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1.
BMC Ophthalmol ; 24(1): 203, 2024 Apr 30.
Artigo em Inglês | MEDLINE | ID: mdl-38684941

RESUMO

BACKGROUND: This study aims to investigate the morphologic features of the crystalline lens in Primary Angle Closure Disease (PACD) patients with zonular instability during cataract surgery using the swept-source CASIA 2 Anterior Segment-Optical Coherence Tomography (AS-OCT) system. METHODS: A total of 398 eyes (125 PACD eyes with zonular instability, 133 PACD eyes with zonular stability, and 140 cataract patient controls) of 398 patients who underwent cataract surgery combined or not glaucoma surgery between January 2021 and January 2023 were enrolled. The crystalline lens parameters were measured by CASIA2 AS-OCT. Then, logistic regression was performed to evaluate the risk factors associated with zonular instability. RESULTS: The results revealed that PACD eyes had a more anterior lens equator position, a steeper anterior curvature of lens, shorter Axial Length (AL), shallower Anterior Chamber Distance (ACD), higher Lens Vault (LV) and thicker Lens Thickness (LT), when compared to eyes in the cataract control group. Furthermore, PACD eyes in the zonular instability group had steeper front R, front Rs and Front Rf, flatter back Rf, thicker lens anterior part thickness, higher lens anterior-to-posterior part thickness ratios, shallower ACD, and greater LV, when compared to PACD eyes with zonular stability. The logistic regression analysis, which was adjusted for age and gender, revealed that zonular instability was positively correlated with anterior part thickness, lens anterior-to-posterior part thickness ratio, and LV, but was negatively correlated with lens anterior radius and ACD. CONCLUSION: Steeper anterior curvature, increased lens anterior part thickness, higher anterior-to-posterior part thickness ratio, shallower ACD, and greater LV are the anatomic features of PACD eyes associated with zonular instability.


Assuntos
Segmento Anterior do Olho , Glaucoma de Ângulo Fechado , Cristalino , Tomografia de Coerência Óptica , Humanos , Tomografia de Coerência Óptica/métodos , Glaucoma de Ângulo Fechado/fisiopatologia , Glaucoma de Ângulo Fechado/diagnóstico , Feminino , Masculino , Idoso , Pessoa de Meia-Idade , Segmento Anterior do Olho/diagnóstico por imagem , Segmento Anterior do Olho/patologia , Cristalino/diagnóstico por imagem , Cristalino/patologia , Estudos Retrospectivos , Pressão Intraocular/fisiologia , Acuidade Visual/fisiologia
2.
Thorac Cancer ; 15(10): 764-777, 2024 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-38400818

RESUMO

BACKGROUND: Non-small cell lung cancer (NSCLC) is a type of lung cancer that occurs in the cells of the respiratory tract, and its development is influenced by the regulation of circular RNAs (circRNAs). However, the role of circRNA carboxypeptidase A4 (circCPA4) in the progression of NSCLC and the underlying mechanism remain relatively clear. METHODS: The study utilized both real-time quantitative polymerase chain reaction (RT-qPCR) and western blot techniques to evaluate the levels of circCPA4, microRNA-145-5p (miR-145-5p), alanine, serine, or cysteine-preferring transporter 2 (ASCT2). To assess cell proliferation, cell counting kit-8 (CCK8) and 5-ethynyl-2'-deoxyuridine (EdU) assays were performed. Apoptosis was determined using flow cytometry, while cell migration and invasive capacity were evaluated through transwell and wound-healing assays. Intracellular levels of glutamine, glutamate, and α-KG were measured using specific kits. The relationship between miR-145-5p and circCPA4 or ASCT2 was confirmed using dual-luciferase reporter assay and RNA immunoprecipitation assay. RESULTS: CircCPA4 and ASCT2 RNA levels were elevated, while miR-145-5p was downregulated in both NSCLC tissues and cells. Depletion of circCPA4 significantly inhibited NSCLC cell proliferation, migration, invasion, and intracellular levels of glutamine, glutamate, and α-KG, and promoted apoptosis. Moreover, circCPA4 knockdown delayed tumor growth in vivo. Furthermore, circCPA4 was found to bind to miR-145-5p, thereby regulating the progression of NSCLC in vitro. ASCT2 was also identified as a downstream target of miR-145-5p, and its upregulation rescued the effects of miR-145-5p overexpression on NSCLC cell processes. CONCLUSION: CircCPA4 knockdown inhibited tumor property of NSCLC cells by modulating the miR-145-5p/ASCT2 axis.


Assuntos
Carcinoma Pulmonar de Células não Pequenas , Neoplasias Pulmonares , MicroRNAs , Humanos , Alanina , Carcinoma Pulmonar de Células não Pequenas/genética , Proliferação de Células , Cisteína , Glutamatos , Glutamina , Neoplasias Pulmonares/genética , MicroRNAs/genética , Serina
3.
Heliyon ; 10(3): e25164, 2024 Feb 15.
Artigo em Inglês | MEDLINE | ID: mdl-38327450

RESUMO

Purpose: To explore stable and sensitive indicators for clinical diagnosis of acute angle closure (AAC) secondary to lens subluxation (LS) through quantitative analysis of CASIA 2 imaging.Design: A prospective cross-sectional study. Methods: Setting: Clinical practice.Participants: 23 patients with unilateral acute angle closure secondary to lens subluxation and 23 cataract patients without lens subluxation were recruited. Lens subluxation was confirmed by ultrasound biomicroscope diagnosis. The contralateral eyes without LS served as fellow control group. The cataract eyes without LS were enrolled in blank control group.Intervention: Participants underwent ophthalmologic examinations including slit-lamp biomicroscope, best corrected visual acuity, intraocular pressure, central corneal thickness measurement, axial length, gonioscopy, ultrasound biomicroscope and 360-degree anterior chamber and crystalline lens scan protocols of CASIA 2 system.Main outcome measures: Automated circumferential anterior segment and lens morphological parameters under anterior segment optical coherence tomography were analyzed via three-dimensional analysis. Results: Significant differences were found in the front and back radius of the lens, the front and back radius of steep curvature of the lens, lens thickness, lens decentration, lens diameter, iris-trabecular contact (ITC) index, ITC area, anterior chamber depth (ACD), lens vault (LV), and iris volume between LS and controls. Among these parameters, LV, the anterior radius of steep curvature of the lens and ACD demonstrated the highest prediction power (AUC = 0.87, 0.89, and 0.86, respectively). The prediction power of tilt/axis was much higher in the Gaussian Naive Bayes model (AUCs = 0.90) than in the logistic model (AUCs = 0.74). Combination of LV_mean, LV_std, tilt and tilt axis in Gaussian Naive Bayes model presented as most stable and excellent diagnostic markers for AAC secondary to LS (AUCs = 0.98). Conclusions: The combination of markers including lens tilt and lens vault in the mathematic model facilitate clinical work as it not only provides novel diagnostic indications and possible prompt treatment for AAC secondary to lens subluxations, but also enhances our understanding of the pathogenic role of zonulopathy in angle closure glaucoma.

4.
Antioxidants (Basel) ; 12(11)2023 Nov 16.
Artigo em Inglês | MEDLINE | ID: mdl-38001859

RESUMO

To date, Alzheimer's disease (AD) has grown to be a predominant health challenge that disturbs the elderly population. Studies have shown that mitochondrial dysfunction is one of the most significant features of AD. Transplantation therapy of healthy mitochondria (mitotherapy), as a novel therapeutic strategy to restore mitochondrial function, is proposed to treat the mitochondria-associated disease. Also, the molecular mechanism of mitotherapy remains unclear. Here, we applied the mitotherapy in AD model mice induced by amyloid-ß (Aß) plaque deposition and suggested that autophagy would be an important mechanism of the mitotherapy. After the healthy mitochondria entered the defective neuronal cells damaged by the misfolded Aß protein, autophagy was activated through the NAD+-dependent deacetylase sirtuin 1 (SIRT1) signal. The damaged mitochondria and Aß protein were eliminated by autophagy, which could also decrease the content of radical oxygen species (ROS). Moreover, the levels of brain-derived neurotrophic factor (BDNF) and extracellular-regulated protein kinases (ERK) phosphorylation increased after mitotherapy, which would be beneficial to repair neuronal function. As a result, the cognitive ability of AD animals was ameliorated in a water maze test after the healthy mitochondria were administrated to the mice. The study indicated that mitotherapy would be an effective approach to AD treatment through the mechanism of autophagy activation.

5.
J Am Soc Mass Spectrom ; 34(12): 2822-2830, 2023 Dec 06.
Artigo em Inglês | MEDLINE | ID: mdl-37883684

RESUMO

Miniature ion trap mass spectrometry with the unique ability of tandem-in-time analysis is extensively used in public security and environmental pollution detection. In this study, a novel radial electric field driven collision-induced dissociation (REFD-CID) is presented with high fragmentation efficiency for different species by adjusting the float DC, the initial kinetic energy of ions, and the pressure in a miniature continuous atmospheric pressure interfaced ion trap mass spectrometer (CAPI-ITMS). It is noteworthy that multiple fragment ions ([M+H-nC2H4]+, where n = 1, 2, 3) of triethyl phosphate were observed with a single injection of ions. The underlying mechanism of the REFD-CID revealed that the enhanced radial electric field by modulation of the float DC drove ions toward regions of intense RF field where broadband heating and dissociation of ions took place through theoretical simulations. Finally, the REFD-CID was utilized to improve the instrument performances. The existence of reagent ions led to a severe space charge effect as the ion injection duration of the CAPI-ITMS was extended to enhance the sensitivity of aniline. Through selective fragmentation of reagent ions, peak broadening and mass shift were eliminated, and meanwhile, a 28-fold improvement of aniline in a signal-to-noise ratio was achieved with the ion injection duration varying from 50 to 2500 ms. Moreover, isomeric illicit drugs (JWH-018 and acetylcodeine) were distinguished by generating multiple characteristic fragment ions, demonstrating potential applications in the identification of synthetic illicit drugs.

6.
J Cancer Res Ther ; 19(4): 924-932, 2023 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-37675718

RESUMO

Purpose: To examine post-operative progression and risk impact of insufficient radiofrequency ablation (RFA) following transarterial chemoembolization (TACE) for the prognosis of large hepatocellular carcinoma (HCC). Materials and Methods: From January 2014 to January 2021 were analyzed. A total of 343 patients with large HCC (diameter >5 cm) who received TACE combined with RFA were enrolled and were divided into two groups: complete ablation (CA, n = 172) and insufficient ablation (IA, n = 171). Overall survival (OS) and progression-free survival (PFS) were determined by the Kaplan-Meier curve and compared with the log-rank test. To find parameters influencing OS and PFS, clinicopathological variables underwent univariate and multivariate analysis. Results: The cumulative 1-, 3-, and 5-year OS and PFS rates of the CA group were significantly higher than that of the IA group (P < 0.001). 25 (41%) patients in local tumor progression (LTP), 36 (59%) in intrahepatic distant recurrence (IDR), and 0 (0%) in extrahepatic distant recurrence (EDR) in the CA group. 51 (32.1%) patients in LTP, 96 (60.4%) patients in IDR, and 12 (7.5%) cases in EDR in the IA group. The recurrence patterns of the two groups were statistically significant difference (P = 0.039). In multivariate analysis, inadequate ablation and conjunction with TKIs were both significant risk factors for OS and PFS. Apart from these, older age and >7 cm of tumor size were indicators of poor OS and multiple tumors were indicators of poor PFS. Conclusion: Insufficient ablation causes a poor survival outcome of TACE combined with RFA for large HCC, particularly, which can promote IDR.


Assuntos
Carcinoma Hepatocelular , Quimioembolização Terapêutica , Neoplasias Hepáticas , Ablação por Radiofrequência , Humanos , Carcinoma Hepatocelular/terapia , Quimioembolização Terapêutica/efeitos adversos , Neoplasias Hepáticas/terapia , Procedimentos Cirúrgicos Vasculares , Ablação por Radiofrequência/efeitos adversos
7.
Opt Express ; 31(16): 26517-26534, 2023 Jul 31.
Artigo em Inglês | MEDLINE | ID: mdl-37710511

RESUMO

At hypersonic velocities, the turbulent flow field generated by an aircraft, along with its temperature distribution, leads to significant aerodynamic optical effects that severely impede the performance of internal optical systems. This study proposes a method for analyzing the temporal characteristics of imaging degradation in a detector window infrared imaging system under different field angles of hypersonic velocity. Based on heat transfer theory, a method for solving the transient temperature field in the optical window of a high-speed aircraft is derived and established, considering unsteady thermal conduction-radiation coupling. Additionally, an optical window radiation tracing method is introduced, which directly determines the initial direction vector of light reaching the detector. This method reduces the workload of radiation transmission, significantly enhancing the efficiency of radiation calculations. The time characteristics of image degradation caused by aero-optical effects in high-speed aircraft are analyzed using metrics such as peak signal-to-noise ratio, wave aberration, and point diffusion function. The results demonstrate that as working time increases and the viewing angle widens, the impact of aero-optics on the aircraft imaging system becomes more severe. Moreover, compared to the aerodynamic light transmission effect, the aerodynamic thermal radiation effect has a more detrimental influence on imaging quality.

8.
Cell Mol Biol (Noisy-le-grand) ; 69(6): 132-140, 2023 Jun 30.
Artigo em Inglês | MEDLINE | ID: mdl-37605580

RESUMO

Circular RNA (circRNA) is a kind of RNA generated by a covalently closed loop and possesses sophisticated capacities of gene regulation in tumorigenesis and development. However, the role of circZSWIM4 on lung adenocarcinoma (LUAD) remains largely unclear. In the present study, we used reverse transcription-qPCR (RT-qPCR) to examine whether circZSWIM4 was significantly overexpressed in LUAD cells. The impacts of circZSWIM4 on the properties of proliferation, apoptosis and migration were assessed by loss-of and gain-of-function assays, such as CCK-8 experiments, flow cytometry analysis and wound healing experiments. Moreover, TOP/FOP flash experiments and FISH experiments were carried out to prove that circZSWIM4 stimulated the Wnt/ß-catenin pathway. Downstream targets of circZSWIM4 were forecasted by bioinformatics tools and validated by RNA immunoprecipitation (RIP), RNA pulls down as well as luciferase reporter experiments. Forkhead box M1 (FOXM1) was confirmed to be the corporate targets of miR-370-3p and miR-873-5p. Through co-IP assay, we verified the combination between FOXM1 and ß-catenin. Totally, circZSWIM4 activated the Wnt/ß-catenin pathway by targeting miR-370-3p and miR-873-5p to regulate FOXM1 and ß-catenin and facilitated the progression of LUAD.


Assuntos
Adenocarcinoma de Pulmão , Neoplasias Pulmonares , MicroRNAs , Humanos , beta Catenina/genética , Adenocarcinoma de Pulmão/genética , Carcinogênese , Neoplasias Pulmonares/genética , MicroRNAs/genética , Proteína Forkhead Box M1/genética
9.
Opt Express ; 31(14): 22323-22342, 2023 Jul 03.
Artigo em Inglês | MEDLINE | ID: mdl-37475346

RESUMO

With the advent of the hypersonic era, diverse combat methods of hypersonic precision-guided weapons have been gradually developed. This study focuses on the precise design of a conformal infrared dome to accommodate different working conditions. To achieve this, an adaptive optimization technology for configuring conformal infrared domes is proposed, employing a multi-objective genetic algorithm. The technology enables the dome to dynamically balance its aerodynamic and imaging performance, taking into account the specific characteristics of each working condition. Moreover, it streamlines the design process of the conformal infrared domes. By optimizing the design with von Karman surfaces, we can overcome the limitations associated with the traditional quadric configuration. In order to evaluate its performance, a comparison was made with a conventional ellipsoid dome. The results indicate that, under the same working conditions, the air drag coefficient of the optimized infrared dome is reduced by 34.29% and that the peak signal-to-noise ratio of the distorted image from the infrared detection system is increased by 1.7%. We have demonstrated the effectiveness of the optimization method to balance aerodynamic performance and optical performance. Hopefully, our new method will improve the comprehensive performance of the infrared dome as well as the guidance capability of infrared detection technology.

10.
Asian J Pharm Sci ; 18(3): 100801, 2023 May.
Artigo em Inglês | MEDLINE | ID: mdl-37274926

RESUMO

Colorectal cancer (CRC) is a common digestive tract tumor worldwide. Specific microorganisms, including Fusobacterium nucleatum (F. nucleatum) and Escherichia coli (E. coli), are abundant in colonic mucosa and can promote the cancer progression and malignancy. Therefore, a therapeutic strategy is proposed to deliver effective drugs to colorectum for both anticancer and antibacteria. Here we used thin-film dispersion method to encapsulate hemiprotonic phenanthroline-phenanthroline+ (ph-ph+) into nanomicelle. The results showed that the drug-loading nanomicelle had good dispersion, and the particle size was about 28 nm. In vitro assay indicated that the nanomicelle was active against CRC-related obligate and facultative anaerobes. In human CRC cells, the nanomicelle could effectively inhibit cell proliferation and induce apoptosis. In vivo distribution showed that the nanomicelle could release ph-ph+ mainly in the colorectum. In CRC model mice, the nanomicelle significantly reduced tumor number and volume, and decreased the bacteria load and colorectal inflammation. Together, the study identifies that the ph-ph+nanomicelle has the potential to apply in treating CRC, and also suggests that anticancer combined with antimicrobial therapy would be a feasible way for CRC therapy.

11.
Oncol Lett ; 25(6): 240, 2023 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-37181948

RESUMO

Secreted protein acidic and rich in cysteine (SPARC) is a member of the extracellular matrix glycoprotein family that binds to calcium ions. It may bind to a variety of proteins in the extracellular matrix and also compete with cell membrane surface receptors for growth. In the present study, the relationship between SPARC expression in gastric cancer tissues and the clinicopathological characteristics and prognosis of patients with gastric cancer were systematically evaluated. A meta-analysis and bioinformatics analysis were performed using the PubMed, Chinese National Knowledge Infrastructure, Kaplan-Meier (KM)-plotter, The Cancer Genome Atlas (TCGA), Gene Expression Profiling Interactive Analysis (GEPIA), University of ALabama at Birmingham CANcer (UALCAN), Human Protein Atlas (HPA) and Timer databases. SPARC was mainly expressed in tumor mesenchymal cells. The meta-analysis indicated that SPARC expression was higher in gastric cancer tissues than in normal tissues. SPARC was associated with the degree of differentiation and distant metastasis. K-M plotter results indicated that high SPARC expression was negatively associated with overall survival, post-progression survival and progression-free survival rates of patients. According to the Oncomine, GEPIA, UALCAN and HPA databases, SPARC mRNA and protein expression was upregulated in gastric cancer vs. normal tissues and was negatively associated with poor patient prognosis. In the TCGA database, univariate analysis indicated that lymph node metastasis and distant metastasis were associated with the prognosis of patients with gastric cancer. Cox multifactorial analysis suggested that high SPARC expression, age and distant metastasis were important factors affecting the survival time of patients with gastric cancer. Analysis with the Timer database indicated that SPARC was closely associated with the proportion of 7 immune-cell infiltrates in gastric cancer. These findings indicated that high expression of SPARC may be a potential marker of tumorigenesis and metastasis in patients with gastric cancer.

12.
Oncol Lett ; 25(5): 184, 2023 May.
Artigo em Inglês | MEDLINE | ID: mdl-37113395

RESUMO

F-box/WD repeat domain-containing 7 (FBXW7, also known as CDC4) is a member of the F-box protein family, which is a component of the E3 ubiquitin ligase complex. There is an association between expression of FBXW7 and the prognosis of gastric cancer. Therefore, the search for novel tumor biomarkers is key to predict the occurrence, recurrence and metastasis of gastric cancer. In the present study, systematic meta-analysis and bioinformatics analysis were performed to determine the expression levels of prognostic marker FBXW7 in gastric cancer. A literature search was conducted on August 10, 2022, using PubMed, SinoMed, Wanfang data and China National Knowledge Infrastructure databases. The meta-analysis included six studies and showed that the expression of FBXW7 was significantly downregulated in gastric cancer compared with normal mucosal tissues (P<0.05). FBXW7 expression was positively associated with lymph node metastasis, TNM stage and differentiation (P<0.05). According to the Oncomine database, FBXW7 mRNA expression was higher in gastric cancer than in normal tissue (P<0.05). Kaplan-Meier plots showed that FBXW7 mRNA expression was positively associated with the overall and progression-free survival of patients with gastric cancer. According to the UALCAN and Gene Expression Profiling Interactive Analysis databases, FBXW7 expression was downregulated in gastric cancer compared with normal tissue. FBXW7 may be involved in the entire process of gastric carcinogenesis and its low expression may make it a potential marker for the prognosis of patients with gastric cancer.

13.
J Transl Med ; 21(1): 256, 2023 04 12.
Artigo em Inglês | MEDLINE | ID: mdl-37046301

RESUMO

BACKGROUND: Preterm birth (PTB) is the main driver of newborn deaths. The identification of pregnancies at risk of PTB remains challenging, as the incomplete understanding of molecular mechanisms associated with PTB. Although several transcriptome studies have been done on the placenta and plasma from PTB women, a comprehensive description of the RNA profiles from plasma and placenta associated with PTB remains lacking. METHODS: Candidate markers with consistent trends in the placenta and plasma were identified by implementing differential expression analysis using placental tissue and maternal plasma RNA-seq datasets, and then validated by RT-qPCR in an independent cohort. In combination with bioinformatics analysis tools, we set up two protein-protein interaction networks of the significant PTB-related modules. The support vector machine (SVM) model was used to verify the prediction potential of cell free RNAs (cfRNAs) in plasma for PTB and late PTB. RESULTS: We identified 15 genes with consistent regulatory trends in placenta and plasma of PTB while the full term birth (FTB) acts as a control. Subsequently, we verified seven cfRNAs in an independent cohort by RT-qPCR in maternal plasma. The cfRNA ARHGEF28 showed consistence in the experimental validation and performed excellently in prediction of PTB in the model. The AUC achieved 0.990 for whole PTB and 0.986 for late PTB. CONCLUSIONS: In a comparison of PTB versus FTB, the combined investigation of placental and plasma RNA profiles has shown a further understanding of the mechanism of PTB. Then, the cfRNA identified has the capacity of predicting whole PTB and late PTB.


Assuntos
Placenta , Nascimento Prematuro , Gravidez , Feminino , Humanos , Recém-Nascido , Placenta/metabolismo , RNA/genética , RNA/metabolismo , Nascimento Prematuro/genética , Nascimento Prematuro/metabolismo , Biomarcadores/metabolismo
14.
J Invest Dermatol ; 143(9): 1799-1808.e3, 2023 09.
Artigo em Inglês | MEDLINE | ID: mdl-36921683

RESUMO

Trichophyton rubrum (T. rubrum) is the most common causative agent of dermatophytosis worldwide. The development of antifungal drugs will contribute to treating the disease. In this study, we suggest that a hemiprotonic compound phenanthroline-phenanthroline+ (ph-ph+) is active in inhibiting the growth and reproduction of T. rubrum, and the minimum inhibitory concentration and minimum fungicidal concentration values were 2 µg/ml and 8 µg/ml, respectively. In an in vitro onychomycosis model, ph-ph+ killed T. rubrum by inducing apoptosis, which was evaluated by transmission electron microscopy and Annexin V-FITC/propidium iodide staining. Transcriptomic analysis and biochemical assay showed that ph-ph+ elevated iron ion content in T. rubrum cells and reduced glutathione antioxidant system level, leading to an increase in the contents of ROS and malondialdehyde. Therefore, the antifungal mechanism of ph-ph+ would be associated with iron ion-induced cell apoptosis, which is different from other known antifungal drugs. Furthermore, ph-ph+ was prepared into gel for application in guinea pigs with dermatophytosis caused by T. rubrum. The results showed that the ph-ph+ gel eliminated the fungus in the animals without causing skin irritation or other adverse reactions. The study would not only provide a potential compound to treat dermatophytosis, but also suggest that iron ion-induced cell apoptosis might be a new approach to killing fungi.


Assuntos
Antifúngicos , Tinha , Animais , Cobaias , Antifúngicos/farmacologia , Antifúngicos/uso terapêutico , Fenantrolinas/farmacologia , Fenantrolinas/uso terapêutico , Trichophyton , Tinha/tratamento farmacológico , Testes de Sensibilidade Microbiana
15.
Front Endocrinol (Lausanne) ; 14: 1102361, 2023.
Artigo em Inglês | MEDLINE | ID: mdl-36755912

RESUMO

Neovascular glaucoma (NVG) is a devastating secondary glaucoma characterized by the appearance of neovascular over the iris and the proliferation of fibrovascular tissue in the anterior chamber angle. Proliferative diabetic retinopathy (PDR) is one of the leading causes of NVG. Currently increasing diabetes population drive the prevalence rate of NVG into a fast-rising lane. The pathogenesis underlying NVG makes it refractory to routine management for other types of glaucoma in clinical practice. The combination of panretinal photocoagulation (PRP), anti-vascular endothelial growth factor (VEGF) injections, anti-glaucoma drugs, surgical intervention as well as blood glucose control is needed. Early diagnosis and aggressive treatment in time are crucial in halting the neovascularization process and preserving vision. This review provides an overview of NVG secondary to diabetic retinopathy (DR), including the epidemiology, pathogenesis and management, so as to provide a better understanding as well as potential therapeutic strategies for future treatment.


Assuntos
Diabetes Mellitus , Retinopatia Diabética , Glaucoma Neovascular , Humanos , Retinopatia Diabética/epidemiologia , Retinopatia Diabética/etiologia , Retinopatia Diabética/terapia , Fator A de Crescimento do Endotélio Vascular , Glaucoma Neovascular/epidemiologia , Glaucoma Neovascular/etiologia , Glaucoma Neovascular/terapia , Fotocoagulação a Laser , Retina , Diabetes Mellitus/terapia
16.
Clin Pediatr (Phila) ; 62(9): 1109-1117, 2023 10.
Artigo em Inglês | MEDLINE | ID: mdl-36748921

RESUMO

The less invasive surfactant application (LISA) technology has been widely used to manage breathing in premature infants. Premature infants with respiratory distress syndrome (RDS) were retrospectively analyzed and divided into 2 groups according to the drug delivery methods used: LISA versus traditional pulmonary surfactant injection (INSURE). The decrease of transcutaneous saturation (TcSO2) and heart rate during surfactant delivery in the LISA group was higher than that in the INSURE group (P < .05). Between the 2 groups, there was no significant difference in the change in partial pressure of oxygen/fraction of inspired oxygen value before and after drug delivery; second-use pulmonary surfactant; noninvasive ventilation (NIV) failure rate; incidence of some complications; duration of NIV use; hospitalization time; and mortality (P > .05). However, the incidence of bronchopulmonary dysplasia (BPD) in the LISA group was lower than that in the INSURE group (P < .05). The clinical efficacy of LISA combined with the NIV treatment in premature infants with RDS was clear, and this treatment could reduce the incidence of BPD.


Assuntos
Displasia Broncopulmonar , Ventilação não Invasiva , Surfactantes Pulmonares , Síndrome do Desconforto Respiratório do Recém-Nascido , Recém-Nascido , Humanos , Surfactantes Pulmonares/uso terapêutico , Tensoativos/uso terapêutico , Estudos Retrospectivos , Síndrome do Desconforto Respiratório do Recém-Nascido/terapia , Displasia Broncopulmonar/terapia , Oxigênio
17.
J Phys Chem Lett ; 14(5): 1265-1271, 2023 Feb 09.
Artigo em Inglês | MEDLINE | ID: mdl-36719712

RESUMO

The photodissociation and photoionization behaviors of haloalkanes in the VUV regime are important to fully understand the mechanism of ozone depletion in the stratosphere. The ionization of dichloromethane (CH2Cl2) under the irradiation of 10.0 and 10.6 eV light was investigated. CH2Cl+ was observed at 10 Pa, while both CH2Cl+ and CHCl2+ were observed at higher pressure. The production efficiency of CH2Cl+ decreased with the increasing number density of CH2Cl2, while that of CHCl2+ increased. A kinetic model was successfully derived to quantitatively describe the variation trends of CH2Cl+ and CHCl2+, in which the competition between photoinduced ion-pair and photodissociation-assisted photoionization (PD-PI) were included. The ion-pair channel was quenched efficiently at higher pressure or concentration, which reduced its contribution. Our study proposed new insights into the complicated photoexcitation behaviors of CH2Cl2 in the VUV regime and revealed the important role of photodissociation in photoionization at low photon flux.

18.
Opt Express ; 31(26): 43234-43249, 2023 Dec 18.
Artigo em Inglês | MEDLINE | ID: mdl-38178422

RESUMO

Images captured in fog are often affected by scattering. Due to the absorption and scattering of light by aerosols and water droplets, the image quality will be seriously degraded. The specific manifests are brightness decrease, contrast decrease, image blur, and noise increase. In the single-image dehazing method, the image degradation model is essential. In this paper, an effective image degradation model is proposed, in which the hierarchical deconvolution strategy based on transmission map segmentation can effectively improve the accuracy of image restoration. Specifically, the transmission map is obtained by using the dark channel prior (DCP) method, then the transmission histogram is fitted. The next step is to divide the image region according to the fitting results. Furthermore, to more accurately recover images of complex objects with a large depth of field, different levels of inverse convolution are adopted for different regions. Finally, the sub-images of different regions are fused to get the dehazing image. We tested the proposed method using synthetic fog images and natural fog images respectively. The proposed method is compared with eight advanced image dehazing methods on quantitative rating indexes such as peak signal-to-noise ratio (PSNR), structural similarity (SSIM), image entropy, natural image quality evaluator (NIQE), and blind/referenceless image spatial quality evaluator (BRISQUE). Both subjective and objective evaluations show that the proposed method achieves competitive results.

19.
Sci Rep ; 12(1): 11141, 2022 Jul 01.
Artigo em Inglês | MEDLINE | ID: mdl-35778594

RESUMO

The study of water-conducting fracture zone development height is key to the scientific prevention and control of water damage in mines. Based on the geological conditions of the Wenjiapo coal mine in Binchang, China, this paper investigates the development of water-conducting fracture zone in overlying bedrock during mining under large buried depth and huge thick aquifer by combining on-site well-location microseismic monitoring and laboratory similar material simulation. To overcome the limitation of the " limited outlook " of water-conducting fracture zone investigation, the spatial development characteristics of roof fissures in coal seam mining were determined by on-site " the underground - ground" combined microseismic monitoring and follow-up monitoring, and the development of overlying rock fracture under the large depth of burial was concluded. The fractures were mainly distributed in the upper part of the protective coal pillar on both sides of the working face, but less in the upper part of the working face, and primarily distributed in the protective coal pillar on the side of the working face and the adjacent mining area. To verify the accuracy of the conclusion, the overlying bedrock movement and deformation characteristics and the development process of the hydraulic fracture zone during coal seam mining were analyzed by simulating similar materials in the laboratory, using the monitored area as a prototype. The results show that the development height of the mining fracture zone obtained from microseismic monitoring is basically consistent with the simulation results of similar materials. The research finding have significant implications for the study of fracture distribution characteristics and the evolution law of mining overburden, and provide a foundation for scientific prevention and control of water damage on the roof.

20.
Am J Ophthalmol Case Rep ; 26: 101541, 2022 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-35496767

RESUMO

Purpose: To retrospectively report a case of Weill-Marchesani syndrome 4 (WMS4) with compound heterozygous variants of ADAMTS17 gene. Observations: The patient was a 7-year-old boy with progressively worsening eyesight and intermittent elevated intraocular pressure (IOP) for two years. His IOPs were temporarily controlled using anti-glaucoma drugs. At presentation he had a shallow anterior chamber, lens subluxation, spherophakia and extensive synechial angle closure with high myopia in both eyes. Ultrasound biomicroscopy (UBM) identified thickened zonule fibers and anteriorly rotated, flat and slender ciliary processes, both of which worsened and were accompanied by obvious iris bombe after miosis. Gene testing showed compound heterozygosity of a maternal submicroscopic deletion on chromosome 15q26.3 (0.774 Mb) affecting the sequences of ADAMTS17, LYSMD4 and CERS3 as well as a paternal nonsense variant (c.1051_1053delAAGinsTAA, P.K351X) in the ADAMTS17 gene in the proband. The diagnosis of WMS4 was confirmed by genetic testing. Phacoemulsification (Phaco), intraocular lens (IOL) implantation, and irido-zonulo-hyaloid-vitrectomy (IZHV) combined with Ahmed Glaucoma Valve (AGV) implantation as a staged or one-stage surgery effectively lowered IOP, deepened ACD, improved visual acuity, and resolved the configuration of the ciliary processes in both eyes. Conclusion and Importance: Recessive ADAMTS17 variants are associated with WMS4. We report here compound heterozygous variants in ADAMTS17 causing WMS4, and anatomically highlighted the possible pathophysiology for its clinical phenotype. A modified surgical approach with Phaco, IOL implantation, and IZHV combined with AGV implantation could be used to treat these complicated cases.

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