Postoperative delirium (POD) is considered one of the most severe complications, resulting in impaired cognitive function, extended hospitalization, and higher treatment costs. The challenge of early ...POD diagnosis becomes particularly significant in cardiac surgery cases, as the incidence of this complication exceeds 50 % in certain patient categories. While it is known that neuroinflammation, neurotransmitter imbalances, disruptions in neuroendocrine regulation, and interneuronal connections contribute significantly to the development of POD, the molecular, genetic mechanisms of POD in cardiac surgery patients, along with potential metabolomic diagnostic markers, remain inadequately understood. In this study, blood plasma was collected from a group of patients over 65 years old after cardiac surgery involving artificial circulation. The collected samples were analyzed for sphingomyelin content and quantity using high-performance liquid chromatography coupled with mass spectrometry (HPLC-MS/MS) methods. The analysis revealed four significantly different sphingomyelin contents in patients with POD compared to those who did not develop POD (control group). Employing gene network reconstruction, we perceived a set of 82 regulatory enzymes affiliated with the genetic coordination of the sphingolipid metabolism pathway. Within this set, 47 are assumed to be regulators of gene expression, governing the transcription of enzymes pivotal to the metabolic cascade. Complementing this, an additional assembly of 35 regulators are considered to be regulators of activity, degradation, and translocation dynamics of enzymes integral to the aforementioned pathway. Analysis of the overrepresentation of diseases with which these regulatory proteins are associated showed that the regulators can be categorized into two groups, associated with cardiovascular pathologies (CVP) and neuropsychiatric diseases (NPD), respectively. The regulators associated with CVP are expectedly related to the effects on myocardial tissue during surgery. It is hypothesized that dysfunction of NPD-associated regulators may specifically account for the development of POD after cardiac surgery. Thus, the identified regulatory genes may provide a basis for planning further experiments, in order to study disorders at the level of expression of these genes, as well as impaired function of proteins encoded by them in patients with POD. The identified significant sphingolipids can be considered as potential markers of POD.
Though rare, asteroid impacts are inevitable, and with the current state of technology, kinetic impactors are the preferred but not the complete solution. If the time to impact is short, or the ...threatening body too large, nuclear deflection serves as a final option. This work is part of an integrated study by National Aeronautics and Space Administration (NASA) and the National Nuclear Security Administration (NNSA) to better determine the relative efficacy of these complimentary approaches. In particular, we examine the important material properties that affect each approach, to improve critical characterization efforts, and reduce uncertainty in the limits of the impactor technology.
Impact speeds for kinetic impactors on Near-Earth Object (NEO) intercept trajectories commonly range from 5 to 20 km/s, resulting in significant crater ejecta and a momentum enhancement above that carried by the impactor. This enhancement depends substantially on the strength and porosity of the asteroid, as well as the impact speed. Here simulations from different codes are presented, along with constraints from experimental measurements. The uncertainties due to ignorance of the strength and porosity of the impact point are significant in determining the limits of impactor sufficiency.
The nuclear approach is considered within the context of current capabilities, posing no need to test, as extant and well-understood devices are sufficient for the largest known Potentially Hazardous Objects (PHOs). Results of x-ray sources with realistic spectra as well as blackbody spectra are given, along with some assessment on composition dependence.
•Asteroid Bennu can be successfully deflected by extant nuclear devices.•Kinetic impact, even with large momentum enhancement, is unlikely to deflect Bennu.•Nuclear deflection efficacy depends upon the x-ray source spectrum.•Nuclear deflection efficacy is enhanced by near-surface, unbound volatiles.•Code comparisons for kinetic and nuclear deflection simulations show good agreement.
•BlMaV isolates from North America and Slovenia display low genetic diversity.•BlMaV genes are under strong purifying selection.•BlMV evolution is probably shaped by several mechanisms.
The ...population structure of blueberry mosaic associated virus (BlMaV), a putative member of the family Ophioviridae, was examined using 61 isolates collected from North America and Slovenia. The studied isolates displayed low diversity in the movement and nucleocapsid proteins and low ratios of non-synonymous to synonymous nucleotide substitutions, indicative of strong purifying selection. Phylogenetic analyses revealed grouping primarily based on geography with some isolates deviating from this rule. Phylogenetic incongruence in the two regions, coupled with detection of reassortment events, indicated the possible role of genetic exchange in the evolution of BlMaV.
Greenhouse experiments were conducted to investigate the importance of tomato seeds as a route of pospiviroid dissemination. More than 7000 seeds were collected from tomato plants mechanically ...inoculated with
Tomato apical stunt viroid
,
Citrus exocortis viroid
,
Columnea latent viroid
and
Potato spindle tuber viroid
. Fruits and part of the seeds were found to be 100 % infected by the inoculated pospiviroid by means of RT-PCR testing. Much of the rest of the seeds were sown and produced about 4700 seedlings. None of the seedlings were found positive for the respective pospiviroid. This shows that pospiviroid seed transmission in tomato is very rare.
Prophylactic administration of broad‐spectrum antibiotics in surgery can change the oral microbiome and induce colonization of oral cavity with Gram‐negative bacteria including multidrug (MDR) or ...extensively drug resistant (XDR) organisms which can lead to lower respiratory tract infections. The aim of the study was to analyse the Gram‐negative isolates obtained from oral cavity of the mechanically ventilated patients in ICUs, after prophylactic application of antibiotics and their resistance mechanisms and to compare them with the isolates obtained from tracheal aspirates from the same patients. The antibiotic susceptibility was determined by broth dilution method. PCR was applied to detect genes encoding β‐lactamases. Marked diversity of Gram‐negative bacteria and resistance mechanisms was found. High resistance rates and high rate of blaCTX‐M and carbapenemase encoding genes (blaVIM‐1, blaOXA‐48) were found among Klebsiella pneumoniae. Pseudomonas aeruginosa was found to harbour blaVIM and in one strain blaPER‐1 gene, whereas Acinetobacter baumannii produced OXA‐23‐like and OXA‐24/40‐like oxacillinases and was XDR in all except one case. All XDR isolates belong to international clonal lineage II (IC II). The main finding of the study is that the prophlylactic application of antibiotics in surgery intensive care units (ICUs) is associated with the colonization of oral cavity and lower respiratory tract with Gram‐negative bacteria. The identity of Gram‐negative bacteria in oral cavity reflected those found in endotracheal aspirates leading to conclusion that oral swab as non‐invasive specimen can predict the colonization of lower respiratory tract with resistant Gram‐negative organisms and the risk for development of ventilator‐associated pneumonia.
Significance and Impact of the Study: It is well‐known that surgical preoperative prophylaxis with broad spectrum antibiotics can select multidrug‐resistant Gram‐negative bacteria and change the oral microbiome. This prompted us to analyse oral microbiome before and after prophlylactic dose of antibiotics. The main finding of the study is that the prophlylactic application of antibiotics is associated with the colonization of oral cavity with Gram‐negative bacteria. Marked diversity of Gram‐negative bacteria and resistance mechanisms was found. High resistance rates and acquired extended‐spectrum β‐lactamases (ESBL) and carbapenemase encoding genes were found among Klebsiella pneumoniae, Pseudomonas aeruginosa and Acinetobacter baumannii isolates. The dominant resistance mechanisms were the production of ESBLs and carbapenemases.
Abstract Background Wide geographic variations in survival for gastric cancer in Europe have been reported. The aim of this study was to analyse the effect of stage at diagnosis, treatment and cancer ...characteristics on long-term survival for gastric cancer in populations covered by cancer registries. Methods We analysed survival in 4620 cases of gastric cancer from 17 European population-based cancer registries from 8 countries. Univariate and multivariate regression of relative survival were performed. Results Five-year relative survival varied between 10.6% and 24.0%, while 10-year survival ranged from 7.7% to 23.0%. After adjustment for age and sex, the regional excess hazard ratio (EHR) of death was significantly higher in Ragusa, Granada, Yorkshire, Slovakia, Slovenia and Poland than in France, Northern Italy, The Netherlands and the Basque Country. After further adjustment for surgical resection versus no resection (a proxy of stage), the EHR of death remained significantly higher only in Granada and Yorkshire than in the reference country (France). After adjustment for stage, the EHR was significantly higher only in Yorkshire (EHR: 1.51; 95% confidence interval (CI): 1.29–1.77). The EHR in this area was limited to the first year following diagnosis. Conclusion Differences across Europe in gastric cancer survival depend to a large extent on differences in stage at diagnosis. However they do not explain all variations. Quality of management and treatment can explain some differences.
Virus‐induced systemic necrosis accounts for great yield losses in potato (Solanum tuberosum) cultivars susceptible to the necrotic strain of potato virus Y (PVYNTN). To extend understanding of ...systemic necrosis, the tissue of healthy and PVYNTN‐infected potato tubers (necrotic and non‐necrotic) during storage was profiled for host gene expression using microarrays while virus concentration was determined using RT‐qPCR. Comparison of non‐necrotic tissue types revealed minor transcriptional differences, while tuber necrosis was characterized by high virus concentration and pronounced expression of defence response‐associated genes. Creation of programmed cell death‐associated gene ontology enabled assessment of expression and regulation of relevant differentially expressed genes implicated in the execution of plant programmed cell death. Vacuolar cell death and unfolded protein response to viral infection were implicated in the necrotic tuber tissue by transcriptional induction of genes possessing caspase‐like activity and genes coding for endoplasmic reticulum chaperones and folding proteins. A meta‐analysis, including all relevant publicly available gene expression datasets differing in genotype, pathogen interaction type and potato organ, revealed common defence responses associated with cell wall fortification, oxidative and biotic stress. The response in necrotic tissues of susceptible tubers resembled the hypersensitive response of resistant primary infected plants, but with hormonal signalling as an important differentiating factor. This study will be useful for in‐depth analysis of programmed cell death regulation in plants by providing gene ontology. It specifically addresses the issue of systemic necrosis formation in PVYNTN‐infected potato tubers during storage.
In this paper we discuss that though rare, asteroid impacts are inevitable, and with the current state of technology, kinetic impactors are the preferred but not the complete solution. If the time to ...impact is short, or the threatening body too large, nuclear deflection serves as a final option. This work is part of an integrated study by National Aeronautics and Space Administration (NASA) and the National Nuclear Security Administration (NNSA) to better determine the relative efficacy of these complimentary approaches. In particular, we examine the important material properties that affect each approach, to improve critical characterization efforts, and reduce uncertainty in the limits of the impactor technology. Impact speeds for kinetic impactors on Near-Earth Object (NEO) intercept trajectories commonly range from 5 to 20 km/s, resulting in significant crater ejecta and a momentum enhancement above that carried by the impactor. This enhancement depends substantially on the strength and porosity of the asteroid, as well as the impact speed. Here simulations from different codes are presented, along with constraints from experimental measurements. The uncertainties due to ignorance of the strength and porosity of the impact point are significant in determining the limits of impactor sufficiency. The nuclear approach is considered within the context of current capabilities, posing no need to test, as extant and well-understood devices are sufficient for the largest known Potentially Hazardous Objects (PHOs). Results of x-ray sources with realistic spectra as well as blackbody spectra are given, along with some assessment on composition dependence.
Raspberry bushy dwarf virus (RBDV) is the sole member of genus Idaeovirus and naturally infects Rubus species worldwide. It can be experimentally transmitted to many dicotyledonous plant species from ...different families. In Slovenia it has been reported to naturally infect grapevine, the first known non-Rubus natural host (3). However, RBDV from red raspberry and grapevine were found to be different in biological, serological, and molecular characteristics (4). From 2007 to 2010, grapevine (Vitis vinifera L.) vineyards were sampled in different parts of Hungary and tested for RBDV infection by double antibody sandwich (DAS)-ELISA using commercial reagents (Bioreba, Reinach, Switzerland). Overall, 181 samples were collected from 10 vineyards around Csörnyeföld, Badacsony, Eger, Tolcsva (Orémus), and Nagyréde. Samples were taken randomly unless plants showing virus-like symptoms were present, which were preferentially included in the survey. Two samples collected in 2010, each consisting of five leaves from five individual plants, tested positive by DAS-ELISA. They originated from a small private vineyard of Italian Riesling, Pinot Gris, and Rhein Riesling in the southwestern part of Hungary near Csörnyeföld where 29 samples were collected. All leaves were asymptomatic. Total RNA was extracted from positive samples using a RNeasy Plant Mini Kit (Qiagen, Hilden, Germany). cDNA was synthesized using primer RNA12 as described (4) and further amplified by PCR using primers RBDVUP1/RBDVLO4 that amplified an 872-bp fragment of RBDV coat protein and 3' non-translated region (2). Amplification products from both samples were directly sequenced (Macrogen, Seoul, Korea). The sequences showed 98.6% identity between each other and were deposited in GenBank (Accession Nos. JQ928628 and JQ928629). Sequences were also compared with RBDV sequences deposited in GenBank. They showed 97.7 to 99.3% identity with RBDV sequences from grapevine from Slovenia and 94.2 to 96.1% with RBDV sequences from Rubus sp. Natural infection of grapevine with RBDV was first reported from Slovenia in 2003 (3) and was recently reported also from Serbia (1). To our knowledge, this is the first report of RBDV infection of grapevine in Hungary and suggests a wider presence of the virus in the region. References: (1) D. Jevremovic and S. Paunovic. Pestic. Phytomed. (Belgrade) 26:55, 2011. (2) H. I. Kokko et al. BioTechniques 20:842, 1996. (3) I. Mavric Pleško et al. Plant Dis. 87:1148, 2003. (4) I. Mavric Pleško et al. Eur. J. Plant Pathol. 123:261, 2009.
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