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1.
J Wound Care ; 30(Sup4): S24-S27, 2021 Apr 01.
Artigo em Inglês | MEDLINE | ID: mdl-33856927

RESUMO

OBJECTIVE: The primary goals of managing incontinence-associated dermatitis (IAD) are to control the incontinence and to stop the progress of dermatitis. This study evaluated the effectiveness of using a combination of topical antibiotic and topical antifungal medication to manage IAD. METHOD: Patients with grade 2 IAD treated with a combination of topical antibiotic Biomycin (CBC Biotechnological and Pharmaceutical, Taiwan) and antifungal clotrimazole (Sinphar Group, Taiwan) between January 2017 and January 2019 were included in this retrospective study. Data collected included patients' age, sex, diagnosis, body mass index, comorbidities and surface area involved. Patients were reviewed fortnightly until the wounds had healed, the patient was discharged or had died. RESULTS: A total of 76 patients were included. There were 39 men and 37 women with a mean age of 74 years. In 58 (76%) patients, the surface area involved was >50cm2, in 13 (17%) patients the involved area was 20-50cm2 and in five (7%) patients the area involved was <20cm2. The mean number of days treated was 10.3 (range: 1-53). A total of 46 (61%) patients showed total healing of their IAD, 17 (22%) patients showed improvement of >50% of the involved area, seven (9%) patients showed improvement of 0-50%, five (7%) patients showed no improvement and one (1%) patient showed an increase in the area involved. CONCLUSION: This combination of treatment was effective in the management of IAD. It was cheap, easy to apply, easy to remove and easily accessible. It could be used efficiently by the hospital staff and the patient's family.


Assuntos
Antifúngicos/uso terapêutico , Dermatite/tratamento farmacológico , Incontinência Fecal/complicações , Idoso , Antibacterianos/uso terapêutico , Antifúngicos/administração & dosagem , Dermatite/etiologia , Feminino , Humanos , Masculino , Estudos Retrospectivos , Higiene da Pele
2.
J Am Chem Soc ; 142(49): 20616-20623, 2020 Dec 09.
Artigo em Inglês | MEDLINE | ID: mdl-33249824

RESUMO

Giant Zeeman splitting and zero-field splitting (ZFS) are observed in 2D nanosheets that have monolayers of atomic thickness. In this study, single-crystalline CdSe(ethylenediamine)0.5 and Mn2+-doped nanosheets are synthesized via a solvothermal process. Tunable amounts of Mn2+(0.5-8.0%) are introduced, resulting in lattice contraction as well as phosphorescence from five unpaired electrons. The exciton dynamics are dominated by spin-related electronic transitions (4T1 → 6A1) with long lifetimes (20.5, 132, and 295 µs). Temperature-varied EPR spectroscopy with spectral simulation reveals large ZFS (D = 3850 MHz) due to axial distortion of substituted Mn2+ (S = 5/2). In the magnetic circular dichroism (MCD) measurements, we observed giant Zeeman splitting with large effective g values (up to 231 ± 21), which implies huge sp-d exchange interactions in 2D monolayer regimes, leading to diluted magnetic semiconductor (DMS) materials.

3.
Anal Chem ; 90(12): 7283-7291, 2018 06 19.
Artigo em Inglês | MEDLINE | ID: mdl-29787232

RESUMO

Stereospecific recognition of chiral molecules is ubiquitous in chemical and biological systems, thus leading to strong demand for the development of enantiomeric drugs, enantioselective sensors, and asymmetric catalysts. In this study, we demonstrate the ratio of d-Cys and l-Cys playing an important role in determining the optical properties and the structures of self-assembled Cys-Au(I) supramolecules prepared through a simple reaction of tetrachloroaurate(III) with chiral cysteine (Cys). The irregularly shaped -[d-Cys-Au(I)] n- or - [l-Cys-Au(I)] n- supramolecules with a size larger than 500 nm possessing strong absorption in the near-UV region and chiroptical characteristics were only obtained from the reaction of Au(III) with d-Cys or l-Cys. On the other hand, spindle-shaped -[d/l-Cys-Au(I)] n- supramolecules were formed when using Au(III) with mixtures of d/l-Cys. Our results have suggested that Au(I)···Au(I) aurophilic interactions, and stacked hydrogen bonding and zwitterionic interactions between d/l-Cys ligands are important in determining their structures. The NaBH4-mediated reduction induces the formation of photoluminescent gold nanoclusters (Au NCs) embedded in the chiral -[d-Cys-Au(I)] n- or -[l-Cys-Au(I)] n- supramolecules with a quantum yield of ca. 10%. The as-formed Au NCs/-[d-Cys-Au(I)] n- and Au NCs/-[l-Cys-Au(I)] n- are an enantiospecific substrate that can trap l-carnitine and d-carnitine, respectively, and function as a nanomatrix for surface-assisted laser desorption/ionization mass spectrometry (LDI-MS). The high absorption efficiency of laser energy, analyte-binding capacity, and homogeneity of the Au NCs/-[Cys-Au(I)] n- allow for quantitation of enantiomeric carnitine down to the micromolar regime with high reproducibility. The superior efficiency of the Au NCs/-[d-Cys-Au(I)] n- substrate has been further validated by quantification of l-carnitine in dietary supplements with accuracy and precision. Our study has opened a new avenue for chiral quantitation of various analytes through LDI-MS using metal nanocomposites consisting of NCs and metal-ligand complexes.


Assuntos
Carnitina/análise , Nanocompostos/química , Cisteína/química , Ouro/química , Lasers , Reprodutibilidade dos Testes , Estereoisomerismo
4.
Liver Int ; 38(4): 627-635, 2018 04.
Artigo em Inglês | MEDLINE | ID: mdl-28857411

RESUMO

BACKGROUND & AIMS: The kinetics of serum hepatitis B surface antigen (HBsAg) levels during long-term nucleos(t)ide analogue (NA) therapy in chronic hepatitis B (CHB) patients remains unclear. We investigated the patterns of serum HBsAg kinetics and their association with therapeutic outcomes in genotype B- or C-infected CHB patients receiving long-term NA therapy. METHODS: We enrolled 329 treatment-naive CHB patients receiving NA therapy for >5 years to analyse the kinetic patterns by using group-based trajectory models (GBTMs). RESULTS: Most patients (82.4%) received entecavir therapy. The median treatment duration was 83.6 (68.5-89.7) months. The GBTMs revealed three groups for both the hepatitis B e antigen (HBeAg)-positive and -negative patients. The median annual decline in serum HBsAg levels during the first 5 years was significantly higher in Group 1 than in Groups 2 and 3 in HBeAg-positive (0.78 vs 0.10 vs 0.10 log10 IU/mL) and HBeAg-negative (0.71 vs 0.08 vs 0.09 log10 IU/mL) patients. HBsAg levels at the baseline and 12 months combined with an HBsAg decline from the baseline to 12 months of treatment predicted trajectory pattern 1 in HBeAg-positive (sensitivity, 77.8%; specificity, 99.1%; positive predictive value [PPV], 87.5%; and negative predictive value [NPV], 98.2%) and HBeAg-negative (sensitivity, 100%; specificity, 99.5%; PPV, 88.9%; and NPV, 100%) patients. The trajectory patterns were significantly associated with HBeAg loss in the HBeAg-positive patients and the achievement of HBsAg <100 IU/mL or HBsAg loss in HBeAg-positive and HBeAg-negative patients. CONCLUSIONS: The trajectory of serum HBsAg levels predicts HBsAg loss in CHB patients receiving long-term NA therapy.


Assuntos
Antivirais/administração & dosagem , Guanina/análogos & derivados , Antígenos de Superfície da Hepatite B/sangue , Antígenos E da Hepatite B/sangue , Hepatite B Crônica/tratamento farmacológico , Adulto , DNA Viral/sangue , Feminino , Guanina/administração & dosagem , Vírus da Hepatite B/genética , Humanos , Cinética , Masculino , Pessoa de Meia-Idade , Análise Multivariada , Modelos de Riscos Proporcionais , Sensibilidade e Especificidade , Taiwan
5.
Phys Chem Chem Phys ; 19(19): 12085-12093, 2017 May 17.
Artigo em Inglês | MEDLINE | ID: mdl-28443925

RESUMO

In this study, we prepared photoluminescent l-cysteine (Cys)-capped gold nanoclusters (Cys-Au NCs) via NaBH4-mediated reduction of aggregated coordination polymers (supramolecules) of -[Cys-Au(i)]n-. The -[Cys-Au(i)]n- supramolecules with interesting chiral properties were formed through simple reactions of chloroauric acid (HAuCl4) with Cys at certain pH values (pH 3-7). The -[Cys-Au(i)]n- polymers could self-assemble into -[Cys-Au(i)]n- supramolecules with irregular morphologies and diameters larger than 500 nm through stacked hydrogen bonding and zwitterionic interactions between Cys ligands and through Au(i)Au(i) aurophilic interactions in solutions with pH values ≤7. The photoluminescent Au NCs (quantum yield = 11.6%) dominated by a Au13 core were embedded in -[Cys-Au(i)]n- supramolecules after NaBH4-mediated reduction. The optical and structural properties of Cys-Au NCs/-[Cys-Au(i)]n- nanocomposites were investigated, revealing that the interaction between Cys ligands plays a critical role in the self-assembly of -[Cys-Au(i)]n- supramolecules and in the formation of photoluminescent Cys-Au NCs embedded in the supramolecules. To further demonstrate that the photoluminescence properties and structures of the nanocomposites are mediated by the intermolecular forces of thiol ligands, other thiol ligands (l-penicillamine, l-homocysteine, 3-mercaptopropionic acid, and l-glutathione) and a ligand-crosslinking agent [bis(sulfosuccinimidyl) suberate; BS3] were used. We concluded that the electrostatic interactions, hydrogen bonding and steric effects dominate the polymer self-assembly into thiol-ligand-Au(i) supramolecules and thus the formation of Au NCs. Our study provides insights into the bottom-up synthesis of photoluminescent Au NCs from thiol-ligand-Au(i) complexes, polymers, and supramolecules. The hybrid Au NCs/-[Cys-Au(i)]n- nanocomposites can potentially be employed as drug carriers and bioimaging agents.


Assuntos
Ouro/química , Ligantes , Nanopartículas Metálicas/química , Cloretos/química , Compostos de Ouro/química , Concentração de Íons de Hidrogênio , Luz , Luminescência , Oxirredução , Polímeros
6.
Phys Chem Chem Phys ; 17(33): 21226-35, 2015 Sep 07.
Artigo em Inglês | MEDLINE | ID: mdl-25611788

RESUMO

SiO2 coated silver nanocubes Ag@SiO2 with enhanced surface-enhanced Raman scattering (SERS) and metal enhanced photoluminescence (MEPL) sensitivity were synthesized and characterized. The silver nanocubes (NCs) were synthesized by the polyol method and modified, first with different coupling agents, such as 3-mercaptopropyltrimethoxysilane (MPTMS) and 3-aminopropyltrimethoxysilane (APS), and secondly with tetraethylorthosilicate (TEOS) to improve their SERS and photoluminescence (PL) performances. The SERS and PL intensity of rhodamine 6G (R6G) can be manipulated by tuning the Ag nanocube's SiO2 shell thickness. Modified Ag NCs (with a 2 nm silica layer) were prepared using 1 mM APS and 1 mM TEOS and found to have a SERS intensity 3 fold higher than bare Ag NCs. Additionally, it was found that APS modified Ag@SiO2 NCs possessed both enhanced SERS and PL intensities.


Assuntos
Nanoestruturas/química , Dióxido de Silício/química , Prata/química , Análise Espectral Raman , Compostos de Organossilício , Propilaminas/química , Rodaminas/química , Silanos/química
7.
Analyst ; 139(8): 1929-37, 2014 Apr 21.
Artigo em Inglês | MEDLINE | ID: mdl-24575422

RESUMO

Surface-enhanced Raman scattering (SERS) utilizing the well-defined localized surface plasmon resonance (LSPR) of Ag and Au nanoparticles (NPs) under resonant irradiation has emerged as a promising spectroscopy technique for providing vibrational information on trace molecules. The Raman scattering intensity from molecules close to the surface of these finely divided metals can be significantly enhanced by a factor of more than 10(6). In addition to the high sensitivity, the reproducibility of the SERS signal is also an important parameter for its reliable application. In this work, we report on the innovative and facile fabrication of a Au NP-decorated SiO2 mask coated on indium tin oxide (ITO) glass as a SERS array substrate. First, a highly ordered porous SiO2 mask with pore sizes of 350 nm in diameter and wall thickness of 60 nm was deposited on ITO glass by using spin coating. Then, Au NPs were controllably decorated into the pores of the conductive ITO glass-bottomed SiO2 mask by using sonoelectrochemical deposition-dissolution cycling (SEDDC). Experimental results indicate that the SERS effect of Rhodamine 6G (R6G) observed on this developed substrate increases with an increase in the deposition time of Au NPs in SEDDC. The corresponding optimal enhancement factor (EF) that is obtained is ca. 6.5 × 10(7). Significantly, this system achieves an optimal reproducibility under a medium-length deposition time of Au NPs in SEDDC with a relative standard deviation (RSD) of 12% for measurements of five spots on different areas. The low RSD of the SERS signal and the large EF suggest that the developed array system can serve as an excellent spectroscopy platform for practical applications in analytical chemistry.


Assuntos
Ouro/química , Nanopartículas Metálicas , Dióxido de Silício/química , Análise Espectral Raman/métodos , Microscopia Eletrônica de Varredura , Reprodutibilidade dos Testes , Propriedades de Superfície
8.
Clin Epidemiol ; 15: 165-176, 2023.
Artigo em Inglês | MEDLINE | ID: mdl-36817560

RESUMO

Objective: To evaluate the risk of obesity in preschool children with prolonged screen time in Taiwan. Methods: Using a nationwide survey with random sampling, we collected information on 8378 preschool children aged 2-6 years among 206 preschools in Taiwan from 2016 to 2019. Socioeconomic data, body mass index, and lifestyle of the preschool children and their caregivers were compared among the groups of preschool children who had moderate and prolonged daily screen time. We used multiple log-binomial regression models to calculate the adjusted prevalence ratios (PRs) and 95% confidence intervals (CIs) of obesity associated with prolonged screen time. Results: The prevalence of obesity in the preschool children was 13.1%, and the average screen time was 104.6 minutes. Children's age, sleep hours, outdoor play time, sugar intake, snack eating before dinner, sleep disturbance, and obesity, as well as caregiver's sex, age, education, screen time, exercise time and parent obesity were factors related to high screen time for preschool children. Compared with children with moderate screen time, children with prolonged screen time had a higher risk of obesity (PR, 1.45; 95% CI, 1.18-1.79). With a 60-minute increase in screen time, the risk of obesity increased, with an PR of 1.10 (95% CI, 1.03-1.17). Conclusion: Preschool children with prolonged screen time had an increased risk of obesity in Taiwan. Interventions may be needed for this very susceptible population.

9.
J Am Chem Soc ; 134(24): 10011-20, 2012 Jun 20.
Artigo em Inglês | MEDLINE | ID: mdl-22646012

RESUMO

The finding of new metal alloyed nanocrystals (NCs) with high catalytic activity and low cost to replace PtRu NCs is a critical step toward the commercialization of fuel cells. In this work, a simple cation replacement reaction was utilized to synthesize a new type of ternary Fe(1-x)PtRu(x) NCs from binary FePt NCs. The detailed structural transformation from binary FePt NCs to ternary Fe(1-x)PtRu(x) NCs was analyzed by X-ray absorption spectroscopy (XAS). Ternary Fe(35)Pt(40)Ru(25), Fe(31)Pt(40)Ru(29), and Fe(17)Pt(40)Ru(43) NCs exhibit superior catalytic ability to withstand CO poisoning in methanol oxidation reaction (MOR) than do binary NCs (FePt and J-M PtRu). Also, the Fe(31)Pt(40)Ru(29) NCs had the highest alloying extent and the lowest onset potential among the ternary NCs. Furthermore, the origin for the superior CO resistance of ternary Fe(1-x)PtRu(x) NCs was investigated by determining the adsorption energy of CO on the NCs' surfaces and the charge transfer from Fe/Ru to Pt using a simulation based on density functional theory. The simulation results suggested that by introducing a new metal into binary PtRu/PtFe NCs, the anti-CO poisoning ability of ternary Fe(1-x)PtRu(x) NCs was greatly enhanced because the bonding of CO-Pt on the NCs' surface was weakened. Overall, our experimental and simulation results have indicated a simple route for the discovery of new metal alloyed catalysts with superior anti-CO poisoning ability and low usage of Pt and Ru for fuel cell applications.

10.
ACS Nano ; 16(3): 4298-4307, 2022 Mar 22.
Artigo em Inglês | MEDLINE | ID: mdl-35254822

RESUMO

The adsorption and desorption of electrolyte ions strongly modulates the carrier density or carrier type on the surface of monolayer-MoS2 catalyst during the hydrogen evolution reaction (HER). The buildup of electrolyte ions onto the surface of monolayer MoS2 during the HER may also result in the formation of excitons and trions, similar to those observed in gate-controlled field-effect transistor devices. Using the distinct carrier relaxation dynamics of excitons and trions of monolayer MoS2 as sensitive descriptors, an in situ microcell-based scanning time-resolved liquid cell microscope is set up to simultaneously measure the bias-dependent exciton/trion dynamics and spatially map the catalytic activity of monolayer MoS2 during the HER. This operando probing technique used to monitor the interplay between exciton/trion dynamics and electrocatalytic activity for two-dimensional transition metal dichalcogenides provides an excellent platform to investigate the local carrier behaviors at the atomic layer/liquid electrolyte interfaces during electrocatalytic reaction.

11.
J Hazard Mater ; 430: 128431, 2022 05 15.
Artigo em Inglês | MEDLINE | ID: mdl-35150991

RESUMO

Microplastics (MPs) pollution has become a serious environmental issue worldwide, but its potential effects on health remain unknown. The administration of polystyrene MPs (PS-MPs) to mice for eight weeks impaired learning and memory behavior. PS-MPs were detected in the brain especially in the hippocampus of these mice. Concurrently, the hippocampus had decreased levels of immediate-early genes, aberrantly enhanced synaptic glutamate AMPA receptors, and elevated neuroinflammation, all of which are critical for synaptic plasticity and memory. Interestingly, ablation of the vagus nerve, a modulator of the gut-brain axis, improved the memory function of PS-MPs mice. These results indicate that exposure to PS-MPs in mice alters the expression of neuronal activity-dependent genes and synaptic proteins, and increases neuroinflammation in the hippocampus, subsequently causing behavioral changes through the vagus nerve-dependent pathway. Our findings shed light on the adverse impacts of PS-MPs on the brain and hippocampal learning and memory.


Assuntos
Microplásticos , Poliestirenos , Animais , Ácido Glutâmico , Hipocampo , Camundongos , Plásticos , Poliestirenos/toxicidade
12.
ACS Appl Mater Interfaces ; 13(29): 34910-34922, 2021 Jul 28.
Artigo em Inglês | MEDLINE | ID: mdl-34278779

RESUMO

Transparent and flexible surface-enhanced Raman scattering (SERS) substrates have attracted much interest for the detection of probe molecules on the curved surfaces of real samples, but a facile route to fabricate such substrates is still lacking. Herein, we present a rationally designed, high-performance flexible SERS substrate fabricated using a simple drop and peel-off technique for the ultrasensitive detection of pesticides. The proposed SERS substrate consists of a polymethyl methacrylate (PMMA) film anchored with plasmonic silver nanoparticles (Ag NPs), which are photoreduced using chemically patterned ferroelectric templates. The photoreduced Ag NPs extracted onto the PMMA film offer strong electromagnetic enhancement and produce intensive hotspots for the effective enhancement of the Raman signal. They provide superior SERS performance for the detection of parathion (PT) and fenitrothion (FNT) at trace-level concentrations of 10-9 M and 10-10 M with excellent enhancement factors in the order of 108 and 109, respectively. Moreover, the Ag NP/PMMA SERS substrate has good spot-to-spot uniformity and batch-to-batch reproducibility with the reservation of high detection sensitivity even after the mechanical deformation of bending and torsion up to 50 cycles. The multiplex detection ability is also investigated for the simultaneous detection of PT and FNT. To ensure the practical feasibility, the in-situ, real-time detection of PT and FNT on the curved surfaces of tomato and lemon using a fiber-coupled Raman probe is performed with limits of detection of 4.24 × 10-8 M and 2.74 × 10-9 M. The proposed Ag NP/PMMA flexible SERS substrate possesses unique features, such as easy fabrication through a simple, economical, rapid process, and facilitates straightforward implementation of in-situ SERS detection on curved fruit/vegetable surfaces.

13.
Opt Express ; 18(3): 2814-21, 2010 Feb 01.
Artigo em Inglês | MEDLINE | ID: mdl-20174110

RESUMO

This work demonstrates photo alignment and electrical tuning effects in photonic liquid crystal fiber (PLCF). Applying voltages of 0 approximately 130V and 250 approximately 400V shifts the short and long wavelength edges of the transmission bands by about 45 nm and 74 nm toward longer wavelengths, respectively. An electro-tunable notch filter is formed in the PLCF without the use of gratings. The range of tunability of the notch filter is around 180 nm with an applied voltage of 140 approximately 240 V. This photo-induced alignment yields a permanently tilted LC structure in PCF, which reduces the threshold voltage, and can be further modulated by electric fields. The polarization dependent loss and fast response time of photo-aligned PLCF is also demonstrated. The finite-difference frequency-domain method is adopted to analyze the shift of the transmission bandgap, and the simulation results are found to correlate well with experimental data.

14.
Appl Opt ; 49(26): 4846-50, 2010 Sep 10.
Artigo em Inglês | MEDLINE | ID: mdl-20830171

RESUMO

We present a loss-reduced photonic liquid-crystal fiber (PLCF) using the noncontact photoalignment method. The photoexcited and adsorbed azo dye on the capillary surface of a PLCF induces uniform and highly ordered orientation of the liquid crystal (LC). The anchoring force of the photoalignment effect is combined with that generated by surface boundary conditions of the photonic crystal fiber (PCF). Transmission loss resulting from LC scattering can be reduced from -2.8 to -1.3 db/cm within 10 min. This photoinduced alignment yields a permanent boundary for the LC in the PCF that reduces scattering loss and can be further modulated by electrical fields. The electrical tunable effect and fast dynamic response of the photoaligned PLCF are also presented. This low-loss PLCF can be applied conveniently in various PLCF devices.

15.
Spectrochim Acta A Mol Biomol Spectrosc ; 225: 117484, 2020 Jan 15.
Artigo em Inglês | MEDLINE | ID: mdl-31521003

RESUMO

The interaction of plasmonic nanoparticles with a dielectric platform gives rise to unique optical behaviors and this can be maneuvered to improve the plasmonic/SERS performances of a substrate. Herein, dielectric modified plasmonic-paper SERS substrate is developed by assembling Ag@SiO2 nanocubes on Fe-TiO2 nanosheets (NS) modified paper. The Fe-TiO2 NS being visible light responsive significantly alters the optical property of the paper and serves as a dielectric underlay for the Ag nanocubes. Hence, the incident light reflected back from the dielectric nanosheets couples with the scattered light from the Ag nanocubes leading to spatially enhanced electromagnetic field improving the SERS enhancement. The prepared dielectric modified plasmonic-paper has an average enhancement factor (EF) of 1.49 × 107 using R6G as a probe molecule. This value is superior to unmodified plasmonic-paper highlighting the coupling effect of the dielectric nanosheets. The substrate shows robust detection performance for thiabendazole and achieves a limit of detection (LOD) of 19 µg/L, which is 4-fold more sensitive than unmodified plasmonic paper. Direct swabbing test of thiabendazole sprayed apple fruit shows a discernible Raman signal down to 15 ppb indicating the utility of the substrate for point-of-need applications in food safety.


Assuntos
Nanoestruturas/química , Praguicidas/análise , Análise Espectral Raman/métodos , Eletricidade , Contaminação de Alimentos/análise , Frutas/química , Fungicidas Industriais/análise , Humanos , Limite de Detecção , Malus/química , Nanopartículas Metálicas/química , Nanopartículas Metálicas/ultraestrutura , Nanoestruturas/ultraestrutura , Papel , Ressonância de Plasmônio de Superfície , Tiabendazol/análise
16.
Eur J Cardiovasc Nurs ; 18(8): 658-666, 2019 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-31232097

RESUMO

BACKGROUND: Stroke, a medical condition that causes physical disability and mental health problems, impacts negatively on quality of life. Post-stroke rehabilitation is critical to restoring quality of life in these patients. OBJECTIVES: This study was designed to evaluate the effect of a mind-body interactive qigong intervention on the physical and mental aspects of quality of life, considering bio-physiological and mental covariates in subacute stroke inpatients. METHODS: A randomized controlled trial with repeated measures design was used. A total of 68 participants were recruited from the medical and rehabilitation wards at a teaching hospital in northern Taiwan and then randomly assigned either to the Chan-Chuang qigong group, which received standard care plus a 10-day mind-body interactive exercise program, or to the control group, which received standard care only. Data were collected using the National Institutes of Health Stroke Scale, Hospital Anxiety and Depression Scale, Short Form-12, stroke-related neurologic deficit, muscular strength, heart rate variability and fatigue at three time points: pre-intervention, halfway through the intervention (day 5) and on the final day of the intervention (day 10). RESULTS: The results of the mixed-effect model analysis showed that the qigong group had a significantly higher quality of life score at day 10 (p<0.05) than the control group. Among the covariates, neurologic deficit (p=0.04), muscle strength (p=0.04), low frequency to high frequency ratio (p=0.02) and anxiety (p=0.04) were significantly associated with changes in quality of life. Conversely, heart rate, heart rate variability (standard deviation of normal-to-normal intervals, low frequency and high frequency), fatigue and depression were not significantly associated with change in quality of life (p >0.05). CONCLUSIONS: This study supports the potential benefits of a 10-day mind-body interactive exercise (Chan-Chuang qigong) program for subacute stroke inpatients and provides information that may be useful in planning adjunctive rehabilitative care for stroke inpatients.


Assuntos
Terapia por Exercício , Qigong , Qualidade de Vida , Reabilitação do Acidente Vascular Cerebral , Acidente Vascular Cerebral/psicologia , Idoso , Idoso de 80 Anos ou mais , Ansiedade/prevenção & controle , Depressão/prevenção & controle , Fadiga/prevenção & controle , Feminino , Frequência Cardíaca , Hospitalização , Humanos , Masculino , Pessoa de Meia-Idade , Taiwan
17.
J Microbiol Immunol Infect ; 52(4): 556-562, 2019 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-30360951

RESUMO

BACKGROUND: In Taiwan, the majority of chronic hepatitis C carriers with HIV co-infection are intravenous drug users and inmates in correctional facilities. Peginterferon and ribavirin (PegIFN/RBV) have been the standard-of-care for chronic hepatitis C virus (HCV) infection more than decades. We evaluated the estimated cost-effectiveness of PegIFN/RBV from the National Health Insurance Research Database, covering the population of Taiwan from 1998 to 2013. MATERIALS AND METHODS: This is an observational study, and study during was 2010-2016 and a total of 239 patients were treated with PegIFN/RBV. Of them, 156 patients were treated in the correctional facilities of Taipei, Taoyuan, Taichung and Taitung prisons, and 83 patients were treated in communities. The cost-effectiveness was analyzed in regimens of PegIFN/RBV and direct-acting antiviral agents. RESULTS: By multivariate analysis, the patients completed PegIFN/RBV in prison (adjusted odds ratio [aOR]: 4.56, 95% confidence interval [CI]: 1.58-13.12, p = 0.005), HCV RNA level <800,000 IU/mL (aOR: 4.0, 95% CI: 1.27-12.66, p = 0.02) at baseline, and the presence of early virologic response (EVR) (aOR: 7.67, 95% CI: 1.89-31.06, p = 0.004) were independent predictors for sustained virologic response (SVR). For the subgroups of prisoners, HIV-infected prisoners and HIV-infected patients in communities, the SVR rate was 73.8%, 72.0% and 36.8%, and the average medical-care cost was US$7,701, $7,893, and $15,443 per SVR achieved, respectively. Also, the estimated medical-care cost for genotype 6 was US$9211. CONCLUSIONS: Chronic HCV/HIV co-infected patients with genotype 1 and 6 in the community setting could benefit from DAAs in Taiwan.


Assuntos
Antivirais/economia , Coinfecção/economia , Análise Custo-Benefício , Infecções por HIV/tratamento farmacológico , Hepatite C Crônica/tratamento farmacológico , Prisões , Ribavirina/economia , Adulto , Antivirais/uso terapêutico , Coinfecção/tratamento farmacológico , Quimioterapia Combinada/economia , Feminino , Genótipo , Infecções por HIV/complicações , Custos de Cuidados de Saúde , Hepatite C Crônica/complicações , Humanos , Masculino , Pessoa de Meia-Idade , Estudos Retrospectivos , Ribavirina/uso terapêutico , Taiwan , Carga Viral
18.
ACS Omega ; 3(12): 16576-16584, 2018 Dec 31.
Artigo em Inglês | MEDLINE | ID: mdl-31458290

RESUMO

Roughing the metallic surface via oxidation-reduction cycles (ORC) to integrate the surface plasmon resonance and surface-enhanced Raman scattering (SERS) is predominant in developing sensor systems because of the facile preparation and uniform distribution of nanostructures. Herein, we proposed a distinctive ORC process: the forward potential passed through the oxidation of Au and reached the oxygen evolution reaction, and once the potential briefly remained at the vertex, the various reverse rates were employed to control the reduction state. The created hybrid Au-AuO x possessed electromagnetic and chemical enhancements concurrently, wherein the rough surface provided the strong local electromagnetic fields and significant interaction between AuO x and molecule to improve the charge transfer. The synergistic effects significantly amplified the intensity of Raman signal with an enhancement factor of 5.5 × 106 under the optimal conditions. Furthermore, the prepared SERS substrate can simultaneously identify and quantify the mixed edible pigments, Brilliant Blue FCF and Indigo Carmine, individually. This result suggested that the development of SERS sensor based on the proposed SERS-activated methodology is feasible and reliable.

19.
Sci Rep ; 8(1): 6062, 2018 Apr 11.
Artigo em Inglês | MEDLINE | ID: mdl-29643348

RESUMO

A correction to this article has been published and is linked from the HTML and PDF versions of this paper. The error has been fixed in the paper.

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