Pitfalls associated with the use of molecular diagnostic panels in the diagnosis of cryptococcal meningitis

Abstract We report the case of a kidney transplantation patient on chronic immunosuppressive therapy presenting with subacute meningitis. The final diagnosis of cryptococcal meningitis was delayed due to 2 false-negative cryptococcal results on a molecular diagnostic panel. Caution with such platforms in suspected cryptococcal meningitis is needed.</jats:p

Topical decolonization does not eradicate the skin microbiota of community-dwelling or hospitalized adults

Topical antimicrobials are often employed for decolonization and infection prevention and may alter the endogenous microbiota of the skin. The objective of this study was to compare the microbial communities and levels of richness and diversity in community-dwelling subjects and intensive care unit (ICU) patients before and after the use of topical decolonization protocols. We enrolled 15 adults at risk for Staphylococcus aureus infection. Community subjects (n = 8) underwent a 5-day decolonization protocol (twice daily intranasal mupirocin and daily dilute bleach-water baths), and ICU patients (n = 7) received daily chlorhexidine baths. Swab samples were collected from 5 anatomic sites immediately before and again after decolonization. A variety of culture media and incubation environments were used to recover bacteria and fungi; isolates were identified using matrix-assisted laser desorption ionization–time of flight mass spectrometry. Overall, 174 unique organisms were recovered. Unique communities of organisms were recovered from the community-dwelling and hospitalized cohorts. In the community-dwelling cohort, microbial richness and diversity did not differ significantly between collections across time points, although the number of body sites colonized with S. aureus decreased significantly over time (P = 0.004). Within the hospitalized cohort, richness and diversity decreased over time compared to those for the enrollment sampling (from enrollment to final sampling, P = 0.01 for both richness and diversity). Topical antimicrobials reduced the burden of S. aureus while preserving other components of the skin and nasal microbiota

Development and Testing of Operational Dual-Polarimetric Radar Based Lightning Initiation Forecast Techniques

Lightning is one of Earth s natural dangers, destructive not only to life but also physical property. According to the National Weather Service, there are on average 58 lightning fatalities each year, with over 300 related injuries (NWS 2010). The ability to forecast lightning is critical to a host of activities ranging from space vehicle launch operations to recreational sporting events. For example a single lightning strike to a Space Shuttle could cause billions of dollars of damage and possible loss of life. While forecasting that provides longer lead times could provide sporting officials with more time to respond to possible threatening weather events, thus saving the lives of player and bystanders. Many researchers have developed and tested different methods and tools of first flash forecasting, however few have done so using dual-polarimetric radar variables and products on an operational basis. The purpose of this study is to improve algorithms for the short-term prediction of lightning initiation through development and testing of operational techniques that rely on parameters observed and diagnosed using C-band dual-polarimetric radar

The Kinematic and Microphysical Control of Lightning Rate, Extent and NOX Production

The Deep Convective Clouds and Chemistry (DC3) experiment seeks to quantify the relationship between storm physics, lightning characteristics and the production of nitrogen oxides via lightning (LNOx). The focus of this study is to investigate the kinematic and microphysical control of lightning properties, particularly those that may govern LNOx production, such as flash rate, type and extent across Alabama during DC3. Prior studies have demonstrated that lightning flash rate and type is correlated to kinematic and microphysical properties in the mixed-phase region of thunderstorms such as updraft volume and graupel mass. More study is required to generalize these relationships in a wide variety of storm modes and meteorological conditions. Less is known about the co-evolving relationship between storm physics, morphology and three-dimensional flash extent, despite its importance for LNOx production. To address this conceptual gap, the NASA Lightning Nitrogen Oxides Model (LNOM) is applied to North Alabama Lightning Mapping Array (NALMA) and Vaisala National Lightning Detection Network(TM) (NLDN) observations following ordinary convective cells through their lifecycle. LNOM provides estimates of flash rate, flash type, channel length distributions, lightning segment altitude distributions (SADs) and lightning NOx production profiles. For this study, LNOM is applied in a Lagrangian sense to multicell thunderstorms over Northern Alabama on two days during DC3 (21 May and 11 June 2012) in which aircraft observations of NOx are available for comparison. The LNOM lightning characteristics and LNOX production estimates are compared to the evolution of updraft and precipitation properties inferred from dual-Doppler and polarimetric radar analyses applied to observations from a nearby radar network, including the UAH Advanced Radar for Meteorological and Operational Research (ARMOR). Given complex multicell evolution, particular attention is paid to storm morphology, cell mergers and possible dynamical, microphysical and electrical interaction of individual cells when testing various hypotheses

GOES-R Geostationary Lightning Mapper Performance Specifications and Algorithms

The Geostationary Lightning Mapper (GLM) is a single channel, near-IR imager/optical transient event detector, used to detect, locate and measure total lightning activity over the full-disk. The next generation NOAA Geostationary Operational Environmental Satellite (GOES-R) series will carry a GLM that will provide continuous day and night observations of lightning. The mission objectives for the GLM are to: (1) Provide continuous, full-disk lightning measurements for storm warning and nowcasting, (2) Provide early warning of tornadic activity, and (2) Accumulate a long-term database to track decadal changes of lightning. The GLM owes its heritage to the NASA Lightning Imaging Sensor (1997- present) and the Optical Transient Detector (1995-2000), which were developed for the Earth Observing System and have produced a combined 13 year data record of global lightning activity. GOES-R Risk Reduction Team and Algorithm Working Group Lightning Applications Team have begun to develop the Level 2 algorithms and applications. The science data will consist of lightning "events", "groups", and "flashes". The algorithm is being designed to be an efficient user of the computational resources. This may include parallelization of the code and the concept of sub-dividing the GLM FOV into regions to be processed in parallel. Proxy total lightning data from the NASA Lightning Imaging Sensor on the Tropical Rainfall Measuring Mission (TRMM) satellite and regional test beds (e.g., Lightning Mapping Arrays in North Alabama, Oklahoma, Central Florida, and the Washington DC Metropolitan area) are being used to develop the prelaunch algorithms and applications, and also improve our knowledge of thunderstorm initiation and evolution

Spin transfer switching of spin valve nanopillars using nanosecond pulsed currents

Spin valve nanopillars are reversed via the mechanism of spin momentum transfer using current pulses applied perpendicular to the film plane of the device. The applied pulses were varied in amplitude from 1.8 mA to 7.8 mA, and varied in duration within the range of 100 ps to 200 ns. The probability of device reversal is measured as a function of the pulse duration for each pulse amplitude. The reciprocal pulse duration required for 95% reversal probability is linearly related to the pulse current amplitude for currents exceeding 1.9 mA. For this device, 1.9 mA marks the crossover between dynamic reversal at larger currents and reversal by thermal activation for smaller currents

Aeroservoelastic wind-tunnel investigations using the Active Flexible Wing Model: Status and recent accomplishments

The status of the joint NASA/Rockwell Active Flexible Wing Wind-Tunnel Test Program is described. The objectives are to develop and validate the analysis, design, and test methodologies required to apply multifunction active control technology for improving aircraft performance and stability. Major tasks include designing digital multi-input/multi-output flutter-suppression and rolling-maneuver-load alleviation concepts for a flexible full-span wind-tunnel model, obtaining an experimental data base for the basic model and each control concept and providing comparisons between experimental and analytical results to validate the methodologies. The opportunity is provided to improve real-time simulation techniques and to gain practical experience with digital control law implementation procedures

A Spitzer IRAC Measure of the Zodiacal Light

The dominant non-instrumental background source for space–based infrared observatories is the zodiacal light (ZL). We present Spitzer Infrared Array Camera (IRAC) measurements of the ZL at 3.6, 4.5, 5.8, and 8.0 μm, taken as part of the instrument calibrations. We measure the changing surface brightness levels in approximately weekly IRAC observations near the north ecliptic pole over the period of roughly 8.5 years. This long time baseline is crucial for measuring the annual sinusoidal variation in the signal levels due to the tilt of the dust disk with respect to the ecliptic, which is the true signal of the ZL. This is compared to both Cosmic Background Explorer Diffuse Infrared Background Experiment data and a ZL model based thereon. Our data show a few percent discrepancy from the Kelsall et al.(1998) model including a potential warping of the interplanetary dust disk and a previously detected overdensity in the dust cloud directly behind the Earth in its orbit. Accurate knowledge of the ZL is important for both extragalactic and Galactic astronomy including measurements of the cosmic infrared background, absolute measures of extended sources, and comparison to extrasolar interplanetary dust models. IRAC data can be used to further inform and test future ZL models

Structure of Diffuse Emission in the Spitzer Galactic First Look Survey

The density and velocity structure of the interstellar medium (ISM) must be understood to address many astrophysical problems. We summarize the spatial statistics of 24 μm emission for 10 diffuse fields in the Spitzer Galactic First Look Survey. In almost all regions we analyzed, the x and y spectral indices are nearly equal, implying that the density structure in emitting regions is isotropic. All but one spectral index we measure is shallower than the index predicted by the theory of Kolmogorov (1941). We discuss the implications of our results in the light of recent simulations of magnetized and non-magnetized hydrodynamic turbulence