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1.
Adv Mater ; : e2312566, 2024 Apr 17.
Artigo em Inglês | MEDLINE | ID: mdl-38630368

RESUMO

Transition metal oxides (TMOs) are widely studied for loading of various catalysts due to their low cost and high structure flexibility. However, the prevailing close-packed nature of most TMOs crystals has restricted the available loading sites to surface only, while their internal bulk lattice remains unactuated due to the inaccessible narrow space that blocks out most key reactants and/or particulate catalysts. Herein, using tunnel-structured MnO2, this study demonstrates how TMO's internal lattice space can be activated as extra loading sites for atomic Ag in addition to the conventional surface-only loading, via which a dual-form Ag catalyst within MnO2 skeleton is established. In this design, not only faceted Ag nanoparticles are confined onto MnO2 surface by coherent lattice-sharing, Ag atomic strings are also seeded deep into the sub-nanoscale MnO2 tunnel lattice, enriching the catalytically active sites. Tested for electrochemical CO2 reduction reaction (eCO2RR), such dual-form catalyst exhibits a high Faradaic efficiency (94%), yield (67.3 mol g-1 h-1) and durability (≈48 h) for CO production, exceeding commercial Ag nanoparticles and most Ag-based electrocatalysts. Theoretical calculations further reveal the concurrent effect of such dual-form catalyst featuring facet-dependent eCO2RR for Ag nanoparticles and lattice-confined eCO2RR for Ag atomic strings, inspiring the future design of catalyst-substrate configuration.

2.
Sci Adv ; 9(15): eadc8933, 2023 04 14.
Artigo em Inglês | MEDLINE | ID: mdl-37043580

RESUMO

Despite improvements in microscopically neurosurgical techniques made in recent years, the prognosis of adamantinomatous craniopharyngioma (ACP) is still unsatisfactory. Little is known about cellular atlas and biological features of ACP. Here, we carried out integrative analysis of 44,038 single-cell transcriptome profiles to characterize the landscape of intratumoral heterogeneity and tumor microenvironment (TME) in ACP. Four major neoplastic cell states with distinctive expression signatures were defined, which further revealed the histopathological features and elucidated unknown cellular atlas of ACP. Pseudotime analyses suggested potential evolutionary trajectories between specific neoplastic cell states. Notably, a distinct oligodendrocyte lineage was identified in ACP, which was associated with immunological infiltration and neural damage. In addition, we described a tumor-centric regulatory network based on intercellular communication in TME. Together, our findings represent a unique resource for deciphering tumor heterogeneity of ACP, which will improve clinical diagnosis and treatment strategies.


Assuntos
Craniofaringioma , Neoplasias Hipofisárias , Humanos , Craniofaringioma/genética , Craniofaringioma/diagnóstico , Craniofaringioma/patologia , Neoplasias Hipofisárias/genética , Neoplasias Hipofisárias/diagnóstico , Neoplasias Hipofisárias/metabolismo , Transcriptoma , Comunicação Celular , Análise de Sequência de RNA , Microambiente Tumoral/genética
3.
Environ Pollut ; 327: 121533, 2023 Jun 15.
Artigo em Inglês | MEDLINE | ID: mdl-36997145

RESUMO

Antibiotic resistance genes (ARGs) have been identified as serious threats to public health. Despite the widespread in various systems, dynamics of ARGs in three-dimensional multifunctional biofilm (3D-MFB) treating greywater are largely undefined. This work tracked the distributions and dynamics of eight target genes (intI1, korB, sul1, sul2, tetM, ermB, blaCTX-M and qnrS) in a 3D-MFB during greywater treatment. Results showed that hydraulic retention times at 9.0 h achieved the highest linear alkylbenzene sulfonate (LAS) and total nitrogen removal rates at 99.4% and 79.6%, respectively. ARGs presented significant liquid-solid distribution feature, but non-significant with biofilm position. Intracellular ARGs (predominant by intI1, korB, sul1 and sul2) at bottom biofilm were 210- to 4.2 × 104- fold higher than that in cell-free liquid. Extracellular polymeric substances (EPS)-attached LAS showed linear relationship with most of ARGs (R2 > 0.90, P < 0.05). Sphingobacteriales, Chlamydiales, Microthrixaceae, SB-1, Cryomorphaceae, Chitinophagaceae, Leadbetterella and Niabella were tightly bound up with target ARGs. Key is that EPS-attached LAS considerably determines the occurrence of ARGs, and microbial taxa play an important role in the dissemination of ARGs in the 3D-MFB.


Assuntos
Antibacterianos , Genes Bacterianos , Antibacterianos/farmacologia , Resistência Microbiana a Medicamentos/genética , Biofilmes , Matriz Extracelular de Substâncias Poliméricas
4.
BMC Plant Biol ; 23(1): 160, 2023 Mar 25.
Artigo em Inglês | MEDLINE | ID: mdl-36964495

RESUMO

BACKGROUND: Lithophytic bryophytes grow on the rock surface, change the habitat on the rock surface through biological karstification, and provide a material basis for the growth of other plants. However, the surface calcium content of bare rock is high. The lithophytic bryophytes may have a special mechanism to adapt to the karst high calcium environment. The present study aimed to explore the physiological regulation process of karst lithophytic bryophytes under high calcium environment, and to provide scientific basis for revealing the maintenance mechanism of karst biodiversity. RESULTS: With the increase of Ca2+ concentration, the contents of Pro, SP and MDA of lithophytic bryophytes showed a downward-upward-downward trend. However, when Ca2+ ≥ 400 mmol/L, the contents of Pro and SP changed significantly at 1d, 2d, 3d, 5d and 7d with the extension of culture time, and lithophytic bryophytes died after 2 months of culture. Under different Ca2+ concentrations, the maximum SOD activity of lithophytic bryophytes is 1758.00 (U/g FW), the minimum is 92.60 (U/g FW), the maximum POD activity is 120.88 (U/g FW), and the minimum is 4.80 (U/g FW). The antioxidative activity of of Hyophila involuta are higher than that of Didymodon constrictus and Eurohypnum leptothallum, and its enzyme activity changed significantly with the increase of calcium concentration and time.At the same time, the contents of TChl, Chla, and Chlb in lithophytic bryophytes decreased with the increase of Ca2+ concentration. When Ca2+ = 400 mmol/L, the contents of TChl and Chla were the lowest, but when Ca2+ > 400 mmol/L, they began to increase. In addition, ABA is negatively correlated with TChl and Chla, and positively correlated with ROS. It shows that ABA has a certain role in regulating the adaptation of lithophytic bryophytes to high calcium environment. CONCLUSIONS: Lithophytic bryophytes have strong calcium tolerance, and their physiological response to high calcium stress is different from vascular bundle plants. The general stress principle is not applicable to lithophytic bryophytes. The response of lithophytic bryophytes to the change of Ca2+concentration is slow, showing passive response or inert response.


Assuntos
Briófitas , Bryopsida , Cálcio , Ecossistema , Adaptação Fisiológica
5.
Environ Res ; 216(Pt 3): 114725, 2023 01 01.
Artigo em Inglês | MEDLINE | ID: mdl-36343711

RESUMO

System pH is found to crucially affect biofilm growth and microorganisms' activity in the biofilm-based wastewater treatment system. This study investigated the pH-dependent pollutants removal, microbial niches succession and antibiotic resistance genes (ARGs) accumulation in an oxygen-based membrane biofilm reactor treating greywater. Results indicated that neutral conditions achieved the highest biofilm concentration and living cells, which enabled the highest pollutants removal rates; multifarious functional groups in biofilm enabled pollutants adsorption, which favored its continuous bio-removal. Microbial communities under acidic condition (pH = 5.0) were significantly different with that under other conditions (p < 0.05). The neutral and alkaline niches (pH = 7.0 and 9.0) were predominant by organics biodegradation and nitrogen reduction bacteria (e.g. Sphingobacteriales, Pseudomonas, Flavobacterium and Phenylobacterium), but which were significantly dropped under acidic conditions, leading to the declined reactor performance. ARGs in biofilm (predominant by korB, intI-1, sul1 and sul2) were much higher than that in the cell-free liquid and the target ARGs accumulation (korB, intI-1, blaCTX-M, qnrS) had nearly linear positive relationships (R2 > 0.95, P < 0.01) with biofilm-attached linear alkylbenzene sulfonate (LAS). LAS stimulate ARGs proliferation in functional microorganisms (korB, sul-1 and intI-1 were significantly associated with related microbial genus) and biofilm played a key role in ARGs dissemination. The relatively low ARGs in both biofilm and effluent under neutral conditions suggested that pH controlling can be an effective strategy to inhibit ARGs dissemination and proliferation in the system.


Assuntos
Antibacterianos , Poluentes Ambientais , Antibacterianos/farmacologia , Eliminação de Resíduos Líquidos/métodos , Oxigênio/química , Resistência Microbiana a Medicamentos/genética , Biofilmes , Concentração de Íons de Hidrogênio , Genes Bacterianos , Águas Residuárias/microbiologia
6.
ACS Nano ; 16(12): 21618-21625, 2022 Dec 27.
Artigo em Inglês | MEDLINE | ID: mdl-36521057

RESUMO

Octahedral molecular sieves (OMSs) based on MnO2 have been widely studied in the fields of deionization, geochemistry, and energy storage due to their microporous tunnel framework capable of adsorbing and exchanging various ions, particularly cations. The understanding of cation adsorption/exchange within OMS tunnels demands atomic-scale exploration, which has been scarcely reported. Here, we disclose how various cations (K+/Ag+/Na+) interplay within the OMS tunnel space on an atomic scale. Not only are the lattice sites for each adsorbed cation species pinpointed but the scenario of dual-cation adsorption within single tunnels is also demonstrated, together with the discovery of characteristic concentration-dependent cation ordering. Moreover, compared with the theoretical parent tunnel phase, the heterogeneous tunnels, though sparsely distributed, exhibit a distinct yet orderly cationic accommodation, highlighting the non-negligible role of tunnel heterogeneity in regulating OMS physiochemistry. Our findings clarify the long-existing ambiguities in nano- and atomic-scale science of the ion adsorption process in OMS materials and are expected to inspire their structural/compositional engineering toward functionality enhancement in various fields.

7.
Sci Total Environ ; 818: 151763, 2022 Apr 20.
Artigo em Inglês | MEDLINE | ID: mdl-34822898

RESUMO

The oxygen based membrane biofilm (O2-MBfR) has been proved to be a novel technology in treating greywater (GW) and response surface methodology (RSM) was used to model the removal of chemical oxygen demand (COD) and total nitrogen (TN) with operation parameters COD/TN ratio, system pH and lumen air pressure (LAP). Results indicated that the all target single factors affect GW treatment efficiency, and the regression model with central composite design (CCD) showed good agreement with the experimental results with high R2 and R2 adj values (all >0.97) for all the target responses. Statistical evaluation revealed that system pH was the most significant parameter affecting COD and TN removal, followed by COD/TN ratio and LAP. The interaction between COD/TN ratio and system pH also played an important role on the GW treatment. The optimized maximum removal of COD (96.48%) and TN (133 g N/m2-day) were achieved with the COD/TN ratio 17.76 g COD/g TN, system pH 7.10 and LAP 1.00 psi. Thus, RSM combined with CCD could be used for predicting the organics and nitrogen removal during GW treatment in the O2-MBfR.


Assuntos
Reatores Biológicos , Eliminação de Resíduos Líquidos , Biofilmes , Análise da Demanda Biológica de Oxigênio , Nitrogênio/análise , Oxigênio , Águas Residuárias
8.
Sci Total Environ ; 806(Pt 1): 150523, 2022 Feb 01.
Artigo em Inglês | MEDLINE | ID: mdl-34844301

RESUMO

Oxygen-based membrane biofilm reactor (O2-MBfR) is a unique technique for high linear alkylbenzene sulfonate (LAS)-containing greywater (GW) treatment. Despite the efficient removal of LAS, the dynamics of how it is taken up and the quantitative differentiation of adsorption and biodegradation are largely undefined. In this study, we tracked the fate of LAS, chemical oxygen demand and nitrogen in various systems: GW, GW with inactivated sludge (InAS) and GW with activated sludge (AS). We determined the distribution of biodegraded-, free-, and extracellular polymeric substances (EPS)-attached LAS, and we also developed a model to simulate all the steps. Results showed that AS exhibited high live cells proportion and microbial activity, but the opposite trend for GW and InAS. Both of nitrogen and organics could be simultaneously and efficiently removed in the AS inoculated system. The two-step model for LAS uptake and biodegradation represented the experimental results well. EPS adsorption led to the fast LAS accumulation in biofilm, and biodegradation led to the continuous removal of LAS in the system. After operated for 24 h, biodegradation and EPS accumulation of LAS were 94% and 4%, respectively, and the residual soluble LAS was lower than 1%. This work lays the foundation for using O2-MBfR to treat GW and other types of wastewater, and understanding the key roles of EPS and the mathematical model of LAS removal in the system.


Assuntos
Ácidos Alcanossulfônicos , Eliminação de Resíduos Líquidos , Adsorção , Biodegradação Ambiental , Biofilmes , Reatores Biológicos , Diferenciação Celular , Cinética , Oxigênio , Esgotos
9.
Artigo em Inglês | MEDLINE | ID: mdl-34797650

RESUMO

It is urgent to develop high-performance cathode materials for rechargeable batteries to address the globally growing concerns of energy shortage and environmental pollution. Among many candidate materials, Mn-based materials are promising and already used in some commercial batteries. Yet, their applicable future in reversible energy storage is severely plagued by the notorious Mn dissolution behaviors associated with structural instability during long-term cycling. As such, interfacial strategies aiming to protect Mn-based electrodes against Mn dissolution are being widely developed in recent years. A variety of interface-driven designs have been reported to function efficiently in suppressing Mn dissolution, necessitating a timely summary of recent advancements in the field. In this review, various interfaces, including the prebuilt interface and the electrochemically induced interface, to suppress Mn dissolution for Mn-based cathodes are discussed in terms of their fabrication details and functional outcomes. Perspectives for the future of interfacial strategies aiming at Mn dissolution suppression are also shared.

10.
PLoS One ; 16(6): e0252838, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34191821

RESUMO

Rocky desertification is the most serious ecological disaster in karst areas. Comprehensive control of rocky desertification plays an important role in promoting the economic development of karst areas. Studying the stoichiometric characteristics of mosses and soil can provide a powerful reference for the ecological restoration and evaluation of ecosystems experiencing rocky desertification. Soil and mosses were collected from sites representing different stages of ecological restoration (bare rock, grassland, shrubland, and secondary forest), and the contents of carbon (C), nitrogen (N), and phosphorus (P) were detected for ecological stoichiometric analysis. The results indicate that in different restoration stages following karst rocky desertification, the contents of soil organic carbon (SOC), total nitrogen (TN), and total phosphorus (TP) and the stoichiometric ratios in the shrub habitat are higher than those in the bare rock, grassland, and secondary forest habitats. However, the TP and available P contents were low at all stages (0.06 g/kg and 0.62 mg/kg, respectively). The N and P contents and stoichiometric ratios in the mosses showed no significant differences among the succession stages. The C contents in the mosses had a significant positive correlation with SOC and TN and TP content, and the P content had a significant positive correlation with the soil available P. However, there was a significant negative correlation between the C: N and C:P ratios of the bryophytes and soil C: N. In summary, during the process of natural restoration of karst rocky desertification areas, SOC and soil TN contents accumulate with each succession stage. Soil nutrients are higher in shrub habitats than in other succession stages. Mosses have a strong effect on improving soil nutrients in rocky desertification areas.


Assuntos
Briófitas/química , Carbono/análise , Clima Desértico , Ecossistema , Nitrogênio/análise , Fósforo/análise , Solo/química , Conservação dos Recursos Naturais , Secas , Monitoramento Ambiental , Florestas
11.
Chem Commun (Camb) ; 57(28): 3512-3515, 2021 Apr 11.
Artigo em Inglês | MEDLINE | ID: mdl-33690759

RESUMO

Uniform distribution of Li2MnO3 and LiMO2 components in a Co-free Li-rich layered oxide is achieved by treating precursors with NH3·H2O, which expands the lattice parameter and promotes the activation of Li2MnO3, resulting in excellent electrochemical performance. What's more, it also contributes to the storage stability of Li-rich layered oxides.

12.
Angew Chem Int Ed Engl ; 59(20): 7778-7782, 2020 May 11.
Artigo em Inglês | MEDLINE | ID: mdl-32030866

RESUMO

Voltage decay and capacity fading are the main challenges for the commercialization of Li-rich Mn-based layered oxides (LLOs). Now, a three-in-one surface treatment is designed via the pyrolysis of urea to improve the voltage and capacity stability of Li1.2 Mn0.6 Ni0.2 O2 (LMNO), by which oxygen vacancies, spinel phase integration, and N-doped carbon nanolayers are synchronously built on the surface of LMNO microspheres. Oxygen vacancies and spinel phase integration suppress irreversible O2 release and help lithium ion diffusion, while N-doped carbon nanolayer mitigates the corrosion of electrolyte with excellent conductivity. The electrochemical performance of LMNO after the treatment improves significantly; the capacity retention rate after 500 cycles at 1 C is still as high as 89.9 % with a very small voltage fading rate of 1.09 mV cycle-1 . This three-in-one surface treatment strategy can suppress the voltage decay and capacity fading of LLOs.

13.
Chem Commun (Camb) ; 55(77): 11638-11641, 2019 Sep 24.
Artigo em Inglês | MEDLINE | ID: mdl-31508611

RESUMO

Hollow-sphere Fe2O3 is synthesized as a lithium-ion battery anode. Current densities for the initial material activation are important, related to electrode stability during cycling. The as-prepared anodes are able to retain 92% capacity after 1000 cycles at 1 A g-1. The full-cells assembled with Fe2O3 anodes and LiFePO4 cathodes exhibit good electrochemical properties.

14.
World Neurosurg ; 130: 170-178, 2019 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-31295620

RESUMO

Melanotic neuroectodermal tumor of infancy (MNTI) is a rare pigmented craniofacial tumor of infants. This study aimed to analyze the literature on MNTI arising from the skull and brain. A systematic literature review was performed and 91 patients reported in 78 articles were identified from 1918 to 2019. MNTI of the skull and brain was slightly more prevalent among boys. The age at diagnosis of patients with intracranial MNTI was mainly >1 year, and most patients with skull MNTI were diagnosed within the first year of life (P < 0.001). MNTI of the skull mostly presented as a rapidly growing mass, whereas intracranial MNTI presented with increasing intracranial pressure and neurologic dysfunction. Surgical resection was the primary treatment, with an average follow-up of 25.6 months. Overall survival was related to age at diagnosis within 1 year (P = 0.001), tumor location (P < 0.001), tumor size (P = 0.010), treatment (P < 0.001), and metastasis (P < 0.001) and malignancy (P < 0.001), whereas recurrence rate was significantly associated with age (P < 0.001), tumor size (P = 0.010), complete surgical resection (P = 0.011), metastasis (P = 0.003), and malignant behavior (P = 0.001).


Assuntos
Encéfalo/cirurgia , Metástase Neoplásica/patologia , Recidiva Local de Neoplasia , Tumor Neuroectodérmico Melanótico , Encéfalo/patologia , Humanos , Lactente , Recidiva Local de Neoplasia/mortalidade , Recidiva Local de Neoplasia/cirurgia , Tumor Neuroectodérmico Melanótico/mortalidade , Tumor Neuroectodérmico Melanótico/cirurgia , Crânio/patologia , Crânio/cirurgia , Resultado do Tratamento
15.
J Cell Biochem ; 120(6): 9724-9736, 2019 06.
Artigo em Inglês | MEDLINE | ID: mdl-30582214

RESUMO

OBJECTIVES: Adamantinomatous craniopharyngiomas (adaCP) accounts for 5.6% to 15% of intracranial tumors. High expression of chemokine (C-X-C motif) ligand 12 (CXCL12, also known as stromal cell-derived factor 1 [SDF1]) and its receptor CXC receptor type 4 (CXCR4) are widespread in various malignancy via multiple signal transduction pathways. This study aims to investigate the mechanism of CXCL12/CXCR4 promoting proliferation, migration, and invasion of adaCP. METHODS: Quantitative real-time polymerase chain reaction, Western blot analysis, and immunohistochemistry were used to evaluate the expression of CXCL12/CXCR4 mRNA and protein in 10 human adaCP tissues. Three successfully primary cell lines were obtained from native mainly solid tumor specimens, and confirmed by the means of inverted contrast microscope directly and following hematoxylin and eosin staining. Immunofluorescence was used to detect protein expression in vivo for the verification of primary cell line. Proliferation, migration, and invasion assays were performed to assess the biological functional role of CXCL12/CXCR4 in adaCP. The signal pathways involved in the action of CXCL12/CXCR4 in adaCP were also evaluated. RESULTS: CXCL12 and CXCR4 were highly expressed in human adaCP samples. Primary adaCP cells were isolated and detected by the means of immunofluorescence for the detection of pan cytokeratin (pan-CK) and vimentin (VIM). Overexpression of CXCL12/CXCR4 significantly promoted the proliferation, migration, and invasion of primary adaCP cells. Moreover, cancer-promoting activity of CXCL12/CXCR4 is partially through its facilitation of PI3K/AKT signal pathway. CONCLUSIONS: Our data showed that CXCL12/CXCR4 promotes adaCP proliferation, migration, and invasion through PI3K/AKT signal pathway. These findings suggested that therapeutic strategies regulating CXCL12/CXCR4 expression may provide an effective treatment of adaCP.


Assuntos
Movimento Celular , Proliferação de Células , Quimiocina CXCL12/metabolismo , Craniofaringioma/metabolismo , Fosfatidilinositol 3-Quinases/metabolismo , Neoplasias Hipofisárias/metabolismo , Proteínas Proto-Oncogênicas c-akt/metabolismo , Receptores CXCR4/metabolismo , Transdução de Sinais , Craniofaringioma/patologia , Humanos , Invasividade Neoplásica , Neoplasias Hipofisárias/patologia
16.
Oncotarget ; 9(2): 2208-2219, 2018 Jan 05.
Artigo em Inglês | MEDLINE | ID: mdl-29416765

RESUMO

The aim of this study was to systematically evaluate the association between D-dimer level and the risk of stroke through performing a meta-analysis. PubMed, Web of Science, EMBASE and Cochrane Library were searched for potentially eligible literature. Prospective observational studies or case-control studies were included. The study characteristics and relevant data were extracted. Hazard ratios (HRs) or odds ratios (ORs) with 95% confidence intervals (CIs) were pooled to estimate the association between D-dimer level and the risk of stroke. Seven prospective studies with 22,207 patients and three case-control studies with 2,248 patients were included. For the prospective studies, the pooled HRs of higher D-dimer level for all types of stroke, ischemic stroke and hemorrhagic stroke were 1.55 (95% CI, 1.28- 1.87), 1.62 (95% CI, 1.18-2.22) and 1.30 (95% CI, 0.63-2.68), respectively. The pooled HRs per SD increase in log D-dimer for all types of stroke, ischemic stroke and hemorrhagic stroke were 1.16 (95% CI, 1.06-1.26), 1.11 (95% CI, 1.03-1.21) and 1.11 (95% CI, 0.95-1.30), respectively. For the case-control studies, the pooled OR of higher D-dimer level for acute ischemic stroke was 2.06 (95% CI, 1.08-3.96). No significant publication bias was found in the meta-analysis. In conclusion, our results suggested that higher D-dimer level was associated with higher risk of stroke, especially ischemic stroke.

17.
J Nanosci Nanotechnol ; 18(3): 1965-1969, 2018 Mar 01.
Artigo em Inglês | MEDLINE | ID: mdl-29448693

RESUMO

It is a key to develop novel electrode materials with high energy and power density for advanced batteries to meet the demand of electric vehicles (EVs). Manganese cobalt oxides which can react with a large number of ions from the electrolyte for electrochemical energy storage are developing into the promising electrode materials. In this work, well-ordered MnCo2O4.5 nanorod arrays (MCO NRAs) are prepared on Ni foam by a general route of hydrothermal growth and low-temperature annealing treatment. The samples deliver a high initial capacity of 1402.6 mAh g-1 at the current density of 100 mA g-1 and rate capacity of 528 mAh g-1 when the current density is improved 10 times as binder-free anodes for Li-ion batteries (LIBs). After 60 cycles at the current density of 200 mA g-1, the MnCo2O4.5 nanorods still achieve 603 mAh g-1 with capacity retention of 66% (compared with the second discharge capacity). The superior electrochemical properties are due to the fascinating architecture which increases the reaction area and structural stability, reduces ion and electron transport distance and provides good strain release. Hence, MnCo2O4.5 nanorod arrays are promised as advanced anodes for future LIBs with completely meeting the demand of EVs.

18.
World Neurosurg ; 111: 207-210, 2018 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-29292189

RESUMO

BACKGROUND: Spinal schwannomas are the most common intradural extramedullary tumors. However, a string of beadlike schwannomas is rare. In some cases, the beadlike tumors might present a multiple segmental growing pattern, often located in the lumbar spinal canal and on 1 nerve fiber. Despite its benign nature, the resection of this string of beadlike tumors could be a challenge to neurosurgeons, especially when the tumors extend to a long distance. CASE DESCRIPTION: A 50-year-old female was admitted to our hospital, and her diagnosis was beadlike schwannomas. We performed 2 small hemilaminectomies and pulled all the tumors out gently. The patient made a full recovery quickly after resection. CONCLUSIONS: In this case, we first reported a new surgical approach for the removal of a string of beadlike cauda equina schwannomas. We hypothesize that this procedure would be a potential addition to the present surgical methods under some circumstances.


Assuntos
Cauda Equina/cirurgia , Neurilemoma/cirurgia , Procedimentos Neurocirúrgicos/métodos , Neoplasias do Sistema Nervoso Periférico/cirurgia , Cauda Equina/patologia , Feminino , Humanos , Pessoa de Meia-Idade , Neurilemoma/patologia , Neoplasias do Sistema Nervoso Periférico/patologia
19.
Int J Clin Exp Pathol ; 11(7): 3785-3788, 2018.
Artigo em Inglês | MEDLINE | ID: mdl-31949764

RESUMO

A gangliocytoma in the sellar region is extremely rare. We report a rare case of mixed gangliocytoma and growth hormone (GH)-secreting adenoma in a 50-year-old woman, who presented with acromegaly. Laboratory investigations revealed high levels of GH and insulinlike growth factor 1 (IGF-1). Sellar computed tomography scan and contrast enhanced magnetic resonance imaging (CE-MRI) showed a sellar mass. Based on clinical, biochemical, and radiologic evaluations, GH-secreting adenoma was diagnosed and operated by endonasal transsphenoidal approach achieving total removal of the tumor. After surgery, histopathological examination demonstrated mixed gangliocytoma and GH-secreting adenoma in the resected lesion. The clinical, radiological, and operative data are reviewed, as are the histological findings. To our knowledge, few cases of mixed gangliocytoma and GH-secreting adenoma have been reported.

20.
World Neurosurg ; 110: 434-441, 2018 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-29229341

RESUMO

OBJECTIVE: To systematically evaluate the diagnostic performance of increased signal intensity within the resection cavity on fluid-attenuated inversion recovery (FLAIR) sequences for detection of progression in patients with glioma through performing a meta-analysis. METHODS: PubMed, Web of Science, Embase, Cochrane Library, and China National Knowledge Infrastructure were searched for potentially relevant literature. The study characteristics and relevant data were extracted. We estimated the pooled sensitivity, specificity, positive likelihood ratios, negative likelihood ratios, and diagnostic odds ratio and constructed summary receiver operating characteristics curves to identify the diagnostic value of FLAIR signal increase for detection of glioma progression. RESULTS: A total of 4 studies with 438 patients were included. The pooled sensitivity and specificity of increased signal intensity in FLAIR sequences in the resection cavity for detection of glioma progression were 0.36 (95% confidence interval 0.31-0.42) and 0.93 (95% confidence interval 0.86-0.97), respectively. The area under the curve was 0.7505. Subgroup analyses also were performed according to different patient sources, tumor grades, and definitions of progression. No significant publication bias was found in the meta-analysis (P = 0.85). CONCLUSIONS: Our results suggested that increased signal intensity within the resection cavity on FLAIR sequences could indicate tumor progression early with high specificity in patients with glioma. This readily accessible sign could implicate closer monitoring and could be crucial for therapeutic decisions and outcome. However, because of the limited number of studies, more well-designed studies are warranted to further verify our results and elucidate the underlining mechanisms.


Assuntos
Neoplasias Encefálicas/diagnóstico por imagem , Neoplasias Encefálicas/cirurgia , Glioma/diagnóstico por imagem , Glioma/cirurgia , Imageamento por Ressonância Magnética/métodos , Encéfalo/diagnóstico por imagem , Encéfalo/cirurgia , Progressão da Doença , Humanos , Resultado do Tratamento
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