Clinical, epidemiological, and microbiological characteristics of bacteremia caused by high-level gentamicin-resistant Enterococcus faecalis

Enterococcus spp bacteremia is associated with high mortality and the appearance of high-level gentamicin resistance (HLGR) created additional challenges for the treatment of these infections. We evaluated the epidemiological and clinical characteristics of patients with bacteremias caused by HLGR and non_HLGR Enterococcus faecalis isolates at a teaching hospital in the State of São Paulo, Brazil. Patients with bacteremia due to E. faecalis diagnosed between January 1999 and December 2003 were included in the study. We collected clinical, epidemiological, and microbiological data from medical records. Banked isolates were typed using pulsed-field gel electrophoresis. We identified 145 cases of E. faecalis bacteremia: 66 (45.5%) were caused by HLGR isolates and 79 (54.5%) by non_HLGR. In the univariate analysis, patients with HLGR infection were older, had higher rates of bladder catheterization, and more often had treatment with cephalosporin, quinolone, and/or carbapenem compared with patients with non_HLGR infection (P < 0.05). Multivariate analysis indicated that older age, hematological malignancy, and previous use of vancomycin were independently associated with HLGR (P < 0.05). Mortality rates were not significantly different among patients with HLGR (50%) and non_HLGR (43%) infections (P = 0.40). Of the 32 genotyped isolates, 16 were distributed into 6 main electrophoresis patterns and 16 others had distinct patterns. E. faecalis bacteremia is associated with high mortality and is frequently caused by HLGR isolates at this teaching hospital. The variability among genotyped isolates suggests that endogenous infections, rather than patient-to-patient transmission of E. faecalis, are more common at this institution.89089

Skeletal muscle derived Musclin protects the heart during pathological overload

Cachexia is associated with poor prognosis in chronic heart failure patients, but the underlying mechanisms of cachexia triggered disease progression remain poorly understood. Here, we investigate whether the dysregulation of myokine expression from wasting skeletal muscle exaggerates heart failure. RNA sequencing from wasting skeletal muscles of mice with heart failure reveals a reduced expression of Ostn, which encodes the secreted myokine Musclin, previously implicated in the enhancement of natriuretic peptide signaling. By generating skeletal muscle specific Ostn knock-out and overexpressing mice, we demonstrate that reduced skeletal muscle Musclin levels exaggerate, while its overexpression in muscle attenuates cardiac dysfunction and myocardial fibrosis during pressure overload. Mechanistically, Musclin enhances the abundance of C-type natriuretic peptide (CNP), thereby promoting cardiomyocyte contractility through protein kinase A and inhibiting fibroblast activation through protein kinase G signaling. Because we also find reduced OSTN expression in skeletal muscle of heart failure patients, augmentation of Musclin might serve as therapeutic strategy

Intoxicação por Senecio spp. em bovinos no Rio Grande do Sul: condições ambientais favoráveis e medidas de controle

Este trabalho teve por objetivo revisar os principais aspectos da intoxicação por Senecio spp. no Rio Grande do Sul no que se refere à patologia, patogenia e epidemiologia dessa importante causa de morte em bovinos nesse Estado. Foram abordados, também, os principais fatores climáticos e ambientais que aparentemente favorecem a emergência e o estabelecimento da planta e a ocorrência da intoxicação, que tem aumentado a sua frequência nos últimos anos no Estado, e as possíveis formas de controle da planta incluindo o manejo correto do solo e a utilização de espécies domésticas menos susceptíveis nas áreas invadidas

Evolução do peso testicular de cordeiros da raça Santa Inês alimentados com diferentes níveis de energia Testicle weight evolution of Santa Inês lambs fed different energy levels

Avaliou-se a evolução do peso testicular de cordeiros Santa Inês, alimentados com diferentes níveis de energia. Foram utilizados 64 cordeiros, distribuídos em quatro tratamentos: A - 8,7%; B - 17,3%; C - 26,0% e D - 34,7% de fibra em detergente neutro (FDN), proveniente da forragem na dieta, determinando a variação no consumo de energia metabolizável. Quatro animais de cada tratamento foram abatidos nas idades pré-determinadas de 43, 83, 123 e 173 dias de idade. Os testículos foram separados dos respectivos epidídimos e pesados separadamente. Os animais que receberam as dietas A e B foram os que apresentaram maior consumo de energia metabolizável (14,11Mcal/PV0,75), os mais pesados (18,89kg e 17,09kg, respectivamente) e os de maiores pesos dos testiculos (62,54g e 27,16g, respectivamente), indicando que o desenvolvimento testicular é altamente dependente do desenvolvimento corporal e da quantidade de energia metabolizável consumida. A predição do peso dos testículos por meio da circunferência escrotal mostrou ser mais eficiente do que por meio da idade e do peso vivo dos animais.<br>The development of the testicule weight of Santa Inês lambs, fed different energy levels, was evaluated. Sixty-four lambs were distributed in four treatments: A - 8.7%; B - 17.3%; C - 26.0% and D - 34.7% of neutral detergent fiber (NDF) supplied by the diet forage, determining the variation of the metabolizable energy intake. Four animals from each treatment were slaughtered at pre-defined ages of 43 days, 83 days, 123 days and 173 days. After slaughtering, the testicles were separated from the epididimous and individually weighted. The animals fed diets A and B presented higher metabolizable energy intake (14.11Mcal/LW0.75), higher live weight (18.89kg and 17.09kg, respectively) and higher testicules weight (62.54g and 27.16g, respectively), indicating that the testicular development is highly dependent on the body development and the quantity of metabolizable energy intake. The prediction of the testicules weight by the scrotal circumference showed to be more efficient than the age or the live weight of the animals

Níveis de fibra em detergente neutro forrageiro na alimentação de ovelhas Santa Inês gestantes Level of fiber on feeding of Santa Ines pregnant ewes

Avaliaram-se o consumo, a digestibilidade aparente e o comportamento ingestivo de ovelhas no terço final de gestação com dietas contendo diferentes níveis de fibra em detergente neutro forrageiro (FDNf). Foram utilizadas 16 ovelhas adultas da raça Santa Inês, distribuídas em um delineamento inteiramente ao acaso, com quatro tratamentos: 9, 17, 26 e 35% de FDNf. Os consumos de matéria seca, matéria orgânica, proteína bruta, energia bruta, energia digestível e energia metabolizável não foram influenciados pelos tratamentos, e os consumos de fibra em detergente neutro (FDN) e de fibra em detergente ácido (FDA) aumentaram com maiores níveis de FDNf. As digestibilidades do FDN e FDA e o tempo gasto pelos animais com ruminação também aumentaram com maiores níveis de FDNf na dieta. Dietas com maior quantidade de FDNf influenciaram comportamento ingestivo e digestibilidade de ovelhas em fase final de lactação.<br>The intake, apparent digestibility and feeding behavior of pregnant ewes ped diets containing different levels of neutral detergent fiber (NDF) were evaluated. Sixteen Santa Inês ewes were randomly assigned to four treatments with 9, 17, 26 e 35% of NDF. Dry matter (DM), organic matter, crude protein, crude energy, digestible energy and metabolizable energy intake were not affected by the level of NDF in the diet, however, NDF and acid detergent fiber (ADF) intake increased with the increase of NDF diet levels. The apparent digestibility of the NDF and ADF and rumination time increased with the NDF diet level. Higher NDF diet levels influenced feeding behavior and apparent digestibility of ewes at the end of the lactation period