978 research outputs found
High Prevalence of Carbapenemase-Producing <i>Acinetobacter baumannii</i> in Wound Infections, Ghana, 2017/2018
No full textThree years after a prospective study on wound infections in a rural hospital in Ghana revealed no emergence of carbapenem-resistant bacteria we initiated a new study to assess the prevalence of multidrug-resistant pathogens. Three hundred and one samples of patients with wound infections were analysed for the presence of resistant bacteria in the period August 2017 till March 2018. Carbapenem-resistant Acinetobacter (A.) baumannii were further characterized by resistance gene sequencing, PCR-based bacterial strain typing, pulsed-field gel electrophoresis (PFGE) and multilocus sequence typing (MLST “Oxford scheme”). A. baumanni was detected in wound infections of 45 patients (15%); 22 isolates were carbapenem-resistant. Carbapenemases NDM-1 and/or OXA-23 were detected in all isolates; two isolates harboured additionally OXA-420. PFGE and MLST analyses confirmed the presence of one A. baumannii strain in 17 patients that was assigned to the worldwide spread sequence type ST231 and carried NDM-1 and OXA-23. Furthermore, two new A. baumannii STs (ST2145 and ST2146) were detected in two and three patients, respectively. Within three years the prevalence of carbapenem-resistant A. baumannii increased dramatically in the hospital. The early detection of multidrug-resistant bacteria and prevention of their further spread are only possible if continuous surveillance and molecular typing will be implemented
Antimicrobial-Resistant Bacteria in Infected Wounds, Ghana, 2014
No full textWound infections are an emerging medical problem worldwide, frequently neglected in under-resourced countries. Bacterial culture and antimicrobial drug resistance testing of infected wounds in patients in a rural hospital in Ghana identified no methicillin-resistant Staphylococcus aureus or carbapenem-resistant Enterobacteriaceae but identified high combined resistance of Enterobacteriaceae against third-generation cephalosporins and fluoroquinolones
Erythropoietin dampens injury-induced microglial motility
No full textTraumatic brain injury causes progressive brain atrophy and cognitive decline. Surprisingly, an early treatment with erythropoietin (EPO) prevents these consequences of secondary neurodegeneration, but the mechanisms have remained obscure. Here we show by advanced imaging and innovative analytical tools that recombinant human EPO, a clinically established and neuroprotective growth factor, dampens microglial activity, as visualized also in vivo by a strongly attenuated injury-induced cellular motility
Analysis of Mathieu Equation Stable Solutions in the First Zone of Stability
No full textAbstractThe paper presents the results of a homogeneous Mathieu equation studies. Mathieu equation solutions are oscillations, modulated in amplitude and frequency. In the computational experiments we found dependences of the given oscillations on the ratio of the coefficients. These dependences are shown in graphs that can be used for an approximate estimation of the Mathieu equation solutions without integration
A cross-sectional study on the impact of herbal medicine on the prevalence of bacterial and fungal pathogens in wound infections and surgical site infections in rural Ghana
No full textThis study was performed to get a better understanding about the use of traditional herbal
medicine on wound infection in Ghana, and to analyze possible effects on wound pathogen
composition and pathogen resistance. Our results demonstrate that traditional herbal
medicine is still widely used in rural Ghana. This includes the use of medical plants described
previously, especially Alchornea cordifolia. There was a significant effect on pathogen
prevalence in wounds treated with traditional herbal medicine with regard to key bacterial
and fungal pathogens, but no general difference in pathogen distribution. Herbal medicine
products were often contaminated with bacterial and fungal pathogens, which may trigger
infection of wounds. With 94.6 %, a high prevalence of wound infections resulting from
bacterial and fungal pathogens could be determined. Although infection rates were highest
in chronic wounds, a high prevalence (24.9 %) of hospital-acquired surgical-site infections
was also demonstrated. Infected wounds were mainly of polymicrobial composition. With
more than 60 %, the majority of pathogens were gram-negative bacteria consisting of
Enterobacterales and non-fermenters. Nearly every third wound was infected with grampositive
bacteria. The majority of S. aureus was shown to produce the virulence factor PVL.
Together with the already high rates of combined fluoroquinolone and cephalosporin
resistance in most gram-negative bacterial species found in wound infections, the novel
appearance of PVL-positive MRSA and new emergence and nosocomial spread of
carbapenem-resistant A. baumannii in the study region are worrying. Anaerobic and fungal
pathogens requiring challenging polymicrobial diagnostics were detected in small numbers,
including metronidazole-resistant B. fragilis. While sequence typing has revealed new A.
baumannii strains, it can only be assumed that lack of diagnostics, improper treatment and
widely available over-the-counter antibiotics are contributing factors to the rise of new
antibiotic resistances. Together, these results emphasize the importance of permanent
availability of local microbial diagnostics and continuous surveillance of the local resistance
situation. Still not completely resolved is the precise reason for the emergence of new
antibiotic resistances. Finally, access to effective antibiotic drugs according to specific
resistance profile needs to be established.2026-03-1
Pensar las escalas para pensar las luchas: Autor: Mathieu UHEL
No full textA través de un título sugerente, “pensar las escalas para pensar las luchas”, Mathieu Uhel entreteje la construcción teórico-crítica del concepto escala, generada por la geografía radical anglosajona de finales del siglo XX, con la necesidad/utilidad práctica de la escala para concienciar las luchas sociales. El artículo cumple un doble propósito: por un lado, delinear los elementos de lectura sobre el concepto escala; y, con ello, promover la atención de esta problemática en las luchas contemporáneas. En un primer apartado, Uhel ubica las discusiones académicas en torno a la escala, como herramienta metodológica útil para comprender la complejidad de las sociedades capitalistas; en el segundo apartado, el autor avanza la exposición en torno al contexto de la dimensión escalar del imperialismo capitalista; finalmente, el autor se centra en el rol de la actividad política a escala nacional en la tensa relación entre las imposiciones del capital y la lucha social.Por meio de um título sugestivo, “pensando escalas para pensar lutas”, Mathieu Uhel entrelaça a construção teórico-crítica do conceito de escala, gerado pela geografia radical anglo-saxônica do final do século XX, com a necessidade / utilidade prática escala para aumentar a consciência das lutas sociais. O artigo tem um duplo propósito: por um lado, delinear os elementos de leitura sobre o conceito de escala; e, com isso, promover atenção a esse problema nas lutas contemporâneas. Na primeira seção, Uhel localiza as discussões acadêmicas em torno da escala, como uma ferramenta metodológica útil para compreender a complexidade das sociedades capitalistas; na segunda seção, o autor avança a exposição em torno do contexto da dimensão escalar do imperialismo capitalista; por fim, o autor enfoca o papel da atividade política em escala nacional na tensa relação entre as imposições do capital e a luta social.Mathieu Uhel\u27s suggestive title, “Thinking about scales to think about struggles”, he interweaves the theoretical-critical construction of concept scale, generated by radical Anglo-Saxon geography in the late 20th century, with it´s practical utility to social struggles. The article serves two purposes: on the one hand, Uhel locates academic discussion around scale; and, with this, he promotes attention to this problem in contemporary struggles. In the first section, Uhel locates academic discussions around scale, as a useful methodological tool to understand the complexity of capitalist societies; in the second section, the author advances the argument around the context of the scalar dimension of capitalist imperialism; finally, the author focuses on the role of political activity on a national scale in the tense relationship between the impositions of capital and the social movement
Mathieu Ichou, Les Enfants d’immigrés à l’école
No full textIt is common to hear in the fields of educational and immigration sociology that on average, the children of immigrants do not perform as well in school as children of native-born parents. Mathieu Ichou offers an innovative sociological analysis on a topic that is heavily exploited by political and media discourse, and subject to much scientific controversy. The author takes distance from the homogenized vision of a “second generation” of students who have totally failed academically, and rep..
L'impatto dell'attività tintoria sull'ambiente. Firenze alla fine del Medioevo
No full textThe author aims to examine and categorize the range of dyeings materials used in the Florentine wool and silk textile industries in the late Middle Ages, focusing mainly on those produced within the regional space in order to evaluate the impact of the Florentine dyeing activity on the natural environment and the productive landscape of the Tuscan countryside. In particular, the author establishes a line of demarcation between cultivated and uncultivated resources in order to verify which constitutes an indication of the level of industrial development of medieval textile production. This further focuses on how the transition from the exploitation of wild resources to the exploitation of cultivated resources could reflect a greater degree of economic integration between the countryside and the city and contribute to the formation of a regional economic space
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