Impacts of COVID-19 pandemic on culture-proven sepsis in neonates

ObjectiveTo assess the effects of COVID-19 pandemic on the epidemiology of neonatal sepsis and the antibiotic resistance profiles of pathogens involved.MethodsThis retrospective cohort study analyzed infants diagnosed with culture-proven sepsis at the neonatal department of a tertiary children’s hospital in East China from January 2016 to December 2022. We compared the clinical and microbiological characteristics of neonatal sepsis cases between the pre-pandemic Phase I (2016–2019) and during the COVID-19 pandemic Phase II (2020–2022).ResultsA total of 507 infants with 525 sepsis episodes were included, with 343 episodes in Phase I and 182 in Phase II. The incidence of early-onset sepsis (EOS) was significantly lower during Phase II (p < 0.05). Infants in Phase II had lower gestational ages and birth weights compared to Phase I. Clinical signs such as mottled skin, severe anemia, thrombocytopenia were more prevalent in Phase II, alongside a higher incidence of complications. Notably, necrotizing enterocolitis (NEC) (p < 0.05) and meningitis (p < 0.1) occurred more frequently during Phase II. Escherichia coli (E. coli) and Klebsiella pneumoniae (K. pneumoniae) were the predominant pathogens isolated from infants of death and cases with complications. A significant decrease in the proportion of K. pneumoniae was observed in Phase II, alongside increased antibiotic resistance in both E. coli and K. pneumoniae. The period of the COVID-19 pandemic (Phase II) was identified as an independent risk factor for complications in infants with neonatal sepsis.ConclusionCOVID-19 pandemic response measures correlated with a decrease in EOS and an increase in neonatal sepsis complications and antibiotic resistance

Liposomal antagomiR-155-5p restores anti-inflammatory macrophages and improves arthritis in preclinical models of rheumatoid arthritis

Objective: We previously reported an increased expression of microRNA‐155 (miR‐155) in the blood monocytes of patients with rheumatoid arthritis (RA) that could be responsible for impaired monocyte polarization to anti‐inflammatory M2‐like macrophages. In this study, we employed two preclinical models of RA, collagen‐induced arthritis and K/BxN serum transfer arthritis, to examine the therapeutic potential of antagomiR‐155‐5p entrapped within PEGylated (polyethylene glycol [PEG]) liposomes in resolution of arthritis and repolarization of monocytes towards the anti‐inflammatory M2 phenotype. Methods: AntagomiR‐155‐5p or antagomiR‐control were encapsulated in PEG liposomes of 100 nm in size and −10 mV in zeta potential with high antagomiR loading efficiency (above 80%). Mice were injected intravenously with 1.5 nmol/100 μL PEG liposomes containing antagomiR‐155‐5p or control after the induction of arthritis. Results: We demonstrated the biodistribution of fluorescently tagged PEG liposomes to inflamed joints one hour after the injection of fluorescently tagged PEG liposomes, as well as the liver's subsequent accumulation after 48 hours, indicative of hepatic clearance, in mice with arthritis. The injection of PEG liposomes containing antagomiR‐155‐5p decreased arthritis score and paw swelling compared with PEG liposomes containing antagomiR‐control or the systemic delivery of free antagomiR‐155‐5p. Moreover, treatment with PEG liposomes containing antagomiR‐155‐5p led to the restoration of bone marrow monocyte defects in anti‐inflammatory macrophage differentiation without any significant functional change in other immune cells, including splenic B and T cells. Conclusion: The injection of antagomiR‐155‐5p encapsulated in PEG liposomes allows the delivery of small RNA to monocytes and macrophages and reduces joint inflammation in murine models of RA, providing a promising strategy in human disease.imag

Exploring summary writing by introspection

In the past twenty years, there has been an emerging body of research on summary writing of university students. Few of these studies, however, have investigated how university students process course-related summary tasks. The present study explored the writing processes and strategies that first-year graduate students experienced in doing course-related summary tasks at a Canadian university. Six first-year MBA students participated in the study: three Chinese ESL students and three NES students. Each participant wrote a course-related summary task while thinking aloud. In addition to the think-aloud protocols, retrospective interviews, questionnaires, written drafts and grade reports on the final products were collected to compare the summary writing processes and strategies of the participating ESL and NES students. Three major findings emerged from the data analyses. First, similarities were found between the two groups. That is, both the ESL and NES graduate students were found to have devoted similar amount of attention to the writing processes of planning, composing, editing and commenting. Moving recursively rather than in a linear order, the participants planned carefully and referred to the source texts and lecture notes frequently for structure, themes and terminology. Second, the six participants were found to have displayed personal preferences to some specific writing strategies such as reading, commenting on the source texts and use of fist language as they planned what to write. Third, the study also found similarities across the ESL and NES groups. For example, two students, one ESL and one NES, were found to refer to the source texts frequently. Another pair of ESL and NES students was found to edit the texts more than the others. A third group, two ESL and one NES students, was found to use the reading strategy more frequently than the other participants. This study contributes to our understanding of the processes and challenges some first-year graduate students face when doing course-related summary tasks. It calls for and suggests appropriate curriculum and pedagogical methods to help students, especially second language writers, in dealing with the challenges in writing summaries and becoming confident learners in the academia.Education, Faculty ofLanguage and Literacy Education (LLED), Department ofGraduat

A Novel Method in Surface Water Quality Assessment Based on Improved Variable Fuzzy Set Pair Analysis

In the case of surface water pollution, it is important and necessary to accurately assess the level of contaminated water and ensure the safety of drinking water for people in disaster areas during floods. However, for the assessment of the strict requirements of drinking water, traditional assessment methods still have some limitations, such as low precision and rationality. In order to overcome these limitations, in the light of the theory of set pair analysis and variable fuzzy set, we propose an improved variable fuzzy set pair analysis method (IVFSPA), which combines the analysis framework of variable fuzzy set and set pair analysis, and has made some improvements to the fusion architecture. Firstly, we present a novel game theory comprehensive weighting method, in which the objective entropy method and the subjective analytic hierarchy process(AHP) method employed to obtain the reasonable weight. Then, based on the Nemerow index method, we improve the arithmetic form of “ P i ” (Equation P) to replace the fuzzy comprehensive evaluation method. Furthermore, we design a double judgment mode of combining the principle of maximum membership degree with the positive and negative relationship between the standard value and the measured value, which can accurately judge the evaluation level of surface water quality. Finally, to validate and verify the effectiveness of the proposed method, experiments was conducted at the representative river collection sections of Nanking, China, employing water quality data of 14 sampling sections in their rivers in Nanking during the 2017 flood. In terms of performance metcrics of precision and rationality, based on the values of “TP”, “NH3-N”, “Pb”, “AS” and “KMnO4” of “Ch-lh section/Chuhe gate” are 0.415, 3.77, 0.07, 0.23 and 7.12, respectively, the level of Ch-lh section/Chuhe gate is that the IVFSPA is Class V and the rest are class IV. Results of experiments show that our IVFSPA method can achieve a good performance, compared with other traditional methods

Simultaneously stimulated osteogenesis and anti-bacteria of physically cross-linked double-network hydrogel loaded with MgO-Ag 2O nanocomposites.

Hydrogels, with a three-dimensional network of water-soluble polymer and water, could simulate the critical properties of extracellular matrix, which has been widely used in bone tissue engineering. However, most of conventional hydrogels for bone regeneration are fragile and have poor osteogenic activity, which restricts their applications. In this work, a novel nanoparticle-hydrogel composite consisting of physically cross-linked double-network loaded with MgO-Ag 2O nanocomposites was developed by the sol-gel method. The Mg 2+ released from MgO-Ag 2O nanocomposites was used as an ionic cross-linking site of sodium alginate (SA), while the hydrophobic micelles in the polyacrylamide (PAAM) network is acted as another crosslinking point. The results indicated that the novel nanoparticle-hydrogel composites had good self-recovery ability and excellent mechanical properties compared with the conventional sodium alginate (SA)/polyacrylamide (PAAM) hydrogels. Additionally, it showed a slow release of Mg and Ag ions due to the dual function of the embedding effect of hydrogels and the increasing pH of the solution induced by the hydrolysis of sodium alginate. In terms of in vitro tests, the nanoparticle-hydrogel composites showed significantly stimulatory effects on the proliferation and differentiation of SaOS-2 cells. In addition, the antibacterial effects of the nanoparticle-hydrogel composites were gradually enhanced with the increase of MgO-Ag 2O content

Rumen Fermentation Characteristics in Pre- and Post-Weaning Calves upon Feeding with Mulberry Leaf Flavonoids and Candida tropicalis Individually or in Combination as a Supplement

Although flavonoids or yeast have been used as feed additives to improve the production efficiency and health of adult cattle, little information is available on their effects on rumen fermentation in calves. The objective of this study was to investigate the effects of feed supplementation with mulberry leaf flavonoids and Candida tropicalis on performance, blood parameters, and rumen fermentation characteristics during pre-weaning and post-weaning periods. Forty-eight Holstein calves were used in a four-groups trial and were supplemented with (1) no yeast or flavonoids (CON), (2) active dry yeast (ADY; C. tropicalis, 5.0 × 109 CFU/d), (3) flavonoids (FLA; 3 g/d), or (4) yeast and flavonoids (YF; C. tropicalis, 5.0 × 109 CFU/d; flavonoids, 3 g/d). The feeding strategy was as follows: milk replacer was offered at 12% of body weight in two meals per calf each day at age 21 d, and a gradual weaning process was adopted at age 50 to 56 days. Data of daily feed intake, body weight, and serum and rumen fermentation parameters were obtained at 28, 42, 56, and 80 d ages, respectively. A significant time effect and interaction between treatment and time was found for average daily gain, feed efficiency, total volatile fatty acid concentration, and proportion of propionate in calves (p < 0.05). Average daily gain and feed efficiency increased during post-weaning and overall periods for calves in FLA and YF groups compared with CON and ADY groups (p < 0.05). A reduction of fecal scores with supplementation was found in FLA and YF groups (p < 0.05). Rumen fluid pH and ammonia nitrogen concentration remained constant across the groups, whereas total volatile fatty acid concentration and molar proportion of propionate significantly increased during the pre-weaning and overall periods in FLA and YF groups (p < 0.05). Calves in YF group had the highest serum concentrations of IgG and IgA during the overall period (p < 0.05). Additionally, serum β-hydroxybutyric acid concentration was higher in ADY and FLA groups during the post-weaning period (p < 0.05). Supplementation with C. tropicalis showed little effect on increasing growth performance and health compared with flavonoids alone. Meanwhile, the combination of C. tropicalis and flavonoids was not synergistic with respect to improving health and rumen fermentation compared with use of flavonoids alone in pre- and post-weaning calves (p > 0.05)

Cytokine Release Syndrome Is an Independent Risk Factor Associated With Platelet Transfusion Refractoriness After CAR-T Therapy for Relapsed/Refractory Acute Lymphoblastic Leukemia

The composition of the gut microbiome plays important roles in digestion, nutrient absorption, and health. Here, we analyzed the microbial composition in the duodenum and ileum of yellow broilers. Chickens were grouped based on feed efficiency (high feed efficiency [HFE] and low feed efficiency [LFE] groups

Research progress on multiple cell death pathways of podocytes in diabetic kidney disease

Abstract Diabetic kidney disease (DKD) is the main cause of end-stage renal disease, and its clinical manifestations are progressive proteinuria, decreased glomerular filtration rate, and renal failure. The injury and death of glomerular podocytes are the keys to DKD. Currently, a variety of cell death modes have been identified in podocytes, including apoptosis, autophagy, endoplasmic reticulum (ER) stress, pyroptosis, necroptosis, ferroptosis, mitotic catastrophe, etc. The signaling pathways leading to these cell death processes are interconnected and can be activated simultaneously or in parallel. They are essential for cell survival and death that determine the fate of cells. With the deepening of the research on the mechanism of cell death, more and more researchers have devoted their attention to the underlying pathologic research and the drug therapy research of DKD. In this paper, we discussed the podocyte physiologic role and DKD processes. We also provide an overview of the types and specific mechanisms involved in each type of cell death in DKD, as well as related targeted therapy methods and drugs are reviewed. In the last part we discuss the complexity and potential crosstalk between various modes of cell death, which will help improve the understanding of podocyte death and lay a foundation for new and ideal targeted therapy strategies for DKD treatment in the future