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Styrene-maleic acid (SMA) copolymer has received much attention for its excellent solubilization characteristics. In this work, SMA copolymer brush-based chromatographic stationary phases were exploited and developed for the first time. First, SMA copolymer brush was in situ grown on the surface of spherical silica via living/controlled reversible addition-fragmentation chain transfer (RAFT) polymerization method. Subsequently, as a proof-of-concept demonstration, the copolymer was esterified by diethylene glycol mono-2-ethylhexyl ether (DGME) and 2-(2-ethylhexyloxy) ethanol (EHOE), respectively. The obtained Sil-SMA-DGME and Sil-SMA-EHOE copolymer-brush chromatographic stationary phases were characterized by transmission electron microscopy, Fourier transform infrared spectrometer, X-ray photoelectron spectroscopy, and thermogravimetric analysis, respectively. The chromatographic retention mechanism indicated that both the two packed columns exhibited hydrophilic/reverse mixed-mode retention modes. The maximum column efficiency was up to 71,000 N/m. The chromatographic separation performance evaluation indicated that the novel kind of stationary phases had excellent separation capabilities for hydrophilic, hydrophobic compounds and phospholipid standards. In addition, by combination with mass spectrometry identification, the Sil-SMA-DGME column was further exploited for separation and identification of phospholipids in human lung cancer cells. Totally, 9 classes including 186 phospholipid species were successfully identified. The results demonstrated the promising application prospects of the novel kind of SMA copolymer-brush chromatographic stationary phases.
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Treatment of heavy metal pollution in complexed states within water bodies presents significant challenges in the current water treatment field. Adsorption as a means for the removal of heavy metals is characterized by its simplicity of operation, stable effluent, and minimal equipment requirements. Metal-organic frameworks (MOFs) as adsorbents hold significant interest for applications in water treatment. In this study, we investigated a green synthesis approach for the ball-milling pretreated synthesis of UiO-66(Zr) at room temperature, abbreviated as UiO-66(Zr)-rm. Besides having the same thermal stability and crystal structure as the product from microwave-assisted synthesis (UiO-66(Zr)-mw), the resulting UiO-66(Zr)-rm features smaller particle size and superior mesoporous structure. The adsorption efficiency and mechanism for removing EDTA-chelated copper (EDTA-CuII), a complexed heavy metal in water, were extensively analyzed. UiO-66(Zr)-rm presented a maximum adsorption capacity over EDTA-CuII of 43 mg g-1 and a much higher adsorption rate (0.16 g (mg h)-1) than UiO-66(Zr)-mw (0.06 g (mg h)-1). Hierarchically mesostructured defects allow the sorbate to have more effective diffusion in a shorter time to achieve faster adsorption kinetics. Benefiting from the mild synthesis conditions and nontoxic solvents, UiO-66(Zr) has the potential to be produced at a scaled-up level, thereby exhibiting excellent adsorption performance for the removal of complexed heavy metals in the future.
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Importance: Despite increased use of antibiotic-loaded bone cement (ALBC) in joint arthroplasty over recent decades, current evidence for prophylactic use of ALBC to reduce risk of periprosthetic joint infection (PJI) is insufficient. Objective: To compare the rate of revision attributed to PJI following primary total knee arthroplasty (TKA) using ALBC vs plain bone cement. Design, Setting, and Participants: This international cohort study used data from 14 national or regional joint arthroplasty registries in Australia, Denmark, Finland, Germany, Italy, New Zealand, Norway, Romania, Sweden, Switzerland, the Netherlands, the UK, and the US. The study included primary TKAs for osteoarthritis registered from January 1, 2010, to December 31, 2020, and followed-up until December 31, 2021. Data analysis was performed from April to September 2023. Exposure: Primary TKA with ALBC vs plain bone cement. Main Outcomes and Measures: The primary outcome was risk of 1-year revision for PJI. Using a distributed data network analysis method, data were harmonized, and a cumulative revision rate was calculated (1 - Kaplan-Meier), and Cox regression analyses were performed within the 10 registries using both cement types. A meta-analysis was then performed to combine all aggregated data and evaluate the risk of 1-year revision for PJI and all causes. Results: Among 2â¯168â¯924 TKAs included, 93% were performed with ALBC. Most TKAs were performed in female patients (59.5%) and patients aged 65 to 74 years (39.9%), fully cemented (92.2%), and in the 2015 to 2020 period (62.5%). All participating registries reported a cumulative 1-year revision rate for PJI of less than 1% following primary TKA with ALBC (range, 0.21%-0.80%) and with plain bone cement (range, 0.23%-0.70%). The meta-analyses based on adjusted Cox regression for 1â¯917â¯190 TKAs showed no statistically significant difference at 1 year in risk of revision for PJI (hazard rate ratio, 1.16; 95% CI, 0.89-1.52) or for all causes (hazard rate ratio, 1.12; 95% CI, 0.89-1.40) among TKAs performed with ALBC vs plain bone cement. Conclusions and Relevance: In this study, the risk of revision for PJI was similar between ALBC and plain bone cement following primary TKA. Any additional costs of ALBC and its relative value in reducing revision risk should be considered in the context of the overall health care delivery system.
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Antibacterianos , Artroplastia do Joelho , Cimentos Ósseos , Infecções Relacionadas à Prótese , Sistema de Registros , Reoperação , Humanos , Artroplastia do Joelho/efeitos adversos , Cimentos Ósseos/uso terapêutico , Feminino , Idoso , Masculino , Antibacterianos/uso terapêutico , Infecções Relacionadas à Prótese/epidemiologia , Infecções Relacionadas à Prótese/etiologia , Reoperação/estatística & dados numéricos , Pessoa de Meia-Idade , Estudos de CoortesRESUMO
Aims: This study compares the re-revision rate and mortality following septic and aseptic revision hip arthroplasty (rTHA) in registry data, and compares the outcomes to previously reported data. Methods: This is an observational cohort study using data from the German Arthroplasty Registry (EPRD). A total of 17,842 rTHAs were included, and the rates and cumulative incidence of hip re-revision and mortality following septic and aseptic rTHA were analyzed with seven-year follow-up. The Kaplan-Meier estimates were used to determine the re-revision rate and cumulative probability of mortality following rTHA. Results: The re-revision rate within one year after septic rTHA was 30%, and after seven years was 34%. The cumulative mortality within the first year after septic rTHA was 14%, and within seven years was 40%. After multiple previous hip revisions, the re-revision rate rose to over 40% in septic rTHA. The first six months were identified as the most critical period for the re-revision for septic rTHA. Conclusion: The risk re-revision and reinfection after septic rTHA was almost four times higher, as recorded in the ERPD, when compared to previous meta-analysis. We conclude that it is currently not possible to assume the data from single studies and meta-analysis reflects the outcomes in the 'real world'. Data presented in meta-analyses and from specialist single-centre studies do not reflect the generality of outcomes as recorded in the ERPD. The highest re-revision rates and mortality are seen in the first six months postoperatively. The optimization of perioperative care through the development of a network of high-volume specialist hospitals is likely to lead to improved outcomes for patients undergoing rTHA, especially if associated with infection.
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Artroplastia de Quadril , Infecções Relacionadas à Prótese , Sistema de Registros , Reoperação , Humanos , Artroplastia de Quadril/mortalidade , Reoperação/estatística & dados numéricos , Infecções Relacionadas à Prótese/mortalidade , Masculino , Feminino , Idoso , Pessoa de Meia-Idade , Alemanha/epidemiologia , Prótese de Quadril/efeitos adversos , Idoso de 80 Anos ou maisRESUMO
Metal-organic frameworks (MOFs) are robust, crystalline, and porous materials featured by their superior CO2 adsorption capacity, tunable energy band structure, and enhanced photovoltaic conversion efficiency, making them highly promising for photocatalytic CO2 reduction reaction (PCO2RR). This study presents a comprehensive examination of the advancements in MOFs-based PCO2RR field spanning the period from 2011 to 2023. Employing bibliometric analysis, the paper scrutinizes the widely adopted terminology and citation patterns, elucidating trends in publication, leading research entities, and the thematic evolution within the field. The findings highlight a period of rapid expansion and increasing interdisciplinary integration, with extensive international and institutional collaboration. A notable emphasis on significant research clusters and key terminologies identified through co-occurrence network analysis, highlighting predominant research on MOFs such as UiO, MIL, ZIF, porphyrin-based MOFs, their composites, and the hybridization with photosensitizers and molecular catalysts. Furthermore, prospective design approaches for catalysts are explored, encompassing single-atom catalysts (SACs), interfacial interaction enhancement, novel MOF constructions, biocatalysis, etc. It also delves into potential avenues for scaling these materials from the laboratory to industrial applications, underlining the primary technical challenges that need to be overcome to facilitate the broader application and development of MOFs-based PCO2RR technologies.
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The toxicity for the human body of non-steroidal anti-inflammatory drugs (NSAIDs) overdoses is a consequence of their low water solubility, high doses, and facile accessibility to the population. New drug delivery systems (DDS) are necessary to overcome the bioavailability and toxicity related to NSAIDs. In this context, UiO-66(Zr) metal-organic framework (MOF) shows high porosity, stability, and load capacity, thus being a promising DDS. However, the adsorption and release capability for different NSAIDs is scarcely described. In this work, the biocompatible UiO-66(Zr) MOF was used to study the adsorption and release conditions of ibuprofen, naproxen, and diclofenac using a theoretical and experimental approximation. DFT results showed that the MOF-drug interaction was due to an intermolecular hydrogen bond between protons of the groups in the defect sites, (µ3 - OH, and - OH2) and a lone pair of oxygen carboxyl functional group of the NSAIDs. Also, the experimental results suggest that the solvent where the drug is dissolved affects the adsorption process. The adsorption kinetics are similar between the drugs, but the maximum load capacity differs for each drug. The release kinetics assay showed a solvent dependence kinetics whose maximum liberation capacity is affected by the interaction between the drug and the material. Finally, the biological assays show that none of the systems studied are cytotoxic for HMVEC. Additionally, the wound healing assay suggests that the UiO-66(Zr) material has potential application on the wound healing process. However, further studies should be done.
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Anti-Inflamatórios não Esteroides , Sistemas de Liberação de Medicamentos , Liberação Controlada de Fármacos , Estruturas Metalorgânicas , Naproxeno , Anti-Inflamatórios não Esteroides/administração & dosagem , Anti-Inflamatórios não Esteroides/farmacocinética , Anti-Inflamatórios não Esteroides/química , Estruturas Metalorgânicas/química , Naproxeno/administração & dosagem , Naproxeno/química , Naproxeno/farmacocinética , Ibuprofeno/administração & dosagem , Ibuprofeno/química , Ibuprofeno/farmacocinética , Humanos , Adsorção , Portadores de Fármacos/química , Diclofenaco/administração & dosagem , Diclofenaco/química , Diclofenaco/farmacocinética , Sobrevivência Celular/efeitos dos fármacos , Ácidos FtálicosRESUMO
PURPOSE: Periprosthetic joint infection (PJI) is a major cause of revision surgery after total knee arthroplasty (TKA) and unicondylar knee arthroplasty (UKA). Patient- and hospital-related risk factors need to be assessed to prevent PJI. This study identifies influential factors and differences in infection rates between different implant types. METHODS: Data were obtained from the German Arthroplasty Registry. Septic revisions were calculated using Kaplan-Meier estimates with septic revision surgery as the primary endpoint. Patients with constrained and unconstrained TKA or UKA were analysed using Holm's multiple log-rank test and Cox's proportional hazards ratio. The 300,998 cases of knee arthroplasty analysed included 254,144 (84.4%) unconstrained TKA, 9993 (3.3%) constrained TKA and 36,861 (12.3%) UKA with a maximum follow-up of 7 years. RESULTS: At 1 year, the PJI rate was 0.5% for UKA and 2.8% for TKA, whereas at 7 years, the PJI rate was 4.5% for UKA and 0.9% for TKA (p < 0.0001). The PJI rate significantly increased for constrained TKA compared to unconstrained TKA (p < 0.0001). The PJI rate was 2.0% for constrained TKA and 0.8% for unconstrained TKA at 1 year and 3.1% and 1.4% at 7 years. Implantation of a constrained TKA (hazard ratio [HR] = 2.55), male sex (HR = 1.84), increased Elixhauser score (HR = 1.18-1.56) and implant volume of less than 25 UKA per year (HR = 2.15) were identified as risk factors for revision surgery; an Elixhauser score of 0 (HR = 0.80) was found to be a preventive factor. CONCLUSIONS: Reduced implant volume and constrained knee arthroplasty are associated with a higher risk of PJI. Comorbidities (elevated Elixhauser score), male sex and low UKA implant volume have been identified as risk factors for PJI. Patients who meet these criteria require specific measures to prevent infection. Further research is required on the potential impact of prevention and risk factor modification. LEVEL OF EVIDENCE: Level III.
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Artroplastia do Joelho , Prótese do Joelho , Infecções Relacionadas à Prótese , Sistema de Registros , Reoperação , Humanos , Artroplastia do Joelho/efeitos adversos , Masculino , Reoperação/estatística & dados numéricos , Fatores de Risco , Alemanha/epidemiologia , Infecções Relacionadas à Prótese/epidemiologia , Infecções Relacionadas à Prótese/etiologia , Idoso , Feminino , Fatores Sexuais , Pessoa de Meia-Idade , Prótese do Joelho/efeitos adversos , ComorbidadeRESUMO
PURPOSE: Due to ageing population, the implantation rate of total knee arthroplasties (TKAs) is continuously growing. Aseptic revisions in primary knee arthroplasty are a major cause of revision. The aim of the following study was to determinate the incidence and reasons of aseptic revisions in constrained and unconstrained TKA, as well as in unicondylar knee arthroplasties (UKAs). METHODS: Data collection was performed using the German Arthroplasty Registry. Reasons for aseptic revisions were calculated. Incidence and comparison of aseptic revisions were analysed using Kaplan-Meier estimates. A multiple χ2 test with Holm's method was used to detect group differences in ligament ruptures. RESULTS: Overall, 300,998 cases of knee arthroplasty with 254,144 (84.4%) unconstrained TKA, 9993 (3.3%) constrained TKA and 36,861 (12.3%) UKA were analysed. Aseptic revision rate in UKA was significantly increased compared to unconstrained and constrained TKA (p < 0.0001). In constrained TKA, a 2.0% revision rate for aseptic reasons were reported after 1 year, while in unconstrained TKA 1.1% and in UKA, 2.7% of revisions were identified. After 7 years in constrained TKA 3.3%, in unconstrained TKA 2.8%, and in UKA 7.8% sustained aseptic revision. Ligament instability was the leading cause of aseptic revision accounting for 13.7% in unconstrained TKA. In constrained TKA, 2.8% resulted in a revision due to ligament instability. In the UKA, the most frequent cause of revisions was tibial loosening, accounting for 14.6% of cases, while progression of osteoarthritis accounted for 7.9% of revisions. Ligament instability was observed in 14.1% of males compared to 15.9% of females in unconstrained TKA and in 4.6% in both genders in UKA. CONCLUSION: In patients with UKA, aseptic revision rates are significantly higher compared to unconstrained and constrained TKA. Ligament instability was the leading cause of aseptic revision in unconstrained TKA. In UKA, the most frequent cause of revisions was tibial loosening, while progression of osteoarthritis was the second most frequent cause of revisions. Comparable levels of ligament instability were observed in both sexes. LEVEL OF EVIDENCE: Level III, cohort study.
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Artroplastia do Joelho , Prótese do Joelho , Falha de Prótese , Sistema de Registros , Reoperação , Humanos , Artroplastia do Joelho/efeitos adversos , Artroplastia do Joelho/métodos , Reoperação/estatística & dados numéricos , Alemanha/epidemiologia , Masculino , Feminino , Idoso , Pessoa de Meia-Idade , Prótese do Joelho/efeitos adversos , Incidência , Complicações Pós-Operatórias/epidemiologia , Complicações Pós-Operatórias/etiologia , Desenho de Prótese , Fatores de Risco , Osteoartrite do Joelho/cirurgiaRESUMO
Herein, Cellulose-templated Zn1-XCuXO/Ag2O nanocomposites were prepared using biological renewable cellulose extracted from water hyacinth (Eichhornia crassipes). Cellulose-templated Cu-doped ZnO catalysts with different amounts of Cu as the dopants (1, 2, 3, and 4%) were prepared and denoted CZ-1, CZ-2, CZ-3, and CZ-4, respectively, for simplicity. The prepared catalysts were tested for the degradation of methylene blue (MB), and 2% Cu-doped ZnO (CZ-2) showed the best catalytic performance (82%), while the pure ZnO, CZ-1, CZ-3, and CZ-4 catalysts exhibited MB dye degradation efficiencies of 54, 63, 65, and 60%, respectively. The best catalyst (CZ-2) was chosen to further improve the degradation efficiency. Different amounts of AgNO3 (10, 15, 30, and 45 mg) were used for the deposition of Ag2O on the surface of CZ-2 and denoted CZA-10, CZA-15, CZA-30, and CZA-45, respectively. Among the composite catalysts, CZA-15 showed remarkable degradation efficiency and degraded 94% of MB, while the CZA-10, CZA-30, and CZA-45 catalysts showed 90, 81, and 79% degradation efficiencies, respectively, under visible light within 100 min of irradiation. The enhanced catalytic performance could be due to the smaller particle size, the higher electron and hole separation and charge transfer efficiencies, and the lower agglomeration in the composite catalyst system. The results also demonstrated that the Cu-doped ZnO prepared with cellulose as a template, followed by the optimum amount of Ag2O deposition, could have promising applications in the degradation of organic pollutants.
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Effective techniques for eliminating antibiotics from water environments are in high demand. The peracetic acid (PAA)-based advanced oxidation process has recently drawn increasing attention for its effective antibiotic degrading capability. However, current applications of PAA-based techniques are limited and tend to have unsatisfactory performance. An additional catalyst for PAA activation could provide a promising solution to improve the performance of PAA. Bulky metal-organic framework gels (MOGs) stand out as ideal catalysts for PAA activation owing to their multiple advantages, including large surface areas, high porosity, and hierarchical pore systems. Herein, a bimetallic hierarchical porous structure, i.e., FeMn13BTC, was synthesized through a facile one-pot synthesis method and employed for PAA activation in ofloxacin (OFX) degradation. The optimized FeMn MOG/PAA system exhibited efficient catalytic performance, characterized by 81.85% OFX degradation achieved within 1 h owing to the specific hierarchical structure and synergistic effect between Fe and Mn ions, which greatly exceeded the performance of the only PAA-catalyzed system. Furthermore, the FeMn MOG/PAA system maintained >80% OFX degradation in natural water. Quenching experiments, electron spin resonance spectra, and model molecular degradation revealed that the primary reactive oxygen species responsible for the catalytic effect was R-Oâ¢, especially CH3C(=O)OOâ¢, with minor contributions of â¢OH and 1O2. Overall, introduction of the MOG catalyst strategy for PAA activation achieved high antibiotic degradation performance, establishing a paradigm for the design of heterogeneous hierarchical systems to broaden the scope of catalyzed water treatment applications.
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Different organic compounds in aquatic bodies have been recognized as an emerging issue in Environmental Chemistry. The gamma irradiation technique, as one of the advanced oxidation techniques, has been widely investigated in past decades as a technique for the degradation of organic molecules, such as dyes, pesticides, and pharmaceuticals, which show high persistence to degradation. This review gives an overview of what has been achieved so far using gamma irradiation for different organic compound degradations giving an explanation of the mechanisms of degradations as well as the corresponding limitations and drawbacks, and the answer to why this technique has not yet widely come to life. Also, a new approach, recently presented in the literature, regards coupling gamma irradiation with other techniques and materials, as the latest trend. A critical evaluation of the most recent advances achieved by coupling gamma irradiation with other methods and/or materials, as well as describing the reaction mechanisms of coupling, that is, additional destabilization of molecules achieved by coupling, emphasizing the advantages of the newly proposed approach. Finally, it was concluded what are the perspectives and future directions towards its commercialization since this technique can contribute to waste minimization i.e. not waste transfer to other media. Summarizing and generalization the model of radiolytic degradation with and without coupling with other techniques can further guide designing a new modular, mobile method that will satisfy all the needs for its wide commercial application.
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Poluentes Ambientais , Poluentes Químicos da Água , Poluentes Químicos da Água/química , Oxirredução , Compostos OrgânicosRESUMO
The global concern over water pollution caused by organic pollutants such as methylene blue (MB) and other dyes has reached a critical level. Herein, the Allium cepa L. peel extract was utilized to fabricate copper oxide (CuO) nanoparticles. The CuO was combined with MgAl-layered double hydroxides (MgAl-LDHs) via a co-precipitation method with varying weight ratios of the CuO/LDHs. The composite catalysts were characterized and tested for the degradation of MB dye. The CuO/MgAl-LDH (1:2) showed the highest photocatalytic performance and achieved 99.20% MB degradation. However, only 90.03, 85.30, 71.87, and 35.53% MB dye was degraded with CuO/MgAl-LDHs (1:1), CuO/MgAl-LDHs (2:1), CuO, and MgAl-LDHs catalysts, respectively. Furthermore, a pseudo-first-order rate constant of the CuO/MgAl-LDHs (1:2) was 0.03141 min-1 while the rate constants for CuO and MgAl-LDHs were 0.0156 and 0.0052 min-1, respectively. The results demonstrated that the composite catalysts exhibited an improved catalytic performance than the pristine CuO and MgAl-LDHs. The higher photocatalytic performances of composite catalysts may be due to the uniform distribution of CuO nanoparticles into the LDH matrix, the higher surface area, and the lower electron and hole recombination rates. Therefore, the CuO/MgAl-LDHs composite catalyst can be one of the candidates used in environmental remediation.
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BACKGROUND: The optimal dosages, timing, and treatment sequencing for standard-of-care neoadjuvant chemoradiotherapy necessitate re-evaluation when used in conjunction with immune checkpoint inhibitors for patients with resectable, locally advanced esophageal squamous cell carcinoma (RLaESCC). The SCALE-1 phase Ib study aimed to evaluate the safety and efficacy of short-course neoadjuvant radiotherapy combined with chemotherapy and toripalimab in this patient population. METHODS: RLaESCC patients with clinical stages cT3-4aN0M0/cT1-4aN+M0 received neoadjuvant paclitaxel (135 mg/m2), carboplatin (area under the curve=5), and toripalimab (240 mg) every 3 weeks for two cycles. Short-course neoadjuvant radiotherapy (30 Gy in 12 fractions; 5 days per week) was administered between neoadjuvant immune-chemotherapy (nICT) doses. Esophagectomies were scheduled 4-6 weeks after completing neoadjuvant treatment. The primary endpoint was safety, with secondary endpoints including pathological complete response (pCR) rate, postoperative complications, progression-free survival (PFS), and overall survival (OS). Exploratory biomarker analysis used gene expression profiles via the nCounter platform. RESULTS: Of the 23 patients enrolled, all completed neoadjuvant radiotherapy, while 21 cases finished full nICT doses and cycles. Common grade 3/4 adverse events included neutropenia (57%), leukopenia (39%), and skin rash (30%). No grade 3 or higher esophagitis or pneumonitis occured. Twenty patients underwent surgery, and 11 achieved pCR (55%). Two patients (10%) experienced grade IIIb surgical complications. At the database lock, a 2-year PFS rate of 63.8% (95% CI 43.4% to 84.2%) and 2-year OS rate was 78% (95% CI 64.9% to 91.1%) were achieved. Tumor immune microenvironment analysis indicated that tumors with pCR exhibited significantly higher pretreatment T-cell-inflamed score and post-treatment reshaping of antitumor immunity. CONCLUSIONS: Combining short-course neoadjuvant radiotherapy with chemotherapy and toripalimab demonstrated favorable safety and promising efficacy in RLaESCC patients. TRIAL REGISTRATION NUMBER: ChiCTR2100045104.
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Neoplasias Esofágicas , Carcinoma de Células Escamosas do Esôfago , Humanos , Terapia Neoadjuvante , Carcinoma de Células Escamosas do Esôfago/tratamento farmacológico , Neoplasias Esofágicas/tratamento farmacológico , Neoplasias Esofágicas/radioterapia , Anticorpos Monoclonais Humanizados , Microambiente TumoralRESUMO
BACKGROUND: This nationwide survey studied the level of palliative care (PC) access for Chinese patients with cancer among cancer care providers either in tertiary general hospitals or cancer hospitals in China. METHODS: Using a probability-proportionate-to-size method, we identified local tertiary general hospitals with oncology departments to match cancer hospitals at the same geographic area. A PC program leader or a designee at each hospital reported available PC services, including staffing, inpatient and outpatient services, education, and research, with most questions adapted from a previous national survey on PC. The primary outcome was availability of a PC service. RESULTS: Most responders reported that some type of PC service (possibly called "comprehensive cancer care," "pain and symptom management," or "supportive care") was available at their institution (84.3% of tertiary general hospitals, 82.8% of cancer hospitals). However, cancer hospitals were significantly more likely than tertiary general hospitals to have a PC department or specialist (34.1% vs. 15.5%, p < 0.001). The most popular services were pain consultation (> 92%), symptom management (> 77%), comprehensive care plans (~ 60%), obtaining advanced directives and do-not-resuscitate orders (~ 45%), referrals to hospice (> 32%), and psychiatric assessment (> 25%). Cancer hospitals were also more likely than tertiary general hospitals to report having inpatient beds for PC (46.3% vs. 30.5%; p = 0.010), outpatient PC clinics (28.0% vs. 16.8%; p = 0.029), educational programs (18.2% vs. 9.0%, p = 0.014), and research programs (17.2% vs. 9.3%, p < 0.001). CONCLUSIONS: Cancer hospitals are more likely to offer PC than are tertiary general hospitals in China. Our findings highlight opportunities to further increase the PC capacity in Chinese hospitals.
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Hospitais para Doentes Terminais , Neoplasias , Humanos , Cuidados Paliativos/métodos , Institutos de Câncer , Oncologia , Neoplasias/terapia , DorRESUMO
BACKGROUND AND PURPOSE: Antibiotic-loaded bone cement (ALBC) and systemic antibiotic prophylaxis (SAP) have been used to reduce periprosthetic joint infection (PJI) rates. We investigated the use of ALBC and SAP in primary total knee arthroplasty (TKA). PATIENTS AND METHODS: This observational study is based on 2,971,357 primary TKAs reported in 2010-2020 to national/regional joint arthroplasty registries in Australia, Denmark, Finland, Germany, Italy, the Netherlands, New Zealand, Norway, Romania, South Africa, Sweden, Switzerland, the UK, and the USA. Aggregate-level data on trends and types of bone cement, antibiotic agents, and doses and duration of SAP used was extracted from participating registries. RESULTS: ALBC was used in 77% of the TKAs with variation ranging from 100% in Norway to 31% in the USA. Palacos R+G was the most common (62%) ALBC type used. The primary antibiotic used in ALBC was gentamicin (94%). Use of ALBC in combination with SAP was common practice (77%). Cefazolin was the most common (32%) SAP agent. The doses and duration of SAP used varied from one single preoperative dosage as standard practice in Bolzano, Italy (98%) to 1-day 4 doses in Norway (83% of the 40,709 TKAs reported to the Norwegian arthroplasty register). CONCLUSION: The proportion of ALBC usage in primary TKA varies internationally, with gentamicin being the most common antibiotic. ALBC in combination with SAP was common practice, with cefazolin the most common SAP agent. The type of ALBC and type, dose, and duration of SAP varied among participating countries.
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Artroplastia do Joelho , Infecções Relacionadas à Prótese , Humanos , Antibacterianos/uso terapêutico , Artroplastia do Joelho/efeitos adversos , Cimentos Ósseos/uso terapêutico , Cefazolina , Infecções Relacionadas à Prótese/epidemiologia , Infecções Relacionadas à Prótese/prevenção & controle , Infecções Relacionadas à Prótese/tratamento farmacológico , Gentamicinas , América do Norte , Europa (Continente) , Oceania , ÁfricaRESUMO
Discovering natural product biosynthetic pathways of medicinal plants is challenging and laborious. Capturing the coregulation patterns of pathway enzymes, particularly transcriptomic regulation, has proven an effective method to accelerate pathway identification. In this study, we developed a yeast-based screening method to capture the protein-protein interactions (PPI) between plant enzymes, which is another useful pattern to complement the prevalent approach. Combining this method with plant multiomics analysis, we discovered four enzyme complexes and their organized pathways from kratom, an alkaloid-producing plant. The four pathway branches involved six enzymes, including a strictosidine synthase, a strictosidine ß-D-glucosidase (MsSGD), and four medium-chain dehydrogenase/reductases (MsMDRs). PPI screening selected six MsMDRs interacting with MsSGD from 20â candidates predicted by multiomics analysis. Four of the six MsMDRs were then characterized as functional, indicating the high selectivity of the PPI screening method. This study highlights the opportunity of leveraging post-translational regulation features to discover novel plant natural product biosynthetic pathways.
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Antineoplásicos , Produtos Biológicos , Mitragyna , Alcaloides de Triptamina e Secologanina , Saccharomyces cerevisiae/metabolismo , Mitragyna/metabolismo , Plantas/metabolismo , Antineoplásicos/metabolismo , Produtos Biológicos/metabolismoRESUMO
Porous materials such as metal-organic frameworks (MOFs) are considered to be suitable materials for immobilizing enzymes to improve their stability. However, conventional MOFs reduce the enzymes' catalytic activity due to difficulties with mass transfer and diffusing reactants after their micropores are occupied by enzyme molecules. To address these issues, a novel hierarchically structured zeolitic imidazolate framework-8 (HZIF-8) was prepared to study the effects of different laccase immobilization approaches such as the post-synthesis (LAC@HZIF-8-P) and de novo (LAC@HZIF-8-D) immobilization of catalytic activities for removing 2,4-dichlorophenol (2,4-DCP). The results showed higher catalytic activity for the laccase-immobilized LAC@HZIF-8 prepared using different methods than for the LAC@MZIF-8 sample, with 80% of 2,4-DCP removed under optimal conditions. These results could be attributable to the multistage structure of HZIF-8. The LAC@HZIF-8-D sample was stable and superior to LAC@HZIF-8-P, maintaining a 2,4-DCP removal efficiency of 80% after three recycles and demonstrating superior laccase thermostability and storage stability. Moreover, after loading with copper nanoparticles, the LAC@HZIF-8-D approach exhibited a 2,4-DCP removal efficiency of 95%, a promising finding for its potential use in environmental purification.
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The plant extract mediated green synthesis of nanomaterials has attracts enormous interest due to its cost-effectiveness, greener, and environmentally friendly. It is also considered as an alternative and facile method in which the phytochemicals can be used as a natural capping and reducing agents and helped to produce nanomaterials with high surface area, different sizes, and shapes. One of the materials fabricated using green methods is zinc oxide (ZnO) semiconductor due to its enormous applications in different field areas. In this review, an overview of recent progress on green synthesized ZnO-based catalysts and various modification methods for the purpose of enhancing the catalytic activity of ZnO and the corresponding structural-activity and interactions towards the removal of pollutants are highlighted. Particularly, the plant extract mediated ZnO-based photocatalysts application for the removal of pollutants via photocatalytic degradation, reduction reaction, and adsorption mechanism are demonstrated. Besides, the opportunities, challenges, and future outlooks of ZnO-based materials for environmental remediation with green and sustainable methods are also included. We believe that this review is a timely and comprehensive review on the recent progress related to plant extract mediated ZnO-based nanocatalysts synthesis and applications for environmental remediation.
RESUMO
Caffeine has been reported toxic to aquatic organisms, and it frequently occurs at relatively high concentrations in most of surface waters. However, it is difficult to control caffeine pollution because of the lack of Water Quality Criteria (WQC). In this study, species sensitivity distribution method and Log-normal model were applied to derive caffeine WQC as 83.7 ng/L. Meanwhile, concentrations of caffeine in the Nansi Lake basin were detected in 29 sampling sites, with the mean of 99.3 ng/L. The levels of caffeine in tributaries were higher than those in the lakes. In addition, a tied ecological risk assessment method was applied to assess the adverse effect of caffeine on aquatic system. The joint probability curve indicated that ecological risk might exist 3.1% of surface water in the study area, while 5% threshold (HC5) was set up to protect aquatic species. Generally, caffeine posted a low risk to aquatic organisms in the Nansi Lake basin.
Assuntos
Monitoramento Ambiental , Poluentes Químicos da Água , Monitoramento Ambiental/métodos , Lagos/análise , Cafeína , Qualidade da Água , Organismos Aquáticos , Medição de Risco/métodos , Poluentes Químicos da Água/análise , ChinaRESUMO
Metal-organic framework (MOF) gel, an emerging subtype of MOF structure, is unique in formation and function; however, its evolutionary process remains elusive. Here, the evolution of a model gel-based MOF, UiO-66(Zr) gel, is explored by demonstrating its sequential sol-gel self-assembly and nonclassical gel-crystal transformation. The control of the sol-gel process enables the observation and characterization of structures in each assembly stage (phase-separation, polycondensation, and hindered-crystallization) and facilitates the preparation of hierarchical materials with giant mesopores. The gelation mechanism is tentatively attributed to the formation of zirconium oligomers. By further utilizing the pre-synthesized gel, the nonclassical gel-crystal transformation is achieved by the modulation in an unconventional manner, which sheds light on crystal intermediates and distinct crystallization motions ("growth and splitting" and "aggregation and fusion"). The overall sol-gel and gel-crystal evolutions of UiO-66(Zr) enrich self-assembly and crystallization domains, inspire the design of functional structures, and demand more in-depth research on the intermediates in the future.