Rhabdomyolysis reported for children and adolescents treated with antipsychotic medicines: a case series analysis

published_or_final_versio

Rhabdomyolysis reported for children and adolescents treated with antipsychotic medicines: a case series analysis

published_or_final_versio

Light Sneutrino Dark Matter at the LHC

In supersymmetric (SUSY) models with Dirac neutrino masses, a weak-scale trilinear A-term that is not proportional to the small neutrino Yukawa couplings can induce a sizable mixing between left and right-handed sneutrinos. The lighter sneutrino mass eigenstate can hence become the lightest SUSY particle (LSP) and a viable dark matter candidate. In particular, it can be an excellent candidate for light dark matter with mass below ~10 GeV. Such a light mixed sneutrino LSP has a dramatic effect on SUSY signatures at the LHC, as charginos decay dominantly into the light sneutrino plus a charged lepton, and neutralinos decay invisibly to a neutrino plus a sneutrino. We perform a detailed study of the LHC potential to resolve the light sneutrino dark matter scenario by means of three representative benchmark points with different gluino and squark mass hierarchies. We study in particular the determination of the LSP (sneutrino) mass from cascade decays involving charginos, using the mT2 variable. Moreover, we address measurements of additional invisible sparticles, in our case the lightest neutralino, and the question of discrimination against the MSSM.Comment: 25 pages, 16 figure

Strong disorder fixed points in the two-dimensional random-bond Ising model

The random-bond Ising model on the square lattice has several disordered critical points, depending on the probability distribution of the bonds. There are a finite-temperature multicritical point, called Nishimori point, and a zero-temperature fixed point, for both a binary distribution where the coupling constants take the values +/- J and a Gaussian disorder distribution. Inclusion of dilution in the +/- J distribution (J=0 for some bonds) gives rise to another zero-temperature fixed point which can be identified with percolation in the non-frustrated case (J >= 0). We study these fixed points using numerical (transfer matrix) methods. We determine the location, critical exponents, and central charge of the different fixed points and study the spin-spin correlation functions. Our main findings are the following: (1) We confirm that the Nishimori point is universal with respect to the type of disorder, i.e. we obtain the same central charge and critical exponents for the +/- J and Gaussian distributions of disorder. (2) The Nishimori point, the zero-temperature fixed point for the +/- J and Gaussian distributions of disorder, and the percolation point in the diluted case all belong to mutually distinct universality classes. (3) The paramagnetic phase is re-entrant below the Nishimori point, i.e. the zero-temperature fixed points are not located exactly below the Nishimori point, neither for the +/- J distribution, nor for the Gaussian distribution.Comment: final version to appear in JSTAT; minor change

Scorched mussels (Brachidontes spp., Bivalvia: Mytilidae) from the tropical and warm-temperate southwestern Atlantic: the role of the Amazon River in their speciation

Antitropicality is a distribution pattern where closely related taxa are separated by an intertropical latitudinal gap. Two potential examples include Brachidontes darwinianus (south eastern Brazil to Uruguay), considered by some authors as a synonym of B. exustus (Gulf of Mexico and the Caribbean), and B. solisianus, distributed along the Brazilian coast with dubious records north of the intertropical zone. Using two nuclear (18S and 28S rDNA) and one mitochondrial gene (mtDNA COI), we aimed to elucidate the phylogeographic and phylogenetic relationships among the scorched mussels present in the warm-temperate region of the southwest Atlantic. We evaluated a divergence process mediated by the tropical zone over alternative phylogeographic hypotheses. Brachidontes solisianus was closely related to B. exustus I, a species with which it exhibits an antitropical distribution. Their divergence time was approximately 2.6 Ma, consistent with the intensification of Amazon River flow. Brachidontes darwinianus, an estuarine species is shown here not to be related to this B. exustus complex. We suspect ancestral forms may have dispersed from the Caribbean to the Atlantic coast via the Trans-Amazonian seaway (Miocene). The third species, B rodriguezii is presumed to have a long history in the region with related fossil forms going back to the Miocene. Although scorched mussels are very similar in appearance, their evolutionary histories are very different, involving major historical contingencies as the formation of the Amazon River, the Panama Isthmus, and the last marine transgressio

O 'velho' Jardim Botânico do Rio de Janeiro (1808-1858): hipóteses arqueológicas a partir da documentação do seu patrimônio cultural.

Apresentam-se resultados preliminares de programa de pesquisa que tem como objeto o patrimônio cultural produzido ou transformado no primeiro cinquentenário (1808-1858) do Jardim Botânico do Rio de Janeiro (JBRJ). Erigido a partir dos escombros de um engenho de açúcar às margens da Lagoa Rodrigo de Freitas, subúrbio rural tão antigo quanto a própria cidade (séc. 16), a instituição foi inicialmente desenvolvida pela monarquia luso-brasileira com um viveiro de plantas exóticas para fins científicoeconômicos, em território compartilhado com outras atividades industriais então fomentadas pela coroa. Interessa-nos conhecer melhor esse processo, a partir dos conceitos estruturantes de coleção, paisagem, pessoas e os ativos materiais e imateriais que nos legaram, inclusive os simbólicos, pois os valores envolvidos na institucionalização do JBRJ se revelam como uma rede de significados que dialogam entre si. Além de revisarmos a literatura a respeito dos temas e fatos que nos informam sobre sua história e geografia, identificamos algumas centenas de fontes primárias (muitas inéditas) que o mencionam, atestam ou representam, incluindo cartográficas e iconográficas. Os documentos escritos estão sendo transcritos e indexados por meio de um protótipo de banco de dados semântico, iniciativa que já nos permite embasar hipóteses arqueológicas, inclusive sobre potenciais sítios bioarqueológicos de diferentes tipologias

Randomized clinical trial to evaluate the effect of fecal microbiota transplant for initial Clostridium difficile infection in intestinal microbiome

Objective The aim of this study was to evaluate the impact of fecal donor-unrelated donor mix (FMT-FURM) transplantation as first-line therapy for C. difficile infection (CDI) in intestinal microbiome. Methods We designed an open, two-arm pilot study with oral vancomycin (250mg every 6 h for 10–14 days) or FMT-FURM as treatments for the first CDI episode in hospitalized adult patients in Hospital Universitario “Dr. Jose Eleuterio Gonzalez”. Patients were randomized by a closed envelope method in a 1: 1 ratio to either oral vancomycin or FMT-FURM. CDI resolution was considered when there was a reduction on the Bristol scale of at least 2 points, a reduction of at least 50% in the number of bowel movements, absence of fever, and resolution of abdominal pain (at least two criteria). From each patient, a fecal sample was obtained at days 0, 3, and 7 after treatment. Specimens were cultured to isolate C. difficile, and isolates were characterized by PCR. Susceptibility testing of isolates was performed using the agar dilution method. Fecal samples and FMT-FURM were analyzed by 16S rRNA sequencing. Results We included 19 patients; 10 in the vancomycin arm and 9 in the FMT-FURM arm. However, one of the patients in the vancomycin arm and two patients in the FMT-FURM arm were eliminated. Symptoms resolved in 8/9 patients (88.9%) in the vancomycin group, while symptoms resolved in 4/7 patients (57.1%) after the first FMT-FURM dose (P = 0.26) and in 5/7 patients (71.4%) after the second dose (P = 0.55). During the study, no adverse effects attributable to FMT-FURM were observed in patients. Twelve isolates were recovered, most isolates carried tcdB, tcdA, cdtA, and cdtB, with an 18-bp deletion in tcdC. All isolates were resistant to ciprofloxacin and moxifloxacin but susceptible to metronidazole, linezolid, fidaxomicin, and tetracycline. In the FMT-FURM group, the bacterial composition was dominated by Firmicutes, Bacteroidetes, and Proteobacteria at all-time points and the microbiota were remarkably stable over time. The vancomycin group showed a very different pattern of the microbial composition when comparing to the FMT-FURM group over time. Conclusion The results of this preliminary study showed that FMT-FURM for initial CDI is associated with specific bacterial communities that do not resemble the donors’ sample.Peer reviewedFinal Published versio

Impact of 13-Valent Pneumococcal Conjugate Vaccine on Colonization and Invasive Disease in Cambodian Children

Background Cambodia introduced the 13-valent pneumococcal conjugate vaccine (PCV13) in January 2015 using a 3 + 0 dosing schedule and no catch-up campaign. We investigated the effects of this introduction on pneumococcal colonization and invasive disease in children aged <5 years. Methods There were 6 colonization surveys done between January 2014 and January 2018 in children attending the outpatient department of a nongovernmental pediatric hospital in Siem Reap. Nasopharyngeal swabs were analyzed by phenotypic and genotypic methods to detect pneumococcal serotypes and antimicrobial resistance. Invasive pneumococcal disease (IPD) data for January 2012–December 2018 were retrieved from hospital databases. Pre-PCV IPD data and pre-/post-PCV colonization data were modelled to estimate vaccine effectiveness (VE). Results Comparing 2014 with 2016–2018, and using adjusted prevalence ratios, VE estimates for colonization were 16.6% (95% confidence interval [CI] 10.6–21.8) for all pneumococci and 39.2% (95% CI 26.7–46.1) for vaccine serotype (VT) pneumococci. There was a 26.0% (95% CI 17.7–33.0) decrease in multidrug-resistant pneumococcal colonization. The IPD incidence was estimated to have declined by 26.4% (95% CI 14.4–35.8) by 2018, with a decrease of 36.3% (95% CI 23.8–46.9) for VT IPD and an increase of 101.4% (95% CI 62.0–145.4) for non-VT IPD. Conclusions Following PCV13 introduction into the Cambodian immunization schedule, there have been declines in VT pneumococcal colonization and disease in children aged <5 years. Modelling of dominant serotype colonization data produced plausible VE estimates