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  1. Article ; Online: Small, Dynamic Clusters of Tir-Intimin Seed Actin Polymerization.

    Oh, Dongmyung / Liu, Xuyao / Sheetz, Michael P / Kenney, Linda J

    Small (Weinheim an der Bergstrasse, Germany)

    2023  Volume 19, Issue 52, Page(s) e2302580

    Abstract: The understanding of actin pedestal formation by enteropathogenic Escherichia coli (EPEC) relies mainly on static ensemble information obtained from cell lysates. Here, the dynamic nature of signaling components on the subsecond timescale, which resemble ...

    Abstract The understanding of actin pedestal formation by enteropathogenic Escherichia coli (EPEC) relies mainly on static ensemble information obtained from cell lysates. Here, the dynamic nature of signaling components on the subsecond timescale, which resemble phase condensates, is demonstrated. Unlike in vitro phase condensates, transfected intimin receptor (Tir) and downstream component form clusters 200 nm in diameter that are spaced ≈500 nm on average, indicating cellular regulation. On supported lipid bilayers with diffusive intimin, Tir-expressing fibroblasts formed Tir-intimin clusters even without Tir tyrosines, although Tir tyrosine phosphorylation is necessary for actin polymerization from clusters. Single-molecule tracking showed that Tir is diffusive in the clusters and exchanges with Tir in the plasma membrane. Further, Nck and N-WASP bind to the clusters and exchange with cytoplasmic molecules. Tir has a similar cluster lifetime to Nck, but longer than that of N-WASP. Actin polymerization from the clusters requires N-WASP binding, involved Arp2/3 activation, and stabilized N-WASP clusters. These dynamic properties are distinct from larger in vitro systems and do not depend significantly upon crosslinking. Thus, Tir-intimin clusters in the plasma membrane are limited in size by exchange and enhance signaling needed for actin polymerization that enables strong and stable bacterial attachment to host cells.
    MeSH term(s) Humans ; Actins/metabolism ; Escherichia coli Proteins/metabolism ; Polymerization ; Receptors, Cell Surface/metabolism ; Adaptor Proteins, Signal Transducing/metabolism ; Carrier Proteins/metabolism ; HeLa Cells
    Chemical Substances Actins ; Escherichia coli Proteins ; Receptors, Cell Surface ; Adaptor Proteins, Signal Transducing ; Carrier Proteins
    Language English
    Publishing date 2023-08-30
    Publishing country Germany
    Document type Journal Article
    ZDB-ID 2168935-0
    ISSN 1613-6829 ; 1613-6810
    ISSN (online) 1613-6829
    ISSN 1613-6810
    DOI 10.1002/smll.202302580
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Respiratory culture nudge improves antibiotic prescribing for

    Arena, Christen J / Kenney, Rachel M / Kendall, Ronald E / Tibbetts, Robert J / Veve, Michael P

    Antimicrobial stewardship & healthcare epidemiology : ASHE

    2023  Volume 3, Issue 1, Page(s) e23

    Abstract: We compared optimal antibiotic prescribing before and after implementing an interpretive β-lactamase microbiology comment ... ...

    Abstract We compared optimal antibiotic prescribing before and after implementing an interpretive β-lactamase microbiology comment for
    Language English
    Publishing date 2023-02-02
    Publishing country England
    Document type Journal Article
    ISSN 2732-494X
    ISSN (online) 2732-494X
    DOI 10.1017/ash.2023.1
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Questioning Prophylactic Antibiotic Use for Pyloromyotomy: Analysis of the Pediatric Health Information System Database.

    Griffin, Kristine L / Beyene, Tariku J / Kenney, Brian

    Journal of pediatric surgery

    2023  Volume 58, Issue 6, Page(s) 1123–1127

    Abstract: ... to the NICU and have chronic conditions and prematurity (p < 0.01). Antibiotic utilization varied ... to those who did not was 1.10, (0.73, 1.41, 95%, p = 0.93) suggesting there is no effect of antibiotics ...

    Abstract Background: Pyloromyotomy has a low rate of wound complications, yet antibiotic prophylaxis is still given. The Pediatric Health Information System (PHIS) database was queried to determine whether prophylactic antibiotics decreased wound complications.
    Methods: Records for infants with pyloric stenosis between 2016 and 2021 were extracted from the PHIS database and analyzed for demographics, comorbid conditions, and complications within 30 days of pyloromyotomy. Logistic regression was used to evaluate the effect of antibiotic prophylaxis on complications.
    Results: Among 14,247 infants who underwent pyloromyotomy, 29.5% had antibiotic prophylaxis. These patients were more likely to have been admitted to the NICU and have chronic conditions and prematurity (p < 0.01). Antibiotic utilization varied among hospitals from 2.3 to 58.5%. Complication rates among those who received antibiotics was 1.64% versus 1.62% for those who did not. The odds for developing complications in those who received prophylaxis compared to those who did not was 1.10, (0.73, 1.41, 95%, p = 0.93) suggesting there is no effect of antibiotics on complication rates.
    Conclusions: There was a wide variation among hospitals in the usage of prophylactic antibiotics for pyloromyotomy. There was no difference in complication rates whether or not patients received antibiotics. These results suggest antibiotic prophylaxis is unnecessary for pyloromyotomy.
    Level of evidence: III.
    MeSH term(s) Infant ; Humans ; Child ; Anti-Bacterial Agents/therapeutic use ; Pyloromyotomy/adverse effects ; Health Information Systems ; Pyloric Stenosis, Hypertrophic/surgery ; Pyloric Stenosis, Hypertrophic/etiology ; Antibiotic Prophylaxis
    Chemical Substances Anti-Bacterial Agents
    Language English
    Publishing date 2023-02-21
    Publishing country United States
    Document type Journal Article
    ZDB-ID 80165-3
    ISSN 1531-5037 ; 0022-3468
    ISSN (online) 1531-5037
    ISSN 0022-3468
    DOI 10.1016/j.jpedsurg.2023.02.038
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Uranium surface processes with sandstone and volcanic rocks in acidic and alkaline solutions.

    Kenney, Janice P L / Lezama-Pacheco, Juan / Fendorf, Scott / Alessi, Daniel S / Weiss, Dominik J

    Journal of colloid and interface science

    2023  Volume 645, Page(s) 715–723

    Abstract: Understanding the behaviour of uranium waste, for disposal purposes, is crucial due to the correlation between pH values and the disposal of distinct types of waste, with low level waste typically associated with acidic pH values, and higher and ... ...

    Abstract Understanding the behaviour of uranium waste, for disposal purposes, is crucial due to the correlation between pH values and the disposal of distinct types of waste, with low level waste typically associated with acidic pH values, and higher and intermediate level waste commonly related to alkaline pH values. We studied the adsorption of U(VI) on sandstone and volcanic rock surfaces at pH 5.5 and 11.5 in aqueous solutions with and without bicarbonate (2 mM HCO
    Language English
    Publishing date 2023-05-06
    Publishing country United States
    Document type Journal Article
    ZDB-ID 241597-5
    ISSN 1095-7103 ; 0021-9797
    ISSN (online) 1095-7103
    ISSN 0021-9797
    DOI 10.1016/j.jcis.2023.04.174
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: Clinical Trials and Climate Change: Doing Our Part While Pursuing Progress.

    Rahman, Syed / Ryan, Stephen / Kim, Joseph / Kenney, Patrick / Ghali, Fady

    European urology focus

    2023  Volume 9, Issue 6, Page(s) 861–862

    Abstract: The escalating global climate crisis necessitates a critical examination of the environmental impact of various sectors, including health care. Ongoing efforts to establish standard methods for estimating emissions and tracking progress are needed to ... ...

    Abstract The escalating global climate crisis necessitates a critical examination of the environmental impact of various sectors, including health care. Ongoing efforts to establish standard methods for estimating emissions and tracking progress are needed to promote sustainable clinical research.
    MeSH term(s) Humans ; Climate Change ; Clinical Trials as Topic
    Language English
    Publishing date 2023-12-01
    Publishing country Netherlands
    Document type Journal Article
    ISSN 2405-4569
    ISSN (online) 2405-4569
    DOI 10.1016/j.euf.2023.11.011
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: Leveraging stewardship to promote ceftriaxone use in severe infections with low- and no-risk AmpC Enterobacterales.

    Hardy, Megan E / Kenney, Rachel M / Tibbetts, Robert J / Shallal, Anita B / Veve, Michael P

    Antimicrobial agents and chemotherapy

    2023  Volume 67, Issue 11, Page(s) e0082623

    Abstract: AmpC β-lactamases are associated with development of ceftriaxone resistance despite ... ...

    Abstract AmpC β-lactamases are associated with development of ceftriaxone resistance despite initial
    MeSH term(s) Adult ; Humans ; Anti-Bacterial Agents/therapeutic use ; Ceftriaxone/therapeutic use ; Enterobacteriaceae ; Enterobacteriaceae Infections/drug therapy ; Enterobacteriaceae Infections/microbiology ; beta-Lactamases ; Bacterial Proteins ; Gammaproteobacteria ; Serratia marcescens ; Microbial Sensitivity Tests
    Chemical Substances Anti-Bacterial Agents ; Ceftriaxone (75J73V1629) ; beta-Lactamases (EC 3.5.2.6) ; Bacterial Proteins
    Language English
    Publishing date 2023-10-26
    Publishing country United States
    Document type Journal Article
    ZDB-ID 217602-6
    ISSN 1098-6596 ; 0066-4804
    ISSN (online) 1098-6596
    ISSN 0066-4804
    DOI 10.1128/aac.00826-23
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article ; Online: Aminopenicillins vs non-aminopenicillins for treatment of enterococcal lower urinary tract infections.

    de Oca, Jamison E Montes / Veve, Michael P / Zervos, Marcus J / Kenney, Rachel M

    International journal of antimicrobial agents

    2023  Volume 61, Issue 6, Page(s) 106800

    Abstract: ... VRE) were identified in 73 (82%) AP patients and 76 (85%) NAP patients (P=0.54); in total, 34 (38.2 ... AP patients and 66 (74.2%) NAP patients had confirmed Enterococcus faecium (P<0.001). Amoxicillin (n ... patients and 53/66 (80.3%) NAP patients (P=0.916). On logistic regression, APs were not associated with 14 ...

    Abstract Aminopenicillins (APs) achieve urinary concentrations that exceed typical minimum inhibitory concentrations for enterococcal lower urinary tract infection (UTI). The local clinical microbiology laboratory discontinued routine susceptibilities on enterococcal urine isolates, and reports that 'APs are predictably reliable for uncomplicated enterococcal UTI'. The objective of this study was to compare outcomes of APs with non-APs (NAPs) for enterococcal lower UTIs. This was an institutional-review-board-approved, retrospective cohort of adults hospitalized with symptomatic enterococcal lower UTIs from 2013 to 2021. The primary endpoint was composite clinical success at 14 days, defined as resolution of symptoms without new symptoms and no repeat culture growth of the index organism. A non-inferiority analysis was utilized with a 15% margin, and logistic regression evaluated characteristics associated with 14-day failure. In total, 178 subjects were included: 89 AP patients and 89 NAP patients. Vancomycin-resistant enterococci (VRE) were identified in 73 (82%) AP patients and 76 (85%) NAP patients (P=0.54); in total, 34 (38.2%) AP patients and 66 (74.2%) NAP patients had confirmed Enterococcus faecium (P<0.001). Amoxicillin (n=36, 40.5%) and ampicillin (n=36, 40.5%) were the most commonly used APs, and linezolid (n=41, 46%) and fosfomycin (n=30, 34%) were the most commonly used NAPs. Fourteen-day clinical success rates for APs and NAPs were 83.1% and 82.0%, respectively [1.1% difference, 97.5% confidence interval (CI) -0.117 to 0.139]. Among the E. faecium subgroup, 14-day clinical success was observed in 27/34 (79.4%) AP patients and 53/66 (80.3%) NAP patients (P=0.916). On logistic regression, APs were not associated with 14-day clinical failure (adjusted odds ratio 0.84, 95% CI 0.38-1.86). APs were non-inferior to NAPs for treating enterococcal lower UTIs, and may be considered irrespective of susceptibility results.
    MeSH term(s) Adult ; Humans ; Anti-Bacterial Agents/therapeutic use ; Anti-Bacterial Agents/pharmacology ; Retrospective Studies ; Gram-Positive Bacterial Infections/microbiology ; Enterococcus ; Ampicillin/therapeutic use ; Urinary Tract Infections/drug therapy ; Urinary Tract Infections/microbiology ; Enterococcus faecium ; Microbial Sensitivity Tests
    Chemical Substances Anti-Bacterial Agents ; Ampicillin (7C782967RD)
    Language English
    Publishing date 2023-03-31
    Publishing country Netherlands
    Document type Journal Article
    ZDB-ID 1093977-5
    ISSN 1872-7913 ; 0924-8579
    ISSN (online) 1872-7913
    ISSN 0924-8579
    DOI 10.1016/j.ijantimicag.2023.106800
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article ; Online: Use of strontium isotope ratios in potential geolocation of Ajnala skeletal remains: a forensic archeological study.

    Sehrawat, J S / Agrawal, Shailesh / Kenney, Andrew P / Grimes, Vaughan / Rai, Niraj

    International journal of legal medicine

    2023  Volume 138, Issue 2, Page(s) 615–626

    Abstract: Stable isotope methods for provenance of unidentified human remains are relatively a newer field of enquiry in forensic archeology. It is of great interest for forensic experts these days. The application of strontium isotope analyses for estimating ... ...

    Abstract Stable isotope methods for provenance of unidentified human remains are relatively a newer field of enquiry in forensic archeology. It is of great interest for forensic experts these days. The application of strontium isotope analyses for estimating geolocation of archeological remains is of great interest in bioarcheology and modern forensics. The strontium (Sr) isotope composition of human bones and teeth has been widely used to reconstruct an individual's geo-affiliation, residential mobility, and migration history. Thousands of unknown human remains, reportedly belonging to 282 Indian soldiers of 26th Native Bengal regiment and killed in 1857, were exhumed non-scientifically from an abandoned well situated underneath a religious structure at Ajnala (Amritsar, India). Whether these remains belonged to the individuals, local or non-local to the site, was the important forensic archeological question to be answered by doing their thorough forensic anthropological examinations. In the present study, 27 mandibular teeth (18 s molars, 6 first molars, and 3 premolars) collected from the Ajnala skeletal assemblage were processed for strontium isotope analysis, and the measured ratios were compared with published isotope baseline data to estimate the locality status of these remains. The Sr isotopic values were concentrated in the range of 0.7175 to 0.7270. The comparative analysis of isotopic ratios revealed that most individuals buried in the Ajnala well have
    MeSH term(s) Humans ; Child ; Body Remains ; Archaeology ; Strontium Isotopes ; Strontium ; Isotopes
    Chemical Substances Strontium Isotopes ; Strontium (YZS2RPE8LE) ; Isotopes
    Language English
    Publishing date 2023-10-18
    Publishing country Germany
    Document type Journal Article
    ZDB-ID 1055109-8
    ISSN 1437-1596 ; 0937-9827
    ISSN (online) 1437-1596
    ISSN 0937-9827
    DOI 10.1007/s00414-023-03109-8
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article ; Online: Uranium surface processes with sandstone and volcanic rocks in acidic and alkaline solutions

    Kenney, Janice P.L. / Lezama-Pacheco, Juan / Fendorf, Scott / Alessi, Daniel S. / Weiss, Dominik J.

    Journal of Colloid And Interface Science. 2023 Sept., v. 645 p.715-723

    2023  

    Abstract: Understanding the behaviour of uranium waste, for disposal purposes, is crucial due to the correlation between pH values and the disposal of distinct types of waste, with low level waste typically associated with acidic pH values, and higher and ... ...

    Abstract Understanding the behaviour of uranium waste, for disposal purposes, is crucial due to the correlation between pH values and the disposal of distinct types of waste, with low level waste typically associated with acidic pH values, and higher and intermediate level waste commonly related to alkaline pH values. We studied the adsorption of U(VI) on sandstone and volcanic rock surfaces at pH 5.5 and 11.5 in aqueous solutions with and without bicarbonate (2 mM HCO₃–) using XAS and FTIR. In the sandstone system, U(VI) adsorbs as a bidentate complex to Si at pH 5.5 without bicarbonate and as uranyl carbonate species with bicarbonate. At pH 11.5 without bicarbonate, U(VI) adsorbs as monodentate complexes to Si and precipitates as uranophane. With bicarbonate at pH 11.5, U(VI) precipitated as a Na-clarkeite mineral or remained as a uranyl carbonate surface species. In the volcanic rock system, U(VI) adsorbed to Si as an outer sphere complex at pH 5.5, regardless of the presence of bicarbonate. At pH 11.5 without bicarbonate, U(VI) adsorbed as a monodentate complex to one Si atom and precipitated as a Na-clarkeite mineral. With bicarbonate at pH 11.5, U(VI) sorbed as a bidentate carbonate complex to one Si atom. These results provide insight into the behaviour of U(VI) in heterogeneous, real-world systems related to the disposal of radioactive waste.
    Keywords adsorption ; bicarbonates ; carbonates ; pH ; radioactive waste ; sandstone ; uranium ; uranyl ions ; volcanic rocks ; Precipitation ; EXAFS ; FTIR ; Surface complexation modelling ; Radioactive waste disposal
    Language English
    Dates of publication 2023-09
    Size p. 715-723.
    Publishing place Elsevier Inc.
    Document type Article ; Online
    ZDB-ID 241597-5
    ISSN 1095-7103 ; 0021-9797
    ISSN (online) 1095-7103
    ISSN 0021-9797
    DOI 10.1016/j.jcis.2023.04.174
    Database NAL-Catalogue (AGRICOLA)

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  10. Article ; Online: Evaluation of the current status of prosthetic rehabilitation services for major limb loss: a descriptive study in Ugandan Referral hospitals.

    Mulindwa, Benedict / Nalwoga, Racheal P / Nakandi, Brenda T / Mwaka, Erisa S / Kenney, Laurence P J / Ackers, Louise / Ssekitoleko, Robert Tamale

    Disability and rehabilitation

    2023  , Page(s) 1–10

    Abstract: Purpose: Low-and-middle-income countries (LMICs) have a large burden of major limb loss. No recent study has reported on Uganda's state of public sector prosthetics services. This study aimed to document the landscape of major limb loss, and the ... ...

    Abstract Purpose: Low-and-middle-income countries (LMICs) have a large burden of major limb loss. No recent study has reported on Uganda's state of public sector prosthetics services. This study aimed to document the landscape of major limb loss, and the structure of available prosthetics services in Uganda.
    Methods: This study involved a retrospective review of medical records at Mulago National Referral Hospital, Fort Portal Regional Referral Hospital, and Mbale Regional Referral Hospital, and a cross-sectional survey of personnel involved in the fabrication and fitting of prosthetic devices across orthopaedic workshops in the country.
    Results: Upper limb amputations accounted for 14.2%, and lower limb accounted for 81.2%. Gangrene (30.3%) was the leading cause of amputation, followed by road traffic accidents and diabetes mellitus. Orthopaedic workshops offered decentralised services, and most materials used were imported. Essential equipment was largely lacking. Orthopaedic technologists had diverse experience and skill sets, but many other factors limited their service provision.
    Conclusion: The Ugandan public healthcare system lacks adequate prosthetic services both in terms of personnel and supporting resources, including equipment, materials, and components. The provision of prosthetics rehabilitation services is limited, especially in rural regions. Decentralising services could improve patients' access to prosthetic services.Implications for RehabilitationAvailability and accessibility of prosthetic services are essential to the rehabilitation and reintegration of amputees into communities in Low-and-Middle-Income countries (LMICs).For stakeholders to formulate effective plans to address issues within prosthetics service provision, quality data on the current state of services is necessary.Service providers should prioritise the decentralisation of prosthetic rehabilitation services, especially for patients in rural areas, to improve access and reach of these services.To achieve optimal limb functionality after amputation for both lower and upper limb amputees, rehabilitation professionals working in LMICs should focus on delivering comprehensive multidisciplinary rehabilitation services.Orthopaedic personnel should ensure complete and accurate documentation of patient information following amputation to enable effective tracking and monitoring of patient care to improve outcomes of rehabilitation.
    Language English
    Publishing date 2023-03-24
    Publishing country England
    Document type Journal Article
    ZDB-ID 1104775-6
    ISSN 1464-5165 ; 0963-8288
    ISSN (online) 1464-5165
    ISSN 0963-8288
    DOI 10.1080/09638288.2023.2188266
    Database MEDical Literature Analysis and Retrieval System OnLINE

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