Susceptibility Studies Research Articles

Synergistic effects of Li-based ferrite and graphene oxide in microwave absorption applications

The successful fabrication of composites consisting of ferrites with a composition of Li0.4Mg0.25Zn0.25Fe2.2O4 and Graphene oxide was carried out using the ultra-sonication technique. The current study examined the impact of graphene oxide in spinel ferrite employing X-ray diffraction, dielectric, and magnetic susceptibility studies. The X-ray diffraction investigation confirmed the spinel phase formation in ferrite and graphene oxide synthesis. The measured range for the size of crystallites was found to be between 48.43 and 30.07 nm. The DC resistivity of cubic ferrite at room temperature was determined to be 1.715 ×1010 ohm-cm by a two-probe approach. Furthermore, it was observed that the resistivity fell significantly as the content of graphene oxide increased. The dielectric constant exhibited behavior consistency with the Maxwell-Wagner phenomenon of interfacial polarization. The rise in graphene oxide content in ferrite results in high AC conductivity of composites due to the relatively large value of conductivity of graphene oxide and the improved charge hopping mechanism. The magnetic susceptibility of all the samples demonstrated a progressive decline as the temperature increased, which can be attributed to the disruption of spin alignment at the Curie temperature. The observed Curie temperature of all samples was 413–473 K. Integrating spinel ferrite with Graphene oxide has significantly improved the magneto-electrical characteristics, indicating potential applications in supercapacitors, high-frequency electromagnetic devices, and microwave absorption.

Data Harmonization Guidelines to Combine Multi-platform Genomic Data from Admixed Populations and Boost Power in Genome-Wide Association Studies.

Data harmonization involves combining data from multiple independent sources and processing the data to produce one uniform dataset. Merging separate genotypes or whole-genome sequencing datasets has been proposed as a strategy to increase the statistical power of association tests by increasing the effective sample size. However, data harmonization is not a widely adopted strategy due to the difficulties with merging data (including confounding produced by batch effects and population stratification). Detailed data harmonization protocols are scarce and are often conflicting. Moreover, data harmonization protocols that accommodate samples of admixed ancestry are practically non-existent. Existing data harmonization procedures must be modified to ensure the heterogeneous ancestry of admixed individuals is incorporated into additional downstream analyses without confounding results. Here, we propose a set of guidelines for merging multi-platform genetic data from admixed samples that can be adopted by any investigator with elementary bioinformatics experience. We have applied these guidelines to aggregate 1544 tuberculosis (TB) case-control samples from six separate in-house datasets and conducted a genome-wide association study (GWAS) of TB susceptibility. The GWAS performed on the merged dataset had improved power over analyzing the datasets individually and produced summary statistics free from bias introduced by batch effects and population stratification. © 2024 Wiley Periodicals LLC. Basic Protocol 1: Processing separate datasets comprising array genotype data Alternate Protocol 1: Processing separate datasets comprising array genotype and whole-genome sequencing data Alternate Protocol 2: Performing imputation using a local reference panel Basic Protocol 2: Merging separate datasets Basic Protocol 3: Ancestry inference using ADMIXTURE and RFMix Basic Protocol 4: Batch effect correction using pseudo-case-control comparisons.

Incidence of Bacterial Uropathogens and their Antibiotic Susceptibility Pattern Isolated from Urinary Tract Infection in Female Patients

Urinary tract infection (UTI) is considered as one of the highly prevalent infections worldwide. Regarding its prevalence, UTI is more common in women. The outcome of the research is expected to predict the severity of the urinary tract infection. The study of prevalence and antibiotic susceptibility helps to provide data on the occurrence of uropathogens in different age groups and helps to treat the infection with effective antibiotics to prevent further progression of infection. The study has been carried out to identify and investigate the prevalence of uropathogens and to determine their antibiotic susceptibility potential. Overall, 713 urine samples were collected, MacConkey agar, Blood agar, CLED agar and Luria-Bertani agar were used for isolation of uropathogens by calibrated loop streak method and incubated at 37°C. Antibiotic susceptibility was carried out using the Kirby Disc diffusion method. A total of 665 showed positive bacteriuria. E. coli (37.3%) and K. pneumoniae (32.03%) were the most common uropathogens followed by E. fergusonii (17.9%), P. aeruginosa (8.4%), and A. baumannii (4.4%). The study found that above 70% of antibiotic susceptibility was observed in fluoroquinolones followed by imipenem, while all isolates showed high resistance to ampicillin. The organisms E. coli, E. fergusonii, and P. aeruginosa exhibited the least susceptibility (>50%) for third-generation cephalosporins. P. aeruginosa and A. baumannii showed no susceptibility to nitrofurantoin, whereas other isolates were least susceptible. The study concludes that K. pneumoniae and E. coli were highly prevalent within the study group and that fluoroquinolone and imipenem can be effective for treatment.

Cefiderocol for treating severe aerobic Gram-negative bacterial infections: technology evaluation to inform a novel subscription-style payment model.

To limit the use of antimicrobials without disincentivising the development of novel antimicrobials, there is interest in establishing innovative models that fund antimicrobials based on an evaluation of their value as opposed to the volumes used. The aim of this project was to evaluate the population-level health benefit of cefiderocol in the NHS in England, for the treatment of severe aerobic Gram-negative bacterial infections when used within its licensed indications. The results were used to inform the National Institute for Health and Care Excellence guidance in support of commercial discussions regarding contract value between the manufacturer and NHS England. The health benefit of cefiderocol was first derived for a series of high-value clinical scenarios. These represented uses that were expected to have a significant impact on patients' mortality risks and health-related quality of life. The clinical effectiveness of cefiderocol relative to its comparators was estimated by synthesising evidence on susceptibility of the pathogens of interest to the antimicrobials in a network meta-analysis. Patient-level costs and health outcomes of cefiderocol under various usage scenarios compared with alternative management strategies were quantified using decision modelling. Results were reported as incremental net health effects expressed in quality-adjusted life-years, which were scaled to 20-year population values using infection number forecasts based on data from Public Health England. The outcomes estimated for the high-value clinical scenarios were extrapolated to other expected uses for cefiderocol. Among Enterobacterales isolates with the metallo-beta-lactamase resistance mechanism, the base-case network meta-analysis found that cefiderocol was associated with a lower susceptibility relative to colistin (odds ratio 0.32, 95% credible intervals 0.04 to 2.47), but the result was not statistically significant. The other treatments were also associated with lower susceptibility than colistin, but the results were not statistically significant. In the metallo-beta-lactamase Pseudomonas aeruginosa base-case network meta-analysis, cefiderocol was associated with a lower susceptibility relative to colistin (odds ratio 0.44, 95% credible intervals 0.03 to 3.94), but the result was not statistically significant. The other treatments were associated with no susceptibility. In the base case, patient-level benefit of cefiderocol was between 0.02 and 0.15 quality-adjusted life-years, depending on the site of infection, the pathogen and the usage scenario. There was a high degree of uncertainty surrounding the benefits of cefiderocol across all subgroups. There was substantial uncertainty in the number of infections that are suitable for treatment with cefiderocol, so population-level results are presented for a range of scenarios for the current infection numbers, the expected increases in infections over time and rates of emergence of resistance. The population-level benefits varied substantially across the base-case scenarios, from 896 to 3559 quality-adjusted life-years over 20 years. This work has provided quantitative estimates of the value of cefiderocol within its areas of expected usage within the NHS. Given existing evidence, the estimates of the value of cefiderocol are highly uncertain. Future evaluations of antimicrobials would benefit from improvements to NHS data linkages; research to support appropriate synthesis of susceptibility studies; and application of routine data and decision modelling to assess enablement value. No registration of this study was undertaken. This award was funded by the National Institute for Health and Care Research (NIHR) Health Technology Assessment Policy Research Programme (NIHR award ref: NIHR135591), conducted through the Policy Research Unit in Economic Methods of Evaluation in Health and Social Care Interventions, PR-PRU-1217-20401, and is published in full in Health Technology Assessment; Vol. 28, No. 28. See the NIHR Funding and Awards website for further award information.

Domain-Specific Physical Activity and Stroke in Sweden

Associations of domain-specific physical activity with stroke incidence and poststroke outcomes have not been extensively studied using long-term, population-based data. To investigate associations of leisure time, work time, transport, and household physical activity with stroke incidence and death or dependency in activities of daily living (ADL) 3 months after stroke. The prospective, population-based Interplay Between Genetic Susceptibility and External Factors (INTERGENE) cohort study was conducted among a random sample of individuals from an urban-rural area covering western Sweden; 3614 individuals aged 24 to 77 years were examined in 2001 to 2004, and 1394 individuals were reexamined in 2014 to 2016. The median (range) follow-up was 20.0 years (56 days to 21.9 years). Data were analyzed from September through October 2023. Physical activity levels were self-reported for leisure time, work time, transportation, and household domains. The mean number of steps taken over a 6-day period was collected in a subgroup of participants using a sealed pedometer. Follow-up for stroke incidence and mortality rates continued until December 31, 2022. The composite outcome of death or ADL dependency was assessed at 3 months after stroke. Among 3614 individuals (mean [SD] age, 51.4 [13.1] years; 1910 female [52.9%]); 269 individuals (7.4%) developed stroke, of whom 120 individuals (44.6%) were dead or ADL dependent at 3 months. Intermediate (adjusted hazard ratio [aHR], 0.54; 95% CI, 0.38-0.77) and high (aHR, 0.47; 95% CI, 0.31-0.73) levels of leisure time physical activity were associated with a reduced incidence of stroke compared with low levels, as was an intermediate level of physical activity in transportation (aHR, 0.69; 95% CI, 0.52-0.93). High levels of leisure time physical activity were also associated with a reduced risk of poststroke death or ADL dependency (adjusted odds ratio, 0.34; 95% CI, 0.16-0.71) compared with low levels. Work time and household physical activity were not associated with stroke incidence or stroke outcomes. In exploratory subgroup analyses, there were interactions between physical activity and smoking (current smoking or smoking in the past year associated with stroke risk only in participants with low or intermediate physical activity: aHR, 2.33; 95% CI, 1.72-3.15) and family history of stroke (first-degree relative with a history of stroke associated with stroke risk only in participants with low or intermediate physical activity: aHR, 1.73; 95% CI, 1.27-2.38). In this study, leisure time and transport-related physical activities were associated with a reduced risk of stroke. A high level of leisure time physical activity was also associated with a lower risk of death or ADL dependency 3 months after stroke.

Genetic determinants of renal scarring in children with febrile UTI

BackgroundFebrile urinary tract infections (UTIs) are among the most severe bacterial infections in infants, in which a subset of patients develops complications. Identifying infants at risk of recurrent infections or kidney damage based on clinical signs is challenging. Previous observations suggest that genetic factors influence UTI outcomes and could serve as predictors of disease severity. In this study, we conducted a nationwide survey of infant genotypes to develop a strategy for infection management based on individual genetic risk. Our aims were to identify genetic susceptibility variants for renal scarring (RS) and genetic host factors predisposing to dilating vesicoureteral reflux (VUR) and recurrent UTIs.MethodsTo assess genetic susceptibility, we collected and analyzed DNA from blood using exome genotyping. Disease-associated genetic variants were identified through bioinformatics analysis, including allelic frequency tests and odds ratio calculations. Kidney involvement was defined using dimercaptosuccinic acid (DMSA) scintigraphy.ResultsIn this investigation, a cohort comprising 1087 infants presenting with their first episode of febrile UTI was included. Among this cohort, a subset of 137 infants who underwent DMSA scanning was subjected to gene association analysis. Remarkable genetic distinctions were observed between patients with RS and those exhibiting resolved kidney involvement. Notably, the genetic signature indicative of renal scarring prominently featured mitochondrial genes.ConclusionsIn this nationwide study of genetic susceptibility to RS after febrile UTIs in infancy, we identified a profile dominated by mitochondrial polymorphisms. This profile can serve as a predictor of future complications, including RS and recurrent UTIs.Graphical abstractA higher resolution version of the Graphical abstract is available as Supplementary information

First report of azole-resistant Aspergillus species in poultry feed in Kabale, South West, Uganda

Widespread use of azoles in clinical and environmental settings has favored the selection of azole-resistant Aspergillus species necessitating antifungal susceptibility studies understanding their prevalence and resistance profiles in those settings. However, there is still limited information available on these strains in Africa. The objective of this study was to assess the environmental prevalence of Azole-resistance Aspergillus strains in poultry feed in Kabale, South West Uganda. The study evaluated the susceptibility profile of Aspergillus and other fungi isolates from 10 poultry feeds across 10 different commercial outlets. Isolates were first identified using rDNA 18S genomic sequencing via ITS 1 and 2 primer combination and confirmed using Matrix-assisted laser desorption ionization time-of-flight mass spectrometry (MALDI-TOF). Seventeen fungal strains were identified of which Aspergillus flavus was the most prevalent. All Aspergillus and one Penicillium isolates were further screened for azole-resistance using azole-containing agar plates (itraconazole, voriconazole, posaconazole, isavuconazole) and fluconazole antifungal susceptibility strip method at 4 mg/L, which was the first line of treatment. Aspergillus chevalieri, A. tamari, A. flavus, P. citrinum fungi isolates showed resistance to fluconazole. The EUCAST susceptibility testing method did not show any of the isolates resistant to tested azoles (itraconazole, voriconazole, posaconazole, isavoriconazole) or amphotericin B. Overall, we found resistance to fluconazole. This study is the first investigative study of Aspergillus species in poultry feed in Kabale, South West, Uganda.

New paleomagnetic data from the sedimentary cover of the Tandilia System: Further geodynamic or geomagnetic complexities in the Late Ediacaran

Anomalous paleomagnetic data have been found worldwide during the Ediacaran period, giving rise to several non-actualistic hypothesis. In order to get more information about this period, paleomagnetic, magnetic fabric and rock magnetic studies were carried out in the Avellaneda Formation (∼570–560 Ma) from two drill cores of the Alicia quarry in the Olavarría area of the Tandilia System, in the Río de la Plata craton (Argentina). Anisotropy of magnetic susceptibility studies indicate a pre-tectonic origin for the magnetic fabric of this Formation. Rock magnetic studies suggest the presence of magnetite and hematite in different proportions as the main ferromagnetic minerals carrying the remanence. After stepwise thermal demagnetization, two different characteristic remanence directions were obtained for the same unit, one corresponding to the marls (“b1”) of the lower section of the Avellaneda Formation, and the other from the claystones (“b2”) of the upper section of this unit. These results were combined with the remanence directions obtained by Franceschinis et al. (2022) for the same unit at La Cabañita quarry, located 10 km away. This procedure allows the calculation of two paleomagnetic poles for the Avellaneda Formation. The AV1 pole is located at: 2.0° S, 311.1° E, A95: 5.0°, N: 58 while the AV2 pole is at: 3.3° N, 348.9° E, A95: 11.7°, N: 7. These results confirms that the Rio de la Plata craton also presents anomalous paleomagnetic data during the Ediacaran, implying extremely fast movements in very short periods of time. This can be interpreted as evidence of two inertial interchange true polar wander events during this time, as was already proposed by other authors. An alternative possibility suggests a non-actualistic behaviour of the Earth Magnetic Field, switching from axial to equatorial positions, with an intermediate stable position between them. The likelihood and implications of these two hypotheses is discussed.

Assessing the antimicrobial and cytotoxic activities of VO(IV), Cr(III), Cu(II)-metformin-schiff-base's complexes enhanced by gold nanoparticles

A new series of VO(IV), Cr(III), and Cu(II) complexes have been synthesized by condensation of metformin with β-diketones (acetylacetone, benzoylacetone, dibenzoylmethane) in the presence of metal salts. The elemental analysis, magnetic susceptibility, conductivity assessments, Infra-Red, UV–visible spectroscopy measurements, SEM, XRD, ESR, GCMS–, DTA, and DTG were used to characterize the novel compounds. The results show that every complex has a metal: ligand ratio of 1:1. The complexes exhibit distorted tetrahedral structural geometry for Cu(II), square pyramidal and octahedral geometry for VO(IV), and octahedral geometry for Cr(III), according to their electronic absorption spectra and magnetic susceptibility studies. Using the computer program Expo2014, crystallographic parameters were estimated for the complexes. The outcomes show that every complex has triclinic crystal structures with the space group P-1, apart from complex [VOL1OSO3], which has a monoclinic structure with the P 1 2 1 space group. In contrast to the complex [VOL1OSO3], which includes monodentate sulfate, conductivity data, XRD, EDX, and GC–MS verified the purity and composition of the compounds being studied. IR data showed that the complexes Na.[VOL2O2SO2] and Na.[VOL3O2SO2] has bidentate chelating sulfate ion. TG, DTG, and DTA have all been used to investigate the complexes' thermal stabilities. Some Schiff-base metformin complexes under investigation had their biological activity evaluated both with and without the addition of AuNPs. Various bacteria and harmful fungi strains have been used to screen the antimicrobial activity. The findings indicate that only copper-loaded Schiff base complexes on AuNPs gave promising results versus Staphylococcus aureus, Escherichia coli, Salmonella, and Candida albicans. On human cell lines of breast cancer (MCF7) and cancer of the human liver (HEPG2), in vitro cytotoxic activity was tested. Results showed that vanadium benzoylacetone doped with gold nanoparticles, with an IC50 value of 7 µg/ml against the HEPG2 cell line and 9.8 against MCF7 has the most effective cytotoxic effect.

A genome-wide association study of susceptibility to upper urinary tract infections.

Our goal was to identify genetic and modifiable risk factors for upper urinary tract infections (UTIs). We used data from UK Biobank, The Trøndelag Health Study (HUNT), and Michigan Genomics Initiative (MGI) to conduct genome-wide association studies (GWASs) and sex-stratified analyses on upper UTI. Mendelian randomization (MR) analyses were conducted to examine potential causal relationships between cardiometabolic risk factors and upper UTIs. One genome-wide significant (P ≤ 5E-08) locus was associated with the susceptibility to upper UTI, located near TSN in the female-only analysis. Additionally, we identified suggestive (P ≤ 5E-06) loci near DNAI3 for the females, SCAMP1-AS1 for the males, and near TSN, LINC00603, and HLA-DQA2 for both sexes. In MR analyses, higher genetically predicted lifetime smoking scores were associated with an increased risk of developing upper UTI for females and both sexes (OR of 4.84, P = 4.50E-06 and OR of 2.79, P = 3.02E-05, respectively). We found that genetic variants near TSN was associated with the risk of upper UTIs among females. In addition, we found several genetic loci with suggestive associations with the risk of upper UTIs. Finally, MR analyses found smoking to be a potential causal risk factor for upper UTIs.

Multivariate analysis applied to X-ray fluorescence to assess soil contamination pathways: case studies of mass magnetic susceptibility in soils near abandoned coal and W/Sn mines

Determining the origin and pathways of contaminants in the natural environment is key to informing any mitigation process. The mass magnetic susceptibility of soils allows a rapid method to measure the concentration of magnetic minerals, derived from anthropogenic activities such as mining or industrial processes, i.e., smelting metals (technogenic origin), or from the local bedrock (of geogenic origin). This is especially effective when combined with rapid geochemical analyses of soils. The use of multivariate analysis (MVA) elucidates complex multiple-component relationships between soil geochemistry and magnetic susceptibility. In the case of soil mining sites, X-ray fluorescence (XRF) spectroscopic data of soils contaminated by mine waste shows statistically significant relationships between magnetic susceptibility and some base metal species (e.g., Fe, Pb, Zn, etc.). Here, we show how qualitative and quantitative MVA methodologies can be used to assess soil contamination pathways using mass magnetic susceptibility and XRF spectra of soils near abandoned coal and W/Sn mines (NW Portugal). Principal component analysis (PCA) showed how the first two primary components (PC-1 + PC-2) explained 94% of the sample variability, grouped them according to their geochemistry and magnetic susceptibility in to geogenic and technogenic groups. Regression analyses showed a strong positive correlation (R2 > 0.95) between soil geochemistry and magnetic properties at the local scale. These parameters provided an insight into the multi-element variables that control magnetic susceptibility and indicated the possibility of efficient assessment of potentially contaminated sites through mass-specific soil magnetism.

Comparison of fidaxomicin, metronidazole and vancomycin for initial episode and recurrence of Clostridioides difficile infection - An observational cohort study

ObjectivesThe main aim of this study was to compare the clinical outcomes of patients attended in our area with Clostridioides difficile infection (CDI) (sustained cure, recurrence or death) in relation to treatment to normal or hypervirulent C. difficile as a risk factor and to describe the resistance profile to metronidazole and vancomycin antibiotics in our hospital over a one-year period. MethodsA retrospective, cross-sectional and observational study was conducted between June 2022 and June 2023 to compare the clinical cure and/or recurrence of CDI in adult patients treated in a Spanish secondary Hospital depending on the prescribed antibiotic treatment. In addition, we performed an antimicrobial susceptibility study to vancomycin and metronidazole in all C. difficile isolated in bacterial culture. ResultsOut of 194 selected patients the treatments were as follow: 43.81 % vancomycin, 21.65 % metronidazole, 8.25 % a combination of both, 6.70 % fidaxomicin and 19.59 % were untreated. Vancomycin and fidaxomicin patients had higher odds ratio of prolonged hospitalization (p = 0.041 and p = 0.040, respectively). Fidaxomicin had increased odds of suffering another episode of C. difficile (p = 0.009) and it was inferior to metronidazole for recurrent CDI (rCDI) (p = 0.035).Resistance profile for C. difficile was 4.07 % for vancomycin and 3.49 % for metronidazole. Hypervirulent C. difficile was identified in 17 (8.76 %) patients with 29.41 % of mortality (5/17; p > 0.05). ConclusionFidaxomicin treated patients had statistically increased odds of rCDI. Compared to other treatments, fidaxomicin was inferior to metronidazole for rCDI in our cohort;Hypervirulent C. difficile was not associated with death.Vancomycin resistance of C. difficile statistically decreased, whereas metronidazole resistance did not vary during the studied period.

New quaternary eutectic Al-Cu-Ca-Si system for designing precipitation hardening alloys

The aluminum corner of the previously unexplored quaternary eutectic Al-Cu-Ca-Si system promising for the design of new heat treatable alloys have been studied using thermodynamic modeling and experimental techniques. The experimental data have revealed the presence in equilibrium of a previously undescribed quaternary compound identified as a strict stoichiometric Al2CaSiCu phase with a tetragonal I4/mmm structure (Pearson symbol: tI10) and the lattice parameters a = 4.04 Å and c = 11.00 Å. The phase has a density of 3.36 g/cm3 and a microhardness of 335 Hv. In accordance with the suggested structure of the phase diagram, its region that can be promising for the design of heat treatable alloys contains three (Al)+Al2Cu+Al2CaSiCu, (Al)+Al2Si2Ca+Al2CaSiCu and (Al)+Al2Cu+Al2Si2Ca quasi-ternary sections and two (Al)+Al2Cu+Al2Si2Ca+Al2CaSiCu and (Al)+Al2Cu+Al2CaSiCu+Si four-phase fields. Analysis of the precipitation hardening response for the new quaternary Al-5 wt%Cu-Ca-Si alloys suggests that it is not inferior (the obtained peak hardness is ∼125 Hv) to that for the alloys Al-5 wt% Cu (∼120 Hv) and Al-4 wt%Si-5 wt%Cu (∼125 Hv) based on the conventionally used systems. However, to obtain noticeable hardening at aging, the content of silicon should be at least 1.1–1.2 times higher than that of calcium. A comparative hot tearing susceptibility (HTS) study revealed that the new heat treatable Al-5 wt%Cu-Ca-Si alloys have higher hot tearing resistances (HTS ∼16 mm according to a pencil probe) than that of the Al-5 wt%Cu base alloy (HTS >16 mm).

Resistance Rates of Mycobacterium tuberculosis Complex Isolates to Primary Anti-tuberculosis Drugs: A 5-Year Retrospective Study

Background/Aim: Tuberculosis remains a major global health problem with a high morbidity and mortality rate, approximately a quarter of the population is infected with tuberculosis. Drug susceptibility testing is an essential tool for identifying and managing drug-resistant tuberculosis. This study was conducted to evaluate the drug susceptibility pattern of Mycobacterium tuberculosis complex strains isolated from a university hospital. Methods: A total of 10900 samples sent to the microbiology laboratory with the suspicion of tuberculosis clinically between January 2018 and January 2022 were analyzed retrospectively. The automated BACTEC MGIT 960 (Becton Dickinson, USA) was used for sample culture and susceptibility testing. The obtained data were statistically analyzed with the Statistical Package for Social Sciences (SPSS version 20). Results: Out of the 154 isolated positive samples, males and females constituted equal parts of the study population (50%). The majority of tuberculosis cases were in the age group 56–75 years (42.2%), Pulmonary TB was detected in (90.3%) of the patients, while extrapulmonary TB cases were observed in (9.7%). As a result of susceptibility studies on positive samples, isoniazid resistance was 5.2%; streptomycin resistance 1.3%; ethambutol resistance was detected at a rate of 0.6%, while no rifampicin resistant sample was found. Both streptomycin and isoniazid resistance were seen together in 1.3% of the samples. Conclusion: A similar resistance pattern of the first-line antituberculosis drugs was observed in other studies conducted in different provinces of Turkey. The absence of multi-drug resistant and extensively drug-resistant tuberculosis in our study indicates that the tuberculosis surveillance program implemented in our region was successful.

Determining the Effects of Zero-Field Splitting and Magnetic Exchange in Dimeric Europium(II) Complexes.

Related BAP [BAP = bis(acyl)phosphide] and Acac (Acac = β-diketonate) molecules perform as robust supports for both lanthanide and actinide metals. Here, a molecular bimetallic Eu2+ complex was successfully targeted and isolated by employing sodium bis(mesitoyl)phosphide [Na(mesBAP)] in a salt metathesis with EuI2, producing [Eu(mesBAP)2(et2o)]2 (et2o = metal-coordinated diethyl ether). The corresponding Acac-Eu2+ complex was targeted using mesAcac- (1,3-dimesityl-1,3-propanedione), generating [Eu(mesAcac)2(et2o)]2. Both complexes were characterized by single-crystal X-ray diffraction, UV-vis, IR, and NMR spectroscopies, and variable-temperature magnetic susceptibility. [Eu(mesBAP)2(et2o)]2 was persistent under anaerobic, anhydrous conditions, whereas the analogous [Eu(mesAcac)2(et2o)]2 showed evidence of decomposition under identical conditions. Variable-temperature magnetic susceptibility and magnetization studies of [Eu(mesBAP)2(et2o)]2 and [Eu(mesAcac)2(et2o)]2 were performed, resulting in similar magnetic exchange coupling values of Jex = -0.018 and -0.023 cm-1 and axial zero-field-splitting D values of -0.38 and -0.51 cm-1, respectively.

Investigation of the Antibacterial Synergistic Activity of Fosfomycin-Teicoplanin Combination in Methicillin-Resistant Staphylococcus aureus Strains Isolated from Various Clinical Sample

The aim of this study was to investigate the detection of teicoplanin and fosfomycin antibiotic susceptibility of methicillin-resistant Staphylococcus aureus (MRSA) strains by different methods and to evaluate the antibacterial synergistic effect of teicoplanin-fosfomycin combination by using checkerboard assay and time kill curve assay. Forty-five MRSA strains isolated from clinical samples in routine medical microbiology laboratory of Göztepe Prof. Dr. Süleyman Yalçın City Hospital were included in the study. In the first stage of the combination study, minimum inhibitory concentrations (MIC) were investigated by broth microdilution for teicoplanin and by both broth microdilution and agar dilution methods for fosfomycin. The combination of teicoplanin and fosfomycin was tested by the checkerboard method in 45 MRSA strains and combination effect was determined according to fractional inhibitory concentration index (ΣFIC) calculation. The synergistic effect and bactericidal activity of antibiotic combination were studied against a randomly selected strain from the strains used in the study by using time-kill method for 24 hours. As a result of teicoplanin and fosfomycin antibiotic susceptibility studies, all isolates were found to be susceptible to both antibiotics according to the susceptibility breakpoints determined by the European Committee on Antimicrobial Susceptibility Testing (EUCAST). A synergistic effect was found in 22 (49%), additive effect in 22 (49%) and indifferent effect in one (2%) of the 45 strains studied with the checkerboard method. The mean ΣFIC of 45 isolates was found to be 0.5. In the combination study of the antibiotics of the isolate that was studied with time-kill method, synergism was detected for 1/8 MIC concentrations at 12th hour and 24th hour and synergism at 1/4 MIC concentration at sixth hour, 12th hour and 24th hour. In the combination study of 1/4 MIC concentrations of antibiotics, bactericidal effect was detected at sixth hour and this effect was observed to disappear at 12th and 24th hours. High rate of synergistic antibacterial effect of teicoplanin-fosfomycin combination on MRSA isolates was demonstrated as a result of in vitro tests. Such studies conducted on antibiotic-resistant bacterial infections will provide clinicians different treatment options and will contribute to increasing survival. As a result of this study, provided that it is supported by future clinical studies, it can be stated that the teicoplanin-fosfomycin combination may be an effective treatment option in community and hospital-acquired infections caused by MRSA.

Targeting sinonasal undifferentiated carcinoma with a combinatory immunotherapy approach

PurposeSinonasal undifferentiated carcinoma (SNUC) is a rare, aggressive malignancy of the sinonasal cavity with poor prognosis and limited treatment options. To investigate the potential for SNUC sensitivity to combinatory immunotherapy, we performed in vitro studies with SNUC cell lines and used multi-spectral immunofluorescence to characterize the in vivo patient SNUC tumor immune microenvironment (TIME). Experimental designHuman-derived SNUC cell lines were used for in vitro studies of tumor cell susceptibility to natural killer (NK) cell-based immunotherapeutic strategies. Tumor samples from 14 treatment naïve SNUC patients were examined via multi-spectral immunofluorescence and clinical correlations assessed. ResultsAnti-PD-L1 blockade enhanced NK cell lysis of SNUC cell lines ∼5.4 fold (P ≤ 0.0001). This effect was blocked by a CD16 neutralizing antibody demonstrating activity through an antibody-dependent cellular cytotoxicity (ADCC) mediated pathway. ADCC-dependent lysis of SNUC cells was further enhanced by upregulation of PD-L1 on tumor cells by exogenous interferon-gamma (IFN-γ) administration or interleukin-15 (IL-15) stimulated IFN-γ release from NK cells. Combination treatment with anti-PD-L1 blockade and IL-15 superagonism enhanced NK-cell killing of SNUC cells 9.6-fold (P ≤ 0.0001). Untreated SNUC patient tumor samples were found to have an NK cell infiltrate and PD-L1+ tumor cells at a median of 5.4 cells per mm2. A striking 55.7-fold increase in CKlow tumor cell/NK cell interactions was observed in patients without disease recurrence after treatment (P = 0.022). Patients with higher CD3+CD8+ in the stroma had a significantly improved 5-year overall survival (P = 0.0029) and a significant increase in CKlow tumor cell/CD8+ cytotoxic T cell interactions was noted in long-term survivors (P = 0.0225). ConclusionThese data provide the pre-clinical rationale for ongoing investigation into combinatory immunotherapy approaches for SNUC.

Fe2−xCuxSnS4: Synthesis, structure and magnetic properties of a series of disordered spinels

Quaternary chalcogenides of compositions Fe2−xCuxSnS4 (x = 0.3, 0.4, 0.5, 0.6, 0.7) were synthesized at high temperature, 800 °C, in a sealed silica tube. All the compounds crystallized in the spinel structure type with cubic Fd−3 m space group. Both magnetic and nonmagnetic ions are disordered in these compounds with Fe/Sn occupies half of the octahedral voids while Fe/Cu occupies 1/8th of the tetrahedral voids as obtained from the Rietveld refinement of powder X-ray diffraction data. XPS study indicates that Fe exists in both +2 and + 3 oxidation states while Cu, Sn and S adopt +1, +4 and −2 oxidation states, respectively. Magnetic susceptibility study suggests ferrimagnetic like ordering in Fe1.6Cu0.4SnS4 below 230 K and the ordering temperature gradually decreases from 230 K to about 120 K with increase in Cu substitution. As the amount of Cu(I) increases in Fe2−xCuxSnS4, the percentage of Fe(III) increases to balance the charge. The magnetocaloric properties of polycrystalline Fe1.6Cu0.4SnS4 has been studied for their potential applications as magnetic refrigerant at cryogenic temperatures. With an applied magnetic field of 5 T, the maximum value of magnetic entropy change was found to be (Δ Sm) 0.4 Jkg−1K−1 with a relative cooling power (RCP) of 7 J kg−1. These values are very similar to the literature reported values for Fe based compounds. Further, manipulation at the Fe site may lead to enhancement of magnetocaloric effect for practical applications.

POLE -related gene signature predicts prognosis, immune feature, and drug therapy in human endometrioid carcinoma

The POLE subtype of Endometrial carcinoma (EC) is linked to a favourable prognosis in the molecular classification. We proposed to ascertain the potential connection between the POLE subtype and improved prognosis. In order to forecast the prognosis, least absolute shrinkage and selection operator (LASSO) Cox regression analysis and weighted gene co-expression network analysis (WGCNA) were employed, and a POLE-related risk signature (PRS) model was developed and validated. Single-sample gene set enrichment analysis (ssGSEA) with the "GSVA" package was employed to analyse immunity characteristics. Drug susceptibility studies were conducted to compare the half-maximal inhibitory concentration (IC50) of medicines between high- and low-risk groups. The PRS model was generated employing the LASSO Cox regression coefficients of the ELF1, MMADHC, andAL021707.6 genes. Our study demonstrated that the risk score was linked to tumour stage, grade, and survival. Furthermore, the low-risk group possessed elevated levels of gene expression connected with immunological checkpoints and HLA. Our outcomes emerged that the PRS model might have value in identifying patients with a good prognosis and in facilitating personalised treatment in the clinic.

Encrusted Pyelitis Secondary to Corynebacterium urealyticum Infection: A Rare and Serious Complication

Retrospective cohort study of patients older than 18 years with positive urine cultures for C. urealyticumin the Laboratory of the Microbiology of the UC Health Network - CHRISTUS, between 2017 and 2020. 6 positive urine cultures were obtained, corresponding to 5 patients. One case presented as encrusted pyelitis, with an associated reinfection, one case as lower urinary tract infection, and three as asymptomatic bacteriuria. All patients had some relevant risk factor. All patients presented urine tests with triple phosphate crystals and alkaline pH between 7.5 and 9.0. Patients with positive urine cultures for C. urelyticum represent a low percentage of all agents isolated from urine cultures. Although it may be asymptomatic, the development of encrusted pyelitis is a possible manifestation associated with an extended hospital stay. Urinalysis with alkaline pH and the presence of triple phosphate crystals is characteristic. More extensive clinical series and antibiotic susceptibility studies are necessary for a more standardized management of these patients. Finally, the authors' key lesson is remembering how unusual bacteria, such as C. urealyticum, can cause serious complications secondary to their phytopathogenic mechanism of urine alkalinization.