Clinical Characteristics and Risk Factors for Nosocomial Candidemia in Medical Intensive Care Units: Experience in a Single Hospital in Korea for 6.6 Years

The aim of this study was to determine candidemia incidence among patients in a medical intensive-care unit (MICU) and the associated mortality rate and to identify risk factors associated with candidemia. We retrospectively performed a 1:3 matched case-control study of MICU patients with candidemia. Controls were matched for sex, age, and Acute Physiology and Chronic Health Evaluation (APACHE) II score. Candidemia incidence was 9.1 per 1,000 admissions. The most common pathogen was Candida albicans. Crude mortality was 96% among candidemia patients and 52% among controls (P<0.001). Mortality differed significantly between the groups according to Kaplan-Meier survival analysis (P=0.024). Multivariate analysis identified the following independent risk factors for candidemia: central venous catheterization (odds ratio [OR] = 3.2, 95% confidence interval [CI]=1.2-9.0), previous steroid therapy (OR=4.7, 95% CI=1.8-12.1), blood transfusion during the same admission period (OR=6.3, 95% CI=2.4-16.7), and hepatic failure upon MICU admission (OR=6.9, 95% CI=1.7-28.4). In conclusion, we identify an additional independent risk factor for candidemia, the presence of hepatic failure on MICU admission. Therefore, increased awareness of risk factors, including hepatic failure, is necessary for the management of candidemia

Monitoring of multi-frequency polarization of gamma-ray bright AGNs

We started two observing programs with the Korean VLBI Network (KVN) monitoring changes in the flux density and polarization of relativistic jets in gamma-ray bright AGNs simultaneously at 22, 43, 86, 129 GHz. One is a single-dish weekly-observing program in dual polarization with KVN 21-m diameter radio telescopes beginning in 2011 May. The other is a VLBI monthly-observing program with the three-element VLBI network at an angular resolution range of 1.0--9.2 mas beginning in 2012 December. The monitoring observations aim to study correlation of variability in gamma-ray with that in radio flux density and polarization of relativistic jets when they flare up. These observations enable us to study the origin of the gamma-ray flares of AGNs.Comment: 4 pages, 4 figures, Proceedings of the conference "The innermost regions of relativistic jets and their magnetic fields", Granada, Spai

Meteorin regulates mesendoderm development by enhancing nodal expression

During gastrulation, distinct lineage specification into three germ layers, the mesoderm, endoderm and ectoderm, occurs through an elaborate harmony between signaling molecules along the embryonic proximo-distal and anterior-posterior axes, and Nodal signaling plays a key role in the early embryonic development governing embryonic axis formation, mesoderm and endoderm specification, and left-right asymmetry determination. However, the mechanism by which Nodal expression is regulated is largely unknown. Here, we show that Meteorin regulates Nodal expression and is required for mesendoderm development. It is highly expressed in the inner cell mass of blastocysts and further in the epiblast and extra-embryonic ectoderm during gastrulation. Genetic ablation of the Meteorin gene resulted in early embryonic lethality, presumably due to impaired lineage allocation and subsequent cell accumulation. Embryoid body culture using Meteorin-null embryonic stem (ES) cells showed reduced Nodal expression and concomitant impairment of mesendoderm specification. Meteorin-null embryos displayed reduced levels of Nodal transcripts before the gastrulation stage, and impaired expression of Goosecoid, a definitive endoderm marker, during gastrulation, while the proximo-distal and anterior-posterior axes and primitive streak formation were preserved. Our results show that Meteorin is a novel regulator of Nodal transcription and is required to maintain sufficient Nodal levels for endoderm formation, thereby providing new insights in the regulation of mesendoderm allocation.open1113sciescopu

Genotypic Characterization of Vibrio vulnificus Clinical Isolates in Korea

AbstractObjectivesVibrio vunificus is known to cause septicemia and severe wound infections in patients with chronic liver diseases or an immuno-compromised condition. We carried out the molecular characterization of V. vulnificus isolates from human Vibrio septicemia cases based on pulsed-field gel electrophoresis (PFGE) using NotI and SfiI.Methods and ResultsPFGE was used to characterize a total of 78 strains from clinical cases after NotI or SfiI digestion. The geographical distribution of PFGE patterns for the strains from the southern part of Korea, a high-risk region for Vibrio septicemia, indicated that the isolates from southeastern Korea showed a comparatively higher degree of homology than those from southwestern Korea.ConclusionsWe report the genetic distribution of V. vulnficus isolated from Vibrio septicemia cases during 2000–2004 in Korea. This method has potential use as a subspecies-typing tool for V. vulnificus strains isolated from distant geographic regions

The Effect of Ordered Water on a Short, Strong (Speakman-Hadži) Hydrogen Bond

We have determined the structures of the sodium, tetrabutylam- monium (TBA) and bis(triphenylphosphoranylidene)ammonium (PNP) salts of the bis(4-nitrophenoxide) anion by X-ray crystallography. The sodium salt is a dihydrate, with the water oxygens coordinated to the sodium cations, and one hydogen from each water hydrogen bonded to one of the bridging oxygens of the anion. The TBA and PNP salts are anhydrous. Nevertheless the oxygen- oxygen distance is shortest in the sodium salt; 246.5 pm in the sodium salt, 247.5 pm in the TBA salt, and 249 pm in the PNP salt; suggesting that the hydrogen bond is not weakened by the water, and may be strongest in the hydrated salt. (All three compounds show Hadži type ii IR spectra, and are called Speakman-Hadži compounds in this paper.) The 2H chemical shifts of the bridging hydrogen in the three solids are 16.8 ppm for the sodium salt, 16.8 ppm for the TBA salt, and 16.5 ppm for the PNP salt. Again there is no evidence that the water weakens the hydrogen bond. These results can be understood by noting that the additional hydrogen bonds to the bridging oxygens decrease their proton affinity, but the mutual repulsion of the oxygens is also decreased

Chrysymenia wrightii (Rhodymeniales, Rhodophyta) - a new non-native species for the European Atlantic Coast

Chrysymenia wrightii, originally described from Japan, was found for the first time from the European Atlantic coast. It was collected in several subtidal rocky bottom habitats (9-14 meters depth) of the Ría de Arousa (Galicia, NW Spain). In this work, a description of Galician gametophytic and tetrasporophytic plants is provided. They are similar to the Mediterranean and Japanese plants. DNA sequence data of materials from Galicia and Korea were investigated using nuclear SSU and ITS1-5.8S-ITS2 rDNA and plastid rbcL sequences. No genetic variation was observed in the SSU, and only one substitution was detected in ITS and rbcL data between Galician and Korean samples, respectively. Our molecular data indicate that the Galician populations of C. wrightii are probably due to a recent introduction event from the northwest Pacific. Despite the fact that C. wrightii was formerly recorded as a new non-native species from a Mediterranean hotspot (Thau Lagoon, 1987-1989), it was never reported for the European Atlantic coast. After 30 years of its first report in the Mediterranean Sea, the simultaneous occurrence of C. wrightii in four subtidal localities of NW Spain suggests that this species may have colonized the region unnoticed for several years which may be related to its subtidal habitat and short life cycle. Similarly to the Mediterranean Sea, the introduction of C. wrightii on the European Atlantic coasts could be enhanced by the intensive aquaculture widely spread along the Galician coast. Curiously, C. wrightii is apparently restricted to both areas, the Ría de Arousa and the Thau Lagoon. In addition, many non-native species markedly represented in Galicia since the 1980’s were firstly reported in the Ría de Arousa. Consequently, the Ría de Arousa should be considered an outstanding European Atlantic hotspot of introduced marine species similar to the Solent region (South of England) or the Thau Lagoon.Xunta de Galicia (PGIDIT03PXIB10301PR) Ministerio de Educación y Ciencia, FEDER (CGL2006-03576/BOS) Korea Science and Engineering Foundation (R01-2006-000-10312-0) Basic Research Program of the Korea Polar Research Institute (PE08060)S

Recurrent Hepatic Alveolar Echinococcosis: Report of The First Case in Korea with Unproven Infection Route

Human alveolar echinococcosis (AE), a hepatic disorder that resembles liver cancer, is a highly aggressive and lethal zoonotic infection caused by the larval stage of the fox tapeworm, Echinococcus multilocularis. E. multilocularis is widely distributed in the northern hemisphere; the disease-endemic area stretches from north America through Europe to central and east Asia, including northern parts of Japan, but it has not been reported in Korea. Herein, we represent a first case of AE in Korea. A 41-year-old woman was found to have a large liver mass on routine medical examination. The excised mass showed multinodular, necrotic, and spongiform appearance with small irregular pseudocystic spaces. Microscopically, the mass was composed of chronic granulomatous inflammation with extensive coagulation necrosis and parasite-like structure, which was revealed as parasitic vesicles and laminated layer delineated by periodic acid-Schiff (PAS) stain. Clinical and histologic features were consistent with AE. After 8 years, a new liver mass and multiple metastatic pulmonary nodules were found and the recurred mass showed similar histologic features to the initial mass. She had never visited endemic areas of AE, and thus the exact infection route is unclear

β-Caryophyllene attenuates dextran sulfate sodium-induced colitis in mice via modulation of gene expression associated mainly with colon inflammation

AbstractWe examined the modulatory activity of β-caryophyllene (CA) and gene expression in colitic colon tissues in a dextran sulfate sodium (DSS)-induced colitis model. Experimental colitis was induced by exposing male BALB/c mice to 5% DSS in drinking water for 7 days. CA (30 or 300mg/kg) was administered orally once a day together with DSS. CA administration attenuated the increases in the disease activity index, colon weight/length ratio, inflammation score, and myeloperoxidase activity in DSS-treated mice. Microarray analysis showed that CA administration regulated the expression in colon tissue of inflammation-related genes including those for cytokines and chemokines (Ccl2, Ccl7, Ccl11, Ifitm3, IL-1β, IL-28, Tnfrsf1b, Tnfrsf12a); acute-phase proteins (S100a8, Saa3, Hp); adhesion molecules (Cd14, Cd55, Cd68, Mmp3, Mmp10, Sema6b, Sema7a, Anax13); and signal regulatory proteins induced by DSS. CA significantly suppressed NF-κB activity, which mediates the expression of a different set of genes. These results suggest that CA attenuates DSS-induced colitis, possibly by modulating the expression of genes associated mainly with colon inflammation through inhibition of DSS-induced NF-κB activity