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Cl415, the carbapenem-resistant Acinetobacter baumannii identify that contains a number of AbaR4 along with a brand-new different associated with AbGRI2, represents a novel worldwide duplicate Only two stress.
Arctic ecosystems are changing rapidly in response to climate warming. BMS354825 While Arctic mammals are highly evolved to these extreme environments, particularly with respect to their stress axis, some species may have limited capacity to adapt to this change. We examined changes in key components of the stress axis (cortisol and its carrier protein - corticosteroid binding globulin) in polar bears (Ursus maritimus) from western Hudson Bay (N = 300) over a 33-year period (1983-2015) during which time the ice-free period was increasing. Changing sea ice phenology limits spring hunting opportunities and extends the period of onshore fasting. We assessed the response of polar bears to a standardized stressor (helicopter pursuit, darting, and immobilization) during their onshore fasting period (late summer-autumn) and quantified the serum levels of the maximum corticosteroid binding capacity (MCBC) of corticosteroid binding globulin, the serum protein that binds cortisol strongly, and free cortisol. We quantified bear condition (age, sex, female with cubs or not, fat condition), sea ice (breakup in spring-summer, one year lagged freeze-up in autumn) and duration of fasting until sample collection as well as cumulative impacts of the latter environmental traits from the previous year. Data were separated into 'good' years (1983-1990) when conditions were thought to be optimal and 'poor' years (1991-2015) when sea-ice conditions deteriorated and fasting on land was extended. MCBC explained 39.4% of the variation in the good years, but only 28.1% in the poor ones, using both biological and environmental variables. MCBC levels decreased with age. Changes in free cortisol were complex, but more poorly explained. Counterintuitively, MCBC levels increased with increased time onshore, with 1-year lag effects, and in poor ice years. We conclude that MCBC is a biomarker of stress in polar bears and that the changes we document are a consequence of climate warming. This article is protected by copyright. link2 All rights reserved.The practicality of obtaining liquid- and solid-state 207 Pb nuclear magnetic resonance (NMR) spectra with a low permanent-field magnet is investigated. Obtaining 207 Pb NMR spectra of salts in solution is shown to be viable for samples as dilute as 0.05 M. The concentration dependence of the 207 Pb chemical shifts for lead nitrate was investigated; the results are comparable to those obtained with high-field instruments. Likewise, the isotope effect of substituting D2 O for H2 O as the solvent was investigated and found to be comparable to those reported previously. Obtaining solid-state 207 Pb NMR spectra is challenging, but we demonstrate the ability to obtain such spectra for three unique solid samples. An axially symmetric 207 Pb powder pattern for lead nitrate and the powder pattern expected for lead chloride reveal linewidths dominated by shielding anisotropy, while 207 Pb-35/37 Cl J-coupling dominates in the methylammonium lead chloride perovskite material. Finally, recent innovations and the future potential of the instruments are considered. This article is protected by copyright. All rights reserved.Therapeutic proteins are utilized in a variety of clinical applications, but side effects and rapid in vivo clearance still present hurdles. An approach that addresses both drawbacks is protein encapsulation within in a polymeric nanoparticle, which is effective but introduces the additional challenge of destabilizing the nanoparticle shell in clinically-relevant locations. This study examined the effects of crosslinking self-assembled poly(L-lysine)-grafted-poly(ethylene glycol) nanoparticles with redox-responsive 3,3'-dithiobis(sulfosuccinimidyl propionate) (DTSSP) to achieve nanoparticle destabilization in a reductive environment. The polymer-protein nanoparticles (DTSSP NPs) were formed through electrostatic self-assembly and crosslinked with DTSSP, which contains a glutathione-reducible disulfide. As glutathione is upregulated in various cancers, DTSSP NPs could display destabilization within cancer cells. A library of DTSSP NPs was formed with varying copolymer to protein (CP) and crosslinker to protein (XP) mass ratios and characterized by size and encapsulation efficiency. DTSSP NPs with a 71 CP ratio and 21 XP ratio were further characterized by stability in the presence proteases and reducing agents. DTSSP NPs fully encapsulated the model protein and displayed 81% protein release when incubated with 5 mM dithiothreitol for twelve hours. This work contributes to understanding stimulus-responsive crosslinking of polymeric nanoparticles and could be foundational to clinical administration of therapeutic proteins. This article is protected by copyright. All rights reserved. This article is protected by copyright. All rights reserved.BACKGROUND Buerger's disease (thromboangiitis obliterans) is a non-atherosclerotic, segmental inflammatory pathology that most commonly affects the small and medium sized arteries, veins, and nerves in the upper and lower extremities. The aetiology is unknown, but involves hereditary susceptibility, tobacco exposure, immune and coagulation responses. In many cases, there is no possibility of revascularisation to improve the condition. Pharmacological treatment is an option for patients with severe complications, such as ischaemic ulcers or rest pain.This is an update of the review first published in 2016. OBJECTIVES To assess the effectiveness of any pharmacological agent (intravenous or oral) compared with placebo or any other pharmacological agent in patients with Buerger's disease. SEARCH METHODS The Cochrane Vascular Information Specialist searched the Cochrane Vascular Specialised Register, Cochrane Central Register of Controlled Trials, MEDLINE, Embase, CINAHL, AMED, the World Health Organization Internteinaemia. Further well designed RCTs assessing the effectiveness of pharmacological agents (intravenous or oral) in people with Buerger's disease are needed. Copyright © 2020 The Cochrane Collaboration. Published by John Wiley & Sons, Ltd.OBJECTIVES/HYPOTHESIS Internal nasal valve compromise is a major cause of nasal obstruction, with a growing number of ways to treat this condition. In this study, we compared the effects of butterfly graft, spreader graft, and the bioabsorbable nasal implant on nasal airflow resistance. STUDY DESIGN Cadaver study. METHODS Computational fluid dynamics (CFD) simulations were completed from nine preoperative and postoperative cadaveric subjects. Each cadaveric head underwent placement of a bioabsorbable nasal implant (BNI) (Spirox Latera; Stryker ENT, Plymouth, MN), butterfly graft, or spreader graft. Pre- and postoperative computed tomography (CT) scans were used to generate three-dimensional models of the nasal airway used in steady-state CFD simulations of airflow and heat transfer during inspiration. RESULTS Butterfly graft placement resulted in a mean improvement in nasal airway resistance of 24.9% (±7.3), whereas BNI placement resulted in a 6.7% (±1.2) improvement, and spreader graft placement also resulted in a consistent improvement of 2.6% (±13.5). link3 Pressure within the main nasal cavity was consistently lower following butterfly graft placement versus a spreader graft or BNI. Butterfly and spreader graft placement also resulted in modest improvements in airflow allocation, whereas BNI demonstrated more variation (-1% to 12%). Heat flux was not significantly different; however, a small improvement in total heat flux was seen with all three interventions. CONCLUSIONS The results of this study demonstrate reduction in nasal airway resistance in all three surgical interventions, with the butterfly graft demonstrating superiority to the other two techniques. However, these data only reflect a static environment and not dynamic changes in airflow seen during respiration. LEVEL OF EVIDENCE NA Laryngoscope, 2020. © 2020 The American Laryngological, Rhinological and Otological Society, Inc.BACKGROUND The Patient+Partner (P+P) is a patient/partner-focused social cognitive intervention with demonstrated efficacy to improve outcomes following an initial ICD. Little is known about how the patient response may differ by ICD implant indication. The aim of this study was to examine the response to intervention for patients with an initial ICD by reasons for primary vs. secondary ICD indication. METHOD A longitudinal secondary analysis of data from a RCT testing the P+P intervention examined patient health outcomes over 12 months, stratified by the indication for the ICD primary prevention without CRT (1o No CRT-n = 100), primary prevention with CRT (1o CRT-n = 78), secondary prevention after cardiac arrest (2° Cardiac Arrest-n = 66), and secondary prevention for other arrhythmias (2o Other-n = 57). Outcomes included physical and mental health status (Short-Form-36 PCS and MCS), physical symptoms (Patient Concerns Assessment), depression (Patient-Health-Questionniare-9) and anxiety (State-Trait Anxiety Inventory). RESULTS Participants (n = 301) were on average 64 years old, primarily male (73.7%) and Caucasian (91%) with reduced ejection fraction (34%). There were no baseline differences between ICD groups for all outcomes (p > 0.05). Patients in the 2° Cardiac Arrest group showed greater improvement from baseline to 3 months in physical and mental health outcomes. The 2° Cardiac Arrest group had better physical (F = 11.48, p = 0.004) and mental health (F = 4.34, p = 0.038) and less severe physical (z = 2.24, p = 0.013) and depressive symptoms (z = 2.71, p = 0.003) at 12 months compared to the 1o No CRT group. CONCLUSION The P+P intervention was more effective for promoting physical and psychological health outcomes for individuals receiving an ICD for 2o prevention after cardiac arrest. This article is protected by copyright. All rights reserved. This article is protected by copyright. All rights reserved.In this study, we have developed a simple and efficient single-nozzle electrospinning strategy with phase separation of polystyrene (PS) and polyvinyl pyrrolidone (PVP) to construct cable-like core-shell mesoporous SnO 2 nanofibers. Compare to traditional multi-axial electrospinning for the synthesis of core-shell nanofibers, the synthesis process of the cable-like core-shell mesoporous SnO 2 nanofiber is simple and efficient without many complex multi-axial electrospinning setups or post-treatment, just need to dry and anneal. The obtained SnO 2 nanofibers proved to be a promising sensing material toward formaldehyde ( HCHO ) with low concentration, the detection limit is about 1ppm. And it exhibited good cycling stability and selectivity, with t he response and recovery time to 10 ppm HCHO at an operating temperature of 195 ℃ are approximately 18 s and 196 s, respectively. © 2020 WILEY-VCH Verlag GmbH & Co. KGaA, Weinheim.Depending on the connectivity of solubilizing oligoethyleneglycol (OEG) side chains to the π-cores of amphiphilic naphthalene and perylene bisimide dyes, self-assembly in water either occurs upon heating or cooling. Here we show that this effect originates from differences in the enwrapping capability of the π-cores by the OEG chains. Rylene bisimides bearing phenyl substituents with three OEG chains attached directly to the hydrophobic π-cores are strongly sequestered by the OEG chains. These molecules self-assemble at elevated temperatures in an entropy-driven process according to temperature- and concentration dependent UV-vis spectroscopy and calorimetric dilution studies. In contrast, for rylene bisimides where phenyl substituents with three OEG chains are attached via a methylene spacer, leading to much weaker sequestration, self-assembly originates upon cooling in an enthalpy-driven process. This behavior is explained by the release of 'high energy water' from the hydrophobic π-surfaces as well as dispersion interactions between the π-scaffolds which drive the self-assembly in an enthalpically driven process.
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