The aim of this study was to identify communal coping strategies that enhance posttraumatic growth of individuals, communities, and societies in the context of natural disasters. Participants were 540 people affected by floods in Colombia and by earthquakes in Spain and Chile. Posttraumatic growth was assessed at individual, community, and society levels. Direct and indirect relationships between trauma intensity and posttraumatic growth were analyzed to identify and evaluate the mediating role played by communal coping strategies. Growth and communal coping were reported in all nations, but means for posttraumatic growth at all three levels and communal coping were higher in the relatively more collectivistic countries, Colombia and Chile, than in the relatively more individualistic Spain. Spiritual coping was more frequent in the two Latin American nations, but it also predicted growth even in more secularized Spain. Social support was similar in Spain and Chile, and higher in Colombia, and played a more important mediating role in Spain. Globally, our results confirmed that communal coping strategies and participation in collective gatherings are antecedent of posttraumatic growth not only at individual but also at communal level and in different cultural contexts.
Enterobacterales represent the largest group of bacterial pathogens in humans and are responsible for severe, deep-seated infections, often resulting in sepsis or death. They are also a prominent cause of multidrug-resistant (MDR) infections, and some species are recognized as biothreat pathogens. Tools for noninvasive, whole-body analysis that can localize a pathogen with specificity are needed, but no such technology currently exists. We previously demonstrated that positron emission tomography (PET) with 2-deoxy-2-[18F]fluoro-d-sorbitol (18F-FDS) can selectively detect Enterobacterales infections in murine models. Here, we demonstrate that uptake of 18F-FDS by bacteria occurs via a metabolically conserved sorbitol-specific pathway with rapid in vitro 18F-FDS uptake noted in clinical strains, including MDR isolates. Whole-body 18F-FDS PET/computerized tomography (CT) in 26 prospectively enrolled patients with either microbiologically confirmed Enterobacterales infection or other pathologies demonstrated that 18F-FDS PET/CT was safe, could rapidly detect and localize Enterobacterales infections due to drug-susceptible or MDR strains, and differentiated them from sterile inflammation or cancerous lesions. Repeat imaging in the same patients monitored antibiotic efficacy with decreases in PET signal correlating with clinical improvement. To facilitate the use of 18F-FDS, we developed a self-contained, solid-phase cartridge to rapidly (<10 min) formulate ready-to-use 18F-FDS from commercially available 2-deoxy-2-[18F]fluoro-d-glucose (18F-FDG) at room temperature. In a hamster model, 18F-FDS PET/CT also differentiated severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) pneumonia from secondary Klebsiella pneumoniae pneumonia—a leading cause of complications in hospitalized patients with COVID-19. These data support 18F-FDS as an innovative and readily available, pathogen-specific PET technology with clinical applications.
Expression of V(2)R is first detectable in the late embryonic stage of rat ontogeny starting from day E18 and gradually increasing with kidney maturation. In the adult kidney, V(2)R is differentially distributed in the various nephron segments.
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