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1.
BMC Med ; 22(1): 256, 2024 Jun 20.
Artículo en Inglés | MEDLINE | ID: mdl-38902722

RESUMEN

BACKGROUND: The relationship between variation in serum uric acid (SUA) levels and brain health is largely unknown. This study aimed to examine the associations of long-term variability in SUA levels with neuroimaging metrics and cognitive function. METHODS: This study recruited 1111 participants aged 25-83 years from a multicenter, community-based cohort study. The SUA concentrations were measured every two years from 2006 to 2018. We measured the intraindividual SUA variability, including the direction and magnitude of change by calculating the slope value. The associations of SUA variability with neuroimaging markers (brain macrostructural volume, microstructural integrity, white matter hyperintensity, and the presence of cerebral small vessel disease) and cognitive function were examined using generalized linear models. Mediation analyses were performed to assess whether neuroimaging markers mediate the relationship between SUA variation and cognitive function. RESULTS: Compared with the stable group, subjects with increased or decreased SUA levels were all featured by smaller brain white matter volume (beta = - 0.25, 95% confidence interval [CI] - 0.39 to - 0.11 and beta = - 0.15, 95% CI - 0.29 to - 0.02). Participants with progressively increased SUA exhibited widespread disrupted microstructural integrity, featured by lower global fractional anisotropy (beta = - 0.24, 95% CI - 0.38 to - 0.10), higher mean diffusivity (beta = 0.16, 95% CI 0.04 to 0.28) and radial diffusivity (beta = 0.19, 95% CI 0.06 to 0.31). Elevated SUA was also associated with cognitive decline (beta = - 0.18, 95% CI - 0.32 to - 0.04). White matter atrophy and impaired brain microstructural integrity mediated the impact of SUA increase on cognitive decline. CONCLUSIONS: It is the magnitude of SUA variation rather than the direction that plays a critical negative role in brain health, especially for participants with hyperuricemia. Smaller brain white matter volume and impaired microstructural integrity mediate the relationship between increased SUA level and cognitive function decline. Long-term stability of SUA level is recommended for maintaining brain health and preventing cognitive decline.


Asunto(s)
Disfunción Cognitiva , Neuroimagen , Ácido Úrico , Humanos , Anciano , Masculino , Disfunción Cognitiva/sangre , Femenino , Persona de Mediana Edad , Anciano de 80 o más Años , Ácido Úrico/sangre , Neuroimagen/métodos , Estudios de Cohortes , Adulto , Encéfalo/diagnóstico por imagen , Imagen por Resonancia Magnética/métodos , Sustancia Blanca/diagnóstico por imagen , Sustancia Blanca/patología
2.
Exp Cell Res ; 429(2): 113669, 2023 08 15.
Artículo en Inglés | MEDLINE | ID: mdl-37276997

RESUMEN

Discovery of CARF (Collaborator of ARF)/CDKN2AIP as an ARF-interacting protein that promotes ARF-p53-p21WAF1 signaling and cellular senescence, initially established its role in genomic stress. Multiple reports further unraveled its role in regulation of senescence, growth arrest, apoptosis, or malignant transformation of cells in response to a variety of stress conditions in cultured human cells. It has been established as an essential protein. Whereas CARF-compromised cells undergo apoptosis, its enrichment has been recorded in a variety of cancer cells and has been associated with malignant transformation. We earlier demonstrated its role in stress-induced cell phenotypes that ranged from growth arrest, apoptosis, or malignant transformation. In the present study, we assessed the molecular mechanism of quantitative impact of change in CARF expression level on these cell fates. Stress-induced changes in CARF expression were assessed quantitatively with proteins involved in proteotoxicity, oxidative, genotoxic, and cytotoxic stress. These comparative quantitative analyses confirmed that (i) CARF responds to diverse stresses in a quantitative manner, (ii) its expression level serves as a reliable predictive measure of cell fates (iii) it correlates more with the DNA damage and MDA levels than the oxidative and proteotoxic signatures and (iv) CARF-expression based quantitative assay may be recruited for stress diagnostic applications.


Asunto(s)
Apoptosis , Proteína p53 Supresora de Tumor , Humanos , Proteína p53 Supresora de Tumor/genética , Senescencia Celular/fisiología , Proliferación Celular , Proteínas Reguladoras de la Apoptosis/genética , Transformación Celular Neoplásica , Inhibidor p21 de las Quinasas Dependientes de la Ciclina/metabolismo
3.
BMC Geriatr ; 24(1): 28, 2024 01 06.
Artículo en Inglés | MEDLINE | ID: mdl-38184539

RESUMEN

BACKGROUND: The current literature shows a strong relationship between retinal neuronal and vascular alterations in dementia. The purpose of the study was to use NFN+ deep learning models to analyze retinal vessel characteristics for cognitive impairment (CI) recognition. METHODS: We included 908 participants from a community-based cohort followed for over 15 years (the prospective KaiLuan Study) who underwent brain magnetic resonance imaging (MRI) and fundus photography between 2021 and 2022. The cohort consisted of both cognitively healthy individuals (N = 417) and those with cognitive impairment (N = 491). We employed the NFN+ deep learning framework for retinal vessel segmentation and measurement. Associations between Retinal microvascular parameters (RMPs: central retinal arteriolar / venular equivalents, arteriole to venular ratio, fractal dimension) and CI were assessed by Pearson correlation. P < 0.05 was considered statistically significant. The correlation between the CI and RMPs were explored, then the correlation coefficients between CI and RMPs were analyzed. Random Forest nonlinear classification model was used to predict whether one having cognitive decline or not. The assessment criterion was the AUC value derived from the working characteristic curve. RESULTS: The fractal dimension (FD) and global vein width were significantly correlated with the CI (P < 0.05). Age (0.193), BMI (0.154), global vein width (0.106), retinal vessel FD (0.099), and CRAE (0.098) were the variables in this model that were ranked in order of feature importance. The AUC values of the model were 0.799. CONCLUSIONS: Establishment of a predictive model based on the extraction of vascular features from fundus images has a high recognizability and predictive power for cognitive function and can be used as a screening method for CI.


Asunto(s)
Disfunción Cognitiva , Aprendizaje Profundo , Humanos , Estudios Prospectivos , Disfunción Cognitiva/diagnóstico por imagen , Retina , Vasos Retinianos/diagnóstico por imagen , Biomarcadores
4.
Alzheimers Dement ; 2024 Jun 13.
Artículo en Inglés | MEDLINE | ID: mdl-38872387

RESUMEN

INTRODUCTION: We delineated the associations among long-term blood pressure variability (BPV), brain structure, and cognitive function. METHODS: We included 1254 adult participants from the Kailuan study. BPV was calculated from 2006 to 2020. Brain magnetic resonance imaging (MRI) and Montreal Cognitive Assessment (MoCA) were conducted in 2020. RESULTS: Higher systolic BPV (SBPV) and diastolic BPV (DBPV) were associated with lower total and frontal gray matter (GM) volume, and higher SBPV was associated with lower temporal GM volume. Elevated DBPV was associated with lower volume of total brain and parietal GM, and higher white matter hyperintensity (WMH) volume. Higher SBPV and DBPV were associated with lower MoCA scores. Decreased total and regional GM volume and increased WMH volume were associated with lower MoCA scores. The association between SBPV and cognitive function was mediated by total, frontal, and temporal GM volume. DISCUSSION: GM volume may play key roles in the association between SBPV and cognitive function. HIGHLIGHTS: SBPV and DBPV were negatively associated with total and regional brain volume. SBPV and DBPV were negatively associated with cognitive function. Decreased brain volume was associated with cognitive decline. GM volume mediated the negative association between SBPV and cognitive function.

5.
Eur Radiol ; 33(6): 4464-4471, 2023 Jun.
Artículo en Inglés | MEDLINE | ID: mdl-36648550

RESUMEN

OBJECTIVES: To investigate the imaging features of unilateral pulsatile tinnitus (PT) with jugular bulb wall dehiscence (JBWD). METHODS: Computerized tomography angiography images of unilateral PT patients were reviewed between 2019 and 2021. Thirty-one symptomatic JBWD patients without sigmoid sinus wall dehiscence (SSWD) were included. Thirty-eight patients with SSWD were used as the control group. The prevalence of JBWD was calculated. The area and height of the jugular bulb, the extent of dehiscence, the presence of jugular bulb diverticulum, posterior condylar emissary vein (PCEV), oblique occipital sinus (OOS), venous outflow laterality (VOL), the degree of transverse sinus stenosis (TSS), and the pituitary height to sella turcica ratio were compared between the two groups. RESULTS: The prevalence of JBWD was 12.1%, and JBWD was established as a causative diagnosis in 5.0% of unilateral PT patients. There were no statistical differences in the gender, symptomatic side, or VOL between the two groups. The area of the jugular bulb was larger and the height was higher (parea < 0.001, pheight = 0.005). The prevalence of jugular bulb diverticulum was higher in the JBWD group (p = 0.002). The degree of symptomatic TSS was less severe (p < 0.001), and the prevalence of bilateral TSS was lower in the JBWD group (p < 0.001). The pituitary height to sella turcica ratio was greater (p = 0.004), the prevalence of PCEV (p = 0.014) was lower, and OOS (p = 0.015) was greater in the JBWD group. CONCLUSIONS: The correlating factors of PT with JBWD and PT with SSWD are significantly different. These findings can further facilitate early and efficient PT treatment. KEY POINTS: • The incidence of jugular bulb dehiscence (JBWD) accounted for approximately 12.1% in pulsatile tinnitus (PT) patients, and JBWD was established as a causative diagnosis in 5.0% of PT patients. • PT required large blood flows and abnormal flow patterns, whether in JBWD or sigmoid sinus wall dehiscence groups. • JBWD causing PT has some unique characteristic findings on CT.


Asunto(s)
Divertículo , Senos Paranasales , Acúfeno , Humanos , Acúfeno/diagnóstico por imagen , Acúfeno/epidemiología , Senos Craneales/diagnóstico por imagen , Angiografía por Tomografía Computarizada , Divertículo/complicaciones , Divertículo/diagnóstico por imagen , Divertículo/epidemiología , Constricción Patológica , Venas Yugulares/diagnóstico por imagen
6.
Int J Mol Sci ; 24(12)2023 Jun 17.
Artículo en Inglés | MEDLINE | ID: mdl-37373420

RESUMEN

Extracellular microparticles provide a means of cell-to-cell communication and can promote information exchanges between adjacent or distant cells. Platelets are cell fragments that are derived from megakaryocytes. Their main functions are to stop bleeding, regulate inflammation, and maintain the integrity of blood vessels. When platelets are activated, they can perform related tasks by secreting platelet-derived microparticles that contain lipids, proteins, nucleic acids, and even organelles. There are differences in the circulating platelet levels in many autoimmune diseases, including rheumatoid arthritis, systemic lupus erythematosus, antiphospholipid antibody syndrome, and Sjogren's syndrome. In this paper, the latest findings in the research field of platelet-derived microparticles are reviewed, including the potential pathogenesis of platelet-derived microparticles in various types of immune diseases, their potential as related markers, and for monitoring the progress and prognosis of disease treatment are expounded.


Asunto(s)
Artritis Reumatoide , Enfermedades Autoinmunes , Micropartículas Derivadas de Células , Lupus Eritematoso Sistémico , Humanos , Micropartículas Derivadas de Células/metabolismo , Enfermedades Autoinmunes/metabolismo , Plaquetas/metabolismo , Artritis Reumatoide/metabolismo , Megacariocitos/patología
7.
Entropy (Basel) ; 25(2)2023 Jan 23.
Artículo en Inglés | MEDLINE | ID: mdl-36832587

RESUMEN

Natural language processing (NLP) models based on deep neural networks (DNNs) are vulnerable to backdoor attacks. Existing backdoor defense methods have limited effectiveness and coverage scenarios. We propose a textual backdoor defense method based on deep feature classification. The method includes deep feature extraction and classifier construction. The method exploits the distinguishability of deep features of poisoned data and benign data. Backdoor defense is implemented in both offline and online scenarios. We conducted defense experiments on two datasets and two models for a variety of backdoor attacks. The experimental results demonstrate the effectiveness of this defense approach and outperform the baseline defense method.

8.
Opt Express ; 30(20): 36155-36166, 2022 Sep 26.
Artículo en Inglés | MEDLINE | ID: mdl-36258551

RESUMEN

We propose two polarization interference filters (PIF1 and PIF2) used in the backlight unit of a liquid crystal display (LCD) to achieve a wide color gamut. Both PIF1 and PIF2 consist of two polarizers and two 720° super twisted nematic liquid crystal polymer (LCP) layers, where two polarizers are crossed in PIF1, and two polarizers are parallel in PIF2. The PIFs can eliminate unwanted cyan and yellow parts in the output spectrum, which can improve the color gamut of LCD. In our calculation, when the PIF1 is employed in the LCD with normal color filter and QD-LED backlight, the color gamut increases from 107.3% NTSC to 124.6% NTSC, which is 13.7% NTSC larger than that of the LCD with high-performance color filter. When the PIF2 is employed in the LCD with normal color filter and QD-LED backlight, the color gamut of LCD with a normal color filter is improved by 6.8% NTSC larger than that of LCD with high-performance color film, and the transfer efficiency is close to that of the LCD with high-performance color film. We define the color gamut enhancement ratio (CGER) to compare the influence of PIFs and the high-performance color filter on the color gamut enhancement performance of LCD. Compared with the high-performance color filter, the two kinds of PIFs have a higher CGER. The PIFs have a great potential for achieving a wide color gamut.

9.
Opt Express ; 29(18): 28924-28934, 2021 Aug 30.
Artículo en Inglés | MEDLINE | ID: mdl-34615012

RESUMEN

The angle-sensitivity is a serious defect of birefringent waveplate, and it draws lots of interest from researchers. In this paper, an angle-insensitive waveplate with inner helix structure is proposed. The super-twisted nematic liquid crystal polymer is used to fabricate the inner helical waveplate, and the retardation-shift is measured and analyzed. In the measured result, the retardation-shift is in the range from -0.311% to 0.194% at 45° polar angle, which is 2 orders of magnitude lower than that of the conventional waveplate. Theoretically, the retardation-shift is less than 0.5% in the polar angle range from 0° to 60°, and it will be less if the material with high refractive index is used. The analysis of the self-compensation effect explains the principle of angle-insensitivity, and the influence of tilt angle on angle-sensitivity is also investigated to guide the better design. At last, the application of the inner helical waveplate in wide color gamut display is taken as an example to show the broad application prospects.

10.
Opt Express ; 29(24): 40310-40322, 2021 Nov 22.
Artículo en Inglés | MEDLINE | ID: mdl-34809375

RESUMEN

We demonstrate a wide viewing angle polarization interference filter (PIF), which consists of two crossed polarizers and double liquid crystal layers with opposite twisted direction. The polarization interference effect of the PIF is achieved by the double liquid crystal layers, and an additional compensation layer between the double liquid crystal layers can further improve the optical performance of the PIF. By using the Jones matrix method, we derive the transmittance formula of the PIF with/without compensation layer, which can be used to design any required color filter by selecting the appropriate twist angle and thickness of the liquid crystal layer. We design blue, green and red PIFs and analyze their optical performance. The proposed PIF has a wider viewing angle (±30°), and the color saturation of the PIF is also considerably high.

11.
J Magn Reson Imaging ; 53(6): 1744-1751, 2021 06.
Artículo en Inglés | MEDLINE | ID: mdl-33491233

RESUMEN

The effects of morphologic abnormalities, including sigmoid sinus wall dehiscence (SSWD), transverse sinus stenosis (TSS), and sigmoid sinus diverticulum (SSD), on hemodynamics in venous pulsatile tinnitus (PT) patients have not been established. The aim of this study was to evaluate the effects of SSWD, TSS, and SSD on the hemodynamics of transverse-sigmoid sinus in venous PT patients. This was a prospective study with 44 venous PT patients and 12 healthy controls. A 3 T/four-dimensional (4D) flow magnetic resonance imaging with fast field echo was used. Computed tomography arteriography/venography was used to assess ipsilateral SSWD, TSS, and SSD. Maximum velocity (Vmax ), average velocity (Vavg ), and average flow (Flowavg ) were measured. Blood flow patterns were independently assessed by three neuroradiologists. One-way analysis of variance or Kruskal-Wallis test was also used. On the symptomatic side, all patients had SSWD, 33 patients had TSS, and 22 patients had SSD. Compared with healthy controls, patients with TSS, without TSS, with SSD, and without SSD all showed higher Vmax (all p < 0.050), Vavg (all p < 0.050), and Flowavg (all p < 0.050). Patients with TSS showed higher Vmax (p < 0.050) and Vavg (p < 0.050) than those without TSS, and no significant difference in Flowavg was found between the two groups (p = 0.408). No significant differences in Vmax , Vavg , and Flowavg were found between patients with and without SSD (all p = 1.000). Jet-like flow in the stenosis and downstream of the stenosis was observed in all patients with TSS. Vortex in SSD was observed in 15 patients with SSD (68%). High blood velocity and flow may be characteristic markers of venous PT. SSWD may be a necessary condition for venous PT. TSS may further increase the blood velocity and form a jet-like flow. SSD may be related to vortex formation but had no significant effect on blood velocity and flow. LEVEL OF EVIDENCE: 2 TECHNICAL EFFICACY STAGE: 3.


Asunto(s)
Acúfeno , Senos Craneales , Hemodinámica , Humanos , Imagen por Resonancia Magnética , Estudios Prospectivos , Acúfeno/diagnóstico por imagen
12.
Eur Radiol ; 31(5): 2896-2902, 2021 May.
Artículo en Inglés | MEDLINE | ID: mdl-33128184

RESUMEN

OBJECTIVES: To investigate the correlation between transverse sinus stenosis (TSS) and transstenotic pressure gradient (TPG) in unilateral pulsatile tinnitus (PT) patients with sigmoid sinus wall anomalies (SSWA). METHODS: Fifty-seven patients with unilateral venous PT were retrospectively included. All of them underwent CT venography and catheter manometry, accompanied with SSWA. The degree, length, shape (intrinsic/extrinsic/dysplasia), location (proximal/middle/distal, referring to the relative position of TSS and the Labbé vein junction) of TSS, the types of SSWA (dehiscence/diverticulum), and the degree of transverse sinus outflow laterality were assessed, and the correlations with ipsilesional TPG were analyzed. RESULTS: The mean value of ipsilesional TPG was 7.61 ± 0.52 mmHg. The degree and length of ipsilesional TSS were positively correlated with TPG (p < 0.001, p' < 0.001), respectively. TPG was significantly larger in patients with contralateral transverse sinus dysplasia than those without (p = 0.023) and significantly smaller in patients with ipsilesional sigmoid sinus diverticulum than those with isolated dehiscence (p = 0.001). No statistical difference in TPG was shown between ipsilesional TSSs of different shapes or locations (p > 0.05). No correlation was noted between the degree of ipsilesional transverse sinus outflow laterality and TPG (p = 0.051). Stepwise linear regression indicated that the degree (ß = 9.207, 95% CI = 3.558-14.856), length (ß = 0.122, 95% CI = 0.025-0.220) of ipsilesional TSS, and contralateral transverse sinus dysplasia (ß = 1.875, 95% CI = 0.220-3.530) were significantly correlated with TPG (R2 = 0.471). CONCLUSIONS: The degree, length of ipsilesional TSS, and contralateral transverse sinus dysplasia may be used to predict TPG in unilateral PT patients with SSWA. KEY POINTS: • CT venography may act as a screening tool to help low-probability unilateral pulsatile tinnitus (PT) patients with sigmoid sinus wall anomalies (SSWA) avoid invasive catheter manometry. • The degree and length of ipsilesional transverse sinus stenosis (TSS) are positively correlated with transtenotic pressure gradient (TPG) in unilateral PT patients with SSWA. • Ipsilesional TPG is larger in unilateral PT patients with contralateral transverse sinus dysplasia than those without and is smaller in unilateral PT patients with sigmoid sinus diverticulum than those with isolated dehiscence.


Asunto(s)
Acúfeno , Constricción Patológica , Senos Craneales/diagnóstico por imagen , Humanos , Flebografía , Estudios Retrospectivos , Acúfeno/diagnóstico por imagen
13.
Nanotechnology ; 30(47): 475201, 2019 Nov 22.
Artículo en Inglés | MEDLINE | ID: mdl-31434061

RESUMEN

Some enhanced performances can be obtained by doping multi-walled carbon-nanotube (MWCNT) into self-organized nematic liquid crystal (NLC). However, the dispersion of MWCNT in NLC is very few, thus the enhancement is restricted. In this work, a nickel plated MWCNT (MWCNT@Ni) is synthesized to obtain a relatively high dispersion. The morphology, element and chemical bond differences between MWCNT and MWCNT@Ni are characterized. For MWCNT@Ni, there is a layer of coaxial nickel coated on the surface of MWCNT, which weakens the interaction energy between the adjacent MWCNTs and further results in a relatively high dispersion. Moreover, MWCNT@Ni has a more orderly arrangement in NLC compared with MWCNT. The results suggest that the dielectric anisotropy of MWCNT@Ni/NLC with mass fraction of 0.01 wt% is increased by ∼3.6%, and the saturation voltage is reduced by ∼7.3%. Besides, the rise time is decreased by ∼9.5% at 5 V and 1 kHz. These performances have been improved compared with MWCNT/NLC under the same mass fraction. The effect of mass fraction of MWCNT@Ni on rise time is further investigated. As a result, the rise time is decreased by ∼16.7% as MWCNT@Ni with mass fraction of 0.10 wt% is added into NLC. In general, the method to increase dispersion of dopant in NLC is proposed, which can serve as a reference to improve the performances of NLC composites.

14.
J Mater Sci Mater Med ; 27(4): 77, 2016 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-26894267

RESUMEN

Spina bifida aperta are complex congenital malformations resulting from failure of fusion in the spinal neural tube during embryogenesis. Despite surgical repair of the defect, most patients who survive with spina bifida aperta have a multiple system handicap due to neuron deficiency of the defective spinal cord. Tissue engineering has emerged as a novel treatment for replacement of lost tissue. This study evaluated the prenatal surgical approach of transplanting a chitosan-gelatin scaffold seeded with bone marrow mesenchymal stem cells (BMSCs) in the healing the defective spinal cord of rat fetuses with retinoic acid induced spina bifida aperta. Scaffold characterisation revealed the porous structure, organic and amorphous content. This biomaterial promoted the adhesion, spreading and in vitro viability of the BMSCs. After transplantation of the scaffold combined with BMSCs, the defective region of spinal cord in rat fetuses with spina bifida aperta at E20 decreased obviously under stereomicroscopy, and the skin defect almost closed in many fetuses. The transplanted BMSCs in chitosan-gelatin scaffold survived, grew and expressed markers of neural stem cells and neurons in the defective spinal cord. In addition, the biomaterial presented high biocompatibility and slow biodegradation in vivo. In conclusion, prenatal transplantation of the scaffold combined with BMSCs could treat spinal cord defect in fetuses with spina bifida aperta by the regeneration of neurons and repairmen of defective region.


Asunto(s)
Células de la Médula Ósea/fisiología , Feto/cirugía , Trasplante de Células Madre Mesenquimatosas , Células Madre Mesenquimatosas/fisiología , Espina Bífida Quística/terapia , Ingeniería de Tejidos , Animales , Proliferación Celular , Quitosano , Femenino , Gelatina , Microscopía Electrónica de Rastreo , Embarazo , Ratas , Andamios del Tejido
15.
Water Sci Technol ; 72(5): 678-88, 2015.
Artículo en Inglés | MEDLINE | ID: mdl-26287825

RESUMEN

This paper presents a review of methods that improve the production of volatile fatty acids (VFA) from excess sludge during the anaerobic digestion process. These methods are mainly divided into two approaches. The first approach is located in the pre-treatment methods, which change the properties of the substrates, such as thermal pre-treatment, alkaline pre-treatment, microwave pre-treatment and ultrasonic pre-treatment. The other approach is found in the fermentation process control methods, which influence the environment of anaerobic digestion for the production of VFA, such as pH, temperature, mixing, additives and solids retention time control. In the text recent research studies of each method are listed and analyzed in detail. Comparably, microwave and ultrasonic pre-treatment methods are considered emerging and promising technologies due to their efficiency and environmentally friendly characteristics. However, the microwave pre-treatment has high electricity demand, which might make the process economically unfeasible. In order to calculate optimal operation, further studies still need to be done.


Asunto(s)
Bacterias Anaerobias/metabolismo , Reactores Biológicos , Ácidos Grasos Volátiles/metabolismo , Aguas del Alcantarillado/microbiología , Administración de Residuos/métodos , Anaerobiosis , Fermentación , Microondas , Ultrasonido
16.
Quant Imaging Med Surg ; 14(1): 932-943, 2024 Jan 03.
Artículo en Inglés | MEDLINE | ID: mdl-38223087

RESUMEN

Background: As the retinal microvasculature shares similarities with the cerebral microvasculature, numerous studies have shown that retinal vascular is associated with cognitive decline. In addition, several population-based studies have confirmed the association between retinal vascular and cerebral small vessel disease (CSVD) burden. However, the association of retinal vascular with CSVD burden as well as cognitive function has not been explored simultaneously. This study investigated the relations of retinal microvascular parameters (RMPs) with CSVD burden and cognitive function. Methods: We conducted a cross-sectional study of participants in the KaiLuan study. Data were collected from subjects aged ≥18 years old who could complete retinal photography and brain magnetic resonance imaging (MRI) between December 2020 to October 2021 in the Kailuan community of Tangshan. RMPs were evaluated using a deep learning system. The cognitive function was measured using the Montreal Cognitive Assessment (MoCA). We conducted logistic regression models, and mediation analysis to evaluate the associations of RMPs with CSVD burden and cognitive decline. Results: Of the 905 subjects (mean age: 55.42±12.02 years, 54.5% female), 488 (53.9%) were classified with cognitive decline. The fractal dimension (FD) [odds ratio (OR), 0.098, 95% confidence interval (CI): 0.015-0.639, P=0.015] and global vein width (OR: 1.010, 95% CI: 1.005-1.015, P<0.001) were independent risk factors for cognitive decline after adjustment for potential confounding factors. The global artery width was significantly associated with severe CSVD burden (OR: 0.985, 95% CI: 0.974-0.997, P=0.013). The global vein width was sightly associated with severe CSVD burden (OR: 1.005, 95% CI: 1.000-1.010, P=0.050) after adjusting for potential confounders. The multivariable-adjusted odds ratios (95% CI) in highest tertile versus lowest tertile of global vein width were 1.290 (0.901-1.847) for cognitive decline and 1.546 (1.004-2.290) for severe CSVD burden, respectively. Moreover, CSVD burden played a partial mediating role in the association between global vein width and cognitive function (mediating effect 6.59%). Conclusions: RMPs are associated with cognitive decline and the development of CSVD. A proportion of the association between global vein width and cognitive decline may be attributed to the presence of CSVD burden.

17.
J Hypertens ; 2024 May 02.
Artículo en Inglés | MEDLINE | ID: mdl-38747362

RESUMEN

OBJECTIVES: To investigate the association of arterial stiffness with brain perfusion, brain tissue volume and cognitive impairment in the general adult population. MATERIALS AND METHODS: This prospective study included 1488 adult participants (age range: 22.8-83.9 years) from the Kailuan study. All participants underwent brachial-ankle pulse wave velocity (PWV) measurement, brain MRI, and Montreal Cognitive Assessment (MoCA). The association of PWV with cerebral blood flow (CBF), brain tissue volume and MoCA score was investigated. Mediation analysis was used to determine whether CBF and brain tissue volume changes mediated the associations between PWV and MoCA score. RESULTS: A 1 standard deviation (SD) increase in PWV was associated with lower total brain CBF [ß (95% CI) -0.67 (-1.2 to -0.14)], total gray matter CBF [ß (95% CI) -0.7 [-1.27 to -0.13)], frontal lobe CBF [ß (95% CI) -0.59 (-1.17 to -0.01)], parietal lobe CBF [ß (95% CI) -0.8 (-1.43 to -0.18)], and temporal lobe CBF [ß (95% CI) -0.68 (-1.24 to -0.12)]. Negative associations were found for PWV and total brain volume [ß (95% CI) -4.8 (-7.61 to -1.99)] and hippocampus volume [ß (95% CI) -0.08 (-0.13 to -0.04)]. A 1 SD increase PWV was significantly associated with elevated odds of developing cognitive impairment [odds ratio (95% CI) 1.21 (1.01-1.45)]. Mediation analysis showed that hippocampal volume partially mediated the negative association between PWV and MoCA scores (proportion: 14.173%). CONCLUSION: High arterial stiffness was associated with decreased total and regional CBF, brain tissue volume, and cognitive impairment. Hippocampal volume partially mediated the effects of arterial stiffness on cognitive impairment.

18.
Health Data Sci ; 4: 0087, 2024.
Artículo en Inglés | MEDLINE | ID: mdl-38500551

RESUMEN

Background: The cumulative effect of body mass index (BMI) on brain health remains ill-defined. The effects of overweight on brain health across different age groups need clarification. We analyzed the effect of cumulative BMI on neuroimaging features of brain health in adults of different ages. Methods: This study was based on a multicenter, community-based cohort study. We modeled the trajectories of BMI over 16 years to evaluate cumulative exposure. Multimodality neuroimaging data were collected once for volumetric measurements of the brain macrostructure, white matter hyperintensity (WMH), and brain microstructure. We used a generalized linear model to evaluate the association between cumulative BMI and neuroimaging features. Two-sample Mendelian randomization analysis was performed using summary level of BMI genetic data from 681,275 individuals and neuroimaging genetic data from 33,224 individuals to analyze the causal relationships. Results: Clinical and neuroimaging data were obtained from 1,074 adults (25 to 83 years). For adults aged under 45 years, brain volume differences in participants with a cumulative BMI of >26.2 kg/m2 corresponded to 12.0 years [95% confidence interval (CI), 3.0 to 20.0] of brain aging. Differences in WMH were statistically substantial for participants aged over 60 years, with a 6.0-ml (95% CI, 1.5 to 10.5) larger volume. Genetic analysis indicated causal relationships between high BMI and smaller gray matter and higher fractional anisotropy in projection fibers. Conclusion: High cumulative BMI is associated with smaller brain volume, larger volume of white matter lesions, and abnormal microstructural integrity. Adults younger than 45 years are suggested to maintain their BMI below 26.2 kg/m2 for better brain health. Trial Registration: This study was registered on clinicaltrials.gov (Clinical Indicators and Brain Image Data: A Cohort Study Based on Kailuan Cohort; No. NCT05453877; https://clinicaltrials.gov/ct2/show/NCT05453877).

19.
ACS Appl Mater Interfaces ; 15(29): 35302-35310, 2023 Jul 26.
Artículo en Inglés | MEDLINE | ID: mdl-37436723

RESUMEN

The planar state of a cholesteric liquid crystal (CLC) often exhibits oily streak defects, which negatively impact the characteristics of precision optics, including transmission and selective reflection. In this paper, we introduced polymerizable monomers into liquid crystals and examined the effects of monomer concentration, polymerization light intensity, and chiral dopant concentration on oily streak defects in CLC. With the proposed method of heating cholesteric liquid crystals to the isotropic phase followed by rapid cooling, the oil streak defects presented in the liquid crystal can be successfully eliminated. Furthermore, a stable focal conic state can be obtained by a slow cooling process. Two stable states with different optical properties can be obtained based on the cholesteric liquid crystal at different cooling rates, which makes it possible to detect whether the stored procedure of temperature-sensitive material is qualified. These findings have widespread applications in devices that require a planar state without oily streak defects and temperature-sensitive detection devices.

20.
ACS Appl Mater Interfaces ; 15(5): 7184-7195, 2023 Feb 08.
Artículo en Inglés | MEDLINE | ID: mdl-36701765

RESUMEN

Bistable polymer-stabilized cholesteric liquid crystal (LC) devices have been extensively researched due to their energy-saving benefits. Compared to devices with merely transparent and light-scattering states, LC devices with controlled light absorption or changeable color functions are unquestionably more intriguing. In this paper, a polymer-stabilized ion-doped cholesteric LC and an electrochromic layer are used to fabricate a colorable device which can show four operating states: transparent, light-scattering, colored transparent, and colored light-scattering. The working principle and fabrication strategy are explained in detail. Based on the dielectric response of LC, the electrohydrodynamic effect of ion-doped LC, and the redox reaction of electrochromic materials, the transparent or light-scattering state and the colored or colorless state of the device can be regulated by controlling the alternating frequency and the direction of the electric field. The display performance related to the monomer, chiral dopant, and electrochromic layer is investigated. The content of monomer and chiral dopant affects the polymer network and pitch of cholesteric LC, which then affects the driving voltages and contrast ratio. The thickness of the electrochromic layer has a significant impact on the transmittance of the device's coloring and fading states. The sample with excellent operating states is obtained by optimizing the material and the construction, which can be widely applied in smart windows and energy-saving display devices.

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