Occurrence of Corynebacterium striatum as an emerging antibiotic-resistant nosocomial pathogen in a Tunisian hospital

Corynebacterium striatum is a nosocomial opportunistic pathogen increasingly associated with a wide range of human infections and is often resistant to several antibiotics. We investigated the susceptibility of 63 C. striatum isolated at the Farhat-Hached hospital, Sousse (Tunisia), during the period 2011?2014, to a panel of 16 compounds belonging to the main clinically relevant classes of antimicrobial agents. All strains were susceptible to vancomycin, linezolid, and daptomycin. Amikacin and gentamicin also showed good activity (MICs90 = 1 and 2 mg/L, respectively). High rates of resistance to penicillin (82.5%), clindamycin (79.4%), cefotaxime (60.3%), erythromycin (47.6%), ciprofloxacin (36.5%), moxifloxacin (34.9%), and rifampicin (25.4%) were observed. Fifty-nine (93.7%) out of the 63 isolates showed resistance to at least one compound and 31 (49.2%) were multidrug-resistant. Twenty-nine resistance profiles were distinguished among the 59 resistant C. striatum. Most of the strains resistant to fluoroquinolones showed a double mutation leading to an amino acid change in positions 87 and 91 in the quinolone resistance-determining region of the gyrA gene. The 52 strains resistant to penicillin were positive for the gene bla, encoding a class A ?-lactamase. Twenty-two PFGE patterns were identified among the 63 C. striatum, indicating that some clones have spread within the hospital

Gene therapy for carcinoma of the breast: Pro-apoptotic gene therapy

The dysregulation of apoptosis contributes in a variety of ways to the malignant phenotype. It is increasingly recognized that the alteration of pro-apoptotic and anti-apoptotic molecules determines not only escape from mechanisms that control cell cycle and DNA damage, but also endows the cancer cells with the capacity to survive in the presence of a metabolically adverse milieu, to resist the attack of the immune system, to locally invade and survive despite a lack of tissue anchorage, and to evade the otherwise lethal insults induced by drugs and radiotherapy. A multitude of apoptosis mediators has been identified in the past decade, and the roles of several of them in breast cancer have been delineated by studying the clinical correlates of pathologically documented abnormalities. Using this information, attempts are being made to correct the fundamental anomalies at the genetic level. Fundamental to this end are the design of more efficient and selective gene transfer systems, and the employment of complex interventions that are tailored to breast cancer and that are aimed concomitantly towards different components of the redundant regulatory pathways. The combination of such genetic modifications is most likely to be effective when combined with conventional treatments, thus robustly activating several pro-apoptotic pathways

Personalised automated assessments

Copyright © 2016, International Foundation for Autonomous Agents and Multiagent Systems (www.ifaamas.org). All rights reserved. Consider a person who needs to assess a large amount of information. For instance, think of a teacher of a massive open online course with thousands of enrolled students, or a senior program committee member in a large conference who needs to decide what are the final marks of reviewed papers, or a buyer in an e-commerce scenario who needs to build up her opinion about products. When assessing a large number of objects, sometimes it is simply unfeasible to evaluate them all and very often one needs to rely on the opinions of others. In this paper, we provide a model that uses peer assessments (assessments made by others) in an online community to approximate the assessments that a particular member of the community would generate given the occasion to do so (e.g. the tutor, the SPC member or the buyer-we refer to this person as the leader). Furthermore, we provide a measure of the uncertainty of the computed assessments and a ranking of the objects that should be assessed next. The model, although inspired by human societies is thought to be used in the organisation of agent communities

Long-term amendment of Spanish soils with sewage sludge: Effects on soil functioning

10.1016/j.agee.2012.05.016Wastewater treatment processes generate highly biodegradable solid wastes. As their fate is an environmental issue of great concern, public administrations promote a sustainable management of urban wastes. The objective of the present study was to analyze the systematic and periodical use, for 16 years, of anaerobically digested sewage sludge as an agricultural fertilizer by assessing the effects on some soil physical-chemical, functional, and ecotoxicological properties. The results showed that the input of sludge enhances soil properties proportionally to the application doses and/or frequency. The organic amendments increased the organic matter content (and its aromaticity), the soil nitrogen, and the microbial activity, improving carbon and nitrogen mineralization processes and some enzymatic functions. However, a maximum dose was identified (40Mgha -1year -1), beyond which soil properties do not improve, and may even worsen. Regarding environmental risks, although the bioluminescent bacteria test showed no toxicity on soil extracts, potential adverse effects such as some potentially toxic elements accumulation, phytotoxicity and the likelihood of groundwater pollution by nitrates or dissolved organic matter should be taken into account. The complementarity of studying soil functioning parameters and ecotoxicological effects, together with the analysis of pollutant content, must be enhanced. This assures a more realistic assessment of long-term effects of sewage sludge-amended soil

Integrated study of metal behavior in Mediterranean stream ecosystems: A case-study

10.1016/j.jhazmat.2013.07.051The objective of the present work was to assess the ecosystem status of Francolí river (Catalonia, Spain), a Mediterranean stream basin with contrasting human influences. An integrated approach was designed by combining physicochemical, biological and ecotoxicological analyses. The content of metals (As, Cd, Cr, Co, Cu, Hg, Ni, Pb, and Zn) was analyzed in samples of water, benthic sediments and aquatic macroinvertebrates. In addition, the potentially bioavailable fraction of metals in water and sediments was determined by using diffusive gradient in thin-films (DGTs) and sequential extraction of sediments (BCR), respectively. The biological quality was evaluated through aquatic macroinvertebrate communities, while the ecotoxicological status was assessed by Microtox® with Vibrio fischeri. Finally, an analysis of acid-volatile sulfide (AVS) and simultaneously extracted metals (SEM) was performed to evaluate the sediment toxicity associated to metal content. According to the results, DGTs and BCR are suitable methodologies to predict the potential bioavailable fraction of metals in freshwater systems. Moreover, ecotoxicity evaluation by means of V. fischeri, in combination with the chemical characterization and the biological quality assessment, should be complementarily used to get a better diagnose of freshwater systems

Patients with Crohn's disease have longer post-operative in-hospital stay than patients with colon cancer but no difference in complications' rate

BACKGROUNDRight hemicolectomy or ileocecal resection are used to treat benign conditions like Crohn's disease (CD) and malignant ones like colon cancer (CC).AIMTo investigate differences in pre- and peri-operative factors and their impact on post-operative outcome in patients with CC and CD.METHODSThis is a sub-group analysis of the European Society of Coloproctology's prospective, multi-centre snapshot audit. Adult patients with CC and CD undergoing right hemicolectomy or ileocecal resection were included. Primary outcome measure was 30-d post-operative complications. Secondary outcome measures were post-operative length of stay (LOS) at and readmission.RESULTSThree hundred and seventy-five patients with CD and 2,515 patients with CC were included. Patients with CD were younger (median = 37 years for CD and 71 years for CC (P < 0.01), had lower American Society of Anesthesiology score (ASA) grade (P < 0.01) and less comorbidity (P < 0.01), but were more likely to be current smokers (P < 0.01). Patients with CD were more frequently operated on by colorectal surgeons (P < 0.01) and frequently underwent ileocecal resection (P < 0.01) with higher rate of de-functioning/primary stoma construction (P < 0.01). Thirty-day post-operative mortality occurred exclusively in the CC group (66/2515, 2.3%). In multivariate analyses, the risk of post-operative complications was similar in the two groups (OR 0.80, 95%CI: 0.54-1.17; P = 0.25). Patients with CD had a significantly longer LOS (Geometric mean 0.87, 95%CI: 0.79-0.95; P < 0.01). There was no difference in re-admission rates. The audit did not collect data on post-operative enhanced recovery protocols that are implemented in the different participating centers.CONCLUSIONPatients with CD were younger, with lower ASA grade, less comorbidity, operated on by experienced surgeons and underwent less radical resection but had a longer LOS than patients with CC although complication's rate was not different between the two groups