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1.
Hepatology ; 2024 Jun 05.
Artículo en Inglés | MEDLINE | ID: mdl-38836646

RESUMEN

Liver diseases contribute to approximately 2 million deaths each year and account for 4% of all deaths globally. Despite various treatment options, the management of liver diseases remains challenging. Physical exercise is a promising non-pharmacological approach to maintain and restore homeostasis and effectively prevent and mitigate liver diseases. In this review, we delve into the mechanisms of physical exercise in preventing and treating liver diseases, highlighting its effects on improving insulin sensitivity, regulating lipid homeostasis, and modulating immune function. Additionally, we evaluate the impact of physical exercise on various liver diseases, including liver ischemia/reperfusion (I/R) injury, cardiogenic liver disease, metabolic dysfunction-associated steatotic liver disease (MASLD), portal hypertension (PH), cirrhosis, and liver cancer. In conclusion, the review underscores the effectiveness of physical exercise as a beneficial intervention in combating liver diseases.

2.
J Hum Genet ; 2024 Jun 12.
Artículo en Inglés | MEDLINE | ID: mdl-38866925

RESUMEN

BACKGROUND: Intronic GAA repeat expansion ([GAA] ≥250) in FGF14 is associated with the late-onset neurodegenerative disorder, spinocerebellar ataxia 27B (SCA27B, GAA-FGF14 ataxia). We aim to determine the prevalence of the GAA repeat expansion in FGF14 in Chinese populations presenting late-onset cerebellar ataxia (LOCA) and evaluate the characteristics of tandem repeat inheritance, radiological features and sympathetic nerve involvement. METHODS: GAA-FGF14 repeat expansion was screened in an undiagnosed LOCA cohort (n = 664) and variations in repeat-length were analyzed in families of confirmed GAA-FGF14 ataxia patients. Brain magnetic resonance imaging (MRI) was used to evaluate the radiological feature in GAA-FGF14 ataxia patients. Clinical examinations and sympathetic skin response (SSR) recordings in GAA-FGF14 patients (n = 16) were used to quantify sympathetic nerve involvement. RESULTS: Two unrelated probands (2/664) were identified. Genetic screening for GAA-FGF14 repeat expansion was performed in 39 family members, 16 of whom were genetically diagnosed with GAA-FGF14 ataxia. Familial screening revealed expansion of GAA repeats in maternal transmissions, but contraction upon paternal transmission. Brain MRI showed slight to moderate cerebellar atrophy. SSR amplitude was lower in GAA-FGF14 patients in pre-symptomatic stage compared to healthy controls, and further decreased in the symptomatic stage. CONCLUSIONS: GAA-FGF14 ataxia was rare among Chinese LOCA cases. Parental gender appears to affect variability in GAA repeat number between generations. Reduced SSR amplitude is a prominent feature in GAA-FGF14 patients, even in the pre-symptomatic stage.

3.
Ann Neurol ; 93(2): 244-256, 2023 02.
Artículo en Inglés | MEDLINE | ID: mdl-36088542

RESUMEN

OBJECTIVE: Despite the increasing number of genes associated with Charcot-Marie-Tooth (CMT) disease, many patients currently still lack appropriate genetic diagnosis for this disease. Autosomal dominant mutations in aminoacyl-tRNA synthetases (ARSs) have been implicated in CMT. Here, we describe causal missense mutations in the gene encoding seryl-tRNA synthetase 1 (SerRS) for 3 families affected with CMT. METHODS: Whole-exome sequencing was performed in 16 patients and 14 unaffected members of 3 unrelated families. The functional impact of the genetic variants identified was investigated using bioinformatic prediction tools and confirmed using cellular and biochemical assays. RESULTS: Combined linkage analysis for the 3 families revealed significant linkage (Zmax LOD = 6.9) between the genomic co-ordinates on chromosome 1: 108681600-110300504. Within the linkage region, heterozygous SerRS missense variants segregated with the clinical phenotype in the 3 families. The mutant SerRS proteins exhibited reduced aminoacylation activity and abnormal SerRS dimerization, which suggests the impairment of total protein synthesis and induction of eIF2α phosphorylation. INTERPRETATION: Our findings suggest the heterozygous SerRS variants identified represent a novel cause for autosomal dominant CMT. Mutant SerRS proteins are known to impact various molecular and cellular functions. Our findings provide significant advances on the current understanding of the molecular mechanisms associated with ARS-related CMT. ANN NEUROL 2023;93:244-256.


Asunto(s)
Enfermedad de Charcot-Marie-Tooth , Serina-ARNt Ligasa , Humanos , Enfermedad de Charcot-Marie-Tooth/genética , Enfermedad de Charcot-Marie-Tooth/metabolismo , Serina-ARNt Ligasa/genética , Mutación , Heterocigoto , Mutación Missense/genética
4.
Mol Psychiatry ; 28(4): 1636-1646, 2023 04.
Artículo en Inglés | MEDLINE | ID: mdl-36460724

RESUMEN

The amygdala, orbitofrontal cortex (OFC) and medial prefrontal cortex (mPFC) form a crucial part of the emotion circuit, yet their emotion induced responses and interactions have been poorly investigated with direct intracranial recordings. Such high-fidelity signals can uncover precise spectral dynamics and frequency differences in valence processing allowing novel insights on neuromodulation. Here, leveraging the unique spatio-temporal advantages of intracranial electroencephalography (iEEG) from a cohort of 35 patients with intractable epilepsy (with 71 contacts in amygdala, 31 in OFC and 43 in mPFC), we assessed the spectral dynamics and interactions between the amygdala, OFC and mPFC during an emotional picture viewing task. Task induced activity showed greater broadband gamma activity in the negative condition compared to positive condition in all the three regions. Similarly, beta activity was increased in the negative condition in the amygdala and OFC while decreased in mPFC. Furthermore, beta activity of amygdala showed significant negative association with valence ratings. Critically, model-based computational analyses revealed unidirectional connectivity from mPFC to the amygdala and bidirectional communication between OFC-amygdala and OFC-mPFC. Our findings provide direct neurophysiological evidence for a much-posited model of top-down influence of mPFC over amygdala and a bidirectional influence between OFC and the amygdala. Altogether, in a relatively large sample size with human intracranial neuronal recordings, we highlight valence-dependent spectral dynamics and dyadic coupling within the amygdala-mPFC-OFC network with implications for potential targeted neuromodulation in emotion processing.


Asunto(s)
Amígdala del Cerebelo , Corteza Prefrontal , Humanos , Vías Nerviosas/fisiología , Corteza Prefrontal/fisiología , Amígdala del Cerebelo/fisiología , Lóbulo Frontal , Emociones/fisiología
5.
Langmuir ; 40(13): 6786-6805, 2024 Apr 02.
Artículo en Inglés | MEDLINE | ID: mdl-38503426

RESUMEN

Traditional heterogeneous catalysts are affected in the catalytic hydrogenation of PS by the scale effect, viscosity effect, adhesion effect, and conformational effect, resulting in poor activity and stability. Monolithic Pd-CNTs@FN catalysts could eliminate or weaken the impact of these negative effects. We grew nitrogen-doped carbon nanotubes (NCNTs) on monolithic-foamed nickel (FN) and investigate their growth mechanism. Meanwhile, the feasibility of using the NCNTs@FN carrier for PS hydrogenation reaction was also verified. The growth of NCNTs on FN can be divided into 3 stages: initial growth stage, stable growth stage, and supersaturation stage. Finally, a three-layer structure of NCNT layer, dense carbon layer, and FN skeleton is formed. Two types of structures, nickel-doped carbon nanotubes (NiCNTs) and C-Ni alloy, are formed by combining C and Ni, while four nitrogen-doped structures, NPD, NPR, NG, and NO, are formed by C and N. The prepared carrier exhibited an extremely outstanding specific surface area (2.829 × 106 cm2/g) and strength (no NCNTs falling off after 24 h 500 rpm agitation), as well as high catalytic activity for PS hydrogenation after loaded with Pd (2.13 ± 0.95 nm), with a TOF of up to 27.6 gPS/(gPd•h). After 8 repetitions of the catalyst, there was no significant decrease in activity. This proves the excellent performance of Pd-NCNTs@FN in polymer hydrogenation reactions, laying a solid foundation for further research on the mechanism of NCNTs promoting PS hydrogenation and regulating the growth of NCNTs.

6.
Macromol Rapid Commun ; 45(2): e2300467, 2024 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-37863475

RESUMEN

Conductive polymer hydrogels are vital in strain sensors, yet achieving high resilience and toughness is a challenge. This study employs a prestretch method to engineer a tough conductive polymer hydrogel with sufficient resilience. Initially, a blend film of polyvinylalcohol (PVA) and ethylene-vinyl alcohol copolymer (EVOH) is prepared through solution casting, followed by a swelling process to form a PVA-EVOH hydrogel. This hydrogel, with PVA crystallites as crosslinking points, exhibits high toughness. The hydrogel is then immersed in pyrrole and ferric chloride solutions for in-situ polymerization of polypyrrole (PPy), creating a conductive PPy/PVA-EVOH hydrogel. Finally, a 200% prestretch is applied, breaking short chains within the network, eliminating energy dissipation at low strains. This results in a hydrogel with a 100% elastic deformation range, while maintaining high fracture toughness (1700 J m-2 ). The prestretched PPy/PVA-EVOH hydrogel functions as a strain sensor with low hysteresis, providing consistent strain measurements during loading and unloading. This outperforms the non-prestretched sample, which shows inconsistent responses between stretching and releasing.


Asunto(s)
Polímeros , Resiliencia Psicológica , Hidrogeles , Pirroles , Alcohol Polivinílico , Conductividad Eléctrica
7.
Ann Neurol ; 92(3): 512-526, 2022 09.
Artículo en Inglés | MEDLINE | ID: mdl-35700120

RESUMEN

OBJECTIVE: Oculopharyngodistal myopathy (OPDM) is an adult-onset neuromuscular disease characterized by progressive ptosis, dysarthria, ophthalmoplegia, and distal muscle weakness. Recent studies revealed that GGC repeat expansions in 5'-UTR of LRP12, GIPC1, and NOTCH2NLC are associated with OPDM. Despite these advances, approximately 30% of OPDM patients remain genetically undiagnosed. Herein, we aim to investigate the genetic basis for undiagnosed OPDM patients in two unrelated Chinese Han families. METHODS: Parametric linkage analysis was performed. Long-read sequencing followed by repeat-primed polymerase chain reaction and amplicon length polymerase chain reaction were used to determine the genetic cause. Targeted methylation sequencing was implemented to detect epigenetic changes. The possible pathogenesis mechanism was investigated by quantitative polymerase chain reaction, immunoblotting, RNA fluorescence in situ hybridization, and immunofluorescence staining of muscle biopsy samples. RESULTS: The disease locus was mapped to 12q24.3. Subsequently, GGC repeat expansion in the promoter region of RILPL1 was identified in six OPDM patients from two families, findings consistent with a founder effect, designated as OPDM type 4. Targeted methylation sequencing revealed hypermethylation at the RILPL1 locus in unaffected individuals with ultralong expansion. Analysis of muscle samples showed no significant differences in RILPL1 mRNA or RILPL1 protein levels between patients and controls. Public CAGE-seq data indicated that alternative transcription start sites exist upstream of the RefSeq-annotated RILPL1 transcription start site. Strand-specific RNA-seq data revealed bidirectional transcription from the RILPL1 locus. Finally, fluorescence in situ hybridization/immunofluorescence staining showed that both sense and antisense transcripts formed RNA foci, and were co-localized with hnRNPA2B1 and p62 in the intranuclear inclusions of OPDM type 4 patients. INTERPRETATION: Our findings implicate abnormal GGC repeat expansions in the promoter region of RILPL1 as a novel genetic cause for OPDM, and suggest a methylation mechanism and a potential RNA toxicity mechanism are involved in OPDM type 4 pathogenesis. ANN NEUROL 2022;92:512-526.


Asunto(s)
Distrofias Musculares , Adulto , Humanos , Hibridación Fluorescente in Situ , Cuerpos de Inclusión Intranucleares/patología , Distrofias Musculares/genética , Linaje , ARN , Expansión de Repetición de Trinucleótido/genética
8.
Environ Res ; 238(Pt 2): 117186, 2023 12 01.
Artículo en Inglés | MEDLINE | ID: mdl-37741569

RESUMEN

Currently, the storage of coal gasification slag (CGS) is continuously increasing, as the coal gasification technology develops, posing significant environmental hazards. Due to its volcanic ash characteristics and rich residual carbon, CGS has great potential for resource utilization, which has attracted the attentions of many scholars. This paper firstly introduces the compositions and properties of CGS. Then, it reviews the existing utilization methods of CGS, including Preparation of building materials, carbon-ash separation technology, ecological restoration, and cyclic blending. The advantages and disadvantages of various methods are compared. Subsequently, some high-value utilization methods of coal gasification slag are introduced, such as the preparation of high-performance activated carbon and zeolite, of which the feasibility and advantages are evaluated. Finally, some suggestions are put forward for future developing technologies. This paper aims to provide some references and inspiration for the utilization and environmental protection of CGS.


Asunto(s)
Carbón Mineral , Conservación de los Recursos Naturales , Carbón Orgánico , Ceniza del Carbón
9.
Environ Sci Technol ; 56(23): 17288-17297, 2022 Dec 06.
Artículo en Inglés | MEDLINE | ID: mdl-36214751

RESUMEN

Desulfurization sorbent with a high active component utilization is of importance for the removal of H2S from coal gas at high temperatures. Thus, the hypothesis for producing ZnxCo3-xO4/carbon nanofiber sorbents via the combinations of electrospinning, in situ hydrothermal growth, and carbonization technique has been rationally constructed in this study. ZnxCo3-xO4 nanoparticles derived from metal-organic frameworks are uniformly loaded on the electrospun carbon nanofibers (CNFs) with high dispersion. ZnxCo3-xO4/CNFs sorbents possess the highest breakthrough sulfur adsorption capacity (12.4 g S/100 g sorbent) and an excellent utilization rate of the active component (83.2%). The excellent performance of ZnxCo3-xO4/CNFs can be attributed to the synergetic effect of the hierarchical structure and widely distributed ZnxCo3-xO4 on the CNFs supporter. The decomposition of Zn/Co-ZIFs not only generates the nucleus of oxides but also realizes their physical isolation through the formation of carbon grids on the surface of CNFs, avoiding the aggregation of oxides. Furthermore, ZnxCo3-xO4/CNFs sorbents show an overwhelming superiority over the ZnO/CNFs sorbent, which is attributed to the introduction of Co and then the promotion of the stability of Zn at high temperatures. The presence of Co also accelerates the adsorption of H2S on the active site of the oxide surface. The presented method is beneficial for promoting desulfurization performances and producing sorbents with high utilization of active components.

10.
Neuroimage ; 233: 117923, 2021 06.
Artículo en Inglés | MEDLINE | ID: mdl-33662572

RESUMEN

BACKGROUND: Intracranial electroencephalography (iEEG) recordings are used for clinical evaluation prior to surgical resection of the focus of epileptic seizures and also provide a window into normal brain function. A major difficulty with interpreting iEEG results at the group level is inconsistent placement of electrodes between subjects making it difficult to select contacts that correspond to the same functional areas. Recent work using time delay embedded hidden Markov model (HMM) applied to magnetoencephalography (MEG) resting data revealed a distinct set of brain states with each state engaging a specific set of cortical regions. Here we use a rare group dataset with simultaneously acquired resting iEEG and MEG to test whether there is correspondence between HMM states and iEEG power changes that would allow classifying iEEG contacts into functional clusters. METHODS: Simultaneous MEG-iEEG recordings were performed at rest on 11 patients with epilepsy whose intracranial electrodes were implanted for pre-surgical evaluation. Pre-processed MEG sensor data was projected to source space. Time delay embedded HMM was then applied to MEG time series. At the same time, iEEG time series were analyzed with time-frequency decomposition to obtain spectral power changes with time. To relate MEG and iEEG results, correlations were computed between HMM probability time courses of state activation and iEEG power time course from the mid contact pair for each electrode in equally spaced frequency bins and presented as correlation spectra for the respective states and iEEG channels. Association of iEEG electrodes with HMM states based on significant correlations was compared to that based on the distance to peaks in subject-specific state topographies. RESULTS: Five HMM states were inferred from MEG. Two of them corresponded to the left and the right temporal activations and had a spectral signature primarily in the theta/alpha frequency band. All the electrodes had significant correlations with at least one of the states (p < 0.05 uncorrected) and for 27/50 electrodes these survived within-subject FDR correction (q < 0.05). These correlations peaked in the theta/alpha band. There was a highly significant dependence between the association of states and electrodes based on functional correlations and that based on spatial proximity (p = 5.6e-6,χ2 test for independence). Despite the potentially atypical functional anatomy and physiological abnormalities related to epilepsy, HMM model estimated from the patient group was very similar to that estimated from healthy subjects. CONCLUSION: Epilepsy does not preclude HMM analysis of interictal data. The resulting group functional states are highly similar to those reported for healthy controls. Power changes recorded with iEEG correlate with HMM state time courses in the alpha-theta band and the presence of this correlation can be related to the spatial location of electrode contacts close to the individual peaks of the corresponding state topographies. Thus, the hypothesized relation between iEEG contacts and HMM states exists and HMM could be further explored as a method for identifying comparable iEEG channels across subjects for the purposes of group analysis.


Asunto(s)
Encéfalo/fisiología , Análisis de Datos , Electrocorticografía/métodos , Epilepsia/diagnóstico , Epilepsia/fisiopatología , Magnetoencefalografía/métodos , Adolescente , Adulto , Femenino , Humanos , Masculino , Cadenas de Markov , Persona de Mediana Edad , Adulto Joven
11.
Small ; 17(43): e2102233, 2021 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-34350695

RESUMEN

Current lithium-ion battery technology is approaching the theoretical energy density limitation, which is challenged by the increasing requirements of ever-growing energy storage market of electric vehicles, hybrid electric vehicles, and portable electronic devices. Although great progresses are made on tailoring the electrode materials from methodology to mechanism to meet the practical demands, sluggish mass transport, and charge transfer dynamics are the main bottlenecks when increasing the areal/volumetric loading multiple times to commercial level. Thus, this review presents the state-of-the-art developments on rational design of the commercialization-driven electrodes for lithium batteries. First, the basic guidance and challenges (such as electrode mechanical instability, sluggish charge diffusion, deteriorated performance, and safety concerns) on constructing the industry-required high mass loading electrodes toward commercialization are discussed. Second, the corresponding design strategies on cathode/anode electrode materials with high mass loading are proposed to overcome these challenges without compromising energy density and cycling durability, including electrode architecture, integrated configuration, interface engineering, mechanical compression, and Li metal protection. Finally, the future trends and perspectives on commercialization-driven electrodes are offered. These design principles and potential strategies are also promising to be applied in other energy storage and conversion systems, such as supercapacitors, and other metal-ion batteries.

12.
Scand J Psychol ; 62(6): 871-877, 2021 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-34289141

RESUMEN

Studies have found that, consistent with the ingroup favoritism effect, the recollection of ingroup related information is better than that of outgroup related information. This study explores whether preferred outgroup can eliminate the ingroup reference effect. Using the university as the reference group, Experiment 1 was designed to verify the group reference effect when there was no outgroup favoritism, and Experiment 2 examined the impact of outgroup favoritism on the group-reference effect. Experiment 1 found that recognition rates in the ingroup-reference condition were significantly higher than in the outgroup reference condition. Experiment 2 found no significant difference between recognition rates in the ingroup- reference and outgroup-reference conditions. Using household registration to classify the reference group, Experiment 3 recruited participants from rural areas to verify the group-reference effect while Experiment 4 recruited students from rural areas with a preference toward urban areas to explore the impact of outgroup favoritism on the group-reference effect. The results are the same as those in the Experiment 1 and Experiment 2. These findings suggest that the ingroup reference effect disappears when outgroups are preferred groups.


Asunto(s)
Procesos de Grupo , Identificación Social , Humanos , Reconocimiento en Psicología , Estudiantes
13.
J Gene Med ; 22(9): e3202, 2020 09.
Artículo en Inglés | MEDLINE | ID: mdl-32307743

RESUMEN

BACKGROUND: Long non-coding RNAs (lncRNAs) function as oncogenes or tumor suppressor genes in several cancers. The present study aimed to determine the functions of lncRNA HOXC-AS1 in gastric cancer (GC) in vitro. METHODS: A quantitative reverse transcriptase-polymerase chain reaction (qRT-PCR) was used to measure the expression of lncRNA HOXC-AS1 in GC cell lines and normal cells. After silencing HOXC-AS1 in GC cells, a cell counting kit-8 assay monitored the viability of the cells. qRT-PCR and western blot documented the EMT key genes in response to HOXC-AS1 change. qRT-PCR detected mRNA expression for eIF4AIII in GC and normal cell lines and cell viability was measured after an increase and decrease of eIF4AIII. RNA pull-down and qRT-PCR confirmed the binding in between. Apoptosis was compared by flow cytometry. The interplay between the two genes was surveyed by introduction of the sh-HOXC-AS1 and sh-eIF4AIII and by assessing cell viability, EMT and Wnt/ß-catenin signaling. RESULTS: lncRNA HOXC-AS1 expression is up-regulated in GC cells and a decrease of lncRNA HOXC-AS1 inhibited cell viability. Binding was validated by RNA pull-down. Additionally, inhibition of eIF4AIII induced an increase of lncRNA HOXC-AS1, thus promoting cell proliferation and the EMT process but deterring apoptosis of gastric cancer cells. Wnt/ß-catenin signaling was impeded by HOXC-AS1 inhibition but restored by suppression of eIF4AIII. CONCLUSIONS: HOXC-AS1 may promote the proliferation and the EMT process and inhibit apoptosis by binding eIF4AIII via Wnt/ß-catenin signaling, which indicates that HOXC-AS1/eIF4AIII might be an axis that could be further used as a biomarker to help with the diagnosis of GC.


Asunto(s)
Proliferación Celular/genética , Factor 4A Eucariótico de Iniciación/genética , ARN Largo no Codificante/genética , Neoplasias Gástricas/genética , Apoptosis/genética , Biomarcadores de Tumor/genética , Línea Celular Tumoral , Movimiento Celular/genética , Supervivencia Celular/genética , Citometría de Flujo , Regulación Neoplásica de la Expresión Génica , Humanos , Neoplasias Gástricas/patología , Vía de Señalización Wnt/genética
14.
Crit Care ; 24(1): 700, 2020 12 22.
Artículo en Inglés | MEDLINE | ID: mdl-33353548

RESUMEN

BACKGROUND: Bedside lung ultrasound (LUS) has emerged as a useful and non-invasive tool to detect lung involvement and monitor changes in patients with coronavirus disease 2019 (COVID-19). However, the clinical significance of the LUS score in patients with COVID-19 remains unknown. We aimed to investigate the prognostic value of the LUS score in patients with COVID-19. METHOD: The LUS protocol consisted of 12 scanning zones and was performed in 280 consecutive patients with COVID-19. The LUS score based on B-lines, lung consolidation and pleural line abnormalities was evaluated. RESULTS: The median time from admission to LUS examinations was 7 days (interquartile range [IQR] 3-10). Patients in the highest LUS score group were more likely to have a lower lymphocyte percentage (LYM%); higher levels of D-dimer, C-reactive protein, hypersensitive troponin I and creatine kinase muscle-brain; more invasive mechanical ventilation therapy; higher incidence of ARDS; and higher mortality than patients in the lowest LUS score group. After a median follow-up of 14 days [IQR, 10-20 days], 37 patients developed ARDS, and 13 died. Patients with adverse outcomes presented a higher rate of bilateral involvement; more involved zones and B-lines, pleural line abnormalities and consolidation; and a higher LUS score than event-free survivors. The Cox models adding the LUS score as a continuous variable (hazard ratio [HR]: 1.05, 95% confidence intervals [CI] 1.02 ~ 1.08; P < 0.001; Akaike information criterion [AIC] = 272; C-index = 0.903) or as a categorical variable (HR 10.76, 95% CI 2.75 ~ 42.05; P = 0.001; AIC = 272; C-index = 0.902) were found to predict poor outcomes more accurately than the basic model (AIC = 286; C-index = 0.866). An LUS score cut-off > 12 predicted adverse outcomes with a specificity and sensitivity of 90.5% and 91.9%, respectively. CONCLUSIONS: The LUS score devised by our group performs well at predicting adverse outcomes in patients with COVID-19 and is important for risk stratification in COVID-19 patients.


Asunto(s)
COVID-19/diagnóstico por imagen , Neumonía Viral/diagnóstico por imagen , Sistemas de Atención de Punto , Síndrome de Dificultad Respiratoria/diagnóstico por imagen , Ultrasonografía/métodos , Adulto , Anciano , COVID-19/mortalidad , Femenino , Mortalidad Hospitalaria , Hospitalización , Humanos , Masculino , Persona de Mediana Edad , Neumonía Viral/mortalidad , Neumonía Viral/virología , Pronóstico , Estudios Prospectivos , Síndrome de Dificultad Respiratoria/mortalidad , Síndrome de Dificultad Respiratoria/virología , SARS-CoV-2 , Tiempo de Tratamiento , Tomografía Computarizada por Rayos X
15.
Med Sci Monit ; 25: 970-976, 2019 Feb 04.
Artículo en Inglés | MEDLINE | ID: mdl-30713334

RESUMEN

BACKGROUND Dermatology patients continue to receive improved treatment, but for patients with psoriasis, there have been few studies on ways to improve patient management by improving communication with patients and their dermatologists. This study aimed to investigate the feasibility and efficacy of cloud-based interactive patient and physician management of psoriasis. MATERIAL AND METHODS The cloud-based platform was created by professional software engineers to educate and manage patients with psoriasis in a single hospital, where patients and research staff had a network platform for sharing data. A total of 79 patients with psoriasis were included in this study and were randomly divided into the control group (n=39) and the intervention group (n=40). Patients in the control group were given a psoriasis nursing manual and underwent regular follow-up. Patients in the intervention group were managed using the cloud platform, with the same management as the control group. The Psoriasis Area Severity Index (PASI), the Self-Rating Anxiety Scale (SAS), the Dermatology Life Quality Index (DLQI), and the Symptom Checklist-90-Revised (SCL-90-R) were used. RESULTS Cloud-based interactive patient and physician management resulted in clinical improvement, and reduced the degree of anxiety in patients with psoriasis and improved their physical and mental health. Patients in the intervention group had an improved understanding of psoriasis treatment, resulting in an improved relationship with the medical staff and improved treatment compliance. CONCLUSIONS Cloud-based interactive patient and physician management improved the mental health and quality of life for patients with psoriasis and allowed patients to manage their disease more effectively.


Asunto(s)
Comunicación en Salud/métodos , Psoriasis/psicología , Psoriasis/terapia , Adulto , Anciano , Nube Computacional , Femenino , Humanos , Estudios Longitudinales , Masculino , Persona de Mediana Edad , Portales del Paciente , Relaciones Médico-Paciente , Médicos , Calidad de Vida , Proyectos de Investigación , Índice de Severidad de la Enfermedad , Programas Informáticos
16.
Sensors (Basel) ; 19(4)2019 Feb 18.
Artículo en Inglés | MEDLINE | ID: mdl-30781710

RESUMEN

In this paper, we study the offloading decision of collaborative task execution between platoon and Mobile Edge Computing (MEC) server. The mobile application is represented by a series of fine-grained tasks that form a linear topology, each of which is either executed on a local vehicle, offloaded to other members of the platoon, or offloaded to a MEC server. The objective of the design is to minimize the cost of tasks offloading and meets the deadline of tasks execution. The cost minimized task decision problem is transformed into the shortest path problem, which is limited by the deadline of the tasks on a directed acyclic graph. The classical Lagrangian Relaxation-based Aggregated Cost (LARAC) algorithm is adopted to solve the problem approximately. Numerical analysis shows that the scheduling method of the tasks decision can be well applied to the platoon scenario and execute the tasks in cooperation with the MEC server. In addition, compared with task local execution, platoon execution and MEC server execution, the optimal offloading decision for collaborative task execution can significantly reduce the cost of task execution and meet deadlines.

19.
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