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1.
Cladistics ; 35(5): 514-549, 2019 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-34633696

RESUMEN

Penicillium species in section Lanata-divaricata are common soil-inhabiting fungi, but their presence in acidic soil has rarely been investigated. In an ongoing survey of Penicillium species occurring in China, 465 strains were isolated from soil, and of which 60 belonged to section Lanata-divaricata. The majority of these strains were isolated from acidic soil. The phylogenetic relationship between these 60 isolates and accepted species of section Lanata-divaricata was studied using ITS, BenA, CaM and RPB2 sequences, which revealed the presence of seven accepted species and 13 novel lineages. Combining phylogenetic data with data generated during macro- and microscopic observations resulted in the description of 13 new species. The growth rate of the new species obtained in this study was determined under acidic, neutral and alkaline conditions (pH 4, 7, 10). With the exception of P. hainanense, which was not able to grow at pH 10, all strains were able to grow at the three examined pH levels. Eleven species (i.e. P. austrosinense, P. flaviroseum, P. globosum, P. griseoflavum, P. hainanense, P. jianfenglingense, P. laevigatum, P. rubriannulatum, P. soliforme, P. spinuliferum, P. yunnanense) grew faster at low pH (pH 4) than at pH 7 or 10, and these species are therefore referred to as acid-preferential. Penicillium viridissimum grew fastest on neutral medium and P. guangxiense grew best at pH 10, and is therefore considered to be acid-tolerant. By isolating strains from a unique environment, combined with targeted isolation using a well-designed protocol, we are able to describe new fungal diversity with specific physiological characteristics.

2.
Bioorg Med Chem Lett ; 25(24): 5672-6, 2015 Dec 15.
Artículo en Inglés | MEDLINE | ID: mdl-26577693

RESUMEN

In this Letter, three triphenylamine-based dyes (TPA-1, TPA-2a and TPA-2b) with donor­bridge­acceptor (D­p­A) structure were designed and synthesized for the purpose of G-quadruplexes recognition. In aqueous conditions, the interactions of the dyes with G-quadruplexes were studied with the aim to establish the influence of the geometry of the dyes on their binding and probing properties. Results indicate that TPA-2b displays significant selective colorimetric and fluorescent changes upon binding of G-quadruplex DNA. More importantly, its distinct color change enables visual detection and differentiation of G-quadruplexes from single and duplex DNA structures. CD titration date reveals that TPA-2b could induce and stabilize the formation of G-quadruplex structure. All these remarkable properties of TPA-2b suggest that it should have promising application in the field of G-quadruplexes research.


Asunto(s)
ADN/análisis , Colorantes Fluorescentes/química , G-Cuádruplex , Dicroismo Circular , Colorimetría
3.
Zhonghua Xin Xue Guan Bing Za Zhi ; 43(8): 705-8, 2015 Aug.
Artículo en Zh | MEDLINE | ID: mdl-26955728

RESUMEN

OBJECTIVE: To investigate the relationship between the protein expression of calpain-2 and calcineurin (CaN) and atrial fibrillation (AF) in patient with valvular heart disease (VHD). METHODS: A total of 40 patients who underwent valve replacement surgery in our hospital from March 2013 to March 2014, right atrial appendages were excised during operation and patients were divided into sinus rhythm (SR) group (n = 17) and AF group (n = 23). The protein expression of calpain-2 and the α-isoform of CaN catalytic subunit (CnA) in the right atrial appendages were determined by Western blot. RESULTS: The protein levels of the full-length CnAa (60,000), the 45,000 fragment of CnAa without autoinhibitory domain, and calpain-2 were significantly upregulated in the AF group compared to the SR group (1.25 ± 0.51 vs. 0.76 ± 0.37, 1.08 ± 0.37 vs. 0.76 ± 0.25, and 0.82 ± 0.44 vs. 0.51 ± 0.19, respectively, all P < 0.05). CONCLUSION: Activated calpain-2-CaN signal pathway might be involved in the pathogenesis of AF.


Asunto(s)
Apéndice Atrial , Fibrilación Atrial , Enfermedades de las Válvulas Cardíacas , Western Blotting , Calcineurina , Calpaína , Humanos , Regulación hacia Arriba
4.
Soft Matter ; 10(4): 549-52, 2014 Jan 28.
Artículo en Inglés | MEDLINE | ID: mdl-24652509

RESUMEN

Superhydrophobic surfaces with strong adhesion to water droplets are drawing great attention due to their unique applications. In this communication, we propose a method to construct such surfaces with considerably strong solid-water adhesion. A novel fluorinated polyimide (FPI), was electrospun into dented nano and/or micro bowl-like particles linked with nanofibers. Surfaces consisting of such structures present robust superhydrophobicity as well as ultra high adhesion. A physical model is built to explain the generation of high adhesion on the revolutionary electrospun structures.


Asunto(s)
Compuestos de Anilina/química , Compuestos de Bencidrilo/química , Flúor/química , Imidas/química , Nanofibras/química , Compuestos de Anilina/síntesis química , Compuestos de Bencidrilo/síntesis química , Interacciones Hidrofóbicas e Hidrofílicas , Anhídridos Ftálicos/química
5.
Sci Rep ; 14(1): 1405, 2024 Jan 16.
Artículo en Inglés | MEDLINE | ID: mdl-38228694

RESUMEN

Currently, a standardized design and calculation specification for suction drum foundations has yet to exist in China. The engineering design currently depends mainly on the subjective understanding and engineering experience of the designers, which can be considered somewhat blind and subjective. In this paper, we utilize the offshore wind power project in Yangjiang City, Guangdong Province, as our case study. Building upon domestic and international research results, relevant investigations, design specifications, and engineering applications in related fields, we conduct a systematic study on the design calculation and construction control technology of the suction drum foundation. The document presents the design calculation and inspection of the suction drum foundation. Building on this foundation, we propose a sinking feasibility analysis method and a parameter value method for the suction drum foundation calculation. We also examine the suction drum foundation construction process, examining its control parameters, technology, and standards. Finally, based on the measured data from six four-barrel guided frame platform suction drum foundations that were successfully installed, the proposed design and control method are evaluated, and their effectiveness is verified. The results of this study can provide valuable references for the design and construction of similar suction drum foundation platforms.

6.
ACS Omega ; 9(19): 21260-21269, 2024 May 14.
Artículo en Inglés | MEDLINE | ID: mdl-38764628

RESUMEN

Natural gas generates varying concentrations of H2S during natural formation and extraction, and H2S leak accidents are frequent, posing a significant threat to the safety of human life and the environment. Conventional treatment technology equipment is large and does not meet the emergency requirements of the complex topographical gas field. This study aimed to design a pilot-scale method coupling the venturi and bubbling reactors to reduce equipment size and improve emergency capabilities for the absorption of leaked H2S. It found that the ring system self-priming venturi reactor, which was suitable only for the coarse treatment of toxic gases, maintained an absorption efficiency of around 50% under most operating conditions, with substantial variations due to changes in process parameters, but that redundancy of the bubbling reactor was high. With the synergistic effect of venturi and bubbling, the coupling process had an extremely high absorption efficiency, basically more than 95%. The experiments also showed that the H2S concentration at the outlet of the venturi-bubbling reactor increased with increasing inlet gas concentration and gas volume. The absorption performance improved significantly on increasing Fe3+ concentration; it increased first and then remained constant, and the optimum Fe3+ concentration for the absorption of leaked H2S was 21 000 mg/m3. The absorption performance decreased with increasing submergence height and then remained stable after the size of the inlet approached 600 mm, whereas the overall absorption efficiency of the venturi-bubbling reactor remained constant. The optimum operating temperature range was 10 °C-50 °C. The experimental system kept the outlet concentration below the emergency discharge standard for a continuous period of 48 h following practical use in the gas field and resulting in significant enhancement in mass transfer performance, fully satisfying the emergency requirements.

7.
Sci Total Environ ; 919: 170768, 2024 Apr 01.
Artículo en Inglés | MEDLINE | ID: mdl-38340838

RESUMEN

Mangroves are transition areas connecting land, freshwater, and the ocean, where a great amount of organic carbon accumulates in the soil, forming a considerable carbon sink. However, the soil might also be a source of greenhouse gas (GHG) emissions. This study hypothesized that measuring GHG emissions solely during low tides can represent diurnal GHG emissions in mangroves. Methane (CH4) and carbon dioxide (CO2) emissions were quantified during tidal cycles using an ultraportable gas analyzer in Kandelia obovata (without pneumatophores) and Avicennia marina (with pneumatophores) mangroves in summer and fall. The results showed that the CH4 fluxes varied greatly during tidal cycles, from -1.25 to 96.24 µmol CH4 m-2 h-1 for K. obovata and from 2.86 to 2662.00 µmol CH4 m-2 h-1 for A. marina. The CO2 fluxes ranged from -4.23 to 20.65 mmol CO2 m-2 h-1 for K. obovata and from 0.09 to 24.69 mmol CO2 m-2 h-1 for A. marina. The diurnal variation in GHG levels in mangroves is predominantly driven by tidal cycles. The peak emissions of CH4 and CO2 were noted at the beginning of the flooding tide, rather than during daytime or nighttime. While the patterns of the CO2 fluxes during tidal cycles were similar between K. obovata and A. marina mangroves, their CH4 flux patterns during the tidal cycles differed. Possibly due to different transport mechanisms, CO2 emissions are primarily influenced by surface soils, whereas CH4 is predominantly emitted from deeper soils, thus being influenced by root structures. To reduce the uncertainty in measuring GHG emissions in mangrove soils during a tidal cycle, it is advisable to increase the number of GHG flux measurements during the period spanning 30 min before and after the beginning of the flooding and ebbing tides.

8.
Int J Med Sci ; 10(8): 948-56, 2013.
Artículo en Inglés | MEDLINE | ID: mdl-23801880

RESUMEN

As an intermediate filament protein, cytokeratin 8 (CK8) exerts multiple cellular functions. Moreover, it has been identified as a marker of notochord cells, which play essential roles in human nucleus pulposus (NP). However, the distribution of CK8 positive cells in human NP and their relationship with intervertebral disc degeneration (IDD) have not been clarified until now. Here, we found the percentage of CK8 positive cells in IDD (25.7±4.14%) was significantly lower than that in normal and scoliosis NP (51.9±9.73% and 47.8±5.51%, respectively, p<0.05). Western blotting and qRT-PCR results confirmed the down-regulation of CK8 expression in IDD on both of protein and mRNA levels. Furthermore, approximately 37.4% of cell clusters were CK8 positive in IDD. Taken together, this is the first study to show a down-regulated CK8 expression and the percentage of CK8 positive cell clusters in IDD based upon multiple lines of evidence. Consequently, CK8 positive cells might be considered as a potential option in the development of cellular treatment strategies for NP repair.


Asunto(s)
Regulación hacia Abajo , Degeneración del Disco Intervertebral/genética , Queratina-8/genética , Adulto , Secuencia de Bases , Western Blotting , Cartilla de ADN , Femenino , Humanos , Masculino , Reacción en Cadena en Tiempo Real de la Polimerasa , Adulto Joven
9.
Int J Med Sci ; 10(13): 1805-16, 2013.
Artículo en Inglés | MEDLINE | ID: mdl-24324357

RESUMEN

OBJECTIVE: As a main cellular component within the disc, nucleus pulposus (NP) cells play important roles in disc physiology. However, little is known on the biologic hallmarks of human NP cells. Therefore, the present study aimed to address the features of human NP cells. METHODS: Human NP samples were collected from normal cadavers, patients with scoliosis and disc degeneration as normal, disease control and degenerative NP, respectively. The NP samples were studied using transmission electron microscopy and TUNEL assay. Pre-digested NP samples were studied using flow cytometry with PI/Annexin V staining. RESULTS: Both control and degenerative human NP consisted of mainly viable cells with a variety of morphology. Both necrosis and apoptosis were noted in human NP as forms of cell death with increased apoptosis in degenerative NP, which was further confirmed by the TUNEL assay. Phagocytic NP cells had the hallmarks of both stationary macrophages with lysosomes and NP cells with the endoplasmic reticulum. Annulus fibrosus cells have similar morphologic characteristics with NP cells in terms of cell nest, phagocytosis and intracellular organs. Moreover, NP cells with long processes existed in degenerative and scoliotic NP rather than normal NP. When cultured in glucose-free medium, NP cells developed long and thin processes. CONCLUSION: Human degenerative NP consists of primarily viable cells. We present direct and in vivo evidence that both human annulus fibrosus and NP cells have phagocytic potential. Moreover, NP cells with long processes exist in both scoliotic and degenerative NP with lack of glucose as one of the possible underlying mechanisms.


Asunto(s)
Disco Intervertebral/patología , Fagocitosis , Adulto , Apoptosis , Supervivencia Celular , Femenino , Humanos , Etiquetado Corte-Fin in Situ , Disco Intervertebral/inmunología , Masculino , Microscopía Electrónica de Transmisión , Persona de Mediana Edad
10.
PLoS One ; 18(3): e0272750, 2023.
Artículo en Inglés | MEDLINE | ID: mdl-36862668

RESUMEN

The pollution of soil with heavy metals is an increasingly serious worldwide problem, and cadmium (Cd) has attracted attention because of its high toxicity to almost all plants. Since castor tolerates the accumulation of heavy metals, it has the potential for heavy metal soil remediation. We studied the mechanism of the tolerance of castor to Cd stress treatments at three doses: 300 mg/L, 700 mg/L, and 1,000 mg/L. This research provides new ideas for revealing the defense and detoxification mechanisms of Cd-stressed castor. By combining the results of physiology, differential proteomics and comparative metabolomics, we conducted a comprehensive analysis of the networks that regulate the response of castor to Cd stress. The physiological results mainly emphasize the super-sensitive responses of castor plant roots to Cd stress and the effects of Cd stress on plants' antioxidant system, ATP synthesis and ion homeostasis. We confirmed these results at the protein and metabolite levels. In addition, proteomics and metabolomics indicated that under Cd stress, the expressions of proteins involved in defense and detoxification, energy metabolism and other metabolites such as organic acids and flavonoids were significantly up-regulated. At the same time, proteomics and metabolomics also show that castor plants mainly block the root system's absorption of Cd2+ by enhancing the strength of the cell wall, and inducing programmed cell death in response to the three different doses of Cd stress. In addition, the plasma membrane ATPase encoding gene (RcHA4), which was significantly upregulated in our differential proteomics and RT-qPCR studies, was transgenically overexpressed in wild type Arabidopsis thaliana for functional verification. The results indicated that this gene plays an important role in improving plant Cd tolerance.


Asunto(s)
Arabidopsis , Cadmio , Cadmio/toxicidad , Proteómica , Metales , Metabolómica , Antioxidantes , Arabidopsis/genética , Aceite de Ricino
11.
Org Lett ; 25(10): 1737-1741, 2023 Mar 17.
Artículo en Inglés | MEDLINE | ID: mdl-36877585

RESUMEN

We report on the synthesis of a cage-type calix[4]pyrrole (1) bearing an additional basic pyridinebisthiazolamine group on the strap. The receptor in its protonated form shows strong affinity and selectivity for sulfate over a wide range of inorganic anions. With receptor 1 as a liquid-liquid extractant, H+/SO42- in the form of H2SO4 is almost quantitatively extracted from an aqueous solution containing HNO3 at a high concentration to CH2Cl2 in a recyclable manner.

12.
Int J Ophthalmol ; 16(8): 1268-1273, 2023.
Artículo en Inglés | MEDLINE | ID: mdl-37602336

RESUMEN

AIM: To investigate thickness characteristics and vascular plexuses in retinas with reticular pseudodrusen (RPD) as an early detection strategy for age-related macular degeneration (AMD). METHODS: This retrospective study included 24 subjects (33 eyes) with RPD and 25 heathy control subjects (34 eyes). The superficial capillary plexus (SCP) and the deep capillary plexus (DCP) of the retinal posterior poles were investigated with optical coherence tomography angiography (OCTA). Retinal thicknesses and vessel densities were analyzed statistically. RESULTS: The general retinal thicknesses of RPD eyes were significantly decreased (95%CI -14.080, -0.655; P=0.032). The vessel densities of DCP in RPD eyes were significantly increased in the global (95%CI 1.067, 7.312; P=0.027), parafoveal (95%CI 0.417, 5.241; P=0.022), and perifoveal (95%CI 0.181, 6.842; P=0.039) quadrants. However, the vessel densities of the SCP were rarely increased in the eyes with RPD. CONCLUSION: The thinning of retinas in the RPD group suggests a reduction in the number of cells. Additionally, the increased vessel density of the DCP in retinas with RPD indicates a greater demand for blood supply, possibly due to the hypoxia induced RPD compensation caused by RPD in the outer retina. This study highlights the pathological risks associated with RPD and emphasizes the importance of early intervention to retard the progression of AMD.

13.
RSC Adv ; 13(11): 7673-7681, 2023 Mar 01.
Artículo en Inglés | MEDLINE | ID: mdl-36908540

RESUMEN

Ammonia borane (AB) is a potential hydrogen storage material with high-efficiency hydrolytic dehydrogenation under a suitable catalyst. Noble metal catalysts have drawn a lot of attention. In this study, a carbon-coated zeolite was obtained by calcination at high temperatures using glucose as a carbon source. Pt nanoparticles were fixed on a core-shell composite support by a simple chemical reduction method. A series of catalysts were prepared with different synthesis parameters. The results show that PSC-2 has excellent catalytic performance for hydrolytic dehydrogenation of AB in alkaline solution at room temperature, and the turnover frequency (TOF) is 593 min-1. The excellent catalytic performance is attributed to the carbon layer on the zeolite surface which inhibits the aggregation or deformation of metals in the catalytic reaction. The metal-support interaction activates the water and accelerates the rate-limiting step of hydrolysis. The activation energy (E a = 44 kJ mol-1) was calculated based on the reaction temperature. In addition, the kinetics of AB hydrolysis was studied, and the effects of catalyst concentration, AB concentration and NaOH concentration on AB hydrolysis rate were further investigated. The high-efficiency catalyst prepared in this work provides a new strategy for the development of chemical hydrogen production in the field of catalysis.

14.
Heliyon ; 9(12): e23002, 2023 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-38144322

RESUMEN

Background: Neurodegenerative retinal diseases such as retinitis pigmentosa are serious disorders that may cause irreversible visual impairment. Ferroptosis is a novel type of programmed cell death, and the involvement of ferroptosis in retinal degeneration is still unclear. This study aimed to investigate the related ferroptosis genes in a mice model of retinal degeneration induced by light damage. Methods: A public dataset of GSE10528 deriving from the Gene Expression Omnibus database was analyzed to identify the differentially expressed genes (DEGs). Gene set enrichment analysis between light damage and control group was conducted. The differentially expressed ferroptosis-related genes (DE-FRGs) were subsequently identified by intersecting the DEGs with a ferroptosis genes dataset retrieved from the FerrDb database. The Gene Ontology (GO) and Kyoto Encyclopedia of Genes and Genomes (KEGG) were further performed using the DE-FRGs. A protein-protein interaction (PPI) network was constructed to identify hub ferroptosis-related genes (HFRGs). The microRNAs (miRNAs)-HFRGs, transcription factors (TFs)-HFRGs networks as well as target drugs potentially interacting with HFRGs were analyzed utilizing bioinformatics algorithms. Results: A total of 932 DEGs were identified between the light damage and control group. Among these, 25 genes were associated with ferroptosis. GO and KEGG analyses revealed that these DE-FRGs were mainly enriched in apoptotic signaling pathway, response to oxidative stress and autophagy, ferroptosis, necroptosis and cytosolic DNA-sensing pathway. Through PPI network analysis, six hub ferroptosis-related genes (Jun, Stat3, Hmox1, Atf3, Hspa5 and Ripk1) were ultimately identified. All of them were upregulated in light damage retinas, as verified by the GSE146176 dataset. Bioinformatics analyses predicated that 116 miRNAs, 23 TFs and several potential therapeutic compounds might interact with the identified HFRGs. Conclusion: Our study may provide novel potential biomarkers, therapeutic targets and new insights into the ferroptosis landscape in retinal neurodegenerative diseases.

15.
Appl Opt ; 51(30): 7362-7, 2012 Oct 20.
Artículo en Inglés | MEDLINE | ID: mdl-23089793

RESUMEN

We present a Shack-Hartmann (SH) centroid detection algorithm capable to measure in presence of strong noise, background illumination and spot modulating signals, which are typical limiting factors of traditional centroid detection algorithms. The proposed method is based on performing a normalization of the SH pattern using the spiral phase transform method and Fourier filtering. The spot centroids are then obtained using global thresholding and weighted average methods. We have tested the algorithm with simulations and experimental data obtaining satisfactory results. A complete MATLAB package that can reproduce all the results can be downloaded from [http://goo.gl/o2JhD].


Asunto(s)
Algoritmos , Análisis de Fourier , Procesamiento de Imagen Asistido por Computador/métodos , Luz , Transductores
16.
Front Pharmacol ; 13: 855828, 2022.
Artículo en Inglés | MEDLINE | ID: mdl-35462927

RESUMEN

Gasdermin E (GSDME) is a member of the gasdermin protein family, which mediates programmed cell death including apoptosis and pyroptosis. Recently, it was suggested that GSDME is activated by chemotherapeutic drugs to stimulate pyroptosis of cancer cells and trigger anti-tumor immunity, which is identified as a tumor suppressor. However, GSDME-mediated pyroptosis contributes to normal tissue damage, leading to pathological inflammations. Inhibiting GSDME-mediated pyroptosis might be a potential target in ameliorating inflammatory diseases. Therefore, targeting GSDME is a promising option for the treatment of diseases in the future. In this review, we introduce the roles of GSDME-driven programmed cell death in different diseases and the potential targeted therapies of GSDME, so as to provide a foundation for future research.

17.
Front Genet ; 13: 869210, 2022.
Artículo en Inglés | MEDLINE | ID: mdl-35571021

RESUMEN

Background: Epilepsy in childhood is a common and diverse neurological disorder. We conducted a genetic and phenotype analysis of a Chinese cohort of infants and children with epilepsy. Methods: We conducted a pedigree analysis of 260 Chinese patients with epilepsy onset during infancy or childhood by whole exome sequencing (WES). Results: Of the 260 probands analyzed, a genetic diagnosis was established in 135 patients. One-hundred eighty-eight phenotypes were detected in those 135 positive/likely positive patients, 106 patients had more than two phenotypes, and 67 patients had more than three phenotypes. A total of 142 variants of 81 genes were detected among the positive/likely positive patients. Among these 142 variants, of which 87 of 66 genes were novel. Conclusion: Our findings extend the variant spectrum of genes related to epilepsy. Our results will be useful for genetic testing and counseling for patients with epilepsy.

18.
Front Nutr ; 9: 959824, 2022.
Artículo en Inglés | MEDLINE | ID: mdl-35958244

RESUMEN

Taking the eutectic point as the final freezing temperature, the differences of flavor substances of in hand grab mutton (HGM) frozen at three rates of 0. 26 cm/h (-18°C), 0.56 cm/h (-40°C) and 2.00 cm/h (-80°C) were determined and analyzed. The results showed that the flavor of HGM decreased significantly after freezing. With the increase of freezing rate, the contents of aldehydes, alcohols, ketones, acids, esters, others, free amino acids and 5'-nucleotides were higher, and the content of specific substances was also generally increased. All samples from unfrozen and frozen HGM could be divided into four groups using an electronic nose based on different flavor characteristics. Seven common key aroma components were determined by relative odor activity value (ROAV), including hexanal, heptanal, octanal, nonanal, (E)-oct-2-enal, (2E,4E)-deca-2,4-dienal and oct-1-en-3-ol. The higher the freezing rate, the greater the ROAVs. Taste activity values calculated by all taste substances were far <1, and the direct contribution of the substances to the taste of HGM was not significant. The equivalent umami concentration of HGM frozen at -80°C was the highest. These findings indicated that higher freezing rate was more conducive to the retention of flavor substances in HGM, and the flavor fidelity effect of freezing at -80°C was particularly remarkable.

19.
Front Pharmacol ; 12: 790784, 2021.
Artículo en Inglés | MEDLINE | ID: mdl-35222008

RESUMEN

Chemotherapy-induced nausea and vomiting (CINV), a common side effect in antineoplastic treatment, dramatically decreases the quality of life as well as the compliance of cancer patients. Although numerous antiemetic agents have been used for CINV treatment, its adverse reactions as well as its inadequate control toward delayed emesis still limit its clinical usage. Traditional Chinese medicine (TCM), with more than 3,000 years of practical history in Asia, has been successfully applied to mitigate chemotherapy-induced side effects. Growing attention is drawn to the antiemetic effect of TCM against CINV due to its promising therapeutic property and higher safety recently. In this review, we summarize the classic antiemetic TCM-based treatment and its mechanisms, so as to provide a theoretical basis for further investigations of TCM against CINV in the future.

20.
Front Pediatr ; 9: 663705, 2021.
Artículo en Inglés | MEDLINE | ID: mdl-34017810

RESUMEN

Background: Esophageal diverticulum (ED) is an extremely rare complication of congenital esophageal atresia (EA) with or without tracheoesophageal fistula (TEF) surgery. We aimed to investigate feasible methods for the treatment of this rare complication. Methods: We retrospectively reviewed all patients with EA/TEF at Beijing Children's Hospital from January 2015 to September 2019. The clinicopathological features of patients with ED after EA/TEF surgery were recorded. Follow-up was routinely performed after surgery until December 2020. Results: Among 198 patients with EA/TEF, ED only occurred in four patients (2.02%; one male, three female). The four patients had varying complications after the initial operation, including anastomotic leakage (3/4), esophageal stenosis (3/4), and recurrence of TEF (1/4). The main clinical symptoms of ED included recurrent pneumonia (4/4), coughing (4/4), and dysphagia (3/4). All ED cases occurred near the esophageal anastomosis. Patients' age at the time of diverticulum repair was 6.6-16.8 months. All patients underwent thoracoscopic esophageal diverticulectomy (operation time: 1.5-3.5 h). Anastomotic leakage occurred in one patient and spontaneously healed after 2 weeks. The other three patients had no peri-operative complications. All patients were routinely followed up after surgery for 14-36 months. During the follow-up period, all patients could eat orally, had good growth and weight gain, and showed no ED recurrence or anastomotic leakage on esophagogram. Conclusions: ED is a rare complication after EA/TEF surgery and is a clear indication for diverticulectomy. During the midterm follow-up, thoracoscopic esophageal diverticulectomy was safe and effective for ED after EA/TEF surgery.

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