Varying susceptibility of clinical and environmental Scedosporium isolates to chemical oxidative stress in conidial germination

Scedosporium species are opportunistic pathogens causing a great variety of infections in both immunocompetent and immunocompromised individuals. The Scedosporium genus ranks the second among the filamentous fungi colonizing the airways of patients with cystic fibrosis (CF), after Aspergillus fumigatus, and most species are capable to chronically colonize the respiratory tract of these patients. Nevertheless, few data are available regarding evasion of the inhaled conidia to the host immune response. Upon microbial infection, macrophages and neutrophils release reactive oxygen species (ROS). To colonize the respiratory tract, the conidia need to germinate despite the oxidative stress generated by phagocytic cells. Germination of spores from different clinical or environmental isolates of the major Scedosporium species was investigated in oxidative stress conditions. All tested species showed susceptibility to oxidative stress. However, when comparing clinical and environmental isolates, differences in germination capabilities under oxidative stress conditions were seen between species as well as within each species. Among environmental isolates, Scedosporium aurantiacum isolates were the most resistant to oxidative stress whereas Scedosporium dehoogii were the most susceptible. Overall, the differences observed between Scedosporium species in the capacity to germinate under oxidative stress conditions could explain their varying prevalence and pathogenicity

Scedosporium apiospermum complex Catalase A1 and Cu-Zn SOD recombinant proteins are useful tools for serodiagnosis of Scedosporium infection

International audienc

Production de protéines recombinantes de Scedosporium apiospermum, Cu,Zn superoxide dismutase et catalase, pour l’amélioration et la standardisation du sérodiagnostic des infections à Scedosporium apiospermum chez les patients atteints de mucoviscidose

National audienc

Quantization on Curves

Deformation quantization on varieties with singularities offers perspectives that are not found on manifolds. Essential deformations are classified by the Harrison component of Hochschild cohomology, that vanishes on smooth manifolds and reflects information about singularities. The Harrison 2-cochains are symmetric and are interpreted in terms of abelian $*$-products. This paper begins a study of abelian quantization on plane curves over \Crm, being algebraic varieties of the form R2/I where I is a polynomial in two variables; that is, abelian deformations of the coordinate algebra C[x,y]/(I). To understand the connection between the singularities of a variety and cohomology we determine the algebraic Hochschild (co-)homology and its Barr-Gerstenhaber-Schack decomposition. Homology is the same for all plane curves C[x,y]/(I), but the cohomology depends on the local algebra of the singularity of I at the origin.Comment: 21 pages, LaTex format. To appear in Letters Mathematical Physic

Intraperitoneal Catheter Placement: The “Hammock” Technique

AbstractBackgroundOvarian cancer is the leading cause of death from gynecologic malignancies in the United States. The NCI released a clinical announcement supporting the use of intraperitoneal chemotherapy in addition to intravenous chemotherapy. However, multiple trials have shown that IP administration is severely limited by catheter complications.PurposeWe present a new technique for inserting and securing IP catheters in order to prevent the previously reported complications, in particular obstruction of the catheter, bowel and vaginal cuff perforation.MethodsFrom March 2006 through February 2010, 38 patients with stage III or IV ovarian cancer underwent optimal cytoreductive surgery and had an IP catheter placed via the “Hammock” technique.Results14 patients underwent modified posterior exenteration (37%); 6 underwent splenectomy (16%); thirteen small bowel resections (34%). All 38 patients underwent pelvic and aortic lymphadenectomy. Two patients had reservoir complications; one “flipped over”, and the other had an infection at the port site. Both patient’s elected to discontinue the IP portion of the chemotherapy regimen. 219 cycles of chemotherapy were completed (96%) out of a possible 228 cycles. The only complications were related to the reservoir. There were no catheter-related complications.ConclusionAs an increasing number of IP catheters are placed at the time of cytoreductive surgery, we will continue to have catheter complications and IP chemotherapy administration difficulties. In using the “Hammock” Technique, we had no catheter complications, and a 96% chemotherapy completion rate. We recommend using the “Hammock” Technique for inserting and securing IP catheters at the time of cytoreductive surgery.

Chemical composition and release in situ due to injury of the invasive coral tubastraea (Cnidaria, Scleractinia)

Substâncias químicas de defesa contra consumidores e competidores podem ser usadas por espécies invasoras marinhas como estratégia de colonização e perpetuação em novo ambiente. Entretanto, há poucos estudos experimentais que demonstrem as possíveis interações negativas entre corais escleractínios. Este trabalho tem como objetivo caracterizar os metabólitos secundários dos corais invasores Tubastraea tagusensis e T. coccinea; avaliar através da técnica de amostragem in situ quais são as substâncias de T. tagusensis liberadas na água do mar, com o auxílio de aparelho subaquático com colunas Sep-Paks®. Colônias dos corais invasores Tubastraea spp foram coletadas na Baía de Ilha Grande, RJ, e extraídas com MeOH. Os extratos foram submetidos à eluições com hexano, DCM e MeOH, e analisados por CG-EM. Estearato de metila e palmitato de metila foram as substâncias majoritárias das frações hexânicas e hexano: DCM, enquanto o colesterol foi a substância mais abundante das frações DCM e DCM:MeOH de Tubastraea spp. O material orgânico retido nas colunas Sep-Paks® foi identificado como hidrocarbonetos. Diferenças significativas entre controle e tratamento foram relacionadas a diferentes quantidades de 1-hexadeceno, n-hexadecano e n-eicosano. A produção de substâncias de defesas em Tubastraea spp permite especular sobre a ameaça que estes corais invasores representam para as comunidades bentônicas da Ilha Grande.Defensive chemistry may be used against consumers and competitors by invasive species as a strategy for colonization and perpetuation in a new area. There are relatively few studies of negative chemical interactions between scleratinian corals. This study characterizes the secondary metabolites in the invasive corals Tubastraea tagusensis and T. coccinea and relates these to an in situ experiment using a submersible apparatus with Sep-Paks® cartridges to trap substances released by T. tagusensis directly from the sea-water. Colonies of Tubastraea spp were collected in Ilha Grande Bay, RJ, extracted with methanol (MeOH), and the extracts washed with hexane, dichloromethane (DCM) and methanol, and analyzed by GC/MS. Methyl stearate and methyl palmitate were the major components of the hexane and hexane:MeOH fractions, while cholesterol was the most abundant in the DCM and DCM:MeOH fractions from Tubastraea spp. The organic material retained in Sep-Paks® cartridges was tentatively identified as hydrocarbons. There was a significant difference between treatments and controls for 1-hexadecene, n-hexadecane and n-eicosane contents. The production of defensive substances by the invasive corals may be a threat to the benthic communities of the region, which include endemic species

Bleeding on oral anticoagulants: overview of reversal strategies.

Oral anticoagulants (antivitamin K, direct oral anticoagulants) are routinely prescribed for the prevention or treatment of thromboembolic events, and many patients are now on long-term anticoagulant therapy. However, this complicates the management of urgent surgical conditions or major bleeding. Various strategies have been developed to reverse the anticoagulant effect and this narrative review provides an overview of the wide range of therapies currently available

West African equatorial ionospheric parameters climatology based on Ouagadougou ionosonde station data from June 1966 to February 1998

This study is the first which gives the climatology of West African equatorial ionosphere by using Ouagadougou station through three solar cycles. It has permitted to show the complete morphology of ionosphere parameters by analyzing yearly variation, solar cycle and geomagnetic activity, seasonal evolution and diurnal development. This work shows that almost all ionospheric parameters have 11-year solar cycle evolution. Seasonal variation shows that only <I>fo</I>F2 exhibits annual, winter and semiannual anomaly. <I>fo</I>F2 seasonal variation has permitted us to identify and characterize solar events effects on F2 layer in this area. In fact (1) during quiet geomagnetic condition <I>fo</I>F2 presents winter and semiannual anomalies asymmetric peaks in March/April and October. (2) The absence of winter anomaly and the presence of equinoctial peaks are the most visible effects of fluctuating activity in <I>fo</I>F2 seasonal time profiles. (3) Solar wind shock activity does not modify the profile of <I>fo</I>F2 but increases ionization. (4) The absence of asymmetry peaks, the location of the peaks in March and October and the increase of ionization characterize recurrent storm activity. F1 layers shows increasing trend from cycle 20 to cycle 21. Moreover, E layer parameters seasonal variations exhibit complex structure. It seems impossible to detect fluctuating activity effect in E layer parameters seasonal variations but shock activity and wind stream activity act to decrease E layer ionization. It can be seen from Es layer parameters seasonal variations that wind stream activity effect is fairly independent of solar cycle. E and Es layers critical frequencies and virtual heights diurnal variations let us see the effects of the greenhouse gases in these layers

Improving health and well-being through community health champions: a thematic evaluation of a programme in Yorkshire and Humber.

AIMS: The contribution that lay people can make to the public health agenda is being increasingly recognised in research and policy literature. This paper examines the role of lay workers (referred to as 'community health champions') involved in community projects delivered by Altogether Better across Yorkshire and Humber. The aim of the paper is to describe key features of the community health champion approach and to examine the evidence that this type of intervention can have an impact on health. METHODS: A qualitative approach was taken to the evaluation, with two strands to gathering evidence: interviews conducted with different stakeholder groups including project leads, key partners from community and statutory sectors and community workers, plus two participatory workshops to gather the views of community health champions. Seven projects (from a possible 12) were identified to be involved in the evaluation. Those projects that allowed the evaluation team to explore fully the champion role (training, infrastructure, etc.) and how that works in practice as a mechanism for empowerment were selected. In total, 29 semi-structured interviews were conducted with project staff and partners, and 30 champions, varying in terms of age, gender, ethnicity and disability, took part in the workshops. RESULTS: Becoming a community health champion has health benefits such as increased self-esteem and confidence and improved well-being. For some champions, this was the start of a journey to other opportunities such as education or paid employment. There were many examples of the influence of champions extending to the wider community of family, friends and neighbours, including helping to support people to take part in community life. Champions recognised the value of connecting people through social networks, group activities, and linking people into services and the impact that that had on health and well-being. Project staff and partners also recognised that champions were promoting social cohesiveness and helping to integrate people into their community. CONCLUSIONS: The recent public health White Paper suggested that the Altogether Better programme is improving individual and community health as well as increasing social capital, voluntary activity and wider civic participation. This evaluation supports this statement and suggests that the community health champion role can be a catalyst for change for both individuals and communities