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1.
BMJ Open Respir Res ; 11(1)2024 Apr 19.
Artículo en Inglés | MEDLINE | ID: mdl-38642917

RESUMEN

BACKGROUND: Inhaler concordance and the peak inspiratory flow rate (PIFR) are important determinants of treatment effects in patients with chronic airway diseases. Adequate PIFR is required for driving aerosol medication into the lower respiratory tract. However, the relationship between them has not been discussed previously. This study aimed to describe the characteristics of inhaler concordance and PIFR in Chinese patients with chronic airway diseases and discuss the associated variables and the relationship between them. METHODS: In this single-centre, observational study, a total of 680 patients with chronic airway diseases were enrolled from July 2021 to April 2023. We collected data on the socio-demographic and clinical variables of inhaler concordance using the test of adherence to inhalers (TAI) and PIFR. Multivariate logistic regression was conducted to examine variables related to inhaler concordance and PIFR. RESULTS: A total of 49.4% of patients had low concordance. Patients with chronic obstructive pulmonary disease (COPD) were more concordant than patients with asthma (mean TAI score: 43.60 vs 41.20; p<0.01), while there was no difference in concordance between the asthma-COPD overlap group and the asthma or COPD group. Suboptimal PIFR (adjusted OR, 1.61; 95% CI 1.04 to 2.51) increased the risk of poor concordance among all patients, while triple therapy (adjusted OR, 0.60; 95% CI 0.35 to 0.86) reduced the risk. A total of 54.9% of patients had suboptimal PIFR. Older age, lower educational level, use of dry powder inhalers and lower forced expiratory volume in 1 s % predicted were significantly correlated with insufficient PIFR. Subgroup analysis revealed a greater proportion of patients with insufficient PIFR during exacerbation than during the stable phase (61.7% vs 43.5%, p<0.001). CONCLUSION: Inhaler concordance was low, and suboptimal PIFR was a risk factor for poor concordance among Chinese patients with chronic airway diseases. In addition, current inhalation devices may not be suitable, and PIFR reassessment should be considered for patients with COPD during exacerbation. TRIAL REGISTRATION NUMBER: The study was registered in chictr.org.cn (ChiCTR2100052527) on 31 October 2021.


Asunto(s)
Asma , Enfermedad Pulmonar Obstructiva Crónica , Humanos , Aerosoles y Gotitas Respiratorias , Enfermedad Pulmonar Obstructiva Crónica/terapia , Asma/tratamiento farmacológico , Inhaladores de Polvo Seco , Factores de Riesgo
2.
Respir Res ; 25(1): 140, 2024 Mar 25.
Artículo en Inglés | MEDLINE | ID: mdl-38528530

RESUMEN

BACKGROUND: Smoking remains a major risk factor for the development and progression of chronic obstructive pulmonary disease (COPD). Due to the adolescent smoking associated with worse health state, the age, at which an individual started smoking, might play a key role in shaping the trajectory of COPD development and the severity. METHODS: We conducted an observational study from September 2016 through January 2023 of eligible patients hospitalized with COPD. Patients who started smoking during the alveolar development stage (ADS, smoking initiation ≤ 24 years old) were defined as early smoking patients, and patients who started smoking after ADS (smoking initiation > 24 years old) were defined as late smoking patients. We collected demographic and clinical data characterizing the patients and documented their condition from hospital discharge to follow-up. The primary endpoints were short-term (within one year), 3-year, and long-term (beyond 3 years) all-cause mortality after discharge. RESULTS: Among 697 COPD patients, early smoking patients had a lower smoking cessation rate (P < 0.001) and a higher smoking index (P < 0.001) than late smoking patients. Although adjusted smoking index, early smoking patients still had poorer lung function (P = 0.023), thicker left ventricular diameters (P = 0.003), higher frequency of triple therapy use during stable stage (P = 0.049), and more acute exacerbations in the past year before enrollment (P < 0.05). Survival analysis showed that they had a higher risk of death after discharge within three years (P = 0.004) and beyond three years (P < 0.001). Furthermore, even in early smoking COPD patients who quit smoking after adjusting the smoking index had poorer lung function (P < 0.05) and thicker left ventricular diameters (P = 0.003), and survival analysis also showed that they had a higher long-term mortality rate (P = 0.010) and shorter survival time (P = 0.0128). CONCLUSION: Early smoking COPD patients exhibited multiple adverse clinical outcomes, including heavy cigarette addiction, compromised pulmonary function, augmented left ventricular diameter, and elevated mortality risk. Additional, smoking cessation could not bring enough improvement of health state in early smoking COPD patients as late smoking COPD patients. Consequently, early intervention and specialized cessation approaches for younger smokers are of paramount importance in this context.


Asunto(s)
Enfermedad Pulmonar Obstructiva Crónica , Cese del Hábito de Fumar , Adolescente , Humanos , Adulto Joven , Adulto , Enfermedad Pulmonar Obstructiva Crónica/diagnóstico , Enfermedad Pulmonar Obstructiva Crónica/epidemiología , Fumar/efectos adversos , Fumar/epidemiología , Pulmón , Pronóstico
3.
J Org Chem ; 89(7): 4474-4483, 2024 Apr 05.
Artículo en Inglés | MEDLINE | ID: mdl-38506434

RESUMEN

A highly enantioselective Mannich reaction of α-fluoroindanones with isatin-derived N-Boc-ketimines catalyzed by a quinine-derived phase-transfer catalyst was developed. A variety of 3-substituted 3-amino-2-oxindoles bearing fluorine-containing, vicinal, tetrasubstituted stereocenters were constructed using this protocol in high yields (83-95%), with moderate to excellent enantioselectivities (66-91%) and high diastereoselectivities (up to >99:1).

4.
Cell Rep ; 43(3): 113818, 2024 Mar 26.
Artículo en Inglés | MEDLINE | ID: mdl-38402586

RESUMEN

Intricate cerebral cortex formation is orchestrated by the precise behavior and division dynamics of radial glial cells (RGCs). Endocytosis functions in the recycling and remodeling of adherens junctions (AJs) in response to changes in RGC activity and function. Here, we show that conditional disruption of ubiquitin-associated protein 1 (UBAP1), a component of endosomal sorting complex required for transport (ESCRT), causes severe brain dysplasia and prenatal ventriculomegaly. UBAP1 depletion disrupts the AJs and polarity of RGCs, leading to failure of apically directed interkinetic nuclear migration. Accordingly, UBAP1 knockout or knockdown results in reduced proliferation and precocious differentiation of neural progenitor cells. Mechanistically, UBAP1 regulates the expression and surface localization of cell adhesion molecules, and ß-catenin over-expression significantly rescues the phenotypes of Ubap1 knockdown in vivo. Our study reveals a critical physiological role of the ESCRT machinery in cortical neurogenesis by regulating AJs of RGCs.


Asunto(s)
Complejos de Clasificación Endosomal Requeridos para el Transporte , Células Ependimogliales , Femenino , Embarazo , Humanos , Células Ependimogliales/metabolismo , Complejos de Clasificación Endosomal Requeridos para el Transporte/metabolismo , Ubiquitina/metabolismo , Uniones Adherentes/metabolismo , Corteza Cerebral/metabolismo , Neurogénesis , Proteínas Portadoras/metabolismo
5.
J Gen Intern Med ; 39(1): 69-76, 2024 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-37620726

RESUMEN

BACKGROUND: Adherence to inhaled medications is key to chronic obstructive pulmonary disease (COPD) control and management. OBJECTIVE: To assess errors and adherence to inhalation therapy in COPD patients, and identify potential factors associated with poor adherence. METHODS: This cross-sectional study was conducted from October 1, 2022, to November 30, 2022, in 24 hospital outpatient departments in different cities of Hunan Province, China. Adherence to inhaled medications was measured using the 10-item Test of Adherence Inventory, and the results were expressed using both descriptive and inferential statistics. RESULTS: A total of 2218 clinically confirmed adult COPD patients completed the questionnaires, and 1423 patients with more than a 3-month history of inhalation therapy were analyzed. This study found that 61.3% of patients made one or more use errors. Not holding the breath after inhalation or holding the breath for less than 3 s had the highest reporting rate (30.7%). A considerable proportion of patients (66.6%) demonstrated suboptimal adherence to inhaled medications. Patients who resided in rural areas (OR 1.45, 95% CI 1.12-1.88), used dual therapy (OR 1.47, 95% CI 1.05-2.05), and exhibited common use errors (OR 3.02, 95% CI 2.39-3.82) were more likely to present suboptimal adherence. Patients with CAT (Chronic Obstructive Pulmonary Disease Assessment Test) score < 10 (OR 0.73, 95% CI 0.56-0.94), a junior high school education and above (OR 0.73, 95% CI 0.57-0.94), and duration of inhaled medication use > 3 years (OR 0.63, 95% CI 0.47-0.83) were associated with better adherence. CONCLUSION: Suboptimal adherence to inhaled medications and many inhalation therapy errors were identified among COPD patients. Common use errors in inhaled medications, CAT score, and education background were predictive of and influenced adherence to inhaled medications. It is necessary to strengthen training in Chinese patients about inhaler use and follow-up intensively with patients throughout treatment, especially for patients with risk factors.


Asunto(s)
Cumplimiento de la Medicación , Enfermedad Pulmonar Obstructiva Crónica , Adulto , Humanos , Estudios Transversales , Enfermedad Pulmonar Obstructiva Crónica/tratamiento farmacológico , Enfermedad Pulmonar Obstructiva Crónica/epidemiología , Administración por Inhalación , Factores de Riesgo
6.
Redox Biol ; 67: 102916, 2023 11.
Artículo en Inglés | MEDLINE | ID: mdl-37812881

RESUMEN

Chronic obstructive pulmonary disease (COPD) is a significant global cause of morbidity and mortality currently. Long-term exposure of cigarette smoke (CS) inducing persistent inflammation, small airway remodeling and emphysematous lung are the distinguishing features of COPD. Ferroptosis, occurred in lung epithelial cells has recently been reported to be associated with COPD pathogenesis. DNA dioxygenase ten-eleven translocation 2 (TET2) is an important demethylase and its genetic mutation is associated with low forced expiratory volume in 1 s (FEV1) of lung function. However, its role in COPD remains elusive. Here, we found that TET2 regulates CS induced lipid peroxidation through demethylating glutathione peroxidase 4 (GPx4), thus alleviating airway epithelial cell ferroptosis in COPD. TET2 protein levels were mainly reduced in the airway epithelia of COPD patients, mouse models, and CS extract-treated bronchial epithelial cells. The deletion of TET2 triggered ferroptosis and further exaggerated CS-induced airway remodeling, inflammation, and emphysema in vivo. Moreover, we demonstrated that TET2 silencing intensified ferroptosis, while TET2 overexpression inhibited ferroptosis in airway epithelial cell treated with CSE. Mechanically, TET2 protected airway epithelial cells from CS-induced lipid peroxidation and ferroptosis through demethylating the promoter of glutathione peroxidase 4 (GPx4). Finally, co-administration of methylation inhibitor 5'-aza-2'-deoxycytidine (5-AZA) and the antioxidant N-acetyl-cysteine (NAC) have more protective effects on CS-induced COPD than either administration alone. Overall, our study reveals that TET2 is an essential modulator in the lipid peroxidation and ferroptosis of airway epithelial cell, and could act as a potential therapeutic target for CS-induced COPD.


Asunto(s)
Fumar Cigarrillos , Dioxigenasas , Ferroptosis , Enfermedad Pulmonar Obstructiva Crónica , Ratones , Animales , Humanos , Ferroptosis/genética , Fumar Cigarrillos/efectos adversos , Fosfolípido Hidroperóxido Glutatión Peroxidasa/metabolismo , Pulmón/metabolismo , Enfermedad Pulmonar Obstructiva Crónica/genética , Células Epiteliales/metabolismo , Inflamación/metabolismo , ADN/metabolismo , Proteínas de Unión al ADN/genética , Proteínas de Unión al ADN/metabolismo , Dioxigenasas/metabolismo , Dioxigenasas/farmacología
7.
Sci Rep ; 13(1): 16954, 2023 10 07.
Artículo en Inglés | MEDLINE | ID: mdl-37805617

RESUMEN

Nemonoxacin is a novel non-fluorinated quinolone with strong antibacterial efficacy, but data of its effect on acute exacerbations of chronic obstructive pulmonary disease (AECOPD) is rare. This study was conducted to compare the efficacy of oral nemonoxacin with moxifloxacin in AECOPD outpatients. In this retrospective observational study, a total of 101 AECOPD outpatients initially treated with nemonoxacin or moxifloxacin from July 2021 to March 2022 were enrolled. We collected COPD assessment test (CAT), Transition Dyspnea Indices (TDI) scores, and exacerbations information during 24 weeks follow-up from the electronic medical records. Kaplan-Meier curve was used to analyze the time to the next moderate/severe exacerbation. Compared to the moxifloxacin group, changes in CAT scores and TDI scores were significantly higher in the nemonoxacin group, and the nemonoxacin group also had a greater probability to reach the minimal clinically important difference of CAT (71.40% vs. 97.80%, p < 0.01) and TDI (40.50% vs. 60.00%, p < 0.05) at week 4. Despite no significant difference in the incidence of exacerbations between two groups, patients treated with nemonoxacin had a significantly prolonged time to next moderate/severe exacerbation than those with moxifloxacin (p < 0.05). Nemonoxacin achieved a better symptomatic improvement and a prolonged interval to next moderate/severe exacerbation for AECOPD outpatients.


Asunto(s)
Pacientes Ambulatorios , Enfermedad Pulmonar Obstructiva Crónica , Humanos , Moxifloxacino/uso terapéutico , Antibacterianos/uso terapéutico , Progresión de la Enfermedad
8.
Sci Total Environ ; 892: 164567, 2023 Sep 20.
Artículo en Inglés | MEDLINE | ID: mdl-37268120

RESUMEN

Atmospheric particulate matter (PM) enriched with lead (Pb) has severe irreversible effects on human health. Therefore, identifying the contribution of Pb emission sources is essential for protecting the health of residents. Using the Pb isotopic tracer method, this study explored the seasonal characteristics and primary anthropogenic Pb sources for atmospheric PM in Tianjin in 2019. We calculated the contribution of Pb sources using the end-member and MixSIAR models. The results showed that Pb loaded in PM10 was more abundant in January than in July, and was strongly influenced by meteorological conditions and anthropogenic emissions. The primary Pb sources of the aerosol samples originated from coal combustion and vehicle and steel plant emissions, mainly originating from local Pb emission sources in Tianjin. The PM10-bond Pb in January was influenced by regional transportation and local sources. The MixSIAS model calculated the contribution of coal combustion as approximately 50 %. Compared with that in January, the contribution of coal combustion decreased by 9.6 % in July. Our results indicate that some of the benefits of phased-out leaded gasoline have been short-lived, whereas other industrial activities releasing Pb have increased. Furthermore, the results emphasise the practicability of the Pb isotope tracer source approach for identifying and distinguishing between different anthropogenic Pb inputs. Based on this study, scientific and effective air pollution prevention and control programs can be formulated to provide decision support for the guidance and control of air pollutant emissions.


Asunto(s)
Contaminantes Atmosféricos , Plomo , Humanos , Plomo/análisis , Teorema de Bayes , Material Particulado/análisis , Contaminantes Atmosféricos/análisis , Isótopos/análisis , Carbón Mineral/análisis , Monitoreo del Ambiente/métodos , China
9.
Molecules ; 28(7)2023 Mar 28.
Artículo en Inglés | MEDLINE | ID: mdl-37049773

RESUMEN

Herein, poly (allylamine hydrochloride) (PAH)/ poly (styrene sulfonic acid) sodium salt (PSS) microcapsules of (PAH/PSS)2PAH (P2P MCs) and (PAH/PSS)2 (P2 MCs) were obtained by a layer-by-layer method. The P2 MCs show high adsorption capacity for Rhodamine B (642.26 mg/g) and methylene blue (909.25 mg/g), with an extremely low equilibrium adsorption time (~20 min). The P2P MCs exhibited high adsorption capacities of reactive orange K-G (ROKG) and direct yellow 5G (DY5G) which were 404.79 and 451.56 mg/g. Adsorption processes of all dyes onto microcapsules were best described by the Langmuir isotherm model and a pseudo-second-order kinetic model. In addition, the P2P MCs loaded with reactive dyes (P2P-ROKG), could further adsorb rhodamine B (RhB) dye, and P2 MCs that had adsorbed cationic MB dyes could also be used for secondary adsorption treatment of direct dye waste-water, respectively. The present work confirmed that P2P and P2 MCs were expected to become an excellent adsorbent in the water treatment industry.

10.
Molecules ; 28(6)2023 Mar 14.
Artículo en Inglés | MEDLINE | ID: mdl-36985618

RESUMEN

In order to improve the photocatalytic performance of g-C3N4, the g-C3N4/Ti3C2/Ag3PO4 S-type heterojunction catalyst was prepared by electrostatic assembly method, and then the g-C3N4/Ti3C2/Ag3PO4/PAN composite nanofiber membrane was prepared by electrospinning technology. The morphology and chemical properties of the nanofiber membrane were characterized by SEM, FTIR, and XRD, and the photocatalytic degradation of tetracycline hydrochloride (TC) in water by the nanofiber membrane was investigated. The results showed that g-C3N4/Ti3C2/Ag3PO4 could be successfully loaded on PAN and uniformly distributed on the surface of composite nanofiber membrane by electrospinning technology. Increasing the amount of loading and catalyst, lowering the pH value and TC concentration of the system were conducive to the oxidation and degradation of TC. The nano-fiber catalytic membrane had been recycled five times and found to have excellent photocatalytic stability and reusability. The study of catalytic mechanism showed that h+, •OH and •O2- were produced and participated in the oxidation degradation reaction of TC, and •O2- plays a major role in catalysis. Therefore, this work provides a new insight into the construction of high-performance and high-stability photocatalytic system by electrospinning technology.

11.
PLoS One ; 18(2): e0281398, 2023.
Artículo en Inglés | MEDLINE | ID: mdl-36763608

RESUMEN

Based on the perspective of ecology and innovation management, this paper selects seven elements from two aspects, innovation subject and innovation environment, to construct the evaluation index system for the health of pharmaceutical innovation ecological rainforest in Zhejiang from 2011 to 2019, together with the entropy weighted TOPSIS method and the obstacle factor diagnosis model. We find that the health of the pharmaceutical industry in Zhejiang can be measured as three stages: stagnation period, recovery period and development period. There is a relative balance between the development of innovation subject and innovation environment. The resilience of innovation subjects, followed by economic and cultural environment, is the key factor hindering the innovation of pharmaceutical industry in Zhejiang. Finally, we propose four countermeasures, including "deploying high-level service chains, broadening investment and financing channels for enterprises, building a reservoir of global talents, and creating an inclusive and open soft environment".


Asunto(s)
Invenciones , Bosque Lluvioso , Humanos , Industria Farmacéutica , China , Inversiones en Salud , Desarrollo Económico
12.
Heliyon ; 9(1): e13065, 2023 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-36685443

RESUMEN

During COVID-19, the urban environment has faced more challenges, and household waste classification has become increasingly important. Based on the theory of planned behavior (TPB), this paper studies the key influencing factors and influence paths of urban residents' willingness to perform waste classification using a structural equation model. Based on the timing of two questionnaires, one before and one after the COVID-19 outbreak, we apply multigroup analysis to test the moderating role of the pandemic. We find that 1) social norms are the primary factor that directly affects residents' willingness to classify waste, followed by perceived behavior costs and behavior attitude. All factors show a positive effect, except for perceived behavior costs. We also find that 2) the results of multigroup analysis indicate that before and after the epidemic there are significant differences in the effect from three influencing paths, which verifies that during the epidemic, the influence paths of behavior attitude and perceived behavior costs on waste classification willingness have been strengthened, but the influence from social norms is weakened. Finally, we suggest that the government should keep playing an important role in waste classification in terms of promotion, reward and penalty, as well as improvement in laws, rules and waste classification facilities.

13.
Chemosphere ; 310: 136747, 2023 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-36216113

RESUMEN

Dissolved heavy metals (DHMs) contamination has raised global concern for ecological and human health development. Weathering of sulfide-bearing ore metals can produce acidic, sulfate-rich solutions in the presence of water and oxygen (O2), and DHMs are released to deprave the river water quality. Sulfur and oxygen isotope signatures (δ34SSO4 and δ18OSO4) could identify this pyrite-derived sulfate; however, it is yet not well known whether the δ34SSO4 and δ18OSO4 values could limit the DHMs sources and illustrate anthropogenic impacts on DHMs along the river corridor. We tried to solve this problem through field works in the Luohe River and Yihe River, two tributaries of the Yellow River, China, where metal sulfide mine activities mostly occurred upstream, but agricultural and domestic behaviors concentrated in the lower plain reaches. In the Luohe River upper areas, δ34SSO4 values had negative correlations with concentrations of cadmium (Cd) (p < 0.01), nickel (Ni) (p < 0.05), molybdenum (Mo) (p < 0.01), uranium (U) (p < 0.01), and SO42- (p < 0.01). However, as the δ34SSO4 values increased downstream in the Luohe River, concentrations of copper (Cu) (p < 0.05), mercury (Hg) (p < 0.05), Ni (p < 0.05), and SO42- (p < 0.01) simultaneously elevated. The Bayesian Isotope Mixing Model (BIMM) results via δ34SSO4 values demonstrated 64.3%-65.3% of SO42- from acid mine drainage (AMD) in the Luohe River's upper reaches and 63.5%-67.7% in the Yihe River's upper reaches, and about 33% from sewage and industrial effluents in the Luohe River's lower reaches and 27% in Yihe River's lower reaches. Our results confirmed the different anthropogenic impacts on the DHMs concentrations in Luohe River and Yihe River and provided a robust method for DHMs sources appointment and pollution management in river systems.


Asunto(s)
Mercurio , Metales Pesados , Contaminantes Químicos del Agua , Humanos , Monitoreo del Ambiente/métodos , Contaminantes Químicos del Agua/análisis , Teorema de Bayes , Efectos Antropogénicos , Metales Pesados/análisis , Sulfatos/análisis , Isótopos de Oxígeno/análisis , Sulfuros , China
14.
Zhong Nan Da Xue Xue Bao Yi Xue Ban ; 48(12): 1854-1864, 2023 Dec 28.
Artículo en Inglés, Chino | MEDLINE | ID: mdl-38448379

RESUMEN

OBJECTIVES: Inhaler satisfaction is an important factor affecting inhaler adherence and the efficacy of inhalers in chronic airway diseases. Using a scientific and effective method to assess patients' satisfaction with inhalers is of great significance for improving clinical outcomes. The Feeling of Satisfaction with Inhaler-10 (FSI-10) is specifically designed to assess patients' inhaler satisfaction in chronic airway diseases, but the application research on this scale is not available in China. This study aims to evaluate the reliability and validity of the Chinese version of FSI-10, describe the current status of inhaler satisfaction and discuss the associated variables in Chinese patients with chronic airway disease. METHODS: Based on the English version of FSI-10, items of the Chinese version of FSI-10 were determined after forward⁃backward translation and cultural adaption. Totally, 322 patients with chronic obstructive pulmonary disease (COPD) and asthma were enrolled from the Second Xiangya Hospital of Central South University from June to October 2022. We collected associated clinical variables and inhaler satisfaction using the Chinese version of FSI-10. The content validity of the scale was expressed by content validity index (CVI) and the construct validity was analyzed by exploratory factor analysis (EFA). The reliability of the scale was expressed by Cronbach's α coefficient, the split-half reliability and test-retest reliability. A multivariate logistic regression was conducted to examine variables related to inhaler satisfaction. RESULTS: The reliability and validity analysis showed that the CVI was 0.983. One factor was extracted from the Chinese version of FSI-10 and the cumulative variance contribution rate was 73.114%. The Cronbach's α of the scale was 0.913, the Guttman's half-reliability coefficient was 0.905, and the test-retest reliability was 0.727 (P<0.001). In addition, the total score of the scale for patients was 38.92±4.26 points and the proportion of high satisfaction (the score of FSI-10≥40) in patients with COPD was significantly lower than that in asthma patients (71.3% vs 87.9%, P<0.01). Older age (age≥70 years) was a risk factor of lower inhaler satisfaction and asthma diagnosis was a protective factor. CONCLUSIONS: The Chinese version of FSI-10 has good reliability and validity in patients with COPD and asthma, which may be further promoted and applied in patients with chronic airway disease in China. Doctors should regularly evaluate the inhaler satisfaction of patients with chronic airway diseases, especially for those elder or with severe symptoms and a long course of illness.


Asunto(s)
Asma , Enfermedad Pulmonar Obstructiva Crónica , Humanos , Anciano , Reproducibilidad de los Resultados , Enfermedad Pulmonar Obstructiva Crónica/tratamiento farmacológico , Asma/tratamiento farmacológico , Nebulizadores y Vaporizadores , Satisfacción Personal
15.
J Environ Public Health ; 2022: 3797765, 2022.
Artículo en Inglés | MEDLINE | ID: mdl-36089958

RESUMEN

With the depletion of global resources and the deterioration of the ecological environment, the implementation of green reverse logistics management has become a necessary means. Green reverse logistics is a new type of reverse logistics that aims to improve resource utilization and protect the ecological environment. While promoting sustainable development, "green reverse logistics" also has certain social and economic significance. This paper compared the green reverse logistics system based on blockchain with the current green reverse logistics system. Taking drug recycling as an example, this paper mainly analyzed the waste rate, utilization rate, and enterprise income. The comparison results showed that the efficiency of drug recycling based on blockchain has increased by 20.1% compared with the current stage, and the waste rate has decreased by 16%. The utilization rate has increased by 14%, and corporate income has also increased by 19.5%. It is greatly indicated that green reverse logistics based on blockchain is of great significance to enterprise income and environmental protection, which also produces great social benefits.


Asunto(s)
Cadena de Bloques , Desarrollo Sostenible , Conservación de los Recursos Naturales , Eficiencia , Reciclaje
16.
Biomed Pharmacother ; 153: 113530, 2022 Sep.
Artículo en Inglés | MEDLINE | ID: mdl-36076610

RESUMEN

To verify the role of myricetin in alleviating the symptoms of type 2 diabetes and regulating the intestinal flora, we established a type 2 diabetes mouse model. After being fed a high-fat and high-sugar diet for six weeks, mice were intraperitoneally injected with streptozotocin (80 mg/kg body weight [BW]) 2-3 times. Type 2 diabetes mice were randomly divided into type 2 diabetes control (T2DM) and myricetin intervention groups. Water and food intake, fasting blood glucose (FBG), and BW were monitored weekly. After six weeks of myricetin administration, superoxide dismutase (SOD) levels and blood lipid content were measured. Furthermore, 16S rRNA sequencing was used to detect the gut microbiota composition. FBG and blood lipid levels of T2DM mice were significantly reduced upon myricetin treatment, while SOD levels were increased. Myricetin improved polydipsia, polyphagia, polyuria, and weight loss in T2DM mice. In addition, the signature type 2 diabetes microflora was established by analyzing the microflora structure of healthy mice, type 2 diabetes mice, and mice treated with myricetin. Results showed that type 2 diabetes disrupted the mice intestinal flora, and myricetin intervention normalized the intestinal flora. In conclusion, our results indicate that myricetin alleviates type 2 diabetes in mice and regulates the intestinal microflora.


Asunto(s)
Diabetes Mellitus Tipo 2 , Microbioma Gastrointestinal , Animales , Diabetes Mellitus Tipo 2/tratamiento farmacológico , Dieta Alta en Grasa , Flavonoides , Microbioma Gastrointestinal/fisiología , Lípidos , Ratones , ARN Ribosómico 16S , Superóxido Dismutasa
17.
Environ Pollut ; 313: 120063, 2022 Nov 15.
Artículo en Inglés | MEDLINE | ID: mdl-36049577

RESUMEN

Pyrite oxidation and sedimentary sulfate dissolution are the primary components of riverine sulfate (SO42-) and are predominant in global SO42- flux into the ocean. However, the proportions of anthropogenic SO42- inputs have been unclear, and their tempo-spatial variations due to human activities have been unknown. Thus, field work was conducted in a spatially heterogeneous human-affected area of the Yihe River Basin (YRB) during a wet year (2010) and drought years (2017/2018). Dual sulfate isotopes (δ34S-SO42- and δ18O-SO42-) and Bayesian isotope mixing models were used to calculate the variable anthropogenic SO42- inputs and elucidate their temporal impacts on riverine SO42- flux. The results of the mixing models indicated acid mine drainage (AMD) contributions increased from 56.1% to 83.1% of upstream sulfate and slightly decreased from 46.3% to 44.0% of midstream sulfate in 2010 and 2017/2018, respectively, in the Yihe River Basin. The higher upstream contribution was due to extensive metal-sulfide-bearing mine drainage. Sewage-derived SO42- and fertilizer-derived SO42- inputs in the lower reaches had dramatically altered SO42- concentrations and δ34S-SO42- and δ18O-SO42- values. Due to climate change, the water flow discharge decreased by about 70% between 2010 and 2017/2018, but the riverine sulfate flux was reduced by only about 58%. The non-proportional increases in anthropogenic sulfate inputs led to decreases in the flow-weighted average values of δ34S-SO42- and δ18O-SO42- from 10.3‰ to 9.9‰ and from 6.1‰ to 4.4‰, respectively. These outcomes confirm that anthropogenic SO42- inputs from acid mine drainage (AMD) have increased, but sewage effluents SO42- inputs have decreased.


Asunto(s)
Sulfatos , Contaminantes Químicos del Agua , Teorema de Bayes , China , Monitoreo del Ambiente/métodos , Fertilizantes , Humanos , Isótopos , Aguas del Alcantarillado , Sulfatos/análisis , Sulfuros , Isótopos de Azufre/análisis , Óxidos de Azufre , Agua , Contaminantes Químicos del Agua/análisis
18.
ISA Trans ; 130: 121-135, 2022 Nov.
Artículo en Inglés | MEDLINE | ID: mdl-35361485

RESUMEN

A multi-axis gimbal tracking device is necessary for the micro spacecraft to detect the target. The movement of the tracking device can generate a marked impact on its carrier in the microgravity environment, which should be taken into account when high accuracy is required. The model of the micro spacecraft and the gimbal tracking device can be regarded as a multi-axis open-chain manipulator composed of rigid bodies and joints. Then the dynamics of the model is established by the twist-wrench formulation. A novel dual-loop integral-type fast terminal sliding mode control scheme is proposed to improve the attitude tracking performance of the micro spacecraft. The attitude dynamics of the micro spacecraft is decomposed into two parts, which are used to design controllers to track the angle and the dummy angular velocity signals, respectively. An adaptive disturbance observer is designed to estimate and compensate for the external disturbance. To maintain high positioning accuracy and restrict excessive control torque, a modified nonsingular fast terminal sliding mode controller is proposed for the gimbal tracking device. Accordingly, the proposed schemes have the advantages of nonsingularity, fast convergence, good robustness, and high tracking accuracy. The simulation results demonstrate the feasibility of the modeling method and the effectiveness of the control schemes.

19.
ACS Appl Mater Interfaces ; 14(16): 18884-18900, 2022 Apr 27.
Artículo en Inglés | MEDLINE | ID: mdl-35427121

RESUMEN

Textile-based flexible electronic devices have attracted tremendous attention in wearable sensors due to their excellent skin affinity and conformability. However, the washing process of such devices may damage the electronic components. Here, a textile-based piezoresistive sensor with ultrahigh sensitivity was fabricated through the layered integration of gold nanowire (AuNW)-impregnated cotton fabric and silver ink screen-printed nylon fabric electrodes, sealing with Parafilm. The prepared piezoresistive sensing patch exhibits outstanding performance, including high sensitivity (914.970 kPa-1, <100 Pa), a fast response time (load: 38 ms, recovery: 34 ms), and a low detection limit (0.49 Pa). More importantly, it can maintain a stable signal output even after 30 000 s of loading-unloading cycles. Furthermore, this sensing patch can efficiently detect breathing, pulse, heart rate, and joint movements during the activities. After five cycles of mechanical washing, the piezoresistive performance keeps 90.3%, demonstrating the high feasibility of this sensor in practical applications. This sensor has a simple fabrication, with good fatigue resistance and durability due to its all-fabric core element. It provides a strategy to address the machine-washing issues in textile electronics. This washable textile sensor is expected to show significant potential in future applications of health monitoring, human-machine interfaces, and artificial skin.


Asunto(s)
Nanocables , Dispositivos Electrónicos Vestibles , Electrodos , Oro , Humanos , Textiles
20.
ACS Omega ; 7(9): 8023-8035, 2022 Mar 08.
Artículo en Inglés | MEDLINE | ID: mdl-35284733

RESUMEN

In oil fields, the formation of water-in-waxy crude oil emulsion is inevitable. The dissolved/crystallized state wax can interact with asphaltenes and then greatly affect the emulsion stability. However, studies on this aspect are still insufficient. In this work, the effects of the test temperature (30 °C well above the wax appearance temperature (WAT) and 15 °C well below the WAT) and asphaltene concentration (0∼1.5 wt %) on the stability of the water-in-model waxy crude oil emulsions containing 10 wt % wax were systematically investigated. When the model crude oils contain no wax, the flowability of the oils is good and the asphaltene concentration has little influence on the oil rheology. Increasing the asphaltene concentration facilitates the adsorption of asphaltenes to the oil-water interface, thus reducing the interfacial tension and water droplet size while enhancing the interfacial dilatational modulus. The stability of the emulsions improves with the increase in the asphaltene concentration, but the emulsions are still unstable. When the model crude oils contain 10 wt % wax, the WAT slightly decreases from the initial 25 to 24 °C after the addition of asphaltenes. The oil rheology is greatly improved by the addition of 0.05 wt % asphaltenes. With the further increase of the asphaltene concentration, the improved rheological ability of the asphaltenes deteriorates rapidly. At the asphaltene concentration of 1.5 wt %, the oil rheology is dramatically aggravated. The stability of the emulsion containing 10 wt % wax is mainly controlled by two aspects: on the one hand, the dissolved-state wax (30 °C) could facilitate the adsorption of asphaltenes to the interface, further reduce the interfacial tension and the water droplet size, and enhance the interfacial dilatational modulus; on the other hand, the wax crystals precipitated in the oil phase (15 °C) can form a stronger network structure at relatively high asphaltene concentrations (0.5∼1.5 wt %) and then immobilize the water droplets. The above two aspects greatly improve the sedimentation and coalescence stabilities of the emulsions at 15 °C. In addition, we did not find persuasive evidence showing that the wax could crystallize around the water droplets and strengthen the oil-water interfacial films.

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