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1.
J Pharm Biomed Anal ; 243: 116106, 2024 Jun 15.
Artigo em Inglês | MEDLINE | ID: mdl-38492511

RESUMO

With significant advancements in high-resolution mass spectrometry, there has been a substantial increase in the amount of chemical component data acquired from natural products. Therefore, the rapid and efficient extraction of valuable mass spectral information from large volumes of high-resolution mass spectrometry data holds crucial significance. This study illustrates a targeted annotation of the metabolic products of alkaloid and sesquiterpene components from Dendrobium nobile (D. nobile) aqueous extract in mice serum through the integration of an in-houses database, R programming, a virtual metabolic product library, polygonal mass defect filtering, and Kendrick mass defect strategies. The research process involved initially establishing a library of alkaloids and sesquiterpenes components and simulating 71 potential metabolic reactions within the organism using R programming, thus creating a virtual metabolic product database. Subsequently, employing the virtual metabolic product library allowed for polygonal mass defect filtering, rapidly screening 1705 potential metabolites of alkaloids and 3044 potential metabolites of sesquiterpenes in the serum. Furthermore, based on the chemical composition database of D. nobile and online mass spectrometry databases, 95 compounds, including alkaloids, sesquiterpenes, and endogenous components, were characterized. Finally, utilizing Kendrick mass defect analysis in conjunction with known alkaloids and sesquiterpenes targeted screening of 209 demethylation, methylation, and oxidation products in phase I metabolism, and 146 glucuronidation and glutathione conjugation products in phase II metabolism. This study provides valuable insights for the rapid and accurate annotation of chemical components and their metabolites in vivo within natural products.


Assuntos
Alcaloides , Produtos Biológicos , Dendrobium , Sesquiterpenos , Animais , Camundongos , Dendrobium/química , Sesquiterpenos/química , Cefotaxima
2.
Chem Commun (Camb) ; 60(31): 4250-4253, 2024 Apr 11.
Artigo em Inglês | MEDLINE | ID: mdl-38530742

RESUMO

An instant p-doping strategy employing 4-tert-butyl-2-chloropyridine and tert-butyl peroxybenzoate for the spiro-OMeTAD hole-transport layer (HTL) in perovskite solar cells (PSCs) is proposed to replace the conventional 4-tert-butylpyridine-doped HTL. The novel doping process eliminates the formation of pores in the HTL. Meanwhile, a 21.4% efficiency is achieved on the corresponding absolute methylammonium-free PSCs with significantly improved thermal and moisture stability.

3.
Heliyon ; 10(3): e25313, 2024 Feb 15.
Artigo em Inglês | MEDLINE | ID: mdl-38333861

RESUMO

Background: Patients with New York Heart Association (NYHA) grade III chronic heart failure (CHF) present with low capacity for daily activities, severe self-perceived burden, and poor quality of life. Effective nursing interventions may reduce patients' self-perceived burden and improve their quality of life. Objectives: To explore the effects of an explain-simulate-practice-communicate-support intervention on the self-perceived burden, cardiac function, and activities of daily living (ADL) ability in patients with New York Heart Association grade III chronic heart failure. Methods: Of the 100 patients with New York Heart Association grade III chronic heart failure who were electronically randomized and equally divided into control and intervention groups, data from 88 patients who completed our study were analyzed. The primary outcome was quality of life; secondary outcomes were self-perceived burden, 6-min walking test distances, serum N-terminal pro-brain natriuretic peptide levels, New York Heart Association cardiac function classification, and ability to perform activities of daily living. Results: After 12 weeks' intervention, the intervention group had significantly lower self-perceived burden, Minnesota Living with Heart Failure Questionnaire scores, N-terminal pro-brain natriuretic peptide levels, and New York Heart Association grades compared with the control group, while 6-min walking test distances, left ventricular ejection fraction, and modified Barthel Index scale scores were significantly higher than those in the control group (P > 0.05). Conclusions: The explain-simulate-practice-communicate-support intervention improved patients' quality of life through reducing the level of self-perceived burden, and improving cardiac function and activities of daily living ability. This intervention was found to be effective for patients with New York Heart Association grade III chronic heart failure.

4.
Antonie Van Leeuwenhoek ; 117(1): 38, 2024 Feb 19.
Artigo em Inglês | MEDLINE | ID: mdl-38372789

RESUMO

Oral microbiota is vital for human health and can be affected by various factors (i.e. diets, ethnicity). However, few studies have compared oral microbiota of individuals from different nationalities in the same environment. Here, we explored the assembly and interaction of oral microbial communities of Chinese and Pakistanis in one university. Firmicutes and Proteobacteria were the predominant microorganisms in the oral cavity of Chinese and Pakistanis. Streptococcus and Neisseria were the dominant genera of China, while Streptococcus and Haemophilus were the dominant genera of Pakistanis. In addition, the oral community membership and structure were not influenced by season, Chinese/Pakistani student and gender, reflecting the stability of the human oral microbiome. The beta diversity of oral microbiomes between Chinese and Pakistanis significantly differed in winter, but not in spring. The alpha diversity of Chinese students and Pakistani students was similar. Moreover, oral microbial community of both Chinese and Pakistani students was mainly driven by stochastic processes. The microbial network of Chinese was more complexity and stability than that of Pakistanis. Our study uncovers the characteristics of human oral microbiota, which is of great significance for oral and human health.


Assuntos
População do Leste Asiático , Microbiota , Boca , População do Sul da Ásia , Humanos , China , Consórcios Microbianos , Paquistão , Boca/microbiologia , Estudantes , Universidades
5.
Chem Commun (Camb) ; 60(11): 1460-1463, 2024 Feb 01.
Artigo em Inglês | MEDLINE | ID: mdl-38223975

RESUMO

Grain boundaries of metal halide perovskites contain massive defects that are detrimental to photovoltaics applications. This work demonstrates that inorganic NH4NO3 can selectively passivate the grain boundaries of perovskite films and improve their moisture resistance simultaneously, resulting in enhanced performance and stability of the methylammonium-free perovskite solar cells.

6.
Heliyon ; 9(12): e22753, 2023 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-38094071

RESUMO

Purpose: This study aimed to clarify the effect of donor and recipient age combinations on the short-term survival rates of patients undergoing lung transplantation. Patients and methods: We retrospectively reviewed the 2017-2020 data of the Affiliated Wuxi People's Hospital of Nanjing Medical University database for all adults (≥18 years), lung transplant recipients, and their associated donors. The impact of donor and recipient ages on survival was analyzed using a multivariable Cox proportional hazards regression model. Subgroup analysis was also performed based on recipient and donor ages. Results: Different donor and recipient age combinations affected the short-term postoperative survival rates. When recipients were ≤55 years, the survival rates of the younger donor age group were significantly higher than the older donor age group at 30 days after surgery (P = 0.040); when the donors were ≤40 years, the postoperative survival rates of the younger recipient age group were significantly higher than the older recipient age group (P = 0.031, P = 0.026, P = 0.034, and P = 0.018 for 30 days, 90 days, 180 days, and 1 year after surgery, respectively). Conclusion: Younger recipients had a higher survival rate after transplantation than older recipients, and this benefit could be compromised by older donors. Furthermore, the influence of donor age on patient survival rate was limited and more pronounced in younger recipients and shortly after surgery.

7.
Anal Methods ; 15(44): 6048-6060, 2023 Nov 16.
Artigo em Inglês | MEDLINE | ID: mdl-37917027

RESUMO

Baseline drift is an important issue in spectral analysis (e.g., infrared, Raman, and laser-induced spectroscopy). Most common methods for baseline correction perform poorly in high noise, complex baselines, and overlapping peaks. To solve this problem, we proposed an adaptive extended Gaussian peak derivative reweighted penalised least squares (agdPLS) method for removing baseline drift from spectra. The method added extended Gaussian peaks to spectra, added derivative terms for spectral and baseline differences during iterations, and adaptively adjusted penalty coefficients λ. Experiments with simulated and measured spectra for methane and ethane were carried out to compare the performance of the different methods. agdPLS performed better than the other methods, with more accurate baseline estimation in low- and high-noise situations. Especially when the spectrum contained high noise, complex baselines and overlapping peaks, the agdPLS method performed significantly better than other methods. Moreover, agdPLS was computationally efficient. Results of actual spectral experiments showed that the proposed agdPLS method could be effective for baseline correction of spectra which, in turn, improved qualitative and quantitative spectral performances.

8.
Front Public Health ; 11: 1179568, 2023.
Artigo em Inglês | MEDLINE | ID: mdl-37674678

RESUMO

Background: Transmitted drug resistance (TDR) is an increasingly prevalent problem worldwide, which will significantly compromise the effectiveness of HIV treatments. However, in Nanjing, China, there is still a dearth of research on the prevalence and transmission of TDR among ART-naïve HIV-1-infected individuals. This study aimed to understand the prevalence and transmission of TDR in Nanjing. Methods: A total of 1,393 participants who were newly diagnosed with HIV-1 and had not received ART between January 2019 and December 2021 were enrolled in this study. HIV-1 pol gene sequence was obtained by viral RNA extraction and nested PCR amplification. Genotypes, TDR and transmission cluster analyses were conducted using phylogenetic tree, Stanford HIV database algorithm and HIV-TRACE, respectively. Univariate and multivariate logistic regression analyses were performed to identify the factors associated with TDR. Results: A total of 1,161 sequences were successfully sequenced, of which CRF07_BC (40.6%), CRF01_AE (38.4%) and CRF105_0107 (6.3%) were the main HIV-1 genotypes. The overall prevalence of TDR was 7.8%, with 2.0% to PIs, 1.0% to NRTIs, and 4.8% to NNRTIs. No sequence showed double-class resistance. Multivariate logistic regression analysis revealed that compared with CRF01_AE, subtype B (OR = 2.869, 95%CI: 1.093-7.420) and female (OR = 2.359, 95%CI: 1.182-4.707) were risk factors for TDR. Q58E was the most prevalent detected protease inhibitor (PI) -associated mutation, and V179E was the most frequently detected non-nucleoside reverse transcriptase inhibitor (NNRTI) -associated mutation. A total of 613 (52.8%) sequences were segregated into 137 clusters, ranging from 2 to 74 sequences. Among 44 individuals with TDR (48.4%) within 21 clusters, K103N/KN was the most frequent TDR-associated mutation (31.8%), followed by Q58E/QE (20.5%) and G190A (15.9%). Individuals with the same TDR-associated mutations were usually cross-linked in transmission clusters. Moreover, we identified 9 clusters in which there was a transmission relationship between drug-resistant individuals, and 4 clusters in which drug-resistant cases increased during the study period. Conclusion: The overall prevalence of TDR in Nanjing was at a moderate level during the past 3 years. However, nearly half of TDR individuals were included in the transmission clusters, and some drug-resistant individuals have transmitted in the clusters. Therefore, HIV drug-resistance prevention, monitoring and response efforts should be sustained and expanded to reduce the prevalence and transmission of TDR in Nanjing.


Assuntos
Infecções por HIV , HIV-1 , Humanos , HIV-1/genética , Filogenia , China/epidemiologia , Algoritmos , Infecções por HIV/tratamento farmacológico , Infecções por HIV/epidemiologia
9.
Front Cardiovasc Med ; 10: 1134623, 2023.
Artigo em Inglês | MEDLINE | ID: mdl-37293286

RESUMO

Objective: The study aimed to investigate the diagnostic accuracy of Murray law-based quantitative flow ratio (µQFR) from a single angiographic view in patients with abnormal cardiac structure, left ventricular diastolic dysfunction, and valvular regurgitation. Background: µQFR is a novel fluid dynamics method for deriving fractional flow reserve (FFR). In addition, current studies of µQFR mainly analyzed patients with normal cardiac structure and function. The accuracy of µQFR when patients had abnormal cardiac structure, left ventricular diastolic dysfunction, and valvular regurgitation has not been clear. Methods: This study retrospectively analyzed 261 patients with 286 vessels that underwent both FFR and µQFR prior to intervention. The cardiac structure and function were measured using echocardiography. Pressure wire-derived FFR ≤0.80 was defined as hemodynamically significant coronary stenosis. Results: µQFR had a moderate correlation with FFR (r = 0.73, p < 0.001), and the Bland-Altman plot presented no difference between the µQFR and FFR (0.006 ± 0.075, p = 0.192). With FFR as the standard, the diagnostic accuracy, sensitivity, specificity, positive predictive value, and negative predictive value of µQFR were 94.06% (90.65-96.50), 82.56% (72.87-89.90), 99.00% (96.44-99.88), 97.26 (89.91-99.30), and 92.96% (89.29-95.44), respectively. The concordance of µQFR/FFR was not associated with abnormal cardiac structure, valvular regurgitation (aortic valve, mitral valve, and tricuspid valve), and left ventricular diastolic function. Coronary hemodynamics showed no difference between normality and abnormality of cardiac structure and left ventricular diastolic function. Coronary hemodynamics demonstrated no difference among valvular regurgitation (none, mild, moderate, or severe). Conclusion: µQFR showed an excellent agreement with FFR. The effect of abnormal cardiac structure, valvular regurgitation, and left ventricular diastolic function did not correlate with the diagnostic accuracy of µQFR. Coronary hemodynamics showed no difference in patients with abnormal cardiac structure, valvular regurgitation, and left ventricular diastolic function.

10.
Chemistry ; 29(37): e202300576, 2023 Jul 03.
Artigo em Inglês | MEDLINE | ID: mdl-37162488

RESUMO

In order to promote the commercialization of perovskite solar cells, gas-quenching is considered to be a promising technique for perovskite film fabrication. However, when handling with methylammonium-free (MA-free) perovskites, it is often difficult to obtain high-quality perovskite films by gas-quenching. Herein, formate additives are employed to regulate the crystallization of MA-free perovskite, and improve the quality of perovskite films. Different additives of formamidine formate (FAFO) and potassium formate (KFO) is compared to investigate the role of formate groups in the crystallization of perovskite films prepared by gas-quenching. The FAFO additive facilitates the perovskite crystallization in (001) orientation whereas KFO favors for (111) orientation. The MA-free device with addition of FAFO demonstrate a champion power conversion efficiency of 20.94 %, compared to that of 20.14 % for KFO devices. In addition, FAFO device also exhibits improved thermal stability in ambient condition without encapsulation, extending the T80 lifetime by 18 times compared to the pristine device.

11.
Zhonghua Wei Zhong Bing Ji Jiu Yi Xue ; 35(2): 124-129, 2023 Feb.
Artigo em Chinês | MEDLINE | ID: mdl-36916370

RESUMO

OBJECTIVE: To investigate the risk factors of early death after lung transplantation in patients with idiopathic pulmonary fibrosis (IPF) complicated with pulmonary arterial hypertension (PAH). METHODS: A retrospective cohort study was conducted. The clinical data of 134 patients with IPF and PAH who underwent lung transplantation at Wuxi People's Hospital Affiliated to Nanjing Medical University from January 2017 to December 2020 were collected. The donor's gender, age, duration of mechanical ventilation, and cold ischemia time, the recipient's gender, age, body mass index (BMI), smoking, history of hypertension and diabetes, preoperative usage of hormones, mean pulmonary arterial pressure (mPAP), cardiac echocardiography and cardiac function, serum creatinine (SCr), N-terminal pro-brain natriuretic peptide (NT-proBNP) as well as surgical type, extracorporeal membrane oxygenation (ECMO) treatment, duration of operation, and plasma and red blood cell infusion ratio were collected. The cumulative survival rates of patients at 30, 60, and 180 days after lung transplantation were calculated by Kaplan-Meier method. The univariate and multivariate Cox proportional hazards regression models were used to analyze the effects of donor, recipient, and surgical factors on early survival in donors after lung transplantation. RESULTS: The majority of donors were male (80.6%). There was 63.4% of the donors older than 35 years old, 80.6% of the donors had mechanical ventilation duration less than 10 days, and the median cold ischemia time was 465.00 (369.25, 556.25) minutes. The recipients were mainly males (83.6%). Most of the patients were younger than 65 years old (70.9%). Most of them had no hypertension (75.4%) or diabetes (67.9%). The median mPAP of recipients was 36 (30, 43) mmHg (1 mmHg ≈ 0.133 kPa). There were 73 patients with single lung transplantation (54.5%), and 61 with double lung transplantation (45.5%). The survival rates of 134 IPF patients with PAH at 30, 60, 180 days after lung transplantation were 81.3%, 76.9%, and 67.4%, respectively. Univariate Cox proportional risk regression analysis showed that recipient preoperative use of hormone [hazard ratio (HR) = 2.079, 95% confidence interval (95%CI) was 1.048-4.128], mPAP ≥ 35 mmHg (HR = 2.136, 95%CI was 1.129-4.044), NT-proBNP ≥ 300 ng/L (HR = 2.411, 95%CI was 1.323-4.392), New York Heart Association (NYHA) cardiac function classification III-IV (HR = 3.021, 95%CI was 1.652-5.523) were the risk factors of early postoperative death in patients with IPF complicated with PAH (all P < 0.05). In the multivariable Cox proportional risk regression analysis, recipient preoperative hormone usage (model 1: HR = 2.072, 95%CI was 1.044-4.114, P = 0.037; model 2: HR = 2.098, 95%CI was 1.057-4.165, P = 0.034), NT-proBNP ≥ 300 ng/L (HR = 2.246, 95%CI was 1.225-4.116, P = 0.009) and NYHA cardiac function classification III-IV (HR = 2.771, 95%CI was 1.495-5.134, P = 0.001) were independent risk factors of early postoperative death in patients with IPF. CONCLUSIONS: Preoperative hormone usage, NT-proBNP ≥ 300 ng/L, NYHA cardiac function classification III-IV are independent risk factors for early death in patients with IPF and PAH after lung transplantation. For these patients, attention should be paid to optimize their functional status before operation. Preoperative reduction of receptor hormone usage and improvement of cardiac function can improve the early survival rate of such patients after lung transplantation.


Assuntos
Hipertensão , Fibrose Pulmonar Idiopática , Transplante de Pulmão , Hipertensão Arterial Pulmonar , Humanos , Masculino , Feminino , Adulto , Idoso , Estudos Retrospectivos , Fatores de Risco
12.
Curr Microbiol ; 80(4): 111, 2023 Feb 20.
Artigo em Inglês | MEDLINE | ID: mdl-36808560

RESUMO

The deep mechanisms shaping bacterial assembly are a crucial challenge in drinking water ecosystem. However, much less is known about seasonal diversity distributions and assembly mechanisms of abundant and rare bacteria in drinking water. The combination of environmental variables and high-throughput 16S rRNA gene sequencing was conducted to examine the composition, assembly, co-occurrence patterns of abundant and rare bacteria from five drinking water sites across four seasons in one year in China. The results indicated that abundant taxa were mainly composed of Rhizobiales_UG1, Sphingomonadales_UG1, and Comamonadaceae, while rare taxa were Sphingomonadales_UG1, Rhizobiales_UG2, and Rhizobiales_UG1. The richness of rare bacteria was greater than that of abundant ones, and the richness had no differences among seasons. The beta diversity was significantly discrepant in abundant and rare communities and among seasons. Deterministic mechanism accounted for a larger contribution to abundant taxa than rare taxa. Furthermore, water temperature had higher effects on abundant microbiome than rare ones. Co-occurrence network analysis indicated that abundant taxa that occupied frequently in central positions had stronger effect on co-occurrence network. In our study, these results collectively suggested that rare bacteria respond to environmental variables with an analogical pattern to abundant counterparts (similar community assembly), but their ecological diversities, driving forces, and co-occurrence patterns were not equivalent in drinking water.


Assuntos
Água Potável , Microbiota , RNA Ribossômico 16S/genética , Bactérias , China
13.
Front Pharmacol ; 14: 1138566, 2023.
Artigo em Inglês | MEDLINE | ID: mdl-36843941

RESUMO

Chronic cerebral hypoperfusion (CCH) is one of the main pathophysiological markers of cognitive impairment in central nervous system diseases. Mitochondria are cores of energy generation and information process. Mitochondrial dysfunction is the key upstream factors of CCH induced neurovascular pathology. Increasing studies explored the molecular mechanisms of mitochondrial dysfunction and self-repair for effective targets to improve CCH-related cognitive impairment. The clinical efficacy of Chinese herbal medicine in the treatment of CCH induced cognitive impairment is definite. Existed evidences from pharmacological studies have further proved that, Chinese herbal medicine could improve mitochondrial dysfunction and neurovascular pathology after CCH by preventing calcium overload, reducing oxidative stress damage, enhancing antioxidant capacity, inhibiting mitochondria-related apoptosis pathway, promoting mitochondrial biogenesis and preventing excessive activation of mitophagy. Besides, CCH mediated mitochondrial dysfunction is one of the fundamental causes for neurodegeneration pathology aggravation. Chinese herbal medicine also has great potential therapeutic value in combating neurodegenerative diseases by targeting mitochondrial dysfunction.

14.
Vaccines (Basel) ; 11(2)2023 Jan 31.
Artigo em Inglês | MEDLINE | ID: mdl-36851201

RESUMO

As China launches its second COVID-19 booster campaign and races to bring new vaccine technologies to protect against severe COVID-19 infections, there is limited research on how Chinese residents search for vaccine-related information. This study examined the factors influencing Chinese residents' information-seeking behaviors regarding COVID-19 boosters with a sample of 616 respondents with a mean age of 31.53 from a research panel. Structural equation modeling was used to report factors that influenced respondents' seeking intent. The results indicated that seeking-related subjective norms (ß = -0.55, p < 0.001), negative affect (ß = 0.08, p < 0.05), positive affect (ß = 0.18, p < 0.001), and perceived knowledge insufficiency (ß = 0.10, p < 0.001) are strong predictors of one's seeking intent. We also discovered that there was an inverse relationship between risk perception and positive affect (ß = -0.55, p < 0.001) and between negative and positive affect (ß = -0.19, p < 0.01), while all measurements were either directly or indirectly related to information-seeking intent. A few more indirect but important relationships were also included in our discussion. In conclusion, the present study helps understand what motivates Chinese residents to seek COVID-19 booster information when limited information is available.

15.
Environ Res ; 219: 115069, 2023 02 15.
Artigo em Inglês | MEDLINE | ID: mdl-36549489

RESUMO

Contamination of antibiotic resistomes due to animal carcass decay has become a serious environmental concern. However, the relationship between main metabolite compounds of corpse decomposition (i.e., putrescine and cadaverine) and antibiotic resistomes remains unclear. To tackle this issue, the response of antibiotic resistance genes (ARGs) and microbiome in aquatic environment to excess putrescine, cadaverine and a mixture of both based on laboratory simulation experiment was investigated by high-throughput quantitative PCR and amplicon sequencing methods. Our results showed putrescine and cadaverine led to the increasing of TC (total carbon) and TN (total nitrogen) both in water and sediment. Under the exposure of putrescine and cadaverine, the total abundance of mobile genetic elements (MGEs) and most ARGs in water was higher than in sediment. In particular, putrescine and cadaverine caused significantly different decreases in alpha diversity of microbial community in water and sediment compared with the control group. Microbial community structures both in water and sediment were also significantly affected by cadaverine and putrescine. Furthermore, putrescine and cadaverine led to different degrees of increases of high-risk ARGs (like mecA) and opportunistic pathogens (like Delftia) in sediment, promoting the prevalence of antibiotic resistant bacteria. In conclusion, our findings revealed the influences of main metabolites of carcass decay on microbiome and resistomes, providing references for risk assessment and pollution management.


Assuntos
Genes Bacterianos , Putrescina , Animais , Cadaverina , Água , Rios , Multiômica , Antibacterianos
16.
J Affect Disord ; 324: 477-479, 2023 03 01.
Artigo em Inglês | MEDLINE | ID: mdl-36586612

RESUMO

Present study aimed to explore adolescent depression trajectory during the COVID-19 pandemic, and the impact of parental style on it. Five-wave data of adolescent sample in China mainland were collected, and the group-based trajectory modeling was used to examine the theory constructs. Findings showed that, during the COVID-19 pandemic, there are four distinct patterns of change in depression symptoms over time, namely, resistance (72.3 %), recovery (15.3 %), increasing (6.7 %), chronic (5.7 %). Differences about the impact of parental style and grade on depression trajectory were found. Findings contribute to the knowledge of the impact of the COVID-19 pandemic on depression trajectory among general population, and parental style and grade should be considered in adolescent psychological intervention in the pandemic.


Assuntos
COVID-19 , Humanos , Adolescente , COVID-19/epidemiologia , Depressão/epidemiologia , Depressão/psicologia , Pandemias , Pais , China/epidemiologia , Ansiedade/psicologia
17.
J Cancer Res Clin Oncol ; 149(8): 4163-4172, 2023 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-36050540

RESUMO

PURPOSE: Postoperative adjuvant trans-catheter arterial chemoembolization (TACE) is regarded as a common strategy for hepatocellular carcinoma (HCC) patients at a high risk of recurrence. However, there are currently no clinically available biomarkers to predict adjuvant TACE response. Vessels that encapsulate tumor clusters (VETC) can be used as an independent predictor of HCC prognosis. In this study, we aimed to explore whether the VETC pattern could predict adjuvant TACE benefit. METHODS: Vascular pattern and HIF-1α expression were detected in immunohistochemistry. The survival benefit of adjuvant TACE therapy for patients with or without VETC pattern (VETC+ /VETC-) was evaluated. RESULTS: The adjuvant TACE therapy obviously improved the TTR and OS in VETC+ patients, while adjuvant TACE therapy could not benefit from VETC- patients. Univariate and multivariate analysis revealed that adjuvant TACE therapy significantly improved the TTR and OS in VETC+ patients, but not in VETC- patients. In addition, the VETC+ , but not VETC- , patients could benefit from adjuvant TACE therapy in patients with high-risk factors of vascular invasion, larger tumor or multiple tumor. The mechanistic investigations revealed that the favorable efficacy of adjuvant TACE on VETC+ patients, but not VETC- ones, may be not due to the activation of HIF-1α pathway. CONCLUSION: The VETC pattern may represent a novel and reliable factor for selecting HCC patients who may benefit from adjuvant TACE therapy, and the combination of VETC pattern and tumor characteristics may help stratify patients' outcomes and responses to adjuvant TACE therapy.


Assuntos
Carcinoma Hepatocelular , Quimioembolização Terapêutica , Neoplasias Hepáticas , Humanos , Carcinoma Hepatocelular/patologia , Neoplasias Hepáticas/patologia , Prognóstico , Análise Multivariada , Terapia Combinada , Estudos Retrospectivos
18.
Sci Educ (Dordr) ; 32(1): 123-168, 2023.
Artigo em Inglês | MEDLINE | ID: mdl-34803230

RESUMO

Meaningful learning for conceptual change in science education should aim to help students change their existing misconceptions to develop an accurate understanding of scientific concepts. Although collaborative argumentation is assumed to support such processes, its value for conceptual change is unclear. Moreover, the roles of argumentative dialogue should be considered in studies on collaborative argumentation. In the present study, using a controlled experiment, we examined the value of collaborative argumentation for conceptual change in science education while fully considering the roles of argumentative dialogue. Twenty-three postgraduate students were each allocated to one of two conditions (individual argumentation [control group] and collaborative argumentation [experimental group]) and participated in two argumentation activities. The results revealed that collaborative argumentation had a delayed but long-lasting effect on conceptual change in science education (i.e., conceptual change induced by collaborative argumentation did not immediately indicate a significant improvement at the moments of argumentation but showed a significant improvement during the delay period). Collaborative argumentation provided opportunities for change in cognitive, ontological, intentional, and other aspects of learning. Dialogue protocol analysis revealed that long-lasting conceptual change was associated with a U-shaped pattern of argumentative dialogue (i.e., two high and one low: both deliberative argumentation and co-consensual construction frequently occurred, while disputative argumentation rarely occurred) in collaborative argumentation. A third argumentation activity was then conducted to confirm this unexpected finding. The results confirmed an association between long-lasting conceptual change and a U-shaped pattern of argumentative dialogue in collaborative argumentation. The current study sheds light on the value of collaborative argumentation for long-lasting conceptual change, deepening our understanding of whether conceptual gains from argumentation activities were contingent on a particular type of verbal dialogue powered by collaborative argumentation. Implications for science education were discussed.

19.
Chinese Journal of School Health ; (12): 1418-1422, 2023.
Artigo em Chinês | WPRIM (Pacífico Ocidental) | ID: wpr-996323

RESUMO

Objective@#To construct an evaluation index system to assess the response capacity of universities to public health emergencies, so as to provide a basis for improvements the response capacity.@*Methods@#In November 2019, in order to develop an evaluation system based on literature review and expert discussions, 15 experts were invited to conduct a subjective evaluation used hierarchical analysis. The objective evaluation was conducted in 120 universities in Jiangsu Province used the inverse entropy weighting method, and the final evaluation employed the joint subjective and objective weighting method.@*Results@#The indicator system consisted of four primary indicators, nine secondary indicators, 32 tertiary indicators and 67 quaternary indicators. The analysis of the combined weighting method showed that the primary indicators, in descending order, included incident handling capability ( 0.666 ), incident detection capability (0.203), prior preparation capability (0.101) and post event recovery capability ( 0.031 ). The top three secondary indicator weights were emergency response (0.480), monitoring and reporting (0.203) and command and coordination (0.151). The results of the evaluation of the consistency indicators showed that the expert authority coefficient was 0.909 and the Kendall s W coordination coefficient was 0.836 ( P <0.01), with all consistency scale values < 0.1.@*Conclusion@#The evaluation system is highly scientific and credible, and provides basis for evaluating the response capability of universities to public health emergencies.

20.
Front Microbiol ; 13: 976657, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-36212863

RESUMO

Antibiotic resistance genes (ARGs), environmental pollutants of emerging concern, have posed a potential threat to the public health. Soil is one of the huge reservoirs and propagation hotspot of ARGs. To alleviate the potential risk of ARGs, it is necessary to figure out the source and fate of ARGs in the soil. This paper mainly reviewed recent studies on the association of ARGs with the microbiome and the transmission mechanism of ARGs in soil. The compositions and abundance of ARGs can be changed by modulating microbiome, soil physicochemical properties, such as pH and moisture. The relationships of ARGs with antibiotics, heavy metals, polycyclic aromatic hydrocarbons and pesticides were discussed in this review. Among the various factors mentioned above, microbial community structure, mobile genetic elements, pH and heavy metals have a relatively more important impact on ARGs profiles. Moreover, human health could be impacted by soil ARGs through plants and animals. Understanding the dynamic changes of ARGs with influencing factors promotes us to develop strategies for mitigating the occurrence and dissemination of ARGs to reduce health risks.

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