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1.
ACS Appl Mater Interfaces ; 16(33): 44278-44287, 2024 Aug 21.
Artigo em Inglês | MEDLINE | ID: mdl-39133472

RESUMO

The piezo-phototronic effect uses the piezoelectric potential/piezoelectric charge generated by the piezoelectric semiconductor material to regulate the energy band structure and photogenerated carrier behavior at the interface/junction, thereby modulating the device's performance. The positive/negative piezoelectric charges generated at the interface of piezoelectric semiconductors can reduce the electron/hole barriers and thus enhance the transport of photogenerated carriers. However, electron/hole potential wells are formed when the electron/hole potential barrier caused by positive/negative piezoelectric charges is lowered too much, hindering the transport of photogenerated carriers. It is difficult to balance the relationship between potential barriers and potential wells while introducing the piezo-phototronic effect. In this work, a physical mechanism by separating the photosensitive layer and the piezoelectric modulation layer is proposed to deal with the above-mentioned issue in flexible tunneling devices. The piezoelectric modulation layer is solely used to adjust the electron/hole barriers, while the photosensitive layer is used to absorb photons and generate photogenerated carriers. This avoids the limitation on the transport of photogenerated carriers caused by potential wells in the piezoelectric semiconductor, thereby significantly increasing the adjustable range of the barriers. Experimental results show that the photoresponsivity of the flexible p-Si/Al2O3/n-ZnO tunneling device is optimized from 5.5 A/W to 35.8 A/W by the piezo-phototronic effect after separating the piezoelectric charges and photogenerated carriers. In addition, finite element analysis is used to simulate the influence of piezoelectric charges on the energy bands to corroborate the accuracy of the theoretical mechanism and experimental results. This work not only presents an optoelectronic device with excellent performance but also offers novel guidance for improving the performance of optoelectronic devices using the piezo-phototronic effect.

2.
Phytomedicine ; 133: 155900, 2024 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-39094441

RESUMO

BACKGROUND: Although blood flow is restored after treatment of myocardial infarction (MI), myocardial ischemia and reperfusion (I/R) can cause cardiac injury, which is a leading cause of heart failure. Gastrodin (GAS) exerts protective effects against brain, heart, and kidney I/R. However, its pharmacological mechanism in myocardial I/R injury (MIRI) remains unclear. PURPOSE: GAS regulates autophagy in various diseases, such as acute hepatitis, vascular dementia, and stroke. We hypothesized that GAS could repair mitochondrial damage and regulate autophagy to protect against MIRI. STUDY DESIGN: Male C57BL/6 mice and H9C2 cells were subjected to I/R and hypoxia-reoxygenation (H/R) injury after GAS administration, respectively, to assess the impact of GAS on cardiomyocyte phenotypes, heart, and mitochondrial structure and function. The effect of GAS on cardiac function and mitochondrial structure in patients undergoing cardiac surgery has been observed in clinical practice. METHODS: The effects of GAS on cardiac structure and function, mitochondrial structure, and expression of related molecules in an animal model of MIRI were evaluated using immunohistochemical staining, enzyme-linked immunosorbent assay (ELISA), transmission electron microscopy, western blotting, and gene sequencing. Its effects on the morphological, molecular, and functional phenotypes of cardiomyocytes undergoing H/R were observed using immunohistochemical staining, real-time quantitative PCR, and western blotting. RESULTS: GAS significantly reduces myocardial infarct size and improves cardiac function in MIRI mice in animal models and increases cardiomyocyte viability and reduces cardiomyocyte damage in cellular models. In clinical practice, myocardial injury was alleviated with better cardiac function in patients undergoing cardiac surgery after the application of GAS; improvements in mitochondria and autophagy activation were also observed. GAS primarily exerts cardioprotective effects through activation of the PINK1/Parkin pathway, which promotes mitochondrial autophagy to clear damaged mitochondria. CONCLUSION: GAS can promote mitophagy and preserve mitochondria through PINK1/Parkin, thus indicating its tremendous potential as an effective perioperative myocardial protective agent.


Assuntos
Álcoois Benzílicos , Glucosídeos , Camundongos Endogâmicos C57BL , Mitofagia , Traumatismo por Reperfusão Miocárdica , Miócitos Cardíacos , Proteínas Quinases , Ubiquitina-Proteína Ligases , Animais , Traumatismo por Reperfusão Miocárdica/tratamento farmacológico , Álcoois Benzílicos/farmacologia , Glucosídeos/farmacologia , Mitofagia/efeitos dos fármacos , Masculino , Ubiquitina-Proteína Ligases/metabolismo , Camundongos , Miócitos Cardíacos/efeitos dos fármacos , Proteínas Quinases/metabolismo , Linhagem Celular , Modelos Animais de Doenças , Humanos , Miocárdio/metabolismo , Infarto do Miocárdio/tratamento farmacológico , Cardiotônicos/farmacologia
3.
Clin Interv Aging ; 19: 31-39, 2024.
Artigo em Inglês | MEDLINE | ID: mdl-38204960

RESUMO

Objective: The risk factors of postoperative pulmonary complications (PPCs) have been extensively investigated in non-cardiac surgery and non-elderly adult patients undergoing cardiac surgery. However, data on elderly patients after cardiopulmonary bypass (CPB) is limited. This study aimed to evaluate the risk factors and short-term outcomes for PPCs in elderly patients undergoing CPB procedures. Patients and Methods: Data from 660 patients who underwent CPB over a six-year period at a tertiary care hospital were collected. The primary outcome encompassed the incidence of PPCs, including re-intubation, postoperative mechanical ventilation exceeding 48 hours, pulmonary infection, pleural effusion requiring thoracic drainage, and acute respiratory distress syndrome. Missing data were managed using multiple imputation. Univariate analysis and the multiple logistic regression method were utilized to ascertain independent risk factors for PPCs. Results: Among the 660 patients, PPCs were observed in 375 individuals (56.82%). Multiple logistic regression identified serum albumin levels <40 g/L, type of surgery, CPB duration >150 minutes, blood transfusion, and intra-aortic balloon pump use before extubation as independent risk factors for PPCs. Patients experiencing PPCs had prolonged mechanical ventilation, extended hospitalization and ICU stays, elevated postoperative mortality, and higher tracheotomy rates compared to those without PPCs. Conclusion: Elderly patients following CPB displayed a substantially high incidence of PPCs, significantly impacting their prognosis. Additionally, this study identified five prominent risk factors associated with PPCs in this population. These findings enable clinicians to better recognize patients who may benefit from perioperative prevention strategies based on these risk factors.


Assuntos
Extubação , Ponte Cardiopulmonar , Idoso , Humanos , Pessoa de Meia-Idade , Ponte Cardiopulmonar/efeitos adversos , Drenagem , Hospitalização
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.
Front Cardiovasc Med ; 10: 1194402, 2023.
Artigo em Inglês | MEDLINE | ID: mdl-37456811

RESUMO

Calpain is a conserved cysteine protease readily expressed in several mammalian tissues, which is usually activated by Ca2+ and with maximum activity at neutral pH. The activity of calpain is tightly regulated because its aberrant activation will nonspecifically cleave various proteins in cells. Abnormally elevation of Ca2+ promotes the abnormal activation of calpain during myocardial ischemia-reperfusion, resulting in myocardial injury and cardiac dysfunction. In this paper, we mainly reviewed the effects of calpain in various programmed cell death (such as apoptosis, mitochondrial-mediated necrosis, autophagy-dependent cell death, and parthanatos) in myocardial ischemia-reperfusion. In addition, we also discussed the abnormal activation of calpain during myocardial ischemia-reperfusion, the effect of calpain on myocardial repair, and the possible future research directions of calpain.

6.
Heliyon ; 9(6): e16499, 2023 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-37260892

RESUMO

As an important human capital investment, education is an effective means to improve the comprehensive quality of people. Education expenditure is an important material guarantee for the development of educational undertakings. Education expenditure data is highly susceptible to numerous economic and social factors that complicate its nonlinear structure. In order to model the complex nonlinear problems of the system, this paper proposes a generalized conformable fractional-order nonlinear grey prediction model for the first time by analyzing the traditional time series-based modeling method in a nonlinear grey domain. The proposed model expands on the classical grey Bernoulli model by introducing the generalized conformable fractional accumulation as a new accumulation generator and utilizes error minimization principles in the modeling process. By altering the optimal order of the model and the cumulative generation operator, this model can adapt to various time series and reduce errors. Finally, the model is applied to education expenditure forecasting, and it is proved that the proposed model achieved good results and has higher accuracy than other models.

7.
Clin Interv Aging ; 18: 597-606, 2023.
Artigo em Inglês | MEDLINE | ID: mdl-37082742

RESUMO

Background: The predictive effect of systemic inflammatory factors on postoperative pulmonary complications in elderly patients remains unclear. In addition, machine learning models are rarely used in prediction models for elderly patients. Patients and Methods: We retrospectively evaluated elderly patients who underwent general anesthesia during a 6-year period. Eligible patients were randomly assigned in a 7:3 ratio to the development group and validation group. The Least logistic absolute shrinkage and selection operator (LASSO) regression model and multiple logistic regression analysis were used to select the optimal feature. The discrimination, calibration and net reclassification improvement (NRI) of the final model were compared with "the Assess Respiratory Risk in Surgical Patients in Catalonia" (ARISCAT) model. Results: Of the 9775 patients analyzed, 8.31% developed PPCs. The final model included age, preoperative SpO2, ANS (the Albumin/NLR Score), operation time, and red blood cells (RBC) transfusion. The concordance index (C-index) values of the model for the development cohort and the validation cohort were 0.740 and 0.748, respectively. The P values of the Hosmer-Lemeshow test in two cohorts were insignificant. Our model outperformed ARISCAT model, with C-index (0.740 VS 0.717, P = 0.003) and NRI (0.117, P < 0.001). Conclusion: Based on LASSO machine learning algorithm, we constructed a prediction model superior to ARISCAT model in predicting the risk of PPCs. Clinicians could utilize these predictors to optimize prospective and preventive interventions in this patient population.


Assuntos
Pulmão , Complicações Pós-Operatórias , Humanos , Idoso , Estudos Retrospectivos , Fatores de Risco , Estudos Prospectivos , Complicações Pós-Operatórias/epidemiologia , Complicações Pós-Operatórias/etiologia , Aprendizado de Máquina , Algoritmos
8.
Front Cardiovasc Med ; 9: 1002768, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-36267640

RESUMO

Background: Successful weaning and extubation after cardiac surgery is an important step of postoperative recovery. Delayed extubation is associated with poor prognosis and high mortality, thereby contributing to a substantial economic burden. The aim of this study was to develop and validate a prediction model estimate the risk of delayed extubation after cardiac surgery based on perioperative risk factors. Methods: We performed a retrospective cohort study of adult patients undergoing cardiac surgery from 2014 to 2019. Eligible participants were randomly assigned into the development and validation cohorts, with a ratio of 7:3. Variables were selected using least absolute shrinkage and selection operator (LASSO) logistic regression model with 10-fold cross-validation. Multivariable logistic regression was applied to develop a predictive model by introducing the predictors selected from the LASSO regression. Receiver operating characteristic (ROC) curve, calibration plot, decision curve analysis (DCA) and clinical impact curve were used to evaluate the performance of the predictive risk score model. Results: Among the 3,919 adults included in our study, 533 patients (13.6%) experienced delayed extubation. The median ventilation time was 68 h in the group with delayed extubation and 21 h in the group without delayed extubation. A predictive scoring system was derived based on 10 identified risk factors based on 10 identified risk factors including age, BMI ≥ 28 kg/m2, EF < 50%, history of cardiac surgery, type of operation, emergency surgery, CPB ≥ 120 min, duration of surgery, IABP and eGFR < 60 mL/min/1.73 m2. According to the scoring system, the patients were classified into three risk intervals: low, medium and high risk. The model performed well in the validation set with AUC of 0.782 and a non-significant p-value of 0.901 in the Hosmer-Lemeshow test. The DCA curve and clinical impact curve showed a good clinical utility of this model. Conclusions: We developed and validated a prediction score model to predict the risk of delayed extubation after cardiac surgery, which may help identify high-risk patients to target with potential preventive measures.

9.
Front Immunol ; 13: 954744, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-36032067

RESUMO

Fra-1(Fos-related antigen1), a member of transcription factor activator protein (AP-1), plays an important role in cell proliferation, apoptosis, differentiation, inflammation, oncogenesis and tumor metastasis. Accumulating evidence suggest that the malignancy and invasive ability of tumors can be significantly changed by directly targeting Fra-1. Besides, the effects of Fra-1 are gradually revealed in immune and inflammatory settings, such as arthritis, pneumonia, psoriasis and cardiovascular disease. These regulatory mechanisms that orchestrate immune and non-immune cells underlie Fra-1 as a potential therapeutic target for a variety of human diseases. In this review, we focus on the current knowledge of Fra-1 in immune system, highlighting its unique importance in regulating tissue homeostasis. In addition, we also discuss the possible critical intervention strategy in diseases, which also outline future research and development avenues.


Assuntos
Regulação da Expressão Gênica , Neoplasias , Diferenciação Celular , Proliferação de Células , Transformação Celular Neoplásica , Humanos , Inflamação
10.
Nanomaterials (Basel) ; 12(13)2022 Jun 30.
Artigo em Inglês | MEDLINE | ID: mdl-35808098

RESUMO

Uranium is an indispensable part of the nuclear industry that benefits us, but its consequent pollution of water bodies also makes a far-reaching impact on human society. The rapid, efficient and convenient extraction of uranium from water is to be a top priority. Thanks to the super hydrophilic and fast adsorption rate of microgel, it has been the ideal adsorbent in water; however, it was too difficult to recover the microgel after adsorption, which limited its practical applications. Here, we developed a uranyl-ion affine and recyclable microgel container that has not only the rapid swelling rate of microgel particles but also allows the detection of the adsorption saturation process by the naked eye.

11.
J Neuroinflammation ; 19(1): 164, 2022 Jun 21.
Artigo em Inglês | MEDLINE | ID: mdl-35729568

RESUMO

BACKGROUND: The pathogenesis of neuropathic pain and the reasons for the prolonged unhealing remain unknown. Increasing evidence suggests that sex oestrogen differences play a role in pain sensitivity, but few studies have focused on the oestrogen receptor which may be an important molecular component contributing to peripheral pain transduction. We aimed to investigate the impact of oestrogen receptors on the nociceptive neuronal response in the dorsal root ganglion (DRG) and spinal dorsal horn using a spared nerve injury (SNI) rat model of chronic pain. METHODS: We intrathecally (i.t.) administered a class of oestrogen receptor antagonists and agonists intrathecal (i.t.) administrated to male rats with SNI or normal rats to identify the main receptor. Moreover, we assessed genes identified through genomic metabolic analysis to determine the key metabolism point and elucidate potential mechanisms mediating continuous neuronal sensitization and neuroinflammatory responses in neuropathic pain. The excitability of DRG neurons was detected using the patch-clamp technique. Primary culture was used to extract microglia and DRG neurons, and siRNA transfection was used to silence receptor protein expression. Immunofluorescence, Western blotting, RT-PCR and behavioural testing were used to assess the expression, cellular distribution, and actions of the main receptor and its related signalling molecules. RESULTS: Increasing the expression and function of G protein-coupled oestrogen receptor (GPER), but not oestrogen receptor-α (ERα) and oestrogen receptor-ß (ERß), in the DRG neuron and microglia, but not the dorsal spinal cord, contributed to SNI-induced neuronal sensitization. Inhibiting GPER expression in the DRG alleviated SNI-induced pain behaviours and neuroinflammation by simultaneously downregulating iNOS, IL-1ß and IL-6 expression and restoring GABAα2 expression. Additionally, the positive interaction between GPER and ß-alanine and subsequent ß-alanine accumulation enhances pain sensation and promotes chronic pain development. CONCLUSION: GPER activation in the DRG induces a positive association between ß-alanine with iNOS, IL-1ß and IL-6 expression and represses GABAα2 involved in post-SNI neuropathic pain development. Blocking GPER and eliminating ß-alanine in the DRG neurons and microglia may prevent neuropathic pain development.


Assuntos
Dor Crônica , Neuralgia , Traumatismos dos Nervos Periféricos , Animais , Dor Crônica/metabolismo , Gânglios Espinais/metabolismo , Hiperalgesia/metabolismo , Interleucina-6/metabolismo , Masculino , Neuralgia/metabolismo , Doenças Neuroinflamatórias , Neurônios/metabolismo , Traumatismos dos Nervos Periféricos/metabolismo , Ratos , Ratos Sprague-Dawley , Receptores de Estrogênio/metabolismo , Receptores Acoplados a Proteínas G , Corno Dorsal da Medula Espinal/metabolismo , beta-Alanina/metabolismo
12.
Front Cell Neurosci ; 16: 876342, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-35573839

RESUMO

Stroke is the world's second major cause of adult death and disability, resulting in the destruction of brain tissue and long-term neurological impairment; induction of neuronal plasticity can promote recovery after stroke. C-C chemokine receptor 5 (CCR5) can direct leukocyte migration and localization and is a co-receptor that can mediate human immunodeficiency virus (HIV) entry into cells. Its role in HIV infection and immune response has been extensively studied. Furthermore, CCR5 is widely expressed in the central nervous system (CNS), is engaged in various physiological activities such as brain development, neuronal differentiation, communication, survival, and learning and memory capabilities, and is also involved in the development of numerous neurological diseases. CCR5 is differentially upregulated in neurons after stroke, and the inhibition of CCR5 in specific regions of the brain promotes motor and cognitive recovery. The mechanism by which CCR5 acts as a therapeutic target to promote neurorehabilitation after stroke has rarely been systematically reported yet. Thus, this review aims to discuss the function of CCR5 in the CNS and the mechanism of its effect on post-stroke recovery by regulating neuroplasticity and the inflammatory response to provide an effective basis for clinical rehabilitation after stroke.

13.
Int J Mol Med ; 50(1)2022 07.
Artigo em Inglês | MEDLINE | ID: mdl-35616134

RESUMO

Alveolar macrophages (AMs) play an essential role in ventilator­induced lung injury (VILI). Exosomes and their cargo, including microRNAs (miRNAs/miRs) serve as regulators of the intercellular communications between macrophages and epithelial cells (ECs), and are involved in maintaining homeostasis in lung tissue. The present study found that exosomes released by ECs subjected to cyclic stretching promoted M2 macrophage polarization. It was demonstrated that miR­21a­5p, upregulated in epithelial­derived exosomes, increased the percentage of M2 macrophages by suppressing the expression of Notch2 and the suppressor of cytokine signaling 1 (SOCS1). The overexpression of Notch2 decreased the percentage of M2 macrophages. However, these effects were reversed by the downregulation of SOCS1. The percentage of M2 macrophages was increased in both short­term high­ and low­tidal­volume mechanical ventilation, and the administration of exosomes­derived from cyclically stretched ECs had the same function. However, the administration of miR­21a­5p antagomir decreased M2 macrophage activation induced by cyclically stretched ECs or ventilation. Thus, the present study demonstrates that the intercellular transferring of exosomes from ECs to AMs promotes M2 macrophage polarization. Exosomes may prove to be a novel treatment for VILI.


Assuntos
Exossomos , MicroRNAs , Exossomos/metabolismo , Ativação de Macrófagos , Macrófagos/metabolismo , MicroRNAs/genética , MicroRNAs/metabolismo , Respiração Artificial/efeitos adversos , Proteínas Supressoras da Sinalização de Citocina/metabolismo
14.
ISA Trans ; 126: 36-46, 2022 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-34366121

RESUMO

In recent years, grey models based on fractional-order accumulation and/or derivatives have attracted considerable research interest because they offer better performance in handling limited samples with uncertainty than integer-order grey models; however, there remains room for improvement. This paper considers a more flexible and general structure for the fractional grey model by incorporating a generalized fractional-order derivative (GFOD) that complies by memory effects, resulting in the development of a generalized fractional grey model (denoted as GFGM(1,1)). Specifically, we comprehensively analyse the modelling mechanism of the proposed GFGM(1,1) model, involving model parameter estimation and time response function derivation, and discuss the link between the proposed approach and existing special cases. Then, to further improve the efficacy of the proposed approach, four mainstream metaheuristic algorithms are employed to ascertain the orders of fractional accumulation and derivatives. Finally, we carry out a series of simulation studies and a real-world application case to demonstrate the applicability and advantage of the our approach. The numerical results show that GFGM(1,1) outperforms other benchmarks, and some significant insights are obtained from the numerical experiments.

15.
Micromachines (Basel) ; 14(1)2022 Dec 25.
Artigo em Inglês | MEDLINE | ID: mdl-36677109

RESUMO

The piezotronic effect is a coupling effect of semiconductor and piezoelectric properties. The piezoelectric potential is used to adjust the p-n junction barrier width and Schottky barrier height to control carrier transportation. At present, it has been applied in the fields of sensors, human-machine interaction, and active flexible electronic devices. The piezo-phototronic effect is a three-field coupling effect of semiconductor, photoexcitation, and piezoelectric properties. The piezoelectric potential generated by the applied strain in the piezoelectric semiconductor controls the generation, transport, separation, and recombination of carriers at the metal-semiconductor contact or p-n junction interface, thereby improving optoelectronic devices performance, such as photodetectors, solar cells, and light-emitting diodes (LED). Since then, the piezotronics and piezo-phototronic effects have attracted vast research interest due to their ability to remarkably enhance the performance of electronic and optoelectronic devices. Meanwhile, ZnO has become an ideal material for studying the piezotronic and piezo-phototronic effects due to its simple preparation process and better biocompatibility. In this review, first, the preparation methods and structural characteristics of ZnO nanowires (NWs) with different doping types were summarized. Then, the theoretical basis of the piezotronic effect and its application in the fields of sensors, biochemistry, energy harvesting, and logic operations (based on piezoelectric transistors) were reviewed. Next, the piezo-phototronic effect in the performance of photodetectors, solar cells, and LEDs was also summarized and analyzed. In addition, modulation of the piezotronic and piezo-phototronic effects was compared and summarized for different materials, structural designs, performance characteristics, and working mechanisms' analysis. This comprehensive review provides fundamental theoretical and applied guidance for future research directions in piezotronics and piezo-phototronics for optoelectronic devices and energy harvesting.

16.
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
17.
Research (Wash D C) ; 2021: 9565402, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-33870200

RESUMO

Simulation of self-recovery and diversity of natural photonic crystal (PC) structures remain great challenges for artificial PC materials. Motivated by the dynamic characteristics of PC nanostructures, here, we present a new strategy for the design of hydrogel-based artificial PC materials with reversible interactions in the periodic nanostructures. The dynamic PC hydrogels, derived from self-assembled microgel colloidal crystals, were tactfully constructed by reversible crosslinking of adjacent microgels in the ordered structure via phenylboronate covalent chemistry. As proof of concept, three types of dynamic colloidal PC hydrogels with different structural colors were prepared. All the hydrogels showed perfect self-healing ability against physical damage. Moreover, dynamic crosslinking within the microgel crystals enabled shear-thinning injection of the PC hydrogels through a syringe (indicating injectability or printability), followed by rapid recovery of the structural colors. In short, in addition to the great significance in biomimicry of self-healing function of natural PC materials, our work provides a facile strategy for the construction of diversified artificial PC materials for different applications such as chem-/biosensing, counterfeit prevention, optical display, and energy conversion.

18.
Environ Sci Pollut Res Int ; 28(28): 38128-38144, 2021 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-33725301

RESUMO

Foresight of CO2 emissions from fuel combustion is essential for policy-makers to identify ready targets for effective reduction plans and to further improve energy policies and plans. A new method for forecasting the future development of China's CO2 emissions from fuel combustion is proposed in this paper by using grey forecasting theory. Although the existing fractional nonlinear grey Bernoulli model (denoted as FNGBM(1,1)) has been theoretically proven to enhance the adaptability to diverse sequences, its fixed integer-order differential derivative still impairs the performance to some extent. To this end, a varying-order differential derivative is introduced into the existing differential equation to enable a more flexible structure, thus improving the prediction ability of FNGBM(1,1). Specifically, because of the advantages of conformable fractional accumulation, the traditional differential derivative is first replaced by the conformable fractional differential derivative. As a consequence, the continuous conformable fractional nonlinear grey Bernoulli model (hereinafter referred to as CCFNGBM(1,1)) is proposed. To further increase the validity of the model, a metaheuristic algorithm, namely Grey Wolf Optimizer (GWO), is then applied to search for the optimal emerging coefficients for the proposed model. Two real examples and China's CO2 emissions from fuel combustion are considered to verify the effectiveness of the newly proposed model, the experimental results show that the newly proposed model outperforms other benchmark models in terms of forecasting accuracy. The proposed model is finally employed to forecast the future China's CO2 emissions from fuel combustion by 2023, accounting for 10,039.80 million tons. Based on the forecasts, several policy suggestions are provided to curb CO2 emissions.


Assuntos
Dióxido de Carbono , Dinâmica não Linear , Algoritmos , Dióxido de Carbono/análise , China , Previsões , Políticas
19.
Opt Express ; 29(5): 7158-7167, 2021 Mar 01.
Artigo em Inglês | MEDLINE | ID: mdl-33726222

RESUMO

In this paper, we design a polarization-independent and angle-insensitive broadband THz graphene metamaterial absorber based on the surface plasmon-polaritons resonance. Full-wave simulation is conducted, and the results show that the designed metamaterial absorber has an absorption above 99% in the frequency range from 1.23 THz to 1.68 THz, which refers to a very high standard. Furthermore, the absorber has the properties of tunability, and the absorption can be nearly adjusted from 1% to 99% by varying the Fermi energy level of the graphene from 0 eV to 0.7 eV. In the simulation, when the incident angles of TE and TM waves change from 0° to 60°, the average absorption keeps greater than 80%. The proposed absorber shows promising performance, which has potential applications in developing graphene-based terahertz energy harvesting and thermal emission.

20.
Acta Biomater ; 121: 143-179, 2021 02.
Artigo em Inglês | MEDLINE | ID: mdl-33301982

RESUMO

Photonic crystal (PC) materials with bio-inspired structure colors have drawn increasing attention as their potentials have been rapidly progressed in the field of biomedicine. After elaborate integration with smart materials or preparations through advanced techniques, PC materials have shown significant advantages in biosensing, bio-probing, bio-screening, tissue engineering, and so forth. In this review, we first introduced the fundamentals of PC materials as well as their fabrication strategies with different dimensional outputs. Based on these diversified PC materials, their biomedical potentials as biosensing elements, cell carriers, drug delivery systems, screening methods, cell scaffolds for tissue engineering, cell imaging probes, as well as the monitoring means for biological processes were then highlighted. In addition to these, we finally listed and discussed some emerging applications of PCs integrated with functional materials and newly developed material engineering technologies. In short, this review will provide a panoramic view of PCs-based biomedicines, and moreover, the progressive discussions from fundamentals to advanced applications in this review may also encourage researchers to innovate PC materials or devices for broader biomedical applications.


Assuntos
Materiais Biomiméticos , Biomimética , Sistemas de Liberação de Medicamentos , Fótons , Engenharia Tecidual
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