Proprotein Convertase Subtilisin Kexin 9 Inhibitor in Severe Sepsis and Septic Shock Patients in a Phase II Prospective Cohort Study-Preliminary Results.

Sepsis is a life-threatening organ dysfunction syndrome caused by a dysregulated host response to infection that has a high mortality rate. Proprotein convertase subtilisin kexin 9 (PCSK9) is a serine protease secreted by the liver. Its binding to the low-density lipoprotein (LDL) receptor enhances its degradation, causing an increase in LDL levels in the blood.

Amikacin treatment in patients with Enterobacterales bacteraemia: impact of MIC on mortality.

Background: Recently, breakpoints of Enterobacterales to amikacin were changed from MIC ≤ 16 mg/L to MIC ≤ 4 mg/L based mainly on laboratory data with little supporting clinical evidence. Our aim was to investigate the relation between MIC of Enterobacterales to amikacin and mortality among patients with Enterobacterales bacteraemia from a urinary tract source treated with amikacin.

Patients And Methods: This retrospective, single-centre study included patients with Enterobacterales urinary source bacteraemia treated with amikacin, with Low (MIC ≤ 4 mg/L) and High (MIC 8 or 16 mg/L) MICs.

The impact of alternative recycled and synthetic phosphorus sources on plant growth and responses, soil interactions and sustainable agriculture - lettuce (Lactuca sativa) as a case model.

This research assesses the efficacy of two phosphorus (P) adsorbents as alternative fertilizers in promoting lettuce growth. A synthetic Mg/Al-layered double hydroxide (LDH) and an iron-based recycled water treatment residual (Fe-WTR), both enriched with P from dairy wastewater and added at three dosage levels. We hypothesized that the adsorbents' physicochemical nature will overshadow the biological efforts in the plant ecosystem to increase P solubility, impacting plant growth, nutritional composition, and metabolite profiles.

The impact of Boric Acid tubes on quantitative urinary bacterial cultures in hospitalized patients.

Introduction: The accuracy of urine culture results can be affected by pre-analytical factors such as transport delays and storage conditions. The objectives of this study were to analyze urine collection practices and assess the impact of introducing boric acid tubes for urine collection on quantitative urinary bacterial cultures of hospitalized patients in medical wards.

Methods: A quasi-experimental pre-post study conducted in an acute care facility.

Genome sequence of two novel virulent clinical strains of Burkholderia pseudomallei isolated from acute melioidosis cases imported to Israel from India and Thailand.

Objective: Burkholderia pseudomallei, the etiological cause of melioidosis, is a soil saprophyte endemic in South-East Asia, where it constitutes a public health concern of high-priority. Melioidosis cases are sporadically identified in nonendemic areas, usually associated with travelers or import of goods from endemic regions. Due to extensive intercontinental traveling and the anticipated climate change-associated alterations of the soil bacterial flora, there is an increasing concern for inadvertent establishment of novel endemic areas, which may expand the global burden of melioidosis.

Room Temperature Relaxometry of Single Nitrogen Vacancy Centers in Proximity to α-RuCl Nanoflakes.

Nitrogen vacancy (NV) center-based magnetometry has been proven to be a versatile sensor for various classes of magnetic materials in broad temperature and frequency ranges. Here, we use the longitudinal relaxation time of single NV centers to investigate the spin dynamics of nanometer-thin flakes of α-RuCl at room temperature. We observe a significant reduction in the in the presence of α-RuCl in the proximity of NVs, which we attribute to paramagnetic spin noise confined in the 2D hexagonal planes.

Blood stream Infections in chronic hemodialysis patients - characteristics and outcomes.

Introduction: Bloodstream Infections (BSI) are a major cause of death and hospitalization among hemodialysis (HD) patients. The rates of BSI among HD patients vary and are influenced by local patient and pathogen characteristics. Modifications in local infection prevention protocols in light of active surveillance of BSI has been shown to improve clinical outcomes.

A Randomized Controlled Study Assessing Convalescent Immunoglobulins vs Convalescent Plasma for Hospitalized Patients With Coronavirus 2019.

Background: It is unknown whether convalescent immunoglobulins (cIgGs) are better than convalescent plasma (CP) for patients with coronavirus 2019 (COVID-19).

Methods: In this randomized controlled trial, we assigned high risk COVID-19 patients with ≤10 days of symptoms, to receive cIgGs or CP. The primary endpoint was improvement on day 14 according to the World Health Organization scale.

Evidence for the cooking of fish 780,000 years ago at Gesher Benot Ya'aqov, Israel.

Although cooking is regarded as a key element in the evolutionary success of the genus Homo, impacting various biological and social aspects, when intentional cooking first began remains unknown. The early Middle Pleistocene site of Gesher Benot Ya'aqov, Israel (marine isotope stages 18-20; ~0.78 million years ago), has preserved evidence of hearth-related hominin activities and large numbers of freshwater fish remains (>40,000).

Short- and long-term mortality in patients with urosepsis caused by Escherichia coli susceptible and resistant to 3rd generation cephalosporins.

Background: The aim of this study was to compare short- and long-term mortality among patients with urosepsis caused by Escherichia coli susceptibile (EC-SC) and resistant (EC-RC) to 3rd generation cephalosporins.

Methods: A retrospective cohort study that included all patients with E. coli urosepsis admitted to a 700-bed hospital from January 2014 until December 2019.

The development of microfabricated solenoids with magnetic cores for micromagnetic neural stimulation.

Electrical stimulation via invasive microelectrodes is commonly used to treat a wide range of neurological and psychiatric conditions. Despite its remarkable success, the stimulation performance is not sustainable since the electrodes become encapsulated by gliosis due to foreign body reactions. Magnetic stimulation overcomes these limitations by eliminating the need for a metal-electrode contact.

Assessing modified aluminum-based water treatment residuals as a plant-available phosphorus source.

Inorganic phosphorus (P) fertilizers are a finite resource; alternative means of creating P fertilizers from current municipal and agricultural waste sources may reduce our reliance on phosphate rock mining, and improve waste disposal and nutrient cycling. Previous research demonstrated that organic aluminum water treatment residual composites (Al/O-WTR), created by mixing aluminum water treatment residuals (Al-WTR) with swine wastewater, have the potential to be a source of plant-available P. A greenhouse study was conducted to compare spring wheat (Triticum aestivum L.

Aminoglycoside versus carbapenem or piperacillin/tazobactam treatment for bloodstream infections of urinary source caused by Gram-negative ESBL-producing Enterobacteriaceae.

Objectives: We studied the performance of aminoglycosides in treating bloodstream infections (BSIs) of urinary source caused by ESBL-producing Enterobacteriaceae (ESBL-EB).

Methods: In a retrospective study of 193 patients with a clinical diagnosis of urinary tract infection, pyelonephritis or urosepsis and blood and urine cultures positive for ESBL-EB, patients were grouped according to whether they were treated with an aminoglycoside, a carbapenem or piperacillin/tazobactam. Multivariate analysis was used to define risk factors for mortality with inverse probability of treatment weighting used to minimize confounding.

Past aquatic environments in the Levant inferred from stable isotope compositions of carbonate and phosphate in fish teeth.

Here we explore the carbon and oxygen isotope compositions of the co-existing carbonate and phosphate fractions of fish tooth enameloid as a tool to reconstruct past aquatic fish environments and harvesting grounds. The enameloid oxygen isotope compositions of the phosphate fraction (δ18OPO4) vary by as much as ~4‰ for migratory marine fish such as gilthead seabream (Sparus aurata), predominantly reflecting the different saline habitats it occupies during its life cycle. The offset in enameloid Δ18OCO3-PO4 values of modern marine Sparidae and freshwater Cyprinidae from the Southeast Mediterranean region vary between 8.

Ancient trash mounds unravel urban collapse a century before the end of Byzantine hegemony in the southern Levant.

The historic event of the Late Antique Little Ice Age (LALIA) was recently identified in dozens of natural and geological climate proxies of the northern hemisphere. Although this climatic downturn was proposed as a major cause for pandemic and extensive societal upheavals in the sixth-seventh centuries CE, archaeological evidence for the magnitude of societal response to this event is sparse. This study uses ancient trash mounds as a type of proxy for identifying societal crisis in the urban domain, and employs multidisciplinary investigations to establish the terminal date of organized trash collection and high-level municipal functioning on a city-wide scale.

Opportunism or aquatic specialization? Evidence of freshwater fish exploitation at Ohalo II- A waterlogged Upper Paleolithic site.

Analysis of ca. 17,000 fish remains recovered from the late Upper Paleolithic/early Epi-Paleolithic (LGM; 23,000 BP) waterlogged site of Ohalo II (Rift Valley, Israel) provides new insights into the role of wetland habitats and the fish inhabiting them during the evolution of economic strategies prior to the agricultural evolution. Of the current 19 native fish species in Lake Kinneret (Sea of Galilee), eight species were identified at Ohalo II, belonging to two freshwater families: Cyprinidae (carps) and Cichlidae (St.

Phosphorus Sorption to Aluminum-based Water Treatment Residuals Reacted with Dairy Wastewater: 2. X-Ray Absorption Spectroscopy.

Phosphorus capture from wastewater can decrease water pollution and provide a P-rich fertilizer alternative for use in agricultural production. This study was conducted to elucidate P retention mechanisms in Al-based water treatment residuals (Al-WTR) to gain insight regarding P sorption and the potential for P release from Al-WTR after reaction with dairy wastewater. Synchrotron-based microfocused X-ray fluorescence (micro-XRF) spectrometry, bulk P -edge X-ray absorption near edge structure spectroscopy (XANES), and P -edge micro-XANES spectroscopy were used to determine P distribution and speciation within the Al-WTR materials.

Phosphorus Sorption Characteristics in Aluminum-based Water Treatment Residuals Reacted with Dairy Wastewater: 1. Isotherms, XRD, and SEM-EDS Analysis.

We examined P sorption characteristics in Al-based water treatment residuals (Al-WTR) generated from slightly alkaline surface water and in an organic residual composite (WW-Al/O-WTR), produced by using the Al-WTR to treat organic-rich and high P concentration dairy wastewater. Solids from both residuals were examined using scanning electron microscopy-energy dispersive spectroscopy (SEM-EDS) and X-ray diffraction (XRD), and exposed to P additions of 0 to 4000 mg L in a sorption experiment. The Al-WTR removed ∼97% of the added P, whereas WW-Al/O-WTR removed only 78% of the added P in the addition range of 0 to 100 mg P L.

Gram-negative bloodstream infections in hemodialysis patients: A retrospective study .

Background: Bloodstream infections (BSIs) are an important cause of hospitalizations and mortality among hemodialysis (HD) patients. Epidemiology of these infections is changing, with increasing rates of Gram-negative pathogens, including resistant ones. Few studies have focused on the characteristics and outcomes of these infections.

Infants Born with Esophageal Atresia with or without Tracheo-Esophageal Fistula: Short- and Long-Term Outcomes.

Background: The estimated incidence of esophageal atresia (EA) with or without tracheo-esophageal fistula (TEF) is 1:3500 live births. During childhood these patients have various co-morbidities, but the overall quality of life among adults is similar to that of the general population.

Objectives: To evaluate short- and long-term co-morbidities and quality of life among infants born with EA ± TEF at a large single medical center.

Innovative approach for recycling phosphorous from agro-wastewaters using water treatment residuals (WTR).

Phosphorus capture from polluting streams and its re-use using industrial byproducts has the potential to also reduce environmental threats. An innovative approach was developed for P removal from soil leachate and dairy wastewater using Al-based water treatment residuals (Al-WTR) to create an organic-Al-WTR composite (Al/O-WTR), potentially capable of serving as a P fertilizer source. Al-WTR was mixed with either soil leachate, or with dairy wastewater, both of which contained elevated P concentrations (e.

Perinatal citalopram does not prevent the effect of prenatal stress on anxiety, depressive-like behaviour and serotonergic transmission in adult rat offspring.

It is still not clear whether the selective serotonin reuptake inhibitors frequently prescribed to depressed pregnant women improve the behavioural outcome in their children. The current study investigated whether administration of citalopram to pregnant rats could prevent anxiety and depressive-like behaviour induced by gestational stress in their offspring, and restore the expression of serotonin 1A autoreceptors in GABAergic interneurons in the medial prefrontal cortex and dorsal raphe nuclei in males, and of corticotropin-releasing factor type 2 receptors in GABAergic interneurons in the dorsal raphe nuclei in females. Activation of these receptors modulates serotonergic transmission to target areas and is reduced in a sex-dependent manner by prenatal stress.

Evaluation of the ornithogenic influence on the trophic state of East Mediterranean wetland ecosystem using trend analysis.

The Great Rift Valley portion of the East African-Eurasian Migratory Flyway is extremely important globally because of the numbers (>500 million) and diversity of seasonal traveling birds. The construction of the Agmon wetland (1.1km(2)) in the Hula Valley, Israel in 1994 and a change in crop type and rotation has attracted increasing number of Eurasian cranes (Grus grus) to winter in the wetland (>40,000 in 2014).