464 research outputs found

    Cytotoxic clinical isolates of Pseudomonas aeruginosa identified during the Steroids for Corneal Ulcers Trial show elevated resistance to fluoroquinolones.

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    BackgroundTo determine the relationship between type three secretion genotype and fluoroquinolone resistance for P. aeruginosa strains isolated from microbial keratitis during the Steroids for Corneal Ulcers Trial (SCUT) and for two laboratory strains, PA103 and PAO1.MethodsConfirmed P. aeruginosa isolates from the SCUT were divided into exoU(+) or exoU(-). The exoU(+) strains contained the gene encoding ExoU, a powerful phospholipase toxin delivered into host cells by the type three secretion system. Isolates were then assessed for susceptibility to fluoroquinolone, cephalosporin, and aminoglycoside antibiotics using disk diffusion assays. Etest was used to determine the MIC of moxifloxacin and other fluoroquinolones. Laboratory isolates in which the exoU gene was added or deleted were also tested.ResultsA significantly higher proportion of exoU(+) strains were resistant to ciprofloxacin (p = 0.001), gatifloxacin (p = 0.003), and ofloxacin (p = 0.002) compared to exoU(-) isolates. There was no significant difference between exoU(+) or exoU(-) negative isolates with respect to susceptibility to other antibiotics except gentamicin. Infections involving resistant exoU(+) strains trended towards worse clinical outcome. Deletion or acquisition of exoU in laboratory isolates did not affect fluoroquinolone susceptibility.ConclusionsFluoroquinolone susceptibility of P. aeruginosa isolated from the SCUT is consistent with previous studies showing elevated resistance involving exoU encoding (cytotoxic) strains, and suggest worse clinical outcome from infections involving resistant isolates. Determination of exoU expression in clinical isolates of P. aeruginosa may be helpful in directing clinical management of patients with microbial keratitis

    Autonomy, Good Humor and Support Networks, Potential of Community Resilience Intervention in People Victims of the Earthquake in the CalderĂłn Parish

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    Resilience is a concept widely used in recent years, especially when it comes to evaluating the level of recovery of communities that are hit by natural phenomena. It can be stated that conceptually resilience constitutes the ability to react effectively and quickly to the effects of disasters, being a complex phenomenon to evaluate and define. And although the level of resilience does not necessarily imply greater control of vulnerability, it can be affirmed that the reduction of vulnerable conditions can strengthen and consolidate the resilient capacity of individuals and communities, in the face of the effects of natural disasters

    Uses and misuses of the STROBE statement: bibliographic study

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    Objectives Appropriate reporting is central to the application of findings from research to clinical practice. The Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) recommendations consist of a checklist of 22 items that provide guidance on the reporting of cohort, case-control and cross-sectional studies, in order to facilitate critical appraisal and interpretation of results. STROBE was published in October 2007 in several journals including The Lancet, BMJ, Annals of Internal Medicine and PLoS Medicine. Within the framework of the revision of the STROBE recommendations, the authors examined the context and circumstances in which the STROBE statement was used in the past. Design The authors searched the Web of Science database in August 2010 for articles which cited STROBE and examined a random sample of 100 articles using a standardised, piloted data extraction form. The use of STROBE in observational studies and systematic reviews (including meta-analyses) was classified as appropriate or inappropriate. The use of STROBE to guide the reporting of observational studies was considered appropriate. Inappropriate uses included the use of STROBE as a tool to assess the methodological quality of studies or as a guideline on how to design and conduct studies. Results The authors identified 640 articles that cited STROBE. In the random sample of 100 articles, about half were observational studies (32%) or systematic reviews (19%). Comments, editorials and letters accounted for 15%, methodological articles for 8%, and recommendations and narrative reviews for 26% of articles. Of the 32 observational studies, 26 (81%) made appropriate use of STROBE, and three uses (10%) were considered inappropriate. Among 19 systematic reviews, 10 (53%) used STROBE inappropriately as a tool to assess study quality. Conclusions The STROBE reporting recommendations are frequently used inappropriately in systematic reviews and meta-analyses as an instrument to assess the methodological quality of observational studies

    Methods and Processes of Developing the Strengthening the Reporting of Observational Studies in Epidemiology – Veterinary (STROBE-Vet) Statement

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    BACKGROUND Reporting of observational studies in veterinary research presents challenges that often are not addressed in published reporting guidelines. OBJECTIVE To develop an extension of the STROBE (Strengthening the Reporting of Observational Studies in Epidemiology) statement that addresses unique reporting requirements for observational studies in veterinary medicine related to health, production, welfare, and food safety. DESIGN Consensus meeting of experts. SETTING Mississauga, Canada. PARTICIPANTS Seventeen experts from North America, Europe, and Australia. METHODS Experts completed a pre-meeting survey about whether items in the STROBE statement should be modified or added to address unique issues related to observational studies in animal species with health, production, welfare, or food safety outcomes. During the meeting, each STROBE item was discussed to determine whether or not rewording was recommended and whether additions were warranted. Anonymous voting was used to determine consensus. RESULTS Six items required no modifications or additions. Modifications or additions were made to the STROBE items 1 (title and abstract), 3 (objectives), 5 (setting), 6 (participants), 7 (variables), 8 (data sources/measurement), 9 (bias), 10 (study size), 12 (statistical methods), 13 (participants), 14 (descriptive data), 15 (outcome data), 16 (main results), 17 (other analyses), 19 (limitations), and 22 (funding). CONCLUSION The methods and processes used were similar to those used for other extensions of the STROBE statement. The use of this STROBE statement extension should improve reporting of observational studies in veterinary research by recognizing unique features of observational studies involving food-producing and companion animals, products of animal origin, aquaculture, and wildlife

    Vulnerability and decision-making in multispecies fisheries : a risk assessment of bacalao (Mycteroperca olfax) and related species in the Galapagos’ handline fishery

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    Marine fish populations can be vulnerable to overfishing, as a response of their life history, ecology, and socio-economic aspects. Vulnerability assessments, in this regard, can be used to support fisheries decision-making by aiding species prioritization. Assessments like Productivity–Susceptibility Analyses are well suited for multispecies fisheries, with low gear selectivity and insufficient fishery-independent and dependent data. Using this method, we assessed local vulnerability of the Galapagos grouper (‘bacalao’; Mycteroperca olfax) and compared it with other phylogenetically-related species caught in the Galapagos’ handline-fishery. Bacalao is an overfished regionally endemic fish species, characterized by low resilience, high market and cultural value and high spatial overlap with the fishery. Our results suggested that bacalao is a species of high management priority, requiring urgent measures to prevent fisheries’ collapse. In addition, if current fishing pressure persists, other related species may become threatened in the near future. We also evaluated different management scenarios using this approach. Results suggested that the inclusion of additional no-take zones in the marine reserve, comprising key nursery habitats (such as mangroves) and spawning aggregation sites, would be necessary to reduce species vulnerability and to benefit other related species. Improving enforcement and fishers’ compliance are essential to guarantee the effectiveness of these measures

    Ruddlesden–Popper hybrid lead bromide perovskite nanosheets of phase pure n=2: Stabilized colloids stored in the solid state

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    Ruddlesden-Popper lead halide perovskite (RP-LHP) nano-nanostructures can be regarded as self-assembled quantum wells or superlattices of 3D perovskites with an intrinsic quantum well thickness of a single or a few (n=2-4) lead halide layers; the quantum wells are separated by organic layers. They can be scaled down to a single quantum well dimension. Here, the preparation of highly (photo)chemical and colloidal stable hybrid LHP nanosheets (NSs) of ca. 7.4 ”m lateral size and 2.5 nm quantum well height (thereby presenting a deep blue emission at ca. 440 nm), is reported for the first time. The NSs are close-lying and they even interconnect when deposited on a substrate. Their synthesis is based on the use of the p-toluenesulfonic acid/dodecylamine (pTS/DDA) ligand pair and their (photo)chemical stability and photoluminescence is enhanced by adding EuBr2 nanodots (EuNDs). Strikingly, they can be preserved as a solid and stored for at least one year. The blue emissive colloid can be recovered from the solid as needed by simply dispersing the powder in toluene and then using it to prepare solid films, making them very promising candidates for manufacturing devices. © 2021 The Authors. Angewandte Chemie International Edition published by Wiley-VCH GmbH

    Improving Parental Engagement for Latino Youths\u27 Educational Success: Lessons from Juntos Oregon

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    Research has shown that more efforts are needed to increase high school completion and postsecondary enrollment among Latino youths. However, little is known regarding efforts that engage both Latino youths and their parents. To address this gap, we surveyed Juntos Oregon participants to examine the school and community context Latino youths and their families face in the educational journey and identify effects of the Juntos program. Results showed that in a context of persistent discrimination and unfair treatment, Juntos workshops increased the sense of school and community connectedness among Latino parents. Increases in academic planning and motivation occurred as well. Extension may increase its educational impact by strengthening connections and promoting engagement between schools and Latino families

    Microbubble-Based Model Analysis of Liquid Breakdown Initiation by a Submicrosecond Pulse

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    An electrical breakdown model for liquids in response to a submicrosecond(∌100ns) voltage pulse is presented, and quantitative evaluations carried out. It is proposed that breakdown is initiated by field emission at the interface of pre-existing microbubbles. Impact ionization within the microbubble gas then contributes to plasma development, with cathode injection having a delayed and secondary role. Continuous field emission at the streamer tip contributes to filament growth and propagation. This model can adequately explain almost all of the experimentally observed features, including dendritic structures and fluctuations in the prebreakdown current. Two-dimensional, time-dependent simulations have been carried out based on a continuum model for water, though the results are quite general. Monte Carlo simulations provide the relevant transport parameters for our model. Our quantitative predictions match the available data quite well, including the breakdown delay times and observed optical emission
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