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The root-associated microbiome assembly substantially promotes (hyper)accumulator plant growth and metal accumulation and is influenced by multiple factors, especially host species and environmental stress. Athyrium wardii (Hook.) is a phytostabilizer that grows in lead (Pb)-zinc (Zn) mine tailings and shows high root Pb accumulation. However, there remains little information on the assembly of the root-associated microbiome of A. wardii and its role in phytostabilization. A field study investigated the structural and functional variation in the root-associated bacterial microbiome of Athyrium wardii (Hook.) exposed to different levels of contamination in Pb-Zn mine tailings. The root compartment dominated the variation in the root-associated bacterial microbiome but the levels of contaminants showed less impact. Bacterial co-occurrence was enhanced in the rhizosphere soil and rhizoplane but tended to be much simpler in the endosphere in terms of network complexity and connectivity. This indicates that the microbial community assembly of A. wardii was non-random and shaped by root selective effects. Proteobacteria, Chloroflexi, Actinobacteria, Cyanobacteria, and Acidobacteriota were generally the dominant bacterial phyla. The genera Crossiella and Bradyrhizobium were enriched in the rhizosphere and cyanobacterial genera were enriched in the endosphere, demonstrating substantial advantages to plant survival and adaptation in the harsh mine environment. Functional categories involved in amino acid and carbohydrate metabolism were abundant in the rhizosphere soil, thus contributing to metal solubility and bioavailability in the rhizosphere. Membrane transporters, especially ATP-binding cassette transporters, were enriched in the endosphere, indicating a potential role in metal tolerance and transportation in A. wardii. The study shows substantial variation in the structure and function of microbiomes colonizing different compartments, with the rhizosphere and endophytic microbiota potentially involved in plant metal tolerance and accumulation during phytostabilization.
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Microbiota , Tracheophyta , Plomo/toxicidad , Plomo/metabolismo , Plantas , Bacterias , Zinc/toxicidad , Zinc/metabolismo , Suelo/química , Rizosfera , Raíces de Plantas/metabolismo , Microbiología del SueloRESUMEN
Background: Bloodstream infections (BSIs) are one of the leading causes of death in cancer patients. Nevertheless, the risk factors of BSIs in solid tumors have rarely been ascertained adequately. Methods: We conducted a single-center case-controlled retrospective study from 2017 to 2021 among adults with solid tumors in a tertiary-level hospital. The BSIs and control group were matched by the propensity score matching method. We found independent risk factors of occurrence and death of BSIs using univariate and multivariate regression analysis. Additionally, a nomogram was constructed to predict the risk of mortality in BSIs. Results: Of 602 patients with solid tumors in the study period, 186 had BSIs and 416 had non-BSIs. The incidence of BSIs was 2.0/1,000 admissions (206/102,704), and the 30-day mortality rate was 18.8% (35/186). Compared to the control group, the BSIs had longer hospital stays (24.5 days vs. 20.0 days), and higher frequency complicating with organ failure (10.5% vs. 2.4%), nephropathy (19.6% vs. 3.8%), comorbidities≥3 (35.5% vs. 20.0%), and liver-biliary-pancreatic infections (15.6% vs. 5.3%) (all P<0.001). Among the 186 patients with BSIs, 35 died within 30 days after BSIs. Gram-negative bacteria were the most frequent microorganisms (124/192, 64.6%). Liver cancer, organ failure, a high level of lactate dehydrogenase and septic shock were the independent hazardous factors for death of BSIs. What's more, a nomogram was constructed to predict the 30-day survival rate of BSIs, which was proved to have good accuracy (AUC: 0.854; 95% confidence interval: 0.785~0923) and consistency. Conclusion: Being aware of the risk factors of BSIs redounds to take preventive measures to reduce the incidence and death of BSIs.
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Neoplasias Hepáticas , Sepsis , Humanos , Adulto , Estudios Retrospectivos , Nomogramas , HospitalesRESUMEN
Root exudates are tightly linked with cadmium (Cd) uptake by the root and thus affect plant Cd accumulation. A hydroponic experiment was carried out to explore the role of root exudates in Cd accumulation of a low-Cd-accumulating tobacco line (RG11) compared with a high-Cd- accumulating tobacco line (Yuyan5). Greater secretion of organic acids and amino acids by the roots was induced by an exogenous Cd addition in the two tobacco lines. The concentration of organic acid secreted by RG11 was only 51.1~61.0% of that secreted by Yuyan5. RG11 roots secreted more oxalic acid and acetic acid and less tartaric acid, formic acid, malic acid, lactic acid, and succinic acid than Yuyan5 under Cd stress. Oxalic acid accounted for 26.8~28.8% of the total organic acids, being the most common component among the detected organic acids, and was significantly negatively correlated with Cd accumulation in RG11. Propionic acid was only detected in the root exudates of RG11 under Cd stress. Lactic acid was positively linked with Cd accumulation in Yuyan5, being less accumulated in RG11. Similarly, RG11 secreted more amino acids than Yuyan5 under Cd stress. Aspartic acid, serine, and cysteine appeared in RG11 when it was exposed to Cd. Lysine was the most secreted amino acid in RG11 under Cd stress. RG11 roots secreted less lysine, histidine, and valine, but more phenylalanine and methionine than Yuyan5 under Cd stress. The results show that organic acids and amino acids in root exudates play a key role in Cd uptake by the root, and this contribution varied with cultivar/genotype. However, further research is still needed to explore the mechanisms underlying low Cd translocation to the leaf, which may be the key contribution of low Cd accumulation in RG11 to the security of tobacco leaf.
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Clodronate liposomes are bisphosphonates encapsulated by liposomes that are known to induce macrophage depletion in vivo. In a previous study, clodronate liposomes improved renal ischemia/reperfusion (I/R) injury in mice, which may be due to effects on macrophage phenotypes. However, how inflammatory cytokines secretion participates is unknown. In this study, we investigated the effect of macrophages in the I/R kidney by depleting macrophages with clodronate liposomes and changing inflammatory cytokines. C57BL/6 mice underwent I/R injury with or without clodronate liposomes administration on Days 5 and 15. Tubular injury, collagen deposition, and fibrosis were detected and analyzed by histological staining, immunocytochemistry (IHC), flow cytometry (FACS), and reverse transcription-polymerase chain reaction (RT-PCR). Inflammatory cytokines were detected and analyzed by Western blotting and RT-PCR. We found that clodronate liposomes alleviated renal fibrosis and tissue damage on both Days 5 and 15. KIM-1, IL-10, and TGF-ß were reduced significantly in the clodronate liposomes treatment group. However, TNF-α was not different between the clodronate liposomes treatment group and the phosphate-buffered saline treatment group on either Day 5 or Day 15. Thus, clodronate liposomes can alleviate renal fibrosis and tissue damage and reduce the inflammatory cytokines IL-10 and TGF-ß, suggesting that clodronate liposomes alleviate renal fibrosis may because of M1/M2 polarization.
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Lesión Renal Aguda , Insuficiencia Renal Crónica , Daño por Reperfusión , Ratones , Animales , Ácido Clodrónico/farmacología , Liposomas/farmacología , Interleucina-10/farmacología , Ratones Endogámicos C57BL , Macrófagos/patología , Citocinas , Fibrosis , Daño por Reperfusión/complicaciones , Daño por Reperfusión/tratamiento farmacológico , Daño por Reperfusión/patología , Insuficiencia Renal Crónica/complicaciones , Lesión Renal Aguda/tratamiento farmacológico , Lesión Renal Aguda/etiología , Lesión Renal Aguda/patología , Factor de Crecimiento Transformador betaRESUMEN
Background: The incidence and mortality of lung cancer ranks first in China. Bronchoscopy is one of the most common diagnostic methods for lung cancer. In recent years, image recognition technology(IRT) has been more and more widely studied and applied in the medical field. We developed a diagnostic model of lung cancer under bronchoscopy based on deep learning method and tried to classify pathological types. Methods: A total of 2238 lesion images were collected retrospectively from 666 cases of lung cancer diagnosed by pathology in the bronchoscopy center of the Third Xiangya Hospital from Oct.01 2017 to Dec.31 2020 and 152 benign cases from Jun.01 2015 to Dec.31 2020. The benign and malignant images were divided into training, verification and test set according to 7:1:2 respectively. The model was trained and tested based on deep learning method. We also tried to classify different pathological types of lung cancer using the model. Furthermore, 9 clinicians with different experience were invited to diagnose the same test images and the results were compared with the model. Results: The diagnostic model took a total of 30s to diagnose 467 test images. The overall accuracy, sensitivity, specificity and area under curve (AUC) of the model to differentiate benign and malignant lesions were 0.951, 0.978, 0.833 and 0.940, which were equivalent to the judgment results of 2 doctors in the senior group and higher than those of other doctors. In the classification of squamous cell carcinoma (SCC) and adenocarcinoma (AC), the overall accuracy was 0.745, including 0.790 for SCC, 0.667 for AC and AUC was 0.728. Conclusion: The performance of our diagnostic model to distinguish benign and malignant lesions in bronchoscopy is roughly the same as that of experienced clinicians and the efficiency is much higher than manually. Our study verifies the possibility of applying IRT in diagnosis of lung cancer during white light bronchoscopy.
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Plant rhizosphere microbiome usually changes dramatically in adaptation to the mine environment to endure high heavy metal concentration, which in turn improves the process of revegetation and phytostabilization of mine tailing and deserves deep investigation. A field study was conducted to investigate the indigenous microbial community of a mining ecotype (ME) of the phytostabilizer Athyrium wardii (Hook.) grown in a Pb/Zn mine tailing and a corresponding non-mining ecotype (NME) grown in an uncontaminated adjacent site. Our study found a slight difference in microbial α-diversity between the ME and NME, and no significant difference between the rhizosphere and bulk soil. Both bacterial and fungal community compositions differed between the ME and NME, for which the differences were mainly driven by pH and metal contaminants. The ME harbored a unique microbial community in the rhizosphere soils different from the bulk soil and NME counterparts. The dominant phyla in the ME rhizosphere were Proteobacteria, Chloroflexi, Actinobacteria, Nitrospirae, and Ascomycota. Several genera from Proteobacteria, Acidobacteria, and Ascomycota were more abundant in the ME rhizosphere than in the NME rhizosphere. Network analysis revealed that keystone taxa were different in the two sites. Some keystone taxa from Gemmatimonadaceae, and Burkholderiaceae and Ascomycota played a critical role in microbial interactions within the mine tailing network. The unique microbial community with high tolerance in the rhizosphere soils of ME may show great benefit for plant growth and metal tolerance of the ME and thereby contributing to the process of revegetation and phytostabilization of mine tailings.
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Metales Pesados , Microbiota , Contaminantes del Suelo , Tracheophyta , Bacterias/genética , Plomo/análisis , Metales Pesados/análisis , Rizosfera , Suelo/química , Microbiología del Suelo , Contaminantes del Suelo/análisis , Zinc/análisisRESUMEN
Introduction: Infective endocarditis (IE) presents with increasing incidence and mortality in some regions and countries, as well as serious socioeconomic burden. The current study aims to compare and interpret the IE burden and temporal trends globally and in different regions from 1990 to 2019. Methods: Data on the incidence, deaths and disability-adjusted life years (DALYs) caused by IE were extracted and analyzed from the Global Burden of Disease Study 2019. Estimated annual percentage changes (EAPC) were adopted to quantify the change trends of age-standardized rates (ASRs). Besides, potential contributors of serious IE burden were also evaluated including age, gender, social-demographic index (SDI), and age-standardized incident rate (ASIR) in 1990. Results: Globally, the number of IE cases and deaths has increased sharply during the past 30 years from 478,000 in 1990 to 1,090,530 in 2019 and from 28,750 in 1990 to 66,320 in 2019, and both presented an upward temporal trend annually (EAPC:1.2 for incidence and 0.71 for death). However, the EAPC of age-standardized DALYs demonstrated a negative temporal trend despite increasing DALYs from 1,118,120 in 1990 to 1,723,590 in 2019. Moreover, older patients and men were more severely affected. Meanwhile, different SDI regions had different disease burdens, and correlation analyses indicated that SDI presented a positive association with ASIR (R = 0.58, P < 0.0001), no association with age-standardized death rate (R = -0.06, P = 0.10), and a negative association with age-standardized DALYs (R = -0.40, P < 0.0001). In addition, the incidence of IE increased in most countries during the past 30 years (190 out of 204 countries). However, the change trends of deaths and DALYs were heterogeneous across regions and countries. Finally, we discovered positive associations of the EAPC of ASRs with the SDI in 2019 among 204 countries and territories but few associations with the ASIR in 1990. Conclusion: Generally, the global burden of IE is increasing, and there is substantial heterogeneity in different genders, ages and regions, which may help policy-makers and medical staff respond to IE and formulate cost-effective interventional measures.
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A great number of studies have confirmed that long noncoding RNA (lncRNA) are involved in the regulation of inflammatory response in acute gouty arthritis (AGA). This paper aimed to survey the regulatory mechanism of H19 on AGA. The expression of serum H19 in all subjects was examined by qRT-PCR. The ROC curve was used to estimate the diagnostic value of H19 for AGA. THP-1 cells were induced by MSU to establish in vitro AGA cell model. The concentrations of cytokines such as IL-1ß, IL-8, and TNF-α were tested by ELISA. Luciferase reporter gene analysis was used to verify the interaction between H19 and the 3'-UTR of miR-22-3p. Expressions of serum H19 in AGA patients were significantly higher than that in controls. The ROC curve indicated the potential of H19 as a diagnostic marker for AGA. Cell experiments revealed that the downregulation of H19 significantly inhibited the expressions of IL-1ß, IL-8, and TNF-α. The luciferase reporter gene assay manifested that miR-22-3p is the target gene of H19. And knockdown of miR-22-3p overturned the downregulation of inflammatory factors caused by H19 inhibition. H19 aggravated MSU-induced THP-1 inflammation by negatively targeting miR-22-3p, suggesting a new regulatory mechanism and potential therapeutic target for AGA.
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Artritis Gotosa , MicroARNs , ARN Largo no Codificante , Regiones no Traducidas 3'/genética , Artritis Gotosa/genética , Artritis Gotosa/metabolismo , Humanos , Interleucina-8/genética , MicroARNs/genética , ARN Largo no Codificante/genética , ARN Largo no Codificante/metabolismo , Factor de Necrosis Tumoral alfa/genéticaRESUMEN
PURPOSE: We aimed to estimate the burden of UTIs by age, sex, and socioeconomic status in 204 countries and territories from 1990 to 2019. METHODS: We used data from Global Burden of Diseases, Injuries, and Risk Factors Study (GBD) 2019 to analyse the incidence, mortality, and disability-adjusted life-years (DALYs) due to UTIs at the global, regional, and national levels. Estimates are presented as numbers and age-standardised or age-specific rates per 100,000 population, with 95% uncertainty intervals (UIs). We further explored the associations between the incidence, mortality, DALYs, and socio-demographic index (SDI) as a proxy for the development status of regions and countries. RESULTS: In 2019, more than 404.6 million (95% UI 359.4-446.5) individuals had UTIs globally and nearly 236,786 people (198,433-259,034) died of UTIs, contributing to 5.2 million (4.5-5.7) DALYs. The age-standardised incidence rate increased from 4715.0 (4174.2-5220.6) per 100,000 population in 1990 to 5229.3 (4645.3-5771.2) per 100,000 population in 2019. At the GBD regional level, the highest age-standardised incidence rate in 2019 occurred in Tropical Latin America (13,852.9 [12,135.6-15,480.3] per 100,000 population). At the national level, Ecuador had the highest age-standardised incidence rate (15,511.3 [13,685.0-17,375.6] per 100,000 population). The age-standardised death rates were highest in Barbados (19.5 [13.7-23.5] per 100,000 population). In addition, age-standardised incidence, death, and DALY rates generally increased across the SDI. CONCLUSIONS: Our study results suggest a globally rising trend of UTI burden between 1990 and 2019.
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Carga Global de Enfermedades , Infecciones Urinarias , Salud Global , Humanos , Incidencia , Años de Vida Ajustados por Calidad de Vida , Factores de Riesgo , Infecciones Urinarias/epidemiologíaRESUMEN
In-situ immobilization is an effective strategy for Cd remediation and food safety, while some modifications are necessary to improve immobilization efficiency. In this study, a composite amendment (RFW) derived from rice straw biochar (RSB), fly ash (FA), and white marble (WM) was modified by oxidization (RFW-O) and pyrolysis (RFW-P). The RFW-O showed stronger Cd2+ sorption ability than RFW and RFW-P due to larger BET surface area and more oxygen containing-functional groups. Complexation and iron exchange were the two main processes of Cd2+ sorption on RFW-O. As a result, the application of RFW-O significantly reduced Cd availability in soils by 10.11-26.24% along with increased soil pH. It was found to be optimal to apply the RFW-O at a dosage of 2.5â¯wt% for 15â¯days before transplantation. After RFW-O application, Cd concentrations in brown rice decreased by 40.49% and 41.59% for pot and field experiment, respectively, and were less than 0.2â¯mgâ¯kg-1. The catalase, dehydrogenase, acid phosphatase and alkaline phosphatase activities in soils increased significantly. Moreover, RFW-O showed no significant effect on rice yield and quality. The RFW-O is thereby considered to be an ideal amendment for in-situ immobilization of Cd-contaminated soils for rice safety and production in practice.
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Oryza , Contaminantes del Suelo , Cadmio/análisis , Carbón Orgánico , Contaminación Ambiental , Suelo , Contaminantes del Suelo/análisisRESUMEN
Chelant-assisted phytoremediation may modify plant rhizosphere, which is closely related to heavy metal (HM) accumulation in plants. This work focused on the effects of nitrilotriacetic acid (NTA) on rhizosphere characteristics to investigate the mechanisms of lead (Pb) accumulation in Athyrium wardii (Hook.) Makino with exposure to 800 mg kg-1 Pb. After NTA application, Pb accumulation in the underground part of A. wardii increased by 14.3%, accompanying with some changes for the rhizosphere soils. Soil pH decreased by 0.37 units, and the dissolved organic carbon (DOC) content in the rhizosphere soils significantly increased by 7.6%. The urease, acid phosphatase, and catalase activities in the rhizosphere soils significantly increased by 104.8%, 19.7%, and 27.1%, respectively. However, a slight inhibition on microbial activities was observed in the rhizosphere of A. wardii after NTA application. Soil respiration decreased by 8.9%, and microbial biomass carbon decreased by 8.9% in the rhizosphere soils, indicating that NTA addition might recruit some microorganisms to maintain rhizosphere functions in Pb-contaminated soils while inhibiting others with low tolerance to Pb. Results suggest that lower pH, more DOC exudation, and higher soil enzyme activities after NTA application contributed to the increase of Pb accumulation in A. wardii. This study gave some preliminary evidence for NTA-assisted Pb remediation by A. wardii by modifying rhizosphere characteristics.
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Rizosfera , Contaminantes del Suelo , Biodegradación Ambiental , Materia Orgánica Disuelta , Plomo , Ácido Nitrilotriacético , Suelo , Contaminantes del Suelo/análisisRESUMEN
The orange-spotted grouper (Epinephelus coioides) is an important marine farmed fish in China. It is affected by the bacterial pathogen Vibrio alginolyticus, which causes high mortality and substantial economic losses. We studied the transcriptional changes of the IgZ gene in E. coioides following V. alginolyticus stimulation and investigated the distribution of IgZ in different tissues. The highest expression level of IgZ occurred in the head kidney. When fish were stimulated with live and inactivated V. alginolyticus, the expression levels of IgZ in the head kidney, spleen, intestine, gills and blood cells were significantly upregulated. In an in situ hybridization study, IgZ mRNA-positive cells were detected in the head kidney, spleen and gill, but positive signals were not detected in the liver and intestine. IgZ-labelled cells increased in the head kidney, spleen and gills post-infection with V. alginolyticus for 21 days. The present study provides additional evidence that IgZ is involved in mucosal immune responses and helps explain the role of IgZ in E. coioides defence against V. alginolyticus infection.
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Lubina , Enfermedades de los Peces/inmunología , Proteínas de Peces/genética , Perfilación de la Expresión Génica/veterinaria , Vacunación/veterinaria , Vibriosis/veterinaria , Vibrio alginolyticus/fisiología , Animales , Vacunas Bacterianas/administración & dosificación , Vacunas Bacterianas/inmunología , Enfermedades de los Peces/microbiología , Proteínas de Peces/metabolismo , Cadenas Pesadas de Inmunoglobulina/genética , Cadenas Pesadas de Inmunoglobulina/metabolismo , Distribución Aleatoria , Vibriosis/inmunología , Vibriosis/microbiologíaRESUMEN
Genome-wide association studies (GWAS) have reported a handful of loci associated with lung cancer risk, of which the pathogenic pathways are largely unknown. We performed cis-expression quantitative trait loci (eQTL) mapping for 376 lung cancer related GWAS loci in 227 TCGA lung adenocarcinoma (LUAD) and reported two risk loci as eQTL of miRNA. Among the miRNAs in association with lung cancer risk, we further predicted and validated miR-3130-5p as an intermediate modulator of risk loci 2q33 and the tumor suppressor NDUFS1. We assessed the phenotypic impacts of the interaction between miR-3130-5p and NDUFS1 in both lung cancer cell lines and mice xenograft models. As a result, miR-3130-5p directly regulates the expression of NDUFS1 and the corresponding tumor invasiveness, migration and epithelial-mesenchymal transition (EMT). Our findings provide important clues for the pathogenic mechanism of 2q33 in lung carcinogenesis which informs clinical diagnosis and prognosis of LUAD. We performed a cis-eQTL analysis for 376 lung cancer risk loci based on the expression profiles of 251 miRNAs in a cohort of 227 TCGA lung adenocarcinoma. We report a novel pathogenic pathway of 2q33 via miR-3130-5p and NDUFS1.
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Adenocarcinoma del Pulmón/genética , Cromosomas Humanos Par 1 , Neoplasias Pulmonares/genética , MicroARNs/metabolismo , NADH Deshidrogenasa/metabolismo , Sitios de Carácter Cuantitativo/genética , Adenocarcinoma del Pulmón/patología , Animales , Línea Celular Tumoral , Movimiento Celular , Transición Epitelial-Mesenquimal/genética , Genes Supresores de Tumor , Estudio de Asociación del Genoma Completo , Xenoinjertos , Humanos , Neoplasias Pulmonares/patología , Ratones , Ratones Endogámicos BALB C , Ratones Desnudos , Invasividad Neoplásica/genética , Fenotipo , Pronóstico , Proteínas Supresoras de Tumor/metabolismoRESUMEN
BACKGROUND: Dengue is one of the most common vector-borne diseases globally, however, its burden is poorly quantified. Hence, we aimed to report the dengue burden in 195 countries and territories between 1990 and 2017, using data from the Global Burden of Diseases, Injuries, and Risk Factors Study 2017. METHODS: Following the methodology framework and analytical strategies used in the Global Burden of Disease Study 2017, we analysed the incidence, mortality, and disability-adjusted life years (DALYs) of dengue in geographically defined populations worldwide between 1990 and 2017. We also determined the association between development levels and dengue burden. All estimates were reported as numbers and rates per 100 000 population, with 95% uncertainty intervals. FINDINGS: Globally, the total number of dengue cases increased from 23 283 274 (95% UI 453 180.7-51 840 670) in 1990 to 104 771 911 (95% UI 63 759 019-158 870 031) in 2017. The age-standardised incidence rate increased from 431.6 (8.4-961.0) per 100 000 population in 1990 to 1371.3 (834.5-2079.3) per 100 000 population in 2017. In addition, the number of deaths due to dengue increased from approximately16 957 (7 613-30 091) in 1990 to 40 467 (17 620-49 778) in 2017. Meanwhile, the global age-standardised death rate increased from 0.31 (0.14-0â¢56) per 100 000 population in 1990 to 0.53 (0.23-0â¢65) per 100 000 population in 2017. Overall, there were 2 922 630 DALYs (1 629 424-3 967 492) attributed to dengue in 2017 globally, an increase of 107.6% since 1990 (1 407 571 DALYs [624 016.4-2 510 025]), and the age-standardised DALY rate increased from 26.10 (11.57-46.53) per 100 000 population to 38.25 (21.33-51.93) per 100 000 population between 1990 and 2017. The association between socio-demographic index (SDI) and dengue-related DALYs suggested that the lowest age-standardised DALY rates were found in countries in the low and high-SDI quintile in 2017, and from 1990 to 2017, the age-standardized DALY rate tended to increase in regions with the lowest SDI but declined in regions with the highest SDI. There was a nonlinear association between the socio-demographic index and the healthcare access and quality index and age-standardised DALY rates. INTERPRETATION: Dengue is a major public health challenge worldwide. While there is remarkable international variation in its incidence, the dengue burden is increasing globally. The results of this study could be useful for policy makers to implement cost-effective interventions and reduce the dengue burden, particularly in countries with high incidence or increasing burden. FUNDING: This work was supported by a grant from the National Natural Science Foundation of China (NSFC) (grant numbers 81,800,041 and 82,000,078).
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OBJECTIVES: To investigate the chest high-resolution computed tomography (HRCT) findings in coronavirus disease 2019 (COVID-19) pneumonia patients with acute respiratory distress syndrome (ARDS) and to evaluate its relationship with clinical outcome. MATERIALS AND METHODS: In this retrospective study, 79 COVID-19 patients with ARDS were recruited. Clinical data were extracted from electronic medical records and analyzed. HRCT scans, obtained within 3 days before clinical ARDS onset, were evaluated by three independent observers and graded into six findings according to the extent of fibroproliferation. Multivariable Cox proportional hazard regression analysis was used to assess the independent predictive value of the computed tomography (CT) score and radiological fibroproliferation. Patient survival was determined by Kaplan-Meier analysis. RESULTS: Compared with survivors, non-survivors showed higher rates of lung fibroproliferation, whereas there were no significant differences in the area of increased attenuation without traction bronchiolectasis or bronchiectasis. A HRCT score <230 enabled the prediction of survival with 73.5% sensitivity and 93.3% specificity, 100% negative predictive value (NPP), 83.3% positive predictive value (PPV) and 88.6% accuracy (Area Under the Curve [AUC]â=â0.9; 95% confidence Interval [CI] 0.831-0.968). A multivariate Cox proportional hazards model showed that the HRCT score is a significant independent risk factor for mortality (Hazard Ratio [HR] 9.94; 95% CI 4.10-24.12). Kaplan-Meier analysis revealed that a HRCT score ⩾230 was associated with a higher fatality rate. Organ injury occurred less frequently in patients with a HRCT score <230 compared to those with a HRCT score ⩾230. CONCLUSION: Early pulmonary fibroproliferative signs on HRCT are associated with increased mortality and susceptibility to organ injury in COVID-19 pneumonia patients with early ARDS.
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This study examined the antibacterial effect of protoporphyrin IX-ethylenediamine derivative (PPIX-ED)-mediated photodynamic antimicrobial chemotherapy (PPIX-ED-PACT) against Pseudomonas aeruginosa in vitro and in vivo. PPIX-ED potently inhibited the growth of Pseudomonas aeruginosa by inducing reactive oxygen species production via photoactivation. Atomic force microscopy revealed that PPIX-ED-PACT induced the leakage of bacterial content by degrading the bacterial membrane and wall. As revealed using acridine orange/ethidium bromide staining, PPIX-ED-PACT altered the permeability of the bacterial membrane. In addition, the antibacterial effect of PPIX-ED-PACT was demonstrated in an in vivo model of P. aeruginosa-infected wounds. PPIX-ED (100 µM) decreased the number of P. aeruginosa colony-forming units by 4.2 log10. Moreover, histological analysis illustrated that the wound healing rate was 98% on day 14 after treatment, which was 10% higher than that in the control group. According to the present findings, PPIX-ED-PACT can effectively inhibit the growth of P. aeruginosa in vitro and in vivo.
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Antibacterianos/uso terapéutico , Fotoquimioterapia , Infecciones por Pseudomonas/tratamiento farmacológico , Infecciones por Pseudomonas/microbiología , Pseudomonas aeruginosa/fisiología , Infección de Heridas/tratamiento farmacológico , Infección de Heridas/microbiología , Animales , Antibacterianos/farmacología , Membrana Celular/efectos de los fármacos , Membrana Celular/efectos de la radiación , Etilenodiaminas/química , Etilenodiaminas/farmacología , Etilenodiaminas/uso terapéutico , Femenino , Luz , Ratones , Ratones Endogámicos BALB C , Viabilidad Microbiana/efectos de los fármacos , Modelos Biológicos , Células 3T3 NIH , Fotoblanqueo , Fármacos Fotosensibilizantes/farmacología , Fármacos Fotosensibilizantes/uso terapéutico , Protoporfirinas/química , Protoporfirinas/farmacología , Protoporfirinas/uso terapéutico , Pseudomonas aeruginosa/efectos de la radiación , Cicatrización de Heridas/efectos de los fármacosRESUMEN
OBJECTIVES: To understand medical students' mental health, professional pride, and intention to work in the front-line during coronavirus disease 2019 (COVID-19) pandemic, and provide a reference for psychological intervention. METHODS: We used the depression-anxiety-stress scale and self-designed questionnaire on professional pride, intention to work in the front-line and the extent of family support. Medical students from 4 medical schools in Fujian and Hunan were investigated. Their mental health status, professional pride and first-line work willingness with different characteristics were compared, and the influential factors for professional pride and first-line work willingness were analyzed. RESULTS: A total of 266 valid questionnaires were collected. During the pandemic, there were significant differences in the proportion of depressed students among different college and universities, majors and stages (P<0.05), and the professional pride was significantly different (P<0.001). Medical students with different mental health status showed significant differences in professional pride (P<0.01). Marriage, pressure and extent of family support were the influential factors for their professional pride (P<0.05). The latter two were also influential factors for their intention to work in the front-line (P<0.05). CONCLUSIONS: During the pandemic, students from college and nursing have relatively better mental health and higher professional pride. The professional pride is low in medical students who married, with abnormal stress or low family support. The intention to work in front-line is decreased in students with abnormal stress or low family support.
Asunto(s)
Infecciones por Coronavirus/psicología , Salud Mental , Neumonía Viral/psicología , Estudiantes de Medicina/psicología , Betacoronavirus , COVID-19 , China , Familia , Humanos , Intención , Pandemias , Profesionalismo , SARS-CoV-2 , Apoyo Social , Estrés Psicológico , Encuestas y CuestionariosRESUMEN
Cell wall (CW) plays an important role in Cd accumulation in roots of metal-tolerant plants, including rice. The role of CW polysaccharides, especially pectin, in binding Cd in roots of a high Cd accumulating (HA) rice line of Lu527-8 and a non-high Cd accumulating (NHA) rice line of Lu527-4 was investigated in this study. About 59%-63% of Cd in roots of the two rice lines was bound to CWs, indicating that CW was the main site for Cd accumulation in roots of the two rice lines. Cd adsorbed on the root CWs of the HA was 1.1-1.2 times more than that of the NHA, demonstrating the root CWs of the HA showed greater Cd binding ability. Cd exposure induced more Cd accumulation in pectin and hemicellulose in the HA. In particular, up to 65% of Cd accumulation in root CWs of the HA was observed in pectin. The removal of pectin lead to a 50% decrease for the amounts of Cd adsorption on root CWs of the HA, indicating that pectin was the major binding site for Cd in root CWs of the HA. The HA showed greater pectin methylesterase activities, resulting in lower degree of pectin methylesterification along with more low-methylesterified pectins in root CWs than the NHA. The more accumulation of low-methylesterified pectins in CWs induced by Cd contributed greatly to the high Cd accumulation in roots of the HA rice line of Lu527-8.