West Georgia Technical College

Abstract Antimicrobial resistance (AMR) is a global public health threat. Mortality and poor treatment outcomes are the hallmark consequences of AMR. Conventional antimicrobial susceptibility testing (AST) is slow, limited in coverage, and dependent on laboratory infrastructure, creating delays in clinical decision-making. In this study, we developed a hybrid deep learning framework for broad-spectrum antimicrobial resistance prediction by analyzing bacterial genome assemblies and paired antimicrobial susceptibility outcomes. Genome assemblies were encoded using 6-mer frequency representations and engineering antimicrobial susceptibility phenotypes into genome–antibiotic pairs for binary prediction. The proposed model integrates convolutional neural networks (CNNs) for local sequence feature extraction, bidirectional long short-term memory (BiLSTM) networks to capture long-range genomic dependencies, and an attention mechanism to improve interpretability. Model evaluation achieved an accuracy of 0.71 and AUROC of 0.77 at a resistance decision threshold of 0.55, with balanced accuracy of 0.70 and AUPRC of 0.49. The results demonstrate variable predictive performance across antibiotics and organism groups, supporting the need for subgroup-level evaluation and threshold tuning. This study demonstrates that a hybrid CNN–BiLSTM–Attention model can rapidly predict antimicrobial resistance from genome-derived k-mer features while incorporating organism and antibiotic metadata for broad-spectrum AST prediction. The framework provides a scalable approach for genome-based susceptibility prediction and supports further development toward clinically deployable AMR decision-support tools.

Studies in health professional students have shown the students' perception of instructor caring behaviors had a positive impact on student behaviors and their anxiety. Health professional students are under high emotional and academic demands during entry-level programs which can lead to higher anxiety. The purpose of this study was to measure the relationship between worry or anxiety and dental hygiene students' perceptions of faculty caring behaviors. Cross-sectional survey research was conducted with a convenience sample of dental hygiene students (n = 355) in the United States using a web-based survey. The validated instruments Nursing Students' Perceptions of Instructor Caring (NSPIC) and Penn State Worry Questionnaire (PSWQ) were used for data collection. The NSPIC contains five subscales including instilling confidence through caring (CTC), supportive learning climate, appreciation of life's meanings, control versus flexibility (F), and respectful sharing (RS). Data analysis included descriptive, correlation, and multiple linear regression. The completion rate was 66% (n = 235). Findings showed the NSPIC subscale, CTC had a statistically significantly higher median score than other NSPIC sub-scales (p < 0001). The NSPIC subscale RS had the second-highest median score. The results of the PSWQ showed that 48% of participants were in the chronic worrier category. Regression analysis showed CTC was a significant predictor of worry (p < 0.001) and a one-unit increase in CTC resulted in a 0.21 decrease in the PSWQ score. Our findings suggested instilling CTC behaviors was the most significant faculty caring behavior and was associated with lower levels of student worry. The results from this study may aid in identifying and developing effective caring behaviors for faculty to support students during stressful dental and allied dental curricula.

Understand the proper collection of cerebrospinal fluid List the tests performed on each of the three tubes in which CSF is transported to the laboratory Relate the formation of cerebrospinal fluid and its role in the maintenance of the central nervous system Correlate clinical laboratory results with pathological conditions

ABSTRACT Objective: This study investigated associations between the use of alternative tobacco products (e.g., cigarettes, little cigars/cigarillos, hookah, e-cigarettes), alcohol, and marijuana among college students and use by their parents, siblings, and friends. A large literature exists for social influences on adolescent substance use, but few studies have focused on college samples. Participants: 3,418 college students from seven universities in the state of Georgia participated in this study. Methods: Web-based surveys were completed by students (45–60 minutes) during the fall semester, 2014. Results: Findings largely indicated specificity of associations between college student use and use by social influences for similar tobacco products and other substances. For each tobacco product or substance, the highest associations were for friends' use. Structural equation analyses further supported the specificity of associations and highlighted the relative strength of friends' use on student use. Conclusion: Similar to findings with adolescents, the use of alternative tobacco products, alcohol, and marijuana by parents, siblings, and friends is associated with higher levels of use among college students, and friends' use was the most potent correlate for this phase of the lifespan.

La grange seigneuriale de Flux à Lailly-en-Val (Loiret) est construite sur le lit majeur de la Loire en zone primitivement inondable. Transformée par les siècles, elle n’en conserve pas moins son pourtour d’origine et une charpente à fermes et pannes sur poteaux dont les bois ont été coupés vers 1320 (dendrochronologie). Grâce à des aveux du XIVe siècle, postérieurs d’un tiers de siècle à sa construction, on constate qu’elle occupait une situation à part dans « l’hébergement » de Flux. Son implantation près de Beaugency permettait de transporter la part des récoltes qui y étaient entreposées en peu de temps pour y être vendue.

Editorials20 April 2004Making It Possible for General Internal Medicine To SurviveRobert B. Copeland, MD, FRCPRobert B. Copeland, MD, FRCPFrom Georgia Heart Clinic, La Grange, GA 30240.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-140-8-200404200-00017 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail I have practiced for almost 4 decades as a small-town cardiologist who has also provided principal or primary care. In this issue, Larson and the Society of General Internal Medicine (SGIM) Task Force on the Domain of General Internal Medicine got it right (1). They outline a future mission that reaffirms the fundamental strength of internal medicine: breadth and depth. They recognize the potential for teams of clinicians to improve patient care. They highlight the importance of a reimbursement system that rewards high-quality care and good outcomes.Our already overworked and under-reimbursed training programs and physician practices cannot meet the ...

Cet article rapporte l'experience de la decouverte d'un site archeologique extraordinaire ou des instruments chirurgicaux et d'autres outils servant a la pratique de la medecine ont ete decouvert. Ces instruments sont aujourd'hui entreposes a Taxila, ville situee a proximite d'Islamabad au Pakistan. L'historique des fouilles est accompagne de cliches des precieux instruments.

IN ordinary elementary qualitative analysis, it is usual to remove phosphoric acid from solution as ferric phosphate by dropwise addition of ferric chloride under certain conditions after removal of Group I as chlorides and Group II as sulphides. Zirconium phosphate is well known to be insoluble in acid solution and it appeared that, as an alternative method, phosphoric acid might be removed by addition of a soluble zirconium salt. The following scheme has been found to work well with elementary students in our laboratories.