A Case of New Delhi Metallo-ß-Lactamase-Producing Enterobacter and a Review of Cases in the United States From January 2009 to September 2022.

Antimicrobial resistance is a growing problem. Novel resistance mechanisms continue to emerge, and the pipeline of antimicrobial development struggles to keep up. Antimicrobial stewardship and proper infection control are key in preventing the spread of these infections. A case of a carbapenem-resistant Enterobacter cloacae complex urinary isolate was identified in an 81-year-old male patient at the San Antonio Veterans Affairs hospital, Texas, USA. The patient was placed on isolation, and further testing of the isolate to other antibiotics requested. The purpose of this study is to analyze the details of reports of such cases and to review at-risk populations and appropriate treatment for resistant organisms.

Cortical systems that process language, as revealed by non-native speech sound perception.

Over the course of language acquisition, the brain becomes specialized in the perception of native language speech sounds or phonemes. As a result, adult speakers are highly efficient at processing their native language, but may struggle to perceive some non-native phonemes. This specialization is thought to arise from changes that occur in a person's brain as a result of maturation and language experience. In this study, adult native speakers of English were asked to discriminate between phonemes of varying degrees of difference from English (similar to English: Tagalog /na/-/ŋa/; different from English: Ndebele /k||i/-/k!i/), as their brain activity was measured using functional near infrared spectroscopy imaging. The left inferior frontal region showed activation only during the native condition; this finding is discussed in the context of developmental and adult neuroimaging work and suggests that the left inferior frontal region is critical for perceiving native phoneme contrasts during development and in adulthood.