Prevalence of beta lactamase producing species of pseudomonas and acinetobacter in pediatric burn patients Prevalence de pseudomonas et acinetobacter secreteurs de blse et metallo-beta lactamases chez les brules pediatriques

Burn wound infection is a major cause of morbidity and mortality in burn victims. Pseudomonas and Acinetobacter species are among the most common organisms complicating burn wounds. Presence of extended spectrum β-lactamase (ESBL) and metallo-β-lactamase (MBL) genes plays an important role in spreading β-lactam resistant strains of these organisms and is a serious condition in the treatment of the affected patients. As a result, we aimed to determine the prevalence of SHV, TEM, PER and VIM β-lactamases in Pseudomonas and Acinetobacter species isolates from burn wound swabs of children with burn injury. In this descriptive observational study, 107 Pseudomonas and Acinetobacter isolates collected from burn patients were subjected to PCR assay. Using PCR method and DNA sequencing, the existence of SHV-, TEM-, PER- and VIM-type β-lactamase encoding genes were determined. Out of the 107 Pseudomonas and Acinetobacter isolates, 66 (77.6) were ESBL positive, 26.2 were positive for SHV gene, 37.4 were positive for TEM gene, 14 were positive for PER gene and 15.9 of them harbored VIM gene. More than half of the Pseudomonas and Acinetobacter strains in our pediatric burn unit harbor β-lactamase encoding genes that make them resistant to a wide range of β-lactam antibiotics. Consequently, it is suggested to choose an appropriate antibiotic regimen based on the antibiogram pattern of the strains. © 2015, Mediterranean Club for Burns and Fire Disasters. All rights reserved

Physico-chemical characteristics and heavy metal concentrations of copper mine wastes in Zambia: implications for pollution risk and restoration

Soil characterization is a vital activity to develop appropriate and effective restoration protocols for mine wastelands while insights into the total content of heavy metals in the soil is an important step in estimating the hazards that the metals may pose to the vital roles of soil in the ecosystem. This study addressed the following research questions: (1) To what extent do the physico-chemical characteristics vary between mine waste sediments and the nearby forest soil? (2) Are the concentrations of heavy metals high enough to be considered as toxic? and (3) Are heavy metals present in mine waste sediments potential sources of pollution? We hypothesized that the physico-chemical characteristics of mine waste sediments are less favorably for plant establishment and growth while the concentrations of heavy metals are very high, thus restricting the success of revegetation of mine waste lands. Mine waste sediments were sampled following a diagonal transect across tailings dams, overburden dump sites and the local forest soil from the top layer (0-20 cm) using a closed auger. Samples were analyzed for arsenic, barium, lead, cadmium, cobalt, copper, chromium, nickel, vanadium, and zinc as well as for soil physico-chemical properties. The mine waste sediments were dominated by silt whilst the forest soil by sand particles, with significantly high bulk density in the former. Both the forest soil and overburden sediments were acidic than the alkaline tailings dam sediment. Total organic carbon and nitrogen contents were significantly low in mine wasteland substrates but the concentration of Ca and Mg were significantly higher in tailings dam substrate than the forest soil. The concentrations of available P, K and Na were similar across sites. The mean concentrations of heavy metals were significantly (p < 0.01) higher in mine waste sediments than the forest soil; except for cadmium (p = 0.213). The order of contamination by heavy metals on the tailings was Cu > Co > Ba > Ni > As > Zn > Pb > Cr > V > Cd, and that on the overburdens was Cu > Co > Ba > Ni > Zn > Cr > Pb > V > As > Cd. The pollution load index (PLI) was nearly twice higher for the tailings dam (8.97) than the overburden (5.84). The findings show that the copper mine wastes (the tailings dams and overburden waste rock sites) are highly contaminated by heavy metals; which, in turn, might pose serious hazards to human health and agricultural productivity. In addition, poor macro-nutrient availability, substrate compaction and soil acidity (particularly on overburden sites) coupled with toxic level of heavy metals would be the main challenges for successful phytostabilization of copper mine wastelands

Spins, charges and currents at Domain Walls in a Quantum Hall Ising Ferromagnet

We study spin textures in a quantum Hall Ising ferromagnet. Domain walls between ferro and unpolarized states at $\nu=2$ are analyzed with a functional theory supported by a microscopic calculation. In a neutral wall, Hartree repulsion prevents the appearance of a fan phase provoked by a negative stiffness. For a charged system, electrons become trapped as solitons at the domain wall. The size and energy of the solitons are determined by both Hartree and spin-orbit interactions. Finally, we discuss how electrical transport takes place through the domain wall.Comment: 4 pages, 3 figures include

Highly Anisotropic Transport in the Integer Quantum Hall Effect

At very large tilt of the magnetic (B) field with respect to the plane of a two-dimensional electron system the transport in the integer quantum Hall regime at $\nu$ = 4, 6, and 8 becomes strongly anisotropic. At these filling factors the usual {\em deep minima} in the magneto-resistance occur for the current flowing {\em perpendicular} to the in-plane B field direction but develop into {\em strong maxima} for the current flowing {\em parallel} to the in-plane B field. The origin of this anisotropy is unknown but resembles the recently observed anisotropy at half-filled Landau levels.Comment: 4 pages, 4 figure

Interaction Effects in a One-Dimensional Constriction

We have investigated the transport properties of one-dimensional (1D) constrictions defined by split-gates in high quality GaAs/AlGaAs heterostructures. In addition to the usual quantized conductance plateaus, the equilibrium conductance shows a structure close to $0.7(2e^2/h)$, and in consolidating our previous work [K.~J. Thomas et al., Phys. Rev. Lett. 77, 135 (1996)] this 0.7 structure has been investigated in a wide range of samples as a function of temperature, carrier density, in-plane magnetic field $B_{\parallel}$ and source-drain voltage $V_{sd}$. We show that the 0.7 structure is not due to transmission or resonance effects, nor does it arise from the asymmetry of the heterojunction in the growth direction. All the 1D subbands show Zeeman splitting at high $B_{\parallel}$, and in the wide channel limit the $g$-factor is $\mid g \mid \approx 0.4$, close to that of bulk GaAs. As the channel is progressively narrowed we measure an exchange-enhanced $g$-factor. The measurements establish that the 0.7 structure is related to spin, and that electron-electron interactions become important for the last few conducting 1D subbands.Comment: 8 pages, 7 figures (accepted in Phys. Rev. B

Endoscopic versus microscopic cartilage myringoplasty in chronic otitis media

Introduction: Operations on the tympanic membrane of the middle ear, myringoplasty, and tympanoplasty are now widely accepted, and attempts are underway all over the world to standardize the surgical techniques. This study aimed to compare postoperative outcomes of endoscopic and microscopic cartilage myringoplasty in patients suffering from chronic otitis media (COM). Materials and Methods: This clinical trial study compared 130 patients with COM who underwent transcanal endoscopic myringoplasty by repairing perforation using auricular concha cartilage under general anesthesia (n=75) and conventional repairing method by postauricular incision and tympanomeatal flap elevation under microscopic surgery (n=55). Results: According to the results, there was no significant difference between the two groups in terms of hearing gain 1, 6, and 12 months after surgery (P=0.063); however, higher hearing gain scores were observed in the endoscopic group. Moreover, lower recovery time and post-operative pain were reported in patients who underwent the endoscopic approach, compared to those who treated with the conventional repairing method (P<0.001). Conclusion: Endoscopic myringoplasty technique is a safe and effective way to improve hearing loss as much as the conventional method. However, due to the lower recovery time and post-operative pain, it seems to be the method of choice in myringoplasty surgery. © 2020 Mashhad University of Medical Sciences. All rights reserved

Structural Similarity based Anatomical and Functional Brain Imaging Fusion

Multimodal medical image fusion helps in combining contrasting features from two or more input imaging modalities to represent fused information in a single image. One of the pivotal clinical applications of medical image fusion is the merging of anatomical and functional modalities for fast diagnosis of malignant tissues. In this paper, we present a novel end-to-end unsupervised learning-based Convolutional Neural Network (CNN) for fusing the high and low frequency components of MRI-PET grayscale image pairs, publicly available at ADNI, by exploiting Structural Similarity Index (SSIM) as the loss function during training. We then apply color coding for the visualization of the fused image by quantifying the contribution of each input image in terms of the partial derivatives of the fused image. We find that our fusion and visualization approach results in better visual perception of the fused image, while also comparing favorably to previous methods when applying various quantitative assessment metrics.Comment: Accepted at MICCAI-MBIA 201

Disease progression in Plasmodium knowlesi malaria is linked to variation in invasion gene family members.

Emerging pathogens undermine initiatives to control the global health impact of infectious diseases. Zoonotic malaria is no exception. Plasmodium knowlesi, a malaria parasite of Southeast Asian macaques, has entered the human population. P. knowlesi, like Plasmodium falciparum, can reach high parasitaemia in human infections, and the World Health Organization guidelines for severe malaria list hyperparasitaemia among the measures of severe malaria in both infections. Not all patients with P. knowlesi infections develop hyperparasitaemia, and it is important to determine why. Between isolate variability in erythrocyte invasion, efficiency seems key. Here we investigate the idea that particular alleles of two P. knowlesi erythrocyte invasion genes, P. knowlesi normocyte binding protein Pknbpxa and Pknbpxb, influence parasitaemia and human disease progression. Pknbpxa and Pknbpxb reference DNA sequences were generated from five geographically and temporally distinct P. knowlesi patient isolates. Polymorphic regions of each gene (approximately 800 bp) were identified by haplotyping 147 patient isolates at each locus. Parasitaemia in the study cohort was associated with markers of disease severity including liver and renal dysfunction, haemoglobin, platelets and lactate, (r = ≥ 0.34, p =  <0.0001 for all). Seventy-five and 51 Pknbpxa and Pknbpxb haplotypes were resolved in 138 (94%) and 134 (92%) patient isolates respectively. The haplotypes formed twelve Pknbpxa and two Pknbpxb allelic groups. Patients infected with parasites with particular Pknbpxa and Pknbpxb alleles within the groups had significantly higher parasitaemia and other markers of disease severity. Our study strongly suggests that P. knowlesi invasion gene variants contribute to parasite virulence. We focused on two invasion genes, and we anticipate that additional virulent loci will be identified in pathogen genome-wide studies. The multiple sustained entries of this diverse pathogen into the human population must give cause for concern to malaria elimination strategists in the Southeast Asian region