Your browser doesn't support javascript.
loading
Mostrar: 20 | 50 | 100
Resultados 1 - 20 de 29
Filtrar
Mais filtros

Base de dados
Tipo de documento
País de afiliação
Intervalo de ano de publicação
1.
Biochem Biophys Res Commun ; 734: 150455, 2024 Jul 26.
Artigo em Inglês | MEDLINE | ID: mdl-39083972

RESUMO

In vitro studies have revealed that hepatitis B virus (HBV) infection upregulates interleukin-8 (IL-8), which enhances HBV replication. Clinically, elevated IL-8 levels in chronic HBV patients are associated with diminished therapeutic efficacy of interferon-α (IFN-α). Our study advances these findings by demonstrating that IL-8 promotes the expression of myxovirus resistance A (MxA) and protein kinase R (PKR) in HepG2 cells via the PI3K-AKT pathway. However, HBV-infected cells fail to exhibit IL-8-induced upregulation of MxA and PKR, likely due to HBV's upregulation of PP2A that inhibits the PI3K-AKT pathway. Notably, IL-8 targets the C/EBPα transcription factor, increasing HBV promoter activity and viral replication, which in turn partially suppresses the expression of MxA and PKR induced by IFN-α. Our findings uncover a mechanism by which HBV may evade immune responses, suggesting potential new strategies for immunotherapy against chronic HBV infection.

2.
BMC Musculoskelet Disord ; 25(1): 679, 2024 Aug 29.
Artigo em Inglês | MEDLINE | ID: mdl-39210304

RESUMO

BACKGROUND: Excessive intraoperative bleeding remains a challenge in limb surgeries. The exsanguination tourniquet ring has emerged as a potential solution for effective exsanguination and hemostasis. This study aims to evaluate its efficacy and safety compared to the conventional exsanguination and hemostasis approach (pneumatic tourniquet combined with Esmarch bandage). METHODS: This randomized controlled trial evaluates the exsanguination tourniquet ring's effectiveness and safety versus the conventional approach in 220 participants undergoing various limb surgeries. Allocation included experimental and control groups, assesses through efficacy (including intraoperative and total blood loss, hemoglobin levels, and exsanguination and hemostasis effectiveness) and safety (adverse event occurrence) indicators. RESULTS: The experimental group (n = 110) utilizes the exsanguination tourniquet ring, while the control group (n = 110) employs the conventional approach. As for intraoperative blood loss, the experimental group is non-inferior to the control group (p-value < 0.001). While no significant difference is found in total blood loss (for the full analysis set, p-value = 0.442; for the per protocol set, p-value = 0.976) and differences in postoperative and preoperative hemoglobin levels (for the full analysis set, p-value = 0.502; for the per protocol set, p-value = 0.928). Regarding exsanguination and hemostasis effectiveness, the full analysis set reveals significantly superior ratings in the experimental group compared to the control group (p-value = 0.002 < 0.05), while the per protocol set analysis indicates no significant difference between the groups (p-value = 0.504). As for safety indicators, adverse events related to the device are minimal in two groups, with only one severe event unrelated to the device. CONCLUSIONS: The exsanguination tourniquet ring is an effective and safe device for intraoperative blood loss control in various limb surgeries. TRIAL REGISTRATION: Comparison of Exsanguination and Hemostasis Devices for Limb Surgery A Prospective Multicenter Randomized Controlled Study, ChiCTR2300077998, 11/27/2023.


Assuntos
Perda Sanguínea Cirúrgica , Exsanguinação , Torniquetes , Humanos , Feminino , Masculino , Pessoa de Meia-Idade , Perda Sanguínea Cirúrgica/prevenção & controle , Torniquetes/efeitos adversos , Adulto , Exsanguinação/etiologia , Extremidades/cirurgia , Hemostasia Cirúrgica/instrumentação , Hemostasia Cirúrgica/métodos , Idoso , Resultado do Tratamento , Estudos Prospectivos
3.
Bioinformatics ; 38(5): 1223-1230, 2022 02 07.
Artigo em Inglês | MEDLINE | ID: mdl-34864897

RESUMO

MOTIVATION: Multi-label (ML) protein subcellular localization (SCL) is an indispensable way to study protein function. It can locate a certain protein (such as the human transmembrane protein that promotes the invasion of the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2)) or expression product at a specific location in a cell, which can provide a reference for clinical treatment of diseases such as coronavirus disease 2019 (COVID-19). RESULTS: The article proposes a novel method named ML-locMLFE. First of all, six feature extraction methods are adopted to obtain protein effective information. These methods include pseudo amino acid composition, encoding based on grouped weight, gene ontology, multi-scale continuous and discontinuous, residue probing transformation and evolutionary distance transformation. In the next part, we utilize the ML information latent semantic index method to avoid the interference of redundant information. In the end, ML learning with feature-induced labeling information enrichment is adopted to predict the ML protein SCL. The Gram-positive bacteria dataset is chosen as a training set, while the Gram-negative bacteria dataset, virus dataset, newPlant dataset and SARS-CoV-2 dataset as the test sets. The overall actual accuracy of the first four datasets are 99.23%, 93.82%, 93.24% and 96.72% by the leave-one-out cross validation. It is worth mentioning that the overall actual accuracy prediction result of our predictor on the SARS-CoV-2 dataset is 72.73%. The results indicate that the ML-locMLFE method has obvious advantages in predicting the SCL of ML protein, which provides new ideas for further research on the SCL of ML protein. AVAILABILITY AND IMPLEMENTATION: The source codes and datasets are publicly available at https://github.com/QUST-AIBBDRC/ML-locMLFE/. SUPPLEMENTARY INFORMATION: Supplementary data are available at Bioinformatics online.


Assuntos
COVID-19 , Humanos , SARS-CoV-2 , Software , Aminoácidos , Proteínas de Membrana , Biologia Computacional/métodos
4.
J Biomed Inform ; 133: 104173, 2022 09.
Artigo em Inglês | MEDLINE | ID: mdl-35998815

RESUMO

Glioma is one of the most threatening tumors and the survival rate of the infected patient is low. The automatic segmentation of the tumors by reliable algorithms can reduce diagnosis time. In this paper, a novel 3D multi-threading dilated convolutional network (MTDC-Net) is proposed for the automatic brain tumor segmentation. First of all, a multi-threading dilated convolution (MTDC) strategy is introduced in the encoder part, so that the low dimensional structural features can be extracted and integrated better. At the same time, the pyramid matrix fusion (PMF) algorithm is used to integrate the characteristic structural information better. Secondly, in order to make the better use of context semantical information, this paper proposed a spatial pyramid convolution (SPC) operation. By using convolution with different kernel sizes, the model can aggregate more semantic information. Finally, the multi-threading adaptive pooling up-sampling (MTAU) strategy is used to increase the weight of semantic information, and improve the recognition ability of the model. And a pixel-based post-processing method is used to prevent the effects of error prediction. On the brain tumors segmentation challenge 2018 (BraTS2018) public validation dataset, the dice scores of MTDC-Net are 0.832, 0.892 and 0.809 for core, whole and enhanced of the tumor, respectively. On the BraTS2020 public validation dataset, the dice scores of MTDC-Net are 0.833, 0.896 and 0.797 for the core tumor, whole tumor and enhancing tumor, respectively. Mass numerical experiments show that MTDC-Net is a state-of-the-art network for automatic brain tumor segmentation.


Assuntos
Neoplasias Encefálicas , Processamento de Imagem Assistida por Computador , Algoritmos , Neoplasias Encefálicas/diagnóstico por imagem , Humanos , Processamento de Imagem Assistida por Computador/métodos , Redes Neurais de Computação , Software
5.
Sensors (Basel) ; 22(1)2022 Jan 05.
Artigo em Inglês | MEDLINE | ID: mdl-35009946

RESUMO

This work aimed to develop an autonomous system for unmanned aerial vehicles (UAVs) to land on moving platforms such as an automobile or a marine vessel, providing a promising solution for a long-endurance flight operation, a large mission coverage range, and a convenient recharging ground station. Unlike most state-of-the-art UAV landing frameworks that rely on UAV onboard computers and sensors, the proposed system fully depends on the computation unit situated on the ground vehicle/marine vessel to serve as a landing guidance system. Such a novel configuration can therefore lighten the burden of the UAV, and the computation power of the ground vehicle/marine vessel can be enhanced. In particular, we exploit a sensor fusion-based algorithm for the guidance system to perform UAV localization, whilst a control method based upon trajectory optimization is integrated. Indoor and outdoor experiments are conducted, and the results show that precise autonomous landing on a 43 cm × 43 cm platform can be performed.

6.
Sensors (Basel) ; 22(10)2022 May 10.
Artigo em Inglês | MEDLINE | ID: mdl-35632041

RESUMO

Due to the ever-increasing industrial activity, humans and the environment suffer from deteriorating air quality, making the long-term monitoring of air particle indicators essential. The advances in unmanned aerial vehicles (UAVs) offer the potential to utilize UAVs for various forms of monitoring, of which air quality data acquisition is one. Nevertheless, most current UAV-based air monitoring suffers from a low payload, short endurance, and limited range, as they are primarily dependent on rotary aerial vehicles. In contrast, a fixed-wing UAV may be a better alternative. Additionally, one of the most critical modules for 3D profiling of a UAV system is path planning, as it directly impacts the final results of the spatial coverage and temporal efficiency. Therefore, this work focused on developing 3D coverage path planning based upon current commercial ground control software, where the method mainly depends on the Boustrophedon and Dubins paths. Furthermore, a user interface was also designed for easy accessibility, which provides a generalized tool module that links up the proposed algorithm, the ground control software, and the flight controller. Simulations were conducted to assess the proposed methods. The result showed that the proposed methods outperformed the existing coverage paths generated by ground control software, as it showed a better coverage rate with a sampling density of 50 m.


Assuntos
Poluição do Ar , Tecnologia de Sensoriamento Remoto , Algoritmos , Humanos , Tecnologia de Sensoriamento Remoto/métodos
7.
Appl Opt ; 59(19): 5723-5728, 2020 Jul 01.
Artigo em Inglês | MEDLINE | ID: mdl-32609697

RESUMO

The high phase coherence between ultralow-noise microwaves and ultrahigh-stable optical frequency combs (OFCs) is of both scientific and technological relevance for telecommunication, timekeeping, astronomy, and metrology. Here, a photoelectric phase-locked loop (PLL) model with ultralow phase noise based on the optical-microwave phase detector technique has been proposed and experimentally demonstrated. A detailed mathematical model for tight, real-time phase synchronization of OFCs and microwaves is developed to investigate the feasibility and analyze the characteristics of the phase-coherent system. We fabricate a compact PLL circuit with a proportional-integral-derivative regulator for the synchronization of an OFC to a microwave reference. Once synchronized, the long-term stability of the OFC agrees to 2.4×10-14 at a 1000 s averaging time, which is enhanced by more than 4 orders of magnitude. Besides, the OFC almost acquires the same frequency stability as the microwave source. The ability to better phase synchronize OFCs and microwaves enables a wide range of applications beyond the laboratory.

8.
Sensors (Basel) ; 18(9)2018 Aug 30.
Artigo em Inglês | MEDLINE | ID: mdl-30200199

RESUMO

This paper presents a model predictive controller (MPC) for position control of a vertical take-off and landing (VTOL) tail-sitter unmanned aerial vehicle (UAV) in hover flight. A 'cross' configuration quad-rotor tail-sitter UAV is designed with the capabilities for both hover and high efficiency level flight. The six-degree-of-freedom (DOF) nonlinear dynamic model of the UAV is built based on aerodynamic data obtained from wind tunnel experiments. The model predictive position controller is then developed with the augmented linearized state-space model. Measured and unmeasured disturbance model are introduced into the modeling and optimization process to improve disturbance rejection ability. The MPC controller is first verified and tuned in the hardware-in-loop (HIL) simulation environment and then implemented in an on-board flight computer for real-time indoor experiments. The simulation and experimental results show that the proposed MPC position controller has good trajectory tracking performance and robust position holding capability under the conditions of prevailing and gusty winds.

9.
Magn Reson Med ; 72(5): 1330-1341, 2014 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-24327553

RESUMO

PURPOSE: This work develops a compressive sensing approach for diffusion-weighted (DW) MRI. THEORY AND METHODS: A phase-constrained low-rank (PCLR) approach was developed using the image coherence across the DW directions for efficient compressive DW MRI, while accounting for drastic phase changes across the DW directions, possibly as a result of eddy current, and rigid and nonrigid motions. In PCLR, a low-resolution phase estimation was used for removing phase inconsistency between DW directions. In our implementation, GRAPPA (generalized autocalibrating partial parallel acquisition) was incorporated for better phase estimation while allowing higher undersampling factor. An efficient and easy-to-implement image reconstruction algorithm, consisting mainly of partial Fourier update and singular value decomposition, was developed for solving PCLR. RESULTS: The error measures based on diffusion-tensor-derived metrics and tractography indicated that PCLR, with its joint reconstruction of all DW images using the image coherence, outperformed the frame-independent reconstruction through zero-padding FFT. Furthermore, using GRAPPA for phase estimation, PCLR readily achieved a four-fold undersampling. CONCLUSION: The PCLR is developed and demonstrated for compressive DW MRI. A four-fold reduction in k-space sampling could be readily achieved without substantial degradation of reconstructed images and diffusion tensor measures, making it possible to significantly reduce the data acquisition in DW MRI and/or improve spatial and angular resolutions.


Assuntos
Mapeamento Encefálico/métodos , Imagem de Difusão por Ressonância Magnética/métodos , Aumento da Imagem/métodos , Processamento de Imagem Assistida por Computador/métodos , Algoritmos , Imagem de Tensor de Difusão/métodos , Voluntários Saudáveis , Humanos , Masculino
10.
ScientificWorldJournal ; 2014: 618162, 2014.
Artigo em Inglês | MEDLINE | ID: mdl-24578650

RESUMO

This paper is concerned with the controllability and observability for a class of fractional linear systems with two different orders. The sufficient and necessary conditions for state controllability and state observability of such systems are established. The results obtained extend some existing results of controllability and observability for fractional dynamical systems.


Assuntos
Modelos Lineares , Matemática , Processamento de Sinais Assistido por Computador , Análise de Sistemas , Teoria de Sistemas
11.
Nucl Med Commun ; 2024 Aug 30.
Artigo em Inglês | MEDLINE | ID: mdl-39211998

RESUMO

OBJECTIVE: The objective of this study is to compare the effectiveness of the Esmarch bandage and exsanguination tourniquet rings (ETRs) in blood evacuation procedures using a controlled intra-subject design involving healthy volunteers. METHODS: A total of 20 healthy adult volunteers (12 males, 8 females) were recruited from the community. Participants underwent blood evacuation procedures on both legs, using the Esmarch bandage on one leg and the ETR on the other. The order of the procedures was randomized. Blood evacuation time, overall blood evacuation rate, and calf blood evacuation rate were measured using 99mTc-labeled red blood cell imaging. Paired t-tests were conducted to compare the effectiveness of the two methods. RESULTS: The ETRs demonstrated a significantly faster blood evacuation time compared to the Esmarch bandage (mean difference = -41.72 s, P < 0.0001). The overall blood evacuation rate was slightly higher for the ETRs (mean difference = 1.717%), though not statistically significant (P = 0.3680). The calf blood evacuation rate was significantly higher for the ETRs (mean difference = 6.86%, P = 0.0225). No significant discomfort or adverse reactions were reported by any participants. CONCLUSION: ETRs are more efficient in terms of blood evacuation time and calf blood evacuation rate compared to the Esmarch bandage, without causing significant discomfort or adverse reactions. These findings suggest that ETRs could be a preferable option in clinical settings for blood evacuation procedures.

12.
Huan Jing Ke Xue ; 45(7): 3849-3857, 2024 Jul 08.
Artigo em Zh | MEDLINE | ID: mdl-39022933

RESUMO

The Air Pollution Prevention and Control Action Plan (APPCAP) was promulgated in China in 2013. To explore the effectiveness of APPCAP on PM2.5 in winter in Zhengzhou, PM2.5 samples were collected in Zhengzhou Monitoring Center during December 2013 and December 2018. The chemical composition of PM2.5 was analyzed, including EC, OC, water soluble ions, and metal elements. Pollution episodes under different stages were selected to investigate the changes in PM2.5 concentration and composition. The results showed that: ① The average concentration of PM2.5 in winter in Zhengzhou decreased from (215.38 ±107.28) µg·m-3 in 2013 to (77.45 ±49.81) µg·m-3 in 2018, with a decrease rate of 64%. ② The concentrations of EC, K+, SO42-, and Cl- decreased by 85%, 80%, 78%, and 72%, respectively, and the decrease rate in OC, NH4+, and NO3- was 50%, 41%, and 32%, respectively. ③ Compared with those in winter of 2013, the ratios of OC/EC in winter of 2018 increased by 2.6 times, and the proportion of secondary organic carbon in OC increased to 57%; meanwhile, values of sulfur oxidation rate and nitrogen oxidation rate increased by 1.5 and 1.0 times, respectively, indicating heavy secondary pollution in Zhengzhou. ④ The mass ratios of NO3-/SO42-increased from 0.8 ±0.2 in 2013 to 2.5 ±1.0 in 2018, indicating that the contribution of mobile sources increased and surpassed fixed sources as the main source in Zhengzhou. ⑤The comparison results of different stages of the heavy pollution process showed that ρ(PM2.5) decreased significantly in 2018 compared with that in 2013, with the peak concentration decreasing by 61%. The main chemical composition changed from OC, NO3-, SO42-, and NH4+ to OC, NO3-, and NH4+. The results indicated that the primary emission source control in Zhengzhou had achieved remarkable effects, but the contribution of secondary generation to PM2.5 showed an elevated trend; thus, the influence of secondary generation requires further attention in the future.

13.
Exp Gerontol ; 194: 112496, 2024 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-38897394

RESUMO

PURPOSE: Osteoporosis is linked to impaired function of osteoblasts, and decreased expression of METTL14 may result in abnormal differentiation of these bone-forming cells. However, the specific impact of METTL14 on osteoblast differentiation and its underlying mechanisms are not yet fully understood. METHODS AND RESULTS: This study discovered a positive correlation between METTL14 expression and bone formation in specimens from osteoporosis patients and ovariectomized (OVX) mice. Additionally, METTL14 targeting of SLC25A3 contributed to the restoration of mitochondrial ROS levels and mitochondrial membrane potential in osteoblasts and promoted osteoblast differentiation. Moreover, in vivo experiments showed that METTL14 enhanced bone formation, and therapeutic introduction of METTL14 countered the decrease in bone formation in OVX mice. CONCLUSIONS: Overall, these findings emphasize the crucial role of the METTL14/SLC25A3 signaling axis in osteoblast activity, suggesting that this axis could be a potential target for improving osteoporosis.


Assuntos
Diferenciação Celular , Metiltransferases , Mitocôndrias , Osteoblastos , Osteogênese , Osteoporose , Ovariectomia , Animais , Feminino , Humanos , Camundongos , Modelos Animais de Doenças , Potencial da Membrana Mitocondrial , Metilação , Metiltransferases/metabolismo , Metiltransferases/genética , Camundongos Endogâmicos C57BL , Mitocôndrias/metabolismo , Osteoblastos/metabolismo , Osteoporose/metabolismo , Espécies Reativas de Oxigênio/metabolismo , Transdução de Sinais
14.
Heliyon ; 10(12): e33298, 2024 Jun 30.
Artigo em Inglês | MEDLINE | ID: mdl-39022052

RESUMO

To investigate the spatial and temporal patterns of environmental factors influencing the activity of purse seine tuna fishing vessels, data on fishing efforts of purse seine tuna fleets and environmental factors in the Western and Central Pacific Ocean (WCPO) from 2015 to 2020 were utilized to develop a geographically weighted regression (GWR) model. The results showed that fishing activity was primarily concentrated in the area between 140°E and 175°W, and between 10°S and 5°N. The GWR model showed excellent fitting performance and was suitable for correlation analysis. The environmental factors had a significant spatially heterogeneous effect on the fishing activity of purse seine tuna fishing vessels. The sea surface temperature, primary productivity at 200 m depth, and dissolved oxygen below the surface had the greatest spatially heterogeneous effect and are important environmental variables influencing the activity of purse seine tuna vessels in the WCPO. This study provides new methods for exploring the spatial distribution of fishing vessel activity to support science-based conservation and management.

15.
Environ Technol ; : 1-13, 2024 Jul 18.
Artigo em Inglês | MEDLINE | ID: mdl-39023010

RESUMO

Ammonia monohydrate (NH3·H2O) is an important chemical widely used in industrial, agricultural, and pharmaceutical fields. Reject water is used as the raw material in self-built bipolar membrane electrodialysis (BMED) to produce NH3·H2O. The effects of electrode materials, membrane stack structure, and operating conditions (current density, initial concentrations of the reject water, and initial volume ratio) on the BMED process were investigated, and the economic costs were analyzed. The results showed that compared with graphite electrodes, ruthenium-iridium-titanium electrodes as electrode plates for BMED could increase current efficiency (25%) and reduce energy consumption (26%). Compared with two-compartment BMED, three-compartment BMED had a higher ammonia nitrogen conversion rate (86.6%) and lower energy consumption (3.5 kW· h/kg). Higher current density (15 mA/cm2) could achieve better current efficiency (79%). The BMED performances were improved when the initial NH4+ concentrations of the reject water increased from 500 mg NH4+/L to 1000 mg NH4+/L, but the performance decreased as the concentration increased from 1000 mg NH4+/L to 1500 mg NH4+/L. High initial volume ratio of the salt compartment and product compartment was beneficial for reducing energy consumption. Under the optimal operating conditions, only 0.13 $/kg reject water was needed to eliminate the environmental impact of reject water accumulation. This work indicates that BMED can not only achieve desalination of reject water, but also generate products that alleviate the operational pressure of factories.

16.
Viral Immunol ; 36(9): 564-578, 2023 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-37751284

RESUMO

The innate immune system recognizes conserved features of viral and microbial pathogens through pattern recognition receptors (PRRs). Toll-like receptors (TLRs) are one type of PRR used by the innate immune system to mediate the secretion of proinflammatory cytokines and promote innate and adaptive immune responses. TLR family members TLR7 and TLR8 (referred to as TLR7/8 from herein) are endosomal transmembrane receptors that recognize purine-rich single-stranded RNA (ssRNA) and bacterial DNA, eliciting an immunologic reaction to pathogens. TLR7/8 were discovered to mediate the secretion of proinflammatory cytokines by activating immune cells. In addition, accumulating evidence has indicated that TLR7/8 may be closely related to numerous immune-mediated disorders, specifically several types of cancer, autoimmune disease, and viral disease. TLR7/8 agonists and antagonists, which are used as drugs or adjuvants, have been identified in preclinical studies and clinical trials as promising immune stimulators for the immunotherapy of these immune-mediated disorders. These results provided reasoning to further explore immunotherapy for the treatment of immune-mediated disorders. Nevertheless, numerous needs remain unmet, and the therapeutic effects of TLR7/8 agonists and antagonists are poor and exert strong immune-related toxicities. The present review aimed to provide an overview of the TLR family members, particularly TLR7/8, and address the underlying molecular mechanisms and clinical implications of TLR7/8 in immune-mediated disorders. The aim of the work is to discuss the underlying molecular mechanisms and clinical implications of TLR7/8 in immune-mediated disorders.


Assuntos
Receptor 7 Toll-Like , Receptor 8 Toll-Like , Receptor 8 Toll-Like/agonistas , Receptor 8 Toll-Like/fisiologia , Receptores Toll-Like , Citocinas , Adjuvantes Imunológicos , Imunoterapia , Imunidade
17.
J Nanosci Nanotechnol ; 12(8): 6531-3, 2012 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-22962779

RESUMO

AIN with different morphologies, including thin film, nanowires, nanoneedles and nanochilies, depending on the controlled growth parameters, have been successfully synthesized by chemical vapor deposition technique. Field emission properties have been systematically studied. The experimental results show that all AIN nanostructures have good field emission properties. In comparison, AIN nano-chilies possess the best field emission properties with a low turn-on and threshold fields of 1.8 V/microm and 3.1 V/microm, respectively. The results suggest that the morphological modulation is an effective way to optimize field emission performance of nanostructures.

18.
Front Public Health ; 10: 936703, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-35910934

RESUMO

Purpose: To evaluate the long-term cost-effectiveness of dapagliflozin, in addition to standard treatment, for the treatment of adult patients with type 2 diabetes (T2DM) at high cardiovascular risk from the Chinese healthcare system perspective. Methods: A decision-analytic Markov model with one-year cycles was developed to evaluate the health and economic outcomes in patients with T2DM and high risk of cardiovascular disease (CVD) treated with standard treatment and dapagliflozin plus standard treatment for 30 years. Clinical data, cost, and utility data were extracted from databases or published literature. Quality-adjusted life-years (QALYs), costs (€/¥ 2021) as well as incremental cost-effectiveness ratios (ICERs) were calculated. Deterministic and probabilistic sensitivity analyses were performed to assess the uncertainty in the results. Results: Compared with standard treatment, dapagliflozin plus standard treatment was predicted to result in an additional 0.25 QALYs (12.26 QALYs vs. 12.01 QALYs) at an incremental cost of €4,435.81 (¥33,875.83) per patient. The ICER for dapagliflozin plus standard treatment vs. standard treatment was €17,742.07 (¥135,494.41) per QALY gained, which was considered cost-effective in China compared to three times the GDP per capita in 2021 (€31,809.77/¥242,928). The deterministic and probabilistic sensitivity analyses showed the base-case results to be robust. Conclusions: The study suggests that, from the perspective of the Chinese health system, dapagliflozin plus standard treatment is a cost-effective option for patients with T2DM at high cardiovascular risk. These findings may help clinicians make the best treatment decisions for patients with T2DM at high cardiovascular risk.


Assuntos
Doenças Cardiovasculares , Diabetes Mellitus Tipo 2 , Adulto , Compostos Benzidrílicos , Doenças Cardiovasculares/induzido quimicamente , Doenças Cardiovasculares/tratamento farmacológico , Doenças Cardiovasculares/epidemiologia , Análise Custo-Benefício , Diabetes Mellitus Tipo 2/tratamento farmacológico , Glucosídeos , Humanos , Hipoglicemiantes/efeitos adversos , Modelos Econômicos
19.
FEMS Microbiol Lett ; 367(3)2020 02 01.
Artigo em Inglês | MEDLINE | ID: mdl-32037461

RESUMO

In rod-shaped Gram-negative bacteria, penicillin binding protein 1a (PBP1a) and 1b (PBP1b) form peptidoglycan-synthesizing complexes with the outer membrane lipoprotein LpoA and LpoB, respectively. Escherichia coli mutants lacking PBP1b/LpoB are sicker than those lacking PBP1a/LpoA. However, we previously found that mutants lacking PBP1a/LpoA but not PBP1b/LpoB are deleterious in Shewanella oneidensis. Here, we show that S. oneidensis PBP1a (SoPBP1a) contains conserved signature motifs with its E. coli counterpart, EcPBP1a. Although EcPBP1a play a less prominent role in E. coli, it is capable of substituting for the SoPBP1a in a manner dependent on SoLpoA. In S. oneidensis, expression of PBP1b is lower than PBP1a, and therefore the additional expression of SoPBP1b at low levels can functionally compensate for the absence of SoPBP1a. Importantly, S. oneidensis PBP1a variants lacking either glycosyltransferase (GTase) or transpeptidase (TPase) activity fail to maintain normal morphology and cell envelope integrity. Similarly, SoPBP1b variants also fail to compensate for the loss of SoPBP1a. Furthermore, overproduction of variants of SoPBP1a, but not SoPBP1b, has detrimental effects on cell morphology in S. oneidensis wild type cells. Overall, our results indicate that the combined enzymatic activities of SoPBP1a are essential for cell wall homeostasis.


Assuntos
Peptidoglicano Glicosiltransferase/metabolismo , Peptidil Transferases/metabolismo , Shewanella/citologia , Shewanella/enzimologia , Membrana Celular/genética , Forma Celular/genética , Escherichia coli/citologia , Escherichia coli/enzimologia , Escherichia coli/genética , Peptidoglicano Glicosiltransferase/genética , Peptidil Transferases/genética , Shewanella/genética
20.
J Cancer Res Ther ; 16(5): 1171-1176, 2020 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-33004766

RESUMO

BACKGROUND: Targetable drug delivery is an important method for the treatment of liver tumors. For the quantitative analysis of drug diffusion, the establishment of a method for information collection and characterization of extracellular space is developed by imaging analysis of magnetic resonance imaging (MRI) sequences. In this paper, we smoothed out interferential part in scanned digital MRI images. MATERIALS AND METHODS: Making full use of priors of low rank, nonlocal self-similarity, and regularized sparsity-promoting entropy, a block-matching regularized entropy minimization algorithm is proposed. Sparsity-promoting entropy function produces much sparser representation of grouped nonlocal similar blocks of image by solving a nonconvex minimization problem. Moreover, an alternating direction method of multipliers algorithm is proposed to iteratively solve the problem above. RESULTS AND CONCLUSIONS: Experiments on simulated and real images reveal that the proposed method obtains better image restorations compared with some state-of-the-art methods, where most information is recovered and few artifacts are produced.


Assuntos
Algoritmos , Antineoplásicos/metabolismo , Preparações de Ação Retardada/metabolismo , Sistemas de Liberação de Medicamentos/métodos , Processamento de Imagem Assistida por Computador/métodos , Neoplasias Hepáticas/metabolismo , Imageamento por Ressonância Magnética/métodos , Difusão , Entropia , Humanos , Neoplasias Hepáticas/patologia
SELEÇÃO DE REFERÊNCIAS
DETALHE DA PESQUISA