RESUMO
Autophagy is an important factor in reducing the efficacy of tumor phototherapy (including PTT and PDT). Accurate regulation of autophagy in tumor cells is a new strategy to improve the anti-tumor efficiency of PTT/PDT. This project intended to construct a tumor-activated autophagy regulator to efficiently block PTT/PDT-induced autophagy and realize synergistic sensitization to tumor phototherapy. To achieve this goal, we first synthesized TRANSFERRIN (Tf) biomimetic mineralized nano-tellurium (Tf-Te) as photosensitizer and then used disulfide bond reconstruction technology to induce Tf-Te self-assembly. The autophagy inhibitor hydroxychloroquine (HCQ) and iron ions carried by Tf were simultaneously loaded to prepare a tumor-responsive drug reservoir Tf-Te/HCQ. After entering breast cancer cells through the "self-guidance system", Tf-Te/HCQ can generate hyperpyrexia and ROS under NIR laser irradiation, to efficiently induce PTT/PDT effect. Meanwhile, the disulfide bond broke down in response to GSH, and the nanoparticles disintegrated to release Fe2+ and HCQ at fixed points. They simultaneously induce lysosomal alkalinization and increased osmotic pressure, effectively inhibit autophagy, and synergistically enhance the therapeutic effect of phototherapy. In vivo anti-tumor results have proved that the tumor inhibition rate of Tf-Te/HCQ can be as high as 88.6% on 4T1 tumor-bearing mice. This multifunctional drug delivery system might provide a new alternative for more precise and effective tumor phototherapy.
RESUMO
The wide-field telescope is a research hotspot in the field of aerospace. Increasing the field of view of the telescope can expand the observation range and enhance the observation ability. However, a wide field will cause some spatially variant optical aberrations, which makes it difficult to obtain stellar information accurately from astronomical images. Therefore, we propose a network for restoring wide-field astronomical images by correcting optical aberrations, called ASANet. Based on the encoder-decoder structure, ASANet improves the original feature extraction module, adds skip connection, and adds a self-attention module. With these methods, we enhanced the capability to focus on the image globally and retain the shallow features in the original image to the maximum extent. At the same time, we created a new dataset of astronomical aberration images as the input of ASANet. Finally, we carried out some experiments to prove that the structure of ASANet is meaningful from two aspects of the image restoration effect and quality evaluation index. According to the experimental results, compared with other deblur networks, the PSNR and SSIM of ASANet are improved by about 0.5 and 0.02 db, respectively.
RESUMO
AIM: To investigate the relationship between the position of the midline catheter tip and the frequency and type of complications associated with its placement. DESIGN: A cohort study was performed on patients between May 2018 and December 2021 who underwent midline catheter placement at our institution. Patients were divided into two groups, superficial implementation and deep implementation, based on the midline catheter tip location relative to the clavicle. METHODS: Clinical data and outcome parameters, including the numbers and types of midline catheter-related complications, day of occurrence and catheter indwell duration, were recorded. RESULTS: Catheter-related complications occurred in 14 individuals. Compared with the superficial implementation group, the incidence of complications in the deep catheterization group was significantly reduced, with a delayed first occurrence time, and a prolonged catheter indwelling time. The results suggested that locating the midline catheter tip in the distal segment of the axillary vein may reduce catheter-related complication incidence and prolong the indwelling duration.
