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1.
Plant Biotechnol J ; 2024 Jun 29.
Artigo em Inglês | MEDLINE | ID: mdl-38943653

RESUMO

Grain chalkiness is an undesirable trait that negatively regulates grain yield and quality in rice. However, the regulatory mechanism underlying chalkiness is complex and remains unclear. We identified a positive regulator of white-belly rate (WBR). The WBR7 gene encodes sucrose synthase 3 (SUS3). A weak functional allele of WBR7 is beneficial in increasing grain yield and quality. During the domestication of indica rice, a functional G/A variation in the coding region of WBR7 resulted in an E541K amino acid substitution in the GT-4 glycosyltransferase domain, leading to a significant decrease in decomposition activity of WBR7A (allele in cultivar Jin23B) compared with WBR7G (allele in cultivar Beilu130). The NIL(J23B) and knockout line NIL(BL130)KO exhibited lower WBR7 decomposition activity than that of NIL(BL130) and NIL(J23B)COM, resulting in less sucrose decomposition and metabolism in the conducting organs. This caused more sucrose transportation to the endosperm, enhancing the synthesis of storage components in the endosperm and leading to decreased WBR. More sucrose was also transported to the anthers, providing sufficient substrate and energy supply for pollen maturation and germination, ultimately leading to an increase rate of seed setting and increased grain yield. Our findings elucidate a mechanism for enhancing rice yield and quality by modulating sucrose metabolism and allocation, and provides a valuable allele for improved rice quality.

2.
Langmuir ; 2023 Jan 10.
Artigo em Inglês | MEDLINE | ID: mdl-36625456

RESUMO

A method for preparing new artificial light-harvesting systems (ALHSs) based on supramolecular metallogels was proposed. Various metal ions were introduced into a solution of a bi-benzimidazole compound (P) in ethylene glycol, and P exhibited high selectivity toward Al3+, as indicated by the noticeable red shift (49 nm) observed in the fluorescence spectra of P after the addition of Al3+. Interestingly, the gelator, P, could self-assemble into a stable supramolecular gel (P-gel) that exhibits strong aggregation-induced emission in ethylene glycol. Thus, two ALHSs were successfully prepared in a gel environment. The P-Al3+ assembly acts as the donor in the ALHSs, while BODIPY 505/515 (BDP) and rhodamine 6G (Rh6G), which are loaded onto the P-Al3+ assembly, act as acceptors. In these two diverse systems, the occurrence of an energy transfer process is confirmed from the P-Al3+ assembly to BDP and Rh6G. The findings of this study will enable the design and fabrication of ALHSs.

3.
Theor Appl Genet ; 135(8): 2675-2685, 2022 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-35715647

RESUMO

KEY MESSAGE: qFC6, a major quantitative trait locus for rice crude fat content, was fine mapped to be identical with Wx. FC6 negatively regulates crude fat content and rice quality. Starch, protein and lipids are the three major components in rice endosperm. The lipids content in rice influences both storage and quality. In this study, we identified a quantitative trait locus (QTL), qFC6, for crude fat (free lipids) content through association analysis and linkage analysis. Gene-based association analysis revealed that LOC_Os06g04200, also known as Wx, was the candidate gene for qFC6. Complementation and knockout transgenic lines revealed that Wx negatively regulates crude fat content. Lipid composition and content analysis by gas chromatography and taste evaluation analysis showed that FC6 positively influenced bound lipids content and negatively affected both free lipids content and taste. Besides, higher free lipids content rice varieties exhibit more lustrous appearance after cooking and by adding extra oil during cooking could improve rice luster and taste score, indicating that higher free lipids content may make rice more lustrous and delicious. Together, we cloned a QTL coordinating rice crude fat content and eating quality and assisted in uncovering the genetic basis of rice lipid content and in the improvement of rice eating quality.


Assuntos
Oryza , Amilose/química , Ligação Genética , Lipídeos , Oryza/metabolismo , Locos de Características Quantitativas , Amido/química
4.
Soft Matter ; 18(28): 5166-5170, 2022 Jul 20.
Artigo em Inglês | MEDLINE | ID: mdl-35797549

RESUMO

A facile methodology to fabricate a highly elastic organogel for supercapacitors is demonstrated. A stable polymer organogel was obtained in DMSO by a simple esterification reaction. This organogel showed high mechanical performance, flexibility, high elasticity, luminous performance and conductivity, as well as high potential values for application in the energy sector.

5.
Soft Matter ; 18(48): 9283-9290, 2022 Dec 14.
Artigo em Inglês | MEDLINE | ID: mdl-36458862

RESUMO

This paper proposes a strategy for fabricating new artificial light-harvesting systems (ALHSs) based on supramolecular multi-component metallogels. Al3+ was introduced into a solution of an acylhydrazone compound (L) in DMSO or DMF to form the L-Al3+ assembly. After adding Al3+ to the L solution, a noticeable blue shift appeared in the fluorescence spectra of L. Moreover, L could form a gel (L-B-gel) with 1,3:2,4-dibenzylidene sorbitol (B) in a DMSO-H2O binary solution. Finally, we obtained a multi-component metallogel (L-Al3+-B-gel) and successfully fabricated two ALHSs (L-Al3+/rhodamine 6G (Rh6G) and L-Al3+/rhodamine B (RhB)). In these systems, the L-Al3+ supramolecular assembly acts as the donor, while Rh6G and RhB act as acceptors. Additionally, we confirmed an energy-transfer process from the L-Al3+ component to Rh6G and RhB separately. The proposed fabrication strategy will facilitate the development of ALHSs.

6.
Nanotechnology ; 33(20)2022 Feb 21.
Artigo em Inglês | MEDLINE | ID: mdl-35108696

RESUMO

Metal nanowires are attractive building blocks for next-generation plasmonic devices with high performance and compact footprint. The complex reflection coefficients of the plasmonic waveguides are crucial for estimation of the resonating, lasing, or sensing performance. By incorporating physics-guided objective functions and constraints, we propose a simple approach to convert the specific reflection problem of nanowires to a universal regression problem. Our approach is able to efficiently and reliably determine both the reflectivity and reflection phase of the metal nanowires with arbitrary geometry parameters, working environments, and terminal shapes, merging the merits of the physics-based modeling and the data-driven modeling. The results may provide valuable reference for building comprehensive datasets of plasmonic architectures, facilitating theoretical investigations and large-scale designs of nanophotonic components and devices.

7.
Soft Matter ; 17(23): 5666-5670, 2021 Jun 16.
Artigo em Inglês | MEDLINE | ID: mdl-34095929

RESUMO

An artificial light-harvesting system (ALHS) has been designed and constructed based on supramolecular organogels made of a simple hydrazide-functionalized benzimidazole derivative (HB), as well as the fluorescent dye rhodamine B (RhB). RhB acted as a good acceptor to realize the energy-transfer process with good efficiency based on a HB/RhB assembly, which showed considerable fluorescence resonance energy transfer (FRET) efficiency of 53% for the energy transfer process. Remarkably, the obtained system showed superior color conversion abilities, converting blue light into orange light. By properly tuning the donor to acceptor ratio, bright orange light emission was achieved with a high fluorescence quantum yield of 35.5%. This system exhibited promise for applications relating to visible-light photo-transformation.

8.
Mol Breed ; 41(11): 68, 2021 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-37309362

RESUMO

Chalkiness is one of the key determinants of rice quality and is a highly undesirable trait for breeding and marketing. In this study, qWCR7, a major quantitative trait locus (QTL) of white-core rate (WCR), was genetically validated using a BC3F2 segregation population and further fine mapped using a near isogenic line (NIL) population, of which both were derived from a cross between the donor parent DL208 and the recurrent parent ZS97. qWCR7 was finally narrowed to a genomic interval of ~ 68 kb, containing seven annotated genes. Among those, two genes displayed markedly different expression levels in endosperm of NILs. Transcriptome analysis showed that the synthesis and accumulation of metabolites played a key role in chalkiness formation. The contents of storage components and expression levels of related genes were detected, suggesting that starch and storage protein were closely related to white-core trait. Our findings have laid the foundation of map-based cloning of qWCR7, which may have potential value in quality improvement during rice breeding. Supplementary Information: The online version contains supplementary material available at 10.1007/s11032-021-01260-x.

9.
BMC Bioinformatics ; 20(1): 430, 2019 Aug 17.
Artigo em Inglês | MEDLINE | ID: mdl-31419946

RESUMO

*: Background Consisting of dictated free-text documents such as discharge summaries, medical narratives are widely used in medical natural language processing. Relationships between anatomical entities and human body parts are crucial for building medical text mining applications. To achieve this, we establish a mapping system consisting of a Wikipedia-based scoring algorithm and a named entity normalization method (NEN). The mapping system makes full use of information available on Wikipedia, which is a comprehensive Internet medical knowledge base. We also built a new ontology, Tree of Human Body Parts (THBP), from core anatomical parts by referring to anatomical experts and Unified Medical Language Systems (UMLS) to make the mapping system efficacious for clinical treatments. *: Result The gold standard is derived from 50 discharge summaries from our previous work, in which 2,224 anatomical entities are included. The F1-measure of the baseline system is 70.20%, while our algorithm based on Wikipedia achieves 86.67% with the assistance of NEN. *: Conclusions We construct a framework to map anatomical entities to THBP ontology using normalization and a scoring algorithm based on Wikipedia. The proposed framework is proven to be much more effective and efficient than the main baseline system.


Assuntos
Anatomia , Mineração de Dados , Corpo Humano , Bases de Conhecimento , Alta do Paciente , Algoritmos , Humanos
10.
Environ Toxicol ; 32(1): 278-289, 2017 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-26916392

RESUMO

The potentially adverse health implications of bisphenol A (BPA) have led to increasing use of alternative bisphenols (BPs). However, little is known about the toxicity of alternative BPs. In this study, the cytotoxicity, genotoxicity, intracellular ROS formation, and Ca2+ fluctuation effects of BPs on MCF-7 cells were evaluated. At the same time, the estrogenic and thyroidal hormone effect potentials of six BPs were also evaluated using two-hybrid yeast bioassay. The results showed that most BPs at 0.01-1 µM significantly increased cell viability in MCF-7 cells and at higher exposure concentrations of 25-100 µM, they caused a significant decrease of cell viability. At the same time, these BPs also at 25-100 µM significantly increased LDH release of MCF-7 cells. In addition, several BPs at 10-50 µM resulted in a significantly concentration-depended increase in DNA-damaging effect on MCF-7 cells and elevated ROS production. Most BPs at 0.0001-10 µM significantly increased intracellular Ca2+ level. These results showed that bisphenol AF (BPAF) and thiodiphenol (TDP) exerted cell biological effect, estrogenic, and thyroidal effect potentials greater than those of BPA. The cytotoxicity and endocrine disrupting effects of other BPs are similar to or slightly lower than those of BPA. Therefore, as potential alternatives to BPA, endocrine disrupting effects and potential health harm of alternative BPs to human can also not be ignored. © 2016 Wiley Periodicals, Inc. Environ Toxicol 32: 278-289, 2017.


Assuntos
Apoptose/efeitos dos fármacos , Compostos Benzidrílicos/toxicidade , Disruptores Endócrinos/toxicidade , Fenóis/toxicidade , Compostos Benzidrílicos/química , Cálcio/metabolismo , Sobrevivência Celular/efeitos dos fármacos , Ensaio Cometa , Dano ao DNA/efeitos dos fármacos , Disruptores Endócrinos/química , Receptor alfa de Estrogênio/genética , Receptor alfa de Estrogênio/metabolismo , Genes Reporter , Humanos , Células MCF-7 , Fenóis/química , Espécies Reativas de Oxigênio/metabolismo , Técnicas do Sistema de Duplo-Híbrido
11.
Nano Lett ; 16(8): 4807-10, 2016 08 10.
Artigo em Inglês | MEDLINE | ID: mdl-27414182

RESUMO

On the basis of the transverse second harmonic generation (TSHG) in a highly nonlinear subwavelength-diameter CdTe nanowire, we demonstrate a single-nanowire optical correlator for femto-second pulse measurement with pulse energy down to femtojoule (fJ) level. Pulses to be measured were equally split and coupled into two ends of a suspending nanowire via tapered optical fibers. The couterpropagating pulses meet each other around the central area of the nanowire, and emit TSHG signal perpendicular to the axis of the nanowire. By transferring the spatial intensity profile of the transverse second harmonic (TSH) image into the time-domain temporal profile of the input pulses, we operate the nanowire as a miniaturized optical correlator. Benefitted from the high nonlinearity and the very small effective mode area of the waveguiding CdTe nanowire, the input energy of the single-nanowire correlator can go down to fJ-level (e.g., 2 fJ/pulse for 1064 nm 200 fs pulses). The miniature fJ-pulse correlator may find applications from low power on-chip optical communication, biophotonics to ultracompact laser spectroscopy.

12.
Ecotoxicology ; 25(3): 563-73, 2016 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-26908245

RESUMO

In this study, the biologic effects of DES on the early life and adult life stages of Japanese medaka (Oryzias latipes) were evaluated. At the early life stage, the fertilized eggs were exposed to 1-1000 ng/L diethylstilbestrol (DES) for 15 days and the hatched larvae were continually exposed to the same concentrations for an additional 25 days. Significant adverse effects on hatchability, time to hatching and mortality rate occurred at DES concentrations of 100 and 1000 ng/L, while the abnormality (scoliosis and abdominal swelling) rate was significantly increased at 10 ng/L and above. After exposure, the fish were maintained in charcoal-dechlorinated tap water for a further 30 days. Only the male gonadosomatic index (GSI) at 1000 ng/L was significantly increased. At concentrations greater than 1 ng/L, estrogen receptor α (ERα) mRNA in both sexes and vitellogenin-I (Vtg-I) mRNA in males were significantly down-regulated; while Vtg-I mRNA in females was significantly up-regulated. When sexually mature medaka were exposed to 10 and 1000 ng/L DES for 21 days, only the GSI in females was significantly decreased at 1000 ng/L. At 10 and 1000 ng/L, ERα mRNA in both sexes was significantly down-regulated, while Vtg-I mRNA in males was significantly up-regulated. These findings showed that DES at the environmental concentration of 10 ng/L can affect the early life stage development of medaka and alter liver ERα and Vtg-I gene expression. Therefore, if we only focused on these sensitive toxicity endpoints such as ERα and Vtg-I mRNA expression, DES has a strong estrogenic effect on Japanese medaka.


Assuntos
Dietilestilbestrol/toxicidade , Estrogênios/toxicidade , Expressão Gênica/efeitos dos fármacos , Oryzias/fisiologia , Poluentes Químicos da Água/toxicidade , Animais , Receptor alfa de Estrogênio/genética , Feminino , Masculino , RNA Mensageiro/metabolismo , Vitelogeninas/genética
13.
Nano Lett ; 15(11): 7581-6, 2015 Nov 11.
Artigo em Inglês | MEDLINE | ID: mdl-26479194

RESUMO

This paper reports a dramatic reduction in plasmon resonance line width of a single Au nanorod by coupling it to a whispering gallery cavity of a silica microfiber. With fiber diameter below 6 µm, strong coupling between the nanorod and the cavity occurs, leading to evident mode splitting and spectral narrowing. Using a 1.46-µm-diameter microfiber, we obtained single-band 2-nm-line-width plasmon resonance in an Au nanorod around a 655-nm-wavelength, with a quality factor up to 330 and extinction ratio of 30 dB. Compared to an uncoupled Au nanorod, the strongly coupled nanorod offers a 30-fold enhancement in the peak intensity of plasmonic resonant scattering.

14.
Biol Reprod ; 91(5): 109, 2014 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-25232017

RESUMO

To initiate the crucial cell adhesion events necessary for fertilization, sperm must penetrate extracellular matrix barriers containing hyaluronic acid (HA), a task thought to be accomplished by neutral-active hyaluronidases. Here we report that the ~57 kDa hyaluronidase 2 (HYAL2) that in somatic tissues has been highly characterized to be acid-active is present in mouse and human sperm, as detected by Western blot, flow cytometric, and immunoprecipitation assays. Immunofluorescence revealed its presence on the plasma membrane over the acrosome, the midpiece, and proximal principal piece in mice where protein fractionation demonstrated a differential distribution in subcellular compartments. It is significantly more abundant in the acrosome-reacted (P = 0.04) and soluble acrosomal fractions (P = 0.006) (microenvironments where acid-active hyaluronidases function) compared to that of the plasma membrane where neutral hyaluronidases mediate cumulus penetration. Using HA substrate gel electrophoresis, immunoprecipitated HYAL 2 was shown to have catalytic activity at pH 4.0. Colocalization and coimmunoprecipitation assays reveal that HYAL2 is associated with its cofactor, CD44, consistent with CD44-dependent HYAL2 activity. HYAL2 is also present throughout the epididymis, where Hyal2 transcripts were detected, and in the epididymal luminal fluids. In vitro assays demonstrated that HYAL2 can be acquired on the sperm membrane from epididymal luminal fluids, suggesting that it plays a role in epididymal maturation. Because similar biphasic kinetics are seen for HYAL2 and SPAM1 (Sperm adhesion molecule 1), it is likely that HYAL2 plays a redundant role in the catalysis of megadalton HA to its 20 kDa intermediate during fertilization.


Assuntos
Moléculas de Adesão Celular/fisiologia , Epididimo/metabolismo , Células Germinativas/metabolismo , Hialuronoglucosaminidase/fisiologia , Espermatozoides/metabolismo , Animais , Moléculas de Adesão Celular/genética , Epididimo/enzimologia , Feminino , Fertilização , Proteínas Ligadas por GPI/genética , Proteínas Ligadas por GPI/fisiologia , Expressão Gênica , Células Germinativas/enzimologia , Humanos , Ácido Hialurônico/metabolismo , Hialuronoglucosaminidase/genética , Masculino , Mamíferos , Camundongos , Camundongos Endogâmicos C57BL , Interações Espermatozoide-Óvulo , Espermatozoides/enzimologia
15.
Sensors (Basel) ; 14(4): 5823-44, 2014 Mar 25.
Artigo em Inglês | MEDLINE | ID: mdl-24670720

RESUMO

With diameter close to or below the wavelength of guided light and high index contrast between the fiber core and the surrounding, an optical microfiber shows a variety of interesting waveguiding properties, including widely tailorable optical confinement, evanescent fields and waveguide dispersion. Among various microfiber applications, optical sensing has been attracting increasing research interest due to its possibilities of realizing miniaturized fiber optic sensors with small footprint, high sensitivity, fast response, high flexibility and low optical power consumption. Here we review recent progress in microfiber optical sensors regarding their fabrication, waveguide properties and sensing applications. Typical microfiber-based sensing structures, including biconical tapers, optical gratings, circular cavities, Mach-Zehnder interferometers and functionally coated/doped microfibers, are summarized. Categorized by sensing structures, microfiber optical sensors for refractive index, concentration, temperature, humidity, strain and current measurement in gas or liquid environments are reviewed. Finally, we conclude with an outlook for challenges and opportunities of microfiber optical sensors.

16.
Nano Lett ; 13(11): 5654-9, 2013.
Artigo em Inglês | MEDLINE | ID: mdl-24144390

RESUMO

Metallic and plasmonic nanolasers have attracted growing interest recently. Plasmonic lasers demonstrated so far operate in hybrid photon-plasmon modes in transverse dimensions, rendering it impossible to separate photonic from plasmonic components. Thus only the far-field photonic component can be measured and utilized directly. But spatially separated plasmon modes are highly desired for applications including high-efficiency coupling of single-photon emitters and ultrasensitivity optical sensing. Here, we report a nanowire (NW) laser that offers subdiffraction-limited beam size and spatially separated plasmon cavity modes. By near-field coupling a high-gain CdSe NW and a 100 nm diameter Ag NW, we demonstrate a hybrid photon-plasmon laser operating at 723 nm wavelength at room temperature, with a plasmon mode area of 0.008λ(2). This device simultaneously provides spatially separated photonic far-field output and highly localized coherent plasmon modes, which may open up new avenues in the fields of integrated nanophotonic circuits, biosensing, and quantum information processing.


Assuntos
Lasers , Nanotecnologia/instrumentação , Nanofios/química , Técnicas Biossensoriais , Desenho de Equipamento , Luz , Fótons , Ressonância de Plasmônio de Superfície
17.
Int J Biol Macromol ; : 135128, 2024 Aug 27.
Artigo em Inglês | MEDLINE | ID: mdl-39208894

RESUMO

Glycoproteins perform vital functions in numerous biological processes and have important clinical implications. Many glycoproteins have been used as biomarkers and therapeutic targets for disease diagnosis. Due to low concentration of glycoprotein biomarkers and the presence of high-abundance interfering species in biological samples, a selective and sensitive detection method for glycoprotein is essential for real-world applications. In this study, we develop an oriented surface imprinted microplate-based fluorescent biosensor by boronate-affinity sandwich assay (BASA) for the specific, sensitive and high throughput determination of glycoproteins in complex samples. The structure of the BASA is based on sandwich formation between boronate affinity-oriented surface-imprinted microplates, target glycoproteins, and boronate affinity fluorescence probes. The imprinted microplates ensure the high specificity, high affinity and high throughput, while the fluorescence probes, consisting of boronic acid-modified CdTe QDs, provide high sensitivity. The proposed approach could exhibit a wide linear range of 1 ng/mL-105 ng/mL, with a low LOD of 0.528 ng/mL using horseradish peroxidase (HRP) as a model glycoprotein. As compared with traditional "turn off" fluorescent sensor, the developed "turn on" fluorescent sensor provided three orders of magnitude higher sensitivity at least. The fluorescent biosensor achieved average recoveries ranging from 96.8 % to 106.0 % in urine samples.

18.
Opt Express ; 21(2): 2024-31, 2013 Jan 28.
Artigo em Inglês | MEDLINE | ID: mdl-23389184

RESUMO

High flexibility has been one of advantages for one-dimensional semiconductor nanowires (NWs) in wide application of nanoscale integrated circuits. We investigate the bending effects on lasing action of CdSe NWs. Threshold increases and differential efficiency decreases gradually when we decrease the bending radius step by step. Red shift and mode reduction in the output spectra are also observed. The bending loss of laser oscillation is considerably larger than that of photoluminescence (PL), and both show the exponential relationship with the bending radius. Diameter and mode dependent bending losses are investigated. Furthermore, the polarizations of output can be modulated linearly by bending the NWs into different angles continuously.


Assuntos
Compostos de Cádmio/química , Lasers , Nanotubos/química , Compostos de Selênio/química , Semicondutores , Módulo de Elasticidade , Análise de Falha de Equipamento , Teste de Materiais , Resistência à Tração
19.
Hua Xi Kou Qiang Yi Xue Za Zhi ; 41(2): 175-184, 2023 Apr 01.
Artigo em Inglês, Zh | MEDLINE | ID: mdl-37056183

RESUMO

OBJECTIVES: This study aimed to investigate how naringenin (Nar) affected the anti-inflammatory, vascula-rization, and osteogenesis differentiation of human periodontal ligament stem cells (hPDLSCs) stimulated by lipopolysaccharide (LPS) and to preliminarily explore the underlying mechanism. METHODS: Cell-counting kit-8 (CCK8), cell scratch test, and Transwell assay were used to investigate the proliferation and migratory capabilities of hPDLSCs. Alkaline phosphatase (ALP) staining, alizarin red staining, lumen-formation assay, enzyme-linked immunosorbent assay, quantitative timed polymerase chain reaction, and Western blot were used to measure the expression of osteopontin (OPN), Runt-related transcription factor 2 (RUNX2), vascular endothlial growth factor (VEGF), basic fibroblast growth factor (bFGF), von Willebrand factor (vWF), tumor necrosis factor-α (TNF-α), and interleukin (IL)-6. RESULTS: We observed that 10 µmol/L Nar could attenuate the inflammatory response of hPDLSCs stimulated by 10 µg/mL LPS and promoted their proliferation, migration, and vascularization differentiation. Furthermore, 0.1 µmol/L Nar could effectively restore the osteogenic differentiation of inflammatory hPDLSCs. The effects of Nar's anti-inflammatory and promotion of osteogenic differentiation significantly decreased and inflammatory vascularization differentiation increased after adding AMD3100 (a specific CXCR4 inhibitor). CONCLUSIONS: Nar demonstrated the ability to promote the anti-inflammatory, vascularization, and osteogenic effects of hPDLSCs stimulated by LPS, and the ability was associated with the stromal cell-derived factor/C-X-C motif chemokine receptor 4 signaling axis.


Assuntos
Lipopolissacarídeos , Ligamento Periodontal , Humanos , Anti-Inflamatórios/metabolismo , Anti-Inflamatórios/farmacologia , Diferenciação Celular , Proliferação de Células , Células Cultivadas , Quimiocina CXCL12 , Lipopolissacarídeos/metabolismo , Lipopolissacarídeos/farmacologia , Osteogênese , Ligamento Periodontal/metabolismo , Receptores de Quimiocinas/metabolismo , Células-Tronco , Interleucina-8/metabolismo
20.
BMJ Open ; 13(7): e067110, 2023 07 21.
Artigo em Inglês | MEDLINE | ID: mdl-37479506

RESUMO

INTRODUCTION: Antenatal care (ANC) is a critical measure to reduce maternal and perinatal morbidity and mortality. However, there are issues of too many visits and cumbersome procedures of ANC in many maternity hospitals of China. In the past 2 years, reduced-visit ANC models combined with remote monitoring have been recommended and implemented at most hospitals in China during the COVID-19 pandemic. Nevertheless, due to limited evaluations of the cost-effectiveness, policy-makers remain confused on how to appropriately integrate online delivery strategies with routine models to improve ANC quality and efficiency sustainably at scale. This trial aims to evaluate the effectiveness, acceptability and cost of a reduced-visit ANC model combined with telemedicine. METHODS AND ANALYSIS: A single-blind, randomised controlled trial will be conducted among low-risk pregnant women at Peking University Third Hospital in Beijing. 1476 patients (738 in each group) would be required, and they will be randomly assigned in a 1:1 ratio to receive the reduced-visit ANC combined with telemedicine services or the routine ANC. The primary outcome is the composite rate of adverse maternal and perinatal outcomes which will be extracted from the medical records. Secondary outcomes include acceptability of ANC models, which is assessed by satisfaction with ANC, pregnancy-related stress and ANC costs measured from the perspectives of both service providers and demanders. Both intention-to-treat and per-protocol analyses will be performed. Non-inferiority tests will be used to compare the two ANC models for the primary outcome. A cost-effectiveness analysis comparing the two ANC models will be conducted by estimating the incremental cost-effectiveness ratios. ETHICS AND DISSEMINATION: This study was approved by the ethical review committee of the Peking University Third Hospital (Beijing, China). The results of this study will be published in peer-reviewed scientific journals and presented at relevant academic conferences. TRIAL REGISTRATION NUMBER: NCT05290467.


Assuntos
COVID-19 , Gravidez , Humanos , Feminino , Pandemias , Gestantes , Cuidado Pré-Natal , Método Simples-Cego , Maternidades , Ensaios Clínicos Controlados Aleatórios como Assunto
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