Isolation of Bacteriophage and Assessment of its Activity against Biofilms of Uropathogenic Escherichia coli in Jimma Town, South Western Ethiopia

Escherichia coli is one of the most commonly associated bacteria with urinary tract infections (UTIs) in humans and many times are antimicrobial resistant. Production of biofilms further makes matters worse in UTIs. Alternative therapy using bacteriophages was known in the past. This study was aimed to isolate lytic bacteriophages from sewage samples and assess their activity against biofilm of uropathogenic E. coli (UPEC). Lytic phage was isolated from sewage water collected in Jimma town following standard enrichment method against UPEC. E. coli was isolated from UTI suspect patients using standard protocol. Microtiter plate technique was used to determine bacterial biofilm formation. Biofilm degrading efficacy of phage was assessed by treating biofilm developed on cover slip with standardized number of lytic phages or gentamicin compared with the control E. coli (untreated cells). Of 30 UPEC strains isolated from patients, 29 (96.6%) of them displayed biofilm forming phenotype. The strains with strongly biofilm positive were 76.6%. Generally, antibiotic resistance for biofilm producing E. coli was found to be high. Virulent phage (FJS4) was isolated which was effective against a strong biofilm former UPEC strain. Application of FJS4 phage or gentamicin to established biofilms have caused significant reduction of the cells within 3 hours of application and almost complete eradication of the cells within 36 hrs of incubation at 37°C. These results uphold the efficacy of phage against biofilm of UPEC and suggest that FJS4 phage may be a potential therapeutic alternative to antimicrobials on inanimate and animate surfaces

Clinical Profile of Neonates Admitted with Sepsis to Neonatal Intensive Care Unit of Jimma Medical Center, A Tertiary Hospital in Ethiopia

BACKGROUND፡ Globally, over 3 million newborn die each year, one million of these attributed to infections. The objective of this study was to determine the etiologies and clinical characteristics of sepsis in neonates admitted to intensive care unit of a tertiary hospital in Ethiopia.METHODS: A longitudinal hospital based cohort study was conducted from April 1 to October 31, 2018 at the neonatal intensive care unit of Jimma Medical Center, southwest Ethiopia. Diagnosis of sepsis was established using the World Health Organization’s case definition. Structured questionnaires and case specific recording formats were used to capture the relevant data. Venous blood and cerebrospinal fluid from neonates suspected to have sepsis were collected.RESULTS: Out of 304 neonates enrolled in the study, 195 (64.1%) had clinical evidence for sepsis, majority (84.1%;164/195) of them having early onset neonatal sepsis. The three most frequent presenting signs and symptoms were fast breathing (64.6%; 122/195), fever (48.1%; 91/195) and altered feeding (39.0%; 76/195). Etiologic agents were detected from the blood culture of 61.2% (115/195) neonates. Bacterial pathogens contributed for 94.8% (109/115); the rest being fungal etiologies. Coagulase negative staphylococci (25.7%; 28/109), Staphylococcus aureus (22.1%; 24/109) and Klebsiella species (16.5%; 18/109) were the most commonly isolated bacteria.CONCLUSION: Majority of the neonates had early onset neonatal sepsis. The major etiologies isolated in our study markedly deviate from the usual organisms causing neonatal sepsis. Multicentre study and continuous surveillance are essential to tackle the current challenge to reduce neonatal mortality due to sepsis in Ethiopia

Quasiclassical calculations of Landau level spectrum for 20.5-nm-wide H gTe quantum well: "extremum loop" model and effects of cubic symmetry

Quasiclassical calculations of the effective cyclotron mass and the spectrum of Landau levels have been carried out for carriers of the size-quantized H2 subband with a nonmonotonic dispersion law, which forms a valence band of 20.5-nm-wide HgTe quantum well with an inverted band structure. The model of the so-called "extremum loop", previously developed by Rashba and Sheka for semiconductors with a wurtzite lattice, has been used for calculations. The results obtained are compared both with the empirical picture and with quantum-mechanical calculations of the Landau level spectrum for the HgTe quantum well in the semimetallic phase. © 2021 Author(s).The research was carried out within the state assignment of Ministry of Science and Higher Education of the Russian Federation (theme “Electron” No. AAAA-A18-118020190098-5), supported in part by RFBR, Project No. 18-02-00172. We are grateful to Novik E. G. for the contribution to the band structure calculations of the real 20 nm HgTe quantum well

Assessment of quality of care given to diabetic patients at Jimma University Specialized Hospital diabetes follow-up clinic, Jimma, Ethiopia

<p>Abstract</p> <p>Background</p> <p>Sub-Saharan Africa is currently enduring the heaviest global burden of diabetes and diabetes care in such resource poor countries is far below standards. This study aims to describe the gaps in the care of Ethiopian diabetic patients at Jimma University Specialized Hospital.</p> <p>Methods</p> <p>329 diabetic patients were selected as participants in the study, aged 15 years or greater, who have been active in follow-up for their diabetes for more than 1 year at the hospital. They were interviewed for their demographic characters and relevant clinical profiles. Their charts were simultaneously reviewed for characters related to diabetes and related morbidities. Descriptive statistics was used for most variables and Chi-square test, where necessary, was used to test the association among various variables. P-value of < 0.05 was used as statistical significance.</p> <p>Results</p> <p>Blood glucose determination was done for 98.5% of patients at each of the last three visits, but none ever had glycosylated haemoglobin results. The mean fasting blood sugar (FBS) level was 171.7 ± 63.6 mg/dl and 73.1% of patients had mean FBS levels above 130 mg/dl. Over 44% of patients have already been diagnosed to be hypertensive and 64.1% had mean systolic BP of > 130 and/or diastolic > 80 mmHg over the last three visits. Diabetes eye and neurologic evaluations were ever done for 42.9% and 9.4% of patients respectively. About 66% had urine test for albumin, but only 28.2% had renal function testing over the last 5 years. The rates for lipid test, electrocardiography, echocardiography, or ultrasound of the kidneys during the same time were < 5% for each. Diabetic neuropathy (25.0%) and retinopathy (23.1%) were the most common chronic complications documented among those evaluated for complications.</p> <p>Conclusions</p> <p>The overall aspects of diabetes care at the hospital were far below any recommended standards. Hence, urgent action to improve care for patients with diabetes is mandatory. Future studies examining patterns and prevalence of chronic complications using appropriate parameters is strongly recommended to see the true burden of diabetes.</p

EXCHANGE ENHANCEMENT OF THE ELECTRON G-FACTOR IN InGaAs/InAlAs METAMORPHIC HETEROSTRUCTURES WITH A HIGH InAs CONTENT

Magnetotransport in InGaAs/InAlAs heterostructures in tilted magnetic field is studied. It is shown that the value of the g* factor increases with an increase in the InAs content and the dependence of the g* factor on magnetic field is also revealed.Работа выполнена в рамках государственного задания по теме «Электрон» Г.р. № 122021000039-4

Time to establish an international vaccine candidate pool for potential highly infectious respiratory disease: a community's view.

In counteracting highly infectious and disruptive respiratory diseases such as COVID-19, vaccination remains the primary and safest way to prevent disease, reduce the severity of illness, and save lives. Unfortunately, vaccination is often not the first intervention deployed for a new pandemic, as it takes time to develop and test vaccines, and confirmation of safety requires a period of observation after vaccination to detect potential late-onset vaccine-associated adverse events. In the meantime, nonpharmacologic public health interventions such as mask-wearing and social distancing can provide some degree of protection. As climate change, with its environmental impacts on pathogen evolution and international mobility continue to rise, highly infectious respiratory diseases will likely emerge more frequently and their impact is expected to be substantial. How quickly a safe and efficacious vaccine can be deployed against rising infectious respiratory diseases may be the most important challenge that humanity will face in the near future. While some organizations are engaged in addressing the World Health Organization's "blueprint for priority diseases", the lack of worldwide preparedness, and the uncertainty around universal vaccine availability, remain major concerns. We therefore propose the establishment of an international candidate vaccine pool repository for potential respiratory diseases, supported by multiple stakeholders and countries that contribute facilities, technologies, and other medical and financial resources. The types and categories of candidate vaccines can be determined based on information from previous pandemics and epidemics. Each participant country or region can focus on developing one or a few vaccine types or categories, together covering most if not all possible potential infectious diseases. The safety of these vaccines can be tested using animal models. Information for effective candidates that can be potentially applied to humans will then be shared across all participants. When a new pandemic arises, these pre-selected and tested vaccines can be quickly tested in RCTs for human populations