Comparative evaluation of FUNGITEST and broth microdilution methods for antifungal drug susceptibility testing of Candida species and Cryptococcus neoformans

The FUNGITEST method (Sanofi Diagnostics Pasteur, Paris, France) is a microplate-based procedure for the breakpoint testing of six antifungal agents (amphotericin B, flucytosine, fluconazole, itraconazole, ketoconazole, and miconazole). We compared the FUNGITEST method with a broth microdilution test, performed according to National Committee for Clinical Laboratory Standards document M27-A guidelines, for determining the in vitro susceptibilities of 180 isolates of Candida spp. (50 C. albicans, 50 C. glabrata, 10 C. kefyr, 20 C. krusei, 10 C. lusitaniae, 20 C. parapsilosis, and 20 C. tropicalis isolates) and 20 isolates of Cryptococcus neoformans. Overall, there was 100% agreement between the methods for amphotericin B, 95% agreement for flucytosine, 84% agreement for miconazole, 83% agreement for itraconazole, 77% agreement for ketoconazole, and 76% agreement for fluconazole. The overall agreement between the methods exceeded 80% for all species tested with the exception of C. glabrata (71% agreement). The poorest agreement between the results for individual agents was seen with C. glabrata (38% for fluconazole, 44% for ketoconazole, and 56% for itraconazole) and C. tropicalis (50% for miconazole). The FUNGITEST method misclassified as susceptible 2 of 12 (16.6%) fluconazole-resistant isolates, 2 of 10 (20%) itraconazole-resistant isolates, and 4 of 8 (50%) ketoconazole-resistant isolates of several Candida spp. Further development of the FUNGITEST procedure will be required before it can be recommended as an alternative method for the susceptibility testing of Candida spp. or C. neoformans.     

Screening for diabetic retinopathy: the utility of nonmydriatic retinal photography in Egyptian adults

BACKGROUND AND OBJECTIVE: Drug resistance has become a major cause of treatment failure in patients with acute leukemia. P-glycoprotein (Pgp), which is associated with the multidrug resistance (MDR) phenotype, has been reported to be an important predictor of treatment outcome. The aim of this study was to analyze the value of Pgp expression in bone marrow or peripheral blood as a predictor of the response to remission induction chemotherapy as well as the duration of remission in patients with de novo acute myeloid leukemia (AML). DESIGN AND METHODS: We examined the expression of Pgp in 82 patients with de novo AML using an immunocytochemical assay with the C219 monoclonal antibody. RESULTS: Twenty-seven of the 82 patients (33%) were C219-positive in from 1% to 100% of their cells. Thirteen cases (16%) showed a positive reaction in more than 50% of the leukemic cells. Only hyperleukocytosis was significantly associated with higher expression of Pgp. Although 8 of the 13 cases (62%) with more than 50% of cells having Pgp expression were CD34-positive, this association was not statistically significant. A univariate analysis of resistance to induction therapy showed a significantly higher resistance rate in patients with increased Pgp expression (P = 0.01) as well as in those patients with decreased reactivity to myeloperoxidase. The multivariate analysis revealed the independent prognostic value of Pgp expression. C219 reactivity did not have an influence on remission duration. INTERPRETATION AND CONCLUSIONS: Our data indicate that P-glycoprotein expression is a reliable marker of resistance to induction treatment in patients with de novo AML.     

Ten common-sense teaching strategies for effective inservice presentation by staff nurses

Staff nurses are currently being given the opportunity to present inservice offerings as a criterion for the professional performance evaluation. Unfortunately, staff nurses, even those with baccalaureate preparation, generally have not been prepared in strategies for effective teaching. Consequently, many staff nurses either avoid this opportunity altogether or may proceed with the "seat of the pants" approach, making learning a chance event. This article sets forth 10 common-sense teaching strategies for effective inservice education presentations with the goal of encouraging and empowering staff nurses to share their particular area of expertise with their peers.     

In Situ Investigation of TCP Phase Formation,Stress Relaxation and γ/γ′ Lattice Misfit Evolution in Fourth Generation Single Crystal Ni-Base Superalloys by X-Ray High Temperature Diffraction

Metallurgical and Materials Transactions A - In nickel-based superalloys, the lattice misfit between the γ and γ′ phases and the propensity to TCP phase formation at service...     

Photochemical degradation of glassy polyesters of low softening point

The photodegradation of polyesters prepared by the reaction of o-phthalic, adipic, and “dimer” acids with ethylene glycol has been studied. The polyesters softened at temperatures in the range of 25–50°C. Polymer films were irradiated in air by means of a medium pressure mercury lamp and the extent of formation of COOH groups determined by infrared spectroscopy. The films were also irradiated in vacuo and in air by means of a high-pressure mercury lamp, and the volatile products, consisting mainly of carbon monoxide and carbon dioxide, were determined by gas chromatography. The results are interpreted in terms of simultaneous Norrish type I and type II decompositions of the polyesters. The type I process accounts for the formation of carbon monoxide and carbon dioxide in the absence of air. The enhanced yield of carbon dioxide in irradiations performed in air is ascribed to the formation of hydroperoxide which undergoes further photolysis. The type II process accounts for the formation of COOH groups. The photodegradation of these glassy polyesters parallels that of crystalline poly(ethylene terephthalate) and is relatively unaffected by changes in composition of the aromatic polyester.     

Role of bond thickness on adhesive failure

An analytical, numerical and experimental program is described which establishes the basic fracture mechanics properties of an adhesive joint. A finite element analysis of a homogeneous finite tapered double cantilever beam is first presented and the results compared with elasticity and strength of materials solutions. Using analytical results developed in another paper, a finite bond line thickness correction factor is introduced to determine the crack tip stress intensity factor as a function of crack length. An experimental program is described wherein the crack tip stress intensity factor for the cantilever beam adhesive joint is measured by the compliance method and the results compared with those obtained by analytical and numerical methods. Finally, the critical value of the adhesive crack tip stress intensity factor is determined using the analytical and experimental techniques presented.     

Low‐velocity impact of nanocomposite and polymer plates

Nanocomposites are more widely studied today because of higher stiffness, decreased permeability, thermal stability, and many other properties superior to those of regular polymers. However, manufacturers are concerned about implementing nanocomposites because of their lower impact properties with respect to the base polymer. This study focused on low‐velocity impact tests of a thermoplastic olefin by itself and with 5 wt % nanoclay. The impact tests were conducted at ?40, 23.9, and 65.6°C until the polymer and nanocomposite plates experienced complete striker penetration. The force–time and force–deflection responses obtained from the impact testing provided a means of comparing the impact performances of the two materials. © 2005 Wiley Periodicals, Inc. J Appl Polym Sci 96: 2309–2315, 2005     

Root growth and phosphorus and potassium uptake by two corn genotypes in the field

In a field study P and K uptake by two corn (Zea mays L.) genotypes which differed in root growth was investigated. The effect of differences in root growth on P and K uptake was assessed using a mechanistic-mathematical model which describes nutrient uptake by growing plant roots in soil. Nitrogen was applied at 0 and 227 kg ha^–1 to Pioneer 3732 and B73xMo17 corn grown on Raub silt loam (fine-silty, mixed, mesic Aquic Argiudoll) and at 227 kg N ha^–1 to these two genotypes on Chalmers silt loam (finesilty, mixed, mesic, Typic Haplaquoll). Root growth and P and K uptake by the two corn genotypes was measured 31, 47, 75 and 91 d after planting on the Raub and 31, 47, 61 and 75 d after planting on the Chalmers soil.Root growth and P and K uptake by B73xMo17 was greater than that of Pioneer 3732 on N-fertilized Raub soil. On Chalmers soil the difference in root growth between the two genotypes resulted in an increase in K but not P uptake. The higher soil P level of the Chalmers appears to have offset possible differences in P uptake due to root size. There were no differences between the two genotypes in either the percentage of roots with root hairs, or the density or length of root hairs. Phosphorus and K uptake calculated with the simulation models for both corn genotypes on both soils over each of three growth periods agreed with observed P (Y = 0.68X + 1.71; r = 0.944^**) and K (Y = 0.88X + 15.52; r = 0.928^**) uptake. Differences in P and K uptake between B73xMo17 and Pioneer 3732 resulted primarily from the difference in root growth in the topsoil. A high correlation was found between root surface area and P (r = 0.893^**) and K (r = 0.928^**) uptake by both corn genotypes on both the soils.Journal paper No. 10,316 Purdue Univ. Agric. Exp. Stn., W. Lafayette, In 47906. Contribution from the Dep. of Agron. This paper was supported in part by a grant from the Tennessee Valley Authority.