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1.
Proc Natl Acad Sci U S A ; 120(40): e2302361120, 2023 10 03.
Artículo en Inglés | MEDLINE | ID: mdl-37738291

RESUMEN

The almost simultaneous emergence of major animal phyla during the early Cambrian shaped modern animal biodiversity. Reconstructing evolutionary relationships among such closely spaced branches in the animal tree of life has proven to be a major challenge, hindering understanding of early animal evolution and the fossil record. This is particularly true in the species-rich and highly varied Mollusca where dramatic inconsistency among paleontological, morphological, and molecular evidence has led to a long-standing debate about the group's phylogeny and the nature of dozens of enigmatic fossil taxa. A critical step needed to overcome this issue is to supplement available genomic data, which is plentiful for well-studied lineages, with genomes from rare but key lineages, such as Scaphopoda. Here, by presenting chromosome-level genomes from both extant scaphopod orders and leveraging complete genomes spanning Mollusca, we provide strong support for Scaphopoda as the sister taxon of Bivalvia, revitalizing the morphology-based Diasoma hypothesis originally proposed 50 years ago. Our molecular clock analysis confidently dates the split between Bivalvia and Scaphopoda at ~520 Ma, prompting a reinterpretation of controversial laterally compressed Early Cambrian fossils, including Anabarella, Watsonella, and Mellopegma, as stem diasomes. Moreover, we show that incongruence in the phylogenetic placement of Scaphopoda in previous phylogenomic studies was due to ancient incomplete lineage sorting (ILS) that occurred during the rapid radiation of Conchifera. Our findings highlight the need to consider ILS as a potential source of error in deep phylogeny reconstruction, especially in the context of the unique nature of the Cambrian Explosion.


Asunto(s)
Bivalvos , Animales , Filogenia , Biodiversidad , Movimiento Celular , Suplementos Dietéticos
2.
JMIR Perioper Med ; 6: e36172, 2023 Apr 24.
Artículo en Inglés | MEDLINE | ID: mdl-37093626

RESUMEN

BACKGROUND: The current assessment of recovery after total hip or knee replacement is largely based on the measurement of health outcomes through self-report and clinical observations at follow-up appointments in clinical settings. Home activity-based monitoring may improve assessment of recovery by enabling the collection of more holistic information on a continuous basis. OBJECTIVE: This study aimed to introduce orthopedic surgeons to time-series analyses of patient activity data generated from a platform of sensors deployed in the homes of patients who have undergone primary total hip or knee replacement and understand the potential role of these data in postoperative clinical decision-making. METHODS: Orthopedic surgeons and registrars were recruited through a combination of convenience and snowball sampling. Inclusion criteria were a minimum required experience in total joint replacement surgery specific to the hip or knee or familiarity with postoperative recovery assessment. Exclusion criteria included a lack of specific experience in the field. Of the 9 approached participants, 6 (67%) orthopedic surgeons and 3 (33%) registrars took part in either 1 of 3 focus groups or 1 of 2 interviews. Data were collected using an action-based approach in which stimulus materials (mock data visualizations) provided imaginative and creative interactions with the data. The data were analyzed using a thematic analysis approach. RESULTS: Each data visualization was presented sequentially followed by a discussion of key illustrative commentary from participants, ending with a summary of key themes emerging across the focus group and interview data set. CONCLUSIONS: The limitations of the evidence are as follows. The data presented are from 1 English hospital. However, all data reflect the views of surgeons following standard national approaches and training. Although convenience sampling was used, participants' background, skills, and experience were considered heterogeneous. Passively collected home monitoring data offered a real opportunity to more objectively characterize patients' recovery from surgery. However, orthopedic surgeons highlighted the considerable difficulty in navigating large amounts of complex data within short medical consultations with patients. Orthopedic surgeons thought that a proposed dashboard presenting information and decision support alerts would fit best with existing clinical workflows. From this, the following guidelines for system design were developed: minimize the risk of misinterpreting data, express a level of confidence in the data, support clinicians in developing relevant skills as time-series data are often unfamiliar, and consider the impact of patient engagement with data in the future. INTERNATIONAL REGISTERED REPORT IDENTIFIER (IRRID): RR2-10.1136/bmjopen-2018-021862.

3.
Bioresour Technol ; 377: 128947, 2023 Jun.
Artículo en Inglés | MEDLINE | ID: mdl-36958680

RESUMEN

In this research, CO2-nanobubble water (CO2-NBW) and iron nanoparticles (Fe0NPs) were added simultaneously to exploit individual advantages to enhance the methanogenesis process from both the stability of anaerobic digestion (AD) system and the activity of anaerobic microorganism aspects. Results showed that the AD performance was enhanced by supplementing with CO2-NBW or Fe0NPs individually, and could be further improved by simultaneous addition of the two additives. The maximum methane yield was achieved in the CO2-NBW + Fe0NPs reactor (141.99 mL/g-VSadded), which increased by 26.16% compared to the control group. Similarly, the activities of the electron transfer system (ETS) and enzyme were improved. The results of microbial community structure revealed that the addition of CO2-NBW and Fe0NPs could improve the abundance of dominant bacteria (Anaerolineaceae, Bacteroidales, and Prolixibacteraceae) and archaea (Methanotrichaceae and Methanospirillaceae). Additionally, the functional metabolic prediction heatmap indicated that metabolic functional genes favorable for AD of corn straw were enhanced.


Asunto(s)
Reactores Biológicos , Nanopartículas , Anaerobiosis , Zea mays , Dióxido de Carbono , Agua , Hierro , Metano , Bacteroidetes
4.
Chemosphere ; 313: 137613, 2023 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-36549508

RESUMEN

Nanobubble water (NBW) could improve methane production from anaerobic digestion (AD) of corn straw without secondary contamination. In this study, the effect of carbon dioxide nanobubble water (CO2-NBW) volumes (0%, 25%, 50%, 75%, 100%) on methane production from corn straw was investigated. The results showed that addition of CO2-NBW could improve methane production and promote substrate degradation in AD process. The highest cumulative methane production of 132.16 mL g-1VSadded was obtained in the 100% CO2-NBW added reactor, which was 17% higher than that in the control group. Additionally, the addition of CO2-NBW could mitigate the sharp decrease in pH by acting as a buffer. CO2-NBW could also enhance microorganism activity throughout the AD process. The electron transport system (ETS) activity was increased by 23%, while the ß-glucosidase, dehydrogenase (DHA), and coenzyme F420 activities were increased by 15%, 23%, and 11%, respectively, at optimum addition of CO2-NBW. Meanwhile, addition of CO2-NBW accelerated the production and consumption of reducing sugar and volatile fatty acids (VFAs), promoting the reduction rates of TS (Total solid) and VS (Volatile solid).


Asunto(s)
Reactores Biológicos , Zea mays , Anaerobiosis , Dióxido de Carbono , Agua , Metano , Suplementos Dietéticos , Biocombustibles
5.
Adv Sci (Weinh) ; 9(2): e2102678, 2022 01.
Artículo en Inglés | MEDLINE | ID: mdl-34796680

RESUMEN

Cancer is one of the top life-threatening dangers to the human survival, accounting for over 10 million deaths per year. Bioactive glasses have developed dramatically since their discovery 50 years ago, with applications that include therapeutics as well as diagnostics. A new system within the bioactive glass family, mesoporous bioactive glasses (MBGs), has evolved into a multifunctional platform, thanks to MBGs easy-to-functionalize nature and tailorable textural properties-surface area, pore size, and pore volume. Although MBGs have yet to meet their potential in tumor treatment and imaging in practice, recently research has shed light on the distinguished MBGs capabilities as promising theranostic systems for cancer imaging and therapy. This review presents research progress in the field of MBG applications in cancer diagnosis and therapy, including synthesis of MBGs, mechanistic overview of MBGs application in tumor diagnosis and drug monitoring, applications of MBGs in cancer therapy ( particularly, targeted delivery and stimuli-responsive nanoplatforms), and immunological profile of MBG-based nanodevices in reference to the development of novel cancer therapeutics.


Asunto(s)
Vidrio/química , Neoplasias/diagnóstico , Neoplasias/terapia , Animales , Modelos Animales de Enfermedad , Hipertermia Inducida/métodos , Ratones , Nanomedicina/métodos , Neoplasias/inmunología , Fotoquimioterapia/métodos , Terapia Fototérmica/métodos , Porosidad
6.
Sheng Li Xue Bao ; 73(4): 551-558, 2021 Aug 25.
Artículo en Chino | MEDLINE | ID: mdl-34405211

RESUMEN

Nonalcoholic fatty liver disease (NAFLD) and hyperhomocysteinemia (HHcy) both are major health problems worldwide, whose incidence are closely related with each other. We previously reported the mechanism of HHcy-caused hepatic steatosis, but the role of n-3 polyunsaturated fatty acid (n-3 PUFA) in HHcy-induced hepatic steatosis remains unclear. In this study, 6-week-old C57BL/6 male mice were given a high methionine diet (HMD, 2% methionine diet), and plasma homocysteine levels were measured by ELISA to confirm the establishment of an HHcy model. Meantime, mice were fed HMD with or without n-3 PUFA supplement for 8 weeks to determine the role and mechanism of n-3 PUFA in hepatic steatosis induced by HHcy. Results showed that n-3 PUFA significantly improved hepatic lipid deposition induced by HHcy. qRT-PCR analysis demonstrated that n-3 PUFA inhibited the upregulation of Cd36, a key enzyme of fatty acid uptake, caused by HHcy. Further, the inhibition of hepatic Cd36 expression was associated with the inactivation of aryl hydrocarbon receptor (Ahr) induced by n-3 PUFA. Of note, mass spectrometry revealed that hepatic content of lipoxin A5 (LXA5) was significantly increased in HMD+n-3 PUFA-fed mice compared with that in HMD-fed mice. In primary cultured hepatocytes, LXA5 treatment markedly reversed homocysteine-evoked Cd36 upregulation and Ahr activation, which resulted in reduced lipid accumulation. In conclusion, we demonstrate that n-3 PUFA inactivates HHcy-induced Ahr-Cd36 pathway by increasing hepatic LXA5 content, which alleviates hepatic steatosis. Thus, our results may provide a potential strategy for treatment of NAFLD.


Asunto(s)
Ácidos Grasos Omega-3 , Hígado Graso , Hiperhomocisteinemia , Animales , Hígado Graso/tratamiento farmacológico , Hiperhomocisteinemia/complicaciones , Hiperhomocisteinemia/tratamiento farmacológico , Hígado , Masculino , Ratones , Ratones Endogámicos C57BL
7.
Environ Sci Pollut Res Int ; 28(48): 69012-69028, 2021 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-34286432

RESUMEN

Four subsurface flow constructed wetlands (SFCWs) filled with different substrates including ceramsite, ceramsite+pyrite, ceramsite+ferrous sulfide, and ceramsite+pyrite+ferrous sulfide (labeled as SFCW-S1, SFCW-S2, SFCW-S3, and SFCW-S4) were constructed, and the removal of nitrogen and phosphorus by these SFCWs coupled with intermittent aeration in the front section was discussed. The key findings from different substrate analyses, including nitrification and denitrification rate, enzyme activity, microbial community structure, and the X-ray diffraction, revealed the nitrogen and phosphorus removal mechanism. The results showed that the nitrogen and phosphorus removal efficiency for SFCW-S1 always remained the lowest, and the phosphorus removal efficiency for SFCW-S4 was recorded as the highest one. However, after controlling the dissolved oxygen by intermittent aeration in the front section of SFCWs, the nitrogen and phosphorus removal efficiencies of SFCWs-S2 and S4 became higher than those of SFCW-S1, and SFCW-S3. It was noticed that the pollutants were removed mainly in the front section of the SFCWs. Both precipitation and adsorption on the substrate were the main mechanisms for phosphorus removal. A minute difference of nitrification rate and ammonia monooxygenase activity was observed in the SFCWs' aeration zone. The denitrification rates, nitrate reductase, nitrite reductase, and electron transport system activity for SFCW-S2 and SFCW-S4 were higher than those detected for SFCW-S1 and SFCW-S3 in the non-aerated zone. Proteobacteria was the largest phyla found in the SFCWs. Moreover, Thiobacillus occupied a large proportion found in SFCW-S2, and SFCW-S4, and it played a crucial role in pyrite-driven autotrophic denitrification.


Asunto(s)
Nitrógeno , Humedales , Desnitrificación , Hierro , Fósforo , Sulfuros , Eliminación de Residuos Líquidos
8.
Recent Pat Anticancer Drug Discov ; 16(3): 312-332, 2021.
Artículo en Inglés | MEDLINE | ID: mdl-33563158

RESUMEN

BACKGROUND: Camrelizumab, which was launched in China on May 29, 2019, is a humanized anti-programmed cell death-1 (PD-1) antibody. It is used for the treatment of complicated or refractory classic Hodgkin's lymphoma with at least second-line chemotherapy. On March 4, 2020, camrelizumab was approved as a second-line drug in China for the treatment of advanced hepatocellular carcinoma. Currently, camrelizumab is undergoing clinical research for advanced solid tumors such as liver cancer, gastric cancer, esophageal cancer, and lung cancer, and all have shown clinical efficacy. OBJECTIVE: This review describes preclinical studies on camrelizumab and its efficacy and safety in clinical studies in various tumors. METHODS: A literature search was conducted on basic research and clinical trials of camrelizumab determined its pharmacology, toxicology, pharmacokinetic properties, and current clinical research status. We also analyzed the difference between camrelizumab and other PD-1 antibodies. RESULTS: The results of preclinical studies show that camrelizumab binds to the PD-1 receptor and has stable anti-tumor activity in a dose-dependent manner. Clinical studies show that camrelizumab has therapeutic effects on a variety of tumors. The incidence of adverse reactions with camrelizumab is low, with most being mild, reversible, and predictable. CONCLUSION: This review summarizes the current status of preclinical and clinical studies on camrelizumab. Current research confirms that camrelizumab alone or in combination with other drugs shows significant anti-cancer activity and a low incidence of adverse reactions. However, further studies are needed to verify the application potential of camrelizumab in a variety of tumors.


Asunto(s)
Anticuerpos Monoclonales Humanizados/uso terapéutico , Inhibidores de Puntos de Control Inmunológico/uso terapéutico , Neoplasias/tratamiento farmacológico , Receptor de Muerte Celular Programada 1/antagonistas & inhibidores , Animales , Anticuerpos Monoclonales Humanizados/farmacología , Carcinoma Hepatocelular/tratamiento farmacológico , Evaluación Preclínica de Medicamentos , Neoplasias Esofágicas/tratamiento farmacológico , Enfermedad de Hodgkin/tratamiento farmacológico , Humanos , Inhibidores de Puntos de Control Inmunológico/farmacología , Neoplasias Hepáticas/tratamiento farmacológico , Neoplasias Pulmonares/tratamiento farmacológico , Neoplasias Gástricas/tratamiento farmacológico
9.
Angew Chem Int Ed Engl ; 59(44): 19610-19617, 2020 10 26.
Artículo en Inglés | MEDLINE | ID: mdl-32876984

RESUMEN

Aluminum-containing adjuvants used in vaccine formulations suffer from low cellular immunity, severe aggregation, and accumulation in the brain. Conventional aluminosilicates widely used in the chemical industry focus mainly on acidic sites for catalytic applications, but they are rarely used as adjuvants. Reported here is an innovative "ligand-assisted steric hindrance" strategy to create a high density of six-coordinate VI Al-OH groups with basicity on dendritic mesoporous silica nanoparticles as new nanoadjuvants. Compared to four-coordinate IV Al-modified counterparts, VI Al-OH-rich aluminosilicate nanoadjuvants enhance cellular delivery of antigens and provoke stronger cellular immunity. Moreover, the aluminum accumulation in the brain is more reduced than that with a commercial adjuvant. These results show that coordination chemistry can be used to control the adjuvanticity, providing new understanding in the development of next-generation vaccine adjuvants.


Asunto(s)
Adyuvantes Inmunológicos/farmacología , Silicatos de Aluminio/farmacología , Complejos de Coordinación/farmacología , Nanopartículas/química , Dióxido de Silicio/farmacología , Adyuvantes Inmunológicos/química , Adyuvantes Inmunológicos/toxicidad , Aluminio/química , Aluminio/farmacología , Aluminio/toxicidad , Silicatos de Aluminio/química , Silicatos de Aluminio/toxicidad , Animales , Antígenos/inmunología , Linfocitos B/efectos de los fármacos , Linfocitos T CD4-Positivos/efectos de los fármacos , Complejos de Coordinación/química , Complejos de Coordinación/toxicidad , Femenino , Activación de Linfocitos/efectos de los fármacos , Ratones , Nanopartículas/toxicidad , Ovalbúmina/inmunología , Porosidad , Células RAW 264.7 , Dióxido de Silicio/química , Dióxido de Silicio/toxicidad
10.
J Acoust Soc Am ; 148(1): EL14, 2020 07.
Artículo en Inglés | MEDLINE | ID: mdl-32752752

RESUMEN

This study compares event-related potentials (ERPs) elicited by variations of sound location in free and reverberant fields. The virtual sound sources located at azimuths 0°-40° were synthesized with head-related transfer functions and binaural room impulse responses for free and reverberant fields, respectively. The sound stimulus at 0° was assigned as standard in the oddball paradigm. Results show that the P3 amplitude is larger in the free field and acoustical conditions have no significant effect on the amplitudes of N2 and mismatch negativity. Moreover, a linear relationship between sound angle and amplitude of ERP components is observed.


Asunto(s)
Localización de Sonidos , Estimulación Acústica , Electroencefalografía , Potenciales Evocados , Potenciales Evocados Auditivos , Sonido
11.
Adv Mater ; 31(46): e1904535, 2019 Nov.
Artículo en Inglés | MEDLINE | ID: mdl-31549776

RESUMEN

Osteoarthritis (OA) is a common joint degenerative disease that causes pain, joint damage, and dysfunction. External hyaluronic acid (HA) supplement is a common method for the management of osteoarthritis which requires multi-injections. It is demonstrated that biodegradable mesoporous silica nanoparticles successfully deliver an enzyme, hyaluronan synthase type 2 (HAS2), into synoviocytes from the temporomandibular joint (TMJ) and generate endogenous HA with high molecular weights. In a rat TMJ osteoarthritis inflammation model, this strategy promotes endogenous HA production and inhibits the synovial inflammation of OA for more than 3 weeks with one-shot administration. Such nanotherapy also helps repairing the bone defects in a rat OA bone defect model.


Asunto(s)
Hialuronano Sintasas/farmacología , Ácido Hialurónico/biosíntesis , Articulaciones/efectos de los fármacos , Articulaciones/metabolismo , Nanomedicina/métodos , Osteoartritis/tratamiento farmacológico , Animales , Línea Celular , Humanos , Hialuronano Sintasas/química , Hialuronano Sintasas/metabolismo , Hialuronano Sintasas/uso terapéutico , Ácido Hialurónico/química , Espacio Intracelular/efectos de los fármacos , Espacio Intracelular/metabolismo , Peso Molecular , Nanopartículas/química , Osteoartritis/metabolismo , Osteoartritis/patología , Porosidad , Ratas , Dióxido de Silicio/química , Sinoviocitos/efectos de los fármacos , Sinoviocitos/metabolismo , Sinoviocitos/patología
12.
Biomed Pharmacother ; 109: 876-885, 2019 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-30551541

RESUMEN

The present study was undertaken to determine the involvement of voltage-gated Na+ channel (VGSC) and other mechanism related to insulin secretion in polysaccharides from Portulaca oleracea L. (POP)-induced secretion of insulin from insulin-secreting ß-cell line cells (INS-1) cells. Our results showed that the concentration of insulin both in culture medium and inside INS-1 cells were increased under the existing of different concentration of glucose by POP or TTX, respectively. However, the effect POP on insulin secretion and production were blocked by TTX, a VGSC blocker. Meanwhile, POP improved the mitochondrial membrane potential (Δψm), increased adenosine triphosphate (ATP) production, depolarized cell membrane potential (MP) and increased intracellular Ca2+ levels ([Ca2+]i). Furthermore, POP treatment increased the expression level of Nav1.3 and decreased the expression level of Nav1.7. TTX treatment decreased the expression level of Nav1.3 and Nav1.7. On the other hand, POP also elevated the survival of INS-1 cells. These results suggested that POP induced-secretion/production of insulin in INS-1 cells were mediated by VGSC through its change of function and subunits expression and subsequent VGSC- dependent events such as change of intracellular Ca2+ releasing, ATP metabolism, cell membrane and mitochondrial membrane potential, and also improvement of INS-1 cell survival. Meanwhile, our data indicated the potentiality of developing POP to be a drug for diabetes treatment and VGSC as a therapeutic target in diabetes treatment is valuable to be investigated further.


Asunto(s)
Células Secretoras de Insulina/metabolismo , Insulina/metabolismo , Extractos Vegetales/farmacología , Polisacáridos/farmacología , Portulaca , Canales de Sodio Activados por Voltaje/fisiología , Animales , Línea Celular , Supervivencia Celular/efectos de los fármacos , Supervivencia Celular/fisiología , Relación Dosis-Respuesta a Droga , Células Secretoras de Insulina/efectos de los fármacos , Potencial de la Membrana Mitocondrial/efectos de los fármacos , Potencial de la Membrana Mitocondrial/fisiología , Extractos Vegetales/aislamiento & purificación , Polisacáridos/aislamiento & purificación , Bloqueadores de los Canales de Sodio/aislamiento & purificación , Bloqueadores de los Canales de Sodio/farmacología
13.
Biomaterials ; 175: 82-92, 2018 08.
Artículo en Inglés | MEDLINE | ID: mdl-29803106

RESUMEN

Silica based nanoparticles have emerged as a promising vaccine delivery system for cancer immunotherapy, but their bio-degradability, adjuvanticity and the resultant antitumor activity remain to be largely improved. In this study, we report biodegradable glutathione-depletion dendritic mesoporous organosilica nanoparticles (GDMON) with a tetrasulfide-incorporated framework as a novel co-delivery platform in cancer immunotherapy. Functionalized GDMON are capable of co-delivering an antigen protein (ovalbumin) and a toll-like receptor 9 (TLR9) agonist into antigen presenting cells (APCs) and inducing endosome escape. Moreover, decreasing the intracellular glutathione (GSH) level through the -S-S-/GSH redox chemistry increases the ROS generation level both in vitro and in vivo, facilitating cytotoxic T lymphocyte (CTL) proliferation and reducing tumour growth in an aggressive B16-OVA melanoma tumour model. Our results have shown the potential of GDMON as a novel self-adjuvant and co-delivery nanocarrier for cancer vaccine.


Asunto(s)
Adyuvantes Inmunológicos/administración & dosificación , Vacunas contra el Cáncer/administración & dosificación , Glutatión/metabolismo , Melanoma Experimental/terapia , Nanopartículas/química , Dióxido de Silicio/química , Animales , Células Presentadoras de Antígenos/metabolismo , Línea Celular Tumoral , Proliferación Celular , Endosomas/fisiología , Humanos , Inmunoterapia , Melanoma Experimental/inmunología , Melanoma Experimental/patología , Ratones , Oligodesoxirribonucleótidos/administración & dosificación , Ovalbúmina/administración & dosificación , Oxidación-Reducción , Polietileneimina/química , Porosidad , Linfocitos T Citotóxicos/patología , Receptor Toll-Like 9/agonistas
14.
Artículo en Chino | WPRIM | ID: wpr-852959

RESUMEN

Spray with its unique form of administration, greatly facilitates the patients in the oral cavity, skin, and mucous membrane of the drug delivery. And it has been widely used in the treatment of local and systemic diseases in clinical application. Chinese materia medica (CMM) spray combined with traditional medicine and modern preparation technology and technique has developed rapidly in recent years. The number of researches and development products of Chinese materia medica spray is numerous, but on the whole, the technical level of the products is low and many problems exist in the prescription design, quality control, etc. By consulting the relevant literature of recent years, this paper reviewed the current situation of product development, preparation technology, and quality control of CMM spray, in order to provide new ideas for the research of spray, and to provide a reference for the better development of CMM spray products.

15.
Acad Med ; 91(11): 1568-1575, 2016 11.
Artículo en Inglés | MEDLINE | ID: mdl-27254014

RESUMEN

PURPOSE: To examine the predictive validity of the National Board of Osteopathic Medical Examiners' Comprehensive Osteopathic Medical Licensing Examination of the United States of America (COMLEX-USA) series with regard to the American Board of Family Medicine's (ABFM's) In-Training Examination (ITE) and Maintenance of Certification for Family Physicians (MC-FP) Examination. METHOD: A repeated-measures design was employed, using test scores across seven levels of training for 1,023 DOs who took the MC-FP for the first time between April 2012 and November 2014 and for whom the ABFM had ITE scores for each of their residency years. Pearson and disattenuated correlations were calculated; Fisher r to z transformation was performed; and sensitivity, specificity, and positive and negative predictive values for the COMLEX-USA Level 2-Cognitive Evaluation (CE) with regard to the MC-FP were computed. RESULTS: The Pearson and disattenuated correlations ranged from 0.55 to 0.69 and from 0.61 to 0.80, respectively. For MC-FP scores, only the correlation increase from the COMLEX-USA Level 2-CE to Level 3 was statistically significant (for Pearson correlations: z = 2.41, P = .008; for disattenuated correlations: z = 3.16, P < .001). The sensitivity, specificity, and positive and negative predictive values of the COMLEX-USA Level 2-CE with the MC-FP were 0.90, 0.39, 0.96, and 0.19, respectively. CONCLUSIONS: Evidence was found that the COMLEX-USA can assist family medicine residency program directors in predicting later resident performance on the ABFM's ITE and MC-FP, which is becoming increasingly important as graduate medical education accreditation moves toward a single aligned model.


Asunto(s)
Competencia Clínica/normas , Medicina Familiar y Comunitaria/educación , Licencia Médica/normas , Medicina Osteopática/educación , Consejos de Especialidades/normas , Certificación/normas , Certificación/estadística & datos numéricos , Competencia Clínica/estadística & datos numéricos , Medicina Familiar y Comunitaria/normas , Humanos , Internado y Residencia/normas , Licencia Médica/estadística & datos numéricos , Medicina Osteopática/normas , Estados Unidos
16.
Chin J Integr Med ; 21(4): 254-8, 2015 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-24862849

RESUMEN

OBJECTIVE: To explore the characteristics of light propagation along the Pericardium Meridian and its surrounding areas at human wrist by using optical experiment and Monte Carlo method. METHODS: An experiment was carried out to obtain the distribution of diffuse light on Pericardium Meridian line and its surrounding areas at the wrist, and then a simplified model based on the anatomical structure was proposed to simulate the light transportation within the same area by using Monte Carlo method. RESULTS: The experimental results showed strong accordance with the Monte Carlo simulation that the light propagation along the Pericardium Meridian had an advantage over its surrounding areas at the wrist. CONCLUSION: The advantage of light transport along Pericardium Merdian line was related to components and structure of tissue, also the anatomical structure of the area that the Pericardium Meridian line runs.


Asunto(s)
Luz , Meridianos , Óptica y Fotónica , Pericardio , Muñeca , Difusión , Humanos , Modelos Teóricos , Método de Montecarlo , Óptica y Fotónica/métodos , Pericardio/fisiología , Muñeca/fisiología
17.
Artículo en Inglés | WPRIM | ID: wpr-262659

RESUMEN

<p><b>OBJECTIVE</b>To explore the characteristics of light propagation along the Pericardium Meridian and its surrounding areas at human wrist by using optical experiment and Monte Carlo method.</p><p><b>METHODS</b>An experiment was carried out to obtain the distribution of diffuse light on Pericardium Meridian line and its surrounding areas at the wrist, and then a simplified model based on the anatomical structure was proposed to simulate the light transportation within the same area by using Monte Carlo method.</p><p><b>RESULTS</b>The experimental results showed strong accordance with the Monte Carlo simulation that the light propagation along the Pericardium Meridian had an advantage over its surrounding areas at the wrist.</p><p><b>CONCLUSION</b>The advantage of light transport along Pericardium Merdian line was related to components and structure of tissue, also the anatomical structure of the area that the Pericardium Meridian line runs.</p>


Asunto(s)
Humanos , Difusión , Luz , Meridianos , Modelos Teóricos , Método de Montecarlo , Óptica y Fotónica , Métodos , Pericardio , Fisiología , Muñeca , Fisiología
18.
J Am Osteopath Assoc ; 114(9): 714-21, 2014 Sep.
Artículo en Inglés | MEDLINE | ID: mdl-25170041

RESUMEN

CONTEXT: The relationship between the Comprehensive Osteopathic Medical Achievement Test (COMAT) series of subject examinations and the Comprehensive Osteopathic Medical Licensing Examination-USA Level 2-Cognitive Evaluation (COMLEX-USA Level 2-CE) has not been thoroughly examined. OBJECTIVE: To investigate the factors associated with performance on COMAT subject examinations and how COMAT scores correlate with COMLEX-USA Level 2-CE scores. METHODS: We examined scores of participants from 2 COMAT examination cycles in 2011 and 2012. According to surveys, most schools used COMAT scores in clerkship and clinical rotation evaluation, which were classified as being used for "high-stakes" purposes. We matched first-attempt COMAT scores with first-attempt COMLEX-USA Level 2-CE scores, and we conducted correlation analyses between the scores from the 7 COMAT subject examinations, as well as between COMAT and COMLEX-USA Level 2-CE scores. Multiple linear regression analyses were performed to investigate how much variance in COMLEX-USA Level 2-CE scores was explained by COMAT scores. RESULTS: In 2011 and 2012, respectively, 3751 and 3786 COMAT candidates had COMLEX-USA Level 2-CE scores (53.0% and 93.9%, respectively, had ⩾1 high-stakes COMAT score). Intercorrelations between COMAT scores were low to moderate (r=0.27-0.53), as hypothesized. Correlations between COMAT and Level 2-CE scores were moderate to high, with the highest correlations for internal medicine COMAT scores (r=0.63-0.65). All regressions showed internal medicine scores as the strongest predictor of Level 2-CE performance. Groups with high-stakes scores had larger adjusted coefficients of determination than those with low-stakes scores (eg, R(2)=0.63 vs 0.52, respectively, in 2011). For 2012 candidates with high-stakes scores, all predictors were statistically significant. CONCLUSION: The COMAT subject examination scores were moderately intercorrelated, as hypothesized, with higher correlations between COMAT and COMLEX-USA Level 2-CE scores. The COMAT performance was predictive of COMLEX-USA Level 2-CE performance.


Asunto(s)
Evaluación Educacional/métodos , Medicina Osteopática/educación , Humanos , Modelos Lineales , Estados Unidos
19.
Chin J Integr Med ; 2014 May 26.
Artículo en Inglés | MEDLINE | ID: mdl-24862850

RESUMEN

OBJECTIVE: To explore the relationship between acupoints and meridians. METHODS: Researches were performed on 45 healthy people under the same conditions. The diffuse light intensity of the Pericardium meridian and its surrounding areas were measured before and after warming moxibustion on three acupoints [Shimen (RN5), Qihai (RN6), and Yinjiao (RN7)] of Ren meridian below umbilicus in the same way. Then two sets of data of each sample were used for statistics and analysis, as well as the three-dimensional distribution figures. Statistical definition of probability value was used to evaluate the effect made by moxibustion. RESULTS: After moxibustion, the diffuse light intensity presented significant changes in 25 samples (P<0.05), enhanced in 15 people (P<0.05) and decreased in 10 (P<0.05). It was consistent with the classification by questionnaire interviews of somatotypes. In addition, diffuse light changed more obviously on Pericardium than non-meridian areas. It was distinct in the three-dimensional distribution figures. CONCLUSIONS: Diffuse light changes happened in entire measure sites demonstrated that acupoints of Ren meridian moxibustion could affect the light propagation of wrist, especially on the Pericardium meridian. It gave an expression to meridians interconnection as said in the Chinese medicine theory. The two classifications made by light propagation changes were experimental corroboration of that personal physical differences affected the manipulation of Chinese acupuncture and moxibustion treatment. These above provided some implications or new directions to future meridian researches.

20.
J Ethnopharmacol ; 154(1): 206-17, 2014 May 28.
Artículo en Inglés | MEDLINE | ID: mdl-24742752

RESUMEN

ETHNOPHARMACOLOGICAL RELEVENCE: Neurodegenerative diseases (NDs) caused by neurons and/or myelin loss lead to devastating effects on patients׳ lives. Although the causes of such complex diseases have not yet been fully elucidated, oxidative stress, mitochondrial and energy metabolism dysfunction, excitotoxicity, inflammation, and apoptosis have been recognized as influential factors. Current therapies that were designed to address only a single target are unable to mitigate or prevent disease progression, and disease-modifying drugs are desperately needed, and Chinese herbs will be a good choice for screening the potential drugs. Previous studies have shown that bajijiasu, a dimeric fructose isolated from Morinda officinalis radix which was used frequently as a tonifying and replenishing natural herb medicine in traditional Chinese medicine clinic practice, can prevent ischemia-induced neuronal damage or death. MATERIALS AND METHODS: In order to investigate whether bajijiasu protects against beta-amyloid (Aß25₋35)-induced neurotoxicity in rats and explore the underlying mechanisms of bajijiasu in vivo, we prepared an Alzheimer׳s disease (AD) model by injecting Aß25-35 into the bilateral CA1 region of rat hippocampus and treated a subset with oral bajijiasu. We observed the effects on learning and memory, antioxidant levels, energy metabolism, neurotransmitter levels, and neuronal apoptosis. RESULTS: Bajijiasu ameliorated Aß-induced learning and memory dysfunction, enhanced antioxidative activity and energy metabolism, and attenuated cholinergic system damage. Our findings suggest that bajijiasu can enhance antioxidant capacity and prevent free radical damage. It can also enhance energy metabolism and monoamine neurotransmitter levels and inhibit neuronal apoptosis. CONCLUSION: The results provide a scientific foundation for the use of Morinda officinalis and its constituents in the treatment of various AD. Future studies will assess the multi-target activity of the drug for the treatment of AD.


Asunto(s)
Enfermedad de Alzheimer/tratamiento farmacológico , Disacáridos/uso terapéutico , Fármacos Neuroprotectores/uso terapéutico , Enfermedad de Alzheimer/metabolismo , Péptidos beta-Amiloides , Animales , Conducta Animal/efectos de los fármacos , Monoaminas Biogénicas/metabolismo , Encéfalo/citología , Encéfalo/efectos de los fármacos , Encéfalo/metabolismo , Catalasa/metabolismo , Recuento de Células , Disacáridos/farmacología , Disacáridos/toxicidad , Modelos Animales de Enfermedad , Femenino , Glutatión Peroxidasa/metabolismo , Ácido Hidroxiindolacético/metabolismo , Masculino , Malondialdehído/metabolismo , Aprendizaje por Laberinto/efectos de los fármacos , Memoria/efectos de los fármacos , Morinda , Neuronas/efectos de los fármacos , Fármacos Neuroprotectores/farmacología , Fármacos Neuroprotectores/toxicidad , Fragmentos de Péptidos , Ratas Sprague-Dawley , Superóxido Dismutasa/metabolismo , Pruebas de Toxicidad Aguda
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