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1.
J Appl Microbiol ; 128(4): 1221-1233, 2020 Apr.
Article in English | MEDLINE | ID: mdl-31834656

ABSTRACT

AIM: It is well-known that enterococci are abundant in the environment; however, the role of surface water as a reservoir of antimicrobial-resistant enterococci remains largely undefined. In this study, surface water samples were collected over a 2-year period from the Upper Oconee watershed, Athens, GA to examine enterococci and their antimicrobial resistance. METHODS AND RESULTS: Approximately 97% (445/458) of the samples were positive for enterococci and a total of 637 enterococci were isolated. The predominant species were Enterococcus casseliflavus (33·6%) followed by Enterococcus faecalis (26·5%) and Enterococcus hirae (13·2%). Regardless of species, the highest levels of resistance were to lincomycin (88·5%) and tetracycline (13%); isolates also exhibited resistance to newer antimicrobials, daptomycin (8·9%) and tigecycline (6·4%). Multidrug resistance (resistance ≥3 antimicrobial classes) was observed to as many as five classes of antimicrobials. Resistant enterococci appeared to be randomly dispersed over the seasons rather than clustered by species or antimicrobial resistance. CONCLUSIONS: This study demonstrated that surface waters contain a large population of diverse species of antimicrobial-resistant enterococci, including resistance to new antimicrobials. SIGNIFICANCE AND IMPACT OF THE STUDY: These results may indicate the potential of human intestinal illness and/or colonization of the human gut with resistant enterococci as enterococci correlate with increased disease risk to humans during recreational exposure to water.


Subject(s)
Anti-Bacterial Agents/pharmacology , Drug Resistance, Bacterial , Enterococcus/isolation & purification , Fresh Water/microbiology , Water Microbiology , Drug Resistance, Bacterial/drug effects , Enterococcus/classification , Enterococcus/drug effects , Environmental Monitoring , Georgia , Humans , Microbial Sensitivity Tests
2.
Lett Appl Microbiol ; 71(1): 3-25, 2020 Jul.
Article in English | MEDLINE | ID: mdl-32304575

ABSTRACT

Surface water is prone to bacterial contamination as it receives wastes and pollutants from human and animal sources, and contaminated water may expose local populations to health risks. This review provides a brief overview on the prevalence and antimicrobial resistance (AR) phenotypes of Salmonella, Escherichia coli and Enterococcus, found in natural freshwaters. These bacteria are frequently detected in surface waters, sometimes as etiological agents of waterborne infections, and AR strains are not uncommonly identified in both developed and developing countries. Data relating to Salmonella, E. coli and Enterococcus present in environmental water are lacking, and in order to understand their development and dissemination using the One Health approach, understanding the prevalence, distribution and characteristics of the bacteria present in surface water as well as their potential sources is important. Furthermore, AR bacteria in natural watersheds are not well investigated and their impacts on human health and food safety are not well understood. As surface water is a receptacle for AR bacteria from human and animal sources and a vehicle for their dissemination, this is a crucial data gap in understanding AR and minimizing its spread. For this review, Salmonella, E. coli and Enterococcus were chosen to evaluate the presence of primary pathogens and opportunistic pathogens as well as to monitor AR trends in the environmental water. Studies around the world have demonstrated the widespread distribution of pathogenic and AR bacteria in surface waters of both developing and developed countries, confirming the importance of environmental waters as a reservoir for these bacteria and the need for more attention on the environmental bacteria for emerging AR.


Subject(s)
Anti-Bacterial Agents/pharmacology , Drug Resistance, Bacterial/genetics , Enterococcus/drug effects , Escherichia coli/drug effects , Salmonella/drug effects , Animals , Enterococcus/genetics , Enterococcus/isolation & purification , Escherichia coli/genetics , Escherichia coli/isolation & purification , Fresh Water/microbiology , Humans , Microbial Sensitivity Tests , Phenotype , Prevalence , Salmonella/genetics , Salmonella/isolation & purification , Water Pollution
3.
Phys Rev Lett ; 123(7): 072001, 2019 Aug 16.
Article in English | MEDLINE | ID: mdl-31491124

ABSTRACT

We report on the measurement of the γp→J/ψp cross section from E_{γ}=11.8 GeV down to the threshold at 8.2 GeV using a tagged photon beam with the GlueX experiment. We find that the total cross section falls toward the threshold less steeply than expected from two-gluon exchange models. The differential cross section dσ/dt has an exponential slope of 1.67±0.39 GeV^{-2} at 10.7 GeV average energy. The LHCb pentaquark candidates P_{c}^{+} can be produced in the s channel of this reaction. We see no evidence for them and set model-dependent upper limits on their branching fractions B(P_{c}^{+}→J/ψp) and cross sections σ(γp→P_{c}^{+})×B(P_{c}^{+}→J/ψp).

4.
Diabet Med ; 36(6): 726-733, 2019 06.
Article in English | MEDLINE | ID: mdl-30888075

ABSTRACT

AIM: To describe the global insulin market. METHODS: Market intelligence data, United Nations Commodity Trade Statistics for insulin trade, the International Medical Products Price Guide for prices of human insulin and additional web searches were used as data sources. These sources were combined to gain further insight into possible links among market, trade flows and prices. Descriptive statistics and Spearman's rank order correlation were used for the analysis. RESULTS: A total of 34 insulin manufacturers were identified. Most countries and territories are reliant on a limited number of supplying countries. The overall median (interquartile range) government procurement price for a 10-ml, 100-IU/ml vial during the period 1996-2013 equivalent was US$4.3 (US$ 3.8-4.8), with median prices in Africa (US$ 4.7) and low- (US$ 6.9) and low- to middle- (US$ 4.7) income countries being higher over this period. The relationships between price and quantity of insulin (Spearman's r=0.046; P>0.1) and number of import links (Spearman's r=0.032; P>0.1) were weak. The links between price and percentage of total insulin from a country where a 'big three' manufacturer produces insulin (Spearman's r=0.294; P<0.05) and total insulin from the main import link (Spearman's r=-0.392; P<0.05) were stronger. CONCLUSIONS: This research shows the high variability of insulin prices and the reliance on a few sources, both companies and countries, for global supply. In addressing access to insulin, countries need to use existing price data to negotiate prices, and mechanisms need to be developed to foster competition and security of supply of insulin, given the limited number of truly global producers.


Subject(s)
Commerce , Drug Costs , Global Health/economics , Health Services Accessibility/economics , Insulin/economics , Commerce/economics , Commerce/ethics , Commerce/organization & administration , Commerce/trends , Drug Costs/ethics , Drug Costs/standards , Drug Costs/trends , Drug Industry/economics , Drug Industry/ethics , Drug Industry/organization & administration , Global Health/standards , Global Health/trends , Health Services Accessibility/organization & administration , Health Services Accessibility/standards , Health Services Accessibility/trends , Healthcare Disparities/economics , Humans , Insulin/therapeutic use
5.
Eur J Cancer Care (Engl) ; 24(6): 812-7, 2015 Nov.
Article in English | MEDLINE | ID: mdl-26094701

ABSTRACT

This pilot study investigated feasibility and preliminary efficacy of a high-intensity functional training (HIFT) group-exercise programme among adult cancer survivors within 5 years of last cancer treatment. Eight participants were assigned to a 5-week, 3 days/week HIFT intervention with four testing sessions and 12 workouts along with mobility and stretching exercises. Feasibility was assessed by initiation, adherence, and acceptability. Efficacy was determined by changes from baseline to post-test in health-related quality of life, body composition and functional movement. The recruitment rate was 80% and the adherence rate was 75%. Significant improvements were found for emotional functioning (P = 0.042) and body composition (lean mass +3.8 ± 2.1 kg, P = 0.008; fat mass -3.3 ± 1.0 kg, P = 0.001; body fat percentage -4.7 ± 1.2%, P < 0.001). Participants also significantly improved on five of seven functional movements: balance (P = 0.032), carrying a weighted object (P = 0.004), lower body strength and power (P = 0.009), aerobic capacity and endurance (P = 0.039), and perceived difficulty for flexibility (P = 0.012). Five weeks of HIFT training was well-received and feasible for most cancer survivors, and effective for improving emotional functioning, body composition and functional movement.


Subject(s)
Body Composition , Exercise Therapy/methods , Muscle Strength , Neoplasms/rehabilitation , Survivors , Adipose Tissue , Feasibility Studies , Female , Health Status , Humans , Male , Middle Aged , Physical Endurance , Pilot Projects , Postural Balance , Quality of Life , Treatment Outcome
6.
Lett Appl Microbiol ; 60(2): 111-119, 2015 Feb.
Article in English | MEDLINE | ID: mdl-25470229

ABSTRACT

Enterococcus cecorum has been implicated as a possible cause of disease in poultry. However, the characteristics that contribute to pathogenesis of Ent. cecorum in poultry have not been defined. In this study, Ent. cecorum from carcass rinsates (n = 75) and diseased broilers and broiler breeders (n = 30) were compared based upon antimicrobial resistance phenotype, the presence of virulence determinants and genetic relatedness using pulsed-field gel electrophoresis (PFGE). Of the 16 antimicrobials tested, Ent. cecorum from carcass rinsates and clinical cases were resistant to ten and six of the antimicrobials, respectively. The majority of Ent. cecorum from carcass rinsates was resistant to lincomycin (54/75; 72%) and tetracycline (46/75; 61.3%) while the highest level of resistance among clinical Ent. cecorum was to tetracycline (22/30; 73.3%) and erythromycin (11/30; 36.7%). Multidrug resistance (resistance to ≥2 antimicrobials) was identified in Ent. cecorum from carcass rinsates (53/75; 70.7%) and diseased poultry (18/30; 60%). Of the virulence determinants tested, efaAfm was present in almost all of the isolates (104/105; 99%). Using PFGE, the majority of clinical isolates clustered together; however, a few clinical isolates grouped with Ent. cecorum from carcass rinsates. These data suggest that distinguishing the two groups of isolates is difficult based upon the characterization criteria used.


Subject(s)
Anti-Bacterial Agents/pharmacology , Chickens/microbiology , Enterococcus/drug effects , Enterococcus/pathogenicity , Gram-Positive Bacterial Infections/veterinary , Poultry Diseases/microbiology , Animals , Drug Resistance, Bacterial , Drug Resistance, Multiple, Bacterial , Electrophoresis, Gel, Pulsed-Field , Enterococcus/genetics , Enterococcus/isolation & purification , Gram-Positive Bacterial Infections/microbiology , Phenotype , Virulence/genetics , Virulence Factors/analysis , Virulence Factors/genetics
7.
Calcif Tissue Int ; 90(3): 239-49, 2012 Mar.
Article in English | MEDLINE | ID: mdl-22249524

ABSTRACT

Bone loss during perimenopause, an estrogen-sufficient period, correlates with elevated serum follicle-stimulating hormone (FSH) and decreased inhibins A and B. Utilizing a recently described ovotoxin-induced animal model of perimenopause characterized by a prolonged estrogen-replete period of elevated FSH, we examined longitudinal changes in bone mineral density (BMD) and their association with FSH. Additionally, serum inhibin levels were assessed to determine whether elevated FSH occurred secondary to decreased ovarian inhibin production and, if so, whether inhibins also correlated with BMD. BMD of the distal femur was assessed using dual-energy X-ray absorptiometry (DXA) over 19 months in Sprague-Dawley rats treated at 1 month with vehicle or 4-vinylcyclohexene diepoxide (VCD, 80 or 160 mg/kg daily). Serum FSH, inhibins A and B, and 17-ß estradiol (E(2)) were assayed and estrus cyclicity was assessed. VCD caused dose-dependent increases in FSH that exceeded values occurring with natural senescence, hastening the onset and prolonging the duration of persistent estrus, an acyclic but E(2)-replete period. VCD decreased serum inhibins A and B, which were inversely correlated with FSH (r(2) = 0.30 and 0.12, respectively). In VCD rats, significant decreases in BMD (5-13%) occurred during periods of increased FSH and decreased inhibins, while BMD was unchanged in controls. In skeletally mature rats, FSH (r(2) = 0.13) and inhibin A (r(2) = 0.15) correlated with BMD, while inhibin B and E(2) did not. Thus, for the first time, both the hormonal milieu of perimenopause and the association of dynamic perimenopausal changes in FSH and inhibin A with decreased BMD have been reproduced in an animal model.


Subject(s)
Bone Density/physiology , Follicle Stimulating Hormone/metabolism , Inhibins/blood , Osteoporosis, Postmenopausal/chemically induced , Osteoporosis, Postmenopausal/physiopathology , Ovary/physiopathology , Animals , Bone Density/drug effects , Disease Models, Animal , Female , Follicle Stimulating Hormone/antagonists & inhibitors , Follicle Stimulating Hormone/blood , Humans , Inhibins/antagonists & inhibitors , Ovary/drug effects , Ovary/metabolism , Rats , Rats, Sprague-Dawley
8.
Epidemiol Infect ; 140(12): 2302-7, 2012 Dec.
Article in English | MEDLINE | ID: mdl-22273504

ABSTRACT

Global dissemination of imipenem-resistant (IR) clones of Acinetobacter baumannii - A. calcoaceticus complex (ABC) have been frequently reported but the molecular epidemiological features of IR-ABC in military treatment facilities (MTFs) have not been described. We characterized 46 IR-ABC strains from a dataset of 298 ABC isolates collected from US service members hospitalized in different US MTFs domestically and overseas during 2003-2008. All IR strains carried the bla(OXA-51) gene and 40 also carried bla(OXA-23) on plasmids and/or chromosome; one carried bla(OXA-58) and four contained ISAbal located upstream of bla(OXA-51). Strains tended to cluster by pulsed-field gel electrophoresis profiles in time and location. Strains from two major clusters were identified as international clone I by multilocus sequence typing.


Subject(s)
Acinetobacter Infections/microbiology , Acinetobacter baumannii/genetics , Anti-Bacterial Agents/therapeutic use , Imipenem/therapeutic use , beta-Lactam Resistance , beta-Lactamases/genetics , Acinetobacter Infections/drug therapy , Acinetobacter Infections/epidemiology , Acinetobacter baumannii/classification , Acinetobacter calcoaceticus/classification , Acinetobacter calcoaceticus/genetics , Electrophoresis, Gel, Pulsed-Field , Germany/epidemiology , Humans , Iraq War, 2003-2011 , Microbial Sensitivity Tests , Military Personnel , Molecular Epidemiology , Multilocus Sequence Typing , Phylogeography , United States/epidemiology
9.
Poult Sci ; 99(11): 5977-5982, 2020 Nov.
Article in English | MEDLINE | ID: mdl-33142515

ABSTRACT

Quail (Coturnix japonica) is processed and marketed as fresh meat, with limited shelf life. The objective of this study was to evaluate the efficacy of antimicrobial interventions during slaughter on reducing Salmonella and Campylobacter contamination and to determine the microbiological shelf life of quail during refrigerated (4°C) storage. Three antimicrobials, peracetic acid (400 ppm; PAA), Citrilow (pH 1.2), and Cecure (cetylpyridinium chloride [CPC], 450 ppm), along with a water and no-treatment control were evaluated. Quail carcasses (n = 75) were inoculated with a cocktail of nalidixic acid-resistant Salmonella Typhimurium and gentamicin-resistant Campylobacter coli. After 30 min of attachment time, quail carcasses were submerged in each antimicrobial solution for 20 s with air agitation. Noninoculated quail carcasses (n = 25) were similarly treated, packaged, and stored under refrigeration (4°C). Aerobic plate counts (APC), psychrotroph counts (PC), Enterobacteriaceae counts (ENT), total coliform counts (TCC), and Escherichia coli counts on quail carcasses were determined on 1, 4, 7, and 10 d. Salmonella and Campylobacter populations were determined by plating on Petrifilm APC supplemented with 200-ppm nalidixic acid and Campy Cefex agar supplemented with 200-ppm gentamycin, respectively. No significant reductions in (P > 0.01 log cfu/mL) in APC, PC, ENT, TCC, and E. coli counts were observed on carcasses submerged in water. However, treatments with PAA, Citrilow, and CPC significantly reduced (P ≤ 0.05) Salmonella and Campylobacter coli contamination. Citrilow showed greater (P ≤ 0.05) reduction in Salmonella and Campylobacter population (1.90 and 3.82 log cfu/mL reduction, respectively) to PAA and CPC. Greater (P ≤ 0.05) reductions in APC, PC, ENT, TCC, and E. coli counts (2.22, 1.26, 1.47, 1.52, and 1.59 log cfu/mL, respectively) were obtained with the application of CPC. Application of antimicrobial interventions resulted in a reduction in Campylobacter and Salmonella, APC, PC, and ENT populations after treatments (day 0) and throughout the storage period (day 10). Use of antimicrobial interventions after slaughter can improve the microbiological safety and shelf life of quail.


Subject(s)
Anti-Infective Agents , Campylobacter , Food Microbiology , Meat , Quail , Animals , Anti-Infective Agents/pharmacology , Campylobacter/drug effects , Colony Count, Microbial/veterinary , Food Handling/standards , Food Microbiology/methods , Meat/microbiology , Quail/microbiology , Salmonella/drug effects
10.
J Cell Biol ; 57(3): 815-36, 1973 Jun.
Article in English | MEDLINE | ID: mdl-4735453

ABSTRACT

Synchronized populations of Chinese hamster ovary (CHO) cells in confluent culture have been examined by scanning electron microscopy and their surface changes noted as the cells progress through the cycle. During G(1) it is characteristic for cells to show large numbers of microvilli, blebs, and ruffles. Except for the ruffles, these tend to diminish in prominence during S and the cells become relatively smooth as they spread thinly over the substrate. During G(2) microvilli increase in number and the cells thicken in anticipation of rounding up for mitosis. It appears that the changes observed here reflect the changing capacity of CHO cells during the cycle to respond to contact with other cells in the population, because, as noted in the succeeding paper (Rubin and Everhart), CHO cells in sparse nonconfluent cultures do not show the same wide range of changes during the cell cycle. Normal, nontransformed cells of equivalent type in confluent culture are essentially devoid of microvilli, blebs, and ruffles. The relation of these surface configurations to the internal structure of the cell is discussed.


Subject(s)
Cell Division , Animals , Cell Line , Cricetinae , Female , Microscopy, Electron, Scanning , Mitosis , Ovary , Thymidine
11.
Science ; 217(4554): 55-7, 1982 Jul 02.
Article in English | MEDLINE | ID: mdl-17739982

ABSTRACT

High-resolution nuclear magnetic resonance spectra of the carbon nuclei in powdered amber, obtained by using the techniques of magic angle spinning and cross polarization, provide detailed information about the types of carbon functionalities. The entire spectrum of Baltic amber (succinite) is identical for several samples. Baltic amber shows minor differences from Sicilian amber and drastic differences from Burmese, Romanian, and Bohemian ambers.

12.
J Appl Microbiol ; 107(4): 1269-78, 2009 Oct.
Article in English | MEDLINE | ID: mdl-19486402

ABSTRACT

AIMS: The contribution of dogs and cats as reservoirs of antimicrobial resistant enterococci remains largely undefined. This is increasingly important considering the possibility of transfer of bacteria from companion animals to the human host. In this study, dogs and cats from veterinary clinics were screened for the presence of enterococci. METHODS AND RESULTS: A total of 420 enterococci were isolated from nasal, teeth, rectal, belly and hindquarters sites of 155 dogs and 121 cats from three clinics in Athens, GA. Eighty per cent (124 out of 155) of the dogs and 60% (72 out of 121) of the cats were positive for enterococci. From the total number of dog samples (n = 275), 32% (n = 87) were from hindquarter, 31% (n = 86) were rectal, and 29% (n = 79) were from the belly area. The majority of isolates originated from rectal samples (53 out of 145; 37%) from cats. The predominant species identified was Enterococcus faecalis (105 out of 155; 68%) from dogs and E. hirae (63 out of 121; 52%) from cats. Significantly more E. faecalis were isolated from rectal samples than any other enterococcal species (P < 0.05) for both dogs and cats suggesting site specific colonization of enterococcal species. The highest levels of resistance were to ciprofloxacin in E. faecium (9 out of 10; 90%), chloramphenicol resistance in E. faecalis (17 out of 20; 85%) and gentamicin resistance in E. faecalis (19 out of 24; 79%) from dog samples and nitrofurantoin resistance in E. faecium (15 out of 19; 79%) from cats. Multi-drug resistance (MDR) (resistance > or =2 antimicrobials) was observed to as few as two and as many as eight antimicrobials regardless of class. CONCLUSION: This study demonstrated that dogs and cats are commonly colonized with antimicrobial resistant enterococci. SIGNIFICANCE AND IMPACT OF THE STUDY: Dogs and cats may act as reservoirs of antimicrobial resistance genes that can be transferred from pets to people.


Subject(s)
Anti-Bacterial Agents/pharmacology , Cats/microbiology , Dogs/microbiology , Enterococcus faecalis/isolation & purification , Enterococcus/drug effects , Enterococcus/isolation & purification , Gram-Positive Bacterial Infections/epidemiology , Animals , Drug Resistance, Multiple, Bacterial , Enterococcus faecalis/drug effects , Microbial Sensitivity Tests , Prevalence , United States/epidemiology
13.
J Appl Microbiol ; 107(3): 906-14, 2009 Sep.
Article in English | MEDLINE | ID: mdl-19320942

ABSTRACT

AIMS: To detect antimicrobial resistance genes in Salmonella isolates from turkey flocks using the microarray technology. METHODS AND RESULTS: A 775 gene probe oligonucleotide microarray was used to detect antimicrobial resistance genes in 34 isolates. All tetracycline-resistant Salmonella harboured tet(A), tet(C) or tet(R), with the exception of one Salmonella serotype Heidelberg isolate. The sul1 gene was detected in 11 of 16 sulfisoxazole-resistant isolates. The aadA, aadA1, aadA2, strA or strB genes were found in aminoglycoside-resistant isolates of Salm. Heidelberg, Salmonella serotype Senftenberg and untypeable Salmonella. The prevalence of mobile genetic elements, such as class I integron and transposon genes, in drug-resistant Salmonella isolates suggested that these elements may contribute to the dissemination of antimicrobial resistance genes in the preharvest poultry environment. Hierarchical clustering analysis demonstrated a close relationship between drug-resistant phenotypes and the corresponding antimicrobial resistance gene profiles. CONCLUSIONS: Salmonella serotypes isolated from the poultry environment carry multiple genes that can render them resistant to several antimicrobials used in poultry and humans. SIGNIFICANCE AND IMPACT OF THE STUDY: Multiple antimicrobial resistance genes in environmental Salmonella isolates could be identified efficiently by microarray analysis. Hierarchical clustering analysis of the data was also found to be a useful tool for analysing emerging patterns of drug resistance.


Subject(s)
Anti-Bacterial Agents/pharmacology , Drug Resistance, Multiple, Bacterial/genetics , Environmental Microbiology , Poultry Diseases/microbiology , Salmonella enterica/drug effects , Salmonella enterica/genetics , Animals , Cluster Analysis , DNA Probes , DNA, Bacterial/genetics , Microbial Sensitivity Tests , Oligonucleotide Array Sequence Analysis , Salmonella Infections, Animal/genetics , Salmonella enterica/isolation & purification , Serotyping , Tetracycline , Turkeys/microbiology
14.
Colorectal Dis ; 11(9): 917-20, 2009 Nov.
Article in English | MEDLINE | ID: mdl-19175646

ABSTRACT

OBJECTIVE: The aim of this study was to determine the demand for hospital resources generated by anastomotic leakage, including surgical, medical, imaging, pathology, and other allied health consultations or services and length of postoperative hospital stay. METHOD: Data were obtained from a comprehensive, prospective hospital registry of all resections for colorectal cancer from January 1995 to December 2004 and from retrospective review of patients' notes. RESULTS: Forty-one patients with a leak spent 92 days in intensive care, required 129 days of total parenteral nutrition, 69 days of enteric feeding and 41 days on ventilation and had a median postoperative hospital stay of 28 days (range 11-104). These patients required 24 re-operations and 2273 separate medical consultations or allied services. CONCLUSION: Anastomotic leakage generates a very considerable demand for hospital resources and diverts these resources from the hospital population at large.


Subject(s)
Anastomosis, Surgical/adverse effects , Anastomosis, Surgical/economics , Colorectal Neoplasms/surgery , Digestive System Surgical Procedures/adverse effects , Digestive System Surgical Procedures/economics , Aged , Female , Humans , Intensive Care Units/economics , Length of Stay/economics , Male , Referral and Consultation/economics , Registries , Retrospective Studies
15.
J Clin Microbiol ; 46(9): 3080-3, 2008 Sep.
Article in English | MEDLINE | ID: mdl-18632900

ABSTRACT

An isolate of Proteus mirabilis recovered from blood cultures of a diabetic patient was shown to be resistant to imipenem, meropenem, and ertapenem by disk diffusion susceptibility testing. Amplification of whole-cell and/or plasmid DNA recovered from the isolate with primers specific for the bla(KPC) carbapenemase gene produced an amplicon of the expected size which was confirmed to be bla(KPC-2) by sequence analysis. Transformation of a susceptible Escherichia coli host with plasmid preparations from the isolate generated a transformant for which the MICs of all of the carbapenems tested were increased three- to fourfold. We believe this to be the first report of carbapenem resistance in P. mirabilis caused by the acquisition of bla(KPC).


Subject(s)
Proteus mirabilis/drug effects , beta-Lactamases/genetics , Ampicillin/pharmacology , Anti-Bacterial Agents/pharmacology , Cefazolin/pharmacology , Humans , Imipenem/pharmacology , Microbial Sensitivity Tests , Middle Aged , Molecular Sequence Data , Polymerase Chain Reaction , Proteus mirabilis/genetics , beta-Lactam Resistance/genetics , beta-Lactamases/isolation & purification
16.
Hernia ; 12(5): 475-81, 2008 Oct.
Article in English | MEDLINE | ID: mdl-18484151

ABSTRACT

BACKGROUND: Parastomal hernias can be prevented or repaired using synthetic mesh; however, reported complications include infection, fibrosis and potential bowel erosion. The study aim was to assess the safety, feasibility and potential efficacy of using a prophylactic collagen implant. METHODS: Twenty patients undergoing defunctioning stomas were randomised to a conventional procedure or reinforcement with the implant. Follow-up included regular symptom questionnaires, clinical examination, stoma site ultrasound, and serum inflammatory markers. RESULTS: Ten patients (four males; mean BMI 26.3) had a conventional stoma, and ten (three males; mean BMI 26.3) received the implant. At a median of 6.5 months follow-up, a parastomal hernia was clinically evident in three of ten patients without the implant, and in none of ten patients with the implant. There were no clinical complications, ultrasound evidence of chronic seromas or serological evidence of a systemic inflammatory response. CONCLUSIONS: Xenogeneic collagen has been demonstrated to aid soft tissue reinforcement. In this study, in contrast to published data relating to the use of conventional synthetic mesh, there were no complications related to infection or the implant's proximity to the bowel. This trial demonstrates that the implant is safe, feasible to use and has the potential to prevent parastomal herniation.


Subject(s)
Biocompatible Materials , Collagen , Hernia, Ventral/prevention & control , Surgical Stomas/adverse effects , Adult , Aged , Anastomosis, Surgical , Feasibility Studies , Female , Hernia, Ventral/epidemiology , Hernia, Ventral/etiology , Humans , Incidence , Male , Middle Aged , Ostomy/adverse effects , Prostheses and Implants , Treatment Outcome , Young Adult
17.
Plant Dis ; 91(5): 637, 2007 May.
Article in English | MEDLINE | ID: mdl-30780728

ABSTRACT

Asian soybean rust, caused by Phakopsora pachyrhizi H. Sydow & Sydow, was first detected in the continental United States in soybean (Glycine max (L.) Merr.) in Louisiana on 6 November 2004 (3) and in kudzu (Pueraria montana var. lobata) in Florida during February 2005 (1). Soybean rust was first confirmed in North Carolina in commercial soybean fields in Brunswick, Columbus, and Robeson counties on 25 October 2005 (2). Subsequently, the disease was detected in soybean in 18 counties, but not in kudzu, even when it was growing adjacent to infected soybean. During 2006, soybean rust was first detected in North Carolina in soybean on 14 September 2006 from a sample from Columbus County that was submitted to the North Carolina State University Plant Disease and Insect Clinic (NCSU-PDIC). Thus, the first detection of soybean rust in North Carolina occurred almost 6 weeks earlier in 2006 than in 2005. Subsequently, in 2006, soybean rust was found in soybean in 42 counties in North Carolina through survey, sentinel plot monitoring, and samples submitted to the NCSU-PDIC. In addition, what appeared to be soybean rust was observed in two samples of kudzu collected on 3 and 6 November 2006 from Moore (35.28313°N, 79.38020°W) and Johnston (35.42742°N, 78.18154°W) counties of North Carolina. The diagnosis of P. pachyrhizi in kudzu was confirmed visually and by ELISA protocol supplied with the EnviroLogix QualiPlate kit (Portland, ME). ELISA tests for each kudzu sample were run in triplicate. PCR was also conducted on infected kudzu samples with a protocol previously reported (1). The PCR master mix that was used came from a dilution scheme based on previous PCR work completed by G. Z. Abad. A total of 24 reactions were run, including four 1-kb molecular markers, four positive controls, four negative controls, and four infected kudzu leaf tissue samples. The results of all diagnostic techniques confirmed the presence of P. pachyrhizi in diseased kudzu. To our knowledge, this is the first report of P. pachyrhizi in kudzu in North Carolina. References: (1) P. F. Harmon et al. Online publication. doi:10.1094/PHP-2005-0613-01-RS. Plant Health Progress, 2005. (2) S. R. Koenning et al. Plant Dis. 90:973, 2006. (3) R. W. Schneider et al. Plant Dis. 89:774, 2005.

18.
Plant Dis ; 91(8): 1054, 2007 Aug.
Article in English | MEDLINE | ID: mdl-30780452

ABSTRACT

Red root rot, caused by Phoma terrestris E. M. Hansen, caused premature senescence and yield reductions to fresh-market sweet corn in Hyde County, North Carolina in July 2006. Foliar symptoms developed over a period of 5 to 8 days approximately 1 to 2 weeks after anthesis and included desiccation of leaves and poor development of ears. By 3 weeks after pollination, when the sweet corn was harvested, crowns and the first aboveground internode of affected plants were rotted and reddish colored, but roots appeared normal. The root mass of affected plants tended to be greater than that of unaffected plants. Incidence of symptomatic plants was greater than 30% in some fields and was lower on crops planted and harvested early. Symptomatic and asymptomatic plants were adjacent in affected fields. Diseased plants were more common in fields of sweet corn that followed soybean (Glycine max) or a double-crop of onions (Allium cepa) than in fields that followed corn. Incidence of symptomatic plants also differed among adjacent plantings of different sweet corn hybrids. Hybrids '173A', '182A', '378a', and 'XTH1178' had a high incidence of symptomatic plants and '372A', '278A', '8101', and '8102' were less affected. Samples of symptomatic plants of the hybrid '182A' were examined at the North Carolina Plant Disease and Insect Clinic during August. Olivaceous black pycnidia with long setae around the ostioles were imbedded in the stalk near the first node aboveground. Numerous conidia (1.8 to 2.3 × 4.5 to 5.5 µm) were released in cirri from pycnidia. When cultured on potato dextrose agar (PDA), the fungus produced a red pigment and intercalary and terminal chlamydospores. Pathogenicity was demonstrated in the greenhouse by transplanting corn seedlings or direct-seeding corn into pots of soil infested with plates of PDA containing chlamydospores and hyphae. A suspension of chlamydospores and hyphae also was injected into the stems of plants 28 days after transplanting. Five replicates of the pathogenicity experiments were repeated twice with noninoculated controls. After 8 weeks, P. terrestris was recovered from the roots of all inoculated plants. Soil inoculation resulted in necrotic root tissue in approximately 25% of inoculated plants. Approximately 90% of inoculated plants had discolored crowns that resembled symptoms from field infected plants. Stem inoculations resulted in necrosis extending 2 to 5 cm from the point of injection and resulted in shoot death of 40% of inoculated plants that resulted in the development of an adventitious shoot. Red root rot was prevalent on field corn in the Delmarva Peninsula throughout the late 1980s and 1990s (1). To our knowledge, this is the first report of this disease causing damage to sweet corn in North Carolina. Foliar symptoms and discoloration of crowns of diseased sweet corn plants were similar to previously described symptoms of red root rot on field corn (2), however, roots of affected sweet corn plants were not substantially rotted and did not have a symptomatic reddish pink or dark carmine color, presumably because sweet corn is harvested prior to the development of root symptoms. References: (1) K. W. Campbell et al. Plant Dis. 75:1186, 1991. (2) D. G. White, ed. Compendium of Corn Diseases. The American Phytopathological Society, St Paul, MN, 1999.

19.
Poult Sci ; 96(1): 241-245, 2017 Jan 01.
Article in English | MEDLINE | ID: mdl-27591281

ABSTRACT

To estimate the potential for residual antimicrobial solution carryover, surface water accumulation and loss was measured on post-chill carcasses that were either dipped or sprayed with water. For all experiments, broilers were slaughtered, soft or hard scalded, defeathered, and eviscerated. Carcasses were immersion chilled, allowed to drip, and post-chill carcass weight (CW) recorded. For water dip treatment, carcasses were dipped for 0.5 min in water and hung by a wing (n = 33) or a leg (n = 30) and CW recorded at 0, 0.5, 1, 2, and 5 min post-dip. For water spray treatment, individual carcasses were hung by either the wings (n = 35) or legs (n = 34) from a shackle suspended from a scale. Water was sprayed at 80 psi and post-spray CW recorded. Initial water accumulation (0 min) for dipped carcasses was not significantly different (P > 0.05) for carcasses hung by the leg (101.0 g) or wing (108.8 g). Following the 5 min drip time, 31 g of water remained on the carcasses hung by the leg and only 10 g on carcasses hung by the wing (P < 0.05). When carcasses were sprayed with water, initial water accumulation (0 min) was 62 g for carcasses hung by the legs and 60 g for carcasses hung by the wings (P > 0.05). Following the 5 min drip time, 1 g or no water remained on the sprayed carcasses (P > 0.05). Carcasses that were dipped and hung by a leg for 5 min retained significantly more water (31 g) than carcasses that were dipped and hung by a wing (10 g) or sprayed carcasses hung either way (0.3 g) (P < 0.05). Post-chill water dip resulted in significantly higher initial carcass water accumulation than spraying (105 g vs. 61 g, P < 0.05). Carcass orientation during dripping only affected the amount of retained water for dipped carcasses. Dipped carcasses hung by a leg have the highest potential for residual carcass antimicrobial solution carryover and sprayed carcasses hung by either orientation have the lowest potential for residual antimicrobial solution carryover.


Subject(s)
Anti-Infective Agents/analysis , Food Handling/methods , Meat/analysis , Water/analysis , Animals , Chickens , Cold Temperature
20.
Biochim Biophys Acta ; 899(2): 137-42, 1987 May 29.
Article in English | MEDLINE | ID: mdl-3580360

ABSTRACT

Motional order and motional rates in unsonicated phospholipid bilayers were assessed as a function of unsaturation of the phospholipid. A measurement sensitive to motional order was obtained using 2H-NMR of 18:1, 18:1-phosphatidylcholine labelled at positions 9 and 10 with deuterium and included as a probe in phospholipid bilayers of interest at 10 mole percent. Spin lattice relaxation times from magic angle spinning 13C-NMR spectra of phospholipid dispersions of interest were used as a measure of motional rates. Measurements were made of phospholipid bilayers containing from 0 to 8 double bonds per molecule. No large effect of an increase in unsaturation was noted for the 2H-NMR quadrupole splittings or for the 13C-NMR spin lattice relaxation rate.


Subject(s)
Fatty Acids, Unsaturated/analysis , Lipid Bilayers , Phosphatidylcholines , Carbon Isotopes , Deuterium , Magnetic Resonance Spectroscopy/methods , Models, Biological , Molecular Conformation
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