West Nile Disease in New Mexico: The Quest for Nucleic Acid

West Nile virus (WNV) was first detected in New Mexico in 2002, with the first human cases appearing in 2003. Since that time it has become endemic in the region, and as of year-end 2005, 330 New Mexicans had been diagnosed with West Nile Fever or the more severe neuroinvasive disease as reported by the New Mexico Department of Health. An ongoing study at the University of New Mexico has collected interview and physical exam data for these individuals as well as collecting cerebrospinal fluid (CSF) and serum from their period of acute and convalescent illness. While all of these samples have been tested to determine WNV IgM seropositivity, none of them have been characterized by the use of nucleic acid amplification test (NAT). The purpose of this study is to characterize this sample set using Real-Time reverse transcriptase polymerase chainreaction (RT-PCR), an extremely sensitive NAT. The serum and CSF archived collection at UNM represents one of the most comprehensive and best-characterized sample sets available in the United States. A total of 115 samples, 111 serum and 4 CSF, were analyzed. None of the 115 samples had detectable West Nile nucleic acid

How we evaluate red blood cell compatibility and transfusion support for patients with sickle cell disease undergoing hematopoietic progenitor cell transplantation

Multiple hematopoietic progenitor cell (HPC) transplantation options for patients with sickle cell disease (SCD) are currently under investigation. Patients with SCD have a high rate of alloimmunization to red blood cell antigens, often complicating transfusion support. Transfusion reactions, including acute and delayed hemolytic reactions, have been observed despite immunosuppressive regimens. Allogeneic donor transplants have been shown to carry a risk of prolonged reticulocytopenia and acute hemolysis with severe anemia in nonmyeloablative regimens. We discuss our experience providing transfusion support to patients with SCD undergoing HPC transplantation, propose an outline for a complete pretransplantation evaluation, and discuss donor/recipient compatibility issues and their implications

Using life strategies to explore the vulnerability of ecosystem services to invasion by alien plants

Invasive plants can have different effects of ecosystem functioning and on the provision of ecosystem services, from strongly deleterious impacts to positive effects. The nature and intensity of such effects will depend on the service and ecosystem being considered, but also on features of life strategies of invaders that influence their invasiveness as well as their influence of key processes of receiving ecosystems. To address the combined effect of these various factors we developed a robust and efficient methodological framework that allows to identify areas of possible conflict between ecosystem services and alien invasive plants, considering interactions between landscape invasibility and species invasiveness. Our framework combines the statistical robustness of multi-model inference, efficient techniques to map ecosystem services, and life strategies as a functional link between invasion, functional changes and potential provision of services by invaded ecosystems. The framework was applied to a test region in Portugal, for which we could successfully predict the current patterns of plant invasion, of ecosystem service provision, and finally of probable conflict (expressing concern for negative impacts, and value for positive impacts on services) between alien species richness (total and per plant life strategy) and the potential provision of selected services. Potential conflicts were identified for all combinations of plant strategy and ecosystem service, with an emphasis for those concerning conflicts with carbon sequestration, water regulation and wood production. Lower levels of conflict were obtained between invasive plant strategies and the habitat for biodiversity supporting service. The added value of the proposed framework in the context of landscape management and planning is discussed in perspective of anticipation of conflicts, mitigation of negative impacts, and potentiation of positive effects of plant invasions on ecosystems and their services