568 research outputs found

    Draft Genome Sequence of Providencia stuartii PS71, a Multidrug-Resistant Strain Associated with Nosocomial Infections in Greece.

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    Providencia stuartii is frequently associated with nosocomial outbreaks and displays intrinsic resistance to many commonly used antimicrobials. We report here the draft genome sequence of a P.Β stuartii strain carrying acquired resistance genes conferring panresistance to cephalosporins (blaSHV-5 and blaVEB-1), carbapenems (blaVIM-1), and aminoglycosides (rmtB) involved in an outbreak in Greek hospitals

    Анализ функционирования свободных экономичСских Π·ΠΎΠ½ Π² России (Π½Π° ΠΏΡ€ΠΈΠΌΠ΅Ρ€Π΅ ΠžΠ­Π— Β«Π―Π½Ρ‚Π°Ρ€ΡŒΒ» Π² ΠšΠ°Π»ΠΈΠ½ΠΈΠ½Π³Ρ€Π°Π΄ΡΠΊΠΎΠΉ области

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    ЦСлью Ρ€Π°Π±ΠΎΡ‚Ρ‹ являСтся Π°Π½Π°Π»ΠΈΠ· функционирования особых экономичСских Π·ΠΎΠ½ Π² России, Π½Π° ΠΏΡ€ΠΈΠΌΠ΅Ρ€Π΅ особой экономичСской Π·ΠΎΠ½Ρ‹ Β«Π―Π½Ρ‚Π°Ρ€ΡŒΒ» Π² ΠšΠ°Π»ΠΈΠ½ΠΈΠ½Π³Ρ€Π°Π΄ΡΠΊΠΎΠΉ области. Π’ процСссС исслСдования Π±Ρ‹Π»ΠΈ ΠΈΠ·ΡƒΡ‡Π΅Π½Ρ‹ тСорСтичСскиС основы свободных экономичСских Π·ΠΎΠ½, Ρ‚Π°ΠΊ ΠΆΠ΅ проводился Π°Π½Π°Π»ΠΈΠ· состояния развития ΠΈ пСрспСктив свободных экономичСских Π·ΠΎΠ½ Π² России, Π°Π½Π°Π»ΠΈΠ· состояния ΠΈ эффСктивности особой экономичСской Π·ΠΎΠ½Ρ‹ Β«Π―Π½Ρ‚Π°Ρ€ΡŒΒ» Π² ΠšΠ°Π»ΠΈΠ½ΠΈΠ½Π³Ρ€Π°Π΄ΡΠΊΠΎΠΉ области. ΠšΡ€ΠΎΠΌΠ΅ Ρ‚ΠΎΠ³ΠΎ, ΠΏΡ€ΠΎΠ²ΠΎΠ΄ΠΈΠ»ΠΎΡΡŒ исслСдованиС Π΄Π΅ΡΡ‚Π΅Π»ΡŒΠ½ΠΎΡΡ‚ΠΈ Ρ‚Π°ΠΌΠΎΠΆΠ΅Π½Π½Ρ‹Ρ… ΠΎΡ€Π³Π°Π½ΠΎΠ² Π½Π° Ρ‚Π΅Ρ€Ρ€ΠΈΡ‚ΠΎΡ€ΠΈΠΈ Π²Ρ‹ΡˆΠ΅ΡƒΠΏΠΎΠΌΡΠ½ΡƒΡ‚ΠΎΠΉ особой экономичСской Π·ΠΎΠ½Ρ‹. Π’ Ρ€Π΅Π·ΡƒΠ»ΡŒΡ‚Π°Ρ‚Π΅ исслСдования Π±Ρ‹Π»ΠΈ выявлСны ΠΏΡ€ΠΎΠ±Π»Π΅ΠΌΡ‹, ΠΊΠΎΡ‚ΠΎΡ€Ρ‹Π΅ ΠΏΡ€Π΅ΠΏΡΡ‚ΡΡ‚Π²ΡƒΡŽΡ‚ эффСктивной Π΄Π΅ΡΡ‚Π΅Π»ΡŒΠ½ΠΎΡΡ‚ΠΈ особой экономичСской Π·ΠΎΠ½Ρ‹ Β«Π―Π½Ρ‚Π°Ρ€ΡŒΒ» ΠΈ Π΄Π΅ΡΡ‚Π΅Π»ΡŒΠ½ΠΎΡΡ‚ΠΈ Ρ‚Π°ΠΌΠΎΠΆΠ΅Π½Π½Ρ‹Ρ… ΠΎΡ€Π³Π°Π½ΠΎΠ² Π½Π° Π΅Π΅ Ρ‚Π΅Ρ€Ρ€ΠΈΡ‚ΠΎΡ€ΠΈΠΈ.The aim is to analyze the functioning of special economic zones in Russia, in particular by the example of a special economic zone "Amber" in the Kaliningrad region. During the study in the course of research theoretical bases of free economic zones have been studied, also the analysis of a condition of development and prospects of free economic zones in Russia, the analysis of a condition and efficiency of the special economic zone "Amber" in the Kaliningrad region was carried out. In additional, research of activities of customs authorities in the territory of an above-mentioned special economic zone was conducted

    Myocardial contractile function in survived neonatal piglets after cardiopulmonary bypass

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    <p>Abstract</p> <p>Background</p> <p>Hemodynamic function may be depressed in the early postoperative stages after cardiac surgery. The aim of this study was the analysis of the myocardial contractility in neonates after cardiopulmonary bypass (CPB) and mild hypothermia.</p> <p>Methods</p> <p>Three indices of left ventricular myocardial contractile function (dP/dt, (dP/dt)/P, and wall thickening) were studied up to 6 hours after CPB in neonatal piglets (CPB group; n = 4). The contractility data were analysed and then compared to the data of newborn piglets who also underwent median thoracotomy and instrumentation for the same time intervals but without CPB (non-CPB group; n = 3).</p> <p>Results</p> <p>Left ventricular dP/dt<sub>max </sub>and (dP/dt<sub>max</sub>)/P remained stable in CPB group, while dP/dt<sub>max </sub>decreased in non-CPB group 5 hours postoperatively (1761 Β± 205 mmHg/s at baseline vs. 1170 Β± 205 mmHg/s after 5 h; p < 0.05). However, with regard to dP/dt<sub>max </sub>and (dP/dt<sub>max</sub>)/P there were no statistically significant differences between the two groups. Comparably, although myocardial thickening decreased in the non-CPB group the differences between the two groups were not statistically significant.</p> <p>Conclusions</p> <p>The myocardial contractile function in survived neonatal piglets remained stable 6 hours after cardiopulmonary bypass and mild hypothermia probably due to regional hypercontractility.</p

    Shared decision making in patients with kidney failure

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    'Elderly' is most commonly defined as an individual aged 65 years or older. However, this definition fails to account for the differences in genetics, lifestyle and overall health that contribute to significant heterogeneity among the elderly beyond chronological age. As the world population continues to age, the prevalence of chronic diseases, including chronic kidney disease (CKD), is increasing and CKD frequently progresses to kidney failure. Moreover, frailty represents a multidimensional clinical entity highly prevalent in this population, which needs to be adequately assessed to inform and support medical decisions. Selecting the optimal treatment pathway for the elderly and frail kidney failure population, be it hemodialysis, peritoneal dialysis, or conservative kidney management is complex, because of the presence of comorbidities associated with low survival rates and impaired quality of life. Management of these patients should involve a multidisciplinary approach including doctors from various specialties, nurses, psychologists, dieticians, and physiotherapists. Studies are mostly retrospective and observational, lacking adjustment for confounders or address selection and indication biases, making it difficult to use these data to guide treatment decisions. Throughout this review we discuss the difficulty of making a one-size-fits-all recommendation for the clinical needs of older patients with kidney failure. We advocate that a research agenda for optimization of the critical issues we present in this review be implemented. We recommend prospective studies that address these issues, and systematic reviews incorporating the complementary evidence of both observational and interventional studies. Furthermore, we strongly support a shared decision making process matching evidence with patient preferences to ensure that individualized choices are made regarding dialysis vs. conservative kidney management, dialysis modality, and optimal vascular access
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