Notes

Phenotypical and also genotypical variations amongst Leishmania (Leishmania) amazonensis isolates in which caused diverse scientific frames throughout humans as well as canines: A systematic review.
surgery following treatment with EGFR-TKIs such as afatinib in advanced lung cancer.
The biological events occurring during human digestion help to understand the mechanisms underlying the dose-response relationships of enteric bacterial pathogens. To better understand these events, we investigated the growth and reduction behaviour of bacterial pathogens in an in vitro model simulating the environment of the small intestine.

The foodborne pathogens Campylobacter jejuni, Listeria monocytogenes and Escherichia coli O157H7 were cultured with multiple competing enteric bacteria. Differences in the pathogen's growth kinetics due to the relative amount of competing enteric bacteria were investigated. These growth differences were described using a mathematical model based on Bayesian inference. When pathogenic and enteric bacteria were inoculated at 1log CFU per ml and 9log CFU per ml, respectively, L. monocytogenes was inactivated over time, while C. jejuni and E. coli O157H7survived without multiplying. However, as pathogen inocula were increased, its inhibition by enteric bacteria also decreased.

Although the growth of pathogenic species was inhibited by enteric bacteria, the pathogens still survived.

Competition experiments in a small-intestine model have enhanced understanding of the infection risk in the intestine and provide insights for evaluating dose-response relationships.
Competition experiments in a small-intestine model have enhanced understanding of the infection risk in the intestine and provide insights for evaluating dose-response relationships.
Myzus persicae has evolved resistance to various insecticides in Greece. Here we examine the effectiveness of the insecticide flupyradifurone against aphid clones collected from tobacco and peach in Greece during 2017-2020. Furthermore, we monitored the frequency of the neonicotinoid resistance mutation R81T in the sampled clones, and the association between the responses to flupyradifurone and acetamiprid.

Of 43 clones tested with flupyradifurone, 6.977%, 60.465% and 32.558% showed low (10-14), moderate (19-89) and high (104-1914) resistance factor (RF) values, respectively. Resistance was higher in clones from peach than from tobacco with 42.308% and 17.647% of clones (respectively) failing into the high RF category (median RF values 67.5 and 36.4 for clones from peach and tobacco, respectively). Acetamiprid resistance was detected in clones collected in 2019-2020, in line with our previous study in Greece. The analysis of the whole dataset (54 clones collected during 2017-2020) revealed that all tobacco clones had RF < 7.5, whereas 55.263%, 18.421% and 26.316% of the peach clones exhibited low (<12), moderate (20-48) and high (100-145) RF values, respectively. A significant but moderate association between flupyradifurone and acetamiprid responses was detected (r =0.513, P < 0.001). The R81T mutation was detected in aphids from peach (5.6% and 32.6% as homozygotes and heterozygotes, respectively) and in one aphid specimen (heterozygote) from tobacco. R81T was partially associated with the resistance to both insecticides, but many highly resistant clones did not possess the mutation, indicating the possible operation of one or more alternative underlying resistance mechanisms.

The use of flupyradifurone and acetamiprid in IPM/IRM should be based on further ongoing susceptibility monitoring.
The use of flupyradifurone and acetamiprid in IPM/IRM should be based on further ongoing susceptibility monitoring.Interactions among living beings are the structuring basis of ecosystems, and studies of networks allow us to identify the patterns and consistency of such interactions. Antagonistic networks reflect the energy flow of communities, and identifying network structure and the biological aspects that influence its stability is crucial to understanding ecosystem functioning. We used antagonistic anuran interactions-predator-prey and host-parasite-to assess structural patterns and to identify the key anuran species structuring these networks. We tested whether anuran body-size and life-habit are related to their roles in these networks. CDK inhibition We collected individuals of 9 species of anurans from an area of the Atlantic Forest in Brazil and identified their prey and helminth parasites. We used network (modularity, specialization, and nestedness) and centrality metrics (degree, closeness, and betweenness) to identify the role of anuran species in both networks. We then evaluated whether anuran body-size or life-habit were related to anuran centrality using generalized linear mixed models. The networks formed specialized interactions in compartments composed by key species from different habits. In our networks, anurans with rheophilic and cryptozoic habit are central in predator-prey networks, and those with larger body size and arboreal and cryptozoic habit in the host-parasite network. This study represents a step towards a better understanding of the influential factors that affect the structure of anuran antagonist networks, as well as to recognize the functioning roles of anuran species.Neonatal nutrient storage and supplies from breast milk contribute to nutrient status and growth of infants during their early life. This study investigated the adequacy of zinc and iron intakes among breastfed infants during the first 4 months and determined the relative importance of zinc/iron storage versus nutrient intakes with infant's biochemical status and growth. A longitudinal study followed lactating women and their breastfed infants from birth to 4 months postpartum. Cord zinc and ferritin concentrations, as indicators of nutrient storages, were determined. Zinc and iron intakes from breast milk were determined by measurement of breast milk volume together with milk zinc and iron concentrations at 2 and 4 months postpartum. Inadequacy of nutrient intakes was determined using average requirement (AR) which were 1.6 and 0.24 mg/day for zinc and iron respectively. Infant's serum zinc and ferritin were determined at 4 months of age. The data were collected from 64 and 56 participants at 2 months and 4 months postpartum. Inadequate zinc intake was found in 14.5 and 40% of infants at 2 and 4 months old, respectively. The prevalence of biochemical zinc and iron deficiency in infants were 76 and 11%, respectively. Iron endowment was significantly associated with serum ferritin at 4 months. The cumulative zinc intake was positively associated with weight gain and weight-for-length Z-score, but not length. This study provides quantitative data on zinc and iron intakes, and demonstrates the relative importance of nutrient storage versus intakes on biochemical status and growth of breastfed infants.
Tuberculosis (TB) remains the most common cause of death among people living with HIV. Integrating HIV and TB services reduces mortality but is sub-optimally implemented. Quality improvement (QI) methods offer a low-cost and easily implementable approach to strengthening healthcare delivery systems. This trial assessed a QI intervention on key process indicators for delivering integrated HIV-TB care in rural South African primary healthcare (PHC) clinics.

Sixteen nurse supervisors, (each with a cluster of clinics) overseeing 40 PHC clinics, were randomized 11 to the intervention or the standard of care (SOC) groups. The QI intervention comprised three key components clinical and QI skills training, on-site mentorship of nurse supervisors and clinic staff, and data quality improvement activities to enhance accuracy and completeness of routine clinic data. The SOC comprised monthly supervision and data feedback meetings. From 01 December 2016 to 31 December 2018, data were collected monthly by a team of stu ART initiation and VL testing remained similar. Incorporating QI methods into routine supervision and support activities may strengthen integrated HIV-TB service delivery and increase the success of future QI scale-up activities.
QI improved HIV testing and IPT initiation compared to SOC. TB screening, ART initiation and VL testing remained similar. Incorporating QI methods into routine supervision and support activities may strengthen integrated HIV-TB service delivery and increase the success of future QI scale-up activities.This article analyzes the bioethical implications of using a control/placebo group when conducting clinical trials (CTs) investigating the treatment of periodontitis. For this, the deductive method was used, proposing the interrelation of values, and a scoping systematic review was carried out. A total of 53% of the CTs reviewed were performed in low- and middle-income (LMI) countries, and 92% used a control/placebo group as a comparison group. Although there is a gold standard for the adjunctive treatment of periodontitis, the research ethics committees of most of the analyzed studies approved the use of control/placebo groups for the performance of CTs that did not explore new therapeutic alternatives. In some cases, the CT protocols were not approved by ethics committees, nor was informed consent used. In the LMI countries, a shorter period of recruitment was observed for patients who attended universities and public hospitals. Likewise, most of the CTs reviewed had public funding, a significant amount of which came from the pharmaceutical industry. Only one CT reported the low economic and educational level of its participants. Furthermore, none of the authors of the reviewed CTs declared conflicts of interest. Although the axiology of techno-science always takes into account at least the epistemic, technical and economic value systems, the hegemony of the economic values imposed by the pharmaceutical industry is evident in the performance of CTs investigating the treatment of periodontitis in LMI countries.New biomarkers are being evaluated for their ability to advance the management of patients with heart failure. Despite a large pool of interesting candidate biomarkers, besides natriuretic peptides virtually none have succeeded in being applied into the clinical setting. In this review, we examine the best emerging candidates for clinical assessment and management of patients with HF. We provide an update of the 2015 published review in this Journal. This article is protected by copyright. All rights reserved.Between 1988 and 2007, during the courses of the European School of Genetic Medicine, many of us had the opportunity to appreciate the tolerant and open-minded personality of Victor McKusick. He was gifted with a unique foresight for the innovations introduced into medicine through the development of the Human Genome Project. The aim of our separate contributions in this article is to document how his insights had an important impact on the European medical training system.Electrochemical CO 2 -to-CO conversion is an advanced technology for converting waste CO 2 and closing carbon cycle. This process was usually obstructed by large energy barriers for *COOH formation. In this study, we developed a novel tandem electrocatalyst for CO 2 -to-CO conversion comprising the single Cu site co-coordinated with N and S anchored carbon matrix (Cu-S 1 N 3 ) and atomically dispersed Cu clusters (Cu x ), denoted as Cu-S 1 N 3 /Cu x . The configuration of Cu-S 1 N 3 /Cu x was clearly confirmed by X-ray absorption near-edge structure (XANES) and extended X-ray absorption fine structure (EXAFS) analysis. The as-prepared Cu-S 1 N 3 /Cu x composite presents a 100% Faradaic efficiency towards CO generation (FE CO ) at -0.65 V vs. RHE and high FE CO over 90% from -0.55 to -0.75 V, outperforming the analogue with a Cu-N 4 coordination sphere (FE CO only 54% at -0.7 V). Experimental and density functional theory (DFT) calculations revealed that the unsymmetrical Cu-S 1 N 3 atomic interface in the carbon basal plane possesses an optimized binding energy for the key intermediate *COOH compared with Cu-N 4 site.
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