550 research outputs found
Exclusion of bacterial co-infection in COVID-19 using baseline inflammatory markers and their response to antibiotics
BACKGROUND: COVID-19 is infrequently complicated by bacterial co-infection, but antibiotic prescriptions are common. We used community-acquired pneumonia (CAP) as a benchmark to define the processes that occur in bacterial pulmonary infections, testing the hypothesis that baseline inflammatory markers and their response to antibiotic therapy could distinguish bacterial co-infection from COVID-19. METHODS: Retrospective cohort study of CAP (lobar consolidation on chest radiograph) and COVID-19 (PCR detection of SARS-CoV-2) patients admitted to Royal Free Hospital (RFH) and Barnet Hospital (BH), serving as independent discovery and validation cohorts. All CAP and >90% COVID-19 patients received antibiotics on hospital admission. RESULTS: We identified 106 CAP and 619 COVID-19 patients at RFH. Compared with COVID-19, CAP was characterized by elevated baseline white cell count (WCC) [median 12.48 (IQR 8.2-15.3) versus 6.78 (IQR 5.2-9.5) ×106 cells/mL, P 8.2 × 106 cells/mL or falling CRP identified 94% of CAP cases, and excluded bacterial co-infection in 46% of COVID-19 patients. CONCLUSIONS: We propose that in COVID-19, absence of both elevated baseline WCC and antibiotic-related decrease in CRP can exclude bacterial co-infection and facilitate antibiotic stewardship efforts
The Dawn of Open Access to Phylogenetic Data
The scientific enterprise depends critically on the preservation of and open
access to published data. This basic tenet applies acutely to phylogenies
(estimates of evolutionary relationships among species). Increasingly,
phylogenies are estimated from increasingly large, genome-scale datasets using
increasingly complex statistical methods that require increasing levels of
expertise and computational investment. Moreover, the resulting phylogenetic
data provide an explicit historical perspective that critically informs
research in a vast and growing number of scientific disciplines. One such use
is the study of changes in rates of lineage diversification (speciation -
extinction) through time. As part of a meta-analysis in this area, we sought to
collect phylogenetic data (comprising nucleotide sequence alignment and tree
files) from 217 studies published in 46 journals over a 13-year period. We
document our attempts to procure those data (from online archives and by direct
request to corresponding authors), and report results of analyses (using
Bayesian logistic regression) to assess the impact of various factors on the
success of our efforts. Overall, complete phylogenetic data for ~60% of these
studies are effectively lost to science. Our study indicates that phylogenetic
data are more likely to be deposited in online archives and/or shared upon
request when: (1) the publishing journal has a strong data-sharing policy; (2)
the publishing journal has a higher impact factor, and; (3) the data are
requested from faculty rather than students. Although the situation appears
dire, our analyses suggest that it is far from hopeless: recent initiatives by
the scientific community -- including policy changes by journals and funding
agencies -- are improving the state of affairs
B-L Cosmic Strings in Heterotic Standard Models
E_{8} X E_{8} heterotic string and M-theory, when compactified on smooth
Calabi-Yau manifolds with SU(4) vector bundles, can give rise to softly broken
N=1 supersymmetric theories with the exact matter spectrum of the MSSM,
including three right-handed neutrinos and one Higgs-Higgs conjugate pair of
supermultiplets. These vacua have the SU(3)_{C} X SU(2)_{L} X U(1)_{Y} gauge
group of the standard model augmented by an additional gauged U(1)_{B-L}. Their
minimal content requires that the B-L symmetry be spontaneously broken by a
vacuum expectation value of at least one right-handed sneutrino. The soft
supersymmetry breaking operators can induce radiative breaking of the B-L gauge
symmetry with an acceptable B-L/electroweak hierarchy. In this paper, it is
shown that U(1)_{B-L} cosmic strings occur in this context, potentially with
both bosonic and fermionic superconductivity. We present a numerical analysis
that demonstrates that boson condensates can, in principle, form for theories
of this type. However, the weak Yukawa and gauge couplings of the right-handed
sneutrino suggests that bosonic superconductivity will not occur in the
simplest vacua in this context. The electroweak phase transition also disallows
fermion superconductivity, although substantial bound state fermion currents
can exist.Comment: 41 pages, 5 figure
Human papillomavirus in amniotic fluid
BACKGROUND: There is evidence to suggest that human papillomavirus (HPV) can cross the placenta resulting in in-utero transmission. The goal of this study was to determine if HPV can be detected in amniotic fluid from women with intact amniotic membranes. METHODS: Residual amniotic fluid and cultured cell pellets from amniocentesis performed for prenatal diagnosis were used. PGMY09/11 L1 consensus primers and GP5+/GP6+ primers were used in a nested polymerase chain reaction assay for HPV. RESULTS: There were 146 paired samples from 142 women representing 139 singleton pregnancies, 2 twin pregnancies, and 1 triplet pregnancy. The women were 78% Caucasian, 5% African American, 14% Asian, and 2% Hispanic. The average age was 35.2 years with a range of 23–55 years. All samples were β-globin positive. HPV was not detected in any of the paired samples. CONCLUSION: Given the age range, race, and ethnicity of the study population, one would anticipate some evidence of HPV if it could easily cross the placenta, but there was none
Object Detection Through Exploration With A Foveated Visual Field
We present a foveated object detector (FOD) as a biologically-inspired
alternative to the sliding window (SW) approach which is the dominant method of
search in computer vision object detection. Similar to the human visual system,
the FOD has higher resolution at the fovea and lower resolution at the visual
periphery. Consequently, more computational resources are allocated at the
fovea and relatively fewer at the periphery. The FOD processes the entire
scene, uses retino-specific object detection classifiers to guide eye
movements, aligns its fovea with regions of interest in the input image and
integrates observations across multiple fixations. Our approach combines modern
object detectors from computer vision with a recent model of peripheral pooling
regions found at the V1 layer of the human visual system. We assessed various
eye movement strategies on the PASCAL VOC 2007 dataset and show that the FOD
performs on par with the SW detector while bringing significant computational
cost savings.Comment: An extended version of this manuscript was published in PLOS
Computational Biology (October 2017) at
https://doi.org/10.1371/journal.pcbi.100574
Microparticle-mediated transfer of the viral receptors CAR and CD46, and the CFTR channel in a CHO cell model confers new functions to target cells
Cell microparticles (MPs) released in the extracellular milieu can embark plasma membrane and intracellular components which are specific of their cellular origin, and transfer them to target cells. The MP-mediated, cell-to-cell transfer of three human membrane glycoproteins of different degrees of complexity was investigated in the present study, using a CHO cell model system. We first tested the delivery of CAR and CD46, two monospanins which act as adenovirus receptors, to target CHO cells. CHO cells lack CAR and CD46, high affinity receptors for human adenovirus serotype 5 (HAdV5), and serotype 35 (HAdV35), respectively. We found that MPs derived from CHO cells (MP-donor cells) constitutively expressing CAR (MP-CAR) or CD46 (MP-CD46) were able to transfer CAR and CD46 to target CHO cells, and conferred selective permissiveness to HAdV5 and HAdV35. In addition, target CHO cells incubated with MP-CD46 acquired the CD46-associated function in complement regulation. We also explored the MP-mediated delivery of a dodecaspanin membrane glycoprotein, the CFTR to target CHO cells. CFTR functions as a chloride channel in human cells and is implicated in the genetic disease cystic fibrosis. Target CHO cells incubated with MPs produced by CHO cells constitutively expressing GFP-tagged CFTR (MP-GFP-CFTR) were found to gain a new cellular function, the chloride channel activity associated to CFTR. Time-course analysis of the appearance of GFP-CFTR in target cells suggested that MPs could achieve the delivery of CFTR to target cells via two mechanisms: the transfer of mature, membrane-inserted CFTR glycoprotein, and the transfer of CFTR-encoding mRNA. These results confirmed that cell-derived MPs represent a new class of promising therapeutic vehicles for the delivery of bioactive macromolecules, proteins or mRNAs, the latter exerting the desired therapeutic effect in target cells via de novo synthesis of their encoded proteins
Composite GUTs: models and expectations at the LHC
We investigate grand unified theories (GUTs) in scenarios where electroweak
(EW) symmetry breaking is triggered by a light composite Higgs, arising as a
Nambu-Goldstone boson from a strongly interacting sector. The evolution of the
standard model (SM) gauge couplings can be predicted at leading order, if the
global symmetry of the composite sector is a simple group G that contains the
SM gauge group. It was noticed that, if the right-handed top quark is also
composite, precision gauge unification can be achieved. We build minimal
consistent models for a composite sector with these properties, thus
demonstrating how composite GUTs may represent an alternative to supersymmetric
GUTs. Taking into account the new contributions to the EW precision parameters,
we compute the Higgs effective potential and prove that it realizes
consistently EW symmetry breaking with little fine-tuning. The G group
structure and the requirement of proton stability determine the nature of the
light composite states accompanying the Higgs and the top quark: a coloured
triplet scalar and several vector-like fermions with exotic quantum numbers. We
analyse the signatures of these composite partners at hadron colliders:
distinctive final states contain multiple top and bottom quarks, either alone
or accompanied by a heavy stable charged particle, or by missing transverse
energy.Comment: 55 pages, 13 figures, final version to be published in JHE
The sensitivity of the human thirst response to changes in plasma osmolality: a systematic review
A Passerine Bird's Evolution Corroborates the Geologic History of the Island of New Guinea
New Guinea is a biologically diverse island, with a unique geologic history and topography that has likely played a role in the evolution of species. Few island-wide studies, however, have examined the phylogeographic history of lowland species. The objective of this study was to examine patterns of phylogeographic variation of a common and widespread New Guinean bird species (Colluricincla megarhyncha). Specifically, we test the mechanisms hypothesized to cause geographic and genetic variation (e.g., vicariance, isolation by distance and founder-effect with dispersal). To accomplish this, we surveyed three regions of the mitochondrial genome and a nuclear intron and assessed differences among 23 of the 30 described subspecies from throughout their range. We found support for eight highly divergent lineages within C. megarhyncha. Genetic lineages were found within continuous lowland habitat or on smaller islands, but all individuals within clades were not necessarily structured by predicted biogeographic barriers. There was some evidence of isolation by distance and potential founder-effects. Mitochondrial DNA sequence divergence among lineages was at a level often observed among different species or even genera of birds (5–11%), suggesting lineages within regions have been isolated for long periods of time. When topographical barriers were associated with divergence patterns, the estimated divergence date for the clade coincided with the estimated time of barrier formation. We also found that dispersal distance and range size are positively correlated across lineages. Evidence from this research suggests that different phylogeographic mechanisms concurrently structure lineages of C. megarhyncha and are not mutually exclusive. These lineages are a result of evolutionary forces acting at different temporal and spatial scales concordant with New Guinea's geological history
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