<Emphasis Type="Italic">Clostridium difficile</Emphasis> infection incidence prediction in hospitals (CDIIPH): a predictive model based on decision tree and fuzzy techniques

Several risk factors associated with the increased likelihood of healthcare-associated Clostridium difficile infection (CDI) have been identified in the literature. These risk factors are mainly related to age, previous CDI, antimicrobial exposure, and prior hospitalization. No model is available in the published literature that can be used to predict the CDI incidence using healthcare administration data. However, the administrative data can be imprecise and may challenge the building of classical statistical models. Fuzzy set theory can deal with the imprecision inherent in such data. This research aimed to develop a model based on deterministic and fuzzy mathematical techniques for the prediction of hospital-associated CDI by using the explanatory variables controllable by hospitals and health authority administration. Retrospective data on CDI incidence and other administrative data obtained from 22 hospitals within a regional health authority in British Columbia were used to develop a decision tree (deterministic technique based) and a fuzzy synthetic evaluation model (fuzzy technique based). The decision tree model had a higher prediction accuracy than that of the fuzzy based model. However, among the common results predicted by two models, 72 % were correct. Therefore, this relationship was used to combine their results to increase the precision and the strength of evidence of the prediction. These models were further used to develop an Excel-based tool called C. difficile Infection Incidence Prediction in Hospitals (CDIIPH). The tool can be utilized by health authorities and hospitals to predict the magnitude of CDI incidence in the following quarter.     

Geochemical characteristics of crustal anatexis during the formation of migmatite at the Southern Sierra Nevada,California

We provide data on the geochemical and isotopic consequences of nonmodal partial melting of a thick Jurassic pelite unit at mid-crustal levels that produced a migmatite complex in conjunction with the intrusion of part of the southern Sierra Nevada batholith at ca. 100 Ma. Field relations suggest that this pelitic migmatite formed and then abruptly solidified prior to substantial mobilization and escape of its melt products. Hence, this area yields insights into potential mid-crustal level contributions of crustal components into Cordilleran-type batholiths. Major and trace-element analyses in addition to field and petrographic data demonstrate that leucosomes are products of partial melting of the pelitic protolith host. Compared with the metapelites, leucosomes have higher Sr and lower Sm concentrations and lower Rb/Sr ratios. The initial ⁸⁷Sr/⁸⁶Sr ratios of leucosomes range from 0.7124 to 0.7247, similar to those of the metapelite protoliths (0.7125–0.7221). However, the leucosomes have a much wider range of initial ε_Nd values, which range from −6.0 to −11.0, as compared to −8.7 to −11.3 for the metapelites. Sr and Nd isotopic compositions of the leucosomes, migmatites, and metapelites suggest disequilibrium partial melting of the metapelite protolith. Based on their Sr, Nd, and other trace-element characteristics, two groups of leucosomes have been identified. Group A leucosomes have relatively high Rb, Pb, Ba, and K₂O contents, Rb/Sr ratios (0.15<Rb/Sr<1.0), and initial ε_Nd values. Group B leucosomes have relatively low Rb, Pb, Ba, and K₂O contents, Rb/Sr ratios (<0.15), and initial ε_Nd values. The low Rb concentrations and Rb/Sr ratios of the group B leucosomes together suggest that partial melting was dominated by water-saturated or H₂O-fluxed melting of quartz + feldspar assemblage with minor involvement of muscovite. Breakdown of quartz and plagioclase with minor contributions from muscovite resulted in low Rb/Sr ratios characterizing both group A and group B leucosomes. In contrast, group A leucosomes have greater contributions from K-feldspar, which is suggested by: (1) their relatively high K concentrations, (2) positive or slightly negative Eu anomalies, and (3) correlation of their Pb and Ba concentrations with K₂O contents. It is also shown that accessory minerals have played a critical role in regulating the partitioning of key trace elements such as Sm, Nd, Nb, and V between melt products and residues during migmatization. The various degrees of parent/daughter fractionations in the Rb–Sr and Sm–Nd isotopic systems as a consequence of nonmodal crustal anatexis would render melt products with distinct isotopic signatures, which could profoundly influence the products of subsequent mixing events. This is not only important for geochemical patterns of intracrustal differentiation, but also a potentially important process in generating crustal-scale as well as individual pluton-scale isotopic heterogeneities.     

Turbulent flux observations and modelling over a shallow lake and a wet grassland in the Nam Co basin,Tibetan Plateau

The Tibetan Plateau plays an important role in the global water cycle and is strongly influenced by climate change. While energy and matter fluxes have been more intensely studied over land surfaces, a large proportion of lakes have either been neglected or parameterised with simple bulk approaches. Therefore, turbulent fluxes were measured over wet grassland and a shallow lake with a single eddy-covariance complex at the shoreline in the Nam Co basin in summer 2009. Footprint analysis was used to split observations according to the underlying surface, and two sophisticated surface models were utilised to derive gap-free time series. Results were then compared with observations and simulations from a nearby eddy-covariance station over dry grassland, yielding pronounced differences. Observations and footprint integrated simulations compared well, even for situations with flux contributions including grassland and lake. The accessibility problem for EC measurements on lakes can be overcome by combining standard meteorological measurements at the shoreline with model simulations, only requiring representative estimates of lake surface temperature.     

Molecular identification and culture observation on <Emphasis Type="Italic">Acrochaete leptochaete</Emphasis> (Chaetophoraceae,Chlorophyta) from China

Acrochaete leptochaete (Huber) Nielsen (Chaetophoraceae, Chlorophyta) was isolated from the macroalgae Chaetomorpha collected from intertidal pools in Rongcheng, Shandong, China. 18S rDNA combined with ITS regions were used to ascertain the morphological identification of the isolated material. Based on the unialgal culture, asexual reproduction and growth characteristics of A. leptochaete were investigated over wide ranges of temperature and irradiance. Results revealed that asexual reproduction of A. leptochaete could be realized by biflagellate zoospores. The zoospores germinated directly to give self- replicating generations. Zoospore germination was bipolar. A temperature range from 13-21°C and a lower irradiance of 36 μmol/(m2·s) were most favorable for the growth of A. leptochaete. Thallus organization, an important taxonomic criterion for the genus Acrochaete, was affected markedly by temperature and irradiance. Our results extend the knowledge about the species’ general biology and its morphological plasticity. For classification and identification of a simple microphytic algae like A. leptochaete, which are traditionally placed in the class Chaetophoraceae, we propose that molecular tools associated with culture observations are applied.     

A particle conveyor belt process in the Columbia River estuary: Evidence from chlorophyll<Emphasis Type="Italic">a</Emphasis> and particulate organic carbon

Using both the photosynthetically active chlorophylla (chla) content of the organic carbon fraction of suspended particulate matter (chla/POC) and the percentage of photosynthetically, active chla in fluorometrically measured chla plus pheophytina (% chla), we determined that under specified hydrodynamic conditions, neap-spring tidal differentiation in particle dynamics could be observed in the Columbia River estuary. During summer time neap tides, when river discharge was moderate, bottom chla/POC remained relatively unchanged from riverine chla/POC over the full 0–30 psu salinity range, suggesting a benign trapping environment. During summertime spring tides, bottom chla/POC decreased at mid range salinities indicating resuspension of chla-poor POC during flood-ebb transitions. Bottom % chla during neap tides tended to average higher than that during spring tides, suggesting that neap particles were more recently hydrodynamically trapped than those on the spring tides. Such differentiation supported the possibility of operation of a particle conveyor belt process, a process in which low-amplitude neap tides favor selective particle trapping in estuarine turbidity maxima (ETM)., while high-amplitude spring tides favor particle resuspension from the ETM. Untrapped river-derived particles at the surface would continue through the estuary to the coastal ocean on the neap tide; during spring tide some particles eroded from the ETM would combine with unsettled riverine particles in transit toward the ocean. Because in tensified biogeochemical activity is associated with ETM, these neap-spring differences may be critical to maintenance and renewal of populations and processes in the estuary. Very high river discharge (15, 000 m³ s⁻¹) tended to overwhelm neap-spring differences, and significant oceanic input during very low river discharge (5,000 m³ s⁻¹) tended to do the same in the estuarine channel most exposed to ocean input. During heavy springtime phytoplankton blooms, development of a thick bottom fluff layer rich in chla also appeared to negate neapspring differentiation because spring tides apparently acted to resuspend the same rich bottom material that was laid down during neap tides. When photosynthetic assimilation numbers [μgC (μgchl,a)⁻¹h⁻¹] were measured across, the full salinity range, no neap-spring differences and no river discharge effects occurred, indicating that within our suite of measurements the compositional distinction of suspended particulate material was mainly a function of chla/POC, and to a lesser extent % chla. Even though these measurements suggest the existence of a conveyor belt process, proof of actual operation of this phenomenon requires scalar flux measurements of chla properties in and out of the ETM on both neap and spring tides.     

A new method for specular and diffuse pseudorange multipath error extraction using wavelet analysis

Multipath remains one of the major challenges in Global Navigation Satellite System (GNSS) positioning because it is considered the dominant source of ranging errors, which can be classified into specular and diffuse types. We present a new method using wavelets to extract the pseudorange multipath in the time domain and breaking it down into the two components. The main idea is an analysis-reconstruction approach based on application of both continuous wavelet transform (CWT) and discrete wavelet transform (DWT). The proposed procedure involves the use of L1 code-minus-carrier (CMC) observable where higher-frequency terms are isolated as residuals. CMC residuals are analyzed by applying the CWT, and we propose the scalogram as a technique for discerning time–frequency variations of the multipath signal. Unlike Fourier transform, the potential of the CWT scalogram for examining the non-stationary and multifrequency nature of the multipath is confirmed as it simultaneously allows fine detection and time localization of the most representative frequencies of the signal. This interpretation of the CWT scalogram is relevant when choosing the levels of reconstruction with DWT, allowing accurate time domain extraction of both the specular and diffuse multipath. The performance and robustness of the method and its boundary applicability are assessed. The experiment was carried out using a receiver of Campania GNSS Network. The results are given in which specular multipath error is achieved using DWT level 7 approximation component and diffuse multipath error is achieved using DWT level 6 denoised detail component.     

Water renewal estimates for aquaculture developments in the Richibucto estuary,Canada

Water renewal in semi-enclosed coastal areas is crucial for the supply of oxygen and seston and for the removal of organic loadings from finfish or shellfish aquaculture sites. Water renewal depends on hydrodynamic processes and can have a complex spatial distribution due to irregular topographic features. This study describes some physical oceanography observations gathered in the Richibucto estuary, New Brunswick, Canada, and provides an estimate of the spatial distribution of water renewal in the North Arm, a location in the estuary where the largest American oyster (Crassostrea virginica) aquaculture operation in eastern Canada is located. The estuary changes from a well mixed estuary to a partially stratified estuary depending on runoff conditions. Tides are mixed but mainly diurnal due to the nearby presence of the second M₂ amphidromic point in the Gulf of St. Lawrence. Tidal amplitudes vary from 0.3 to 0.6 m and show a slight increase some 35 km upstream. Currents in the main channel can reach over 0.60 m s⁻¹ during ebb and 0.3 m s⁻¹ during flood, with a slack water period of approximately 8 h. Low frequency sea level fluctuations have a range of 0.5 m at the mouth and are coherent within the estuary. Hydrodynamic and advection-dispersion models are used to calculate the spatial distribution of the local renewal time (LRT) in the North Arm for high and low freshwater discharge conditions, using the dissolved tracer method. Results show that the LRT varies from less than 5 d at the downstream end of the North Arm to over 100 d further upstream. When averaged over the entire North Arm, the integral renewal time (IRT) is estimated to vary only from 8 to 21 d depending on the season. The LRT and IRT estimates are major improvements over conventional renewal estimates using tidal prism methods.     

Geochemical and O-isotope constraints on the evolution of lithospheric mantle in the Ross Sea rift area (Antarctica)

Peridotite xenoliths found in Cenozoic alkali basalts of northern Victoria Land, Antarctica, vary from fertile spinel-lherzolite to harzburgite. They often contain glass-bearing pockets formed after primary pyroxenes and spinel. Few samples are composite and consist of depleted spinel lherzolite crosscut by amphibole veins and/or lherzolite in contact with poikilitic wehrlite. Peridotite xenoliths are characterized by negative Al₂O₃–Mg# and TiO₂–Mg# covariations of clino- and orthopyroxenes, low to intermediate HREE concentrations in clinopyroxene, negative Cr–Al trend in spinel, suggesting variable degrees of partial melting. Metasomatic overprint is evidenced by trace element enrichment in clinopyroxene and sporadic increase of Ti–Fe_tot. Preferential Nb, Zr, Sr enrichments in clinopyroxene associated with high Ti–Fe_tot contents constrain the metasomatic agent to be an alkaline basic melt. In composite xenoliths, clinopyroxene REE contents increase next to the veins suggesting metasomatic diffusion of incompatible element. Oxygen isotope data indicate disequilibrium conditions among clinopyroxene, olivine and orthopyroxene. The highest δ¹⁸O values are observed in minerals of the amphibole-bearing xenolith. The δ¹⁸O_cpx correlations with clinopyroxene modal abundance and geochemical parameters (e.g. Mg# and Cr#) suggest a possible influence of partial melting on oxygen isotope composition. Thermobarometric estimates define a geotherm of 80°C/GPa for the refractory lithosphere of NVL, in a pressure range between 1 and 2.5 GPa. Clinopyroxene microlites of melt pockets provide P–T data close to the anhydrous peridotite solidus and confirm that they originated from heating and decompression during transport in the host magma. All these geothermometric data constrain the mantle potential temperature to values of 1250–1350°C, consistent with the occurrence of mantle decompressional melting in a transtensive tectonic regime for the Ross Sea region.     

Titanium- and water-rich metamorphic olivine in high-pressure serpentinites from the Voltri Massif (Ligurian Alps,Italy): evidence for deep subduction of high-field strength and fluid-mobile elements

Titanium- and water-rich metamorphic olivine (Fo 86–88) is reported from partially dehydrated serpentinites from the Voltri complex, Ligurian Alps. The rocks are composed of mostly antigorite and olivine in addition to magnetite, chlorite, clinopyroxene and Ti-clinohumite. In situ secondary ion mass spectrometry (SIMS) data show that metamorphic olivine has very high and strongly correlated H₂O (up to 0.7 wt%) and TiO₂ contents (up to 0.85 wt%). Ti-rich olivine shows colourless to yellow pleochroism. Olivine associated with Ti-clinohumite contains low Ti, suggesting that Ti-rich olivine is not the breakdown product of Ti-clinohumite. Fourier transform infrared spectroscopy (FTIR) absorption spectra show peaks of serpentine, Ti-clinohumite and OH-related Si vacancies. Combining FTIR and SIMS data, we suggest the presence of clustered planar defects or nanoscale exsolutions of Ti-clinohumite in olivine. These defects or exsolutions contain more H₂O (x ~ 0.1 in the formula 4Mg₂SiO₄·(1?x)Mg(OH,F)₂·xTiO₂) than Ti-clinohumite in the sample matrix (x = 0.34–0.46). In addition to TiO₂ and H₂O, secondary olivine contains significant Li (2–60 ppm), B (10–20 ppm), F (10–130 ppm) and Zr (0.9–2.1 ppm). It is enriched in ¹¹B (δ¹¹B = +17 to +23 ‰). Our data indicate that secondary olivine may play a significant role in transporting water, high-field strength and fluid-mobile elements into the deeper mantle as well as introduce significant B isotope anomalies. Release of hydrogen from H₂O-rich olivine subducted into the deep mantle may result in strongly reduced mantle domains.     

Dimensionless measures of turbulent magnetohydrodynamic dissipation rates

The magnetic Reynolds number, R _M, is defined as the product of a characteristic scale and associated flow speed divided by the microphysical magnetic diffusivity. For laminar flows, R _M also approximates the ratio of advective to dissipative terms in the total magnetic energy equation, but for turbulent flows this latter ratio depends on the energy spectra and approaches unity in a steady state. To generalize for flows of arbitrary spectra we define an effective magnetic dissipation number,   R _M,e  , as the ratio of the advection to microphysical dissipation terms in the total magnetic energy equation, incorporating the full spectrum of scales, arbitrary magnetic Prandtl numbers, and distinct pairs of inner and outer scales for magnetic and kinetic spectra. As expected, for a substantial parameter range   R _M,e∼ O (1) ≪ R _M  . We also distinguish   R _M,e  from     where the latter is an effective magnetic Reynolds number for the mean magnetic field equation when a turbulent diffusivity is explicitly imposed as a closure. That   R _M,e  and     approach unity even if   R _M≫ 1  highlights that, just as in hydrodynamic turbulence, energy dissipation of large-scale structures in turbulent flows via a cascade can be much faster than the dissipation of large-scale structures in laminar flows. This illustrates that the rate of energy dissipation by magnetic reconnection is much faster in turbulent flows, and much less sensitive to microphysical reconnection rates compared to laminar flows.