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Item Open Access A host gene expression approach for identifying triggers of asthma exacerbations.(PloS one, 2019-01) Lydon, Emily C; Bullard, Charles; Aydin, Mert; Better, Olga M; Mazur, Anna; Nicholson, Bradly P; Ko, Emily R; McClain, Micah T; Ginsburg, Geoffrey S; Woods, Chris W; Burke, Thomas W; Henao, Ricardo; Tsalik, Ephraim LRATIONALE:Asthma exacerbations often occur due to infectious triggers, but determining whether infection is present and whether it is bacterial or viral remains clinically challenging. A diagnostic strategy that clarifies these uncertainties could enable personalized asthma treatment and mitigate antibiotic overuse. OBJECTIVES:To explore the performance of validated peripheral blood gene expression signatures in discriminating bacterial, viral, and noninfectious triggers in subjects with asthma exacerbations. METHODS:Subjects with suspected asthma exacerbations of various etiologies were retrospectively selected for peripheral blood gene expression analysis from a pool of subjects previously enrolled in emergency departments with acute respiratory illness. RT-PCR quantified 87 gene targets, selected from microarray-based studies, followed by logistic regression modeling to define bacterial, viral, or noninfectious class. The model-predicted class was compared to clinical adjudication and procalcitonin. RESULTS:Of 46 subjects enrolled, 7 were clinically adjudicated as bacterial, 18 as viral, and 21 as noninfectious. Model prediction was congruent with clinical adjudication in 15/18 viral and 13/21 noninfectious cases, but only 1/7 bacterial cases. None of the adjudicated bacterial cases had confirmatory microbiology; the precise etiology in this group was uncertain. Procalcitonin classified only one subject in the cohort as bacterial. 47.8% of subjects received antibiotics. CONCLUSIONS:Our model classified asthma exacerbations by the underlying bacterial, viral, and noninfectious host response. Compared to clinical adjudication, the majority of discordances occurred in the bacterial group, due to either imperfect adjudication or model misclassification. Bacterial infection was identified infrequently by all classification schemes, but nearly half of subjects were prescribed antibiotics. A gene expression-based approach may offer useful diagnostic information in this population and guide appropriate antibiotic use.Item Unknown Floquet Majorana fermions for topological qubits in superconducting devices and cold-atom systems.(Physical review letters, 2013-07) Liu, Dong E; Levchenko, Alex; Baranger, Harold UWe develop an approach to realizing a topological phase transition and non-Abelian braiding statistics with dynamically induced Floquet Majorana fermions (FMFs). When the periodic driving potential does not break fermion parity conservation, FMFs can encode quantum information. Quasienergy analysis shows that a stable FMF zero mode and two other satellite modes exist in a wide parameter space with large quasienergy gaps, which prevents transitions to other Floquet states under adiabatic driving. We also show that in the asymptotic limit FMFs preserve non-Abelian braiding statistics and, thus, behave like their equilibrium counterparts.Item Open Access Observation of Majorana quantum critical behaviour in a resonant level coupled to a dissipative environment(Nature Physics, 2013) Mebrahtu, HT; Borzenets, IV; Zheng, H; Bomze, YV; Smirnov, AI; Florens, S; Baranger, HU; Finkelstein, GA quantum phase transition is an abrupt change between two distinct ground states of a many-body system, driven by an external parameter. In the vicinity of the quantum critical point (QCP) where the transition occurs, a new phase may emerge that is determined by quantum fluctuations and is very different from either phase. In particular, a conducting system may exhibit non-Fermi-liquid behaviour. Although this scenario is well established theoretically, controllable experimental realizations are rare. Here, we experimentally investigate the nature of the QCP in a simple nanoscale system-a spin-polarized resonant level coupled to dissipative contacts. We fine-tune the system to the QCP, realized exactly on-resonance and when the coupling between the level and the two contacts is symmetric. Several anomalous transport scaling laws are demonstrated, including a striking non-Fermi-liquid scattering rate at the QCP, indicating fractionalization of the resonant level into two Majorana quasiparticles.