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1.
Sensors (Basel) ; 24(3)2024 Jan 30.
Artículo en Inglés | MEDLINE | ID: mdl-38339612

RESUMEN

Addressing conventional neurosurgical navigation systems' high costs and complexity, this study explores the feasibility and accuracy of a simplified, cost-effective mixed reality navigation (MRN) system based on a laser crosshair simulator (LCS). A new automatic registration method was developed, featuring coplanar laser emitters and a recognizable target pattern. The workflow was integrated into Microsoft's HoloLens-2 for practical application. The study assessed the system's precision by utilizing life-sized 3D-printed head phantoms based on computed tomography (CT) or magnetic resonance imaging (MRI) data from 19 patients (female/male: 7/12, average age: 54.4 ± 18.5 years) with intracranial lesions. Six to seven CT/MRI-visible scalp markers were used as reference points per case. The LCS-MRN's accuracy was evaluated through landmark-based and lesion-based analyses, using metrics such as target registration error (TRE) and Dice similarity coefficient (DSC). The system demonstrated immersive capabilities for observing intracranial structures across all cases. Analysis of 124 landmarks showed a TRE of 3.0 ± 0.5 mm, consistent across various surgical positions. The DSC of 0.83 ± 0.12 correlated significantly with lesion volume (Spearman rho = 0.813, p < 0.001). Therefore, the LCS-MRN system is a viable tool for neurosurgical planning, highlighting its low user dependency, cost-efficiency, and accuracy, with prospects for future clinical application enhancements.


Asunto(s)
Realidad Aumentada , Cirugía Asistida por Computador , Humanos , Masculino , Femenino , Adulto , Persona de Mediana Edad , Anciano , Neuronavegación/métodos , Estudios de Factibilidad , Tomografía Computarizada por Rayos X , Rayos Láser , Cirugía Asistida por Computador/métodos , Imagenología Tridimensional/métodos
2.
Int J Clin Pract ; 2023: 6746045, 2023.
Artículo en Inglés | MEDLINE | ID: mdl-37066072

RESUMEN

Objective: COVID-19 has evolved into a major global public health event. The number of people reporting insomnia is growing exponentially during the pandemic. This study aimed to explore the relationship between aggravated insomnia and COVID-19-induced psychological impact on the public, lifestyle changes, and anxiety about the future. Methods: In this cross-sectional study, we used the questionnaires from 400 subjects who were obtained from the Department of Encephalopathy of the Wuhan Hospital of Traditional Chinese Medicine between July 2020 and July 2021. The data collected for the study included demographic characteristics of the participants and psychological scales consisting of the Spiegel Sleep Questionnaire, the Fear of COVID-19 Scale (FCV-19S), the Zung Self-Rating Anxiety Scale (SAS), and the Zung Self-Rating Depression Scale (SDS). The independent sample t-test and one-way ANOVA were used to compare the results. Correlation analysis of variables affecting insomnia was performed using Pearson correlation analysis. The degree of influence of the variables on insomnia was determined using linear regression, and a regression equation was derived. Results: A total of 400 insomnia patients participated in the survey. The median age was 45.75 ± 15.04 years. The average score of the Spiegel Sleep Questionnaire was 17.29 ± 6.36, that of SAS was 52.47 ± 10.39, that of SDS was 65.89 ± 8.72, and that of FCV-19S was 16.09 ± 6.81. The scores of FCV-19S, SAS, and SDS were closely related to insomnia, and the influencing degree was in the following order: fear, depression, and anxiety (OR = 1.30, 0.709, and 0.63, respectively). Conclusion: Fear of COVID-19 can be one of the primary contributors to worsening insomnia.


Asunto(s)
COVID-19 , Trastornos del Inicio y del Mantenimiento del Sueño , Humanos , Adulto , Persona de Mediana Edad , Modelos Lineales , Calidad del Sueño , Trastornos del Inicio y del Mantenimiento del Sueño/epidemiología , Pandemias , Estudios Transversales , COVID-19/epidemiología , Análisis de Regresión , Ansiedad/epidemiología , Depresión/epidemiología
3.
J Fluoresc ; 26(4): 1331-9, 2016 Jul.
Artículo en Inglés | MEDLINE | ID: mdl-27210797

RESUMEN

Two new zinc complexes, namely Zn(L(1))ClCH2NO(1) and {Zn(L(2))CH2NO}n▪N(CH3)3▪ClO4(2) (L(1) = 3,5-di(1H-imidazol-1-yl)pyridine L(2) = 1,3,5-tris(1-imidazolyl) benzene), have been synthesized, and characterized by IR spectra, elemental analysis, and a single crystal X-ray diffraction. Fluorescence spectroscopy indicated that two complexes presented strong DNA binding affinity constants to fish sperm DNA (FS-DNA). Gel electrophoresis assay demonstrated the ability of the complex to cleave the HL-60 DNA. Apoptotic study showed the complex exhibited significant cancer cell(KB) inhibitory rate.


Asunto(s)
Antineoplásicos/síntesis química , Antineoplásicos/farmacología , Complejos de Coordinación/síntesis química , Complejos de Coordinación/farmacología , Imidazoles/química , Zinc/química , Antineoplásicos/química , Antineoplásicos/metabolismo , Apoptosis/efectos de los fármacos , Técnicas de Química Sintética , Complejos de Coordinación/química , Complejos de Coordinación/metabolismo , ADN/metabolismo , Humanos , Células KB , Ligandos , Espectrometría de Fluorescencia
4.
Medicine (Baltimore) ; 103(11): e37464, 2024 Mar 15.
Artículo en Inglés | MEDLINE | ID: mdl-38489710

RESUMEN

BACKGROUND: Swallowing rehabilitation behavioral therapy and traditional Chinese acupuncture therapy are widely used in the treatment of post-stroke dysphagia (PSD). This study investigated the therapeutic effect of electro-acupuncture combined with exercise-based swallowing rehabilitation on PSD and its effect on brainstem auditory evoked potential (BAEP) and cerebral blood flow. METHODS: The 120 PSD patients were divided into 2 groups (n = 60 each) by simple random grouping method, that is, an experimental and control group, receiving routine swallowing training, or additional intervention with electro-acupuncture at a frequency of 5 times/week. Data in swallowing function, BAEP, and cerebrovascular color Doppler ultrasound parameters were collected before treatment, as well as after treatment. An intergroup comparison was conducted using an independent sample t-test, and an intra-group comparison was conducted among different time points using a paired t-test. The data were analyzed using the SPSS Statistics 22.0 software; P < .05 was considered statistically significant. RESULTS: The therapeutic effects were significantly better in the experimental group compared with the control group (P < .05). The standard swallowing function assessment scores were significantly lower in both groups after treatment (P < .05), and the score in the observation group was lower than in the control group (P < .05). The peak latency of BAEP waves III and IV, and the inter-peak latency between peaks III to V and I to V in the 2 groups changed significantly (P < .05). The peak systolic velocity (PSV), end-diastolic velocity (EDV), and mean velocity (MV) were significantly increased in both groups after treatment (P < .05). The pulsatility index decreased significantly in both groups (P < .05), and the PSV, EDV, and MV were higher in the experimental group than in the control group (P < .05). CONCLUSION: Electro-acupuncture, combined with swallowing training in the treatment of Post-stroke Dysphagia, effectively improved cerebral microcirculation and conduction velocity, enhanced the motor function of swallowing muscles, and promoted the recovery of swallowing function.


Asunto(s)
Terapia por Acupuntura , Trastornos de Deglución , Accidente Cerebrovascular , Humanos , Trastornos de Deglución/etiología , Trastornos de Deglución/terapia , Deglución/fisiología , Potenciales Evocados Auditivos del Tronco Encefálico , Resultado del Tratamiento , Accidente Cerebrovascular/complicaciones , Accidente Cerebrovascular/terapia , Circulación Cerebrovascular
5.
Sci Data ; 11(1): 538, 2024 May 25.
Artículo en Inglés | MEDLINE | ID: mdl-38796526

RESUMEN

Mixed reality navigation (MRN) technology is emerging as an increasingly significant and interesting topic in neurosurgery. MRN enables neurosurgeons to "see through" the head with an interactive, hybrid visualization environment that merges virtual- and physical-world elements. Offering immersive, intuitive, and reliable guidance for preoperative and intraoperative intervention of intracranial lesions, MRN showcases its potential as an economically efficient and user-friendly alternative to standard neuronavigation systems. However, the clinical research and development of MRN systems present challenges: recruiting a sufficient number of patients within a limited timeframe is difficult, and acquiring low-cost, commercially available, medically significant head phantoms is equally challenging. To accelerate the development of novel MRN systems and surmount these obstacles, the study presents a dataset designed for MRN system development and testing in neurosurgery. It includes CT and MRI data from 19 patients with intracranial lesions and derived 3D models of anatomical structures and validation references. The models are available in Wavefront object (OBJ) and Stereolithography (STL) formats, supporting the creation and assessment of neurosurgical MRN applications.


Asunto(s)
Neuronavegación , Humanos , Procedimientos Neuroquirúrgicos , Imagen por Resonancia Magnética , Cabeza/cirugía , Tomografía Computarizada por Rayos X , Imagenología Tridimensional
6.
Cardiovasc Toxicol ; 23(2): 93-106, 2023 02.
Artículo en Inglés | MEDLINE | ID: mdl-36800142

RESUMEN

The association of ZFHX3 gene polymorphisms with ischemia stroke (IS) susceptibility has been clarified in Europeans, but not in the Chinese Han population. To assess the effect of ZFHX3 polymorphisms on IS risk, rs7193343, rs879324, and rs12932445 were selected and genotyped using the Agena MassARRAY platform in 694 patients and 687 healthy controls. Odds ratios (ORs) and 95% confidence intervals (CIs) were calculated by logistic regression model adjusted for age, sex, smoking, and drinking status. The potentially influential factors for IS risk were analyzed using multifactor dimension reduction (MDR) software v3.0.2 and least absolute shrinkage and selection operator (LASSO) logistic regression. Our results displayed that rs879324 (p = 0.011, OR = 0.81) and rs12932445 (p = 0.012, OR = 0.81) were protective factors for IS in the Chinese Han population. Specifically, rs879324 had a lower susceptibility to IS in subjects aged ≤ 64 years, non-smokers, and non-drinkers (p < 0.05). Furthermore, rs12932445 was associated with a reduced risk of IS in people aged > 64 years, females, non-smokers, and non-drinkers (p < 0.05). MDR and LASSO analyses revealed that rs879324 was the most influential factor for IS risk. These findings suggested that ZFHX3 variants may be biomarkers in IS occurrence in the Chinese Han population, which may provide a new insight into the etiology of IS.


Asunto(s)
Proteínas de Homeodominio , Accidente Cerebrovascular Isquémico , Femenino , Humanos , Estudios de Casos y Controles , China/epidemiología , Pueblos del Este de Asia , Predisposición Genética a la Enfermedad , Proteínas de Homeodominio/genética , Accidente Cerebrovascular Isquémico/epidemiología , Accidente Cerebrovascular Isquémico/genética , Polimorfismo de Nucleótido Simple , Masculino , Persona de Mediana Edad
7.
Bioengineering (Basel) ; 10(11)2023 Nov 07.
Artículo en Inglés | MEDLINE | ID: mdl-38002414

RESUMEN

Mixed Reality Navigation (MRN) is pivotal in augmented reality-assisted intelligent neurosurgical interventions. However, existing MRN registration methods face challenges in concurrently achieving low user dependency, high accuracy, and clinical applicability. This study proposes and evaluates a novel registration method based on a laser crosshair simulator, evaluating its feasibility and accuracy. A novel registration method employing a laser crosshair simulator was introduced, designed to replicate the scanner frame's position on the patient. The system autonomously calculates the transformation, mapping coordinates from the tracking space to the reference image space. A mathematical model and workflow for registration were designed, and a Universal Windows Platform (UWP) application was developed on HoloLens-2. Finally, a head phantom was used to measure the system's target registration error (TRE). The proposed method was successfully implemented, obviating the need for user interactions with virtual objects during the registration process. Regarding accuracy, the average deviation was 3.7 ± 1.7 mm. This method shows encouraging results in efficiency and intuitiveness and marks a valuable advancement in low-cost, easy-to-use MRN systems. The potential for enhancing accuracy and adaptability in intervention procedures positions this approach as promising for improving surgical outcomes.

8.
Front Plant Sci ; 14: 1280495, 2023.
Artículo en Inglés | MEDLINE | ID: mdl-38098794

RESUMEN

Introduction: Citrus fruit is considered a superfood due to its multiple nutritional functions and health benefits. Quantitative analysis of the numerous quality characteristics of citrus fruit is required to promote its sustainable production and industrial utilization. However, little information is available on the comprehensive quality assessment of various fruit quality indicators in different citrus cultivars. Methods: A total of nine different fresh citrus fruits containing seeds were collected as the experimental materials. The objectives of this study were: (i) to determine the morphological and juice properties of citrus fruits, (ii) to measure the mineral elements in the peel, pulp, and seeds, and (iii) to evaluate the fruit quality index (FQI) using the integrated quality index (IQI) and the Nemoro quality index (NQI) methods. Results: There were significant differences in fruit quality characteristics, including morphological, mineral, and juice quality, among the investigated citrus cultivars. The proportion of pulp biomass was the highest, followed by that of peel and seeds. N and Cu had the highest and lowest concentrations, respectively, among the measured elements across all citrus fruits, and the amounts of N, P, Mg, Cu, and Zn in seeds, K and Al in pulp, and Ca, Fe, and Mn in peel were the highest, dramatically affecting the accumulation of minerals in the whole fruit and their distribution in various fruit parts. Additionally, Ningmeng fruits had the highest vitamin C and titratable acidity (TA) but the lowest total soluble solids (TSS) and total phenolic (TP) contents, resulting in the lowest TSS/TA and pH values. In contrast, Jinju fruits had the highest TSS and TP contents. Based on the mineral element and juice quality parameters, principal component analysis showed that the citrus fruits were well separated into four groups, and the dendrogram also showed four clusters with different distances. The FQI range based on the IQI method (FQIIQI) and NQI method (FQINQI) was 0.382-0.590 and 0.106-0.245, respectively, and a positive relationship between FQIIQI and FQINQI was observed. Conclusion: Our results highlight the great differences in mineral and juice characteristics among fruit parts, which mediated fruit quality. The strategy of fruit quality assessment using the FQI can be expanded for targeted utilization in the citrus industry.

9.
Artículo en Inglés | MEDLINE | ID: mdl-35270458

RESUMEN

The equity of health-seeking behaviors of groups using different transportations is an important metric for health outcome disparities among them. Recently, smart card data and taxi trajectory data have been used extensively but separately to quantify the spatiotemporal patterns of health-seeking behavior and healthcare accessibility. However, the differences in health-seeking behavior among groups by different transportations have hitherto received scant attention from scholars. To fill the gap, this paper aimed to investigate the equity in health-seeking behavior of groups using different transportations. With sets of spatial and temporal constraints, we first extracted health-seeking behaviors by bus and taxi from smart card data and taxi trajectory data from Beijing during 13-17 April 2015. Then, health-seeking behaviors of groups by bus and taxi were compared regarding the coverage of hospital service areas, time efficiency to seek healthcare, and transportation access. The results indicated that there are inequities in groups using different travel modes to seek healthcare regarding the coverage of hospital service areas, time efficiency to seek healthcare, and transportation access. They provide some suggestions for mode-specific interventions to narrow health disparity, which might be more efficient than a one-size-fits-all intervention.


Asunto(s)
Tarjetas Inteligentes de Salud , Transportes , Automóviles , Accesibilidad a los Servicios de Salud , Aceptación de la Atención de Salud , Viaje
10.
Zhen Ci Yan Jiu ; 47(11): 1025-30, 2022 Nov 25.
Artículo en Zh | MEDLINE | ID: mdl-36453681

RESUMEN

OBJECTIVE: To observe the clinical efficacy of "Tong Guan Li Qiao"(unblocking gates and orifices) needling method combined with swallowing training in the treatment of post-stroke dysphagia (PSD) and its effect on surface electromyography (sEMG) and cerebral microcirculation. METHODS: A total of 116 patients with PSD were randomly divided into observation group (n=59) and control group (n=57). Patients in the control group received swallowing training on the basis of conventional treatment, whereas those in the observation group additionally received "Tong Guan Li Qiao" needling treatment, both groups were treated for 4 weeks. Swallowing function was assessed by video fluoroscopic swallowing study (VFSS) and standar-dized swallowing assessment (SSA) scale, the clinical efficacy was calculated. The sEMG was detected by a full-featured electromyography, the average EMG (AEMG), integrated EMG (IEMG) and peak value were calculated. Cerebral blood flow peak systolic velocity (PSV), end-diastolic velocity (EDV), mean velocity (MV) and pulse index (PI) were detected by cerebrovascular color Doppler ultrasound. RESULTS: The total effective rate of the observation group was 94.92% (56/59), higher than 82.46% (47/57) of the control group(P<0.05). After treatment, the initial scores, the scores of drinking 5 mL and 60 mL of water in the two groups were significantly lower than those before treatment (P<0.05), and the scores of drinking 5 mL and 60 mL of water in the observation group were lower than those in the control group (P<0.05). Compared with the same group before treatment, the AEMG, peak value, IEMG were higher (P<0.05), PSV, EDV and MV were faster (P<0.05) while PI was lower(P<0.05) in the two groups after treatment. Compared with the control group, the AEMG, peak value, IEMG were higher (P<0.05), PSV, EDV and MV were faster (P<0.05) while PI was lower (P<0.05) in the observation group. CONCLUSION: "Tong Guan Li Qiao" needling method combined with swallowing training can effectively improve cerebral microcirculation, enhance the motor function of swallowing muscles and promote the recovery of swallowing function in treating PSD patients.


Asunto(s)
Trastornos de Deglución , Accidente Cerebrovascular , Humanos , Deglución , Trastornos de Deglución/etiología , Trastornos de Deglución/terapia , Electromiografía , Microcirculación , Accidente Cerebrovascular/complicaciones , Accidente Cerebrovascular/terapia , Iones , Agua
11.
Sci Rep ; 12(1): 10694, 2022 06 23.
Artículo en Inglés | MEDLINE | ID: mdl-35739226

RESUMEN

Bitcoin mining is not only the fundamental process to maintain Bitcoin network, but also the key linkage between the virtual cryptocurrency and the physical world. A variety of issues associated with it have been raised, such as network security, cryptoasset management and sustainability impacts. Investigating Bitcoin mining from a spatial perspective will provide new angles and empirical evidence with respect to extant literature. Here we explore the spatial distribution of Bitcoin mining through bottom-up tracking and geospatial statistics. We find that mining activity has been detected at more than 6000 geographical units across 139 countries and regions, which is in line with the distributed design of Bitcoin network. However, in terms of computing power, it has demonstrated a strong tendency of spatial concentration and association with energy production locations. We also discover that the spatial distribution of Bitcoin mining is dynamic, which fluctuates with diverse patterns, according to economic and regulatory changes.


Asunto(s)
Análisis Espacial
12.
Neurotox Res ; 40(5): 1127-1137, 2022 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-35895249

RESUMEN

Cadmium (Cd) is a toxic environmental contaminant, which bio-accumulate in animals through the food chain. Cerebellum is one of the primary target organs for Cd exposure. In this study, we established a chronic Cd exposure model; 60 chickens were treated with Cd (0 mg/kg, 35 mg/kg, 70 mg/kg) for 90 days. Clinical manifestations indicated that the chicken was depressed and has unstable gait under Cd exposure. Histopathological results indicated that Cd induced neuronal shrunken and indistinct nucleoli, and the number of Purkinje cells decreased significantly. Cerebellar metal contents were analyzed by ICP-MS. We found that Cd caused Cd and Cu accumulation and decreased the content of Se, Fe, and Zn, suggesting that Cd disturbed metal homeostasis. Besides, Cd treatment group also showed high levels of malondialdehyde (MDA) and hydrogen peroxide (H2O2) content and inhibited selenoprotein transcriptome, suggesting that Cd exposure resulted in oxidative stress. Notably, low-dose Cd exposure activated MTF1 mRNA and protein expression and its target metal-responsive genes, including MT1, MT2, DMT1, ZIP8, ZIP10, TF, and ATP7B which indicate cellular adaptive response against Cd-induced damage. On the other hand, 70 mg/kg Cd downregulated MTF1-mediated metal response, which was involved in Cd-induced cerebellar injury in chicken. In conclusion, our data demonstrated that molecular mechanisms are associated with Cd-induced cerebellar injury due to disturbing MTF1-mediated metal response. This study indicated that the cerebellum is one of the target organs of Cd-induced toxicity. Additionally, Cd exposure induced metal dyshomeostasis in chicken's cerebellum, whereas this study found that lower level of Cd dose triggered the activation of the cytoprotective mechanism through activating the expression of MTF1 which regulate MT1, MT2, DMT1, ZIP8, ZIP10, TF, and ATP7B expressions in cerebellum. However, MTF1-mediated metal response was inhibited under the exposure of high dose of Cd, which ultimately caused cerebellar injury. The present study provides a new insight that Cd through disturbed MTF1-mediated metal response disrupts metal homeostasis that induced cerebellar injury.


Asunto(s)
Cadmio , Peróxido de Hidrógeno , Animales , Cadmio/toxicidad , Cerebelo/metabolismo , Pollos/genética , Pollos/metabolismo , Malondialdehído/metabolismo , Estrés Oxidativo , ARN Mensajero/metabolismo , Selenoproteínas/metabolismo
13.
Anim Nutr ; 11: 402-412, 2022 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-36382201

RESUMEN

This study aims to investigate the role of metal regulatory transcription factor 1 (MTF1)-mediated metal response in cadmium (Cd)-induced cerebellar injury, and to evaluate the antagonistic effects of nano-selenium (Nano-Se) against Cd toxicity. A total of 80 chicks (1 d old, male, Hy-Line Variety White) were randomly allocated to 4 treatment groups for 3 months: the control group (fed with a basic diet, n = 20), the Nano-Se group (basic diet with 1 mg/kg nano-Se 1 mg/kg Nano-Se in basic diet, n = 20), the Nano-Se + Cd group (basic diet with 1 mg/kg Nano-Se and 140 mg/kg CdCl2, n = 20) and the Cd group (basic diet with 140 mg/kg CdCl2 , n = 20). The results of the experiment showed that the Purkinje cells were significantly decreased with their degradation and indistinct nucleoli after Cd exposure. Moreover, exposure to Cd caused a significant accumulation of Cd and cupper. However, the contents of Se, iron, and zinc were decreased, thereby disturbing the metal homeostasis in the cerebellum. The Cd exposure also resulted in high levels of malondialdehyde (MDA) and down regulation of selenoprotein transcriptome. Furthermore, the expressions of MTF1, metallothionein 1 (MT1), MT2, zinc transporter 3 (ZNT3), ZNT5, ZNT10, zrt, irt-like protein 8 (ZIP8), ZIP10, transferrin (TF), ferroportin 1 (FPN1), ATPase copper transporting beta (ATP7B), and copper uptake protein 1 (CTR1) were inhibited by Cd exposure. However, all these changes were significantly alleviated by the supplementation of Nano-Se. This study proved that Cd could disorder metal homeostasis and induce oxidative stress, whereas Nano-Se could relieve all these negative effects caused by Cd via activating the MTF1-mediated metal response in the cerebellum of chicken.

14.
Pancreatology ; 11(2): 83-91, 2011.
Artículo en Inglés | MEDLINE | ID: mdl-21525776

RESUMEN

BACKGROUND: Overinduced polyamine catabolism (PC) in a transgenic rat model has been suggested to be a mediator of trypsin activation which is important in acinar cell necrosis. PC has also been observed in experimental taurodeoxycholate pancreatitis. We hypothesized that PC may be a mediator of trypsin activation in taurodeoxycholate pancreatitis. METHODS: Pancreatitis was induced in wild-type rats by 2 or 6% taurodeoxycholate infusion or in transgenic rats by overexpressing spermidine/spermine N(1)-acetyltransferase (SSAT). The time courses of necrosis, caspase-3 immunostaining, SSAT, polyamine levels, and trypsinogen activation peptide (TAP) were monitored. The effect of the polyamine analogue bismethylspermine (Me(2)Spm) was investigated. RESULTS: In a transgenic pancreatitis model, TAP and acinar necrosis increased simultaneously after the activation of SSAT, depletion of spermidine, and development of apoptosis. In taurodeoxycholate pancreatitis, necrosis developed along with the accumulation of TAP. SSAT was activated simultaneously or after TAP accumulation and less than in the transgenic model, with less depletion of spermidine than in the transgenic model. Supplementation with Me(2)Spm ameliorated the extent of acinar necrosis at 24 h, but contrary to previous findings in the transgenic model, in the taurodeoxycholate model it did not affect trypsin activation. Compared with the transgenic model, no extensive apoptosis was found in taurodeoxycholate pancreatitis. CONCLUSIONS: Contrary to transgenic SSAT-overinduced pancreatitis, PC may not be a mediator of trypsin activation in taurodeoxycholate pancreatitis. The beneficial effect of polyamine supplementation on necrosis in taurodeoxycholate pancreatitis may rather be mediated by other mechanisms than amelioration of trypsin activation. and IAP.


Asunto(s)
Pancreatitis/metabolismo , Poliaminas/metabolismo , Tripsinógeno/metabolismo , Acetiltransferasas/metabolismo , Animales , Apoptosis , Modelos Animales de Enfermedad , Activación Enzimática , Masculino , Oligopéptidos/metabolismo , Pancreatitis/inducido químicamente , Pancreatitis/tratamiento farmacológico , Ratas , Ratas Sprague-Dawley , Ratas Transgénicas , Ratas Wistar , Espermina/análogos & derivados , Espermina/uso terapéutico , Ácido Taurodesoxicólico , Tripsina/metabolismo
15.
Artículo en Inglés | MEDLINE | ID: mdl-34360330

RESUMEN

The effects of public hospital reforms on spatial and temporal patterns of health-seeking behavior have received little attention due to small sample sizes and low spatiotemporal resolution of survey data. Without such information, however, health planners might be unable to adjust interventions in a timely manner, and they devise less-effective interventions. Recently, massive electronic trip records have been widely used to infer people's health-seeking trips. With health-seeking trips inferred from smart card data, this paper mainly answers two questions: (i) how do public hospital reforms affect the hospital choices of patients? (ii) What are the spatial differences of the effects of public hospital reforms? To achieve these goals, tertiary hospital preferences, hospital bypass, and the efficiency of the health-seeking behaviors of patients, before and after Beijing's public hospital reform in 2017, were compared. The results demonstrate that the effects of this reform on the hospital choices of patients were spatially different. In subdistricts with (or near) hospitals, the reform exerted the opposite impact on tertiary hospital preference compared with core and periphery areas. However, the reform had no significant effect on the tertiary hospital preference and hospital bypass in subdistricts without (or far away from) hospitals. Regarding the efficiency of the health-seeking behaviors of patients, the reform positively affected patient travel time, time of stay at hospitals, and arrival time. This study presents a time-efficient method to evaluate the effects of the recent public hospital reform in Beijing on a fine scale.


Asunto(s)
Tarjetas Inteligentes de Salud , Reforma de la Atención de Salud , Hospitales Públicos , Humanos
16.
Medicine (Baltimore) ; 100(37): e27215, 2021 Sep 17.
Artículo en Inglés | MEDLINE | ID: mdl-34664857

RESUMEN

BACKGROUND: Neurogenic bladder (NB), a refractory disease, is characterized by voiding dysfunction of bladder and/or urethra, and spinal cord injury (SCI) is a common cause. Chinese medicine therapies have been applied extensively in the treatment of NB, especially in China, and the results are promising but varying. Thus, the aim of this work is to assess the efficacy and safety of various Chinese medicine therapies for NB after SCI. METHODS: A retrieval will be performed in 8 online databases (the Cochrane Library, Web of Science, PubMed, EMBASE Database, China Biological Medicine Database, Chinese Scientific Journals Database, Wan Fang databases, and China National Knowledge Infrastructure) from their inception throughout June 2021. Only randomized controlled trials of testing Chinese medicine therapies for NB after SCI will be enrolled. The outcome indicators measured will be overall response rate, urodynamic tests, clinical assessment, and safety assessments. The methodological quality of this Bayesian-based network meta-analysis will be conducted with the "Risk of Bias" tool. Stata14.0 and WinBUGS 1.4.3 will be used to analyze the data. Furthermore, the assessment of heterogeneity, inconsistency, subgroup, sensitivity, and publication bias will also be taken into consideration with the help of Cochrane Collaboration's tool. RESULTS: The findings of this study will be submitted to a peer-reviewed journal for publication. CONCLUSION: This work will furnish evidence-based recommendations to figure out the optimal Chinese medicine therapy or their combinations for NB induced by SCI, and in turn contribute to further research and public health.


Asunto(s)
Protocolos Clínicos , Medicina Tradicional China/normas , Traumatismos de la Médula Espinal/complicaciones , Vejiga Urinaria Neurogénica/etiología , Humanos , Medicina Tradicional China/métodos , Metaanálisis como Asunto , Traumatismos de la Médula Espinal/tratamiento farmacológico , Revisiones Sistemáticas como Asunto , Resultado del Tratamiento , Vejiga Urinaria Neurogénica/tratamiento farmacológico
17.
Food Chem Toxicol ; 154: 112332, 2021 Aug.
Artículo en Inglés | MEDLINE | ID: mdl-34118349

RESUMEN

Cadmium (Cd) is one of the toxic environmental heavy metals that poses health hazard to animals due to its toxicity. Nano-Selenium (Nano-Se) is a Nano-composite form of Se, which has emerged as a promising therapeutic agent for its protective roles against heavy metals-induced toxicity. Heat shock proteins (HSPs) play a critical role in cellular homeostasis. However, the potential protective effects of Nano-Se against Cd-induced cerebellar toxicity remain to be illustrated. To investigate the toxic effects of Cd on chicken's cerebellum, and the protective effects of Nano-Se against Cd-induced cerebellar toxicity, a total of 80 male chicks were divided into four groups and treated as follows: (A) 0 mg/kg Cd, (B) 1 mg/kg Nano-Se (C) 140 mg/kg Cd + 1 mg/kg Nano-Se (D) 140 mg/kg Cd for 90 days. We tested heat shock protein pathway-related factors including heat shock factors (HSFs) HSF1, HSF2, HSF3 and heat shock proteins (HSPs) HSP10, HSP25, HSP27, HSP40, HSP60, HSP70 and HSP90 expressions. Histopathological results showed that Cd treatment caused degradation of Purkinje cells. In addition, HSFs and HSPs expression decreased significantly in the Cd group. Nano-Se co-treatment with Cd enhanced the expression of HSFs and HSPs. In summary, our findings explicated a potential protective effect of Nano-Se against Cd-induced cerebellar injury in chicken, suggesting that Nano-Se is a promising therapeutic agent for the treatment of Cd toxicity.


Asunto(s)
Cadmio/toxicidad , Enfermedades Cerebelosas/tratamiento farmacológico , Proteínas de Choque Térmico/metabolismo , Nanocompuestos/química , Fármacos Neuroprotectores/uso terapéutico , Selenio/uso terapéutico , Animales , Enfermedades Cerebelosas/inducido químicamente , Enfermedades Cerebelosas/patología , Pollos , Masculino , Fármacos Neuroprotectores/química , Células de Purkinje/efectos de los fármacos , Células de Purkinje/patología , Selenio/química
18.
Environ Pollut ; 285: 117083, 2021 Sep 15.
Artículo en Inglés | MEDLINE | ID: mdl-33965856

RESUMEN

Metal-responsive transcription factor 1 (MTF1) participates in redox homeostasis and heavy metals detoxification via regulating the expression of metal responsive genes. However, the exact role of MTF1 in Cd-induced cerebral toxicity remains unclear. Herein, we explored the mechanism of Cd-elicited cerebral toxicity through modulating MTF1/MTs pathway in chicken cerebrum exposed to different concentrations of Cd (35 mg, 70 mg, and 140 mg/kg CdCl2) via diet. Notably, cerebral tissues showed varying degrees of microstructural changes under Cd exposure. Cd exposure significantly up-regulated the expression of metal transporters (DMT1, ZIP8, and ZIP10) with concomitant elevated Cd level, as determined by ICP-MS. Cd significantly altered other cerebral biometals concentrations (particularly, Zn, Fe, Se, Cr, Mo, and Pb) and redox balance, resulting in increased cerebral oxidative stress. More importantly, Cd exposure suppressed MTF1 mRNA and nuclear protein levels and its target metal-responsive genes, notably metallothioneins (MT1 and MT2), and Fe and Cu transporter genes (FPN1, ATOX1, and XIAP). Moreover, Cd disrupted the regulation of expression of selenoproteome (particularly, GPxs and SelW), and cerebral Se level. Overall, our data revealed that molecular mechanisms associated with Cd-induced cerebral damage might include over-expression of DMT1, ZIP8 and ZIP10, and suppression of MTF1 and its main target metal-responsive genes as well as several selenoproteins.


Asunto(s)
Cadmio , Metales Pesados , Cadmio/toxicidad , Metalotioneína/genética , Metalotioneína/metabolismo , Estrés Oxidativo , Factores de Transcripción/genética , Factores de Transcripción/metabolismo
19.
Guang Pu Xue Yu Guang Pu Fen Xi ; 30(8): 2274-6, 2010 Aug.
Artículo en Zh | MEDLINE | ID: mdl-20939355

RESUMEN

As a pre-digestion method of breast milk microwave-digestion was adopted in this method, and the contents of calcium and phosphorus were determined by ICP-MS at the same time. By optimizing conditions of digestion and ICP-MS, appropriate internal elements and the isotope mass number and EPA200.8 interference calibration equation were chosen. The accuracy and reliability of method were verified through the recovery and milk powder analysis of national standard substances (GBW10017). Determination results are in the permissible range. The relative deviation (RSD) is less than 2.40%, while the recovery is between 102.8% and 104.0%. ICP-MS method has wide dynamic range, and doesn't need to dilute samples. It is suitable for lots of samples and multi-element analyzed at the same time, and making up default of different method and different element determined respectively in national standard. It is a determination method for calcium and phosphorus supply of breast milk.

20.
Health Place ; 65: 102405, 2020 09.
Artículo en Inglés | MEDLINE | ID: mdl-32827938

RESUMEN

Massive electronic trip records have recently been utilized to infer people's trips for healthcare. Many inferential methods were developed to derive healthcare trips by taxi using GPS trajectory records, but little attention is paid to public transit, as a common travel mode for healthcare. This paper proposes a method to fill this gap by mining a big data of smart transit cards with spatio-temporal constraints. We demonstrate and validate this method in Beijing, China. The inferred trips achieve a high degree of consistency, in space and time, with empirically observed trips from a survey. The inferred trips are further used to identify spatial disparities in transit-based access to healthcare, which might have been overlooked by health policy makers.


Asunto(s)
Accesibilidad a los Servicios de Salud , Tarjetas Inteligentes de Salud/estadística & datos numéricos , Análisis Espacial , Transportes/estadística & datos numéricos , Viaje , Beijing , Femenino , Humanos , Masculino , Encuestas y Cuestionarios
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