The Diagnostic Value of Triggering Receptor Expressed on Myeloid Cells-1 in Post-Traumatic Bacterial Endophthalmitis.

Purpose: To determine whether soluble-triggering receptor expressed on myeloid cells-1 (sTREM-1) could serve as a reliable diagnostic biomarker of post-traumatic bacterial endophthalmitis (PTBE). Methods: Thirty-two patients (32 eyes) clinically diagnosed having PTBE were further divided into a culture-positive (CP) group and a culture-negative (CN) group. Sixty-two patients (62 eyes) without traumatic endophthalmic infection were also enrolled. Twenty-one eyes from 11 donors without globe ocular injuries were included as control group. Vitreous sTREM-1 levels were detected by ELISA. The expression and tissue distribution of TREM-1 were revealed by immunohistochemistry. The diagnostic value of sTREM-1 was determined by receiver operating characteristic curve (ROC). The correlation between sTREM-1 concentration and final best-corrected visual acuity (FBCVA) and Peyman endophthalmitis score (PES) were also assessed. Results: The vitreous sTREM-1 level in the PTBE group was higher than that in noninfected group and control group (P < 0.05). No remarkable difference was found between the CP group and the CN group in vitreous sTREM-1 levels (P > 0.05). No remarkable difference was found between the noninfected group and the control group (P > 0.05). No remarkable difference in TREM-1 level was found before and after intravitreal antibiotics (P > 0.05). TREM-1 was selectively highly expressed on the surface of cell membrane of neutrophils and monocytes/macrophages infiltrated in vitreous and uveal of the PTBE group. The area under the ROC curve (AUC) was 0.79 (>0.75), with a medium diagnostic efficiency. The sensitivity and specificity of sTREM-1 to differentiate PTBE from the noninfected intraocular condition were 62.50% and 86.25% separately. A cutoff value >524.50 pg/mL for sTREM-1 was predicted to be PTBE. Vitreous sTREM-1 levels in PTBE group were positively correlated with PES (r = 0.428, P < 0.05). However, sTREM-1 levels and FBCVA did not significantly correlate with one another (P > 0.05). Conclusions: The sTREM-1 was a promising diagnostic biomarker of PTBE, especially CN-PTBE. Vitreous sTREM-1 levels were linked with intraocular inflammation levels and severity of PTBE.

Doxycycline Suppresses Vasculogenic Mimicry in Human Pterygium Fibroblasts.

PURPOSE: To explore the effect of doxycycline on vasculogenic mimicry (VM) formation and the potential mechanism in human pterygium fibroblasts in order to find novel targets for pterygium therapy. METHODS: First, we demonstrate the existence of VM in 73 pterygium specimens by CD31 and periodic acid Schiff (PAS) dual staining. Then we used cell counting kit-8, clone formation assay and flow cytometry to prove the inhibitory effect of doxycycline on cell proliferation and apoptosis. The VM formation was evaluated through wound healing assay, cell transwell assay and three-dimensional cell culture combined with PAS staining. Finally, we used Western blot to testify the correlation of the VM and the factors in protein level preliminarily. RESULTS: Our results showed that VM existed in human pterygium specimens exactly. Otherwise, in human pterygium fibroblasts, doxycycline induced a dose-dependent inhibitory effect on cell proliferation and apoptosis induction. Besides, doxycycline significantly suppressed vasculogenic mimicry tube formation, cell migration and invasion. Furthermore, doxycycline impaired the expression of MMP-9, MMP-2 and VEGF which may related to pterygium VM formation. CONCLUSIONS: Doxycycline decelerated pterygium progression might be through inhibiting VM formation according to the downregulation of MMP-9, MMP-2 and VEGF, which may provide the basis of further studies involving doxycycline for pterygium treatment.

Olfactory Facilitation of Takeover Performance in Highly Automated Driving.

OBJECTIVE: This study aims to quantify the impact of olfactory stimulation and takeover modality on the performance of takeovers in conditionally automated driving. BACKGROUND: Takeover requests are important for the safety of automated vehicles. The reaction time and subsequent performance of drivers in the takeover process are crucial for safety. In this study, peppermint was adopted as an auxiliary modality to the tactile and auditory design of takeover requests. METHODS: Sixty participants took part in the experiment, which required participants to avoid a stalled vehicle after they were awoken from a state of light sleep by a takeover request. Takeover modality (tactile, auditory, and combined) was the within-subjects factor. In the between-subjects design, half of the participants received a peppermint odor stimulation when the takeover request occurred, and the other half received a placebo (air). RESULTS: The presence of peppermint odor did not influence the reaction time, but participants did show signs of being more alert afterwards. For the moment of takeover, use of the auditory modality had a significant positive effect on reaction time compared to the tactile conditions. CONCLUSION: Peppermint odor had a positive impact on drivers' takeover quality when engaged in nondriving-related activities such as light sleep, and the takeover request modalities were shown to be crucial for a safe and successful takeover. APPLICATION: The results will be useful as a reference for developers of automated driving systems to design human-machine interfaces, shorten the driver's reaction time, and improve takeover quality.

Accelerated MR diffusion tensor imaging using distributed compressed sensing.

PURPOSE: Diffusion tensor imaging (DTI) is known to suffer from long acquisition time in the orders of several minutes or even hours. Therefore, a feasible way to accelerate DTI data acquisition is highly desirable. In this article, the feasibility and efficacy of distributed compressed sensing to fast DTI is investigated by exploiting the joint sparsity prior in diffusion-weighted images. METHODS: Fully sampled DTI datasets were obtained from both simulated phantom and experimental heart sample, with diffusion gradient applied in six directions. The k-space data were undersampled retrospectively with acceleration factors from 2 to 6. Diffusion-weighted images were reconstructed by solving an l2-l1 norm minimization problem. Reconstruction performance with varied signal-to-noise ratio and acceleration factors were evaluated by root-mean-square error and maps of reconstructed DTI indices. RESULTS: Superiority of distributed compressed sensing over basic compressed sensing was confirmed with simulation, and the reconstruction accuracy was influenced by signal-to-noise ratio and acceleration factors. Experimental results demonstrate that DTI indices including fractional anisotropy, mean diffusivities, and orientation of primary eigenvector can be obtained with high accuracy at acceleration factors up to 4. CONCLUSION: Distributed compressed sensing is shown to be able to accelerate DTI and may be used to reduce DTI acquisition time practically.