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1.
J Nanobiotechnology ; 22(1): 149, 2024 Apr 04.
Artículo en Inglés | MEDLINE | ID: mdl-38570846

RESUMEN

BACKGROUND: Myocardial infarction (MI), a representative form of ischemic heart disease, remains a huge burden worldwide. This study aimed to explore whether extracellular vesicles (EVs) secreted from hyaluronic acid (HA)-primed induced mesenchymal stem cells (HA-iMSC-EVs) could enhance the cardiac repair after MI. RESULTS: HA-iMSC-EVs showed typical characteristics for EVs such as morphology, size, and marker proteins expression. Compared with iMSC-EVs, HA-iMSC-EVs showed enhanced tube formation and survival against oxidative stress in endothelial cells, while reduced reactive oxygen species (ROS) generation in cardiomyocytes. In THP-1 macrophages, both types of EVs markedly reduced the expression of pro-inflammatory signaling players, whereas HA-iMSC-EVs were more potent in augmenting anti-inflammatory markers. A significant decrease of inflammasome proteins was observed in HA-iMSC-EV-treated THP-1. Further, phospho-SMAD2 as well as fibrosis markers in TGF-ß1-stimulated cardiomyocytes were reduced in HA-iMSC-EVs treatment. Proteomic data showed that HA-iMSC-EVs were enriched with multiple pathways including immunity, extracellular matrix organization, angiogenesis, and cell cycle. The localization of HA-iMSC-EVs in myocardium was confirmed after delivery by either intravenous or intramyocardial route, with the latter increased intensity. Echocardiography revealed that intramyocardial HA-iMSC-EVs injections improved cardiac function and reduced adverse cardiac remodeling and necrotic size in MI heart. Histologically, MI hearts receiving HA-iMSC-EVs had increased capillary density and viable myocardium, while showed reduced fibrosis. CONCLUSIONS: Our results suggest that HA-iMSC-EVs improve cardiac function by augmenting vessel growth, while reducing ROS generation, inflammation, and fibrosis in MI heart.


Asunto(s)
Células Madre Mesenquimatosas , Infarto del Miocardio , Humanos , Ácido Hialurónico/farmacología , Células Endoteliales/metabolismo , Especies Reactivas de Oxígeno/metabolismo , Proteómica , Infarto del Miocardio/terapia , Infarto del Miocardio/patología , Miocitos Cardíacos/metabolismo , Células Madre Mesenquimatosas/metabolismo , Fibrosis
2.
Am J Emerg Med ; 77: 29-38, 2024 Mar.
Artículo en Inglés | MEDLINE | ID: mdl-38096637

RESUMEN

OBJECTIVE: The manual recording of electronic health records (EHRs) by clinicians in the emergency department (ED) is time-consuming and challenging. In light of recent advancements in large language models (LLMs) such as GPT and BERT, this study aimed to design and validate LLMs for automatic clinical diagnoses. The models were designed to identify 12 medical symptoms and 2 patient histories from simulated clinician-patient conversations within 6 primary symptom scenarios in emergency triage rooms. MATERIALS AND METHOD: We developed classification models by fine-tuning BERT, a transformer-based pre-trained model. We subsequently analyzed these models using eXplainable artificial intelligence (XAI) and the Shapley additive explanation (SHAP) method. A Turing test was conducted to ascertain the reliability of the XAI results by comparing them to the outcomes of tasks performed and explained by medical workers. An emergency medicine specialist assessed the results of both XAI and the medical workers. RESULTS: We fine-tuned four pre-trained LLMs and compared their classification performance. The KLUE-RoBERTa-based model demonstrated the highest performance (F1-score: 0.965, AUROC: 0.893) on human-transcribed script data. The XAI results using SHAP showed an average Jaccard similarity of 0.722 when compared with explanations of medical workers for 15 samples. The Turing test results revealed a small 6% gap, with XAI and medical workers receiving the mean scores of 3.327 and 3.52, respectively. CONCLUSION: This paper highlights the potential of LLMs for automatic EHR recording in Korean EDs. The KLUE-RoBERTa-based model demonstrated superior classification performance. Furthermore, XAI using SHAP provided reliable explanations for model outputs. The reliability of these explanations was confirmed by a Turing test.


Asunto(s)
Aprendizaje Profundo , Procesamiento de Lenguaje Natural , Humanos , Inteligencia Artificial , Reproducibilidad de los Resultados , Triaje
3.
Bioorg Chem ; 130: 106260, 2023 01.
Artículo en Inglés | MEDLINE | ID: mdl-36410114

RESUMEN

Expression of heat shock protein (HSP) correlates with the oncogenic status of malignant cells and plays an important role in tumorigenesis. HSP27 is constitutively expressed at specific stages of cancer development, and several clinical trials have reported correlations between HSP27 expression and tumor progression, metastasis, and chemoresistance in various types of cancer cells. These findings indicate that HSP27 is a major drug target, particularly in chemo-resistant cancers. As part of our ongoing efforts to improve the previously identified J2, a HSP27 cross-linker, we, in this study, report the identification of NK16 as a novel inducer of abnormal HSP27 dimers that did not affect the expression of HSP90 in an NCI-H460 lung cancer cell model. When NCI-H460 cells were treated with NK16 in combination with the anticancer drug cisplatin or paclitaxel, cleavage of PARP and caspase-3 was increased compared to administration of cisplatin or paclitaxel alone. Similar results were obtained in an NCI-H460-xenografted mouse model, in which tumor growth was suppressed more by co-administration of NK16 and paclitaxel than by paclitaxel alone. We propose NK16 as a meaningful strategy to improve the anticancer efficacy of cisplatin and paclitaxel.


Asunto(s)
Antineoplásicos , Neoplasias Pulmonares , Animales , Ratones , Antineoplásicos/farmacología , Cisplatino , Modelos Animales de Enfermedad , Proteínas de Choque Térmico , Proteínas de Choque Térmico HSP27 , Neoplasias Pulmonares/tratamiento farmacológico , Paclitaxel/farmacología
4.
Plant J ; 108(4): 1162-1173, 2021 11.
Artículo en Inglés | MEDLINE | ID: mdl-34559918

RESUMEN

Zinc (Zn) is essential for normal plant growth and development. The Zn-regulated transporter, iron-regulated transporter (IRT)-like protein (ZIP) family members are involved in Zn transport and cellular Zn homeostasis throughout the domains of life. In this study, we have characterized four ZIP transporters from Arabidopsis thaliana (IRT3, ZIP4, ZIP6, and ZIP9) to better understand their functional roles. The four ZIP proteins can restore the growth defect of a yeast Zn uptake mutant and are upregulated under Zn deficiency. Single and double mutants show no phenotypes under Zn-sufficient or Zn-limited growth conditions. In contrast, triple and quadruple mutants show impaired growth irrespective of external Zn supply due to reduced Zn translocation from root to shoot. All four ZIP genes are highly expressed during seed development, and siliques from all single and higher-order mutants exhibited an increased number of abnormal seeds and decreased Zn levels in mature seeds relative to wild type. The seed phenotypes could be reversed by supplementing the soil with Zn. Our data demonstrate that IRT3, ZIP4, ZIP6, and ZIP9 function redundantly in maintaining Zn homeostasis and seed development in A. thaliana.


Asunto(s)
Proteínas de Arabidopsis/metabolismo , Arabidopsis/genética , Zinc/metabolismo , Arabidopsis/crecimiento & desarrollo , Arabidopsis/fisiología , Proteínas de Arabidopsis/genética , Proteínas de Transporte de Catión/genética , Proteínas de Transporte de Catión/metabolismo , Homeostasis , Proteínas de Transporte de Membrana/genética , Proteínas de Transporte de Membrana/metabolismo , Mutación , Semillas/genética , Semillas/crecimiento & desarrollo , Semillas/fisiología , Estrés Fisiológico
5.
J Obstet Gynaecol Can ; 44(7): 757-761, 2022 07.
Artículo en Inglés | MEDLINE | ID: mdl-35483581

RESUMEN

OBJECTIVE: Treatment for cervical cancer can cause cessation of ovarian function in young patients. Physician counselling practices related to premature menopause and hormonal therapy (HT) for young cervical cancer patients is not well known. The primary objective of this study was to assess the frequency of HT counselling and usage among young cervical cancer patients. The secondary objective was to assess clinical and demographic factors associated with HT use. METHODS: This retrospective review included adult women younger than age 50 years who received treatment for cervical cancer between 2007 and 2017. Patient and disease characteristics, disease outcome, and documentation of HT and bone health counselling were collected from electronic records. Descriptive statistical analysis was performed for the primary objective, and independent t tests and χ2 tests were used for secondary objective data analysis. RESULTS: In this study, 67 premenopausal women with cervical cancer (stages I-III) lost ovarian function from cancer treatment, of whom 52% had received counselling on HT from their oncologists. Thirty-nine percent of patients were using HT at the time of their last review. Younger women were more likely than older women to receive HT counselling (mean age 37.3 ± 6.6 y vs. 42.4 ± 6.0 y; P = 0.001). Counselling frequency and usage of HT were not affected by cancer stage, body mass index, or smoking status. CONCLUSION: Young asymptomatic patients should receive HT if not contraindicated, yet half of qualified cervical cancer patients in this study received counselling on premature menopause and HT. Structured counselling on HT should be implemented as an integral part of cervical cancer care.


Asunto(s)
Menopausia Prematura , Neoplasias del Cuello Uterino , Adulto , Anciano , Terapia de Reemplazo de Estrógeno , Femenino , Hormonas , Humanos , Menopausia , Persona de Mediana Edad , Estudios Retrospectivos , Saskatchewan , Neoplasias del Cuello Uterino/epidemiología , Neoplasias del Cuello Uterino/terapia
6.
J Obstet Gynaecol Can ; 44(3): 294-297, 2022 Mar.
Artículo en Inglés | MEDLINE | ID: mdl-35300828

RESUMEN

Giant condyloma acuminatum (GCA) is a benign anogenital lesion caused by human papilloma virus. It is rarely found on the cervix and is difficult to differentiate from malignancy. It is associated with a propensity for invasion, recurrence, and malignant transformation. A 35-year-old woman presented with abnormal uterine bleeding and a suspicious cervical mass. After a Pap test revealed high-grade squamous intraepithelial lesion, cervical biopsies revealed cervical dysplasia. A diagnostic loop electrical excision procedure identified a giant condyloma. A total hysterectomy was performed, confirming the diagnosis. This condition should be in the differential diagnosis for a cervical mass suspicious for malignancy. Prompt biopsy of mass is crucial.


Asunto(s)
Tumor de Buschke-Lowenstein , Condiloma Acuminado , Neoplasias del Cuello Uterino , Adulto , Tumor de Buschke-Lowenstein/diagnóstico , Tumor de Buschke-Lowenstein/patología , Cuello del Útero/patología , Condiloma Acuminado/diagnóstico , Condiloma Acuminado/patología , Condiloma Acuminado/cirugía , Femenino , Humanos , Neoplasias del Cuello Uterino/patología , Frotis Vaginal
8.
J Med Internet Res ; 24(8): e31206, 2022 08 31.
Artículo en Inglés | MEDLINE | ID: mdl-36044246

RESUMEN

BACKGROUND: Policy makers and practitioners in low- and middle-income countries (LMICs) are increasingly focusing on the effectiveness of digital devices in the delivery of medical and educational services to children under resource constraints. It is widely known that digital literacy can be fostered through exposure to and education regarding digital devices, which can improve children's academic performance as well as their search and communication skills in the digital era. However, the correlation between the cognitive function of children and exposure and intensity of the exposure to digital devices has rarely been studied, and the association between digital device exposure and the socioeconomic characteristics and cognitive development of children in LMICs is unknown. OBJECTIVE: This study examines the association among exposure to digital devices, socioeconomic status, and cognitive function in children aged 3 to 9 years in Cambodia. METHODS: We used a survey of 232 children that gathered data on familiarity with digital devices, demographic characteristics, and socioeconomic status, as well as a Cambridge Neuropsychological Test Automated Battery test for cognitive function, to examine the association between possible barriers and factors that may influence the cognitive function of children in 2 Cambodian schools from April 22, 2019, to May 4, 2019. A comparative analysis was performed with and without digital exposure, and an association analysis was performed among the variables from the survey and cognitive function. RESULTS: Significant differences were observed in demographic and socioeconomic characteristics such as school location, family type, and family income according to digital device exposure. The results of the Cambridge Neuropsychological Test Automated Battery tests, except for 1 test related to executive function, indicated no significant differences (P>.05) between group A and group B or among the 4 subgroups. Pretest digital device experience and amount of time spent using digital devices during the test had no significant impacts on the cognitive development of the children. Conversely, the multivariate analyses showed that cognitive function was associated with educational expenses per child, school (location), family type, and family income. CONCLUSIONS: These results provide evidence to policy makers and practitioners on the importance of improving socioeconomic conditions, leading to investment in education by implementing programs for children's cognitive development through digital devices in LMICs.


Asunto(s)
Países en Desarrollo , Renta , Cambodia , Niño , Cognición , Estudios Transversales , Humanos
9.
Sensors (Basel) ; 22(6)2022 Mar 21.
Artículo en Inglés | MEDLINE | ID: mdl-35336577

RESUMEN

Despite the unprecedented success of deep learning in various fields, it has been recognized that clinical diagnosis requires extra caution when applying recent deep learning techniques because false prediction can result in severe consequences. In this study, we proposed a reliable deep learning framework that could minimize incorrect segmentation by quantifying and exploiting uncertainty measures. The proposed framework demonstrated the effectiveness of a public dataset: Multimodal Brain Tumor Segmentation Challenge 2018. By using this framework, segmentation performances, particularly for small lesions, were improved. Since the segmentation of small lesions is difficult but also clinically significant, this framework could be effectively applied to the medical imaging field.


Asunto(s)
Neoplasias Encefálicas , Aprendizaje Profundo , Neoplasias Encefálicas/diagnóstico por imagen , Humanos , Radiografía , Incertidumbre
10.
BMC Pulm Med ; 21(1): 59, 2021 Feb 16.
Artículo en Inglés | MEDLINE | ID: mdl-33593334

RESUMEN

BACKGROUND: Asthma and osteoarthritis (OA) are medical conditions that inhibit physical activity and adversely affect quality of life. Despite the high prevalence, there are limited studies focusing on the comorbid condition and association between asthma and OA. The aim of this study was to assess the prevalence of OA co-occurring with asthma and to identify the relevant clinical considerations. METHODS: Adult participants aged over 40 years who completed questionnaire assessments and spirometry tests were enrolled from the Korean National Health and Nutrition Examination Survey. Asthma and OA were defined based on the medical history of a diagnosis made by a doctor. Radiographic severities of OA were measured using the Kellgren-Lawrence grading system. Chronic obstructive pulmonary disease (COPD), as a comparative respiratory disease, was diagnosed based on the spirometric results. RESULTS: A total of 9344 subjects were enrolled, and the prevalence of asthma and COPD were 4.6% ± 0.3% and 12.0% ± 0.5%, respectively. The prevalence of OA in the asthma group was 31.9% ± 2.8%, which was significantly higher than that in the COPD (17.8% ± 1.5%) or control (16.2% ± 0.6%) groups. OA was more prevalent in patients with asthma after adjusting for age, sex, body mass index, and smoking status (OR 1.65; 95% CI 1.27-2.13). Furthermore, after adjustment of this model for the prescription of OA medication, OA remained independently associated with asthma (OR 1.56; 95% CI 1.10-2.20). Conversely, the relationship of OA medication with asthma was not significant (P = 0.64). This relationship was evident in patients with asthma without airflow limitation measured by spirometry (OR 1.97; 95% CI 1.32-2.93). Moreover, the radiographic severity of knee OA correlated with asthma (OR 1.10; 95% CI 1.0-||1.21). CONCLUSIONS: OA shows a high prevalence in patients with asthma, higher than in patients with COPD or the controls. The comorbid characteristics of these two conditions need to be considered in clinical practice.


Asunto(s)
Asma/epidemiología , Osteoartritis/epidemiología , Adulto , Anciano , Asma/fisiopatología , Estudios de Casos y Controles , Femenino , Volumen Espiratorio Forzado , Humanos , Masculino , Persona de Mediana Edad , Encuestas Nutricionales , Osteoartritis de la Cadera/epidemiología , Osteoartritis de la Rodilla/epidemiología , Osteoartritis de la Columna Vertebral/epidemiología , Prevalencia , Enfermedad Pulmonar Obstructiva Crónica/epidemiología , Enfermedad Pulmonar Obstructiva Crónica/fisiopatología , República de Corea/epidemiología , Fumar/epidemiología , Espirometría , Capacidad Vital
11.
J Korean Med Sci ; 36(27): e175, 2021 Jul 12.
Artículo en Inglés | MEDLINE | ID: mdl-34254471

RESUMEN

BACKGROUND: Rapid triage reduces the patients' stay time at an emergency department (ED). The Korean Triage Acuity Scale (KTAS) is mandatorily applied at EDs in South Korea. For rapid triage, we studied machine learning-based triage systems composed of a speech recognition model and natural language processing-based classification. METHODS: We simulated 762 triage cases that consisted of 18 classes with six types of the main symptom (chest pain, dyspnea, fever, stroke, abdominal pain, and headache) and three levels of KTAS. In addition, we recorded conversations between emergency patients and clinicians during the simulation. We used speech recognition models to transcribe the conversation. Bidirectional Encoder Representation from Transformers (BERT), support vector machine (SVM), random forest (RF), and k-nearest neighbors (KNN) were used for KTAS and symptom classification. Additionally, we evaluated the Shapley Additive exPlanations (SHAP) values of features to interpret the classifiers. RESULTS: The character error rate of the speech recognition model was reduced to 25.21% through transfer learning. With auto-transcribed scripts, support vector machine (area under the receiver operating characteristic curve [AUROC], 0.86; 95% confidence interval [CI], 0.81-0.9), KNN (AUROC, 0.89; 95% CI, 0.85-0.93), RF (AUROC, 0.86; 95% CI, 0.82-0.9) and BERT (AUROC, 0.82; 95% CI, 0.75-0.87) achieved excellent classification performance. Based on SHAP, we found "stress", "pain score point", "fever", "breath", "head" and "chest" were the important vocabularies for determining KTAS and symptoms. CONCLUSION: We demonstrated the potential of an automatic KTAS classification system using speech recognition models, machine learning and BERT-based classifiers.


Asunto(s)
Aprendizaje Profundo , Percepción del Habla , Triaje/métodos , Adulto , Anciano , Medicina de Emergencia/métodos , Servicio de Urgencia en Hospital , Humanos , Persona de Mediana Edad , Procesamiento de Lenguaje Natural , Simulación de Paciente , Prueba de Estudio Conceptual , República de Corea , Estudios Retrospectivos , Triaje/organización & administración
12.
Sensors (Basel) ; 21(11)2021 May 25.
Artículo en Inglés | MEDLINE | ID: mdl-34070560

RESUMEN

In this paper, we propose a prediction algorithm, the combination of Long Short-Term Memory (LSTM) and attention model, based on machine learning models to predict the vision coordinates when watching 360-degree videos in a Virtual Reality (VR) or Augmented Reality (AR) system. Predicting the vision coordinates while video streaming is important when the network condition is degraded. However, the traditional prediction models such as Moving Average (MA) and Autoregression Moving Average (ARMA) are linear so they cannot consider the nonlinear relationship. Therefore, machine learning models based on deep learning are recently used for nonlinear predictions. We use the Long Short-Term Memory (LSTM) and Gated Recurrent Unit (GRU) neural network methods, originated in Recurrent Neural Networks (RNN), and predict the head position in the 360-degree videos. Therefore, we adopt the attention model to LSTM to make more accurate results. We also compare the performance of the proposed model with the other machine learning models such as Multi-Layer Perceptron (MLP) and RNN using the root mean squared error (RMSE) of predicted and real coordinates. We demonstrate that our model can predict the vision coordinates more accurately than the other models in various videos.


Asunto(s)
Movimientos de la Cabeza , Redes Neurales de la Computación , Algoritmos , Atención , Aprendizaje Automático
13.
Proc Natl Acad Sci U S A ; 114(25): 6623-6628, 2017 06 20.
Artículo en Inglés | MEDLINE | ID: mdl-28584114

RESUMEN

A requirement for vernalization, the process by which prolonged cold exposure provides competence to flower, is an important adaptation to temperate climates that ensures flowering does not occur before the onset of winter. In temperate grasses, vernalization results in the up-regulation of VERNALIZATION1 (VRN1) to establish competence to flower; however, little is known about the mechanism underlying repression of VRN1 in the fall season, which is necessary to establish a vernalization requirement. Here, we report that a plant-specific gene containing a bromo-adjacent homology and transcriptional elongation factor S-II domain, which we named REPRESSOR OF VERNALIZATION1 (RVR1), represses VRN1 before vernalization in Brachypodium distachyon That RVR1 is upstream of VRN1 is supported by the observations that VRN1 is precociously elevated in an rvr1 mutant, resulting in rapid flowering without cold exposure, and the rapid-flowering rvr1 phenotype is dependent on VRN1 The precocious VRN1 expression in rvr1 is associated with reduced levels of the repressive chromatin modification H3K27me3 at VRN1, which is similar to the reduced VRN1 H3K27me3 in vernalized plants. Furthermore, the transcriptome of vernalized wild-type plants overlaps with that of nonvernalized rvr1 plants, indicating loss of rvr1 is similar to the vernalized state at a molecular level. However, loss of rvr1 results in more differentially expressed genes than does vernalization, indicating that RVR1 may be involved in processes other than vernalization despite a lack of any obvious pleiotropy in the rvr1 mutant. This study provides an example of a role for this class of plant-specific genes.


Asunto(s)
Proteínas de Arabidopsis/genética , Brachypodium/genética , Proteínas Represoras/genética , Cromatina/genética , Frío , Flores/genética , Regulación de la Expresión Génica de las Plantas/genética , Genes de Plantas/genética , Mutación/genética , Activación Transcripcional/genética , Transcriptoma/genética , Regulación hacia Arriba/genética
14.
J Clin Monit Comput ; 34(5): 1087-1093, 2020 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-31628569

RESUMEN

We evaluated the performance of the Surgical Plethysmographic Index (SPI) and the Analgesia Nociception Index (ANI) as surrogate pain measures and determined their respective cut-off values for detecting pain in conscious postoperative patients. In total, 192 patients after elective surgery were enrolled. Baseline SPI and ANI data were acquired for 10 min in the operating room prior to surgery when the patients rated their pain as 0 on the numerical rating scale (NRS). Upon arrival in the post-anaesthesia care unit (PACU) after surgery, SPI and ANI data were recorded for 10 min. The means of the recorded data at OR and PACU were defined as the values representing baseline and postoperative pain, respectively. SPI and ANI data obtained from 189 patients were analysed, who were anesthetized with propofol (n = 149) or sevoflurane (n = 40). Remifentanil was continuously infused intraoperatively in all patients. The values of SPI and ANI were significantly different in conscious patients without (NRS = 0) and with pain (NRS > 0). The areas under the receiver operating curves for SPI and ANI were 0.73 (P < 0.0001) and 0.67 (P < 0.0001), respectively. The cut-off values for SPI and ANI in predicting postoperative pain were 44 (sensitivity: 84%, specificity: 53%) and 63 (sensitivity: 52%, specificity: 82%), respectively, which are different from those suggested by their respective manufacturers for use in intraoperative state under general anaesthesia. The cut-off values of SPI and ANI for detecting pain were similar regardless of the type of anesthesia.


Asunto(s)
Analgesia , Nocicepción , Anestesia General , Humanos , Dolor Postoperatorio/diagnóstico , Estudios Prospectivos
15.
Medicina (Kaunas) ; 56(7)2020 Jul 03.
Artículo en Inglés | MEDLINE | ID: mdl-32635259

RESUMEN

Background and objectives: Anterior cruciate ligament reconstruction (ACLR) often results in quadricep atrophy. The purpose of this study was to compare the bilateral thickness of each quadricep component before and after ACLR. Materials and Methods: Cross-sectional study design. In 14 patients who underwent ACLR, bilateral quadricep muscle thicknesses were measured using a portable ultrasound device, 1 h before and 48-72 h after ACLR. Two-way analysis of variance (ANOVA) was used to compare muscle thickness pre- and post-ACLR between the limbs. Results: The primary finding was that the vastus intermedius (VI) muscle was significantly smaller in the reconstructed limb after ACLR compared to that in the healthy limb (Reconstructed limb; RCL = Pre-operated (PRE): 19.89 ± 6.91 mm, Post-operated(POST): 16.04 ± 6.13 mm, Healthy limb; HL = PRE: 22.88 ± 6.07, POST: 20.90 ± 5.78 mm, F = 9.325, p = 0.009, η2p = 0.418). Conclusions: The results represent a selective surgical influence on the quadricep muscle thickness. These findings highlight the need of advanced strengthening exercises in order to restore VI thickness after ACLR.


Asunto(s)
Reconstrucción del Ligamento Cruzado Anterior/instrumentación , Ligamento Cruzado Anterior/fisiopatología , Músculo Cuádriceps/fisiopatología , Adulto , Ligamento Cruzado Anterior/anomalías , Lesiones del Ligamento Cruzado Anterior/cirugía , Reconstrucción del Ligamento Cruzado Anterior/métodos , Reconstrucción del Ligamento Cruzado Anterior/estadística & datos numéricos , Estudios Transversales , Femenino , Humanos , Masculino , Ultrasonografía/métodos , Pesos y Medidas/instrumentación
16.
Acta Pharmacol Sin ; 40(5): 710-716, 2019 May.
Artículo en Inglés | MEDLINE | ID: mdl-30327545

RESUMEN

In order to maintain stable blood pressure and heart rate during surgery, anesthesiologists need to administer the appropriate amount of fluid with appropriate fluid type to the patient, then quantifying how fluid is distributed and eliminated from the body is useful for establishing a fluid administration strategy. In this study we characterized the volume kinetics of Ringer's lactate solution in patients undergoing open gastrectomy. When propofol and remifentanil reached a pseudosteady state at the target concentration and blood pressure was stabilized following surgical stimulation, enrolled patients were administered 1000 mL of Ringer's lactate solution for 20 min, followed by continuous infusion at a rate of 6 mL/kg/h until the time of the last blood collection for volume kinetic analysis. Arterial blood samples were collected to measure the hemoglobin concentration at different time points. The change in hemoglobin-derived plasma dilution induced by the administration of Ringer's lactate solution was evaluated by nonlinear mixed effects modeling. Three hundred and twenty-three plasma dilution data points from 27 patients were used to determine the pharmacokinetic characteristics of Ringer's lactate solution. A two-volume model best described the pharmacokinetics of Ringer's lactate solution. The mean arterial pressure (MAP) and body weight (WT) were significant covariates for the elimination clearance (kr) and central volume of distribution at baseline (Vc0), respectively. The parameter estimates were as follows: kr (mL/min) = 124 + (MAP/70)14.2, Vc0 (mL) = 0.95 + 3440 × (WT/63), Vt0 (mL) = 2730, and kt (mL/min) = 181. A higher MAP was associated with a greater elimination clearance and, consequently, less water accumulation in the interstitium. As body weight increases, volume expansion in the blood vessels increases.


Asunto(s)
Gastrectomía/estadística & datos numéricos , Hemoglobinas/análisis , Lactato de Ringer/farmacocinética , Adulto , Anciano , Anciano de 80 o más Años , Presión Arterial , Peso Corporal , Femenino , Frecuencia Cardíaca , Humanos , Infusiones Intravenosas , Cinética , Masculino , Persona de Mediana Edad , Lactato de Ringer/administración & dosificación
17.
Mol Genet Genomics ; 293(5): 1151-1158, 2018 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-29744589

RESUMEN

Pyruvate orthophosphate dikinase (PPDK) is a component of glycolysis to mediate endosperm energy charge by adjusting the ratio of ATP to ADP and AMP that proposed to balance the flow of carbon into starch, protein, fatty acid and amino acid biosynthesis. However, these were inconsistent with the first report of a T-DNA insertional knockout mutant of the rice PPDK gene (flo4) showed that rice with inactivated PPDK gene failed to produce a opaque seeds. Therefore, the PPDK might have multifaceted functions in grain filling stage, which in some ways might depend on the direction of the reversible catalysis. Suweon 542 is a rice (Oryza sativa L.) mutant developed from Oryza sativa ssp. japonica cv. Namil. Suweon 542 has a milky-white floury endosperm suitable for dry filling, with low starch damage, low grain hardness, and fine flour particle size. The mutant locus on chromosome 5 controls the floury endosperm phenotype of Suweon 542. Fine mapping of this locus is required for efficient breeding of rice germplasm suitable for dry milling. In this study, whole genome of Suweon 542 and Milyang 23 were re-sequenced using Illumina HiSeq 2500. Co-segregation analysis of F3:4 family populations derived from Suweon 542/Milyang 23 was performed using eight CAPS markers and phenotypic evaluation of the endosperm. The target region was mapped to a 33 kb region and identified to encode cytosolic pyruvate orthophosphate dikinase protein (cyOsPPDK). A G→A SNP in exon 8 of cyOsPPDK resulting in a missense mutation from Gly to Asp at amino acid position 404 was responsible for the floury endosperm of Suweon 542. qRT-PCR experiments revealed that FLO4-4 was expressed to a considerably higher level in Suweon 542 than in Namil during the grain filling stage. Overall, fine mapping of FLO4-4 and candidate gene analysis provided further insight into the floury endosperm of rice, and reveal a novel SNP in cyOsPPDK gene can affect the floury endosperm phenotype through active PPDK gene during grain filling stage.


Asunto(s)
Grano Comestible/genética , Endospermo/genética , Oryza/genética , Piruvato Ortofosfato Diquinasa/genética , Grano Comestible/crecimiento & desarrollo , Harina , Regulación de la Expresión Génica de las Plantas , Mutagénesis Insercional , Mutación , Oryza/crecimiento & desarrollo , Semillas/genética , Semillas/crecimiento & desarrollo , Almidón/genética
18.
Plant Cell Environ ; 41(5): 898-907, 2018 05.
Artículo en Inglés | MEDLINE | ID: mdl-28098349

RESUMEN

Plants have evolved complex molecular, cellular and physiological mechanisms to respond to environmental stressors. Because of the inherent complexity of this response, genetic manipulation to substantially improve water deficit tolerance, particularly in agricultural crops, has been largely unsuccessful, as the improvements are frequently accompanied by slower growth and delayed reproduction. Here, we ectopically express two abiotic stress-responsive bZIP AREB/ABF transcription factor orthologs, Arabidopsis ABF3 and Gossypium hirsutum ABF2D, in G. hirsutum, to compare the effects of exogenous and endogenous AREB/ABF transgene overexpression on dehydration resilience. Our results show that ectopic expression of each of these orthologs increases dehydration resilience, although these increases are accompanied by slower growth. These phenotypic effects are proportional to the ectopic expression level in the GhABF2D transgenic plants, while the phenotypes of all of the AtABF3 transgenic plants are similar, largely independent of ectopic expression level, possibly indicating differential post-transcriptional regulation of these transgenes. Our results indicate that overexpression of exogenous and endogenous ABF homologs in G. hirsutum substantially increases drought resilience, primarily through stomatal regulation, negatively impacting transpiration and photosynthetic productivity.


Asunto(s)
Proteínas de Arabidopsis/metabolismo , Factores de Transcripción con Cremalleras de Leucina de Carácter Básico/metabolismo , Gossypium/fisiología , Factores de Transcripción/metabolismo , Proteínas de Arabidopsis/genética , Factores de Transcripción con Cremalleras de Leucina de Carácter Básico/genética , Productos Agrícolas , Sequías , Expresión Génica Ectópica , Gossypium/genética , Fenotipo , Fotosíntesis , Proteínas de Plantas/genética , Proteínas de Plantas/metabolismo , Estomas de Plantas/genética , Estomas de Plantas/fisiología , Transpiración de Plantas/fisiología , Plantas Modificadas Genéticamente , Estrés Fisiológico , Factores de Transcripción/genética
19.
Opt Express ; 26(13): 17078-17091, 2018 Jun 25.
Artículo en Inglés | MEDLINE | ID: mdl-30119525

RESUMEN

A novel technique is presented for measuring micro flow rate using the near infrared (NIR) absorption method. The principle of this method is based on the temperature dependency of the NIR absorption band of water (O-H band, ν1 + ν3). We obtained the water temperature in the tube in situ condition using NIR absorption method. A calibration curve between temperature and the NIR absorption intensity in the range of 1500 nm - 1700 nm wavelength was obtained. For measuring flow rate in the tube, the tiny spot of water in the tube was heated using NIR laser (1450 nm) through the lens which was absorbed into the water. The temperature profiles along the tube were obtained using the NIR absorption method via laser heating for different flow rates. The simulation results of the temperature profiles were well matched with the experimental results of it for different flow rates. We found that the conduction affected the temperature more when the flow was low in the upstream and the convection more affected when the flow rate was high in the downstream through the heat transfer analysis. The flow rates were obtained from the temperature difference between the room temperature and the obtained temperature from the NIR method. The calibration curves between the flow rate and temperature obtained from the NIR absorption method was obtained in the two flow rates (1-20 mL/h and 40-100 mL/h). The error and uncertainty of the NIR absorption method for measuring flow rate were approximately 1.2% and 1% at the 1-100 mL/min flow rate, respectively. Thus, we confirmed that the NIR absorption method quantitatively measures the flow rate with respect to the in situ condition for the first time. This method is used for various applications including biomedical and chemical processing without causing any contamination owing to the flow meter installation.

20.
Nanotechnology ; 29(12): 125704, 2018 Mar 23.
Artículo en Inglés | MEDLINE | ID: mdl-29350632

RESUMEN

In this study, we demonstrate a new method to selectively etch the point defects or the boundaries of as-grown hexagonal boron nitride (hBN) films and flakes in situ on copper substrates using hydrogen and argon gases. The initial quality of the chemical vapor deposition-grown hBN films and flakes was confirmed by UV-vis absorption spectroscopy, atomic force microscopy, and transmission electron microscopy. Different gas flow ratios of Ar/H2 were then employed to etch the same quality of samples and it was found that etching with hydrogen starts from the point defects and grows epitaxially, which helps in confirming crystalline orientations. However, etching with argon is sensitive to line defects (boundaries) and helps in visualizing the domain size. Finally, based on this defect-selective dry etching technique, it could be visualized that the domains of a polycrystalline hBN monolayer merged together with many parts, even with those that grew from a single nucleation seed.

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