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1.
Biophys J ; 119(6): 1078-1090, 2020 09 15.
Artículo en Inglés | MEDLINE | ID: mdl-32857960

RESUMEN

Interactions between amyloid-ß peptide (Aß) and the cell membrane include interaction with membrane lipids and binding to membrane receptors, both of which are considered to be the toxicity mechanisms of Aß. However, it is unclear whether both mechanisms lead to cytotoxicity. Thus, we aimed to analyze these two mechanisms of Aß42 interaction with cell membranes under different Aß aggregation states. To this end, model membrane experiments were conducted. Quantitative analysis of Aß42 monomers or oligomers bound to the membrane of neuro-2a cells was also performed, and laser confocal microscopy was employed to assess endocytosis of FITC-Aß42 monomers or oligomers by neuro-2a cells. We found that the binding capacity of Aß42 to membrane lipids was weak and that the amount of Aß42 bound to membrane lipids was low. Moreover, clathrin-mediated endocytosis of Aß42 oligomers by neuro-2a cells was observed. Endocytosis serves as a key mode of interaction between extracellular Aß42 and neurons. These findings provide insights into the mechanisms underlying Aß oligomer metabolism.


Asunto(s)
Péptidos beta-Amiloides , Neuronas , Membrana Celular , Endocitosis , Fragmentos de Péptidos
2.
Alcohol Clin Exp Res ; 44(11): 2266-2274, 2020 11.
Artículo en Inglés | MEDLINE | ID: mdl-32944986

RESUMEN

BACKGROUND: The Kilimanjaro region has one of the highest levels of reported alcohol intake per capita in Tanzania. Age at first drink has been found to be associated with alcohol problems in adulthood, but there is less information on the age of first drink in the Kilimanjaro region and its associations with alcohol-related consequences later in life. Furthermore, local alcohol cost and availability may influence the prevalence of alcohol use and alcohol use disorders. METHODS: Data on the age of first drink, alcohol use disorder identification tool (AUDIT), number and type of alcohol consequences (DrInC), and perceived alcohol at low cost and high availability for children and adolescents were collected from an alcohol and health behavior survey of injury patients (N = 242) in Moshi, Tanzania. Generalized linear models were used to test age at first drink, perceived alcohol cost and availability, and their association with the AUDIT and DrInC scores, and current alcohol use, respectively. RESULTS: Consuming alcohol before age 18 was significantly associated with higher AUDIT and DrInC scores, with odds ratios of 1.22 (CI: 1.004, 1.47) and 1.72 (CI: 1.11, 2.63), respectively. Female gender is strongly associated with less alcohol use and alcohol consequences, represented by an odds ratio of 3.70 (CI: 1.72, 8.33) for an AUDIT score above 8 and an odds ratio of 3.84 (CI: 2.13, 6.67) with the DrInC score. Perceived high availability of alcohol for children is significantly related to higher alcohol use quantity, with the odds ratio of 1.6 (CI: 1.17, 2.20). CONCLUSIONS: The first use of alcohol before the age of 18 is associated with higher alcohol use and alcohol-related adverse consequences. In Tanzania, age at first drink is an important target for interventions aiming to prevent negative alcohol-related consequences later in life.


Asunto(s)
Bebidas Alcohólicas/provisión & distribución , Alcoholismo/etiología , Adolescente , Adulto , Factores de Edad , Bebidas Alcohólicas/economía , Alcoholismo/complicaciones , Alcoholismo/epidemiología , Costos y Análisis de Costo , Femenino , Humanos , Masculino , Prevalencia , Factores de Riesgo , Factores Sexuales , Tanzanía/epidemiología , Consumo de Alcohol en Menores/estadística & datos numéricos , Heridas y Lesiones/etiología , Adulto Joven
4.
Med Sci Monit ; 20: 406-12, 2014 Mar 12.
Artículo en Inglés | MEDLINE | ID: mdl-24621826

RESUMEN

BACKGROUND: We aimed to investigate the effect of electroacupuncture at Zusanli (ST36) and Sanyinjiao (SP6) on adrenocortical function in patients with etomidate anesthesia. MATERIAL AND METHODS: We randomly divided 80 patients who underwent elective surgery into 4 groups: group etomidate (ETO), group etomidate + electroacupuncture (ETO+EA), group etomidate + sham acupuncture (ETO+SEA), and group propofol (PRO). The patients in group ETO, ETO+EA, and ETO+SEA were induced with etomidate and sufentanil and maintained with intravenous infusion of etomidate and remifentanil. Group PRO was induced with propofol and sufentanil and maintained with propofol and remifentanil. Group ETO+EA received electro-acupuncture stimulation at Zusanli and Sanyinjiao throughout the operation, while group ETO+SEA received electro-acupuncture stimulation at non-acupoints. We recorded the values of MAP, HR, BIS, CVP, cortisol, ACTH, epinephrine, norepinephrine, and arterial blood gas during the perioperative period. RESULTS: Cortisol concentrations were significantly higher at all times except T0 in group ETO+EA compared with group ETO. The ACTH concentrations were lower in group ETO+EA than that in group ETO at point T3. CONCLUSIONS: Electroacupuncture at ST 36 and SP 6 can mitigate the adrenal cortical inhibition induced by etomidate and can reduce the secretion of catecholamines during surgery.


Asunto(s)
Puntos de Acupuntura , Corteza Suprarrenal/fisiología , Anestesia , Electroacupuntura , Etomidato/farmacología , Corteza Suprarrenal/efectos de los fármacos , Hormona Adrenocorticotrópica/sangre , Análisis de los Gases de la Sangre , Presión Sanguínea/efectos de los fármacos , Demografía , Etomidato/administración & dosificación , Femenino , Frecuencia Cardíaca/efectos de los fármacos , Humanos , Masculino , Persona de Mediana Edad , Propofol/administración & dosificación , Propofol/farmacología
5.
J Nanosci Nanotechnol ; 13(2): 1300-3, 2013 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-23646624

RESUMEN

Indium tin oxide (ITO), as one of the most important transparent conducting oxide, is widely used in electro-optical field. We have developed a simple one-step method to synthesize ITO nanowires at low temperature of 600 degrees C. In detail, mixtures of InN nanowires and SnO powder, with the molar ratio of 10:1, have been used as precursors for the thermal evaporation-deposition of ITO nanowires on silicon/quartz slices. During the growth process, the evaporation temperature is maintained at 600 degrees C, which favors the decomposition of InN and oxidation of In, with a limited incorporation of Sn in the resulting compound (In:Sn approximately 11:1 in atomic ratio). As far as we know, this is the lowest growth temperature reported on the thermal deposition of ITO nanowires. The diameters of the nanowires are about 120 nm and the lengths are up to tens of micrometers. XRD characterization indicates the high crystallization of the nanowires. HRTEM results show the nanowires grow along the [200] direction. The transmittance of the nanowire film on quartz slice is more than 75% in the visible region. Based on photolithography and lift-off techniques, four-terminal measurement was utilized to test the resistivity of individual nanowire (6.11 x 10(-4) omega x cm). The high crystallization quality, good transmittance and low resistivity make as-grown ITO nanowires a promising candidate as transparent electrodes of nanoscale devices.

6.
J Nanosci Nanotechnol ; 13(2): 1327-30, 2013 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-23646629

RESUMEN

Single Walled Carbon Nanotube (SWCNT) films were directly synthesized via Floating Catalyst Chemical Vapor Deposition (FCCVD) method. Temperature dependent resistance measurements were carried out on the as-grown and chemical treated SWCNTs films. A "U" shaped curve was obtained for each sample, with a significant variation in the crossover temperatures between the as-grown and treated samples. A heterogeneous model was adopted to interpret the experimental data, revealing the coexistence of anisotropic 1D metallic conduction, conventional metallic conduction and fluctuation assisted tunneling. Our results implied very low barriers, verifying the good intertube and interbundle contacts in the directly synthesized SWCNTs films. We speculated that oxidization and acid treatments would affect the overall configuration of the films, leading to the changes in the temperature dependence of resistance. In addition, Raman and absorption spectra indicated that oxidization and acid process would cause moderate changes in the hole carrier concentration of the films.

7.
J Nanosci Nanotechnol ; 13(2): 1082-6, 2013 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-23646576

RESUMEN

In this paper, we demonstrate the optical and electrical performance of ZnO nanorod arrays after surface passivation. The material of larger band gaps (HfO2) was chosen for the surface passivation layer through atom layer deposition (ALD), in order to confine the carriers within the core material efficiently. In the case of nanorods with high defects, HfO2 coating treatment not only improved near band edge (NBE) but also greatly enhanced the defect luminescence, while in the case of nanorods with low defects, surface coating suppressed defect luminescence and promoted the NBE emission as well as electrical performance therein. PL investigation at 10 K displayed that after surface coating phonon related emission was confined along c-axis and the exciton emission related to surface states was largely restrained. Therefore, it's suggested that surface passivation of ZnO nanorod arrays decreases the surface defect, enhances the side confinement of nanorod, and thus improves the optical and electrical performance efficiently.

8.
J Nanosci Nanotechnol ; 13(2): 1145-8, 2013 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-23646590

RESUMEN

In-situ Raman spectra under continuous strain have been carried out to follow the load transfer efficiency in a single-walled carbon nanotube/epoxy nanocomposite film, which was fabricated by a facile and filter-free infiltration method using directly synthesized SWNT film as skeleton. It was found that in the low elastic range of 1%, with the increase of applied strain, the G- and G+ Raman bands downshift nearly lineally with corresponding ultrahigh rates up to -12 and -17 cm(-1)/% strain, respectively. As the applied strain decrease, these Raman bands upshift to their original frequencies with almost the same rates. These precise relationships between the Raman band shift and the applied strain enable this nanocomposite film promising stress or stain sensors. Furthermore, some Raman radial breathing modes (RBMs) disappear (appear) under larger strain (1.6%) and recover (vanish) when the strain is released, also verify the effective deformation of micro SWNTs induced by extra macro strain applied on the nanocomposite film. More interestingly, these frequency shifts and intensity vibrations are recoverable and repeatable, indicating the high elasticity of deformation in this strain region of 2%.

9.
J Nanosci Nanotechnol ; 13(2): 1291-4, 2013 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-23646622

RESUMEN

We demonstrate a facile method to synthesize ultrathin vertical ZnO nanowall arrays only through a one-step catalyst fabrication procedure. After being coated with uniformly dispersed gold particles, the substrates were polished gently to create discrete gold nanoparticle alignment as catalyst. The commercial ZnO powder and activated carbon powder with an atom ratio of 1:1 were utilized as source materials, and the whole growth process occurred in a conventional tube furnace chemical vapor deposition (CVD) system. The SEM images confirm that the ZnO nanowall arrays grow vertically along certain tracks made by polishing. The walls are about 17 nm wide, 90 nm high and 1 microm long after 90 min growth. After second growth, the nanowalls become 20 nm wide, 205 nm high, and 2 microm long. AFM images indicate that the alignment of discrete Au particles with certain separations due to polishing plays the key role in realizing vertical ZnO nanowall arrays.

10.
Nano Lett ; 11(11): 4636-41, 2011 Nov 09.
Artículo en Inglés | MEDLINE | ID: mdl-21972899

RESUMEN

Here we report a novel single-walled carbon nanotube (SWNT) based bimorph electromechanical actuator, which consists of unique as-grown SWNT films as double electrode layers separated by a chitosan electrolyte layer consisting of an ionic liquid. By taking advantage of the special hierarchical structure and the outstanding electrical and mechanical properties of the SWNT film electrodes, our actuators show orders-of-magnitude improvements in many aspects compared to previous ionic electroactive polymer (i-EAP) actuators, including superfast response (19 ms), quite wide available frequency range (dozens to hundreds of Hz), incredible large stress generating rate (1080 MPa/s), and ultrahigh mechanical output power density (244 W/kg). These remarkable achievements together with their facile fabrication, low driving voltage, flexibility, and long durability enable the SWNT-based actuators many applications such as artificial muscles for biomimetic flying insects or robots and flexible deployable reflectors.


Asunto(s)
Quitosano/química , Sistemas Microelectromecánicos/instrumentación , Microelectrodos , Nanotecnología/instrumentación , Nanotubos de Carbono/química , Transductores , Suministros de Energía Eléctrica , Diseño de Equipo , Análisis de Falla de Equipo
11.
Biomed Pharmacother ; 151: 113103, 2022 Jul.
Artículo en Inglés | MEDLINE | ID: mdl-35605294

RESUMEN

Epidemiological studies show that obesity during pregnancy affects more than half of the pregnancies in the developed countries and is associated with obstetric problems and poor outcomes. Obesity tends to increase the incidence of complications. Furthermore, the resulting offspring are also adversely affected. However, the molecular mechanisms of obesity leading to poor pregnancy outcomes remain unclear. Omics methods are used for genetic diagnosis and marker discovery. The aim of this review was to summarize the maternal and fetal pathophysiological alterations induced by gestational obesity,identified using multi-omics detection techniques, and to generalize the biological functions and potential mechanisms of the differentially expressed molecules.


Asunto(s)
Obesidad Materna , Complicaciones del Embarazo , Femenino , Humanos , Obesidad/complicaciones , Obesidad/epidemiología , Obesidad/genética , Embarazo , Resultado del Embarazo
12.
Syst Rev ; 11(1): 185, 2022 09 02.
Artículo en Inglés | MEDLINE | ID: mdl-36050775

RESUMEN

BACKGROUND: The mutant allele (*2) of aldehyde dehydrogenase type 2 (ALDH2) caused by a single nucleotide variant (rs671) inhibits enzymatic activity and is associated with multiple diseases. In recent years, an explosive number of original studies and meta-analyses have been conducted to examine the associations of ALDH2 rs671 polymorphism with diseases. Due to conflicting results, the overall associations of ALDH2 rs671 polymorphism and multiple diseases remain unclear. METHODS: A quantitative umbrella review will be conducted on meta-analyses of genetic association studies to examine the pleiotropic effects of ALDH2 rs671, mainly including cardio-cerebral vascular disease, diabetes mellitus, cancer, neurodegenerative disease, and alcohol-induced medical disease. A search of relevant literature according to comprehensive search strategies will be performed on studies published before July 1st, 2022 in PubMed, MEDLINE Ovid, Embase, Cochrane Database of Systematic Reviews, and Web of Science. Study selection, data extraction, methodology quality assessment, and strength of evidence assessment will be conducted by two reviewers independently and in duplicate. Included meta-analyses will be grouped by outcomes. Data conflicts and overlap between meta-analyses will be managed through updated standardized and customized methods including the calculation of CCA for study selection reference, application of Doi plots to assess small-study effects and others. Evidence from included meta-analyses will be quantitatively synthesized by overlap-corrected analyses and meta-analysis using primary studies. DISCUSSION: This umbrella review is expected to generate systematic evidence on the association between ALDH2 rs671 and diseases. Specific approaches were developed to address key challenges in conducting an umbrella review, including assessment tools of methodology and evidence quality of meta-analyses, methods to manage overlap between meta-analyses, a "stop-light" plot to summarize key findings. These approaches provide applicable methods for future umbrella reviews of meta-analyses on genetic association studies. TRIAL REGISTRATION: CRD42021223812.


Asunto(s)
Enfermedades Neurodegenerativas , Polimorfismo de Nucleótido Simple , Aldehído Deshidrogenasa Mitocondrial/genética , Alelos , Humanos , Metaanálisis como Asunto , Polimorfismo de Nucleótido Simple/genética , Revisiones Sistemáticas como Asunto
13.
Trials ; 23(1): 785, 2022 Sep 15.
Artículo en Inglés | MEDLINE | ID: mdl-36109757

RESUMEN

BACKGROUND: Among rural Chinese patients with non-communicable diseases (NCDs), low socioeconomic status increases the risk of developing NCDs and associated financial burdens in paying for medicines and treatments. Despite the chronic disease medicine reimbursement policy of the local government in Nantong City, China, various barriers prevent patients from registering for and benefitting from the policy. This study aims to develop a behavior science-based intervention program for promoting the adoption of the policy and to evaluate the effectiveness of the program compared with usual practices. METHODS: Barriers and opportunities affecting stakeholders in adopting the policy were identified through contextual research and summarized through behavior mapping. The intervention is designed to target these barriers and opportunities through behavior science theories and will be evaluated through a 6-month cluster randomized controlled trial in Tongzhou District, Nantong, China. A total of 30 villages from two townships are randomized in a 1:1 ratio to either the intervention or the control arm (usual practices). Village doctors in the intervention arm (1) receive systematic training on policy details, registration procedures, and intervention protocol, (2) promote the policy and encourage registration, (3) follow up with patients in the first, third, and sixth months after the intervention, and (4) receive financial incentives based on performance. The primary outcome is policy registration rate and the secondary outcomes include the number of patients registering for the policy, medical costs saved, frequency of village doctor visits, and health measures such as blood pressure and glucose levels. DISCUSSION: This study is one of very few that aims to promote adoption of NCDs outpatient medication reimbursement policies, and the first study to evaluate the impact of these policies on patients' financial and physical wellbeing in China. The simple, feasible, and scalable intervention is designed based on the theories of behavior science and is applicable to similar low-income regions nationwide where outpatient medical costs remain a financial burden for patients. TRIAL REGISTRATION: ClinicalTrials.gov NCT04731194 , registered on 29 January 2021; Chinese Clinical Trial Registry ChiCTR2100042152 , registered on 14 January 14 2021.


Asunto(s)
Gobierno Local , Políticas , China , Enfermedad Crónica , Glucosa , Humanos , Ensayos Clínicos Controlados Aleatorios como Asunto
14.
Tob Induc Dis ; 19: 25, 2021.
Artículo en Inglés | MEDLINE | ID: mdl-33850512

RESUMEN

INTRODUCTION: The perceived health benefits and effectiveness of electronic cigarettes (e-cigarettes) in quitting smoking may affect e-cigarette usage, however, research on the use of e-cigarettes among the Chinese, especially among the rural Chinse, is scarce. This study examined factors associated with perceptions of e-cigarette related harms, benefits, and addictiveness, among smoker and non-smoker households with children in rural China, to support the design of population-based interventions targeting rural Chinese households. METHODS: In a cross-sectional study design, using a structured questionnaire, we collected data from the household members of children in two selected rural communities in China. Descriptive analyses were used to characterize respondents; χ2 test and Fisher's exact probability test were used to compare the perceptions of e-cigarettes between different sociodemographic groups. Logistic regression was used to determine predictors for e-cigarette harms, benefits, and addictiveness, adjusting for demographic and other characteristics. RESULTS: The overall participation rate was 81% (1211/1498). Of the participants, 668 (55%) were smokers and 543 (45%) were non-smokers; 53% knew about e-cigarettes. Participants from rural Dali (77% vs 59%), those who were ethnic minority (76% vs 59%), those who perceived increased COPD risks from smoking (mean score 4.37 vs 4.18) and concerned about harmful effects of secondhand smoke (SHS) exposure to children (mean score 4.48 vs 4.30) and adults (mean score 4.06 vs 3.87) were more likely to believe that e-cigarettes were less harmful (p<0.05). Participants with more knowledge about the harm of smoking were more likely to believe that e-cigarettes were helpful in quitting smoking (p<0.05). Of those participants who knew about e-cigarettes, females (19%) were significantly more likely to believe that e-cigarettes are addictive than males (10%). In the logistic regression analyses, believing e-cigarettes are helpful to quit smoking was the only variable associated with holding a higher knowledge about smoking and SHS exposure (OR=0.608; 95% CI: 0.450-0.820). CONCLUSIONS: Our results showed that more than half of the rural household members who have a child at home were aware of e-cigarettes. Knowledge about health impacts of SHS exposure and perceptions about the benefits, harms and addictiveness of e-cigarette use varied among the participants, with a significant proportion of participants having wrong information. Public health campaigns to disseminate evidence-based information of e-cigarette benefits and harms are warranted. As knowledge about the harmfulness of smoking and SHS exposure was associated with perceived e-cigarette benefits, particular focus should be given to increasing knowledge about the health hazards related to smoking and SHS exposure.

15.
Medicine (Baltimore) ; 100(9): e25039, 2021 Mar 05.
Artículo en Inglés | MEDLINE | ID: mdl-33655980

RESUMEN

OBJECTIVE: To compare and evaluate the clinical effects on patients with poststroke insomnia of various acupuncture and acupuncture-related therapies. METHODS: In order to analyze the direct and indirect evidence from related studies, we used network meta-analysis (NMA). In order to collect randomized controlled trials (RCTs) of acupuncture and related therapies in the treatment of poststroke insomnia, 3 English and 4 Chinese databases were searched. After 2 researchers independently screened the literature, extracted the information, and assessed the probability of bias in the included studies, the data was analyzed using Stata15.0 and WinBUGS1.4.3 software. RESULTS: Based on the existing data, the pros and cons of different acupuncture-related therapies are compared extensively, the effectiveness of different acupuncture-related therapies is ranked compared to drugs with hypnotic effect in poststroke insomnia care, and the best methods or combinations of acupuncture intervention are summarized. CONCLUSION: This study will provide new evidence for the safety and effectiveness of acupuncture-related therapies in the treatment of poststroke insomnia, and may be helpful for clinicians, poststroke insomnia patients, and clinical guideline makers to choose the optimal combination of acupuncture for the treatment of poststroke insomnia. REGISTRATION NUMBER: INPLASY202120028.


Asunto(s)
Terapia por Acupuntura , Metaanálisis en Red , Trastornos del Inicio y del Mantenimiento del Sueño , Accidente Cerebrovascular , Humanos , Terapia por Acupuntura/métodos , Manejo de Datos , Trastornos del Inicio y del Mantenimiento del Sueño/etiología , Trastornos del Inicio y del Mantenimiento del Sueño/terapia , Accidente Cerebrovascular/complicaciones , Metaanálisis como Asunto , Revisiones Sistemáticas como Asunto
16.
J Stud Alcohol Drugs ; 81(5): 614-623, 2020 09.
Artículo en Inglés | MEDLINE | ID: mdl-33028474

RESUMEN

OBJECTIVE: The Kilimanjaro region has one of the highest rates of reported alcohol use per capita in Tanzania. Alcohol-related risky behaviors pose substantial threats to the health and well-being of alcohol users and the people around them. This study seeks to understand how alcohol-related risky behaviors co-occur with other risky behaviors. METHOD: Latent class analysis (LCA) was applied to examine alcohol-related risky behaviors. The optimal number of latent classes was confirmed by using model fit indices. Negative binomial models were used to test latent classes and their association with harmful and hazardous drinking and perceived alcohol stigma. With the model defined, we explored each class's drinking patterns and risky behavior patterns. RESULTS: A total of 622 (60% male) of 841 participants were included in these analyses because they drank alcohol at least once in their lifetime. Three classes of risky behavior patterns were identified: Class 1, "Limited risk behaviors" (59.7%); Class 2, "Primarily foolish behaviors" (25.6%); and Class 3, "Pervasive risk behaviors" (13.1%). Class 3 had the most alcohol use quantity and frequency. No association between classes and alcohol stigma was found. Compared with males, females are less likely to be classified in Class 2 and 3. CONCLUSIONS: Three different classes of risky behaviors became apparent and were distinguished by gender, age, and personal alcohol use. Our findings suggest a potential role for personalized interventions based on latent classes specifically to reduce risk behaviors.


Asunto(s)
Consumo de Bebidas Alcohólicas/epidemiología , Asunción de Riesgos , Estigma Social , Adolescente , Adulto , Anciano , Femenino , Humanos , Masculino , Persona de Mediana Edad , Modelos Estadísticos , Encuestas y Cuestionarios , Tanzanía , Adulto Joven
17.
PLoS One ; 15(12): e0243464, 2020.
Artículo en Inglés | MEDLINE | ID: mdl-33373371

RESUMEN

Injuries are a leading cause of death and disability among children. Numerous injury prevention strategies have been successful in high-income countries, but the majority of unintentional injuries happen to children living in low- and middle-income countries (LMICs). This project aims to delineate the childhood injury prevention initiatives in LMICs. For inclusion, peer-reviewed articles needed to address unintentional injury, include children <18, assess a prevention-related intervention, contain a control group, and be published after 1988. Two pairs of reviewers evaluated articles independently to determine study eligibility. 74 articles were included. 30 studies addressed road traffic injuries, 11 drowning, 8 burns, 3 falls, 8 poisonings, and 21 an unspecified injury type. The findings show positive effects on injury outcome measures following educational interventions, the need for longer follow-up periods after the intervention, the need for effectiveness trials for behavior change, and the need for an increase in injury prevention services in LMICs. This is the first systematic review to summarize the prevention initiatives for all types of childhood unintentional injuries in LMICs. Increased attention and funding are required to go beyond educational initiatives with self-reported measures and little follow-up time to robust interventions that will reduce the global burden of unintentional injuries among children.


Asunto(s)
Heridas y Lesiones/prevención & control , Accidentes de Tránsito/prevención & control , Quemaduras/prevención & control , Niño , Bases de Datos Factuales , Países en Desarrollo , Humanos , Equipos de Seguridad/normas , Administración de la Seguridad
18.
Artículo en Inglés | MEDLINE | ID: mdl-32316185

RESUMEN

The use of electronic cigarettes (ECs) is increasing rapidly in China, but the perception of these products and their health impact among Chinese users have received little research attention. This study collected semi-structured in-depth interview data from experienced adult EC (including heated tobacco products also named ECs on the Chinese market) users in the Shanghai area. The subjects were recruited from those who participated in a previous online survey on EC use. A thematic narrative approach was used to analyze the data. Thirty current EC users were interviewed for evaluation of their perception of EC use in a variety of categories, including reasons for using, concerns, social acceptance, satisfaction, and health impacts. Participants' common reasons for using ECs were the ease of use and carrying, hygiene, no fire hazard, reduced smoke exposure, aiding quitting smoking, reduced health hazard, palatable flavor, being fashionable, and substituting cigarettes in non-smoking areas. Most (90%; 27/30) participants reduced (77%) or quit smoking (13%) after using ECs, and 80% were willing to recommend these products to others. Most (90%) of the participants reportedly noticed positive health changes after using ECs. Regulatory concerns were expressed by 33% participants. Participants predominately viewed ECs as a viable substitute for smoking, with substantial effects on tobacco harm reduction. These findings lend support to EC use as a promising opportunity for public health promotion in China through engaging smokers in smoking cessation attempts. However, overall public health benefits/risks of EC use, and its regulatory affairs need to be considered.


Asunto(s)
Sistemas Electrónicos de Liberación de Nicotina , Cese del Hábito de Fumar , Vapeo , Adulto , China , Femenino , Humanos , Masculino , Fumadores
19.
CNS Neurosci Ther ; 26(9): 902-912, 2020 09.
Artículo en Inglés | MEDLINE | ID: mdl-32329577

RESUMEN

AIMS: Failure of neural tube closure resulting from excessive apoptosis leads to neural tube defects (NTDs). NADPH oxidase 4 (NOX4) is a critical mediator of cell growth and death, yet its role in NTDs has never been characterized. NOX4 is a potential target of miR-322, and we have previously demonstrated that miR-322 was involved in high glucose-induced NTDs. In this study, we investigated the effect of NOX4 on the embryonic neuroepithelium in NTDs and reveal a new regulatory mechanism for miR-322 that disrupts neurulation by ameliorating cell apoptosis. METHODS: All-trans-retinoic acid (ATRA)-induced mouse model was utilized to study NTDs. RNA pull-down and dual-luciferase reporter assays were used to confirm the interaction between NOX4 and miR-322. In mouse neural stem cells and whole-embryo culture, Western blot and TUNEL were carried out to investigate the effects of miR-322 and NOX4 on neuroepithelium apoptosis in NTD formation. RESULTS: NOX4, as a novel target of miR-322, was upregulated in ATRA-induced mouse model of NTDs. In mouse neural stem cells, the expression of NOX4 was inhibited by miR-322; still further, NOX4-triggered apoptosis was also suppressed by miR-322. Moreover, in whole-embryo culture, injection of the miR-322 mimic into the amniotic cavity attenuated cell apoptosis in NTD formation by silencing NOX4. CONCLUSION: miR-322/NOX4 plays a crucial role in apoptosis-induced NTD formation, which may provide a new understanding of the mechanism of embryonic NTDs and a basis for potential therapeutic target against NTDs.


Asunto(s)
Apoptosis/fisiología , Silenciador del Gen/fisiología , MicroARNs/administración & dosificación , NADPH Oxidasa 4/antagonistas & inhibidores , NADPH Oxidasa 4/biosíntesis , Defectos del Tubo Neural/enzimología , Animales , Células Cultivadas , Desarrollo Embrionario/fisiología , Femenino , Ratones , Ratones Endogámicos C57BL , MicroARNs/genética , NADPH Oxidasa 4/genética , Defectos del Tubo Neural/diagnóstico por imagen , Defectos del Tubo Neural/genética , Defectos del Tubo Neural/terapia , Resultado del Tratamiento
20.
Tob Induc Dis ; 17: 88, 2019.
Artículo en Inglés | MEDLINE | ID: mdl-31889950

RESUMEN

INTRODUCTION: Although the use of mobile health (mHealth) to promote tobacco control and smoking cessation interventions has been available in developed countries, their use in low- and middle-income countries (i.e. in China) is lacking. This study examined the acceptance of text messaging and/or WeChat based tobacco control intervention among parents who smoke, in rural China. METHODS: Using a structured questionnaire, we surveyed smoker households (n=668) of children aged ≤5 years in two rural regions of southern China. Descriptive analyses were used to characterize respondents; multivariate regression analysis was used to test the associations between participants' sociodemographic and other characteristics, and their acceptability of text messaging and/or WeChat intervention for tobacco control. RESULTS: After adjusting for other variables (i.e. region, ethnicity, age, education level, occupation, attitudes towards smoking, perception of cigarettes addictiveness, and quitting smoking), the overall knowledge about smoking and secondhand smoke (SHS) exposure significantly predicted a higher acceptance to text messaging/WeChat intervention (OR=0.567; 95% CI: 0.457-0.704). Participants who thought smoking made people feel relaxed were less likely to accept text messaging/WeChat intervention than those who did not think so (OR=1.403; 95% CI: 1.080-1.822). CONCLUSIONS: Our findings suggest that households in rural China that were more knowledgeable about the hazards of smoking and SHS exposure, and had negative feelings about the benefits of smoking, were more likely to accept text messaging/WeChat for tobacco control intervention. Understanding rural smokers' preferences to receive intervention and related characteristics can help with the design of targeted tobacco control intervention programs in rural China.

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