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1.
Environ Res ; 252(Pt 3): 118978, 2024 Jul 01.
Artículo en Inglés | MEDLINE | ID: mdl-38704012

RESUMEN

Tea polyphenols (TPs), as a kind of derivatives from tea waste, were employed as a novel environmentally friendly bio-based sludge conditioner in this study. The findings showed that when TPs were applied at a dosage of 300 mg g-1 DS, the sludge CST0/CST ratio significantly increased to 1.90. pH regulation was found to markedly affect the dewatering efficiency of sludge. At pH 4, the CST0/CST rose to 2.86, coupled with a reduction in the specific resistance to filtration (SRF) from 6.69 × 1013 m kg-1 to 1.43 × 1013 m kg-1 and a decrease in the moisture content (MC) from 90.57% to 68.75%. TPs formed complexes and precipitated sludge proteins, as demonstrated by changes in the extracellular polymeric substances (EPS), viscosity, zeta potential, and particles size distribution. The optimization significance of acidification treatment on sludge structure disintegration, the interaction of TPs with EPS, and the removal of sludge proteins were elucidated. The research provided an ideal approach for the integrated utilization of biomass resources from tea waste and highlighted the potential application of TPs as an environmentally friendly conditioner in sludge dewatering.


Asunto(s)
Polifenoles , Aguas del Alcantarillado , , Polifenoles/química , Aguas del Alcantarillado/química , Concentración de Iones de Hidrógeno , Té/química , Extractos Vegetales/química , Eliminación de Residuos Líquidos/métodos
2.
Artículo en Inglés | MEDLINE | ID: mdl-38551420

RESUMEN

Objective: This study aims to investigate the impact of a novel and diversified teaching approach on training new nurses in the operating room. Methods: A comparative observational study with a quasi-experimental design was conducted. We selected 32 new nurses undergoing standardized training in the operating room at Panzhihua Central Hospital between March 2017 and March 2020, along with 29 nurses trained from January 2014 to December 2016, as research participants. These nurses were divided into a study group and a control group. The control group underwent traditional training, while the study group experienced an innovative and diversified training mode over a 3-year period. We conducted a comprehensive comparison of theoretical knowledge, professional competence, operation duration, and medical satisfaction between the two groups. Results: The study group, exposed to the innovative teaching approach, demonstrated significantly higher scores in both theoretical and practical examinations compared to the control group (P < .05). Moreover, the study group exhibited a notable reduction in the connection time between operating tables, fostering improved coordination. This group also reported enhanced tacit understanding between doctors and nurses. Notably, the study group expressed higher levels of satisfaction. These findings collectively suggest that the implementation of the new diversified teaching mode positively influences the theoretical knowledge, practical skills, and collaborative dynamics among nurses and medical professionals in the operating room. Conclusions: The implementation of the new diversified teaching mode significantly enhances the standardized training of new nurses in the operating room. This approach contributes to their improved clinical performance, offering valuable insights for future training methodologies.

3.
Ecotoxicol Environ Saf ; 271: 116009, 2024 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-38277971

RESUMEN

BACKGROUND: There are limited population studies on the neurodevelopmental effects of bisphenol F (BPF), a substitute for bisphenol A. Furthermore, the role of placental estradiol as a potential mediator linking these two factors remains unclear. OBJECTIVE: To examine the association between maternal prenatal BPF exposure and infant neurodevelopment in a prospective cohort study and to explore the mediating effects of placental estradiol between BPF exposure and neurodevelopment in a nested case-control study. METHODS: The prospective cohort study included 1077 mother-neonate pairs from the Wuhu city cohort study in China. Maternal BPF was determined using the liquid/liquid extraction and Ultra-performance liquid chromatography tandem mass spectrometry method. Children's neurodevelopment was assessed at ages 3, 6, and 12 months using Ages and Stages Questionnaires. The nested case-control study included 150 neurodevelopmental delay cases and 150 healthy controls. Placental estradiol levels were measured using enzyme-linked immunosorbent assay kits. Generalized estimating equation models and robust Poisson regression models were used to examine the associations between BPF exposure and children's neurodevelopment. In the nested case-control study, causal mediation analysis was conducted to assess the role of placental estradiol as a mediator in multivariate models. RESULTS: In the prospective cohort study, the pregnancy-average BPF concentration was positively associated with developmental delays in gross-motor, fine-motor, and problem-solving ( ORtotal ASQ: 1.14(1.05, 1.25), ORgross-motor: 1.22(1.10, 1.36), ORfine-motor: 1.19(1.07, 1.31), ORproblem-solving: 1.11(1.01, 1.23)). After sex-stratified analyses, pregnancy-average BPF concentration was associated with an increased risk of neurodevelopmental delays in the gross-motor (ORgross-motor:1.30(1.12, 1.51)) and fine-motor (ORfine-motor: 1.22(1.06, 1.40)) domains in boys. In the nested case-control study, placental estradiol mediated 16.6% (95%CI: 4.4%, 35.0%) of the effects of prenatal BPF exposure on developmental delay. CONCLUSIONS: Our study supports an inverse relationship between prenatal BPF exposure and child neurodevelopment in infancy, particularly in boys. Decreased placental estradiol may be an underlying biological pathway linking prenatal BPF exposure to neurodevelopmental delay in offspring.


Asunto(s)
Compuestos de Bencidrilo , Fenoles , Placenta , Efectos Tardíos de la Exposición Prenatal , Masculino , Niño , Lactante , Recién Nacido , Humanos , Embarazo , Femenino , Estudios de Cohortes , Estradiol , Estudios Prospectivos , Estudios de Casos y Controles
4.
J Environ Manage ; 354: 120332, 2024 Mar.
Artículo en Inglés | MEDLINE | ID: mdl-38364539

RESUMEN

Dewatering is the first step in the subsequent treatment and disposal of food waste digestate (FWD). However, FWD is difficult to dewatering. In this study, persulfate was synergistic oxidized by ozone to improve digestate dewaterability. The optimal conditions was at pH = 3, O3=40 mg/g TS and PDS=0.1 g/g TS, under which the reductions in the normalized capillary suction time (NCST) and bound moisture (BM) of the FWD were 89.97% and 65.79%, respectively. Hydrophilic functional groups (oxygen- and nitrogen-containing groups) and hydrophilic protein molecular structures were decomposed by the reactive species of sulfate radical (SO4·-) and hydroxyl radicals (·OH) generated in the ozone-persulfate oxidation process, disrupting the binding between EPS and water molecules. The contributions of SO4·- and ·OH to digestate dewaterability were 42.51% and 28.55%. In addition, the introduction of H+ reduced electrostatic repulsion and contributed to the condensation of digestate flocs. The environmental implication assessment and economic analysis suggested that the O3/PDS oxidation process was cost-effective and has a low environmental implication when applied to the FWD dewaterability improvement process. These results can serve as a reference for the management of FWD and further improvement of FWD treatment and disposal efficiency.


Asunto(s)
Ozono , Eliminación de Residuos , Eliminación de Residuos Líquidos/métodos , Aguas del Alcantarillado/química , Alimentos , Oxidación-Reducción , Agua/química
5.
BMC Nurs ; 23(1): 64, 2024 Jan 24.
Artículo en Inglés | MEDLINE | ID: mdl-38267964

RESUMEN

BACKGROUND: Nursing interns often experience lots of challenges during their clinical nursing internships, which can adversely affect career decisions and result in a squandering of nursing education resources. Patient safety attitudes, professional identity and climate of caring may affect nursing interns' clinical experience. However, more evidence is requested to validate these relationships for nursing educators to develop effective education programs and facilitate interns' successful transition. METHODS: This was a cross-sectional study, which used a convenience sampling method to recruit 387 nursing interns during December 2022 to April 2023 in university affiliated hospital in Hunan province, China. Data were collected using standardized scales. Spearman correlation and multiple regression analysis were employed to examine the relationship between transition shock, patient safety attitudes, professional identity, and climate of caring. RESULTS: Nursing interns experienced transition shock at a moderate level and the highest levels of transition shock in response to overwhelming practicum workloads, with the second being related to the conflict between theory and practice. Transition shock was negatively correlated with patient safety attitudes, professional identity and climate of caring among nursing interns. CONCLUSIONS: Nursing managers and educators need to value the transition shock experienced by nursing interns. Our study suggests that developing a strong sense of professional identity and a positive attitude toward patient safety can be effective in reducing the level of transition shock among nursing interns. In addition, a caring climate within the nursing unit can significantly enhance the overall experience of nursing interns. This can be achieved by enhancing the support of clinical mentors, providing patient safety-focused education, and facilitating team communication among nurses.

6.
J Hum Genet ; 68(7): 491-497, 2023 Jul.
Artículo en Inglés | MEDLINE | ID: mdl-36879001

RESUMEN

Non-syndromic cleft lip with or without cleft palate (NSCL/P) is a common polygenetic disease. Although genome-wide association studies (GWAS) identified NTN1 gene as a high-priority candidate of NSCL/P, the comprehensive genetic architecture of NTN1 weren't yet known. Thus, this study aimed to determine full-scale genetic variants of NTN1 for NSCL/P in Chinese Han people. Initially, targeted sequencing of NTN1 gene was performed on 159 NSCL/P patients to identify susceptible single nucleotide polymorphisms (SNPs) associated with NSCL/P. Then, association analysis and burden analysis were separately used to validate the common variants and rare variants identified among large size of samples (1608 NSCL/P cases and 2255 controls). Additionally, NSCL/P subtype association analysis was applied to elucidate the etiology discrepancy of non-syndromic cleft lip with palate (NSCLP) and non-syndromic cleft lip only (NSCLO). Lastly, bioinformatics analysis was performed to annotate and prioritize candidate variants. We found 15 NSCL/P-associated SNPs including rs4791774 (P = 1.10E-08, OR = 1.467, 95% CI: 1.286~1.673) and rs9788972 (P = 1.28E-07, OR = 1.398, 95% CI : 1.235~1.584) originally detected by previous GWASs in Chinese Han ancestry. Four NSCLO risk-associated SNPs and eight specific NSCLP associated SNPs were found. Three SNPs (rs4791331, rs4791774 and rs9900753) were predicted to locate at regulatory region of NTN1. Our study validated the association between NTN1 gene and pathogenesis of NSCL/P and reinforced the hypothesis that NSCLP have a different etiology from NSCLO. We also identified three putative regulatory SNPs in NTN1 gene.


Asunto(s)
Labio Leporino , Fisura del Paladar , Humanos , Labio Leporino/genética , Genotipo , Predisposición Genética a la Enfermedad , Estudio de Asociación del Genoma Completo , Fisura del Paladar/genética , Polimorfismo de Nucleótido Simple , Nucleótidos , Estudios de Casos y Controles , Netrina-1/genética
7.
Plant Cell Environ ; 46(1): 251-267, 2023 01.
Artículo en Inglés | MEDLINE | ID: mdl-36319468

RESUMEN

Rhizosphere effect of nanoscale zero-valent iron (nZVI) is crucial but little reported. Maize seeds were dressed with four nZVI concentrations (0, 1.0, 1.5, 2 g kg-1 ) and inoculated with arbuscular mycorrhizal fungus (AMF) (Funneliformis mosseae). The SEM images illuminated that excessive nZVI particles (2 g kg-1 ) were agglomerated on the surface of hyphae and spore, causing severe deformation and inactivation of AMF symbionts and thereafter inhibiting water uptake in maize seedlings. This restrained the scavenging effects of enzymatic (superoxide dismutase, peroxidase) and non-enzymatic compounds (proline & malondialdehyde) on ROS, and leaf photoreduction activity and gas exchange ability (p < 0.05). Interestingly, the inoculation with AMF effectively alleviated above negative effects. In contrast, appropriate dose of nZVI, that is, ≤1.5 g kg-1 , can be evenly distributed on the hyphae surface and form the ordered symbionts with AMF. This help massively to enhance hyphae growth and water and nutrient uptake. The enhanced mycorrhizal infection turned to promote rhizosphere symbiont activity and leaf Rubisco and Rubisco activase activity. Light compensation point was massively lowered, which increased photosynthetic carbon supply for AMF symbionts. Particularly, such priming effects were evidently enhanced by drought stress. Our findings provided a novel insight into functional role of nZVI in agriculture and AMF-led green production.


Asunto(s)
Micorrizas , Zea mays , Hierro , Agua
8.
Acta Haematol ; 146(6): 473-480, 2023.
Artículo en Inglés | MEDLINE | ID: mdl-37605556

RESUMEN

INTRODUCTION: The aim of this study was to develop a prognostic model for chronic lymphocytic leukemia (CLL). METHODS: GEO2R was used to retrieve the gene expression data of CLL and normal B cells from the Gene Expression Omnibus (GEO; GSE22529 and GSE50006 datasets) database. Practical Extraction and Report Language was used to extract the gene expression and overall survival (OS) data of CLL patients from the Chronic Lymphocytic Leukemia - ES (CLLE-ES) project in the International Cancer Genome Consortium (ICGC) database. Cox regression with Lasso was used to create and validate a prognostic model for CLL. RESULTS: A total of 267 genes exhibited differential expression between CLL and normal B cells. Cox univariate analysis identified 14 DEGs that correlated with OS. Lasso multivariate evaluation demonstrated that AKAP12 and IGFBP4 are independent prognostic factors for CLL. Kaplan-Meier survival analysis revealed a significant association between the estimated risk score and survival. The area under the receiver operating characteristic curve was calculated to be 0.97, indicating high predictive accuracy. In addition, high AKAP12 and IGFBP4 risk scores were associated with the high incidence of trisomy 12q. CONCLUSION: Taken together, AKAP12 and IGFBP4 are independent prognostic factors for CLL.


Asunto(s)
Leucemia Linfocítica Crónica de Células B , Humanos , Proteínas de Anclaje a la Quinasa A/genética , Proteínas de Anclaje a la Quinasa A/metabolismo , Proteínas de Ciclo Celular/genética , Proteínas de Ciclo Celular/metabolismo , Estimación de Kaplan-Meier , Leucemia Linfocítica Crónica de Células B/diagnóstico , Leucemia Linfocítica Crónica de Células B/genética , Leucemia Linfocítica Crónica de Células B/metabolismo , Pronóstico
9.
Future Oncol ; 19(28): 1917-1927, 2023 Sep.
Artículo en Inglés | MEDLINE | ID: mdl-37288536

RESUMEN

Aim: To evaluate the clinical performance of PAX1 methylation (PAX1m) and cytology for patients with non-HPV16/18 high-risk HPV (hrHPV) infection. Methods: Cervical exfoliated cells from 387 outpatients with non-HPV16/18 hrHPV - positive were collected for cytology and PAX1m assays. Results: The PAX1m level increased with the severity of cytology and histopathology. For cervical intraepithelial neoplasia (CIN)CIN2+/CIN3+, the areas under the curve were both 0.87. The specificity and positive predictive value (PPV) of PAX1m were greater than abnormal cytology (CIN2+ specificity: 75.5 vs 24.8%; PPV: 38.8 vs 18.7%; CIN3+ specificity: 69.3 vs 22.7%; PPV: 14.0 vs 6.7%). Conclusion: PAX1m increased specificity and PPV for CIN2+/CIN3+ compared with cytology for women with non-HPV16/18 hrHPV (+).


Asunto(s)
Infecciones por Papillomavirus , Displasia del Cuello del Útero , Neoplasias del Cuello Uterino , Humanos , Femenino , Neoplasias del Cuello Uterino/patología , Metilación , Infecciones por Papillomavirus/diagnóstico , Infecciones por Papillomavirus/genética , Infecciones por Papillomavirus/prevención & control , Detección Precoz del Cáncer , Displasia del Cuello del Útero/diagnóstico , Papillomaviridae
10.
Qual Life Res ; 32(12): 3417-3426, 2023 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-37481482

RESUMEN

PURPOSE: Chronic pancreatitis (CP) is a chronic fibroinflammatory pancreatic disease that severely impacts patients' quality of life (QoL). The Pancreatitis Quality of Life Instrument (PANQOLI) is an 18-item measure specifically designed to assess QoL amongst patients with CP. This study aimed to develop a Chinese version of PANQOLI and assess its reliability and validity in the Chinese CP cohort. METHODS: Translation was performed according to forward-backwards translation steps and transcultural adaptation. Five hundred Mandarin Chinese-speaking patients with CP were enrolled, 250 for the exploratory factor analysis (EFA) and 250 for the confirmatory factor analysis (CFA). Item analysis, reliability analysis (internal consistency, split-half reliability, test-retest reliability), and validity analysis (content validity, construct validity, and convergent validity) were performed. RESULTS: Item analysis of the Chinese version of PANQOLI revealed that the absolute t values of all items were > 3. Reliability analysis showed that Cronbach's α coefficient was 0.868, split-half coefficient was 0.934, and intraclass correlation coefficient was 0.859, demonstrating excellent reliability. For content validity, item level content validity index (I-CVI) ranged from 0.8 to 1.0, and average of I-CVI scores across all items (S-CVI/Ave) was 0.91. In construct validity analysis, EFA produced four dimensions after rotation, and results of CFA showed χ2/df = 2.346, comparative fit index (CFI) = 0.929, Tucker-Lewis index (TLI) = 0.915, and root-mean-square error of approximation (RMSEA) = 0.074. The analysis of convergent validity indicated that the Chinese version of PANQOLI was moderately correlated with the physical (r = 0.436, P < 0.001) and mental component summary (r = 0.518, P < 0.001) of the 36-Item Short Form Health Survey. CONCLUSION: The Chinese version of PANQOLI appears to be culturally appropriate, reliable, and valid for assessing the QoL amongst Chinese patients with CP.


Asunto(s)
Pancreatitis Crónica , Calidad de Vida , Humanos , Calidad de Vida/psicología , Encuestas y Cuestionarios , Reproducibilidad de los Resultados , Psicometría/métodos , China
11.
Antonie Van Leeuwenhoek ; 116(11): 1185-1195, 2023 Nov.
Artículo en Inglés | MEDLINE | ID: mdl-37704902

RESUMEN

A Gram-positive, facultatively anaerobic, oval beaded-shape, oxidase-negative, and non-motile bacterium designated DM20194951T was isolated from a spoiled eye mask obtained from Guangdong, China. Based on the 16S rRNA gene sequence, phylogenetic analysis indicated that strain DM20194951T showed the highest sequence similarity (95.8%) to Fundicoccus ignavus WS4937T. Meanwhile, strain DM20194951T could be distinguished from the type strains in the genus Fundicoccus by distinct phenotypic and genotypic traits. Strain DM20194951T grew variably with 1-2% (w/v) NaCl and tolerated pH 6.0-10.0. Growth was observed from 28 to 37 °C. The diagnostic diamino acids in the cell-wall peptidoglycan consisted of aspartic and glutamic acids as well as alanine. The predominant fatty acids were C18:1 ω9c, C16:0, and C16:1 ω9c. In the polar lipid profile, two glycolipids, three phospholipids, one phosphatidylglycerol, and one diphosphatidylglycerol were found. No respiratory quinones were detected. The DM20194951T genome is 3.2 Mb in size and contains a G + C content of 38.1%. A gene cluster for lactococcin 972 family bacteriocin production was found in the DM20194951T genome. Based on morphological, genotypic, and phylogenetic data, strain DM20194951T should be considered to represent a novel species in the genus Fundicoccus, for which the name Fundicoccus culcitae sp. nov. is proposed with the type strain DM20194951T (= KCTC 43472T = GDMCC 1.3614T).

12.
BMC Psychiatry ; 23(1): 212, 2023 03 29.
Artículo en Inglés | MEDLINE | ID: mdl-36991480

RESUMEN

BACKGROUND: Anxiety and depression are common psychological comorbidities in patients with chronic pancreatitis (CP). There is still a lack of epidemiological studies on anxiety and depression in Chinese CP patients. This study aimed to identify the incidence and related factor of anxiety and depression among East Chinese CP patients and explore the relationship between anxiety, depression, and coping styles. METHODS: This prospective observational study was conducted from June 1, 2019 to March 31, 2021 in Shanghai, China. Patient diagnosed with CP were interviewed using the sociodemographic and clinical characteristics questionnaire, Self-rating Anxiety Scale (SAS), Self-rating Depression Scale (SDS), and Coping Style Questionnaire (CSQ). Multivariate logistic regression analysis was conducted to identify the related factors of anxiety and depression. Correlation test was preformed to analyze the correlation between anxiety, depression, and coping styles. RESULTS: The incidence of anxiety and depression in East Chinese CP patients was 22.64% and 38.61%, respectively. Patients' previous health status, level of disease coping, frequency of abdominal pain episodes, and pain severity were significantly associated with anxiety and depression. Mature coping styles (Problem solving, Seeking for help) had a positive impact on anxiety and depression, while immature coping styles (Self-blame, Fantasy, Repression, Rationalization) had negative effects on anxiety and depression. CONCLUSION: Anxiety and depression were common in patients with CP in China. The factors identified in this study may provide references for the management of anxiety and depression in CP patients.


Asunto(s)
Depresión , Pancreatitis Crónica , Humanos , Depresión/psicología , China/epidemiología , Adaptación Psicológica , Ansiedad/psicología , Encuestas y Cuestionarios , Pancreatitis Crónica/complicaciones , Pancreatitis Crónica/epidemiología
13.
Ecotoxicol Environ Saf ; 264: 115399, 2023 Oct 01.
Artículo en Inglés | MEDLINE | ID: mdl-37639827

RESUMEN

Physical thickness of low-density polyethylene (LDPE) films might determine the release rate of phthalic acid esters (PAEs) & structural integrity and affect production efficiency. However, this critical issue is still unclear and little reported. Aging effects were evaluated in LDPE films with the thickness of 0.006, 0.008, 0.010 and 0.015 mm in a maize field of irrigation region. The Scanning electron microscope (SEM) results showed that the proportion of damaged area (Dam) to total area of LDPE films was massively lowered with increasing thickness after aging. The highest and lowest Dam was 32.2% and 3.5% in 0.006 and 0.015 mm films respectively. Also, the variations in peak intensity of asymmetric & symmetrical stretching vibrations (ASVI & SSVI) were detected using Fourier transform infrared spectrum (FTIR), indicating that the declines in peak intensity tended to be slower with thickness. Interestingly, the declines in physical integrity were tightly associated with increasing exhalation rate of PAEs. Average releasing rate of PAEs was 38.2%, 31.4%, 31.5% and 19.7% in LDPE films from 0.006 to 0.015 mm respectively. Critically, thicker film mulching can lead to greater soil water storage at plough layer (SWS-PL) and better thermal status, accordingly harvesting higher economic benefit. Therefore, LDPE film thickening may be a solution to reduce environmental risk but improve production efficiency in arid region.


Asunto(s)
Luz , Polietileno , Suelo , Vibración
14.
J Environ Manage ; 326(Pt A): 116722, 2023 Jan 15.
Artículo en Inglés | MEDLINE | ID: mdl-36372037

RESUMEN

:Deterioration of dewaterability is one of challenges faced by anaerobic digestion (AD) of food waste (FW). The underlying mechanism of the effect of AD on digestate dewaterability remains unclear. Thus, the effect of hydrophilic functional groups of macromolecular organic on FW digestate dewaterability in different stages during AD was studied. Results showed that the dewaterability first improved at the acidification stage, and then worsened at the gasification and stabilization stages. The correlations between normalized capillary suction time (NCST), bound moisture (BM) and extracellular protein (extra-PN) were significant (R = 0.736, p < 0.05, R = 0.637, p < 0.05). Macromolecular extra-PN that enhance the bonding between organic fractions and moisture via peptide bonds. In addition, carbonyl, phenolic and amide groups increased after AD, resulting in the enhancement of the digestate hydrophilicity. Furthermore, the evolution of microbial community during AD resulting in the wrapping of BM by increased organic fractions. Therefore, higher organic fractions with hydrophilic functional groups in digestate strongly hinder moisture removal. The findings obtained deepen our understanding of hydrophilic functional groups of macromolecular organic affecting FW digestate dewaterability and provide strong supports to treatment and disposal of FW digestate.


Asunto(s)
Eliminación de Residuos , Aguas del Alcantarillado , Aguas del Alcantarillado/química , Anaerobiosis , Alimentos , Interacciones Hidrofóbicas e Hidrofílicas
15.
Zhongguo Yi Xue Ke Xue Yuan Xue Bao ; 45(2): 351-354, 2023 Apr.
Artículo en Zh | MEDLINE | ID: mdl-37157088

RESUMEN

In recent years,great progress has been achieved in the application of immune checkpoint inhibitors (ICI) in tumor immunotherapy.However,a variety of adverse reactions induced by ICI have been reported.Despite the high overall incidence of adverse reactions caused by ICI,some adverse reactions,such as immune-related pancreatitis,are rare in clinical practice.In this paper,a case of immune-related pancreatitis after treatment of advanced gastric cancer with nivolumab was identified.We analyzed the cause,treatment,incidence,and risk factors of the adverse reaction,aiming to improve the clinical diagnosis,treatment,and safe medication of rare adverse reactions associated with ICI.


Asunto(s)
Antineoplásicos Inmunológicos , Pancreatitis , Neoplasias Gástricas , Humanos , Nivolumab/efectos adversos , Inhibidores de Puntos de Control Inmunológico/efectos adversos , Antineoplásicos Inmunológicos/efectos adversos , Pancreatitis/inducido químicamente , Pancreatitis/tratamiento farmacológico
16.
J Relig Health ; 62(3): 2144-2162, 2023 Jun.
Artículo en Inglés | MEDLINE | ID: mdl-36459253

RESUMEN

The CREATION Model is a whole-person wellness model facilitating patient-provider partnerships for health promotion. CREATION is an acronym that represents eight whole-person health principles: Choice, Rest, Environment-Interpersonal Relationships, Activity, Trust, Outlook, and Nutrition, all focusing on the relationship between individual choice and physical, psychological, social, and spiritual health. This study develops and tests the psychometric properties of the CREATION Health Assessment Tool for Patients (CHAT-P). A 125-item-bank using a 5-point Likert scale with 1 to 5 rating was generated through focus-groups of clinicians, patients, and healthcare leaders. An expert panel assessed content adequacy, reducing items to 82. Patient survey data (n = 599) from 15 inpatient medical units were randomly divided into two datasets. Exploratory Factor Analysis applied to Dataset 1 resulted in a 7-factor (Choice/Rest/Environment-Interpersonal Relationships/Activity/Trust/Outlook/Nutrition) and 28-item tool with factor loading 0.47-0.86. The model structure was confirmed by Structural Equation Modeling on Dataset 2 with goodness-of-fit test results: X2/df = 2.41 < 5.0, RMSEA = 0.05 < 0.08, GFI = 0.91 and AGFI = 0.90. Cronbach's Alpha = 0.83 showed satisfactory reliability. The final CHAT-P totals ranged from 28-140 (higher scores indicating better health/well-being). When assessing the effectiveness of educational/behavioral interventions, this tool can measure the improvement of a patient's overall mind-body-spirit well-being or measure well-being for individual CREATION principle(s). It fills that gap and facilitates healthcare providers' ability to assess and plan interventions to support holistic well-being.


Asunto(s)
Personal de Salud , Promoción de la Salud , Humanos , Psicometría/métodos , Reproducibilidad de los Resultados , Encuestas y Cuestionarios
17.
Zhongguo Zhong Yao Za Zhi ; 48(13): 3612-3622, 2023 Jul.
Artículo en Zh | MEDLINE | ID: mdl-37474994

RESUMEN

This study aimed to analyze the effect of Bletilla striata polysaccharide(BSP) on endogenous metabolites in serum of tumor-bearing mice treated with 5-fluorouracil(5-FU) by untargeted metabolomics techniques and explore the mechanism of BSP in alleviating the toxic and side effects induced by 5-FU. Male BALB/C mice were randomly divided into a normal group, a model group, a 5-FU group, and a 5-FU + BSP group, with eight mice in each group. Mouse colon cancer cells(CT26) were transplanted into the mice except for those in the normal group to construct the tumor-bearing mouse model by subcutaneous injection, and 5-FU chemotherapy and BSP treatment were carried out from the second day of modeling. The changes in body weight, diarrhea, and white blood cell count in the peripheral blood were recorded. The mice were sacrificed and sampled when the tumor weight of mice in the model group reached approximately 1 g. TUNEL staining was used to detect the cell apoptosis in the small intestine of each group. The proportions of hematopoietic stem cells and myeloid progenitor cells in bone marrow were measured by flow cytometry. Five serum samples were selected randomly from each group for untargeted metabolomics analysis. The results showed that BSP was not effective in inhibiting colon cancer in mice, but diarrhea, leukopenia, and weight loss caused by 5-FU chemotherapy were significantly improved after BSP intervention. In addition, apoptotic cells decreased in the small intestinal tissues and the percentages of hematopoietic stem cells and myeloid progenitor cells in bone marrow were significantly higher after BSP treatment. Metabolomics results showed that the toxic and side effects of 5-FU resulted in significant decrease in 29 metabolites and significant increase in 22 metabolites in mouse serum. Among them, 19 disordered metabolites showed a return to normal levels in the 5-FU+BSP group. The results of pathway enrichment indicated that metabolic pathways mainly involved pyrimidine metabolism, arachidonic acid metabolism, and steroid hormone biosynthesis. Therefore, BSP may ameliorate the toxic and side effects of 5-FU in the intestinal tract and bone marrow presumably by regulating nucleotide synthesis, inflammatory damage, and hormone production.


Asunto(s)
Neoplasias del Colon , Fluorouracilo , Animales , Masculino , Ratones , Neoplasias del Colon/tratamiento farmacológico , Diarrea , Fluorouracilo/efectos adversos , Hormonas , Metabolómica , Ratones Endogámicos BALB C , Polisacáridos/farmacología
18.
BMC Plant Biol ; 22(1): 311, 2022 Jun 28.
Artículo en Inglés | MEDLINE | ID: mdl-35761174

RESUMEN

BACKGROUND: The tradeoff between negative and positive interactions of facilitated species and facilitators may depend on the degree of resource availability in agroecosystems. However, the rhizospheric mechanisms driving trade-offs that occur along phosphorus (P) and water availability gradients have not yet been systematically clarified. We established three types of root isolation conditions (no barrier, nylon barrier and solid barrier) at different P and water addition levels to address the above issue in a maize-grass pea intercropping system. RESULTS: The total yield and biomass net effect (NE) and the relative interaction index (RII) were significantly higher than 0 under all environmental conditions, demonstrating that plant-plant interactions generated positive effects in the intercropping system. The maize yield and biomass RII were 0.029-0.095 and 0.018-0.066, respectively, which indicated that maize growth was constantly facilitated. However, the RII for grass pea yield and biomass exhibited a different trend in comparison with maize. It was higher than 0 (as the facilitated species) under low soil P and moisture conditions and transitioned to values lower than 0 (facilitator species) under high P and moisture conditions, which showed that the type and intensity of plant-plant interactions steadily shifted with the applied stressors. Direct interactions decreased the maize rhizospheric soil pH by 1.5% and 1.9% under Low-P conditions. Notably, the rhizospheric soil acid and alkaline phosphatase secretions of maize and grass pea increased by 17.4-27.4% and 15.3-27.7%, respectively, in P-deficient soils. These results show that plant-plant interactions can effectively relieve P stress by mineralizing organophosphorus in P-deficient soils. Furthermore, the above tendency became more pronounced under drought-stressed conditions. The nylon barrier partially restricted the exchange and utilization of available nutrients and decreased the total yield and biomass by 1.8-7.8% and 1.1-7.8%, respectively. The presence of a solid barrier completely restricted interspecific rhizospheric interactions and decreased the total yield and biomass by 2.1-13.8% and 1.6-15.7%, respectively. Phytate and KH2PO4 addition intensified asymmetric interspecific competition, and grass pea was consistently subjected to competitive pressures. CONCLUSION: Briefly, the tradeoff between facilitation and competition was driven by rhizospheric interactions, and the transition in the intensity and type of interaction was highly dependent on resource availability in a biologically diverse system.


Asunto(s)
Fabaceae , Fósforo , Agricultura/métodos , Grano Comestible , Nylons , Suelo , Agua , Zea mays/fisiología
19.
Anal Bioanal Chem ; 414(7): 2461-2469, 2022 Mar.
Artículo en Inglés | MEDLINE | ID: mdl-35088130

RESUMEN

In this study, a quantitative nuclear magnetic resonance (qNMR) method was developed to assign the SI-traceable purity of ethylbenzene, a volatile material, which is a colorless flammable liquid hydrocarbon at room temperature. An ethanol certified reference material having a similar boiling point was used as an internal standard to avoid measurement error arising from the volatilization of ethylbenzene. The reference value of the ethylbenzene study material was obtained by the mass balance method by subtracting all the impurities including water, inorganic impurities, and structurally related impurities (e.g. acetophenone, benzene, isobutylbenzene, sec-butylbenzene, methylcyclohexane), which is regarded as the traditional approach for purity assignment for organic compounds. The results of qNMR showed that the purity of the ethylbenzene study material was 998.6 ± 3.8 mg/g at a 95% confidence interval, which was consistent with the reference value of 998.9 ± 1.3 mg/g.

20.
Phys Chem Chem Phys ; 24(45): 27670-27677, 2022 Nov 23.
Artículo en Inglés | MEDLINE | ID: mdl-36373615

RESUMEN

Environmentally friendly potassium sodium niobate (KNN)-based ceramics are potential electronic functional materials due to multiphase coexistence. Aliovalent doping on the A-site with different ions plays a key role in phase boundary engineering. However, the difference of contribution to the phase boundary from various A-site dopants is not clear in multielement high performance KNN-based ceramics. Herein, the individual contribution to phase structure and comparison of typical aliovalent ions (Bi3+ and Ca2+) on the A-site, are considered in terms of influence on electrical properties. Within a maintained rhombohedral-orthorhombic-tetragonal (R-O-T) phase boundary at room temperature, both phase transition temperatures for rhombohedral-orthorhombic (TR-O) and orthorhombic-tetragonal (TO-T) gradually enhance with increasing Ca2+ and decreasing Bi3+, resulting in elevating R phase and reducing T phase. This phenomenon indicates that the contribution of Ca2+ to increase TR-O is stronger than that from Bi3+, while the effect on decreasing TO-T from Ca2+ is weaker with respect to Bi3+ during phase boundary formation. The enhancement of TR-O and TO-T is due to the lower electronegativity of Ca2+ than Bi3+ which benefits an R phase with high ionicity. There is only a small change in TC and diffusion degree when Bi3+ is replaced by Ca2+, because of the similar substitution of Bi3+ and Ca2+ on the A-site. Meanwhile, enhanced O vacancies are due to the lower valence of Ca2+ than that of Bi3+. Then, electrical properties including ferroelectricity, piezoelectricity and strain, retain high values originating from the maintained R-O-T phase boundary. Moreover, improved stability of piezoelectricity and strain under changing temperature, are achieved based on enhanced TO-T. Thus, this work provides an effective method to further optimize multiphase structures via appropriate doping in KNN-based ceramics.

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