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1.
Ren Fail ; 46(2): 2405561, 2024 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-39301865

RESUMO

Volume overload in peritoneal dialysis patients is a common issue that can lead to poor prognosis. We employed a group trajectory model to categorize volume load trajectories and examined the factors associated with each trajectory class to explore the impact of different trajectory groups on clinical prognosis and residual renal function (RRF). This single-center prospective cohort study included 214 patients on maintenance peritoneal dialysis within a tertiary hospital. The ratio of extracellular water to total body water was measured using Bioimpedance analysis. The SAS 9.4 PROC Traj procedure was used to examine the group-based trajectory of the patients. A multivariate logistic regression model was used to calculate the adjusted odds ratios (aOR) of the associated factors to predict the trajectory class of participants. The average age of the included patients was 53.56 (SD: 11.77) years, with a male proportion of 46.7% and a median follow-up time of 6 months. The normal stable group accounted for 35.05% of the total population and maintained a normal and stable level, the moderate stable group accounted for 52.8% of the total population and showed a slightly higher and stable level, and the high fluctuation group accounted for 12.15% of the total population and showed a high and fluctuating level. A multivariate logistic regression analysis revealed that age, diabetes, and albumin levels are significant factors influencing the categorization of volume load trajectories. There were statistically significant differences in both the technical survival rate and the loss of residual renal function among the three trajectory groups.


Assuntos
Diálise Peritoneal , Humanos , Masculino , Feminino , Pessoa de Meia-Idade , Estudos Prospectivos , Prognóstico , Adulto , Estudos Longitudinais , Falência Renal Crônica/terapia , Falência Renal Crônica/fisiopatologia , Falência Renal Crônica/mortalidade , Modelos Logísticos , Idoso , Impedância Elétrica , Água Corporal
2.
J Perianesth Nurs ; 39(4): 552-557.e1, 2024 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-38219082

RESUMO

PURPOSE: The target glycemic control for nondiabetic patients in the postanesthesia care unit (PACU) after hysteroscopic surgery remains unclear. Our goal is to determine the optimal level of glycemic control by finding the relationship between blood glucose level (BGL) leaving the PACU and postoperative hypoglycemia in nondiabetic patients. DESIGN: This retrospective cohort study was conducted at a comprehensive tertiary hospital in Chongqing, China between June 2018 and December 2020. METHODS: The target independent and dependent variables were BGL leaving the PACU and postoperative hypoglycemia, respectively. The primary outcome was the incidence of hypoglycemia. Logistic regression was used to explore the association between discharge BGL and hypoglycemia. The optimal glycemic control range was determined by using the receiver operating characteristic (ROC) curve. FINDINGS: Prior to insulin use, BGL in the insulin-using subgroup might be as high as 20 mmol/L. Hypoglycemia was related to the BGL while leaving the PACU (odds ratio (OR) 0.37 [95% confidence interval (CI) 0.22 to 0.65]). The best cut-off value (12.95 mmol/L) was determined by fitting the ROC curve. CONCLUSIONS: If severe hyperglycemia develops during hysteroscopic surgery in individuals with 5% glucose as the mediator of uterine distention, the recommendation is to maintain blood glucose above 12.95 mmol/L when treated with insulin.


Assuntos
Glicemia , Hiperglicemia , Hipoglicemia , Histeroscopia , Alta do Paciente , Complicações Pós-Operatórias , Humanos , Estudos Retrospectivos , Feminino , Glicemia/análise , Glicemia/metabolismo , Hiperglicemia/complicações , Histeroscopia/métodos , Histeroscopia/estatística & dados numéricos , Histeroscopia/efeitos adversos , Adulto , Hipoglicemia/epidemiologia , Pessoa de Meia-Idade , Complicações Pós-Operatórias/epidemiologia , Alta do Paciente/estatística & dados numéricos , China/epidemiologia , Estudos de Coortes , Insulina/administração & dosagem , Enfermagem em Pós-Anestésico/métodos
3.
Int J Gynaecol Obstet ; 164(2): 741-749, 2024 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-37632160

RESUMO

OBJECTIVE: To assess whether earlier administration of antibiotic prophylaxis after prelabor rupture of membranes (PROM) at term would decrease the incidence of maternal and neonatal infections. METHODS: This is a retrospective cohort study comparing women with term PROM who were initiated antibiotic prophylaxis within or after 6 h, and within or after 12 h from PROM to delivery during January 2019 to December 2021. Women with term PROM receiving cephalosporin and without contraindications to vaginal delivery or confirmed or suspected infection were included in the study. The primary outcome was puerperal infection, which refers to the reproductive tract infection occurring within 42 days of delivery. The type of pharmacoeconomic evaluation was selected based on the results of compared effectiveness between the early group and the late group. Propensity-score matching (PSM) was used to adjust confounding. Subgroup and sensitivity analyses were used to verify the robustness of results. RESULTS: We enrolled 5353 women with term PROM, including 4331 initiated with antibiotic within 6 h, 1022 after 6 h, 5077 within 12 h, and 276 after 12 h. After PSM, no significant difference was observed in the baseline characteristics of the groups. There was no statistical difference between antibiotic use within 6 h and after 6 h, or within 12 h and after 12 h, in puerperal infection (4.6% vs. 4.3%, P = 0.826; 2.9% vs. 4.6%, P = 0.471, respectively), total maternal infection, neonatal sepsis, and total neonatal infection. Cost-minimization analysis showed there was no significant difference between antibiotic use within 6 h and after 6 h, or within 12 h and after 12 h, in direct medical costs. CONCLUSION: This study showed that there was no statistical difference in the efficacy and economy of antibiotic prophylaxis used within 6-12 h after rupture of membranes versus after 6-12 h in women with term PROM.


Assuntos
Ruptura Prematura de Membranas Fetais , Infecção Puerperal , Gravidez , Recém-Nascido , Feminino , Humanos , Antibioticoprofilaxia , Ruptura Prematura de Membranas Fetais/tratamento farmacológico , Estudos Retrospectivos , Antibacterianos/uso terapêutico
4.
Acta Trop ; 249: 107076, 2024 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-37977254

RESUMO

The research aimed to describe a new Trichinella spiralis dipeptidyl peptidase 1 (TsDPP1) and investigate its functions in the larval invasion of intestinal epithelial cells (IECs). The gene TsDPP1 was successfully replicated and produced in Escherichia coli BL21 (DE3), showing a strong immune response. TsDPP1 was detected in diverse stages of T. spiralis and showed significant expression in the intestine infective larvae (IIL) and adult worms at 6 days post infection, as confirmed by qPCR and Western blot analysis. The primary localization of TsDPP1 in this parasite was observed in cuticles, stichosomes, and embryos by using the indirect immunofluorescence assay (IIFA). rTsDPP1 exhibited the enzymatic function of natural dipeptidyl peptidase and showed specific binding to IECs, and the binding site was found to be localized on cell membrane. Following transfection with dsRNA-TsDPP1, the expression of TsDPP1 mRNA and protein in muscle larvae (ML) were decreased by approximately 63.52 % and 58.68 %, correspondingly. The activity of TsDPP1 in the ML and IIL treated with dsRNA-TsDPP1 was reduced by 42.98 % and 45.07 %, respectively. The acceleration of larval invasion of IECs was observed with rTsDPP1, while the invasion was suppressed by anti-rTsDPP1 serum. The ability of the larvae treated with dsRNA-TsDPP1 to invade IECs was hindered by 31.23 %. In mice infected with dsRNA-treated ML, the intestinal IIL, and adults experienced a significant decrease in worm burdens and a noticeable reduction in adult female length and fecundity compared to the PBS group. These findings indicated that TsDPP1 significantly impedes the invasion, growth, and reproductive capacity of T. spiralis in intestines, suggesting its potential as a target for anti-Trichinella vaccines.


Assuntos
Catepsina C , Proteínas de Helminto , Mucosa Intestinal , Trichinella spiralis , Triquinelose , Animais , Feminino , Camundongos , Células Epiteliais/parasitologia , Proteínas de Helminto/genética , Proteínas de Helminto/metabolismo , Larva/patogenicidade , Camundongos Endogâmicos BALB C , Trichinella spiralis/genética , Trichinella spiralis/patogenicidade , Triquinelose/parasitologia , Catepsina C/genética , Catepsina C/metabolismo , Mucosa Intestinal/parasitologia
5.
Acta Trop ; 241: 106897, 2023 May.
Artigo em Inglês | MEDLINE | ID: mdl-36931335

RESUMO

Trichinellosis is a major zoonotic parasitosis which is a vital risk to meat food safety. It is requisite to exploit new strategy to interdict food animal Trichinella infection and to obliterate Trichinella from food animals to ensure meat safety. Mannose is an oligosaccharide that specifically binds to the carbohydrate-recognition domain of C-type lectin; it has many physiological functions including reliving inflammation and regulating immune reaction. The purpose of this study was to investigate the suppressive role of mannose on T. spiralis larval invasion and infection, its effect on intestinal and muscle inflammation, and immune responses after challenge. The results showed that compared to the saline-treated infected mice, the mannose-treated infected mice had less intestinal adult and muscle worm burdens, mild inflammation of intestine and muscle of infected mice. The levels of specific anti-Trichinella IgG (IgG1/IgG2a), IgA and sIgA in mannose-treated infected mice were obviously inferior to saline-treated infected mice (P < 0.01). Furthermore, the levels of two cytokines (IFN-γ and IL-4) in mannose-treated infected mice were also significantly lower than the saline-treated infected mice (P < 0.01). The protective effect of the mannose against Trichinella infection might be not related to specific antibody and cellular immune responses. The above results demonstrated that mannose could be considered as a novel adjuvant therapeutic agent for anti-Trichinella drugs to block larval invasion at early stage of Trichinella infection.


Assuntos
Trichinella spiralis , Triquinelose , Camundongos , Animais , Manose/farmacologia , Triquinelose/tratamento farmacológico , Músculos , Imunoglobulina G , Inflamação/tratamento farmacológico , Intestinos , Camundongos Endogâmicos BALB C
6.
Comb Chem High Throughput Screen ; 26(9): 1689-1700, 2023.
Artigo em Inglês | MEDLINE | ID: mdl-35702766

RESUMO

BACKGROUND: Citrus grandis 'Tomentosa,' a fruit epicarp of C. grandis 'Tomentosa' or C. grandis (L.) Osbeck is widely used in health food and medicine. Based on our survey results, there are also rich essential oils with bioactivities in leaves, but the chemical compounds in this part and relevant pharmacological activities have never been studied systematically. Therefore, this study was to preliminarily decipher the pharmacological activities and mechanisms of the essential oil in leaves of C. grandis 'Tomentosa' by an integrated network pharmacology approach. METHODS: Essential oil compositions from leaves ofC. grandis 'Tomentosa' were identified using GC-MS/MS. And then, the targets of these oil compositions were predicted and screened from TCMSP, SwissTargetPrediction, STITCH and SEA databases. STRING database was used to construct the protein-protein interaction networks, and the eligible protein targets were input into WebGestalt 2019 to carry out GO enrichment and KEGG pathway enrichment analysis. Based on the potential targets, disease enrichment information was obtained by TTD databases. Cytoscape software was used to construct the component-target-disease network diagrams. RESULTS: Finally, 61 essential oil chemical components were identified by GC-MS/MS, which correspond to 679 potential targets. Biological function analysis showed 12, 19, and 12 GO entries related to biological processes, cell components and molecular functions, respectively. 43 KEGG pathways were identified, of which the most significant categories were terpenoid backbone biosynthesis, TNF signaling pathway and leishmaniasis. The component-target-disease network diagram revealed that the essential oil compositions in leaves of C. grandis 'Tomentosa' could treat tumors, immune diseases, neurodegenerative diseases and respiratory diseases, which were highly related to CHRM1, PTGS2, CASP3, MAP2K1 and CDC25B. CONCLUSION: This study may provide new insight into C. grandis 'Tomentosa' or C. grandis (L.) Osbeck and may provide useful information for future utilization and development.


Assuntos
Medicamentos de Ervas Chinesas , Óleos Voláteis , Espectrometria de Massas em Tandem , Óleos Voláteis/farmacologia , Cromatografia Gasosa-Espectrometria de Massas , Farmacologia em Rede , Folhas de Planta/química , Medicamentos de Ervas Chinesas/análise , Simulação de Acoplamento Molecular
7.
Inquiry ; 59: 469580221142486, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-36510397

RESUMO

Understand the noise exposure level and influencing factors of small and micro-scale enterprises in Beijing, and support the formulation of noise prevention and control policies. Noise hazards in small- and micro-scale enterprises were monitored from May to December 2021 using a combination of questionnaire survey and on-site noise monitoring. The survey included questions on the basic characteristics of the enterprise, the situation of noise protection facilities, and protective equipment. We calculated the equivalent to the sound level of 8 h per day (LEX, 8h) or the equivalent of the sound level of 40 h per week (LEX,w) and the exceeding rate. Unconditional logistic regression was used to analyze the influencing factors. We recruited 194 enterprises in our study, including 145 small- and 49 micro-scale enterprises. Overall, 9.9% of the noise points exceeded the Chinese national standard, which was 85 dB(A). The detected noise of micro-enterprises significantly (P < .001) exceeded that of small enterprises. This is the first study to examine noise hazards of small and micro-scale enterprises in Beijing in recent years. Our results showed noise hazard prevention in Beijing is grim. It is suggested that the government should strengthen supervision, allocate responsibility to the employer, and guide them to establish and improve the management system for controlling noise hazards, to effectively reduce its impact on the health of workers.


Assuntos
Exposição Ocupacional , Saúde Ocupacional , Humanos , China , Inquéritos e Questionários
8.
Meat Sci ; 194: 108962, 2022 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-36126390

RESUMO

Pale, soft, and exudative (PSE) meat can cause consumer dissatisfaction and economic losses. This study determined meat quality, glycolytic enzyme activity, and differential gene expression in the longissimus lumborum (LL) and semimembranosus (SM) of normal and PSE pork carcasses. The SM did not result in PSE meat. Hexokinase, lactate dehydrogenase, and pyruvate kinase activities were lower in the SM of PSE carcasses than in the normal carcasses. Functional enrichment analysis revealed that immune, inflammatory, and muscle fibre genes were significantly enriched in PSE pork. More specifically, PPP1R3G and MSS51 may be key genes regulating pork quality in the SM. Meanwhile, the differential expression of PLVAB, ADIPOQ, LEP, MYH4, MYH7, MYL3, MYL6B, FOS, ATF3, and HSPA6 may induce PSE formation in the LL. These results may provide insights into PSE pork formation mechanisms and reveal candidate genes for improving meat quality after validation.


Assuntos
Carne de Porco , Carne Vermelha , Animais , Suínos/genética , Transcriptoma , Músculo Esquelético/metabolismo , Carne/análise
9.
Acta Trop ; 226: 106263, 2022 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-34879232

RESUMO

Elastase belongs to the serine protease family. Previous studies showed that Trichinella spiralis elastase (TsE) was highly expressed in intestinal infective larvae (IIL). Recombinant TsE (rTsE) promoted the larval intrusion of enteral epithelium cells (IECs), whereas anti-rTsE antibodies and siRNA impeded larval intrusion. Subcutaneous vaccination of mice with rTsE showed a partial protective immunity, suggesting that TsE might be a promising vaccine target against Trichinella infection. In this study, complete TsE cDNA sequence was cloned into pcDNA3.1, and the rTsE DNA was transformed into attenuated S. typhimurium strain ΔcyaSL1344. Oral vaccination of mice with TsE DNA elicited a systemic Th1/Th2/Treg mixed immune response and gut local mucosal sIgA response. Immunized mice exhibited a significant immune protection against T. spiralis larval challenge, as demonstrated by a 52.48% reduction of enteral adult worms and a 69.43% reduction of muscle larvae. The protection might be related to the TsE-induced production of intestinal mucus, specific anti-TsE sIgA and IgG, and secretion of IFN-γ, IL-2, IL-4 and IL-10, which protected gut mucosa from larval intrusion, suppressed worm development and impeded female reproduction. The results demonstrated that attenuated Salmonella-delivered TsE DNA vaccine provided a prospective strategy for the control of Trichinella infection in food animals.


Assuntos
Trichinella spiralis , Triquinelose , Vacinas de DNA , Animais , Anticorpos Anti-Helmínticos , Feminino , Imunização , Camundongos , Camundongos Endogâmicos BALB C , Elastase Pancreática , Estudos Prospectivos , Salmonella typhimurium/genética , Trichinella spiralis/genética , Triquinelose/prevenção & controle , Vacinação , Vacinas de DNA/genética
10.
BMC Cardiovasc Disord ; 21(1): 534, 2021 11 12.
Artigo em Inglês | MEDLINE | ID: mdl-34772349

RESUMO

BACKGROUND: Although renal insufficiency and dyslipidemia are known to be closely associated, the effect of kidney function on the size and clinical value of high-density lipoprotein (HDL) particles remains largely unknown, especially in patients with coronary heart disease. METHODS: A total of 419 coronary heart disease patients and 105 non-coronary heart disease patients were included. HDL particle size, represented by HDL-C/apoA-I, was compared between groups stratified by estimated glomerular filtration rate (eGFR) and Gensini scores using standard Student's t test and one-way ANOVA. Pearson's correlation test was performed to analyze the association between eGFR and HDL-C/apoA-I in patients with coronary heart disease. The relationship between HDL particle size and the occurrence of coronary heart disease was explored using Univariate logistic regression analysis. RESULTS: In patients with coronary heart disease, between-group analysis revealed that HDL-C/apoA-I increased as eGFR declined, and significance appeared as eGFR declined to under 60 ml/min·1.73 m2 (P < 0.001), and Pearson's correlation test also confirmed an inverse correlation between eGFR and HDL-C/apoA-I levels in coronary heart disease patients. When stratified by Gensini scores, in coronary heart disease patients with eGFR ≥ 90 mL/(min·1.73 m2), those with higher Gensini scores had smaller HDL-C/apoA-I. However, with or without kidney insufficiency, smaller HDL-C/apoA-I was associated with a higher occurrence of coronary heart disease (P < 0.05). CONCLUSION: With the presence of renal insufficiency, HDL-C/apoA1 was higher in patients with coronary heart disease. Lower HDL-C/apoA1 was still associated with a higher occurrence of coronary heart disease, but the original association between lower HDL-C/apoA1 and more severe coronary artery stenosis was lost in patients with renal insufficiency.


Assuntos
Apolipoproteína A-I/sangue , Doença da Artéria Coronariana/sangue , Rim/fisiologia , Lipoproteínas HDL/sangue , Insuficiência Renal/complicações , Doença da Artéria Coronariana/complicações , Feminino , Taxa de Filtração Glomerular , Humanos , Masculino , Pessoa de Meia-Idade
11.
Acta Trop ; 224: 106125, 2021 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-34508714

RESUMO

Trichinella spiralis is a major foodborne zoonotic parasitic nematode which has a serious threat to meat food safety. Development of anti-Trichinella vaccine is requisite for control and elimination of Trichinella infection in food animals to ensure meat safety. Aminopeptidase P (TsAPP) and cathepsin X (TsCX) are two novel proteins identified in T. spiralis intestinal infectious L1 larvae (IIL1). The objective of this study was to investigate the protective immunity elicited by immunization with TsAPP and TsCX alone and TsAPP-TsCX in combination in a mouse model. The results demonstrate that subcutaneous vaccination of mice with rTsAPP, rTsCX or rTsAPP + rTsCX elicited a systemic humoral response (high levels of serum IgG, IgG1/IgG2a and IgA) and significant local gut mucosal sIgA responses. The vaccination with rTsAPP, rTsCX or rTsAPP + rTsCX also induced a systemic and local mixed Th1/Th2 response, as demonstrated by clear elevation levels of IFN-γ and IL-4 in vaccinated mice. Vaccination of mice with rTsAPP+rTsCX exhibited a 63.99 % reduction of intestinal adult worms and 68.50% reduction of muscle larva burdens, alleviated inflammation of intestinal mucosal and muscle tissues, and provided a higher immune protection than that of vaccination with rTsAPP or rTsCX alone. The results demonstrated that TsAPP and TsCX might be considered novel candidate target molecules for anti-Trichinella vaccines.


Assuntos
Trichinella spiralis , Triquinelose , Aminopeptidases , Animais , Anticorpos Anti-Helmínticos , Antígenos de Helmintos , Camundongos , Camundongos Endogâmicos BALB C , Triquinelose/prevenção & controle , Vacinação
12.
Acta Trop ; 224: 106112, 2021 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-34453915

RESUMO

Cathepsin L is one member of cysteine protease superfamily and widely distributed in parasitic organisms, it plays the important roles in worm invasion, migration, nutrient intake, molting and immune evasion. The objective of this study was to investigate the biological characteristics of a novel cathepsin L from Trichinella spiralis (TsCL) and its role in larval invasion, development and reproduction. TsCL has a functional domain of C1 peptidase, which belongs to cathepsin L family. The complete TsCL sequence was cloned and expressed in Escherichia coli BL21. The rTsCL has good immunogenicity. RT-PCR and Western blotting analysis showed that TsCL was transcribed and expressed at different T. spiralis phases (e.g., muscle larvae, intestinal infectious larvae, adult worms and newborn larvae). Immunofluorescence test revealed that TsCL was principally localized in the cuticle, stichosome, midgut and female intrauterine embryos of the nematode. rTsCL has the capacity to specially bind with intestinal epithelial cells (IECs) and the binding sites was located in the cytoplasm. rTsCL promoted larval penetration into IEC, while anti-rTsCL antibodies inhibited the invasion. The silencing of TsCL gene by specific dsRNA significantly reduced the TsCL expression and enzyme activity, and also reduced larval invasive ability, development and female reproduction. The results showed that TsCL is an obligatory protease in T. spiralis lifecycle. TsCL participates in worm invasion, development and reproduction, and may be regarded as a potential candidate vaccine/drug target against T. spiralis infection.


Assuntos
Trichinella spiralis , Triquinelose , Animais , Catepsina L , Feminino , Proteínas de Helminto , Larva/genética , Camundongos , Camundongos Endogâmicos BALB C , Reprodução , Trichinella spiralis/genética
13.
Acta Trop ; 216: 105825, 2021 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-33421420

RESUMO

The critical step of Trichinella spiralis infection is that the muscle larvae (ML) are activated to intestinal infective larvae (IIL) which invade the intestinal columnar epithelium to further develop. The IIL excretory/secretory (ES) proteins play an important role in host-parasite interaction. Proteolytic enzymes are able to mediate the tissue invasion, thereby increasing the susceptibility of parasites to their hosts. The aim of the current study was to screen and identify the natural active proteases in T. spiralis IIL ES proteins using Western blot and gel zymography combined with liquid chromatography tandem mass spectrometry (LC-MS/MS). The T. spiralis ML and IIL ES proteins were collected from the in vitro cultures and their enzymatic acitvities were examined by gelatin zymography and azocasein degradation. The protease activities were partially inhibited by PMSF, E-64 and EDTA. Three protein bands (45, 118 and 165 kDa) of T. spiralis IIL ES proteins were identified by shotgun LC-MS/MS because they have hydrolytic activity to gelatin compared to the ML ES proteins. Total of 30 T. spiralis proteins were identified and they are mainly serine proteinases (19), but also metalloproteinases (7) and cysteine proteinases (3). The qPCR results indicated that transcription levels of four T. spiralis protease genes (two serine proteases, a cathepsin B-like cysteine proteinase and a zinc metalloproteinase) at IIL stage were obviously higher than at the ML stage. These proteolytic enzymes are directly exposed to the host intestinal milieu and they may mediate the worm invasion of enteral epithelium and escaping from the host's immune responses. The results provide the new insights into understanding of the interaction of T. spiralis with host and the invasion mechanism.


Assuntos
Proteínas de Helminto/metabolismo , Peptídeo Hidrolases/metabolismo , Proteoma/análise , Trichinella spiralis/enzimologia , Trichinella spiralis/genética , Animais , Cromatografia Líquida , Proteínas de Helminto/genética , Interações Hospedeiro-Parasita , Intestinos/parasitologia , Larva/genética , Larva/metabolismo , Camundongos , Camundongos Endogâmicos BALB C , Músculo Esquelético/parasitologia , Peptídeo Hidrolases/genética , Reação em Cadeia da Polimerase , Proteômica/métodos , RNA de Protozoário , Reação em Cadeia da Polimerase em Tempo Real , Organismos Livres de Patógenos Específicos , Espectrometria de Massas em Tandem , Triquinelose/parasitologia
14.
J Evid Based Med ; 2020 Oct 14.
Artigo em Inglês | MEDLINE | ID: mdl-33090726

RESUMO

OBJECTIVE: To establish an instrument for evaluating the clinical applicability of guidelines from the guideline-users' perspective. METHODS: We established this instrument through forming a working group, forming an initial list of items based on a qualitative systematic review, establishing initial instrument via two rounds of modified Delphi surveys, and external review the initial instrument. RESULTS: The results of modified Delphi surveys establishing appraisal aspects, appraisal items, general information of the evaluator met the preset requirements. The instrument includes three parts: general information of the evaluator (12 items), evaluation of clinical applicability (12 items, including items on the availability, readability, acceptability, feasibility, and overall applicability of guideline), and scoring scheme. CONCLUSIONS: The instrument for evaluating the clinical applicability of guidelines from the guideline-users' perspective provides criteria and methods for improving the clinical applicability of guidelines during development and updating.

15.
Rinsho Ketsueki ; 61(7): 734-739, 2020.
Artigo em Japonês | MEDLINE | ID: mdl-32759558

RESUMO

We report a case of a 16-year-old woman who achieved her third complete remission of acute lymphoblastic leukemia after undergoing allogeneic stem cell transplantation for the second time from an unrelated donor. On post-transplantation day 30, she showed weight gain, hepatomegaly, right hypochondriac pain, and ascites. On day 35, ultrasonography (US) revealed portal vein regurgitation. She was subsequently diagnosed with late-onset sinusoidal obstruction syndrome (SOS) and was transferred to the intensive care unit (ICU) on day 36 for multiple organ dysfunction syndrome (MODS) and disseminated intravascular coagulation, requiring mechanical ventilation. Her SOS was graded as very severe upon ICU admission. Recombinant human soluble thrombomodulin (380 U/kg/day) and methylprednisolone (2 mg/kg/day) therapies were initiated. Additionally, her intra-abdominal pressure had increased to 19 mmHg, which was thought to be the cause of MODS. Ascites drainage (1,000 ml/day), according to the treatment for abdominal compartment syndrome, improved her SOS and MODS. She was weaned from mechanical ventilation on the 10th day after ICU transfer, and US showed resolution of the portal vein regurgitation. She was transferred to the general ward on the 14th day. She had not experienced disease recurrence at her last visit (527 days after the second transplantation).


Assuntos
Hepatopatia Veno-Oclusiva , Adolescente , Coagulação Intravascular Disseminada , Feminino , Transplante de Células-Tronco Hematopoéticas , Humanos , Insuficiência de Múltiplos Órgãos , Trombomodulina
16.
Acta Trop ; 211: 105592, 2020 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-32565198

RESUMO

Elastase-1 is one member of serine protease family, distributes in organisms widely and plays a crucial role in the invasion and development of Trichinella spiralis. In order to identify the binding of T. spiralis elastase-1 (TsEla) with host's intestinal epithelial cells (IECs) and its role in Trichinella larval intrusion, TsEla gene was cloned and expressed in our previous study. The recombinant TsEla (rTsEla) has the enzymatic activity to degrade specific peptide substrate. A specific binding between rTsEla and IECs was detected by Far Western blot and ELISA. In an in vitro invasion assay, rTsEla promoted the larval intrusion, whereas anti-rTsEla serum inhibited the larval penetration. The larval intrusion was also suppressed after the silencing of TsEla by siRNA. Silencing of TsEla gene by siRNA-291 meditated RNA interference suppressed TsEla protein expression, reduced the worm infectivity, development and reproductive capacity. These results indicated that TsEla plays an important role in the T. spiralis intrusion of host's intestinal epithelia, and it could be a prospective vaccine molecular target against T. spiralis infection.


Assuntos
Enterócitos/fisiologia , Proteínas de Helminto/metabolismo , Mucosa Intestinal/fisiologia , Elastase Pancreática/metabolismo , Trichinella spiralis/enzimologia , Triquinelose/parasitologia , Animais , Enterócitos/imunologia , Células Epiteliais , Regulação Enzimológica da Expressão Gênica , Proteínas de Helminto/imunologia , Intestinos , Larva/fisiologia , Camundongos , Camundongos Endogâmicos BALB C , Elastase Pancreática/química , Elastase Pancreática/genética , Estudos Prospectivos , Trichinella spiralis/genética , Triquinelose/imunologia
17.
Artigo em Chinês | MEDLINE | ID: mdl-31016929

RESUMO

Thelazia callipaeda, T. californiensis and T. gulosa are three causative agents of human thelaziasis. Most of the reported cases were caused by T. callipaeda, occurring in the old world, particularly in Asian and European countries. T. californiensis and T. gulosa have rarely been reported infecting humans in North America. T. callipaeda has long been called the oriental eye worm, referring to its traditional distribution across eastern and southeastern Asia (i.e., China, Korea, Japan, Indonesia, Thailand, and India) where infection is endemic in animals and humans, usually in poorer rural areas and mainly among children and the elderly. The identification of the parasite was mainly based on the characteristics of oral and genital organs. In Asia and Europe, vectors for this nematode are male Phortica okadai and P. variegata drosophilids respectively, which feed on ocular secretions of hosts and transmit infective stage larvae to domestic and wild carnivores, lagomorphs, and humans. China probably has the largest number of cases with thelaziasis in the world, and lots of cases have been existed in other Asian countries such as Japan and Korea. Although a few of human cases have been reported, there were high infection rates of wild animals and domesticated dogs and cats in most of European countries. Based on the cox1 gene, a total of 21 haplotypes were identified in the samples from worldwide, in which, one circulated only in European countries (h1), while the other 20 haplotypes were distributed in Korea, Japan and China. In general, the Chinese clinical isolates of T. callipaeda expressed high genetic diversity. The population differences between Europe and Asian countries were greater than those among China, Korea and Japan. The T. callipaeda populations from Europe and Asia should be divided into two separate sub-populations. These two groups started to diverge during the middle Pleistocene.


Assuntos
Variação Genética , Infecções por Spirurida , Thelazioidea , Animais , Ásia/epidemiologia , China/epidemiologia , Europa (Continente) , Humanos , Infecções por Spirurida/epidemiologia , Infecções por Spirurida/parasitologia , Thelazioidea/classificação , Thelazioidea/genética
18.
Artigo em Inglês | MEDLINE | ID: mdl-30678082

RESUMO

Groundwater is a major water resource in the North Chengdu Plain, China. The research objective is to determine the quality and suitability of groundwater for drinking purposes within the vicinity of a shallow, unconsolidated aquifer of Quaternary age. In this study, a detailed investigation was conducted to define the hydrochemical characteristics that control the quality of groundwater, based on traditional methods. Considering the uncertainties linked with water resources and the environmental complications, the fuzzy logic method was used in the determination of groundwater quality for more precise findings that support decision-making. To achieve such an objective, sixteen water quality guidelines were used to determine groundwater quality status in six selected wells. The results showed that the groundwater is neutral, very hard, and fresh in nature. Dominating cations and anions are in the order of Ca 2 + > Na + > Mg 2 + > K + and HCO 3 - > SO 4 2 - > Cl - . The Piper trilinear diagram demonstrates that the hydrochemical facies of groundwater are mostly of Ca-HCO 3 type. Statistical analysis denotes a positive correlation between most of the chemical parameters. The study took the results of the fuzzy logic evaluation method into consideration, to classify the samples into five groups according to the Chinese groundwater quality standard (GB/T 14848-93) for their suitability for domestic use. The results demonstrated that the quality of the groundwater samples is within grade II and III, and is suitable for drinking purposes. The comprehensive evaluation of groundwater quality is critical to aid sensitive policy decisions, and the proposed approach can guarantee reliable findings to that effect. The results of this study would also be helpful to future researches related to groundwater quality assessment.


Assuntos
Monitoramento Ambiental/métodos , Lógica Fuzzy , Água Subterrânea/química , Água Subterrânea/normas , China , Qualidade da Água/normas , Poços de Água
19.
J Genet ; 97(5): 1281-1288, 2018 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-30555076

RESUMO

APETALA1 (AP1), a floral meristem identity gene controls the flowering time and floral transition, and plays an important role in inflorescence and floral organ development. The full-length cDNA for AP1 was obtained by rapid amplification ofthe cDNA ends (RACE) so that the roles of AP1 in Lonicera macranthoides (Lm-AP1) could be better understood. AP1 (accession number in GenBank: MF418642) consisted of a 729-bp open reading frame encoding a protein that contained 242 amino acids, had a deduced molecular mass of 27.9919 kDa and a theoretical isoelectric point of 8.75. No signal peptide or transmembranedomains were detected in the sequences located in the nucleus, but it contained conserved sequences for MADS and the K-box. In the secondary structure, the alpha helix accounts for 60.74%, the beta turn 3.72%. The real-time polymerase chain reaction revealed that AP1 was more highly expressed in flowers, especially at the fourth flowering stage, which implied that it may play a role in flower development. Other L. macranthoides organs, such as stems and leaves, also expressed AP1. This research provided the basis for further analysis of the AP1 functional mechanism during L. macranthoides development.


Assuntos
Flores/genética , Regulação da Expressão Gênica de Plantas , Lonicera/genética , Proteínas de Domínio MADS/genética , Meristema/genética , Proteínas de Plantas/genética , Sequência de Aminoácidos , Sequência de Bases , Clonagem Molecular , Flores/crescimento & desenvolvimento , Flores/metabolismo , Lonicera/crescimento & desenvolvimento , Lonicera/metabolismo , Proteínas de Domínio MADS/metabolismo , Meristema/crescimento & desenvolvimento , Meristema/metabolismo , Folhas de Planta/genética , Folhas de Planta/crescimento & desenvolvimento , Folhas de Planta/metabolismo , Proteínas de Plantas/metabolismo , Homologia de Sequência , Análise Espaço-Temporal
20.
Dalton Trans ; 47(46): 16502-16508, 2018 Nov 27.
Artigo em Inglês | MEDLINE | ID: mdl-30411105

RESUMO

With the assistance of diethylenediamine (DETA), a template-free solvothermal approach is employed to one-step synthesize a hierarchical TiO2 sphere-in-sphere, which has a unique structure: an interior nanosized sphere is contained in the cavity of another hollow microsphere, and numerous nanosheets of width ca. 20-26 nm vertically distribute on the surface. It is proved that DETA added in solution plays an important inducing role in the formation of both the hollow sphere-in-sphere structure and surface sheet-assembled network. Therefore, a DETA-assisted formation mechanism of the hierarchical TiO2 sphere-in-sphere has been described in detail. The unique hierarchical sphere-in-sphere structure endows the TiO2 product with increasing light-harvesting efficiency and specific surface area, resulting in its enhanced photocatalytic activity for the degradation of various organic pollutants under the illumination of UV light.

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