Impact of HLA polymorphism on the immune response to bacillus anthracis protective antigen in vaccination versus natural infection

The causative agent of anthrax, Bacillus anthracis, evades the host immune response and establishes infection through the production of binary exotoxins composed of Protective Antigen (PA) and one of two subunits, lethal factor (LF) or edema factor (EF). The majority of vaccination strategies have focused upon the antibody response to the PA subunit. We have used a panel of humanised HLA class II transgenic mouse strains to define HLA-DR-restricted and HLA-DQ-restricted CD4+ T cell responses to the immunodominant epitopes of PA. This was correlated with the binding affinities of epitopes to HLA class II molecules, as well as the responses of two human cohorts: individuals vaccinated with the Anthrax Vaccine Precipitated (AVP) vaccine (which contains PA and trace amounts of LF), and patients recovering from cutaneous anthrax infections. The infected and vaccinated cohorts expressing different HLA types were found to make CD4+ T cell responses to multiple and diverse epitopes of PA. The effects of HLA polymorphism were explored using transgenic mouse lines, which demonstrated differential susceptibility, indicating that HLA-DR1 and HLA-DQ8 alleles conferred protective immunity relative to HLA-DR15, HLA-DR4 and HLA-DQ6. The HLA transgenics enabled a reductionist approach, allowing us to better define CD4+ T cell epitopes. Appreciating the effects of HLA polymorphism on the variability of responses to natural infection and vaccination is vital in planning protective strategies against anthrax

Multi-messenger observations of a binary neutron star merger

On 2017 August 17 a binary neutron star coalescence candidate (later designated GW170817) with merger time 12:41:04 UTC was observed through gravitational waves by the Advanced LIGO and Advanced Virgo detectors. The Fermi Gamma-ray Burst Monitor independently detected a gamma-ray burst (GRB 170817A) with a time delay of ~1.7 s with respect to the merger time. From the gravitational-wave signal, the source was initially localized to a sky region of 31 deg2 at a luminosity distance of 40+8-8 Mpc and with component masses consistent with neutron stars. The component masses were later measured to be in the range 0.86 to 2.26 Mo. An extensive observing campaign was launched across the electromagnetic spectrum leading to the discovery of a bright optical transient (SSS17a, now with the IAU identification of AT 2017gfo) in NGC 4993 (at ~40 Mpc) less than 11 hours after the merger by the One- Meter, Two Hemisphere (1M2H) team using the 1 m Swope Telescope. The optical transient was independently detected by multiple teams within an hour. Subsequent observations targeted the object and its environment. Early ultraviolet observations revealed a blue transient that faded within 48 hours. Optical and infrared observations showed a redward evolution over ~10 days. Following early non-detections, X-ray and radio emission were discovered at the transient’s position ~9 and ~16 days, respectively, after the merger. Both the X-ray and radio emission likely arise from a physical process that is distinct from the one that generates the UV/optical/near-infrared emission. No ultra-high-energy gamma-rays and no neutrino candidates consistent with the source were found in follow-up searches. These observations support the hypothesis that GW170817 was produced by the merger of two neutron stars in NGC4993 followed by a short gamma-ray burst (GRB 170817A) and a kilonova/macronova powered by the radioactive decay of r-process nuclei synthesized in the ejecta

Gravitational Waves and Gamma-Rays from a Binary Neutron Star Merger: GW170817 and GRB 170817A

On 2017 August 17, the gravitational-wave event GW170817 was observed by the Advanced LIGO and Virgo detectors, and the gamma-ray burst (GRB) GRB 170817A was observed independently by the Fermi Gamma-ray Burst Monitor, and the Anti-Coincidence Shield for the Spectrometer for the International Gamma-Ray Astrophysics Laboratory. The probability of the near-simultaneous temporal and spatial observation of GRB 170817A and GW170817 occurring by chance is $5.0\times {10}^{-8}$. We therefore confirm binary neutron star mergers as a progenitor of short GRBs. The association of GW170817 and GRB 170817A provides new insight into fundamental physics and the origin of short GRBs. We use the observed time delay of $(+1.74\pm 0.05)\,{\rm{s}}$ between GRB 170817A and GW170817 to: (i) constrain the difference between the speed of gravity and the speed of light to be between $-3\times {10}^{-15}$ and $+7\times {10}^{-16}$ times the speed of light, (ii) place new bounds on the violation of Lorentz invariance, (iii) present a new test of the equivalence principle by constraining the Shapiro delay between gravitational and electromagnetic radiation. We also use the time delay to constrain the size and bulk Lorentz factor of the region emitting the gamma-rays. GRB 170817A is the closest short GRB with a known distance, but is between 2 and 6 orders of magnitude less energetic than other bursts with measured redshift. A new generation of gamma-ray detectors, and subthreshold searches in existing detectors, will be essential to detect similar short bursts at greater distances. Finally, we predict a joint detection rate for the Fermi Gamma-ray Burst Monitor and the Advanced LIGO and Virgo detectors of 0.1-1.4 per year during the 2018-2019 observing run and 0.3-1.7 per year at design sensitivity

Analyses of the operational performance of Maternal and Child Health (MCH) services in Hong Kong

This study is based on the 35 full-time Maternal and Child Health (MCH) centres in Hong Kong. Cluster analysis is first applied to produce homogeneous groups of MCH centres with a similar level of workload by using hierarchical clustering techniques, followed by a non-hierarchical clustering technique for verification. Based on the results from the clustering analyses, operational performance of the MCH centres is evaluated by using performance indicators (Pls) as it is useful to compare the performance of centres between and within clusters with similar workload statistics. The nurses' strength of different ranks are also taken into account for operational reasons. This study is helpful for the management in identifying areas in need of in-depth study and possible improvement.link_to_subscribed_fulltex

Nurses allocation models for maternal and child health services

Maternal and Child Health (MCH) centres in Hong Kong offer, for children aged below six and women of childbearing age, a comprehensive range of health services regularly performed by nurses of different ranks. While each rank has its specific duties, nurses of a higher rank can step down to the work of a more junior rank when necessary. However, cross-regional deployments of nurses occur less frequently. We develop goal programming models of `optimal' MCH nurses allocation. The presence and absence of nurses' `cross-over' of work functions are explicitly considered. The results show that more equitable manpower levelling can be achieved, with flexibility (in the longer term) on cross-regional deployment of nurses as a possible way of operational improvement when the entire MCH service is taken as a whole.link_to_subscribed_fulltex

Distinct suites of pre- and post-adaptations indicate independent evolutionary pathways of snapping claws in the shrimp family Alpheidae (Decapoda: Caridea)

One of the most notable evolutionary innovations of marine invertebrates is the snapping claw of alpheid shrimps (Alpheidae), capable of generating a powerful water jet and a shock wave, used for defense, aggression, excavation, and communication. Evolutionary analysis of this character complex requires the study of a suite of complementary traits to discern pre-adaptations or post-adaptations of snapping behavior. A comprehensive phylogenetic analysis of the Alpheidae based on two mitochondrial and four nuclear markers, covering 107 species from 38 genera (77.6% generic coverage), is presented. Ancestral state reconstruction analyses revealed five independent origins of snapping, two of which relate to the morphologically similar but phylogenetically distant genera Alpheus and Synalpheus, highlighting significant convergence. The evolution of the five complementary traits (adhesive plaques, tooth-cavity system, dactylar joint type, chela size enlargement, and orbital hood) did not always show a significant correlation with the evolution of snapping overall, sometimes only in a few lineages, suggesting different evolutionary pathways were involved and demonstrating the versatility in the evolution of the snapping mechanisms