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1.
Cereb Cortex ; 34(3)2024 03 01.
Artigo em Inglês | MEDLINE | ID: mdl-38517175

RESUMO

Intermittent theta-burst stimulation (iTBS) is emerging as a noninvasive therapeutic strategy for Alzheimer's disease (AD). Recent advances highlighted a new accelerated iTBS (aiTBS) protocol, consisting of multiple sessions per day and higher overall pulse doses, in brain modulation. To examine the possibility of applying the aiTBS in treating AD patients, we enrolled 45 patients in AD at early clinical stages, and they were randomly assigned to either receive real or sham aiTBS. Neuropsychological scores were evaluated before and after treatment. Moreover, we detected cortical excitability and oscillatory activity changes in AD, by the single-pulse TMS in combination with EEG (TMS-EEG). Real stimulation showed markedly better performances in the group average of Auditory Verbal Learning Test scores compared to baseline. TMS-EEG revealed that aiTBS has reinforced this memory-related cortical mechanism by increasing cortical excitability and beta oscillatory activity underlying TMS target. We also found an enhancement of local natural frequency after aiTBS treatment. The novel findings implicated that high-dose aiTBS targeting left DLPFC is rapid-acting, safe, and tolerable in AD patients. Furthermore, TMS-related increase of specific neural oscillation elucidates the mechanisms of the AD cognitive impairment ameliorated by aiTBS.


Assuntos
Doença de Alzheimer , Estimulação Magnética Transcraniana , Humanos , Estimulação Magnética Transcraniana/métodos , Doença de Alzheimer/terapia , Córtex Pré-Frontal/fisiologia , Encéfalo , Córtex Pré-Frontal Dorsolateral
2.
Mar Pollut Bull ; 198: 115869, 2024 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-38061144

RESUMO

Photosynthesis is the most important bioenergy conversion process on Earth. Capturing instantaneous changes in in situ photosynthesis in open ocean ecosystems remains a major challenge. In this study, fast repetition rate fluorometry (FRRF), which can obtain nondestructive, real-time and in situ estimates of photosynthetic parameters, was used for the first time to continuously observe the spatial variation in in situ photosynthetic parameters in the eastern Indian Ocean (EIO). We further formulated new insights regarding abiotic and biotic factors of potential importance in determining photosynthetic performance. First, we found that the distributions of micro/nano- and picophytoplankton were opposite under the control of nutrient concentrations. Micro/nanophytoplankton had higher cell abundances in the nearshore and upwelling regions, while picophytoplankton had higher abundances in the open ocean, and Prochlorococcus was the dominant group. Second, based on the FRRF technology, we obtained the high-precision and high-density vertical profile map of photosynthetic parameters in the euphotic layer. It was observed that values of the maximum photochemical efficiency (Fv/Fm; 0.14-0.55, unitless) and the functional absorption cross-section of PSII (σPSII; 1.71-4.90 nm2 RCII-1) increased with increasing depth, while high values of the photosynthetic electron transfer rates (ETRRCII; 0.0019-17.0292 mol e- mol RCII-1 s-1) and the nonphotochemical quenching (NPQNSV; 0.35-7.26, unitless) occurred in the shallow 50 m layer, and the values decreased as the depth increased. Finally, we discussed limiting factors that regulated the distribution of photosynthetic parameters and concluded that optical properties varied significantly with changes in the ocean physico-chemical parameters and taxonomic composition of phytoplankton assemblages in the EIO. Picophytoplankton (especially cyanobacteria), rather than the micro/nanophytoplankton community, was the dominant factor influencing photosynthesis. Among abiotic factors, photosynthetically active radiation (PAR) was the proximal limiting factor affecting photosynthetic efficiency, followed by temperature and dissolved inorganic nitrogen (DIN). Consequently, phytoplankton photosynthetic parameters exhibited great variability, allowing rapid responses to environmental condition changes. In this study, we established the basis for detecting future changes in primary production in this oligotrophic area.


Assuntos
Ecossistema , Fitoplâncton , Oceano Índico , Fitoplâncton/fisiologia , Fotossíntese/fisiologia , Temperatura
3.
In Vivo ; 38(1): 205-212, 2024.
Artigo em Inglês | MEDLINE | ID: mdl-38148075

RESUMO

BACKGROUND/AIM: Chronic pelvic pain (CPP) is a common gynecological condition in women with multifactorial etiology. Some studies have revealed that patients with CPP have the same structural and functional changes in the pain matrix in the brain to patients with other types of chronic pain. However, the relationship between localized pelvic pain and changes in the structure and function of the central nervous system is still unclear. MATERIALS AND METHODS: In this study, a rat model of CPP was established by pelvic nerve ligation and behavioral tests were used to validate the model. Afterwards, we compared the expression of CCL2 in CPP and control rats and observed the changes in their behavioral patterns by blocking the expression of CCL2 in the former group. In addition, we upregulated the expression of CCL2 in human microglia cells (HMC3) to further observe the effect of CCL2 on the Notch2 pathway. RESULTS: Our results showed that the expression of chemokine ligand 2 (CCL2) in the serum exosomes, pelvic vascular endothelial cells, and cerebrospinal fluid was higher in the CPP group than the control group (p<0.05). In HMC3 treated with recombinant CCL2 protein, a significant increase in the mRNA and protein expression of Notch2 was observed. CONCLUSION: CCL2 can activate the Notch2 signaling pathway and plays an important role in the central sensitization of chronic pelvic pain.


Assuntos
Sensibilização do Sistema Nervoso Central , Dor Crônica , Animais , Feminino , Humanos , Ratos , Sensibilização do Sistema Nervoso Central/fisiologia , Quimiocina CCL2/genética , Quimiocinas , Dor Crônica/genética , Células Endoteliais/metabolismo , Ligantes , Dor Pélvica/etiologia , Dor Pélvica/terapia , Receptor Notch2
4.
Mar Pollut Bull ; 196: 115568, 2023 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-37783164

RESUMO

Atmospheric microplastics are attracting increasing attention as an emerging pollutant. However, research on its characteristics and influencing factors is insufficient. This study examines the characteristics and spatiotemporal distribution of atmospheric microplastics around Jiaozhou Bay, the Yellow Sea. The results showed that the dominant shapes of microplastic were fragments (61.9 %) and fibers (25.6 %), and the main types were polyethylene terephthalate (23.8 %), polyethylene (31.6 %) and cellulose (rayon, 34.9 %). The deposition rate of microplastic varied from 8.395 to 80.114 items·m-2·d-1, with a mean of 46.708 ± 21.316 items·m-2·d-1. The deposition rate was higher in the dry season than in the rainy season, indicating the influence of weather condition. The annual mass of atmospheric microplastics entering the bay was estimated to be 7.612 ± 3.474 tons. For the first time, this study reveals that atmospheric microplastics in Jiaozhou Bay change spatiotemporally due to monsoons, which pose a potential threat to marine ecosystems.


Assuntos
Microplásticos , Poluentes Químicos da Água , Plásticos , Baías , Ecossistema , Poluentes Químicos da Água/análise , Monitoramento Ambiental
5.
China CDC Wkly ; 5(22): 479-484, 2023 Jun 02.
Artigo em Inglês | MEDLINE | ID: mdl-37408617

RESUMO

Introduction: In terms of food preparation settings, catering service facilities have been identified as locations with the highest incidence of foodborne disease outbreaks in China. Since 2010, the China National Center for Food Safety Risk Assessment has established the Foodborne Disease Outbreak Surveillance System (FDOSS) to monitor foodborne disease outbreaks. Consequently, data from the FDOSS has provided a more accurate depiction of the epidemic characteristics of outbreaks within these facilities. Methods: From 2010 to 2020, the FDOSS gathered data related to the prevalence of outbreaks, cases, hospitalizations, and deaths linked to foodborne disease outbreaks in catering service facilities. This study examined the temporal and geographical distribution, pathogenic factors, and contributing variables of these outbreaks over the course of the decade. Results: From 2010 to 2020, China's catering service facilities reported 18,331 outbreaks, which resulted in 206,718 illnesses, 68,561 hospitalizations, and 201 deaths. The second and third quarters of the year accounted for 76.12% of the outbreaks and 72.93% of the cases. The primary pathogenic factors were pathogenic organisms, which caused 4,883 (26.64%) outbreaks, 94,047 (45.50%) cases, 32,170 (46.92%) hospitalizations, and 21 (10.45%) deaths. There were 5,607 (30.59%) outbreaks in restaurants, 2,876 (15.69%) outbreaks from street vendors, and 2,560 (13.97%) outbreaks in employee canteens in China. Conclusions: The implementation of relevant control methods, including health education and promotion, is critical for addressing foodborne diseases in catering service facilities. Regular food safety training sessions for restaurant personnel and managers are essential to ensuring the effective management of these health risks.

6.
Mar Environ Res ; 189: 106074, 2023 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-37393153

RESUMO

Under the background of global warming, the area extent of the oligotrophic tropical oceans has growing due to increased water-column stratification over the past decades. Picophytoplankton is usually the most dominant phytoplankton group in oligotrophic tropical oceans and substantially contribute to carbon biomass and primary production three. Understanding how vertical stratification governs the community structure of picophytoplankton communities in oligotrophic tropical oceans is important for comprehensively understanding the plankton ecology and biogeochemical cycle in these areas. In this study, the distribution of the picophytoplankton communities in the eastern Indian Ocean (EIO) was investigated during a period of thermal stratification in the spring of 2021. Prochlorococcus contributed most (54.9%) to picophytoplankton carbon biomass, followed by picoeukaryotes (38.5%) and Synechococcus (6.6%). Vertically, the three picophytoplankton groups showed quite different distribution pattern: the abundance of Synechococcus was highest in the surface layer, while Prochlorococcus and picoeukaryotes were usually located between 50 m and 100 m. The relationship between the abundance of picophytoplankton and environmental factors was analyzed, and the results revealed that picophytoplankton distribution was strongly correlated with the degree of vertical stratification of the water column. The density of Synechococcus was higher in strongly stratified waters, while Prochlorococcus was more abundant in regions of weaker stratification. This is mainly attributed to variation of physicochemical parameters such as nutrient structures and temperature resulted from water column stratification. Understanding the distribution patterns of these organisms and their relationship with stratification in the oligotrophic EIO is essential for comprehensive understanding on oligotrophic tropical ecosystem with increasing stratification in future.


Assuntos
Ecossistema , Synechococcus , Oceano Índico , Água , Fitoplâncton , Plâncton , Água do Mar/química
7.
Front Cell Infect Microbiol ; 13: 1125640, 2023.
Artigo em Inglês | MEDLINE | ID: mdl-37284497

RESUMO

Background: The previous researches show that infertile patients have a higher incidence of endometritis and endometrial polyps, and the occurrence of these two diseases is related to changes in the microbiota of the genital tract. We aim to determine the composition and changing characteristics of the microbiota in the genital tract (especially the endometrium) of infertile patients with chronic endometritis or endometrial polyps, and find the correlation between it and the occurrence of diseases. Methods: This is a prospective study. We collected genital tract biopsy samples from 134 asymptomatic infertile patients receiving assisted reproductive therapy before embryo transfer. Through pathological examination and 16S ribosomal RNA(16S rRNA) sequencing, we determined the distribution of chronic endometritis and endometrial polyps in these patients, as well as their distribution of reproductive tract microorganisms. Results: Compared with the normal control group, the microbial group of reproductive tract in patients with chronic endometritis and endometrial polyps is changed, and there are significant species differences and relative abundance differences in the vagina, cervix and uterine cavity. Lactobacillus, the dominant flora of female genital tract, showed a change in abundance in patients with endometrial diseases. Endometrial microbiota composed of Staphylococcus, Gardnerella, Atopobium, Streptococcus, Peptostreptococcus, Chlamydia, Fusobacterium, Acinetobacter, etc. are related to chronic endometritis and endometrial polyps. Conclusion: The results showed that, compared with the normal control group, the endometrial microbiota of infertile patients with chronic endometritis or endometrial polyps did have significant changes in the relative abundance distribution of species, suggesting that changes in local microecology may be an important factor in the occurrence of disease, or even adverse pregnancy outcomes. The further study of endometrial microecology may provide a new opportunity to further improve the diagnosis and treatment strategy of chronic endometritis.


Assuntos
Endometrite , Infertilidade Feminina , Microbiota , Gravidez , Humanos , Feminino , Endometrite/microbiologia , RNA Ribossômico 16S/genética , Estudos Prospectivos , Infertilidade Feminina/microbiologia , Infertilidade Feminina/patologia , Endométrio/microbiologia
8.
BMC Public Health ; 23(1): 836, 2023 05 08.
Artigo em Inglês | MEDLINE | ID: mdl-37158857

RESUMO

BACKGROUND: The true incidence of acute gastrointestinal illness in China is underrecognized by surveillance systems. The aims of this study were to estimate the incidence and prevalence of self-reported AGI in the community of China, and to investigate sociodemographic and epidemiological determinants of AGI. METHODS: We conducted a 12-months cross-sectional population-based survey in eight provinces of China during 2014-2015. The survey determined the prevalence and incidence of acute gastrointestinal illness (AGI) in the total permanent resident population in China according to the census of the population in 2010. The random multilevel population sample was stratified by geographic, population, and socioeconomic status. We used a recommended case definition of AGI, with diarrhea (three loose or watery stools) and/or any vomiting in a four-week recall. A face-to-face survey was conducted by selecting the member in the household with the most recent birthday. RESULTS: Among 56,704 sampled individuals, 948 (1,134 person-time) fulfilled the case definition; 98.5% reported diarrhea. This corresponds to 2.3% (95% CI:1.9%-2.8%) of an overall standardized four-week prevalence and 0.3 (95% CI: 0.23-0.34) episodes per person-year of annual adjusted incidence rate. There was no significant difference between males and females. The incidence rates were higher among urban residents, and in the spring and summer. In the whole study period, 50% of the cases sought medical care, of which 3.9% were hospitalized and 14.3% provided a biological sample for laboratory identification of the causative agent. Children aged 0-4 and young adults aged 15-24, people living in rural areas and people who traveled frequently had higher prevalence of AGI. CONCLUSION: Results showed that AGI represents a substantial burden in China, and will contribute to the estimation of the global burden of AGI. Complemented with data on the etiologies of AGI, these estimates will form the basis to estimate the burden of foodborne diseases in China.


Assuntos
Diarreia , Vômito , Criança , Feminino , Masculino , Adulto Jovem , Humanos , Estudos Transversais , Prevalência , Diarreia/epidemiologia , China/epidemiologia
9.
Mar Pollut Bull ; 189: 114815, 2023 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-36931157

RESUMO

Marine microplastic (MP) pollution is a widespread concern; however, to date, MP pollution in chemoautotrophic ecosystems remains largely unknown. This study focuses on the cold seep in the South China Sea. Two dominant species, namely mussel (Gigantidas platifrons) and squat lobster (Shinkaia crosnieri), were collected for examining the MP pollution. MPs were present in both mussels and squat lobsters with abundances of 0.13 ± 0.04 and 0.17 ± 0.06 items/ind., respectively. MPs were mainly fibrous (62.5 %) and transparent (45.8 %). The main polymer type was polyester (54.2 %). About 86.5 MPs/m2 were found inhabiting mussels and squat lobsters-a value comparable to those reported in benthos. This pilot report on MP pollution in cold-seep species provides key information for studies on MP pollution in chemoautotrophic ecosystems and evidence regarding a potential biological MP sink. The role of cold-seep organisms in MP retention and transport in the regional sea merits further attention.


Assuntos
Anomuros , Mytilidae , Poluentes Químicos da Água , Animais , Microplásticos , Plásticos , Ecossistema , Poluição Ambiental , China , Poluentes Químicos da Água/análise , Monitoramento Ambiental
11.
Environ Pollut ; 320: 121073, 2023 Mar 01.
Artigo em Inglês | MEDLINE | ID: mdl-36641062

RESUMO

The prevalence of microplastic pollution in the ocean has caused widespread concern. Many studies have focused on the occurrence of microplastics in the marine environment and organisms, but the fate of microplastics in the ocean is still unclear, and the factors affecting the distribution of microplastics have not yet been consistently concluded. The aims of this study were to estimate the load of microplastics in benthic organisms as a temporary storage and to analyze the factors affecting microplastic ingestion by benthic organisms. For the purpose of this study, the benthic organisms in Jiaozhou Bay, China, were collected quarterly and were divided into the following six groups: polychaetes, mollusks, crustaceans, echinoderms, fish, and others. We concluded that the microplastic abundance in the benthos in Jiaozhou Bay was 1.00 ± 0.11 items/ind. (15.5 ± 3.5 items/g). The total load of microplastics in the benthic fauna in the bay with an area of 374 km2 was estimated to be 36.4 kg. On an individual basis, the fish contained significantly more microplastics than the other taxa. Furthermore, the characteristics of the microplastics in the benthic organisms were mainly fibrous, black, polyethylene, and <500 µm in size. In addition, the microplastic ingestion by benthic organisms was regulated by multiple factors, including biological characteristics and the environment. The masses of the organisms, the ambient seawater and sediment, and the spatial variations all influenced the microplastic ingestion by the organisms. The results of this study demonstrate that benthic organisms are an important storage for microplastics as they transferred through the ocean, and they provide an unbiased comparison of microplastic pollution among multiple organisms and the relevant pollution factors.


Assuntos
Microplásticos , Poluentes Químicos da Água , Animais , Plásticos , Baías , Monitoramento Ambiental , Poluentes Químicos da Água/análise , Peixes , China
12.
Mar Pollut Bull ; 187: 114513, 2023 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-36638717

RESUMO

Large-scale kelp aquaculture offers several opportunities to counteract eutrophication. Here, six sites from Ailian Bay to its offshore waters in Rongcheng, northern China, were selected to investigate the spatiotemporal variations of kelp (Saccharina japonica) and seawater concentrations of C, N, and P in 2017 and 2019 in order to assess nutrient removal by kelp farming. Variations in biological parameters and elemental nutrient concentrations of whole thalli were also quantified in 2015 and 2016. We found that kelp farming in Ailian Bay can remove 1309 tons of C, 104 tons of N, and 12 tons of P. The increase of total suspended matter and nutrient concentrations from the coast to offshore waters supports the hypothesis of nutrient removal by farmed kelp. This study provides evidence of the bioremediation potential of farmed kelp.


Assuntos
Kelp , Aquicultura , Água do Mar , Eutrofização , Nutrientes
13.
PLoS One ; 18(1): e0279957, 2023.
Artigo em Inglês | MEDLINE | ID: mdl-36630445

RESUMO

Foodborne bongkrekic acid (BA) poisoning is a fatal foodborne disease in China. From 2010-2020, a total of 19 BA poisoning outbreaks were reported to the China National Foodborne Disease Outbreak Surveillance System. These outbreaks involved 146 illnesses, 139 hospitalizations, and 43 deaths, with a case-fatality rate of 29.5%. Approximately 73.3% of the outbreaks occurred in South and Southwest China. Homemade fermented corn flour products, tremella, and sweet potato flour and corn flour products (jelly) caused more early outbreaks, and novel vehicles (wet rice noodles and Auricularia auricula) were associated with later outbreaks in the study period. Outbreaks most frequently occurred at home (79.0%) and in restaurants (21.0%). The prohibition of traditional processed homemade fermented corn flour products and improvement in bongkrekic acid poisoning case identification and early treatment have resulted in a reduction in the case-fatality rate.


Assuntos
Doenças Transmitidas por Alimentos , Humanos , Ácido Bongcréquico , Doenças Transmitidas por Alimentos/epidemiologia , Farinha , Surtos de Doenças , China/epidemiologia
14.
J Comput Assist Tomogr ; 47(1): 24-30, 2023.
Artigo em Inglês | MEDLINE | ID: mdl-36055224

RESUMO

PURPOSE: The aim of the study is to assess the clinical value of the combined computed tomography (CT)/ultrasound (US) guidance in microwave ablation (MWA) for hepatocellular carcinoma (HCC). METHODS: From July 16, 2016, to June 20, 2021, medical records of 150 HCC patients treated with MWA were retrospectively analyzed. Ninety-two patients with 115 liver tumors underwent MWA under combined CT/US guidance, and 58 patients with 73 liver tumors received MWA under CT guidance alone. The clinical efficacy of combined CT/US-guided MWA was analyzed. We compared the complications, procedure time, and CT scan times between the 2 groups. RESULTS: The total complete ablation rate and complete ablation rate of high-risk location tumors were significantly higher in the group treated with combined CT/US guidance ( P = 0.0471 and P = 0.0347, respectively), the imaging guidance modality (odds ratio, 0.303; 95% confidence interval [CI], 0.095-0.970; P = 0.044) was an independent factor for ablation efficacy. These 2 groups also had significant differences in the procedure time ( P = 0.0171), the incidence rate of pneumothorax ( P = 0.0209), abdominal pain ( P = 0.0196), nausea or vomiting ( P = 0.0026), and intraoperative CT scan times ( P < 0.001). The overall complication rates ( P = 0.4023) and recurrence rates ( P = 0.5063) between the 2 groups were not statistically significant. However, CT/US group has a better short-term progressive free survival (log-rank P = 0.103, Breslow P = 0.030). In multivariate analysis, guidance modality (hazard ratio, 0.586; 95% CI, 0.368-0.934; P = 0.025) and Barcelona Clinic Liver Cancer stage (hazard ratio, 2.933; 95% CI, 1.678-5.127; P < 0.001) were risk factor for progressive free survival. CONCLUSIONS: Percutaneous MWA under the combined CT/US guidance for HCC can improve clinical benefits.


Assuntos
Carcinoma Hepatocelular , Ablação por Cateter , Neoplasias Hepáticas , Humanos , Neoplasias Hepáticas/diagnóstico por imagem , Neoplasias Hepáticas/cirurgia , Neoplasias Hepáticas/patologia , Carcinoma Hepatocelular/diagnóstico por imagem , Carcinoma Hepatocelular/cirurgia , Carcinoma Hepatocelular/patologia , Micro-Ondas/uso terapêutico , Estudos Retrospectivos , Tomografia Computadorizada por Raios X/métodos , Resultado do Tratamento , Ablação por Cateter/métodos
15.
Neuropsychology ; 36(7): 664-682, 2022 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-35834208

RESUMO

Measures of social cognition have now become central in neuropsychology, being essential for early and differential diagnoses, follow-up, and rehabilitation in a wide range of conditions. With the scientific world becoming increasingly interconnected, international neuropsychological and medical collaborations are burgeoning to tackle the global challenges that are mental health conditions. These initiatives commonly merge data across a diversity of populations and countries, while ignoring their specificity. OBJECTIVE: In this context, we aimed to estimate the influence of participants' nationality on social cognition evaluation. This issue is of particular importance as most cognitive tasks are developed in highly specific contexts, not representative of that encountered by the world's population. METHOD: Through a large international study across 18 sites, neuropsychologists assessed core aspects of social cognition in 587 participants from 12 countries using traditional and widely used tasks. RESULTS: Age, gender, and education were found to impact measures of mentalizing and emotion recognition. After controlling for these factors, differences between countries accounted for more than 20% of the variance on both measures. Importantly, it was possible to isolate participants' nationality from potential translation issues, which classically constitute a major limitation. CONCLUSIONS: Overall, these findings highlight the need for important methodological shifts to better represent social cognition in both fundamental research and clinical practice, especially within emerging international networks and consortia. (PsycInfo Database Record (c) 2022 APA, all rights reserved).


Assuntos
Emoções , Transtornos Mentais , Cognição , Escolaridade , Humanos , Neuropsicologia
16.
J Obstet Gynaecol ; 42(6): 2406-2410, 2022 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-35666941

RESUMO

The aim of this retrospective study was to assess the value of using an enema alone for mechanical bowel preparation (MBP) before transvaginal pelvic floor reconstruction (TPFR) in patients ≥65 years old. In total, 190 patients were included [81 in the enema group vs. 109 in the enema + polyethylene glycol (PEG) group]. The levels of serum potassium (p = .004) and calcium (p = .005) were higher in the enema group after surgery. The decrease in serum calcium was more significant in the enema + PEG group (p = .027). More patients in the enema + PEG group developed hypokalaemia (p = .035) or hypocalcaemia (p = .008) after surgery. The incidence of thrombus and surgical site infection was similar and earlier bowel movement was evident in the enema group (p = .000). Overall, the enema group used more laxatives (p = .026). Using enema alone before TPFR reduces the incidence of electrolyte disturbances with no increase in surgical complications in elderly patients.IMPACT STATEMENTWhat is already known on this subject? TPFR is an effective treatment for pelvic organ prolapse (POP) in elderly women. Bowel preparation performed before gynecological surgery can reduce surgical site infection, but increase discomfort and electrolyte disturbance.What do the results of this study add? The levels of serum potassium and calcium were lower in the enema + PEG group than in the enema group after surgery and more patients developed hypokalaemia or hypocalcaemia in the enema + PEG group. The incidence of thrombus and surgical site infection was similar between the two groups. Bowel movement was earlier in the enema group.What are the implications of these findings for clinical practice and/or future research? Using enema alone before TPFR reduces the incidence of electrolyte disturbance and does not increase surgical complications. This conclusion needs to be confirmed by random controlled trial studies in the future.


Assuntos
Hipocalcemia , Hipopotassemia , Idoso , Cálcio , Eletrólitos , Enema/métodos , Feminino , Humanos , Hipopotassemia/tratamento farmacológico , Laxantes/uso terapêutico , Diafragma da Pelve/cirurgia , Polietilenoglicóis/efeitos adversos , Potássio , Estudos Retrospectivos , Infecção da Ferida Cirúrgica
17.
China CDC Wkly ; 4(12): 238-241, 2022 Mar 25.
Artigo em Inglês | MEDLINE | ID: mdl-35433084

RESUMO

Introduction: Gastroenteritis caused by non-O1/non-O139 Vibrio cholerae exhibited an increasing trend in recent years in China. Whole genome sequence (WGS) data could play an important role both in the identification of the outbreaks and in the determination of the serogroup. Here, we present the employment of WGS data in the investigation of two outbreaks caused by non-O1/non-O139 V. cholerae in Guangdong, China, 2020-2021. Methods: We obtained the whole genome sequence of 66 V. cholerae strains isolated in two outbreaks with next generation sequencing technology. We retrieved the publicly available WGS data of non-O1/non-O139 V. cholerae from public database. We used a pipeline integrated in China Pathogen Identification Net (PIN) to complete the phylogenetic analysis. Results: Two outbreaks caused by non-O1/non-O139 V. cholerae were identified using WGS data. These V. cholerae strains were determined as serogroup O5. Type 3 and 6 secretion systems were detected in these serogroup O5 strains. These serogroup O5 strains belonged to sequence type (ST) 88. Conclusions: Our analysis indicated the risk of non-O1/non-O139 V. cholerae leading to outbreaks of diarrheal diseases. The application of genomic data played an important role in the identification of the serogroup of non-O1/non-O139 V. cholerae in the lack of antiserum, which gave an example of the application of genome data in disease surveillance and public health emergency response.

18.
Front Mol Biosci ; 9: 823911, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-35281270

RESUMO

Breast cancer is the most common malignancy and the leading cause of cancer-related deaths in women. Recent studies have investigated the prognostic value of the tumor microenvironment (TME)-related genes in breast cancer. The purpose of this research is to identify the immune-associated prognostic signature for breast cancer evaluate the probability of their prognostic value and compare the current staging system. In this study, we comprehensively evaluated the infiltration patterns of TME in 1,077 breast cancer patients downloaded from TCGA by applying the ssGSEA method to the transcriptome of these patients. Thus, generated two groups of immune cell infiltration. Based on two groups of low infiltration and high infiltration immune cell groups, 983 common differentially expressed genes were found using the limma algorithm. In addition, studying potential mechanisms, the GSEA method was used to indicate some pathways with remarkable enrichment in two clusters of immune cell infiltration. Finally, the seven immune-associated hub genes with survival as prognostic signatures were identified by using univariate Cox, survival, and LASSO analyses and constructed a TME score. The prognostic value of the TME score was self-validated in the TCGA cohort and further validated in an external independent set from METABRIC and GEO database by time-dependent survival receiver operation. Univariate and multivariate analyses of clinicopathological characteristics indicated that the TME score was an independent prognostic factor. In conclusion, the proposed TME score model should be considered as a prognostic factor, similar to the current TNM stage, and the seven immune-related genes can be a valuable potential biomarker for breast cancer.

19.
J Hazard Mater ; 431: 128603, 2022 06 05.
Artigo em Inglês | MEDLINE | ID: mdl-35255333

RESUMO

In the Indian Ocean, the marine fate of polycyclic aromatic hydrocarbons (PAHs) is impacted by the unique air-sea interactions with great monsoon characters. By collecting water-column samples during the monsoon transition period, we found PAHs (∑8PAH: 1.1-27 ng L-1) showed significantly different distributions from the Bay of Bengal, Equatorial Indian Ocean, Eastern Indian Ocean, and the South China Sea (p < 0.001). Their vertical profiles showed natural logarithm relationships with depth in the Bay of Bengal and Equatorial Indian Ocean. PAHs were mainly from wood/coal combustion and vehicle emission. The estimation of PAHs' air-seawater exchange flux revealed net volatilizations from seawater except in the Eastern Indian Ocean. The Wyrtki Jet, a surface current driven by the westerly wind, was observed in the equatorial area. This swift current could transport PAHs eastward efficiently with a mass flux of 636 ± 188 g s-1. The subsurface current, Equatorial Undercurrent, played a less crucial role in PAHs' lateral transport with a flux of 115 ± 31.3 g s-1. This study preliminarily revealed the role of air-sea interactions on PAHs' transport and fate in the open ocean. The coupled air-sea interactions with biogeochemical processes should be considered in future work.


Assuntos
Poluentes Atmosféricos , Hidrocarbonetos Policíclicos Aromáticos , Poluentes Atmosféricos/análise , China , Monitoramento Ambiental , Oceano Índico , Hidrocarbonetos Policíclicos Aromáticos/análise , Água do Mar , Volatilização
20.
Mar Pollut Bull ; 175: 113354, 2022 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-35144212

RESUMO

It is generally believed that the enhancement of phytoplankton appears only in shallow and intermediate depth seamounts, while the phenomenon has also been observed in some deep seamounts by satellites recently. To figure out what effect do deep seamounts have on phytoplankton and the relevant mechanisms, the phytoplankton biomass and community on the Kocebu Seamount (depth: 1198 m) were studied. The results showed that the average Chl a concentration of the seamount was 0.09 mg·m-3, and the Chl a maximum layer was mainly located at 150 m, and picophytoplankton such as prochlorophytes and cyanobacteria were the dominant groups. High Chl a patches (>0.2 mg·m-3) were mainly distributed within 20 km of the peak, and both nitrate and orthophosphate were obviously uplifted at the peak. The physical data indicated the uplifted of nutrients could be caused by the internal tides, which generated by the interaction of topography and tide. This is the first time that the promotion of phytoplankton was observed in situ on a deep seamount, and this study expounded relevant mechanisms and suggested that the ecological functions of deep seamounts may have been previously neglected.


Assuntos
Fitoplâncton , Biomassa
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