Stability of a general adaptive immunity virus dynamics model with multistages of infected cells and two routes of infection

This paper studies an (n+4)-dimensional nonlinear virus dynamics model that characterizes the interactions of the viruses, susceptible host cells, n-stages of infected cells, B cells and cytotoxic T lymphocyte (CTL) cells. Both viral and cellular infections have been incorporated into the model. The infected-susceptible and virus-susceptible infection rates as well as the generation and removal rates of all compartments are described by general nonlinear functions. Five threshold parameters are computed, which insure the existence of the equilibria of the model under consideration. A set of conditions on the general functions has been established, which is sufficient to investigate the global dynamics of the model. The global asymptotic stability of all equilibria is proven by utilizing Lyapunov function and LaSalle's invariance principle. The theoretical results are illustrated by numerical simulations of the model with specific forms of the general functions.     

去甲万古霉素群体药代动力学与药效学优化研究

目的研究去甲万古霉素群体药代动力学指标差异,对患者进行药效学优化。方法选取2015年1月至2015年12月268例感染患者,将其按照年龄分为中青年组和老年组,每组各134例,采用群体药代动力学和药效学优化公式进行计算,分析患者上述指标差异。结果青年组与老年组的群体药代动力学各项指标差异明显具有统计学意义(P0.05)。结论感染患者通过去甲万古霉素药物治疗疗效确切,对革兰阳性菌的杀灭作用明显,采用群体药代动力学和药效学研究后发现,AUC24/MIC能够作为去甲万古霉素的应用指标,并以此指导临床用药效果显著,值得临床应用推广。     

Injectable and self-healing hydrogels with tissue adhesiveness and antibacterial activity as wound dressings for infected wound healing

The design of wound dressings with excellent self-healing ability, adequate adhesion, good biocompatibility, and potential antibacterial ability is of great significance for the healing of infected wounds arising from human activities. Herein, a series of multi-functional hydrogel dressings, poly(ionized isocyanoethyl methacrylate-glutamine)/poly(hexamethylene guanidine) (iG_x/PHMG_y) hydrogels, were obtained through homopolymerization of fully ionized isocyanoethyl methacrylate-glutamine (iIEM-Gln) in the presence of poly(hexamethylene guanidine) (PHMG), in which strong hydrogen bonds were formed among urea groups in the P (iIEM-Gln) chain to form a stable hydrogel network. The prepared iG_x/PHMG_y hydrogels exhibited adequate self-healing ability and tissue adhesion, which could be firmly adhered to the wound surface and remained intact during application. In addition, the presence of PHMG imparted good antibacterial activity to the hydrogels for the effective promotion of the wound healing in S. aureus infected skin wound on mice. Overall, this multi-functional hydrogel provides a facile and effective strategy for the design of infected wound dressings, and may show great potential in clinical applications.     

Electrospun Gelatin Fibers with a Multiple Release of Antibiotics Accelerate Dermal Regeneration in Infected Deep Burns

Electrospun fibers of hydrophilic polymers meet challenges in a rapid degradation of fiber matrices and discharge of antibiotics to comply with requirements of infection control as a dermal regeneration template. In the current study, a pH conversion process is initially developed to ensure fluent electrospinning, an efficient in situ cross‐linking of electrospun gelatin fibers with oxidized alginate and simultaneous loading of gentamicin sulfate (GS) and hydrophobic ciprofloxacin into fibers. The dual drug‐loaded fibers indicate a complete release of GS during 6 d and a sustained release of ciprofloxacin for over three weeks, and the antibiotics release indicates significant growth inhibitions on Pseudomonas aeruginosa and Staphylococcus epidermidis. The wound healing efficacy is evaluated on a deep burn model infected with 10⁸ CFU of P. aeruginosa. Compared with fibers with loaded individual drugs, the concomitant release of GS and ciprofloxacin significantly reduces the bacteria numbers in wound and livers, at around 2.30 × 10⁵ and 1.25 × 10³ CFU after 3 d, respectively. The wound re‐epithelization, blood vessel formation, collagen deposition, and tissue remodeling process are accelerated with a complete healing observed after 21 d. This study provides a feasible strategy to design cross‐linked hydrophilic fibers with an extended drug release for biomedical applications.

     

动态传播率模型及其在疫情分析中的应用

应用数据驱动的动态传播率来代替基本传染数$R_0$,在全国和省市两个层面上研究COVID-19疫情发展的特点和趋势。首先,基于动态增长率建立传染病常微分方程,推导得出动态传播率模型。其次,选择幂函数作为动态传播率的拟合函数,以3天作为最优滑窗期,对各地拐点进行了估计。最后,通过动态模型对各地不同程度尾声开始的起点进行了预测,并在13个省市间进行9个疫情相关指标的对比分析。结果显示,各地动态传播率在经过短暂的波动后均稳步下降,疫情得到有效控制;估计的拐点主要集中在2月中旬,而预测的尾声都将在3月底之前到来;同时,各地疫情发展特点和趋势、防控措施力度和效果存在一定差异。     

Analysis of a nonautonomous eco‐epidemic diffusive model with disease in the prey

This paper deals with the behavior of positive solutions to a nonautonomous reaction‐diffusion system with homogeneous Neumann boundary conditions, which describes a two‐species predator‐prey system in which there is an infectious disease in prey. The sufficient condition on the permanence of the prey and the predator is established by combining the comparison principle with the results related to the corresponding ODE system. Some sufficient conditions for the spreading and vanishing of the disease are obtained. The global attractivity is also discussed by constructing a Lyapunov functional. Our results show that the disease is spreading if the transmission rate is suitably large, while if the transmission rate is small, the disease must be vanishing.     

Dynamics of an HIV infection model with virus diffusion and latently infected cell activation

Effective combination therapy usually reduces the plasma viral load of HIV to below the detection limit, but it cannot eradicate the virus. The latently infected cell activation is considered to be the main obstacle to completely eradicating HIV infection. In this paper, we consider an HIV infection model with latently infected cell activation, virus diffusion and spatial heterogeneity under Neumann boundary condition. The basic reproduction ratio is characterized by the principal eigenvalue of the related elliptic eigenvalue problem. Besides, by constructing Lyapunov functionals and using Green’s first identity, the global threshold dynamics of the system are completely established. Numerical simulations are carried out to illustrate the theoretical results, in particular, the influence of virus diffusion rate on the basic reproduction ratio is addressed.     

A high resolution finite difference method for a model of structured susceptible‐infected populations coupled with the environment

We develop a general model describing a structured susceptible‐infected (SI) population coupled with the environment. This model applies to problems arising in ecology, epidemiology, and cell biology. The model consists of a system of quasilinear hyperbolic partial differential equations coupled with a system of nonlinear ordinary differential equations that represents the environment. We develop a second‐order high resolution finite difference scheme to numerically solve the model. Convergence of this scheme to a weak solution with bounded total variation is proved. Numerical simulations are provided to demonstrate the high‐resolution property of the scheme and an application to a multi‐host wildlife disease model is explored.© 2017 Wiley Periodicals, Inc. Numer Methods Partial Differential Eq 33: 1420–1458, 2017     

一类具有体液免疫反应,且染病细胞存在返回期的HIV模型的全局稳定性分析

研究了具有Beddington-DeAngelis发生率和体液免疫反应的HIV模型的全局性.模型包含了一个染病细胞返回期,在这个时期,染病细胞可能有一部分会返回到健康细胞当中.得到模型的基本再生数R0和免疫基本再生数R1.通过建立适当的Lyapunov函数,得出无病平衡点Q0,无免疫平衡点Q1和免疫平衡点Q2是全局渐近稳定的.