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"T. Pham, T."
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Bear came along
An assortment of animals living separate lives discover they need each other when they have a chance encounter on a river.
Book
Hypomagnesemia: a clinical perspective
Although magnesium is involved in a wide spectrum of vital functions in normal human physiology, the significance of hypomagnesemia and necessity for its treatment are under-recognized and underappreciated in clinical practice. In the current review, we first present an overview of the clinical significance of hypomagnesemia and normal magnesium metabolism, with a focus on renal magnesium handling. Subsequently, we review the literature for both congenital and acquired hypomagnesemic conditions that affect the various steps in normal magnesium metabolism. Finally, we present an approach to the routine evaluation and suggested management of hypomagnesemia.
Journal Article
Survival after out-of-hospital cardiac arrest, Viet Nam: multicentre prospective cohort study
To investigate factors associated with survival after out-of-hospital cardiac arrest in Viet Nam.
We did a multicentre prospective observational study of people (> 18 years) presenting with out-of-hospital cardiac arrest (not caused by trauma) to three tertiary hospitals in Viet Nam from February 2014 to December 2018. We collected data on characteristics, management and outcomes of patients with out-of-hospital cardiac arrest and compared these data by type of transportation to hospital and survival to hospital admission. We assessed factors associated with survival to admission to and discharge from hospital using logistic regression analysis.
Of 590 eligible people with out-of-hospital cardiac arrest, 440 (74.6%) were male and the mean age was 56.1 years (standard deviation: 17.2). Only 24.2% (143/590) of these people survived to hospital admission and 14.1% (83/590) survived to hospital discharge. Most cardiac arrests (67.8%; 400/590) occurred at home, 79.4% (444/559) were witnessed by bystanders and 22.3% (124/555) were given cardiopulmonary resuscitation by a bystander. Only 8.6% (51/590) of the people were taken to hospital by the emergency medical services and 32.2% (49/152) received pre-hospital defibrillation. Pre-hospital defibrillation (odds ratio, OR: 3.90; 95% confidence interval, CI: 1.54-9.90) and return of spontaneous circulation in the emergency department (OR: 2.89; 95% CI: 1.03-8.12) were associated with survival to hospital admission. Hypothermia therapy during post-resuscitation care was associated with survival to discharge (OR: 5.44; 95% CI: 2.33-12.74).
Improvements are needed in the emergency medical services in Viet Nam such as increasing bystander cardiopulmonary resuscitation and public access defibrillation, and improving ambulance and post-resuscitation care.
Journal Article
Correction of hyponatremia and osmotic demyelinating syndrome: have we neglected to think intracellularly?
Background
Osmotic demyelination syndrome (ODS) is a complication generally associated with overly rapid correction of hyponatremia. Traditionally, nephrologists have been trained to focus solely on limiting the correction rate. However, there is accumulating evidence to suggest that the prevention of ODS is beyond achieving slow correction rates.
Methods
We (1) reviewed the literature for glial intracellular protective alterations during hyperosmolar stress, a state presumed equivalent to the rapid correction of hyponatremia, and (2) analyzed all available hyponatremia-associated ODS cases from PubMed for possible contributing factors including correction rates and concurrent metabolic disturbances involving hypokalemia, hypophosphatemia, hypomagnesemia, and/or hypoglycemia.
Results
In response to acute hyperosmolar stress, glial cells undergo immediate extracellular free water shift, followed by active intracellular Na
+
, K
+
and amino acid uptake, and eventual idiogenic osmoles synthesis. At minimum, protective mechanisms require K
+
, Mg
2+
, phosphate, amino acids, and glucose. There were 158 cases of hyponatremia-associated ODS where both correction rates and other metabolic factors were documented. Compared with the rapid correction group (>0.5 mmol/L/h), the slow correction group (≤0.5 mmol/L/h) had a greater number of cases with concurrent hypokalemia (49.4 vs. 33.3 %,
p
= 0.04), and a greater number of cases with any concurrent metabolic derangements (55.8 vs. 38.3 %,
p
= 0.03).
Conclusion
Glial cell minimizes volume changes and injury in response to hyperosmolar stress via mobilization and/or utilization of various electrolytes and metabolic factors. The prevention of ODS likely requires both minimization of correction rate and optimization of intracellular response during the correction phase when a sufficient supply of various factors is necessary.
Journal Article
Microwave-assisted dry reforming of methane for syngas production: a review
Abatement of emissions of greenhouse gases such as methane and carbon dioxide is crucial to reduce global warming. For that, dry reforming of methane allows to convert methane and carbon dioxide into useful synthesis gas, named ‘syngas’, a gas mixture rich in hydrogen and carbon monoxide. However, this process requires high temperatures of about 900 °C to activate methane and carbon dioxide because dry reforming of methane reaction is highly endothermic. Therefore, a solid catalyst with appropriate thermal properties is needed for the reaction. As a consequence, efficient heating of the reactor is required to control heat transfer and optimize energy consumption. Microwave-assisted dry reforming of methane thus appears as a promising alternative to conventional heating. Here we review the recent research on microwave-assisted dry reforming of methane. We present thermodynamical aspects of the dry reforming of methane, and basics of microwave heating and apparatus. We analyse reformers that use microwave heating. Catalysts used in a microwave-assisted reformer are presented and compared with reactors using conventional heating. Finally, the energy balance is discussed.
Journal Article
The Distribution of Dengue Virus Serotype in Quang Nam Province (Vietnam) during the Outbreak in 2018
Objectives: Quang Nam province in the Centre of Vietnam has faced an outbreak of dengue hemorrhagic fever (DHF) in 2018. Although DHF is a recurrent disease in this area, no epidemiological and microbiological reports on dengue virus serotypes have been conducted mainly due to lack of facilities for such a kind of advanced surveillance. The aim of this study was to detect different dengue virus serotypes in patients’ blood samples. Design and Methods: Suspected cases living in Quang Nam province (Vietnam) and presenting clinical and hematological signs of dengue hemorrhagic fever were included in the study. The screening was performed, and the results were compared by using two methodologies: RT real-time PCR (RT-rPCR) and the Dengue NS1 rapid test. Results: From December 2018 to February 2019, looking both at RT-rPCR [+] and NS1 [+] methodologies, a total of 488 patients were screened and 336 were positive for dengue virus detection (74 children and 262 adults); 273 of these patients (81.3%) underwent viral serotype identification as follows: 12.82% (35/273) D1 serotype, 17.95% (49/273) D2, 0.37% (1/273) D3, 68.50 (187/283) D4, and 0.37% (1/273) D2+D4 serotypes. The RT-rPCR outcomes showed higher sensitivity during the first three days of infection compared to NS1 (92.3% vs. 89.7%). The NS1 increased sensitivity after the first 3 days whilst the RT-rPCR decreased. Conclusions: Advanced surveillance with dengue virus serotypes identification, if performed routinely, may help to predict and prevent further DHF epidemics based on the exposure of the different serotypes during different periods that lead to the intensification of disease severity as a consequence of antibody-dependent enhancement (ADE).
Journal Article
Reduced intubation rates for infants after introduction of high-flow nasal prong oxygen delivery
Purpose
To describe the change in ventilatory practice in a tertiary paediatric intensive care unit (PICU) in the 5-year period after the introduction of high-flow nasal prong (HFNP) therapy in infants <24 months of age. Additionally, to identify the patient subgroups on HFNP requiring escalation of therapy to either other non-invasive or invasive ventilation, and to identify any adverse events associated with HFNP therapy.
Methods
The study was a retrospective chart review of infants <24 months of age admitted to our PICU for HFNP therapy. Data was also extracted from both the local database and the Australian New Zealand paediatric intensive care (ANZPIC) registry for all infants admitted with bronchiolitis.
Results
Between January 2005 and December 2009, a total of 298 infants <24 months of age received HFNP therapy. Overall, 36 infants (12%) required escalation to invasive ventilation. In the subgroup with a primary diagnosis of viral bronchiolitis (
n
= 167, 56%), only 6 (4%) required escalation to invasive ventilation. The rate of intubation in infants with viral bronchiolitis reduced from 37% to 7% over the observation period corresponding with an increase in the use of HFNP therapy. No adverse events were identified with the use of HFNP therapy.
Conclusion
HFNP therapy has dramatically changed ventilatory practice in infants <24 months of age in our institution, and appears to reduce the need for intubation in infants with viral bronchiolitis.
Journal Article
Optimising remanufacturing decision-making using the bees algorithm in product digital twins
Remanufacturing is widely recognised as a key contributor to the circular economy (CE) as it extends the in-use life of products, but its synergy with Industry 4.0 (I4.0) has received little attention when compared to manufacturing. An agglomeration of I4.0 technologies and methodologies is reflected in the emerging digital twin (DT) concept, which has been identified as a life-extending enabler. This article captures the design and demonstration of a DT model that optimises remanufacturing planning using data from different instances in a product’s life cycle. The model uses a neural network for remaining useful life predictions and the Bees Algorithm for decision making within a DT. The model is validated using a real case study. The findings support the idea that intelligent tools within a DT can enhance decision-making if they have visibility and access to the product’s current status and reliable remanufacturing process information.
Journal Article
The potential novel bacteriophages against multidrug-resistant Edwardsiella tarda isolates from striped catfish Pangasianodon hypophthalmus
The overuse of antibiotics in the aquaculture sector to prevent and treat the pathogen
Edwardsiella tarda
in striped catfish
Pangasianodon hypophthalmus
has led to the rapid emergence of multidrug-resistant (MDR)
E. tarda
isolates. Alternative strategies, such as phage therapy have been considered to control this MDR bacteria pathogen. We present here three lytic bacteriophages vB_EtA_WAG25P1, vB_EtA_WCT72P1, and vB_EtA_DT115P1 infecting
E. tarda
isolates, with their geographical origins from Mekong Delta, Vietnam. Morphological analyses combined with their genomic data indicate that the bacteriophages are classified to
Autosignataviridae
family in
Autographivirales
order. In the latent period of 35 min, the phage WCT72P1 and WAG25P1 had the burst size of about 45 virions and 61 virions per infected cell, respectively, while 51 virions were released in the shorter latent period of 25 min for the phage DT115P1. They also owned several prominent biological properties as the high species-specificity of infection, the effective in vitro repression of the MDR
E. tarda
growth for approximately four hours, pH resistance, and thermal stability. The phage WAG25P1 and DT115P1 exhibited the highest nucleotide identity to
Klebsiella
phage RCIP0053 with the sequence identity of 67.4% and 68.1%, respectively, while the phage WCT72P1 was closely related to
Klebsiella
phage RCIP0089 with the similarity of 66.6%. The phages were in a cluster of new species belonging to the new unassigned genus. The genome analysis also showed their safety due to the absence of the recombination, integration and host virulence genes. To the best of our knowledge, this is the first report of novel lytic phages infecting
E. tarda
isolates in striped catfish
Pangasianodon hypophthalmus
and it will also pave way for their potential applications for phage biocontrol of the disease in striped catfish.
Journal Article
