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1.
J Integr Neurosci ; 23(6): 116, 2024 Jun 14.
Artigo em Inglês | MEDLINE | ID: mdl-38940089

RESUMO

BACKGROUND: The effects of heat acclimation (HA) on the hypothalamus after exertional heatstroke (EHS) and the specific mechanism have not been fully elucidated, and this study aimed to address these questions. METHODS: In the present study, rats were randomly assigned to the control, EHS, HA, or HA + EHS groups (n = 9). Hematoxylin and eosin (H&E) staining was used to examine pathology. Tandem mass tag (TMT)-based proteomic analysis was utilized to explore the impact of HA on the protein expression profile of the hypothalamus after EHS. Bioinformatics analysis was used to predict the functions of the differentially expressed proteins. The differential proteins were validated by western blotting. An enzyme-linked immunosorbent assay was used to measure the expression levels of inflammatory cytokines in the serum. RESULTS: The H&E staining (n = 5) results revealed that there were less structural changes in hypothalamus in the HA + EHS group compared with the EHS group. Proteomic analysis (n = 4) revealed that proinflammatory proteins such as argininosuccinate synthetase (ASS1), high mobility group protein B2 (HMGB2) and vimentin were evidently downregulated in the HA + EHS group. The levels of interleukin (IL)-1ß, IL-1, and IL-8 were decreased in the serum samples (n = 3) from HA + EHS rats. CONCLUSIONS: HA may alleviate hypothalamic damage caused by heat attack by inhibiting inflammatory activities, and ASS1, HMGB2 and vimentin could be candidate factors involved in the exact mechanism.


Assuntos
Golpe de Calor , Hipotálamo , Proteômica , Ratos Sprague-Dawley , Animais , Hipotálamo/metabolismo , Golpe de Calor/metabolismo , Ratos , Masculino , Esforço Físico/fisiologia , Modelos Animais de Doenças
2.
Hum Factors ; 66(5): 1545-1563, 2024 May.
Artigo em Inglês | MEDLINE | ID: mdl-36602523

RESUMO

OBJECTIVE: This study explores subjective and objective driving style similarity to identify how similarity can be used to develop driver-compatible vehicle automation. BACKGROUND: Similarity in the ways that interaction partners perform tasks can be measured subjectively, through questionnaires, or objectively by characterizing each agent's actions. Although subjective measures have advantages in prediction, objective measures are more useful when operationalizing interventions based on these measures. Showing how objective and subjective similarity are related is therefore prudent for aligning future machine performance with human preferences. METHODS: A driving simulator study was conducted with stop-and-go scenarios. Participants experienced conservative, moderate, and aggressive automated driving styles and rated the similarity between their own driving style and that of the automation. Objective similarity between the manual and automated driving speed profiles was calculated using three distance measures: dynamic time warping, Euclidean distance, and time alignment measure. Linear mixed effects models were used to examine how different components of the stopping profile and the three objective similarity measures predicted subjective similarity. RESULTS: Objective similarity using Euclidean distance best predicted subjective similarity. However, this was only observed for participants' approach to the intersection and not their departure. CONCLUSION: Developing driving styles that drivers perceive to be similar to their own is an important step toward driver-compatible automation. In determining what constitutes similarity, it is important to (a) use measures that reflect the driver's perception of similarity, and (b) understand what elements of the driving style govern subjective similarity.


Assuntos
Condução de Veículo , Humanos , Inquéritos e Questionários , Automação , Acidentes de Trânsito
3.
Muscle Nerve ; 64(3): 336-341, 2021 09.
Artigo em Inglês | MEDLINE | ID: mdl-34151436

RESUMO

INTRODUCTION/AIMS: Exertional rhabdomyolysis (ER) often occurs during prolonged intense exercise in hot environments, posing a threat to the health of military personnel. In this study we aimed to investigate possible risk factors for ER and provide further empirical data for prevention and clinical treatment strategies. METHODS: A retrospective investigation of 116 concurrent ER cases was conducted. Conditional logistic regression analyses were performed to assess the association between each potential risk (or protective) factor and ER. The clinical characteristics of the 71 hospitalized patients were analyzed descriptively. RESULTS: After screening, the following variables significantly increased the risk of ER: shorter length of service (recruits; odds ratios [OR], 7.49; 95% confidence interval [CI], 2.58-21.75); higher body mass index (BMI; OR, 1.14, 95% CI, 1.03-1.26); lack of physical exercise in the last half year (less than once per month; OR, 3.20; 95% CI, 1.08-9.44); and previous heat injury (OR, 2.94; 95% CI, 1.26-6.89). Frequent fruit consumption (OR, 0.57; 95% CI, 0.33-0.99), active hydration habit (OR, 0.37; 95% CI, 0.20-0.67), water replenishment of more than 2 L on the training day (OR, 0.15; 95% CI, 0.05-0.45), and water replenishment of at least 500 mL within 1 hour before training (OR, 0.33; 95% CI, 0.12-0.88) significantly decreased the risk of ER. Of the 71 hospitalized patients, 41 (57.7%) were diagnosed with hypokalemia on admission. DISCUSSION: In military training, emphasis should be placed on incremental adaptation training before more intense training, and close attention should be given to overweight and previously sedentary recruits. Fluid replenishment before exercise, increased fruit intake, and proper potassium supplementation may help prevent ER.


Assuntos
Adaptação Fisiológica/fisiologia , Índice de Massa Corporal , Exercício Físico/fisiologia , Esforço Físico/fisiologia , Rabdomiólise/diagnóstico , Adolescente , Humanos , Masculino , Programas de Rastreamento , Militares , Estudos Retrospectivos , Rabdomiólise/etiologia , Rabdomiólise/fisiopatologia , Fatores de Risco , Fatores de Tempo , Adulto Jovem
4.
Am J Emerg Med ; 44: 366-372, 2021 06.
Artigo em Inglês | MEDLINE | ID: mdl-32389399

RESUMO

OBJECTIVE: To evaluate the prognostic value of routine coagulation tests for patients with heat stroke. METHODS: This was a multi-center retrospective study. Patients who arrived at the hospital <24 h after the onset of Heat Stroke (HS) were included. The routine coagulation variables were detected within 24 h after the onset, including the lowest platelet count (PLC). RESULTS: 60-day mortality rate was 20.9%. The median Prothrombin Time-International Normalized Ratio (PT-INR) of the non-surviving patients was significantly higher than that of the survivors (P < 0.01). The median Activated Partial Thromboplastin Time (APTT) in non-surviving patients was significantly higher than in the surviving patients (P < 0.01). A Cox regression analysis revealed that 60-day mortality was associated with PT-INR (P = 0.032) and APTT (P = 0.004). The optimal PT-INR point for predicting 60-day mortality rate was 1.7. The optimal APTT point for predicting 60-day mortality was 51.45. Patients with increased PT-INR (≥1.7) levels had, overall, a significantly reduced survival time (P < 0.01). Patients with elevated APTT (≥51.45) also had a decrease in survival time (P < 0.01). The prognostic scoring, with increased PT-INR (≥1.7) and prolonged APTT (≥51.45) at one point each, was also demonstrated to be useful in predicting 60-day mortality. Patients whose temperature fell to 38.9 °C within 30 min had significantly lower levels of PT-INR and APTT within 24 h than those who took longer to cool down. CONCLUSIONS: A prolonged APTT and elevated PT-INR within 24 h are independent prognostic factors of 60-day mortality in HS.


Assuntos
Testes de Coagulação Sanguínea , Golpe de Calor/sangue , Golpe de Calor/mortalidade , Adulto , China/epidemiologia , Feminino , Humanos , Coeficiente Internacional Normatizado , Masculino , Tempo de Tromboplastina Parcial , Prognóstico , Tempo de Protrombina , Estudos Retrospectivos , Taxa de Sobrevida
5.
Hum Factors ; 63(2): 197-209, 2021 03.
Artigo em Inglês | MEDLINE | ID: mdl-31596618

RESUMO

OBJECTIVE: This study examines how driving styles of fully automated vehicles affect drivers' trust using a statistical technique-the two-part mixed model-that considers the frequency and magnitude of drivers' interventions. BACKGROUND: Adoption of fully automated vehicles depends on how people accept and trust them, and the vehicle's driving style might have an important influence. METHOD: A driving simulator experiment exposed participants to a fully automated vehicle with three driving styles (aggressive, moderate, and conservative) across four intersection types (with and without a stop sign and with and without crossing path traffic). Drivers indicated their dissatisfaction with the automation by depressing the brake or accelerator pedals. A two-part mixed model examined how automation style, intersection type, and the distance between the automation's driving style and the person's driving style affected the frequency and magnitude of their pedal depression. RESULTS: The conservative automated driving style increased the frequency and magnitude of accelerator pedal inputs; conversely, the aggressive style increased the frequency and magnitude of brake pedal inputs. The two-part mixed model showed a similar pattern for the factors influencing driver response, but the distance between driving styles affected how often the brake pedal was pressed, but it had little effect on how much it was pressed. CONCLUSION: Eliciting brake and accelerator pedal responses provides a temporally precise indicator of drivers' trust of automated driving styles, and the two-part model considers both the discrete and continuous characteristics of this indicator. APPLICATION: We offer a measure and method for assessing driving styles.


Assuntos
Condução de Veículo , Confiança , Acidentes de Trânsito/prevenção & controle , Automação , Veículos Autônomos , Emoções , Humanos , Tempo de Reação
6.
Molecules ; 24(9)2019 May 08.
Artigo em Inglês | MEDLINE | ID: mdl-31071946

RESUMO

This work incorporates a variety of conjugated donor-acceptor (DA) co-monomers such as 2,6-diaminopurine (DP) into the structure of a polymeric carbon nitride (PCN) backbone using a unique nanostructure co-polymerization strategy and examines its photocatalytic activity performance in the field of photocatalytic CO2 reduction to CO and H2 under visible light irradiation. The as-synthesized samples were successfully analyzed using different characterization methods to explain their electronic and optical properties, crystal phase, microstructure, and their morphology that influenced the performance due to the interactions between the PCN and the DPco-monomer. Based on the density functional theory (DFT) calculation result, pure PCN and CNU-DP15.0 trimers (interpreted as incorporation of the co-monomer at two different positions) were extensively evaluated and exhibited remarkable structural optimization without the inclusion of any symmetry constraints (the non-modified sample derived from urea, named as CNU), and their optical and electronic properties were also manipulated to control occupation of their respective highest occupied molecular orbital (HOMO) and lowest unoccupied molecular orbital (LUMO). Also, co-polymerization of the donor-acceptor 2,6-diamino-purine co-monomer with PCN influenced the chemical affinities, polarities, and acid-base functions of the PCN, remarkably enhancing the photocatalytic activity for the production of CO and H2 from CO2 by 15.02-fold compared than that of the parental CNU, while also improving the selectivity.


Assuntos
Dióxido de Carbono/química , Elétrons , Luz , Nitrilas/química , Polímeros/química , Adsorção , Espectroscopia de Ressonância Magnética Nuclear de Carbono-13 , Catálise/efeitos da radiação , Eletroquímica , Nitrogênio/química , Oxirredução , Espectroscopia Fotoeletrônica , Espectrofotometria Ultravioleta , Espectroscopia de Infravermelho com Transformada de Fourier , Difração de Raios X
7.
Am J Physiol Cell Physiol ; 308(8): C594-605, 2015 Apr 15.
Artigo em Inglês | MEDLINE | ID: mdl-25652447

RESUMO

Culture of hippocampal neurons in low-Mg(2+) medium (low-Mg(2+) neurons) results in induction of continuous seizure activity. However, the underlying mechanism of the contribution of low Mg(2+) to hyperexcitability of neurons has not been clarified. Our data, obtained using the patch-clamp technique, show that voltage-gated Na(+) channel (VGSC) activity, which is associated with a persistent, noninactivating Na(+) current (INa,P), was modulated by calmodulin (CaM) in a concentration-dependent manner in normal and low-Mg(2+) neurons, but the channel activity was more sensitive to Ca(2+)/CaM regulation in low-Mg(2+) than normal neurons. The increased sensitivity of VGSCs in low-Mg(2+) neurons was partially retained when CaM12 and CaM34, CaM mutants with disabled binding sites in the N or C lobe, were used but was diminished when CaM1234, a CaM mutant in which all four Ca(2+) sites are disabled, was used, indicating that functional Ca(2+)-binding sites from either lobe of CaM are required for modulation of VGSCs in low-Mg(2+) neurons. Furthermore, the number of neurons exhibiting colocalization of CaM with the VGSC subtypes NaV1.1, NaV1.2, and NaV1.3 was significantly higher in low- Mg(2+) than normal neurons, as shown by immunofluorescence. Our main finding is that low-Mg(2+) treatment increases sensitivity of VGSCs to Ca(2+)/CaM-mediated regulation. Our data reveal that CaM, as a core regulating factor, connects the functional roles of the three main intracellular ions, Na(+), Ca(2+), and Mg(2+), by modulating VGSCs and provides a possible explanation for the seizure discharge observed in low-Mg(2+) neurons.


Assuntos
Cálcio/farmacologia , Calmodulina/farmacologia , Hipocampo/citologia , Magnésio/farmacologia , Convulsões/metabolismo , Canais de Sódio Disparados por Voltagem/metabolismo , Trifosfato de Adenosina/metabolismo , Ondas Encefálicas , Membrana Celular/metabolismo , Células Cultivadas , Humanos , Técnicas de Patch-Clamp , Tetrodotoxina/farmacologia , Bloqueadores do Canal de Sódio Disparado por Voltagem/farmacologia
8.
Biochem Biophys Res Commun ; 460(3): 813-8, 2015 May 08.
Artigo em Inglês | MEDLINE | ID: mdl-25824040

RESUMO

The activity of Cav1.2 Ca(2+) channels is maintained in the presence of calmodulin and ATP, even in cell-free patches, and thus a channel ATP-binding site has been suggested. In this study, we examined whether other nucleotides, such as GTP, UTP, CTP, ADP and AMP, could be substituted for ATP in guinea-pig ventricular myocytes. We found that all the nucleotides tested could re-prime the Ca(2+) channels in the presence of 1 µM calmodulin in the inside-out mode. The order of efficacy was ATP > GTP > UTP > ADP > CTP ≈ AMP. Thus, the presumed nucleotide-binding site in the channel seemed to favor a purine rather than pyrimidine base and a triphosphate rather than a di- or mono-phosphate group. Furthermore, a high concentration (10 mM) of GTP, UTP, CTP, ADP and AMP had inhibitory effects on the channel activity. These results provide information on the putative nucleotide-binding site(s) in Cav1.2 Ca(2+) channels.


Assuntos
Canais de Cálcio/metabolismo , Ventrículos do Coração/metabolismo , Músculo Liso Vascular/metabolismo , Nucleotídeos/fisiologia , Animais , Cobaias , Ventrículos do Coração/citologia , Músculo Liso Vascular/citologia
9.
Yi Chuan ; 37(11): 1137-42, 2015 11.
Artigo em Zh | MEDLINE | ID: mdl-26582527

RESUMO

Telomeres are evolutionary conserved, multifunctional DNA-protein complexes located at the ends of eukaryotic chromosomes. Telomeres maintain chromosome stability and genome integrity and also play an important role in meiosis which aid in synapsis, homologous recombination, and segregation. Sperm telomere has been reported to play an important role in fertilization and embryo development. Nowadays, the association between telomere and reproduction is one of the major areas of interest, however whether sperm telomere associated with male infertility is not clear. In this study, in order to find out the association between Chinese idiopathic infertility and sperm telomere length, we analyzed the difference of sperm telomere length between idiopathic infertile men and normal fertile men, as well as the correlations between sperm telomere length and human semen characteristics. We analyzed 126 Chinese idiopathic infertile men and 138 normal fertile men for sperm telomere length by using quantitative PCR. We found that the relative sperm mean telomere length of infertile men was significantly shorter than that of fertile men (2.894 ± 0.115 vs. 4.016 ± 0.603, P=5.097 x 10⁻5). Both sperm count and semen progressive motility are related with telomere length. Our results suggest that sperm telomere length is associated with idiopathic male infertility of China and we proposed the possibility that shorter telomeres in sperm chromosome will reduce spermatogenesis and sperm functions, which finally affected the fertility of male.


Assuntos
Infertilidade Masculina/genética , Telômero , Adulto , Humanos , Masculino , Pessoa de Meia-Idade , Contagem de Espermatozoides , Motilidade dos Espermatozoides
10.
Biol Reprod ; 90(6): 125, 2014 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-24790158

RESUMO

In conventional in vitro fertilization (IVF), complete failure of fertilization occurs in 5% to 15% of treatments. Although the causes may be unclear, sperm defects appear to be the major contributor. However, a convincing test is not yet available that can predict the risk of fertilization failure. In this study, we found that germinal angiotensin-converting enzyme (gACE) (also called testicular ACE) was undetectable in sperm from patients who had total fertilization failure (TFF) and lower fertilization rates (LFRs) by IVF based on Western blot and indirect immunofluorescence analyses. Additionally, almost all of the patients without gACE on sperm (23 of 25) manifested a TT genotype of the rs4316 single-nucleotide polymorphism of ACE. Overall, our results indicate that the absence of gACE expression is responsible for TFF and LFRs by IVF. The rs4316 polymorphism of ACE might be associated with infertility in those patients. We conclude that sperm lacking gACE may be recognized before commencing IVF and that the patients may be directed instead to consider intracytoplasmic sperm injection.


Assuntos
Fertilização in vitro , Infertilidade Masculina , Peptidil Dipeptidase A/metabolismo , Injeções de Esperma Intracitoplásmicas , Espermatozoides/enzimologia , Adulto , Domínio Catalítico/genética , Feminino , Fertilização/fisiologia , Testes Genéticos , Genótipo , Humanos , Infertilidade Masculina/enzimologia , Infertilidade Masculina/genética , Infertilidade Masculina/terapia , Masculino , Recuperação de Oócitos , Peptidil Dipeptidase A/química , Peptidil Dipeptidase A/genética , Polimorfismo de Fragmento de Restrição , Regiões Promotoras Genéticas/genética , Testículo/citologia , Testículo/enzimologia , Falha de Tratamento
11.
Accid Anal Prev ; 198: 107460, 2024 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-38295653

RESUMO

There is currently no established method for evaluating human response timing across a range of naturalistic traffic conflict types. Traditional notions derived from controlled experiments, such as perception-response time, fail to account for the situation-dependency of human responses and offer no clear way to define the stimulus in many common traffic conflict scenarios. As a result, they are not well suited for application in naturalistic settings. We present a novel framework for measuring and modeling response times in naturalistic traffic conflicts applicable to automated driving systems as well as other traffic safety domains. The framework suggests that response timing must be understood relative to the subject's current (prior) belief and is always embedded in, and dependent on, the dynamically evolving situation. The response process is modeled as a belief update process driven by perceived violations to this prior belief, that is, by surprising stimuli. The framework resolves two key limitations with traditional notions of response time when applied in naturalistic scenarios: (1) The strong situation dependence of response timing and (2) how to unambiguously define the stimulus. Resolving these issues is a challenge that must be addressed by any response timing model intended to be applied in naturalistic traffic conflicts. We show how the framework can be implemented by means of a relatively simple heuristic model fit to naturalistic human response data from real crashes and near crashes from the SHRP2 dataset and discuss how it is, in principle, generalizable to any traffic conflict scenario. We also discuss how the response timing framework can be implemented computationally based on evidence accumulation enhanced by machine learning-based generative models and the information-theoretic concept of surprise.


Assuntos
Condução de Veículo , Percepção do Tempo , Humanos , Acidentes de Trânsito/prevenção & controle , Tempo de Reação , Heurística
12.
Biomed Environ Sci ; 37(4): 406-417, 2024 Apr 20.
Artigo em Inglês | MEDLINE | ID: mdl-38727163

RESUMO

Objective: This study aimed to efficiently reduce the release of radon from water bodies to protect the environment. Methods: Based on the sizes of the experimental setup and modular float, computational fluid dynamics (CFD) was used to assess the impact of the area coverage rate, immersion depth, diffusion coefficient, and radon transfer velocity at the gas-liquid interface on radon migration and exhalation of radon-containing water. Based on the numerical simulation results, an estimation model for the radon retardation rate was constructed. The effectiveness of the CFD simulation was evaluated by comparing the experimental and simulated variation values of the radon retardation rate with the coverage area rates. Results: The effect of radon transfer velocity on radon retardation in water bodies was minor and insignificant according to the appropriate value; therefore, an estimation model of the radon retardation rate of the coverage of a radon-containing water body was constructed using the synergistic impacts of three factors: area coverage rate, immersion depth, and diffusion coefficient. The deviation between the experimental and simulated results was < 4.3%. Conclusion: Based on the numerical simulation conditions, an estimation model of the radon retardation rate of covering floats in water bodies under the synergistic effect of multiple factors was obtained, which provides a reference for designing covering floats for radon retardation in radon-containing water.


Assuntos
Hidrodinâmica , Radônio , Radônio/análise , Simulação por Computador , Poluentes Radioativos da Água/análise
13.
Yi Chuan ; 35(8): 992-8, 2013 Aug.
Artigo em Zh | MEDLINE | ID: mdl-23956087

RESUMO

To investigate the association between SNPs located in 5'UTR and intron of prolyl hydroxylase 2 (EGLN1 or PHD2) and adaptation to high-altitude hypoxia, the SNPs (rs2066140, rs2808584, rs2491405, rs2486741, rs2486734 and rs21533646) of EGLN1 gene were genotyped using Sequenom MassArray genotyping system in 152 unrelated healthy Tibetan individuals (3 650 m altitude) and 192 Han (5 00 m altitude), and the haplotypes of these SNPs were constructed and analyzed. Our results showed all the homozygous genotypes of six SNPs loci were significantly different between the two groups (P<0.05). The frequencies of haplotypes G-G (rs2066140 and rs2808584) and G-C (rs2486741 and rs2486734) of high-altitude group were significantly different from low-altitude group (P<0.05). In addition, the frequencies of haplotypes C-A (rs2066140 and rs2808584) and C-T (rs2486741 and rs2486734) of high-altitude group were significantly lower than those in low-altitude group (P<0.05). Our results indicate that the polymorphism of homozygous genotype in six SNPs and their haplotypes were associated with adaptation to high-altitude hypoxia.


Assuntos
Doença da Altitude , Polimorfismo de Nucleotídeo Único , Aclimatação/genética , Adaptação Fisiológica/genética , Altitude , Doença da Altitude/genética , Genótipo , Humanos , Prolina Dioxigenases do Fator Induzível por Hipóxia
14.
Biomed Pharmacother ; 165: 115070, 2023 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-37390711

RESUMO

At present, cancer remains one of the leading causes of human death worldwide, and surgery, radiotherapy and chemotherapy are still the main methods of cancer treatment. However, these treatments have their drawbacks. Surgical treatment often struggles with the complete removal of tumor tissue, leading to a high risk of cancer recurrence. Additionally, chemotherapy drugs have a significant impact on overall health and can easily result in drug resistance. The high risk and mortality of cancer and other reasons promote scientific researchers to unremittingly develop and find a more accurate and faster diagnosis strategy and effective cancer treatment method. Photothermal therapy, which utilizes near-infrared light, offers deeper tissue penetration and minimal damage to surrounding healthy tissues. Compared to conventional radiotherapy and other treatment methods, photothermal therapy boasts several advantages, including high efficiency, non-invasiveness, simplicity, minimal toxicity, and fewer side effects. Photothermal nanomaterials can be categorized as either organic or inorganic materials. This review primarily focuses on the behavior of carbon materials as inorganic materials and their role in tumor photothermal treatment. Furthermore, the challenges faced by carbon materials in photothermal treatment are discussed.


Assuntos
Nanopartículas , Nanoestruturas , Neoplasias , Humanos , Terapia Fototérmica , Carbono , Fototerapia/métodos , Neoplasias/terapia , Neoplasias/diagnóstico
15.
BMJ Open ; 13(3): e061807, 2023 03 07.
Artigo em Inglês | MEDLINE | ID: mdl-36882248

RESUMO

OBJECTIVE: To compare the efficacy and safety between and within glucagon-like peptide-1 receptor agonists (GLP-1RAs) and sodium-glucose cotransporter 2 inhibitors (SGLT-2is) in overweight or obese adults with or without diabetes mellitus. METHODS: PubMed, ISI Web of Science, Embase and Cochrane Central Register of Controlled Trials database were comprehensively searched to identify randomised controlled trials (RCTs) of effects of GLP-1RAs and SGLT-2is in overweight or obese participants from inception to 16 January 2022. The efficacy outcomes were the changes of body weight, glucose level and blood pressure. The safety outcomes were serious adverse events and discontinuation due to adverse events. The mean differences, ORs, 95% credible intervals (95% CI), the surface under the cumulative ranking were evaluated for each outcome by network meta-analysis. RESULTS: Sixty-one RCTs were included in our analysis. Both GLP-1RAs and SGLT-2is conferred greater extents in body weight reduction, achieving at least 5% wt loss, HbA1c and fasting plasma glucose decrease compared with placebo. GLP-1RAs was superior to SGLT-2is in HbA1c reduction (MD: -0.39%, 95% CI -0.70 to -0.08). GLP-1RAs had high risk of adverse events, while SGLT-2is were relatively safe. Based on intraclass comparison, semaglutide 2.4 mg was among the most effective interventions in losing body weight (MD: -11.51 kg, 95% CI -12.83 to -10.21), decreasing HbA1c (MD: -1.49%, 95% CI -2.07 to -0.92) and fasting plasma glucose (MD: -2.15 mmol/L, 95% CI -2.83 to -1.59), reducing systolic blood pressure (MD: -4.89 mm Hg, 95% CI -6.04 to -3.71) and diastolic blood pressure (MD: -1.59 mm Hg, 95% CI -2.37 to -0.86) with moderate certainty evidences, while it was associated with high risk of adverse events. CONCLUSIONS: Semaglutide 2.4 mg showed the greatest effects on losing body weight, controlling glycaemic level and reducing blood pressure while it was associated with high risk of adverse events.PROSPERO registration numberCRD42021258103.


Assuntos
Diabetes Mellitus , Receptor do Peptídeo Semelhante ao Glucagon 1 , Obesidade , Sobrepeso , Inibidores do Transportador 2 de Sódio-Glicose , Adulto , Humanos , Glicemia , Peso Corporal , Receptor do Peptídeo Semelhante ao Glucagon 1/agonistas , Hemoglobinas Glicadas , Metanálise em Rede , Obesidade/complicações , Obesidade/tratamento farmacológico , Sobrepeso/complicações , Sobrepeso/tratamento farmacológico , Inibidores do Transportador 2 de Sódio-Glicose/uso terapêutico , Redução de Peso
16.
Brain Res ; 1811: 148393, 2023 07 15.
Artigo em Inglês | MEDLINE | ID: mdl-37150340

RESUMO

BACKGROUND: Exertional heatstroke (EHS) is an emergency with a high mortality rate, characterized by central nervous system dysfunctions. This study aims to establish a Heat acclimation/acclimatization (HA) rat model in locomotion to recapitulate the physical state of human in severe environment of high temperature and humidity, and investigate the mechanism of organism protection in HA. (2) Methods: Wistar rats were exposed to 36 °C and ran 2 h/d for 21 days, acquired thermal tolerance test was conducted to assess the thermotolerance and exercise ability. Core temperature and consumption of water and food were observed. Expression of HSP70 and HSP90 of different tissues were determined by WB. Pathological structure of brain tissue was detected with HE staining. Proteomics was used to identify the differently expressed proteins in cerebral cortex of different groups. And key molecules were identified by RT-PCR and WB. (3) Results: HA rats displayed stronger thermotolerance and exercised ability on acquired thermal tolerance test. Brain water content of HA + EHS group reduced compared with EHS group. HE staining revealed slighter brain injuries of HA + EHS group than that of EHS. Proteomics focused on cell death-related pathways and key molecules Aquaporin 4 (AQP4) related to cell edema. Identification results showed HA increased AQP4, Bcl-xl, ratio of p-Akt/AKT and Bcl-xl/Bax, down-regulated Cleaved Caspase-3. (4) Conclusions: This HA model can ameliorate brain injury of EHS by reducing cerebral edema and cell apoptosis, offering experimental evidence for EHS prophylaxis.


Assuntos
Lesões Encefálicas , Golpe de Calor , Humanos , Ratos , Animais , Proteínas Proto-Oncogênicas c-akt , Ratos Wistar , Resposta ao Choque Térmico , Aclimatação/fisiologia , Exercício Físico/fisiologia
17.
Mil Med Res ; 10(1): 23, 2023 05 29.
Artigo em Inglês | MEDLINE | ID: mdl-37248514

RESUMO

Continuous renal replacement therapy (CRRT) is widely used for treating critically-ill patients in the emergency department in China. Anticoagulant therapy is needed to prevent clotting in the extracorporeal circulation during CRRT. Regional citrate anticoagulation (RCA) has been shown to potentially be safer and more effective and is now recommended as the preferred anticoagulant method for CRRT. However, there is still a lack of unified standards for RCA management in the world, and there are many problems in using this method in clinical practice. The Emergency Medical Doctor Branch of the Chinese Medical Doctor Association (CMDA) organized a panel of domestic emergency medicine experts and international experts of CRRT to discuss RCA-related issues, including the advantages and disadvantages of RCA in CRRT anticoagulation, the principle of RCA, parameter settings for RCA, monitoring of RCA (mainly metabolic acid-base disorders), and special issues during RCA. Based on the latest available research evidence as well as the paneled experts' clinical experience, considering the generalizability, suitability, and potential resource utilization, while also balancing clinical advantages and disadvantages, a total of 16 guideline recommendations were formed from the experts' consensus.


Assuntos
Citratos , Terapia de Substituição Renal Contínua , Humanos , Anticoagulantes/uso terapêutico , Citratos/uso terapêutico , Consenso , China
18.
Sheng Li Xue Bao ; 64(2): 129-34, 2012 Apr 25.
Artigo em Zh | MEDLINE | ID: mdl-22513461

RESUMO

The purpose of this study was to investigate the molecular mechanisms whereby hydrogen sulfide (H2S) exerts the promoting effect on vascular endothelial cells migration. We used wound healing assay to study the effect of NaHS (H2S donor) on the migration ability of rhesus retinal pigment epithelial cell line, RF/6A cells, under normoxic conditions. Real-time PCR was used to measure hypoxia-inducible factor 1α (HIF-1α) mRNA level. Western blot was used to measure the expression of HIF-1α protein. The probe 2',7'-dichlorofluorescein diacetate (DCFH-DA) was used to measure intracellular reactive oxygen species (ROS) level. The results showed that NaHS (10-100 µmol/L) could significantly promote RF/6A cells migration under normoxic conditions, and this effect could be inhibited by 50 µmol/L HIF-1 inhibitor, CdCl2. NaHS increased the protein level of HIF-1α in a dose- and time-dependent manner, and up-regulated the mRNA level of HIF-1α quickly and continuously. Moreover, NaHS could significantly decrease ROS levels in RF/6A cells under normoxic conditions. These results suggest HIF-1 may mediate the promoting effect of H2S on vascular endothelial cells migration under normoxic conditions. ROS, as an upstream regulator of HIF-1α, may be involved in the migration-promoting effect of H2S.


Assuntos
Movimento Celular/fisiologia , Células Endoteliais/citologia , Sulfeto de Hidrogênio/metabolismo , Subunidade alfa do Fator 1 Induzível por Hipóxia/metabolismo , Animais , Linhagem Celular , Subunidade alfa do Fator 1 Induzível por Hipóxia/genética , Macaca mulatta , RNA Mensageiro/genética , RNA Mensageiro/metabolismo , Espécies Reativas de Oxigênio/metabolismo , Epitélio Pigmentado da Retina/citologia , Sulfetos/farmacologia
19.
Chemosphere ; 307(Pt 1): 135717, 2022 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-35863405

RESUMO

In this work, NiFe2O4/g-C3N4 heterostructure was prepared and used for the photocatalytic decomposition of tetracycline hydrochloride antibiotic and for inactivation of E. coli bacteria. The fabricated NiFe2O4/g-C3N4 composite displayed enhanced ability for photodegradation of organic pollutants and disinfection activities compared to the bare samples, because of the enhancement of visible light absorbance, heterojunction formation and photo-Fenton process. The optimized sample 10%-NiFe2O4/g-C3N4 has photodegraded 94.5% of tetracycline hydrochloride in 80 min. The active species trapping experiments revels that ·O2-, h+ and •OH are key decomposing species participated in the antibiotic degradation. It is hoped that the present study will provide a better understanding to fabricate efficient photocatalysts for the decomposition of organic pollutants and disinfection of bacteria.


Assuntos
Poluentes Ambientais , Tetraciclina , Antibacterianos/química , Antibacterianos/farmacologia , Catálise , Escherichia coli , Luz , Tetraciclina/química , Tetraciclina/farmacologia
20.
Front Chem ; 10: 1069816, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-36451930

RESUMO

Graphite carbon nitride (g-C3N4), as a polymer semiconductor photocatalyst, is widely used in the treatment of photocatalytic environmental pollution. In this work, a Z-scheme g-C3N4/Ag/AgBr heterojunction photocatalyst was prepared based on the preparation of a g-C3N4-based heterojunction via in-situ loading through photoreduction method. The g-C3N4/Ag/AgBr composite showed an excellent photocatalytic performance in the degradation of tetracycline hydrochloride pollutants. Among the prepared samples, g-C3N4/Ag/AgBr-8% showed the best photocatalytic ability for the degradation of tetracycline hydrochloride, whose photocatalytic degradation kinetic constant was 0.02764 min-1, which was 9.8 times that of g-C3N4, 2.4 times that of AgBr, and 1.9 times that of Ag/AgBr. In the photocatalytic process, •O2- and •OH are main active oxygen species involved in the degradation of organic pollutants. The photocatalytic mechanism of g-C3N4/Ag/AgBr is mainly through the formation of Z-scheme heterojunctions, which not only effectively improves the separation efficiency of photogenerated electron-hole pairs, but also maintains the oxidation and reduction capability of AgBr and g-C3N4, respectively.

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