Oral Sulopenem and Tebipenem for Complicated Urinary Tract Infection and Pyelonephritis in patients with Extended-Spectrum Beta-Lactamase (ESBL)-producing Gram Negative, Susceptible Bacteria

ESBL-producing gram negative Enterobacteria is becoming more prevalent, and carbapenems play a key role in combating against ESBL for complicated urinary tract infections (cUTI). However, carbapenems are only available intravenously in the U.S. FDA is currently reviewing the newly developed oral carbapenems (sulopenem and tebipenem) and have requested additional clinical trial information before granting approval for cUTI. Currently available phase 3 clinical trials for tebipenem and sulopenem are reviewed

Synthesis of bio-polyols by epoxide ring opening reaction with H2O as a reagent

The different nucleophilic reagents have been using in epoxide ring opening reactions among which water is the most preferable. At first, the epoxide group must be protonated by water in the presence of H2SO4 as catalyst. The successful epoxide ring opening reaction of epoxidized soybean oil (ESO) by water in the H2SO4 environment was verified by FTIR and H-NMR spectroscopy. The effect of reaction parameters like the amount of reagents, catalyst, temperature and time of a polyol synthesis were studied through the hydroxyl and oxirane oxygen content of product. Moreover, the impact of the parameters on the correlation P/E was determined by comparing a hydroxyl group formation to an epoxide group consumption. When the hydroxylation reaction was carried out with ESO:H2O mole ratio of 1:15; in 8 wt.% H2SO4; at temperature of 70 oC and in 5 hours, the hydroxyl content of 358.51 mgKOH/g of the obtained product was achieved. Keywords. Epoxidized vegetable oil, biopolyol, epoxide ring-opening, epoxidized soybean oil

A Study Of UV-curable Offset Ink Emulsified With An Alternative Isopropyl Alcohol-free Fountain Solution

In the present research, fountain solution without isopropyl alcohol (IPA) for Ultraviolet offset curing ink (UV ink) was prepared by using Ethylene Glycol Mono-butyl Ether (EGME) as a substitute for IPA. The effect of EGME concentration on the water pick-up characteristics, tack value, rheological behaviors, and curing time of UV offset inks was investigated. Water pick-up characteristics, tack value and rheological behaviors were measured by Duke Ink water emulsification tester, Tack-o-scope and cone-plate rheometer, respectively. The curing time of the UV ink was evaluated by the rub test of printed sheet samples proofed on the polymer film at the standard solid ink density and the same ink thickness. The results revealed that an increase in EGME concentration increased the water pick-up characteristics of the UV ink. There was no significant influence of EGME on the tack value of UV inks. However, the tack value of UV ink was significantly affected by fountain concentration in UV inks and UV ink color. The addition of EGME reduced the dynamic viscosity and thixotropic property of UV inks but did not change the flow behavior of UV ink as shear thinning. This study indicates that UV ink emulsified with a higher EGME concentration fountain solution needs a longer curing time. The cyan UV ink has the longest curing time. Finally, the fountain solution of 10% EGME exhibited good performance in water pick-up characteristics, tack value, rheological behaviors, and curing time of UV inks

The Epoxidized Vietnam Rubber Seed Oil as a Secondary Plasticizer/Thermal Stabilizer in PVC Processing

The epoxidized rubber seed oil (EeRSO) was a mixture of epoxidized triglyceride, and epoxidized methyl ester of free fatty acids was used as a secondary plasticizer for PVC. An increase in tensile properties was observed by substituting the 10 phr DOP plasticizer with the EeRSO in PVC formulation. A leaching test was performed in five media to evaluate the plasticizing effect. The sample weight increased slightly after soaking in water and 30 wt.% acetic solution, decreased slightly in 10 wt.% KOH solution, and reduced sharply and strongly in sunflower oil and n-hexane. The 10 phr EeRSO in PVC formulation has presented an improvement in migration, volatilization characteristics, and thermal property of PVC. After 72 hours of soaking in n-hexane, the shore A hardness of the EeRSO plasticized PVC sample increased by 14.5% while the PVC sample without EeRSO was blistered and its shore A hardness could not be measured. This was the clearest evidence for the positive effect of EeRSO as a secondary plasticizer. The morphology of the fractured surface of the samples after immersing in n-hexane was studied by using scanning electron microscopy. Thermogravimetric analysis showed the role of EeRSO in significant improvement in thermal stability. In general, EeRSO not only acts as a primary plasticizer to improve the migration, extraction, and volatilization characteristics but also contributes to the thermal stability of PVC

Spectrum of MECP2 mutations in Vietnamese patients with RETT syndrome

Abstract Background Rett syndrome (RTT) is a severe neurodevelopmental disorder in children characterized by a normal neurodevelopmental process in the first 6–18 months followed by a period of motor and vocal deterioration with stereotypic hand movements. Incidence of RTT is mostly due to de novo mutation in the MECP2 gene (methyl-CpG-binding protein 2). Methods The study assessed 27 female patients presented with classical RTT phenotype age range from 18 months to 48 months. Specialist carried out the clinical evaluation and diagnosis according to RTT diagnosis criteria. Blood samples from patients were then collected for genomic DNA extraction. We next performed MECP2 gene amplification and sequencing of the whole coding region to screen for mutations. Result MECP2 mutation was found in 20 patients (74%) including: 2 missense, 4 nonsense, 6 frameshift and 2 deletion mutation. The study identified 14 pathogenic mutations which we found 4 mutation, to our knowledge and extensive search, not priory reported in any mutation database or publication: c.1384-1385DelGT, c.1205insT, c.717delC and c.1132_1207del77. High percentage of C > T (70%) in CpG sites mutation was found. Conclusion Our result reveals a high percentage of C > T mutation in CpG hot spot, which is more prone to modification and more likely to be detected in RTT as a disorder is strictly due to de novo mutations. The study is the first to identify the mutation spectrum of MECP2 gene in Vietnamese patients and also an important step toward better diagnosis and care for RTT patients in Vietnam

Outcomes of autologous bone marrow mononuclear cells for cerebral palsy: an open label uncontrolled clinical trial

Abstract Background Stem cell therapy has emerged as a promising method for improving motor function of patients with cerebral palsy. The aim of this study is to assess the safety and effectiveness of autologous bone marrow mononuclear stem cell transplantation in patients with cerebral palsy related to oxygen deprivation. Methods An open label uncontrolled clinical trial was carried out at Vinmec International Hospital. The intervention consisted of two administrations of stem cells, the first at baseline and the second 3 months later. Improvement was monitored at 3 months and 6 months after the first administration of stem cells, using the Gross Motor Function Measure (GMFM) and Modified Ashworth Score which measures muscle tone. Results No severe complications were recorded during the study. After transplantation, 12 patients encountered fever without infections and 9 patients experienced vomiting which was easily managed with medications. Gross motor function was markedly improved 3 months or 6 months after stem cell transplantation than at baseline. The post-transplantation GMFM-88 total score, each of its domains and the GMFM-66 percentile were all significantly higher (p-value  0.05). Conclusion Autologous bone marrow mononuclear cell transplantation appears to be a safe and effective therapy for patients with cerebral palsy. Trial registration ClinicalTrials.gov Identifier: NCT02569775 . Retrospectively registered on October 15, 2015

Fatal Respiratory Infections Associated with Rhinovirus Outbreak, Vietnam

During an outbreak of severe acute respiratory infections in 2 orphanages, Vietnam, 7/12 hospitalized children died. All hospitalized children and 26/43 children from outbreak orphanages tested positive for rhinovirus versus 9/40 control children (p = 0.0005). Outbreak rhinoviruses formed a distinct genetic cluster. Human rhinovirus is an underappreciated cause of severe pneumonia in vulnerable groups