24 research outputs found

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

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    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

    ă‚·ă‚Źă‚€ ト ヱォマク ă‚žăƒ§ă‚Šă‚­ăƒ„ă‚Š ゞクゔク ăƒˆă‚Šă‚·ăƒŁ ニ ă‚Șă‚±ăƒ« ăƒ‰ăƒ©ă‚­ă‚·ăƒł ノ キノォ カむセキ

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    On the basis of gradient expression of draxin and phenotype analyses we hypothesizedthat draxin might also play important function in retinocollicular projection

    In silico comparative genomics of SARS-CoV-2 to determine the source and diversity of the pathogen in Bangladesh.

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    The COVID19 pandemic caused by SARS-CoV-2 virus has severely affected most countries of the world including Bangladesh. We conducted comparative analysis of publicly available whole-genome sequences of 64 SARS-CoV-2 isolates in Bangladesh and 371 isolates from another 27 countries to predict possible transmission routes of COVID19 to Bangladesh and genomic variations among the viruses. Phylogenetic analysis indicated that the pathogen was imported in Bangladesh from multiple countries. The viruses found in the southern district of Chattogram were closely related to strains from Saudi Arabia whereas those in Dhaka were similar to that of United Kingdom and France. The 64 SARS-CoV-2 sequences from Bangladesh belonged to three clusters. Compared to the ancestral SARS-CoV-2 sequence reported from China, the isolates in Bangladesh had a total of 180 mutations in the coding region of the genome, and 110 of these were missense. Among these, 99 missense mutations (90%) were predicted to destabilize protein structures. Remarkably, a mutation that leads to an I300F change in the nsp2 protein and a mutation leading to D614G change in the spike protein were prevalent in SARS-CoV-2 genomic sequences, and might have influenced the epidemiological properties of the virus in Bangladesh

    Table2_Genomic surveillance unfolds the SARS-CoV-2 transmission and divergence dynamics in Bangladesh.XLSX

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    The highly pathogenic virus SARS-CoV-2 has shattered the healthcare system of the world causing the COVID-19 pandemic since first detected in Wuhan, China. Therefore, scrutinizing the genome structure and tracing the transmission of the virus has gained enormous interest in designing appropriate intervention strategies to control the pandemic. In this report, we examined 4,622 sequences from Bangladesh and found that they belonged to thirty-five major PANGO lineages, while Delta alone accounted for 39%, and 78% were from just four primary lineages. Our research has also shown Dhaka to be the hub of viral transmission and observed the virus spreading back and forth across the country at different times by building a transmission network. The analysis resulted in 7,659 unique mutations, with an average of 24.61 missense mutations per sequence. Moreover, our analysis of genetic diversity and mutation patterns revealed that eight genes were under negative selection pressure to purify deleterious mutations, while three genes were under positive selection pressure. Together with an ongoing genomic surveillance program, these data will contribute to a better understanding of SARS-CoV-2, as well as its evolution pattern and pandemic characteristics in Bangladesh.</p

    Olfactory bulb axonal outgrowth is inhibited by draxin

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    Olfactory bulb (OB) projection neurons receive sensory input from olfactory receptorneurons and precisely relay it through their axons to the olfactory cortex. Thus, olfactorybulb axonal tracts play an important role in relaying information to the higher order ofolfactory structures in the brain. Several classes of axon guidance molecules influence thepathfinding of the olfactory bulb axons. Draxin, a recently identified novel class of repulsiveaxon guidance protein, is essential for the formation of forebrain commissures and canmediate repulsion of diverse classes of neurons from chickens and mice. In this study, wehave investigated the draxin expression pattern in the mouse telencephalon and its guidancefunctions for OB axonal projection to the telencephalon. We have found that draxin isexpressed in the neocortex and septum at E13 and E17.5 when OB projection neurons formthe lateral olfactory tract (LOT) rostrocaudally along the ventrolateral side of thetelencephalon. Draxin inhibits axonal outgrowth from olfactory bulb explants in vitro anddraxin-binding activity in the LOT axons in vivo is detected. The LOT develops normally indraxin-/- mice despite subtle defasciculation in the tract of these mutants. These resultssuggest that draxin functions as an inhibitory guidance cue for OB axons and indicate itscontribution to the formation of the LOT

    A Highly Salt-Tolerant Bacterium <i>Brevibacterium sediminis</i> Promotes the Growth of Rice (<i>Oryza sativa</i> L.) Seedlings

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    Soil salinity has emerged as a serious issue for food security due to global climate change. It is estimated that currently about 62 million hectares or 20 percent of the world’s irrigated land is affected by salinity. Salinity is a serious problem in the coastal areas of Bangladesh. Isolation of salt-tolerant plant growth-promoting bacteria (PGPB) and applying them as bioinoculants in crop plants are considered promising and effective biotechnological approaches to combat soil salinity. This study aimed to screen salt-tolerant PGPB from the root, leaf, and rhizospheric soils of rice plants collected from salt-affected coastal areas including Chattogram, Noakhali, Lakshmipur, and Cox’s Bazar districts of Bangladesh and evaluated their performances on the seedling growth of rice. Out of forty-one salinity-tolerant bacterial isolates screened, Brevibacterium sediminis showed salinity tolerance up to 12% NaCl (w/v). In vitro bioassay revealed that B. sediminis promoted the seedling growth of rice cv. BRRI dhan29 (salinity susceptible) and BINAdhan-10 (salinity tolerant), and the growth-promoting effects were higher in BINAdhan-10. This study for the first time identified B. sediminis strain IBGE3C as a salt-tolerant PGPB from a widely cultivated rice variety, BRRI dhan28 in the Lakshmipur district of Bangladesh. Our results suggest that salt-tolerant PGPB isolated from the root, leaf, and rhizospheric soil of rice plants could be used as a low cost and environmentally friendly option for overcoming the detrimental effects of salt stress on rice plants in the southern coastal regions of Bangladesh. However, further studies are needed for assessing the efficacy of B. sediminis on enhancement of salinity tolerance, and growth and yield of rice under salinity stressed conditions

    Vibrio cholerae strains with inactivated cqsS gene overproduce autoinducer-2 which enhances resuscitation of dormant environmental V. cholerae.

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    BACKGROUND:Toxigenic Vibrio cholerae resides in aquatic reservoirs of cholera-endemic areas mostly in a dormant form known as conditionally viable environmental cells (CVEC) in which the bacteria remain embedded in an exopolysaccharide matrix, and fail to grow in routine bacteriological culture. The CVEC can be resuscitated by supplementing culture media with either of two autoinducers CAI-1 and AI-2, which are signal molecules controlling quorum sensing, a regulatory network of bacterial gene expression dependent on cell density. This study investigated possible existence of variant strains that overproduce AIs, sufficient to resuscitate CVEC in environmental waters. METHODS:Environmental V. cholerae isolates and Tn insertion mutants of a V. cholerae strain C6706 were screened for production of AIs using bioluminescent reporter strains. Relevant mutations in environmental strains which overproduced AI-2 were characterized by nucleotide sequencing and genetic complementation studies. Effect of AIs produced in culture supernatants of relevant strains on reactivation of CVEC in water was determined by resuscitation assays. RESULTS:Two of 54 environmental V. cholerae isolates were found to overproduce AI-2. Screening of a Tn-insertion library of V. cholerae strain C6706, identified a mutant which overproduced AI-2, and carried Tn insertion in the cqsS gene. Nucleotide sequencing also revealed mutations inactivating the cqsS gene in environmental isolates which overproduced AI-2, and this property was reversed when complemented with a wild type cqsS gene. Culture of river water samples supplemented with spent medium of these mutants resuscitated dormant V. cholerae cells in water. SIGNIFICANCE:V. cholerae strains with inactivated cqsS gene may offer a convenient source of AI-2 in enhanced assays for monitoring bacteriological quality of water. The results also suggest a potential role of naturally occurring cqsS mutants in the environmental biology of V. cholerae. Furthermore, similar phenomenon may have relevance in the ecology of other waterborne bacterial pathogens beyond V. cholerae
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