Fostering Campus Diversity and Advancing the Internationalization of Education on College and University Campuses

This paper discusses the challenges that institutions of higher education face in educating and preparing students to work and live in an increasingly diverse global population. This concept-oriented discussion does not intend to provide detailed theoretical or experimental development and analysis. Instead, this paper presents an innovative paradigm that attempts to embrace many nuances associated with the terms diversity and globalization in the literature. The paper posits the internationalization of education as a strategy that can help universities demonstrate their commitment to educating students from culturally and linguistically diverse backgrounds. Other strategies include targeted recruiting of highly competent international faculty and students, and focusing on the language skills that international faculty and students bring to U.S. campuses. The paper concludes that institutions of higher education must revise their mission to accommodate new operational methods that will enable students to be effective global citizens

Using Multi-Instructional Teaching and Technology-Supported Active Learning Strategies to Enhance Student Engagement

University professors are developing an increasing awareness of how creative teaching is contributing to active learning in the classroom. Much is being learned from research that explores the significance of engaging students in activities designed to increase their learning. This article examines essential components of active learning, discusses ways in which multi-instructional teaching and technology can be used to generate active learning in the classroom, and provides examples of strategies, models, and tools that can be implemented to enhance student engagement and active learning in today\u27s classroo

Identification of IncA/C plasmid replication and maintenance genes and development of a plasmid multilocus sequence typing scheme

Plasmids of incompatibility group A/C (IncA/C) are becoming increasingly prevalent within pathogenic Enterobacteriaceae. They are associated with the dissemination of multiple clinically relevant resistance genes, including blaCMY and blaNDM. Current typing methods for IncA/C plasmids offer limited resolution. In this study, we present the complete sequence of a blaNDM-1-positive IncA/C plasmid, pMS6198A, isolated from a multidrug-resistant uropathogenic Escherichia coli strain. Hypersaturated transposon mutagenesis, coupled with transposon-directed insertion site sequencing (TraDIS), was employed to identify conserved genetic elements required for replication and maintenance of pMS6198A. Our analysis of TraDIS data identified roles for the replicon, including repA, a toxin-antitoxin system; two putative partitioning genes, parAB; and a putative gene, 053. Construction of mini-IncA/C plasmids and examination of their stability within E. coli confirmed that the region encompassing 053 contributes to the stable maintenance of IncA/C plasmids. Subsequently, the four major maintenance genes (repA, parAB, and 053) were used to construct a new plasmid multilocus sequence typing (PMLST) scheme for IncA/C plasmids. Application of this scheme to a database of 82 IncA/C plasmids identified 11 unique sequence types (STs), with two dominant STs. The majority of blaNDM-positive plasmids examined (15/17; 88%) fall into ST1, suggesting acquisition and subsequent expansion of this blaNDM-containing plasmid lineage. The IncA/C PMLST scheme represents a standardized tool to identify, track, and analyze the dissemination of important IncA/C plasmid lineages, particularly in the context of epidemiological studies

Mechanisms involved in acquisition of blaNDM genes by IncA/C2 and IncFIIY plasmids

blaNDM genes confer carbapenem resistance and have been identified on transferable plasmids belonging to different incompatibility (Inc) groups. Here we present the complete sequences of four plasmids carrying a blaNDM gene, pKP1-NDM-1, pEC2-NDM-3, pECL3-NDM-1, and pEC4-NDM-6, from four clinical samples originating from four different patients. Different plasmids carry segments that align to different parts of the blaNDM region found on Acinetobacter plasmids. pKP1-NDM-1 and pEC2-NDM-3, from Klebsiella pneumoniae and Escherichia coli, respectively, were identified as type 1 IncA/C2 plasmids with almost identical backbones. Different regions carrying blaNDM are inserted in different locations in the antibiotic resistance island known as ARI-A, and ISCR1 may have been involved in the acquisition of blaNDM-3 by pEC2-NDM-3. pECL3-NDM-1 and pEC4-NDM-6, from Enterobacter cloacae and E. coli, respectively, have similar IncFIIY backbones, but different regions carrying blaNDM are found in different locations. Tn3-derived inverted-repeat transposable elements (TIME) appear to have been involved in the acquisition of blaNDM-6 by pEC4-NDM-6 and the rmtC 16S rRNA methylase gene by IncFIIY plasmids. Characterization of these plasmids further demonstrates that even very closely related plasmids may have acquired blaNDM genes by different mechanisms. These findings also illustrate the complex relationships between antimicrobial resistance genes, transposable elements, and plasmids and provide insights into the possible routes for transmission of blaNDM genes among species of the Enterobacteriaceae family

Detection of Epidemic Scarlet Fever Group A Streptococcus in Australia.

Sentinel hospital surveillance was instituted in Australia to detect the presence of pandemic group A Streptococcus strains causing scarlet fever. Genomic and phylogenetic analyses indicated the presence of an Australian GAS emm12 scarlet fever isolate related to United Kingdom outbreak strains. National surveillance to monitor this pandemic is recommended

Reducing the environmental impact of surgery on a global scale: systematic review and co-prioritization with healthcare workers in 132 countries

Abstract Background Healthcare cannot achieve net-zero carbon without addressing operating theatres. The aim of this study was to prioritize feasible interventions to reduce the environmental impact of operating theatres. Methods This study adopted a four-phase Delphi consensus co-prioritization methodology. In phase 1, a systematic review of published interventions and global consultation of perioperative healthcare professionals were used to longlist interventions. In phase 2, iterative thematic analysis consolidated comparable interventions into a shortlist. In phase 3, the shortlist was co-prioritized based on patient and clinician views on acceptability, feasibility, and safety. In phase 4, ranked lists of interventions were presented by their relevance to high-income countries and low–middle-income countries. Results In phase 1, 43 interventions were identified, which had low uptake in practice according to 3042 professionals globally. In phase 2, a shortlist of 15 intervention domains was generated. In phase 3, interventions were deemed acceptable for more than 90 per cent of patients except for reducing general anaesthesia (84 per cent) and re-sterilization of ‘single-use’ consumables (86 per cent). In phase 4, the top three shortlisted interventions for high-income countries were: introducing recycling; reducing use of anaesthetic gases; and appropriate clinical waste processing. In phase 4, the top three shortlisted interventions for low–middle-income countries were: introducing reusable surgical devices; reducing use of consumables; and reducing the use of general anaesthesia. Conclusion This is a step toward environmentally sustainable operating environments with actionable interventions applicable to both high– and low–middle–income countries

Flexibility in ad hoc networks

THESIS 8067This thesis represents a step forward in our understanding of what flexibility, adaptability and reconfigurability means at the network-layer of mobile, wireless, ad hoc networks. Mobile, wireless, ad hoc networks are collections of autonomous routers that have the ability to dynamically and rapidly form networks without the use of any centralised network infrastructure using wireless communication technologies. Ad hoc routing protocols are at the core of enabling ad hoc networks as they allow remote nodes to communicate without resorting to primitive flooding techniques. Ad hoc networks, by their nature, will experience divergent user scenarios and networking conditions that demand routing protocols which are tailored to their requirements. However, to date, the static configuration of one routing protocol across the entire network has been the norm. This thesis argues that such a rigid approach constrains the temporally and spatially divergent nature of the system. This thesis shows that a more flexible approach to the design of the network-layer for mobile wireless ad hoc networks is both necessary and feasible. The thesis explores the need for such flexibility in ad hoc networks and presents an enabling system in the form of a novel network-layer which incorporates multiple routing protocols