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1.
Proc Natl Acad Sci U S A ; 118(48)2021 11 30.
Artículo en Inglés | MEDLINE | ID: mdl-34810249

RESUMEN

Camouflage is widespread in nature, engineering, and the military. Dynamic surface wrinkles enable a material the on-demand control of the reflected optical signal and may provide an alternative to achieve adaptive camouflage. Here, we demonstrate a feasible strategy for adaptive visible camouflage based on light-driven dynamic surface wrinkles using a bilayer system comprising an anthracene-containing copolymer (PAN) and pigment-containing poly (dimethylsiloxane) (pigment-PDMS). In this system, the photothermal effect-induced thermal expansion of pigment-PDMS could eliminate the wrinkles. The multiwavelength light-driven dynamic surface wrinkles could tune the scattering of light and the visibility of the PAN film interference color. Consequently, the color captured by the observer could switch between the exposure state that is distinguished from the background and the camouflage state that is similar to the surroundings. The bilayer wrinkling system toward adaptive visible camouflage is simple to configure, easy to operate, versatile, and exhibits in situ dynamic characteristics without any external sensors and extra stimuli.

2.
BMC Med Educ ; 23(1): 141, 2023 Mar 02.
Artículo en Inglés | MEDLINE | ID: mdl-36864421

RESUMEN

BACKGROUND: Formative assessment (FA) is becoming increasingly common in higher education, although the teaching practice of student-centred FA in medical curricula is still very limited. In addition, there is a lack of theoretical and pedagogical practice studies observing FA from medical students' perspectives. The aim of this study is to explore and understand ways to improve student-centred FA, and to provide a practical framework for the future construction of an FA index system in medical curricula. METHODS: This study used questionnaire data from undergraduate students in clinical medicine, preventive medicine, radiology, and nursing at a comprehensive university in China. The feelings of medical students upon receiving student-centred FA, assessment of faculty feedback, and satisfaction were analysed descriptively. RESULTS: Of the 924 medical students surveyed, 37.1% had a general understanding of FA, 94.2% believed that the subject of teaching assessment was the teacher, 59% believed that teacher feedback on learning tasks was effective, and 36.3% received teacher feedback on learning tasks within one week. In addition, student satisfaction results show that students' satisfaction with teacher feedback was 1.71 ± 0.747 points, and their satisfaction with learning tasks was 1.83 ± 0.826 points. CONCLUSION: Students as participants and collaborators in FA provide valid feedback for improving student-centred FA in terms of student cognition, empowered participation, and humanism. In addition, we suggest that medical educators avoid taking student satisfaction as a single indicator for measuring student-centred FA and to try to build an assessment index system of FA, to highlight the advantages of FA in medical curricula.


Asunto(s)
Personal Docente , Estudiantes de Medicina , Humanos , Curriculum , Aprendizaje , Docentes
3.
Sensors (Basel) ; 23(22)2023 Nov 09.
Artículo en Inglés | MEDLINE | ID: mdl-38005453

RESUMEN

This paper presents an interval type-2 fuzzy proportional-integral-derivative (IT2F-PID) controller that is designed using a new disassembled gradational optimization (D-GO) method. A PID controller is first optimized using the D-GO method and then connected to a type-1 fuzzy logic system (T1-FLS). The parameters of the T1-FLS are optimized, and the T1-FLS is blurred into the interval type-2 fuzzy logic system (IT2-FLS). Finally, the IT2F-PID controller is formed. The proposed method is compared with the concurrent and general optimization methods. The simulation results show that the D-GO method reduces the optimization time by over 90% compared with the general method, and decreases the integral-of-time-absolute-error (ITAE) by 30%. Beyond that, compared with the concurrent optimization method, the D-GO method reduces time by over 25%, and the ITAE value by about 95%. In the normal case, model uncertainty, target uncertainty, and external disturbance, the control ability of the IT2F-PID controller designed using the D-GO method is verified via simulations using a nonlinear forced closed-loop system. The results show that the overshoot is reduced by 80% and the fluctuation is reduced by 67% compared with a traditional PID controller and an IT2F-PID controller built using the general method.

4.
Adv Atmos Sci ; : 1-28, 2023 May 20.
Artículo en Inglés | MEDLINE | ID: mdl-37359908

RESUMEN

Studies of the multi-scale climate variability of the Asian monsoon are essential to an advanced understanding of the physical processes of the global climate system. In this paper, the progress achieved in this field is systematically reviewed, with a focus on the past several years. The achievements are summarized into the following topics: (1) the onset of the South China Sea summer monsoon; (2) the East Asian summer monsoon; (3) the East Asian winter monsoon; and (4) the Indian summer monsoon. Specifically, new results are highlighted, including the advanced or delayed local monsoon onset tending to be synchronized over the Arabian Sea, Bay of Bengal, Indochina Peninsula, and South China Sea; the basic features of the record-breaking mei-yu in 2020, which have been extensively investigated with an emphasis on the role of multi-scale processes; the recovery of the East Asian winter monsoon intensity after the early 2000s in the presence of continuing greenhouse gas emissions, which is believed to have been dominated by internal climate variability (mostly the Arctic Oscillation); and the accelerated warming over South Asia, which exceeded the tropical Indian Ocean warming, is considered to be the main driver of the Indian summer monsoon rainfall recovery since 1999. A brief summary is provided in the final section along with some further discussion on future research directions regarding our understanding of the Asian monsoon variability.

5.
Age Ageing ; 51(12)2022 12 05.
Artículo en Inglés | MEDLINE | ID: mdl-36571775

RESUMEN

BACKGROUND: interventions targeting older adults with cognitive frailty have grown rapidly in recent years with inconsistent findings. However, there is no meta-analysis that has synthesised pooled estimates. OBJECTIVE: to synthesise the pooled effect of current targeted interventions in older people with cognitive frailty. METHODS: we conducted a systematic search in PubMed, Embase, Web of Science, the Cochrane Library, the JBI database and three Chinese databases (CNKI, Wan-Fang and VIP) for literature from the inception of the database until 8 March 2022. The mean difference or standardised mean difference with 95% CIs was calculated. The methodological quality was assessed by the Cochrane RoB 2.0. The certainty of evidence was assessed using the GRADE criteria. RESULTS: thirteen randomised controlled trials with a total of 1,089 participants were included. The results of the meta-analysis showed that older adults with cognitive frailty in the intervention groups had significant improvement in frailty score [MD = -1.67, 95% CI (-2.39, -0.95), P < 0.00001, I2 = 97%], global cognitive function [MD = 3.38, 95% CI (1.90, 4.85), P < 0.00001, I2 = 93%], mobility [MD = -0.96, 95% CI (-1.27, -1.66), P < 0.00001, I2 = 0%], muscle strength [SMD = 0.75, 95% CI (0.09, 1.41), P = 0.03, I2 = 85%] and nutritional status [MNA:MD = 5.64, 95% CI (3.99, 7.29), P < 0.00001, I2 = 89%; ALB: MD = 3.23, 95% CI (0.76, 5.71), P = 0.01, I2 = 93%; PALB: MD = 54.52, 95% CI (25.26, 83.77), P = 0.0003, I2 = 96%; TRF: MD = 0.64, 95% CI (0.22, 1.06), P = 0.003, I2 = 97%]. The overall certainty of the evidence ranged from low to moderate. CONCLUSIONS: interventions targeting older adults with cognitive frailty are effective in improving physical frailty, global cognitive function, physical function and nutritional status with low to moderate certainty. More research is still needed in the future to further enrich the evidence in these fields. PROSPERO NUMBER: CRD42022318758.


Asunto(s)
Fragilidad , Humanos , Anciano , Fragilidad/diagnóstico , Fragilidad/terapia , Cognición , Ensayos Clínicos Controlados Aleatorios como Asunto
6.
Altern Ther Health Med ; 28(6): 42-51, 2022 Sep.
Artículo en Inglés | MEDLINE | ID: mdl-35648698

RESUMEN

Aims: This study was conducted to establish the potential competing endogeneous RNA (ceRNA) network for predicting prognoses in kidney papillary renal cell carcinoma (KIRP) and explore novel therapeutic targets. Methods: The edgeR package in R was used to determine differentially expressed messenger RNAs (mRNAs), long non-coding RNAs (lncRNAs) and microRNAs (miRNAs), based on data from The Cancer Gene Atlas Program (TCGA) and the Genotype Expression (GTEx) databases. Weighted gene co-expression network analysis (WGCNA) was performed to filter out the mRNAs or lncRNAs that were strongly related to KIRP. The miRNAs that possibly sponged by differentially expressed RNAs lncRNAs (DElncRNAs) were screened using miRcode. Starbase, miRDB, and TargetScan sets were utilized to predict target mRNAs to corresponding miRNAs. LASSO and multivariate Cox regression analyses were applied for the determination of potential prognostic significance. Finally, the lncRNA-miRNA-mRNA ceRNA network was constructed. Results: A total of 1739 DEmRNAs and 1599 DElncRNAs were identified in KIRP. WGCNA analysis suggested that DEmRNAs in the blue module and DElncRNAs in the turquoise module were closely correlated with KIRP. An 8-gene signature was constructed, which had prognostic significance and predictive value in KIRP. Of note, a lncRNA-miRNA-mRNA ceRNA network (including 18 lncRNAs, 5 miRNAs, and 7 mRNAs) was established. Conclusion: This investigation constructed a new lncRNA-miRNA-mRNA ceRNA network, and proposed some genes that may be novel targets, as well as a theoretical basis for the treatment of patients with KIRP.


Asunto(s)
Carcinoma de Células Renales , Neoplasias Renales , MicroARNs , ARN Largo no Codificante , Biomarcadores de Tumor/genética , Carcinoma de Células Renales/genética , Regulación Neoplásica de la Expresión Génica , Redes Reguladoras de Genes , Humanos , Estimación de Kaplan-Meier , Riñón , Neoplasias Renales/genética , MicroARNs/genética , MicroARNs/metabolismo , Pronóstico , ARN Largo no Codificante/genética , ARN Largo no Codificante/metabolismo , ARN Mensajero/genética , ARN Mensajero/metabolismo
7.
Geriatr Nurs ; 48: 118-126, 2022.
Artículo en Inglés | MEDLINE | ID: mdl-36155310

RESUMEN

OBJECTIVE: This study explores the willingness of older adults to use smartphones and improve their digital skills and encourages nursing to actively participate in bridging the digital divide. METHODS: Subject analysis was used to conduct qualitative research, and 23 older adults were interviewed. RESULTS: We identified four themes: (1) the current situation of smartphone use; (2) the digital dilemma of smartphone use; (3) social support for digital skills; and (4) the willingness to learn digital skills. Older adults in China are willing to accept and use smartphones for simple operations, and peer learning may be an effective way to improve their digital skills. CONCLUSION: Community support is necessary to develop the digital skills of older adults with smartphones and reduce the digital divide to the greatest extent possible. Nursing may play a role in promoting digital inclusion for older adults.


Asunto(s)
Pueblos del Este de Asia , Teléfono Inteligente , Humanos , Anciano , Aprendizaje , Apoyo Social , Investigación Cualitativa
8.
Chemistry ; 27(18): 5810-5816, 2021 Mar 26.
Artículo en Inglés | MEDLINE | ID: mdl-33501668

RESUMEN

Wrinkles and photo-oxidation reactions are widely found in soft materials, which are intimately associated with the failure of materials and structures. It is expected that the photo-oxidation process could also have a positive effect on the material and its surface. Here, we report the photo-oxidation of 2-(4-dietheylaminophenyl)-4,5-bis(4-methoxyphenyl) imidazole (DEA-TAI) into a wrinkled bilayer system to control surface wrinkle and fluorescent patterns, in which a supramolecular polymer network composed of carboxylic acid-containing copolymer (PS-BA-AA; PS=poly(styrene), BA=butyl acrylate; AA=acrylic acid) and DEA-TAI were used as the skin layer. Ultraviolet (UV) irradiation can induce photo-oxidation of the imidazole ring of DEA-TAI to weaken the intermolecular hydrogen bonding between PS-BA-AA and DEA-TAI, resulting in the release of stress in the bilayer system. The wrinkled morphology and fluorescence of the surface can be simultaneously regulated by photo-oxidation of DEA-TAI under UV light, and the resulting wrinkles are extremely sensitive to the pH value, which can be quickly and reversibly erased by NH3 gas. Smart surfaces with specific hierarchical wrinkles and fluorescence can be achieved by selective irradiation with photomasks, which may find potential applications in smart displays and multi-code information storage.

9.
Soc Psychiatry Psychiatr Epidemiol ; 56(5): 711-720, 2021 May.
Artículo en Inglés | MEDLINE | ID: mdl-33191455

RESUMEN

PURPOSE: Past suicide attempts (SA) are a major contributor to suicide. The prevalence of SA in pregnant and postpartum women varied significantly across studies. Therefore, this meta-analysis was conducted to examine the prevalence of SA and its mediating factors in this population. METHODS: Relevant articles published in PubMed, EMBASE, Web of Science, PsycINFO, Medline complete, Chinese National Knowledge Infrastructure database (CNKI), Chinese Wanfang and Chongqing VIP database were systematically searched from inception to March 28, 2019. Titles, abstracts and full texts were reviewed independently by three researchers. Studies were included if they reported data on SA prevalence or provided relevant data that enabled the calculation of SA prevalence. Data were extracted by two researchers and checked by one senior researcher. The random-effects model was used to analyze data by the CMA 2.0 and Stata 12.0, with the high degree of statistical heterogeneity present. The primary outcomes were prevalence of SA with 95% CI during pregnancy and during the first-year postpartum. RESULTS: Fourteen studies covering 6,406,245 pregnant and postpartum women were included. The pooled prevalence of SA was 680 per 100,000 (95% confidence interval 0.10-4.69%) during pregnancy and 210 per 100,000 (95% confidence interval 0.01-3.21%) during the first-year postpartum. Data source was significantly associated with prevalence of SA in the subgroup analysis (pregnancy, p < 0.001; the first-year postpartum, p = 0.013). CONCLUSION: The prevalence of SA is not high in pregnant and postpartum women. Due to the potential loss of life and negative impact of SA on health outcomes, however, careful screening and effective preventive measures should be implemented for this population.


Asunto(s)
Periodo Posparto , Intento de Suicidio , Pueblo Asiatico , Femenino , Humanos , Tamizaje Masivo , Embarazo , Prevalencia
10.
Clin Sci (Lond) ; 134(18): 2469-2487, 2020 09 30.
Artículo en Inglés | MEDLINE | ID: mdl-32940670

RESUMEN

Sulforaphane (SFN) prevents diabetic nephropathy (DN) in type 2 diabetes (T2D) by up-regulating nuclear factor (erythroid-derived 2)-like 2 (Nrf2). AMP-activated protein kinase (AMPK) can attenuate the pathogenesis of DN by improving renal lipotoxicity along with the activation of Nrf2-mediated antioxidative signaling. Therefore, we investigated whether AMPKα2, the central subunit of AMPK in energy metabolism, is required for SFN protection against DN in T2D, and whether potential cross-talk occurs between AMPKα2 and Nrf2. AMPKα2 knockout (Ampkα2-/-) mice and wildtype (WT) mice were fed a high-fat diet (HFD) or a normal diet (ND) to induce insulin resistance, followed by streptozotocin (STZ) injection to induce hyperglycemia, as a T2D model. Both T2D and control mice were treated with SFN or vehicle for 3 months. At the end of the 3-month treatment, all mice were maintained only on HFD or ND for an additional 3 months without SFN treatment. Mice were killed at sixth month after T2D onset. Twenty-four-hour urine albumin at third and sixth months was significantly increased as renal dysfunction, along with significant renal pathological changes and biochemical changes including renal hypertrophy, oxidative damage, inflammation, and fibrosis in WT T2D mice, which were prevented by SFN in certain contexts, but not in Ampkα2-/- T2D mice. SFN prevention of T2D-induced renal lipotoxicity was associated with AMPK-mediated activation of lipid metabolism and Nrf2-dependent antioxidative function in WT mice, but not in SFN-treated Ampkα2-/- mice. Therefore, SFN prevention of DN is AMPKα2-mediated activation of probably both lipid metabolism and Nrf2 via AMPK/AKT/glycogen synthase kinase (GSK)-3ß/Src family tyrosine kinase (Fyn) pathways.


Asunto(s)
Proteínas Quinasas Activadas por AMP/metabolismo , Antioxidantes/metabolismo , Diabetes Mellitus Tipo 2/prevención & control , Nefropatías Diabéticas/prevención & control , Isotiocianatos/uso terapéutico , Metabolismo de los Lípidos , Redes y Vías Metabólicas , Factor 2 Relacionado con NF-E2/metabolismo , Animales , Diabetes Mellitus Tipo 2/tratamiento farmacológico , Diabetes Mellitus Tipo 2/enzimología , Nefropatías Diabéticas/tratamiento farmacológico , Nefropatías Diabéticas/enzimología , Fibrosis , Eliminación de Gen , Glucógeno Sintasa Quinasa 3 beta/metabolismo , Inflamación/complicaciones , Inflamación/patología , Isotiocianatos/farmacología , Riñón/anomalías , Riñón/efectos de los fármacos , Riñón/patología , Metabolismo de los Lípidos/efectos de los fármacos , Redes y Vías Metabólicas/efectos de los fármacos , Ratones Endogámicos C57BL , Ratones Noqueados , Modelos Biológicos , Estrés Oxidativo/efectos de los fármacos , Sustancias Protectoras/farmacología , Sustancias Protectoras/uso terapéutico , Proteínas Proto-Oncogénicas c-akt/metabolismo , Proteínas Proto-Oncogénicas c-fyn/metabolismo , Sulfóxidos , Activación Transcripcional/efectos de los fármacos
11.
J Cell Mol Med ; 23(8): 5771-5781, 2019 08.
Artículo en Inglés | MEDLINE | ID: mdl-31199069

RESUMEN

Diabetic cardiomyopathy (DCM) is characterized by increased left ventricular mass and wall thickness, decreased systolic function, reduced ejection fraction (EF) and ultimately heart failure. The 4-O-methylhonokiol (MH) has been isolated mainly from the bark of the root and stem of Magnolia species. In this study, we aimed to elucidate whether MH can effectively prevent DCM in type 2 diabetic (T2D) mice and, if so, whether the protective response of MH is associated with its activation of AMPK-mediated inhibition of lipid accumulation and inflammation. A total number of 40 mice were divided into four groups: Ctrl, Ctrl + MH, T2D, T2D + MH. Five mice from each group were sacrificed after 3-month MH treatment. The remaining animals in each group were kept for additional 3 months without further MH treatment. In T2D mice, the typical DCM symptoms were induced as expected, reflected by decreased ejection fraction and lipotoxic effects inducing lipid accumulation, oxidative stress, inflammatory reactions, and final fibrosis. However, these typical DCM changes were significantly prevented by the MH treatment immediately or 3 months after the 3-month MH treatment, suggesting MH-induced cardiac protection from T2D had a memory effect. Mechanistically, MH cardiac protection from DCM may be associated with its lipid metabolism improvement by the activation of AMPK/CPT1-mediated fatty acid oxidation. In addition, the MH treatment of DCM mice significantly improved their insulin resistance levels by activation of GSK-3ß. These results indicate that the treatment of T2D with MH effectively prevents DCM probably via AMPK-dependent improvement of the lipid metabolism.


Asunto(s)
Proteínas Quinasas Activadas por AMP/metabolismo , Compuestos de Bifenilo/uso terapéutico , Diabetes Mellitus Experimental/tratamiento farmacológico , Diabetes Mellitus Tipo 2/tratamiento farmacológico , Cardiomiopatías Diabéticas/tratamiento farmacológico , Cardiomiopatías Diabéticas/prevención & control , Lignanos/uso terapéutico , Metabolismo de los Lípidos , Animales , Compuestos de Bifenilo/farmacología , Glucemia/metabolismo , Diabetes Mellitus Experimental/sangre , Diabetes Mellitus Experimental/complicaciones , Diabetes Mellitus Experimental/fisiopatología , Diabetes Mellitus Tipo 2/sangre , Diabetes Mellitus Tipo 2/complicaciones , Diabetes Mellitus Tipo 2/fisiopatología , Cardiomiopatías Diabéticas/complicaciones , Cardiomiopatías Diabéticas/fisiopatología , Fibrosis , Inflamación/sangre , Inflamación/patología , Inflamación/fisiopatología , Lignanos/farmacología , Masculino , Ratones Endogámicos C57BL , Modelos Biológicos , Estrés Oxidativo/efectos de los fármacos
12.
Toxicol Appl Pharmacol ; 370: 93-105, 2019 05 01.
Artículo en Inglés | MEDLINE | ID: mdl-30876865

RESUMEN

Diabetic nephropathy (DN) is one of the most serious long-term complications of type 2 diabetes (T2D). 4-O-methylhonokiol (MH) is one of the biologically active ingredients extracted from the Magnolia stem bark. In this study, we aim to elucidate whether treatment with MH can ameliorate or slow-down progression of DN in a T2D murine model and, if so, whether the protective response of MH correlates with AMPK-associated anti-oxidant and anti-inflammatory effects. To induce T2D, mice were fed normal diet (ND) or high fat diet (HFD) for 3 months to induce insulin resistance, followed by an intraperitoneal injection of STZ to induce hyperglycemia. Both T2D and control mice received gavage containing vehicle or MH once diabetes onset for 3 months. Once completing 3-month MH treatment, five mice from each group were sacrificed as 3 month time-point. The rest mice in each group were sacrificed 3 months later as 6 month time-point. In T2D mice, the typical DN symptoms were induced as expected, reflected by increased proteinuria, renal lipid accumulation and lipotoxic effects inducing oxidative stress, and inflammatory reactions, and final fibrosis. However, these typical DN changes were significantly prevented by MH treatment for 3 months and even at 3 months post-MH withdrawal. Mechanistically, MH renal-protection from DN may be related to lipid metabolic improvement and oxidative stress attenuation along with increases in AMPK/PGC-1α/CPT1B-mediated fatty acid oxidation and Nrf2/SOD2-mediated anti-oxidative stress. Results showed the preventive effect of MH on the renal oxidative stress and inflammation in DN.


Asunto(s)
Proteínas Quinasas Activadas por AMP/metabolismo , Compuestos de Bifenilo/administración & dosificación , Nefropatías Diabéticas/prevención & control , Ácidos Grasos/metabolismo , Lignanos/administración & dosificación , Factor 2 Relacionado con NF-E2/fisiología , Estrés Oxidativo/efectos de los fármacos , Animales , Antiinflamatorios/administración & dosificación , Antioxidantes/administración & dosificación , Diabetes Mellitus Experimental/complicaciones , Diabetes Mellitus Tipo 2/complicaciones , Nefropatías Diabéticas/patología , Dieta Alta en Grasa , Activación Enzimática/efectos de los fármacos , Resistencia a la Insulina , Riñón/patología , Masculino , Ratones , Ratones Endogámicos C57BL , Oxidación-Reducción , Fitoterapia
13.
BMC Health Serv Res ; 19(1): 610, 2019 Aug 30.
Artículo en Inglés | MEDLINE | ID: mdl-31470846

RESUMEN

BACKGROUND: Even though China launched a series of measures to alleviate several financial burdens (including health insurance scheme, increased government investment, and so on), the economic burden of health expenditure has still not been alleviated. Out-of-pocket payments (OPPs) show not only a time correlation but also some degree of spatial correlation. The aims of the current study were thus to identify the spatial cluster of OPPs, to investigate the main factors affecting variation, and to explore the spatial spillover sources of China's OPP. METHODS: Global and local spatial autocorrelation tests were validated to identify the spatial cluster of OPPs using the panel data of 31 provinces in China from 2005 to 2016. The Spatial Durbin Model, established in this paper, measured the spatial spillover effect of OPPs and analyzed the possible spillover sources (demand, supply, and socio-economic factors. RESULTS: OPPs were found to have a significant and positive spatial correlation. The results of the Spatial Durbin Model showed the direct and indirect effects of demand, supply, and socio- economic factors on China's OPPs. Among the demand factors, the direct and indirect correlation (elasticity) coefficients were positive. Among the supply factors, the direct and indirect effects of the share of primary health beds on residents' OPPs were negative. The ratio of health technicians in hospitals to those in primary health institutions on per capital OPPs had a significant indirect effect. Among the socio-economic factors, the direct effects of GDP, government health expenditure, and urbanization on OPPs were found to be positive. There were no significant indirect effects of socio-economic factors on OPPs. CONCLUSION: This paper finds that China's OPPs are not randomly distributed but, overall, present a positive spatial cluster, even though a series of measures have been launched to promote health equity. Socio-economic factors and those associated with demand were found to be the main influences of variation in OPPs, while demand was seen to be the driver of the positive spatial spillover of OPPs, whereby effective supply could inhibit these positive spillover effects.


Asunto(s)
Gastos en Salud/estadística & datos numéricos , Seguro de Salud/estadística & datos numéricos , China , Equidad en Salud/economía , Equidad en Salud/estadística & datos numéricos , Humanos , Seguro de Salud/economía , Inversiones en Salud , Análisis Espacio-Temporal , Urbanización
14.
BMC Med Genet ; 19(1): 177, 2018 10 01.
Artículo en Inglés | MEDLINE | ID: mdl-30285654

RESUMEN

BACKGROUND: Neuronal ceroid lipofuscinosis (NCLs) are lysosomal storage disorders characterized by seizures, motor impairment, and loss of vision. Ceroid lipofuscinosis (CLN) gene mutations are the cause, but NCL cases arising from CLN6 mutations have not been described in China to date. The CLN6 protein, which plays a role in lysosomal function, is an endoplasmic reticulum (ER) membrane protein with seven transmembrane (TM) domains. It has a cytosolic-facing amino terminal domain and a luminal-facing carboxyl terminal domain, with six loops between the TM domains. CASE PRESENTATION: Here we report a case involving a Chinese boy whose suspected diagnosis was a hereditary leukoencephalopathy, based on brain MRI imaging and epilepsy symptoms, language articulation disorders, ataxia, and unstable gait. The electroencephalogram showed epileptic discharges, and the brain MRI scan showed high signal intensity adjacent to the bilateral posterior horns of the lateral ventricles on T2-weighted images, along with cerebellar atrophy. Using next-generation sequencing for the genes in a panel for hereditary leukoencephalopathies, we detected a homozygous missense point mutation c.892G > A(p.Glu298Lys) in CLN6, and the variant was interpreted as pathogenic on in silico analysis. Absence of this mutation was confirmed in 259 controls. Late infantile NCL and secondary epilepsy were diagnosed, and oral sodium valproate was prescribed. The epilepsy was not well controlled, however, and the other signs had not improved at the 6-month follow-up. We also analyzed the loci of 31 CLN6 missense mutations, including those previously reported and the current one. We found that 22.6% (7/31) of the mutations are in the cytoplasmic domains, about 32.2% (10/31) are in the TM domains, and about 45.2% (14/31) are in the luminal domains. These mutations were mostly located in the TM3-TM4 loop (6/31), TM1-TM2 loop (4/31), and C-terminus (4/31), with none found in the TM4-TM5 loop, TM5-TM6 loop, or TM7. CONCLUSIONS: We report the first case in China of NCL caused by a CLN6 mutation, expanding the genotype options for NCLs. In practice, NCLs generally are not the initial suspected diagnosis for such cases. Use of a gene sequencing panel for investigating unexplained seizures or leukoencephalopathies can help confirm the diagnosis.


Asunto(s)
Leucoencefalopatías/genética , Proteínas de la Membrana/genética , Mutación Missense , Lipofuscinosis Ceroideas Neuronales/genética , Convulsiones/genética , Adulto , Pueblo Asiatico , Secuencia de Bases , Preescolar , Diagnóstico Diferencial , Electroencefalografía , Femenino , Expresión Génica , Heterocigoto , Homocigoto , Humanos , Leucoencefalopatías/diagnóstico por imagen , Leucoencefalopatías/etnología , Leucoencefalopatías/fisiopatología , Imagen por Resonancia Magnética , Masculino , Lipofuscinosis Ceroideas Neuronales/diagnóstico por imagen , Lipofuscinosis Ceroideas Neuronales/etnología , Lipofuscinosis Ceroideas Neuronales/fisiopatología , Linaje , Dominios Proteicos , Convulsiones/diagnóstico por imagen , Convulsiones/etnología , Convulsiones/fisiopatología
15.
Front Immunol ; 15: 1411771, 2024.
Artículo en Inglés | MEDLINE | ID: mdl-39211049

RESUMEN

Background: Observational studies have suggested that herpes virus infections increase the risk of allograft dysfunction after tissue and organ transplantation, but it is still unclear whether this association is causal. The aim of this study was to assess the causal relationship between four herpes virus infections and allograft dysfunction. Methods: We used two-sample bidirectional Mendelian randomization (MR) to investigate the causality between four herpes virus infections - cytomegalovirus (CMV), Epstein-Barr virus (EBV), herpes simplex virus (HSV) and varicella zoster virus (VZV) - and allograft dysfunction after tissue and organ transplantation. Based on summary data extracted from genome-wide association studies (GWAS), we chose eligible single nucleotide polymorphisms (SNPs) as instrumental variables. The Inverse variance weighted (IVW) method was used as the main analysis method, supplemented by Weighted median and MR-Egger analyses. The MR-PRESSO test, MR-Egger intercept test, heterogeneity test, leave-one-out analysis and funnel plot were used to analyze the sensitivity of MR results. Results: We found EBV early antigen-D (EA-D) antibody levels and shingles were the only two variables associated with an increased risk of allograft dysfunction. No evidence of allograft dysfunction increasing the risk of the four herpes virus infections was observed. Sensitivity analyses confirmed the robustness of our results. Conclusions: Our results suggest that EBV and VZV are involved in graft rejection or dysfunction. However, the relationship between CMV and HSV infections and allograft dysfunction remains unclear and requires further clarification.


Asunto(s)
Estudio de Asociación del Genoma Completo , Análisis de la Aleatorización Mendeliana , Trasplante de Órganos , Polimorfismo de Nucleótido Simple , Humanos , Trasplante de Órganos/efectos adversos , Infecciones por Herpesviridae/inmunología , Infecciones por Herpesviridae/virología , Aloinjertos , Rechazo de Injerto/inmunología
16.
Adv Mater ; 36(9): e2307445, 2024 Mar.
Artículo en Inglés | MEDLINE | ID: mdl-37930053

RESUMEN

Elastomers with high aspect ratio surface patterns are a promising class of materials for designing soft machines in the future. Here, a facile method for fabricating surface patterns on polyurethane elastomer by subtly utilizing the Poisson effect and gradient photocrosslinking is demonstrated. By applying uniaxial tensile strains, the aspect ratio of the surface patterns can be optionally manipulated. At prestretched state, the pattern on the polyurethane elastomer can be readily constructed through compressive stress, resulting from the gradient photocrosslinking via selective photodimerization of an anthracene-functionalized polyurethane elastomer (referred to as ANPU). The macromolecular aggregation structures during stretching deformation significantly contribute to the fabrication of high aspect ratio surface patterns. The insightful finite element analysis well demonstrates that the magnitude and distribution of internal stress in the ANPU elastomer can be regulated by selectively gradient crosslinking, leading to polymer chains migrate from the exposed region to the unexposed region, thereby generating a diverse array of surface patterns. Additionally, the periodic surface patterns exhibit tunable structural color according to the different stretching states and are fully reversible over multiple cycles, opening up avenues for diverse applications such as smart displays, stretchable strain sensors, and anticounterfeiting devices.

17.
Toxins (Basel) ; 16(5)2024 May 07.
Artículo en Inglés | MEDLINE | ID: mdl-38787067

RESUMEN

Bacillus thuringiensis (Bt) secretes the nutritional insecticidal protein Vip3Aa11, which exhibits high toxicity against the fall armyworm (Spodoptera frugiperda). The Bt HD270 extracellular polysaccharide (EPS) enhances the toxicity of Vip3Aa11 protoxin against S. frugiperda by enhancing the attachment of brush border membrane vesicles (BBMVs). However, how EPS-HD270 interacts with Vip3Aa11 protoxin in vivo and the effect of EPS-HD270 on the toxicity of activated Vip3Aa11 toxin are not yet clear. Our results indicated that there is an interaction between mannose, a monosaccharide that composes EPS-HD270, and Vip3Aa11 protoxin, with a dissociation constant of Kd = 16.75 ± 0.95 mmol/L. When EPS-HD270 and Vip3Aa11 protoxin were simultaneously fed to third-instar larvae, laser confocal microscopy observations revealed the co-localization of the two compounds near the midgut wall, which aggravated the damage to BBMVs. EPS-HD270 did not have a synergistic insecticidal effect on the activated Vip3Aa11 protein against S. frugiperda. The activated Vip3Aa11 toxin demonstrated a significantly reduced binding capacity (548.73 ± 82.87 nmol/L) towards EPS-HD270 in comparison to the protoxin (34.96 ± 9.00 nmol/L). Furthermore, this activation diminished the affinity of EPS-HD270 for BBMVs. This study provides important evidence for further elucidating the synergistic insecticidal mechanism between extracellular polysaccharides and Vip3Aa11 protein both in vivo and in vitro.


Asunto(s)
Proteínas Bacterianas , Polisacáridos Bacterianos , Spodoptera , Animales , Proteínas Bacterianas/toxicidad , Proteínas Bacterianas/metabolismo , Polisacáridos Bacterianos/farmacología , Polisacáridos Bacterianos/química , Spodoptera/efectos de los fármacos , Larva/efectos de los fármacos , Insecticidas/toxicidad , Insecticidas/farmacología , Bacillus thuringiensis/metabolismo , Microvellosidades/metabolismo , Microvellosidades/efectos de los fármacos
18.
Food Funct ; 15(11): 6000-6014, 2024 Jun 04.
Artículo en Inglés | MEDLINE | ID: mdl-38743003

RESUMEN

Multigrain reconstituted rice, as a nutritious and convenient staple, holds considerable promise for the food industry. Furthermore, highland barley, corn, and other coarse cereals are distinguished by their low glycemic index (GI), rendering them effective in mitigating postprandial blood glucose levels, thereby underscoring their beneficial physiological impact. This study investigated the impact of extrusion temperature on the physicochemical properties, edible quality, and digestibility of multigrain reconstituted rice. The morphology revealed that starch particles that are not fully gelatinized in multigrain reconstituted rice are observed at an extrusion temperature range of 60 °C-90 °C. As the extrusion temperature increased, the degree of gelatinization (DG) increased, while the contents of water, protein, total starch, and amylopectin decreased substantially. Concurrently, the relative crystallinity, orderliness of starch, and heat absorption enthalpy (ΔH) decreased significantly, and water absorption (WAI) and water solubility (WSI) increased markedly. Regarding edible quality, sensory evaluation displayed an initial increase followed by a decrease. In terms of digestibility, the estimated glycemic index (eGI) increased from 61.10 to 70.81, and the GI increased from 60.41 to 75.33. In addition, the DG was significantly correlated with both eGI (r = 0.886**) and GI (r = 0.947**). The results indicated that the ideal extrusion temperature for multigrain reconstituted rice was 90 °C. The findings underscored the pivotal role of optimal extrusion temperatures in the production of multigrain reconstituted rice, which features low GI and high nutritional quality.


Asunto(s)
Digestión , Índice Glucémico , Oryza , Almidón , Oryza/química , Almidón/química , Humanos , Temperatura , Calor , Manipulación de Alimentos/métodos , Valor Nutritivo , Amilopectina/química
19.
Adv Mater ; 36(25): e2400849, 2024 Jun.
Artículo en Inglés | MEDLINE | ID: mdl-38567824

RESUMEN

Harnessing the spontaneous surface instability of pliable substances to create intricate, well-ordered, and on-demand controlled surface patterns holds great potential for advancing applications in optical, electrical, and biological processes. However, the current limitations stem from challenges in modulating multidirectional stress fields and diverse boundary environments. Herein, this work proposes a universal strategy to achieve arbitrarily controllable wrinkle patterns via the spatiotemporal photochemical boundaries. Utilizing constraints and inductive effects of the photochemical boundaries, the multiple coupling relationship is accomplished among the light fields, stress fields, and morphology of wrinkles in photosensitive polyurethane (PSPU) film. Moreover, employing sequential light-irradiation with photomask enables the attainment of a diverse array of controllable patterns, ranging from highly ordered 2D patterns to periodic or intricate designs. The fundamental mechanics of underlying buckling and the formation of surface features are comprehensively elucidated through theoretical stimulation and finite element analysis. The results reveal the evolution laws of wrinkles under photochemical boundaries and represent a new effective toolkit for fabricating intricate and captivating patterns in single-layer films.

20.
Food Res Int ; 168: 112713, 2023 06.
Artículo en Inglés | MEDLINE | ID: mdl-37120191

RESUMEN

For native quinoa protein with a loose disordered structure and low structural integrity, once the protein is absorbed to the oil-water interface, the stress of interfacial tension and hydrophobic interaction can easily trigger the conformation change and denaturation of quinoa protein, leading to the instability of high internal phase emulsion (HIPE). Ultrasonic treatment can induce the refolding and self-assembling of quinoa protein microstructure, which is expected to frustrate the disruption of protein microstructure. The particle size, tertiary structure, and secondary structure of quinoa protein isolate particle (QPI) were investigated by multi-spectroscopic technology. The study demonstrates that QPIs prepared with ultrasonic treatment of 5 kJ/mL exhibit more robust structural integrity compared with native QPIs. The relatively loose structure (random coil, 28.15 ± 1.06 %∼25.10 ± 0.28 %) transformed to a more ordered and compact form (α-helix, 5.65 ± 0.07 %∼6.80 ± 0.28 %). Through the addition of QPI-based HIPE as an alternative for commercial shortening, the specific volume of white bread was increased (2.74 ± 0.35 âˆ¼ 3.58 ± 0.04 cm3/g).


Asunto(s)
Chenopodium quinoa , Chenopodium quinoa/química , Emulsiones/química , Ultrasonido , Proteínas de Plantas/química , Estructura Secundaria de Proteína
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