Proton exchange membrane water electrolysis(PEMWE)is one of the most promising strategies to pro-duce green hydrogen energy,and it is crucial to exploit highly conductive and good corrosion-resistant coatings on bipol...Proton exchange membrane water electrolysis(PEMWE)is one of the most promising strategies to pro-duce green hydrogen energy,and it is crucial to exploit highly conductive and good corrosion-resistant coatings on bipolar plates(BPs),one of the core components in PEMWE cells.In this work,NbN coatings are deposited on Ti BPs by magnetron sputtering to improve the corrosion resistance and conductivity,for which the critical process parameters,such as the working pressure,partial nitrogen pressure and de-position temperature are well optimized.It is found that the compact microstructure,highly conductive δ-NbN and uniform nanoparticles play a dominant role in the synergistic improvement of the corrosion resistance and electrical conductivity of NbN coatings.The optimized NbN coatings exhibit excellent cor-rosion resistance with the low corrosion current density of 1.1×10^(-8) A cm^(-2),a high potential value of-0.005 V vs.SCE and a low ICR value of 15.8 mΩcm2@1.5 MPa.Accordingly,NbN coatings can be a promising candidate for the development of the low-cost and high-anti-corrosion Ti BPs of PEMWE.展开更多
BACKGROUND Liver transplant(LT)recipients are susceptible to carbapenem-resistant Klebsiella pneumoniae(CRKP)infections.Comprehensive research addressing the incidence,timing,infection sites,resistance patterns,treatm...BACKGROUND Liver transplant(LT)recipients are susceptible to carbapenem-resistant Klebsiella pneumoniae(CRKP)infections.Comprehensive research addressing the incidence,timing,infection sites,resistance patterns,treatment options,and associated risk factors among LT recipients with CRKP is now lacking.AIM To assess the incidence,resistance,therapy,and risk factors of CRKP infections post-LT,and to evaluate the impact of them on prognosis.METHODS A retrospective study was conducted,including 430 consecutive patients who underwent LT between January 2015 and June 2023.This study aimed to investigate the risk factors for CRKP infections and their influence on outcomes using logistic regression analysis.RESULTS Among the 430 patients who underwent LT,20(4.7%)experienced at least one documented CRKP infection within 3 months post-transplantation.The median time from LT to the onset of CRKP infections was 6.5 days.The lungs and bloodstream were the most common sites of CRKP infections.CRKP isolates were relatively susceptible to ceftazidime/avibactam(93.7%),polymyxin B(90.6%),and tigecycline(75.0%)treatment.However,all isolates were resistant to piperacillin/tazobactam,ceftazidime,cefepime,aztreonam,meropenem,and levofloxacin treatment.Recipients with CRKP infections had a mortality rate of 35%,the rate was 12.5%for those receiving ceftazidime/avibactam therapy.Multivariate analysis identified female sex[odds ratio(OR)=3.306;95%confidence interval(CI):1.239-8.822;P=0.017],intraoperative bleeding≥3000 mL(OR=3.269;95%CI:1.018-10.490;P=0.047),alanine aminotransferase on day 1 post-LT≥1500 U/L(OR=4.370;95%CI:1.686-11.326;P=0.002),and post-LT mechanical ventilation(OR=2.772;95%CI:1.077-7.135;P=0.035)as significant variables associated with CRKP.CRKP infections were related to an intensive care unit length(ICU)of stay≥7 days and 6-month all-cause mortality post-LT.CONCLUSION CRKP infections were frequent complications following LT,with poor associated outcomes.Risk factors for post-LT CRKP infections included female sex,significant intraoperative bleeding,elevated alanine aminotransferase levels,and the need for mechanical ventilation.CRKP infections negatively impacted survival and led to prolonged ICU stays.展开更多
Nosocomial pathogen carbapenem-resistant Klebsiella pneumoniae(CRKP)poses a heightened risk to public health through carbapenem resistance and virulence convergence,particularly in China’s dominant sequence type 11(S...Nosocomial pathogen carbapenem-resistant Klebsiella pneumoniae(CRKP)poses a heightened risk to public health through carbapenem resistance and virulence convergence,particularly in China’s dominant sequence type 11(ST11)clone[1,2].Monoclonal K.pneumoniae exhibits within-host diversity during prolonged infections[3–5],with certain variants surviving through adaptation[4,6].CRKP strains from the blood of a single patient are heterogeneous in terms of antibiotic susceptibility,capsular polysaccharide production,and mucoviscosity[3].Intra-host evolution drives novel resistance via cumulative mutations(e.g.,the transcriptional regulator gene ramR mutations and the outer membrane porin gene OmpK35 loss)[4].展开更多
Because of the recent widespread usage of antibiotics,the acquisition and dissemination of antibiotic-resistance genes(ARGs)were prevalent in the majority of habitats.Generally,the biological wastewater treatment proc...Because of the recent widespread usage of antibiotics,the acquisition and dissemination of antibiotic-resistance genes(ARGs)were prevalent in the majority of habitats.Generally,the biological wastewater treatment processes used in wastewater treatment plants have a limited efficiencies of antibiotics resistant bacteria(ARB)disinfection and ARGs degradation and even promote the proliferation of ARGs.Problematically,ARB and ARGs in effluent pose potential risks if they are not further treated.Photocatalytic oxidation is considered a promising disinfection technology,where the photocatalytic process generates many free radicals that enhance the interaction between light and deoxyribonucleic acid(DNA)for ARB elimination and subsequent degradation of ARGs.This reviewaims to illustrate the progress of photocatalytic oxidation technology for removing antibiotics resistant(AR)from wastewater in recent years.We discuss the sources and transfer of ARGs in wastewater.The overall removal efficiencies of ultraviolet radiation(UV)/chlorination,UV/ozone,UV/H_(2)O_(2),and UV/sulfate-radical based system for ARB and ARGs,as well as the experimental parameters and removal mechanisms,are systematically discussed.The contribution of photocatalytic materials based on TiO_(2) and g-C_(3)N_(4) to the inactivation of ARB and degradation of ARGs is highlighted,producingmany free radicals to attack ARB and ARGs while effectively limiting the horizontal gene transfer(HGT)in wastewater.Finally,based on the reviewed studies,future research directions are proposed to realize specific photocatalytic oxidation technology applications and overcome current challenges.展开更多
A series of transparent,intrinsically flame-retardant,and impact-resistant poly(carbonates-b-siloxanes)were synthesized by incorporating Schiff-base modified polysiloxanes(DMS-Schiff)and naphthalene-sulfonate units in...A series of transparent,intrinsically flame-retardant,and impact-resistant poly(carbonates-b-siloxanes)were synthesized by incorporating Schiff-base modified polysiloxanes(DMS-Schiff)and naphthalene-sulfonate units into the polycarbonate(PC)chain.In addition to high transparency,the resultant copolymers(SS-co-PC5,SS-co-PC9,SS-co-PC14,and SS-co-PC20)exhibited remarkable improvements in fire safety and mechanical performance.Compared to pure PC,these copolymers demonstrated significantly enhanced limiting oxygen index(LOI,up to 34.5%)and a UL-94 V-0 rating under a thickness of only 1.6 mm.The incorporation of the polysiloxane blocks not only improved flame retardancy but also enhanced the impact strength,with SS-co-PC9 showing a 48%increase in elongation at break and a 38%rise in impact toughness compared to pure PC.In addition,SS-co-PC9 presented high mechanical strength.The synergistic effects between the naphthalene-sulfonate and polysiloxane blocks,along with the well-controlled polysiloxane phase separation(sulfonate units enabled lower processing viscosity of copolymers),led to superior comprehensive performance.These findings provide a promising pathway to create high-performance copolycarbonates for real-world applications.展开更多
Transparent materials utilized as underwater optical windows are highly vulnerable to various forms of pollution or abrasion due to their intrinsic hydrophilic properties.This susceptibility is particularly pronounced...Transparent materials utilized as underwater optical windows are highly vulnerable to various forms of pollution or abrasion due to their intrinsic hydrophilic properties.This susceptibility is particularly pronounced in underwater environments where pollutants can impede the operation of these optical devices,significantly degrading or even compromising their optical properties.The glass catfish,known for its remarkable transparency in water,maintains surface cleanliness and clarity despite exposure to contaminants,impurities abrasion,and hydraulic pressure.Inspired by the glass catfish’s natural attributes,this study introduces a new solution named subaquatic abrasion-resistant and anti-fouling window(SAAW).Utilizing femtosecond laser ablation and electrodeposition,the SAAW is engineered by embedding fine metal bone structures into a transparent substrate and anti-fouling sliding layer,akin to the sturdy bones among catfish’s body.This approach significantly bolsters the window’s abrasion resistance and anti-fouling performance while maintaining high light transmittance.The sliding layer on the SAAW’s surface remarkably reduces the friction of various liquids,which is the reason that SAAW owns the great anti-fouling property.The SAAW demonstrates outstanding optical clarity even after enduring hundreds of sandpaper abrasions,attributing to the fine metal bone structures bearing all external forces and protecting the sliding layer of SAAW.Furthermore,it exhibits exceptional resistance to biological adhesion and underwater pressure.In a green algae environment,the window remains clean with minimal change in transmittance over one month.Moreover,it retains its wettability and anti-fouling properties when subjected to a depth of 30 m of underwater pressure for 30 d.Hence,the SAAW prepared by femtosecond laser ablation and electrodeposition presents a promising strategy for developing stable optical windows in liquid environments.展开更多
Layered double hydroxides(LDHs)as coatings attract much attention in corrosion and protection of light metals due to their interesting properties such as in-situ synthesis,unique layer-stacking structure,tunable compo...Layered double hydroxides(LDHs)as coatings attract much attention in corrosion and protection of light metals due to their interesting properties such as in-situ synthesis,unique layer-stacking structure,tunable composition,and good biocompatibility as well.Currently,single LDH coating faces challenges such as time-consumed synthesis,thin coating thickness and inadequate density.This paper provides a systematic review of the cutting-edge advancements in modulation of composition,synthesis and applications of LDHs on Mg and Al alloys in corrosion protection and biomedicalfields.The focus is concentrated on the intercalation of corrosion inhibitors into LDH coatings.Particularly the anti-corrosion mechanisms of both inorganic anions(nitrate,vanadate,and molybdate)and organic anion intercalation(carboxylic acid anions and hydroxyquinolines)were discussed within the context of corrosion inhibitor intercalation LDH.The modification of LDHs is introduced with low surface energy substances such as silanes and fatty acids.The formation mechanism of LDHfilms and the active anti-corrosion mechanisms were proposed.A comparison of LDH coatings between Mg alloy and Al alloy was carried out from different perspectives,and further researches on LDH corrosion protection were prospected.展开更多
This is a review on resistant starch(RS),resistant dextrin(RD),and polydextrose(PDX),focusing on their similarities and differences.RS refers to the starch(or a portion of)that cannot be digested in the small intestin...This is a review on resistant starch(RS),resistant dextrin(RD),and polydextrose(PDX),focusing on their similarities and differences.RS refers to the starch(or a portion of)that cannot be digested in the small intestine,but can be partially fermented in the colon.The enzyme resistance of RS is mainly due to either its crystalline/granular structure or its interaction with other components.RD is produced by pyrodextrinization of starch,while PDX is produced by polycondensation of glucose and sorbitol.Both RD and PDX contain glycosidic linkages that are not digestible by the enzymes in the small intestine.RS is not soluble in water,whereas RD and PDX are soluble,mainly due to their molecular structures and other structural features.The major health benefits of RS,RD,and PDX are quite similar,including gut health,prebiotic effects,glycemic control,weight management,and prevention of cardiovascular disease.However,the efficacies can be different among them,for example,the degree and rate of gut fermentation.This review compares the definitions,functional properties,and health benefits of RS,RD,and PDX with the underlying mechanisms,which can be useful for their incorporation in food formulations to improve human health and wellness.展开更多
Bioremediation is an efficient and popular approach for domestic wastewater treatment while the pollutant discharge standards are difficult to achieve under low-temperature conditions. The application of cold-resistan...Bioremediation is an efficient and popular approach for domestic wastewater treatment while the pollutant discharge standards are difficult to achieve under low-temperature conditions. The application of cold-resistant bacteria has gained increasing attention, but direct introduction to sewage leads to poor environmental adaptability and low microbial activity. Biochar was used as a carrier to immobilize the bacteria to improve microbial survival and activity in this study. The basic physicochemical properties of bacteria immobilized by biochar and ammonium nitrogen removal efficiency were analyzed. The process mechanism of ammonium nitrogen removal was further explored using kinetic fitting and molecular simulation calculations. The results showed that biochar immobilization of cold-resistant bacteria achieved a significantly higher ammonium nitrogen removal rate of 0.88 mg/(L·h) compared to free mixed bacteria(0.74 mg/(L·h)) and biochar alone(0.22 mg/(L·h)). It also exhibited a removal efficiency of 96.56%, which was 15.02% and 72.58% higher than that of free mixed bacteria and biochar, respectively. Adsorption kinetics further revealed that the pseudosecond-order kinetic equation was a better fit for characterizing ammonia-nitrogen removal by biocharimmobilized cold-resistant bacteria. Combining microscopic morphology analysis and molecular simulations demonstrated that enriching functional groups on biochar enhanced its NH_4~+ adsorption capacity by increasing surface activity and polarity, as well as the biodegradation ability of NH_4~+ by improving the interactions between biochar and active enzymes. These findings provide valuable insights into developing more effective ways to improve wastewater treatment efficiency under low temperatures.展开更多
Recent studies have shown a noticeable increase in global Helicobacter pylori(H.pylori)resistance,with clarithromycin resistance surpassing 15%in various areas.However,inadequate epidemiological monitoring,especially ...Recent studies have shown a noticeable increase in global Helicobacter pylori(H.pylori)resistance,with clarithromycin resistance surpassing 15%in various areas.However,inadequate epidemiological monitoring,especially in developing countries,and the absence of uniform testing methods lead to discrepancies between regions and a possible underestimation of resistance levels.The complexity of treating H.pylori is driven by its highly dynamic genome,which is prone to frequent mutations contributing to phenotypical resistance.The usual course of action in empirical treatment involves using a combination of various drugs simultaneously,leading to significant resistance selection pressure and potential side effects.The emergence of H.pylori strains resistant to multiple drugs is closely tied to failures in first-line treatment,highlighting the need to prevent further resistance by using optimal initial empirical therapy or regimens guided by antibiotic susceptibility testing,requiring a collection of mixed samples and multiple isolates for accurate assessment.The emergence of new treatments like potassium-competitive acid blockers offers a hopeful approach to decrease antimicrobial usage while still ensuring effectiveness in comparison to traditional therapies with proton pump inhibitors.Additionally,the use of probiotics is under investigation to identify specific strains and formulations that may mitigate therapy-associated adverse effects.展开更多
Leptocybe invasa is an invasive pest,native to Australia,which causes serious damage to Eucalyptus all over the world.Here,we monitored gall development in resistant and susceptible Eucalyptus clones to determine whet...Leptocybe invasa is an invasive pest,native to Australia,which causes serious damage to Eucalyptus all over the world.Here,we monitored gall development in resistant and susceptible Eucalyptus clones to determine whether plant genotype affects the durations of the different gall stages.Gall development varied among six Eucalyptus clones that differed in susceptibility to L.invasa viz.,PE-5,316,3011,PE-11,3020 and P-13 in Punjab in a nethouse.In susceptible clones PE-5 and 316,L.invasa emerged from both green and pink galls.Five stages of gall formation were found:Stage 1(tissue disruption),Stage 2(gall develop-ment),Stage 3(glossy pink),Stage 4(dull pink)and Stage 5(exit hole)in susceptible clones when adults emerged from pink galls.However,in resistant clones,adults emerged only from green galls,and galls formed in three stages.In the susceptible clones,when adults emerged from pink galls,the life cycle was 105–115 d;however,when adults emerged from green galls,the duration was significantly shorter(81–87 d).In the most-resistant clone,P-13,corky tissue formed after oviposition,and galls did not develop further.In the resistant clones(3020,PE-11 and 3011),adults emerged from green galls,and the life cycle lasted 90–96 d.When adults emerged from green galls in susceptible and resist-ant clones,Stage 1 lasted longer in resistant clones than in the susceptible;however,in susceptible clones,Stage 5 was longer.When adults emerged from pink galls in susceptible clones and from green galls in resistant clones,the life cycle was longer in susceptible clones.In susceptible clones,the number of emergence holes was significantly higher than resistant clones.Gall width and gall length also differed significantly between susceptible and resistant clones.The results showed that the Eucalyptus genotype had a signifi-cant effect on gall development induced by gall wasps.展开更多
Dear Editor,Enterovirus 71(EV71)is the main pathogen of hand,foot,and mouth disease(HFMD),which is a serious public health threat,especially in the Asia-Pacific region(Wu et al.,2013).Due to the lack of effective anti...Dear Editor,Enterovirus 71(EV71)is the main pathogen of hand,foot,and mouth disease(HFMD),which is a serious public health threat,especially in the Asia-Pacific region(Wu et al.,2013).Due to the lack of effective antivirals for treatment,supportive therapy remains to be the primary measure for severe infections of EV71.EV71 belongs to the genus Enterovirus in the family of Picornavirridae.EV71 encodes a polyprotein that is proteolytically cleaved into four structural proteins and seven nonstructural proteins,i.e.,VP1 to VP4,2A to 2C,and 3A to 3D.Moreover,an alternative encoding strategy of harboring a novel open reading frame encoding a short peptide has been recently reported in gut epithelial cells infected with some enteroviruses(Lulla et al.,2019).Structural proteins play a key role in the packaging and maturation of virus particles,while non-structural proteins are mainly involved in the replication process of virus.Among them,the 3D polymerase(3Dpol)protein functions as an RNA-dependent RNA polymerase(RdRP)that is essential for viral RNA synthesis(Wu et al.,2010).展开更多
Yongtao Yu,Yuelin Yu et al.Solvent-Resistant Wearable Triboelectric Nanogenerator for Energy-Harvesting and Self-Powered Sensors.Energy Environ.Mater.2024,7,e12700.On page 4 of this article,the first paragraph of 2.4,...Yongtao Yu,Yuelin Yu et al.Solvent-Resistant Wearable Triboelectric Nanogenerator for Energy-Harvesting and Self-Powered Sensors.Energy Environ.Mater.2024,7,e12700.On page 4 of this article,the first paragraph of 2.4,line 14(PDF version,same below),there is a spelling mistake of“sui,”.It should be changed to“suitable”.The denominator“dt”in the Equation(3)should be changed to“dt”.展开更多
Resistant starch(RS)has attracted much researchers'attention because of its health-beneficial effects.Gut microbiota obviously shapes human health,but the effects of RS supplementation on the changes of human gut ...Resistant starch(RS)has attracted much researchers'attention because of its health-beneficial effects.Gut microbiota obviously shapes human health,but the effects of RS supplementation on the changes of human gut microbiota remain unclear.This observational meta-analysis aimed to reveal the effects of RS intake onα-diversity and composition of gut microbiota through meta-analysis.Two independent authors systematically searched articles from inception until February 2023 on four electronic databases.Twenty-four highly relevant trials were included conforming to Preferred Reporting Items for Systematic reviews and MetaAnalysis protocol,and a total of 816 individuals were included.Significant heterogeneity analyses revealed that RS intake notably decreased Shannon index(weighted mean difference(WMD):-0.11;95%confidence interval(CI):-0.21,-0.01),and stimulated the composition of health promoting bacteria genera,including Bifidobacterium(relative abundance:WMD:1.75;95%CI:0.39,3.11;bacterial populations:WMD:0.36;95%CI:0.04,0.69),Faecalibacterium(relative abundance:WMD:0.70;95%CI:0.20,1.20;fold change:effect size:0.91;95%CI:0.60,1.23),and Prevotella(relative abundance:WMD:0.35;95%CI:0.01,0.69).Taken together,the present study revealed that changes in the gut microbiota diversity and genera were correlated with RS supplementation,which may contribute to benefits in human health.展开更多
The in vitro and in vivo degradation behavior of an experimental Mg alloy with high corrosion resistance has been investigated and compared with that of a commercial AZ31 Mg alloy with a similar chemical composition.I...The in vitro and in vivo degradation behavior of an experimental Mg alloy with high corrosion resistance has been investigated and compared with that of a commercial AZ31 Mg alloy with a similar chemical composition.In vitro tests indicated that the experimental alloy is>2.5 times more resistant to degradation than AZ31 during immersion in HBSS at 37℃ for 72 h.In vivo tests in the femoral vein of a mouse confirmed that the former degrades much more slowly and uniformly in the biological environment than the latter.Compared with WE43 and JDBM alloys,which are currently considered promising candidates for Mg-based biodegradable materials,the experimental alloy in this study showed better degradation resistance with a similar level of biocompatibility.Microstructural and electrochemical factors affecting the degradation behavior of the alloys in this study are also discussed.展开更多
Background:C hina is a high-burden country for multidrug-r esistant tuberculosis/rifampin-resistant tuberculosis(MDR/RR-T B).Fluoroquinolones(FQs)are key drugs for the treatment of patients with MDR/RR-T B.However,res...Background:C hina is a high-burden country for multidrug-r esistant tuberculosis/rifampin-resistant tuberculosis(MDR/RR-T B).Fluoroquinolones(FQs)are key drugs for the treatment of patients with MDR/RR-T B.However,research on the resistance of FQs in Beijing is limited.Methods:W e collected clinical isolates from all patients with pulmonary TB in Beijing from January 2016 to December 2021,conducted drug-s ensitivity tests and sequencing for levofloxacin(LFX)and moxifloxacin(MFX),and collected the treatment plans and outcomes of the patients.Results:A total of 8512 clinical isolates were collected from patients with pulmonary TB,and 261 RR-T B strains were screened.The proportions of drug-s ensitive and drugresistant strains significantly differed by age group and treatment history.The rates of LFX and MFX resistance were 27.6%(72/261)and 36.4%(95/261),respectively.The detection rates of MDR-T B and pre-e xtensively drug-resistant TB(pre-X DR-T B)were 73.2%(191/261)and 36.4%(95/261),respectively,and the trends were significant(χ^(2)trend=9.995,p=0.002;χ^(2)trend=12.744,p=0.026).Among the 261 RR-T B strains,14.9%(24/261)were sensitive to LFX but resistant to MFX.Among the four patients with LFX-r esistant TB who received LFX treatment failed in three patients(Fisher's exact test,p=0.009).The common mutation sites were 94 and 90 in gyrA.A novel mutation Ala90Ser was discovered.Conclusions:F Qs resistance trends in RR-T B patients in Beijing are striking.Strains showed incomplete cross-resistance to LFX and MFX.Testing for FQs resistance and developing a reasonable treatment plan are recommended.Attention should be given to the changing trends in MDR-T B and pre-X DR-TB.展开更多
1Introduction To date,in model-based gait-planning methods,the dynamics of the center of mass(COM)of bipedal robots have been analyzed by establishing their linear inverted pendulum model(LIPM)or extended forms(Owaki ...1Introduction To date,in model-based gait-planning methods,the dynamics of the center of mass(COM)of bipedal robots have been analyzed by establishing their linear inverted pendulum model(LIPM)or extended forms(Owaki et al.,2010;Englsberger et al.,2015;Xie et al.,2020).With regard to model-based gait-generation methods for uphill and downhill terrain,Kuo(2007)simulated human gait using an inverted pendulum,which provided a circular trajectory for the COM rather than a horizontal trajectory.He found that a horizontal COM trajectory consumed more muscle energy.Massah et al.(2012)utilized a 3D LIPM and the concept of zero moment point(ZMP).They developed a trajectory planner using the semi-elliptical motion equations of an NAO humanoid robot and simulated walking on various sloped terrains using the Webots platform.展开更多
Objective:To analyze the risk factors associated with multidrug-resistant tuberculosis(MDR-TB)as a first national survey in Indonesia.Methods:This national coverage cross-sectional study was conducted from 2017 to 201...Objective:To analyze the risk factors associated with multidrug-resistant tuberculosis(MDR-TB)as a first national survey in Indonesia.Methods:This national coverage cross-sectional study was conducted from 2017 to 2018.The study subjects were selected using a multi-stage probability random sampling method.MDR-TB is tuberculosis caused by bacteria resistant to at least isoniazid and rifampicin.The dependent variable was MDR-TB.Independent variables included age,sex,education,employment status,place of residence,history of living with TB patients,and the number of household members.Univariate and multivariate logistic regression models were used to analyze the risk factors associated with MDR-TB.All the data were analyzed using STATA V.14.0(Stata Corp LLC,College Station,TX).Results:This study found the MDR rate was 109/3234(3.4%)among positive pulmonary TB patients.More than twice as many patients had MDR re-treatment(74/3234,2.3%),compared to 35/3234(1.1%)who had new TB diagnoses or were getting initial treatment.After adjusting for employment status,individuals with a prior history of tuberculosis treatment were found to have significantly higher odds of developing MDR-TB,with an odds ratio of 7.22(95%CI 3.87-13.44).Conclusions:Increasing attention should be paid to these patients to prevent MDR-TB,and MDR-TB transmission is an urgent challenge for controlling TB worldwide.Early detection of MDR-TB is a critical part of TB control programs.展开更多
A high humidity-resistant,dual mechanical responsive,and reversible mechanochromic wrinkling system based on a VHB 4910-polydimethylsiloxane(PDMS)substrate with a thin film consisting of 90 wt%poly(vinyl butyral)(PVB)...A high humidity-resistant,dual mechanical responsive,and reversible mechanochromic wrinkling system based on a VHB 4910-polydimethylsiloxane(PDMS)substrate with a thin film consisting of 90 wt%poly(vinyl butyral)(PVB)and 10 wt%hydroxypropyl cellulose(HPC)has been reported.The wrinkling system exhibited significant optical tuning from transparent to opaque states with 50%changes in transmittance,which was achieved through the dual mechanical modes of pre-stretching and releasing processes or bending.Upon exposure to ethanol vapor or a re-flattening process,wrinkles can be erased,yielding a transparent state.Consequently,the wrinkling system could be reversibly switched between transparency and opacity for 1000 cycles with marginal changes in the optical performance.Owing to the insolubility of PVB in water,the wrinkling patterns exhibited excellent durability in high-humidity environments(relative humidity(RH)=99%).Furthermore,the smart encryption device is also demonstrated via mechano-controlled surface topography by patterning the wrinkling system,suggesting potential applications of the designed structure in smart windows,anti-counterfeiting,dynamic display,optical information encryption,and rewritable surfaces.展开更多
BACKGROUND The upsurge of antibiotic resistance is a significant challenge to public health,and the dry pipeline of new antibiotics has prompted the discovery of alternative treatment approaches.Enterococcus faecalis(...BACKGROUND The upsurge of antibiotic resistance is a significant challenge to public health,and the dry pipeline of new antibiotics has prompted the discovery of alternative treatment approaches.Enterococcus faecalis(E.faecalis)isolates are often multidrugresistant,posing challenges to antibiotic therapy.Bacteriophage therapy is being explored as an alternative method to treat the growing population of antibioticresistant infections.Nevertheless,many inherent limitations of phages diminish their therapeutic utility,notably the restricted host range and quick development of mutants.The specific types and quantities of bacteriophages and antibiotics may be crucial in generating the optimal phage-antibiotic synergy.AIM To optimize the doses,order,and timing to optimize the synergy of phages and vancomycin on different bacteria states.METHODS A volume of 180μL of E.faecalis bacteria in the logarithmic growth phase,with a concentration of approximately 1×10^(8)colony forming units(CFUs)/mL,was introduced onto a microtitre plate.Subsequently,20μL of phage suspension(1×10^(6)PFUs/mL),vancomycin(16μg/mL),or a combination of both was introduced into the designated wells in the specified sequence and incubated at 37°C for 48 hours.The number of live bacteria was counted at different time points using standardized CFU counting protocols.RESULTS The biofilm model demonstrated that combining phages with vancomycin can eradicate the biofilm.Sequential therapy,involving phage application 8 hours before the antibiotic at a concentration of 108 PFUs/mL,proved the most efficient in eliminating the biofilms and killing the planktonic form of E.faecalis.CONCLUSION The combination of phageɸEFP01 at a higher concentration with a subinhibitory concentration of vancomycin yields a synergistic antibacterial outcome on E.faecalis strain resistant to vancomycin.展开更多
基金supported by the National Key Re-search and Development Program of China(No.2022YFB4002100)the National Natural Science Foundation of China(No.52271136)the Natural Science Foundation of Shaanxi Province(Nos.2019TD-020 and 2021JC-06).
文摘Proton exchange membrane water electrolysis(PEMWE)is one of the most promising strategies to pro-duce green hydrogen energy,and it is crucial to exploit highly conductive and good corrosion-resistant coatings on bipolar plates(BPs),one of the core components in PEMWE cells.In this work,NbN coatings are deposited on Ti BPs by magnetron sputtering to improve the corrosion resistance and conductivity,for which the critical process parameters,such as the working pressure,partial nitrogen pressure and de-position temperature are well optimized.It is found that the compact microstructure,highly conductive δ-NbN and uniform nanoparticles play a dominant role in the synergistic improvement of the corrosion resistance and electrical conductivity of NbN coatings.The optimized NbN coatings exhibit excellent cor-rosion resistance with the low corrosion current density of 1.1×10^(-8) A cm^(-2),a high potential value of-0.005 V vs.SCE and a low ICR value of 15.8 mΩcm2@1.5 MPa.Accordingly,NbN coatings can be a promising candidate for the development of the low-cost and high-anti-corrosion Ti BPs of PEMWE.
文摘BACKGROUND Liver transplant(LT)recipients are susceptible to carbapenem-resistant Klebsiella pneumoniae(CRKP)infections.Comprehensive research addressing the incidence,timing,infection sites,resistance patterns,treatment options,and associated risk factors among LT recipients with CRKP is now lacking.AIM To assess the incidence,resistance,therapy,and risk factors of CRKP infections post-LT,and to evaluate the impact of them on prognosis.METHODS A retrospective study was conducted,including 430 consecutive patients who underwent LT between January 2015 and June 2023.This study aimed to investigate the risk factors for CRKP infections and their influence on outcomes using logistic regression analysis.RESULTS Among the 430 patients who underwent LT,20(4.7%)experienced at least one documented CRKP infection within 3 months post-transplantation.The median time from LT to the onset of CRKP infections was 6.5 days.The lungs and bloodstream were the most common sites of CRKP infections.CRKP isolates were relatively susceptible to ceftazidime/avibactam(93.7%),polymyxin B(90.6%),and tigecycline(75.0%)treatment.However,all isolates were resistant to piperacillin/tazobactam,ceftazidime,cefepime,aztreonam,meropenem,and levofloxacin treatment.Recipients with CRKP infections had a mortality rate of 35%,the rate was 12.5%for those receiving ceftazidime/avibactam therapy.Multivariate analysis identified female sex[odds ratio(OR)=3.306;95%confidence interval(CI):1.239-8.822;P=0.017],intraoperative bleeding≥3000 mL(OR=3.269;95%CI:1.018-10.490;P=0.047),alanine aminotransferase on day 1 post-LT≥1500 U/L(OR=4.370;95%CI:1.686-11.326;P=0.002),and post-LT mechanical ventilation(OR=2.772;95%CI:1.077-7.135;P=0.035)as significant variables associated with CRKP.CRKP infections were related to an intensive care unit length(ICU)of stay≥7 days and 6-month all-cause mortality post-LT.CONCLUSION CRKP infections were frequent complications following LT,with poor associated outcomes.Risk factors for post-LT CRKP infections included female sex,significant intraoperative bleeding,elevated alanine aminotransferase levels,and the need for mechanical ventilation.CRKP infections negatively impacted survival and led to prolonged ICU stays.
基金Guangdong Basic and Applied Basic Research Foundation(grant number 2024A1515010319 to J.Q.)Science and Technology Program of Shenzhen(grant numbers KCXFZ20230731100901003 to J.Q.and L.L.,KJZD20230923115116032 to J.Q.,JCYJ20190809144005609 to J.Q.)+1 种基金Shenzhen Key Laboratory of Biochip(grant number ZDSYS201504301534057 to J.Q.)Shenzhen High-level Hospital Construction Fund(to J.Q.).
文摘Nosocomial pathogen carbapenem-resistant Klebsiella pneumoniae(CRKP)poses a heightened risk to public health through carbapenem resistance and virulence convergence,particularly in China’s dominant sequence type 11(ST11)clone[1,2].Monoclonal K.pneumoniae exhibits within-host diversity during prolonged infections[3–5],with certain variants surviving through adaptation[4,6].CRKP strains from the blood of a single patient are heterogeneous in terms of antibiotic susceptibility,capsular polysaccharide production,and mucoviscosity[3].Intra-host evolution drives novel resistance via cumulative mutations(e.g.,the transcriptional regulator gene ramR mutations and the outer membrane porin gene OmpK35 loss)[4].
基金supported by the National Natural Science Foundation of China (Nos.52100182 and 52300204)the the Science and Technology Innovation Program of Hunan Province (No.2023RC3122).
文摘Because of the recent widespread usage of antibiotics,the acquisition and dissemination of antibiotic-resistance genes(ARGs)were prevalent in the majority of habitats.Generally,the biological wastewater treatment processes used in wastewater treatment plants have a limited efficiencies of antibiotics resistant bacteria(ARB)disinfection and ARGs degradation and even promote the proliferation of ARGs.Problematically,ARB and ARGs in effluent pose potential risks if they are not further treated.Photocatalytic oxidation is considered a promising disinfection technology,where the photocatalytic process generates many free radicals that enhance the interaction between light and deoxyribonucleic acid(DNA)for ARB elimination and subsequent degradation of ARGs.This reviewaims to illustrate the progress of photocatalytic oxidation technology for removing antibiotics resistant(AR)from wastewater in recent years.We discuss the sources and transfer of ARGs in wastewater.The overall removal efficiencies of ultraviolet radiation(UV)/chlorination,UV/ozone,UV/H_(2)O_(2),and UV/sulfate-radical based system for ARB and ARGs,as well as the experimental parameters and removal mechanisms,are systematically discussed.The contribution of photocatalytic materials based on TiO_(2) and g-C_(3)N_(4) to the inactivation of ARB and degradation of ARGs is highlighted,producingmany free radicals to attack ARB and ARGs while effectively limiting the horizontal gene transfer(HGT)in wastewater.Finally,based on the reviewed studies,future research directions are proposed to realize specific photocatalytic oxidation technology applications and overcome current challenges.
基金financially supported by the National Natural Science Foundation of China(Nos.52403117,52173083,51991355,and 52173082)the 2024 Ningbo Yongjiang Talent Programme,the Natural Science Foundation of Zhejiang Province(No.LY24E030007)the Australian Research Council(No.DE230100616).
文摘A series of transparent,intrinsically flame-retardant,and impact-resistant poly(carbonates-b-siloxanes)were synthesized by incorporating Schiff-base modified polysiloxanes(DMS-Schiff)and naphthalene-sulfonate units into the polycarbonate(PC)chain.In addition to high transparency,the resultant copolymers(SS-co-PC5,SS-co-PC9,SS-co-PC14,and SS-co-PC20)exhibited remarkable improvements in fire safety and mechanical performance.Compared to pure PC,these copolymers demonstrated significantly enhanced limiting oxygen index(LOI,up to 34.5%)and a UL-94 V-0 rating under a thickness of only 1.6 mm.The incorporation of the polysiloxane blocks not only improved flame retardancy but also enhanced the impact strength,with SS-co-PC9 showing a 48%increase in elongation at break and a 38%rise in impact toughness compared to pure PC.In addition,SS-co-PC9 presented high mechanical strength.The synergistic effects between the naphthalene-sulfonate and polysiloxane blocks,along with the well-controlled polysiloxane phase separation(sulfonate units enabled lower processing viscosity of copolymers),led to superior comprehensive performance.These findings provide a promising pathway to create high-performance copolycarbonates for real-world applications.
基金supported by the National Science Foundation of China under Grant Nos(Nos.12127806,62175195)the International Joint Research Laboratory for Micro/Nano Manufacturing and Measurement Technologies。
文摘Transparent materials utilized as underwater optical windows are highly vulnerable to various forms of pollution or abrasion due to their intrinsic hydrophilic properties.This susceptibility is particularly pronounced in underwater environments where pollutants can impede the operation of these optical devices,significantly degrading or even compromising their optical properties.The glass catfish,known for its remarkable transparency in water,maintains surface cleanliness and clarity despite exposure to contaminants,impurities abrasion,and hydraulic pressure.Inspired by the glass catfish’s natural attributes,this study introduces a new solution named subaquatic abrasion-resistant and anti-fouling window(SAAW).Utilizing femtosecond laser ablation and electrodeposition,the SAAW is engineered by embedding fine metal bone structures into a transparent substrate and anti-fouling sliding layer,akin to the sturdy bones among catfish’s body.This approach significantly bolsters the window’s abrasion resistance and anti-fouling performance while maintaining high light transmittance.The sliding layer on the SAAW’s surface remarkably reduces the friction of various liquids,which is the reason that SAAW owns the great anti-fouling property.The SAAW demonstrates outstanding optical clarity even after enduring hundreds of sandpaper abrasions,attributing to the fine metal bone structures bearing all external forces and protecting the sliding layer of SAAW.Furthermore,it exhibits exceptional resistance to biological adhesion and underwater pressure.In a green algae environment,the window remains clean with minimal change in transmittance over one month.Moreover,it retains its wettability and anti-fouling properties when subjected to a depth of 30 m of underwater pressure for 30 d.Hence,the SAAW prepared by femtosecond laser ablation and electrodeposition presents a promising strategy for developing stable optical windows in liquid environments.
基金supported by the National Natural Science Foundation of China(Grant Nos.52471080 and 52071191).
文摘Layered double hydroxides(LDHs)as coatings attract much attention in corrosion and protection of light metals due to their interesting properties such as in-situ synthesis,unique layer-stacking structure,tunable composition,and good biocompatibility as well.Currently,single LDH coating faces challenges such as time-consumed synthesis,thin coating thickness and inadequate density.This paper provides a systematic review of the cutting-edge advancements in modulation of composition,synthesis and applications of LDHs on Mg and Al alloys in corrosion protection and biomedicalfields.The focus is concentrated on the intercalation of corrosion inhibitors into LDH coatings.Particularly the anti-corrosion mechanisms of both inorganic anions(nitrate,vanadate,and molybdate)and organic anion intercalation(carboxylic acid anions and hydroxyquinolines)were discussed within the context of corrosion inhibitor intercalation LDH.The modification of LDHs is introduced with low surface energy substances such as silanes and fatty acids.The formation mechanism of LDHfilms and the active anti-corrosion mechanisms were proposed.A comparison of LDH coatings between Mg alloy and Al alloy was carried out from different perspectives,and further researches on LDH corrosion protection were prospected.
文摘This is a review on resistant starch(RS),resistant dextrin(RD),and polydextrose(PDX),focusing on their similarities and differences.RS refers to the starch(or a portion of)that cannot be digested in the small intestine,but can be partially fermented in the colon.The enzyme resistance of RS is mainly due to either its crystalline/granular structure or its interaction with other components.RD is produced by pyrodextrinization of starch,while PDX is produced by polycondensation of glucose and sorbitol.Both RD and PDX contain glycosidic linkages that are not digestible by the enzymes in the small intestine.RS is not soluble in water,whereas RD and PDX are soluble,mainly due to their molecular structures and other structural features.The major health benefits of RS,RD,and PDX are quite similar,including gut health,prebiotic effects,glycemic control,weight management,and prevention of cardiovascular disease.However,the efficacies can be different among them,for example,the degree and rate of gut fermentation.This review compares the definitions,functional properties,and health benefits of RS,RD,and PDX with the underlying mechanisms,which can be useful for their incorporation in food formulations to improve human health and wellness.
基金financial support from the Western Light Young Scholars Project,Chinese Academy of Sciences (2022)the Science and Technology Project of Sichuan Province,China (Project No.2021YFG0279)。
文摘Bioremediation is an efficient and popular approach for domestic wastewater treatment while the pollutant discharge standards are difficult to achieve under low-temperature conditions. The application of cold-resistant bacteria has gained increasing attention, but direct introduction to sewage leads to poor environmental adaptability and low microbial activity. Biochar was used as a carrier to immobilize the bacteria to improve microbial survival and activity in this study. The basic physicochemical properties of bacteria immobilized by biochar and ammonium nitrogen removal efficiency were analyzed. The process mechanism of ammonium nitrogen removal was further explored using kinetic fitting and molecular simulation calculations. The results showed that biochar immobilization of cold-resistant bacteria achieved a significantly higher ammonium nitrogen removal rate of 0.88 mg/(L·h) compared to free mixed bacteria(0.74 mg/(L·h)) and biochar alone(0.22 mg/(L·h)). It also exhibited a removal efficiency of 96.56%, which was 15.02% and 72.58% higher than that of free mixed bacteria and biochar, respectively. Adsorption kinetics further revealed that the pseudosecond-order kinetic equation was a better fit for characterizing ammonia-nitrogen removal by biocharimmobilized cold-resistant bacteria. Combining microscopic morphology analysis and molecular simulations demonstrated that enriching functional groups on biochar enhanced its NH_4~+ adsorption capacity by increasing surface activity and polarity, as well as the biodegradation ability of NH_4~+ by improving the interactions between biochar and active enzymes. These findings provide valuable insights into developing more effective ways to improve wastewater treatment efficiency under low temperatures.
基金Supported by the Industrial Technological Initiation Scholarship of National Council for Scientific and Technological Development,CNPq,Brazil,No.0932204294929829 and No.7414780530977345the Scientific Initiation Scholarship Programme(PIBIC)of National Council for Scientific and Technological Development,CNPq,Brazil,No.5763023359532159,No.6472982965854452,and No.7340128440641417+2 种基金the Scientific Initiation Scholarship Programme(PIBIC)of Bahia State Research Support Foundation,FAPESB,Brazil,No.19.573.301.5418the PERMANECER Programme of Pro-Rectory of Student Assistance at Federal University of Bahia,No.R8EZ-4V4W-6LQX-5LC8the CNPq Research Productivity Fellow,No.4357511882624145.
文摘Recent studies have shown a noticeable increase in global Helicobacter pylori(H.pylori)resistance,with clarithromycin resistance surpassing 15%in various areas.However,inadequate epidemiological monitoring,especially in developing countries,and the absence of uniform testing methods lead to discrepancies between regions and a possible underestimation of resistance levels.The complexity of treating H.pylori is driven by its highly dynamic genome,which is prone to frequent mutations contributing to phenotypical resistance.The usual course of action in empirical treatment involves using a combination of various drugs simultaneously,leading to significant resistance selection pressure and potential side effects.The emergence of H.pylori strains resistant to multiple drugs is closely tied to failures in first-line treatment,highlighting the need to prevent further resistance by using optimal initial empirical therapy or regimens guided by antibiotic susceptibility testing,requiring a collection of mixed samples and multiple isolates for accurate assessment.The emergence of new treatments like potassium-competitive acid blockers offers a hopeful approach to decrease antimicrobial usage while still ensuring effectiveness in comparison to traditional therapies with proton pump inhibitors.Additionally,the use of probiotics is under investigation to identify specific strains and formulations that may mitigate therapy-associated adverse effects.
文摘Leptocybe invasa is an invasive pest,native to Australia,which causes serious damage to Eucalyptus all over the world.Here,we monitored gall development in resistant and susceptible Eucalyptus clones to determine whether plant genotype affects the durations of the different gall stages.Gall development varied among six Eucalyptus clones that differed in susceptibility to L.invasa viz.,PE-5,316,3011,PE-11,3020 and P-13 in Punjab in a nethouse.In susceptible clones PE-5 and 316,L.invasa emerged from both green and pink galls.Five stages of gall formation were found:Stage 1(tissue disruption),Stage 2(gall develop-ment),Stage 3(glossy pink),Stage 4(dull pink)and Stage 5(exit hole)in susceptible clones when adults emerged from pink galls.However,in resistant clones,adults emerged only from green galls,and galls formed in three stages.In the susceptible clones,when adults emerged from pink galls,the life cycle was 105–115 d;however,when adults emerged from green galls,the duration was significantly shorter(81–87 d).In the most-resistant clone,P-13,corky tissue formed after oviposition,and galls did not develop further.In the resistant clones(3020,PE-11 and 3011),adults emerged from green galls,and the life cycle lasted 90–96 d.When adults emerged from green galls in susceptible and resist-ant clones,Stage 1 lasted longer in resistant clones than in the susceptible;however,in susceptible clones,Stage 5 was longer.When adults emerged from pink galls in susceptible clones and from green galls in resistant clones,the life cycle was longer in susceptible clones.In susceptible clones,the number of emergence holes was significantly higher than resistant clones.Gall width and gall length also differed significantly between susceptible and resistant clones.The results showed that the Eucalyptus genotype had a signifi-cant effect on gall development induced by gall wasps.
基金supported by Hubei Provincial Natural Science Foundation of China(2025AFB822)National Key Research and Development Program of China(No.2022YFD1800100)National Natural Science Foundation of China(32100110).
文摘Dear Editor,Enterovirus 71(EV71)is the main pathogen of hand,foot,and mouth disease(HFMD),which is a serious public health threat,especially in the Asia-Pacific region(Wu et al.,2013).Due to the lack of effective antivirals for treatment,supportive therapy remains to be the primary measure for severe infections of EV71.EV71 belongs to the genus Enterovirus in the family of Picornavirridae.EV71 encodes a polyprotein that is proteolytically cleaved into four structural proteins and seven nonstructural proteins,i.e.,VP1 to VP4,2A to 2C,and 3A to 3D.Moreover,an alternative encoding strategy of harboring a novel open reading frame encoding a short peptide has been recently reported in gut epithelial cells infected with some enteroviruses(Lulla et al.,2019).Structural proteins play a key role in the packaging and maturation of virus particles,while non-structural proteins are mainly involved in the replication process of virus.Among them,the 3D polymerase(3Dpol)protein functions as an RNA-dependent RNA polymerase(RdRP)that is essential for viral RNA synthesis(Wu et al.,2010).
文摘Yongtao Yu,Yuelin Yu et al.Solvent-Resistant Wearable Triboelectric Nanogenerator for Energy-Harvesting and Self-Powered Sensors.Energy Environ.Mater.2024,7,e12700.On page 4 of this article,the first paragraph of 2.4,line 14(PDF version,same below),there is a spelling mistake of“sui,”.It should be changed to“suitable”.The denominator“dt”in the Equation(3)should be changed to“dt”.
基金financially supported by the National Key R&D Program of China(2022YFF1100600,2022YFF1100605)the Science and Technology Support Program(Modern Agriculture)of Jiangsu Province(BE2022323)the National Natural Science Foundation of China(32302011)。
文摘Resistant starch(RS)has attracted much researchers'attention because of its health-beneficial effects.Gut microbiota obviously shapes human health,but the effects of RS supplementation on the changes of human gut microbiota remain unclear.This observational meta-analysis aimed to reveal the effects of RS intake onα-diversity and composition of gut microbiota through meta-analysis.Two independent authors systematically searched articles from inception until February 2023 on four electronic databases.Twenty-four highly relevant trials were included conforming to Preferred Reporting Items for Systematic reviews and MetaAnalysis protocol,and a total of 816 individuals were included.Significant heterogeneity analyses revealed that RS intake notably decreased Shannon index(weighted mean difference(WMD):-0.11;95%confidence interval(CI):-0.21,-0.01),and stimulated the composition of health promoting bacteria genera,including Bifidobacterium(relative abundance:WMD:1.75;95%CI:0.39,3.11;bacterial populations:WMD:0.36;95%CI:0.04,0.69),Faecalibacterium(relative abundance:WMD:0.70;95%CI:0.20,1.20;fold change:effect size:0.91;95%CI:0.60,1.23),and Prevotella(relative abundance:WMD:0.35;95%CI:0.01,0.69).Taken together,the present study revealed that changes in the gut microbiota diversity and genera were correlated with RS supplementation,which may contribute to benefits in human health.
基金supported by the National Research Foundation of Korea(NRF)grant funded by the Korean government(MSIT)(No.RS-2023-00208762)the Ulsan University Hospital Research Grant(UUH-2020-01)the 2025 Research Fund(1.250008.01)of UNIST(Ulsan National Institute of Science and Technology)。
文摘The in vitro and in vivo degradation behavior of an experimental Mg alloy with high corrosion resistance has been investigated and compared with that of a commercial AZ31 Mg alloy with a similar chemical composition.In vitro tests indicated that the experimental alloy is>2.5 times more resistant to degradation than AZ31 during immersion in HBSS at 37℃ for 72 h.In vivo tests in the femoral vein of a mouse confirmed that the former degrades much more slowly and uniformly in the biological environment than the latter.Compared with WE43 and JDBM alloys,which are currently considered promising candidates for Mg-based biodegradable materials,the experimental alloy in this study showed better degradation resistance with a similar level of biocompatibility.Microstructural and electrochemical factors affecting the degradation behavior of the alloys in this study are also discussed.
基金The Research and Cultivation Spectial Project of Beijing Center for Disease Prevention and Control,Grant/Award Number:2023-KYJH-03。
文摘Background:C hina is a high-burden country for multidrug-r esistant tuberculosis/rifampin-resistant tuberculosis(MDR/RR-T B).Fluoroquinolones(FQs)are key drugs for the treatment of patients with MDR/RR-T B.However,research on the resistance of FQs in Beijing is limited.Methods:W e collected clinical isolates from all patients with pulmonary TB in Beijing from January 2016 to December 2021,conducted drug-s ensitivity tests and sequencing for levofloxacin(LFX)and moxifloxacin(MFX),and collected the treatment plans and outcomes of the patients.Results:A total of 8512 clinical isolates were collected from patients with pulmonary TB,and 261 RR-T B strains were screened.The proportions of drug-s ensitive and drugresistant strains significantly differed by age group and treatment history.The rates of LFX and MFX resistance were 27.6%(72/261)and 36.4%(95/261),respectively.The detection rates of MDR-T B and pre-e xtensively drug-resistant TB(pre-X DR-T B)were 73.2%(191/261)and 36.4%(95/261),respectively,and the trends were significant(χ^(2)trend=9.995,p=0.002;χ^(2)trend=12.744,p=0.026).Among the 261 RR-T B strains,14.9%(24/261)were sensitive to LFX but resistant to MFX.Among the four patients with LFX-r esistant TB who received LFX treatment failed in three patients(Fisher's exact test,p=0.009).The common mutation sites were 94 and 90 in gyrA.A novel mutation Ala90Ser was discovered.Conclusions:F Qs resistance trends in RR-T B patients in Beijing are striking.Strains showed incomplete cross-resistance to LFX and MFX.Testing for FQs resistance and developing a reasonable treatment plan are recommended.Attention should be given to the changing trends in MDR-T B and pre-X DR-TB.
基金supported by the National Natural Science Foundation of China(No.12332023)the Zhejiang Provincial Natural Science Foundation of China(No.LY23E050010).
文摘1Introduction To date,in model-based gait-planning methods,the dynamics of the center of mass(COM)of bipedal robots have been analyzed by establishing their linear inverted pendulum model(LIPM)or extended forms(Owaki et al.,2010;Englsberger et al.,2015;Xie et al.,2020).With regard to model-based gait-generation methods for uphill and downhill terrain,Kuo(2007)simulated human gait using an inverted pendulum,which provided a circular trajectory for the COM rather than a horizontal trajectory.He found that a horizontal COM trajectory consumed more muscle energy.Massah et al.(2012)utilized a 3D LIPM and the concept of zero moment point(ZMP).They developed a trajectory planner using the semi-elliptical motion equations of an NAO humanoid robot and simulated walking on various sloped terrains using the Webots platform.
基金supported by the Global Alliance for TB Drug Development(TB Alliance)the Global Fund(No.:HK.05.01/1/34.3/2018)the World Health Organization(WHO).
文摘Objective:To analyze the risk factors associated with multidrug-resistant tuberculosis(MDR-TB)as a first national survey in Indonesia.Methods:This national coverage cross-sectional study was conducted from 2017 to 2018.The study subjects were selected using a multi-stage probability random sampling method.MDR-TB is tuberculosis caused by bacteria resistant to at least isoniazid and rifampicin.The dependent variable was MDR-TB.Independent variables included age,sex,education,employment status,place of residence,history of living with TB patients,and the number of household members.Univariate and multivariate logistic regression models were used to analyze the risk factors associated with MDR-TB.All the data were analyzed using STATA V.14.0(Stata Corp LLC,College Station,TX).Results:This study found the MDR rate was 109/3234(3.4%)among positive pulmonary TB patients.More than twice as many patients had MDR re-treatment(74/3234,2.3%),compared to 35/3234(1.1%)who had new TB diagnoses or were getting initial treatment.After adjusting for employment status,individuals with a prior history of tuberculosis treatment were found to have significantly higher odds of developing MDR-TB,with an odds ratio of 7.22(95%CI 3.87-13.44).Conclusions:Increasing attention should be paid to these patients to prevent MDR-TB,and MDR-TB transmission is an urgent challenge for controlling TB worldwide.Early detection of MDR-TB is a critical part of TB control programs.
基金supported by the Science and Technology Development Fund(FDCT),Macao SAR(No.0149/2022/A),and(No.0046/2024/AFJ)Guangdong Science and Technology Department(No.2023QN10C305)。
文摘A high humidity-resistant,dual mechanical responsive,and reversible mechanochromic wrinkling system based on a VHB 4910-polydimethylsiloxane(PDMS)substrate with a thin film consisting of 90 wt%poly(vinyl butyral)(PVB)and 10 wt%hydroxypropyl cellulose(HPC)has been reported.The wrinkling system exhibited significant optical tuning from transparent to opaque states with 50%changes in transmittance,which was achieved through the dual mechanical modes of pre-stretching and releasing processes or bending.Upon exposure to ethanol vapor or a re-flattening process,wrinkles can be erased,yielding a transparent state.Consequently,the wrinkling system could be reversibly switched between transparency and opacity for 1000 cycles with marginal changes in the optical performance.Owing to the insolubility of PVB in water,the wrinkling patterns exhibited excellent durability in high-humidity environments(relative humidity(RH)=99%).Furthermore,the smart encryption device is also demonstrated via mechano-controlled surface topography by patterning the wrinkling system,suggesting potential applications of the designed structure in smart windows,anti-counterfeiting,dynamic display,optical information encryption,and rewritable surfaces.
文摘BACKGROUND The upsurge of antibiotic resistance is a significant challenge to public health,and the dry pipeline of new antibiotics has prompted the discovery of alternative treatment approaches.Enterococcus faecalis(E.faecalis)isolates are often multidrugresistant,posing challenges to antibiotic therapy.Bacteriophage therapy is being explored as an alternative method to treat the growing population of antibioticresistant infections.Nevertheless,many inherent limitations of phages diminish their therapeutic utility,notably the restricted host range and quick development of mutants.The specific types and quantities of bacteriophages and antibiotics may be crucial in generating the optimal phage-antibiotic synergy.AIM To optimize the doses,order,and timing to optimize the synergy of phages and vancomycin on different bacteria states.METHODS A volume of 180μL of E.faecalis bacteria in the logarithmic growth phase,with a concentration of approximately 1×10^(8)colony forming units(CFUs)/mL,was introduced onto a microtitre plate.Subsequently,20μL of phage suspension(1×10^(6)PFUs/mL),vancomycin(16μg/mL),or a combination of both was introduced into the designated wells in the specified sequence and incubated at 37°C for 48 hours.The number of live bacteria was counted at different time points using standardized CFU counting protocols.RESULTS The biofilm model demonstrated that combining phages with vancomycin can eradicate the biofilm.Sequential therapy,involving phage application 8 hours before the antibiotic at a concentration of 108 PFUs/mL,proved the most efficient in eliminating the biofilms and killing the planktonic form of E.faecalis.CONCLUSION The combination of phageɸEFP01 at a higher concentration with a subinhibitory concentration of vancomycin yields a synergistic antibacterial outcome on E.faecalis strain resistant to vancomycin.
