Rede an der Bahre des hingeschiedenen Rabbiners und Predigers Michael Sachs. Rede an der Bahre des Moritz Veit

gehalten von [M.] Joël

Risk factors for Clostridium difficile nosocomial diarrhea in patients at the Michael E. Debakey Veterans Affairs Medical Center, Houston, Texas

Background. Clostridium difficile is the leading cause of hospital associated infectious diarrhea and colitis. About 3 million cases of Clostridium difficile diarrhea occur each year with an annual cost of $1 billion. ^ About 20% of patients acquire C. difficile during hospitalization. Infection with Clostridium difficile can result in serious complications, posing a threat to the patient's life. ^ Purpose. The aim of this research was to demonstrate the uniqueness in the characteristics of C. difficile positive nosocomial diarrhea cases compared with C. difficile negative nosocomial diarrhea controls admitted to a local hospital. ^ Methods. One hundred and ninety patients with a positive test and one hundred and ninety with a negative test for Clostridium difficile nosocomial diarrhea, selected from patients tested between January 1, 2002 and December 31, 2003, comprised the study population. Demographic and clinical data were collected from medical records. Logistic regression analyses were conducted to determine the associated odds between selected variables and the outcome of Clostridium difficile nosocomial diarrhea. ^ Results. For the antibiotic classes, cephalosporins (OR, 1.87; CI 95, 1.23 to 2.85), penicillins (OR, 1.57; CI 95, 1.04 to 2.37), fluoroquinolones (OR, 1.65; CI 95, 1.09 to 2.48) and antifungals (OR, 2.17; CI 95, 1.20 to 3.94), were significantly associated with Clostridium difficile nosocomial diarrhea Ceftazidime (OR, 1.95; CI 95, 1.25 to 3.03, p=0.003), gatifloxacin (OR, 1.97; CI 95, 1.31 to 2.97, p=0.001), clindamycin (OR, 3.13; CI 95, 1.99 to 4.93, p<0.001) and vancomycin (OR, 1.77; CI 95, 1.18 to 2.66, p=0.006, were also significantly associated with the disease. Vancomycin was not statistically significant when analyzed in a multivariable model. Other significantly associated drugs were, antacids, laxatives, narcotics and ranitidine. Prolong use of antibiotics and an increased number of comorbid conditions were also associated with C. difficile nosocomial diarrhea. ^ Conclusion. The etiology for C. difficile diarrhea is multifactorial. Exposure to antibiotics and other drugs, prolonged antibiotic usage, the presence and severity of comorbid conditions and prolonged hospital stay were shown to contribute to the development of the disease. It is imperative that any attempt to prevent the disease, or contain its spread, be done on several fronts. ^

La comunidad excluyente : Crítica de la teoría de las esferas de justicia de Michael Walzer

Fil: Socolovsky, María Yamile. Universidad Nacional de La Plata. Facultad de Humanidades y Ciencias de la Educación; Argentina.

La comunidad excluyente : Crítica de la teoría de las esferas de justicia de Michael Walzer

Fil: Socolovsky, María Yamile. Universidad Nacional de La Plata. Facultad de Humanidades y Ciencias de la Educación; Argentina.

Microfossil cyclicity in Late Albian sediments of Kirchrode I borehole

We studied the biological response to orbital forcing in marine Upper Albian sediments recovered from the 245 m-long Kirchrode I borehole in the Lower Saxony basin in northwestern Germany. Results from quantitative analysis of planktonic and benthic foraminifera, of calcareous nannofossils, and radiolaria were used for this study. Spectral analysis in the depth domain indicates for the high sedimentation rate part of the Upper Albian dominant periods with wavelengths of 10±13 m, 5±6 m, and 2±3 m, which we interpret to represent the biological response to orbital forcing in the Milankovitch frequency bands eccentricity, obliquity, and precession, respectively. In addition, a low amplitude 40±50 m cycle was found, which would represent the long-term eccentricity variation of roughly 400 ka. Microfossil cyclicity does not change significantly within the whole core indicating sedimentation rates of 11±12 cm/ka on an average, with variations between 3.5 and 13 ka. Microfossils show greater variability in their abundance changes than the physical and chemical parameters and also greater power in the higher-frequency bands (obliquity and precession). While most of the planktonic foraminifer species studied are dominated by variations in the obliquity, most benthic foraminifer species show an additional strong influence of precession. These differences in the cyclicity of the abundance changes are interpreted as reflecting a stronger influence of low latitude water in the deep waters of the Late Albian Lower Saxony basin than in the shallow waters. This basin was part of a wide, 'Boreal' epicontinental sea, which was connected to the Tethys to the south via the Polish strait and via the Paris basin, and which was connected with the North Atlantic and Arctic to the north. In analogy to results from analysis of data from the Late Neogene, strong effects of precession interpreted as being more characteristic for changes/influences triggered in the low latitudes and those of obliquity to be more characteristic for influences from the high latitudes. The presence of a relatively strong eccentricity cycle, not only in the compound parameters, but also in the abundance changes of single species during the Late Albian means that there must have been a non-linear response to orbital forcing and internal feedbacks.

Isopoda E(S100) and surface sediment characteristics of ANDEEP I-III stations in the Southern Ocean deep sea

Shallow marine benthic communities around Antarctica show high levels of endemism, gigantism, slow growth, longevity and late maturity, as well as adaptive radiations that have generated considerable biodiversity in some taxa1. The deeper parts of the Southern Ocean exhibit some unique environmental features, including a very deep continental shelf2 and a weakly stratified water column, and are the source for much of the deep water in the world ocean. These features suggest that deep-sea faunas around the Antarctic may be related both to adjacent shelf communities and to those in other oceans. Unlike shallow-water Antarctic benthic communities, however, little is known about life in this vast deep-sea region2, 3. Here, we report new data from recent sampling expeditions in the deep Weddell Sea and adjacent areas (748-6,348 m water depth) that reveal high levels of new biodiversity; for example, 674 isopods species, of which 585 were new to science. Bathymetric and biogeographic trends varied between taxa. In groups such as the isopods and polychaetes, slope assemblages included species that have invaded from the shelf. In other taxa, the shelf and slope assemblages were more distinct. Abyssal faunas tended to have stronger links to other oceans, particularly the Atlantic, but mainly in taxa with good dispersal capabilities, such as the Foraminifera. The isopods, ostracods and nematodes, which are poor dispersers, include many species currently known only from the Southern Ocean. Our findings challenge suggestions that deep-sea diversity is depressed in the Southern Ocean and provide a basis for exploring the evolutionary significance of the varied biogeographic patterns observed in this remote environment.