First case of Serratia liquefaciens isolated from urinary tract infection in sows and associated clinicopathological and pathological findings.

An incident of sudden deaths in the breeding stock was reported from a farrow-to-finish commercial pig farm in Greece. The 8·4% of sows during lactation and gestation period presented anorexia, fever, haematuria, return-to-oestrus and sudden deaths (mortality rate: 2·3%). Blood and urine samples were collected from four diseased sows. Furthermore, swabs from urine bladders were collected from two dead sows and four culled sows at the slaughterhouse. Blood testing demonstrated mild leucocytosis and absence of azotaemia. Urinalysis revealed haematuria, proteinuria, bilirubinuria and active urine sediment with bacilli, epithelial cells and leucocytes, crystals and granular casts. Histopathological evaluation of the bladder demonstrated chronic active polypoid cystitis. The bacterial culture revealed the presence of Serratia liquefaciens. The antibiotic susceptibility testing showed high resistance to the most common antibiotics, with the highest sensitivity of the isolate towards quinolones. After the administration of a single dose of 7·5 mg kg-1 body weight enrofloxacin intramuscularly, the mortality rate decreased to less than 0·5% along with a remarkable reduction in the severity of clinical signs. Based on our findings, S. liquefaciens induced severe clinical signs and deaths in sows, mainly due to urinary infection. Inadequate water sanitation might have been responsible for increased exposure to S. liquefaciens. SIGNIFICANCE AND IMPACT OF THE STUDY: In this study, the isolation of Serratia liquefaciens from the urinary tract of pigs associated with clinical signs and increased mortality was described for the first time. Serratia liquefaciens is an important cause of hospital-acquired human infections. The isolate in this study was resistant to the most common antibiotics. Therefore, the use of quinolones which are drugs of last resort for treatment of infections was the only therapeutic option. The presence of the resistant bacterium in the urinary tract raises concerns for its zoonotic potential.

Immittance Data Validation using Fast Fourier Transformation (FFT) Computation - Synthetic and Experimental Examples.

Exact data of an electric circuit (EC) model of RLC (resistor, inductor, capacitor) elements representing rational immittance of LTI (linear, time invariant) systems are numerically Fourier transformed to demonstrate within error bounds applicability of the Hilbert integral tranform (HT) and Kramers-Kronig (KK) integral tranform (KKT) method. Immittance spectroscopy (IS) data are validated for their HT (KKT) compliance using non-equispaced fast Fourier transformation (NFFT) computations. Failing of HT (KKT) testing may not only stem from non-compliance with causality, stability and linearity which are readily distinguished using anti HT (KKT) relations. It could also indicate violation of uniform boundedness to be overcome either by using singly or multiply subtracted KK transform (SSKK or MSKK) or by seeking KKT of the same set of data at a complementary immit- tance level. Experimental IS data of a fuel cell (FC) are also numerically HT (KKT) validated by NFFT assessing whether LTI principles are met. Figures of merit are suggested to measure success in numerical validation of IS data.

Composite hypo-hyper-d-intermetallic and interionic phases as supported interactive electrocatalysts.

Interactive, strong interbonding and highly electron conductive nonstoichiometric titanium suboxide catalytic supports, Magneli phases (Ti(n)O(2n-1), on average Ti(4)O(7)), have been used in the electrocatalysis of hydrogen (HELR) and oxygen (OELR) electrode reactions with remarkable consequences and advanced achievements. The theory of hypo-hyper-d-interelectronic bonding of transition metal ions and atoms has been employed for selective ordered grafting and shown to stay in the core of the strong metal-support interaction (SMSI) in heterogeneous catalysis and electrocatalysis, and thereby the substantial cause for the improved synergistic activity of composite (electro)catalysts. The same fundament has been the thermodynamic basis for the thermal production of symmetric intermetallic Laves type phases of nanostructured electrocatalysts, in particular the ones with higher oxophilic properties of hypo-d-elements. Remarkably advanced in electrocatalytic activity, highly monatomically dispersed deposits of Pt upon Magneli phases are shown to be unique and highly promising electrocatalysts for the cathodic oxygen reduction (ORR). Nanostructured Au upon a thin nanocrystalline film of anatase titania has been confirmed by X-ray photoelectron spectroscopy (XPS) as a typical classical paradigm of the SMSI, and at the same time affording the basis for gold with strained d-orbitals, as the reversible hydrogen electrode. Magneli phases have been shown to be the best electrocatalytic supports with unique properties both for low temperature PEM fuel cells (LT PEM FCs) with pronounced CO tolerance and water electrolysis in membrane type hydrogen generators.

bcl-2 expression in non-Hodgkin's lymphomas is not associated with bcl-2 gene rearrangements.

Previous reports have associated bcl-2 gene rearrangements found in non-Hodgkin's lymphomas with an inappropriately elevated bcl-2 expression compared with the mature B-cell stage of development. This study investigates bcl-2 expression in non-Hodgkin's lymphomas (NHL) without bcl-2 gene rearrangements. Molecular analysis in 168 patients with NHL revealed 45 patients without bcl-2 gene rearrangements in which additional immunostaining for bcl-2 protein was possible. An unexpectedly high prevalence (39/45) of bcl-2 expression was found. The levels and patterns of bcl-2 expression were not specific for the histological type of NHL and were similar to those shown in comparable cases with bcl-2 gene rearrangements. In conclusion, bcl-2 expression is not specific for NHL bearing bcl-2 gene rearrangements. This finding implicates the existence of other deregulating control mechanisms of bcl-2 expression, more important than bcl-2 gene rearrangements.

A decentralized multichannel length transformation algorithm and its parallel implementation for real-time ECG monitoring.

Multichannel algorithms have been developed for more accurate analysis of electrocardiograms (ECGs). Their benefit is the ability to use the information contained in all simultaneously acquired channels. In this paper we present a multichannel version of a nonsyntactic algorithm, based on length transformation. The proposed algorithm uses a decentralized schema for combining the results derived from each individual lead, instead of a global/centralized one (a spatial vector approach). Its performance was evaluated using the CSE database and real ECGs acquired by a 12-lead cardiograph. The results are also compared with previous-single-channel and multichannel-versions of the algorithm, showing a better performance. Since a multichannel algorithm is always a time-consuming task, it is rarely used in real-time monitoring systems. Motivated by this observation, we designed a parallel implementation of the proposed algorithm and tested its ability to be used in such systems.

Mutator phenotype in human hematopoietic neoplasms and its association with deletions disabling DNA repair genes and bcl-2 rearrangements.

As mice carrying mutations of the DNA mismatch repair genes MSH2 and MSH6 often develop lymphoid neoplasms, we addressed the prevalence of the replication error (RER(+)) phenotype, a manifestation of an underlying defect of DNA mismatch repair genes, in human lymphoid tumors. We compared microsatellite instability (MSI) at 10 loci in 37 lymphoid tumors, including 16 acute lymphoid leukemias (ALL) and 21 non-Hodgkin's lymphomas (NHL), and in 29 acute myeloid leukemias (AML). Significant differences in MSI prevalence between AMLs and ALLs emerged, and MSI occurrence was more frequent in the NHLs versus AMLs. Indeed, only 3 of 29 (10%) AMLs exhibited MSI, thus confirming its paucity in myeloid tumors, while 10 of 37 (27%) lymphoid tumors, 6 ALLs and 4 NHLs, disclosed an RER(+) phenotype. In 1 ALL patient, the same molecular alterations were observed in correspondence with a relapse, but were not detected during remission over a 14-month follow-up; in another ALL patient, findings correlated with impending clinical relapse. These results suggest that the study of MSI in lymphoid tumors might provide a useful molecular tool to monitor disease progression in a subset of ALLs. To correlate MSI with other known genetic abnormalities, we investigated the status of the proto-oncogene, bcl-2, in the lymphoma patients and found that 4 of 4 NHL patients with MSI carried bcl-2 rearrangements, thus linking genomic instability to enhanced cell survival in NHL; moreover, no p53 mutations were found in these patients. Finally, we addressed the putative cause of MSI in hematopoietic tumors by searching for both mutations and deletions affecting DNA repair genes. A limited genetic analysis did not show any tumor-specific mutation in MLH1 exons 9 and 16 and in MSH2 exons 5 and 13. However, loss of heterozygosity (LOH) of markers closely linked to mismatch repair genes MLH1, MSH2, and PMS2 was demonstrated in 4 of 6 ALLs and 1 of 3 AMLs with MSI. These observations indicate that chromosomal deletions might represent a mechanism of inactivation of DNA repair genes in acute leukemia.

The CARDIO-LOGOS system for ECG training and diagnosis.

A new approach in ECG training is presented. The overall approach is based on a combination of the "page-turning architecture", the "reference model" and AI techniques. A thorough analysis of the training requirements in this field has been carried out; the results determined the educational scenarios and the associated evaluation sessions. The system (CARDIO-LOGOS) is intended to be used mainly by internal medicine physicians and general practitioners, as well as by medical students. The layered structure of the whole CBT application together with the advanced learning strategies and the interactive multimedia technology offer a flexible environment that encourages experimentation and supports individualised training for a wide variety of users.

ECG handling on a telemedicine platform.

In this paper we present the principles of a new platform developed for handling ECG signals in a telemedicine setting. We focus on three basic services: an ECG file management system (acquisition, storage, transmission); ECG-oriented teleconferencing; and realtime transmission of ECGs over the telephone network. This work has been carried out in the context of national and EU-sponsored projects. Its main purpose was to help patients from remote or isolated areas, like small islands, with insufficient health-care services, to get appropriate and experienced medical care directly from large central hospitals. We present the design and the basic operations of the ECG handling system.

Transcription of HERV-K-related LTRs in human placenta and leukemic cells.

The human genome contains a family of endogenous retroviruses, HERV-K, with sequence homology to the B-type mouse mammary tumor virus (MMTV). We have detected HERV-K-LTR related cDNA clones by screening a human placenta cDNA library with a HERV-K LTR probe. Three of the isolated cDNA clones were characterized by nucleotide sequencing. The analyzed clones did not contain any retroviral sequences other than those related to HERV-K LTRs, but were found to be coexpressed with cellular sequences. Furthermore, transcripts containing HERV-K LTR sequences were demonstrated by Northern blotting and PCR in human leukemic and normal white blood cells, as well as in various tumor cell lines, indicating abundant transcription of solitary HERV-K LTRs in human tissues. In patients with lymphatic leukemias, a transcript of about 6 kb hybridizing with HERV-K LTR was detected that was not found in patients with myelogenous leukemias or in healthy persons.

Therapeutic progress and comparative aspects in chronic myelogenous leukemia (CML): interferon alpha vs. hydroxyurea vs. busulfan and expression of MMTV-related endogenous retroviral sequences in CML. German CML Study Group.

In summary, it can be expected that the availability of unrelated donors will increase the number of CML patients that can be treated curatively with allogeneic BMT. Hydroxyurea has replaced busulfan as first line treatment in CML since it prolongs survival. Ongoing randomized studies comparing IFN-based treatment regimens with standard chemotherapy or IFN-monotherapy probably will answer the question whether IFN can cure a small percentage of CML patients and whether this small percentage can be increased by additional chemotherapy. The present attempts to improve prognostic scores and to apply them to early treatment decisions will allow treatment adaptation more individually. The implications of endogenous retroviral sequences expressed in CML cells are not known now, but may be far reaching.

Cefotaxime desensitization.

We report the successful desensitization to cefotaxime in a patient with severe lumbar osteomyelitis of unknown bacteriology and hypersensitivity to the drug. Desensitization was carried out because of the unknown bacteriology, the favorable response to cefotaxime at that time, and hypersensitivity to other antibiotics. On the first day the patient received 1 mg cefotaxime intravenously. The dose was increased for 13 successive days to 4 g cefotaxime intravenously per day. No allergic reaction occurred during desensitization or within 4 weeks of observation under this therapy. Patients with severe infections of unknown bacteriology might benefit from desensitization if therapy with a second-choice antibiotic is impossible.

Detection of the P and T waves in an ECG.

A method for the detection of the P and T waves, as well as the identification of their onset and offset boundaries in an ECG, is described in this paper. This method is based on a recently proposed "length" transformation, which exhibits some very interesting characteristics and can be utilized for one-channel or multichannel waveforms. The utilization of this transformation for the detection of the P and T waves in ECGs is exemplified in this paper. Experimental results are also given with real ECGs taken from the standard CSE ECG library.

[IgD paraproteinemia in immunocytoma]. / IgD-Paraproteinämie bei Immunozytom.

The extremely rare immunocytoma with IgD-paraproteinemia was observed in a 65-year-old man with infiltrations of the throat and the sinuses. The diagnosis was made on the basis of several biopsy specimens and serum immunoelectrophoresis. In spite of intensive chemotherapy and radiotherapy a remission was not achieved. In the final stages, a transformation into an immunoblastic sarcoma accompanied by an acute plasma-cell leukemia appeared. The patient died 11 months after diagnosis from renal failure due to infiltrations of the kidneys. The poor prognosis and the poor response to radiotherapy may be associated with the IgD-paraproteinemia. Serum electrophoresis and immunoelectrophoresis proved to be sensitive parameters for monitoring tumor recurrence.

Trimethoprim-sulfamethoxazole desensitization in AIDS.

Trimethoprim-sulfamethoxazole (TMS) desensitization was carried out in three patients with AIDS and Pneumocystis carinii pneumonia (PCP) in whom treatment with TMS had to be discontinued after 8 to 12 days due to an allergic reaction. Although the pneumonia was under control we decided for a desensitization to TMS because of the frequent reinfection and the high mortality rate particularly if treatment is incomplete. On the first day the patients took 0.4 mg/2 mg trimethoprim/sulfamethoxazole orally. The dose was increased during 9 successive days to 80 mg/400 mg trimethoprim/sulfamethoxazole. From the 10th to the 16th day 160 mg/800 mg trimethoprim/sulfamethoxazole was given daily and subsequently twice daily which is the recommended dose for prophylaxis of PCP. The desensitization was successful in two patients and a PCP prophylaxis was possible.

The Gm and Inv factors in rheumatoid arthritis.

The Gm(1), Gm(2), Gm(4), Gm(12), and Inv (1) factors were studied in the sera of 56 patients suffering from rheumatiod arthritis and 26 from various rheumatic diseases, by the hemagglutination inhibition test, using optimally reacting mixtures of Ragg and Nagg sera. The distribution of these factors was found to agree with that of healthy Greeks. No correlation was found between hypergammaglobulinemia and the discovery of the Gm(1) and Inv (1) factors. The presence of the rheumatoid factor was independent of the Gm and Inv phenotypes.