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During the COVID-19 pandemic, the United States Centers for Disease Control and Prevention provided strategies, such as extended use and reuse, to preserve N95 filtering facepiece respirators (FFR). We aimed to assess the prevalence of N95 FFR contamination with SARS-CoV-2 among healthcare personnel (HCP) in the Emergency Department (ED).
Design:
Real-world, prospective, multicenter cohort study. N95 FFR contamination (primary outcome) was measured by real-time quantitative polymerase chain reaction. Multiple logistic regression was used to assess factors associated with contamination.
Setting:
Six academic medical centers.
Participants:
ED HCP who practiced N95 FFR reuse and extended use during the COVID-19 pandemic between April 2021 and July 2022.
Primary exposure:
Total number of COVID-19-positive patients treated.
Results:
Two-hundred forty-five N95 FFRs were tested. Forty-four N95 FFRs (18.0%, 95% CI 13.4, 23.3) were contaminated with SARS-CoV-2 RNA. The number of patients seen with COVID-19 was associated with N95 FFR contamination (adjusted odds ratio, 2.3 [95% CI 1.5, 3.6]). Wearing either surgical masks or face shields over FFRs was not associated with FFR contamination, and FFR contamination prevalence was high when using these adjuncts [face shields: 25% (16/64), surgical masks: 22% (23/107)].
Conclusions:
Exposure to patients with known COVID-19 was independently associated with N95 FFR contamination. Face shields and overlying surgical masks were not associated with N95 FFR contamination. N95 FFR reuse and extended use should be avoided due to the increased risk of contact exposure from contaminated FFRs.
This book is intended for geophysicists, astronomers (especially those with an interest in history), historians and orientalists. The culmination of many years of research, it discusses, in depth, ancient and medieval eclipse observations and their importance in studying Earth's past rotation. This was the first major book on this subject to appear in the last twenty years. The author has specialised in the interpretation of early astronomical records and their application to problems in modern astronomy for many years. The book contains an in-depth discussion of numerous eclipse records from Babylon, China, Europe and the Arab lands. Translations of almost every record studied are given. It is shown that although tides play a dominant long-term role in producing variations in Earth's rate of rotation - causing a gradual increase in the length of the day - there are significant, and variable non-tidal changes in opposition to the main trend.
Despite improvements in outcomes after completion of the Fontan circulation, long-term functional state varies. We sought to identify pre- and postoperative characteristics associated with overall function.
Methods and Results
We analyzed data from 476 survivors with the Fontan circulation enrolled in the Pediatric Heart Network Fontan Cross-sectional Study. Mean age at creation of the Fontan circulation was 3.4 plus or minus 2.1 years, with a range from 0.7 to 17.5 years, and time since completion was 8.7 plus or minus 3.4 years, the range being from 1.1 to 17.3 years. We calculated a functional score for the survivors by averaging the percentile ranks of ventricular ejection fraction, maximal consumption of oxygen, the physical summary score for the Child Health Questionnaire, and a function of brain natriuretic peptide. The mean calculated score was 49.5 plus or minus 17.3, with a range from 3 to 87. After adjustment for time since completion of the circulation, we found that a lower score, and hence worse functional state, was associated with: right ventricular morphology (p less than 0.001), higher ventricular end-diastolic pressure (p equals 0.003) and lower saturations of oxygen (p equals 0.047) prior to completion of the Fontan circulation, lower income for the caregiver (p equals 0.003), and, in subjects without a prior superior cavopulmonary anastomosis, arrhythmias after completion of the circulation (p equals 0.003). The model explained almost one-fifth (18%) of the variation in the calculated scores. The score was not associated with surgical centre, sex, age, weight, fenestration, or the period of stay in hospital after completion of the Fontan circuit. A validation model, using 71 subjects randomly excluded from initial analysis, weakly correlated (R equals 0.17, p equals 0.16) with the score calculated from the dataset.
Conclusions
Right ventricular morphology, higher ventricular end-diastolic pressure and lower saturations of oxygen prior to completion of the Fontan circuit, lower income for the provider of care, and arrhythmias after creation of the circuit, are all associated with a worse functional state. Unmeasured factors also influence outcomes.
On Tuesday 22 August 2006 approximately 40 people attended the Commission 41 History of Astronomy Business Meeting at the IAU XXVI General Assembly in Prague. Commission president Alex Gurshtein opened the meeting, welcoming the commission members and calling for a moment of silence for those members who passed away in the last triennium. David DeVorkin was appointed recording secretary for the meeting, with Steven Dick as the scruitineer of the ballot. A moment of silence was then observed in the memory of members departed over the last triennium, including: Jerzy Dobrzycki (Poland), Robert Duncan (Australia), Mohammad Edalati (Iran), Philip Morrison (USA), John Perdix (Australia), Neil Porter (Ireland), Gibson Reaves (USA), Brian Robinson (Australia), and Raymond E. White (USA).
The supernova which appeared in AD 1006 is unique in history for its brilliance, duration of visibility, and the interest it aroused. Almost thirty separate records of the star are preserved from various parts of the world. This paper briefly summarizes historical records of SN 1006 and discusses the prospects of uncovering further historical records of supernovae.
Recent research on the scientific interpretation of historical auroral records is summarised, with special emphasis on topics that provide physical insight into possible variations in geomagnetic disturbance and solar activity during the past two millennia.
Chinese, Japanese and Korean celestial observations have made major contributions to Applied Historical Astronomy, especially in the study of supernovae, comets, Earth’s rotation (using eclipses) and solar variability (via sunspots and aurorae). Few original texts now survive; almost all extant records exist only in printed versions, often with the loss of much detail. The earliest Chinese astronomical observations extend back to before 1000 BC. However, fairly systematic records are only available since 200 BC - and even these have suffered losses through wars, etc. By around AD 800, many independent observations are available from Japan and Korea and these provide a valuable supplement to the Chinese data. Throughout East Asia dates were expressed in terms of a luni-solar calendar and conversion to the Julian or Gregorian calendar can be readily effected.
The following is a summary of recent research which I have undertaken on the eclipse records in the Koryo-sa. This work is based on a careful examination of the astrological treatise of the Koryo-sa. I have compared each of the many solar and lunar eclipse accounts with the results of computation and based deductions on these comparisons.
The main purpose of this book is to investigate in detail long-term variations in the length of the day, or equivalently, changes in the Earth's rate of rotation, using pre-telescopic observations of eclipses. Such variations are mainly produced by lunar and solar tides, but non-tidal mechanisms are also significant. Despite its historical bias, this subject has become an important topic in modern geophysics.
In studying changes in the length of the day which have occurred in recent centuries (since the invention of the telescope), more accurate data than eclipses are available. These include occultations of stars by the Moon up to 1955 and systematic monitoring of the Earth's rotation relative to the atomic time-scale since that date. However, observations of eclipses provide by far the most consistent and reliable source of information on variations in the terrestrial rate of rotation during the pre-telescopic period.
Although numerous early accounts of eclipses are to be found in astronomical works, many others are scattered in a variety of writings – for example the Greek and Latin classics, imperial annals of China and monastic chronicles of Europe. Observations recorded in these works are often extremely crude by modern standards, but the lengthy time-scale covered is highly suited to the detection of long-term trends which are not apparent from more recent data. The investigation of this diverse material adds a whole new dimension to what might otherwise have been a somewhat narrow scientific discipline.
In this chapter, all accessible reports of solar eclipses preserved on the Late Babylonian astronomical texts which are of value in studying the Earth's past rotation will be investigated. Compared with the substantial number of observations which must have originally been made, very few Babylonian records of solar eclipses are now extant. Reasons for this are briefly discussed in chapter 4. Reliable observations only range in date from 369 to 136 BC – less than half the period covered by lunar eclipse sightings.
The solar eclipses which form the subject of the present chapter will be divided into four categories: (i) the only known example of a total obscuration of the Sun observed at Babylon (dating from 136 BC); (ii) measurements of the local times of a variety of eclipse contacts; (iii) estimates of solar eclipse magnitude at maximum phase; and (iv) instances when the Sun rose or set whilst obscured. Several of these observations have already been discussed in chapter 3, where they were used to illustrate various analytical techniques. However, they will now be considered in greater detail. At the close of this chapter, a possible allusion to a total solar eclipse recorded in the Religious Chronicle of Babylon will be considered. This event probably took place around 1000 BC – much earlier than the period covered by the Late Babylonian texts.
All eclipse records on the Late Babylonian texts where the date is doubtful will be rejected, as will questionable readings of damaged signs.
In chapters 4–13, more than 400 timed and untimed observations of both solar and lunar eclipses from the pre-telescopic period (date range –700 to +1600) have been investigated in detail. ΔT values or limits (depending on whether the observations were timed or untimed) have been derived in almost every case. The fundamental objective of the present chapter is to use these results to obtain the best-fitting ΔT curve to the data and hence to determine changes in the length of the day (LOD) over the historical period. In addition, the various geophysical mechanisms responsible for the observed variations will also be discussed. I am grateful to Dr L. V. Morrison of the Royal Greenwich Observatory for undertaking the data analysis which forms the basis of much of this chapter and producing several of the diagrams. This chapter is essentially an enlargement of section 5 of the paper by Stephenson and Morrison (1995). Although several tens of further historical data have been added (notably medieval Chinese timing – see chapter 9), the basic conclusions obtained in that paper remain unchanged.
All of the ΔT results derived in chapters 4–13 are summarised in tabular form in the Appendices for ready reference. For each individual observation, only the year (– or +) and appropriate ΔT value or limits are tabulated. Appendix A contains timed data and Appendix B untimed material, each being divided into sub-groups depending on the source and type of observation it contains.
For the purpose of this chapter, the term ‘medieval’ will be loosely interpreted to mean the period between the close of the classical age in Europe (c. AD 500) and the beginning of the telescopic era. It thus includes the Renaissance. Numerous observations of both solar and lunar eclipses were recorded in Europe during this period, especially after AD 1000. In most cases, the date is accurately reported and the precise place of observation is known. However, with only a few exceptions, times were only crudely estimated to the nearest hour or so. Thus most observations may effectively be regarded as untimed.
As discussed in chapter 3, untimed lunar eclipses are of negligible value for the determination of ΔT (unless it is clearly implied that the Moon rose or set eclipsed). Most of this chapter will be devoted to the investigation of solar obscurations in which the Sun was either totally or very largely covered. In section 11.9, a few careful timings of solar eclipses from the early fourteenth century will also be analysed. Finally, in section 11.10, an eighth century report of an occultation of the planet Jupiter by the eclipsed Moon – a very rare event – will be discussed.
Historical sources
European reports of solar eclipses (as well as lunar obscurations) from the Middle Ages and Renaissance are mainly found in historical works, notably chronicles; only a few observations are reported in astronomical treatises.
Arab observations of solar and lunar eclipses which are of value in the study of the Earth's past rotation originate exclusively from the medieval period. These records are found in two main sources: (i) chronicles, and (ii) compendia on astronomy. As might be expected, the observations reported in chronicles are essentially qualitative; measurements of any kind are fairly rare. Eclipses and other celestial phenomena (such as bright comets and meteor showers) were mainly noted on account of their spectacular nature. Yet chronicles contain some important astronomical records. The present chapter will be devoted to eclipses described in these works. Arab compendia on astronomy contain many careful measurements of the times of the various phases for both solar and lunar eclipses. These observations will be discussed in chapter 13.
The Arabic names for the Moon and Sun are respectively al-Qamar and al-Shams. In general, medieval Arab chronicles use the term khusuf al-Qamar for an eclipse of the Moon and kusuf al-Shams for an eclipse of the Sun. These designations are still in use today, both among astronomers and the general public. However, medieval Muslim astronomers mostly used kusuf for both types of eclipse, adding the appropriate term for the Moon or Sun. The word khusuf means ‘sinking’, but in describing a lunar eclipse it came to mean a failing of the Moon's light. By contrast, kusuf means a ‘cut’ – i.e. in the solar (or lunar) limb.
The eclipse observations made by medieval Arab astronomers are among the most accurate and reliable data from the whole of the pre-telescopic period. Careful records of both solar and lunar eclipses are contained in a number of compendia – some known as zijes (astronomical handbooks containing various tables along with explanatory text). These include measurements of the times of occurrence and other details such as magnitude estimates. Although the main emphasis in this chapter will be on timed data, solar magnitude estimates and horizon observations of eclipses will also be considered.
Many of the observations discussed below were investigated by Newcomb (1878) and Newton (1970). However, these authors relied on published translations which sometimes contained significant errors, while their own interpretations are occasionally suspect. Furthermore, in neither case was a direct solution made for ΔT.
Sources of data
Most of the accessible eclipse observations by medieval Arab astronomers are contained in a single treatise – the zij compiled by the great Cairo astronomer Ibn Yunus, who died in AD 1009 (his date of birth is unknown). A few eclipses are also recorded in works by al-Battani (who lived between AD 850 and 929) and al-Biruni (AD 973–1048).
Ibn Yunus cites reports of some thirty solar and lunar eclipses from between AD 829 and 1004. His treatise, dedicated to Caliph al-Hakim, is entitled al-Zij al-Kabir al-Hakimi.