Improved Detection of Streptococcus Equi Subspecies Equi in Drinking Water

Streptococcus equi subspecies equi (S. equi) is the causative agent of strangles, a contagious respiratory disease of horses. Transmission of the bacteria can occur when animals share water sources. Detection of S. equi in water could improve strangles surveillance and move towards eradication of the disease. The aims of this study were to determine the optimal membrane pore size for bacterial retention from an aqueous suspension, to determine the likely dispersion pattern of S. equi contaminated mucus in a water bucket to develop a collection technique to be used by veterinarians, and to find the sensitive range for S. equi detection in water. Samples from the top, middle, and bottom of a five-gallon water bucket were collected by aspiration and swabbing, and streptococci harvested by filtration. Mucus strands remained suspended at the top, middle, and bottom the bucket for over an hour. Membrane filters with pore sizes of 0.45 μm were found to retain all streptococci. After one hour, viable S. equi were obtained predominantly from the top and middle of the bucket. The threshold for detection lies between 10 C.F.U./mL and 0.1 C.F.U./ mL. Membrane filtration of water from the top two thirds of a bucket proved to be the most sensitive sampling technique. However, the technique requires validation in the field

Formation Flying and Change Detection for the UNSW Canberra Space ‘M2’ Low Earth Orbit Formation Flying CubeSat Mission

The University of New South Wales, Canberra (UNSW Canberra) embarked on an ambitious CubeSatellite research, development, and education program in 2017 through funding provided by the Royal Australian Air Force (RAAF). The program consisted of M1 (Mission 1), M2 Pathfinder, and concludes with the formation flying mission M2. M2 is the final mission comprising two 6U CubeSatellites flying in formation using differential aerodynamic drag control. The M2 satellites were launched in a conjoined 12U form factor on RocketLab’s ‘They Go Up So Fast’ launch in March 2021. On 10th September 2021 the spacecraft divided into two 6U CubeSats (M2-A and M2-B) under the action of a small spring force in their near-circular 550km, 45-degree inclination orbit. The formation is controlled by varying the spacecrafts’ attitude, which creates a large variation in the aerodynamic drag force due to the change in the cross-sectional area from the large, double-deployable, solar arrays located on the zenith face of the spacecraft. This paper presents the outcomes of the Formation Flying and Change Detection primary mission objectives for the mission. The results are generated by collecting and analysing optical and RF (Radio Frequency) space domain awareness sensor data from the ground and validating them against GPS (Global Positioning System) and attitude data downlinked from the spacecraft. The outcomes of the broader mission objectives, which include increasing the Technology Readiness Level for a suite of intelligent on-board optical and RF sensor technologies, will be presented in subsequent publications. The results presented here comprise two major campaigns: 1.) The spacecraft separation campaign when the original 12U form factor deployed following launch split in half to form the M2-A and M2-B satellites, and 2) the demonstration of active formation control of the spacecraft via differential aerodynamic drag. M2-A and M2-B underwent several major configuration changes during the spacecraft separation campaign. The results from ground-based sensors detecting the 12U spacecraft separating into two distinct (6U) objects are presented. The effect of the double-deployable solar arrays deployment on the relative orbital motion of the M2-A and M2-B spacecraft is illustrated and compared to data from optical and RF ground-based measurements taken during this window. The formation control campaign involved actively controlling the spacecraft via differential aerodynamic drag in order to significantly alter the separation distance. The mission demonstrated the capability to switch the leading spacecraft’s position between M2-A and M2-B and to actively control separation distance ranging from 130km down to 1km. Formation control is achieved via open-loop, pre-scheduled, commands issued from the UNSW Canberra Space ground station. A two-stage modelling and simulation process is used to derive the scheduled attitude states. Firstly, a batch least squares orbit determination algorithm is applied to GPS data from a steady-state differential drag actuation period (where one spacecraft is in maximum drag and the other in its minimum drag attitude configuration). The batch least squares orbit determination is conducted out using the NASA General Mission Analysis Tool (GMAT), resulting in precise state estimates for each spacecraft and drag coefficient (Cd) estimates for both the maximum and minimum drag configurations. Predictions of trajectory for various attitude profiles can be produced by tailoring the spacecraft’s drag coefficients between the maximum and minimum values generated by the batch least squares state estimation process. Ground-based optical and RF space domain awareness (SDA) sensor measurements collected during the manoeuvre campaign are compared to the spacecraft’s GPS and attitude telemetry data. The SDA sensors are actively seeking to detect changes in the separation distance between the spacecraft. Initial results from an investigation into whether changes observed in photometric light curve signatures can signal the commencement of a differential drag manoeuvre are presented

Associations between cytokines, endocrine stress response, and gastrointestinal symptoms in autism spectrum disorder

PosterAutism spectrum disorder (ASD) is characterized by impairments in social communication and abnormal repetitive behavior patterns. Recent studies have shown a strong association between ASD and gastrointestinal (GI) symptomatology. Some individuals with ASD show altered reactivity to stress, as well as altered immune markers, particularly stress responsive cytokines including TNF-alpha and IL-6. To assess potential relationships between GI symptoms and stress response, we examined whether GI symptoms are associated with increases in stress-associated endocrine markers and cytokines in ASD. We also conducted exploratory analyses the examine the relationship between IL-6, TNF-alpha, cortisol, and intelligence, as well as the effects of the presence or absence of co-occurring medical conditions on the relationship between IL-6, TNF-alpha, cortisol, and GI symptoms. Given the aforementioned findings, we expected to find positive relationships between GI symptoms and biomarkers of stress, including cortisol levels, IL-6, and TNF-alpha

Clinical Sequencing Exploratory Research Consortium: Accelerating Evidence-Based Practice of Genomic Medicine

Despite rapid technical progress and demonstrable effectiveness for some types of diagnosis and therapy, much remains to be learned about clinical genome and exome sequencing (CGES) and its role within the practice of medicine. The Clinical Sequencing Exploratory Research (CSER) consortium includes 18 extramural research projects, one National Human Genome Research Institute (NHGRI) intramural project, and a coordinating center funded by the NHGRI and National Cancer Institute. The consortium is exploring analytic and clinical validity and utility, as well as the ethical, legal, and social implications of sequencing via multidisciplinary approaches; it has thus far recruited 5,577 participants across a spectrum of symptomatic and healthy children and adults by utilizing both germline and cancer sequencing. The CSER consortium is analyzing data and creating publically available procedures and tools related to participant preferences and consent, variant classification, disclosure and management of primary and secondary findings, health outcomes, and integration with electronic health records. Future research directions will refine measures of clinical utility of CGES in both germline and somatic testing, evaluate the use of CGES for screening in healthy individuals, explore the penetrance of pathogenic variants through extensive phenotyping, reduce discordances in public databases of genes and variants, examine social and ethnic disparities in the provision of genomics services, explore regulatory issues, and estimate the value and downstream costs of sequencing. The CSER consortium has established a shared community of research sites by using diverse approaches to pursue the evidence-based development of best practices in genomic medicine

Impact of opioid-free analgesia on pain severity and patient satisfaction after discharge from surgery: multispecialty, prospective cohort study in 25 countries

Background: Balancing opioid stewardship and the need for adequate analgesia following discharge after surgery is challenging. This study aimed to compare the outcomes for patients discharged with opioid versus opioid-free analgesia after common surgical procedures.Methods: This international, multicentre, prospective cohort study collected data from patients undergoing common acute and elective general surgical, urological, gynaecological, and orthopaedic procedures. The primary outcomes were patient-reported time in severe pain measured on a numerical analogue scale from 0 to 100% and patient-reported satisfaction with pain relief during the first week following discharge. Data were collected by in-hospital chart review and patient telephone interview 1 week after discharge.Results: The study recruited 4273 patients from 144 centres in 25 countries; 1311 patients (30.7%) were prescribed opioid analgesia at discharge. Patients reported being in severe pain for 10 (i.q.r. 1-30)% of the first week after discharge and rated satisfaction with analgesia as 90 (i.q.r. 80-100) of 100. After adjustment for confounders, opioid analgesia on discharge was independently associated with increased pain severity (risk ratio 1.52, 95% c.i. 1.31 to 1.76; P < 0.001) and re-presentation to healthcare providers owing to side-effects of medication (OR 2.38, 95% c.i. 1.36 to 4.17; P = 0.004), but not with satisfaction with analgesia (beta coefficient 0.92, 95% c.i. -1.52 to 3.36; P = 0.468) compared with opioid-free analgesia. Although opioid prescribing varied greatly between high-income and low- and middle-income countries, patient-reported outcomes did not.Conclusion: Opioid analgesia prescription on surgical discharge is associated with a higher risk of re-presentation owing to side-effects of medication and increased patient-reported pain, but not with changes in patient-reported satisfaction. Opioid-free discharge analgesia should be adopted routinely

Heterozygous Variants in KMT2E Cause a Spectrum of Neurodevelopmental Disorders and Epilepsy.

We delineate a KMT2E-related neurodevelopmental disorder on the basis of 38 individuals in 36 families. This study includes 31 distinct heterozygous variants in KMT2E (28 ascertained from Matchmaker Exchange and three previously reported), and four individuals with chromosome 7q22.2-22.23 microdeletions encompassing KMT2E (one previously reported). Almost all variants occurred de novo, and most were truncating. Most affected individuals with protein-truncating variants presented with mild intellectual disability. One-quarter of individuals met criteria for autism. Additional common features include macrocephaly, hypotonia, functional gastrointestinal abnormalities, and a subtle facial gestalt. Epilepsy was present in about one-fifth of individuals with truncating variants and was responsive to treatment with anti-epileptic medications in almost all. More than 70% of the individuals were male, and expressivity was variable by sex; epilepsy was more common in females and autism more common in males. The four individuals with microdeletions encompassing KMT2E generally presented similarly to those with truncating variants, but the degree of developmental delay was greater. The group of four individuals with missense variants in KMT2E presented with the most severe developmental delays. Epilepsy was present in all individuals with missense variants, often manifesting as treatment-resistant infantile epileptic encephalopathy. Microcephaly was also common in this group. Haploinsufficiency versus gain-of-function or dominant-negative effects specific to these missense variants in KMT2E might explain this divergence in phenotype, but requires independent validation. Disruptive variants in KMT2E are an under-recognized cause of neurodevelopmental abnormalities

The SORG nomogram accurately predicts 3- and 12-months survival for operable spine metastatic disease: External validation

Externally validate the SORG12 nomogram and SORG classic algorithm at estimating survival in patients with spine metastatic disease, and compare predictive accuracy with other survival algorithms. We received data from 100 patients who had surgery for spine metastatic disease at an external institution. Algorithms were accurate if the Area Under Curve (AUC) was >0.70, and we used Receiver Operating Characteristic (ROC) analysis to compare predictive accuracy with other algorithms. The SORG nomogram accurately estimated 3-months (AUC = 0.74) and 12-months survival (AUC = 0.78); it did not accurately estimate 1-month survival (AUC = 0.65). There was no difference in 1-month survival accuracy between the SORG nomogram and SORG classic algorithm (P = 0.162). The SORG nomogram was best at predicting 3-months survival, compared with the Tokuhashi score and SORG classic algorithm (P = 0.009). The SORG nomogram was best at predicting 12-months survival, compared with the Tomita score, Ghori score, Bauer modified score, Tokuhashi score, and SORG classic algorithm (P = 0.033). The SORG nomogram accurately estimated 3- and 12-months survival for operable spine metastatic disease, and is therefore, useful in clinical practic

What can a conception of power do? Theories and images of power in student voice work

• This article brings together high school students, teachers, and researchers to think about the issue of power in student voice work. • Each author uses a metaphor or a theory to explain how they think about power in schools and in student voice work. • The authors, at times, have different ideas about power relations in student voice work. • We argue that the way we think about power has effects on what we see, feel and do in student voice work