Causative agent distribution and antibiotic therapy assessment among adult patients with community acquired pneumonia in Chinese urban population

<p>Abstract</p> <p>Background</p> <p>Knowledge of predominant microbial patterns in community-acquired pneumonia (CAP) constitutes the basis for initial decisions about empirical antimicrobial treatment, so a prospective study was performed during 2003–2004 among CAP of adult Chinese urban populations.</p> <p>Methods</p> <p>Qualified patients were enrolled and screened for bacterial, atypical, and viral pathogens by sputum and/or blood culturing, and by antibody seroconversion test. Antibiotic treatment and patient outcome were also assessed.</p> <p>Results</p> <p>Non-viral pathogens were found in 324/610 (53.1%) patients among whom <it>M. pneumoniae </it>was the most prevalent (126/610, 20.7%). Atypical pathogens were identified in 62/195 (31.8%) patients carrying bacterial pathogens. Respiratory viruses were identified in 35 (19%) of 184 randomly selected patients with adenovirus being the most common (16/184, 8.7%). The nonsusceptibility of <it>S. pneumoniae </it>to penicillin and azithromycin was 22.2% (Resistance (R): 3.2%, Intermediate (I): 19.0%) and 79.4% (R: 79.4%, I: 0%), respectively. Of patients (312) from whom causative pathogens were identified and antibiotic treatments were recorded, clinical cure rate with β-lactam antibiotics alone and with combination of a β-lactam plus a macrolide or with fluoroquinolones was 63.7% (79/124) and 67%(126/188), respectively. For patients having mixed <it>M. pneumoniae </it>and/or <it>C. pneumoniae </it>infections, a better cure rate was observed with regimens that are active against atypical pathogens (e.g. a β-lactam plus a macrolide, or a fluoroquinolone) than with β-lactam alone (75.8% vs. 42.9%, <it>p </it>= 0.045).</p> <p>Conclusion</p> <p>In Chinese adult CAP patients, <it>M. pneumoniae </it>was the most prevalent with mixed infections containing atypical pathogens being frequently observed. With <it>S. pneumoniae</it>, the prevalence of macrolide resistance was high and penicillin resistance low compared with data reported in other regions.</p

Experimental Research on the Mechanical Properties and Autogenous Shrinkage of Precast Members Joint Concrete

In the precast building structure, the joint is the key part that affects the mechanical performance of the assembly structure. By selecting coarse and fine fraction aggregate; adding high quality mineral admixture, expansive agent, and water-reducing agent; and optimizing the mixture ratio design, precast members joint concrete (PMJC) with self-compacting performance, micro-shrinkage, good volume stability, and strength matching with precast concrete is developed. In this study, the PMJC with a water-binder ratio, fly ash, ultra-fine silicon powder, sand rate, expansive agent, and water-reducing agent of 0.38, 30%, 3%, 47.7%, 8%, and 0.7%, respectively, showed a good workability which could meet the conditions of on-site construction. In addition, the strength matched the precast members, and the PMJC had certain ductility and stability, small early contraction, and met the requirements of the joint material

Experimental Research on the Mechanical Properties and Autogenous Shrinkage of Precast Members Joint Concrete

In the precast building structure, the joint is the key part that affects the mechanical performance of the assembly structure. By selecting coarse and fine fraction aggregate; adding high quality mineral admixture, expansive agent, and water-reducing agent; and optimizing the mixture ratio design, precast members joint concrete (PMJC) with self-compacting performance, micro-shrinkage, good volume stability, and strength matching with precast concrete is developed. In this study, the PMJC with a water-binder ratio, fly ash, ultra-fine silicon powder, sand rate, expansive agent, and water-reducing agent of 0.38, 30%, 3%, 47.7%, 8%, and 0.7%, respectively, showed a good workability which could meet the conditions of on-site construction. In addition, the strength matched the precast members, and the PMJC had certain ductility and stability, small early contraction, and met the requirements of the joint material

The mitochondrial genome of the sheep roundworm Ascaris ovis (Ascaridida: Nematoda) from Southwest China

The Ascaris roundworms (Ascaridida: Nematoda), one of the commonest soil-transmitted helminths (STHs), can cause ascariasis with significant socioeconomic and public health impact. In this study, the mitochondrial genome of Ascaris ovis, a representative of this genus from the sheep in Southwest China was determined using Illumina sequencing technology. The assembled genome was 14,205 bp in size and encoded 36 genes, including 12 protein-coding genes, 22 transfer RNA genes, and two ribosomal RNA genes. Phylogenetic analysis showed that A. ovis grouped with the congeneric Ascaris lumbricoides of humans, Ascaris spp. of non-human primates and Ascaris suum of pigs and together formed a monophyletic group relationship with either species of Baylisascaris/Toxascaris/Parascaris, species of Toxocara, species of Anisakis/Pseudoterranova or species of Ascaridia/Heterakis in the order Ascaridida, supporting its genetic similarity with A. lumbricoides, A. suum, and other congeneric species. The cumulative mitochondrial DNA data of this genus should contribute to a better understanding of the phylogenetic relationships among these roundworms

Vehicle Safety Enhancement System: Sensing and Communication

With the substantial increase of vehicles on road, driving safety and transportation efficiency have become increasingly concerned focus from drivers, passengers, and governments. Wireless networks constructed by vehicles and infrastructures provide abundant information to share for the sake of both enhanced safety and network efficiency. This paper presents the systematic research to enhance the vehicle safety by wireless communication, in the aspects of information acquisition through vehicle sensing, vehicle-to-vehicle (V2V) routing protocol for the highly dynamic vehicle network, vehicle-to-infrastructure (V2I) routing protocol for a tradeoff in real-time performance and load balance, and hardware implementation of V2V system with on-road test. Simulations and experimental result validate the feasibility of the algorithms and communication system

Intergenerational Transmission of Enhanced Seizure Susceptibility after Febrile Seizures

Environmental exposure early in development plays a role in susceptibility to disease in later life. Here, we demonstrate that prolonged febrile seizures induced by exposure of rat pups to a hyperthermic environment enhance seizure susceptibility not only in these hyperthermia-treated rats but also in their future offspring, even if the offspring never experience febrile seizures. This transgenerational transmission was intensity-dependent and was mainly from mothers to their offspring. The transmission was associated with DNA methylation. Thus, our study supports a “Lamarckian”-like mechanism of pathogenesis and the crucial role of epigenetic factors in neurological conditions

Long-Life flexible mild Ag-Zn fibrous battery with bifunctional gel electrolyte

Silver-zinc (Ag-Zn) fibrous batteries are considered as a promising power source for next-generation flexible/wearable electronics because of their superior safety, high energy density, and stable output voltage. Nevertheless, the widespread application of Ag-Zn batteries is hindered by their limited cycle life, primarily caused by Zn dendrite growth and Ag migration. Herein, we develop a flexible mild Ag-Zn fibrous battery with outstanding cycle performance via designing a bifunctional gel electrolyte. The graphene oxide (GO) introduced into the electrolyte provides dual enhancement in suppressing the growth of Zn dendrite and migration of Ag, leading to improved structural integrity and long cycle life. The designed fibrous battery demonstrates a high capacity of 0.85 mAh cm−1 and it can retain 90% (77.4%) of the initial capacity after 250 cycles under current density of 0.5 (5) mA cm−1. Additionally, the battery can maintain its performance under various deformations and a four-battery set is employed as the power source for LED patterns and wearable sensors. This work provides a rational way to design advanced gel electrolytes for high-performance flexible batteries.</p