15 research outputs found

    PS-Modules over Ore Extensions and Skew Generalized Power Series Rings

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    A right R-module MR is called a PS-module if its socle, SocMR, is projective. We investigate PS-modules over Ore extension and skew generalized power series extension. Let R be an associative ring with identity, MR a unitary right R-module, O=Rx;α,δ Ore extension, MxO a right O-module, S,≤ a strictly ordered additive monoid, ω:S→EndR a monoid homomorphism, A=RS,≤,ω the skew generalized power series ring, and BA=MS,≤RS,≤, ω the skew generalized power series module. Then, under some certain conditions, we prove the following: (1) If MR is a right PS-module, then MxO is a right PS-module. (2) If MR is a right PS-module, then BA is a right PS-module

    Composition and function of the C1b/C1f region in the ciliary central apparatus

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    Motile cilia are ultrastructurally complex cell organelles with the ability to actively move. The highly conserved central apparatus of motile 9 × 2 + 2 cilia is composed of two microtubules and several large microtubule-bound projections, including the C1b/C1f supercomplex. The composition and function of C1b/C1f subunits has only recently started to emerge. We show that in the model ciliate Tetrahymena thermophila, C1b/C1f contains several evolutionarily conserved proteins: Spef2A, Cfap69, Cfap246/LRGUK, Adgb/androglobin, and a ciliate-specific protein Tt170/TTHERM_00205170. Deletion of genes encoding either Spef2A or Cfap69 led to a loss of the entire C1b projection and resulted in an abnormal vortex motion of cilia. Loss of either Cfap246 or Adgb caused only minor alterations in ciliary motility. Comparative analyses of wild-type and C1b-deficient mutant ciliomes revealed that the levels of subunits forming the adjacent C2b projection but not C1d projection are greatly reduced, indicating that C1b stabilizes C2b. Moreover, the levels of several IFT and BBS proteins, HSP70, and enzymes that catalyze the final steps of the glycolytic pathway: enolase ENO1 and pyruvate kinase PYK1, are also reduced in the C1b-less mutants

    Antimicrobial resistance among migrants in Europe: a systematic review and meta-analysis

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    BACKGROUND: Rates of antimicrobial resistance (AMR) are rising globally and there is concern that increased migration is contributing to the burden of antibiotic resistance in Europe. However, the effect of migration on the burden of AMR in Europe has not yet been comprehensively examined. Therefore, we did a systematic review and meta-analysis to identify and synthesise data for AMR carriage or infection in migrants to Europe to examine differences in patterns of AMR across migrant groups and in different settings. METHODS: For this systematic review and meta-analysis, we searched MEDLINE, Embase, PubMed, and Scopus with no language restrictions from Jan 1, 2000, to Jan 18, 2017, for primary data from observational studies reporting antibacterial resistance in common bacterial pathogens among migrants to 21 European Union-15 and European Economic Area countries. To be eligible for inclusion, studies had to report data on carriage or infection with laboratory-confirmed antibiotic-resistant organisms in migrant populations. We extracted data from eligible studies and assessed quality using piloted, standardised forms. We did not examine drug resistance in tuberculosis and excluded articles solely reporting on this parameter. We also excluded articles in which migrant status was determined by ethnicity, country of birth of participants' parents, or was not defined, and articles in which data were not disaggregated by migrant status. Outcomes were carriage of or infection with antibiotic-resistant organisms. We used random-effects models to calculate the pooled prevalence of each outcome. The study protocol is registered with PROSPERO, number CRD42016043681. FINDINGS: We identified 2274 articles, of which 23 observational studies reporting on antibiotic resistance in 2319 migrants were included. The pooled prevalence of any AMR carriage or AMR infection in migrants was 25·4% (95% CI 19·1-31·8; I2 =98%), including meticillin-resistant Staphylococcus aureus (7·8%, 4·8-10·7; I2 =92%) and antibiotic-resistant Gram-negative bacteria (27·2%, 17·6-36·8; I2 =94%). The pooled prevalence of any AMR carriage or infection was higher in refugees and asylum seekers (33·0%, 18·3-47·6; I2 =98%) than in other migrant groups (6·6%, 1·8-11·3; I2 =92%). The pooled prevalence of antibiotic-resistant organisms was slightly higher in high-migrant community settings (33·1%, 11·1-55·1; I2 =96%) than in migrants in hospitals (24·3%, 16·1-32·6; I2 =98%). We did not find evidence of high rates of transmission of AMR from migrant to host populations. INTERPRETATION: Migrants are exposed to conditions favouring the emergence of drug resistance during transit and in host countries in Europe. Increased antibiotic resistance among refugees and asylum seekers and in high-migrant community settings (such as refugee camps and detention facilities) highlights the need for improved living conditions, access to health care, and initiatives to facilitate detection of and appropriate high-quality treatment for antibiotic-resistant infections during transit and in host countries. Protocols for the prevention and control of infection and for antibiotic surveillance need to be integrated in all aspects of health care, which should be accessible for all migrant groups, and should target determinants of AMR before, during, and after migration. FUNDING: UK National Institute for Health Research Imperial Biomedical Research Centre, Imperial College Healthcare Charity, the Wellcome Trust, and UK National Institute for Health Research Health Protection Research Unit in Healthcare-associated Infections and Antimictobial Resistance at Imperial College London

    Surgical site infection after gastrointestinal surgery in high-income, middle-income, and low-income countries: a prospective, international, multicentre cohort study

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    Background: Surgical site infection (SSI) is one of the most common infections associated with health care, but its importance as a global health priority is not fully understood. We quantified the burden of SSI after gastrointestinal surgery in countries in all parts of the world. Methods: This international, prospective, multicentre cohort study included consecutive patients undergoing elective or emergency gastrointestinal resection within 2-week time periods at any health-care facility in any country. Countries with participating centres were stratified into high-income, middle-income, and low-income groups according to the UN's Human Development Index (HDI). Data variables from the GlobalSurg 1 study and other studies that have been found to affect the likelihood of SSI were entered into risk adjustment models. The primary outcome measure was the 30-day SSI incidence (defined by US Centers for Disease Control and Prevention criteria for superficial and deep incisional SSI). Relationships with explanatory variables were examined using Bayesian multilevel logistic regression models. This trial is registered with ClinicalTrials.gov, number NCT02662231. Findings: Between Jan 4, 2016, and July 31, 2016, 13 265 records were submitted for analysis. 12 539 patients from 343 hospitals in 66 countries were included. 7339 (58·5%) patient were from high-HDI countries (193 hospitals in 30 countries), 3918 (31·2%) patients were from middle-HDI countries (82 hospitals in 18 countries), and 1282 (10·2%) patients were from low-HDI countries (68 hospitals in 18 countries). In total, 1538 (12·3%) patients had SSI within 30 days of surgery. The incidence of SSI varied between countries with high (691 [9·4%] of 7339 patients), middle (549 [14·0%] of 3918 patients), and low (298 [23·2%] of 1282) HDI (p < 0·001). The highest SSI incidence in each HDI group was after dirty surgery (102 [17·8%] of 574 patients in high-HDI countries; 74 [31·4%] of 236 patients in middle-HDI countries; 72 [39·8%] of 181 patients in low-HDI countries). Following risk factor adjustment, patients in low-HDI countries were at greatest risk of SSI (adjusted odds ratio 1·60, 95% credible interval 1·05–2·37; p=0·030). 132 (21·6%) of 610 patients with an SSI and a microbiology culture result had an infection that was resistant to the prophylactic antibiotic used. Resistant infections were detected in 49 (16·6%) of 295 patients in high-HDI countries, in 37 (19·8%) of 187 patients in middle-HDI countries, and in 46 (35·9%) of 128 patients in low-HDI countries (p < 0·001). Interpretation: Countries with a low HDI carry a disproportionately greater burden of SSI than countries with a middle or high HDI and might have higher rates of antibiotic resistance. In view of WHO recommendations on SSI prevention that highlight the absence of high-quality interventional research, urgent, pragmatic, randomised trials based in LMICs are needed to assess measures aiming to reduce this preventable complication

    4-Dimethylamino-1-(4-methoxyphenyl)-2,5-dioxo-2,5-dihydro-1H-pyrrole-3-carbonitrile

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    In the title compound, C14H13N3O3, a twist occurs, as seen in the dihedral angle of 53.60&#8197;(12)&#176; between the pyrrole and benzene rings. A three-dimensional architecture is formed in the crystal whereby layers of molecules in the ac plane are connected by C&#8212;H...O and C&#8212;H...&#960; interactions

    Evaluation of biofilm formation and associated slime encoding determinants in Staphylococcus aureus isolated from clinically diseased pets

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    Staphylococcus aureus&nbsp;(S.aureus) is an important zoonotic pathogen implemented in various hospital, community as well as livestock infections. Pets as dogs and cats have increased their close social relation with human leading to significant elevation in transmission of zoonoticmultidrug resistant virulent pathogens.Diplex polymerase chain reaction was applied on ten clinical Staphylococcus aureus&nbsp;isolates obtained from wound and nasal samples from dogs and cats for detection of twoslime formation encoding genes;icaA andicaD. The positive genes carrying isolates were encouraged to produce biofilm and evaluated phenotypically by cultivation onto Congo red medium. Quantitative assessment was done using a microtiter plate assay, also the formed biofilm examined by fluorescent and scanning electron microscopy. Four out of tested tenStaphylococcus aureus&nbsp;isolates were found to harbor the two genes separately.The four isolates displayed positive biofilm production onto Congo red medium while only three isolates produced biofilmin sterile polystyrene 96-well microtiter plate. One isolate associated dog infection developed strong biofilm formation which examined byboth fluorescent and scanning electron microscopy.Staphylococcus aureus isolates obtained from diseased dogs and cats can produce biofilm that increasing their virulence and pathogenicity as well as public health concern

    Environmental Assessment of Potentially Toxic Elements Using Pollution Indices and Data-Driven Modeling in Surface Sediment of the Littoral Shelf of the Mediterranean Sea Coast and Gamasa Estuary, Egypt

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    Coastal environmental assessment techniques have evolved into one of the most important fields for the long-term development and management of coastal zones. So, the overall aim of the present investigation was to provide effective approaches for making informed decisions about the Gamasa coast sediment quality. Over a two-year investigation, sediment samples were meticulously collected from the Gamasa estuary and littoral shelf. The inductively coupled plasma mass spectra (ICP-MS) was used to the total concentrations of Al, Fe, Ti, Mg, Mn, Cu, P, V, Ba, Cr, Sr, Co, Ni, Zn, Pb, Zr, and Ce. Single elements environmental pollution indices including the geoaccumulation index (Igeo), contamination factor (CF), and enrichment factor (EF), as well as multi-elements pollution indices comprising the potential ecological risk index (RI), degree of contamination (Dc), and pollution load index (PLI) were used to assess the sediment and the various geo-environmental variables affecting the Mediterranean coastal system. Furthermore, the Dc, PLI, and RI were estimated using the random forest (RF) and Back-Propagation Neural Network (BPNN) depending on the selected elements. According to the Dc results, all the investigated sediment samples categories were considerably contaminated. Cr, Co, Ni, Cu, Zr, V, Zn, P, and Mn showed remarkable enrichment in sediment samples and were originated from anthropogenic sources based on the CF, EF, and Igeo data. Moreover, the RI findings revealed that all the samples tested pose a low ecologically risk. Meanwhile, based on PLI, 70% of the Gamasa estuary samples were polluted, while 93.75% of littoral shelf sediment was unpolluted. The BPNNs -PCs-CD-17 model performed the best and demonstrated a better association between exceptional qualities and CD. With R2 values of 1.00 for calibration (Cal.) and 1.00 for validation (Val.). The BPNNs -PCs-PLI-17 models performed the best in terms of measuring PLI with respective R2 values of 1.00 and 0.98 for the Cal. and Val. datasets. The findings showed that the RF and BPNN models may be used to precisely quantify the pollution indices (Dc, PLI, and RI) in calibration (Cal.) and validation (Val.) datasets utilizing potentially toxic elements of surface sediment
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