11 research outputs found

    Carbapenem-resistant Citrobacter spp. isolated in Spain from 2013 to 2015 produced a variety of carbapenemases including VIM-1, OXA-48, KPC-2, NDM-1 and VIM-2

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    Objectives: There is little information about carbapenemase-producing (CP) Citrobacter spp.We studied the molecular epidemiology and microbiological features of CP Citrobacter spp. isolates collected in Spain (2013-15). Methods: In total, 119 isolates suspected of being CP by the EUCAST screening cut-off values were analysed. Carbapenemases and ESBLs were characterized using PCR and sequencing. The genetic relationship among Citrobacter freundii isolates was studied by PFGE. Results: Of the 119 isolates, 63 (52.9%) produced carbapenemases, of which 37 (58.7%) produced VIM-1, 20 (31.7%) produced OXA-48, 12 (19%) produced KPC-2, 2 (3.2%) produced NDM-1 and 1 (1.6%) produced VIM- 2; 9 C. freundii isolates co-produced VIM-1 plus OXA-48. Fourteen isolates (22.2%) also carried ESBLs: 8 CTX-M-9 plus SHV-12, 2 CTX-M-9, 2 SHV-12 and 2 CTX-M-15. Fifty-seven isolates (90.5%) were C. freundii, 4 (6.3%) were Citrobacter koseri, 1 (1.6%) was Citrobacter amalonaticus and 1 (1.6%) was Citrobacter braakii. By EUCAST breakpoints, eight (12.7%) of the CP isolates were susceptible to the four carbapenems tested. In the 53 CP C. freundii analysed by PFGE, a total of 44 different band patterns were observed. Four PFGE clusters were identified: cluster 1 included eight isolates co-producing VIM-1 and OXA-48; blaVIM-1 was carried in a class 1 integron (intI-blaVIM-1 - aacA4-dfrB1-aadA1-catB2-qacEÂż1/sul1) and blaOXA-48 was carried in a Tn1999.2 transposon. Conclusions: We observed the clonal and polyclonal spread of CP Citrobacter spp. across several Spanish geographical areas. Four species of Citrobacter spp. produced up to five carbapenemase types, including coproduction of VIM-1 plus OXA-48. Some CP Citrobacter spp. isolates were susceptible to the four carbapenems tested, a finding with potential clinical implications

    Germinación y crecimiento ex vitro e in vitro de cinco especies de cactáceas del género mammillaria

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    ABSTRACT: The germination and growth rate (RGR) of M. albilanata, M. bocasana, M. columbiana, M. rhodantha and M. spinosissima were compared under ex vitro and in vitro conditions. In the first case, the germination percentages (PG), germination speed (VG) and medium germination (G50) were evaluated. In the second, the RGR was determined after 40 weeks of culture. The in vitro treatment consisted of 25% Murashigue-Skoog (MS) medium for germination, and 50% MS with sucrose dose (3, 6 and 9%) for growth, while the ex vitro treatment was from a mixture of leaf soil and tezontle (1: 1). The analysis of variance and the Tukey tests showed significant differences between the responses generated in the level of treatments and species (p < 0.05), obtaining better results in the in vitro treatment. On the other hand, sucrose supplementation at 6% and 9% generated a higher growth rate in the aerial part, while in the 3% there was a higher growth rate in roots, in both cases superior to the ex vitro treatment. The survival rate of plants obtained in both conditions was 100%.RESUMEN: Se comparó la germinación y ritmo de crecimiento (RGR) de M. albilanata, M. bocasana, M. columbiana, M. rhodantha y M. spinosissima bajo condiciones ex vitro e in vitro. En el primer caso se evaluaron los porcentajes de germinación (PG), velocidad de germinación (VG) y germinación media (G50). En el segundo, se determinó el RGR luego de 40 semanas de cultivo. El tratamiento in vitro consistió de medio Murashigue-Skoog (MS) al 25% para germinación, y MS al 50% con dosis de sacarosa (3, 6 y 9%) para crecimiento, mientras que el tratamiento ex vitro fue a partir de una mezcla de tierra de hoja y tezontle (1:1). El análisis de varianza y las pruebas de Tukey evidenciaron diferencias significativas entre las respuestas generadas a nivel de tratamientos y especies (p < 0.05), obteniéndose mejores resultados en el tratamiento in vitro. Por otro lado, la suplementación de sacarosa al 6% y 9% generó un mayor ritmo de crecimiento en la parte aérea, mientras que en la de 3% se presentó un ritmo de crecimiento mayor en raíces, en ambos casos superiores al tratamiento ex vitro. La tasa de sobrevivencia de plantas obtenidas en ambas condiciones fue del 100%

    Inferring the wintering distribution of the mediterranean populations of European storm-petrels (Hydrobates pelagicus melitensis) from stable isotope analysis and observational field data

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    [eng] Bird migration studies have been given added impetus recently thanks to the miniaturisation of tracking devices. However, tracking methodologies have remained impractical for the smallest pelagic species and so important gaps in knowledge still exist. In the case of the European Storm-petrel Hydrobates pelagicus, while Atlantic populations are thought to overwinter along the south-western African coast, the winter quarters of Mediterranean birds remain more enigmatic. We performed stable isotope analysis (SIA) of C and N on P1, S8 and P10 feathers from 33 adult birds captured in three Atlantic colonies and 156 adult birds in seven western Mediterranean colonies to infer their wintering areas. In addition, we collated all observational field data, both from peer-reviewed publications and the wider literature, to complement our inferences from SIA. Within the Atlantic, isotopic profiles of feathers moulted at the breeding grounds (P1) differed between birds captured at northern Atlantic and Canary Islands colonies, but were similar for feathers moulted in winter quarters (S8 and P10), indicating low migratory connectivity. Isotopic values of feathers from western Mediterranean birds differed from those of Atlantic birds and showed Mediterranean values for all feathers, indicating that the former overwinter in Mediterranean waters. Variance in the isotopic values was greater in winter than in breeding season feathers, suggesting that birds disperse over larger areas in winter. Isotopic values of feathers moulted during the non-breeding period could match a post-breeding movement towards the southern and eastern Mediterranean. This inference matches the distribution of the few winter reports, which are mainly concentrated in the south-central Mediterranean, mostly in the Tunisian Platform. Our results suggest that this region is the principal wintering area of Mediterranean Storm-petrels. Martínez, C., Roscales, J.L., Sanz-Aguilar, A. & González-Solís, J. (2019). Inferring the wintering distribution of the Mediterranean populations of European Storm-petrels Hydrobates pelagicus melitensis from stable isotope analysis and observational field data. Ardeola, 66: 13-32

    Predictors of response to infliximab in patients with fistulizing Crohn's disease Factores predictivos de respuesta a infliximab en pacientes con enfermedad de Crohn fistulizante

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    Objective: to evaluate the efficacy and toxicity of infliximab for the treatment of fistulizing Crohn's disease. Methods: consecutive patients with fistulizing Crohn's disease receiving infliximab were prospectively enrolled. Partial response was defined as a reduction of 50% or more from base-line in the number of draining fistulae. Complete response was defined as the closure of all fistulae. The influence of different variables on the efficacy of infliximab was evaluated. Results: 108 patients were included. The disease was inflammatory plus fistulizing in 18% and only fistulizing in 82%. After the third infusion of infliximab the response was partial in 26% and complete in 57%. Response (%) rates (partial/complete) depending on fistula location were: enterocutaneous (25/68%), perianal (35/60%), rectovaginal (36/64%), and enterovesical (20/40%). None of the studied variables (including concomitant immunosuppressive therapy) correlated with efficacy of infliximab in the multivariate analysis. Incidence of adverse effects (21%) depending on the dose of infliximab was: first dose (5.6%), second (7.4%), and third (11.1%). Conclusions: infliximab is an efficacious treatment for fistulizing Crohn's disease. Partial response was achieved in approximately one third of the patients, and complete response in more than half. No studied variable was predictive of response. Adverse effects were relatively infrequent and mild.<br>Objetivo: evaluar la eficacia e identificar los factores predictivos de respuesta al tratamiento con infliximab en la enfermedad de Crohn fistulizante. Métodos: se realizó un estudio prospectivo en pacientes con enfermedad de Crohn fistulizante que recibían tratamiento con infliximab. La respuesta parcial se definió como una reducción del 50% o más de la línea base en el número de fístulas que drenan. La respuesta completa se definió como el cierre de todas las fístulas. Se evaluó la influencia de diferentes variables sobre la eficacia de infliximab. Resultados: se estudiaron 108 pacientes. La enfermedad era inflamatoria y fistulizante en el 18% y sólo fistulizante en el 82%. Después de la tercera infusión de infliximab la respuesta fue parcial en el 26% y completa en el 57%. Las tasas de respuesta (%) (parcial/completa) dependiendo de la localización de la fístula fueron: enterocutánea (25/68%), perianal (35/60%), rectovaginal (36/64%), y enterovesical (20/40%). Ninguna de las variables estudiadas (edad, sexo, tabaco, tratamiento inmunosupresor, antigüedad, origen y localización de la fístula) presentó correlación con la eficacia de infliximab en el análisis de multivariante. La incidencia de efectos adversos (21%) fue: 5,6,7,4 y 11,1% durante la primera, segunda y tercera dosis respectivamente. Conclusiones: infliximab es un tratamiento eficaz para la enfermedad de Crohn fistulizante. Aproximadamente un tercio de los pacientes alcanzaron respuesta parcial y alrededor de la mitad, respuesta completa. Ninguna variable estudiada fue predictiva de respuesta. Los efectos adversos fueron relativamente infrecuentes y leves

    Inadequacy of technology and innovation systems at the periphery

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    Scientific and technical activities on JET focus on the issues likely to affect the ITER design and operation. Our understanding of the ITER reference mode of operation, the ELMy H-mode, has progressed significantly. The extrapolation of ELM size to ITER has been re-evaluated. Neoclassical tearing modes have been shown to be meta-stable in JET, and their beta limits can be raised by destabilization (modification) of sawteeth by ion cyclotron radio frequency heating (ICRH). Alpha simulation experiments with ICRH accelerated injected 4 (He) beam ions provide a new tool for fast particle and magnetohydrodynamic studies, with up to 80-90% of plasma heating by fast 4 He ions. With or without impurity seeding, a quasi-steady-state high confinement (H(98) = 1), high density(n(e)/n(GW) = 0.9-1) and high beta (betaN = 2) ELMy H-mode has been achieved by operating near the ITER triangularity ( similar to 0.40-0.5) and safety factor (q(95) similar to 3), at Z(eff) similar to 1.5-2. In advanced tokamak (AT) scenarios, internal transport barriers (ITBs) are now characterized in real time with a new criterion, rhoT(*). Tailoring of the current profile with T lower hybrid current drive provides reliable access to a variety of q profiles, lowering access power for barrier formation. Rational q surfaces appear to be associated with ITB formation. Alfven cascades were observed in reversed shear plasmas, providing identification of q profile evolution. Plasmas with 'current holes' were observed and modelled. Transient high confinement AT regimes with H(89) = 3.3, beta(N) = 2.4 and ITER-relevant q < 5 were achieved with reversed magnetic shear. Quasi-stationary ITBs are developed with full non-inductive current drive, including similar to 50% bootstrap current. A record duration of ITBs was achieved, up to 11 s, approaching the resistive time. For the first time, pressure and current profiles of AT regimes are controlled by a real-time feedback system, in separate experiments. Erosion and co-deposition studies with a quartz micro-balance show reduced co-deposition. Measured divertor thermal loads during disruptions in JET could modify ITER assumptions

    Overview of the JET results with the ITER-like wall

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    Following the completion in May 2011 of the shutdown for the installation of the beryllium wall and the tungsten divertor, the first set of JET campaigns have addressed the investigation of the retention properties and the development of operational scenarios with the new plasma-facing materials. The large reduction in the carbon content (more than a factor ten) led to a much lower Z(eff) (1.2-1.4) during L- and H-mode plasmas, and radiation during the burn-through phase of the plasma initiation with the consequence that breakdown failures are almost absent. Gas balance experiments have shown that the fuel retention rate with the new wall is substantially reduced with respect to the C wall. The re-establishment of the baseline H-mode and hybrid scenarios compatible with the new wall has required an optimization of the control of metallic impurity sources and heat loads. Stable type-I ELMy H-mode regimes with H-98,H-y2 close to 1 and beta(N) similar to 1.6 have been achieved using gas injection. ELM frequency is a key factor for the control of the metallic impurity accumulation. Pedestal temperatures tend to be lower with the new wall, leading to reduced confinement, but nitrogen seeding restores high pedestal temperatures and confinement. Compared with the carbon wall, major disruptions with the new wall show a lower radiated power and a slower current quench. The higher heat loads on Be wall plasma-facing components due to lower radiation made the routine use of massive gas injection for disruption mitigation essential
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