Your browser doesn't support javascript.
loading
Mostrar: 20 | 50 | 100
Resultados 1 - 20 de 331
Filtrar
Más filtros

Base de datos
País/Región como asunto
Tipo del documento
Intervalo de año de publicación
1.
Sci Total Environ ; 954: 176679, 2024 Oct 02.
Artículo en Inglés | MEDLINE | ID: mdl-39366572

RESUMEN

The world's phosphorus (P) resources are gradually depleting. Sewage sludge is an important secondary P resource, and sludge-derived biochar for land use is an effective way to achieve P recovery. However, P in biochar synthesized by direct pyrolysis of sludge usually shows comparatively low bioavailability. In this study, biomass ash from different types of straw was used as an additive for co-pyrolysis with sludge. The distribution of different P fractions in the obtained co-pyrolyzed biochar was investigated. The P bioavailability of the co-pyrolyzed biochar was comprehensively evaluated by three methods, including chemical extraction, diffusive gradients in thin films (DGT) technology and pot experiments. The results indicate that the bioavailable P in co-pyrolyzed biochar is significantly positively correlated with the contents of K, Ca, and Mg elements in straw ash, which facilitate the transformation of P in sludge into forms that are more easily utilized by plants, including monetite (CaHPO4), hydroxyapatite (Ca5(PO4)3OH) and pyrocoproite (K2MgP2O7). Moreover, pot experiments show that the P contents in ryegrass shoots and roots cultivated in co-pyrolyzed biochar-added soils increased by 11.98-114.97 % and 28.90-69.70 %, respectively, compared to the control soil. The DGT technology could better reflect the uptake of P by plants with a Pearson correlation coefficient as high as 0.94. This study provides references for P resource recovery, and the collaborative reutilization of sewage sludge and straw ash.

2.
Brain Behav Immun ; 2024 Oct 24.
Artículo en Inglés | MEDLINE | ID: mdl-39461385

RESUMEN

Parkinson's disease (PD) pathogenesis is characterized by α-synuclein (α-syn) pathology, which is influenced by various factors such as neuroinflammation and senescence. Increasing evidence has suggested a pivotal role for Interleukin-17A(IL-17A) and Interleukin-17 Receptor A (IL-17RA) in PD, yet the trigger and impact of IL-17A/IL-17RA activation in PD remains elusive. This study observed an age-related increase in IL-17A and IL-17RA in the human central nervous system, accompanied by increased α-syn and senescence biomarkers. Interestingly, both levels of IL-17A and IL-17RA in PD patients were significantly elevated compared to age-matched controls, wherein the IL-17A was mainly present in neurons. This abnormal neuronal IL-17A activation in the PD brain was recapitulated in α-syn mouse models. Correspondingly, administration of recombinant IL-17A exacerbated pathological α-syn in both neuron and mouse models. Furthermore, IL-17A/IL-17RA pathway interventions via blocking antibody or shRNA-mediated knockdown can mitigate the effects of pathological α-syn. This study reveals an interplay between dysregulation of the IL-17A/IL-17RA pathway and α-syn, suggesting that regulating the IL-17A/IL-17RA pathway could modify PD progression by disrupting the detrimental cycle.

3.
Small ; : e2405992, 2024 Sep 26.
Artículo en Inglés | MEDLINE | ID: mdl-39324289

RESUMEN

Tribovoltaic nanogenerator (TVNG) is an emerging energy device with the advantages of direct current and high power density. At present, many TVNGs are based on single-crystal materials, which are expensive and fragile during structural processing. Here, a polysilicon-based TVNG for bearing in situ rotational speed sensing is developed, which has the same level of performance and lower cost compared to monocrystalline silicon. The defects in polysilicon can provide additional carriers, but the grain boundaries can suppress the transport process of carriers, resulting in almost the same electrical output as single crystals. The oiled sliding mode TVNG has an impressive durability of up to 1 million cycles. The friction coefficient of rolling mode TVNG is as low as 0.14. Based on rolling mode polysilicon TVNG, the tapered roller bearing, thrust ball bearing, and deep groove ball bearing are manufactured by cutting and engraving processes. Moreover, their short-circuit current and open-circuit voltage are linear with speed, and the fitting coefficient is as high as 0.99, providing favorable conditions for in situ rotational speed sensing. This work presents a structure-function integrated bearing design methodology, demonstrating the considerable potential of in situ sensing for intelligent components in the industrial Internet of Things.

4.
ACS Appl Mater Interfaces ; 16(40): 53930-53937, 2024 Oct 09.
Artículo en Inglés | MEDLINE | ID: mdl-39327699

RESUMEN

Biomaterial-based solar-driven evaporation has great potential for wastewater treatment and seawater desalination with a high energy conversion and utilization efficiency. However, technology gaps still exist for effectively and directly applying multiscale structures and intrinsic water transport channels of natural materials to enhance high-efficiency photothermal evaporation. In this study, a high-performance biomass-derived photothermal evaporative material was obtained using Salvinia natans, a common aquatic floating plant, together with simple poly(m-phenylenediamine) oxidation modification, building a hybrid biomass evaporator. With advantageous natural features of adequate water transport, microscale-nanoscale hierarchical structures, effective water activation, and antisalt-fouling function, the hybrid biomass evaporator achieves a high evaporation rate of 2.24 kg m-2 h-1 under one sun radiation (1 kW m-2). In addition, modified Salvinia natans also demonstrate certain ability to remove heavy metals during the photothermal evaporation of wastewater. This work offers a new perspective on the synthesis of an environmentally friendly and cost-effective solar-driven evaporator material, which has the advantages of low cost, simple process, and high photothermal conversion efficiency, and can be widely applied to seawater desalination and the treatment of wastewater with high salt concentrations.

5.
Molecules ; 29(15)2024 Jul 26.
Artículo en Inglés | MEDLINE | ID: mdl-39124925

RESUMEN

Exploring highly active electrocatalysts as platinum (Pt) substitutes for the oxygen reduction reaction (ORR) remains a significant challenge. In this work, single Mn embedded nitrogen-doped graphene (MnN4) with and without halogen ligands (F, Cl, Br, and I) modifying were systematically investigated by density functional theory (DFT) calculations. The calculated results indicated that these ligands can transform the dyz and dxz orbitals of Mn atom in MnN4 near the Fermi-level into dz2 orbital, and shift the d-band center away from the Fermi-level to reduce the adsorption capacity for reaction intermediates, thus enhancing the ORR catalytic activity of MnN4. Notably, Br and I modified MnN4 respectively with the lowest overpotentials of 0.41 and 0.39 V, possess superior ORR catalytic activity. This work is helpful for comprehensively understanding the ligand modification mechanism of single-atom catalysts and develops highly active ORR electrocatalysts.

6.
Clin Transl Immunology ; 13(7): e1519, 2024.
Artículo en Inglés | MEDLINE | ID: mdl-38975278

RESUMEN

Objectives: CAR-T cells are being investigated as a novel immunotherapy for glioblastoma, but clinical success has been limited. We recently described fibroblast activation protein (FAP) as an ideal target antigen for glioblastoma immunotherapy, with expression on both tumor cells and tumor blood vessels. However, CAR-T cells targeting FAP have never been investigated as a therapy for glioblastoma. Methods: We generated a novel FAP targeting CAR with CD3ζ and CD28 signalling domains and tested the resulting CAR-T cells for their lytic activity and cytokine secretion function in vitro (using real-time impedance, flow cytometry, imaging and bead-based cytokine assays), and in vivo (using a xenograft mimicking the natural heterogeneity of human glioblastoma). Results: FAP-CAR-T cells exhibited target specificity against model cell lines and potent cytotoxicity against patient-derived glioma neural stem cells, even when only a subpopulation expressed FAP, indicating a bystander killing mechanism. Using co-culture assays, we confirmed FAP-CAR-T cells mediate bystander killing of antigen-negative tumor cells, but only after activation by FAP-positive target cells. This bystander killing was at least partially mediated by soluble factors and amplified by IL-2 which activated the non-transduced fraction of the CAR-T product. Finally, a low dose of intravenously administered FAP-CAR-T cells controlled, without overt toxicity, the growth of subcutaneous tumors created using a mixture of antigen-negative and antigen-positive glioblastoma cells. Conclusions: Our findings advance FAP as a leading candidate for clinical CAR-T therapy of glioblastoma and highlight under-recognised antigen nonspecific mechanisms that may contribute meaningfully to the antitumor activity of CAR-T cells.

7.
Plants (Basel) ; 13(13)2024 Jul 05.
Artículo en Inglés | MEDLINE | ID: mdl-38999697

RESUMEN

Sorghum northern anthracnose is a leaf disease affecting sorghum, which results in plant death and substantial yield loss. This study aimed to effectively understand the disease, clarify its biological characteristics, and evaluate the resistance of germplasm resources. A field sample was collected to isolate and purify the pathogen. The pathogen, identified as Kabatiella zeae Narita et Hiratsuka using both morphological and molecular techniques, was further confirmed as the causative agent of northern anthracnose of sorghum following Robert Koch's principles. The results revealed the optimal culture temperature to be 25 °C, preferred dark culture conditions, and the best growth on potato glucose agar medium with sucrose and L-leucine as the optimal carbon and nitrogen sources, respectively. A total of 138 sorghum germplasm resources were inoculated and evaluated using the isolated pathogen, with 20 lines (14.49%) exhibiting high resistance, 18 lines (13.04%) showing disease resistance, 27 lines (19.57%) demonstrating medium resistance, 37 lines (26.81%) being susceptible, and 36 lines (26.09%) classified as highly susceptible. The indoor fungicide screening was conducted through pathogen medium application, and enilconazole, pyraclostrobin, methylthiophanate, and flusilazole were screened for the best fungicide inhibition with a 100% inhibition rate compared with the control. This study provides reference for field pharmaceutical control in sorghum production.

8.
J Phys Chem B ; 128(30): 7362-7375, 2024 Aug 01.
Artículo en Inglés | MEDLINE | ID: mdl-39031121

RESUMEN

In the domain of computer-aided drug design, achieving precise and accurate estimates of ligand-protein binding is paramount in the context of screening extensive drug libraries and performing ligand optimization. A fundamental aspect of the SILCS (site identification by ligand competitive saturation) methodology lies in the generation of comprehensive 3D free-energy functional group affinity maps (FragMaps), encompassing the entirety of the target molecule structure. These FragMaps offer an intricate landscape of functional group affinities across the protein, bilayer, or RNA, acting as the basis for subsequent SILCS-Monte Carlo (MC) simulations wherein ligands are docked to the target molecule. To augment the efficiency and breadth of ligand sampling capabilities, we implemented an improved SILCS-MC methodology. By harnessing the parallel computing capability of GPUs, our approach facilitates concurrent calculations over multiple ligands and binding sites, markedly enhancing the computational efficiency. Moreover, the integration of a genetic algorithm (GA) with MC allows us to employ an evolutionary approach to perform ligand sampling, assuring enhanced convergence characteristics. In addition, the potential utility of parallel tempering (PT) to improve sampling was investigated. Implementation of SILCS-MC on GPU architecture is shown to accelerate the speed of SILCS-MC calculations by over 2-orders of magnitude. Use of GA and PT yield improvements over Markov-chain MC, increasing the precision of the resultant docked orientations and binding free energies, though the extent of improvements is relatively small. Accordingly, significant improvements in speed are obtained through the GPU implementation with minor improvements in the precision of the docking obtained via the tested GA and PT algorithms.


Asunto(s)
Algoritmos , Método de Montecarlo , Ligandos , Conformación Molecular , Termodinámica , Simulación del Acoplamiento Molecular , Proteínas/química , Proteínas/metabolismo , Gráficos por Computador
9.
Sci Rep ; 14(1): 15564, 2024 07 06.
Artículo en Inglés | MEDLINE | ID: mdl-38971897

RESUMEN

Aortic dissection (AD) is a life-threatening condition with a high mortality rate and without effective pharmacological therapies. Our previous study illustrated that leukocyte immunoglobulin-like receptor B4 (LILRB4) knockdown promoted the contractile phenotypic switch and apoptosis of AD cells. This study aimed to further investigate the role of LILRB4 in animal models of AD and elucidate its underlying molecular mechanisms. Animal models of AD were established using 0.1% beta-aminopropionitrile and angiotensin II and an in vitro model was developed using platelet-derived growth factor BB (PDGF-BB). The effects of LILRB4 knockdown on histopathological changes, pyroptosis, phenotype transition, extracellular matrix (ECM), and Janus kinase 2 (JAK2)/signal transducers and activators of transcription 3 (STAT3) pathways were assessed using a series of in vivo and in vitro assays. The effects of the JAK2 inhibitor AG490 on AD cell function, phenotypic transition, and ECM were explored. LILRB4 was highly expressed in AD and its knockdown increased survival rate, reduced AD incidence, and alleviated histopathological changes in the AD mouse model. Furthermore, LILRB4 knockdown promoted contractile phenotype switch, stabilized the ECM, and inhibited pyroptosis. Mechanistically, LILRB4 knockdown inhibited the JAK2/STAT3 signaling pathway. JAK2 inhibitor AG490 inhibited cell viability and migration, enhanced apoptosis, induced G0/G1 cell cycle arrest, and suppressed S-phase progression in PDGF-BB-stimulated human aortic smooth muscle cells. LILRB4 knockdown suppresses AD development by inhibiting pyroptosis and the JAK2/STAT3 signaling pathway.


Asunto(s)
Disección Aórtica , Modelos Animales de Enfermedad , Janus Quinasa 2 , Piroptosis , Factor de Transcripción STAT3 , Transducción de Señal , Animales , Humanos , Masculino , Ratones , Disección Aórtica/metabolismo , Disección Aórtica/patología , Disección Aórtica/genética , Técnicas de Silenciamiento del Gen , Janus Quinasa 2/metabolismo , Janus Quinasa 2/genética , Ratones Endogámicos C57BL , Piroptosis/genética , Factor de Transcripción STAT3/metabolismo , Tirfostinos/farmacología
10.
ISME Commun ; 4(1): ycae096, 2024 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-39071848

RESUMEN

Electrogenic biofilms, which have attracted considerable attention in simultaneous wastewater treatment and energy recovery in bioelectrochemical systems, are regulated by chemical communication and potassium channel-mediated electrical signaling. However, how these two communication pathways interact with each other has not been thoroughly investigated. This study first explored the roles of chemical communication, including intracellular bis-(3'-5')-cyclic dimeric guanosine monophosphate (c-di-GMP) and extracellular N-acyl-homoserine lactone (AHL)-mediated quorum sensing, in electrogenic biofilm formation through an integrated analysis of transcriptomics and metabolomics. Electrical signaling disruption inhibited the formation and electroactivity of Geobacter sulfurreducens biofilm, which was mainly ascribed to the reduction in biofilm viability and extracellular protein/polysaccharide ratio. The upregulation of expression levels of genes encoding c-di-GMP and AHL synthesis by transcriptomic analysis, and the increased secretion of N-butanoyl-L-homoserine lactone by metabolomic analysis confirmed the enhancement of chemical communication under electrical signaling disruption, thus indicating a compensatory mechanism among different signaling pathways. Furthermore, protein-protein interaction network showed the convergence of different signaling pathways, with c-di-GMP-related genes acting as central bridges. This study highlights the interaction of different signaling pathways, especially the resilience of c-di-GMP signaling to adverse external stresses, thereby laying the foundation for facilitating electrogenic biofilm formation under adverse conditions in practical applications.

11.
Sci Data ; 11(1): 694, 2024 Jun 26.
Artículo en Inglés | MEDLINE | ID: mdl-38926452

RESUMEN

Functional traits reveal the adaptive strategies of species to their environment, and are relevant to the formation of communities, the function of ecosystems, and the mechanisms underlying biodiversity. However, trait databases have not been established for most biological taxa, especially for insects, which encompass a vast number of species. This study measured the morphological traits of 307 species of Heteroptera insects collected in 2019 from the "Xishuangbanna Priority Conservation Area" in Southwest China using sweep netting and light trapping methods. This study provides a dataset for 307 Heteroptera species, comprising 34 morphometric measurements and 17 morphological traits. The dataset contains information on species sex, abundance, and the average, maximum, and minimum values of traits. This dataset facilitates an enhanced understanding of the functional traits and ecological associations of Heteroptera insects and offers opportunities for exploring a more diverse range of research topics.


Asunto(s)
Biodiversidad , Heterópteros , Animales , China , Heterópteros/anatomía & histología , Heterópteros/clasificación , Femenino , Masculino , Ecosistema
12.
Sci Total Environ ; 945: 174043, 2024 Oct 01.
Artículo en Inglés | MEDLINE | ID: mdl-38889813

RESUMEN

Urban heat-islands reportedly expose densely populated areas to higher temperatures. However, the magnitude of the impact of extra hot-day exposure (EHDE) and its association with the effects of urbanization on a global scale remain unclear. As local climate zones (LCZs) refine the impact of differences in urban built-type on heat-island effects, this study aimed to quantify the global EHDE caused by the urban heat-island effect based on LCZs and explored the joint impacts of low gross-domestic product and an increasing vulnerable-age population on EHDE. The results showed that EHDE accounted for 48.01 % of overall hot-day exposure. Additionally, despite a significant geographic differentiation among LCZ types with the highest EHDE intensity, they are almost typically building-intensive LCZs. Furthermore, our study revealed regional differences in the structure of the EHDE share in LCZs, which support the adoption of targeted EHDE mitigation strategies.

13.
Biomed Microdevices ; 26(3): 30, 2024 06 24.
Artículo en Inglés | MEDLINE | ID: mdl-38913209

RESUMEN

Flexible electronics offer a versatile, rapid, cost-effective and portable solution to monitor water contamination, which poses serious threat to the environment and human health. This review paper presents a comprehensive exploration of the versatile platforms of flexible electronics in the context of heavy metal ion detection in water systems. The review overviews of the fundamental principles of heavy metal ion detection, surveys the state-of-the-art materials and fabrication techniques for flexible sensors, analyses key performance metrics and limitations, and discusses future opportunities and challenges. By highlighting recent advances in nanomaterials, polymers, wireless integration, and sustainability, this review aims to serve as an essential resource for researchers, engineers, and policy makers seeking to address the critical challenge of heavy metal contamination in water resources. The versatile promise of flexible electronics is thoroughly elucidated to inspire continued innovation in this emerging technology arena.


Asunto(s)
Metales Pesados , Metales Pesados/análisis , Agua/química , Electrónica , Contaminantes Químicos del Agua/análisis , Iones/química , Iones/análisis
14.
J Cardiothorac Surg ; 19(1): 273, 2024 May 03.
Artículo en Inglés | MEDLINE | ID: mdl-38702812

RESUMEN

Acute type A aortic dissection is a life-threatening cardiovascular disease characterized by rapid onset and high mortality. Emergency surgery is the preferred and reliable treatment option. However, postoperative complications significantly impact patient prognosis. Hypoxemia, a common complication, poses challenges in clinical treatment, negatively affecting patient outcomes and increasing the risk of mortality. Therefore, it is crucial to study and comprehend the risk factors and treatment strategies for hypoxemia following acute type A aortic dissection to facilitate early intervention.


Asunto(s)
Disección Aórtica , Hipoxia , Complicaciones Posoperatorias , Humanos , Disección Aórtica/cirugía , Disección Aórtica/complicaciones , Factores de Riesgo , Hipoxia/etiología , Enfermedad Aguda , Aneurisma de la Aorta Torácica/cirugía
15.
iScience ; 27(5): 109728, 2024 May 17.
Artículo en Inglés | MEDLINE | ID: mdl-38706855

RESUMEN

Global warming has led to a surge in heat health risks (HHRs), the impacts of which are particularly pronounced in metropolitan areas of developing countries. In the current study, six metropolitan areas - Beijing, China; Cairo, Egypt; Jakarta, Indonesia; Mumbai, India; Rio de Janeiro, Brazil; and Tehran, Iran - were selected as the study area to further differentiate the built-up landscapes by utilizing the concept of local climate zones. Moreover, we assessed the similarities and differences in HHR associated with the landscape. Results revealed a 30.67% higher HHR in compact built-up landscapes than in the open built-up type. Urban green spaces played an effective but differentiated role in mitigating HHR. That is, low vegetation in urbanized areas and trees in suburban areas significantly mitigated HHR. Collectively, our findings emphasize the role of effective planning and management in addressing HHR and provide empirical support for implementing HHR mitigation and adaptation strategies.

16.
Cell Rep Med ; 5(6): 101566, 2024 Jun 18.
Artículo en Inglés | MEDLINE | ID: mdl-38759649

RESUMEN

Levodopa-induced dyskinesia (LID) is an intractable motor complication arising in Parkinson's disease with the progression of disease and chronic treatment of levodopa. However, the specific cell assemblies mediating dyskinesia have not been fully elucidated. Here, we utilize the activity-dependent tool to identify three brain regions (globus pallidus external segment [GPe], parafascicular thalamic nucleus, and subthalamic nucleus) that specifically contain dyskinesia-activated ensembles. An intensity-dependent hyperactivity in the dyskinesia-activated subpopulation in GPe (GPeTRAPed in LID) is observed during dyskinesia. Optogenetic inhibition of GPeTRAPed in LID significantly ameliorates LID, whereas reactivation of GPeTRAPed in LID evokes dyskinetic behavior in the levodopa-off state. Simultaneous chemogenetic reactivation of GPeTRAPed in LID and another previously reported ensemble in striatum fully reproduces the dyskinesia induced by high-dose levodopa. Finally, we characterize GPeTRAPed in LID as a subset of prototypic neurons in GPe. These findings provide theoretical foundations for precision medication and modulation of LID in the future.


Asunto(s)
Discinesia Inducida por Medicamentos , Globo Pálido , Levodopa , Levodopa/efectos adversos , Globo Pálido/efectos de los fármacos , Globo Pálido/fisiopatología , Discinesia Inducida por Medicamentos/fisiopatología , Discinesia Inducida por Medicamentos/patología , Animales , Neuronas/efectos de los fármacos , Masculino , Optogenética , Ratones , Enfermedad de Parkinson/tratamiento farmacológico , Humanos , Núcleo Subtalámico/efectos de los fármacos , Núcleo Subtalámico/fisiopatología
17.
J Immunother Cancer ; 12(5)2024 May 15.
Artículo en Inglés | MEDLINE | ID: mdl-38754916

RESUMEN

BACKGROUND: Chimeric antigen receptor (CAR) T cell therapies specific for the CD19 and B-cell maturation antigen have become an approved standard of care worldwide for relapsed and refractory B-cell malignancies. If CAR-T cell therapy for non-hematological malignancies is to achieve the same stage of clinical development, then iterative early-phase clinical testing can add value to the clinical development process for evaluating CAR-T cell products containing different CAR designs and manufactured under differing conditions. METHODS: We conducted a phase 1 trial of third-generation GD2-specific CAR-T cell therapy, which has previously been tested in neuroblastoma patients. In this study, the GD2-CAR-T therapy was evaluated for the first time in metastatic melanoma patients in combination with BRAF/MEK inhibitor therapy, and as a monotherapy in patients with colorectal cancer and a patient with fibromyxoid sarcoma. Feasibility and safety were determined and persistence studies, multiplex cytokine arrays on sera and detailed immune phenotyping of the original CAR-T products, the circulating CAR-T cells, and, in select patients, the tumor-infiltrating CAR-T cells were performed. RESULTS: We demonstrate the feasibility of manufacturing CAR-T products at point of care for patients with solid cancer and show that a single intravenous infusion was well tolerated with no dose-limiting toxicities or severe adverse events. In addition, we note significant improvements in CAR-T cell immune phenotype, and expansion when a modified manufacturing procedure was adopted for the latter 6 patients recruited to this 12-patient trial. We also show evidence of CAR-T cell-mediated immune activity and in some patients expanded subsets of circulating myeloid cells after CAR-T cell therapy. CONCLUSIONS: This is the first report of third-generation GD2-targeting CAR-T cells in patients with metastatic melanoma and other solid cancers such as colorectal cancer, showing feasibility, safety and immune activity, but limited clinical effect. TRIAL REGISTRATION NUMBER: ACTRN12613000198729.


Asunto(s)
Inmunoterapia Adoptiva , Melanoma , Receptores Quiméricos de Antígenos , Humanos , Melanoma/inmunología , Melanoma/terapia , Inmunoterapia Adoptiva/métodos , Inmunoterapia Adoptiva/efectos adversos , Receptores Quiméricos de Antígenos/inmunología , Masculino , Femenino , Persona de Mediana Edad , Gangliósidos/inmunología , Adulto , Anciano , Linfocitos T/inmunología , Resultado del Tratamiento
19.
J Cardiothorac Surg ; 19(1): 286, 2024 May 11.
Artículo en Inglés | MEDLINE | ID: mdl-38734628

RESUMEN

Acute type A aortic dissection is a severe cardiovascular disease characterized by rapid onset and high mortality. Traditionally, urgent open aortic repair is performed after admission to prevent aortic rupture and death. However, when combined with malperfusion syndrome, the low perfusion of the superior mesenteric artery can further lead to intestinal necrosis, significantly impacting the surgery's prognosis and potentially resulting in adverse consequences, bringing. This presents great significant challenges in treatment. Based on recent domestic and international research literature, this paper reviews the mechanism, current treatment approaches, and selection of surgical methods for poor organ perfusion caused by acute type A aortic dissection. The literature review findings suggest that central aortic repair can be employed for the treatment of acute type A aortic dissection with inadequate perfusion of the superior mesenteric artery. The superior mesenteric artery can be windowed and (/or) stented, followed by delayed aortic repair. Priority should be given to revascularization of the superior mesenteric artery, followed by central aortic repair. During central aortic repair, direct blood perfusion should be performed on the distal true lumen of the superior mesenteric artery, leading to resulting in favorable therapeutic outcomes. The research results indicate that even after surgical aortic repair, intestinal ischemic necrosis may still occur. In such cases, prompt laparotomy and necessary necrotic bowel resection are crucial for saving the patient's life.


Asunto(s)
Disección Aórtica , Arteria Mesentérica Superior , Necrosis , Humanos , Disección Aórtica/cirugía , Disección Aórtica/complicaciones , Arteria Mesentérica Superior/cirugía , Intestinos/irrigación sanguínea , Intestinos/cirugía , Isquemia Mesentérica/cirugía , Isquemia/cirugía , Aneurisma de la Aorta/cirugía , Aneurisma de la Aorta/complicaciones , Enfermedad Aguda
20.
Chemosphere ; 355: 141818, 2024 May.
Artículo en Inglés | MEDLINE | ID: mdl-38548085

RESUMEN

Skeleton builders were normally deemed to improve the high porosity and newly-generated permeability of sludge cakes by building water transfer channel during high pressure filtration, thus enhancing sludge dewaterability. However, currently a direct visualization proof of water transfer channel was still lacking. This study provided the direct proof for visualizing water transfer channel in dewatered sludge cakes conditioned with a typical skeleton builder (i.e., phosphogypsum (PG)) by X-ray micro-computed tomography (micro-CT) for the first time. After the addition of PG, the pixel value and image luminance increased significantly, indicating the presence of high density substances from both two-dimensional (2D) cross section and three-dimensional (3D) reconstruction CT images. Moreover, the CT numbers showed strong and negative correlations with specific resistance to filtration (SRF) (R = - 0.99, p < 0.05), capillary suction time (CST) (regression coefficient (R) = - 0.87, probability (p) < 0.05), and water content of the dewatered sludge cake (R = - 0.99, p < 0.05), respectively. These results indicated that the X-ray micro-CT could be a potential technique for analyzing the water distribution in sludge samples conditioned with skeleton builders.


Asunto(s)
Sulfato de Calcio , Filtración , Fósforo , Aguas del Alcantarillado , Microtomografía por Rayos X , Agua , Esqueleto , Eliminación de Residuos Líquidos/métodos
SELECCIÓN DE REFERENCIAS
DETALLE DE LA BÚSQUEDA