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1.
J Colloid Interface Sci ; 677(Pt B): 583-596, 2025 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-39154450

RESUMEN

HYPOTHESIS: An innovative strategy for designing high-performance demulsifiers is proposed. It hypothesizes that integrating mesoscopic molecular simulations with macroscopic physicochemical experiments can enhance the understanding and effectiveness of demulsifiers. Specifically, it is suggested that amphiphilic hyperbranched polyethyleneimine (CHPEI) could act as an efficient demulsifier in oil-water systems, with its performance influenced by its adsorption behaviors at the oil-water interface and its ability to disrupt asphaltene-resin aggregates. EXPERIMENTS: Several coarse-grained models of oil-water systems, with CHPEI, are constructed using dissipative particle dynamics (DPD) simulation. Following the insights gained from the simulations, a series of CHPEI-based demulsifiers are designed and synthesized. Demulsification experiments are conducted on both simulated and crude oil emulsions, with the process monitored using laser scanning confocal microscopy. Additionally, adsorption kinetics and small angle X-ray scattering are employed to reveal the inherent structural characteristics of CHPEI demulsifiers. FINDINGS: CHPEI demonstrates over 96.7 % demulsification efficiency in high acid-alkali-salt systems and maintains its performance even after multiple reuse cycles. The simulations and macroscopic experiments collectively elucidate that the effectiveness of a demulsifier is largely dependent on its molecular weight and the balance of hydrophilic and hydrophobic groups. These factors are crucial in providing sufficient interfacial active functional groups while avoiding adsorption sites for other surfactants. Collaborative efforts between DPD simulation and macroscopic measurements deepen the understanding of how demulsifiers can improve oil-water separation efficiency in emulsion treatment.

2.
J Oral Rehabil ; 2024 Nov 01.
Artículo en Inglés | MEDLINE | ID: mdl-39482932

RESUMEN

BACKGROUND: A notable obstacle in applying the findings of hyaluronic acid (HA)-related randomised controlled trials (RCTs) to real-world patient treatment is trial waste (TW). To date, the extent of TW in RCTs for HA is not clear. OBJECTIVES: To analyse the extents of TW within HA-RCTs and identify protective factors against TW. METHODS: In July 2024, we searched the ClinicalTrials database using the 'hyaluronic acid' as keyword. We documented the data available and then explored PubMed and Scopus for the publication status. Reporting adequacy was evaluated using the CONSORT checklist. Design limitations were analysed based on bias risk and whether the article referenced a relevant systematic review. Subsequently, we evaluated extent of TW (unpublished studies, insufficient reporting and design flaws). RESULTS: One hundred and eighty-four RCTs met the inclusion criteria. The analysis of TW excluded 53 RCTs completed after June 2020 that remained unpublished. Among the remaining 131 RCTs, 72 were published, 47 had adequate reporting and 19 had design limitations. Taken together, 96 RCTs (73.3%) exhibited at least one characteristic of TW. Characteristics of these RCTs included early registration (p < 0.001) and the absence of a multi-blind approach (p = 0.007). Registration prior to 2014 (p < 0.001) and the open-label or single-blinding design (p = 0.003) emerged as independent risk factor for TW. CONCLUSION: We delineated the features of 184 HA-related RCTs. 73.3% of the RCTs included in TW analysis exhibited TW. The diverse traits of the different TW indicators identified could serve as valuable insights for conducting future HA-RCTs more rationally and efficiently.

3.
PLoS One ; 19(10): e0312000, 2024.
Artículo en Inglés | MEDLINE | ID: mdl-39432467

RESUMEN

Groundwater, a vital source of water supply, is currently experiencing a pollution crisis that poses a significant risk to human health. To understand the hydrochemical formation mechanisms, quality and risk to human health of groundwater in the upper reaches of the Wulong River basin, 63 sets of groundwater samples were collected and analyzed. A combination of mathematical statistics, correlation analysis, Gibbs diagram, ion ratio, and cation exchange were comprehensively employed for hydrochemical analysis, and further water quality index (WQI) and human health risk assessment were conducted. The results indicate that groundwater is generally neutral to weakly alkaline. The dominant cations in the groundwater are Ca2+ and Mg2+, while the main anions are HCO3- and SO42-. The hydrochemical types of groundwater mainly include HCO3·SO4-Ca, HCO3-Ca and HCO3-Na. The diverse hydrochemical types are mainly due to the fractured and discontinuous nature of the aquifers. The hydrochemical characteristics are influenced by the dissolution of silicate and carbonate minerals, cation exchange processes, and anthropogenic pollution. The presence of NO3- in groundwater is primarily attributed to agricultural activities. The groundwater is mainly categorized as "Good" (36.6%) and "Poor" (60.8%). "Very poor" and "Excellent" categories are rare, accounting for only 1.2% and 1.4%, respectively, and no samples are classified as "Non-drinkable". The Ewi for NO3- is the highest, indicating severe contamination by anthropogenic NO3- pollution. Human health risk assessment reveals that water samples posing exposure risks account for 82.54% for children and 79.37% for adults. This study highlighted that anthropogenic nitrate pollution has deteriorated groundwater quality, posing risks to human health. It also suggests an urgent need to enhance research and protective measures for groundwater in similar regions, such as the Shandong Peninsula.


Asunto(s)
Agua Subterránea , Ríos , Contaminantes Químicos del Agua , Calidad del Agua , Agua Subterránea/análisis , Agua Subterránea/química , Humanos , Ríos/química , China , Medición de Riesgo , Contaminantes Químicos del Agua/análisis , Monitoreo del Ambiente/métodos
4.
Nat Commun ; 15(1): 9028, 2024 Oct 19.
Artículo en Inglés | MEDLINE | ID: mdl-39424794

RESUMEN

Fluid management remains a critical challenge in the treatment of septic shock, with individualized approaches lacking. This study aims to develop a statistical model based on transcriptomics to identify subgroups of septic shock patients with varied responses to fluid strategy. The study encompasses 494 septic shock patients. A benefit score is derived from the transcriptome space, with higher values indicating greater benefits from restrictive fluid strategy. Adherence to the recommended strategy is associated with a hazard ratio of 0.82 (95% confidence interval: 0.64-0.92). When applied to the baseline hospital mortality rate of 16%, adherence to the recommended fluid strategy could potentially lower this rate to 13%. A proteomic signature comprising six proteins is developed to predict the benefit score, yielding an area under the curve of 0.802 (95% confidence interval: 0.752-0.846) in classifying patients who may benefit from a restrictive strategy. In this work, we develop a proteomic signature with potential utility in guiding fluid strategy for septic shock patients.


Asunto(s)
Fluidoterapia , Proteómica , Choque Séptico , Choque Séptico/metabolismo , Choque Séptico/mortalidad , Choque Séptico/terapia , Humanos , Proteómica/métodos , Masculino , Femenino , Persona de Mediana Edad , Anciano , Mortalidad Hospitalaria , Transcriptoma , Multiómica
5.
Math Ann ; 390(3): 3567-3619, 2024.
Artículo en Inglés | MEDLINE | ID: mdl-39363934

RESUMEN

We prove that twisted ℓ 2 -Betti numbers of locally indicable groups are equal to the usual ℓ 2 -Betti numbers rescaled by the dimension of the twisting representation; this answers a question of Lück for this class of groups. It also leads to two formulae: given a fibration E with base space B having locally indicable fundamental group, and with a simply-connected fiber F, the first formula bounds ℓ 2 -Betti numbers b i ( 2 ) ( E ) of E in terms of ℓ 2 -Betti numbers of B and usual Betti numbers of F; the second formula computes b i ( 2 ) ( E ) exactly in terms of the same data, provided that F is a high-dimensional sphere. We also present an inequality between twisted Alexander and Thurston norms for free-by-cyclic groups and 3-manifolds. The technical tools we use come from the theory of generalised agrarian invariants, whose study we initiate in this paper.

6.
Int J Biol Macromol ; 281(Pt 3): 136327, 2024 Oct 05.
Artículo en Inglés | MEDLINE | ID: mdl-39374711

RESUMEN

Hepatitis B virus (HBV)-related hepatocellular carcinoma (HCC), has a significantly higher risk of recurrence. However, the exact mechanism by which HBV prompts HCC recurrence remains largely unknown. In this study liver microarray test revealed significant upregulation of microtubule associated protein 1S (MAP1S) in metastatic HCC compared to control. MAP1S knockdown suppressed growth of HCCLM3 cells in vitro and in vivo. Mechanistically, HBV-encoded X protein (HBx) upregulates MAP1S, which enhances microtubule (MT) acetylation by promoting the degradation of histone deacetylase 6 (HDAC6), and facilitates the nuclear translocation of Smad complex, and thereby enhancing downstream TGF-ß signaling. Smad complex, in turn, increases MAP1S, establishing a feedback loop of MAP1S/Smad/TGF-ß1. Finally, survival analysis of 150 HBV-associated HCC patients demonstrated both increased MAP1S and decreased HDAC6 were significantly associated with shorter relapse-free survival. Collectively, this study reveals a unique mechanism whereby HBx-induced upregulation of MAP1S drives HBV-related HCC proliferation and migration through the MAP1S/Smad/TGF-ß1 feedback loop. TEASER: MAP1S is a key link between HBV infection and a higher risk of metastatic recurrence of HCC.

7.
Front Plant Sci ; 15: 1438102, 2024.
Artículo en Inglés | MEDLINE | ID: mdl-39416485

RESUMEN

Amaryllidaceae alkaloids (AAs) are complex plant secondary metabolites possessing a wide range of biological activities. 4'-O-methylnorbelladine (4OMN) is the branchpoint intermediate for the entire AAs, and was the last common intermediate before AA pathway branches diverge. The cyclization of 4OMN by C-C oxidative coupling, which can afford para-para', ortho-para', and para-ortho' scaffold, was catalyzed by cytochrome P450 96T (CYP96T) family enzymes. To clarify the mechanisms involved in this controversial step, four CYP96T homologs (LauCYP96T1, LauCYP96T1-like-1, LauCYP96T1-like-2 and LauCYP96T1-like-3) were cloned from the full-length transcriptome of Lycoris aurea. All the four LauCYP96T are localized to endoplasmic reticulum. Functional analysis reveals that LauCYP96T1 and LauCYP96T1-like proteins display inverted regioselectivity for oxidative coupling of 4OMN, in which LauCYP96T1 and LauCYP96T1-like-2 dominantly afford para-para' scaffold, and LauCYP96T1-like-1 and LauCYP96T1-like-3 are responsible for para-ortho' scaffold formation. Using molecular homology modeling and docking studies, we predicted models for the binding of 4OMN to LauCYP96T, and identified two amino acid residues that might be responsible for the dominant changes in generated products of para-ortho' and para-para' oxidative coupling. Our results highlight the functional diversity and promiscuity of LauCYP96T enzymes and might provide valuable information for Amaryllidaceae alkaloid production.

8.
Sci Adv ; 10(42): eadp4917, 2024 Oct 18.
Artículo en Inglés | MEDLINE | ID: mdl-39413192

RESUMEN

Immune checkpoint inhibitors targeting programmed cell death 1 (PD-1) or programmed cell death-ligand 1 (PD-L1) have achieved impressive antitumor clinical outcomes. However, the limited response rates suggest the incomplete understanding of PD-L1 regulation. Here, we demonstrate that vacuole protein sorting 11 and 18 (VPS11/18), two key players in vesicular trafficking, positively regulate PD-L1 and confer resistance to immune checkpoint blockade therapy. VPS11/18 interact with PD-L1 in endosome recycling accompanied by promoting PD-L1 glycosylation and protein stability. VPS18 deficiency enhances antitumor immune response. Pharmacological inhibition by VPS18 inhibitor RDN impaired PD-L1 member trafficking and protein stability. Combination treatment of RDN and anti-cytotoxic T lymphocyte-associated antigen 4 synergistically enhances antitumor efficacy in aggressive and drug-resistant tumors. RDN exerted lung-preferred distribution and good bioavailability, suggesting a favorable drug efficacy. Together, our study links VPS18/11-mediated trans-Golgi network recycling of PD-L1 and points to a promising treatment strategy for the enhancement of antitumor immunity.


Asunto(s)
Antígeno B7-H1 , Inmunoterapia , Transporte de Proteínas , Proteínas de Transporte Vesicular , Antígeno B7-H1/metabolismo , Humanos , Animales , Proteínas de Transporte Vesicular/metabolismo , Proteínas de Transporte Vesicular/genética , Ratones , Inmunoterapia/métodos , Línea Celular Tumoral , Endosomas/metabolismo , Inhibidores de Puntos de Control Inmunológico/farmacología
9.
Transl Psychiatry ; 14(1): 415, 2024 Oct 03.
Artículo en Inglés | MEDLINE | ID: mdl-39362869

RESUMEN

Chronic hypobaric hypoxia at high altitudes can impair cognitive functions, especially causing deficits in learning and memory, which require therapeutic intervention. Here, we showed that mice subjected to hypobaric hypoxia (simulating an altitude of 5000 m) for one month experienced significant cognitive impairment, accompanied by increased biomarker levels of oxidative stress in the brain and blood. Oral administration of a novel formulation of edaravone, a free radical scavenger approved for the treatment of ischaemic stroke and amyotrophic lateral sclerosis, significantly alleviated oxidative stress and cognitive impairments caused by chronic hypobaric hypoxia. Furthermore, oral edaravone treatment also mitigated neuroinflammation and restored hippocampal neural stem cell exhaustion. Additionally, periostin (Postn) is vital in the cognitive deficits caused by chronic hypobaric hypoxia and may be a molecular target of edaravone. In conclusion, our results suggest that oxidative stress plays a crucial role in the cognitive deficits caused by chronic hypobaric hypoxia and that oral edaravone is a potential medicine for protecting against cognitive deficits caused by chronic hypobaric hypoxia in high-altitude areas.


Asunto(s)
Altitud , Disfunción Cognitiva , Edaravona , Hipoxia , Estrés Oxidativo , Animales , Edaravona/farmacología , Edaravona/administración & dosificación , Disfunción Cognitiva/etiología , Disfunción Cognitiva/tratamiento farmacológico , Disfunción Cognitiva/prevención & control , Ratones , Estrés Oxidativo/efectos de los fármacos , Masculino , Hipoxia/complicaciones , Hipoxia/tratamiento farmacológico , Hipoxia/metabolismo , Antioxidantes/farmacología , Antioxidantes/administración & dosificación , Ratones Endogámicos C57BL , Administración Oral , Hipocampo/efectos de los fármacos , Hipocampo/metabolismo , Modelos Animales de Enfermedad , Depuradores de Radicales Libres/administración & dosificación , Depuradores de Radicales Libres/farmacología , Encéfalo/efectos de los fármacos , Encéfalo/metabolismo
10.
J Hazard Mater ; 480: 136026, 2024 Oct 01.
Artículo en Inglés | MEDLINE | ID: mdl-39368361

RESUMEN

Environmental contamination from oil spills and industrial oily wastewater poses significant ecological risks due to the persistence of harmful organic compounds. To address these challenges, magnetic composite nanospheres (CMNP@CHPEI) are systematically developed, with carboxylated Fe3O4 nanoparticles (CMNP) as the core and amphiphilic hyperbranched polyethyleneimine (CHPEI) as the decorated shell. These novel nanospheres combine the controllable size and magnetic responsiveness of "hard" magnetic nanomaterials with the structural complexity and functional diversity of "soft" hyperbranched polymers. This design allows for switching between emulsification and demulsification behaviors by regulating the size of the nanospheres and the amphiphilicity of CHPEI. Specifically, the nanospheres can form Pickering emulsions with oil droplet sizes smaller than 1 µm, maintaining stability for up to 75 days, and achieve rapid oil-water separation with demulsification efficiencies up to 99.8 %. Even after seven recycling experiments, they still retain significant interfacial activity and applicability. Interfacial characteristic experiments and molecular dynamics simulations reveal that particle size directly affects the film structures formed at oil-water interface, while the amphiphilic functional molecules determine the interaction mode of nanospheres with oil-water phases. These achievements introduce a versatile, environmentally friendly material for removing hazardous oil-based pollutants, with promising applications in oil spill remediation and industrial wastewater treatment.

11.
Int J Dermatol ; 2024 Oct 04.
Artículo en Inglés | MEDLINE | ID: mdl-39367533

RESUMEN

BACKGROUND: Capillary malformation-arteriovenous malformation (CM-AVM) is a rare genetic disorder characterized by multiple small capillary malformations (CMs) and arteriovenous malformations (AVMs), which has been linked with pathogenic variants in RASA1 and EPHB4. However, more data are needed to explore the phenotypic characteristics and the association between genotypes and clinical phenotypes. OBJECTIVES: Our aim was to investigate the phenotypic and genetic characteristics of CM-AVM in East Asians, identify potential unique phenotypes, and conduct genotype-phenotype association analyses. METHODS: This is a single-center study prospectively collecting CM-AVM patients' clinical data, with genetic data from blood or tissue samples. RESULTS: A total of 59 patients were enrolled. Thirty-two individuals had a leading CM greater than Schobinger stage II. The trigeminal nerve branches and greater auricular, transverse cervical, and lesser occipital nerves' somatosensory innervation zones divided head and neck CMs into six zones: V1, V2, V3, GA, TC, and LO zones. GA, TC, and LO zones had a positive correlation with one another but a negative correlation with V2 zone involvement. The RASA1 and EPHB4 pathogenic variants were detected in 41 out of 59, which showed two types of variant allele frequency (VAF) distributions. VAF above 30% made RASA1 pathogenic variants more susceptible to multifocal CMs than those below 30%. CONCLUSIONS: Leading CMs in the head and neck exhibit two segmentation patterns, anterior and lateral, which may differ in ear involvement and progression. Germline RASA1 pathogenic variants increased multifocal CM risk more than the somatic variants.

12.
Environ Pollut ; : 125153, 2024 Oct 18.
Artículo en Inglés | MEDLINE | ID: mdl-39427954

RESUMEN

Per- and polyfluoroalkyl substances and their short-chain alternatives have attracted world-wide attention due to their widespread presence and persistence in the environment. However, the sources, environmental fate, and driving forces of PFAS in coastal ecosystems remain poorly understood. In this study, the spatial distribution, source apportionment, and driving mechanisms of PFAS were investigated through a comprehensive analysis of water samples collected along the China's coastline. The concentrations of Σ25PFAS in water samples followed a general pattern, with higher levels observed in northern coastal zones of China than the south, ranging from 0.72 to 1872.21 ng L-1. PFOA and PFBA were dominant. Emerging short-chain PFAS, such as PFBS, PFBA, F-53B and GenX, were frequently detected, with detection rates of 97%, 99%, 95% and 77%, respectively. This indicated a shift in coastal PFAS contamination from legacy compounds to emerging short-chain alternatives. Source apportionment using the Positive Matrix Factorization model identified key contributors to PFAS pollution, including textile production, volatile precursors, precious metal industries, aqueous film-forming foam, metal-plating, electrochemical fluorination, and fluoropolymer manufacturing. Additionally, PFAS concentrations were significantly positively correlated with cultivated land, urban area, and wastewater discharge, while negatively correlated with annual precipitation and woodland coverage (p<0.05). Socio-economic development was identified as a major driver of PFAS emissions, while the hydrological factors and vegetation coverage can significantly enhance watershed resilience against PFAS pollution.

13.
Orthop Surg ; 2024 Oct 01.
Artículo en Inglés | MEDLINE | ID: mdl-39351639

RESUMEN

OBJECTIVE: The treatment of lumbar disc herniation (LDH) with bilateral radiculopathy using transforaminal endoscopic lumbar discectomy (TELD) remains challenging, especially at the L5/S1 level with narrow foramen or high iliac crest. Full-endoscopic visualized foraminoplasty and discectomy (FEVFD) is a newly developed technique for LDH and lumbar stenosis. However, there is limited evidence on the efficacy of FEVFD technique in the treatment of LDH with bilateral radiculopathy. This study was to assess the clinical outcomes and safety of using FEVFD in the treatment of LDH with bilateral radiculopathy. METHODS: This retrospective study enrolled 63 patients with LDH presenting with bilateral radiculopathy between January 2018 and January 2022. Patients enrolled before January 2020 were treated using a conventional transforaminal endoscopic surgical system (TESSYS) technique (TESSYS, n = 33) and treated using a FEVFD technique after that (FEVFD, n = 30). The total operation time and the number of intraoperative fluoroscopies were recorded. The Oswestry Disability Index (ODI) and visual analog scale (VAS) were evaluated preoperatively and postoperatively (at 1-month, 3-month, 6-month, and final follow-ups). Global outcomes at final follow-up were assessed using modified MacNab criteria. RESULTS: Compared with TESSYS, patients in FEVFD group had a shorter operation time (92.9 vs. 78.0 min). The intraoperative fluoroscopies in FEVFD group were significantly lower than those in TESSYS group (18.7 vs. 4.9). After the operation, the VAS and ODI scores at all follow-ups in the two groups were significantly lower than those before operation. For the L5/S1 level, the values of VAS and ODI scores in FEVFD group were significantly lower than those of in TESSYS group at 3-month, 6-month, and final follow-up. For the L4/5 level, however, no significant difference was found in VAS and ODI scores between these two groups at the follow-ups. According to the modified MacNab criteria, the excellent-to-good rate in TESSYS and FEVFD groups was 84.8% and 90.0%, respectively. CONCLUSION: For LDH with bilateral radiculopathy, using the FEVFD technique could not only reduce the operation time and radiation, but also improve the clinical outcomes at the L5/S1 level.

14.
Patient Prefer Adherence ; 18: 2041-2053, 2024.
Artículo en Inglés | MEDLINE | ID: mdl-39355409

RESUMEN

Background: Dampness syndrome is a basic syndrome of many major and chronic diseases. Early screening and identification of dampness syndrome are important. The Dampness Syndrome Scale of Chinese Medicine (DSSCM) was developed to measure the occurrence and severity of dampness syndrome. The measurement characteristics of the DSSCM should be further validated. The objective of this study is to evaluate the reliability and validity of the DSSCM based on a cross-sectional survey. Methods: The development of DSSCM was based on the traditional Chinese medicine (TCM) theory, expert consensus and clinical investigations. Participants were recruited from Guangdong Provincial Hospital of Chinese Medicine and Guangzhou Cadre Health Management Center in Guangdong Province, China. All participants completed the baseline questionnaire and DSSCM. The reliability of the DSSCM was evaluated by internal consistency reliability and test-retest reliability. The factor structure was tested with confirmatory factor analysis (CFA), while discriminant validity was evaluated by calculating the difference between the total score of the DSSCM and its four dimensions for participants with or without dampness syndrome. We used a clinician's diagnosis of dampness syndrome as a criterion to evaluate the criterion validity. Multivariate regression analysis was used to analyze the associations among gender, age, height, and weight and dampness syndrome. Results: A total of 880 participants were enrolled for psychometric validation and 869 participants were included in the final analyses after exclusion. The mean age of the participants was 42.62±12.86 years. The Cronbach's alpha coefficients for the four dimensions of the DSSCM were 0.809, 0.891, 0.816 and 0.780. The ICCs for the four dimensions of the DSSCM were 0.806, 0.674, 0.780 and 0.760. For validity, the results showed that the DSSCM had good content validity, discriminant validity and criterion validity. For the CFA, the root mean square error of approximation (RMSEA) was 0.091; the standardized root mean square residual (SRMR) was 0.074; the comparative fit index (CFI) was 0.766; and the Tucker-Lewis index (TLI) was 0.745. Weight was found to be associated with the total scores of the DSSCM and its three dimensions. Conclusion: The DSSCM has good reliability and validity to support its use as a tool for assessing the severity of dampness syndrome. This study provides empirical evidence for future updates to the DSSCM.

15.
Zhongguo Zhen Jiu ; 44(10): 1133-8, 2024 Oct 12.
Artículo en Chino | MEDLINE | ID: mdl-39401810

RESUMEN

OBJECTIVE: To observe the effects of transcutaneous electrical acupoint stimulation (TEAS) on postoperative recovery and pain in patients undergoing elective endoscopic sinus surgery. METHODS: One hundred and six patients scheduled for elective endoscopic sinus surgery were randomly divided into an observation group and a control group, with 53 patients in each group. Patients in both groups received TEAS or sham TEAS, respectively, from 30 min before intravenous anesthesia induction until the end of surgery. Acupoints selected were bilateral Neiguan (PC 6) and Zusanli (ST 36). The quality of requirements-15 (QoR-15) scores were assessed on the day before surgery (T0) and on postoperative days 1 (T1), 2 (T2) and 3 (T3). Pain visual analogue scale (VAS) scores were recorded at T1, T2 and T3. Athens insomnia scale (AIS) scores were measured at T0, T1, T2 and T3 in the two groups. The incidence of postoperative nausea-vomiting and dizziness-headache, usage of analgesics, number of patient-controlled analgesia (PCA) pump presses, and extubating time were also recorded in the two groups. RESULTS: At T1, T2 and T3, the observation group had higher QoR-15 scores (P<0.01, P<0.001) and lower AIS scores (P<0.001) than the control group. At T1 and T2, the observation group had lower pain VAS scores than the control group (P<0.001). The incidence of postoperative nausea-vomiting and dizziness-headache was 24.5% (13/53) and 37.7% (20/53) in the observation group, which were lower than 56.6% (30/53) and 66.0% (35/53) in the control group (P<0.01). There were no statistically significant differences in the use of rescue analgesics or the number of PCA pump presses between the two groups (P>0.05). The extubating time was shorter in the observation group compared with that in the control group (P<0.001). CONCLUSION: TEAS could improve postoperative recovery quality, alleviate postoperative pain, improve sleep quality, and reduce the incidence of postoperative nausea and vomiting in patients undergoing elective endoscopic sinus surgery.


Asunto(s)
Puntos de Acupuntura , Endoscopía , Estimulación Eléctrica Transcutánea del Nervio , Humanos , Masculino , Femenino , Persona de Mediana Edad , Adulto , Adulto Joven , Senos Paranasales/cirugía , Dolor Postoperatorio/terapia , Dolor Postoperatorio/etiología , Periodo Posoperatorio , Anciano
16.
Small ; : e2407665, 2024 Oct 28.
Artículo en Inglés | MEDLINE | ID: mdl-39463313

RESUMEN

Herein, a bioinspired metal-organic framework (MOF) cocrystal produced from the co-assembly of a MOF [Ni3(hexaiminobenzene)2, Ni3(HIB)2] and p-chloranils (CHLs) is reported. Because of the 2D conjugation nature and the formation of persistent anion radicals, this cocrystal shows an excellent photothermal property, and is further used as an absorber in solar-driven interfacial water evaporation. The solar-driven interfacial water evaporation rate (4.04 kg m-2 h-1) is among the best compared with those of previously reported photothermal materials. Molecular dynamics simulation results suggested that the rotating of the CHL molecules relative to the MOF planes tuned the pore size to enable the ultra-fast water transporting, and thus ultra-high water transporting rates (1.11 × 1011 and 3.21 × 1011 H2O s-1 channel-1 at 298.2 and 323.0 K, respectively) for layered cocrystal structures, that are much higher than that of aquaporins (≈1.1 × 1010 H2O s-1 channel-1 at 298.2 K), are observed. The superior solar-driven water evaporation performance is thus attributed to the synergistic effect of the ultra-fast water transporting pores together with the excellent photothermal property of the cocrystal. This research provided a biomimetic strategy of rational design and production of charge transfer cocrystals to modulate their pores and photothermal properties for solar-driven interfacial water evaporation.

17.
Seizure ; 123: 34-36, 2024 Oct 17.
Artículo en Inglés | MEDLINE | ID: mdl-39454530
18.
Chemosphere ; : 143610, 2024 Oct 22.
Artículo en Inglés | MEDLINE | ID: mdl-39447772

RESUMEN

The relationships between exposure to PM2.5 and its constituents and thyroid hormone (TH) levels in pregnant women are still uncertain, particularly regarding the impact of mixed exposure to PM2.5 constituents on thyroid function during pregnancy. This study aimed to investigate the individual and mixed effects of PM2.5 and its constituents on TH levels during pregnancy. Fluorescence and chemiluminescence immunoassays were utilized to measure serum concentrations of free thyroxine (FT4) and thyroid-stimulating hormone (TSH) in pregnant women participating in the Fujian Birth Cohort Study (FJBCS). PM2.5 and its constituents were obtained from the ChinaHighAirPollutants dataset. Generalized linear regression model and mixture analysis were applied to explore the individual and mixed effects of PM2.5 and its constituents on TH levels. 13711 participants from the FJBCS were taken into the final analysis. In the context of separate exposure, an increase of one interquartile range (IQR) in PM2.5 exposure during the 1st trimester, 2nd trimester, and entire pregnancy was associated with a decrease of -0.042 (-0.050, -0.034), -0.017 (-0.026, -0.009), and -0.011 (-0.017, -0.004) in FT4 levels, respectively. As well, significant negative associations were observed between FT4 levels and PM2.5 constituents. Additionally, PM2.5 and its constituents were in relation to an increased risk of hypothyroxinemia in pregnant women. It is noteworthy that, in the context of mixed exposure, the weighted quantile sum regression (WQS) indices were significantly associated with both FT4 levels (1st trimester: -0.031 (-0.036, -0.026); 2nd trimester: -0.026 (-0.030, -0.023); whole pregnancy: -0.024 (-0.028, -0.020)) and hypothyroxinemia risk (1st trimester: 1.552 (1.312, 1.821); 2nd trimester: 1.453 (1.194, 1.691); whole pregnancy: 1.402 (1.152, 1.713)). PM2.5 and its chemical constituents may affect thyroid function in pregnant women individually and in combination, with the effects observed during early gestational exposure being most pronounced.

19.
Int J Biol Macromol ; : 136836, 2024 Oct 27.
Artículo en Inglés | MEDLINE | ID: mdl-39471934

RESUMEN

Pursuing flexible, matchable and miniaturized power supply with high capacitance is necessary for portable electronics as long-term period of energy source in wearable system. Here, a hierarchical Se/chitosan derived nitrogen and oxygen dual-doped porous carbon/Ti3C2Tx (Se-NOCT) fiber is proposed via microfluidic spinning method prior to co-heating process for the fiber cathode of cable-shaped lithium­selenium (LiSe) battery. Due to the interconnected structure, consecutive conductive frameworks and good synergistic effect, the fabricated Se-NOCT fibrous electrode shows excellent ions diffusion kinetics, fast electron migration rate and strong polyselenide adsorption ability proving by density functional theory (DFT) calculations. As a result, an admired specific capacitance (866 mAh g-1 at 0.1 A g-1), favorable rate performance (256 mAh g-1 at 2 A g-1) and long-term cycling property (226 mAh g-1 after 500 cycling) can be achieved for the Se-NOCT electrode. More importantly, after assembling to the fibrous LiSe battery, the energy storage device not only presents stable operation at bending to 180o, 97.3 % capacitance retention after 100 times bending and impressive launderability, but also weave into the garment and support various electronics. Thus, customized flexible electrode provides a bright future for the progress of fiber shaped LiSe battery in smart wearable system.

20.
Biomaterials ; 315: 122907, 2024 Oct 24.
Artículo en Inglés | MEDLINE | ID: mdl-39476451

RESUMEN

Multifunctional nanoplatforms capable of simultaneously executing multimodal therapy and imaging functions are of great potentials for cancer theranostics. We present an elegantly designed, easy-to-fabricate poly(acrylic acid)/mesoporous calcium phosphate/mesoporous copper phosphate nanosphere (PAA/mCaP/mCuP NS) with outstanding pH/NIR-sensitive multimodal-synergic anti-tumor effects. Optimal porous PAA NS scaffolds were prepared at room temperature by balancing the intra-PAA polymer and polymer-solvents Lennard-Jones potentials in a water:isopropyl alcohol (IPA) mix-solvent. Subsequent sponging of Ca2+ and Cu2+, and adsorption of PO43- to the PAA template were achieved through exquisite electrostatic interactions among ions and the ionizable PAA side-chain in an aqueous environment. This forms the basis for the tumor microenvironment pH-triggered release of Cu2+ to induce cuproptosis, as well as the photothermal effect originating from CuP, while Ca2+ can enhance the nanoplatform's biocompatibility and can damage mitochondria when overloaded. Lastly, PAA/mCaP/mCuP NSs still exhibit high drug loading efficiency for doxorubicin (DOX), enabling chemotherapy. Satisfactory anti-tumor effects of these modalities, along with their synergistic effects, were verified both in vitro and in vivo, with the NSs demonstrating good biodegradation in the latter. The fabricated NS itself holds great promise as an anti-tumor nanomedicine, and the thorough mechanical insights into NS formation may inspire the design of next-generation multifunctional nanoplatforms.

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