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41.

Background

Nosocomial infections are extremely common in the elderly and may be related to ageing of the immune system. The Immune Risk Phenotype (IRP), which predicts shorter survival in elderly patients, has not been evaluated as a possible risk factor for nosocomial infection. Our aim was to assess the prevalence of nosocomial infections in elderly in-patients and to investigate potential relationships between nosocomial infections and the immunophenotype, including IRP parameters.

Results

We included 252 consecutive in-patients aged 70 years or over (mean age, 85 ± 6.2 years), between 2006 and 2008. Among them, 97 experienced nosocomial infections, yielding a prevalence rate of 38.5% (95% confidence interval, 32.5-44.5). The main infection sites were the respiratory tract (21%) and urinary tract (17.1%) When we compared immunological parameters including cell counts determined by flow cytometry in the groups with and without nosocomial infections, we found that the group with nosocomial infections had significantly lower values for the CD4/CD8 ratio and naive CD8 and CD4 T-cell counts and higher counts of memory CD8 T-cells with a significant increase in CD28-negative CD8-T cells. Neither cytomegalovirus status (positive in 193/246 patients) nor presence of the IRP was associated with nosocomial infections. However, nosocomial pneumonia was significantly more common among IRP-positive patients than IRP-negative patients (17/60 versus 28/180; p = 0.036).

Conclusion

Immunological parameters that are easy to determine in everyday practice and known to be associated with immune system ageing and shorter survival in the elderly are also associated with an elevated risk of nosocomial pneumonia in the relatively short term.  相似文献   
42.
Tingley R  Shine R 《PloS one》2011,6(10):e25979
Some invasive species flourish in places that impose challenges very different from those faced in their native geographic ranges. Cane toads (Rhinella marina) are native to tropical and subtropical habitats of South and Central America, but have colonised extremely arid regions over the course of their Australian invasion. We radio-tracked 44 adult cane toads at a semi-arid invasion front to investigate how this invasive anuran has managed to expand its geographic range into arid areas that lie outside of its native climatic niche. As predicted from their low physiological control over rates of evaporative water loss, toads selected diurnal shelter sites that were consistently cooler and damper (and thus, conferred lower water loss rates) than nearby random sites. Desiccation risk also had a profound influence on rates of daily movement. Under wet conditions, toads that were far from water moved further between shelter sites than did conspecifics that remained close to water, presumably in an attempt to reach permanent water sources. However, this relationship was reversed under dry conditions, such that only toads that were close to permanent water bodies made substantial daily movements. Toads that were far from water bodies also travelled along straighter paths than did conspecifics that generally remained close to water. Thus, behavioural flexibility--in particular, an ability to exploit spatial and temporal heterogeneity in the availability of moist conditions--has allowed this invasive anuran to successfully colonize arid habitats in Australia. This finding illustrates that risk assessment protocols need to recognise that under some circumstances an introduced species may be able to thrive in conditions far removed from any that it experiences in its native range.  相似文献   
43.
Life-history theory predicts that “costs” of reproduction may be important evolutionary determinants of reproductive investment; previous studies on reptiles indicate that decrements to maternal mobility may be among the most important components of such costs. Biomechanical models suggest that reproductive investment in aquatic snakes may be constrained by the important locomotory role of the posterior part of the body during swimming: carrying eggs or offspring in this region would more seriously impair locomotory efficiency in swimming than in terrestrial lateral undulation. If this constraint is important, aquatic snakes would be expected to have lower clutch masses relative to body mass than terrestrial species and to carry the clutch in a more anterior position (commencing at the same proportion of maternal body length anteriorly, but not extending as far posteriorly). Comparisons between aquatic and terrestrial snakes of several families confirm these predictions. Phylogenetic analysis suggests that this pattern of reduced reproductive investment has evolved independently in each of the four ophidian lineages that contain marine species (acrochordids, homalopsine colubrids, laticaudid sea snakes, and hydrophiid sea snakes). Although it thus seems likely that these patterns represent adaptations to aquatic versus terrestrial life, the nature of the selective forces involved remains speculative. The hypothesis based on locomotory impairment of gravid females has better empirical support than any alternative hypothesis, as it successfully predicts modifications in the position of the clutch within the female's body, as well as overall reduced reproductive investment.  相似文献   
44.
45.

Background  

Testicular development is arrested in the hypogonadal (hpg) mouse due to a congenital deficiency in hypothalamic gonadotropin-releasing hormone (GnRH) synthesis. Chronic treatment of male hpg mice with estradiol induces FSH synthesis and secretion, and causes testicular maturation and qualitatively normal spermatogenesis. As estradiol negative feedback normally inhibits FSH production in the male, this study tested whether this paradoxical response to estradiol in the male hpg mouse might be due to inadequate masculinisation or incomplete defeminization in the neonatal period. Previous studies have demonstrated that treatment of hpg mice with testosterone propionate in the immediate neonatal period is necessary to allow full reproductive behaviors to be expressed following suitable endocrine stimulation at adult ages.  相似文献   
46.
The ways in which invasive organisms influence native ecosystems remain poorly understood. For example, feral cane toads Bufo marinus have spread extensively through tropical Australia over the last 70 years, but assessments of their ecological impact remain largely anecdotal. We conducted experimental trials to examine the effect of cane toad presence on invertebrate fauna in relatively small (2.4 × 1.2 m) outdoor enclosures on a floodplain near Darwin in the wet–dry tropics. Toads significantly reduced invertebrate abundance and species richness, but only to about the same degree as did an equivalent biomass of native anurans. Thus, if toads simply replaced native anurans, the offtake of invertebrates might not be substantially different from that due to native anurans before toad invasion. However, our field surveys suggest that toads cause a massive (fourfold) increase in total amphibian biomass. The end result is that cane toads act as a massive nutrient sink in the floodplain ecosystem because they consume vast numbers of invertebrates but (unlike native frogs) are largely invulnerable to predation by frog-eating predators.  相似文献   
47.
In terrestrial snakes, rugose scales are uncommon and (if they occur) generally are found on both sexes. In contrast, rugose scales are seen in most sea snakes, especially in males. Why has marine life favored this sex-specific elaboration of scale rugosity? We pose and test alternative hypotheses about the function of rugose scales in males of the turtle-headed sea snake (Emydocephalus annulatus) and conclude that multiple selective forces have been involved. First, rugosities may aid male positioning during courtship, because histology shows that tubercles are more highly innervated than adjacent flat areas of each scale and hence are presumably more sensitive to tactile cues, and because biomechanical tests show that rugosities enhance friction between the bodies of males and females. Second, the occurrence of rugosities over the entire body of males and (albeit less well developed) in females as well suggests that rugosities also play a hydrodynamic role by modifying water flow across the snake's surface. Flow tank tests show that rugosities reduce the thickness of the boundary layer by almost 50% and create turbulent flow that should massively enhance rates of cutaneous oxygen uptake and hence prolong maximal courtship duration by males.  相似文献   
48.
Activation of 'initiator' (or 'apical') caspases-2, -8 or -9 (refs 1-3) is crucial for induction of apoptosis. These caspases function to activate executioner caspapses that, in turn, orchestrate apoptotic cell death. Here, we show that a cell-permeable, biotinylated pan-caspase inhibitor (bVAD-fmk) both inhibited and 'trapped' the apical caspase activated when apoptosis was triggered. As expected, only caspase-8 was trapped in response to ligation of death receptors, whereas only caspase-9 was trapped in response to a variety of other apoptosis-inducing agents. Caspase-2 was exclusively activated in heat shock-induced apoptosis. This activation of caspase-2 was also observed in cells protected from heat-shock-induced apoptosis by Bcl-2 or Bcl-xL. Reduced sensitivity to heat-shock-induced death was observed in caspase-2(-/-) cells. Furthermore, cells lacking the adapter molecule RAIDD failed to activate caspase-2 after heat shock treatment and showed resistance to apoptosis in this setting. This approach unambiguously identifies the apical caspase activated in response to apoptotic stimuli, and establishes caspase-2 as a proximal mediator of heat shock-induced apoptosis.  相似文献   
49.
Secondary transitions from terrestrial to marine life provide remarkable examples of evolutionary change. Although the maintenance of osmotic balance poses a major challenge to secondarily marine vertebrates, its potential role during evolutionary transitions has not been assessed. In the current study, we investigate the role of oceanic salinity as a proximate physiological challenge for snakes during the phylogenetic transition from the land to the sea. Large‐scale biogeographical analyses using the four extant lineages of marine snakes suggest that salinity constrains their current distribution, especially in groups thought to resemble early transitional forms between the land and the sea. Analyses at the species‐level suggest that a more efficient salt‐secreting gland allows a species to exploit more saline, and hence larger, oceanic areas. Salinity also emerged as the strongest predictor of sea snake richness. Snake species richness was negatively correlated with mean annual salinity, but positively correlated with monthly variation in salinity. We infer that all four independent transitions from terrestrial to marine life in snakes may have occurred in the Indonesian Basin, where salinity is low and seasonally variable. More generally, osmoregulatory challenges may have influenced the evolutionary history and ecological traits of other secondarily marine vertebrates (turtles, birds and mammals) and may affect the impact of climate change on marine vertebrates.  相似文献   
50.
Populations of widespread species often differ in phenotypic traits, although rarely in such a dramatic fashion as revealed by research on turtle‐headed seasnakes (Emydocephalus annulatus). These snakes are highly philopatric, with mark–recapture studies showing that the interchange of individuals rarely occurs even between two adjacent bays (separated by < 1.2 km) in Noumea, New Caledonia. Data on > 500 field‐captured snakes from these two bays reveal significant differences between these two locations in snake morphology (mean body length, relative tail length, head shape), colour, ecology (body condition, growth rate, incidence of algal fouling), behaviour (antipredator tactics), and locomotor performance. For some traits, the disparity was very marked (e.g. mean swimming speeds differed by > 30%). The causal bases for these phenotypic divergences may involve founder effects, local adaptation, and phenotypic plasticity. The spatial divergence in phenotypic traits offers a cautionary tale both for researchers (sampling of only a few populations may fail to provide a valid overview of the morphology, performance, and behaviour of a species) and managers (loss of local populations may eliminate distinctive genetic variation). © 2012 The Linnean Society of London, Biological Journal of the Linnean Society, 2012, ??, ??–??.  相似文献   
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