A study of Door Pulls on Isolation Carts in a General Hospital for Evidence of Contamination

The purpose of the study was to find out if isolation carts were serving as a means of cross infection. Literature pertaining to sources of possible contamination on hospital units written in the past five years were reviewed. Using the descriptive survey as the method of study, effort was made to find out if isolation carts were a means of cross infection on the hospital unit. Two laboratory cultures were obtained from both door pulls on all isolation carts used by nursing units. This was done over a three month period from December 12, 1963 to March 11, 1964. The first culture was taken before the cart was put into use by the nursing units and served as a control. The second culture was taken after the carts had been in use by nursing units for forty-eight hours. For those patients isolated because of specific organisms, effort was made to grow these organisms. For patients isolated for their own protection, effort was made to grow pathogens which could be transmitted to the patient via the isolation cart. To obtain specimens from door pulls, sterile swabs dampened in trypticase soy broth solution were swabbed over the entire area of both door pulls. The swabs were then replaced in the broth solution and stirred around so the bacteria would become suspended in it. The mouth of the culture tube was then passed through a flame to insure sterility of the procedure. Following this the specimens were sent to the clinical laboratory where they were innoculated on blood agar plates and in thio- glycolate broth. These were incubated at 37.5° Centigrade for seventy-two hours. Plates were examined daily for any bacterial growth. Any growth seen was restreaked on new blood agar plates. Smears were made on colonies on all plates that showed any growth. The pigment and hemolysis of the organisms were noted. These smears were stained by the gram stain method and examined under the microscope. The gram positive micrococci were classified by streaking them on mannitol salt agar. A coagulase test was run on those organisms that fermented the mannitol. Sixteen isolation carts qualified for this study. Of the control cultures, thirteen were negative for bacterial growth. Three showed small amounts of Staphylococcus epidermidis. This is a nonpathogenic organism which probably came from the hands of whoever cleaned the cart. Of the forty-eight hour cultures, six were negative for any bacterial growth. Eight showed growths of Staphylococcus epidermidis and the remaining two showed growths of Staphylococcus aureus coagulase negative. The latter organism is also nonpathogenic. Most likely these organisms came from those persons using the isolation cart. These data indicated that door pulls did not harbor pathogenic organisms. Statistical analysis indicated an eighty percent probability of significance that there were organisms present on the door pulls after forty-eight hours of use. Because these were nonpathogenic organisms, it could be that these organisms could be acquired just as readily had the carts remained in Central Service for this forty-eight hour time lapse. It was recommended that the study be carried out again under epidemic conditions; that a one to two inch wide vertical strip running parallel to the door’s edge be cultured; and that articles inside the isolation cart be cultured

Rapid kinetics of changes in oxygen consumption rate in thrombin-stimulated platelets measured by high-resolution respirometry.

Platelet activation plays a key role in normal haemostasis and pathological thrombosis. Platelet activation is rapid; within minutes of stimulation, platelets generate bioactive phospholipids, secrete their granule contents, activate integrins and aggregate together to form a haemostatic plug. These events are dependent on ATP synthesis. Mitochondrial function in platelets from healthy volunteers and patients with a range of diseases indicate an important role for oxygen consumption in oxidative phosphorylation in normal and pathological function. Platelets also consume oxygen during oxidation reactions, such as cyclooxygenase-dependent thromboxane A2 synthesis. In this study, we used high-resolution respirometry to investigate rapid changes in oxygen consumption during platelet activation. We demonstrated a rapid, transient increase in oxygen consumption rate within minutes of platelet stimulation by the physiological activator, thrombin. This was partly inhibited by aspirin and by oligomycin. This shows that high resolution respirometry can provide information regarding rapid and dynamic changes in oxygen consumption during platelet activation

Calcium-Dependent Protein Kinases from Arabidopsis Show Substrate Specificity Differences in an Analysis of 103 Substrates

The identification of substrates represents a critical challenge for understanding any protein kinase-based signal transduction pathway. In Arabidopsis, there are more than 1000 different protein kinases, 34 of which belong to a family of Ca2+-dependent protein kinases (CPKs). While CPKs are implicated in regulating diverse aspects of plant biology, from ion transport to transcription, relatively little is known about isoform-specific differences in substrate specificity, or the number of phosphorylation targets. Here, in vitro kinase assays were used to compare phosphorylation targets of four CPKs from Arabidopsis (CPK1, 10, 16, and 34). Significant differences in substrate specificity for each kinase were revealed by assays using 103 different substrates. For example CPK16 phosphorylated Serine 109 in a peptide from the stress-regulated protein, Di19-2 with KM ∼70 μM, but this site was not phosphorylated significantly by CPKs 1, 10, or 34. In contrast, CPKs 1, 10, and 34 phosphorylated 93 other peptide substrates not recognized by CPK16. Examples of substrate specificity differences among all four CPKs were verified by kinetic analyses. To test the correlation between in vivo phosphorylation events and in vitro kinase activities, assays were performed with 274 synthetic peptides that contained phosphorylation sites previously mapped in proteins isolated from plants (in vivo-mapped sites). Of these, 74 (27%) were found to be phosphorylated by at least one of the four CPKs tested. This 27% success rate validates a robust strategy for linking the activities of specific kinases, such as CPKs, to the thousands of in planta phosphorylation sites that are being uncovered by emerging technologies

A 21-Year-Old Pregnant Woman with Hypertension and Proteinuria

Ronald Ma and colleagues describe the differential diagnosis, investigation, and management of a 21-year-old pregnant woman presenting with hypertension and proteinuria at 20 weeks of gestation

Financial and relational impact of having a boy with posterior urethral valves

IntroductionChildhood chronic diseases affect family functioning and well-being. The aim of this study was to measure the impact of caring for a child with PUV, and the factors that most impact the burden of care.Patients and methodWe gave a questionnaire on the familial impact of having a child with posterior urethral valves to all parents of a child included in the CIRCUP trial from 2015 onwards. The questionnaire included questions about the parents' demographics, health, professional, financial and marital status and how these evolved since the child's birth as well as the “impact on family scale” (IOFS), which gives a total score ranging from 15 (no impact) to 60 (maximum impact). We then analyzed both the results of the specific demographic questions as well as the factors which influenced the IOFS score.ResultsWe retrieved answers for 38/51 families (74.5% response rate). The average IOFS score was 23.7 (15–51). We observed that the child's creatinine level had an effect on the IOFS score (p = 0.02), as did the parent's gender (p = 0.008), health status (p = 0.015), being limited in activity since the birth of the child (p = 0.020), being penalized in one's job (p = 0.009), being supported in one's job (p = 0.002), and decreased income (p = 0.004). Out of 38 mother/father binomials, 8/33 (24.2%) declared that they were no longer in the same relationship afterwards.ConclusionIn conclusion, having a boy with PUV significantly impacts families. The risk of parental separation and decrease in revenue is significant. Strategies aiming to decrease these factors should be put in place as soon as possible

Shepherding sub-Saharan Africa's wildlife through peak anthropogenic pressure toward a green anthropocene

Sub-Saharan Africa’s (SSA’s) iconic biodiversity is of immense potential global value but is jeopardized by increasing anthropogenic pressures. Elevated consumption in wealthier countries and the demands of international corporations manifest in significant resource extraction from SSA. Biodiversity in SSA also faces increasing domestic pressures, including rapidly growing human populations. The demographic transition to lower fertility rates is occurring later and slower in SSA than elsewhere, and the continent’s human population may quadruple by 2100. SSA’s biodiversity will therefore pass through a bottleneck of growing anthropogenic pressures, while also experiencing intensifying effects of climate change. SSA’s biodiversity could be severely diminished over the coming decades and numerous species pushed to extinction. However, the prospects for nature conservation in SSA should improve in the long term, and we predict that the region will eventually enter a Green Anthropocene. Here, we outline critical steps needed to shepherd SSA’s biodiversity into the Green Anthropocene epoch.http://www.annualreviews.orgam2023Mammal Research InstituteZoology and Entomolog

HPV type infection in different anogenital sites among HIV-positive Brazilian women

This is an Open Access article distributed under the terms of the Creative Commons Attribution Licens

Measurement of χ c1 and χ c2 production with s√ = 7 TeV pp collisions at ATLAS

The prompt and non-prompt production cross-sections for the χ c1 and χ c2 charmonium states are measured in pp collisions at s√ = 7 TeV with the ATLAS detector at the LHC using 4.5 fb−1 of integrated luminosity. The χ c states are reconstructed through the radiative decay χ c → J/ψγ (with J/ψ → μ + μ −) where photons are reconstructed from γ → e + e − conversions. The production rate of the χ c2 state relative to the χ c1 state is measured for prompt and non-prompt χ c as a function of J/ψ transverse momentum. The prompt χ c cross-sections are combined with existing measurements of prompt J/ψ production to derive the fraction of prompt J/ψ produced in feed-down from χ c decays. The fractions of χ c1 and χ c2 produced in b-hadron decays are also measured

Sport and transgender people: a systematic review of the literature relating to sport participation and competitive sport policies

Background Whether transgender people should be able to compete in sport in accordance with their gender identity is a widely contested question within the literature and among sport organisations, fellow competitors and spectators. Owing to concerns surrounding transgender people (especially transgender female individuals) having an athletic advantage, several sport organisations place restrictions on transgender competitors (e.g. must have undergone gender-confirming surgery). In addition, some transgender people who engage in sport, both competitively and for leisure, report discrimination and victimisation. Objective To the authors’ knowledge, there has been no systematic review of the literature pertaining to sport participation or competitive sport policies in transgender people. Therefore, this review aimed to address this gap in the literature. Method Eight research articles and 31 sport policies were reviewed. Results In relation to sport-related physical activity, this review found the lack of inclusive and comfortable environments to be the primary barrier to participation for transgender people. This review also found transgender people had a mostly negative experience in competitive sports because of the restrictions the sport’s policy placed on them. The majority of transgender competitive sport policies that were reviewed were not evidence based. Conclusion Currently, there is no direct or consistent research suggesting transgender female individuals (or male individuals) have an athletic advantage at any stage of their transition (e.g. cross-sex hormones, gender-confirming surgery) and, therefore, competitive sport policies that place restrictions on transgender people need to be considered and potentially revised