacts that are important to know for a proper ethanol blood level interpretation, among them postmortem (PM) diffusion. We describe here a case of unusual ethanol distribution in body compartments and discuss the importance of PM diffusion and redistribution while performing complementary toxicological analysis, especially when the blood and urine samples seemed to be inconsistent after the first results

Development of dispersion-strengthened, nickel-molybdenum, nonoxidation-resistant alloys

Dispersion strengthened, nickel molybdenum, nonoxidation resistant alloy

Fieber und Lymphadenopathie: Bericht über 4Tularämiefälle

Zusammenfassung: Wir berichten über 4Patienten, die in der Schweiz oder dem grenznahen Ausland an unterschiedlichen Formen der Tularämie erkrankten. Als Gemeinsamkeiten zeigten alle Patienten ein febriles Zustandsbild mit mäßiger bis ausgeprägter laborchemischer Entzündungsreaktion und eine lokoregionäre Lymphadenopathie. Zusätzlich führte bei 3Patienten eine empirisch begonnene Therapie mit β-Laktam-Antibiotika zu keiner Verbesserung der Klinik. Als Infektionsquelle konnte bei 2Patienten eine eindeutige, in einem Fall eine mögliche Korrelation mit einem Zeckenstich eruiert werden. Bei der vierten Patientin blieb der Ursprung der Tularämie ungeklärt. Die Diagnose stützte sich auf eine positive Serologie, eine positive Polymerase-Kettenreaktion (PCR) aus einem Gewebeaspirat oder auf positive Blutkulturen. Die Therapie erfolgte bei 3erwachsenen Patienten mit Ciprofloxacin p.o. über 3Wochen, wobei die Dosierung zwischen 500 und 750mg 2-mal täglich variierte. Bei einem pädiatrischen Patienten wurde die Therapie mit Gentamicin 4mg/kgKG i.v. 1-mal täglich für eine Woche und mit Ciprofloxacin 15mg/kgKG p.o. 2-mal täglich für 2weitere Wochen durchgeführt. Unter adäquater Therapie kam es bei allen Patienten zu einem erfreulichen Krankheitsverlauf mit vollständiger Ausheilung. Bei Patienten mit Fieber und Lymphknotenvergrößerung - insbesondere nach Zeckenstich - muss auch in der Schweiz eine Tularämie in die Differenzialdiagnose einbezogen werden. Als Therapie empfehlen wir eine Medikation mit Ciprofloxacin p.o. für 14-21Tag