Vancomycin in peritoneal dialysis: Clinical pharmacology considerations in therapy.

Intraperitoneal vancomycin is the first-line therapy in the management of peritoneal dialysis (PD)-related peritonitis. However, due to the paucity of data, vancomycin dosing for peritonitis in patients on automated peritoneal dialysis (APD) is empiric and based on clinical experience rather than evidence. Studies in continuous ambulatory peritoneal dialysis (CAPD) patients have been used to provide guidelines for dosing and are often extrapolated for APD use, but it is unclear whether this is appropriate. This review summarizes the available pharmacokinetic data used to inform optimal dosing in patients on CAPD or APD. The determinants of vancomycin disposition and pharmacodynamic effects are critically summarized, knowledge gaps explored, and a vancomycin dosing algorithm in PD patients is proposed

First occurrence of the little-known genus Noteriades (Hymenoptera, Megachilidae) from Vietnam: discovery of a new species and a key to the Southeast Asian fauna

The little-known megachiline genus Noteriades Cockerell, 1931 is recorded from Vietnam for the first time. A new species, Noteriades hangkia Tran, Engel & Nguyen sp. nov. is described and figured based on a series of females collected from the provinces of the northern and central highlands of Vietnam. The genus is briefly discussed and a new subtribe is established, Noteriadina Engel, Tran & Nguyen subtrib. nov. of Megachilini. Lastly, an identification key and distribution map are provided for those species occurring in Southeast Asia

Isokinetic eccentric exercise can induce skeletal muscle injury within the physiologic excursion of muscle-tendon unit: a rabbit model

BACKGROUND AND PURPOSE: Intensive eccentric exercise can cause muscle damage. We simulated an animal model of isokinetic eccentric exercise by repetitively stretching stimulated triceps surae muscle-tendon units to determine if such exercise affects the mechanical properties of the unit within its physiologic excursion. METHODS: Biomechanical parameters of the muscle-tendon unit were monitored during isokinetic eccentric loading in 12 rabbits. In each animal, one limb (control group) was stretched until failure. The other limb (study group) was first subjected to isokinetic and eccentric cyclic loading at the rate of 10.0 cm/min to 112% (group I) or 120% (group II) of its initial length for 1 hour and then stretched to failure. Load-deformation curves and biomechanical parameters were compared between the study and control groups. RESULTS: When the muscle-tendon unit received eccentric cyclic loading to 112%, changes in all biomechanical parameters – except for the slope of the load-deformation curve – were not significant. In contrast, most parameters, including the slope of the load-deformation curve, peak load, deformation at peak load, total energy absorption, and energy absorption before peak load, significantly decreased after isokinetic eccentric cyclic loading to 120%. CONCLUSION: We found a threshold for eccentrically induced injury of the rabbit triceps surae muscle at between 12% and 20% strain, which is within the physiologic excursion of the muscle-tendon units. Our study provided evidence that eccentric exercise may induce changes in the biomechanical properties of skeletal muscles, even within the physiologic range of the excursion of the muscle-tendon unit

A bayesian meta-analysis of multiple treatment comparisons of systemic regimens for advanced pancreatic cancer

© 2014 Chan et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.Background: For advanced pancreatic cancer, many regimens have been compared with gemcitabine (G) as the standard arm in randomized controlled trials. Few regimens have been directly compared with each other in randomized controlled trials and the relative efficacy and safety among them remains unclear

Endothelial nitric oxide pathways in the pathophysiology of dengue: a prospective observational study.

Background: Dengue can cause increased vascular permeability that may lead to hypovolemic shock. Endothelial dysfunction may underlie this; however the association of endothelial nitric oxide pathways with disease severity is unknown. Methods: We performed a prospective observational study in two Vietnamese hospitals, assessing patients presenting early (<72 hours fever) and patients hospitalized with warning signs or severe dengue. The reactive hyperaemic index (RHI), which measures endothelium-dependent vasodilation and is a surrogate marker of endothelial function and NO bioavailability was evaluated using peripheral artery tonometry (EndoPAT) and plasma levels of L-arginine, Arginase-1 and ADMA were measured at serial time-points. The main outcome of interest was plasma leakage severity. Results: 314 patients were enrolled, median age of the participants was 21 (IQR 13-30) years. No difference was found in the endothelial parameters between dengue and other febrile illness (OFI). Considering dengue patients, the RHI was significantly lower for patients with severe plasma leakage compared to those with no leakage (1.46 vs. 2.00, P<0.001), over acute time-points, apparent already in the early febrile phase (1.29 vs. 1.75, P=0.012). RHI correlated negatively with arginase-1, and positively with L-arginine (P=0.001). Endothelial dysfunction/NO bioavailability is associated with worse plasma leakage, occurs early in dengue illness and correlates with hypoargininaemia and high arginase-1 levels

Appropriate Antibiotic Use and Associated Factors in Vietnamese Outpatients

Background: Inappropriate antibiotic use among outpatients is recognized as the primary driver of antibiotic resistance. A proper understanding of appropriate antibiotic usage and associated factors helps to determine and limit inappropriateness. We aimed to identify the rate of appropriate use of antibiotics and identify factors associated with the inappropriate prescriptions. Methods: We conducted a cross-sectional descriptive study in outpatient antibiotic use at a hospital in Can Tho City, Vietnam, from August 1, 2019, to January 31, 2020. Data were extracted from all outpatient prescriptions at the Medical Examination Department and analyzed by SPSS 18 and Chi-squared tests, with 95% confidence intervals. The rationale for antibiotic use was evaluated through antibiotic selection, dose, dosing frequency, dosing time, interactions between antibiotics and other drugs, and general appropriate usage. Results: A total of 420 prescriptions were 51.7% for females, 61.7% with health insurance, and 44.0% for patients with one comorbid condition. The general appropriate antibiotic usage rate was 86.7%. Prescriptions showed that 11.0% and 9.5% had a higher dosing frequency and dose than recommended, respectively; 10.2% had an inappropriate dosing time; 3.1% had drug interactions; and only 1.7% had been prescribed inappropriate antibiotics. The risk of inappropriate antibiotic use increased in patients with comorbidities and antibiotic treatment lasting >7 days (p < 0.05). Conclusions: The study indicated a need for more consideration when prescribing antibiotics to patients with comorbidities or using more than 7 days of treatment

Electrosynthesis of a poly(1,5-diaminonaphthalene) - polypyrrole nanowire bilayer for trichlorfon insecticide biosensing

In this study, an acetylcholinesterase enzyme biosensor was developed based on a bilayer of poly(1,5-diaminonaphthalene) and polypyrrole nanowire structures modifying carbon screen-printed electrodes (SPEs). A polypyrrole nanowire inner layer was electrodeposited on the surface of SPEs to enhance conductivity and specific areas. A poly(1,5-diaminonaphthalene) outer layer was used for immobilizing acetylcholinesterase through glutaraldehyde agent. On the basis of the inhibition of organophosphate pesticides on the enzymatic activity of acetylcholinesterase enzyme, the acetylcholinesterase-immobilized bilayer of the conductive polymer electrode was designed for electrochemical determination of trichlorfon insecticide, one of the popular organophosphate pesticides. Keywords. Acetylcholinesterase, biosensors, poly(1,5-diaminonaphthalene), polypyrrole nanowire, trichlorfon

Controlling spin-orbit coupling to tailor type-II Dirac bands

NiTe2, a type-II Dirac semimetal with strongly tilted Dirac band, has been explored extensively to understand its intriguing topological properties. Here, using density-functional theory (DFT) calculations, we report that the strength of spin-orbit coupling (SOC) in NiTe2 can be tuned by Se substitution. This results in negative shifts of the bulk Dirac point (BDP) while preserving the type-II Dirac band. Indeed, combined studies using scanning tunneling spectroscopy (STS) and angle-resolved photoemission spectroscopy (ARPES) confirm that the BDP in the NiTe2-xSex alloy moves from +0.1 eV (NiTe2) to -0.3 eV (NiTeSe) depending on the Se concentrations, indicating the effective tunability of type-II Dirac fermions. Our results demonstrate an approach to tailor the type-II Dirac band in NiTe2 by controlling the SOC strength via chalcogen substitution. This approach can be applicable to different types of topological materials.Comment: 25 pages, 4 figure

Prevalence of antibiotic resistance genes and genetic relationship of Escherichia coli serotype O45, O113, O121, and O157 isolated from cattle in the Mekong Delta, Vietnam

A total of 39 Escherichia coli strains serotype O45, O113, O121, and O157 isolated from cattle in the Mekong Delta were examined the antimicrobial susceptibility to 13 antibiotics by the disc-diffusion method. Those strains were also analyzed for the presence of antibiotic resistance genes by PCR assay, and their genetic relationship by ERIC-PCR assay. The results of antimicrobial susceptibility testing showed that those strains were sensitive to most of the examined antibiotics, but were relatively high resistance to ampicillin (64.10%), and colistin (53.85%). Those E. coli strains could be resistant against one to eight antibiotics with 22 resistance patterns obtained. Moreover, those E. coli strains harbored one to seven antibiotic resistance genes. Gene tetA (51.28%) and blaampC (48.72%) were detected frequently while gene tetB, blaCMY, and cat1 were not found in those E. coli strains. A total of 21 combined patterns of antibiotic resistance genes were recorded, and the most frequent combined pattern was blaampC+tetA (12.82%). ERIC-PCR analysis revealed that each E. coli serotype exhibited various genetic patterns with 40%-100% of similarity. The most elevated number of patterns were in E. coli O157 (nine patterns), followed by E. coli O121 (six patterns). The prevalence of antibiotic resistance genes and diverse genetic characteristics in those E. coli strains originated from cattle constitute potential risks to local health in the Mekong Delta

Assessment of genetic diversity among the main fourteen cocoa varieties in Vietnam using plant c/d sequences

This work focused on clarifying the genetic diversity of fourteen cocoa clones in Vietnam. Primers plant c and plant d were used to analyze the genetic relationship. All detected band were encoded into binary matrix and the dendrogram was generated using the program NTSYS-PC 2.1 The similarity matrix was subjected to cluster analysis by unweighted pair group method for arithmetic mean (UPGMA). The genetic clustering of 14 Cocoa varieties showed genetic differences ranged from 0 to 41%. At around 59% similarity, fourteen TD clones could be divided into three groups: A, B, and C. Group A had ten clones (TD1, TD2, TD3, TD5, TD6, TD7, TD8, TD9, TD11, TD12), in group B there were 2 clones (TD10 and TD13), and two clones belonged to group C (TD14 và TD15). Group B with 80% homologous had a relationship closer than groups A and C. Two clones in group A correlated approximately 76.4% similarity and group C showed 73% similarity rate. This result contributed important signification for Vietnamese Cocoa breeding and selection cultivar activities