Polyclonal outbreak of bacteremia caused by Burkholderia cepacia in the intensive care unit

Aim: Burkholderia cepacia is a multidrug-resistant, opportunistic pathogen of humans and outbreaks of infection in hospitals have been described. In this study, we aimed to report an outbreak in patients without cystic fibrosis or chronic granulomatous disease involving different species of Burkholderia cepacia. Material and Methods: A small outbreak of nosocomial Burkholderia cepacia complex occurred in a 6-bed intensive care unit. We isolated Burkholderia cepacia from blood cultures of the patients admitted to our intensive care unit. All isolates from patients and the environment were identified by standard microbiological techniques and VITEK system. Antibiotic susceptibility testing was performed using Kirby Bauer's disk diffusion method and the VITEK system Results: All isolates exhibited identical patterns of antibiotic susceptibility and all isolates were sensitive to trimethoprim-sulfamethoxazole, ceftazidime and meropenem. The isolates were typed using pulsed-field gel electrophoresis using the restriction enzymes XbaI and SpeI. Accordingly, while 4 strains were similar, one was different. Discussion: The experience from this outbreak reminded us of the importance of outbreak investigation in such small outbreaks and keeping the health care workers educated and constant attention on this issue. The results of this study emphasized once again the necessity to maintain our sensitivity to the basic principles of sanitation and to raise our awareness of such outbreaks

Investigation of variants of critically important antioxidant enzyme genes in patients with polycystic ovary syndrome

Aim: To investigate the possible effects of polymorphisms in genes encoding some important antioxidant enzymes such as super oxide dismutase 2 (SOD2), glutathione peroxidase 1 (GPX1), endothelial NOS (eNOS) and catalase (CAT) in patients with polycystic ovary syndrome (PCOS).Methods: Peripheral blood of 100 patients with PCOS and 100 healthy control group were collected, Polymorphisms in related genes was investigated by using polymerase chain reaction-restriction fragment length polymorphism. In addition, the related biochemical values of the patients were also investigated.Result: In our study there is no significant results for SOD2 gene but the results obtained between GPX1, eNOS and CAT genes were significant. Fasting blood sugar (FBS), insulin, triglyceride, waist circumference and dehydroepiandrosterone sulphate (DHEAS) were found to be significant with the disease, whereas follicle-stimulating hormone (FSH) was found to be effective in preventing the disease.Conclusions: These findings suggest that polymorphisms in genes encoding GPX1, eNOS and CAT enzymes may be associated with PCOS. Additionally, it is thought that the genes of FBS, triglyceride, insulin, DHEAS and waist circumference are important in the pathogenesis of the disease in the presence of homozygous mutation

ANTHROPOLOGICAL DIMENSIONS AS A PREDICTOR OF SPECIFIC MOTOR SKILLS OF YOUNG WATER POLO PLAYERS

The purpose of this study was to determine the common influence of anthropological dimensions on the specific motor skills of young water polo players. A total number of 90 water polo players were involved in the study. The investigation protocol consisted of standardized anthropometric measurements, functional and basic motor abilities and specific motor skills assessments. The general factor of specific motor skills in water polo was obtained by way of factorization and represents a criterion. The regression analysis showed that anthropological dimensions as group predictors, two variables of explosive power and one variable of repetitive torso strength as a separate variable have a significant influence on the general factor of specific motor skills. The results of the study pointed out the impact of anthropological dimensions on specific motor skills of selected young water polo players. This enables the proper selection process for young water polo players

THE EFFECTS OF A PROGRAM OF SWIMMING AND AQUATIC EXERCISE ON FLEXIBILITY IN CHILDREN WITH CEREBRAL PALSY

Abstract: The objective of this study is to determine the effects of the applied program of swimming and aquatic exercise on improving the flexibility of children with cerebral palsy. The participants in the study were 15 children with cerebral palsy, aged 6 to 17, at GMFCS levels I, II and III. The applied exercise program comprised swimming and aquatic exercise. In the swimming program, the Halliwick method was used, as well as exercises for the backstroke, crawl and breaststroke. The aquatic exercise program included exercises for improving leg muscle flexibility and strength, and walking exercises. The exercise program lasted for 12 weeks with a frequency of three times a week and a class duration of 60 minutes. Based on the results of the tests for the assessment of flexibility or range of motion, 6 variables were obtained. The results indicate that the applied program contributed to a statistically significant increase in the range of flexion and abduction motions at the shoulder joint at the level of significance p=0.00. Regarding the range of extension and abduction motions at the hip joint, as well as dorsal flexion, improvement was also noted, however without statistical significance. Based on the analysis of the results obtained, we conclude that the applied program of swimming and aquatic exercise was efficient in the sense of increasing flexibility or the range of flexion and abduction motions at the shoulder joint, whereas the program requires modification to increase flexibility of the leg joints. Key words: aquatic exercise, swimming, range of motion, effects, cerebral pals

Effectiveness of autologous blood injection in reducing the rate of pneumothorax after percutaneous lung core needle biopsy

PURPOSETo assess the effectiveness and safety of autologous intraparenchymal blood patch (IBP) application in reducing the frequency of pneumothorax (PTX) after percutaneous transthoracic pulmonary core needle biopsy.METHODSThe records of patients who underwent the transthoracic pulmonary core needle biopsy procedure under CT guidance between January 2015 and October 2018 were screened retrospectively. Patients whose traversed pulmonary parenchymal length was ≥20 mm during biopsy were included in the study irrespective of lesion size. The IBP procedure was made a department policy in November 2017; patients who underwent biopsy after this date comprised the IBP group, while those who underwent the procedure before this date comprised the control group. IBP recipients received 2–5 mL of autologous blood injection to the needle tract. Demographic data, procedural reports, tomography images, and the follow-up records of patients were assessed.RESULTSA total of 262 patients were included in the study. Of the 91 patients that received an IBP, PTX developed in 13 (14.1%), with 7 (7.7%) requiring a thoracic tube. Of the 171 patients who did not receive an IBP, PTX developed in 45 (26.3%), with 19 (11.1%) requiring a thoracic tube. Patients who received an autologous IBP showed a significantly lower rate of PTX development versus those who did not (P = 0.01). Similarly, a significantly lower number of patients who received the blood patch required chest tube placement (P = 0.015).CONCLUSIONAutologous IBP is a safe, inexpensive and easy to use method that reduces the rate of PTX development and thoracic tube application after percutaneous core needle biopsies of the lung

Shear stress distribution within narrowly constrained structured grains and granulated powder beds

An experimental study is presented here to understand the stress transmission characteristics under different geometrical arrangements of particulates inside a narrow chamber subjected to axial compression loading. The multi-grain systems considered here are face-centred, simple cubic and poly-dispersed structures, as well as inclusions embedded inside seeded, unseeded and cohesive powder bed of Durcal (calcium carbonate). The distribution of the maximum shear stress, direction of the major principal stress and shear stress concentration factor were obtained using photo stress analysis tomography (PSAT). The results show that the maximum shear stress distribution in the simple cubic structure is chain-like and self-repetitive, i.e, a single grain behaviour is representative of the whole system. This is not the case in the case of other granular packing. In the case of the inclusion surrounded by powder media, the maximum shear stress distribution in the inclusion occurs through ring-like structures, which are different from those observed in the structured granular packing. This tendency increases for an increase in the cohesivity of the surrounding particulates. In the granular systems, the direction of the major principal stress is mostly orthogonal to the direction of loading except in some particles in the random granular packing. In the case of inclusion surrounded by Durcal particulates, the directional of the major principal stress acts along the direction of the axial loading except in the ring region where this tends to be oblique to the direction of axial loading. Estimates of the shear stress concentration factor (k) show that, k tends to be independent of the structural arrangement of granular packing at higher load levels. In the case of inclusion surrounded by powder bed, k for the seeded granulated particulate bed is mostly independent of the external load levels. In the case of unseeded particulate (granulated) bed, a fluctuation in k is observed with the loading level. This suggests that the seeded granules could distribute stresses in a stable manner without much change in the nature of shear stress-transmitting fabric of the particulate contacts under external loading. An increase in the cohesion of particulate bed results in more plastic deformation as shown by the differential shear stress concentration factor. The results reported in this study show the usefulness of optical stress analysis to shed some scientific lights on unravelling some of the complexities of particulate systems under different structural arrangements of grains and surrounding conditions of the inclusions in particulate media

Evidence for the Higgs-boson Yukawa coupling to tau leptons with the ATLAS detector

Results of a search for H → τ τ decays are presented, based on the full set of proton-proton collision data recorded by the ATLAS experiment at the LHC during 2011 and 2012. The data correspond to integrated luminosities of 4.5 fb−1 and 20.3 fb−1 at centre-of-mass energies of √s = 7 TeV and √s = 8 TeV respectively. All combinations of leptonic (τ → `νν¯ with ` = e, µ) and hadronic (τ → hadrons ν) tau decays are considered. An excess of events over the expected background from other Standard Model processes is found with an observed (expected) significance of 4.5 (3.4) standard deviations. This excess provides evidence for the direct coupling of the recently discovered Higgs boson to fermions. The measured signal strength, normalised to the Standard Model expectation, of µ = 1.43 +0.43 −0.37 is consistent with the predicted Yukawa coupling strength in the Standard Model

Measurement of the production of a W boson in association with a charm quark in pp collisions at √s = 7 TeV with the ATLAS detector

The production of a W boson in association with a single charm quark is studied using 4.6 fb−1 of pp collision data at s√ = 7 TeV collected with the ATLAS detector at the Large Hadron Collider. In events in which a W boson decays to an electron or muon, the charm quark is tagged either by its semileptonic decay to a muon or by the presence of a charmed meson. The integrated and differential cross sections as a function of the pseudorapidity of the lepton from the W-boson decay are measured. Results are compared to the predictions of next-to-leading-order QCD calculations obtained from various parton distribution function parameterisations. The ratio of the strange-to-down sea-quark distributions is determined to be 0.96+0.26−0.30 at Q 2 = 1.9 GeV2, which supports the hypothesis of an SU(3)-symmetric composition of the light-quark sea. Additionally, the cross-section ratio σ(W + +c¯¯)/σ(W − + c) is compared to the predictions obtained using parton distribution function parameterisations with different assumptions about the s−s¯¯¯ quark asymmetry

Measurements of fiducial and differential cross sections for Higgs boson production in the diphoton decay channel at s√=8 TeV with ATLAS

Measurements of fiducial and differential cross sections are presented for Higgs boson production in proton-proton collisions at a centre-of-mass energy of s√=8 TeV. The analysis is performed in the H → γγ decay channel using 20.3 fb−1 of data recorded by the ATLAS experiment at the CERN Large Hadron Collider. The signal is extracted using a fit to the diphoton invariant mass spectrum assuming that the width of the resonance is much smaller than the experimental resolution. The signal yields are corrected for the effects of detector inefficiency and resolution. The pp → H → γγ fiducial cross section is measured to be 43.2 ±9.4(stat.) − 2.9 + 3.2 (syst.) ±1.2(lumi)fb for a Higgs boson of mass 125.4GeV decaying to two isolated photons that have transverse momentum greater than 35% and 25% of the diphoton invariant mass and each with absolute pseudorapidity less than 2.37. Four additional fiducial cross sections and two cross-section limits are presented in phase space regions that test the theoretical modelling of different Higgs boson production mechanisms, or are sensitive to physics beyond the Standard Model. Differential cross sections are also presented, as a function of variables related to the diphoton kinematics and the jet activity produced in the Higgs boson events. The observed spectra are statistically limited but broadly in line with the theoretical expectations

Search for squarks and gluinos in events with isolated leptons, jets and missing transverse momentum at s√=8 TeV with the ATLAS detector

The results of a search for supersymmetry in final states containing at least one isolated lepton (electron or muon), jets and large missing transverse momentum with the ATLAS detector at the Large Hadron Collider are reported. The search is based on proton-proton collision data at a centre-of-mass energy s√=8 TeV collected in 2012, corresponding to an integrated luminosity of 20 fb−1. No significant excess above the Standard Model expectation is observed. Limits are set on supersymmetric particle masses for various supersymmetric models. Depending on the model, the search excludes gluino masses up to 1.32 TeV and squark masses up to 840 GeV. Limits are also set on the parameters of a minimal universal extra dimension model, excluding a compactification radius of 1/R c = 950 GeV for a cut-off scale times radius (ΛR c) of approximately 30