Safety of early antiplatelet therapy for non-cardioembolic mild stroke patients with thrombocytopenia. / åˆå¹¶è¡€å°æ¿å‡å°‘ç—‡çš„éžå¿ƒæºæ€§è½»åž‹è„‘å’ä¸­æ‚£è€ æ—©æœŸæŠ—è¡€å°æ¿æ²»ç–—çš„å®‰å ¨æ€§ç ”ç©¶.

OBJECTIVES: To investigate the safety of early antiplatelet therapy for non-cardioembolic mild stroke patients with thrombocytopenia. METHODS: Data of acute ischemic stroke patients with baseline National Institutes of Health Stroke Scale (NIHSS) score ≤3 and a platelet count <100×109/L were obtained from a multicenter register. Those who required anticoagulation or had other contraindications to antiplatelet therapy were excluded. Short-term safety outcomes were in-hospital bleeding events, while the long-term safety outcome was a 1-year all-cause death. The short-term neurological outcomes were evaluated by modified Rankin scale (mRS) score at discharge. RESULTS: A total of 1868 non-cardioembolic mild stroke patients with thrombocytopenia were enrolled. Multivariate regression analyses showed that mono-antiplatelet therapy significantly increased the proportion of mRS score of 0-1 at discharge (OR=1.657, 95%CI: 1.253-2.192, P<0.01) and did not increase the risk of intracranial hemorrhage (OR=2.359, 95%CI: 0.301-18.503, P>0.05), compared with those without antiplatelet therapy. However, dual-antiplatelet therapy did not bring more neurological benefits (OR=0.923, 95%CI: 0.690-1.234, P>0.05), but increased the risk of gastrointestinal bleeding (OR=2.837, 95%CI: 1.311-6.136, P<0.01) compared with those with mono-antiplatelet therapy. For patients with platelet counts ≤75×109/L and >90×109/L, antiplatelet therapy significantly improved neurological functional outcomes (both P<0.05). For those with platelet counts (>75-90)×109/L, antiplatelet therapy resulted in a significant improvement of 1-year survival (P<0.05). For patients even with concurrent coagulation abnormalities, mono-antiplatelet therapy did not increase the risk of various types of bleeding (all P>0.05) but improved neurological functional outcomes (all P<0.01). There was no significant difference in the occurrence of bleeding events, 1-year all-cause mortality risk, and neurological functional outcomes between aspirin and clopidogrel (all P>0.05). CONCLUSIONS: For non-cardioembolic mild stroke patients with thrombocytopenia, antiplatelet therapy remains a reasonable choice. Mono-antiplatelet therapy has the same efficiency as dual-antiplatelet therapy in neurological outcome improvement with lower risk of gastrointestinal bleeding.

Design of a Compact Time-of-Flight Mass Spectrometer for Space Application.

A miniature reflectron time-of-flight mass spectrometer (TOF MS) with orthogonal extraction coupled with electron impact (EI) ionization source can be used to perform in situ gas composition analysis in a planetary environment. However, performances such as the mass resolution, sensitivity, limit of detection, mass range, and mass accuracy are often decreased because of miniaturization. Herein, a compact instrument for space applications has been developed, and its performance has been evaluated. The mass of the TOF MS is 13.4 kg, with dimensions of 300 mm × 200 mm × 200 mm, and the power consumption is 25 W. In this paper, the design of the ion source, mass analyzer, and detector is discussed in detail. The upper limit of the mass range is greater than 500 amu, and the best resolving power obtained so far on the miniature TOF MS is around 405 at full width half maximum (FWHM); other performance indexes of the instrument are also determined, where the worst case for mass stability is 0.49%, together with a mass accuracy of 0.12% and a sensitivity of 0.6 mV/ppm.

Quaternized Chitosan-Coated Montmorillonite Interior Antimicrobial Metal-Antibiotic in Situ Coordination Complexation for Mixed Infections of Wounds.

Conventional drug delivery systems for natural clay materials still face critical challenges in their practical application, including multiple bacterial infections, combined infection of bacteria and fungi, and low sterilization efficiency. In this work, we address these challenges using the multifunctional montmorillonite nanosheet-based (MMT-based) drug nanoplatform, which involves the antibiotic 5-fluorocytosine (5-FC), antibacterial metal copper ions, and quaternized chitosan (QCS). Composite material QCS/MMT/5-FCCu can can strongly inhibit Staphylococcus aureus (a typical Gram-positive bacterium), Escherichia coli (a typical Gram-negative bacterium), and Candida albicans (a fungus) because 5-FC coordinates with copper ions in situ and due to the deposition of QCS. The subsequent drug release behavior of 5-FCCu was studied, and the results show an initial high concentration kills microorganisms and long-acting sustained release inhibition. Moreover, in vivo wound experiments and toxicity experiments show the promotion of wound healing and excellent biocompatibility. As a demonstration of the utility of the latter, we have shown that the MMT-based smart platform can be used for the treatment of mixed infections of wounds.

Simulation of the influence of constant uniform magnetic field on a miniature LIT mass spectrometer.

In this paper, the effects of constant uniform magnetic fields on a miniature linear ion trap mass spectrometer with hyperbolic electrodes are simulated using SIMION 8.0 3D software. Magnetic fields in different directions have different effects on the trajectories of the trapped ions and the shape of the ion cloud. When the magnetic field is applied in the z-direction, namely the ion injection direction, the magnetic field will cause the ions focusing to the z-axis, and exert a compression effect on the ion cloud. When the magnetic field is applied in the x-y plane, the original ion cloud will be expanded due to the action of the applied magnetic field, and the ion cloud plane after expansion is always perpendicular to the direction of the magnetic field. The discovery of influence field of magnetic will bring some useful inspiration for the improvement of ion trapping efficiency, mass resolution, sensitivity and trapping capacity, which is conductive to the performance enhancement utilization of magnetic field, even in the industrial application development and other aspects.

An ionization gauge for ultrahigh vacuum measurement based on a carbon nanotube cathode.

This work reports on the complete design and the properties of an ionization gauge based on a carbon nanotube cathode, which can measure ultrahigh vacuum without thermal effects. The gauge is composed of a pressure sensor and an electronic controller. This pressure sensor is constructed based on a hot-cathode ionization gauge, where the traditional hot filament is replaced by an electron source prepared with multi-wall nanotubes. Besides, an electronic controller was developed for bias voltage supply, low current detection, and pressure indication. The gauge was calibrated in the pressure range of 10-8 to 10-4 Pa in a XHV/UHV calibration apparatus. The gauge shows good linear characteristics in different gases. The calibrated sensitivity is 0.035 Pa-1 in N2, and the standard deviation of the sensitivity is about 1.1%. In addition, the stability of the sensitivity was learned in a long period. The standard deviation of the sensitivity factor "S" during one year is 2.0% for Ar and 1.6% for N2.

Tetracycline Resistance Genes Identified from Distinct Soil Environments in China by Functional Metagenomics.

Soil microbiota represents one of the ancient evolutionary origins of antibiotic resistance and has been increasingly recognized as a potentially vast unstudied reservoir of resistance genes with possibilities to exchange with pathogens. Tetracycline resistance is one of the most abundant antibiotic resistances that may transfer among clinical and commensal microorganisms. To investigate tetracycline resistance genes from soil bacteria in different habitats, we performed functional analysis of three metagenomic libraries derived from soil samples collected from Yunnan, Sichuan, and Tibet, respectively, in China. We found efflux transporter genes form all the libraries, including 21 major facilitator superfamily efflux pump genes and one multidrug and toxic compound extrusion (MATE) transporter gene. Interestingly, we also identified two tetracycline destructase genes, belonging to a newly described family of tetracycline-inactivating enzymes that scarcely observed in clinical pathogens, from the Tibet library. The inactivation activity of the putative enzyme was confirmed in vitro by biochemical analysis. Our results indicated that efflux pumps distributed predominantly across habitats. Meanwhile, the mechanism of enzymatic inactivation for tetracycline resistance should not be neglected and merits further investigation.

Study the biocatalyzing effect and mechanism of cellulose acetate immobilized redox mediators technology (CE-RM) on nitrite denitrification.

The biocatalyzing effect of a novel cellulose acetate immobilized redox mediators technology (CE-RM) on nitrite denitrification process was studied with anthraquinone, 1,8-dichloroanthraquinone, 1,5-dichloroanthraquinone and 1,4,5,8-tetrachloroanthraquinone. The results showed that the immobilized 1,4,5,8-tetrachloroanthraquinone presented the best biocatalyzed effect which increased nitrite denitrification rate to 2.3-fold with 12 mmol/L 1,4,5,8-tetrachloroanthraquinone. The unequal biocatalyzing effect was due to the quantity and position of -Cl substituent in anthraquinone-structure. Moreover, the nitrite denitrification rate was increased with the oxidation reduction potential (ORP) values becoming more negative during the biocatalyzing process. The stabilized ORP value with 12 mmol/L immobilized 1,4,5,8-tetrachloroanthraquinone were 81 mV lower than the control. At the same time, the more OH(-) was produced with the higher nitrite removal rate achieved in the nitrite denitrification process. In addition, a positive linear correlation was found between the nitrite removal reaction constants k [gNO2(-)-N/(gVSS d)] and immobilized 1,4,5,8-tetrachloroanthraquinone concentration (C1,4,5,8-tetrachloroanthraquinone), which was k = 1.8443 C1,4,5,8-tetrachloroanthraquinone + 33.75(R(2) = 0.9411). The initial nitrite concentration of 179 mgNO2(-)-N/L resulted in the maximum nitrite removal rate, which was 6.526[gNO2(-)-N/(gVSS d)]. These results show that the application of cellulose acetate immobilized redox mediators (CE-RM) can be valuable for increasing nitrite denitrification rate.

[Nitrite denitrification characteristics with redox mediator].

This study optimized the nitrite degradation conditions and explored the characteristics of nitrite degradation with redox mediators and nitrite denitrifying bacteria. The results suggested that the optimal condition of nitrite denitrification was 35 degrees C, pH = 8.0, sodium succinate as the carbon source, the C/N rate of 4 and the initial nitrite concentration of 100 mg x L(-1); the optimal AQS concentration was 0. 16 mmol x L(-1); ORP values stabilized around -400 mV to -500 mV with AQS, which were lower than that of controls during the denitrification process; the pH changed with nitrite removal and stabilized at 9 to 10; through the analysis of denitrifying intermediate metabolites, the impact of AQS on nitrite denitrifying process presumably not only played a coenzyme CoQ role but also accelerated the cytochrome transfer electronic process. This study provides the optimal parameters for practical application of the nitrite biodegradation with redox mediator.

Study the catalyzing mechanism of dissolved redox mediators on bio-denitrification by metabolic inhibitors.

The effect of dissolved redox mediators on denitrification by Paracoccus versutus sp. GW1 were studied with α-AQS, AQS, 1,5-AQDS, AQDS and 2,7-AQDS. AQDS presented the best catalytic effect which increased denitrification rate by 1.5-fold with 0.17 mmol L(-1). Denitrification rate was found to be pseudo-zero order with 0-0.32 mmol L(-1) AQDS (k=19.874C AQDS+10.301 (R(2)=0.9984)). The accelerating mechanism for respiratory chain was also explored by using metabolic inhibitors. Addition of AQDS eased the inhibitions of rotenone, dicumarol, sodium azide on respiratory chain, and enhanced the nitrite accumulation during bio-denitrification process. AQDS exhibited slight catalytic effect on nitrite denitrification. These results allowed us to deduce the accelerating site of AQDS on the denitrification respiratory chain. Increased nitrate denitrification by AQDS might mainly attribute to the accelerated electrons transfer from NADH to nitrate reductase via complex I and ubiquinone/ubiqunol. This study provided further understanding of the mechanism of redox mediators on denitrification.

Effective and characteristics of anthraquinone-2,6-disulfonate (AQDS) on denitrification by Paracoccus versutus sp.GW1.

The effects of anthraquinone-2,6-disulfonate (AQDS) on microbial populations and the biocatalysing characteristics of AQDS on denitrifying strain GW1 are discussed. The results showed that microbial population abundances were 30, 6, 12 and 18% during the different periods (1st, 5th, 10th and 20th days). Strain GW1 utilized AQDS as an electron acceptor in the respiration chain and reduced AQDS to hydroquinone (QH2). The nitrate removal efficiency of strain GW1 was increased 1.14-1.63 fold with 0.04-0.32 mmol/L AQDS. A linear correlation was found between the nitrate removal reaction constant k[gNO3(-)- N/(gVSS x d)] (where VSS is volatile suspended solids) and AQDS concentration (CAQDS), which was k = 19.332 C(AQDS) + 11.115 (R2 = 0.9749). The stabilized oxidation-reduction potential (ORP) values with AQDS were lower 22-92 mv than the control during the denitrification process. The concentration of nitrite sequentially accumulated up to around 250 mg/L when nitrate have removed completely. The results suggested that AQDS as redox mediator was capable of biocatalysing the nitrate and nitrite removal rate.

Reduction of Cr(VI) by Escherichia coli BL21 in the presence of redox mediators.

Anthraquinone-2,7-disulfonate (2,7-AQDS), anthraquinone-1-sulfonate (α-AQS), anthraquinone-2-sulfonate (AQS), anthraquinone-2,6-disulfonate (AQDS) and anthraquinone-1,5-disulfonate (1,5-AQDS) were selected as redox mediators for Cr(VI) reduction by Escherichia coli BL21. In the presence of 0.8mmoll(-1) AQS, the Cr(VI) reduction efficiency was 98.5% in 7.5h, whereas it was only 21-34% in the absence of a mediator or in the presence of α-AQS, 1,5-AQDS, AQDS, 2,7-AQDS. A linear correlation, k=0.768C(AQS)+1.5531 (R(2)=0.9935), was found for the reaction constant, k (mg Cr(VI) g(-1) dry cell weight h(-1)) and the AQS concentration (C(AQS)). The Arrhenius equation described the Cr(VI) reduction in the tested temperature range, and the pre-exponential factor A was 13.249mg Cr(VI) g(-1) dry cell weight h(-1),and the activation energy Ea was 28.01kJmol(-1). Glucose was the best carbon sources, and the optimum pH was 6.0. The Cr(VI) reduction rate obtained with AQS is a significant improvement over low conventional anaerobic reduction rates.