The leukocytes were treated with: No treatment, SAHA (suberoylani

The leukocytes were treated with: No treatment, SAHA (suberoylanilide selleck screening library hydroxamic acid, HDACI, 400nM), or Garcinol (HAT inhibitor, 20 mu M).\n\nResults. Hemorrhage in the animals produced severe shock and a pro-inflammatory state. SARA reduced TNFa secretion in the hemorrhaged leukocytes after LPS “second-hit” (34.0%, P = .003), whereas it increased transcript levels of TNFa and. IL-1b (2.1 +/- 0.3 and 5.1

+/- 2.2 fold respectively, P < .05). Leukocytes from trauma patients displayed 2 distinct responses to SAHA after LPS “second-hit,” with markedly increased or decreased cytokine levels.\n\nConclusions. SAHA normalizes TNFa levels following hemorrhage and LPS “second hit” in the rats, ERK inhibitor mw whereas trauma patients respond to SAHA in 2 distinct patterns, with either marked attenuation

or exaggeration of inflammatory cytokines. Cytokine levels were independent of gene expression, implicating acetylation of non-nuclear proteins as the. dominant regulatory mechanism.”
“Photocontrol of the backbone conformation is a useful step forward in regulating the bioactivities of peptides and proteins by means of external signals. In the present work, the selenium analogue of a peptide bond was introduced into tetrapeptides to obtain surprisingly stable selenoxo peptides. Selenoxo peptide bonds allow for a marked increase of cis content in the photostationary state of peptide chains when irradiated with UV light near 290 nm. Slow thermal re-equilibration with rate constants between 9.9 x 10(-4) and 1.3 x 10(-5) s(-1) shows that the transient nonequilibrium conformations exist long

enough to monitor GSK2126458 the isomer specificity of biochemical reactions.”
“Calanus hyperboreus is a key species in the Arctic regions because of its abundance and role in the Arctic food web. Exploitation of the off shore oil reserves along Western Greenland is expected in the near future, and it is important to evaluate the acute and chronic effects of oil emissions to the ecosystem. In this study C. hyperboreus females were exposed to concentrations of 0, 0.1, 1, 10 and 100 nM pyrene and saturated concentrations measured to similar to 300 nM. Daily quantification of egg and faecal pellet production showed significant decreases in the pellet production, while the egg production was unaffected. The hatching success was also unaffected, although the total reproductive output was reduced with increased pyrene concentrations. Accumulation of pyrene in the copepods was higher in feeding than starving females and only trace amounts of the phase I metabolite 1-hydroxypyrene, were found. Lowered reproductive output, reduced grazing, and reduced ability to metabolize pyrene suggest that oil contamination may constitute a risk to C.

The method proved to be suitable for simultaneous measurements of

The method proved to be suitable for simultaneous measurements of PGEs in weak soil extracts of contaminated soil representing potentially bioavailable fractions and sorption envelopes, providing information about the interaction of PGEs with the soil solid phase. The method offers new opportunities to MK-2206 molecular weight explore the fate of PGEs in soils and similar environmental samples.”
“The serpentinized peridotites overlying the subducted zones in the Izu-Bonin-Mariana (IBM) arc system have been interpret as the cause of the low-velocity layer identified beneath the IBM froearc, in turn few earthquakes occurred along the plate boundary. Chrysotile, which

is a low temperature and highly hydrated phase of serpentine with low frictional strength, has been suggested as the low velocity material in the serpentinized peridotites, besides, brucite is inferred to be likely

conducive to stable sliding. However, such idea encounters challenging in our serpentinized peridotites from the southern Mariana forearc, which absent both the above minerals. The presence of talc, which characterized by its weak, low-friction and inherently stable sliding behavior, provides new clue. Here we report the occurrence of talc in serpentinized peridotites collected from the landward trench slope of the southern Mariana forearc. We infer that talc is mainly forming as a result of the reaction of serpentine LY2835219 minerals with silica-saturated fluids released from the subducting slab, and KPT-8602 talc also occurs as talc veins sometimes. Due to its unique physical properties, talc may therefore play a significant role in aseismic slip in the IBM subduction zone.”
“The Y155H

amino acid substitution in the neuraminidase gene (NA) has previously been associated with highly reduced inhibition by neuraminidase inhibitors in the seasonal H1N1 influenza A virus which circulated in humans before the 2009 pandemic. During the 2012/13 epidemic season in Spain, two A(H1N1) pdm09 viruses bearing the specific Y155H substitution in the NA were detected and isolated from two patients diagnosed with severe respiratory syndrome and pneumonia requiring admission to the intensive care unit. Contrary to what was observed in the seasonal A(H1N1) viruses, neither of the Y155H A(H1N1) pdm09 viruses described here showed a phenotype of reduced inhibition by NAIs as determined by the neuraminidase enzyme inhibition assay (MUNANA). High-throughput sequencing of the NA of both Y155H viruses showed that they were composed to bigger than 99% of H155 variants. We believe that this report can contribute to a better understanding of the biological significance of amino acid substitutions in the neuraminidase protein with regard to susceptibility of influenza viruses to neuraminidase inhibitors. This is of critical importance for optimal management of influenza disease patients.

The low V-oc is attributed to the existence of the narrow bandgap

The low V-oc is attributed to the existence of the narrow bandgap layer. (C) 2012 The Japan Society of Applied Physics”
“UV light is an established carcinogen, yet evidence suggests that UV-seeking behavior has addictive features. Following UV exposure, epidermal keratinocytes

synthesize proopiomelanocortin (POMC) that is processed to melanocyte-stimulating hormone, inducing tanning. We show that, in rodents, another POMC-derived peptide, beta-endorphin, is coordinately synthesized Alisertib in skin, elevating plasma levels after low-dose UV. Increases in pain-related thresholds are observed and reversed by pharmacologic opioid antagonism. Opioid blockade also elicits withdrawal signs after chronic UV exposure. This effect was sufficient to guide operant behavioral choices to avoidance of opioid withdrawal (conditioned place aversion). These UV-induced nociceptive and behavioral effects were absent in beta-endorphin knockout mice and in mice lacking p53-mediated POMC induction in epidermal keratinocytes. Although primordial UV addiction, mediated

by the hedonic action of beta-endorphin and anhedonic effects of withdrawal, may EVP4593 mw theoretically have enhanced evolutionary vitamin D biosynthesis, it now may contribute to the relentless rise in skin cancer incidence in humans.”
“Trichomes of 32 species of the genus Phlomoides representing its various natural groups were examined using scanning electron (SEM) and light microscopy (LM). Trichomes varied among different species of this genus but were identical

among different populations of a certain species, and therefore provide valuable characteristics in delimitation of sections and species. The indumentum might bear the following trichomes alone or a mixture of them: glandular, non-glandular, branched, simple, papillate, and/or smooth on surface. Two basic types of trichomes can be identified: non-glandular and glandular. Both trichome types can be simple or divided. According KPT-8602 price to their size, simple non-glandular trichomes can in turn be subdivided into three subtypes: short, long and extremely long (longer than 3 mm). Variation in trichome characters appears to have particular value, not only in classification at sectional rank, but also in separating different species of Phlomoides from their relatives. For example, most species of P. sect. Filipendula are characterized by dense extremely long or lanate trichomes. Moreover, P. tuberosa is unique among all studied species by having branched non-glandular trichomes papillate on surface. This result indicates the presence of branched trichomes with papillate surface as characteristic features of indumentum in the type species of this section.

The present study indicates that NMN produces significant benefi

The present study indicates that NMN. produces significant beneficial effects by attenuating apoptosis and improving energy metabolism in a cellular model of PD. These results suggest that NMN may become a promising therapeutic drug for PD.”
“Ribosomal Protein L22 (RPL22) encodes a protein that is a component of the 60S subunit of

the ribosome. Variants in this gene have recently been linked to cancer development. Mutations in an A8 repeat in exon 2 were found in a recent study in 52% of microsatellite-unstable endometrial tumors. These tumors are particularly prone to mutations in repeats due to mismatch repair deficiency. We screened this coding repeat in our collection of microsatellite-unstable endometrial tumors (EC) and colorectal Selleck AZD9291 tumors (CRC). We found 50% mutation frequency for EC and 77% mutation frequency for CRC. These results confirm the previous study on the involvement of RPL22 in EC and, more importantly, reports for the first time such high mutation frequency in this gene in colorectal cancer. Furthermore, considering the high mutation frequency found,

our data point toward an important role for RPL22 in microsatellite instability carcinogenesis.”
“CENP-A is a centromere-specific histone H3 variant that epigenetically determines centromere identity to ensure kinetochore assembly and proper chromosome segregation, but the precise mechanism of its specific localization within centromeric heterochromatin remains obscure. We have discovered that CUL4A-RBX1-COPS8 E3 ligase activity is required for CENP-A AC220 inhibitor ubiquitylation on lysine 124 (K124) and CENP-A centromere localization. A mutation of CENP-A, K124R, reduces interaction with HJURP (a CENP-A-specific histone

chaperone) and abrogates localization of CENP-A to the centromere. Addition of monoubiquitin is sufficient to restore CENP-A KU57788 K124R to centromeres and the interaction with HJURP, indicating that “signaling” ubiquitylation is required for CENP-A loading at centromeres. The CUL4A-RBX1 complex is required for loading newly synthesized CENP-A and maintaining preassembled CENP-A at centromeres. Thus, CENP-A K124R ubiquitylation, mediated by the CUL4A-RBX1-COPS8 complex, is essential for CENP-A deposition at the centromere.”
“Extra-axial ependymomas are exceedingly rare neuroectodermal tumors that arise outside the central nervous system. The majority behave in a benign clinical fashion. In this case, an elderly woman developed an intraperitoneal ependymoma that after surgical excision recurred twice over a period of twenty four years. At each presentation, the tumor demonstrated identical histologic appearances with prominent rosettes as well as perivascular pseudorosettes. Immunohistochemistry showed strong positivity for glial fibrilary acidic protein, estrogen receptors, CAM 5.2 and CD99 with weak staining for pankeratin.

The main parameters of SOS response and oxidative stress, which d

The main parameters of SOS response and oxidative stress, which depend on the quinolone concentration, were determined. The formation of superoxide anion occurred almost simultaneously with the SOS response. The mutant strain E. coli sodA sodB, which contains no active forms of superoxide dismutases SodA and SodB is characterized

by an increased resistance to quinolones compared to wild-type cells. At high concentrations of quinolones ( bigger than 20 mu g/mL nalidixic acid and bigger than 500 ng/mL norfloxacin), their bactericidal effect is partially caused by the conversion of the superoxide anion to hydrogen peroxide H2O2 conducted by superoxide dismutases SodA and SodB, which is followed by the Fenton reaction and the formation of toxic hydroxyl radical OH’. At low concentrations of quinolones ( smaller than 20 mu g/mL nalidixic acid 3MA and smaller than 500 ng/mL norfloxacin), the contribution of the reactive oxygen species in the antimicrobial effect is negligible.”
“Isolates of the Trichophyton mentagrophytes

see more complex vary phenotypically. Whether the closely related zoophilic and anthropophilic anamorphs currently associated with Arthroderma vanbreuseghemii have to be considered as members of the same biological species remains an open question. In order to better delineate species in the T. mentagrophytes complex, we performed a mating analysis of freshly collected isolates from humans and animals with A. benhamiae and A. vanbreuseghemii reference strains, in comparison GSK461364 chemical structure to internal transcribed spacer (ITS) and 28S rDNA sequencing. Mating

experiments as well as ITS and 285 sequencing unambiguously allowed the distinction of A. benhamiae and A. vanbreuseghemii. We have also shown that all the isolates from tinea pedis and tinea unguium identified as T. interdigitale based on ITS sequences mated with A. vanbreuseghemii tester strains, but had lost their ability to give fertile cleistothecia. Therefore, T. interdigitale has to be considered as a humanized species derived from the sexual relative A. vanbreuseghemii. Crown Copyright (C) 2010 Published by Elsevier GmbH. All rights reserved.”
“This review provides a summary of the recent advances in high pressure liquid chromatography (HPLC) coupled to nuclear magnetic resonance (NMR) spectroscopy. Significant improvements have included the miniaturization of NMR components as well as the use of cryogenically cooled probes. Further hyphenated applications such as HPLC-SPE-NMR, column trapping and HPLC-NMR-MS are also discussed. Finally, an overview of the application of these methodologies to the profiling and dereplication of natural products is provided.”
“Objective: Recent randomized controlled trials have shown that age significantly affects the outcome of carotid revascularization procedures.

(C) 2013 Elsevier Ireland Ltd All rights reserved “
“Morpho

(C) 2013 Elsevier Ireland Ltd. All rights reserved.”
“Morphological and phenotypical signs of cultured readaptation osteoblasts were studied after a short-term space mission. The ultrastructure and phenotype of human osteoblasts after Soyuz TMA-11 space flight (2007) were evaluated by scanning electron microscopy, laser confocal microscopy, and ELISA. The morphofunctional changes in cell cultures persisted after 12 passages. Osteoblasts retained the drastic changes in their shape and size, contour deformation, disorganization of the microtubular

network, redistribution of organelles and specialized structures of the plasmalemma in comparison with the ground control cells. On the other hand, the expression P005091 research buy of osteoprotegerin and osteocalcin (bone metabolism markers) increased; the expression of bone resorption markers ICAM-1 and IL-6 also increased, while the expression of VCAM-1 decreased. Hence, space flight led to the PI3K inhibitor development of persistent shifts in cultured osteoblasts indicating injuries to the cytoskeleton and the phenotype changes, indicating modulation of bone metabolism

biomarkers.”
“Patients with chronic pain have high rates of suicide. To examine whether our practice guidelines are effective in decreasing suicidality among chronic noncancer pain patients, we performed a retrospective review. From June 2003 through June 2005, approximately 50,000 patients were subjected to a set of universal precautions for chronic noncancer pain management. Approximately 20% underwent psychological assessments. Fewer than five suicide attempts could be identified, and no patient completed suicide. Our results suggest that universal precautions used in treating chronic noncancer pain patients may help

reduce HDAC inhibitor mechanism suicidality in this patient population.”
“Congenital anomalies of the coronary arteries are an uncommon, but important, cause of pain in the chest, myocardial ischaemia and even sudden cardiac death, especially in young individuals. This paper focuses on the surgical treatment of congenital anomalies of the coronary arteries in adults; indications for surgery and the different surgical options will be reviewed.”
“Angiogenesis is implicated in several pathological conditions, including cancer, and in regenerative processes, including the formation of collateral blood vessels after stroke. Physiological angiogenesis is the outcome of a fine balance between the action of angiogenic growth factors (AGFs) and anti-angiogenic molecules, while pathological angiogenesis occurs when this balance is pushed toward AGFs. AGFs interact with multiple endothelial cell (EC) surface receptors inducing cell proliferation, migration and proteases upregulation.

The symptom status, preoperative data, operative outcome, late su

The symptom status, preoperative data, operative outcome, late survival and freedom from cardiac events were compared between elderly patients (age a parts per thousand yen80 years [n = 31]) and younger

patients (age smaller than 80 years [n = 53]). The operative mortality in elderly Tariquidar patients (3.2 %) and younger patients (3.8 %) was comparable. The symptoms in elderly patients were more severe and hospitalized heart failure (HF) was more frequently noted as the primary symptom (p = 0.017). Patients with and without hospitalized HF differed significantly in late survival and freedom from cardiac events (p = 0.001), but advanced age had no significant effect. The results of a Cox proportional hazards analysis revealed that hospitalized HF was a significant predictor for cardiac events after AVR, irrespective of age (hazard ratio 6.93, 95 % confidence interval learn more 1.83-26.26, p smaller than 0.004). In elderly patients with severe AS, surgery should be recommended even in the presence of minimal symptoms and should be performed before the onset of life-threatening HF.”
“Three adult and two subadult greater

one-horned rhinoceroses (Rhinoceros unicornis) were sedated a total of nine times using two different intramuscular sedative combinations in order to compare the effectiveness of these combinations in inducing consistent standing sedation in this species. The sedation protocols compared were butorphanol tartrate (50-60 mg) and detomidine hydrochloride (20-30 mg; BD) versus butorphanol tartrate (80-120 mg) and azaperone (80-120 mg; BA). Specific doses were adjusted according to age and sex class, and based on previous experience. Parameters compared included time to achieve defined levels of sedation, time to recovery following antagonism, physiological parameters including heart rate, respiratory rate, indirect arterial blood pressure, and venous blood gas values. A hydraulic restraint chute was utilized

to mechanically restrain animals during the procedures, and blood collection and ophthalmic examinations were conducted on all animals. Both protocols resulted in standing sedation for bigger than = 22.3 +/- 2.9 min or until antagonists were administered. The BD protocol resulted in deeper and more consistent sedation, compared to the BA protocol. Fludarabine research buy Naltrexone hydrochloride (250-300 mg) and tolazoline hydrochloride (1,500-2,000 mg) were administered intramuscularly to antagonize protocol BD, whereas naltrexone alone (200-500 mg) was used to antagonize BA. Time to full antagonism, defined as normal mentation and ambulation following administration of antagonists, was prolonged in the BD protocol (132.3 +/- 17.2 min) compared with the BA protocol (7.5 +/- 2.5 min). Venous blood gas analysis did not reveal any significant blood gas deviations during sedation when compared with either conscious equine or white rhinoceros (Ceratotherium simum) venous reference ranges.

There were 23 1-stage

procedures, and 32 two-stage proced

There were 23 1-stage

procedures, and 32 two-stage procedures with a mean 12-day interval (range, 4-30 days). Twelve reaming samples were biologically positive without secondary infection. There were 4 septic complications (3 abscesses, PXD101 inhibitor 1 osteomyelitis), and 1 aseptic non-union required re-nailing. The union rate was 96%. The sole factor of poor prognosis was severity of fracture opening. One-stage SIN did not increase infection risk. Discussion: The present results were better than reported in the literature, where the rates of Gustilo IIIA and IIIB fracture and pin site infection are, however, higher. Tibial shaft SIN is a reliable procedure, with infection risk correlating with Gustilo type and time to surgery. Surgery should be early, before onset of EF pin site infection. A 1-stage attitude appears feasible in early SIN. (C) 2014 Elsevier Masson SAS. All rights reserved.”
“No reports have been published to date regarding primary gastric granulocyte colony-stimulating factor (G-CSF)-producing histiocytic sarcoma. We encountered a case of primary gastric histiocytic sarcoma that also fulfilled the criteria

for a G-CSF-producing Autophagy Compound Library tumor. A 75-year-old man was diagnosed with gastric cancer with poorly differentiated adenocarcinoma. The patient’s white blood cell count was elevated to 20,700/mu L, and the G-CSF level was elevated to 380 pg/mL. A computed tomography scan showed hepatic infiltration; therefore, Cell Cycle inhibitor a preoperative diagnosis of T4 (liver) N2H0M0 cStage IV gastric cancer was made, and surgery was performed. No. 11d lymphatic metastasis was noted, resulting in invasion of the pancreatic tail, and combined resection of the liver, pancreas, and spleen was conducted with complete gastrectomy. The results of hematoxylin-eosin and immunohistochemical staining were subsequently assessed. On discharge, the G-CSF level had fallen to 22.7 pg/mL. Currently, the patient

is still alive and has experienced no recurrence approximately 4 years after the operation.”
“Rice blast caused by Magnaporthe oryzae is the most devastating disease of rice and poses a serious threat to world food security. In this study, the distribution and effectiveness of 18 R genes in 277 accessions were investigated based on pathogenicity assays and molecular markers. The results showed that most of the accessions exhibited some degree of resistance (resistance frequency, RF bigger than 50%). Accordingly, most of the accessions were observed to harbor two or more R genes, and the number of R genes harbored in accessions was significantly positively correlated with RF. Some R genes were demonstrated to be specifically distributed in the genomes of rice sub-species, such as Pigm, Pi9, Pi5 and Pi1, which were only detected in indica-type accessions, and Pik and Piz, which were just harbored in japonica-type accessions.

Results: At 2 and 6 weeks after chronic constriction injury (CCI)

Results: At 2 and 6 weeks after chronic constriction injury (CCI) of the mental nerve, de novo expression of NPY was seen in the trigeminal ganglia, in axons in the mental nerve, and in fibers in the upper dermis of the skin. In lesioned animals, NPY immunoreactivity

was expressed primarily by large diameter mental nerve sensory neurons retrogradely labelled with Fluorogold. Many axons transported this de novo NPY to the periphery as NPY-immunoreactive (IR) fibers were seen in the mental nerve both proximal and distal to the CCI. Some of these NPY-IR axons co-expressed Neurofilament 200 (NF200), a marker for myelinated sensory fibers, and occasionally colocalization was seen in their terminals in the skin. Peptidergic and non-peptidergic C fibers expressing calcitonin gene-related peptide (CGRP) or binding isolectin B4 (IB4), respectively, never expressed Panobinostat supplier NPY. CCI caused a significant de novo sprouting of sympathetic fibers into the upper dermis of the skin, and most, but not all of these fibers, expressed NPY. Conclusions: This is the first study to provide a comprehensive description of changes in NPY expression in the periphery after nerve injury. Novel expression of NPY in the skin comes mostly from sprouted sympathetic fibers. This information is fundamental in order to understand

where endogenous NPY is expressed, and how it might be acting to modulate pain in the periphery.”
“In buy Fludarabine the past 10 years, neuromyelitis optica (NMO) has evolved from Devic’s categorical clinical description into a broader disease spectrum. Serum IgG antibodies have been identified in NMO patients with the water channel aquaporin-4 (AQP4)

as their main target antigen. AQP4 antibodies/NMO-IgG have been shown to be a highly specific and moderately sensitive serum biomarker for NMO. The immunopathology of NMO lesions supports that anti-AQP4 antibodies/NMO-IgG are involved in the pathogenesis of NMO. In vitro studies have demonstrated that human NMO-IgG induce necrosis and impair glutamate transport in astrocytes. Certain ethnic groups, notably of Asian and African origin, seem to be more susceptible to NMO than others. The genetic background for these putative differences is not known, a weak human leucocyte antigen association has been identified. AQP4 gene variants could represent a genetic susceptibility factor for different Selleckchem YH25448 clinical phenotypes within the NMO spectrum. Experimental models have been described including a double-transgenic myelin-specific B- and T-cell mouse. NMO-like disease has been induced with passive transfer of human anti-AQP4 antibodies to the plasma of mice with pre-established experimental autoimmune encephalomyelitis or by intrathecal administration to naive mice. NMO may be characterized as a channelopathy of the central nervous system with autoimmune characteristics.”
“Neurological complications after cardiac arrest (CA) can be fatal.

Grandmothers had lower HSI than either

Grandmothers had lower HSI than either Volasertib cost mothers or girls. In conclusion, differences in proximal femoral bone mass and structure in adulthood are largely established before menarche, indicating that heritable factors are responsible for most of the individual variance. The development of geometric properties precedes aBMD in puberty, resulting in relatively constant hip strength after menarche. This asynchronous growth leads to adaptation of bone strength to the

imposed loads, avoiding fractures in a biologically efficient manner. Both deterioration of aBMD and inadequate compensatory change in bone geometry after menopause contribute to the increased fracture risk later in life. (C) 2014 American Society for Bone and Mineral Research.”
“The prevalence of hospital-acquired Methicillin-resistant Staphylococcus aureus (MRSA) infections shows a huge variety across Europe. Some countries reported a reduction in MRSA frequency, while in others countries RSL3 order increasing MRSA rates have been observed. To reduce the spread of MRSA in the healthcare setting, a sufficient MRSA management is essential. In order to reflect the MRSA management across Europe, MRSA prevention policies were surveyed in ten countries.\n\nThe survey was performed by questionnaires in European intensive care units (ICUs) and surgical departments (SDs) in 2004. Questionnaires asked for availability of bedside

alcohol hand-disinfection, isolation precautions, decolonization and screening methods. The study was embedded in the Hospital in Europe Link for Infection Control through Surveillance (HELICS) Project, a European collaboration of national surveillance networks. HELICS was initiated in order to harmonize the national surveillance activities in the individual countries. Therefore, HELICS participants developed surveillance

modules for nosocomial infections in ICUs and for surgical Saracatinib in vivo site infections (SSI). The coordination of this surveillance has now been transferred to the European Centre for Disease Prevention and Control (ECDC).\n\nA total of 526 ICUs and 223 SDs from ten countries sent data on organisational characteristics and policies, demonstrating wide variations in care. Substantial variation existed in availability of bedside alcohol hand-disinfection, which was much higher in participating ICUs rather than in SDs (86 vs. 59%). Surveillance cultures of contact patients were obtained in approximately three-fourths of all SDs (72%) and ICUs (75%). Countries with decreasing MRSA proportions showed especially strict implementation of various prevention measures.\n\nThe data obtained regarding MRSA prevention measures should stimulate infection control professionals to pursue further initiatives. Particularly, the vigorous MRSA management in countries with decreasing MRSA proportions should encourage hospitals to implement preventive measures in order to reduce the spread of MRSA.