Extranasal Staphylococcus aureus colonization predisposes to bloodstream infections in patients on hemodialysis with noncuffed internal jugular vein catheters

Introduction: Staphylococcal infection of endogenous origin is an important cause of morbidity and mortality in patients who receive hemodialysis (HD). The risk of such infections in nasal carriers of the organism is well defined. Extranasal carriage of the organism at extranasal sites may pose similar risks. Methods: A total of 70 patients about to undergo internal jugular vein catheterization for HD were enrolled in this prospective observational study. Swab cultures were obtained from anterior nares, posterior pharynx, axillae, toe web spaces, and vascular access sites at baseline and 1 week later. A patient was defined as a persistent carrier when the same organism was grown in both samples. Staphylococcus aureus bloodstream infections were assessed by blood and catheter tip cultures over a 90‐day period. Findings: The mean age of the patients was 43.71 ± 16.2 years. Persistent S. aureus carriage at anterior nares, throat, axilla, toe web spaces, vascular access site, and all sites was documented in 27.9%, 11.4%, 40%, 32.9%, 4.3%, and 64.2% of patients, respectively. Fifteen patients developed S. aureus infections. Catheter related S. aureus infections (CRI) were more likely in persistent carriers than nonpersistent carriers with odds ratios (95% CI) of 10.2 (2.8–37.1), 8.6 (1.7–42.2), 17.3 (3.4–86.0), 3.0 (0.9–9.8), and 1.9 (0.2–22.4) for anterior nares, throat, axilla, toe web spaces, and vascular access site carriers, respectively. The probability of developing CRI in persistent S. aureus carriers was 55% compared to none in noncarriers at 90 days (P = 0.04). Discussion: Extranasal S. aureus carriage is as significant a risk factor as nasal carriage for staphylococcal infections in patients on HD through catheters. The study is limited by lack of molecular phenotyping.     

Substitution Effects on Rare-Earth Ions-Doped Nickel-Zinc Ferrite Nanoparticles

Rare-earth ions (RE³⁺)-doped Ni-Zn ferrite nanoparticles with a structural formula of Ni_0.5Zn_0.5Fe_1.8RE_0.2O₄ (RE³⁺ = Nd, Ce, La and Pr) were synthesized at room temperature by a sol-gel auto-combustion method. The structural and magnetic properties of Ni-Zn ferrite samples were carried out by XRD, vibrating sample magnetometer (VSM), field emission scanning electron microscopy (FE-SEM) and FT-IR spectroscopy. XRD pattern of Ni-Zn ferrite revealed that all the diffraction planes are in agreement with cubic spinel phase and the addition of Fe₂O₃ phase was also observed. In the case of RE ions-doped Ni-Zn ferrite in addition to the Fe₂O₃ phase, very low intensity peaks corresponding to some secondary phase are also present. The average crystallite sizes were found to be from 42 to 56 nm using the Scherer formula. The lattice constant (a) values are gradually decreased from 8.378 to 8.349 Å with different substitutions of RE³⁺ ions in the Ni-Zn ferrite samples. VSM analysis revealed that saturation magnetization values are decreased and coercivity values are increased with substitution of different RE³⁺ ions. FE-SEM images exhibits that particles are spherical in shape. FT-IR interpretation revealed that two main metal oxygen bands (564 and 411 cm^?1) are observed in all the substituted Ni-Zn ferrite samples.     

Effect of Ag‐NPs synthesised by Chamaemelum nobile extract on the inflammation and oxidative stress induced by carrageenan in mice paw

An environmentally friendly and rapid procedure was developed to synthesise silver nanoparticles (Ag‐NPs) by Chamaemelum nobile extract and to evaluate its in vivo anti‐inflammatory and antioxidant activities. The ultraviolet–visible absorption spectrum of the synthesised Ag‐NPs showed an absorbance peak at 422. The average size of spherical nanoparticles was 24 nm as revealed by transmission electron microscopy. Fourier transform infra‐red spectroscopy analysis supported the presence of biological active compounds involved in the reduction of Ag ion and X‐ray diffraction confirmed the crystalline structure of the metallic Ag. The anti‐inflammatory and antioxidant activity of the Ag‐NPs was investigated against carrageenan‐induced paw oedema in mice. The levels of malondialdehyde (MDA) and antioxidant enzymes superoxide dismutase, catalase, glutathione peroxidase and inflammatory cytokines tumour necrosis factor (TNF‐α), interferon gamma and interleukin (IL)‐6, IL‐1β were assessed in this respect. The results demonstrated that anti‐inflammatory activity of the Ag‐NPs might be due to the ability of the nanoparticles to reduce IL‐1β, IL‐6 and TNF‐α. Moreover, reduction of antioxidant enzymes along with an increase in MDA level shows that the anti‐inflammatory activity of the synthesised Ag‐NPs by C. nobile is attributed to its ameliorating effect on the oxidative damage.Inspec keywords: silver, nanoparticles, nanofabrication, ultraviolet spectra, visible spectra, particle size, transmission electron microscopy, Fourier transform infrared spectra, X‐ray diffraction, crystal structure, enzymes, molecular biophysics, tumours, biomedical materials, nanomedicineOther keywords: Chamaemelum nobile extract, oxidative stress, mice paw, silver nanoparticles, antiinflammatory activity, antioxidant activity, ultraviolet‐visible absorption spectrum, spherical nanoparticle size, transmission electron microscopy, Fourier transform infrared spectroscopy, biological active compounds, X‐ray diffraction, crystalline structure, carrageenan‐induced paw oedema, malondialdehyde, antioxidant enzymes, superoxide dismutase, catalase, glutathione peroxidase, inflammatory cytokines, tumour necrosis factor, interferon gamma, interleukin, IL‐1β, IL‐6, TNF‐α, MDA level, Ag     

EEG‐based brain source localization using visual stimuli

Electroencephalography (EEG) is widely used in variety of research and clinical applications which includes the localization of active brain sources. Brain source localization provides useful information to understand the brain's behavior and cognitive analysis. Various source localization algorithms have been developed to determine the exact locations of the active brain sources due to which electromagnetic activity is generated in brain. These algorithms are based on digital filtering, 3D imaging, array signal processing and Bayesian approaches. According to the spatial resolution provided, the algorithms are categorized as either low resolution methods or high resolution methods. In this research study, EEG data is collected by providing visual stimulus to healthy subjects. FDM is used for head modelling to solve forward problem. The low‐resolution brain electromagnetic tomography (LORETA) and standardized LORETA (sLORETA) have been used as inverse modelling methods to localize the active regions in the brain during the stimulus provided. The results are produced in the form of MRI images. The tables are also provided to describe the intensity levels for estimated current level for the inverse methods used. The higher current value or intensity level shows the higher electromagnetic activity for a particular source at certain time instant. Thus, the results obtained demonstrate that standardized method which is based on second order Laplacian (sLORETA) in conjunction with finite difference method (FDM) as head modelling technique outperforms other methods in terms of source estimation as it has higher current level and thus, current density (J) for an area as compared to others.     

Automated detection of glioblastoma tumor in brain magnetic imaging using ANFIS classifier

This article proposes a novel and efficient methodology for the detection of Glioblastoma tumor in brain MRI images. The proposed method consists of the following stages as preprocessing, Non‐subsampled Contourlet transform (NSCT), feature extraction and Adaptive neuro fuzzy inference system classification. Euclidean direction algorithm is used to remove the impulse noise from the brain image during image acquisition process. NSCT decomposes the denoised brain image into approximation bands and high frequency bands. The features mean, standard deviation and energy are computed for the extracted coefficients and given to the input of the classifier. The classifier classifies the brain MRI image into normal or Glioblastoma tumor image based on the feature set. The proposed system achieves 99.8% sensitivity, 99.7% specificity, and 99.8% accuracy with respect to the ground truth images available in the dataset.     

A short note on the effect of sample size on the estimation error in Cp

Process capability indices such as C_p are used extensively in manufacturing industries to assess processes in order to decide about purchasing. In practice, the parameter for calculating C_p is rarely known and is frequently replaced with estimates from an in-control reference sample. This article explores the optimal sample size required to achieve a desired error of estimation using absolute percentage error of different C_p estimates. Moreover, some practical tools are created to allow practitioners to find sample size in different situations.     

Surface characterization and biological properties of regular dentin,demineralized dentin,and deproteinized dentin

Bone autografts are often used for reconstruction of bone defects; however, due to the limitations of autografts, researchers have been in search of bone substitutes. Dentin is of particular interest for this purpose due to high similarity to bone. This in vitro study sought to assess the surface characteristics and biological properties of dentin samples prepared with different treatments. This study was conducted on regular (RD), demineralized (DemD), and deproteinized (DepD) dentin samples. X-ray diffraction and Fourier transform infrared spectroscopy were used for surface characterization. Samples were immersed in simulated body fluid, and their bioactivity was evaluated under a scanning electron microscope. The methyl thiazol tetrazolium assay, scanning electron microscope analysis and quantitative real-time polymerase chain reaction were performed, respectively to assess viability/proliferation, adhesion/morphology and osteoblast differentiation of cultured human dental pulp stem cells on dentin powders. Of the three dentin samples, DepD showed the highest and RD showed the lowest rate of formation and deposition of hydroxyapatite crystals. Although, the difference in superficial apatite was not significant among samples, functional groups on the surface, however, were more distinct on DepD. At four weeks, hydroxyapatite deposits were noted as needle-shaped accumulations on DemD sample and numerous hexagonal HA deposit masses were seen, covering the surface of DepD. The methyl thiazol tetrazolium, scanning electron microscope, and quantitative real-time polymerase chain reaction analyses during the 10-day cell culture on dentin powders showed the highest cell adhesion and viability and rapid differentiation in DepD. Based on the parameters evaluated in this in vitro study, DepD showed high rate of formation/deposition of hydroxyapatite crystals and adhesion/viability/osteogenic differentiation of human dental pulp stem cells, which may support its osteoinductive/osteoconductive potential for bone regeneration.     

Intrusion Detection Based on Bidirectional Long Short-Term Memory with Attention Mechanism

With the recent developments in the Internet of Things (IoT), the amount of data collected has expanded tremendously, resulting in a higher demand for data storage, computational capacity, and real-time processing capabilities. Cloud computing has traditionally played an important role in establishing IoT. However, fog computing has recently emerged as a new field complementing cloud computing due to its enhanced mobility, location awareness, heterogeneity, scalability, low latency, and geographic distribution. However, IoT networks are vulnerable to unwanted assaults because of their open and shared nature. As a result, various fog computing-based security models that protect IoT networks have been developed. A distributed architecture based on an intrusion detection system (IDS) ensures that a dynamic, scalable IoT environment with the ability to disperse centralized tasks to local fog nodes and which successfully detects advanced malicious threats is available. In this study, we examined the time-related aspects of network traffic data. We presented an intrusion detection model based on a two-layered bidirectional long short-term memory (Bi-LSTM) with an attention mechanism for traffic data classification verified on the UNSW-NB15 benchmark dataset. We showed that the suggested model outperformed numerous leading-edge Network IDS that used machine learning models in terms of accuracy, precision, recall and F1 score.     

Intelligent Firefly Algorithm Deep Transfer Learning Based COVID-19 Monitoring System

With the increasing and rapid growth rate of COVID-19 cases, the healthcare scheme of several developed countries have reached the point of collapse. An important and critical steps in fighting against COVID-19 is powerful screening of diseased patients, in such a way that positive patient can be treated and isolated. A chest radiology image-based diagnosis scheme might have several benefits over traditional approach. The accomplishment of artificial intelligence (AI) based techniques in automated diagnoses in the healthcare sector and rapid increase in COVID-19 cases have demanded the requirement of AI based automated diagnosis and recognition systems. This study develops an Intelligent Firefly Algorithm Deep Transfer Learning Based COVID-19 Monitoring System (IFFA-DTLMS). The proposed IFFA-DTLMS model majorly aims at identifying and categorizing the occurrence of COVID19 on chest radiographs. To attain this, the presented IFFA-DTLMS model primarily applies densely connected networks (DenseNet121) model to generate a collection of feature vectors. In addition, the firefly algorithm (FFA) is applied for the hyper parameter optimization of DenseNet121 model. Moreover, autoencoder-long short term memory (AE-LSTM) model is exploited for the classification and identification of COVID19. For ensuring the enhanced performance of the IFFA-DTLMS model, a wide-ranging experiments were performed and the results are reviewed under distinctive aspects. The experimental value reports the betterment of IFFA-DTLMS model over recent approaches.