RESUMEN
BACKGROUND: Early detection and diagnosis of high-grade cervical intraepithelial neoplasia grade 2 or higher (CIN2+) is critical for a good prognosis and appropriate treatment. The chief aim of our study was to evaluate the diagnostic performance of folate receptor-mediated staining solution detection (FRD) for CIN2+. METHODS: We conducted a systematic review and meta-analysis by searching the PubMed and EMBASE databases for studies published until May 2020, which assessed the diagnostic accuracy of FRD, human papilloma virus (HPV) testing, and ThinPrep cytology test (TCT) for the detection of CIN2+. Bivariate models were used to compare the diagnostic performance of FRD, HPV, and TCT. RESULTS: Six studies involving 2817 patients were included in this meta-analysis. The pooled specificity of FRD was higher than that of HPV and TCT for detecting CIN2+ (0.65, 0.12, and 0.39, respectively). The summary area under the receiver operating characteristic curve values using FRD, HPV, and TCT for detecting CIN2+ were 0.79, 0.95, and 0.77, respectively, indicating that FRD was superior to TCT. The diagnostic odds ratios of FRD, HPV, and TCT were 6 (95% CI: 5-7), 3 (95% CI: 2-5), and 3 (95% CI: 2-4), respectively, demonstrating that FRD had good diagnostic accuracy. CONCLUSION: FRD showed good diagnostic accuracy and higher specificity than HPV and TCT for detecting CIN2+. Based on our results, we propose that FRD could be a candidate for cervical screening, especially in underdeveloped countries.
Asunto(s)
Detección Precoz del Cáncer/métodos , Infecciones por Papillomavirus/diagnóstico , Coloración y Etiquetado/métodos , Displasia del Cuello del Útero/diagnóstico , Neoplasias del Cuello Uterino/diagnóstico , Alphapapillomavirus , Cuello del Útero/patología , Cuello del Útero/virología , Femenino , Receptor 1 de Folato/metabolismo , Ácido Fólico/química , Ácido Fólico/metabolismo , Humanos , Infecciones por Papillomavirus/patología , Infecciones por Papillomavirus/virología , Sensibilidad y Especificidad , Neoplasias del Cuello Uterino/patología , Neoplasias del Cuello Uterino/virología , Frotis Vaginal/métodos , Displasia del Cuello del Útero/patología , Displasia del Cuello del Útero/virologíaRESUMEN
Optical assembly as a multiple optical trapping technique enables patterned arrangements of matter ranging from atoms to microparticles for diverse applications in biophysics, quantum physics, surface chemistry, and cell biology. Optical potential energy landscapes based on evanescent fields are conventionally employed for optical assembly of subwavelength particles, but are typically limited to predefined patterns and lacking in tunability. Here we present a microfiber photonic crystal cavity applicable for tunable optical assembly of subwavelength particles along a flexible path. This is enabled by excellent mechanical flexibility of the microfiber cavity as well as its broadband photonic crystal reflectors. By virtue of the broadband reflectors, the lattice constant of the assembled particles is precisely tunable via altering the wavelength of input light. Three-dimensional optical assembly is also realized by making use of the high-order transverse mode of the microfiber cavity. Moreover, the optical assembly process is detectable by simply monitoring the reflection/transmission spectrum of the microfiber cavity. The design of the microfiber cavity heralds a new way for tunable optical assembly of subwavelength particles, potentially applicable for development of tunable photonic crystals, metamaterials, and sensors.
RESUMEN
The effect of wet irrigation (CK), agronomic measure flooding (WF), instantaneous silicon fertilizer combined with flooding measures (FYsi), mineral silicon fertilizer combined with flooding measures (FKsi), and a mix of two kinds of silicon fertilizer combined with flooding measures (FYK) on the bio-availability of As and Cd in soil and the accumulation of As and Cd in rice were investigated by pot experiments. The results showed that the pH of the soils combined with flooding measures was increased by 0.12-0.72 units with similar trends of an increase and then a decrease before finally become neutral. The Eh of the soil combined with flooding was significantly decreased, but the Eh of soil after flooding treated by FYsi, FKsi, and FYK combined with the flooding was significantly higher than that treated by WF, and the content of Cd in brown rice was reduced by 38.83%-65.05% compared with that treated by CK. The WF and FYK treatments can significantly reduce the accumulation of Cd in brown rice, resulting in the lowest Cd contents in brown rice of 0.98 and 0.72 mg·kg-1, respectively. The contents of As in brown rice treated by FYsi, FKsi, and FYK were decreased by 23.80%, 38.10%, and 47.62%, respectively, compared with that with the CK treatment, except that the content of As in brown rice treated by WF increased by 36.64%. FYsi and FYK treatments had the best inhibitory effect on the accumulation of As in brown rice, with the lowest As contents of 0.13 mg·kg-1 and 0.11 mg·kg-1 in brown rice (P <0.01), respectively. There was an extremely significant correlation between the contents of extractable Cd and the total content of Cd in the brown rice (P <0.05), and there was no significant difference between the contents of extractable As and the total content of As in the brown rice. Therefore, FYsi, FKsi, and FYK can effectively inhibit the accumulation of Cd and As in rice grown in Cd-As compound polluted soil, and FYK showed the best performance.