Enfermedades invasivas por hongos levaduriformes en pacientes quemados graves

Currently, there are few studies on candidaemia in the severely burned patient. These patients share the same risk factors for invasive fungal infections as other critically ill patients, but have certain characteristics that make them particularly susceptible. These include the loss of skin barrier due to extensive burns, fungal colonisation of the latter, and the use of hydrotherapy or other topical therapies (occasionally with antimicrobials). In addition, the increased survival rate achieved in recent decades in critically burned patients due to the advances in treatment has led to the increase of invasive Candida infections. This explains the growing interest in making an earlier and more accurate diagnosis, as well as more effective treatments to reduce morbidity and mortality of candidaemia in severe burned patients. A review is presented on all aspects of the burned patient, including the predisposition and risk factors for invasive candidiasis, pathogenesis of candidaemia, underlying immunodeficiency, local epidemiology and antifungal susceptibility, evolution and prognostic factors, as well as other non-Candida yeast infections. Finally, we include specific data on our local experience in the management of candidaemia in severe burned patients, which may serve to quantify the problem, place it in context, and offer a realistic perspective.     

Effects of cycloheximide on the mortality of Atta sexdens leaf-cutting worker ants

Leaf-cutting ants live symbiotically with a fungus that they cultivate on the plant leaves that they cut. The innumerous studies on the plant selection mechanism used by leaf-cutting ants show the researchers’ interest in this issue. Many classical studies propose that plants are selected according to the fungus garden nutritional needs and the absence of potentially harmful substances. This hypothesis is corroborated by behavioral experiments using cycloheximide (fungicide) with citric pulp or forage plants greatly accepted by leaf-cutting ants. According to this hypothesis, under the action of a fungicide, the fungus emits an allomone that informs worker ants that some food is inadequate to its growth. Although some authors state that the cycloheximide “fungicide” used is specific and non toxic to ants, our findings are distinct. In our study, various concentrations of cycloheximide were administered orally to leaf-cutting worker ants in a citric pulp paste diet. After the ingestion period, the ants were isolated and offered the symbiotic fungus for 21 days and the mortality rate was evaluated. As expected, the treatment with 0.01% cycloheximide showed a low mortality rate (8.86%). At 0.1%, the mortality rate was mild (27.85%), and treatment with 1% cycloheximide resulted in moderate mortality (45.57%). In contrast, the positive control with 0.1% sulfluramid showed a high mortality rate (91.14%). Therefore, we concluded that the ingestion of high concentrations of cycloheximide results in a moderate mortality rate in leaf-cutting worker ants.     

A new stochastic dynamic tool to improve the accuracy of mortality estimates for bats killed at wind farms

Although generally considered environmentally friendly, wind power has been associated with extensive mortality of birds and bats. In this perspective, there is a need for reliable estimates of fatalities at wind farms, where the heterogeneity of the basic information, used among environmental assessment studies, is unlikely to support an accurate universal estimation method. We tested the applicability of the Stochastic Dynamic Methodology (StDM) to estimate bat fatalities, based on multifactorial cause–effect relationships (by integrating multi-model inference statistical analysis and dynamic modelling) between mortality estimates, detected fatalities and the selected key-components of the reality, such as the real number of bat mortalities simulated, the rate of carcasses removal, the searcher efficiency, the monitoring periodicity and the number of turbines for different realistic scenarios associated with particular wind farm conditions. Although some existing mortality estimators are considered accurate, the choice of a given universal formula for all mortality assessments, based on deterministic parameters and assumptions, may originate unsuspected errors. Therefore, we propose a flexible dynamic modelling framework, the StDM estimator, where the obtained algorithms are adaptable to the universe of application intended. The StDM estimator takes into account random, non-constant and scenario dependent parameters, providing bias-corrected estimates. The StDM estimator was applied for the European wind farm context and validated in the most cases tested, through the confrontation with independent data. Overall, this approach is considered a valuable tool to improve the quality of mortality estimates at onshore wind facilities, within the local, environmental and methodological gradients (including the cases where no mortality is detected), namely in the scope of environmental impact assessments and general ecological monitoring programmes.     

Estimation of the individual number entering each development stage in an insect population

A method for estimating the number entering each development stage from data obtained by regular sampling through one generation of an insect population was described. This method is consisted of the following two procedures: The provisional estimates are calculated on the assumption that each stage has a common mortality in a sampling interval. Then these estimates are corrected on another assumption that the mortality is different in each stage but constant during a stage. The result of testing its validity with two laboratory populations of the common cabbage butterfly, Pieris rapae crucivora, showed the availability of the present method.     

Inequality in mortality in pre-industrial southern Europe during an epidemic episode: socio-economic determinants (eighteenth - nineteenth centuries Spain)

The objective of this study is to gain more comprehensive knowledge about social inequality in mortality in pre-industrial periods. With this aim, we have reconstructed the life courses of the inhabitants of the town of Vera in south-east Spain for the period 1797–1812 in order to estimate the influence of socio-economic status on ordinary and extraordinary mortality, given that, during this period, the town suffered from several epidemic outbreaks of yellow fever. As a result of these outbreaks, around a quarter of the town’s population died. The results obtained indicate social inequality in mortality at least from the end of the eighteenth century. Although the differences are higher in mortality caused by non-infectious diseases or ill-defined causes, the coefficients also show a certain social gradient in mortality derived from infectious diseases. However, with respect to this latter type of mortality, the place of residence - seems to have a greater influence on the chances of survival than socio-economic status.     

A review of prostate cancer incidence and mortality studies of farmers and non-farmers, 2002–2013

ObjectivesTo review the recent literature on the incidence and mortality of prostate cancer in farmers compared to non-farmers.MethodsSearches were conducted in seven electronic databases for observational studies published from 2002 to 2013. Studies were assessed against eligibility criteria and a narrative summary of findings presented.ResultsEighteen primary research articles were included in the review. Four of ten mortality studies and two of nine incidence studies reported statistically significant increases in prostate cancer risk in farmers. However, nearly half of all studies reported non-significant reductions in farmers’ risk. Additionally, one study reported significantly increased and decreased risk using different outcome measures. Results varied considerably by geographic region, study design and degree of control for confounders, affecting comparability and strength of findings.ConclusionsThe overall evidence for increased prostate cancer risk in farmers was weak.     

Rainbow trout: a population simulation based on individual responses to varying environmental and demographic parameters

Synopsis An age-structured simulation model of the growth and population dynamics of a migratory rainbow trout population is presented. The model includes all principal life-history intervals and incorporates the food density-temperature relationships of salmonid growth efficiency proposed by Brett et al. (1969) and Shelbourn et al. (1973). Population size, mean weight, and biomass are adjusted and output monthly over time in age, sex, and location categories; a simulation run may continue for as long as 100 years. A variety of environmental and and biological parameters are utilized in the simulation which can be altered as a user option. Simulation results compare favorably with field data. Sensitivity analyses illustrate the importance of age-sex specific maturation ratios, age-class strength fluctuations, and natural mortality rates in determining population size.     

A partial differential equation model of changing sizes and numbers in a cohort of juvenile fish

Synopsis Numbers and lengths of young crappie were measured over a 20-week period in a Tennessee River reservoir. From these data, the average length at the swimming interval and growth rate were computed. A partial differential equation model was formulated for changes in length distribution through time. The equation was solved analytically and this solution used to predict the numbers by length class through time, given an initial known recruitment or swim-up rate. The simulated numbers agreed in considerable detail with the observations, indicating that the model accurately reflected the basic population mechanics involved. This suggests the model can be used to predict impacts to the fish population of size-dependent mortality caused by man, such as impingement on power plant intake screens.     

Pronóstico del paciente tratado de síndrome de Cushing

Cushing syndrome (CS), due to an ACTH-secreting pituitary adenoma, adrenal tumors, or ectopic ACTH secretion, causes hypercortisolism. CS is associated with major morbidity, especially metabolic and cardiovascular complications, osteoporosis, psychiatric changes, and cognitive impairment. Despite biochemical “cure” of hypercortisolism and clinical improvement after effective treatment, these complications are only partially reversible. Exacerbation of prior autoimmune diseases is also seen. All of these lead to quality of life impairment and increased mortality. This review addresses the main comorbidities and long-term consequences of CS despite clinical and biochemical “cure”.     

Modeling the prehistoric Maori population

Skeletal and comparative evidence of mortality is combined with fertility estimates for the precontact Maori population of New Zealand to determine the implied rate of precontact population growth. This rate is found to be too low to populate New Zealand within the time constraints of its prehistoric sequence, the probable founding population size, and the probable population size at contact. Rates of growth necessary to populate New Zealand within the accepted time span are calculated. The differences between this minimum necessary rate and the skeletally derived rate are too large to result solely from inadequacies in the primary data. Four alternative explanations of this conundrum are proposed: 1) skeletal evidence of precontact mortality is highly inaccurate; 2) skeletal evidence of fertility is severely underestimating actual levels; 3) there was very rapid population growth in the earliest part of the sequence up to 1150 A.D., from which no skeletal evidence currently is available; or 4) the prehistoric sequence of New Zealand may have been longer than the generally accepted 1,000-1,200 years. These alternatives are examined, and a combination of the last two is found to be the most probable. The implications of this model for New Zealand prehistory and Oceanic paleodemography are discussed.