Your browser doesn't support javascript.
loading
Show: 20 | 50 | 100
Results 1 - 20 de 28
Filter
1.
J Colloid Interface Sci ; 664: 478-486, 2024 Jun 15.
Article in English | MEDLINE | ID: mdl-38484516

ABSTRACT

HYPOTHESIS: Spreading of liquids on soft solids often occurs intermittently, i.e., the liquid's wetting front switches between sticking and slipping. Studies of this so-called stick-slip wetting on soft solids mostly are confined within quasi-static or forced spreading conditions. In these situations, because the sticking duration is set much larger than the viscoelastic relaxation time of the solid, a ridge is persistently and fully developed at the wetting front as the soft solid yields to the liquid's surface tension. The sticking duration and spreading velocity, therefore, were shown to have little impact to the contact angle change required for stick-to-slip transitions. For unsteady wetting of soft solids, a commonly encountered but largely unexplored situation, we hypothesize that the stick-to-slip transition is controlled not only by a combination of sticking duration and the spreading velocity, but also by an increasing depinning threshold caused by the growing ridge at the wetting front. EXPERIMENT: We performed unsteady wetting experiment on soft solids by letting water droplets spread freely on soft solid surfaces of various stiffness. We capture both the stick-slip spreading behavior and growing wetting ridges using synchronous high-speed imaging and high-speed interferometry. Recorded data of liquid spreading and solid deforming at the wetting front were analyzed to shed light on the relation between stick-slip characteristics and the growing wetting ridge. FINDINGS: We find that intermittent wetting on a soft solid surface results from a competition between three key factors: liquid inertia, capillary force change during sticking, and growing pinning force caused by the solid's viscoelastic response. We theoretically formulate their quantitative contributions to predict how stick-to-slip transitions occur, i.e., how the contact angle change and sticking duration depend on the liquid's spreading velocity and the solid's viscoelastic characteristics. This provides a mechanistic understanding and methods to control unsteady wetting phenomena in diverse applications, from tissue engineering and fabrication of flexible electronics to biomedicine.

2.
Adv Funct Mater ; 34(10)2024 Mar 04.
Article in English | MEDLINE | ID: mdl-38465199

ABSTRACT

Preclinical human-relevant modeling of organ-specific vasculature offers a unique opportunity to recreate pathophysiological intercellular, tissue-tissue, and cell-matrix interactions for a broad range of applications. Here, we present a reliable, and simply reproducible process for constructing user-controlled long rounded extracellular matrix (ECM)-embedded vascular microlumens on-chip for endothelization and co-culture with stromal cells obtained from human lung. We demonstrate the critical impact of microchannel cross-sectional geometry and length on uniform distribution and magnitude of vascular wall shear stress, which is key when emulating in vivo-observed blood flow biomechanics in health and disease. In addition, we provide an optimization protocol for multicellular culture and functional validation of the system. Moreover, we show the ability to finely tune rheology of the three-dimensional natural matrix surrounding the vascular microchannel to match pathophysiological stiffness. In summary, we provide the scientific community with a matrix-embedded microvasculature on-chip populated with all-primary human-derived pulmonary endothelial cells and fibroblasts to recapitulate and interrogate lung parenchymal biology, physiological responses, vascular biomechanics, and disease biogenesis in vitro. Such a mix-and-match synthetic platform can be feasibly adapted to study blood vessels, matrix, and ECM-embedded cells in other organs and be cellularized with additional stromal cells.

3.
JMIR Form Res ; 8: e52482, 2024 Mar 25.
Article in English | MEDLINE | ID: mdl-38526545

ABSTRACT

BACKGROUND: Extractive methods for machine reading comprehension (MRC) tasks have achieved comparable or better accuracy than human performance on benchmark data sets. However, such models are not as successful when adapted to complex domains such as health care. One of the main reasons is that the context that the MRC model needs to process when operating in a complex domain can be much larger compared with an average open-domain context. This causes the MRC model to make less accurate and slower predictions. A potential solution to this problem is to reduce the input context of the MRC model by extracting only the necessary parts from the original context. OBJECTIVE: This study aims to develop a method for extracting useful contexts from long articles as an additional component to the question answering task, enabling the MRC model to work more efficiently and accurately. METHODS: Existing approaches to context extraction in MRC are based on sentence selection strategies, in which the models are trained to find the sentences containing the answer. We found that using only the sentences containing the answer was insufficient for the MRC model to predict correctly. We conducted a series of empirical studies and observed a strong relationship between the usefulness of the context and the confidence score output of the MRC model. Our investigation showed that a precise input context can boost the prediction correctness of the MRC and greatly reduce inference time. We proposed a method to estimate the utility of each sentence in a context in answering the question and then extract a new, shorter context according to these estimations. We generated a data set to train 2 models for estimating sentence utility, based on which we selected more precise contexts that improved the MRC model's performance. RESULTS: We demonstrated our approach on the Question Answering Data Set for COVID-19 and Biomedical Semantic Indexing and Question Answering data sets and showed that the approach benefits the downstream MRC model. First, the method substantially reduced the inference time of the entire question answering system by 6 to 7 times. Second, our approach helped the MRC model predict the answer more correctly compared with using the original context (F1-score increased from 0.724 to 0.744 for the Question Answering Data Set for COVID-19 and from 0.651 to 0.704 for the Biomedical Semantic Indexing and Question Answering). We also found a potential problem where extractive transformer MRC models predict poorly despite being given a more precise context in some cases. CONCLUSIONS: The proposed context extraction method allows the MRC model to achieve improved prediction correctness and a significantly reduced MRC inference time. This approach works technically with any MRC model and has potential in tasks involving processing long texts.

4.
Eur J Pharm Sci ; 195: 106709, 2024 Apr 01.
Article in English | MEDLINE | ID: mdl-38246431

ABSTRACT

Preclinical human-relevant modeling of organ-specific vasculature offers a unique opportunity to recreate pathophysiological intercellular, tissue-tissue, and cell-matrix interactions for a broad range of applications. Lung vasculature is particularly important due to its involvement in genesis and progression of rare, debilitating disorders as well as common chronic pathologies. Here, we provide an overview of the latest advances in the development of pulmonary vascular (PV) models using emerging microfluidic tissue engineering technology Organs-on-Chips (so-called PV-Chips). We first review the currently reported PV-Chip systems and their key features, and then critically discuss their major limitations in reproducing in vivo-seen and disease-relevant cellularity, localization, and microstructure. We conclude by presenting latest efforts to overcome such technical and biological limitations and future directions.


Subject(s)
Models, Biological , Tissue Engineering , Humans , Microfluidics
5.
J Biomed Opt ; 29(5): 052917, 2024 May.
Article in English | MEDLINE | ID: mdl-38223746

ABSTRACT

Significance: Breast cancer ranks second in the world in terms of the number of women diagnosed. Effective methods for its early-stage detection are critical for facilitating timely intervention and lowering the mortality rate. Aim: Polarimetry provides much useful information on the structural properties of breast cancer tissue samples and is a valuable diagnostic tool. The present study classifies human breast tissue samples as healthy or cancerous utilizing a surface-illuminated backscatter polarization imaging technique. Approach: The viability of the proposed approach is demonstrated using 95 breast tissue samples, including 35 healthy samples, 20 benign cancer samples, 20 grade-2 malignant samples, and 20 grade-3 malignant samples. Results: The observation results reveal that element m23 in the Mueller matrix of the healthy samples has a deeper color and greater intensity than that in the breast cancer samples. Conversely, element m32 shows a lighter color and reduced intensity. Finally, element m44 has a darker color in the healthy samples than in the cancer samples. The analysis of variance test results and frequency distribution histograms confirm that elements m23, m32, and m44 provide an effective means of detecting and classifying human breast tissue samples. Conclusions: Overall, the results indicate that surface-illuminated backscatter polarization imaging has significant potential as an assistive tool for breast cancer diagnosis and classification.


Subject(s)
Breast Neoplasms , Humans , Female , Breast Neoplasms/diagnostic imaging , Diagnostic Imaging/methods , Spectrum Analysis/methods , Refraction, Ocular , Microscopy, Polarization/methods
6.
Molecules ; 27(23)2022 Dec 05.
Article in English | MEDLINE | ID: mdl-36500660

ABSTRACT

Mulberry powder was created from the extract using a foam-mat drying process. The studies aimed to evaluate the effects of egg albumin, carboxymethyl cellulose (CMC), digestion-resistant maltodextrin (DRM) contents, and whipping time (5 to 15 min) on the foam properties. The impact of different drying temperatures (60 to 75 °C) on the quality of the finished mulberry powder was also noted. The best foam expansion/stability value was determined using multiple regression models as a function of egg albumin, CMC, DRM, and whipping time. The results indicated that the main influencing factors for the foam properties were whipping time followed by egg albumin, CMC, and DRM. Optimum values of foam expansion and stability were achieved at 467.9% and 97.02%, respectively. The foam had a porous structure and good stability for subsequent drying, with optimal contents of egg albumin, CMC, and DRM used at 7.6%, 0.4%, and 2%, respectively, along with a whipping time of 14.5 min. The established models had a high coefficient of determination (R2 > 0.9) and a high correlation between the predicted and observed values. Therefore, the model could be adjusted to determine the characteristics of the foam suitable for subsequent drying. The optimal values were then also verified. Minimal fluctuations (1.78−2.98%) between the experimental data and the optimal value were found. The drying temperature also significantly affected the quality of the mulberry powder. The foam was dried at 65 °C for 4 h to produce apowder with a beautiful light color (L* = 62.65), a characteristic purple-red color of mulberry (a* = 5.97). The moisture, water activity, and anthocyanin content of the finished mulberry powder were 4.57%, 0.3, and 5.4 mg/g, respectively.


Subject(s)
Morus , Desiccation/methods , Fruit/chemistry , Powders/chemistry , Plant Extracts/analysis , Albumins/analysis
7.
Soft Matter ; 18(29): 5474-5482, 2022 Jul 27.
Article in English | MEDLINE | ID: mdl-35833825

ABSTRACT

Viscous droplets impinging on soft substrates may exhibit several distinct behaviours including repeated bouncing, wetting, and hovering, i.e., spreading and retracting after impact without bouncing back or wetting. We experimentally study the conditions enabling these characteristic behaviours by systematically varying substrate elasticity, impact velocity and liquid viscosity. For each substrate elasticity, the transition to wetting is determined as the dependence of the Weber number We, which measures the droplet's kinetic energy against its surface energy, on the Ohnesorge number Oh, which compares viscosity to inertia and capillarity. We find that while We at the wetting transition monotonically decreases with Oh for relatively rigid substrates, it exhibits a counter-intuitive behaviour in which it first increases and then gradually decreases for softer substrates. We experimentally determine the dependence of the maximum Weber number allowing non-wetting impacts on substrate elasticity and show that it provides an excellent quantitative measure of liquid repellency for a wide range of surfaces, from liquid to soft surfaces and non-deformable surfaces.

8.
Environ Sci Pollut Res Int ; 29(53): 80849-80859, 2022 Nov.
Article in English | MEDLINE | ID: mdl-35729384

ABSTRACT

In July 2017, a massive bloom of the potentially toxic cyanobacterial species Planktothrix sp. was observed in the Béni-Haroun Reservoir (Algeria), which was followed by a massive fish death. Many questions were raised in association with the role of cyanotoxins and the fish massive mortality. The objective of this paper is twofold: (1) to investigate the variability of physicochemical and cyanobacterial parameters (chlorophyll-a, phycocyanin, allophycocyanin, and microcystins) throughout the period of July 2017 to June 2018; and (2) to determine the free and total MC levels in viscera and muscle tissues of the common carp (Cyprinus carpio), which are found dead in the considered reservoir in October 2017. Our results showed microcystin (MC) concentrations in water samples (by the protein phosphatase PP2A assay) had reached 651.2 ng MC-LR equiv./L. Total MC levels (free + bound) in the viscera and muscle tissues of sampled dead fish were at 960.24 and 438.54 µg MC-LR equiv./kg dw, respectively. It is assumed that high concentrations of MC observed in the tissues of common carp induced a strong degradation of the visceral contents resulting in the complete lysis of the hepatopancreas, and presumably the massive fish death.


Subject(s)
Carps , Cyanobacteria , Harmful Algal Bloom , Animals , Algeria , Chlorophyll , Cyanobacteria/pathogenicity , Microcystins/toxicity , Phosphoprotein Phosphatases , Phycocyanin , Planktothrix
9.
Nat Commun ; 12(1): 4289, 2021 Jul 13.
Article in English | MEDLINE | ID: mdl-34257292

ABSTRACT

A stone thrown in a lake captures air as it collides with water and sinks; likewise a rain drop falling on a flat surface traps air bubbles underneath and creates a spectacular splash. These natural occurrences, from bubble entrapment to liquid ejection, happen as air fails to escape from the closing gap between liquid and solid surfaces. Trapping of air is devastating for casting, coating, painting, and printing industries, or those intolerant of water entry noise. Attempts to eliminate the interfering air rely on either reducing the ambient pressure or modifying the solid surfaces. The former approach is inflexible in its implementation, while the latter one is inherently limited by the wetting speed of liquid or the draining capacity of air passages created on the solid. Here, we present a "divide and conquer" approach to split the thin air gap into tunnels and subsequently squeeze air out from the tunnels against its viscous resistance using spatially periodic dielectrophoretic force. We confirm the working principles by demonstrating suppression of both bubble entrapment and splash upon impacts of droplets on solid surfaces.

10.
Soft Matter ; 17(24): 5969-5977, 2021 Jun 28.
Article in English | MEDLINE | ID: mdl-34047748

ABSTRACT

Soft surfaces impacted by liquid droplets trap more air underneath than their rigid counterparts. The extended lifetime of the air film not only facilitates bouncing behaviours of the impacting droplets but also increases the possibility of interactions between the air film itself and the air cavity formed inside the droplets by capillary waves. Such interactions may cause rupture of the trapped air film by a so-called dimple inversion phenomenon and suppress bouncing. In this work, we systematically investigate the relationship between air cavity collapse and air film rupture for water droplets impacting soft, hydrophobic surfaces. By constructing a bouncing-to-wetting phase diagram based on the rupturing dynamics of the trapped air film, we observe that the regime in which air film rupture is induced by dimple inversion consistently separates the bouncing regime and the one in which wetting is caused by random rupture. We also found that air film rupture by dimple inversion in-turn affects both the collapsing dynamics of the air cavity and the resulting high-speed jet. We then provide a detailed characterisation of the collapsing dynamics of the air cavity and subsequent jetting.

11.
Soft Matter ; 16(10): 2621-2628, 2020 Mar 11.
Article in English | MEDLINE | ID: mdl-32104871

ABSTRACT

The spreading of a sessile droplet on a solid substrate is enhanced if a non-uniform electric field is applied at the contact-line region. This so-called dielectrowetting effect holds great potential in controlling the spreading of droplets by varying the strength of the electric field. In this paper, we experimentally and theoretically study the effect of the dielectrowetting on the dynamics of droplets impacting on a solid surface having electrodes to impose the non-uniform electric field to the liquid. We experimentally study the anisotropic behaviours in both the spreading and retracting stages: the droplets spread more but retract with significantly smaller rates in the direction parallel to the electrodes. We provide a theoretical explanation for the spreading enhancement caused by dielectrowetting by decoupling it from inertia-induced spreading. We also theoretically account for the reduction in retraction rate using force balance at the contact line. The theoretical analysis in both the spreading and retracting stages is verified experimentally.

12.
ACS Nano ; 13(11): 13293-13303, 2019 11 26.
Article in English | MEDLINE | ID: mdl-31687810

ABSTRACT

Human voice recognition systems (VRSs) are a prerequisite for voice-controlled human-machine interfaces (HMIs). In order to avoid interference from unexpected background noises, skin-attachable VRSs are proposed to directly detect physiological mechanoacoustic signals based on the vibrations of vocal cords. However, the sensitivity and response time of existing VRSs are bottlenecks for efficient HMIs. In addition, water-based contaminants in our daily lives, such as skin moisture and raindrops, normally result in performance degradation or even functional failure of VRSs. Herein, we present a skin-attachable self-cleaning ultrasensitive and ultrafast acoustic sensor based on a reduced graphene oxide/polydimethylsiloxane composite film with bioinspired microcracks and hierarchical surface textures. Benefitting from the synergetic effect of the spider-slit-organ-like multiscale jagged microcracks and the lotus-leaf-like hierarchical structures, our superhydrophobic VRS exhibits an ultrahigh sensitivity (gauge factor, GF = 8699), an ultralow detection limit (ε = 0.000 064%), an ultrafast response/recovery behavior, an excellent device durability (>10 000 cycles), and reliable detection of acoustic vibrations over the audible frequency range (20-20 000 Hz) with high signal-to-noise ratios. These superb performances endow our skin-attachable VRS with anti-interference perception of human voices with high precision even in noisy environments, which will expedite the voice-controlled HMIs.


Subject(s)
Acoustics , Machine Learning , Skin/metabolism , Voice , Wearable Electronic Devices , Dimethylpolysiloxanes/chemistry , Dimethylpolysiloxanes/metabolism , Graphite/chemistry , Graphite/metabolism , Humans , Skin/chemistry , Surface Properties
13.
Phys Rev Lett ; 123(2): 024502, 2019 Jul 12.
Article in English | MEDLINE | ID: mdl-31386542

ABSTRACT

A droplet initially overstretched on a solid substrate pulls back to lower the contact area and may jump away from the substrate. The condition to realize such macroscopic behaviors is often dictated by microscopic characteristics, such as contact-line pinning, in nontrivial ways. Here we theoretically and experimentally reveal the hidden contribution of contact-line pinning in forming the critical condition for detachment of a droplet from a solid substrate, among other dominating hydrodynamical effects. Our results demonstrate the relation between classical theories on contact-line pinning and various droplet manipulating applications in microfluidics and bioprinting.

14.
Phys Rev E ; 97(6-1): 063101, 2018 Jun.
Article in English | MEDLINE | ID: mdl-30011486

ABSTRACT

We examine the contact line friction coefficient of viscous droplets spreading and retracting on solid surfaces immersed in ambient oil. By using the electrowetting effect, we generate a surface tension imbalance to drive the spreading and the retracting motion of the three-phase contact line (TCL). We show that neither the driving force intensity nor TCL direction significantly influences the friction coefficient. Instead, the friction coefficient depends equivalently on the viscosity of liquid droplets and the surrounding oil. We derive and experimentally verify a transient timescale that can be used to characterize both the spreading and retracting dynamics.

15.
Sci Rep ; 8(1): 836, 2018 01 16.
Article in English | MEDLINE | ID: mdl-29339769

ABSTRACT

Droplet spreading on substrates by electrowetting exhibits either of the two transient behaviours: one characterised by contact line oscillation, and the other one by slow spreading dynamics. The transition between these behaviours remains elusive due to the current limited understanding of the spreading dynamics on the hydrodynamical and electrical properties of electrowetting systems. To understand this transition we propose a model capturing the transition's occurrence based on both the hydrodynamical and electrical parameters. We derive the critical viscosity at which the transition occurs and reveal its subtle and often hidden dependence on the electrowetting dynamics. We find and experimentally verify that the condition for minimization of droplets' actuation time is only achieved at the transition. Particularly, the transition time as a function of damping ratio exhibits the general feature of Kramers' reaction-rate theory.

16.
Front Surg ; 4: 51, 2017.
Article in English | MEDLINE | ID: mdl-29109950

ABSTRACT

Paget's disease of the breast is a rare cancer. This typical clinical case illustrates the different epidemiological, clinical, histological, therapeutic, and evolving aspects of the disease. We report a case of Paget's disease in a 43-year-old woman who presented eczema of the nipple. Mammography and ultrasounds did reveal a lesion in situ. The patient was scheduled for mastectomy and sentinel node biopsy. She had chosen a radical bilateral surgery. The histological diagnosis was Paget's disease of the breast with a carcinoma in situ. There was no metastasis in either of the sentinel nodes. Paget's disease must be considered with the presence of a persistent eczematous involvement of the nipple, which does not respond to local treatment. Ultrasounds, mammography, and magnetic resonance imaging can allow searching an underlying cancer and guiding the surgical management. There is no evidence at this time that one of the two surgical techniques (conservative or mastectomy) would improve survival. The prognosis depends on the presence of a palpable mass and the invasiveness of the cancer.

17.
J Infect Dis ; 217(1): 134-146, 2017 12 27.
Article in English | MEDLINE | ID: mdl-29029245

ABSTRACT

Background: Most insights into the cascade of immune events after acute respiratory syncytial virus (RSV) infection have been obtained from animal experiments or in vitro models. Methods: In this study, we investigated host gene expression profiles in nasopharyngeal (NP) swabs and whole blood samples during natural RSV and rhinovirus (hRV) infection (acute versus early recovery phase) in 83 hospitalized patients <2 years old with lower respiratory tract infections. Results: Respiratory syncytial virus infection induced strong and persistent innate immune responses including interferon signaling and pathways related to chemokine/cytokine signaling in both compartments. Interferon-α/ß, NOTCH1 signaling pathways and potential biomarkers HIST1H4E, IL7R, ISG15 in NP samples, or BCL6, HIST2H2AC, CCNA1 in blood are leading pathways and hub genes that were associated with both RSV load and severity. The observed RSV-induced gene expression patterns did not differ significantly in NP swab and blood specimens. In contrast, hRV infection did not as strongly induce expression of innate immunity pathways, and significant differences were observed between NP swab and blood specimens. Conclusions: We conclude that RSV induced strong and persistent innate immune responses and that RSV severity may be related to development of T follicular helper cells and antiviral inflammatory sequelae derived from high activation of BCL6.


Subject(s)
Blood Cells/pathology , Gene Expression Profiling , Immunity, Innate , Respiratory Mucosa/pathology , Respiratory Syncytial Virus Infections/pathology , Respiratory Syncytial Viruses/pathogenicity , Respiratory Tract Infections/pathology , Child, Preschool , Cohort Studies , Common Cold/pathology , Female , Hospitalization , Humans , Infant , Infant, Newborn , Male
18.
Phytochemistry ; 144: 113-118, 2017 Dec.
Article in English | MEDLINE | ID: mdl-28923322

ABSTRACT

Three cycloartane-type triterpene glycosides (anopanins A-C), together with three known monoacyldigalactosylglycerols gingerglycolipids A-C and (2S)-1-O-palmitoyl-3-O-[α-d-galactopyranosyl-(1→6)-ß-d-galactopyranosyl]-sn-glycerol, were isolated from the aerial parts of Anodendron paniculatum collected in Viet Nam. The chemical structures of the present compounds were elucidated by means of 1D and 2D NMR and HRESIMS spectroscopy, and by comparing to the reported data in the literature. These compounds did not show significant growth inhibitory activities (IC50 > 100 µg/mL) against the tested cancer cell lines LU-1 (lung adenocarcinoma), KB (epidermoid carcinoma), Hep-G2 (hepatoma cancer), MKN-7 (stomach cancer), and SW-480 (colon adenocarcinoma).


Subject(s)
Apocynaceae/chemistry , Glycerol/isolation & purification , Triterpenes/isolation & purification , Cell Line, Tumor , Glycerol/analogs & derivatives , Glycerol/chemistry , Humans , Molecular Conformation , Triterpenes/chemistry
19.
Bioorg Med Chem Lett ; 27(14): 3043-3047, 2017 07 15.
Article in English | MEDLINE | ID: mdl-28558970

ABSTRACT

The investigation of the Vietnamese marine sponge Spongia sp. led to the isolation of three new sesquiterpene phenols, langconols A-C (1-3), and one new sesquiterpene hydroxyquinone, langcoquinone C (4), together with two known meroterpenoids (5 and 6). Their structures were determined on the basis of spectroscopic analyses and comparisons with published data. Furthermore, the antibacterial assays of the isolates 1-6 suggested that 4 and 6 had significant antibacterial activities against Bacillus subtilis and Staphylococcus aureus, with MICs ranging from 6.25 to 25.0µM, while 1 and 3 possessed significant antibacterial activities against B. subtilis with MICs of 12.5 and 25.0µM, respectively. In contrast, cytotoxic assays of the isolated compounds 1-6, as well as compounds 7-15 previously isolated from this sponge, indicated that 1 and the previously reported anti-B. subtilis and anti-S. aureus sesquiterpene phenol 9 lacked cytotoxic activities against three human cancer cell lines (A549, lung cancer; MCF7, breast cancer; HeLa, cervix cancer) and a human normal cell line (WI-38 fibroblast).


Subject(s)
Anti-Bacterial Agents/chemistry , Porifera/chemistry , Sesquiterpenes/chemistry , A549 Cells , Animals , Anti-Bacterial Agents/isolation & purification , Anti-Bacterial Agents/pharmacology , Antineoplastic Agents/chemistry , Antineoplastic Agents/isolation & purification , Bacillus subtilis/drug effects , Cell Survival/drug effects , HeLa Cells , Humans , MCF-7 Cells , Magnetic Resonance Spectroscopy , Molecular Conformation , Porifera/metabolism , Sesquiterpenes/isolation & purification , Sesquiterpenes/pharmacology , Staphylococcus aureus/drug effects
20.
PLoS One ; 11(8): e0160606, 2016.
Article in English | MEDLINE | ID: mdl-27500954

ABSTRACT

BACKGROUND: Despite a high burden of respiratory syncytial virus (RSV) infections among children, data on demographic and clinical characteristics of RSV are scarce in low and middle income countries. This study aims to describe the viral etiologies, the demographic, epidemiological, and clinical characteristics of children under two years of age who were hospitalized with a lower respiratory tract infections (LRTI), focusing on RSV (prevalence, seasonality, subgroups, viral load) and its association with disease severity. METHODS: A prospective study among children under two years of age, hospitalized with LRTI was conducted in two referral pediatric hospitals in Ho Chi Minh City, Vietnam, from May 2009 to December 2010. Socio-demographic, clinical data and nasopharyngeal swabs were collected on enrolment and discharge. Multiplex real-time RT-PCR (13 viruses) and quantitative RSV RT-PCR were used to identify viral pathogens, RSV load and subgroups. RESULTS: Among 632 cases, 48% were RSV positive. RSV infections occurred at younger age than three other leading viral infections i.e rhinovirus (RV), metapneumovirus (MPV), parainfluenza virus (PIV-3) and were significantly more frequent in the first 6 months of life. Clinical severity score of RSV infection was significantly higher than PIV-3 but not for RV or MPV. In multivariate analysis, RV infection was significantly associated with severity while RSV infection was not. Among RSV infections, neither viral load nor viral co-infections were significantly associated with severity. Young age and having fever at admission were significantly associated with both RSV and LRTI severity. A shift in RSV subgroup predominance was observed during two consecutive rainy seasons but was not associated with severity. CONCLUSION: We report etiologies, the epidemiological and clinical characteristics of LRTI among hospitalized children under two years of age and risk factors of RSV and LRTI severity.


Subject(s)
Respiratory Syncytial Virus Infections/epidemiology , Respiratory Syncytial Virus Infections/etiology , Respiratory Tract Infections/epidemiology , Respiratory Tract Infections/virology , Child, Preschool , Humans , Infant , Respiratory Syncytial Virus, Human/pathogenicity , Risk Factors , Seasons , Vietnam/epidemiology , Viral Load
SELECTION OF CITATIONS
SEARCH DETAIL
...