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1.
Nanomaterials (Basel) ; 14(4)2024 Feb 17.
Artigo em Inglês | MEDLINE | ID: mdl-38392746

RESUMO

Metasurfaces of quarter-wave plate (QWP) meta-atoms have exhibited high flexibility and versatile functionalities in the manipulation of light fields. However, the generation of multi-channel vortex beams with the QWP meta-atom metasurfaces presents a significant challenge. In this study, we propose dielectric metasurfaces composed of QWP meta-atoms to manipulate multi-channel vortex beams. QWP meta-atoms, systematically arranged in concentric circular rings, are designed to introduce the modulations via the propagation phase and geometric phase, leading to the generation of co- and cross-polarized vortex beams in distinct channels. Theoretical investigations and simulations are employed to analyze the modulation process, confirming the capability of QWP meta-atom metasurfaces for generating the multi-channel vortex beams. This study presents prospective advancements for the compact, integrated, and multifunctional nanophotonic platforms, which have potential applications in classical physics and quantum domains.

2.
J Colloid Interface Sci ; 656: 332-345, 2024 Feb 15.
Artigo em Inglês | MEDLINE | ID: mdl-37995403

RESUMO

Molecularly imprinted polymers (MIPs) synthesized from chain functional monomers are restricted by spatial extension and exhibit relatively poor affinity and selectivity; this results in unsatisfactory applications in complex media. In this study, we prepared unique spherical carbonized polymer dots (CPDs-OH) via the incomplete carbonization of 1-allyl-3-vinylimidazolium bromide and ethylene glycol, and used it as a functional monomer to prepare a newly imprinted polymer (CPDs-OH@MIP) in aqueous media. As a result, the CPDs-OH@MIP exhibited effective recognition of oxytetracycline with an impressive imprinting factor of 6.17, surpassing MIPs prepared with chain functional monomers (1-3). Furthermore, CPDs-OH@MIP exhibited excellent adsorption for oxytetracycline (278.52 mg g-1) and achieved equilibrium in 30 min, with stronger resistance to coexisting cations, anions, and humic acid. Compared to other MIPs and adsorbents, the recognition performance of CPDs-OH@MIP improved 2-4 times; this polymer could remove >92.1% of oxytetracycline in real water samples with at least 10 cycle times. CPDs-OH@MIP prepared using the special spherical monomer forms a denser structure with fewer nonimprinted regions and precisely imprinted sites, remarkably improving the affinity and selectivity of MIPs combined via hydrogen bonds and electrostatic and π-π interactions. Our proposed strategy provides an effective basis for breakthroughs in the practical application of MIPs.

3.
Dalton Trans ; 52(11): 3351-3357, 2023 Mar 14.
Artigo em Inglês | MEDLINE | ID: mdl-36806842

RESUMO

Lithium, with its high theoretical capacity and low potential, has been widely investigated as the anode in energy storage/conversion devices. However, their commercial applications always suffer from undesired dendrite growth, which forms in the charging process and may puncture the separator, leading to short cycle lives and even security problems. Herein, by an in situ displacement reaction using SnF2 at room temperature, we constructed an artificial solid electrolyte interface (ASEI) of LiF/Li-Sn outside the Li anode. This hybrid strategy can induce a synergy between the high Li+ conductivity of the Li-Sn alloy and good electrical insulation of LiF. Moreover, extreme synergy can be achieved by moderating the thickness of the LiF/Li-Sn ASEI, guiding dendrite-free lithium plating and stripping. As a result, a Li//LiFePO4 battery that is assembled from the LiF/Li-Sn ASEI-engineered Li anode can obtain 1000 cycled lives with 86.3% capacity retention under a charge/discharge rate of 5 C. This work provides an alternative way to construct dendrite-free lithium metal anodes, which significantly benefit the cycle lives of LMBs.

4.
J Colloid Interface Sci ; 639: 233-240, 2023 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-36805748

RESUMO

MXenes have gained widespread interest in flexible supercapacitor due to their rich electrochemical activity and free-standing electrode structure. However, it has been a challenge to obtain an electrode with high (mass and volumetric) specific capacitance, high rate and long cycle life simultaneously. Herein, we have prepared a novel few-layer double transition metal carbide (Ti0.5V0.5)3C2Tx MXene. Multivalent V atoms with high electrochemical activity were constructed in stable M3C2-type MXene to obtain the (Ti0.5V0.5)3C2Tx electrode with excellent performance in flexible supercapacitors. The (Ti0.5V0.5)3C2Tx film has an excellent specific capacitance of 387F g-1 (1625 mF cm-3) at 1.0 A g-1, and 267 F g-1 (1121 mF cm-3) even at a high current density of 20.0 A g-1, demonstrating superior rate performance (69%). Moreover, the capacitance of the (Ti0.5V0.5)3C2Tx film remains stable during 100,000 cycles. The symmetric supercapacitor assembled using (Ti0.5V0.5)3C2Tx film has high energy and power densities, up to 5.6 Wh kg-1 and 5210.3 W kg-1. And the all-solid-state (Ti0.5V0.5)3C2Tx flexible SC maintains stable electrochemical performance after 200 bending cycles. This work shows the huge potential of (Ti0.5V0.5)3C2Tx in flexible supercapacitor, and provides a new idea for the design of high performance flexible electrodes.

5.
ACS Appl Mater Interfaces ; 15(2): 3089-3098, 2023 Jan 18.
Artigo em Inglês | MEDLINE | ID: mdl-36595476

RESUMO

Lithium (Li) metal has been recognized as the most promising anode material for next-generation rechargeable batteries. However, the practical application of Li anodes is hampered by the growth of Li dendrites. To address this issue, a robust and uniform Sb-based hybrid lithiophilic protective layer is designed and built by a facile in situ surface reaction approach. As evidenced theoretically and experimentally, the as-prepared hybrid protective layer provides outstanding wettability and fast charge-transfer kinetics. Moreover, the lithiophilic Sb embedded in the protective layer provides a rich site for Li nucleation, which effectively reduces the overpotential and induces uniform Li deposition. Consequently, the symmetric cell exhibits a long lifespan of over 1600 h at 1 mA cm-2 and 1 mAh cm-2 with a low voltage polarization. Furthermore, excellent cycling stability is also obtained in Li-S full cells (60% capacity retention in 800 cycles at 1 C) and Li||LFP full cells (74% capacity retention in 500 cycles at 5 C). This work proposed a facile but efficient strategy to stabilize the Li metal anode.

6.
J Colloid Interface Sci ; 631(Pt B): 114-124, 2023 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-36399804

RESUMO

The lithium sulfur (Li-S) battery is an active research area in the field of energy storage systems, but the shuttle effect is a serious obstacle hindering its application. Herein, a CoSe2/CoO Mott-Schottky catalyst is blended with carbon nanotubes (CNTs) and subsequently coated onto a commercial separator as a modifier, whereby the synergy between the high electrocatalytic activity of the CoSe2/CoO heterostructure and high conductivity of the CNTs selectively mediate the conversion of sulfur species. As a result, a cell with a CoSe2/CoO-CNTs modified separator displays a high initial discharge capacity of 1573 and 910 mAh/g at 0.1 and 2C, respectively. Furthermore, a low decay rate of 0.070% per cycle can be obtained over 500 cycles at 2C. The results of this study suggest that the as-prepared CoSe2/CoO-CNTs is an effective modifier that can improve the performance of Li-S batteries for use in next-generation energy storage systems. This study provides fundamental insights into the rational design of Mott-Schottky catalysts for practical high-performance Li-S batteries.

7.
Exp Clin Transplant ; 21(12): 961-972, 2023 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-38263783

RESUMO

OBJECTIVES: The prevention and treatment of liver transplant rejection remain challenging. We investigated the pathophysiological mechanisms of liver transplant rejection in rats and screened candidate genes to determine their degree of rejection response for possible development of potential therapeutic targets. MATERIALS AND METHODS: Brown Norway-Brown Norway transplant tolerant models and Lewis-Brown Norway transplant rejection models were established. We collected liver tissue and venous blood at 7 days posttransplant for hematoxylin and eosin staining and RNA sequencing analysis, respectively. We conducted differential expression gene analysis, KEGG and GO enrichment analysis. We performed immunohistochemistry to detect highly expressed immunerelated proteins, including lymphocyte-specific protein tyrosine kinase, linker for activation of T cells, and 70-kDa T-cell receptor zeta-chain-associated protein kinase. RESULTS: Significant differences were found in liver function and Banff scores between rejection and tolerant groups, indicating the successful establishment of liver transplant models. RNA-sequencing screened 7521 differentially expressed genes, with 3355 upregulated and 3058 downregulated. KEGG analysis of upregulated genes showed that 8 of the top 20 enrichment pathways were associated with immune system processes and 5 were related to immune system diseases. Among these immune pathways, 289 genes were upregulated; of these, 147 genes were removed after comparison with the IMMPORT database, of which 97 genes were significantly changed. Our GO analysis showed upregulated genes mainly participating in immune response processes, with downregulated genes mainly participating in metabolic processes. Real-time polymerase chain reaction and immunohistochemistry verified expression of the immune-related proteins, consistent with RNAsequencing results, which were mainly expressed in inflammatory cells in sinus and portal vein. CONCLUSIONS: Immune-related genes were found to be associated with liver transplant rejection. The 3 immune-related genes that we analyzed may play a role in liver transplant rejection and can possibly serve as candidate markers for monitoring the degree of liver transplant rejection.


Assuntos
Transplante de Fígado , Proteína Tirosina Quinase p56(lck) Linfócito-Específica , Linfócitos T , Proteína-Tirosina Quinase ZAP-70 , Animais , Ratos , Complicações Pós-Operatórias , Ratos Endogâmicos Lew , Receptores de Antígenos de Linfócitos T , Proteína-Tirosina Quinase ZAP-70/genética , Proteína Tirosina Quinase p56(lck) Linfócito-Específica/genética
8.
ACS Appl Mater Interfaces ; 14(48): 53850-53859, 2022 Dec 07.
Artigo em Inglês | MEDLINE | ID: mdl-36399033

RESUMO

The lithium (Li) ion and electron diffusion behaviors across the actual solid electrolyte interphase (SEI) play a critical role in regulating the Li nucleation and growth and improving the performance of lithium-sulfur (Li-S) batteries. To date, a number of researchers have pursued an SEI with high Li-ion conductivity while ignoring the Li dendrite growth caused by electron tunneling in the SEI. Herein, an artificial anti-electron tunneling layer with enriched lithium fluoride (LiF) and sodium fluoride (NaF) nanocrystals is constructed using a facile solution-soaking method. As evidenced theoretically and experimentally, the LiF/NaF artificial SEI exhibits an outstanding electron-blocking capability that can reduce electron tunneling, resulting in dendrite-free and dense Li deposition beneath the SEI, even with an ultrahigh areal capacity. In addition, the artificial anti-electron tunneling layer exhibits improved ionic conductivity and mechanical strength, compared to those of routine SEI. The symmetric cells with protected Li electrodes achieve a stable cycling of 1500 h. The LiF/NaF artificial SEI endows the Li-S full cells with long-term cyclability under conditions of high sulfur loading, lean electrolyte, and limited Li excess. This study provides a perspective on the design of the SEI for highly safe and practical Li-S batteries.

9.
Dalton Trans ; 51(43): 16565-16573, 2022 Nov 08.
Artigo em Inglês | MEDLINE | ID: mdl-36263695

RESUMO

Lithium metal is considered to be the best candidate for rechargeable batteries due to its unique advantages. But the instability and the uncontrollable dendrites of the lithium metal anode greatly limit its commercialization. In recent years, in order to obtain stable Li metal anodes, various three-dimensional (3D) current collectors have been proposed. However, for traditional 3D current collectors, its advantages in structure still need to be improved. Therefore, the 3D hierarchical Cu@Ag nanostructure consisting of Ag-decorated Cu nanowires grown on Cu foam as a current collector (denoted as 3D HCu@Ag) is well designed and successfully prepared. Cu nanowires were in situ grown on Cu foam to form a 3D hierarchical current collector to further increase the specific surface area and reduce the local current density, thus suppressing the formation of dendrites. Ag nanoparticles were in situ grown on the surface of Cu nanowires by displacement reaction, which can reduce the overpotential of lithium deposition. Under the synergistic effect of optimal structure and Ag surface modification, 3D HCu@Ag exhibits extremely excellent performance. As a result, the Li-3D HCu@Ag symmetrical cell exhibits a lifetime of 1500 h with a very low voltage hysteresis. More importantly, in practical application, the Li-3D HCu@Ag||LFP full cell can cycle stably for 200 cycles at 1C and maintain an extremely high-capacity retention rate of 78.5%. The experiment results show that this design provides a new idea for the lithiophilic 3D current collector for stable lithium metal anode.

10.
J Colloid Interface Sci ; 625: 119-127, 2022 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-35716607

RESUMO

Lithium-sulfur (Li-S) batteries are widely considered to be next-generation storage technologies due to their high energy density, low cost and non-toxicity. However, the soluble lithium polysulfides (LiPS) migrating to the anode side inevitably causes side reactions with the Li anode, resulting in severe corrosion of the Li anode, loss of active materials, and rapid battery failure. Therefore, it is necessary to develop effective strategies to avoid LiPS exposure to Li anodes. Herein, a stable UiO-66-ClO4/PDMS (PDUO-Cl) biomimetic protective layer is rationally constructed by the drip coating method. The PDUO-Cl protective layer can effectively suppress the side reaction of Li metal with LiPSs/electrolyte and homogenize the Li+ flux, thus avoiding corrosion of the Li metal anode. As a result, the symmetric cell with the PDUO-Cl protective layer delivers a stable cycle performance greater than 1400 h under a current density of 0.5 mA cm-2. The Li-S batteries with a PDUO-Cl protective layer still show relatively better rate performance and cycling stability (69% after 100 cycles at 0.1 C). This work provides new insights into the design of protective strategies for Li anodes in Li-S batteries.


Assuntos
Biomimética , Lítio , Estruturas Metalorgânicas , Ácidos Ftálicos , Sulfetos , Enxofre
11.
Sci Rep ; 11(1): 16545, 2021 08 16.
Artigo em Inglês | MEDLINE | ID: mdl-34400696

RESUMO

Alien invasive plants pose a threat to global biodiversity and the cost of control continues to rise. Early detection and prediction of potential risk areas are essential to minimize ecological and socio-economic costs. In this study, the Maxent model was used to predict current and future climatic conditions to estimate the potential global distribution of the invasive plant Xanthium italicum. The model consists of 366 occurrence records (10 repeats, 75% for calibration and 25% for verification) and 10 climate prediction variables. According to the model forecast, the distribution of X. italicum was expected to shrink in future climate scenarios with human intervention, which may be mainly caused by the rise in global average annual temperature. The ROC curve showed that the AUC values of the training set and the test set are 0.965 and 0.906, respectively, indicating that the prediction result of this model was excellent. The contribution rates of annual mean temperature, monthly mean diurnal temperature range, standard deviation of temperature seasonal change and annual average precipitation to the geographical distribution of X. italicum were 65.3%, 11.2%, 9.0%, and 7.7%, respectively, and the total contribution rate was 93.2%. These four variables are the dominant environmental factors affecting the potential distribution of X. italicum, and the influence of temperature is greater than that of precipitation. Through our study on the potential distribution prediction of X. italicum under the future climatic conditions, it has contribution for all countries to strengthen its monitoring, prevention and control, including early warning.

12.
Appetite ; 159: 105055, 2021 04 01.
Artigo em Inglês | MEDLINE | ID: mdl-33248191

RESUMO

Abnormal activities in reward-related regions are associated with overeating or obesity. Preliminary studies have shown that changes in neural activity in obesity include not only regional reward regions abnormalities but also impairments in the communication between reward-related regions and multiple functional areas. A recent study has shown that the transitions between different neural networks are nonrandom and hierarchical, and that activation of particular brain networks is more likely to occur after other brain networks. The aims of this study were to investigate the key nodes of reward-related regions in obese males and explore the hierarchical integrated processing of key nodes. Twenty-four obese males and 24 normal-weight male controls of similar ages were recruited. The fMRI data were acquired using 3.0 T MRI. The fMRI data preprocessing was performed in DPABI and SPM 12. Degree centrality analyses were conducted using GRETNA toolkit, and Granger causality analyses were calculated using DynamicBC toolbox. Decreased degree centrality was observed in left ventral medial prefrontal cortex (vmPFC) and right parahippocampal/hippocampal gyrus in group with obesity. The group with obesity demonstrated increased effective connectivity between left vmPFC and several regions (left inferior temporal gyrus, left supplementary motor area, right insular cortex, right postcentral gyrus, right paracentral lobule and bilateral fusiform gyrus). Increased effective connectivity was observed between right parahippocampal/hippocampal gyrus and left precentral/postcentral gyrus. Decreased effective connectivity was found between right parahippocampal/hippocampal gyrus and left inferior parietal lobule. This study identified the features of hierarchical interactions between the key reward nodes and multiple function networks. These findings may provide more evidence for the existing view of hierarchical organization in reward processing.


Assuntos
Mapeamento Encefálico , Recompensa , Encéfalo/diagnóstico por imagem , Humanos , Imageamento por Ressonância Magnética , Masculino , Obesidade
13.
Obes Surg ; 30(8): 3258-3259, 2020 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-32424793

RESUMO

In the original articles there are data errors in some of the Figure 2 tables. The corrected Figure 2 tables follow.

14.
Obes Surg ; 30(5): 1917-1928, 2020 05.
Artigo em Inglês | MEDLINE | ID: mdl-32048152

RESUMO

BACKGROUND: Obesity is a worldwide epidemic leading to non-alcoholic fatty liver disease. Alterations in the liver fat fraction (LFF) assessed by MRI following bariatric surgery is a promising feature; however, few studies have been fully elucidated. PURPOSE: To determine the alterations in the LFF features following surgery using MRI, to determine the correlation with the clinical non-alcoholic steatohepatitis score (C-NASH score), and to identify the predictive factors for postoperative score changes. METHODS: Patients (n = 69) underwent MRI to measure the LFF at baseline and 3 months postoperatively. Paired sample t tests were applied to investigate the alterations in the major parameters. Univariate analyses were performed to evaluate the factors predicting C-NASH score changes after surgery. RESULTS: Compared with the baseline levels, the LFF significantly decreased 3 months postoperatively (P < 0.001). Significant positive correlations were detected between the C-NASH score and LFF levels (P < 0.001). Among the ROC curves for C-NASH score change, the AUC for the ROC curve of LFF was 0.812 (95% CI 0.707, 0.916) and the cut-off value was 6.16%. Weight at baseline was a significant predictive factor for postoperative changes when the C-NASH score was ≥ 3 (P < 0.001). The AUC for the ROC curve of weight was 0.897 (95% CI 0.782, 1.000) and 117 kg was the cut-off value. CONCLUSIONS: LFF decreased following bariatric surgery, which predicted C-NASH score changes after surgery. For patients with a higher risk of NASH (score ≥ 3) at baseline and lower preoperative body weight, we noted significantly greater effects of surgery on score change value.


Assuntos
Cirurgia Bariátrica , Hepatopatia Gordurosa não Alcoólica , Obesidade Mórbida , Biópsia , Humanos , Fígado/diagnóstico por imagem , Imageamento por Ressonância Magnética , Hepatopatia Gordurosa não Alcoólica/diagnóstico por imagem , Obesidade Mórbida/cirurgia
15.
Obes Surg ; 29(12): 3966-3977, 2019 12.
Artigo em Inglês | MEDLINE | ID: mdl-31468305

RESUMO

BACKGROUND: The concept of metabolic obesity phenotypes has been proposed, but its relevance to metabolic features is unclear. PURPOSE: To determine a new definition of metabolic obesity phenotype, investigate the characteristics of expressing clustered normal and abnormal metabolic parameters, and analyze factors associated with metabolic abnormalities. MATERIALS AND METHODS: Characteristics of 600 patients were analyzed. The definition of metabolic obesity phenotype includes elevated blood pressure, glucose, lipid, and uric acid levels and abnormal lipoprotein levels. Independent sample t test and a general linear model with repeated measures were applied to investigate the differences in metabolic parameters. RESULTS: A total of 108 (18.0%) participants were obese yet metabolically healthy, whereas 492 (82.0%) were obese and metabolically unhealthy. Body weight at baseline was significantly higher in metabolically unhealthy phenotype (P < 0.001). For non-phasic oral glucose tolerance test (OGTT) curve shape, 100% glucose, 100% C-peptide, and 95.8% insulin curves were found in the metabolically unhealthy group. Men had an increased risk for elevated lipid level than women (OR = 1.83, 1.21-2.77). Individuals with class II/III obesity had an increased risk for elevated blood pressure, glucose, and UA levels than did those with class I obesity (OR = 2.22, 1.43-3.44; OR = 1.73, 1.11-2.68; OR = 3.61, 2.29-5.69, respectively). CONCLUSIONS: Approximately one-fifth of individuals with obesity had a metabolically healthy phenotype, and nearly one-third of individuals with class III obesity had this phenotype. Non-phasic OGTT curve shape is a meaningful predictive factor of metabolically unhealthy phenotype before bariatric surgery. Male sex and class II/III obesity are risk factors associated with specific metabolic abnormalities.


Assuntos
Obesidade/diagnóstico , Obesidade/metabolismo , Fenótipo , Adolescente , Adulto , Idoso , Cirurgia Bariátrica , Biomarcadores/metabolismo , Peptídeo C/metabolismo , Estudos de Coortes , Estudos Transversais , Feminino , Humanos , Hipertensão/diagnóstico , Hipertensão/etiologia , Insulina/metabolismo , Modelos Lineares , Metabolismo dos Lipídeos , Masculino , Pessoa de Meia-Idade , Obesidade/fisiopatologia , Obesidade/cirurgia , Fatores de Risco , Ácido Úrico/metabolismo , Adulto Jovem
17.
J Magn Reson Imaging ; 50(2): 541-551, 2019 08.
Artigo em Inglês | MEDLINE | ID: mdl-30653786

RESUMO

BACKGROUND: The reward-related regions have been considered a crucial component in the regulation of eating behavior. Furthermore, appetite-related regions associated with reward can influence eating behaviors through altered functional activity related to food in brain areas associated with emotion, memory, sensory processing, motor function, and cognitive control. PURPOSE: To investigate the key nodes in obese females of reward-related regions and, based on key nodes, to evaluate the directionality of functional connectivity between key nodes and appetite-related regions. STUDY TYPE: Prospective. POPULATION: Twenty-eight obese and 28 normal-weight female controls of similar age. FIELD STRENGTH/SEQUENCE: 3.0 T MRI and echo planar imaging (EPI) sequence, 3D BRAVO sequence. ASSESSMENT: The fMRI data preprocessing was based on the Data Processing & Analysis of Brain Imaging and Statistical Parametric Mapping 12. Degree centrality calculation was based on the GRETNA toolkit and granger causality analysis were based on the DynamicBC toolbox. Statistical Tests: Independent two-sample t-tests were used to assess the differences in demographic and clinical data between two groups. Two-sample t-tests were conducted to test the difference in degree centrality and effective connectivity of key nodes between two groups. RESULTS: Compared with normal-weight controls, obese females showed an increased degree centrality in the left ventral striatum/caudate (t = 2.96808, P < 0.05) and decreased degree centrality in right orbitofrontal cortex (OFC) (t = -3.3558, P < 0.05). The obese females showed directional effective connectivity between left ventral striatum/caudate and several regions (left inferior temporal gyrus, fusiform gyrus, postcentral gyrus, and right precentral gyrus) (P < 0.05). Directional effective connectivity was also observed between the right OFC and several regions (left middle temporal gyrus, cuneus, OFC, superior temporal gyrus, middle frontal gyrus, and right inferior parietal lobule) (P < 0.05). DATA CONCLUSION: The left ventral striatum/caudate and right OFC are key nodes in reward-related regions. The key nodes with reward processing mainly enhance visual processing of information and further participate in cognitive, attention, and sensorimotor processing. LEVEL OF EVIDENCE: 1. Technical Efficacy: Stage 4. J. Magn. Reson. Imaging 2019;50:541-551.


Assuntos
Apetite/fisiologia , Encéfalo/fisiopatologia , Imageamento por Ressonância Magnética/métodos , Obesidade/fisiopatologia , Obesidade/psicologia , Recompensa , Adolescente , Adulto , Mapeamento Encefálico/métodos , Imagem Ecoplanar , Feminino , Humanos , Imageamento Tridimensional , Pessoa de Meia-Idade , Estudos Prospectivos , Transdução de Sinais/fisiologia , Adulto Jovem
18.
Obes Surg ; 29(2): 617-625, 2019 02.
Artigo em Inglês | MEDLINE | ID: mdl-30536019

RESUMO

BACKGROUND: Laparoscopic sleeve gastrectomy (LSG) has become an increasingly popular metabolic surgical procedure. Alteration in motor gastric function is a fundamental feature following LSG but still remains controversial. PURPOSE: To determine the gastric emptying time 3 month after LSG, correlations between gastric emptying time and body weight, weight loss, and glycemia levels, alongside determining predictive factors of weight loss at the 3-month follow-up. MATERIALS AND METHODS: Twenty-one patients were recruited in this study. Gastric emptying time was measured using a standard solid-phase gastric emptying scan at both baseline and 3 months after LSG. Paired sample t tests and a general linear model with repeated measures were applied to investigate the alterations in major parameters after surgery. Univariate analyses were performed to evaluate the factors predicting weight loss at the 3-month follow-up. RESULTS: Compared with baseline levels, gastric emptying time, body weight, and HbA1c levels decreased significantly at 3 months after LSG (P < 0.001). Significant positive correlations were detected between HbA1c levels and gastric emptying time at baseline (P = 0.03). Significant positive correlations were detected between HbA1c levels at baseline and change in gastric emptying time (P = 0.03). Univariate logistic regression revealed a lower baseline BMI level to be independently associated with %EWL (P < 0.001). CONCLUSIONS: The rate of gastric emptying increased following LSG. Patients with a higher risk of type 2 diabetes at baseline had longer gastric emptying times prior to treatment and significantly shortened emptying times following surgery.


Assuntos
Gastrectomia , Esvaziamento Gástrico , Laparoscopia , Adulto , Índice de Massa Corporal , Feminino , Seguimentos , Hemoglobinas Glicadas/análise , Humanos , Masculino , Estudos Retrospectivos , Fatores de Tempo
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