Antibiotics prescription for targeted therapy of pediatric invasive pneumococcal diseases in China: a multicenter retrospective study.

BACKGROUND: Streptococcus pneumoniae (S. pneumoniae) is a major cause of bacterial meningitis, septicemia and pneumonia in children. Inappropriate choice of antibiotic can have important adverse consequences for both the individual and the community. Here, we focused on penicillin/cefotaxime non-susceptibility of S. pneumoniae and evaluated appropriateness of targeted antibiotic therapy for children with IPD (invasive pneumococcal diseases) in China. METHODS: A multicenter retrospective study was conducted in 14 hospitals from 13 provinces in China. Antibiotics prescription, clinical features and resistance patterns of IPD cases from January 2012 to December 2017 were collected. Appropriateness of targeted antibiotics therapy was assessed. RESULTS: 806 IPD cases were collected. The non-susceptibility rates of S. pneumoniae to penicillin and cefotaxime were 40.9% and 20.7% respectively in 492 non-meningitis cases, whereas those were 73.2% and 43.0% respectively in 314 meningitis cases. Carbapenems were used in 21.3% of non-meningitis cases and 42.0% of meningitis cases for targeted therapy. For 390 non-meningitis cases with isolates susceptible to cefotaxime, vancomycin and linezolid were used in 17.9% and 8.7% of cases respectively for targeted therapy. For 179 meningitis cases with isolates susceptible to cefotaxime, vancomycin and linezolid were prescribed in 55.3% and 15.6% of cases respectively. Overall, inappropriate targeted therapies were identified in 361 (44.8%) of 806 IPD cases, including 232 (28.8%) cases with inappropriate use of carbapenems, 169 (21.0%) cases with inappropriate use of vancomycin and 62 (7.7%) cases with inappropriate use of linezolid. CONCLUSIONS: Antibiotic regimens for IPD definite therapy were often excessive with extensive prescription of carbapenems, vancomycin or linezolid in China. Antimicrobial stewardship programs should be implemented to improve antimicrobial use.

Estimation of the spatial distribution of heavy metal in agricultural soils using airborne hyperspectral imaging and random forest.

Hyperspectral imaging, with the hundreds of bands and high spectral resolution, offers a promising approach for estimation of heavy metal concentration in agricultural soils. Using airborne imagery over a large-scale area for fast retrieval is of great importance for environmental monitoring and further decision support. However, few studies have focused on the estimation of soil heavy metal concentration by airborne hyperspectral imaging. In this study, we utilized the airborne hyperspectral data in LiuXin Mine of China obtained from HySpex VNIR-1600 and HySpex SWIR-384 sensor to establish the spectral-analysis-based model for retrieval of heavy metals concentration. Firstly, sixty soil samples were collected in situ, and their heavy metal concentrations (Cr, Cu, Pb) were determined by inductively coupled plasma-mass spectrometry analysis. Due to mixed pixels widespread in airborne hyperspectral images, spectral unmixing was conducted to obtain purer spectra of the soil and to improve the estimation accuracy. Ten of estimated models, including four different random forest models (RF)-standard random forest (SRF), regularized random forest (RRF), guided random forest (GRF), and guided regularized random forest (GRRF)-were introduced for hyperspectral estimated model in this paper. Compared with the estimation results, the best accuracy for Cr, Cu, and Pb is obtained by RF. It shows that RF can predict the three heavy metals better than other models in this area. For Cr, Cu, Pb, the best model of RF yields Rp2 values of 0.75,0.68 and 0.74 respectively, and the values of RMSEp are 5.62, 8.24, and 2.81 (mg/kg), respectively. The experiments show the average estimated values are close to the truth condition and the high estimated values concentrated near several industries, valifating the effectiveness of the presented method.

Shugan Yiyang capsule for the treatment of erectile dysfunction: A protocol for systematic review and meta-analysis of randomized controlled trials.

BACKGROUND: Erectile dysfunction (ED) is a common disease. It affects the quality of life of both husband and wife and becomes an independent risk factor for cardiovascular events. In China, Shugan Yiyang (SGYY) capsule has been increasingly reported in clinical trials for the treatment of ED and reported inconsistent findings. Therefore, it is necessary to conduct a systematic review to evaluate the efficacy and safety of this drug for the treatment of ED. METHODS: Chinese and English literature of SGYY capsule for ED published before August 31, 2019 will be comprehensive searched in PubMed, Cochrane Library, EMBASE, WANFANG, China National Knowledge Infrastructure, VIP Chinese Science and Technology Journal Database, Chinese biomedical document service system, and Clinicaltrials.gov. All randomized controlled trials that meet the eligibility criteria will be included and other studies will be excluded. Two investigators will conduct literature screening, data extraction and assess risk of bias alone, and the third investigator will handle disagreements. Two outcomes involving the international index of erectile function 5 score and adverse events will be evaluated. RevMan 5.3 and Stata 14.0 will be used to conduct this systematic review. The preferred reporting items for systematic reviews and meta-analysis protocols (PRISMA-P) statement is followed in this protocol and the the PRISMA statement will be followed in the completed systematic review. CONCLUSION AND DISSEMINATION: The efficacy and safety of SGYY capsule for ED will be evaluated. We will publish the results of this systematic review in peer-reviewed journals to provide new evidence to clinicians.Registration information: PROSPERO CRD42019140903.

Quantitative Evaluation of the Eco-Environment in a Coalfield Based on Multi-Temporal Remote Sensing Imagery: A Case Study of Yuxian, China.

With the exploitation of coalfields, the eco-environment around the coalfields can become badly damaged. To address this issue, "mine greening" has been proposed by the Ministry of Land and Resources of China. The sustainable development of mine environments has now become one of the most prominent issues in China. In this study, we aimed to make use of Landsat 7 ETM+ and Landsat 8 OLI images obtained between 2005 and 2016 to analyze the eco-environment in a coalfield. Land cover was implemented as the basic evaluation factor to establish the evaluation model for the eco-environment. Analysis and investigation of the eco-environment in the Yuxian coalfield was conducted using a novel evaluation model, based on the biological abundance index, vegetation coverage index, water density index, and natural geographical factors. The weight of each indicator was determined by an analytic hierarchy process. Meanwhile, we also used the classic ecological footprint to calculate the ecological carrying capacity in order to verify the effectiveness of the evaluation model. Results showed that the eco-environment index illustrated a slowly increasing tendency over the study period, and the ecological quality could be considered as "good". The results of the evaluation model showed a strong correlation with the ecological carrying capacity with a correlation coefficient of 0.9734. In conclusion, the evaluation method is a supplement to the time-series quantitative evaluation of the eco-environment, and also helps us to explore the eco-environment in the mining area.

Impaired imprinted X chromosome inactivation is responsible for the skewed sex ratio following in vitro fertilization.

Dynamic epigenetic reprogramming occurs during normal embryonic development at the preimplantation stage. Erroneous epigenetic modifications due to environmental perturbations such as manipulation and culture of embryos during in vitro fertilization (IVF) are linked to various short- or long-term consequences. Among these, the skewed sex ratio, an indicator of reproductive hazards, was reported in bovine and porcine embryos and even human IVF newborns. However, since the first case of sex skewing reported in 1991, the underlying mechanisms remain unclear. We reported herein that sex ratio is skewed in mouse IVF offspring, and this was a result of female-biased peri-implantation developmental defects that were originated from impaired imprinted X chromosome inactivation (iXCI) through reduced ring finger protein 12 (Rnf12)/X-inactive specific transcript (Xist) expression. Compensation of impaired iXCI by overexpression of Rnf12 to up-regulate Xist significantly rescued female-biased developmental defects and corrected sex ratio in IVF offspring. Moreover, supplementation of an epigenetic modulator retinoic acid in embryo culture medium up-regulated Rnf12/Xist expression, improved iXCI, and successfully redeemed the skewed sex ratio to nearly 50% in mouse IVF offspring. Thus, our data show that iXCI is one of the major epigenetic barriers for the developmental competence of female embryos during preimplantation stage, and targeting erroneous epigenetic modifications may provide a potential approach for preventing IVF-associated complications.

Actin Disorganization Plays a Vital Role in Impaired Embryonic Development of In Vitro-Produced Mouse Preimplantation Embryos.

Assisted reproductive technology (ART) is being increasingly applied to overcome infertility. However, the in vitro production process, the main procedure of ART, can lead to aberrant embryonic development and health-related problems in offspring. Understanding the mechanisms underlying the ART-induced side effects is important to improve the ART process. In this study, we carried out comparative transcriptome profiling between in vivo- (IVO) and in vitro- produced (IVP) mouse blastocysts. Our results suggested that aberrant actin organization might be a major factor contributing to the impaired development of IVP embryos. To test this, we examined the effect of actin disorganization on the development of IVP preimplantation embryos. Specific disruption of actin organization by cytochalasin B (CB) indicated that well-organized actin is essential for in vitro embryonic development. Supplementing the culture medium with 10(-9) M melatonin, a cytoskeletal modulator in adult somatic cells, significantly reversed the disrupted expression patterns of genes related to actin organization, including Arhgef2, Bcl2, Coro2b, Flnc, and Palld. Immunofluorescence analysis showed that melatonin treatment of IVP embryos significantly improved the distribution and organization of actin filaments (F-actin) from the 8-cell stage onwards. More importantly, we found that melatonin alleviated the CB-mediated aberrant F-actin distribution and organization and rescued CB-induced impaired embryonic development. This is the first study to indicate that actin disorganization is implicated in impaired development of IVP embryos during the preimplantation stage. We also demonstrated that improving actin organization is a promising strategy to optimize existing IVP systems.

[Occurrence and control of Cercospora leaf spot on Lonicera macrathoides].

OBJECTIVE: To study the occurrence of Cercospora leaf spot of Lonicera macrathoides and fungicides control method, so as to provide scientific basis for its integrated pests management (IPM). METHOD: The field investigation and the field controlling trial were carried out for the research. RESULT: Cercospora leaf spot was caused by C. rhamni. There was obvious relationship between the damage rate and the altitude, soil organic matter, available K, available P as well as variety. The controlling effect of 10% difenoconazole WG was the highest. 50% Thiram WP, 70% Mancozeb WP also had well controlling effect. CONCLUSION: Cercospora leaf spot of L. macrathoides could be controlled by suitability agricultural and chemical controls.