Análisis comparativo del perfil y la mortalidad de los pacientes con estancia intermedia versus prolongada en cuidados intensivos en función del tipo de paciente

[ES] Objetivo: Estudiar el perfil y los factores pronósticos asociados con la mortalidad  de los diferentes tipos de pacientes (coronarios, médicos, quirúrgicos y traumatológicos) que precisaron de una estancia intermedia (5-13 días) y compararlos con los que necesitaron de una estancia prolongada (≥ 14 días), en la Unidad de Cuidados Intensivos del Hospital Universitario Insular de Gran Canaria, ingresados en el período comprendido entre el 1 de enero de 2004 y el 31 de diciembre de 2010.

Acquisition of complement inhibitor serine protease factor I and its cofactors C4b-binding protein and factor H by Prevotella intermedia

Infection with the Gram-negative pathogen Prevotella intermedia gives rise to periodontitis and a growing number of studies implies an association of P. intermedia with rheumatoid arthritis. The serine protease Factor I (FI) is the central inhibitor of complement degrading complement components C3b and C4b in the presence of cofactors such as C4b-binding protein (C4BP) and Factor H (FH). Yet, the significance of complement inhibitor acquisition in P. intermedia infection and FI binding by Gram-negative pathogens has not been addressed. Here we show that P. intermedia isolates bound purified FI as well as FI directly from heat-inactivated human serum. FI bound to bacteria retained its serine protease activity as shown in degradation experiments with (125)I-labeled C4b. Since FI requires cofactors for its activity we also investigated the binding of purified cofactors C4BP and FH and found acquisition of both proteins, which retained their activity in FI mediated degradation of C3b and C4b. We propose that FI binding by P. intermedia represents a new mechanism contributing to complement evasion by a Gram-negative bacterial pathogen associated with chronic diseases.

Genotyping of human and porcine Yersinia enterocolitica, Yersinia intermedia, and Yersinia bercovieri strains from Switzerland by amplified fragment length polymorphism analysis

In this study, 231 strains of Yersinia enterocolitica, 25 strains of Y. intermedia, and 10 strains of Y. bercovieri from human and porcine sources (including reference strains) were analyzed using amplified fragment length polymorphism (AFLP), a whole-genome fingerprinting method for subtyping bacterial isolates. AFLP typing distinguished the different Yersinia species examined. Representatives of Y. enterocolitica biotypes 1A, 1B, 2, 3, and 4 belonged to biotype-related AFLP clusters and were clearly distinguished from each other. Y. enterocolitica biotypes 2, 3, and 4 appeared to be more closely related to each other (83% similarity) than to biotypes 1A (11%) and 1B (47%). Biotype 1A strains exhibited the greatest genetic heterogeneity of the biotypes studied. The biotype 1A genotypes were distributed among four major clusters, each containing strains from both human and porcine sources, confirming the zoonotic potential of this organism. The AFLP technique is a valuable genotypic method for identification and typing of Y. enterocolitica and other Yersinia spp.

Phylogenetic analysis of Prevotella nigrescens, Prevotella intermedia and Porphyromonas gingivalis clinical strains reveals a clear species clustering

Prevotella nigrescens, Prevotella intermedia and Porphyromonas gingivalis are oral pathogens from the family Bacteroidaceae, regularly isolated from cases of gingivitis and periodontitis. In this study, the phylogenetic variability of these three bacterial species was investigated by means of 16S rRNA (rrs) gene sequence comparisons of a set of epidemiologically and geographically diverse isolates. For each of the three species, the rrs gene sequences of 11 clinical isolates as well as the corresponding type strains was determined. Comparison of all rrs sequences obtained with those of closely related species revealed a clear clustering of species, with only a little intraspecies variability but a clear difference in the rrs gene with respect to the next related taxon. The results indicate that the three species form stable, homogeneous genetic groups, which favours an rrs-based species identification of these oral pathogens. This is especially useful given the 7% sequence divergence between Prevotella intermedia and Prevotella nigrescens, since phenotypic distinction between the two Prevotella species is inconsistent or involves techniques not applicable in routine identification.

Magnetic Resonance Imaging of the Pituitary Gland of Horses With Pituitary Pars Intermedia Dysfunction

Magnetic Resonance Imaging of the Pituitary Gland of Horses With Pituitary Pars Intermedia Dysfunction

Windröschen - Anemone nemorosa - Anemone intermedia - Anemone ranunculoides : aus den Rheinwaldungen bei Karlsruhe, dort in Massen

AR

La escuela intermedia revisitada : Racionalización y revisión curricular en la provincia de Buenos Aires durante la última dictadura militar

Este artículo pretende hacer un aporte al área de estudios sobre la educación bajo la última dictadura militar en la Argentina. En este trabajo presentaremos un aspecto poco visto por los investigadores, como es el análisis de las políticas educativas de "racionalización" y "revisión curricular" referidas a los niveles primario y secundario que fueron diseñadas e implementadas por los cinco ministros de educación de la provincia de Buenos Aires. Pretendemos mostrar dos cuestiones relacionadas, en primer lugar, que el argumento de la política de racionalización esgrimido por los funcionarios dictatoriales pretendió legitimar públicamente una serie de acciones que buscaba frenar la expansión del sistema. En segundo término, veremos que la revisión curricular pensada para el nivel secundario y algunas propuestas realizadas para los últimos años de la primaria contenían elementos del controvertido proyecto de la "escuela intermedia".

La escuela intermedia revisitada : Racionalización y revisión curricular en la provincia de Buenos Aires durante la última dictadura militar

Este artículo pretende hacer un aporte al área de estudios sobre la educación bajo la última dictadura militar en la Argentina. En este trabajo presentaremos un aspecto poco visto por los investigadores, como es el análisis de las políticas educativas de "racionalización" y "revisión curricular" referidas a los niveles primario y secundario que fueron diseñadas e implementadas por los cinco ministros de educación de la provincia de Buenos Aires. Pretendemos mostrar dos cuestiones relacionadas, en primer lugar, que el argumento de la política de racionalización esgrimido por los funcionarios dictatoriales pretendió legitimar públicamente una serie de acciones que buscaba frenar la expansión del sistema. En segundo término, veremos que la revisión curricular pensada para el nivel secundario y algunas propuestas realizadas para los últimos años de la primaria contenían elementos del controvertido proyecto de la "escuela intermedia".

La escuela intermedia revisitada : Racionalización y revisión curricular en la provincia de Buenos Aires durante la última dictadura militar

Este artículo pretende hacer un aporte al área de estudios sobre la educación bajo la última dictadura militar en la Argentina. En este trabajo presentaremos un aspecto poco visto por los investigadores, como es el análisis de las políticas educativas de "racionalización" y "revisión curricular" referidas a los niveles primario y secundario que fueron diseñadas e implementadas por los cinco ministros de educación de la provincia de Buenos Aires. Pretendemos mostrar dos cuestiones relacionadas, en primer lugar, que el argumento de la política de racionalización esgrimido por los funcionarios dictatoriales pretendió legitimar públicamente una serie de acciones que buscaba frenar la expansión del sistema. En segundo término, veremos que la revisión curricular pensada para el nivel secundario y algunas propuestas realizadas para los últimos años de la primaria contenían elementos del controvertido proyecto de la "escuela intermedia".

Pollen and diatom analysis on varved sediments in Lake Jues (Harz Mountains, Germany)

Studies combining sedimentological and biological evidence to reconstruct Holocene climate beyond the major changes, and especially seasonality, are rare in Europe, and are nearly completely absent in Germany. The present study tries to reconstruct changes of seasonality from evidence of annual algal successions within the framework of well-established pollen zonation and 14C-AMS dates from terrestrial plants. Laminated Holocene sediments in Lake Jues (10°20.70' E, 51°39.30' N, 241 m a.s.l.), located at the SW margin of the Harz Mountains, central Germany, were studied for sediment characteristics, pollen, diatoms and coccal green algae. An age model is based on 21 calibrated AMS radiocarbon dates from terrestrial plants. The sedimentary record covers the entire Holocene period. Trophic status and circulation/stagnation patterns of the lake were inferred from algal assemblages, the subannual structure of varves and the physico-chemical properties of the sediment. During the Holocene, mixing conditions alternated between di-, oligo- and meromictic depending on length and variability of spring and fall periods, and the stability of winter and summer weather. The trophic state was controlled by nutrient input, circulation patterns and the temperature-dependent rates of organic production and mineralization. Climate shifts, mainly in phase with those recorded from other European regions, are inferred from changing limnological conditions and terrestrial vegetation. Significant changes occurred at 11,600 cal. yr. BP (Preboreal warming), between 10,600 and 10,100 cal. yr. BP (Boreal cooling), and between 8,400 and 4,550 cal. yr. BP (warm and dry interval of the Atlantic). Since 4,550 cal. yr. BP the climate became gradually cooler, wetter and more oceanic. This trend was interrupted by warmer and dryer phases between 3,440 and 2,850 cal. yr. BP and, likely, between 2,500 and 2,250 cal. yr. BP.

Seawater carbonate chemistry, nutrients and growth rate of coral (Acropora intermedia) and coral-reef seaweed (Lobophora papenfussii) during experiments, 2011

Space competition between corals and seaweeds is an important ecological process underlying coral-reef dynamics. Processes promoting seaweed growth and survival, such as herbivore overfishing and eutrophication, can lead to local reef degradation. Here, we present the case that increasing concentrations of atmospheric CO2 may be an additional process driving a shift from corals to seaweeds on reefs. Coral (Acropora intermedia) mortality in contact with a common coral-reef seaweed (Lobophora papenfussii) increased two- to threefold between background CO2 (400 ppm) and highest level projected for late 21st century (1140 ppm). The strong interaction between CO2 and seaweeds on coral mortality was most likely attributable to a chemical competitive mechanism, as control corals with algal mimics showed no mortality. Our results suggest that coral (Acropora) reefs may become increasingly susceptible to seaweed proliferation under ocean acidification, and processes regulating algal abundance (e.g. herbivory) will play an increasingly important role in maintaining coral abundance.

Palynological records of sediments from the Odderade type locality, north Germany

Reinvestigation of the Odderade Interstadial in its type locality led to an augmentation of the flora list and correction of some misinterpretations (e.g. Omorica, Frangula). The Eemian, stadials FW 1 and 3, and the interstadials Amersfoort/Broerup and Odderade have been manifested by pollen analyses. FW 1 and FW 3 are probably not completely free from forested areas. The new pollen diagrams considered with older data from Odderade, and in comparison with other regions in Central Europe, fit essentially with the classification and development of Vegetation during the Early Weichselian in Oerel by Behre & Lade (1986).