Evolution of hepatitis C virus variants following blood transfusion from one infected donor to several recipients: a long-term follow-up

Variants of hepatitis C virus (HCV) from a single infected blood donor and 13 viraemic recipients who were traced were examined by sequencing and cloning to determine the extent of virus diversity in hypervariable region 1. Serum-derived viral isolates were studied from the donor when his HCV infection was discovered in 1993, in his recipients that year (0·3–5 years post-transfusion) and 5 years later in the donor and six viraemic recipients who were still alive. Viral variants of broad diversity were readily demonstrated in the baseline samples of the donor (nucleotide p-distance 0·130), but significantly less (P<0·00003) diversity was observed in the recipients' first samples (p-distances within recipients 0·003–0·062). In the first blood samples of the recipients, many of the viral variants identified were closely related to a strain variant from the donor. In follow-up samples drawn 5 years later from the donor and six recipients, the p-distance among donor clones had increased (0·172, P<0·0005) compared with the recipients, who displayed significantly narrower quasispecies (0·011–0·086). A common finding was that recipients of blood components processed from the same donation differed substantially in persisting HCV infectious sequence. Markedly few changes leading to changes of amino acids had occurred during follow-up in four of six recipients. These results question the significance of the development of viral variants as a necessary phenomenon in the evolution of HCV and pathogenesis of the disease

Late Periprosthetic Joint Infection due to Staphylococcus lugdunensis Identified by Matrix-Assisted Laser Desorption/Ionisation Time of Flight Mass Spectrometry: A Case Report and Review of the Literature

Staphylococcus lugdunensis, member to the group of coagulase-negative staphylococci, is previously thought to be rarely isolated. Recently other staphylococci have been described, which were supposedly related to S. lugdunensis, such as Staphylococcus pseudolugdunensis and Staphylococcus pettenkoferi. To decrease the rate misidentifications, an accurate identification method, such as matrix-assisted laser desorption ionization time of flight mass spectrometry or molecular methods, should be used. S. lugdunensis is usually associated with severe infections similar to those caused by S. aureus. Moreover, it has been described that skin infections due to S. lugdunensis are severely underreported and could be also underreported in periprosthetic joint infections. Ours is the first case of a late periprosthetic infection of the hip due to S. lugdunensis, identified by matrix-assisted laser desorption/ionisation time-of-flight mass spectrometry. A periprosthetic infection due to S. lugdunensis should be treated according to protocols of S. aureus periprosthetic infections, and therefore an accurate species identification is desirable

Development of a multivariable prediction model for early revision of total knee arthroplasty - The effect of including patient-reported outcome measures

BACKGROUND: Revision TKA is a serious adverse event with substantial consequences for the patient. As revision is becoming increasingly common in patients under 65 years, the need for improved preoperative patient selection is imminently needed. Therefore, this study aimed to identify the most important factors of early revision and to develop a prediction model of early revision including assessment of the effect of incorporating data on patient-reported outcome measures (PROMs). MATERIAL AND METHODS: A cohort of 538 patients undergoing primary TKA was included. Multiple logistic regression using forward selection of variables was applied to identify the best predictors of early revision and to develop a prediction model. The model was internally validated with stratified 5-fold cross-validation. This procedure was repeated without including data on PROMs to develop a model for comparison. The models were evaluated on their discriminative capacity using area under the receiver operating characteristic curve (AUC). RESULTS: The most important factors of early revision were age (OR 0.63 [0.42, 0.95]; P = 0.03), preoperative EQ-5D (OR 0.07 [0.01, 0.51]; P = 0.01), and number of comorbidities (OR 1.01 [0.97, 1.25]; P = 0.15). The AUCs of the models with and without PROMs were 0.65 and 0.61, respectively. The difference between the AUCs was not statistically significant (P = 0.32). CONCLUSIONS: Although more work is needed in order to reach a clinically meaningful quality of the predictions, our results show that the inclusion of PROMs seems to improve the quality of the prediction model

Palladium dispersion effects on wet methane oxidation kinetics

The catalytic activity for dry and wet methane oxidation over a series of palladium–alumina catalysts with palladium loadings from 0.23 to 3.6 wt% Pd and systematically varied PdO dispersions from 8.1 to 39% was evaluated by flow reactor measurements and compared with multiscale simulations. The catalysts were prepared by industrially relevant incipient wetness impregnation followed by controlled calcination to provide similar active surface area with a realistic contact between active PdO nanoparticles and the alumina support. Kinetic analysis reveals that in wet conditions, the apparent activation energy for methane oxidation decreases as the PdO particle size increases as opposed to dry conditions where it increases. Active sites at the rim of the PdO particles in contact with the alumina support seem to contribute more to the overall activity under dry conditions but are more sensitive to wet conditions than PdO sites farther away from the rim. This sensitivity is likely due to more severe blocking by hydroxyl groups formed by water dissociation and reversed spillover. Simulations support that PdO bound hydroxyls well may form under the present reaction conditions. It is envisaged that the design of palladium–alumina catalysts for high methane turn-over frequency should target high but not too high PdO dispersion, i.e., the PdO particles should not be smaller than about 2 nm, as to balance water tolerance and palladium utilisation

Genetic diversity of avocado from the southern highlands of Tanzania as revealed by microsatellite markers

Background: Avocado is an important cash crop in Tanzania, however its genetic diversity is not thoroughly investigated. This study was undertaken to explore the genetic diversity of avocado in the southern highlands using microsatellite markers. A total of 226 local avocado trees originating from seeds were sampled in eight districts of the Mbeya, Njombe and Songwe regions. Each district was considered as a population. The diversity at 10 microsatellite loci was investigated. Results: A total of 167 alleles were detected across the 10 loci with an average of 16.7 ± 1.3 alleles per locus. The average expected and observed heterozygosity were 0.84 ± 0.02 and 0.65 ± 0.04, respectively. All but two loci showed a significant deviation from the Hardy-Weinberg principle. Analysis of molecular variance showed that about 6% of the variation was partitioned among the eight geographic populations. Population FST pairwise comparisons revealed lack of genetic differentiation for the seven of 28 population pairs tested. The principal components analysis (PCA) and hierarchical cluster analysis showed a mixing of avocado trees from different districts. The model-based STRUCTURE subdivided the trees samples into four major genetic clusters. Conclusion: High diversity detected in the analysed avocado germplasm implies that this germplasm is a potentially valuable source of variable alleles that might be harnessed for genetic improvement of this crop in Tanzania. The mixing of avocado trees from different districts observed in the PCA and dendrogram points to strong gene flow among the avocado populations, which led to population admixture revealed in the STRUCTURE analysis. However, there is still significant differentiation among the tree populations from different districts that can be utilized in the avocado breeding program

Hampered PdO Redox Dynamics by Water Suppresses Lean Methane Oxidation over Realistic Palladium Catalysts

By use of operando spectroscopies under cycling reaction conditions, water is shown to hamper the redox dynamics of realistic palladium oxide nanoparticles dispersed onto alumina and hydrophobic zeolite supports thereby lowering the activity for total oxidation of methane. Water adsorption forms hydroxyl ad-species that block the methane and oxygen dissociation and seem to prevent lattice oxygen to take part in the methane oxidation. The main catalytic action is thus proposed to shift from the Mars-van Krevelen mechanism in dry conditions to a slower route that relies on Langmuir-Hinshelwood type of steps in wet conditions. This key finding has clear implications on catalyst design for low-temperature gas combustion emission control

Bericht des Nationalen Referenzzentrums für gramnegative Krankenhauserreger

Im Zeitraum vom 1. Januar 2022 bis zum 31. Dezember 2022 gab es im Nationalen Referenzzentrum (NRZ) für gramnegative Krankenhauserreger 9.548 Einsendungen von Bakterienisolaten. Dies entspricht einem Anstieg von fast 12 % im Vergleich zu 2021 und übertrifft das Vor-Pandemieniveau von 2019 (n = 9.369). Die Anzahl der Einsendungen lag bei durchschnittlich 796 Einsendungen pro Monat, die Isolate stammten aus 301 mikrobiologischen Laboren in Deutschland. Die Zahl der einsendenden Labore nahm im Vergleich zum Vorjahr (n = 283) ebenfalls zu. Wie das Epidemiologische Bulletin 27/2023 ausführt, stieg zudem Die Anzahl der Carbapenemase-Nachweise bei den bearbeiteten Isolaten stieg zudem auf den höchsten jemals im NRZ beobachteten Anstieg.Peer Reviewe

Distribution of <i>salmonella</i> serovars in humans, foods, farm animals and environment, companion and wildlife animals in Singapore

We analyzed the epidemiological distribution of Salmonella serovars in humans, foods, animals and the environment as a One-Health step towards identifying risk factors for human salmonellosis. Throughout the 2012&ndash;2016 period, Salmonella ser. Enteritidis was consistently the predominating serovar attributing to &gt;20.0% of isolates in humans. Other most common serovars in humans include Salmonella ser. Stanley, Salmonella ser. Weltevreden, Salmonella ser. Typhimurium and Salmonella ser. 4,5,12:b:-(dT+). S. Enteritidis was also the most frequent serovar found among the isolates from chicken/chicken products (28.5%) and eggs/egg products (61.5%) during the same period. In contrast, S. Typhimurium (35.2%) and Salmonella ser. Derby (18.8%) were prevalent in pork/pork products. S. Weltevreden was more frequent in seafood (19.2%) than others (&le;3.0%). Most isolates (&gt;80.0%) from farms, companion and wildlife animals belonged to serovars other than S. Enteritidis or S. Typhimurium. Findings demonstrate the significance of a One-Health investigative approach to understand the epidemiology Salmonella for more effective and integrated surveillance systems

Testing the effectiveness of the Forest Integrity Assessment: a field-based tool for estimating the condition of tropical forest

1. Global targets to halt biodiversity losses and mitigate climate change will require protecting rainforest beyond current protected area networks, necessitating responsible forest stewardship from a diverse range of companies, communities and private individuals. Robust assessments of forest condition are critical for successful forest management, but many existing techniques are highly technical, time-consuming, expensive, or require specialist knowledge. 2. To make assessment of tropical forests accessible to a wide range of actors, many of whom may be limited by resources or expertise, the High Conservation Value Resource Network (HCVRN), with the SE Asia Rainforest Research Partnership (SEARRP), developed a South East Asian version of the Forest Integrity Assessment (FIA) tool as a rapid (< 1 hour) method of assessing forest condition in the field, where non-experts respond to 50 questions about characteristics of the local environment while walking a site transect. Here, we examined the effectiveness of this survey tool by conducting ~ 1,000 assessments of forest condition at 16 tropical rainforest sites with varying levels of disturbance in Sabah, Malaysian Borneo. 3. We found good agreement (R-squared range: 0.50 – 0.78) between FIA survey scores and independent measures of forest condition, including biodiversity, vegetation structure, aboveground carbon, and other key metrics of ecosystem function, indicating that the tool performed well. Although there was variation among assessor responses when surveying the same forest sites, assessors were consistent in their ranking of those sites, and prior forest knowledge had a minimal effect on the FIA scores. Revisions or further training for questions where assessors disagree, for example on the presence of fauna at a site, could improve consistency. 4. We conclude that the FIA survey tool is a robust method of assessing forest condition, providing a rapid and accessible means of forest conservation assessment. The FIA tool could be incorporated into management practices in a wide range of forest conservation schemes, from sustainability standards, to community forestry and restoration initiatives. The tool will enable more organisations and individuals to understand the conservation value of the forests they manage, and to identify areas for targeted improvements