Observations of cosmic ray induced phosphenes

Phosphene observations by astronauts on flights near and far from earth atmosphere are discussed. It was concluded that phosphenes could be observed by the naked eye. Further investigation is proposed to determine realistic human tolerance levels for extended missions and to evaluate the need to provide special spacecraft shielding

Management of septic shock: a protocol-less approach

Citation\ud ProCESS Investigators, Yealy DM, Kellum JA, Huang DT, Barnato AE, Weissfeld LA, Pike F, Terndrup T, Wang HE, Hou PC, LoVecchio F, Filbin MR, Shapiro NI, Angus DC. A randomized trial of protocol-based care for early septic shock. N Engl J Med. 2014; 370:1683–93.\ud \ud Background\ud In a single-center study published more than a decade ago involving patients presenting to the emergency department with severe sepsis and septic shock, mortality was markedly lower among those who were treated according to a 6-h protocol of early goal-directed therapy (EGDT), in which intravenous fluids, vasopressors, inotropes, and blood transfusions were adjusted to reach central hemodynamic targets including central venous pressure, central venous oxygen saturation, and indirect estimates of cardiac output, than among those receiving usual care.\ud \ud Methods\ud Objective: The objective was to determine whether these EGDT findings were generalizable and whether all aspects of the EGDT protocol were necessary to achieve those outcomes.\ud \ud Design: A multicenter randomized three-arm controlled trial.\ud \ud Setting: Thirty-one academic emergency departments in the United States.\ud \ud Subjects: Patients older than 18 years of age presenting to the emergency department with septic shock.\ud \ud Intervention: Patients were assigned to one of three groups for 6 h of resuscitation: protocol-based EGDT as defined by River and colleagues; protocol-based standard therapy that did not require the placement of a central venous catheter, administration of inotropes, or blood transfusions; and usual care which mandated no specific monitoring or management approaches.\ud \ud Outcomes: The primary end point was 60-day in-hospital mortality. Also tested sequentially was whether protocol-based care (EGDT and standard therapy groups combined) was superior to usual care and whether protocol-based EGDT was superior to protocol-based standard therapy. Secondary outcomes included longer-term mortality and the need for organ support.\ud \ud Results\ud A total of 1,351 patients were enrolled, of whom 1,341 were evaluable due to patient/family request: 439 were randomly assigned to protocol-based EGDT, 446 to protocol-based standard therapy, and 456 to usual care. Resuscitation strategies differed significantly with respect to the monitoring of central venous pressure and central venous oxygen and the use of intravenous fluids, vasopressors, inotropes, and blood transfusions. By 60 days, there were 92 deaths in the protocol-based EGDT group (21.0 %), 81 in the protocol-based standard therapy group (18.2 %), and 86 in the usual care group (18.9 %) (relative risk with protocol-based therapy versus usual care, 1.04; 95 % confidence interval, 0.82 to 1.31; P = 0.83; relative risk with protocol-based EGDT versus protocol-based standard therapy, 1.15; 95 % CI, 0.88 to 1.51; P = 0.31). There were no significant differences in 90-day mortality, 1-year mortality, or the need for organ support.\ud \ud Conclusions\ud In a multicenter trial conducted in the tertiary care setting, protocol-based resuscitation of patients in whom septic shock was diagnosed in the emergency department did not improve outcomes

The epidemiology of heart failure: The Framingham Study

AbstractCongestive heart failure has become an increasingly frequent reason for hospital admission during the last 2 decades and clearly represents a major health problem. Data from the Framingham Heart Study indicate that the incidence of congestive heart failure increases with age and is higher in men than in women. Hypertension and coronary heart disease are the two most common conditions predating its onset. Diabetes mellitus and electrocardiographic left ventricular hypertrophy are also associated with an increased risk of heart failure. During the 1980s, the annual age-adjusted incidence of congestive heart failure among persons aged ≥ 45 years was 7.2 cases/1,000 in men and 4.7 cases/1,000 in women, whereas the age-adjusted prevalence of overt heart failure was 24/1,000 in men and 25/1,000 in women. Despite improved treatments for ischemic heart disease and hypertension, the age-adjusted incidence of heart failure has declined by only 11%/calendar decade in men and by 17%/calendar decade in women during a 40-year period of observation. In addition., congestive heart failure remains highly lethal, with a median survival time of 1.7 years in men and 3.2 years in women and a 5-year survival rate of 25% in men and 38% in women

Variational Calculation of the Effective Action

An indication of spontaneous symmetry breaking is found in the two-dimensional $\lambda\phi^4$ model, where attention is paid to the functional form of an effective action. An effective energy, which is an effective action for a static field, is obtained as a functional of the classical field from the ground state of the hamiltonian $H[J]$ interacting with a constant external field. The energy and wavefunction of the ground state are calculated in terms of DLCQ (Discretized Light-Cone Quantization) under antiperiodic boundary conditions. A field configuration that is physically meaningful is found as a solution of the quantum mechanical Euler-Lagrange equation in the $J\to 0$ limit. It is shown that there exists a nonzero field configuration in the broken phase of $Z_2$ symmetry because of a boundary effect.Comment: 26 pages, REVTeX, 7 postscript figures, typos corrected and two references adde

Status of the Space Radiation Monte Carlos Simulation Based on FLUKA and ROOT

The NASA-funded project reported on at the first IWSSRR in Arona to develop a Monte-Carlo simulation program for use in simulating the space radiation environment based on the FLUKA and ROOT codes is well into its second year of development, and considerable progress has been made. The general tasks required to achieve the final goals include the addition of heavy-ion interactions into the FLUKA code and the provision of a ROOT-based interface to FLUKA. The most significant progress to date includes the incorporation of the DPMJET event generator code within FLUKA to handle heavy-ion interactions for incident projectile energies greater than 3GeV/A. The ongoing effort intends to extend the treatment of these interactions down to 10 MeV, and at present two alternative approaches are being explored. The ROOT interface is being pursued in conjunction with the CERN LHC ALICE software team through an adaptation of their existing AliROOT software. As a check on the validity of the code, a simulation of the recent data taken by the ATIC experiment is underway

Open and Closed Seascapes: Where Does Habitat Patchiness Create Populations with High Fractions of Self-Recruitment?

Which populations are replenished primarily by immigrants (open) and which by local production (closed) remains an important question for management with implications for response to exploitation, protection, and disturbance. However, we lack methods for predicting population openness. Here, we develop a model for openness and show that considering habitat isolation explains the existence of surprisingly closed populations in high-dispersal species, including many marine organisms. Relatively closed populations are expected when patch spacing is more than twice the standard deviation of a species\u27 dispersal kernel. In addition, natural scales of habitat patchiness on coral reefs are sufficient to create both largely open and largely closed populations. Contrary to some previous interpretations, largely closed marine populations do not require mean dispersal distances that are unusually short, even for species with relatively long pelagic larval durations. We predict that habitat patchiness has strong control over population openness for many marine and terrestrial species with a highly dispersive life stage and relatively sedentary adults. This information can be used to make initial predictions about where populations will be more or less resilient to local exploitation and disturbance

Penetrating particle ANalyzer (PAN)

PAN is a scientific instrument suitable for deep space and interplanetary missions. It can precisely measure and monitor the flux, composition, and direction of highly penetrating particles ($> \sim$100 MeV/nucleon) in deep space, over at least one full solar cycle (~11 years). The science program of PAN is multi- and cross-disciplinary, covering cosmic ray physics, solar physics, space weather and space travel. PAN will fill an observation gap of galactic cosmic rays in the GeV region, and provide precise information of the spectrum, composition and emission time of energetic particle originated from the Sun. The precise measurement and monitoring of the energetic particles is also a unique contribution to space weather studies. PAN will map the flux and composition of penetrating particles, which cannot be shielded effectively, precisely and continuously, providing valuable input for the assessment of the related health risk, and for the development of an adequate mitigation strategy. PAN has the potential to become a standard on-board instrument for deep space human travel. PAN is based on the proven detection principle of a magnetic spectrometer, but with novel layout and detection concept. It will adopt advanced particle detection technologies and industrial processes optimized for deep space application. The device will require limited mass (~20 kg) and power (~20 W) budget. Dipole magnet sectors built from high field permanent magnet Halbach arrays, instrumented in a modular fashion with high resolution silicon strip detectors, allow to reach an energy resolution better than 10\% for nuclei from H to Fe at 1 GeV/n

Spectral simplicity and asymptotic separation of variables

We describe a method for comparing the real analytic eigenbranches of two families of quadratic forms that degenerate as t tends to zero. One of the families is assumed to be amenable to `separation of variables' and the other one not. With certain additional assumptions, we show that if the families are asymptotic at first order as t tends to 0, then the generic spectral simplicity of the separable family implies that the eigenbranches of the second family are also generically one-dimensional. As an application, we prove that for the generic triangle (simplex) in Euclidean space (constant curvature space form) each eigenspace of the Laplacian is one-dimensional. We also show that for all but countably many t, the geodesic triangle in the hyperbolic plane with interior angles 0, t, and t, has simple spectrum.Comment: 53 pages, 2 figure

Vacuum Structure of Two-Dimensional Gauge Theories on the Light Front

We discuss the problem of vacuum structure in light-front field theory in the context of (1+1)-dimensional gauge theories. We begin by reviewing the known light-front solution of the Schwinger model, highlighting the issues that are relevant for reproducing the $\theta$-structure of the vacuum. The most important of these are the need to introduce degrees of freedom initialized on two different null planes, the proper incorporation of gauge field zero modes when periodicity conditions are used to regulate the infrared, and the importance of carefully regulating singular operator products in a gauge-invariant way. We then consider SU(2) Yang-Mills theory in 1+1 dimensions coupled to massless adjoint fermions. With all fields in the adjoint representation the gauge group is actually SU(2)$/Z_2$, which possesses nontrivial topology. In particular, there are two topological sectors and the physical vacuum state has a structure analogous to a $\theta$ vacuum. We formulate the model using periodicity conditions in $x^\pm$ for infrared regulation, and consider a solution in which the gauge field zero mode is treated as a constrained operator. We obtain the expected $Z_2$ vacuum structure, and verify that the discrete vacuum angle which enters has no effect on the spectrum of the theory. We then calculate the chiral condensate, which is sensitive to the vacuum structure. The result is nonzero, but inversely proportional to the periodicity length, a situation which is familiar from the Schwinger model. The origin of this behavior is discussed.Comment: 29 pages, uses RevTeX. Improved discussion of the physical subspace generally and the vacuum states in particular. Basic conclusions are unchanged, but some specific results are modifie

A Time Purified Separated Antiproton Beam At The AGS

Physic