Bloodstream infections (BSIs) require rapid identification and susceptibility testing to guide timely antimicrobial therapy. Although paired aerobic and anaerobic blood culture bottles are routinely used, the incremental benefit of anaerobic bottles in settings with low anaerobic bacteremia prevalence remains uncertain. This study compared paired aerobic bottles with paired aerobic anaerobic bottle combinations in terms of pathogen isolation rate, time-to-positivity (TTP), and contaminant recovery. This 12-month descriptive study included 1009 adult inpatients with suspected sepsis. For each patient, 30 mL blood was collected: 20 mL from a single venipuncture site/central line inoculated equally into one aerobic and one anaerobic bottle, and 10 mL from another site inoculated into an additional aerobic bottle. Bottles were incubated in the bioMérieux BacT/Alert Virtuo system for up to five days. Positive bottles were processed, and organisms were identified using MALDI-TOF MS. Analysis compared aerobic-anaerobic pairs with aerobic pairs with one aerobic bottle common for each pair. Isolation rates were analysed using McNemar's chi-square test, and mean TTP using paired t-test. A total of 3027 bottles were analysed. Pathogen isolation rates were similar between aerobic pair (11.49%) and aerobic-anaerobic pairs (10.8%) (P = 0.621). Mean TTP did not differ significantly (14.7 h vs. 14.84 h; P = 0.927). Recovery rates and TTP for Gram-positive bacteria, Gram-negative bacteria, Enterobacterales, non-fermenters, and Candida species were comparable across both combinations. Obligate anaerobes were rarely isolated (0.2%) and were detected only in anaerobic bottles. Contaminant isolation was significantly lower in aerobic-anaerobic pairs (5.15% vs. 7.73%; P = 0.0184), although contaminant TTP was similar. Aerobic pair and aerobic-anaerobic pair demonstrated comparable diagnostic yield and TTP for clinically significant pathogens. In low-prevalence settings, selective rather than routine use of anaerobic bottles may represent a more resource-efficient strategy.
Hot water bottles are widely used for warmth and therapeutic relief, but improper use can lead to burns, ranging from superficial to full-thickness skin injuries. Following the natural gas shortage caused by the complete halt of Russian gas supplies, European countries experienced a sharp increase in hot water bottle-related burns. However, data for Germany were not yet provided. This study examines the incidence of hot water bottle burns over a 10-year period, exploring potential correlations with natural gas prices, natural gas consumption, ambient temperature, and respiratory infection rates. A retrospective single-center analysis of 88 patients who sustained hot water bottle burns from 2014 to 2024 was conducted. Patient data, including burn severity and demographic information, were extracted from hospital records. Monthly counts of acute respiratory infections (ARIs), ambient temperature, natural gas price and gas consumption data were also analyzed. A Poisson regression model was applied to assess the association between hot water bottle burns and the mentioned independent variables. The majority of burns (81.8 %) were second-degree injuries, primarily affecting women (81.8 %). Burns were most common on the lower trunk, thighs, and forearms. The Poisson regression model revealed that for every 1 °C increase in ambient temperature, the incidence of burns decreased by 7 % (IRR=0.93, 95 % CI: 0.88-0.97). However, no significant association was found between ARI incidence, natural gas price and burn occurrence. There was no significant increase of water bottle burns during the recent European energy crisis in Germany. Hot water bottle burns are more frequent during colder months, particularly among women. Natural gas price or natural gas consumption seems like not playing an equivalent role in Germany as in other European countries. Public health efforts should focus on education and prevention strategies to reduce these preventable injuries. Further research should explore additional factors that may influence burn rates.
Activity concentrations of 226Ra, 232Th, and 40K radionuclides were determined in various brands of bottled drinking water commonly available in the local markets of Greater Dhaka City; additionally, the annual effective dose following the ingestion pathway was assessed. Radioactivity of 226Ra in the bottled water (purified, mineral, and drinking) samples varied from 0.61 ± 0.27 Bq L-1 to 10.64 ± 1.34 Bq L-1 with a mean value of 4.73 ± 1.02 Bq L-1. For 232Th, the concentration ranged between 0.35 ± 0.27 Bq L-1 and 5.71 ± 3.37 Bq L-1 with a mean of 2.97 ± 1.61 Bq L-1; for 40K, it ranged from 3.48 ± 2.92 Bq L-1 to 93.58 ± 26.74 Bq L-1 with a mean of 36.31 ± 10.63 Bq L-1. Purified bottled water exhibited the highest activity concentrations of 226Ra and 40K, whereas drinking water showed the highest 232Th concentration compared to purified and mineral bottled water samples. Infants received higher annual ingestion doses compared to children and adults. The average value of the threshold consumption rate remained below the limit. The 226Ra shows statistical significance, whereas 232Th and 40K are the opposite; 226Ra shows greater heterogeneity.
This study aims to deepen the understanding of how oxygen transfers through wine bottle closures and their chemical reactivity and kinetics during storage. A miniaturized bottle system was designed to enable measurements with or without model wine. Different physical and chemical mechanisms, each with its own kinetics, were revealed through oxygen permeability measurements. Four main mechanisms were identified, each occurring over different timescales. In the first days of storage, rapid equilibrium is established between the gas and liquid phases of the model wine. During the early months, oxygen diffuses from the cork cells into the gas phase in the system. Phenolic compounds are then extracted from the cork and react with the oxygen released from the sealing system into the liquid phase, leading to a decrease in oxygen content over several months. Ultimately, long-term oxygen permeation through the closure results in a gradual, continuous increase in oxygen content within the mini-bottle system.
Filtration methods are widely used for microplastic (MP) isolation, yet filter membrane selection can introduce substantial bias into MP quantification. In this study, five types of membranes, classified as single-layer-hole [polycarbonate track-etched (PCTE)], multilayer-fiber [polytetrafluoroethylene (PTFE) and glass fiber (GF)], and multilayer-hole [mixed cellulose esters (MCE) and nylon (NY)], were systematically compared for MP quantification. Particle abundance was quantified by scanning electron microscopy (SEM)-based visual counting on membranes. Polystyrene (PS) microspheres exhibited superior dispersion on single-layer-hole (PCTE) and multilayer-fiber (PTFE) membranes. However, partial particle embedding occurred in multilayer-fiber membranes (PTFE and GF), whereas pronounced aggregation occurred on multilayer-hole membranes (MCE and NY). Accordingly, PCTE exhibited the most stable quantification performance across PS concentrations and pH conditions, with RSD values of 3.05-17.68%. Application to bottled drinks further showed that PCTE improved the differentiation of particle abundance among brands. LDIR analysis indicated that the collected particles from bottled drinks consisted of both MPs, mainly polyethylene terephthalate, polyethylene, polybutadiene rubber, and polyvinyl chloride, as well as non-MPs (54.50% - 81.29%). Overall, selection of appropriate membranes is critical for MP quantification, and single-layer-hole PCTE membranes are recommended for reliable visual counting and improved comparability across studies.
To characterize wines produced from a specific grape variety, it is essential to determine the composition of volatile aroma compounds and their contribution to the wine's overall aroma profile. In this study, effects of bottle ageing period on the volatile aroma profile of red wines obtained from 2020 harvest of Acıkara and Fersun grape varieties grown in vineyards in Elmalı/Antalya province (Türkiye) have been evaluated. According to the results of physicochemical analyses Acıkara wine, which has a higher phenolic, flavonoid and anthocyanin content than Fersun wine, showed higher free radical scavenging activity. The total amount of volatile aroma compounds was found to be 3138.24 µg/L in Acıkara wine and 5701.90 µg/L in Fersun wine. Following a 12-month period of bottle ageing, it was established that the total amount of volatile aroma components of the Acıkara and Fersun wines was 3197.39 µg/L and 3260.40 µg/L, respectively. While volatile acids, C6 alcohols and C13-norisoprenoid compounds exhibited an increase in both of Acıkara and Fersun wines, the level of esters had decreased.
Heterogenizing molecular photocatalysts while preserving their intact, pre-designed structures-without redesigning the host-remains a fundamental challenge. Immobilization within porous materials offers control over reaction environments and improved recyclability; however, most host systems require catalyst-specific structural redesign, limiting generality. We introduce a cage-type porous organic salt (POS) as a modular host platform for homogeneous, molecularly defined photocatalysts (organic molecules and metal coordination complexes) based on a ship-in-a-bottle strategy. A sodalite-type POS constructed from adamantane-based sulfonic acid and tri(ethynylphenyl)methylamine provides well-defined, light-transparent, cage-like internal cavities. Single-crystal X-ray diffraction reveals that the POS accommodates diverse photocatalysts, including anthraquinone, phenanthrenequinone, and phthalocyanine, through a unified recrystallization protocol. The framework exhibits negligible absorption in the visible region, enabling selective excitation of photocatalysts without competitive light absorption. Post-synthetic thiol-yne crosslinking of ethynyl groups on the pore surface reinforces the framework and renders it insoluble while preserving cage-like cavities. For example, a phenanthrenequinone-encapsulated POS functions as a reusable heterogeneous photocatalyst for visible-light-driven hydrogen peroxide production from isopropanol and oxygen, achieving rates of up to 4.2 mmol g-1 h-1 without catalyst leaching. Overall, cage-type POSs serve as light-transparent nanoreactors for intact molecular photocatalysts, providing a modular, expandable platform for photocatalyst immobilization and post-synthetic functionalization.
BackgroundAccurate and timely Gram stain interpretation of positively flagged blood culture bottles is crucial for early detection of bloodstream infections and initiation of empirical therapy. However, resin and charcoal particles in culture media may interfere with smear clarity.MethodsA prospective study was conducted on 100 positive blood culture samples. Four smear preparation techniques - conventional, water wash, blood film, and drop and rest - were applied. These were assessed for diagnostic agreement with final culture results and graded for resin/charcoal interference. Kappa (κ) statistics measured concordance.ResultsThe blood film method showed the highest agreement with culture Gram stains (63%, κ = 0.26), followed by conventional (62%, κ = 0.24), drop and rest (61%, κ = 0.22), and water wash (59%, κ = 0.18). It also had the least particle interference and the most deposit-free smears (29/100).ConclusionThe blood film method offers superior diagnostic clarity and is recommended.
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Adolescent men are under intense pressure to live up to conventional masculine standards that disallow the display of emotions, but little is known about the psychological costs of this adherence. This study was conducted using a sequential explanatory mixed-method design to determine whether the association between masculine norm conformity and psychological distress is mediated by emotional suppression. A survey (n = 892 boys; 13-18 years old) conducted on conformity to masculine norms revealed that conformity significantly predicted emotional suppression (0.521, p <.001), which entirely mediated between conformity and distress (indirect effect = 0.287, p <.001); the strongest predictors were emotional control and self-reliance. Three new processes were identified in follow-up interviews (n = 38): performative emotional labor, paradoxes of masculine authenticity, and relational hunger. The effects varied with age, with a peak pressure in the mid-adolescent period. The evidence supports gender-transformative, masculine norm prevention.
To review contemporary evidence supporting selective laser trabeculoplasty (SLT) as an initial and longitudinal therapy for glaucoma and to examine its implications for clinical outcomes, functional disease control, and health system sustainability. Randomized clinical trials and extension studies have demonstrated that SLT-first strategies provide intraocular pressure (IOP) control comparable to medication-first therapy while substantially reducing treatment burden. In the Laser in Glaucoma and Ocular Hypertension (LiGHT) Trial, ∼70% of patients initially treated with SLT remained free from topical therapy and incisional surgery at 6 years. Secondary analyses revealed lower rates of moderate or fast visual field progression among eyes treated with SLT-first pathways compared with medication-first pathways (∼17% vs. 26%). Repeat SLT has been shown to produce IOP reductions similar to initial treatment without increased adverse events. Baseline IOP influences treatment response, with greater absolute pressure reductions observed in eyes with higher pretreatment IOP. SLT-first strategies have also been associated with lower cumulative costs and fewer surgical interventions over long-term follow-up. SLT has established itself as a cornerstone of early glaucoma management. By providing durable and repeatable IOP control, SLT-first strategies may reduce reliance on daily medications and improve functional disease stability. Ongoing studies will further elucidate the role and optimal timing of repeat SLT, refining its integration into long-term glaucoma care.
To describe BC collection practices at a tertiary care university hospital in a prospective observational study and examine the association between blood volume and culture yield. Analysis of all blood cultures collected during a 6-week period in 2023 at St Olav's University Hospital, Norway. Additionally, we analysed impact of antimicrobial treatment prior to sampling, sampling department, bottle type, sampling time and method, microorganisms isolated as well as patient age and sex. Only 19.7% of BC bottles were filled with the recommended 8-10 mL of blood. The overall pathogen positivity rate of all BC bottles was 6.8%, while 13.3% of the patients had at least one positive BC bottle. Patients >60 years were twice as likely to have a positive blood culture as those aged 18-60 years (16.2% vs 8.1%). Recommended filling volumes were positively associated with recovery of microbes, whereas particularly overfilling >14 mL was associated with reduced microbial yield. Overall, bottles with no growth contained a significantly higher mean blood volume than bottles with growth. This study highlights the gap between established recommendations for BC collection and current practice at our hospital. Preanalytical optimisation of BC collection is needed to improve diagnostic yield in this seriously ill patient population. Overfilling of BC bottles was negatively associated with microbial yield and should be avoided.
The emergence and widespread distribution of insecticide resistance in Anopheles gambiae s.l. raise serious concerns regarding the long-term effectiveness of vector control tools. Assessing resistance intensity provides more operationally relevant information than diagnostic-dose bioassays alone. The phenotypic intensity of resistance to pyrethroids (permethrin and deltamethrin), bendiocarb, chlorfenapyr and clothianidin in Anopheles gambiae s.l. was evaluated along a south-north transect in Benin using WHO tube tests and CDC bottle bioassays. Mortality was recorded at diagnostic doses and at higher concentrations, in accordance with WHO guidelines. At diagnostic doses, mortality rates observed with permethrin and deltamethrin were low, ranging approximately from 5-30% to 10-45%, respectively, depending on the study sites. Even at 5 × and 10 × concentrations, pyrethroid-induced mortality often remained below 90%, indicating high-intensity resistance. Resistance levels were consistently higher for permethrin than for deltamethrin, in both WHO tube tests and CDC bottle bioassays. In contrast, bendiocarb induced high mortality rates, generally exceeding 90-98% in most localities, with low to moderate resistance detected in only a few sites. Complete susceptibility of Anopheles gambiae s.l. was observed to chlorfenapyr and clothianidin, with mortality rates ≥ 98% across all communes. The intense and widespread pyrethroid resistance observed in Benin represents a major threat to interventions relying on this insecticide class. WHO tube tests and CDC bottle bioassays showed similar qualitative trends, although differences in mortality levels were observed between the two methods. The relatively preserved susceptibility to bendiocarb, as well as to chlorfenapyr and clothianidin, supports their potential use in insecticide rotation strategies, including bi-treated insecticidal nets (e.g., Interceptor® G2, PermaNet® Dual, Yorkool® G5, and Mont Inari) as well as indoor residual spraying campaigns using bendiocarb or clothianidin.
Despite known confounds of social isolation on rodent behavior, many investigators rely on singly housing mice to assess alcohol preference in preclinical models of alcohol use disorder (AUD). This protocol describes a social alcohol drinking task that allows for high-throughput, automated assessment of alcohol drinking behaviors in mice without the confounding impacts of stress induced by social isolation. The IntelliCage testing system enables investigators to simultaneously assess operant alcohol drinking behavior in up to 16 same-sex mice, each uniquely identified with a subcutaneously implanted radiofrequency identification (RFID) transponder. Access to sipper bottles is software-controlled and can be adjusted individually for each mouse. In this chronic, intermittent alcohol drinking paradigm, mice voluntarily engage in operant nosepokes to access sipper bottles containing 20% alcohol for six consecutive weeks. Alcohol bottles are only accessible every other day for 24 h at a time and can be optionally adulterated with quinine to assess punishment-insensitive drinking. Visits to each operant corner, nosepokes, and lick data are automatically recorded for each mouse. Detailed experimental methods and the open-source code to analyze the recorded data will allow investigators to assess alcohol drinking behaviors relevant to AUD in an increasingly efficient and ethologically relevant manner.
The goal of this study was to determine the effect of administering arachidonic acid (ARA) with or without the yeast Saccharomyces cerevisiae, on voluntary ethanol consumption by mice. Ethanol consumption was measured using a continuous access two-bottle choice experiment with water and 15% ethanol (vol/vol). Ethanol naïve C57BL/6J mice were orally inoculated with ARA (or acidic PBS as the control), S. cerevisiae, or both each evening for three evenings. Ethanol consumption and preference were measured on the following days. In additional experiments, male and female mice underwent chronic intermittent exposure to ethanol vapor. After a 2-week exposure protocol, these mice were given access to 15% ethanol (vol/vol) via a two-bottle choice and inoculated nightly with ARA and S. cerevisiae (or acidic PBS and mock as the control). Administration of ARA initially reduced ethanol preference and consumption by ethanol naïve female mice but the effects waned. In contrast, administration of ARA together with a fungus had a sustained effect that reduced preference and consumption. The effects of ARA and fungi were statistically significantly different from ARA alone on Day 3 of ethanol access. Chronically exposed mice that showed low initial consumption of ethanol in the two-bottle choice maintained low consumption when administered ARA and S. cerevisiae. These findings support the future development of a therapeutic regimen utilizing ARA and yeast, or targeting eicosanoids, that could be developed as a supplement to current approaches to reduce ethanol consumption.
Xylazine is a pervasive adulterant in clandestine opioid supplies. This trend is troubling, as xylazine carries its own acute side effects and its long-term cognitive and motivational effects are not known. Thus, we developed and validated a model of oral xylazine self-administration that is conducive to polysubstance studies and can easily be implemented in animal research labs. Mice underwent 4-hour drinking sessions where their only source of drinking water was adulterated with xylazine (10-1000µg/mL). Oral bioavailability and brain penetrance were validated using mass spectrometry on brain and plasma samples collected after a drinking session. Male and female mice decreased fluid intake at high concentrations of xylazine, with male mice consuming less than female mice at intermediate concentrations (100 and 300µg/mL). Female mice had decreased locomotion following drinking sessions at 100, 300, and 1000µg/mL. After a 4-hour drinking session, all mice received brain xylazine concentrations that are above the Ki (affinity) and EC50 (potency) of several known binding targets of xylazine. We then performed a three-bottle choice experiment where mice had the option of drinking from water with xylazine, water with fentanyl, or plain water. In three-bottle choice, mice consumed less xylazine-containing water than fentanyl-containing or plain water. Our results indicate that xylazine is orally bioavailable in mice, that mice will readily drink xylazine to pharmacologically and behaviorally relevant doses, and that mice prefer consuming fentanyl and water over xylazine.
Bisphenol analogues (BPs) have raised increasing concerns regarding their occurrence and risks in drinking water systems. This study systematically investigated the occurrence, spatial distribution, ecological risks, and human exposure of 14 BPs in surface water, tap water, and commercially available bottled water in Sichuan Province, China. Thirteen to fourteen BPs were detected across the samples, with sum BP concentrations (ΣBPs) ranging from 2.29 to 98.3 ng L-1 in surface water, 10.5 to 670 ng L-1 in tap water, and 2.73 to 38.2 ng L-1 in bottled water. Relatively higher accumulation of ΣBPs was found in surface water from the Northeast Sichuan Economic Zone and the Chengdu Plain Economic Zone (median: 13.0 and 11.1 ng L-1, respectively), compared to the Panxi Economic Zone (median: 4.27 ng L-1). Ecological risk assessment indicated that BPA, BPBP, and BPG may pose low to moderate risks to ecosystems, while the estrogenic risk estimated using the estrogen equivalent was negligible. Furthermore, the estimated daily intake (EDI) of BPA from tap water exceeded the tolerable daily intake recommended by the European Food Safety Authority, indicating a potential health risk from dietary exposure.
Rapid and selective detection of Gram-negative bacteria is important for clinical diagnosis and for monitoring environmental and food-related samples. In this study, we developed a label-free ISFET sensor based on a p-type silicon/SiO2 platform modified with ZnO and colistin for the detection of Gram-negative bacteria. The sensor was evaluated against several Gram-negative species, including Escherichia coli, Pseudomonas aeruginosa, Acinetobacter baumannii, Salmonella enterica serovar Enteritidis, Klebsiella oxytoca, and Klebsiella pneumoniae, with the Gram-positive species Staphylococcus aureus and Enterococcus faecium used as negative controls. The device showed measurable changes in drain-source current upon bacterial binding, and the standard curves indicated a low detection limit and a linear response within the tested concentration range. The calculated limits of detection were approximately 137 CFU/mL for E. coli, 169 CFU/mL for A. baumannii, 188 CFU/mL for S. enterica, 218 CFU/mL for K. oxytoca, 235 CFU/mL for K. pneumoniae, and 289 CFU/mL for P. aeruginosa. The sensor stability was also assessed over 14 days in the E. coli assay. In addition, real-sample experiments in commercial bottled drinking water and human urine spiked with E. coli showed good agreement with PBS measurements, with a recovery of 101.13% ± 3.08% and an RSD of 3.05% in bottled water. These results indicate that the proposed platform has potential for selective detection of Gram-negative bacteria under controlled laboratory conditions and in tested real matrices.
It is becoming increasingly clear that chronic exposure to lower levels of ethanol impact learning and behavior. To determine the impact of chronic low-dose ethanol exposure on sensitivity to changes in stimulus value, a conditioned taste aversion procedure was used. Adult male and female mice underwent a sucrose two bottle-choice drinking paradigm. Each day, mice received an injection of either low-dose ethanol (0.5g/kg) or saline two hours after sucrose access for 20 days. This was followed by a lithium chloride (LiCl)-induced conditioned taste aversion (CTA) paradigm in which 0.15M LiCl or vehicle injection was administered immediately after sucrose consumption for three days. On the fourth day, changes in sucrose consumption were analyzed. Chronic exposure to low-dose ethanol did not affect sucrose consumption in either female of male mice during two-bottle choice. In female mice, a history of chronic low-dose ethanol exposure blocked the development of LiCl-induced CTA. A history of chronic low-dose ethanol did not impact LiCl-induced CTA in male mice as both ethanol-naïve and -exposed male mice who underwent LiCl pairing reduced sucrose consumption. This suggests that low-dose ethanol alters aversion-related learning in female mice which may have implication for development of aberrant behavior and risk for alcohol use disorder (AUD).
The micro/nanoplastics (MNPs) have been evidenced to exert detrimental effects on the blood-brain barrier (BBB) and the central nervous system (CNS). However, there is still a lack of effective research models on the mechanism of nerve injury caused by microplastics particles. This study focuses on analyzing the particle size characteristics of MNPs precipitated from plastic water bottles under different conditions of storage and uses 3D BBB microfluidic chips to assess the permeability and dynamic neurotoxicity of MNPs. The results showed that there was a significant increase in the average diameter of MNPs in purified water stored in plastic bottles. Moreover, the cultivation of BBB cells or neuronal cells with two different particle sizes of MNPs showed a significant decrease in cell survival rates. When MNPs were infused into the peripheral unit of the biomimetic chip, they could penetrate from the endothelial cell unit to the neuronal unit and induce a dynamic injury process with neuroinflammation, accompanied by tight junction disruptions, increased ROS levels, decreased mitochondrial membrane potential, decreased lipid droplet levels, and increased inflammatory effects. The research results based on engineering 3D microfluidic chips lay the foundation for a deeper understanding of the inflammatory damage to nerve cells caused by MNPs crossing the BBB.