General Common Fixed Point Theorems and Applications

The main result is a common fixed point theorem for a pair of multivalued maps on a complete metric space extending a recent result of Đorić and Lazović (2011) for a multivalued map on a metric space satisfying Ćirić-Suzuki-type-generalized contraction. Further, as a special case, we obtain a generalization of an important common fixed point theorem of Ćirić (1974). Existence of a common solution for a class of functional equations arising in dynamic programming is also discussed

A New Type of Coincidence and Common Fixed Point Theorem with Applications

Coincidence and common fixed point theorems for a class of 'Ciric-Suzuki hybrid contractions involving a multivalued and two single-valued maps in a metric space are obtained. Some applications including the existence of a common solution for certain class of functional equations arising in a dynamic programming are also discussed..The authors thank the referees for their appreciation and suggestions to improve upon the original typescript. The authors are grateful to the Spanish Government for its support of this research through Grant DPI2012-30651 and to the Basque Government for its support of this research through Grants IT378-10 and SAIOTEK S-PE12UN015. They are also grateful to the University of Basque Country for its financial support through Grant UFI 2011/07

The Impact of Point-of-Care Polymerase Chain Reaction Testing on Prescribing Practices in Primary Care for Management of Strep A: A Retrospective Before-After Study.

BackgroundRapid antigen detection tests (RADTs) are the standard of care (SOC) for testing in patients with suspected group A β-hemolytic Streptococcus (Strep A) infection. Due to lower sensitivity, guidelines recommend confirmatory microbiological culture following negative RADT results. This process is time-consuming, and adherence is often poor, resulting in high rates of inappropriate antibiotic prescribing. We sought to evaluate the impact of switching from RADTs to point-of-care (POC) polymerase chain reaction (PCR) testing on use of antibiotics in primary care, when used as part of an antibiotic stewardship initiative.MethodsIn this retrospective before-after study, electronic medical records of any patients presenting with suspected acute pharyngitis (June 2018-May 2019) across 15 outpatient primary care clinics were evaluated. Strep A was detected using the cobas Strep A assay (cobas Liat system).ResultsAnalysis of 10 081 eligible patient records showed that POC PCR testing resulted in a 44.1% reduction in antibiotic prescribing for patients with a negative POC PCR test result (10.1% PCR vs 18.0% RADT; P < .0001). Rates of antibiotic prescription varied across clinical sites, ranging between 10.7% and 33.8% and 12.4% and 34.4% during the use of PCR tests and RADTs, respectively. POC PCR had no impact on prescription rates in patients with positive POC test results compared to RADTs (76.2% vs 76.5%, respectively). More than 99% of antibiotics were prescribed during the initial primary care encounter.ConclusionsAs part of a broader antibiotic stewardship initiative, implementation of POC PCR as SOC in outpatients with acute pharyngitis symptoms reduced the volume of inappropriate antibiotic prescriptions

Synthesis and structure-activity relationships of a novel series of pyrimidines as potent inhibitors of TBK1/IKKε kinases.

The design, synthesis and structure-activity relationships of a novel series of 2,4-diamino-5-cyclopropyl pyrimidines is described. Starting from BX795, originally reported to be a potent inhibitor of PDK1, we have developed compounds with improved selectivity and drug-like properties. These compounds have been evaluated in a range of cellular and in vivo assays, enabling us to probe the putative role of the TBK1/IKKε pathway in inflammatory diseases

Plasmodium vivax Malaria–associated Acute Kidney Injury, India, 2010–2011

Plasmodium vivax is causing increasingly more cases of severe malaria worldwide. Among 25 cases in India during 2010–2011, associated conditions were renal failure, thrombocytopenia, jaundice, severe anemia, acute respiratory distress syndrome, shock, cerebral malaria, hypoglycemia, and death. Further studies are needed to determine why P. vivax malaria is becoming more severe