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1.
Org Biomol Chem ; 20(43): 8501-8505, 2022 Nov 09.
Artículo en Inglés | MEDLINE | ID: mdl-36268850

RESUMEN

The first example of the electrocatalytic multicomponent synthesis of 4-chloro/bromo/iodopyrazoles from hydrazines, acetylacetones and sodium halides under chemical oxidant- and external electrolyte-free conditions has been developed. Sodium halides played a dual role as a halogenation reagent and a supporting electrolyte. Mechanism studies revealed that the bromination reaction proceeded via an ionic pathway, whereas both chlorination and iodination proceeded via a radical pathway.


Asunto(s)
Halógenos , Sodio , Halogenación , Oxidantes , Iones
2.
Arch Gynecol Obstet ; 306(1): 7-15, 2022 07.
Artículo en Inglés | MEDLINE | ID: mdl-34648063

RESUMEN

PURPOSE: To investigate the effects of different anesthesia methods on maternal and neonatal outcomes in pregnant patients with pulmonary arterial hypertension (PAH). METHODS: We searched PubMed, Excerpta Medica Database (EMBASE), Cochrane Library, Web of Science, Chinese National Knowledge Infrastructure (CNKI), Wanfang and QVIP for investigating the effects of general anesthesia (GA) and local anesthesia (LA) in pregnant patients with PAH. Results were expressed as weighted mean difference (WMD) or risk ratio (RR) with 95% confidence intervals (CIs). Publication bias was assessed by the Begg's test. RESULTS: Totally, 18 articles containing 628 LA and 481 GA patients were involved in our study. The postoperative blood oxygen saturation (WMD = - 4.040, 95%CI: - 5.505 to - 2.576) and maternal mortality rate (RR = 0.507, 95%CI: 0.300-0.858) were lower in LA group than those in GA group. The postoperative systolic blood pressure (WMD = 15.647, 95%CI: 13.294-18.000) and postoperative diastolic blood pressure (WMD = 6.758, 95%CI: 5.715-7.802) were high in LA group compared with those in GA group. The mechanical ventilation time (WMD = - 4.112, 95%CI: - 4.655 to - 3.569), ICU admission time (WMD = - 4.176, 95%CI: - 4.523 to - 3.828), length of stay (WMD = -7.289, 95%CI: -7.799-6.779) were shorter in LA group than those in GA group. All P values were < 0.05. CONCLUSIONS: LA is superior to GA in regards to the postoperative blood oxygen saturation, the postoperative systolic blood pressure, postoperative diastolic blood pressure, the mechanical ventilation time, ICU admission time, length of stay and the maternal mortality rate. REGISTRATION NUMBER: osf.io/juybq ( https://osf.io/search/ ).


Asunto(s)
Hipertensión Arterial Pulmonar , Anestesia General/efectos adversos , Anestesia Local , Presión Sanguínea , Femenino , Humanos , Recién Nacido , Periodo Posoperatorio , Embarazo
3.
Int J Geriatr Psychiatry ; 36(10): 1514-1523, 2021 10.
Artículo en Inglés | MEDLINE | ID: mdl-33899959

RESUMEN

BACKGROUND: Both the quality of sleep and depression impact short-term memory (STM) while they influence each other. However, the underlying mechanisms are not yet clear. Herein, we aimed to explore the mediating effect of depression between sleep quality and STM in older adults and further test the gender differences in this relationship. METHODS: A cluster sampling survey was carried out among 903 residents that were aged 60+ years in a semi-closed island of Xiamen, China, in 2019. The subjects' sleep quality and depression were measured using the Pittsburgh Sleep Quality Index (PSQI) and the 15-item Geriatric Depression Scale (GDS-15), respectively. The three-item recall test was utilized to measure STM function. Mediation analyses were performed using the structural equation model and bias-corrected bootstrap method. Next, the Wald-test was utilized to determine gender differences in the pathway. RESULTS: Overall, 355 men and 508 women, with a mean age of 69.55 and 70.97, respectively, had valid data on the main variables. Depression was found to mediate the effect of sleep quality on STM (a*b = -0.076, p < 0.05). Interestingly, while this indirect effect existed in the female group (af *bf  = -0.126, p < 0.05), it did not in the male group (am *bm  = 0.017, p = 0.677). The Wald-test indicated no gender differences in the pathway from sleep quality to depression (p = 0.303). However, the pathway from depression to STM function was found to be significantly stronger for females than males (p = 0.0198). CONCLUSION: Higher sleep quality was found to be associated with improved STM function. Furthermore, the association was found to be regulate indirectly by lower depressive symptoms for females, but directly for males. Therefore, appropriate psychological interventions may be beneficial to the maintenance of STM for older adults, particularly for women.


Asunto(s)
Depresión , Memoria a Corto Plazo , Anciano , China/epidemiología , Depresión/epidemiología , Femenino , Humanos , Masculino , Sueño , Encuestas y Cuestionarios
4.
Bioorg Chem ; 106: 104469, 2021 01.
Artículo en Inglés | MEDLINE | ID: mdl-33239239

RESUMEN

A series of novel 2-oxoquinoline derivatives containing arylaminothiazole were designed and synthesized as potential antitumor agents. The synthesized compounds were evaluated for their in vitro cytotoxicity activity against HeLa, NCI-H460, T24 and SKOV3 cancer cell lines using MTT assay. Among them, compound A7 exhibited the most potent activity against the test cancer cell lines, with the IC50 values ranged from 4.4 to 8.7 µM. The results of tubulin polymerization assay showed that compound A7 could inhibit tubulin polymerization in vitro. Meanwhile, molecular docking study revealed that A7 can bind to the colchicine site of tubulin and formed hydrogen bonds with key amino acid residues in the active site. Further mechanism study demonstrated that compound A7 blocked cell cycle arrest at G2/M phase, induced cell apoptosis and depolarized mitochondria of HeLa cells. Collectively, our findings suggest that A7 could serve as a promising lead for the development of more efficient microtubule polymerization inhibitors for cancer therapy.


Asunto(s)
Antineoplásicos/farmacología , Quinolonas/farmacología , Tiazoles/farmacología , Animales , Antineoplásicos/síntesis química , Antineoplásicos/metabolismo , Apoptosis/efectos de los fármacos , Sitios de Unión , Bovinos , Línea Celular Tumoral , Diseño de Fármacos , Puntos de Control de la Fase G2 del Ciclo Celular/efectos de los fármacos , Humanos , Potencial de la Membrana Mitocondrial/efectos de los fármacos , Mitocondrias/efectos de los fármacos , Simulación del Acoplamiento Molecular , Unión Proteica , Quinolonas/síntesis química , Quinolonas/metabolismo , Ratas , Tiazoles/síntesis química , Tiazoles/metabolismo , Tubulina (Proteína)/química , Tubulina (Proteína)/metabolismo , Moduladores de Tubulina/síntesis química , Moduladores de Tubulina/metabolismo , Moduladores de Tubulina/farmacología
5.
Immun Ageing ; 18(1): 42, 2021 Nov 05.
Artículo en Inglés | MEDLINE | ID: mdl-34740366

RESUMEN

BACKGROUND: Toll-like receptor 4 (TLR4) is a pattern recognition receptor of the innate immune system. TLR4 contributes to many aging-related chronic diseases. However, whether TLR4 is involved in cardiovascular injury during the aging process has not been investigated. METHODS: The effects of TLR4 on the cardiovascular system of aged mice were investigated in TLR4-/- mice. An intraperitoneal glucose tolerance test (IPGTT) and insulin sensitivity test (IST) were conducted to evaluate global insulin sensitivity. Echocardiography was used to measure cardiac structure and performance. An isolated artery ring assay was used to measure the vasodilator function of the thoracic aorta. The inflammatory response was reflected by the serum concentration of cytokines. RESULTS: TLR4 expression increased in the hearts and aortas of mice in an age-dependent manner. Loss of TLR4 increased insulin sensitivity in aged mice. Moreover, loss of TLR4 improved cardiac performance and endothelium-dependent vascular relaxation in aged mice. Importantly, the increases in serum inflammatory cytokines and oxidative stress in the heart and aorta were also inhibited by TLR4 deficiency. CONCLUSION: In summary, loss of TLR4 improved cardiac performance and endothelium-dependent vascular relaxation in aged mice. The reduced inflammatory responses and oxidative stress may be the reason for the protective effects of TLR4 deficiency during aging. Our study indicates that targeting TLR4 is a potential therapeutic strategy for preventing aging-related cardiovascular disease.

6.
Molecules ; 26(3)2021 Jan 25.
Artículo en Inglés | MEDLINE | ID: mdl-33504036

RESUMEN

Over the past few decades, antibiotics have been considered emerging pollutants due to their persistence in aquatic ecosystems. Even at low concentrations, these pollutants contribute to the phenomenon of antibiotic resistance, while their degradation is still a longstanding challenge for wastewater treatment. In the present literature survey, we review the recent advances in synergistic techniques for antibiotic degradation in wastewater that combine either ultrasound (US) or hydrodynamic cavitation (HC) and oxidative, photo-catalytic, and enzymatic strategies. The degradation of sulfadiazine by HC/persulfate (PS)/H2O2/α-Fe2O3, US/PS/Fe0, and sono-photocatalysis with MgO@CNT nanocomposites processes; the degradation of tetracycline by US/H2O2/Fe3O4, US/O3/goethite, and HC/photocatalysis with TiO2 (P25) sono-photocatalysis with rGO/CdWO4 protocols; and the degradation of amoxicillin by US/Oxone®/Co2+ are discussed. In general, a higher efficiency of antibiotics removal and a faster structure degradation rate are reported under US or HC conditions as compared with the corresponding silent conditions. However, the removal of ciprofloxacin hydrochloride reached only 51% with US-assisted laccase-catalysis, though it was higher than those using US or enzymatic treatment alone. Moreover, a COD removal higher than 85% in several effluents of the pharmaceutical industry (500-7500 mg/L COD) was achieved by the US/O3/CuO process.


Asunto(s)
Antibacterianos/química , Aguas Residuales/química , Contaminantes Químicos del Agua/química , Purificación del Agua/métodos , Humanos
7.
Org Biomol Chem ; 18(27): 5234-5237, 2020 07 15.
Artículo en Inglés | MEDLINE | ID: mdl-32602499

RESUMEN

A novel Cu(i)-catalyzed intermolecular cyanoarylation of alkenes with diaryliodonium salts as a radical arylating reagent and tetra-butylammonium cyanide as an electrophilic cyanating reagent was established. A broad range of α-alkylated arylacetonitriles were efficiently constructed in good to excellent yields under base- and oxidant-free and mild conditions.

8.
Mediators Inflamm ; 2020: 2431705, 2020.
Artículo en Inglés | MEDLINE | ID: mdl-32317861

RESUMEN

CXCL14 is a relatively novel chemokine with a wide spectrum of biological activities. The present study was designed to investigate whether CXCL14 overexpression attenuates sepsis-associated acute kidney injury (AKI) in mice. Sepsis model has been established by cecal ligation and puncture (CLP). CLP induced AKI in mice as assessed by increased renal neutrophil gelatinase-associated lipocalin (NGAL) expression and serum creatinine levels. We found that renal CXCL14 expression in the kidney was significantly decreased at 12 hours after CLP. Correlation analysis demonstrated a negative association between renal CXCL14 expression and AKI markers including serum creatinine and renal NGAL. Moreover, CXCL14 overexpression reduced cytokine (TNF-α, IL-6, and IL-1ß) production and NGAL expression in the kidney and decreased serum creatinine levels. In vivo and in vitro experiments found that CXCL14 overexpression inhibited M1 macrophage polarization but increased M2 polarization. Together, these results suggest that CXCL14 overexpression attenuates sepsis-associated AKI probably through the downregulation of macrophages-derived cytokine production. However, further studies are required to elucidate the underlying mechanism.


Asunto(s)
Quimiocinas CXC/metabolismo , Sepsis/metabolismo , Animales , Western Blotting , Quimiocinas CXC/genética , Creatinina/metabolismo , Ensayo de Inmunoadsorción Enzimática , Riñón/metabolismo , Riñón/patología , Lentivirus/genética , Ligadura/efectos adversos , Lipocalina 2/genética , Lipocalina 2/metabolismo , Ratones , Ratones Endogámicos C57BL , Ratones Transgénicos , Punciones/efectos adversos , Células RAW 264.7 , Reacción en Cadena en Tiempo Real de la Polimerasa , Sepsis/genética
9.
Mol Pharmacol ; 94(5): 1280-1288, 2018 11.
Artículo en Inglés | MEDLINE | ID: mdl-30194107

RESUMEN

Hyperpolarization-activated cyclic nucleotide-gated (HCN) channels were reported to express in the well-known vasomotor region, rostral ventrolateral medulla (RVLM), and can be inhibited by propofol. However, whether HCN channels in RVLM contribute to propofol-induced cardiovascular depression remains unclear. We recorded the hemodynamic changes when either continuous intravenous infusions or microinjections of propofol and ZD-7288 (4-ethylphenylamino-1,2-dimethyl-6-methylaminopyrimidinium chloride; HCN channel blocker) in RVLM. Expressions of HCN channels in RVLM neurons of mice of different ages were examined by quantitative real-time polymerase chain reaction and Western blotting. The effects of propofol and ZD-7288 on HCN channels and the excitability of RVLM neurons were examined by electrophysiological recording. Propofol (1.25, 2.5, 5, and 7.5 mg/kg per minute, i.v., 10 minutes) decreased mean arterial pressure (MAP) and heart rate (HR) in a concentration-dependent manner in wild-type mice that were markedly attenuated in HCN1 knockout mice. Bilateral microinjection of propofol (1%, 0.1 µl) in RVLM caused a sharp and pronounced drop in MAP and HR values, which were abated by pretreatment with ZD-7288. In electrophysiological recording, propofol (5, 10, and 20 µM) concentration-dependently inhibited HCN current, increased input resistance, decreased firing rate, and caused membrane hyperpolarization in RVLM neurons. These actions of propofol were attenuated by ZD-7288 pretreatment. The mRNA and protein level of HCN channels increased in an age-dependent manner, which may contribute to the age-dependent increase in the sensitivity to propofol. Our results indicated that the inhibition of HCN channels in RVLM neurons may contribute to propofol-induced cardiovascular inhibition.


Asunto(s)
Anestésicos Intravenosos/farmacología , Sistema Cardiovascular/efectos de los fármacos , Canales Regulados por Nucleótidos Cíclicos Activados por Hiperpolarización/metabolismo , Bulbo Raquídeo/efectos de los fármacos , Propofol/farmacología , Factores de Edad , Anestésicos Intravenosos/efectos adversos , Animales , Masculino , Bulbo Raquídeo/metabolismo , Ratones , Ratones Endogámicos C57BL , Ratones Noqueados , Propofol/efectos adversos
10.
J Surg Res ; 200(2): 544-51, 2016 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-26521097

RESUMEN

BACKGROUND: The pathological fracture is a most important complication during bone cyst and can be prevented by early focus clearance and bone grafting. Tissue-engineered bone (TEB) with outstanding osteogenesis is a better choice for bone repair. Here, we firstly reported that TEB was used to heal bone cyst. MATERIALS AND METHODS: The clinical data were collected from 23 patients who received bone defect repair separately with TEB or allogeneic bone (Allo-B) after erasion during 2004-2008. Allo-B had been as a control. The healing time and healing quality, the incidence of complications, the safety, and the bone grafting failure rate were compared. RESULTS: In TEB group, the follow-up time was 28 ± 15.48 months; nine cases were confirmed healed (3.45 ± 2.01 months), one case was cyst healing with defect, and one case had relapse. In Allo-B, 12 patients were followed up for 28.58 ± 20.44 months; seven cases were confirmed healed (6.75 ± 3.31 mo), four cases were cyst healing with defect, and one case had relapse. After operation, no statistically significant differences in bone healing and incidence of complications were observed between two groups, but the difference in bone healing time was statistically significant (P < 0.05). There was no else tumorigenesis in both groups. CONCLUSIONS: In treating simple bone cyst, Allo-B and TEB have considerable efficacy and safety; TEB is superior to Allo-B in respect of healing time; there is no rejection after TEB grafting but certain rejection after Allo-B grafting.


Asunto(s)
Quistes Óseos/cirugía , Trasplante Óseo/métodos , Calcáneo/cirugía , Fémur/cirugía , Húmero/cirugía , Radio (Anatomía)/cirugía , Ingeniería de Tejidos , Adolescente , Adulto , Niño , Preescolar , Femenino , Estudios de Seguimiento , Humanos , Masculino , Trasplante Homólogo , Resultado del Tratamiento , Adulto Joven
11.
Int J Mol Sci ; 17(5)2016 Apr 29.
Artículo en Inglés | MEDLINE | ID: mdl-27136538

RESUMEN

With the aim of discovering new anticancer agents, we have designed and synthesized novel α-aminophosphonate derivatives containing a 2-oxoquinoline structure using a convenient one-pot three-component method. The newly synthesized compounds were evaluated for antitumor activities against the A549 (human lung adenocarcinoma cell), HeLa (human cervical carcinoma cell), MCF-7 (human breast cancer cell), and U2OS (human osteosarcoma cell) cancer cell lines in vitro, employing a standard 3-(4,5-dimethyl-2-thiazolyl)-2,5-diphenyl-2-H-tetrazolium bromide (MTT) assay. The results of pharmacological screening indicated that many compounds exhibited moderate to high levels of antitumor activities against the tested cancer cell lines and that most compounds showed more potent inhibitory activities comparable to 5-fluorouracil (5-FU) which was used as a positive control. The mechanism of representative compound 4u (diethyl((2-oxo-1,2-dihydroquinolin-3-yl)(phenyl-amino)methyl)phosphonate) indicated that the compound mainly arrested HeLa cells in S and G2 stages and was accompanied by apoptosis in HeLa cells. This action was confirmed by acridine orange/ethidium bromide staining, Hoechst 33342 staining, and flow cytometry.


Asunto(s)
Antineoplásicos/síntesis química , Hidroquinonas/química , Ácidos Fosforosos/química , Células A549 , Antineoplásicos/química , Antineoplásicos/farmacología , Apoptosis/efectos de los fármacos , Línea Celular Tumoral , Ensayos de Selección de Medicamentos Antitumorales , Fluorouracilo/toxicidad , Células HeLa , Humanos , Células MCF-7 , Microscopía Fluorescente , Ácidos Fosforosos/síntesis química , Ácidos Fosforosos/farmacología , Puntos de Control de la Fase S del Ciclo Celular/efectos de los fármacos
12.
J Gastroenterol Hepatol ; 29(6): 1200-6, 2014 Jun.
Artículo en Inglés | MEDLINE | ID: mdl-24955450

RESUMEN

BACKGROUND AND AIM: This study was designed to demonstrate the safety and efficacy of esomeprazole combined with flupentixol/melitracen for the treatment of gastroesophageal reflux disease (GERD) patients with emotional disorders. METHODS Two hundred eighty-nine GERD patients with emotional disorders were divided randomly into two groups: group 1 received esomeprazole only (monotherapy) and group 2 received esomeprazole and flupentixol/melitracen (combination therapy). The patients' GERD questionnaire (GerdQ) and hospital anxiety and depression (HAD) scores were obtained before and after treatment. Changes in the scores, rates of symptom remission, and adverse effects were compared between the two groups. RESULTS: After 2 weeks of treatment, the average decrease in GerdQ score in the combination group (4.04 ± 2.34) was significantly greater than that in the monotherapy group (3.34 ± 2.74; P < 0.05). Significant differences between the two groups were also found for changes in HAD anxiety scores (5.45 ± 2.41 vs 3.34 ± 2.43, P < 0.05), depression scores (5.47 ± 2.47 vs 3.00 ± 3.28, P < 0.05), and anxiety-depression scores (5.20 ± 2.71 vs 3.60 ± 2.56, P < 0.05). The remission of symptoms (eructation, abdominal pain, anorexia, and other accompanying symptoms) in the combination group was significantly better than that in the monotherapy group, and no significant difference in the incidence of adverse events was observed between the two groups. CONCLUSIONS: The combination therapy has better efficacy than the monotherapy in improving the symptoms of gastroesophageal reflux in patients with emotional disorders. In addition, this combination treatment is safe, with a low incidence of adverse events.


Asunto(s)
Síntomas Afectivos/complicaciones , Antracenos/administración & dosificación , Esomeprazol/administración & dosificación , Flupentixol/administración & dosificación , Reflujo Gastroesofágico/complicaciones , Reflujo Gastroesofágico/tratamiento farmacológico , Adulto , Antracenos/efectos adversos , Ansiedad , Depresión , Combinación de Medicamentos , Quimioterapia Combinada , Esomeprazol/efectos adversos , Femenino , Flupentixol/efectos adversos , Reflujo Gastroesofágico/psicología , Humanos , Masculino , Persona de Mediana Edad , Encuestas y Cuestionarios , Resultado del Tratamiento
13.
Curr Microbiol ; 69(2): 192-201, 2014 Aug.
Artículo en Inglés | MEDLINE | ID: mdl-24682262

RESUMEN

Some organic and inorganic salts could inhibit the growth of many pathogens. Selenium (Se), as an essential micronutrient, was effective in improving the plant resistance and antioxidant capacity at a low concentration. Penicillium expansum is one of the most important postharvest fungal pathogens, which can cause blue mold rot in various fruits and vegetables. In this study, the inhibitory effect of Se against P. expansum was evaluated. The result showed that Se strongly inhibited spore germination, germ tube elongation, and mycelial spread of P. expansum in the culture medium. The inhibitory effect was positively related to the concentration of Se used. Fluorescence microscopy observation of P. expansum conidia stained with propidium iodide (PI) indicated that the membrane integrity decreased to 37 % after the conidia were treated with Se (20 mg/l) for 9 h. With the use of an oxidant-sensitive probe 2,7-dichlorofluorescin (DCHF-DA), we found that Se at 15 mg/l could induce the generation of intracellular reactive oxygen species (ROS). Furthermore, methane dicarboxylic aldehyde (MDA) content, hydrogen peroxide (H2O2), and superoxide anion (O2 (-)) production rate in P. expansum spores exposed to Se increased markedly. Compared with the control, the activities of superoxide dismutase (SOD) and the content of glutathione (GSH) were reduced, confirming that damage of Se to cellular oxygen-eliminating system is the main reason. These results suggest that Se might serve as a potential alternative to synthetic fungicides for the control of the postharvest disease of fruit and vegetables caused by P. expansum.


Asunto(s)
Penicillium/efectos de los fármacos , Penicillium/crecimiento & desarrollo , Selenio/toxicidad , Membrana Celular/efectos de los fármacos , Membrana Celular/fisiología , Microscopía Fluorescente , Micelio/efectos de los fármacos , Micelio/crecimiento & desarrollo , Penicillium/citología , Penicillium/fisiología , Propidio/análisis , Especies Reactivas de Oxígeno/análisis , Esporas Fúngicas/efectos de los fármacos , Esporas Fúngicas/crecimiento & desarrollo , Coloración y Etiquetado
14.
Ultrason Sonochem ; 103: 106769, 2024 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-38266590

RESUMEN

Liposomes as drug carriers for the delivery of therapeutic agents have triggered extensive research but it remains a grand challenge to develop a novel technology for enabling rapid and mass fabrication of monodisperse liposomes. In this work, we constructed a novel ultrasonic microfluidic technology, namely ultrasonic microreactor (USMR) with two different conjunction structure (co-flow and impinge flow, corresponding to USMR-CF and USMR-IF, respectively), to prepare uniform liposomes by antisolvent precipitation method. In this process, the monodisperse liposomes with tunable droplet sizes (DS) in 60-100 nm and a polydispersity index (PDI) less than 0.1 can easily be achieved by tuning the total flow rate, flow rate ratio, ultrasonic power, and lipid concentration within the two USMRs. Impressively, the USMR-IF is superior for reducing the PDI and tuning DS of the liposomes over the USMR-CF. More importantly, the ultrasonic can effectively reduce DS and PDI at the low TFR and support the IF-micromixer in reducing the PDI even at a high TFR. These remarkable performances are mainly due to the rapid active mixing, fouling-free property and high operation stability for USMR-IF. In addition, diverse lipid formulations can also be uniformly assembled into small liposomes with narrow distribution, such as the prepared HSPC-based liposome with DS of 59.6 nm and PDI of 0.08. The liposomes show a high stability and the yield can reach a high throughput with 108 g/h by using the USMR-IF at an initial lipid concentration of 60 mM. The results in the present work highlight a novel ultrasonic microfluidic technology in the preparation of liposomes and may pave an avenue for the rapid, fouling-free, and high throughput fabrication of different and monodisperse nanomedicines with controllable sizes and narrow distribution.


Asunto(s)
Liposomas , Ultrasonido , Liposomas/química , Portadores de Fármacos/química , Microfluídica , Lípidos/química , Tamaño de la Partícula
15.
Curr Med Sci ; 44(2): 291-297, 2024 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-38517674

RESUMEN

Postoperative cognitive dysfunction (POCD) remains a major issue that worsens the prognosis of elderly surgery patients. This article reviews the current research on the effect of different anesthesia methods and commonly utilized anesthetics on the incidence of POCD in elderly patients, aiming to provide an understanding of the underlying mechanisms contributing to this condition and facilitate the development of more reasonable anesthesia protocols, ultimately reducing the incidence of POCD in elderly surgery patients.


Asunto(s)
Anestesia , Disfunción Cognitiva , Complicaciones Cognitivas Postoperatorias , Humanos , Anciano , Complicaciones Cognitivas Postoperatorias/inducido químicamente , Complicaciones Cognitivas Postoperatorias/epidemiología , Disfunción Cognitiva/inducido químicamente , Disfunción Cognitiva/epidemiología , Complicaciones Posoperatorias/etiología , Complicaciones Posoperatorias/epidemiología , Anestesia/efectos adversos , Anestésicos Intravenosos
16.
Lancet Neurol ; 2024 Jun 21.
Artículo en Inglés | MEDLINE | ID: mdl-38914085

RESUMEN

BACKGROUND: Unsuccessful recanalisation or reocclusion after thrombectomy is associated with poor outcomes in patients with large vessel occlusion (LVO) acute ischaemic stroke (LVO-AIS). Bailout angioplasty or stenting (BAOS) could represent a promising treatment for these patients. We conducted a randomised controlled trial with the aim to investigate the safety and efficacy of BAOS following thrombectomy in patients with LVO. METHODS: ANGEL-REBOOT was an investigator-initiated, multicentre, prospective, randomised, controlled, open-label, blinded-endpoint clinical trial conducted at 36 tertiary hospitals in 19 provinces in China. Participants with LVO-AIS 24 h after symptom onset were eligible if they had unsuccessful recanalisation (expanded Thrombolysis In Cerebral Infarction score of 0-2a) or risk of reocclusion (residual stenosis >70%) after thrombectomy. Eligible patients were randomly assigned by the minimisation method in a 1:1 ratio to undergo BAOS as the intervention treatment, or to receive standard therapy (continue or terminate the thrombectomy procedure) as a control group, both open-label. In both treatment groups, tirofiban could be recommended for use during and after the procedure. The primary outcome was the change in modified Rankin Scale score at 90 days, assessed in the intention-to-treat population. Safety outcomes were compared between groups. This trial was completed and registered at ClinicalTrials.gov (NCT05122286). FINDINGS: From Dec 19, 2021, to March 17, 2023, 706 patients were screened, and 348 were enrolled, with 176 assigned to the intervention group and 172 to the control group. No patients withdrew from the trial or were lost to follow-up for the primary outcome. The median age of patients was 63 years (IQR 55-69), 258 patients (74%) were male, and 90 patients (26%) were female; all participants were Chinese. After random allocation, tirofiban was administered either intra-arterially, intravenously, or both in 334 [96%] of 348 participants. No between-group differences were observed in the primary outcome (common odds ratio 0·86 [95% CI 0·59-1·24], p=0·41). Mortality was similar between the two groups (19 [11%] of 176 vs 17 [10%] of 172), but the intervention group showed a higher risk of symptomatic intracranial haemorrhage (eight [5%] of 175 vs one [1%] of 169), parenchymal haemorrhage type 2 (six [3%] of 175 vs none in the control group), and procedure-related arterial dissection (24 [14%] of 176 vs five [3%] of 172). INTERPRETATION: Among Chinese patients with unsuccessful recanalisation or who are at risk of reocclusion after thrombectomy, BAOS did not improve clinical outcome at 90 days, and incurred more complications compared with standard therapy. The off-label use of tirofiban might have affected our results and their generalisability, but our findings do not support the addition of BAOS for such patients with LVO-AIS. FUNDING: Beijing Natural Science Foundation, National Natural Science Foundation of China, National Key R&D Program Beijing Municipal Administration of Hospitals Incubating Program, Shanghai HeartCare Medical Technology, HeMo (China) Bioengineering, Sino Medical Sciences Technology.

17.
Environ Technol ; 34(9-12): 1489-96, 2013.
Artículo en Inglés | MEDLINE | ID: mdl-24191483

RESUMEN

Mineralized refuse and sewage sludge generated from solid waste from municipal landfills and sewage treatment plants were sintered as a cost-effective adsorbent for the removal of phosphorus. Compared with the Freundlich model, phosphorus adsorption on the synthesized adsorbent, zeolite and ironstone was best described by the Langmuir model. Based on the Langmuir model, the maximum adsorption capacity of the synthesized adsorbent (9718 mg kg(-1)) was 13.7 and 25.4 times greater than those of zeolite and ironstone, respectively. The desorbability of phosphorus from the synthesized adsorbent was significantly lower than that of zeolite. Moreover, phosphorus removal using the synthesized adsorbent was more tolerant to pH fluctuations than zeolite and ironstone for the removal of phosphorus from aqueous solutions. The immobilization of phosphorus onto the synthesized adsorbent was attributed to the formation of insoluble calcium, aluminium and iron phosphorus. The heavy metal ion concentrations of the leachate of the synthesized adsorbent were negligible. The synthesized adsorbent prepared from mineralized refuse and sewage sludge was cost-effective and possessed a high adsorptive capacity for phosphorus removal from aqueous solutions.


Asunto(s)
Fósforo/aislamiento & purificación , Aguas del Alcantarillado/química , Eliminación de Residuos Líquidos/métodos , Contaminantes Químicos del Agua/aislamiento & purificación , Adsorción , Biodegradación Ambiental , Concentración de Iones de Hidrógeno , Óxidos/química , Fósforo/química , Zeolitas/química
18.
Ultrason Sonochem ; 99: 106518, 2023 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-37572426

RESUMEN

Antibiotics (ABX) residues frequently occurred in water and cow milk. This work aims to understand the kinetics and mechanisms of sonolytic degradation of four ABX, i.e. ceftiofur hydrochloride (CEF), sulfamonomethoxine sodium (SMM), marbofloxacin (MAR), and oxytetracycline (OTC) in water and milk. In both water and milk, the sonolytic degradation of ABX follows pseudo-first order (PFO) kinetics well (R2: 0.951-0.999), with significantly faster ABX degradation in water (PFO kinetics constants (k1): 1.5 × 10-3-1.2 × 10-1 min-1) than in milk (k1: 3.5 × 10-4-5.6 × 10-2 min-1). The k1 values for SMM degradation in water increased by 118% with ultrasonic frequency (40-120 kHz), 174% with ultrasonic frequency (80-500 kHz), 649% with ultrasonic power (73-259 W), 22% with bulk temperature (12-40℃), and by 68% with reaction volume (50-250 mL), respectively, in other things being equal. The relevant k1 values in milk increased by 326%, 231%, 122%, 10% as well as 82% with the above same effective factors, respectively. The oxidation by free radicals generated in situ dominates ABX degradation, and the hydrophobic CEF (54.0-971.7 nM min-1) and SMM (39.2-798.4 nM min-1) underwent faster degradation than the hydrophilic MAR (33.9-751.9 nM min-1) and OTC (33.8-545.3 nM min-1) in both water and milk. Adding an extra 0.5 mM H2O2 accelerated SMM degradation by 19% in water and 33% in milk. After 130-150 min sonication of 100 mL of 2.0 mg L-1 (6.62 µM) SMM in various milk with 500 kHz and 259 W, the residue concentrations (52.9-96.3 µg L-1) can meet the relevant maximum residue limit (100 µg L-1).


Asunto(s)
Contaminantes Químicos del Agua , Purificación del Agua , Animales , Antibacterianos , Leche , Peróxido de Hidrógeno/química , Agua/química , Cinética , Contaminantes Químicos del Agua/química
19.
Korean J Anesthesiol ; 76(2): 89-98, 2023 04.
Artículo en Inglés | MEDLINE | ID: mdl-36935389

RESUMEN

Responses to sedatives, analgesics and muscle relaxants vary among patients under general anesthesia, which could be ascribed to the disparities of clinical characteristics and genetic factors of individuals. Accumulating researches have indicated that gene polymorphisms of the receptors, transporters and metabolizing enzymes associated with anesthetics play a considerable role in their efficacy. However, a systematically summarized study on the mechanisms of gene polymorphisms on pharmacodynamics and pharmacokinetics of anesthetics is still lacking. In this paper, the recent researches on pharmacogenomics of sedatives, analgesics and muscle relaxants are comprehensively reviewed, and the contributions and mechanisms of polymorphisms to the differences of individual efficacy of these drugs are discussed, so as to provide guidance for the formulation of a rational anesthesia regimen for patients with various genotypes.


Asunto(s)
Anestésicos , Hipnóticos y Sedantes , Humanos , Analgésicos , Polimorfismo Genético , Anestesia General , Músculos
20.
Sci Rep ; 13(1): 19206, 2023 Nov 06.
Artículo en Inglés | MEDLINE | ID: mdl-37932326

RESUMEN

To analyze the deformation behavior of short glass fiber-reinforced poly-ether-ether-ketone (SGFR-PEEK) under various conditions through numerical simulations, it is crucial to construct a constitutive model that can describe its stress-strain behavior over a wide range of strain rates and temperatures. In this study, quasi-static compression tests were conducted on SGFR-PEEK composites with varying mass fractions, and dynamic tests were performed using a Split Hopkinson Pressure Bar to acquire the material's compressive stress-strain response under quasi-static and dynamic conditions. The results indicate that, under compression, the yield stress of SGFR-PEEK composites increases with an augmentation in glass fiber content, rises with increasing strain rate, and decreases with elevated temperature. Based on experimental findings, a modified Johnson-Cook constitutive model was established to characterize the mechanical performance of SGFR-PEEK. In comparison to the traditional Johnson-Cook intrinsic structure model, the modified model takes into account the glass fiber mass fraction as comprehensively as possible and better predicts the material's flow behavior at high strain rates. Finally, this modified constitutive model was implemented in the ABAQUS software using the user-defined subroutine VUMAT to simulate the compression behavior of SGFR-PEEK composites under different loading conditions, and the model was validated. This research provides valuable insights for the practical application of SGFR-PEEK composites in engineering.

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