The burden of clostridium difficile infection in patients with liver cirrhosis

Clostridium Difficile Infection (CDI) has registered a dramatically increasing incidence in the general population over the past decades. Nowadays, Clostridium Difficile is the leading cause of hospital-acquired diarrhea in Europe and North America. Liver cirrhosis is the final stage of any chronic liver disease (CLD). The most common causes are chronic hepatitis C or B and viral co-infections, alcohol misuse, and nonalcoholic fatty liver disease (NAFLD). CLD and cirrhosis are listed among the ten leading causes of death in the US. Cirrhosis due to any etiology disrupts the homeostatic role of the liver in the body. Cirrhosis-associated immune dysfunction (CAID) leads to alterations in both inherited and acquired systemic and local liver immunity. CAID is caused by increased systemic inflammation and immunodeficiency and it is responsible for 30% of mortality rates all over the world. Clostridium Difficile infection frequently affects patients suffering from liver cirrhosis because of the high number of prolonged hospitalizations, regular use of antibiotics for the prevention or treatment of SBP, proton pump inhibitor (PPI) use, and an overall immunocompromised state. Clostridium Difficile is a Gram-positive bacterium responsible for the high morbidity and mortality rates in patients with cirrhosis, with an essential increase in a 30-day mortality

Wettability of Nanostructured Surfaces

There are many studies in literature concerning contact angle measurements on different materials/substrates. It is documented that textiles can be coated with multifunctional materials in form of thin films or nanoparticles to acquire characteristics that can improve the protection and comfort of the wearer. The capacity of oxide nanostructures to inhibit fungal development and neutralize bacteria is a direct consequence of their wetting behavior [1–6]. Moreover, the radical modification of wetting behavior of nanostructures from hydrophilic to hydrophobic when changing the pulsed laser deposition (PLD) ambient will be thoroughly discussed

Graceful Interruption of Request-Response Service Interactions

Bi-directional request-response interaction is a standard communication pattern in Service Oriented Computing (SOC). Such a pattern should be interrupted in case of faults. In the literature, different approaches have been considered:WS-BPEL discards the response, while Jolie waits for it in order to allow the fault handler to appropriately close the conversation with the remote service. We investigate an intermediate approach in which it is not necessary for the fault handler to wait for the response, but it is still possible on response arrival to gracefully close the conversation with the remote service

Comparisons of log-normal mixture and Pareto tails, GB2 or log-normal body of Romania's all cities size distribution

Modeling demographic data has been on the agenda of statisticians for many years. Some of the distributions used are Pareto, reverse Pareto, q-exponential and log-normal models. An approach to this problem is to consider three statistical models: one for the upper tail, one for the middle range, and another for the lower tail. This paper deals with the size distribution of urban and rural agglomerations in Romania for the 1992–2017 period, by comparing the recently introduced three log-normal mixture (3LN), Pareto tails log-normal (PTLN), and threshold double Pareto Generalized Beta of second kind (tdPGB2) models. The tdPGB2 statistical model has the PTLN distribution as a limiting case. The maximum likelihood estimates of the distributions are computed, and goodness-of-fit tests are performed using the Kolmogorov–Smirnov (KS), Cramér–von Mises (CM) and Anderson–Darling (AD) statistics. Also, we use the Vuong and Bayes factor log-likelihood tests. Using both graphical and formal statistical tests, our results rigorously confirm that the 3LN model is statistically equivalent to PTLN and tdPGB2 distributions, the preferred model being the PTLN probability law. Both the PTLN and tdPGB2 distributions have Pareto tails but the 3LN model does not. All the three models prove to be very well suited parameterizations of Romania's city size data

Typing and distribution of Plum pox virus isolates in Romania

Plum pox or Sharka, caused by Plum pox virus (PPV) is considered the most destructive disease of plum. Although PPV is widespread in all plum growing areas of Romania and causes serious yield losses, little is known about the variability of its isolates at a country level. For this reason, a large-scale study was performed with the aim of obtaining a picture of the prevalence and distribution of PPV strains in plum. During a three year survey, 200 PPV isolates collected from 23 different plum orchards from Transylvania, Moldavia and Muntenia areas were investigated. DASELISA and IC-RT-PCR were used for PPV detection. PPV strains were serologically determined by TAS-ELISA using PPV-D and PPV-M specific monoclonal antibodies. Molecular strain typing was done by IC/RT-PCR targeting three genomic regions corresponding to (Cter)CP, (Cter)NIb/(Nter)CP and CI. RFLP analysis was used to distinguish D and M strains, based on the RsaI polymorphism located in (Cter)CP. To confirm the presence of PPV-Rec strain, 13 PCR products spanning the (Cter)NIb/(Nter)CP were sequenced. Overall results showed that in Romania the predominant strain is PPV-D (73%), followed, with a much lower frequency, by PPV-Rec (14%). Mixed infections (PPV-D+PPVRec), which might generate additional variation by recombination, are also frequent (13%).Keywords: Romania, PPV strains, DAS/TAS-ELISA, IC/RT-PCR, RFLP, sequencin

The burden of clostridium difficile infection in patients with liver cirrhosis

Clostridium Difficile Infection (CDI) has registered a dramatically increasing incidence in the general population over the past decades. Nowadays, Clostridium Difficile is the leading cause of hospital-acquired diarrhea in Europe and North America. Liver cirrhosis is the final stage of any chronic liver disease (CLD). The most common causes are chronic hepatitis C or B and viral co-infections, alcohol misuse, and nonalcoholic fatty liver disease (NAFLD). CLD and cirrhosis are listed among the ten leading causes of death in the US. Cirrhosis due to any etiology disrupts the homeostatic role of the liver in the body. Cirrhosis-associated immune dysfunction (CAID) leads to alterations in both inherited and acquired systemic and local liver immunity. CAID is caused by increased systemic inflammation and immunodeficiency and it is responsible for 30% of mortality rates all over the world. Clostridium Difficile infection frequently affects patients suffering from liver cirrhosis because of the high number of prolonged hospitalizations, regular use of antibiotics for the prevention or treatment of SBP, proton pump inhibitor (PPI) use, and an overall immunocompromised state. Clostridium Difficile is a Gram-positive bacterium responsible for the high morbidity and mortality rates in patients with cirrhosis, with an essential increase in a 30-day mortality

The EuroHeart Failure Survey programme—a survey on the quality of care among patients with heart failure in Europe Part 2: treatment

National surveys suggest that treatment of heart failure in daily practice differs from guidelines and is characterized by underuse of recommended medications. Accordingly, the Euro, Heart Failure Survey was conducted to ascertain how patients hospitalized for heart failure are managed in Europe and if national variations occur in the treatment of this condition. Methods The survey screened discharge summaries of 11 304 patients over a 6-week period in 115 hospitals from 24 countries belonging to the ESC to study their medical treatment. Results Diuretics (mainly loop diuretics) were prescribed in 86.9% followed by ACE inhibitors (61.8%), beta-blockers (36.9%), cardiac glycosides (35.7%), nitrates (32.1%), calcium. channel blockers (21.2%) and spironolactone (20.5%). 44.6% of the population used four or more different drugs. Only 17.2% were under the combination of diuretic, ACE inhibitors and beta-blockers. Important local variations were found in the rate of prescription of ACE inhibitors and particularly beta-blockers. Daily dosage of ACE inhibitors and particularly of beta-blockers was on average below the recommended target dose. Modelling-analysis of the prescription of treatments indicated that the aetiology of heart failure, age, co-morbid factors and type of hospital ward influenced the rate of prescription. Age 70 years, in patients with respiratory disease and increased in cardiology wards, in ischaemic heart failure and in mate subjects. Prescription of cardiac glycosides was significantly increased in patients with supraventricular tachycardia/atrial fibrillation. Finally, the rate of prescription of antithrombotic agents was increased in the presence of supraventricular arrhythmia, ischaemic heart disease, mate subjects but was decreased in patients over 70. Conclusion Our results suggest that the prescription of recommended medications including ACE inhibitors and beta-blockers remains limited and that the daily dosage remains tow, particularly for beta-blockers. The survey also identifies several important factors including age, gender, type of hospital ward, co morbid factors which influence the prescription of heart failure medication at discharge

Endothelial Injury in Human Atherosclerosis

A light and electron microscopic investigation (scanning and transmission electron microscopy) was performed on 51 human atherosclerotic carotid lesions. The purpose of this study was to establish whether features of endothelial injury such as those described in animals occur in man and whether these features can be related to specific stages of human atherosclerosis. Irrespective of their histological appearance the atherosclerotic lesions were covered with endothelium which showed non-specific changes in cell shape and size. However, all complicated lesions appeared denuded. Moreover, a peculiar interaction of endothelium with monocytes and lymphocytes as well as blood components (e.g., fibrin and lipoproteins) was observed in intimal thickenings, fatty streaks and uncomplicated plaques. The surface exposure of macrophage-derived foam cells was seen on florid fatty lesions. Large areas of the arterial surface lacking any endothelial coverage Were characteristic of complicated plaques. They appeared to be a consequence of the arterial wall degeneration with an associated failure in endothelial repair

The Use of Infrared Spectroscopy in the Investigation of Urolithiasis Ulilizarea spectroscopiei în infraroşu pentru investigarea urolitiazei

Abstract Infrared (IR) spectroscopy is a modern physical-chemical method suitable for the investigation of kidney stones composition. The application of this method in our wor