fbl-typing of Staphylococcus lugdunensis: a frontline tool for epidemiological studies

International audienc

Excitability in ramped systems: the compost-bomb instability

Copyright © 2010 The Royal SocietyOpen Access articleThe paper studies a novel excitability type where a large excitable response appears when a system’s parameter is varied gradually, or ramped, above some critical rate. This occurs even though there is a (unique) stable quiescent state for any fixed setting of the ramped parameter. We give a necessary and a sufficient condition for the existence of a critical ramping rate in a general class of slow–fast systems with folded slow (critical) manifold. Additionally, we derive an analytical condition for the critical rate by relating the excitability threshold to a canard trajectory through a folded saddle singularity. The general framework is used to explain a potential climate tipping point termed the ‘compost-bomb instability’—an explosive release of soil carbon from peatlands into the atmosphere occurs above some critical rate of global warming even though there is a unique asymptotically stable soil carbon equilibrium for any fixed atmospheric temperature

Active surveillance cultures and procalcitonin in combination with clinical data to guide empirical antimicrobial therapy in hospitalized medical patients with sepsis

Objective: The prevalence of colonization with multidrug-resistant organisms (MDRO) has increased over the last decade, reaching levels as high as 23% in certain patient populations. Active surveillance cultures (ASC) represent a valuable tool to identify patients colonized with MDRO to apply preventive measures, reduce transmission, and guide empiric antimicrobial therapy. There is a paucity of data evaluating the impact of admission ASCs to predict future infection. The aim of this study was to evaluate the concordance between ASCs results and the development of clinical infection by the same microorganism identified in the surveillance swab (“swab-related infection”), in hospitalized septic patients, and to evaluate the presence of specific risk factors associated with the development of a swab-related infection. Methods: All adults admitted to the Diagnostic and Therapeutic Medicine Department of the University Hospital Campus Bio-Medico of Rome with a diagnosis of infection or any other medical reason with admission surveillance swabs (rectal or nasal) between January 2018 and February 2021 were included in the study. A retrospective chart review was conducted to identify patients that developed infections with concordant MDROs identified on ASC, and the risk factors for swab-related infection. Secondary outcomes were need of intensive care unit transfer, length of stay, sepsis or septic shock development, and all-cause mortality. Results: A total of 528 patients were included in the study, of which 97 (18.3%) had a positive surveillance swab. Among patients with positive surveillance swabs, 18 (18.5%) developed an infection with the same microorganism recovered from the swab, 57 (58.8%) developed an infection with a different microorganism than that recovered from the surveillance swab, and 22 (22.7%) did not develop an infection during hospitalization. The number of colonized sites, an interventional procedure within the previous 3 months, a Systemic Inflammatory Response Syndrome (SIRS) score ≥ 2, and a quick Sequential Organ Failure Assessment (q-SOFA) score ≥ 2 were associated with a significantly higher risk of developing a swab-related infection. SIRS and q-SOFA scores ≥ 2 and procalcitonin ≥ 0.43 ng/ml help for identifying patients with a swab-related infection. Conclusion: Patients with positive surveillance swabs were at increased risk for development of infections by the same MDRO identified in surveillance swabs (swab-related infection). This study is the first to show that the positivity of surveillance swabs, in combination with anamnestic data, PCT values, and SIRS or q-SOFA scores, serves as a valuable tool to help clinicians predict patients at higher risk for swab-related infection development and guide the administration of appropriate empiric antimicrobial therapy in septic patients

Apport de la MLVA dans l'épidémiologie moléculaire des infections à Staphylococcus lugdunensis

International audienc

Growth and magnetic characterization of Co nanoparticles obtained by femtosecond pulsed laser deposition

We present a detailed study on the morphology and magnetic properties of Co nanostructures deposited onto oxidized Si substrates by femtosecond pulsed laser deposition. Generally, Co disks of nanometric dimensions are obtained just above the ablation threshold, with a size distribution characterized by an increasingly larger number of disks as their size diminishes, and with a maximum disk size that depends on the laser power density. In Au/Co/Au structures, in-plane magnetic anisotropy is observed in all cases, with no indication of superparamagnetism regardless of the amount of material or the laser power density. Magnetic force microscopy observations show coexistence of single-domain and vortex states for the magnetic domain structure of the disks. Superconducting quantum interference device magnetometry and x-ray magnetic circular dichroism measurements point to saturation magnetization values lower than the bulk, probably due to partial oxidation of the Co resulting from incomplete coverage by the Au capping layer.Work was supported in part by the U.S. Department of Energy, Basic Energy Sciences (Grant No. DE-FG02-06ER46273), NSF FOCUS Center, the Spanish Ministerio de Educación y Ciencia (References No. PR2005-0017 and No.MAT2005-05524-C02), Comunidad de Madrid (Reference No. S-0505/MAT/0194 NANOMAGNET), and CSIC (Reference No. 200650I130). Support from the SRS staff during the XMCD experiments is greatly acknowledged. Y.H. and L.M. also acknowledge financial support from the “Ramón y Cajal” and “Juan de la Cierva” programs, respectively, from the Spanish Ministerio de Investigación y Ciencia and Consejo Superior de Investigaciones Científicas (CSIC).Peer reviewe

Living on the Edge : How traits of ecosystem engineers drive bio-physical interactions at coastal wetland edges

Salt marshes and mangrove forests provide critical ecosystem services such as reduced sediment erosion and increased hydrodynamic buffering. Sediment transport and hydrodynamics can be influenced by specific functional traits of the plants (for example, flexibility vs. rigidity) and community traits (for example, spatial density). While there is a growing body of literature on plant trait and hydrodynamic interactions, direct comparative studies of sediment transport and scour development in and around intertidal wetland edges are scarce. In this study we systematically compared the effects of plant traits on sediment budgets around the lateral edges of intertidal wetlands under controlled hydrodynamic and sedimentary conditions using full scale vegetation mimics with contrasting flexibilities and densities. Experiments were carried out in a large-scale flume, using two spatial densities each of flexible and rigid vegetation mimics. We measured unconsolidated sedimentary bed-level changes in experimental runs using waves only, currents only, and waves combined with currents. Both mimic types dampened the energy of the incoming flow, highlighting the role of rigid and flexible aquatic vegetation in providing coastal protection. The rigid vegetation mimics’ lateral edge experienced larger velocities, more energetic turbulence, and local scour around individual stems. Scour around stems could influence the lateral expansion of the rigid vegetation ecosystem by reducing sediment stability and thus decreasing seedling establishment success. The flexible plant mimics produced lower turbulence at their leading edge, which resulted in sediment being deposited over a shorter distance into the patch than in the rigid mimics. Decreased vegetation density caused reduced sediment erosion at the leading edge and less sediment accumulation within the vegetation patches for both the rigid and flexible mimics. The hydrodynamic and sedimentary processes identified for both ecosystems are linked to different feedbacks. A positive feedback was identified in which vegetation attenuates hydrodynamic energy allowing sediment accumulation within the patch. A negative feedback was identified where large velocities caused flow divergence and erosion outside of the vegetation, and would therefore compromise its lateral expansion. High densities of rigid vegetation enhance this negative feedback. Lower density flexible vegetation, however, combined with less energetic hydrodynamic conditions facilitate the expansion of vegetation patches as they cause less flow divergence and therefore less erosion. The strong flow divergence observed in the rigid vegetation cases highlight their importance for buffering hydrodynamics but at the cost of increased erosion within the front end of patches and along their lateral edges

Assessing the impact of COVID-19 on liver cancer management (CERO-19)

Background & Aims: The coronavirus disease 2019 (COVID-19) pandemic has posed unprecedented challenges to healthcare systems and it may have heavily impacted patients with liver cancer (LC). Herein, we evaluated whether the schedule of LC screening or procedures has been interrupted or delayed because of the COVID-19 pandemic. Methods: An international survey evaluated the impact of the COVID-19 pandemic on clinical practice and clinical trials from March 2020 to June 2020, as the first phase of a multicentre, international, and observational project. The focus was on patients with hepatocellular carcinoma or intrahepatic cholangiocarcinoma, cared for around the world during the first COVID-19 pandemic wave. Results: Ninety-one centres expressed interest to participate and 76 were included in the analysis, from Europe, South America, North America, Asia, and Africa (73.7%,17.1%, 5.3%, 2.6%, and 1.3% per continent, respectively). Eighty-seven percent of the centres modified their clinical practice: 40.8% the diagnostic procedures, 80.9% the screening programme, 50% cancelled curative and/or palliative treatments for LC, and 41.7% modified the liver transplantation programme. Forty-five out of 69 (65.2%) centres in which clinical trials were running modified their treatments in that setting, but 58.1% were able to recruit new patients. The phone call service was modified in 51.4% of centres which had this service before the COVID-19 pandemic (n = 19/37). Conclusions: The first wave of the COVID-19 pandemic had a tremendous impact on the routine care of patients with liver cancer. Modifications in screening, diagnostic, and treatment algorithms may have significantly impaired the outcome of patients. Ongoing data collection and future analyses will report the benefits and disadvantages of the strategies implemented, aiding future decision-making. Lay summary: The coronavirus disease 2019 (COVID-19) pandemic has posed unprecedented challenges to healthcare systems globally. Herein, we assessed the impact of the first wave pandemic on patients with liver cancer and found that routine care for these patients has been majorly disrupted, which could have a significant impact on outcomes. (C) 2021 The Authors. Published by Elsevier B.V. on behalf of European Association for the Study of the Liver (EASL)