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1.
J Texture Stud ; 55(3): e12836, 2024 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-38702990

RESUMO

A new technique known as dough crumb-sheet composite rolling (DC-SCR) was used to improve the quality of fresh noodles. However, there is a dearth of theoretical investigations into the optimal selection of specific parameters for this technology, and the underlying mechanisms are not fully understood. Therefore, the effects of dough crumb addition times in DC-SCR on the texture, cooking, and eating quality of fresh noodles were first studied. Then, the underlying regulation mechanism of DC-SCR technology on fresh noodles was analyzed in terms of moisture distribution and microstructure. The study demonstrated that the most significant enhancement in the quality of fresh noodles was achieved by adding dough crumbs six times. Compared with fresh noodles made without the addition of dough crumbs, the initial hardness and chewiness of fresh noodles made by adding six times of dough crumbs increased by 25.32% and 46.82%, respectively. In contrast, the cooking time and cooking loss were reduced by 28.45% and 29.69%, respectively. This quality improvement in fresh noodles made by DC-SCR came from the microstructural differences of the gluten network between the inner and outer layers of the dough sheet. A dense structure on the outside and a loose structure on the inside could endow the fresh noodles made by DC-SCR with higher hardness, a shortened cooking time, and less cooking loss. This study would provide a theoretical and experimental basis for creating high-quality fresh noodles.


Assuntos
Pão , Culinária , Farinha , Manipulação de Alimentos , Água , Culinária/métodos , Farinha/análise , Manipulação de Alimentos/métodos , Pão/análise , Dureza , Glutens/análise , Qualidade dos Alimentos , Triticum/química , Humanos
2.
Magn Reson Med ; 2024 Apr 04.
Artigo em Inglês | MEDLINE | ID: mdl-38576156

RESUMO

PURPOSE: The performance of modern image reconstruction methods is commonly judged using quantitative error metrics like root mean squared-error and the structural similarity index, which are calculated by comparing reconstructed images against fully sampled reference data. In practice, the reference data will contain noise and is not a true gold standard. In this work, we demonstrate that the "hidden noise" present in reference data can substantially confound standard approaches for ranking different image reconstruction results. METHODS: Using both experimental and simulated k-space data and several different image reconstruction techniques, we examined whether there was correlation between performance metrics obtained with typical noisy reference data versus those obtained with higher-quality reference data. RESULTS: For conventional performance metrics, the reconstructions that matched best with the higher-quality reference data were substantially different from the reconstructions that matched best with typical noisy reference data. This leads to suboptimal reconstruction results if the performance with respect to noisy reference data is used to select which reconstruction methods/parameters to employ. These issues were reduced when employing alternative error metrics that better account for noise. CONCLUSION: Reference data containing hidden noise can substantially mislead the ranking of image reconstruction methods when using conventional error metrics, but this issue can be mitigated with alternative error metrics.

3.
J Forensic Sci ; 69(3): 755-764, 2024 May.
Artigo em Inglês | MEDLINE | ID: mdl-38530154

RESUMO

Recent research observed 92% accuracy for age-at-death estimations by U.S. forensic anthropologists. The present study compares this case report level accuracy to method level accuracy for the most commonly used methods in U.S. casework, drawing from the Forensic Anthropology Database for Assessing Methods Accuracy (FADAMA). Method application rate (i.e., how often a method is used in casework) was analyzed for n = 641 cases and identified 15 methods with an application rate >45 cases, and the present study focused further analyses on these 15 methods. Of the 15, only four yielded accuracies greater than or equal to the 92% documented for case-report level accuracy. The other 11 methods produced accuracy rates ranging from 54% to 91%, with six of these below 70% This disconnect between highly accurate age estimations at the case report level compared to the poor performance at method level suggests that practitioner interpretation and synthesis of the methods' outcomes is a critical step for increasing the accuracy rates of the age estimations as reported on the final case report. This inference was further supported by the study's results which indicated that practitioner interpretations of frequently used method combinations improve accuracy and age range width of age estimation. The study also performed a Fisher's Exact test to assess whether case report-level accuracy differed with the number of aging methods used in a case, and found no significant differences.


Assuntos
Determinação da Idade pelo Esqueleto , Antropologia Forense , Humanos , Antropologia Forense/métodos , Determinação da Idade pelo Esqueleto/métodos , Bases de Dados Factuais , Masculino , Feminino , Determinação da Idade pelos Dentes/métodos , Idoso
4.
J Appl Microbiol ; 135(4)2024 Apr 01.
Artigo em Inglês | MEDLINE | ID: mdl-38549423

RESUMO

AIMS: Ravelling the central but poorly understood issue that potential contributions of keystone species to intestinal ecosystem functioning of patients with certain life-altering diseases including Crohn's disease (CD). METHODS AND RESULTS: In this study, a combination of 16S rRNA gene amplicon sequencing and amplicon-oriented metagenomic profiling was applied to gain insights into the shifts in bacterial community composition at different stages of CD course, and explore the functional roles of identified keystone species in intestinal microecosystem. Our results showed significant alterations in structure and composition of gut microbiota between CD patients and healthy control (HC) (P < 0.05), but was no difference at active and remission stages. Whole-community-based comprehensive analyses were employed to identify the differential species such as Escherichia coli, Anaerostipes hadrus, and Eubacterium hallii in CD patients, with healthy populations as the control. Metagenome-wide functional analyses further revealed that the relative abundance of specialized metabolism-related genes such as cynS, frdB, serA, and gltB from these bacterial species in CD group was significantly different (P < 0.05) from that in HC, and highlighted the potential roles of the keystone species in regulating the accumulation of important metabolites such as succinate, formate, ammonia, L-glutamate, and L-serine, which might have an effect on homeostasis of intestinal ecosystem. CONCLUSIONS: The findings identify several potential keystone species that may influence the intestinal microecosystem functioning of CD patients and provide some reference for future CD treatment.


Assuntos
Doença de Crohn , Humanos , Bactérias/genética , Fezes/microbiologia , Intestinos/microbiologia , RNA Ribossômico 16S/genética
5.
BMC Urol ; 24(1): 74, 2024 Mar 28.
Artigo em Inglês | MEDLINE | ID: mdl-38549067

RESUMO

BACKGROUND: Urinary incontinence symptoms severely affect older people with different body mass index (BMI).To compare the efficacy of the pelvic floor muscle training (PFMT) in patients with post-prostatectomy incontinence with different BMI. METHODS: Thirty-seven patients with post-prostatectomy incontinence were included. They were divided into group A (BMI ≤ 25,12), group B (26 ≤ BMI ≤ 30,14), and group C (BMI ≥ 31,11) based on difference BMI. Three groups of patients underwent the same Pilates combined with kegel training. Participants were assessed with 1-hour pad test, the number of incontinence episodes, International Consultation on Incontinence Questionnaire and Oxford Grading Scale. RESULTS: In the 1-hour pad test, the differences before and after training were statistically significant in all three groups of participants. Group A decreased from 81.83 ± 8.79 to 31.08 ± 5.64 g (P < 0.01). Group B decreased from 80.57 ± 8.87 to 35.85 ± 5.66 g (P < 0.01). Group C decreased from 83.55 ± 10.24 to 40.18 ± 7.01 g (P < 0.01). The number of incontinent episodes in group A decreased from 9.33 ± 1.07 to 3.25 ± 0.62 (P < 0.01). Group B decreased from 8.86 ± 1.09 to 3.79 ± 0.80 (P < 0.01). Group C decreased from 9.27 ± 1.10 to 4.09 ± 0.70 (P < 0.01). The correlation between the three groups of participants and the 1-hour pad test, with an R2 of 0.51. The correlation between the three groups of participants and the number of urinary incontinence episodes with a R2 of 0.43. CONCLUSIONS: Pelvic floor muscle training can affect the recovery of urinary continence in patients with different BMI. Maintaining a lower BMI can be beneficial for improving urinary control. TRIAL REGISTRATION: Date of trial registration: November 27, 2023.


Assuntos
Diafragma da Pelve , Incontinência Urinária , Masculino , Humanos , Idoso , Índice de Massa Corporal , Incontinência Urinária/etiologia , Incontinência Urinária/prevenção & controle , Prostatectomia/efeitos adversos , Terapia por Exercício , Resultado do Tratamento
6.
Case Rep Urol ; 2024: 1723185, 2024.
Artigo em Inglês | MEDLINE | ID: mdl-38303899

RESUMO

Pelvic abscess is mostly caused by gynecological inflammation or digestive system diseases such as appendicitis or Crohn's disease. This case of pelvic abscess originates from ureteral calculus and is not commonly seen in clinical practice. This is mainly due to the patient's ureteral stones not being actively treated. After local puncture and pus extraction, as well as the application of effective antibiotics, the patient recovered. Therefore, this case provides clinical doctors with experience that ureteral stones may cause serious complications and should be actively treated after detection.

7.
Nat Commun ; 15(1): 1465, 2024 Feb 17.
Artigo em Inglês | MEDLINE | ID: mdl-38368419

RESUMO

Protein-modifying enzymes regulate the dynamics of myriad post-translational modification (PTM) substrates. Precise characterization of enzyme-substrate associations is essential for the molecular basis of cellular function and phenotype. Methods for direct capturing global substrates of protein-modifying enzymes in living cells are with many challenges, and yet largely unexplored. Here, we report a strategy to directly capture substrates of lysine-modifying enzymes via PTM-acceptor residue crosslinking in living cells, enabling global profiling of substrates of PTM-enzymes and validation of PTM-sites in a straightforward manner. By integrating enzymatic PTM-mechanisms, and genetically encoding residue-selective photo-crosslinker into PTM-enzymes, our strategy expands the substrate profiles of both bacterial and mammalian lysine acylation enzymes, including bacterial lysine acylases PatZ, YiaC, LplA, TmcA, and YjaB, as well as mammalian acyltransferases GCN5 and Tip60, leading to discovery of distinct yet functionally important substrates and acylation sites. The concept of direct capturing substrates of PTM-enzymes via residue crosslinking may extend to the other types of amino acid residues beyond lysine, which has the potential to facilitate the investigation of diverse types of PTMs and substrate-enzyme interactive proteomics.


Assuntos
Lisina , Proteínas , Animais , Lisina/metabolismo , Proteínas/metabolismo , Acilação , Proteômica/métodos , Processamento de Proteína Pós-Traducional , Mamíferos/metabolismo
8.
Pediatr Neurol ; 152: 63-72, 2024 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-38232652

RESUMO

BACKGROUND: Trofinetide was approved by the US Food and Drug Administration for the treatment of Rett syndrome (RTT) in March 2023. Benefiting the ability to communicate in RTT is often identified as the most important caregiver goal for new therapies. This analysis reports the communication-related end points from the phase 3 LAVENDER study of trofinetide in RTT. METHODS: Females with RTT, aged five to 20 years, were randomized 1:1 to trofinetide or placebo for 12 weeks. Secondary efficacy end points related to communication were based on change from baseline to week 12 and included the caregiver-rated Communication and Symbolic Behavior Scales Developmental Profile™ Infant-Toddler Checklist (CSBS-DP-IT) Social Composite score (key secondary end point; scores ranged from 0 to 26 [higher scores indicated better communication]) and novel clinician rating scales (0 [normal] to 7 [severe impairment]) measuring the ability to communicate choices nonverbally (RTT-COMC) and verbally (RTT-VCOM). RESULTS: Trofinetide demonstrated a statistically significant difference versus placebo for the CSBS-DP-IT Social Composite score (least squares mean [LSM] difference = 1.0; 95% confidence interval [CI], 0.3 to 1.7; P = 0.0064; Cohen's d effect size = 0.43) and a nominally significant difference for the RTT-COMC (LSM difference: -0.3; 95% CI, -0.6 to -0.0; P = 0.0257; Cohen's d effect size = 0.36). As expected, there was no difference for the RTT-VCOM. CONCLUSIONS: Significant treatment benefit for trofinetide versus placebo was observed in scales measuring the ability to communicate. These scales may be appropriate for future clinical studies in RTT and other neurodevelopmental disorders.


Assuntos
Síndrome de Rett , Estados Unidos , Feminino , Lactente , Humanos , Síndrome de Rett/tratamento farmacológico , Glutamatos , Cuidadores
9.
Exp Ther Med ; 27(1): 43, 2024 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-38125361

RESUMO

Kodamaea ohmeri (K. ohmeri) is an ascosporogenic species of yeast that belongs to the genus Ascosporogenous and the family of Saccharomycetaceae. It has recently been found to cause various types of infections, particularly in critically ill immunocompromised patients. The present study describes a case of hospital-acquired pneumonia caused by K. ohmeri during veno-arterial extracorporeal membrane oxygenation. The fungal culture turned negative after the administration of caspofungin and amphotericin B. Extracorporeal membrane oxygenation (ECMO) is an adjunctive medical technique that provides temporary cardiopulmonary support for patients. Previous observations have suggested that the immune function of patients will typically decline during the use of ECMO, rendering infection to be one of the main complications of ECMO. K. ohmeri is a rare pathogenic fungus, particularly in immunocompromised individuals with vascular catheters, while amphotericin B is the most common antifungal therapy administered to treat K. ohmeri infections. It is important to raise awareness of rare fungal infections and actively treat them.

10.
Adv Sci (Weinh) ; 10(36): e2303545, 2023 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-37963851

RESUMO

O-GlcNAcylation functions as a cellular nutrient and stress sensor and participates in almost all cellular processes. However, it remains unclear whether O-GlcNAcylation plays a role in the establishment and maintenance of cell polarity, because mice lacking O-GlcNAc transferase (OGT) are embryonically lethal. Here, a mild Ogt knockout mouse model is constructed and the important role of O-GlcNAcylation in establishing and maintaining cell polarity is demonstrated. Ogt knockout leads to severe pulmonary fibrosis and dramatically promotes epithelial-to-mesenchymal transition. Mechanistic studies reveal that OGT interacts with pericentriolar material 1 (PCM1) and centrosomal protein 131 (CEP131), components of centriolar satellites required for anchoring microtubules to the centrosome. These data further show that O-GlcNAcylation of PCM1 and CEP131 promotes their centrosomal localization through phase separation. Decrease in O-GlcNAcylation prevents PCM1 and CEP131 from localizing to the centrosome, instead dispersing these proteins throughout the cell and impairing the microtubule-centrosome interaction to disrupt centrosome positioning and cell polarity. These findings identify a previously unrecognized role for protein O-GlcNAcylation in establishing and maintaining cell polarity with important implications for the pathogenesis of pulmonary fibrosis.


Assuntos
Fibrose Pulmonar , Camundongos , Animais , Fibrose Pulmonar/metabolismo , Polaridade Celular , Centrossomo/metabolismo , Fenótipo
11.
Artigo em Inglês | MEDLINE | ID: mdl-37917355

RESUMO

Copper nanowire (CuNW), with combined advantages of high conductivity and cost-effectiveness, is considered a promising material for the development of next-generation transparent conductive films (TCFs) in the field of flexible optoelectronics. However, the practical application of CuNW TCFs is hindered by some limitations, such as conductivity degradation and poor adhesion. Here, we demonstrate a stable CuNW composite film by embedding CuNWs into a polydopamine (PDA)-modified sodium alginate (NaAlg) matrix without sacrificing the optoelectronic properties of the CuNW network. The introduction of the PDA modifier significantly enhances the antiaging capability of the NaAlg layer, providing strengthened protection of the embedded CuNWs against moisture and oxygen, thereby resulting in minimal degradation of the conductivity of CuNWs for up to 9 months under ambient conditions. Simultaneously, the interface adhesion between the CuNW network and the substrate is further enhanced due to the abundance of catechol structures in PDA, allowing for the maintenance of the electrical conductivity of the CuNW network even under cyclic external bending stress and tape-peeling forces. In addition, embedding CuNWs into the polymer binding layer produces a CuNW composite film with a very smooth surface. A flexible OLED based on the PDA-modified NaAlg/CuNW TCF is successfully fabricated, exhibiting performance comparable to that of a traditional rigid indium tin oxide-based device, while also demonstrating remarkable mechanical durability. The modification strategy can promote practical applications of the CuNW network in flexible optoelectronic devices.

12.
PLoS One ; 18(11): e0290302, 2023.
Artigo em Inglês | MEDLINE | ID: mdl-37910496

RESUMO

Forensic anthropology is shifting to reflect on the impact of its practices within the criminal justice context in important ways. Here, we contribute to this essential work by examining how decedent demographics as well as estimations of biological profile components are related to identification trends in forensic anthropology cases. The study uses data from more than 1,200 identified and unidentified forensic anthropology cases from three agencies (together representing a nation-wide sample). We found the following: i) multivariate analyses indicated that decedent sex, age, and race and/or ethnicity are not related to case identification rates in the pooled United States sample, ii) when identification rate differences do occur, they appear to be smaller effects, more agency-specific, and/or related to the context of a particular agency, iii) for the agency-specific sample with available data, there was no consistent evidence for a discrepancy in the duration of an identification investigation based on a decedent's sex, age, or race and/or ethnicity, iv) forensic anthropological estimations of sex, age, and ancestry can improve the odds of identification for decedents, although these are small effects, and v) reporting an ancestry estimation does not appear to impact decedent race representation among resolved unidentified person cases. Although previous studies have identified demographic discrepancies in other areas of the criminal justice system, the results presented here suggest that decedent demographic estimation practices by forensic anthropologists in general do not appear to be related to discrepancies in identification trends, but more research is needed to examine whether these findings hold. Contextual factors and practices specific to each investigative agency likely contribute to identification trends.


Assuntos
Antígenos de Grupos Sanguíneos , Antropologia Forense , Humanos , Estados Unidos , Antropologia Forense/métodos , Medicina Legal , Direito Penal , Etnicidade
13.
Food Res Int ; 174(Pt 1): 113501, 2023 12.
Artigo em Inglês | MEDLINE | ID: mdl-37986416

RESUMO

30 mainstream wheat breeds from China and 2 from Australian were evaluated to analyze the correlation between grain quality traits, protein/starch properties and the comprehensive quality of fine dried noodles (FDN), with a multiple regression analysis conducted to establish predictive equations. Results showed FDN quality was both determined by the protein content and quality, as well as the starch properties, especially pasting characteristics. The balance between gluten strength and starch swelling characteristics was a key point to produce high quality FDN. Zhoumai32 and APW were found to be excellent cultivars for FDN production. Gluten content and index, SDS sedimentation value, dough extensibility, setback and peak viscosity could be served as indicators for specializing FDN flour. The established predictive equations could well explain over 60% of the variation in noodle color, cooking time, hardness, chewiness, and extensibility. These results were hoped to be a fundamental step towards developing the related standards or regulations for specializing FDN flour and rapid noodle quality prediction.


Assuntos
Amido , Triticum , Amido/química , Triticum/química , Austrália , Melhoramento Vegetal , Glutens/química
14.
Eur J Health Econ ; 2023 Oct 14.
Artigo em Inglês | MEDLINE | ID: mdl-37837519

RESUMO

OBJECTIVES: To assess the feasibility of estimating an EQ-5D-5L value set using a small study design in cancer patients and to compare the EQ-5D-5L values based on the preferences of cancer patients with those of the general public. METHODS: Patients with clinically diagnosed cancers were recruited from two hospitals in Shanghai, China. In face-to-face interviews using the EQ-PVT survey, health states were valued by cancer patients using both cTTO and DCE methods. cTTO data was modelled alone or jointly with DCE data. Forty-eight models using different model specifications (cross-attribute level effect [CALE] and additive models), random/fixed effects model assumptions, data heteroscedasticity and censoring were estimated. The best performed model was identified in terms of monotonicity of estimated model coefficients and out-of-sample prediction accuracy. RESULTS: Data collected from 221 cancer patients who participated in the study were included. The hybrid CALE model using both TTO and DCE data performed best in terms of prediction accuracy (Lin's concordance coefficient = 0.989; root mean squared error = 0.058) and suggested that pain/discomfort and anxiety/depression were the most undesirable health problems. Compared to values based on general Chinese public's health preferences, the values based on cancer patients' preferences were much higher and lower for health states characterized by extreme mobility problems and severe/extreme pain or discomfort, respectively. CONCLUSION: This study demonstrated the feasibility of using a small design to develop EQ-5D-5L value sets based on cancer patients' health preferences. Since there were signs of differences between preferences of patients and general population, it may be valuable to develop patient-specific value sets and use them in clinical decision making and economic evaluations.

15.
Chemosphere ; 343: 140242, 2023 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-37739135

RESUMO

There is accumulating evidence of the toxicity of organic ultraviolet absorbers (OUVAs); however, limited information is available regarding the presence of OUVAs in terrestrial environments and organisms. Therefore, this study was conducted to investigate the occurrence of 11 OUVAs in soils and typical plant species from an industrial metropolis in China. Total OUVA concentrations in soils ranged from 1.30 to 80.3 ng g-1 DW. Based on comparison with previously reported data, OUVA contamination in soil was not severe. Benzophenone and octocrylene were the dominant OUVAs in soils, with median contributions to total concentrations of 25% and 15%, respectively. Source assessment revealed that the observed OUVA contamination primarily originated from industrial activities and the use of personal care products. The concentration of 11 OUVAs in plants ranged from 159 to 4470 ng g-1 DW, at high levels. Our findings imply that great attention should be given to the presence of these chemicals in plants because of the risk they could pose as well as the potential for biomagnification as plants are eaten by insects and birds. Our results also indicate the necessity to further study the geochemical behavior of these chemicals in urban ecosystems in order to better manage the harmfulness to terrestrial ecological health caused by their exposure through the food chains.

16.
Altern Ther Health Med ; 29(7): 41-45, 2023 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-37499150

RESUMO

Objective: This study aimed to investigate the impact of combining transcranial magnetic stimulation (TMS) with argatroban on balance function and activities of daily living in patients with hemiplegia following cerebral infarction (CI). Methods: A retrospective analysis was conducted on the clinical data of 104 patients with hemiplegia after CI who were admitted to our hospital from July 2020 to July 2021. The patients were randomly assigned to either the experimental group (EG) or the control group (CG), with 52 patients in each group. The EG received TMS in combination with argatroban, while the CG received argatroban alone. The Berg Balance Scale (BBS) and modified Barthel index (BI) were used to assess the balance function and activities of daily living in both groups after treatment. Results: After treatment, the EG demonstrated significantly higher BBS and BI scores compared to the CG (P < .001). Additionally, the EG showed significantly improved upper limb and lower limb Functional Ambulation Profile (FAM) scores compared to the CG (P < .05). Conclusions: The combination of TMS and argatroban proves to be an effective approach for enhancing balance function and activities of daily living in hemiplegic patients with CI. Therefore, it is recommended as a valuable rehabilitation treatment for such patients.


Assuntos
Infarto Cerebral , Hemiplegia , Reabilitação do Acidente Vascular Cerebral , Humanos , Atividades Cotidianas , Infarto Cerebral/complicações , Infarto Cerebral/reabilitação , Hemiplegia/reabilitação , Estudos Retrospectivos , Estimulação Magnética Transcraniana
17.
Methods Mol Biol ; 2676: 131-146, 2023.
Artigo em Inglês | MEDLINE | ID: mdl-37277629

RESUMO

Posttranslational modifications (PTMs) of lysine residues are major regulators of gene expression, protein-protein interactions, and protein localization and degradation. Histone lysine benzoylation is a recently identified epigenetic marker associated with active transcription, which has physiological relevance distinct from histone acetylation and can be regulated by debenzoylation of sirtuin 2 (SIRT2). Herein, we provide a protocol for the incorporation of benzoyllysine and fluorinated benzoyllysine into full-length histone proteins, which further serve as benzoylated histone probes with NMR or fluorescence signal for investigating the dynamics of SIRT2-mediated debenzoylation.


Assuntos
Aminoácidos , Lisina , Lisina/metabolismo , Aminoácidos/metabolismo , Histonas/metabolismo , Sirtuína 2/genética , Processamento de Proteína Pós-Traducional , Acetilação
18.
Aging Dis ; 14(4): 1360-1373, 2023 Aug 01.
Artigo em Inglês | MEDLINE | ID: mdl-37163423

RESUMO

The new term essential tremor (ET) plus was proposed in the 2018 tremor consensus criteria. The National Survey of Essential Tremor Plus in China, a large multicenter registry study, aimed to evaluate the clinical features of pure ET and ET plus and explore possible factors related to ET plus. All patients with ET underwent neurological examination and neuropsychological assessment at 17 clinical sites. The diagnosis was made according to the 2018 consensus criteria. Clinicodemographic characteristics were analyzed. A total of 1160 patients were included, including 546 patients with pure ET and 614 patients with ET plus. The proportion of females was significantly higher in the ET plus than that in the pure ET (P = 0.001). The age at onset (AAO) of pure ET showed a bimodal distribution, with peaks in the 2nd and 5th decades. However, the AAO of the ET plus group demonstrated a skewed distribution, with a single peak in the 6th decade. Female sex (OR=1.645, P<0.001), older age (OR=1.023, P<0.001), lower educational level (OR=0.934, P<0.001), head tremor (OR=1.457, P<0.001), and higher the Tremor Research Group Essential Tremor Rating Assessment Scale (TETRAS)-II scores (OR=1.134, P<0.001) were significantly associated with ET plus. Old age and female sex may contribute to ET plus development. Pure ET showed a bimodal distribution for AAO, whereas ET plus showed a unimodal distribution. It remains unclear whether pure ET and ET plus are merely different stages of a single disease or represent distinct disease entities.

19.
Int Urogynecol J ; 34(10): 2539-2546, 2023 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-37227458

RESUMO

INTRODUCTION AND HYPOTHESIS: Urinary incontinence is one of the most common complications associated with parturition or child delivery. The Internet combined with pelvic floor training may be a good way to reduce the spread of the epidemic and treat postpartum incontinence. METHODS: A total of 38 participants were randomly assigned to Kegel alone (group A = 14), Internet plus Kegel (group B = 12), or Internet plus Pilates (group C = 12). We used the 1-h pad test, the number of episodes of incontinence, the number of pads used, the Oxford Scale, and The International Consultation Incontinence Questionnaire for evaluation. RESULTS: In the 1-h pad test (g), group A decreased from 40.93 ± 4.66 to 24.00 ± 3.94, group B from 41.75 ± 3.62 to 20.67 ± 3.89, and group C from 40.33 ± 3.89 to 18.67 ± 3.55. In the number of episodes of incontinence, group A decreased from 4.71 ± 1.13 to 2.93 ± 0.62, group B from 4.92 ± 1.16 to 2.42 ± 0.52, and group C from 4.92 ± 1.08 to 2.08 ± 0.52. In the use of urinary pads, group A decreased from 7.14 ± 0.95 to 3.50 ± 0.52, group B from 7.25 ± 0.75 to 3.00 ± 0.95, and group C from 7.42 ± 1.08 to 2.50 ± 0.67. In the Oxford Scale and International Consultation Incontinence Questionnaire Short Form, the difference among the three groups before and after treatment was statistically significant. After 6 weeks of pelvic floor muscle training, most patients achieved grade 3 or higher muscle strength on the Oxford scale. CONCLUSIONS: The Internet combined with pelvic floor training is a good choice during the current pandemic. Pelvic floor exercises can improve urinary incontinence symptoms.

20.
Neurochem Res ; 48(9): 2794-2807, 2023 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-37127800

RESUMO

Pericytes play critical roles in the maintenance of brain vascular homeostasis. However, very little is currently known about how pericytes regulate ischemic stroke-induced brain injury. Inflammation is a key event in the pathobiology of stroke, in which the nod-like receptor protein-3 (NLRP3) inflammasome is involved in, triggering sterile inflammatory responses and pyroptosis. In the current study, an immortalized cell line derived from human brain vascular pericytes (HBVPs) was constructed, and it showed that HBVPs challenged with oxygen glucose deprivation (OGD) displays pronounced cellular excretion of LDH, IL-1ß, IL-18 and increased PI positive staining. Mechanistically, upon OGD treatment, NLRP3 forms an inflammasome with its adaptor protein apoptosis-associated speck-like protein, containing a caspase recruitment domain (ASC) and caspase-1, manifested as much more co-stainings of NLRP3, ASC and Caspase-1 in HBVPs, accompanied by the increased protein levels of NLRP3, ASC, caspase-1 as well as the pyroptosis-associated protein gasdermin D (GSDMD). Intriguingly, GSDMD-N shuttled to the mitochondrial membrane triggered by OGD exposure, which promoted massive mitochondria-derived ROS generation. Importantly, the invention value of the specific targets was evaluated by treatment with bellidifolin, a kind of ketone compound derived from Swertia chirayita in traditional Tibetan medicine. It showed that bellidifolin exerts beneficial effects and attenuates the formation of NLRP3/ASC/Caspase-1 complex, thereby impeding GSDMD-N shuttling and resultant ROS generation, protecting against OGD-induced HBVPs pyroptosis. Overall, these findings unravel the potential mechanisms of pericyte injury induced by OGD and indicate that bellidifolin may exert its beneficial effects on pyroptosis, thus providing new therapeutic insights into stroke.


Assuntos
Inflamassomos , Acidente Vascular Cerebral , Humanos , Inflamassomos/metabolismo , Proteína 3 que Contém Domínio de Pirina da Família NLR/metabolismo , Piroptose , Pericitos , Oxigênio , Espécies Reativas de Oxigênio/metabolismo , Glucose/farmacologia , Caspases/metabolismo , Encéfalo/metabolismo , Caspase 1/metabolismo
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