Factors affecting development of rifampicin resistance in biofilm-producing Staphylococcus epidermidis

BACKGROUND: Solitary rectal ulcer syndrome (SRUS) is often resistant to medical and surgical treatment. AIM: To determine whether biofeedback retraining is a useful treatment for this condition. PATIENTS: Thirteen consecutive patients with SRUS (three men, median age 34 years, median duration of symptoms three years) underwent treatment. Previous surgical treatment had failed in five. METHODS: Patients were evaluated prospectively. Anorectal physiological studies were performed in 11 patients before treatment. A standardised questionnaire was used before and after treatment, and all but two patients were examined after treatment. RESULTS: Median follow up was nine months (range 3-22 months). After treatment four patients were asymptomatic, and four felt improved. Symptom improvement or elimination occurred in: need to strain (7/13 patients), digitation (7/11), laxative use (5/9). Time in the toilet (median 30 v 10 minutes, before v after treatment) and number of visits to toilet (6 v 3/day) were also improved. Three patients were able to maintain employment before treatment compared with eight after treatment. The solitary ulcer did not heal completely in any of the nine patients examined after treatment, but improved in four. Previous surgery, the macroscopic appearance of the ulcer, the presence of pelvic floor paradox, and other physiological parameters did not predict outcome. CONCLUSION: Biofeedback retraining is a useful treatment for this condition. Long term studies are now required.     

The Role of the Individual – A Key to Learning in Preparedness Organizations

A well functioning societal response to crises is benefited by individuals having adequate skills and knowledge. From a municipal perspective this requires the creation of a learning organization. The objective of this study is to determine whether individual municipal employees, who have the responsibility for preparedness planning, reason and act in ways that promote learning about crises and preparedness issues throughout the municipal organization. Analysis of interviews with preparedness planners in six Swedish municipalities on their strategies for preparedness planning, reveal that preparedness planning too often becomes a demarcated activity, restricted to not more than a handful of individuals. This study indicates that one reason for why the preparedness work becomes demarcated is that individuals central to the preparedness planning are not taking on roles for acting in ways that are required in order for a learning organization to be established.     

Cancer incidence of workers in the Swedish petroleum industry

OBJECTIVES: To estimate the risk of cancer due to occupational exposure to petroleum products in the Swedish transport and refinery industries. METHODS: In a retrospective cohort study the cancer incidence in 4128 men and 191 women, who had worked for at least one year in the petroleum industry, was compared with the incidence in the general population. The job titles and employment times for each person were found in personal files in the industries. The men had on average worked in jobs exposed to petroleum for 11.6 years at the end of the observation period. The cases of cancer were identified by record linkage with the Swedish cancer register. RESULTS: In total there were 146 cases of cancer v 157.6 expected (standardised mortality ratio (SMR) 0.93 90% confidence interval (90% CI) 0.80 to 1.1). Operators at refineries had an increased risk of leukaemia (6 cases v 1.7 expected, 90% CI of relative risk (RR) 1.5 to 7.0). Five of the six cases had started to work at the refineries in the 1950s or later. No other significantly increased risk of cancer was found. Distribution workers had a decreased incidence of lung cancer (no cases, 90% CI of RR 0 to 0.4). CONCLUSIONS: Operators at Swedish refineries had an increased risk of leukaemia. A possible cause is exposure to benzene. There was no increased risk of leukaemia in distribution workers. Distribution workers had a decreased risk of lung cancer.     

Very low-threshold 1.53?m DFB lasers by VPE transport

DFB lasers with CW threshold currents as low as 8 mA at room temperature have been fabricated using the VPE transport process. The low threshold currents are attributed to narrow active stripes and to the high coupling strength of the grating. Single-mode lasing at 1.53?m up to I = 8Ith and during high-speed direct modulation has been confirmed.     

Electroless deposition and silicidation of Ni contacts into p-type Porous Silicon

Porous Silicon (PS) has attracted much attention since the discovery of its photo luminescent behavior. It has also been used for various other applications such as electroluminescent light emitting-diodes (LEDs), photodetectors and solar cells. For such devices, it is important to make good metallic Ohmic contacts to the PS in order to maximize the efficiency. In order to produce buried contacts, barrier layers, Schottky devices, etc. in PS, it is advantageous to deposit metal that covers not only the surface of the porous layer, but also the inside walls and the bottom of the pores. In this work experiments were performed to examine the morphology and properties of electroless deposition of Nickel into p-type PS and subsequent formation of Nickel silicide after heat treatment. Circular PS samples of 6 mm diameter were produced by anodizing p-type Silicon wafers for 15 min and were subsequently plated with Ni using three different plating baths. The pores are on average 20 μm deep and 4 μm wide. Two samples of each type were heat treated in an nitrogen atmosphere for one hour at 400 and 600°C respectively to produce Nickel silicide. Reference samples were made by means of electron beam evaporation of Ni. SEM micrographs show that the best pore coverage was achieved using the Ni plating bath containing hypophosphite. I–V characterization shows that different rectifying and Ohmic contacts can be formed between electroless deposited Ni and PS depending on the conditions of the heat treatment. XRD and EDX characterizations show that both the NiSi and Ni₂Si phases exist in the sample at the same time.      

Realization of an active inductance for a low power high bandwidth DC power line communication network transceiver

An active inductor based on an improved gyrator circuit is proposed. The active inductor is developed to be implemented in a high impedance transceiver for a wearable DC power line communication network where requirements such as low power consumption, high bandwidth and numerous nodes support are prioritized. A load isolation step is introduced to ensure the stability of the active inductance's size on different load currents. The proposed gyrator circuit is analyzed and optimized by means of theoretical calculations. The theoretical results are then verified by simulations and experiments in the frequency range up to 10 MHz.     

Devolatilization of wood and wastes in fluidized bed

Experiments were carried out in a laboratory fluidized bed (FB) to characterize the devolatilization behavior of wood and various wastes at temperatures applicable to FB gasification and combustion, i.e. 750-900 °C. The fuels tested were pellets made of wood, meat and bone meal, and compost (from municipal solid wastes), as well as dried granulates of sewage sludge (DSS). Determination of yields of char, condensate and light gas, as well as the composition of the gas and the time of devolatilization during the pyrolysis of single fuel batches was made. A simple model was developed to analyze the mode of conversion of a single wood pellet and DSS granulate, giving insight on the controlling mechanisms during devolatilization. The devolatilization kinetics of DSS was determined by tests using fine granulates. The model was successfully applied to simulate the conversion of large DSS granulates and wood pellets under the whole range of temperatures analyzed.     

Inhibition of Human DHODH by 4‐Hydroxycoumarins,Fenamic Acids,and N‐(Alkylcarbonyl)anthranilic Acids Identified by Structure‐Guided Fragment Selection

A strategy that combines virtual screening and structure‐guided selection of fragments was used to identify three unexplored classes of human DHODH inhibitor compounds: 4‐hydroxycoumarins, fenamic acids, and N‐(alkylcarbonyl)anthranilic acids. Structure‐guided selection of fragments targeting the inner subsite of the DHODH ubiquinone binding site made these findings possible with screening of fewer than 300 fragments in a DHODH assay. Fragments from the three inhibitor classes identified were subsequently chemically expanded to target an additional subsite of hydrophobic character. All three classes were found to exhibit distinct structure–activity relationships upon expansion. The novel N‐(alkylcarbonyl)anthranilic acid class shows the most promising potency against human DHODH, with IC₅₀ values in the low nanomolar range. The structure of human DHODH in complex with an inhibitor of this class is presented.     

The toxicity of copper to crucian carp (Carassius carassius) in soft water

Crucian carp (Carassius carassius) were exposed to a Cu rich medium (pH 6.6, conductivity 25 microS/cm, 2.91 mg Ca(2+)/l, approximately 300 microg Cu(2+)/l). Untreated department water (pH 6.6, conductivity 25 microS/cm, 2.91 mg Ca(2+)/l) acted as control. Mortality in crucian carp was first observed after 13 days of exposure to the Cu rich medium. There were, however, significant changes in haematocrit, plasma chloride, plasma sodium and water content in muscle in fish exposed to the Cu rich medium after two days. After 14 days of exposure to copper, haematocrit increased to 52+/-2% (control: between 37 and 40%), plasma chloride decreased to 45+/-5 mmol/l (control: 99-106 mmol/l), plasma sodium decreased to 81+/-6 mmol/l (control: 116-137 mmol/l), and water content in muscle increased to 83.0+/-0.3% (control: 78.7-79.9%). No apparent changes in blood ethanol, and minor changes in plasma lactate were observed in copper exposed fish. Analyses of the gills revealed an increasing concentration of copper on the gills from fish exposed to Cu rich water. After 14 days, the concentration of copper accumulated in the gill was 12.8+/-4.1 microg Cu/g wet weight (control: 0.91-1.19 microg Cu/g wet weight). A reduction of the respiratory area in fish exposed to copper was observed, in terms of both lamellar and filamental fusion. The normoxic O(2) uptake did not change, but the critical oxygen tension was elevated to 6.12+/-1.04 mg O(2)/l after a 6 day exposure to copper (control: 1.03+/-0.05 mg O(2)/l). This study shows that crucian carp has a higher tolerance to copper compared to other freshwater fish species. Our results suggest that this tolerance is based on the ability of crucian carp to avoid becoming hypoxic as well as an extreme tolerance to severe loss of plasma ions.