Citrobacter koseri meningitis with cerebral edema and pneumocephalus in a neonate

Sometimes the only indicator of a serious infection in a neonate is a fever. has been reported to cause neonatal brain abscesses in the setting of meningitis. Although rare, pneumocephalus, secondary to , carries a very high mortality. A 17-day-old male presented to the emergency department with a fever, decreased oral intake, and lethargy. The patient developed pneumocephalus and cerebral edema and was diagnosed with meningitis, leading to death. This case demonstrates the presentation of meningitis with pneumocephalus and cerebral edema in a neonate presenting with fever

Within- and between-person variability of exhaled breath condensate pH and NH4+ in never and current smokers

SummaryRecent studies have suggested that the collection of exhaled breath condensate (EBC) may be a viable method in occupational field studies to sample secretions of the lower airway because it is simple to perform and non-invasive. However, there are unresolved questions about whether certain laboratory conditions may influence the analysis of EBC biomarker measurements. A total of 12 subjects performed 116 EBC tests. The effect of short and long-term sample storage and sample volume on two biomarkers of acid stress, pH and NH4+, in EBC were investigated and did not significantly influence either marker measurement after argon deaeration. We also investigated the variability and the effect of smoking on the biomarkers by collecting six samples each from five adult never smokers and five adult current smokers over a period of 1 month (n=60 total). For pH, the within-person and between-person variability was larger in current smokers compared to never smokers. Similar results were found for NH4+. Cigarette packs smoked per day now was also associated with both pH (p=0.01) and NH4+ (p=0.04) using mixed effects regression analysis. The variability and smoking results suggest that repeated measurements of EBC pH and NH4+ from the same individual may accurately predict the biological state of the airways of current smokers when compared to never smokers

Testing the consistency of dust laws in SN Ia host galaxies: a BayeSN examination of Foundation DR1

Abstract We apply BayeSN, our new hierarchical Bayesian model for the SEDs of Type Ia supernovae (SNe Ia), to analyse the griz light curves of 157 nearby SNe Ia (0.015 &amp;lt; z &amp;lt; 0.08) from the public Foundation DR1 dataset. We train a new version of BayeSN, continuous from 0.35–0.95 μm, which we use to model the properties of SNe Ia in the rest-frame z-band, study the properties of dust in their host galaxies, and construct a Hubble diagram of SN Ia distances determined from full griz light curves. Our griz Hubble diagram has a low total RMS of 0.13 mag using BayeSN, compared to 0.16 mag using SALT2. Additionally, we test the consistency of the dust law RV between low- and high-mass host galaxies by using our model to fit the full time- and wavelength-dependent SEDs of SNe Ia up to moderate reddening (peak apparent B − V ≲ 0.3). Splitting the population at the median host mass, we find RV = 2.84 ± 0.31 in low-mass hosts, and RV = 2.58 ± 0.23 in high-mass hosts, both consistent with the global value of RV = 2.61 ± 0.21 that we estimate for the full sample. For all choices of mass split we consider, RV is consistent across the step within ≲ 1.2σ. Modelling population distributions of dust laws in low- and high-mass hosts, we find that both subsamples are highly consistent with the full sample’s population mean μ(RV) = 2.70 ± 0.25 with a 95 per cent upper bound on the population σ(RV) &amp;lt; 0.61. The RV population means are consistent within ≲ 1.2σ. We find that simultaneous fitting of host-mass-dependent dust properties within our hierarchical model does not account for the conventional mass step.</jats:p

Tissue Effects in a Randomized Controlled Trial of Short-term Finasteride in Early Prostate Cancer.

BackgroundIn the Prostate Cancer Prevention Trial, finasteride selectively suppressed low-grade prostate cancer and significantly reduced the incidence of prostate cancer in men treated with finasteride compared with placebo. However, an apparent increase in high-grade disease was also observed among men randomized to finasteride. We aimed to determine why and hypothesized that there is a grade-dependent response to finasteride.MethodsFrom 2007 to 2012, we randomized dynamically by intranet-accessible software 183 men with localized prostate cancer to receive 5mg finasteride or placebo daily in a double-blind study during the 4-6weeks preceding prostatectomy. As the primary end point, the expression of a predefined molecular signature (ERβ, UBE2C, SRD5A2, and VEGF) differentiating high- and low-grade tumors in Gleason grade (GG) 3 areas of finasteride-exposed tumors from those in GG3 areas of placebo-exposed tumors, adjusted for Gleason score (GS) at prostatectomy, was compared. We also determined androgen receptor (AR) levels, Ki-67, and cleaved caspase 3 to evaluate the effects of finasteride on the expression of its downstream target, cell proliferation, and apoptosis, respectively. The expression of these markers was also compared across grades between and within treatment groups. Logistic regression was used to assess the expression of markers.FindingsWe found that the predetermined molecular signature did not distinguish GG3 from GG4 areas in the placebo group. However, AR expression was significantly lower in the GG4 areas of the finasteride group than in those of the placebo group. Within the finasteride group, AR expression was also lower in GG4 than in GG3 areas, but not significantly. Expression of cleaved caspase 3 was significantly increased in both GG3 and GG4 areas in the finasteride group compared to the placebo group, although it was lower in GG4 than in GG3 areas in both groups.InterpretationWe showed that finasteride's effect on apoptosis and AR expression is tumor grade dependent after short-term intervention. This may explain finasteride's selective suppression of low-grade tumors observed in the PCPT

GG-Strands

A $G$-strand is a map $g(t,{s}):\,\mathbb{R}\times\mathbb{R}\to G$ for a Lie group $G$ that follows from Hamilton's principle for a certain class of $G$-invariant Lagrangians. The SO(3)-strand is the $G$-strand version of the rigid body equation and it may be regarded physically as a continuous spin chain. Here, $SO(3)_K$-strand dynamics for ellipsoidal rotations is derived as an Euler-Poincar\'e system for a certain class of variations and recast as a Lie-Poisson system for coadjoint flow with the same Hamiltonian structure as for a perfect complex fluid. For a special Hamiltonian, the $SO(3)_K$-strand is mapped into a completely integrable generalization of the classical chiral model for the SO(3)-strand. Analogous results are obtained for the $Sp(2)$-strand. The $Sp(2)$-strand is the $G$-strand version of the $Sp(2)$ Bloch-Iserles ordinary differential equation, whose solutions exhibit dynamical sorting. Numerical solutions show nonlinear interactions of coherent wave-like solutions in both cases. ${\rm Diff}(\mathbb{R})$-strand equations on the diffeomorphism group $G={\rm Diff}(\mathbb{R})$ are also introduced and shown to admit solutions with singular support (e.g., peakons).Comment: 35 pages, 5 figures, 3rd version. To appear in J Nonlin Sc