![]() ![]() The vast majority (75.3%) of the 1,592 neonatal CRKP strains available for analyzing carbapenemase have genes encoding metallo-β-lactamases and NDM (New Delhi metallo-β-lactamase) appeared to be the most common carbapenemase (64.3%). In particular, ST17 CRKP has been seen in neonates in 8 countries across 4 continents. We identified 146 sequence types (STs) for neonatal CRKP strains and found that ST17, ST11, and ST15 were the 3 most common lineages. We incorporated the 204 genomes with a literature review for understanding the species distribution, clonal diversity, and carbapenemase types. A total of 535 neonatal CRKP genomes were identified from GenBank including Sequence Read Archive, of which 204 were not linked to any publications. Based on 21 studies reporting patient outcomes, we found that the pooled mortality of neonatal CRKP infections was 22.9% (95% CI, 13.0% to 32.9%). We estimated that the pooled global prevalence of CRKP infections in hospitalized neonates was 0.3% (95% confidence interval, 0.2% to 0.3%). We found that bloodstream infection is the most common infection type in reported data. We included 128 studies, none of which were preprints, comprising 127,583 neonates in 30 countries including 21 low- and middle-income countries (LMICs) for analysis. We identified 8,558 articles and excluding those that did not meet inclusion criteria. We used narrative synthesis for pooling data with JMP statistical software. We included studies addressing the prevalence of CRKP infections and colonization in neonates but excluded studies lacking the numbers of neonates, the geographical location, or independent data on Klebsiella or CRKP isolates. We searched multiple databases (PubMed, Web of Science, Embase, Ovid MEDLINE, Cochrane, bioRxiv, and medRxiv) to identify studies that have reported data of neonatal CRKP infections up to June 30, 2022. mags.We performed a systematic review of studies reporting population-based neonatal infections caused by CRKP in combination with a genome-based analysis of all publicly available CRKP genomes with neonatal origins. Scope is in metal factory shipping/storage crate which is numbered w/ the scope w/ mfg. W/ the included factory mount, it may be removed from the rifle & replaced w/ out jeopardizing prior zero. ![]() in factory 833 & includes the IR detector & battery powered illuminated reticle. Included optic appears to be Chinese 1985 type 4 power sight w/ 24mm objective. Marking on stock left side high on pistol grip appears to be “300470”, though variable stamping pressures & thickness of finish make it difficult to read. Matching numbers or variants there of appear on several key components, including receiver, trigger, safety/selector, the bolt carrier, etc. Right side receiver markings “NORINCO”, “CHINA”. Left side receiver markings “CSI ONT CA.”, “7.62X54R”, “NDM-86”. Left side scope mount integral to the milled receiver. Swivel sling placement is on left side of rifle w/ an attachment point at the front gas block & on the rear to the skeletal stock assembly. Rear skeletal stock & pistol grip assembly utilize a leather cheek piece affixed w/ a clamp. Furniture is an extremely attractive reddish wood w/ a medium gloss ventilated in a similar fashion to the SVD.Įxposed metal surfaces are finished in a dark black satin. Rear sight is a tangent design marked to 1200m. Integral w/ the hooded post sight assembly is a bayonet lug. Unlike earlier counterparts the muzzle brake/flash hider isn’t a threaded add on accessory but part of the front sight assembly. ![]() It differs from the Kalashnikov series in that it has been modified to utilize a rimmed cartridge such as the 7.62x54R, though it was also imported into the United States chambered in 7.62×51 NATO in similar numbers. Like the AK, the NDM-86 is a self-loading gas operated rifle w/ a short stroke gas piston system that utilizes a locking rotating bolt. It’s easy to tell that it is a relative of the iconic Kalashnikov family of rifles which is well known for its durability worldwide. The SVD earned its fame as a Red Army issued sniper rifle & many other Warsaw pact nations during the Cold War. ABSOLUTELY BEAUTIFUL NORINCO NDM-86 WITH 1985 TYPE CHINESE SCOPE. ![]()
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