Pan-azole- and multi-fungicide-resistant is widespread in the United States.

is an important global fungal pathogen of humans. Azole drugs are among the most effective treatments for infection. Azoles are also widely used in agriculture as fungicides against fungal pathogens of crops.

Neonatal Drug Formularies-A Global Scope.

Neonatal drug information (DI) is essential for safe and effective pharmacotherapy in (pre)term neonates. Such information is usually absent from drug labels, making formularies a crucial part of the neonatal clinician's toolbox. Several formularies exist worldwide, but they have never been fully mapped or compared for content, structure and workflow.

Impact of Inpatient Initiation of SGLT2 Inhibitors on Diuretic Requirements in Patients With Heart Failure.

Sodium-glucose cotransporter 2 inhibitors (SGLT2i) have been shown to improve outcomes in patients with heart failure (HF) and are now included in guideline-directed medical therapy. Trials reporting the change in loop diuretic dose following SGLT2i initiation have indicated conflicting results. There is no clear guidance on whether reducing loop diuretic doses following SGLT2i initiation is appropriate.

Assessment of compatibility of rhIGF-1/rhIGFBP-3 with neonatal intravenous medications.

Background: Recombinant human (rh)IGF-1/IGFBP-3 protein complex, administered as a continuous intravenous infusion in preterm infants, is being studied for the prevention of complications of prematurity.

Methods: We conducted in vitro studies to evaluate the physical and chemical compatibility of rhIGF-1/IGFBP-3 with medications routinely administered to preterm neonates. In vitro mixing of rhIGF-1/IGFBP-3 drug product with small-molecule test medications plus corresponding controls was performed.

Analysis of Cyp51 protein sequences shows 4 major Cyp51 gene family groups across fungi.

Azole drugs target fungal sterol biosynthesis and are used to treat millions of human fungal infections each year. Resistance to azole drugs has emerged in multiple fungal pathogens including Candida albicans, Cryptococcus neoformans, Histoplasma capsulatum, and Aspergillus fumigatus. The most well-studied resistance mechanism in A.

Psychometric properties of the Child-OIDP and oral health-related quality of life (OHRQoL) in secondary schools in Suva, Fiji.

Background: Oral health-related problems are highly prevalent and, like many other diseases, affect Quality of Life. Although most primary schools in Fiji have supervised school brushing programs and have regular screenings these preventive aspects are missing in secondary schools.

Objective: To assess the internal consistency reliability, face and content validity of the Child-OIDP questionnaire and determine the oral health-related quality of life in 15-year-olds in Suva, Fiji.

Evidence for the agricultural origin of resistance to multiple antimicrobials in Aspergillus fumigatus, a fungal pathogen of humans.

Pathogen resistance to clinical antimicrobial agents is an urgent problem. The fungus Aspergillus fumigatus causes 300,000 life-threatening infections in susceptible humans annually. Azoles, which are widely used in both clinical and agricultural settings, are currently the most effective treatment, but resistance to clinical azoles is emerging worldwide.

Quantum Optical Signature of Plasmonically Coupled Nanocrystal Quantum Dots.

Small clusters of two to three silica-coated nanocrystals coupled to plasmonic gap-bar antennas can exhibit photon antibunching, a characteristic of single quantum emitters. Through a detailed analysis of their photoluminescence emissions characteristics, it is shown that the observed photon antibunching is the evidence of coupled quantum dot formation resulting from the plasmonic enhancement of dipole-dipole interaction.

Bumetanide for the treatment of seizures in newborn babies with hypoxic ischaemic encephalopathy (NEMO): an open-label, dose finding, and feasibility phase 1/2 trial.

Background: Preclinical data suggest that the loop-diuretic bumetanide might be an effective treatment for neonatal seizures. We aimed to assess dose and feasibility of intravenous bumetanide as an add-on to phenobarbital for treatment of neonatal seizures.

Methods: In this open-label, dose finding, and feasibility phase 1/2 trial, we recruited full-term infants younger than 48 h who had hypoxic ischaemic encephalopathy and electrographic seizures not responding to a loading-dose of phenobarbital from eight neonatal intensive care units across Europe.

Spatially resolved photoexcited charge-carrier dynamics in phase-engineered monolayer MoS2.

A fundamental understanding of the intrinsic optoelectronic properties of atomically thin transition-metal dichalcogenides (TMDs) is crucial for its integration into high performance semiconductor devices. Here, we investigate the transport properties of chemical vapor deposition (CVD) grown monolayer molybdenum disulfide (MoS2) under photoexcitation using correlated scanning photocurrent microscopy and photoluminescence imaging. We examined the effect of local phase transformation underneath the metal electrodes on the generation of photocurrent across the channel length with diffraction-limited spatial resolution.

Competition between auger recombination and hot-carrier trapping in PL intensity fluctuations of type II nanocrystals.

Performing time-tagged, time-correlated, single-photon-counting studies on individual colloidal nanocrystal quantum dots (NQDs), the evolution of photoluminescence (PL) intensity-fluctuation behaviors in near-infrared (NIR) emitting type II, InP/CdS core-shell NQDs is investigated as a function of shell thickness. It is observed that Auger recombination and hot-carrier trapping compete in defining the PL intensity-fluctuation behavior for NQDs with thin shells, whereas the role of hot-carrier trapping dominates for NQDs with thick shells. These studies further reveal the distinct ramifications of altering either the excitation fluence or repetition rate.

Influence of the core size on biexciton quantum yield of giant CdSe/CdS nanocrystals.

We present a systematic study of photoluminescence (PL) emission intensity and biexciton (BX) quantum yields (QYBX) in individual "giant" CdSe/CdS nanocrystals (g-NCs) as a function of g-NC core size and shell thickness. We show that g-NC core size significantly affects QYBX and can be utilized as an effective tuning parameter towards higher QYBX while keeping the total volume of the g-NC constant. Specifically, we observe that small-core (2.

A Modeling and Simulations Framework to Support Global Regulatory Strategies for Pediatric Drug Development Programs.

Trial simulations have emerged as a promising tool to optimize pediatric drug development programs. As the current FDA legislation on pediatric drugs and devices was updated to mirror the EMA legislation, pediatric programs must be developed with global strategies that support a Pediatric Investigation Plan (PIP) for the EMA and a Pediatric Study Plan (PSP) for the FDA. A pharmacometrics framework is proposed to support global regulatory strategies for pediatric drug development programs.

Assessing acute systemic effects of an inhaled drug with serial echocardiography: a placebo-controlled comparison of inhaled and intravenous dihydroergotamine.

Objective: MAP0004 is an investigational product which delivers dihydroergotamine (DHE) through the lung via a breath-synchronized metered dose inhaler. The objective of this study was to compare the acute effects of orally inhaled and intravenous (IV) DHE to placebo on maximum change and area under the curve for pulmonary arterial systolic pressure (PASP).

Research Design And Methods: A randomized, double-blind, placebo-controlled, 3-period, crossover study of 24 health adults.

Newly emerging therapies for neonatal seizures.

The treatment of neonatal seizures has not changed significantly over the last 50 years despite advances in antiepileptic drug (AED) development for older children and adults. Recently new drugs have emerged some of which address age-specific challenges or mechanisms and will be discussed in this review. The loop diuretic bumetanide blocks the neuronal NKCC1 co-transporter and is thought specifically to supress seizures in the immature brain.

Disentangling the effects of clustering and multi-exciton emission in second-order photon correlation experiments.

In single particle spectroscopy, the degree of observed fluorescence anti-bunching in a second-order cross correlation experiment is indicative of its bi-exciton quantum yield and whether or not a particle is well isolated. Advances in quantum dot synthesis have produced single particles with bi-exciton quantum yields approaching unity. Consequently, this creates uncertainty as to whether a particle has a high bi-exciton quantum yield or if it exists as a cluster.

Suppressed blinking and auger recombination in near-infrared type-II InP/CdS nanocrystal quantum dots.

Nonblinking excitonic emission from near-infrared and type-II nanocrystal quantum dots (NQDs) is reported for the first time. To realize this unusual degree of stability at the single-dot level, novel InP/CdS core/shell NQDs were synthesized for a range of shell thicknesses (~1-11 monolayers of CdS). Ensemble spectroscopy measurements (photoluminescence peak position and radiative lifetimes) and electronic structure calculations established the transition from type-I to type-II band alignment in these heterostructured NQDs.

New insights into the complexities of shell growth and the strong influence of particle volume in nonblinking "giant" core/shell nanocrystal quantum dots.

The growth of ultra-thick inorganic CdS shells over CdSe nanocrystal quantum dot (NQD) cores gives rise to a distinct class of NQD called the "giant" NQD (g-NQD). g-NQDs are characterized by unique photophysical properties compared to their conventional core/shell NQD counterparts, including suppressed fluorescence intermittency (blinking), photobleaching, and nonradiative Auger recombination. Here, we report new insights into the numerous synthetic conditions that influence the complex process of thick-shell growth.

Using the near-field coupling of a sharp tip to tune fluorescence-emission fluctuations during quantum-dot blinking.

We demonstrate that the cycling between internal states of quantum dots during fluorescence blinking can be used to tune the near-field coupling with a sharp tip. In particular, the fluorescence emission from states with high quantum yield is quenched due to energy transfer, while that from low-yield states is elevated due to field enhancement. Thus, as a quantum dot blinks, its emission fluctuations are progressively suppressed upon approach of a tip.

Energy transfer from an individual quantum dot to a carbon nanotube.

Precision measurements of resonant energy transfer from isolated quantum dots (QDs) to individual carbon nanotubes (CNTs) exhibit unique features due to the one-dimensional nature of CNTs. In particular, excitons can be created at varying distances from the QD at different locations along the CNT length. This leads to large variations in energy transfer length scales for different QDs and a novel saturation of the energy transfer efficiency at ∼96%, seemingly independent of CNT chirality.

Group B streptococcal meningitis: cerebrospinal fluid parameters in the era of intrapartum antibiotic prophylaxis.

Objective: Describe cerebrospinal fluid parameters in infants with culture-proven Group B streptococcal meningitis in the era of intrapartum antibiotic prophylaxis.

Study Design: Cohort study of the first lumbar puncture from 13,495 infants cared for at 150 neonatal intensive care units. We compared cerebrospinal fluid parameters [white blood cell count, red blood cell count, glucose, and protein], demographics, and outcomes between infants with and without Group B streptococcal meningitis.

Three-dimensional mapping of near-field interactions via single-photon tomography.

We demonstrate a near-field tomography method for investigating the coupling between a nanoscopic probe and a fluorescent sample. By correlating the arrival of single fluorescence photons with the lateral and vertical position of an oscillating tip, a complete three-dimensional analysis of the near-field coupling is achieved. The technique is used to reveal a number of interesting three-dimensional near-field features and to improve image contrast in tip-enhanced fluorescence microscopy.