Sulfamylon allergy simulating chondritis

A case of atopic reaction to Sulfamylon is described that occurred in a patient receiving this medication as a topical treatment for burned ears. The presenting signs were similar to those of a persistent chondritis, with which it was initially confused. All signs and symptoms cleared rapidly after the Sulfamylon was discontinued. Physicians should be aware of this entity so as to avoid inappropriate surgical debridement of ears with this relatively minor problem.     

Tropical Rain Forest Recovery from Cyclone Damage and Fire in Samoa1

In 1990 and 1991, Samoa was struck by two cyclones, Ofa and Val. In the Tafua Rain Forest Preserve on the island of Savai'i, one part of the forest also burned after the first cyclone. Here we report on patterns of regeneration and changes in tree species composition in the Tafua lowland rain forest after five years of recovery from cyclone and fire disturbance. In the unburned area, tree canopy cover increased from 27 percent after the last cyclone to 58 percent, and in the burned area from below 12 to 49 percent. Nine of the ten most common tree species decreased in relative abundance in the entire forest after the last cyclone. One fast growing pioneer species, Macaranga harveyana now makes up 42 percent of the total number of trees (>5 cm DBH) in the unburned area and 86 percent in the burned area. Large interspecific differences occur in size distribution and there are at least four distinguishable regeneration patterns, which may be related to shade tolerance. Mean number of species per plot was generally higher in the unburned area than in the burned area, while the Shannon evenness index was higher in the unburned than in the burned area only for trees above 1 cm DBH. Species with fruits known to be fed upon by birds and/or bats generally made up a larger proportion of all trees in the burned than in the unburned area. In contrast to other studies of post‐cyclone regeneration, in which recovery is often rapid due to resprouting of trees, recovery in the Tafua forest was a slow process with regeneration more dependent on vertebrate seed dispersal than on resprouting.     

Fire as a Recurrent Event in Tropical Forests of the Eastern Amazon: Effects on Forest Structure,Biomass, and Species Composition1

The effects of fire on forest structure and composition were studied in a severely fire-impacted landscape in the eastern Amazon. Extensive sampling of area forests was used to compare structure and compositional differences between burned and unburned forest stands. Burned forests were extremely heterogeneous, with substantial variation in forest structure and fire damage recorded over distances of <50 m. Unburned forest patches occurred within burned areas, but accounted for only six percent of the sample area. Canopy cover, living biomass, and living adult stem densities decreased with increasing fire inrensiry / frequency, and were as low as 10–30 percent of unburned forest values. Even light burns removed >70 percent of the sapling and vine populations. Pioneer abundance increased dramatically with burn intensity, with pioneers dominating the understory in severely damaged areas. Species richness was inversely related to burn severity, but no clear pattern of species selection was observed. Fire appears to be a cyclical event in the study region: <30 percent of the burned forest sample had been subjected to only one burn. Based on estimated solar radiation intensities, burning substantially increases fire susceptibility of forests. At least 50 percent of the total area of all burned forests is predicted to become flammable within 16 rainless days, as opposed to only 4 percent of the unburned forest. In heavily burned forest subjected to recurrent fires, 95 percent of the area is predicted to become flammable in <9 rain-free days. As a recurrent disturbance phenomenon, fire shows unparalleled potential to impoverish and alter the forests of the eastern Amazon.     

Prevalence of parasitism by Amblyomma americanum on wild turkey poults as influenced by prescribed burning.

Captive-raised eastern wild turkey (Meleagris gallopavo silvestris) poults were allowed to forage on either recently burned plots or on plots that had not been burned during the previous 3 years. Following a two hour exposure on the study plots, external parasites were recovered from all poults. The louse (Menacanthus stramineus) and the lone star tick (Amblyomma americanum) were the only parasites recovered. Fifty-nine poults exposed to the burned plots had a significantly (P less than 0.001) lower prevalence of A. americanum infestation than did 57 poults exposed to the unbured plots. Thirty-five percent of the poults exposed to the unburned plots were infested by A. americanum. A single A. americanum was recovered from one poult exposed to burned plots.     

The effects of green tree retention and subsequent prescribed burning on ground beetles (Coleoptera: Carabidae) in boreal pine-dominated forests

We studied how two methods to promote biodiversity in managed forests, i.e. green tree retention and prescribed fire, affect the assemblages of carabid beetles. Our experiment consisted of 24 study sites, each 3–5 ha in size, which had been prepared according to factorial design. Each of the eight treatment combinations determined by the two factors explored – tree retention level (0, 10, 50 m³/ha^?1 and uncut controls) and prescribed use of fire (yes/no) – was replicated three times. We sampled carabids using pitfall traps one year after the treatments. Significantly more individuals were caught in most of the burned sites, but this difference was partially reflective of the trap‐catches of Pterostichus adstrictus. The fire did not increase no. of P. adstrictus in the uncut sites as much as in the other sites. Species richness was significantly affected by both factors, being higher in the burned than in the unburned sites and in the harvested than in the unharvested sites. Many species were concentrated in the groups of retention trees in the burned sites, but only a few were in the unburned sites. The species turnover was greater in the burned than in the unburned sites, as indicated by the NMDS ordinations. Greater numbers of smaller sized species and proportion of brachypterous species were present in the burned sites. Fire‐favored species, and also the majority of other species that prefer open habitats were more abundantly caught in the burned sites than in the unburned sites. Dead wood or logging waste around the traps did not correlate with the occurrence of species. We conclude that carabids are well adapted to disturbances, and that frequent use of prescribed fire is essential for the maintenance of natural assemblages of carabid beetles in the boreal forest. Small retention tree groups can not maintain assemblages of uncut forest, but they can be important by providing food, shelter and breeding sites for many species, particularly in the burned sites.     

The effects of fire on grassland bird communities of Barberspan,North West Province,South Africa

Considering the frequent nature of fires and resultant drastic change in habitat following fire, research on the effects of fire on birds in the grasslands of South Africa is surprisingly scarce. For at least five months after burns we followed the changes in bird species composition, species richness and densities of two controlled burns and one accidental fire at the Barberspan Nature Reserve in grasslands that had not been burned or grazed in 10 years. Compared with the control areas, species richness and densities increased in the burned areas immediately following the burns, with more species and birds recruited to the burned areas than were lost. Immediate post-burn opportunists tended to be larger species, and the biomass increase mirrored the increases in species richness and densities in burned areas. Avian species richness, densities and biomass tended to return to the initial conditions after a number of months. Although the bird communities from two controlled-burns differed before the burns, they converged to a characteristic immediate post-burn composition. Five months after the burns however, the bird communities reflected a pre-burn composition. Indications were that birds in an area larger than that burned were affected. Mosaic burning, with shifting large and small patches, should be considered on a landscape scale.     

慢性化脓性中耳炎患者耳道分泌物的病原菌检测及药物敏感性分析

目的分析慢性化脓性中耳炎(CSOM)患者耳道分泌物的病原菌分布及其药敏情况,为临床合理应用抗菌药物提供参考。方法收集浙江省立同德医院100例(116耳)CSOM患者耳道分泌物标本进行常规病原菌分离、鉴定及药敏试验。结果 116耳中有97耳培养出病原菌,检出率为83.6%。共检出病原菌103株,其中革兰阳性菌占53.4%(55/103),革兰阴性菌占41.7%(43/103),真菌占4.9%(5/103)。金黄色葡萄球菌和表皮葡萄球菌对青霉素和磺胺甲唑/甲氧苄啶耐药性较高,对利福平和莫西沙星敏感性较高,对呋喃妥因和万古霉素完全敏感。铜绿假单胞菌和肺炎克雷伯菌对头孢唑啉、氨苄西林、头孢吡肟、头孢曲松、哌拉西林/舒巴坦耐药性均较高,对妥布霉素、氨曲南、哌拉西林/他唑巴坦敏感性较高,对阿米卡星、美罗培南及亚胺培南完全敏感。真菌对氟胞嘧啶、两性霉素B及制霉菌素均敏感,而对酮康唑和氟康唑有一定的耐药性。结论 CSOM患者耳道分泌物中病原菌以金黄色葡萄球菌、表皮葡萄球菌、铜绿假单胞菌及肺炎克雷伯菌为主,这4种病原菌对多数常用抗菌药物有较强的耐药性,治疗时需根据细菌培养及药敏分析结果合理选用抗菌药物。     

Frontal plagiocephaly: synostotic, compensational, or deformational.

Plagiocephaly is a term commonly used to describe congenital forehead asymmetry. Sixty patients with frontal plagiocephaly were evaluated retrospectively and separated into three types: synostotic (N = 24), compensational (N = 3), and deformational (N = 33). Categorization of frontal plagiocephaly as synostotic or deformational was reliably made by physical examination, focusing on the supraorbital rims, nasal root, ears, and malar eminences. Other anatomic parameters useful in the differential diagnosis included chin point, palpebral fissures, and facial height. This study documented that birth histories were similar for synostotic and deformational frontal plagiocephalic infants. However, other deformational anomalies were more common in deformational frontal plagiocephalic infants, whereas malformations had an equal incidence in deformational and synostotic frontal plagiocephalic infants. Torticollis was an associated finding in 64 percent of infants with deformational frontal plagiocephaly; almost all were ipsilateral. In contrast, head tilt, usually to the contralateral side, was noted in 14 percent of patients with synostotic frontal plagiocephaly. Female preponderance was noted in both synostotic (79 percent) and deformational (76 percent) frontal plagiocephaly. Left-sided involvement was seen in 73 percent of patients with deformational frontal plagiocephaly and in 46 percent of patients with synostotic frontal plagiocephaly. Premature pelvic descent, in the left occipital anterior position, may account for the high incidence of left-sided deformational plagiocephaly and ipsilateral torticollis.     

Synergism of azlocillin, mezlocillin, piperacillin in combination with tobramycin against Klebsiella and Pseudomonas

Fifty-three clinical isolates of Klebsiella and fifty-one clinical isolates of Pseudomonas aeruginosa, twenty-six of which were carbenicillin-(CARB) resistant, were tested for susceptibility to mezlocillin (MEZ), azlocillin (AZL), and piperacillin (PIP), both alone and in combination with tobramycin (TOB) using the microtiter broth diluent method and an inoculum density of 10(6) CFU/ml. The Klebsiella were highly resistant to TOB, MEZ, and PIP (MIC90: 8, greater than 256, greater than 128 micrograms/ml, respectively). Synergy was demonstrated in 53 percent (PIP/TOB) and 51 percent (MEZ/TOB). An indifferent response was observed in 47 percent (PIP/TOB) and 49 percent MEZ/TOB of the Klebsiella. PIP, MEZ, and AZL in combination with TOB showed synergism against CARB-resistant Pseudomonas in less than 10 percent of the strains tested. Synergy could be demonstrated against CARB-susceptible Pseudomonas with the combinations PIP/TOB, AZL/TOB, and MEZ/TOB in 12 percent, 12 percent, and 24 percent, respectively, of the twenty-five strains tested. Indifferent effects were observed in 84 percent, 88 percent, and 76 percent, respectively, of these same CARB-susceptible strains. These data suggest that there is no significant difference in the incidence of synergy with these new penicillins and tobramycin against either Pseudomonas or Klebsiella.     

Quantifying disturbance resistance in an ecologically dominant species: a robust design analysis

Disturbance is now recognized as a key ecosystem process but few studies have examined its indirect effects on individuals in a population or its relationship to ecological dominance in a community. Using an ecologically dominant small mammal population in experimentally burned habitat as a model, I empirically tested the effect of disturbance on survival, abundance and fecundity and investigated whether recently burned habitat is a population sink. I also examined the effect of fire on community diversity, particularly how fire influenced dominance by bushveld gerbils Tatera leucogaster (Peters 1852). Live trapping in the first year post-fire yielded a total of 4,774 captures of 1,076 individual bushveld gerbils in a tropical savanna in southern Africa. The robust design allowed for an investigation of the effects of fire, sex and temporal variation on survival while controlling for potential differences in detection and temporary emigration. Although there were fewer individuals in burned savanna during the first 6 months post-fire, their apparent monthly survival was not significantly lowered compared with the control, with males and females surviving equally well. Fecundity, represented by proportion of females lactating, was unaffected by fire and, overall, recently burned habitat does not appear to be sink habitat. The disturbance resistance exhibited by this species is likely a contributing factor to its ecological dominance in the area, which is subject to relatively frequent fires. Results of this study highlight the need to consider disturbance regimes when evaluating patterns of species richness and evenness in an ecosystem.     

The isolated burned palm in children: epidemiology and long-term sequelae

The isolated burn of the palm is a typical injury in young children. Positioning and splinting in small hands is difficult, and long-term sequelae of these injuries are not uncommon. The objective of the present study was to assess the outcome of palm burns and to identify the risk factors for long-term sequelae. All patients admitted to our hospital affected with isolated palm injuries between January of 1988 and January of 1998 were reviewed. In total, 120 pediatric patients were admitted with isolated palm burns; 110 patients (91.7 percent) had partial-thickness burns, and 10 patients (8.3 percent) had full-thickness burns. Only four patients (3.3 percent) required excision and skin autografting, but all patients whose palms were operated on in the acute phase developed burn contractures. Sixteen patients (13.3 percent) developed palmar contractures, and more than half of them (56 percent) required reconstructive procedures. All palm burns that healed in more than 3 weeks developed scarring and sequelae (p<0.05 compared with no sequelae). Pediatric palmar burns are benign injuries with a low incidence of late sequelae. However, flame and contact burns are more prone to develop scarring. Excision and autografting should be performed on wounds that take over 3 weeks to heal, but it does not prevent late sequelae.     

An examination of scale of assessment,logging and ENSO-induced fires on butterfly diversity in Borneo

The impact of disturbance on species diversity may be related to the spatial scales over which it occurs. Here I assess the impact of logging and ENSO (El Niño Southern Oscillation) -induced burning and forest isolation on the species richness (477 species out of more than 28,000 individuals) and community composition of butterflies and butterfly guilds using small (0.9 ha) plots nested within large (450 ha) landscapes. The landscapes were located in three habitat classes: (1) continuous, unburned forest; (2) unburned isolates surrounded by burned forest; and (3) burned forest. Plots with different logging histories were sampled within the two unburned habitat classes, allowing for independent assessment of the two disturbance factors (logging and burning). Disturbance within habitat classes (logging) had a very different impact on butterfly diversity than disturbance among habitat classes (due to ENSO-induced burning and isolation). Logging increased species richness, increased evenness, and lowered dominance. Among guilds based on larval food plants, the species richness of tree and herb specialists was higher in logged areas but their abundance was lower. Both generalist species richness and abundance was higher in logged areas. Among habitat classes, species richness was lower in burned forest and isolates than continuous forest but there was no overall difference in evenness or dominance. Among guilds, generalist species richness was significantly lower in burned forest and isolates than continuous forest. Generalist abundance was also very low in the isolates. There was no difference among disturbance classes in herb specialist species richness but abundance was significantly higher in the isolates and burned forest than in continuous forest. Tree specialist species richness was lower in burned forest than continuous forest but did not differ between continuous forest and isolates.The scale of assessment proved important in estimating the impact of disturbance on species richness. Within disturbance classes, the difference in species richness between primary and logged forest was more pronounced at the smaller spatial scale. Among disturbance classes, the difference in species richness between continuous forest and isolates or burned forest was more pronounced at the larger spatial scale. The lower levels of species richness in ENSO-affected areas and at the larger (landscape) spatial scale indicate that future severe ENSO events may prove one of the most serious threats to extant biodiversity.     

Cartilage-specific autoimmunity in animal models and clinical aspects in patients - focus on relapsing polychondritis

Relapsing polychondritis is an autoimmune disease in which an inappropriate immune response destroys cartilage. Cartilage of the ears, larynx and nose rather than spine and joint cartilage is affected by a chronic relapsing and erosive inflammation. Several animal models for relapsing polychondritis have been published in which immunization with various cartilage proteins induces a variety of chondritis symptoms that mimic those seen in patients. In this review we describe the collagens, matrilin-1 and cartilage oligomeric matrix protein as potential autoantigens able to trigger the tissue-specific immune response seen both in patients and in animal models for relapsing polychondritis and related autoimmune diseases.     

Cartilage-specific autoimmunity in animal models and clinical aspects in patients – focus on relapsing polychondritis

Relapsing polychondritis is an autoimmune disease in which an inappropriate immune response destroys cartilage. Cartilage of the ears, larynx and nose rather than spine and joint cartilage is affected by a chronic relapsing and erosive inflammation. Several animal models for relapsing polychondritis have been published in which immunization with various cartilage proteins induces a variety of chondritis symptoms that mimic those seen in patients. In this review we describe the collagens, matrilin-1 and cartilage oligomeric matrix protein as potential autoantigens able to trigger the tissue-specific immune response seen both in patients and in animal models for relapsing polychondritis and related autoimmune diseases.     

Fire,canopy cover and seedling dynamics in Mediterranean shrubland of northeastern Spain

Abstract. Seedling establishment and survival of the main woody species of early-successional shrubland in northeastern Spain were studied from 1992 to 1995 with emphasis on the importance of vegetation cover (existence of open areas and the situation beneath the plant canopy) and microhabitat (occurrence of stones, litter and bare soil). In the absence of fire, vegetation cover (measured at a scale of 30cm × 30 cm) was not correlated with seedling emergence of most species, nor with growth and survival of seedlings up to one year old. Seedlings older than one year showed a similar pattern: their density was not significantly different in both kinds of habitats. The emergence of seedlings was mainly associated with the presence of mature plants – which can provide seeds – and with the absence of unsuitable microhabitats (large stones, deep litter and bare soil). In April 1994 a wildfire burned the study area. This enabled a study of the pattern of post-fire establishment. After the wildfire, seedling emergence of several species increased and most species produced seedlings with higher survival and growth rates than in the period before the fire. Pre-fire cover, however, did not show significant effects on post-fire seedling dynamics in most cases.     

Diversity and Abundance of Litter Frogs in a Montane Forest of Southeastern Brazil: Seasonal and Altitudinal Changes1

We sampled litter frogs in an 1800-ha mid-elevation seasonal forest in southeastern Brazil. One hundred 8 * 8-m plots were sampled during the dry/cold season and wet/warm season (unburned areas); we also examined the effects of fire in recently burned areas. A total of 267 frogs (305 g), belonging to 16 species (4 families) were caught. A single species comprised 78.5 percent of the individuals in the dry/cold season and 54.3 percent in the wet/warm season. The density of individuals did not change significantly with season, biomass did. Density and biomass of frogs were positively correlated with altitude. A Mantel test indicated that biological data (species and their abundance) were significantly associated with environmental parameters. The burned areas showed low values in richness, density and biomass of frogs. Harsh seasonal climate and a history of human disturbance may produce the low observed diversity values. The greater densities of frogs in sites of higher elevation may primarily result from mist-generated humidity, which diminishes the harshness of the dry/cold season in relation to lower sites.     

Identification and characterisation of Pseudomonas 16S ribosomal DNA from ileal biopsies of children with Crohn's disease

Molecular analysis of bacterial 16S rRNA genes has made a significant contribution to the identification and characterisation of bacterial flora in the human gut. In particular, this methodology has helped characterise bacterial families implicated in the aetiology of inflammatory bowel disease (IBD). In this study we have used a genus specific bacterial 16S PCR to investigate the prevalence and diversity of Pseudomonas species derived from the ileum of children with Crohn's disease (CD), and from control children with non-inflammatory bowel disease (non-IBD) undergoing their initial endoscopic examination. Fifty eight percent of CD patients (18/32) were positive using the Pseudomonas PCR, while significantly fewer children in the non-IBD group, 33% (12/36), were PCR positive for Pseudomonas (p<0.05, Fischer's exact test). Pseudomonas specific 16S PCR products from 13 CD and 12 non-IBD children were cloned and sequenced. Five hundred and eighty one sequences were generated and used for the comparative analysis of Pseudomonas diversity between CD and non-IBD patients. Pseudomonas species were less diverse in CD patients compared with non-IBD patients. In particular P.aeruginosa was only identified in non-IBD patients.     

Susceptibility and resistance of the rock crab,Cancer irroratus,to natural and experimental bacterial infection

The incidence of naturally occuring bacterial infection in a Connecticut population of rock crab, Cancer irroratus, varied between 10 and 60% of the population. The fluctuation in incidence was correlated significantly with hemocyte concentrations. Twelve percent of the crabs sampled during Jenuary were found to be infected with a previously undescribed Vibrio. The Vibrio was demonstrated as pathogenic over a wide range of temperatures. High mortalities in experimentally infected crabs appear to result from hemocyte clumping and extensive intravascular clotting triggered by an endotoxin. The lobster pathogen, Aerococcus viridans var. homari, was found to be pathogenic at 25°C to C. irroratus, a prey species of the lobster. Results suggest that this species can act as a reservior host for A. viridans var. homari.     

Fire and the relative roles of weather,climate and landscape characteristics in the Great Lakes‐St. Lawrence forest of Canada

Question: In deciduous‐dominated forest landscapes, what are the relative roles of fire weather, climate, human and biophysical landscape characteristics for explaining variation in large fire occurrence and area burned? Location: The Great Lakes‐St. Lawrence forest of Canada. Methods: We characterized the recent (1959–1999) regime of large (≥ 200 ha) fires in 26 deciduous‐dominated landscapes and analysed these data in an information‐theoretic framework to compare six hypotheses that related fire occurrence and area burned to fire weather severity, climate normals, population and road densities, and enduring landscape characteristics such as surficial deposits and large lakes. Results: 392 large fires burned 833 698 ha during the study period, annually burning on average 0.07%± 0.42% of forested area in each landscape. Fire activity was strongly seasonal, with most fires and area burned occurring in May and June. A combination of antecedent‐winter precipitation, fire season precipitation deficit/surplus and percent of landscape covered by well‐drained surficial deposits best explained fire occurrence and area burned. Fire occurrence varied only as a function of fire weather and climate variables, whereas area burned was also explained by percent cover of aspen and pine stands, human population density and two enduring characteristics: percent cover of large water bodies and glaciofluvial deposits. Conclusion: Understanding the relative role of these variables may help design adaptation strategies for forecasted increases in fire weather severity by allowing (1) prioritization of landscapes according to enduring characteristics and (2) management of their composition so that substantially increased fire activity would be necessary to transform landscape structure and composition.     

Dynamics of an Anthropogenic Fire Regime

Human interaction with fire and vegetation occurs at many levels of human population density and cultural development, from subsistence cultures to highly technological societies. The dynamics of these interactions with respect to wildland fire are often difficult to understand and identify at short temporal scales. Dendrochronological fire histories from the Missouri Ozarks, coupled with human population data, offer a quantitative means of examining historic (1680-1990) changes in the anthropogenic fire regime. A temporal analysis of fire scar dates over the last 3 centuries indicates that the percent of sites burned and fire intervals of anthropogenic fires are conditioned by the following four limiting factors: (a) anthropogenic ignition, (b) surface fuel production, (c) fuel fragmentation, and (d) cultural behavior. During an ignition-dependent stage (fewer than 0.64 humans/km²), the percent of sites burned is logarithmically related to human population (r² = 0.67). During a fuel-limited stage, where population density exceeds a threshold of 0.64 humans/km², the percent of sites burned is independent of population increases and is limited by fuel production. During a fuel-fragmentation stage, regional trade allows population densities to increase above 3.4 humans/km², and the percent of sites burned becomes inversely related to population (r² = 0.18) as decreases in fuel continuity limit the propagation of surface fires. During a culture-dependent stage, increases in the value of timber over forage greatly reduce the mean fire interval and the percent of sites burned. Examples of the dynamics of these four stages are presented from the Current River watershed of the Missouri Ozarks.