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1.
Artigo em Inglês | MEDLINE | ID: mdl-39163184

RESUMO

Breast cancer significantly impacts women's health, with ultrasound being crucial for lesion assessment. To enhance diagnostic accuracy, computer-aided detection (CAD) systems have attracted considerable interest. This study introduces a prospective deep learning architecture called "Multi-modal Multi-task Network" (3MT-Net). 3MT-Net utilizes a combination of clinical data, B-mode, and color Doppler ultrasound. We have designed the AM-CapsNet network, specifically tailored to extract crucial tumor features from ultrasound. To combine clinical data in 3MT-Net, we have employed a cascaded cross-attention to fuse information from three distinct sources. To ensure the preservation of pertinent information during the fusion of high-dimensional and low-dimensional data, we adopt the idea of ensemble learning and design an optimization algorithm to assign weights to different modalities. Eventually, 3MT-Net performs binary classification of benign and malignant lesions as well as pathological subtype classification. In addition, we retrospectively collected data from nine medical centers. To ensure the broad applicability of the 3MT-Net, we created two separate testsets and conducted extensive experiments. Furthermore, a comparative analysis was conducted between 3MT-Net and the industrial-grade CAD product S-detect. The AUC of 3MT-Net surpasses S-Detect by 1.4% to 3.8%.

2.
Heliyon ; 10(2): e24560, 2024 Jan 30.
Artigo em Inglês | MEDLINE | ID: mdl-38304808

RESUMO

Purpose: To evaluate the ability of computer-aided diagnosis (CAD) system (S-Detect) to identify malignancy in ultrasound (US) -detected BI-RADS 3 breast lesions. Materials and methods: 148 patients with 148 breast lesions categorized as BI-RADS 3 were included in the study between January 2021 and September 2022. The malignancy rate, accuracy, sensitivity, specificity, positive predictive value (PPV), negative predictive value (NPV), and area under the curve (AUC) were calculated. Results: In this study, 143 breast lesions were found to be benign, and 5 breast lesions were malignant (malignancy rate, 3.4 %, 95 % confidence interval (CI): 0.5-6.3). The malignancy rate rose significantly to 18.2 % (4/22, 95 % CI: 2.1-34.3) in the high-risk group with a "possibly malignant" CAD result (p = 0.017). With a "possibly benign" CAD result, the malignancy rate decreased to 0.8 % (1/126, 95 % CI: 0-2.2) in the low-risk group (p = 0.297). The AUC, sensitivity, specificity, accuracy, PPV, and NPV of the CAD system in BI-RADS 3 breast lesions were 0.837 (95 % CI: 77.7-89.6), 80.0 % (95 % CI: 73.6-86.4), 87.4 % (95 % CI: 82.0-92.7), 87.2 % (95 % CI: 81.8-92.6), 18.2 % (95 % CI: 2.1-34.3) and 99.2 % (95 % CI: 97.8-100.0), respectively. Conclusions: CAD system (S-Detect) enables radiologists to distinguish a high-risk group and a low-risk group among US-detected BI-RADS 3 breast lesions, so that patients in the low-risk group can receive follow-up without anxiety, while those in the high-risk group with a significantly increased malignancy rate should actively receive biopsy to avoid delayed diagnosis of breast cancer.

3.
Theriogenology ; 216: 30-41, 2024 Mar 01.
Artigo em Inglês | MEDLINE | ID: mdl-38154204

RESUMO

High-concentrate diets cause subacute ruminal acidosis, resulting in increased blood lipopolysaccharide (LPS) levels in cows. We found that the peak LPS in cows fed with high-concentrate diets coincides the period of embryo implantation in a large-scale dairy farm. As epithelial-mesenchymal transition (EMT) should be tightly regulated during normal embryo implantation in cows, we speculated that increased LPS may cause abnormal EMT, thereby inhibiting embryo implantation in cows. To confirm that elevated LPS levels induce abnormal EMT in cows, we treated bovine endometrial epithelial cells (bEECs) with LPS for 48 h and analyzed the protein levels of ZEB1, a major EMT-related transcription factor, which is positively regulated by the TGFß/SMAD3 pathway. In addition, we analyzed the changes in expression of three EMT-related genes (E-cadherin, N-cadherin, and Vimentin), and examined the morphology and migratory ability of the cells. The results showed that elevated LPS levels increased protein expression of ZEB1, vimentin, and N-cadherin, and reduced that of E-cadherin. Elevated LPS also increased bEECs migration rate, and induced the cells to acquire a mesenchymal phenotype. Furthermore, benzyl butyl phthalate (BBP)-induced ZEB1 overexpression significantly decreased E-cadherin levels and increased N-cadherin levels. As LPS treatment also decreased the expression of Bta-miR-200b, we further found that Bta-miR-200b targets to the 3'UTR of ZEB1 through the confirmation of dual-luciferase reporter system. And the increased level of Bta-miR-200b by mimic enhanced the expression of E-cadherin and yet inhibited the expression of N-cadherin in protein, which exactly opposite to the results induced by LPS. In conclusion, LPS induced EMT in bEECs by upregulating ZEB1, while Bta-miR-200b could inhibit the occurrence of EMT by binding ZEB1 3'UTR. These results provide a new insight for low reproductive rate of dairy cows under the background of high-concentrate diets.


Assuntos
MicroRNAs , Feminino , Bovinos , Animais , MicroRNAs/genética , MicroRNAs/metabolismo , Lipopolissacarídeos/farmacologia , Vimentina/genética , Homeobox 1 de Ligação a E-box em Dedo de Zinco/genética , Homeobox 1 de Ligação a E-box em Dedo de Zinco/metabolismo , Regiões 3' não Traduzidas , Células Epiteliais/metabolismo , Transição Epitelial-Mesenquimal/genética , Caderinas/genética , Caderinas/metabolismo
4.
Antioxidants (Basel) ; 12(12)2023 Dec 16.
Artigo em Inglês | MEDLINE | ID: mdl-38136242

RESUMO

After parturition, bovine endometrial epithelial cells (BEECs) undergo serious inflammation and imbalance between oxidation and antioxidation, which is widely acknowledged as a primary contributor to the development of endometritis in dairy cows. Nevertheless, the mechanism of oxidative stress-mediated inflammation and damage in bovine endometrial epithelial cells remains inadequately defined, particularly the molecular pathways associated with mitochondria-dependent apoptosis. Hence, the present study was designed to explore the mechanism responsible for mitochondrial dysfunction-induced BEEC damage. In vivo, the expressions of proapoptotic protein caspase 3 and cytochrome C were increased significantly in dairy uteri with endometritis. Similarly, the levels of proapoptotic protein caspase 3, BAX, and cytochrome C were markedly increased in H2O2-treated BEECs. Our findings revealed pronounced BEEC damage in dairy cows with endometritis, accompanied by heightened expression of cyto-C and caspase-3 both in vivo and in vitro. The reduction in apoptosis-related protein of BEECs due to oxidant injury was notably mitigated following N-acetyl-L-cysteine (NAC) treatment. Furthermore, mitochondrial vacuolation was significantly alleviated, and mitochondrial membrane potential returned to normal levels after the removal of ROS. Excessive ROS may be the main cause of mitochondrial dysfunction. Mitochondrial permeability transition pore (mPTP) blockade by cyclophilin D (CypD) knockdown with CSA significantly blocked the flow of cytochrome C (cyto-C) and Ca2+ to the cytoplasm from the mitochondria. Our results indicate that elevated ROS and persistent opening of the mPTP are the main causes of oxidative damage in BEECs. Collectively our results reveal a new mechanism involving ROS-mPTP signaling in oxidative damage to BEECs, which may be a potential avenue for the clinical treatment of bovine endometritis.

5.
Heliyon ; 9(10): e20712, 2023 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-37860526

RESUMO

Purpose: This study aims to examine the performance of breast ultrasound with a computer-aided diagnostic (CAD) system in detecting malignant breast cancer compared to conventional ultrasound and investigate the effects on smaller tumor sizes (≤20 mm). Methods: This retrospective analysis included 123 patients with breast masses between March 2021 and July 2023. By using pathology results from biopsies or surgeries as the gold standard, we calculated and compared the diagnostic performances of conventional ultrasound and CAD, including sensitivity, specificity, positive predictive value, negative predictive value, accuracy, and area under the receiver operating characteristic curve (AUC). A subgroup analysis of masses ≤20 mm in size was performed. Results: Twenty-seven patients were pathologically diagnosed with malignant breast cancer. CAD had a higher specificity (92.71 % vs. 62.5 %) and accuracy (93.5 % vs. 69.92 %) than conventional ultrasound. The AUC of CAD was significantly greater than that of conventional ultrasonography (0.9450 vs. 0.7940, p < 0.0001). The agreement between the CAD and pathology results was almost perfect (kappa = 0.82, p < 0.0001). In patients with masses ≤20 mm, the effect was consistent: CAD had higher specificity (91.43 % vs. 51.43 %), higher accuracy (90.70 % vs. 58.14 %), and a higher AUC (0.8946 vs. 0.6946, p < 0.0001) than conventional ultrasound. Thirty-one downgrades were observed in BI-RADS 4A and 4B based on CAD, all of which were proven to be benign. Conclusion: Compared to conventional breast ultrasound, CAD had better diagnostic performance, with higher specificity, accuracy, and AUC. CAD can help recognize benign lesions, especially in patients with BI-RADS 4A, and avoid unnecessary invasive procedures.

6.
World J Surg ; 47(12): 3205-3213, 2023 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-37805926

RESUMO

OBJECTIVES: Ultrasound tends to present very high sensitivity but relatively low specificity and positive predictive value (PPV), which would result in unnecessary breast biopsies. The purpose of this study is to analyze the diagnostic performance of computer-aided diagnosis (CAD) (S-Detect) system in differentiating breast lesions and reducing unnecessary biopsies in non-university hospitals in less-developed regions of China. METHODS: The study was a prospective multicenter study from 8 hospitals. The ultrasound images, and cine, CAD analysis, and BI-RADS were recorded. The accuracy, sensitivity, specificity, PPV, negative predictive value (NPV), and area under the curve (AUC) were analyzed and compared between CAD and radiologists. The Youden Index (YI) was used to determine optimal cut-off for the number of planes to downgrade. RESULTS: A total of 491 breast lesions were included in the study. Less-experienced radiologists combined CAD was superior to less-experienced radiologists alone in AUC (0.878 vs 0.712, p < 0.001), and specificity (81.3% vs 44.6%, p < 0.001). There was no statistical difference in AUC (0.891 vs 0.878, p = 0.346), and specificity (82.3% vs 81.3%, p = 0.791) between experienced radiologists and less-experienced radiologists combined CAD. With CAD assistance, the biopsy rate of less-experienced radiologists was significantly decreased (100.0% vs 25.6%, p < 0.001), and malignant rate of biopsy was significantly increased (15.0% vs 43.9%, p < 0.001). CONCLUSIONS: CAD system can be an effective auxiliary tool in differentiating breast lesions and reducing unnecessary biopsies for radiologists from non-university hospitals in less-developed regions of China.


Assuntos
Neoplasias da Mama , Ultrassonografia Mamária , Feminino , Humanos , Estudos Prospectivos , Sensibilidade e Especificidade , Ultrassonografia Mamária/métodos , Diagnóstico por Computador/métodos , Computadores , Neoplasias da Mama/diagnóstico por imagem
7.
Int J Mol Sci ; 24(13)2023 Jul 07.
Artigo em Inglês | MEDLINE | ID: mdl-37446399

RESUMO

Endometritis in high-yield dairy cows adversely affects lactation length, milk quality, and the economics of dairy products. Endoplasmic reticulum stress (ERS) in bovine endometrial epithelial cells (BEECs) occurs as a consequence of diverse post-natal stressors, and plays a key role in a variety of inflammatory diseases. Nuclear-factor-erythroid-2-related factor 2 (Nrf2) is an important protective regulatory factor in numerous inflammatory responses. However, the mechanism by which Nrf2 modulates inflammation by participating in ERS remains unclear. The objective of the present study was to explore the role of Nrf2 in lipopolysaccharide (LPS)-induced injury to BEECs and to decipher the underlying molecular mechanisms of this injury. The expression of Nrf2- and ERS-related genes increased significantly in bovine uteri with endometritis. Isolated BEECs were treated with LPS to stimulate the inflammatory response. The expression of Nrf2 was significantly higher in cells exposed to LPS, which also induced ERS in BEECs. Activation of Nrf2 led to enhanced expression of the genes for the inflammation markers TNF-α, p65, IL-6, and IL-8 in BEECs. Moreover, stimulation of Nrf2 was accompanied by activation of ERS. In contrast, Nrf2 knockdown reduced the expression of TNF-α, p65, IL-6, and IL-8. Additionally, Nrf2 knockdown decreased expression of ERS-related genes for the GRP78, PERK, eIF2α, ATF4, and CHOP proteins. Collectively, our findings demonstrate that Nrf2 and ERS are activated during inflammation in BEECs. Furthermore, Nrf2 promotes the inflammatory response by activating the PERK pathway in ERS and inducing apoptosis in BEECs.


Assuntos
Endometrite , Humanos , Feminino , Bovinos , Animais , Endometrite/induzido quimicamente , Endometrite/metabolismo , Lipopolissacarídeos/farmacologia , Fator 2 Relacionado a NF-E2/genética , Fator 2 Relacionado a NF-E2/metabolismo , Transdução de Sinais , Interleucina-6/metabolismo , Interleucina-8/metabolismo , Fator de Necrose Tumoral alfa/metabolismo , Inflamação/induzido quimicamente , Inflamação/genética , Inflamação/metabolismo , Células Epiteliais/metabolismo , Estresse do Retículo Endoplasmático
8.
AJR Am J Roentgenol ; 221(4): 450-459, 2023 10.
Artigo em Inglês | MEDLINE | ID: mdl-37222275

RESUMO

BACKGROUND. Computer-aided diagnosis (CAD) systems for breast ultrasound interpretation have been primarily evaluated at tertiary and/or urban medical centers by radiologists with breast ultrasound expertise. OBJECTIVE. The purpose of this study was to evaluate the usefulness of deep learning-based CAD software on the diagnostic performance of radiologists without breast ultrasound expertise at secondary or rural hospitals in the differentiation of benign and malignant breast lesions measuring up to 2.0 cm on ultrasound. METHODS. This prospective study included patients scheduled to undergo biopsy or surgical resection at any of eight participating secondary or rural hospitals in China of a breast lesion classified as BI-RADS category 3-5 on prior breast ultrasound from November 2021 to September 2022. Patients underwent an additional investigational breast ultrasound, performed and interpreted by a radiologist without breast ultrasound expertise (hybrid body/breast radiologists, either who lacked breast imaging subspecialty training or for whom the number of breast ultrasounds performed annually accounted for less than 10% of all ultrasounds performed annually by the radiologist), who assigned a BI-RADS category. CAD results were used to upgrade reader-assigned BI-RADS category 3 lesions to category 4A and to downgrade reader-assigned BI-RADS category 4A lesions to category 3. Histologic results of biopsy or resection served as the reference standard. RESULTS. The study included 313 patients (mean age, 47.0 ± 14.0 years) with 313 breast lesions (102 malignant, 211 benign). Of BI-RADS category 3 lesions, 6.0% (6/100) were upgraded by CAD to category 4A, of which 16.7% (1/6) were malignant. Of category 4A lesions, 79.1% (87/110) were downgraded by CAD to category 3, of which 4.6% (4/87) were malignant. Diagnostic performance was significantly better after application of CAD, in comparison with before application of CAD, in terms of accuracy (86.6% vs 62.6%, p < .001), specificity (82.9% vs 46.0%, p < .001), and PPV (72.7% vs 46.5%, p < .001) but not significantly different in terms of sensitivity (94.1% vs 97.1%, p = .38) or NPV (96.7% vs 97.0%, p > .99). CONCLUSION. CAD significantly improved radiologists' diagnostic performance, showing particular potential to reduce the frequency of benign breast biopsies. CLINICAL IMPACT. The findings indicate the ability of CAD to improve patient care in settings with incomplete access to breast imaging expertise.


Assuntos
Neoplasias da Mama , Aprendizado Profundo , Feminino , Humanos , Adulto , Pessoa de Meia-Idade , Estudos Prospectivos , Sensibilidade e Especificidade , Ultrassonografia Mamária/métodos , Radiologistas , Computadores , Neoplasias da Mama/diagnóstico por imagem
9.
Int J Mol Sci ; 23(22)2022 Nov 16.
Artigo em Inglês | MEDLINE | ID: mdl-36430657

RESUMO

Bovine endometritis is a reproductive disorder that is induced by mucus or purulent inflammation of the uterine mucosa. However, the intracellular control chain during inflammatory injury remains unclear. In the present study, we found that E. coli activated the inflammatory response through the assembly of the NLRP3 inflammasome and activation of the NF-κB p65 subunit in primary bovine endometrial epithelial cells (bEECs). Infection with E. coli also led to an abnormal increase in cytoplasmic calcium and mitochondrial dysfunction. Additionally, live-cell imaging of calcium reporters indicated that the increase in cytosolic calcium mainly was caused by the release of Ca2+ ions stored in the ER and mitochondria, which was independent of extracellular calcium. Cytoplasmic calcium regulates mitochondrial respiratory chain transmission, DNA replication, and biogenesis. Pretreatment with NAC, BAPTA-AM, or 2-APB reduced the expression of IL-1ß and IL-18. Moreover, ERS was involved in the regulation of bovine endometritis and cytosolic calcium was an important factor for regulating ERS in E. coli-induced inflammation. Finally, activation of autophagy inhibited the release of IL-1ß and IL-18, cytochrome c, ATP, ERS-related proteins, and cytoplasmic calcium. Collectively, our findings demonstrate that autophagy mediated E. coli-induced cellular inflammatory injury by regulating cytoplasmic calcium, mitochondrial dysfunction, and ERS.


Assuntos
Autofagia , Estresse do Retículo Endoplasmático , Infecções por Escherichia coli , Animais , Bovinos , Feminino , Autofagia/fisiologia , Cálcio/metabolismo , Endometrite/patologia , Estresse do Retículo Endoplasmático/fisiologia , Escherichia coli , Infecções por Escherichia coli/complicações , Inflamação/metabolismo , Interleucina-18 , Mitocôndrias/patologia
10.
Animals (Basel) ; 12(21)2022 Oct 28.
Artigo em Inglês | MEDLINE | ID: mdl-36359097

RESUMO

In ruminants, the establishment of pregnancy requires a series of structural and functional changes in the endometrium under the action of hormones, thereby providing an optimal environment for the implantation of the embryo. In this study, we explored the molecular mechanism by which YPEL3 regulates endometrial function during gestation in goats. We found YPEL3 expression was significantly downregulated during early gestation and that YPEL3 overexpression inhibited the expression of ISG15, but had no significant effects on the expression of RSAD2 and CXCL10 in goat endometrial epithelial cells (gEECs). In addition, YPEL3 silencing significantly inhibited PGF2α secretion and the expression of the prostaglandin synthesis-related rate-limiting enzyme-encoding genes PGFS and PTGES, with no significant effect on the expression of PTGS1 and PTGS2. Moreover, YPEL3 inhibited the expression of vimentin and ß-catenin and pretreatment of gEECs with the ß-catenin activator CHIR99021 prevented a YPEL3-induced decrease in vimentin expression. Collectively, our findings confirm that, as a hormone-regulated factor, YPEL3 regulates endometrial function by inhibiting the Wnt/ß-catenin signaling pathway and provide new insights for further clarification of the mechanism by which YPEL3 functions during early pregnancy in ruminants.

11.
Animals (Basel) ; 12(18)2022 Sep 16.
Artigo em Inglês | MEDLINE | ID: mdl-36139304

RESUMO

Bovine endometritis is a mucosal inflammation that is characterized by sustained polymorphonuclear neutrophil (PMN) infiltration. Elevated PMN counts in the uterine discharge of dairy cows affected by endometritis suggest that oxidative stress may be among the causes of impaired fertility due to the condition. Nevertheless, the effects of oxidative stress-mediated endometritis in dairy cows largely remain uninvestigated. Therefore, fresh uterine tissue and uterine discharge samples were collected to diagnose the severity of endometritis according to the numbers of inflammatory cells in the samples. Twenty-six fresh uteri were classified into healthy, mild, moderate, and severe endometritis groups based on hematoxylin and eosin stain characteristics and the percentage of PMNs in discharge. BEECs were treated with graded concentrations of H2O2 from 50 µM to 200 µM in vitro as a model to explore the mechanism of oxidative stress during bovine graded endometritis. The expressions of antioxidant stress kinases were detected by quantitative fluorescence PCR to verify the oxidative stress level in uteri with endometritis. Reactive oxygen species were detected by fluorescence microscope, and inflammation-related mRNA expression increased significantly after H2O2 stimulation. Moreover, mRNA expression levels of antioxidant oxidative stress-related enzymes (glutathione peroxidase, superoxide dismutase, and catalase) and mitochondrial membrane potential both decreased. Further investigation revealed that expression of the apoptosis regulator Bcl-2/Bax decreased, whereas expression of the mitochondrial apoptosis-related proteins cytochrome c and caspase-3 increased in response to oxidative stress. Our results indicate that an imbalance exists between oxidation and antioxidation during bovine endometritis. Moreover, apoptosis induced in vitro by oxidative stress was characterized by mitochondrial damage in BEECs.

12.
Int J Med Sci ; 18(13): 2799-2813, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34220308

RESUMO

Intervertebral disc (IVD) degeneration (IDD) is a multifactorial pathological process associated with low back pain (LBP). The pathogenesis is complicated, and the main pathological changes are IVD cell apoptosis and extracellular matrix (ECM) degradation. Apoptotic cell loss leads to ECM degradation, which plays an essential role in IDD pathogenesis. Apoptosis regulation may be a potential attractive therapeutic strategy for IDD. Previous studies have shown that IVD cell apoptosis is mainly induced by the death receptor pathway, mitochondrial pathway, and endoplasmic reticulum stress (ERS) pathway. This article mainly summarizes the factors that induce IDD and apoptosis, the relationship between the three apoptotic pathways and IDD, and potential therapeutic strategies. Preliminary animal and cell experiments show that targeting apoptotic pathway genes or drug inhibition can effectively inhibit IVD cell apoptosis and slow IDD progression. Targeted apoptotic pathway inhibition may be an effective strategy to alleviate IDD at the gene level. This manuscript provides new insights and ideas for IDD therapy.


Assuntos
Degeneração do Disco Intervertebral/tratamento farmacológico , Disco Intervertebral/patologia , Dor Lombar/tratamento farmacológico , Animais , Apoptose/efeitos dos fármacos , Proteínas Reguladoras de Apoptose/antagonistas & inibidores , Proteínas Reguladoras de Apoptose/metabolismo , Modelos Animais de Doenças , Estresse do Retículo Endoplasmático/efeitos dos fármacos , Humanos , Disco Intervertebral/citologia , Disco Intervertebral/efeitos dos fármacos , Degeneração do Disco Intervertebral/complicações , Dor Lombar/etiologia , Mitocôndrias/efeitos dos fármacos , Mitocôndrias/metabolismo , Terapia de Alvo Molecular/métodos , Receptores de Morte Celular/antagonistas & inibidores , Receptores de Morte Celular/metabolismo , Transdução de Sinais/efeitos dos fármacos
13.
J Knee Surg ; 34(2): 208-215, 2021 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-31394588

RESUMO

Blood loss after total knee arthroplasty (TKA) is a potentially serious medical problem since it leads to anemia, increased need for transfusion, and prolonged hospitalization. Some studies have reported that sealing of the intramedullary femoral canal during TKA may decrease postoperative blood loss. The purpose of this study is to determine the effects of sealing of the intramedullary femoral canal during TKA on blood loss and transfusion rate. Electronic databases, PubMed, EMBASE, the Cochrane Library, Web of Science, and Chinese Biomedical Database, were systematically searched. Only randomized controlled trials (RCTs) that compared the sealing group with the control group during TKA were included up to March 2019. Two reviewers independently extracted data and assessed the quality of included studies. The statistical analysis was performed by using Review Manager 5.3 software. Cochrane Risk of Bias tool was used for quality assessment. Overall, eight RCTs involving 996 patients met our criteria and were analyzed. The results of meta-analysis showed that patients in the sealed group had less total blood loss, less total drain output and less hidden blood loss, less transfusion rates, a lower drop of hemoglobin level at day 1 postoperatively, and less hematoma than the control group. On the other hand, there were no significant differences in infection, deep vein thrombosis, and redness of incision between sealed and control group. Current meta-analysis found that sealing the femoral canal during TKA was an effective method for the control of blood loss.


Assuntos
Artroplastia do Joelho/métodos , Perda Sanguínea Cirúrgica/prevenção & controle , Transplante Ósseo , Hemorragia Pós-Operatória/prevenção & controle , Artroplastia do Joelho/efeitos adversos , Transfusão de Sangue , Humanos , Hemorragia Pós-Operatória/etiologia , Ensaios Clínicos Controlados Aleatórios como Assunto , Transplante Autólogo
14.
ACS Omega ; 5(20): 11578-11584, 2020 May 26.
Artigo em Inglês | MEDLINE | ID: mdl-32478248

RESUMO

CsPbX3 (X = Cl, Br, I) perovskite nanocrystals (NCs) are promising materials due to their excellent optoelectronic properties. This work shows a successful anion exchange reaction in CsPbBr3 nanowire (NW) systems with HCl gas resulting in a blue-green light-emitting CsPbBr3@CsPbBr3-x Cl x core-shell heterojunction. By adjusting the reaction time and the reaction temperature, the structure and light emission of the NWs can be adjusted. The core-shell heterojunction NCs are stably luminescent in 24 h. The rational mechanism of anion exchange in perovskite NCs is also investigated. The work highlights the feasibility of NWs heterogeneously prepared under the HC1 gas atmosphere, which provides a new strategy for studying the two- and multicolor luminescent perovskite NCs.

15.
ACS Appl Mater Interfaces ; 12(27): 30711-30719, 2020 Jul 08.
Artigo em Inglês | MEDLINE | ID: mdl-32515183

RESUMO

CsPbCl3:Mn2+ is a practical solution for obtaining red-orange light inorganic perovskite nanocrystals since CsPbI3 is unstable. Increasing the concentration of Mn2+ is an effective way to enhance the orange-red emission of CsPbCl3:Mn2+. However, the relationship between emission intensity of the Mn2+ dopant and the concentration of Mn2+ is very chaotic in different studies. As a transition metal ion, the electronic states of Mn2+ are very sensitive to the crystal field environment. Here, the crystal field of the CsPbCl3:Mn2+ nanocrystals was adjusted by co-doping other cations, and the concentration of Mn2+ remained unchanged. Additionally, the crystal field strength of different samples was calculated. Compared with the CsPbCl3:Mn2+ nanocrystals, the red-orange peak in the fluorescence spectrum of CsPbCl3:Mn2+, Er3+ nanocrystals was redshifted from 580 to 600 nm and enhanced by 100 times successfully. The same experiment was carried out on CsPbCl3:Mn2+ nanoplatelets at the same time to confirm the changed crystal field around Mn2+. The effect of co-doping cations on the luminescence properties of Mn2+ is similar to that in nanocubes, and the mechanism was analyzed in detail.

16.
Small ; 16(26): e1907089, 2020 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-32431070

RESUMO

Lead halide perovskites and their applications in the optoelectronic field have garnered intensive interest over the years. Inorganic perovskites (IHP), though a novel class of material, are considered as one of the most promising optoelectronic materials. These materials are widely used in detectors, solar cells, and other devices, owing to their excellent charge-transport properties, high defect tolerance, composition- and size-dependent luminescence, narrow emission, and high photoluminescence quantum yield. In recent years, numerous encouraging achievements have been realized, especially in the research of CsPbX3 (X = Cl, Br, I) nanocrystals (NCs) and surface engineering. Therefore, it is necessary to summarize the principles and effects of these surface engineering optimization methods. It is also important to scientifically guide the applications and promote the development of perovskites more efficiently. Herein, the principles of surface ligands are reviewed, and various surface treatment methods used in CsPbX3 NCs as well as quantum-dot light-emitting diodes are presented. Finally, a brief outlook on CsPbX3 NC surface engineering is offered, illustrating the present challenges and the direction in which future investigations are intended to obtain high-quality CsPbX3 NCs that can be utilized in more applications.

17.
Theriogenology ; 153: 68-73, 2020 Sep 01.
Artigo em Inglês | MEDLINE | ID: mdl-32442742

RESUMO

Endometritis is a prevalent reproductive disease in dairy cows, and is a superficial inflammation of the endometrium. S100 calcium-binding protein A4 (S100A4) is suggested to be implicated in the progression of inflammation. However, to our knowledge, no study has reported the changes of S100A4 during bovine endometritis. The objective of this study was to investigate S100A4 gene expression and protein levels in the uterus with endometritis in dairy cows. Vaginal mucus samples were collected for diagnosis of the severity degree of endometritis and the detection of S100A4 protein content. Blood samples and endometrial biopsies were collected and divided into the control (CN), mild endometrtis (M), and severe endometritis (S) groups according to the characteristics of the vaginal mucus type. The isolated bovine endometrial epithelial cells (BEECs) were challenged with E. coli (2 × 106 CFU/mL, 2 × 107 CFU/mL) or lipopolysaccharide (LPS, 3 and 10 µg/mL) as an inflammatory model. RT-qPCR was used to detect the gene expression levels of S100A4 and cytokines, including interleukin-1ß (IL-1ß), interleukin-6 (IL-6), interleukin-10 (IL-10), and tumour necrosis factor-alpha (TNF-α), in tissues or cells. Enzyme-linked immunosorbent assay (ELISA) was used for S100A4 protein level detection in tissues, cells, cell supernatant, vaginal mucus, and serum samples. The results showed that S100A4 gene and protein levels decreased in bovine endometrium with endometritis and in E. coli- or LPS-stimulated BEECs. We failed to detect S100A4 in the cell supernatant, vaginal mucus, and serum samples. This study suggested that S100A4 is a pathogenesis-related protein of endometritis, and decreased expression of S100A4 may pave the way for the development of endometritis in dairy cows.


Assuntos
Doenças dos Bovinos/metabolismo , Endometrite/metabolismo , Proteína A4 de Ligação a Cálcio da Família S100/metabolismo , Animais , Bovinos , Células Cultivadas , Citocinas/genética , Citocinas/metabolismo , Endométrio/citologia , Células Epiteliais , Escherichia coli , Feminino , Regulação da Expressão Gênica , Lipopolissacarídeos/farmacologia , Proteína A4 de Ligação a Cálcio da Família S100/genética
18.
Nanoscale ; 11(9): 4008-4014, 2019 Mar 07.
Artigo em Inglês | MEDLINE | ID: mdl-30785149

RESUMO

A novel high concentration doping method based on the transformation from Cs4PbBr6 nanocrystals (NCs), which reacted with divalent metal bromide MBr2, to CsPbxM1-xBr3 NCs was developed. Two types of M2+ and Zn2+ which cannot emit light and Mn2+ and Eu2+ which can be used as the luminous centres, were chosen to trigger the transformation of Cs4PbBr6 NCs to CsPbxM1-xBr3 NCs. CsPbxZn1-xBr3 NCs maintained high photoluminescence quantum yields (PLQY) (>75%) and had good dispersion in hexane without obvious dissolution or agglomeration after two weeks. By adjusting the reaction temperature, the intrinsic band edge luminescence and the emission of Mn2+ ions CsPbxMn1-xBr3 NCs show different colours of light from green, green-yellow, pink, and orange-red to purple under an excitation of 365 nm. CsPbxEu1-xBr3 NCs were synthesized for the first time, and a weak luminescence around 618 nm from Eu3+ was detected in addition to the band edge luminescence of NCs. X-ray photoelectron spectroscopy (XPS) data showed that Zn2+, Mn2+ and Eu3+ (Eu2+) doping concentrations are up to 80%, 75% and 50%, respectively. We also analysed the doping mechanism and compared the new method with the traditional high temperature injection method. The lead-depleted perovskite NCs transformed from Cs4PbBr6 can provide a feasible pathway to reduce the lead toxicity of perovskite NCs and expand their applications.

19.
Nanotechnology ; 28(44): 445602, 2017 Nov 03.
Artigo em Inglês | MEDLINE | ID: mdl-28853708

RESUMO

Lead halide perovskite materials are thriving in optoelectronic applications due to their excellent properties, while their instability due to the fact that they are easily hydrolyzed is still a bottleneck for their potential application. In this work, water-resistant, monodispersed and stably luminescent cesium lead bromine perovskite nanocrystals coated with CsPb2Br5 were obtained using a modified non-stoichiometric solution-phase method. CsPb2Br5 2D layers were coated on the surface of CsPbBr3 nanocrystals and formed a core-shell-like structure in the synthetic processes. The stability of the luminescence of the CsPbBr3 nanocrystals in water and ethanol atmosphere was greatly enhanced by the photoluminescence-inactive CsPb2Br5 coating with a wide bandgap. The water-stable enhanced nanocrystals are suitable for long-term stable optoelectronic applications in the atmosphere.

20.
ACS Appl Mater Interfaces ; 8(42): 28824-28830, 2016 Oct 26.
Artigo em Inglês | MEDLINE | ID: mdl-27712064

RESUMO

We developed a colloidal synthesis of CsPbBr3 perovskite nanocrystals (NCs) at a relative low temperature (90 °C) for the bright blue emission which differs from the original green emission (∼510 nm) of CsPbBr3 nanocubes as reported previously. Shapes of the obtained CsPbBr3 NCs can be systematically engineered into single and lamellar-structured 0D quantum dots, as well as face-to-face stacking 2D nanoplatelets and flat-lying 2D nanosheets via tuning the amounts of oleic acid (OA) and oleylamine (OM). They exhibit sharp excitonic PL emissions at 453, 472, 449, and 452 nm, respectively. The large blue shift relative to the emission of CsPbBr3 bulk crystal can be ascribed to the strong quantum confinement effects of these various nanoshapes. PL decay lifetimes are measured, ranging from several to tens of nanoseconds, which infers the higher ratio of exciton radiative recombination to the nonradiative trappers in the obtained CsPbBr3 NCs. These shape-controlled CsPbBr3 perovskite NCs with the bright blue emission will be widely used in optoelectronic applications, especially in blue LEDs which still lag behind compared to the better developed red and green LEDs.

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