Your browser doesn't support javascript.
loading
Mostrar: 20 | 50 | 100
Resultados 1 - 20 de 84
Filtrar
1.
Interv Neuroradiol ; : 15910199231217769, 2024 Jan 08.
Artigo em Inglês | MEDLINE | ID: mdl-38192118

RESUMO

OBJECTIVE: To investigate the therapeutic effect of intra-arterial microguidewire electrocoagulation on intracranial vascular diseases. METHODS: Data from 10 patients with cerebral aneurysms between May 2018 and September 2022 were analysed. Patients were treated with endovascular coil embolisation and microguidewire electrocoagulation. XperCT scans were conducted to identify new intracranial haemorrhage, infarction and hydrocephalus. Follow-up examinations were conducted 1, 3, 6 and 12 months after discharge. RESULTS: After the patients received electrocoagulation for different durations, Raymond Grade 1 embolisation was achieved in all 10 patients. No complications, such as haemorrhage, infarction or hydrocephalus, were found during or after surgery. Ten patients were followed up for 6-12 months, and none had any symptoms or new neurological dysfunction 1 month after their operation. Among them, nine were followed up for 12 months, and digital subtraction angiography showed no recurrence of aneurysms or occlusion of parent arteries. CONCLUSION: Intra-arterial microguidewire electrocoagulation can be used as a supplementary treatment for cerebral aneurysms. In cases of incomplete lesion embolisation and cases where tamponade treatment cannot continue, immediate thrombosis may occur. Thus, intra-arterial microguidewire electrocoagulation can help achieve patients' treatment goals.

2.
Sci Bull (Beijing) ; 68(22): 2849-2861, 2023 Nov 30.
Artigo em Inglês | MEDLINE | ID: mdl-37852823

RESUMO

Land cover changes (LCCs) affect surface temperatures at local scale through biophysical processes. However, previous observation-based studies mainly focused on the potential effects of virtual afforestation/deforestation using the space-for-time assumption, while the actual effects of all types of realistic LCCs are underexplored. Here, we adopted the space-and-time scheme and utilized extensive high-resolution (1-km) satellite observations to perform the first such assessment. We showed that, from 2006 to 2015, the average temperature in the areas with LCCs increased by 0.08 K globally, but varied significantly across latitudes, ranging from -0.05 to 0.18 K. Cropland expansions dominated summertime cooling effects in the northern mid-latitudes, whereas forest-related LCCs caused warming effects elsewhere. These effects accounted for up to 44.6% of overall concurrent warming, suggesting that LCC influences cannot be ignored. In addition, we revealed obvious asymmetries in the actual effects, i.e., LCCs with warming effects occurred more frequently, with stronger intensities, than LCCs with cooling effects. Even for the mutual changes between two covers in the same region, warming LCCs generally had larger magnitudes than their cooling counterparts due to asymmetric changes in transition fractions and driving variables. These novel findings, derived from the assessment of actual LCCs, provide more realistic implications for land management and climate adaptation policies.

3.
PNAS Nexus ; 2(9): pgad308, 2023 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-37780232

RESUMO

The northern hemisphere has experienced regional cooling, especially during the global warming hiatus (1998-2012) due to ocean energy redistribution. However, the lack of studies about the natural cooling effects hampers our understanding of vegetation responses to climate change. Using 15,125 ground phenological time series at 3,620 sites since the 1950s and 31-year satellite greenness observations (1982-2012) covering the warming hiatus period, we show a stronger response of leaf onset date (LOD) to natural cooling than to warming, i.e. the delay of LOD caused by 1°C cooling is larger than the advance of LOD with 1°C warming. This might be because cooling leads to larger chilling accumulation and heating requirements for leaf onset, but this non-symmetric LOD response is partially offset by warming-related drying. Moreover, spring greening magnitude, in terms of satellite-based greenness and productivity, is more sensitive to LOD changes in the warming area than in the cooling. These results highlight the importance of considering non-symmetric responses of spring greening to warming and cooling when predicting vegetation-climate feedbacks.

4.
Psychol Res Behav Manag ; 16: 4095-4104, 2023.
Artigo em Inglês | MEDLINE | ID: mdl-37822576

RESUMO

Background: This study aimed to explore the relationship between residents' COVID-19 fear and anxiety, consider whether this relationship is mediated through obsessions and the moderating role of self-efficacy on this mediating pathway. Methods: This study used an online questionnaire to obtain and assess fear, obsession, anxiety and self-efficacy in 1589 Chinese COVID-19 uninfected residents. A conditional process model was used to examine the relationships between variables. Results: Higher levels of fear were positively associated with obsession and anxiety. In addition, obsession was positively associated with anxiety, while self-efficacy attenuated the effect of fear on obsession and further mitigated the indirect effect of fear on anxiety through obsession. Conclusion: During the COVID-19 outbreak, uninfected residents suffered varying degrees of psychological distress. COVID-19 fear may have an effect on anxiety in COVID survivors through obsession, and self-efficacy as a protective factor for individual mental health partially attenuates the effect of COVID-19 fear on obsession and the indirect effect of fear on anxiety.

5.
Front Neurol ; 14: 1133259, 2023.
Artigo em Inglês | MEDLINE | ID: mdl-37143994

RESUMO

Objectives: This study aimed to discuss the clinical characteristics and emergent endovascular treatment of carotid cavernous fistulas presenting as intracranial hemorrhage. Methods: The clinical data of five patients with carotid cavernous fistulas, who presented with intracranial hemorrhage and who were admitted from January 2010 to April 2017, were analyzed retrospectively, and the diagnoses were confirmed by head computed tomography. Digital subtraction angiography was carried out in all the patients for the diagnosis and further emergent endovascular procedures. All patients were followed up to assess the clinical outcomes. Results: In total, five patients harbored five mono-lateral lesions; two of them were obliterated by detachable balloons, two by detachable coils, and one by detachable coils and Onyx glue. Only one patient was cured by another detachable balloon in the second session, and the other four patients were cured in the first session. At the 3- to 10-year follow-up, there was no intracranial re-hemorrhage in any of the patients; there was no recurrence of symptoms; and delayed occlusion of the parent artery was noted in one case. Conclusion: Emergent endovascular therapy is indicated for carotid cavernous fistulas presenting as intracranial hemorrhage. Individualized treatment according to the characteristics of different lesions is safe and effective.

6.
Front Psychol ; 14: 1103897, 2023.
Artigo em Inglês | MEDLINE | ID: mdl-36939405

RESUMO

The frequency of cyberbullying incidents is gradually increasing, and the seriousness of the consequences is gradually becoming more prominent. Previous studies have shown that cyberbullying bystander behaviors play an important role in reducing cyberbullying. This study aims to explore the mechanisms that high school students' family function, empathy, and social support levels how to affect their implementation of online prosocial behaviors when they act as cyberbullying bystanders. The study was conducted in 1961 high school students (M = 16.84 years; SD = 1.08) in China. Results found that family function promotes online prosocial behaviors through (a) empathy, (b) social support, and (c) chain mediating path of empathy and social support. There were interactions between gender and family function as well as social support, which played a moderating role in the paths of family function and online prosocial behaviors and social support and online prosocial behaviors, respectively. We investigated how family function affected online prosocial behaviors in high school students and how empathy and social support worked to promote them to carry out online prosocial behaviors.

7.
Nat Commun ; 14(1): 121, 2023 01 09.
Artigo em Inglês | MEDLINE | ID: mdl-36624102

RESUMO

Vegetation change can alter surface energy balance and subsequently affect the local climate. This biophysical impact has been well studied for forestation cases, but the sign and magnitude for persistent earth greening remain controversial. Based on long-term remote sensing observations, we quantify the unidirectional impact of vegetation greening on radiometric surface temperature over 2001-2018. Here, we show a global negative temperature response with large spatial and seasonal variability. Snow cover, vegetation greenness, and shortwave radiation are the major driving factors of the temperature sensitivity by regulating the relative dominance of radiative and non-radiative processes. Combined with the observed greening trend, we find a global cooling of -0.018 K/decade, which slows down 4.6 ± 3.2% of the global warming. Regionally, this cooling effect can offset 39.4 ± 13.9% and 19.0 ± 8.2% of the corresponding warming in India and China. These results highlight the necessity of considering this vegetation-related biophysical climate effect when informing local climate adaptation strategies.


Assuntos
Mudança Climática , Clima , Temperatura , China , Índia , Ecossistema
8.
Cancer Med ; 12(5): 5323-5333, 2023 03.
Artigo em Inglês | MEDLINE | ID: mdl-36281495

RESUMO

BACKGROUND: Early prediction of treatment response is crucial for the optimal treatment of advanced breast cancer. We aimed to explore whether monitoring early changes in plasma human epidermal growth factor receptor 2 (HER2) levels using digital PCR (dPCR) could predict the treatment response in advanced breast cancer. METHODS: This was a multicenter, prospective, noninterventional clinical study of patients with advanced breast cancer. All enrolled patients underwent blood testing to measure the HER2 levels by digital PCR before treatment initiation and once every 3 weeks during the study. The primary endpoints werea the diagnostic value of dPCR for detecting HER2 status in the blood andb the relevance of potential changes in the plasma HER2 level at 3 weeks from baseline for predicting treatment response. RESULTS: Overall, 85 patients were enrolled between October 9, 2018, and January 23, 2020. dPCR had a specificity of 91.67% (95% CI: 80.61% to 97.43%) for detecting HER2 amplification, and the area under the receiver operating characteristic (ROC) curve was 0.84 (p < 0.01). A clinically relevant specificity threshold of approximately 90%, which was equivalent to a ≥15% decrease in the plasma HER2 ratio at 3 weeks from baseline, showed a positive predictive value of 97.37% (95% CI: 77.11% to 98.65%) in terms of predicting clinical benefit. Patients whose plasma HER2 ratio was reduced by ≥15% had a longer median progression-free survival (PFS) than those whose ratio was reduced by <15% (9.20 months vs. 4.50 months, p < 0.01). CONCLUSIONS: Early changes in the plasma HER2 ratio may predict the treatment response in patients with advanced breast cancer and could facilitate optimal treatment selection.


Assuntos
Neoplasias da Mama , Humanos , Feminino , Neoplasias da Mama/terapia , Neoplasias da Mama/tratamento farmacológico , Biomarcadores Tumorais/metabolismo , Estudos Prospectivos , Valor Preditivo dos Testes , Curva ROC
9.
Chin Neurosurg J ; 8(1): 14, 2022 Jun 10.
Artigo em Inglês | MEDLINE | ID: mdl-35681227

RESUMO

BACKGROUND: Aneurysm of basilar perforator was rarely reported in the literature. It is difficult to treat due to its small size and deep-seated location. Excessive treatment may cause complications that resulted from ischemic events of parent perforators. Therefore, it is important to make clinical strategy for such patients to improve the prognosis. CASE PRESENTATION: One case, who presented as spontaneous subarachnoid hemorrhage, despite the negative result in computed tomography angiography firstly, was diagnosed angiographically as a ruptured aneurysm of the basilar perforator. A good clinical outcome of the case was achieved during the follow-up after conservative observation for 2 months, as well as the disappearance of previous lesion from angiography. CONCLUSIONS: Aneurysm located at perforator of basilar trunk was rare and difficult to treat. Conservative observation for certain cases with periodic angiography follow-up was considered in order to prevent the patients from potential iatrogenic effects.

11.
Artigo em Inglês | MEDLINE | ID: mdl-35432557

RESUMO

Objective: To investigate the preventive effects of Ilex cornuta aqueous extract (ICAE) on high-fat diet (HFD)-induced fatty liver of mice and its mechanisms. Materials and Methods: Twenty-six male KM (Kunming) mice were divided into 3 groups, including the control group (n = 9), fed with normal diet; HFD group (n = 9), fed with HFD; ICAE + HFD group (n = 8), fed with HFD and administered with ICAE (3 g·kg-1·d-1) at the same time for 10 weeks. Body weight, liver weight, intra-abdominal and subcutaneous fat weight, serum triglyceride (TG), total cholesterol (TC), and blood glucose were determined to evaluate the preventive effects of ICAE on obesity. The average 24 h food consumption of the mice was monitored for 5 times in the 9th week of the experiment to investigate the effects of ICAE on food intake. Serum alanine transaminase (ALT) and aspartate aminotransferase (AST) were assayed to observe the influences of HFD and ICAE on liver function. HE staining was adopted to observe the influence of ICAE on the morphology of adipose tissue and liver tissue. Hepatic TG and TC content assay and oil red O staining were used to evaluate the influences of ICAE on HFD-induced fatty liver, and the protein expression of peroxisome proliferator-activated receptors γ (PPARγ) and adipose differentiation-related protein (ADRP) in liver were examined by immunoblotting. Results: ICAE treatment significantly reduced the increase of body weight, intra-abdominal, and subcutaneous fat and liver weight induced by HFD (P < 0.001), but has no influence on food intake; ICAE treatment attenuated the elevation of serum TG, TC, and glucose, as well as serum ALT and AST (P < 0.01, P < 0.05, P < 0.001) and dramatically decreased the content of TG in liver (P < 0.01), but has no influence on hepatic TC content. HE staining and oil red O staining showed that ICAE significantly reduced HFD-induced white adipocyte hypertrophy and significantly inhibited lipid accumulation in liver. Immunoblotting showed that the protein levels of PPARγ and ADRP were significantly increased by HFD induction, which can be dramatically reduced by ICAE treatment (P < 0.05, P < 0.0001). Conclusion: ICAE has preventive effects on HFD-induced obesity and fatty liver in mice, exerted beneficial effects upon HFD-induced hepatic injury. The preventive effects of ICAE on fatty liver are concerned with the downregulation of PPARγ and ADRP protein expression in liver.

12.
Environ Sci Pollut Res Int ; 29(34): 51744-51757, 2022 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-35249188

RESUMO

Although the beneficial effects of the agricultural extension of farmers' biopesticides adoption have been largely demonstrated, the questions of what approaches can better extend biopesticides and how to improve their effectiveness still need to be explored. In a survey of 1148 rice farmers in Hubei Province, China, the technology supply and demand theory is used to explain the low efficiency of biopesticides extension. The endogenous switching probit model is used to estimate the impact of biopesticides technology publicity, training, demonstration and subsidies on farmers' adoption. The results show that biopesticides extension can promote rice farmers' adoption probability by 10.3 ~ 11.7%. And technology demonstration is currently the best way to extend biopesticides. Moreover, inadequate supply and demand of biopesticides are important for explaining the inefficiency of biopesticides extension in China. Extending biopesticides is better for farmers with smaller scales, younger ages, and lower education and for those who are cooperative members. Therefore, we should not only actively conduct biopesticides demonstration but also more importantly induce farmers' biopesticides demand and secure the market supply of biopesticide products. These findings will provide useful guidance for biopesticides extension and pesticides reduction in China and other developing countries.


Assuntos
Fazendeiros , Oryza , Agricultura/métodos , Agentes de Controle Biológico , China , Humanos
13.
J Cancer ; 13(3): 744-751, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-35154443

RESUMO

Two hundred twenty-four breast cancer patients with paired tissue and plasma samples were enrolled from 3 clinical centers to evaluate sensitivity and specificity of a digital PCR HER2 amplification assay. All patients were histologically confirmed diagnosis of locally advanced and recurrent or metastatic breast cancer with stage III/IV and had tissue HER2 status determinations using IHC/FISH. For the whole 224 advanced breast cancer patients, the sensitivity between dPCR in plasma and IHC/FISH in tissue samples is 43.75% (42/96), the specificity is 84.38% (108/128) and the overall concordance is 66.96% (150/224). Interestingly, when we looked at stage III, stage IV and recurrent or metastatic breast cancer separately, compared with IHC/FISH in tissue samples, the sensitivity of dPCR in plasma increases from 37.93% (11/29) for stage III to 41.67% (15/36) for stage IV cancer. Recurrent breast cancer patient had an increased sensitivity of 51.61% (16/31). This is consistent with our expectation sensitivity would increase concordantly as tumor burden goes up. On the other hand, specificity decreased from 92.68% (38/41) for stage III to 86.44% (51/59) for stage IV cancer. Recurrent breast cancer patient had a specificity of only 67.86% (19/28). This is, in part, due to inter- and intra-tumor heterogeneity. Many patients determined to be negative for HER2 amplification in tissue biopsy could have HER2 positive tumors at other sites, which was detected by the liquid biopsy. This study suggested the necessity of liquid biopsy for HER2 amplification detection and demonstrated digital PCR can be used as a companion diagnostic tool to determine HER2 amplification status. It also suggested that a liquid biopsy should follow a negative result from tissue biopsy to avoid false negative results especially for late-stage breast cancer patients and ones who experienced relapse or became resistant to current therapy. Future studies should focus on therapeutic effects on patients determined to be HER2 positive through liquid biopsy and collecting additional tissue biopsies to identify HER2 positive tumor when the original tissue biopsy and liquid biopsy don't agree.

14.
Pest Manag Sci ; 78(4): 1630-1639, 2022 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-34989101

RESUMO

BACKGROUND: Although scholars have become increasingly concerned about finding ways to encourage more farmers to use biopesticides and fewer to use chemical pesticides, few studies have investigated the prevalence of Chinese rice farmers' mixed use of biopesticides and chemical pesticides for pest management. RESULTS: Based on a household survey in Hubei Province, China, this study found that 59.18% of the sample rice farmers used a mix of biopesticides and chemical pesticides. There is mainly a complementarity relationship between rice farmers' decision to use biopesticides and chemical pesticides. The pursuit of multiple production purposes is the main reason why farmers decide on the mixed-use of pesticides. Specifically, farmers generally tend to use biopesticides to ensure food safety for consumption, and chemical pesticides to reduce costs for profitability. The decision of farmers to mix pesticides has led to an increase of pesticide varieties and costs. However, it reduces the frequency of pesticide use, and does not result in a significant increase in rice yield and output value. CONCLUSION: While food safety should be emphasized in working towards greater use of biopesticides, rice farmers' mixed use of biopesticides and chemical pesticides will remain for a long time until the biotechnology is more developed. In fact, programs that investigate the effects of a combination of biopesticides and chemical pesticides should be implemented to achieve pesticide reduction, because biopesticides and chemical pesticides have specific disadvantages. © 2022 Society of Chemical Industry.


Assuntos
Oryza , Praguicidas , Agentes de Controle Biológico , China , Fazendeiros , Humanos , Praguicidas/análise
15.
Sci Total Environ ; 812: 152462, 2022 Mar 15.
Artigo em Inglês | MEDLINE | ID: mdl-34953826

RESUMO

Vegetation phenology is a sensitive indicator of climate change and vegetation growth. In the present study, two phenological phases with respect to vegetation growth at the initial and mature stages, namely, the start of the season (SOS) and the peak of the season (POS), were estimated from a satellite-derived normalized difference vegetation index (NDVI) dataset over a long-term period of 32 years (1983 to 2014) and used to explore their responses to atmospheric variables, including air temperature, precipitation, solar radiation, wind speed and soil moisture. First, the forward feature selection method was used to determine whether each independent variable was linear or nonlinear to the SOS and POS. In addition, a generalized additive model (GAM) was used to analyze the correlation between the phenological phases and each independent variable at different temporal scales. The results show that soil moisture and precipitation are linearly correlated with the SOS, whereas the other variables are nonlinearly correlated. Meanwhile, soil moisture, wind speed and solar radiation are found to be nonlinearly correlated with the POS. However, air temperature and precipitation reveal a significant negative correlation with the POS. Furthermore, it was concluded that the aforementioned independent variables from the previous year could contribute to approximately 63%-85% of the SOS variations in the present year, whereas the atmospheric variables from April to June could contribute to approximately 70%-85% of the POS variations in the same year. Finally, the SOS and POS predicted by the GAM exhibit significant agreement with those derived from the satellite NDVI dataset, with the root mean square error of approximately 3 to 5 days.


Assuntos
Mudança Climática , Pradaria , China , Estações do Ano , Temperatura
16.
Transl Lung Cancer Res ; 10(10): 3888-3901, 2021 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-34858779

RESUMO

BACKGROUND: Developing liquid biopsy technology with higher sensitivity and specificity especially for low-frequency mutations remains crucial. This study demonstrated superior performance of the newly developed digital PCR (dPCR) kit for ctDNA-based EGFR p.T790M detection in metastatic non-small-cell lung cancer (NSCLC) against ARMS-PCR. METHODS: This large-scale, multi-centered diagnostic study recruited 1,045 patients including 1,029 patients diagnosed with advanced NSCLC and 16 patients with specific samples between April 1st 2018 and November 30th 2019. EGFR p.T790M in plasma samples from mNSCLC patients were tested using dPCR with ADx-ARMS PCR and Cobas® EGFR Mutation Test V2 as comparator assays to confirm cut-off value for dPCR and evaluate its performance against ARMS-PCR-based assays. Efficacy was evaluated for patients with EGFR p.T790M detected by dPCR or ARMS-PCR, who underwent Osimertinib treatment. RESULTS: The sensitivity, specificity, and concordance of dPCR against ADx-ARMS PCR was 98.15%, 88.66% and 90.16%, respectively for 1,026 plasma samples. Additional 9.26% patients were detected positive by dPCR. The majority of those samples had a mutation allele frequency between 0.1% and 1%. In 45 paired tissue and plasma samples, the sensitivity improved from 30.77% to 53.85% by dPCR with the specificity over 90%. The response of Osimertinib in 74 EGFR p.T790M-positive patients detected by dPCR, including 26 determined as negative by ARMS-PCR, were evaluated to have an ORR of 44.59% and a DCR of 90.54%. CONCLUSIONS: dPCR is a sensitive and accurate tool for ctDNA-based EGFR p.T790M detection due to its significantly improved sensitivity without compromising specificity, and dPCR is equivalent to ARMS-PCR as a companion diagnostic tool while benefiting more patients under Osimertinib treatment. TRIAL REGISTRATION: Chinese Clinical Trial Registry identifier: ChiCTR2100043147.

17.
Sensors (Basel) ; 21(14)2021 Jul 18.
Artigo em Inglês | MEDLINE | ID: mdl-34300625

RESUMO

A series of algorithms for satellite retrievals of sun-induced chlorophyll fluorescence (SIF) have been developed and applied to different sensors. However, research on SIF retrieval using hyperspectral data is performed in narrow spectral windows, assuming that SIF remains constant. In this paper, based on the singular vector decomposition (SVD) technique, we present an approach for retrieving SIF, which can be applied to remotely sensed data with ultra-high spectral resolution and in a broad spectral window without assuming that the SIF remains constant. The idea is to combine the first singular vector, the pivotal information of the non-fluorescence spectrum, with the low-frequency contribution of the atmosphere, plus a linear combination of the remaining singular vectors to express the non-fluorescence spectrum. Subject to instrument settings, the retrieval was performed within a spectral window of approximately 7 nm that contained only Fraunhofer lines. In our retrieval, hyperspectral data of the O2-A band from the first Chinese carbon dioxide observation satellite (TanSat) was used. The Bayesian Information Criterion (BIC) was introduced to self-adaptively determine the number of free parameters and reduce retrieval noise. SIF retrievals were compared with TanSat SIF and OCO-2 SIF. The results showed good consistency and rationality. A sensitivity analysis was also conducted to verify the performance of this approach. To summarize, the approach would provide more possibilities for retrieving SIF from hyperspectral data.


Assuntos
Clorofila , Fotossíntese , Teorema de Bayes , Ecossistema , Fluorescência
18.
Trials ; 22(1): 33, 2021 Jan 07.
Artigo em Inglês | MEDLINE | ID: mdl-33413599

RESUMO

BACKGROUND: Endoscopic removal of colorectal adenoma is considered an effective treatment for reducing the mortality rates associated with colorectal cancer. Warfarin, a type of anticoagulant, is widely used for the treatment and prevention of thromboembolism; however, bleeding may increase with its administration after polypectomy. In recent times, a high incidence of bleeding after endoscopic polypectomy has been reported in patients receiving heparin bridge therapy. However, previous studies have not compared the bleeding rate after endoscopic colorectal polypectomy between patients who continued with anticoagulant therapy and those who received heparin bridge therapy. We hypothesised that endoscopic colorectal polypectomy under the novel treatment with continuous warfarin is not inferior to endoscopic colorectal polypectomy under standard treatment with heparin bridge therapy with respect to the rate of postoperative bleeding. This study aims to compare the efficacy of endoscopic colorectal polypectomy with continuous warfarin administration and endoscopic colorectal polypectomy with heparin bridge therapy with respect to the rate of postoperative bleeding. METHODS: We will conduct a prospective multicentre randomised controlled non-inferiority trial of two parallel groups. We will compare patients scheduled to undergo colorectal polypectomy under anticoagulant therapy with warfarin. There will be 2 groups, namely, a standard treatment group (heparin bridge therapy) and the experimental treatment group (continued anticoagulant therapy). The primary outcome measure is the rate of postoperative bleeding. On the contrary, the secondary outcomes include the rate of cumulative bleeding, rate of overt haemorrhage (that does not qualify for the definition of haemorrhage after endoscopic polypectomy), incidence of haemorrhage requiring haemostasis during endoscopic polypectomy, intraoperative bleeding during endoscopic colorectal polypectomy requiring angiography, abdominal surgery and/or blood transfusion, total rate of bleeding, risk factors for postoperative bleeding, length of hospital stay, incidence of thromboembolism, prothrombin time-international ratio (PT-INR) 28 days after the surgery, and incidence of serious adverse events. DISCUSSION: The results of this randomised controlled trial will provide valuable information for the standardisation of management of anticoagulants in patients scheduled to undergo colorectal polypectomy. TRIAL REGISTRATION: UMIN-CTR UMIN000023720 . Registered on 22 August 2016.


Assuntos
Neoplasias Colorretais , Varfarina , Anticoagulantes/efeitos adversos , Neoplasias Colorretais/cirurgia , Heparina/efeitos adversos , Humanos , Estudos Multicêntricos como Assunto , Hemorragia Pós-Operatória/induzido quimicamente , Hemorragia Pós-Operatória/prevenção & controle , Estudos Prospectivos , Ensaios Clínicos Controlados Aleatórios como Assunto , Varfarina/efeitos adversos
19.
Sci Total Environ ; 755(Pt 1): 142506, 2021 Feb 10.
Artigo em Inglês | MEDLINE | ID: mdl-33035982

RESUMO

Lagged precipitation effect explains a large proportion of annual aboveground net primary productivity in some dryland ecosystems. Using satellite-derived plant productivity and precipitation datasets in the Northern Hemisphere drylands during 2000-2018, we identify 1111 pixels mainly located in the Tibetan Plateau, the western US, and Kazakhstan where productivities are significantly correlated with previous-year precipitation (hereafter, the lagged type). Differences in climatic and edaphic factors between the lagged and unlagged (pixels where productivities are not correlated with previous-year precipitation) types are evaluated. Permutational multivariate analysis of variance shows that the two types differ significantly regarding six climatic and edaphic factors. Compared to unlagged type, water availability, soil organic carbon, total nitrogen, field capacity, silt content and radiation are more sensitive to changes in precipitation in lagged type. Water availability is the most important factor for distinguishing the two types, followed by soil organic carbon, total nitrogen, field capacity, soil texture, and radiation. Our study suggests that the altered sensitivities of several climatic and edaphic factors to precipitation collectively affect the lagged effect of precipitation on productivity in drylands.


Assuntos
Ecossistema , Solo , Carbono , Mudança Climática , Cazaquistão , Chuva , Água
20.
Biotechniques ; 70(1): 7-20, 2021 01.
Artigo em Inglês | MEDLINE | ID: mdl-33222514

RESUMO

A real-time dPCR system was developed to improve the sensitivity, specificity and quantification accuracy of end point dPCR. We compared three technologies - real-time qPCR, end point dPCR and real-time dPCR - in the context of SARS-CoV-2. Some improvement in limit of detection was obtained with end point dPCR compared with real-time qPCR, and the limit of detection was further improved with the newly developed real-time dPCR technology through removal of false-positive signals. Real-time dPCR showed increased linear dynamic range compared with end point dPCR based on quantitation from amplification curves. Real-time dPCR can improve the performance of TaqMan assays beyond real-time qPCR and end point dPCR with better sensitivity and specificity, absolute quantification and a wider linear range of detection.


Assuntos
Teste de Ácido Nucleico para COVID-19/métodos , Reação em Cadeia da Polimerase em Tempo Real , SARS-CoV-2/isolamento & purificação , COVID-19/diagnóstico , Teste de Ácido Nucleico para COVID-19/estatística & dados numéricos , Determinação de Ponto Final , Humanos
SELEÇÃO DE REFERÊNCIAS
DETALHE DA PESQUISA
...