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BackgroundThe Canadian National Vaccine Safety (CANVAS) network conducted a multi-center, prospective vaccine safety study to collect safety data after dose 1 and 2 of COVID-19 vaccines and follow up safety information 7 months after dose 1.ObjectiveThis study aimed to describe and evaluate the recruitment methods used by CANVAS and the retention of participants by each modality.MethodsCANVAS deployed a multi-pronged recruitment approach to reach a larger sample, without in-person recruitment. Three primary recruitment strategies were used: passive recruitment, technology-assisted electronic invitation through the vaccine booking system (auto-invitation), or auto-registration through the vaccine registries (auto-enrollment).ResultsBetween December 2020 and April 2022, approximately 1.3 million vaccinated adults either self-enrolled or were auto-enrolled in CANVAS, representing about 5% of the vaccinated adult Canadian population. Approximately 1 million participants were auto-enrolled, 300,000 were recruited by auto-invitation, and 5,000 via passive recruitment. Overall survey completion rates for dose 1, dose 2 and the 7-month follow-up surveys were 51.7% (681,198 of 1,318,838), 54.3% (369,552 of 681,198), and 66.4% (452,076 of 681,198), respectively. Completion rates were lower among auto-enrolled participants compared to passively recruited or auto-invited participants who self-enrolled. However, auto-enrolled samples were much larger, which offset the lower completion rates.ConclusionOur data suggest that auto-enrollment provided an opportunity to reach and retain a larger number of individuals in the study compared to other recruitment modalities.

ABSTRACT Advances in diagnostic microbiology allow for the rapid identification of a broad range of enteropathogens; such knowledge can inform care and reduce testing. We conducted a randomized, unblinded trial in a tertiary-care pediatric emergency department. Participants had stool (and rectal swabs if stool was not immediately available) tested using routine microbiologic approaches or by use of a device (BioFire FilmArray gastrointestinal panel), which identifies 22 pathogens with a 1-h instrument turnaround time. Participants were 6 months to

Streptococcus pneumoniae causes both invasive and nonin vasi ve disease. Since the introduction of 7-valent and 13-valent protein-polysaccharide conjugated pneumococcal vaccines (PCV7 and PCV13, respectively) for children, vaccine serotype disease [...]

UnlabelledA highly versatile nanoplatform that couples mesoporous silica nanoparticles (MSNs) with an aerosol technology to achieve direct nanoscale delivery to the respiratory tract is described. This novel method can deposit MSN nanoparticles throughout the entire respiratory tract, including nasal, tracheobronchial and pulmonary regions using a water-based aerosol. This delivery method was successfully tested in mice by inhalation. The MSN nanoparticles used have the potential for carrying and delivering therapeutic agents to highly specific target sites of the respiratory tract. The approach provides a critical foundation for developing therapeutic treatment protocols for a wide range of diseases where aerosol delivery to the respiratory system would be desirable.From the clinical editorDelivery of drugs via the respiratory tract is an attractive route of administration. In this article, the authors described the design of mesoporous silica nanoparticles which could act as carriers for drugs. The underlying efficacy was successfully tested in a mouse model. This drug-carrier inhalation nanotechnology should potentially be useful in human clinical setting in the future.

Inhaled multiwalled carbon nanotubes (MWCNTs) may cause adverse pulmonary responses due to their nanoscale, fibrous morphology and/or biopersistance. This study tested multiple factors (dose, time, physicochemical characteristics, and administration method) shown to affect MWCNT toxicity with the hypothesis that these factors will influence significantly different responses upon MWCNT exposure. The study is unique in that (1) multiple administration methods were tested using particles from the same stock; (2) bulk MWCNT formulations had few differences (metal content, surface area/functionalization); and (3) MWCNT retention was quantified using a specialized approach for measuring unlabeled MWCNTs in rodent lungs. Male Sprague-Dawley rats were exposed to original (O), purified (P), and carboxylic acid functionalized (F) MWCNTs via intratracheal instillation and inhalation. Blood, bronchoalveolar lavage fluid (BALF), and lung tissues were collected at postexposure days 1 and 21 for quantifying biological responses and MWCNTs in lung tissues by programmed thermal analysis. At day 1, MWCNT instillation produced significant BALF neutrophilia and MWCNT-positive macrophages. Instilled O- and P-MWCNTs produced significant inflammation in lung tissues, which resolved by day 21 despite MWCNT retention. MWCNT inhalation produced no BALF neutrophilia and no significant histopathology past day 1. However, on days 1 and 21 postinhalation of nebulized MWCNTs, significantly increased numbers of MWCNT-positive macrophages were observed in BALF. Results suggest (1) MWCNTs produce transient inflammation if any despite persistence in the lungs; (2) instilled O-MWCNTs cause more inflammation than P- or F-MWCNTs; and (3) MWCNT suspension media produce strikingly different effects on physicochemical particle characteristics and pulmonary responses.

Mutational antibiotic resistance can emerge under either high or low antibiotic levels. Here, the authors show several small-effect resistance mutations are combined to confer high-level resistance in Salmonella enterica exposed to sub-MIC levels of streptomycin.

In this manuscript, a function is derived that allows the interactions between the atoms/molecules in nanoparticles, nanodrops, and macroscopic liquid phases to be modeled. One goal of molecular theories is the development of expressions to predict specific physical properties of liquids for which no experimental data are available. A big limitation of reliable applications of known expressions is that they are based on the interactions between pairs of molecules. There is no reason to suppose that the energy of interaction of three or more molecules is the sum of the pairwise interaction energies alone. Here, an interaction function with the limit value w = e2π/e is presented, which allows for the derivation of the atomic mass unit and acts as a bridge between properties of elementary particles and emergent properties of macroscopic systems. The following properties of liquids are presented using the introduced interaction function: melting temperatures of n-alkanes, nanocrystals of polyethylene, melting temperatures of metal nanoparticles, solid–liquid phase transition temperatures for water in nanopores, critical temperatures and critical pressures of n-alkanes, vapor pressures in liquids and liquid droplets, self-diffusion coefficients of compounds in liquids, binary liquid diffusion coefficients, diffusion coefficients in liquids at infinite dilution, diffusion in polymers, and viscosities in liquids.

Invasive Streptococcus pneumoniae disease is preceded by asymptomatic nasopharyngeal carriage. Measuring carriage in healthy populations provides data on what serotypes are present in communities, which is of interest in the era of polyvalent pneumococcal conjugate vaccines. Nasopharyngeal swabs from a survey of 682 and 800 healthy children in 2016 and 2018, respectively, were analyzed by culture and Quellung reaction to determine rates of carriage and serotypes. All swabs from 2016 and 300 randomly selected swabs from 2018 were then analyzed using real-time semi-quantitative PCR (qPCR) to detect S. pneumoniae gene targets lytA, piaA, and SP2020 and determine serotype. There were 71 (10.4%) and 68 (8.5%) culture positive samples in 2016 and 2018, respectively. All of these were also positive by qPCR except one that was equivocal. In total, 46.0% of 2016 swabs were positive by qPCR. In 2018, results from the selected sample extrapolated to the complete sample showed 49.0% positive by qPCR. PCV13 serotypes were detected in 29.3% and 21.7% of S. pneumoniae qPCR positive samples from 2016 and 2018, respectively; compared with only 8.4% and 6.0% PCV13 serotypes detected by Quellung reaction in culture positive samples. Compared with culture, qPCR detected S. pneumoniae more frequently. Further, qPCR serotyping detected PCV13 serotypes in a larger proportion of samples than culture and Quellung reaction did, showing that, despite established universal childhood PCV13 immunization, vaccine serotypes can still be detected in a large proportion of young children.

In-situ knowledge on characteristics of mineral aerosols is important for weather and climate prediction models, particularly for modeling such processes as the entrainment, transport and deposition of aerosols. However, field measurements of the dust emission flux, dust size distribution and its chemical composition under realistic wind conditions remain rare. In this study, we present experimental data over annual expeditions in the arid and semi-arid zones of the Caspian Lowland Desert (Kalmykia, south of Russia); we evaluate characteristics of mineral aerosol concentration and fluxes, estimate its chemical composition and calculate its long-distance transport characteristics. The mass concentration in different years ranges from several tens to several hundred of μg m−3. The significant influence of wind velocity on the value of mass and counting concentration and on the proposed entrainment mechanisms is confirmed. An increased content of anthropogenic elements (S, Sn, Pb, Bi, Mo, Ag, Cd, Hg, etc.), which is characteristic for all observation points in the south of the European Russia, is found. The trajectory analysis show that long-range air particles transport from the Caspian Lowland Desert to the central regions of European Russia tends to increase in the recent decades.