Ten Simple Rules to Enable Multi-site Collaborations through Data Sharing

Open access, open data, and software are critical for advancing science and enabling collaboration across multiple institutions and throughout the world. Despite near universal recognition of its importance, major barriers still exist to sharing raw data, software, and research products throughout the scientific community. Many of these barriers vary by specialty [1], increasing the difficulties for interdisciplinary and/or translational researchers to engage in collaborative research. Multi-site collaborations are vital for increasing both the impact and the generalizability of research results. However, they often present unique data sharing challenges. We discuss enabling multi-site collaborations through enhanced data sharing in this set of Ten Simple Rules

Paraneoplastic Autoimmunity in Thymus Tumors

Autoimmune phenomena are more frequent in thymic epithelial tumors (TET) than in any other human tumor. Mysthenia gravis (MG) is by far the most common autoimmune disease in thymoma patients. MG is characterized by muscle weakness due to autoantibodies against the acetylcholine receptor (AChR), and CD4 +AChR-specific T cells play a pivotal role for the production of these autoantibodies. About 10% of MG patients have a thymoma and, interestingly, only such thymomas exhibit an MG association that maintains thymuslike morphological and functional features with respect to the homing and differentiation of immature T cells. Since AChR protein is not expressed in thymomas, the specificity of the autoimmunity in thymoma-associated MG is thought to be determined by nonreceptor proteins with AChR epitopes. Such proteins are overexpressed in cortical-type MG-associated thymomas, and medullary thymomas express these proteins at barely detectable levels. Aside from this quantitative difference, the pathogenesis of anti-AChR autoimmunity might be qualitatively different in these thymoma subtypes. Our findings suggest that an antigen-specific abnormal Tcell selection by cortical-type TET may contribute to the pathogenesis of paraneoplastic MG. In contrast, an abnormal (intratumorous) activation of autoreactive T cells may be operative in medullary thymomas

PRIMEIROS SOCORROS NA ESCOLA: UMA PROPOSTA PARA FUNCIONÁRIOS E ALUNOS

O projeto de intervenção de Estágio Multidisciplinar II teve como objetivo desenvolver uma ação didática pedagógica focada na saúde através da prática dos primeiros socorros com funcionários e alunos de uma escola estadual e uma escola particular de São Miguel do Oeste-SC. A amostra foi constituída por 4 funcionários de uma escola estadual e 68 alunos de uma escola particular. Durante toda a proposta de intervenção percebeu-se muito interesse dos envolvidos no assunto, pois, constantemente surgiam perguntas e curiosidades. Deste modo, Conclui-se que os primeiros socorros, devem ser trabalhados na escola de forma clara e objetiva, ensinando técnicas e procedimentos corretos para uma ação imediata frente a uma situação de risco

Leptospira spp. strain identification by MALDI TOF MS is an equivalent tool to 16S rRNA gene sequencing and multi locus sequence typing (MLST)

Background: In this study mass spectrometry was used for evaluating extracted leptospiral protein samples and results were compared with molecular typing methods. For this, an extraction protocol for Leptospira spp. was independently established in two separate laboratories. Reference spectra were created with 28 leptospiral strains, including pathogenic, non-pathogenic and intermediate strains. This set of spectra was then evaluated on the basis of measurements with well-defined, cultured leptospiral strains and with 16 field isolates of veterinary or human origin. To verify discriminating peaks for the applied pathogenic strains, statistical analysis of the protein spectra was performed using the software tool ClinProTools. In addition, a dendrogram of the reference spectra was compared with phylogenetic trees of the 16S rRNA gene sequences and multi locus sequence typing (MLST) analysis. Results: Defined and reproducible protein spectra using MALDI-TOF MS were obtained for all leptospiral strains. Evaluation of the newly-built reference spectra database allowed reproducible identification at the species level for the defined leptospiral strains and the field isolates. Statistical analysis of three pathogenic genomospecies revealed peak differences at the species level and for certain serovars analyzed in this study. Specific peak patterns were reproducibly detected for the serovars Tarassovi, Saxkoebing, Pomona, Copenhageni, Australis, Icterohaemorrhagiae and Grippotyphosa. Analysis of the dendrograms of the MLST data, the 16S rRNA sequencing, and the MALDI-TOF MS reference spectra showed comparable clustering. Conclusions: MALDI-TOF MS analysis is a fast and reliable method for species identification, although Leptospira organisms need to be produced in a time-consuming culture process. All leptospiral strains were identified, at least at the species level, using our described extraction protocol. Statistical analysis of the three genomospecies L. borgpetersenii, L. interrogans and L. kirschneri revealed distinctive, reproducible differentiating peaks for seven leptospiral strains which represent seven serovars. Results obtained by MALDI-TOF MS were confirmed by MLST and 16S rRNA gene sequencing

Next generation sequencing analysis of nine Corynebacterium ulcerans isolates reveals zoonotic transmission and a novel putative diphtheria toxin-encoding pathogenicity island

Background: Toxigenic Corynebacterium ulcerans can cause a diphtheria-like illness in humans and have been found in domestic animals, which were suspected to serve as reservoirs for a zoonotic transmission. Additionally, toxigenic C. ulcerans were reported to take over the leading role in causing diphtheria in the last years in many industrialized countries. Methods: To gain deeper insights into the tox gene locus and to understand the transmission pathway in detail, we analyzed nine isolates derived from human patients and their domestic animals applying next generation sequencing and comparative genomics. Results: We provide molecular evidence for zoonotic transmission of C. ulcerans in four cases and demonstrate the superior resolution of next generation sequencing compared to multi-locus sequence typing for epidemiologic research. Additionally, we provide evidence that the virulence of C. ulcerans can change rapidly by acquisition of novel virulence genes. This mechanism is exemplified by an isolate which acquired a prophage not present in the corresponding isolate from the domestic animal. This prophage contains a putative novel virulence factor, which shares high identity with the RhuM virulence factor from Salmonella enterica but which is unknown in Corynebacteria so far. Furthermore, we identified a putative pathogenicity island for C. ulcerans bearing a diphtheria toxin gene. Conclusion: The novel putative diphtheria toxin pathogenicity island could provide a new and alternative pathway for Corynebacteria to acquire a functional diphtheria toxin-encoding gene by horizontal gene transfer, distinct from the previously well characterized phage infection model. The novel transmission pathway might explain the unexpectedly high number of toxigenic C. ulcerans

O PROGRAMA MUNICÍPIO VERDEAZUL E A ARBORIZAÇÃO URBANA

O Programa Município Verde Azul (PMVA) criado pela Secretaria do Meio Ambiente do Estado de São Paulo(SMA) visa descentralizar a política ambiental no estado e conta com a participação da sociedade neste modelo de gestão ambiental. A Diretiva Ambiental Arborização Urbana (DAAU) compõe um conjunto de diretrizes relevantes à gestão ambiental municipal definida pela SMA para o PMVA. Este trabalho teve por objetivo identificar, caracterizar e analisar os dez primeiros municípios certificados em 2008, 2009, 2010, 2011 e 2012.Identificaram-se os seguintes municípios precedidos de suas Regiões Administrativas: Araçatuba (Buritama, Gabriel Monteiro, Guaraçaí, Guararapes, Pereira Barreto e Piacatu); Barretos (Barretos e Viradouro); Bauru (Cabrália Paulista e Lins); Central (Araraquara); Presidente Prudente (Anhumas, Martinópolis e Teodoro Sampaio); Ribeirão Preto (Altinópolis, Luiz Antônio e Santa Rosa de Viterbo); São José do Rio Preto (Aspásia, Fernandópolis, Jales, Mira Estrela, Novo Horizonte, Orindiúva, Paulo de Faria, Pontalinda, Potirendaba e Santa Fé do Sul) e Sorocaba (Angatuba, Botucatu, Itu, Piraju, Quadra, São Manuel, Sarutaiá, Sorocaba e Taquarituba). O município de Santa Fé do Sul certificou-se em 2008, 2009, 2011 e 2012. O maior índice de projeção de copa foi observado no município de Martinópolis, com 59 m2 /hab, quarto colocado no ranking de 2010

Clinical correlates and prognostic impact of neurologic disorders in Takotsubo syndrome

Cardiac alterations are frequently observed after acute neurological disorders. Takotsubo syndrome (TTS) represents an acute heart failure syndrome and is increasingly recognized as part of the spectrum of cardiac complications observed after neurological disorders. A systematic investigation of TTS patients with neurological disorders has not been conducted yet. The aim of the study was to expand insights regarding neurological disease entities triggering TTS and to investigate the clinical profile and outcomes of TTS patients after primary neurological disorders. The International Takotsubo Registry is an observational multicenter collaborative effort of 45 centers in 14 countries (ClinicalTrials.gov, identifier NCT01947621). All patients in the registry fulfilled International Takotsubo Diagnostic Criteria. For the present study, patients were included if complete information on acute neurological disorders were available. 2402 patients in whom complete information on acute neurological status were available were analyzed. In 161 patients (6.7%) an acute neurological disorder was identified as the preceding triggering factor. The most common neurological disorders were seizures, intracranial hemorrhage, and ischemic stroke. Time from neurological symptoms to TTS diagnosis was <= 2 days in 87.3% of cases. TTS patients with neurological disorders were younger, had a lower female predominance, fewer cardiac symptoms, lower left ventricular ejection fraction, and higher levels of cardiac biomarkers. TTS patients with neurological disorders had a 3.2-fold increased odds of in-hospital mortality compared to TTS patients without neurological disorders. In this large-scale study, 1 out of 15 TTS patients had an acute neurological condition as the underlying triggering factor. Our data emphasize that a wide spectrum of neurological diseases ranging from benign to life-threatening encompass TTS. The high rates of adverse events highlight the need for clinical awareness

Outbreaks of Pneumocystis Pneumonia in 2 Renal Transplant Centers Linked to a Single Strain of Pneumocystis: Implications for Transmission and Virulence

By restriction fragment length polymorphism analysis, 2 outbreaks of Pneumocystis pneumonia in renal transplant patients in Europe were shown to be caused by the same strain of Pneumocystis; another outbreak in Japan was caused by a different strai