Antimicrobial resistance (AMR) is a growing threat that undermines the effectiveness of global healthcare. The Centers for Disease Control and Prevention and the World Health Organization have identified numerous microbial organisms, particularly members of the ESKAPEE pathogens, as critical threats to global health and economic security. Many clinical isolates of these pathogens have become completely resistant to current antibiotics, making treatment nearly impossible.
View Article and Find Full Text PDFObjectives: Anticentromere antibodies (ACA) are typically found in limited cutaneous systemic sclerosis (lcSSc), whereas patients with anti-topoisomerase I antibodies (ATA) usually exhibit diffuse cutaneous involvement (dcSSc). We aimed to investigate the clinical phenotype and outcome of ACA-dcSSc.
Methods: A systematic literature review was conducted (January 1970 to April 2023) across MEDLINE, Scopus and OVID, to define whether SSc patients (population) within the ACA-dcSSc subset (exposure) had higher/lower risk for major organ involvement (interstitial lung disease-ILD, pulmonary hypertension-PH, primary myocardial involvement-PMI, scleroderma renal crisis-SRC) and mortality (outcomes) compared to ACA-lcSSc and ATA-dcSSc.
In complex systems, the system's self-regulation processes can transition between states of equilibrium and disequilibrium, leading to changes in the distribution of players within the playing space. Actions that are surprising, rare, or out of the ordinary tend to be valued for their potential to destabilize the opposing defensive structure, altering player dispersion, and creating fragile spaces for the attack. With advancements in understanding the influence of the environment on players' affordances, the tactical consequences from individuals' solutions to various scenarios and their impact on the game context becomes a rich area for investigation.
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