Digital Commons Network^™

Pandemic Lockdown Must Fail: Save Lives Without Crippling The Economy, Larry Hirschhorn, Phd

School of Continuing and Professional Studies Coronavirus Papers

In the following working paper, I want to make a plea for what I am calling a “reverse quarantine”—quarantining people who are over 65 (who number 52 million), before they get sick. We need to complement this policy with federally funded and locally organized efforts to support seniors in place, drawing on the wellsprings of American pragmatism, the capacity to respond in emergencies, American volunteerism, and neighbor-to-neighbor assistance. We can’t turn quarantine into imprisonment. We must work as hard as we can to create a psychological sense of community at a moment when, paradoxically, social distancing is driving us apart. …

Your Natural Gas Is Not Cyber-Secure: A Two-Fold Case For Why Voluntary Natural Gas Pipeline Cybersecurity Guidelines Should Become Mandatory Regulations Overseen By The Department Of Energy, Madeline A. Labovitz

North Carolina Journal of Law & Technology

In the past two decades, the United States has increased the production and use of natural gas to fuel every day American life. This increase has resulted in the construction of millions of miles of natural gas pipelines. While this development has produced a number of benefits, natural gas pipelines have introduced the threat of cyberattacks on natural gas infrastructure. This substantial threat is currently managed by voluntary guidelines promulgated by the Transportation Security Administration (“TSA”). While the private industry is satisfied to maintain the status quo and leave these threats essentially self-regulated, voluntary guidelines are not sufficient to defend …

Roli I Infermierit Në Trajtimin E Pacientëve Nga Abcesi I Trurit, Mollëza Kamberi

Theses and Dissertations

Abcesi i trurit (BA) përcaktohet si një infeksion fokal brenda parenkimës së trurit, e cila fillon si një zonë e lokalizuar e cerebritit, e cila më pas shndërrohet në një koleksion qelbi brenda një kapsulë të vaskuluar mirë. BA duhet të jetë e diferencuar nga infeksionet duke përfshirë abscesin epidural dhe subdural. BA është një sfidë për neurokirurgun sepse kërkon aftësi të mira klinike, farmakologjike dhe kirurgjike për të siguruar rezultate të mira klinike dhe prognozë për pacientët me BA. E konsideruar si një infeksion i rrallë i trurit, BA mund të ishte një entitet shkatërrues që e la me …

World Experts And Funders Set Priorities For Covid-19 Research

Saudi Medical Journal

No abstract provided.

Donning And Doffing Ppe: Reducing Self Contamination, Holly Barrett Bsn, Rn, Lauren Mcdermott Bsn, Rn, Sarah Quigley Bsn, Rn

Vizient/ AACN Nurse Residency Program™ EBP Projects

No abstract provided.

The Effect Of Aeration Rate And Free-Floating Carrier Media On The Emission Of Bacillus Globigii In Bioaerosols, Andrew J. Owens

Theses and Dissertations

Aerosols produced by turbulent mechanical mixing and bubble aeration at Waste Water Treatment Plants (WWTPs) become bioaerosols with the entrainment of biological materials. Bioaerosols become a public health risk when human pathogens are present. This study evaluated bioaerosols containing Bacillus globigii (BG) spores, and the effects that aeration rate and the addition of Free-Floating Carrier Media (FFCM) had on the amount of BG spores collected following aerosolization. A series of laboratory-scale experiments investigated two different sizes of floating polystyrene spheres as FFCM and four different aeration rates. When the differences in compared aeration rates were sufficiently large, a positive correlation …

March 2020 News Releases, University Of Montana--Missoula. Office Of University Relations

University of Montana News Releases, 1928, 1956-present

No abstract provided.

Microbiological Evaluation Of Osteomyelitis With A Special Reference To Antibiotic Sensitivity Pattern Of Isolates From A Tertiary Care Hospital, Barnini Banerjee, Smitha S. Bhat, Chiranjay Mukhopadhyay, Anil K. Bhat

Open Access archive

Epidemiological change in osteomyelitis had been observed for the past few years with a significant rise of chronic osteomyelitis by multidrug-resistant organisms (MDROs). It complicates antibiotic selection, and if not managed adequately, it results in amputation, sepsis, or death. This study was conducted for one year in a tertiary care hospital to identify the etiological agents and their response to antibiotics for the development of adequate management policy of osteomyelitis. Fifty seven patients were analysed, & the variables examined include epidemiological characteristics, risk factors, radiographic changes, histopathological features. Etiological agents were identified, and antimicrobial susceptibility testing was performed by an …

Sumoylation In Human Pathogenic Fungi: Role In Physiology And Virulence, Mahima Sagar Sahu, Sandip Patra, Kundan Kumar, Rupinder Kaur

Open Access archive

The small ubiquitin-related modifier (SUMO) protein is an important component of the post-translational protein modification systems in eukaryotic cells. It is known to modify hundreds of proteins involved in diverse cellular processes, ranging from nuclear pore dynamics to signal transduction pathways. Owing to its reversible nature, the SUMO-conjugation of proteins (SUMOylation) holds a prominent place among mechanisms that regulate the functions of a wide array of cellular proteins. The dysfunctional SUMOylation system has been associated with many human diseases, including neurodegenerative and autoimmune disorders. Furthermore, the non-pathogenic yeast Saccharomyces cerevisiae has served as an excellent model to advance our understanding …

Anti-Stress, Glial-And Neuro-Differentiation Potential Of Resveratrol: Characterization By Cellular, Biochemical And Imaging Assays, Sajal Afzal, Sukant Garg, Divya Adiga, Yoshiyuki Ishida

Open Access archive

Environmental stress, exhaustive industrialization and the use of chemicals in our daily lives contribute to increasing incidence of cancer and other pathologies. Although the cancer treatment has revolutionized in last 2–3 decades, shortcomings such as (i) extremely high cost of treatment, (ii) poor availability of drugs, (iii) severe side effects and (iv) emergence of drug resistance have prioritized the need of developing alternate natural, economic and welfare (NEW) therapeutics reagents. Identification and characterization of such anti-stress NEW drugs that not only limit the growth of cancer cells but also reprogram them to perform their specific functions are highly desired. We …

Electronic Image Detectability Under Varying Illumination Conditions, Jeremy J. Miller

Theses and Dissertations

Light in the built environment plays an essential role in the vision and the health of humans through non-visual receptors in the eyes. Unfortunately, image analysts and other Air Force personnel who engage in the detection of objects on softcopy displays are often required to work in very dimly-lit or dark environments as higher illumination reduces the contrast of displayed information. Literature has shown that increases in light exposure improves circadian rhythm entrainment and reduces the negative health consequences of insufficient lighting. This research examines the effects of indoor lighting to determine if increases in ambient illumination or changes to …

Screening For Hepatitis C Virus Infection In Adolescents And Adults: Updated Evidence Report And Systematic Review For The Us Preventive Services Task Force, Roger Chou, Tracy Dana, Rongwei Fu, Bernadette Zahker, Jesse Wagner, Shaun Ramirez, Sara Grusing, Janice H. Jou

OHSU-PSU School of Public Health Faculty Publications and Presentations

IMPORTANCE: A 2013 review for the US Preventive Services Task Force (USPSTF) of hepatitis C virus (HCV) screening found interferon-based antiviral therapy associated with increased likelihood of sustained virologic response (SVR) and an association between achieving an SVR and improved clinical outcomes. New direct-acting antiviral (DAA) regimens are available.

OBJECTIVE: To update the 2013 review on HCV screening to inform the USPSTF.

DATA SOURCES: Ovid MEDLINE, the Cochrane Central Register of Controlled Trials, and the Cochrane Database of Systematic Reviews through February 2019, with surveillance through September 2019.

STUDY SELECTION: Randomized clinical trials (RCTs) and nonrandomized treatment studies of HCV …

Chikungunya Encephalitis: Usual Presentation At An Unusual Time. A Case Report, Muhammad Owais Hashmat, Dureshahwar Kanwar, Iffat Khanum Khanum

Pakistan Journal of Neurological Sciences (PJNS)

CHIK is an arboviral infection caused by chikungunya virus transmitted by Aedes mosquito worldwide. It usually manifests as a self-limiting acute febrile illness with rash, body ache and severe polyarthralgia; in some patients, symptoms persist up to months or even years. Neurological manifestations are relatively uncommon. In recent years Pakistan and other South East Asian countries have been hit several times by its epidemics1. We report a case of a middle-aged male who presented in our hospital with acute febrile illness along with neurological manifestations. Extensive laboratory investigations were done and he was diagnosed with seropositive CHIKV. He was treated …

Role Of Clarithromycin In Ventilator-Associated Pneumonia Care Bundle In The Prevention Of Ventilator-Associated Pneumonia, Ashraf A. H. Mahmoud, Wael A. E. El Hakeem

Journal of Medicine in Scientific Research

Objective The purpose of this study was to assess the efficacy of the addition of clarithromycin to the ventilator care bundle to help in the prevention of ventilator-associated pneumonia (VAP). Patients and methods Eighty patients of more than 18 years, on a mechanical ventilator for less than 48 h, expected length of stay in the ICU for more than 48 h, with no clinical and radiographic evidence of pneumonia were enrolled in a double-blind comparative study. The patients were randomized to one of the two groups: group A (n = 40) where the patients received clarithromycin (through the Ryle …

The Gut Microbiota Of A Wild American Black Bear (Ursus Americanus) Population, Sierra Gillman

All NMU Master's Theses

The gut microbiome (GMB), the mutualistic microbial communities located in the gastrointestinal tract (GIT), has co-evolved in vertebrates to perform micro-ecosystem services to facilitate physiological functions. Despite the key role of the GMB in host health, wildlife managers have been slow to consider the ramifications of anthropogenic pressures to wildlife-GMB diversity. For example, although diet is one of the most influential determinants of a host’s GMB, many wildlife agencies allow baiting with human-provisioned foods to facilitate the harvest of wildlife such as American black bear (Ursus americanus). Additionally, much of our knowledge of wildlife-GMB relationships is based on …

Effects Of Inactivated Mycobacterium Bovis Vaccination On Molokai-Origin Wild Pigs Experimentally Infected With Virulent M. Bovis, Pauline Nol, Morgan Wehte, Richard A. Bowen, Suelee Robbe-Austerman, Tyler Thacker, Kristina Lantz, Jack Rhyan, Laurie A. Baeten, Ramón A. Juste, Iker A. Sevilla, Christian Gortazar, Joaquín Vicente

United States Department of Agriculture Wildlife Services: Staff Publications

The wild pig population on Molokai, Hawaii, USA is a possible reservoir for bovine tuberculosis, caused by Mycobacterium bovis, and has been implicated in decades past as the source of disease for the island’s domestic cattle. Heat-inactivated vaccines have been effective for reducing disease prevalence in wild boar in Spain and could prove useful for managing M. bovis in Molokai wild pigs. We designed an experiment to test this vaccine in wild pigs of Molokai genetics. Fifteen 3–4-month-old pigs were orally administered 10⁶–10⁷ colony forming units (cfu) of heat-inactivated M. bovis (Vaccinates; n = 8; 0.2 …

Prevalence, Molecular CاHaracterization, Virulotyping, And Antibiotic Resistance Of Motile Aeromonads Isolated From Nile Tilapia Farms At Northern Egypt, Mona Salem, Eman Zharan, Rawia Saad, Viola Zaki

Mansoura Veterinary Medical Journal

Objective: This study was aimed to survey Aeromonas spp associated with cultured Nile tilapia Oreochromis niloticus (O. niloticus) showing signs of motile Aeromonas septicemia (MAS) at different fish farms; molecular characterization and identification of test isolates; and to test the isolates for their antimicrobial and virulence activities that contribute to its pathogenesis. Design: Observational study. Animals: 280 Nile tilapia. Procedures: Clinically diseased 280 Nile tilapia, were collected from different localities at Kafr El-Sheik and Dakahlia governorates. The clinical picture and gross lesions were recorded. Aeromonas spp were isolated and presumptively identified using API20E. The identification was confirmed using PCR. Hemolysin …

Coalition For Prisoners' Rights Newsletter, Vol 45-B, No. 3, Coalition For Prisoners' Rights

Coalition for Prisoners' Rights Newsletters

Support to do the Right Thing in this Crisis Time

Coronavirus en las Cárceles

Helpful to Know About Coronavirus

The Symptoms

Who To Accelerate Research And Innovation For New Coronavirus

Saudi Medical Journal

No abstract provided.

Characterization Of Proteus Species Inhibition Of Pseudomonas Aeruginosa’S Quorum Sensing Molecule Pyocyanin, Grayson Wright

Undergraduate Honors Theses

The identification of antimicrobial compounds that inhibit multidrug-resistant (MDR) bacteria continues to be a significant area of research to combat the public health threat posed by MDRs. Pseudomonas aeruginosa is a Gram-negative, MDR bacterium found within both the environment and healthcare settings. Our laboratory has observed another Gram-negative bacterium, Proteus species, exerts an interesting polymicrobial interaction with Pseudomonas aeruginosa by potentially compromising the quorum sensing (QS) factor, pyocyanin, of Pseudomonas aeruginosa. Production of pyocyanin by Pseudomonas is the main method the bacterium uses for communication and coordination of virulence. In this study, we examined the effectiveness of Proteus mirabilis and …

Post Tuberculosis Treatment Infectious Complications, Desmond Hsu, Muhammad Irfan, Kauser Jabeen, Nousheen Iqbal, Rumina Hasan, Giovanni Battista Migliori, Alimuddin Zumla, Dina Visca, Rosella Centis, Simon Tiberi

Department of Pathology and Laboratory Medicine

Following greater attention and follow-up of patients with treated pulmonary tuberculosis (TB), it has emerged that infections are more likely to occur in this cohort of patients. This comes as no surprise, as pulmonary TB is a destructive process that leads to cicatrization, alteration of parenchyma, bronchiectasis, and scarring of the lung, with reduction of lung volumes and an impact on pulmonary function. In addition to relapse and re-infection with TB, other pathogens are increasingly recognized in post-TB patients. This paper serves as a summary and guide on how to approach the post-TB patient with new signs and symptoms of …

Non-Tuberculous Mycobacterial Infections-A Neglected And Emerging Problem, Imran Ahmed, Simon Tiberi, Joveria Farooqi, Kauser Jabeen, Dorothy Yeboah-Manu, Giovanni Battista Migliori, Rumina Hasan

Department of Pathology and Laboratory Medicine

Non-tuberculous mycobacteria (NTM) are ubiquitous dwellers of environmental niches and are an established cause of natural and nosocomial infections. The incidence of NTM infections is rising owing to a growing population of immunocompromised and vulnerable individuals, complex medical and surgical procedures, as well as increased awareness and diagnostic capabilities. The prevalence of different NTM varies between continents, regions, and countries. The true global burden of pulmonary and extrapulmonary disease is unknown and estimates are subject to under and/or over-estimation. Diagnosis requires confirmation by isolation of NTM along with clinical and radiological criteria, which may be suboptimal at all levels. Susceptibility …

Rrh Library Newsletter, March 2020, Libraries At Rochester Regional Health

Rochester Regional Health authored publications and proceedings

Newsletter sections include: Stress and Public Health Emergencies; Self-Care Sessions -- Relax with a Therapy Dog!

Microbiome Restoration By Rbx2660 Does Not Preclude Recurrence Of Multidrug-Resistant Urinary Tract Infection Following Subsequent Antibiotic Exposure: A Case Report, Eric C. Keen, Preston Tasoff, Tiffany Hink, Kimberly A. Reske, Carey-Ann D. Burnham, Gautam Dantas, Jennie H. Kwon, Erik R. Dubberke

Open Access Publications

A 62-year-old woman received RBX2660, an investigational microbiome restoration therapeutic, for recurrent multidrug-resistant (MDR) urinary tract infection (UTI). RBX2660 increased gut microbiome diversity but did not eliminate uropathogen carriage, and MDR UTI recurred after subsequent antibiotic exposure. Thus, restoration of microbiome diversity does not preclude disease recurrence by residual MDR pathogens.

The Struggling Infectious Diseases Fellow: Remediation Challenges And Opportunities, Michael T. Melia, Gerome Escota, Et Al

Open Access Publications

Remediation of struggling learners is a challenge faced by all educators. In recognition of this reality, and in light of contemporary challenges facing infectious diseases (ID) fellowship program directors, the Infectious Diseases Society of America Training Program Directors' Committee focused the 2018 National Fellowship Program Directors' Meeting at IDWeek on "Remediation of the Struggling Fellow." Small group discussions addressed 7 core topics, including feedback and evaluations, performance management and remediation, knowledge deficits, fellow well-being, efficiency and time management, teaching skills, and career development. This manuscript synthesizes those discussions around a competency-based framework to provide program directors and other educators with …

Health Of Special Immigrant Visa Holders From Iraq And Afghanistan After Arrival Into The United States Using Domestic Medical Examination Data, 2014-2016: A Cross-Sectional Analysis., Gayathri S Kumar, Clelia Pezzi, Simone Wien, Blain Mamo, Kevin Scott, Colleen Payton, Kailey Urban, Stephen Hughes, Lori Kennedy, Nuny Cabanting, Jessica Montour, Melissa Titus, Jenny Aguirre, Breanna Kawasaki, Rebecca Ford, Emily S Jentes

Department of Family & Community Medicine Faculty Papers

BACKGROUND: Since 2008, the United States has issued between 2,000 and 19,000 Special Immigrant Visas (SIV) annually, with the majority issued to applicants from Iraq and Afghanistan. SIV holders (SIVH) are applicants who were employed by, or on behalf of, the US government or the US military. There is limited information about health conditions in SIV populations to help guide US clinicians caring for SIVH. Thus, we sought to describe health characteristics of recently arrived SIVH from Iraq and Afghanistan who were seen for domestic medical examinations.

METHODS AND FINDINGS: This cross-sectional analysis included data from Iraqi and Afghan SIVH …

The Struggling Infectious Diseases Fellow: Remediation Challenges And Opportunities, Michael T Melia, Armando Paez, Gail Reid, Lisa M Chirch, Vera P Luther, Brian G Blackburn, Federico Perez, Emily Abdoler, Daniel R Kaul, Susan Rehm, Nada Harik, Alice Barsoumian, Anna K Person, Heather Yun, J David Beckham, Susan Boruchoff, Paloma F Cariello, James B Cutrell, Christopher J Graber, Dong Heun Lee, Eileen Maziarz, Molly L Paras, Raymund R Razonable, Roseanne Ressner, Anne Chen, Brian Chow, Gerome Escota, Erica Herc, Andrew Johnson, Ryan C Maves, Obinna Nnedu, Heather Clauss, Prathit Kulkarni, Paul S Pottinger, Jose A Serpa, Tanaya Bhowmick, Marvin Bittner, Darcy Wooten, Beata Casanas, Rachel Shnekendorf, Emily A Blumberg

Faculty, Staff and Students Publications

Remediation of struggling learners is a challenge faced by all educators. In recognition of this reality, and in light of contemporary challenges facing infectious diseases (ID) fellowship program directors, the Infectious Diseases Society of America Training Program Directors' Committee focused the 2018 National Fellowship Program Directors' Meeting at IDWeek on "Remediation of the Struggling Fellow." Small group discussions addressed 7 core topics, including feedback and evaluations, performance management and remediation, knowledge deficits, fellow well-being, efficiency and time management, teaching skills, and career development. This manuscript synthesizes those discussions around a competency-based framework to provide program directors and other educators with …

Impaired Tumor Necrosis Factor-Α Secretion By Cd4 T Cells During Respiratory Syncytial Virus Bronchiolitis Associated With Recurrent Wheeze, Maleewan Kitcharoensakkul, Leonard B Bacharier, Huiqing Yin-Declue, Jonathan S Boomer, Geneline Sajol, Marilyn K Leung, Brad Wilson, Kenneth B Schechtman, John P Atkinson, Jonathan M Green, Mario Castro

Open Access Publications

BACKGROUND: Infants with severe respiratory syncytial virus (RSV) bronchiolitis have an increased risk of recurrent wheezing and asthma. We aimed to evaluate the relationships between regulatory T cell (Treg) percentage and cytokine production of in vitro-stimulated CD4+ T cells during acute bronchiolitis and the development of recurrent wheezing in the first 3 years of life.

METHODS: We obtained peripheral blood from 166 infants hospitalized with their first episode of RSV-confirmed bronchiolitis. Granzyme B (GZB) expression, and interleukin-10, interferon-γ, tumor necrosis factor-α (TNF-α), IL-4, and IL-5 production by in vitro anti-CD3/CD28- and anti-CD3/CD46-activated CD4+ T cells, and percentage of peripheral Treg …

Tgfβ1 Orchestrates Renal Fibrosis Following Escherichia Coli Pyelonephritis, Teri N Hreha, Christina A Collins, Allyssa L Daugherty, Joy Twentyman, Nitin Paluri, David A Hunstad

Open Access Publications

Renal scarring after pyelonephritis is linked to long-term health risks for hypertension and chronic kidney disease. Androgen exposure increases susceptibility to, and severity of, uropathogenic Escherichia coli (UPEC) pyelonephritis and resultant scarring in both male and female mice, while anti-androgen therapy is protective against severe urinary tract infection (UTI) in these models. This work employed androgenized female C57BL/6 mice to elucidate the molecular mechanisms of post-infectious renal fibrosis and to determine how these pathways are altered by the presence of androgens. We found that elevated circulating testosterone levels primed the kidney for fibrosis by increasing local production of TGFβ1 before …

A Descriptive Study Of Double Burden Of Malnutrition In Mothers Of Children With Severe Acute Malnutrition Admitted In Children Hospital And Institute Of Child Health, Multan, Saadia Khan, Umme Ammara, Reema Arshad, Farah Naz, Kamran Ishfaq

Department of Paediatrics and Child Health

Objective: To assess the nutritional status of mothers of severely malnourished children, and to evaluate the factors associated with inadequate caloric intake of children with severe acute malnutrition versus sufficient caloric intake by mothers.
Methods: The cross-sectional descriptive study was conducted from January to June 2016 at Children Hospital and Institute of Child Health, Multan, Pakistan, and comprised mothers of severely malnourished children admitted for treatment. Data was collected using a questionnaire administered through interviews. Elements noted included body mass index, 24-hour recall, dietary restriction during pregnancy, lactation and complimentary feeding patterns of the children. The mothers were also examined …