Probiotic properties of lactic acid bacteria isolated from human milk.

AIM: The objective of this study was to identify and characterize lactic acid bacteria isolated from human milk, with an emphasis on their probiotic properties. METHODS AND RESULTS: The strains were tested for their ability to inhibit growth of Enterococcus faecalis, Salmonella enterica subsp. enterica serotype Enteritidis, Listeria monocytogenes, Staphylococcus aureus and Escherichia coli, as well as for susceptibility to antimicrobial agents and for acid pH and bile salt tolerance. Gram-positive and catalase-negative were selected and identified as Enterococcus (83·3%) after sequencing the 16S rDNA gene. All the isolates inhibited growth of Ent. faecalis and S. serotype Enteritidis, 97% inhibited growth of L. monocytogenes and Staph. aureus and 78·8% inhibited growth of E. coli. Most of the isolates were resistant to gentamicin (50%) and vancomycin (47%). Twelve isolates grew when subjected to pH 3·0 and 0·1% bile salts. At lower pH (2·5-2·0), Ent. faecalis F1 and Weissella confusa F8 were more efficient. CONCLUSION: It was possible to isolate from human milk the lactic acid bacteria with potential for use as probiotics. SIGNIFICANCE AND IMPACT OF THE STUDY: Lactic acid bacteria isolated of nursing mothers have probiotic properties.

Characterization and molecular epidemiology of extensively prevalent nosocomial isolates of drug-resistant Acinetobacter spp.

Acinetobacter sp isolates deserve special attention once they have emerged globally in healthcare institutions because they display numerous intrinsic and acquired drug-resistance mechanisms. This study assessed the antibiotic susceptibility profile, the presence of the genetic marker blaOXA-23, and the clonal relationship among 34 nosocomial isolates of Acinetobacter spp obtained at a hospital in southeastern Brazil. Antibiotic sensitivity analysis was performed by the standard disc-diffusion method. All isolates were found to be extensively resistant to several drugs, but sensitive to polymyxin B. A polymerase chain reaction (PCR) assay was used to detect the blaOXA-23 gene, which is associated with carbapenem resistance. The genetic profile and the clonal relationship among isolates were analyzed via enterobacterial repetitive intergenic consensus (ERIC)-PCR. The Acinetobacter spp were divided into four groups with 22 distinct genetic subgroups. ERIC-PCR analysis revealed the genetic diversity among isolates, which, despite having a heterogeneous profile, displayed 100% clonality among 56% (19/34) of them.

BET differences among simultaneous evoked frequency band responses during early-stage visual processing distinguish schizophrenia from healthy subjects.

In this work, we attempt to extend to the schizophrenia's research the evidence that different frequency bands may emerge from different sources during early-stage visual processing, in a mental state-specific manner, while subjects are passively viewing a visual stimulus. We applied standard pattern reversal stimulation (checker-board), a task with low cognitive demands, coupled to a dense EEG recording system to estimate the neural correlates of the evoked theta, alpha, beta, beta1, and gamma frequency band responses by means of brain electrical tomography (BET). After filtering the evoked activity using different band-passes, a very different picture about the current sources during P100 will emerge. The results showed notable differences between the two groups. In healthy subjects we localized the significances in the anterior cingulate, caudate nucleus, thalamus, precuneous region, and superior parietal that were more active for gamma band. In patients with schizophrenia differences occupy the hippocampus, parahippocampus, thalamus, midbrain, precuneus, and superior parietal regions. Most areas were more active for gamma band except precuneous and superior parietal region more active for theta and alpha frequency band. These sets of regions, in both groups, reflect events that are parallel to and partly independent of the P100 component, while in the schizophrenia, these regions have been previous linked to the major symptoms of the disease. We concluded that this result provides important evidence indicating that the proposed method is able to differentiate electrophysiological patterns in healthy subjects from those in patients with schizophrenia.

Sources of synchronized induced Gamma-Band responses during a simple object recognition task: a replication study in human MEG.

Natural stimuli are compiled of numerous features, which are cortically represented in dispersed structures. Synchronized oscillations in the Gamma-Band (>30 Hz; induced Gamma-Band Responses, iGBRs), are regarded as a plausible mechanism to re-integrate these regions into a meaningful cortical object representation. Using electroencephalography (EEG) it was demonstrated that the generators of iGBRs can be localized to temporal, parietal, posterior, and frontal areas. The present magnetoencephalogram (MEG) study intended to replicate these findings in order contribute to the ongoing debate regarding the possible functional difference of high-frequency signals as measured by both techniques. During a standard object recognition task we found an augmentation of the iGBR after the presentation of meaningful as opposed to meaningless stimuli at approximately 160-440 ms after stimulus onset. This peak was localized to inferior temporal gyri, superior parietal lobules and the right middle frontal gyrus. Importantly, most of these brain structures were significantly phase-locked to each other. The implications of these results are twofold: (1) they present further evidence for the view that iGBRs signify neuronal activity in a broadly distributed network during object recognition. (2) MEG is well suited to detect induced high-frequency oscillations with a very similar morphology as revealed by EEG recordings, thereby eliminating known problems with electroencephalographical methods (e.g. reference confounds). In contrast to the iGBR, the localization of event-related fields (ERFs) and evoked Gamma-Band Response (eGBRs) revealed generators in focal visual areas, and thus, seem to mirror early sensory processing.

3D statistical parametric mapping of EEG source spectra by means of variable resolution electromagnetic tomography (VARETA).

This article describes a new method for 3D QEEG tomography in the frequency domain. A variant of Statistical Parametric Mapping is presented for source log spectra. Sources are estimated by means of a Discrete Spline EEG inverse solution known as Variable Resolution Electromagnetic Tomography (VARETA). Anatomical constraints are incorporated by the use of the Montreal Neurological Institute (MNI) probabilistic brain atlas. Efficient methods are developed for frequency domain VARETA in order to estimate the source spectra for the set of 10(3)-10(5) voxels that comprise an EEG/MEG inverse solution. High resolution source Z spectra are then defined with respect to the age dependent mean and standard deviations of each voxel, which are summarized as regression equations calculated from the Cuban EEG normative database. The statistical issues involved are addressed by the use of extreme value statistics. Examples are shown that illustrate the potential clinical utility of the methods herein developed.

[Cognitive diagnosis of cerebrovascular disease by event related potentials: anatomical sources that generate P300]. / Diagnóstico cognitivo en la enfermedad cerebrovascular mediante potenciales relacionados con eventos: fuentes anatómicas generadoras de la P300.

INTRODUCTION: Cerebrovascular disease causes different cognitive alterations. There is a need to develop tools that are capable of diagnosing them. One of them could be event related potentials. These provide an indicator of cognitive processing in real time. PATIENTS AND METHODS: A study was conducted of 10 patients with cerebral infarction in the frontal region and 10 paired healthy controls. Evaluation of the patients was performed a week after the stroke. A continuous performance test was applied to both groups together with the recording of the electrical activity in the brain in order to obtain the P300 component. The results were submitted to the non-parametric Student's t test, and the Bayesian model averaging method (BMAM) was employed to calculate the sources generating the electrical activity recorded on the electroencephalogram. RESULTS: Patients displayed significantly poorer performances compared to the healthy controls in the attention test. The BMAM showed that the P300 component was related to the right hand temporal structures in healthy controls, whereas the left temporoparietal regions were also involved in the patients. CONCLUSIONS: These findings indicate the existence of subclinical disorders affecting sustained attention and that they can only be detected by very sensitive tools; furthermore, they also have implications for the brain circuits regulating sustained attention and the P300 component.

Characterization of virulence and antibiotic profile and agr typing of Staphylococcus aureus from milk of subclinical mastitis bovine in State of Rio de Janeiro / Caracterização do perfil de virulência e resistência antimicrobiana e tipagem agr de Staphylococcus aureus oriundos do leite bovino de mastite subclinica no estado do Rio de Janeiro

This study aims to detect the main virulence and antimicrobial resistance genes in Stapylococcus aureus from bovine mastitic milk as well as classifying them according to agr typing. A total of 55 strains from six dairy unities in the state of Rio de Janeiro were selected, of these 27.3% presented fbnA and 78,2% for fbnB genes, respectively. None of the strains tested were positive for cap5 gene, 3.6% were positive for cap8 gene. Additionally, 94.5% of strains had hlA gene and 89.1% had hlB gene while 67.3% of the strains had icaA gene and 87.3% had icaD gene. From these results it was possible to establish 12 different virulence profiles. Prevalence of agrII type was detected in 81.8% of the isolates. Concerning antimicrobial resistance evaluation, the studied strains were susceptible to all antibiotics tested except penicillin, 83.6% being resistant strains. None of the strains had mecA gene, however, 40% of the strains had blaZ gene. Associating virulence and resistance data made it possible to obtain 23 different profiles. This great diversity of strains shows wide array of bacterial strategies and the challenge of mastitis prevention in cattle. Despite antimicrobial susceptibility, these strains presented certain genes that allow its persistence in the herd.(AU)

O presente estudo teve como objetivo detectar os principais genes de virulência e resistência antimicrobiana em Staphylococcus aureus oriundos de leite bovino mastítico e classificá-los de acordo com a tipagem do gene agr. Foram selecionados 55 isolados de seis unidades produtores no estado do Rio de Janeiro. Destas, o gene fbnA foi encontrado em 27,3% das cepas e 78,2% possuíam o gene fbnB. Em nenhuma cepa foi encontrado o gene cap5 e 3,6% possuíam o gene cap8. O gene hlA foi encontrado em 94,5% das cepas e 89,1% possuíam o gene hlB. O gene icaA foi encontrado em 67,3% das cepas e 87,3% possuíam o gene icaD. Com base nesses resultados, foi possível estabelecer 12 diferentes perfis de virulência. Prevalência do agr tipo II foi detectada em 81,8% dos isolados. Considerando-se a avaliação da resistência antimicrobiana, as cepas estudadas foram suscetíveis a todos os antibióticos exceto penicilina, sendo detectado um percentual de 83,6% de cepas resistentes. Nenhuma das cepas apresentou o gene mecA, contudo 40% das cepas apresentaram o gene blaZ. Vinte e três perfis diferentes foram estabelecidos por associação de dados de virulência e resistência. Essa grande diversidade de cepas mostra a ampla gama de estratégias bacterianas e o desafio da prevenção à mastite no gado bovino, considerando-se que, a despeito da suscetibilidade antimicrobiana, essas cepas apresentam genes que permitem sua persistência no rebanho.(AU)

DEM: a variational treatment of dynamic systems.

This paper presents a variational treatment of dynamic models that furnishes time-dependent conditional densities on the path or trajectory of a system's states and the time-independent densities of its parameters. These are obtained by maximising a variational action with respect to conditional densities, under a fixed-form assumption about their form. The action or path-integral of free-energy represents a lower bound on the model's log-evidence or marginal likelihood required for model selection and averaging. This approach rests on formulating the optimisation dynamically, in generalised coordinates of motion. The resulting scheme can be used for online Bayesian inversion of nonlinear dynamic causal models and is shown to outperform existing approaches, such as Kalman and particle filtering. Furthermore, it provides for dual and triple inferences on a system's states, parameters and hyperparameters using exactly the same principles. We refer to this approach as dynamic expectation maximisation (DEM).

Diffusion-based spatial priors for imaging.

We describe a Bayesian scheme to analyze images, which uses spatial priors encoded by a diffusion kernel, based on a weighted graph Laplacian. This provides a general framework to formulate a spatial model, whose parameters can be optimized. The application we have in mind is a spatiotemporal model for imaging data. We illustrate the method on a random effects analysis of fMRI contrast images from multiple subjects; this simplifies exposition of the model and enables a clear description of its salient features. Typically, imaging data are smoothed using a fixed Gaussian kernel as a pre-processing step before applying a mass-univariate statistical model (e.g., a general linear model) to provide images of parameter estimates. An alternative is to include smoothness in a multivariate statistical model (Penny, W.D., Trujillo-Barreto, N.J., Friston, K.J., 2005. Bayesian fMRI time series analysis with spatial priors. Neuroimage 24, 350-362). The advantage of the latter is that each parameter field is smoothed automatically, according to a measure of uncertainty, given the data. In this work, we investigate the use of diffusion kernels to encode spatial correlations among parameter estimates. Nonlinear diffusion has a long history in image processing; in particular, flows that depend on local image geometry (Romeny, B.M.T., 1994. Geometry-driven Diffusion in Computer Vision. Kluwer Academic Publishers) can be used as adaptive filters. This can furnish a non-stationary smoothing process that preserves features, which would otherwise be lost with a fixed Gaussian kernel. We describe a Bayesian framework that incorporates non-stationary, adaptive smoothing into a generative model to extract spatial features in parameter estimates. Critically, this means adaptive smoothing becomes an integral part of estimation and inference. We illustrate the method using synthetic and real fMRI data.

Sustained spatial attention to vibration is mediated in primary somatosensory cortex.

Focusing attention to a specific body location has been shown to improve processing of events presented at this body location. One important debate concerns the stage in the somatosensory pathway at which the neural response is modulated when one attends to a tactile stimulus. Previous studies focused on components of the somatosensory evoked potential to transient stimuli, and demonstrated an early cortical attentional modulation. The neural basis of sustained spatial stimulus processing with continuous stimulation remains, however, largely unexplored. A way to approach this topic is to present vibrating stimuli with different frequencies for several seconds simultaneously to different body locations while subjects have to attend to the one or the other location. The amplitude of the somatosensory steady-state evoked potential (SSSEP) elicited by these vibrating stimuli increases with attention. On the basis of 128 electrode recordings, we investigated the topographical distribution and the underlying cortical sources by means of a VARETA approach of this attentional amplitude modulation of the SSSEP. Sustained spatial attention was found to be mediated in primary somatosensory cortex with no differences in SSSEP amplitude topographies between attended and unattended body locations. These result patterns were seen as evidence for a low-level sensory gain control mechanism in tactile spatial attention.

Perfil de resistência antimicrobiana de Escherichia coli isoladas do açude Santo Anastácio, Ceará, Brasil / Resistance profile of Escherichia coli isolated from the environment

Este trabalho objetivou caracterizar a resistência antimicrobiana de 43 cepas de Escherichia coli isoladas do açude Santo Anastácio (Fortaleza, CE), durante os meses de janeiro a abril de 2007. As cepas foram submetidas a testes de suscetibilidade a oito antimicrobianos, tendo 67,4% delas apresentado sensibilidade a todos. Observou-se resistência à tetraciclina (25,6%), ao sulfazotrin (18,6%), ao ácido nalidixíco (9,3%) e a ciprofloxacina (4,7%). Nenhuma resistência foi observada aos betalactâmicos. Nove (21%) cepas apresentaram multirresistência, com um percentual de 78% para resistência cromossômica e 56% para resistência plasmidial. A presença de bactérias resistentes pode estar relacionada ao lançamento de antimicrobianos nas águas através de esgotos, sendo que o uso inadequado dessas águas pode comprometer a saúde da população.

The aim of this study was to determine the antimicrobial resistance of 43 Escherichia coli strains isolated from the Santo Antonio weir (Fortaleza, CE, Brazil) from January to April 2007. Susceptibility tests performed with 8 antimicrobials indicated that 67.5% of the strains were susceptible to all of them. Resistance to tetracycline (25.6%), sulfazotrim (18.6%), nalidixic acid (9.3%), and ciprofloxacin (4.7%) was observed. The strains did not show resistance to betalactamics. Nine strains (21%) were multiresistant, the resistance being chromosome (78%) and plasmid (56%) mediated. The presence of resistant bacteria may be related to antimicrobials in the sewage discharged into the weir, and the inappropriate use of this body of water may pose human health risks.

Penile myiasis: a case report.

We report a case of penile myiasis in a Brazilian man caused by the larva of Dermatobia hominis. Myiasis is a parasitic disease of humans and other vertebrates caused by larvae of several fly species. Although urinary myiasis is well recognised, infestation of the genital tissue is a rare occurrence. Once the diagnosis has been made, the treatment is usually straightforward and uncomplicated.

Vulvar myiasis.

Myiasis is a parasitic infestation caused by larvae of several fly species. Diagnosis and treatment are simple. This infestation is, however, rarely seen in the vulvar area. We present a short review of the disease and the case of a 19-year-old pregnant girl with vulvar myiasis and concomitant syphilis, vaginal trichomoniasis and genital candidiasis. The patient was also positive for human immunodeficiency virus.

Enfermedad de kawasaki: reporte de un caso / Kawasaki disease: report of a case

La enfermedad de kawasaki es infrecuente en Venezuela; no así en comunidades de origen asiático. Para su diagnóstico no existe signo paraclínico o patogomónico, por lo que éste se sustenta en los criterios diagnósticos de la "America Heart Assocition" y la exclusión de otras enfermedades. Se informa este caso, pues en la literatura nacional son pocos los reportados, siendo éste el segundo en esta institución y el primero con afectación cardiovascular documentada. Se trata de una lactante menor femenina de 10 meses de edad, piel blanca, sin ascendentes asiáticos, quien presentó fiebre alta durante dos semanas, acompañada de congestión conjuntival, eritema labial, oral y faríngeo, diarrea sin moco ni sangre, edema y eritema de plamas, plantas y tronco, descamación periungueal y del pulpejo de los dedos, y adenopatías laterocervicales. Descartamos infección por estreptococos, estafilococos, rickettsias y sarampión, síndrome de Steven`s Johnson, reacción medicamentos y artritis reumatoidea juvenil

Valor diagnóstico y pronóstico de la inmunoglobulina E en la cardiopatía isquémica aguda / Diagnosis and prognotic value of the inmunoglobin E at the acute ischemic cardiopathy

Se realizó un estudio de tipo descriptivo y transversal donde se evaluaron 38 pacientes con diagnóstico de infarto de miocardio (IM) o angina inestable, basado en los criterios clínicos, electrocardiográficos y enzimáticos preestablecidos que ingresaron a la unidad de cuidados coronarios del Hospital Dr. Domingo Luciani desde julio hasta septiembre de 1992, descartándose en todos ellos a través del interrogatorio enfermedades alérgicas, asma bronquial, transfunsiones sanguíneas recientes, uso de glucocorticoides, presencia de mieloma IgE o un síndrome de hiper IgE; A través de un frotis de sangre periférica la presencia de eosinofília y mediante examen de heces especial la presencia de parasitosis intestinal. A todos los pacientes se les hizo una determinación de colesterol y triglicéridos a la semana del evento isquémico y de IgE sérica durante los días 1, 3, 8, 15 y 21 desde el ingreso del paciente, tomándose la primera muestra en un tiempo promedio de 11 horas, demostrándose una evidente asociación entre valores elevados IgE séricas y cardiopatía isquémica del tipo IM o angina inestable. Los valores séricos de IgE en nuestros pacientes isquémicos fueron superiores a los descritos en poblaciones normales tanto de estudios internacionales como de nuestro país; además, se demostró una diferencia estadísticamente significativa entre valores IgE sérica del grupo de paciente con IM y el grupo de pacientes con angina inestable estando más elevada en los primeros. En presencia de hábitos tabaquicos y edad superior a los 53 años, la tendencia a presentar niveles elevados de IgE sérica aumenta. De manera que niveles elevados de IgE, al igual que el tabaquismo y la edad pudieran representar un factor de riesgo adicional para cardiopatía isquémica

Miíase vulvar / Vulvar myiasis

A miíase é uma infecção parasitária causada por larvas de diversos tipos de moscas. Embora o reconhecimento e tratamento sejam fáceis, constituem uma infecção pouco freqúente na região vulvar. Este estudo apresenta uma revisão a respeito da patologia por miíase e a descrição do caso de uma adolescente de 19 anos, gestante, portadora de miíase vulvar associada à tricomoníase, candidíase e sífilis, além se ser soropositiva para HIV.