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Long-term global gridded population data is crucial in deepening our understanding of spatiotemporal population dynamics and essential in disaster exposure assessment studies. Several gridded population datasets exist but only cover a single period of observational, historical, or future. Here, based on a unified data and method framework, we created a coherent and consistent gridded population dataset at 1 km resolution with a 10-year interval spanning from 1870 to 2100. Using the observed population maps (2000-2020), historical population hindcast (1870-2000), and future population projection (2020-2100) under the Shared Socioeconomic Pathways (SSPs) were modeled. The validation shows that the constructed dataset achieves a high quantitative agreement with existing datasets and can better distribute the population within the built-up area, resulting in a more reasonable allocation. The constructed gridded population dataset can clearly show the evolution of population distribution over a long period in a spatially explicit way and exhibit high temporal consistency. From 1870 to 2100 (SSPs), the global population showed an S-shaped growth pattern, increasing by about 4.17 to 8.49 times, which has exerted substantial pressure on global sustainable development. At the local scale, the consistent, long-term, high-resolution gridded population data reveals diverse spatial (cluster, linear, and ring) and temporal (emergence, increase, stable, decrease) dynamics of population patterns across distinct regions, periods, and scenarios. Applying the long-term gridded population data, we revealed a substantial increase in the proportion of the global population exposed to floods, rising from 10.61 % in 1870 to 11.98 %-13.93 % in 2100 (SSPs), highlighting a rapid population expansion within flood-prone areas. In general, this study provides a consistent global gridded population dataset spanning over 200 years, which can provide insights into the whole life cycle of the global population spatiotemporal dynamics and holds great application value in various fields.
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Lung adenocarcinoma (LUAD), a prevalent type of non-small cell lung cancer (NSCLC), was known for its diversity and intricate tumor microenvironment (TME). Comprehending the interaction among human immune-related genes (IRGs) and the TME is vital in the creation of accurate predictive models and specific treatments. We created a risk score based on IRGs and designed a nomogram to predict the prognosis of LUAD accurately. This involved a thorough examination of TME and the infiltration of immune cells in both high-risk and low-risk LUAD groups. Furthermore, the examination of the association between characteristic genes (BIRC5 and BMP5) and immune cells, along with immune checkpoints in the TME, was also conducted. The findings of our research unveiled unique immune profiles and interactions among individuals in the high- and low-risk categories, which contribute to variations in prognosis. LUAD demonstrated significant associations between BIRC5, BMP5, immune cells, and checkpoints, suggesting their involvement in disease advancement and resistance to medication. Furthermore, by correlating our findings with a multidrug database, we identified specific LUAD patient subsets that might benefit from tailored treatments. Our study establishes a groundbreaking prognostic model for LUAD, which not only underscores the importance of the immune context in LUAD but also paves the way for advancing precision medicine strategies in this complex malignancy.
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Background: According to reports, iron status has been associated with the risk of bone and joint-related diseases. However, the exact role of iron status in the development of these conditions remains uncertain. Method: We obtained genetic data on iron status, specifically serum iron, ferritin, transferrin saturation (TSAT), and transferrin, as well as data on five common bone and joint-related diseases (osteoarthritis, osteoporosis, rheumatoid arthritis [RA], ankylosing spondylitis [AS], and gout) from independent genome-wide association studies involving individuals of European ancestry. Our primary approach for causal estimation utilized the inverse variance weighted (IVW) method. To ensure the reliability of our findings, we applied complementary sensitivity analysis and conducted reverse causal analysis. Result: Using the IVW method, we revealed a positive causal relationship between ferritin levels and the risk of osteoarthritis (OR [95% CI], 1.0114 [1.0021-1.0207]). Besides, we identified a protective causal relationship between serum iron levels and TSAT levels in the risk of RA (OR [95% CI] values of serum iron and TSAT were 0.9987 [0.9973-0.9999] and 0.9977 [0.9966-0.9987], respectively). Furthermore, we found a positive causal relationship between serum iron levels and the risk of AS (OR [95% CI], 1.0015 [1.0005-1.0026]). Regarding gout, both serum iron and TSAT showed a positive causal relationship (OR [95% CI] values of 1.3357 [1.0915-1.6345] and 1.2316 [1.0666-1.4221] for serum iron and TSAT, respectively), while transferrin exhibited a protective causal relationship (OR [95% CI], 0.8563 [0.7802-0.9399]). Additionally, our reverse causal analysis revealed a negative correlation between RA and ferritin and TSAT levels (OR [95% CI] values of serum iron and TSAT were 0.0407 [0.0034-0.4814] and 0.0049 [0.0002-0.1454], respectively), along with a positive correlation with transferrin (OR [95% CI], 853.7592 [20.7108-35194.4325]). To ensure the validity of our findings, we replicated the results through sensitivity analysis during the validation process. Conclusion: Our study demonstrated a significant correlation between iron status and bone and joint-related diseases.
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Ferritinas , Estudo de Associação Genômica Ampla , Ferro , Análise da Randomização Mendeliana , Osteoartrite , Humanos , Ferro/sangue , Ferritinas/sangue , Osteoartrite/sangue , Osteoartrite/genética , Osteoartrite/epidemiologia , Artrite Reumatoide/sangue , Artrite Reumatoide/genética , Gota/sangue , Gota/genética , Gota/epidemiologia , Osteoporose/sangue , Osteoporose/genética , Osteoporose/epidemiologia , Transferrina/análise , Transferrina/metabolismo , Espondilite Anquilosante/sangue , Espondilite Anquilosante/genética , Espondilite Anquilosante/epidemiologia , Fatores de Risco , Artropatias/sangue , Artropatias/genética , Artropatias/epidemiologia , Doenças Ósseas/sangue , Doenças Ósseas/genética , Doenças Ósseas/epidemiologia , Polimorfismo de Nucleotídeo ÚnicoRESUMO
Tomato is the vegetable with the largest greenhouse area in China, and low temperature is one of the main factors affecting tomato growth, yield, and quality. Hydrogen sulfide (H2S) plays an important role in regulating plant chilling tolerance, but its downstream cascade reaction and mechanism remain unclear. Mitogen-activated protein kinases (MAPK/MPKs) are closely related to a variety of signaling substances in stress signal transmission. However, whether H2S is related to the MPK cascade pathway in response to low-temperature stress is rarely reported. In this study, NaHS treatment significantly decreased the electrolyte leakage (EL), superoxide anion (O2-) production rate, and hydrogen peroxide (H2O2) content of seedlings at low temperatures. In addition, the activities of superoxide dismutase (SOD), peroxidase (POD), and catalase (CAT) were obviously increased; and the photochemical efficiency of PSII (Fv/Fm) was enhanced with treatment with NaHS, indicating that NaHS improved the seedlings' cold tolerance by alleviating the degree of membrane lipid peroxidation and oxidative damage. However, H2S scavenger hypotaurine (HT) treatment showed the opposite effect. We found that H2S content, L-cysteine desulfhydrase (LCD) activity, and mRNA expression were increased by chilling stress but reduced by MPK inhibitor PD98059; PD98059 reversed the alleviating effect of H2S via increasing the EL and H2O2 contents. The expression levels of MPK1-MPK7 at low temperatures showed that SlMPK4 was significantly induced by exogenous NaHS and showed a trend of first increasing and then decreasing, while the expression level of SlMPK4 in HT-treated seedlings was lower than that of the control. After SlMPK4 was silenced by virus-induced gene silencing, the H2S-induced upregulation of C-repeat-Binding Factor (CBF1), inducer of CBF expression 1 (ICE1), respiratory burst oxidase homologs (RBOH1, RBOH2) at low temperatures disappeared, and tomato cold tolerance decreased. In conclusion, H2S improves the cold tolerance of tomato plants by increasing the activity of antioxidant enzymes and reducing reactive oxygen species (ROS) accumulation and membrane lipid peroxidation. MPK4 may act as a downstream signaling molecule in this process.
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Since the discovery of α-diimine catalysts in 1995, an extensive series of Brookhart-type complexes have shown their excellence in catalyzing ethylene polymerizations with remarkable activity and a high molecular weight. However, although this class of palladium complexes has proven proficiency in catalyzing ethylene copolymerization with various polar monomers, the α-diimine nickel catalysts have generally exhibited a much worse performance in these copolymerizations compared to their palladium counterparts. Recently, Brookhart et al. reported a notable exception, demonstrating that α-diimine nickel catalysts could catalyze the ethylene copolymerization with some vinylalkoxysilanes effectively, producing functionalized polyethylene incorporating trialkoxysilane (-Si(OR)3) groups. This breakthrough is significant since Pd-catalyzed copolymerizations are commercially less usable due to the high cost of palladium. Thus, the utilization of Ni, given its abundance in raw materials and cost-effectiveness, is a landmark in ethylene/polar vinyl monomer copolymerization. Inspired by these findings, we used density functional theory (DFT) calculations to investigate the mechanistic study of ethylene copolymerization with vinyltrimethoxysilane (VTMoS) catalyzed by Brookhart-type nickel catalysts, aiming to elucidate the molecular-level understanding of this unique reaction. Initially, the nickel complexes and cationic active species were optimized through DFT calculations. Subsequently, we explored the mechanisms including the chain initiation, chain propagation, and chain termination of ethylene homopolymerization and copolymerization catalyzed by Brookhart-type complexes. Finally, we conducted an energetic analysis of both the in-chain and chain-end of silane enchainment. It was found that chain initiation is the dominant step in the ethylene homopolymerization catalyzed by the α-diimine Ni complex. The 1,2- and 2,1-insertion of vinylalkoxysilane exhibit similar barriers, explaining the fact that both five-membered and four-membered chelates were identified experimentally. After the VTMoS insertion, the barriers of ethylene reinsertion become higher, indicating that this step is the rate-determining step, which could be attributed to the steric hindrance between the incoming ethylene and the bulky silane substrate. We have also reported the energetic analysis of the distribution of polar substrates. The dominant pathway of chain-end -Si(OR)3 incorporation is suggested as chain-walking â ring-opening â ethylene insertion, and the preference of chain-end -Si(OR)3 incorporation is primarily attributed to the steric repulsion between the pre-inserted silane group and the incoming ethylene molecule, reducing the likelihood of in-chain incorporation.
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The development of catalysts has significantly advanced the progress of polyolefin materials. In particular, group 4 (Ti, Zr, Hf) non-metallocene catalysts ligated with [N,N] bidentate ligand(s) have garnered increasing attention in the field of olefin polymerization due to their structurally stability and exceptional polymerization behaviors. Ligands containing nitrogen donors are diverse and at the core of many highly active catalysts. They mainly include amidine, guanidinato, diamine, and various N-heterocyclic ligands, which can be used to obtain a series of new polyolefin materials, such as ultrahigh molecular weight polyethylene (UHWMPE), olefin copolymers (ethylene/norbornene and ethylene/α-olefin) with high incorporations, and high isotactic or syndiotactic polypropylene after coordination with group 4 metals and activation by cocatalysts. Herein, we focus on the advancements and applications of this field over the past two decades, and introduce the catalyst precursors with [N,N] ligand(s), involving the effects of ligand structure, cocatalyst selection, and polymerization conditions on the catalytic activity and polymer properties.
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In comparison with the research of transition-metal-tetrel complexes, the chemistry of lanthanide tetrel complexes, especially for these bearing heavier tetrel element ligands, is still relatively underexplored. In this research, K[Cp3Ln(III)CH2Ph], [(DME)3Li][Cp3Ln(III)GePh3], and [(DME)3Li][Cp3Ln(III)SnPh3] [Ln(III) = La(III), Ce(III)] have been synthesized by reacting [(DME)3Na][Cp3La(µ-Cl)LaCp3] or Cp3Ce(THF) with alkali metal alkyl, germyl, and stannyl reagents. Additionally, [(DME)3Li][Cp3Ce(III)SnPh3] is the first example of Ce(III)-Sn bond containing complex. All the obtained early Ln(III) tetrel ate-complexes were structurally analyzed by single-crystal X-ray diffraction. The formal shortness ratios of the Ln(III)-C, Ln(III)-Ge, and Ln(III)-Sn bonds are in the range of 1.03-1.11. Together with the previously reported [(DME)3Li][Cp3Ln(III)SiPh3], a group of tetrel (up to Sn) lanthanocene ate-complexes with an analogous coordination pattern are presented. Computational studies suggest the strongly polarized nature of the Ln(III)-E (E = C, Si, Ge, Sn) bonds in these complexes, with 77-85% atomic orbital contribution from tetrel elements and 15-23% atomic orbital contribution from Ln(III). The UV-vis measurements of this series of complexes show that the characteristic absorptions are hypsochromically shifted for Ln(III) heavier tetrel complexes in comparison to their lighter congeners. Moreover, the HOMOs, in which the Ln(III)-E σ-bonding orbitals are the dominant components, of these series complexes act as donor orbitals of the major electron transitions, as being disclosed by the time-dependent density functional theory analysis.
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Background: Oxidative stress (OS) can either lead to leukemogenesis or induce tumor cell death by inflammation and immune response accompanying the process of OS through chemotherapy. However, previous studies mainly focus on the level of OS state and the salient factors leading to tumorigenesis and progression of acute myeloid leukemia (AML), and nothing has been done to distinguish the OS-related genes with different functions. Method: First, we downloaded single-cell RNA sequencing (scRNAseq) and bulk RNA sequencing (RNAseq) data from public databases and evaluated the oxidative stress functions between leukemia cells and normal cells by the ssGSEA algorithm. Then, we used machine learning methods to screen out OS gene set A related to the occurrence and prognosis of AML and OS gene set B related to treatment in leukemia stem cells (LSCs) like population (HSC-like). Furthermore, we screened out the hub genes in the above two gene sets and used them to identify molecular subclasses and construct a model for predicting therapy response. Results: Leukemia cells have different OS functions compared to normal cells and significant OS functional changes before and after chemotherapy. Two different clusters in gene set A were identified, which showed different biological properties and clinical relevance. The sensitive model for predicting therapy response based on gene set B demonstrated predictive accuracy by ROC and internal validation. Conclusion: We combined scRNAseq and bulk RNAseq data to construct two different transcriptomic profiles to reveal the different roles of OS-related genes involved in AML oncogenesis and chemotherapy resistance, which might provide important insights into the mechanism of OS-related genes in the pathogenesis and drug resistance of AML.
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Leucemia Mieloide Aguda , Análise da Expressão Gênica de Célula Única , Humanos , Leucemia Mieloide Aguda/tratamento farmacológico , Transcriptoma , Transformação Celular NeoplásicaRESUMO
While research on lanthanide (Ln) complexes with silyl ligands is receiving growing attention, significantly unbalanced efforts have been devoted to different Ln elements. In comparison with the intense investigations on Ln elements such as Sm and Yb, the chemistry of silyl lanthanum and cerium complexes is much slower to develop, and no solid-state structure of a silyl lanthanum complex has been reported so far. In this research, four types of ate complexes, including [(DME)3Li][Cp3LnSi(H)Mes2], [(18-crown-6)K][Cp3LnSi(CH3)Ph2], [(DME)3Li][Cp3LnSiPh3], and [(12-crown-4)2Na] [Cp3LnSi(Ph)2Si(H)Ph2] (Ln = La, Ce), were synthesized by reacting [(DME)3Na][Cp3La(µ-Cl)LaCp3] or Cp3Ce(THF) with alkali metal silanides. All of the synthesized silyl Ln ate complexes were structurally characterized. La-Si bond lengths are in a range of 3.1733(4)-3.1897(10) Å, and the calculated formal shortness ratios of the La-Si bonds (1.071.08) are comparable to those in the reported silyl complexes having other Ln metal centers. The Ce-Si bond lengths (3.1415(6)-3.1705(9) Å) are within the typical range of reported silyl cerium ate complexes. 29Si solid-state NMR measurements on the diamagnetic silyl lanthanum complexes were conducted, and large one-bond hyperfine splitting constants arising from = 7/2) were resolved. Computational studies on these silyl lanthanum and cerium complexes suggested the polarized covalent feature of the Ln-Si bonds, which is in line with the measured large 1J139La-Si splitting constants.
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BACKGROUND: Myocardial calcification is a rare complication in critically ill patients. The prognosis of myocardial calcifications in critically ill patients is very poor if not treated in a timely manner. We describe a rare case of acute extensive myocardial calcifications due to acute myocarditis after receiving extracorporeal membrane oxygenation (ECMO) support. CASE SUMMARY: We report a 17-year-old male patient who developed extensive myocardial calcifications while receiving prolonged ECMO support for severe myocarditis and cardiogenic shock. Extensive myocardial calcifications were confirmed by chest computed tomography (CT). Myocardial calcifications were observed in the left ventricle walls on CT examination 10 days after admission. The patient was then discharged with heart function class II on the NYHA classification. Two years later, the patient was still alive with adequate quality of life. We then included this patient and 7 other cases retrieved from the PubMed, Cochrane Library, EMBASE, and MEDLINE databases in our study, in order to provide a reference for the clinical diagnosis and treatment of this disease. CONCLUSION: Multiple causes including prolonged hemodynamic failure, profound acidosis, high vasopressor doses, and acute renal failure may jointly lead to extensive myocardial calcifications. The precise role of ECMO support in the timing and frequency of acute myocardial calcifications deserves further investigation.
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Purpose: The purpose of this study is to explore the association of P300 components with clinical characteristics and efficacy of pharmacotherapy in alcohol use disorder (AUD). Methods: One hundred fifty-one AUD patients and 96 healthy controls were recruited and evaluated for the symptoms of depression, anxiety, sleep, and cognitive function by the Alcohol Use Disorders Identification Test (AUDIT), the 9-item Patient Health Questionnaire (PHQ-9), the 7-item Generalized Anxiety Disorder scale (GAD-7), the Pittsburgh Sleep Quality Index (PSQI), Digit Symbol Substitution test (DSST), and event-related potential P300, which is one of the averaged scalp electroencephalography responses time-locked to specific events. Among the AUD group, 101 patients finished an 8-week pharmacotherapy and were evaluated for the above data at post-intervention. Results: 1. At baseline, AUD patients had higher scores of AUDIT, PHQ-9, GAD-7, PSQI, and P300 latency at Cz, Pz, and Fz and lower DSST score and smaller P300 amplitudes at Fz, Cz, and Pz compared with controls. P300 components correlated significantly with alcohol dose and score of AUDIT, PHQ-9, GAD-7, PSQI, and DSST. 2. After 8 weeks' treatment, there were significant changes for the P300 components; alcohol dose; and score of AUDIT, PHQ-9, GAD-7, PSQI, and DSST. Variables at baseline, including P300 amplitudes at Fz, Cz, and Pz; latency of Fz and Pz; alcohol dose; and scores of PHQ-9, GAD-7, PSQI, and DSST, were significantly associated with changes of reduction rate of AUDIT scores. However, P300 amplitudes at Fz, Cz, and Pz in AUD patients after 8-week treatment were still significantly shorter than healthy controls (HCs), and P300 latencies at Fz, Cz, and Pz were significantly longer than HCs. 3. When validated area under the receiver operating characteristic curve (AUC) was over 0.80, the baseline variables including amplitudes at Cz and Pz, alcohol dose, and scores of PSQI could predict the changes of reduction rate of AUDIT score. Conclusion: P300 amplitudes and latencies at Fz, Cz, and Pz could be used as biological markers for evaluating the clinical characters and severity of AUD. P300 amplitudes at Cz and Pz, sleep condition, and cognitive function at baseline could predict the efficacy of pharmacotherapy for AUD patients.
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OBJECTIVE: To assess the cardiovascular safety of celecoxib compared to non-selective non-steroid anti-inflammatory drugs or placebo. METHODS: We included randomized controlled trials of oral celecoxib compared with a non-selective NSAID or placebo in rheumatoid arthritis and osteoarthritis patients. We conducted searches in EMBASE, Cochrane CENTRAL, MEDLINE, China National Knowledge Infrastructure, VIP, Wanfang, and Chinese Biomedical Literature Database. Study selection and data extraction were done by two authors independently. The risk of bias was assessed using Cochrane's risk-of-bias Tool for Randomized Trials. The effect size was presented as a risk ratio with their 95% confidence interval. RESULTS: Until July 22nd, 2021, our search identified 6279 records from which, after exclusions, 21 trials were included in the meta-analysis. The overall pooled risk ratio for Antiplatelet Trialists Collaboration cardiovascular events for celecoxib compared with any non-selective non-steroid anti-inflammatory drugs was 0.89 (95% confidence interval: 0.80-1.00). The pooled risk ratio for all-cause mortality for celecoxib compared with non-selective non-steroid anti-inflammatory drugs was 0.81 (95% confidence interval: 0.66-0.98). The cardiovascular mortality rate of celecoxib was lower than non-selective non-steroid anti-inflammatory drugs (risk ratio: 0.75, 95% confidence interval: 0.57-0.99). There was no significant difference between celecoxib and non-selective non-steroid anti-inflammatory drugs or placebo in the risk of other cardiovascular events. CONCLUSION: Celecoxib is relatively safe in rheumatoid arthritis and osteoarthritis patients, independent of dose or duration. But it remains uncertain whether this would remain the same in patients treated with aspirin and patients with established cardiovascular diseases.
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Anti-Inflamatórios não Esteroides/uso terapêutico , Artrite Reumatoide/tratamento farmacológico , Sistema Cardiovascular/efeitos dos fármacos , Celecoxib/uso terapêutico , Osteoartrite/tratamento farmacológico , Segurança do Paciente/normas , Artrite Reumatoide/patologia , Humanos , Osteoartrite/patologiaRESUMO
The research on supercapacitors (SCs) is one of the hot topics in the field of energy storage, and the intrinsic ageing mechanism of SCs is significant from both the economic and the scientific point of view. In this paper, the negative effects of decay of the key structural components on ageing of SCs were investigated by factorial design and analysis of variance (ANOVA). The ANOVA results showed that the degree of the negative influence on ageing of SCs could be ranked in descending order as anode > separator > cathode. The ageing would be accelerated due to the interaction between the electrode and separator, especially at a high charge-discharge current density. Further, the intrinsic chemical ageing mechanism of SCs was revealed by the morphology, microstructure, and chemical composition analyses of the fresh and aged key components (the electrode carbon materials, current collectors, and separators) with scanning electron microscopy (SEM), Brunauer-Emmett-Teller (BET), X-ray photoelectron spectra (XPS), time-of-flight secondary ion mass spectrometry (TOF-SIMS), wide-angle X-ray diffraction (WAXD), differential scanning calorimetry (DSC), Fourier transform infrared (FTIR), etc. Moreover, the minimum pore width of electrode carbon materials suitable for electrolyte ion diffusion was obtained by density functional theory (DFT) calculations, which corroborated the assumption that the pore structure deterioration was one of the direct causes of capacitance loss for aged SCs. Generally, the ageing mechanism of key components of SCs could be a reference to develop advanced electrode materials and separators for SCs.
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Gas chromatography-mass spectrometry (GC-MS) analysis has revealed extremely high abundances of rearranged hopanes in Jurassic source rocks and related crude oils in the center of the Sichuan Basin. The detected rearranged hopanes include 17α(H)-diahopanes (C27D and C29-35D), early-eluting rearranged hopanes (C27E and C29-33E), and 18α(H)-neohopanes (C29Ts and Ts). Both the 17α(H)-diahopanes and the early-eluting rearranged hopanes exhibit a distribution pattern similar to that of the 17α(H)-hopane series, with a predominance of the C30 member and the presence of 22S and 22R epimers of hopanes in the extended series (>C30). The results of this study show that the relatively high abundance of rearranged hopanes in Jurassic source rocks in the study area is associated with their depositional environments and with clay-mediated acidic catalysis rather than, as was previously thought, thermal maturity. Shallow lacustrine facies with brackish water and a suboxic to weak reducing sedimentary environment have contributed to the enrichment of rearranged hopanes, and clay-mediated acidic catalysis may also have had a positive influence on their abundance. The distribution patterns of the diahopane series indicate that the oils from Jurassic reservoirs in the Gongshanmiao Oilfield are sourced from Jurassic source rocks. Rearranged hopanes are therefore considered to be effective biomarkers for oil-source correlation in the center of the Sichuan Basin.
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Metalation of ß-diketiminato rare-earth metal complexes LnacnacLn(PhNCH2PPh2)2 (Ln = Y, Yb, Lu) with (COD)Pd(CH2SiMe3)2 afforded three-coordinate Pd(0) complexes supported by two sterically less bulky phosphines and a Pd â Ln dative interaction. The Pd(0) center is prone to ligation with isonitrile and CO; in the latter case, the insertion of a second CO with the Y-N bond was assisted via a precoordination of CO on the Pd(0) center, which led to the formation of an anionic Pd(0) carbamoyl. The reaction of the Pd-Y complex with iodobenzene showed a remarkable double P-C bond cleavage-formation pathway within the heterobimetallic Pd-Y core to afford (Ph3P)2PdI(Ph), imine PhNCH2, and a ß-diketiminato yttrium diiodide. In the related reaction of LnacnacY(PhNCH2PPh2)2 with (Ph3P)2PdI(Ph), the P-C bond cleavage following with a N-C bond formation was observed. Computational studies revealed a synergetic bimetallic mechanism for these reactions.
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OBJECTIVE: To explore pharmacogenetic relationships of NRG1 genotypes with neurocognitive performance and clinical symptoms after 12 week treatment of risperidone in Chinese Han first-episode schizophrenia. METHODS: A cohort of 221 patients with schizophrenia were recruited for this research. Finally 177 untreated first-episode patients were clinically evaluated with the Positive and Negative Syndrome Scale (PANSS), Raven's Standard Progressive Matrices (RSPM), Digit Vigilance Test (DVT), Digit Span (DS), underwent genotyping for five polymorphisms of NRG1, and completed a 12-week prospective study of risperidone monotherapy. RESULTS: 1. After risperidone treatment of 12 weeks, the total scores, positive score, negative score and general score of PANSS decreased significantly; the scores of RSPM, DVT and DS increased significantly. 2. No significant association with PANSS scores at baseline or change in scores after 12 weeks'treatment was found with any of the five SNPs. There was also neither significant association of DVT, DS or RSPM at baseline with any of the five SNPs. 3. After risperidone treatment of 12 weeks, rs3924999 and rs35753505 showed significant association with change in DVT and in RSPM in which there were significant differences among different genotype groups. CONCLUSION: This study suggested pharmacogenetic relationships between NRG1 variants and changes in cognition response with exposure to 12 weeks of treatment with risperidone. Two variants, rs3924999 and rs35753505, in the NRG1 gene were associated with the changes in attention and reasoning ability after risperidone treatment of 12 weeks.
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Antipsicóticos , Neuregulina-1 , Risperidona , Esquizofrenia , Antipsicóticos/uso terapêutico , Povo Asiático , China , Humanos , Neuregulina-1/genética , Farmacogenética , Estudos Prospectivos , Risperidona/uso terapêutico , Esquizofrenia/tratamento farmacológico , Esquizofrenia/genética , Resultado do TratamentoRESUMO
RATIONALE: Esophagopleural fistula (EPF) is a rare critical life-threatening condition that features high misdiagnosis rate. Although various surgical and conservative techniques have been developed for the treatment of EPF, the mortality rate of EPF remains high. PATIENT CONCERNS: An 81-year-old man with hepatic cirrhosis caused by schistosomiasis was admitted with upper gastrointestinal bleeding. DIAGNOSES: Upper endoscopy revealed bleeding large esophageal varices, and endoscopic injection sclerotherapy (EIS) was performed. Two weeks after the EIS was performed, the patient developed pyrexia, left-sided pleuritic chest pain. Air and pleural effusion were showed in the left pleural cavity by high-resolution computed tomography (HRCT), and a linear fistulous communication was noticed from the distal esophagus. These findings were consistent with hepatic cirrhosis, esophageal varices, upper gastrointestinal bleeding, and esophagopleural fistula. INTERVENTIONS: The patient was intensively treated with endoscopic self-expandable metallic stent (covered-SEMS) implantation and comprehensive treatments (including thoracic closed drainage, antibiotics, nasojejunal nutrition, and antacids). OUTCOMES: The patient was completely cured without recurrence during a 6 months of follow-up by comprehensive conservative treatments. LESSONS: This case indicates that pleural effusion with food residue is a specific finding in EPF. Thorax CT exhibited high sensitivity for the diagnosis of EPF. Endoscopic self-expandable metallic stent implantation and comprehensive conservative treatments may be preferable for the severe liver disease with EPF.
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Endoscopia Gastrointestinal , Fístula Esofágica/etiologia , Varizes Esofágicas e Gástricas/terapia , Escleroterapia , Idoso de 80 Anos ou mais , Endoscopia Gastrointestinal/efeitos adversos , Endoscopia Gastrointestinal/métodos , Fístula Esofágica/diagnóstico por imagem , Fístula Esofágica/terapia , Varizes Esofágicas e Gástricas/diagnóstico por imagem , Varizes Esofágicas e Gástricas/etiologia , Humanos , Cirrose Hepática/complicações , Cirrose Hepática/terapia , Masculino , Esquistossomose mansoni/complicações , Esquistossomose mansoni/terapia , Escleroterapia/efeitos adversos , Escleroterapia/métodos , Stents Metálicos AutoexpansíveisRESUMO
The global urbanization rate is accelerating; however, data limitations have far prevented robust estimations of either global urban expansion or its effects on terrestrial net primary productivity (NPP). Here, using a high resolution dataset of global land use/cover (GlobeLand30), we show that global urban areas expanded by an average of 5694 km2 per year between 2000 and 2010. The rapid urban expansion in the past decade has in turn reduced global terrestrial NPP, with a net loss of 22.4 Tg Carbon per year (Tg C year-1). Although small compared to total terrestrial NPP and fossil fuel carbon emissions worldwide, the urbanization-induced decrease in NPP offset 30% of the climate-driven increase (73.6 Tg C year-1) over the same period. Our findings highlight the urgent need for global strategies to address urban expansion, enhance natural carbon sinks, and increase agricultural productivity.