An Evaluation of the OLM ID Real-Time Polymerase Chain Reaction to Aid in the Diagnosis of Pneumonia.

Background: The use of the PCR to aid in the diagnosis of pneumonia (PcP) has demonstrated excellent clinical performance, as evidenced through various systematic reviews and meta-analyses, yet there are concerns over the interpretation of positive results due to the potential presence of colonization of the airways. While this can be overcome by applying designated positivity thresholds to PCR testing, the shear number of assays described limits the development of a universal threshold. Commercial assays provide the opportunity to overcome this problem, provided satisfactory performance is determined through large-scale, multi-centre evaluations.

Reactions of [(dmpe)MnH(CH)] with hydrogermanes to form germylene, germyl, hydrogermane, and germanide complexes.

Reactions of the ethylene hydride complex -[(dmpe)MnH(CH)] (1) with secondary hydrogermanes HGeR at 55-60 °C afforded the base-free terminal germylene hydride complexes -[(dmpe)MnH(GeR)] (R = Ph; 2a, R = Et; 2b). Room temperature reactions of 2a or 2b with an excess of the primary hydrogermanes HGeR' (R' = Ph or Bu) afforded -[(dmpe)MnH(GeHR')] (R' = Ph; 3a, R' = Bu; 3b) in rapid equilibrium with small amounts of 2a/b, as well as the digermyl hydride complex -[(dmpe)MnH(GeHR')] {R' = Ph (4a) or Bu (4b)} and the -hydrogermane germyl complex -[(dmpe)Mn(GeHR')(HGeHR')] {R' = Ph (5a) or Bu (5b)}. Pure 3b was isolated from the reaction of 2b with HGeBu, whereas 3a decomposed readily in solution in the absence of free HGePh, and a pure bulk sample was not obtained.

Rare earth dialkyl cations and monoalkyl dications supported by a rigid neutral pincer ligand: synthesis and ethylene polymerization.

A palladium-catalyzed coupling reaction between 4,5-dibromo-2,7-di--butyl-9,9-dimethylxanthene and 2 equiv. of 1,3-diisopropylimidazolin-2-imine afforded the rigid neutral 2,7-di--butyl-4,5-bis(1,3-diisopropylimidazolin-2-imino)-9,9-dimethylxanthene (XII) pincer ligand. Reaction of XII with YCl(THF) provided [(XII)YCl] (1).

Multiphase flow behavior of diesel in bog, fen, and swamp peats.

Hydrocarbon fate and transport in various categories of peatlands is complicated by the botanical origin, and thus variations in the hydraulic structures and surface chemistry of its peat soils. There has been no systematic evaluation of the role of different peat types on hydrocarbon migration. Thus, two-phase, and three-phase flow experiments were performed for living and partially decomposed peat cores from bog, fen, and swamp peatlands.

Ligand Determines the Stability of Paramagnetic Manganese(II) Hydrides of the Type -[MnH(L)(dmpe)] Where L is PMe, CH, or CO.

Paramagnetic metal hydride (PMH) complexes play important roles in catalytic applications and bioinorganic chemistry. 3d PMH chemistry has largely focused on Ti, Mn, Fe, and Co. Various Mn PMHs have been proposed as intermediates in catalysis, but isolated Mn PMHs are limited to dimeric high-spin Mn structures with bridging hydrides.

Uranium(iv) alkyl cations: synthesis, structures, comparison with thorium(iv) analogues, and the influence of arene-coordination on thermal stability and ethylene polymerization activity.

Reaction of [(XA)U(CHSiMe)] (1; XA = 4,5-bis(2,6-diisopropylanilido)-2,7-di--butyl-9,9-dimethylxanthene) with 1 equivalent of [PhC][B(CF)] in arene solvents afforded the arene-coordinated uranium alkyl cations, [(XA)U(CHSiMe)(η -arene)][B(CF)] {arene = benzene (2), toluene (3), bromobenzene (4) and fluorobenzene (5)}. Compounds 2, 3, and 5 were crystallographically characterized, and in all cases the arene is π-coordinated. Solution NMR studies of 2-5 suggest that the binding preferences of the [(XA)U(CHSiMe)] cation follow the order: toluene ≈ benzene > bromobenzene > fluorobenzene.

Effect of an Integrated Transplantation Mental Health Program on Alcohol Relapse After Liver Transplantation for Severe Alcoholic Hepatitis: A Single-Center Prospective Study.

Background: Liver transplantation (LT) for severe alcohol-associated hepatitis (AH) remains controversial due to perceived increased recidivism risk after LT because of a lack of protracted abstinence before LT. Data on risk stratification for alcohol relapse after LT are limited. We sought to evaluate the utility of having a mental health program embedded in a transplantation center in risk assessment for alcohol relapse-free patient survival after LT.

Mentorship in clinical neuropsychology: Survey of current practices, cultural responsiveness, and untapped potential.

Introduction: Neuropsychology trainees have identified mentorship as an important factor in their training. Limited past work has been conducted on mentorship within neuropsychology, and there is a need to better understand the experiences and perspectives of neuropsychology mentors.

Method: Self-identified mentors in clinical neuropsychology completed a survey about their mentorship practices, including culturally responsive mentorship, as well as perceived barriers and challenges to providing effective mentorship.

An Evaluation of the OLM ID Real-Time PCR to Aid in the Diagnosis of Invasive Candidiasis When Testing Serum Samples.

Background: Treatment for invasive candidiasis (IC) is time-critical, and culture-based tests can limit clinical utility. Nonculture-based methods such as Candida PCR represent a promising approach to improving patient management but require further evaluation to understand their optimal role and incorporation into clinical algorithms. This study determined the performance of the commercially available OLM CandID real-time PCR when testing serum and developed a diagnostic algorithm for IC.

Characterizing the hydraulic and transport properties of a constructed coarse tailings sand aquifer.

Millions of tonnes of coarse tailings sand are produced every year as a byproduct of the bitumen extraction process in the Athabasca Oil Sands Region. These tailings materials contain residual quantities of mobile solutes, which can be transported through groundwater to downgradient terrestrial and aquatic ecosystems. The anticipated ubiquity of coarse tailings sand on the post-mined landscape necessitates the characterization of its hydraulic and transport properties.

Incorporating the Detection of Single Nucleotide Polymorphisms Associated With Invasive Aspergillosis Into the Clinic.

Exposure to fungi is inevitable, yet only a small number of patients with significant clinical risk develop invasive aspergillosis (IA). While timing of exposure in relation to immune status, environmental and occupational factors will influence the probability of developing IA, factors specific to the individual will likely play a role and variation in the host's genetic code associated with the immunological response to fungi have been linked to increased risk of developing IA. Screening for SNPs in genes significantly associated with IA (e.

Molecular Profiling Reveals Characteristic and Decisive Signatures in Patients after Allogeneic Stem Cell Transplantation Suffering from Invasive Pulmonary Aspergillosis.

Despite available diagnostic tests and recent advances, diagnosis of pulmonary invasive aspergillosis (IPA) remains challenging. We performed a longitudinal case-control pilot study to identify host-specific, novel, and immune-relevant molecular candidates indicating IPA in patients post allogeneic stem cell transplantation (alloSCT). Supported by differential gene expression analysis of six relevant in vitro studies, we conducted RNA sequencing of three alloSCT patients categorized as probable IPA cases and their matched controls without infection (66 samples in total).

Uranium(IV) Thio- and Selenoether Complexes: Syntheses, Structures, and Computational Investigation of U-ER Interactions.

Rigid thioether- and selenoether-containing pincer proligands H[AS ] (1) and H[ASe ] (2) were synthesized, and deprotonation provided the potassium salts [K(AS )(dme)] (3) and [K(ASe )(dme) ] (4). Reaction of two equivalents of 3 or 4 with [UI (dioxane) ] afforded the uranium thioether complex [(AS ) UI ] (5) and the first example of a uranium-selenoether complex, [(ASe ) UI ] (6). X-ray structures revealed distorted square antiprismatic geometries in which the AE ligands are κ -coordinated.

Mechanical strain-mediated reduction in RANKL expression is associated with RUNX2 and BRD2.

Mechanical loading-related strains trigger bone formation by osteoblasts while suppressing resorption by osteoclasts, uncoupling the processes of formation and resorption. Osteocytes may orchestrate this process in part by secreting sclerostin (SOST), which inhibits osteoblasts, and expressing receptor activator of nuclear factor-κB ligand (RANKL/TNFSF11) which recruits osteoclasts. Both SOST and RANKL are targets of the master osteoblastic transcription factor RUNX2.

Evaluation of the Performance of the Associates of Cape Cod STAT Assay for the Diagnosis of Invasive Fungal Disease in Critical-Care Patients with COVID-19.

During the COVID-19 pandemic, there have been increasing reports of invasive fungal disease (IFD) in critical care, where rapid access to (1-3)-β-d-glucan (BDG) testing may have enhanced diagnosis. The potential benefit of rapidly accessible BDG results is limited by local availability of BDG testing, with low demand resulting in testing being performed in specialist centers. The recent release of the Associates of Cape Cod STAT assay provides a simple, low-throughput BDG platform, potentially increasing accessibility.

Molecular Diagnosis of Yeast Infections.

Purpose Of Review: The use of molecular tests to aid the diagnosis of invasive yeast infection, in particular invasive candidosis, has been described for over two decades, yet widespread application is limited, and diagnosis remains heavily dependent on classical microbiology. This article will review developments from the past decade in attempt to build on existing knowledge. It will highlight clinical performance and limitations while reviewing developments on recognized procedures; it will also provide insight into novel approaches incorporated in response to clinical demand (e.

Assessing benzene and toluene adsorption with peat depth: Implications on their fate and transport.

After a hydrocarbon spill in a peatland, dissolution of water-soluble compounds including benzene and toluene introduces a dissolved-phase plume to the peatland groundwater system, while the adsorption of these solutes onto the peat matrix restrains their distribution velocity. The adsorption of benzene and toluene and its dependency on peat depth, thus degree of decomposition, are investigated. The batch adsorption experiments revealed that benzene and toluene adsorption isotherms in peat are linear, with adsorption coefficients ranging from 16.

Recent Advances and Novel Approaches in Laboratory-Based Diagnostic Mycology.

What was once just culture and microscopy the field of diagnostic mycology has significantly advanced in recent years and continues to incorporate novel assays and strategies to meet the changes in clinical demand. The emergence of widespread resistance to antifungal therapy has led to the development of a range of molecular tests that target mutations associated with phenotypic resistance, to complement classical susceptibility testing and initial applications of next-generation sequencing are being described. Lateral flow assays provide rapid results, with simplicity allowing the test to be performed outside specialist centres, potentially as point-of-care tests.

An Evaluation of the Performance of the IMMY Galactomannan Enzyme-Linked Immunosorbent Assay When Testing Serum To Aid in the Diagnosis of Invasive Aspergillosis.

The objectives of this study were to evaluate the performance of the recently released IMMY galactomannan enzyme immunoassay (IMMY GM-EIA) when testing serum samples and to identify the optimal galactomannan index (GMI) positivity threshold for the diagnosis of invasive aspergillosis (IA). This was a retrospective case/control study, comprising 175 serum samples obtained from 131 patients, 35 of whom had probable or possible invasive fungal disease (IFD) as categorized using recently revised, internationally accepted definitions. The IMMY GM-EIA was performed following the manufacturer's instructions.

Dynamics of microbial populations and diversity in NAPL contaminated peat soil under varying water table conditions.

Despite the risks that hydrocarbon contamination from pipeline leaks or train derailments impose on the health of peatlands in hydrocarbon production areas and transportation corridors, assessing the effect of such contaminations on the health and sustainability of peatlands has received little attention. This study investigates the impacts of hydrocarbons on peat microbial communities. Column experiments were conducted on non-aqueous phase liquid (NAPL) contaminated undisturbed peat core (0-35 cm) under static and fluctuating water table conditions.

The Presence of (1→3)-β-D-Glucan as Prognostic Marker in Patients After Major Abdominal Surgery.

Background: While the serological detection of (1→3)-β-D-glucan (BDG) can indicate invasive fungal disease (IFD), false positivity occurs. Nevertheless, the presence of BDG can still be recognized by the host's innate immune system and persistent BDG antigenemia, in the absence of IFD, can result in deleterious proinflammatory immune responses.

Methods: During the XXX (INTENSE) study into the preemptive use of micafungin to prevent invasive candidiasis (IC) after abdominal surgery, the serum burden of BDG was determined to aid diagnosis of IC.

A National Strategy to Diagnose Coronavirus Disease 2019-Associated Invasive Fungal Disease in the Intensive Care Unit.

Background: Fungal coinfection is a recognized complication of respiratory virus infections, increasing morbidity and mortality, but can be readily treated if diagnosed early. An increasing number of small studies describing aspergillosis in coronavirus disease 2019 (COVID-19) patients with severe respiratory distress are being reported, but comprehensive data are lacking. The aim of this study was to determine the incidence, risk factors, and impact of invasive fungal disease in adult COVID-19 patients with severe respiratory distress.