1
|
Jiang H, Pu H, Huang N. Risk predict model using multi-drug resistant organism infection from Neuro-ICU patients: a retrospective cohort study. Sci Rep 2023; 13:15282. [PMID: 37714922 PMCID: PMC10504308 DOI: 10.1038/s41598-023-42522-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/20/2023] [Accepted: 09/11/2023] [Indexed: 09/17/2023] Open
Abstract
The aim of this study was to analyze the current situation and risk factors of multi-drug-resistant organism (MDRO) infection in Neuro-intensive care unit (ICU) patients, and to develop the risk predict model. The data was collected from the patients discharged from Neuro-ICU of grade-A tertiary hospital at Guizhou province from January 2018 to April 2020. Binary Logistics regression was used to analyze the data. The model was examined by receiver operating characteristic curve (ROC). The grouped data was used to verify the sensitivity and specificity of the model. A total of 297 patients were included, 131 patients infected with MDRO. The infection rate was 44.11%. The results of binary Logistics regression showed that tracheal intubation, artery blood pressure monitoring, fever, antibiotics, pneumonia were independent risk factors for MDRO infection in Neuro-ICU (P < 0.05), AUC = 0.887. The sensitivity and specificity of ROC curve was 86.3% and 76.9%. The risk prediction model had a good predictive effect on the risk of MDRO infection in Neuro ICU, which can evaluate the risk and provide reference for preventive treatment and nursing intervention.
Collapse
Affiliation(s)
- Hu Jiang
- Nursing Department, The Third Affiliated Hospital of Zunyi Medical University (The First People's Hospital of Zunyi), Zunyi, 563000, Guizhou, China
| | - Hengping Pu
- Nursing Department, The Third Affiliated Hospital of Zunyi Medical University (The First People's Hospital of Zunyi), Zunyi, 563000, Guizhou, China
| | - Nanqu Huang
- Drug Clinical Trial Institution, The Third Affiliated Hospital of Zunyi Medical University (The First People's Hospital of Zunyi), Zunyi, 563000, Guizhou, China.
| |
Collapse
|
2
|
Wang J, Shuai Y, Cheng Y, Zhang Y. Ultrasound assessment of gastric residual volume in patients over 60 years of age undergoing gastroscopy under sedation: a prospective cohort study. Can J Anaesth 2023; 70:1315-1322. [PMID: 37477770 DOI: 10.1007/s12630-023-02523-1] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/09/2022] [Revised: 11/03/2022] [Accepted: 11/13/2022] [Indexed: 07/22/2023] Open
Abstract
BACKGROUND We aimed to assess the accuracy of ultrasonographic measurement of the antral cross-sectional area (CSA) in the preprocedural evaluation of gastric contents and volume in fasted patients > 60 yr of age scheduled for gastroscopy under sedation. METHODS We included n = 81 patients > 60 yr of age and n = 79 younger controls scheduled to undergo elective gastroscopy in a prospective cohort study. A gastric ultrasound examination was performed to measure the antral CSA in both semisitting and right lateral decubitus (RLD) positions. Afterward, patients were graded using the Perlas qualitative grading scale. The actual gastric volume was endoscopically suctioned. Full stomach was defined as gastric volume > 1.5 mL·kg-1 and/or the presence of solid particles. We constructed receiver operating characteristic curves to determine the accuracy of ultrasonographic measurement of RLD CSA to detect a gastric volume > 1.5 mL·kg-1 and calculated the diagnostic test attributes of RLD CSA for the identification of a gastric volume > 1.5 mL·kg-1 RESULTS: The incidence of full stomach was 8/81 (9.8%) in patients > 60 yr of age and 1/79 (1.2%) in young patients (risk difference, 8.6%; 95% CI, 1.3 to 15.8; P = 0.03). The cut-off value of RLD CSA was 10.4 cm2 for the detection of gastric volume > 1.5 mL·kg-1 in patients > 60 yr of age, with a sensitivity of 75%, a specificity of 100%, a positive predictive value of 100%, and a negative predictive value of 98.6%. CONCLUSION Patients > 60 yr of age scheduled for gastroscopy under sedation had a higher incidence of a full stomach detected with ultrasound compared with a younger cohort, which is potentially associated with a higher aspiration risk. We calculated a cut-off value of RLD CSA for detecting gastric volume in patients > 60 yr of age of approximately 10 cm2, which may help to quickly assess patients at risk of aspiration. TRIAL REGISTRATION www.chictr.org.cn (ChiCTR2100048994); registered 19 July 2021.
Collapse
Affiliation(s)
- Jing Wang
- Department of Anesthesiology, Second Affiliated Hospital of Zunyi Medical University, Intersection of Xinglong Ave and Xinpu Ave, Zunyi, 563000, China
| | - Yu Shuai
- Department of Anesthesiology, Second Affiliated Hospital of Zunyi Medical University, Intersection of Xinglong Ave and Xinpu Ave, Zunyi, 563000, China
| | - Yi Cheng
- Department of Anesthesiology, Second Affiliated Hospital of Zunyi Medical University, Intersection of Xinglong Ave and Xinpu Ave, Zunyi, 563000, China
| | - Yi Zhang
- Department of Anesthesiology, Second Affiliated Hospital of Zunyi Medical University, Intersection of Xinglong Ave and Xinpu Ave, Zunyi, 563000, China.
| |
Collapse
|
3
|
Xu Z, Zhang X, Liu J, Zhao S, Liu J, Zhou W. Design, Synthesis, and Biological Evaluation of Novel Amyl Ester Tethered Dihydroartemisinin-Isatin Hybrids as Potent Anti-Breast Cancer Agents. Chem Biodivers 2023; 20:e202201257. [PMID: 36808231 DOI: 10.1002/cbdv.202201257] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/30/2022] [Revised: 02/15/2023] [Accepted: 02/16/2023] [Indexed: 02/22/2023]
Abstract
A series of novel amyl ester tethered dihydroartemisinin-isatin hybrids 4a-d and 5a-h were designed, synthesized, and evaluated as anti-breast cancer agents. The synthesized hybrids were preliminarily screened against estrogen receptor-positive (MCF-7 and MCF-7/ADR) and triple-negative (MDA-MB-231 and) breast cancer cell lines. Three hybrids 4a,d and 5e not only were more potent than artemisinin and adriamycin against drug-resistant MCF-7/ADR and MDA-MB-231/ADR breast cancer cell lines, but also displayed non-cytotoxicity towards normal MCF-10 A breast cells, and the SI values were >4.15, indicating their excellent selectivity and safety profiles. Thus, hybrids 4a,d and 5e could act as potential anti-breast cancer candidates and were worthy of further preclinical evaluations. Moreover, the structure-activity relationships which may facilitate further rational design of more effective candidates were also enriched.
Collapse
Affiliation(s)
- Zhi Xu
- School of Pharmacy, Guizhou University of Traditional Chinese Medicine, Guiyang, Guizhou 550025, P. R. China
| | - Xiaoyan Zhang
- Department of Pharmacology, School of Medical Sciences, Guizhou Medical University, Guiyang, 550025, Guizhou, P. R. China
| | - Jie Liu
- Department of Pharmaceutical Analysis, School of Pharmacy, Guizhou Medical University, Guiyang, 550025, Guizhou, P. R. China
| | - Shijia Zhao
- School of Chemistry and Chemical Engineering, Wuhan University of Science and Technology, Wuhan, 430081, P. R. China
| | - Junna Liu
- Department of Pharmaceutical Analysis, School of Pharmacy, Guizhou Medical University, Guiyang, 550025, Guizhou, P. R. China
| | - Wei Zhou
- Department of Pharmaceutical Analysis, School of Pharmacy, Guizhou Medical University, Guiyang, 550025, Guizhou, P. R. China
| |
Collapse
|
4
|
Zhou XN, Qin YJ, Cheng ML, Li H. [A case of chronic hepatitis C treated with sofosbuvir/velpatasvir combined with ribavirin among 3-year-old children with low body weight]. Zhonghua Gan Zang Bing Za Zhi 2023; 31:189-191. [PMID: 37137836 DOI: 10.3760/cma.j.cn501113-20220111-00016] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Grants] [Subscribe] [Scholar Register] [Indexed: 05/05/2023]
Affiliation(s)
- X N Zhou
- Guizhou Medical University, GuiYang 550001, China
| | - Y J Qin
- Guizhou Medical University, GuiYang 550001, China
| | - M L Cheng
- Department of Infection, Affiliated Hospital of Guizhou Medical University, GuiYang 550001, China
| | - H Li
- Department of Infection, Affiliated Hospital of Guizhou Medical University, GuiYang 550001, China
| |
Collapse
|
5
|
Lu Y, Yang H, Cao Y, Wang Y, Wu M, He B, Xu J, Su Z, Luo W, Liu Y, Hu W. A survival model for prognostic prediction based on ferroptosis-associated genes and the association with immune infiltration in lung squamous cell carcinoma. PLoS One 2023; 18:e0282888. [PMID: 36928232 PMCID: PMC10019706 DOI: 10.1371/journal.pone.0282888] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/23/2022] [Accepted: 02/25/2023] [Indexed: 03/18/2023] Open
Abstract
Lung squamous cell carcinoma (LUSC) is the primary pathological type of lung cancer with a less favorable prognosis. This study attempts to construct a ferroptosis-associated signature associated with overall survival (OS) that can predict the prognosis of LUSC and explore its relationship with immune infiltration. A 5 ferroptosis-associated gene model was constructed by LASSO-penalized regression analysis to predict the prognosis of patients with LUSC in the TCGA database and validated in the GEO and TCGA databases. Patients were stratified into high-risk and low-risk groups by the median value of the risk scores, and the former prognosis was significantly worse (P<0.001). Additionally, we found a certain association between the two risk groups and immune infiltration through CIBERSORT. Meanwhile, the differentially expressed genes (DEGs) between normal and tumor tissue were used to perform functional analysis, which showed a significant association with leukocyte transendothelial migration pathways in the TCGA cohort. In addition, immune cell infiltration analysis confirmed that M2 macrophages were significantly highly expressed in the high-risk group. Overall, the model successfully established by ferroptosis-associated genes suggests that ferroptosis may be related to immune infiltration in LUSC.
Collapse
Affiliation(s)
- Yanyi Lu
- Department of Thoracic Oncology, The Second Affiliated Hospital of Zunyi Medical University, Zunyi City, Guizhou Province, China
| | - Hua Yang
- Department of pathology, The Second Affiliated Hospital of Zunyi Medical University, Zunyi City, Guizhou Province, China
| | - Yunliang Cao
- Department of Thoracic Oncology, The Second Affiliated Hospital of Zunyi Medical University, Zunyi City, Guizhou Province, China
| | - Yunan Wang
- Department of Thoracic Oncology, The Second Affiliated Hospital of Zunyi Medical University, Zunyi City, Guizhou Province, China
| | - Mengjia Wu
- Department of Thoracic Oncology, The Second Affiliated Hospital of Zunyi Medical University, Zunyi City, Guizhou Province, China
| | - Bo He
- Department of Thoracic Oncology, The Second Affiliated Hospital of Zunyi Medical University, Zunyi City, Guizhou Province, China
| | - Junzhu Xu
- Department of Thoracic Oncology, The Second Affiliated Hospital of Zunyi Medical University, Zunyi City, Guizhou Province, China
| | - Zixuan Su
- Department of Thoracic Oncology, The Second Affiliated Hospital of Zunyi Medical University, Zunyi City, Guizhou Province, China
| | - Wen Luo
- Department of Thoracic Oncology, The Second Affiliated Hospital of Zunyi Medical University, Zunyi City, Guizhou Province, China
| | - Yuyang Liu
- Department of pathology, The Second Affiliated Hospital of Zunyi Medical University, Zunyi City, Guizhou Province, China
| | - Wei Hu
- Department of Thoracic Oncology, The Second Affiliated Hospital of Zunyi Medical University, Zunyi City, Guizhou Province, China
- * E-mail:
| |
Collapse
|
6
|
Bai X, Bai F, Wang Z, Zhang Y, Liu F, Wang Q. Clinical efficacy of intra-articular infusion of cocktail combined with tranexamic acid in the treatment of middle-age and older patients with frozen shoulder following arthroscopic capsular release. Front Surg 2023; 10:1035054. [PMID: 37206349 PMCID: PMC10189014 DOI: 10.3389/fsurg.2023.1035054] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/02/2022] [Accepted: 03/30/2023] [Indexed: 05/21/2023] Open
Abstract
Objective To investigate the clinical efficacy of arthroscopic capsular release and postoperative intra-articular infusion of cocktail combined with tranexamic acid (TXA) in the treatment of patients with frozen shoulder. Method A total of 85 middle-aged and older patients with frozen shoulder who underwent arthroscopic capsular release and received intra-articular infusion of TXA alone (n = 28), cocktail alone (n = 26), and cocktail plus TXA (n = 31) after surgery were retrospective analyzed. The drainage volume within 24 h after surgery, postoperative length of hospital stay, postoperative complications, visual analog scale (VAS), Neer shoulder assessment scale, ASES score, and range of motion (ROM) of the shoulder joint at 1 day, 1 week, 1 month, and 3 months after surgery in all three groups were recorded and compared. Results Postoperative length of hospital stay was significantly shorter in the cocktail + TXA and cocktail groups than that in the TXA group. Postoperative drainage volume was significantly higher in the cocktail group compared with TXA + cocktail group (P < 0.05). At 1 day and 1 week after surgery, pain was more pronounced in the TXA group, which was significantly relieved in the cocktail and the cocktail + TXA groups (P < 0.05). Pain was significantly relieved in all the three groups at 1 and 3 months after surgery. Significant functional improvement of the shoulder was achieved in all three groups at 1 week after surgery, the improvement was apparent in the cocktail + TXA groups (P < 0.05), followed by the cocktail group. At 1 month after surgery, patients in the cocktail + TXA groups obtained excellent functional recovery of the shoulder joint. At 3 months after surgery, patients in all the three groups both obtained good recovery of the shoulder joint function, and the recovery was apparent in the cocktail + TXA groups (P < 0.05). Conclusion Arthroscopic capsular release and postoperative intra-articular infusion of cocktail combined with TXA has good safety and efficacy in the treatment of middle-age and older patients with frozen shoulder, which can reduce postoperative pain and intra-articular bleeding, promote early postoperative functional exercises and accelerate early postoperative recovery.
Collapse
Affiliation(s)
- Xiaojin Bai
- Department of Joint Surgery, Third Affiliated Hospital of Zunyi Medical University (The First People’s Hospital of Zunyi), Zunyi, China
- Correspondence: Xiaojin Bai
| | - Fan Bai
- Department of Joint Surgery, Third Affiliated Hospital of Zunyi Medical University (The First People’s Hospital of Zunyi), Zunyi, China
| | - Zhi Wang
- Department of Joint Surgery, Third Affiliated Hospital of Zunyi Medical University (The First People’s Hospital of Zunyi), Zunyi, China
| | - Yan Zhang
- Department of Joint Surgery, Third Affiliated Hospital of Zunyi Medical University (The First People’s Hospital of Zunyi), Zunyi, China
| | - Fuying Liu
- Department of Neurology, Third Affiliated Hospital of Zunyi Medical University (The First People’s Hospital of Zunyi), Zunyi, China
| | - Qibing Wang
- Authentication Center for Forensic Medicine and Judicature, Third Affiliated Hospital of Zunyi Medical University (The First People’s Hospital of Zunyi), Zunyi, China
| |
Collapse
|