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1.
Heliyon ; 10(16): e36115, 2024 Aug 30.
Artículo en Inglés | MEDLINE | ID: mdl-39224386

RESUMEN

Background: Digital therapeutics (DTx) is an emerging and groundbreaking medical intervention that utilizes health software to treat or alleviate various diseases, disorders, conditions, or injuries. Although the potential of digital therapy is enormous, it is still in its nascent stage and faces multiple challenges and obstacles. The purpose of this study is to provide an overview of all DTx-related clinical trials in ClinicalTrials.gov and to promote the advancement of DTx. Methods: Two reviewers and one expert evaluated data from all DTx clinical trials on ClinicalTrials.gov as of August 8, 2023. Trials utilizing digital therapeutics independently or in combination with traditional approaches were included. Incomplete trials and those lacking an evidence-based foundation were excluded. Basic information about product launches and primary outcome measures was extracted and analyzed. Results: A total of 280 eligible trials were categorized into treating a disease (141, 50.4 %), managing a disease (120, 42.9 %), and improving a health function (19, 6.8 %). The focus was primarily on mental and behavioral disorders, neurological disorders, and endocrine, nutritional, and metabolic disorders. The number of trials has been increasing annually, yet trial design and conduct remain inconsistent. Randomized controlled trials (RCTs) accounted for 67.5 % of completed trials, and 36 trials (12.9 %) involved products already approved for marketing. Conclusions: The growth in clinical studies on DTx underscores their potential in healthcare. However, challenges persist in standardization, regulation, and clinical efficacy. There is a need for a harmonized global classification of digital therapeutics and standardized clinical trial protocols to ensure efficacy and improve healthcare services.

2.
Poult Sci ; 103(12): 104263, 2024 Aug 26.
Artículo en Inglés | MEDLINE | ID: mdl-39278112

RESUMEN

The continuous increasing demand for egg quality and quantity, and the expanding market share have enabled the egg industry to achieve significant benefits through genetic improvement. This study aims to estimate the genetic parameters and explore selectable breeding traits in the purebred Rhode Island Red (RIR) and White Leghorn (WL), which are 2 high-yielding layer breeds, and better understand their underlying genetic basis and accelerate genetic progress. The DMU software was utilized to analyze 12 egg quality traits, including egg length (EL), egg width (EW), egg shape index (ESI), egg weight (EWT), albumen height (AH), yolk color (YC), Haugh unit (HU), yolk weight (YW), albumen weight (AW), albumen-to-egg weight ratio (AWR), yolk-to-albumen ratio (YAR), and yolk-to-egg weight ratio (YWR). In RIR, the heritability of egg quality traits ranged from 0.196 to 0.427, while the repeatability ranged from 0.395 to 0.668. In WL, the heritability of egg quality traits ranged from 0.203 to 0.347, and the repeatability ranged from 0.424 to 0.656. In both RIR and WL, highly strong genetic correlations were observed between AW and EW, as well as between AW and EWT. The genetic correlations for AW and EW were 0.902 in RIR and 0.864 in WL, while the genetic correlations for AW and EWT were 0.981 in RIR and 0.960 in WL. The egg quality traits in both breeds showed moderate heritability, indicating great genetic potential for improvement through selective breeding. This can help breeders meet the increasingly diverse egg preferences of consumers through genetic selection. Additionally, there is a highly strong correlation between egg width/egg weight, and albumen weight in both breeds. In practical production, it is feasible to estimate albumen weight by measuring egg width and egg weight, which can simplify the method for measuring albumen weight. In conclusions, our finding provided valuable insights into the genetic architecture of egg quality traits in RIR and WL chickens. They help our understanding of the potential for genetic improvement of these traits through selective breeding programs.

3.
Plant Physiol Biochem ; 216: 109086, 2024 Sep 01.
Artículo en Inglés | MEDLINE | ID: mdl-39241627

RESUMEN

Drought stress strongly restricts the growth, development, and yield of wheat worldwide. Among the various transcription factors (TFs) involved in the wheat drought response, the specific functions of many basic leucine zipper (bZIP) TFs related to drought tolerance are still not well understood. In this study, we focused on the bZIP TF TabZIP156 in wheat. Our analysis showed that TabZIP156 was highly expressed in both roots and leaves, and it responded to drought and abscisic acid (ABA) stress. Through subcellular localization and transactivation assays, we confirmed that TabZIP156 was located to the nucleus and functioned as a transcriptional activator. Overexpression of TabZIP156 in Arabidopsis enhanced drought tolerance, as evidenced by higher germination rate, longer root length, lower water loss rate, reduced ion leakage, increased proline accumulation, decreased levels of H2O2, O2- and MDA, and improved activities of POD, SOD, and CAT enzymes. Additionally, the expression of drought- and antioxidant-related genes were significantly upregulated in TabZIP156 transgenic Arabidopsis under drought stress. However, silencing TabZIP156 in wheat led to decreased proline content, increased accumulation of H2O2, O2- and MDA, reduced activities of antioxidant enzymes, and downregulation of many drought- and antioxidant-related genes under drought stress. Furthermore, the dual-luciferase assay demonstrated that TabZIP156 could activate the expression of TaP5CS, TaDREB1A, and TaPOD by binding to their promoters. Taken together, this study highlights the significant role of TabZIP156 in drought stress and provides valuable insights for its potential application in breeding drought-resistant wheat.

4.
Curr Microbiol ; 81(9): 296, 2024 Aug 06.
Artículo en Inglés | MEDLINE | ID: mdl-39105989

RESUMEN

Duck enteritis virus (DEV) may lead to vascular injury, gastrointestinal mucosal erosion, lymphoid organ injury, and Polyinosinic-polycytidylic acid (Poly I:C) has an antiviral effect by inducing low levels of interferon. The purpose of this study was to explore the pathogenesis of DEV-induced intestinal injury in ducks and to verify the therapeutic effects of different concentrations of Poly I:C. In this study, duck enteritis model was established by infecting healthy Pekin ducks with DEV. Duck intestinal tissues were extracted from normal control group, model group, and treatment group with different doses of Poly I:C. In vivo, HE and TUNEL staining were used to observe the morphological changes and apoptosis. In vitro, the proliferation and apoptosis of duck intestinal epithelial cells were evaluated by MTT assay, TUNEL staining, and flow cytometry. The results showed that Poly I:C protected ducks from DEV toxicity by improving intestinal morphology and inhibiting apoptosis. In addition, the antiviral effect of Poly I:C on DEV was found in a dose-dependent manner, with a more relatively obvious effect at a high dose of Poly I:C. All in all, these results demonstrated that Poly I:C played a vital role in the apoptosis induced by DEV in ducks and modest dose of Poly I:C treatment worked well and may provide important reference for the development of new antiviral drugs in the future.


Asunto(s)
Apoptosis , Patos , Enteritis , Poli I-C , Animales , Patos/virología , Poli I-C/farmacología , Poli I-C/administración & dosificación , Apoptosis/efectos de los fármacos , Enteritis/virología , Enteritis/tratamiento farmacológico , Enteritis/veterinaria , Enfermedades de las Aves de Corral/virología , Enfermedades de las Aves de Corral/tratamiento farmacológico , Intestinos/virología , Intestinos/patología , Antivirales/farmacología , Mardivirus/efectos de los fármacos , Mucosa Intestinal/virología , Mucosa Intestinal/efectos de los fármacos , Mucosa Intestinal/patología
5.
Omega (Westport) ; : 302228241240945, 2024 Jul 24.
Artículo en Inglés | MEDLINE | ID: mdl-39049160

RESUMEN

The aims of this study were to explore whether student suicide reporting is consistent with media recommendations for suicide reporting; analyze public opinion and sentiments toward student suicide reports. A keyword search was performed on the WeiboReach platform. This study included 113 student suicide report posts and 176,262 readers' comments on suicide news reports. Hierarchical generalized linear modeling was used to analyze the relationships between adherence to reporting recommendations and negative emotions in readers' comments. None of the media reporting of student suicide was consistent with all of the media recommendations for suicide reporting. Netizens were less likely to post negative comments when the reports describe the suicide method used (OR 1.169, 95% CI 1.022∼1.337), and not specifying the cause of suicide was a protective factor for public negative emotion (OR 0.799, 95% CI 0.707, 0.905). The findings suggest improving responsible media reporting on student suicide to reduce negative public emotion.

6.
Sci Total Environ ; 949: 175135, 2024 Nov 01.
Artículo en Inglés | MEDLINE | ID: mdl-39084396

RESUMEN

Marine aerosols (MA) can be influenced by sea ice concentration, potentially playing a pivotal role in the formation of cloud condensation nuclei and exerting an impact on regional climate. In this study, a high-resolution aerosol observation system was employed to measure the concentration and size of aerosols in the floating ice region and seawater region of the Arctic Ocean during the 8th and 9th Chinese Arctic Expedition Research Cruise. The identification of aerosol sources was conducted using a modified positive definite matrix factorization method and a backward air mass trajectory model. Two types of MA including the sea-salt aerosol (SSA) and the marine biogenic aerosol (BA) were identified and their concentrations were calculated. Then the physical-chemical characteristics of MA in the floating ice region and seawater region were compared under normalized conditions (-2.5 °C < T < -0.1 °C; 5.80 m/s < WS < 10.95 m/s) to discern the impact of sea ice. A unimodal distribution was observed for MA number concentration with a dominant peak ranging from 0.5 µm to 1.0 µm in size range. The findings revealed that the presence of sea ice cover led to a significant reduction of 52.2 % in the number concentration of SSA, while exerting minimal influence on its composition. BA number concentration in the floating ice region was 33.3 % higher than that in the seawater region. Strong winds (wind speed >6.5 m/s) transported organic matter and nutrients entrapped in sea ice into the atmosphere, leading to an increase in BA concentration. However, the presence of sea ice cover hampered the exchange of biogenic gases between the ocean and air, resulting in a reduction of secondary BA formation. Our study elucidates the correlation between MA release and sea ice coverage in the Arctic Ocean, thereby establishing a theoretical foundation for climate prediction models.

7.
Carbohydr Polym ; 339: 122256, 2024 Sep 01.
Artículo en Inglés | MEDLINE | ID: mdl-38823922

RESUMEN

Recently, the intestinal lymphatic transport based on Peyer's patches (PPs) is emerging as a promising absorption pathway for natural polysaccharides. Herein, the aim of this study is to investigate the PP-based oral absorption of a pectic polysaccharide from Smilax china L. (SCLP), as well as its uptake and transport mechanisms in related immune cells. Taking advantages of the traceability of fluorescently labeled SCLP, we confirmed that SCLP could be absorbed into PPs and captured by their mononuclear phagocytes (dendritic cells and macrophages) following oral administration. Subsequently, the systematic in vitro study suggested that the endocytic mechanisms of SCLP by model mononuclear phagocytes (BMDCs and RAW264.7 cells) mainly involved caveolae-mediated endocytosis, macropinocytosis and phagocytosis. More importantly, SCLP directly binds and interacts with toll-like receptor 2 (TLR2) and galectin 3 (Gal-3) receptor, and was taken up by mononuclear phagocytes in receptor-mediated manner. After internalization, SCLP was intracellularly transported primarily through endolysosomal pathway and ultimately localized in lysosomes. In summary, this work reveals novel information and perspectives about the in vivo fate of SCLP, which will contribute to further research and utilization of SCLP and other pectic polysaccharides.


Asunto(s)
Ganglios Linfáticos Agregados , Smilax , Animales , Ratones , Células RAW 264.7 , Ganglios Linfáticos Agregados/metabolismo , Smilax/química , Endocitosis , Pectinas/química , Pectinas/metabolismo , Macrófagos/metabolismo , Macrófagos/efectos de los fármacos , Fagocitosis/efectos de los fármacos , Fagocitos/metabolismo , Fagocitos/efectos de los fármacos , Receptor Toll-Like 2/metabolismo , Ratones Endogámicos BALB C , Masculino , Células Dendríticas/metabolismo , Células Dendríticas/efectos de los fármacos , Administración Oral
8.
Food Chem ; 453: 139598, 2024 Sep 30.
Artículo en Inglés | MEDLINE | ID: mdl-38754351

RESUMEN

In this study, dynamic behaviors of proteins and water during fresh noodles processing associated with the quality of fresh noodles were systematically investigated by using wheat near-isogenic lines carrying high-molecular-weight glutenin subunits (HMW-GS) 2 + 12, 3 + 12 or 5 + 10 at the Glu-D1 locus. The results showed that subunits 5 + 10 tend to form a complex gluten network and had a poorly hydrated ability, that prevent the intrusion of external water during cooking; subunits 3 + 12 formed a moderate strength gluten network that generated a medium ability to resist the hydrated and mechanical treatment, which explained the highest water absorption and less cooking loss of cooked noodles; while subunits 2 + 12 formed fragile protein aggregates that had a poor ability to resist mechanical. The findings demonstrated that subunits 3 + 12 provided a suitable gluten network which was crucial for intrusion and hydration of external water thus formed a uniform gluten network and excellent fresh noodle quality.


Asunto(s)
Culinaria , Glútenes , Peso Molecular , Triticum , Agua , Glútenes/química , Triticum/química , Agua/química , Harina/análisis , Proteínas de Plantas/química , Manipulación de Alimentos
9.
Adv Healthc Mater ; 13(22): e2400742, 2024 Sep.
Artículo en Inglés | MEDLINE | ID: mdl-38676706

RESUMEN

This work reports a new concept of cancer mask in situ to alter the specific biological functions of cancer cells. Metastatic cancer cells are highly invasive in part due to the presence of the glycan matrix in the cell membrane. Using a rational designed bio-orthogonal reaction, the cancer cell surface is reconstructed in situ by incorporating endogenous polysialic acids in the glycan matrix on the cell membrane to form a mesh-like network, called cancer mask. The network of the glycan matrix can not only immobilize cancer cells but also effectively block the stimulation of metastasis promoters to tumor cells and inhibit the formation of epithelial to mesenchymal transition (EMT), causing metastatic cancer cells incarceration. The results demonstrate a new strategy to control and even eliminate the cancer metastasis that is a major cause of treatment failure and poor patient outcome.


Asunto(s)
Transición Epitelial-Mesenquimal , Metástasis de la Neoplasia , Humanos , Línea Celular Tumoral , Neoplasias/patología , Neoplasias/metabolismo , Animales , Ácidos Siálicos/metabolismo , Ácidos Siálicos/química , Polisacáridos/química , Membrana Celular/metabolismo , Ratones
10.
BMC Gastroenterol ; 24(1): 137, 2024 Apr 19.
Artículo en Inglés | MEDLINE | ID: mdl-38641789

RESUMEN

OBJECTIVE: Prediction of lymph node metastasis (LNM) for intrahepatic cholangiocarcinoma (ICC) is critical for the treatment regimen and prognosis. We aim to develop and validate machine learning (ML)-based predictive models for LNM in patients with ICC. METHODS: A total of 345 patients with clinicopathological characteristics confirmed ICC from Jan 2007 to Jan 2019 were enrolled. The predictors of LNM were identified by the least absolute shrinkage and selection operator (LASSO) and logistic analysis. The selected variables were used for developing prediction models for LNM by six ML algorithms, including Logistic regression (LR), Gradient boosting machine (GBM), Extreme gradient boosting (XGB), Random Forest (RF), Decision tree (DT), Multilayer perceptron (MLP). We applied 10-fold cross validation as internal validation and calculated the average of the areas under the receiver operating characteristic (ROC) curve to measure the performance of all models. A feature selection approach was applied to identify importance of predictors in each model. The heat map was used to investigate the correlation of features. Finally, we established a web calculator using the best-performing model. RESULTS: In multivariate logistic regression analysis, factors including alcoholic liver disease (ALD), smoking, boundary, diameter, and white blood cell (WBC) were identified as independent predictors for LNM in patients with ICC. In internal validation, the average values of AUC of six models ranged from 0.820 to 0.908. The XGB model was identified as the best model, the average AUC was 0.908. Finally, we established a web calculator by XGB model, which was useful for clinicians to calculate the likelihood of LNM. CONCLUSION: The proposed ML-based predicted models had a good performance to predict LNM of patients with ICC. XGB performed best. A web calculator based on the ML algorithm showed promise in assisting clinicians to predict LNM and developed individualized medical plans.


Asunto(s)
Neoplasias de los Conductos Biliares , Colangiocarcinoma , Humanos , Metástasis Linfática , Modelos Estadísticos , Pronóstico , Aprendizaje Automático , Conductos Biliares Intrahepáticos
11.
Biomater Sci ; 12(7): 1924-1931, 2024 Mar 26.
Artículo en Inglés | MEDLINE | ID: mdl-38437021

RESUMEN

The deposition of the extracellular matrix, especially collagen, and the elevated expression levels of reactive oxygen species, including H2O2, are the main features of fibrosis. Fibrosis can occur in many tissues, such as tumor and liver tissues. The deposition of collagen in the location of lesions not only leads to immunological rejection and supports liver fibrosis and tumor progression, but also provides unique physiological signals with the progression of fibrosis and tumor. However, at present, the detection of fibrosis, especially real time detection, is greatly difficult, making it important to develop noninvasive probes for the dynamic monitoring of fibrosis progression. Herein, we propose a H2O2 responsive macromolecular probe for collagen imaging with high sensitivity and specificity. This probe consists of a collagen-targeting peptide and a H2O2-sensitive and near-infrared (NIR)-emitting macromolecular optical probe, which could effectively bind to collagen both in vitro and in vivo in the region of tumor or fibrotic liver tissues, allowing for high sensitivity and noninvasive visualization of fibrotic tissues and real time monitoring of collagen degradation after anti-fibrotic drug treatment.


Asunto(s)
Peróxido de Hidrógeno , Neoplasias , Humanos , Fibrosis , Colágeno/metabolismo , Cirrosis Hepática/diagnóstico por imagen , Cirrosis Hepática/patología
12.
J Food Sci ; 89(2): 1047-1057, 2024 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-38193206

RESUMEN

The aim of this study was to clarify the effects of the high-molecular-weight glutenin subunits (HMW-GSs) 1Dx3+1Dy12 (3+12) and 1Dx4+1Dy12 (4+12) at the Glu-D1 locus on gluten and Chinese steamed bread (CSB) quality. The grain protein content and composition, gluten content and gluten index, farinograph properties, and CSB quality were investigated using four wheat near-isogenic lines (NILs) carrying HMW-GSs 1Dx2+1Dy12 (2+12), 3+12, 4+12 and 1Dx5+1Dy10 (5+10), respectively. The unextractable polymeric protein (UPP) and glutenin macropolymer (GMP) content, gluten index, dough development time, stability time, and farinograph quality number of four NILs all ranked as 5+10 > 3+12 > 2+12/4+12, such as the gluten index ranked as 5+10(44.88%) > 3+12(40.07%) > 2+12(37.46%)/4+12(35.85%); however, their contributions to the quality of CSB were ranked as 3+12 > 5+10 > 2+12/4+12, such as the specific volume ranked as 3+12(2.64 mL/g) > 5+10(2.49 mL/g) > 2+12(2.36 mL/g)/4+12(2.35 mL/g), which indicated that a suitable gluten strength (3+12) was crucial to making high-quality CSB. In addition, subunits 4+12 had a similar quality performance to low-quality subunits 2+12. All these findings suggested that, except for the acknowledged high-quality subunits 5+10, the introduction of 3+12 at the Glu-D1 locus is an efficient way for quality improvement of gluten as well as CSB.


Asunto(s)
Pan , Triticum , Triticum/química , Glútenes/química , China , Peso Molecular
13.
Sci Total Environ ; 916: 169995, 2024 Mar 15.
Artículo en Inglés | MEDLINE | ID: mdl-38242484

RESUMEN

Alpine grassland is among the world's most vulnerable ecosystems, characterized by a high sensitivity to climate change (CC) and human activities (HA). Quantifying the relative contributions of CC and HA to grassland change plays a crucial role in safeguarding grassland ecological security and devising sustainable grassland management strategies. Although there were adequate studies focusing on the separate impacts of CC and HA on alpine ecosystem, insufficient attention has been given to investigating the effects of extreme temperatures and soil moisture. In this study, the spatiotemporal variations of alpine grassland were analyzed based on MODIS NDVI during the growing season from 2000 to 2020 in Naqu, using partial least squares regression and residual analysis methods to analyze the importance of climate factors and the impacts of CC and HA on grassland change. The results show that the NDVI during the growing season in Naqu exhibited an increasing trend of 0.0046/10a. At the biome scale, the most significant and rapid increase was observed in alpine desert and alpine desert grassland. Extreme temperature and soil moisture (SM) exerted a more significant importance on alpine grassland at whole scale. SM always showed a significant importance at biome and grid scale. The contributions of CC and HA to the change during the growing season were calculated as 0.0032/10a and 0.0015/10a, respectively, accounting for 68.05 % and 31.05 %. CC dominated the increase in NDVI during the growing season; HA contributed positively to NDVI in most areas of Naqu. The results are expected to enhance our understanding of grassland variations under CC and HA and provide a scientific basis for future ecological conservation in alpine regions.


Asunto(s)
Ecosistema , Pradera , Humanos , Temperatura , Cambio Climático , Suelo , Tibet
14.
Reprod Sci ; 31(3): 727-735, 2024 Mar.
Artículo en Inglés | MEDLINE | ID: mdl-37884729

RESUMEN

As a core transcriptional factor regulating pluripotency, Krüppel-like factor 4 (KLF4) has gained much attention in the field of stem cells during the past decades. However, few research have focused on the function of KLF4 during human primordial germ cell (PGC) specification. Here, we induced human PGC-like cells (hPGCLCs) from human embryonic stem cells (hESCs) and the derived hPGCLCs upregulated PGC-related genes, like SOX17, BLIMP1, TFAP2C, NANOS3, and the naïve pluripotency gene KLF4. The KLF4-knockout hESCs formed typical multicellular colonies with clear borders, expressed pluripotency genes, such as NANOG, OCT4, and SOX2, and exhibited no differences in proliferation capacity compared with wild type hESCs. Notably, KLF4 deletion in hESCs did not influence the induction of PGCLCs in vitro. In contrast, overexpression of KLF4 during PGC induction process inhibited the efficiency of PGCLC formation from hESCs in vitro. Overexpression of KLF4 may regenerate the naïve ground state in hESCs and results in repression for PGC specification. Thus, KLF4 could be a downstream target of human PGC program and the upregulation of KLF4 is prepared for late stage of germline development.


Asunto(s)
Células Madre Embrionarias Humanas , Factor 4 Similar a Kruppel , Humanos , Diferenciación Celular , Genes Homeobox , Células Germinativas/metabolismo , Células Madre Embrionarias Humanas/metabolismo , Factor 4 Similar a Kruppel/metabolismo , Factores de Transcripción/genética , Factores de Transcripción/metabolismo
15.
Am J Surg ; 229: 65-75, 2024 Mar.
Artículo en Inglés | MEDLINE | ID: mdl-38065723

RESUMEN

BACKGROUND: High rates of postoperative infection persist after different surgical procedures, encompassing surgical site infections (SSIs), remote infections, sepsis, and septic shock. Our aim was to assess presepsin's diagnostic accuracy for postoperative infections in patients across surgical procedures. METHOD: We conducted a comprehensive search in seven databases, extracting data independently. Using STATA 14.0, we calculated pooled sensitivity, specificity, positive likelihood ratio (PLR), negative likelihood ratio (NLR), diagnostic odds ratio (DOR), and Under the receiver operator curve and 95 â€‹% confidence interval (AUC, 95 â€‹% CI) as primary outcomes, with secondary outcomes involving sensitivity and specificity in subgroup analyses. RESULTS: This meta-analysis of 14 studies (1891 cases) evaluated presepsin's diagnostic value for postoperative infectious complications. Results include sensitivity of 77 â€‹% (70-83), specificity of 81 â€‹% (71-88), DOR of 14 (8-26), AUC of 84 (80-87), PLR of 4 (3-6), and NLR of 0.28 (0.21-0.38). Presepsin exhibits promise as a diagnostic tool for postoperative infections. CONCLUSION: In summary, compared to conventional markers like C-reactive protein (CRP) and procalcitonin (PCT), presepsin demonstrated superior sensitivity and specificity for detecting postoperative infectious complications across various surgical procedures.


Asunto(s)
Receptores de Lipopolisacáridos , Sepsis , Humanos , Biomarcadores , Proteína C-Reactiva/metabolismo , Receptores de Lipopolisacáridos/análisis , Fragmentos de Péptidos/análisis , Sepsis/diagnóstico , Sepsis/epidemiología , Sepsis/etiología
16.
Lifetime Data Anal ; 30(1): 34-58, 2024 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-36821062

RESUMEN

Survival causal effect estimation based on right-censored data is of key interest in both survival analysis and causal inference. Propensity score weighting is one of the most popular methods in the literature. However, since it involves the inverse of propensity score estimates, its practical performance may be very unstable, especially when the covariate overlap is limited between treatment and control groups. To address this problem, a covariate balancing method is developed in this paper to estimate the counterfactual survival function. The proposed method is nonparametric and balances covariates in a reproducing kernel Hilbert space (RKHS) via weights that are counterparts of inverse propensity scores. The uniform rate of convergence for the proposed estimator is shown to be the same as that for the classical Kaplan-Meier estimator. The appealing practical performance of the proposed method is demonstrated by a simulation study as well as two real data applications to study the causal effect of smoking on survival time of stroke patients and that of endotoxin on survival time for female patients with lung cancer respectively.


Asunto(s)
Modelos Estadísticos , Fumar , Humanos , Femenino , Interpretación Estadística de Datos , Simulación por Computador , Puntaje de Propensión
17.
Front Endocrinol (Lausanne) ; 14: 1266207, 2023.
Artículo en Inglés | MEDLINE | ID: mdl-37929037

RESUMEN

Background: Carotid intima-media thickness (CIMT) has been shown to be a valuable predictor of cardiovascular diseases (CVDs). The aim of this study was to investigate the influencing factors of CIMT among adults in Central China. Methods: A total of 2,578 participants who underwent physical examination in Henan Provincial People's Hospital between January 2018 and July 2018 were enrolled. The respondents were divided into two subgroups according to their CIMT value (CIMT ≥1.0 mm group and CIMT <1.0 mm group). Variables considered were age, gender, total cholesterol, triglycerides, low-density lipoprotein (LDL) and high-density lipoprotein (HDL) triglycerides, fasting blood glucose, and uric acid levels, as well as hypertension, diabetes, body mass index (BMI), waist-to-hip ratio, body fat percentage, and visceral fat area (VFA). Logistic regression analysis was performed to explore the potential factors influencing CIMT. Results: The proportion of CIMT ≥1.0 mm among the physical examination population was 27.42% (707/2 578). The analysis of the two groups revealed significant differences in age, sex, hypertension, diabetes, total cholesterol, and HDL cholesterol. In the logistic regression analysis, age (OR=1.071, 95%CI=1.062-1.080), male sex (OR=2.012, 95%CI=1.251-2.238), hypertension (OR=1.337, 95%CI=1.031-1.735), diabetes (OR=1.535, 95%CI=1.045-2.255), HDL cholesterol (OR=0.540, 95%CI=0.366-0.796), and LDL cholesterol (OR=1.336, 95%CI=1.154-1.544) were significantly associated with abnormal CIMT. Conclusion: Early screening should be carried out among men, the older adults, and those with hypertension, diabetes, and dyslipidemia.


Asunto(s)
Diabetes Mellitus , Hipertensión , Humanos , Masculino , Anciano , Grosor Intima-Media Carotídeo , Factores de Riesgo , HDL-Colesterol , Prevalencia , Triglicéridos , Hipertensión/epidemiología , Arterias Carótidas/diagnóstico por imagen
18.
Surg Infect (Larchmt) ; 24(9): 763-772, 2023 Nov.
Artículo en Inglés | MEDLINE | ID: mdl-37944095

RESUMEN

Background: Post-operative infection remains a major cause of morbidity and mortality in adults early after liver transplantation (LT). Procalcitonin (PCT) may be a good test method for early diagnosis of post-operative infection and determining its severity. This study was performed to assess the diagnostic accuracy of PCT as a biomarker for infection after LT. Patients and Methods: A meta-analysis and systematic review was conducted for studies reporting diagnostic performance of PCT for infection in adults after LT. Observational studies were evaluated for their reporting of diagnostic accuracy, relevance, and quality. Results: Ten eligible studies assessing 730 patients were included in this meta-analysis and systematic review summarizing the diagnostic value of PCT for post-operative infection in adult liver transplantation. Pooled sensitivity and specificity with corresponding 95% confidence interval were 69% (95% confidence interval [CI], 54-81; heterogeneity I2 = 82.4%) and 88% (95% CI, 82-92; I2 = 52.7%), respectively. The diagnostic odd ratio (DOR) was 16 (95% CI, 10-25; I2 = 76.4%). The summary receiver operator characteristic (SROC) of PCT for post-operative infection was 0.88. There was a wide range of variability in the cutoff values, ranging from 0.22 to 42.80 ng/mL. Heterogeneity was reduced by excluding studies that focused on pediatric LT recipients. Conclusions: Procalcitonin is a moderately accurate diagnostic marker for post-operative infection in adult LT. Additionally, the diagnostic performance can be improved by combining it with other inflammatory biomarkers. This article provides the research direction for post-operative infection control.


Asunto(s)
Trasplante de Hígado , Polipéptido alfa Relacionado con Calcitonina , Humanos , Adulto , Niño , Trasplante de Hígado/efectos adversos , Biomarcadores , Sensibilidad y Especificidad , Complicaciones Posoperatorias/diagnóstico , Curva ROC
19.
Nutrients ; 15(20)2023 Oct 19.
Artículo en Inglés | MEDLINE | ID: mdl-37892511

RESUMEN

Lycium barbarum polysaccharides (LBPs) have been shown to exert an antiglycemic effect. Emerging evidence suggests that patients with hyperglycemia have a hypercontractility of duodenum, and targeting duodenal contraction of duodenum can be beneficial to glucose metabolism. However, it is unknown whether LBPs can improve glucose metabolism by regulating the hypercontractility of the duodenum. Our aim was to explore the effect of LBPs on duodenal contraction in prediabetic mice and also preliminarily investigate the mechanism. The results showed that LBPs improved glucose homeostasis by decreasing the duodenal amplitude of contraction rather than frequency. Moreover, LBPs ameliorated the gut microbiota composition and the levels of short-chain fatty acids, especially acetic acid, which might bind to the receptor on neurons to regulate the contraction of the duodenum. Acetic acid was hypothesized to play a key role in the above process. Then, acetic acid was determined to exert an antiglycemic effect as expected. In conclusion, LBPs may rely on acetic acid to regulate duodenal contraction to ameliorate glucose metabolism in prediabetic mice, which provides a new therapeutic strategy to treat dysglycemia.


Asunto(s)
Medicamentos Herbarios Chinos , Lycium , Estado Prediabético , Ratones , Humanos , Animales , Estado Prediabético/tratamiento farmacológico , Medicamentos Herbarios Chinos/farmacología , Acetatos , Polisacáridos/farmacología , Glucosa
20.
Ying Yong Sheng Tai Xue Bao ; 34(10): 2861-2870, 2023 Oct.
Artículo en Chino | MEDLINE | ID: mdl-37897295

RESUMEN

Stable isotope technique is important for understanding the structure and function of soil food web, which is considered as a belowground black box. We reviewed typical application cases of stable isotope techniques in the research of soil food webs, including to determine food sources and feeding preferences of soil fauna by using isotopes, and to analyze the trophic structure of soil food webs through isotope fractionation effects during the process of feeding and nutrient sequestration by soil fauna. Additionally, stable isotope techniques could reveal the role of soil biota at different trophic levels within soil food web in ecosystem matter and energy flow, which favored to carry out accurate and efficient research on the contribution of soil food webs to soil carbon and nitrogen cycling process and the corresponding influence mechanism. We further put forward the limitations of current stable isotope techniques and the future development directions.


Asunto(s)
Ecosistema , Cadena Alimentaria , Suelo , Isótopos , Carbono , Isótopos de Nitrógeno/análisis , Isótopos de Carbono/análisis
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