Purpose
Circulating microRNAs (miRNAs) are potential diagnostic biomarkers for breast cancer (BC). The application of miRNA panels could improve the performance of screening tests. Here, we ...integrated bioinformatic tools and meta-analyses to select circulating miRNAs with high diagnostic accuracy and combined these markers to develop diagnostic panels for BC.
Methods
Analyses across databases were performed to identify potential BC-related circulating miRNAs. Next, a comprehensive meta-analysis was conducted for each miRNA following the PRISMA guidelines. An electronic and manual search for relevant literature was carried out by two reviewers through PubMed, ScienceDirect, Biomed Central, and Google Scholar. The quality of the included studies was assessed using the QUADAS-2, and the statistical analyses were performed using R software 4.1.1. Finally, the accurate biomarkers confirmed through meta-analyses were combined into diagnostic models for BC.
Results
Twenty-seven circulating miRNAs were identified as BC-related by bioinformatic tools. After screening, only 10 miRNAs presented in 45 studies were eligible for meta-analyses. By assessing pooled sensitivity, specificity, positive likelihood ratio, negative likelihood ratio, and diagnostic odds ratio, 8 miRNAs (miR-21, miR-30b, miR-125b, miR-145, miR221 miR-222, and miR-335) were revealed as promising BC diagnostic biomarkers. Two panels constructed from these miRNAs showed excellent diagnostic accuracy for BC, with areas under the SROC curve of 0.917 and 0.944.
Conclusion
We identified 8 potential circulating miRNAs and 2 diagnostic models that are useful for diagnosing BC. However, the established miRNA panels have not been tested in any experimental studies and thus should be validated in large case–control studies for clinical use.
Abstract
Coronavirus disease 2019 (COVID-19) arose at a time of great concern about antimicrobial resistance (AMR). No studies have specifically assessed COVID-19–associated superinfections or AMR. ...Based on limited data from case series, it is reasonable to anticipate that an appreciable minority of patients with severe COVID-19 will develop superinfections, most commonly pneumonia due to nosocomial bacteria and Aspergillus. Microbiology and AMR patterns are likely to reflect institutional ecology. Broad-spectrum antimicrobial use is likely to be widespread among hospitalized patients, both as directed and empiric therapy. Stewardship will have a crucial role in limiting unnecessary antimicrobial use and AMR. Congressional COVID-19 relief bills are considering antimicrobial reimbursement reforms and antimicrobial subscription models, but it is unclear if these will be included in final legislation. Prospective studies on COVID-19 superinfections are needed, data from which can inform rational antimicrobial treatment and stewardship strategies, and models for market reform and sustainable drug development.
Nosocomial superinfections, including antimicrobial-resistant infections, will likely occur in an appreciable minority of severe coronavirus disease 2019 (COVID-19) cases. Stewardship will be crucial for limiting broad-spectrum antimicrobial use in hospitalized patients. Congressional COVID-19 legislation is considering reforms to antimicrobial reimbursement and development.
•Antibacterial ZnO nanoparticles for edible surface coatings were successfully fabricated.•Incorporation of ZnO nanoparticles in a chitosan/gum arabic edible coating was evaluated.•Effects of ZnO ...nanoparticles on the performance of the edible coating for banana preservation were investigated.•Properties of the edible coating and changes in the physical chemical properties of the banana were investigated.•The developed edible coating composite can be applied for banana preservation.
ZnO nanoparticles are nontoxic inorganic oxides that have been extensively used as a supplement for zinc nutrients and antibacterial agents in the food industry, especially in edible coatings to protect food from deterioration by viruses, fungi, and bacteria. In this work, ZnO nanoparticles were fabricated by a hydrothermal method and characterized by scanning electron microscopy and X-ray diffraction. The prepared ZnO nanoparticles exhibited good antibacterial properties against several bacteria, including Staphylococcus aureus, Escherichia coli, and Bacillus subtilis. The ZnO nanoparticles as an antibacterial agent were incorporated into a chitosan/gum arabic (CH/GA) edible coating, and the protective performance for the preservation of bananas was investigated. The obtained CH/GA/ZnO coating significantly improved the quality and shelf life of bananas at a temperature of 35 °C and relative humidity (RH) of 54 %. The banana surface treated with the CH/GA/ZnO coating was relatively smooth with a CH/GA/ZnO film thickness of approximately 50 μm. The utilization of the resultant coating enabled the maintenance of banana quality, including fruit firmness, weight loss, reducing sugar, and titratable acidity, for a remarkably longer period. The banana coated with the CH/GA/ZnO system was demonstrated to maintain freshness for more than 17 d in comparison with the less than 13 d for the control banana at 35 °C and 54 % RH.
Blood cultures are limited for diagnosing invasive candidiasis by poor sensitivity and slow turn-around time. New diagnostics are needed to complement cultures, in particular to identify the "missing ...50%" of patients who are blood culture-negative. Mannan/anti-mannan immunoglobulin G, β-D-glucan (BDG) and polymerase chain reaction (PCR) assays can diagnose candidemia before blood cultures and show promising sensitivity/specificity, but they are not widely investigated in blood culture—negative, deep-seated candidiasis. In a recent study, BDG and PCR were superior to blood cultures in deep-seated candidiasis, suggesting they may identify currently undiagnosed patients and expand our understanding of disease spectrum. Positive predictive values of nonculture tests are limited by the low prevalence of invasive candidiasis, which mandates that results be interpreted judiciously. When used as biomarkers that assess a patient's risk of having invasive candidiasis, tests will facilitate preemptive antifungal strategies. Because negative predictive values are excellent, tests will also be useful for ruling out invasive candidiasis and discontinuing unnecessary antifungal therapy.
Acinetobacter baumannii is a leading cause of healthcare-associated infections worldwide. Because of various intrinsic and acquired mechanisms of resistance, most β-lactam agents are not effective ...against many strains, and carbapenems have played an important role in therapy. Recent trends show many infections are caused by carbapenem-resistant or even extensively drug-resistant (XDR) strains, for which effective therapy is not well established. Evidence to date suggests that colistin constitutes the backbone of therapy, but the unique pharmacokinetic properties of colistin have led many to suggest the use of combination antimicrobial therapy. However, the combination of agents and dosing regimens that delivers the best clinical efficacy while minimizing toxicity is yet to be defined. Carbapenems, sulbactam, rifampin and tigecycline have been the most studied in the context of combination therapy. Most data regarding therapy for invasive, resistant A. baumannii infections come from uncontrolled case series and retrospective analyses, though some clinical trials have been completed and others are underway. Early institution of appropriate antimicrobial therapy is shown to consistently improve survival of patients with carbapenem-resistant and XDR A. baumannii infection, but the choice of empiric therapy in these infections remains an open question. This review summarizes the most current knowledge regarding the epidemiology, mechanisms of resistance, and treatment considerations of carbapenem-resistant and XDR A. baumannii.
Leptin is an adipo-myokine that regulates appetite and energy expenditure by a neuroendocrine feedback loop. Leptin levels are positively correlated with BMI in the spinal cord injury population and ...leptin levels are greater in individuals with spinal cord injury compared to uninjured controls. Leptin is produced in multiple tissues, including fat, bone, and skeletal muscle and is a putative biomarker of sedentary behavior in older adults. We assessed body composition leptin, adiponectin, and IL-6 levels in 205 men with chronic spinal cord injury. We found no association between age, injury duration, injury level, injury completeness, or walking status and leptin. There was a significant positive association between lean mass and leptin in men with SCI that was independent of fat. Adjusting for body composition, leptin levels were positively associated with IL-6 and negatively associated with adiponectin levels. When considering men with SCI and sarcopenic obesity, only fat mass remained positively associated with leptin. We found no association between IL-6, adiponectin, or lean mass and leptin in the sarcopenic obesity group. Our findings suggest that lean mass is an under recognized, but substantial, source of circulating leptin. Furthermore, SCI-related sarcopenic obesity may result in dysregulated adipo-myokine metabolism with local and systemic physiologic effects.
Diagnosing Invasive Candidiasis Clancy, Cornelius J; Nguyen, M Hong
Journal of clinical microbiology,
05/2018, Letnik:
56, Številka:
5
Journal Article
Recenzirano
Odprti dostop
Cultures are negative in ∼50% of invasive candidiasis. Data are emerging for the performance of nonculture tests such as mannan/antimannan,
germ tube antibody, 1,3-β-d-glucan, PCR, and the T2Candida ...panel in diagnosing both candidemia and deep-seated candidiasis. In most settings, positive predictive values of nonculture test are low, and negative predictive values are high. For tests to be useful, clinicians must understand the pretest likelihood of invasive candidiasis and test performance for the most common disease manifestation in a given patient. This paper reviews nonculture
diagnostics and discusses how they might be used effectively in patient care.
Abstract Panax vietnamensis Ha et Grushv. is a precious medicinal species native to the tropical forests of Vietnam. Due to habitat loss and over-harvesting, this species is endangered in Vietnam. To ...conserve the species, we investigated genetic variability and population structure using nine microsatellites for 148 individuals from seven populations across the current distribution range of P. vietnamensis in Vietnam. We determined a moderate genetic diversity within populations (HO = 0.367, HE = 0.437) and relatively low population differentiation (the Weir and Cockerham index of 0.172 and the Hedrick index of 0.254) and showed significant differentiation (P < 0.05), which suggested fragmented habitats, over-utilization and over-harvesting of P. vietnamensis. Different clustering methods revealed that individuals were grouped into two major clusters, which were associated with gene flow across the geographical range of P. vietnamensis. This study also detected that ginseng populations can have undergone a recent bottleneck. We recommend measures in future P. vietnamensis conservation and breeding programs.
Resumo Panax vietnamensis Ha et Grushv. é uma espécie medicinal preciosa nativa das florestas tropicais do Vietnã. Por causa da perda de hábitat e da colheita excessiva, essa espécie está ameaçada de extinção no Vietnã. Para conservá-la, investigamos a variabilidade genética e a estrutura populacional usando nove microssatélites para 148 indivíduos de sete populações em toda a distribuição atual de P. vietnamensis no Vietnã. Determinamos uma diversidade genética moderada dentro das populações (HO = 0,367 e HE = 0,437) e diferenciação populacional relativamente baixa (índice de Weir e Cockerham de 0,172 e índice de Hedrick de 0,254), com diferenciação significativa (P < 0,05), o que sugeriu fragmentação de hábitats, sobreutilização e sobre-exploração de P. vietnamensis. Diferentes métodos de agrupamento revelaram que os indivíduos foram agrupados em dois agrupamentos principais, que foram associados ao fluxo gênico em toda a área geográfica de P. vietnamensis. Este estudo também detectou que as populações de ginseng podem ter sofrido um gargalo recente. Recomendamos medidas em futuros programas de conservação e melhoramento de P. vietnamensis.
Background
Updated prevalence and outcome data for nonobese NAFLD for the multi‐ethnic US population is limited.
Objectives
We aimed to investigate the prevalence, clinical characteristics and ...mortality of obese and nonobese individuals with NAFLD in the United Sates.
Methods
A retrospective study was conducted using the 1999–2016 NHANES databases. We determined hazard ratio stratified by obesity status in NAFLD individuals using Cox regression and log‐rank test.
Results
Overall NAFLD prevalence was 32.3%: 22.7% were obese and 9.6% were nonobese, with increasing trend over time for obese NAFLD, but not nonobese NAFLD. Amongst those with NAFLD, 29.7% (95% CI: 27.8%‐31.7%) were nonobese, of which 13.6% had lean NAFLD. Nonobese NAFLD was more common in older (40.9% if ≥ 65 vs. 24.2% if < 65 years), male (34.0% vs. 24.2%) and foreign‐born Asian people (39.8% vs. 11.4%) and uncommon in black (11.5% vs 30–35% in other ethnicities, P < 0.001). Metabolic comorbidities were common in nonobese NAFLD individuals who also had more advanced fibrosis. Nonobese NAFLD individuals had higher 15‐year cumulative all‐cause mortality (51.7%) than obese NAFLD (27.2%) and non‐NAFLD (20.7%) (P < 0.001). However, DM and fibrosis, but neither obese nor nonobese NAFLD compared to non‐NAFLD was independently associated with higher mortality.
Conclusion
Nonobese NAFLD makes up about one‐third of the NAFLD in the United States (even higher in older, male and foreign‐born individuals) and carries higher mortality than obese NAFLD. Screening for NAFLD should be considered in high‐risk groups even in the absence of obesity.
It is well recognized that filter media play a crucial role in constructed wetlands (CWs) for decontamination of phosphorus (P)-rich wastewater. This study investigates the suitability of raw white ...hard clam shells (WHC) and white hard clam shells thermally modified at 800 °C (WHC-M800) as potential media to enhance P treatment performance in CWs. The results indicated that both WHC and WHC-M800 displayed appropriate physicochemical properties, such as high porosity, excellent hydraulic conductivity, and rich Ca content. WHC-M800 exhibited a superior P adsorption capacity (38.7 mg/g) to WHC (12.8 mg/g). However, the practical utilization of WHC-M800 as filter media in CWs may be compromised, due to certain limitations, for example: extremely high pH values in the post-adsorption solutions; high weight losses during calcination and adsorption processes; low mechanical strength; and intensive energy consumption. In contrast, the WHC demonstrated significant advantages of reasonably high P adsorption capacity, locally abundant availability, low cost, and marginal side effects. The fractionation of inorganic P of WHC and WHC-M800 revealed that Ca-bounded P was the most dominant binding form, followed by loosely bound P, Fe-P, occluded P, and Al-P. The present study demonstrates that recycling of WHC shells as a potential substrate in CWs provides a feasible method for upgrading P removal in CWs. Additionally, it helps to reduce waste WHC shells in a simple, cheap, and eco-friendly way, thus can double environmental benefits.
Display omitted
•WHC and WHC-M800 were studied as wetland filter media to control P pollution.•WHC-M800 exhibited a markedly higher qmax value (38.7 mg/g) than WHC (12.8 mg/g).•WHC-M800 was not a potential CWs filter material due to significant limitations.•P sorption by WHC fitted Langmuir isotherm and Pseudo-first-order kinetic models.•The P removal pathway of WHC was mainly chemisorption in the form of Ca-P binding.
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