First report of NDM-1-producing acinetobacter baumannii in East Africa

Background: The emergence of carbapenem-resistant Acinetobacter baumannii (CRAB) was observed in a Kenyan hospital from 2009 to 2010. Further investigation of the dissemination of CRAB isolates and the molecular characterization of associated resistance determinants were therefore performed. Methods: Antibiotic susceptibilities were determined by broth microdilution and Etest. Metallo-blactamases were detected by Etest method. Clonal relationships were studied by pulsed-field gel electrophoresis (PFGE) and multilocus sequence typing (MLST). b-Lactam and aminoglycoside resistance determinants and the clonal relatedness to widespread European clones were studied by PCR and sequencing. Results: Sixteen CRAB isolates from 10 patients possessed six pulsotypes; half of the isolates belonged to the European clone II (ECII) lineage. ECII strains were typed as MLST sequence type 2 (ST2) and ST109, and non-ECII strains as ST25 and ST113. All isolates harbored ISAba1–blaOXA-23, blaOXA-51-like, blaADC, and class 1 integron, including one that also harbored blaNDM-1. ADC-57 and two integron cassettes (arr-2- cmlA5 and aadB-aadA2-cmlA6-aadA15) were newly-identified. Non-ECII isolates, designated non-ECII clone, carried armA and integron cassette arr-2-cmlA5. Conclusions: Two distinct clones of CRAB – ECII and non-ECII epidemic clones – were disseminated in Kenya. The concomitance of ISAba1–blaOXA-23 was the major mechanism contributing to CRAB. The first identification of ECII CRAB and New Delhi metallo-b-lactamase 1 (NDM-1) extensively drug-resistant A. baumannii in East Africa is of concern

Towards harmonious East-West educational partnerships: a study of cultural differences between Taiwanese and Norwegian engineering students

The collaboration activities between educational institutions in the East and the West are on the increase as an increasingly globalized economy requires graduates to have the skills to work across cultural divides. Such collaborations are difficult and require patience. One challenge is that students or teachers may have misconceptions about aspects of the other culture that may cause problems. This study sets out to identify what values students in typical Eastern and Western societies associate with a good student, good student behavior, good teachers and good lectures with the purpose to identify discrepancies. This study is based on the results of a pair-wise ranking questionnaire completed by 233 Taiwanese and Norwegian students of both engineering and non-technical subjects. The results confirm some established beliefs regarding culturally related differences. However, several issues were found to be culturally neutral, and cultural differences were identified for several issues that were predicted to be culturally neutral. The results of this study may be useful to educators involved in East–West internationalization

Studies or Leisure? : a Cross-cultural Comparison of Taiwanese and Norwegian Engineering Students' Preferences for University Life

An insight into students' preferences and expectations of life at university is useful when trying to understand drop-out percentages and design study programs, especially in the global competition for students. This study focuses on Taiwanese and Norwegian students' preferences for life and activities at university. Hofstede's model was used to predict culture-related differences. A pairwise decision questionnaire was used to conduct measurements. A universal trend is that teamwork was considered most important, and teachers were considered to be less important. The most noticeable culture differences were that Taiwanese students preferred non-curricular values and Norwegian students preferred curricular values. The study discipline had little impact on students' preferences

Incorporating User Micro-behaviors and Item Knowledge into Multi-task Learning for Session-based Recommendation

Session-based recommendation (SR) has become an important and popular component of various e-commerce platforms, which aims to predict the next interacted item based on a given session. Most of existing SR models only focus on exploiting the consecutive items in a session interacted by a certain user, to capture the transition pattern among the items. Although some of them have been proven effective, the following two insights are often neglected. First, a user's micro-behaviors, such as the manner in which the user locates an item, the activities that the user commits on an item (e.g., reading comments, adding to cart), offer fine-grained and deep understanding of the user's preference. Second, the item attributes, also known as item knowledge, provide side information to model the transition pattern among interacted items and alleviate the data sparsity problem. These insights motivate us to propose a novel SR model MKM-SR in this paper, which incorporates user Micro-behaviors and item Knowledge into Multi-task learning for Session-based Recommendation. Specifically, a given session is modeled on micro-behavior level in MKM-SR, i.e., with a sequence of item-operation pairs rather than a sequence of items, to capture the transition pattern in the session sufficiently. Furthermore, we propose a multi-task learning paradigm to involve learning knowledge embeddings which plays a role as an auxiliary task to promote the major task of SR. It enables our model to obtain better session representations, resulting in more precise SR recommendation results. The extensive evaluations on two benchmark datasets demonstrate MKM-SR's superiority over the state-of-the-art SR models, justifying the strategy of incorporating knowledge learning

First report of NDM-1-producing acinetobacter baumannii in East Africa

Background: The emergence of carbapenem-resistant Acinetobacter baumannii (CRAB) was observed in a Kenyan hospital from 2009 to 2010. Further investigation of the dissemination of CRAB isolates and the molecular characterization of associated resistance determinants were therefore performed. Methods: Antibiotic susceptibilities were determined by broth microdilution and Etest. Metallo-blactamases were detected by Etest method. Clonal relationships were studied by pulsed-field gel electrophoresis (PFGE) and multilocus sequence typing (MLST). b-Lactam and aminoglycoside resistance determinants and the clonal relatedness to widespread European clones were studied by PCR and sequencing. Results: Sixteen CRAB isolates from 10 patients possessed six pulsotypes; half of the isolates belonged to the European clone II (ECII) lineage. ECII strains were typed as MLST sequence type 2 (ST2) and ST109, and non-ECII strains as ST25 and ST113. All isolates harbored ISAba1–blaOXA-23, blaOXA-51-like, blaADC, and class 1 integron, including one that also harbored blaNDM-1. ADC-57 and two integron cassettes (arr-2- cmlA5 and aadB-aadA2-cmlA6-aadA15) were newly-identified. Non-ECII isolates, designated non-ECII clone, carried armA and integron cassette arr-2-cmlA5. Conclusions: Two distinct clones of CRAB – ECII and non-ECII epidemic clones – were disseminated in Kenya. The concomitance of ISAba1–blaOXA-23 was the major mechanism contributing to CRAB. The first identification of ECII CRAB and New Delhi metallo-b-lactamase 1 (NDM-1) extensively drug-resistant A. baumannii in East Africa is of concern

Malignant transformation of oral potentially malignant disorders in males: a retrospective cohort study

<p>Abstract</p> <p>Background</p> <p>Oral squamous cell carcinoma could be preceded by clinically evident oral potentially malignant disorders (OPMDs). Transformation of OPMDs to cancer has been studied in several population groups. It is difficult to undertake comparisons across populations due to variations in the methods of computation of malignancy rates among different studies. The aim of our study was to estimate the rate of malignant transformation of OPMDs taking into account the duration of follow-up and to identify the significant factors indicative of malignant potential.</p> <p>Methods</p> <p>A total of 148 male patients with OPMDs were included. They were selected among all consecutive subjects registered at the maxillofacial clinic at a medical hospital in Kaohsiung, Taiwan. The mean follow up period was 37.8 months.</p> <p>Results</p> <p>The malignant transformation rate was highest in subjects diagnosed with oral epithelial dysplasia. In this group the transformation rate was 7.62 per 100 persons-year. The rate in the group with verrucous hyperplasia (VH) was 5.21 per 100 persons-year, and in those with hyperkeratosis or epithelial hyperplasia was 3.26 per 100 persons-year. The anatomical site of OPMDs was the only statistically significant variable associated with malignancy. The hazard rate ratio (HRR) was 2.41 times for tongue lesions when compared with buccal lesions.</p> <p>Conclusion</p> <p>The reported discrepancies of malignant transformation of OPMDs involve the follow-up time to cancer development and hence it is preferable to use a time-to-event estimation for comparisons. We found that malignant transformation of OPMDs involving the tongue was significantly higher than in other anatomical subsites after adjusting for the clinicopathological type or lifestyle factors at diagnosis.</p

The Influences of Personality and Motivation on Exercise Participation and Quality of Life

[[abstract]]The major purpose of this study was to identify the effects of personality on individual exercise motivation and exercise participation, which then influences quality of life. A comprehensive model was developed, based on an extensive literature review, and empirically tested using members of fitness centers from Taiwan, Europe and the United States as respondents. The results indicate that individuals with a positive personality tend to have higher levels of exercise motivation and exercise participation. Personality and exercise participation then impacted on individuals’ quality of life, in terms of physical health improvement, psychological health improvement, and sexual satisfaction. The study results offer valuable suggestions not only to marketing managers of fitness centers but also to government officers to promote health and quality of life through stimulating exercise motivation and exercise participation

Chondroprotective effects and mechanisms of resveratrol in advanced glycation end products-stimulated chondrocytes

[[abstract]]INTRODUCTION: Accumulation of advanced glycation end products (AGEs) in joints contributes to the pathogenesis of cartilage damage in osteoarthritis (OA). We aim to explore the potential chondroprotective effects of resveratrol on AGEs-stimulated porcine chondrocytes and cartilage explants. METHODS: Chondrocytes were isolated from pig joints. Activation of the IkappaB kinase (IKK)-IkappaBalpha-nuclear factor-kappaB (NF-kappaB) and c-Jun N-terminal kinase (JNK)/extracellular signal-regulated kinase (ERK)-activator protein-1 (AP-1) pathways was assessed by electrophoretic mobility shift assay (EMSA), Western blot and transfection assay. The levels of inducible nitric oxide synthase (iNOS)-NO and cyclooxygenase-2 (COX-2)-prostaglandin E2 (PGE2) were measured by Western blot, Griess reaction or ELISA. The expression and enzyme activity of matrix metalloproteinase-13 (MMP-13) were determined by real time RT/PCR and gelatin zymography, respectively. RESULTS: We show that AGEs-induced expression of iNOS and COX-2 and production of NO and PGE2 were suppressed by resveratrol. Such effects of resveratrol were likely mediated through inhibiting IKK-IkappaBalpha-NF-kappaB and JNK/ERK-AP-1 signaling pathways induced by AGEs. By targeting these critical signaling pathways, resveratrol decreased AGEs-stimulated expression and activity of MMP-13 and prevented AGEs-mediated destruction of collagen II. Histochemistry analysis further confirms that resveratrol could prevent AGEs-induced degradation of proteoglycan and aggrecan in cartilage explants. CONCLUSIONS: The present study reveals not only the effects and mechanisms regarding how resveratrol may protect cartilage from AGEs-mediated damage but also the potential therapeutic benefit of resveratrol in the treatment of OA

Assembling a cellulase cocktail and a cellodextrin transporter into a yeast host for CBP ethanol production

Background: Many microorganisms possess enzymes that can efficiently degrade lignocellulosic materials, but donot have the capability to produce a large amount of ethanol. Thus, attempts have been made to transform suchenzymes into fermentative microbes to serve as hosts for ethanol production. However, an efficient host for aconsolidated bioprocess (CBP) remains to be found. For this purpose, a synthetic biology technique that cantransform multiple genes into a genome is instrumental. Moreover, a strategy to select cellulases that interactsynergistically is needed.Results: To engineer a yeast for CBP bio-ethanol production, a synthetic biology technique, called “promoter-basedgene assembly and simultaneous overexpression” (PGASO), that can simultaneously transform and express multiplegenes in a kefir yeast, Kluyveromyces marxianus KY3, was recently developed. To formulate an efficient cellulasecocktail, a filter-paper-activity assay for selecting heterologous cellulolytic enzymes was established in this study andused to select five cellulase genes, including two cellobiohydrolases, two endo-β-1,4-glucanases and onebeta-glucosidase genes from different fungi. In addition, a fungal cellodextrin transporter gene was chosen totransport cellodextrin into the cytoplasm. These six genes plus a selection marker gene were one-step assembledinto the KY3 genome using PGASO. Our experimental data showed that the recombinant strain KR7 could expressthe five heterologous cellulase genes and that KR7 could convert crystalline cellulose into ethanol.Conclusion: Seven heterologous genes, including five cellulases, a cellodextrin transporter and a selection marker,were simultaneously transformed into the KY3 genome to derive a new strain, KR7, which could directly convertcellulose to ethanol. The present study demonstrates the potential of our strategy of combining a cocktailformulation protocol and a synthetic biology technique to develop a designer yeast host

Synthesis and structure-activity relationship studies of novel 3,9-substituted α-carboline derivatives with high cytotoxic activity against colorectal cancer cells

In our continued focus on 1-benzyl-3-(5-hydroxymethyl-2-furyl)indazole (YC-1) analogs, we synthesized a novel series of 3,9-substituted α-carboline derivatives and evaluated the new compounds for antiproliferactive effects. Structure activity relationships revealed that a COOCH or CHOH group at position-3 and substituted benzyl group at position-9 of the α-carboline nucleus were crucial for maximal activity. The most active compound, , showed high levels of cytotoxicity against HL-60, COLO 205, Hep 3B, and H460 cells with IC values of 0.3, 0.49, 0.7, and 0.8 μM, respectively. The effect of compound on the cell cycle distribution demonstrated G2/M arrest in COLO 205 cells. Furthermore, mechanistic studies indicated that compound induced apoptosis by activating death receptor and mitochondria dependent apoptotic signaling pathways in COLO 205 cells. The new 3,9-substituted α-carboline derivatives exhibited excellent anti-proliferative activities, and compound can be used as a promising pro-apoptotic agent for future development of new antitumor agents