Your browser doesn't support javascript.
loading
Mostrar: 20 | 50 | 100
Resultados 1 - 20 de 43
Filtrar
1.
J Environ Manage ; 358: 120911, 2024 May.
Artículo en Inglés | MEDLINE | ID: mdl-38631164

RESUMEN

Dissolved organic matter (DOM) is important in determining the drinking water treatment and the supplied water quality. However, a comprehensive DOM study for the whole water supply system is lacking and the potential effects of secondary water supply are largely unknown. This was studied using dissolved organic carbon (DOC), absorption spectroscopy, and fluorescence excitation-emission matrices-parallel factor analysis (EEM-PARAFAC). Four fluorescent components were identified, including humic-like C1-C2, tryptophan-like C3, and tyrosine-like C4. In the drinking water treatment plants, the advanced treatment using ozone and biological activated carbon (O3-BAC) was more effective in removing DOC than the conventional process, with the removals of C1 and C3 improved by 17.7%-25.1% and 19.2%-27.0%. The absorption coefficient and C1-C4 correlated significantly with DOC in water treatments, suggesting that absorption and fluorescence could effectively track the changes in bulk DOM. DOM generally remained stable in each drinking water distribution system, suggesting the importance of the treated water quality in determining that of the corresponding network. The optical indices changed notably between distribution networks of different treatment plants, which enabled the identification of changing water sources. A comparison of DOM in the direct and secondary water supplies suggested limited impacts of secondary water supply, although the changes in organic carbon and absorption indices were detected in some locations. These results have implications for better understanding the changes of DOM in the whole water supply system to help ensure the supplied water quality.


Asunto(s)
Abastecimiento de Agua , Calidad del Agua , Purificación del Agua/métodos , Sustancias Húmicas/análisis , Agua Potable/química , Agua Potable/análisis , Carbono/análisis
2.
Clin Radiol ; 75(4): 321.e1-321.e11, 2020 04.
Artículo en Inglés | MEDLINE | ID: mdl-31898961

RESUMEN

AIM: To assess the agreement of cardiovascular magnetic resonance imaging (CMRI) feature-tracking (FT) parameters with echocardiography to diagnose diastolic dysfunction; to determine whether a similar parameter to mitral inflow early diastolic velocity to early diastolic tissue velocity ratio (E/e') can increase accuracy of imaging by dividing the phase contrast (PC) mitral inflow E-wave (E) with a CMRI-FT parameter; to compare the agreement between CMRI-FT and PC diastolic function assessment using echocardiography. MATERIALS AND METHODS: Patients (n=71; 43 abnormal diastolic function) undergoing both CMRI and echocardiography independently were included. Echocardiography was the reference standard. CMRI-FT analysed the short and long axis cine contours. PC images of mitral inflow, tissue velocity, pulmonary vein flow, and left atrial area were assessed. RESULTS: Using CMRI-FT, the area under the curve (AUC) for identifying diastolic dysfunction was >0.80 for radial and circumferential strain, systolic strain rate (SSR), and early diastolic strain rate (DSR). For cases with CMRI-determined left ventricular ejection fraction (LVEF) ≥50% (n=38), circumferential DSR was the only parameter with good accuracy (AUC=0.87; cut-off 0.93/s). E/circumferential DSR ratio and longitudinal strain had high accuracy in all patients (AUC=0.88 and 0.93 respectively) and CMRI-determined LVEF ≥50% (AUC=0.81; cut-off 76.7). Circumferential DSR showed the highest agreement with echocardiography (higher than E/circumferential DSR and PC assessment) in all cases (kappa 0.75; p<0001) and cases with CMRI LVEF ≥50% (kappa 0.73; p<0.0001). CONCLUSIONS: CMRI-FT circumferential DSR showed the highest accuracy for determining diastolic dysfunction with good agreement with echocardiography. Circumferential DSR had higher accuracy than E/circumferential DSR and PC.


Asunto(s)
Insuficiencia Cardíaca Diastólica/diagnóstico por imagen , Imagen por Resonancia Cinemagnética/métodos , Adulto , Velocidad del Flujo Sanguíneo , Estudios de Casos y Controles , Ecocardiografía , Femenino , Humanos , Masculino , Persona de Mediana Edad , Venas Pulmonares/diagnóstico por imagen , Estudios Retrospectivos
3.
Public Health ; 186: 144-156, 2020 Sep.
Artículo en Inglés | MEDLINE | ID: mdl-32836004

RESUMEN

OBJECTIVES: Diabetes mellitus (DM) is a serious public health issue worldwide, and DM patients have higher risk of cardiovascular diseases (CVDs), which is the leading cause of DM-related deaths. China has the largest DM population, yet a robust model to predict CVDs in Chinese DM patients is still lacking. This systematic review is carried out to summarize existing models and identify potentially important predictors for CVDs in Chinese DM patients. STUDY DESIGN: Systematic review. METHODS: Medline and Embase were searched for data from April 1st, 2011 to May 31st, 2018. A study was eligible if it developed CVD (defined as total CVD or any major cardiovascular component) risk prediction models or explored potential predictors of CVD specifically for Chinese people with type 2 DM. Standardized forms were utilized to extract information, appraise applicability, risk of bias, and availabilities. RESULTS: Five models and 29 studies focusing on potential predictors were identified. Models for a primary care setting, or to predict total CVD, are rare. A number of common predictors (e.g. age, sex, diabetes duration, smoking status, glycated hemoglobin (HbA1c), blood pressure, lipid profile, and treatment modalities) were observed in existing models, in which urine albumin:creatinine ratio (ACR) and estimated glomerular filtration rate (eGFR) are highly recommended for the Chinese population. Variability of blood pressure (BP) and HbA1c should be included in prediction model development as novel factors. Meanwhile, interactions between age, sex, and risk factors should also be considered. CONCLUSIONS: A 10-year prediction model for CVD risk in Chinese type 2 DM patients is lacking and urgently needed. There is insufficient evidence to support the inclusion of other novel predictors in CVDs risk prediction functions for routine clinical use.


Asunto(s)
Enfermedades Cardiovasculares/epidemiología , Diabetes Mellitus Tipo 2/epidemiología , China/epidemiología , Diabetes Mellitus Tipo 2/terapia , Humanos , Modelos Estadísticos , Riesgo
4.
Hong Kong Med J ; 26(3): 176-183, 2020 06.
Artículo en Inglés | MEDLINE | ID: mdl-32475841

RESUMEN

INTRODUCTION: This study evaluated the preparedness of family doctors during the early phase of the coronavirus disease 2019 (COVID-19) outbreak in Hong Kong. METHODS: All members of the Hong Kong College of Family Physicians were invited to participate in a cross-sectional online survey using a 20-item questionnaire to collect information on practice preparedness for the COVID-19 outbreak through an email followed by a reminder SMS message between 31 January 2020 and 3 February 2020. RESULTS: Of 1589 family doctors invited, 491 (31%) participated in the survey, including 242 (49%) from private sector. In all, 98% surveyed doctors continued to provide clinical services during the survey period, but reduced clinic service demands were observed in 45% private practices and 24% public clinics. Almost all wore masks during consultation and washed hands between or before patient contact. Significantly more private than public doctors (80% vs 26%, P<0.001) experienced difficulties in stocking personal protective equipment (PPE); more public doctors used guidelines to manage suspected patients. The main concern of the respondents was PPE shortage. Respondents appealed for effective public health interventions including border control, quarantine measures, designated clinic setup, and public education. CONCLUSION: Family doctors from public and private sectors demonstrated preparedness to serve the community from the early phase of the COVID-19 outbreak with heightened infection control measures and use of guidelines. However, there is a need for support from local health authorities to secure PPE supply and institute public health interventions.


Asunto(s)
Infecciones por Coronavirus/epidemiología , Infecciones por Coronavirus/prevención & control , Brotes de Enfermedades/prevención & control , Medicina Familiar y Comunitaria/organización & administración , Encuestas de Atención de la Salud/métodos , Pandemias/prevención & control , Neumonía Viral/epidemiología , Neumonía Viral/prevención & control , Encuestas y Cuestionarios , COVID-19 , Prueba de COVID-19 , Técnicas de Laboratorio Clínico/métodos , Técnicas de Laboratorio Clínico/estadística & datos numéricos , Control de Enfermedades Transmisibles/métodos , Infecciones por Coronavirus/diagnóstico , Brotes de Enfermedades/estadística & datos numéricos , Femenino , Hong Kong/epidemiología , Humanos , Masculino , Evaluación de Resultado en la Atención de Salud , Médicos de Familia/estadística & datos numéricos
5.
Inorg Chem ; 58(10): 6983-6992, 2019 May 20.
Artículo en Inglés | MEDLINE | ID: mdl-31041865

RESUMEN

The restriction of sulfur content in fuels has become increasingly stringent as a result of the growing environmental concerns. Although several MOF-derived materials like POM@MOF composites have shown the ability to catalyze oxidative desulfurization (ODS), their catalytic activities inevitably obstructed by the encapsulated catalytic sites like POM due to the blockage of cavities. Therefore, MOFs with intrinsic and accessible catalytic sites are highly desirable for their applications in ultradeep ODS. Herein, four representative Zr-based MOFs (Zr-MOFs), namely, UiO-66, UiO-67, NU-1000, and MOF-808, were assessed for catalytic ODS. These MOFs were confirmed that they have peroxidase-like activity and can catalyze ODS with H2O2 as oxidant. Among them, MOF-808 showed the highest catalytic activity and it can fully desulfurize dibenzothiophene (DBT) in a model gasoline with a S concentration of 1000 ppm under 40 °C within 5 min. An extremely low apparent Arrhenius activation energy (22.0 KJ·mol-1) and an extraordinarily high TOF value (42.7 h-1) were obtained, ranking MOF-808 among the best catalysts for the catalytic DBT oxidation. Further studies confirmed that the excellent catalytic activity is mainly responsible for the high concentration of the accessible Zr-OH(H2O) catalytic sites decorated in MOF-808. The superoxide radicals (•O2-) and hydroxyl radicals (•OH) were identified and were proved to involve in the DBT oxidation. Besides, the effects of Brönsted and lewis acidity to the catalytic efficiency were also discussed. Based on the experimental results, a plausible mechanism concerning on Zr-OH(H2O) groups promoting the H2O2 decomposion in to both •O2- and •OH was first proposed. Moreover, MOF-808 can be facilely reused for at least eight runs without significant loss of its catalytic activity. By the integration of facile synthesis, high catalytic efficiency, and good stability, MOF-808 thus represents a new benchmark catalyst for catalytic oxidative desulfurization.


Asunto(s)
Estructuras Metalorgánicas/química , Peroxidasas/química , Azufre/química , Circonio/química , Catálisis , Espectroscopía de Resonancia por Spin del Electrón , Calor , Cinética , Microscopía Electrónica de Rastreo , Estructura Molecular , Oxidación-Reducción , Difracción de Polvo , Tiofenos/química
6.
Inorg Chem ; 58(19): 13360-13369, 2019 Oct 07.
Artículo en Inglés | MEDLINE | ID: mdl-31503468

RESUMEN

The detection of hypochlorite (ClO-) content in tap water is extremely important because excess amounts of hypochlorite can convert into highly toxic species and inadequate amounts of hypochlorite cannot fully kill bacteria and viruses. Although several metal-organic frameworks (MOFs) have been successfully employed as fluorescent sensors for hypochlorite detection, all these sensors are based on single emission that responds to the dose of hypochlorite. Ratiometric sensors are highly desirable, which can improve the sensitivity, accuracy, and reliability via self-calibration. Herein, a nanoscale dual-emission multivariate 5-5-Eu/BPyDC@MOF-253-NH2 was synthesized by sequential mixed-ligand self-assembly and postsynthesis method. Among the two emission bands of 5-5-Eu/BPyDC@MOF-253-NH2, the strong blue emitting derived from ligands is sensitive to hypochlorite, while the red emitting derived from Eu(III) almost keeps invariable. Therefore, 5-5-Eu/BPyDC@MOF-253-NH2 was exploited as a fluorescent ratiometric nanosensor for "on-off" sensing of hypochlorite. Notably, the proposed sensing system showed an excellent performance including fast response (within 15 s), relative high specificity, wide linear range (0.1-30 µM), and low detection limit (0.094 µM). Besides, the suppressed blue emitting was recovered after the addition of ascorbic acid (AA) that consumes ClO- via the redox reaction. Therefore, 5-5-Eu/BPyDC@MOF-253-NH2 was further employed as a fluorescent ratiometric nanosensor for the "on-off-on" sensing of AA. This work represents the first MOF-based fluorescent "switch" for the ratiometric sensing of hypochlorite and the second for ratiometric sensing of AA.

7.
Korean J Physiol Pharmacol ; 23(3): 161-169, 2019 May.
Artículo en Inglés | MEDLINE | ID: mdl-31080347

RESUMEN

Fumigaclavine C (FC), an active indole alkaloid, is obtained from endophytic Aspergillus terreus (strain No. FC118) by the root of Rhizophora stylosa (Rhizophoraceae). This study is designed to evaluate whether FC has anti-adipogenic effects in 3T3-L1 adipocytes and whether it ameliorates lipid accumulation in high-fat diet (HFD)-induced obese mice. FC notably increased the levels of glycerol in the culture supernatants and markedly reduced lipid accumulation in 3T3-L1 adipocytes. FC differentially inhibited the expressions of adipogenesis-related genes, including the peroxisome proliferator-activated receptor proteins, CCAAT/enhancer-binding proteins, and sterol regulatory element-binding proteins. FC markedly reduced the expressions of lipid synthesis-related genes, such as the fatty acid binding protein, lipoprotein lipase, and fatty acid synthase. Furthermore, FC significantly increased the expressions of lipolysis-related genes, such as the hormone-sensitive lipase, Aquaporin-7, and adipose triglyceride lipase. In HFD-induced obese mice, intraperitoneal injections of FC decreased both the body weight and visceral adipose tissue weight. FC administration significantly reduced lipid accumulation. Moreover, FC could dose-dependently and differentially regulate the expressions of lipid metabolism-related transcription factors. All these data indicated that FC exhibited anti-obesity effects through modulating adipogenesis and lipolysis.

8.
Inorg Chem ; 57(20): 13009-13019, 2018 Oct 15.
Artículo en Inglés | MEDLINE | ID: mdl-30281294

RESUMEN

Clean fuels with extremely low sulfur content are highly desirable due to environmental concerns. Herein, three water-stable and eco-friendly metal-organic frameworks with tunable window diameters, denoted as MOF-808X, have been employed as PTA solid supports. An array of PTA@MOF-808X composites were facilely synthesized via the encapsulation strategy. With tunable window sizes and adjustable PTA loading amounts, the obtained PTA@MOF-808X composites were screened for catalytic oxidative desulfurization (ODS) with H2O2 serving as oxidant. The experiments found that 42%PTA@MOF-808A had the highest catalytic ODS activity and could completely remove dibenzothiophene (DBT) in a model fuel with an initial sulfur content of 1000 ppm within 30 min, which falls far below the acceptable limits for fuel standards (10 ppm). Further investigations revealed that this high catalytic activity could be attributed to the cooperative catalysis of metal clusters in the host framework and the guest PTA molecules. Moreover, 42%PTA@MOF-808A could be facilely recovered and reused for at least five runs without loss of catalytic activity. Having a combination of eco-sustainability, high stability, high catalytic activity, and good recyclability, 42%PTA@MOF-808A therefore represents a new benchmark material for catalytic ODS and provides a new perspective for ultradeep desulfurization.

9.
Pharmacogenomics J ; 16(4): 326-35, 2016 08.
Artículo en Inglés | MEDLINE | ID: mdl-26503814

RESUMEN

Short-acting ß2-agonist bronchodilators are the most common medications used in treating chronic obstructive pulmonary disease (COPD). Genetic variants determining bronchodilator responsiveness (BDR) in COPD have not been identified. We performed a genome-wide association study (GWAS) of BDR in 5789 current or former smokers with COPD in one African-American and four white populations. BDR was defined as the quantitative spirometric response to inhaled ß2-agonists. We combined results in a meta-analysis. In the meta-analysis, single-nucleotide polymorphisms (SNPs) in the genes KCNK1 (P=2.02 × 10(-7)) and KCNJ2 (P=1.79 × 10(-7)) were the top associations with BDR. Among African Americans, SNPs in CDH13 were significantly associated with BDR (P=5.1 × 10(-9)). A nominal association with CDH13 was identified in a gene-based analysis in all subjects. We identified suggestive association with BDR among COPD subjects for variants near two potassium channel genes (KCNK1 and KCNJ2). SNPs in CDH13 were significantly associated with BDR in African Americans.The Pharmacogenomics Journal advance online publication, 27 October 2015; doi:10.1038/tpj.2015.65.


Asunto(s)
Agonistas de Receptores Adrenérgicos beta 2/uso terapéutico , Broncodilatadores/uso terapéutico , Pulmón/efectos de los fármacos , Variantes Farmacogenómicas/genética , Enfermedad Pulmonar Obstructiva Crónica/tratamiento farmacológico , Enfermedad Pulmonar Obstructiva Crónica/genética , Negro o Afroamericano/genética , Anciano , Cadherinas/genética , Europa (Continente) , Femenino , Estudio de Asociación del Genoma Completo , Genotipo , Humanos , Pulmón/fisiopatología , Masculino , Persona de Mediana Edad , Nueva Zelanda , América del Norte , Pruebas de Farmacogenómica , Fenotipo , Canales de Potasio de Rectificación Interna/genética , Canales de Potasio de Dominio Poro en Tándem/genética , Enfermedad Pulmonar Obstructiva Crónica/diagnóstico , Enfermedad Pulmonar Obstructiva Crónica/fisiopatología , Factores de Riesgo , Sarcoglicanos/genética , Índice de Severidad de la Enfermedad , Espirometría , Resultado del Tratamiento , Población Blanca/genética
10.
Clin Genet ; 88(5): 468-73, 2015 Nov.
Artículo en Inglés | MEDLINE | ID: mdl-25457163

RESUMEN

Anophthalmia/microphthalmia (A/M) is a genetically heterogeneous birth defect for which the etiology is unknown in more than 50% of patients. We used exome sequencing with the ACE Exome(TM) (Personalis, Inc; 18 cases) and UCSF Genomics Core (21 cases) to sequence 28 patients with A/M and four patients with varied developmental eye defects. In the 28 patients with A/M, we identified de novo mutations in three patients (OTX2, p.(Gln91His), RARB, p.Arg387Cys and GDF6, p.Ala249Glu) and inherited mutations in STRA6 in two patients. In patients with developmental eye defects, a female with cataracts and cardiomyopathy had a de novo COL4A1 mutation, p.(Gly773Arg), expanding the phenotype associated with COL4A1 to include cardiomyopathy. A male with a chorioretinal defect, microcephaly, seizures and sensorineural deafness had two PNPT1 mutations, p.(Ala507Ser) and c.401-1G>A, and we describe eye defects associated with this gene for the first time. Exome sequencing was efficient for identifying mutations in pathogenic genes for which there is no clinical testing available and for identifying cases that expand phenotypic spectra, such as the PNPT1 and COL4A1-associated disorders described here.


Asunto(s)
Anoftalmos/genética , Anomalías del Ojo/genética , Microftalmía/genética , Mutación , Anoftalmos/metabolismo , Colágeno Tipo IV/genética , Análisis Mutacional de ADN , Exoma , Exorribonucleasas/genética , Femenino , Humanos , Lactante , Masculino , Proteínas de la Membrana/genética , Microftalmía/metabolismo , Factores de Transcripción Otx/genética , Receptores de Ácido Retinoico/genética
11.
PLoS Genet ; 8(6): e1002753, 2012.
Artículo en Inglés | MEDLINE | ID: mdl-22685421

RESUMEN

As one of the leading causes of visual impairment and blindness, myopia poses a significant public health burden in Asia. The primary determinant of myopia is an elongated ocular axial length (AL). Here we report a meta-analysis of three genome-wide association studies on AL conducted in 1,860 Chinese adults, 929 Chinese children, and 2,155 Malay adults. We identified a genetic locus on chromosome 1q41 harboring the zinc-finger 11B pseudogene ZC3H11B showing genome-wide significant association with AL variation (rs4373767, ß = -0.16 mm per minor allele, P(meta) =2.69 × 10(-10)). The minor C allele of rs4373767 was also observed to significantly associate with decreased susceptibility to high myopia (per-allele odds ratio (OR) =0.75, 95% CI: 0.68-0.84, P(meta) =4.38 × 10(-7)) in 1,118 highly myopic cases and 5,433 controls. ZC3H11B and two neighboring genes SLC30A10 and LYPLAL1 were expressed in the human neural retina, retinal pigment epithelium, and sclera. In an experimental myopia mouse model, we observed significant alterations to gene and protein expression in the retina and sclera of the unilateral induced myopic eyes for the murine genes ZC3H11A, SLC30A10, and LYPLAL1. This supports the likely role of genetic variants at chromosome 1q41 in influencing AL variation and high myopia.


Asunto(s)
Proteínas Portadoras/genética , Cromosomas Humanos Par 1/genética , Estudio de Asociación del Genoma Completo , Miopía/genética , Polimorfismo de Nucleótido Simple/genética , Adulto , Animales , Proteínas de Transporte de Catión/genética , Niño , China , Modelos Animales de Enfermedad , Femenino , Expresión Génica , Predisposición Genética a la Enfermedad , Humanos , Lisofosfolipasa/genética , Masculino , Ratones , Persona de Mediana Edad , Proteínas Nucleares , Proteínas de Unión al ARN , Retina/metabolismo , Retina/patología , Epitelio Pigmentado de la Retina/metabolismo , Esclerótica/metabolismo , Esclerótica/patología , Transportador 8 de Zinc
12.
Environ Pollut ; 341: 122982, 2024 Jan 15.
Artículo en Inglés | MEDLINE | ID: mdl-37984478

RESUMEN

Dissolved organic matter (DOM) is very important in determining the speciation, behaviors, and risk of metal pollutants in aquatic ecosystems. Photochemical and microbial degradation are key processes in the cycling of DOM, yet their effects on the DOM-Pb(II) interaction remain largely unknown. This was studied by examining the complexation of river DOM with Pb(II) after degradation, using fluorescence quenching titration and excitation-emission matrices-parallel factor analysis (EEMs-PARAFAC). Three humic-like and two protein-like components were identified, with strong removals of humic-like components and decreasing average molecular weight and humification degree of DOM by photo- and photo-microbial degradation. The changes in humic-like abundance and structure resulted in notable weakening of their interaction with Pb(II). The tryptophan-like C2 was also mainly removed by photo-degradation, while the tyrosine-like C3 could be either removed or accumulated. The Pb(II)-binding of protein-like components was generally weaker but was enhanced in some degradation groups, which might be related to the lowering competition from humic-like components. The binding parameters correlated significantly with the DOM indices, which were dominated by photo-degradation for humic-like components but by seasonal variations for the tyrosine-like component. These results have implications for understanding the key mechanisms underlying the variability of the DOM-metal interaction in aquatic environments.


Asunto(s)
Materia Orgánica Disuelta , Ecosistema , Plomo , Sustancias Húmicas/análisis , Fluorescencia , Tirosina , Espectrometría de Fluorescencia/métodos , Análisis Factorial
13.
Invest Ophthalmol Vis Sci ; 65(5): 2, 2024 May 01.
Artículo en Inglés | MEDLINE | ID: mdl-38691091

RESUMEN

Purpose: To identify compositional differences in the gut microbiome of nonmyopes (NM) and myopes using 16S ribosomal RNA sequencing and to investigate whether the microbiome may contribute to the onset or progression of the condition. Methods: Faecal samples were collected from 52 adult participants, of whom 23 were NM, 8 were progressive myopes (PM), and 21 were stable myopes (SM). The composition of the gut microbiota in each group was analysed using 16S ribosomal RNA gene sequencing. Results: There were no significant differences in alpha and beta diversity between the three groups (NM, PM, and SM). However, the distributions of Bifidobacterium, Bacteroides, Megamonas, Faecalibacterium, Coprococcus, Dorea, Roseburia, and Blautia were significantly higher in the myopes (SM and PM combined) when compared with emmetropes. The myopes exhibited significantly greater abundance of bacteria that are linked to the regulation of dopaminergic signalling, such as Clostridium, Ruminococcus, Bifidobacterium, and Bacteroides. Individuals with stable myopia were found to have a significantly higher proportion of Prevotella copri than those with progressive myopia. Bifidobacterium adolescentis, a gamma-aminobutyric acid (GABA)-producing bacterium, was significantly higher in all myopes than in NM and, in the comparison between SM and PM, it is significantly higher in SM. B. uniformis and B. fragilis, both GABA-producing Bacteroides, were present in relatively high abundance in all myopes and in SM compared with PM, respectively. Conclusions: The presence of bacteria related to dopamine effect and GABA-producing bacteria in the gut microbiome of myopes may suggest a role of these microorganisms in the onset and progression of myopia.


Asunto(s)
Heces , Microbioma Gastrointestinal , ARN Ribosómico 16S , Humanos , Masculino , Adulto , Femenino , Microbioma Gastrointestinal/fisiología , Heces/microbiología , ARN Ribosómico 16S/genética , Miopía/microbiología , Miopía/fisiopatología , Bacterias/genética , Bacterias/aislamiento & purificación , Adulto Joven , Persona de Mediana Edad , ADN Bacteriano
14.
Clin Oncol (R Coll Radiol) ; 36(3): 157-164, 2024 03.
Artículo en Inglés | MEDLINE | ID: mdl-38262779

RESUMEN

AIMS: Despite a largely successful 'zero COVID' policy in 2020, the COVID-19 pandemic disrupted routine cancer services in the city of Hong Kong. The aims of this study were to examine the trends in cancer incidence before and during the COVID-19 pandemic and estimate missed cancer diagnoses. MATERIALS AND METHODS: We used population-based data from the Hong Kong Cancer Registry 1983-2020 to examine the trends of age- and sex-standardised cancer incidence before and during the COVID-19 pandemic. We applied: (i) the annual average percentage change (AAPC) calculated using the Joinpoint regression model and (ii) the autoregressive integrated moving average (ARIMA) model to forecast cancer incidence rates in 2020. Missed cancer diagnoses in 2020 were estimated by comparing forecasted incidence rates to reported rates. A subgroup analysis was conducted by sex, age and cancer site. RESULTS: The cancer incidence in Hong Kong declined by 4.4% from 2019 to 2020 (male 8.1%; female 1.1%) compared with the long-term AAPC of 0.5% from 2005 to 2019 (95% confidence interval 0.3, 0.7). The gap between the reported and forecasted incidence for 2020 ranged from 5.1 to 5.7% (male 8.5%, 9.8%; female 2.3%, 3.5%). We estimated 1525-1596 missed cancer diagnoses (ARIMA estimate -98, 3148; AAPC 514, 1729) in 2020. Most missed diagnoses were in males (ARIMA 1361 [327, 2394]; AAPC 1401 [1353, 1460]), with an estimated 479-557 missed cases of colorectal cancer (ARIMA 112, 837; AAPC 518, 597) and 256-352 missed cases of prostate cancer (AAPC 231, 280; ARIMA 110, 594). CONCLUSION: The incidence of new cancer diagnoses declined in 2020 contrary to the long-term increase over the previous decades. Significantly lower diagnoses than expected were observed in males, particularly for colorectal and prostate cancers. Fewer reported cancer cases indicate missed diagnoses and could lead to delayed treatment that could impact future health outcomes.


Asunto(s)
COVID-19 , Neoplasias , Humanos , Masculino , Femenino , Hong Kong/epidemiología , COVID-19/epidemiología , Pandemias , Neoplasias/diagnóstico , Neoplasias/epidemiología , Predicción , Incidencia
15.
QJM ; 117(2): 125-132, 2024 Feb 26.
Artículo en Inglés | MEDLINE | ID: mdl-37824396

RESUMEN

BACKGROUND: It is unclear how the coronavirus disease 2019 (Covid-19) pandemic has affected multimorbidity incidence among those with one pre-existing chronic condition, as well as how vaccination could modify this association. AIM: To examine the association of Covid-19 infection with multimorbidity incidence among people with one pre-existing chronic condition, including those with prior vaccination. DESIGN: Nested case-control study. METHODS: We conducted a territory-wide nested case-control study with incidence density sampling using Hong Kong electronic health records from public healthcare facilities and mandatory Covid-19 reports. People with one listed chronic condition (based on a list of 30) who developed multimorbidity during 1 January 2020-15 November 2022 were selected as case participants and randomly matched with up to 10 people of the same age, sex and with the same first chronic condition without having developed multimorbidity at that point. Conditional logistic regression was used to estimate adjusted odds ratios (aORs) of multimorbidity. RESULTS: In total, 127 744 case participants were matched with 1 230 636 control participants. Adjusted analysis showed that there were 28%-increased odds of multimorbidity following Covid-19 [confidence interval (CI) 22% to 36%] but only 3% (non-significant) with prior full vaccination with BNT162b2 or CoronaVac (95% CI -2% to 7%). Similar associations were observed in men, women, older people aged 65 or more, and people aged 64 or younger. CONCLUSIONS: We found a significantly elevated risk of multimorbidity following a Covid-19 episode among people with one pre-existing chronic condition. Full vaccination significantly reduced this risk increase.


Asunto(s)
COVID-19 , Masculino , Humanos , Femenino , Anciano , COVID-19/epidemiología , COVID-19/prevención & control , Multimorbilidad , Estudios de Casos y Controles , Vacuna BNT162 , Enfermedad Crónica
16.
J Clin Transl Hepatol ; 11(1): 136-143, 2023 Feb 28.
Artículo en Inglés | MEDLINE | ID: mdl-36406328

RESUMEN

Background and Aims: The aim was to evaluate the efficacy and safety of Yanggan Jian (YGJ) in HBV-infected patients with decompensated cirrhosis. Methods: This randomized, double-blind controlled trial enrolled 160 patients with HBV-related decompensated cirrhosis who were already receiving or about to start antiviral therapy. Patients were randomly assigned to receive YGJ or placebo for 24 weeks, and were followed-up to 36 weeks. The primary outcome was the proportion of patients with a ≥2 point reduction in Child-Turcotte-Pugh (CTP) score from baseline at week 24. Secondary outcomes were CTP class and score, serum liver function indices, mortality, incidence of hepatocellular carcinoma and variceal bleeding. Results: The proportion of patients with a CTP score reduction ≥2 was significantly greater in the YGJ than in the placebo group (p=0.009); the percentage of patients with CTP class C was significantly less than that in the placebo group (p<0.05), and the YGJ group had a significantly greater mean change from baseline in CTP score at week 24 (p=0.034). The improvement in measured values and change from baseline of prothrombin time, serum albumin, platelets, cholinesterase, international normalized ratio, and activated partial thromboplastin time were significantly better with YGJ than with placebo. Between-group differences in cumulative rates of variceal bleeding, hepatocellular carcinoma, death, or the frequency of any adverse event (AE), AEs related to treatment, or discontinuation because of AEs were not significant. Conclusions: YGJ significantly improved CTP scores and hepatic synthetic and reserve function in patients with HBV-related decompensated cirrhosis, and was safe and well tolerated.

17.
Mol Vis ; 18: 1436-48, 2012.
Artículo en Inglés | MEDLINE | ID: mdl-22736935

RESUMEN

PURPOSE: The aim of this study was to identify the genes and pathways underlying the growth of the mouse sclera during postnatal development. METHODS: Total RNA was isolated from each of 30 single mouse sclera (n=30, 6 sclera each from 1-, 2-, 3-, 6-, and 8-week-old mice) and reverse-transcribed into cDNA using a T7-N(6) primer. The resulting cDNA was fragmented, labeled with biotin, and hybridized to a Mouse Gene 1.0 ST Array. ANOVA analysis was then performed using Partek Genomic Suite 6.5 beta and differentially expressed transcript clusters were filtered based on a selection criterion of ≥ 2 relative fold change at a false discovery rate of ≤ 5%. Genes identified as involved in the main biologic processes during postnatal scleral development were further confirmed using qPCR. A possible pathway that contributes to the postnatal development of the sclera was investigated using Ingenuity Pathway Analysis software. RESULTS: The hierarchical clustering of all time points showed that they did not cluster according to age. The highest number of differentially expressed transcript clusters was found when week 1 and week 2 old scleral tissues were compared. The peroxisome proliferator- activated receptor gamma coactivator 1-alpha (Ppargc1a) gene was found to be involved in the networks generated using Ingenuity Pathway Studio (IPA) from the differentially expressed transcript cluster lists of week 2 versus 1, week 3 versus 2, week 6 versus 3, and week 8 versus 6. The gene expression of Ppargc1a varied during scleral growth from week 1 to 2, week 2 to 3, week 3 to 6, and week 6 to 8 and was found to interact with a different set of genes at different scleral growth stages. Therefore, this indicated that Ppargc1a might play a role in scleral growth during postnatal weeks 1 to 8. CONCLUSIONS: Gene expression of eye diseases should be studied as early as postnatal weeks 1-2 to ensure that any changes in gene expression pattern during disease development are detected. In addition, we propose that Ppargc1a might play a role in regulating postnatal scleral development by interacting with a different set of genes at different scleral growth stages.


Asunto(s)
Proteínas del Ojo/genética , Regulación del Desarrollo de la Expresión Génica , Redes Reguladoras de Genes , Genoma , Esclerótica/metabolismo , Transactivadores/genética , Animales , Animales Recién Nacidos , Proteínas del Ojo/metabolismo , Perfilación de la Expresión Génica , Ratones , Ratones Endogámicos BALB C , Familia de Multigenes , Análisis de Secuencia por Matrices de Oligonucleótidos , Coactivador 1-alfa del Receptor Activado por Proliferadores de Peroxisomas gamma , ARN Mensajero , Reacción en Cadena de la Polimerasa de Transcriptasa Inversa , Esclerótica/crecimiento & desarrollo , Programas Informáticos , Factores de Tiempo , Transactivadores/metabolismo , Factores de Transcripción
18.
Environ Sci Pollut Res Int ; 29(37): 56676-56683, 2022 Aug.
Artículo en Inglés | MEDLINE | ID: mdl-35347618

RESUMEN

Dissolved organic matter (DOM) is important for determining the speciation, environmental behavior, and effects of metal pollutants in aquatic environments. However, little is known about the difference between DOM from natural and anthropogenic sources for binding Pb(II). This study examined the Pb(II) binding with DOM from four typical sources including river, leaf litter leachate, and the influent and effluent of a wastewater treatment plant, using fluorescence quenching titration and excitation-emission matrices-parallel factor analysis (EEMs-PARAFAC). Four humic-like and one protein-like fluorescent components were identified, with much higher protein-like fraction and lower humification degree for the influent than for other sources. In the river water and leaf litter leachate, the abundant humic-like components were quenched by 6-17% while the protein-like component kept stable (2-4%) by the addition of Pb(II). In contrast, the influent DOM showed stronger fluorescence quenching of the protein-like component (46%) with higher conditional stability constant and binding fraction of fluorophore than the humic-like components (15-21%). The effluent DOM displayed weak quenching for all fluorescent components (4-6%) and thus weak complexation with Pb(II), indicating notable changes in the chemical composition and metal-binding affinity of DOM by wastewater treatments. These results demonstrated significant impacts of DOM source and chemical composition on its Pb(II) complexation properties, which have implications for understanding the interactions between DOM and heavy metals.


Asunto(s)
Materia Orgánica Disuelta , Sustancias Húmicas , Colorantes/análisis , Análisis Factorial , Sustancias Húmicas/análisis , Plomo/análisis , Ríos/química , Espectrometría de Fluorescencia/métodos
19.
Artículo en Inglés | MEDLINE | ID: mdl-36361148

RESUMEN

Chromophoric dissolved organic matter (CDOM) plays important roles in aquatic environments, and its optical properties provide a series of indices for evaluating the source and composition of dissolved organic matter (DOM). However, little is known about the varying photodegradation of CDOM from different sources and the effects on the optical indices of DOM composition. This was studied for typical natural and anthropogenic sources (plant and leaf litter leachates, the influent and effluent of a wastewater treatment plant, and a river). The CDOM absorption (a280) showed a lower degradability for the plant leachate than other sources, mainly due to its low molecular weight and aromaticity. Four fluorescent components were identified with excitation-emission matrices-parallel factor analysis (EEMs-PARAFAC), namely benzoic acid/monolignol-like C1, humic-like C2 and C3, and tryptophan-like C4. The plant leachate contained mainly C1, which was photodegraded moderately, while other sources had more C2 and C3 with higher photodegradability. C4 was photodegraded in most sources but was photoproduced in the leaf litter leachate. The absorption slope (S275-295) and slope ratio (SR) increased while the humification index (HIX) decreased, suggesting a decreasing molecular weight and humic content by photodegradation. This was consistent with the decreasing %C2 and %C3 but increasing %C4, which indicated preferential removal of humic-like components. The %C1, %C2, biological index (BIX), and fluorescence index (FI) were less affected by photodegradation than other indices for most sources. These results have implications for a better understanding of the photochemistry of CDOM and the applications of optical indices.


Asunto(s)
Materia Orgánica Disuelta , Compuestos Orgánicos , Compuestos Orgánicos/análisis , Fotólisis , Espectrometría de Fluorescencia , Ríos/química , China
20.
Chemosphere ; 307(Pt 2): 135875, 2022 Nov.
Artículo en Inglés | MEDLINE | ID: mdl-35932920

RESUMEN

Dissolved organic matter (DOM) can strongly influence the behavior and risk of metal pollutants in aquatic ecosystems. However, a comprehensive study on the effects of DOM level and environmental factors on the binding of DOM with Pb(II) is lacking. This study examined the DOM-Pb(II) interaction in the river water under variable DOM level, pH, and major ions, using fluorescence excitation-emission matrices-parallel factor analysis (EEMs-PARAFAC). Four humic-like and one protein-like component were identified, and the abundant humic-like components showed higher Pb(II)-binding fractions (f) than the protein-like component. The f of PARAFAC components decreased while the conditional stability constants (logKM) increased for the diluted DOM, indicating the influence of DOM level on its metal binding. The DOM-Pb(II) interaction was sensitive to changes in pH, with generally higher f and lower logKM at the alkaline condition due to changes in the DOM conformation. The addition of major ions significantly decreased the fluorescence quenching by Pb(II), due to competitive effects and potential DOM conformation changes at elevated ions. Overall, our results show that the DOM-Pb(II) complexation is highly dependent on both the DOM properties and environmental factors, which have implications for optimizing the experimental conditions and for comparing the results in different environments.


Asunto(s)
Contaminantes Ambientales , Sustancias Húmicas , Colorantes/análisis , Materia Orgánica Disuelta , Ecosistema , Contaminantes Ambientales/análisis , Análisis Factorial , Sustancias Húmicas/análisis , Iones , Plomo , Espectrometría de Fluorescencia/métodos , Agua
SELECCIÓN DE REFERENCIAS
DETALLE DE LA BÚSQUEDA