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1.
Ren Fail ; 46(1): 2334912, 2024 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-38604971

RESUMO

OBJECTIVE: The relationship between serum total cholesterol (TC) and triglyceride (TG) levels and mortality in maintenance hemodialysis (MHD) patients remains inconsistent. We aimed to explore the individual and combined association of TC and TG levels with the risk of mortality in Chinese MHD patients. METHODS: 1036 MHD patients were enrolled in this multicenter, prospective cohort study. The serum levels of total cholesterol and triglycerides were measured at baseline. The primary outcome was all-cause mortality and secondary outcome was cardiovascular disease (CVD) mortality. RESULTS: During a median follow-up duration of 4.4 years (IQR= 2.0-7.9 years), 549 (53.0%) patients died, and 297 (28.7%) deaths were attributed to CVD. Compared with patients with TC levels in the first three quartiles (<182.5 mg/dL), a significantly higher risk of all-cause mortality was found in participants with TC in the fourth quartile (hazard ratio [HR], 1.43; 95% confidence interval [CI], 1.17-1.76). However, a significantly lower risk of all-cause mortality was observed in participants with TG in the fourth quartile (≥193.9 mg/dL) (HR, 0.78; 95%CI: 0.63-0.98), compared with participants with TG in the first three quartiles. Similar trends were observed in CVD mortality. When analyzed jointly, patients with lower TC (<182.5 mg/dL) and higher TG (≥193.9 mg/dL) levels had the lowest risk of all-cause mortality and CVD mortality.Conclusions: In MHD patients in southern China, higher TC levels were associated with higher risk of mortality, while higher TG levels were related to lower risk of mortality. Patients with lower TC and higher TG levels had the best survival prognosis.


Assuntos
Doenças Cardiovasculares , Diálise Renal , Humanos , Triglicerídeos , Estudos Prospectivos , Colesterol , HDL-Colesterol , Fatores de Risco
2.
BMC Infect Dis ; 23(1): 703, 2023 Oct 19.
Artigo em Inglês | MEDLINE | ID: mdl-37858038

RESUMO

BACKGROUND: Clostridioides difficile is a bacterium that causes antibiotic-associated infectious diarrhea and pseudomembranous enterocolitis. The impact of C. difficile infection (CDI) in China has gained significant attention in recent years. However, little epidemiological data are available from Chongqing, a city located in Southwest China. This study aimed to investigate the epidemiological pattern of CDI and explore the drug resistance of C. difficile isolates in Chongqing. METHODS: A case-control study was conducted to investigate the clinical infection characteristics and susceptibility factors of C. difficile. The features of the C. difficile isolates were evaluated by testing for toxin genes and using multi-locus sequence typing (MLST). The susceptibility of strains to nine antibiotics was determined using agar dilution technique. RESULTS: Out of 2084 diarrhea patients, 90 were tested positive for the isolation of toxigenic C. difficile strains, resulting in a CDI prevalence rate of 4.32%. Tetracycline, cephalosporins, hepatobiliary disease, and gastrointestinal disorders were identified as independent risk factors for CDI incidence. The 90 strains were classified into 21 sequence types (ST), with ST3 being the most frequent (n = 25, 27.78%), followed by ST2 (n = 10, 11.11%) and ST37 (n = 9, 10%). Three different toxin types were identified: 69 (76.67%) were A+B+CDT-, 12 (13.33%) were A-B+CDT-, and 9 (10%) were A+B+CDT+. Although substantial resistance to erythromycin (73.33%), moxifloxacin (62.22%), and clindamycin (82.22%), none of the isolates exhibited resistance to vancomycin, tigecycline, or metronidazole. Furthermore, different toxin types displayed varying anti-microbial characteristics. CONCLUSIONS: The strains identified in Chongqing, Southwest China, exhibited high genetic diversity. Enhance full awareness of high-risk patients with HA-CDI infection, particularly those with gastrointestinal and hepatocellular diseases, and emphasize caution in the use of tetracycline and capecitabine. These findings suggest that a potential epidemic of CDI may occur in the future, emphasizing the need for timely monitoring.


Assuntos
Clostridioides difficile , Infecções por Clostridium , Humanos , Clostridioides difficile/genética , Tipagem de Sequências Multilocus , Clostridioides/genética , Centros de Atenção Terciária , Estudos de Casos e Controles , Infecções por Clostridium/microbiologia , Antibacterianos/farmacologia , Antibacterianos/uso terapêutico , Tigeciclina , Tetraciclina , Diarreia/microbiologia , China/epidemiologia , Testes de Sensibilidade Microbiana
3.
Zhongguo Yi Liao Qi Xie Za Zhi ; 47(3): 309-311, 2023 May 30.
Artigo em Zh | MEDLINE | ID: mdl-37288634

RESUMO

Authenticity verification is a very important aspect of medical device registration quality management system verification of medical device. How to verify the authenticity of samples is a problem worth discussing. This study analyzes the methods of authenticity verification from the aspects of product retention sample, registration inspection report, traceability of records, hardware facilities and equipment. In order to provide reference for relevant supervisors and inspectors in the verification of registration quality management system.

4.
Am J Kidney Dis ; 78(5): 649-657.e1, 2021 11.
Artigo em Inglês | MEDLINE | ID: mdl-34052356

RESUMO

RATIONALE & OBJECTIVE: Although greater dietary intake of protein has been associated with beneficial health effects among patients receiving maintenance hemodialysis (MHD), the effects of plant protein intake are less certain. We studied the association of the proportion of protein intake derived from plant sources with the risk of mortality among patients receiving MHD and explored factors that may modify these associations. STUDY DESIGN: Prospective observational cohort study. SETTING & PARTICIPANTS: 1,119 Chinese hemodialysis patients aged over 18 years receiving MHD in 2014-2015. PREDICTORS: The proportion of plant protein intake to total protein intake. OUTCOMES: All-cause mortality and cardiovascular disease (CVD) mortality. ANALYTICAL APPROACH: Segmented regression models were fit to examine the association of plant protein intake proportion with the risk of all-cause mortality and CVD mortality. Multivariable-adjusted Cox proportional and cause-specific hazards models were used to estimate the hazard ratios (HR) and 95% CI for these outcomes. RESULTS: The means of plant protein intake normalized to ideal body weight and plant protein intake proportion were 0.6±0.2 (SD) g/kg per day and 0.538±0.134, respectively. During a median follow-up period of 28.0 months, 249 deaths occurred, with 146 of these deaths resulting from CVD. Overall, there was a U-shaped association between plant protein intake proportion and the risk of all-cause mortality, with an inflection point at 45%. Among patients with a plant protein intake proportion<45%, there was a 17% lower rate of mortality with each 5% greater plant protein intake proportion (HR, 0.83 [95% CI, 0.73-0.96]). Among patients with plant protein intake proportion≥45%, there was a 9% greater rate of mortality with each 5% greater plant protein intake proportion. A similar U-shaped association was observed for CVD mortality, with an inflection point at 44%. LIMITATIONS: Observational study, potential unmeasured confounding. CONCLUSIONS: There was a U-shaped association between plant protein intake proportion and the risk of all-cause and cardiovascular mortality in MHD patients. If confirmed, these findings suggest a potential avenue to improve outcomes in this patient population.


Assuntos
Doenças Cardiovasculares , Proteínas de Vegetais Comestíveis , Adulto , Estudos de Coortes , Humanos , Pessoa de Meia-Idade , Mortalidade , Modelos de Riscos Proporcionais , Estudos Prospectivos , Diálise Renal , Fatores de Risco
5.
Br J Nutr ; 126(10): 1510-1518, 2021 11 28.
Artigo em Inglês | MEDLINE | ID: mdl-33468280

RESUMO

High fibre intake is associated with reduced mortality risk in both general and chronic kidney disease populations. However, in dialysis patients, such data are limited. Therefore, the association between dietary fibre intake (DFI) and the risk of all-cause and CVD mortality was examined in this study. A total of 1044 maintenance haemodialysis (MHD) patients from eight outpatient dialysis centres in China were included in this study. Data on DFI were collected using 24-h dietary recalls for 3 d in a week and were normalised to actual dry weight. The study outcomes included all-cause and CVD mortality. Over a median of 46 months of follow-up, 354 deaths were recorded, of which 210 (59 %) were due to CVD. On assessing DFI as tertiles, the CVD mortality risk was significantly lower in patients in tertiles 2-3 (≥0·13 g/kg per d; hazard ratio (HR) 0·71; 95 % CI 0·51, 0·97) compared with those in tertile 1 (<0·13 g/kg per d). A similar but non-significant trend was found for the association between DFI (tertiles 2-3 v. tertile 1; HR 0·83; 95 % CI 0·64, 1·07) and all-cause mortality. In summary, higher DFI was associated with lower CVD mortality risk among Chinese MHD patients. This study emphasises the significance of DFI in MHD patients and provides information that is critical for the improvement of dietary guidelines for dialysis patients.


Assuntos
Doenças Cardiovasculares , Fibras na Dieta/administração & dosagem , Diálise Renal , Doenças Cardiovasculares/mortalidade , Doenças Cardiovasculares/prevenção & controle , China , Humanos , Mortalidade , Estudos Prospectivos , Fatores de Risco
6.
Am J Nephrol ; 51(10): 823-832, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-33070128

RESUMO

BACKGROUND: Several studies have reported that low serum uric acid (SUA) levels are related to increased risk of mortality in maintenance hemodialysis (MHD) patients. However, the possible detrimental effects of high SUA on the mortality risk have not been well examined. Moreover, the possible effect modifiers for the SUA-mortality association have not been fully investigated. To address the aforementioned gap, we aimed to explore the nonlinear relationship between SUA levels and all-cause and cardiovascular disease (CVD) mortality risk, and to examine any possible effect modifiers in MHD patients. METHODS: We conducted a multicenter, prospective cohort study among 1,018 MHD patients from 8 hemodialysis centers. The primary outcome was all-cause mortality, and the secondary outcomes were CVD mortality and non-CVD mortality. RESULTS: The mean value for SUA in the total population was 8.5 ± 1.9 mg/dL. The lowest and highest quintiles of SUA were <7.0 and >10.1 mg/dL, respectively. Over a median follow-up of 45.6 months, 343 deaths were recorded, of which 202 (58.9%) were due to CVD. When SUA was assessed as quintiles, a significantly higher risk of all-cause mortality was found in patients in quintile 1 (<7.0 mg/dL; hazard ratio [HR], 1.33; 95% confidence interval [CI]: 1.02-1.73) or quintile 5 (≥10.1 mg/dL; HR, 1.47; 95% CI: 1.09-2.00), compared to those in quintiles 2-4 (7-10.1 mg/dL). Moreover, the U-shaped SUA-mortality association was mainly found in those with lower C-reactive protein levels (<3 compared with ≥3 mg/L; p for interaction = 0.018). Similar trends were found for CVD mortality and non-CVD mortality. CONCLUSION: There was a U-shaped relationship between SUA levels and the risk of all-cause mortality, CVD mortality, and non-CVD mortality in MHD patients.


Assuntos
Doenças Cardiovasculares/mortalidade , Hiperuricemia/epidemiologia , Falência Renal Crônica/mortalidade , Diálise Renal/efeitos adversos , Ácido Úrico/sangue , Adulto , Idoso , Proteína C-Reativa/análise , Doenças Cardiovasculares/sangue , Doenças Cardiovasculares/etiologia , Feminino , Seguimentos , Humanos , Hiperuricemia/sangue , Hiperuricemia/diagnóstico , Hiperuricemia/etiologia , Falência Renal Crônica/sangue , Falência Renal Crônica/complicações , Falência Renal Crônica/terapia , Masculino , Pessoa de Meia-Idade , Estudos Prospectivos , Medição de Risco/estatística & dados numéricos , Fatores de Risco
7.
Br J Nutr ; 123(4): 437-445, 2020 02 28.
Artigo em Inglês | MEDLINE | ID: mdl-31699171

RESUMO

Maintenance haemodialysis (MHD) is the use of a machine to filter wastes, salts and fluid from blood for at least 3 months to prolong the life of patients with advanced kidney failure. Although low dietary energy intake (DEI) has been observed in MHD patients, few studies have related DEI to the risk of mortality. To explore this relationship, a study included 1039 MHD patients from eight centres was conducted. DEI was assessed by three 24-h diet recalls and was normalised to ideal body weight (IBW). All-cause mortality and CVD mortality were the primary and secondary outcomes, respectively. During a median follow-up of 28 months, a U-shaped relationship was observed between DEI and all-cause or CVD mortality. The risk of all-cause mortality decreased significantly with the increase of DEI in participants with DEI <167·4 kJ/kg IBW per d (hazard ratio (HR) 0·98; 95 % CI 0·96, 1·00) and increased significantly with the increase of DEI in those with DEI ≥167·4 kJ/kg IBW per d (HR 1·12; 95 % CI 1·04, 1·20). Similarly, the risk of CVD mortality decreased with the increase of DEI in participants with DEI <152·7 kJ/kg IBW per d (HR 0·96; 95 % CI 0·93, 0·99) and increased with the increase of DEI in participants with DEI ≥152·7 kJ/kg IBW per d (HR 1·11; 95 % CI 1·04, 1·18). In summary, there was a U-shaped association between DEI and all-cause or CVD mortality, with a turning point at about 167·4 and 152·7 kJ/kg IBW per d, respectively, in MHD patients.


Assuntos
Dieta/mortalidade , Ingestão de Energia , Falência Renal Crônica/mortalidade , Diálise Renal/mortalidade , Adulto , Feminino , Humanos , Falência Renal Crônica/terapia , Masculino , Pessoa de Meia-Idade , Modelos de Riscos Proporcionais , Estudos Prospectivos , Fatores de Risco
9.
Lab Invest ; 97(7): 792-805, 2017 07.
Artigo em Inglês | MEDLINE | ID: mdl-28263293

RESUMO

The accumulation of plasma advanced oxidation protein products (AOPPs) has been linked with diverse disorders, including diabetes, chronic kidney disease, obesity, and metabolic syndrome. The aim of the present study was to evaluate the pathophysiological relevance of AOPPs in ß-cell destruction and dysfunction. Exposure of cultured rat ß-cells (INS-1) to AOPPs induced an increase in Bax expression, caspase-3 activity, and apoptosis as well as a decrease in Bcl-2 expression in a dose- and time-dependent manner. AOPP challenge rapidly increased the production of intracellular superoxide by activation of NADPH oxidases, demonstrated by p47phox translocation and interaction with p22phox and gp91phox, and this in turn led to apoptosis. AOPPs treatment resulted in ß-cell apoptosis, AOPPs accumulation, and decreased insulin content in pancreas and plasma in unilateral nephrectomized rats. Chronic inhibition of NADPH oxidase by apocynin prevented ß-cell apoptosis and ameliorated insulin deficiency in AOPP-challenged rats. This study demonstrates for the first time that accumulation of AOPPs promotes NADPH oxidase-dependent ß-cell destruction and dysfunction by the Bcl-2/Bax-caspase apoptotic pathway. This finding may provide a mechanistic explanation for ß-cell destruction and dysfunction in patients with diverse disorders.


Assuntos
Produtos da Oxidação Avançada de Proteínas/metabolismo , Apoptose/fisiologia , Células Secretoras de Insulina/efeitos dos fármacos , NADPH Oxidases/metabolismo , Proteína X Associada a bcl-2/metabolismo , Produtos da Oxidação Avançada de Proteínas/farmacologia , Animais , Células Cultivadas , Células Secretoras de Insulina/citologia , Células Secretoras de Insulina/metabolismo , Masculino , Pâncreas/química , Pâncreas/efeitos dos fármacos , Pâncreas/patologia , Ratos , Ratos Sprague-Dawley
10.
BMC Nephrol ; 15: 193, 2014 Dec 05.
Artigo em Inglês | MEDLINE | ID: mdl-25475967

RESUMO

BACKGROUND: IgA nephropathy is the most common primary glomerular disease worldwide and also the most frequent cause of kidney failure. Mycophenolate mofetil (MMF) is a selective immunosuppressant widely used in many autoimmune diseases. However, the benefits and risks of MMF for the treatment of IgA nephropathy remain uncertain. METHODS: A systematic review and meta-analysis of randomized controlled trials (RCTs) was performed to assess the efficacy and safety of MMF in IgA nephropathy patients, using the statistical software Review Manager 5.1. RESULTS: Eight RCTs involving 357 patients were identified and included in this review. Overall, no statistical difference was found in the therapeutic effect of MMF treatment compared with other therapies. MMF had no significant effects on reducing proteinuria or protecting renal function. However, subgroup analysis indicated that relatively short-term therapy (<18 months) might be beneficial in IgA nephropathy patients while longer term MMF use conferred no advantage. There was also no statistical difference between MMF and control groups in the incidence of side effects. When compared with other immunosuppressants, MMF was considered superior to cyclophosphamide in terms of better therapeutic effects and fewer adverse reactions, but no difference was found between MMF and leflunomide. CONCLUSIONS: Our current evidence indicates that a relatively short course of MMF may be beneficial in treating IgA nephropathy. However, high-quality RCTs with large sample size as well as a well-designed study to evaluate the long-term effects of MMF are needed to further evaluate the efficacy and safety of MMF in this disease.


Assuntos
Glomerulonefrite por IGA/tratamento farmacológico , Imunossupressores/efeitos adversos , Imunossupressores/uso terapêutico , Ácido Micofenólico/análogos & derivados , Creatinina/sangue , Esquema de Medicação , Glomerulonefrite por IGA/complicações , Glomerulonefrite por IGA/metabolismo , Humanos , Falência Renal Crônica/etiologia , Ácido Micofenólico/efeitos adversos , Ácido Micofenólico/uso terapêutico , Proteinúria/prevenção & controle
11.
ACS Nano ; 2024 Aug 26.
Artigo em Inglês | MEDLINE | ID: mdl-39186373

RESUMO

The gradual rise of personal healthcare awareness is accelerating the deployment of wearable sensors, whose ability of acquiring physiological vital signs depends on sensing materials. MXenes have distinct chemical and physical superiorities over other 2D nanomaterials for wearable sensors. This review presents a comprehensive summary of the latest advancements in MXenes-based materials for wearable physical sensors. It begins with an introduction to special structural features of MXenes for sensing performance, followed by an in-depth exploration of versatile functionalities. A detailed description of different sensing mechanisms is also included to illustrate the contribution of MXenes to the sensing performance and its improvement. In addition, the real-world applications of MXenes-based physical sensors for monitoring different physiological signs are included as well. The remaining challenges of MXenes-based materials for wearable physical sensors and their promising opportunities are finally narrated, in conjunction with a prospective for future development.

12.
Langmuir ; 29(1): 92-101, 2013 Jan 08.
Artigo em Inglês | MEDLINE | ID: mdl-23231420

RESUMO

Here, we synthesized the polystyrene/polysilsesquioxane (PS/PSQ) core/shell latex particles via emulsion polymerization, which behave as an amusing morphology. First, the nanosized PSQ particles were prepared by the hydrolysis-condensation reaction of γ-methacryloxypropyl trimethoxysilane (MPTS) in ethanol medium. Subsequently, the as-obtained methacryloxypropylene functionalized PSQ (PMPTS) sol was directly added into the emulsion system of styrene (St) monomer, and PS/PSQ composite particles with core/shell structure were obtained through emulsion polymerization. We found that the structure of the composite particles can be affected by the synthesis parameters such as reaction time, content of PMPTS added in the reaction, amount of coemulsifier, and the pH value of emulsion system, which were systemically explored by transmission electron microscopy (TEM), scanning electron microscope (SEM), Fourier transform infrared (FTIR) spectroscopy, dynamic light scattering (DLS), and thermogravimetric analysis (TGA) in this work. These results indicate that the PMPTS particles in the size of about 5 nm could first absorb onto the surface of PS latex particles so as to assemble in a strawberry-like morphology. The further coalescence among the PMPTS particles would result in a continuous PMPTS shell around the PS core. Moreover, the hollow PSQ capsules were prepared after extraction of the PS core by organic solvent, further confirming the core/shell structure of the as-synthesized PS/PMPTS particles. Meanwhile, we also explored the application of the PS/PSQ core/shell particles as a new kind of Pickering emulsifier in the emulsion polymerization of St, and composite particles with complex patchy morphologies have been obtained finally under different ratios of styrene monomer to PS/PMPTS colloidal emulsifier.

13.
Front Microbiol ; 14: 1060458, 2023.
Artigo em Inglês | MEDLINE | ID: mdl-36910194

RESUMO

Introduction: Chinese indigenous chicken breeds are widely used as food in China but their slow growth rate and long farming cycle has limited their industrial production. Methods: In the current study we examined whether the market weights of native chicken breeds were related to specific cecal bacteria, serum metabolites and inflammatory cytokines. We examined cecal bacterial taxa using 16S rDNA analysis along with untargeted serum metabolites and serum inflammatory cytokines. Results: We found that the cecal microbiota could explain 10.1% of the individual differences in chicken weights and identified key cecal bacterial genera that influenced this phenotype. The presence of Sphaerochaeta spp. improved growth performance via bovinic acid metabolism. In contrast, Synergistes and norank_f_Desulfovibrionaceae had a negative effect on growth by inducing expression of the inflammatory cytokine IL-6. Discussion: We were able to link specific bacterial genera with growth promotion in chickens and this study will allow further development of their use as probiotics in these animals.

14.
Front Vet Sci ; 10: 1127117, 2023.
Artigo em Inglês | MEDLINE | ID: mdl-36923054

RESUMO

The purpose of this experiment was to study the effect of sea buckthorn extract (SBE) supplementation on the production performance, serum biochemical indexes, egg quality, and cholesterol deposition of laying ducks. A total of 240 23-week-old laying ducks (female ducks) with similar body weight were randomly divided into four treatment groups with 6 replicates of 10 each. The experimental groups were fed diets supplemented with 0, 0.5, 1.0, and 1.5 g/kg of SBE, respectively. The results showed that the addition of 1.0 g/kg SBE to the diet had significant increase (P < 0.05) in average egg weight and feed conversion ratio. The inclusion of SBE showed the significant improvement (P < 0.05) in yolk weight, shell strength, egg white height and haugh unit. Ducks fed with 1.0 and 1.5 g/kg SBE displayed a significant decrease (P < 0.05) in yolk cholesterol. The significant improvements were observed in the contents of total amino acid essential amino acids, non-essential amino acids, umami amino acids, monounsaturated fatty acids, and docosahexenoic acids of eggs (P < 0.05) when supplemented with SBE. However, the contents of total saturated fatty acids, polyunsaturated fatty acids, n-3 polyunsaturated fatty acids and n-6 polyunsaturated fatty acids in eggs showed decrease when ducks fed with SBE diets (P < 0.05). SBE diets may reduce (P < 0.05) the levels of serum total cholesterol, triglyceride, and low-density lipoprotein cholesterol, while increased (P < 0.05) the levels of serum superoxide dismutase, total antioxidant capacity, and glutathione catalase compared to the control. The levels of serum immunoglobulin G, immunoglobulin A and immunoglobulin M were improved in SBE diets (P < 0.05) in comparation to the control. The addition of SBE to diets can improve feed nutrient utilization, increase egg weight, optimaze egg quality and amino acid content in eggs, reduce blood lipids, improve fatty acid profile and yolk cholesterol in eggs, and increase antioxidant capacity and immunity in laying ducks.

15.
Front Microbiol ; 14: 1137701, 2023.
Artigo em Inglês | MEDLINE | ID: mdl-37152759

RESUMO

Introduction: Probiotic is adjuvant therapy for traditional drug treatment of ulcerative colitis (UC). In the present study, Lactobacillus acidophilus C4 with high acid and bile salt resistance has been isolated and screened, and the beneficial effect of L. acidophilus C4 on Dextran Sulfate Sodium (DSS)-induced colitis in mice has been evaluated. Our data showed that oral administration of L. acidophilus C4 remarkably alleviated colitis symptoms in mice and minimized colon tissue damage. Methods: To elucidate the underlying mechanism, we have investigated the levels of inflammatory cytokines and intestinal tight junction (TJ) related proteins (occludin and ZO-1) in colon tissue, as well as the intestinal microbiota and short-chain fatty acids (SCFAs) in feces. Results: Compared to the DSS group, the inflammatory cytokines IL-1ß, IL-6, and TNF-α in L. acidophilus C4 group were reduced, while the antioxidant enzymes superoxide dismutase (SOD), glutathione (GSH), and catalase (CAT) were found to be elevated. In addition, proteins linked to TJ were elevated after L. acidophilus C4 intervention. Further study revealed that L. acidophilus C4 reversed the decrease in intestinal microbiota diversity caused by colitis and promoted the levels of SCFAs. Discussion: This study demonstrate that L. acidophilus C4 effectively alleviated DSS-induced colitis in mice by repairing the mucosal barrier and maintaining the intestinal microecological balance. L. acidophilus C4 could be of great potential for colitis therapy.

16.
Clin Kidney J ; 16(1): 167-175, 2023 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-36726444

RESUMO

Background: Data are limited on the relationship between waist-to-hip ratio (WHR) and mortality risk among maintenance hemodialysis (MHD) patients. Moreover, the combined association of body mass index (BMI) and WHR with mortality remains uncertain. Therefore, we aimed to explore the individual and combined association of BMI and WHR with the all-cause and cardiovascular disease (CVD) mortality. Methods: In this multicenter prospective cohort study, we enrolled 1034 MHD patients. The primary outcome was all-cause mortality and secondary outcome was CVD mortality. Multivariable Cox proportional hazards models were used to evaluate the individual and combined association of BMI and WHR with the risk of mortality. Results: A nonlinear inverse relationship was found between BMI and risk of all-cause mortality (P for nonlinearity <.05). Being underweight (<18.5 kg/m2) was associated with higher all-cause mortality risk (HR 1.45; 95% CI 1.08-1.94) compared with normal weight (18.5-23.9 kg/m2), while being overweight (24-27.9 kg/m2; HR 0.96; 95% CI 0.70-1.31) and obese (≥28 kg/m2; HR 1.19; 95% CI 0.62-2.26) showed no significant differences. Of note, WHR was independently and positively associated with all-cause mortality (per standard deviation increase, HR 1.13; 95% CI 1.00-1.27). When analyzed jointly, patients with low BMI (<18.5 kg/m2) and high WHR (≥0.95) had the highest risk of all-cause mortality. Similar results were obtained for CVD mortality. Conclusions: In patients undergoing hemodialysis from China, low BMI and high WHR were individually and jointly associated with higher risk of mortality. Our results emphasize that BMI and WHR may jointly affect the prognosis of MHD patients.

17.
Food Sci Nutr ; 10(12): 4403-4410, 2022 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-36514753

RESUMO

Traumatic brain injury (TBI) is characterized by cellular damage and inflammation in lesioned brain tissue. Ferulic acid has been shown to have a melioration effect on neurological functions. However, the active pharmacological effects and the underlying mechanisms of ferulic acid against TBI remain unclear. On the basis of network pharmacology and molecular docking methodology, this study aimed to investigate the beneficial effects of ferulic acid in treating TBI, and characterized the detailed biotargets and mechanisms of these actions. The identified core targets were validated via in silico simulation. We identified 91 overlapping targets associated with ferulic acid and TBI. In-silico simulation analysis validated the putative core targets of tumor protein p53, mitogen-activated protein kinase (MAPK) 1, and estrogen receptor 1. The Gene Ontology-enriched annotations and findings were largely associated with cell proliferation, apoptosis, and inflammation in nerve cells. Additional Kyoto Encyclopedia of Genes and Genomes enrichment analysis unmasked the pharmacological pathways of ferulic acid in treating TBI, including the MAPK signaling pathway and hypoxia-inducible factor-1 signaling pathway. Bioinformatic analyses and findings provide a new preclinical strategy for revealing the core targets and network pathways of ferulic acid in treating TBI. Moreover, some bioinformatic findings were computationally validated in silico for exhibiting the neuroprotective action of ferulic acid against TBI.

18.
Materials (Basel) ; 15(20)2022 Oct 18.
Artigo em Inglês | MEDLINE | ID: mdl-36295334

RESUMO

Developing microwave absorbing composites with lightweight and wide absorption bands is an essential direction for electromagnetic wave stealth and shielding application. In this article, PAN/PMMA blend fibers and sheath-core blend fibers with PAN/PMMA as the sheath and PMMA as the core were spun by uniaxial and coaxial electrostatic spinning, respectively. Porous carbon nanofiber (PCNF) and hollow porous carbon nanofiber (HPCNF) were obtained after pre-oxidation and carbonization of the corresponding two precursor fibers. The microwave absorption composite samples with PCNF and HPCNF as absorbents and paraffin as matrix were prepared, respectively. Their electromagnetic parameters were investigated by the reflective-transmission network parameter method. The microwave absorption properties of the corresponding composites were calculated based on a model for a single-layer planewave absorber from electromagnetic parameters. The results showed diversity between the microwave absorbing performance of the composites filled with PCNF and HPCNF. HPCNF performs better than PCNF as an absorbent; that is, the lowest reflection loss of composite filled with HPCNF is -20.26 dB and the effective bandwidth (lower than -10 dB) is to 4.56 GHz, while the lowest reflection loss of a composite filled with PCNF is -13.70 dB, and the effective bandwidth (lower than -10 dB) is 2.68 GHz when the absorbent content is 7%, and the thickness is 3 mm. Much lower reflection loss and a wider absorption band could be expected from HPCNF. The presence of a hollow structure in HPCNF, which may increase the degree of polarization and provide more interfaces for the interference phase extinction of reflected electromagnetic waves, might help to improve the attenuation of electromagnetic waves and broaden the absorption band.

19.
Materials (Basel) ; 15(13)2022 Jun 29.
Artigo em Inglês | MEDLINE | ID: mdl-35806685

RESUMO

Proton exchange membrane fuel cells (PEMFCs) represent an outstanding clean energy alternative for next-generation power sources. The PEMFC's performance is mainly determined by the sluggish oxygen reduction reaction (ORR) that occurs in its cathode Therefore, the use of electrocatalysts with high electrocatalytic activity and stability for improving the ORR has been a vital direction for the commercialization of PEMFCs. In this article, porous carbon nanofibers (PCNFs) based on a polyacrylonitrile/polymethyl methacrylate (PAN/PMMA) precursor were fabricated by electrospinning followed by carbonization; then, the PCNFs were mixed together with carbon black (CB) in different mass ratios as a hybrid support for Pt nanoparticles. Pt nanoparticles were deposited on the hybrid support by the ethylene glycol reduction method, and the obtained series of Pt/(PCNF + CB) were used as the oxygen reduction electrocatalyst in the cathode. Their electrocatalytic properties, as well as those of Pt/C as a reference, were investigated by cyclic voltammetry scanning (CV) and linear sweep voltammetry (LSV). The results explained that Pt/(PCNF + CB) showed a higher electrochemical activity area and half-wave potential when the PCNF/CB mass ratio was 3/2 than that of commercial Pt/C. Furthermore, the half-wave potential of Pt/(PCNF + CB) only decreased by 4 mV, which was 86 mV lower than that of commercial Pt/C (90 mV) after 2000 ADT cycles, indicating that the incorporation of PCNFs to form a hybrid support could result in corrosion resistance.

20.
ACS Appl Mater Interfaces ; 14(28): 31792-31802, 2022 Jul 20.
Artigo em Inglês | MEDLINE | ID: mdl-35786825

RESUMO

Quasi-solid-state flexible zinc-air batteries (FZABs) have received enormous attention due to their low cost and high safety. However, the constraints in lifetime resulting from the lack of stable quasi-solid-state electrolyte membranes and efficient bifunctional electrocatalysts toward oxygen reduction reaction (ORR) and oxygen evolution reaction (OER) hinder the large-scale manufacture and commercialization of FZABs to power electric devices. Herein, a polyacrylonitrile (PAN)-based membrane (HPPANP) fabricated via facile coaxial electrospinning, water dissolution, lyophilization, and KOH preimmersion method was utilized as the quasi-solid-state electrolyte membrane. The interconnected hollow porous structure based on PAN nanofibers endows HPPANP with outstanding electrolyte-uptake/retention capabilities for high ionic conductivity and nanolevel wetted electrolyte/anode interface for uniform Zn dissolution/deposition, thus prolonging the lifespan of the FZABs. In addition, the in situ alkaline hydrolysis of KOH solution supplies HPPANP with abundant oxygen-containing groups, which also improves its ionic conductivity. Additionally, we synthesized a Co/N-doped hollow carbon sphere (CoN-CS) electrocatalyst that exhibits superior ORR and OER electrocatalytic activities with a low potential difference (ΔE) of 0.73 V. Such favorable ORR and OER performances can be mainly attributed to the hierarchical hollow micro/nanostructures with abundant active sites, long-term stability, and favorable electron/ion diffusion pathway. As a result, the assembled FZAB equipped with the CoN-CS catalyst and HPPANP displays high power density (123.8 mW cm-2) and preferable long-term cycling performance (more than 50 h at 3 mA cm-2).

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