Emerging health care-associated infections in the geriatric population.

The increasing number of persons >65 years of age form a special population at risk for nosocomial and other health care-associated infections. The vulnerability of this age group is related to impaired host defenses such as diminished cell-mediated immunity. Lifestyle considerations, e.g., travel and living arrangements, and residence in nursing homes, can further complicate the clinical picture. The magnitude and diversity of health care-associated infections in the aging population are generating new arenas for prevention and control efforts

Evaluation of fungicide and biological treatments for control of fungal storage rots in sugar beet, 2014

Preventing sucrose losses in storage is important to the economic viability of the sugar beet industry. In an effort to establish additional measures for reducing sucrose losses in storage, ten fungicide and/or biological treatments were evaluated on sugar beet roots in a commercial sugar beet storage building for their ability to limit fungal growth on roots harvested 2 Oct. Six of the treatments were applied as a direct spray to roots, but two treatments were applied as a cold fog and two others were applied as a thermal fog. The treated eight-beet root samples were arranged in a randomized complete block design with 6 replications on top of the commercial sugar beet pile inside a storage building. Roots were evaluated for fungal growth, root rot, weight loss, and sucrose reduction. Fungal growth on the root surface ranged from 0 to 58% depending on the rating date and treatment. After 136 days in storage, root rot ranged from 4 to 34%, weight loss ranged from 7.5 to 10.2%, and sucrose reduction ranged from 17 to 33%. The treatments that reduced rot and sucrose reduction the most were Phostrol, Propulse, and Stadium applied as direct sprays and Propulse as a cold fog. Thus, the results indicate that several of the fungicides evaluated have the potential to protect roots from fungal rot in sugar beet storage piles, which could lead to considerable economic benefit for the sugar beet industry

Phase II studies of nebulised Arikace in CF patients with Pseudomonas aeruginosa infection

RATIONALE: Arikace is a liposomal amikacin preparation for aerosol delivery with potent Pseudomonas aeruginosa killing and prolonged lung deposition. OBJECTIVES: To examine the safety and efficacy of 28 days of once-daily Arikace in cystic fibrosis (CF) patients chronically infected with P aeruginosa. METHODS: 105 subjects were evaluated in double-blind, placebo-controlled studies. Subjects were randomised to once-daily Arikace (70, 140, 280 and 560 mg; n=7, 5, 21 and 36 subjects) or placebo (n=36) for 28 days. Primary outcomes included safety and tolerability. Secondary outcomes included lung function (forced expiratory volume at one second (FEV(1))), P aeruginosa density in sputum, and the Cystic Fibrosis Quality of Life Questionnaire—Revised (CFQ-R). RESULTS: The adverse event profile was similar among Arikace and placebo subjects. The relative change in FEV(1) was higher in the 560 mg dose group at day 28 (p=0.033) and at day 56 (28 days post-treatment, 0.093L±0.203 vs −0.032L±0.119; p=0.003) versus placebo. Sputum P aeruginosa density decreased >1 log in the 560 mg group versus placebo (days 14, 28 and 35; p=0.021). The Respiratory Domain of the CFQ-R increased by the Minimal Clinically Important Difference (MCID) in 67% of Arikace subjects (560 mg) versus 36% of placebo (p=0.006), and correlated with FEV(1) improvements at days 14, 28 and 42 (p<0.05). An open-label extension (560 mg Arikace) for 28 days followed by 56 days off over six cycles confirmed durable improvements in lung function and sputum P aeruginosa density (n=49). CONCLUSIONS: Once-daily Arikace demonstrated acute tolerability, safety, biologic activity and efficacy in patients with CF with P aeruginosa infection

A shot in the Dark (Ages): a faint galaxy at z=9.76z=9.76 confirmed with JWST

The appearance of galaxies over the first billion years after the Big Bang is believed to be responsible for the last dramatic change in the state of the Universe. Ultraviolet photons from galaxies within this time period - the Epoch of Reionization - ionized intergalactic Hydrogen, rendering the Universe transparent to UV radiation and ending the so-called cosmic Dark Ages, sometime after redshift $z\sim8$. The majority of ionizing photons in the first few hundred Myrs of cosmic history are thought to derive from galaxies significantly fainter than the characteristic luminosity $L^{*}$. These faint galaxies are thought to be surrounded by sufficient neutral gas to prevent the escape of the Lyman-$\alpha$ photons that would allow confirmation with current observatories. Here we demonstrate the power of the recently commissioned James Webb Space Telescope to transform our understanding of the sources of reionization, by reporting the first spectroscopic confirmation of a very low luminosity ($\sim0.05 L^{*}$) galaxy at $z=9.76$, observed 480 Myr after the Big Bang, via the detection of the Lyman-break and redward continuum with the NIRSpec and NIRCam instruments. The galaxy JD1 is gravitationally magnified by a factor of $\mu\sim13$ by the foreground cluster A2744. The power of JWST and lensing allows us to peer deeper than ever before into the cosmic Dark Ages, revealing the compact ($\sim$150 pc) and complex morphology and physical properties of an ultrafaint galaxy ($M_{\rm UV}=-17.45$).Comment: Submitted to Nature. 34 pages, 4 main figures, 1 supplementary figure, 2 supplementary tables. Comments are welcom

Multi-band analyses of the bright GRB~230812B and the associated SN2023pel

GRB~230812B is a bright and relatively nearby ($z =0.36$) long gamma-ray burst that has generated significant interest in the community and therefore has been subsequently observed over the entire electromagnetic spectrum. We report over 80 observations in X-ray, ultraviolet, optical, infrared, and sub-millimeter bands from the GRANDMA (Global Rapid Advanced Network for Multi-messenger Addicts) network of observatories and from observational partners. Adding complementary data from the literature, we then derive essential physical parameters associated with the ejecta and external properties (i.e. the geometry and environment) and compare with other analyses of this event (e.g. Srinivasaragavan et al. 2023). We spectroscopically confirm the presence of an associated supernova, SN2023pel, and we derive a photospheric expansion velocity of v $\sim$ 17$\times10^3$ km $s^{-1}$. We analyze the photometric data first using empirical fits of the flux and then with full Bayesian Inference. We again strongly establish the presence of a supernova in the data, with an absolute peak r-band magnitude $M_r = - 19.41 \pm 0.10$. We find a flux-stretching factor or relative brightness $k_{\rm SN}=1.04 \pm 0.09$ and a time-stretching factor $s_{\rm SN}=0.68 \pm 0.05$, both compared to SN1998bw. Therefore, GRB 230812B appears to have a clear long GRB-supernova association, as expected in the standard collapsar model. However, as sometimes found in the afterglow modelling of such long GRBs, our best fit model favours a very low density environment ($\log_{10}({n_{\rm ISM}/{\rm cm}^{-3}}) = -2.16^{+1.21}_{-1.30}$). We also find small values for the jet's core angle $\theta_{\rm core}={1.70^{+1.00}_{-0.71}} \ \rm{deg}$ and viewing angle. GRB 230812B/SN2023pel is one of the best characterized afterglows with a distinctive supernova bump

Multiband analyses of the bright GRB 230812B and the associated SN2023pel

GRB 230812B is a bright and relatively nearby (z = 0.36) long gamma-ray burst (GRB) that has generated significant interest in the community and has thus been observed over the entire electromagnetic spectrum. We report over 80 observations in X-ray, ultraviolet, optical, infrared, and submillimetre bands from the GRANDMA (Global Rapid Advanced Network for Multimessenger Addicts) network of observatories and from observational partners. Adding complementary data from the literature, we then derive essential physical parameters associated with the ejecta and external properties (i.e. the geometry and environment) of the GRB and compare with other analyses of this event. We spectroscopically confirm the presence of an associated supernova, SN2023pel, and we derive a photospheric expansion velocity of v ∼ 17 × 103 km s-1. We analyse the photometric data first using empirical fits of the flux and then with full Bayesian inference. We again strongly establish the presence of a supernova in the data, with a maximum (pseudo-)bolometric luminosity of 5.75 × 1042 erg s-1, at 15.76+-10.2181 d (in the observer frame) after the trigger, with a half-max time width of 22.0 d. We compare these values with those of SN1998bw, SN2006aj, and SN2013dx. Our best-fitting model favours a very low density environment (log10(nISM/cm-3) = -2.38+-11.6045) and small values for the jet's core angle θcore = 1.54+-01.8102 deg and viewing angle θobs = 0.76+-01.7629 deg. GRB 230812B is thus one of the best observed afterglows with a distinctive supernova bump

A blast from the infant Universe: The very high- z GRB 210905A

We present a detailed follow-up of the very energetic GRB 210905A at a high redshift of z=6.312 and its luminous X-ray and optical afterglow. Following the detection by Swift and Konus-Wind, we obtained a photometric and spectroscopic follow-up in the optical and near-infrared (NIR), covering both the prompt and afterglow emission from a few minutes up to 20 Ms after burst. With an isotropic gamma-ray energy release of Eiso = 1.270.19+0.20- 1054 erg, GRB 210905A lies in the top 7% of gamma-ray bursts (GRBs) in the Konus-Wind catalogue in terms of energy released. Its afterglow is among the most luminous ever observed, and, in particular, it is one of the most luminous in the optical at t0.5 d in the rest frame. The afterglow starts with a shallow evolution that can be explained by energy injection, and it is followed by a steeper decay, while the spectral energy distribution is in agreement with slow cooling in a constant-density environment within the standard fireball theory. A jet break at 46.2 16.3 d (6.3±2.2 d rest-frame) has been observed in the X-ray light curve; however, it is hidden in the H band due to a constant contribution from the host galaxy and potentially from a foreground intervening galaxy. In particular, the host galaxy is only the fourth GRB host at z>6 known to date. By assuming a number density n=1 cm3 and an efficiency η=0.2, we derived a half-opening angle of 8.4±1.0, which is the highest ever measured for a z6 burst, but within the range covered by closer events. The resulting collimation-corrected gamma-ray energy release of 1- 1052 erg is also among the highest ever measured. The moderately large half-opening angle argues against recent claims of an inverse dependence of the half-opening angle on the redshift. The total jet energy is likely too large to be sustained by a standard magnetar, and it suggests that the central engine of this burst was a newly formed black hole. Despite the outstanding energetics and luminosity of both GRB 210905A and its afterglow, we demonstrate that they are consistent within 2 with those of less distant bursts, indicating that the powering mechanisms and progenitors do not evolve significantly with redshift