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Computed tomography (CT) of the head showed multiple skull fractures, bilateral epidural haematoma, a right subdural haematoma and subarachnoid haemorrhage. One week after the positive blood culture, the patient's liver function had deteriorated considerably, with an aspartate aminotransferase of 515 u/L, alkaline phosphatase of 315 u/L and alanine aminotransferase of 183 u/L. Unfortunately, he deteriorated rapidly and expired 89 days after hospital admission. This patient, who suffered concomitant fatal traumatic brain injury, emphasises the value of peripheral blood morphology, blood culture and mass spectrometry in the diagnosis of I Pandoraea apista i bacteraemia. [Extracted from the article]

A blood count showed WBC 2.97 × 10 SP 9 sp /l, haemoglobin concentration 61 g/l and platelets 38 × 10 SP 9 sp /l. A peripheral blood film revealed no blasts or dysplasia. A bone marrow (BM) aspirate showed 12% blasts. [Extracted from the article]

Abstract: Proton exchange membrane (PEM), transferring protons from anode to cathode, is a key component in a PEM fuel cell. In the current work, a new class of PEMs are synthesized benefiting from the imbibition behavior of three-dimensional (3D) polyacrylamide-graft-chitosan (PAAm-graft-chitosan) frameworks to H3PO4 aqueous solution. Interconnected 3D framework of PAAm-graft-chitosan provides tremendous space for holding proton-conducting H3PO4. The highest anhydrous proton conductivity of 0.13 S cm−1 at 165 °C is obtained. A fuel cell using a thick membrane as a PEM showed a peak power density of 405 mW cm−2 with O2 and H2 as the oxidant and fuel, respectively. Results indicate that the interconnected 3D framework provides superhighway for proton conduction. The valued merits on anhydrous proton conductivity, huge H3PO4 loading, and easy synthesis promise the new membranes to be good alternatives as high-temperature PEMs. [Copyright &y& Elsevier]

Depth-dependent growth of perovskite crystals remains challenging for high-performance perovskite solar cells made by a two-step spin-coating method. Effective morphology engineering approaches that enable depth-independent perovskite crystals growth and facile characterization technique to monitor subtle yet influential accompanying changes are urgently required. Here, a porous and intercrossed PbI 2 -(CsI) 0.15 nanorods scaffold is prepared by integrating CsI incorporation with toluene dripping in ambient air, and the underlying mechanism is uncovered. With this porous scaffold and moisture-assisted thermal annealing, depth-independent growth of FA 0.85 Cs 0.15 PbI 3 is achieved, as evidenced in the photoluminescent (PL) spectra acquired by exciting the perovskite film from the top and bottom individually. It is of broad interest that PL spectroscopy is demonstrated as a sensitive technique to monitor the depth-dependent growth of perovskite. Moreover, the resulting inverted planar FA 0.85 Cs 0.15 PbI 3 perovskite solar cells deliver an efficiency of 16.85%, along with superior thermal and photostability. By incorporating 2% large-sized diammonium cation, propane-1,3-diammonium, the efficiency is further increased to 17.74%. Our work not only proposes a unique porous PbI 2 -(CsI) 0.15 nanorods scaffold to achieve high-quality perovskite films in a two-step method but also highlights the distinctive advantage of PL spectroscopy in monitoring the depth-dependent quality of perovskite films.

Degradation mechanisms of methylammonium lead halide perovskite solar cells (PSCs) have drawn much attention recently. Herein, the bulk and surface degradation processes of the perovskite were differentiated for the first time by employing combinational studies using electrochemical impedance spectroscopy (EIS), capacitance frequency (CF), and X-ray diffraction (XRD) studies with particular attention on the roles of small polar molecules (MA + and H 2 O). CF study shows that short-circuit current density of the PSCs is increased by H 2 O at the beginning of the degradation process coupled with an increased surface capacitance. On the basis of EIS and XRD analysis, we show that the bulk degradation of PSCs involves a lattice expansion process, which facilitates MA + ion diffusion by creating more efficient channels. These results provide a better understanding of the roles of small polar molecules on degradation processes in the bulk and on the surface of the perovskite film.

Clusterin (CLU) is known as a multifunctional protein involved in a variety of physiological processes including lipid transport, epithelial cell differentiation, tumorigenesis, and apoptosis. Our recent study has demonstrated that knockdown of clusterin sensitizes pancreatic cancer cell lines to gmcitabine treatment. However the details of this survival mechanism remain undefined. Of the various downstream targets of CLU, we examined activation of the NF-kB transcription factor and subsequent transcriptional regulation of BCL-2 gene in pancreatic cancer cell MIA-PaCa-2. The MIA-PaCa-2 cells were transfected with an antisense oligonucleotide (ASO) against clusterin, which led to a decreased protein level of the antiapoptotic gene BCL-2. Furthermore, inhibition of CLU decreased the function of NF-kB, which is capable of transcriptional regulation of the BCL-2 gene. Inhibiting this pathway increased the apoptotic effect of gmcitabine chemotherapy. Re-activated NF-kB resulted in attenuation of ASO-induced effects, followed by the bcl-2 upregulation, and bcl-2 re-inhibition resulted in attenuation of Re-activated NF-kB -induced effects. Animals injected with ASO CLU in MIA-PaCa-2 cells combined with gmcitabine treatment had fewer tumors than gmcitabine or ASO CLU alone. These findings suggest that knockdown of CLU sensitized MIA-PaCa-2 cells to gmcitabine chemotherapy through modulating NF-Kb/bcl-2 pathway.

Hyperbaric oxygen therapy is one of the most widely used clinical interventions to counteract insufficient pulmonary oxygen delivery in patients with severe lung injury. However, prolonged exposure to hyperoxia leads to inflammation and acute lung injury. This study aimed to investigate the protective effect of hydrogen sulfide on hyperbaric hyperoxia-induced lung injury. Rats were intraperitoneally treated with sodium hydrosulphide (NaHS) at 28 μmol/kg immediately before hyperoxia exposure and then exposed to pure oxygen at 2.5 atmospheres absolute (atm abs) with continuous ventilation for six hours, Immediately after hyperoxia exposure, rats were sacrificed via anesthesia. The bronchoalveolar lavage fluid (BALF) was harvested for the detection of protein concentration and IL-1 content, and the lungs were collected for HE staining, TUNEL staining and detection of wet/dry weight ratio. Our results showed hyperbaric hyperoixa exposure could significantly damage the lung (HE staining), increase the protein and IL-13 in the BALF, elevate the wet/dry Weight ratio and raise the TUNEL positive cells. However, pre-treatment with hydrogen sulfide improved the lung morphology, reduced the TUNEL positive cells and attenuated the lung inflammation (reduction in IL-13 of BALF and HE staining). Taken together, our findings indicate that hydrogen sulfide pretreatment may exert protective effects on hyperbaric hyperoxia-induced lung injury.