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1.
Sci Total Environ ; 926: 172172, 2024 May 20.
Artigo em Inglês | MEDLINE | ID: mdl-38575019

RESUMO

To improve the retention and slow-release abilities of nitrogen (N) and phosphorus (P), an 82 %-purity struvite fertilizer (MAP-BC) was synthesized using magnesium-modified biochar and a solution with a 2:1 concentration ratio of NH4+ to PO43- at a pH of 8. Batch microscopic characterizations and soil column leaching experiments were conducted to study the retention and slow-release mechanisms and desorption kinetics of MAP-BC. The slow-release mechanism revealed that the dissolution rate of high-purity struvite was the dominant factor of NP slow release. The re-adsorption of NH4+ and PO43- by biochar and unconsumed MgO prolonged slow release. Mg2+ ionized by MgO could react with PO43- released from struvite to form Mg3(PO4)2. The internal biochar exhibited electrostatic attraction and pore restriction towards NH4+, while magnesium modification and nutrient loading formed a physical antioxidant barrier that ensured long-term release. The water diffusion experiment showed a higher cumulative release rate for PO43- compared to NH4+, whereas in soil column leaching, the trend was reversed, suggesting that soil's competitive adsorption facilitated the desorption of NH4+ from MAP-BC. During soil leaching, cumulative release rates of NH4+ and PO43- from chemical fertilizers were 3.55-3.62 times faster than those from MAP-BC. The dynamic test data for NH4+ and PO43- in MAP-BC fitted the Ritger-Peppas model best, predicting release periods of 163 days and 166 days, respectively. The leaching performances showed that MAP-BC reduced leaching solution volume by 5.58 % and significantly increased soil large aggregates content larger than 0.25 mm by 24.25 %. The soil nutrients retention and pH regulation by MAP-BC reduced leaching concentrations of NP. Furthermore, MAP-BC significantly enhanced plant growth, and it is more suitable as a NP source for long-term crops. Therefore, MAP-BC is expected to function as a long-term and slow-release fertilizer with the potential to minimize NP nutrient loss and replace part of quick-acting fertilizer.


Assuntos
Fertilizantes , Magnésio , Estruvita/química , Magnésio/química , Fertilizantes/análise , Óxido de Magnésio , Fósforo/química , Carvão Vegetal/química , Solo/química , Nitrogênio/análise
2.
Langmuir ; 2024 Apr 09.
Artigo em Inglês | MEDLINE | ID: mdl-38595052

RESUMO

In the present study, a novel silane coupling agent, designated INSi, was synthesized via a facile synthetic route, incorporating indole-functional moieties. This agent was further employed for the surface modification of homemade silica nanomicrospheres (SMPs). The ensuing nanomicrosphere composite, denoted as SiO2@IN, exemplified pronounced interfacial π-π interactions. Optimization of the reaction conditions was conducted using the response surface optimization technique. Subsequent validation of interfacial π-π interactions was accomplished through a synergistic approach, integrating theoretical calculations and comprehensive analyses of spectral and morphological attributes exhibited by the SiO2@IN.

3.
Inorg Chem ; 63(13): 5773-5778, 2024 Apr 01.
Artigo em Inglês | MEDLINE | ID: mdl-38498977

RESUMO

Seawater electrolysis presents a promising avenue for green hydrogen production toward a carbon-free society. However, the electrode materials face significant challenges including severe chlorine-induced corrosion and high reaction overpotential, resulting in low energy conversion efficiency and low current density operation. Herein, we put forward a nanoporous nickel (npNi) cathode with high chlorine corrosion resistance for energy-efficient seawater electrolysis at industrial current densities (0.4-1 A cm-2). With the merits of an electrostatic chlorine-resistant surface, modulated Ni active sites, and a robust three-dimensional open structure, the npNi electrode showed a low hydrogen evolution reaction overpotential of 310 mV and a high electricity-hydrogen conversion efficiency of 59.7% at 400 mA cm-2 in real seawater and outperformed most Ni-based seawater electrolysis cathodes in recent publications and the commercial Ni foam electrode (459 mV, 46.4%) under the same test condition. In situ electrochemical impedance spectroscopy, high-frame-rate optical microscopy, and first-principles calculation revealed that the improved corrosion resistance, enhanced intrinsic activity, and mass transfer were responsible for the lowered electrocatalytic overpotential and enhanced energy efficiency.

4.
JAMA Netw Open ; 7(2): e2355315, 2024 Feb 05.
Artigo em Inglês | MEDLINE | ID: mdl-38329753

RESUMO

Importance: In China, parental labor migration often leaves children behind and is potentially adversely associated with children's health. However, the association between parental migration and aggression among their offspring remains largely underexplored. Objective: To investigate the associations of parental labor migration with total and subtypes of aggression among their offspring as well as potential sex differences therein. Design, Setting, and Participants: This cross-sectional study was conducted from February to October 2015 among students aged 11 to 20 years from 45 public middle and high schools across 5 provinces of China. Data analysis was performed from December 1, 2022, to August 1, 2023. Exposures: Parental migration, including migration status (yes or no), pattern (father, mother, or both), and the child's age at the initial parent-child separation. Main Outcomes and Measures: Total and subtypes of aggression (including physical aggression [PA], verbal aggression [VA], indirect aggression [IA], anger, and hostility) were measured using the Chinese version of the Buss-Warren Aggression Questionnaire. Binomial logistic regression analyses were used separately to estimate adjusted odds ratios (aORs) and 95% CIs of parental migration by total and subtypes of aggression. Results: A total of 15 301 participants (7900 [51.6%] male and 7401 [48.4%] female) aged 11 to 20 years (mean [SD] age, 15.1 [1.8] years) were included. Of these participants, 5961 (39.0%) experienced parental migration; 2451 (16.0%) met the criteria for total aggression, 2407 (15.7%) for PA, 2283 (14.9%) for VA, 2899 (18.9%) for IA, 2307 (15.1%) for anger, and 2564 (16.8%) for hostility. Parental migration was associated with total aggression (aOR, 1.11; 95% CI, 1.01-1.22); no significant association between parental migration and subtypes of aggression was found except for PA (aOR, 1.14; 95% CI, 1.03-1.25). Compared with children whose parents did not migrate, the aORs for total aggression and PA for participants whose father migrated were 1.12 (95% CI, 1.01-1.28) and 1.15 (95% CI, 1.03-1.29), respectively; for participants with both parents having migrated, the aORs were 1.16 (95% CI, 1.02-1.31) and 1.12 (95% CI, 1.04-1.24), respectively. Compared with children whose parents did not migrate, children who experienced initial separation from 1 or both parents at adolescence had an aOR for total aggression of 1.20 (95% CI, 1.04-1.36), children who experienced initial separation from 1 or both parents at school age or adolescence had an aOR for PA of 1.15 (95% CI, 1.01-1.32) and 1.26 (95% CI, 1.04-1.51), respectively. No sex differences were found in these associations. Conclusions and Relevance: In this cross-sectional study of Chinese children and adolescents, we found that parental migration, mainly of the father or both parents or an initial separation at adolescence or school age from 1 or both parents, was associated with higher odds of total aggression and PA among offspring. These associations were similar between male and female participants.


Assuntos
Agressão , Pais , Feminino , Masculino , Humanos , Adolescente , Estudos Transversais , Ira , China
5.
BMC Infect Dis ; 24(1): 186, 2024 Feb 12.
Artigo em Inglês | MEDLINE | ID: mdl-38347526

RESUMO

OBJECTIVES: In this study, we describe the patterns of antibiotic prescription for neonates based on World Health Organization's (WHO) Essential Medicines List Access, Watch, and Reserve (AWaRe), and the Management of Antibiotic Classification (MAC) Guidelines in China. METHODS: One-day point-prevalence surveys (PPS) on antimicrobial prescriptions were conducted on behalf of hospitalized neonates in China from September 1 and November 30, annually from 2017 to 2019. RESULTS: Data was collected for a total of 2674 neonatal patients from 15 hospitals in 9 provinces across China of which 1520 were newborns who received at least one antibiotic agent. A total of 1943 antibiotic prescriptions were included in the analysis. The most commonly prescribed antibiotic was meropenem (11.8%). The most common reason for prescribing antibiotic to neonates was pneumonia (44.2%). There were 419 (21.6%), 1343 (69.1%) and 6 (0.3%) antibiotic prescriptions in the Access, Watch and Reserve groups, respectively. According to MAC Guidelines in China, there were 1090 (56.1%) antibiotic agents in the Restricted and 414 (21.3%) in the Special group. CONCLUSION: Broad-spectrum antibiotics included in the Watch and Special groups were likely to be overused in Chinese neonates.


Assuntos
Antibacterianos , Prescrições de Medicamentos , Humanos , Recém-Nascido , Prevalência , Pesquisas sobre Atenção à Saúde , Antibacterianos/uso terapêutico , China/epidemiologia
6.
Artigo em Inglês | MEDLINE | ID: mdl-38212106

RESUMO

OBJECTIVE: To assess the association between early initiation of parenteral nutrition (PN) and body growth in preterm infants with very low birth weight (VLBW). DESIGN: Causal inference analysis with confounders preselected by causal diagram based on the NeoNutriNet cohort containing data of infants born between 2011 and 2014 from 13 hospitals from 5 continents. PATIENTS: Neonates with birth weight ≤1500 g. INTERVENTIONS: PN initiated within the first day of life (early PN) versus within day 2-5 (delayed PN). MAIN OUTCOME MEASURES: The primary outcome was body weight z-scores at postmenstrual age (PMA) 36 weeks or early discharge or death, whichever comes first (WT z-score END). Secondary outcomes included WT z-scores at week 1 and 4 of life (WT z-scores CA1 and CA4), corresponding growth velocities (GVs), mortality and incidence of necrotising enterocolitis (NEC), and duration and episodes of antibiotic treatment. RESULTS: In total, 2151 infants were included in this study and 2008 infants were in the primary outcome analysis. Significant associations of early PN were found with WT z-score END (adjusted mean difference, 0.14 (95% CI 0.05 to 0.23)), CA4 (ß, 0.09 (0.04 to 0.14)) and CA1 (0.04 (0.01 to 0.08)), and GV PMA 36 weeks (1.02 (0.46 to 1.58)) and CA4 (1.03 (0.56 to 1.49), all p<0.001), but not with GV CA1 (p>0.05). No significant associations with mortality, incidence of NEC or antibiotic use was found (all p>0.05). CONCLUSIONS: For VLBW infants, PN initiated within the first day of life is associated with improved in-hospital growth.

7.
PLoS Pathog ; 20(1): e1011902, 2024 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-38166150

RESUMO

Fungal infections have emerged as a major concern among immunocompromised patients, causing approximately 2 million deaths each year worldwide. However, the regulatory mechanisms underlying antifungal immunity remain elusive and require further investigation. The E3 ligase Trim26 belongs to the tripartite motif (Trim) protein family, which is involved in various biological processes, including cell proliferation, antiviral innate immunity, and inflammatory responses. Herein, we report that Trim26 exerts protective antifungal immune functions after fungal infection. Trim26-deficient mice are more susceptible to fungemia than their wild-type counterparts. Mechanistically, Trim26 restricts inflammatory neutrophils infiltration and limits proinflammatory cytokine production, which can attenuate kidney fungal load and renal damage during Candida infection. Trim26-deficient neutrophils showed higher proinflammatory cytokine expression and impaired fungicidal activity. We further demonstrated that excessive neutrophils infiltration in the kidney was because of the increased production of chemokines CXCL1 and CXCL2, which are mainly synthesized in the macrophages or dendritic cells of Trim26-deficient mice after Candida albicans infections. Together, our study findings unraveled the vital role of Trim26 in regulating antifungal immunity through the regulation of inflammatory neutrophils infiltration and proinflammatory cytokine and chemokine expression during candidiasis.


Assuntos
Candidíase , Neutrófilos , Animais , Camundongos , Antifúngicos , Candida albicans , Candidíase/metabolismo , Candidíase/microbiologia , Citocinas/metabolismo , Infiltração de Neutrófilos , Proteínas com Motivo Tripartido , Ubiquitina-Proteína Ligases
8.
BMC Cancer ; 24(1): 111, 2024 Jan 22.
Artigo em Inglês | MEDLINE | ID: mdl-38254070

RESUMO

BACKGROUND: Myelodysplastic syndrome (MDS) is known to arise through the pathogenic bone marrow mesenchymal stem cells (MSC) by interacting with hematopoietic stem cells (HSC). However, due to the strong heterogeneity of MDS patients, it is difficult to find common targets in studies with limited sample sizes. This study aimed to describe sequential molecular changes and identify biomarkers in MSC of MDS transformation. METHODS: Multidimensional data from three publicly available microarray and TCGA datasets were analyzed. MDS-MSC was further isolated and cultured in vitro to determine the potential diagnostic and prognostic value of the identified biomarkers. RESULTS: We demonstrated that normal MSCs presented greater molecular homogeneity than MDS-MSC. Biological process (embryonic skeletal system morphogenesis and angiogenesis) and pathways (p53 and MAPK) were enriched according to the differential gene expression. Furthermore, we identified HOXB3 and HOXB7 as potential causative genes gradually upregulated during the normal-MDS-AML transition. Blocking the HOXB3 and HOXB7 in MSCs could enhance the cell proliferation and differentiation, inhibit cell apoptosis and restore the function that supports hematopoietic differentiation in HSCs. CONCLUSION: Our comprehensive study of gene expression profiling has identified dysregulated genes and biological processes in MSCs during MDS. HOXB3 and HOXB7 are proposed as novel surrogate targets for therapeutic and diagnostic applications in MDS.


Assuntos
Genes Homeobox , Proteínas de Homeodomínio , Células-Tronco Mesenquimais , Síndromes Mielodisplásicas , Humanos , Biomarcadores , Perfilação da Expressão Gênica , Proteínas de Homeodomínio/genética , Síndromes Mielodisplásicas/genética
9.
J Affect Disord ; 350: 550-558, 2024 Apr 01.
Artigo em Inglês | MEDLINE | ID: mdl-38220116

RESUMO

BACKGROUND: Assessing diet quality has been challenging, and the associations of diet quality and daily free sugar intake with depressive and/or anxiety symptoms have shown inconsistency. METHODS: A total of 1749 students aged 12-16 years were recruited using stratified random cluster sampling across three cities in China. The overall Global Dietary Recommendations (GDR) score, a novel indicator of diet quality, was constructed using the low-burden Diet Quality Questionnaire. Free sugar intake, including from beverages and foods, was measured using the Food Frequency Questionnaire. Daily free sugar intake was divided into low, medium, and high categories based on the latest version of the dietary guidelines for Chinese residents. Binomial and multinominal logistic regression analyses were used to examine the associations of the overall GDR score and daily free sugar intake categories or different sources of free sugar intake with depressive and/or anxiety symptoms. RESULTS: The overall GDR score was negatively associated with depressive symptoms (adjusted odds ratio[aOR] = 0.92, 95%CI: 0.87-0.98) and anxiety symptoms (0.95, 0.90-0.99), particularly with comorbid depression and anxiety (0.90, 0.84-0.97). Conversely, daily free sugar intake was positively associated with symptoms of depression and/or anxiety, the multiple aOR for symptoms depression or anxiety were significantly increased with higher daily free sugar intake (all Ptrend < 0.05). Both free sugar from beverages and from foods were positively associated with depressive and/or anxiety symptoms. These associations were consistent between males and females. LIMITATIONS: Cross-sectional design and self-reported symptoms. CONCLUSIONS: Diet quality was negatively associated with symptoms of depression or anxiety, especially with comorbid symptoms among adolescents. Daily free sugar intake, regardless of its sources, was positively associated with symptoms of depression and/or anxiety.


Assuntos
Dieta , Alimentos , Masculino , Feminino , Humanos , Adolescente , Estudos Transversais , Ansiedade/epidemiologia , Açúcares , Depressão/epidemiologia
10.
BMC Cancer ; 23(1): 1240, 2023 Dec 16.
Artigo em Inglês | MEDLINE | ID: mdl-38104068

RESUMO

BACKGROUND: Brain metastases (BMs) are the most frequent intracranial tumours associated with poor clinical outcomes. Radiotherapy is essential in the treatment of these tumours, although the optimal radiation strategy remains controversial. The present study aimed to assess whether whole brain radiation therapy with a simultaneous integrated boost (WBRT + SIB) provides any therapeutic benefit over WBRT alone. METHODS: We included and retrospectively analysed 82 patients who received WBRT + SIB and 83 who received WBRT alone between January 2012 and June 2021. Intracranial progression-free survival (PFS), local tumour control (LTC), overall survival (OS), and toxicity were compared between the groups. RESULTS: Compared to WBRT alone, WBRT + SIB improved intracranial LTC and PFS, especially in the lung cancer subgroup. Patients with high graded prognostic assessment score or well-controlled extracranial disease receiving WBRT + SIB had improved intracranial PFS and LTC. Moreover, WBRT + SIB also improved the long-term intracranial tumour control of small cell lung cancer patients. When evaluating toxicity, we found that WBRT + SIB might slightly increase the risk of radiation-induced brain injury, and that the risk increased with increasing dosage. However, low-dose WBRT + SIB had a tolerable radiation-induced brain injury risk, which was lower than that in the high-dose group, while it was comparable to that in the WBRT group. CONCLUSIONS: WBRT + SIB can be an efficient therapeutic option for patients with BMs, and is associated with improved intracranial LTC and PFS. Furthermore, low-dose WBRT + SIB (biologically effective dose [BED] ≤ 56 Gy) was recommended, based on the acceptable risk of radiation-induced brain injury and satisfactory tumour control. TRIAL REGISTRATION: Retrospectively registered.


Assuntos
Lesões Encefálicas , Neoplasias Encefálicas , Neoplasias Pulmonares , Lesões por Radiação , Humanos , Fracionamento da Dose de Radiação , Irradiação Craniana/efeitos adversos , Encéfalo/patologia , Neoplasias Encefálicas/secundário , Neoplasias Pulmonares/radioterapia , Neoplasias Pulmonares/patologia , Lesões por Radiação/etiologia
11.
Nanomaterials (Basel) ; 13(24)2023 Dec 14.
Artigo em Inglês | MEDLINE | ID: mdl-38133032

RESUMO

MXenes, as a typical graphene-like material, excels in the realm of humidity sensing owing to its two-dimensional layer structure, high electrical conductivity, tunable chemical properties, hydrophilicity, and large specific surface area. This study proposed a quartz crystal microbalance (QCM) humidity sensor using a nanochitin/Ti3C2Tx MXene composite as a humidity-sensing material. The morphology, nanostructure, and elemental composition of nanochitin, Ti3C2Tx MXene, and nanochitin/Ti3C2Tx MXene composite materials were characterized using transmission electron microscopy, Fourier transform infrared spectroscopy, and X-ray diffraction. Compared to the pure Ti3C2Tx MXene-coated QCM humidity sensor, the nanochitin/Ti3C2Tx MXene-coated QCM humidity sensor exhibited a higher sensitivity (20.54 Hz/%RH) in the humidity range of 11.3% to 97.3%. The nanochitin/Ti3C2Tx Mxene-coated QCM humidity sensor also demonstrated low humidity hysteresis (2.12%RH), very fast response/recovery times (4.4/4.1 s), a high quality factor (37 k), and excellent repeatability and sustained stability over time. Eventually, a bimodal exponential kinetics adsorption model was utilized for the analysis of the response mechanism of the nanochitin/Ti3C2Tx MXene composite material-based QCM humidity sensor. This study provides new ideas for optimizing the moisture-sensitive performance of MXene-based QCM humidity sensors.

12.
J Orthop Surg Res ; 18(1): 860, 2023 Nov 13.
Artigo em Inglês | MEDLINE | ID: mdl-37957749

RESUMO

Osteoporosis is a prevalent bone disorder characterized by low bone mineral density (BMD) and deteriorated bone microarchitecture, leading to an increased risk of fractures. Vitamin D (VD), an essential nutrient for skeletal health, plays a vital role in maintaining bone homeostasis. The biological effects of VD are primarily mediated through the vitamin D receptor (VDR), a nuclear receptor that regulates the transcription of target genes involved in calcium and phosphate metabolism, bone mineralization, and bone remodeling. In this review article, we conduct a thorough literature search of the PubMed and EMBASE databases, spanning from January 2000 to September 2023. Utilizing the keywords "vitamin D," "vitamin D receptor," "osteoporosis," and "therapy," we aim to provide an exhaustive overview of the role of the VD/VDR system in osteoporosis pathogenesis, highlighting the most recent findings in this field. We explore the molecular mechanisms underlying VDR's effects on bone cells, including osteoblasts and osteoclasts, and discuss the impact of VDR polymorphisms on BMD and fracture risk. Additionally, we examine the interplay between VDR and other factors, such as hormonal regulation, genetic variants, and epigenetic modifications, that contribute to osteoporosis susceptibility. The therapeutic implications of targeting the VDR pathway for osteoporosis management are also discussed. By bringing together these diverse aspects, this review enhances our understanding of the VD/VDR system's critical role in the pathogenesis of osteoporosis and highlights its significance as a potential therapeutic target.


Assuntos
Fraturas Ósseas , Osteoporose , Humanos , Receptores de Calcitriol/genética , Receptores de Calcitriol/metabolismo , Osteoporose/genética , Vitamina D/uso terapêutico , Osso e Ossos/metabolismo , Polimorfismo Genético , Densidade Óssea/genética
13.
Stud Health Technol Inform ; 308: 20-30, 2023 Nov 23.
Artigo em Inglês | MEDLINE | ID: mdl-38007721

RESUMO

This article focuses on an attempt to classify and recognize the characterized images of EEG signals directly. For EEG signals, the recognition and judgment of different signals has been the key direction of research. CNN (Convolutional Neural Network) models are usually used for recognition of EEG raw signals about movement and Imagery Dataset. However, the images of EEG raw signals are basically unreadable for researchers, so characterization is a common tool. However, direct recognition of the characterized images is a relatively empty area in the existing research because it requires much higher machine performance than the traditional raw signal recognition. However, feeding the extracted feature images into a CNN and training them can be an efficient and intuitive response to the potential of EEG for brain mapping. The main goal of this research is to examine the discriminative capabilities of traditional visual and image neural networks for pictures described by EEG data. This is not typical in contemporary brain-computer interface research. The direct recognition of the described photos uses a lot of GPU (graphics computing unit) resources, but for the characterized images are easier for people to read than the original images. This work indicates the viability of direct research on defined pictures and increases the application scenario of EEG signals.


Assuntos
Algoritmos , Interfaces Cérebro-Computador , Humanos , Eletroencefalografia/métodos , Redes Neurais de Computação , Reconhecimento Psicológico
14.
Nat Commun ; 14(1): 6718, 2023 10 23.
Artigo em Inglês | MEDLINE | ID: mdl-37872182

RESUMO

Dimerization of C-type lectin receptors (CLRs) or Toll-like receptors (TLRs) can alter their ligand binding ability, thereby modulating immune responses. However, the possibilities and roles of dimerization between CLRs and TLRs remain unclear. Here we show that C-type lectin receptor-2d (CLEC2D) forms homodimers, as well as heterodimers with TLR2. Quantitative ligand binding assays reveal that both CLEC2D homodimers and CLEC2D/TLR2 heterodimers have a higher binding ability to fungi-derived ß-glucans than TLR2 homodimers. Moreover, homo- or hetero-dimeric CLEC2D mediates ß-glucan-induced ubiquitination and degradation of MyD88 to inhibit the activation of transcription factor IRF5 and subsequent IL-12 production. Clec2d-deficient female mice are resistant to infection with Candida albicans, a human fungal pathogen, owing to the increase of IL-12 production and subsequent generation of IFN-γ-producing NK cells. Together, these data indicate that CLEC2D forms homodimers or heterodimers with TLR2, which negatively regulate antifungal immunity through suppression of IRF5-mediated IL-12 production. These homo- and hetero-dimers of CLEC2D and TLR2 provide an example of receptor dimerization to regulate host innate immunity against microbial infections.


Assuntos
Receptor 2 Toll-Like , beta-Glucanas , Animais , Feminino , Humanos , Camundongos , Antifúngicos , beta-Glucanas/metabolismo , Imunidade Inata , Fatores Reguladores de Interferon/metabolismo , Interleucina-12/metabolismo , Lectinas Tipo C/genética , Lectinas Tipo C/metabolismo , Ligantes , Receptor 2 Toll-Like/metabolismo , Receptores Toll-Like/metabolismo
15.
Eur J Surg Oncol ; 49(12): 107113, 2023 12.
Artigo em Inglês | MEDLINE | ID: mdl-37857102

RESUMO

BACKGROUND: Benign anastomotic strictures (BAS) significantly impact patients' quality of life and long-term prognosis. However, the current clinical practice lacks accurate tools for predicting BAS. This study aimed to develop a machine-learning model to predict BAS in patients with rectal cancer who have undergone anterior resection. METHODS: Data from 1973 patients who underwent anterior resection for rectal cancer were collected. Multiple machine learning classification models were integrated to analyze the data and identify the optimal model. Model performance was evaluated using receiver operator characteristic (ROC) curves, decision curve analysis (DCA), and calibration curves. The Shapley Additive exPlanation (SHAP) algorithm was utilized to assess the impact of various clinical characteristics on the optimal model to enhance the interpretability of the model results. RESULTS: A total of 10 clinical features were considered in constructing the machine learning model. The model evaluation results indicated that the random forest (RF)model was optimal, with the area under the test set curve (AUC: 0.888, 95% CI: 0.810-0.965), accuracy: 0.792, sensitivity: 0.846, specificity: 0.791. The SHAP algorithm analysis identified prophylactic ileostomy, operative time, and anastomotic leakage as significant contributing factors influencing the predictions of the RF model. CONCLUSION: We developed a robust machine-learning model and user-friendly online prediction tool for predicting BAS following anterior resection of rectal cancer. This tool offers a potential foundation for BAS prevention and aids clinical practice by enabling more efficient disease management and precise medical interventions.


Assuntos
Qualidade de Vida , Neoplasias Retais , Humanos , Constrição Patológica , Neoplasias Retais/cirurgia , Algoritmos , Aprendizado de Máquina
16.
Redox Biol ; 67: 102867, 2023 11.
Artigo em Inglês | MEDLINE | ID: mdl-37688977

RESUMO

Increasing evidence shows that metabolic factors are involved in the pathological process of osteoarthritis (OA). Lactate has been shown to contribute to the onset and progression of diseases. While whether lactate is involved in the pathogenesis of OA through impaired chondrocyte function and its mechanism remains unclear. This study confirmed that serum lactate levels were elevated in OA patients compared to healthy controls and were positively correlated with synovial fluid lactate levels, which were also correlated with fasting blood glucose, high-density lipoprotein, triglyceride. Lactate treatment could up-regulate expressions of the lactate receptor hydroxy-carboxylic acid receptor 1 (HCAR1) and lactate transporters in human chondrocytes. We demonstrated the dual role of lactate, which as a metabolite increased NADPH levels by shunting glucose metabolism to the pentose phosphate pathway, and as a signaling molecule up-regulated NADPH oxidase 4 (NOX4) via activating PI3K/Akt signaling pathway through receptor HCAR1. Particularly, lactate could promote reactive oxygen species (ROS) generation and chondrocyte damage, which was attenuated by pre-treatment with the NOX4 inhibitor GLX351322. We also confirmed that lactate could increase expression of catabolic enzymes (MMP-3/13, ADAMTS-4), reduce the synthesis of type II collagen, promote expression of inflammatory cytokines (IL-6, CCL-3/4), and induce cellular hypertrophy and aging in chondrocytes. Subsequently, we showed that chondrocyte damage mediated by lactate could be reversed by pre-treatment with N-Acetyl-l-cysteine (NAC, ROS scavenger). Finally, we further verified in vivo that intra-articular injection of lactate in Sprague Dawley (SD) rat models could damage cartilage and exacerbate the progression of OA models that could be countered by the NOX4 inhibitor GLX351322. Our study highlights the involvement of lactate as a metabolic factor in the OA process, providing a theoretical basis for potential metabolic therapies of OA in the future.


Assuntos
Condrócitos , Osteoartrite , Ratos , Animais , Humanos , NADPH Oxidase 4/genética , NADPH Oxidase 4/metabolismo , Espécies Reativas de Oxigênio/metabolismo , Condrócitos/metabolismo , NADP/metabolismo , Fosfatidilinositol 3-Quinases/metabolismo , Ácido Láctico/metabolismo , Células Cultivadas , Ratos Sprague-Dawley , Osteoartrite/genética , Osteoartrite/metabolismo , Receptores Acoplados a Proteínas G/metabolismo
17.
Pharmaceutics ; 15(9)2023 Aug 30.
Artigo em Inglês | MEDLINE | ID: mdl-37765218

RESUMO

Human acellular amniotic membrane (HAAM) has emerged as a promising tool in the field of regenerative medicine, particularly for wound healing and tissue regeneration. HAAM provides a natural biological scaffold with low immunogenicity and good anti-infective and anti-scarring results. Despite its potential, the clinic application of HAAM faces challenges, particularly with respect to the preparation methods and its low mechanical strength. This review provides a comprehensive overview of HAAM, covering its preparation, sterilization, preclinical research, and clinical applications. This review also discusses promising decellularization and sterilization methods, such as Supercritical Carbon Dioxide (SC-CO2), and the need for further research into the regenerative mechanisms of HAAM. In addition, we discuss the potential of HAAM as a skin dressing and cell delivery system in preclinical research and clinical applications. Both the safety and effectiveness of HAAM have been validated by extensive research, which provides a robust foundation for its clinical application.

18.
Sci Total Environ ; 903: 166575, 2023 Dec 10.
Artigo em Inglês | MEDLINE | ID: mdl-37633371

RESUMO

Many studies have shown that magnesium modified biochar (MgBC) can recover nutrients from wastewater and be applied as an excellent slow-release fertilizer in farmland. However, the recovery products (NP-loaden MgBC), represented by struvite or magnesium phosphate, have a high degree of self-alkalinity, which may significantly increase the ammonia (NH3) volatilization in farmland. In this study, the optimal adsorption parameters, self-alkaline regulation process and co-adsorption mechanism of MgBC for ammonium ion (NH4+) and phosphate ion (PO43-) were studied through batch experiments. A field experiment was conducted with three treatments, including local conventional fertilization (N1B0) and the application of 5 t·ha-1 or 10 t·ha-1 NP-loaden MgBC in combination with local conventional fertilization (N1B1 and N1B2, respectively), to determine the impact of NP-loaden MgBC on NH3 volatilization, surface water c(NH4+-N) and pH. The results indicated that the maximum NH4+ and PO43- synergistic recovery of MgBC under the optimal adsorption parameters (dosage of 0.6 g·L-1; initial NH4+ and PO43- concentrations of 120 and 60 mg·L-1 and pH of 8) were 59.96 and 98.60 mg·g-1, respectively. Self-regulating alkaline MgBC maintained pH suitable for struvite, and precipitation mechanism controlled the adsorption. The presence of NP-loaden MgBC raised the pH levels in surface water during the basal fertilization stage and increased c(NH4+-N) in surface water during the topdressing stages. This, in turn, led to a significant increase in NH3 volatilization loss during the entire rice-growing period, with N1B1 and N1B2 experiencing a 23.87 % and 48.91 % increase respectively, compared to N1B0. Therefore, it is imperative to take into account the adverse impact of NP-laden MgBC on NH3 loss in paddy fields when considering its application in future field studies.

19.
Environ Res ; 234: 116529, 2023 10 01.
Artigo em Inglês | MEDLINE | ID: mdl-37394171

RESUMO

Association of greenness surrounding school with aggression among adolescents was not well understood. This study aimed to investigate the associations of greenness surrounding school with adolescents' total and sub-types of aggression and explore potential mediators underlying these associations. A multi-site study of 15,301 adolescents aged 11-20 years were recruited through a multistage, random cluster sampling across 5 representative provinces in mainland China. Satellite-derived Normalized Difference Vegetation Index (NDVI) values within circular buffers of 100 m, 500 m, and 1000 m surrounding school were used to indicate the adolescents' greenness exposure. We used the Chinese version of Buss and Warren's Aggression Questionnaire to assess total and sub-types of aggression. Daily concentrations of PM2.5, and NO2 were obtained from the China High Air Pollutants datasets. Per IQR increment of NDVI 100 m and 500 m surrounding school was associated with lower odds of total aggression; odds ratio [OR] with 95% CI was 0.958 (0.926-0.990) for the 100 m buffer and 0.963 (0.932-0.996) for the 500 m buffer, respectively. Similar associations can be observed in two sub-types of aggression, including verbal (NDVI 100 m: 0.960 (0.925-0.995); NDVI500m: 0.964 (0.930-0.999)) and indirect aggression (NDVI 100 m: 0.956 (0.924-0.990); NDVI500m: 0.953 (0.921-0.986)). There were no sex and age differences in the associations of school surrounding greenness with aggression, except that the beneficial associations of greenness exposure with total aggression (0.933(0.895-0.975) vs.1.005(0.956-1.056)), physical aggression (0.971(0.925-1.019) vs.1.098(1.043-1.156)), and hostility (0.942(0.901-0.986) vs.1.016(0.965-1.069)) were greater among participants aged ≥16 years than those aged<16 years. PM2.5 (proportion mediated estimates: 0.21; 95% CI: 0.08, 0.94) and NO2 (-0.78, 95% CI: -3.22, -0.37) mediated the association of NDVI 500 m surrounding school with total aggression. Our data indicated that exposure to greenness in school surroundings was associated with reduced aggression, particularly in verbal and indirect aggression. The presence of PM2.5 and NO2 partially mediated these associations.


Assuntos
Poluição do Ar , Dióxido de Nitrogênio , Adolescente , Humanos , Agressão , China , Dióxido de Nitrogênio/análise , Material Particulado/análise , Instituições Acadêmicas , Criança , Adulto Jovem
20.
Clin Nutr ; 42(8): 1408-1417, 2023 08.
Artigo em Inglês | MEDLINE | ID: mdl-37437359

RESUMO

BACKGROUND & AIMS: Gut immaturity leads to feeding difficulties in very preterm infants (<32 weeks gestation at birth). Maternal milk (MM) is the optimal diet but often absent or insufficient. We hypothesized that bovine colostrum (BC), rich in protein and bioactive components, improves enteral feeding progression, relative to preterm formula (PF), when supplemented to MM. Aim of the study is to determine whether BC supplementation to MM during the first 14 days of life shortens the time to full enteral feeding (120 mL/kg/d, TFF120). METHODS: This was a multicenter, randomized, controlled trial at seven hospitals in South China without access to human donor milk and with slow feeding progression. Infants were randomly assigned to receive BC or PF when MM was insufficient. Volume of BC was restricted by recommended protein intake (4-4.5 g/kg/d). Primary outcome was TFF120. Feeding intolerance, growth, morbidities and blood parameters were recorded to assess safety. RESULTS: A total of 350 infants were recruited. BC supplementation had no effect on TFF120 in intention-to-treat analysis [n (BC) = 171, n (PF) = 179; adjusted hazard ratio, aHR: 0.82 (95% CI: 0.64, 1.06); P = 0.13]. Body growth and morbidities did not differ, but more cases of periventricular leukomalacia were detected in the infants fed BC (5/155 vs. 0/181, P = 0.06). Blood chemistry and hematology data were similar between the intervention groups. CONCLUSIONS: BC supplementation during the first two weeks of life did not reduce TFF120 and had only marginal effects on clinical variables. Clinical effects of BC supplementation on very preterm infants in the first weeks of life may depend on feeding regimen and remaining milk diet. TRIAL REGISTRATION: http://www. CLINICALTRIALS: gov: NCT03085277.


Assuntos
Enterocolite Necrosante , Doenças do Prematuro , Lactente , Gravidez , Feminino , Recém-Nascido , Humanos , Animais , Bovinos , Recém-Nascido Prematuro , Colostro , Suplementos Nutricionais , Leite Humano , Recém-Nascido de muito Baixo Peso , Retardo do Crescimento Fetal
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