BACKGROUND Antibiotic resistance significantly impacts the treatment failure rates of Helicobacter pylori(H.pylori)infections.AIM To investigate the trends in primary antibiotic resistance of H.pylori in Taiwan of Chi...BACKGROUND Antibiotic resistance significantly impacts the treatment failure rates of Helicobacter pylori(H.pylori)infections.AIM To investigate the trends in primary antibiotic resistance of H.pylori in Taiwan of China over the past six years.METHODS We conducted a retrospective analysis of H.pylori isolates from Taiwan residents,China who had not undergone previous treatments(n=1408),collected between January 1,2019 and December 31,2024.Susceptibility of these strains to amoxicillin,clarithromycin,levofloxacin,metronidazole,and tetracycline was tested using the Epsilometer test.We analyzed the trends in single and dual resistance profiles over the study period,and compared antibiotic resistance across different regions(northern,southern and eastern areas)of Taiwan of China.RESULTS The overall resistance rates for H.pylori to amoxicillin,clarithromycin,metronidazole,tetracycline,and levofloxacin in Taiwan of China were 1.3%,18.0%,31.0%,0.8%,and 28.7%,respectively.Tetracycline resistance increased significantly from 0%in 2019 to 3.5%in 2024(P value inχ^(2)test for linear trend:<0.001),while metronidazole resistance declined from 35.5%to 13.0%(P value inχ^(2)test for linear trend:<0.001).No significant changes of amoxicillin,clarithromycin and levofloxacin resistances were observed.The dual resistances to clarithromycin plus tetracycline,and metronidazole plus tetracycline both increased significantly from 0%to 1.7%from 2019 to 2024(P value inχ^(2)test for linear trend:<0.05).Furthermore,no significant regional differences in resistance frequencies except for levofloxacin were detected.CONCLUSION Primary antibiotic resistance to tetracycline in H.pylori has increased in Taiwan of China from 2019 to 2024,while resistance to metronidazole has decreased during the same period.The dual resistance to clarithromycin plus tetracycline and metronidazole plus tetracycline both increased significantly.展开更多
Metal wear and corrosion require a protective coating with good corrosion and wear resistance.The inorganic adhesive of methyltriethoxysilane modified silica sol(SMP)was first synthesized by the dehydration condensati...Metal wear and corrosion require a protective coating with good corrosion and wear resistance.The inorganic adhesive of methyltriethoxysilane modified silica sol(SMP)was first synthesized by the dehydration condensation of silica sol(S30)with methyltriethoxysilane in propyl alcohol.Then,SMP was used to modify the organic polyurethane(PU)by adjusting the volume ratio.The optimal ratio of the organic–inorganic hybrid adhesive PU-SMP was obtained by measuring its film-forming,mechanical,and corrosion-resistant properties.Then,PU-SMP and zirconia nanoparticles(ZrO_(2))were used as an adhesive and functional filler to prepare the organic–inorganic composite coating of PU-SMP@ZrO_(2)via spraying on various substrates.The fabricated PU-SMP@ZrO_(2)performed superior mechanical strength,good wear performance,and excellent anti-corrosion property.The pencil hardness of the coating PU-SMP@2.5ZrO_(2)is 7H,the wear mass is reduced from 0.7 to 0.2 mg,and the impedance modulus reached 10^(7)Ωcm^(2).The synthesized organic–inorganic hybrid adhesive and its composite coatings provide a promising approach for constructing functional protective coatings on mechanical engineering material.展开更多
Schizophrenia is a complex psychiatric disorder marked by positive and negative symptoms,leading to mood disturbances,cognitive impairments,and social withdrawal.While anti-psychotic medications remain the cornerstone...Schizophrenia is a complex psychiatric disorder marked by positive and negative symptoms,leading to mood disturbances,cognitive impairments,and social withdrawal.While anti-psychotic medications remain the cornerstone of treatment,they often fail to fully address certain symptoms.Additionally,treatment-resistant schizophrenia,affecting 30%-40%of patients,remains a substantial clinical challenge.Positive,negative symptoms and cognitive impairments have been linked to disruptions in the glutamatergic,serotonin,GABAergic,and muscarinic pathways in the brain.Recent advances using genome-wide association study and other approaches have uncovered a significant number of new schizophrenia risk genes that uncovered new,and reinforced prior,concepts on the genetic and neurological underpinnings of schizophrenia,including abnormalities in synaptic function,immune processes,and lipid metabolism.Concurrently,new therapeutics targeting different modalities,which are expected to address some of the limitations of anti-psychotic drugs currently being offered to patients,are currently being evaluated.Collectively,these efforts provide new momentum for the next phase of schizophrenia research and treatment.展开更多
基金Supported by the An Nan Hospital,China Medical University,No.ANHRF114-20 and No.ANHRF114-21.
文摘BACKGROUND Antibiotic resistance significantly impacts the treatment failure rates of Helicobacter pylori(H.pylori)infections.AIM To investigate the trends in primary antibiotic resistance of H.pylori in Taiwan of China over the past six years.METHODS We conducted a retrospective analysis of H.pylori isolates from Taiwan residents,China who had not undergone previous treatments(n=1408),collected between January 1,2019 and December 31,2024.Susceptibility of these strains to amoxicillin,clarithromycin,levofloxacin,metronidazole,and tetracycline was tested using the Epsilometer test.We analyzed the trends in single and dual resistance profiles over the study period,and compared antibiotic resistance across different regions(northern,southern and eastern areas)of Taiwan of China.RESULTS The overall resistance rates for H.pylori to amoxicillin,clarithromycin,metronidazole,tetracycline,and levofloxacin in Taiwan of China were 1.3%,18.0%,31.0%,0.8%,and 28.7%,respectively.Tetracycline resistance increased significantly from 0%in 2019 to 3.5%in 2024(P value inχ^(2)test for linear trend:<0.001),while metronidazole resistance declined from 35.5%to 13.0%(P value inχ^(2)test for linear trend:<0.001).No significant changes of amoxicillin,clarithromycin and levofloxacin resistances were observed.The dual resistances to clarithromycin plus tetracycline,and metronidazole plus tetracycline both increased significantly from 0%to 1.7%from 2019 to 2024(P value inχ^(2)test for linear trend:<0.05).Furthermore,no significant regional differences in resistance frequencies except for levofloxacin were detected.CONCLUSION Primary antibiotic resistance to tetracycline in H.pylori has increased in Taiwan of China from 2019 to 2024,while resistance to metronidazole has decreased during the same period.The dual resistance to clarithromycin plus tetracycline and metronidazole plus tetracycline both increased significantly.
基金supported by National Key R&D Project of China(No.2024YFB4600167)the National Natural Science Foundation of China(No.52205313)+1 种基金Natural Science Foundation of Shandong Province(Nos.ZR2022ZD07 and ZR2022QE161)China Postdoctoral Science Foundation(No.2023M734093).
文摘Metal wear and corrosion require a protective coating with good corrosion and wear resistance.The inorganic adhesive of methyltriethoxysilane modified silica sol(SMP)was first synthesized by the dehydration condensation of silica sol(S30)with methyltriethoxysilane in propyl alcohol.Then,SMP was used to modify the organic polyurethane(PU)by adjusting the volume ratio.The optimal ratio of the organic–inorganic hybrid adhesive PU-SMP was obtained by measuring its film-forming,mechanical,and corrosion-resistant properties.Then,PU-SMP and zirconia nanoparticles(ZrO_(2))were used as an adhesive and functional filler to prepare the organic–inorganic composite coating of PU-SMP@ZrO_(2)via spraying on various substrates.The fabricated PU-SMP@ZrO_(2)performed superior mechanical strength,good wear performance,and excellent anti-corrosion property.The pencil hardness of the coating PU-SMP@2.5ZrO_(2)is 7H,the wear mass is reduced from 0.7 to 0.2 mg,and the impedance modulus reached 10^(7)Ωcm^(2).The synthesized organic–inorganic hybrid adhesive and its composite coatings provide a promising approach for constructing functional protective coatings on mechanical engineering material.
基金supported by the Ministry of Health National Medical Research Council (to JL)the National University of Singapore (to JJEC)
文摘Schizophrenia is a complex psychiatric disorder marked by positive and negative symptoms,leading to mood disturbances,cognitive impairments,and social withdrawal.While anti-psychotic medications remain the cornerstone of treatment,they often fail to fully address certain symptoms.Additionally,treatment-resistant schizophrenia,affecting 30%-40%of patients,remains a substantial clinical challenge.Positive,negative symptoms and cognitive impairments have been linked to disruptions in the glutamatergic,serotonin,GABAergic,and muscarinic pathways in the brain.Recent advances using genome-wide association study and other approaches have uncovered a significant number of new schizophrenia risk genes that uncovered new,and reinforced prior,concepts on the genetic and neurological underpinnings of schizophrenia,including abnormalities in synaptic function,immune processes,and lipid metabolism.Concurrently,new therapeutics targeting different modalities,which are expected to address some of the limitations of anti-psychotic drugs currently being offered to patients,are currently being evaluated.Collectively,these efforts provide new momentum for the next phase of schizophrenia research and treatment.
