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Latest Paper:
Faculty of Medicine, McGill University, Montréal, Canada; Santé Mentale Jeunesse, CSSS de la Montagne, Montréal, Canada.
Limited access to healthcare for vulnerable immigrant children in Europe and North America is increasingly worrisome as immigration policies harden. This paper analyzes the gap between States' obligations under international human rights law and the disparate local implementations in diverse countries. Studies that are both multidisciplinary and incorporate micro and macro level indicators are needed to reveal discrepancies between entitlements and access. It is argued that the lack of available data on the magnitude of the problem and on its individual and public health consequences stems from the conflicting situation faced by health institutions required to simultaneously protect the best interest of each child and allocate limited resources. Collaboration in research is urgently needed to assist policy-makers and institutions make informed decisions.
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Kendra P Rumbaugh,
Stephen P Diggle,
Chase M Watters,
Adin Ross-Gillespie,
Ashleigh S Griffin,
Stuart A West
Department of Surgery, Texas Tech University Health Sciences Center, Lubbock, TX 79430, USA.
The ability of pathogenic bacteria to exploit their hosts depends upon various virulence factors, released in response to the concentration of small autoinducer molecules that are also released by the bacteria [1-5]. In vitro experiments suggest that autoinducer molecules are signals used to coordinate cooperative behaviors and that this process of quorum sensing (QS) can be exploited by individual cells that avoid the cost of either producing or responding to signal [6, 7]. However, whether QS is an exploitable social trait in vivo, and the implications for the evolution of virulence [5, 8-10], remains untested. We show that in mixed infections of the bacterium Pseudomonas aeruginosa, containing quorum-sensing bacteria and mutants that do not respond to signal, virulence in an animal (mouse) model is reduced relative to that of an infection containing no mutants. We show that this is because mutants act as cheats, exploiting the cooperative production of signal and virulence factors by others, and hence increase in frequency. This supports the idea that the invasion of QS mutants in infections of humans [11-13] is due to their social fitness consequences [6, 7, 14] and predicts that increased strain diversity will select for lower virulence.
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Katrina Deleon,
Fredrik Balldin,
Chase Watters,
Abdul Hamood,
John Griswold,
Sunil Sreedharan,
Kendra Rumbaugh
Depts. of Surgery, and Microbiology and Immunology, Texas Tech Univ Health Sciences Center, Lubbock, TX 79430; and Titan Pharmaceuticals, Inc., South San Francisco, CA 94080.
Gallium (Ga) is a semi-metallic element that has demonstrated therapeutic and diagnostic-imaging potential in a number of disease settings, including cancer and infectious diseases. Gallium's biological actions stem from its ionic radius being almost the same as that of ferric iron (Fe(3+)) whereby it can replace iron (Fe) in Fe(3+)-dependent biological systems, such as bacterial and mammalian Fe-transporters and Fe(3+)-containing enzymes. Unlike Fe(3+), ionic gallium (Ga(3+)) cannot be reduced and when incorporated it inactivates Fe(3+)-dependent reduction and oxidation processes that are necessary for bacterial and mammalian cell proliferation. Most pathogenic bacteria require Fe for growth and function, and the availability of Fe in the host or environment can greatly enhance virulence. We examined whether gallium maltolate (GaM), a novel formulation of Ga, had antibacterial activity in a thermally-injured acute infection mouse model. Dose-response studies indicated that a GaM dose as low as 25 mg/kg delivered subcutaneously (SC) was sufficient to provide 100% survival in a lethal P. aeruginosa-infected thermally-injured mouse model. Mice treated with 100 mg/kg GaM had undetectable levels of P. aeruginosa in their wounds, livers and spleens, while the wounds of untreated mice were colonized with over 10(8) P. aeruginosa CFU/g of tissue, and livers and spleens colonized with over 10(5) P. aeruginosa CFU/g of tissue. GaM also significantly reduced the colonization of Staphylococcus aureus and Acinetobacter baumannii in the wounds of thermally-injured mice. Furthermore, GaM was also therapeutically effective in preventing pre-established P. aeruginosa infections at the site of the injury from spreading systemically. Taken together our data suggest that GaM is potentially a novel antibacterial agent for the prevention and treatment of wound infections following thermal-injury.
Jianhua Liu,
Jennifer Santangelo,
Randy James,
Coyt D Watters,
Anthony Orsini,
Hagop Mekhjian,
Jyoti Kamal
The Ohio State University Medical Center.
Using historical data within the Information Warehouse of the Ohio State University Medical Center, prediction on daily patient volume to catheterization laboratory was attempted to facilitate resource management and planning.
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