Coccidioidomycosis: a reemerging infectious disease.

Coccidioides immitis, the primary pathogenic fungus that causes coccidioidomycosis, is most commonly found in the deserts of the southwestern United States and Central and South America. During the early 1990s, the incidence of coccidioidomycosis in California increased dramatically. Even though most infections are subclinical or self-limited, the outbreak is estimated to have cost more than $66 million in direct medical expenses and time lost from work in Kern County, California, alone. In addition to the financial loss, this pathogen causes serious and life-threatening disseminated infections, especially among the immunosuppressed, including AIDS patients. This article discusses factors that may be responsible for the increased incidence of coccidioidomycosis (e.g., climatic and demographic changes and the clinical problems of coccidioidomycosis in the immunocompromised) and new approaches to therapy and prevention

Demonstration of Cross-Reactive Antibodies to Smooth Gram-Negative Bacteria in Antiserum to Escherichia coli J5

We investigated the discrepancy between the broad cross-protection against gram-negative infections afforded by antiserum to Escherichia coli J5 and its apparently narrow cross-reactivity in vitro. Rabbits immunized with J5 bacteria produced antibodies to both the J5 lipopolysaccharide (LPS; titer by ELISA, 1:60,000) and LPS from the Re mutant of Salmonella minnesota (i.e., to the ketodeoxyoctonate [KDO] and lipid A determinants; titer, 1:3,200). In highly diluted antiserum, titers of antibody to J5 LPS were reduced by 28%-41% after adsorption with seven strains of smooth gram-negative bacteria and by only 4% after adsorption with the Re mutant. Smooth gram-negative bacteria adsorbed virtually all antibody to Re LPS. Therefore, rabbit antiserum to J5 contains type-specific antibodies to core determinants distal to KDO that can obscure highly cross-reactive antibodies to lipid A-KDO in vitro. Cross-reactive antibodies are demonstrable by adsorption with whole bacteria at limiting concentrations of antibod

Magma-driven, high-grade metamorphism in the Sveconorwegian Province, southwest Norway, during the terminal stages of Fennoscandian Shield evolution

Recently it has been argued that the Sveconorwegian orogeny in southwest Fennoscandia comprised a series of accretionary events between 1140 and 920 Ma, behind a long-lived, active continental margin characterized by voluminous magmatism and high-grade metamorphism. Voluminous magnesian granitic magmatism is recorded between 1070 and 1010 Ma (Sirdal Magmatic Belt, SMB), with an apparent drop in activity ca. 1010-1000 Ma. Granitic magmatism resumed ca. 1000-990 Ma, but with more ferroan (A type) compositions (hornblende-biotite granites). This ferroan granitic magmatism was continuous until 920 Ma, and included emplacement of an AMCG (anorthosite-mangerite-charnockite-granite) complex (Rogaland Igneous Complex). Mafic rocks with ages corresponding to the spatially associated granites suggest that heat from underplated mafic magma was the main driving force for lower crustal melting and long-lived granitic magmatism. The change from magnesian to ferroan compositions may reflect an increasingly depleted and dehydrated lower crustal source. High-grade metamorphic rocks more than ~20 km away from the Rogaland Igneous Complex yield metamorphic ages of 1070-1015 Ma, corresponding to SMB magmatism, whereas similar rocks closer to the Rogaland Igneous Complex yield ages between 1100 and 920 Ma, with an apparent age peak ca. 1000 Ma. Ti-in-zircon temperatures from these rocks increase from ~760 to 820 °C ca. 970 Ma, well before the inferred emplacement age of the Rogaland Igneous Complex (930 Ma), suggesting that long-lived, high-grade metamorphism was not directly linked to the emplacement of the latter, but rather to the same mafic underplating that was driving lower crustal melting. Structural data suggest that the present-day regional distribution of high- and low-grade rocks reflects late-stage orogenic doming

Demonstration of cross-reactive antibodies to smooth gram-negative bacteria in antiserum to Escherichia coli J5

We investigated the discrepancy between the broad cross-protection against gram-negative infections afforded by antiserum to Escherichia coli J5 and its apparently narrow cross-reactivity in vitro. Rabbits immunized with J5 bacteria produced antibodies to both the J5 lipopolysaccharide (LPS; titer by ELISA, 1:60,000) and LPS from the Re mutant of Salmonella minnesota (i.e., to the ketodeoxyoctonate [KDO] and lipid A determinants; titer, 1:3,200). In highly diluted antiserum, titers of antibody to J5 LPS were reduced by 28%-41% after adsorption with seven strains of smooth gram-negative bacteria and by only 4% after adsorption with the Re mutant. Smooth gram-negative bacteria adsorbed virtually all antibody to Re LPS. Therefore, rabbit antiserum to J5 contains type-specific antibodies to core determinants distal to KDO that can obscure highly cross-reactive antibodies to lipid A-KDO in vitro. Cross-reactive antibodies are demonstrable by adsorption with whole bacteria at limiting concentrations of antibody

The source of Dalradian detritus in the Buchan Block, NE Scotland: Application of new tools to detrital datasets

Detrital zircons from four samples of upper Dalradian metasedimentary rocks from the Buchan Block in the NE Grampian Highlands of Scotland were analysed by laser ablation inductively coupled plasma mass spectrometry to establish their U–Pb age and trace element composition. The analysed grains (magmatic cores) mainly yield concordant ages ranging from Neoproterozoic to Eoarchaean. Kernel density plots of the data show pronounced peaks in the late Mesoproterozoic, Palaeoproterozoic and Neoarchaean eras. The data are indistinguishable from detrital zircon age spectra from Dalradian rocks elsewhere, an interpretation supported by application of a non-parametric multidimensional scaling algorithm, and are consistent with a Laurentian source. Similar to existing studies from other Dalradian rocks, the age spectra from the Buchan Block reveal an increase in the relative proportion of older detritus with time, suggesting derivation from late Mesoproterozoic (Grenville) then Palaeoproterozoic orogens before widespread exposure and denudation of their Archaean basement rocks. Application of a novel approach to estimate the most likely time of radiogenic-Pb loss indicates that some detrital zircon grains were affected by element mobility around 470–450 Ma as a result of Grampian orogenesis

Dissolution Control of Mg by Cellulose Acetate–Polyelectrolyte Membranes

Cellulose acetate (CA)-based membranes are used for Mg dissolution control: the permeability of the membrane is adjusted by additions of the polyelectrolyte, poly(N,N-dimethylaminoethyl methacrylate) (PDMAEMA). Spin-coated films were characterized with FT-IR, and once exposed to an aqueous solution the film distends and starts acting as a membrane which controls the flow of ions and H2 gas. Electrochemical measurements (linear sweep voltammograms, open-circuit potential, and polarization) show that by altering the CA:PDMAEMA ratio the dissolution rate of Mg can be controlled. Such a control over Mg dissolution is crucial if Mg is to be considered as a viable, temporary biomedical implant material. Furthermore, the accumulation of corrosion products between the membrane and the sample diminishes the undesirable effects of high local pH and H2 formation which takes place during the corrosion process.Peer reviewe

Stochastic population growth in spatially heterogeneous environments

Classical ecological theory predicts that environmental stochasticity increases extinction risk by reducing the average per-capita growth rate of populations. To understand the interactive effects of environmental stochasticity, spatial heterogeneity, and dispersal on population growth, we study the following model for population abundances in $n$ patches: the conditional law of $X_{t+dt}$ given $X_t=x$ is such that when $dt$ is small the conditional mean of $X_{t+dt}^i-X_t^i$ is approximately $[x^i\mu_i+\sum_j(x^j D_{ji}-x^i D_{ij})]dt$, where $X_t^i$ and $\mu_i$ are the abundance and per capita growth rate in the $i$-th patch respectivly, and $D_{ij}$ is the dispersal rate from the $i$-th to the $j$-th patch, and the conditional covariance of $X_{t+dt}^i-X_t^i$ and $X_{t+dt}^j-X_t^j$ is approximately $x^i x^j \sigma_{ij}dt$. We show for such a spatially extended population that if $S_t=(X_t^1+...+X_t^n)$ is the total population abundance, then $Y_t=X_t/S_t$, the vector of patch proportions, converges in law to a random vector $Y_\infty$ as $t\to\infty$, and the stochastic growth rate $\lim_{t\to\infty}t^{-1}\log S_t$ equals the space-time average per-capita growth rate \sum_i\mu_i\E[Y_\infty^i] experienced by the population minus half of the space-time average temporal variation \E[\sum_{i,j}\sigma_{ij}Y_\infty^i Y_\infty^j] experienced by the population. We derive analytic results for the law of $Y_\infty$, find which choice of the dispersal mechanism $D$ produces an optimal stochastic growth rate for a freely dispersing population, and investigate the effect on the stochastic growth rate of constraints on dispersal rates. Our results provide fundamental insights into "ideal free" movement in the face of uncertainty, the persistence of coupled sink populations, the evolution of dispersal rates, and the single large or several small (SLOSS) debate in conservation biology.Comment: 47 pages, 4 figure

The Impact of Contact Isolation on the Quality of Inpatient Hospital Care

Background: Contact Isolation is a common hospital infection prevention method that may improve infectious outcomes but may also hinder healthcare delivery. Methods: To evaluate the impact of Contact Isolation on compliance with individual and composite process of care quality measures, we formed four retrospective diagnosis-based cohorts from a 662-bed tertiary-care medical center. Each cohor