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Non-tuberculous mycobacterium encephalitis is rare. Since 2013, a global outbreak of Mycobacterium chimaera infection has been attributed to point-source contamination of heater cooler units used in cardiac surgery. Disseminated M. chimaera infection has presented many unique challenges, including non-specific clinical presentations with delays in diagnosis, and a high mortality rate among predominantly immunocompetent adults. Here, we describe three patients with fatal disseminated Mycobacterium chimaera infection showing initially non-specific, progressively worsening neurocognitive decline, including confusion, delirium, depression and apathy. Autopsy revealed widespread granulomatous encephalitis of the cerebrum, brain stem and spinal cord, along with granulomatous chorioretinitis. Cerebral involvement and differentiation between mycobacterial granulomas and microangiopathic changes can be assessed best on MRI with contrast enhancement. The prognosis of M. chimaera encephalitis appears to be very poor, but might be improved by increased awareness of this new syndrome and timely antimicrobial treatment.
This presentation will enable the learner to:
1.Describe the clinical, radiological and neuropathological findings of Mycobacterium chimaera encephalitis
2.Be aware of this rare form of encephalitis, and explain its diagnosis, prognosis and management
The St. Louis aerosol was sampled during the period 16-22 August 1973 simultaneously at two locations using cascade impactors for sequential 12-hour samples. The six particle size fractions of each sampling were individually analyzed using PIXE for elements from S to Br and beyond and for heavy elements including Pb which permitted time variations of concentrations and particle size distributions to be followed and related to meteorological changes during the sampling period. In addition, the data were compared with average levels of the elements in coastal north Florida and maritime Bermuda as well as at a third St. Louis site. From this it appeared that some of the concentrations in St. Louis were at natural levels whereas others appeared to be higher and linked to air pollution sources. These relationships and others in this study may lead to criteria for distinguishing between pollutants and natural background in urban aerosols.
Invasive pneumococcal disease (IPD), caused by infection with Streptococcus pneumoniae, has a substantial global burden. There are over 90 known serotypes of S. pneumoniae with a considerable body of evidence supporting serotype-specific mortality rates immediately following IPD. This is the first study to consider the association between serotype and longer-term mortality following IPD. Using enhanced surveillance data from the North East of England we assessed both the short-term (30-day) and longer-term (⩽7 years) independent adjusted associations between individual serotypes and mortality following IPD diagnosis using logistic regression and extended Cox proportional hazards models. Of the 1316 cases included in the analysis, 243 [18·5%, 95% confidence interval (CI) 16·4–20·7] died within 30 days of diagnosis. Four serotypes (3, 6A, 9N, 19 F) were significantly associated with overall increased 30-day mortality. Effects were observable only for older adults (⩾60 years). After extension of the window to 12 months and 36 months, one serotype was associated with significantly increased mortality at 12 months (19 F), but no individual serotypes were associated with increased mortality at 36 months. Two serotypes had statistically significant hazard ratios (HR) for longer-term mortality: serotype 1 for reduced mortality (HR 0·51, 95% CI 0·30–0·86) and serotype 9N for increased mortality (HR 2·30, 95% CI 1·29–4·37). The association with serotype 9N was no longer observed after limiting survival analysis to an observation period starting 30 days after diagnosis. This study supports the evidence for associations between serotype and short-term (30-day) mortality following IPD and provides the first evidence for the existence of statistically significant associations between individual serotypes and longer-term variation in mortality following IPD.
The period covered by this report, 1984 July to 1987 June, was of extraordinary importance for the progress of cometary physics. For the first time in the history, special space probes were launched to comets. Vega 1, Vega 2 and Giotto encountered P/Halley, providing us with the first close-up pictures of a cometary nucleus, its surface features, and with the first in situ measurements of the matter escaping from it. ICE, Suisei and Sakigake carried out measurements relevant to P/Giacobini-Zinner and P/Halley in interplanetary space. Unprecedented worldwide campaigns of ground-based observations, with the participation of about 1000 professional and 2000 amateur astronomers, were coordinated in 8 sections of the International Halley Watch. Additional measurements were made from artificial satellites, sounding rockets, and highflying airplanes. The wealth of data collected in this way, to a major extent thanks to an excellent international cooperation, represents a milestone in cometary astronomy. Another important step was the progress in processing the extensive 1983 IRAS observations of minor planets and comets, including the discovery of asteroid dust bands and cometary dust trails.
The last three years have witnessed a growing interest in the physical properties of the small bodies in the solar system. Perhaps the most significant impetus to research on small bodies has been the imminent arrival of Comet Halley in the inner solar system. This famous comet, which was recovered in autumn 1982, has been the object of intense study during the past year as it has approached the sun and developed a tail. Much of the international, ground-based astronomical research on Halley has been coordinated through the International Halley Watch program. Spacecraft from several nations have been successfully launched (or soon will be, we hope) and are on their way to intercept the comet and make close-up observations and in situ measurements. The commencement of spacecraft study of small bodies marks a new era in comet/asteroid science and, in coordination with ground-based and Earth-orbital observations, will result in unprecedented new knowledge about the origin of the solar system and about solar system processes. Although Halley is receiving the most attention, interest is also high in Comet Giacobini-Zinner, the vicinity of which will be probed by a diverted American spacecraft in September 1985. Upcoming spacecraft studies of comets through 1986 are described at the end of the comet section of this report. Asteroid exploration by spacecraft is also anticipated to begin in the near future. The trajectory of the NASA Gailieo Mission to Jupiter has been changed to permit close-encounter observations of the large main-belt asteroid 29 Amphitrite in December 1986; these observations will be conducted on a “best effort” basis only a few months after launch of Galileo. Interest is also high in Europe, the Soviet Union, and the United States in possible spacecraft missions to additional comets and asteroids during the 1990’s. If these efforts are pursued, there will be a concomitant ground-based effort. The last three years have also witnessed extremely productive efforts to observe small bodies from Earth orbit. For example, the Infrared Astronomical Satellite discovered a comet in 1983, which made the closest approach to the Earth of any comet in centuries. IRAS made important discoveries and measurements of other comets and also assembled an immense database on infrared brightnesses of thousands of numbered and unnumbered asteroids. The planned launch of the Hubble Space Telescope next year highlights the continuing potential for applying extremely powerful instrumental techniques to the study of comets and asteroids from above the Earth’s atmosphere.
III Zw 35 is a pair of galaxies characterised by intense OH maser emission, and powerful far-infrared and radio continuum. We have made a detailed study of the galaxy pair based on optical, infrared and radio observations. The brighter northern component is identified as a LINER or Seyfert galaxy and contains an active nuclear region from which radio continuum, OH maser and thermal dust emission are detected. We propose that the northern component has a compact active nucleus deeply embedded in an obscured region of diameter ~ 210 pc within which enhanced star-formation occurs. The lower luminosity, southern component is of low mass and is undergoing starburst activity over an extended region of diameter ~ 5.5 kpc. The origin of the starburst and non-thermal activity appears to be an interaction between the two components.
This paper describes the system architecture of a newly constructed radio telescope – the Boolardy engineering test array, which is a prototype of the Australian square kilometre array pathfinder telescope. Phased array feed technology is used to form multiple simultaneous beams per antenna, providing astronomers with unprecedented survey speed. The test array described here is a six-antenna interferometer, fitted with prototype signal processing hardware capable of forming at least nine dual-polarisation beams simultaneously, allowing several square degrees to be imaged in a single pointed observation. The main purpose of the test array is to develop beamforming and wide-field calibration methods for use with the full telescope, but it will also be capable of limited early science demonstrations.
Impoverished communities often turn to illegal extraction of resources from protected areas to alleviate economic pressures or to make monetary gains. Such practices can cause ecological damage and threaten animal populations. These communities also often face a high disease burden and typically do not have access to affordable health care. Here we argue that these two seemingly separate challenges may have a common solution. In particular, providing health care to communities adjacent to protected areas may be an efficient and effective way to reduce the disease burden while also improving local perceptions about protected areas, potentially reducing illegal extraction. We present a case study of a health centre on the edge of Kibale National Park, Uganda. The centre has provided care to c. 7,200 people since 2008 and its outreach programme extends to c. 4,500 schoolchildren each year. Contrasting the provision of health care to other means of improving community perceptions of protected areas suggests that health clinics have potential as a conservation tool in some situations and should be considered in future efforts to manage protected areas.
The PULSE@Parkes project has been designed to monitor the rotation of radio pulsars over time spans of days to years. The observations are obtained using the Parkes 64-m and 12-m radio telescopes by Australian and international high school students. These students learn the basis of radio astronomy and undertake small projects with their observations. The data are fully calibrated and obtained with the state-of-the-art pulsar hardware available at Parkes. The final data sets are archived and are currently being used to carry out studies of 1) pulsar glitches, 2) timing noise, 3) pulse profile stability over long time scales and 4) the extreme nulling phenomenon. The data are also included in other projects such as gamma-ray observatory support and for the Parkes Pulsar Timing Array project. In this paper we describe the current status of the project and present the first scientific results from the Parkes 12-m radio telescope. We emphasise that this project offers a straightforward means to enthuse high school students and the general public about radio astronomy while obtaining scientifically valuable data sets.
The Parkes pulsar data archive currently provides access to 144044 data files obtained from observations carried out at the Parkes observatory since the year 1991. Around 105 files are from surveys of the sky, the remainder are observations of 775 individual pulsars and their corresponding calibration signals. Survey observations are included from the Parkes 70 cm and the Swinburne Intermediate Latitude surveys. Individual pulsar observations are included from young pulsar timing projects, the Parkes Pulsar Timing Array and from the PULSE@Parkes outreach program. The data files and access methods are compatible with Virtual Observatory protocols. This paper describes the data currently stored in the archive and presents ways in which these data can be searched and downloaded.
We report a study of the relation between dust and gas over a 100 deg2 area in
the Taurus molecular cloud. We compare the H2 column density derived from dust
extinction with the CO column density derived from the 12CO and 13CO
J = 1 → 0 lines. We derive the visual extinction from reddening
determined from 2MASS data. The comparison is done at an angular size of 200′′,
corresponding to 0.14 pc at a distance of 140 pc. We find that the relation between visual
extinction AV and N(CO) is linear between
AV ≃ 3 and 10 mag in the region associated with the
B213–L1495 filament. In other regions the linear relation flattens for
AV ≳ 4 mag. Accounting for the observed relation between the
column density of CO and CO2 ices and AV, we find a
linear relationship between the column of carbon monoxide and dust for observed visual
extinctions up to the maximum value in our data ≃23 mag.
Ion beam sputter-deposition has been used to produce high temperature superconducting (HTSC) thin films with controlled orientation. Room temperature scanning tunneling microscopy (STM) studies of ion beam sputter-deposited Y-Ba-Cu-O thin films indicate that the growth mode depends on whether the films are a- or c-axis oriented. The c-axis oriented films appear to grow by a screw dislocation mechanism, producing layered spirals similar to those observed in films grown by plasma sputtering and laser ablation-deposition. STM images of the a-axis oriented films show a growth mode which appears to produce layered structures perpendicular to the substrate with no spirals. Scanning tunneling spectroscopy (STS) studies of the a- and c-axis oriented films tend to reflect the anisotropy of the Y-Ba-Cu-O structure. Both the c-axis and the a-axis oriented films have semiconducting characteristics, possibly due to a native oxide, with a band gap estimated to be 1.4 eV. The c-axis oriented film, however, exhibits more fine structure in its density of states. This apparent anisotropie band structure reflects the anisotropie Y-Ba-Cu-O microstructure and superconducting characteristics. Investigations with x-ray photcelectron spectroscopy (XPS) establish a substantial chemical difference between the two surfaces inferring more substantial native oxides and air-induced by-products on the a-axis oriented film.
The use of single-mode cavities has been recognized as a viable technique for sintering and joining ceramics and for creating microwave plasma for materials processing. It is often reported, however, that tuning these cavities at lower and higher temperatures critically depends on the types of materials being processed, the variation of ε* as a function of temperature, the size and shape of samples, and the overall heating system configuration with and without insulation.
In this paper we use the finite-difference time-domain technique to address the performance of the single-mode cavity heating system under a wide variety of heating conditions and system configurations. Specifically, practical issues such as limiting values of sample sizes, the dependence of optimal sample sizes on the complex permittivity of materials under test, the role of sample shape on enhancing uniformity of heating patterns, and various tradeoffs involved in utilizing various cavity modes and/or SiC rods as stimulus for heating large samples are evaluated.
Two techniques have been used to measure the velocity of the amorphous-crystalline boundary during scanned laser crystallization of amorphous Ge films on fused-silica substrates. Values in the vicinity of 200 cm sec-1 have been measured by both methods. The results obtained by the first technique, an optical transmission method, confirm our theoretical model for the periodic motion of the boundary. The measurements made by the second technique, which is based on an examination of the structural features obtained at laser scanning rates up to about 600 cm sec-1 , show the boundary velocity to be rather insensitive to film thickness and background temperature. Controlled crystallization is expected to require stability of the laser beam power.
Device-quality Si films have been prepared by using graphite strip heaters for zone melting poly-Si films deposited on SiO2-coated substrates. The electrical characteristics of these films have been studied by the fabrication and evaluation of thin-film resistors, Mosfets and MOS capacitors. High yields of functional transistor arrays and ring oscillators with promising speed performance have been obtained for CMOS test circuit chips fabricated in recrystallized Si films on 2-inch-diameter Si wafers. Dualgate Mosfets with a three-dimensional structure have been fabricated by using the zone-melting recrystallization technique.