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1.
Phys Chem Chem Phys ; 26(34): 22656-22664, 2024 Aug 28.
Artigo em Inglês | MEDLINE | ID: mdl-39158723

RESUMO

Although Mo2C and earth-abundant 3d transition metals are regarded as potential catalysts to replace noble metal catalysts for effective hydrogen evolution reaction, their large-scale application is still inhibited by their own defects. Here, a facile thermal treatment method for nonprecious metal catalysts is developed to prepare a porous Ni/Mo2C composite catalyst. The loading density of Ni nanoparticles on the Mo2C surface has an important effect on the activity of the catalyst. By optimizing the Ni doping ratio, the Ni-40/Mo2C-17 sample exhibits the lowest onset overpotential and lowest overpotential at 10 mA cm-2 in both acidic and alkaline electrolytes, compared to other reported Ni- and Mo2C-based catalysts. In addition, theoretical calculations have also confirmed the synergistic effect between Ni nanoparticles and Mo2C, which can balance the thermodynamics between H adsorption and desorption of H2. This work provides an avenue for designing high-performance water-splitting catalytic materials using low-cost species, which exhibit excellent HER activity in a wide pH range.

2.
Cell Signal ; 121: 111301, 2024 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-39019338

RESUMO

Ischemic stroke is one of the most disabling and fatal diseases around the world. The damaged brain tissues will undergo excessive autophagy, vascular endothelial cells injury, blood-brain barrier (BBB) impairment and neuroinflammation after ischemic stroke. However, there is no unified viewpoint on the underlying mechanism of brain damage. Transforming growth factor-ß1 (TGF-ß1), as a multi-functional cytokine, plays a crucial role in the intricate pathological processes and helps maintain the physiological homeostasis of brain tissues through various signaling pathways after ischemic stroke. In this review, we summarize the protective role of TGF-ß1 in autophagic flux, BBB, vascular remodeling, neuroinflammation and other aspects after ischemic stroke. Based on the review, we believe that TGF-ß1 could serve as a key target for treating ischemic stroke.


Assuntos
Autofagia , Barreira Hematoencefálica , AVC Isquêmico , Fator de Crescimento Transformador beta1 , Humanos , Fator de Crescimento Transformador beta1/metabolismo , AVC Isquêmico/metabolismo , AVC Isquêmico/patologia , Animais , Barreira Hematoencefálica/metabolismo , Transdução de Sinais , Células Endoteliais/metabolismo , Isquemia Encefálica/metabolismo
3.
IEEE Trans Med Imaging ; PP2024 Jun 24.
Artigo em Inglês | MEDLINE | ID: mdl-38913528

RESUMO

The score-based generative model (SGM) has received significant attention in the field of medical imaging, particularly in the context of limited-angle computed tomography (LACT). Traditional SGM approaches achieved robust reconstruction performance by incorporating a substantial number of sampling steps during the inference phase. However, these established SGM-based methods require large computational cost to reconstruct one case. The main challenge lies in achieving high-quality images with rapid sampling while preserving sharp edges and small features. In this study, we propose an innovative rapid-sampling strategy for SGM, which we have aptly named the time-reversion fast-sampling (TIFA) score-based model for LACT reconstruction. The entire sampling procedure adheres steadfastly to the principles of robust optimization theory and is firmly grounded in a comprehensive mathematical model. TIFA's rapid-sampling mechanism comprises several essential components, including jump sampling, time-reversion with re-sampling, and compressed sampling. In the initial jump sampling stage, multiple sampling steps are bypassed to expedite the attainment of preliminary results. Subsequently, during the time-reversion process, the initial results undergo controlled corruption by introducing small-scale noise. The re-sampling process then diligently refines the initially corrupted results. Finally, compressed sampling fine-tunes the refinement outcomes by imposing regularization term. Quantitative and qualitative assessments conducted on numerical simulations, real physical phantom, and clinical cardiac datasets, unequivocally demonstrate that TIFA method (using 200 steps) outperforms other state-of-the-art methods (using 2000 steps) from available [0°, 90°] and [0°, 60°]. Furthermore, experimental results underscore that our TIFA method continues to reconstruct high-quality images even with 10 steps. Our code at https://github.com/tianzhijiaoziA/TIFADiffusion.

4.
Int J Biol Macromol ; 273(Pt 2): 133156, 2024 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-38878932

RESUMO

The environmental benefits of utilizing protease as a biocatalyst for wool shrink-resist finishing have been widely recognized. However, the efficacy of individual protease treatment is unsatisfactory due to its incapability towards the outermost cuticle layer of wool fibers that contains hydrophobic fatty acids. In order to weaken the structural integrity of the highly cross-linked scales and promote the enzymatic anti-felting, sodium sulfite and tris (2-carboxyethyl) phosphine hydrochloride (TCEP) were employed in combination with papain, respectively, aiming at obtaining a low shrinkage without unacceptable fiber damages. Based on the synergistic effect of papain and TCEP, the edges of wool scales were slightly destroyed by the reduction of disulfide bonds, accompanied by enzymatic hydrolysis of the keratin component. Through the controlled reduction and hydrolysis of wool scales, satisfactory anti-felting result was achieved without causing severe damage to the fiber interiors. In the presence of 0.25 g/L TCEP and 25 U/mL papain, the area shrinkage of wool fabric decreased to approximately 6 %, with a low strength loss of less than 8 %. Meanwhile, the dyeing behavior of the wool fabric under low-temperature conditions was dramatically improved, leading to decreased energy consumption during production. The present work provides an alternative for eco-friendly finishing of wool fabrics, which can be applied commercially.


Assuntos
Dissulfetos , Papaína , , Papaína/química , Animais , Lã/química , Dissulfetos/química , Substâncias Redutoras/química , Sulfitos/química , Sulfitos/farmacologia , Fosfinas/química , Fibra de Lã , Hidrólise , Têxteis
5.
Front Surg ; 11: 1333646, 2024.
Artigo em Inglês | MEDLINE | ID: mdl-38872726

RESUMO

Background: This study aimed to develop a nomogram capable of predicting the probability of femoral head collapse based on an 18-year follow-up cohort of convalescent severe acute respiratory syndrome (SARS) patients with glucocorticoid-induced osteonecrosis of the femoral head (ONFH). Methods: Data on the natural history of 120 patients (205 hips) who underwent glucocorticoid-induced ONFH at China-Japan Friendship Hospital (CJFH) in 2003 were retrospectively collected. Follow-up was conducted from June 2003 to October 2021. A nomogram was developed in a training cohort and validated in another cohort. Results: A total of 205 hips were included for analysis, with 143 hips in the training cohorts and 62 hips in the validation cohorts. After 18 years of follow-up, 53 femoral heads collapsed, while 152 femoral heads spontaneously repaired to some extent (necrotic areas reduced or vanished). Following multivariate regression analysis, the Association Research Circulation Osseous (ARCO) staging, necrosis index (NI), and CJFH Classification were entered into the nomogram. The nomogram showed robust discrimination, with an AUC of 0.907 (95% CI: 0.85-0.96). The calibration curves showed an agreement between the probability as predicted by the nomogram and the actual probability. Application of the nomogram in the validation cohort also yielded good discrimination (AUC, 0.876, 95% CI: 0.7751-0.9761) and calibration. Conclusion: The nomogram successfully predicted femoral head collapse in glucocorticoid-induced ONFH. With the nomogram, the prognosis for an individual patient with glucocorticoid-induced ONFH can be determined, which can lead to a rational therapeutic choice.

6.
IEEE Trans Med Imaging ; PP2024 Jun 28.
Artigo em Inglês | MEDLINE | ID: mdl-38941197

RESUMO

The multi-source stationary CT, where both the detector and X-ray source are fixed, represents a novel imaging system with high temporal resolution that has garnered significant interest. Limited space within the system restricts the number of X-ray sources, leading to sparse-view CT imaging challenges. Recent diffusion models for reconstructing sparse-view CT have generally focused separately on sinogram or image domains. Sinogram-centric models effectively estimate missing projections but may introduce artifacts, lacking mechanisms to ensure image correctness. Conversely, image-domain models, while capturing detailed image features, often struggle with complex data distribution, leading to inaccuracies in projections. Addressing these issues, the Dual-domain Collaborative Diffusion Sampling (DCDS) model integrates sinogram and image domain diffusion processes for enhanced sparse-view reconstruction. This model combines the strengths of both domains in an optimized mathematical framework. A collaborative diffusion mechanism underpins this model, improving sinogram recovery and image generative capabilities. This mechanism facilitates feedback-driven image generation from the sinogram domain and uses image domain results to complete missing projections. Optimization of the DCDS model is further achieved through the alternative direction iteration method, focusing on data consistency updates. Extensive testing, including numerical simulations, real phantoms, and clinical cardiac datasets, demonstrates the DCDS model's effectiveness. It consistently outperforms various state-of-the-art benchmarks, delivering exceptional reconstruction quality and precise sinogram.

7.
Chem Commun (Camb) ; 60(40): 5290-5293, 2024 May 14.
Artigo em Inglês | MEDLINE | ID: mdl-38659401

RESUMO

Pt-based intermetallics exhibit excellent activity in electrocatalysis. However, their controlled syntheses remain difficult. Herein, carbon-supported PtM (M = Fe, Co, Ni, Zn and Mn) intermetallics with small size (3 nm) were prepared at the gramscale and applied as a highly effective electrocatalyst for the hydrogen evolution reaction.

8.
Eur J Nucl Med Mol Imaging ; 51(6): 1593-1604, 2024 May.
Artigo em Inglês | MEDLINE | ID: mdl-38512485

RESUMO

PURPOSE: Fibroblast activation protein inhibitor (FAPI) -based probes have been widely studied in the diagnosis of various malignant tumors with positron emission tomography/computed tomography (PET/CT). However, current imaging studies of FAPI-based probes face challenges in rapid clearance rate and potential false-negative results. Furthermore, FAPI has been rarely explored in optical imaging. Considering this, further modifications are imperative to improve the properties of FAPI-based probes to address existing limitations and broaden their application scenarios. In this study, we rationally introduced methylene blue (MB) to FAPIs, thereby imparting nuclei-targeting and fluorescence imaging capabilities to the probes. Furthermore, we evaluated the added value of FAPI-based fluorescence imaging to traditional PET/CT, exploring the potential application of FAPI-based probes in intraoperative fluorescence imaging. METHODS: A new FAPI-based probe, namely NOTA-FAPI-MB, was designed for both PET/CT and fluorescence imaging by conjugation of MB. The targeting efficacy of the probe was evaluated on fibroblast activation protein (FAP)-transfected cell line and human primary cancer-associated fibroblasts (CAFs). Subsequently, PET/CT and fluorescence imaging were conducted on tumor-bearing mice. The tumor detection and boundary delineation were assessed by fluorescence imaging of tissues from hepatocellular carcinoma (HCC) patients. RESULTS: NOTA-FAPI-MB demonstrated exceptional targeting ability towards FAP-transfected cells and CAFs in comparison to NOTA-FAPI. This benefit arises from the cationic methylene blue (MB) affinity for anionic nucleic acids. PET/CT imaging of tumor-bearing mice revealed significantly higher tumor uptake of [18F]F-NOTA-FAPI-MB (standard uptake value of 2.20 ± 0.31) compared to [18F]F-FDG (standard uptake value of 1.66 ± 0.14). In vivo fluorescence imaging indicated prolonged retention at the tumor site, with retention lasting up to 24 h. In addition, the fluorescent probes enabled more precise lesion detection and tumor margin delineation than clinically used indocyanine green (ICG), achieving a 100.0% (6/6) tumor-positive rate for NOTA-FAPI-MB while 33.3% (2/6) for ICG. These findings highlighted the potential of NOTA-FAPI-MB in guiding intraoperative surgical procedures. CONCLUSIONS: The NOTA-FAPI-MB was successfully synthesized, in which FAPI and MB simultaneously contributed to the targeting effect. Notably, the nuclear delivery mechanism of the probes improved intracellular retention time and targeting efficacy, broadening the imaging time window for fluorescence imaging. In vivo PET/CT demonstrated favorable performance of NOTA-FAPI-MB compared to [18F]F-FDG. This study highlights the significance of fluorescence imaging as an adjunct technique to PET/CT. Furthermore, the encouraging results obtained from the imaging of human HCC tissues hold promise for the potential application of NOTA-FAPI-MB in intraoperative fluorescent surgery guidance within clinical settings.


Assuntos
Endopeptidases , Proteínas de Membrana , Tomografia por Emissão de Pósitrons combinada à Tomografia Computadorizada , Tomografia por Emissão de Pósitrons combinada à Tomografia Computadorizada/métodos , Animais , Camundongos , Humanos , Linhagem Celular Tumoral , Imagem Óptica/métodos , Sondas Moleculares/química , Sondas Moleculares/farmacocinética , Transporte Biológico , Azul de Metileno/química , Distribuição Tecidual
9.
RSC Adv ; 14(11): 7551-7556, 2024 Feb 29.
Artigo em Inglês | MEDLINE | ID: mdl-38440270

RESUMO

A mild and environmentally electrochemical method for the synthesis of quinazolines and quinazolinones has been developed through anodic oxidation decarboxylative of α-oxocarboxylic acids. The present reaction was efficiently conducted by using simple and cheap NH4I as the N-source and electrolyte in an undivided cell. The desired products, quinazolines and quinazolinones, were isolated in high yield under chemical oxidant free conditions.

10.
Phys Med Biol ; 69(8)2024 Apr 02.
Artigo em Inglês | MEDLINE | ID: mdl-38373346

RESUMO

Objective. Computed Tomography (CT) has been widely used in industrial high-resolution non-destructive testing. However, it is difficult to obtain high-resolution images for large-scale objects due to their physical limitations. The objective is to develop an improved super-resolution technique that preserves small structures and details while efficiently capturing high-frequency information.Approach. The study proposes a new deep learning based method called spectrum learning (SPEAR) network for CT images super-resolution. This approach leverages both global information in the image domain and high-frequency information in the frequency domain. The SPEAR network is designed to reconstruct high-resolution images from low-resolution inputs by considering not only the main body of the images but also the small structures and other details. The symmetric property of the spectrum is exploited to reduce weight parameters in the frequency domain. Additionally, a spectrum loss is introduced to enforce the preservation of both high-frequency components and global information.Main results. The network is trained using pairs of low-resolution and high-resolution CT images, and it is fine-tuned using additional low-dose and normal-dose CT image pairs. The experimental results demonstrate that the proposed SPEAR network outperforms state-of-the-art networks in terms of image reconstruction quality. The approach successfully preserves high-frequency information and small structures, leading to better results compared to existing methods. The network's ability to generate high-resolution images from low-resolution inputs, even in cases of low-dose CT images, showcases its effectiveness in maintaining image quality.Significance. The proposed SPEAR network's ability to simultaneously capture global information and high-frequency details addresses the limitations of existing methods, resulting in more accurate and informative image reconstructions. This advancement can have substantial implications for various industries and medical diagnoses relying on accurate imaging.


Assuntos
Processamento de Imagem Assistida por Computador , Tomografia Computadorizada por Raios X , Tomografia Computadorizada por Raios X/métodos , Processamento de Imagem Assistida por Computador/métodos , Algoritmos
11.
Psychopathology ; 57(3): 182-191, 2024.
Artigo em Inglês | MEDLINE | ID: mdl-38228121

RESUMO

INTRODUCTION: This study investigated the structure of the borderline personality features (BPFs) network and the most central BPF in adolescence. METHODS: Cross-sectional self-report data from 4,866 Chinese adolescents (M = 13.96, SD = 1.64; 61.3% girls) were included in the network analysis models. BPFs were assessed with the McLean Screening Instrument for Borderline Personality Disorder. RESULTS: Identity disturbance and affective instability emerged as the most central BPF in the current adolescent sample. In addition, chronic emptiness was also found with high centrality. The general networks of BPF were very similar between adolescent boys and girls, although some differences were detected. DISCUSSION: This study further supports the necessity of BPD assessment and diagnosis in adolescence and identifies the distinctive importance of identity and affective dysregulation in the early development of BPD. The findings provide empirical insights into the interconnections of BPF, which resonate with therapeutic mechanisms of evidence-based treatments for BPD. However, the research was limited in its use of a screening measurement rather than a diagnostic tool. Future studies can further explore BPD psychopathology in adolescence with longitudinal data and clinical interviews.


Assuntos
Transtorno da Personalidade Borderline , Humanos , Transtorno da Personalidade Borderline/diagnóstico , Adolescente , Feminino , Masculino , Estudos Transversais , China , Autorrelato , População do Leste Asiático
12.
Comput Biol Med ; 168: 107819, 2024 01.
Artigo em Inglês | MEDLINE | ID: mdl-38064853

RESUMO

Computed Tomography (CT) and Magnetic Resonance Imaging (MRI) are crucial technologies in the field of medical imaging. Score-based models demonstrated effectiveness in addressing different inverse problems encountered in the field of CT and MRI, such as sparse-view CT and fast MRI reconstruction. However, these models face challenges in achieving accurate three dimensional (3D) volumetric reconstruction. The existing score-based models predominantly concentrate on reconstructing two-dimensional (2D) data distributions, resulting in inconsistencies between adjacent slices in the reconstructed 3D volumetric images. To overcome this limitation, we propose a novel two-and-a-half order score-based model (TOSM). During the training phase, our TOSM learns data distributions in 2D space, simplifying the training process compared to working directly on 3D volumes. However, during the reconstruction phase, the TOSM utilizes complementary scores along three directions (sagittal, coronal, and transaxial) to achieve a more precise reconstruction. The development of TOSM is built on robust theoretical principles, ensuring its reliability and efficacy. Through extensive experimentation on large-scale sparse-view CT and fast MRI datasets, our method achieved state-of-the-art (SOTA) results in solving 3D ill-posed inverse problems, averaging a 1.56 dB peak signal-to-noise ratio (PSNR) improvement over existing sparse-view CT reconstruction methods across 29 views and 0.87 dB PSNR improvement over existing fast MRI reconstruction methods with × 2 acceleration. In summary, TOSM significantly addresses the issue of inconsistency in 3D ill-posed problems by modeling the distribution of 3D data rather than 2D distribution which has achieved remarkable results in both CT and MRI reconstruction tasks.


Assuntos
Imageamento Tridimensional , Tomografia Computadorizada por Raios X , Reprodutibilidade dos Testes , Tomografia Computadorizada por Raios X/métodos , Imageamento Tridimensional/métodos , Imageamento por Ressonância Magnética , Razão Sinal-Ruído , Processamento de Imagem Assistida por Computador/métodos , Algoritmos
13.
Cancers (Basel) ; 15(21)2023 Oct 25.
Artigo em Inglês | MEDLINE | ID: mdl-37958316

RESUMO

Locally advanced rectal cancer (LARC) presents a significant challenge in terms of treatment management, particularly with regards to identifying patients who are likely to respond to radiation therapy (RT) at an individualized level. Patients respond to the same radiation treatment course differently due to inter- and intra-patient variability in radiosensitivity. In-room volumetric cone-beam computed tomography (CBCT) is widely used to ensure proper alignment, but also allows us to assess tumor response during the treatment course. In this work, we proposed a longitudinal radiomic trend (LRT) framework for accurate and robust treatment response assessment using daily CBCT scans for early detection of patient response. The LRT framework consists of four modules: (1) Automated registration and evaluation of CBCT scans to planning CT; (2) Feature extraction and normalization; (3) Longitudinal trending analyses; and (4) Feature reduction and model creation. The effectiveness of the framework was validated via leave-one-out cross-validation (LOOCV), using a total of 840 CBCT scans for a retrospective cohort of LARC patients. The trending model demonstrates significant differences between the responder vs. non-responder groups with an Area Under the Curve (AUC) of 0.98, which allows for systematic monitoring and early prediction of patient response during the RT treatment course for potential adaptive management.

14.
Sci Rep ; 13(1): 18167, 2023 10 24.
Artigo em Inglês | MEDLINE | ID: mdl-37875498

RESUMO

To explore the prognostic significance of PET/CT-based radiomics signatures and clinical features for local recurrence-free survival (LRFS) in nasopharyngeal carcinoma (NPC). We retrospectively reviewed 726 patients who underwent pretreatment PET/CT at our center. Least absolute shrinkage and selection operator (LASSO) regression and the Cox proportional hazards model were applied to construct Rad-score, which represented the radiomics features of PET-CT images. Univariate and multivariate analyses were used to establish a nomogram model. The concordance index (C-index) and calibration curve were used to evaluate the predictive accuracy and discriminative ability. Receiver operating characteristic analysis was performed to stratify the local recurrence risk of patients. The nomogram was validated by evaluating its discrimination ability and calibration in the validation cohort. A total of eight features were selected to construct Rad-score. A radiomics-clinical nomogram was built after the selection of univariate and multivariable Cox regression analyses, including the Rad-score and maximum standardized uptake value (SUVmax). The C-index was 0.71 (0.67-0.74) in the training cohort and 0.70 (0.64-0.76) in the validation cohort. The nomogram also performed far better than the 8th T-staging system with an area under the receiver operating characteristic curve (AUC) of 0.75 vs. 0.60 for 2 years and 0.71 vs. 0.60 for 3 years. The calibration curves show that the nomogram indicated accurate predictions. Decision curve analysis (DCA) revealed significantly better net benefits with this nomogram model. The log-rank test results revealed a distinct difference in prognosis between the two risk groups. The PET/CT-based radiomics nomogram showed good performance in predicting LRFS and showed potential to identify patients at high-risk of developing NPC.


Assuntos
Neoplasias Nasofaríngeas , Tomografia por Emissão de Pósitrons combinada à Tomografia Computadorizada , Humanos , Nomogramas , Fluordesoxiglucose F18 , Carcinoma Nasofaríngeo/diagnóstico por imagem , Estudos Retrospectivos
15.
J Org Chem ; 88(19): 13590-13597, 2023 Oct 06.
Artigo em Inglês | MEDLINE | ID: mdl-37690058

RESUMO

A novel method for the synthesis of formamides through the decarboxylative N-formylation of amines with glyoxylic acid has been developed. This transformation provides an efficient protocol for the synthesis of various formamides with moderate to excellent yields, and it can accommodate a wide range of functional groups under metal free and base free conditions. In addition, the large-scale experiments and high chemoselectivity have shown great potential application of this strategy.

16.
BMC Psychiatry ; 23(1): 568, 2023 08 07.
Artigo em Inglês | MEDLINE | ID: mdl-37550695

RESUMO

BACKGROUND: Kernberg originally proposed the psychoanalytic concept of personality organization (PO), which measures personality pathology from a dimensional approach with multiple scales and can be evaluated using the Structured Interview of Personality Organization (STIPO) from six domains: identity, object relations, primitive defenses, coping vs. rigidity, aggression, and moral values. The present study translated the original version into the Chinese STIPO (STIPO-CH) version and evaluated its reliability and validity. METHODS: The STIPO-CH was administered to 49 non-clinical subjects. They also completed the Chinese version of the Inventory of Personality Organization and the Millon Clinical Multiaxial Inventory to evaluate criterion-related reliability. Interrater reliability was assessed with intraclass correlations. An item analysis was carried out to explore the structure and internal consistency. RESULTS: Interrater reliability (intraclass correlations) ranged from 0.98 to 0.99. Results suggested acceptable internal consistency for identity and moral values. The correlations between STIPO-CH domains and self-report questionnaires indicated that construct validity and criterion-related validity were acceptable to good. CONCLUSIONS: Overall, this study presents preliminary psychometric properties of STIPO-CH. Limitations regarding the sample, interviewers, and cultural differences are discussed. Future research is highly recommended.


Assuntos
Transtornos da Personalidade , Personalidade , Humanos , Psicometria , Reprodutibilidade dos Testes , Adaptação Psicológica , Inquéritos e Questionários
17.
Zhongguo Gu Shang ; 36(8): 724-30, 2023 Aug 25.
Artigo em Chinês | MEDLINE | ID: mdl-37605910

RESUMO

With the in-depth understanding of osteonecrosis of femoral head (ONFH), and more and more patients seeking medical treatment in the early stage of the disease, surgical treatment of femoral head necrosis alone is no longer sufficient for the current treatment of patients' demand, how to rationally and effectively apply drugs to strengthen the early prevention and treatment of femoral head necrosis and delay the progression of disease is becoming more and more important. This article combines the latest expert consensus and evidence-based medical evidence on the principles of ONFH diagnosis and treatment in Chinese and Western medicine at home and abroad, combined with domestic actual clinical application experience, and is organized by experts from Association Related to Circulation Osseous Chinese Microcirculation Society (CSM-ARCO) to write this consensus, focusing on the types of ONFH drugs, the characteristics, safety, rationality and basic principles of drug use provide reference opinions for the safe, reasonable, standardized and effective drug use of medical institutions at all levels. This consensus is only an expert guideline based on literature and clinical experience, not as a requirement for mandatory implementation, let alone as a legal basis. The clinical practice could be tailored to the actual local conditions to develop appropriate prevention and treatment measures for patients.


Assuntos
Necrose da Cabeça do Fêmur , Cabeça do Fêmur , Humanos , Consenso , Necrose da Cabeça do Fêmur/tratamento farmacológico , Necrose da Cabeça do Fêmur/prevenção & controle
18.
Personal Disord ; 14(5): 584-589, 2023 09.
Artigo em Inglês | MEDLINE | ID: mdl-37358547

RESUMO

This study examined the indirect effect via Criterion A (personality functioning) of the Alternative Model for Personality Disorders (AMPD) in the relationship between retrospective reports of perceived parental invalidation and borderline personality traits measured by Criterion B (pathological personality traits). A total of 3,019 college students completed self-report scales of the Chinese Invalidating Family Scale, Level of Personality Functioning Scale-Brief Form 2.0, and Personality Inventory for DSM-5. It was found that the indirect effect of personality functioning was significant for the association between levels of perceived overall-B = 0.52, 95% CI [0.47, 0.57], maternal-B = 0.83, [0.75, 0.91], and paternal-B = 0.97, [0.87, 1.08] invalidation, and BPD traits. The outcomes of the research suggested the critical role of personality functioning as a potential mediator in the pathological effect of perceived parental invalidation on the development of borderline personality disorder features. While the study is limited by the use of self-report measurement, retrospective responding, and cross-sectional design, significant implications on the biosocial model and AMPD were discussed. (PsycInfo Database Record (c) 2023 APA, all rights reserved).


Assuntos
Transtorno da Personalidade Borderline , Humanos , Estudos Retrospectivos , Estudos Transversais , Transtornos da Personalidade , Personalidade , Pais
19.
Cell Mol Neurobiol ; 43(7): 3251-3263, 2023 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-37382853

RESUMO

The abnormal initiation of autophagy flux in neurons after ischemic stroke caused dysfunction of autophagy-lysosome, which not only led to autophagy flux blockage, but also resulted in autophagic death of neurons. However, the pathological mechanism of neuronal autophagy-lysosome dysfunction did not form a unified viewpoint until now. In this review, taking the autophagy lysosomal dysfunction of neurons as a starting point, we summarized the molecular mechanisms that led to neuronal autophagy lysosomal dysfunction after ischemic stroke, which would provide theoretical basis for the clinical treatment of ischemic stroke.


Assuntos
Autofagia , AVC Isquêmico , Lisossomos , AVC Isquêmico/metabolismo , AVC Isquêmico/patologia , AVC Isquêmico/terapia , Humanos , Animais , Neurônios/metabolismo , Neurônios/patologia , Lisossomos/patologia , Reperfusão , Proteínas do Tecido Nervoso/metabolismo
20.
Front Cell Dev Biol ; 11: 1155532, 2023.
Artigo em Inglês | MEDLINE | ID: mdl-37215078

RESUMO

Background: Phase-contrast imaging (PCI) with synchrotron hard X-ray was used to observe the changes in bone tissue morphology and microstructure in rabbit models of early glucocorticoid-induced osteonecrosis of the femoral head (ONFH), and to evaluate the intervention effect of Icariin. Methods: Fifty mature New Zealand rabbits (weighing 2.5-3.0 kg) were randomly divided into a control group (n = 10), a glucocorticoid group (n = 20), and an Icariin group (n = 20). The glucocorticoid group and the Icariin group were sequentially injected with lipopolysaccharide (LPS) and methylprednisolone (MPS) to establish a glucocorticoid-induced ONFH animal model. The Icariin group was given Icariin solution when methylprednisolone was injected for the first time, and the control group and glucocorticoid group were given the same amount of normal saline. Animals were sacrificed after 6 weeks, and bilateral femoral head specimens were taken for research. The right femoral head was observed by PCI with synchrotron hard X-ray technology, and the left femoral head was verified by Micro-CT scanning and HE staining. Results: Forty-three animals (nine in the control group, sixteen in the glucocorticoid group, and eighteen in the Icariin group) were included in the study. PCI with synchrotron hard X-ray revealed that the trabecular bone in the glucocorticoid group was thinned, broken, and structurally damaged, whereas the trabecular bone in the Icariin group had normal volume, thickness, and a relatively intact structure. Micro-CT scan reconstruction and HE staining were used to verify the reliability of this technique in identifying osteonecrosis. Conclusion: The effects of Icariin were observed in an early glucocorticoid-induced ONFH rabbit model using PCI with synchrotron hard X-ray. Icariin weakens the destructive effect of glucocorticoids on bone tissue structure, improves bone tissue morphology, and stabilizes bone microstructure. This technique may provide a definitive, non-invasive alternative to histological examination for the diagnosis of early ONFH.

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