Objectives： Infectious tricuspid endocarditis is known to simply require antibiotherapy and to have good prognosis in most cases. Few studies focused on severe episodes managed in ICU. We aimed to describe clinical a...Objectives： Infectious tricuspid endocarditis is known to simply require antibiotherapy and to have good prognosis in most cases. Few studies focused on severe episodes managed in ICU. We aimed to describe clinical and microbiological features, and fmal outcome of infectious tricuspid endocarditis managed in ICU. Methods： From 1 January 2009 to 31 August 2017, all patients hospitalized in intensive care unit with infectious tricuspid endocarditis were enrolled. Key findings： We collected 15 episodes of infectious tricuspid endocarditis. Median age was of 39 years. Risk factors were： intravenous drug users （n = 10）, pace maker （n = 1）, vascular device （n = 2）, none （n = 2）. Median SAPS II, APACHE II and SOFA on admission were 21, 10 and 2 respectively. Organ failures on admission were： acute respiratory failure （n = 10）, sepsis （n = 7）, coma （n = 1） and acute kidney injury （n = 8）. The most frequent causative pathogen was Staphylococcus Aureus. Antibiotherapy failure happened in 10 patients from whom 8 underwent cardiac surgery （53.3%）. Most frequent complications were acute kidney injury （n = 14） and withdrawal syndrom. Infectious tricuspid endocarditis relapse on bioprosthesis occurred within 2 intravenous drug users after hospital discharge. Overall in-hospital mortality was 40%. Conclusions： Infectious tricuspid endocarditis in ICU is fitted with poor prognosis and high need to cardiac surgery. Special care should be provided to intravenous drug users to prevent relapse.展开更多
Wearable and stretchable physical sensors that can conformally contact on the surface of organs or skin provide a new opportunity for human-activity monitoring and personal healthcare. Particularly, various attempts h...Wearable and stretchable physical sensors that can conformally contact on the surface of organs or skin provide a new opportunity for human-activity monitoring and personal healthcare. Particularly, various attempts have been made in exploiting wearable and conformal sensors for ther- mal characterization of human skin. In this respect, skin- mounted thermochromic films show great capabilities in body temperature sensing. Thermochromic temperature sensors are attractive because of their easy signal analysis and optical recording, such as color transition and fluorescence emission change upon thermal stimuli. Here, desirable mechanical properties that match epidermis are obtained by physical crosslinking of polydiacetylene （PDA） and transparent elas- tomeric polydimethylsiloxane （PDMS） networks. The result- ing PDA fdm displayed thermochromic and thermo- fluorescent transition temperature in the range of 25-85℃, with stretchability up to 300% and a skin-like Young＇s mod- ulus of -230 kPa. This easy signal-handling provides excellent references for further design of convenient noninvasive sen- sing systems.展开更多
文摘Objectives： Infectious tricuspid endocarditis is known to simply require antibiotherapy and to have good prognosis in most cases. Few studies focused on severe episodes managed in ICU. We aimed to describe clinical and microbiological features, and fmal outcome of infectious tricuspid endocarditis managed in ICU. Methods： From 1 January 2009 to 31 August 2017, all patients hospitalized in intensive care unit with infectious tricuspid endocarditis were enrolled. Key findings： We collected 15 episodes of infectious tricuspid endocarditis. Median age was of 39 years. Risk factors were： intravenous drug users （n = 10）, pace maker （n = 1）, vascular device （n = 2）, none （n = 2）. Median SAPS II, APACHE II and SOFA on admission were 21, 10 and 2 respectively. Organ failures on admission were： acute respiratory failure （n = 10）, sepsis （n = 7）, coma （n = 1） and acute kidney injury （n = 8）. The most frequent causative pathogen was Staphylococcus Aureus. Antibiotherapy failure happened in 10 patients from whom 8 underwent cardiac surgery （53.3%）. Most frequent complications were acute kidney injury （n = 14） and withdrawal syndrom. Infectious tricuspid endocarditis relapse on bioprosthesis occurred within 2 intravenous drug users after hospital discharge. Overall in-hospital mortality was 40%. Conclusions： Infectious tricuspid endocarditis in ICU is fitted with poor prognosis and high need to cardiac surgery. Special care should be provided to intravenous drug users to prevent relapse.
基金supported by the National Key Research and Development Program of China (2016YFB0700300)the National Natural Science Foundation of China (51503014 and51501008)the State Key Laboratory for Advanced Metals and Materials (2016Z-03)
文摘Wearable and stretchable physical sensors that can conformally contact on the surface of organs or skin provide a new opportunity for human-activity monitoring and personal healthcare. Particularly, various attempts have been made in exploiting wearable and conformal sensors for ther- mal characterization of human skin. In this respect, skin- mounted thermochromic films show great capabilities in body temperature sensing. Thermochromic temperature sensors are attractive because of their easy signal analysis and optical recording, such as color transition and fluorescence emission change upon thermal stimuli. Here, desirable mechanical properties that match epidermis are obtained by physical crosslinking of polydiacetylene （PDA） and transparent elas- tomeric polydimethylsiloxane （PDMS） networks. The result- ing PDA fdm displayed thermochromic and thermo- fluorescent transition temperature in the range of 25-85℃, with stretchability up to 300% and a skin-like Young＇s mod- ulus of -230 kPa. This easy signal-handling provides excellent references for further design of convenient noninvasive sen- sing systems.
