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1.
Adv Healthc Mater ; : e2401563, 2024 Jul 31.
Artículo en Inglés | MEDLINE | ID: mdl-39086039

RESUMEN

Bullous keratopathy, a condition severely impacting vision and potentially leading to corneal blindness, necessitates corneal transplantation. However, the shortage of donor corneas and complex surgical procedures drive the exploration of tissue-engineered corneal endothelial layers. This study develops a transparent, amphiphilic, and cell-free membrane for corneal endothelial replacement. The membrane, securely attached to the posterior surface of the cornea, is created by mixing hydroxyethyl methacrylate (HEMA) and ethylene glycol dimethylacrylate (EGDMA) in a 10:1 ratio. A 50 µL volume is used to obtain a 60 µm hydrophobic membrane on both sides, with one side treated with a polyvinylpyrrolidone (PVP) solution. The resulting membrane is transparent, foldable, biocompatible, amphiphilic, and easily handled. When exposed to 20% sulfur hexafluoride (SF6), the hydrophilic side of the membrane adheres tightly to the corneal Descemet's membrane, preventing water absorption into the corneal stroma, and thus treating bullous keratopathy. Histological test confirms its effectiveness, showing normal corneal structure and low inflammation when implanted in rabbits for up to 100 d. This study showcases the potential of this membrane as a viable option for corneal endothelial replacement, offering a novel approach to address donor tissue scarcity in corneal transplantation.

2.
Mitochondrial DNA B Resour ; 9(8): 1048-1052, 2024.
Artículo en Inglés | MEDLINE | ID: mdl-39139658

RESUMEN

Lindernia crustacea (L.) F. Muell 1882, a species in the Linderniaceae family, holds traditional medicinal value in China. To investigate its genetic diversity, we assembled, annotated, and characterized the first complete chloroplast genome of L. crustacea using Illumina sequencing data and various bioinformatics tools. The genome is 153,647 bp in length, with a GC content of 37.6%. It exhibits a typical quadripartite structure, consisting of a large single-copy region (LSC) of 85,411 bp, a small single-copy region (SSC) of 18,724 bp, and two inverted repeat sequences (IRa and IRb) of 25,816 bp each. The genome was predicted to contain 131 genes, including 87 protein-coding genes, 36 tRNA genes, and eight rRNA genes. Phylogenomic analysis indicated that L. crustacea is closely related to L. stricta. These findings provide a foundation for further research on the evolution and potential medicinal applications of the Linderniaceae family.

3.
Br J Ophthalmol ; 2024 Aug 17.
Artículo en Inglés | MEDLINE | ID: mdl-39153832

RESUMEN

PURPOSE: This study evaluates the predictive power of the critical flicker fusion frequency (CFF) test for visual outcomes in keratoprosthesis (KPro) candidates, comparing its accuracy with B-scan ultrasound, flash visual evoked potentials (fVEP) and endoscopy. METHODS: The study included 42 patients (42 eyes) scheduled for KPro surgery with a median follow-up period of 6 months. The receiver operating characteristic curve identified the cut-off threshold for CFF in the model development study (17 eyes). All patients in the comparison study (25 eyes) underwent preoperative assessments including trichromatic CFF (red, green and yellow), B-scan ultrasound, fVEP and perioperative endoscopy. Results were classified as either favourable or unfavourable predictors of visual outcomes based on predefined criteria. Sensitivity and specificity of each assessment were calculated based on postoperative best-corrected visual acuity (BCVA)≥20/200. The Bland-Altman test assessed the consistency between CFF-predicted BCVA and actual BCVA. RESULTS: Among the trichromatic CFF tests, the yellow-CFF (yCFF) exhibited the highest area under the curve value of 0.97 and a cut-off threshold at 10 Hz for predicting postoperative BCVA≥20/200 (p<0.05). yCFF achieved 90% sensitivity and 80% specificity in predicting satisfactory postoperative outcomes. Endoscopy had 80% sensitivity and 80% specificity, B-scan showed 70% sensitivity and 60% specificity, and fVEP had 75% sensitivity and 40% specificity. yCFF showed a mean bias of 0.091 logarithm of the minimum angle of resolution (logMAR) in postoperative prediction. CONCLUSIONS: The CFF test provides robust visual function evaluation in KPro candidates. It demonstrates superior predictive accuracy for visual prognosis compared with routine ophthalmologic examinations, such as B-scan ultrasonography, fVEP and endoscopy.

4.
Clin Respir J ; 18(8): e13800, 2024 Aug.
Artículo en Inglés | MEDLINE | ID: mdl-39113289

RESUMEN

BACKGROUND: Young lung cancer is a rare subgroup accounting for 5% of lung cancer. The aim of this study was to compare the causes of death (COD) among lung cancer patients of different age groups and construct a nomogram to predict cancer-specific survival (CSS) in young patients with advanced stage. METHODS: Lung cancer patients diagnosed between 2004 and 2015 were extracted from the Surveillance, Epidemiology, and End Results (SEER) database and stratified into the young (18-45 years) and old (> 45 years) groups to compare their COD. Young patients diagnosed with advanced stage (IVa and IVb) from 2010 to 2015 were reselected and divided into training and validation cohorts (7:3). Independent prognostic factors were identified through the Fine-Gray's test and further integrated to the competing risk model. The area under the receiver operating characteristic curve (AUC), consistency index (C-index), and calibration curve were applied for validation. RESULTS: The proportion of cancer-specific death (CSD) in young patients was higher than that in old patients with early-stage lung cancer (p < 0.001), while there was no difference in the advanced stage (p = 0.999). Through univariate and multivariate analysis, 10 variables were identified as independent prognostic factors for CSS. The AUC of the 1-, 3-, and 5-year prediction of CSS was 0.688, 0.706, and 0.791 in the training cohort and 0.747, 0.752, and 0.719 in the validation cohort. The calibration curves demonstrated great accuracy. The C-index of the competing risk model was 0.692 (95% CI: 0.636-0.747) in the young patient cohort. CONCLUSION: Young lung cancer is a distinct entity with a different spectrum of competing risk events. The construction of our nomogram can provide new insights into the management of young patients with lung cancer.


Asunto(s)
Neoplasias Pulmonares , Estadificación de Neoplasias , Nomogramas , Programa de VERF , Humanos , Neoplasias Pulmonares/mortalidad , Neoplasias Pulmonares/patología , Masculino , Femenino , Persona de Mediana Edad , Adulto , Pronóstico , Medición de Riesgo/métodos , Adolescente , Adulto Joven , Factores de Edad , Tasa de Supervivencia/tendencias , Curva ROC , Anciano , Factores de Riesgo , Estudios Retrospectivos , Causas de Muerte
5.
Clin Kidney J ; 17(8): sfae204, 2024 Aug.
Artículo en Inglés | MEDLINE | ID: mdl-39099565

RESUMEN

Background: Diabetic nephropathy (DN) and diabetic retinopathy (DR) are common microvascular complications of diabetes. The purpose of this study was to investigate the correlation between retinal vascular geometric parameters and pathologically diagnosed type 2 DN and to determine the capacity of retinal vascular geometric parameters in differentiating DN from non-diabetic renal disease (NDRD). Methods: The study participants were adult patients with type 2 diabetes mellitus (T2DM) and chronic kidney disease who underwent a renal biopsy. Univariate and multivariable regression analyses were performed to evaluate associations between retinal vessel geometry parameters and pathologically diagnosed DN. Multivariate binary logistic regression analyses were performed to establish a differential diagnostic model for DN. Results: In total, 403 patients were examined in this cross-sectional study, including 152 (37.7%) with DN, 157 (39.0%) with NDRD and 94 (23.3%) with DN combined with NDRD. After univariate logistic regression, total vessel fractal dimension, arteriolar fractal dimension and venular fractal dimension were all found to be associated with DN. In multivariate analyses adjusting for age, sex, blood pressure, diabetes, DR and other factors, smaller retinal vascular fractal dimensions were significantly associated with DN (P < .05). We developed a differential diagnostic model for DN combining traditional clinical indicators and retinal vascular geometric parameters. The area under the curve of the model established by multivariate logistic regression was 0.930. Conclusions: Retinal vessel fractal dimension is of great significance for the rapid and non-invasive differentiation of DN. Incorporating retinal vessel fractal dimension into the diagnostic model for DN and NDRD can improve the diagnostic efficiency.

6.
Sensors (Basel) ; 24(13)2024 Jul 08.
Artículo en Inglés | MEDLINE | ID: mdl-39001189

RESUMEN

The identification of safflower filament targets and the precise localization of picking points are fundamental prerequisites for achieving automated filament retrieval. In light of challenges such as severe occlusion of targets, low recognition accuracy, and the considerable size of models in unstructured environments, this paper introduces a novel lightweight YOLO-SaFi model. The architectural design of this model features a Backbone layer incorporating the StarNet network; a Neck layer introducing a novel ELC convolution module to refine the C2f module; and a Head layer implementing a new lightweight shared convolution detection head, Detect_EL. Furthermore, the loss function is enhanced by upgrading CIoU to PIoUv2. These enhancements significantly augment the model's capability to perceive spatial information and facilitate multi-feature fusion, consequently enhancing detection performance and rendering the model more lightweight. Performance evaluations conducted via comparative experiments with the baseline model reveal that YOLO-SaFi achieved a reduction of parameters, computational load, and weight files by 50.0%, 40.7%, and 48.2%, respectively, compared to the YOLOv8 baseline model. Moreover, YOLO-SaFi demonstrated improvements in recall, mean average precision, and detection speed by 1.9%, 0.3%, and 88.4 frames per second, respectively. Finally, the deployment of the YOLO-SaFi model on the Jetson Orin Nano device corroborates the superior performance of the enhanced model, thereby establishing a robust visual detection framework for the advancement of intelligent safflower filament retrieval robots in unstructured environments.

7.
Mitochondrial DNA B Resour ; 9(7): 871-875, 2024.
Artículo en Inglés | MEDLINE | ID: mdl-39021392

RESUMEN

Amaranthus roxburghianus H.W. Kung 1935, belonging to the Amaranthaceae family, is recognized for its significant medicinal properties. However, molecular research on this species has been limited. This study represents the inaugural documentation of the sequencing and assembly of the complete plastome of A. roxburghianus. The genome spans a total length of 149,969 base pairs (bp), exhibiting a conventional quadripartite structure. This structure comprises a large single-copy (LSC) region of 83,917 bp, a small single-copy (SSC) region of 18,124 bp, and two inverted repeat (IR) regions, each extending to 23,964 bp. In its entirety, the A. roxburghianus plastome encompasses 128 genes, of which 107 are unique, encompassing 77 individual protein-coding genes, 26 unique tRNA genes, and four unique rRNA genes. Phylogenetic analysis has shown a close resemblance between A. roxburghianus and A. polygonoides, both part of the subgenus Albersia. Although the genus Amaranthus is roughly divided into three subgenera, additional plastid genomic data are required for a more accurate assignment of A. albus and A. blitoides. The sequencing of this plastome is a significant step forward, likely to expedite the development of molecular markers and significantly contribute to genetic assays involving this distinctive species.

8.
Int J Biol Macromol ; 275(Pt 1): 133340, 2024 Aug.
Artículo en Inglés | MEDLINE | ID: mdl-38925195

RESUMEN

As the traditional aerogel has defects such as poor mechanical properties, complicated preparation process, high energy consumption and non-renewable, wood aerogel as a new generation of aerogel shows unique advantages. With a natural cellulose framework, wood aerogel is a novel nano-porous material exhibiting exceptional properties such as light weight, high porosity, large specific surface area, and low thermal conductivity. Furthermore, its adaptability to further functionalization enables versatile applications across diverse fields. Driven by the imperative for sustainable development, wood aerogel as a renewable and eco-friendly material, has garnered significant attention from researchers. This review introduces preparation methods of wood aerogel based on the top-down strategy and analyzes the factors influencing their key properties intending to obtain wood aerogels with desirable properties. Avenues for realizing its functionality are also explored, and research progress across various domains are surveyed, including oil-water separation, conductivity and energy storage, as well as photothermal conversion. Finally, potential challenges associated with wood aerogel exploitation and utilization are addressed, alongside discussions on future prospects and research directions. The results emphasize the broad research value and future prospects of wood aerogels, which are poised to drive high-value utilization of wood and foster the development of green multifunctional aerogels.


Asunto(s)
Celulosa , Geles , Madera , Madera/química , Celulosa/química , Geles/química , Porosidad , Conductividad Térmica
9.
ACS Appl Mater Interfaces ; 16(25): 31983-31996, 2024 Jun 26.
Artículo en Inglés | MEDLINE | ID: mdl-38865688

RESUMEN

Effective osteointegration is of great importance for pedicle screws in spinal fusion surgeries. However, the lack of osteoinductive activity of current screws diminishes their feasibility for osteointegration and fixation, making screw loosening a common complication worldwide. In this study, Ti-6Al-4V pedicle screws with full through-hole design were fabricated via selective laser melting (SLM) 3D printing and then deposited with porous oxide coatings by microarc oxidation (MAO). The porous surface morphology of the oxide coating and the release of bioactive ions could effectively support cell adhesion, migration, vascularization, and osteogenesis in vitro. Furthermore, an in vivo goat model demonstrated the efficacy of modified screws in improving bone maturation and osseointegration, thus providing a promising method for feasible orthopedic internal fixation.


Asunto(s)
Cerámica , Cabras , Oseointegración , Oxidación-Reducción , Tornillos Pediculares , Impresión Tridimensional , Titanio , Animales , Oseointegración/efectos de los fármacos , Titanio/química , Titanio/farmacología , Cerámica/química , Cerámica/farmacología , Aleaciones/química , Aleaciones/farmacología , Osteogénesis/efectos de los fármacos , Humanos , Porosidad , Materiales Biocompatibles Revestidos/química , Materiales Biocompatibles Revestidos/farmacología , Adhesión Celular/efectos de los fármacos
10.
Exp Eye Res ; 244: 109948, 2024 Jul.
Artículo en Inglés | MEDLINE | ID: mdl-38815790

RESUMEN

Severe corneal injury can lead to blindness even after prompt treatment. 14-3-3zeta, a member of an adaptor protein family, contributes to tissue repair by enhancing cellular viability and inhibiting fibrosis and inflammation in renal disease or arthritis. However, its role in corneal regeneration is less studied. In this study, filter disc of 2-mm diameter soaked in sodium hydroxide with a concentration of 0.5 N was placed at the center of the cornea for 30 s to establish a mouse model of corneal alkali injury. We found that 14-3-3zeta, which is mainly expressed in the epithelial layer, was upregulated following injury. Overexpression of 14-3-3zeta in ocular tissues via adeno-associated virus-mediated subconjunctival delivery promoted corneal wound healing, showing improved corneal structure and transparency. In vitro studies on human corneal epithelial cells showed that 14-3-3zeta was critical for cell proliferation and migration. mRNA-sequencing in conjunction with KEGG analysis and validation experiments revealed that 14-3-3zeta regulated the mRNA levels of ITGB1, PIK3R1, FGF5, PRKAA1 and the phosphorylation level of Akt, suggesting the involvement of the PI3K-Akt pathway in 14-3-3zeta-mediated tissue repair. 14-3-3zeta is a potential novel therapeutic candidate for treating severe corneal injury.


Asunto(s)
Proteínas 14-3-3 , Quemaduras Químicas , Lesiones de la Cornea , Cicatrización de Heridas , Animales , Humanos , Masculino , Ratones , Proteínas 14-3-3/metabolismo , Proteínas 14-3-3/genética , Proteínas 14-3-3/biosíntesis , Western Blotting , Quemaduras Químicas/metabolismo , Quemaduras Químicas/patología , Quemaduras Químicas/tratamiento farmacológico , Movimiento Celular , Proliferación Celular , Células Cultivadas , Lesiones de la Cornea/metabolismo , Lesiones de la Cornea/patología , Lesiones de la Cornea/genética , Modelos Animales de Enfermedad , Epitelio Corneal/metabolismo , Epitelio Corneal/efectos de los fármacos , Epitelio Corneal/lesiones , Quemaduras Oculares/inducido químicamente , Regulación de la Expresión Génica , Homeostasis , Ratones Endogámicos C57BL , Hidróxido de Sodio , Cicatrización de Heridas/efectos de los fármacos , Cicatrización de Heridas/fisiología
11.
Cornea ; 43(8): 936-941, 2024 Aug 01.
Artículo en Inglés | MEDLINE | ID: mdl-38713491

RESUMEN

PURPOSE: The purpose of this study was to evaluate the long-term incidence, risk factors, and the management of corneal melt following Boston type I keratoprosthesis (B-KPro I) implantation. METHODS: This is a retrospective observational case series. Data were collected regarding demographics, preoperative characteristics, incidence, and outcomes of corneal melt in 102 patients who underwent B-KPro I in the Chinese PLA General Hospital between 2011 and 2018, with a follow-up period ranging from 4 to 11 years. RESULTS: Chemical burn was the most common indication for B-KPro I (n = 56; 53.8%), followed by ocular trauma (n = 26; 25.0%). During the follow-up period (107 ± 25.7 months), corneal melt occurred in 60 cases among 37 eyes (35.6%), with an incidence of 20.2% at 1 year after surgery. Fourteen cases presented with recurrent corneal melt. Patients with multiple corneal allograft failures had a higher risk of corneal melt. Thermal burns, compared with alkali burns, significantly elevated the odds ratio (OR) of corneal melt (OR, 5.11; 95% confidence interval, 1.05-24.86; P = 0.043). CONCLUSIONS: Corneal melt significantly reduced the retention time of KPro ( P < 0.01), and its coexistence with other complications further shortened the retention time. A specific pattern of corneal melt occurrence was identified, with a peak incidence at 1 year postoperatively. Our findings suggest variations in the risk of corneal melt among different indications, with thermal burns carrying the highest OR. Moreover, each previous failed keratoplasty doubled the risk of corneal melt after B-KPro I.


Asunto(s)
Enfermedades de la Córnea , Humanos , Masculino , Femenino , Estudios Retrospectivos , Persona de Mediana Edad , Adulto , Enfermedades de la Córnea/cirugía , Incidencia , Anciano , Factores de Riesgo , Córnea , Agudeza Visual/fisiología , China/epidemiología , Estudios de Seguimiento , Complicaciones Posoperatorias , Órganos Artificiales , Hospitales Generales , Implantación de Prótesis , Quemaduras Oculares/cirugía , Adulto Joven , Prótesis e Implantes , Adolescente , Hospitales Militares , Pueblos del Este de Asia
12.
Mitochondrial DNA B Resour ; 9(5): 636-640, 2024.
Artículo en Inglés | MEDLINE | ID: mdl-38770147

RESUMEN

Acalypha australis L. 1753 is a potherb popular among Asian populations and is a traditional herbal medicine. In the current study, the overall genetic diversity of A. australis still needs to be better. Here, we assembled and characterized the complete plastome of A. australis. The plastome is 168,885 bp in length with a large single-copy (LSC) of 94,576 bp, a small single-copy (SSC) of 19,715 bp, and two copies of inverted repeat region (IRs) of 27,297 bp each. The overall GC content is 34.9%. The plastome contains 127 genes, including 83 protein-coding genes, 36 tRNA genes, and eight rRNA genes. Phylogenomic analysis of the representative species of Euphorbiaceae showed that A. australis and A. hispida formed a monophyletic sister clade. The results of this study will support further research on the evolution and conservation of the Euphorbiaceae species; they will benefit pharmaceutical applications and ornamentation of the medicinal plant A. australis.

13.
Mitochondrial DNA B Resour ; 9(5): 610-615, 2024.
Artículo en Inglés | MEDLINE | ID: mdl-38737392

RESUMEN

Commelina benghalensis L. 1753, a member of the Commelinaceae family, holds significant medicinal and culinary value. This study represents the first documentation of the sequencing and assembly of the entire plastome of C. benghalensis. The genome spans a total length of 160,663 bp, exhibiting a conventional quadripartite architecture that comprises a large single-copy (LSC) region (87,750 bp), a small single-copy (SSC) region (18,417 bp), and two inverted repeats (IR) regions (both 27,248 bp). In its entirety, the C. benghalensis plastome encompasses 129 genes (with 108 being unique), incorporating 77 individual protein-coding genes, 37 unique tRNA genes, and four unique rRNA genes. Phylogenetic analysis revealed a close resemblance between C. benghalensis and C. communis. The sequencing of this plastome stands to expedite the development of molecular markers and significantly contribute to genetic assays involving this distinctive plant.

14.
PLoS One ; 19(5): e0303067, 2024.
Artículo en Inglés | MEDLINE | ID: mdl-38748675

RESUMEN

BACKGROUND: We aimed to explore the predictive value of anthropometric measurements in survival and free walking ability of geriatric hip fractures after surgery. METHODS: Eight common anthropometric measurements, including arm circumference (AC), waist circumference (WC), thigh circumference (TC), calf circumference (CC), biceps skinfold (BS), triceps skinfold (TS), suprailiac skinfold (SIS), and subscapular skinfold (SSS), were included to identify their predictive value in survival and free walking ability of geriatric hip fractures. The results of anthropometric measurements were compared between patients with different outcomes. Cox and logistics models were established to further identify the predictive value of anthropometric measurements. RESULTS: Comparison among groups indicated that individuals with different outcomes may have significantly different anthropometric measurements. In the Cox analyses based on all individuals, all models proved that the patients with higher AC, as well as CC and BS, may have a lower risk of 1-year mortality. Similarly, in the logistics analysis, AC, CC, and BS were proven to have strong predictive ability for 6-month and 1-year mortality in females and overall individuals. However, the predictive value of the eight common anthropometric measurements in free walking ability is not significant. CONCLUSION: AC, CC, and BS may have strong predictive ability for 6-month and 1-year mortality in all individuals and females.


Asunto(s)
Antropometría , Fracturas de Cadera , Caminata , Humanos , Femenino , Fracturas de Cadera/cirugía , Fracturas de Cadera/mortalidad , Masculino , Anciano , Anciano de 80 o más Años , Valor Predictivo de las Pruebas
15.
Int J Biol Macromol ; 268(Pt 2): 131936, 2024 May.
Artículo en Inglés | MEDLINE | ID: mdl-38692533

RESUMEN

With the increasing environmental and ecological problems caused by petroleum-based packaging materials, the focus has gradually shifted to natural resources for the preparation of functional food packaging materials. In addition to biodegradable properties, nanocellulose (NC) mechanical properties, and rich surface chemistry are also fascinating and desired to be one of the most probable green packaging materials. In this review, we firstly introduce the recent progress of novel applications of NC in food packaging, including intelligent packaging, nano(bio)sensors, and nano-paper; secondly, we focus on the modification techniques of NC to summarize the properties (antimicrobial, mechanical, hydrophobic, antioxidant, and so on) that are required for food packaging, to expand the new synthetic methods and application areas. After presenting all the latest advances related to material design and sustainable applications, an overview summarizing the safety of NC is presented to promote a continuous and healthy movement of NC toward the field of truly sustainable packaging.


Asunto(s)
Celulosa , Embalaje de Alimentos , Embalaje de Alimentos/métodos , Celulosa/química , Nanoestructuras/química , Antioxidantes/química , Antiinfecciosos/química , Antiinfecciosos/farmacología , Interacciones Hidrofóbicas e Hidrofílicas
16.
Radiol Imaging Cancer ; 6(3): e230107, 2024 05.
Artículo en Inglés | MEDLINE | ID: mdl-38607282

RESUMEN

Purpose To develop a custom deep convolutional neural network (CNN) for noninvasive prediction of breast cancer nodal metastasis. Materials and Methods This retrospective study included patients with newly diagnosed primary invasive breast cancer with known pathologic (pN) and clinical nodal (cN) status who underwent dynamic contrast-enhanced (DCE) breast MRI at the authors' institution between July 2013 and July 2016. Clinicopathologic data (age, estrogen receptor and human epidermal growth factor 2 status, Ki-67 index, and tumor grade) and cN and pN status were collected. A four-dimensional (4D) CNN model integrating temporal information from dynamic image sets was developed. The convolutional layers learned prognostic image features, which were combined with clinicopathologic measures to predict cN0 versus cN+ and pN0 versus pN+ disease. Performance was assessed with the area under the receiver operating characteristic curve (AUC), with fivefold nested cross-validation. Results Data from 350 female patients (mean age, 51.7 years ± 11.9 [SD]) were analyzed. AUC, sensitivity, and specificity values of the 4D hybrid model were 0.87 (95% CI: 0.83, 0.91), 89% (95% CI: 79%, 93%), and 76% (95% CI: 68%, 88%) for differentiating pN0 versus pN+ and 0.79 (95% CI: 0.76, 0.82), 80% (95% CI: 77%, 84%), and 62% (95% CI: 58%, 67%), respectively, for differentiating cN0 versus cN+. Conclusion The proposed deep learning model using tumor DCE MR images demonstrated high sensitivity in identifying breast cancer lymph node metastasis and shows promise for potential use as a clinical decision support tool. Keywords: MR Imaging, Breast, Breast Cancer, Breast MRI, Machine Learning, Metastasis, Prognostic Prediction Supplemental material is available for this article. Published under a CC BY 4.0 license.


Asunto(s)
Neoplasias de la Mama , Linfoma , Neoplasias Primarias Secundarias , Femenino , Humanos , Persona de Mediana Edad , Neoplasias de la Mama/diagnóstico por imagen , Metástasis Linfática/diagnóstico por imagen , Aprendizaje Automático , Imagen por Resonancia Magnética , Redes Neurales de la Computación , Estudios Retrospectivos , Adulto
18.
PLoS One ; 19(4): e0293421, 2024.
Artículo en Inglés | MEDLINE | ID: mdl-38656963

RESUMEN

The spray system mechanism during a gas explosion in an underground square pipeline is complex. In this paper, the underground square of Fuxin City is selected as the research object. FLACS numerical simulation software is used to analyze the spatial and temporal distribution characteristics of a gas explosion in an underground square pipeline with an unopened spray system using combustion and combustion rate models. Different spray pressures were compared and analyzed to determine the optimal spray control pressure, and the spray system mechanism was clarified. The results revealed that the gas explosion overpressure is divided into the overpressure gentle, overpressure rising, and overpressure decay stages, corresponding to a trend of rapid growth and slow decline. The influence of spray pressure on the gas explosion exhibits a promotion-inhibition-promotion trend, corresponding to 0-0.2 MPa, 0.2-0.6 MPa, and 0.6-1.6 Mpa, respectively. The peak overpressure and overpressure propagation rates are the lowest at 0.6 MPa, and the explosion suppression effect is the most pronounced. The spray system mechanism varies with the explosion overpressure stages. Generally, the time to peak value, that is, the peak time, the overall duration of the explosion, and the duration of the explosion stage decrease, whereas the peak explosion overpressure decreases.


Asunto(s)
Explosiones , Gases , Presión , Explosiones/prevención & control , Modelos Teóricos , Simulación por Computador
19.
Photodiagnosis Photodyn Ther ; 46: 104099, 2024 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-38663487

RESUMEN

BACKGROUND: To provide a new non-invasive method for the differentiation of diabetic nephropathy (DN) from non-diabetic renal disease (NDRD) by assessing retinal microstructure using optical coherence tomography angiography (OCTA). METHODS: OCTA parameters were recorded and their relationship with DN was analysed. A differential diagnosis regression model for DN was established, and the diagnostic efficiency was evaluated. RESULTS: Based on the pathological results of renal biopsy, 31 DN patients and 35 NDRD patients were included. Multivariate logistic regression analysis showed that DN was independently associated with the following parameters: 15.3 mm-1 ≤ vessel density (VD) full < 17.369 mm-1 (odds ratio [OR]=8.523; 95% confidence interval [CI]=1.387-52.352; P = 0.021), VD full < 15.3 mm-1 (OR=8.202; 95% CI=1.110-60.623; P = 0.039), DM duration > 60 months (OR=7.588; 95% CI=1.569-36.692; P = 0.012), and estimated glomerular filtration rate < 60 mL/min/1.73 m2 (OR=24.484; 95% CI=4.308-139.142; P < 0.001). The area under the receiver operating characteristic curve was 0.911, indicating a high diagnostic efficiency. CONCLUSIONS: VD full < 17.369 mm-1, DM duration > 60 months, and eGFR < 60 mL/min/1.73 m2 may indicate the presence of DN. OCTA may be an effective non-invasive method for identifying DN and NDRD.


Asunto(s)
Nefropatías Diabéticas , Tomografía de Coherencia Óptica , Humanos , Tomografía de Coherencia Óptica/métodos , Masculino , Nefropatías Diabéticas/fisiopatología , Femenino , Persona de Mediana Edad , Diagnóstico Diferencial , Anciano , Adulto , Angiografía con Fluoresceína/métodos
20.
Eur J Med Chem ; 270: 116378, 2024 Apr 15.
Artículo en Inglés | MEDLINE | ID: mdl-38604098

RESUMEN

Infections caused by Staphylococcus aureus (S. aureus) are increasing difficult to treat because this pathogen is easily resistant to antibiotics. However, the development of novel antibacterial agents with high antimicrobial activity and low frequency of resistance remains a huge challenge. Here, building on the coupling strategy, an adamantane moiety was linked to the membrane-active Ru-based structure and then developed three novel metalloantibiotics: [Ru(bpy)2(L)](PF6)2 (Ru1) (bpy = 2,2-bipyridine, L = amantadine modified ligand), [Ru(dmb)2(L)](PF6)2 (Ru2) (dmb = 4,4'-dimethyl-2,2'-bipyridine) and [Ru(dpa)2(L)](PF6)2 (Ru3), (dpa = 2,2'-dipyridylamine). Notably, complex Ru1 was identified to be the best candidate agent, showing greater efficacy against S. aureus than most of clinical antibiotics and low resistance frequencies. Mechanism studies demonstrated that Ru1 could not only increase the permeability of bacterial cell membrane and then caused the leakage of bacterial contents, but also promoted the production of reactive oxygen species (ROS) in bacteria. Importantly, complex Ru1 inhibited the biofilm formation, exotoxin secretion and increased the potency of some clinical used antibiotics. In addition, Ru1 showed low toxic in vivo and excellent anti-infective efficacy in two animal infection model. Thus, Ru-based metalloantibiotic bearing adamantane moiety are promising antibacterial agents, providing a certain research basis for the future antibiotics research.


Asunto(s)
Adamantano , Complejos de Coordinación , Rutenio , Animales , Antibacterianos/farmacología , Adamantano/farmacología , Staphylococcus aureus , Rutenio/farmacología , Rutenio/química , Complejos de Coordinación/farmacología , Complejos de Coordinación/química
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