Administration of recombinant human thrombopoietin is associated with alleviated thrombocytopenia in adult intensive care unit patients with pneumonia: A single-center retrospective study.

Background: Recombinant human thrombopoietin (rhTPO) is reported to stimulate platelet production and increase peripheral platelet counts; it is primarily used to manage chemotherapy-induced thrombocytopenia and idiopathic thrombocytopenic purpura. However, the effect of rhTPO in patients with pneumonia and thrombocytopenia remains uncertain. Objective: To assess the association of rhTPO and platelet counts in ICU patients with pneumonia and thrombocytopenia. Materials and Methods: A retrospective cohort study was performed in the ICU department, Nanfang Hospital, Southern Medical University, Guangzhou, China. From January 2016 to April 2021, patients with pneumonia and thrombocytopenia were allocated to two groups-the rhTPO and no-rhTPO groups-according to whether they received rhTPO treatment or not during their ICU stay. Demographical and clinical data were collected and analyzed using statistical software; p < 0.05 was considered statistically significant. Results: Out of 327 patients, 149 were in the rhTPO group and 178 were in the no-rhTPO group. Within the first 7 days, platelet counts increased more for patients in the rhTPO group compared with those in the no-rhTPO group (99.21 ± 102.613 vs. 2.08 ± 43.877, p = 0.000). The clinical recovery rate of platelets increased within 7 days (65.8 vs. 18.5%, p = 0.000) and, after 7 days of enrollment, hemorrhagic scores decreased more apparently in the rhTPO group (2.81 ± 2.856 vs. 1.16 ± 2.123, p = 0.000). Further, bleeding events ceased in 66.7% of the patients in the rhTPO group compared with 37.3% of the patients in the no-rhTPO group (p = 0.000). Less red-blood-cells transfusions were needed in the rhTPO group (3.639 ± 4.630 vs. 5.818 ± 6.858, p = 0.009). Furthermore, through logistic regression, rhTPO administration was found to be an independent indicator that affected the platelet recovery rate within 7 days. Conclusion: This study finds that rhTPO administration is associated with increased platelet counts, alleviated bleeding, and reduced blood transfusion. For patients with pneumonia and thrombocytopenia, rhTPO may be an effective therapeutic drug; however, more RCT trails are needed to confirm our observation.

Spatial Scale Effect of a Typical Polarized Remote Sensor on Detecting Ground Objects.

For polarized remote sensors, the polarization images of ground objects acquired at different spatial scales will be different due to the spatial heterogeneity of the ground object targets and the limitation of imaging resolution. In this paper, the quantitative inversion problem of a typical polarized remote sensor at different spatial scales was studied. Firstly, the surface roughness of coatings was inversed based on the polarized bidirectional reflectance distribution function (pBRDF) model according to their polarization images at different distances. A linear-mixed pixel model was used to make a preliminary correction of the spatial scale effect. Secondly, the super-resolution image reconstruction of the polarization imager was realized based on the projection onto convex sets (POCS) method. Then, images with different resolutions at a fixed distance were obtained by utilizing this super-resolution image reconstruction method and the optimal spatial scale under the scene can be acquired by using information entropy as an evaluation indicator. Finally, the experimental results showed that the roughness inversion of coatings has the highest accuracy in the optimal spatial scale. It has been proved that our proposed method can provide a reliable way to reduce the spatial effect of the polarized remote sensor and to improve the inversion accuracy.

Risk Factors for Enterococcal Intra-Abdominal Infections and Outcomes in Intensive Care Unit Patients.

Background: To investigate the risk factors for enterococcal intra-abdominal infections (EIAIs) and the association between EIAIs and outcomes in intensive care unit (ICU) patients. Methods: We reviewed retrospectively the records of patients with intra-abdominal infections admitted to the Department of Critical Care Medicine at Nanfang Hospital, Southern Medical University, China, from January 2011 to December 2018. Patients with intra-abdominal infections were divided into enterococcal and non-enterococcal groups based on whether enterococci were isolated from intra-abdominal specimens. Results: A total of 431 patients with intra-abdominal infections were included, of whom 119 were infected with enterococci and 312 were infected with non-enterococci. Enterococci were isolated in 27.6% of patients, accounting for 24.5% (129/527) of all clinical bacterial isolates. Post-operative abdominal infection (adjusted odds ratio [OR], 2.361; p = 0.004), intestinal infection (adjusted OR, 2.703; p < 0.001), Mannheim Peritonitis Index score (MPI; adjusted OR, 1.052; p = 0.015), and use of antibiotic agents within the previous 90 days (adjusted OR, 1.880; p = 0.025) were associated with an increased risk of EIAIs. Compared with patients without enterococcal infection, ICU patients with enterococcal infection had a higher risk of failure of initial clinical therapy (49.6% vs. 24.2%; p < 0.001) and longer hospital stays (33 days [19, 48] vs. 18 days [12, 29]; p < 0.001). Enterococcal infection was associated with increased 28-day mortality, in-hospital mortality, and ICU mortality. However, no difference was found in length of ICU stay between the two groups. Additionally, there was no difference in ICU mortality, hospital mortality, or 28-day mortality in patients infected with enterococcus who did or did not receive empirical anti-enterococcal therapy. Conclusion: Post-operative abdominal infection, intestinal infection, MPI score, and use of antibiotic agents within the previous 90 days were independent risk factors for enterococcal infection. Enterococcal infection was associated with reduced short-term survival in ICU patients.

Polarization patterns under different sky conditions and a navigation method based on the symmetry of the AOP map of skylight.

The polarization states of a skylight can be used for navigation by a lot of insects as well as by human beings. However, the polarization patterns of skylight are greatly influenced by the atmospheric conditions. This paper studied the polarization patterns of skylight under different sky conditions by polarized imaging measurements, in which the AOT (Aerosol Optical Thickness) and clouds were taken into account. The results showed that both the aerosol and cloud disturbed the polarization patterns of the skylight, but the patterns of AOP (Angle of Polarization) showed great robustness. The symmetry of the AOP images was found to be quite steady under most of the sky conditions. We proposed a navigation method by finding out the solar meridian according to the symmetry of an AOP map. The results showed that the solar meridian can be identified accurately under different situations. The calculation errors slightly fluctuated along with the aerosol and cloud.

Improved atmospheric effect elimination method for the roughness estimation of painted surfaces.

We propose a method for eliminating the atmospheric effect in polarimetric imaging remote sensing by using polarimetric imagers to simultaneously detect ground targets and skylight, which does not need calibrated targets. In addition, calculation efficiencies are improved by the skylight division method without losing estimation accuracy. Outdoor experiments are performed to obtain the polarimetric bidirectional reflectance distribution functions of painted surfaces and skylight under different weather conditions. Finally, the roughness of the painted surfaces is estimated. We find that the estimation accuracy with the proposed method is 6% on cloudy weather, while it is 30.72% without atmospheric effect elimination.