Bronchiolitis Obliterans Organizing Pneumonia in Swine Associated with Porcine Circovirus Type 2 Infection

Bronchiolitis obliterans organizing pneumonia (BOOP) is a chronic respiratory disease. Although the pathogenesis of BOOP is still incompletely understood, BOOP is responsive to steroids and has a good prognosis. In our five pigs with chronic postweaning multisystemic wasting syndrome (PMWS), typical BOOP lesions were revealed. All five porcine lungs showed typical intraluminal plugs, and porcine circovirus type 2 (PCV2) was identified. They also exhibited similar pathologic findings such as proliferation of type II pneumocytes and myofibroblasts (MFBs), extracellular collagen matrix (ECM) deposition, and fragmentation of elastic fibers. MFBs migration correlative molecules, for instance, gelatinase A, B and osteopontin, appeared strongly in the progressing marginal area of polypoid intraluminal plugs of fibrotic lesion. These molecules colocalized with the active MFBs. Both gelatinase activity and intercellular level of active MFBs were significantly increased (P < .05). Porcine chronic bronchopneumonia leads to BOOP and it is associated with PCV2 persistent infection. Swine BOOP demonstrates similar cellular constituents with human BOOP. Perhaps their molecular mechanisms of pathogenesis operate in a similar way. Thus we infer that the swine BOOP can be considered as a potential animal model for human BOOP associated with natural viral infection. Moreover, it is more convenient to obtain samples

Análise de parâmetros biomecânicos extraídos da manometria anorretal de pacientes continentes e com incontinência fecal

OBJECTIVE: to evaluate the average resulting area from the Pressure x Time curves resulting from the manometric anorectal exam and compare it with the support capacity of voluntary squeeze. Materials and METHODS: the data set was represented by data from 11 exams from continent patients and eight exams from patients with grade III fecal incontinence. The manometric curves were delineated, and the areas and support capacity of voluntary squeeze calculated, by means of the R computer language and the algorithm developed. RESULTS: the resulting averages for support capacity of voluntary squeeze in continent patients and patients with grade III fecal incontinence were 33.07 seconds and 30.76 seconds (p&gt;0.05) and the averages for area were 2362.04 mmHg x second and 947.92 mmHg x second (pOBJETIVO: evaluar el área media resultante proveniente de las curvas Presión versus Tiempo pertenecientes al examen manometría rectal y afrontarla con la capacidad de sustentación. Materiales y MÉTODOS: la casuística fue representada por datos de 11 exámenes de pacientes moderados y ocho exámenes de pacientes con incontinencia fecal grado III. Por medio del lenguaje computacional R y del algoritmo desarrollado fueron delineadas las curvas manométricas y calculadas las áreas y capacidades de sustentación. RESULTADOS: los medios resultantes de la capacidad de sustentación de pacientes moderados y con incontinencia fecal grado III fueron 33,07 segundos y 30,76 segundos (p&gt;0,05) y las de la área, 2362,04 mmHg x según y 947,92 mmHg x según (pOBJETIVO: avaliar a área média resultante, proveniente das curvas pressão versus tempo, pertencentes ao exame manometria anorretal e confrontá-la com a capacidade de sustentação. MATERIAIS E MÉTODOS: a casuística foi representada por dados de 11 exames de pacientes continentes e oito exames de pacientes com incontinência fecal grau III. Por meio da linguagem computacional R e do algoritmo desenvolvido foram delineadas as curvas manométricas e calculadas as áreas e capacidades de sustentação. RESULTADOS: as médias resultantes da capacidade de sustentação de pacientes continentes e com incontinência fecal grau III foram 33,07 segundos e 30,76 segundos (p&gt;0,05) e as da área, 2362,04 mmHg x segundo e 947,92 mmHg x segundo (

A Rapid and Low-Cost Pathogen Detection Platform by Using a Molecular Agglutination Assay.

Rapid and low-cost pathogen diagnostic approaches are critical for clinical decision-making procedures. Cultivating bacteria often takes days to identify pathogens and provide antimicrobial susceptibilities. The delay in diagnosis may result in compromised treatment and inappropriate antibiotic use. Over the past decades, molecular-based techniques have significantly shortened pathogen identification turnaround time with high accuracy. However, these assays often use complex fluorescent labeling and nucleic acid amplification processes, which limit their use in resource-limited settings. In this work, we demonstrate a wash-free molecular agglutination assay with a straightforward mixing and incubation step that significantly simplifies procedures of molecular testing. By targeting the 16S rRNA gene of pathogens, we perform a rapid pathogen identification within 30 min on a dark-field imaging microfluidic cytometry platform. The dark-field images with low background noise can be obtained using a narrow beam scanning technique with off-the-shelf complementary metal oxide semiconductor (CMOS) imagers such as smartphone cameras. We utilize a machine learning algorithm to deconvolute topological features of agglutinated clusters and thus quantify the abundance of bacteria. Consequently, we unambiguously distinguish Escherichia coli positive from other E. coli negative among 50 clinical urinary tract infection samples with 96% sensitivity and 100% specificity. Furthermore, we also apply this quantitative detection approach to achieve rapid antimicrobial susceptibility testing within 3 h. This work exhibits easy-to-use protocols, high sensitivity, and short turnaround time for point-of-care testing uses

Modeling Electromechanical Overcurrent Relays Using Singular Value Decomposition

This paper presents a practical and effective novel approach to curve fit electromechanical (EM) overcurrent (OC) relay characteristics. Based on singular value decomposition (SVD), the curves are fitted with equation in state space under modal coordinates. The relationships between transfer function and Markov parameters are adopted in this research to represent the characteristic curves of EM OC relays. This study applies the proposed method to two EM OC relays: the GE IAC51 relay with moderately inverse-time characteristic and the ABB CO-8 relay with inverse-time characteristic. The maximum absolute values of errors of hundreds of sample points taken from four time dial settings (TDS) for each relay between the actual characteristic curves and the corresponding values from the curve-fitting equations are within the range of 10 milliseconds. Finally, this study compares the SVD with the adaptive network and fuzzy inference system (ANFIS) to demonstrate its accuracy and identification robustness

Ter94 ATPase Complex Targets K11-Linked Ubiquitinated Ci to Proteasomes for Partial Degradation

SummaryThe Cubitus interruptus (Ci)/Gli family of transcription factors can be degraded either completely or partially from a full-length form (Ci155/GliFL) to a truncated repressor (Ci75/GliR) by proteasomes to mediate Hedgehog (Hh) signaling. The mechanism by which proteasomes distinguish ubiquitinated Ci/Gli to carry out complete versus partial degradation is not known. Here, we show that Ter94 ATPase and its mammalian counterpart, p97, are involved in processing Ci and Gli3 into Ci75 and Gli3R, respectively. Ter94 regulates the partial degradation of ubiquitinated Ci by Cul1-Slimb-based E3 ligase through its adaptors Ufd1-like and dNpl4. We demonstrate that Cul1-Slimb-based E3 ligase, but not Cul3-Rdx-based E3 ligase, modifies Ci by efficient addition of K11-linked ubiquitin chains. Ter94Ufd1-like/dNpl4 complex interacts directly with Cul1-Slimb, and, intriguingly, it prefers K11-linked ubiquitinated Ci. Thus, Ter94 ATPase and K11-linked ubiquitination in Ci contribute to the selectivity by proteasomes for partial degradation

Open lung biopsy in early-stage acute respiratory distress syndrome

INTRODUCTION: Acute respiratory distress syndrome (ARDS) has heterogeneous etiologies, rapid progressive change and a high mortality rate. To improve the outcome of ARDS, accurate diagnosis is essential to the application of effective early treatment. The present study investigated the clinical effects and safety of open lung biopsy (OLB) in patients with early-stage ARDS of suspected non-infectious origin. METHODS: We undertook a retrospective study of 41 patients with early-stage ARDS (defined as one week or less after intubation) who underwent OLB in two medical intensive care units of a tertiary care hospital from 1999 to 2005. Data analyzed included baseline characteristics, complication rate, pathological diagnoses, treatment alterations, and hospital survival. RESULTS: The age of patients was 55 ± 17 years (mean ± SD). The average ratio of arterial partial pressure of oxygen (PaO(2)) to fraction of inspired oxygen (FiO(2)) was 116 ± 43 mmHg (mean ± SD) at biopsy. Seventeen patients (41%) were immunocompromised. Postoperative complications occurred in 20% of patients (8/41). All biopsies provided a pathological diagnosis with a diagnostic yield of 100%. Specific pathological diagnoses were made for 44% of patients (18/41). Biopsy findings led to an alteration of treatment modality in 73% of patients (30/41). The treatment alteration rate was higher in patients with nonspecific diagnoses than in patients with specific diagnoses (p = 0.0024). Overall mortality was 50% (21/41) and was not influenced by age, gender, pre-OLB oxygenation, complication rate, pathological results, and alteration of treatment. There was no surgery-related mortality. The survival rate for immunocompromised patients was better than that for immunocompetent patients (71% versus 33%; p = 0.0187) in this study. CONCLUSION: Our retrospective study suggests that OLB was a useful and acceptably safe diagnostic procedure in some selected patients with early-stage ARDS

UPANets: Learning from the Universal Pixel Attention Networks

Among image classification, skip and densely-connection-based networks have dominated most leaderboards. Recently, from the successful development of multi-head attention in natural language processing, it is sure that now is a time of either using a Transformer-like model or hybrid CNNs with attention. However, the former need a tremendous resource to train, and the latter is in the perfect balance in this direction. In this work, to make CNNs handle global and local information, we proposed UPANets, which equips channel-wise attention with a hybrid skip-densely-connection structure. Also, the extreme-connection structure makes UPANets robust with a smoother loss landscape. In experiments, UPANets surpassed most well-known and widely-used SOTAs with an accuracy of 96.47% in Cifar-10, 80.29% in Cifar-100, and 67.67% in Tiny Imagenet. Most importantly, these performances have high parameters efficiency and only trained in one customer-based GPU. We share implementing code of UPANets in https://github.com/hanktseng131415go/UPANets

Association among Fibrinolytic Proteins, Metabolic Syndrome Components, Insulin Secretion, and Resistance in Schoolchildren

We investigated the role of urokinase plasminogen activator (uPA) and its soluble receptors (suPAR) and plasminogen activator inhibitor-1 (PAI-1) in metabolic syndrome (MetS) components, insulin secretion, and resistance in schoolchildren. We enrolled 387 children, aged 10.3 ± 1.5 years, in Taipei. Anthropometry, fibrinolytic proteins, MetS components, insulin secretion, and resistance were measured. Subjects were divided into normal, overweight, and obese groups. Finally, the relationship between fibrinolytic proteins and metabolic syndrome in boys and girls was analyzed. In boys, PAI-1 was positively associated with body mass index (BMI) percentile, hypertriglyceride, insulin secretion, and resistance. In girls, PAI-1 was positively associated with obesity, hypertriglyceridemia, and insulin secretion. In girls, uPA was positively associated with insulin secretion. suPAR was positively associated with high-sensitivity C-reactive protein in both boys and girls, and with BMI percentile and body fat in girls. The obese boys had higher suPAR and PAI-1 levels than the normal group. The obese girls had higher uPA, suPAR, and PAI-1 than the normal group. Boys and girls with MetS had higher PAI-1. Fibrinolytic proteins, especially PAI-1, are associated with MetS components and insulin secretion in children. Fibrinolytic proteins changes were more likely to occur in girls than in boys