High Prevalence of Multidrug-Resistant Klebsiella pneumoniae Harboring Several Virulence and β-Lactamase Encoding Genes in a Brazilian Intensive Care Unit

Klebsiella pneumoniae is an important opportunistic pathogen that commonly causes nosocomial infections and contributes to substantial morbidity and mortality. We sought to investigate the antibiotic resistance profile, pathogenic potential and the clonal relationships between K. pneumoniae (n = 25) isolated from patients and sources at a tertiary care hospital’s intensive care units (ICUs) in the northern region of Brazil. Most of K. pneumoniae isolates (n = 21, 84%) were classified as multidrug resistant (MDR) with high-level resistance to β-lactams, aminoglycosides, quinolones, tigecycline, and colistin. All the 25 isolates presented extended-spectrum beta-lactamase-producing (ESBL), including carbapenemase producers, and carried the blaKPC (100%), blaTEM (100%), blaSHV variants (n = 24, 96%), blaOXA-1 group (n = 21, 84%) and blaCTX-M-1 group (n = 18, 72%) genes. The K2 serotype was found in 4% (n = 1) of the isolates, and the K1 was not detected. The virulence-associated genes found among the 25 isolates were mrkD (n = 24, 96%), fimH-1 (n = 22, 88%), entB (100%), iutA (n = 10, 40%), ybtS (n = 15, 60%). The genes related with efflux pumps and outer membrane porins found were AcrAB (100%), tolC (n = 24, 96%), mdtK (n = 22, 88%), OmpK35 (n = 15, 60%), and OmpK36 (n = 7, 28%). ERIC-PCR was employed to determine the clonal relationship between the different isolated strains. The obtained ERIC-PCR patterns revealed that the similarity between isolates was above 70%. To determine the sequence types (STs) a multilocus sequence typing (MLST) assay was used. The results indicated the presence of high-risk international clones among the isolates. In our study, the wide variety of MDR K. pneumoniae harboring β-lactams and virulence genes strongly suggest a necessity for the implementation of effective strategies to prevent and control the spread of antibiotic resistant infections

Phytosociological survey on native pasture of Paspalum notatum

Todos os textos, informa??es e resultados apresentados s?o de inteira responsabilidade dos autores.Coordenador/Orientador do Projeto: M?rcia Vit?ria Santos.Parte da inicia??o cientifica do primeiro autor, financiado pelo Conselho Nacional de Desenvolvimento Cient?fico e Tecnol?gico (CNPq), Funda??o de Amparo ? Pesquisa do Estado de Minas Gerais (FAPEMIG) e Coordena??o de Aperfei?oamento de Pessoal de N?vel Superior (CAPES).Objetivou-se com esse trabalho, realizar o levantamento fitossociol?gico em pastagem nativa de Paspalum notatum no munic?pio de Couto de Magalh?es de Minas-MG. O levantamento fitossociol?gico foi realizado em pastagem nativa de Paspalum notatum no munic?pio de Couto de Magalh?es de Minas MG. Para a identifica??o das plantas daninhas foi utilizado o m?todo do quadrado invent?rio, lan?ando ao acaso na ?rea 40 vezes um quadro de um metro de lado, totalizando uma ?rea amostral de 40m2. Avaliou-se a frequ?ncia (Fre), densidade (Den) e abund?ncia (Abu) das esp?cies encontradas na pastagem. Foram identificadas esp?cies distribu?das em seis fam?lias, destacando-se a fam?lia das Poaceae com cinco esp?cies. As esp?cies que apresentaram maior frequ?ncia (Fre) foram Sidastrum micranthum (malva-preta), Rhynchelystrum repens (capim-favorito) e Crotalaria incana (xique-xique), respectivamente. As esp?cies Eupatorium maximilianii (mata-pasto), Paspalum notatum (grama batatais) e Brachiaria decumbens (braquiarinha), apresentaram os maiores valores de densidade (Den), respectivamente. Paspalum notatum (grama batatais), Eupatorium maximilianii (mata-pasto) e Brachiaria decumbens (braquiarinha) foram ?s esp?cies que apresentaram maior abund?ncia (Abu). A pastagem de Paspalum notatum encontra-se infestada com esp?cies daninhas necessitando controle e corre??o do manejo do pasto para maior desempenho animal.The aim of this study was to do the phytosociological evaluation on a native pasture of Paspalum notatum in Couto de Magalh?es de Minas-MG. The phytosociological evaluation was made on native pasture of Paspalum notatum in Couto de Magalh?es de Minas-MG. To identification of the weed, the method used was the square inventory, hurled randomly in the area 40 times a square of one meter of side, totaling 40m2 of sample area. It was evaluate the frequency (Fre), density (Den), and abundancy (Abu) of the species found in the area. It was identified species of six families, standing out the family of the Poaceae including five species. The species that presented more frequency (Fre) were Sidastrum micranthum (dainty sandmallow), Rhynchelystrum repens (natal grass), and Crotalaria incana (woolly rattlepod), respectively. The species Eupatorium maximilianii ("mata-pasto"), Paspalum notatum (pensacola), and Brachiaria decumbens (signal grass), presented the higher values of density (Den), respectively. Paspalum notatum (pensacola), Eupatorium maximilianii ("mata-pasto"), and Brachiaria decumbens (signal grass), were the species that presented higher abundancy (Abu). The pasture of Paspalum notatum has found infested by weed, requiring control and correction of the management of the area to increase the animal performance

Pastures degradation assessment by infestation in plants weeds

Parte da inicia??o cientifica do primeiro autor, financiado pelo CNPq, FAPEMIG, CAPES.Todos os textos, informa??es e resultados apresentados s?o de inteira responsabilidade dos autores.Objetivou-se a partir desse trabalho avaliar a degrada??o de uma pastagem nativa de Paspalum notatum a partir da ocorr?ncia de plantas daninhas. O levantamento fitossociol?gico foi realizado em pastagem nativa de Paspalum notatum no munic?pio de Couto de Magalh?es de Minas - MG. Para a identifica??o das plantas daninhas foi utilizado o m?todo do quadrado invent?rio, lan?ando ao acaso na ?rea 40 vezes um quadro de um metro de lado, totalizando uma ?rea amostral de 40m2. Avaliou-se a frequ?ncia relativa (Frr), densidade relativa (Der), abund?ncia relativa (Abr) e o ?ndice de valor de import?ncia (IVI) das esp?cies encontradas na ?rea. Os maiores valores de frequ?ncia relativa (Frr) foram das esp?cies Sidastrum micrathum (malva-preta), Imperata brasiliensis (Sap?), Crotalaria incana (xique-xique) e Mimosa pudica (dormideira), respectivamente. As esp?cies Eupatorium maximilianii (mata-pasto), Paspalum notatum (grama batatais), Brachiaria decumbens (braquiarinha) e Cynodon dactylon (estrela roxa) apresentaram os maiores valores de densidade relativa, abund?ncia relativa e ?ndice de valor de import?ncia. A presen?a de Brachiaria decumbens, Cynodon dactylon, Eupatorium maximilianii e a baixa frequ?ncia relativa da esp?cie nativa s?o indicativos que a pastagem encontrase em est?dio de degrada??o avan?ado.ABSTRACT The objective of this study was to evaluate the degradation of a native pasture of Paspalum notatum starting from the weeds occurrence. The phytosociological evaluation was made in native pasture of Paspalum notatum in Couto de Magalh?es de Minas - MG. To identify the weed the method of the inventory square was utilized, hurled randomly in the area 40 times a square of one meter of side, totaling 40m2 of sample area. It was evaluate the relative frequency (Frr), relative density (Der), relative abundancy (Abr), and the value of importance index (IVI) of the species found in the area. The higher values of relative frequency (Frr) were of the species Sidastrum micrathum (dainty sandmallow), Imperata brasiliensis (cogon grass), Crotalaria incana (woolly rattlepod), and Mimosa pudica (sensitive plant), respectively. The species Eupatorium maximilianii ("mata-pasto"), Paspalum notatum (pensacola), Brachiaria decumbens (signal grass), and Cynodon dactylon (bernuda grass) presented the higher values of relative density (Drr), relative abundancy (Abr), and value of importance index (IVI). The presence of the Brachiaria decumbens, Cynodon dactylon, Eupatorium maximilianii and the lower frequency of the native specie, are indicatives that the pasture has found in advanced state of degradation

Glycogen Synthase Kinase 3 (GSK3) Inhibitor, SB-216763, Promotes Pluripotency in Mouse Embryonic Stem Cells

Canonical Wnt/β-catenin signaling has been suggested to promote self-renewal of pluripotent mouse and human embryonic stem cells. Here, we show that SB-216763, a glycogen synthase kinase-3 (GSK3) inhibitor, can maintain mouse embryonic stem cells (mESCs) in a pluripotent state in the absence of exogenous leukemia inhibitory factor (LIF) when cultured on mouse embryonic fibroblasts (MEFs). MESCs maintained with SB-216763 for one month were morphologically indistinguishable from LIF-treated mESCs and expressed pluripotent-specific genes Oct4, Sox2, and Nanog. Furthermore, Nanog immunostaining was more homogenous in SB-216763-treated colonies compared to LIF. Embryoid bodies (EBs) prepared from these mESCs expressed early-stage markers for all three germ layers, and could efficiently differentiate into cardiac-like cells and MAP2-immunoreactive neurons. To our knowledge, SB-216763 is the first GSK3 inhibitor that can promote self-renewal of mESC co-cultured with MEFs for more than two months

Genome-wide association study identifies six new loci influencing pulse pressure and mean arterial pressure.

Numerous genetic loci have been associated with systolic blood pressure (SBP) and diastolic blood pressure (DBP) in Europeans. We now report genome-wide association studies of pulse pressure (PP) and mean arterial pressure (MAP). In discovery (N = 74,064) and follow-up studies (N = 48,607), we identified at genome-wide significance (P = 2.7 × 10(-8) to P = 2.3 × 10(-13)) four new PP loci (at 4q12 near CHIC2, 7q22.3 near PIK3CG, 8q24.12 in NOV and 11q24.3 near ADAMTS8), two new MAP loci (3p21.31 in MAP4 and 10q25.3 near ADRB1) and one locus associated with both of these traits (2q24.3 near FIGN) that has also recently been associated with SBP in east Asians. For three of the new PP loci, the estimated effect for SBP was opposite of that for DBP, in contrast to the majority of common SBP- and DBP-associated variants, which show concordant effects on both traits. These findings suggest new genetic pathways underlying blood pressure variation, some of which may differentially influence SBP and DBP

Global Retinoblastoma Presentation and Analysis by National Income Level.

Importance: Early diagnosis of retinoblastoma, the most common intraocular cancer, can save both a child's life and vision. However, anecdotal evidence suggests that many children across the world are diagnosed late. To our knowledge, the clinical presentation of retinoblastoma has never been assessed on a global scale. Objectives: To report the retinoblastoma stage at diagnosis in patients across the world during a single year, to investigate associations between clinical variables and national income level, and to investigate risk factors for advanced disease at diagnosis. Design, Setting, and Participants: A total of 278 retinoblastoma treatment centers were recruited from June 2017 through December 2018 to participate in a cross-sectional analysis of treatment-naive patients with retinoblastoma who were diagnosed in 2017. Main Outcomes and Measures: Age at presentation, proportion of familial history of retinoblastoma, and tumor stage and metastasis. Results: The cohort included 4351 new patients from 153 countries; the median age at diagnosis was 30.5 (interquartile range, 18.3-45.9) months, and 1976 patients (45.4%) were female. Most patients (n = 3685 [84.7%]) were from low- and middle-income countries (LMICs). Globally, the most common indication for referral was leukocoria (n = 2638 [62.8%]), followed by strabismus (n = 429 [10.2%]) and proptosis (n = 309 [7.4%]). Patients from high-income countries (HICs) were diagnosed at a median age of 14.1 months, with 656 of 666 (98.5%) patients having intraocular retinoblastoma and 2 (0.3%) having metastasis. Patients from low-income countries were diagnosed at a median age of 30.5 months, with 256 of 521 (49.1%) having extraocular retinoblastoma and 94 of 498 (18.9%) having metastasis. Lower national income level was associated with older presentation age, higher proportion of locally advanced disease and distant metastasis, and smaller proportion of familial history of retinoblastoma. Advanced disease at diagnosis was more common in LMICs even after adjusting for age (odds ratio for low-income countries vs upper-middle-income countries and HICs, 17.92 [95% CI, 12.94-24.80], and for lower-middle-income countries vs upper-middle-income countries and HICs, 5.74 [95% CI, 4.30-7.68]). Conclusions and Relevance: This study is estimated to have included more than half of all new retinoblastoma cases worldwide in 2017. Children from LMICs, where the main global retinoblastoma burden lies, presented at an older age with more advanced disease and demonstrated a smaller proportion of familial history of retinoblastoma, likely because many do not reach a childbearing age. Given that retinoblastoma is curable, these data are concerning and mandate intervention at national and international levels. Further studies are needed to investigate factors, other than age at presentation, that may be associated with advanced disease in LMICs