Treatment options for vancomycin-resistant enterococci (VRE) bloodstream infection are limited. Studies comparing daptomycin or linezolid in treating VRE bloodstream infection have conflicting ...results and suggest daptomycin underdosing. The responses to different daptomycin doses have not been studied. We conducted a multicentre prospective cohort study to compare linezolid and daptomycin (≥6 mg/kg) for the treatment of VRE bloodstream infection. The primary outcome was 14-day mortality. We used multivariate logistic regression analysis for outcome analysis and a generalized additive model for dose-dependent response estimation. Two hundred twelve patients were included (daptomycin, n = 141; linezolid, n = 71). All-cause 14-day mortality was higher in the daptomycin group (36.9% vs. 21.1%; p 0.03). After adjusting for confounders in logistic regression, mortality was lower in the linezolid group (adjusted odds ratio (aOR), 0.45; 95% confidence interval (CI), 0.21–0.96; p 0.04). The generalized additive model showed that higher-dose daptomycin (≥9 mg/kg) was associated with better survival than lower-dose daptomycin (6–9 mg/kg). Logistic regression showed that linezolid (aOR, 0.36; 95% CI, 0.17–0.79; p 0.01) and higher-dose daptomycin (aOR, 0.26; 95% CI, 0.09–0.74; p 0.01) independently predicted lower mortality compared to lower-dose daptomycin. Linezolid was not superior to higher-dose daptomycin in terms of mortality (aOR, 1.40; 95% CI, 0.45–4.37; p 0.57). Higher-dose daptomycin had lower mortality than lower-dose daptomycin. Despite higher mortality for lower-dose daptomycin than linezolid, linezolid conferred no survival benefit compared to higher-dose daptomycin. Our findings suggest that the recommended daptomycin dose is suboptimal for treating VRE bacteraemia.
The application of nanotechnology in the field of drug delivery has attracted much attention in the latest decades. Recent breakthroughs on the morphology control and surface functionalization of ...inorganic‐based delivery vehicles, such as mesoporous silica nanoparticles (MSNs), have brought new possibilities to this burgeoning area of research. The ability to functionalize the surface of mesoporous‐silica‐based nanocarriers with stimuli‐responsive groups, nanoparticles, polymers, and proteins that work as caps and gatekeepers for controlled release of various cargos is just one of the exciting results reported in the literature that highlights MSNs as a promising platform for various biotechnological and biomedical applications. This review focuses on the most recent progresses in the application of MSNs for intracellular drug delivery. The latest research on the pathways of entry into live mammalian and plant cells together with intracellular trafficking are described. One of the main areas of interest in this field is the development of site‐specific drug delivery vehicles; the contribution of MSNs toward this topic is also summarized. In addition, the current research progress on the biocompatibility of this material in vitro and in vivo is discussed. Finally, the latest breakthroughs for intracellular controlled drug release using stimuli‐responsive mesoporous‐silica‐based systems are described.
Recent applications of inorganic nanomaterials in the field of drug delivery have attracted a lot of attention in the last decade. One of the most promising candidates for this matter is mesoporous silica nanoparticles. This review highlights the latest progress in terms of the application of mesoporous silica nanoparticles for intracellular drug delivery.
Adolescents with intellectual disabilities (ID) who live a sedentary lifestyle may lead to an increased risk of chronic cardiovascular disease in adulthood. The aim of this study is to investigate ...the effects of 8-week progressive rope skipping training on physical, cardiovascular fitness and exercise tolerance of high school students with moderate ID.
Thirty-four senior high school with ID (aged 15-18 years old) were randomised into experimental group received progressive skipping rope exercise (RS, n = 17) and control group no rope skipping exercise intervention group (CON, n = 17). The RS group were received progressive rope skipping exercise for 50 min each time, three times a week, for 8 weeks. The control group was not allowed to participate in intervention activities during the study period. The physical fitness, body composition, arterial stiffness index (ASI) and blood pressure were measured before and after the 8-week intervention.
After the 8-week progressive skipping rope exercise intervention, the participants from the RS group increased in the 3-min step test, sit-up test, grip strength and sit and reach test, when compared to the baseline (P < 0.05). The RS group exhibited lower the area under curve of heart rate (HR) during post-exercise recovery (P < 0.05). The participants in the RS group showed significant decreases in systolic (SBP) and diastolic (DBP) blood pressure, mean arterial pressure (MAP) and HR when compared to the baseline (P < 0.05). Change SBP has moderate positive correlation with change ASI.
The results of this experiment suggest that progressive rope skipping exercise might improve physical fitness and promote cardiovascular health, as well as enhance exercise tolerance for adolescent students with moderate ID.
Over the past 20 years, protein engineering has been extensively used to improve and modify the fundamental properties of fluorescent proteins (FPs) with the goal of adapting them for a fantastic ...range of applications. FPs have been modified by a combination of rational design, structure-based mutagenesis, and countless cycles of directed evolution (gene diversification followed by selection of clones with desired properties) that have collectively pushed the properties to photophysical and biochemical extremes. In this review, we provide both a summary of the progress that has been made during the past two decades, and a broad overview of the current state of FP development and applications in mammalian systems.
Monomeric red and far-red FPs and indicators now perform nearly as well as the best green FPs (and indicators).
Reversible and irreversible photochromism in FPs can be exploited to increase optical resolution and improve contrast compared with traditional fluorescence microscopy.
Infrared FPs (IFPs) are becoming ever more useful as labels for various proteins that allow correct localization and whole-animal imaging. IFPs can serve as an additional fluorescent ‘color’ for simultaneous imaging with visible FP-labeled proteins.
Bacterial phytochrome (BphP)-based IFPs provide a new scaffold for engineering fluorogenic indicators, which are ideal to visualize spatiotemporal dynamics of cell signaling in vivo.
Small ultra-red FP (smURFP) is the brightest far-red nonprototypical FP (comparable with EGFP) and is extremely photostable. smURFP may prove particularly useful as a photostable FP for super-resolution imaging and as a FRET acceptor for biosensing applications.
The engineering of new fluorescent indicators that combine features of prototypical FP-based indicators with photochromic proteins can reveal the cellular maps of biochemical activities in super-resolution.
FPs can be used as optogenetic actuators to manipulate cellular and protein functions through chromophore-assisted light inactivation or light-controlled protein oligomerization.
Autism spectrum disorder is a group of neurodevelopmental disorders. The disease's etiology is unclear, and there is no specific drug treatment for the core symptoms of autism spectrum disease. The ...study aims to explore effective intervention methods for children with autism spectrum disorders.
This paper proposes a visual strategy intervention method for children with autism spectrum disorders. This method combines feature extraction and abnormal behavior detection and can use a visual cue strategy to integrate children into social groups. Firstly, the spatial-temporal feature fusion structure is added to extract behavioral features from children, and the spatial information contained in MotionNet is fused with temporal features. Optical Flow Feature (OFF) subnetwork is added to the optical flow extraction feature network. Each layer feature is input to the OFF subnet to extract the time feature further. Then, a behavior detection method based on the sequential pool is proposed. This method combines attention mechanism and clustering pool to effectively describe human behavior dynamics in the long, redundant video under complex background. Finally, feature extraction and behavior detection experiments are carried out on SDUFall, Weizmann, and HMDB51 data sets.
The model's accuracy is still slightly higher than others in that only the video Red-Green-Blue (RGB) frame is used as input. Compared with OFF, SDUFall can reach 88.64%, and HMDB51 can only reach 63.81%. In contrast, the proposed model can reach 72.09%, higher than others. The descriptor obtained the best result of 92.57%, which is 3.64%, 2.58%, and 1.73% higher than the other three comparison descriptors. The data show that the method presented here is effective and has advantages in detecting children's abnormal behavior.
This method and visual intervention for children with autism spectrum disorders can help them to overcome social barriers.
Background and purpose
Earlier studies suggested an association between idiopathic restless legs syndrome (RLS) and cardiovascular diseases. However, the risk of cardiovascular events in patients ...with secondary RLS due to end‐stage renal disease (ESRD) is unclear. Our aim was to examine whether ESRD patients with RLS had an increased risk of cardio/cerebrovascular events and mortality.
Methods
In all, 1093 ESRD patients were recruited between 2009 and 2010. The diagnosis and severity of RLS were assessed in a face‐to‐face interview. The occurrence of cardio/cerebrovascular events and death were confirmed by medical record review. The association between RLS and the outcomes of interest was examined using an adjusted multivariate Cox regression model.
Results
After a mean follow‐up period of 3.7 ± 0.8 years, ESRD patients with RLS had a significantly higher risk of developing cardiovascular events and strokes adjusted hazard ratio (aHR) 2.82, 95% confidence interval (CI) 2.02–4.11, and aHR 2.41, 95% CI 1.55–3.75, respectively compared with patients without RLS. Increasing RLS severity was associated with an increasing likelihood of cardiovascular events mild RLS severity, aHR 1.71 (95% CI 1.02–2.87); moderate, 2.79 (1.64–4.66); severe, 2.85 (1.99–4.46) and strokes mild, 1.89 (0.87–4.16); moderate, 2.42 (1.50–3.90); severe, 2.64 (1.49–4.91) in a dose‐dependent manner. RLS also increased the risk of total mortality in patients with ESRD aHR 1.53 (95% CI 1.07–2.18), P = 0.02; this association attenuated slightly after stratification by individual RLS severity category mild RLS severity, aHR 1.44 (95% CI 0.78–2.67); moderate, 1.49 (0.98–2.55); severe, 2.03 (0.93–4.45).
Conclusions
ESRD patients with RLS demonstrated an increased likelihood of cardio/cerebrovascular events and mortality.
Zeolitic imidazolate frameworks (ZIFs) have been foregrounded as structures with exceptional, intrinsic chemical and thermal stability. However, there has yet to be a systematic study of the ...isothermal stability of ZIFs, specifically the well-studied ZIF-8. In this work, ZIF-8 isothermal TGA decomposition kinetics were studied in air, argon, H2/CO2, and nitrogen environments by exposing ZIF-8 to each gas for 20 h at temperatures of 200, 250, and 300 °C, respectively. ZIF-8 crystallinity was preserved under the experimental isothermal conditions at 200 °C in each atmosphere, but crystallinity was increasingly eliminated at higher temperatures. Decomposition kinetics data show that the rate of ZIF-8 carbonization significantly increases at temperatures above 200 °C irrespective of environment. ZIF-8 decomposition in the H2/CO2 reducing mixture exhibits the slowest decomposition kinetics at all temperatures and the greatest morphological change. At 300 °C, oxidative effects enhance ZIF-8 decomposition in air. At lower temperatures the decomposition rate in air behaves more similarly to that of nitrogen and argon. Arrhenius activation energy parameters enable postulation that the temperature dependency of ZIF-8 thermal decomposition after carbonization at 300 °C is more similar upon decomposition in inert and reducing environments as compared to decomposition in oxidizing atmosphere. Four chemical equations inferring the residual carbonized ZIF structure after decomposition at 300 °C were developed based upon EDS quantification and FTIR/azirine formation models. The FTIR/azirine derived model postulates a heterogeneous carbonized ZIF-8 structure containing 2-methylimidazole and azirine rings coordinated to zinc and more precisely agreed with TGA weight decomposition data than the EDS derived model.
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