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1.
Biodes Res ; 6: 0050, 2024.
Article in English | MEDLINE | ID: mdl-39381623

ABSTRACT

Collagenases, a class of enzymes that are specifically responsible for collagen degradation, have garnered substantial attention because of their pivotal roles in tissue repair, remodeling, and medical interventions. This comprehensive review investigates the diversity, structures, and mechanisms of collagenases and highlights their therapeutic potential. First, it provides an overview of the biochemical properties of collagen and highlights its importance in extracellular matrix function. Subsequently, it meticulously analyzes the sources of collagenases and their applications in tissue engineering and food processing. Notably, this review emphasizes the predominant role played by microbial collagenases in commercial settings while discussing their production and screening methods. Furthermore, this study elucidates the methodology employed for determining collagenase activity and underscores the importance of an accurate evaluation for both research purposes and clinical applications. Finally, this review highlights the future research prospects for collagenases, with a particular focus on promoting wound healing and treating scar tissue formation and fibrotic diseases.

3.
Biosens Bioelectron ; 267: 116813, 2024 Oct 01.
Article in English | MEDLINE | ID: mdl-39357493

ABSTRACT

Detection of KRAS mutation in colorectal cancer (CRC) is important in the prediction of response to target therapy. The study aims to develop a novel mutation detection platform called the "PNA-LNA molecular switch" for the detection of KRAS mutation in CRC. We employed the enhanced binding specificity of peptide nucleic acid (PNA) and locked nucleic acid (LNA) in conjunction with a loop-mediated isothermal amplification (LAMP) approach to identify the mutation status of KRAS oncogene codon 12 (c.35G>T/G12V and c.35G>A/G12D) using synthetic oligonucleotides and colon cancer cell lines (Caco-2 and SW480). This method specifically blocked the amplification of the wild-type sequences while substantially amplifying the mutated ones, which was visualized by both colorimetric and fluorescence assays. We then checked the mutation profile of KRAS codon 12 in the DNA derived from tumor tissue samples (number of samples, n = 30) and circulating tumor cells (n = 24) from CRC patients. Finally, we validated the results by comparing them with the data obtained from DNA sequencing of colon tumors (n = 21) of the same CRC patients. This method showed excellent sensitivity (1 DNA copy/µl), reproducibility [relative standard deviation (%RSD) < 5%, for n = 3], and linear dynamic range (1 ag/µl-10 pg/µl, R2 = 0.94). This platform is significantly faster, relatively cheaper, has superior sensitivity and specificity, and does not require any high-end equipment. To conclude, this method has the potential to be translated into clinical settings for the detection of mutations in diverse diseases and conditions.

4.
Materials (Basel) ; 17(18)2024 Sep 21.
Article in English | MEDLINE | ID: mdl-39336381

ABSTRACT

The purpose of this study is to estimate the bond strength between steel rebars and concrete using machine learning (ML) algorithms with Bayesian optimization (BO). It is important to conduct beam tests to determine the bond strength since it is affected by stress fields. A machine learning approach for bond strength based on 401 beam tests with six impact factors is presented in this paper. The model is composed of three standard algorithms, including random forest (RF), support vector regression (SVR), and extreme gradient boosting (XGBoost), combined with the BO technique. Compared to empirical models, BO-XGB`oost was found to be the most accurate method, with values of R2, MAE, and RMSE of 0.87, 0.897 MPa, and 1.516 MPa for the test set. The development of a simplified model that contains three input variables (diameter of the rebar, yield strength of reinforcement, concrete compressive strength) has been proposed to make it more convenient to apply. According to this prediction, the Shapley additive explanation (SHAP) can help explain why the ML-based model predicts the particular outcome it does. By utilizing machine learning algorithms to predict complex interfacial mechanical behavior, it is possible to improve the accuracy of the model.

5.
J Trauma Nurs ; 31(5): 272-277, 2024.
Article in English | MEDLINE | ID: mdl-39250556

ABSTRACT

BACKGROUND: The widespread use of agricultural machinery in China has increased the incidence of agricultural machinery-related injuries, posing challenges to on-site medical rescue. This study explores resuscitative endovascular balloon occlusion of the aorta (REBOA) as a life-saving intervention for a patient with severe trauma from agricultural machinery. CASEPRESENTATION: This study reviews the emergency medical response for a 70-year-old male who suffered machinery entanglement injuries in an agricultural field in western China. The intervention involved a tiered multidisciplinary medical response, including the implementation of REBOA. CONCLUSION: This case demonstrates the successful use of REBOA in the prehospital setting in China. While prehospital REBOA use is rare, it is increasingly reported in both military and civilian contexts in austere environments in different countries. Further research is required to validate the feasibility and efficacy of REBOA as a prehospital resuscitation strategy.


Subject(s)
Balloon Occlusion , Emergency Medical Services , Endovascular Procedures , Resuscitation , Humans , Male , Balloon Occlusion/methods , Aged , China , Resuscitation/methods , Endovascular Procedures/methods , Emergency Medical Services/methods , Treatment Outcome , Aorta , Injury Severity Score
6.
Inorg Chem ; 63(39): 18200-18210, 2024 Sep 30.
Article in English | MEDLINE | ID: mdl-39302043

ABSTRACT

In situ ligand transformation strategies represent an efficient pathway for constructing function-oriented polyoxometalate (POM)-based crystalline materials. Herein, three POM-based hybrid networks were synthesized through in situ transformation of the phosphine ligand, formulated as [Ag(dppeo)6][H2PMo12O40]·5H2O (1), [Ag(dedpo)]4[SiW12O40]·6H2O (2), and [Ag(dppeo)]3[PW12O40]·3H2O (3) (dedpo = (2-(diphenylphosphaneyl)ethyl)diphenylphosphine oxide; dppeo = ethane-1,2-diylbis(diphenylphosphine oxide)). During the synthesis of these compounds, the 1,2-diphenylphosphine ethane molecule underwent in situ oxidation, transforming into dppeo and dedpo ligands, respectively. Compound 1 features a supramolecular architecture assembled from [Ag(dppeo)3]+/[Ag2(dppeo)6]2+ cationic clusters with disordered Ag centers and protonated [H2PMo12O40]- anions. Compound 2 presents a 3-D POM-supported metal-organic framework consisting of binuclear [Ag(dedpo)]22+ units, {-dedpo-Ag-dedpo-} chains, and [SiW12O40]4- polyoxoanions. Compound 3 displays a 2-D layered structure formed by {-dppeo-Ag3-dppeo-} chains and [PW12O40]3- clusters. Pronounced argentophilic interactions are observed in compounds 1 and 3. The three compounds demonstrate satisfactory heterogeneous catalytic activity in the colorimetric detection reactions toward phenol pollutants with detection limits of 1.73, 1.92, and 4.6 µM, respectively. Additionally, compounds 1-3 show high anti-interference capabilities and high sensitivity in differentiating phenol from its halogenated derivatives. This work presents some guidance for designing specific function-oriented POM-based materials via an in situ ligand transformation strategy.

7.
J Colloid Interface Sci ; 678(Pt A): 937-949, 2024 Aug 26.
Article in English | MEDLINE | ID: mdl-39226834

ABSTRACT

Synergistic photothermal/immunotherapy has garnered significant attention for its potential to enhance tumor therapeutic outcomes. However, the fabrication of an intelligent system with a simple composition that simultaneously exerts photothermal/immunotherapy effect and imaging guidance function still remains a challenge. Herein, a glutathione (GSH)-responsive theranostic nanoprobe, named HA-MnO2/ICG, was elaborately constructed by loading photothermal agent (PTA) indocyanine green (ICG) onto the surface of hyaluronic acid (HA)-modified manganese dioxide nanosheets (HA-MnO2) for magnetic resonance (MR) imaging-guided synergetic photothermal/immuno-enhanced therapy. In this strategy, HA-MnO2 nanosheets were triggered by the endogenous GSH in tumor microenvironment to generate Mn2+ for MR imaging, where the longitudinal relaxation rate of HA-MnO2/ICG was up to 14.97 mM-1s-1 (∼24 times than that found in a natural environment), demonstrating excellent intratumoral MR imaging. Moreover, the HA-MnO2/ICG nanoprobe demonstrates remarkable photothermal therapy (PTT) efficacy, generating sufficient heat to induce immunogenic cell death (ICD) within tumor cells. Meanwhile the released Mn2+ ions from the nanosheets function as potent immune adjuvants, amplifying the immune response against cancer. In vivo experiments validated that HA-MnO2/ICG-mediated PTT was highly effective in eradicating primary tumors, while simultaneously enhancing immunogenicity to prevent the growth of distal metastasis. This hybrid HA-MnO2/ICG nanoprobe opened new avenues in the design of MR imaging-monitored PTT/immuno-enhanced synergistic therapy for advanced cancer.

8.
Arch Esp Urol ; 77(7): 811-817, 2024 Aug.
Article in English | MEDLINE | ID: mdl-39238307

ABSTRACT

OBJECTIVE: Spinal cord injury (SCI) severely affects motor, sensory, reflex, and other functions, impacting 250,000 to 500,000 individuals globally each year. Bladder voiding dysfunction, a prevalent and serious complication of SCI, results in significant morbidity and reduced quality of life. This study examines the impact of nurse-led clean intermittent catheterization combined with synchronous health education for family members on improving compliance in patients with SCI and bladder voiding dysfunction. METHODS: Eighty-four patients with urinary dysfunction post-SCI treated in our hospital from January 2023 to January 2024 were selected. Family members were assigned to a control group (n = 40) or an observation group (n = 44) based on their participation in nurse-led health education. Urinary tract management proficiency, satisfaction, compliance, and complications were observed and statistically analyzed in both groups on the 30th day after self-initiated intermittent catheterization. RESULTS: By the 30th day, the observation group exhibited significantly higher cognitive scores in urinary tract management than the control group (p < 0.001). Additionally, the observation group showed greater compliance in daily water intake (p = 0.018), proper timing (p = 0.018), and correct bladder function training (p = 0.004). The incidence of urinary tract infections was lower in the observation group (p = 0.018). Patient satisfaction in the observation group also exceeded that of the control group in all measured aspects and total scores (p < 0.001). CONCLUSIONS: Nurse-led synchronous health education for family members during clean intermittent catheterization significantly enhances patient compliance, reduces complications, and improves patient satisfaction.


Subject(s)
Intermittent Urethral Catheterization , Spinal Cord Injuries , Humans , Spinal Cord Injuries/complications , Intermittent Urethral Catheterization/adverse effects , Male , Female , Adult , Middle Aged , Patient Education as Topic , Health Education , Urination Disorders/etiology , Urination Disorders/therapy , Patient Compliance , Practice Patterns, Nurses'
9.
Chemosphere ; 364: 143091, 2024 Sep.
Article in English | MEDLINE | ID: mdl-39151583

ABSTRACT

The necessity for effective wastewater treatment and purification has grown as a result of the increasing pollution issues brought on by industrial and municipal wastewater. Membrane bioreactor (MBR) technology stands out when compared to other treatment methods because of its high efficiency, environmental friendliness, small footprint, and ease of maintenance. However, the development and application of membrane bioreactors has been severely constrained by the higher cost and shorter service life of these devices brought on by membrane biofouling issues resulting from contaminants and bacteria in the water. The nanoscale size of the electrospinning products provides unique microstructure, and the technology facilitates the production of structurally different membranes, or the modification and functionalization of membranes, which makes it possible to solve the membrane fouling problem. Therefore, many current studies have attempted to use electrospinning in MBRs to address membrane fouling and ultimately improve treatment efficacy. Meanwhile, in addition to solving the problem of membrane fouling, the fabrication technology of electrospinning also shows great advantages in constructing thin porous fiber membrane materials with controllable surface wettability and layered structure, which is helpful for the performance enhancement of MBR and expanding innovation. This paper systematically reviews the application and research progress of electrospinning in MBRs. Firstly, the current status of the application of electrospinning technology in various MBRs is introduced, and the relevant measures to solve the membrane fouling based on electrospinning technology are analyzed. Subsequently, some new types of MBRs and new application areas developed with the help of electrospinning technology are introduced. Finally, the limitations and challenges of merging the two technologies are presented, and pertinent recommendations are provided for future research on the use of electrospinning technology in membrane bioreactors.


Subject(s)
Biofouling , Bioreactors , Membranes, Artificial , Wastewater/chemistry , Waste Disposal, Fluid/methods , Water Purification/methods
10.
Opt Lett ; 49(15): 4306-4309, 2024 Aug 01.
Article in English | MEDLINE | ID: mdl-39090920

ABSTRACT

Dirac degeneracy is a fourfold band crossing point in a three-dimensional momentum space, which possesses Fermi-arc-like surface states, and has extensive application prospects. In this work, we systematically study the exceptional effects of the robust chiral surface wave supported by photonic Dirac semimetal acts on the dielectric particles. Theoretical results show that orthogonal electromagnetic modes and helical or chiral whispering gallery modes (WGMs) of dielectric particles can be efficiently excited by the unidirectional spin-polarized surface wave. More importantly, optical forces exerted by the spin-polarized surface wave exhibit chirality-dependent symmetric behavior and high chiral Q factor with precise size selectivity. Our findings may provide potential applications in the area of chiral microcavity, spin optical devices, and optical manipulations.

11.
Nurse Educ Today ; 143: 106358, 2024 Aug 14.
Article in English | MEDLINE | ID: mdl-39178809

ABSTRACT

BACKGROUND: An unexplained disease outbreak refers to a scenario wherein a group of individuals encounters similar health issues within a short timeframe, yet healthcare professionals find it challenging to promptly identify the specific cause or pathogenic factors triggering the outbreak. Emerging as a vital force in China, standardized training nurses can significantly mitigate the impact of unforeseen events. OBJECTIVE: This study aims to illuminate the experiences of Chinese standardized training nurses engaged in training for unexplained disease outbreaks utilizing virtual reality (VR) technology. DESIGN: A qualitative descriptive research design was employed. PARTICIPANTS: Thirty Chinese standardized training nurses participated in semi-structured interviews. METHODS: Data were collected through semi-structured interviews conducted from April 2023 to June 2023. Braun and Clark's thematic analysis method was applied for data analysis. RESULTS: The study revealed five prominent themes: Surpassing Expectations, Enjoyable Learning, Self-challenge, Reflective Learning, and Promotion-Worthy. In essence, Chinese standardized training nurses perceived VR training as effective, meaningful, and conducive to reflective opportunities. Nevertheless, they expressed challenges in composing epidemiological reports, particularly when lacking expertise in epidemiology and having limited exposure to simulated training. CONCLUSION: Virtual Reality (VR) technology plays a crucial role in continuing education after graduation (standardized training for nurses) in China, contributing to the enhancement of clinical practice standards and the promotion of teamwork collaboration. Its broader application is considered worthy of promotion.

12.
Immunol Res ; 2024 Jul 29.
Article in English | MEDLINE | ID: mdl-39073709

ABSTRACT

This study uncovers the novel heterogeneity of FOXP3 + regulatory T (Treg) cells and their pivotal role in modulating immune responses during drug-induced allergic reactions, employing cutting-edge single-cell transcriptomics. We established a mouse model for drug-induced allergic reactions and utilized single-cell RNA sequencing (scRNA-seq) to analyze the transcriptomic landscapes of FOXP3 + Treg cells isolated from affected tissues. The study involved both in vitro and in vivo approaches to evaluate the impact of FOXP3 expression levels on the immunoregulatory functions of Treg cells during allergic responses. Techniques included flow cytometry, cluster analysis, principal component analysis (PCA), CCK8 and CSFE assays for cell proliferation, LDH release assays for toxicity, ELISA for cytokine profiling, and CRISPR/Cas9 technology for gene editing. Our findings revealed significant transcriptomic heterogeneity among FOXP3 + Treg cells in the context of drug-induced allergic reactions, with distinct subpopulations exhibiting unique gene expression profiles. This heterogeneity suggests specialized roles in immune regulation. We observed a decrease in the proliferative capacity and cytokine secretion of FOXP3 + Treg cells following allergic stimulation, alongside an increase in reaction toxicity. Manipulating FOXP3 expression levels directly influenced these outcomes, where FOXP3 deletion exacerbated allergic responses, whereas its overexpression mitigated them. Notably, in vivo experiments demonstrated that FOXP3 overexpression significantly reduced the severity of allergic skin reactions in mice. Our study presents novel insights into the heterogeneity and crucial immunoregulatory role of FOXP3 + Treg cells during drug-induced allergic reactions. Overexpression of FOXP3 emerges as a potential therapeutic strategy to alleviate such allergic responses. These findings contribute significantly to our understanding of immune regulation and the development of targeted treatments for drug-induced allergies.

13.
Chemosphere ; 363: 142741, 2024 Sep.
Article in English | MEDLINE | ID: mdl-38977247

ABSTRACT

Microplastics are widely present in the natural environment and exhibit a strong affinity for heavy metals in water, resulting in the formation of microplastics composite heavy metal pollutants. This study investigated the adsorption of heavy metals by electron beam-aged microplastics. For the first time, electron beam irradiation was employed to degrade polypropylene, demonstrating its ability to rapidly age microplastics and generate a substantial number of oxygen-containing functional groups on aged microplastics surface. Adsorption experiments revealed that the maximum adsorption equilibrium capacity of hexavalent chromium by aged microplastics reached 9.3 mg g-1. The adsorption process followed second-order kinetic model and Freundlich model, indicating that the main processes of heavy metal adsorption by aged microplastics are chemical adsorption and multilayer adsorption. The adsorption of heavy metals on aged microplastics primarily relies on the electrostatic and chelation effects of oxygen-containing functional groups. The study results demonstrate that environmental factors, such as pH, salinity, coexisting metal ions, humic acid, and water matrix, exert inhibitory effects on the adsorption of heavy metals by microplastics. Theoretical calculations confirm that the aging process of microplastics primarily relies on hydroxyl radicals breaking carbon chains and forming oxygen-containing functional groups on the surface. The results indicate that electron beam irradiation can simultaneously oxidize and degrade microplastics while reducing hexavalent chromium levels by approximately 90%, proposing a novel method for treating microplastics composite pollutants. Gas chromatography-mass spectrometry analysis reveals that electron beam irradiation can oxidatively degrade microplastics into esters, alcohols, and other small molecules. This study proposes an innovative and efficient approach to treat both microplastics composite heavy metal pollutants while elucidating the impact of environmental factors on the adsorption of heavy metals by electron beam-aged microplastics. The aim is to provide a theoretical basis and guidance for controlling microplastics composite pollution.


Subject(s)
Chromium , Microplastics , Water Pollutants, Chemical , Adsorption , Chromium/chemistry , Microplastics/chemistry , Water Pollutants, Chemical/chemistry , Kinetics , Metals, Heavy/chemistry , Humic Substances , Electrons , Polypropylenes/chemistry , Hydrogen-Ion Concentration
14.
MedComm (2020) ; 5(5): e544, 2024 May.
Article in English | MEDLINE | ID: mdl-38660686

ABSTRACT

There is considerable interest in the potential of stereotactic body radiation therapy (SBRT) combined with systemic therapy such as tyrosine kinase inhibitors (TKIs) or immune checkpoint inhibitors (ICIs). However, its efficacy and safety remain unclear. The purpose of this study was to evaluate the efficacy and safety of conducting SBRT during ICI or TKI treatment in different disease settings for patients with metastatic renal cell carcinoma (mRCC). A total of 16 studies were ultimately included. Under the random effects model, the pooled 1-year local control rate (1-yr LCR) and objective response rate (ORR) were 90% (95% confidence interval [CI]: 80%-95%, I 2 = 67%) and 52% (95% CI: 37%-67%, I 2 = 90%), respectively. SBRT concomitant with different systemic therapy yield significant different 1-yr LCR (p < 0.01) and ORR (p = 0.02). Regarding survival benefits, the pooled 1-year progression-free survival (1-yr PFS) and 1-year overall survival (1-yr OS) rates were 45% (95% CI: 29%-62%, I 2 = 91%) and 85% (95% CI: 76%-91%, I 2 = 66%), respectively. 1-yr PFS and 1-yr OS in different disease settings demonstrated significant difference (p < 0.01). As for toxicity, the pooled incidence of grade 3-4 adverse events was 14% (95% CI: 5%-26%, I 2 = 90%). This study highlights the feasibility of utilizing these strategies in mRCC patients, especially those with a low metastatic tumor burden.

16.
Int Immunopharmacol ; 132: 112054, 2024 May 10.
Article in English | MEDLINE | ID: mdl-38608477

ABSTRACT

γδT cells are unconventional T cells only accounting for 1-5 % of circulating T lymphocytes. Their potent anti-tumor capability has been evidenced by accumulating studies. However, the prognostic value of γδT cells remains not well documented in head and neck squamous cell carcinoma (HNSCC). In this study, we utilized the TCGA HNSCC database to evaluate the infiltration of γδT cells and the association between γδT cells and clinicopathological factors by related gene signature, which were then validated by a total of 100 collected tumor samples from HNSCC patient cohort. Heterogeneity and functional characteristics of distinct infiltrating γδT cell profiles in HNSCC were then investigated based on the scRNA-seq data from the GEO database. We found higher γδT cell gene signature score was significantly associated with longer survival. Cox regression models showed that γδT cell gene signature could serve as an independent prognostic indicator for HNSCC patients. A high level of γδT cell-related gene signature was positively correlated with the infiltration of tumor-infiltrating lymphocytes and immune score. Through scRNA-seq analysis, we identified that γδ+ Trm cells and γδ+ CTL cells possessed anti-tumor and immunoregulatory properties. Notably, we found a significant association between the presence of these cells and improved survival outcomes. In our cell-cell communication analyses, we identified that γδT cells have the potential to eliminate tumor cells through the secretion of interferon-gamma and granzyme. Collectively, the infiltration of γδT cells may serve as a promising prognostic tool, prompting the consideration of treatment options for patients with HNSCC.


Subject(s)
Head and Neck Neoplasms , Lymphocytes, Tumor-Infiltrating , Squamous Cell Carcinoma of Head and Neck , Humans , Squamous Cell Carcinoma of Head and Neck/immunology , Squamous Cell Carcinoma of Head and Neck/genetics , Squamous Cell Carcinoma of Head and Neck/mortality , Lymphocytes, Tumor-Infiltrating/immunology , Prognosis , Head and Neck Neoplasms/immunology , Head and Neck Neoplasms/genetics , Head and Neck Neoplasms/mortality , Female , Male , Middle Aged , Transcriptome , Intraepithelial Lymphocytes/immunology , Gene Expression Regulation, Neoplastic , Receptors, Antigen, T-Cell, gamma-delta/genetics , Receptors, Antigen, T-Cell, gamma-delta/metabolism , Aged
17.
Front Immunol ; 15: 1367734, 2024.
Article in English | MEDLINE | ID: mdl-38680494

ABSTRACT

The aryl hydrocarbon receptor (AhR) is a transcription factor that is activated by various ligands, including pollutants, microorganisms, and metabolic substances. It is expressed extensively in pulmonary and intestinal epithelial cells, where it contributes to barrier defense. The expression of AhR is pivotal in regulating the inflammatory response to microorganisms. However, dysregulated AhR expression can result in endocrine disorders, leading to immunotoxicity and potentially promoting the development of carcinoma. This review focuses on the crucial role of the AhR in facilitating and limiting the proliferation of pathogens, specifically in relation to the host cell type and the species of etiological agents involved in microbial pathogen infections. The activation of AhR is enhanced through the IDO1-AhR-IDO1 positive feedback loop, which is manipulated by viruses. AhR primarily promotes the infection of SARS-CoV-2 by inducing the expression of angiotensin-converting enzyme 2 (ACE2) and the secretion of pro-inflammatory cytokines. AhR also plays a significant role in regulating various types of T-cells, including CD4+ T cells and CD8+ T cells, in the context of pulmonary infections. The AhR pathway plays a crucial role in regulating immune responses within the respiratory and intestinal barriers when they are invaded by viruses, bacteria, parasites, and fungi. Additionally, we propose that targeting the agonist and antagonist of AhR signaling pathways could serve as a promising therapeutic approach for combating pathogen infections, especially in light of the growing prevalence of drug resistance to multiple antibiotics.


Subject(s)
COVID-19 , Inflammation , Receptors, Aryl Hydrocarbon , Animals , Humans , Basic Helix-Loop-Helix Transcription Factors , COVID-19/immunology , Indoleamine-Pyrrole 2,3,-Dioxygenase/metabolism , Inflammation/immunology , Inflammation/metabolism , Receptors, Aryl Hydrocarbon/metabolism , SARS-CoV-2/physiology , SARS-CoV-2/immunology , Signal Transduction
18.
Nutrition ; 122: 112384, 2024 Jun.
Article in English | MEDLINE | ID: mdl-38428222

ABSTRACT

OBJECTIVES: Enhanced recovery after surgery (ERAS), which includes multiple measures, has gradually become the standard perioperative management in pediatric surgery. However, it is still unclear which of its many measures affects the outcomes more. METHODS: We retrospectively analyzed the medical records of children with congenital choledochal cysts who underwent surgical treatment in a specialized children's hospital from January 2019 to December 2022. Data including baseline factors, implementation of ERAS interventions, postoperative complications, and postoperative length of stay (PLOS) were collected. Univariate and multivariate analyses were performed to identify the association between PLOS and baseline factors or specific ERAS measures. RESULTS: The implementation rate of ERAS measures ranged from 5.02% to 100% in 219 cases who underwent 3 to 14 ERAS measures. Univariate analysis showed that body mass index-for-age z-scores, liver function indicators, and postoperative complications were the significant baseline factors for PLOS. At the same time, the measures with the greatest effect on PLOS were early postoperative feeding and early removal of tubes. Multivariate analysis with different models revealed that postoperative complications, early postoperative feeding, and early catheter removal influenced the PLOS the most. CONCLUSIONS: A prolonged PLOS was associated with poor preoperative nutritional status, elevated liver function indexes, and postoperative complications. Early postoperative feeding and removal of tubes appeared more likely with a reduced PLOS than other measures, requiring more attention when implementing the ERAS protocol.


Subject(s)
Enhanced Recovery After Surgery , Child , Humans , Retrospective Studies , Perioperative Care/methods , Postoperative Complications/epidemiology , Postoperative Complications/etiology , Length of Stay
19.
Int J Oral Sci ; 16(1): 21, 2024 Feb 29.
Article in English | MEDLINE | ID: mdl-38424060

ABSTRACT

Ameloblastoma is a benign tumor characterized by locally invasive phenotypes, leading to facial bone destruction and a high recurrence rate. However, the mechanisms governing tumor initiation and recurrence are poorly understood. Here, we uncovered cellular landscapes and mechanisms that underlie tumor recurrence in ameloblastoma at single-cell resolution. Our results revealed that ameloblastoma exhibits five tumor subpopulations varying with respect to immune response (IR), bone remodeling (BR), tooth development (TD), epithelial development (ED), and cell cycle (CC) signatures. Of note, we found that CC ameloblastoma cells were endowed with stemness and contributed to tumor recurrence, which was dominated by the EZH2-mediated program. Targeting EZH2 effectively eliminated CC ameloblastoma cells and inhibited tumor growth in ameloblastoma patient-derived organoids. These data described the tumor subpopulation and clarified the identity, function, and regulatory mechanism of CC ameloblastoma cells, providing a potential therapeutic target for ameloblastoma.


Subject(s)
Ameloblastoma , Humans , Ameloblastoma/genetics , Ameloblastoma/pathology , Neoplasm Recurrence, Local , Phenotype , Cell Transformation, Neoplastic , Gene Expression Profiling
20.
Nanoscale ; 16(8): 4299-4307, 2024 Feb 22.
Article in English | MEDLINE | ID: mdl-38353593

ABSTRACT

Detecting airflow turbulence precursors promptly is crucial for ensuring flight safety and control. The initial stages of turbulence involve small reverse flows with random velocities and directions, which are not easily detected by existing airflow sensors. In this study, we designed a bionic, sensitivity-enhanced, bi-directional airflow sensor (BSBA) by incorporating bio-inspired circular tip slits and enlarging the central part of the cruciform beam structure. The BSBA exhibits a rapid response time (24.1 ms), high sensitivity (1.36 mV m-1 s-1), consistent detection of forward and backward airflow (correlation coefficient of 0.9854), and a low airflow detection threshold (1 ml). With these features, the proposed sensor can rapidly and accurately measure slight variations in the oscillating airflow, flow field, and contact force. The BSBA also achieves transparent obstacle detection on a quadrotor, even in visually challenging environments, by capturing minute changes in the flow fields produced by the quadrotor when encountering obstacles. The sensor's high sensitivity, consistent bi-directional detection, and fast response give it significant potential for enhancing safety in aircraft control systems.

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