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A combined experimental and theoretical study is presented of fluctuations observed by field ion microscopy in the catalytic reaction of water production on a rhodium tip. A stochastic approach is developed to provide a comprehensive understanding of the different phenomena observed in the experiment, including burst noise manifesting itself in a bistability regime, noisy oscillations, and nanopatterns with a cross-like oxidized zone separating the surface into four quadrants centered on the {111} facets. The study is based on a stochastic model numerically simulating the processes of adsorption, desorption, reaction, and transport. The surface diffusion of hydrogen is described as a percolation process dominated by large clusters corresponding to the four quadrants. The model reproduces the observed phenomena in the ranges of temperature, pressures, and electric field of the experiment.
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We derive a set of isometric fluctuation relations, which constrain the order parameter fluctuations in finite-size systems at equilibrium and in the presence of a broken symmetry. These relations are exact and should apply generally to many condensed-matter physics systems. Here, we establish these relations for magnetic systems and nematic liquid crystals in a symmetry-breaking external field, and we illustrate them on the Curie-Weiss and the XY models. Our relations also have implications for spontaneous symmetry breaking, which are discussed.
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We report a theoretical study of stochastic processes modeling the growth of first-order Markov copolymers, as well as the reversed reaction of depolymerization. These processes are ruled by kinetic equations describing both the attachment and detachment of monomers. Exact solutions are obtained for these kinetic equations in the steady regimes of multicomponent copolymerization and depolymerization. Thermodynamic equilibrium is identified as the state at which the growth velocity is vanishing on average and where detailed balance is satisfied. Away from equilibrium, the analytical expression of the thermodynamic entropy production is deduced in terms of the Shannon disorder per monomer in the copolymer sequence. The Mayo-Lewis equation is recovered in the fully irreversible growth regime. The theory also applies to Bernoullian chains in the case where the attachment and detachment rates only depend on the reacting monomer.
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OBJECTIVES: This study aimed to monitor respiratory tract outbreaks in nursing homes (NH) by applying standardized case definition criteria, pathogen identification and estimated mortality impact. PATIENTS AND METHODS: This longitudinal, observational study described NH outbreaks with temperature (T°), upper respiratory sign, lower respiratory sign (LRS), general status deterioration, general signs, and mortality. Viral examinations allowed for analysis of developing outbreaks based on positive, negative, or no tests (Flu+/Flu-/NT-Flu). RESULTS: Forty-six influenza identification episodes (Flu+, 1067 patients), 14 Flu- (409 patients), and 18 NT-Flu (381 patients) were analyzed. Viral examinations were conducted mainly among residents with T° (84.8% [302/356]). A specific temperature pattern was observed in Flu+ outbreaks: 35.1% of infected residents with T° without LRS, 15.6% in Flu- episodes, and 17.1% vs. 29.1% in LRS without T°. A median temperature (MT) of ≥38.3 °C was observed in Flu+ outbreaks. MT analysis of the 18 NT-Flu episodes identified five outbreaks with high temperatures (MT ≥38.2 °C) and high mortality. Conversely, the 13 NT-Flu outbreaks with lower MT (<38.0 °C) were associated with lower total mortality. Similar clinical pictures led to closely comparable all-cause mortality impacts, particularly in Flu+, Flu-, and NT-Flu with MT of ≥38.2 °C. CONCLUSIONS: Validated sign/symptom monitoring highlighted some specificities of respiratory NH outbreaks and could be a complementary approach, taking into account common and atypical clinical pictures, assessing mortality and initiating virological investigations and infection control measures.
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Influenza Humana , Infecções Respiratórias , Surtos de Doenças , Humanos , Influenza Humana/diagnóstico , Influenza Humana/epidemiologia , Casas de Saúde , Sistema Respiratório , Infecções Respiratórias/diagnóstico , Infecções Respiratórias/epidemiologiaRESUMO
The catalytic reduction of NO(2) with hydrogen on a Pt field emitter tip is investigated using both field electron microscopy (FEM) and field ion microscopy (FIM). A rich variety of nonlinear behavior and unusually high catalytic activity around the {012} facets are observed. Our FEM investigations reveal that the correlation function exhibits damped oscillations with a decaying envelope, showing that molecular noise will influence the dynamics of the oscillations. The dependence of the oscillatory period on the P(H(2))/P(NO(2)) pressure ratios is analyzed. Similar patterns are reported under FIM conditions. Corresponding density functional theory (DFT) calculations for the adsorption of NO(2) on Pt{012} in the presence of an external electric field are performed in order to gain an atomistic understanding of the underlying nonlinear phenomena.
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Hidrogênio/química , Nanopartículas Metálicas/química , Dióxido de Nitrogênio/química , Platina/química , Adsorção , Catálise , Cinética , Microscopia Eletrônica , Oxirredução , Tamanho da Partícula , Propriedades de SuperfícieRESUMO
For the statistics of currents in quantum transport, microreversibility is shown to provide a way to obtain the statistical cumulants at the order n+1 from the measurement of the cumulants at the order n or lower. This fundamental result is based on relations generalizing the fluctuation-dissipation theorem and the Onsager-Casimir reciprocal relations from linear toward nonlinear transport properties, as a consequence of the time-reversal symmetry of the underlying microscopic Hamiltonian dynamics. The method is demonstrated in detail in the case of multiterminal Aharonov-Bohm rings. Within the independent electron approximation, the cumulant generating function, which fully specifies the statistics of the nonequilibrium currents, is obtained from the scattering matrix of these circuits. The time-reversal symmetry relations are explicitly shown to express the cumulants at equilibrium up to the fourth order in terms of lower-order cumulants and their nonequilibrium responses in the presence of an external magnetic field.
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Meticillin-resistant Staphylococcus aureus (MRSA) and other multiply resistant bacteria are frequently isolated in long-term care facilities (LTCFs). This study evaluated the contamination of staff clothing in three LTCFs. Over 500 samples were taken from uniforms and their pockets and these samples showed a high level of MRSA contamination. Wearing plastic aprons and managing pocket contents improved the contamination rate. Our results highlight the continued importance of hand hygiene, since staff have frequent contact with their uniforms and could potentially contaminate their hands before care.
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Contaminação de Equipamentos/estatística & dados numéricos , Instituição de Longa Permanência para Idosos/estatística & dados numéricos , Staphylococcus aureus Resistente à Meticilina/isolamento & purificação , Casas de Saúde/estatística & dados numéricos , Roupa de Proteção/microbiologia , Infecções Estafilocócicas/transmissão , Idoso , Infecção Hospitalar/microbiologia , Infecção Hospitalar/prevenção & controle , Fômites/microbiologia , França , Humanos , Incidência , Controle de Infecções/normas , Assistência de Longa Duração , Enfermeiras e Enfermeiros , Assistentes de Enfermagem , Roupa de Proteção/normasRESUMO
We studied the interplay between Ag decoration of a stepped Pt(355) surface and CO adsorption by in situ high-resolution x-ray photoelectron spectroscopy. Varying amounts of Ag deposited at 300 K initially lead to a row-by-row growth starting from the lower Pt step edges. Such decoration of the step sites results in a change in the CO adsorption behavior. An apparent blocking of step sites for low CO coverages is attributed to a change in the electronic structure, resulting in a C 1s binding energy of CO at step sites being equal to that for CO at terrace on-top sites in the presence of Ag. Higher CO coverages induce the formation of embedded Ag clusters within the upper terraces, thus freeing up a part of the original Pt step sites for CO adsorption, as was derived by a comparison to density functional theory calculations in the corresponding surface models.
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OBJECTIVE: Outbreaks of respiratory tract infections are common in institutions for elderly people. The objective of our study was the implementation of a network including 11 institutions to determine the frequency of such outbreaks. Using the collected data, criteria and alert levels are defined to assess the level of respiratory tract infections and develop appropriate interventions. METHODOLOGY: Prospective surveillance for respiratory tract infection was conducted in 11 institutions in Alsace for 2 years. Clinical definitions were used to identify the infected residents. For the identification of influenza virus, nasopharyngeal samples using swabs were obtained and rapid tests (immunoassay) were performed. RESULTS: During the surveillance, outbreaks were identified in institutions. The same observations occurred in all institutions at the same time. Alert levels were defined in order to characterize the outbreak period and to improve detection and control of outbreaks of respiratory tract infections. CONCLUSION: Ours findings show the importance of an adequate surveillance and networks improve the impact of such measures.
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Instituição de Longa Permanência para Idosos , Infecções Respiratórias/prevenção & controle , Doença Aguda , Idoso , França , Humanos , Vigilância da População , Estudos Prospectivos , Infecções Respiratórias/epidemiologiaRESUMO
OBJECTIVES: Viruses are recognized as important agents of gastroenteritis outbreaks in institutions caring for dependent people. We aimed to define norovirus (NoV) and rotavirus (RV) immunochromatographic tests (ICT) and reverse transcription-polymerase chain reaction (RT-PCR) used in gastroenteritis investigations. METHODS: Fourteen sites were monitored from 2010 to 2015, with 360 laboratory investigations. Twenty-two outbreaks and 44 sporadic case patients were investigated with ICTs (114 NoVs and 80 RVs) and RT-PCRs (114 NoVs and 52 RVs). RESULTS: ICTs were useful during outbreaks (identification of NoVs and RVs in respectively 76.5% and 75.0% of episodes) despite the NoV sensitivity limit (55.1%) and the four RV false positive results observed for 10 samples. Given the NoV ICT performance and the observed variations of the NoV and RV prevalence (between 20.0% and 5.0%), ICTs are not appropriate to identify sporadic gastroenteritis case patients. Positive predictive values <60.0% were observed when the prevalence of RV and NoV was low (<5.0%). NoV and RV RT-PCR indications are sporadic gastroenteritis case patients, negative NoV and RV ICT during outbreaks, control of positive RV ICT in cases of suspected NoV and RV co-circulation, patients with long symptom duration, and NoV genogroup and genotype identifications (infection control and epidemiological surveillance). Inclusion of patients with specific clinical symptoms is recommended irrespective of the technique. CONCLUSION: On the basis of the ICT limits identified in this work, RT-PCR development seems essential to improve viral gastroenteritis investigations in institutions caring for dependent people.
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Infecções por Caliciviridae/epidemiologia , Surtos de Doenças , Gastroenterite/epidemiologia , Institucionalização , Infecções por Rotavirus/epidemiologia , Doença Aguda , Idoso , Idoso de 80 Anos ou mais , Infecções por Caliciviridae/transmissão , Infecções por Caliciviridae/virologia , Cromatografia de Afinidade , Diagnóstico Tardio , Fezes/virologia , Feminino , França/epidemiologia , Gastroenterite/virologia , Humanos , Institucionalização/estatística & dados numéricos , Masculino , Norovirus/genética , Norovirus/isolamento & purificação , Valor Preditivo dos Testes , Prevalência , Reação em Cadeia da Polimerase Via Transcriptase Reversa , Rotavirus/genética , Rotavirus/isolamento & purificação , Infecções por Rotavirus/transmissão , Infecções por Rotavirus/virologia , Sensibilidade e EspecificidadeRESUMO
BACKGROUND: In institutions caring for dependent people, viral gastroenteritis occurs frequently and is highly contagious. In elderly persons, these episodes can lead to hospitalization and occasionally death. AIM: To study the impact of gastroenteritis outbreaks (GOs) in institutions caring for dependent people. METHODS: This study was conducted on 18 sites consisting of 35 units from four different disciplines (geriatric medicine and rehabilitation, psychogeriatrics, geriatric nursing homes, and specialized care homes for adults with physical and mental disabilities). Spatio-temporal analysis of GOs was performed during six winter seasons, and clinical and viral data were analysed with regard to structural parameters (size of the sites and dining-room organization), virus epidemiology and chronology of the outbreaks and type of activities. RESULTS: A total of 98 outbreaks were recorded in the 35 units. The risk of GO was high even outside national epidemic periods. Viruses were searched for in 86 outbreaks and were identified in 96.5% (83/86) of these outbreaks: norovirus genotype GII.4 (59.0%, 49/83), other viruses (41.0%, 34/83). There were variations between surveillance periods in terms of GO frequencies and attack rates and types of viruses. Dining-room organization could be a factor in cross-infection at a site. CONCLUSION: Specific surveillance that takes into account the precise epidemiology needs to be developed in institutions caring for dependent people in order to improve infectious disease control and information for healthcare workers.
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Surtos de Doenças , Gastroenterite/epidemiologia , Instituição de Longa Permanência para Idosos/estatística & dados numéricos , Casas de Saúde/estatística & dados numéricos , Adulto , Idoso , Infecções por Caliciviridae/epidemiologia , Infecções por Caliciviridae/virologia , Estudos de Coortes , Infecção Hospitalar/epidemiologia , Monitoramento Epidemiológico , França/epidemiologia , Gastroenterite/diagnóstico , Gastroenterite/mortalidade , Gastroenterite/virologia , Humanos , Masculino , Epidemiologia Molecular/métodos , Estações do Ano , Análise Espaço-TemporalRESUMO
The theory of entropy production in nonequilibrium, Hamiltonian systems, previously described for steady states using partitions of phase space, is here extended to time dependent systems relaxing to equilibrium. We illustrate the main ideas by using a simple multibaker model, with some nonequilibrium initial state, and we study its progress toward equilibrium. The central results are (i) the entropy production is governed by an underlying, exponentially decaying fractal structure in phase space, (ii) the rate of entropy production is largely independent of the scale of resolution used in the partitions, and (iii) the rate of entropy production is in agreement with the predictions of nonequilibrium thermodynamics.
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The aim of this double-blind, placebo-controlled, cross-over study was to assess the cardioprotective effect of intracoronary nifedipine during percutaneous transluminal coronary angioplasty balloon occlusion. A balloon inflation without drug injection was initially made to ascertain that a shift of the ST segment (> or = 2 mm, 0.08 s after the J point) appeared (inclusion criterion). Two other balloon inflations were preceded by intracoronary injection of either 0.2 mg nifedipine or placebo, distal to the stenosis through the balloon catheter. The evaluation criteria were (1) time to ST segment shift, and (2) maximal amplitude of ST segment shift caused by balloon occlusion. Comparison of the data used an analysis of variance. Sixty-seven patients (mean age 54 +/- 8 years; 54 male, 13 female) were studied; 50 patients had 1-, 16 patients 2- and 1 patient 3-vessel disease. The dilated vessel was the left anterior descending coronary artery (n = 51), the right coronary artery (n = 12) and the left circumflex coronary artery (n = 4). Balloon inflation time was 100 +/- 31 s in the nifedipine group and 93 +/- 29 s in the placebo group. Five patients were excluded (procedure stopped after the first inflation in 1 and ST segment shift < 2 mm during the first inflation in 4). The time to 2-mm ST segment shift was longer in the nifedipine group than in the placebo group (62 +/- 40 s versus 51 +/- 40 s, P < 0.05).(ABSTRACT TRUNCATED AT 250 WORDS)
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Angioplastia Coronária com Balão , Doença das Coronárias/terapia , Eletrocardiografia/efeitos dos fármacos , Nifedipino/administração & dosagem , Adulto , Idoso , Vasos Coronários/efeitos dos fármacos , Método Duplo-Cego , Feminino , Humanos , Injeções , Masculino , Pessoa de Meia-IdadeRESUMO
We report the study of a fluid of hard-disk particles in a contracting cavity. Under supersonic contraction speed, a shock wave converges to the center of the cavity where it implodes, creating a central peak in temperature. The dynamics of the fluid is studied by solving the Euler and Navier-Stokes equations, as well as by molecular dynamics simulations and the Enskog direct simulation Monte Carlo method. The value of the maximum temperature reached at the center of the cavity is systematically investigated with the different methods which give consistent results. Moreover, we develop a scaling theory for the maximum temperature based on the self-similar solutions of Euler's equations and mean-free-path considerations. This scaling theory provides a comprehensive scheme for the interpretation of the numerical results. In addition, the effects of the imploding shock wave on an passively driven isomerization reaction A <= => B are also studied.
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We report a study of viscosity by the method of Helfand moment in systems with periodic boundary conditions. We propose a new definition of Helfand moment which takes into account the minimum image convention used in molecular dynamics with periodic boundary conditions. Our Helfand-moment method is equivalent to the method based on the Green-Kubo formula and is not affected by ambiguities due to the periodic boundary conditions. Moreover, in hard-ball systems, our method is equivalent to that developed by Alder, Gass, and Wainwright [J. Chem. Phys. 53, 3813 (1970)]. We apply and verify our method in a fluid composed of N> or =2 hard disks in elastic collisions. We show that the viscosity coefficients already take values in good agreement with Enskog's theory for N=2 hard disks in a hexagonal geometry.
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We apply the escape-rate formalism to compute the shear viscosity in terms of the chaotic properties of the underlying microscopic dynamics. A first-passage problem is set up for the escape of the Helfand moment associated with viscosity out of an interval delimited by absorbing boundaries. At the microscopic level of description, the absorbing boundaries generate a fractal repeller. The fractal dimensions of this repeller are directly related to the shear viscosity and the Lyapunov exponent, which allows us to compute its values. We apply this method to the Bunimovich-Spohn minimal model of viscosity which is composed of two hard disks in elastic collision on a torus. These values are in excellent agreement with the values obtained by other methods such as the Green-Kubo and Einstein-Helfand formulas.
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Two-dimensional vector fields undergoing a Hopf bifurcation are studied in a Liouville-equation approach. The Liouville equation rules the time evolution of statistical ensembles of trajectories issued from random initial conditions, but evolving under the deterministic dynamics. The time evolution of the probability densities of such statistical ensembles can be decomposed in terms of the spectrum of the resonances (i.e., the relaxation rates) of the Liouvillian operator or the related Frobenius-Perron operator. The spectral decomposition of the Liouvillian operator is explicitly constructed before, at, and after the Hopf bifurcation. Because of the emergence of time oscillations near the Hopf bifurcation, the resonance spectrum turns out to be complex and defined by both relaxation rates and oscillation frequencies. The resonance spectrum is discrete far from the bifurcation and becomes continuous at the bifurcation. This continuous spectrum is caused by the critical slowing down of the oscillations occurring at the Hopf bifurcation and it leads to power-law relaxation as 1/square root of [t] of the probability densities and statistical averages at long times t-->infinity. Moreover, degeneracy in the resonance spectrum is shown to yield a Jordan-block structure in the spectral decomposition.
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We study the classical limit of quantum mechanics on graphs by introducing a Wigner function for graphs. The classical dynamics is compared to the quantum dynamics obtained from the propagator. In particular, we consider extended open graphs whose classical dynamics generate a diffusion process. The transport properties of the classical system are revealed in the scattering resonances and in the time evolution of the quantum system.
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We consider a two-dimensional periodic reactive Lorentz gas, in which a moving point particle undergoes elastic collisions on fixed hard disks and annihilates on absorbing disks, called sinks. We present clear evidence of the existence of a fractal repeller in this open system. Moreover, we establish a relation between the reaction rate, describing the macroscopic evolution of the system, and two characteristic quantities of the microscopic chaos: the average Lyapunov exponent and the Hausdorff codimension of the fractal repeller.
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We consider the classical evolution of a particle on a graph by using a time-continuous Frobenius-Perron operator that generalizes previous propositions. In this way, the relaxation rates as well as the chaotic properties can be defined for the time-continuous classical dynamics on graphs. These properties are given as the zeros of some periodic-orbit zeta functions. We consider in detail the case of infinite periodic graphs where the particle undergoes a diffusion process. The infinite spatial extension is taken into account by Fourier transforms that decompose the observables and probability densities into sectors corresponding to different values of the wave number. The hydrodynamic modes of diffusion are studied by an eigenvalue problem of a Frobenius-Perron operator corresponding to a given sector. The diffusion coefficient is obtained from the hydrodynamic modes of diffusion and has the Green-Kubo form. Moreover, we study finite but large open graphs that converge to the infinite periodic graph when their size goes to infinity. The lifetime of the particle on the open graph is shown to correspond to the lifetime of a system that undergoes a diffusion process before it escapes.