Antimicrobial susceptibility profiles, serotype distribution and virulence determinants among invasive, non-invasive and colonizing Streptococcus agalactiae (group B streptococcus) from Malaysian patients

A total of 103 group B streptococci (GBS) including 22 invasive, 21 non-invasive, and 60 colonizing isolates were collected in a Malaysian hospital (June 2010–October 2011). Isolates were characterized by conventional and molecular serotyping and analyzed for scpB, lmb, hylB, cylE, bac, bca and rib gene content. Antimicrobial susceptibility to penicillins, macrolides, lincosamides, quinolones and tetracyclines was determined using disk diffusion and the MICs for penicillin were determined by E-test. Molecular serotyping for all eight serotypes (Ia, Ib, II–VII) was in full accordance with conventional serotyping. Overall, taking CS and MS together, serotype VI was the most common capsular type (22.3 %) followed by VII (21.4 %), III (20.4 %), Ia (17.5 %), V (9.7 %), II (7.7 %) and IV (1 %). Susceptibility to beta-lactam antimicrobials was prevalent (100 %). Resistance rates for erythromycin, clindamycin and tetracycline were 23.3 %, 17.5 % and 71.8 %, respectively. PCR-virulence gene screening showed the presence of cylE, lmb, scpB and hylB in almost all the isolates while rib, bca, and bac genes were found in 29.1 %, 14.6 % and 9.7 % of the isolates. Certain genes were significantly associated with specific serotypes, namely, rib with serotypes Ia, II, III and VI; bca and bac with serotypes II and III. Furthermore, serotype Ia was significantly more common among patients with invasive infections (p < 0.01) and serotype VI isolates were significantly more common among carriers (p < 0.05). In summary, serotype distribution correlates with virulence gene content will be useful in epidemiological studies and design of vaccines

A New Frequency-Luminosity Relation for Long GRBs?

We have studied power density spectra (PDS) of 206 long Gamma-Ray Bursts (GRBs). We fitted the PDS with a simple power-law and extracted the exponent of the power-law (alpha) and the noise-crossing threshold frequency (f_th). We find that the distribution of the extracted alpha peaks around -1.4 and that of f_th around 1 Hz. In addition, based on a sub-set of 58 bursts with known redshifts, we show that the redshift-corrected threshold frequency is positively correlated with the isotropic peak luminosity. The correlation coefficient is 0.57 +/- 0.03.Comment: 9 pages, 17 figures, 1 table; Accepted for publication in MNRA

Spectral Lags of Gamma-Ray Bursts from Primordial Black Hole (PBH) Evaporations

Primordial Black Holes (PBHs), which may have been created in the early Universe, are predicted to be detectable by their Hawking radiation. PBHs with an initial mass of 5.0 * 10^14 g should be expiring today with a burst of high energy particles. Evaporating PBHs in the solar neighborhood are candidate Gamma-Ray Bursts (GRBs) progenitors. We propose spectral lag, which is the temporal delay between the high energy photon pulse and the low energy photon pulse, as a possible method to detect PBH evaporation events with the Fermi Gamma-ray Space Telescope Observatory.Comment: 3 pages; Published in the proceedings of Huntsville 2008 symposium on GRBs; Indices in Equation 7 and 8 correcte

The Lag-Luminosity Relation in the GRB Source Frame: An Investigation with Swift BAT Bursts

Spectral lag. which is defined as the difference in time of arrival of high- and low-energy photons. is a common feature in gamma-ray bursts (GRBs). Previous investigations have shown a correlation between this lag and the isotropic peak luminosity for long duration bursts. However. most of the previous investigations used lags extracted in the observer frame only. In this work (based on a sample of 43 Swift long GRBs with known redshifts). we present an analysis of the lag-luminosity relation in the GRB source frame. Our analysis indicates a higher degree of correlation -0.82 +/- 0.05 (chance probability of approx. 5.5 x 10(exp -5) between the spectral lag and the isotropic peak luminosity, L(sub iso). with a best-fitting power-law index of -1.2 +/- 0.2. In addition, there is an anticorrelation between the source-frame spectral lag and the source-frame peak energy of the burst spectrum

Searching for three-nucleon resonances

We search for three-neutron resonances which were predicted from pion double charge exchange experiments on He-3. All partial waves up to J=5/2 are nonresonant except the J=3/2^+ one, where we find a state at E=14 MeV energy with 13 MeV width. The parameters of the mirror state in the three-proton system are E=15 MeV and Gamma=14 MeV. The possible existence of an excited state in the triton, which was predicted from a H(He-6,alpha) experiment, is also discussed.Comment: LaTex with RevTe

Spectral Lags and the Lag-Luminosity Relation: An Investigation with Swift BAT Gamma-ray Bursts

Spectral lag, the time difference between the arrival of high-energy and low-energy photons, is a common feature in Gamma-ray Bursts (GRBs). Norris et al. 2000 reported a correlation between the spectral lag and the isotropic peak luminosity of GRBs based on a limited sample. More recently, a number of authors have provided further support for this correlation using arbitrary energy bands of various instruments. In this paper we report on a systematic extraction of spectral lags based on the largest Swift sample to date of 31 GRBs with measured redshifts. We extracted the spectral lags for all combinations of the standard Swift hard x-ray energy bands: 15-25 keV, 25-50 keV, 50-100 keV and 100-200 keV and plotted the time dilation corrected lag as a function of isotropic peak luminosity. The mean value of the correlation coefficient for various channel combinations is -0.68 with a chance probability of ~ 0.7 x 10^{-3}. In addition, the mean value of the power-law index is 1.4 +/- 0.3. Hence, our study lends support for the existence of a lag-luminosity correlation, albeit with large scatter.Comment: 19 Pages, 11 Figures and 5 Tables; Accepted to The Astrophysical Journa

Three-body resonances in He-6, Li-6, and Be-6, and the soft dipole mode problem of neutron halo nuclei

Using the complex scaling method, the low-lying three-body resonances of $^6$He, $^6$Li, and $^6$Be are investigated in a parameter-free microscopic three-cluster model. In $^6$He a 2$^+$, in $^6$Li a 2$^+$ and a 1$^+$, and in $^6$Be the 0$^+$ ground state and a 2$^+$ excited state is found. The other experimentally known 2$^+$ state of $^6$Li cannot be localized by our present method. We have found no indication for the existence of the predicted 1$^-$ soft dipole state in $^6$He. We argue that the sequential decay mode of $^6$He through the resonant states of its two-body subsystem can lead to peaks in the excitation function. This process can explain the experimental results in the case of $^{11}$Li, too. We propose an experimental analysis, which can decide between the soft dipole mode and the sequential decay mode.Comment: REVTEX, Submitted to Phys. Rev. C, 12 pages, 2 postscript figures are available upon request. CALTECH, MAP-16

Clinical and Immunological Phenotype of Patients With Primary Immunodeficiency Due to Damaging Mutations in NFKB2

Non-canonical NF-κB-pathway signaling is integral in immunoregulation. Heterozygous mutations in NFKB2 have recently been established as a molecular cause of common variable immunodeficiency (CVID) and DAVID-syndrome, a rare condition combining deficiency of anterior pituitary hormone with CVID. Here, we investigate 15 previously unreported patients with primary immunodeficiency (PID) from eleven unrelated families with heterozygous NFKB2-mutations including eight patients with the common p.Arg853* nonsense mutation and five patients harboring unique novel C-terminal truncating mutations. In addition, we describe the clinical phenotype of two patients with proximal truncating mutations. Cohort analysis extended to all 35 previously published NFKB2-cases revealed occurrence of early-onset PID in 46/50 patients (mean age of onset 5.9 years, median 4.0 years). ACTH-deficiency occurred in 44%. Three mutation carriers have deceased, four developed malignancies. Only two mutation carriers were clinically asymptomatic. In contrast to typical CVID, most patients suffered from early-onset and severe disease manifestations, including clinical signs of T cell dysfunction e.g., chronic-viral or opportunistic infections. In addition, 80% of patients suffered from (predominately T cell mediated) autoimmune (AI) phenomena (alopecia > various lymphocytic organ-infiltration > diarrhea > arthritis > AI-cytopenia). Unlike in other forms of CVID, auto-antibodies or lymphoproliferation were not common hallmarks of disease. Immunophenotyping showed largely normal or even increased quantities of naïve and memory CD4+ or CD8+ T-cells and normal T-cell proliferation. NK-cell number and function were also normal. In contrast, impaired B-cell differentiation and hypogammaglobinemia were consistent features of NFKB2-associated disease. In addition, an array of lymphocyte subpopulations, such as regulatory T cell, Th17-, cTFH-, NKT-, and MAIT-cell numbers were decreased. We conclude that heterozygous damaging mutations in NFKB2 represent a distinct PID entity exceeding the usual clinical spectrum of CVID. Impairment of the non-canonical NF-κB pathways affects function and differentiation of numerous lymphocyte-subpopulations and thus causes a heterogeneous, more severe form of PID phenotype with early-onset. Further characteristic features are multifaceted, primarily T cell-mediated autoimmunity, such as alopecia, lymphocytic organ infiltration, and in addition frequently ACTH-deficiency

Definitions and incidence of cardiac syndrome X: review and analysis of clinical data

There is no consensus regarding the definition of cardiac syndrome X (CSX). We systematically reviewed recent literature using a standardized search strategy. We included 57 articles. A total of 47 studies mentioned a male/female distribution. A meta-analysis yielded a pooled proportion of females of 0.56 (n = 1,934 patients, with 95% confidence interval: 0.54–0.59). As much as 9 inclusion criteria and 43 exclusion criteria were found in the 57 articles. Applying these criteria to a population with normal coronary angiograms and treated in 1 year at a general hospital, the attributable CSX incidence varied between 3 and 11%. The many inclusion and exclusion criteria result in a wide range of definitions of CSX and these have large effects on the incidence. This shows the need for a generally accepted definition of CSX