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1.
J Sci Food Agric ; 104(5): 2718-2727, 2024 Mar 30.
Artigo em Inglês | MEDLINE | ID: mdl-37997286

RESUMO

BACKGROUND: Cherry tomatoes are nutritious and favored by consumers. Processing them into dried cherry tomatoes can prolong their storage life and improve their flavor. The pretreatment of tomato pericarp is crucial for the subsequent processing. However, the traditional physical and chemical treatments of tomato pericarp generally cause nutrient loss and environmental pollution. RESULTS: In this study, a novel enzymatic method for cherry tomatoes was performed using mixed enzymes containing cutinase, cellulase and pectinase. Results showed that the pericarp permeability of cherry tomatoes was effectively improved due to enzymatic treatment. Changes in the microscopic structure and composition of the cuticle were revealed. After treatment with different concentrations of enzymes, cherry tomatoes exhibited higher pericarp permeability and sensory quality to varying degrees. The lycopene content and total polyphenol content significantly increased 2.4- and 1.45-fold, respectively. In addition, the satisfactory effect of the six-time reuse of enzymes on cherry tomatoes could still reach the same level as the initial effect, which effectively reduced the cost of production. CONCLUSIONS: This study revealed for the first time that a mixed enzymatic treatment consisting of cutinase, pectinase and cellulase could effectively degrade the cuticle, enhance the pericarp permeability and improve the quality of cherry tomatoes, with the advantages of being mildly controllable and environmentally friendly, providing a new strategy for the processing of dried cherry tomatoes. © 2023 Society of Chemical Industry.


Assuntos
Celulases , Solanum lycopersicum , Poligalacturonase , Licopeno , Permeabilidade
2.
Macromol Rapid Commun ; 44(17): e2300175, 2023 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-37222244

RESUMO

Cellulose is a promising feedstock for the production of sustainable materials. To fully utilize its potential, exploring efficient cellulose solvents is a paramount prerequisite. In this study, ten superbase amino acid ionic liquids (SAAILs) are synthesized using 1,5-diazabicyclo[4.3.0]non-5-ene (DBN) and 1,8-diazabicyclo[5.4.0]undec-7-ene (DBU) with different amino acid anions via a simple neutralization method. The properties of these SAAILs, such as viscosity and glass transition temperature, varied with their cation and anion structures. The ability of the SAAILs to dissolve cellulose is related to their Kamlet-Taft parameters, particularly hydrogen bond basicity (ß). The main driving force for cellulose dissolution in SAAILs is thought to be hydrogen bonding interactions between SAAILs and cellulose hydroxyl groups. Four SAAILs composed of DBN or DBU cations and proline, or aspartic acid anions are identified as promising solvents for preparing regenerated cellulose films (RCFs). The RCF prepared from [DBN]Proline(Pro) showed a favorable combination of high tensile strength (76.9 MPa), high Young's modulus (5201.2 MPa), good transparency (≈70% at 550 nm), and smooth surface morphology. These halogen- and metal-free SAAILs show the potential to provide a new avenue for cellulose processing.


Assuntos
Líquidos Iônicos , Líquidos Iônicos/química , Aminoácidos , Solubilidade , Solventes , Celulose/química , Prolina , Ânions
3.
Phys Chem Chem Phys ; 25(27): 18215-18223, 2023 Jul 12.
Artigo em Inglês | MEDLINE | ID: mdl-37394949

RESUMO

The efficient production of γ-valerolactone (GVL) from renewable lignocellulose that is synthesized in plants by photosynthesis to replace the declining fossil resources conforms to the principles of circular economy. Compared to direct hydrogenation by H2 molecules, catalytic transfer hydrogenation (CTH) of levulinic acid (LA) and/or its esters to GVL with organic alcohols as a hydrogen source is a much milder route. The synergistic catalysis between Lewis and Brønsted acids is indispensable in the CTH process. Considering that unsaturated coordinated Zr species could act as Lewis acid sites and phosphotungstic acid (PTA) could dissociate protons as Brønsted acid sites, UiO-66 (Zr) was thus "acidified" by encapsulating PTA in its channels to tune the ratio of Brønsted to Lewis acid sites as a bifunctional catalyst so as to better understand the catalytic structure-performance relationship in the CTH process. To address the dilemma of encapsulated PTA that is prone to leach, a rapid surface sealing strategy was adopted to establish a polyimide (PI) coating over the surface of UiO-66 introducing a space confinement effect via an anhydride-amine coupling reaction. The as-synthesized PTA/UiO-66@PI catalyst exhibited 100% of LA conversion, a 93.2% of GVL yield and high recyclability for at least five consecutive cycles. Moreover, a reaction pathway followed by esterification, hydrogenation and dealcoholization as well as a catalytic hydrogenation mechanism based on intermolecular hydride ß-H transfer were proposed. Current work not only provides a high-performance and high-stability catalytic system to selectively produce GVL from LA or its esters, but also sheds light on the catalytic mechanism of the CTH process at the molecular level.

4.
Phys Chem Chem Phys ; 25(36): 24377-24385, 2023 Sep 20.
Artigo em Inglês | MEDLINE | ID: mdl-37681280

RESUMO

Cu/SiO2 is one of the most promising catalysts for the furfural (FF) hydrogenation reaction but suffers from the difficulty of tailoring the microstructure and surface properties. Herein, we developed a MOF-derived Cu/SiO2 catalyst (Cu/SiO2-MOF) for FF hydrogenation to 2-methyl furan (2-MF). In comparison with Cu/SiO2 catalysts prepared from ammonia evaporation (Cu/SiO2-AE) and traditional impregnation (Cu/SiO2-TI), the copper species in Cu/SiO2-MOF could not only be anchored on the silica surface via forming Cu-O-Si bonds but also exposed many more active sites. In this way, a higher ratio of Cu+/(Cu+ + Cu0) and richer oxygen defects were constructed via strong metal-support interactions, which were responsible for the superior catalytic performance. In addition, it was found that the solvent effect on product distribution played an important role in adjusting the selectivity to 2-MF and cyclopentanone (CPO). The present work not only provides a deep insight into the catalytic mechanism of Cu/SiO2-MOF for the FF hydrogenation reaction but also sheds light on the design and synthesis of highly efficient catalysts for other heterogeneous catalysis fields.

5.
Angew Chem Int Ed Engl ; 62(22): e202302462, 2023 May 22.
Artigo em Inglês | MEDLINE | ID: mdl-36973169

RESUMO

Carbonyl functional materials as additives are extensively applied to reduce the defects density of the perovskite film. However, there is still a lack of comprehensive understanding for the effect of carbonyl additives to improve device performance. In this work, we systematically study the effect of carbonyl additive molecules on the passivation of defects in perovskite films. After a comprehensive investigation, the results confirm the importance of molecular dipole in amplifying the passivation effect of additive molecules. The additive with strong molecular dipole possesses the advantages of enhancing the efficiency and stability of perovskite solar cells (PSCs). After optimization, the companion efficiency of PSCs is 23.20 %, and it can maintain long-term stability under harsh conditions. Additionally, a large-area solar cell module-modified DLBA was 20.18 % (14 cm2 ). This work provides an important reference for the selection and designing of efficient carbonyl additives.

6.
Angew Chem Int Ed Engl ; 62(45): e202313133, 2023 Nov 06.
Artigo em Inglês | MEDLINE | ID: mdl-37735100

RESUMO

Introducing fluorine (F) groups into a passivator plays an important role in enhancing the defect passivation effect for the perovskite film, which is usually attributed to the direct interaction of F and defect states. However, the interaction between electronegative F and electron-rich passivation groups in the same molecule, which may influence the passivation effect, is ignored. We herein report that such interactions can vary the electron cloud distribution around the passivation groups and thus changing their coordination with defect sites. By comparing two fluorinated molecules, heptafluorobutylamine (HFBM) and heptafluorobutyric acid (HFBA), we find that the F/-NH2 interaction in HFBM is stronger than the F/-COOH one in HFBA, inducing weaker passivation ability of HFBM than HFBA. Accordingly, HFBA-based perovskite solar cells (PSCs) provide an efficiency of 24.70 % with excellent long-term stability. Moreover, the efficiency of a large-area perovskite module (14.0 cm2 ) based on HFBA reaches 21.13 %. Our work offers an insight into understanding an unaware role of the F group in impacting the passivation effect for the perovskite film.

7.
Molecules ; 27(22)2022 Nov 18.
Artigo em Inglês | MEDLINE | ID: mdl-36432118

RESUMO

The poor water solubility, large particle size, and low accessibility of cellulose, the most abundant bioresource, have restricted its generalization to carbon dots (CDs). Herein, nitrogen and sulfur co-doped fluorescent carbon dots (N, S-CDs) were hydrothermally synthesized using cellulose nanocrystals (CNC) as a carbon precursor, exhibiting a small particle size and excellent aqueous dispersion. Thiourea was selected as a nitrogen and sulfur dopant to introduce abundant fluorescent functional groups into N, S-CDs. The resulting N, S-CDs exhibited nanoscale size (6.2 nm), abundant functional groups, bright blue fluorescence, high quantum yield (QY = 27.4%), and high overall yield (16.2%). The excellent optical properties of N, S-CDs endowed it to potentially display a highly sensitive fluorescence "turn off" response to rutin. The fluorescence response for rutin allowed a wide linear range of 0-40 mg·L-1, with a limit of detection (LOD) of 0.02 µM, which revealed the potential of N, S-CDs as a rapid and simple sensing platform for rutin detection. In addition, the sustainable and large-scale production of the N, S-CDs in this study paves the way for the successful high-value utilization of cellulose.


Assuntos
Nanopartículas , Pontos Quânticos , Carbono/química , Nitrogênio/química , Celulose , Pontos Quânticos/química , Rutina , Enxofre/química , Corantes
8.
Water Sci Technol ; 86(8): 2032-2044, 2022 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-36315094

RESUMO

Pulp and paper wastewater (PPWW) contains numerous refractory and harmful contaminants that require advanced treatment to meet the discharge criteria. This study compared the efficacy of two PPWW treatments: ultraviolet/peroxymonosulfate (UV/PMS) and ultraviolet/H2O2 (UV/H2O2) working under similar circumstances. The initial pH value, oxidant dosage, UV radiation intensity, and pseudo-first-order constant kobs were systematically studied in both systems. Optimally, the UV/PMS process produced an effluent of higher quality than the UV/H2O2, as measured by the removal efficiencies of chemical oxygen demand (COD) in 60 min, which were 48.2 and 64.3% for the respective UV/H2O2 and UV/PMS processes and corresponding kobs values of 0.0102 and 0.0159 min-1, respectively. Radical scavenging experiments demonstrated that •OH was the primary reactive oxygen species in UV/H2O2 process, and •OH and SO4-• in the UV/PMS process. Moreover, ultraviolet-visible spectroscopy and gas chromatography coupled mass spectroscopy analyses showed that deep treatment of petroleum hydrocarbons with carbon chain lengths greater than 18 and macromolecular semi-volatile organic compounds in paper wastewater is difficult, whereas the UV/PMS process can significantly improve the removal of amides, esters, phenols, and other aromatic compounds.


Assuntos
Águas Residuárias , Poluentes Químicos da Água , Águas Residuárias/química , Raios Ultravioleta , Peróxido de Hidrogênio/química , Poluentes Químicos da Água/química , Oxirredução
9.
Health Qual Life Outcomes ; 18(1): 349, 2020 Oct 22.
Artigo em Inglês | MEDLINE | ID: mdl-33092600

RESUMO

BACKGROUND: The aim of this study is to investigate the reliability, validity, and responsiveness of JOACMEQ for CSM patients in mainland China. METHODS: A retrospective review was performed on 91 patients with CSM in our hospital from March 2015 to June 2015. Patients completed the JOACMEQ, the mJOA and the SF-36 questionnaires during the process. Cronbach's α was used to evaluate the internal consistency reliability, and test-retest reliability was checked. An exploratory factor analysis was used to determine the correlations among the JOACMEQ questions and the construct validity. The concurrent validity was assessed by Spearman correlation coefficient. The internal responsiveness was determined by effect sizes and standardized response means. External responsiveness was determined by the area under the receiver operating characteristic curve on the basis of the Youden Index. RESULTS: The mean age of patients was 57.61 years old. The mean follow-up was 24 months. JOACMEQ showed a good internal consistency (Cronbach's α, 0.897). Test-retest reliability showing good result (Pearson's correlation, 0.695-0.905). Our data were amenable to factor analysis (KMO = 0.816, Bartlett's test, χ2(45) = 1199.99, p < 0.001), and five factors above 1 were strongly loaded and clustered for each of the five factors. Comparing the scales preoperative to those 2 years postoperative, the average scores of the subscales all increased, and both the ES and SRM showing satisfied responsiveness. In external responsiveness analysis, the recovery rate a appeared to be most responsive to post-operative improvement. CONCLUSIONS: The Simplified Chinese version of JOACMEQ was well-developed with great reliability and sensitive responsiveness. Our study demonstrated that JOACMEQ has content psychometric properties to identify postoperative improvements in CSM patients.


Assuntos
Qualidade de Vida , Compressão da Medula Espinal/psicologia , Inquéritos e Questionários/normas , Adulto , Idoso , Vértebras Cervicais , China , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Reprodutibilidade dos Testes , Estudos Retrospectivos
10.
Br J Neurosurg ; 31(1): 33-38, 2017 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-27425571

RESUMO

PURPOSE: This study is to share our experience of a modified anterior cervical discectomy and fusion (ACDF) procedure with a new source of autograft bone for interbody fusion. METHODS: The same procedure was performed in 893 cases where autograft was obtained from the osteophytes and/or the reams of vertebrae. For each case, radiological fusion rate and clinical outcome were followed up for 3 and 12 months after surgery. RESULTS: For one to three-level ACDF, fusion rates were from 67.8% to 75.4% at 3 months follow-up, and 92% to 98.8% at 12 months follow-up. Patients' VAS, NDI, JOA and SF-36 score improve significantly at 12 months follow-up. CONCLUSION: Osteophytes and vertebral reams can be a reliable source of bone graft that leads to high fusion rate and successful clinical outcome while avoiding all the problems with the current bone grafting methods used in ACDF surgery.


Assuntos
Transplante Ósseo/métodos , Transplante de Células/métodos , Vértebras Cervicais/cirurgia , Discotomia/métodos , Osteófito , Fusão Vertebral/métodos , Adulto , Idoso , Idoso de 80 Anos ou mais , Vértebras Cervicais/diagnóstico por imagem , Descompressão Cirúrgica , Feminino , Humanos , Processamento de Imagem Assistida por Computador , Masculino , Pessoa de Meia-Idade , Estudos Retrospectivos , Doenças da Coluna Vertebral/diagnóstico por imagem , Doenças da Coluna Vertebral/cirurgia , Coluna Vertebral/cirurgia , Tomografia Computadorizada por Raios X , Resultado do Tratamento
11.
Zhonghua Yi Xue Za Zhi ; 96(5): 349-53, 2016 Feb 02.
Artigo em Zh | MEDLINE | ID: mdl-26875713

RESUMO

OBJECTIVE: To investigate the relationship of pre-operative clinical related factors with the outcome of surgical treatment in patients with Hirayama disease. METHODS: A total of 46 consecutive patients with Hirayama disease treated by anterior cervical discectomy decompression and fusion in Peking University Third Hospital from October 2006 to January 2014 were reviewed retrospectively. Odom's criteria was used to evaluate the subjective outcome of surgical treatment. Five pre-operative factors were collected including duration of disease at the time of treatment, age of onset, extremity involvement, gross hand function score and fine hand function score. The correlation between these five clinical related factors and postoperative outcome was evaluated with Logistic regression. The receiver operating characteristic (ROC) curve and area under the ROC curve were used to evaluate the significant result of Logistic regression and the optimal diagnostic value. RESULTS: A total of 40 in 46 (87.0%) patients with complete clinical and radiographic follow-up data were included in this study. The mean follow-up period was 48.6 months (12-98 months). All patients were male. The outcome at the final follow-up according to Odom's criteria was: Excellent 5 cases, Good 21 cases, Fair 14 cases and no Poor case. Only two pre-operative factors, age of onset and gross hand function score, showed statistical correlation with the post-operative outcome assessment by Logistic regression. ROC analysis showed that the area under the ROC curve of age of onset and gross hand function score were 0.790 and 0.793 respectively. The optimal predictive threshold was 15.5 years old and 5.5 points respectively. CONCLUSIONS: Age of onset and gross hand function score were two pre-operative factors correlated with the post-operative outcome. These two factors could be used to predict the outcome of surgical treatment of Hirayama disease preoperatively.


Assuntos
Vértebras Cervicais , Atrofias Musculares Espinais da Infância , Descompressão Cirúrgica , Discotomia , Humanos , Masculino , Período Pós-Operatório , Cuidados Pré-Operatórios , Curva ROC , Estudos Retrospectivos , Resultado do Tratamento
12.
Eur Spine J ; 24(12): 2918-23, 2015 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-26324283

RESUMO

PURPOSE: The purpose of this study was to evaluate the application of the minimum clinically important difference (MCID) concept to postoperative clinical results by using a prospective cohort study in Chinese patients with cervical spondylotic myelopathy (CSM). METHODS: The sample consisted of 113 patients who underwent surgical treatment for CSM in our hospital between February 2008 and November 2012. The preoperative and 1-year postoperative modified Japanese Orthopaedic Association (mJOA) scores, mJOA score recovery rate, physical component summary (PCS) and mental component summary (MCS) of the Short Form 36 were collected. The MCID of each outcome measurement was calculated by four approaches including average change, minimum detectable change, change difference and receiver operating characteristic curve. The responsiveness of each measurement was then analyzed. RESULTS: The patients presented a statistically significant improvement (p < 0.01) postoperatively in mJOA, PCS, and MCS. The MCID calculated by four approaches varied from 4.09 to 9.62 for the PCS, 3.11 to 7.41 for the MCS, 1.25 to 3.07 for mJOA score, and 31.37 to 44.02% for mJOA recovery rate. In addition, the improvement of the mJOA score owned the highest responsiveness of the four outcome measurements. CONCLUSIONS: The threshold value of the MCID was determined by the choice of the assessment approach. In addition, the recovery rate of the mJOA score appeared to be the most valid and responsive measure of effectiveness of surgery in CSM patients.


Assuntos
Vértebras Cervicais/cirurgia , Doenças Neurodegenerativas/diagnóstico , Qualidade de Vida , Doenças da Medula Espinal/cirurgia , Espondilose/cirurgia , Adulto , Idoso , Idoso de 80 Anos ou mais , Feminino , Nível de Saúde , Humanos , Masculino , Pessoa de Meia-Idade , Exame Neurológico , Estudos Prospectivos , Curva ROC , Doenças da Medula Espinal/fisiopatologia , Doenças da Medula Espinal/psicologia , Espondilose/fisiopatologia , Espondilose/psicologia , Resultado do Tratamento
13.
Eur Spine J ; 24(1): 127-35, 2015 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-25307698

RESUMO

PURPOSE: The aim of this study was to investigate how the severity of operative invasion to the posterior muscular-ligament complex impacts postoperative cervical sagittal balance. MATERIALS AND METHODS: Ninety cases of open-door expansive laminoplasty due to cervical spondylotic myelopathy were reviewed. Fifty-three patients underwent laminoplasty with unilateral preservation of the muscular-ligament complex (unilateral elevation group). Thirty-seven patients underwent traditional open-door laminoplasty (bilateral elevation group). Preoperative and postoperative cervical sagittal parameters, including C2-C7 sagittal vertical axis (SVA), C0-2 Cobb angle and T1 slope, were compared. The cervical curvature, range of motion (ROM) and JOA score were also compared. RESULTS: The average follow-up time was 16.7 months (range 3-40 months). C2-C7 SVA significantly increased in the bilateral elevation group (+4.9 mm, P = 0.005) but remained unchanged in the unilateral elevation group (-0.2 mm, P = 0.414). The C0-2 Cobb angle increased in both groups (+4.1°, P < 0.001; +2.5°, P = 0.002). The T1 slope also increased in both groups (+1.1°, P = 0.015; +0.7°, P = 0.042). The postoperative C3-C7 curvature significantly decreased in the bilateral elevation group (-4.1°, P < 0.001). The C3-C7 ROM decreased in both groups (-17.9°, P < 0.001; -15.1°, P < 0.001). C2-C7 SVA was positively correlated with the T1 slope (Pearson = 0.468, P < 0.001) and negatively correlated with the C3-C7 curvature (Pearson = -0.322, P = 0.001). The C0-2 Cobb angle was positively correlated with C2-C7 SVA (Pearson = 0.303, P = 0.004) and negatively correlated with the C3-C7 curvature (Pearson = -0.362, P < 0.001). There was no significant between-group difference in the JOA improvement rate. CONCLUSIONS: Open-door laminoplasty significantly affected postoperative cervical sagittal balance, with the cervical vertebra appearing to tilt forward. As the severity of surgical invasion to the posterior muscular-ligament complex increased, the loss of cervical sagittal balance also increased.


Assuntos
Vértebras Cervicais/cirurgia , Laminoplastia/métodos , Ligamentos/cirurgia , Músculos Paraespinais/cirurgia , Espondilose/cirurgia , Adulto , Idoso , Vértebras Cervicais/diagnóstico por imagem , Feminino , Seguimentos , Humanos , Masculino , Pessoa de Meia-Idade , Radiografia , Espondilose/diagnóstico por imagem
14.
Zhonghua Yi Xue Za Zhi ; 95(37): 3008-11, 2015 Oct 06.
Artigo em Zh | MEDLINE | ID: mdl-26814080

RESUMO

OBJECTIVE: To investigate the clinical efficacy of cervical anterior internal fixation and bone grafting fusion by comparative analyzing hand dysfunction in Hirayama disease patients using Jebsen-Taylor Test (JTT). METHODS: From Feb 2010 to Jan 2014, 20 hirayama disease patients who underwent surgery were enrolled in Department of Orthopaedics, Peking University Third Hospital. JTT were evaluated for the 20 patients before and after surgery. Among them, 9 patients were evaluated before and at three months, one year and more than 2 years after surgery. RESULTS: All sections of the JTT scale indicated that the patients with CSM exhibited a significant impairment compared with healthy adults. Each scale of JTT was improved after surgery in addition to picking up small objects and placing them in a can and simulated feeding. The whole time were improved from 72.3 s to 60.2 s. CONCLUSION: JJT is a valid efficacy evaluation in assessing the impairment of hand and upper extremities of patients with Hirayama disease and the surgery can improve patients' hand function.


Assuntos
Mãos , Atrofias Musculares Espinais da Infância , Transplante Ósseo , Humanos , Resultado do Tratamento
15.
JAMA ; 311(5): 479-89, 2014 Feb 05.
Artigo em Inglês | MEDLINE | ID: mdl-24240777

RESUMO

IMPORTANCE: Although the benefit of reducing blood pressure for primary and secondary prevention of stroke has been established, the effect of antihypertensive treatment in patients with acute ischemic stroke is uncertain. OBJECTIVE: To evaluate whether immediate blood pressure reduction in patients with acute ischemic stroke would reduce death and major disability at 14 days or hospital discharge. DESIGN, SETTING, AND PARTICIPANTS: The China Antihypertensive Trial in Acute Ischemic Stroke, a single-blind, blinded end-points randomized clinical trial, conducted among 4071 patients with nonthrombolysed ischemic stroke within 48 hours of onset and elevated systolic blood pressure. Patients were recruited from 26 hospitals across China between August 2009 and May 2013. INTERVENTIONS: Patients (n = 2038) were randomly assigned to receive antihypertensive treatment (aimed at lowering systolic blood pressure by 10% to 25% within the first 24 hours after randomization, achieving blood pressure less than 140/90 mm Hg within 7 days, and maintaining this level during hospitalization) or to discontinue all antihypertensive medications (control) during hospitalization (n = 2033). MAIN OUTCOMES AND MEASURES: Primary outcome was a combination of death and major disability (modified Rankin Scale score ≥3) at 14 days or hospital discharge. RESULTS: Mean systolic blood pressure was reduced from 166.7 mm Hg to 144.7 mm Hg (-12.7%) within 24 hours in the antihypertensive treatment group and from 165.6 mm Hg to 152.9 mm Hg (-7.2%) in the control group within 24 hours after randomization (difference, -5.5% [95% CI, -4.9 to -6.1%]; absolute difference, -9.1 mm Hg [95% CI, -10.2 to -8.1]; P < .001). Mean systolic blood pressure was 137.3 mm Hg in the antihypertensive treatment group and 146.5 mm Hg in the control group at day 7 after randomization (difference, -9.3 mm Hg [95% CI, -10.1 to -8.4]; P < .001). The primary outcome did not differ between treatment groups (683 events [antihypertensive treatment] vs 681 events [control]; odds ratio, 1.00 [95% CI, 0.88 to 1.14]; P = .98) at 14 days or hospital discharge. The secondary composite outcome of death and major disability at 3-month posttreatment follow-up did not differ between treatment groups (500 events [antihypertensive treatment] vs 502 events [control]; odds ratio, 0.99 [95% CI, 0.86 to 1.15]; P = .93). CONCLUSION AND RELEVANCE: Among patients with acute ischemic stroke, blood pressure reduction with antihypertensive medications, compared with the absence of hypertensive medication, did not reduce the likelihood of death and major disability at 14 days or hospital discharge. TRIAL REGISTRATION: clinicaltrials.gov Identifier: NCT01840072.


Assuntos
Anti-Hipertensivos/uso terapêutico , Pressão Sanguínea/efeitos dos fármacos , Isquemia Encefálica , Hipertensão/tratamento farmacológico , Idoso , Isquemia Encefálica/complicações , Isquemia Encefálica/mortalidade , Isquemia Encefálica/fisiopatologia , Pessoas com Deficiência , Feminino , Humanos , Hipertensão/complicações , Masculino , Pessoa de Meia-Idade , Alta do Paciente , Método Simples-Cego , Acidente Vascular Cerebral/complicações , Acidente Vascular Cerebral/mortalidade , Acidente Vascular Cerebral/fisiopatologia , Fatores de Tempo , Resultado do Tratamento
16.
Zhonghua Yi Xue Za Zhi ; 94(35): 2726-30, 2014 Sep 23.
Artigo em Zh | MEDLINE | ID: mdl-25533976

RESUMO

OBJECTIVE: To explore the changes of sagittal balance of cervical spine after open-door expansive laminoplasty. METHODS: The clinical and radiological data were analyzed retrospectively for 90 patients undergoing open-door expansive laminoplasty due to cervical spondylotic myelopathy. The Japanese Orthopedic Association (JOA) score and 3 cervical sagittal parameters including C2-C7 SVA, C0-2 Cobb angle and T1-Slope on lateral view radiographs were recorded before operation and at the final follow-up. RESULTS: The average follow-up period was 16.7 (3-40) months. The post-operative JOA score rose to 14.6 ± 0.2 from pre-operative 12.2 ± 0.3 with 43.5% ± 4.2% recovery rate. The post-operative values of C2-C7 SVA, C0-2 Cobb angle and T1-Slope were significantly different from pre-operative ones (P = 0.022, P < 0.001, P = 0.002) . C2-C7 SVA increased to (23.0 ± 1.2) mm from pre-operative (20.7 ± 1.1) mm. C0-2 Cobb angle increased (23.1 ± 0.8) ° from pre-operative (19.9 ± 0.8)°; T1-Slope increased to (26.2 ± 0.7)° from pre-operative (25.1 ± 0.7)°. The changes of C0-2 Cobb angle and T1-Slope were correlated with that of C2-C7 SVA respectively (Pearson = 0.469, P < 0.001) (Pearson = 0.303, P = 0.004) . Patients with higher preoperative T1-Slope had less JOA improvement (31.5% vs 53.7%, P = 0.019) than those with lower preoperative T1-Slope after laminoplasty. CONCLUSION: The sagittal balance of cervical spine significantly changes after open-door expansive laminoplasty with forward tilting of cervical vertebra. And compensation occurs by excessive high-strength contraction of posterior muscles to maintain lordosis in upper cervical spine. A higher pre-OP T1-Slope affects the outcomes of open-door expansive laminoplasty.


Assuntos
Vértebras Cervicais , Laminoplastia , Doenças da Medula Espinal , Povo Asiático , Humanos , Pescoço , Período Pós-Operatório , Estudos Retrospectivos
17.
Zhonghua Wai Ke Za Zhi ; 52(10): 745-9, 2014 Oct.
Artigo em Zh | MEDLINE | ID: mdl-25573213

RESUMO

OBJECTIVES: To investigate the effect of C(2-7) laminoplasty on postoperative anterior cord space (ACS) compared with C(3-7) laminoplasty, and to provide evidence for reasonable enlargement of decompression range cephalad. METHODS: Fifty-seven Patients underwent cervical laminoplasty from February 2008 to October 2011 were studied retrospectively, which were divided into two groups by decompression range: Group C(3-7) and Group C(2-7). The pre-and post operative JOA scores,VAS scores of neek and shoulder pain, and cervical alignment were compared in each group. The postoperative ACS at each level from C(2-3) to C(7)-T(1) measured on MRI were compared between the two groups. RESULTS: The postoperative JOA scores increased significantly in both groups. VAS scores and cervical alignment showed no significant difference. ACS at C(2-3) and C(3-4) was 6.13 mm (95%CI: 5.71-6.55) and 6.60 mm (95%CI: 6.10-7.11) respectively in Group C(3-7), which increased 2.5 mm and 2.1 mm respectively in Group C2-7 at the same segment, there was significant difference (P < 0.01). However, there was no significant difference of ACS at C(4-5) and any other caudal levels between the two groups. CONCLUSIONS: Compared with conventional C(3-7) laminoplasty, the extensive decompression cephalad to C(2) leads to larger ACS at C(2-3) and C(3-4). When the mid-sagittal diameter of anterior compression is more than 6.10 mm at C(3-4), C(3-7) laminoplasty may cause insufficient decompression, and enlargement of decompression range cephalad should be considered.


Assuntos
Vértebras Cervicais/cirurgia , Descompressão Cirúrgica/estatística & dados numéricos , Laminoplastia , Humanos , Imageamento por Ressonância Magnética , Período Pós-Operatório , Estudos Retrospectivos , Resultado do Tratamento
18.
J Hazard Mater ; 465: 133074, 2024 Mar 05.
Artigo em Inglês | MEDLINE | ID: mdl-38029591

RESUMO

Public health depends on indoor air quality (IAQ), hence soft measurement techniques must be implemented in the subway environment for more precise and reliable monitoring of indoor particulate matter concentration levels. Adaptive boosting (AdaBoost), an ensemble learning technique, is simple to code and less prone to overfitting. Compared to a single model, it is better able to take into consideration the intricate elements included in air quality data. It is suggested to use an adaptive boosting of long short-term memory (AdaBoost-LSTM) model and kernel principal component analysis (KPCA) for ensemble learning. The kernel function and PCA are first coupled to create KPCA, which is a nonlinear dimensionality reduction method for IAQ. This removes the negative impacts of noise interference. The learning performance of LSTM is then enhanced using AdaBoost as an ensemble learning technique. The KPCA-AdaBoost-LSTM model can deliver higher modeling performance, according to the results. The R2 reached 0.9007 and 0.8995 when predicting PM2.5 in the hall and platform. SHapley Additive exPlanations (SHAP) analysis was used to interpret the input contributions of the model, enhancing the interpretability and transparency of the proposed soft sensor.

19.
Int J Biol Macromol ; 254(Pt 3): 127958, 2024 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-37951428

RESUMO

Flexible wearable devices are garnering significant interest, with conductive hydrogels emerging as a particularly notable category. While many of these hydrogels offer impressive conductivity, they often lack the innate ability to adhere autonomously to human skin. The ideal hydrogel should possess both superior adhesion properties and a wide responsive range. This study introduces a novel double-network conductive hydrogel, synthesized from lignosulfonate sodium and ionic liquid using a one-pot method. The gel's mechanical robustness (fracture elongation of ∼3500 % and tensile strength of ∼130 kPa) and exceptional conductivity sensing performance arise from the synergistic effects of electrostatic interactions, dynamic hydrogen bonding, and a three-dimensional network structure. Additionally, the phenolic hydroxyl and sulfonic groups from lignosulfonate sodium imbue the hydrogel with adhesive qualities, allowing it to easily bond with varied material surfaces. This hydrogel excels in human physiological signal detection and wireless monitoring, demonstrating a rapid response time (149 ms) and high sensitivity (a maximum gauge factor of 10.9 for strains between 400 and 600 %). Given these properties, the flexible, self-adhesive, and conductive hydrogel showcases immense promise for future applications in wearable devices and wireless transmission sensing.


Assuntos
Líquidos Iônicos , Humanos , Confiabilidade dos Dados , Condutividade Elétrica , Hidrogéis
20.
Int J Biol Macromol ; 273(Pt 1): 133070, 2024 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-38866292

RESUMO

In recent years, researchers have put much attention on the improvements and upgrades of novel wet strength agent in the papermaking fields, especially in the usage of household paper. Herein, PEIM-KH560 by polyethyleneimine (PEI) and γ-glycidyl ether propyl trimethoxysilane (KH560) was synthesized with five molecular weights (Mw) of PEI at 600, 1800, 10,000, 70,000 and 750,000. Results showed that the molecular weight greatly influenced the physicochemical properties of PEI-KH560, such as the size and thermal stability. The intrinsic cationic charge of PEI-KH560 provided the bonding sites with the paper fibers, forming strengthened fiber-fiber joints. It was shown that the dry, wet strength and hydrophobicity of cellulosic paper sheets were obviously improved. When the m (PEI):m(KH560) is 1:2, the strength of papers after sizing by Mw of PEI at 600 and 1800 is the most obvious, with the dry strength increased by 227.9 % and 187.5 %, and the wet strength increased by 183.8 % and 207.8 %, respectively. The maximum hydrophobicity was found at the PEI1800-KH560 with the contact angle value of 130.6°. The resultant environmental-friendly agent (PEI-KH560) obtained in this work provides valuable significance for the preparation of household and food packaging paper.


Assuntos
Interações Hidrofóbicas e Hidrofílicas , Peso Molecular , Papel , Polietilenoimina , Polietilenoimina/química , Silanos/química , Propriedades de Superfície
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