Your browser doesn't support javascript.
loading
Mostrar: 20 | 50 | 100
Resultados 1 - 18 de 18
Filtrar
Mais filtros

Bases de dados
País/Região como assunto
Tipo de documento
Intervalo de ano de publicação
1.
Int Endod J ; 57(8): 1065-1098, 2024 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-38661046

RESUMO

INTRODUCTION: Diagnostic procedures for pulp vitality assessment are a crucial aspect of routine dental practice. This review aims to provide a comprehensive overview of nontraditional techniques and methodologies for assessing pulp vitality, specifically exploring promising approaches that are currently not used in dental practice. METHODS: The study protocol was registered a priori (https://osf.io/3m97z/). An extensive electronic search was conducted across multiple databases, including MEDLINE via PubMed, Scopus, Web of Science, and Embase. Inclusion criteria were guided by the research question based on the PCC model as follows: "What are the potential nontraditional techniques (Concept) for assessing pulp vitality (Population) in the field of endodontics or clinical practice (Context)?" Studies were included that explored possible approaches to pulp vitality assessment, utilizing a range of techniques, whilst any studies using traditional pulp tests (cold, heat, and electric stimulation) or well-known methods (pulse oximetry and laser Doppler flowmetry) were excluded. Reviewers independently screened articles and extracted data. A patent search was also performed. RESULTS: Of 3062 studies, 65 were included that described nontraditional approaches for assessing pulp vitality. These included a range of optical diagnostic methods, ultrasound Doppler flowmetry (UDF), magnetic resonance imaging (MRI), terahertz imaging, tooth temperature measurements, as well as invasive methodologies, including 133xenon washout, radioisotope-labelled tracers, hydrogen gas desaturation, intravital microscopy and fluorescent microspheres isotope clearance. The patent search included artificial intelligence and biomarkers methods. CONCLUSIONS: This review provides details for potential innovative tests that may directly describe pulp vitality. Importantly, these methods range from clinically impractical through to promising methods that may transform clinical practice. Several nontraditional techniques have the potential to enhance diagnostic accuracy and could provide valuable insights into the assessment of pulp vitality in challenging clinical scenarios.


Assuntos
Polpa Dentária , Humanos , Polpa Dentária/irrigação sanguínea , Polpa Dentária/fisiologia , Polpa Dentária/diagnóstico por imagem , Teste da Polpa Dentária/métodos , Fluxometria por Laser-Doppler/métodos
2.
BMJ Open ; 12(8): e061238, 2022 08 25.
Artigo em Inglês | MEDLINE | ID: mdl-36008060

RESUMO

INTRODUCTION: Due to functional defects and structural destruction after total laryngectomy, patients experienced the poor quality of life, especially for elderly. The barriers to accessing self-care in elderly patients were considered to result from complex and multifaceted interactions of biologic and social factors. Therefore, specific efforts to improve elderly patients' quality of life are needed. The purpose of our study is to verify nurse-led coaching of elderly patient self-care approaches, which can reduce logistic burden of patients and obtain the successful functional rehabilitation ultimately. METHODS AND ANALYSIS: Elderly patients (n=60) scheduled for total laryngectomy will be randomly divided into the intervention group and the control group. Patients in the control group received routinely nursing during hospitalisation and thereby at home after discharge received conventional family care without regular supervision of nurses. Patients in the intervention group will receive a series of self-care intervention based on the transtheoretical model during hospitalisation. During home after discharge, nurses will additionally evaluate and supervise the self-care effect of patients. The two groups of patients' self-care agency, self-efficacy, quality of life and nutritional status will be recorded separately at different time points. Primary outcome is the improvement of patients' self-care agency, and secondary outcome is the improvements of patients' self-efficacy, quality of life, nutritional states and 3-month unplanned readmission rate. ETHICS AND DISSEMINATION: The Ethics Committee of Hubei Cancer Hospital has approved this protocol (KYLLBA2020006). The findings of the trial will be disseminated through peer-reviewed journals, national or international conferences. TRIAL REGISTRATION NUMBER: ChiCTR2100043731.


Assuntos
Tutoria , Autocuidado , Idoso , Humanos , Laringectomia , Papel do Profissional de Enfermagem , Qualidade de Vida , Ensaios Clínicos Controlados Aleatórios como Assunto , Autocuidado/métodos
3.
Environ Sci Pollut Res Int ; 29(13): 18665-18679, 2022 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-34693493

RESUMO

Research on land subsidence is a global topic. In recent years, the environmental problems caused by coal mining have received great attention. In particular, mining land subsidence caused damage to villages, buildings, farmland, etc., which seriously threatened the mining area's living environment and ecological environment. This study proposes a pressure-state-response concept model based on mining land subsidence to build an evaluation index system in coal mines. Based on this index system, given the uncertainty in the evaluation process, the cloud model is used to represent the index weight and comprehensive evaluation calculations, which fully consider the randomness and ambiguity in the evaluation process. The mining land subsidence of several mining areas in China was evaluated and classified into three grades (slight-medium-strong). The cloud model assessment results are compared with the result of the probability integration method and the actual situation. The assessment results of the cloud model are closer to the actual situation than the probability integration method. This shows that the established mining land subsidence evaluation method based on the cloud model in this study is reasonable and feasible. The mining width and height ratio, depth and height ratio, and coal seam dip angle affect mining land subsidence. Therefore, improving the mining method to deal with the goaf reasonably and optimizing the mining design to control the influence range of mining are essential measures to reduce mining land subsidence and protect the ecological environment of mining areas.


Assuntos
Minas de Carvão , China , Carvão Mineral , Minas de Carvão/métodos , Meio Ambiente , Modelos Teóricos
4.
Nat Prod Res ; 35(4): 702-706, 2021 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-30942104

RESUMO

The antioxidant effect of 95% ethanol extract and its three subfractions, PE (petroleum ether), EtOAc (ethyl acetate), and water extracts, from Gannanzao navel orange peel, were evaluated by ABTS (2,2'-azino-bis(3-ethylbenzothiazoline-6-sulphonic acid)), DPPH (1,1-diphenyl-2-picryl-hydrazyl) and FRAP (ferric reducing/antioxidant potential) methods for the first time. Furthermore, the TPC (total polyphenol content), TFC (total flavonoid content), and primary individual flavonoids of the four extracts were analyzed and compared. The results indicated that: (1) the EtOAc extract exhibited the best antioxidant potential among these four extracts in all three antioxidant bioassay platforms; (2) Corresponding to the antioxidant potential, the EtOAc extract contained the highest contents of both TPC and TFC; (3) Compared with other extracts, the EtOAc extract was significantly (p < 0.01) rich in the contents of narirutin, sinensetin, nobiletin, 4',5,6,7-tetramethoxyflavone, and 3,3',4',5,6,7-hexamethoxyflavone, which might be the main bioactive compounds responsible for the excellent antioxidant potential of EtOAc extract.


Assuntos
Antioxidantes/farmacologia , Citrus sinensis/química , Flavonoides/análise , Extratos Vegetais/farmacologia , Benzotiazóis/química , Compostos de Bifenilo/química , Cromatografia Líquida de Alta Pressão , Flavonoides/química , Ferro/metabolismo , Oxirredução , Picratos/química , Extratos Vegetais/química , Polifenóis/análise , Ácidos Sulfônicos/química
5.
Clin Respir J ; 14(5): 447-452, 2020 May.
Artigo em Inglês | MEDLINE | ID: mdl-31916391

RESUMO

INTRODUCTION: Rapid on-site evaluation (ROSE) has the potential to increase endobronchial ultrasound transbronchial lung biopsy with guide sheath (EBUS-GS-TBLB) accuracy in the diagnosis of peripheral lung cancer. However, studies have reported controversial results. OBJECTIVES: The aim of the study was to evaluate the diagnosis value of EBUS-GS-TBLB combination with ROSE in peripheral lung cancer. METHODS: A total of 138 patients undergoing EBUS-GS-TBLB and ultimately diagnosed with lung cancer were allocated into the ROSE group and non-ROSE group. The result of the diagnostic yields, number of biopsy sites, the complication, cytopathological diagnostic cost and procedure times of EBUS-GS-TBLB with ROSE and without ROSE were compared. RESULTS: The diagnostic yields of TBLB were 87.8% and 78.1% in ROSE group and non-ROSE group, respectively (P < .05). The number of biopsy, procedure times and the percentage of the complication in ROSE group was significantly lower than in non-ROSE group (P < .05, respectively). The cytopathological diagnostic cost of ROSE group was lower compared with non-ROSE group (P < .05). CONCLUSIONS: EBUS-GS-TBLB combined with ROSE could be helpful to diagnose peripheral lung cancer, and could reduce the number of biopsy, procedure times, cytopathological diagnostic cost and complication.


Assuntos
Endossonografia/métodos , Biópsia Guiada por Imagem/instrumentação , Biópsia Guiada por Imagem/estatística & dados numéricos , Neoplasias Pulmonares/patologia , Adulto , Idoso , Broncoscopia/métodos , China/epidemiologia , Feminino , Humanos , Biópsia Guiada por Imagem/economia , Pulmão/patologia , Neoplasias Pulmonares/diagnóstico por imagem , Masculino , Pessoa de Meia-Idade , Estudos Prospectivos , Fatores de Tempo , Tomografia Computadorizada por Raios X/métodos
6.
Lung Cancer ; 139: 118-123, 2020 01.
Artigo em Inglês | MEDLINE | ID: mdl-31775086

RESUMO

OBJECTIVES: The 2015 World Health Organization classification defines pulmonary large-cell neuroendocrine carcinoma (LCNEC) as a high-grade neuroendocrine carcinoma. However, the clinical characteristics and prognostic factors of pure LCNEC and combined LCNEC remain unclear. Hence, we performed a multi-center retrospective study to compare the clinical outcomes of pure versus combined LCNEC. MATERIALS AND METHODS: Data from 381 patients with pulmonary LCNEC admitted to 17 Chinese institutes between 2009 and 2016 were collected retrospectively. Clinical characteristics and prognosis were analyzed among patients receiving adjuvant (adjuvant group; n = 56) and first-line (first-line group; n = 146) chemotherapy, as well as among patients receiving small cell lung cancer (SCLC) and non-SCLC (NSCLC) chemotherapy regimens. The Kaplan-Meier method and multivariable Cox regression were used to identify clinicopathological variables that might influence patient outcomes. RESULTS: Expression levels of neuroendocrine markers (synaptophysin, chromogranin-A, CD56) were associated with patients' prognosis in the total study cohort. In the adjuvant group, median disease-free survival was non-significantly longer for SCLC-based regimens than for NSCLC-based regimens (P = 0.112). In the first-line group, median progression-free survival was significantly longer for SCLC-based regimens than for NSCLC-based regimens (11.5 vs. 7.2 months, P = 0.003). Among patients with combined LCNEC, adenocarcinoma was the most common combined component, accounting for 70.0 % of cases. Additionally, median overall survival was non-significantly shorter for combined LCNEC than for pure LCNEC (P = 0.083). CONCLUSION: The SCLC regimen is a more effective choice, as either first-line or adjuvant chemotherapy, when compared to the NSCLC regimen for LCNEC treatment. Further studies are needed to clarify the survival differences between patients with pure-, and combined LCNEC.


Assuntos
Protocolos de Quimioterapia Combinada Antineoplásica/uso terapêutico , Carcinoma de Células Grandes/mortalidade , Carcinoma Neuroendócrino/mortalidade , Carcinoma Pulmonar de Células não Pequenas/mortalidade , Disparidades nos Níveis de Saúde , Neoplasias Pulmonares/mortalidade , Carcinoma de Pequenas Células do Pulmão/mortalidade , Adulto , Idoso , Idoso de 80 Anos ou mais , Carcinoma de Células Grandes/tratamento farmacológico , Carcinoma de Células Grandes/patologia , Carcinoma Neuroendócrino/tratamento farmacológico , Carcinoma Neuroendócrino/patologia , Carcinoma Pulmonar de Células não Pequenas/tratamento farmacológico , Carcinoma Pulmonar de Células não Pequenas/patologia , Feminino , Seguimentos , Humanos , Neoplasias Pulmonares/tratamento farmacológico , Neoplasias Pulmonares/patologia , Masculino , Pessoa de Meia-Idade , Prognóstico , Estudos Retrospectivos , Carcinoma de Pequenas Células do Pulmão/tratamento farmacológico , Carcinoma de Pequenas Células do Pulmão/patologia , Taxa de Sobrevida , Adulto Jovem
7.
Spectrochim Acta A Mol Biomol Spectrosc ; 222: 117239, 2019 Nov 05.
Artigo em Inglês | MEDLINE | ID: mdl-31202031

RESUMO

A novel fluorescent graft conjugated polymer (poly (2, 5-bis (Polyethylene glycol oxybutyrate)-1, 4-phenylethynylene-alt-1, 4-phenyleneethynylene, PPE-OB-PEG) has been designed and synthesized for the determination of aristolochic acid (AA). The detection conditions and detection characters of PPE-OB-PEG were systematically explored in this work. The fluorescence intensity of PPE-OB-PEG changes with the different concentration of AA. PPE-OB-PEG has a good linear range towards AA from 1.00 × 10-7 to 8.00 × 10-5 mol L-1 and the limit of detection (LOD) is 3.00 × 10-8 mol L-1 (S/N = 3). PPE-OB-PEG have been applied to detect AA in traditional Chinese medicine samples and the results are satisfactory. The experimental results show that PPE-OB-PEG can be used as a fluorescence probe for rapid and sensitive detection of AA.


Assuntos
Alcinos/química , Ácidos Aristolóquicos/análise , Medicamentos de Ervas Chinesas/química , Éteres/química , Corantes Fluorescentes/química , Polietilenoglicóis/química , Espectrometria de Fluorescência/economia , Espectrometria de Fluorescência/métodos , Fatores de Tempo
8.
J Phys Chem B ; 122(22): 5790-5796, 2018 06 07.
Artigo em Inglês | MEDLINE | ID: mdl-29733603

RESUMO

Helicases harness the energy of nucleotide triphosphate hydrolysis to unwind double-stranded DNA (dsDNA) in discrete steps. In spite of intensive studies, the mechanism of stepping is still poorly understood. Here, we applied single-molecule fluorescent resonant energy transfer to characterize the stepping of two nonring helicases, Escherichia coli RecQ ( E. coli RecQ) and Saccharomyces cerevisiae Pif1 (ScPif1). Our data showed that when forked dsDNA with free overhangs are used as substrates, both E. coli RecQ and ScPif1 unwind the dsDNA in nonuniform steps that distribute over broad ranges. When tension is exerted on the overhangs, the overall profile of the step-size distribution of ScPif1 is narrowed, whereas that of E. coli RecQ remains unchanged. Moreover, the measured step sizes of the both helicases concentrate on integral multiples of a half base pair. We propose a universal stepping mechanism, in which a helicase breaks one base pair at a time and sequesters the nascent nucleotides and then releases them after a random number of base-pair breaking events. The mechanism can interpret the observed unwinding patterns quantitatively and provides a general view of the helicase activity.


Assuntos
DNA Helicases/metabolismo , DNA/metabolismo , RecQ Helicases/metabolismo , Proteínas de Saccharomyces cerevisiae/metabolismo , Trifosfato de Adenosina/metabolismo , Pareamento de Bases , DNA/química , DNA Helicases/química , DNA Helicases/genética , Escherichia coli/enzimologia , Transferência Ressonante de Energia de Fluorescência , Cinética , Método de Monte Carlo , Conformação de Ácido Nucleico , RecQ Helicases/química , RecQ Helicases/genética , Proteínas Recombinantes/biossíntese , Proteínas Recombinantes/química , Proteínas Recombinantes/isolamento & purificação , Saccharomyces cerevisiae/enzimologia , Proteínas de Saccharomyces cerevisiae/química , Proteínas de Saccharomyces cerevisiae/genética
9.
Oncol Lett ; 14(4): 4499-4504, 2017 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-28943958

RESUMO

This study assessed the clinical efficacy of the neoadjuvant chemotherapy TAC scheme in treatment of patients with locally advanced breast cancer, and the value of the level of Ras association domain family 1A (RASSF1A) gene methylation and the Wnt inhibitory factor (WIF)-1 gene in tissue and serum of patients in clinical outcome prediction. In total, 126 patients were consecutively selected to receive TAC scheme (docetaxel, pirarubicin/epirubicin and cyclophosphamide) for at least four cycles with the total effective rate. The incidence of complications, progression-free survival and survival rate were recorded. Tumor tissues and peripheral blood samples collected in this study was used to detect methylation positive rate of RASSF1A and WIF-1 by methylation-specific PCR method and the relative level of expression of RASSF1A and WIF-1 mRNA by reverse transcription PCR method. Of the 126 patients, there were 18 cases with complete response (CR), 32 cases with partial response (PR), 50 cases with stable disease (SD), and 26 cases with disease progression (PD) with a total effective rate of 79.37%. Comparison on baseline data of effective group and ineffective group showed no difference (P>0.05), and comparison on adverse reactions occurrence showed no difference (P>0.05). Progression-free survival of the effective group was prolonged with a significant increase in survival rate (P<0.05). Positive rates of RASSF1A methylation and WIF-1 in tissue and serum of the patients in the effective group were significantly lower than those in the ineffective group, but the mRNA of RASSF1A and WIF-mRNA was significantly higher than the ineffective group (P<0.05). The sensitivity of clinical outcome prediction using tissue RASSF1A methylation was 67.0%, the specificity 15.4%, positive predictive value 69.0% and negative predictive value 31.0%. The above-mentioned indexes of tissue WIF-1 were 76.0, 31.4, 72.2 and 27.8, respectively. The indexes of serum RASSF1A were 85.0, 50.0, 76.2 and 23.8%, respectively, and the indexes of serum WIF-1 were 94.0, 75.0, 81.0 and 19.0%, respectively. The receiver operating characteristic curve analysis suggested that the accuracy of clinical outcome prediction using tissue RASSF1A mRNA level was 0.812. The sensitivity 85.2%, the specificity 76.3% and the critical value 0.4256. These indexes of tissue WIF-1 were 0.833, 86.7%, 75.4% and 0.3562 for CR, PR, SD and PD, respectively. These indexes of serum RASSF1A were 0.864, 88.3%, 77.4% and 0.2564, respectively, and for serum WIF-1 were 0.882, 89.4%, 73.5% and 0.1562, respectively. In conclusion, the detection of RASSF1A and WIF-1 gene methylation and level of mRNA expression in tissue and serum of patients with locally advanced breast cancer has an important application value in predicting clinical efficacy of neoadjuvant chemotherapy of the TAC scheme.

10.
J Epidemiol ; 27(9): 401-407, 2017 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-28778528

RESUMO

BACKGROUND: The associations of occupational activity (OA), commuting, leisure-time physical activity (LTPA), and sitting with overweight/obesity in working adults are controversial. This study explored these factors with the risk of overall and abdominal overweight/obesity in a Chinese working population and whether these associations differ by gender. METHODS: A cross-sectional study was conducted. Data analysis was done among 6739 employed participants. Multivariate logistic regression was used to estimate the odds ratios (ORs) and 95% confidence intervals (CIs) for the studied associations. RESULTS: For male employees, those with heavy OA had a lower overall (OR 0.76; 95% CI, 0.62-0.93) and abdominal (OR 0.76; 95% CI, 0.62-0.93) overweight/obesity risk than those with light OA. Those with LTPA ≥150 min/week had a lower risk of overall (OR 0.73; 95% CI, 0.56-0.96) and abdominal (OR 0.70; 95% CI, 0.53-0.91) overweight/obesity than those with LTPA <150 min/week. Men with leisure-sitting time <2.5 h/day had a significantly lower risk of abdominal overweight/obesity than those sitting ≥4 h/day (OR 0.80; 95% CI, 0.65-0.99). And men who cycled to/from work had a lower risk of overall (OR 0.69; 95% CI, 0.53-0.90) and abdominal overweight/obesity (OR 0.71; 95% CI, 0.54-0.92) than passive transports. However, the above significant associations disappeared among female employees. CONCLUSIONS: Heavy OA, cycling to/from work, and LTPA were associated with lower risk of overall or abdominal overweight/obesity in male employees. Reducing leisure sitting time can also help male employees reduce the risk of abdominal overweight/obesity. More research on gender disparity in the risk of overweight and obesity should be done.


Assuntos
Emprego , Exercício Físico , Disparidades nos Níveis de Saúde , Atividades de Lazer , Sobrepeso/epidemiologia , Postura , Meios de Transporte/estatística & dados numéricos , Adolescente , Adulto , Idoso , China/epidemiologia , Estudos Transversais , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Obesidade/epidemiologia , Fatores de Risco , Comportamento Sedentário , Distribuição por Sexo , Fatores de Tempo , Adulto Jovem
11.
PLoS One ; 11(2): e0149075, 2016.
Artigo em Inglês | MEDLINE | ID: mdl-26862757

RESUMO

OBJECTIVE: To prepare arginine-glycine-aspartate (RGD)-targeted ultrasound contrast microbubbles (MBs) and explore the feasibility of their use in assessing dynamic changes in αvß3 integrin expression in a murine model of tumor angiogenesis. METHODS: RGD peptides were conjugated to the surfaces of microbubbles via biotin-avidin linkage. Microbubbles bearing RADfK peptides were prepared as controls. The RGD-MBs were characterized using an Accusizer 780 and optical microscopy. The binding specificity of the RGD-MBs for ανß3-expressing endothelial cells (bEnd.3) was demonstrated in vitro by a competitive inhibition experiment. In an in vivo study, mice bearing tumors of three different stages were intravenously injected with RGD-MBs and subjected to targeted, contrast-enhanced, high-frequency ultrasound. Subsequently, tumors were harvested and sectioned for immunofluorescence analysis of ανß3 expression. RESULTS: The mean size of the RGD-MBs was 2.36 ± 1.7 µm. The RGD-MBs showed significantly higher adhesion levels to bEnd.3 cells compared to control MBs (P < 0.01). There was rarely binding of RGD-MBs to αvß3-negative MCF-7 cells. Adhesion of the RGD-MBs to the bEnd.3 cells was significantly inhibited following treatment with anti-alpha(v) antibodies. The quantitative acoustic video intensity for high-frequency, contrast-enhanced ultrasound imaging of subcutaneous human laryngeal carcinoma (Hep-2) tumor xenografts was significantly higher in small tumors (19.89 ± 2.49) than in medium tumors (11.25 ± 2.23) and large tumors (3.38 ± 0.67) (P < 0.01). CONCLUSIONS: RGD-MBs enable noninvasive in vivo visualization of changes in tumor angiogenesis during tumor growth in subcutaneous cancer xenografts.


Assuntos
Meios de Contraste/química , Integrina alfaVbeta3/metabolismo , Microbolhas , Neovascularização Patológica/diagnóstico por imagem , Oligopeptídeos/química , Acústica , Animais , Avidina/química , Ligação Competitiva , Biotina/química , Adesão Celular , Linhagem Celular , Linhagem Celular Tumoral , Modelos Animais de Doenças , Células Endoteliais/citologia , Feminino , Humanos , Células MCF-7 , Camundongos , Camundongos Endogâmicos BALB C , Camundongos Nus , Microscopia de Fluorescência , Transplante de Neoplasias , Peptídeos/química , Ligação Proteica , Ultrassonografia/métodos , Gravação em Vídeo
12.
Small ; 10(12): 2413-8, 2014 Jun 25.
Artigo em Inglês | MEDLINE | ID: mdl-24599559

RESUMO

A unique combined pore approach to the sensitive detection of human insulin is developed. Through a systematic study to understand the impact of pore size and surface chemistry of nanoporous materials on their enrichment and purification performance, the advantages of selected porous materials are integrated to enhance detection sensitivity in a unified two-step process. In the first purification step, a rationally designed large pore material (ca. 100 nm in diameter) is chosen to repel the interferences from nontarget molecules. In the second enrichment step, a hydrophobically modified mesoporous material with a pore size of 5 nm is selected to enrich insulin molecules. A low detection limit of 0.05 ng mL(-1) in artificial urine is achieved by this advanced approach, similar to most antibody-based analysis protocols. This designer approach is efficient and low cost, and thus has great potential in the sensitive detection of biomolecules in complex biological systems.


Assuntos
Técnicas Biossensoriais , Insulina/análise , Técnicas Biossensoriais/economia , Técnicas Biossensoriais/instrumentação , Técnicas Biossensoriais/métodos , Desenho de Equipamento/economia , Humanos , Interações Hidrofóbicas e Hidrofílicas , Insulina/isolamento & purificação , Insulina/urina , Limite de Detecção , Porosidade , Sensibilidade e Especificidade , Dióxido de Silício/química , Urinálise/instrumentação , Urinálise/métodos
13.
Am J Hum Genet ; 92(4): 547-57, 2013 Apr 04.
Artigo em Inglês | MEDLINE | ID: mdl-23541341

RESUMO

Clinical trials for preventative therapies are complex and costly endeavors focused on individuals likely to develop disease in a short time frame, randomizing them to treatment groups, and following them over time. In such trials, statistical power is governed by the rate of disease events in each group and cost is determined by randomization, treatment, and follow-up. Strategies that increase the rate of disease events by enrolling individuals with high risk of disease can significantly reduce study size, duration, and cost. Comprehensive study of common, complex diseases has resulted in a growing list of robustly associated genetic markers. Here, we evaluate the utility--in terms of trial size, duration, and cost--of enriching prevention trial samples by combining clinical information with genetic risk scores to identify individuals at greater risk of disease. We also describe a framework for utilizing genetic risk scores in these trials and evaluating the associated cost and time savings. With type 1 diabetes (T1D), type 2 diabetes (T2D), myocardial infarction (MI), and advanced age-related macular degeneration (AMD) as examples, we illustrate the potential and limitations of using genetic data for prevention trial design. We illustrate settings where incorporating genetic information could reduce trial cost or duration considerably, as well as settings where potential savings are negligible. Results are strongly dependent on the genetic architecture of the disease, but we also show that these benefits should increase as the list of robustly associated markers for each disease grows and as large samples of genotyped individuals become available.


Assuntos
Diabetes Mellitus Tipo 1/prevenção & controle , Diabetes Mellitus Tipo 2/prevenção & controle , Testes Genéticos/estatística & dados numéricos , Variação Genética/genética , Genótipo , Degeneração Macular/prevenção & controle , Infarto do Miocárdio/prevenção & controle , Projetos de Pesquisa , Ensaios Clínicos como Assunto , Análise Custo-Benefício , Diabetes Mellitus Tipo 1/genética , Diabetes Mellitus Tipo 2/genética , Humanos , Degeneração Macular/genética , Modelos Estatísticos , Infarto do Miocárdio/genética , Fenótipo , Fatores de Risco
14.
Psychiatr Genet ; 23(2): 86-9, 2013 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-23277130

RESUMO

Altered intracellular calcium homeostasis and oxidative stress are involved in the pathophysiology of bipolar disorder (BD)-I. To explore the genes contributing to these abnormalities, we examined the association with BD of the iPLA2ß (PLA2G6), a signaling enzyme that mobilizes the arachidonic acid signaling cascade and activates oxidative stress, and assessed whether it interacts genetically with type 2 transient receptor potential channel gene (TRPM2), an oxidative stress-responsive calcium channel implicated both functionally and genetically in BD-I. Two tag single nucleotide polymorphisms rs4375 and rs3788533 in iPLA2ß were genotyped in 446 White case-control individuals and 296 BD families using a 5'-nuclease TaqMan assay. The results were analyzed using χ-test and transmission disequilibrium tests, and Haploview. In a secondary analysis, we tested gene-gene interactions between TRPM2 and iPLA2ß on BD vulnerability by logistic regression using a case-only design in PLINK. iPLA2ß-rs3788533 showed a borderline association with BD-I in patients with a history of psychosis in both case-control and family designs. Association with BD as a whole was observed in the family study (significant over transmissions of rs3788533-allele C, P=0.015, PBonferroni=0.03, TDTPHASE). A borderline interaction was found between rs749909 within TRPM2 and rs4375 within iPLA2ß (Puncorrected=0.009), on the basis of the case-only design analyzed with PLINK. A significant association of iPLA2ß variants with BD-I and a trend gene-gene interaction between iPLA2ß and TRPM2 provides additional support for the notion that genetic variation in these two functionally implicated candidates contributes toward the risk and pathophysiology of this illness.


Assuntos
Transtorno Bipolar/genética , Epistasia Genética , Estudos de Associação Genética , Predisposição Genética para Doença , Fosfolipases A2 do Grupo VI/genética , Polimorfismo de Nucleotídeo Único/genética , Canais de Cátion TRPM/genética , Alelos , Estudos de Casos e Controles , Humanos
15.
Huan Jing Ke Xue ; 33(8): 2599-606, 2012 Aug.
Artigo em Chinês | MEDLINE | ID: mdl-23213879

RESUMO

The concentrations of Cr, Co, Ni, Cu, Zn, Pb, Cd, As and Hg in surface sediment samples of Yangtze River collected in 2007 were analyzed and evaluated. The results indicated that the concentrations of Cu, Zn, Pb, Cd, As and Hg were significantly higher than those measured in 1990s. Principal component analysis showed that the cumulative proportion of the first three components accounted for 86.75% of the total variable, indicating the three major sources of heavy metals were industrial and mining wastewater, weathering and erosion of rocks, and urban electroplating industry wastewater and natural sources. Geoaccumulation index (Igeo) and enrichment factors (EF) also showed that the surface sediments of the Yangtze River were not contaminated with Cr, Co and Ni, lightly contaminated with Cu, Zn, As and Hg, and majorly contaminated with Ph and Cd. The ecological hazards for the heavy metals in the sediments were evaluated with the Hakanson ecological risk index. It was concluded the ecological hazards for each metal in a descending order were Cd > Hg > As > Zn > Pb > Cu > Co > Ni > Cr. The comprehensive index of potential ecological risks for metals indicated that 36% of the 61 sites had moderate potential ecological risks. Three sites had a high potential ecological risk, namely, Chongqing site of the main Yangtze River, Zishui Dongting Lake and Xinjiang site, whereas Xiangjiang Hengyang section, Xiangjiang Zhuzhou section, Xiangjiang Dongting Lake entrance, Dongting Lake and Shunan River belonged to the areas with extremely high potential ecological risk.


Assuntos
Ecossistema , Sedimentos Geológicos/análise , Metais Pesados/análise , Rios , Poluentes Químicos da Água/análise , Arsênio/análise , China , Cromo/análise , Mercúrio/análise , Análise de Componente Principal , Medição de Risco
16.
Artigo em Chinês | MEDLINE | ID: mdl-23302190

RESUMO

OBJECTIVE: To explore the assessment methods of dysphagia. METHODS: The data of 37 patients with dysphagia were retrospectively analyzed. These patients took the Kubota drinking test, Tengdao's evaluation, videofluoroscopic swallowing study (VFSS) and fiberoptic endoscopic evaluation of swallowing (FEES). RESULTS: Fourteen out of thirty-seventh patients showed abnormal results during Kubota drinking test. Tengdao's evaluation results showed that 29/37 patients were abnormal. There 27/37 and 33/37 patients showed abnormalities in positive-aspiration score and swallow dysfunction score of VFSS. The number of abnormal patients in aspiration score of FEES was 19/21. The Kappa values were 0.137, 0.416 between Kubota drinking test. Tengdao's evaluation and VFSS. The FEES was measured against the VFSS for sensibility, specificity, positive predictive value, and negative predictive value, the values were 88.9%, 66.7%, 94.1% and 50.0%. CONCLUSIONS: Kubota drinking test and Tengdao's evaluation can be applied for screening purpose and evaluating result after treatment; VFSS and FEES can be used as more accurate assessments, they can study the dysphagia's character, position and severity. The combination of a variety of dysphagia evaluation methods is the most important basis for diagnosis and treatment of deglutition disorders.


Assuntos
Transtornos de Deglutição/diagnóstico , Adolescente , Adulto , Idoso , Idoso de 80 Anos ou mais , Deglutição , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Estudos Retrospectivos , Adulto Jovem
17.
Huan Jing Ke Xue ; 28(9): 2035-40, 2007 Sep.
Artigo em Chinês | MEDLINE | ID: mdl-17990553

RESUMO

A composite flocculant (denoted JYF-1), made of polyaluminum chloride (PAC) and polydimethyldiallyammonium chloride (PDMDAAC), was used in jar-tests to simulate the chemically enhanced primary treatment (CEPT) for municipal wastewater. Removal of particles, organic compounds, nitrogen and phosphorus in wastewater was investigated, and the effects of pH and surface overflow rate (SOR) on flocculation were also examined. Electrical charge and distribution of particles in wastewater were analyzed before and after flocculation. Furthermore, the flocculation mechanism and application of JYF-1 in CEPT were discussed. The results demonstrate that JYF-1 performs better than PAC under a wide pH and SOR range. When 8 mg x L(-1) JYF-1 is added, 76.72% COD and 64.31% soluble COD (SCOD) can be removed. About 90% soluble TP (STP), 80% TP and 20% TN can be removed by addition of 12 mg x L(-1) JYF-1. After flocculation, the BOD/COD ratio increases from 0.23 to 0.53, which indicates the biodegradation ability of wastewater is improved. It can be concluded that JYF-1 is a high-efficiency low-cost flocculant, which can improve outlet water quality and produce less sludge without changing the existing equipments and treating process in sewage plants.


Assuntos
Compostos de Alumínio/química , Cloretos/química , Nitrogênio/química , Fósforo/química , Eliminação de Resíduos Líquidos/métodos , Purificação da Água/métodos , Cloreto de Alumínio , Cidades , Floculação , Reprodutibilidade dos Testes , Eliminação de Resíduos Líquidos/economia , Purificação da Água/economia
18.
Zhejiang Da Xue Xue Bao Yi Xue Ban ; 36(4): 386-90, 2007 07.
Artigo em Chinês | MEDLINE | ID: mdl-17717832

RESUMO

OBJECTIVE: To predict the plasma protein binding rate of cephalosporins from their molecular structural parameters. METHODS: The minimum energy conformations of cephalosporins were obtained from the optimization of the standard molecular geometry with the semiempirical self-consistent field molecular orbital calculation AM1 method; Mont Carlo method was used to calculate the polar molecular surface areas; the stepwise multiple regression analysis was used to obtain the correlation equations. RESULTS: The plasma protein binding rate of cephalosporins (fb) was well correlated with their molecular weights (MW) and surface areas of hydrogen-bonding donors (SH). The regression equation was: fb=0.5057+2.861x10(-3) MW-0.1572SH+4.714x10(-3) SH2(n=22, r=0.9042). CONCLUSION: Plasma protein binding of cephalosporins is closely related with their lipophilicity and hydrogen- bonding potential. The plasma protein binding rate of cephalosporins can be predicted from their molecular weights and surface areas of hydrogen-bonding donors.


Assuntos
Proteínas Sanguíneas/metabolismo , Cefalosporinas/química , Cefalosporinas/metabolismo , Algoritmos , Sítios de Ligação , Humanos , Ligação de Hidrogênio , Peso Molecular , Método de Monte Carlo , Ligação Proteica , Análise de Regressão
SELEÇÃO DE REFERÊNCIAS
DETALHE DA PESQUISA