Novel virus related to Kaposi’s sarcoma-associated herpesvirus from a monkey (Colobus guereza) suffering from primary effusion lymphoma

No abstract available

Characterization of human cytomegalovirus genome diversity in immunocompromised hosts by whole genomic sequencing directly from clinical specimens

Background: Advances in next-generation sequencing (NGS) technologies allow comprehensive studies of genetic diversity over the entire genome of human cytomegalovirus (HCMV), a significant pathogen for immunocompromised individuals. Methods: NGS was performed on target-enriched sequence libraries prepared directly from a variety of clinical specimens (blood, urine, breast-milk, respiratory samples, biopsies and vitreous humor) obtained longitudinally or from different anatomical compartments from 20 HCMV-infected patients (renal transplant recipients, stem cell transplant recipients and congenitally infected children). Results: De novo assembled HCMV genome sequences were obtained for 57/68 sequenced samples. Analysis of longitudinal or compartmental HCMV diversity revealed various patterns: no major differences were detected among longitudinal, intra-individual blood samples from 9/15 patients and in most of the patients with compartmental samples, whereas a switch of the major HCMV population was observed in six individuals with sequential blood samples and upon compartmental analysis of one patient with HCMV retinitis. Variant analysis revealed additional aspects of minor virus population dynamics and antiviral resistance mutations. Conclusions: In immunosuppressed patients, HCMV can remain relatively stable or undergo drastic genomic changes that are suggestive of the emergence of minor resident strains or de novo infection

Use of SMS texts for facilitating access to online alcohol interventions: a feasibility study

A41 Use of SMS texts for facilitating access to online alcohol interventions: a feasibility study In: Addiction Science & Clinical Practice 2017, 12(Suppl 1): A4

Repositioning of the global epicentre of non-optimal cholesterol

High blood cholesterol is typically considered a feature of wealthy western countries1,2. However, dietary and behavioural determinants of blood cholesterol are changing rapidly throughout the world3 and countries are using lipid-lowering medications at varying rates. These changes can have distinct effects on the levels of high-density lipoprotein (HDL) cholesterol and non-HDL cholesterol, which have different effects on human health4,5. However, the trends of HDL and non-HDL cholesterol levels over time have not been previously reported in a global analysis. Here we pooled 1,127 population-based studies that measured blood lipids in 102.6 million individuals aged 18 years and older to estimate trends from 1980 to 2018 in mean total, non-HDL and HDL cholesterol levels for 200 countries. Globally, there was little change in total or non-HDL cholesterol from 1980 to 2018. This was a net effect of increases in low- and middle-income countries, especially in east and southeast Asia, and decreases in high-income western countries, especially those in northwestern Europe, and in central and eastern Europe. As a result, countries with the highest level of non-HDL cholesterol—which is a marker of cardiovascular risk—changed from those in western Europe such as Belgium, Finland, Greenland, Iceland, Norway, Sweden, Switzerland and Malta in 1980 to those in Asia and the Pacific, such as Tokelau, Malaysia, The Philippines and Thailand. In 2017, high non-HDL cholesterol was responsible for an estimated 3.9 million (95% credible interval 3.7 million–4.2 million) worldwide deaths, half of which occurred in east, southeast and south Asia. The global repositioning of lipid-related risk, with non-optimal cholesterol shifting from a distinct feature of high-income countries in northwestern Europe, north America and Australasia to one that affects countries in east and southeast Asia and Oceania should motivate the use of population-based policies and personal interventions to improve nutrition and enhance access to treatment throughout the world.</p

Reducing the environmental impact of surgery on a global scale: systematic review and co-prioritization with healthcare workers in 132 countries

Background Healthcare cannot achieve net-zero carbon without addressing operating theatres. The aim of this study was to prioritize feasible interventions to reduce the environmental impact of operating theatres. Methods This study adopted a four-phase Delphi consensus co-prioritization methodology. In phase 1, a systematic review of published interventions and global consultation of perioperative healthcare professionals were used to longlist interventions. In phase 2, iterative thematic analysis consolidated comparable interventions into a shortlist. In phase 3, the shortlist was co-prioritized based on patient and clinician views on acceptability, feasibility, and safety. In phase 4, ranked lists of interventions were presented by their relevance to high-income countries and low–middle-income countries. Results In phase 1, 43 interventions were identified, which had low uptake in practice according to 3042 professionals globally. In phase 2, a shortlist of 15 intervention domains was generated. In phase 3, interventions were deemed acceptable for more than 90 per cent of patients except for reducing general anaesthesia (84 per cent) and re-sterilization of ‘single-use’ consumables (86 per cent). In phase 4, the top three shortlisted interventions for high-income countries were: introducing recycling; reducing use of anaesthetic gases; and appropriate clinical waste processing. In phase 4, the top three shortlisted interventions for low–middle-income countries were: introducing reusable surgical devices; reducing use of consumables; and reducing the use of general anaesthesia. Conclusion This is a step toward environmentally sustainable operating environments with actionable interventions applicable to both high– and low–middle–income countries

Mullite (3Al2O3·2SiO2) ceramics obtained by reaction sintering of rice husk ash and alumina, phase evolution, sintering and microstructure

The use of industrial waste (by-products) as raw materials in the ceramic industry has been under study for decades due to the economical, energy, tax and environmental advantages. The specificity of the waste requires a basic characterization and technology thereof. The applicability of rice husk ash (RHA), as silica (SiO2) source, in refractory and porous materials with potential structural, insulating and/or filtering applications was carried out by characterizing the ceramic behavior of stoichiometric mixtures of calcined alumina (Al2O3) and RHA. A reaction-sintering framework can be defined in the (Al2O3–SiO2) system. The sinterability and conversion during the reaction sintering processes were studied in order to obtain mullite (3Al2O3·2SiO2) ceramics. Also some microstructural features of the developed materials were studied in the 1100–1600 °C range. The mullitization was studied quantitatively. Partial densification was achieved (30%) and highly converted materials were obtained. The developed microstructure consisted in a dense ceramic matrix with homogenous interconnected porosity, with a narrow pore size distribution below 20 μm. The developed material gives enough information for designing mullite ceramics materials with either porous or dense microstructures with structural, insulating or filtering applications employing RHA as silica source and calcined alumina as the only other raw material

Compton Imaging and Machine-Learning techniques for an enhanced sensitivity in key stellar (n,

Neutron capture cross-section measurements are fundamental in the study of astrophysical phenomena, such as the slow neutron capture (s-) process of nucleosynthesis operating in red-giant stars. To enhance the sensitivity of such measurements we have developed the i-TED detector. i-TED is an innovative detection system which exploits the Compton imaging technique with the aim of obtaining information about the incoming direction of the detected γ-rays. The imaging capability allows one to reject a large fraction of the dominant γ-ray background, hence enhancing the (n,γ) detection sensitivity. This work summarizes the main results of the first experimental proof-of-concept of the background rejection with i-TED carried out at CERN n_TOF using an early i-TED demonstrator. Two state-of-the-art C6D6 detectors were also used to benchmark the performance of i-TED. The i-TED prototype built for this study shows a factor of ~3 higher detection sensitivity than C6D6 detectors in the ~10 keV neutron-energy range of astrophysical interest. This works also introduces the perspectives of further enhancement in performance attainable with the final i-TED array and new analysis methodologies based on Machine-Learning techniques. The latter provide higher (n,γ) detection efficiency and similar enhancement in the sensitivity than the analytical method based on the Compton scattering law. Finally, we present our proposal to use this detection system for the first time on key astrophysical (n,γ) measurements, in particular on the s-process branching-point 79Se, which is especially well suited to constrain the thermal conditions of Red Giant and Massive Stars

New detection systems for an enhanced sensitivity in key stellar (n,γ\gamma) measurements

Neutron capture cross-section measurements are fundamental in the study of astrophysical phenomena, such as the slow neutron capture (s-) process of nucleosynthesis operating in red-giant and massive stars. However, neutron capture measurements via the time-of-flight (TOF) technique on key $s$-process nuclei are often challenging. Difficulties arise from the limited mass ($\sim$mg) available and the high sample-related background in the case of the unstable $s$-process branching points. Measurements on neutron magic nuclei, that act as $s$-process bottlenecks, are affected by low (n,$\gamma$) cross sections and a dominant neutron scattering background. Overcoming these experimental challenges requires the combination of facilities with high instantaneous flux, such as n_TOF-EAR2, with detection systems with an enhanced detection sensitivity and high counting rate capabilities. This contribution reviews some of the latest detector developments in detection systems for (n,$\gamma$) measurements at n_TOF, such as i-TED, an innovative detection system which exploits the Compton imaging technique to reduce the dominant neutron scattering background and s-TED, a highly segmented total energy detector intended for high flux facilities. The discussion will be illustrated with results of the first measurement of key the $s$-process branching-point reaction $^{79}$Se(n,$\gamma$)