The production of broadband frequency spectra from narrowband wave forcing in geophysical flows remains an open problem. Here we consider a related theoretical problem that points to the role of time-dependent vortical flow in producing this effect. Specifically, we apply multi-scale analysis to the transport equation of wave action density in a homogeneous stationary random background flow under the Wentzel–Kramers–Brillouin approximation. We find that, when some time dependence in the mean flow is retained, wave action density diffuses both along and across surfaces of constant frequency in wavenumber–frequency space; this stands in contrast to previous results showing that diffusion occurs only along constant-frequency surfaces when the mean flow is steady. A self-similar random background velocity field is used to show that the magnitude of this frequency diffusion depends non-monotonically on the time scale of variation of the velocity field. Numerical solutions of the ray-tracing equations for rotating shallow water illustrate and confirm our theoretical predictions. Notably, the mean intrinsic wave frequency increases in time, which by wave action conservation implies a concomitant increase of wave energy at the expense of the energy of the background flow.

OBJECTIVES/GOALS: Lung transplant (LTx) candidates benefit from use of non-ideal donor organs. Each organ procurement organization (OPO) defines “acceptable” donor organs introducing unmeasured variation in donor pursuit. We characterized non-ideal donor pursuit among OPOs to identify drivers of risk aversion in LTx. METHODS/STUDY POPULATION: We queried the UNOS registry for adult donors who donated ≥1 organ for transplantation from 12/2007-12/2018. Non-ideal donors were those with any of age>50, smoking history ≥20 pack-years, PaO2/FiO2 (P/F) ratio<350, donation after cardiac death (DCD) status, or CDC increased risk (IRD) status. Non-ideal donor pursuit rate was defined as the proportion of non-ideal donors at each OPO from whom consent for lung donation was requested with lower numbers indicating increased risk aversion. We estimated the correlation between non-ideal and overall donor pursuit using a Spearman correlation coefficient. Adjusted non-ideal donor pursuit rates were estimated using multivariable logistic regression. RESULTS/ANTICIPATED RESULTS: Overall, 18,333 deceased donors were included and classified as ideal or non-ideal. Among 58 OPOs, rates of non-ideal donor pursuit ranged from 0.24-1.00 Figure). Of 5 non-ideal characteristics, DCD and IRD status were associated with the most and least risk aversion, respectively. Non-ideal donor pursuit was strongly correlated with overall donor pursuit (r = 0.99). On adjusted analysis, older age (OR 0.15, 95% CI 0.13-0.16), smoking history (OR 0.38, 95% CI 0.34-0.44), low P/F ratio (OR 0.12, 95% CI 0.11-0.14), and DCD status (OR 0.04, 95% CI 0.03-0.04) were all independently associated with significant risk aversion, corresponding to decreased rates of donor pursuit. DISCUSSION/SIGNIFICANCE OF IMPACT: OPOs differ in their levels of risk aversion in LTx and risk aversion is not uniform across selected categories of non-ideal lung donor. Consideration of new OPO performance metrics that encourage the pursuit of non-ideal lung donors is warranted.

We report two cases of respiratory toxigenic Corynebacterium diphtheriae infection in fully vaccinated UK born adults following travel to Tunisia in October 2019. Both patients were successfully treated with antibiotics and neither received diphtheria antitoxin. Contact tracing was performed following a risk assessment but no additional cases were identified. This report highlights the importance of maintaining a high index of suspicion for re-emerging infections in patients with a history of travel to high-risk areas outside Europe.

Physical evidence of weapon trauma in medieval burials is unusual, and evidence for trauma caused by arrowheads is exceptionally rare. Where high frequencies of traumatic injuries have been identified, this is mainly in contexts related to battles; it is much less common in normative burials. Osteological analysis of one context from an assemblage of disarticulated and commingled human bones recovered from a cemetery associated with the thirteenth-century Dominican friary in Exeter, Devon, shows several instances of weapon trauma, including multiple injuries caused by projectile points. Arrow trauma is notoriously difficult to identify, but this assemblage shows that arrows fired from longbows could result in entry and exit wounds in the skull not incomparable to modern gunshot wounds. Microscopic examination of the fracture patterns and spalling associated with these puncture wounds provides tentative evidence that medieval arrows were fletched to spin clockwise. These results have profound implications for our understanding of the power of the medieval longbow, for how we recognise arrow trauma in the archaeological record and for our knowledge of how common violent death and injury were in the medieval past, and how and where casualties were buried.

The Lagrangian-mean motion of fluid particles induced by horizontally localized small-amplitude wavepackets of vertically trapped inertia–gravity waves is computed analytically, at second order in wave amplitude, and the results are supported by direct nonlinear numerical simulations. The leading-order motion is assumed to be inertia–gravity waves, which is applicable to oceanic mesoscale flows in regions where wave activity is as strong as or stronger than the balanced flow. The analytical computation is based on time-dependent asymptotic wave–mean interaction theory, and the numerical simulation uses a Galerkin-truncated $f$ -plane nonlinear hydrostatic Boussinesq model that retains the barotropic mode and two baroclinic modes (vertical wavenumbers 0, $m$ and $2m$ ), this being the minimal set on which consistent wave–mean interactions can take place. Two novel dynamical effects are revealed: First, we find that the barotropic component robustly dominates the Lagrangian-mean flow response, which is contrary to earlier findings for the same problem. Second, we discovered a new wavepacket regime in which the baroclinic mean-flow response consists of the persistent radiation of resonantly forced secondary internal waves. The latter effect occurs in an oceanically accessible parameter regime.

Schistosomiasis is a neglected tropical disease, though it is highly prevalent in many parts of sub-Saharan Africa. While Schistosoma haematobium-bovis hybrids have been reported in West Africa, no data about Schistosoma hybrids in humans are available from Côte d'Ivoire. This study aimed to identify and quantify S. haematobium-bovis hybrids among schoolchildren in four localities of Côte d'Ivoire. Urine samples were collected and examined by filtration to detect Schistosoma eggs. Eggs were hatched and 503 miracidia were individually collected and stored on Whatman® FTA cards for molecular analysis. Individual miracidia were molecularly characterized by analysis of mitochondrial cox1 and nuclear internal transcribed spacer 2 (ITS 2) DNA regions. A mitochondrial cox1-based diagnostic polymerase chain reaction was performed on 459 miracidia, with 239 (52.1%) exhibiting the typical band for S. haematobium and 220 (47.9%) the S. bovis band. The cox1 and ITS 2 amplicons were Sanger sequenced from 40 randomly selected miracidia to confirm species and hybrids status. Among the 33 cox1 sequences analysed, we identified 15 S. haematobium sequences (45.5%) belonging to seven haplotypes and 18 S. bovis sequences (54.5%) belonging to 12 haplotypes. Of 40 ITS 2 sequences analysed, 31 (77.5%) were assigned to pure S. haematobium, four (10.0%) to pure S. bovis and five (12.5%) to S. haematobium-bovis hybrids. Our findings suggest that S. haematobium-bovis hybrids are common in Côte d'Ivoire. Hence, intense prospection of domestic and wild animals is warranted to determine whether zoonotic transmission occurs.

Carrion in the form of dead seal pups and algal mats placed on soft bottom habitats at Explorers Cove and Salmon Bay, McMurdo Sound, attract scavenging invertebrates that are driven away by hydrogen sulphide produced by sulphate-reducing bacteria sequestered below a layer of Beggiatoa/Thioploca-like filamentous bacteria. This system is usually found for lipid-rich marine mammal carrion, but also occurred with natural algal mats.

This paper describes a model of electron energization and cyclotron-maser emission applicable to astrophysical magnetized collisionless shocks. It is motivated by the work of Begelman, Ergun and Rees [Astrophys. J. 625, 51 (2005)] who argued that the cyclotron-maser instability occurs in localized magnetized collisionless shocks such as those expected in blazar jets. We report on recent research carried out to investigate electron acceleration at collisionless shocks and maser radiation associated with the accelerated electrons. We describe how electrons accelerated by lower-hybrid waves at collisionless shocks generate cyclotron-maser radiation when the accelerated electrons move into regions of stronger magnetic fields. The electrons are accelerated along the magnetic field and magnetically compressed leading to the formation of an electron velocity distribution having a horseshoe shape due to conservation of the electron magnetic moment. Under certain conditions the horseshoe electron velocity distribution function is unstable to the cyclotron-maser instability [Bingham and Cairns, Phys. Plasmas 7, 3089 (2000); Melrose, Rev. Mod. Plasma Phys. 1, 5 (2017)].

With the recent discovery of a dozen dusty star-forming galaxies and around 30 quasars at z > 5 that are hyper-luminous in the infrared (μ LIR > 1013 L⊙, where μ is a lensing magnification factor), the possibility has opened up for SPICA, the proposed ESA M5 mid-/far-infrared mission, to extend its spectroscopic studies toward the epoch of reionisation and beyond. In this paper, we examine the feasibility and scientific potential of such observations with SPICA’s far-infrared spectrometer SAFARI, which will probe a spectral range (35–230 μm) that will be unexplored by ALMA and JWST. Our simulations show that SAFARI is capable of delivering good-quality spectra for hyper-luminous infrared galaxies at z = 5 − 10, allowing us to sample spectral features in the rest-frame mid-infrared and to investigate a host of key scientific issues, such as the relative importance of star formation versus AGN, the hardness of the radiation field, the level of chemical enrichment, and the properties of the molecular gas. From a broader perspective, SAFARI offers the potential to open up a new frontier in the study of the early Universe, providing access to uniquely powerful spectral features for probing first-generation objects, such as the key cooling lines of low-metallicity or metal-free forming galaxies (fine-structure and H2 lines) and emission features of solid compounds freshly synthesised by Population III supernovae. Ultimately, SAFARI’s ability to explore the high-redshift Universe will be determined by the availability of sufficiently bright targets (whether intrinsically luminous or gravitationally lensed). With its launch expected around 2030, SPICA is ideally positioned to take full advantage of upcoming wide-field surveys such as LSST, SKA, Euclid, and WFIRST, which are likely to provide extraordinary targets for SAFARI.

To investigate the effects of the nozzle-exit conditions on jet flow and sound fields, large-eddy simulations of an isothermal Mach 0.9 jet issued from a convergent-straight nozzle are performed at a diameter-based Reynolds number of $1\times 10^{6}$ . The simulations feature near-wall adaptive mesh refinement, synthetic turbulence and wall modelling inside the nozzle. This leads to fully turbulent nozzle-exit boundary layers and results in significant improvements for the flow field and sound predictions compared with those obtained from the typical approach based on laminar flow in the nozzle. The far-field pressure spectra for the turbulent jet match companion experimental measurements, which use a boundary-layer trip to ensure a turbulent nozzle-exit boundary layer to within 0.5 dB for all relevant angles and frequencies. By contrast, the initially laminar jet results in greater high-frequency noise. For both initially laminar and turbulent jets, decomposition of the radiated noise into azimuthal Fourier modes is performed, and the results show similar azimuthal characteristics for the two jets. The axisymmetric mode is the dominant source of sound at the peak radiation angles and frequencies. The first three azimuthal modes recover more than 97 % of the total acoustic energy at these angles and more than 65 % (i.e. error less than 2 dB) for all angles. For the main azimuthal modes, linear stability analysis of the near-nozzle mean-velocity profiles is conducted in both jets. The analysis suggests that the differences in radiated noise between the initially laminar and turbulent jets are related to the differences in growth rate of the Kelvin–Helmholtz mode in the near-nozzle region.

Three-dimensional (3D) printing technology is a promising method for bone tissue engineering applications. For enhanced bone regeneration, it is important to have printable ink materials with appealing properties such as construct interconnectivity, mechanical strength, controlled degradation rates, and the presence of bioactive materials. In this respect, we develop a composite ink composed of polycaprolactone (PCL), poly(D,L-lactide-co-glycolide) (PLGA), and hydroxyapatite particles (HAps) and 3D print it into porous constructs. In vitro study revealed that composite constructs had higher mechanical properties, surface roughness, quicker degradation profile, and cellular behaviors compared to PCL counterparts. Furthermore, in vivo results showed that 3D-printed composite constructs had a positive influence on bone regeneration due to the presence of newly formed mineralized bone tissue and blood vessel formation. Therefore, 3D printable ink made of PCL/PLGA/HAp can be a highly useful material for 3D printing of bone tissue constructs.

Background: Continuous video-EEG (cvEEG) monitoring is the standard of care for diagnosis and management of neonatal seizures. However, it is labour-intensive. We aimed to establish consistency in monitoring of newborns utilising NICU nurses. Methods: Neonatal nurses were trained to apply scalp electrodes, troubleshoot technical issues. Guidelines, checklists and visual training modules were developed. A central network system allowed remote access to the cvEEGs by the epileptologist for timely interpretation and feedback. We compared 100 infants with moderate to severe HIE before and after the training program. Results: 192 cvEEGs were performed. Of the 100 infants compared; time to initiate brain monitoring decreased by average of 31.5 hours, in electrographic seizure detection increased(20% compared to 34% a), seizure clinical misdiagnosis decreased (65% compared to 36% ), and Anti-Seizure burden decreased. Conclusions: Training experienced NICU nurses to set-up, start and monitor cvEEG can decrease the time to initiate cvEEG which may lead to better seizure diagnosis and management.

Background: Despite advances in neonatal care, neonates with moderate to severe HIE are at high risk of mortality and morbidity. we report the impact of a dedicated NNCC team on short term mortality and morbidities. Methods: A retrospective cohort study on neonates with moderate to serve HIE between July 1st 2008 and December 31st 2017. primary outcome : a composite of death and/or brain injury on MRI. Secondary outcomes: rate of cooling, length of hospital stay, anti-seizure medication burden, and use of inotropes. A regression analysis was done adjusting for gestational age, birth weight, gender, out-born status, Apgar score at 10 minutes, cord blood pH, and HIE clinical staging Results: 216 neonates were included, 109 before NNCC implementation, and 107 thereafter. NNCC program resulted in reduction in the primary outcome (AOR: 0.28, CI: 0.14-0.54, p<0.001) and brain injury (AOR: 0.28, CI: 0.14-0.55, p<0.001). It decreased average length of stay/infants by 5 days (p=0.03), improved cooling rate (73% compared to 93% , p <0.001), reduced: seizure misdiagnosis (71% compared to 23%, P <0.001), anti-seizure medication burden (P = 0.001), and inotrope use (34% compared to 53%, p=0.004) Conclusions: NNCC program decreased mortality and brain injury , shortened the length of hospital stay and improved care of neonates with significant HIE.

This article overviews the current status of magnetocaloric materials for room-temperature refrigeration. We discuss the underlying mechanism of the magnetocaloric effect and illustrate differences between first- and second-order type materials starting with gadolinium as a reference system. Beyond the key functional properties of magnetocaloric materials, the adiabatic temperature, and entropy change, we briefly address the criticality of the most promising materials in terms of their supply risk. Looking at practical applications, suitable geometries and processing routes for magnetocaloric heat exchangers for device implementation are introduced.

Theoretical and numerical computations of the wave-induced mean flow in rotating shallow water with uniform potential vorticity are presented, with an eye towards applications in small-scale oceanography where potential-vorticity anomalies are often weak compared to the waves. The asymptotic computations are based on small-amplitude expansions and time averaging over the fast wave scale to define the mean flow. Importantly, we do not assume that the mean flow is balanced, i.e. we compute the full mean-flow response at leading order. Particular attention is paid to the concept of modified diagnostic relations, which link the leading-order Lagrangian-mean velocity field to certain wave properties known from the linear solution. Both steady and unsteady wave fields are considered, with specific examples that include propagating wavepackets and monochromatic standing waves. Very good agreement between the theoretical predictions and direct numerical simulations of the nonlinear system is demonstrated. In particular, we extend previous studies by considering the impact of unsteady wave fields on the mean flow, and by considering the total kinetic energy of the mean flow as a function of the rotation rate. Notably, monochromatic standing waves provide an explicit counterexample to the often observed tendency of the mean flow to decrease monotonically with the background rotation rate.

Most commonly used models for turbulent mixing in the ocean rely on a background stratification against which turbulence must work to stir the fluid. While this background stratification is typically well defined in idealized numerical models, it is more difficult to capture in observations. Here, a potential discrepancy in ocean mixing estimates due to the chosen calculation of the background stratification is explored using direct numerical simulation data of breaking internal waves on slopes. Two different methods for computing the buoyancy frequency $N$ , one based on a three-dimensionally sorted density field (often used in numerical models) and the other based on locally sorted vertical density profiles (often used in the field), are used to quantify the effect of $N$ on turbulence quantities. It is shown that how $N$ is calculated changes not only the flux Richardson number $R_{f}$ , which is often used to parameterize turbulent mixing, but also the turbulence activity number or the Gibson number $Gi$ , leading to potential errors in estimates of the mixing efficiency using $Gi$ -based parameterizations.

We investigate theoretically and numerically the modulation of near-inertial waves by a larger-amplitude geostrophically balanced mean flow. Because the excited wave is initially trapped in the mixed layer, it projects onto a broad spectrum of vertical modes, each mode $n$ being characterized by a Burger number, $Bu_{n}$ , proportional to the square of the vertical scale of the mode. Using numerical simulations of the hydrostatic Boussinesq equations linearized about a prescribed balanced background flow, we show that the evolution of the wave field depends strongly on the spectrum of $Bu_{n}$ relative to the Rossby number of the balanced flow, $\unicode[STIX]{x1D716}$ , with smaller relative $Bu_{n}$ leading to smaller horizontal scales in the wave field, faster accumulation of wave amplitude in anticyclones and faster propagation of wave energy into the deep ocean. This varied behaviour of the wave may be understood by considering the dynamics in each mode separately; projecting the linearized hydrostatic Boussinesq equations onto modes yields a set of linear shallow water equations, with $Bu_{n}$ playing the role of the reduced gravity. The wave modes fall into two asymptotic regimes, defined by the scalings $Bu_{n}\sim O(1)$ for low modes and $Bu_{n}\sim O(\unicode[STIX]{x1D716})$ for high modes. An amplitude equation derived for the former regime shows that vertical propagation is weak for low modes. The high-mode regime is the basis of the Young & Ben Jelloul (J. Mar. Res., vol. 55, 1997, pp. 735–766) theory. This theory is here extended to $O(\unicode[STIX]{x1D716}^{2})$ , from which amplitude equations for the subregimes $Bu_{n}\sim O(\unicode[STIX]{x1D716}^{1/2})$ and $Bu_{n}\sim O(\unicode[STIX]{x1D716}^{2})$ are derived. The accuracy of each approximation is demonstrated by comparing numerical solutions of the respective amplitude equation to simulations of the linearized shallow water equations in the same regime. We emphasize that since inertial wave energy and shear are distributed across vertical modes, their overall modulation is due to the collective behaviour of the wave field in each regime. A unified treatment of these regimes is a novel feature of this work.