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Comparison of fungal vs bacterial infections in the medical intensive liver unit:Cause or corollary for high mortality?

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World Journal of Hepatology 2024年第3期16卷 379-392页

作者： Sarah Khan Hanna Hong Stephanie Bass Yifan Wang Xiao-Feng Wang Omar T Sims christine e koval Aanchal Kapoor Christina C Lindenmeyer Department of Internal Medicine Cleveland ClinicClevelandOH 44195United States Cleveland Clinic Lerner College of Medicine Cleveland ClinicClevelandOH 44195United States Department of Pharmacy Cleveland ClinicClevelandOH 44195United States Department of Quantitative Health Sciences/Biostatistics Section Cleveland ClinicClevelandOH 44195United States Department of Gastroenterology Hepatology and NutritionCleveland ClinicClevelandOH 44195United States Department of Infectious Disease Cleveland ClinicClevelandOH 44195United States Department of Critical Care Medicine Cleveland ClinicClevelandOH 44195United States

BACKGROUND Due to development of an immune-dysregulated phenotype,advanced liver disease in all forms predisposes patients to sepsis acquisition,including by opportunistic pathogens such as *** data exists on fungal infection within a medical intensive liver unit(MILU),particularly in relation to acute on chronic liver *** To investigate the impact of fungal infections among critically ill patients with advanced liver disease,and compare outcomes to those of patients with bacterial *** From our prospective registry of MILU patients from 2018-2022,we included 27 patients with culture-positive fungal infections and 183 with bacterial *** compared outcomes between patients admitted to the MILU with fungal infections to bacterial *** was extracted through chart *** All fungal infections were due to Candida species,and were most frequently blood *** among patients with fungal infections was significantly worse relative to the bacterial cohort(93%vs 52%,Pe majority of the fungal cohort developed grade 2 or 3 acute on chronic liver failure(ACLF)(90%vs 64%,P=0.02).Patients in the fungal cohort had increased use of vasopressors(96%vs 70%,P=0.04),mechanical ventilation(96%vs 65%,Pe to acute kidney injury(78%vs 52%,P=0.014).On MILU admission,the fungal cohort had significantly higher Acute Physiology and Chronic Health evaluation(108 vs 91,P=0.003),Acute Physiology Score(86 vs 65,P=0.003),and Model for end-Stage Liver Disease-Sodium scores(86 vs 65,P=0.041).There was no significant difference in the rate of central line use preceding culture(52%vs 40%,P=0.2).Patients with fungal infection had higher rate of transplant hold placement,and lower rates of transplant;however,differences did not achieve statistical *** Mortality was worse among patients with fungal infections,likely attributable to severe ACLF *** studies examinin

关键词： Fungal Infection Sepsis Acute on chronic liver failure Intensive care

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Selecting suitable solid organ transplant donors: Reducing the risk of donor-transmitted infections

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World Journal of Transplantation 2014年第2期4卷 43-56页

作者： Christopher S Kovacs Jr christine e koval David van Duin Amanda Guedes de Morais Blanca e Gonzalez Robin K Avery Steven D Mawhorter Kyle D Brizendine eric D Cober Cyndee Miranda Rabin K Shrestha Lucileia Teixeira Sherif B Mossad Department of Infectious Diseases Medicine InstituteCleveland ClinicClevelandOH 44195United States Division of Infectious Diseases Immunocom-promised Host Infectious Disease ProgramUniversity of North CarolinaChapel HillNC 27599United States Infectious Disease and Internal Medicine Augusta HealthFishersvilleVA 22939United States Department of Pediatric Infectious Diseases Cleveland Clinic Children’sClevelandOH 44195United States Division of Infectious Disease (Transplant/On-cology) Johns HopkinsBaltimoreMD 21205United States

Selection of the appropriate donor is essential to a successful allograft recipient outcome for solid organ transplantation. Multiple infectious diseases have been transmitted from the donor to the recipient via transplantation. Donor-transmitted infections cause increased morbidity and mortality to the recipient. In recent years, a series of high-profile transmissions of infections have occurred in organ recipients prompt-ing increased attention on the process of improving the selection of an appropriate donor that balances the shortage of needed allografts with an approach that mitigates the risk of donor-transmitted infection to the recipient. Important advances focused on improving donor screening diagnostics, using previously excluded high-risk donors, and individualizing the selection of allografts to recipients based on their prior infection history are serving to increase the donor pool and improve outcomes after transplant. This article serves to review the relevant literature surrounding this topic and to provide a suggested approach to the selection of an appropriate solid organ transplant donor.

关键词： Donor selection Infection Transplantation Mass screening Treatment outcome

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enabling low-cost decentralized power reserves adopting carbon dioxide for green methane exchange in stabilized clathrate adsorbent

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Journal of energy Chemistry 2024年第10期97卷 438-443,I0009页

作者： Lucas Hanssens Maarten Houlleberghs C.Vinod Chandran Geert Watson Sambhu Radhakrishnan Pascal Van Der Voort Joeri F.M.Denayer christine e.A.Kirschhock Johan A.Martens eric Breynaert Centre for Surface Chemistry and Catalysis-Characterization and Application Team(COK-KAT) 3001 LeuvenBelgium NMR/X-Ray Platform for Convergence Research(NMRCoRe) 3001 LeuvenBelgium Centre for Ordered Materials Organometallics and Catalysis(COMOC)Department of ChemistryGhent University9000 GhentBelgium Department of Chemical engineering Vrije Universiteit Brussel1050 BrusselBelgium

*** circular methane energy systems In recent decades,methane-based energy systems have rapidly gained traction across the globe because of the increasing availability of low-cost methane production ***,fossil methane... 详细信息

关键词： Long duration energy storage Green methane Carbon neutrality Confined clathrate hydrates CH_(4)/CO_(2) exchange Direct gas exchange

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The MYC2-PUB22-JAZ4 module plays a crucial role in jasmonate signaling in tomato

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Molecular Plant 2024年第4期17卷 598-613页

作者： Shaofang Wu Chaoyi Hu Changan Zhu Yanfen Fan Jie Zhou Xiaojia Xia Kai Shi Yanhong Zhou christine H.Foyer Jingquan Yu Department of Horticulture Zijingang CampusZhejiang UniversityHangzhou 310058China Hainan Institute Zhejiang UniversityYazhou Bay Science and Technology CitySanya 572025China College of Horticulture Northwest Agriculture&Forestry UniversityXianyang 712100China School of Biosciences College of Life and Environmental SciencesUniversity of BirminghamEdgbaston B152TTUK Key Laboratory of Horticultural Plants Growth and Development Agricultural Ministry of ChinaZhejiang UniversityHangzhou 310058China

Jasmonates(JAs),a class of lipid-derived stress hormones,play a crucial role across an array of plant physiological processes and stress *** JA signaling is thought to rely predominantly on the degradation of specific JAZ proteins by SCF^(COI1),it remains unclear whether other pathways are involved in the regulation of JAZ protein ***,we report that PUB22,a plant U-box type e3 ubiquitin ligase,plays a critical role in the regulation of plant resistance against Helicoverpa armigera and other JA responses in *** COI1 physically interacts with JAZ1/2/5/7,PUB22 physically interacts with JAZ1/3/4/***22 ubiquitinates JAZ4 to promote its degradation via the 26S proteasome ***,we observed that pub22 mutants showreduced resistance to ***,whereas jaz4 single mutants and jaz1 jaz3 jaz4 jaz6 quadruple mutants have enhanced *** hypersensitivity of pub22 mutants to herbivores could be partially rescued by JAZ4 ***,we found that expression of PUB22 can be transcriptionally activated by MYC2,thus forming a positive feedback circuit in JA *** noticed that the PUB22-JAZ4 module also regulates other JA responses,including defense against ***,inhibition of root elongation,and anthocyanin *** together,these results indicate that PUB22 plays a crucial role in plant growth and defense responses,together with COI1-regulated JA signaling,by targeting specific JAZs.

关键词： PUB22 JAZ COI1 MYC2 JA signaling Solanum lycopersicum

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Growth Inhibition Occurs Independently of Cell Mortality in Tomato (Solanum lycopersicum) exposed to High Cadmium Concentrations

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Journal of Integrative Plant Biology 2008年第3期50卷 300-310页

作者： christine Delpre Stanley Lutts Unitde Biologie vgtale Universitcatholique de Louvain5(Bte 13) Place Croix du Sud1348 Louvain-la-NeuveBelgium Unitde Biologie vgtale Universit catholique de Louvain5(Bte 13) Place Croix du Sud1348 Louvain-la-NeuveBelgium

In order to analyze the adaptation potential of tomato shoots to a sudden increase in Cd concentration, tomato plants （Solanum lycopersicum L. var. Ailsa Craig） were exposed under controlled environmental conditions to a high dose of this heavy metal （250 μm CdCl2） in nutrient solution for 7 and 14d. Both root and shoot growth was completely inhibited but all plants remained alive until the end of the treatment. Cell viability remained unaffected but the activity of the mitochondrial alternative pathway was stimulated by Cd stress at the expense of the cytochrome pathway. Cadmium concentration was higher in roots than in shoots and a decrease in the rate of net Cd translocation was noticed during the second week of stress. Cadmium decreased both leaf conductance （gl） and chlorophyll concentration. However, the effect on net CO2 assimilation remained limited and soluble sugars accumulated in leaves. Photochemical efficiency of PSII （FvlFm） was not affected despite a decrease in the number of reaction centers and an inhibition of electron transfer to acceptors of PSII. It is concluded that tomato shoot may sustain short term exposure to high doses of cadmium despite growth inhibition. This property implies several physiological strategies linked to both avoidance and tolerance mechanisms.

关键词： cadmium chlorophyll fluorescence growth heavy metal toxicity Lycopersicon esculentum tomato

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Vegetation composition of old extensive green roofs(from 1980s Germany)

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ecological Processes 2014年第1期3卷 225-235页

作者： christine e Thuring Nigel Dunnett Department of Landscape Floor 9The Arts TowerWestern BankSheffieldSouth Yorkshire S102TNUK

Introduction:Since their development in the late 1970s in Germany,extensive green roofs(eGR)have become increasingly popular as mitigation tools for urban environmental issues around the *** are planted with select species,which ensure consistent cover and performance over *** research presented herein is part of a systematic re-evaluation of eGR technology since the German industry ***:Given the opportunity to access a small sample of old eGRs installed over 20 years ago in south-west Germany,this research surveyed the vegetation and substrate with an interest in describing these parameters with time-through-space ***:Similar to previous studies,this preliminary work found correlations between roof age with vegetation(cover abundance and species diversity)and substrate properties(e.g.,depth,organic content,pH,and nutrients).Roof age had positive relationship with soil organic content(Corg),and negative relationships with substrate depth and soil *** soil variables are inter-related,as shallow acidic substrates create unfavourable conditions for decomposition and thereby the accumulation of *** variables correlated with eGR vegetation,suggesting a trend of simplified species composition over ***,Corg had a negative relationship with cover and species diversity of most life forms;only Sedum species had positive associations with ***:Considering the dynamics associated with shallow mineral substrates,and the greater floristic diversity of younger roofs,simple Sedum-based vegetation may represent a steady state for conventional eGRs.

关键词： Biodiversity extensive green roofs Germany Long-term performance Plant life forms Sedum Species diversity Substrate depth

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effects of mountain pine beetle-killed forests on source water contributions to streamflow in headwater streams of the Colorado Rocky Mountains

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Frontiers of earth Science 2017年第3期11卷 496-504页

作者： christine e. WeHNeR John D. STeDNICK Watershed Science Program College of Natural Resources Colorado State University Fort Collins CO 80523-1472 USA

Natural or human-influenced disturbances are important to the health and diversity of forests, which in turn, are important to the water quantity and quality exported from a catchment. However, human-induced disturbances （prescribed fire and harvesting） have been decreasing, and natural disturbances （fires and insects） have been increasing in frequency and severity. One such natural disturbance is the mountain pine beetle （MPB）, （Denclroctonus ponderosae） an endemic species. A recent epidemic resulted in the mortality of millions of hectares of lodgepole pine （Pinus contorta） forests in Colorado, USA. Beetle-induced tree mortality brings about changes to the hydrologic cycle, including decreased transpiration and interception with the loss of canopy cover. This study examined the effect of the mountain pine beetle kill on source water contributions to streamflow in snowmelt- dominated headwater catchments using stable isotopes （2H and ~80） as tracers. Study catchments with varying level of beetle-killed forest area （6% to 97%） were sampled for groundwater, surface water, and precipitation. Streams were sampled to assess whether beetle-killed forests have altered source water contributions to streamflow. Ground- water contributions increased with increasing beetle-killed forest area （p = 0.008）. Both rain and snow contributions were negatively correlated with beetle-killed forest area （p = 0.035 and p = 0.011, respectively）. As the beetle-killed forest area increases, so does fractional groundwater contribution to streamflow.

关键词： mountain pine beetle isotope tracers stream-flow generation headwaters

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Decreased plasma urotensin Ⅱ levels inversely correlate with extent and severity of coronary artery disease

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Journal of Geriatric Cardiology 2007年第2期4卷 105-110页

作者： V. Borlongan christine e. Stahl Department of Neurology Medical College of Georgia Augusta GA 30912 USA Department of Internal Medicine Dwight D. Eisenhower Army Medical Center Fort Gordon GA 30909 USA

Objective To determine the plasma urolensin Ⅱ(UII) levels in various types of coronary heart disease and to clarify how the plasma UII levels correlate with the clinical presentation, extent and severity of coronary artery atherosclerosis (CAD). Methods: One hundred and three aged patients undergoing elective diagnostic coronary angiography for proven or clinical suspected coronary heart disease were enrolled in this study. The extent and severity of coronary artery disease were evaluated by vessel score and Gensini score, respectively. Plasma UII levels were measured by radioimmunoassay. Results: The plasma UII levels in the patients with modest to severe coronary stenosis (3.03±0.34 pg/ml, 1.83±0.67 pg/ml) were significantly lower than that in subjects with normal coronary artery (4.80±1.11 pg/ml, Pe plasma UII levels in patients with coronary heart disease were also significantly lower than that in patients with insignificant coronary stenosis (P ed to patients with stable angina pectoris, plasma UII levels in patients with acute coronary syndrome were significantly decreased (1.89±0.51 pg/ml vs 2.42±0.77 pg/ml, P evels were found to be negatively correlated with the severity of coronary artery stenosis (r = -0.488, Pell as the vessel score (r = -0.408, Pe patients with CAD. Conclusion: Significant inverse correlations exist between the plasma UII levels, and the extent and severity of coronary artery stenosis. These findings suggest that plasma UII contribute to the development and progression of coronary artery stenosis, and may be a novel marker to predict clinical types, as well as the extent and severity of coronary artery disease in the patients.

关键词： Urotensin Ⅱ Coronary artery atherosclerosis Coronary heart disease

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Influence of psychosocial factors on treatment of elderly Chinese patients with hypertension

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Journal of Geriatric Cardiology 2007年第4期4卷 202-207页

作者： Cesar V. Borlongan christine e. Stahl Department of Neurology Medical College of Georgia Augusta Department of Internal Medicine Dwight D.Eisenhower Army Medical Center Fort Gordon

Objective The aim of the study is to investigate the effects of psychosocial factors on the treatment of elderly patients with hypertension. Methods Atotalof 260 elderly Chinese patients with hypertension were treated with benazepril alone or benazepril combined with amlodipine for 8 weeks. The target blood pressure (BP) (both eved in 180 patients, who were then assigned to the well-controlled BP group;the rest were placed in the modestly controlled BP group. The psychosocial factors present in both groups were assessed by the Hamilton depression scale, Hamilton anxiety scale, life event scale and social support evaluation list before and after anti-hypertensive treatment. Results There were no significant differences in gender, mean age, hist ory of hypertension, education and smoking habit, or in SBP and DBP between the groups before treatment. Significant differences were also not found in all psychosocial factors before and after treatment in the patients. However, significant differences were found between the groups with respect to post-treatment SBP and marital status. The patients with modestly controlled BP had significantly higher scores, as well as incidents, on the depressive, anxiety, and stressful life event scales than those with well-controlled BP. The patients with well-controlled BP had significantly higher scores in tangible support, subjective support, and social support compared to the patients with modestly controlled BP. Logistic regression analysis showed the independent contribution of psychosocial factors in reaching the goal of lowering BP at treatment endpoint in these hypertensive patients. Conclusions The results suggest that psychosocial factors stand as a main barrier to achieving the BP-lowering target in the management of elderly Chinese patients with hypertension.(J Geriatr Cardiol 2007;4:202-207.)

关键词： hypertension psychosocial factor elderly treatment outcome

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Quantitative Variation in Water-Use efficiency across Water Regimes and Its Relationship with Circadian, Vegetative, Reproductive, and Leaf Gas-exchange Traits

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Molecular Plant 2012年第3期5卷 653-668页

作者： christine e. edwards Brent e. ewers C. Robertson McClung Ping Lou Cynthia Weinig Department of Botany University of Wyoming Laramie WY 82071 USA Present address： USACe eRDC Environmental Laboratory 3909 Halls Ferry Road Vicksburg MS 39180 USA Program in ecology University of Wyoming Laramie WY 82071 USA Department of Biological Sciences Dartmouth College Hanover NH 03755 USA

Drought limits light harvesting, resulting in lower plant growth and reproduction. One trait important for plant drought response is water-use efficiency （WUe）. We investigated （1） how the joint genetic architecture of WUe, reproductive characters, and vegetative traits changed across drought and well-watered conditions, （2） whether traits with distinct developmental bases （e.g. leaf gas exchange versus reproduction） differed in the environmental sensitivity of their genetic architecture, and （3） whether quantitative variation in circadian period was related to drought response in Brassica rapa. Overall, WUe increased in drought, primarily because stomatal conductance, and thus water loss, declined more than carbon fixation. Genotypes with the highest WUe in drought expressed the lowest WUe in well-watered conditions, and had the largest vegetative and floral organs in both treatments. Thus, large changes in WUe enabled some genotypes to approach vegetative and reproductive trait optima across environments. The genetic architecture differed for gas-exchange and vegetative traits across drought and well-watered conditions, but not for floral traits. Correlations between circadian and leaf gas-exchange traits were significant but did not vary across treatments, indicating that circadian period affects physiological function regardless of water availability. These results suggest that WUe is important for drought tolerance in Brassica rapa and that artificial selection for increased WUe in drought will not result in maladaptive expression of other traits that are correlated with WUe.

关键词： Brassica rapa drought ecophysiology floral traits G matrix leaf gas-exchange traits water-use efficiency vegetative traits

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