Non-staphylococcal infections of cardiac implantable electronic devices

Background. The number of infections of cardiac implantable electronic devices (CIED) continues to escalate out of proportion to the increase rate of device implantation. Staphylococcal organisms account for 70% to 90% of all CIED infections. However, little is known about non-staphylococcal infections, which have been described only in case reports, small case series or combined in larger studies with staphylococcal CIED infections, thereby diluting their individual impact. ^ Methods. A retrospective review of hospital records of patients admitted with a CIED-related infections were identified within four academic hospitals in Houston, Texas between 2002 and 2009. ^ Results. Of the 504 identified patients with CIED-related infection, 80 (16%) had a non-staphylococcal infection and were the focus of this study. Although the demographics and comorbities of subjects were comparable to other reports, our study illustrates many key points: (a) the microbiologic diversity of non-staphylococcal infections was rather extensive, as it included other Gram-positive bacteria like streptococci and enterococci, a variety of Gram-negative bacteria, atypical bacteria including Nocardia and Mycobacteria, and fungi like Candida and Aspergillus; (b) the duration of CIED insertion prior to non-staphylococcal infection was relatively prolong (mean, 109 ± 27 weeks), of these 44% had their device previously manipulated within a mean of 29.5 ± 6 weeks; (c) non-staphylococcal organisms appear to be less virulent, cause prolonged clinical symptoms prior to admission (mean, 48 ± 12.8 days), and are associated with a lower mortality (4%) than staphylococcal organisms; (d) thirteen patients (16%) presented with CIED-related endocarditis; (e) although not described in prior reports, we identified 3 definite and 2 suspected cases of secondary Gram-negative bacteremia seeding of the CIED; and (f) inappropriate antimicrobial coverage was provided in approximately 50% of patients with non-staphylococcal infections for a mean period of 2.1 days. ^ Conclusions. Non-staphylococcal CIED-related infections are prevalent and diverse with a relatively low virulence and mortality rate. Since non-staphylococcal organisms are capable of secondarily seeding the CIED, a high suspicion for CIED-related infection is warranted in patients with bloodstream infection. Additionally, in patients with suspected CIED infection, adequate Gram positive and -negative antibacterial coverage should be administered until microbiologic data become available.^

Inflammatory Breast Cancer: The Immune Perspective

Inflammatory breast cancer (IBC) is the most insidious form of locally advanced disease. Although rare and less than 2% of all breast cancer, IBC is responsible for up to 10% of all breast cancer deaths. Despite the name, very little is known about the role of inflammation or immune mediators in IBC. Therefore, we analyzed blood samples from IBC patients and non-IBC patients, as well as healthy donor controls to establish an IBC-specific profile of peripheral blood leukocyte phenotype and function of T cells and dendritic cells and serum inflammatory cytokines. Emerging evidence suggests that host factors in the microenviromement may interact with underlying IBC genetics to promote the aggressive nature of the tumor. An integral part of the metastatic process involves epithelial to mesenchymal transition (EMT) where primary breast cancer cells gain motility and stem cell-like features that allow distant seeding. Interestingly, the IBC consortium microarray data found no clear evidence for EMT in IBC tumor tissues. It is becoming increasingly evident that inflammatory factors can induce EMT. However, it is unknown if EMT-inducing soluble factors secreted by activated immune cells in the IBC microenvironment canπ account for the absence of EMT in studies of the tumor cells themselves. We hypothesized that soluble factors from immune cells are capable of inducing EMT in IBC. We tested the ability of immune conditioned media to induce EMT in IBC cells. We found that soluble factors from activated immune cells are able to induce the expression of EMT-related factors in IBC cells along with increased migration and invasion. Specifically, the pro-inflammatory cytokines TNF-α, IL-6 and TGF-β were able to induce EMT and blocking these factors in conditioned media abated the induction of EMT. Surprisingly, unique to IBC cells, this process was related to increased levels of E-cadherin expression and adhesion, reminiscent of the characteristic tightly packed tumor emboli seen in IBC samples. This data offers insight into the unique pathology of IBC by suggesting that tumor immune interactions in the tumor microenvironment contribute to the aggressive nature of IBC implying that immune induced inflammation can be a novel therapeutic target. Specifically, we showed that soluble factors secreted by activated immune cells are capable of inducing EMT in IBC cells and may mediate the persistent E-cadherin expression observed in IBC. This data suggests that immune mediated inflammation may contribute to the highly aggressive nature of IBC and represents a potential therapeutic target that warrants further investigation.

Influencia de la introducción de Eragrostis lehmanniana sobre la comunidad de gramíneas en la Reserva de Ñacuñán (Mendoza, Argentina)

En 1976 se sembró E. lehmanniana Nees en la Reserva de Ñacuñán. Se evaluaron, después de 24 años de la siembra, la tasa lineal de dispersión, la abundancia y el impacto de esta especie exótica sobre la comunidad de gramíneas perennes nativas. Se compararon sitios dominados por la especie exótica con otros que incluían sólo vegetación nativa. Para comparar la cobertura de la canopia de las gramíneas, la cantidad de especies por parcela y la abundancia de la especie exótica se usó la prueba de Mann- Whitney. La especie exótica se dispersó 32 m año-1. Ella estaba presente en los caminos internos de la Reserva donde la vegetación nativa leñosa había sido eliminada y en el 45 % de los sitios ubicados en áreas no disturbadas adyacentes a los caminos. La cobertura total de las gramíneas nativas se redujo significativamente en los sitios donde la especie exótica estaba presente. La cantidad total de gramíneas por parcela no fue afectada por la presencia de E. lehmanniana. Pappophprum caespitosum, la gramínea dominante en Ñacuñán, y Sporobolus cryptandrus presentaron cobertura más baja en los sitios dominados por la especie exótica que en aquéllos no disturbados. La introducción de E. lehmanniana tuvo un impacto negativo en la composición de la comunidad de gramíneas perennes nativas en los sitios disturbados de la Reserva.

Evaluation of the attack rates and level of damages by the fall armyworm, Spodoptera frugiperda (Lepidoptera: Noctuidae), affecting corn-crops in the northeast of Argentina

The fall armyworm (FAW) is the most important threat to corn crops in Argentina, and there exists very little up-to-date information on its actual pest status because the available literature was published more than 20 years ago. Therefore, field surveys were carried out in the northeast of Argentina, in order to establish the attack rates and injury levels of the pest in relation to the crop phenology. The study was carried out at two localities: Colonia Benítez, an agricultural region, and Tapenagá, a cattle-raising area. At each site two 1-ha plots were sown either with a Bt-corn expressing Cry 1F protein or with an untransformed corn germplasm. Optimal and late sowing was assayed and FAW larval abundance, relative age composition, attack rates and level of damage to corn were recorded. At the moment of the field experiments, Bt-corn was not affected by FAW larvae. However, untransformed germplasms were severely affected by FAW larvae, with an average of attacked plants of 18% or more. In contrast to data obtained 30 years ago, higher values of FAW density were registered. Levels of damage to corn plants were higher after the V4 stage. It was found that the sowing date affected the infestation levels and early seeding avoided high armyworm densities that develop later in the season; in northern Argentina, this was only relevant in agricultural areas.

Temperaturas óptimas para resembrar especies mesotérmicas sobre céspedes de Cynodon dactylon en el centro-sur de la provincia de Córdoba, Argentina

Los objetivos fueron determinar temperaturas medias de suelo (TMS) y mínimas de aire (TMA) adecuadas para realizar resiembras otoñales; evaluar la tasa de crecimiento (TCC) de Cynodon dactylon (Bermuda) que minimice la competencia con la especie resembrada y el comportamiento de distintas especies mesotérmicas en el centro-sur de la provincia de Córdoba. Se resembró durante 2010 y 2011, en un diseño de parcelas divididas con cinco fechas de siembra (FS) quincenalmente desde principios de marzo, con tres genotipos: Lolium multiflorum cv Axcella, L. perenne y L. perenne cv Excel I. Las temperaturas se midieron entre principios de marzo y hasta que la bermuda entró en dormición, calculando TMA y TMS. En las subparcelas resembradas se registraron calidad visual y cobertura total; además, en la bermuda se calculó la TCC. Las resiembras que lograron valores más altos de calidad visual, cobertura y bajas TCC de la Bermuda, se dieron con TMS entre 18 - 21°C y TMA entre 11,5 - 15,5°C. De acuerdo con los valores medios normales de la región centro-sur de Córdoba, las temperaturas óptimas se observan entre la segunda década de marzo y primera de abril. Los tres genotipos tuvieron comportamientos similares independientemente de la FS utilizada.

Tratamiento con ácido sulfúrico de semillas de la acacia blanca (Robinia pseudo acacia L.) cosechadas en Mendoza

The results obtained in germination test with seeds of "black locust" (Robinia Pseudo Acacia L) previously treated with sulphuric acid concentrated (d. 1.84) are given. Those test were made in order to get a good germination considering the water tight seed coat that those seeds have in a great percentage. The seeds were soaked in the solution for some minutes; the 180 and 210 minutes soaking (90 and 86.5 % respectively) gave the highest percentage and the fasted process of germination, which were higher than those obtained as efective by other researches. The test made would constitute another evidence of the effect of the locality of production upon the degree of water tightness of the Black locust seeds. The author suggests that the previous treatments of the seeds, the rusticity and quick growing of this species and the furrow system of irrigation so common in the zone will enable, perhaps with success the stablishment of woods of this valuable forestal species, by direct seeding.