Pathobiology of Respiratory Syncytial Virus (RSV).

Respiratory Syncytial Virus (RSV) is the leading cause of lower respiratory tract illness in infants and affects the elderly and the immune-compromised [...]

Abell 1201: a Minor merger at second core passage

We present an analysis of the structures and dynamics of the merging cluster Abell~1201, which has two sloshing cold fronts around a cooling core, and an offset gas core approximately 500kpc northwest of the center. New Chandra and XMM-Newton data reveal a region of enhanced brightness east of the offset core, with breaks in surface brightness along its boundary to the north and east. This is interpreted as a tail of gas stripped from the offset core. Gas in the offset core and the tail is distinguished from other gas at the same distance from the cluster center chiefly by having higher density, hence lower entropy. In addition, the offset core shows marginally lower temperature and metallicity than the surrounding area. The metallicity in the cool core is high and there is an abrupt drop in metallicity across the southern cold front. We interpret the observed properties of the system, including the placement of the cold fronts, the offset core and its tail in terms of a simple merger scenario. The offset core is the remnant of a merging subcluster, which first passed pericenter southeast of the center of the primary cluster and is now close to its second pericenter passage, moving at ~1000 km/s. Sloshing excited by the merger gave rise to the two cold fronts and the disposition of the cold fronts reveals that we view the merger from close to the plane of the orbit of the offset core.Comment: accepted by Ap

Who is in the transition gap? Transition from CAMHS to AMHS in the Republic of Ireland

Objective: The ITRACK study explored the process and predictors of transition between Child and Adolescent Mental Health Services (CAMHS) and Adult Mental Health Services (AMHS) in the Republic of Ireland. Method: Following ethical approval, clinicians in each of Ireland's four Health Service Executive (HSE) areas were contacted, informed about the study and invited to participate. Clinicians identified all cases who had reached the transition boundary (i.e. upper age limit for that CAMHS team ) between January and December 2010. Data were collected on clinical and socio-demographic details and factors that informed the decision to refer or not refer to AMHS and case notes were scrutinised to ascertain the extent of information exchanged between services during transition

Transitioning from child and adolescent mental health services with attention-deficit hyperactivity disorder in Ireland: case note review

Aim: In a context of international concern about early adult mental health service provision, this study identifies characteristics and service outcomes of young people with attention-deficit hyperactivity disorder (ADHD) reaching the child and adolescent mental health service (CAMHS) transition boundary in Ireland. Methods: The iTRACK study invited all 60 CAMHS teams in Ireland to participate; 8 teams retrospectively identified clinical case files for 62 eligible young people reaching the CAMHS transition boundary in all four Health Service Executive Regions. A secondary case note analysis identified characteristics, co-morbidities, referral and service outcomes for iTRACK cases with ADHD (n = 20). Results: Two-thirds of young people with ADHD were on psychotropic medication and half had mental health co-morbidities, yet none was directly transferred to public adult mental health services (AMHS) at the transition boundary. Nearly half were retained in CAMHS, for an average of over a year; most either disengaged from services (40%) and/or actively refused transfer to AMHS (35%) at or after the transition boundary. There was a perception by CAMHS clinicians that adult services did not accept ADHD cases or lacked relevant service/expertise. Conclusions: Despite high rates of medication use and comorbid mental health difficulties, there appears to be a complete absence of referral to publically available adult mental health services for ADHD youth transitioning from CAMHS in Ireland. More understanding of obstacles and optimum service configuration is essential to ensure that care is both available and accessible to young people with ADHD

Quantitative proteomic analysis of bronchoalveolar lavage fluid in West Highland white terriers with canine idiopathic pulmonary fibrosis

Background Canine idiopathic pulmonary fibrosis (CIPF) is a chronic, progressive, interstitial fibrosing lung disease, manifesting as cough, exercise intolerance and ultimately, dyspnea and respiratory failure. It mainly affects West Highland white terriers (WHWTs), lacks curable treatment and has a poor prognosis. Aspiration of gastroesophageal refluxate may play a role in the development of CIPF. In the first part of this study, we completed label-free quantitative proteomic analysis of bronchoalveolar lavage fluid (BALF) from CIPF and healthy WHWTs. In the second part, we evaluated potential protein markers of reflux aspiration from canine gastric juice and vomitus and whether these were present in BALF from the two groups. Results Across all BALF samples, 417 proteins were identified, and of these, 265 proteins were identified by two or more unique tryptic peptides. Using the 265 high confidence assignments, the quantitative proteome profiles were very similar in the two cohorts, but they could be readily resolved by principal component analysis on the basis of differential protein expression. Of the proteins that were differentially abundant in the two groups, several (including inflammatory and fibrotic markers) were elevated in CIPF, and a smaller, more diverse group of proteins were diminished in CIPF. No protein markers indicative of reflux aspiration were identified. Conclusions Label-free proteomics allowed discrimination between CIPF and healthy WHWTs, consistent with fibrotic process but did not provide clear evidence for gastrointestinal aspiration. The measurement of proteins may provide a proteomics signature of CIPF that could be used to evaluate treatment options.Peer reviewe

XBootes: An X-Ray Survey of the NDWFS Bootes Field - Paper I Overview and Initial Results

We obtained a 5 ksec deep Chandra X-ray Observatory ACIS-I map of the 9.3 square degree Bootes field of the NOAO Deep Wide-Field Survey. Here we describe the data acquisition and analysis strategies leading to a catalog of 4642 (3293) point sources with 2 or more (4 or more) counts, corresponding to a limiting flux of roughly 4(8)x10^{-15} erg cm^{-2}s^{-1} in the 0.5-7 keV band. These Chandra XBootes data are unique in that they consitute the widest contiguous X-ray field yet observed to such a faint flux limit. Because of the extraordinarily low background of the ACIS, we expect only 14% (0.7%) of the sources to be spurious. We also detected 43 extended sources in this survey. The distribution of the point sources among the 126 pointings (ACIS-I has a 16 x 16 arcminute field of view) is consistent with Poisson fluctuations about the mean of 36.8 sources per pointing. While a smoothed image of the point source distribution is clumpy, there is no statistically significant evidence of large scale filamentary structure. We do find however, that for theta>1 arcminute, the angular correlation function of these sources is consistent with previous measurements, following a power law in angle with slope -0.7. In a 1.4 deg^{2} sample of the survey, approximately 87% of the sources with 4 or more counts have an optical counterpart to R ~26 mag. As part of a larger program of optical spectroscopy of the NDWFS Bootes area, spectra have been obtained for \~900 of the X-ray sources, most of which are QSOs or AGN.Comment: 18 Pages, 10 figures (AASTex Preprint format

Collision statistics in sheared inelastic hard spheres

The dynamics of sheared inelastic-hard-sphere systems are studied using non-equilibrium molecular dynamics simulations and direct simulation Monte Carlo. In the molecular dynamics simulations Lees-Edwards boundary conditions are used to impose the shear. The dimensions of the simulation box are chosen to ensure that the systems are homogeneous and that the shear is applied uniformly. Various system properties are monitored, including the one-particle velocity distribution, granular temperature, stress tensor, collision rates, and time between collisions. The one-particle velocity distribution is found to agree reasonably well with an anisotropic Gaussian distribution, with only a slight overpopulation of the high velocity tails. The velocity distribution is strongly anisotropic, especially at lower densities and lower values of the coefficient of restitution, with the largest variance in the direction of shear. The density dependence of the compressibility factor of the sheared inelastic hard sphere system is quite similar to that of elastic hard sphere fluids. As the systems become more inelastic, the glancing collisions begin to dominate more direct, head-on collisions. Examination of the distribution of the time between collisions indicates that the collisions experienced by the particles are strongly correlated in the highly inelastic systems. A comparison of the simulation data is made with DSMC simulation of the Enskog equation. Results of the kinetic model of Montanero et al. {[}Montanero et al., J. Fluid Mech. 389, 391 (1999){]} based on the Enskog equation are also included. In general, good agreement is found for high density, weakly inelastic systems.Comment: 10 figures, 1 table, 27 page

LROC Investigation of Three Strategies for Reducing the Impact of Respiratory Motion on the Detection of Solitary Pulmonary Nodules in SPECT

The objective of this investigation was to determine the effectiveness of three motion reducing strategies in diminishing the degrading impact of respiratory motion on the detection of small solitary pulmonary nodules (SPNs) in single-photon emission computed tomographic (SPECT) imaging in comparison to a standard clinical acquisition and the ideal case of imaging in the absence of respiratory motion. To do this nonuniform rational B-spline cardiac-torso (NCAT) phantoms based on human-volunteer CT studies were generated spanning the respiratory cycle for a normal background distribution of Tc-99 m NeoTect. Similarly, spherical phantoms of 1.0-cm diameter were generated to model small SPN for each of the 150 uniquely located sites within the lungs whose respiratory motion was based on the motion of normal structures in the volunteer CT studies. The SIMIND Monte Carlo program was used to produce SPECT projection data from these. Normal and single-lesion containing SPECT projection sets with a clinically realistic Poisson noise level were created for the cases of 1) the end-expiration (EE) frame with all counts, 2) respiration-averaged motion with all counts, 3) one fourth of the 32 frames centered around EE (Quarter Binning), 4) one half of the 32 frames centered around EE (Half Binning), and 5) eight temporally binned frames spanning the respiratory cycle. Each of the sets of combined projection data were reconstructed with RBI-EM with system spatial-resolution compensation (RC). Based on the known motion for each of the 150 different lesions, the reconstructed volumes of respiratory bins were shifted so as to superimpose the locations of the SPN onto that in the first bin (Reconstruct and Shift). Five human observers performed localization receiver operating characteristics (LROC) studies of SPN detection. The observer results were analyzed for statistical significance differences in SPN detection accuracy among the three correction strategies, the standard acquisition, and the ideal case of the absence of respiratory motion. Our human-observer LROC determined that Quarter Binning and Half Binning strategies resulted in SPN detection accuracy statistically significantly below (P \u3c 0.05) that of standard clinical acquisition, whereas the Reconstruct and Shift strategy resulted in a detection accuracy not statistically significantly different from that of the ideal case. This investigation demonstrates that tumor detection based on acquisitions associated with less than all the counts which could potentially be employed may result in poorer detection despite limiting the motion of the lesion. The Reconstruct and Shift method results in tumor detection that is equivalent to ideal motion correction

Population-specific resilience of Halophila ovalis seagrass habitat to unseasonal rainfall, an extreme climate event in estuaries

Extreme climate events are predicted to alter estuarine salinity gradients exposing habitat-forming species to more frequent salinity variations. The intensity and duration of these variations, rather than the mean salinity values ecosystems are exposed to, may be more important in influencing resilience but requires further investigation. Precipitation, including the frequency, intensity and timing of occurrence, is shifting due to climate change. A global analysis on the timing of rainfall in estuarine catchments was conducted. In 80% of the case studies, the maximum daily rainfall occurred in the dry season at least once over the 40-year period and could be classified as an extreme event. We selected an estuary in southwestern Australia and investigated the effects of an extreme rainfall event in 2017 resulting in an excess discharge of freshwater on seagrass Halophila ovalis. Adapting an approach applied for marine heatwaves using salinity data, we quantified metrics and characterised the event along the estuarine gradient. We assessed seagrass resilience by calculating resistance times based on the comparisons of biomass and leaf density data prior to, and during the event, and recovery times through assessment against historical condition. Where salinity is historically more variable, reductions in biomass were lower (higher resistance via plasticity in salinity tolerance) and meadows recovered within 9–11 months. Where salinity is historically more stable, loss of biomass was greatest (low resistance) post-event and recovery may exceed 22 months, and potentially due to the rapid decline in salinity (−3 PSU/day). As estuaries become more hydrologically variable, these metrics provide a baseline for retrospective and future comparisons. Our results suggest seagrass resilience to hyposalinity is population specific. This understanding enables more accurate predictions about ecological responses to climate change and identifies which populations may ‘future proof’ ecosystem resilience. Synthesis. Following an extreme rainfall event, we found seagrass populations that are exposed to variable salinities recovered while those from a stable salinity environment were unable to recover within the study time frame. These findings expand upon existing evidence, derived primarily from other ecosystems, that show new sources of resilience may be uncovered by accounting for between-population variation