Impact of meningitis on intelligence and development: A systematic review and meta-analysis

BACKGROUND: We undertook a systematic review and meta-analysis to address the question "what is the impact of meningitis on IQ and development." METHODS: Search: conducted using standardized search terms across Medline, PsychInfo and EMBASE to 06/2014. Eligibility: human studies of any infectious aetiology of meningitis reporting IQ or infant developmental age or stage outcomes. Quality: Centre for Evidence Based Medicine, Oxford, quality tools. Analysis: random effects meta-analysis by organism. RESULTS: 39 studies were included in the review, 34 providing data on IQ (2015 subjects) and 12 on developmental delay (382 subjects). Across all bacterial organisms, meningitis survivors had a mean IQ 5.50 (95% CI: -7.19, -3.80; I2 = 47%, p = 0.02) points lower than controls. IQ was significantly lower than controls for Neisseria meningitides (NM: 5 points) and Haemophilus influenzae b (Hib: 6 points) but not in viral meningitis, with only single studies included for Streptococcus pneumoniae (SP) and group B streptococcus (GBS). The pooled relative risk (RR) for low IQ (IQ<70) in survivors of bacterial meningitis compared with controls was 4.99 (95% CI: 3.17, 7.86) with no significant heterogeneity (I2 = 49%, p = 0.07). Developmental delay of approximately 0.5SD was reported in studies of bacterial meningitis but no delay in the only study of viral meningitis. CONCLUSIONS: We found moderate evidence that surviving bacterial meningitis has a deleterious impact on IQ and development but no evidence that viral meningitis had meaningful cognitive impacts. Survivors of bacterial meningitis should be routinely offered screening for cognitive deficits and developmental delay in addition to hearing loss

Growth performance, feed utilisation and body composition of advanced nursing Nile tilapia (Oreochromis niloticus) fed diets containing Black Soldier Fly (Hermetia illucens) larvae meal

A 32-day experiment was conducted to evaluate the effects on the performance, feed utilisation efficiency and body composition of a strategic inclusion of Black Soldier Fly larvae meal (MM) in a commercially formulated diet for advance nursing Nile tilapia (Oreochromis niloticus). Four isonitrogenous and isoenergetic diets were commercially formulated and manufactured as a control and 3 test diets with strategic inclusions of MM inclusions (0, 30, 50 and 80 g kg-1) and poultry byproduct meal substituting gradually three conventional expensive feedstuffs: fish meal, fish oil and soybean meal. Fish (5.7&plusmn;0.5 g fish-1) were nursed in a cage-in-lake system (Volta Lake, Ghana), under conditions similar to commercial farming practices. Control and experimental diets were fed to triplicate cages by hand to visual satiety, 6 times day-1. Growth performance (final weight; weight gain and SGR); feed utilisation efficiency indices (FCR and PER) and feed intake were not significantly different (P&ge;0.05) between treatments. Survival was significantly different (P&lt;0.05) but more likely explained by the stress related to frequent handling on the smaller fish. Fish whole body composition (dry matter, crude protein, lipid, ash and fibre) was unaffected by the treatment (P&ge;0.05), except for the fatty acid compositions which mirrored that of the diets

Optical dispersive shock waves in defocusing colloidal media

The propagation of an optical dispersive shock wave, generated from a jump discontinuity in light intensity, in a defocusing colloidal medium is analysed. The equations governing nonlinear light propagation in a colloidal medium consist of a nonlinear Schrödinger equation for the beam and an algebraic equation for the medium response. In the limit of low light intensity, these equations reduce to a perturbed higher order nonlinear Schrödinger equation. Solutions for the leading and trailing edges of the colloidal dispersive shock wave are found using modulation theory. This is done for both the perturbed nonlinear Schrödinger equation and the full colloid equations for arbitrary light intensity. These results are compared with numerical solutions of the colloid equations

Sorting by reversals, block interchanges, tandem duplications, and deletions

<p>Abstract</p> <p>Background</p> <p>Finding sequences of evolutionary operations that transform one genome into another is a classic problem in comparative genomics. While most of the genome rearrangement algorithms assume that there is exactly one copy of each gene in both genomes, this does not reflect the biological reality very well – most of the studied genomes contain duplicated gene content, which has to be removed before applying those algorithms. However, dealing with unequal gene content is a very challenging task, and only few algorithms allow operations like duplications and deletions. Almost all of these algorithms restrict these operations to have a fixed size.</p> <p>Results</p> <p>In this paper, we present a heuristic algorithm to sort an ancestral genome (with unique gene content) into a genome of a descendant (with arbitrary gene content) by reversals, block interchanges, tandem duplications, and deletions, where tandem duplications and deletions are of arbitrary size.</p> <p>Conclusion</p> <p>Experimental results show that our algorithm finds sorting sequences that are close to an optimal sorting sequence when the ancestor and the descendant are closely related. The quality of the results decreases when the genomes get more diverged or the genome size increases. Nevertheless, the calculated distances give a good approximation of the true evolutionary distances.</p

Spatial and temporal intra-tumoral heterogeneity in advanced HGSOC: Implications for surgical and clinical outcomes.

Limited evidence exists on the impact of spatial and temporal heterogeneity of high-grade serous ovarian cancer (HGSOC) on tumor evolution, clinical outcomes, and surgical operability. We perform systematic multi-site tumor mapping at presentation and matched relapse from 49 high-tumor-burden patients, operated up front. From SNP array-derived copy-number data, we categorize dendrograms representing tumor clonal evolution as sympodial or dichotomous, noting most chemo-resistant patients favor simpler sympodial evolution. Three distinct tumor evolutionary patterns from primary to relapse are identified, demonstrating recurrent disease may emerge from pre-existing or newly detected clones. Crucially, we identify spatial heterogeneity for clinically actionable homologous recombination deficiency scores and for poor prognosis biomarkers CCNE1 and MYC. Copy-number signature, phenotypic, proteomic, and proliferative-index heterogeneity further highlight HGSOC complexity. This study explores HGSOC evolution and dissemination across space and time, its impact on optimal surgical cytoreductive effort and clinical outcomes, and its consequences for clinical decision-making

Opioid use trends in patients undergoing elective thoracic and lumbar spine surgery

© 2020 Joule Inc. or its licensors Background: Opioid use in North America has increased rapidly in recent years. Preoperative opioid use is associated with several negative outcomes. Our objectives were to assess patterns of opioid use over time in Canadian patients who undergo spine surgery and to determine the effect of spine surgery on 1year postoperative opioid use. Methods: A retrospective analysis was performed on prospectively collected data from the Canadian Spine Outcomes and Research Network for patients undergoing elective thoracic and lumbar surgery. Selfreported opioid use at baseline, before surgery and at 1 year after surgery was compared. Baseline opioid use was compared by age, sex, radiologic diagnosis and presenting complaint. All patients meeting eligibility criteria from 2008 to 2017 were included. Results: A total of 3134 patients provided baseline opioid use data. No significant change in the proportion of patients taking daily (range 32.3%–38.2%) or intermittent (range 13.7%–22.5%) opioids was found from pre2014 to 2017. Among patients who waited more than 6 weeks for surgery, the frequency of opioid use did not differ significantly between the baseline and preoperative time points. Significantly more patients using opioids had a chief complaint of back pain or radiculopathy than neurogenic claudication (p \u3c 0.001), and significantly more were under 65 years of age than aged 65 years or older (p \u3c 0.001). Approximately 41% of patients on daily opioids at baseline remained so at 1 year after surgery. Conclusion: These data suggest that additional opioid reduction strategies are needed in the population of patients undergoing elective thoracic and lumbar spine surgery. Spine surgeons can be involved in identifying patients taking opioids preoperatively, emphasizing the risks of continued opioid use and referring patients to appropriate evidencebased treatment programs

Gaia22dkvLb: A Microlensing Planet Potentially Accessible to Radial-Velocity Characterization

We report discovering an exoplanet from following up a microlensing event alerted by Gaia. The event Gaia22dkv is toward a nearby disk source at ~2.5 kpc rather than the traditional bulge microlensing fields. Our primary analysis yields a Jovian planet with M_p = 0.50 +/- 0.05 M_J at a projected orbital separation r_perp = 1.63 +/- 0.17 AU. The host is a turnoff star with mass 1.24 +/- 0.06 M_sun and distance of 1.35 +/- 0.09 kpc, and at r'~14, it is far brighter than any previously discovered microlensing planet host, opening up the opportunity of testing the microlensing model with radial velocity (RV) observations. RV data can be used to measure the planet's orbital period and eccentricity, and they also enable searching for inner planets of the microlensing cold Jupiter, as expected from the "inner-outer correlation" inferred from Kepler and RV discoveries. Furthermore, we show that Gaia astrometric microlensing will not only allow precise measurements of its angular Einstein radius theta_E, but also directly measure the microlens parallax vector and unambiguously break a geometric light-curve degeneracy, leading to definitive characterization of the lens system

Characterization of the Blue-Light-Activated Adenylyl Cyclase mPAC by Flash Photolysis and FTIR Spectroscopy

The recently discovered photo-activated adenylyl cyclase (mPAC from Microcoleus chthonoplastes) is the first PAC that owes a light-, oxygen- and voltage-sensitive (LOV) domain for blue-light sensing. The photoreaction of the mPAC receptor was studied by time-resolved UV/vis and light-induced Fourier transform infrared (FTIR) absorption difference spectroscopy. The photocycle comprises of the typical triplet state LOV715 and the thio-adduct state LOV390. While the adduct state decays with a time constant of 8 s, the lifetime of the triplet state is with 656 ns significantly shorter than in all other reported LOV domains. The light-induced FTIR difference spectrum shows the typical bands of the LOV390 and LOV450 intermediates. The negative S-H stretching vibration at 2573 cm−1 is asymmetric suggesting two rotamer configurations of the protonated side chain of C194. A positive band at 3632 cm−1 is observed, which is assigned to an internal water molecule. In contrast to other LOV domains, mPAC exhibits a second positive feature at 3674 cm−1 which is due to the O-H stretch of a second intrinsic water molecule and the side chain of Y476. We conclude that the latter might be involved in the dimerization of the cyclase domain which is crucial for ATP binding