Diagnosis of the condition by otoscopy is difficult. Considering the wide spectrum of middle ear disorders (acute otitis media, otitis media with effusion, chronic suppurative otitis media) one can appreciate why opinions on the management of the condition are diverse. This is a review of the literature on clinical presentation, etiology, risk factors, treatment and prevention of acute otitis media in neonatal life.”
“Micro-Raman

LY411575 spectroscopy was employed for the determination of the germanium content, x and strain, epsilon, in ultrathin SiGe virtual substrates grown directly on Si by molecular beam epitaxy. The growth of highly relaxed SiGe layers was achieved by the introduction of point find more defects at a very low temperature during the initial stage of growth. SiGe virtual substrates with thicknesses in the range 40-200 nm with a high Ge content (up to 50%) and degree of relaxation, r, in the range 20%-100% were investigated using micro-Raman spectroscopy and x-ray diffraction (XRD) techniques. The Ge content, x, and strain, x, were estimated from equations describing Si-Si, Si-Ge, and Ge-Ge Raman vibrational modes, modified in this study for application to thin SiGe layers. The alteration of the experimentally derived equations from previous studies was performed

using independent data for x and r obtained from XRD reciprocal space maps. A number of samples consisting of a strained-silicon (s-Si) layer deposited on a SiGe virtual substrate were also analyzed. The stress value for the s-Si varied from 0.54 to 2.75 GPa, depending on the Ge-content in the virtual substrates. These results are in good agreement with theoretically

predicted values. (C) 2011 American Institute of Physics. [doi:10.1063/1.3536508]“
“Klebsiella oxytoca strains MU946294N BGJ398 and MB193997E were isolated from patients in Scotland. Strain MU946294N was resistant to pencillins, monbactams and cephalosporins. Isolate MB193997E displayed a beta-lactam resistance phenotype consistent with chromosomal beta-lactamase overproduction. No bla(TEM), bla(SHV) or bla(CTX-M) genes could be amplified in either strain; however, amplification by PCR was found with primers for the bla(OXY-2) gene. This beta-lactamase gene in MU946294N differed by one mutation from the all other bla(OXY) genes previously reported, with an amino acid substitution Alanine237 Threonine enhancing the binding of cefotaxime. Strain MB193997E showed mutations at positions 255 and 283, neither of which affect function. Based on rpoB and gyrA characterization, both strains were assigned to the KoII phylogenic group but they were completely dissimilar from each other by PFGE. This study is the first to report the substitution of Alanine to Threonine at position 237 in a OXY-2 beta-lactamase and this enhances resistance to cefotaxime.