A Comparative Evaluation of Presepsin with Procalcitonin and CRP in Diagnosing Neonatal Sepsis.

The objectives of this study were to study the clinical and biochemical profile of neonates with sepsis and to evaluate the diagnostic role of presepsin and its comparison with C-reactive protein (CRP) and Procalcitonin (PCT). This study was conducted from March 2015 through October 2016 in Neonatal intensive care unit (NICU) at S N Medical College, Agra. Neonates with ≥1 clinical features of sepsis and/or two risk factors were included. A total of 41 cases and 41 controls were taken. Blood sample was taken for all investigations. ROC curve analysis was performed. Out of 41 cases, 19 were blood culture positive, majority were males (68.3%), low birth weight (LBW: 70.7%) and preterms (53.6%). At chosen cut-off values, sensitivity of CRP, PCT and presepsin was 80.5%, 80.5%, 97.6% and specificity was 97.5%, 80.5%, 95.1% respectively. PCT and CRP were comparable as diagnostic markers of neonatal sepsis. Presepsin, in comparison with CRP and PCT has better sensitivity and negative predictive value (NPV).

Analysis of expression profile of mce operon genes (mce1, mce2, mce3 operon) in different Mycobacterium tuberculosis isolates at different growth phases.

BACKGROUND & OBJECTIVES: Mycobacterium tuberculosis (M. tuberculosis) has four homologous mammalian cell entry (mce) operons (mce1-4) that encode exported proteins and have a possible role in the virulence mechanism of this pathogen. The expression of mce operon is considered to be complex and not completely understood. Although expression of mce operon at different in vitro growth phases has been studied earlier, its expression in different M. tuberculosis isolates under different growth phases is not yet studied. The present preliminary study was conducted on a limited number of isolates to know the trend of expression pattern of mce operon genes in different M. tuberculosis isolates under different growth stages. METHODS: In this study, we monitored the transcriptional profile of selected mce operon genes (mce1A, mce1D, mce2A, mce2D, mce3A, mce3C) in different M.tuberculosis isolates (MDR1, MDR2, and sensitive isolate) at early exponential and stationary phases using real-time quantitative PCR. RESULTS: The expression ratio of all selected mce operon genes in all M. tuberculosis isolates was reduced at the initial phase and increased substantially at a later phase of growth. Higher expression of mce1 operon genes was found in all M. tuberculosis isolates as compared to other mce operon genes (mce2 and mce3 operons) at stationary growth phase. INTERPRETATION & CONCLUSIONS: the higher expression of mce operon genes at stationary phase (as compared to early exponential phase) suggested growth phase dependent expression of mce operon genes. This indicated that the mce operon genes might have a role in M. tuberculosis survival and adaptation on the onset of adverse condition like stationary phase. Identification of differentially expressed genes will add to our understanding of the bacilli involved in adaptation to different growth conditions.

Absence of nucleotide-binding oligomerization domain-containing protein 2 variants in patients with leprosy and tuberculosis.

Crohn's disease-associated NOD 2 variants (Arg702Trp and 3020insC) were found to be monomorphic (wild), and 7 subjects were heterozygous for Gly908Arg SNP in 263 patients with tuberculosis, 260 patients with leprosy and 270 healthy controls residing in northern Indian states. This is the first report to suggest the minimal role of these variants in susceptibility/resistance to TB and leprosy in this population.

Parametric analysis of surfactant-aided imbibition in fractured carbonates.

Many carbonate oil reservoirs are oil-wet and fractured; waterflood recovery is very low. Dilute surfactant solution injection into the fractures can improve oil production from the matrix by altering the wettability of the rock to a water-wetting state. A 2D, two-phase, multicomponent, finite-volume, fully-implicit numerical simulator calibrated with our laboratory results is used to assess the sensitivity of the process to wettability alteration, IFT reduction, oil viscosity, surfactant diffusivity, matrix block dimensions, and permeability heterogeneity. Capillarity drives the oil production at the early stage, but gravity is the major driving force afterwards. Surfactants which alter the wettability to a water-wet regime give higher recovery rates for higher IFT systems. Surfactants which cannot alter wettability give higher recovery for lower IFT systems. As the wettability alteration increases the rate of oil recovery increases. Recovery rate decreases with permeability significantly for a low tension system, but only mildly for high tension systems. Increasing the block dimensions and increasing oil viscosity decreases the rate of oil recovery and is in accordance with the scaling group for a gravity driven process. Heterogeneous layers in a porous medium can increase or decrease the rate of oil recovery depending on the permeability and the aspect ratio of the matrix block.

AFM study of mineral wettability with reservoir oils.

Wettability plays a key role in determining fluid distributions and consequently the multiphase flow and transport in petroleum reservoirs. Many crude oils have polar organic components that collect at oil-water interfaces and can adsorb onto the mineral surface if the brine film breaks, rendering the medium oil-wet or mixed-wet. Mica and silica surfaces have been aged with brine and crude oils to induce oil component adsorption. Bulk oil is eventually replaced by water in these experiments by washing with common solvents without ever drying the mineral surface. The organic deposit on the mineral surface is studied by atomic force microscopy in the tapping mode under water. Drying the surface during the removal of bulk oil induces artifacts; it is essential to keep the surface wet at all times before atomic force microscopy or contact angle measurement. As the mean thickness of the organic deposit increases, the oil-water contact angle increases. The organic deposits left behind after extraction of oil by common aromatic solvents used in core studies, such as toluene and decalin, are thinner than those left behind by non-aromatic solvents, such as cyclohexane. The force of adhesion with a probe sphere for minerals aged with just the asphaltene fraction is similar to that of the whole oil. The force of adhesion for the minerals aged with just the resin fraction is the highest of all SARA (saturates, aromatics, resins, and asphaltenes) fractions.

Batch gravitational sedimentation of slurries.

We investigated the batch settling behavior of the kaolin slurry and the UK ball clay slurry at various initial solids fractions (phi(0)s) using a computerized axial tomography scanner (CATSCAN). The spatio-temporal evolutions of solids fractions in the consolidating sediments were continuously monitored. Since the interface between the sediment and the supernatant of the investigated slurries was blurred, an averaging procedure was employed to estimate their null-stress solids fractions (phi(g)s). Besides the rather slow settling for the high-phi(0) slurries, the basic settling characteristics resemble each other regardless of whether phi(0)>phi(g) or vice versa. The above-mentioned experimental data reveal that the investigated slurries are neither purely elastic nor purely plastic in rheological behavior. On contrary to most model works a blurred supernatant-sediment interface makes difficulty in the gel point determination. During initial settling the high-phi(0) slurries clearly exhibit a finite yield stress to resist deformation. That is, the slurries are plastic fluids. However, the network structure in the slurries deteriorates gradually in the subsequent settling stage while the final, equilibrated sediment reveals a continuous distribution in solids fraction. Restated, the final sediment possesses as a purely elastic characteristic. The model parameters of theory by Buscall and White were regressed by the dynamic consolidating sediment data, while those by Tiller and Leu were obtained using the final equilibrated sediment data. Calculations from both models reveal that ball clay slurry is more compressible than is the kaolin slurry. The high-phi(S0) slurry would yield the less compressible sediment.

A laboratory study of surfactant flushing of DNAPL in the presence of macroemulsion.

Computed tomography (CT) monitored experiments are conducted in a three-dimensional water-saturated sandpack to evaluate the performance of a biodegradable surfactant (Glucopon-425N) in recovering a residually trapped dense nonaqueous phase liquid (DNAPL) tetrachloroethylene (PCE) from two sandpacks. Effects of flow rate, surfactant concentration, and pore size on the remediation process are evaluated. Axial variation in porosity of a sandpack has significant effect on the residual distribution of DNAPL in the sandpack and its subsequent recovery. DNAPL is recovered in two stages in general: mobilization followed by macroemulsion-solubilization. Mobilized DNAPL is recovered as a free-phase for all the experiments in the 30-mesh sandpack and only limited mobilization was observed in the 50-mesh sandpack. The dominant mechanism of recovery is macroemulsion flow (accounts for 46-86% of solubilized-emulsified PCE) in both the sands which leads to much higher PCE effluent concentration than the solubility limit as determined in batch solubilization studies. The effluent PCE concentration in the later stage depends on surfactant concentration but not on surfactant flow rate or pore size.

Immunological profile of treated lepromatous leprosy patients.

The immune responses of 19 treated lepromatous patients who had remained smear negative for a long period were assessed for specific cell-mediated immunity (CMI), anti-Mycobacterium leprae antibodies and cytokine release in response to challenge with M. leprae soluble antigen (MLSA). All of these patients remained anergic to Mitsuda lepromin. Lymphoproliferation in response to M. leprae antigen was noted in only two patients. Significant reduction in the phenolic glycolipid I (PGL-I) antibody response in treated patients with no difference in the M. leprae 35-kDa antibody response was observed when these responses were compared with those of active lepromatous patients. More treated patients produced interleukin-2 (IL-2) and interferon gamma (IFN-gamma) than did active patients. On the other hand, fewer treated patients produced IL-10 than did active patients. These limited findings suggest that the host immune response makes an attempt toward upregulation of CMI in some treated LL/BL patients.

Determination of circulating IgG subclasses against lipoarabinomannan in the leprosy spectrum and reactions.

IgG subclasses against lipoarabinomannan of mycobacteria were analyzed in the sera of leprosy patients. Patients with active leprosy [tuberculoid and lepromatous, patients undergoing erythema nodosum leprosum (ENL) and reversal reactions] and inactive cases (tuberculoid and lepromatous who were cured after chemotherapy) were included in this study. Active lepromatous patients had higher levels of IgG subclasses, except IgG4, compared to active tuberculoid patients. Some of the inactive cases (lepromatous patients cured after chemotherapy) were positive for the IgG1, IgG2 and IgG3 subclasses. However, their levels are lower than active lepromatous cases. On the other hand, no difference in the subclass levels between the active and inactive tuberculoid groups could be observed. While a significant fall in the level of IgG3 in ENL was observed as compared to lepromatous leprosy without ENL, higher levels of IgG1 and IgG2 were found in patients with reversal reactions compared to their active counterparts without reactions.

Levels of IgG subclasses in active and inactive cases in the disease spectrum of leprosy.

The present study was carried out to establish the role of IgG subclasses in leprosy. IgG subclasses to Mycobacterium leprae sonicated antigens (MLSA) and phenolic glycolipid-I (PGL-I) were determined in 124 patients with active leprosy across the disease spectrum and in 76 cases with inactive disease after completion of chemotherapy. IgG2 antibodies were found to be the predominant subclass across the disease spectrum. Lepromatous patients showed elevated levels of IgGI. IgG3 antibody levels were higher in lepromatous than that in tuberculoid patients. Patients with erythema nodosum leprosum showed a significant fall in IgG3 antibody to MLSA. While chemotherapy induced a reduction in IgG1, IgG2 and IgG3 to PGL-I in almost all types of leprous patients, for MLSA the reduction was noticed for these subclasses only in lepromatous patients. IgG4 responses to these antigens were low through out the disease spectrum and did not alter with chemotherapy.

Partial characterization of Mycobacterium fortuitum and Mycobacterium smegmatis auxotrophs by syntrophism using Bacillus subtilis.

Syntrophism (cross-feeding) could be demonstrated between mutants of Mycobacterium fortuitum and Mycobacterium smegmatis, and previously characterized mutants of Bacillus subtilis, auxotrophic for arginine, histidine, lysine or phenylalanine. Based on this cross-feeding data, the possible site of blockage in the biosynthetic pathways of the mutants could be inferred.