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Radical prostatectomy, radiotherapy and active surveillance are three widely used treatment options for patients with low-risk prostate cancer, but the relative effects are controversial. We searched PubMed, Embase and Web of Science until June 2020, focusing on the studies comparing the effect of radical prostatectomy, radiotherapy and active surveillance in patients with low-risk prostate cancer. Through the random-effects model, dichotomous data were extracted and summarised by odds ratio with a 95% confidence interval. Twenty-two studies containing 185,363 participants were pooled for the comprehensive comparison. The Bayesian mixed network estimate demonstrated the cancer-specific mortality of radical prostatectomy was significantly lower than active surveillance (OR, 0.46; 95% CI 0.34-0.64) and external beam radiation therapy (OR, 0.66; 95% CI 0.46-0.96), but not brachytherapy (OR, 0.63; 95% CI 0.41-1.03). The brachytherapy demonstrated the best treatment ranking probability results in terms of all-cause mortality, while no significant difference was observed when compared with other three treatment modalities. Brachytherapy and radical prostatectomy were associated with a similar risk of cancer-specific mortality, and both of them were significantly superior to active surveillance and external beam radiation therapy; nevertheless, there was no significant difference among the aforementioned treatment methods in all-cause mortality.
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Braquiterapia , Neoplasias da Próstata , Teorema de Bayes , Humanos , Masculino , Metanálise em Rede , Prostatectomia , Neoplasias da Próstata/radioterapia , Neoplasias da Próstata/cirurgiaRESUMO
How to cite this article: Xiao-Bo H, Poonyathawon S, Semedi BP, Xiao-Yi Z, Wei F, Da-Wei W, et al. International-focused Online Forum: A Good Way to Jointly Manage the COVID-19 Pandemic for Global Critical Care Community. Indian J Crit Care Med 2020;24(4):283-284.
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The skin is one of the largest immunologic organs in the body and a continuous target for allergic and immunologic responses. Impairment of the skin barrier increases the likelihood of external antigens and pathogens entering and creating inflammation, which can potentially lead to skin infections, allergies, and chronic inflammatory diseases such as atopic and contact dermatitis. Functionally, the skin barrier can be divided into four different levels. From outermost to innermost, these highly interdependent levels are the microbiome, chemical, physical, and immune levels. The objective of this review is to provide an update on current knowledge about the relationship between skin barrier function and how dysfunction at each level of the skin barrier can lead to allergic sensitization, contact dermatitis, and the atopic march, and examine how to best repair and maintain this barrier through the use of moisturizers. J Drugs Dermatol. 2019;18(6):581-586.
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Dermatite Alérgica de Contato/prevenção & controle , Dermatite Atópica/prevenção & controle , Emolientes/administração & dosagem , Dermatopatias Infecciosas/prevenção & controle , Pele/metabolismo , Dermatite Alérgica de Contato/imunologia , Dermatite Alérgica de Contato/microbiologia , Dermatite Atópica/imunologia , Dermatite Atópica/microbiologia , Disbiose/imunologia , Disbiose/microbiologia , Disbiose/prevenção & controle , Humanos , Microbiota/imunologia , Permeabilidade/efeitos dos fármacos , Pele/efeitos dos fármacos , Pele/microbiologia , Creme para a Pele/administração & dosagem , Dermatopatias Infecciosas/imunologia , Dermatopatias Infecciosas/microbiologiaRESUMO
Chemotherapy drugs treatment causes neuropathic pain, hyperalgesia and allodynia are common components of neuropathic pain, so effectively therapeutic strategy is required. In this study, we evaluated the antinociceptive effects of matrine on vincristine-induced neuropathic pain in mice. Vincristine (100 µg/kg i.p.) was administered once per day for 7 days (day 0-6) in mice. Matrine (15, 30, 60 mg/kg, i.p.) was repeated administration in early phase (day 0-6) or late phase (day 7-13). Hyperalgesia and allodynia were evaluated by withdrawal response using von Frey filaments, plantar and cold-plate on 7, 14 and 21 day. Injection of vincristine produced mechanical hyperalgesia and cold allodynia. Matrine was found to produce a protective role in both von Frey filaments and cold-plate test. The analysis of the effect supports the hypothesis that matrine is useful in therapy of vincristine-induced neuropathic pain. In conclusion, this study demonstrates that administration of matrine is associated with antinociceptive effect on mechanical and cold stimuli in a mice model of vincristine-induced neuropathy pain.
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Alcaloides/uso terapêutico , Analgésicos/uso terapêutico , Antineoplásicos Fitogênicos/toxicidade , Neuralgia/tratamento farmacológico , Quinolizinas/uso terapêutico , Vincristina/toxicidade , Animais , Modelos Animais de Doenças , Hiperalgesia/tratamento farmacológico , Camundongos , Camundongos Endogâmicos ICR , Neuralgia/induzido quimicamente , Limiar da Dor/efeitos dos fármacos , MatrinasRESUMO
OBJECTIVES: Few studies on ischemic complications and flow changes after a flow diverter covering the anterior cerebral artery. The purpose of the study was to explore the ischemic complications and anatomical alterations associated with the flow diverter after it covers the anterior cerebral artery. MATERIALS AND METHODS: In this single-center study, patients treated with FD covering the anterior cerebral artery at the First Affiliated Hospital of Zhengzhou University were retrospectively collected. The primary endpoint was ischemic complications related to the anterior cerebral artery. Secondary endpoints were anatomical changes in the anterior cerebral artery postoperatively and at follow-up. RESULTS: A total of 59 patients were included in this study. Four (6.8%) patients presented with ischemic stroke symptoms. Immediately after the procedure, complete occlusion of A1 and decreased blood flow was observed in 13 (22.0%) and 21 patients (35.6%), respectively. At follow-up, A1 artery was occluded in 34 patients (57.6%) and decreased blood flow was observed in 10 patients (16.9%). Symptoms of neurological deficits related to the anterior cerebral artery were not observed in all patients at follow-up. CONCLUSION: Coverage of A1 is safe, with a low incidence of ischemic stroke, when using an FD to treat aneurysms. Risk of reduced perfusion of the anterior cerebral artery postoperatively even if the anterior communicating artery is open. In cases with A1 occlusion, the blood flow in the distal the anterior cerebral artery can be adequately compensated by opening the anterior communicating artery and good vascular anastomoses.
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Artéria Cerebral Anterior , Humanos , Masculino , Feminino , Artéria Cerebral Anterior/cirurgia , Artéria Cerebral Anterior/diagnóstico por imagem , Pessoa de Meia-Idade , Estudos Retrospectivos , Idoso , Adulto , Aneurisma Intracraniano/cirurgia , Resultado do Tratamento , Complicações Pós-Operatórias/epidemiologia , Complicações Pós-Operatórias/etiologia , Seguimentos , Circulação Cerebrovascular/fisiologiaRESUMO
Arigsugacin I (1), a new α-pyrone meroterpene, along with two known compounds, arigsugacins F (2) and territrem B (3), were isolated from the mangrove endophytic fungus Penicillium sp. sk5GW1L from Kandelia candel. Their structures were identified through mass spectrometry and NMR experiments, and the absolute configuration of compound 1 was further confirmed by low-temperature (100 K) single crystal X-ray diffraction with Cu Kα radiation. The absolute configuration of compound 2 was first reported by using X-ray copper radiation. Compounds 1-3 showed inhibitory activities against acetylcholinesterase with IC50 values of 0.64 ± 0.08 µM, 0.37 ± 0.11 µM, and 7.03 ± 0.20 nM, respectively.
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Inibidores da Colinesterase/química , Penicillium/química , Pironas/química , Rhizophoraceae/microbiologia , Terpenos/química , Acetilcolinesterase/química , Inibidores da Colinesterase/isolamento & purificação , Ressonância Magnética Nuclear Biomolecular , Pironas/isolamento & purificação , Terpenos/isolamento & purificaçãoRESUMO
In this study, we investigated the neuroprotective effect of oxysophoridine on ischemia and ischemia-like insults. Protection by oxysophoridine was studied at the in vivo level using a model of middle cerebral artery occlusion in mice and at the in vitro level using primary rat hippocampal neuronal cultures exposed to oxygen-glucose deprivation, a model of ischemia-like injury. The behavioral test was performed by using the neurological scores. The infarction volume of brain was assessed in the brain slices stained with 2,3,5-triphenyl tetrazolium chloride. The neuron apoptosis was evaluated by Hoechst 33342 staining. The morphological change in the neurons was examined using a Transmission Electron Microscope (TEM or EM). To evaluate neuron apoptosis, caspase-3, -9, and - 8 activities were measured using assay kits with an ELISA reader. The Western blotting assay was used to evaluate the release of cytochrome c and expression of caspase-3, Bcl-2, and Bax proteins. The quantitative real-time PCR assay was used to evaluate the release of cytochrome c and the expression of caspase-3 mRNA. Oxysophoridine-treated groups (62.5, 125, 250 mg/kg) markedly reduced neurological deficit scores and infarct volumes. Treatment with oxysophoridine (5, 20, 80 µmol/L) significantly attenuated neuronal damage, with evidence of decreased cell apoptosis and decreased cell morphologic impairment. Furthermore, treatment with oxysophoridine could effectively downregulate the expression of cytochrome c and caspase-3 in both mRNA and protein levels, and Bax in the protein level, and induce an increase of Bcl-2 in the protein level. The caspase-3, -9, and -8 activities were also inhibited. These findings suggested that oxysophoridine may be a potential neuroprotective agent for cerebral ischemia injury.
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Alcaloides/farmacologia , Apoptose/efeitos dos fármacos , Isquemia Encefálica/tratamento farmacológico , Infarto da Artéria Cerebral Média/tratamento farmacológico , Fármacos Neuroprotetores/farmacologia , Animais , Encéfalo/metabolismo , Caspase 3/genética , Caspase 3/metabolismo , Citocromos c/genética , Citocromos c/metabolismo , Hipocampo/metabolismo , Masculino , Camundongos , Camundongos Endogâmicos ICR , Distribuição Aleatória , Ratos , Ratos Sprague-Dawley , Organismos Livres de Patógenos Específicos , Proteína X Associada a bcl-2/metabolismoRESUMO
CONTEXT: Sophora alopecuroides L. (Leguminosae) is a commonly used Chinese herbal drug that possesses antipyretic, anti-inflammatory and analgesic effects. Among various alkaloids isolated from S. alopecuroides, matrine has been identified as the major bioactive component contributing to a variety of pharmacological effects, and studies have also shown that matrine has an analgesic effect. OBJECTIVE: To investigate the antinociceptive effects of matrine on neuropathic pain induced by chronic constriction injury (CCI) in mice. MATERIALS AND METHODS: The von Frey, plantar, cold-plate, locomotor activity and rota-rod test were performed to assess the degree of mechanical, radiant, thermal, spontaneous locomotor activity and motor coordination changes respectively, at different time intervals, i.e., one day before surgery and 7, 8, 10, 12 and 14 days post surgery. Matrine was administered from the 8th day after the surgery for seven days. RESULTS: Our present study shows that matrine at the dose of 30 mg/kg i.p. increased the paw withdrawal threshold (0.88 ± 0.16), paw withdrawal latency (7.01 ± 0.11) and the counts of paw withdrawal (19.7 ± 1.15) from the day 8 for the nerve injured paw compared to the CCI group (0.18 ± 0.04, 4.62 ± 0.18, 44.3 ± 2.99, respectively). Matrine, in a dose-dependent effect, was also found to produce a protective role in both plantar and cold-plate tests. The analysis of the effect supports the hypothesis that matrine is useful in neuropathic pain therapy. DISCUSSION AND CONCLUSION: The results of this study suggest that matrine could be useful in the treatment of different kinds of neuropathic pains as an adjuvant to conventional medicines.
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Alcaloides/farmacologia , Analgésicos/farmacologia , Neuralgia/tratamento farmacológico , Quinolizinas/farmacologia , Sophora/química , Alcaloides/administração & dosagem , Alcaloides/isolamento & purificação , Analgésicos/administração & dosagem , Analgésicos/isolamento & purificação , Animais , Constrição Patológica , Modelos Animais de Doenças , Relação Dose-Resposta a Droga , Medicamentos de Ervas Chinesas/administração & dosagem , Medicamentos de Ervas Chinesas/isolamento & purificação , Medicamentos de Ervas Chinesas/farmacologia , Masculino , Camundongos , Camundongos Endogâmicos ICR , Atividade Motora/efeitos dos fármacos , Quinolizinas/administração & dosagem , Quinolizinas/isolamento & purificação , Fatores de Tempo , MatrinasRESUMO
In the practical water resources management, the allowable thresholds of pollutants are not unique. However, the conventional grey water footprint (GWF) model cannot deal with this uncertainty in the controlling threshold. To solve this problem, an improved GWF model and pollution risk evaluation method is designed according to the uncertainty analysis theory and maximum entropy principle. In this model, GWF is defined as the mathematical expectation of virtual water to dilute the pollution load within the allowable threshold, and the pollution risk is deduced by the stochastic probability by which GWF exceeds the local water resources. And then, the improved GWF model is applied in the pollution evaluation of Jiangxi Province, China. The results show that: (1) From 2013 to 2017, the annual GWF values of Jiangxi Province were 136.36 billion m3, 143.78 billion m3, 143.77 billion m3, 169.37 billion m3 and 103.36 billion m3, respectively. And their pollution risk values and grades were 0.30 (moderate), 0.27 (moderate), 0.19 (low), 0.22 (moderate), and 0.16 (low), respectively. In 2015, the determinant of the GWF was TP, and TN in other years. (2) The improved GWF model has an evaluation result which is basically consistent with WQQR, and it is an effective water resource evaluation method to deal with the uncertainty in controlling thresholds. (3) Compared with the conventional GWF model, the improved GWF model has better capacities in identifying pollution grades and recognizing pollution risks.
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Objective: To explore the pharmacological basis and mechanism of Buxue Yimu pills (BYP) in the treatment of anaemia in women from the perspective of metabolomics and network analysis. Materials and Methods: Forty-six women of reproductive age with haemoglobin 70-110 g/L were recruited. Blood samples were collected before and after 4 weeks of oral BYP treatment to assess the changes in haemoglobin, coagulation function, and iron metabolism indices. An integrated analysis of metabolomics (liquid chromatography mass spectrometry) and network analysis was performed to identify the potential pharmacodynamic mechanisms of BYP. Results: After BYP treatment, the haemoglobin level of patients significantly increased from 93.67 ± 9.77 g/L to 109.28 ± 12.62 g/L (p < 0.01), while no significant changes were found in iron metabolism and coagulation-related indicators. A total of 22 differential metabolites were identified after metabolomics analysis, which were mainly related to the inhibition of inflammation and oxidative stress. Integrating pharmacodynamics and metabolomics, a network of drug-active components-targets-metabolic pathways-metabolomics was established. Acetylcholinesterase, phospholipase A2 group IIA, and phospholipase A2 group IVA may be the most promising therapeutic targets. Conclusion: BYP can inhibit inflammation and oxidative stress as well as promote haematopoiesis, potentially improving anaemia.
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BACKGROUND: Among patients with acute ischemic stroke with a mismatch between deficit severity and infarct volume, thrombectomy performed within a 6-24 hours time window has efficacy and safety similar to treatment within 6 hours. However, whether magnetic resonance imaging with T2 diffusion-weighted imaging (DWI) is feasible remains to be validated. OBJECTIVE: To investigate prognosis among stroke patients receiving endovascular treatment (EVT) within 6 hours and 6-24 hours using non-contrasted computed tomography (NCCT) and DWI. METHODS: Overall, 209 anterior-circulation ischemic stroke patients with large-vessel occlusion who underwent EVT were divided into ≤ 6 hours and 6-24 hours groups. Patients presenting symptoms within 6 hours were treated if their NIHSS score was ≥ 7 and ASPECTS score was ≥ 5, whereas those with wake-up stroke (WUS) or presenting symptoms 6-24 hours after last seen well (WUS/late-presenting stroke, LPS) were managed if their NIHSS score was ≥ 7 and ASPECTS score was ≥ 5. RESULTS: The percentages of patients undergoing intracranial stenting and intracranial ballooning without stenting significantly differed between two groups (p < 0.001). Grades 0, 1, 2a and 2b recanalization rates did not differ between the 6 hours and 6-24 hours groups (all p > 0.05). Grade 3 recanalization rate in the 6 hours group was significantly lower than in the 6-24 hours group (p = 0.043). The 3-month Rankin Scale score did not significantly differ between the two groups (p = 0.629). CONCLUSIONS: EVT is a safe and effective treatment for patients with WUS and LPS selected through NCCT and DWI-based simple imaging.
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Isquemia Encefálica , Procedimentos Endovasculares , AVC Isquêmico , Acidente Vascular Cerebral , Isquemia Encefálica/diagnóstico por imagem , Isquemia Encefálica/terapia , Imagem de Difusão por Ressonância Magnética , Humanos , Acidente Vascular Cerebral/diagnóstico por imagem , Acidente Vascular Cerebral/terapia , Trombectomia , Resultado do TratamentoRESUMO
BACKGROUND: To describe the diagnostic criteria used and their application accuracy in the practice of polycystic ovary syndrome (PCOS) caring among obstetricians and gynaecologists across China. METHODS: This was an Online cross-sectional survey of Obstetricians and gynecologists involved in PCOS caring conducted via the largest continuing education platform of obstetrics and gynecology across China from September 2019 to November 2019. RESULTS: A total of 2,328 respondents were eligible for the final analysis. Of these, 94.5 % were general obstetricians and gynaecologists (Ge-ObGyn), and 5.5 % were reproductive endocrinologists (Re-ObGyn). Overall, the most frequently used criteria were the Androgen Excess and Polycystic Ovary Syndrome Society (AE-PCOS) criteria (48.2 %), followed by the Rotterdam criteria (35.7 %) and NIH criteria (12.1 %). Of the respondents, 31.3 % used their diagnostic criteria in their clinical practice. More respondents who chose the Rotterdam criteria could accurately apply the diagnostic criteria than those who chose the AE-PCOS criteria (41.2 % vs. 32.1 %, P < 0.001). Compared with Ge-ObGyn, Re-ObGyn were less likely to use the AE-PCOS criteria (adjusted odds ratio, 0.513; 95 % CI, 0.328-0.802; P < 0.05) and 1.492 times more likely to accurately use their criteria (95 % CI, 1.014-2.196; P < 0.05). CONCLUSIONS: Less than one-third of obstetricians and gynaecologists across China could accurately use the diagnostic criteria they choose to diagnose PCOS. There is an urgent need to train obstetricians and gynaecologists on PCOS diagnosis in an effort to improve the medical care quality of patients with PCOS.
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Competência Clínica , Ginecologia , Obstetrícia , Síndrome do Ovário Policístico/diagnóstico , Padrões de Prática Médica , Adulto , China , Endocrinologia , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Razão de Chances , Inquéritos e Questionários , Adulto JovemRESUMO
China's economic boom in recent decades has stimulated consumer demand for animal products and consequently, a vast expansion in animal production. From 1978 to 2006, the number of animals increased by 322% for pigs, 209% for poultry, and 2770% for dairy cattle. The objective of the present study was to quantify nitrogen mass flow in China's animal production system at the national scale and to elucidate potential environmental implications. A comprehensive analysis was performed combining statistical records with data from the scientific literature and supplemental survey information. Results indicate that approximately 18 Mt of N flowed through the Chinese animal production system in 2006. Nitrogen input to the system was from various feed materials, including 6.8 Mt (38% of total) from roughage, 4.4 Mt (24%) from byproducts, 2.3 Mt (13%) from cereal grains, and 1.6 Mt (9%) each from crop residues and oilseed cakes, with the remaining N (16%) obtained from other feedstuffs. Nitrogen outputs from the system included edible animal products (2.4 t, 13% of total), nonedible animal parts (e.g., bones, skins) (3.8 Mt, 21%), and excreta (12 Mt, 66%). At the national level, the excreta would average 28 Mg (as excreted) and 90 kg N ha(-1) of cropland. However, at the provincial level, it varied from 1 Mg ha(-1) (5 kg N ha(-1)) in Qinghai to 97 Mg ha(-1) (243 kg N ha(-1)) in Sichuan. In regions with excreta in the intermediate rate (e.g., Hebei Province, 115 kg N ha(-1)) or high rare (e.g., Sichuan Province, 243 kg N ha(-1)), animal manure contributes significantly to nutrients polluting groundwater and/or surface waters. It is crucial for China to develop and implement proper management practices to maximum the beneficial use of the 12 Mt excreta N while minimizing its environmental footprint.
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Criação de Animais Domésticos , Meio Ambiente , Nitrogênio , Animais , China , EstercoRESUMO
BACKGROUND: Hepatocellular carcinoma (HCC) is one of the most malignant tumor types and has a high incidence and mortality. Many miRNAs play important roles in the development of HCC. Identification of these miRNAs and their targets is increasingly urgent for a better understandingof miRNA function in both physiological and pathological contexts. Many studies have shown that the expression of let-7 is often downregulated in the process of tumorigenesis, suggesting that let-7 may participate in this process as an oncogene. METHODS: Immunochemistry staining was used to observe the expression of let-7b in HCC tissues. A CCK-8 assay was employed to detect the role of let-7b in the proliferation of HCC cells. The cell cycle of HCC cells was examined by flow cytometry. BALB/c nu/nu mice were used to detect the tumorigenesis potential of HCC cells; western blot and real-time PCR were employed to observe the expression of p21 in HCC cells. RESULTS: In our previous studies investigating HCC tissue samples obtained from the national tissue samples bank of liver cancer in Eastern Hepatobiliary Surgery Hospital, we found one abnormal expression of miRNA (let-7b), which was significantly downregulated in HCC tissue. In the current work, we studied the relationship between let-7b and HCC to potentially provide invaluable information for developing novel therapeutic strategies for treating HCC. Based on our findings, let-7b expression was absent in HCC tumors, and its lower expression was associated with poor prognosis of HCC. In further experiments, we found that let-7b inhibited HCC cell proliferation through upregulation of p21. CONCLUSION: The results of our study suggested that let-7b might inhibit the proliferation of HCC cells by upregulating p21.
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PRIMARY OBJECTIVE: To investigate the correlation of cerebral function reorganization and functional recovery by using functional magnetic resonance imaging (fMRI) with constraint-induced movement therapy (CIMT) for chronic upper-limb hemiparesis in one subject with stroke. RESEARCH DESIGN: The patient was treated with 2 weeks of CIMT and the unaffected upper-limb was restricted by a splint for 2 weeks. Clinical measures and functional magnetic resonance imaging (fMRI) tests were performed 1 day before the treatment, the day of after the treatment and 2 weeks after the treatment. MAIN OUTCOMES: Compared with the baseline, Upper Extremity Function Test (UEFT) of the patient's upper limb increased by 29.1% and Simple Test for Evaluating Hand Function (STEF) increased by 18.4%. Before, after and 2 weeks after the treatment, changes of activation in brain by using fMRI were found during the movement of the affected and unaffected hand. CONCLUSION: CIMT could significantly improve the upper limb movement function of stroke patients and fMRI proved that this kind of change was related with the plasticity change of the cerebrum. The motor function of the unaffected limb could not be affected when it was restricted and the change of the cerebrum excitation area was a transient change.
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Terapia por Exercício/métodos , Hemiplegia/reabilitação , Córtex Motor/fisiopatologia , Plasticidade Neuronal , Paresia/reabilitação , Reabilitação do Acidente Vascular Cerebral , Idoso , Hemiplegia/fisiopatologia , Humanos , Estudos Longitudinais , Imageamento por Ressonância Magnética , Masculino , Destreza Motora/fisiologia , Paresia/fisiopatologia , Acidente Vascular Cerebral/fisiopatologia , Resultado do Tratamento , Extremidade Superior/fisiologiaRESUMO
Adriamycin (ADM) is a commonly used drug in clinical breast cancer treatment. However, some breast cancer types or breast cancers subjected to repeated ADM exposure develop strong resistance to ADM thus limiting its clinical efficacy. In this study, we found for the first time that toosendanin (TSN), a triterpenoid extracted from the traditional Chinese medicine Melia toosendan Sieb et Zucc, could successfully reverse adriamycin resistance in human breast cancer cells. Immunofluorescence and HPLC analysis demonstrated that TSN promoted adriamycin accumulation in breast cancer cells, especially in the nucleus. Furthermore, TSN could significantly reduce ABCB1 expression. We then found that TSN was capable of suppressing adriamycin-induced Akt phosphorylation, probably due to downregulation of the PI3K catalytic subunits P110α and P110ß, and inhibition of DNA-PKcs. Importantly, the inhibitory effect of TSN on PI3K P110α and P110ß expression was specifically observed in breast cancer cells but not in normal human cells. Moreover, TSN significantly potentiated the anti-cancer effect of ADM in the 4T1 breast cancer model and its inhibition rate was nearly 90%. Thus, TSN could be used as a novel PI3K inhibitor to reverse breast cancer resistance. The combination of ADM and TSN may represent a useful strategy for human breast cancer therapy.
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Neoplasias da Mama/tratamento farmacológico , Doxorrubicina/farmacologia , Resistencia a Medicamentos Antineoplásicos , Medicamentos de Ervas Chinesas/farmacologia , Animais , Antineoplásicos/administração & dosagem , Antineoplásicos/farmacologia , Apoptose/efeitos dos fármacos , Linhagem Celular , Doxorrubicina/administração & dosagem , Medicamentos de Ervas Chinesas/administração & dosagem , Medicamentos de Ervas Chinesas/química , Feminino , Humanos , Camundongos Endogâmicos BALB C , Estrutura Molecular , Neoplasias Experimentais/tratamento farmacológico , Fosfatidilinositol 3-Quinases , FitoterapiaRESUMO
A rapid and efficient sample preparation method combining microwave-assisted derivatization (MAD) and single-drop microextraction (SDME) for the gas chromatographic (GC) determination of trace Cr(III) in water was developed. Aqueous Cr(III) was first converted to the volatile chromium trifluoroacetylacetonate (Cr(tfa)3) by reaction with 1,1,1-trifluoroacetylacetone (Htfa) under the irradiation of microwave. Derivatization of Cr(III) at ng ml(-1) level could be completed in less than 1 min. The formed Cr(tfa)3 was then extracted into a small droplet (2 microl) of toluene suspended at the tip of a microsyringe needle. The optimal extraction time was 30 min. The solvent drop was directly injected into a GC equipped with a flame photometric detector (FPD) for analysis. The two Cr(tfa)3 isomers extracted could be efficiently separated in 2 min. Linearity (r>0.99) over the concentration range 2-300 ng ml(-1) Cr was obtained and the limit of detection was 0.5 ng ml(-1) Cr. The relative standard deviation was 7.8% at 20 ng ml(-1) Cr (n=5). Applicability of this method to water analysis was examined by analyzing the chromium content in a reference standard water sample and an industrial effluent.
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Cromo/análise , Micro-Ondas , Água/química , Cromatografia Gasosa , Cloreto de Sódio/química , Fatores de TempoRESUMO
OBJECTIVE: To make a summary of the experiences in the treatment of abdominal injuries. METHODS: A retrospective study was done on 522 cases of abdominal injuries in our department from January 1986 to December 2004. RESULTS: Of all,382 cases were treated by surgery and 140 by conservative method. Among the surgically treated cases, 347 patients (90.8%) recovered, 35(9.2%) died and 21 had postoperative complications (5.6%). For patients undergoing conservative treatment, 139(99.3%) recovered but one (0.7%) died. CONCLUSIONS: The severity of abdominal injury and delayed treatment are two key factors leading to death. Surgical procedure is still the main method against alternative abdominal injuries. It is necessary to strictly control the indications in conservative treatment.
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Traumatismos Abdominais/cirurgia , Traumatismos Abdominais/diagnóstico , Adolescente , Adulto , Idoso , Idoso de 80 Anos ou mais , Criança , Pré-Escolar , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Complicações Pós-Operatórias/epidemiologia , Estudos Retrospectivos , Tomografia Computadorizada por Raios XRESUMO
Estimating the functional interactions and connections between brain regions to corresponding process in cognitive, behavioral and psychiatric domains is a central pursuit for understanding the human connectome. Few studies have examined the effects of dynamic evolution on cognitive processing and brain activation using brain network model in scalp electroencephalography (EEG) data. Aim of this study was to investigate the brain functional connectivity and construct dynamic programing model from EEG data and to evaluate a possible correlation between topological characteristics of the brain connectivity and cognitive evolution processing. Here, functional connectivity between brain regions is defined as the statistical dependence between EEG signals in different brain areas and is typically determined by calculating the relationship between regional time series using wavelet coherence. We present an accelerated dynamic programing algorithm to construct dynamic cognitive model that we found that spatially distributed regions coherence connection difference, the topologic characteristics with which they can transfer information, producing temporary network states. Our findings suggest that brain dynamics give rise to variations in complex network properties over time after variation audio stimulation, dynamic programing model gives the dynamic evolution processing at different time and frequency. In this paper, by applying a new construct approach to understand whole brain network dynamics, firstly, brain network is constructed by wavelet coherence, secondly, different time active brain regions are selected by network topological characteristics and minimum spanning tree. Finally, dynamic evolution model is constructed to understand cognitive process by dynamic programing algorithm, this model is applied to the auditory experiment, results showed that, quantitatively, more correlation was observed after variation audio stimulation, the EEG function connection dynamic evolution model on cognitive processing is feasible with wavelet coherence EEG recording.
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The relation between music and emotions has been investigated for decades. Most of the studies focused on short clips and were designed with specific tasks. This paper investigated the emotional states from electroencephalogram (EEG) activities during music appreciation. An emotion evoked experiment paradigm was designed during music appreciation. The EEG signals were recorded in 15 healthy adults during the entire process of music listening. The band power change (BPC) and higher order crossing (HOC) features were extracted from the EEG signals. A correlation-based feature analysis approach was proposed to find the most relevant features in time, frequency and channel space domains. From the results, this method achieved the average accuracy of 67.2% for the classification of high and low valence in the combination of BPC and HOC features. A deeper understanding of the brain emotional patterns could be helpful in building an intelligent and friendly affective application.