Acute Kidney Injury After Percutaneous Coronary Intervention Guided by Intravascular Ultrasound

Purpose We investigated the impact of intravascular ultrasound guidance on reducing the incidence of contrast-induced acute kidney injury (CI-AKI) in patients undergoing percutaneous coronary intervention (PCI). Methods Ninety-nine patients were enrolled in this prospective cohort who were not randomly assigned to angiography-guided percutaneous coronary intervention or intravascular ultrasound-guided percutaneous coronary intervention. The patients were hospitalized at the Vietnam National Heart Institute - Bach Mai Hospital between 2019 and 2020. Acute kidney injury incidence during hospitalization was the primary endpoint. Results A total of 99 patients were divided into two groups: the intravascular ultrasound-guided group (33 participants) and the angiography-guided group (66 participants). The mean ± SD contrast volume of each group was 95.2 ± 37.1 mL and 133.0 ± 36.0 mL for the ultrasound-guided and angiography-guided groups, with P \u3c 0.0001. Intravascular imaging-guided percutaneous coronary intervention (IVUS-guided PCI) was associated with reduced acute kidney injury incidence during hospitalization: 0.0% vs. 12.12% and P = 0.049. Conclusions Intravascular ultrasound is a safe imaging tool that guides percutaneous coronary intervention and significantly reduces the rate of acute kidney injury compared to angiography alone. Patients who have a high chance of experiencing acute kidney injury benefit from using intravascular ultrasound

Kinetics of cardiovascular and inflammatory biomarkers in paediatric dengue shock syndrome

Glycocalyx disruption and hyperinflammatory responses are implicated in the pathogenesis of dengue-associated vascular leak, however little is known about their association with clinical outcomes of patients with dengue shock syndrome (DSS). We investigated the association of vascular and inflammatory biomarkers with clinical outcomes and their correlations with clinical markers of vascular leakage. We performed a prospective cohort study in Viet Nam. Children ≥5 years of age with a clinical diagnosis of DSS were enrolled into this study. Blood samples were taken daily during ICU stay and 7–10 days after hospital discharge for measurements of plasma levels of Syndecan-1, Hyaluronan, Suppression of tumourigenicity 2 (ST-2), Ferritin, N-terminal pro Brain Natriuretic Peptide (NT-proBNP), and Atrial Natriuretic Peptide (ANP). The primary outcome was recurrent shock. Ninety DSS patients were enrolled. Recurrent shock occurred in 16 patients. All biomarkers, except NT-proBNP, were elevated at presentation with shock. There were no differences between compensated and decompensated DSS patients. Glycocalyx markers were positively correlated with inflammatory biomarkers, haematocrit, percentage haemoconcentration, and negatively correlated with stroke volume index. While Syndecan-1, Hyaluronan, Ferritin, and ST-2 improved with time, ANP continued to be raised at follow-up. Enrolment Syndecan-1 levels were observed to be associated with developing recurrent shock although the association did not reach the statistical significance at the P < 0.01 (OR = 1.82, 95% CI 1.07–3.35, P = 0.038). Cardiovascular and inflammatory biomarkers are elevated in DSS, correlate with clinical vascular leakage parameters and follow different kinetics over time. Syndecan-1 may have potential utility in risk stratifying DSS patients in ICU

Expenditure decisions of international tourists to Taiwan: application of the Heckman two-stage approach

AbstractBased on a large sample of 30,945 international tourists to Taiwan from 2016 to 2021, this study examines how these tourists make expenditure decisions in Tawan. Simultaneously, we consider various determinants such as travel characteristics, individual characteristics, and satisfaction levels, and the COVID-19 pandemic influence tourists’ decisions regarding their expenditures on accommodation, food, transportation, shopping, and other expenses. Employing a two-stage Heckman approach, the study finds that satisfaction positively affects spending in various categories, highlighting the importance of enhancing visitor satisfaction. Tourists traveling shorter distances allocate more to accommodation, food, and shopping, while repeat visitors prioritize transportation, accommodation, and shopping. Longer stays result in higher transportation and other expenses, while shorter stays lead to increased spending on accommodation, food, and shopping. Gender, age, education, and income levels also influence spending patterns. Moreover, the COVID-19 pandemic disrupted spending, reducing accommodation and transportation expenses but increasing food and shopping spending as tourists adapted to new standards

Novel hazards of waterpipe tobacco and the benefits of stop smoking in men, a prospective cohort study

Abstract Waterpipe smoking is an emerging epidemic and a severe public health problem worldwide. Observational studies on the hazards of a specific new waterpipe tobacco product are timely needed. The objectives were to analyze how dangerous waterpipe tobacco smoking is on the causes of all mortality, including cancer, and how effective smoking cessation is for improving health. We analyzed the hazards of exclusive waterpipe smoking through a prospective cohort study in Northern Vietnam. We obtained exposure data on the smoking status of specific cigarette and waterpipe and smoking cessation histories from each study participant. The outcome includes deaths due to all causes. The cause of death for each case is determined based on medical records. HR (95%CI) was estimated using a Cox proportional-hazards–regression analysis for overall mortality and all cancers. The ever-cigarette smoking group as the reference group, the exclusive waterpipe smoking group had a statistical increase in the risk for overall mortality HR (95% CI): 1.63 (1.32, 2.00), and all cancers HR (95%CI): 1.67 (1.18, 2.38). The risk of death increased statistically in the group of waterpipe smoking over 20 years for overall mortality HR (95%CI): 1.82 (1.45, 2.29), and all cancers HR (95%CI): 1.91 (1.27, 2.88). After stopping smoking, the risk of death decreased steadily. The risk of death was reduced by 41% for overall mortality HR (95%CI): 0.59 (0.39, 0.89), and 74% for death from cancers HR (95%CI): 0.26 (0.08, 0.83) after ten years or longer of cessation. Life expectancy was shortened by more than six years for the group of exclusive waterpipe smokers compared to non-smokers. This study found new novel hazards of exclusive waterpipe tobacco smoking. The findings are scientific evidence for developing strategies, policies, and budget allocations to control this novel tobacco product and promote cessation to improve life expectancy

Leverage Boosting and Transformer on Text-Image Matching for Cheap Fakes Detection

The explosive growth of the social media community has increased many kinds of misinformation and is attracting tremendous attention from the research community. One of the most prevalent ways of misleading news is cheapfakes. Cheapfakes utilize non-AI techniques such as unaltered images with false context news to create false news, which makes it easy and &ldquo;cheap&rdquo; to create and leads to an abundant amount in the social media community. Moreover, the development of deep learning also opens and invents many domains relevant to news such as fake news detection, rumour detection, fact-checking, and verification of claimed images. Nevertheless, despite the impact on and harmfulness of cheapfakes for the social community and the real world, there is little research on detecting cheapfakes in the computer science domain. It is challenging to detect misused/false/out-of-context pairs of images and captions, even with human effort, because of the complex correlation between the attached image and the veracity of the caption content. Existing research focuses mostly on training and evaluating on given dataset, which makes the proposal limited in terms of categories, semantics and situations based on the characteristics of the dataset. In this paper, to address these issues, we aimed to leverage textual semantics understanding from the large corpus and integrated with different combinations of text-image matching and image captioning methods via ANN/Transformer boosting schema to classify a triple of (image, caption1, caption2) into OOC (out-of-context) and NOOC (no out-of-context) labels. We customized these combinations according to various exceptional cases that we observed during data analysis. We evaluate our approach using the dataset and evaluation metrics provided by the COSMOS baseline. Compared to other methods, including the baseline, our method achieves the highest Accuracy, Recall, and F1 scores

Investigating Visible-Photocatalytic Activity of MoS2/TiO2 Heterostructure Thin Films at Various MoS2 Deposition Times

MoS2/TiO2 heterostructure thin films were fabricated by sol-gel and chemical bath deposition methods. Crystal structure, surface morphology, chemical states of all elements, and optical property of the obtained thin films were characterized by using X-ray diffraction, scanning electron microscopy, X-ray photoelectron spectroscopy, and UV-Vis spectroscopy techniques, respectively. Photocatalytic activity of all thin films was evaluated by measuring decomposition rate of methylene blue solution under visible light irradiation. The results indicate that ultrathin MoS2 film on TiO2-glass substrate improves photocatalytic activity of TiO2 in the visible light due to the efficient absorption of visible photon of MoS2 few layers and the transfer of electrons from MoS2 to TiO2. All MoS2/TiO2 heterostructure thin films exhibit higher visible light photocatalytic activity than that of pure MoS2 and TiO2 counterparts. The best MoS2/TiO2 heterostructure thin film at MoS2 layer deposition time of 45 minutes can decompose about 60% MB solution after 150 minutes under visible light irradiation. The mechanism of the enhancement for visible-photocatalytic activity of MoS2/TiO2 heterostructure thin film was also discussed

Empirical Examination of Factors Influencing the Adoption of Green Building Technologies: The Perspective of Construction Developers in Developing Economies

This study seeks to better understand the determinants of green building technology (GBT) adoption intention of construction developers in developing countries. In order to address these objectives, this study integrates the Diffusion of Innovation theory, the theory of Resource-based View, and the Resource Dependence Theory to analyze and construct the theoretical model of developers&rsquo; intentions to adopt GBTs from three perspectives, namely, technological, organizational, and environmental. The model was tested using survey data collected from 142 experienced managers in Vietnam. Data analysis was performed by SEM using the partial least squares (PLS) approach. The findings show that perceived GBT advantages, perceived GBT disadvantages, top management leadership, government support, project partners&rsquo; green building readiness, and social demand of green buildings are the significant factors that affect GBT adoption intention by developers. However, organizational GBT resource and GBT market readiness have no significant effect on developers&rsquo; GBT adoption intention. Theoretical and practical implications and limitations of the research are discussed, and suggestions for future research are also proposed

Optimization Production of an Endo-β-1,4-Xylanase from <i>Streptomyces thermocarboxydus</i> Using Wheat Bran as Sole Carbon Source

Xylanases, key enzymes for hydrolyzing xylan, have diverse industrial applications. The bioprocessing of agricultural byproducts to produce xylanase through fermentation approaches is gaining importance due to its significant potential to reduce enzyme production costs. In this work, the productivity of Streptomyces thermocarboxydus TKU045 xylanase was enhanced through liquid fermentation employing wheat bran as the sole carbon source. The maximum xylanase activity (25.314 ± 1.635 U/mL) was obtained using the following optima factors: 2% (w/v) wheat bran, 1.4% (w/v) KNO3, an initial pH of 9.8, an incubation temperature of 37.3 °C, and an incubation time of 2.2 days. Xylanase (Xyn_TKU045) of 43 kDa molecular weight was isolated from the culture supernatant and was biochemically characterized. Analysis through liquid chromatography with tandem mass spectrometry revealed a maximum amino acid identity of 19% with an endo-1,4-β-xylanase produced by Streptomyces lividans. Xyn_TKU045 exhibited optimal activity at pH 6, with remarkable stability within the pH range of 6.0 to 8.0. The enzyme demonstrated maximum efficiency at 60 °C and considerable stability at ≤70 °C. Mg2+, Mn2+, Ba2+, Ca2+, 2-mercaptoethanol, Tween 20, Tween 40, and Triton X-100 positively influenced Xyn_TKU045, while Zn2+, Fe2+, Fe3+, Cu2+, and sodium dodecyl sulfate exhibited adverse impact. The kinetic properties of Xyn_TKU045 were a Km of 0.628 mg/mL, a kcat of 75.075 s−1 and a kcat/Km of 119.617 mL mg−1s−1. Finally, Xyn_TKU045 could effectively catalyze birchwood xylan into xylotriose and xylobiose as the major products