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1.
Med Sci Monit ; 29: e939314, 2023 Apr 12.
Artigo em Inglês | MEDLINE | ID: mdl-37041732

RESUMO

BACKGROUND We aimed to investigate the clinical efficacy of continuous renal replacement therapy (CRRT) in combination with peritoneal lavage for the treatment of severe acute pancreatitis. MATERIAL AND METHODS We retrospectively reviewed data from 52 patients with severe acute pancreatitis between January 2014 and December 2021 at Jiangyin People's Hospital. The patients were divided into 2 groups: CRRT (n=26) and CRRT in combination with peritoneal lavage (n=26). The following results and outcomes were retrospectively compared: procalcitonin, interleukin-6, and C-reactive protein levels, duration of systemic inflammatory response, Acute Physiology and Chronic Health Evaluation II (APACHE II) scores, abdominal distention relief time, abdominal pain relief time, length of intensive care unit stay, length of hospital stay, inpatient hospital costs, incidence of complications, and mortality. RESULTS There were significant differences in interleukin-6 and procalcitonin levels and APACHE-II scores after 3 and 7 days of treatment. The duration of systemic inflammatory response, abdominal distention relief time, abdominal pain relief time, length of intensive care unit stay, and length of hospital stay were considerably shorter in the combination group than in the CRRT group (P<0.01). Inpatient hospital costs were significantly lower in the combination group than in the CRRT group (P<0.01). However, incidence of complications and mortality showed no significant differences between the 2 groups. CONCLUSIONS CRRT combined with peritoneal lavage is an important adjuvant therapy in the early stages of acute severe acute pancreatitis and has better clinical efficacy than CRRT alone.


Assuntos
Terapia de Substituição Renal Contínua , Pancreatite , Humanos , Estudos Retrospectivos , Pancreatite/terapia , Lavagem Peritoneal , Interleucina-6 , Doença Aguda , Pró-Calcitonina , Dor Abdominal , Síndrome de Resposta Inflamatória Sistêmica
2.
Anal Chem ; 94(49): 17160-17168, 2022 12 13.
Artigo em Inglês | MEDLINE | ID: mdl-36445943

RESUMO

Recently, nanoformulations have been widely applied in the delivery of organic photothermal agents (OPTAs) for cancer therapy to prolong blood circulation or improve tumor-targeting capacity. However, the systematic evaluations of their effects on the photothermal behavior of OPTAs are limited, especially for different types of nanoparticle systems. Herein, we prepared two kinds of nanoparticles (BSA and PEG nanoparticles (NPs)) to load an OPTA, a cyanine photosensitizer (IR780-O-TPE), and investigated their photothermal response, organelle targeting, and in vivo therapeutic efficacy. Due to different assembly forms, the two NPs showed distinct morphological changes after exposure to laser or hyperthermia. Under laser irradiation at 808 nm, BSA NPs could release IR780-O-TPE more efficiently than PEG NPs. We speculate that this phenomenon is probably caused by dual-responsive release of IR780-O-TPE from BSA NPs against light and hyperthermia. Moreover, IR780-O-TPE/BSA NPs were highly mitochondria-targeting and therefore displayed significant inhibition of cell viability. In contrast, IR780-O-TPE/PEG NPs were "shell-core" nanostructures and more stable under laser stimulation. As a consequence, the mitochondria-targeting and anticancer photothermal therapy by IR780-O-TPE/PEG NPs was less obvious. This study revealed the significance of nanocarrier design for OPTA delivery and demonstrated that BSA NPs could release IR780-O-TPE more effectively for efficient photothermal therapy. We also believe that the dual-responsive release of OPTAs from NPs can provide an effective strategy to promote anticancer photothermal treatment.


Assuntos
Hipertermia Induzida , Nanopartículas , Nanoestruturas , Neoplasias , Humanos , Fototerapia , Nanopartículas/química , Neoplasias/tratamento farmacológico , Linhagem Celular Tumoral
3.
J Am Chem Soc ; 143(49): 20828-20836, 2021 12 15.
Artigo em Inglês | MEDLINE | ID: mdl-34860505

RESUMO

In recent years, cancer phototherapy has been extensively studied as noninvasive cancer treatment. To present efficient recognition toward cancer cells, most photosensitizers (PSs) are required to couple with tumor-targeted ligands. Interestingly, the heptamethine cyanine IR780 displays an intrinsic tumor-targeted feature even without modification. However, the photothermal efficacy and photostability of IR780 are not sufficient enough for clinical use. Herein, we involve a twisted structure of tetraphenylethene (TPE) between two molecules of IR780 to improve the photothermal conversion efficiency (PCE). The obtained molecule T780T shows strong near-infrared (NIR) fluorescence and improved PCE (38.5%) in the dispersed state. Also, the photothermal stability and ROS generation capability of T780T at the NIR range (808 nm) are both promoted. In the aqueous phase, the T780T was formulated into uniform nanoaggregates (∼200 nm) with extremely low fluorescence and PTT response, which would reduce in vivo imaging background and side effect of PTT response in normal tissues. After intravenous injection into tumor-bearing mice, the T780T nanoaggregates display high tumor accumulation and thus remarkably inhibit the tumor growth. Moreover, the enhanced photostability of the T780T allows for twice irradiation after one injection and leads to more significant tumor inhibition. In summary, our study presents a tumor-targeted small-molecule PS for efficient cancer therapy and brings a new design of heptamethine cyanine PS for potential clinical applications.


Assuntos
Antineoplásicos/uso terapêutico , Corantes Fluorescentes/uso terapêutico , Indóis/uso terapêutico , Neoplasias/tratamento farmacológico , Fármacos Fotossensibilizantes/uso terapêutico , Estilbenos/uso terapêutico , Animais , Antineoplásicos/síntese química , Antineoplásicos/efeitos da radiação , Linhagem Celular Tumoral , Corantes Fluorescentes/síntese química , Corantes Fluorescentes/efeitos da radiação , Humanos , Indóis/síntese química , Indóis/efeitos da radiação , Raios Infravermelhos , Camundongos Endogâmicos BALB C , Neoplasias/diagnóstico por imagem , Fotoquimioterapia , Fármacos Fotossensibilizantes/síntese química , Fármacos Fotossensibilizantes/efeitos da radiação , Terapia Fototérmica , Estilbenos/síntese química , Estilbenos/efeitos da radiação
4.
Anal Chem ; 93(19): 7250-7257, 2021 05 18.
Artigo em Inglês | MEDLINE | ID: mdl-33944568

RESUMO

Extensive attention has been recently focused on designing signal adjustable biosensors. However, there are limited approaches available in this field. In this work, to visually track lysosomes with high contrast, we used the i-motif structure as a pH-responsive unit and proposed a novel strategy to regulate the fluorescence resonance energy transfer (FRET) response of the pH sensor. By simply splitting the i-motif into two parts and modulating the split parameters, we can tune the pH transition midpoint (pHt) from 5.71 to 6.81 and the signal-to-noise ratio (S/N) from 1.94 to 18.11. To facilitate the lysosome tracking, we combined the i-motif split design with tetrahedral DNA (Td). The obtained pH nanosensor (pH-Td) displays appropriate pHt (6.12) to trace lysosomes with high S/N (10.3). Benefited from the improved stability, the superior cell uptake and lysosomal location of pH-Td, the visualization of the distribution of lysosomes, the lysosome-mitochondria interaction, and the pH changes of lysosomes in response to different stimuli were successfully achieved in NIH 3T3 cells. We believe that the design concept of controlling the split sequence distance will provide a novel insight into the design of i-motif-based nanosensors and even inspire the construction of smart DNA nanodevices for sensing, disease diagnosis, and controllable drug delivery.


Assuntos
Transferência Ressonante de Energia de Fluorescência , Corantes Fluorescentes , Animais , DNA , Células HeLa , Humanos , Concentração de Íons de Hidrogênio , Lisossomos , Camundongos
5.
Zhongguo Zhong Yao Za Zhi ; 43(17): 3562-3572, 2018 Sep.
Artigo em Zh | MEDLINE | ID: mdl-30347927

RESUMO

This systematic review aims to systematically evaluate the efficacy and safety of Chinese patent medicines with resolving hard lump function for the treatment of cyclomastopathy. We searched CNKI, WanFang, SinoMed, PubMed, EMbase, and The Cochrane Library from the inception to January 3 2018, to collect the randomized controlled trials(RCTs)on Chinese patent medicines with resolving hard lump function in treating cyclomastopathy. Two reviewers independently screened literature, extracted data and assessed the methodological quality of included studies. Then, statistical analysis was performed by using Stata 12.0 and WinBUGS 1.4.3 software. A total of 52 RCTs involving 9 605 patients were finally included. The inventions included 11 commercial Chinese patent medicines with functions of resolving hard lump, such as Rupi Sanjie Capsules, Xiaoru Sanjie Capsules, Ruhe Sanjie Pills, and Hongjin Xiaojie Capsules. The result of direct Meta-analysis showed that: as compared with the simple western medicine group, the Chinese patent medicines such as Hongjin Xiaojie Capsules, Ruhe Sanjie Pills, Rupi Sanjie Capsules, Xiaoru Sanjie Capsules and Xiakucao Oral Liquid could significantly improve the clinical efficacy. In addition, the incidence of adverse reactions of Chinese patent medicines with resolving hard lump function was lower than that in Western medicine group in gastrointestinal reactions, menstrual disorders, leucorrhea abnormalities, liver dysfunction and estrogen-like effect. The network Meta-analysis showed that: Xiaoru Sanjie Capsules, Ruhe Sanjie Pills, Yanlu Rukang Capsules, Quyu Sanjie Capsules, and Hongjin Xiaojie Capsules were the top five in terms of treatment effect. Chinese patent medicines with resolving hard lump function had better clinical efficacy. Due to the low quality of included studies, more high quality RCTs are needed to verify the above conclusion.


Assuntos
Doenças Mamárias/tratamento farmacológico , Medicamentos de Ervas Chinesas/uso terapêutico , Feminino , Humanos , Metanálise em Rede , Medicamentos sem Prescrição/uso terapêutico
6.
Zhongguo Zhong Yao Za Zhi ; 42(8): 1495-1499, 2017 Apr.
Artigo em Zh | MEDLINE | ID: mdl-29071852

RESUMO

This systematic review aims to evaluate the efficacy and safety of Huoxiang Zhengqi formulas in treating gastrointestinal type cold. Seven electronic databases,including CNKI, WanFang Data, Vip, SinoMed, PubMed, Cochrane Library, Embase will be searched from the inception of the study until March 2017.All randomized controlled trials that evaluate the treatment of Huoxiang Zhengqi formulas for gastrointestinal type cold will be eligible. The methodological quality will be assessed using the Cochrane risk of bias tool for randomized clinical trials and Review Manager 5.3 software is used for analyzing the data.The results are: eight RCTs and 680 patients are included .Meta-analysis are performed according to the stratification of the treatment strategy. Eight studies report clinical efficacy, among them four studies show Huoxiang Zhengqi formulas are better than western medicine(RR and 95%,1.2[1.08, 1.33]), another four studies showHuoxiang Zhengqi formulas in conjunction with conventional treatment are better than conventional treatment(RR and 95%, 1.32[1.20,1.46]).About symptom remission rate, one study shows the treatment group effect is better than the control group from the following clinical symptoms:chills,fever,bowel diarrhea,the effect of treating sore throat itchy is same with western medicine treatment.No adverse reactions are found about Huoxiang Zhengqi formulas in this study.Current evidence shows that Huoxiangzhengqi formulas are better than Western medicine group and western medicine routine treatment group from clinical efficacy. Limited by the quantity and quality of studies, more large-scale and rigorously designed randomised controlled trials with large sample size are warranted to clarify the conclusions.


Assuntos
Medicamentos de Ervas Chinesas/uso terapêutico , Gastroenteropatias/tratamento farmacológico , Humanos , Ensaios Clínicos Controlados Aleatórios como Assunto , Resultado do Tratamento
7.
Zhongguo Zhong Yao Za Zhi ; 42(8): 1500-1509, 2017 Apr.
Artigo em Zh | MEDLINE | ID: mdl-29071853

RESUMO

This systematic review aims to systematically evaluate the efficacy and safety of Guizhi Fuling Capsule/Pill on the treatment of chronic pelvic inflammatory disease. We searched CNKI datebases,WanFang,SinoMed,PubMed,Embase,The Cochrane Library from the inception to February 2017,to collect randomized controlled trials(RCTs)of Guizhi Fuling Capsule/Pill in treating chronic pelvic inflammation disease.Two reviewers independently screened literature,extracted date and assessed the risk of bias of included studies.Then,the risk assessment of included references was evaluated according to criteria recommended by Cochrane Handbook 5.3.A total of 30 RCTs involving 3 586 patients were finally included.30 studies reported the clinical efficacy,the result of meta-analysis showed that:compared with the western medicine group,Guizhi Fuling (capsule,pill) combined with western medicine could significantly improve the clinical efficacy [RR=1.20,95%CI(1.16,1.23)];3 studies reported recurrence rate,the result of meta-analysis showed that:compared with the western medicine,Guizhi Fuling (capsule,pill) combined with western medicine could decrease the recurrence rate [RR=0.33,95%CI(0.18,0.62)]; Their secondary indicators mainly included hs-CRP, plasma viscosity ratio and tumor necrosis factor and fibrin,the result of meta-analysis showed that: Guizhi Fuling (capsule,pill) combined with western medicine was better than western medicine in terms of anti-inflammatory and improving blood circulation.17 studies reported adverse reactions,most of the adverse events were the irritation of gastrointestinal tract. The result showed that: compared with the western medicine group, the incidence of adverse reactions in Guizhi Fuling (capsule,pill) combined with western medicine group is low.Guizhi Fuling(capsule,pill) did not increase the adverse reactions. The available evidence suggests that: Guizhi Fuling(capsule, pill) compared with the western medicine group, Guizhi Fuling (capsule,pill) combined with western medicine was more effective than the western medicine group in terms of clinical efficacy, recurrence rate, anti-inflammatory and plasma viscosity.Due to the limited quality and quantity of included studies,more high quality RCTs are needed to verify the above conciusion.


Assuntos
Medicamentos de Ervas Chinesas/uso terapêutico , Doença Inflamatória Pélvica/tratamento farmacológico , Anti-Inflamatórios/uso terapêutico , Cápsulas , Feminino , Humanos , Ensaios Clínicos Controlados Aleatórios como Assunto
8.
Respiration ; 87(1): 75-83, 2014.
Artigo em Inglês | MEDLINE | ID: mdl-24296453

RESUMO

BACKGROUND: In the acute respiratory distress syndrome (ARDS), lung-protective ventilation strategies combine the delivery of small tidal volumes (VT) with sufficient positive end-expiratory pressure (PEEP). However, an optimal approach guiding the setting of PEEP has not been defined. Monitoring volumetric capnography is useful to detect changes in lung aeration. OBJECTIVES: The aim of this study was to determine whether volumetric capnography may be a useful method to determine the optimal PEEP in ARDS. METHODS: In 8 lung-lavaged piglets, PEEP was reduced from 20 to 4 cm H2O in steps of 4 cm H2O every 10 min followed by full lung recruitment. Volumetric capnography, respiratory mechanics, blood gas analysis, hemodynamic data and whole-lung computed tomography scans were obtained at each PEEP level. RESULTS: After lung recruitment, end-expiratory lung volume progressively decreased from 1,160 ± 273 ml at PEEP 20 cm H2O to 314 ± 86 ml at PEEP 4 cm H2O. The ratio of alveolar dead space (VDalv) to alveolar VT (VTalv) and the phase III slope of volumetric capnography (SIII) reached a minimum at PEEP 16 cm H2O. At this PEEP level, overaerated lung regions were significantly reduced, nonaerated lung regions did not increase, and partial pressure of oxygen in arterial blood/fraction of inspired oxygen (P/F) and static respiratory system compliance (Crs) reached a maximum. At PEEP levels <16 cm H2O, nonaerated lung regions significantly increased, P/F and Crs deteriorated, and VDalv/VTalv and SIII began to increase. CONCLUSIONS: In this surfactant-depleted model, PEEP at the lowest VDalv/VTalv and SIII allows an optimal balance between lung overinflation and collapse. Hence, volumetric capnography is a useful bedside approach to identify the optimal PEEP.


Assuntos
Lesão Pulmonar Aguda/terapia , Lavagem Broncoalveolar/efeitos adversos , Capnografia/métodos , Respiração com Pressão Positiva/métodos , Lesão Pulmonar Induzida por Ventilação Mecânica/prevenção & controle , Lesão Pulmonar Aguda/etiologia , Animais , Gasometria , Modelos Animais de Doenças , Feminino , Masculino , Troca Gasosa Pulmonar , Respiração Artificial/métodos , Suínos , Volume de Ventilação Pulmonar
9.
Chemosphere ; 349: 140938, 2024 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-38101484

RESUMO

In this study, soil profiles and pore water from Japanese abandoned arsenic-containing chemical weapons (CWs) burial sites in Dunhua, China were analyzed to understand the distribution of arsenic (As) contamination, degradation, and migration processes. Results of As species analysis showed that the As-containing agents underwent degradation with an average rate of 87.55 ± 0.13%, producing inorganic pentavalent arsenic (As5+) and organic arsenic such as 2-chlorovinylarsonic acid (CVAOA), triphenylarsenic (TPA), and phenylarsine oxide (PAO). Organic arsenic pollutants accounted for 1.27-18.20% of soil As. In the vertical profiles, total As concentrations peaked at about 40-60 cm burial depth, and the surface agricultural soil exhibited moderate to heavy contamination level, whereas the contamination level was insignificant below 1 m, reflecting As migration was relatively limited throughout the soil profile. Sequential extraction showed Fe/Al-bound As was the predominant fraction, and poorly-crystalline Fe minerals adsorbed 33.23-73.13% of soil As. Oxygen-susceptible surface soil formed poorly-crystalline Fe3+ minerals, greatly reducing downward migration of arsenic. However, the reduction of oxidizing conditions below 2 m soil depth may promote As activity and require attention.


Assuntos
Arsênio , Poluentes do Solo , Arsênio/análise , Solo/química , Poluentes do Solo/análise , Minerais/análise , China
10.
J Cell Physiol ; 228(6): 1270-83, 2013 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-23154940

RESUMO

The differentiation of mesenchymal stem cells (MSCs) into type II alveolar epithelial (AT II) cells in vivo and in vitro, is critical for reepithelization and recovery in acute lung injury (ALI), but the mechanisms responsible for differentiation are unclear. In the present study, we investigated the role of the canonical wnt pathway in the differentiation of mouse bone marrow-derived MSCs (mMSCs) into AT II cells. Using a modified co-culture system with murine lung epithelial-12 (MLE-12) cells and small airway growth media (SAGM) to efficiently drive mMSCs differentiation, we found that GSK 3ß and ß-catenin in the canonical wnt pathway were up-regulated during differentiation. The levels of surfactant protein (SP) C, SPB, and SPD, the specific markers of AT II cells, correspondingly increased in mMSCs when Wnt3a or LiCl was added to the co-culture system to activate wnt/ß-catenin signaling. The expression of these factors was depressed to some extent by inhibiting the pathway with the addition of DKK 1. The differentiation rate of mMSCs also depends on their abilities to accumulate and survive in inflammatory tissue. Our results suggested that the activation of wnt/ß-catenin signaling promoted mMSCs migration towards ALI mouse-derived lung tissue in a Transwell assay, and ameliorated the cell death and the reduction of Bcl-2/Bax induced by H(2) O(2), which simultaneously caused reduced GSK 3ß and ß-catenin in mMSCs. These data supports a potential mechanism for the differentiation of mMSCs into AT II cells involving canonical wnt pathway activation, which may be significant to their application in ALI.


Assuntos
Lesão Pulmonar Aguda/metabolismo , Células Epiteliais Alveolares/metabolismo , Células da Medula Óssea/metabolismo , Diferenciação Celular , Movimento Celular , Células-Tronco Mesenquimais/metabolismo , Estresse Oxidativo , Via de Sinalização Wnt , Proteína Wnt3A/metabolismo , Lesão Pulmonar Aguda/patologia , Lesão Pulmonar Aguda/cirurgia , Células Epiteliais Alveolares/efeitos dos fármacos , Células Epiteliais Alveolares/transplante , Animais , Biomarcadores/metabolismo , Células da Medula Óssea/efeitos dos fármacos , Diferenciação Celular/efeitos dos fármacos , Proliferação de Células , Células Cultivadas , Técnicas de Cocultura , Meios de Cultivo Condicionados/metabolismo , Modelos Animais de Doenças , Relação Dose-Resposta a Droga , Quinase 3 da Glicogênio Sintase/metabolismo , Glicogênio Sintase Quinase 3 beta , Peróxido de Hidrogênio/farmacologia , Cloreto de Lítio/farmacologia , Masculino , Transplante de Células-Tronco Mesenquimais , Células-Tronco Mesenquimais/efeitos dos fármacos , Camundongos , Camundongos Endogâmicos C57BL , Oxidantes/farmacologia , Estresse Oxidativo/efeitos dos fármacos , Reepitelização , Fatores de Tempo , Técnicas de Cultura de Tecidos , Via de Sinalização Wnt/efeitos dos fármacos , beta Catenina/metabolismo
11.
Opt Express ; 21(9): 10746-52, 2013 May 06.
Artigo em Inglês | MEDLINE | ID: mdl-23669931

RESUMO

A tunable dual-band ferrite-based metamaterial has been investigated by experiments and simulations. The negative permeability is realized around the ferromagnetic resonance (FMR) frequency which can be influenced by the dimension of the ferrites. Due to having two negative permeability frequency regions around the two FMR frequencies, the metamaterials consisting of metallic wires and ferrite rods with different sizes possess two passbands in the transmission spectra. The microwave transmission properties of the ferrite-based metamaterials can be not only tuned by the applied magnetic field, but also adjusted by the dimension of the ferrite rods. A good agreement between experimental and simulated results is demonstrated, which confirms that the tunable dual-band ferrite-based metamaterials can be used for cloaks, antennas and absorbers.


Assuntos
Compostos Férricos/química , Manufaturas , Refratometria/instrumentação , Desenho de Equipamento , Análise de Falha de Equipamento , Luz , Espalhamento de Radiação
12.
Respir Care ; 57(12): 2074-81, 2012 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-22613077

RESUMO

BACKGROUND: The accuracy of end-expiratory lung volume measurement by the modified nitrogen wash-out/wash-in method (EELV-N(2)) depends on the precise determination of carbon dioxide elimination (V(CO(2))), which is affected by alveolar dead space (V(D-alv)). The purpose of this study was to investigate the influence of V(D-alv) on EELV-N(2). METHODS: Six piglets with lavage-induced acute lung injury were mechanically ventilated in a decremental PEEP trial that was reduced from 20 to 4 cm H(2)O in steps of 4 cm H(2)O every 10 min. EELV was measured by the modified EELV-N(2) method and computed tomography scan (EELV-CT), volumetric capnography, blood gas measurements, and hemodynamic data were recorded at each PEEP level. The data were divided into higher and lower PEEP groups. RESULTS: During the decremental PEEP trial, EELV-N(2) exhibited a high correlation (r(2) = 0.86, P < .001) with EELV-CT, with a bias of -48.6 ± 150.7 mL (1 ± 18%). In the higher PEEP group, EELV-N(2) was not correlated with EELV-CT, with a bias of -168.1 ± 171.5 mL (-14 ± 14%). However, in the lower PEEP group, EELV-N(2) exhibited a high correlation (r(2) = 0.86, P < .001) with EELV-CT, with a bias of 11.2 ± 97.2 mL (6 ± 17%). The measurement bias was negatively correlated with V(D-alv) (r(2) = 0.44, P = .04) and V(CO(2)) (r(2) = 0.47, P = .03) in the higher PEEP group. CONCLUSIONS: In this surfactant-depleted model, EELV measurement by the modified EELV-N(2) method reveals a systematic underestimation at high PEEP levels that is partly due to an increase in V(D-alv).


Assuntos
Lesão Pulmonar Aguda/fisiopatologia , Medidas de Volume Pulmonar , Espaço Morto Respiratório/fisiologia , Animais , Capnografia , Modelos Animais de Doenças , Feminino , Masculino , Nitrogênio , Respiração com Pressão Positiva , Alvéolos Pulmonares , Suínos , Irrigação Terapêutica
13.
Zhonghua Nei Ke Za Zhi ; 51(6): 437-40, 2012 Jun.
Artigo em Zh | MEDLINE | ID: mdl-22943752

RESUMO

OBJECTIVE: To assess the value of central venous-to-arterial carbon dioxide difference [P((cv-a))CO2] in evaluation of disease severity and prognosis in patients with septic shock. METHODS: There were 45 consecutive resuscitated septic shock patients from April 2009 to October 2010 included immediately after their admission into our ICU. The patients were divided into low P((cv-a))CO2 group and high P((cv-a))CO2 group according to a threshold of 6 mm Hg (1 mm Hg = 0.133 kPa). All patients were treated by early goal directed therapy (EGDT). The parameters of hemodynamics, lactate clearance rate, the Acute Physiology and Chronic Health Evaluation II (APACHE II) score, the sequential organ failure assessment (SOFA) score, 6 h rate of EGDT achievement, the ICU mortality and 28 days in-hospital mortality were recorded for all patients. RESULTS: There were 30 patients in the low P((cv-a))CO2 group, and 15 in the high P((cv-a))CO2 group. There were no significant differences between low P((cv-a))CO2 and high P((cv-a))CO2 patients in age, APACHE II score and SOFA score (all P > 0.05). Compared with the high P((cv-a))CO2 group, the low P((cv-a))CO2 group had higher cardiac index (CI) and 24 h CI, higher delivery O2 (DO2) and 24 h DO2, higher central venous oxygen saturation (ScvO2) [(74 ± 9)% vs (67 ± 8)%], lower lactate [(3.4 ± 2.1) mmol/L vs (5.7 ± 4.5) mmol/L] and higher ΔSOFA score [(0.7 ± 1.8) vs (-0.4 ± 1.1)], lower 24 h SOFA score [(7.8 ± 2.0) vs (9.8 ± 2.0)], higher 6 h rate of EGDT achievement (83.3% vs 53.3%) (P < 0.05), however, there were no differences in 28 days mortality and ICU mortality between the two groups (P > 0.05). CONCLUSION: P((cv-a))CO2 might be an indicator for predicting the severity of patients with septic shock and evaluating tissue perfusion.


Assuntos
Choque Séptico/sangue , Choque Séptico/diagnóstico , Adolescente , Adulto , Idoso , Idoso de 80 Anos ou mais , Dióxido de Carbono/sangue , Feminino , Hemodinâmica , Humanos , Masculino , Pessoa de Meia-Idade , Prognóstico , Índice de Gravidade de Doença , Adulto Jovem
14.
Zhonghua Wai Ke Za Zhi ; 50(10): 918-22, 2012 Oct.
Artigo em Zh | MEDLINE | ID: mdl-23302464

RESUMO

OBJECTIVE: To detect the changes of central venous-to-arterial carbon dioxide difference (P(cv-a)CO(2)) during early goal-directed therapy (EGDT) in patients with septic shock and evaluate its' value in predicting adequate resuscitation and prognosis. METHODS: From April 2009 to October 2010, 26 septic shock patients were enrolled in the study. EGDT was performed in all the patients immediately after enrollment. According to the whether they achieved early goal with in the 6 hour or not, patients were separated to EGDT achievement and un-achievement groups. At the onset and after the 6 hours EGDT, mean arterial pressure (MAP), cardiac index (CI), central venous oxygen saturation (ScvO(2)), oxygen delivery (DO(2)), oxygen consumption (VO(2)), oxygen extraction ratio (O(2) ext), lactate, P(cv-a)CO(2) were recorded. The Acute Physiology and Chronic Health Evaluation II (APACHE II) score and 28 day mortality were compared between 2 groups. RESULTS: There were no significant difference of age and sex between the 15 patients who achieved early goals and 11 patients who did not. EGDT un-achievement patients had higher APACHE II score (21 ± 5) and 28 day mortality (9/11) when compared with EGDT achievement patients (t = 2.985, χ(2) = 4.547, P < 0.05). In EGDT un-achievement group, MAP, CI, DO(2), VO(2), O(2)ext, ScvO(2), Lac, P(cv-a)CO(2) were comparable between the onset and 6 hours after EGDT. However, in EGDT achievement group, MAP ((90 ± 9) mmHg (1 mmHg = 0.133 kPa)), CI ((4.0 ± 1.8) L×min(-1)×m(-2)), DO(2) ((596 ± 274) ml×min(-1)×m(-2)), ScvO(2) (76.9% ± 4.1%) increased, and P(cv-a)CO(2) ((4.2 ± 2.7) mmHg) decreased significantly after 6 hours of EGDT (t values were -3.393, -2.985, -2.103 and -3.195 respectively, all P < 0.05). The changes of P(cv-a)CO(2) between the onset and 6 hours after EGDT, demonstrated high value for predictability of outcome, according to the area under the ROC curve (AUC) was 0.839 (P = 0.004). As a predictor for death, increasing of P(cv-a)CO(2) after 6 hours of EGDT has a sensibility of 100% and specificity of 60%. CONCLUSIONS: Increasing of P(cv-a)CO(2) after EGDT purports inadequate tissue perfusion in patients with septic shock. Changes of P(cv-a)CO(2) during EGDT demonstrated a useful tool to evaluate adequate resuscitation and prognosis.


Assuntos
Dióxido de Carbono/sangue , Choque Séptico/sangue , Idoso , Idoso de 80 Anos ou mais , Gasometria , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Prognóstico , Ressuscitação , Choque Séptico/terapia
15.
Membranes (Basel) ; 12(4)2022 Mar 28.
Artigo em Inglês | MEDLINE | ID: mdl-35448338

RESUMO

MXene nano-sheets were introduced into a thin-film composite membrane (TFC) to reduce the mass transfer resistance (concentration polarization) and improve the membrane performance. The process entailed dissolving the MXene nano-sheets in a membrane casting solution using the blending method and introducing them into the porous support layer to prepare a modified thin-film composite forward osmosis (TFC-FO) membrane. The results showed that the water contact angle decreased by about 16%, indicating that the hydrophilicity was strengthened, and the O/N ratio of the active selective layer decreased by 13%, indicating an increased degree of crosslinking, thereby demonstrating that the introduction of MXene nano-sheets changed the properties of the membrane and played a positive role in its physicochemical properties. In contrast to the unmodified TFC-FO membrane, the modified membrane had a slightly higher reverse solute flux, while its water flux increased by about 80%. Its specific reverse osmosis flux was also significantly optimized (only 0.63 g/L). In conclusion, adding MXene nanosheets to TFC-FO membranes led to the modified membranes with better mass transfer, lessened internal concentration polarization (ICP), and better osmotic separation.

16.
Front Plant Sci ; 13: 922030, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-35909768

RESUMO

The soybean flower and the pod drop are important factors in soybean yield, and the use of computer vision techniques to obtain the phenotypes of flowers and pods in bulk, as well as in a quick and accurate manner, is a key aspect of the study of the soybean flower and pod drop rate (PDR). This paper compared a variety of deep learning algorithms for identifying and counting soybean flowers and pods, and found that the Faster R-CNN model had the best performance. Furthermore, the Faster R-CNN model was further improved and optimized based on the characteristics of soybean flowers and pods. The accuracy of the final model for identifying flowers and pods was increased to 94.36 and 91%, respectively. Afterward, a fusion model for soybean flower and pod recognition and counting was proposed based on the Faster R-CNN model, where the coefficient of determinationR2 between counts of soybean flowers and pods by the fusion model and manual counts reached 0.965 and 0.98, respectively. The above results show that the fusion model is a robust recognition and counting algorithm that can reduce labor intensity and improve efficiency. Its application will greatly facilitate the study of the variable patterns of soybean flowers and pods during the reproductive period. Finally, based on the fusion model, we explored the variable patterns of soybean flowers and pods during the reproductive period, the spatial distribution patterns of soybean flowers and pods, and soybean flower and pod drop patterns.

17.
ACS Appl Mater Interfaces ; 14(33): 38048-38055, 2022 Aug 24.
Artigo em Inglês | MEDLINE | ID: mdl-35950900

RESUMO

With the rapid development of nanotechnology, researchers have designed a variety of intelligent nanodelivery systems to enhance tumor targeting of anticancer drugs. However, increased tumor accumulation does not indicate deeper penetration in the tumor tissue, without which the tumor cells in the core area cannot be sufficiently killed. Herein, we develop a size-controllable nanoparticle system for deep-penetrating cancer therapy, which will be programmably disassembled with the decrease of the pH from the normal tissue to the tumor microenvironment and to the intracellular area. The integrated nanoparticle is composed of a gold nanoparticle (GNP, ∼30 nm) and a tetrahedral DNA nanostructure (TDN, ∼25 nm) loaded with doxorubicin (DOX). Initially, the nanoparticles maintain a larger size (∼100 nm) to accumulate in the tumor through the enhanced permeability and retention effect. At a pH of about 6.5 at the tumor microenvironment, with the linkage of DNA sequences converting into a triplex structure, the TDNs detach from the GNP and penetrate deeply into the tumor interstitium and then are internalized into the cells. Finally, in acidic lysosomes with pH 5.0, the TDNs release DOX by forming an i-motif structure. This nanosmart delivery system thus shows effective deep penetration into the tumor core with good antitumor efficacy and satisfactory biocompatibility and provides new insights into the development of intelligent nanosystems for anti-cancer treatment.


Assuntos
Nanopartículas Metálicas , Nanopartículas , Neoplasias , Linhagem Celular Tumoral , DNA , Doxorrubicina/química , Sistemas de Liberação de Medicamentos , Ouro/química , Humanos , Concentração de Íons de Hidrogênio , Nanopartículas Metálicas/química , Nanopartículas/química , Neoplasias/tratamento farmacológico , Neoplasias/patologia , Microambiente Tumoral
18.
Chemosphere ; 290: 132636, 2022 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-34688714

RESUMO

Understanding the adsorption behavior of radiocesium (RCs) in natural soils is crucial for remediation and evaluation of radioactive contaminated sites. In this study, we investigated the adsorption behavior of Cs(I) onto natural soils collected in Beijing by batch adsorption experiments and sequential extraction. A multi-site adsorption model was built to quantitatively analyze the adsorption capacities of soil clay minerals and predict of Cs(I) adsorption ratio of different adsorption sites. Linear programming calculations show that illite/smectite (I/S) mixture and illite(I) are the mainly clay mineral composition. Batch adsorption experiment results show that soils adsorption of Cesium ions is an exothermic process, and the order of influence of competitive cations on the competitive adsorption strength of Cs(I) is:K+>Mg2+≈Ca2+>Na+. HA (Humic Acid)has little effect on soil adsorption. SEM-EDS analysis shows that Cs+ is mainly distributed on the surface (PS) of soil particles. Based on the above results, the adsorption of Cs(I) onto clay minerals in soils is well predicts in both linear programming calculations and a multi-site adsorption model. The multi-site adsorption model can quantitatively describe and predict the adsorption behavior of Cs(I) on different clay sites in the soils. Frayed edge sites (FES) in the soil can effectively fix trace RCs. The higher concentration of cesium ions is mainly adsorbed on the PS and TIIS. Sequential extraction experiment further proved the adsorption form of cesium in soil under trace and high concentration conditions.


Assuntos
Poluentes Radioativos do Solo , Solo , Adsorção , Césio/análise , Radioisótopos de Césio/análise , Argila , Minerais , Poluentes Radioativos do Solo/análise
19.
Opt Express ; 19(17): 15679-89, 2011 Aug 15.
Artigo em Inglês | MEDLINE | ID: mdl-21934929

RESUMO

We report the experimentally observed abnormal refraction in metamaterials (MMs) consisting of ferrite rods and metallic wires with two kinds of configurations. Negative refraction (NR) and positive refraction (PR) are demonstrated in an MM constructed with parallel-arranged rods and wires. The frequencies of both NR and PR can be adjusted dynamically and together by an applied magnetic field and the PR occurs at frequencies slightly lower than that of the NR. The NR is attributed to simultaneously negative effective permittivity and permeability, and the PR is resulted from positive effective permittivity and permeability with the positive effective permittivity originating from electromagnetic coupling between the closest rod and wire. By making the rod cross the wire to reduce the coupling, we observed sole NR in an MM consisting of the cross-arranged rods and wires. Theoretical analysis explained qualitatively the abnormal refraction behaviors of microwave for the two kinds of MMs and it is supported by the retrieved effective parameters and field distributions.

20.
ACS Omega ; 6(1): 294-300, 2021 Jan 12.
Artigo em Inglês | MEDLINE | ID: mdl-33458481

RESUMO

In this work, a new nanocomposite based on octa-amino polyhedral oligomeric silsesquioxanes (POSS), carbon nanotubes (CNTs), and chitosan (CS) was synthesized and used for wastewater treatment. The properties and morphologies of the prepared composite were analyzed by X-ray diffraction, scanning electron microscopy, transmission electron microscope, thermogravimetric, and atomic force microscopy. The results showed that POSS, CNTs, and CS formed a stable composite through intermolecular forces, and the modification of CS by POSS and CNTs improved its stability. In addition, the obtained composite showed good adsorption performance for the degradation of methyl orange and Congo red dyes. The pseudo-first-order model and pseudo-second-order model were used to analyze the adsorption data, and the results showed that the adsorption process conforms to the kinetic model. Moreover, the maximum adsorption capacity of the composite to methyl orange and Congo red reached 63.23 and 314.97 mg/g, respectively. This work provides new ideas for the preparation of self-assembled multi-composite and their potential applications in wastewater treatment.

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