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1.
Opt Lett ; 49(9): 2349-2352, 2024 May 01.
Artículo en Inglés | MEDLINE | ID: mdl-38691716

RESUMEN

We present reciprocal polarization imaging for the optical activity of chiral media in reflection geometry. The method is based on the reciprocal polar decomposition of backscattering Mueller matrices accounting for the reciprocity of light waves in forward and backward scattering paths. Anisotropic depolarization is introduced to gain sensitivity to optical activity in backscattering. Experiments with glucose solutions show that while the Lu-Chipman decomposition of the backscattering Mueller matrices produces erroneous results, reciprocal polarization imaging correctly retrieves the optical activity of chiral media. The recovered optical rotation agrees with that obtained in the forward geometry and increases linearly with the concentration and thickness of the chiral media. The potential for in vivo glucose monitoring based on optical activity sensing using reciprocal polarization imaging is then discussed.

2.
Pharmacol Res ; 200: 107060, 2024 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-38185210

RESUMEN

OBJECTIVE: To assess the efficacy and safety of FDA-approved KRASG12C inhibitors in patients with KRASG12C-mutated solid tumors. METHODS: We searched PubMed, EMBASE, Cochrane Library, and major international conferences for clinical trials published in English up to March 6, 2023. Clinical trials investigating sotorasib or adagrasib and reporting the clinical outcomes of the objective response rate (ORR), disease control rate (DCR), or incidence rate of grade ≥ 3 adverse events (AEs) were eligible. The primary endpoint was the ORR. Secondary endpoints included the DCR, incidence rate of grade ≥ 3 AEs, and odds ratio (OR) of the ORR between patients with or without co-mutation. The Random-effects model was applied for the outcomes of interest. RESULTS: 18 studies with 1224 patients were included in this meta-analysis. The pooled ORR, DCR, and incidence rate of grade ≥ 3 AEs were 31 % (95 % CI, 25-37 %), 86 % (95 % CI, 82-89 %), and 29 % (95 % CI, 23-36 %), respectively. KRASG12C-mutated NSCLC patients with a co-mutation of KEAP1 exhibited a worse ORR than those with wild-type KEAP1 (OR: 0.35, 95 % CI: 0.16-0.77). CONCLUSIONS: This study provided a comprehensive understanding of the efficacy and safety of KRASG12C inhibitors in treating solid tumors and identified KEAP1 mutation as a potential predictive biomarker of inferior response in patients treated with KRASG12C inhibitors. These findings may assist in the design of future clinical trials for identifying populations that may benefit from KRASG12C inhibitor treatment.


Asunto(s)
Carcinoma de Pulmón de Células no Pequeñas , Neoplasias Pulmonares , Humanos , Proteína 1 Asociada A ECH Tipo Kelch , Proteínas Proto-Oncogénicas p21(ras) , Factor 2 Relacionado con NF-E2 , Mutación
3.
Int J Mol Sci ; 25(3)2024 Jan 29.
Artículo en Inglés | MEDLINE | ID: mdl-38338920

RESUMEN

Sarcomas are heterogeneous connective tissue malignancies that have been historically categorized into soft tissue and bone cancers. Although multimodal therapies are implemented, many sarcoma subtypes are still difficult to treat. Lipids play vital roles in cellular activities; however, ectopic levels of lipid metabolites have an impact on tumor recurrence, metastasis, and drug resistance. Thus, precision therapies targeting lipid metabolism in sarcoma need to be explored. In this study, we performed a comprehensive analysis of molecular stratification based on lipid metabolism-associated genes (LMAGs) using both public datasets and the data of patients in our cohort and constructed a novel prognostic model consisting of squalene epoxidase (SQLE) and tumor necrosis factor (TNF). We first integrated information on gene expression profile and survival outcomes to divide TCGA sarcoma patients into high- and low-risk subgroups and further revealed the prognosis value of the metabolic signature and immune infiltration of patients in both groups, thus proposing various therapeutic recommendations for sarcoma. We observed that the low-risk sarcoma patients in the TCGA-SARC cohort were characterized by high proportions of immune cells and increased expression of immune checkpoint genes. Subsequently, this lipid metabolic signature was validated in four external independent sarcoma datasets including the CHCAMS cohort. Notably, SQLE, a rate-limiting enzyme in cholesterol biosynthesis, was identified as a potential therapeutic target for sarcoma. Knockdown of SQLE substantially inhibited cell proliferation and colony formation while promoting the apoptosis of sarcoma cells. Terbinafine, an inhibitor of SQLE, displayed similar tumor suppression capacity in vitro. The prognostic predictive model and the potential drug target SQLE might serve as valuable hints for further in-depth biological, diagnostic, and therapeutic exploration of sarcoma.


Asunto(s)
Sarcoma , Transcriptoma , Humanos , Metabolismo de los Lípidos/genética , Recurrencia Local de Neoplasia , Sarcoma/tratamiento farmacológico , Sarcoma/genética , Lípidos
4.
Zhongguo Zhong Yao Za Zhi ; 49(9): 2441-2450, 2024 May.
Artículo en Zh | MEDLINE | ID: mdl-38812143

RESUMEN

This study aims to explore the correlation between intestinal toxicity and composition changes of Euphorbia ebracteolata before and after Terminalia chebula soup(TCS) processing. Intragastric administration was performed on the whole animal model. By using fecal water content, inflammatory causes, and pathological damage of different parts of the intestinal tract of mice as indexes, the differences in intestinal toxicity of dichloromethane extraction of raw E. ebracteolata(REDE), dichloromethane extraction of TCS, and dichloromethane extraction of E. ebracteolata after simulated TCS processing(STREDE) were compared, so as to investigate the effect of TCS processing on the intestinal toxicity of E. ebracteolata. At the same time, the component databases of E. ebracteolata and T. chebula were constructed, and the composition changes of diterpenoids, tannins, and phenolic acids in the three extracted parts were analyzed by HPLC-TOF-MS. HPLC was used to compare the content of four diterpenoids including ent-11α-hydroxyabicta-8(14), 13(15)-dien-16, 12-olide(HAO), jolkinolide B(JNB), fischeria A(FA), and jolkinolide E(JNE) in the E. ebracteolata before and after processing and the residue of container wall after processing, so as to investigate the effect of TCS processing on the content and structure of the diterpenoids. The results showed that the REDE group could significantly increase the fecal water content and the release levels of TNF-α and IL-1ß from each intestinal segment, and intestinal tissue damage was accompanied by significant infiltration of inflammatory cells. However, compared with the REDE group, the intestinal tissue damage in the STREDE group was alleviated, and the infiltration of inflammatory cells decreased. The intestinal toxicity significantly decreased. Mass spectrometry analysis showed that there was no significant difference in the content of diterpenoids of REDE before and after simulated TCS processing, but a large number of tannins and phenolic acids were added. The results of HPLC showed that the content of four diterpenoids of E. ebracteo-lata decreased to varying degrees after TCS processing, ranging from-0.35% to-19.74%, and the decreased part mainly remained in the container wall, indicating that the structure of toxic diterpenoids of E. ebracteolata was not changed after TCS processing. The antagonistic effect of tannic and phenolic acids in the TCS may be the main reason for the reduced intestinal toxicity of E. ebracteolata after TCS processing. The TCS processing for E. ebracteolata is scientific.


Asunto(s)
Medicamentos Herbarios Chinos , Euphorbia , Terminalia , Euphorbia/química , Animales , Terminalia/química , Ratones , Medicamentos Herbarios Chinos/química , Medicamentos Herbarios Chinos/toxicidad , Masculino , Intestinos/efectos de los fármacos , Intestinos/química , Cromatografía Líquida de Alta Presión , Humanos
5.
Opt Express ; 31(22): 36940-36951, 2023 Oct 23.
Artículo en Inglés | MEDLINE | ID: mdl-38017833

RESUMEN

We propose a Vernier effect-based sensor for temperature and salinity measurements. This sensor utilizes the correlation speckle pattern generated by spatial multimode interference and has undergone testing to validate its effectiveness. The speckle demodulation method is used to solve the problem of inconsistent envelope measurement when tracking with different upper and lower envelopes. The device consists of two Fabry Perot interferometers (FPIs) created by connecting hole core fiber (HCF) and erbium-doped fiber (EDF) in series. The speckle image produced by the interferometers is analyzed using the Zero means normalized cross-correlation (ZNCC) technique. The ZNCC value demonstrates a linear relationship with salinity and temperature, allowing for the measurement of these parameters. The sensor exhibits a temperature detection sensitivity of -0.0224 /°C and a salinity detection sensitivity of -0.0439/%. The sensor offers several advantageous features, including its compact size, low-cost manufacturing, high sensitivity, stability, and convenient reflection measurements. These characteristics make it a valuable tool for various applications. The proposed Vernier effect-based temperature and salinity sensor shows great potential for simultaneous monitoring and measurement of temperature and salinity in environments such as marine settings or industrial processes where accurate control of these parameters is crucial.

6.
Opt Lett ; 48(15): 3937-3940, 2023 Aug 01.
Artículo en Inglés | MEDLINE | ID: mdl-37527087

RESUMEN

This article presents a monolithically zone-addressable 20 × 20 940 nm vertical-cavity surface-emitting laser (VCSEL) array with a binary number pattern design for sensing applications. The emitters in this VCSEL array have a uniquely designed binary pattern design, with each row representing a 5-bit pattern designed to aid pattern-matching algorithms to deduce the shape and depth information efficiently. Approximately 200 VCSELs are arranged in four individually addressable light-emitting zones, with ∼50 emitters in each zone. Each zone generates laser pulses up to 7.2 W in peak power.

7.
Opt Lett ; 48(4): 1048-1051, 2023 Feb 15.
Artículo en Inglés | MEDLINE | ID: mdl-36791007

RESUMEN

An effective orthogonal signal generation method for heterodyne-detection-based phase-sensitive optical time-domain reflectometer systems is proposed to accelerate the phase demodulation process. The demodulation principle is based on the spatial phase shifting technique. By exploiting the relative phase difference between adjacent spatial sampling channels, the orthogonal signal is easily obtained from basic algebra calculations. The simulation and experimental results showed that the proposed method achieved >100% computation speed improvement compared with the conventional methods, with a slight trade-off in phase demodulation performance. Therefore, the proposed method is potentially beneficial for the distributed acoustic sensing technology for reducing the computation complexity of phase demodulation procedures.

8.
Sleep Breath ; 27(6): 2379-2388, 2023 12.
Artículo en Inglés | MEDLINE | ID: mdl-37278870

RESUMEN

PURPOSE: The diagnosis of obstructive sleep apnea (OSA) relies on time-consuming and complicated procedures which are not always readily available and may delay diagnosis. With the widespread use of artificial intelligence, we presumed that the combination of simple clinical information and imaging recognition based on facial photos may be a useful tool to screen for OSA. METHODS: We recruited consecutive subjects suspected of OSA who had received sleep examination and photographing. Sixty-eight points from 2-dimensional facial photos were labelled by automated identification. An optimized model with facial features and basic clinical information was established and tenfold cross-validation was performed. Area under the receiver operating characteristic curve (AUC) indicated the model's performance using sleep monitoring as the reference standard. RESULTS: A total of 653 subjects (77.2% males, 55.3% OSA) were analyzed. CATBOOST was the most suitable algorithm for OSA classification with a sensitivity, specificity, accuracy, and AUC of 0.75, 0.66, 0.71, and 0.76 respectively (P < 0.05), which was better than STOP-Bang questionnaire, NoSAS scores, and Epworth scale. Witnessed apnea by sleep partner was the most powerful variable, followed by body mass index, neck circumference, facial parameters, and hypertension. The model's performance became more robust with a sensitivity of 0.94, for patients with frequent supine sleep apnea. CONCLUSION: The findings suggest that craniofacial features extracted from 2-dimensional frontal photos, especially in the mandibular segment, have the potential to become predictors of OSA in the Chinese population. Machine learning-derived automatic recognition may facilitate the self-help screening for OSA in a quick, radiation-free, and repeatable manner.


Asunto(s)
Inteligencia Artificial , Apnea Obstructiva del Sueño , Masculino , Humanos , Femenino , Reconocimiento Facial Automatizado , Polisomnografía/métodos , Encuestas y Cuestionarios , Aprendizaje Automático , Tamizaje Masivo
9.
Sensors (Basel) ; 23(14)2023 Jul 24.
Artículo en Inglés | MEDLINE | ID: mdl-37514926

RESUMEN

The Vernier effect created using an incorporated Lyot-Sagnac loop is used to create an ultra-high sensitivity temperature sensor based on a ring laser cavity. Unlike standard double Sagnac loop systems, the proposed sensor is fused into a single Sagnac loop by adjusting the welding angle between two polarization-maintaining fibers (PMFs) to achieve effective temperature sensitivity amplification. The PMFs are separated into two arms of 0.8 m and 1 m in length, with a 45° angle difference between the fast axes. The sensor's performance is examined both theoretically and experimentally. The experimental results reveal that the Vernier amplification effect can be achieved via PMF rotating shaft welding. The temperature sensitivity in the laser cavity can reach 2.391 nm/°C, which is increased by a factor of more than eight times compared with a single Sagnac loop structure (0.298 nm/°C) with a length of 0.8 m without the Vernier effect at temperatures ranging from 20 °C to 30 °C. Furthermore, unlike traditional optical fiber sensing that uses a broadband light source (BBS) for detection, which causes issues such as low signal-to-noise ratio and broad bandwidth, the Sagnac loop can be employed as a filter by inserting itself into the fiber ring laser (FRL) cavity. When the external parameters change, the laser is offset by the interference general modulation, allowing the external temperature to be monitored. The superior performance of signal-to-noise ratios of up to 50 dB and bandwidths of less than 0.2 nm is achieved. The proposed sensor has a simple structure and high sensitivity and is expected to play a role in biological cell activity monitoring.

10.
Acta Neurol Taiwan ; 32(3): 122-126, 2023 Sep 30.
Artículo en Inglés | MEDLINE | ID: mdl-37674424

RESUMEN

PURPOSE: Non-Hodgkin lymphoma (NHL) is the most common type of lymphoma, and its extranodal manifestation is rare. Skeletal muscle involvement is noted in only 1.1% of patients with NHL. Here, we present a case of high-grade B-cell lymphoma (HGBL); it infiltrated the left neural foramina from the left psoas muscle before encroaching on the whole spinal canal and subsequently invading the contralateral neural foramina from T12 to L3. CASE REPORT: A 43-year-old man with HGBL who could function independently presented with numbness and weakness of the left thigh 2 months after a diagnosis of infiltrative lymphoma in the left psoas muscle. His symptoms were urine incontinence and unsteady gait. A neurological examination revealed weakness in the left psoas and quadriceps with hyporeflexia and hypesthesia. Lumbar spine magnetic resonance imaging (MRI) revealed intraspinal extradural invasion from T12 to L3 with multiple left-sided root compression despite the resolution of primary psoas lymphoma. At 6 weeks after symptom onset, his symptoms progressed to weakness, numbness, and hyporeflexia of the bilateral lower extremities with preserved anal sensation. Follow- up MRI revealed the progression of intraspinal invasion, which spread through the spinal canal and invaded the contralateral neural foramina from T12 to L3. The patient was finally bound to a wheelchair. CONCLUSION: Clinicians must check for possible intraspinal involvement in patients with HGBL, particularly patients with known paraspinal soft-tissue involvement. The resolved infiltration of the soft tissue does not preclude the possibility of further neurological involvement. Additionally, MRI may provide higher resolution findings for clarifying the structure of the neural foramina and thecal sac. Keyword: Non-Hodgkin's Lymphoma, high-grade B-cell lymphoma, plexopathy.


Asunto(s)
Compresión de Datos , Linfoma de Células B , Linfoma no Hodgkin , Masculino , Humanos , Adulto , Hipoestesia/etiología , Reflejo Anormal , Linfoma no Hodgkin/diagnóstico por imagen , Linfoma de Células B/diagnóstico , Linfoma de Células B/diagnóstico por imagen
11.
Mol Cancer ; 21(1): 135, 2022 06 23.
Artículo en Inglés | MEDLINE | ID: mdl-35739524

RESUMEN

BACKGROUND: In recent years, an increasing number of studies have indicated that circular RNA plays crucial roles in regulating tumor development and chemoresistance. Using two high-throughput RNA sequence datasets, we previously found that circEXOC6B was downregulated in colon cancer. However, its role and mechanism in colorectal cancer (CRC) remained unknown. METHODS: Real-time quantitative PCR was used to examine the expression of circEXOC6B in CRC tissues. In vivo and in vitro functional experiments were performed to determine the suppressor role of circEXOC6B in CRC progression. RNA pull-down, mass spectrometry, RNA-binding protein immunoprecipitation, co-immunoprecipitation, fluorescence in situ hybridization, and immunofluorescence were applied to investigate the possible mechanisms connecting circEXOC6B to CRC growth and 5-fluorouracil-induced apoptosis. Chromatin immunoprecipitation, dual-luciferase assay, western blot, and immunohistochemistry were used to explore the mechanisms underlying the HIF1A regulation of RRAGB transcription. RESULTS: circEXOC6B was downregulated in CRC tissues, and its lower expression was associated with poor prognosis of patients. Functional experiments showed that circEXOC6B inhibited growth and increased the 5-fluorouracil-induced apoptosis of CRC cells in vitro and in vivo. Mechanistically, circEXOC6B inhibited the heterodimer formation of RRAGB by binding to it, thereby suppressing the mTORC1 pathway and HIF1A level. In addition, HIF1A upregulated the transcription of RRAGB by binding to its promoter region. Altogether, the results demonstrated that a HIF1A-RRAGB-mTORC1 positive feedback loop drives tumor progression in CRC, which could be interrupted by circEXOC6B. CONCLUSIONS: circEXOC6B inhibits the progression of CRC and enhances the chemosensitivity of CRC cells to 5-fluorouracil by antagonizing the HIF1A-RRAGB-mTORC1 positive feedback loop. circEXOC6B is a possible therapeutic target for CRC treatment.


Asunto(s)
Neoplasias Colorrectales , Proteínas de Unión al GTP Monoméricas , ARN Circular , Línea Celular Tumoral , Proliferación Celular/genética , Neoplasias Colorrectales/tratamiento farmacológico , Neoplasias Colorrectales/genética , Neoplasias Colorrectales/metabolismo , Retroalimentación , Fluorouracilo/farmacología , Regulación Neoplásica de la Expresión Génica , Humanos , Subunidad alfa del Factor 1 Inducible por Hipoxia/genética , Subunidad alfa del Factor 1 Inducible por Hipoxia/metabolismo , Hibridación Fluorescente in Situ , Diana Mecanicista del Complejo 1 de la Rapamicina/genética , Proteínas de Unión al GTP Monoméricas/genética , Proteínas de Unión al GTP Monoméricas/metabolismo , ARN Circular/genética
12.
Opt Express ; 30(6): 10096-10109, 2022 Mar 14.
Artículo en Inglés | MEDLINE | ID: mdl-35299420

RESUMEN

Phase-sensitive optical time-domain reflectometry (Φ-OTDR) has been proposed for distributed vibration sensing purpose over recent years. Emerging applications, including seismic and hydroacoustic wave detection, demand accurate low-frequency vibration reconstruction capability. We propose to use the direct-detection Φ-OTDR configuration to achieve quantitative demodulation of external low-frequency vibrations by phase-shifted dual-pulse probes. Simultaneous pulsing and phase shifting modulation is realized with a single acousto-optic modulator to generate such probes, relaxing the need for an additional optical phase modulator. In the experiments, vibrations with frequency as low as 0.5 Hz are successfully reconstructed with 10 m spatial resolution and 35 dB signal-to-noise ratio. Excellent linearity and repeatability are demonstrated between the optical phase demodulation results and the applied vibration amplitudes. The proposed method is capable of quantitative demodulation of low-frequency vibrations with a cost-effective system configuration and high computation efficiency, showing potential for commercial applications of distributed seismic or hydroacoustic wave acquisition.

13.
Opt Lett ; 47(14): 3379-3382, 2022 Jul 15.
Artículo en Inglés | MEDLINE | ID: mdl-35838684

RESUMEN

Phase-sensitive optical time-domain reflectometry (Φ-OTDR) based on heterodyne detection is widely used for its simple structure and high signal-to-noise ratio (SNR). However, the large amount of raw data of Φ-OTDR places a heavy burden on the storage device and also limits the transferability of the data. In this Letter, we propose an ultra-low sampling resolution technique to solve the data storage problem in heterodyne Φ-OTDR. Experimental results show that the optical phase variations induced by external vibrations can be successfully demodulated from the 1-bit-resolution raw data, and a vibration SNR of 58.03 dB is achieved. In addition, this work also reveals that a data acquisition device with extremely low sampling resolution is sufficient for heterodyne Φ-OTDR, signifying that the cost of the system can be further decreased.

14.
Sensors (Basel) ; 22(23)2022 Nov 26.
Artículo en Inglés | MEDLINE | ID: mdl-36501899

RESUMEN

We report an ytterbium (Yb) doped fiber Mach Zehnder interferometer (MZI) based on the up-taper fiber structure in a fiber ring laser (FRL) cavity. Different from the traditional FRL sensing system, in which additional filters are required, the designed structure simultaneously acts as a filter, sensor and gain medium. Furthermore, thanks to the high thermal-optical coefficient of Yb doped fiber, the temperature sensitivity of 0.261 nm/°C can be achieved in the range of 10-50 °C. In addition, benefiting from the unique characteristics of the laser system itself, the designed structure has a narrower linewidth (-0.2 nm) and a higher signal-to-noise ratio (SNR) (-40 dB) than the sensor system based on a broadband light source (BBS). Meanwhile, the refractive index (RI) response and stability of the system are measured. The RI sensitivity is up to 151 nm/RIU, and the wavelength fluctuation range within two hours is less than 0.2 nm. Therefore, the designed structure is expected to play a significant role in human life safety monitoring, aircraft engine temperature monitoring, etc.


Asunto(s)
Tecnología de Fibra Óptica , Interferometría , Humanos , Iterbio , Refractometría , Rayos Láser
15.
Sensors (Basel) ; 22(21)2022 Nov 05.
Artículo en Inglés | MEDLINE | ID: mdl-36366231

RESUMEN

This paper presented a new kind of salinity and temperature dual-parameter sensor based on a fiber ring laser (FRL) with tapered side-hole fiber (SHF) embedded in a Sagnac interferometer. The sensing structure is majorly composed of tapered SHF located in the middle of SHF inside the Sagnac interferometer loop structure. The influences of the SHF's diameters of different tapered in the Sagnac interferometer loop on the FRL sensing system are studied. The presence of air holes in the SHF makes the cladding mode easier to excite, and the interaction between the cladding mode with its surroundings is enhanced, thus having higher salinity sensitivity. Besides, the unique advantages of high resolution, narrower linewidth, and high signal-to-noise ratio (SNR) of fiber laser make the measurement results more accurate. In this experiment, the SHF with different taper diameters was made, and it was found that reducing the diameter of the taper waist diameter could further improve the salinity sensitivity. When the waist diameter was 9.70 µm, the maximum salinity sensitivity of 0.2867 nm/‱ was achieved. Temperature sensing experiments were also carried out. The maximum temperature sensitivity of the FRL sensing system was -0.3041 nm/°C at the temperature range from 20 to 30 °C. The sensor has the characteristics of easy manufacture, good selectivity, and high sensitivity, proving the feasibility of simultaneous measurement of seawater salinity and temperature.

16.
Sensors (Basel) ; 22(5)2022 Mar 03.
Artículo en Inglés | MEDLINE | ID: mdl-35271143

RESUMEN

This paper proposes a real-time multi-class disturbance detection algorithm based on YOLO for distributed fiber vibration sensing. The algorithm achieves real-time detection of event location and classification on external intrusions sensed by distributed optical fiber sensing system (DOFS) based on phase-sensitive optical time-domain reflectometry (Φ-OTDR). We conducted data collection under perimeter security scenarios and acquired five types of events with a total of 5787 samples. The data is used as a spatial-temporal sensing image in the training of our proposed YOLO-based model (You Only Look Once-based method). Our scheme uses the Darknet53 network to simplify the traditional two-step object detection into a one-step process, using one network structure for both event localization and classification, thus improving the detection speed to achieve real-time operation. Compared with the traditional Fast-RCNN (Fast Region-CNN) and Faster-RCNN (Faster Region-CNN) algorithms, our scheme can achieve 22.83 frames per second (FPS) while maintaining high accuracy (96.14%), which is 44.90 times faster than Fast-RCNN and 3.79 times faster than Faster-RCNN. It achieves real-time operation for locating and classifying intrusion events with continuously recorded sensing data. Experimental results have demonstrated that this scheme provides a solution to real-time, multi-class external intrusion events detection and classification for the Φ-OTDR-based DOFS in practical applications.


Asunto(s)
Algoritmos
17.
Acta Neurol Taiwan ; 31(1): 41-45, 2022 Jan 25.
Artículo en Inglés | MEDLINE | ID: mdl-34988953

RESUMEN

PURPOSE: Cefepime is a widely used antibiotic which was known to have neurotoxicity resulted from its ability to cross the blood-brain barrier and a wide variety of symptoms had been documented. Here we reported a case of Cefepime induced neurotoxicity with rare presentation. The aim of this study was to improve the knowledge of this condition. CASE REPORT: A 89-year-old female with a history of ESRD (end stage renal disease) and superimposed acute cholecystitis was treated with Cefepime. She developed the symptoms of global aphasia, right hemiplegia, leftward eye deviation and abnormal plantar reflex at right foot, which resembled acute ischemic stroke at left MCA (middle cerebral artery), on the fourth day of Cefepime treatment. There was no evidence of acute infarction in MRI (magnetic resonance imaging) of brain and EEG (electroencephalography) revealed NCSE (nonconvulsive status epilepticus). NCSE was suspected to be attributed to Cefepime-induced neurotoxicity. The patient's main risk factors were decreased renal clearance and incorrect dosing. Conslusion: Cefepime-induced neurotoxicity should be suspected in patients who developed neurologic symptoms after the administration of Cefepime. Emergent image study for excluding more commonly seen or critical etiologies and further evaluation with EEG were necessary. For those patients who have risk factors for Cefepime neurotoxicity, such as ESRD, TDM (therapeutic drug monitoring) may be useful in providing close monitoring and preventing adverse effects associated with Cefepime treatment. Keyword: Cefepime, acute ischemic stroke, aphaia, nonconvulsive status epilepticus.


Asunto(s)
Isquemia Encefálica , Estado Epiléptico , Accidente Cerebrovascular , Anciano de 80 o más Años , Antibacterianos/efectos adversos , Cefepima , Electroencefalografía , Femenino , Humanos , Infarto de la Arteria Cerebral Media/diagnóstico por imagen , Infarto de la Arteria Cerebral Media/tratamiento farmacológico , Estado Epiléptico/tratamiento farmacológico , Accidente Cerebrovascular/tratamiento farmacológico
18.
Zhongguo Zhong Yao Za Zhi ; 47(24): 6596-6606, 2022 Dec.
Artículo en Zh | MEDLINE | ID: mdl-36604908

RESUMEN

This study aims to explore the chemical structure transformation mechanisms of the main terpenoids in the effective fraction of Euphorbiae Ebracteolatae Radix(EER) during the processing with vinegar. The terpenoids including ent-11α-hydroxyabicta-8(14),13(15)-dien-16,12-olide(HAO), jolkinolide B(JNB), fischeria A(FA), and eupractenoid A(EA) were heated at 160 ℃ with 6% acetic acid for 40 min, and then LC-MS/MS was employed to analyze the structural transformation rules of the terpenoids. Further, we analyzed the changes in the relative content of the four compounds and their transformation products in raw and vinegar processed EER to verify the transformation rules during the simulated processing with vinegar. In addition, JNB and FA were processed with single heating, heating with water or heating with acetic acid. We then employed HPLC to compare the content of these two terpenoids and their transformation products before and after processing, so as to investigate the effect of different processing methods on chemical structure transformation. The results showed that the lactone ring of the abietane-type diterpenoids HAO and JNB and the norditerpene lactone FA were opened by heating with acetic acid. When there were hydroxyl groups in the structures, terpenoids were esterized to esters and oxidized to form carbonyl groups. When there was epoxy ring in the structures, ring opening reaction was easy to occur. During the heating with acetic acid, the heterodimeric diterpenoid EA underwent the cleavage of ether bond to produce the rosane-type diterpenoid euphebracteolatin A(EHTA) and another abietane-type diterpenoid. The changes in the relative content of terpenoids and their transformation products in raw and vinegar-processed EER were basically consistent with those of simulated processing of components with vinegar. The HPLC results revealed that the effect of different simulated processing methods on structural transformation varied. Heating with acid can change JNB and FA into new components. Heating with water can also promote the structural transformation, with the efficiency obviously lower than that of heating with acid. Direct heating had no influence on the structure of JNB, while it significantly reduced the relative content of FA. The components treated with direct heating did not produce the products like those of the heating with acid. These results indicated that vinegar plays a key role in the structural transformation of diterpenoids during the processing of EER with vinegar. The structural transformation of diterpenoids in EER during the processing with vinegar may be the material basis for vinegar processed EER to reduce toxicity and preserve effect.


Asunto(s)
Diterpenos , Medicamentos Herbarios Chinos , Terpenos , Ácido Acético/química , Medicamentos Herbarios Chinos/química , Cromatografía Liquida , Abietanos , Espectrometría de Masas en Tándem
19.
Opt Express ; 29(2): 2564-2576, 2021 Jan 18.
Artículo en Inglés | MEDLINE | ID: mdl-33726449

RESUMEN

Based on the nonuniformly spaced microwave photonic delay-line filter technology, a new design of a generic optical fiber sensor network interrogation platform is proposed and demonstrated. Sensing information from different types of optical sensors embedded in filter taps is converted into the variations of delay time and amplitude of each filter tap individually. Information to be measured can be decoded from the complex temporal impulse response of the microwave photonic filter. As proof-of-concept, our proposed approach is verified by simulations and experimental demonstrations successfully. Four optical sensors of different types are simultaneously interrogated via inverse Fourier transform of the filter frequency response. The experiment results show good linearity between the variation of temporal impulse response and the variations of the twist, the lateral pressure, the transversal loading and the temperature. The sensitivity of the sensors in the proposed platform is -2.130×10-5 a.u/degree, 6.1039 ps/kPa, -1.9146×10-5 a.u/gram, and 5.1497 ps/°C, respectively. Compared to the conventional optical sensors interrogation system, the presented approach provides a centralized solution that works for different types of optical sensors and can be easily expanded to cover larger optical sensor networks.

20.
Cancer Cell Int ; 21(1): 652, 2021 Dec 06.
Artículo en Inglés | MEDLINE | ID: mdl-34872577

RESUMEN

BACKGROUND: Aging and senescence can alter immune cell fitness and influence the efficacy of lung cancer treatments, especially immunotherapy. However, the correlations between cellular senescence and tumor microenvironment are still not clearly clarified and the value of cellular senescence-related genes in evaluating the immune infiltration and clinical outcomes of lung adenocarcinoma (LUAD) need further investigated. METHODS: We identified three cellular senescence clusters by NMF algorithm and correlated the cellular senescence clusters with the immune landscape in LUAD patients. A prognostic scoring system was established using random survival forest algorithm and validated in 4 external cohorts. Multivariate Cox regression analysis was performed to evaluate the prognostic value of the scoring system. Expression of LYPD3 was evaluated by immunohistochemistry in LUAD samples. RESULTS: Based on the mRNA expression profiles of 278 cellular senescence-related genes, three cellular senescence clusters with distinct prognosis were identified. We characterized three cellular senescence clusters by differences in biological processes, EMT score, expression of immunomodulatory genes, extent of intratumor heterogeneity and response to immunotherapy. Meanwhile, a cellular senescence-related scoring system (CSS) was established and validated as an independent prognostic factor and immunotherapy predictor of LUAD. Patients with low CSS was characterized by prolonged survival time. In response to anti-cancer drugs, patients with low CSS exhibited higher sensitivities to molecular drugs, such as Roscovitine (CDKs inhibitor), Lenaidornide (TNF-α inhibitor), MK2206 (Akt 1/2/3 inhibitor), and especially increased response to anti-PD-1/L1 immunotherapy. CONCLUSIONS: This study demonstrated the correlations between cellular senescence patterns and tumor immune landscape in LUAD, which enhanced our understanding of the tumor immune microenvironment and provided new insights for improving the outcome of immunotherapy for LUAD patients.

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