Mortality In Patients With Respiratory And Nonrespiratory Carbapenem Resistant-Multidrug Resistant Acinetobacter Infections

Background: Mortality from carbapenem-multi-drug resistant Acinetobacter infections may vary according to site of infection. The objective of this study was to compare mortality in respiratory vs. non-respiratory infection with Carbapenem-Multi-drug Resistant Acinetobacter (C-MRAB). Methods: We conducted a prospective cohort study to compare mortality rate in patients with respiratory vs. nonrespiratory infection (n=30 each). Results: Results showed that mortality was 40% in the respiratory group compared to 23% in non-respiratory group; the difference was not statistically significant (p=0.165, RR=1.71, CI=0.73-3.75). There was a significantly higher prior admission rate in patients with respiratory infection (p=0.028). Logistic regression did not reveal any modifier effect from other variables. Conclusions: This study showed no significant difference in mortality in patients with carbapenem-multi-drug resistant acinetobacter respiratory vs. non-respiratory infections

Connections between the stability of a Poincare map and boundedness of certain associate sequences

Let $m\ge 1$ and $N\ge 2$ be two natural numbers and let ${\mathcal{U}}=\{U(p, q)\}_{p\ge q\ge 0}$ be the $N$-periodic discrete evolution family of $m\times m$ matrices, having complex scalars as entries, generated by ${\mathcal{L}}(\mathbb{C}^m)$-valued, $N$-periodic sequence of $m\times m$ matrices $(A_n).$ We prove that the solution of the following discrete problem $$y_{n+1}=A_ny_n+e^{i\mu n}b,\quad n\in\mathbb{Z}_+,\quad y_0=0$$ is bounded for each $\mu\in\mathbb{R}$ and each $m$-vector $b$ if the Poincare map $U(N, 0)$ is stable. The converse statement is also true if we add a new assumption to the boundedness condition. This new assumption refers to the invertibility for each $\mu\in\mathbb{R}$ of the matrix $V_{\mu}:=\sum\nolimits_{\nu=1}^NU(N, \nu)e^{i\mu \nu}.$ By an example it is shown that the assumption on invertibility cannot be removed. Finally, a strong variant of Barbashin's type theorem is proved

Comparison of various oxidative treatments for removal of reactive black CNN

Decolorization of reactive black CNN by chemical oxidation and reduction using KMnO4, H2O2 and Ferrioxalate as oxidizing agents and Na2SO3 as reducing agent individually as well as in combination was studied on batch scale using UV-visible spectroscopy. Degradation of dye occurred in acidic medium with KMnO4 and in alkaline medium with H2O2 and ferrioxalate. The most efficient methods for decolorization of reactive black CNN is oxidation using KMnO4 as an oxidizing agent which removed 97.64% of dye. Maximum decolorization was obtained at 60 min of treatment under static conditions. H2O2 and ferrioxalate could remove only 50.71 and 44.21% dye, respectively. Sequential treatment was more successful with H2O2 and ferrioxalate when compared with KMnO4. Chemical oxygen demand (COD) and total organic carbon (TOC) contents of treated wastewater decreased appreciably from 83.6 to 63.7 mg/L and 86.8 to 72.8 mg/L, respectively. Additionally, Fourier Transform Infrared Spectroscopy (FTIR) study revealed the degradation of reactive black CNN after treatment into non toxic products.Keywords: Reactive black CNN, KMnO4, ferrioxalate, sodium sulphite, chemical oxygen demand (COD)

Temporal trends in results of 9170 myocardial perfusion imaging studies (2004 to 2013)

BACKGROUND: To assess the frequency of normal and abnormal myocardial perfusion imaging (MPI) in a consecutive cohort of patients from Pakistan over a period of 8.5 years. MATERIAL AND METHODS: We assessed 9170 patients who had undergone stress-rest MPI between January 2004 and June 2013. Patients were assessed for change in demographics, risk factors, and frequency of abnormal and normal MPI. RESULTS: Overall mean age and male predominance of studied cohort was ≈ 55 years and ≈ 55:45 (M:F), respectively, with no appreciable decline or rise. Marked decline in exercise as mode of stress (from 71% to 35%, p value significant) was noted during the study period. Regarding the risk factors for CAD, only hypertension was noted to have a significant rising trend during the study period. Trend of MPI results over study period was found non-significant from 2004 till 2006 but from 2007 onward (except 2008), a marginal but significant decline in abnormal MPIs (from 45% to 42%; significant p value) and rise in normal MPI (from 55% to 58%; significant p value) was noted. CONCLUSIONS: We conclude that over the past 8.5 years, a marginal but significant decline in abnormal and a rise in normal MPIs trend have been observed. An exorbitant rise in use of vasodilator as a method of stress was also observed. We envisaged a follow-up study to ascertain lower negative predictive value of vasodilator as a possible reason and till than results of this and other such studies must be read cautiously

Self-assembled liquid crystalline nanotemplates and their incorporation in dye-sensitised solar cells

Liquid junction dye-sensitised solar cells (DSSCs) suffer from solvent evaporation and leakage which limit their large-scale production. Here, we have prepared DSSC using a simple and cheap fabrication process with improved photovoltaic parameters and stability. A binary mixture of Smectic A (SmA) and Nematic Liquid Crystal (NLC) was used to provide a self-assembled template for a polymerisable reactive mesogen LC. The layered structure of SmA combined with a low viscosity NLC forms a polygonal structure that provides an ordered and continuous template for reactive mesogens. Once the reactive mesogen is polymerised under UV light, the SmA:NLC mixture is washed away, resulting in a polymer network template containing nanochannels. We demonstrate the incorporation of these templates into DSSCs and find that DSSCs containing these nanochannels show improved open-circuit voltage (V$_{OC}$) (0.705 V) and short-circuit current (J$_{SC}$) (13.25 mA cm$^{-2}$) compared to that of the liquid electrolyte (V$_{OC}$ = 0.694 V and JSC = 10.46 mA cm$^{-2}$). The highest obtained power conversion efficiency with Sm-PE was 5.94% which is higher than that of the reference solar cell (5.51%). These can be attributed to the improved ionic conductivity and ionic diffusion of Sm-PE where the presence of the nanochannels aided the ionic conduction in the polymer electrolyte. In addition, it is hypothesized that the light scattering effect of the polymerised reactive mesogen also contributed to the improved performance of the photovoltaic devices. This finding is important because it is known fact that when a polymer is added to liquid electrolyte, the ionic conductivity will decrease although the stability is improved.A.A.K. and G.R. would like to thank the Cambridge Commonwealth Trust for financial support. A.A.K. would also like to thank the HEC (Pakistan) for financial support. C.W would like to thank EPSRC Integrated Photonics and Electronics Systems funding

Stretchable liquid-crystal blue-phase gels

Liquid crystalline polymers are materials of considerable scientific interest and technological value to society [1-3]. An important subset of such materials exhibit rubber-like elasticity; these can combine the remarkable optical properties of liquid crystals with the favourable mechanical properties of rubber and, further, exhibit behaviour not seen in either type of material independently [2]. Many of their properties depend crucially on the particular mesophase employed. Stretchable liquid crystalline polymers have previously been demonstrated in the nematic, chiral nematic, and smectic mesophases [2,4]. Here were report the fabrication of a stretchable gel of blue phase I, which forms a self-assembled, three-dimensional photonic crystal that may have its optical properties manipulated by an applied strain and, further, remains electro-optically switchable under a moderate applied voltage. We find that, unlike its undistorted counterpart, a mechanically deformed blue phase exhibits a Pockels electro-optic effect, which sets out new theoretical challenges and new possibilities for low-voltage electro-optic devices.Comment: 15 pages, 6 figures, additional data and discussion included. Supplementary videos available from F. Castles on reques

Correlations between life-detection techniques and implications for sampling site selection in planetary analog missions

We conducted an analog sampling expedition under simulated mission constraints to areas dominated by basaltic tephra of the Eldfell and Fimmvörðuháls lava fields (Iceland). Sites were selected to be “homogeneous” at a coarse remote sensing resolution (10–100 m) in apparent color, morphology, moisture, and grain size, with best-effort realism in numbers of locations and replicates. Three different biomarker assays (counting of nucleic-acid-stained cells via fluorescent microscopy, a luciferin/luciferase assay for adenosine triphosphate, and quantitative polymerase chain reaction (qPCR) to detect DNA associated with bacteria, archaea, and fungi) were characterized at four nested spatial scales (1 m, 10 m, 100 m, and >1 km) by using five common metrics for sample site representativeness (sample mean variance, group F tests, pairwise t tests, and the distribution-free rank sum H and u tests). Correlations between all assays were characterized with Spearman's rank test. The bioluminescence assay showed the most variance across the sites, followed by qPCR for bacterial and archaeal DNA; these results could not be considered representative at the finest resolution tested (1 m). Cell concentration and fungal DNA also had significant local variation, but they were homogeneous over scales of >1 km. These results show that the selection of life detection assays and the number, distribution, and location of sampling sites in a low biomass environment with limited a priori characterization can yield both contrasting and complementary results, and that their interdependence must be given due consideration to maximize science return in future biomarker sampling expeditions

Mutational analysis of xenobiotic metabolizing genes (CYP1A1 and GSTP1) in sporadic head and neck cancer patients

CYP1A1 is the phase I enzyme that detoxifies the carcinogen or converts it into a more electrophilic form, metabolized by phase II enzymes like GSTP1. These detoxifying genes have been extensively studied in association with head and neck cancer (HNC) in different ethnic groups worldwide. The current study was aimed at screening genetic polymorphisms of genes CYP1A1 and GSTP1 in 388 Pakistani HNC patients and 150 cancer-free healthy controls, using PCR-SSCP. No already known variants of either gene were found, however a novel frameshift mutation due to insertion of T (g.2842_2843insT) was observed in the CYP1A1 gene. A statistically significant number (5.4%) of HNC cases, with the mean age of 51.75 (±15.7) years, presented this frameshift mutation in the conserved domain of CYP1A1. Another novel substitution mutation in was found in the GSTP1 gene, presenting TA instead of AG. The g.2848A > T polymorphism causes a leucine-to-leucine formation, whereas g.2849G > A causes alanine-to-threonine formation at amino acid positions 166 and 167, respectively. These exonic mutations were found in 9.5% of the HNC patients and in none of the controls. In addition, two intronic deletions of C (g.1074delC and g.1466delC) were also found in 11 patients with a mean age of 46.2 (±15.6) years. In conclusion, accumulation of mutations in genes CYP1A1 and GSTP1 appears to be associated with increased risk of developing HNC, suggesting that mutations in these genes may play a role in the etiology of head and neck cancer

Blue-phase templated fabrication of three-dimensional nanostructures for photonic applications

A promising approach to the fabrication of materials with nanoscale features is the transfer of liquid-crystalline structure to polymers. However, this has not been achieved in systems with full three-dimensional periodicity. Here we demonstrate the fabrication of self-assembled three-dimensional nanostructures by polymer templating blue phase I, a chiral liquid crystal with cubic symmetry. Blue phase I was photopolymerized and the remaining liquid crystal removed to create a porous free-standing cast, which retains the chiral three-dimensional structure of the blue phase, yet contains no chiral additive molecules. The cast may in turn be used as a hard template for the fabrication of new materials. By refilling the cast with an achiral nematic liquid crystal, we created templated blue phases that have unprecedented thermal stability in the range -125 to 125 °C, and that act as both mirrorless lasers and switchable electro-optic devices. Blue-phase templated materials will facilitate advances in device architectures for photonics applications in particular