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1.
Phys Chem Chem Phys ; 23(41): 23741-23747, 2021 Oct 27.
Artículo en Inglés | MEDLINE | ID: mdl-34643208

RESUMEN

An appropriate estimation of the abundance of the observed C5 radical in the interstellar medium requires accurate radiative and collisional rate coefficients. We present the first two-dimensional potential energy surface (2D-PES) for the ground electronic state of the C5(X1Σ+)-He(X1S) van der Waals system, obtained using an explicitly correlated coupled-cluster method with single, double, and perturbative triple excitations (RCCSD(T)-F12). This PES is subsequently used in quantum close-coupling (CC) scattering calculations. Collisional excitation cross-sections of the rotational levels of C5 by He were calculated for energies up to 1500 cm-1 using the standard (CC) method. The thermal dependence of the corresponding rate coefficients is given for the low and moderate temperature T ≤ 300 K regime of interstellar molecular clouds. This is the first study on the collisional rate coefficients for this system and may have important implications for the astrophysical detection of C5(X1Σ+) and modeling of carbon-rich media.

2.
Phys Chem Chem Phys ; 22(31): 17494-17502, 2020 Aug 18.
Artículo en Inglés | MEDLINE | ID: mdl-32716451

RESUMEN

Among all the molecular species found in the interstellar medium, molecules with threefold symmetry axes play a special role, as their rotational spectroscopy allows them to act as practical gas thermometers. Methyl-cyanide (CH3CN) is the second most abundant of those (after ammonia). We compute in this paper the collisional dynamics of methyl-cyanide in collision with helium, for both the A- and the E-symmetries of CH3CN. The potential energy surface is determined using the CCSD(T)-F12b formalism and fit with convenient analytic functions. We compute the rotationally inelastic cross sections for all levels up to 510 cm-1 of collision energy, employing at low energy exact Coupled Channels methods, and at higher energies, approximate Coupled States methods. For temperatures from 7 K up to 300 K, rates of quenching are computed and most are found to differ from those reported earlier (up to a factor of a thousand), calling for a possible reexamination of the temperatures assigned to low density gasses.

3.
Nano Lett ; 19(5): 2793-2802, 2019 05 08.
Artículo en Inglés | MEDLINE | ID: mdl-30676752

RESUMEN

Developing uncooled photodetectors at midwavelength infrared (MWIR) is critical for various applications including remote sensing, heat seeking, spectroscopy, and more. In this study, we demonstrate room-temperature operation of nanowire-based photodetectors at MWIR composed of vertical selective-area InAsSb nanowire photoabsorber arrays on large bandgap InP substrate with nanoscale plasmonic gratings. We accomplish this by significantly suppressing the nonradiative recombination at the InAsSb nanowire surfaces by introducing ex situ conformal Al2O3 passivation shells. Transient simulations estimate an extremely low surface recombination velocity on the order of 103 cm/s. We further achieve room-temperature photoluminescence emission from InAsSb nanowires, spanning the entire MWIR regime from 3 to 5 µm. A dry-etching process is developed to expose only the top nanowire facets for metal contacts, with the sidewalls conformally covered by Al2O3 shells, allowing for a higher internal quantum efficiency. Based on these techniques, we fabricate nanowire photodetectors with an optimized pitch and diameter and demonstrate room-temperature spectral response with MWIR detection signatures up to 3.4 µm. The results of this work indicate that uncooled focal plane arrays at MWIR on low-cost InP substrates can be designed with nanostructured absorbers for highly compact and fully integrated detection platforms.

4.
Nano Lett ; 19(1): 582-590, 2019 01 09.
Artículo en Inglés | MEDLINE | ID: mdl-30517782

RESUMEN

Single-photon detection at near-infrared (NIR) wavelengths is critical for light detection and ranging (LiDAR) systems used in imaging technologies such as autonomous vehicle trackers and atmospheric remote sensing. Portable, high-performance LiDAR relies on silicon-based single-photon avalanche diodes (SPADs) because of their extremely low dark count rate (DCR) and afterpulsing probability, but their operation wavelengths are typically limited up to 905 nm. Although InGaAs-InP SPADs offer an alternative platform to extend the operation wavelengths to eye-safe ranges, their high DCR and afterpulsing severely limit their commercial applications. Here we propose a new separate absorption and multiplication avalanche photodiode (SAM-APD) platform composed of vertical InGaAs-GaAs nanowire arrays for single-photon detection. Among a total of 4400 nanowires constituting one photodiode, each avalanche event is confined in a single nanowire, which means that the avalanche volume and the number of filled traps can be drastically reduced in our approach. This leads to an extremely small afterpulsing probability compared with conventional InGaAs-based SPADs and enables operation in free-running mode. We show a DCR below 10 Hz, due to reduced fill factor, with photon count rates of 7.8 MHz and timing jitter less than 113 ps, which suggest that nanowire-based NIR focal plane arrays for single-photon detection can be designed without active quenching circuitry that severely restricts pixel density and portability in NIR commercial SPADs. Therefore, the proposed work based on vertical nanowires provides a new degree of freedom in designing avalanche photodetectors and could be a stepping stone for high-performance InGaAs SPADs.

5.
Nanotechnology ; 30(4): 044002, 2019 Jan 25.
Artículo en Inglés | MEDLINE | ID: mdl-30465548

RESUMEN

Photodetection at short- and mid-wavelength infrared (SWIR and MWIR) enables various sensing systems used in heat seeking, night vision, and spectroscopy. As a result, uncooled photodetection at these wavelengths is in high demand. However, these SWIR and MWIR photodetectors often suffer from high dark current, causing them to require bulky cooling accessories for operation. In this study, we argue for the feasibility of improving the room-temperature detectivity by significantly suppressing dark current. To realize this, we propose using (1) a nanowire-based platform to reduce the photoabsorber volume, which in turn reduces trap state population and hence generation-recombination current, and (2) p-n heterojunctions to prevent minority carrier diffusion from the large bandgap substrate into the nanowire absorber. We prove these concepts by demonstrating a comprehensive three-dimensional photoresponse model to explore the level of detectivity offered by vertical InAs(Sb) nanowire photodetector arrays with self-assembled plasmonic gratings. The resultant electrical simulations show that the dark current can be reduced by three to four orders at room temperature, leading to a peak detectivity greater than 3.5 × 1010 cm Hz1/2 W-1 within the wavelength regime of 2.0-3.4 µm, making it comparable to the best commercial and research InAs p-i-n homojunction photodiodes. In addition, we show that the plasmonic resonance peaks can be easily tuned by simply varying the exposed nanowire height. Finally, we investigate the impact of nanowire material properties, such as carrier mobility and carrier lifetime, on the nanowire photodetector detectivity. This work provides a roadmap for the electrical design of nanowire optoelectronic devices and stimulates further experimental validation for uncooled photodetectors at SWIR and MWIR.

6.
Phys Chem Chem Phys ; 21(19): 9996-10002, 2019 May 15.
Artículo en Inglés | MEDLINE | ID: mdl-31041974

RESUMEN

Cyclopropenylidene, c-C3H2, is a simple hydrocarbon, ubiquitous in astrophysical gases, and possessing a permanent electric dipole moment. Its readily observed rotational transitions make it an excellent probe for the physics and history of interstellar matter. The collisional properties of c-C3H2 with the main background gas, H2, are computed here. We present a full 5-D Potential Energy Surface in the rigid molecule approach, and fit it to relevant functionals for subsequent scattering. We perform low-energy quantum scattering at energies less than 50 cm-1. We use both ortho and para H2 as projectiles. We determine the quality of the various approximations to exact coupled channel scattering and examine paths to go towards higher energy scattering relevant for astrophysics. We compare the results obtained here with earlier ones for scattering with helium.

7.
Phys Chem Chem Phys ; 21(3): 1443-1453, 2019 Jan 21.
Artículo en Inglés | MEDLINE | ID: mdl-30605202

RESUMEN

Among the closed-shell hydrocarbons, the carbenes c- and l-C3H2 are the lightest ones to display a permanent electric dipole moment and be detectable by rotational spectroscopy. The cyclic form, cyclopropenylidene, is ubiquitous in the InterStellar Matter (ISM) of the Milky Way and external galaxies. As such, it serves as a marker to help in characterizing the physical conditions of the ISM. The linear form, propadienylidene, is less abundant. In order to get access to their absolute and relative abundances, it is essential to understand their collisional excitation/quenching schemes. We compute here a precise ab initio potential energy surface for the interaction of c- and l-C3H2 with helium, by means of a CCSD(T)-F12a formalism and a fit onto relevant spherical harmonics functions. We conduct quantum dynamical scattering in order to get precise cross sections using a coupled-channel approach for solving the nuclear motion. We average sections to have rates for rotational quenching from 5 to 150 K. We show that these new rates are vastly different, up to more than an order of magnitude, from the older rates presented in the literature, computed with angular momentum algebra only. We expect large differences in the astrophysical analyses of C3H2, including the chemical history of those ubiquitous carbenes.

8.
Nano Lett ; 18(12): 7901-7908, 2018 12 12.
Artículo en Inglés | MEDLINE | ID: mdl-30444964

RESUMEN

In this work, we demonstrate an InAs nanowire photodetector at short-wavelength infrared (SWIR) composed of vertically oriented selective-area InAs nanowire photoabsorber arrays on InP substrates, forming InAs-InP heterojunctions. We measure a rectification ratio greater than 300 at room temperature, which indicates a desirable diode performance. The dark current density, normalized to the area of nanowire heterojunctions, is 130 mA/cm2 at a temperature of 300 K and a reverse bias of 0.5 V, making it comparable to the state-of-the-art bulk InAs p- i- n photodiodes. An analysis of the Arrhenius plot of the dark current at reverse bias yields an activation energy of 175 meV from 190 to 300 K, suggesting that the Shockley-Read-Hall (SRH) nonradiative current is the primary contributor to the dark current. By using three-dimensional electrical simulations, we determine that the SRH nonradiative current originates from the acceptor-like surface traps at the nanowire-passivation heterointerfaces. The spectral response at room temperature is also measured, with a clear photodetection signature observed at wavelengths up to 2.5 µm. This study provides an understanding of dark current for small band gap selective-area nanowires and paves the way to integrate these improved nanostructured photoabsorbers on large band gap substrates for high-performance photodetectors at SWIR.

10.
Arch Virol ; 163(1): 229-234, 2018 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-29043497

RESUMEN

A new member of the family Closteroviridae was detected in Actinidia chinensis grown in Italy, using next generation sequencing of double-stranded RNA. The virus isolate, named Actinidia virus 1 (AcV-1) has a genome of 18,848 nts in length, a structure similar to the unclassified persimmon virus B (PeVB) and contains 12 open reading frames (ORFs) greater than 6 KDa, one carrying two papain-like leader proteases, a methyltransferase, a helicase and an RNA-dependent RNA polymerase domain. Additional ORFs code for homologs of heat shock protein 70, heat shock protein 90 and a coat protein. Curiously, AcV-1 and PeVB genomes code for a thaumatin-like protein, a peculiarity unreported for other viruses. In phylogenetic analyses both viruses group in a distinct clade evolutionarily related to closteroviruses. The final taxonomic position of AcV-1 within the family Closteroviridae is yet to be clarified.


Asunto(s)
Actinidia/virología , Closteroviridae/genética , Closteroviridae/aislamiento & purificación , Proteínas Virales/metabolismo , Regulación Viral de la Expresión Génica , Genoma Viral , Italia , Modelos Moleculares , Filogenia , Conformación Proteica , Proteínas Virales/genética
11.
Nanotechnology ; 29(50): 504003, 2018 Dec 14.
Artículo en Inglés | MEDLINE | ID: mdl-30240365

RESUMEN

The performance of nanowire-based devices is predominantly affected by nonradiative recombination on their surfaces, or sidewalls, due to large surface-to-volume ratios. A common approach to quantitatively characterize surface recombination is to implement time-resolved photoluminescence to correlate surface recombination velocity with measured minority carrier lifetime by a conventional analytical equation. However, after using numerical simulations based on a three-dimensional (3D) transient model, we assert that the correlation between minority carrier lifetime and surface recombination velocity is dependent on a more complex combination of factors, including nanowire geometry, energy-band alignment, and spatial carrier diffusion in 3D. To demonstrate this assertion, we use three cases-GaAs nanowires, InGaAs nanowires, and InGaAs inserts embedded in GaAs nanowires-and numerically calculate the carrier lifetimes by varying the surface recombination velocities. Using this information, we then investigate the intrinsic carrier dynamics within those 3D structures. We argue that the conventional analytical approach to determining surface recombination in nanowires is of limited applicability, and that a comprehensive computation in 3D can provide more accurate analysis. Our study provides a solid theoretical foundation to further understand surface characteristics and carrier dynamics for 3D nanostructured materials.

12.
Br J Cancer ; 110(3): 609-15, 2014 Feb 04.
Artículo en Inglés | MEDLINE | ID: mdl-24366295

RESUMEN

BACKGROUND: The histology and grade of endometrial cancer are important predictors of disease outcome and of the likelihood of nodal involvement. In most centres, however, surgical staging decisions are based on a preoperative biopsy. The objective of this study was to assess the concordance between the preoperative histology and that of the hysterectomy specimen in endometrial cancer. METHODS: Patients treated for endometrial cancer during a 10-year period at a tertiary cancer centre were identified from a prospectively collected pathological database. All pathology reports were reviewed to confirm centralised reporting of the original sampling or biopsy specimens; patients whose biopsies were not reviewed by a dedicated gynaecological pathologist at the treating centre were excluded. Surgical pathology data including histology, grade, depth of myometrial invasion, cervical stromal involvement and lymphovascular space invasion (LVSI) as well as preoperative histology and grade were collected. Preoperative and final tumour cell type and grade were compared and the distribution of other high-risk features was analysed. RESULTS: A total of 1329 consecutive patients were identified; 653 patients had a centrally reviewed epithelial endometrial cancer on their original biopsy, and are included in this study. Of 255 patients whose biopsies were read as grade 1 (G1) adenocarcinoma, 45 (18%) were upgraded to grade 2 (G2) on final pathology, 6 (2%) were upgraded to grade 3 (G3) and 5 (2%) were read as a non-endometrioid high-grade histology. Overall, of 255 tumours classified as G1 endometrioid cancers on biopsy, 74 (29%) were either found to be low-grade (G1-2) tumours with deep myometrial invasion, or were reclassified as high-grade cancers (G3 or non-endometrioid histologies) on final surgical pathology. Despite these shifts, we calculate that omitting surgical staging in preoperatively diagnosed G1 endometrioid cancers without deep myometrial invasion would result in missing nodal involvement in only 1% of cases. CONCLUSIONS: Preoperative endometrial sampling is only a modest predictor of surgical pathology features in endometrial cancer and may underestimate the risk of disease spread and recurrence. In spite of frequent shifts in postoperative vs preoperative histological assessment, the predicted rate of missed nodal metastases with a selective staging policy remains low.


Asunto(s)
Neoplasias Endometriales/patología , Neoplasias Endometriales/cirugía , Metástasis Linfática/patología , Patología Quirúrgica , Adulto , Anciano , Biopsia , Femenino , Humanos , Histerectomía , Persona de Mediana Edad , Clasificación del Tumor , Recurrencia Local de Neoplasia/patología , Recurrencia Local de Neoplasia/cirugía , Cuidados Preoperatorios
13.
J Med Syst ; 38(2): 9, 2014 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-24469683

RESUMEN

Case-Based Reasoning (CBR) has been applied in many different medical applications. Due to the complexities and the diversities of this domain, most medical CBR systems become hybrid. Besides, the case adaptation process in CBR is often a challenging issue as it is traditionally carried out manually by domain experts. In this paper, a new hybrid case-based reasoning approach for medical diagnosis systems is proposed to improve the accuracy of the retrieval-only CBR systems. The approach integrates case-based reasoning and rule-based reasoning, and also applies the adaptation process automatically by exploiting adaptation rules. Both adaptation rules and reasoning rules are generated from the case-base. After solving a new case, the case-base is expanded, and both adaptation and reasoning rules are updated. To evaluate the proposed approach, a prototype was implemented and experimented to diagnose breast cancer and thyroid diseases. The final results show that the proposed approach increases the diagnosing accuracy of the retrieval-only CBR systems, and provides a reliable accuracy comparing to the current breast cancer and thyroid diagnosis systems.


Asunto(s)
Inteligencia Artificial , Sistemas de Apoyo a Decisiones Clínicas/instrumentación , Algoritmos , Neoplasias de la Mama/diagnóstico , Diagnóstico Diferencial , Humanos , Enfermedades de la Tiroides/diagnóstico
14.
Bioorg Khim ; 40(1): 117-24, 2014.
Artículo en Inglés | MEDLINE | ID: mdl-25898730

RESUMEN

Reaction of hydrazonoyl halides with 6-(benzylidenamino)-2-thioxo-2,3-dihydro-1H-pyrimidin-4-one and 2,3-diaminoquinazolin-4-one site-selectively afforded 3-substituted-7-(benzylidenamino)-1-phenyl-[1,2,4]triazolo[4,3-a]-pyrimidin-5(1H)-ones, [1,2,4,5]tetrazino[6,1-b]quinazolin-6(4H)-one, and 3-methyl-2-(4-substituted-phenylhydrazo)-[1,2,4]triazino[3,2-b]quinazolin-10-ones in good yields. The structures of the newly synthesized compounds were elucidated by chemical evidence and their IR, 1H, 13C NMR, and MS spectra. Furthermore, some of the products were screened against different strains of bacteria and fungi.


Asunto(s)
Antiinfecciosos/química , Antiinfecciosos/farmacología , Aminas/química , Antiinfecciosos/síntesis química , Aspergillus flavus/efectos de los fármacos , Candida albicans/efectos de los fármacos , Técnicas de Química Sintética , Evaluación Preclínica de Medicamentos/métodos , Escherichia coli/efectos de los fármacos , Hidrazonas/química , Espectroscopía de Resonancia Magnética , Pruebas de Sensibilidad Microbiana , Estructura Molecular , Staphylococcus aureus/efectos de los fármacos
15.
PLoS One ; 19(5): e0301832, 2024.
Artículo en Inglés | MEDLINE | ID: mdl-38743772

RESUMEN

This study investigates the spatial distribution patterns and environmental factors influencing the Aini Falaj system in a specific study area. The research findings are presented through the lens of the following four categories: collinearity diagnostics, spatial autocorrelation analysis, kernel density (KD) findings, and multivariate geographically weighted regression (MGWR) analysis. The collinearity diagnostics were applied to examine the interrelationships among 18 independent environmental variables. The results indicate the absence of significant multicollinearity concerns, with most variables showing values below the critical threshold of five for variance inflation factors (VIFs). The selected variables indicate minimal intercorrelation, suggesting that researchers should be confident utilizing them in subsequent modelling or regression analyses. A spatial autocorrelation analysis using Moran's Index revealed positive spatial autocorrelation and significant clustering patterns in the distribution of live and non-functional Aini Falajs. High concentrations of live or dead Falajs tended to be surrounded by neighbouring areas with similar characteristics. These findings provide insights into the ecological preferences and habitat associations of Aini Falajs, thereby aiding conservation strategies and targeted studies. The kernel density (KD) analysis depicted distribution patterns of live and dry Aini Falajs through hotspots and cold spots. Specific regions exhibited high-density areas of live Falajs, indicating favourable environmental conditions or historical factors contributing to their concentrated distribution. Identifying these high-density zones can enhance our understanding of the spatial patterns and potential factors influencing the prevalence and sustainability of Aini Falajs. The multivariate geographically weighted regression (MGWR) models revealed strong associations between the live or dead status of Aini Falajs and environmental factors. The precipitation, topographic wetness index (TWI), aspect and slope exerted positive impacts on the live status, while evaporation, solar radiation, distance to drains and drain density exerted negative influences. Similar associations were observed for the dead status, emphasising the importance of controlling evaporation, shading mechanisms, proper drainage planning and sustainable land-use practices. This study provides valuable insights into the spatial distributions and factors influencing the live and dead status of Aini Falajs, thereby contributing to our understanding of their ecological dynamics and guiding conservation efforts and management strategies.


Asunto(s)
Conservación de los Recursos Naturales , Ecosistema , Análisis Espacial
16.
Sci Rep ; 14(1): 3672, 2024 Feb 14.
Artículo en Inglés | MEDLINE | ID: mdl-38351285

RESUMEN

This work is an attempt to develop flexible radiation shielding based on a blend of polymethyl methacrylate (PMMA)/polyvinyl acetate (PVAc) and LaFeO3 nanoparticles (NPs). LaFeO3 and LaFeO3/PMMA/PVAc were made using simple chemical techniques. A high-resolution transmission electron microscope (HR-TEM) and X-ray diffraction (XRD) showed that well-crystallized LaFeO3 NPs with particles 79 nm in size and an orthorhombic shape were obtained. In addition, XRD confirmed the existence of PMMA, PVAc, and LaFeO3 in the nanocomposite films. Fourier transform infrared (FTIR) confirmed that the LaFeO3 NPs and the reactive functional groups in the blend interacted with each other. Field emission-scan electron microscope (FE-SEM) analysis showed that PMMA and PVAc form a homogenous blend and that the LaFeO3 NPs were spread out inside and on the blend surface. The samples showed transmittance in the range of 30-74% and a small extinction coefficient (≤ 0.08). The samples exhibited a dual-band gap structure, and the direct (indirect) band gap shrank from 5.1 to 4.7 eV (4.9 to 4.4 eV). The thermal analyses showed that the samples are thermally stable up to 260 °C. The Phy-X/PSD software was used to figure out the theoretical gamma-ray attenuation parameters, such as the mass attenuation coefficient, the mean free path, and the half-value layer, for different PMMA/PVAc + x% LaFeO3 composites. It is demonstrated that the PMMA/PVAc + 10 wt% LaFeO3 sample exhibits much better shielding effectiveness than PMMA/PVAc, and hence it is suitable for protecting against radiation.

17.
Eur Rev Med Pharmacol Sci ; 28(5): 1821-1836, 2024 Mar.
Artículo en Inglés | MEDLINE | ID: mdl-38497865

RESUMEN

OBJECTIVE: Sepsis-associated liver injury is responsible for the high morbidity and mortality rates seen with septic shock. Activation of the renin-angiotensin-aldosterone system (RAAS) is an essential counteractive mechanism during the hypotensive phase of sepsis; however, excessive activation is associated with exaggerated pro-oxidant and inflammatory response, which aggravates organ damage. This study aimed to evaluate the effect of RAAS inhibition on sepsis-induced liver damage. MATERIALS AND METHODS: The cecal ligation and puncture (CLP) model was employed as a model of sepsis. Rats were divided into five groups: sham-operated, vehicle-treated septic rats, septic rats treated with ramipril in a dose of 10 mg/kg, septic rats treated with losartan in a dose of 20 mg/kg, and finally septic rats treated with spironolactone in a dose of 25 mg/kg. Rats received the treatment one hour after induction. Twenty-four hours later, rats were euthanized, and serum samples and liver tissue were collected to evaluate liver function and hepatic oxidative, anti-oxidative, inflammatory, and apoptotic markers. The microscopic integrity of the hepatic tissue was also assessed. RESULTS: The results of our study showed that all the treatments used ameliorated sepsis-induced liver injury. This was reflected by improved liver function parameters and histopathological appearance of liver tissue. Treatment with ramipril, losartan, or spironolactone reduced tissue malondialdehyde (MDA), nitric oxide, activated caspase-3, and TNF-α. Moreover, these drugs increased hepatic reduced-glutathione (GSH) levels, superoxide dismutase (SOD) activity, and proliferating cell nuclear antigen (PCNA) expression. CONCLUSIONS: Administration of ramipril, losartan, or spironolactone after CLP produced a hepatoprotective effect in rats, possibly by reducing oxidative stress, inflammation, and apoptosis.


Asunto(s)
Losartán , Sepsis , Animales , Ratas , Losartán/farmacología , Losartán/uso terapéutico , Ramipril/farmacología , Ramipril/uso terapéutico , Espironolactona/farmacología , Espironolactona/uso terapéutico , Punciones , Sepsis/complicaciones , Sepsis/tratamiento farmacológico , Hígado
18.
J Glob Antimicrob Resist ; 38: 42-48, 2024 May 30.
Artículo en Inglés | MEDLINE | ID: mdl-38821443

RESUMEN

BACKGROUND: Trimethoprim-sulfamethoxazole (TMP-SMX) has long been considered the treatment of choice for infections caused by Stenotrophomonas maltophilia. Levofloxacin has emerged as a potential option for treating these infections. This study aimed to evaluate the clinical outcomes in patients who received TMP-SMX versus levofloxacin for treating S. maltophilia infections. METHODS: A retrospective, cohort study was conducted in 4 tertiary centres and included patients who were treated with either TMP-SMX or levofloxacin for infections caused by S. maltophilia. The main study outcomes were overall in-hospital mortality, 30-d mortality, and clinical cure. Safety outcomes were also evaluated. Multivariate analysis using logistic regression was used to control for the effect of the covariables. RESULTS: We included 371 patients in this study, 316 received TMP-SMX and 55 patients received levofloxacin. A total of 70% were in the intensive care unit and 21% presented with bacteraemia. No statistically significant differences were observed in overall in-hospital mortality (52% vs. 40%; P = 0.113; odd ratio [OR], 1.59; 95% confidence interval [CI], 0.89-2.86), 30-d mortality (28% vs. 25%; P = 0.712; OR, 1.13; 95% CI, 0.59-2.18), or clinical cure (55% vs. 64%; P = 0.237; OR, 0.70; 95% CI, 0.37-1.31). Rates of acute kidney injury were comparable between the two groups (11% vs. 7%; P = 0.413). CONCLUSION: Patients receiving levofloxacin for the treatment of infections caused by S. maltophilia demonstrated clinical outcomes similar to those receiving TMP-SMX. Our study suggests that levofloxacin can be a reasonable alternative to TMP-SMX to treat these infections.

19.
Expert Rev Anti Infect Ther ; : 1-9, 2024 May 13.
Artículo en Inglés | MEDLINE | ID: mdl-38738566

RESUMEN

BACKGROUND: The aim of this study was to compare the safety and effectiveness of monotherapy versus combination therapy for the treatment of infections caused by S. maltophilia. METHODS: This retrospective, multicenter, cohort study included patients treated with either monotherapy or combination therapy for infections caused by S. maltophilia. Primary outcomes included overall in-hospital mortality, 30-day mortality, and clinical cure. Safety outcomes were also evaluated. Multivariable logistic regression was used as a control for confounding variables. RESULTS: A total of 407 patients were included, 330 patients received monotherapy and 77 patients received combination therapy. A total of 21% presented with concomitant bacteremia. After adjusting the differences between the two groups, there were no statistically significant differences between patients who received monotherapy versus combination therapy in clinical cure (55% vs 65%; OR, 0.72; 95% CI, 0.40-1.31) and overall in-hospital mortality (52% vs 49%; OR, 0.84; 95% CI, 0.45-1.57). However, patients who received monotherapy had a lower rate of 30-day mortality (28% vs 32%; OR, 0.45; 95% CI, 0.22-0.90) and acute kidney injury (9% vs 18%; OR, 0.35; 95% CI, 0.16-0.78). CONCLUSION: Clinical outcomes did not significantly differ in patients who received combination therapy versus monotherapy. More data are needed to validate these findings.

20.
Int J Immunogenet ; 40(1): 31-8, 2013 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-23302097

RESUMEN

This report describes the project to identify the global distribution of extended HLA haplotypes, a component of 16th International HLA and Immunogenetics Workshop (IHIW), and summarizes the initial analyses of data collected. The project aims to investigate extended HLA haplotypes, compare their distribution among different populations, assess their frequency in hematopoietic stem cell unrelated donor registries and initiate an international family studies database and DNA repository to be made publicly available. HLA haplotypes compiled in immunogenetics laboratories during the evaluation of transplant candidates and related potential donors were analysed. Haplotypes were determined using the pedigree analysis tool publicly available from the National Marrow Donor Program (NMDP) website. Nineteen laboratories from 10 countries (11 laboratories from North America, five from Asia, two from Latin America and one from Australia) contributed data on a total of 1719 families comprised of 7474 individuals. We identified 10393 HLA haplotypes, of which 1682 haplotypes included high-resolution typing at HLA-A, B, C, DRB1 and DQB1 loci. We also present haplotypes containing MICA and other HLA loci and haplotypes containing rare alleles seen in these families. The project will be extended through the 17th IHIW, and investigators interested in joining the project may communicate with the first author.


Asunto(s)
Variación Genética , Antígenos HLA/genética , Haplotipos , Grupos de Población/genética , Australia , Frecuencia de los Genes , Genética de Población , Genotipo , Antígenos HLA/clasificación , Antígenos de Histocompatibilidad Clase I/genética , Humanos , América del Norte
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