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1.
J Vis Exp ; (206)2024 Apr 19.
Artigo em Inglês | MEDLINE | ID: mdl-38709029

RESUMO

Mild traumatic brain injury is a clinically highly heterogeneous neurological disorder. Highly reproducible traumatic brain injury (TBI) animal models with well-defined pathologies are urgently needed for studying the mechanisms of neuropathology after mild TBI and testing therapeutics. Replicating the entire sequelae of TBI in animal models has proven to be a challenge. Therefore, the availability of multiple animal models of TBI is necessary to account for the diverse aspects and severities seen in TBI patients. CHI is one of the most common methods for fabricating rodent models of rmTBI. However, this method is susceptible to many factors, including the impact method used, the thickness and shape of the skull bone, animal apnea, and the type of head support and immobilization utilized. The aim of this protocol is to demonstrate a combination of the thinned-skull window and fluid percussion injury (FPI) methods to produce a precise mouse model of CHI-associated rmTBI. The primary objective of this protocol is to minimize factors that could impact the accuracy and consistency of CHI and FPI modeling, including skull bone thickness, shape, and head support. By utilizing a thinned-skull window method, potential inflammation due to craniotomy and FPI is minimized, resulting in an improved mouse model that replicates the clinical features observed in patients with mild TBI. Results from behavior and histological analysis using hematoxylin and eosin (HE) staining suggest that rmTBI can lead to a cumulative injury that produces changes in both behavior and gross morphology of the brain. Overall, the modified CHI-associated rmTBI presents a useful tool for researchers to explore the underlying mechanisms that contribute to focal and diffuse pathophysiological changes in rmTBI.


Assuntos
Concussão Encefálica , Modelos Animais de Doenças , Crânio , Animais , Camundongos , Concussão Encefálica/patologia , Crânio/patologia , Crânio/lesões , Crânio/cirurgia , Masculino , Percussão/métodos , Lesões Encefálicas Traumáticas/patologia
2.
Sci Rep ; 14(1): 8292, 2024 Apr 09.
Artigo em Inglês | MEDLINE | ID: mdl-38594304

RESUMO

The spread of blast dust throughout the tunnel becomes a common problem in drill and blast tunneling,the key to breaking through the problem is the creation of a dust control area on the working face.In view of this key problem, a wet string grid dust removal crawler vehicle was developed, the power of the vehicle came from the diesel generator, and further, the air cooler of the diesel generator was used to generate airflow, and the suction process formed by the on-board axial flow fan was coupled to create a dust control area of the working face after blasting.The results show that when the frequency of the axial flow fan is adjusted to 30 Hz, the airflow speed of the wet chord grid section reaches 3.34 m/s, and the dust removal efficiency is the highest, with a value of 94.3%.Compared with the non-use of the dust removal vehicle, when the air outlet of the air cooler is front, horizontal front, horizontal rear, the dust concentration is reduced by 74.37, 92.39 and 50.53%.Finally, the optimized wet grid dust removal crawler was installed in the Dading tunnel, and the actual dust reduction efficiency was about 78.49%. The results obtained provide an important technical way to improve the working environment of the drilling and blasting construction tunnel.

3.
J Environ Manage ; 354: 120363, 2024 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-38394873

RESUMO

The crushing of beneficiation plants will produce a large amount of dust containing hot air flow, seriously polluting the atmospheric environment if discharged directly without treatment. The key to control is to dust and cool the exhaust. In order to improve the efficiency of the device, the airflow disturbance between the chord grid should be enhanced to promote the collision probability between the dust and the droplet and the surface of the chord grid. Based on the above analysis, the lattice Boltzmann method (LBM) is used to simplify the chord grid wire into an infinitely long cylinder structure, and a mesoscopic model is established to explore the flow characteristics of the airflow through the wet chord grid wires. The results show that there is a critical flow direction spacing ratio of L/D = 2.5; when the critical spacing is exceeded, vortex shedding occurs on the upstream cylinder, the boundary layer is separated, and the time-average drag coefficient Cd-M on the cylinder surface changes sharply, when the spacing ratio is less than this critical ratio, the downstream cylinder is immersed in the near wake region of the upstream cylinder. The gap flows smoothly from the downstream cylinder gap. The sequential double-chord grid wires show the flow characteristics around a single blunt body, and the time-average drag coefficient of the cylinder surface changes smoothly. According to the research results, the wet chord grid wires purification and heat dissipation device is applied to the beneficiation plants. The parameter design is carried out to make the flow direction spacing ratio (FDSR) L/D ≥ 3.5 to ensure that the development and migration of vortices in the wake of the upstream cylinder are not inhibited by the downstream cylinder. The longitudinal spacing ratio (LSR) is 1.35≤W/D ≤ 2.5 to ensure that the velocity ratio behind the upstream cylinder is u/u0 ≥ 0.5 to promote the mixing of the fluid. The test results show that when the concentration of exhaust dust in the beneficiation plants is 38.27 mg/m3, the dust concentration of outlet air will be reduced to 0.39 mg/m3 after the wet chord grid wires purification and heat treatment, the total dust removal efficiency is 98.98%, the inlet air temperature is 32 °C, and the outlet air temperature is about 27 °C. The maximum temperature drop is 5 °C, and the air quality meets environmental emission standards.


Assuntos
Poluição do Ar , Poeira , Baías
4.
Free Radic Biol Med ; 212: 80-93, 2024 02 20.
Artigo em Inglês | MEDLINE | ID: mdl-38151212

RESUMO

Remote Ischemic Preconditioning (RIPC) can reduce myocardial ischemia-reperfusion injury, but its mechanism is not clear. In order to explore the mechanism of RIPC in myocardial protection, we collected myocardial specimens during cardiac surgery in children with tetralogy of Fallot for sequencing. Our study found RIPC reduces the expression of the calcium channel subunit cacna2d3, thereby impacting the function of calcium channels. As a result, calcium overload during ischemia-reperfusion is reduced, and the activation of calpain 1 is inhibited. This ultimately leads to a decrease in calpain 1 cleavage of Bax, consequently inhibiting increased mitochondrial permeability-mediated apoptosis. Notably, in both murine and human models of myocardial ischemia-reperfusion injury, RIPC inhibiting the expression of the calcium channel subunit cacna2d3 and the activation of calpain 1, improving cardiac function and histological outcomes. Overall, our findings put forth a proposed mechanism that elucidates how RIPC reduces myocardial ischemia-reperfusion injury, ultimately providing a solid theoretical foundation for the widespread clinic application of RIPC.


Assuntos
Precondicionamento Isquêmico Miocárdico , Precondicionamento Isquêmico , Traumatismo por Reperfusão Miocárdica , Traumatismo por Reperfusão , Criança , Humanos , Animais , Camundongos , Traumatismo por Reperfusão Miocárdica/genética , Traumatismo por Reperfusão Miocárdica/prevenção & controle , Traumatismo por Reperfusão Miocárdica/metabolismo , Calpaína/genética , Calpaína/metabolismo , Apoptose , Canais de Cálcio , Traumatismo por Reperfusão/patologia
5.
Bioelectrochemistry ; 154: 108526, 2023 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-37523801

RESUMO

In this study, a 13-mer antimicrobial peptide (RRWRIVVIRVRRC) named by E6 was used as an enhancer of a green biocide to mitigate the biocorrosion of EH36 ship steel. Results show that a low concentration of E6 (100 nM) alone was no-biocidal and could not resist the Desulfovibrio vulgaris adhesion on the EH36 steel surface. However, E6 enhanced the bactericidal effect of tetrakis hydroxymethyl phosphonium sulfate (THPS). When E6 and THPS were both added to the bacteria and steel system, both the sessile D. vulgaris cells and biocorrosion rate of EH36 steel decreased significantly. Compared with the 80 ppm THPS alone treatment, the combination of 100 nM E6 + 80 ppm THPS led to an extra 1.6-log reduction in the sessile cell count. Fewer sessile D. vulgaris cells led to a lower extracellular electron transfer (EET) rate, directly resulting in 78% and 83% decreases in weight loss and pit depth of EH36 steel, respectively. E6 saved more than 50% of THPS dosage in this work to achieve a similar biocorrosion mitigation effect on EH36 steel.


Assuntos
Desinfetantes , Desinfetantes/farmacologia , Aço , Navios , Biofilmes , Bactérias , Corrosão
6.
World J Emerg Med ; 14(3): 209-216, 2023.
Artigo em Inglês | MEDLINE | ID: mdl-37152539

RESUMO

BACKGROUND: Pulmonary fibrosis (PF) is one of the main causes of death in patients with paraquat (PQ) poisoning. This study aimed to evaluate the relationship between mitochondrial fission and oxidative stress in PQ-induced epithelial-mesenchymal transition (EMT) and PF. METHODS: C57BL/6 mice and MLE-12 cells were exposed to PQ to construct a PF model in vivo and in vitro. Histological changes in the lungs were examined by hematoxylin and eosin (H&E) staining. Mitochondrial morphology was detected by MitoTracker® Deep Red FM or transmission electron microscopy (TEM). Western blotting and immunofluorescence were used to determine the expression of protein. The migration ability of the cells was detected by the cell scratch test. Mitochondrial DNA (mtDNA) levels were assessed by real-time polymerase chain reaction (PCR). Enzyme-linked immunosorbent assay (ELISA) was applied to detect cytokine levels. Superoxide dismutase (SOD) activity and the levels of glutathione (GSH) and malondialdehyde (MDA) were detected by chemichromatometry. RESULTS: PQ exposure caused EMT and PF in vivo and in vitro. PQ destroyed mitochondrial structure and enhanced the expression of dynamin-related protein 1 (Drp1), which were accompanied by oxidative stress. Inhibiting mitochondrial fission using mitochondrial division inhibitor-1 (Mdivi-1), a selective inhibitor of Drp1, attenuated PQ-induced EMT and oxidative damage. Treatment with N-acetyl-L-cysteine (NAC), an antioxidant, reduced Drp1 expression, attenuated mitochondrial structure damage and inhibited PQ-induced EMT and PF. Both Mdivi-1 and NAC treatment markedly suppressed mtDNA release, the expression of Toll-like receptor 9 (TLR9) and phosphorylation (P)-NF-κB p65 as well as cytokines (interleukin 6 [IL-6], interleukin-1ß [IL-1ß], and tumor necrosis factor-α [TNF-α]) production. CONCLUSION: Mutual promotion of mitochondrial fission and oxidative stress contributes to EMT in PQ-induced PF, which is associated with the mtDNA/TLR9/NF-κB pathway.

7.
Bioelectrochemistry ; 151: 108377, 2023 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-36731176

RESUMO

The microbial corrosion of marine structural steels (09CrCuSb low alloy steel (LAS) and Q235 carbon steel (CS)) in Desulfovibrio vulgaris medium and Pseudomonas aeruginosa medium based on seawater was investigated. In the D. vulgaris medium, the weight loss and maximum pit depth of 09CrCuSb LAS were 0.59 and 0.56 times as much as those of Q235 CS, respectively. Meanwhile, in the P. aeruginosa medium, the values were 0.53 and 0.67 times, respectively. Compared to Q235 CS, 09CrCuSb LAS contains more alloy elements (Cr, Ni, Cu, Al and Sb), which led to obvious inhibition of sessile bacteria growth but had no effect on planktonic bacteria. The number of live sessile cells on the 09CrCuSb LAS surface was 23.4 % and 26.9 % of that on the Q235 CS surface in the D. vulgaris medium and P. aeruginosa medium, respectively. Fewer sessile cells on the steel surface led to a lower extracellular electron transfer (EET) rate so that less corrosion occurred. In addition, the combined effect of alloying elements on grain refinement and passive film formation also improved the anti-corrosion property of the steels.


Assuntos
Ligas , Aço , Aço/química , Ligas/farmacologia , Elétrons , Biofilmes , Transporte de Elétrons , Pseudomonas aeruginosa/fisiologia , Carbono/química
8.
Ren Fail ; 45(1): 2173498, 2023 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-36728812

RESUMO

Critically ill patients with preexisting kidney dysfunction (PKD) are at high risk for acute kidney injury (AKI). Nevertheless, there is no criteria for screening and classifying AKI in patients with PKD. In this study, after assessing relationship between the change in SCr from baseline and in-hospital mortality, a new criteria, named APKD, for identifying AKI in PKD was proposed. APKD defined AKI in critically ill patients with PKD as an absolute increase of ≥ 0.2 mg/dL in SCr within 48 h or an increase in SCr ≥ 1.1 times over baseline within 7 d. APKD detected more AKI among PKD patients compared with the other criteria. Additionally, the AKI patients identified by APKD but missed by the other criteria had higher mortality than those without AKI. APKD shows higher sensitivities than KDIGO criteria in predicating in-hospital mortality. APKD, but not the KDIGO, is effective for staging the severity of AKI in patients with PKD. In conclusion, APKD is more effective in screening and classifying AKI in critically ill patients with PKD compared with the earlier criteria, and it may helpful in guiding clinical treatment and predicting prognosis.


Assuntos
Injúria Renal Aguda , Estado Terminal , Humanos , Prognóstico , Mortalidade Hospitalar , Rim , Estudos Retrospectivos , Creatinina
9.
Oncol Lett ; 25(2): 57, 2023 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-36644135

RESUMO

Malignant solitary fibrous tumor (SFT) in the retroperitoneum is rare. The present study reported on the case of a 67-year-old man who had retroperitoneal SFT for ~13 years, which resulted in two recurrences and lymphatic metastases. After the second recurrence, the patient presented with hematochezia and multiple retroperitoneal masses were found through computed tomography (CT). Histopathological examination showed that the tumor was mainly comprised of short spindle cells, arranged into sparse and dense areas. Mitotic figures were observed, generally 6-8 mitoses/10 high power fields, along with local necrosis. The tumor invaded the circumferential liver, intestines, lymphatic vessels and lymph nodes. Combined with the immunohistochemical results, it was diagnosed as a malignant SFT, which regrew just 2 months after the latest surgery. Retroperitoneal SFTs with repeated relapses, infiltrative growth and lymphatic metastasis suggest the need for careful and long-term follow-up.

11.
Bioelectrochemistry ; 149: 108310, 2023 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-36283192

RESUMO

The effect of methanogenic archaea (Methanococcus maripaludis) on corrosion behavior of 316L stainless steel under different concentrations of organic electron donor (acetate) was investigated. The results showed that M. maripaludis can survive by utilizing 316L SS as an alternative energy source. The extracellular electron transfer from 316L SS relies on redox-active substances secreted by M. maripaludis. Corrosion of 316L SS is promoted along with decrease of acetate concentration. M. maripaludis causes severe pitting corrosion of 316L SS in the absence of acetate due to that more redox-active substances are secreted, which has little relationship with the M. maripaludis biofilm.


Assuntos
Elétrons , Aço Inoxidável , Corrosão , Biofilmes , Água do Mar
12.
Plant Dis ; 107(4): 1044-1053, 2023 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-36089682

RESUMO

Soilborne pathogens destabilize the yields of Triticeae crops, including barley (Hordeum vulgare L.) and wheat (Triticum aestivum L.). Although genetic resistance derived from relatives of these species has been utilized to prevent rust diseases (i.e., in the wheat-rye 1BL-1RS translocation line), research on resistance against soilborne pathogens remains limited. Here, we performed field trials using 76 genotypes representing 28 Hordeum, six Triticum, and two Aegilops species to examine resistance against three soilborne bymoviruses: barley yellow mosaic virus (BaYMV), barley mild mosaic virus (BaMMV), and wheat yellow mosaic virus (WYMV). We also performed greenhouse tests using the soilborne fungal pathogen Fusarium pseudograminearum, which causes Fusarium crown rot (FCR). Using RT-PCR, we detected BaMMV and BaYMV in several Hordeum species, whereas WYMV induced systemic infection in the Triticum and Aegilops species. The identification of FCR susceptibility in all species examined suggests that F. pseudograminearum is a facultative fungal pathogen in Triticeae. Intraspecies variation in FCR disease severity was observed for several species, pointing to the possibility of exploring host resistance mechanisms. Therefore, by unlocking the host specificity of four soilborne pathogens in Hordeum species and their relatives, we obtained insights for the further exploration of wild sources of soilborne pathogen resistance for future wheat and barley improvement programs.


Assuntos
Hordeum , Hordeum/microbiologia , Especificidade de Hospedeiro , Genótipo , Triticum/microbiologia
13.
Opt Express ; 30(18): 32761-32768, 2022 Aug 29.
Artigo em Inglês | MEDLINE | ID: mdl-36242331

RESUMO

The optical spectrum of mode-locked lasers can exhibit multiple peaks resulting from different mechanisms such as modulation instability, dispersive waves (DWs), and coupling between continuous waves (CWs) and DWs. The latter was recently reported in a mode-locked fiber laser. Here we show that besides the coupling between single-wavelength CW and DWs, dual-wavelength CWs can also couple with DWs giving rise to quite different spectral peaks in a mode-locked fiber laser. In particular, we find that the sidebands of one CW can couple with the other CW, leading to an enhancement of the CWs.

14.
Comput Methods Programs Biomed ; 225: 107052, 2022 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-35985149

RESUMO

BACKGROUND AND OBJECTIVE: Breast cancer is a high incidence of gynecological diseases; breast ultrasound screening can effectively reduce the mortality rate of breast cancer. In breast ultrasound images, the localization and segmentation of tumor lesions are important steps for the extraction of lesions, which helps clinicians evaluate breast lesions quantitatively and makes better clinical diagnosis of the disease. However, the segmentation of breast lesions is difficult due to the blurred and uneven edges of some lesions. In this paper, we propose a segmentation framework combining active contour module and deep learning adversarial mechanism and apply it for the segmentation of breast tumor lesions. METHOD: We use a conditional adversarial network as the main framework. The generator is a segmentation network consisting of a Deformed U-Net and an active contour module. Here, the Deformed U-Net performs pixel-level segmentation for breast ultrasound images. The active contour module refines the tumor lesion edges, and the refined result provides loss information for Deformed U-Net. Therefore, the Deformed U-Net can better classify the edge pixels. The discriminator is the Markov discriminator; this discriminator provides loss feedback for the segmentation network. We cross-train the discriminator and segmentation network to implement Adversarial Mechanism for getting a more optimized segmentation network. RESULTS: The segmentation performance of the segmentation network for breast ultrasound images is improved by adding a Markov discriminator to provide discriminant loss training. The proposed method for segmenting the tumor lesions in breast ultrasound image obtains dice coefficient: 89.7%, accuracy: 98.1%, precision: 86.3%, mean-intersection-over-union: 82.2%, recall: 94.7%, specificity: 98.5% and F1score: 89.7%. CONCLUSION: Comparing with traditional methods, the proposed method gives better performance. The experimental results show that the proposed method can effectively segment the lesions in breast ultrasound images, and then assist doctors to realize the diagnosis of breast lesions.


Assuntos
Neoplasias da Mama , Processamento de Imagem Assistida por Computador , Mama/diagnóstico por imagem , Neoplasias da Mama/diagnóstico por imagem , Neoplasias da Mama/patologia , Feminino , Humanos , Processamento de Imagem Assistida por Computador/métodos , Ultrassom , Ultrassonografia Mamária
15.
Neurol Sci ; 43(4): 2823-2830, 2022 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-34373992

RESUMO

PURPOSE: Alcohol-induced osteonecrosis femoral head necrosis (ONFH) is a disease that seriously affects human health. Abnormal expression of L3MBTL3/PTPN9 gene can cause a variety of human diseases. The purpose of this study is to investigate the effect of L3MBTL3/PTPN9 gene polymorphism on the susceptibility of alcohol-induced ONFH in Chinese Han population. METHODS: A total of 308 alcohol-induced ONFH patients and 425 healthy controls were enrolled in this case-control study. Alleles, genotypes, genetic models, haplotypes, and multifactor dimensionality reduction analyses (MDR) based on age-corrected by using odds ratio (OR) and 95% confidence interval (CI) were performed. RESULTS: Our result revealed rs2068957 in the L3MBTL3 gene increased the risk of alcohol ONFH under the recessive model after correction. Besides, we also found that rs75393192 in the PTPN9 gene was a protective site in stratification over 40 years of age and stage. In stratified analysis of necrotic sites, we only found that rs2068957 was associated with increased susceptibility of alcohol-induced ONFH under the co-dominant model and recessive model. Haplotype "GC" in the block (rs76107647|rs10851882 in PTPN9 gene) significantly decreased the susceptibility of alcoholic ONFH. CONCLUSIONS: Our results provide evidence that L3MBTL3/PTPN9 polymorphisms are associated with alcohol-induced ONFH risk in Chinese Han population.


Assuntos
Povo Asiático , Etnicidade , Necrose da Cabeça do Fêmur , Predisposição Genética para Doença , Polimorfismo Genético , Adulto , Povo Asiático/genética , Estudos de Casos e Controles , China , Etnicidade/genética , Necrose da Cabeça do Fêmur/induzido quimicamente , Necrose da Cabeça do Fêmur/epidemiologia , Necrose da Cabeça do Fêmur/genética , Predisposição Genética para Doença/genética , Haplótipos , Humanos , Pessoa de Meia-Idade , Polimorfismo Genético/genética
16.
Transl Oncol ; 16: 101308, 2022 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-34911015

RESUMO

N6-methyladenosine (m6A) modification is the most prevalent internal modification in eukaryotic mRNA. YTH domain containing 2 (YTHDC2), a m6A binding protein, has recently been identified as a key player in human cancer. However, its contribution to gastric cancer (GC) remains unknown. Herein, we found that YTHDC2 was significantly upregulated in human GC tissues and associated with poor prognosis. CRISPR-Cas9 mediated YTHDC2 knockout notably inhibited GC cell viability, proliferation and invasion. Transcriptome analysis coupled with mechanism experiments revealed that yes-associated protein (YAP), the well-known oncogene, is the target of YTHDC2 in GC cells. Specifically, YTHDC2 recognized m6A-modified YAP mRNA at 5`-UTR, resulting in enhancing the translation efficiency of YAP, without affecting its mRNA level. In turn, YAP/TEAD directly targeted -843∼-831 region on the promoter of YTHDC2 and activated the transcription of YTHDC2, thus forming a positive regulatory loop. Further, using the xenograft tumor model, we found that knockout of YTHDC2 markedly reduced tumor size and lung metastasis nodules in vivo. And high YTHDC2 was strongly positively correlated with high YAP in clinical GC tissues. Collectively, our data demonstrate that YTHDC2 is a novel oncogene in GC, which provides the theoretical basis for the strategy of targeting YTHDC2 for GC patients.

17.
J Mech Behav Biomed Mater ; 124: 104880, 2021 12.
Artigo em Inglês | MEDLINE | ID: mdl-34628188

RESUMO

To solve the dynamic problem of different activities in human activity recognition research, an activity recognition method based on a multiplex limited penetrable visibility graph is proposed. The 21 pressure values for each sampling are mapped to nodes in the first-layer network; then the average path length of nodes in the asynchronous periodic network is obtained, and the second-layer network used to explore different activities is built. Finally, the characteristic parameters and dynamic characteristics of different activities are explored and analyzed. The experimental results demonstrate that through the joint distribution of the average clustering coefficient and the maximum degree parameter of the node, the discrimination problems of different postures can be better realized, and it has good adaptability. It provides a new approach to gait recognition research that can be used in medical clinical diagnosis, rehabilitation training, and public health.

18.
Medicine (Baltimore) ; 100(29): e26662, 2021 Jul 23.
Artigo em Inglês | MEDLINE | ID: mdl-34398027

RESUMO

BACKGROUND: Postoperative delirium (POD) not only increases the medical burden but also adversely affects patient prognosis. Although some cases of delirium can be avoided by early intervention, there is no clear evidence indicating whether any of these measures can effectively prevent POD in specific patient groups. OBJECTIVE: The aim of this meta-analysis was to compare the efficacy and safety of the existing preventive measures for managing POD. METHODS: The PubMed, OVID (Embase and MEDLINE), Web of Science, and the Cochrane Library databases were searched for articles published before January 2020. The relevant randomized controlled trials (RCTs) were selected based on the inclusion and exclusion criteria. Data extraction and methodological quality assessment were performed according to a predesigned data extraction form and scoring system, respectively. The interventions were compared on the basis of the primary outcome like incidence of POD, and secondary outcomes like duration of delirium and the length of intensive care unit and hospital stay. RESULTS: Sixty-three RCTs were included in the study, covering interventions like surgery, anesthesia, analgesics, intraoperative blood glucose control, cholinesterase inhibitors, anticonvulsant drugs, antipsychotic drugs, sleep rhythmic regulation, and multi-modal nursing. The occurrence of POD was low in 4 trials that monitored the depth of anesthesia with bispectral index during the operation (P < .0001). Two studies showed that supplementary analgesia was useful for delirium prevention (P = .002). Seventeen studies showed that perioperative sedation with α2-adrenergic receptor agonists prevented POD (P = .0006). Six studies showed that both typical and atypical antipsychotic drugs can reduce the incidence of POD (P = .002). Multimodal nursing during the perioperative period effectively reduced POD in 6 studies (P < .00001). Furthermore, these preventive measures can reduce the duration of delirium, as well as the total and postoperative length of hospitalized stay for non-cardiac surgery patients. For patients undergoing cardiac surgery, effective prevention can only reduce the length of intensive care unit stay. CONCLUSION: Measures including intraoperative monitoring of bispectral index, supplemental analgesia, α2-adrenergic receptor agonists, antipsychotic drugs, and multimodal care are helpful to prevent POD effectively. However, larger, high-quality RCTs are needed to verify these findings and develop more interventions and drugs for preventing postoperative delirium.


Assuntos
Delírio , Humanos , Delírio/prevenção & controle , Complicações Pós-Operatórias/prevenção & controle , Período Pré-Operatório , Ensaios Clínicos Controlados Aleatórios como Assunto , Projetos de Pesquisa , Revisões Sistemáticas como Assunto , Metanálise como Assunto
19.
Sci Total Environ ; 797: 149180, 2021 Nov 25.
Artigo em Inglês | MEDLINE | ID: mdl-34311354

RESUMO

The toxicity of microplastics to marine organisms has attracted much attention; however, studies of their effects on marine microalgae remain limited. Here, the effects of the single and combined toxicity of polystyrene (PS) and triphenyl phosphate (TPhP) on the cell growth, photosynthesis, and oxidative stress of Chaetoceros meülleri were investigated. PS inhibited growth of the algae cells and caused a dose-dependent effect on oxidative stress. The significantly high production of reactive oxygen species (ROS) induced severe cell membrane damage, as confirmed by high fluorescence polarization. However, there was no obvious decrease in chlorophyll a content, and 80 mg/L of PS significantly promoted chlorophyll a synthesis. The TPhP also inhibited cell growth, except at low concentrations (0.2-0.8 mg/L), which stimulated algae growth over 48 h. Moreover, no obvious decrease in chlorophyll a and maximal photochemical efficiency of PSII was found in the TPhP experimental groups except for 3.2 mg/L TPhP, where the rapid light curves showed a significantly reduced photosynthetic capacity of algae. In addition, TPhP caused high ROS levels at 96 h, resulting in cell membrane damage. Using the additive index and independent action methods, the combined toxic effects of PS and TPhP on the algae were evaluated as antagonistic; however, cell membrane damage caused by high ROS levels was still noticeable. This study has shown the potential toxicity of PS and TPhP to marine microalgae, and provided insights into the combined risk assessment of TPhP and microplastics in the marine environment.


Assuntos
Poliestirenos , Poluentes Químicos da Água , Clorofila A , Organofosfatos , Estresse Oxidativo , Fotossíntese , Plásticos , Poliestirenos/toxicidade , Poluentes Químicos da Água/análise , Poluentes Químicos da Água/toxicidade
20.
Bioelectrochemistry ; 140: 107824, 2021 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-33934051

RESUMO

The corrosion behavior of EH40 steel in seawater enriched with Methanococcus maripaludis was investigated through electrochemical methods and surface analysis techniques. The results revealed that the hydrogenotrophic M. maripaludis strain can utilize acetate as an alternative energy source. Corrosion of EH40 steel is initially inhibited, but prolonged exposure with the methanogen leads to an eventual corrosion propagation. During the early stage of immersion in M. maripaludis culture medium, the formation of a protective corrosion products film inhibits EH40 steel corrosion. The presence of M. maripaludis promotes both anodic and cathodic reactions of EH40 steel in the late stage of exposure. Surface analyses revealed that pitting corrosion is closely related to uneven distribution of M. maripaludis biofilm on EH40 steel surface.


Assuntos
Mathanococcus/fisiologia , Água do Mar/química , Água do Mar/microbiologia , Aço/química , Biofilmes , Corrosão , Eletroquímica
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