Background. Fever is a marker of potentially serious illness in returned travelers. Information about causes of fever, organized by geographic area and traveler characteristics, can facilitate ...timely, appropriate treatment and preventive measures. Methods. Using a large, multicenter database, we assessed how frequently fever is cited as a chief reason for seeking medical care among ill returned travelers. We defined the causes of fever by place of exposure and traveler characteristics. Results. Of 24,920 returned travelers seen at a GeoSentinel clinic from March 1997 through March 2006, 6957 (28%) cited fever as a chief reason for seeking care. Of patients with fever, 26% were hospitalized (compared with 3% who did not have fever); 35% had a febrile systemic illness, 15% had a febrile diarrheal disease, and 14% had fever and a respiratory illness. Malaria was the most common specific etiologic diagnosis, found in 21% of ill returned travelers with fever. Causes of fever varied by region visited and by time of presentation after travel. Ill travelers who returned from sub-Saharan Africa, south-central Asia, and Latin America whose reason for travel was visiting friends and relatives were more likely to experience fever than any other group. More than 17% of travelers with fever had a vaccine-preventable infection or falciparum malaria, which is preventable with chemoprophylaxis. Malaria accounted for 33% of the 12 deaths among febrile travelers. Conclusions. Fever is common in ill returned travelers and often results in hospitalization. The time of presentation after travel provides important clues toward establishing a diagnosis. Preventing and promptly treating malaria, providing appropriate vaccines, and identifying ways to reach travelers whose purpose for travel is visiting friends and relatives in advance of travel can reduce the burden of travel-related illness.
Quantum correlations between imprecision and backaction are a hallmark of continuous linear measurements. Here, we study how measurement-based feedback can be used to improve the visibility of ...quantum correlations due to the interaction of a laser field with a nanomechanical oscillator. Backaction imparted by the meter laser, due to radiation-pressure quantum fluctuations, gives rise to correlations between its phase and amplitude quadratures. These quantum correlations are observed in the experiment both as squeezing of the meter field fluctuations below the vacuum level in a homodyne measurement and as sideband asymmetry in a heterodyne measurement, demonstrating the common origin of both phenomena. We show that quantum feedback, i.e., feedback that suppresses measurement backaction, can be used to increase the visibility of the sideband asymmetry ratio. In contrast, by operating the feedback loop in the regime of noise squashing, where the in-loop photocurrent variance is reduced below the vacuum level, the visibility of the sideband asymmetry is reduced. This is due to backaction arising from vacuum noise in the homodyne detector. These experiments demonstrate the possibility, as well as the fundamental limits, of measurement-based feedback as a tool to manipulate quantum correlations.
We report Hubble Space Telescope optical to near-infrared transmission spectroscopy of the hot-Jupiter WASP-6b, measured with the Space Telescope Imaging Spectrograph and Spitzer's InfraRed Array ...Camera. The resulting spectrum covers the range 0.29–4.5 μm. We find evidence for modest stellar activity of WASP-6 and take it into account in the transmission spectrum. The overall main characteristic of the spectrum is an increasing radius as a function of decreasing wavelength corresponding to a change of Δ (R
p / R
*) = 0.0071 from 0.33 to 4.5 μm. The spectrum suggests an effective extinction cross-section with a power law of index consistent with Rayleigh scattering, with temperatures of 973 ± 144 K at the planetary terminator. We compare the transmission spectrum with hot-Jupiter atmospheric models including condensate-free and aerosol-dominated models incorporating Mie theory. While none of the clear-atmosphere models is found to be in good agreement with the data, we find that the complete spectrum can be described by models that include significant opacity from aerosols including Fe-poor Mg2SiO4, MgSiO3, KCl and Na2S dust condensates. WASP-6b is the second planet after HD 189733b which has equilibrium temperatures near ∼1200 K and shows prominent atmospheric scattering in the optical.
We report magnetoabsorption spectroscopy of gated WSe2 monolayers in high magnetic fields up to 60 T. When doped with a 2D Fermi sea of mobile holes, well-resolved sequences of optical transitions ...are observed in both σ± circular polarizations, which unambiguously and separately indicate the number of filled Landau levels (LLs) in both K and K ′ valleys. This reveals the interaction-enhanced valley Zeeman energy, which is found to be highly tunable with hole density p . We exploit this tunability to align the LLs in K and K ′ , and find that the 2D hole gas becomes unstable against small changes in LL filling and can spontaneously valley polarize. These results cannot be understood within a single-particle picture, highlighting the importance of exchange interactions in determining the ground state of 2D carriers in monolayer semiconductors.
We measure the transmission spectrum of WASP-19b from three transits using low-resolution optical spectroscopy from the Hubble Space Telescope (HST) Space Telescope Imaging Spectrograph (STIS). The ...STIS spectra cover a wavelength range of 0.29-1.03 μm, with resolving power R = 500. The optical data are combined with archival near-infrared data from the HST Wide Field Camera 3 (WFC3) G141 grism, covering the wavelength range from 1.087 to 1.687 μm, with resolving power R = 130. We reach signal-to-noise levels between 3000 and 11 000 in 0.1 μm bins when measuring the transmission spectra from 0.53-1.687 μm. WASP-19 is known to be a very active star, with the optical stellar flux varying by a few per cent over time. We correct the transit light curves for the effects of stellar activity using ground-based activity monitoring with the Cerro Tololo Inter-American Observatory. While we were not able to construct a transmission spectrum using the blue optical data because of the presence of large occulted starspots, we were able to use the spot crossings to help constrain the mean stellar spot temperature. To search for predicted features in the hot-Jupiter atmosphere, in addition to the transmission spectrum we also define spectral indices for differential radius (ΔR
P/R
) measurements to specifically search for the presence of TiO and alkali line features. Our measurements rule out TiO features predicted for a planet of WASP-19b's equilibrium temperature (2050 K) in the transmission spectrum at the 2.7-2.9σ confidence level, depending on atmospheric model formalism. The WFC3 transmission spectrum shows strong absorption features due to the presence of H2O, which is detected at the 4σ confidence level between 1.1 and 1.4 μm. The transmission spectra results indicate that WASP-19b is a planet with no or low levels of TiO and without a high C/O ratio. The lack of observable TiO features are possibly due to rainout, breakdown from stellar activity or the presence of other absorbers in the optical.
The landforms of northern Gale crater on Mars expose thick sequences of sedimentary rocks. Based on images obtained by the Curiosity rover, we interpret these outcrops as evidence for past fluvial, ...deltaic, and lacustrine environments. Degradation of the crater wall and rim probably supplied these sediments, which advanced inward from the wall, infilling both the crater and an internal lake basin to a thickness of at least 75 meters. This intracrater lake system probably existed intermittently for thousands to millions of years, implying a relatively wet climate that supplied moisture to the crater rim and transported sediment via streams into the lake basin. The deposits in Gale crater were then exhumed, probably by wind-driven erosion, creating Aeolis Mons (Mount Sharp).
We report a time-calibrated stratigraphic section in Colorado that contains unusually complete fossils of mammals, reptiles, and plants and elucidates the drivers and tempo of biotic recovery during ...the poorly known first million years after the Cretaceous-Paleogene mass extinction (KPgE). Within ~100 thousand years (ka) post-KPgE, mammalian taxonomic richness doubled, and maximum mammalian body mass increased to near pre-KPgE levels. A threefold increase in maximum mammalian body mass and dietary niche specialization occurred at ~300 ka post-KPgE, concomitant with increased megafloral standing species richness. The appearance of additional large mammals occurred by ~700 ka post-KPgE, coincident with the first appearance of Leguminosae (the bean family). These concurrent plant and mammal originations and body-mass shifts coincide with warming intervals, suggesting that climate influenced post-KPgE biotic recovery.
Abstract Objective The aim of this study was to investigate whether the Ala55Val and -866G>A polymorphisms of the UCP2 gene are related to weight loss and changes in body composition after bariatric ...surgery performed by Roux-en-Y gastric bypass (RYGB). Methods This longitudinal study enrolled obese patients submitted to RYGB. Data regarding weight (kg), body mass index (kg/m2 ), fat-free mass (FFM; kg), fat mass (kg), weight loss (kg and %), and percent excess weight loss were collected from both preoperative and 1-y postoperative medical records. Polymorphisms were genotyped by allelic discrimination using real-time polymerase chain reaction and TaqMan-predesigned single nucleotide polymorphism Genotyping Assay kits (Applied Biosystems, Foster City, CA, USA). The t test was used to compare variables between genotypes of each polymorphism to analyze the dominant and recessive models. Linear regression models were used to adjust the effects of initial weight, age, and sex on the variation of weight and body composition ( P < 0.05). Results We analyzed 150 severely obese individuals (age 47.2 ± 10.5 y; 80% women). Genotype analysis showed a greater prevalence of heterozygous GA (41.3%) for -866G>A polymorphism and CT (39.3%) for Ala55Val polymorphism. Individuals who carried the T (CT+TT) and A (GA+AA) mutated alleles for Ala55Val and -866G>A, respectively, showed a higher weight and FFM loss. Conclusion The mutated alleles T for Ala55Val and A for -866G>A polymorphism could be biomarkers of weight loss 1 y after RYGB.
The tortuosity of the track taken by an animal searching for food profoundly affects search efficiency, which should be optimised to maximise net energy gain. Models examining this generally describe ...movement as a series of straight steps interspaced by turns, and implicitly assume no turn costs. We used both empirical‐ and modelling‐based approaches to show that the energetic costs for turns in both terrestrial and aerial locomotion are substantial, which calls into question the value of conventional movement models such as correlated random walk or Lévy walk for assessing optimum path types. We show how, because straight‐line travel is energetically most efficient, search strategies should favour constrained turn angles, with uninformed foragers continuing in straight lines unless the potential benefits of turning offset the cost.
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