A comparison of non-HDL and LDL cholesterol goal attainment in a large, multinational patient population: The Lipid Treatment Assessment Project 2

Objective: This study evaluated the success in attaining non-HDL-cholesterol (non-HDL-C) goals in the multinational L-TAP 2 study. Methods: 9955 patients >= 20 years of age with dyslipidemia on stable lipid-lowering therapy were enrolled from nine countries. Results: Success rates for non-HDL-C goals were 86% in low, 70% in moderate, and 52% in high-risk patients (63% overall). In patients with triglycerides of >200 mg/dL success rates for non-HDL-C goals were 35% vs. 69% in those with <= 200 mg/dL (p < 0.0001). Among patients attaining their LDL-C goal, 18% did not attain their non-HDL-C goal. In those with coronary disease and at least two risk factors, only 34% and 30% attained respectively their non-HDL-C and LDL-C goals. Rates of failure in attaining both LDL-C and non-HDL-C goals were highest in Latin America. Conclusions: Non-HDL-C goal attainment lagged behind LDL-C goal attainment; this gap was greatest in higher-risk patients. (c) 2012 Elsevier Ireland Ltd. All rights reserved.

Hypersensitivity reactions to non beta-lactam antimicrobial agents, a statement of the WAO special committee on drug allergy

Antibiotics are used extensively in the treatment of various infections. Consequently, they can be considered among the most important agents involved in adverse reactions to drugs, including both allergic and non-allergic drug hypersensitivity [J Allergy Clin Immunol 113:832–836, 2004]. Most studies published to date deal mainly with reactions to the beta-lactam group, and information on hypersensitivity to each of the other antimicrobial agents is scarce. The present document has been produced by the Special Committee on Drug Allergy of the World Allergy Organization to present the most relevant information on the incidence, clinical manifestations, diagnosis, possible mechanisms, and management of hypersensitivity reactions to non beta-lactam antimicrobials for use by practitioners worldwide.

Dissemination of methicillin-resistant Staphylococcus aureus USA300 sequence type 8 lineage in Latin America.

BACKGROUND: Methicillin-resistant Staphylococus aureus (MRSA) is an important nosocomial and community-associated (CA) pathogen. Recently, a variant of the MRSA USA300 clone emerged and disseminated in South America, causing important clinical problems. METHODS: S. aureus isolates were prospectively collected (2006-2008) from 32 tertiary hospitals in Colombia, Ecuador, Peru, and Venezuela. MRSA isolates were subjected to antimicrobial susceptibility testing and pulsed-field gel electrophoresis and were categorized as health care-associated (HA)-like or CA-like clones on the basis of genotypic characteristics and detection of genes encoding Panton-Valentine leukocidin and staphylococcal cassette chromosome (SCC) mec IV. In addition, multilocus sequence typing of representative isolates of each major CA-MRSA pulsotype was performed, and the presence of USA300-associated toxins and the arcA gene was investigated for all isolates categorized as CA-MRSA. RESULTS: A total of 1570 S. aureus were included; 651 were MRSA (41%)--with the highest rate of MRSA isolation in Peru (62%) and the lowest in Venezuela (26%)--and 71%, 27%, and 2% were classified as HA-like, CA-like, and non-CA/HA-like clones, respectively. Only 9 MRSA isolates were confirmed to have reduced susceptibility to glycopeptides (glycopeptide-intermediate S. aureus phenotype). The most common pulsotype (designated ComA) among the CA-like MRSA strains was found in 96% of isolates, with the majority (81%) having a < or =6-band difference with the USA300-0114 strain. Representative isolates of this clone were sequence type 8; however, unlike the USA300-0114 strain, they harbored a different SCCmec IV subtype and lacked arcA (an indicator of the arginine catabolic mobile element). CONCLUSION: A variant CA-MRSA USA300 clone has become established in South America and, in some countries, is endemic in hospital settings.

Fossil vs. non-fossil sources of fine carbonaceous aerosols in four Chinese cities during the extreme winter haze episode of 2013

During winter 2013, extremely high concentrations (i.e., 4–20 times higher than the World Health Organization guideline) of PM2.5 (particulate matter with an aerodynamic diameter < 2.5 μm) mass concentrations (24 h samples) were found in four major cities in China including Xi'an, Beijing, Shanghai and Guangzhou. Statistical analysis of a combined data set from elemental carbon (EC), organic carbon (OC), 14C and biomass-burning marker measurements using Latin hypercube sampling allowed a quantitative source apportionment of carbonaceous aerosols. Based on 14C measurements of EC fractions (six samples each city), we found that fossil emissions from coal combustion and vehicle exhaust dominated EC with a mean contribution of 75 ± 8% across all sites. The remaining 25 ± 8% was exclusively attributed to biomass combustion, consistent with the measurements of biomass-burning markers such as anhydrosugars (levoglucosan and mannosan) and water-soluble potassium (K+). With a combination of the levoglucosan-to-mannosan and levoglucosan-to-K+ ratios, the major source of biomass burning in winter in China is suggested to be combustion of crop residues. The contribution of fossil sources to OC was highest in Beijing (58 ± 5%) and decreased from Shanghai (49 ± 2%) to Xi'an (38 ± 3%) and Guangzhou (35 ± 7%). Generally, a larger fraction of fossil OC was from secondary origins than primary sources for all sites. Non-fossil sources accounted on average for 55 ± 10 and 48 ± 9% of OC and total carbon (TC), respectively, which suggests that non-fossil emissions were very important contributors of urban carbonaceous aerosols in China. The primary biomass-burning emissions accounted for 40 ± 8, 48 ± 18, 53 ± 4 and 65 ± 26% of non-fossil OC for Xi'an, Beijing, Shanghai and Guangzhou, respectively. Other non-fossil sources excluding primary biomass burning were mainly attributed to formation of secondary organic carbon (SOC) from non-fossil precursors such as biomass-burning emissions. For each site, we also compared samples from moderately to heavily polluted days according to particulate matter mass. Despite a significant increase of the absolute mass concentrations of primary emissions from both fossil and non-fossil sources during the heavily polluted events, their relative contribution to TC was even decreased, whereas the portion of SOC was consistently increased at all sites. This observation indicates that SOC was an important fraction in the increment of carbonaceous aerosols during the haze episode in China.

Dominium temporale non fundatur in gratia (Commencement Quaestiones), 1697 July 7

Small paper notebook of John Ballantine with the handwritten Latin quaestiones performed by Ballantine, Eliphalet Adams, Adam Winthrop, and Jabez Fitch as candidates for the Master’s degree during the July 7, 1697 Harvard Commencement ceremony. The Quaestiones begin with Ballantine’s “Dominum temporal non fundatur in gratia,” and follow with “An Jesuitae possint esse boni subditi? Neg Resp. Dom. Winthrop,” "An Ethnicae virtutes sint verae virtutes?" Neg. Resp. Dom. Adams,” and “An detur omnibus an sufficiens ad salutem? Neg. Resp. Dom. Fitch.” The title page bears the inscription: “Jno Ballantine’s Book” and the first page has been torn out.

Effects of fiscal consolidations in Latin America

We use new data on cyclically adjusted primary balances for Latin America and the Caribbean to estimate e ects of scal consolidations on GDP and some of its components. Identi cation is conducted through a doubly-robust estimation procedure that controls for non-randomness in the "treatment assignment" by inverse probability weighting and impulse responses are generated by local projections. Results suggest output contraction by more than one percent on impact, with economy starting to recover from the second year on. Composition e ects indicate that revenue-based adjustments are way more contractionary than expenditure-based ones. Disentangling efects between demand components, we nd consumption being in general less responsive to consolidations than investment, although nonlinearities associated to initial levels of debt and taxation might play an important role.

Fragmenta Basmurico-Coptica Veteris et Novi Testamenti, quae in Museo Borgiano velitris asservantur, cum reliquis versionibus aegyptiis contulit, Latine vertit, nec non criticis et philologicis adnotationibus /

Basmuric. Latin, Thebaic, Memphitic.

[Tou en hagiois patros hēmōn Grēgoriou tou Theologou, Archiepiskopou Kōnstantinoupoleōs ta ehyriskomena panta] = Sancti patris nostri Gregorii Theologi vulgo Nazianzeni, Archipiscopi Constantinopolitani, Opera quæ exstant omnia, ad miss. [sic] codices Gallicanos, Vaticanos, Germanicos, Anglicos, nec non ad antiquiores editones castigata, multis aucta et illustrata /

Includes bibliographical references and indexes.

Tractus Macot cum scholiis hermeneuticis, glossario nec non indicibus adjectis.

Text in Latin and Hebrew.

Saugu Asmundar, er Kalladur er Kappabani : eller Asmunds Kappabanes saga, hoc est narratio historica rerum præclare gestarum, ab Asmundo, cui strenua dextra cognomen, pugilum interfectoris peperit; exhibens insuper acta regum, uti sunt: budlii svioniæ, alfiique Daniæ; nec non hildibrandorum, hunalandijæ olim ducem ac heroum, martia facinora commemorans. : hanc, e cod. Mscto. membranaceo, linguæ priscæ Scandicæ, descriptam, cum gemina versione /

Parallel text in Latin, Danish, and Old Norse (?).

Quomodo singularis illa Jesu anxietas et tristitia ante mortem, quam Lucas [agōnian] vocat, sit explicanda, nec non cum ipsius virtute et auctoritate divina concilianda /

Text in Latin, Greek, and Hebrew.

Veterum poetarum Graecorum poemata; aut, Poematum apospesmatia, selecta, eo consilio hunc in modum congesta, ut juventus jam in scholis non unum, sed plerosque omnes veteres poetas Graecos, quorum quidem scripta supersunt, cognoscere posit, atque ita mature ad legenda eorum ceteraaliciatur,

Bound with the author's Veterulm poetarum Latinorum poemata. Lipsiae, 1675.