Antimicrobial susceptibility of isolated pathogens from patients with contact lens-related bacterial keratitis in Crete,Greece: A ten-year analysis

PurposeTo evaluate the bacterial spectrum and antimicrobial susceptibilities of pathogens isolated from contact lens-related bacterial keratitis cases in a large academic Greek hospital.MethodsAll adult patients with positive corneal scrapings or contact lens culture between 2007 and 2016 at the University Hospital of Heraklion, Greece, were retrospectively identified through a local microbiology database and their medical records were reviewed.ResultsA total of 240 isolates were recovered from 131 patients with culture-proven contact lens-associated bacterial keratitis. The most common microorganism identified was Serratia marcescens (17.1% of total isolates), followed by Pseudomonas aeruginosa, Klebsiella spp. and coagulase-negative staphylococci (CoNS). Rates of aztreonam-resistant P. aeruginosa and erythromycin-resistant CoNS decreased in recent years, while the decrease in oxacillin-resistant CoNS was statistically significant (p=0.009). More than 90% of the isolated organisms (S. marcescens, P. aeruginosa, Klebsiella spp. and CoNS) were susceptible to ciprofloxacin or gentamicin.ConclusionGram-negative microorganisms are the most common causative pathogens of contact lens-related keratitis in the region of Crete. Topical antibacterials containing quinolones or gentamicin represent an effective empirical treatment for the majority of the cases. This is quite encouraging, considering that the present study was conducted in a country characterised by high antimicrobial resistance rates. However, culture-driven antimicrobial treatment is mandatory for this sight-threatening infection.     

诺氟沙星片在中国健康受试者空腹和餐后状态下生物等效性研究#br#

目的：采用随机、开放、两周期、自身交叉、单次给药试验设计比较浙江医药股份有限公司新昌制药厂生产的诺氟沙星片与原研产品BACCIDAL在中国健康人体中的生物利用度，并评价两种制剂的生物等效性。方法：分别在空腹和餐后条件下，健康受试者随机交叉单剂量口服诺氟沙星片受试制剂或参比制剂100 mg，采用液相色谱-质谱串联（LC-MS/MS）法测定受试者服药前后不同时间点血浆内药物浓度，采用WinNonlin 7.0软件计算主要药代动力学参数，并评价两种制剂的生物等效性。结果：空腹试验共有28例受试者入组并完成试验，诺氟沙星受试制剂与参比制剂的Cmax分别为（607.62±125.24）ng/mL和（552.01±134.11）ng/mL；AUC0-t分别为（2 551.66±509.08）ng·mL-1·h和（2 429.98±460.47）ng·mL-1·h；AUC0-∞分别为（2 675.40±523.04）ng·mL-1·h和（2 557.68±485.43）ng·mL-1·h；t1/2分别为（6.07±0.69）h和（6.18±0.92）h；两种制剂的Cmax、AUC0-t和AUC0-∞几何均值比的90%置信区间分别为101.45%～121.94%、98.96%～111.27%、98.82%～110.76%。餐后试验共有28例受试者入组并完成试验，诺氟沙星受试制剂与参比制剂的Cmax分别为：（256.54±58.87）ng/mL和（300.80±94.67）ng/mL；AUC0-t分别为（1 314.74±349.92）ng·mL-1·h和（1 278.60±314.77）ng·mL-1·h；AUC0-∞分别为（1 413.73±361.98）ng·mL-1·h和（1 374.98±321.62）ng·mL-1·h；t1/2分别为（6.66±1.23）h和（6.66±1.34）h；两种制剂的Cmax、AUC0-t和AUC0-∞几何均值比的90%置信区间分别为81.42%～93.56%、99.61%～105.58%、99.80%～105.21%。结论：浙江医药股份有限公司新昌制药厂生产的诺氟沙星片与原研产品BACCIDAL在中国健康受试者空腹和餐后服用的状态下等效且安全性良好，临床上可以替换使用。     

PCN-Fe(III)-PTX nanoparticles for MRI guided high efficiency chemo-photodynamic therapy in pancreatic cancer through alleviating tumor hypoxia

As nanomedicine-based clinical strategies have continued to develop, the possibility of combining chemotherapy and singlet oxygen-dependent photodynamic therapy (PDT) to treat pancreatic cancer (PaC) has emerged as a viable therapeutic modality. The efficacy of such an approach, however, is likely to be constrained by the mechanisms of drug release and tumor oxygen levels. In the present study, we developed an Fe(III)-complexed porous coordination network (PCN) which we then used to encapsulate PTX (PCN-Fe(III)-PTX) nanoparticles (NPs) in order to treat PaC via a combination of chemotherapy and PDT. The resultant NPs were able to release drug in response to both laser irradiation and pH changes to promote drug accumulation within tumors. Furthermore, through a Fe(III)-based Fenton-like reaction these NPs were able to convert H₂O₂ in the tumor site to O₂, thereby regulating local hypoxic conditions and enhancing the efficacy of PDT approaches. Also these NPs were suitable for use as a T₁-MRI weighted contrast agent, making them viable for monitoring therapeutic efficacy upon treatment. Our results in both cell line and animal models of PaC suggest that these NPs represent an ideal agent for mediating effective MRI-guided chemotherapy-PDT, giving them great promise for the clinical treatment of PaC.

     

Ultrasonic Cavitation-Assisted and Acid-Activated Transcytosis of Liposomes for Universal Active Tumor Penetration

Active tumor penetration has been recently recognized as a promising strategy to resolve the limitation of nanomedicine in terms of tumor penetration, but it is challenging to develop active transporting nanocarriers. Here, an ultrasonic cavitation-assisted and acid-activatable active transporting liposome for a broad range of tumors is reported. The active transporting liposome (size and charge dual-conversional gemcitabine prodrug-integrated liposomal nanodroplet (SCGLN)) overcomes the tight blood vessel walls with the aid of ultrasonic cavitation. The SCGLN subsequently transforms from micro-size to nano-size under prolonged ultrasound radiation. Once in the acidic tumor microenvironment, the nanosized SCGLN undergoes negative-to-positive charge-reversal and triggers the cationization-initiated transcytosis to penetrate deep into tumor parenchyma. The gemcitabine-loaded SCGLN exhibits potent antitumor activity in multiple poorly permeable tumor models, which completely erases subcutaneous U251 glioma and stops the progression of orthotopic BxPC3 pancreatic ductal adenocarcinoma. This study presents a promising and universal strategy to develop active penetrating nanomedicines for efficient drug delivery in the low permeable tumor.     

废弃印刷线路板Pb,Cd和Cr的测定

研究用原子吸收分光光度计测定废弃印刷线路板中重金属元素Pb，Cd和Cr的含量。结果表明，方法灵敏、快速、准确、操作方便，实用性强。Pb，Cd和Cr的回收率在98．9％～103．6％之间，相对标准偏差RSD〈1．45％。     

考虑不同成桩方式单桩特性的颗粒流数值模拟

采用基于离散单元法的颗粒流数值技术对砂土中(无黏聚力)设置就位后单桩在使用阶段的承载特性进行了数值模拟。对应工程中的挤土桩与非挤土桩,按照桩设置的不同方式研究并对比了静压沉桩方式与预埋式两种不同单桩在就位后的工作特性,对两种成桩方式下桩–土–筏板的共同作用特性也略作了比较。分析中,克服传统的连续介质力学模型的宏观连续性假设,研究加载过程中桩体力学行为表现与桩周土体的细观结构参数反应的联系,增进了对桩基工程承载特性与土体渐进破坏演变过程的深入理解。此外,将模型试验与数值模拟结果作了对比分析,桩端荷载–位移曲线特征有较好的一致性。     

一种ESE避雷针的提前放电时间测试

ESE避雷针在我国防雷标准中并未被采纳，但有多种产品在国内已经有一定数量的应用。目前，ESE避雷针的重要设计参数即提前放电时间都是按国外厂商提供的数据。本文根据法国防雷标准，在实验室对一种ESE避雷针进行了提前放电时间测试，结果表明在该标准规定的测试条件范围内ESE避雷针比普通避雷针的平均放电时间明显提前。值得注意的是这种提前放电时间受试验条件的影响较大。     

基于数字高程模型的输电线路虚拟地形绘制优化算法

针对现有输电线路仿真培训系统复杂地形和大规模场景的建模问题,研究了基于数字高程模型(DEM)的虚拟地形绘制优化算法.通过采集输电线路走廊位置和范围内的地形高程数据,结合分治算法和流水线技术实现Delaunay三角网的并行构建.并针对高斯曲面方程拟合三角形表面中的参数问题,提出了基于遗传算法的最优参数选择方法,降低了地形表面的整体误差.在Qt平台上实现了输电线路真实场景的三维可视化重构.仿真结果表明,本算法有效实现了输电线路真实地形的虚拟可视化,提高了虚拟场景的还原度和沉浸感.     

改性水泥助磨剂的研究

研究了改性二乙醇胺聚氧乙烯醚的合成工艺,并与三乙醇胺做水泥助磨剂进行对比试验。发现改性二乙醇胺聚氧乙烯醚在提高水泥的流动性、降低筛余、减小粉体颗粒之间的接触角和摩擦阻力等方面明显优于三乙醇胺。     

Calcification-Based Cancer Diagnosis and Therapy

In nature, calcium deposition is a common biological process in mammals that shapes mechanical structures and creates the functions of bones and teeth, and causes calculi formation. Spontaneous tumor calcification and regional lymph node calcification in colorectal cancer, lung cancer, and glioblastoma have been proven to be benign prognostic factors in the clinic. In line with this concept, we introduce the idea and lead the compound development of artificially inducing bionic calcification around the surface of cancer cells. This process is shown to have excellent effects in the inhibition of growth and metastases of cervical, breast, and lung tumors, as well as superb performance in early-stage diagnosis. Therefore, we predict that this concept may open the door for cancer targeting calcification therapy and diagnosis and provide an outlook for a new avenue in anticancer drug development.