Increase of Fungal Endocarditis in Children

Background:: Infective endocarditis (IE) is a rare and feared infection that mainly occurs in patients with underlying cardiac disease or altered function of the immune system. Recent epidemiological data on both sepsis and nosocomial infections indicate a rise in gram-negative bacterial and fungal infection, particularly in patients requiring critical care support. This study sought to characterize the change in the spectrum of IE encountered in a single pediatric tertiary care center during the last 18 years, to evaluate emergence of fungal IE and to identify contributing factors. Patients and Methods:: Review of all cases of IE diagnosed between January 1986 and August 2003 at a single university children's hospital. Patients were distributed between two equal time periods and compared according to the era of IE diagnosis. Results:: In 43 patients, 44 episodes of IE were identified with most cases occurring in children with congenital or acquired heart disease. The annual number of diagnosed cases fluctuated during the study (mean 2.4 cases/year). Blood or specimen cultures were positive in 34 cases (77%) with gram-positive organisms most frequently observed (n = 20, 44.4%). Fungal IE cases (n = 9, 20%) occurred preferentially during the second period (p < 0.03), and were more common in children with noncardiac diseases (p = 0.023). Factors associated with fungal IE were the use of broad-spectrum antibiotics (p < 0.001) and the presence of an infected central venous catheter (p = 0.01). Overall mortality did not differ between the two eras. Conclusion:: The incidence of fungal IE seems to have significantly increased in more recent years. Use of broadspectrum antibiotics for prolonged time or/and central venous catheters were identified as predisposing factors to fungal infective endocarditi

Sex differences in cooperative coalitions: a mammalian perspective

In group-living species, cooperative tactics can offset asymmetries in resource-holding potential between individuals and alter the outcome of intragroup conflicts. Differences in the kinds of competitive pressures that males and females face might influence the benefits they gain from forming intragroup coalitions. We predicted that there would be a female bias in intragroup coalitions because females (1) are more like to live with kin than males are, and (2) compete over resources that are more readily shared than resources males compete over. We tested this main prediction using information about coalition formation across mammalian species and phylogenetic comparative analyses. We found that for nearly all species in which intragroup coalitions occur, members of both sexes participate, making this the typical mammalian pattern. The presence and frequency of female or male coalitions were not strongly associated with key socio-ecological factors like resource defensibility, sexual dimorphism or philopatry. This suggests that once the ability to form intragroup coalitions emerges in one sex, it is likely to emerge in the other sex as well and that there is no strong phylogenetic legacy of sex differences in this form of cooperation. This article is part of the theme issue ‘Cooperation among women: evolutionary and cross-cultural perspectives’

SIX WEEK CONSISTENCY OF SENSORIMOTOR TEST METHODS

The purpose of this study was to compare sensorimotor testing methods. Therefore 15 healthy and sporty subjects undertook five different sensorimotor tests and repeated the same tests six weeks later without executing any specific sensorimotor training. The main outcome was that movement unspecific and simple tests like the Counter Movement Jump, the maximum isometric force and rate of force development on a blocked leg-press or a single-leg-stance with closed eyes have a better retest-reliability than more specific movements like a balance test on a balance board or a complex movement like a single-legged jump landing. Tests with a specific movement show a learning effect and at complex movements there was almost no correlation, as slight changes in the motion sequence can lead to big differences in the measured scores

Prosociality, social tolerance and partner choice facilitate mutually beneficial cooperation in common marmosets, Callithrix jacchus

Prosocial motivation has been suggested to facilitate the initiation and maintenance of cooperative interactions, as well as the evolution of social systems reliant on helping behaviour and social coordination. Previous comparative research on the link between prosociality and cooperation has been limited, however, by the absence of directly comparable measures of these traits among the same individuals. In the present study, we therefore examined intraspecific variation in prosociality and cooperative behaviour within a captive colony of group-living, cooperatively breeding common marmosets to provide a direct experimental test of these hypothesized benefits. We measured prosociality using a group service food-provisioning paradigm, and we assessed mutually beneficial dyadic cooperation with the loose string coordinated pulling paradigm. In addition, we also investigated the effects of individual social tolerance and partner choice, which have previously been identified as key factors promoting prosociality and cooperation among primates. As predicted, successful cooperation in the loose string paradigm was positively associated with prosociality, as well as with social tolerance and partner choice. These effects were independent of age, sex, personality, food motivation and learning across experimental sessions. Our results therefore suggest that prosocial motivation, social tolerance and partner choice can each facilitate mutually beneficial cooperation and social coordination in marmosets, supporting the hypothesized role of these mechanisms in the evolution of cooperative behaviour among primates

Response to Letter Regarding Article, "Comparison of Transplacental Treatment of Fetal Supraventricular Tachyarrhythmias With Digoxin, Flecainide, and Sotalol: Results of a Nonrandomized Multicenter Study"

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