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

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

Synchronous in-field application of life-detection techniques in Icelandic Mars analogue sites

Field expeditions that simulate the operations of robotic planetary exploration missions at analogue sites on Earth can help establish best practices and are therefore a positive contribution to the planetary exploration community. There are many sites in Iceland that possess heritage as planetary exploration analogue locations and whose environmental extremes make them suitable for simulating scientific sampling and robotic operations. We conducted a planetary exploration analogue mission at two recent lava fields in Iceland, Fimmvörðuháls (2010) and Eldfell (1973), using a specially developed field laboratory. We tested the utility of in-field site sampling down selection and tiered analysis operational capabilities with three life detection and characterization techniques: fluorescence microscopy (FM), adenine-triphosphate (ATP) bioluminescence assay, and quantitative polymerase chain reaction (qPCR) assay. The study made use of multiple cycles of sample collection at multiple distance scales and field laboratory analysis using the synchronous life-detection techniques to heuristically develop the continuing sampling and analysis strategy during the expedition. Here we report the operational lessons learned and provide brief summaries of scientific data. The full scientific data report will follow separately. We found that rapid in-field analysis to determine subsequent sampling decisions is operationally feasible, and that the chosen life detection and characterization techniques are suitable for a terrestrial life-detection field mission. In-field analysis enables the rapid obtainment of scientific data and thus facilitates the collection of the most scientifically relevant samples within a single field expedition, without the need for sample relocation to external laboratories. The operational lessons learned in this study could be applied to future terrestrial field expeditions employing other analytical techniques and to future robotic planetary exploration missions

An Overview of Functional Food

Functional foods are responsible for the improvement of human health and can significantly reduce the probability of disease in the host body. Functional foods are directly or indirectly part of different food ingredients and can induce functional activities in the host biological system. Functional foods are present in fruits, vegetables, dairy, bakery, cereals and meat products. Functional foods are not additional food supplements, drugs or antibiotics, they are the main component of a normal human and animal diet. Functional foods are cost-effective and easily available in the market. Daily consumption of functional foods can prevent the gastrointestinal diseases and also provide ease against different acute and chronic diseases. Adequate administration of probiotics in a human food can convert a normal food into functional food. This chapter will highlight the effective role of functional food in an individual’s daily life

Determination of Renal Changes by Ultrasonography in Patients with Type-2 Diabetes Mellitus

Background: Diabetes Type 2 causes damage to the kidneys; leading to diabetic nephropathy and high blood pressure. The aim of this study is determination of renal changes on ultrasonography in diabetic patients. Objective: This study evaluates changes in kidneys in patients presenting with type II diabetes mellitus having normal renal function test as compared to non-diabetics. Methods: It was a cross sectional descriptive study conducted on 116 patients with type 2 diabetes mellitus by using convenient sampling technique. The study was conducted at Ultrasound Department of Gulab Devi hospital Hospital from July 2019 to September 2019. Results: Out of 116 patients there were 43(37.1%) female and 73(62.1%) were male. The mean age of the participants was 53.24 ±10.49. This study shows that the mean volume of Rt kidney was 1.229E2 ±38.39 ranging from 25ml to 218ml and mean volume of Lt kidney was 1.1691E2 ±41.96 ranging from 26ml to 231ml in patients presenting with DM Type 2 and mean parenchymal thickness of the Rt kidney 14.40 ±6 range from 0.86mm to 1.25mm and Lt kidney 13.7 ±5 range from1.2mm to 25mm.This study showed that mean volume of both kidneys and  parenchymal thickness increased in patients having diabetes mellitus. Conclusion: Ultrasound is a reliable and easily available modality to detect renal changes and complications in earlier stages of Diabetes mellitus. Keywords: Type II diabetes mellitus, Renal changes, Ultrasonography DOI: 10.7176/JHMN/68-07 Publication date: November 30th 201