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1.
J Infect Prev ; 25(3): 82-84, 2024 May.
Artículo en Inglés | MEDLINE | ID: mdl-38584708

RESUMEN

Blood cultures are the primary method for diagnosing bloodstream infections. However, blood culture contamination (BCC) can lead to unnecessary antibiotic treatment, additional tests, and extended patient time in the hospital. The aim of this quality improvement project was to evaluate healthcare workers' knowledge of blood culture collection protocols and evaluate the blood culture contamination rates of laboratory and non-laboratory staff. We performed a retrospective review of contaminated cultures between May 2021 and April 2022, and anonymous surveys were distributed to assess staff knowledge of proper blood culture collection protocols. Laboratory staff (phlebotomy) had an overall BCC rate of 4.6% compared to a non-laboratory staff (nurses, residents, and medical students) rate of 9.7% (p < 0.0001). On the survey, phlebotomists had the best score (89% correct), followed by nurses (76%) and residents and medical students (64%). These data suggest that blood culture protocol knowledge and BCC rates may be related, with phlebotomists scoring highest on the knowledge survey and demonstrating the lowest contamination rates.

2.
Cancer Discov ; 2024 Apr 09.
Artículo en Inglés | MEDLINE | ID: mdl-38587317

RESUMEN

Microsatellite-unstable (MSI) cancers require WRN helicase to resolve replication stress due to expanded DNA (TA)n-dinucleotide repeats. WRN is a promising synthetic lethal target for MSI tumours, and WRN inhibitors are in development. Here, we used CRISPR-Cas9 base editing to map WRN residues critical for MSI cells, validating the helicase domain as the primary drug target. Fragment-based screening led to the development of potent and highly selective WRN helicase covalent inhibitors. These compounds selectively suppressed MSI model growth In vitro and In vivo by mimicking WRN loss, inducing DNA double-strand breaks at expanded TA-repeats and DNA damage. Assessment of biomarkers in preclinical models linked TA-repeat expansions and mismatch repair (MMR) alterations to compound activity. Efficacy was confirmed in immunotherapy-resistant organoids and patient-derived xenograft (PDX) models. The discovery of potent, selective covalent WRN inhibitors provides proof of concept for synthetic-lethal targeting of WRN in MSI cancer and tools to dissect WRN biology.

3.
Front Microbiol ; 15: 1385439, 2024.
Artículo en Inglés | MEDLINE | ID: mdl-38638901

RESUMEN

Objectives: Several studies have reported risk factors for severe disease and mortality in hospitalized adults with RSV infections. There is limited information available regarding the factors that affect the duration of a patient's hospital length of stay (LOS). Methods: This was a multicenter historical cohort study of adult patients hospitalized for laboratory-confirmed RSV in Southeast Michigan between January 2017 and December 2021. Hospitalized patients were identified using the International Classification of Diseases, Tenth Revision 10 codes for RSV infection. Mean LOS was computed; prolonged LOS was defined as greater than the mean. Results: We included 360 patients with a mean age (SD) of 69.9 ± 14.7 years, 63.6% (229) were female and 63.3% (228) of white race. The mean hospital LOS was 7.1 ± 5.4 days. Factors associated with prolonged LOS in univariable analysis were old age, body mass index (BMI), smoking status, Charlson Weighted Index of Comorbidity (CWIC), home oxygen, abnormal chest x-ray (CXR), presence of sepsis, use of oxygen, and antibiotics at the time of presentation. Predictors for prolonged LOS on admission in multivariable analysis were age on admission (p < 0.001), smoking status (p = 0.001), CWIC (p = 0.038) and abnormal CXR (p = 0.043). Interpretation: Our study found that age on admission, smoking history, higher CWIC and abnormal CXR on admission were significantly associated with prolonged LOS among adult patients hospitalized with RSV infection. These findings highlight the significance of promptly recognizing and implementing early interventions to mitigate the duration of hospitalization for adult patients suffering from RSV infection.

4.
Plant Methods ; 20(1): 27, 2024 Feb 14.
Artículo en Inglés | MEDLINE | ID: mdl-38355519

RESUMEN

BACKGROUND: The challenge of pigeonpea breeding lies in its photosensitivity and seasonal specificity. This poses a problem to the breeder, as it restricts to single generation advancement in a year. Currently, the cross to cultivar gap is twelve to thirteen years resulting in a limited number of varietal releases over the past six decades. Shortening the breeding cycle was need of the hour, unlikely achieved by conventional breeding. To overcome these hindrances speed breeding was a necessary leap. An experiment was planned to optimize the speed breeding coupled with single seed descent and seed or pod chip-based genotyping to shorten the breeding cycle in pigeonpea at ICRISAT, Hyderabad. Monitored photoperiod, light wavelength, temperature and crop management regime were the indicators attributing to the success of speed breeding. RESULT: A photoperiod of 13 h: 8 h: 13 h at vegetative: flowering and pod filling stages is ideal for shortening the breeding cycle. Broad spectrum light (5700 K LED) hastened early vegetative growth and pod formation. Whereas far-red (735 nm) light favoured early flowering. A significant difference between the photoperiods, genotypes as well as photoperiod x genotype interaction for both days to flowering and plant height was noted. CONCLUSION: The optimized protocol serves as a road map for rapid generation advancement in pigeonpea. Deploying this protocol, it is possible to advance 2-4 generations per year. The breeding cycle can be reduced to 2-4 years which otherwise takes 7 years under conventional breeding. Single Seed Descent and seed or pod chip-based genotyping for early generation marker assisted selection, strengthened the precision of this technique aiding in high throughput line development.

5.
Curr Microbiol ; 80(12): 400, 2023 Nov 06.
Artículo en Inglés | MEDLINE | ID: mdl-37930488

RESUMEN

Water plays a vital role as a natural resource since life is unsustainable without it. If water is polluted or contaminated, it results in several health issues among people. Millions of people are infected with waterborne diseases globally, and India is no exception. In the present review, we have analyzed the outbreaks of waterborne diseases that occurred in several Indian states between 2014 and 2020, identified the key infections, and provided insights into the performance of sanitation improvement programs. We noted that acute diarrheal disease (ADD), typhoid, cholera, hepatitis, and shigellosis are common waterborne diseases in India. These diseases have caused about 11,728 deaths between 2014 and 2018 out of which 10,738 deaths occurred only after 2017. The outbreaks of these diseases have been rising because of a lack of adequate sanitation, poor hygiene, and the absence of proper disposal systems. Despite various efforts by the government such as awareness campaigns, guidance on diet for infected individuals, and sanitation improvement programs, the situation is still grim. Disease hotspots and risk factors must be identified, water, sanitation, and hygiene (WASH) services must be improved, and ongoing policies must be effectively implemented to improve the situation. The efforts must be customized to the local environment. In addition, the possible effects of climate change must be projected, and strategies must be accordingly optimized.


Asunto(s)
Enfermedades Transmitidas por el Agua , Humanos , Enfermedades Transmitidas por el Agua/epidemiología , India/epidemiología , Brotes de Enfermedades , Factores de Riesgo , Agua
6.
Plants (Basel) ; 12(17)2023 Aug 25.
Artículo en Inglés | MEDLINE | ID: mdl-37687311

RESUMEN

This paper reports an evaluation of eleven oat genotypes in four environments for two consecutive years to identify high-biomass-yielding, stable, and broadly adapted genotypes in selected parts of Ethiopia. Genotypes were planted and evaluated with a randomized complete block design, which was repeated three times. The additive main effect and multiplicative interaction analysis of variances revealed that the environment, genotype, and genotype-environment interaction had a significant (p ≤ 0.001) influence on the biomass yield in the dry matter base (t ha-1). The interaction of the first and second principal component analysis accounted for 73.43% and 14.97% of the genotype according to the environment interaction sum of squares, respectively. G6 and G5 were the most stable and widely adapted genotypes and were selected as superior genotypes. The genotype-by-environment interaction showed a 49.46% contribution to the total treatment of sum-of-squares variation, while genotype and environment effects explained 34.94% and 15.60%, respectively. The highest mean yield was obtained from G6 (12.52 kg/ha), and the lowest mean yield was obtained from G7 (8.65 kg/ha). According to the additive main effect and multiplicative interaction biplot, G6 and G5 were high-yielding genotypes, whereas G7 was a low-yielding genotype. Furthermore, according to the genotype and genotype-environment interaction biplot, G6 was the winning genotype in all environments. However, G7 was a low-yielding genotype in all environments. Finally, G6 was an ideal genotype with a higher mean yield and relatively good stability. However, G7 was a poor-yielding and unstable genotype. The genotype, environment, and genotype x environment interaction had extremely important effects on the biomass yield of oats. The findings of the graphic stability methods (additive main effect and multiplicative interaction and the genotype and genotype-environment interaction) for identifying high-yielding and stable oat genotypes were very similar.

7.
Open Forum Infect Dis ; 10(8): ofad432, 2023 Aug.
Artículo en Inglés | MEDLINE | ID: mdl-37608918

RESUMEN

Nontyphoidal Salmonella can cause gallbladder empyema and disseminated disease in patients with suppressed immune systems. We are reporting a unique case of concomitant gallbladder empyema and epidural abscess due to Salmonella enterica subsp enterica serovar Enteritidis in a patient who was appropriately treated for the primary Salmonella infection complicated by bacteremia. A high degree of suspicion is needed in high-risk patients as timely intervention can avoid life-threatening complications.

8.
Environ Res ; 237(Pt 1): 116870, 2023 Nov 15.
Artículo en Inglés | MEDLINE | ID: mdl-37567383

RESUMEN

Diversified nanosystems with tunable physicochemical attributes have emerged as potential solution to globally devastating cancer by offering novel possibilities for improving the techniques of cancer detection, imaging, therapies, diagnosis, drug delivery and treatment. Drug delivery systems based on nanoparticles (NPs) with ability of crossing different biological barriers are becoming increasingly popular. Besides, NPs are utilized in pharmaceutical sciences to mitigate the toxicity of conventional cancer therapeutics. However, significant NPs-associated toxicity, off-targeted activities, and low biocompatibility limit their utilization for cancer theranostics and can be hazardous to cancer patients up to life-threatening conditions. NPs interact with the biomolecules and disturb their regular function by aggregating inside cells and forming a protein corona, and the formulation turns ineffective in controlling cancer cell growth. The adverse interactions between NPs and biological entities can lead to life-threatening toxicities. This review focuses on the widespread use of various NPs including zinc oxide, titanium oxide, silver, and gold, which serve as efficient nano-vehicles and demonstrate notable pharmacokinetic and pharmacodynamic advantages in cancer therapy. Subsequently, the mechanism of nanotoxicity attached with these NPs, alternate solutions and their prospect to revolutionize cancer theranostics are highlighted. This review will serve as guide for future developments associated with high-performance NPs with controlled toxicity for establishing them as modern-age nanotools to manage cancer in tailored manner.

9.
Environ Monit Assess ; 195(8): 930, 2023 Jul 11.
Artículo en Inglés | MEDLINE | ID: mdl-37432463

RESUMEN

Water contamination with faecal matter is usually the main cause of microbial waterborne diseases. Such diseases are an alarming situation for small cities in developing countries like India. In this research, to check the microbiological status of drinking water in Solan, Himachal Pradesh (India), water samples were collected from baories/stepwells (n = 14), handpumps (n = 9), and the municipal water distribution system (MWDS) (n = 2) in alternative months of the year (covering three main seasons). In 6 months, 150 samples were collected, and they were all examined for the presence of total coliforms and other bacterial pathogens. The associations between the isolates' ecological and seasonal prevalence were also examined. The coliforms were detected by the Most Probable Number (MPN) method, whose range was noticed from the 2-540/100-ml MPN index. The colony forming unit (CFU) count for different samples at the base log 10 value ranged from 3.03 to 6.19. Different genera isolated and identified were Escherichia coli, Salmonella enteric subsp. enterica, Pseudomonas spp., Klebsiella spp., and Staphylococcus aureus. Overall, 74% of the isolates identified in water samples were from the Enterobacteriaceae family. E. coli was about 42.67% (n = 102), followed by Salmonella enterica subsp. enterica 20.92% (n = 50), Staphylococcus aureus 13.38% (n = 32), Pseudomonas spp. 12.55% (n = 30), and Klebsiella spp. 10.46% (n = 25) amongst the total of 239 isolates. The seasonal impact and the dependency of the occurrence of bacteria on one another were determined to be insignificant in the Spearman correlation test. These results showed that external factors (anthropogenic activities) are mainly responsible for the presence of these bacteria in water resources. The occurrence of bacterial isolates has been noticed in all water samples, irrespective of collecting site or season.


Asunto(s)
Agua Potable , Salmonella enterica , Estaciones del Año , Ciudades , Escherichia coli , Monitoreo del Ambiente , India , Klebsiella , Pseudomonas
10.
Environ Sci Pollut Res Int ; 30(35): 84645-84662, 2023 Jul.
Artículo en Inglés | MEDLINE | ID: mdl-37369896

RESUMEN

Burning of surplus residues in agricultural fields is a common practice in many countries of the world. This practice adds emissions into the atmosphere and results in the loss of essential plant nutrients, hence, there is a need for developing technologies for the sustainable management of agri-residues. Constructed wetlands offer excellent nature-based, low-cost green technologies for the treatment of wastewater using surplus agricultural residues as wetland substrates to grow ornamental plants as a source of income. This study was conducted to investigate the use of agricultural residues and biochar as substrates to grow ornamental plants in constructed wetlands. Four ornamental plants (Canna Indica, Gerbera jamesonii, Liliumwallichianum, and Tagetes erecta) were grown in six different substrate combinations for 120 days. Data on plant growth parameters were collected for each plant and compared to select the best substrate combination. Canna Indica and Lilium wallichianum resulted in significantly higher growth and nutrient uptake (P<0.001) with the substrate of 15% rice straw, 80% soil, 5% biochar (T4), and 25% sugarcane bagasse, 70% soil, 5% biochar (T5) compared to other plants. The result concluded that agricultural waste-derived substrates are viable alternatives having fertilizing effects with the potential for nutrient recovery. The present study provides an alternative approach to utilize agricultural waste sustainably to grow ornamental plants in the constructed wetland which reduces the overall cost of the wetland unit making it more cost-efficient.


Asunto(s)
Saccharum , Humedales , Celulosa , Plantas , Suelo , Eliminación de Residuos Líquidos/métodos
11.
Plant Genome ; 16(3): e20340, 2023 09.
Artículo en Inglés | MEDLINE | ID: mdl-37211948

RESUMEN

Fusarium wilt (FW) is one of the most significant biotic stresses limiting chickpea production worldwide. To dissect the molecular mechanism of FW resistance in chickpea, comparative transcriptome analyses of contrasting resistance sources of chickpea genotypes under control and Fusarium oxysporum f. sp. ciceris (Foc) inoculated conditions were performed. The high-throughput transcriptome sequencing generated about 1137 million sequencing reads from 24 samples representing two resistant genotypes, two susceptible genotypes, and two near-isogenic lines under control and stress conditions at two-time points (7th- and 12th-day post-inoculation). The analysis identified 5182 differentially expressed genes (DEGs) between different combinations of chickpea genotypes. Functional annotation of these genes indicated their involvement in various biological processes such as defense response, cell wall biogenesis, secondary metabolism, and disease resistance. A significant number (382) of transcription factor encoding genes exhibited differential expression patterns under stress. Further, a considerable number of the identified DEGs (287) co-localized with previously reported quantitative trait locus for FW resistance. Several resistance/susceptibility-related genes, such as SERINE/THREONINE PROTEIN KINASE, DIRIGENT, and MLO exhibiting contrasting expression patterns in resistant and susceptible genotypes upon Foc inoculation, were identified. The results presented in the study provide valuable insights into the transcriptional dynamics associated with FW stress response in chickpea and provide candidate genes for the development of disease-resistant chickpea cultivars.


Asunto(s)
Cicer , Fusarium , Fusarium/fisiología , Cicer/genética , Perfilación de la Expresión Génica , Resistencia a la Enfermedad/genética , Transcriptoma
12.
Front Plant Sci ; 14: 1006099, 2023.
Artículo en Inglés | MEDLINE | ID: mdl-37056505

RESUMEN

Ascochyta blight (AB) is a major biotic constraint to chickpea production internationally. The disease caused by the phytopathogenic fungus Ascochyta rabiei is highly favored by prolonged spells of low temperature and high humidity. The disease scenario is expected to aggravate in the near future as a result of rapidly changing climatic conditions and the emergence of fungicide-resistant pathogen strains. Tapping into host-plant resistance is the most logical way to preempt such a crisis. Presently, high levels of stable resistance against AB are yet to be identified from the chickpea gene pool. The present study was aimed at facilitating this process through multi-environment testing of chickpea genotypes. Using the GGE biplot analysis method, we could identify three genotypes, viz., ICCV 16508, ICCV 16513, and ICCV 16516, from the International Ascochyta Blight Nursery, which showed consistent moderate resistance reactions across all the tested environments. Moreover, we were able to evaluate the test locations for their suitability to support AB screening trials. Ludhiana and Palampur locations were identified as the most ideal for continual screening in the future. Controlled environment screening at the ICRISAT location offered to reduce large plant populations to small meaningful sizes through initial screening under controlled environment conditions. This study will further improve the scope of phenotyping and sources of stable resistance to be utilized in future AB resistance breeding programs.

13.
Sci Rep ; 13(1): 2640, 2023 02 14.
Artículo en Inglés | MEDLINE | ID: mdl-36788315

RESUMEN

Fusarium oxysporum (Fo) is ubiquitous in soil and forms a species complex of pathogenic and putatively non-pathogenic strains. Pathogenic strains cause disease in over 150 plant species. Fusarium oxysporum f. sp. ciceris (Foc) is a major fungal pathogen causing Fusarium wilt in chickpeas (Cicer arietinum). In some countries such as Australia, Foc is a high-priority pest of biosecurity concern. Specific, sensitive, robust and rapid diagnostic assays are essential for effective disease management on the farm and serve as an effective biosecurity control measure. We developed and validated a novel and highly specific PCR and a LAMP assay for detecting the Indian Foc race 1 based on a putative effector gene uniquely present in its genome. These assays were assessed against 39 Fo formae speciales and found to be specific, only amplifying the target species, in a portable real-time fluorometer (Genie III) and qPCR machine in under 13 min with an anneal derivative temperature ranging from 87.7 to 88.3 °C. The LAMP assay is sensitive to low levels of target DNA (> 0.009 ng/µl). The expected PCR product size is 143 bp. The LAMP assay developed in this study was simple, fast, sensitive and specific and could be explored for other Foc races due to the uniqueness of this marker to the Foc genome.


Asunto(s)
Cicer , Fusarium , Fusarium/genética , Cicer/genética , Reacción en Cadena de la Polimerasa , Enfermedades de las Plantas/microbiología
14.
PLoS One ; 18(1): e0280064, 2023.
Artículo en Inglés | MEDLINE | ID: mdl-36652427

RESUMEN

Advances in biocontrol potentials and fungicide resistance are highly desirable for Trichoderma. Thus, it is profitable to use mutagenic agents to develop superior strains with enhanced biocontrol properties and fungicide tolerance in Trichoderma. This study investigates the N-methyl-n-nitro-N-nitrosoguanidine (NTG) (100 mg/L) induced mutants of Trichoderma asperellum. Six NTG (3 each from 1st & 2nd round) induced mutants were developed and evaluated their biocontrol activities and carbendazim tolerance. Among the mutant N2-3, N2-1, N1 and N2-2 gave the best antagonistic and volatile metabolite activities on inhibition of chickpea F. oxysporum f. sp. ciceri, B. cinerea and R. bataticola mycelium under in vitro condition. Mutant N2-2 (5626.40 µg/ml) showed the highest EC50 value against carbendazim followed by N2-3 (206.36 µg/ml) and N2-1 (16.41 µg/ml); and succeeded to sporulate even at 2000 µg/ml of carbendazim. The biocontrol activity of N2-2 and N2 with half-dose of carbendazim was evaluated on chickpea dry root rot under controlled environment. Disease reduction and progress of the dry root rot was extremely low in T7 (N2-2 + with half-dose of carbendazim) treatment. Further, carbendazim resistant mutants demonstrated mutation in tub2 gene of ß-tubulin family which was suggested through the 37 and 183 residue changes in the superimposed protein structures encoded by tub2 gene in N2 and N2-2 with WT respectively. This study conclusively implies that the enhanced carbendazim tolerance in N2-2 mutant did not affect the mycoparasitism and plant growth activity of Trichoderma. These mutants were as good as the wild-type with respect to all inherent attributes.


Asunto(s)
Cicer , Fungicidas Industriales , Trichoderma , Fungicidas Industriales/farmacología , Cicer/genética , Mejoramiento Genético , Antibiosis , Trichoderma/metabolismo , Enfermedades de las Plantas/genética , Enfermedades de las Plantas/prevención & control
15.
Int J Phytoremediation ; 25(10): 1289-1305, 2023.
Artículo en Inglés | MEDLINE | ID: mdl-36448490

RESUMEN

Intensive research on hyperaccumulator plant species provides an alternative method to cleanup heavy metal contaminated sites using these plants. Helianthus annuus and Tagetes erecta are suitable hyperaccumulator plant species for removing zinc (Zn) from contaminated soil because of their high phytoremediation effectiveness. The present study focused on to evaluate comparative efficacy of Zn accumulation using H. annuus and T. erecta. Plantlets were exposed to different Zn concentrations (10, 50, 100, 300, and 500 mg kg-1) for 20, 40, and 60 days while changes in morphological, biochemical, and enzyme activity markers were evaluated. The concentration of Zn in various plant parts was determined using an atomic absorption spectrophotometer (AAS). After 60 days H. annuus showed greatest accumulation of Zn in the root and shoot (216.7 and 109.5 mg kg-1), whereas the Zn accumulation T. erecta (209.5 and 97.84 mg kg-1) was found comparatively less in the root and shoot. The result showed increased polyphenol and proline concentrations with increasing Zn concentrations which were maximal in H. annuus 6.642 mg g-1 and 25.474 µmol g-1, respectively. At 60 days, APX (4.145 mM mg-1), CAT (2.558 mM mg-1), and GR (52.23 mM mg-1) antioxidant enzymatic activities were observed with higher concentrations. Analysis of ultrastructure confirmed Zn transport and localization in root and shoot tissues examined through FESEM-EDX, Fluorescence microscopy, and optical microscopy. The present research findings concluded with the high amount of removal of Zn from contaminated soil using H. annuus and T. erecta for ecofriendly approach to soil cleanup followed by sustainable agriculture.


Our research work focused on the removal of zinc from the contaminated soil by phytoremediation using ornamental plants species Helianthus annuus and Tagetes erecta. Our research findings through detailed microscopic observation, antioxidant analysis, and biochemical evaluation have proven that Helianthus annuus L. have a better capability for Zn mitigation in the contaminated site as compared to Tagetes erecta. As an outcome of this research, we authentically suggest for use of H. annuus as a good accumulator of Zn compared to T. erecta.


Asunto(s)
Helianthus , Contaminantes del Suelo , Tagetes , Zinc , Biodegradación Ambiental , Suelo/química , Contaminantes del Suelo/análisis , Raíces de Plantas/química
16.
Clin Infect Dis ; 76(1): 165-171, 2023 01 06.
Artículo en Inglés | MEDLINE | ID: mdl-35245942

RESUMEN

At a crucial time with rapid spread of the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) Omicron variant globally, the United States Food and Drug Administration has issued an emergency use authorization for 2 oral antivirals, molnupiravir (in persons aged ≥18 years) and nirmatrelvir-ritonavir (Paxlovid) (in persons aged ≥12 years weighing ≥40 kg), for the outpatient treatment of patients with mild to moderate coronavirus disease 2019 (COVID-19) who are at risk for progression. Molnupiravir is a nucleoside analogue, whereas nirmatrelvir is a SARS-CoV-2 main protease inhibitor, and ritonavir is a human immunodeficiency virus type 1 protease inhibitor. Drug interactions are a major concern for nirmatrelvir-ritonavir. Nirmatrelvir-ritonavir demonstrated a greater risk reduction in hospitalization and death than molnupiravir compared to placebo. Both drugs need to be started within 5 days of symptoms onset and given for 5 days' duration. This article reviews the 2 oral COVID-19 antiviral drugs including the mechanisms of action, antiviral activity, pharmacokinetics, drug interactions, clinical experience including trials, adverse events, recommended indications, and formulary considerations.


Asunto(s)
Antivirales , COVID-19 , Estados Unidos , Humanos , Adolescente , Adulto , Antivirales/uso terapéutico , Ritonavir/uso terapéutico , SARS-CoV-2 , Tratamiento Farmacológico de COVID-19
17.
Germs ; 12(2): 253-261, 2022 Jun.
Artículo en Inglés | MEDLINE | ID: mdl-36504613

RESUMEN

Introduction: Prior evidence found that bloodstream infections (BSIs) are common in viral respiratory infections and can lead to heightened morbidity and mortality. We described the incidence, risk factors, and outcomes of BSIs in patients with COVID-19. Methods: This was a single-center retrospective cohort study of adults consecutively admitted from March to June 2020 for COVID-19 with BSIs. Data were collected by electronic medical record review. BSIs were defined as positive blood cultures (BCs) with a known pathogen in one or more BCs or the same commensal organism in two or more BCs. Results: We evaluated 290 patients with BCs done; 39 (13.4%) had a positive result. In univariable analysis, male sex, black/African American race, admission from a facility, hemiplegia, altered mental status, and a higher Charlson Comorbidity Index were positively associated with positive BCs, whereas obesity and systolic blood pressure (SBP) were negatively associated. Patients with positive BCs were more likely to have severe COVID-19, be admitted to the intensive care unit (ICU), require mechanical ventilation, have septic shock, and higher mortality. In multivariable logistic regression, factors that were independent predictors of positive BCs were male sex (OR=2.8, p=0.030), hypoalbuminemia (OR=3.3, p=0.013), ICU admission (OR=5.3, p<0.001), SBP<100 mmHg (OR=3.7, p=0.021) and having a procedure (OR=10.5, p=0.019). Patients with an abnormal chest X-ray on admission were less likely to have positive BCs (OR=0.3, p=0.007). Conclusions: We found that male sex, abnormal chest X-ray, low SBP, and hypoalbuminemia upon hospital admission, admission to ICU, and having a procedure during hospitalization were independent predictors of BSIs in patients with COVID-19.

18.
Int J Biomater ; 2022: 6819080, 2022.
Artículo en Inglés | MEDLINE | ID: mdl-36531969

RESUMEN

The rise in antimicrobial resistance is a cause of serious concern since the ages. Therefore, a dire need to explore new antimicrobial entities that can combat against the increasing threat of antibiotic resistance is realized. Studies have shown that the activity of the strongest antibiotics has reduced drastically against many microbes such as microfungi and bacteria (Gram-positive and Gram-negative). A ray of hope, however, was witnessed in early 1940s with the development of new drug discovery and use of metal complexes as antibiotics. Many new metal-based drugs were developed from the metal complexes which are potentially active against a number of ailments such as cancer, malaria, and neurodegenerative diseases. Therefore, this review is an attempt to describe the present scenario and future development of metal complexes as antibiotics against wide array of microbes.

19.
Biotechnol Genet Eng Rev ; : 1-29, 2022 Nov 28.
Artículo en Inglés | MEDLINE | ID: mdl-36444150

RESUMEN

The extensive utilization of nanoparticles in cancer therapies has inspired a new field of study called cancer nanomedicine. In contrast to traditional anticancer medications, nanomedicines offer a targeted strategy that eliminates side effects and has high efficacy. With its vast surface area, variable pore size, high pore volume, abundant surface chemistry and specific binding affinity, mesoporous silica nanoparticles (MPSNPs) are a potential candidate for cancer diagnosis and treatment. However, there are several bottlenecks associated with nanoparticles, including specific toxicity or affinity towards particular body fluid, which can cater by architecting core-shell nanosystems. The core-shell chemistries, synergistic effects, and interfacial heterojunctions in core-shell nanosystems enhance their stability, catalytic and physicochemical attributes, which possess high performance in cancer therapeutics. This review article summarizes research and development dedicated to engineering mesoporous core-shell nanosystems, especially silica nanoparticles and Fe3O4@Au nanoparticles, owing to their unique physicochemical characteristics. Moreover, it highlights state-of-the-art magnetic and optical attributes of Fe3O4@Au and MPSNP-based cancer therapy strategies. It details the designing of Fe3O4@Au and MPSN to bind with drugs, receptors, ligands, and destroy tumour cells and targeted drug delivery. This review serves as a fundamental comprehensive structure to guide future research towards prospects of core-shell nanosystems based on Fe3O4@Au and MPSNP for cancer theranostics.

20.
Langmuir ; 38(42): 12981-12990, 2022 Oct 25.
Artículo en Inglés | MEDLINE | ID: mdl-36218026

RESUMEN

Hydrogen generation from splitting of water under the photoelectrochemical (PEC) pathway is considered as the most promising strategy for covering the upcoming fuel crisis by taking care of all environmental issues. In this context, In2S3 can be explored as it is a visible light-active semiconductor with an appropriate band alignment with the water redox potential. Herein, In2S3 nanosheets are developed by the chemical method. The nanosheets of In2S3 absorb high visible light due to the manifold inside scattering and reflection. The PEC activity of In2S3 is enhanced because of the increase in the light absorbance of the materials. In the present work, at 1.18 V versus RHE in 3.5 wt % NaCl, a maximum 2.07 mA/cm2 photocurrent density can be achieved by In2S3 nanosheets. However, In2S3 suffers strongly due to photo-corrosion. To improve the efficacy of the In2S3 nanosheets in saline water, the charge-carrier transportation ability of In2S3 is aimed to increase by decorating S-C3N4-dots on In2S3. The heterostructure of type-II is developed by sensitization of S-C3N4-dots on In2S3. It increases both the transportation of charge carriers as well as separation. In the heterostructure, the transient decay time (τ) increases, which indicates a decrease in photogenerated charge-carrier recombination. S-C3N4-dots also act as an optical antenna and increase the range of visible light absorbance of In2S3. The heterostructure can generate ∼2.38-fold higher photocurrent density of 1.18 V versus RHE in 3.5 wt % NaCl. The photoconversion efficiency of the heterostructure is 0.88% at 0.95 V versus RHE. The nanosheets of In2S3 and In2S3/S-C3N4-dots are stable, and photocurrent density is measured up to 2700 s under continuous back-illumination conditions.

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