With the aim of gathering temporal trends on bacterial epidemiology and resistance from multiple laboratories in China, the CHINET surveillance system was organized in 2005. Antimicrobial ...susceptibility testing was carried out according to a unified protocol using the Kirby-Bauer method or automated systems. Results were analyzed according to Clinical and Laboratory Standards Institute (CLSI) 2014 definitions. Between 2005 and 2014, the number of bacterial isolates ranged between 22 774 and 84 572 annually. Rates of extended-spectrum β-lactamase production among Escherichia coli isolates were stable, between 51.7 and 55.8%. Resistance of E. coli and Klebsiella pneumoniae to amikacin, ciprofloxacin, piperacillin/tazobactam and cefoperazone/sulbactam decreased with time. Carbapenem resistance among K. pneumoniae isolates increased from 2.4 to 13.4%. Resistance of Pseudomonas aeruginosa strains against all of antimicrobial agents tested including imipenem and meropenem decreased with time. On the contrary, resistance of Acinetobacter baumannii strains to carbapenems increased from 31 to 66.7%. A marked decrease of methicillin resistance from 69% in 2005 to 44.6% in 2014 was observed for Staphylococcus aureus. Carbapenem resistance rates in K. pneumoniae and A. baumannii in China are high. Our results indicate the importance of bacterial surveillance studies.
Both inflammatory processes and glutamatergic systems have been implicated in the pathophysiology of mood-related disorders. However, the role of caspase-1, a classic inflammatory caspase, in ...behavioral responses to chronic stress remains largely unknown. To address this issue, we examined the effects and underlying mechanisms of caspase-1 on preclinical murine models of depression. We found that loss of caspase-1 expression in Caspase-1
knockout mice alleviated chronic stress-induced depression-like behaviors, whereas overexpression of caspase-1 in the hippocampus of wild-type (WT) mice was sufficient to induce depression- and anxiety-like behaviors. Furthermore, chronic stress reduced glutamatergic neurotransmission and decreased surface expression of glutamate receptors in hippocampal pyramidal neurons of WT mice, but not Caspase-1
mice. Importantly, pharmacological inhibition of caspase-1-interleukin-1β (IL-1β) signaling pathway prevented the depression-like behaviors and the decrease in surface expression of α-amino-3-hydroxy-5-methyl-4-isoxazolepropionic acid receptors (AMPARs) in stressed WT mice. Finally, the effects of chronic stress on both depression- and anxiety-like behaviors can be mimicked by exogenous intracerebroventricular (i.c.v.) administration of IL-1β in both WT and Caspase-1
mice. Taken together, our findings demonstrate that an increase in the caspase-1/IL-1β axis facilitates AMPAR internalization in the hippocampus, which dysregulates glutamatergic synaptic transmission, eventually resulting in depression-like behaviors. These results may represent an endophenotype for chronic stress-induced depression.
We report a measurement of electron antineutrino oscillation from the Daya Bay Reactor Neutrino Experiment with nearly 4 million reactor νover ¯_{e} inverse β decay candidates observed over 1958 days ...of data collection. The installation of a flash analog-to-digital converter readout system and a special calibration campaign using different source enclosures reduce uncertainties in the absolute energy calibration to less than 0.5% for visible energies larger than 2 MeV. The uncertainty in the cosmogenic ^{9}Li and ^{8}He background is reduced from 45% to 30% in the near detectors. A detailed investigation of the spent nuclear fuel history improves its uncertainty from 100% to 30%. Analysis of the relative νover ¯_{e} rates and energy spectra among detectors yields sin^{2}2θ_{13}=0.0856±0.0029 and Δm_{32}^{2}=(2.471_{-0.070}^{+0.068})×10^{-3} eV^{2} assuming the normal hierarchy, and Δm_{32}^{2}=-(2.575_{-0.070}^{+0.068})×10^{-3} eV^{2} assuming the inverted hierarchy.
Coastal groundwater reserves often reflect a complex evolution of marine transgressions and regressions, and are only rarely in equilibrium with current boundary conditions. Understanding and ...managing the present-day distribution and future development of these reserves and their hydrochemical characteristics therefore requires insight into their complex evolution history. In this paper, we construct a paleo-hydrogeological model, together with groundwater age and origin calculations, to simulate, study and evaluate the evolution of groundwater salinity in the coastal area of the Netherlands throughout the last 8.5 kyr of the Holocene. While intended as a conceptual tool, confidence in our model results is warranted by a good correspondence with a hydrochemical characterization of groundwater origin. Throughout the modeled period, coastal groundwater distribution never reached equilibrium with contemporaneous boundary conditions. This result highlights the importance of historically changing boundary conditions in shaping the present-day distribution of groundwater and its chemical composition. As such, it acts as a warning against the common use of a steady-state situation given present-day boundary conditions to initialize groundwater transport modeling in complex coastal aquifers or, more general, against explaining existing groundwater composition patterns from the currently existing flow situation. The importance of historical boundary conditions not only holds true for the effects of the large-scale marine transgression around 5 kyr BC that thoroughly reworked groundwater composition, but also for the more local effects of a temporary gaining river system still recognizable today. Model results further attest to the impact of groundwater density differences on coastal groundwater flow on millennial timescales and highlight their importance in shaping today's groundwater salinity distribution. We found free convection to drive large-scale fingered infiltration of seawater to depths of 200 m within decades after a marine transgression, displacing the originally present groundwater upwards. Subsequent infiltration of fresh meteoric water was, in contrast, hampered by the existing density gradient. We observed discontinuous aquitards to exert a significant control on infiltration patterns and the resulting evolution of groundwater salinity. Finally, adding to a long-term scientific debate on the origins of groundwater salinity in Dutch coastal aquifers, our modeling results suggest a more significant role of pre-Holocene groundwater in the present-day groundwater salinity distribution in the Netherlands than previously recognized. Though conceptual, comprehensively modeling the Holocene evolution of groundwater salinity, age and origin offered a unique view on the complex processes shaping groundwater in coastal aquifers over millennial timescales.
Cutaneous leishmaniasis (CL) is a chronic skin infection caused by Leishmania parasites, causing single or multiple skin nodules and ulcers on the exposed body locations. Healing of lesions is ...followed by scar formation. Active and healed CL lesions may affect patient's health related quality of life (HRQL). The aim of this study was to determine whether the body location of the leishmaniasis lesions affects the HRQL of localized CL patients in Suriname. The HRQL of 163 patients with CL was assessed by Skindex-29 and EQ-5D/VAS questionnaires. Forty-six patients out of the total study population also participated in a qualitative anthropological study involving in depth interviews. All patients were allocated in 4 groups in the following hierarchy: head and face, upper limbs, lower limbs and trunk. Patients with lesions on the lower limbs had significantly higher Skindex-29 scores, indicating worse HRQL, in the symptom scale compared to lesions on head/face and trunk. The lower limb group was more likely to report problems in the dimensions self-care, mobility, daily activities and pain/discomfort of the EQ-5D. Little to no social stigma was reported in the in-depth interviews. The findings of this study indicate that Surinamese patients with CL lesions located on the lower limbs had more impairment in HRQL than on other body locations. Stigma related to CL seems to be virtually absent in Suriname.
A low-profile, high-gain, and wideband metasurface (MS)-based filtering antenna with high selectivity is investigated in this communication. The planar MS consists of nonuniform metallic patch cells, ...and it is fed by two separated microstrip-coupled slots from the bottom. The separation between the two slots together with a shorting via is used to provide good filtering performance in the lower stopband, whereas the MS is elaborately designed to provide a sharp roll-off rate at upper band edge for the filtering function. The MS also simultaneously works as a high-efficient radiator, enhancing the impedance bandwidth and antenna gain of the feeding slots. To verify the design, a prototype operating at 5 GHz has been fabricated and measured. The reflection coefficient, radiation pattern, antenna gain, and efficiency are studied, and reasonable agreement between the measured and simulated results is observed. The prototype with dimensions of 1.3 λ 0 × 1.3 λ 0 × 0.06 λ 0 has a 10-dB impedance bandwidth of 28.4%, an average gain of 8.2 dBi within passband, and an out-of-band suppression level of more than 20 dB within a very wide stop-band.
Searches for electron antineutrino, muon neutrino, and muon antineutrino disappearance driven by sterile neutrino mixing have been carried out by the Daya Bay and MINOS+ collaborations. This Letter ...presents the combined results of these searches, along with exclusion results from the Bugey-3 reactor experiment, framed in a minimally extended four-neutrino scenario. Significantly improved constraints on the θμe mixing angle are derived that constitute the most constraining limits to date over five orders of magnitude in the mass-squared splitting Δm241, excluding the 90% C.L. sterile-neutrino parameter space allowed by the LSND and MiniBooNE observations at 90% CLs for Δm241 < 13 eV2. Furthermore, the LSND and MiniBooNE 99% C.L. allowed regions are excluded at 99% CLs for Δm241 < 1.6 eV2.
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