119 research outputs found

    A unique measles B3 cluster in the United Kingdom and the Netherlands linked to air travel and transit at a large international airport, February to April 2014

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    Rita de Sousa (Bolseira EUPHEM) - Investigadora do Departamento de Doenças Infeciosas do Instituto Ricardo JorgeThis report describes a joint measles outbreak investigation between public health officials in the United Kingdom (UK) and the Netherlands following detection of a measles cluster with a unique measles virus strain. From 1 February to 30 April 2014, 33 measles cases with a unique measles virus strain of genotype B3 were detected in the UK and the Netherlands, of which nine secondary cases were epidemiologically linked to an infectious measles case travelling from the Philippines. Through a combination of epidemiological investigation and sequence analysis, we found that measles transmission occurred in flight, airport and household settings. The secondary measles cases included airport workers, passengers in transit at the same airport or travelling on the same flight as the infectious case and also household contacts. This investigation highlighted the particular importance of measles genotyping in identifying transmission networks and the need to improve vaccination, public health follow-up and management of travellers and airport staff exposed to measles.info:eu-repo/semantics/publishedVersio

    Differentiating Schizophrenia from Bipolar Illness on 18 F FDG PET CT Based on white Matter Metabolism; an under-Utilised Parameter

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    18F-FDG PET/CT positron emission tomography studies (FDG-PET) have shown similar cortico-limbic metabolic dysregulation in bipolar disorder and schizophrenia, with hypoactive prefrontal cortex coupled with hyperactive anterior limbic areas. However, it is not clear whether white matter metabolism connecting these regions is differently affected in the two disorders. Forty eight patients with schizophrenia mean age ± S.D] 31.6 ± 7.8 and 56 patients with bipolar disorder [mean age±S.D] 46.2 ± 8.9 underwent an 18F-FDG PET/CT scan. Normalized datasets the two groups of patients were compared on a voxel-by-voxel basis using a two-sample t statistic test as implemented in SPM8, and adding age as covariate. Group differences were assessed applying a threshold of p<0.0005. White matter metabolic rates significantly differed between schizophrenia and bipolar disorder, whereas no differences were shown for cortical activity. This is the first 18F-FDG PET/CT to our best knowledge, directly comparing subjects with schizophrenia to those with bipolar disorder. It reports decreased activity in the center of large fronto-temporal and cerebellar white matter tracts in patients with schizophrenia in respect to those with bipolar disorder. This feature may characterize and differentiate the regional brain metabolism of the two illnesses

    Temperature and Field Dependence of the Energy Gap of MgB2/Pb planar junction

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    We have constructed MgB2/Pb planar junctions for both temperature and field dependence studies. Our results show that the small gap is a true bulk property of MgB2 superconductor, not due to surface effects. The temperature dependence of the energy gap manifests a nearly BCS-like behavior. Analysis of the effect of magnetic field on junctions suggests that the energy gap of MgB2 depends non-linearly on the magnetic field. Moreover, MgB2 has an upper critical field of 15 T, in agreement with some reported Hc2 from transport measurements.Comment: 5 pages, 5 figures. Submitted to Phys. Rev.

    Superconducting MgB(2) films via precursor post-processing approach

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    Superconducting MgB(2) films with Tc = 38.6 K were prepared using a precursor-deposition, ex-situ post-processing approach. Precursor films of boron, ~0.5 micrometer thick, were deposited onto Al(2)O(3) (102) substrates by e-beam evaporation; a post-anneal at 890 deg C in the presence of bulk MgB(2) and Mg metal produced highly crystalline MgB(2) films. X-ray diffraction indicated that the films exhibit some degree of c-axis alignment, but are randomly oriented in-plane. Transport current measurements of the superconducting properties show high values of the critical current density and yield an irreversibility line that exceeds that determined by magnetic measurements on bulk polycrystalline materials.Comment: PDF file with 10 pages total, including 4 figure

    Teenagers’ understandings of and attitudes towards vaccines and vaccine-preventable diseases: a qualitative study

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    <p>Background: To examine immunisation information needs of teenagers we explored understandings of vaccination and vaccine-preventable diseases, attitudes towards immunisation and experiences of immunisation. Diseases discussed included nine for which vaccines are currently offered in the UK (human papillomavirus, meningitis, tetanus, diphtheria, polio, whooping cough, measles, mumps and rubella), and two not currently included in the routine UK schedule (hepatitis B and chickenpox).</p> <p>Methods Twelve focus groups conducted between November 2010 and March 2011 with 59 teenagers (29 girls and 30 boys) living in various parts of Scotland.</p> <p>Results Teenagers exhibited limited knowledge and experience of the diseases, excluding chickenpox. Measles, mumps and rubella were perceived as severe forms of chickenpox-like illness, and rubella was not associated with foetal damage. Boys commonly believed that human papillomavirus only affects girls, and both genders exhibited confusion about its relationship with cancer. Participants considered two key factors when assessing the threat of diseases: their prevalence in the UK, and their potential to cause fatal or long-term harm. Meningitis was seen as a threat, but primarily to babies. Participants explained their limited knowledge as a result of mass immunisation making once-common diseases rare in the UK, and acknowledged immunisation's role in reducing disease prevalence.</p> <p>Conclusions While it is welcome that fewer teenagers have experienced vaccine-preventable diseases, this presents public health advocates with the challenge of communicating benefits of immunisation when advantages are less visible. The findings are timely in view of the Joint Committee on Vaccination and Immunisation's recommendation that a booster of meningitis C vaccine should be offered to teenagers; that teenagers did not perceive meningitis C as a significant threat should be a key concern of promotional information. While teenagers’ experiences of immunisation in school were not always positive, they seemed enthusiastic at the prospect of introducing more vaccines for their age group.</p&gt

    18F-FDG PET/CT Evaluation of Regional Cerebral Metabolic Activities in Childhood Onset Schizophrenia

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    Introduction: Functional neuro-imaging with FDG PET CT in schizophrenic patients have reported certain patterns of increased or decreased metabolism in specific areas of the brain. Frontal lobe is one of the cortical areas consistently associated with schizophrenia and the activity levels have been reported to vary with the symptomatology at presentation. Predominantly positive symptoms cause and underlying hyperfrontality and negative symptoms are associated with hypofrontality. This study aims to assess the imaging patterns in unmedicated pediatric patients with a diagnosis of schizophrenia and predominantly positive symptoms.Patients and methods: 48 pediatric patients with a diagnosis of schizophrenia (all unmedicated, 38 never medicated) and 10 healthy age-matched controls were evaluated with FDG PET CT. The patients met ICD-10 and DSM-IV criteria for schizophrenia and all reported psychotic, “positive†symptoms when tested.Results: Children with schizophrenia and positive symptoms had a pattern of diffuse hyper-metabolism involving the bilateral frontal cortices and could be demonstrated on quantification by region to occipital ratio comparison . Associated statistically significant differences were also found when comparing ratios of occipital to thalamic, striatal and temporal cortex in these patients when compared to controls.Conclusion: Diffuse frontal hypermetabolism or hyperfrontality is observed in children with schizophrenia when there is a predominance of positive symptoms. There could be a possible disruption of cortico-striato-thalamic feedback loops causing hyperfrontality as seen in in experimentally induced models of psychosis

    Investigating early iron finds from Mayiladumparai Tamil Nadu

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    The paper covers preliminary metallurgical investigations related to the ferrous metal finds excavated at the Iron Age stie of Mayiladumparai by Tamil Nadu State Department of Archaeolog

    11^{11}B NMR study of pure and lightly carbon doped MgB2_2 superconductors

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    We report a 11^{11}B NMR line shape and spin-lattice relaxation rate (1/(T1T)1/(T_1T)) study of pure and lightly carbon doped MgB2−x_{2-x}Cx_{x} for x=0x=0, 0.02, and 0.04, in the vortex state and in magnetic field of 23.5 kOe. We show that while pure MgB2_2 exhibits the magnetic field distribution from superposition of the normal and the Abrikosov state, slight replacement of boron with carbon unveils the magnetic field distribution of the pure Abrikosov state. This indicates a considerable increase of Hc2cH_{c2}^c with carbon doping with respect to pure MgB2_2. The spin-lattice relaxation rate 1/(T1T)1/(T_1T) demonstrates clearly the presence of a coherence peak right below TcT_c in pure MgB2_2, followed by a typical BCS decrease on cooling. However, at temperatures lower than ≈10\approx 10K strong deviation from the BCS behavior is observed, probably from residual contribution of the vortex dynamics. In the carbon doped systems both the coherence peak and the BCS temperature dependence of 1/(T1T)1/(T_1T) weaken, an effect attributed to the gradual shrinking of the σ\sigma hole cylinders of the Fermi surface with electron doping.Comment: 8 pages, 6 figures, submitted to Phys. Rev.

    Whole-genome sequencing reveals widespread presence of Staphylococcus capitis NRCS-A clone in neonatal units across the United Kingdom

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    OBJECTIVE: Increased incidence of neonatal Staphylococcus capitis bacteraemia in summer 2020, London, raised suspicion of widespread multidrug-resistant clone NRCS-A. We set out to investigate the molecular epidemiology of this clone in neonatal units (NNUs) across the UK. METHODS: We conducted whole-genome sequencing (WGS) on presumptive S. capitis NRCS-A isolates collected from infants admitted to NNUs and from environmental sampling in two distinct NNUs in 2021. Previously published S. capitis genomes were added for comparison. Genetic clusters of NRCS-A isolates were defined based on core-genome single-nucleotide polymorphisms. RESULTS: We analysed WGS data of 838S. capitis isolates and identified 750 NRCS-A isolates. We discovered a possible UK-specific NRCS-A lineage consisting of 611 isolates collected between 2005-2021. We determined 28 genetic clusters of NRCS-A isolates, which covered all geographical regions in the UK, and isolates of 19 genetic clusters were found in ≥2 regions, suggesting inter-regional spread. Within the NRCS-A clone, strong genetic relatedness was identified between contemporary clinical and incubator-associated fomite isolates and between clinical isolates associated with inter-hospital infant transfer. CONCLUSIONS: This WGS-based study confirms the dispersion of S. capitis NRCS-A clone amongst NNUs across the UK and urges research on improving clinical management of neonatal S. capitis infection
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