Marked elevations in N-terminal brain natriuretic peptide levels in septic shock

INTRODUCTION: N-terminal pro brain natriuretic peptide (NT-proBNP) is a cardiac biomarker that has recently shown to be of diagnostic value in a diagnosis of decompensated heart failure, acute coronary syndromes and other conditions resulting in myocardial stretch. We sought to study whether sepsis-induced myocardial dilation would result in an elevation of NT-proBNP. METHOD: Serum NT-proBNP measurements were made in six consecutive patients with septic shock within 6 hours of admission to the intensive care unit. RESULTS: Markedly elevated levels of NT-proBNP were found in all six patients. CONCLUSIONS: NT-proBNP levels can be markedly elevated in critically ill patients presenting with septic shock. An elevated NT-proBNP level in a critically ill patient is not specific for decompensated heart failure

Dichlorido[N,N-diethyl-N′-(2-pyridyl­methyl­ene)ethane-1,2-diamine]mercury(II)

The Hg atom in the title compound, [HgCl2(C12H19N3)], adopts a distorted trigonal-bipyramidal geometry, being ligated by two Cl atoms and three N atoms of the N,N-diethyl-N′-(2-pyridylmethyl­ene)ethane-1,2-diamine ligand. The dihedral angle between the HgN3 and HgCl2 least-squares planes is 88.6 (1)°. The Hg—N distances including the pyridine N and the ammonium N atom are about 0.20 Å longer than the Hg—N distance including the imino N atom

Nb-doped TiO2 air-electrode for advanced Li-air batteries

As new substrate materials to replace a conventional carbon substrate, TiO2 and Nb-doped TiO2 air-electrodes for Li-air batteries were investigated. Through a simple two-step process, we successfully synthesized anatase Nb-doped TiO2 nanoparticles and demonstrated the potential applicability of TiO2-based materials for use in Li-air battery electrode. An air-electrode with Nb-doped TiO2 nanoparticles could deliver a higher discharge capacity than a bare TiO2 electrode due to the enhanced conductivity, which implies the importance of facile electron transport during the discharge process. © 2014 The Ceramic Society of Japan and the Korean Ceramic Society.

Echovirus 30 Induced Neuronal Cell Death through TRIO-RhoA Signaling Activation

BACKGROUND: Echovirus 30 (Echo30) is one of the most frequently identified human enteroviruses (EVs) causing aseptic meningitis and encephalitis. However the mechanism underlying the pathogenesis of Echo30 infection with significant clinical outcomes is not completely understood. The aim of this investigation is to illustrate molecular pathologic alteration in neuronal cells induced by Echo30 infection using clinical isolate from young patient with neurologic involvement. METHODOLOGY/PRINCIPAL FINDINGS: To characterize the neuronal cellular response to Echo30 infection, we performed a proteomic analysis based on two-dimensional gel electrophoresis (2-DE) and MALDI-TOF/TOF Mass Spectrophotometric (MS) analysis. We identified significant alteration of several protein expression levels in Echo30-infected SK-N-SH cells. Among these proteins, we focused on an outstanding up-regulation of Triple functional domain (TRIO) in Echo30-infected SK-N-SH cells. Generally, TRIO acts as a key component in the regulation of axon guidance and cell migration. In this study, we determined that TRIO plays a role in the novel pathways in Echo30 induced neuronal cell death. CONCLUSIONS/SIGNIFICANCE: Our finding shows that TRIO plays a critical role in neuronal cell death by Echo30 infection. Echo30 infection activates TRIO-guanine nucleotide exchange factor (GEF) domains (GEFD2) and RhoA signaling in turn. These results suggest that Echo30 infection induced neuronal cell death by activation of the TRIO-RhoA signaling. We expect the regulation of TRIO-RhoA signaling may represent a new therapeutic approach in treating aseptic meningitis and encephalitis induced by Echo30

Purification and proteomic identification of putative upstream regulators of polo-like kinase-1 from mitotic cell extracts

AbstractPolo-like kinase-1 (Plk1) is phosphorylated on Thr210 for activation during mitosis. Here, we investigated the question of which kinase(s) is the specific upstream kinase of mitotic Plk1. Upstream kinases of Plk1 were purified from mitotic cell extracts through column chromatography procedures, and identified by mass spectrometry. Candidates for Plk1 kinase included p21-activated kinase, aurora A, and mammalian Ste20-like kinases. Immunoprecipitates of these proteins from mitotic cell extracts phosphorylated Plk1 on Thr210. Even if the activity of Aurora A was blocked with a specific inhibitor, Plk1 phosphorylation still occurred, suggesting that function of Plk1 could be controlled by these kinases for proper mitotic progression, as well as by Aurora A in very late G2 phase for the beginning of mitosis.Structured abstractMINT-7996332: PAK1(uniprotkb:Q13153)physically interacts(MI:0915) withPLK1(uniprotkb:P53350) bypull down(MI:0096)MINT-7996345: PAK3(uniprotkb:O75914)physically interacts(MI:0915) withPLK1(uniprotkb:P53350) bypull down(MI:0096

[Bis(2-pyridylmeth­yl)amine]dichloridomercury(II)

The Hg atom in the title complex, [HgCl2(C12H13N3)], adopts a square-pyramidal geometry, being ligated by three N atoms of the tridentate bis­(2-pyridylmeth­yl)amine ligand and two Cl atoms, with one of the latter occupying the apical position. Disorder is noted in the amine portion of the ligand and this was modelled over two sites, with the major component having a site-occupancy factor of 0.794 (14)

[Benzyl(2-pyridylmeth­yl)amine]dichloridomercury(II)

The Hg atom in the title compound, [HgCl2(C13H14N2)], adopts a distorted tetra­hedral geometry, being ligated by two N atoms of the benzyl(2-pyridylmeth­yl)amine (bpma) ligand and two Cl atoms. The dihedral angle between the least-squares planes through the chelate ring and Cl—Hg—Cl atoms is 85.4 (1)°. The phenyl ring on the bpma ligand is twisted out of the pyridine plane, forming a dihedral angle of 76.0 (3)°. Disorder in this ring is also noted with two coplanar conformations having equal site occupancies

Piezoelectric Nanogenerator Based on Lead-Free Flexible PVDF-Barium Titanate Composite Films for Driving Low Power Electronics

Self‐powered sensor development is moving towards miniaturization and requires a suitable power source for its operation. The piezoelectric nanogenerator (PENG) is a potential candidate to act as a partial solution to suppress the burgeoning energy demand. The present work is focused on the development of the PENG based on flexible polymer‐ceramic composite films. The X‐ray spectra suggest that the BTO particles have tetragonal symmetry and the PVDF‐BTO composite films (CF) have a mixed phase. The dielectric constant increases with the introduction of the particles in the PVDF polymer and the loss of the CF is much less for all compositions. The BTO particles have a wide structural diversity and are lead‐free, which can be further employed to make a CF. An attempt was made to design a robust, scalable, and cost‐effective piezoelectric nanogenerator based on the PVDF‐BTO CFs. The solvent casting route was a facile approach, with respect to spin coating, electrospinning, or sonication routes. The introduction of the BTO particles into PVDF enhanced the dielectric constant and polarization of the composite film. Furthermore, the single‐layered device output could be increased by strategies such as internal polarization amplification, which was confirmed with the help of the polarization‐electric field loop of the PVDF‐ BTO composite film. The piezoelectric nanogenerator with 10 wt% BTO‐PVDF CF gives a high electrical output of voltage 7.2 V, current 38 nA, and power density of 0.8 μW/cm2 at 100 MΩ. Finally, the energy harvesting using the fabricated PENG is done by various actives like coin dropping, under air blowing, and finger tapping. Finally, low‐power electronics such as calculator is successfully powered by charging a 10 μF capacitor using the PENG device. © 2021 by the authors. Licensee MDPI, Basel, Switzerland.1

Systemic chemotherapy for treatment of advanced small bowel adenocarcinoma with prognostic factor analysis: retrospective study

<p>Abstract</p> <p>Background</p> <p>We sought to evaluate prognostic factors affecting overall survival (OS), and to investigate the role of palliative chemotherapy using propensity score-based weighting, in patients with advanced small bowel adenocarcinoma (SBA).</p> <p>Methods</p> <p>Data from a total of 91 patients diagnosed with advanced SBA at the Asan Medical Center between January 1989 and December 2009 were retrospectively analyzed. Patients were split into two groups, those who did and did not receive palliative chemotherapy.</p> <p>Results</p> <p>Overall, 81 patients (89.0%) died, at a median survival time of 6.6 months (95% confidence interval [CI], 5.5 - 7.5 months). The 40 patients receiving chemotherapy showed overall response and disease control rates of 11.1% and 37.0%, respectively, with OS and progression-free survival (PFS) of 11.8 months (95% CI, 4.6 - 19.0 months) and 5.7 months (95% CI, 3.5 - 8.0 months), respectively. The 41 patients who did not receive chemotherapy had an OS of 4.1 months (95% CI, 3.1 - 5.1 months) and a PFS of 1.3 months (95% CI, 0.8 - 1.7 months). Multivariate analysis showed that lack of tumor resection, non-prescription of chemotherapy, liver metastasis, and intra-abdominal lymph node metastasis, were all independently associated with poor survival outcomes. After inverse probability of treatment weighting (IPTW) adjustment, the group that did not receive chemotherapy was at a significantly higher risk of mortality (HR 3.44, 95% CI 2.03 - 5.83, p < 0.001) than were patients receiving chemotherapy.</p> <p>Conclusion</p> <p>Palliative chemotherapy may improve survival outcomes in patients with advanced SBA.</p

Spontaneous bacterial peritonitis from Salmonella: an unusual bacterium with unusual presentation

Spontaneous bacterial peritonitis (SBP) is a common cause of morbidity and mortality in patients with advanced cirrhosis and portal hypertension. While gram-negative rods and Enterococcus species are the common offending organisms, Salmonella has also been recognized as a rare and atypical offending organism. Atypical features of Salmonella SBP include both its occurrence in cirrhotic patients with immunosuppressive state and its lack of typical neutroascitic response. Diagnosis is often delayed as it requires confirmation from ascitic fluid culture. We report a case of Salmonella SBP occurring in a patient with decompensated cryptogenic cirrhosis with concurrent low-grade non-Hodgkin lymphoma and prior treatment with rituximab. Physicians should be aware of the atypical presentation, especially in cirrhotic patients who are immunosuppressed