Background: Venous thromboembolism (VTE) is the third most common vascular disease. Medical inpatients, long-term care residents, persons with minor injuries, and long-distance travelers are at increased risk. Objective: These evidence-based guidelines from the American Society of Hematology (ASH) intend to support patients, clinicians, and others in decisions about preventing VTE in these groups. Methods: ASH formed a multidisciplinary guideline panel balanced to minimize potential bias from conflicts of interest. The McMaster University GRADE Centre supported the guideline-development process, including updating or performing systematic evidence reviews. The panel prioritized clinical questions and outcomes according to their importance for clinicians and adult patients. The Grading of Recommendations Assessment, Development and Evaluation approach was used to assess evidence and make recommendations, which were subject to public comment. Results: The panel agreed on 19 recommendations for acutely ill and critically ill medical inpatients, people in long-term care facilities, outpatients with minor injuries, and long-distance travelers. Conclusions: Strong recommendations included provision of pharmacological VTE prophylaxis in acutely or critically ill inpatients at acceptable bleeding risk, use of mechanical prophylaxis when bleeding risk is unacceptable, against the use of direct oral anticoagulants during hospitalization, and against extending pharmacological prophylaxis after hospital discharge. Conditional recommendations included not to use VTE prophylaxis routinely in long-term care patients or outpatients with minor VTE risk factors. The panel conditionally recommended use of graduated compression stockings or low-molecular-weight heparin in long-distance travelers only if they are at high risk for VTE.

Currently available evidence on prebiotic supplementation to reduce the risk of developing allergies is very uncertain.

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Herein, orthorhombic regular BiTaOCl square nanoplates with an edge length of about 500 nm and a thickness of about 100 nm were successfully synthesized using a facile molten salt route. The as-prepared square nanoplates have been proven to be of {001} crystal facets as two dominantly exposed surfaces. The density functional theory calculation and photo-deposition of noble metal experiment demonstrate the electron and hole separation on different crystal facets and reveal that {001} crystal facets are in favor of the reduction reaction. Since the square nanoplate structure exhibits dominant exposure surfaces of the {001} facets, the molten salt route-based samples basically possess an obviously higher photocatalytic activity than those prepared by the solid state reaction (SSR) method. This study may provide inspiration for fabricating efficient photocatalysts.

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A three‐dimensional Bi2MoO6 nanostrip architecture was synthesized by the hydrothermal method using sodium oleate as a surfactant. The generated Bi2MoO6 nanostrips intercross with each other to form a unique network structure with a band gap of 2.92 eV, corresponding to visible‐light wavelength. Time‐evolution experiments reveal the formation mechanism of the Bi2MoO6 network. The photocatalytic reduction of CO2 to CH4 catalyzed by the Bi2MoO6 architecture was evaluated and compared with the process catalyzed by a Bi2MoO6 nanoplate analogue synthesized in the absence of sodium oleate as well as with the solid‐state reaction. The Bi2MoO6 nanostrips exhibit the best photocatalytic activity, which can be attributed to their high specific surface area, high light‐absorption intensity, suitable thickness for fast charge‐carrier migration, and the presence of pores for reactant transport.

BackgroundSufficient details have not been specified for the epidemiological characteristics of Staphylococcus aureus (S. aureus) and methicillin-resistant Staphylococcus aureus (MRSA) among surgical site infections (SSIs) in mainland China. This systematic review aimed to estimate proportions of S. aureus and MRSA in SSIs through available published studies.MethodsPubMed, Embase and four Chinese electronic databases were searched to identify relevant primary studies published between 2007 and 2012. Meta-analysis was conducted on the basis of logit-transformed metric for proportions of S. aureus and MRSA, followed by pre-defined subgroup meta-analysis. Random-effects meta-regression was also conducted to explore the impact of possible factors on S. aureus proportions.Results106 studies were included, of which 38 studies involved MRSA. S. aureus accounted for 19.1% (95%CI 17.2-21.0%; I2 = 84.1%) of all isolates in SSIs, which was roughly parallel to 18.5% in the United States (US) (P-value = 0.57) but significantly exceeded those calculated through the surveillance system in China (P-value<0.001). In subgroup analysis, S. aureus in patients with thoracic surgery (41.1%, 95%CI 26.3-57.7%; I2 = 74.4%) was more common than in those with gynecologic surgery (20.1%, 95%CI 15.6-25.6%; I2 = 33.0%) or abdominal surgery (13.8%, 95%CI 10.3-18.4%; I2 = 70.0%). Similar results were found in meta-regression. MRSA accounted for 41.3% (95%CI 36.5-46.3%; I2 = 64.6%) of S. aureus, significantly lower than that in the US (P-value = 0.001). MRSA was sensitive to vancomycin (522/522) and linezolid (93/94), while 79.9% (95%CI 67.4-88.4%; I2 = 0%) and 92.0% (95%CI 80.2-97.0%; I2 = 0%) of MRSA was resistant to clindamycin and erythromycin respectively.ConclusionThe overall proportion of S. aureus among SSIs in China was similar to that in the US but seemed higher than those reported through the Chinese national surveillance system. Proportions of S. aureus SSIs may vary with different surgery types. Commonly seen in SSIs, MRSA tended to be highly sensitive to vancomycin and linezolid but mostly resistant to clindamycin and erythromycin.