Thursday, September 14, 2023

Six Extensively Drug-Resistant Bacteria in an Injured Soldier, Ukraine

From a Research Letter to CDC's Emerging Infectious Diseases, Fall 2023 Issue:

"A man in his mid-50s suffered multiple traumatic injuries after a vehicle fire, including full-thickness burns covering 60% of his total body surface. He was initially treated in a medical facility near Dnipro, Ukraine, before being transferred to a hospital in Kyiv, Ukraine, where healthcare practitioners performed burn wound debridement and escharotomies. Thereafter, the patient was transported to a US military hospital in Germany, where doctors obtained blood, urine, respiratory, and peri-rectal surveillance cultures."

These cultures grew six extensively drug-resistant bacteria: A. baumannii, Enterococcus faecium, Klebsiella pneumoniae, and 3 distinct morphologies of P. aeruginosa. These bacteria were found to be non-susceptible to almost every antibiotic tested against them.

 https://wwwnc.cdc.gov/eid/article/29/8/23-0567_article



Notable Trees and Plants of Ukraine


Pines / сосна : 9 species, including: 


Pinus silvestris

European Red Pine

Image by wikipedia


A long, bare, straight trunk, blue-green 1-2” long needles, and orange-red bark which ages to

brown make this tree distinctive. Grows in the poor soil of sandy or rocky areas and peat bogs;

tends to be outcompeted by spruce and broadleaf trees in more fertile soils. It is grown

commercially for pulp and timber.



Pinus mugo 

Mountain Pine

photo by Conifer Kingdom


Found at tree line in the Carpathians and at other high-elevation cold and wet places,

especially north

mountain slopes. A low, shrubby growth habit allows this pine to spring back after

being bent by heavy

snow loads. Useful for erosion control and avalanche breaks



Pinus cembra

Swiss Stone Pine

photo by Wikipedia


This slow-growing 5-needle pine lives at high elevations in the Carpathians

and other European mountain ranges. It produces edible pine nuts.




Fir / ялиця :9 species, including


Abies alba - Silver Fir

Images from Wikipedia


Inhabits the Carpathians mountains, where it grows up to 200’ tall. Ukraine’s

most ecologically and economically important fir. The timber is used for

construction and furniture-making. Bees “milk” aphids to produce an unusual

“fir honey”.




Deciduous Trees


Acer species

Maples / клен


Species include Tatar, Norway, and Sycamore maples.




Quercus robur

Oak / дуб

Image by woodland trust


Widespread on neutral-pH soils across Europe. Acorns tend to be produced every other year

in large quantities.



Fraxinus species

Ash / ясен

Image from Wikipedia


The European Ash is most widespread, and is used in furniture-making and building.

Ashes are members of the Olive tree family.



Tilia species: 

Linden Tree / липа

Image from thespruce.com


In Ukrainian, the month of July is named after this tree’s creamy golden,

sweetly scented flowers, which can be made into tea. The wood is used for

furniture and musical instrument-making.



Carpinus betulus - храб / European Hornbean


Grows at low elevations, often in mixed stands with oak and beech. This

medium-sized tree is useful as an urban street tree, and as firewood.



Fagus sylvatica- бук / European Beech

Images from Wikipedia


Produces shady, old-growth, end-sucession forests. Mature trees help to

nourish saplings in the shady understory, so that new beeches are prepared to

rapidly grow and fill in canopy gaps left by fallen trees.




 

Wednesday, September 13, 2023

Antimicrobial Resistance and the Ukrainian-Russian War

A joint CDC-Ukrainian Ministry of Health study, published on Dec 7 2023, examined rates of multiple-drug-resistant infections in 50 patients who acquired infections in Ukrainians hospitals in late 2022.


60% of these patients were infected by bacteria resistant to carbapenem antibiotics (high-end antimicrobials, generally used as a last resort when all else fails). 


The study also found that 14% of the 354 patients surveyed suffered from hospital-acquired infections. This can be compared to a 2016-17 EU-wide survey of 4,000 patients, which found a healthcare-associated infection rate of 5.5%, and a 6.2^% carbapenem-resistance rate.


"Worldwide, bacterial antimicrobial resistance is estimated to cause more deaths than HIV or malaria and is recognized as a leading global public health threat. In Ukraine, the confluence of high prewar rates of antimicrobial resistance, an increase in the prevalence of traumatic wounds and the war-related strain on health care facilities is leading to increased detection of multidrug-resistant organisms with spread into Europe," the study authors wrote in the Dec. 8 issue of the CDC publication Morbidity and Mortality Weekly Report.


Monday, September 11, 2023

Ukrainian Month Names: a colorful, nature-based calendar

January : Січень (“Sih-chen”)
Named for the tiny, sharp, wind-driven snowflakes that feel like they are
cutting the skin of your face.


February Лютий  (“Lyoo-tiy”)
лютий means “furious”- a reference to the final storms of winter


March Березень
  (“Byer-eh-zyen“)
This is the month when the fresh leaves of spring appear on the березень-birch
trees.


April Квітень
  (“Kvih-ten”)
“Flowers”
 (“Trah-ven”)
“Grass”


May Травень

 (“Trah-ven”)

“Grass”


June Червень
 (“Chyer-ven“)
Named after Porphyrophora polonica, the Polish cochineal scale insect. These bugs were
once common in the sandy soils of Central Europe. The larvae form subterranean
cysts on the roots of host plants, which were harvested in pre-industrial times to
make an economically important reddish-purple dye.


July Липень
 (“Lee-pen”)
When linden trees bloom, producing a ubiquitous lime-honeysuckle scent.


August Серпень
 (“Syer-pen”)
Harvest month- this word means “sickle”, seen in the Soviet hammer and sickle
emblem.


September Вересень
 (“Vyer-eh-sen“)
Named for the purple erica flowers sold in street kiosks in early fall.


October Жовтень
(“Zhyov-ten”)
“Yellow”- for the yellow leaves of autumn.


November Листопад
 (“Listo-pahd“)
“Falling leaves”


December грудень (“Grood-en”)
Named for груда- the small lumps of frozen soil that form
as temperatures fall.




Monday, September 4, 2023

Ukrainian Defense Ministry Expands Medical Eligibility Rules for Military Service

 On Sept 3, the Defense Ministry of Ukraine amended its list of medical conditions which exempt citizens from military service. Individuals with the following conditions are now considered fir for service: 

- clinically cured TB

- clinically cured hepatitis

- slowly progressing blood diseases

- slowly progressing CNS disorders

- minor thyroid issues

- HIV+ and asymptomatic

-mild mental and neurotic disorders



Tuesday, August 29, 2023

Mushroom Season in the Uinta Mountains!

 It might be a slow wildfire season... but the heavy snows and abundant rains of 2023 have made for an excellent mushroom crop in the Uinta Mountains!

I chose an area with a high 2-week rainfall total, northeast aspect, and mixed aspen-conifer canopy to seek out these beauties!


Above: Wolf's Milk- Lycogala epidendrum
This is actually a slime mold, not a fungi!

Above: A wee puffball. Puffballs are edible; one just needs to be sure they are white and smooth inside- not the dark interior color of the poison pigskin puffball. And, most importantly, it can be easy to mistake a developing deathcap mushroom for a puffball, if one is not careful. Cut the puffball in half and ensure the flesh is smooth and monotonous, with no curving shapes of developing gills inside. It's always best to go foraging with an experienced myco-enthusiast if you're new!



Above: Honey mushrooms. Armillaria solipedus ("solid foot"). It's a good idea to avoid gilled mushrooms if you're a novice collector. However, honey mushrooms are one of the more easily identified species. They tend to grow on old rotted stumps or infected trees, and are actually one of the most aggressive pathogens of western forests. The largest living organism on earth is an Armillaria, in Oregon's Malheur National Forest. This fungus is distinguished by a cap and stipe that appears to have been sprinkled with cinnamon, decurrent gills (they run slightly down onto the stipe), and a ring (remnants of a veil which covered the developing gills, which is visible as a white ring around the upper stipe). Honey mushrooms are edible, but should be well cooked and never eaten raw or consumed with alcohol.

Chanterelles. This choice edible can be differentiated from its toxic look alike Jack O'Lantern in several ways. Chanterelles tend to be egg-yolk yellow, small (1-2" across), grow singly or in small clusters, have a scent of apricots, and have "false gills" which are thick, often branch, and do not bend as easily under pressure as true gills. Jack O'Lanterns can cause stomach upset if consumed. They are bright pumpkin-orange, tend to grow in larger clusters, can be 2-5" across, and have knife-edged gills, which bend sideways under pressure from a finger.


Porcini, or King Bolete, Boletus edulis. Recently named Utah State Mushroom, this is a choice edible and fairly easy to identify. Specimens tend to have a yellow-to-bun-brown cap and thick, white stipe. Spore prints are yellow-green. This is a pored mushroom, which spongy tissue, rather than gills or teeth, on the underside of the cap. Porcini have a fish-net textured tissue called reticulation on the stipe. Never eat a bolete that tastes spicy or bruises blue- these are features of non-edible genuses.


 

Thursday, February 16, 2023

My Favorite Russian Poem


Старый Лондон пахнет ромом,

Жестью, дымом и туманом,

Но и этот запах может

Стать единственно желанным.


Ослепительный Неаполь,

Весь пронизанный закатом,

Пахнет мулями и слизью,

Тухлой рыбой и канатом.


Город Гамбург пахнет снедью,

Лесом, бочками и жиром,

И гнетущим, вездесущим,

Знаменитым добрым сыром.


А Севилья пахнет кожей,

Кипарисом и вервеной,

И прекрасной чайной розой,

Несравнимой, несравненной.


Вечных запахов Парижа

Только два. Они все те же:

Запах жареных каштанов

И фиалок запах свежий.


Есть чем вспомнить в поздний вечер,

Когда мало жить осталось,

То, чем в жизни этой бренной

Сердце жадно надышалось!..


Но один есть в мире запах

И одна есть в мире нега:

Это русский зимний полдень,

Это русский запах снега.


Лишь его не может вспомнить

Сердце, помнящее много.

И уже толпятся тени

У последнего порога.

Old London smells like rum

 Tin, smoke and fog,

 But this smell

 Be the only one you want.


 Dazzling Naples,

 All permeated by the sunset

 Smells like mules and slime

 Rotten fish and rope.


 The city of Hamburg smells of food,

 Forest, barrels and fat,

 And oppressive, omnipresent,

 Famous good cheese.


 And Seville smells like leather

 Cypress and vervain

 And a beautiful tea rose

 Incomparable, incomparable.


 Eternal smells of Paris

 Only two.  They are all the same:

 The smell of roasted chestnuts

 And violets smell fresh.


 There is something to remember in the late evening,

 When there is little left to live

 What in this mortal life

 My heart was greedy!..


 But there is one smell in the world

 And there is one in the world of bliss:

 It's a Russian winter afternoon

 This is the Russian smell of snow.


 Only he can't remember

 A heart that remembers a lot.

 And the shadows are already creeping in

 At the last threshold.