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Abstract
Staphylococcus aureus infections have already presented a substantial public health challenge, encompassing different clinical manifestations, ranging from bacteremia to sepsis and multi-organ failures. Among these infections, methicillin-resistant S. aureus (MRSA) is particularly alarming due to its well-documented resistance to multiple classes of antibiotics, contributing significantly to global mortality rates. Consequently, the urgent need for effective treatment options has prompted a growing interest in exploring phage therapy as a potential non-antibiotic treatment against MRSA infections. Phages represent a class of highly specific bacterial viruses known for their ability to infect certain bacterial strains. This review paper explores the clinical potential of phages as a treatment for MRSA infections due to their low toxicity and auto-dosing capabilities. The paper also discusses the synergistic effect of phage-antibiotic combination (PAC) and the promising results from in vitro and animal model studies, which could lead to extensive human clinical trials. However, clinicians need to establish and adhere to standard protocols governing phage administration and implementation. Prominent clinical trials are needed to develop and advance phage therapy as a non-antibiotic therapy intervention, meeting regulatory guidelines, logistical requirements, and ethical considerations, potentially revolutionizing the treatment of MRSA infections.
A talajspektrális könyvtárak nemzetközi jelentősége és hazai megalapozása
The international importance and national establishment of soil spectral libraries
Napjainkban soha nem látott igény mutatkozik megfelelő mennyiségű és minőségű talajadatra és információra. Spektroszkópiai technológiák a hagyományos laboratóriumi módszerekkel együttesen, párhuzamosan alkalmazva lehetőséget kínálnak a talajfelvételezés idő- és költséghatékonyabbá, valamint környezetkímélőbbé tételére. Jelen munkában lokális, regionális és globális léptékű talajspektrális könyvtárak bemutatása mellett az első országos szintű, az Agrártechnológiai Nemzeti Laboratórium projekt keretében kidolgozásra kerülő, Magyarország talajtani változatosságát reprezentáló spektrális adatbázis létrehozásának koncepcióját mutatjuk be. A spektrális könyvtárak olyan speciális talajadatbázisoknak tekinthetőek, melyek tartalmazzák egy adott terület talajait reprezentáló talajminták hagyományos laboratóriumi módszerrel meghatározott paramétereit, valamint spektroszkópiai módszerrel rögzített spektrumait. A spektrális könyvtárakban tárolt adatok alapján elvégzett, spektroszkópiai kalibrációkra alapozott talajparaméter becslési eljárások lehetőséget kínálnak az adatbázisban szereplő talajminták fizikai-kémiai-ásványtani tulajdonságaihoz hasonló minták paramétereinek spektrális alapú megbízható megbecsléséhez. A hazai spektrális könyvtár alappillérét a Talajvédelmi Információs és Monitoring (TIM) rendszer mintavételezés kezdeti évében (1992-ben) gyűjtött, talajok genetikai szintjeiből vett talajmintákról felvett spektrumokra építjük. A spektrális adatbázist a középső-infravörös (middle-infrared, MIR), valamint a látható- és közeli infravörös (visible and near-infrared, VIS-NIR) tartományban, a Global Soil Laboratory Network (GLOSOLAN) iránymutatásai alapján rögzített spektrális adatokra építjük. A folyamatosan bővülő spektrális könyvtár, és az erre az adatbázisra épülő talajtulajdonság-becslő eljárás lehetőséget fog kínálni számos fizikai és kémiai paraméterének megbízható meghatározására, ezzel (számottevő többletköltség nélkül) nyújt lehetőséget a jelenlegi laboratóriumi kapacitás növelésére.
Abstract
Background
Doxycycline-based prevention of bacterial sexually transmitted infections (STIs) has been assessed in various studies and has been recommended by the European AIDS Clinical Society to be proposed to persons with repeated STIs on a case-by-case basis. However, while good preventive effects could be shown for Chlamydia trachomatis and Treponema pallidum in Europe, no reliable prevention against doxycycline resistance-affected bacterial causes of STIs like Neisseria gonorrhoeae and Mycoplasma genitalium was confirmed.
Methods
In a modelling-approach, we assessed potential beneficial effects even against the latter microorganisms in case of optimized adherence with doxycycline prevention. These effects were modelled for Germany in comparison to traditional prevention schemes like condom-based STI-prevention and testing-as-prevention.
Results
With estimated risk reduction in the ranges of 86% for N. gonorrhoeae and of 82% for Mycoplasma genitalium, expectable preventive efficacy similar to alternative preventive approaches could be calculated in case of optimized adherence with doxycycline prevention. In case of repeated risk exposure, the preventive potential of condom-based prevention was decreased compared to both optimized doxycycline prevention and testing-as-prevention.
Conclusions
As suggested by the applied modelling, the preventive effect of optimized doxycycline prevention against bacterial STIs is in a similar range, like other common prevention strategies.
Abstract
Pulmonary infections of patients with cystic fibrosis (CF) or in intensive care units are frequently caused by the Gram-negative opportunistic pathogen Pseudomonas aeruginosa. Since these bacteria are commonly inherently multidrug-resistant (MDR) and hence, antibiotic treatment options are limited, bacteriophages may provide alternative therapeutic and prophylactic measures in the combat of pneumonia caused by P. aeruginosa. This prompted us to perform a comprehensive literature survey of current knowledge regarding effects of phages applied against pulmonary P. aeruginosa infections. The included 23 studies revealed that P. aeruginosa specific phages lyse and eliminate the bacteria even in case of biofilm production in vitro, whereas application to mice and men resulted in mitigated P. aeruginosa induced clinical signs and enhanced survival. Besides distinct host immune responses, no major adverse effects limiting therapeutic and/or prophylactic phage application were noted. However, the immune system and antibiotics generate synergies with phages due to the mutable sensitivity of P. aeruginosa. In conclusion, results summarized in this review provide evidence that phages constitute promising alternative treatment options for lung infections caused by MDR P. aeruginosa. Further studies are needed, however, to underscore the efficacy and safety aspects of phages application to infected patients including immune-compromised individuals.
Abstract
Aim
The ability of neutrophil CD16 (nCD16) expression to predict outcome in complicated intra-abdominal infections (cIAIs) has not yet been studied; therefore we aimed to evaluate its potential prognostic value in such patients.
Methods
Between November 2018 and August 2021 a single-center prospective study was performed in the Department of Surgical Diseases at a University Hospital Stara Zagora. A flow cytometry was used to measure the levels of nCD16 before surgery and on the 3rd postoperative day (POD) in 62 patients with cIAIs.
Results
We observed a mortality rate of 14.5% during hospitalization. Survivors had significantly higher perioperative expression of nCD16 than non-survivors (P = 0.02 preoperatively and P = 0.006 postoperatively). As predictor of favorable outcome we found a good predictive performance of preoperative nCD16 (AUROC = 0.745) and a very good predictive performance of postoperative levels (AUROC = 0.846). An optimal preoperative threshold nCD16 = 34.75 MFI permitted prediction of survival with sensitivity and specificity of 66.7% and 77.8%, respectively. A better sensitivity of 72.5% and specificity of 85.7% were observed for threshold = 54.8 MFI on the 3rd POD.
Conclusion
Perioperative neutrophil CD16 expression shows a great potential as a predictor of favorable outcome in patients with cIAIs.
Abstract
We aimed to determine the association between the seropositivity to Toxoplasma gondii and the ABO and Rh blood groups in 2,053 people. ABO and Rhesus blood groups and anti-T. gondii IgG and IgM antibodies were determined using commercially available assays. Of the 2,053 people studied, 171 (8.3%) were positive for anti-T. gondii IgG antibodies. Sixty-five (38.0%) and 36 (21.1%) of these 171 individuals had high anti-T. gondii IgG antibody levels (≥150 IU mL−1) and anti-T. gondii IgM antibodies, respectively. We found the following prevalences of T. gondii infection among the ABO groups: 8.5% in group A, 4.3% in group B, 4.7% in group AB, and 8.9% in group O (P = 0.19). The prevalences of T. gondii infection among Rh groups were: 8.4% in the Rh-positive group and 7.1% in the Rh-negative group (P = 0.58). Logistic regression analysis showed that the frequencies of ABO and Rh blood groups were similar (P > 0.05) among people with positive and negative serology for anti-T. gondii IgG antibodies, with high (≥150 IU mL−1) and lower (<150 IU mL−1) levels of anti-T. gondii IgG antibodies, and with positive and negative serology for anti-T. gondii IgM antibodies. Results does not support an association between T. gondii infection and ABO and Rh blood groups.
Abstract
Platycranus metriorrhynchus Reuter, 1883, the first representative of the predominantly Holomediterranean plant bug genus, Platycranus Fieber, 1870 is reported as a new element of the Hungarian true bug fauna. Diagnostic characters and bionomics of the species are discussed.
Abstract
“Feed the global population and regenerate the planet.”
The conditions necessary for the implementation of the above commonly used slogan did not exist 10–15 years ago. We did not have access to the information and databases that would have allowed us to increase yields for the purpose of feeding the growing population. While increasingly meeting sustainability requirements and regenerating the Earth. Anthropocentrism, the belief that humans are superior to everything else, benefits humans by exploiting human greed and ignorance, which is a dead end for both individuals and societies. Only humans can ignore the dynamic equilibrium processes of nature and disregard the consequences that adversely affect future generations. Ecocentric agricultural practices have several prerequisites. It is important for the academic sphere to recognize its significance. Another fundamental challenge is the continuous monitoring of the production unit and its close and distant environment for the purpose of decision preparation using Big Data. The Internet of Things (IoT) is a global infrastructure that represents the network of physical (sensors) and virtual (reality) “things” through interoperable communication protocols. This allows devices to connect and communicate using cloud computing and artificial intelligence, contributing to the integrated optimization of the production system and its environment, considering ecocentric perspectives. This brings us closer to the self-decision-making capability of artificial intelligence, the practice of machine-to-machine (M2M) interaction, where human involvement in decision-making is increasingly marginalized. The IoT enables the fusion of information provided by deployed wireless sensors, data-gathering mobile robots, drones, and satellites to explore complex ecological relationships in local and global dimensions. Its significance lies, for example, in the prediction of plant protection. The paper introduces small smart data logger robots, including the Unmanned Ground Vehicles (robots) developed by the research team. These can replace sensors deployed in the Wireless Sensor Net (WSN).
Abstract
Human infections with the food-borne zoonotic enteropathogen Campylobacter jejuni are increasing globally. Since multi-drug resistant bacterial strains are further on the rise, antibiotic-independent measures are needed to fight campylobacteriosis. Given its anti-microbial and anti-inflammatory properties the polyphenolic compound resveratrol constitutes such a promising candidate molecule. In our present placebo-controlled intervention trial, synthetic resveratrol was applied perorally to human gut microbiota-associated (hma) IL-10−/− mice starting a week before oral C. jejuni infection. Our analyses revealed that the resveratrol prophylaxis did not interfere with the establishment of C. jejuni within the murine gastrointestinal tract on day 6 post-infection, but alleviated clinical signs of campylobacteriosis and resulted in less distinct colonic epithelial apoptosis. Furthermore, oral resveratrol dampened C. jejuni-induced colonic T and B cell responses as well as intestinal secretion of pro-inflammatory mediators including nitric oxide, IL-6, TNF-α, and IFN-γ to basal levels. Moreover, resveratrol application was not accompanied by significant shifts in the colonic commensal microbiota composition during campylobacteriosis in hma IL-10−/− mice. In conclusion, our placebo-controlled intervention study provides evidence that prophylactic oral application of resveratrol constitutes a promising strategy to alleviate acute campylobacteriosis and in consequence, to reduce the risk for post-infectious autoimmune sequelae.
Abstract
Hungary is a Central European country that is rich in medicinal and aromatic wild plant species; in rural livelihoods, the collection, use, process, and trade of these plants are traditionally important contributors. However, due to several recent changes touching the sector, the natural ecosystems, biodiversity, and collectors - who generally belong to poorer social groups – are affected negatively.
The paper aims to introduce the Hungarian herbal sector from a holistic perspective, including its economic, environmental, and human dimensions, with a particular focus on sustainability. In this context, the purpose of the article is to discover this field as comprehensibly as possible and present it from both theoretical and practical aspects. Another objective is to collect the best practices and feasible solutions from the field in connection with promoting a harmonious, as well as economically prosperous relationship between nature and local people. This integrated approach helps show the industry's strengths and advantages, as well as its weaknesses and challenges. Based on the findings, the paper attempts also to propose some recommendations for the future.
