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High-Risk Lineages of Hybrid Plasmids Carrying Virulence and Carbapenemase Genes.
Antibiotics (Basel)
December 2024
Pediatric Research and Clinical Center for Infectious Diseases, Saint Petersburg 197022, Russia.
Carbapenem-resistant (CRE) are a global health threat due to their high morbidity and mortality rates and limited treatment options. This study examines the plasmid-mediated transmission of virulence and antibiotic resistance determinants in carbapenem-resistant () and () isolated from Russian hospitals. : We performed short- and long-read whole-genome sequencing of 53 clinical isolates (48 and 5 ) attributed to 15 genetic lineages and collected from 21 hospitals across nine Russian cities between 2016 and 2022.
View Article and Find Full Text PDFChest Feminization and Masculinization Surgery: Part Two of the Plastic Surgeon's Perspective of Gender-Affirming Surgery.
Plast Aesthet Nurs (Phila)
December 2024
Eva S. Hale, MS, is an MD/MBA candidate at the University of Miami Miller School of Medicine, Miami, FL.
Transgender individuals commonly feel significant distress and discomfort, termed gender dysphoria, as a result of the discrepancy between their gender assigned at birth and their gender identity. A major source of gender dysphoria stems from distinct anatomical differences between the male and female chest. Gender-affirming mastectomy of transmasculine patients and breast augmentation for chest feminization of transfeminine patients, also referred to as top surgery, are often the first surgical interventions and most commonly pursued physical modifications for the treatment of gender dysphoria among this patient population.
View Article and Find Full Text PDFArticle Synopsis
- The World Health Assembly set six global nutrition targets (GNTs) in 2012 to improve maternal and child health, but there has been no comprehensive report detailing progress from 2012 to 2021.
- A study evaluated the prevalence and impact of these nutrition targets across 204 countries using data from the Global Burden of Diseases, Injuries, and Risk Factors Study (GBD) 2021 and projected future trends up to 2050.
- By 2021, only a few countries met some GNTs; most showed increased child overweight and notable decreases in female anaemia, highlighting a connection between societal development status and nutritional challenges.
Addressing the Risk of Postpartum Hemorrhage in African American or Black Patients at a Military Treatment Facility.
Clin Nurse Spec
December 2024
Author Affiliations: Perinatal Clinical Nurse Specialist, (Dr. Lang), Chief Resident, Family Medicine (Dr. Kenney), Director of Medical Education (Dr. Baird), Family Medicine Obstetric Staff Physician (Dr. Yano), Deputy Commander for Inpatient Services (Mr. Cahill), Carl R. Darnall Army Medical Center, Maternal Child Health Department, Ft Cavazos, Texas (Drs Lang, Kenney, Yano, and Baird and COL Cahill); Director for Nursing Pentagon Health Clinic (Dr. Taylor-Campbell), Alexander T. Augusta Military Medical Center, Ft Belvoir, Virginia (Dr Taylor-Campbell); and Uniformed Services University of the Health Sciences, Assistant Professor, Adult-Gerontology Clinical Nurse Specialist Program Graduate School of Nursing, Bethesda, Maryland (Dr Romito).
Endoscopic papillectomy versus surgical ampullectomy for adenomas and early cancers of the papilla: a retrospective Pancreas2000/European Pancreatic Club analysis.
Gut
December 2024
Department of Digestive and HBP Surgery, Groupe Hospitalier Pitié-Salpêtrière, Médecine Sorbonne Université APHP, Paris, France.
Objective: Ampullary neoplastic lesions can be resected by endoscopic papillectomy (EP) or transduodenal surgical ampullectomy (TSA) while pancreaticoduodenectomy is reserved for more advanced lesions. We present the largest retrospective comparative study analysing EP and TSA.
Design: Of all patients in the database, lesions with prior interventions, benign histology advanced malignancy (T2 and more), patients with hereditary syndromes and those undergoing pancreatoduodenectomy were excluded.
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