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The book covers updated topics on the genus Staphylococcus,
including the latest discoveries. In each chapter, the author
discusses the results obtained and published during her 20-plus
years as a researcher in this area. The book is divided into eight
chapters, with a presentation of the genus Staphylococcus, current
classification, general characteristics of these bacteria and the
clinical significance of coagulase-negative staphylococci (CoNS),
which are often classified as mere blood culture contaminants, but
are the etiological agents most commonly associated with neonatal
infections and peritonitis in patients undergoing peritoneal
dialysis. Coagulase-negative staphylococci can colonize the surface
of catheters and produce an extracellular polysaccharide that leads
to the formation of biofilms which potentiate their pathogenicity.
The book also focuses on the identification of CoNS, virulence
factors responsible for the symptoms and severity of infections
caused by Staphylococcus spp. These factors include membrane-active
toxins, called cytotoxins, and a group of pyrogenic toxin
superantigens. Several current aspects related to the virulence of
S. aureus and CoNS are discussed, including isolates of different
origins, phenotypic and genotypic techniques for the detection of
these toxins, and the gene regulation mechanism involved in the
expression of these toxins. Another extremely important topic which
is discussed is the resistance of these microorganisms to
antimicrobial agents. MRSA currently represent a serious threat to
public health worldwide due to the rapid dissemination and
diversification of pandemic clones. The epidemiology of MRSA
infections is discussed highlights the importance of understanding
why specific clones predominated in different regions in order to
develop more effective control strategies and to choose more
appropriate antimicrobial therapy. In this book, the topics are
explained in a clear and objective manner and should be useful for
postgraduate students, physicians and researchers.
Agriculture is the product of a complex mixture of behavioural,
biophysical and market drivers. Understanding how these factors
interact to produce crops and livestock for food has been the focus
of economic investigation for many years. The advent of
optimisation algorithms and the exponential growth in computing
technology has allowed significant growth in mathematical modelling
of the dynamics of agricultural systems. The complexity of
approaches has grown in parallel with the availability of data at
increasingly finer resolutions. Farm-level models have been widely
used in agricultural economic studies to understand how farmers and
land owners respond to market and policy levers. This book provides
an in-depth description of different methodologies and techniques
currently used in farm-level modelling. While giving an overview of
the theoretical grounding behind the models, an applied approach is
also used. Case studies range from the application of modelling to
policy reforms and the subsequent impacts on rural communities and
food supply. This book also provides descriptions of the use of
farm-level models in much wider fields such as aggregation and
linking with sectoral models. Its purpose is to show the reader the
methods that have been employed to inform decision-makers about how
to improve the economic, social and environmental goals required to
achieve the aims of multidimensional policy.
This book provides an overview of the different topics of
staphylococcal research in recent years. Severe infections caused
by methicillin-resistant Staphylococcus aureus (MRSA) have become a
global health problem in the twenty-first century. Chapter One
discusses MRSA as a major cause of healthcare or
hospital-associated infections (HA-MRSA) in burn patients,
indicated as a high-risk group for invasive staphylococcal
infection. Types of MRSA, which have traditionally been tackled as
exclusive agents of healthcare-associated infections, are now
recognized as the causative agents of severe disease acquired in
the community. The second chapter discusses these infections as
they occur mainly in special populations. For example, we may cite
people living with HIV/AIDS, older adults living in long-term care
facilities and patients with chronic diseases, notably diabetes
mellitus. In Chapter Three, a third epidemiological form of MRSA is
discussed, which is known as livestock-associated MRSA (LA-MRSA).
Chapter Four emphasizes the current scenario of highly adaptable
clonal complexes. Among these strains, LA-MRSA belonging to clonal
complex (CC) 398 are particularly important, and nosocomial
infections caused by strains of CC398 are frequently reported.
Confirmation of the presence of microorganisms in blood cultures is
one of the most important roles of clinical microbiology
laboratories. Blood culture testing - the gold standard for the
diagnosis of sepsis - is able to elucidate the etiology of
infection and to establish appropriate antibiotic treatment in
order to improve the prognosis of septic patients and,
consequently, to reduce morbidity and mortality; this is the
subject discussed in Chapter Five. Nosocomial infections manifest
more intensely and more frequently in newborns when compared to
children or adults. Staphylococcus aureus infections in newborns is
discussed in Chapter Six. Staphylococcus spp. are an important
cause of peritonitis in peritoneal dialysis (PD), frequently
requiring change of the dialysis technique and causing an important
impact on the mortality of PD patients, another matter of great
importance which is discussed in Chapter Seven. Finally, the
epidemiology and experimental evidence that S. aureus and its
products, the superantigens, are directly related to the
development or exacerbation of autoimmune diseases, which are
discussed in Chapter Eight. This book provides an excellent
overview of the different applications of staphylococcal research
for clinicians, researchers and students who intend to address
these issues, and permits continued high-quality research involving
these important pathogens.
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