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The purpose of this study was to assess the risk of Vibrio spp. transmission from crustaceans to humans in two coastal towns of C?te d'Ivoire. Bacteriologic analysis was performed on 322 crustacean samples obtained from six markets in Abidjan and one in Dabou. Suspected Vibrio colonies were identified by morphological, cultural, biochemical, and molecular tests and matrix-assisted laser desorption ionization-time-of-flight mass spectrometry. PCR assays were used to further characterize Vibrio strains. A survey on consumption of crustaceans was conducted among 120 randomly selected households in Abidjan. Overall, Vibrio spp. were isolated from 7.8% of the crustacean samples studied, at levels as high as 6.3 log CFU/g. Of the Vibrio strains identified, 40% were V. alginolyticus, 36% were V. parahaemolyticus, and 24% were nontoxigenic V. cholerae; the latter two species can cause mild to severe forms of seafood-associated gastroenteritis. Among interviewed households, 11.7% reported daily consumption of crustaceans, confirming the high probability of exposure of human population to Vibrio spp., and 7.5% reported symptoms of food poisoning after consumption of crustaceans. The absence of genes encoding major virulence factors in the studied strains, i.e., cholera toxin (ctxA and ctxB) in V. cholerae and thermostable direct hemolysin (tdh) and thermostable direct hemolysin-related hemolysin (trh) in V. parahaemolyticus, does not exclude the possibility of exposure to pathogenic strains. However, human infections are not common because most households (96.7%) boil crustaceans, usually for at least 45 min (85.9% of households) before consumption.  相似文献   
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Many times both physicians and patients take for granted that they are qualified to treat certain ages and certain conditions. Neurological conditions are diagnosed and treated by neurologists, pediatric neurologists, and neurosurgeons. What is the difference and why does it matter? It is a balancing act of risk and benefit and the physician’s obligation to know her/his limitations. Telemedicine may play a key role in enabling a greater access to pediatric neurologists. If telemedicine becomes more available, then access even in more remote areas without child neurologists may be possible. As this article discusses, there may be certain limitations to using telemedicine, which is distinguishable from telehealth, in relation to pediatric neurology. This article examines the type of neurological physician that is the most appropriate; the availability of and access to pediatric neurologists; and the applicability of telemedicine to the diagnosis and treatment of pediatric neurological conditions.  相似文献   
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There is a need to control the spatio-temporal release kinetics of growth factors in order to mitigate current usage of high doses. A novel delivery system, capable of providing both structural support and controlled release kinetics, has been developed from PLGA microparticles. The inclusion of a hydrophilic PLGA–PEG–PLGA triblock copolymer altered release kinetics such that they were decoupled from polymer degradation. A quasi zero order release profile over four weeks was produced using 10% w/w PLGA–PEG–PLGA with 50:50 PLGA whereas complete and sustained release was achieved over ten days using 30% w/w PLGA–PEG–PLGA with 85:15 PLGA and over four days using 30% w/w PLGA–PEG–PLGA with 50:50 PLGA. These three formulations are promising candidates for delivery of growth factors such as BMP-2, PDGF and VEGF. Release profiles were also modified by mixing microparticles of two different formulations providing another route, not previously reported, for controlling release kinetics. This system provides customisable, localised and controlled delivery with adjustable release profiles, which will improve the efficacy and safety of recombinant growth factor delivery.  相似文献   
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Dams, increasingly common in riverine systems worldwide, are particularly prevalent on the Columbia River (CR) in the United States. Hydroelectric projects, including both storage and run‐of‐river (i.e., minimal storage) structures, on the mainstem CR highly manage water flow, often by releasing water over (rather than through) dams as “spill.” To test the effects of run‐of‐river dam spill on microplankton abundance and composition, we sampled above and below two dams in the lower CR before and during spill conditions in spring 2016 and during and after spill conditions in late summer 2007. We tested the effects of location (i.e., above vs. below dams), spill condition (i.e., before, during, and after spill), and their interaction on microplankton abundance. Generally, diatoms were most abundant during springtime, whereas cyanobacteria were most abundant in late summer. Most taxa were not significantly different in abundance above and below dams, regardless of spill status; although cyanobacteria abundance was marginally higher below dams in summer 2007 (p = .04). Abundances of all taxa were significantly different between pre‐spill and spill periods in spring 2016, whereas only diatom and flagellate abundances were significantly different between spill and post‐spill periods in summer 2007. We conclude that spill conditions may influence microplankton abundance, but are not likely to affect microplankton communities on either side of run‐of‐river dams on the CR. This is important information for dam managers concerned about ecosystem impacts of spill.  相似文献   
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The Cr:Fe ratio (chromium-to-iron mass ratio) of chromite affects the production of chrome-based ferroalloys. Although the lit-erature contains numerous reports related to the magnetic separation of di...  相似文献   
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