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1.
BMC Bioinformatics ; 25(1): 95, 2024 Mar 04.
Article in English | MEDLINE | ID: mdl-38438950

ABSTRACT

BACKGROUND: Dynamical compensation (DC) provides robustness to parameter fluctuations. As an example, DC enables control of the functional mass of endocrine or neuronal tissue essential for controlling blood glucose by insulin through a nonlinear feedback loop. Researchers have shown that DC is related to the structural unidentifiability and the P -invariance property. The P -invariance property is a sufficient and necessary condition for the DC property. DC has been seen in systems with at least three dimensions. In this article, we discuss DC and P -invariance from an adaptive control perspective. An adaptive controller automatically adjusts its parameters to optimise performance, maintain stability, and deal with uncertainties in a system. RESULTS: We initiate our analysis by introducing a simplified two-dimensional dynamical model with DC, fostering experimentation and understanding of the system's behavior. We explore the system's behavior with time-varying input and disturbance signals, with a focus on illustrating the system's P -invariance properties in phase portraits and step-like response graphs. CONCLUSIONS: We show that DC can be seen as a case of ideal adaptive control since the system is invariant to the compensated parameter.


Subject(s)
Insulin , Research Design , Empirical Research , Uncertainty
2.
Small ; : e2311770, 2024 May 25.
Article in English | MEDLINE | ID: mdl-38794870

ABSTRACT

Developing low-cost and highly efficient bifunctional catalysts for both the oxygen evolution reaction (OER) and the hydrogen evolution reaction (HER) is a challenging problem in electrochemical overall water splitting. Here, iron, tungsten dual-doped nickel sulfide catalyst (Fe/W-Ni3S2) is synthesized on the nickel foam, and it exhibits excellent OER and HER performance. As a result, the water electrolyze based on Fe/W-Ni3S2 bifunctional catalyst illustrates 10 mA cm-2 at 1.69 V (without iR-compensation) and highly durable overall water splitting over 100 h tested under 500 mA cm-2. Experimental results and DFT calculations indicate that the synergistic interaction between Fe doping and Ni vacancy induced by W leaching during the in situ oxidation process can maximize exposed OER active sites on the reconstructed NiOOH species for accelerating OER kinetics, while the Fe/W dual-doping optimizes the electronic structure of Fe/W-Ni3S2 and the binding strength of intermediates for boosting HER. This study unlocks the different promoting mechanisms of incorporating Fe and W for boosting the OER and HER activity of Ni3S2 for water splitting, which provides significant guidance for designing high-performance bifunctional catalysts for overall water splitting.

3.
BMC Cancer ; 24(1): 925, 2024 Jul 31.
Article in English | MEDLINE | ID: mdl-39085796

ABSTRACT

BACKGROUND: Lung adenocarcinoma is a high-mortality rate cancer. Within this category, Lung mucinous adenocarcinoma (LMAC) is a rare and distinct subtype of lung adenocarcinoma necessitating further investigation. The study was launched to compare the difference of survival features between LMAC and lung non-mucinous adenocarcinoma (LNMAC) and to investigate the significance and demand for developing a new staging system tailored to LMAC. METHODS: This retrospective study assessed the suitableness of the current staging system for LMAC. It compared the overall survival (OS) between LMAC and LNMAC from 2004 to 2020 (LNMAC: 160,387; LMAC: 6,341) and instituted a novel classification framework for LMAC based on US population. Verification group consisting of patients from two Chinese medical centers from 2010 to 2018 (n = 392) was set to ascertain the applicability of this novel system. The primary endpoint was OS. To minimize the bias, propensity score match (PSM) was employed. Survival analysis and Log-rank test were executed to explore the survival features of LMAC. RESULTS: The results indicated that the existed staging system was not suitable for LMAC. Patients diagnosed with LMAC exhibited a superior OS compared to those with LNMAC in stage IA2 (P < 0.0001), IA3 (P < 0.0001), IB (P = 0.0062), IIA (P = 0.0090), IIB (P = 0.0005). In contrast, a worse OS in stage IVA (P = 0.0103) was found in LMAC patients. The novel classification system proposed for LMAC proved to be highly applicable and demonstrated substantial efficacy, as confirmed by the verification group. CONCLUSION: The newly established classification system was more effective for LMAC, but it necessitates large-scale verification to confirm its applicability and reliability.


Subject(s)
Adenocarcinoma of Lung , Adenocarcinoma, Mucinous , Lung Neoplasms , Neoplasm Staging , Humans , Neoplasm Staging/methods , Male , Female , Retrospective Studies , Adenocarcinoma, Mucinous/pathology , Adenocarcinoma, Mucinous/mortality , Middle Aged , Lung Neoplasms/pathology , Lung Neoplasms/mortality , Aged , Adenocarcinoma of Lung/pathology , Adenocarcinoma of Lung/mortality , Adult , Prognosis , Survival Analysis
4.
World J Surg Oncol ; 21(1): 20, 2023 Jan 23.
Article in English | MEDLINE | ID: mdl-36691049

ABSTRACT

BACKGROUND: Mucosa-associated lymphoid tissue (MALT) lymphoma is a common, low-grade, malignant B-cell lymphoma. However, simultaneous MALT lymphoma in the thymus and lung is extremely rare, and concomitant adenocarcinoma of the lung is even rarer. Herein, we report a rare case of a collision tumor in which MALT lymphoma was found in both the thymus and lung with Sjögren's syndrome (SS) and adenocarcinoma in the lung. CASE PRESENTATION: A physical examination of a 32-year-old woman revealed an anterior superior mediastinal space-occupying lesion, and chest computed tomography (CT) indicated a nodular ground-glass opacity and irregular mixed-density focus in the right lung. All lung cancer-related tumor biomarkers were within normal ranges. The thymus and part of the lung tissue were surgically resected. The histopathology and molecular examinations confirmed MALT lymphoma of the thymus and lung with lung adenocarcinoma. SS was also diagnosed. No special postoperative treatment was performed for the MALT lymphoma, and the patient underwent immunosuppressive therapy for SS after 4 months of follow-up observation. CONCLUSIONS: MALT lymphoma of the thymus and lung tissues has no specific presentation on imaging and is difficult to differentiate from common malignant tumors, and the definite diagnoses of these tumors are highly dependent on histopathological examination in combination with molecular testing and cytogenetics. SS may be an important potential condition for the occurrence of MALT lymphoma in the thymus and lung. Additional similar cases are needed to clarify the biological pathways and potential molecular mechanisms of rare lymphomas and collision tumors.


Subject(s)
Adenocarcinoma , Lung Neoplasms , Lymphoma, B-Cell, Marginal Zone , Sjogren's Syndrome , Female , Humans , Adult , Lymphoma, B-Cell, Marginal Zone/complications , Lymphoma, B-Cell, Marginal Zone/diagnosis , Lymphoma, B-Cell, Marginal Zone/pathology , Adenocarcinoma/complications , Lung Neoplasms/pathology , Sjogren's Syndrome/complications , Sjogren's Syndrome/diagnosis , Lung/pathology
5.
Arch Environ Contam Toxicol ; 84(4): 453-465, 2023 May.
Article in English | MEDLINE | ID: mdl-37129623

ABSTRACT

Pollution from electronic-waste (E-waste) dismantling is of great concern. This study investigated the concentrations of polychlorinated biphenyls (PCBs), polycyclic aromatic hydrocarbons (PAHs), and polybrominated diphenyl ethers (PBDEs) in 253 cropland soil samples around an abandoned E-waste dismantling site in Taizhou city, Zhejiang province in China, using an analytical method which simultaneously extracted, purified and determined the identity and quantity of the three types of persistent organic pollutants. Meanwhile, their spatial distributions, pollution characteristics, and risk assessments were further analyzed. Total PCBs in the test soils ranged from below method detection limits (ND) to 2985.25 µg kg-1 on a dry weight basis (d.w.), and the spatial distribution indicated a "hot spot" of PCBs pollution in the study area. The PAHs were detected in all samples with total concentrations ranging from 4.99 to 2723.06 µg kg-1 d.w. The distribution of PBDEs showed the pollution characteristics of "family-run workshops", with a total content range of ND ~ 899.34 µg kg-1 d.w., of which BDE209 was typically the dominant congener, accounting for 74.05% of the total PBDEs content in the test soils, with the highest content reaching 857.72 µg kg-1 d.w. Results showed that the ecological and lifetime carcinogenic risks of PCBs and PAHs were low in the study area, but the health risk caused by oral ingestion and dermal contact accounted for the highest proportion of the total exposure risks, while inhalation could be ignored. PBDEs in soils of the study area were a potential chronic non-carcinogenic risk, particularly for children. Therefore, in order to protect human health and environment, it is necessary to regulate the management of E-waste dismantling sites and pollution control.


Subject(s)
Electronic Waste , Polychlorinated Biphenyls , Child , Humans , Polychlorinated Biphenyls/analysis , Environmental Monitoring , Electronic Waste/analysis , Halogenated Diphenyl Ethers/analysis , Farms , China , Soil , Risk Assessment
6.
Curr Issues Mol Biol ; 44(12): 6132-6144, 2022 Dec 05.
Article in English | MEDLINE | ID: mdl-36547079

ABSTRACT

MRE11 is a pivotal protein for ATM activation during double-strand DNA break. ATM kinase activations may act as lung cancer biomarkers. The IL-6/STAT3 pathway plays an important role in tumor metastasis, including lung cancer. However, the mechanism between MRE11 and the IL-6/STAT3 pathway is still unclear. In this study, we discovered that MRE11 can interact with STAT3 under IL-6 treatment and regulate STAT3 Tyr705 phosphorylation. After the knockdown of MRE11 in lung cancer cells, we discovered that IL-6 or the conditional medium of THP-1 cells can induce the mRNA expression of STAT3 downstream genes, including CCL2, in the control cells, but not in MRE11-knockdown lung cancer cells. Moreover, CCL2 secretion was lower in MRE11-knockdown lung cancer cells than in control cells after treatment with the conditional medium of RAW264.7 cells. In addition, MRE11 deficiency in lung cancer cells decreases their ability to recruit RAW 264.7 cells. Furthermore, MRE11 is a potential target for lung cancer therapy.

7.
BMC Surg ; 22(1): 417, 2022 Dec 08.
Article in English | MEDLINE | ID: mdl-36476138

ABSTRACT

OBJECTIVES: Esophageal cancer is a high-mortality disease. Esophagectomy is the most effective method to treat esophageal cancer, accompanied with a high incidence of post-operation complications. The anastomosis has a close connection to many severe post-operation complications. However, it remains controversial about the choice of intrathoracic anastomosis (IA) or cervical anastomosis (CA). The study was conducted to compare the clinical outcomes between the two approaches. METHODS: We searched databases for both randomized controlled trials (RCTs) and cohort studies comparing post-operation outcomes between IA and CA. Primary outcomes were the incidences of anastomotic leakage and mortality. Secondary outcomes were the incidences of anastomotic stenosis, pneumonia and re-operation. RESULTS: Twenty studies with a total of 7,479 patients (CA group: n = 3,183; IA group: n = 4296) were included. The results indicated that CA group had a higher incidence of anastomotic leakage than IA group (odds ratio [OR] = 2.05, 95% confidence intervals [CI] = 1.61-2.60, I2 = 53.31%, P < 0.01). Subgroup analyses showed that CA group had higher incidences of type I (OR = 2.19, 95%CI = 1.05-4.57, I2 = 0.00%, P = 0.04) and type II (OR = 2.75, 95%CI = 1.95-3.88, I2 = 1.80%, P < 0.01) anastomotic leakage than IA group. No difference was found in type III anastomotic leakage (OR = 1.23, 95%CI = 0.82-1.86, I2 = 20.92%, P = 0.31). The 90-day mortality (OR = 1.66, 95%CI = 1.11-2.47, I2 = 0.0%, P = 0.01) in IA group were lower than that in CA group. No difference was found in in-hospital mortality (OR = 1.31, 95%CI = 0.91-1.88, I2 = 0.00%, P = 0.15) and 30-day mortality (OR = 1.08, 95%CI = 0.69-1.70, I2 = 0.00%, P = 0.74). CONCLUSIONS: IA might be a better anastomotic approach than CA, with a lower incidence of anastomosis leakage and no increase in short-term mortality. Significant heterogeneity and publication bias might limit the reliability of the results. More high-quality studies are needed to verify and update our findings.


Subject(s)
Esophageal Neoplasms , Humans , Esophageal Neoplasms/surgery
8.
Luminescence ; 36(4): 914-922, 2021 Jun.
Article in English | MEDLINE | ID: mdl-33458929

ABSTRACT

A series of SrMg2 (PO4 )2 :Eu2+ -Eu3+ ,Dy3+ phosphors was synthesized successfully using a high-temperature solid-state method in an air atmosphere. The structures were studied in detail using X-ray diffraction (XRD) and the luminescence properties of the samples. SrMg2 (PO4 )2 :Eu2+ -Eu3+ samples can emit adjustable blue-violet light by controlling the proportion of dopant concentration of europium and dysprosium under 340 nm excitation. Dy3+ exhibits typical blue and yellow emission under 350 nm excitation. The energy transferred from Eu3+ to Dy3+ in Dy and Eu co-doped system was determined by comparing the fluorescence spectra of single-doped system. In addition, the colour coordinates of the International Commission on lighting (CIE) indicated that SrMg2 (PO4 )2 :Eu2+ -Eu3+ ,Dy3+ could be considered as a potential blue-purple phosphor for white light-emitting diode applications.


Subject(s)
Dysprosium , Luminescence , Europium , Light , X-Ray Diffraction
9.
Luminescence ; 36(4): 1072-1077, 2021 Jun.
Article in English | MEDLINE | ID: mdl-33600615

ABSTRACT

A series of Mg21 Ca4 Na4 (PO4 )18 :Eu2+ -Eu3+ phosphors was successfully synthesized using a high-temperature solid-state method in an air atmosphere. The phase structures and luminescence properties of the samples were studied in detail. The phosphors exhibited strong visible light emission under different wavelengths of ultraviolet light excitation. By harmonizing the doping concentration of Eu3+ to adjust the relative luminescence intensity of Eu2+ and Eu3+ , a colourful emission of phosphors could be achieved. In addition, the colour coordinates of the International Commission on lighting indicated that Mg21 Ca4 Na4 (PO)18 :Eu2+ -Eu3+ could be considered as a potential blue, orange and red phosphor for white light-emitting diode applications.


Subject(s)
Luminescence , Luminescent Agents , Europium , Light , Ultraviolet Rays
10.
Luminescence ; 35(3): 418-426, 2020 May.
Article in English | MEDLINE | ID: mdl-31846203

ABSTRACT

In this paper, the Eu3+ -Eu2+ (4%, molar ratio)-doped xAl2 O3 -ySiO2 (x = 0-2.5, y = 1-5) and xAl2 O3 -zMgO (x = 0-1.5, z = 0-3) composites phosphors with different Al2 O3 to SiO2 (A/S) and Al2 O3 to MgO (A/M) ratios were prepared using a high-temperature solid-state reaction under air atmosphere. The effects of the A/S and A/M on luminescence properties, crystal structure, electron spin resonance, and Commission Internationale de l'Eclairage chromaticity coordinates of the samples were systematically analyzed. These results indicated that the different A/S and A/M ratios in the matrix effectively affected the crystal phase, degrees of self-reduction of Eu3+ , and led the relative emission intensity of Eu2+ /Eu3+ to change and adjust.


Subject(s)
Aluminum Oxide/chemistry , Europium/chemistry , Luminescent Agents/chemistry , Magnesium Oxide/chemistry , Silicon Dioxide/chemistry , Luminescent Measurements
11.
Luminescence ; 35(8): 1199-1205, 2020 Dec.
Article in English | MEDLINE | ID: mdl-32496647

ABSTRACT

SrBPO5 :Eu2+ -Eu3+ phosphors were synthesized using a conventional solid self-reduction reaction in an air atmosphere. Samples were characterized using thermogravimetry analysis (TGA), differential scanning calorimetry (DSC), X-ray diffraction (XRD), Fourier transform infrared (FTIR) spectra, fluorescence spectra and Commission International de l'Eclairage (CIE) data. The results of TGA and DSC showed that the raw materials could completely react at 1000°C. FTIR spectra and XRD results displayed that europium ions of different concentrations do not effect the structure of the hosts. Fluorescence spectra displayed that europium ions exist in bivalent and trivalent forms, and that the emission peak at 403 nm was attributed to the typical 5d-4f transition for Eu2+ ; 597 nm and 620 nm emissions were assigned to the characteristic transitions of 5 D0 -7F1, 2 for Eu3+ . CIE results depicted that the colour tone of the phosphors could be macro-controlled from blue to purple by controlling the doping amount of Eu3+ .Therefore, relative luminescence intensity between Eu2+ and Eu3+ could be adjusted by controlling the doping concentration of europium to tune the luminescence colour of SrBPO5 .


Subject(s)
Luminescence , Luminescent Agents , Color , Europium , Ultraviolet Rays , X-Ray Diffraction
12.
Sensors (Basel) ; 20(3)2020 Jan 26.
Article in English | MEDLINE | ID: mdl-31991849

ABSTRACT

By training the deep neural network model, the hidden features in Surface Electromyography(sEMG) signals can be extracted. The motion intention of the human can be predicted by analysis of sEMG. However, the models recently proposed by researchers often have a large number of parameters. Therefore, we designed a compact Convolution Neural Network (CNN) model, which not only improves the classification accuracy but also reduces the number of parameters in the model. Our proposed model was validated on the Ninapro DB5 Dataset and the Myo Dataset. The classification accuracy of gesture recognition achieved good results.


Subject(s)
Algorithms , Electromyography/methods , Gestures , Hand , Neural Networks, Computer , Signal Processing, Computer-Assisted , Humans , Pattern Recognition, Automated/methods , Reproducibility of Results
13.
Sci Data ; 11(1): 821, 2024 Jul 24.
Article in English | MEDLINE | ID: mdl-39048578

ABSTRACT

The COVID-19 pandemic has flooded open databases with population-level data. However, individual-level structured data, such as the course of disease and contact tracing information, is almost non-existent in open databases. Publish a structured and cleaned COVID-19 dataset with the course of disease and contact tracing information for easy benchmarking of COVID-19 models. We gathered data from Taiwanese open databases and daily news reports. The outcome is a structured quantitative dataset encompassing the course of the disease of Taiwanese individuals, alongside their contact tracing information. Our dataset comprises 579 confirmed cases covering the period from January 21, to November 9, 2020, when the original SARS-CoV-2 virus was most prevalent in Taiwan. The data include features such as travel history, age, gender, symptoms, contact types between cases, date of symptoms onset, confirmed, critically ill, recovered, and dead. We also include the daily summary data at population-level from January 21, 2020, to May 23, 2022. Our data can help enhance epidemiological modelling.


Subject(s)
COVID-19 , Contact Tracing , COVID-19/epidemiology , Humans , Taiwan/epidemiology , SARS-CoV-2 , Epidemiological Models , Male , Female , Adult , Databases, Factual , Middle Aged , Pandemics
14.
Sci Rep ; 14(1): 6596, 2024 03 19.
Article in English | MEDLINE | ID: mdl-38503791

ABSTRACT

Accurate forecasting of community outbreaks is crucial for governments to allocate healthcare resources correctly and implement suitable non-pharmaceutical interventions. Additionally, companies must address critical questions about stock and staff management. Society's key concern is when businesses and organizations can resume normal operations. Between December 31st 2019 and 2021, Taiwan experienced three separate COVID-19 community outbreaks with significant time intervals in between, suggesting that each outbreak eventually came to an end. We identified the ratio of the 7-day average of local & unknown confirmed to suspected cases as the key control variable and forecasted the end of the third outbreak by the exponential model. We forecasted the end of the third outbreak on Aug. 16th with threshold ratios of 1.2 · 10 - 4 . The real observations crossed the threshold on Aug. 27th, eleven days later than forecasted, with the last case of the third outbreak confirmed and quarantined on Sept. 20th. This demonstrated the accuracy of the proposed forecasting method in predicting the end of a local outbreak. Furthermore, we highlight that the ratio reflects the effectiveness of contact tracing. Effective contact tracing together with testing and isolation of infected individuals is crucial for ending community outbreaks.


Subject(s)
COVID-19 , Humans , COVID-19/epidemiology , SARS-CoV-2 , Taiwan/epidemiology , Disease Outbreaks , Contact Tracing
15.
ACS Appl Mater Interfaces ; 16(26): 34020-34029, 2024 Jul 03.
Article in English | MEDLINE | ID: mdl-38961571

ABSTRACT

Rechargeable aqueous Zn-ion batteries with a Zn anode hold great promise as promising candidates for advanced energy storage systems. The construction of protective layer coatings on Zn anode is an effective way to suppress the growth of Zn dendrites and water-induced side reactions. Herein, we reported a series of UIO-66 materials with different concentrations of reduced graphene oxide (rG) coated onto the surface of Zn foil (Zn@UIO-66/rGx; x = 0.05, 0.1, and 0.2). Benefiting from the synergistic effect of UIO-66 and rG, symmetric cells with Zn@UIO-66/rGx (x = 0.1) electrodes exhibit excellent reversibility (e.g., long cycling life over 1100 h at 1 mA cm-2/1 mAh cm-2) and superior rate capability (e.g., over 1100 and 400 h at 5 mA cm-2/2.5 mAh cm-2 and 10 mA cm-2/5 mAh cm-2, respectively). When the Zn@UIO-66/rG0.1 anode was paired with the NaV3O8·1.5H2O (NVO) cathode, the Zn@UIO-66/rG0.1||NVO cell also delivered a high reversible capacity of 189.9 mAh g-1 with an initial capacity retention of 61.3% after 500 cycles at 1 A g-1, compared to the bare Zn||NVO cell with only 92 cycles.

16.
Nutrition ; 119: 112328, 2024 Mar.
Article in English | MEDLINE | ID: mdl-38237353

ABSTRACT

OBJECTIVES: The merits of early enteral nutrition (EEN) in patients in the cardiothoracic intensive care unit (CTICU) remain unclear. This retrospective study aimed to address this issue. METHODS: We analyzed data from the MIMIC IV v2.0 database, including patients with a CTICU stay of ≥4 d. Patients were divided into early and delayed enteral nutrition (EN) groups. Differences in baseline data were corrected using an inverse probability weighting (IPW) approach. Generalized linear models (GLMs) were used to compare trends over time between groups, and survival effects were evaluated with weighted logistic and Cox regression, supplemented by weighted Kaplan-Meier curves. Subgroup analysis facilitated the exploration of potential interactions. RESULTS: The study included 720 CTICU patients. Following IPW, all baseline variables were balanced. EEN led to shorter hospital and CTICU stays, lower incidence of respiratory and blood infections, and reduced total insulin usage in the first week of CTICU admission, albeit with an increased total gastric residual volume. Mortality risk between the groups did not significantly differ at 28 d or at 1 y. Excessive early energy and protein intake elevated the risk of 28-d mortality, but the relationship may not be linear. Overweight patients or those with fewer comorbidities had a higher mortality risk with EEN. CONCLUSIONS: EEN may improve short-term outcomes in CTICU patients without a clear survival benefit. Early high caloric and protein intake could lead to adverse outcomes, suggesting a careful evaluation for initiating EN in specific patients.


Subject(s)
Enteral Nutrition , Intensive Care Units , Humans , Retrospective Studies , Probability , Length of Stay
17.
J Colloid Interface Sci ; 676: 197-206, 2024 Jul 14.
Article in English | MEDLINE | ID: mdl-39024820

ABSTRACT

The efficient recycling of waste graphite anode from used lithium-ion batteries (LIBs) has attracted considerable concerns mainly owing to the environment protection and reutilization of resources. Herein, we reported a rational and facile strategy for the synthesis of holey graphite coated by carbon (hG0.01@C0.10) through the separation, purification and creation of holey structures of waste graphite by using NaOH and carbon-coating by using phenolic resin. The holey structures facilitate the hG0.01@C0.10 with the quick penetration of electrolytes and rapid diffusion of Li+. The carbon coating is more favorable for hG0.01@C0.10 with improved electronic conductivity and less alleviated volume during the cycles. Benefiting from the synergistic effect of holey structures and carbon coating, the hG0.01@C0.10 as anode for LIBs displays a high reversible capacity of 377.6 mAh g-1 at 0.5 C and superior rate capabilities (e.g., 348.0 and 274.7 mAh g-1 at 1 and 2 C, respectively) and maintains a high reversible capacity of 278.7 mAh g-1 at 1 C after 300 cycles with an initial capacity retention of 80.0 %.

18.
Cancer Med ; 13(14): e70023, 2024 Jul.
Article in English | MEDLINE | ID: mdl-39001679

ABSTRACT

BACKGROUND: Meta-analyses have primarily focused on the effects of exercise-based prehabilitation on postoperative outcomes and ignored the role of nutritional intervention. In this study, we filled this gap by investigating the effect of nutrition-based prehabilitation on the postoperative outcomes of patients who underwent esophagectomy and gastrectomy. METHODS: Five electronic databases, namely, PubMed, the Web of Science, Embase, Cochrane Library, and CINAHL, were searched. Adults diagnosed with esophagogastric cancer who were scheduled to undergo surgery and had undergone uni- or multimodal prehabilitation, with at least a week of mandatory nutritional intervention, were included. Forest plots were used to extract and visualize the data from the included studies. The occurrence of any postoperative complication was considered the primary endpoint. RESULTS: Eight studies met the eligibility criteria, with five randomized controlled trials (RCTs) and three cohort studies. In total, 661 patients were included. Any prehabilitation, that is, unimodal (only nutrition) and multimodal prehabilitation, collectively decreased the risk of any postoperative complication by 23% (95% confidence interval [CI] = 0.66-0.90). A similar effect was exclusively observed for multimodal prehabilitation (risk ratio [RR] = 0.78, 95% CI = 0.66-0.93); however, it was not significant for unimodal prehabilitation. Any prehabilitation significantly decreased the length of hospital stay (LOS) (weighted mean difference = -0.77, 95% CI = -1.46 to -0.09). CONCLUSIONS: Nutrition-based prehabilitation, particularly multimodal prehabilitation, confers protective effects against postoperative complications after esophagectomy and gastrectomy. Our findings suggest that prehabilitation slightly decreases LOS; however, the finding is not clinically significant. Therefore, additional rigorous RCTs are warranted for further substantiation.


Subject(s)
Esophageal Neoplasms , Esophagectomy , Gastrectomy , Postoperative Complications , Preoperative Exercise , Stomach Neoplasms , Humans , Esophageal Neoplasms/surgery , Stomach Neoplasms/surgery , Postoperative Complications/prevention & control , Postoperative Complications/epidemiology , Esophagectomy/adverse effects , Esophagectomy/rehabilitation , Gastrectomy/adverse effects , Treatment Outcome , Length of Stay , Preoperative Care/methods , Randomized Controlled Trials as Topic , Nutritional Status
19.
Front Cell Infect Microbiol ; 14: 1338989, 2024.
Article in English | MEDLINE | ID: mdl-38655282

ABSTRACT

Background: Recent studies have emphasized the role of gut microbiota in the onset and progression of osteomyelitis. However, the exact types of gut microbiota and their mechanisms of action remain unclear. Additionally, there is a lack of theoretical support for treatments that improve osteomyelitis by altering the gut microbiota. Methods: In our study, we utilized the largest genome-wide association study (GWAS) meta-analysis to date from the MiBioGen consortium, involving 13,400 participants. The GWAS data for osteomyelitis were sourced from the UK Biobank, which included 4,836 osteomyelitis cases and 486,484 controls. We employed a two-sample Mendelian randomization framework for a detailed investigation into the causal relationship between gut microbiota and osteomyelitis. Our methods included inverse variance weighting, MR-Egger, weighted median, and weighted mode approaches. Additionally, we applied Cochran's Q statistic to assess the heterogeneity of the instrumental variable. Results: At the class level, Bacilli and Bacteroidia were positively correlated with the risk of osteomyelitis. At the order level, only Bacteroidales showed a positive association with osteomyelitis. At the genus level, an increased abundance of Butyricimonas, Coprococcus3, and Tyzzerella3 was positively associated with the risk of osteomyelitis, whereas Lachnospira was negatively associated. Sensitivity analyses showed no evidence of heterogeneity or pleiotropy. Conclusion: This study reveals that classes Bacilli and Bacteroidia, order Bacteroidales, and genera Butyricimonas, Coprococcus3, and Tyzzerella3 are implicated in increasing the risk of osteomyelitis, while the genus Lachnospira is associated with a reduced risk. Future investigations are warranted to elucidate the precise mechanisms through which these specific bacterial groups influence the pathophysiology of osteomyelitis.


Subject(s)
Gastrointestinal Microbiome , Genome-Wide Association Study , Mendelian Randomization Analysis , Osteomyelitis , Humans , Osteomyelitis/microbiology , Gastrointestinal Microbiome/genetics , Polymorphism, Single Nucleotide
20.
Environ Pollut ; 359: 124758, 2024 Oct 15.
Article in English | MEDLINE | ID: mdl-39154881

ABSTRACT

Due to the extensive use of plastic products and unreasonable disposal, nanoplastics contamination has become one of the important environmental problems that mankind must face. The composition and structure of porous media can determine the complexity and diversity of the transport behavior of nanoplastics. In this study, the influence of diatomite (DIA) on the nanoplastics transport in porous media is investigated by column experiments combined with XDLVO interaction energy and transport model. Results suggest that the recovery rates of unmodified polystyrene nanoparticles (PSNPs) and carboxyl-modified polystyrene nanoparticles (PSNPs-COOH) in the porous media containing DIA decreases compared with that in the pure quartz sand (QS), and the BTCs showed a "blocking" pattern. The presence of DIA inhibits the transport of both PSNPs and PSNPs-COOH, but the inhibition is not significant. This may be because the presence of DIA provides more favorable deposition sites for PSNPs and PSNPs-COOH to some extent. However, since DIA itself carries a certain negative charge, this can only play a role in compressing the double electric layer for PSNPs and PSNPs-COOH with the same negative charge, and cannot destabilize them. The migration capacity of PSNPs and PSNPs-COOH is strongest in the DIA-QS porous media at pH = 7, and is weak at pH = 9 and pH = 5. The inhibition of migration at pH = 9 can be attributed to the dissolution of the DIA surface under alkaline conditions and the formation of pore and defect structures, which provide more deposition sites for PSNPs and PSNPs-COOH. The presence of humic acid (HA) leads to an increase in the mobility of PSNPs and PSNPs-COOH, and the mobility is enhanced with HA concentration. The mobility of PSNPs and PSNPs-COOH in DIA-QS decreases with ionic valence and ionic strength, and PSNPs-COOH is more significantly inhibited compared to PSNPs.


Subject(s)
Nanoparticles , Polystyrenes , Porosity , Nanoparticles/chemistry , Polystyrenes/chemistry , Diatomaceous Earth/chemistry , Microplastics/chemistry , Water Pollutants, Chemical/chemistry
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