Staphylococcus cohnii infection diagnosed by metagenomic next generation sequencing in a patient on hemodialysis with cirrhotic ascites: a case report

BackgroundPatients with spontaneous bacterial peritonitis (SBP) often just receive empirical antibiotic therapy, as pathogens can be identified in only few patients using the techniques of conventional culture. Metagenomic next generation sequencing (mNGS) is a useful tool for diagnosis of infectious diseases. However, clinical application of mNGS in diagnosis of infected ascites of cirrhotic patients is rarely reported.Case presentationA 53-year-old male with cirrhosis on regular hemodialysis presented with continuous abdominal pain. After treatment with empiric antibiotics, his inflammatory parameters decreased without significant relief of abdominal pain. Finally, based on ascites mNGS detection, he was diagnosed as infection of Staphylococcus cohnii (S.cohnii), a gram-positive opportunistic pathogen. With targeted antibiotic treatment, the bacterial peritonitis was greatly improved and the patient’s abdominal pain was significantly alleviated.ConclusionsWhen conventional laboratory diagnostic methods and empirical antibiotic therapy fail, proper application of mNGS can help identify pathogens and significantly improve prognosis and patients’ symptoms

Swin transformer for fast MRI

Magnetic resonance imaging (MRI) is an important non-invasive clinical tool that can produce high-resolution and reproducible images. However, a long scanning time is required for high-quality MR images, which leads to exhaustion and discomfort of patients, inducing more artefacts due to voluntary movements of the patients and involuntary physiological movements. To accelerate the scanning process, methods by k-space undersampling and deep learning based reconstruction have been popularised. This work introduced SwinMR, a novel Swin transformer based method for fast MRI reconstruction. The whole network consisted of an input module (IM), a feature extraction module (FEM) and an output module (OM). The IM and OM were 2D convolutional layers and the FEM was composed of a cascaded of residual Swin transformer blocks (RSTBs) and 2D convolutional layers. The RSTB consisted of a series of Swin transformer layers (STLs). The shifted windows multi-head self-attention (W-MSA/SW-MSA) of STL was performed in shifted windows rather than the multi-head self-attention (MSA) of the original transformer in the whole image space. A novel multi-channel loss was proposed by using the sensitivity maps, which was proved to reserve more textures and details. We performed a series of comparative studies and ablation studies in the Calgary-Campinas public brain MR dataset and conducted a downstream segmentation experiment in the Multi-modal Brain Tumour Segmentation Challenge 2017 dataset. The results demonstrate our SwinMR achieved high-quality reconstruction compared with other benchmark methods, and it shows great robustness with different undersampling masks, under noise interruption and on different datasets. The code is publicly available at https://github.com/ayanglab/SwinMR.This work was supported in part by the UK Research and Inno- vation Future Leaders Fellowship [MR/V023799/1], in part by the Medical Research Council [MC/PC/21013], in part by the European Research Council Innovative Medicines Initiative [DRAGON, H2020-JTI-IMI2 101005122], in part by the AI for Health Imaging Award [CHAIMELEON, H2020-SC1-FA-DTS-2019-1 952172], in part by the British Heart Foundation [Project Number: TG/18/5/34111, PG/16/78/32402], in part by the NVIDIA Academic Hardware Grant Program, in part by the Project of Shenzhen International Cooper- ation Foundation [GJHZ20180926165402083], in part by the Bas- que Government through the ELKARTEK funding program [KK- 2020/00049], and in part by the consolidated research group MATHMODE [IT1294-19

In-plane hyperbolic polariton tuners in terahertz and long-wave infrared regimes

Development of terahertz (THz) and long-wave infrared (LWIR) technologies is mainly bottlenecked by the limited intrinsic response of traditional materials. Hyperbolic phonon polaritons (HPhPs) of van der Waals semiconductors couple strongly with THz and LWIR radiation. However, the mismatch of photon-polariton momentum makes far-field excitation of HPhPs challenging. Here, we propose an In-Plane Hyperbolic Polariton Tuner that is based on patterning van der Waals semiconductors, here {\alpha}-MoO3, into ribbon arrays. We demonstrate that such tuners respond directly to far-field excitation and give rise to LWIR and THz resonances with high quality factors up to 300, which are strongly dependent on in-plane hyperbolic polariton of the patterned {\alpha}-MoO3. We further show that with this tuner, intensity regulation of reflected and transmitted electromagnetic waves, as well as their wavelength and polarization selection can be achieved. This is important to development of THz and LWIR miniaturized devices

Effects of three surfactants on co-conversion of endogenous carbon and nitrogen of dairy wastewater in mesophilic hydrolytic acidification coupled microalgae culture system

To determine the feasibility of enhancing co-conversion of endogenous C and N in dairy wastewater by surfactants, the effects of varying dosages of sodium lignosulfonate (LS), sodium dodecyl sulfate (SDS), and Tween-80 on mesophilic hydrolytic acidification coupled microalgae culture system were investigated. Tween-80 had a positive effect on hydrolytic acidification, while LS had no clear effect and SDS had a negative effect. Tween-80 significantly increased the C/N ratio in hydrolytic acidification liquor (HAL) (maximum HAc/NH4+-N rate reached 7.90 in 2.9% Tween-80 test). Pyrosequencing analysis demonstrated that community richness and diversity decreased and the proportion of acidobacteria increased with increasing Tween-80 dosage. Furthermore, the effect of Tween-80-enhanced HAL on microalgae (Chlorella pyrenoidosa) growth and nitrogen removal and the assimilation of C and N on the microalgae culture system were investigated. The biomass concentration and a C and N assimilation yield of 4.8% Tween-80 test (1.75 g/L, 825.01 mg/L, 126.68 mg/L) were significantly higher than those of both the low-concentration Tween-80 tests and control. The yield of protein and carbohydrates and higher heating value in the microalgae culture system were also promoted by Tween-80

Mechanisms of bio-additives on boosting enzymatic hydrolysis of lignocellulosic biomass

Expensive cellulase is one of the major obstacles hinders large-scale biorefining of lignocellulosic biomass. The cheap and biodegradable additives sophorolipid and whey protein were found to boost enzymatic hydrolysis, their mechanisms were clarified firstly in this study. Results showed that the effects of these additives on enhancing enzymatic hydrolysis were positively correlated with substrate content; when the solid dosage was 20% (w/v), the presence of sophorolipid and whey protein increased glucose yield by 17.8% and 11.9%, respectively; this could be attributed to sophorolipid favor to alleviate the non-productive adsorption between undesired substrates and enzymes caused by hydrophobic and electrostatic forces, and the ability of whey protein to block the site of enzyme adsorption of lignin; high shear and temperature conditions accelerate the inactivation of cellulase, and the addition of sophorolipid and whey protein reduced the inactivation rate by 7.8% and 13.6%, respectively, under enzymatic hydrolysis conditions

Comparative study on the properties of lignin isolated from different pretreated sugarcane bagasse and its inhibitory effects on enzymatic hydrolysis

Five sugarcane bagasse lignin samples, namely, dilute sulfuric acid (DSAL), sodium hydroxide (SHL), ethanol (EL), hot liquid water (HLWL)-pretreated residual solids, and raw material (cellulolytic enzyme lignin, CEL), were extracted. Comparative studies on the physicochemical properties of isolated lignin, nonproductive adsorption of cellulase by lignin, and its effect on enzymatic hydrolysis was performed. Results showed that the molecular weight and homogeneity of lignin remarkably decreased after pretreatment compared with CEL. Lignin with low negative zeta potential, high phenolic hydroxyl group content and hydrophobicity exhibited strong nonproductive adsorption performance to cellulase. This phenomenon was positively correlated with it's inhibitory effect on enzymatic hydrolysis. Compared with the control (without lignin), the Avicel conversion rate (40 mg lignin/200 mg Avicel) decreased by 10.74%, 9.28%, 8.73%, 4.22%, and 2.80% after digestion of Avicel for 72 h with the presence of EL, SHL, CEL, HLWL, and DSAL, respectively. (C) 2020 Elsevier B.V. All rights reserved

The water extract of Amydrium sinense (Engl.) H. Li ameliorates Isoproterenol-induced cardiac hypertrophy through inhibiting the NF-κB signaling pathway

Objective: Pathologic cardiac hypertrophy (PCH) is a precursor to heart failure. Amydrium sinense (Engl.) H. Li (AS), a traditional Chinese medicinal plant, has been extensively utilized to treat chronic inflammatory diseases. However, the therapeutic effect of ASWE on PCH and its underlying mechanisms are still not fully understood. Methods: A cardiac hypertrophy model was established by treating C57BL/6 J mice and neonatal rat cardiomyocytes (NRCMs) in vitro with isoprenaline (ISO) in this study. The antihypertrophic effects of AS water extract (ASWE) on cardiac function, histopathologic manifestations, cell surface area and expression levels of hypertrophic biomarkers were examined. Subsequently, the impact of ASWE on inflammatory factors, p65 nuclear translocation and NF-κB activation was investigated to elucidate the underlying mechanisms. Results: In the present study, we observed that oral administration of ASWE effectively improved ISO-induced cardiac hypertrophy in mice, as evidenced by histopathological manifestations and the expression levels of hypertrophic markers. Furthermore, the in vitro experiments demonstrated that ASWE treatment inhibited cardiac hypertrophy and suppressed inflammation response in ISO-treated NRCMs. Mechanically, our findings provided evidence that ASWE suppressed inflammation response by repressing p65 nuclear translocation and NF-κB activation. ASWE was found to possess the capability of inhibiting inflammation response and cardiac hypertrophy induced by ISO. Conclusion: To sum up, ASWE treatment was shown to attenuate ISO-induced cardiac hypertrophy by inhibiting cardiac inflammation via preventing the activation of the NF-kB signaling pathway. These findings provided scientific evidence for the development of ASWE as a novel therapeutic drug for PCH treatment