Antibiotic resistance genes in the gut microbiota of mothers and linked neonates with or without sepsis from low- and middle-income countries.

Early development of the microbiome has been shown to affect general health and physical development of the infant and, although some studies have been undertaken in high-income countries, there are few studies from low- and middle-income countries. As part of the BARNARDS study, we examined the rectal microbiota of 2,931 neonates (term used up to 60 d) with clinical signs of sepsis and of 15,217 mothers screening for blaCTX-M-15, blaNDM, blaKPC and blaOXA-48-like genes, which were detected in 56.1%, 18.5%, 0% and 4.1% of neonates' rectal swabs and 47.1%, 4.6%, 0% and 1.6% of mothers' rectal swabs, respectively. Carbapenemase-positive bacteria were identified by MALDI-TOF MS and showed a high diversity of bacterial species (57 distinct species/genera) which exhibited resistance to most of the antibiotics tested. Escherichia coli, Klebsiella pneumoniae and Enterobacter cloacae/E. cloacae complex, the most commonly found isolates, were subjected to whole-genome sequencing analysis and revealed close relationships between isolates from different samples, suggesting transmission of bacteria between neonates, and between neonates and mothers. Associations between the carriage of antimicrobial resistance genes (ARGs) and healthcare/environmental factors were identified, and the presence of ARGs was a predictor of neonatal sepsis and adverse birth outcomes.

MHD marking using the MSE polarimeter optics in ILW JET plasmas.

In this communication we propose a novel diagnostic technique, which uses the collection optics of the JET Motional Stark Effect (MSE) diagnostic, to perform polarimetry marking of observed MHD in high temperature plasma regimes. To introduce the technique, first we will present measurements of the coherence between MSE polarimeter, electron cyclotron emission, and Mirnov coil signals aiming to show the feasibility of the method. The next step consists of measuring the amplitude fluctuation of the raw MSE polarimeter signals, for each MSE channel, following carefully the MHD frequency on Mirnov coil data spectrograms. A variety of experimental examples in JET ITER-Like Wall (ILW) plasmas are presented, providing an adequate picture and interpretation for the MSE optics polarimeter technique.

MHD stability of advanced tokamak scenarios with reversed central current: an explanation of the "current hole".

A region of zero current density in the plasma center has been observed in the advanced tokamak scenarios with off-axis lower-hybrid current drive in the JET and JT-60U tokamak experiments. Significantly, the central current density does not become negative, although this is expected based on conventional current diffusion. In this paper, it is shown that the zero central current density and the absence of negative central current can be explained by the influence of a resistive kink magnetohydrodynamic instability.

Complete stabilization of neoclassical tearing modes with lower hybrid current drive on COMPASS-D. RF teams.

Lower hybrid current drive (LHCD) with modest powers ( approximately 10% of the total power input) has been used for the first time to completely stabilize performance limiting neoclassical tearing modes in many COMPASS-D tokamak discharges. The stabilizing effect in these experiments is consistent with a reduction in the free energy available in the current profile to drive tearing modes (i.e., the stability index, delta(')) resulting from favorable current gradients (from the LHCD driven current) around the rational surface.

Control of neoclassical tearing modes by sawtooth control.

The onset of a neoclassical tearing mode (NTM) depends on the existence of a large enough seed island. It is shown in the Joint European Torus that NTMs can be readily destabilized by long-period sawteeth, such as obtained by sawtooth stabilization from ion-cyclotron heating or current drive. This has important implications for burning plasma scenarios, as alpha particles strongly stabilize the sawteeth. It is also shown that, by adding heating and current drive just outside the inversion radius, sawteeth are destabilized, resulting in shorter sawtooth periods and larger beta values being obtained without NTMs.