Catalase-Containing Silica Particles as Ultrasound-Based Hydrogen Peroxide Sensors to Determine Infected From Noninfected Fluid Collections in Humans.

OBJECTIVE. Hydrogen peroxide (H2O2) plays a key role in neutrophil oxidative defense against infection. Catalase-containing silica nanoshells are nanoparticles that generate O2 microbubbles imaged with ultrasound in the presence of elevated H2O2. We aimed to determine whether ultrasound-detectable O2 microbubbles produced by catalase-containing silica nanoshells can determine whether fluid collections drained from patients are infected. SUBJECTS AND METHODS. During this HIPAA-compliant, institutional review board-approved study, 52 human fluid samples were collected from clinically required image-guided percutaneous drainage procedures. Catalase-containing silica nanoshells were added to the fluid samples during imaging in real time using a Sequoia-512 15L8-S linear transducer (Siemens Healthcare). Production of detectable microbubbles was graded subjectively as negative (noninfected) or positive (infected) with low, moderate, or high confidence by a single observer blinded to all clinical data. The truth standard was microbiology laboratory culture results. Performance characteristics including ROC curves were calculated. RESULTS. Microbubble detection to distinguish infected from noninfected fluids was 84% sensitive and 72% specific and offered negative and positive predictive values of 89% and 64%, respectively. The AUC was 0.79. Six of nine false-positive samples were peritoneal fluid collections that were all collected from patients with decompensated cirrhosis. CONCLUSION. The presence of elevated H2O2 indicated by microbubble formation in the presence of catalase-containing silica nanoshells is sensitive in distinguishing infected from noninfected fluids and offers a relatively high negative predictive value. False-positive cases may result from noninfectious oxidative stress. Catalase-containing silica nanoshells may constitute a novel point-of-care test performed at time of percutaneous drainage, potentially obviating placement of drains into otherwise sterile collections and minimizing risk of secondary infection or other complication

Management of bilateral idiopathic renal hematuria in a dog with silver nitrate

Renal hematuria has limited treatment options. This report describes management of bilateral idiopathic renal hematuria in a dog with surgically assisted installation of 0.5% silver nitrate solution. Initial treatment resulted in freedom from clinical signs or recurrent anemia for 10 months; however, recurrence of bleeding following a nephrectomy resulted in euthanasia

When God is your only friend: Religious beliefs compensate for purpose in life in the socially disconnected

ObjectiveSocial relationships supply purpose to life. How can socially disconnected people, who show lower levels of purpose, compensate for purpose in life? We propose that religious beliefs can compensate for the purpose in life that social relationships would otherwise provide, through providing (a) greater purpose to turn to and (b) divine figures that can substitute for social relationships.MethodIn three studies, we analyze three nationally representative and longitudinal data sets (N = 19,775) using moderated regression and cross‐lagged panel analyses.ResultsConsistent with our hypotheses, religious beliefs were of minimal influence on purpose in life for socially connected individuals, who already held higher levels of purpose than socially disconnected individuals. However, for socially disconnected individuals, being highly religious predicted higher levels of purpose in life.ConclusionsResults suggest that although people primarily derive purpose from social relationships, socially disconnected individuals may leverage their religious beliefs for purpose and social comfort until they can reconnect.Peer Reviewedhttps://deepblue.lib.umich.edu/bitstream/2027.42/149243/1/jopy12401.pdfhttps://deepblue.lib.umich.edu/bitstream/2027.42/149243/2/jopy12401_am.pd

Wie können wir gemeinsam digital Mathematik lernen? Lehrpersonen erkunden Potentiale von Applets

Die Corona-Pandemie sowie die Forderung nach Digitalisierung stellen Lehrpersonen in der Konzeption geeigneter digitale Lernsettings und deren medialen Ausgestaltung vor große Herausforderungen. Besonders anspruchsvoll ist das Schaffen von geeigneten digitalen Lernmöglichkeiten, in denen Schüler*innen nicht nur individuell, sondern auch gemeinsam, im Sinne einer natürlichen Differenzierung (Wittmann, 2010) arbeiten können. Im Beitrag wird vorgestellt, wie Mathematiklehrpersonen gemeinsam digitale Apps erkunden und in diesem Rahmen substanzielle Unterrichtsideen für die Grundschule entwickeln

TaLoS: secure and transparent TLS termination inside SGX enclaves

We introduce TaLoS1, a drop-in replacement for existing transport layer security (TLS) libraries that protects itself from a malicious environment by running inside an Intel SGX trusted execution environment. By minimising the amount of enclave transitions and reducing the overhead of the remaining enclave transitions, TaLoS imposes an overhead of no more than 31% in our evaluation with the Apache web server and the Squid proxy

Glamdring: automatic application partitioning for Intel SGX

Trusted execution support in modern CPUs, as offered by Intel SGX enclaves , can protect applications in untrusted environments. While prior work has shown that legacy applications can run in their entirety inside enclaves, this results in a large trusted computing base (TCB). Instead, we explore an approach in which we partition an applica- tion and use an enclave to protect only security-sensitive data and functions, thus obtaining a smaller TCB. We describe Glamdring , the first source-level parti- tioning framework that secures applications written in C using Intel SGX. A developer first annotates security- sensitive application data. Glamdring then automatically partitions the application into untrusted and enclave parts: (i) to preserve data confidentiality, Glamdring uses dataflow analysis to identify functions that may be ex- posed to sensitive data; (ii) for data integrity, it uses back- ward slicing to identify functions that may affect sensitive data. Glamdring then places security-sensitive functions inside the enclave, and adds runtime checks and crypto- graphic operations at the enclave boundary to protect it from attack. Our evaluation of Glamdring with the Mem- cached store, the LibreSSL library, and the Digital Bitbox bitcoin wallet shows that it achieves small TCB sizes and has acceptable performance overheads