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1.
Sensors (Basel) ; 24(8)2024 Apr 10.
Artículo en Inglés | MEDLINE | ID: mdl-38676048

RESUMEN

In addition to the filter coefficients, the location of the microphone array is a crucial factor in improving the overall performance of a beamformer. The optimal microphone array placement can considerably enhance speech quality. However, the optimization problem with microphone configuration variables is non-convex and highly non-linear. Heuristic algorithms that are frequently employed take a long time and have a chance of missing the optimal microphone array placement design. We extend the Bayesian optimization method to solve the microphone array configuration design problem. The proposed Bayesian optimization method does not depend on gradient and Hessian approximations and makes use of all the information available from prior evaluations. Furthermore, Gaussian process regression and acquisition functions make up the Bayesian optimization method. The objective function is given a prior probabilistic model through Gaussian process regression, which exploits this model while integrating out uncertainty. The acquisition function is adopted to decide the next placement point based upon the incumbent optimum with the posterior distribution. Numerical experiments have demonstrated that the Bayesian optimization method could find a similar or better microphone array placement compared with the hybrid descent method and computational time is significantly reduced. Our proposed method is at least four times faster than the hybrid descent method to find the optimal microphone array configuration from the numerical results.

2.
ACS Omega ; 9(1): 1265-1277, 2024 Jan 09.
Artículo en Inglés | MEDLINE | ID: mdl-38222670

RESUMEN

Alternative means for soda ash (Na2CO3) production from sodium sulfate (Na2SO4) are needed due to the intensive consumption of energy in the conventional Mirabilite-Solvay process (MSP). We demonstrate a new process to produce soda ash using sodium sulfate as a feed material. The new process relies on the antisolvent crystallization of unreacted Na2SO4 to separate it from soluble (NH4)2SO4 in a mixed monoethanolamine (MEA) and monoethylene glycol (MEG) solution. To develop the process, the solubilities of Na2SO4 and (NH4)2SO4 solids in aqueous mixed MEA-MEG solutions were first measured and then modeled using regressed paired-ion interactions from the electrolyte nonrandom two-liquid (E-NRTL) model. Anhydrous dense soda ash with a bulk density of up to 1146 kg/m3 was obtained when the concentrated Na2SO4 brines reacted with CO2 and NH3.

3.
CNS Neurosci Ther ; 30(3): e14435, 2024 03.
Artículo en Inglés | MEDLINE | ID: mdl-37664885

RESUMEN

BACKGROUND: Parkinson's disease (PD) is the second most common neurodegenerative disease. Exosomes are endosome-derived extracellular vesicles that can take part in intercellular communication. Circular RNAs (circRNAs) are noncoding RNAs characterized by covalently closed-loop structures, which perform a crucial function in many diseases. AIM: To clarify the expression and function of exosomal circRNSs of PD patients and look for circRNAs that might be related to the pathogenesis of PD. MATERIALS AND METHODS: We examined circRNA and mRNA expression profiles in peripheral exosomes from PD patients (n = 23) and healthy controls (n = 15) using next-generation sequencing (NGS) technology, functional annotation, and quantitative polymerase chain reaction. Correlation analysis was performed between the expression levels of the circRNAs and the clinical characteristics of PD patients. The binding miRNAs and target genes were predicted using TargetScanHuman, miRDB, and miRTarBase. The predicted target genes were compared with the differentially expressed mRNAs in sequencing results. RESULTS: According to the NGS, 62 upregulated and 37 downregulated circRNAs in the PD group were screened out. Correlation analysis revealed that hsa-SCMH1_0001 has strong clinical relevance. We identified 17 potential binding miRNAs of hsa-SCMH1_0001 with 149 potential target genes. ARID1A and C1orf115 belong to the intersection of the predicted target genes and the differentially expressed mRNAs obtained by sequencing. CONCLUSION: This study suggested that hsa-SCMH1_0001 and its target genes ARID1A and C1orf115 are downregulated in PD patients and may be involved in the occurrence of PD.


Asunto(s)
MicroARNs , Enfermedades Neurodegenerativas , Enfermedad de Parkinson , Humanos , ARN Circular/genética , Transcriptoma , Enfermedad de Parkinson/genética , MicroARNs/genética , MicroARNs/metabolismo , ARN Mensajero/metabolismo
4.
J Stroke Cerebrovasc Dis ; 32(8): 107214, 2023 Aug.
Artículo en Inglés | MEDLINE | ID: mdl-37352826

RESUMEN

OBJECTIVES: The location of the aneurysm can affect the relationship between changes in intraoperative neurophysiological monitoring indicators and postoperative outcomes. The current study aimed to evaluate the application value of motor evoked potential and somatosensory evoked potential monitoring in anterior cerebral artery aneurysm surgery. METHODS: The data of 219 patients with anterior cerebral artery aneurysms treated via surgical clipping were retrospectively reviewed. The correlation of motor/somatosensory evoked potential monitoring with postoperative motor dysfunction was assessed using false positive rate, false negative rate, sensitivity, and specificity. Binary multivariate logistic regression analysis was applied to identify potential predictors for postoperative motor dysfunction. RESULTS: Motor evoked potential monitoring showed satisfactory effectiveness in predicting postoperative motor dysfunction (Sensitivity, 60.00%; Specificity, 85.43%; False positive rate, 14.57%; False negative rate, 40%). While somatosensory evoked potential did not (Sensitivity, 15.00%; Specificity, 96.98%; False positive rate, 3.02%; False negative rate, 85%). Abnormal motor evoked potential was identified as the only independent predictor for both short-term (odds ratio, 8.893; 95% confidence interval, 2.749-28.773; p<0.001) and long-term postoperative motor dysfunction (odds ratio, 7.877; 95% confidence interval, 2.144-28.945; p=0.002). CONCLUSIONS: During intraoperative neurophysiological monitoring for patients with anterior cerebral artery aneurysms, paying more attention to motor evoked potential changes was a reasonable choice. And somatosensory evoked potential monitoring can serve as an auxiliary reference.

5.
Sensors (Basel) ; 22(19)2022 Oct 03.
Artículo en Inglés | MEDLINE | ID: mdl-36236599

RESUMEN

The B-dot sensor is a type of Rogowski coil widely used in the measurement of current. However, the accuracy of the B-dot for measuring aircraft high-frequency lightning current is greatly affected by factors such as numerical integration drift, high-frequency oscillation, and calibration. In this study, a new design and optimization for improving the B-dot measuring accuracy was carried out. To correct the drift of the numerical integral of the measurement signal in differential mode, the measuring current was reconstructed based on the nonlinear least squares method. The sensor was then optimized by isolating the sampling resistance and matching the impedance with a voltage follower. A low-cost coaxial loop calibration system was also designed to calibrate the high frequency and strong magnetic fields more accurately. Finally, the optimized B-dot sensor accuracy was greatly improved with a measuring range of 30 kA/m, an error of 3.1%, and a high-frequency response of 50 MHz. Our study greatly increases the accuracy of measuring aircraft high-frequency lightning current.

6.
Brain Sci ; 12(9)2022 Sep 07.
Artículo en Inglés | MEDLINE | ID: mdl-36138942

RESUMEN

Levodopa-induced dyskinesia (LID) is a common complication of chronic dopamine replacement therapy in the treatment of Parkinson's disease (PD), and a noble cause of disability in advanced PD patients. Circular RNA (circRNA) is a novel type of non-coding RNA with a covalently closed-loop structure, which can regulate gene expression and participate in many biological processes. However, the biological roles of circRNAs in LID are not completely known. In the present study, we established typical LID rat models by unilateral lesions of the medial forebrain bundle and repeated levodopa therapy. High-throughput next-generation sequencing was used to screen circRNAs differentially expressed in the brain of LID and non-LID (NLID) rats, and key circRNAs were selected according to bioinformatics analyses. Regarding fold change ≥2 and p < 0.05 as the cutoff value, there were a total of 99 differential circRNAs, including 39 up-regulated and 60 down-regulated circRNAs between the NLID and LID groups. The expression of rno-Rsf1_0012 was significantly increased in the striatum of LID rats and competitively bound rno-mir-298-5p. The high expression of target genes PCP and TBP in LID rats also supports the conclusion that rno-Rsf1_0012 may be related to the occurrence of LID.

7.
J Clin Monit Comput ; 36(3): 667-673, 2022 06.
Artículo en Inglés | MEDLINE | ID: mdl-33755845

RESUMEN

This study aimed to investigate the efficacy of intraoperative motor evoked potential (MEP) and somatosensory evoked potential (SSEP) monitoring for predicting postoperative motor deficits (PMDs) in patients with internal carotid artery (ICA) aneurysms. The data for 138 patients with ICA aneurysms who underwent surgical clipping as well as their intraoperative neuromonitoring data were retrospectively reviewed. The efficacy of MEP/SSEP changes for predicting PMDs was assessed using binary logistic regression analysis. Subsequently, receiver operating characteristic curve analysis was used to obtain a supplementary critical value of the MEP/SSEP deterioration duration. The sensitivity and specificity of MEP changes for predicting PMDs were 0.824 and 0.843, respectively. For SSEP changes, the sensitivity and specificity were 0.529 and 0.959, respectively. MEP and SSEP changes were identified as independent predictors for short-term (p = 0.002 and 0.011, respectively) and long-term PMDs (p = 0.040 and 0.006, respectively). The supplementary critical value for MEP deterioration duration for predicting PMDs was 14 min (p = 0.007, AUC = 0.805). For SSEP, the value was 14.5 min (p = 0.042, AUC = 0.875). The MEP/SSEP changes adjusted by those optimal values were also identified as independent predictors for short-term (p < 0.001 and p = 0.005, respectively) and long-term PMDs (p = 0.019 and 0.003, respectively). Intraoperative MEP and SSEP deterioration durations are effective in predicting PMDs in patients with ICA aneurysms.


Asunto(s)
Aneurisma , Monitorización Neurofisiológica Intraoperatoria , Aneurisma/cirugía , Arteria Carótida Interna , Potenciales Evocados Motores/fisiología , Potenciales Evocados Somatosensoriales/fisiología , Humanos , Estudios Retrospectivos
8.
J Neurosurg ; : 1-8, 2021 Nov 26.
Artículo en Inglés | MEDLINE | ID: mdl-34826813

RESUMEN

OBJECTIVE: The current study investigated the correlation between intraoperative motor evoked potential (MEP) and somatosensory evoked potential (SSEP) monitoring and both short-term and long-term motor outcomes in aneurysm patients treated with surgical clipping. Moreover, the authors provide a relatively optimal neurophysiological predictor of postoperative motor deficits (PMDs) in patients with ruptured and unruptured aneurysms. METHODS: A total of 1017 patients (216 with ruptured aneurysms and 801 with unruptured aneurysms) were included. Patient demographic characteristics, clinical features, intraoperative monitoring data, and follow-up data were retrospectively reviewed. The efficacy of using changes in MEP/SSEP to predict PMDs was assessed using binary logistic regression analysis. Subsequently, receiver operating characteristic curve analysis was performed to determine the optimal critical value for duration of MEP/SSEP deterioration. RESULTS: Both intraoperative MEP and SSEP monitoring were significantly effective for predicting short-term (p < 0.001 for both) and long-term (p < 0.001 for both) PMDs in aneurysm patients. The critical values for predicting short-term PMDs were amplitude decrease rates of 57.30% for MEP (p < 0.001 and area under the curve [AUC] 0.732) and 64.10% for SSEP (p < 0.001 and AUC 0.653). In patients with an unruptured aneurysm, the optimal critical values for predicting short-term PMDs were durations of deterioration of 17 minutes for MEP (p < 0.001 and AUC 0.768) and 21 minutes for SSEP (p < 0.001 and AUC 0.843). In patients with a ruptured aneurysm, the optimal critical values for predicting short-term PMDs were durations of deterioration of 12.5 minutes for MEP (p = 0.028 and AUC 0.706) and 11 minutes for SSEP (p = 0.043 and AUC 0.813). CONCLUSIONS: The authors found that both intraoperative MEP and SSEP monitoring are useful for predicting short-term and long-term PMDs in patients with unruptured and ruptured aneurysms. The optimal intraoperative neuromonitoring method for predicting PMDs varies depending on whether the aneurysm has ruptured or not.

9.
Front Neurol ; 12: 715455, 2021.
Artículo en Inglés | MEDLINE | ID: mdl-34721258

RESUMEN

Objective: The objective of this study was to use functional connectivity and graphic indicators to investigate the abnormal brain network topological characteristics caused by Parkinson's disease (PD) and the effect of acute deep brain stimulation (DBS) on those characteristics in patients with PD. Methods: We recorded high-density EEG (256 channels) data from 21 healthy controls (HC) and 20 patients with PD who were in the DBS-OFF state and DBS-ON state during the resting state with eyes closed. A high-density EEG source connectivity method was used to identify functional brain networks. Power spectral density (PSD) analysis was compared between the groups. Functional connectivity was calculated for 68 brain regions in the theta (4-8 Hz), alpha (8-13 Hz), beta1 (13-20 Hz), and beta2 (20-30 Hz) frequency bands. Network estimates were measured at both the global (network topology) and local (inter-regional connection) levels. Results: Compared with HC, PSD was significantly increased in the theta (p = 0.003) frequency band and was decreased in the beta1 (p = 0.009) and beta2 (p = 0.04) frequency bands in patients with PD. However, there were no differences in any frequency bands between patients with PD with DBS-OFF and DBS-ON. The clustering coefficient and local efficiency of patients with PD showed a significant decrease in the alpha, beta1, and beta2 frequency bands (p < 0.001). In addition, edgewise statistics showed a significant difference between the HC and patients with PD in all analyzed frequency bands (p < 0.005). However, there were no significant differences between the DBS-OFF state and DBS-ON state in the brain network, except for the functional connectivity in the beta2 frequency band (p < 0.05). Conclusion: Compared with HC, patients with PD showed the following characteristics: slowed EEG background activity, decreased clustering coefficient and local efficiency of the brain network, as well as both increased and decreased functional connectivity between different brain areas. Acute DBS induces a local response of the brain network in patients with PD, mainly showing decreased functional connectivity in a few brain regions in the beta2 frequency band.

10.
Front Neurosci ; 15: 697909, 2021.
Artículo en Inglés | MEDLINE | ID: mdl-34354564

RESUMEN

Background: Parkinson's disease (PD) is the second most common neurodegenerative disorder after Alzheimer's disease, and deep brain stimulation (DBS) can effectively alleviate PD symptoms. Although previous studies have detected network features of PD and DBS, few studies have considered their dynamic characteristics. Objective: We tested two hypotheses. (1) Reduced brain dynamics, as evidenced by slowed microstate dynamic change, is a characteristic of PD and is related to the movement disorders of patients with PD. (2) Therapeutic acute DBS can partially reverse slow brain dynamics in PD to healthy levels. Methods: We used electroencephalography (EEG) microstate analysis based on high density (256-channel) EEG to detect the effects of PD and DBS on brain dynamic changes on a sub-second timescale. We compared 21 healthy controls (HCs) with 20 patients with PD who were in either DBS-OFF or DBS-ON states. Assessment of movement disorder using the Unified Parkinson's Disease Rating Scale III was correlated with microstate parameters. Results: Compared with HCs, patients with PD displayed a longer mean microstate duration with reduced occurrence per second, which were significantly associated with movement disorders. In patients with PD, some parameters of microstate analysis were restored toward healthy levels after DBS. Conclusions: Resting-state EEG microstate analysis is an important tool for investigating brain dynamic changes in PD and DBS. PD can slow down brain dynamic change, and therapeutic acute DBS can partially reverse this change toward a healthy level.

11.
Neurosurg Rev ; 44(1): 495-501, 2021 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-31965363

RESUMEN

To explore the relationship between postoperative motor deficits and the duration of reduced motor-evoked potentials (MEPs) in patients with middle cerebral artery (MCA) aneurysm. This study included 285 cases of MCA aneurysm treated with clipping surgery with MEP monitoring. The effects of MEP changes on postoperative motor function were assessed, and the key time point for minimizing the incidence of postoperative motor dysfunction was found through receiver operating characteristic (ROC) curve analysis. Motor dysfunction was significantly associated with the occurrence of MEP changes, and patients with irreversible changes were more likely to suffer motor dysfunction than were those with reversible changes. The critical duration of MEP changes that minimized the risk of postoperative motor dysfunction was 8.5 min. This study revealed that MEP monitoring is an effective method for preventing ischemic brain injury during surgical treatment of MCA aneurysm and proposes a critical cutoff for the duration of MEP deterioration of 8.5 min for predicting postoperative motor dysfunction.


Asunto(s)
Potenciales Evocados Motores/fisiología , Aneurisma Intracraneal/fisiopatología , Aneurisma Intracraneal/cirugía , Monitorización Neurofisiológica Intraoperatoria , Trastornos Motores/epidemiología , Complicaciones Posoperatorias/epidemiología , Adolescente , Adulto , Anciano , Femenino , Humanos , Incidencia , Masculino , Persona de Mediana Edad , Valor Predictivo de las Pruebas , Curva ROC , Factores de Tiempo , Adulto Joven
12.
Neurosurg Rev ; 43(1): 293-299, 2020 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-30635746

RESUMEN

Although the application of somatosensory evoked potential (SSEP) in intracranial aneurysm surgery has been well demonstrated, the relationship between the duration of SSEP deterioration and postoperative neurological deficits (PNDs) is still not clear. The objectives of this study were (1) to detect the relationship between the SSEP deterioration duration and PND; and (2) detect the relationship between SSEP deterioration duration and postoperative computed tomography (CT) findings. Data from 587 patients were reviewed and 40 patients with SSEP deterioration were enrolled. Four patients presented irreversible disappearance and 36 patients presented reversible deterioration (including 9 [25%] patients with reversible reduction and 27 [75%] patients with reversible disappearance). In the patients with reversible SSEP deterioration, 17 patients had PNDs, and the SSEP deterioration duration was 42 ± 46 min, ranging from 5 to 180 min. Nineteen patients did not have PNDs, and their duration of SSEP deterioration was 11 ± 9 min (range 2-40 min). The SSEP deterioration duration significantly differed between patients with or without PND (P < 0.01). Eleven minutes is the optimal cut-off value of motor evoked potential change duration avoiding PND (area under the curve = 0.84). Patients with a SSEP deteriorating duration > 11 min had a significant higher incidence rate of abnormal CT finding postoperatively (p < 0.05). According to these results, we conclude that the duration of SSEP deterioration is extremely important to postoperative neurological function, and in order to avoid PND, the SSEP deterioration duration must not exceed 10 min. The SSEP deterioration duration is also associated with postoperative CT findings.


Asunto(s)
Potenciales Evocados Motores/fisiología , Potenciales Evocados Somatosensoriales/fisiología , Aneurisma Intracraneal/fisiopatología , Aneurisma Intracraneal/cirugía , Complicaciones Posoperatorias/etiología , Procedimientos Quirúrgicos Vasculares/efectos adversos , Adolescente , Adulto , Anciano , Femenino , Humanos , Aneurisma Intracraneal/diagnóstico , Monitorización Neurofisiológica Intraoperatoria , Masculino , Persona de Mediana Edad , Valor Predictivo de las Pruebas , Estudios Retrospectivos , Tomografía Computarizada por Rayos X , Adulto Joven
13.
CNS Neurosci Ther ; 26(5): 527-537, 2020 05.
Artículo en Inglés | MEDLINE | ID: mdl-31814304

RESUMEN

BACKGROUND: Parkinson's disease (PD) is a common movement disorder for which diagnosis mainly depends on the medical history and clinical symptoms. Exosomes are now considered an additional mechanism for intercellular communication, allowing cells to exchange proteins, lipids, and genetic material. Long noncoding (lnc) RNA in exosomes plays a critical role in many diseases, including neurodegenerative disease. AIM: To study expression differences for lncRNAs in peripheral blood exosomes of PD patients compared with healthy individuals and to look for lncRNAs that might be related to the pathogenesis of PD. MATERIALS AND METHODS: We recruited PD patients along with age- and sex-matched healthy individuals as healthy controls and evaluated levels of lncRNAs extracted from exosomes in plasma samples via next-generation sequencing and real-time quantitative PCR. Correlation analysis was conducted for the clinical characteristics of PD patients and the expression of selected lncRNAs. RESULTS: We found 15 upregulated and 24 downregulated exosomal lncRNAs in the PD group. According to bioinformatics analyses, we chose lnc-MKRN2-42:1 for further study. Interestingly, lnc-MKRN2-42:1 was positively correlated with the MDS-UPDRS III score for PD patients. CONCLUSION: Our study suggested that lnc-MKRN2-42:1 may be involved in the occurrence and development of PD.


Asunto(s)
Exosomas/metabolismo , Perfilación de la Expresión Génica/métodos , Enfermedad de Parkinson/metabolismo , ARN Largo no Codificante/metabolismo , ARN Mensajero/metabolismo , Ribonucleoproteínas/metabolismo , Anciano , Exosomas/genética , Femenino , Humanos , Masculino , Persona de Mediana Edad , Enfermedad de Parkinson/genética , Enfermedad de Parkinson/patología , ARN Largo no Codificante/genética , ARN Mensajero/genética , Ribonucleoproteínas/genética
14.
Clin Neurophysiol ; 130(5): 707-713, 2019 05.
Artículo en Inglés | MEDLINE | ID: mdl-30878764

RESUMEN

OBJECTIVE: The study aimed to investigate the predictive value of motor evoked potential (MEP) deterioration duration for postoperative motor deficits in patients undergoing intracranial aneurysm surgery. METHODS: Data from 587 patients were reviewed and 92 patients with MEP deterioration were enrolled. MEP deterioration duration was compared between patients with and without postoperative motor deficits. Receiver operating characteristic (ROC) curve analysis was performed to define the threshold value for predicting postoperative motor deficit risk. Additionally, the association between MEP deterioration duration and postoperative CT findings was explored. RESULTS: Patients with postoperative motor deficits had a significantly longer MEP deterioration duration (p < 0.01). An MEP deterioration duration greater than or equal to 13 min was identified as an independent predictor of immediate (p < 0.01), short-term (p < 0.01), and long-term postoperative motor deficits (p < 0.05). There was no significant association between MEP deterioration duration and new CT abnormalities. CONCLUSION: MEP deterioration duration could be used for predicting intracranial aneurysm surgical outcome. SIGNIFICANCE: The study first proposed a threshold value of MEP deterioration duration (13 min) for predicting the risk of postoperative motor deficits in patients undergoing intracranial aneurysm surgery.


Asunto(s)
Potenciales Evocados Motores/fisiología , Aneurisma Intracraneal/cirugía , Procedimientos Neuroquirúrgicos/efectos adversos , Complicaciones Posoperatorias/diagnóstico , Adolescente , Adulto , Anciano , Femenino , Humanos , Aneurisma Intracraneal/fisiopatología , Monitorización Neurofisiológica Intraoperatoria , Masculino , Persona de Mediana Edad , Complicaciones Posoperatorias/fisiopatología , Periodo Posoperatorio , Valor Predictivo de las Pruebas , Adulto Joven
15.
World Neurosurg ; 116: e291-e297, 2018 Aug.
Artículo en Inglés | MEDLINE | ID: mdl-29733992

RESUMEN

OBJECTIVE: To evaluate a new technique in brainstem surgery, neuronavigation (NN)-guided corticospinal tract (CST) mapping, in a retrospective study of patients undergoing brainstem tumor surgery. METHODS: We studied 40 patients with a brainstem tumor who were enrolled in this study. Patients whose worst preoperative muscle strength of the 4 limbs was greater than 3 levels from normal on the Lovett scale were divided into 2 groups: a treatment group of 21 patients who underwent NN-guided CST mapping and routine intraoperative neurophysiology monitoring (IONM) and a control group of 19 patients who underwent routine NN and IONM. Preoperative muscle strength and postoperative (day 90 postsurgery) muscle strength were assessed and compared between the 2 groups. RESULTS: In the NN-guided CST mapping group, 3 patients (14.3%) had a decrease in muscle strength by 1 level postoperatively, and no patient experienced a decrease of >1 level. In the control group, 4 patients (21.1%) had a 1-level decrease in muscle strength, and 5 (26.3%) had a decrease of >1 level. Patients in the NN-guided CST mapping group had significantly better surgical outcomes compared with those in the control group (P = 0.018, Fisher exact test). CONCLUSIONS: Brainstem tumor resection using NN-guided CST mapping achieved better preservation of motor function compared with routine NN and IONM. NN-guided CST mapping not only decreased the difficulty of the surgery, but also significantly improved the efficiency of surgery.


Asunto(s)
Mapeo Encefálico , Neoplasias del Tronco Encefálico , Actividad Motora/fisiología , Neuronavegación/métodos , Tractos Piramidales/patología , Adolescente , Adulto , Neoplasias del Tronco Encefálico/diagnóstico por imagen , Neoplasias del Tronco Encefálico/patología , Neoplasias del Tronco Encefálico/fisiopatología , Neoplasias del Tronco Encefálico/cirugía , Niño , Preescolar , Electroencefalografía , Electromiografía , Potenciales Evocados Motores/fisiología , Femenino , Humanos , Periodo Intraoperatorio , Imagen por Resonancia Magnética , Masculino , Tractos Piramidales/diagnóstico por imagen , Estudios Retrospectivos , Resultado del Tratamiento , Adulto Joven
16.
Seizure ; 59: 16-23, 2018 Jul.
Artículo en Inglés | MEDLINE | ID: mdl-29727741

RESUMEN

PURPOSE: Seizures are the most common presenting sign of patients with diffuse glioma. In the current study, we performed a meta-analysis to determine the correlation of seizures at presentation to survival outcomes in adult diffuse glioma, and the possible mechanisms were also discussed. METHODS: A comprehensive literature search was performed in PUBMED, EMBASE, Web of Science and the Cochrane Central Register of Controlled Trials. The pooled hazard ratio (HR) and corresponding 95% confidence interval (CI) were used to estimate effects. Heterogeneity among studies and publication bias were also evaluated. RESULTS: 11 studies with 2088 patients were finally included for the current meta-analysis. Seizure-free preoperatively was significantly associated with a poor overall survival in patients with diffuse glioma, the pooled HR was 1.73 (95% CI 1.43-2.08, Z = 5.71, p < 0.001). Subgroup analysis was also performed by tumor grade, the same association was identified in both low-grade glioma (pooled HR 2.49, 95% CI 1.47-4.20, Z = 3.40, p < 0.001) and glioblastoma (pooled HR 1.46, 95% CI 1.27-1.68, Z = 5.24, p < 0.001). A significant correlation of seizure-free with a poor progression-free survival was also identified (pooled HR 1.42, 95% CI 1.06-1.92, Z = 2.33, p = 0.02), although only 3 studies comprising 368 patients were included. CONCLUSION: The current study determined that seizures at presentation were an independent predictor of better survival outcomes in adult diffuse glioma. It is the first study which provides a comprehensive standardized assessment of the association between seizures at presentation with long-term survival outcomes in patients with diffuse glioma.


Asunto(s)
Neoplasias Encefálicas/complicaciones , Neoplasias Encefálicas/diagnóstico , Glioma/complicaciones , Glioma/diagnóstico , Convulsiones/complicaciones , Convulsiones/diagnóstico , Adulto , Neoplasias Encefálicas/mortalidad , Neoplasias Encefálicas/terapia , Glioma/mortalidad , Glioma/terapia , Humanos , Convulsiones/mortalidad , Convulsiones/terapia
17.
Biochem Biophys Res Commun ; 493(2): 901-908, 2017 11 18.
Artículo en Inglés | MEDLINE | ID: mdl-28947212

RESUMEN

Although the exact pathogenesis of multiple sclerosis (MS) remains largely unclear, Th17 cells have been suggested as an essential regulator in the disease induction. Emerging evidence have demonstrated that noncoding RNAs, especially microRNAs (miRs), play a crucial role in modulation of Th17 cell differentiation and autoimmune disease development. Here, we revealed that miR-590 expression was markedly increased in periphery blood mononuclear cells (PBMC) and cerebrospinal fluid (CSF) of patients with MS, and positively correlated with the disease severity. Th17 cells were found to express high level of miR-590. We further demonstrated that miR-590 was able to facilitate Th17 differentiation and pathogenicity. Notably, we identified that miR-590 directly targeted Tob1, a known suppressor of Th17 differentiation. The expression level of Tob1 was observed to be significantly decreased in PBMC of patients with MS. Our finding suggest that miR-590 could enhance pathogenic Th17 differentiation in MS and augment inflammation in central nervous system (CNS) through inhibiting Tob1.


Asunto(s)
Regulación hacia Abajo , Péptidos y Proteínas de Señalización Intracelular/genética , MicroARNs/genética , Esclerosis Múltiple/genética , Esclerosis Múltiple/patología , Células Th17/patología , Proteínas Supresoras de Tumor/genética , Regulación hacia Arriba , Diferenciación Celular , Humanos , Péptidos y Proteínas de Señalización Intracelular/análisis , MicroARNs/análisis , Células Th17/metabolismo , Proteínas Supresoras de Tumor/análisis
18.
Dalton Trans ; 42(13): 4730-7, 2013 Apr 07.
Artículo en Inglés | MEDLINE | ID: mdl-23361454

RESUMEN

Three new functionalized UiO-66-X (X = -SO(3)H, 1; -CO(2)H, 2; -I; 3) frameworks incorporating BDC-X (BDC: 1,4-benzenedicarboxylate) linkers have been synthesized by a solvothermal method using conventional electric heating. The as-synthesized (AS) as well as the thermally activated compounds were characterized by X-ray powder diffraction (XRPD), diffuse reflectance infrared Fourier transform (DRIFT) spectroscopy, thermogravimetric (TG), and elemental analysis. The occluded H(2)BDC-X molecules can be removed by exchange with polar solvent molecules followed by thermal treatment under vacuum leading to the empty-pore forms of the title compounds. Thermogravimetric analysis (TGA) and temperature-dependent XRPD (TDXRPD) experiments indicate that 1, 2 and 3 are stable up to 260, 340 and 360 °C, respectively. The compounds maintain their structural integrity in water, acetic acid and 1 M HCl, as verified by XRPD analysis of the samples recovered after suspending them in the respective liquids. As confirmed by N(2), CO(2) and CH(4) sorption analyses, all of the thermally activated compounds exhibit significant microporosity (S(Langmuir): 769-842 m(2) g(-1)), which are comparable to that of the parent UiO-66 compound. Compared to the unfunctionalized UiO-66 compound, all the three functionalized solids possess higher ideal selectivity in adsorption of CO(2) over CH(4) at 33 °C.

19.
J Environ Sci (China) ; 25(9): 1719-25, 2013 Sep 01.
Artículo en Inglés | MEDLINE | ID: mdl-24520713

RESUMEN

The development of low-cost and efficient new mineral adsorbents has been a hot topic in recent years. In this study, Friedel's salt (FS: 3CaO x A12O3 x CaCl2 x10H2O), a hexagonal layered inorganic absorbent, was synthesized to remove Cd2+ from water. The adsorption process was simulated by Langmuir and Freundlich models. The adsorption mechanism was further analyzed with TEM, XRD, FT-IR analysis and monitoring of metal cations released and solution pH variation. The results indicated the adsorbent FS had an outstanding ability for Cd(II) adsorption. The maximum adsorption capacity of the FS for Cd(II) removal can reach up to 671.14 mg/g. The nearly equal numbers of Cd2+ adsorbed and Ca2+ released demonstrated that ion-exchange (both surface and inner) of the FS for Cd(II) played an important role during the adsorption process. Furthermore, the surface of the FS after adsorption was microscopically disintegrated while the inner lamellar structure was almost unchanged. The behavior of Cd(II) adsorption by FS was significantly affected by surface reactions. The mechanisms of Cd2+ adsorption by the FS mainly included surface complexation and surface precipitation. In the present study, the adsorption process was fitted better by the Langmuir isotherm model (R2 = 0.9999) than the Freundlich isotherm model (R2 = 0.8122). Finally, due to the high capacity for ion-exchange on the FS surface, FS is a promising layered inorganic adsorbent for the removal of Cd(II) from water.


Asunto(s)
Óxido de Aluminio/química , Cadmio/aislamiento & purificación , Cloruro de Calcio/química , Contaminantes Químicos del Agua/aislamiento & purificación , Adsorción , Microscopía Electrónica de Transmisión , Modelos Químicos , Termodinámica
20.
Dalton Trans ; 42(5): 1346-51, 2013 Feb 07.
Artículo en Inglés | MEDLINE | ID: mdl-23172111

RESUMEN

Three mixed-ligand coordination polymers, [Cu(oda)(2,2'-bipy)](2) (1), Ni(2)(oda)(2)(4,4'-bipy)·DMF (2), and [{Ni(oda)(H(2)O)(2)}(2)(µ-4,4'-bipy)]·2H(2)O (3) were synthesized and characterized. Complex 1 features a 1D chain via intermolecular π-π interactions. Complex 2 is a novel 3D microporous coordination polymer with 1D polarized channels. Complex 3 forms a 3D network via extensive hydrogen bonding interactions. Thermogravimetric analyses have been studied. The chemical sensing properties have been investigated in situ by quartz crystal microbalance (QCM). Complex 1 has a good sensitivity to toluene, complexes 2 and 3 have exceptionally high selectivity and sensitivity to water over organic solvents.


Asunto(s)
2,2'-Dipiridil/química , Ácidos Carboxílicos/química , Complejos de Coordinación/síntesis química , Ligandos , Complejos de Coordinación/química , Cristalografía por Rayos X , Enlace de Hidrógeno , Conformación Molecular , Polímeros/química , Tecnicas de Microbalanza del Cristal de Cuarzo , Solventes/química , Tolueno/análisis , Agua/química
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