Search

Objectives To explore the predictive value of C-reactive protein (CRP)-to-albumin (ALB) ratio (CAR) for the risk of 28-day mortality in patients with severe pneumonia. Methods A total of 152 patients with severe pneumonia treated from January 2020 to January 2022 were enrolled and assigned into survival group (n=107) and death group (n=45) according to their survival status after treatment for 28 d. Their clinical data were compared, and the influencing factors for 28-day mortality were explored by multiple logistic regression analysis. The receiver operating characteristic (ROC) curve was plotted to assess the value of CAR for predicting 28-day mortality risk. A risk prediction model was constructed, and its prediction efficiency was evaluated. Results The death group had significantly older age, Acute Physiology and Chronic Health Evaluation (APACHE) II score, Murray Lung Injury Score, Sequential Organ Failure Assessment score, white blood cell count, neutrophil count, red cell volume distribution width, neutrophil-to-lymphocyte ratio (NLR), fibrinogen, procalcitonin, blood lactic acid (Lac), CRP and CAR and significantly lower oxygenation index and ALB than those of the survival group (p Conclusions CAR is an independent risk factor that shows a high predictive value for the 28-day mortality risk in patients with severe pneumonia.

Background The high cost and insufficient supply of human papillomavirus (HPV) vaccines have slowed the pace of controlling cervical cancer. A phase III clinical trial was conducted to evaluate the efficacy, safety, and immunogenicity of a novel Escherichia coli-produced bivalent HPV-16/18 vaccine. Methods A multicenter, randomized, double-blind trial started on November 22, 2012 in China. In total, 7372 eligible women aged 18–45 years were age-stratified and randomly assigned to receive three doses of the test or control (hepatitis E) vaccine at months 0, 1, and 6. Co-primary endpoints included high-grade genital lesions and persistent infection (over 6 months) associated with HPV-16/18. The primary analysis was performed on a per-protocol susceptible population of individuals who were negative for relevant HPV type-specific neutralizing antibodies (at day 0) and DNA (at day 0 through month 7) and who received three doses of the vaccine. This report presents data from a prespecified interim analysis used for regulatory submission. Results In the per-protocol cohort, the efficacies against high-grade genital lesions and persistent infection were 100.0% (95% confidence interval = 55.6% to 100.0%, 0 of 3306 in the vaccine group vs 10 of 3296 in the control group) and 97.8% (95% confidence interval = 87.1% to 99.9%, 1 of 3240 vs 45 of 3246), respectively. The side effects were mild. No vaccine-related serious adverse events were noted. Robust antibody responses for both types were induced and persisted for at least 42 months. Conclusions The E coli-produced HPV-16/18 vaccine is well tolerated and highly efficacious against HPV-16/18–associated high-grade genital lesions and persistent infection in women.

Objective The purpose of this study is to investigate whether aspirin improves the prognosis of breast cancer patients by meta analysis. Methods Searched PubMed, EMBASE, and other databases for literature on the relationship between aspirin use and breast cancer prognosis, with the deadline of October 2019. The related results of all-cause death, breast cancer-specific death, and breast cancer recurrence/metastasis were extracted to combine the effect amount. The sensitivity analysis and published bias analysis were carried out for the included data. Stata12.0 software was used to complete all statistical analysis. Results A total of 13 papers were included in the study, including 142,644 breast cancer patients. The results of meta-analysis showed that patients who took aspirin were associated with lower breast cancer-specific death (HR = 0.69, 95% CI = 0.61-0.76), all-cause death (HR = 0.78, 95% CI = 0.71-0.84), and risk of recurrence/metastasis (HR = 0.91, 95% CI: 0.82-1.00). Conclusions Aspirin use may improve all-cause mortality, specific mortality, and risk of recurrence/metastasis in patients with breast cancer.

Background Universal screening of congenital cytomegalovirus (cCMV) infection is important for monitoring and intervention during critical stages of speech and language development. This study aimed to explore the optimal detection strategy for cCMV infection screening. Methods Serum samples from pregnant women and saliva and urine samples from their newborns were collected for the anti-CMV IgG and CMV DNA PCR tests, respectively. The sensitivity, specificity, and predictive values as well as the likelihood ratios of 12 potential screening strategies for cCMV infection, based on tests for saliva, urine, and their combination, were evaluated. Findings A total of 6729 pregnant women were enrolled, and the seroprevalence was 98.1%. Among 6350 newborns that were followed up, 49 were defined as having cCMV infection. In the screening test, the CMV DNA positivity rate remained similar from day 0 to day 5, increased slowly from day 6 to day 13, and became high in newborns beyond 13 days of birth. In the confirmatory testing, the positive rates increased significantly beyond day 21. For the 49 newborns with cCMV infection, the proportion of agreement between saliva and urine testing was poor. Upon evaluating alternative screening strategies, using saliva and urine screening with saliva and urine confirmation as the reference strategy, saliva screening with saliva and urine confirmation showed good diagnostic accuracy and feasibility, with sensitivity, specificity, positive predictive and negative predictive values of 85.7%, 100.0%, 100.0% and 99.9%, respectively. Interpretation In populations with high seroprevalence, saliva screening with saliva and urine confirmation might be an alternative strategy for screening cCMV infections. The suggested timeframes for screening and confirmation are within 13 (ideally 5) and 21 (ideally 13) days of birth, respectively. Funding National Natural Science Foundation of China, National Science and Technology Major Project of China and Merck & Co., Inc., Kenilworth, New Jersey, U.S.A.

A novel three-dimensional graphene/polyaniline (3DGP) composite was achieved by a hydrothermal method from in situ polymerization of a polyaniline/graphene oxide composite and GO suspension. This 3DGP composite possesses a 3D porous network structure and large specific capacity of 648 F g−1 at a current density of 0.5 A g−1. In particular, the capability can reach 356 F g−1 even at 20.0 A g−1, 537 F g−1 at 1.0 A g−1 can also be achieved after 1000 cycles. Therefore, the 3DGP composite is a suitable and promising electrode material for supercapacitors.

Gold nanoparticles (AuNPs) are of biomedical importance, such as delivery vectors. Therefore, we used all-atom molecular dynamic simulations to study the interaction of AuNPs with cell membrane (DMPC bilayer). We observed that the AuNPs adhered spontaneously on the surface of the cellular membrane from the bulk phase, largely as a result of the AuNP-DMPC headgroup attraction. We calculated the potential of mean force for transferring an AuNP through a DMPC bilayer. It was observed that a high energetic barrier to AuNP was inserted into the hydrophobic core of the bilayer. The inclusion of AuNP induced local bilayer deformation and slowed fluidity of the lipid molecules in the vicinity of it. As the size of the AuNP increased, the lipids in the vicinity of the AuNP had larger local deformation and slower fluidity. We found that a nanoparticle-membrane complex was formed by the AuNP and its neighbor lipids. These neighbor lipids moved laterally together with AuNP. On average, they moved significantly more slowly than the other lipids. The nanoparticle-membrane complex not only provided a clue for endocytosis mechanism regulating the translocation of AuNPs across the cellular membrane but also helped us to better understand the endocytosis process.

To explore the association between life style, diet intake and high risk human papillomavirus (HR-HPV) persistent infection among Chinese rural women living in Xinmi City, Henan Province.In 2010, a 3-year prospective study in which 2500 women were enrolled and screened by different HR-HPV DNA tests was conducted, part of women among them was followed and tested for HR-HPV DNA in 2012 and 2014. Furthermore, socio demographic factors, gynecological information and diet intake in the past 12 months were collected by self-designed questionnaire in 2014. A total of 721 women with complete test results were eligible for the final analysis. Study participants were divided into 3 groups (persistent infection group, transient infection group, and negative group) by HR-HPV status, and the association between life style, diet intake and HR-HPV persistence was evaluated using ordinal logistic regression model.The average age of 721 women included in the analysis was 50 years old. 141 women had HR-HPV persistent infection, 180 women had HR-HPV transient infection, and 400 women were negative for HR-HPV in 3 years. Age (Χ2 = 58.449, P0.001, P(trend)0.001), smoking (Χ2 = 6.981, P = 0.021), contraception method (Χ2 = 8.448, P = 0.015) , menopause (Χ2 = 35.712, P0.001), number of live births (Χ2 = 16.340, P0.001, P(trend)0.001), and the intake frequency of cereals (Χ2 = 17.937, P = 0.001) or others (Χ2 = 12.107, P = 0.017) varied significantly between women grouped by different HR-HPV status. Compared to women who were older than 59 years, women in the younger groups had a much lower risk of HR-HPV persistence (adjusted OR1 = 0.39, 95% CI 0.26 - 0.59, OR2 = 0.40, 95% CI 0.23 - 0.69, and OR3 = 0.28, 95% CI 0.12 - 0.68).Age is the main risk factor of HR-HPV persistent infection. Lifestyle, diet intake do not associate with HR-HPV persistence after adjustment by age.

By combining the gauge cell method and lattice model, we study the surface phase transition and adsorption behaviors of surfactants on a solid surface. Two different cases are considered in this work: macrophase transition and adsorption in a single-phase region. For the case of macrophase transition, where two phases coexist, we investigate the shape and size of the critical nuclei and determine the height of the nucleation barrier. It is found that the nucleation depends on the bulk surfactant concentration. Our simulations show that there exist a critical temperature and critical adsorption energy, below which the transition from low-affinity adsorption to the bilayer structure shows the characteristic of a typical first-order phase transition. Such a surface phase transition in the adsorption isotherm is featured by a hysteresis loop. The hysteresis loop becomes narrower at higher temperature and weaker adsorption energy and finally disappears at the critical value. For the case where no macrophase transition occurs, we study the adsorption isotherm and microphase separation in a single-phase region. The simulation results indicate that the adsorption isotherm in adsorption processes is divided into four regions in a log-log plot, being in agreement with experimental observations. In this work, the four regions are called the low-affinity adsorption region, the hemimicelle region, the morphological transition region, and the plateau region. Simulation results reveal that in the second region the adsorbed monomers aggregate and nucleate hemimicelles, while adsorption in the third region is accompanied by morphological transitions.

From lattice Monte Carlo simulations, we found that an intermediate state, which is called the bridge structure, may exist during the phase transition of confined amphiphile/water systems, such as a transition from the monolayers on each solid surface to bilayer structures between the adsorbed monolayers. Extensive simulation results show that the occurrence of the bridge phase during the monolayer/bilayer transitions depends on the transition path and surfactant architecture. In addition, it is suggested that the bridge structure found in this work may be one possible origin for long-range hydrophobic forces.

In this work, lattice Monte Carlo was used to study the effects of crowding on the self-assembly of surfactants. Simulation results show that crowding strongly shifts the critical micelle concentration (CMC) of surfactants from the bulk value. Two effects originated from crowding are found to govern the CMC shift: one is the depletion effect by crowding agents and the other is the available volume for micelle formation. The depletion effects inevitably result in the enrichment of surfactants in crowding-free regions and cause the decrease in CMC. On the other hand, the appearance of crowding agents decreases the available volume for micelle formation, which reduces the conformational entropy and impedes the micelle formation. Three factors, including the radius of crowding agents, the arrangement of crowding agents, and the volume fraction of crowding agents, are considered in this work to study the crowding effects. The trends of CMC shifts are interpreted from the competition between the depletion effects and the available volume for micelle formation.

It is known that the thermoacidophilic archaebacterium Sulfolobus acidocaldarius can grow in hot springs at 65-80 degrees C and live in acidic environments (pH 2-3); however, the origin of its unusual thermal stability remains unclear. In this work, using a vesicle as a model, we study the thermal stability and rupture of archaebacterial cell membrane. We perform a simulation investigation of the structure-property relationship of monolayer membrane formed by bolaform lipids and compare it with that of bilayer membrane formed by monopolar lipids. The origin of the unusually thermal stability of archaebacterial cell and the mechanism for its rupture are presented in molecular details.

In this work, we first show that there are only five independent interchange parameters in the surfactant-solvent-interface system in Larson's model, and then adsorption and morphology transition of surfactants on hydrophobic surfaces are studied by extensive lattice Monte Carlo simulations. In our simulations, we found that there exist six adsorbed morphologies: (1) premature admicelle, (2) hemisphere, (3) hemisphere-hemicylinder mixture, (4) wormlike hemicylinder, (5) perforated monolayer, and (6) monolayer. The surface morphologies and the amount of adsorption on hydrophobic surfaces are found to be affected obviously by two interchange parameters. One is the attractive interaction between tail groups and surface (chiTS), and the other is the solubility of head groups in bulk (chiHW). Phase diagrams in chiHW versus chiTS planes for surfactants with different hydrophobicities (chiTW) and for surfactants with different molecular structures are determined in this work, from which the transitions of surface morphologies and adsorption behaviors are discussed.