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Afternoon aortic valve replacement surgery may provide perioperative myocardial protection and improve patient outcomes compared with morning surgery. The results of our large observational study based on Swiss cardiac surgical site infection surveillance data suggest that the current evidence is insufficient to generally promote afternoon cardiac surgeries.
Radiocarbon measurements in tree rings can be used to estimate atmospheric 14C concentration and thereby used to create a 14C calibration curve. When wood is discovered in construction sites, rivers, buildings, and lake sediments, it is unclear if the wood could fill gaps in the 14C calibration curve or if the wood is of historical interest until the age is determined by dendrochronology or 14C dating. However, dendrochronological dating is subjected to many requirements and 14C dating is costly and time consuming, both of which can be frivolous endeavors if the samples are not in the age range of interest. A simplified 14C dating technique, called Speed Dating, was thus developed. It can be used to quickly obtain 14C ages as wood samples are neither chemically treated nor graphitized. Instead, wood is combusted in an elemental analyzer (EA) and the CO2 produced is carried into an accelerator mass spectrometer (AMS) with a gas ion source. Within a day, 75 samples can be measured with uncertainties between 0.5–2% depending on the age, preservation, and contaminants on the material and Speed Dating costs about one-third of conventional AMS dates.
To evaluate a computer-assisted point-prevalence survey (CAPPS) for hospital-acquired infections (HAIs).
A 754-bed teaching hospital in the Netherlands.
For the internal validation of a CAPPS for HAIs, 2,526 patients were included. All patient records were retrospectively reviewed in depth by 2 infection control practitioners (ICPs) to determine which patients had suffered an HAI. Preventie van Ziekenhuisinfecties door Surveillance (PREZIES) criteria were used. Following this internal validation, 13 consecutive CAPPS were performed in a prospective study from January to March 2013 to determine weekly, monthly, and quarterly HAI point prevalence. Finally, a CAPPS was externally validated by PREZIES (Rijksinstituut voor Volksgezondheid en Milieu [RIVM], Bilthoven, Netherlands). In all evaluations, discrepancies were resolved by consensus.
In our series of CAPPS, 83% of the patients were automatically excluded from detailed review by the ICP. The sensitivity of the method was 91%. The time spent per hospital-wide CAPPS was ~3 hours. External validation showed a negative predictive value of 99.1% for CAPPS.
CAPPS proved to be a sensitive, accurate, and efficient method to determine serial weekly point-prevalence HAI rates in our hospital.
We found that ROSAT spectra of a sample of 89 AGN are generally steeper than 0.7. The excess above a hard X-ray power law spectrum in this energy range which has been found already with Einstein and EXOSAT for some AGN is now seen very clearly in most sources. Our α-disk models (Dörrer et al., 1992 and references therein) which include Comptonization and relativistic corrections are in agreement with the measured soft excesses when the (ṀEdd., α) parameter space is restricted to α > 0.4 and ṀEdd. ε [0.4, 0.8] (ṀEdd.: Eddington accretion rate).
Deep (T∼35 ksec) pointed ROSAT observations of a 2.2° × 2.2° optical quasar survey field (149 quasars; mlim = 20.5; Crampton et al., 1989) have yielded a detection rate (3 σ) of ∼ 60 % (86 quasars; limiting sensitivity ∼ 5 · 10−15 erg cm−2 s−1 keV−1 at 1 keV). See Fig. 1 for the distribution of the ROSAT PSPC source count rates and Fig. 2a, b for the fraction of quasars detected in X-rays as a function of redshift and optical magnitude. 46 quasars were bright enough to perform spectral power law fits. The mean energy power law index drops from ∼ 1.4 at z = 0 to ∼ 0.9 at z > 2 (Fig. 4; only the 20 brightest sources are plotted). This is interpreted as being due to a break in the spectrum between a soft, thermal accretion disk and a hard power law component, occuring at a source frame energy around 1 keV (Fig. 5). Mean accretion disk model parameters are derived (M = 5.108 M⊙, Ṁ = 0.65 MEdd., αvisc. = 0.5) using an optically thin α-accretion disk model (Dörrer et al., 1992 and references therein). Model predictions for the decline of the X-ray spectral index with redshift are plotted in Fig. 4. The αox distribution (Fig. 3; dotted line: X-ray upper limits) and the optical number-redshift relation (Fig. 6; dotted line: X-ray number-redshift relation) is modeled using the accretion disk parameters as determined from the X-ray spectral data and assuming a constant comoving volume density (H0 = 100 km/s Mpc, q0 = 0.5) and statistical orientation of the inclination angles of the model source population.
New radiocarbon calibration curves, IntCal04 and Marine04, have been constructed and internationally ratified to replace the terrestrial and marine components of IntCal98. The new calibration data sets extend an additional 2000 yr, from 0–26 cal kyr BP (Before Present, 0 cal BP = AD 1950), and provide much higher resolution, greater precision, and more detailed structure than IntCal98. For the Marine04 curve, dendrochronologically-dated tree-ring samples, converted with a box diffusion model to marine mixed-layer ages, cover the period from 0–10.5 cal kyr BP. Beyond 10.5 cal kyr BP, high-resolution marine data become available from foraminifera in varved sediments and U/Th-dated corals. The marine records are corrected with site-specific 14C reservoir age information to provide a single global marine mixed-layer calibration from 10.5–26.0 cal kyr BP. A substantial enhancement relative to IntCal98 is the introduction of a random walk model, which takes into account the uncertainty in both the calendar age and the 14C age to calculate the underlying calibration curve (Buck and Blackwell, this issue). The marine data sets and calibration curve for marine samples from the surface mixed layer (Marine04) are discussed here. The tree-ring data sets, sources of uncertainty, and regional offsets are presented in detail in a companion paper by Reimer et al. (this issue).
The radiocarbon calibration curve IntCal04 extends back to 26 cal kyr B P. While several high-resolution records exist beyond this limit, these data sets exhibit discrepancies of up to several millennia. As a result, no calibration curve for the time range 26–50 cal kyr BP can be recommended as yet, but in this paper the IntCal04 working group compares the available data sets and offers a discussion of the information that they hold.
The first meeting of the IntCal04 working group took place at Queen's University Belfast from April 15 to 17, 2002. The participants are listed as co-authors of this report. The meeting considered criteria for the acceptance of data into the next official calibration dataset, the importance of including reliable estimates of uncertainty in both the radiocarbon ages and the cal ages, and potential methods for combining datasets. This preliminary report summarizes the criteria that were discussed, but does not yet give specific recommendations for inclusion or exclusion of individual datasets.
The IntCal04 and Marine04 radiocarbon calibration curves have been updated from 12 cal kBP (cal kBP is here defined as thousands of calibrated years before AD 1950), and extended to 50 cal kBP, utilizing newly available data sets that meet the IntCal Working Group criteria for pristine corals and other carbonates and for quantification of uncertainty in both the 14C and calendar timescales as established in 2002. No change was made to the curves from 0–12 cal kBP. The curves were constructed using a Markov chain Monte Carlo (MCMC) implementation of the random walk model used for IntCal04 and Marine04. The new curves were ratified at the 20th International Radiocarbon Conference in June 2009 and are available in the Supplemental Material at www.radiocarbon.org.
Soft X-ray spectra of many Active Galactic Nuclei (AGN) show structure which suggests excess emission at low energies, mostly below 1 keV. This was confirmed by the ROSAT spectra (0.1–2.4 keV) AGN in our samples which generally have steeper power law spectra than the canonical index of 0.7. The soft excess component may be the high energy tail of the big blue bump which in turn may be due to the integrated emission from an accretion disk around the central black hole.
We discuss results of our spectral analysis of two different samples of AGN: 1) QSO/Seyfert-I from the ROSAT All Sky Survey (RASS) and 2) radio-quiet QSO from ROSAT Pointed Observations. The ROSAT data are combined with UV Data from IUE and hard X-ray data from various hard X-ray missions.
High-quality data from appropriate archives are needed for the continuing improvement of radiocarbon calibration curves. We discuss here the basic assumptions behind 14C dating that necessitate calibration and the relative strengths and weaknesses of archives from which calibration data are obtained. We also highlight the procedures, problems, and uncertainties involved in determining atmospheric and surface ocean 14C/12C in these archives, including a discussion of the various methods used to derive an independent absolute timescale and uncertainty. The types of data required for the current IntCal database and calibration curve model are tabulated with examples.
The IntCal09 and Marine09 radiocarbon calibration curves have been revised utilizing newly available and updated data sets from 14C measurements on tree rings, plant macrofossils, speleothems, corals, and foraminifera. The calibration curves were derived from the data using the random walk model (RWM) used to generate IntCal09 and Marine09, which has been revised to account for additional uncertainties and error structures. The new curves were ratified at the 21st International Radiocarbon conference in July 2012 and are available as Supplemental Material at www.radiocarbon.org. The database can be accessed at http://intcal.qub.ac.uk/intcal13/.
We recently showed that the mRNA expression of genes encoding for specific nutrient sensing receptors, namely the free fatty acid receptors (FFAR) 1, 2, 3, and the hydroxycarboxylic acid receptor (HCAR) 2, undergo characteristic changes during the transition from late pregnancy to lactation in certain adipose tissues (AT) of dairy cows. We hypothesised that divergent energy intake achieved by feeding diets with either high or low portions of concentrate (60% v. 30% concentrate on a dry matter basis) will alter the mRNA expression of FFAR 1, 2, 3, as well as HCAR2 in subcutaneous (SCAT) and retroperitoneal AT (RPAT) of dairy cows in the first 3 weeks postpartum (p.p.). For this purpose, 20 multiparous German Holstein cows were allocated to either the high concentrate ration (HC, n=10) or the low concentrate ration (LC, n=10) from day 1 to 21 p.p. Serum samples and biopsies of SCAT (tail head) and RPAT (above the peritoneum) were obtained at day −21, 1 and 21 relative to parturition. The mRNA abundances were measured by quantitative PCR. The concentrations of short-chain fatty acid (SCFA) in serum were measured by gas chromatography-flame ionisation detector. The FFAR1 and FFAR2 mRNA abundance in RPAT was higher at day −21 compared to day 1. At day 21 p.p. the FFAR2 mRNA abundance was 2.5-fold higher in RPAT of the LC animals compared to the HC cows. The FFAR3 mRNA abundance tended to lower values in SCAT of the LC group at day 21. The HCAR2 mRNA abundance was neither affected by time nor by feeding in both AT. On day 21 p.p. the HC group had 1.7-fold greater serum concentrations of propionic acid and lower concentrations of acetic acid (trend: 1.2-fold lower) compared with the LC group. Positive correlations between the mRNA abundance of HCAR2 and peroxisome proliferator-activated receptor γ-2 (PPARG2) indicate a link between HCAR2 and PPARG2 in both AT. We observed an inverse regulation of FFAR2 and FFAR3 expression over time and both receptors also showed an inverse mRNA abundance as induced by different portions of concentrate. Thus, indicating divergent nutrient sensing of both receptors in AT during the transition period. We propose that the different manifestation of negative EB in both groups at day 21 after parturition affect at least FFAR2 expression in RPAT.
A 9-year time-series of genotyped human campylobacteriosis cases from the Manawatu region of New Zealand was used to investigate strain-type seasonality. The data were collected from 2005 to 2013 and the samples were multi-locus sequence-typed (MLST). The four most prevalent clonal complexes (CCs), consisting of 1215 isolates, were CC48, CC21, CC45 and CC61. Seasonal decomposition and Poisson regression with autocorrelated errors, were used to display and test for seasonality of the most prevalent CCs. Of the four examined CCs, only CC45 showed a marked seasonal (summer) peak. The association of CC45 with summer peaks has been observed in other temperate countries, but has previously not been identified in New Zealand. This is the first in-depth study over a long time period employing MLST data to examine strain-type-associated seasonal patterns of C. jejuni infection in New Zealand.
We present results of Herschel PACS imaging spectroscopy data toward ten massive young stellar objects taken as part of the WISH project. Our sample consists of four high mass protostellar objects (HMPOs), two hot molecular cores (HMCs), and four ultracompact HII regions (UCHIIs), and the spectra cover a broad range of wavelengths (55 to 210 μm) imaged over an ~50” field with 5×5 spaxels. By fitting the continua utilizing a modified black-body formula we estimate mass-weighted dust temperature and column density distributions of warm dust and find that UCHII regions are hottest and HMCs are most deeply embedded. We also estimate rotational temperature and column density distributions of warm CO gas using the rotational diagram analysis, which are comparable over targets in contrast to continuum results. By comparing high J CO line fluxes to the RATRAN estimates of centrally heated envelope models, we find that majority of warm CO originates from bipolar outflow shocks.