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PubMed2006

Occurrence of plasmidic AmpC type beta-lactamase-mediated resistance in Escherichia coli: report from the SENTRY Antimicrobial Surveillance Program (North America, 2004).

Among 1429 Escherichia coli isolates collected as part of the SENTRY Antimicrobial Surveillance Program (2004) from 30 North American medical centres, 65 (4.5%) were screen-positive for an extended-spectrum beta-lactamase (ESBL). Among the strains with a negative ESBL confirmatory test (n=26; clavulanic acid inhibition), a CMY-2 enzyme was detected in 13 isolates (50.0%), FOX-5 in 3 isolates (11.5%) and DHA-1 in 1 isolate (3.8%). These AmpC-producing E. coli were cephamycin (cefoxitin)-resistant but susceptible to cefepime (minimum inhibitory concentration (MIC) < OR =0.12-4 mg/L). Clearly, the ESBL tests recommended by the Clinical and Laboratory Standards Institute identify only a fraction of E. coli with elevated beta-lactam MIC values as ESBL-producing strains; the majority of the remaining strains would be potentially responsive to some other beta-lactams, directed by accurately performed and interpreted susceptibility methods.

Academic Medical Centers↗
PubMed2005

Glycemic index of potatoes commonly consumed in North America.

OBJECTIVE: To determine the effect of variety and cooking method on glycemic response and glycemic index of common North American potatoes. DESIGN: Study 1: subjects consumed 200 g Russet or white potatoes that were either (a) precooked, refrigerated, and reheated (precooked) or (b) cooked and consumed immediately (day-cooked). Incremental area under the curve was determined. Study 2: subjects consumed 50 g carbohydrate portions of white bread or potatoes (six different varieties and two different cooking methods). Glycemic index values were calculated. In both studies meals were consumed after a 10- to 12-hour overnight fast and finger-prick capillary-blood glucose was measured before and at intervals for 2 hours after consumption. SUBJECTS: The study groups were as follows: Study 1 comprised four men and six women, aged 20 to 44 and Study 2 comprised 11 men and one woman, aged 18 to 50. STATISTICAL ANALYSES: Repeated measures analysis of variance with Newman-Kuels to protect for multiple comparisons (criterion of significance two-tailed P <.05). RESULTS: Study 1: Precooked Russet potatoes elicited lower area under the curve than day-cooked (P <.05), while precooking had no effect on boiled white potatoes. Study 2: The glycemic index values of potatoes varied significantly, depending on the variety and cooking method used (P =.003) ranging from intermediate (boiled red potatoes consumed cold: 56) to moderately high (roasted California white potatoes: 72; baked US Russet potatoes: 77) to high (instant mashed potatoes: 88; boiled red potatoes: 89). CONCLUSIONS: The glycemic index of potatoes is influenced by variety and method of cooking and US Russet potatoes have only a moderately high glycemic index. Individuals who wish to minimize dietary glycemic index can be advised to precook potatoes and consume them cold or reheated.

Adolescent↗
PubMed2004

[Conservation tillage systems in North America and their significance for China].

Soil degradation through erosion and desertification reduces soil productivity, and is a serious problem in agricultural production of China. To avert our arable land from further degradation, soil management must be shifted from degrading tillage to conservation practices. Over viewing the technology used in the 20th century for controlling soil degradation from erosion, conservation tillage developed in the United States and adopted in South America and Africa is one of the most successful measures to overcome soil degradation problems. This paper reviewed the historical development and the current situation of conservation tillage systems used in North and South America, with special reference to their effects on soil erosion control and soil quality. The increasing adoption of conservation tillage systems in North and South America and Africa followed an enhanced awareness of the increasing risk of soil erosion and the high cost of fuel associated with conventional tillage. Many crucial points for successfully adopting conservation tillage systems were emphasized, such as equipment/tool development and chemical weed control. Adopting conservation tillage could provide China with low-priced means of reducing soil degradation and improving soil and water quality.

Agriculture↗