Evaluation von Screeningverfahren zum Schnellnachweis von Methicillin-resistenten Staphylococcus aureus (MRSA)-Isolaten:Vergleich der Testsysteme BacLite Rapid MRSA+ und BD GeneOhm MRSA

Zwei Schnellverfahren mit unterschiedlichem methodischem Ansatz wurden in dieser Studie evaluiert. Das auf Kurzkultur basierende Testsystem BacLite Rapid MRSA+, und das auf molekulargenetischem Nachweis basierende BD GeneOhm MRSA-Testsystem. Als Referenzmethode diente das klassische Kulturverfahren. Von 497 getesteten Patienten wurden klassisch kulturell bei insgesamt fuenf Patienten eine MRSA Besiedlung entdeckt. Das BacLite Rapid MRSA+ konnte davon zwei MRSA-Traeger erkennen und zeigte eine Spezifitaet von 98,4 %, eine Sensitivitaet von 40,0 % und einen positiven Vorhersagewert von 20,0 % und einen negativen Vorhersagewert von 99,4 %. Das BD GeneOhm MRSA-Testsystem konnte alle MRSA-Traeger identifizieren und zeigte eine Spezifitaet von 99,0 %, eine Sensitivitaet von 100,0 % sowie positive und negative Vorhersagewerte von 50,0 % bzw. 100,0 %

Microbiological evaluation of a new growth-based approach for rapid detection of methicillin-resistant Staphylococcus aureus

OBJECTIVES: Recently, a rapid screening tool for methicillin-resistant Staphylococcus aureus (MRSA) has been introduced that applies a novel detection technology allowing the rapid presence or absence of MRSA to be determined from an enrichment broth after only a few hours of incubation. To evaluate the reliability of this new assay to successfully detect MRSA strains of different origin and clonality, well-characterized S. aureus strains were tested in this study. METHODS: More than 700 methicillin-susceptible and methicillin-resistant strains covering >90% of all registered European MRSA spa types within the SeqNet network were studied. RESULTS: All 513 MRSA strains tested were recognized as methicillin-resistant: among these, 96 MRSA strains were from an institutional collection, each presenting a unique spa type. None of the 211 methicillin-susceptible strains were detected as positive. CONCLUSIONS: The new growth-based rapid MRSA assay was shown to detect without exception all MRSA strains of large collections of strains comprising highly diverse genetic backgrounds, indicating that such a phenotypic test might be potentially more likely to cope with new strains

Measuring the weak mixing angle with the P2 experiment at MESA

The P2 experiment in Mainz aims to measure the weak mixing angle in electron- proton scattering to a precision of 0.13 %. In order to suppress uncertainties due to proton structure and contributions from box graphs, both a low average momentum transfer $Q^2$ of $4.5\cdot 10^{-3}$ GeV$^2/c^2$ and a low beam energy of 155 MeV are chosen. In order to collect the enormous statistics required for this measurement, the new Mainz Energy Recovery Superconducting Accelerator (MESA) is being constructed. These proceedings describe the motivation for the measurement, the experimental and accelerator challenges and how we plan to tackle them.Comment: Proceedings of the PhiPsi15, Sep. 23-26, 2015, Hefei, Chin

Strong dust processing in circumstellar discs around 6 RV Tauri stars. Are dusty RV Tauri stars all binaries?

We present extended Spectral Energy Distributions (SEDs) of seven classical RV Tauri stars, using newly obtained submillimetre continuum measurements and Geneva optical photometry supplemented with literature data. The broad-band SEDs show a large IR excess with a black-body slope at long wavelengths in six of the seven stars, R Sct being the noticeable exception. This long wavelength slope is best explained assuming the presence of a dust component of large grains in the circumstellar material. We show that the most likely distribution of the circumstellar dust around the six systems is that the dust resides in a disc. Moreover, very small outflow velocities are needed to explain the presence of dust near the sublimation temperature and we speculate that the discs are Keplerian. The structure and evolution of these compact discs are as yet not understood but a likely prerequisite for their formation is that the dusty RV Tauri stars are binaries.Comment: 10 pages, will be published in A&

Resolving the compact dusty discs around binary post-AGB stars using N-band interferometry

We present the first mid-IR long baseline interferometric observations of the circumstellar matter around binary post-AGB stars. Two objects, SX Cen and HD 52961, were observed using the VLTI/MIDI instrument during Science Demonstration Time. Both objects are known binaries for which a stable circumbinary disc is proposed to explain the SED characteristics. This is corroborated by our N-band spectrum showing a crystallinity fraction of more than 50 % for both objects, pointing to a stable environment where dust processing can occur. Surprisingly, the dust surrounding SX Cen is not resolved in the interferometric observations providing an upper limit of 11 mas (or 18 AU at the distance of this object) on the diameter of the dust emission. This confirms the very compact nature of its circumstellar environment. The dust emission around HD 52961 originates from a very small but resolved region, estimated to be ~ 35 mas at 8 micron and ~ 55 mas at 13 micron. These results confirm the disc interpretation of the SED of both stars. In HD 52961, the dust is not homogeneous in its chemical composition: the crystallinity is clearly concentrated in the hotter inner region. Whether this is a result of the formation process of the disc, or due to annealing during the long storage time in the disc is not clear.Comment: 12 pages, 10 figures, accepted for publication in A &

Depletion in post-AGB stars with a dusty disc. II

We present a chemical abundance analysis on the basis of high signal-to- noise and high resolution spectra for 12 stars of our newly defined sample. The selection criterion for the stars of this sample was their position in the `RV Tauri' box in the [12]-[25], [25]-[60] two-colour diagram. An additional requisite was the presence of a near-IR excess. We found that the photospheres of nine stars are affected by the depletion process. Since the most likely origin of the near-IR excess is a disc, this strongly suggests that the phenomenon of depletion and the presence of a disc are linked. Among the depleted stars we find different depletion patterns. In seven stars elements with a condensation temperature below 1500 K are not or only slightly affected. Large underabundances are measured only for most elements with a condensation temperature above 1500 K.Comment: 20 pages, 22 figures, published in A&

Retrospective Analysis of Treatment Pathways in Patients With BRAFV600E-mutant Metastatic Colorectal Carcinoma - MORSECRC.

BACKGROUND/AIM Metastatic colorectal cancer (mCRC) is a heterogeneous disease with distinct molecular subtypes. The BRAFV600E-mutation found in approximately 8-12% of mCRC patients is associated with poor prognosis. Guideline recommendations for this population are mostly based on small cohorts due to lack of clinical data. This retrospective analysis was designed to evaluate (approved) therapeutic approaches and algorithms in BRAFV600E-mutant mCRC prior to approval of the targeted combination encorafenib plus cetuximab in Germany, Austria, and Switzerland. PATIENTS AND METHODS Anonymized data from BRAFV600E-mutant mCRC patients were analyzed retrospectively regarding 1st-, 2nd- and 3rd-line treatment using descriptive statistics. RESULTS Forty-two patients were eligible for analysis (mean age 62.1 years, 47.6% female). At initial diagnosis, 20 patients (47.6%) were documented with right-sided tumors. Most patients (81.0%) were tested for BRAF before 1st-line. Four patients (9.5%) showed high microsatellite instability (MSI-H). Based on 94 treatment lines, chemotherapy combined with targeted therapy (TT) was used mostly (61.7%), followed by chemotherapy alone (19.1%). Backbone therapies were most frequently FOLFOXIRI (27.7%), FOLFOX/CAPOX (22.3%), or FOLFIRI (20.2%). Anti-VEGF/VEGFR and anti-EGFR-treatments were used in 45.7% and 23.4% of patients, respectively. Across all treatment lines and types, the predominantly documented reason for discontinuation was lack of efficacy. CONCLUSION Combined chemotherapy+TT (anti-VEGF/VEGFR and anti-EGFR) played a predominant role in BRAFV600E-mutated mCRC treatment prior to approval of the targeted combination encorafenib plus cetuximab. Since lack of efficacy was the major reason for treatment discontinuation, newly approved therapies including encorafenib plus cetuximab and - for MSI-H tumors - pembrolizumab represent urgently needed options for future mCRC patients

Carbonaceous molecules in the oxygen-rich circumstellar environment of binary post-AGB stars: C_{60} fullerenes and polycyclic aromatic hydrocarbons

Context. The circumstellar environment of evolved stars is generally rich in molecular gas and dust. Typically, the entire environment is either oxygen-rich or carbon-rich, depending on the evolution of the central star. Aims. In this paper we discuss three evolved disc sources with evidence of atypical emission lines in their infrared spectra. The stars were taken from a larger sample of post-AGB binaries for which we have Spitzer infrared spectra, characterised by the presence of a stable oxygen-rich circumbinary disc. Our previous studies have shown that the infrared spectra of post-AGB disc sources are dominated by silicate dust emission, often with an extremely high crystallinity fraction. However, the three sources described here are selected because they show a peculiar molecular chemistry. Methods. Using Spitzer infrared spectroscopy, we study in detail the peculiar mineralogy of the three sample stars. Using the observed emission features, we identify the different observed dust, molecular and gas species. Results. The infrared spectra show emission features due to various oxygen-rich dust components, as well as CO2 gas. All three sources show the strong infrared bands generally ascribed to polycyclic aromatic hydrocarbons. Furthermore, two sample sources show C60 fullerene bands. Conclusions. Even though the majority of post-AGB disc sources are dominated by silicate dust in their circumstellar environment, we do find evidence that, for some sources at least, additional processing must occur to explain the presence of large carbonaceous molecules. There is evidence that some of these sources are still oxygen-rich, which makes the detection of these molecules even more surprising.Comment: Accepted for publication in Astronomy and Astrophysics, 10 pages, 7 figure

A structural determinant required for RNA editing

RNA editing by adenosine deaminases acting on RNAs (ADARs) can be both specific and non-specific, depending on the substrate. Specific editing of particular adenosines may depend on the overall sequence and structural context. However, the detailed mechanisms underlying these preferences are not fully understood. Here, we show that duplex structures mimicking an editing site in the Gabra3 pre-mRNA unexpectedly fail to support RNA editing at the Gabra3 I/M site, although phylogenetic analysis suggest an evolutionarily conserved duplex structure essential for efficient RNA editing. These unusual results led us to revisit the structural requirement for this editing by mutagenesis analysis. In vivo nuclear injection experiments of mutated editing substrates demonstrate that a non-conserved structure is a determinant for editing. This structure contains bulges either on the same or the strand opposing the edited adenosine. The position of these bulges and the distance to the edited base regulate editing. Moreover, elevated folding temperature can lead to a switch in RNA editing suggesting an RNA structural change. Our results indicate the importance of RNA tertiary structure in determining RNA editing