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Article ; Online: Enzymatic Antimicrobial Susceptibility Testing with Bacteria Identification in 30 min.

Wu, Wenshuai / Zhang, Boran / Yin, Weihong / Xia, Liping / Suo, Yuanjie / Cai, Gaozhe / Liu, Yang / Jin, Wei / Zhao, Qianbin / Mu, Ying

Analytical chemistry

2023 Volume 95, Issue 44, Page(s) 16426–16432

Abstract: ... simultaneously. EnzyAST enables to offer binary AST results within 30 min, much faster than standard methods (>16 ...

Abstract	Rapid antimicrobial susceptibility testing (AST) with the ability of bacterial identification is urgently needed for evidence-based antibiotic prescription. Herein, we propose an enzymatic AST (enzyAST) that employs β-d-glucuronidase as a biomarker to identify pathogens and profile phenotypic susceptibilities simultaneously. EnzyAST enables to offer binary AST results within 30 min, much faster than standard methods (>16 h). The general applicability of enzyAST was verified by testing the susceptibility of two
MeSH term(s)	Pilot Projects ; Anti-Bacterial Agents/pharmacology ; Microbial Sensitivity Tests ; Bacteria ; Escherichia coli
Chemical Substances	Anti-Bacterial Agents
Language	English
Publishing date	2023-10-24
Publishing country	United States
Document type	Journal Article ; Research Support, Non-U.S. Gov't
ZDB-ID	1508-8
ISSN	1520-6882 ; 0003-2700
ISSN (online)	1520-6882
ISSN	0003-2700
DOI	10.1021/acs.analchem.3c04316
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Article ; Online: Antibacterial-Anti-Inflammatory-Bone Restoration Procedure Achieved by MIN-Loaded PLGA Microsphere for Efficient Treatment of Periodontitis.

Zhao, Jiansong / Wei, Ying / Xiong, Jian / Liu, Hongbing / Lv, Gaoshuai / Zhao, Jingyi / He, Haibing / Gou, Jingxin / Yin, Tian / Tang, Xing / Zhang, Yu

AAPS PharmSciTech

2023 Volume 24, Issue 3, Page(s) 74

Abstract: ... bone restoration procedural treatment strategy with minocycline (MIN) for the efficient treatment ... of periodontitis. In brief, MIN was prepared into PLGA microspheres with tunable release behavior using different ... results showed that the MIN was completely encapsulated in the microspheres as an amorphous state ...

Abstract	The main development process of periodontitis involves periodontal pathogenic bacteria as the initiating factor causing the onset of destructive inflammation, which in turn stimulates the destruction of periodontal tissue. It is difficult to achieve the eradication of periodontitis due to the complex interaction among antibacterial, anti-inflammatory, and bone restoration. Herein, we propose an antibacterial-anti-inflammatory-bone restoration procedural treatment strategy with minocycline (MIN) for the efficient treatment of periodontitis. In brief, MIN was prepared into PLGA microspheres with tunable release behavior using different species of PLGA, respectively. The optimally selected PLGA microspheres (LA:GA with 50:50, 10 kDa, and carboxyl group) had a drug loading of 16.91%, an in vitro release of approximately 30 days, which also had a particle size of approximately 11.8 µm with a smooth appearance and a rounded morphology. The DSC and XRD results showed that the MIN was completely encapsulated in the microspheres as an amorphous state. Cytotoxicity tests demonstrated the safety and biocompatibility of the microspheres (cell viabilities at a concentration of 1-200 μg/mL were greater than 97%), and in vitro bacterial inhibition tests showed that the selected microspheres could achieve effective bacterial inhibition at the initial stage after administration. The favorable anti-inflammatory (low TNF-α and IL-10 levels) and bone restoration effects (BV/TV: 71.8869%; BMD: 0.9782 g/cm
MeSH term(s)	Rats ; Animals ; Minocycline/pharmacology ; Polylactic Acid-Polyglycolic Acid Copolymer/therapeutic use ; Microspheres ; Rats, Sprague-Dawley ; Anti-Bacterial Agents/pharmacology ; Anti-Bacterial Agents/therapeutic use ; Anti-Inflammatory Agents/pharmacology ; Anti-Inflammatory Agents/therapeutic use ; Periodontitis/drug therapy
Chemical Substances	Minocycline (FYY3R43WGO) ; Polylactic Acid-Polyglycolic Acid Copolymer (1SIA8062RS) ; Anti-Bacterial Agents ; Anti-Inflammatory Agents
Language	English
Publishing date	2023-03-08
Publishing country	United States
Document type	Journal Article
ZDB-ID	2052070-0
ISSN	1530-9932 ; 1530-9932
ISSN (online)	1530-9932
ISSN	1530-9932
DOI	10.1208/s12249-023-02538-3
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Article ; Online: Immediate analgesic effect of acupuncture intervention within 10 min during acute migraine attacks: protocol of a randomised controlled trial.

Huang, Ya / Li, Qifu / Huang, Gaoyangzi / Pei, Xianmei / Chen, Ziwen / Tang, Xing / Zhang, Renrui / Zhao, Si-Wen / Liu, Zili / Sun, Jinbo / Guo, Taipin / Liang, Fan-Rong

BMJ open

2023 Volume 13, Issue 9, Page(s) e075715

Abstract: ... analgesic effect of acupuncture for 10 min during acute migraine attacks.: Methods and analysis ... group with an allocation ratio of 1:1. Each group will receive 10 min of treatment, and ... the post-treatment evaluation will be performed after 0, 0-2, 4, 6, 8 and 10 min of acupuncture. The primary outcome ...

Abstract	Introduction: Migraine is a widespread neurological disorder characterised by recurrent moderate-to-severe headaches. These headaches can seriously affect patients' daily life and work, especially during acute attacks when patients often need immediate pain relief. This study aims to assess the immediate analgesic effect of acupuncture for 10 min during acute migraine attacks. Methods and analysis: The study will randomly divide 80 participants into either the acupuncture group or the sham acupuncture group with an allocation ratio of 1:1. Each group will receive 10 min of treatment, and the post-treatment evaluation will be performed after 0, 0-2, 4, 6, 8 and 10 min of acupuncture. The primary outcome is the pain Visual Analogue Scale (VAS) score assessed before and after treatment at 10 min. Additionally, secondary outcomes include the pain VAS score assessed at 0-2, 4, 6 and 8 min, blinding assessment and treatment effectiveness expectations scale. Data will be collected at baseline time and the end of treatment (after 10 min). Adverse events during each treatment period will be collected and recorded. Ethics and dissemination: Ethics approval was obtained from the Ethics Committee of the Second Affiliated Hospital of Yunnan University of Chinese Medicine (2022-008). All participants will provide written informed consent before randomisation. The results of this study will be published in a peer-reviewed journal and presented at conferences. Trial registration number: Chinese Clinical Trial Registration Center (ChiCTR2200066976).
MeSH term(s)	Humans ; China ; Acupuncture Therapy ; Migraine Disorders/therapy ; Headache ; Analgesics ; Randomized Controlled Trials as Topic
Chemical Substances	Analgesics
Language	English
Publishing date	2023-09-18
Publishing country	England
Document type	Clinical Trial Protocol ; Journal Article ; Research Support, Non-U.S. Gov't
ZDB-ID	2599832-8
ISSN	2044-6055 ; 2044-6055
ISSN (online)	2044-6055
ISSN	2044-6055
DOI	10.1136/bmjopen-2023-075715
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Article ; Online: Rapid Detection of SARS-CoV-2 in Clinical and Environmental Samples via a Resonant Cavity SERS Platform within 20 min.

Huang, Jinglin / Wang, Conghui / Wang, Pingshi / Mo, Wenbo / Zhou, Minjie / Le, Wei / Qi, Daojian / Wei, Lai / Fan, Quanping / Yang, Yue / Ni, Shuang / Wu, Yan / Feng, Yuliang / Wang, Xiang / Zhao, Zongqing / He, Zhibing / Zhang, Haijun / Xue, Peili / Ren, Bin /

Ren, Lili / Pan, Ming / Du, Kai

ACS applied materials & interfaces

2023

Abstract: ... and rapid detection of SARS-CoV-2 antigen within 20 min by the combination of a highly consistent SERS ...

Abstract	The coronavirus disease 2019 (COVID-19) epidemic has given a warning that it is important to explore the rapid detection of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) in clinical specimens or environmental samples for public health strategies and future variants. The surface-enhanced Raman spectroscopy (SERS) technique was demonstrated to achieve this goal. However, the consistency of signals originating from the poor compatibility of virions with SERS hotspots remains a key scientific challenge for the practical applications of SERS. Herein, we develop a SERS platform for the ultrasensitive and rapid detection of SARS-CoV-2 antigen within 20 min by the combination of a highly consistent SERS substrate and a supervised deep learning algorithm. A V-shaped resonant cavity array (VRC) substrate was fabricated to trap SARS-CoV-2 virions in the periodic V cavity array and stimulate the integral SERS signal of the virus via a resonance coupling effect. Benefiting from the unique architecture of the VRC substrate, we were able to directly detect the SARS-CoV-2 virus with high sensitivity and high consistency. These excellent performances enabled us to identify five different kinds of SARS-CoV-2 variants and detect SARS-CoV-2 from clinical and environmental samples with high accuracies.
Language	English
Publishing date	2023-10-25
Publishing country	United States
Document type	Journal Article
ISSN	1944-8252
ISSN (online)	1944-8252
DOI	10.1021/acsami.3c08819
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Book ; Online: Mixed Max-and-Min Fractional Programming for Wireless Networks

Chen, Yannan / Zhao, Licheng / Shen, Kaiming

2023

Abstract: ... for the minimization case, and vice versa. However, the FP objective can be mixed max-and-min, e.g., one may wish ... that of the eavesdropper. We aim to fill the gap between max-FP and min-FP by devising a unified optimization framework ... to the min-FP, and further develop a full generalization for the mixed case. Second. we provide ...

Abstract	Fractional programming (FP) plays a crucial role in wireless network design because many relevant problems involve maximizing or minimizing ratio terms. Notice that the maximization case and the minimization case of FP cannot be converted to each other in general, so they have to be dealt with separately in most of the previous studies. Thus, an existing FP method for maximizing ratios typically does not work for the minimization case, and vice versa. However, the FP objective can be mixed max-and-min, e.g., one may wish to maximize the signal-to-interference-plus-noise ratio (SINR) of the legitimate receiver while minimizing that of the eavesdropper. We aim to fill the gap between max-FP and min-FP by devising a unified optimization framework. The main results are three-fold. First, we extend the existing max-FP technique called quadratic transform to the min-FP, and further develop a full generalization for the mixed case. Second. we provide a minorization-maximization (MM) interpretation of the proposed unified approach, thereby establishing its convergence and also obtaining a matrix extension; another result we obtain is a generalized Lagrangian dual transform which facilitates the solving of the logarithmic FP. Finally, we present three typical applications: the age-of-information (AoI) minimization, the Cramer-Rao bound minimization for sensing, and the secure data rate maximization, none of which can be efficiently addressed by the previous FP methods. Comment: 13 pages, 11 figures
Keywords	Computer Science - Information Theory
Subject code	510
Publishing date	2023-05-04
Publishing country	us
Document type	Book ; Online
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Article ; Online: Enzymatic Antimicrobial Susceptibility Testing with Bacteria Identification in 30 min

Wu, Wenshuai / Zhang, Boran / Yin, Weihong / Xia, Liping / Suo, Yuanjie / Cai, Gaozhe / Liu, Yang / Jin, Wei / Zhao, Qianbin / Mu, Ying

Analytical Chemistry. 2023 Oct. 24, v. 95, no. 44 p.16426-16432

2023

Abstract: ... simultaneously. EnzyAST enables to offer binary AST results within 30 min, much faster than standard methods (>16 ...

Abstract	Rapid antimicrobial susceptibility testing (AST) with the ability of bacterial identification is urgently needed for evidence-based antibiotic prescription. Herein, we propose an enzymatic AST (enzyAST) that employs β-d-glucuronidase as a biomarker to identify pathogens and profile phenotypic susceptibilities simultaneously. EnzyAST enables to offer binary AST results within 30 min, much faster than standard methods (>16 h). The general applicability of enzyAST was verified by testing the susceptibility of two Escherichia coli strains to three antibiotics with different action mechanisms. The pilot study also shows that the minimal inhibitory concentrations can be determined by enzyAST with the statistical analysis of enzymatic activity of the bacteria population exposed to varying antibiotic concentrations. With further development of multiple bacteria and sample treatment, enzyAST could be able to evaluate the susceptibility of pathogens in clinical samples directly to facilitate the evidence-based therapy.
Keywords	Escherichia coli ; analytical chemistry ; antibiotic resistance ; antibiotics ; biomarkers ; enzyme activity ; phenotype ; statistical analysis ; therapeutics
Language	English
Dates of publication	2023-1024
Size	p. 16426-16432.
Publishing place	American Chemical Society
Document type	Article ; Online
ZDB-ID	1508-8
ISSN	1520-6882 ; 0003-2700
ISSN (online)	1520-6882
ISSN	0003-2700
DOI	10.1021/acs.analchem.3c04316
Database	NAL-Catalogue (AGRICOLA)

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Article ; Online: Safety of a 90-min duration of intravenous infusion of obinutuzumab in patients with B-cell non-Hodgkin's lymphoma in a tertiary hospital in China: a prospective, open-label, exploratory clinical trial.

Xing, Shuangshuang / Pu, Yiqin / Zhao, Xiaoqian / Hu, Yan / Zhang, Feiyan / Gu, Zejuan / Xu, Wei / Fan, Lei / Miao, Yi / Li, Jianyong

Brazilian journal of medical and biological research = Revista brasileira de pesquisas medicas e biologicas

2024 Volume 57, Page(s) e13284

Abstract: This study aimed to analyze the safety and applicability of a 90-min duration of infusion (SDI ... infusion (3-4 h) and 90-min SDI regimens. This study enrolled 208 patients and all completed cycle 1. Forty ... For the subsequent cycles with 90-min SDI, only two (0.25%) IRRs occurred among 814 infusions (one grade 1 hand ...

Abstract	This study aimed to analyze the safety and applicability of a 90-min duration of infusion (SDI) of obinutuzumab in patients with B-cell non-Hodgkin's lymphoma (NHL) in a tertiary hospital in China. This exploratory clinical trial was performed at Jiangsu Province Hospital. All patients were treated with the standard infusion regimen for the first infusion. If no grade ≥3 infusion-related reactions (IRRs) occurred, the subsequent infusions were given as SDI. The primary endpoint was the incidence of IRR during the standard infusion (3-4 h) and 90-min SDI regimens. This study enrolled 208 patients and all completed cycle 1. Forty-one patients (19.71%) had IRRs: five (2.40%) with grade 1, twenty-eight (13.46%) with grade 2, and eight (3.85%) with grade 3. The 41 patients had 71 IRRs, mainly fever (40.85%), chest pain/tightness (12.68%), and dyspnea (9.86%). The occurrence of IRRs in the first infusion was significantly lower in patients who received oral acetaminophen prophylaxis than those who did not (10.72% vs 30.21%, P<0.001). For the subsequent cycles with 90-min SDI, only two (0.25%) IRRs occurred among 814 infusions (one grade 1 hand numbness and one grade 2 chill/fever). The 90-min obinutuzumab SDI might be safe and feasible in patients with B-cell NHL in China.
MeSH term(s)	Humans ; Antibodies, Monoclonal, Humanized ; Infusions, Intravenous ; Lymphoma, Non-Hodgkin/drug therapy ; Prospective Studies ; Tertiary Care Centers
Chemical Substances	Antibodies, Monoclonal, Humanized ; obinutuzumab (O43472U9X8)
Language	English
Publishing date	2024-02-09
Publishing country	Brazil
Document type	Clinical Trial ; Journal Article
ZDB-ID	786234-9
ISSN	1414-431X ; 0100-879X
ISSN (online)	1414-431X
ISSN	0100-879X
DOI	10.1590/1414-431X2023e13284
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Article ; Online: Inoculum size-insensitive susceptibility determination of urine sample based on in-situ measurement of inducible enzyme activity after 20 min of antibiotic exposure.

Wu, Wenshuai / Suo, Yuanjie / Zhao, Qianbin / Cai, Gaozhe / Liu, Yang / Jin, Wei / Mu, Ying / Zhang, Boran

Analytica chimica acta

2023 Volume 1282, Page(s) 341858

Abstract: ... response of E. coli collected from urine after 20 min of antibiotic exposure. The calculated ...

Abstract	Background: The empirical antibiotic therapies for bacterial infections cause the emergence and propagation of multi-drug resistant bacteria, which not only impair the effectiveness of existing antibiotics but also raise healthcare costs. To reduce the empirical treatments, rapid antimicrobial susceptibility testing (AST) of causative microorganisms in clinical samples should be conducted for prescribing evidence-based antibiotics. However, most of culture-based ASTs suffer from inoculum effect and lack differentiation of target pathogen and commensals, hampering their adoption for evidence-based antibiotic prescription. Therefore, rapid ASTs which can specifically determine pathogens' susceptibilities, regardless of the bacterial load in clinical samples, are in urgent need. Results: We present a pathogen-specific and inoculum size-insensitive AST to achieve the reliable susceptibility determination on Escherichia coli (E. coli) in urine samples. The developed AST is featured with an 1 h sample-to-result workflow in a filter, termed on-filter AST. The AST results can be obtained by using an inducible enzymatic assay to in-situ measure the cell response of E. coli collected from urine after 20 min of antibiotic exposure. The calculated detection limit of our AST (1.95 × 10 Significance: The developed AST is demonstrated to be of high sensitivity, specificity, and insensitive to inoculum size. With further developments for additional bacteria and clinical validation, on-filter AST is promising as a rapid and reliable surrogate of culture-based AST to promote the evidence-based prescription at the first visit and minimize the emergency of new multi-drug resistant microorganisms.
MeSH term(s)	Humans ; Anti-Bacterial Agents/pharmacology ; Escherichia coli ; Urinary Tract Infections/diagnosis ; Urinary Tract Infections/drug therapy ; Bacteria ; Microbial Sensitivity Tests
Chemical Substances	Anti-Bacterial Agents
Language	English
Publishing date	2023-10-16
Publishing country	Netherlands
Document type	Journal Article
ZDB-ID	1483436-4
ISSN	1873-4324 ; 0003-2670
ISSN (online)	1873-4324
ISSN	0003-2670
DOI	10.1016/j.aca.2023.341858
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Article ; Online: Accelerated cycling PCR: A novel tool for rapid, sensitive and specific detection of single-nucleotide mutation within 30 min.

Luan, Zhixian / Zhao, Yan / Wang, Yanling / Ma, Cuiping / Shi, Chao

Journal of microbiological methods

2022 Volume 199, Page(s) 106527

Abstract: ... min, and showed 100-fold enhanced specificity than AS-qPCR. Therefore, AC-PCR shows great potential ...

Abstract	Rapid detection of single-nucleotide mutations (SNMs) has played a vital role for point-of-care testing. We herein first introduced accelerated thermal cycling into conventional allele-specific qPCR (AS-qPCR), named accelerated cycling PCR (AC-PCR) to achieve rapid and sensitive detection of SNM. It could simultaneously detect 10 copies of H. pylori DNA and identify its clarithromycin-resistance genotype within 30 min, and showed 100-fold enhanced specificity than AS-qPCR. Therefore, AC-PCR shows great potential in clinical diagnosis for drug-resistance mutation or genotyping analysis.
MeSH term(s)	Anti-Bacterial Agents/pharmacology ; Clarithromycin ; Drug Resistance, Bacterial/genetics ; Helicobacter Infections/diagnosis ; Helicobacter pylori/genetics ; Humans ; Microbial Sensitivity Tests ; Mutation ; Nucleotides ; RNA, Ribosomal, 23S/genetics ; Real-Time Polymerase Chain Reaction
Chemical Substances	Anti-Bacterial Agents ; Nucleotides ; RNA, Ribosomal, 23S ; Clarithromycin (H1250JIK0A)
Language	English
Publishing date	2022-06-23
Publishing country	Netherlands
Document type	Journal Article ; Research Support, Non-U.S. Gov't
ZDB-ID	604916-3
ISSN	1872-8359 ; 0167-7012
ISSN (online)	1872-8359
ISSN	0167-7012
DOI	10.1016/j.mimet.2022.106527
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Article ; Online: Sensitivity and specificity of 5 min cognitive screening tests in patients with acute coronary syndrome.

Gallagher, Robyn / Ouyang, Meng-Lu / Tofler, Geoffrey / Bauman, Adrian / Zhao, Emma / Weddell, Joseph / Naismith, Sharon L

European journal of cardiovascular nursing

2022 Volume 22, Issue 2, Page(s) 166–174

Abstract: ... of Neurological Disorders and Stroke (NINDS) and the Canadian Stroke Network (CSN) brief (5 min) screen composed of three ...

Abstract	Aims: This study aimed to determine the sensitivity and specificity of the National Institute of Neurological Disorders and Stroke (NINDS) and the Canadian Stroke Network (CSN) brief (5 min) screen composed of three items of the Montreal Cognitive Assessment (MoCA), in acute coronary syndrome (ACS) patients during hospital admission, relative to the full MoCA and potential alternative combinations of other items. Methods and results: Participants were consecutively recruited during ACS admission and administered the MoCA before discharge. The three NINDS-CSN screen items were extracted, collated and compared to the full MoCA. Receiver operator characteristic (ROC) curves were created to determine the sensitivity, specificity, and appropriate cut-off scores of the screens. The mean age of the sample (n = 81) was 63.49 [standard deviation (SD) 10.85] years and 49.4% screened positive for cognitive impairment. The NINDS-CSN mean score was 9.22 (SD 2.09 of the potential range 0-12). Area under the ROC (AUC) indicated high accuracy levels for screening for cognitive impairment (AUC = 0.89, P < 0.01, 95% confidence interval 0.82, 0.96) with none of the alternative combination screens performing better on both sensitivity and specificity. A cut-off score of ≤10 on the NINDS-CSN protocol provided 83% sensitivity and 80% specificity for classifying cognitive impairment. Conclusion: The NINDS-CSN protocol presents an accurate, feasible screen for cognitive impairment in patients following ACS for use at the bedside and potentially also for telephone screens. Diagnostic accuracy should be confirmed using a neurocognitive battery.
MeSH term(s)	Humans ; Child ; Cognition Disorders ; Acute Coronary Syndrome ; Canada ; Sensitivity and Specificity ; Cognitive Dysfunction ; Stroke/psychology ; Neuropsychological Tests ; Cognition ; ROC Curve
Language	English
Publishing date	2022-06-16
Publishing country	England
Document type	Journal Article ; Research Support, Non-U.S. Gov't
ZDB-ID	2151245-0
ISSN	1873-1953 ; 1474-5151
ISSN (online)	1873-1953
ISSN	1474-5151
DOI	10.1093/eurjcn/zvac026
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