Prevalence of Chlamydia infection among women visiting a gynaecology outpatient department: evaluation of an in-house PCR assay for detection of Chlamydia trachomatis

<p>Abstract</p> <p>Background</p> <p>Screening women for <it>Chlamydia trachomatis </it>infection in developing countries is highly desirable because of asymptomatic infection. The existing diagnostic methods in developing countries are not effective and their sensitivity fall below 45.0% which leads to further spread of infection. There is an urgent need for improved and cost effective diagnostic tests that will reduce the burden of sexually transmitted infections in the developing world.</p> <p>Methods</p> <p>Prevalence of <it>C. trachomatis </it>infection among women visiting gynaecology department of Hindu Rao hospital in Delhi, India was determined using Roche Amplicor Multi Well Plate kit (MWP) as well as using in-house PCR assay. We used 593 endocervical swabs for clinical evaluation of the in-house developed assay against Direct Fluorescence Assay (DFA; Group I n = 274) and Roche Amplicor MWP kit (Group II, n = 319 samples) and determined the sensitivity, specificity, positive predictive value (PPV), negative predictive value (NPV) of the in-house developed assay.</p> <p>Results</p> <p>We detected 23.0% positive cases and there was a higher representation of women aged 18-33 in this group. An in-house PCR assay was developed and evaluated by targeting unique sequence within the <it>gyrA </it>gene of <it>C. trachomatis</it>. Specificity of the reaction was confirmed by using genomic DNA of human and other STI related microorganisms as template. Assay is highly sensitive and can detect as low as 10 fg of <it>C. trachomatis </it>DNA. The resolved sensitivity of in-house PCR was 94.5% compared with 88.0% of DFA assay. The high specificity (98.4%) and sensitivity (97.1%) of the in-house assay against Roche kit and availability of test results within 3 hours allowed for immediate treatment and reduced the risk of potential onward transmission.</p> <p>Conclusions</p> <p>The in-house PCR method is cost effective (~ 20.0% of Roche assay) and hence could be a better alternative for routine diagnosis of genital infection by <it>C. trachomatis </it>to facilitate improved screening and treatment management.</p

Assessment of Population Exposure to Coarse and Fine Particulate Matter in the Urban Areas of Chennai, India

Research outcomes from the epidemiological studies have found that the course (PM 10 ) and the fine particulate matter (PM 2.5 ) are mainly responsible for various respiratory health effects for humans. The population-weighted exposure assessment is used as a vital decision-making tool to analyze the vulnerable areas where the population is exposed to critical concentrations of pollutants. Systemic sampling was carried out at strategic locations of Chennai to estimate the various concentration levels of particulate pollution during November 2013-January 2014. The concentration of the pollutants was classified based on the World Health Organization interim target (IT) guidelines. Using geospatial information systems the pollution and the high-resolution population data were interpolated to study the extent of the pollutants at the urban scale. The results show that approximately 28% of the population resides in vulnerable locations where the coarse particulate matter exceeds the prescribed standards. Alarmingly, the results of the analysis of fine particulates show that about 94% of the inhabitants live in critical areas where the concentration of the fine particulates exceeds the IT guidelines. Results based on human exposure analysis show the vulnerability is more towards the zones which are surrounded by prominent sources of pollution

SpooQy-1: The First Nano-Satellite to Demonstrate Quantum Entanglement in Space

SpooQy-1 is a 3-unit nanosatellite that was launched into a Low Earth Orbit from the International Space Station on the 17th of June 2019. The spacecraft hosts a scientific payload capable of producing entangled photon-pairs and measuring their polarization in orthogonal bases to perform a Bell test. Since launch, SpooQy-1 has routinely demonstrated the generation and detection of polarization entangled photon-pairs in Space, something that has previously only been demonstrated by the 630kg Micius mission by the Chinese Academy of Sciences. The measured entanglement correlations can violate Bell\u27s inequality with a CHSH parameter value of 2.60±0.06, over operating temperatures of 16 °C to 21.5 °C. These results demonstrate that quantum entanglement can be generated in space on highly resource-constrained platforms. A follow-on 12U mission, developed in partnership with RAL space,will build on this to demonstrate space-to-ground entanglement distribution, which is required for space-based nodes to support global quantum communication networks

Unilateral hemothorax in a 46 year old South Indian male due to a giant arteriovenous hemodialysis fistula: a case report

In a patient undergoing regular hemodialysis through an arteriovenous fistula access, pleural effusion is a known long term complication. However, a unilateral hemothorax is relatively uncommon. Here we report a 46 year old male, end-stage renal disease patient, on maintenance hemodialysis, who presented with a giant brachiocephalic AV fistula in his left arm and progressive breathlessness. Radiological imaging revealed a left sided pleural effusion. Ultrasound guided aspiration revealed a hemorrhagic pleural fluid. A Doppler study of the fistula revealed a high velocity blood flow through the fistula, thereby establishing the cause of the unilateral hemothorax. Ligation of the fistula resulted in complete resolution of the hemothorax. The other possible causes for hemothorax in a dialysis patient are also discussed in this case report

Guidelines for inclusive and equitable energy and transport modeling

Energy and transport models are powerful tools for shaping policy, development pathways, and financial decisions. However, these models often fail to account for gender equality and social inclusion (GESI), perpetuating systemic inequities and excluding the needs of marginalized communities. This perspective presents guidelines, developed through a collaborative process informed by a scoping literature review and expert consultation with modelers and social scientists, for integrating GESI into large-scale energy and transport systems modeling processes, particularly in low- and lower middle-income countries. By addressing key challenges-such as data disaggregation, the limits of current model architectures, and the complexities of quantifying social factors-we outline steps to incorporate GESI considerations throughout every stage of the modeling life cycle. While developed with energy and transport systems in mind, the principles of these guidelines are broadly applicable to other infrastructure modeling domains. Ultimately, this work demonstrates how inclusive modeling practices can produce more equitable, context-sensitive results, and foster sustainable development outcomes

Observation of γγ → ττ in proton-proton collisions and limits on the anomalous electromagnetic moments of the τ lepton

The production of a pair of τ leptons via photon–photon fusion, γγ → ττ, is observed for the f irst time in proton–proton collisions, with a significance of 5.3 standard deviations. This observation is based on a data set recorded with the CMS detector at the LHC at a center-of-mass energy of 13 TeV and corresponding to an integrated luminosity of 138 fb−1. Events with a pair of τ leptons produced via photon–photon fusion are selected by requiring them to be back-to-back in the azimuthal direction and to have a minimum number of charged hadrons associated with their production vertex. The τ leptons are reconstructed in their leptonic and hadronic decay modes. The measured fiducial cross section of γγ → ττ is σfid obs = 12.4+3.8 −3.1 fb. Constraints are set on the contributions to the anomalous magnetic moment (aτ) and electric dipole moments (dτ) of the τ lepton originating from potential effects of new physics on the γττ vertex: aτ = 0.0009+0.0032 −0.0031 and |dτ| &lt; 2.9×10−17ecm (95% confidence level), consistent with the standard model

Incidental Detection of Persistent Left Superior Vena Cava during Transvenous Pacing

ABSTRACTPatients with persistent left superior vena cava (PLSVC) are usually asymptomatic, but due to its anatomical defects, difficulties in establishing central venous access, pacemaker implantation and cardiothoracic surgery are common. We report a case of 65 years old patient who presented with complete heart block in cardiac critical care and, after emergency transvenous pacing, the chest X-ray showed unusual course of the transvenous pacing lead, which on further transthoracic echocardiographic (TTE) evaluation demonstrated dilated coronary sinus with PLSVC.How to cite this articleSubash S, Gopal D, Thimmarayappa A. Incidental Detection of Persistent Left Superior Vena Cava during Transvenous Pacing. J Perioper Echocardiogr 2015; 3(2):52-54.</jats:sec