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1.
Front Psychol ; 15: 1357644, 2024.
Artigo em Inglês | MEDLINE | ID: mdl-38784632

RESUMO

To explore the impact of social distance and information presentation types on self-other risk preferences in monetary tasks. Risk preferences were examined in decision-making tasks and experiential information tasks within different frameworks when participants made decisions for themselves and others. Experiment 1 employed experiential decision tasks and revealed individual differences in decision-making for oneself and others. In gain situations, participants exhibited more risk aversion when deciding for others compared to themselves. Experiment 2 presented both types of information simultaneously to investigate whether risk decisions for oneself and others are influenced by information types. Results indicated that experiential information led participants to make more conservative choices for others, while descriptive information eliminated this effect. This study discovered the influence of social distance on self-other risk decisions and the role of information presentation types in self and other risk decision-making. Future research could further explore self-other decision-making from the perspectives of decision-makers' traits and culture.

2.
Anal Chim Acta ; 1287: 342067, 2024 Jan 25.
Artigo em Inglês | MEDLINE | ID: mdl-38182374

RESUMO

BACKGROUND: The quality of traditional Chinese medicines (TCMs) directly impacts their clinical efficacy and drug safety, making standardization a critical component of modern TCMs. Surface-enhanced Raman spectroscopy (SERS) is an effective physical detection method with speed, sensitivity, and suitability for large sample analyses. In this study, a SERS analysis method was developed using a nano-silver sol as the matrix to address the interference of fluorescence components in TCMs and overcome the limitations of traditional detection methods. RESULTS: The higher sensitivity and efficiency of SERS was used, enabling detection of a single sample within 30 s. Coptis chinensis Franch. (CCF) was chosen as the model medicine, the nano-silver sol was used as the matrix, and CCF's fourteen main fluorescent alkaloids were tested as index components. Typical signal peaks of the main components in CCF corresponded to the bending deformation of the nitrogen-containing ring plane outer ring system, methoxy stretching vibration, and isoquinoline ring deformation vibration. Through SERS detection of different parts, the distribution content of the main active components in the cortex of CCF was found to be lower than that in the xylem and phloem. Additionally, rapid quality control analyses indicated that among the nine batches of original medicinal materials purchased from Emei and Guangxi, the main active ingredient showed a higher content. SIGNIFICANCE: A SERS-based method for the rapid localization and analysis of multiple components of TCMs was established. The findings highlight the potential of SERS as a valuable tool for the analysis and quality control of TCMs, especially for fluorescent components.


Assuntos
Alcaloides , Insuficiência Cardíaca , Análise Espectral Raman , Coptis chinensis , China , Isoquinolinas , Corantes
3.
Nat Commun ; 14(1): 6563, 2023 Oct 17.
Artigo em Inglês | MEDLINE | ID: mdl-37848441

RESUMO

Underwater adhesives receive extensive attention due to their wide applications in marine explorations and various related industries. However, current adhesives still suffer from excessive water absorption and lack of spontaneity. Herein, we report an autonomous underwater adhesive based on poly(2-hydroxyethyl methacrylate-co-benzyl methacrylate) amphiphilic polymeric matrix swollen by hydrophobic imidazolium ionic liquid. The as-prepared adhesive is tough and flexible, showing little to none instantaneous underwater adhesion onto the PET substrate, whereas its adhesion energy on the substrate can grow more than 5 times to 458 J·m-2 after 24 hours. More importantly, this process is entirely spontaneous, without any external pressing force. Our comprehensive studies based on experimental characterizations and molecular dynamic simulations confirm that such autonomous adhesion process is driven by water-induced rearrangement of the functional groups. It is believed that such material can provide insights into the development of next-generation smart adhesives.

4.
Proc Biol Sci ; 290(1999): 20230220, 2023 05 31.
Artigo em Inglês | MEDLINE | ID: mdl-37221847

RESUMO

Modern coral reefs and associated biodiversity are severely threatened by increasing terrestrial runoff. Similar scenarios could be suspected for geological times, but reef coral resilience is still an enigma. In late Visean-Serpukhovian (Mississippian foraminiferal zones/MFZ 14-16) times, a major glaciation phase of the late Palaeozoic Ice Age (LPIA) associated with enhanced terrestrial weathering and runoff coincides with a biodiversity crisis and coral reef decline. In this study, the impact of enhanced terrestrial runoff is tested on size variations of colonial corals Aulina rotiformis and Lithostrotion decipiens along a gradient of contemporaneous (Serpukhovian) open marine carbonate to near-shore siliciclastic facies in South China. Along this gradient, their sizes decrease from carbonate, through intermediate carbonate-siliciclastic, to siliciclastic facies. This is consistent with increasing abundance of terrestrial materials of high silicon, aluminium and phosphorus values. On a larger million-year-long interval (MFZ14-16) and for several palaeocontinents, size data of Lithostrotion decipiens and Siphonodendron pauciradiale show a distinct decline in late Visean, when enhanced terrestrial weathering occurred commonly with palaeosols developed during regression. This suggests that terrestrial sediment and nutrient input may have mainly controlled phenotypic plasticity in Mississippian reef corals, with a decrease in size as a component of resilience across the LPIA onset.


Assuntos
Antozoários , Animais , Fácies , Recifes de Corais , Adaptação Fisiológica , Biodiversidade
5.
ACS Omega ; 8(4): 4196-4208, 2023 Jan 31.
Artigo em Inglês | MEDLINE | ID: mdl-36743036

RESUMO

Soft sensors are mathematical methods that describe the dependence of primary variables on secondary variables. A nonlinear characteristic commonly appears in modern industrial process data with increasing complexity and dynamics, which has brought challenges to soft sensor modeling. To solve these issues, a novel supervised attention-based bidirectional long short-term memory (SA-BiLSTM) is first proposed in this paper to handle the nonlinear industrial process modeling with dynamic features. In this SA-BiLSTM model, an attention mechanism is introduced to calculate the correlation between hidden features in each time step, thus avoiding the loss of important information. Furthermore, this approach combines historical quality information and a moving window through a supervised strategy of quality variables. Such manipulation not only extracts and exploits nonlinear dynamic latent information from the process and quality variables but also enhances the model's learning efficiency and overall prediction performance. Finally, two real industrial examples demonstrate the superiority of the proposed method compared to conventional methods.

6.
IEEE Trans Cybern ; 53(8): 4867-4879, 2023 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-35175925

RESUMO

In industrial processes, the sampling rates of process variables are discrepant because of the nature of instruments and measuring demands, which forms the challenging issue, that is, the multirate modeling in the data-driven soft sensor development. In this work, a multiresolution pyramid variational autoencoder (MR-PVAE) predictive model is proposed to solve this problem based on the deep feature extraction and feature pyramid augmentation. First, a multirate data filter is designed through a resolution searching strategy to turn the original process data into a multiresolution dataset. Then, the pyramid variational autoencoder (PVAE) is proposed to extract deep nonlinear features from the data with different resolutions. In PVAE, the augmented feature pyramid is constructed layer by layer to fuse extracted features from low resolution to the high. As a consequence, the extracted features with various resolutions are gathered to form the regression model, where the process information contained in data with discrepant sampling rates can be fully utilized. Due to the layer-by-layer enhanced features, the prediction accuracy of the soft sensing model are gradually improved. Meanwhile, an optimized training strategy is established to select the optimal feature pyramid for prediction. A numerical experiment and an industrial soft sensing case are given to validate the effectiveness and superiority of the proposed MR-PVAE model.

7.
Health Commun ; 38(10): 2141-2157, 2023 10.
Artigo em Inglês | MEDLINE | ID: mdl-35473490

RESUMO

Communication is critical in a new health emergency because it motivates the public to take preventive actions. Prior research has shown that strategies including source credibility, information transparency and uncertainty reduction actions could enhance trust in health communication on social media. Yet research on how the government in China used these trust-building strategies to engage the public during the outbreak of COVID-19 is limited. Therefore, our exploratory study developed an integrated framework for conducting quantitative content analysis to examine how the most popular government-owned newspaper in China, People's Daily, utilized a major social media platform, to engage the public. Our findings showed that accessibility to external links, provision of emotional support, and information on skills and resources were associated with increased public engagement with government COVID-19 posts. Insights gained can enable public health organizations and governments to focus on specific strategies to enhance public engagement.


Assuntos
COVID-19 , Comunicação em Saúde , Mídias Sociais , Humanos , COVID-19/epidemiologia , COVID-19/psicologia , SARS-CoV-2 , Confiança , Surtos de Doenças
8.
ACS Appl Mater Interfaces ; 14(41): 47167-47175, 2022 Oct 19.
Artigo em Inglês | MEDLINE | ID: mdl-36201631

RESUMO

Ionic switches with a positive temperature coefficient (PTC) effect are highly desirable in the fabrication of smart electrolytes for the safety protection of electrochemical energy devices. However, most of them encounter liquid leaking or volume shrinking problems, limiting their long-term and stable operations. Herein, a PTC-type ionic switch is introduced based on a poly(acrylic acid) (PAA) hydrogel soaked by calcium acetate (CaAc), with a resistance change of six times in maximum between the homogeneous and phase separated state. The PTC effect is owing to the strong phase separation upon heating where the ion transport is restricted. Such a hydrogel-based PTC-type ionic switch is in the solid state and isochoric during phase separation without leaking or shrinking issues. The influence of different CaAc soaking concentrations is investigated. A simplified model consisting of interconnected ion channels is proposed based on microstructure analysis. A smart supercapacitor is successfully demonstrated by this PTC ionic switch with a safety protection ability. The research here would provide a new pathway for the design and development of PTC-type ionic switches in the safety protection of electrochemical energy storage devices.

9.
J Med Internet Res ; 24(7): e37806, 2022 07 06.
Artigo em Inglês | MEDLINE | ID: mdl-35731969

RESUMO

BACKGROUND: Vaccines serve an integral role in containing pandemics, yet vaccine hesitancy is prevalent globally. One key reason for this hesitancy is the pervasiveness of misinformation on social media. Although considerable research attention has been drawn to how exposure to misinformation is closely associated with vaccine hesitancy, little scholarly attention has been given to the investigation or robust theorizing of the various content themes pertaining to antivaccine misinformation about COVID-19 and the writing strategies in which these content themes are manifested. Virality of such content on social media exhibited in the form of comments, shares, and reactions has practical implications for COVID-19 vaccine hesitancy. OBJECTIVE: We investigated whether there were differences in the content themes and writing strategies used to disseminate antivaccine misinformation about COVID-19 and their impact on virality on social media. METHODS: We constructed an antivaccine misinformation database from major social media platforms during September 2019-August 2021 to examine how misinformation exhibited in the form of content themes and how these themes manifested in writing were associated with virality in terms of likes, comments, and shares. Antivaccine misinformation was retrieved from two globally leading and widely cited fake news databases, COVID Global Misinformation Dashboard and International Fact-Checking Network Corona Virus Facts Alliance Database, which aim to track and debunk COVID-19 misinformation. We primarily focused on 140 Facebook posts, since most antivaccine misinformation posts on COVID-19 were found on Facebook. We then employed quantitative content analysis to examine the content themes (ie, safety concerns, conspiracy theories, efficacy concerns) and manifestation strategies of misinformation (ie, mimicking of news and scientific reports in terms of the format and language features, use of a conversational style, use of amplification) in these posts and their association with virality of misinformation in the form of likes, comments, and shares. RESULTS: Our study revealed that safety concern was the most prominent content theme and a negative predictor of likes and shares. Regarding the writing strategies manifested in content themes, a conversational style and mimicking of news and scientific reports via the format and language features were frequently employed in COVID-19 antivaccine misinformation, with the latter being a positive predictor of likes. CONCLUSIONS: This study contributes to a richer research-informed understanding of which concerns about content theme and manifestation strategy need to be countered on antivaccine misinformation circulating on social media so that accurate information on COVID-19 vaccines can be disseminated to the public, ultimately reducing vaccine hesitancy. The liking of COVID-19 antivaccine posts that employ language features to mimic news or scientific reports is perturbing since a large audience can be reached on social media, potentially exacerbating the spread of misinformation and hampering global efforts to combat the virus.


Assuntos
COVID-19 , Mídias Sociais , COVID-19/prevenção & controle , Vacinas contra COVID-19/uso terapêutico , Comunicação , Humanos , Redação
10.
Proc Natl Acad Sci U S A ; 119(19): e2115231119, 2022 05 10.
Artigo em Inglês | MEDLINE | ID: mdl-35500118

RESUMO

Piecing together the history of carbon (C) perturbation events throughout Earth's history has provided key insights into how the Earth system responds to abrupt warming. Previous studies, however, focused on short-term warming events that were superimposed on longer-term greenhouse climate states. Here, we present an integrated proxy (C and uranium [U] isotopes and paleo CO2) and multicomponent modeling approach to investigate an abrupt C perturbation and global warming event (∼304 Ma) that occurred during a paleo-glacial state. We report pronounced negative C and U isotopic excursions coincident with a doubling of atmospheric CO2 partial pressure and a biodiversity nadir. The isotopic excursions can be linked to an injection of ∼9,000 Gt of organic matter­derived C over ∼300 kyr and to near 20% of areal extent of seafloor anoxia. Earth system modeling indicates that widespread anoxic conditions can be linked to enhanced thermocline stratification and increased nutrient fluxes during this global warming within an icehouse.


Assuntos
Aquecimento Global , Água do Mar , Carbono/análise , Humanos , Hipóxia , Oceanos e Mares
11.
Cell J ; 24(3): 112-119, 2022 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-35451580

RESUMO

Objective: The aim of the recent study was to investigate the effects of miR-205 on reversing Doxorubicin (DOX) resistance, as chemotherapeutic agents through up-regulation of PTEN in human liver cancer HepG2 cells. Materials and Methods: In this experimental study, the drug resistance in liver cancer cells via drug efflux inhibition and enhancing apoptosis by the regulation of PTEN and multi-drug resistance/ P-glycoprotein (MDR/P-gp) expression was revealed. Using 3-(4,5-Dimethylthiazol-2-yl)-2,5-diphenyltetrazolium bromide (MTT) assay, effect of DOX on cell proliferation was evaluated after miR-205 transfection in HepG2 and HepG2/DOX cells. Activity of P-gp on drug efflux was measured by the Rhodamine 123 (Rho-123) assay. PTEN mRNA expression levels were measured by quantitative reverse transcription polymerase chain reaction (qRT-PCR) and flow cytometry was used to measure the apoptotic ratio of HepG2/DOX cells. Results: miR-205 overexpression considerably inhibited the HepG2/DOX cells viability (P<0.05). qRT-PCR results revealed that PTEN is a pivotal regulator in PI3K/Akt/P-gp axis. Overexpression miR-205 resulted in up-regulation PTEN and ultimately down-regulation of P-gp. This inhibits drug resistance, proliferation and induces apoptosis in HepG2/DOX cells (P<0.05). Whilst, treatment with 10 µM of special inhibitors, including LY294002 (PI3K) or PD098059 (MAPK), increased Rho 123-associated MFI, treatment with 10 µM of SF1670 (PTEN) almost abolished the effect of miR-205 overexpression (P<0.05). Finally, we found that miR-205 was down-regulated in HepG2/DOX cells, and its overexpression led to enhancing apoptosis with re-sensitization of HepG2/DOX cell lines to DOX through PTEN/PI3K/ Akt/MDR1 pathway. Conclusion: These findings may introduce miR-205 as a predictive biomarker and a potential treatment target for liver cancer therapy during MDR.

12.
BMC Surg ; 22(1): 132, 2022 Apr 07.
Artigo em Inglês | MEDLINE | ID: mdl-35392887

RESUMO

BACKGROUND: Acute right-sided colonic diverticulitis (RCD) is a common disease in Asian populations for which the optimal treatment remains controversial. The aim of this study was to investigate management and evaluate long-term outcomes of treatment in patients with acute RCD. METHODS: We retrospectively collected and analyzed clinical data for patients with acute RCD admitted to the Tongren Hospital, Shanghai Jiao Tong University School of Medicine from December 2015 to December 2020. The patients were divided into two groups, according to primary treatment strategy, which was either conservative treatment or surgical treatment. RESULTS: A total of 162 consecutive patients with acute RCD were enrolled in the study. There was no significant difference in age, sex, history of abdominal surgery, medical co-morbidities, fever, previous history of RCD, treatment success rate and incidence of complications between the conservative and surgery groups. However, the recurrence rate in conservative groups was significantly higher than in surgery groups (16.53% vs 2.44%, P = 0.020). And more frequent bowel movements and previous history of RCD increased the risk of recurrence of acute RCD. Moreover, there was no significant difference in either treatment success rate or the overall recurrence rate between the patients with uncomplicated diverticulitis and patients with complicated diverticulitis. CONCLUSIONS: Surgical treatment is also safe and effective for acute RCD. Surgical treatment should mainly be considered for patients with acute RCD with recurrence risk factors (more frequent bowel movements and previous history of RCD) or with complicated acute RCD.


Assuntos
Doença Diverticular do Colo , Diverticulite , China , Diverticulite/complicações , Doença Diverticular do Colo/complicações , Doença Diverticular do Colo/cirurgia , Humanos , Recidiva , Estudos Retrospectivos , Fatores de Risco , Resultado do Tratamento
13.
Lingua ; 268: 103199, 2022 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-34720188

RESUMO

To cope with the COVID-19 pandemic, various policy measures accompanied by health crisis communication were adopted in China to engage publics. In this study, we investigated how People's Daily communicated COVID-19 messages on Weibo. Drawing on the Appraisal Framework, we developed a three-stage mixed method approach to study 400 COVID-19 posts to identify the attitude resources employed and their association with public engagement. We found that attitudinal posts were more engaging than non-attitudinal posts. Judgment, both positive and negative, was positively associated with public engagement, whereas the use of positive Affect and Appreciation could be ineffective. These findings contribute to the understanding of how public engagement on social media can be enhanced through the use of attitudinal messages in health emergencies.

14.
Surg Endosc ; 36(1): 718-727, 2022 01.
Artigo em Inglês | MEDLINE | ID: mdl-33619595

RESUMO

BACKGROUND: Laparoscopic common bile duct exploration (LCBDE) has gained wide popularity for the treatment of choledocholithiasis. However, it remains unclear whether LCBDE is a better alternative option for the patients with difficult biliary stones. Thus, the aim of the present study was to explore the safety and efficacy of LCBDE for these patients by retrospectively analyzing our data and combing with literature review. METHODS: Between September 2011 and February 2019, 1064 consecutive patients who underwent LCBDE at Shanghai Tenth People's Hospital were reviewed. The clinical data of patients with difficult biliary stones were selected and retrospectively analyzed. RESULTS: Of these patients, 334 cases were confirmed with difficult biliary stones, and the overall complete stone clearance rate was 98.8% (330/334). 34 cases (10.2%) were performed with laser lithotripsy. A total of 296 patients (88.6%) underwent primary closure of common bile duct, and T-tube drainage was indwelled in 38 patients (11.4%). No bile duct injury, bleeding, perforation and surgery-related deaths were observed. The overall morbidity rate was 6.6%. 16 cases (4.8%) occurred in bile leakage with primary closure procedure, and all of them were managed successfully with conservative therapy. The median follow-up period was 9 months with stone recurrence occurring in 9 patients (2.7%). There was no evidence of bile duct stricture in all cases. CONCLUSIONS: The current study suggests that LCBED is a considerable safe and effective option for the patients with difficult biliary stones. A randomized clinical trial is needed to further evaluate the benefit of LCBDE in this subgroup.


Assuntos
Coledocolitíase , Colestase , Laparoscopia , China , Coledocolitíase/cirurgia , Colestase/cirurgia , Ducto Colédoco/cirurgia , Humanos , Laparoscopia/métodos , Estudos Retrospectivos
15.
IEEE Trans Neural Netw Learn Syst ; 32(8): 3330-3341, 2021 08.
Artigo em Inglês | MEDLINE | ID: mdl-31902781

RESUMO

For large-scale industrial plants, quality-related process monitoring is challenging because of the complex features of multiunit, multimode, high-dimension data. Hence, a hierarchical quality monitoring (HQM) algorithm based on the distributed parallel semisupervised Gaussian mixture model (dp-S2GMM) is proposed in this article. In HQM, a large-scale process is first decomposed into a group of unit blocks according to the process structure. Subsequently, in each block, a quality regression model with multimode big process data is built using the dp-S2GMM, which is derived from a scalable stochastic variational inference semisupervised GMM (SVI-S2GMM). With the regression model, a hierarchical fault detection and diagnosis scheme in both quality-related and quality-unrelated subspaces is proposed from the variable level, block level to plant-wide level. Finally, an industrial case study on the Tennessee Eastman process demonstrates the feasibility and effectiveness of the proposed HQM algorithm.

16.
Biosens Bioelectron ; 131: 274-279, 2019 Apr 15.
Artigo em Inglês | MEDLINE | ID: mdl-30849727

RESUMO

Nucleic acid nanoswitches have a status that cannot be ignored in the field of biosensing due to the excellent biocompatibility and flexibility of design. In our current research, we have constructed a new electrochemical platform based on self-assembled pH-sensitive continuous circular DNA nanoswitch for miRNA-21 detection. We elaborately designed an inside ring probe (IRP) which could form a circle when complemented with an outside ring probe (ORP). Under the weakly acidic condition, IRPs and ORPs are self-assembled into continuous annular DNA, meanwhile, the nanoswitch is activated. However, if it is not a weakly acidic environment with a pH equal to 6, these circles are separated and the nanoswitch cannot be triggered. Therefore, the biosensor doesn't work. Only when the pH is 6, can the nanoswitch be activated. Consequently, a large number of RuHex will accumulate on the continuous annular DNA, which leads to highly sensitive detection of miRNA-21, with concentration ranged from 10-15 to 10-8 M and limit of detection down to 0.84 fM. More importantly, this nanoswitch-based biosensor can directly detect the target microRNA in human serum without pretreatment. Therefore, the proposed novel electrochemical DNA nanoswitch will have broad application prospects in biomarker detection and clinical diagnosis.


Assuntos
Técnicas Biossensoriais , DNA Circular/química , Técnicas Eletroquímicas , MicroRNAs/isolamento & purificação , Humanos , Concentração de Íons de Hidrogênio , Limite de Detecção , MicroRNAs/química
18.
Am Surg ; 84(3): 371-376, 2018 Mar 01.
Artigo em Inglês | MEDLINE | ID: mdl-29559051

RESUMO

The morbidity rate after pancreaticoduodenectomy (PD) remains high and a modified digestive reconstruction may affect the postoperative complications. We investigated a new modification of PD by adding mesh reinforcement for the pancreatic stump and Braun enteroenterostomy with the aim of reducing postoperative pancreatic fistula (POPF) and delayed gastric emptying (DGE), respectively. From November 2010 to April 2015, 81 consecutive patients who underwent modified PD were retrospectively reviewed. The clinically relevant POPF and DGE rates were 4.9 and 6.1 per cent, respectively. The overall mortality rate was 2.4 per cent. The incidence of overall postoperative complications was 46.9 per cent, with 17.2 per cent considered as major complications (Clavien grades 3-5). The median postoperative length of hospital stay was 17 days (range 10-119 days). For patients who had major complications, median postoperative length of hospital stay increased significantly (22 vs 13 days, P = 0.001), as compared with those patients with no complications. The new modified digestive reconstruction after PD seems safe and reliable with low clinically relevant POPF and DGE rates. Further prospective controlled trials are essential to support these results.


Assuntos
Enterostomia/métodos , Pancreaticoduodenectomia/métodos , Telas Cirúrgicas , Adulto , Idoso , Idoso de 80 Anos ou mais , Feminino , Gastroparesia/prevenção & controle , Humanos , Incidência , Tempo de Internação , Masculino , Pessoa de Meia-Idade , Fístula Pancreática/prevenção & controle , Complicações Pós-Operatórias/epidemiologia , Estudos Retrospectivos , Técnicas de Sutura , Adulto Jovem
19.
J Nutr Biochem ; 46: 57-67, 2017 08.
Artigo em Inglês | MEDLINE | ID: mdl-28458138

RESUMO

Injuries and diseases that occur in the nervous system are common and have few effective treatments. Previous studies have shown that quercetin has a therapeutic effect on nervous system injuries, but its potential effects on and mechanisms of action related to behavioral recovery and axonal regrowth have not been investigated. Here, we showed that quercetin administration promotes behavioral recovery following sciatic nerve-crush injury in mice. Long-term evaluation showed that mice administered 20 mg·kg-1·day-1 quercetin for 35 days had a greater sensorimotor recovery compared with all other treatment groups. The mechanisms behind these effects were further investigated, and quercetin was found to regulate the expression of genes involved in regeneration and trophic support. Moreover, quercetin increased cyclic adenosine monophosphate expression and downstream pathway activation, which directly leads to neuronal growth activation in peripheral axon regeneration. In addition, quercetin enhanced axon remyelination, motor nerve conduction velocity and plantar muscle function, indicating that the degree of distal portion hypotrophy during the peripheral axon regeneration process was reduced. These results suggest that quercetin accelerates functional recovery by up-regulating neuronal intrinsic growth capacity and postponing distal atrophy. Overall, quercetin triggered multiple effects to promote behavioral recovery following sciatic nerve-crush injury in mice.


Assuntos
Lesões por Esmagamento/tratamento farmacológico , Atividade Motora/efeitos dos fármacos , Quercetina/farmacologia , Recuperação de Função Fisiológica/efeitos dos fármacos , Nervo Isquiático/lesões , Animais , Axônios/fisiologia , Lesões por Esmagamento/fisiopatologia , Regulação da Expressão Gênica , Masculino , Camundongos Endogâmicos C57BL , Músculo Esquelético/inervação
20.
Surg Endosc ; 31(9): 3581-3589, 2017 09.
Artigo em Inglês | MEDLINE | ID: mdl-28039642

RESUMO

BACKGROUND: Laparoscopic common bile duct exploration (LCBDE) has gained wide popularity in the treatment of choledocholithiasis. Bile leakage remains a major cause of postoperative morbidity. The aim of this study was to report 5-year results of 500 LCBDEs and identify risk factors associated with bile leakage. METHODS: Five hundred consecutive LCBDEs performed in one institution from September 2011 to June 2016 were reviewed. Patients' clinical data were retrospectively collected and analyzed. Univariable and multivariable analysis of bile leakage was performed by logistic regression. RESULTS: We found stones (n = 388) or bile sludge (n = 71) in 459 patients (92%) on exploration, leaving 41 patients (8%) without stones. Operative time was 128 min in the first 250 LCBDEs, and this decreased to 103 min in the second 250 LCBDEs (P = 0.0004). Four hundred and eight (82%) procedures were completed with primary closure after choledochotomy; the rate of primary closure increased significantly in the second 250 patients compared with the first (88 vs 76%; P = 0.0005), whereas T-tube placement (2 vs 6%; P = 0.0225) and transcystic approach (7 vs 12%; P = 0.0464) decreased, respectively. Stone clearance was successful in 495 patients (99%). Overall morbidity was 5%, and bile leakage occurred in 17 patients (3.4%). Two patients died from bile leakage. The median follow-up was 24 months with stone recurrence occurred in two patients and bile duct stricture in one patient. Univariable analysis identified diameter of the common bile duct (CBD), stone clearance, and T-tube insertion as risk factors related to bile leakage. Multivariable analysis taking these three factors into account identified non-dilated CBD (risk ratio (RR) = 9.87; P = 0.007) and failure in stone clearance (RR = 11.88; P = 0.024) as significant risk factors. CONCLUSIONS: Bile leakage following LCBDE is associated with diameter of the CBD and stone clearance. LCBDE would be safer in proficient laparoscopic surgeons with a careful selection of patients.


Assuntos
Coledocolitíase/cirurgia , Ducto Colédoco/cirurgia , Laparoscopia/métodos , Adolescente , Adulto , Idoso , Idoso de 80 Anos ou mais , Bile , Coledocolitíase/diagnóstico , Coledocolitíase/fisiopatologia , Ducto Colédoco/fisiopatologia , Feminino , Seguimentos , Humanos , Masculino , Pessoa de Meia-Idade , Estudos Retrospectivos , Fatores de Risco , Adulto Jovem
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