Study of resistance pattern of isolated micro-organisms towards commonly used anti-microbial agents in medical intensive care unit of a tertiary care teaching hospital

Background: The objective of the study was to find out different types of biological samples from admitted patients tested for culture and sensitivity (C&S), prevalence of different types of organisms isolated from those samples, and to analyze the resistance pattern of those isolated organisms against commonly used or tested anti-microbial agents (AMAs).Methods: Following institutional ethics committee approval and written informed consent, adult patients of both genders, receiving AMAs were enrolled from June 2014 to July 2015 and followed up daily till they were in medical intensive care unit (MICU). Demographic data, diagnosis, culture-sensitivity (antibiogram) and other investigation reports and treatment details were recorded. Descriptive statistical analysis of collected data was done.Results: Of the 514 samples (from 600 patients enrolled) sent for C&S testing, 143 were reported as sterile while from the rest 371 samples, 504 organisms were isolated; commonly isolated organisms were Pseudomonas aeruginosa (30%), Acinetobacter baumannii (23%), Klebsiella pneumoniae (16%), Providencia sp. (7.1%), Escherichia coli (5.7%), and Enterobacter sp. (4.2%). Samples were sent in 63% of enrolled patients, the commonest being broncho-alveolar lavage (48% of total). Microbial resistance was high for cephalosporins (ceftriaxone, cefepime, ceftazidime), carbapenems (meropenem, imipenem), penicillins (piperacillin), quinolones (ciprofloxacin, levofloxacin), aminoglycosides (gentamicin, netilmicin, amikacin) and cotrimoxazole. Most organisms were sensitive to colistin (100%), polymyxin B (92%) and tigecycline (69%).Conclusions: The information regarding commonly isolated organisms and their resistant pattern would aid in rational selection of AMAs and thus the present study is useful to clinicians managing MICU and the hospital infection committee to plan future policies regarding AMA use in MICU

Far Infrared Observations of the Galactic Star Forming Regions associated with IRAS 00338+6312 and RAFGL 5111

Two Galactic star forming regions, one in a very early phase of evolution and another evolved one, associated with the IRAS sources 00338+6312 and 03595+5110 (RAFGL 5111) respectively have been studied in detail. These sources have been mapped simultaneously in two far infrared bands at 143 & 185 \micron), with about 1.5 arcmin angular resolution, using the TIFR 100 cm balloon borne telescope. The HIRES processed IRAS maps at 12, 25, 60 & 100 \micron, have been used for comparison. Whereas IRAS 00338+6312 is resolved only in the TIFR bands, RAFGL 5111 is very well resolved in both the TIFR bands, as well as in at least 3 IRAS bands. The neighbouring fainter source IRAS 04004+5114 has also been resolved in the TIFR bands. Taking advantage of the identical beams in the two TIFR bands at 143 & 185 \micron, dust colour temperature, $T(143/185)$, and optical depth, $\tau_{150}$, maps have been generated for RAFGL 5111. These maps show interesting structural details. Radiative transfer modelling in spherical geometry has been carried out for individual sources. The best fit models are in good agreement with the observed spectral energy distribution (SED), radio continuum data etc. Another scheme of radiative transfer through the interstellar dust-gas cloud including the heavier elements has been used to predict ionic nebular line emission, which are in reasonable agreement with the measurements for RAFGL 5111. An important conclusion from the present study is that, for all the three sources (IRAS 00338+6312; 03595+5110; and 04004+5114, a faint source in the neighbourhood of RAFGL 5111), the best fit to the observed SED is obtained for a uniform density ($n(r) \sim r^0$) cloud

Author Correction: LKB1 loss links serine metabolism to DNA methylation and tumorigenesis

Erratum for: LKB1 loss links serine metabolism to DNA methylation and tumorigenesis. [Nature. 2016

Synthesis of enantiomerically enriched benzimidazole-triazoles: Application as organocatalyst for asymmertric Diels-Alder reaction

93-1014-(Benzimidazolylmethyl)-1,2,3-triazole derivatives 8a-g and 9a-g have been developed using click chemistry protocol in regioselective manner and in high yields. These compounds have geometry to behave as chiral tweezers due to the presence of flexibly bound pi-rich hetero-aryl rings in addition to a chiral center. The synthesized chiral benzimidazole-triazoles have been found to be useful as organocatalysts for the enantioselective Diels-Alder (DA) reaction between anthrone 10 and maleimide detivatives 11a-g. Enantioselectivity levels have been found to be dependent on several factors including nature of substituents in benzimidazole-triazoles 8a-g and 9a-g

Interval type-2 fuzzy modelling and stochastic search for real-world inventory management

Real-world systems present a variety of challenges to the modeller, not least of which is the problem of uncertainty inherent in their operation. In this research, an interval type-2 fuzzy model is applied to a real-world problem, the goal being to discover a suitable optimisation configuration to enable a search for an inventory plan using the model. To this end, a series of simulated annealing configurations and the interval type-2 fuzzy model were used to search for appropriate inventory plans for a large-scale real-world problem. A further set of tests were conducted in which the performance of the interval type-2 fuzzy model was compared with a corresponding type-1 fuzzy model. In these tests the results were inconclusive, though, as will be discussed there are many ways in which type-2 fuzzy logic can be exploited to demonstrate its advantages over a type-1 approach. To conclude, in this research we have shown that a combination of interval type-2 fuzzy logic and simulated annealing is a logical choice for inventory management modelling and inventory plan search, and propose that the benefits that a type-2 model offers, can make it preferable to a corresponding type-1 system

Far and mid infrared observations of two ultracompact H II regions and one compact CO clump

Two ultracompact H II regions (IRAS 19181+1349 and 20178+4046) and one compact molecular clump (20286+4105) have been observed at far infrared wavelengths using the TIFR 1 m balloon-borne telescope and at mid infrared wavelengths using ISO. Far infrared observations have been made simultaneously in two bands with effective wavelengths of ~ 150 and ~ 210 micron, using liquid 3He cooled bolometer arrays. ISO observations have been made in seven spectral bands using the ISOCAM instrument; four of these bands cover the emission from Polycyclic Aromatic Hydrocarbon (PAH) molecules. In addition, IRAS survey data for these sources in the four IRAS bands have been processed using the HIRES routine. In the high resolution mid infrared maps as well as far infrared maps multiple embedded energy sources have been resolved. There are structural similarities between the images in the mid infrared and the large scale maps in the far infrared bands, despite very different angular resolutions of the two. Dust temperature and optical depth (tau_150 um) maps have also been generated using the data from balloon-borne observations. Spectral energy distributions (SEDs) for these sources have been constructed by combining the data from all these observations. Radiation transfer calculations have been made to understand these SEDs. Parameters for the dust envelopes in these sources have been derived by fitting the observed SEDs. In particular, it has been found that radial density distribution for three sources is diffrent. Whereas in the case of IRAS 20178+4046, a steep distribution of the form r^-2 is favoured, for IRAS 20286+4105 it is r^-1 and for IRAS 19181+1349 it the uniform distribution (r^0). Line ratios for PAH bands have generally been found to be similar to those for other compact H II regions but different from general H II regions.Comment: To appear in Astronomy & Astrophysics; (19 pages including 14 Figures and 6 Tables

Endocytosis of hERG Is Clathrin-Independent and Involves Arf6

yesThe hERG potassium channel is critical for repolarisation of the cardiac action potential. Reduced expression of hERG at the plasma membrane, whether caused by hereditary mutations or drugs, results in long QT syndrome and increases the risk of ventricular arrhythmias. Thus, it is of fundamental importance to understand how the density of this channel at the plasma membrane is regulated. We used antibodies to an extracellular native or engineered epitope, in conjunction with immunofluorescence and ELISA, to investigate the mechanism of hERG endocytosis in recombinant cells and validated the findings in rat neonatal cardiac myocytes. The data reveal that this channel undergoes rapid internalisation, which is inhibited by neither dynasore, an inhibitor of dynamin, nor a dominant negative construct of Rab5a, into endosomes that are largely devoid of the transferrin receptor. These results support a clathrin-independent mechanism of endocytosis and exclude involvement of dynamin-dependent caveolin and RhoA mechanisms. In agreement, internalised hERG displayed marked overlap with glycosylphosphatidylinositol-anchored GFP, a clathrin-independent cargo. Endocytosis was significantly affected by cholesterol extraction with methyl-β-cyclodextrin and inhibition of Arf6 function with dominant negative Arf6-T27N-eGFP. Taken together, we conclude that hERG undergoes clathrin-independent endocytosis via a mechanism involving Arf6.British Heart Foundation (grant number PG/10/68/28528; http://www.bhf.org.uk

A new scheme of radiation transfer in H II regions including transient heating of grains

A new scheme of radiation transfer for understanding infrared spectra of H II regions, has been developed. This scheme considers non-equilibrium processes (e. g. transient heating of the very small grains, VSG; and the polycyclic aromatic hydrocarbon, PAH) also, in addition to the equilibrium thermal emission from normal dust grains (BG). The spherically symmetric interstellar dust cloud is segmented into a large number of "onion skin" shells in order to implement the non-equilibrium processes. The scheme attempts to fit the observed SED originating from the dust component, by exploring the following parameters : (i) geometrical details of the dust cloud, (ii) PAH size and abundance, (iii) composition of normal grains (BG), (iv) radial distribution of all dust (BG, VSG & PAH). The scheme has been applied to a set of five compact H II regions (IRAS 18116- 1646, 18162-2048, 19442+2427, 22308+5812 & 18434-0242) whose spectra are available with adequate spectral resolution. The best fit models and inferences about the parameters for these sources are presented.Comment: 16 pages total including 3 tables and 2 figure