The outbreak of SARS at Tan Tock Seng Hospital--relating epidemiology to control.

INTRODUCTION: The outbreak of severe acute respiratory syndrome (SARS) began after the index case was admitted on 1 March 2003. We profile the cases suspected to have acquired the infection in Tan Tock Seng Hospital (TTSH), focussing on major transmission foci, and also describe and discuss the impact of our outbreak control measures. MATERIALS AND METHODS: Using the World Health Organization (WHO) case definitions for probable SARS adapted to the local context, we studied all cases documented to have passed through TTSH less than 10 days prior to the onset of fever. Key data were collected in liaison with clinicians and through a team of onsite epidemiologists. RESULTS: There were 105 secondary cases in TTSH. Healthcare staff (57.1%) formed the majority, followed by visitors (30.5%) and inpatients (12.4%). The earliest case had onset of fever on 4 March 2003, and the last case, on 5 April 2003. Eighty-nine per cent had exposures to 7 wards which had cases of SARS that were not isolated on admission. In 3 of these wards, major outbreaks resulted, each with more than 20 secondary cases. Attack rates amongst ward-based staff ranged from 0% to 32.5%. Of 13 inpatients infected, only 4 (30.8%) had been in the same room or cubicle as the index case for the ward. CONCLUSIONS: The outbreak of SARS at TTSH showed the challenges of dealing with an emerging infectious disease with efficient nosocomial spread. Super-spreading events and initial delays in outbreak response led to widespread dissemination of the outbreak to multiple wards

Invariant, super and quasi-martingale functions of a Markov process

We identify the linear space spanned by the real-valued excessive functions of a Markov process with the set of those functions which are quasimartingales when we compose them with the process. Applications to semi-Dirichlet forms are given. We provide a unifying result which clarifies the relations between harmonic, co-harmonic, invariant, co-invariant, martingale and co-martingale functions, showing that in the conservative case they are all the same. Finally, using the co-excessive functions, we present a two-step approach to the existence of invariant probability measures

Enabling Thin and Flexible Solid-State Composite Electrolytes by the Scalable Solution Process

All solid-state batteries (ASSBs) have the potential to deliver higher energy densities, wider operating temperature range, and improved safety compared with today's liquid-electrolyte-based batteries. However, of the various solid-state electrolyte (SSE) classes - polymers, sulfides, or oxides - none alone can deliver the combined properties of ionic conductivity, mechanical, and chemical stability needed to address scalability and commercialization challenges. While promising strategies to overcome these include the use of polymer/oxide or sulfide composites, there is still a lack of fundamental understanding between different SSE-polymer-solvent systems and its selection criteria. Here, we isolate various SSE-polymer-solvent systems and study their molecular level interactions by combining various characterization tools. With these findings, we introduce a suitable Li7P3S11SSE-SEBS polymer-xylene solvent combination that significantly reduces SSE thickness (∼50 μm). The SSE-polymer composite displays high room temperature conductivity (0.7 mS cm-1) and good stability with lithium metal by plating and stripping over 2000 h at 1.1 mAh cm-2. This study suggests the importance of understanding fundamental SSE-polymer-solvent interactions and provides a design strategy for scalable production of ASSBs

Deletion within the Src homology domain 3 of Bruton's tyrosine kinase resulting in X-linked agammaglobulinemia (XLA).

The gene responsible for X-linked agammaglobulinemia (XLA) has been recently identified to code for a cytoplasmic tyrosine kinase (Bruton's agammaglobulinemia tyrosine kinase, BTK), required for normal B cell development. BTK, like many other cytoplasmic tyrosine kinases, contains Src homology domains (SH2 and SH3), and catalytic kinase domain. SH3 domains are important for the targeting of signaling molecules to specific subcellular locations. We have identified a family with XLA whose affected members have a point mutation (g-->a) at the 5' splice site of intron 8, resulting in the skipping of coding exon 8 and loss of 21 amino acids forming the COOH-terminal portion of the BTK SH3 domain. The study of three generations within this kinship, using restriction fragment length polymorphism and DNA analysis, allowed identification of the mutant X chromosome responsible for XLA and the carrier status in this family. BTK mRNA was present in normal amounts in Epstein-Barr virus-induced B lymphoblastoid cell lines established from affected family members. Although the SH3 deletion did not alter BTK protein stability and kinase activity of the truncated BTK protein was normal, the affected patients nevertheless have a severe B cell defect characteristic for XLA. The mutant protein was modeled using the normal BTK SH3 domain. The deletion results in loss of two COOH-terminal beta strands containing several residues critical for the formation of the putative SH3 ligand-binding pocket. We predict that, as a result, one or more crucial SH3 binding proteins fail to interact with BTK, interrupting the cytoplasmic signal transduction process required for B cell differentiation

Optically and electrically tunable graphene quantum dot–polyaniline composite films

Graphene quantum dot-polyaniline (PANI-GQD) composite films were synthesized by a chemical oxidation polymerization process. The optical properties of the PANI-GQD composite were studied by varying the mole concentration of PANI and the size of the GQDs. The Au/PANI-GQDs/ITO sandwich device was fabricated in order to investigate the transport properties of the composite. A stable hysteresis loop was observed in response to the applied voltage. By varying the PANI content and size of the GQDs, the area within the hysteresis loop and electrical conductance behavior of the device can be tuned in a controlled manner. Both the tunable luminescence and electrical hysteresis behavior are attributed to surface states of the GQDs. The PANI-GQD composite films are expected to find application in photonic devices.Department of Applied Physic

Extended wavelength infrared photodetectors

Extension of the wavelength threshold of an infrared detector beyond λt=hc/Δ is demonstrated, without reducing the minimum energy gap (Δ) of the material. Specifically, a photodetector designed with Δ=0.40  eV, and a corresponding λt=3.1  μm, was shown to have an extended threshold of ∼45  μm at 5.3 K, at zero bias. Under negative and positive applied bias, this range was further extended to ∼60 and ∼68  μm, respectively, with the photoresponse becoming stronger at increased biases, but the spectral threshold remained relatively constant. The observed wavelength extension arises from an offset between the two potential barriers in the device. Without the offset, another detector with Δ=0.30  eV showed a photoresponse with the expected wavelength threshold of ∼4  μm

Geometric multiaxial representation of N-qubit mixed symmetric separable states

Study of an N qubit mixed symmetric separable states is a long standing challenging problem as there exist no unique separability criterion. In this regard, we take up the N-qubit mixed symmetric separable states for a detailed study as these states are of experimental importance and offer elegant mathematical analysis since the dimension of the Hilbert space reduces from 2N to N + 1. Since there exists a one to one correspondence between spin-j system and an N-qubit symmetric state, we employ Fano statistical tensor parameters for the parametrization of spin density matrix. Further, we use geometric multiaxial representation (MAR) of density matrix to characterize the mixed symmetric separable states. Since separability problem is NP hard, we choose to study it in the continuum limit where mixed symmetric separable states are characterized by the P-distribution function λ (ᶿ, Φ) We show that the N-qubit mixed symmetric separable state can be visualized as a uniaxial system if the distribution function is independent of ᶿ, and Φ. We further choose distribution function to be the most general positive function on a sphere and observe that the statistical tensor parameters characterizing the N-qubit symmetric system are the expansion coefficients of the distribution function. As an example for the discrete case, we investigate the MAR of a uniformly weighted two qubit mixed symmetric separable state. We also observe that there exists a correspondence between separability and classicality of states

CD133+ liver cancer stem cells resist interferon-gamma induced autophagy

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