Impact of moving to a new hospital build, with a high proportion of single rooms, on healthcare-associated infections and outbreaks.

Clostridium difficile infection, meticillin-sensitive Staphylococcus aureus (MSSA) and Escherichia coli bacteraemia rates, and bed-days lost during norovirus outbreaks at North Bristol NHS Trust were analysed over a five-year period to determine whether moving to a new-build hospital with 75% single rooms reduced healthcare-associated infection rates. C. difficile, MSSA bacteraemia and E. coli bacteraemia showed no change in the rate of decline after the move. Bed-days lost due to norovirus were significantly lower after the move. Increased availability of single rooms had an impact on the transmission of highly contagious norovirus infection, dispersed via the airborne route, in contrast to bacterial infections, which may originate from patient's own colonizing flora and are not widely dispersed through airborne spread.

Identification of miRNA encoded by Jatropha curcas from EST and GSS.

miRNAs are endogenous approx 22 nucleotide RNA which mediates transcriptional or Post-transcriptional gene regulation and play a critical role in diverse aspects of plant development. miRNA identification in wet lab have various constraints, it is time consuming and expensive. It also faces the limitation of identifying miRNAs expressed at specific time and/or at special conditions. Due to the nature of strong conservation of miRNA in plant species, the use of comparative genomics approach for expressed sequence tags (ESTs), Genome Survey Sequence (GSS) and structural feature criteria filter has paved the way toward the identification of conserved miRNAs from the plant species whose genomes are not yet available in public domain. To identify the novel miRNA from Jatropha curcas, a total of 46862 EST sequences and 1569 GSS were searched for homology to previously known viridiplantae 2502 mature miRNA. After predicting the RNA secondary structure, 24 new potential miRNA were identified in J. curcas. Using the newly identified miRNA sequences, a total of 78 potential target genes were identified for 3 miRNA families. Most of the miRNA targeted genes were predicted to encode transcription factors that regulate cell growth and development, signaling, and metabolism. These findings considerably broaden the scope of understanding the functions of miRNA in J. curcas.

Platypnoea-orthodeoxia syndrome.

A 78-year-old man with a history of gastric ulcer and pulmonary embolism was admitted for elective revision of a right total hip replacement. He was mildly hypoxic preoperatively (saturation 89% on air). He became profoundly breathless postoperatively (saturation 75%). He was treated for presumed pulmonary oedema but failed to improve. A CT pulmonary angiogram and transthoracic echo showed no clear cause for his symptoms. Because the patient's symptoms were postural, exacerbated in the upright position and relieved by lying supine, the authors suspected a diagnosis of platypnoea-orthodeoxia syndrome associated with a patent foramen ovale (PFO). Transoesophageal echo and microbubble study confirmed he had a PFO. The patient's PFO was percutaneously closed and his symptoms and positional hypoxia completely resolved.