A Novel Stochastic Multi-Scale Model of Francisella tularensis Infection to Predict Risk of Infection in a Laboratory

We present a multi-scale model of the within-phagocyte, within-host and population-level infection dynamics of Francisella tularensis, which extends the mechanistic one proposed by Wood et al. (2014). Our multi-scale model incorporates key aspects of the interaction between host phagocytes and extracellular bacteria, accounts for inter-phagocyte variability in the number of bacteria released upon phagocyte rupture, and allows one to compute the probability of response, and mean time until response, of an infected individual as a function of the initial infection dose. A Bayesian approach is applied to parameterize both the within-phagocyte and within-host models using infection data. Finally, we show how dose response probabilities at the individual level can be used to estimate the airborne propagation of Francisella tularensis in indoor settings (such as a microbiology laboratory) at the population level, by means of a deterministic zonal ventilation model

Is there scope for community health nurses to address lifestyle risk factors? The community nursing SNAP trial

Background: This paper examines the opportunity and need for lifestyle interventions for patients attending generalist community nursing services in Australia. This will help determine the scope for risk factor management within community health care by generalist community nurses (GCNs). Methods: This was a quasi-experimental study conducted in four generalist community nursing services in NSW, Australia. Prior to service contacts, clients were offered a computer-assisted telephone interview to collect baseline data on socio-demographics, health conditions, smoking status, physical activity levels, alcohol consumption, height and weight, fruit and vegetable intake and \u27readiness-to-change\u27 for lifestyle risk factors. Results: 804 clients participated (a response rate of 34.1%). Participants had higher rates of obesity (40.5% vs 32.1%) and higher prevalence of multiple risk factors (40.4% vs 29.5%) than in the general population. Few with a SNAPW (S moking-N utrition-A lcohol-P hysical-Activity-Weight) risk factor had received advice or referral in the previous 3 months. The proportion of clients identified as at risk and who were open to change (i.e. contemplative, in preparation or in action phase) were 65.0% for obese/overweight; 73.8% for smokers; 48.2% for individuals with high alcohol intake; 83.5% for the physically inactive and 59.0% for those with poor nutrition. Conclusions: There was high prevalence of lifestyle risk factors. Although most were ready to change, few clients recalled having received any recent lifestyle advice. This suggests that there is considerable scope for intervention by GCNs. The results of this trial will shed light on how best to implement the lifestyle risk factor management in routine practice

A Differential Spectroscopic Analysis of 16 Cygni A and B

We utilize high-resolution, high signal-to-noise spectra to perform a differential analysis of Fe abundances in the common proper-motion pair 16 Cyg A and B. We confirm that both stars are slightly metal-rich compared to the Sun, and we show for the first time that the primary is enhanced in Fe relative to the secondary by a significant amount. We find Delta[Fe/H]=+0.025\pm0.009. This tends to support the ``self-pollution'' scenario proposed by Gonzalez (1998), though lack of a complete understanding of small primordial metallicity variations among binaries and open cluster members prevents a definitive conclusion

C, S, Zn and Cu abundances in planet-harbouring stars

We present a detailed and uniform study of C, S, Zn and Cu abundances in a large set of planet host stars, as well as in a homogeneous comparison sample of solar-type dwarfs with no known planetary-mass companions. Carbon abundances were derived by {EW} measurement of two C I optical lines, while spectral syntheses were performed for S, Zn and Cu. We investigated possible differences in the behaviours of the volatiles C, S and Zn and in the refractory Cu in targets with and without known planets in order to check possible anomalies due to the presence of planets. We found that the abundance distributions in stars with exoplanets are the high [Fe/H] extensions of the trends traced by the comparison sample. All volatile elements we studied show [X/Fe] trends decreasing with [Fe/H] in the metallicity range -0.8<[Fe/H]<0.5, with significantly negative slopes of -0.39+-0.04 and -0.35+-0.04 for C and S, respectively. A comparison of our abundances with those available in the literature shows good agreement in most cases.Comment: 28 pages, 13 figures, accepted for publication in A&

Parent Stars of Extrasolar Planets. X. Lithium Abundances and vsini Revisited

We determine Li abundances and vsini values from new spectra of 53 stars with Doppler-detected planets not included in our previous papers in this series. We also examine two sets of stars without detected planets, which together serve as our comparison sample. Using the method of comparison of Li abundances and vsini values between two sets of stars we introduced in Gonzalez (2008), we confirm that these two quantities are smaller among stars with planets compared to stars without detected planets near the solar temperature. The transition from low to high Li abundance among SWPs occurs near 5850 K, a revision of about 50 K from our previous determination. The transition from low to high vsini occurs near 6000 K, but this temperature is not as well constrained.Comment: accepted for publication in MNRAS; 14 pages, 13 figures, 3 table

Stochastic dynamics of Francisella tularensis infection and replication

We study the pathogenesis of Francisella tularensis infection with an experimental mouse model, agent-based computation and mathematical analysis. Following inhalational exposure to Francisella tularensis SCHU S4, a small initial number of bacteria enter lung host cells and proliferate inside them, eventually destroying the host cell and releasing numerous copies that infect other cells. Our analysis of disease progression is based on a stochastic model of a population of infectious agents inside one host cell, extending the birth-and-death process by the occurrence of catastrophes: cell rupture events that affect all bacteria in a cell simultaneously. Closed expressions are obtained for the survival function of an infected cell, the number of bacteria released as a function of time after infection, and the total bacterial load. We compare our mathematical analysis with the results of agent-based computation and, making use of approximate Bayesian statistical inference, with experimental measurements carried out after murine aerosol infection with the virulent SCHU S4 strain of the bacterium Francisella tularensis, that infects alveolar macrophages. The posterior distribution of the rate of replication of intracellular bacteria is consistent with the estimate that the time between rounds of bacterial division is less than 6 hours in vivo

Nanoscale polar heterogeneities and branching Bi-displacement directions in K0.5Bi0.5TiO3

K0.5Bi0.5TiO3 (KBT)—one of the few perovskite-like ferroelectric compounds with room-temperature tetragonal symmetry—differs from other members of its family (BaTiO3 and PbTiO3) by the presence of a disordered mixture of K and Bi on cuboctahedral sites. This disorder is expected to affect local atomic displacements and their response to an applied electric field. We have derived nanoscale atomistic models of KBT by refining atomic coordinates to simultaneously fit neutron/X-ray total scattering and extended X-ray absorption fine-structure data. Both Bi and Ti ions were found to be offset relative to their respective oxygen cages in the high-temperature cubic phase; in contrast, the coordination environment of K remained relatively undistorted. In the cubic structure, Bi displacements prefer the ⟨100⟩ directions and the probability density distribution of Bi features six well-separated sites; a similar preference exists for the much smaller Ti displacements, although the split sites for Ti could not be resolved. The cation displacements are correlated, yielding polar nanoregions, whereas on average, the structure appears as cubic. The cubic ↔ tetragonal phase transition involves both order/disorder and displacive mechanisms. A qualitative change in the form of the Bi probability density distribution occurs in the tetragonal phase on cooling to room temperature because Bi displacements “branch off” to ⟨111⟩ directions. This change, which preserves the average symmetry, is accompanied by the development of nanoscale polar heterogeneities that exhibit significant deviations of their polarization vectors from the average polar axis

MASEP gamma knife radiosurgery for secretory pituitary adenomas: experience in 347 consecutive cases

<p>Abstract</p> <p>Background</p> <p>Secretory pituitary adenomas are very common brain tumors. Historically, the treatment armamentarium for secretory pituitary adenomas included neurosurgery, medical management, and fractionated radiotherapy. In recent years, MASEP gamma knife radiosurgery (MASEP GKRS) has emerged as an important treatment modality in the management of secretory pituitary adenomas. The goal of this research is to define accurately the efficacy, safety, complications, and role of MASEP GKRS for treatment of secretory pituitary adenomas.</p> <p>Methods</p> <p>Between 1997 and 2007 a total of 347 patients with secretory pituitary adenomas treated with MASEP GKRS and with at least 60 months of follow-up data were identified. In 47 of these patients some form of prior treatment such as transsphenoidal resection, or craniotomy and resection had been conducted. The others were deemed ineligible for microsurgery because of body health or private choice, and MASEP GKRS served as the primary treatment modality. Endocrinological, ophthalmological, and neuroradiological responses were evaluated.</p> <p>Results</p> <p>MASEP GKRS was tolerated well in these patients under the follow-up period ranged from 60 to 90 months; acute radioreaction was rare and 17 patients had transient headaches with no clinical significance. Late radioreaction was noted in 1 patient and consisted of consistent headache. Of the 68 patients with adrenocorticotropic hormone-secreting(ACTH) adenomas, 89.7% showed tumor volume decrease or remain unchanged and 27.9% experienced normalization of hormone level. Of the 176 patients with prolactinomas, 23.3% had normalization of hormone level and 90.3% showed tumor volume decrease or remain unchanged. Of the 103 patients with growth hormone-secreting(GH) adenomas, 95.1% experienced tumor volume decrease or remain unchanged and 36.9% showed normalization of hormone level.</p> <p>Conclusion</p> <p>MASEP GKRS is safe and effective in treating secretory pituitary adenomas. None of the patients in our study experienced injury to the optic apparatus or had other neuropathies related with gamma knife. MASEP GKRS may serve as a primary treatment method in some or as a salvage treatment in the others. However, treatment must be tailored to meet the patient's symptoms, tumor location, tumor morphometry, and overall health. Longer follow-up is required for a more complete assessment of late radioreaction and treatment efficacy.</p

A new code for automatic determination of equivalent widths: Automatic Routine for line Equivalent widths in stellar Spectra (ARES)

We present a new automatic code (ARES) for determining equivalent widths of the absorption lines present in stellar spectra. We also describe its use for determining fundamental spectroscopic stellar parameters. The code is written in C++ based on the standard method of determining EWs and is available for the community. The code automates the manual procedure that the users normally carry out when using interactive routines such as the splot routine implemented in IRAF. We test the code using both simulated and real spectra with different levels of resolution and noise and comparing its measurements to the manual ones obtained in the standard way. The results shows a small systematic difference, always below 1.5m\AA. This can be explained by errors in the manual measurements caused by subjective continuum determination. The code works better and faster than others tested before.Comment: 10 pages, 9 figures, Accepted for publication on A&