Staphylococcus aureus Nasal Carriage among Surgical personnel in National Ribat University Teaching Hospital-Khartoum-Sudan

Introduction: Staphylococcus aureus (S. aureus) is one of the most common causes of both community and hospital acquired bacterial infection. There is strong correlation between S aureus nasal carriage and disease progress. Nasal carriage is high among health care workers. Inappropriate usage of antibiotic may lead to emergence of resistant strains which has serious consequences. Objective: The objective of this study is to reveal the frequency of S aureus nasal carriage and its drug resistance among surgical personnel in National Ribat Teaching Hospital Khartoum Sudan. Methods: This is a hospital-based case study. Nasal smears were taken from medical workers in the surgical department and operational theater at National Ribat Teaching Hospital in Khartoum State, Sudan. Samples were processed, cultured, then susceptibility tests were performed using Bauer-Kirby disc diffusion methods following recommendations of National Committee for Laboratory Standards (NCCLS). Results were analyzed and discussed. Results: Sixty three samples were taken. Thirty were males. Growth was achieved in only eight (12.6%). Majority showed resistance to penicillin. However, alls strain were sensitive to amoxicillin/calvunalic acid, vancomycin and oxacillin. Conclusion: this study gives an early alarm on the problems related to S. aureus colonization rate and its drug resistance. Nevertheless, the small number of our study group is a bit fall. Keywords: drug resistance, hospital acquired bacterial infection Sudan Journal of Medical Science Vol. 3 (4) 2008: pp. 281-28

Interacting spin-2 fields in three dimensions

Using the frame formulation of multi-gravity in three dimensions, we show that demanding the presence of secondary constraints which remove the Boulware-Deser ghosts restricts the possible interaction terms of the theory and identifies invertible frame field combinations whose effective metric may consistently couple to matter. The resulting ghost-free theories can be represented by theory graphs which are trees. In the case of three frame fields, we explicitly show that the requirement of positive masses and energies for the bulk spin-2 modes in AdS$_3$ is consistent with a positive central charge for the putative dual CFT$_2$.Comment: 26 pages, 3 figures, v2: minor changes, matches published versio

Massive Gravity Theories and limits of Ghost-free Bigravity models

We construct a class of theories which extend New Massive Gravity to higher orders in curvature in any dimension. The lagrangians arise as limits of a new class of bimetric theories of Lovelock gravity, which are unitary theories free from the Boulware-Deser ghost. These Lovelock bigravity models represent the most general non-chiral ghost-free theories of an interacting massless and massive spin-two field in any dimension. The scaling limit is taken in such a way that unitarity is explicitly broken, but the Boulware-Deser ghost remains absent. This automatically implies the existence of a holographic $c$-theorem for these theories. We also show that the Born-Infeld extension of New Massive Gravity falls into our class of models demonstrating that this theory is also free of the Boulware-Deser ghost. These results extend existing connections between New Massive Gravity, bigravity theories, Galileon theories and holographic $c$-theorems.Comment: 11+5 page

Floristic diversity and vegetation analysis of Brassica nigra (L.) Koch communities

The floristic composition and species diversity of Brassica nigra communities were investigated in Beni Suef Governorate, Egypt. In 46 stands, a total of 49 species belonging to 42 genera and 18 families were recorded. Vegetation classification and ordination distinguished seven groups: two in reclaimed land only, three groups in old cultivated land only, and two that occurred in both types of land. The species that dominated these groups were Brassica nigra, Sonchus oleraceus, Beta vulgaris, Cichorium endivia, Euphorbia helioscopia and Anagallis arvensis. The highest species diversity was mainly in groups from reclaimed land, and in wheat compared to other crops. Edaphic factors, especially soil texture, CaCO3 and organic carbon, contributed significantly to explaining the distribution of some weed species, but not with that of B. nigra. The allelopathic potential of Brassica nigra reported in previous studies did not seem to play a role in community composition.Keywords: allelopathy, Brassica nigra, vegetation, TWINSPAN, weed diversit

A note on "symmetric" vielbeins in bimetric, massive, perturbative and non perturbative gravities

We consider a manifold endowed with two different vielbeins $E^{A}{}_{\mu}$ and $L^{A}{}_{\mu}$ corresponding to two different metrics $g_{\mu\nu}$ and $f_{\mu\nu}$. Such a situation arises generically in bimetric or massive gravity (including the recently discussed version of de Rham, Gabadadze and Tolley), as well as in perturbative quantum gravity where one vielbein parametrizes the background space-time and the other the dynamical degrees of freedom. We determine the conditions under which the relation $g^{\mu\nu} E^{A}{}_{\mu} L^{B}{}_{\nu} = g^{\mu\nu} E^{B}{}_{\mu} L^{A}{}_{\nu}$ can be imposed (or the "Deser-van Nieuwenhuizen" gauge chosen). We clarify and correct various statements which have been made about this issue.Comment: 20 pages. Section 7, prop. 6 and 7. added. Some results made more precis

On unitary subsectors of polycritical gravities

We study higher-derivative gravity theories in arbitrary space-time dimension d with a cosmological constant at their maximally critical points where the masses of all linearized perturbations vanish. These theories have been conjectured to be dual to logarithmic conformal field theories in the (d-1)-dimensional boundary of an AdS solution. We determine the structure of the linearized perturbations and their boundary fall-off behaviour. The linearized modes exhibit the expected Jordan block structure and their inner products are shown to be those of a non-unitary theory. We demonstrate the existence of consistent unitary truncations of the polycritical gravity theory at the linearized level for odd rank.Comment: 22 pages. Added references, rephrased introduction slightly. Published versio

Pattern of Respiratory Viruses among Pilgrims during 2019 Hajj Season Who Sought Healthcare Due to Severe Respiratory Symptoms

The aim of our study was to define the spectrum of viral infections in pilgrims with acute respiratory tract illnesses presenting to healthcare facilities around the holy places in Makkah, Saudi Arabia during the 2019 Hajj pilgrimage. During the five days of Hajj, a total of 185 pilgrims were enrolled in the study. Nasopharyngeal swabs (NPSs) of 126/185 patients (68.11%) tested positive for one or more respiratory viruses by PCR. Among the 126 pilgrims whose NPS were PCR positive: (a) there were 93/126 (74%) with a single virus infection, (b) 33/126 (26%) with coinfection with more than one virus (up to four viruses): of these, 25/33 cases had coinfection with two viruses; 6/33 were infected with three viruses, while the remaining 2/33 patients had infection with four viruses. Human rhinovirus (HRV) was the most common detected viruses with 53 cases (42.06%), followed by 27 (21.43%) cases of influenza A (H1N1), and 23 (18.25%) cases of influenza A other than H1N1. Twenty-five cases of CoV-229E (19.84%) were detected more than other coronavirus members (5 CoV-OC43 (3.97%), 4 CoV-HKU1 (3.17%), and 1 CoV-NL63 (0.79%)). PIV-3 was detected in 8 cases (6.35%). A single case (0.79%) of PIV-1 and PIV-4 were found. HMPV represented 5 (3.97%), RSV and influenza B 4 (3.17%) for each, and Parechovirus 1 (0.79%). Enterovirus, Bocavirus, and M. pneumoniae were not detected. Whether identification of viral nucleic acid represents nasopharyngeal carriage or specific causal etiology of RTI remains to be defined. Large controlled cohort studies (pre-Hajj, during Hajj, and post-Hajj) are required to define the carriage rates and the specific etiology and causal roles of specific individual viruses or combination of viruses in the pathogenesis of respiratory tract infections in pilgrims participating in the annual Hajj. Studies of the specific microbial etiology of respiratory track infections (RTIs) at mass gathering religious events remain a priority, especially in light of the novel SARS-CoV-2 pandemic

Impact of metabolic comorbidity on the association between body mass index and heatlh-related quality of life: a Scotland-wide cross-sectional study of 5,608 participants

<p/>Background: The prevalence of obesity is rising in Scotland and globally. Overall, obesity is associated with increased morbidity, mortality and reduced health-related quality of life. Studies suggest that "healthy obesity" (obesity without metabolic comorbidity) may not be associated with morbidity or mortality. Its impact on health-related quality of life is unknown. <p/>Methods: We extracted data from the Scottish Health Survey on self-reported health-related quality of life, body mass index (BMI), demographic information and comorbidity. SF-12 responses were converted into an overall health utility score. Linear regression analyses were used to explore the association between BMI and health utility, stratified by the presence or absence of metabolic comorbidity (diabetes, hypertension, hypercholesterolemia or cardiovascular disease), and adjusted for potential confounders (age, sex and deprivation quintile). <p/>Results: Of the 5,608 individuals, 3,744 (66.8%) were either overweight or obese and 921 (16.4%) had metabolic comorbidity. There was an inverted U-shaped relationship whereby health utility was highest among overweight individuals and fell with increasing BMI. There was a significant interaction with metabolic comorbidity (p = 0.007). Individuals with metabolic comorbidty had lower utility scores and a steeper decline in utility with increasing BMI (morbidly obese, adjusted coefficient: -0.064, 95% CI -0.115, -0.012, p = 0.015 for metabolic comorbidity versus -0.042, 95% CI -0.067, -0.018, p = 0.001 for no metabolic comorbidity). <p/>Conclusions: The adverse impact of obesity on health-related quality of life is greater among individuals with metabolic comorbidity. However, increased BMI is associated with reduced health-related quality of life even in the absence of metabolic comorbidity, casting doubt on the notion of "healthy obesity"

A case of panuveitis with hypopyon due to presumed ocular leishmaniasis in a HIV patient.

BACKGROUND: Post-kala-azar dermal leishmaniasis is a well-known immunologic cutaneous reaction. There are few case reports of ocular leishmaniasis. It is a sight-threatening condition that needs to be rapidly recognized and treated to avoid permanent visual loss. Ocular leishmaniasis panuveitis can present with severe inflammation in patients with highly active anti-retroviral therapy (HAART)-induced immune reconstitution syndrome. FINDINGS: A case of a 40-year-old man, human immunodeficiency virus (HIV) positive on HAART, with a presumed diagnosis of ocular leishmaniasis, is presented. He had a past history of visceral leishmaniasis and was referred to the uveitis service with rapidly worsening panuveitis and counting fingers vision in both eyes. On empirical anti-leishmania therapy and systemic steroids, the visual acuity of the left eye improved to 6/9 but remained poor in the right eye. Based on the medical history, improvement with therapy and the exclusion of other common infections, a presumed diagnosis of ocular leishmaniasis-related panuveitis was made. CONCLUSIONS: A major immune reaction against lingering parasites may play a key role in the pathogenesis of this sight-threatening and rapidly progressive condition. Both the infection and the immune reaction should be treated