SOCIO DEMOGRAPHIC AND CLINICAL FACTORS ASSOCIATED WITH TB MENINGITIS AMONG HIV POSITIVE PATIENTS

Introduction: Infection with HIV is associated with increased risk of activation of latent infection of Tuberculosis.. Furthermore, TB Meningitis have found that co-infection with HIV is associated with an increased risk of mortality. The present study was done with the objective of exploring socio demographic and clinical factors associated with TB Meningitis among HIV positive patients. Methodology: The present study was done among Patients Living with HIV/AIDS (PLHA) admitted patients in medicine department. Records of all HIV positive patients diagnosed with TB meningitis during the study period of one year were obtained. Records of presenting symptoms, Socio-demographic variables, all laboratory investigations including CD4 count, past history of TB and outcome of past TB of these patients were recorded in separate case record sheet and evaluated further for the study. Results: Maximum of patients (33.33%) were from age group of 31 to 40 years. Males were common among study participants. Previous history of Tuberculosis is important for the patients with TB meningitis in HIV patients. Mean CD 4 count in participants was 140 cells/μL. More than 70% patients of TBM had the CD4 count less than 200 cells/microL. Risk of TBM increased with CD4 count less than 200 cells/microL. Conclusion: TB Meningitis is mostly affecting HIV patients from age group of 21 to 40 years. Males are commonly affected. Previous history of Tuberculosis is important for the patients with TB meningitis in HIV patients. For TB meningitis patients fever, headache and altered sensorium are common presenting symptom

Pantoea: A Versatile bacterial Candidate of Agricultural Importance

Genus Pantoea is a diverse group of the family Enterobacteriaceae which inhabit various ecological niches. Various species of Pantoea are found associated with a diverse host range that include plants, animals, insects and humans. Besides this Pantoea spp. has been widely distributed in nature including water, soil, dairy products, meat and fish. It is commonly associated with plants as epiphyte or pathogen. Pantoea was first recognized as a genus about 25 years ago, but since then, approximately 20 species with a wide range of characteristics have been discovered. Identification of plant-pathogenic Pantoea species is difficult, due to the high degree of phenotypic similarity between species of this genus and related Enterobacteriaceae. Pantoea species are typically characterized based on colony morphology, physiological and biochemical tests, and in some cases, fatty acid analysis or quinone composition. These have a wide range of plant hosts where they live as nonpathogenic endophytes as well as epiphytes that colonize the leaves, stems and roots. In this perspective, some Pantoea strains can be beneficial to the plant host by providing growth promoting substances such as the plant-growth hormone indole-acetic acid (IAA), phosphate solubilization or nitrogen fixation. Number of Pantoea species are also involved in bioremediation of various pesticides and organic chemical compounds. This indicates the potential to degrade some recalcitrant and xenobiotic compounds. Some Pantoea strains also provide effective protection to plants against various bacterial and fungal diseases and post-harvest fruit rots. On the other hand, some of the species are recognized as a human pathogen and has led to controversy as limited documented cases of P. agglomerans bacteremia and infections have been reported. Most of the cases reported among immunocompromised patients or the pediatric population. Thus, Pantoea is a multifaceted bacterium that plays a significant role in agriculture as a plant growth promoter by producing hormone like IAA, inorganic pollutant degradation by producing potent enzymes and also protects some plants against pathogens by producing antibacterial and antifungal compounds. In some cases, these also cause diseases in human beings. Therefore, this genus is very important for studies. In this review, the industrial, agricultural as well as ecological significance of the genus Pantoea is emphasized

DIFFERENTIAL DIAGNOSIS OF HIV POSITIVE PATIENTS WITH NEUROLOGICAL MANIFESTATIONS

Introduction: The nervous system is among the most frequent and serious target of HIV infection and is most frequently occur in patient with profound immunosuppression. 40 to 70 percent persons with HIV have neurological disorder. In 10 to 20 percent it is AIDS defining illness. It has higher mortality than other infections. Considering these facts the current study was designed to check the differential diagnosis of various neurological manifestations in HIV patients. Methodology: All HIV positive patients above 18 years presenting with neurological manifestations and ready to give informed written consent to participate in the study were included in the study. Detailed clinical history with special emphasis on consciousness, convulsions and headache was taken. Thorough clinical examination included mental status examination including MMSE, sensory, motor and cranial nerves examination. Results: The present study comprises 50 HIV infected patients with neurological manifestation presenting at the hospital. There were total 15 (30%) patients diagnosed with primary neurological illness. Most of the patients were having DSPN as primary neurological illness. ADC is one of the common neurological manifestations. 4% of our patients had ADC which is diagnosed by MMSE (mini mental status examination) score. Out of total 50 patients, 35 (60%) patients were diagnosed as Secondary Neurological Illness. Out of these, TBM was the most common illness, Other common secondary illnesses were Cryptococcal Meningitis (16%), Toxoplasmosis (10%) and PML (8%). Conclusion: Tubercular Meningitis and Distal sensory polyneuropathy were the most common cause of neurological manifestation among HIV positive patients

Development and validation of HERWIG 7 tunes from CMS underlying-event measurements

This paper presents new sets of parameters (“tunes”) for the underlying-event model of the HERWIG7 event generator. These parameters control the description of multiple-parton interactions (MPI) and colour reconnection in HERWIG7, and are obtained from a fit to minimum-bias data collected by the CMS experiment at s=0.9, 7, and 13Te. The tunes are based on the NNPDF 3.1 next-to-next-to-leading-order parton distribution function (PDF) set for the parton shower, and either a leading-order or next-to-next-to-leading-order PDF set for the simulation of MPI and the beam remnants. Predictions utilizing the tunes are produced for event shape observables in electron-positron collisions, and for minimum-bias, inclusive jet, top quark pair, and Z and W boson events in proton-proton collisions, and are compared with data. Each of the new tunes describes the data at a reasonable level, and the tunes using a leading-order PDF for the simulation of MPI provide the best description of the dat

MUSiC : a model-unspecific search for new physics in proton-proton collisions at root s=13TeV

Results of the Model Unspecific Search in CMS (MUSiC), using proton-proton collision data recorded at the LHC at a centre-of-mass energy of 13 TeV, corresponding to an integrated luminosity of 35.9 fb(-1), are presented. The MUSiC analysis searches for anomalies that could be signatures of physics beyond the standard model. The analysis is based on the comparison of observed data with the standard model prediction, as determined from simulation, in several hundred final states and multiple kinematic distributions. Events containing at least one electron or muon are classified based on their final state topology, and an automated search algorithm surveys the observed data for deviations from the prediction. The sensitivity of the search is validated using multiple methods. No significant deviations from the predictions have been observed. For a wide range of final state topologies, agreement is found between the data and the standard model simulation. This analysis complements dedicated search analyses by significantly expanding the range of final states covered using a model independent approach with the largest data set to date to probe phase space regions beyond the reach of previous general searches.Peer reviewe

Measurement of prompt open-charm production cross sections in proton-proton collisions at root s=13 TeV

The production cross sections for prompt open-charm mesons in proton-proton collisions at a center-of-mass energy of 13TeV are reported. The measurement is performed using a data sample collected by the CMS experiment corresponding to an integrated luminosity of 29 nb(-1). The differential production cross sections of the D*(+/-), D-+/-, and D-0 ((D) over bar (0)) mesons are presented in ranges of transverse momentum and pseudorapidity 4 < p(T) < 100 GeV and vertical bar eta vertical bar < 2.1, respectively. The results are compared to several theoretical calculations and to previous measurements.Peer reviewe

Search for top squark production in fully hadronic final states in proton-proton collisions at root s=13 TeV

A search for production of the supersymmetric partners of the top quark, top squarks, is presented. The search is based on proton-proton collision events containing multiple jets, no leptons, and large transverse momentum imbalance. The data were collected with the CMS detector at the CERN LHC at a center-of-mass energy of 13 TeV, and correspond to an integrated luminosity of 137 fb(-1). The targeted signal production scenarios are direct and gluino-mediated top squark production, including scenarios in which the top squark and neutralino masses are nearly degenerate. The search utilizes novel algorithms based on deep neural networks that identify hadronically decaying top quarks and W bosons, which are expected in many of the targeted signal models. No statistically significant excess of events is observed relative to the expectation from the standard model, and limits on the top squark production cross section are obtained in the context of simplified supersymmetric models for various production and decay modes. Exclusion limits as high as 1310 GeVare established at the 95% confidence level on the mass of the top squark for direct top squark production models, and as high as 2260 GeV on the mass of the gluino for gluino-mediated top squark production models. These results represent a significant improvement over the results of previous searches for supersymmetry by CMS in the same final state.Peer reviewe

Search for lepton-flavor violating decays of the Higgs boson in the mu tau and e tau final states in proton-proton collisions at root s=13 TeV

A search is presented for lepton-flavor violating decays of the Higgs boson to mu t and et. The dataset corresponds to an integrated luminosity of 137 fb(-1) collected at the LHC in proton-proton collisions at a center-of-mass energy of 13 TeV. No significant excess has been found, and the results are interpreted in terms of upper limits on lepton-flavor violating branching fractions of the Higgs boson. The observed (expected) upper limits on the branching fractions are, respectively, B(H -> mu t) e tau) < 0.22(0.16)% at 95% confidence level.Peer reviewe

Measurement of B-c(2S)(+) and B-c*(2S)(+) cross section ratios in proton-proton collisions at root s=13 TeV

Peer reviewe

Search for long-lived particles decaying to jets with displaced vertices in proton-proton collisions at root s=13 Te V

A search is presented for long-lived particles produced in pairs in proton-proton collisions at the LHC operating at a center-of-mass energy of 13 TeV. The data were collected with the CMS detector during the period from 2015 through 2018, and correspond to a total integrated luminosity of 140 fb(-1). This search targets pairs of long-lived particles with mean proper decay lengths between 0.1 and 100 mm, each of which decays into at least two quarks that hadronize to jets, resulting in a final state with two displaced vertices. No significant excess of events with two displaced vertices is observed. In the context of R-parity violating supersymmetry models, the pair production of long-lived neutralinos, gluinos, and top squarks is excluded at 95% confidence level for cross sections larger than 0.08 fb, masses between 800 and 3000 GeV, and mean proper decay lengths between 1 and 25 mm.Peer reviewe