Correlation of ciprofloxacin resistance with the AdeABC efflux system in Acinetobacter baumannii clinical isolates

Background: Acinetobacter baumannii is one of the most important pathogens capable of colonization in burn patients, leading to drug-resistant wound infections. This study evaluated the distribution of the AdeABC efflux system genes and their relationship to ciprofloxacin resistance in A. baumannii isolates collected from burn patients. Methods: A total of 68 A. baumannii clinical strains were isolated from patients hospitalized in Motahari Burns Center in Tehran, Iran. Ciprofloxacin susceptibility was tested by the disk diffusion and agar dilution methods. PCR amplification of the adeRS-adeB drug efflux genes was performed for all resistant and susceptible isolates. To assess the role of the drug efflux pump in ciprofloxacin susceptibility, carbonyl cyanide 3-chlorophenylhydrazone (CCCP) was used as an efflux pump inhibitor (EPI). Results: Approximately 95.6% of the Acinetobacter isolates were resistant to ciprofloxacin, with minimum inhibitory concentration (MIC) values ranging from 4 to ≥128 μg/mL. The susceptibility of 86.1% of the resistant isolates increased by factors of 2 to 64 in the presence of CCCP. All resistant isolates were positive for the adeRS-adeB genes, and 73.2% of them had mutations in the AdeRS regulatory system. Conclusions: The results showed that AdeABC genes are common in A. baumannii, which might be associated with ciprofloxacin non-susceptibility, as indicated by the observed linkage to the presence of the genes essential for the activity of the AdeABC, several single mutations occurring in the adeRS regulatory system, and an increase of ciprofloxacin susceptibility in the presence of a CCCP EPI. © The Korean Society for Laboratory Medicin

Synchronization in Networks of Identical Systems via Pinning: Application to Distributed Secondary Control of Microgrids

Motivated by the need for fast synchronized operation of power microgrids, we analyze the problem of single and multiple pinning in networked systems. We derive lower and upper bounds on the algebraic connectivity of the network with respect to the reference signal. These bounds are utilized to devise a suboptimal algorithm with polynomial complexity to find a suitable set of nodes to pin the network effectively and efficiently. The results are applied to secondary voltage pinning control design for a microgrid in islanded operation mode. Comparisons with existing single and multiple pinning strategies clearly demonstrates the efficacy of the obtained results.Comment: 11 pages, 9 figures, submitted to Transactions on Control Systems Technolog

Soil moisture storage and hillslope stability

International audienceRecently, we presented a steady-state analytical hillslope stability model to study rain-induced shallow landslides. This model is based on kinematic wave dynamics of saturated subsurface storage and the infinite slope stability assumption. Here we apply the model to investigate the effect of neglecting the unsaturated storage on the assessment of slope stability in the steady-state hydrology. For that purpose we extend the hydrological model to compute the soil pore pressure distribution over the entire flow domain. We also apply this model for hillslopes with non-constant soil depth to compare the stability of different hillslopes and to find the critical slip surface in hillslopes with different geometric characteristics. In order to do this, we incorporate more complex approaches to compute slope stability (Janbu's non-circular method and Bishop's simplified method) in the steady-state analytical hillslope stability model. We compare the safety factor (FS) derived from the infinite slope stability method and the more complex approach for two cases: with and without the soil moisture profile in the unsaturated zone. We apply this extended hillslope stability model to nine characteristic hillslope types with three different profile curvatures (concave, straight, convex) and three different plan shapes (convergent, parallel, divergent). Overall, we find that unsaturated zone storage does not play a critical role in determining the factor of safety for shallow and deep landslides. As a result, the effect of the unsaturated zone storage on slope stability can be neglected in the steady-state hydrology and one can assume the same bulk specific weight below and above the water table. We find that steep slopes with concave profile and convergent plan shape have the least stability. We also demonstrate that in hillslopes with non-constant soil depth (possible deep landslides), the ones with convex profiles and convergent plan shapes have slip surfaces with the minimum safety factor near the outlet region. In general, when plan shape changes from divergent to convergent, stability decreases for all length profiles. Finally, we show that the applied slope stability methods and steady-state hydrology model based on the relative saturated storage can be used safely to investigate the relation between hillslope geometry and hillslope stability

Two heterostigmatic mite species (Acari: Dolichocybidae, Podapolipidae) associated with Scarabaeus pius (Coleoptera: Scarabaeidae) from Iran

During a study on insect-associated heterostigmatic mites (Acari: Prostigmata) in southern Isfahan Province, Central Iran, two colonies of mites were found on Scarabaeus pius (Illiger, 1803) (Coleoptera: Scarabaeidae): Pavania lanceolata sp. n. Bahramian et Hajiqanbar (Dolichocybidae) that is easily discernible by some modified foliate setae on tarsi I–III; and Tarsopolipus massai Husband, 1989 (Podapolipidae) for which Scarabaeus pius is a new host recor

Ultrastructure of cytoplasmic fragments in human cleavage stage embryos

Purpose: The goal of this study was to evaluate the ultrastructure of cytoplasmic fragments along with the effect of cytoplasmic fragment and perivitelline space coarse granulation removal (cosmetic microsurgery) from embryos before embryo transfer on ART outcomes. Methods: One hundred and fifty intracytoplasmic sperm injection cycles with male factor infertility were included in this prospective study. Patients were divided into three groups of case (n = 50), sham (n = 50), and control (n = 50). Embryos with 10–50 % fragmentation were included in this study. Cosmetic microsurgery and zona assisted hatching were only performed in case and sham groups respectively. Extracted fragments were evaluated ultrastructurally by transmission electron microscopy (TEM). Rates of clinical pregnancy, live birth, miscarriage, multiple pregnancies, and congenital anomaly in the three groups were also compared. Results: Micrographs from TEM showed that mitochondria were the most abundant structures found in the fragments along with mitochondria-vesicle complexes, Golgi apparatus, primary lysosomes, and vacuoles. There were no significant differences in demographic characteristics, laboratory and clinical data, or embryo morphological features between the groups. The rate of clinical pregnancy in control, sham, and case groups had no significant differences (24, 18, and 18 %, respectively). The rates of live birth, miscarriage, multiple pregnancy, and congenital anomaly were also similar between the different groups. Conclusions: Our data demonstrated that cosmetic microsurgery on preimplantation embryos had no beneficial effect on ART outcomes in unselected groups of patients. As mitochondria are the most abundant organelles found in cytoplasmic fragments, fragment removal should be performed with more caution in embryos with moderate fragmentation

Predictive factors of acute renal failure in the neonates with respiratory distress syndrome

Background: Preterm birth occurs in a large number of pregnancies, and its incidence has been reported to be on the rise. Acute kidney injury (AKI) is a common complication in the premature infants with respiratory distress syndrome (RDS). The present study aimed to determine the predictive factors, clinical courses, and outcomes of AKI in the neonates with the clinical and radiological manifestations of RDS. Methods: Medical records of 84 premature neonates with RDS were evaluated in two groups of case (with AKI) (n=34) and control (without AKI) (n=50). Diagnosis of AKI was based on the increased level of serum creatinine (>1.5 mg/dL) after the third day of birth or increasing serum creatinine level. In addition, blood pressure and laboratory findings, including complete blood count, serum electrolytes, and urine volume, were compared between the two groups. Results: Mean age of the infants with AKI was 5.41±3.29 days, and the majority of the patients had nonoliguric renal failure. Among the samples, 23.5 died, and 76.5 were discharged without renal impairment. Birth weight, systolic blood pressure, blood urea nitrogen, calcium, and pH on admission had significant correlations with the presence of AKI. Moreover, birth weight was observed to be a relatively accurate predictive factor for AKI (AUC=0.08; 95 CI=0.68-0.91), with 73.5 sensitivity and 80 specificity. Conclusion: According to the results, AKI was more common in the low-birth-weight infants with severe RDS compared to the other subjects. © 2018 Mashhad University of Medical Sciences. All rights reserved

In-vitro application of pentoxifylline preserved ultrastructure of spermatozoa after vitrification in asthenozoospermic patients

Abstract PURPOSE: To evaluate the effect of in vitro application of pentoxifylline (PX) on sperm parameters and ultrastructure after vitrification in asthenozoospermic patients. MATERIALS AND METHODS: A total of 30 asthenozoospermic semen samples (aged 25-45 years) were divided into four groups before vitrification, after vitrification, control (without PX) and experimental (with PX). In experimental group, each sample was exposed for 30 min to 3.6mmol/l PX and the control group without any treatment apposing in 370C for 30 min. After incubation, the samples were washed and analyzed again. Vitrification was done according to straw method. Eosin-nigrosin and Papanicolaou staining were applied for assessment of sperm viability and morphology, respectively. The samples without PX and post treatment with PX were assessed by transmission electron microscopy (TEM). RESULTS: A significant decrease in sperm motility (P ≤ .001), morphology (11.47 ± 2.9 versus 6.73 ± 2.01) and viability (73.37 ± 6.26 versus 54.67 ± 6.73) was observed post vitrification, but sperm motility (19.85 ± 4.75 versus 32.07 ± 5.58, P ≤ .001) was increased significantly following application of PX. This drug had no significant (P >.05) detrimental neither negative effect on ultrastructure acrosome, plasma membrane and coiled tail statues of spermatozoa. CONCLUSION: Vitrification had detrimental effects on sperm parameters, but PX reversed detrimental effects on sperm motility. However, PX had no alteration on ultrastructure morphology of human spermatozoa after vitrification

Detection of the efflux-mediated erythromycin resistance transposon in streptococcus pneumoniae

Background: The present analysis focuses on phenotypic and genotypic characterizations of efflux-mediated erythromycin resistance in Streptococcus pneumoniae due to an increase in macrolide resistance in S. pneumoniae worldwide. Methods: We investigated the prevalence of efflux-mediated erythromycin resistance and its relevant genetic elements from 186 specimens of S. pneumonia isolated from clinical and normal flora from Tehran, Iran. The presence of erythromycin resistance genes was tested by PCR with two sets of primers, specific for erm(B) and mef(A/E), and their genetic elements with tetM, xis, and int genes. Isolates were typed with the BOX PCR method and tested for resistance to six antibiotics. Results: Antibiotic susceptibility tests revealed that 100 and 47 isolates were resistant to tetracycline and erythromycin, respectively. The erythromycin and clindamycin double-disc diffusion test for macrolide-lincosamide-streptograminB (MLSB) resistance phenotype showed 74 (84) isolates with the constitutive MLSB phenotype and the remaining with the M phenotype. BOX PCR demonstrated the presence of 7 types in pneumococci with the M phenotype. Fourteen (16) isolates with the M phenotype harbored mef(A/E), tetM, xis, and int genes. Conclusion: The present results suggest dissemination of polyclonal groups of S. pneumoniae with the M phenotype carrying resistance genes attributed to transposon 2009. © The Korean Society for Laboratory Medicine