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1.
Heliyon ; 10(17): e37080, 2024 Sep 15.
Artigo em Inglês | MEDLINE | ID: mdl-39319163

RESUMO

The content and density of traffic signs directly affect the operation of urban road traffic and drivers. To overcome the limitations of quantitative research on the density threshold of traffic signs on urban roads, a real vehicle experiment was conducted to record the psychological characteristics of drivers. Four psychological parameters of drivers-pupil area, fixation intensity, heart rate change rate, and heart rate variability-were explored. Subsequently, principal component analysis was used to present a new index, S, divided into 5 grade scales, to represent the driving visual comfort level. The information entropy theory was applied to quantify the amount of information on road traffic signs that are included in driving tests, and a regression relationship between the traffic sign information and comfort index S was established. The visual psychological load thresholds for different comfort levels were -2.289≤S < -1.526 for very comfortable, 1.526≤S < -0.763 for relatively comfortable, -0.763≤S ≤ 0.763 for comfortable, 0.763

2.
Huan Jing Ke Xue ; 45(9): 5526-5537, 2024 Sep 08.
Artigo em Chinês | MEDLINE | ID: mdl-39323169

RESUMO

This study focused on a molybdenum mining area in the Qinling Mountains (Shaanxi segment). Crop and corresponding soil samples were collected from the vicinity of the mining area, and the concentrations of six heavy metals (Cr, Cu, Zn, As, Cd, and Pb) were determined. Soil heavy metal pollution was assessed using single-factor, comprehensive pollution, and geo-accumulation index methods. The primary sources of soil heavy metals were analyzed using the PMF model. A health risk assessment for soil and crops was conducted using the USEPA model. The results revealed severe pollution of agricultural soils by Cr, Cu, Zn, Cd, and Pb. Among these, Cr may have been primarily sourced from chrombismite nearby mining activities, contributing to 85.1% of the pollution. Cu and As were mainly sourced from agriculture, contributing 50.3% and 70.6%, respectively. Zn and Cd were primarily sourced from natural sources such as metal slag dust and rainwash from the mining area, contributing 73.5% and 48.7%, respectively. Pb was primarily sourced from transportation sources, contributing to 54.7% of the pollution. Crop metal contamination was especially severe for Cr, followed by Pb, whereas As and Cd contamination was relatively lower. Crops were significantly impacted by heavy metal pollution in agricultural soils. The health risk assessment indicated non-carcinogenic and carcinogenic risks for children due to soil heavy metals, whereas adults faced acceptable levels of risk. Both adults and children were exposed to highly significant non-carcinogenic and carcinogenic risks from heavy metals in the crops. Moreover, it is essential to implement effective measures to control heavy metal pollution from tailings to safeguard nearby residents, especially children, from adverse health risks.


Assuntos
Produtos Agrícolas , Monitoramento Ambiental , Metais Pesados , Mineração , Molibdênio , Poluentes do Solo , Metais Pesados/análise , Poluentes do Solo/análise , Medição de Risco , China , Produtos Agrícolas/crescimento & desenvolvimento , Monitoramento Ambiental/métodos , Molibdênio/análise , Humanos
3.
ACS Appl Mater Interfaces ; 16(38): 50061-50070, 2024 Sep 25.
Artigo em Inglês | MEDLINE | ID: mdl-39265178

RESUMO

Oligomerized small molecular acceptors (OSMAs) have rapidly become a research hotspot in the field of organic solar cells due to their advantages of effective combination with definite structure of small molecules and high viscosity and glass transition temperature of polymers. From this perspective, we classify and summarize the representative OSMAs from the three binding sites of end, core, and wing, and we summarize the exploration of new synthesis methods to improve the plights, such as low synthesis yield and difficult purification. Finally, the existing challenges and future research directions are concluded and prospected.

4.
Am J Nucl Med Mol Imaging ; 14(4): 261-271, 2024.
Artigo em Inglês | MEDLINE | ID: mdl-39309417

RESUMO

Activated macrophages are key effector cells and specific markers in patients with rheumatoid arthritis (RA). Cysteine cathepsin B (CTS-B) is highly expressed in macrophages and positively associated with RA activity and severity. This study aims to evaluate an activity-based multi-modality diagnostic agent, 68Ga-BMX2, which targets CTS-B to visualize the arthritis activity and evaluate the treatment efficacy. A CTS-B activity-based probe, BMX2, was labeled efficiently with 68Ga to produce 68Ga-BMX2 for fluorescent and positron emission tomography (PET) multi-modality imaging. The affinity and specificity of BMX2 binding with the CTS-B enzyme in macrophages were determined by radioactive experiment using RAW 264.7 cell lines, with CA074 and BMX5 as the inhibitors to test the specificity of the binding. Then, PET and fluorescence imaging were acquired on collagen-induced arthritis (CIA) mice. Additionally, the treatment monitoring capability of 68Ga-BMX2 PET/CT imaging was tested with methotrexate (MTX). RAW 264.7 macrophage cells showed significant uptake of 68Ga-BMX2. The binding of BMX2 with CTS-B in RAW 264.7 macrophage cells is time-dependent and could be blocked by CA074 and BMX5. In vivo optical and PET imaging showed high signals in the right hind arthritis in CIA mice from 68Ga-BMX2 and BMX2 accumulated for at least 120 h. Additionally, 68Ga-BMX2 signals were significantly reduced in the MTX-treated CIA mice compared to the control group. The 68Ga-BMX2, a radioactive and fluorescent dual-modality diagnostic agent targeting CTS-B, demonstrated a practical approach for CIA PET and fluorescence imaging. The 68Ga-BMX2 multimodality imaging could significantly monitor the treatment response in the CIA mice.

5.
Zhongguo Zhong Yao Za Zhi ; 49(17): 4768-4776, 2024 Sep.
Artigo em Chinês | MEDLINE | ID: mdl-39307811

RESUMO

This study established an ultra-high performance liquid chromatography-tandem mass spectrometry(UPLC-MS/MS) method to determine the content of five index components in rat tissues and organs after administration of Shuganning Injection or Scutellariae Radix extract. The dynamic changes and differences of the distribution of the five index components over time between the two groups were studied, and the effects of Scutellariae Radix alone or in combination with other medicines on the tissue distribution of the five components were explored. After Shuganning Injection or Scutellariae Radix extract was injected into the tail vein of rats, the heart, liver, spleen, lung, kidney, stomach, intestine, and brain tissue samples were collected at four time points of 0.17, 0.5, 1, and 2 h, respectively. UPLC-MS/MS was employed to measure the concentrations of the five index components(baicalin, baicalein, oroxylin A, oroxylin A-7-O-ß-D-glucuronide, and scutellarin) in the samples of the two groups. The results showed that the established method was simple, fast, and exclusively stable. After the administration of Shuganning Injection and Scutellariae Radix extract, the five index components presented wide distribution and had differences in vivo. The two groups showcased abundant distribution of baicalin, baicalein, and oroxylin A in the kidney and liver, oroxylin A-7-O-ß-D-glucuronide in the kidney and brain, and scutellarin in the kidney and heart. The content of baicalin in the heart, liver, kidney, and intestine, baicalein in the liver and kidney, and oroxylin A in the lung after administration of Shuganning Injection(Scutellariae Radix in combination with other medicines) was significantly higher than that after administration of Scutellariae Radix extract. The results of this study suggested that the five components of Shuganning Injection and Scutellariae Radix extract demonstrated wide distribution without accumulation in rats. The combination of Scutellariae Radix with other medicines can increase the distribution of active components in rats, which provided a basis for explaining the rationality of the compatibility of Shuganning Injection from in vivo processes.


Assuntos
Medicamentos de Ervas Chinesas , Flavonoides , Ratos Sprague-Dawley , Scutellaria baicalensis , Espectrometria de Massas em Tandem , Animais , Scutellaria baicalensis/química , Espectrometria de Massas em Tandem/métodos , Ratos , Distribuição Tecidual , Medicamentos de Ervas Chinesas/química , Medicamentos de Ervas Chinesas/farmacocinética , Medicamentos de Ervas Chinesas/análise , Cromatografia Líquida de Alta Pressão/métodos , Masculino , Flavonoides/análise , Flavanonas/análise , Extratos Vegetais/química , Apigenina/análise , Espectrometria de Massa com Cromatografia Líquida
6.
Nurs Open ; 11(9): e2231, 2024 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-39235127

RESUMO

AIM: This study analysed and summarized the correlation between various indicators of ICU nurses' personal lives, hospital work situation, social opinion, psychological assessment, and their intention to resign. DESIGN: A descriptive quantitative study. METHODS: This study was a multicentre questionnaire on factors influencing intensive care unit (ICU) nurses' intention to resign. This study was completed through the Critical Care E Institute (CCEI) and China Calm Therapy Research Group Academic Organization (CNCSG) by contacting ICU nurses in three hospitals in 34 provinces in China. The questionnaire was in the form of a cell phone WeChat scan code. The survey included 22 indicators, including basic information about nurses (marital and child status, personal income, etc.), hospital work (weekly working hours, night shift, hospital environment, etc.), and psychological symptoms. RESULTS: A total of 1904 nurses were included in this study. Among them, 1060 (55.67%) had the intention to resign. In this study, among the 22 indicators involved, 16 factors, including hospital work hours, job title, satisfaction with current income, having children, and evaluation of the hospital, significantly impact nurses' intentions to resign (all p < 0.05). Logistic regression analysis showed that six indicators influenced nurses' choice of resignation intention (all p < 0.05), including hospital work time, professional title, income satisfaction, hospital work pride, satisfaction of nurses with the compassion and care given to them by their hospitals, and career vision score. The ROC curve showed that all six indicators were <0.70, but the model receiver operating characteristic (ROC) curve constructed for the indicators was 0.756. In China, increasing the income of ICU nurses, fostering pride in hospital work, reducing working hours, ensuring smooth promotion processes, and enhancing career prospects can all decrease their likelihood of choosing to resign. Absorbing practical nursing management and work experience from other countries will help decrease the intention to resign within this group. PATIENT OR PUBLIC CONTRIBUTION: No patient or public contribution.


Assuntos
Unidades de Terapia Intensiva , Intenção , Satisfação no Emprego , Recursos Humanos de Enfermagem Hospitalar , Humanos , China , Inquéritos e Questionários , Adulto , Feminino , Masculino , Recursos Humanos de Enfermagem Hospitalar/psicologia , Reorganização de Recursos Humanos/estatística & dados numéricos , Atitude do Pessoal de Saúde , Enfermeiras e Enfermeiros/psicologia , Pessoa de Meia-Idade
7.
J Hypertens ; 2024 Aug 06.
Artigo em Inglês | MEDLINE | ID: mdl-39248118

RESUMO

OBJECTIVES: Observational studies that assess the relationship between salt intake and long-term outcomes require a valid estimate of usual salt intake. The gold-standard measure in individuals is sodium excretion in multiple nonconsecutive 24-h urines. Multiple studies have demonstrated that random spot urine samples are not valid for estimating usual salt intake; however, some researchers believe that fasting morning spot urine samples produce a better measure of usual salt intake than random spot samples. METHODS: We have used publicly available data from a PURE China validation study to compare estimates of usual salt intake from morning spot urine samples and four published formulae with mean of two 24-h urine samples (reference). We estimated the mean and 95% confidence interval of absolute and relative error for each formula-led method and the degree to which estimates were able to be classified into the correct quartile of intake. Bland-Altman plots were used to test the level of agreement. RESULTS: The results show that compared with the reference method, all formulae-led estimates from spot urine collections have high error rates: both random and systematic. This is demonstrated for individual estimates, as well as by quartiles of reference salt intake. This study conclusively demonstrates the unsuitability of morning spot urine formula-led estimates of usual salt intake. CONCLUSION: Our findings support international recommendations to not conduct, fund, or publish research studies that use spot urine samples with estimating equations to assess individuals' salt intake in association with health outcomes.

8.
Mycology ; 15(3): 471-484, 2024.
Artigo em Inglês | MEDLINE | ID: mdl-39247892

RESUMO

Receptor protein kinases (RPKs) critically provide the basic infrastructure to sense, perceive, and conduct the signalling events at the cell surface of organisms. The importance of LRR-RLKs has been well studied in plants, but much less information has been reported in oomycetes. In this work, we have silenced the PcLRR-RK3 and characterised its functional importance in Phytophthora capsici. PcLRR-RK3 was predicted to encode signal peptides, leucine-rich repeats, transmembrane, and kinase domains. PcLRR-RK3-silenced transformants showed impaired colony growth, decreased deformed sporangia, and reduced zoospores count. The mycelium of silenced transformants did not penetrate within the host tissues and showed defects in the pathogenicity of P. capsici. Interestingly, gene silencing also weakens the ability of zoospores germination and penetration into host tissues and fails to produce necrotic lesions. Furthermore, PcLRR-RK3 localisation was found to be the plasma membrane of the cell. Altogether, our results revealed that PcLRR-RK3 was required for the regulation of vegetative growth, zoospores penetration, and establishment into host leaf tissues.

9.
Plant Cell Environ ; 2024 Sep 10.
Artigo em Inglês | MEDLINE | ID: mdl-39254223

RESUMO

Sulphur limitation 1 (SLIM1), a member of ethylene-insensitive3-like (EIN3/EIL) protein family, is recognised as the pivotal transcription factor regulating sulphur assimilation, essential for maintaining sulphur homoeostasis in Arabidopsis. However, the function of its monocot homologues is largely unknown. In this study, we identified PvEIL3a, a homologous gene of AtSLIM1, from switchgrass (Panicum virgatum L.), a significant perennial bioenergy crop. Our results demonstrated that introducing PvEIL3a into Arabidopsis slim1 mutants significantly increased the expression of genes responsive to sulphur deficiency, and transgenic plants exhibited shortened root length and delayed development. Moreover, PvEIL3a activated the expression of AtAPR1, AtSULTR1;1 and AtBGLU30, which plays an important role in sulphur assimilation and glucosinolate metabolism. Results of transcriptome and metabonomic analysis further indicated a perturbation in the metabolic pathways of tryptophan-dependent indole glucosinolates (IGs), camalexin and auxin. In addition, PvEIL3a conservatively regulated sulphur assimilation and the biosynthesis of tryptophan pathway-derived secondary metabolites, which reduced the biosynthesis of indole-3-acetic acid (IAA) and inhibited the root elongation of transgenic Arabidopsis. In conclusion, this study highlights the functional difference of the ethylene-insensitive 3-like (EIL) family gene in monocot and dicot plants, thereby deepening the understanding of the specific biological roles of EIL3 in monocot plant species.

10.
Future Microbiol ; : 1-17, 2024 Sep 03.
Artigo em Inglês | MEDLINE | ID: mdl-39225491

RESUMO

Aim: To explore the complex relationship between gut microbiota, obesity-related male reproductive impairments, and the NLRP3 inflammasome.Methods: A high-fat diet was administered to induce obesity in a mouse model, fecal microbiota transplantation or a high-dietary fiber diet (HDFD) was administered for 5 weeks to evaluate changes in parameters related to reproductive capacity, NLRP3, gut microbiota composition and metabolites in mice.Results: A high-fat diet induces obesity and decreases reproductive capacity in male mice. Fecal microbiota transplantation and HDFD can improve reproductive capacity in obese mice by adjusting the gut microbiota population to suppress the NLRP3/ASC/caspase-1 axis, thereby reducing IL-1ß levels.Conclusion: This study offers a potential treatment for obesity-induced reproductive dysfunction by targeting the gut microbiota and the NLRP3 inflammasome pathway.


This study looks at how gut bacteria, obesity and our immune system affect male reproductive health. We made mice obese by feeding them a high-fat diet. Then, we treated them with either a transplant of gut bacteria or a high-fiber diet for 5 weeks. We found that the high-fat diet made it harder for male mice to have babies. Both the transplant and the high-fiber diet helped improve their ability to reproduce. Changing the bacteria in their gut reduced inflammation by affecting the immune system. Our findings suggest that changing gut bacteria and focusing on this part of the immune system could help with reproductive problems caused by obesity.

11.
Front Endocrinol (Lausanne) ; 15: 1360595, 2024.
Artigo em Inglês | MEDLINE | ID: mdl-39268235

RESUMO

Objective: We conducted this meta-analysis to comprehensively explore the prognostic value of the preoperative plasma fibrinogen in Asian patients diagnosed with urothelial cancer (UC). Methods: After a systematic search of Web of Science, PubMed, and Embase before May 2024, we included 10 studies in our meta-analysis. The hazard ratios (HRs) with 95% confidence interval (CI) for overall survival (OS), cancer-specific survival (CSS), recurrence-free survival (RFS), and progression free survival (PFS) were estimated using fixed effect model. Results: This meta-analysis included a total of 2875 patients. UC patients with an elevated preoperative plasma fibrinogen had worse OS (pooled HR: 2.13, 95% CI: 1.81-2.51; P<0.001), CSS (pooled HR: 2.22, 95% CI: 1.83-2.70; P<0.001), RFS (pooled HR: 1.90, 95% CI: 1.59-2.27; P<0.001), and PFS (pooled HR: 2.12, 95% CI: 1.36-3.29, P=0.001). No significant heterogeneity or publication bias was found. Additionally, statistically significant pooled HRs were also calculated in subgroup analysis when stratified by cancer type, country, and cut-off value. Conclusions: The presence of elevated preoperative plasma fibrinogen levels is significantly correlated with unfavorable tumor outcomes in UCs.


Assuntos
Povo Asiático , Biomarcadores Tumorais , Fibrinogênio , Humanos , Fibrinogênio/análise , Fibrinogênio/metabolismo , Prognóstico , Biomarcadores Tumorais/sangue , Período Pré-Operatório , Neoplasias Urológicas/cirurgia , Neoplasias Urológicas/sangue , Neoplasias Urológicas/mortalidade , Neoplasias Urológicas/patologia
12.
Hypertension ; 2024 Sep 05.
Artigo em Inglês | MEDLINE | ID: mdl-39236753

RESUMO

BACKGROUND: Both blood pressure-lowering medication and sodium reduction are effective in hypertension control, but whether blood pressure-lowering medication modifies the effect of sodium reduction is unclear. This study aims to evaluate the dose-response effect of sodium intake reduction on blood pressure in treated hypertensive individuals and the impact of different classes of blood pressure-lowering drugs. METHODS: We searched multiple databases and reference lists up to July 9, 2024. Randomized controlled trials with a duration of ≥2 weeks comparing the effect of different levels of sodium intake (measured by 24-hour urinary sodium excretion) on blood pressure in hypertensive individuals treated with constant blood pressure-lowering medications were included. Instrumental variable meta-analyses based on random effects models were conducted to evaluate the dose effect of sodium reduction on blood pressure. Subgroup analyses were performed based on the class of blood pressure-lowering drugs. RESULTS: We included 35 studies (median duration of 28 days) with a total of 2885 participants. For every 100 mmol reduction in 24-hour urinary sodium excretion, systolic blood pressure decreased by 6.81 mm Hg (95% CI, 4.96-8.66), diastolic blood pressure decreased by 3.85 mm Hg (95% CI, 2.26-5.43), and mean arterial pressure decreased by 4.83 mm Hg (95% CI, 3.22-6.44). The dose-response effects varied across classes of blood pressure-lowering medications, with greater effects observed in the ß-blockers, renin-angiotensin-aldosterone system inhibitors, and dual therapy groups. No significant subgroup differences were observed based on age, baseline 24-hour urinary sodium excretion, blood pressure levels, or study duration. CONCLUSIONS: Pooled evidence suggests a dose-response relationship between sodium reduction and blood pressure in treated individuals with hypertension, influenced by the class of blood pressure-lowering medications.

13.
J Health Popul Nutr ; 43(1): 137, 2024 Sep 02.
Artigo em Inglês | MEDLINE | ID: mdl-39223682

RESUMO

BACKGROUND: Previous studies have established a correlation between the pathogenesis of oxidative stress and sarcopenia. The Oxidative Balance Score (OBS) is an integrated measure that reflects the overall balance of antioxidants and pro-oxidants in dietary components and lifestyle. However, there are limited reports on the association between OBS and lean mass and the impact of protein intake on the association between OBS and lean mass. METHODS: Using data from the National Health and Nutrition Examination Survey from 2011 to 2018, multivariate linear and logistic regression analyses were conducted to explore the associations between OBS and outcomes. The findings were then illustrated through fitted smoothing curves and threshold effect analyses. RESULTS: This study included 2,441 participants, demonstrating that higher OBS is significantly associated with an increased ratio of appendicular lean mass to body mass index. Key inflection points at OBS 31 mark pronounced changes in these associations, with age and protein intake notably affecting the association. The effect of OBS on lean mass varies among populations with high and low protein intake. CONCLUSIONS: Our findings suggest that OBS is significantly and positively associated with lean mass. A high protein intake of more than 84.5 g/day may enhance the role of OBS in influencing muscle health to improve muscle outcomes.


Assuntos
Composição Corporal , Índice de Massa Corporal , Proteínas Alimentares , Inquéritos Nutricionais , Estresse Oxidativo , Humanos , Masculino , Feminino , Adulto , Proteínas Alimentares/administração & dosagem , Pessoa de Meia-Idade , Adulto Jovem , Sarcopenia/metabolismo , Estudos Transversais , Estados Unidos
14.
Mol Genet Genomic Med ; 12(9): e70004, 2024 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-39219382

RESUMO

BACKGROUND: Marfan syndrome (MFS) is a complex genetic systemic connective tissue disorder. It is well known that genetic factors play a critical role in the progression of MFS, with nearly all cases attributed to variants in the FBN1 gene. METHODS: We investigated a Chinese family with MFS spanning two generations. Whole exome sequencing, in silico analysis, minigene constructs, transfection, RT-PCR, and protein secondary structure analysis were used to analyze the genotype of the proband and his father. RESULTS: The main clinical manifestations of the proband and his father were subluxation of the left lens and high myopia with pectus deformity. Whole exome sequencing identified a novel single nucleotide variant (SNV) in the FBN1 gene at a non-canonical splice site, c.443-3C>G. This variant resulted in two abnormal mRNA transcripts, leading to a frameshift and an in-frame insertion. Further in vitro experiments indicated that the c.443-3C>G variant in FBN1 was pathogenic and functionally harmful. CONCLUSION: This research identified a novel intronic pathogenic FBN1: c.443-3C>G gene variant, which led to two different aberrant splicing effects. Further functional analysis expands the variant spectrum and provides a strong indication and sufficient basis for preimplantation genetic testing for monogenic disease (PGT-M).


Assuntos
Fibrilina-1 , Heterozigoto , Íntrons , Síndrome de Marfan , Linhagem , Splicing de RNA , Humanos , Síndrome de Marfan/genética , Síndrome de Marfan/patologia , Fibrilina-1/genética , Masculino , Adulto , Feminino , Adipocinas
15.
Environ Sci Technol ; 2024 Sep 12.
Artigo em Inglês | MEDLINE | ID: mdl-39262330

RESUMO

Sulfidation of nanoscale zerovalent iron (nZVI) can enhance particle performance. However, the underlying mechanisms of nZVI sulfidation are poorly known. We studied the effects of Fe2+ on 24-h dynamics of nZVI sulfidation by HS- using a dosed S to Fe molar ratio of 0.2. This shows that in the absence of Fe2+, HS- rapidly adsorbed onto nZVI particles and reacted with surface iron oxide to form mackinawite and greigite (<0.5 h). As nZVI corrosion progressed, amorphous FeSx in solution deposited on nZVI, forming S-nZVI (0.5-24 h). However, in the initial presence of Fe2+, the rapid reaction between HS- and Fe2+ produced amorphous FeSx, which deposited on the nZVI and corroded the surface iron oxide layer (<0.25 h). This was followed by redeposition of colloidal iron (hydr)oxide on the particle surface (0.25-8 h) and deposition of residual FeSx (8-24 h) on S-nZVI. S loading on S-nZVI was 1 order of magnitude higher when Fe2+ was present. Surface characterization of the sulfidated particles by TEM-SAED, XPS, and XAFS verified the solution dynamics and demonstrated that S2- and S22-/Sn2- were the principal reduced S species on S-nZVI. This study provides a methodology to tune sulfur loading and S speciation on S-nZVI to suit remediation needs.

16.
JAMA Netw Open ; 7(9): e2432862, 2024 Sep 03.
Artigo em Inglês | MEDLINE | ID: mdl-39264627

RESUMO

Importance: Thrombotic microangiopathy (TMA) on kidney biopsy is a pattern of endothelial injury commonly seen in malignant hypertension (mHTN), but treatment strategies are not well established. Objective: To evaluate the kidney outcomes of angiotensin receptor-neprilysin inhibitor (ARNI), specifically sacubitril/valsartan, vs angiotensin-converting enzyme inhibitor (ACEI) or angiotensin receptor blocker (ARB) therapy for patients with mHTN-associated TMA. Design, Setting, and Participants: This single-center cohort study enrolled consecutive patients in China diagnosed with mHTN-associated TMA through kidney biopsy from January 2008 to June 2023. Follow-up was conducted until the conclusion of the study period. Data were analyzed in September 2023. Exposures: Treatment with sacubitril/valsartan or ACEI/ARBs during hospitalization and after discharge. Main Outcomes and Measures: The primary outcome was a composite of kidney recovery: a 50% decrease in serum creatinine level, decrease in serum creatinine levels to the reference range, or kidney survival free from dialysis for more than 1 month. The secondary and tertiary outcomes were a 15% increase in the estimated glomerular filtration rate (eGFR) relative to baseline and kidney survival free from dialysis, respectively. Propensity score matching (PSM) and Cox proportional hazards regression analysis were used to evaluate the association between sacubitril/valsartan and ACEI/ARB therapy with kidney recovery outcomes. Results: Among the 217 patients (mean [SD] age, 35.9 [8.8] years; 188 men [86.6%]) included in the study, 66 (30.4%) received sacubitril/valsartan and 151 (69.6%) received ACEI/ARBs at baseline. Sacubitril/valsartan treatment was associated with shorter time to the primary outcome compared with ACEI/ARB treatment (20 of 63 [31.7%] vs 38 of 117 [32.5%]; adjusted hazard ratio [aHR], 1.85; 95% CI, 1.05-3.23). Sacubitril/valsartan treatment was independently associated with shorter time to a 15% increase in eGFR (15 of 46 [32.6%] vs 46 of 83 [55.4%]; aHR, 2.13; 95% CI, 1.09-4.17) and kidney survival free from dialysis (11 of 23 [47.8%] vs 16 of 57 [28.1%]; aHR, 2.63; 95% CI, 1.15-5.88) compared with ACEI/ARB treatment. These differences remained significant in the PSM comparison. Conclusions and Relevance: In this cohort study, sacubitril/valsartan treatment was associated with a potential kidney function benefit in patients with mHTN-associated TMA compared with ACEI/ARB treatment. The findings suggested that sacubitril/valsartan could be a superior therapeutic approach for managing this serious condition in terms of kidney recovery.


Assuntos
Aminobutiratos , Antagonistas de Receptores de Angiotensina , Inibidores da Enzima Conversora de Angiotensina , Compostos de Bifenilo , Combinação de Medicamentos , Microangiopatias Trombóticas , Valsartana , Humanos , Masculino , Feminino , Inibidores da Enzima Conversora de Angiotensina/uso terapêutico , Antagonistas de Receptores de Angiotensina/uso terapêutico , Microangiopatias Trombóticas/tratamento farmacológico , Pessoa de Meia-Idade , Valsartana/uso terapêutico , Compostos de Bifenilo/uso terapêutico , Aminobutiratos/uso terapêutico , Adulto , Hipertensão Maligna/tratamento farmacológico , Rim/efeitos dos fármacos , Rim/fisiopatologia , Neprilisina/antagonistas & inibidores , Estudos de Coortes , China , Tetrazóis/uso terapêutico , Resultado do Tratamento , Taxa de Filtração Glomerular/efeitos dos fármacos
18.
Macromol Rapid Commun ; : e2400637, 2024 Sep 28.
Artigo em Inglês | MEDLINE | ID: mdl-39340481

RESUMO

Stretchable organic solar cells (SOSCs) have advanced rapidly in the last few years as power sources required to realize portable and wearable electronics become available. Through rational material and device engineering, SOSCs are now able to retain their photovoltaic performance even when subjected to repeated mechanical deformations. However, reconciling a high efficiency and an excellent stretchability is still a huge challenge, and the development of SOSCs has lagged far behind that of flexible OSCs. In this perspective article, recent strategies for imparting mechanical robustness to SOSCs while maintaining high power conversion efficiency are reviewed, with emphasis on the molecular design of active layers. Initially, an overview of molecular design approaches and recent research advances is provided in improving the stretchability of active layers, including donors, acceptors, and single-component materials. Subsequently, another common strategy for regulating photovoltaic and mechanical properties of SOSCs, namely multi-component system, is summarized and analyzed. Lastly, considering that SOSCs research is in its infancy, the current challenges and future directions are pointed out.

20.
Nanomicro Lett ; 17(1): 16, 2024 Sep 27.
Artigo em Inglês | MEDLINE | ID: mdl-39327317

RESUMO

Tactile perception plays a vital role for the human body and is also highly desired for smart prosthesis and advanced robots. Compared to active sensing devices, passive piezoelectric and triboelectric tactile sensors consume less power, but lack the capability to resolve static stimuli. Here, we address this issue by utilizing the unique polarization chemistry of conjugated polymers for the first time and propose a new type of bioinspired, passive, and bio-friendly tactile sensors for resolving both static and dynamic stimuli. Specifically, to emulate the polarization process of natural sensory cells, conjugated polymers (including poly(3,4-ethylenedioxythiophene):poly(styrenesulfonate), polyaniline, or polypyrrole) are controllably polarized into two opposite states to create artificial potential differences. The controllable and reversible polarization process of the conjugated polymers is fully in situ characterized. Then, a micro-structured ionic electrolyte is employed to imitate the natural ion channels and to encode external touch stimulations into the variation in potential difference outputs. Compared with the currently existing tactile sensing devices, the developed tactile sensors feature distinct characteristics including fully organic composition, high sensitivity (up to 773 mV N-1), ultralow power consumption (nW), as well as superior bio-friendliness. As demonstrations, both single point tactile perception (surface texture perception and material property perception) and two-dimensional tactile recognitions (shape or profile perception) with high accuracy are successfully realized using self-defined machine learning algorithms. This tactile sensing concept innovation based on the polarization chemistry of conjugated polymers opens up a new path to create robotic tactile sensors and prosthetic electronic skins.

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