This document is part of the “SHEA Neonatal Intensive Care Unit (NICU) White Paper Series.” It is intended to provide practical, expert opinion, and/or evidence-based answers to frequently asked questions about CLABSI detection and prevention in the NICU. This document serves as a companion to the CDC Healthcare Infection Control Practices Advisory Committee (HICPAC) Guideline for Prevention of Infections in Neonatal Intensive Care Unit Patients. Central line-associated bloodstream infections (CLABSIs) are among the most frequent invasive infections among infants in the NICU and contribute to substantial morbidity and mortality. Infants who survive CLABSIs have prolonged hospitalization resulting in increased healthcare costs and suffer greater comorbidities including worse neurodevelopmental and growth outcomes. A bundled approach to central line care practices in the NICU has reduced CLABSI rates, but challenges remain. This document was authored by pediatric infectious diseases specialists, neonatologists, advanced practice nurse practitioners, infection preventionists, members of the HICPAC guideline-writing panel, and members of the SHEA Pediatric Leadership Council. For the selected topic areas, the authors provide practical approaches in question-and-answer format, with answers based on consensus expert opinion within the context of the literature search conducted for the companion HICPAC document and supplemented by other published information retrieved by the authors. Two documents in the series precede this one: “Practical approaches to Clostridioides difficile prevention” published in August 2018 and “Practical approaches to Staphylococcus aureus prevention,” published in September 2020.

In this work we have conducted a study on the radiative and spectroscopic properties of the radiative precursor and the post-shock region from experiments with radiative shocks in xenon performed at the Orion laser facility. The study is based on post-processing of radiation-hydrodynamics simulations of the experiment. In particular, we have analyzed the thermodynamic regime of the plasma, the charge state distributions, the monochromatic opacities and emissivities, and the specific intensities for plasma conditions of both regions. The study of the intensities is a useful tool to estimate ranges of electron temperatures present in the xenon plasma in these experiments and the analysis performed of the microscopic properties commented above helps to better understand the intensity spectra. Finally, a theoretical analysis of the possibility of the onset of isobaric thermal instabilities in the post-shock has been made, concluding that the instabilities obtained in the radiative-hydrodynamic simulations could be thermal ones due to strong radiative cooling.

Deformed quartzitic rocks from the Carboneras and Palomares fault areas (SE Spain) are enriched in phyllosilicates compared to their respective protoliths. Deformation is mainly localized in highly foliated chlorite-rich bands. Quartz-rich bands show brittle deformation developing dolomite-rich cross-cutting veins re-cementing microcataclasite areas. Undamaged lenses within the cataclastic rocks contain patches of phyllosilicates with randomly oriented chlorite and mica. Mg, Fe, water, As and Zn enrichment of the damaged rocks suggests a process of hydrothermal chloritization associated with the Cabo de Gata volcanism. Petrographic characteristics indicate that hydrothermal alteration that produced chlorite and mica-enrichment occurred before faulting. Phyllosilicates provided lubricating properties to the quartzitic rocks, favouring the predominance of creep over seismic stick-slip and reducing the possibility of large seismogenic events. Dolomite cementation as a consequence of fluid–rock interaction processes would have a limited effect, due to the presence of weak phyllosilicate surfaces.

A gas-filled cylindrical liner z-pinch configuration has been used to drive convergent radiative shock waves into different gases at velocities of 20–50 km s−1. On application of the 1.4 MA, 240 ns rise-time current pulse produced by the Magpie generator at Imperial College London, a series of cylindrically convergent shock waves are sequentially launched into the gas-fill from the inner wall of the liner. This occurs without any bulk motion of the liner wall itself. The timing and trajectories of the shocks are used as a diagnostic tool for understanding the response of the liner z-pinch wall to a large pulsed current. This analysis provides useful data on the liner resistivity, and a means to test equation of state (EOS) and material strength models within MHD simulation codes. In addition to providing information on liner response, the convergent shocks are interesting to study in their own right. The shocks are strong enough for radiation transport to influence the shock wave structure. In particular, we see evidence for both radiative preheating of material ahead of the shockwaves and radiative cooling instabilities in the shocked gas. Some preliminary results from initial gas-filled liner experiments with an applied axial magnetic field are also discussed.

The follicle destiny towards ovulation or atresia is multi-factorial in nature and involves outcries, paracrine and endocrine factors that promote cell proliferation and survival (development) or unchain apoptosis as part of the atresia process. In several types of cells, sphingosine-1-phospate (S1P) promotes cellular proliferation and survival, whereas ceramide (CER) triggers cell death, and the S1P/CER ratio may determine the fate of the cell. The aim of present study was to quantify S1P and CER concentrations and their ratio in bovine antral follicles of 8 to 17 mm classified as healthy and atretic antral follicles. Follicles were dissected from cow ovaries collected from a local abattoir. The theca cell layer, the granulosa cells and follicular fluid were separated, and 17β-estradiol (E2) and progesterone (P4) concentrations were measured in the follicular fluid by radioimmunoassay. Based on the E2/P4 ratio, the follicles were classified as healthy (2.2±0.3) or atretic (0.2±0.3). In both follicular compartments (granulosa and theca cell layer), sphingolipids were extracted and S1P and CER concentrations were quantified by HPLC (XTerra RP18; 5 µm, 3.0×150 mm column). Results showed that in both follicular compartments, S1P concentrations were higher in healthy antral follicles than in atretic antral follicles (P<0.05). The concentration of CER in the granulosa cells was higher in atretic antral follicles than in healthy antral follicles, but no differences were observed in the theca cell layer. The S1P/CER ratio in both follicular compartments was also higher in healthy antral follicles. Interestingly, in these follicles, there was a 45-fold greater concentration of S1P than CER in the granulosa cells (P<0.05), whereas in the theca cell layer, S1P had only a 14-fold greater concentration than CER when compared with atretic antral follicles. These results suggest that S1P plays a role in follicle health, increasing cellular proliferation and survival. In contrast, reduction of S1P and the S1P/CER in the antral follicle could trigger cellular death and atresia.

Plasma radiative properties play a pivotal role both in nuclear fusion and astrophysics. They are essential to analyze and explain experiments or observations and also in radiative-hydrodynamics simulations. Their computation requires the generation of large atomic databases and the calculation, by solving a set of rate equations, of a huge number of atomic level populations in wide ranges of plasma conditions. These facts make that, for example, radiative-hydrodynamics in-line simulations be almost infeasible. This has lead to develop analytical expressions based on the parametrization of radiative properties. However, most of them are accurate only for coronal or local thermodynamic equilibrium. In this work we present a code for the parametrization of plasma radiative properties of mono-component plasmas, in terms of plasma density and temperature, such as radiative power loss, the Planck and Rosseland mean opacities and the average ionization, which is valid for steady-state optically thin plasmas in wide ranges of plasma densities and temperatures. Furthermore, we also present some applications of this parametrization such as the analysis of the optical depth and radiative character of plasmas, the use to perform diagnostics of the electron temperature, the determination of mean radiative properties for multicomponent plasmas and the analysis of radiative cooling instabilities in some kind of experiments on high-energy density laboratory astrophysics. Finally, to ease the use of the code for the parametrization, this one has been integrated in a user interface and brief comments about it are presented.

The objective of this study was to investigate the genetic diversity of methicillin-resistant Staphylococcus aureus (MRSA) clonal complex (CC) 398 using pulsed-field gel electrophoresis (PFGE). Dust and pigs at five age groups were sampled in six Danish MRSA-positive pig farms. MRSA CC398 was isolated from 284 of the 391 samples tested, including 230 (74%) animal and 54 (68%) environmental samples. PFGE analysis of a subset of 48 isolates, including the six strains previously isolated from farm workers, revealed the existence of farm-specific pulsotypes. With a single exception, human, environmental and porcine isolates originating from the same farm clustered together in the PFGE cluster analysis, indicating that spread of MRSA CC398 in Danish pig farms is mainly due to clonal dissemination of farm-specific lineages that can be discriminated by PFGE. This finding has important implications for planning future epidemiological studies investigating the spread of CC398 in pig farming.

We present subarcsecond resolution mid-infrared (mid-IR) photometry in the range from 8 to 20 μm of 18 nearby Seyfert galaxies, reporting high spatial resolution nuclear fluxes for the entire sample (see Table 3 of Ramos Almeida et al. 2009). We construct spectral energy distributions (SEDs) that the AGN dominates, relatively uncontaminated by starlight, adding near-IR measurements from the literature at similar angular resolution. We find that the IR SEDs of intermediate-type Seyferts are flatter and present higher 10 to 18 μm ratios than those of Seyfert 2 (Sy2) galaxies.

Nine individually penned Finnish Landrace x Dorset Horn ewes with a mean litter size of 2·33 were offered a diet containing 63% digestible organic matter (DOM) and 13% crude protein in the dry matter at a daily intake of 0·82 kg DOM (1·3 x maternal maintenance) from 95 to 110 days of gestation. On day 111 DOMI was abruptly reduced to either 0·67 kg (T1, 0·54 kg (T2) or 0·36 kg (T3)/day and kept at these levels until a few days pre-partum.

Daily N balance before food restriction was 4·9 ± 0·51 g/day. During the periods 3·9 (S1), 11·17 (S2) and 19·25 (S3) days after food restriction daily N balance was 2·8, 2·8 and 3·6 g for θwes on T1, 1·0,1·0 and 0·8 g for those on T2 and –4·1, -4·0and -4·0 g for those on T3. Total lamb birth weight was 8·0, 7·2 and 6·5 kg for treatments T1, T2 and T3 respectively. Using regression analysis it was calculated that plasma glucose concentration in late pregnancy for ewes with a total lamb birth weight of 8 kg fell below the pre-restriction value of 52 mg/100 ml when daily DOMI was reduced to 747 g. At this intake the plasma FFA concentration was 585/i-equiv./I compared with 288 before food restriction. Corresponding values for daily N balance were 5·1 and 4·9 g. A reduction in daily energy intake below 0·75 kg DOM resulted in a rapid decrease in plasma glucose and N balance, the latter being proportional to the increase in the concentration of plasma FFA. The mean daily loss of N from the maternal body was estimated to be 0·4, 1·6 and 6·1 g for treatments T1 to T3 respectively during the period of food restriction.

The mechanical alloying (MA) process is an effective method to develop strategic materials with novel structures. These can be solid solutions (even in immisible systems), amorphous phases, fine particle sized and nano-metric crystals etc. Conventional powders metallurgy routes can process the mechanical alloyed products. However, the novel features conferred into the powders, can be lost during the sintering operations. The spark plasma sintering process (SPS) is an alternative route to dense mechanically alloyed products at a high grade while retaining their novel structures. Co-Ti alloys were produced by mechanical alloying the elemental powders mixtures with nominal composition Co50Ti50 (at. %). Details on the preparation and characterisation of the milled products can be found in related publications. Densification of the powders products was conducted using a Dr. Sinter equipment. Previous studies on Co-Ti alloys processed by MA and SPS have shown that the final products are composed of mixtures of metastable intermetallic compounds.

A comparative nonlinear characterization is carried out between the nonlinear behavior of a composite and the piezoceramic used to obtain it. This study is necessary for using the composite in power transducer applications, as in the Non Destructive Testing (NDT) by ultrasonic waves at high frequencies (300 kHz−800 kHz). Measurements of the losses and the resonator stiffness variations have also been done. Both these effects, as well as the possibility of the frequency hysteresis, show different behavior in the composites, since the increases in the ceramics are different from those in the composites. In this study two measure methods are used; principally the motional impedance increase with the motional current measurements. The results obtained are normalized in order to make them independent of the resonator size, and thus make the comparison between the composite and the ceramic easier. The figure of the mechanical loss tangent tg $\delta_{\rm m}$versus the mean strain $\langle S \rangle $ shows that the losses can be greater in the ceramic than in the composite for soft ceramics. The dependence behavior of the losses versus the mean strain shows that hard composite transducers have lower losses and higher strains than the soft ones. However, these losses in hard composites are higher than those in the bulk ceramic transducers.

This study sought to investigate the normal muscle fibre size and type distribution of the human erector spinae, both in thoracic and lumbar regions, in a group of 31 young healthy male (n=17) and female (n=14) volunteers. Two percutaneous muscle biopsy samples were obtained under local anaesthesia, from the belly of the left erector spinae, at the levels of the 10th thoracic and 3rd lumbar vertebrae. Samples were prepared for routine histochemistry for the identification of fibre types. Fibre size (cross-sectional area (CSA) and narrow diameter (ND)) was quantified using computerised image analysis. The mean CSA/ND for each fibre type was greater in the thoracic than the lumbar region, but there was no difference between the 2 regions either for percentage type I (i.e. percentage distribution by number), percentage type I area (i.e. relative area of the muscle occupied by type I fibres) or the ratio describing the size of the type I fibre relative to that of the type II. Men had larger fibres than women, for each fibre type and at both sampling sites. In the men, each fibre type was of a similar mean size, whereas in the women the type I fibres were considerably larger than both the type II A and type II B fibres, with no difference between the latter two. In both regions of the erector spinae there was no difference between men and women for the proportion (%) of a given fibre type, but the percentage type I fibre area was significantly higher in the women.

The erector spinae display muscle fibre characteristics which are clearly very different from those of other skeletal muscles, and which, with their predominance of relatively large type I (slow twitch) fibres, befit their function as postural muscles. Differences between thoracic and lumbar fascicles of the muscle, and between the muscles of men and women, may reflect adaptive responses to differences in function. In assessing the degree of any pathological change in the muscle of patients with low back pain, it seems clear that (1) sex cannot be disregarded and (2) ‘atrophied’ (using the criteria from other muscles) type II fibres are not necessarily abnormal for the erector spinae, particularly in women.

We present a simplified model of electrons and phonons in a three-site cluster as a paradigm of a system exhibiting a lattice instability. We point out the utility of X-ray absorption fine structure (XAFS) in the study of materials where the coupling between electrons and phonons leads to the appearance of such lattice instabilities. As examples of these systems, we present X-ray absorption fine structure (XAFS) measurements on magnetic manganese oxide materials and II-VI semiconductors. Both of these systems exhibit local lattice instabilities which are reflected in the transport properties. In the case of the manganese oxide La0.67Ca0.33MnO3 we observe a change in the Mn-O local structure accompanying the ferromagnetic and metal-insulator transitions. For In doped CdTe we observe the appearance of a lattice distortion centered at the Cd atoms as the In concentration is increased. This distortion is associated with the trapping of free charge carriers, leading to the saturation of the conductivity as the In concentration increases.

Blazar OJ 287 is one of the best observed extragalactic objects. It's historical light curve goes back to 1890′s. Based on the historical behaviour Sillanpää et al. (1988) showed that OJ 287 displays large periodic outbursts, with a period of 11.7 years. We have monitored OJ 287 intensively for two years, during the OJ-94 project. This project was created for monitoring OJ 287 during its predicted new outburst in 1994. In the data archive we have over 7000 observations on OJ 287, in the radio, infrared and optical bands. This data archive contains the best ever obtained light curves for any extragalactic object. The optical light curve shows continuous variability down to time scales of tens of minutes. The variability observed in OJ 287 can be broken down to (at least) four different categories:

This paper reports on the use of high-power traveling wave tubes (TWTs) as a source of microwave energy for materials processing applications. Recent work by Oak Ridge National Laboratories and Microwave Laboratories personnel has demonstrated the usefulness of sweeping the microwave processing frequency over substantial (>20%) bandwidths in order to achieve uniformity of heating over volumes unattainable using conventional microwave sources ∼ e.g., magnetrons. Properly constructed high-power TWTs are a logical choice of microwave source in such systems. After briefly reviewing the basic operating principles of the TWT, the required characteristics of a TWT for materials processing applications and how those requirements affect the TWT's design are discussed. Comments on the present product lines and areas of development for all of the major TWT manufacturers are also presented. Finally, the issue of the ultimate potential cost of TWTs designed for microwave processing applications is addressed.

NMR and NQR results are reported for 63,65Cu in YBa2Cu3O7-δ. Analysis of the high-field NMR spectrum indicates substantial disorder in the copper-oxygen planes. Nuclear relaxation rates are significantly different for copper in the chains and planes both above and below Tc and yield sharply different electron pairing energies on these structural units in the superconducting state.

We have measured the specific heat, C, in the temperature range 0.3 to 20K and in magnetic fields up to 12 Tesla of several compounds related to the high-Tc superconductors. The linear term in C for YBa2Cu3O7−x is only weakly dependent on oxygen concentration in the range 0 ≤ × ≤ 0.7. The linear term in C changes by less than 10% at 10 Tesla for La1.98Sr.02CuO4, whereas for YBa2Cu3O7−x it is obscured by additional field-dependent structure. Magnetic ordering anomalies are observed in YBa2Cu2O5 at 10.6 K and in BaCuO2+6 at 9.3 K.