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1.
Chem Sci ; 2024 Sep 10.
Artículo en Inglés | MEDLINE | ID: mdl-39328194

RESUMEN

Chiral hydrazone photoswitch features are its high thermal stability and negative photochromy, making it desirable in the fabrication of thermally stable optical device. However, chiral hydrazones capable of reversibly inversing chirality is scarcely reported. Herein, a series of new chiral hydrazone switches, HI-1, HI-2 and HI-3, were designed and synthesized. Due to the photoinduced configuration changes, the newly synthesized hydrazone photoswitch presents a surprising chirality inversion upon light stimulation. Photoisomerization of light-driven hydrazone switch molecules was investigated by nuclear magnetic resonance (NMR) spectra and Raman spectroscopy. The effect of the intramolecular hydrogen bond on photoresponsiveness was analyzed. By incorporating the photoswitch into a liquid crystal (LC) host, light-driven cholesteric liquid crystals (CLCs) with handedness invertibility, a feasible photonic bandgap tunability, and superior thermal stability were achieved. In addition, according to the optical-driven thermal stability of the hydrazone switches, the fine regulation of light-driven CLC materials with multistage photo stationary states was realized, and the application of CLC materials in erasable and rewritable display panels was also demonstrated.

2.
ArXiv ; 2024 Sep 12.
Artículo en Inglés | MEDLINE | ID: mdl-39314499

RESUMEN

Prostate cancer (PCa) was the most frequently diagnosed cancer among American men in 2023 [1]. The histological grading of biopsies is essential for diagnosis, and various deep learning-based solutions have been developed to assist with this task. Existing deep learning frameworks are typically applied to individual 2D cross-sections sliced from 3D biopsy tissue specimens. This process impedes the analysis of complex tissue structures such as glands, which can vary depending on the tissue slice examined. We propose a novel digital pathology data source called a "volumetric core," obtained via the extraction and co-alignment of serially sectioned tissue sections using a novel morphology-preserving alignment framework. We trained an attention-based multiple-instance learning (ABMIL) framework on deep features extracted from volumetric patches to automatically classify the Gleason Grade Group (GGG). To handle volumetric patches, we used a modified video transformer with a deep feature extractor pretrained using self-supervised learning. We ran our morphology preserving alignment framework to construct 10,210 volumetric cores, leaving out 30% for pretraining. The rest of the dataset was used to train ABMIL, which resulted in a 0.958 macro-average AUC, 0.671 F1 score, 0.661 precision, and 0.695 recall averaged across all five GGG significantly outperforming the 2D baselines.

3.
Artículo en Inglés | MEDLINE | ID: mdl-39269789

RESUMEN

The last decade has witnessed the growing prevalence of deep models on soft sensing in industrial processes. However, most of the existing soft sensing models are developed to learn from regular data in the Euclidean space, ignoring the complex coupling relations among process variables. On the other hand, graph networks are gaining attraction in handling non-Euclidean relations in industrial data. However, the existing graph networks on soft sensing models still suffer from two major issues: 1) how to capture the intervariable structural relations and intravariable temporal dependencies from dynamic and strongly coupled industrial data and 2) how to learn from nodes with distinctive importance for the soft sensing task. To address these problems, we propose a self-learning evolutionary and node-aware graph network (SENGraph) for industrial soft sensing. We first develop a self-learning graph generation (SLG) module to combine the coarse-and fine-grained graphs to capture the global trend and local dynamics from process data. Then, we build a self-evolutionary graph module (EGM) to obtain diversified node features from the entire graph using mutation and crossover strategies. Finally, we design a node-aware module (NAM) to highlight the informative nodes and suppress the less significant ones to further improve the discriminative ability of the downstream soft sensing. Extensive experimental results and analysis on four real-world industrial datasets demonstrate that our proposed SENGraph model outperforms the existing state-of-the-art (SOTA) soft sensing methods.

4.
Bioinformatics ; 2024 Sep 20.
Artículo en Inglés | MEDLINE | ID: mdl-39302662

RESUMEN

MOTIVATION: Intracellular organelle networks (IONs) such as the endoplasmic reticulum (ER) network and the mitochondrial (MITO) network serve crucial physiological functions. The morphology of these networks plays a critical role in mediating their functions. Accurate image segmentation is required for analyzing the morphology and topology of these networks for applications such as molecular mechanism analysis and drug target screening. So far, however, progress has been hindered by their structural complexity and density. RESULTS: In this study, we first establish a rigorous performance baseline for accurate segmentation of these organelle networks from fluorescence microscopy images by optimizing a baseline U-Net model. We then develop the multi-resolution encoder (MRE) and the hierarchical fusion loss (ℓhf) based on two inductive components, namely low-level features and topological self-similarity, to assist the model in better adapting to the task of segmenting IONs. Empowered by MRE and ℓhf, both U-Net and Pyramid Vision Transformer (PVT) outperform competing state-of-the-art models such as U-Net ++, HR-Net, nnU-Net, and TransUNet on custom datasets of the ER network and the MITO network, as well as on public datasets of another biological network, the retinal blood vessel network. In addition, integrating MRE and ℓhf with models such as HR-Net and TransUNet also enhances their segmentation performance. These experimental results confirm the generalization capability and potential of our approach. Furthermore, accurate segmentation of the ER network enables analysis that provides novel insights into its dynamic morphological and topological properties. AVAILABILITY AND IMPLEMENTATION: Code and data are openly accessible at https://github.com/cbmi-group/MRE. SUPPLEMENTARY INFORMATION: Supplementary information is available at Bioinformatics online.

5.
Small ; : e2406415, 2024 Sep 16.
Artículo en Inglés | MEDLINE | ID: mdl-39279464

RESUMEN

The conversion of Li2S4 to Li2S is the most important and slowest rate-limiting step in the complex sulfur reduction reaction (SRR) for Li-S batteries, the adjustment of which can effectively inhibit the notorious "shuttle effect". Herein, a CoSe2-FeSe2 heterostructure embedded in 3D N-doped nanocage as a modified layer on commercial separator is designed (CoSe2-FeSe2@NC//PP). The CoSe2-FeSe2 heterostructure forms a built-in electric field at the two-phase interface, which leads to the optimized adsorption force on polysulfides and the accelerated reaction kinetics for Li2S4-Li2S evolution. Density functional theory (DFT) calculations and experimental results combine to show that the liquid-solid reaction (Li2S4-Li2S2/Li2S) is significantly enhanced in terms of thermodynamics and electrodynamics. Consequently, the batteries assembled with CoSe2-FeSe2@NC//PP delivered an excellent rate capability (606 mAh g-1 under 8.0 C) and a long cycling lifespan (only 0.056% at 1.0 C after 1000 cycles). In addition, the cells can provide high initial capacity of 887 mAh g-1 at sulfur loading of 5.8 mg cm-2 and 0.1 C. This work would provide valuable insights into binary metal selenide heterostructures for liquid-solid conversion in Li-S batteries.

6.
Clin Nurs Res ; 33(7): 545-559, 2024 Sep.
Artículo en Inglés | MEDLINE | ID: mdl-39183563

RESUMEN

Patients with ischemic stroke have an increased propensity to fall, resulting in significant physical and psychological distress. This study examined the association between falls in the 3 months prior to intensive care unit (ICU) admission and mortality within 28 days among 2950 adult ICU patients diagnosed with ischemic stroke from 2008 to 2019, focusing on the potential mediating role of delirium. The primary outcomes were short-term mortality (28, 60, and 90 days) and the risk of delirium. Each patient was followed for at least 1 year. Delirium was primarily assessed using the Confusion Assessment Method for the ICU and by reviewing nursing notes. Group differences between patients with and without a history of falls were compared using the Wilcoxon rank-sum test or the chi-squared test. Cox proportional risk or logistic regression models were used to explore the association between fall history and outcomes, and causal mediation analysis was performed. Results showed that patients with a recent fall history had a significantly increased risk of 28-day (hazard ratio [HR]: 1.62, 95% confidence interval [CI]: 1.35-1.94), 60-day (HR: 1.67, 95% CI: 1.42-1.98), and 90-day mortality (HR: 1.66, 95% CI: 1.41-1.95), as well as an increased risk of delirium (odds ratio: 2.00, 95% CI: 1.66-2.42). Delirium significantly mediated the association between fall history and 28-day mortality (total effect: HR: 1.77, 95% CI: 1.45-2.16; natural indirect effect: HR: 1.12, 95% CI: 1.05-1.21; proportion mediated: 24.6%). These findings suggest that ischemic stroke patients with a recent fall have an increased risk of short-term mortality, partly mediated by delirium. Strategies aimed at preventing delirium may potentially improve prognosis in this patient population.


Asunto(s)
Accidentes por Caídas , Enfermedad Crítica , Delirio , Unidades de Cuidados Intensivos , Accidente Cerebrovascular Isquémico , Humanos , Delirio/mortalidad , Masculino , Femenino , Accidente Cerebrovascular Isquémico/mortalidad , Accidente Cerebrovascular Isquémico/complicaciones , Accidentes por Caídas/mortalidad , Accidentes por Caídas/estadística & datos numéricos , Enfermedad Crítica/mortalidad , Anciano , Factores de Riesgo , Persona de Mediana Edad
7.
Curr Zool ; 70(4): 472-479, 2024 Aug.
Artículo en Inglés | MEDLINE | ID: mdl-39176056

RESUMEN

Religious wildlife release is prevalent worldwide, especially in Asia countries. It is one of the anthropogenic pathways to cause biological invasions. Religious fish release is common on the Qinghai-Tibetan Plateau, yet few studies have assessed the influences of religious fish release on local species. In Yushu, a city on the Qinghai-Tibetan Plateau, we interviewed local people, conducted fish trap surveys in local rivers, and examined the diet of Eurasian otters Lutra lutra using a fecal DNA metabarcoding approach. We found that fish release started at least in 1980-1990s in Yushu. Tibetan residents released fish in large amounts and released fish were usually exotic commercial fish purchased from market. Despite such long-term and intensive fish release activities, released fish were few in local rivers. On the other hand, Eurasian otters mainly prey on fish and released fish accounted for ~20% of relative read abundance of prey DNA in otters' diet, indicating their high preference on released fish. Our study suggested that religious fish release may provide additional food resources for otters, whereas otters, as a top predator in local rivers, may deplete non-native fish once they were released and, therefore, reduce the probability of colonization of released fish, although further studies are required to assess otters' impact. Our study revealed otters' diet in Yushu, providing basic information for local otter management and conservation. Furthermore, it represents a case showing that native predators prey on religious released animals, implying a probable direction for controlling invasive species through native predator conservation.

8.
Artículo en Inglés | MEDLINE | ID: mdl-38978507

RESUMEN

In hypertrophic scars, the differentiation and migration of fibroblasts are influenced by the extracellular matrix microenvironment, which includes factors such as stiffness, restraint, and tensile force. These mechanical stresses incite alterations in cell behavior, accompanied by cytoskeletal protein reorganization. However, the role of nucleo-skeletal proteins in this context remains underexplored. In this study, we use a polyacrylamide hydrogel (PAA) to simulate the mechanical stress experienced by cells in scar tissue and investigate the impact of Emerin on cell behavior. We utilize atomic force microscopy (AFM) and RNA interference technology to analyze cell differentiation, migration, and stiffness. Our findings reveal that rigid substrates and cellular restriction elevate Emerin expression and diminish differentiation. Conversely, reducing Emerin expression leads to attenuated cell differentiation, where stiffness and constraining factors exert no notable influence. Furthermore, a softening of cells and an enhanced migration rate are also markedly observed. These observations indicate that variations in nuclear skeletal proteins, prompted by diverse matrix microenvironments, play a pivotal role in the pathogenesis of hypertrophic scars (HSs). This research offers novel insights and a reference point for understanding scar fibrosis formation mechanisms and preventing fibrosis.

9.
Molecules ; 29(14)2024 Jul 11.
Artículo en Inglés | MEDLINE | ID: mdl-39064857

RESUMEN

Lithium-ion batteries (LIBs) have an extremely diverse application nowadays as an environmentally friendly and renewable new energy storage technology. The porous structure of the separator, one essential component of LIBs, provides an ion transport channel for the migration of ions and directly affects the overall performance of the battery. In this work, we fabricated a composite separator (GOP-PH-ATP) via simply laminating an electrospun polyvinylidene fluoride-hexafluoropropylene (PVDF-HFP) nanofibrous membrane coated with attapulgite (ATP) nanoparticles onto a PP nonwoven microfibrous fabric, which exhibits a unique porous structure with a pore-size gradient along the thickness direction that ranges from tens of microns to hundreds of nanometers. As a result, besides the enhanced thermal stability given by the chosen materials, the GOP-PH-ATP separator was endowed with a superhigh porosity of ~95%, strong affinity with electrolyte, and great electrolyte uptake of ~760%, thus effectively enabling an ionic conductivity of 2.38 mS cm-1 and a lithium-ion transference number of 0.62. Furthermore, the cell with the GOP-PH-ATP separator shows an excellent cycling performance with a capacity retention of 91.2% after 150 cycles at 1 C, suggesting that the composite separator with a pore-size gradient structure has great potential to be applied in LIBs.

10.
ACS Infect Dis ; 10(8): 2929-2938, 2024 Aug 09.
Artículo en Inglés | MEDLINE | ID: mdl-38949961

RESUMEN

Biofilm formation of Klebsiella pneumoniae can protect bacteria from antibiotics and is difficult to eradicate. Thus, the influence of subinhibitory concentrations of antibiotics on bacteria is becoming increasingly important. Our study showed that subminimum inhibitory concentrations (sub-MICs) of tetracycline antibiotics can increase biofilm formation in minocycline-resistant Klebsiella pneumoniae clinical strains. However, in the bacterial adhesion and invasion experiments, the adhesion and invasion ability decreased and the survival rate of Galleria mellonella increased. Under sub-MICs of tetracycline antibiotics treatment, abnormal stretching of bacteria was observed by scanning electron microscopy. Treatment with sub-MICs of tetracyclines leads to increased surface hydrophobicity and eDNA content and decreased outer membrane permeability. The expression levels of the fimA, luxS, qseB, and qseC genes decreased, the expression level of mrkA increased, and the expression level of acrA was inconsistent under different tetracycline antibiotics treatments. Together, our results suggested that the increase in Klebsiella pneumoniae biofilm formation caused by sub-MICs of tetracycline antibiotics may occur by affecting bacterial physical and chemical properties and associated genes expression.


Asunto(s)
Antibacterianos , Biopelículas , Klebsiella pneumoniae , Pruebas de Sensibilidad Microbiana , Biopelículas/efectos de los fármacos , Klebsiella pneumoniae/efectos de los fármacos , Klebsiella pneumoniae/genética , Antibacterianos/farmacología , Minociclina/farmacología , Infecciones por Klebsiella/microbiología , Infecciones por Klebsiella/tratamiento farmacológico , Regulación Bacteriana de la Expresión Génica/efectos de los fármacos , Animales , Tetraciclina/farmacología , Adhesión Bacteriana/efectos de los fármacos , Farmacorresistencia Bacteriana/efectos de los fármacos , Proteínas Bacterianas/genética , Proteínas Bacterianas/metabolismo , Mariposas Nocturnas/efectos de los fármacos , Mariposas Nocturnas/microbiología , Humanos , Interacciones Hidrofóbicas e Hidrofílicas
11.
J Hazard Mater ; 476: 135122, 2024 Sep 05.
Artículo en Inglés | MEDLINE | ID: mdl-38986411

RESUMEN

The extensive utilization of rubber-related products can lead to a substantial release of p-phenylenediamine (PPD) antioxidants into the environment. In recent years, studies mainly focus on the pollution characteristics and health risks of PM2.5-bound PPDs. This study presents long-time scale data of PPDs and N-(1,3-dimethylbutyl)-N'-phenyl-p-phenylenediamine quinone (6PPD-Q) in PM2.5 and proposes the innovative use of PPDs as new markers for vehicular emissions in the Positive Matrix Factorization (PMF) source apportionment. The results indicate that PPDs and 6PPD-Q were detectable in 100 % of the winter PM2.5 samples, and the concentration ranges of PPDs and 6PPD-Q are 15.6-2.92 × 103 pg·m-3 and 3.90-27.4 pg·m-3, respectively, in which 6PPD and DNPD are the main compounds. Moreover, a competitive formation mechanism between sulfate, nitrate, ammonium (SNA) and 6PPD-Q was observed. The source apportionment results show that the incorporation of PPDs in PMF reduced the contribution of traffic source to PM2.5 from 13.5 % to 9.5 %. In the traffic source factor profiles, the load of IPPD, CPPD, DPPD, DNPD and 6PPD reaches 91.8 %, 91.6 %, 92.9 %, 80.6 % and 87.2 %, respectively. It`s amazing that traditional markers of traffic source, which often overlap with coal burning and industrial sources, over-estimated the contribution of vehicles by one third or more. The discovery of PPDs as specific markers for vehicular emissions holds significant utility, particularly considering the growing proportion of new energy vehicles in the future. The results may prove more accurate policy implications for pollution control. SYNOPSIS: PPDs are excellent indicators of vehicle emissions, and PMF without PPDs over-estimated the contribution of traffic source to PM2.5.

12.
Neuron ; 112(17): 2886-2909.e16, 2024 Sep 04.
Artículo en Inglés | MEDLINE | ID: mdl-39079530

RESUMEN

The heterogeneity of protein-rich inclusions and its significance in neurodegeneration is poorly understood. Standard patient-derived iPSC models develop inclusions neither reproducibly nor in a reasonable time frame. Here, we developed screenable iPSC "inclusionopathy" models utilizing piggyBac or targeted transgenes to rapidly induce CNS cells that express aggregation-prone proteins at brain-like levels. Inclusions and their effects on cell survival were trackable at single-inclusion resolution. Exemplar cortical neuron α-synuclein inclusionopathy models were engineered through transgenic expression of α-synuclein mutant forms or exogenous seeding with fibrils. We identified multiple inclusion classes, including neuroprotective p62-positive inclusions versus dynamic and neurotoxic lipid-rich inclusions, both identified in patient brains. Fusion events between these inclusion subtypes altered neuronal survival. Proteome-scale α-synuclein genetic- and physical-interaction screens pinpointed candidate RNA-processing and actin-cytoskeleton-modulator proteins like RhoA whose sequestration into inclusions could enhance toxicity. These tractable CNS models should prove useful in functional genomic analysis and drug development for proteinopathies.


Asunto(s)
Cuerpos de Inclusión , Células Madre Pluripotentes Inducidas , alfa-Sinucleína , Células Madre Pluripotentes Inducidas/metabolismo , alfa-Sinucleína/metabolismo , alfa-Sinucleína/genética , Humanos , Cuerpos de Inclusión/metabolismo , Cuerpos de Inclusión/patología , Sinucleinopatías/metabolismo , Sinucleinopatías/patología , Sinucleinopatías/genética , Neuronas/metabolismo , Neuronas/patología , Encéfalo/metabolismo , Encéfalo/patología
13.
AJNR Am J Neuroradiol ; 45(8): 1044-1052, 2024 Aug 09.
Artículo en Inglés | MEDLINE | ID: mdl-38871371

RESUMEN

BACKGROUND AND PURPOSE: Following endovascular thrombectomy in patients with large-vessel occlusion stroke, successful recanalization from 1 attempt, known as the first-pass effect, has correlated favorably with long-term outcomes. Pretreatment imaging may contain information that can be used to predict the first-pass effect. Recently, applications of machine learning models have shown promising results in predicting recanalization outcomes, albeit requiring manual segmentation. In this study, we sought to construct completely automated methods using deep learning to predict the first-pass effect from pretreatment CT and MR imaging. MATERIALS AND METHODS: Our models were developed and evaluated using a cohort of 326 patients who underwent endovascular thrombectomy at UCLA Ronald Reagan Medical Center from 2014 to 2021. We designed a hybrid transformer model with nonlocal and cross-attention modules to predict the first-pass effect on MR imaging and CT series. RESULTS: The proposed method achieved a mean 0.8506 (SD, 0.0712) for cross-validation receiver operating characteristic area under the curve (ROC-AUC) on MR imaging and 0.8719 (SD, 0.0831) for cross-validation ROC-AUC on CT. When evaluated on the prospective test sets, our proposed model achieved a mean ROC-AUC of 0.7967 (SD, 0.0335) with a mean sensitivity of 0.7286 (SD, 0.1849) and specificity of 0.8462 (SD, 0.1216) for MR imaging and a mean ROC-AUC of 0.8051 (SD, 0.0377) with a mean sensitivity of 0.8615 (SD, 0.1131) and specificity 0.7500 (SD, 0.1054) for CT, respectively, representing the first classification of the first-pass effect from MR imaging alone and the first automated first-pass effect classification method in CT. CONCLUSIONS: Results illustrate that both nonperfusion MR imaging and CT from admission contain signals that can predict a successful first-pass effect following endovascular thrombectomy using our deep learning methods without requiring time-intensive manual segmentation.


Asunto(s)
Aprendizaje Profundo , Accidente Cerebrovascular Isquémico , Imagen por Resonancia Magnética , Trombectomía , Humanos , Accidente Cerebrovascular Isquémico/diagnóstico por imagen , Accidente Cerebrovascular Isquémico/cirugía , Trombectomía/métodos , Masculino , Femenino , Anciano , Imagen por Resonancia Magnética/métodos , Persona de Mediana Edad , Tomografía Computarizada por Rayos X/métodos , Resultado del Tratamiento , Procedimientos Endovasculares/métodos
14.
J Inflamm Res ; 17: 3449-3458, 2024.
Artículo en Inglés | MEDLINE | ID: mdl-38828047

RESUMEN

Objective: To identify subclasses of acute pancreatitis (AP) patients in the intensive care unit (ICU) by analyzing blood urea nitrogen (BUN) trajectories. Methods: AP patients in West China Hospital System (development cohort) and three public databases in the United States (validation cohort) were included. Latent class trajectory modelling was used to identify subclasses based on BUN trajectories within the first 21 days after ICU admission. Clinical characteristics and outcomes were compared, and results were externally validated. Results: The study comprised 2971 and 930 patients in the development and validation cohorts, respectively, with five subclasses: Class 1 ("Moderate-azotemia, slow decreasing"), Class 2 ("Non-azotemia"), Class 3 ("Severe-azotemia, slow decreasing"), Class 4 ("Moderate-azotemia, rapid increasing"), and Class 5 ('Moderate-azotemia, slow increasing) identified. Azotemia patients showed significantly higher 30-day mortality risk in development and validation cohorts. Specifically, Class 4 patients exhibited notably highest mortality risk in both the development cohort (HR 5.32, 95% CI 2.62-10.82) and validation cohort (HR 6.23, 95% CI 2.93-13.22). Regarding clinical characteristics, AP patients in Class 4 showed lower mean arterial pressure and a higher proportion of renal disease. We also created an online early classification model to further identify Class 4 patients among all patients with moderate azotemia at baseline. Conclusion: This multinational study uncovers heterogeneity in BUN trajectories among AP patients. Patients with "Moderate-azotemia, rapid increasing" trajectory, had a higher mortality risk than patients with severe azotemia at baseline. This finding complements studies that solely rely on baseline BUN for risk stratification and enhanced our understanding of longitudinal progression of AP.

15.
ACS Appl Mater Interfaces ; 16(25): 32836-32846, 2024 Jun 26.
Artículo en Inglés | MEDLINE | ID: mdl-38874560

RESUMEN

Plasmonic hot-electron-based photodetectors (HEB-PDs) have received widespread attention for their ability to realize effective carrier collection under sub-bandgap illumination. However, due to the low hot electron emission probability, most of the existing HEB-PDs exhibit poor responsivity, which significantly restricts their practical applications. Here, by employing the binary-pore anodic alumina oxide template technique, we proposed a compact plasmonic bound state in continuum metasurface-semiconductor-metal-based (BIC M-S-M) HEB-PD. The symmetry-protected BIC can manipulate a strong gap surface plasmon in the stacked M-S-M structure, which effectively enhances light-matter interactions and improves the photoresponse of the integrated device. Notably, the optimal M-S-M HEB-PD with near-unit absorption (∼90%) around 800 nm delivers a responsivity of 5.18 A/W and an IPCE of 824.23% under 780 nm normal incidence (1 V external bias). Moreover, the ultrathin feature of BIC M-S-M (∼150 nm) on the flexible substrate demonstrates excellent stability under a wide range of illumination angles from -40° to 40° and at the curvature surface from 0.05 to 0.13 mm-1. The proposed plasmonic BIC strategy is very promising for many other hot-electron-related fields, such as photocatalysis, biosensing, imaging, and so on.

16.
CNS Neurosci Ther ; 30(6): e14762, 2024 Jun.
Artículo en Inglés | MEDLINE | ID: mdl-38924691

RESUMEN

AIM: To evaluate the association between frailty and postoperative delirium (POD) in elderly cardiac surgery patients. METHODS: A retrospective study was conducted of older patients admitted to the intensive care unit after cardiac surgery at a tertiary academic medical center in Boston from 2008 to 2019. Frailty was measured using the Modified Frailty Index (MFI), which categorized patients into frail (MFI ≥3) and non-frail (MFI = 0-2) groups. Delirium was identified using the confusion assessment method for the intensive care unit and nursing notes. Logistic regression models were used to examine the association between frailty and POD, and odds ratios (OR) with 95% confidence intervals (CI) were calculated. RESULTS: Of the 2080 patients included (median age approximately 74 years, 30.9% female), 614 were frail and 1466 were non-frail. The incidence of delirium was significantly higher in the frail group (29.2% vs. 16.4%, p < 0.05). After adjustment for age, sex, race, marital status, Acute Physiology Score III (APSIII), sequential organ failure assessment (SOFA), albumin, creatinine, hemoglobin, white blood cell count, type of surgery, alcohol use, smoking, cerebrovascular disease, use of benzodiazepines, and mechanical ventilation, multivariate logistic regression indicated a significantly increased risk of delirium in frail patients (adjusted OR: 1.61, 95% CI: 1.23-2.10, p < 0.001, E-value: 1.85). CONCLUSIONS: Frailty is an independent risk factor for POD in older patients after cardiac surgery. Further research should focus on frailty assessment and tailored interventions to improve outcomes.


Asunto(s)
Procedimientos Quirúrgicos Cardíacos , Delirio , Fragilidad , Complicaciones Posoperatorias , Humanos , Femenino , Masculino , Anciano , Procedimientos Quirúrgicos Cardíacos/efectos adversos , Delirio/epidemiología , Delirio/etiología , Delirio/diagnóstico , Fragilidad/diagnóstico , Fragilidad/epidemiología , Anciano de 80 o más Años , Complicaciones Posoperatorias/epidemiología , Complicaciones Posoperatorias/etiología , Complicaciones Posoperatorias/diagnóstico , Estudios Retrospectivos , Estudios de Cohortes , Factores de Riesgo
17.
Avian Pathol ; : 1-7, 2024 Jul 11.
Artículo en Inglés | MEDLINE | ID: mdl-38836447

RESUMEN

Infectious laryngotracheitis (ILT) poses a significant threat to the poultry industry, and vaccines play an important role in protection. However, due to the increasing scale of poultry production, there is an urgent need to develop vaccines that are suitable for convenient immunization methods such as spraying. Previous studies have shown that Newcastle disease virus (NDV)-ILT vaccines administered via intranasal and intraocular routes to commercial chickens carrying maternally-derived antibodies (MDAs) are still protective against ILT. In this study, a recombinant NDV (rNDV) was generated to express infectious laryngotracheitis virus (ILTV) glycoprotein B (gB), named rLS-gB, based on a full-length cDNA clone of the LaSota strain. The protective effect of different doses of rLS-gB administered by spray vaccination to commercial chickens at 1 d of age (doa) was evaluated. The chickens were exposed to 160-µm aerosol particles for 10 min for spray vaccination, and no adverse reactions were observed after vaccination. Despite the presence of anti-NDV MDAs and anti-ILTV MDAs in chickens, the ILTV- and NDV-specific antibody titres were significantly greater in the vaccinated groups than in the unvaccinated group. After challenge with a virulent ILTV strain, no clinical signs were observed in the 107 EID50/ml group compared to the other groups. Furthermore, vaccination with 107 EID50/ml rLS-gB significantly reduced the ILTV viral load and ameliorated gross and microscopic lesions in the trachea of chickens. Overall, these results suggested that rLS-gB is a safe and efficient candidate spray vaccine for ILT and is especially suitable for scaled chicken farms.

18.
bioRxiv ; 2024 May 30.
Artículo en Inglés | MEDLINE | ID: mdl-38854017

RESUMEN

Light-sheet fluorescence microscopy (LSFM), a prominent fluorescence microscopy technique, offers enhanced temporal resolution for imaging biological samples in four dimensions (4D; x, y, z, time). Some of the most recent implementations, including inverted selective plane illumination microscopy (iSPIM) and lattice light-sheet microscopy (LLSM), rely on a tilting of the sample plane with respect to the light sheet of 30-45 degrees to ease sample preparation. Data from such tilted-sample-plane LSFMs require subsequent deskewing and rotation for proper visualization and analysis. Such transformations currently demand substantial memory allocation. This poses computational challenges, especially with large datasets. The consequence is long processing times compared to data acquisition times, which currently limits the ability for live-viewing the data as it is being captured by the microscope. To enable the fast preprocessing of large light-sheet microscopy datasets without significant hardware demand, we have developed WH-Transform, a novel GPU-accelerated memory-efficient algorithm that integrates deskewing and rotation into a single transformation, significantly reducing memory requirements and reducing the preprocessing run time by at least 10-fold for large image stacks. Benchmarked against conventional methods and existing software, our approach demonstrates linear scalability. Processing large 3D stacks of up to 15 GB is now possible within one minute using a single GPU with 24 GB of memory. Applied to 4D LLSM datasets of human hepatocytes, human lung organoid tissue, and human brain organoid tissue, our method outperforms alternatives, providing rapid, accurate preprocessing within seconds. Importantly, such processing speeds now allow visualization of the raw microscope data stream in real time, significantly improving the usability of LLSM in biology. In summary, this advancement holds transformative potential for light-sheet microscopy, enabling real-time, on-the-fly data processing, visualization, and analysis on standard workstations, thereby revolutionizing biological imaging applications for LLSM, SPIM and similar light microscopes.

19.
Small ; 20(37): e2401299, 2024 Sep.
Artículo en Inglés | MEDLINE | ID: mdl-38746996

RESUMEN

The immunosuppressive tumor microenvironment (TME) reduces the chimeric antigen receptor (CAR) T-cell therapy against solid tumors. Here, a CAR T cell membrane-camouflaged nanocatalyst (ACSP@TCM) is prepared to augment CAR T cell therapy efficacy against solid tumors. ACSP@TCM is prepared by encapsulating core/shell Au/Cu2- xSe and 3-bromopyruvate with a CAR T cell membrane. It is demonstrated that the CAR T cell membrane camouflaging has much better-targeting effect than the homologous tumors cell membrane camouflaging. ACSP@TCM has an appealing synergistic chemodynamic/photothermal therapy (CDT/PTT) effect that can induce the immunogenic cell death (ICD) of NALM 6 cells. Moreover, 3-bromopyruvate can inhibit the efflux of lactic acid by inhibiting the glycolysis process, regulating the acidity of TME, and providing a more favorable environment for the survival of CAR T cells. In addition, the photoacoustic (PA) imaging and computed tomography (CT) imaging performance can guide the ACSP@TCM-mediated tumor therapy. The results demonstrated that the ACSP@TCM significantly enhanced the CAR T cell therapy efficacy against NALM 6 solid tumor mass, and completely eliminated tumors. This work provides an effective tumor strategy for CAR T cell therapy in solid tumors.


Asunto(s)
Membrana Celular , Inmunoterapia Adoptiva , Receptores Quiméricos de Antígenos , Receptores Quiméricos de Antígenos/metabolismo , Humanos , Animales , Inmunoterapia Adoptiva/métodos , Línea Celular Tumoral , Membrana Celular/metabolismo , Linfocitos T/inmunología , Ratones , Microambiente Tumoral/efectos de los fármacos , Neoplasias/terapia , Neoplasias/patología , Piruvatos/química , Piruvatos/farmacología , Nanopartículas/química , Oro/química
20.
Physiol Plant ; 176(3): e14323, 2024.
Artículo en Inglés | MEDLINE | ID: mdl-38695188

RESUMEN

Tomatoes are frequently challenged by various pathogens, among which Phytophthora capsici (P. capsici) is a destructive soil-borne pathogen that seriously threatens the safe production of tomatoes. Plant growth-promoting rhizobacteria (PGPR) positively induced plant resistance against multiple pathogens. However, little is known about the role and regulatory mechanism of PGPR in tomato resistance to P. capsici. Here, we identified a new strain Serratia plymuthica (S. plymuthica), HK9-3, which has a significant antibacterial effect on P. capsici infection. Meanwhile, stable colonization in roots by HK9-3, even under P. capsici infection, improved tomato growth parameters, root system architecture, photosynthetic capacity, and boosted biomass. Importantly, HK9-3 colonization significantly alleviated the damage caused by P. capsici infection through enhancing ROS scavenger ability and inducing antioxidant defense system and pathogenesis-related (PR) proteins in leaves, as evidenced by elevating the activities of peroxidase (POD), superoxide dismutase (SOD), catalase (CAT), ascorbate peroxidase (APX), phenylalanine ammonia lyase (PAL), polyphenol oxidase (PPO), and chitinase, ß-1,3-glucanase, and increasing the transcripts of POD, SOD, CAT, APX1, PAL1, PAL2, PAL5, PPO2, CHI17 and ß-1,3-glucanase genes. Notably, HK9-3 colonization not only effectively improved soil microecology and soil fertility, but also significantly enhanced fruit yield by 44.6% and improved quality. Our study presents HK9-3 as a promising and effective solution for controlling P. capsici infection in tomato cultivation while simultaneously promoting plant growth and increasing yield, which may have implications for P. capsici control in vegetable production.


Asunto(s)
Resistencia a la Enfermedad , Phytophthora , Enfermedades de las Plantas , Rizosfera , Serratia , Solanum lycopersicum , Solanum lycopersicum/microbiología , Solanum lycopersicum/fisiología , Solanum lycopersicum/genética , Phytophthora/fisiología , Serratia/fisiología , Enfermedades de las Plantas/microbiología , Enfermedades de las Plantas/inmunología , Antioxidantes/metabolismo , Raíces de Plantas/microbiología , Raíces de Plantas/fisiología
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