Publications by authors named "E M Gongora"
Analysis of diagnostic criteria for ECMO-associated pneumonia.
Infect Control Hosp Epidemiol
December 2024
Article Synopsis
- Ventilator-associated pneumonia (VAP) significantly impacts critically ill patients and contributes to high rates of illness.
- The existing criteria for diagnosing VAP do not apply to patients on extracorporeal membrane oxygenation (ECMO).
- This study analyzes the effectiveness of current VAP criteria for ECMO patients and evaluates a new proposed standard for diagnosing pneumonia in these individuals.
Article Synopsis
- Canadian Arctic summer sea ice is declining significantly due to global warming, which is opening up the Northwest Passage as a new shipping route, increasing the risk of oil spills and environmental damage.
- Research focuses on evaluating bioremediation techniques for cleaning hydrocarbon contamination in Arctic beach sediments, involving 32- and 92-day experiments that analyzed the impacts of nutrient additions and a surface washing agent on microbial communities.
- Findings indicate that while nutrients show limited benefits for biodegradation, a surface washing agent emerges as a promising approach, highlighting the potential of unconventional microorganisms in effectively degrading hydrocarbons.
Background: Decreasing sea ice coverage across the Arctic Ocean due to climate change is expected to increase shipping activity through previously inaccessible shipping routes, including the Northwest Passage (NWP). Changing weather conditions typically encountered in the Arctic will still pose a risk for ships which could lead to an accident and the uncontrolled release of hydrocarbons onto NWP shorelines. We performed a metagenomic survey to characterize the microbial communities of various NWP shorelines and to determine whether there is a metabolic potential for hydrocarbon degradation in these microbiomes.
View Article and Find Full Text PDFThe accelerated decline in Arctic sea-ice cover and duration is enabling the opening of Arctic marine passages and improving access to natural resources. The increasing accessibility to navigation and resource exploration and production brings risks of accidental hydrocarbon releases into Arctic waters, posing a major threat to Arctic marine ecosystems where oil may persist for many years, especially in beach sediment. The composition and response of the microbial community to oil contamination on Arctic beaches remain poorly understood.
View Article and Find Full Text PDFBackground: Extracorporeal membrane oxygenation (ECMO) use in peripartum patients is rare, and there is a gap in the literature on the outcomes and guidance on using ECMO in peripartum patients. This study describes ECMO strategies our institution uses for peripartum patients and reports outcomes of ECMO use in peripartum patients with respiratory and/or cardiac failure.
Methods: A case series of all peripartum patients, defined as pregnant or up to 6 weeks after delivery of an infant >20 weeks gestation, from 2018 to 2023 from a single center requiring ECMO support.