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1.
Front Public Health ; 12: 1287911, 2024.
Artigo em Inglês | MEDLINE | ID: mdl-38566796

RESUMO

Purpose: To identify the key mental health and improvement factors in hospital administrators working from home during COVID-19 normalization prevention and control. Methods: The survey was conducted from May to June 2023, and the practical experiences of 33 hospital administrators were collected using purposive sampling. The study examined a set of mental health factor systems. The relationship structure between the factors was constructed using the Decision-making Trial and Evaluation Laboratory (DEMATEL) method. Finally, the structure was transformed using the influence weight of each factor via the DEMATEL-based Analytic Network Process. Results: Regarding influence weight, the key mental health factors of hospital administrators are mainly "lack of coordination," "time management issues," and "work-life imbalances." The influential network relation map shows that improvements can be made by addressing "improper guidelines," "laziness due to being at home," and "job insecurity" because they are the main sources of influence. The reliability level of the results for the network structure and weight was 98.79% (i.e., the gap was 1.12% < 5%). Conclusion: The network analysis model based on DEMATEL proposed in this study can evaluate the mental health factors of hospital administrators during the pandemic period from a multidimensional and multidirectional perspective and may help improve mental health problems and provide suggestions for hospital administrators.


Assuntos
Administradores Hospitalares , Saúde Mental , Humanos , Reprodutibilidade dos Testes , Projetos de Pesquisa , Inquéritos e Questionários
2.
Heliyon ; 10(7): e28549, 2024 Apr 15.
Artigo em Inglês | MEDLINE | ID: mdl-38586358

RESUMO

Age-related functional deterioration in skeletal muscle raises the risk for falls, disability, and mortality in the elderly, particularly in obese people or those with type 2 diabetes mellitus (T2D). However, the response of the skeletal muscle to transitioning from obesity to diabetes remains poorly defined, despite that obesity is classified as a stage of pre-diabetes. We screened and selected spontaneously obese and diabetic rhesus monkeys and examined altered protein expression in skeletal muscle of healthy aging (CON), obesity aging (OB), and type 2 diabetes mellitus aging (T2D) rhesus monkeys using Tandem Mass Tags (TMT)-based quantitative proteomic analysis. In total, we identified 142 differentially expressed proteins. Muscle-nerve communication proteins were firstly suppressed at obese-stage. With the disintegration of skeletal muscle, mitochondrial complex I and other energy homeostasis relate proteins were significantly disordered at T2D stage. Indicating that aging related obesity suppressed muscle-nerve communication and contribute to T2D related functional deterioration of skeletal muscles in elderly rhesus monkeys. Some alterations of muscular functional regulator are detected in both obesity and T2D samples, suggesting some T2D related skeletal muscular hypofunctions are occurring at obesity or pre-obesity stage. Muscle-nerve communication proteins and muscular function related proteins could be potential therapy target or early diagnose marker of for skeletal muscular hypofunctions in aging obesity populations.

3.
Mater Horiz ; 11(7): 1668-1678, 2024 Apr 02.
Artigo em Inglês | MEDLINE | ID: mdl-38476075

RESUMO

Although stimuli-responsive microemulsions (MEMs) consisting of water, oil and surfactants have found extensive potential applications in industrial fields, a responsive MEM exhibiting either macroscale superlubricity or two friction states where its coefficient of friction (CoF) can be switched by more than one order of magnitude has not yet been reported. Moreover, although traditional liquid superlubricants can provide ultralow friction and wear, effective control over the friction between two contacting surfaces is crucial for both achieving accurate control of the operation of an instrument and fabricating smart devices. Here we create a thermo- and magneto-responsive MEM capable of providing superlubrication for metallic materials in a broad temperature range from -30 to 20 °C using n-hexane, water, surfactant DDACe ((C12H25)2N+(CH3)2[CeCl4]-) and ethylene glycol. The MEM can abruptly and dramatically switch its CoF by approximately 25 fold based on a thermally reversible MEM-emulsion (EM) transition. Its anti-freezing performance allows it to provide effective lubrication even when the surrounding temperature attains as low as -60 °C. Together with its facile preparation, ultrahigh colloidal stability and magnetically controlled migration, such a novel smart MEM is envisioned to find widespread applications in materials science.

4.
Langmuir ; 40(12): 6394-6401, 2024 Mar 26.
Artigo em Inglês | MEDLINE | ID: mdl-38483330

RESUMO

The enormous demand for petroleum consumption has resulted in the shortage of fossil resources, prompting the need to explore unconventional reservoirs. Polyacrylamide emulsion drag reducers are capable of inhibiting the turbulence of fracturing fluids for enhancing the reservoir stimulation results, but the poor dissolution efficiency of polyacrylamide emulsion drag reducers is the primary limitation to their large-scale application. Here, a pH-responsive ionic liquid surfactant, oleic acid/cyclohexanediamine (HOA/HMDA), is synthesized by using oleic acid (HOA) and cyclohexanediamine (HMDA). HOA/HMDA shows a remarkable pH-responsive behavior due to the pH-induced deconstruction of the HOA/HMDA structure. Interestingly, the HOA/HMDA-stabilized monomer emulsion exhibits an obvious pH-induced emulsion structure transformation behavior. In addition, the HOA/HMDA-stabilized monomer emulsion possesses excellent dynamic and storage stability, supporting the inverse emulsion polymerization of the polymer P(AM/AMPS/AA). The obtained P(AM/AMPS/AA) polymer inverse emulsions maintained stability for 30 days. Our finding proposes that the structure of the P(AM/AMPS/AA) polymer inverse emulsions changes with pH stimulation, which is capable of facilitating the release of polymers. P(AM/AMPS/AA) is released from the P(AM/AMPS/AA) polymer inverse emulsions within 30 s at a pH value of 12.06, along with a drag reduction rate of 62.54%. Obviously, the HOA/HMDA-stabilized P(AM/AMPS/AA) polymer inverse emulsions eliminate the contradiction between the stability and release of polyacrylamide emulsion drag reducers, which is promising for meeting the demands of reservoir stimulation.

5.
Langmuir ; 40(3): 1922-1930, 2024 Jan 23.
Artigo em Inglês | MEDLINE | ID: mdl-38211333

RESUMO

Long running-in period and corrosion problems have greatly hindered the practical applications of poly(ethylene glycol) (PEG) lubricants. In this work, benzotriazole group-terminated carbon dots (BT-CDs) were specifically synthesized through a facile solvothermal method. The benzotriazole groups on BT-CD surfaces not only imparted them excellent dispersibility in the PEG base oil but also brought in outstanding anticorrosion ability for BT-CDs. With the aid of the coordination effects between benzotriazole groups and metal atoms, the BT-CDs could quickly and solidly adsorb onto the steel surface to form a dense adsorption layer, which resulted in an amazing phenomenon, i.e., the disappearance of the running-in period for the friction test. Adding 5.0 wt % BT-CDs reduced the friction and wear of PEG200 by 49.16 and 49.52%, respectively. When the duration was prolonged from 20 to 120 min, these values were further enlarged to 53.77 and 60.71%. The worn surface characterization demonstrated that the BT-CDs induced the generation of robust lubricating films on the frictional interfaces, accounting for their distinguished tribological performance. Considering the superior anticorrosion ability and the potential possibility of avoiding the running-in period, the BT-CDs are expected to be developed as particularly promising additives toward PEG.

6.
Small Methods ; : e2301598, 2024 Jan 02.
Artigo em Inglês | MEDLINE | ID: mdl-38168900

RESUMO

Photocatalysis is an effective technique to remove antibiotic residues from aquatic environments. Typical metal sulfides like Zn3 In2 S6 have been applied to a wide range of photocatalytic applications. However, there are currently no readily accessible methods to increase its antibiotic-degrading activity. Here, a facile hydrothermal approach is developed for the preparation of flower-like Zn3 In2 S6 with tunable sulfur lattice defects. Photogenerated carriers can be separated and transferred more easily when there is an adequate amount of lattice defects. Moreover, lattice defect-induced electronic modulation enhances light utilization and adsorption properties. The modified Zn3 In2 S6 demonstrates outstanding photocatalytic degradation activity for levofloxacin, ofloxacin, and tetracycline. This work sheds light on exploring metal sulfides with sulfur lattice defects for enhancing photocatalytic activity.

7.
Oncol Lett ; 27(2): 83, 2024 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-38249815

RESUMO

Heparanase (HPSE), an endo-ß-D-glucuronidase, cleaves heparan sulfate and serves an important role in the tumor microenvironment and thus in tumorigenesis. HPSE is known to promote tumor cell evasion of apoptosis. However, the underlying mechanism of this requires further study. In the present study, the results demonstrated that myeloid cell leukemia-1 (MCL-1), an antiapoptotic protein, and HPSE were upregulated in prostate cancer tissues compared with adjacent normal tissues. In addition, the HPSE inhibitor, OGT 2115, inhibited PC-3 and DU-145 prostate cancer cell viability in a dose-dependent manner, with IC50 values of 20.2 and 97.2 µM, respectively. Furthermore, annexin V/PI double-staining assays demonstrated that OGT 2115 induced apoptosis in prostate cancer cells. OGT 2115 treatment markedly decreased MCL-1 protein expression levels, whereas RNA interference-mediated downregulation of MCL-1 and OGT 2115 drug treatment synergistically induced apoptosis in PC-3 and DU-145 cells. In vivo, OGT 2115 40 mg/kg (ig) significantly inhibited PC-3 cell xenograft growth in nude mice and increased the positive TUNEL staining rate of xenograft tissues. It was therefore hypothesized that MCL-1 was an important signaling molecule in OGT 2115-induced apoptosis. The results of the present study also demonstrated that the proteasome inhibitor, MG-132, markedly inhibited the downregulation of MCL-1 protein expression levels induced by OGT 2115. However, the protein synthesis inhibitor, cycloheximide, did not affect the role of OGT 2115 in regulating MCL-1. In summary, the results of the present study demonstrated that the proapoptotic activity of OGT 2115 was achieved by downregulating MCL-1.

8.
Langmuir ; 40(4): 2333-2342, 2024 Jan 30.
Artigo em Inglês | MEDLINE | ID: mdl-38237053

RESUMO

Wormlike micelles (WLMs) are highly sensitive to alkanes, resulting in structural destruction and loss of viscosity. Therefore, the study of WLMs against alkanes holds great significant importance. Surface-active ionic liquids have shown increasing promise for different situations for customizing molecular structures with the specialty of flexible functional assembly. In this paper, we found that WLMs constructed from the long-chain fatty acid surface-active ionic liquid (N,N-dimethylbenzylamine-oleic acid, abbreviated as BD-OA) exhibit strengthened viscoelasticity with the introduction of alkanes, expanding the resistance range to alkane damage. Here, the rheological behavior, microstructure, and dissipative particle dynamics (DPD) simulations of BD-OA WLMs were investigated at macro-, micro-, and mesoscopic scales, before (and after) the introduction of alkane. Our findings confirm the structural transformation of the micellar system from WLMs to lamellar micelles with higher viscoelasticity after alkane induction. The rearrangement of the micelle configuration may be attributed to the infiltration of alkane molecules into the fence layer formed by the BD-OA WLMs, leading to an increase in the boundary accumulation parameter and ultimately resulting in the formation of lower curvature lamellar micelles. More importantly, the against alkanes BD-OA WLMs have exhibited excellent in enhanced oil recovery, which has a promise for substituting common oil-displacing agents in tertiary oil recovery processes.

9.
Langmuir ; 39(39): 13976-13985, 2023 Oct 03.
Artigo em Inglês | MEDLINE | ID: mdl-37729158

RESUMO

Additional hydrophilic surfactants are generally introduced into W/O emulsion drag reducer systems to enhance the dissolution capacity of polymers. The hydrophilic surfactants may decrease the stability of W/O emulsion, which leads to deterioration of polymer emulsions in the storage and transport process instead. Herein, a pH-switchable surfactant, N-(2-morpholinoethyl) oleamide (NMEO) was designed for stabilizing a W/O emulsion drag reducer. The surface activity and solubility changes occurring at pH < 6 of NMEO guaranteed the phase inversion from W/O to O/W of emulsions upon pH stimulation. Based on optimal conditions (oil-water ratio of 0.429, NMEO concentration of 3 wt%, and pH of 6.5), the inverse emulsion polymerization of poly(acrylamide-co-acrylic acid-co-2-acrylamide-2-methylpropane sulfonic acid) was proceeded to obtain a W/O polymer emulsion with the pH-switchable behavior. It was demonstrated that the polymer emulsions were provided with prolonged storage stability by NMEO and could be stored for at least 30 days due to the absence of hydrophilic surfactants. The polymers were released and completely dissolved within 2.5 min by pH stimulation, compared with traditional emulsion polymers and powder polymers that require 4 and 17 min, respectively. In addition, the emulsion drag reducer prepared by NMEO provided drag-reduction performance of 64.67% at 0.021 wt% concentration. The pH-switchable behavior of NMEO promotes the validity of W/O polymer emulsions along with the capacity of rapid release and solubilization, which eliminates the imbalance between the long-term storage stability and rapid solubility of traditional drag reducers. Thus, NMEO-stabilized emulsion drag reducers are expected to be a promising alternative for traditional products.

10.
Clin Chim Acta ; 548: 117506, 2023 Aug 01.
Artigo em Inglês | MEDLINE | ID: mdl-37549822

RESUMO

BACKGROUND: Both pathological and normal processes depend on proteins. In this study, plasma protein profiles were analyzed by a novel proximity extension assay (PEA) to identify potential pathogenic mechanisms and diagnostic biomarkers in patients diagnosed with acute myocardial infarction (AMI). METHODS: In this study, we identified a total of 92 plasma proteins using the Olink Target 96 Cardiovascular III panel in a cohort consisting of 30 healthy controls (HC), 28 patients with unstable angina (UA) and 30 patients with AMI. Subsequently, we conducted a differential expression analysis to identify protein molecules that were specifically expressed in patients with AMI. To gain insights into the potential functional mechanisms of these differentially expressed molecules, we performed Gene Ontology (GO) enrichment and Kyoto Encyclopedia of Genes and Genomes (KEGG) pathway analyses. Following that, the utilization of least absolute shrinkage and selection operator (LASSO) regression facilitated the identification of potential protein biomarkers, enabling the differentiation between AMI and UA. A diagnostic model was subsequently developed through logistic regression, and the effectiveness of these markers was assessed using receiver operating characteristic (ROC) analysis. Ultimately, the diagnostic capabilities of these potential biomarkers were validated in an independent validation cohort consisting of 30 UA cases and 30 AMI cases. RESULTS: In this study, a comprehensive analysis of plasma proteins identified a total of 92 proteins. Further analysis using analysis of variance revealed that 25 proteins exhibited specific expression in the AMI group compared to the HC and UA groups. Additionally, KEGG enrichment analysis indicated that these differentially expressed proteins were primarily associated with the activation of cytokine-cytokine receptor interaction, PI3K-Akt signaling pathway, and GnRH signaling pathway. AGRP, TGM2, IL6, GH1, and CA5A were identified through LASSO regression as prospective protein biomarkers for distinguishing between UA and AMI. The diagnostic model comprising these five proteins exhibited exceptional performance in both the discovery and validation datasets, surpassing AUC values of 0.9. CONCLUSION: The findings of our study provide additional insights into the involvement of the inflammatory response and AKT cascade response in the development of AMI. Moreover, we have identified potential protein markers that could be utilized for the accurate diagnosis of AMI. These results offer a fresh perspective for clinical decision-making in the context of AMI.


Assuntos
Infarto do Miocárdio , Proteômica , Humanos , Estudos Prospectivos , Fosfatidilinositol 3-Quinases , Proteínas Proto-Oncogênicas c-akt , Biomarcadores
11.
J Proteome Res ; 22(10): 3200-3212, 2023 Oct 06.
Artigo em Inglês | MEDLINE | ID: mdl-37624590

RESUMO

The incidence of thyroid cancer (TC) has been increasing over the last 50 years worldwide. A higher rate of overdiagnosis in indolent thyroid lesions has resulted in unnecessary treatment. An accurate detection of TC at an early stage is highly demanded. We aim to develop an enhanced isobaric labeling-based high-throughput plasma quantitative proteomics to identify biomarkers in a discovery cohort. Selected candidates were tested by enzyme-linked immunosorbent assay (ELISA) in the training cohort and validation cohort. In total, 1063 proteins were quantified, and 129 proteins were differentially expressed between patients and healthy subjects. Serum levels of ISG15 and PLXNB2 were significantly elevated in patients with papillary thyroid cancer (PTC) or thyroid adenoma, compared to healthy subjects (p < 0.001) and patients with nodular goiter (p < 0.001). Receiver operating characteristic (ROC) analysis of combined markers (ISG15 and PLXNB2) significantly distinguished PTC from healthy control (HC) subjects. Similar differentiations were also found between thyroid adenoma and HC subjects. Notably, this combined marker could distinguish stage-I PTC from HC subjects (area under the curve (AUC) = 0.872). Our results revealed that ISG15 and PLXNB2 are independent diagnostic biomarkers for PTC and thyroid adenoma, showing a promising value for the early detection of PTC.

12.
Langmuir ; 39(29): 10280-10288, 2023 Jul 25.
Artigo em Inglês | MEDLINE | ID: mdl-37450274

RESUMO

The phenomenon of droplets impacting elastic surfaces is common in nature and in many engineering applications. It has been shown that droplet impact on an elastic surface drastically reduces droplet contact time and hinders droplet spreading. However, most of the current studies are based on experiments, and the analysis of the influence mechanism of the elastic substrate on the dynamic behavior of droplets is not complete. In addition, the simulations of droplet impact on elastic substrates are mainly focused on 2D elastic films or vibrating rigid substrates, ignoring the effect of 3D elastic substrate deformation on the droplet dynamic behavior. Therefore, in this paper, we propose to model the droplet impact on a 3D hydrophobic elastic substrate using the molecular dynamics method. We find that droplet pancake rebound can substantially reduce the droplet contact time. Moreover, we record the conditions required for the pancake rebound of the droplet. Furthermore, we investigated the effects of the elastic modulus of the substrate and the initial velocity of the droplet on the droplet contact time, contact area, and spreading factor. This study further elucidates the influence mechanism of the elastic substrate on the dynamic behavior of the droplet and provides theoretical guidance for regulating the dynamic behavior of the droplet in related fields.

13.
Comput Biol Med ; 164: 107255, 2023 09.
Artigo em Inglês | MEDLINE | ID: mdl-37499296

RESUMO

Dynamic contrast-enhanced magnetic resonance imaging (DCE-MRI) has shown high sensitivity to diagnose breast cancer. However, few computer-aided algorithms focus on employing DCE-MR images for breast cancer diagnosis due to the lack of publicly available DCE-MRI datasets. To address this issue, our work releases a new DCE-MRI dataset called BreastDM for breast tumor segmentation and classification. In particular, a dataset of 232 patients selected with DCE-MR images for benign and malignant cases is established. Each case consists of three types of sequences: pre-contrast, post-contrast, and subtraction sequences. To show the difficulty of breast DCE-MRI tumor image segmentation and classification tasks, benchmarks are achieved by state-of-the-art image segmentation and classification algorithms, including conventional hand-crafted based methods and recently-emerged deep learning-based methods. More importantly, a local-global cross attention fusion network (LG-CAFN) is proposed to further improve the performance of breast tumor images classification. Specifically, LG-CAFN achieved the highest accuracy (88.20%, 83.93%) and AUC value (0.9154,0.8826) in both groups of experiments. Extensive experiments are conducted to present strong baselines based on various typical image segmentation and classification algorithms. Experiment results also demonstrate the superiority of the proposed LG-CAFN to other breast tumor images classification methods. The related dataset and evaluation codes are publicly available at smallboy-code/Breast-cancer-dataset.


Assuntos
Neoplasias da Mama , Neoplasias Mamárias Animais , Humanos , Animais , Feminino , Meios de Contraste , Imageamento por Ressonância Magnética/métodos , Mama/diagnóstico por imagem , Mama/patologia , Neoplasias da Mama/patologia , Algoritmos
14.
Front Mol Neurosci ; 16: 1185021, 2023.
Artigo em Inglês | MEDLINE | ID: mdl-37293545

RESUMO

Background: Owing to the lack of valid biomarkers, the diagnosis of autism spectrum disorder (ASD) diagnosis relies solely on the behavioral phenotypes of children. Several researchers have suggested an association between ASD and inflammation; however, the complex relationship between the two is unelucidated to date. Therefore, the current study aims to comprehensively identify novel circulating ASD inflammatory biomarkers. Methods: Olink proteomics was applied to compare the plasma inflammation-related protein changes in a group of the healthy children (HC, n = 33) and another with ASD (n = 31). The areas under the receiver operating characteristic curves (AUCs) of the differentially expressed proteins (DEPs) were calculated. The functional analysis of the DEPs was performed using Gene Ontology and Kyoto Encyclopedia Genes and Genomes. Pearson correlation tests were used employed to analyze the correlation between the DEPs and clinical features. Results: A total of 13 DEPs were significantly up-regulated in the ASD group compared with the HC group. The four proteins, namely, STAMBP, ST1A1, SIRT2, and MMP-10 demonstrated good diagnostic accuracy with the corresponding AUCs (95% confidence interval, CI) of 0.7218 (0.5946-0.8489), 0.7107 (0.5827-0.8387), 0.7016 (0.5713-0.8319), and 0.7006 (0.568-0.8332). Each panel of STAMBP and any other differential protein demonstrated a better classification performance [AUC values from 0.7147 (0.5858-0.8436, STAMBP/AXIN1) to 0.7681 (0.6496-0.8867, STAMBP/MMP-10)]. These DEP profiles were enriched in immune and inflammatory response pathways, including TNF and NOD-like receptor signaling pathways. The interaction between STAMBP and SIRT2 (R = 0.97, p = 8.52 × 10-39) was found to be the most significant. In addition, several DEPs related to clinical features in patients with ASD, particularly AXIN1 (R = 0.36, p = 0.006), SIRT2 (R = 0.34, p = 0.010) and STAMBP (R = 0.34, p = 0.010), were positively correlated with age and parity, indicating that older age and higher parity may be the inflammation-related clinical factors in ASD. Conclusion: Inflammation plays a crucial role in ASD, and the up-regulated inflammatory proteins may serve as potential early diagnostic biomarkers for ASD.

15.
Langmuir ; 39(19): 6730-6739, 2023 May 16.
Artigo em Inglês | MEDLINE | ID: mdl-37133283

RESUMO

Hydrophobic deep eutectic solvents (HDESs) have been applied to colloidal systems such as microemulsions, despite the development of stimulus-responsive HDESs still being in a preliminary stage. Here, menthol and indole were hydrogen bonded to form CO2-responsiveness HDES. A surfactant-free microemulsion constituted of HDES (menthol-indole) as the hydrophobic phase, water as the hydrophilic phase, and ethanol as the double solvent was demonstrated to be CO2- and temperature-responsive. Dynamic light scattering (DLS) proved the single-phase region of the phase diagram, while conductivity and polarity probing techniques confirmed the kind of microemulsion. The ternary phase diagram and DLS methods were used to investigate the responsiveness of CO2 and effect temperature on the microemulsion drop size and behavior of the phase of the HDES/water/ethanol microemulsion. The findings revealed that when temperature increased, the homogeneous phase region increased. The droplet size in the homogeneous phase region of the associated microemulsion may be reversibly and accurately adjusted by adjusting the temperature. Surprisingly, a slight temperature change can cause a significant phase inversion. Furthermore, in the system, there was no demulsification in time for the CO2/N2 responsiveness process but rather the production of a homogeneous and pellucid aqueous solution.

16.
Langmuir ; 39(14): 4967-4974, 2023 Apr 11.
Artigo em Inglês | MEDLINE | ID: mdl-37000603

RESUMO

In order to solve problems such as environmental pollution and pipeline blockage caused by oily wastewater after washing, N,N-dimethylcyclohexylamine (DMCHA) with CO2 response was selected as the oil phase, and an O/W microemulsion wellbore cleaning fluid with CO2 switching characteristics was successfully prepared with erucamide propyl betaine (EAB-40), sodium dodecyl benzene sulfonate (SDBS), n-butanol, silicone defoamer, and water. The water content of the microemulsion was 89.99%, and it had good stability at 40 and -5 °C. The emulsion was rapidly demulsified after being injected with CO2 in the CO2-repurification microemulsion detergent, and CO2 was removed with a N2 detergent. The emulsion was restored to its original state, which demonstrated the CO2/N2 switching properties of the emulsion. It is proven that the switching microemulsion has a good wetting transformation ability by cleaning the steel sheet and quartz sheet contaminated by oil-based slurry. The switching microemulsion system can clean the simulated wellbore contaminated by oil-based slurry, and the cleaning efficiency is above 99%. CO2 can be used at room temperature to separate oil and water from oily wastewater after cleaning.

17.
NPJ Digit Med ; 6(1): 12, 2023 Feb 01.
Artigo em Inglês | MEDLINE | ID: mdl-36725977

RESUMO

Current evidence on digital health interventions is disproportionately concerned with high-income countries and hospital settings. This scoping review evaluates the extent of use and effectiveness of digital health interventions for non-communicable disease (NCD) management in primary healthcare settings of low- and middle-income countries (LMICs) and identifies factors influencing digital health interventions' uptake. We use PubMed, Embase, and Web of Science search results from January 2010 to 2021. Of 8866 results, 52 met eligibility criteria (31 reviews, 21 trials). Benchmarked against World Health Organization's digital health classifications, only 14 out of 28 digital health intervention categories are found, suggesting critical under-use and lagging innovation. Digital health interventions' effectiveness vary across outcomes: clinical (mixed), behavioral (positively inclined), and service implementation outcomes (clear effectiveness). We further identify multiple factors influencing digital health intervention uptake, including political commitment, interactivity, user-centered design, and integration with existing systems, which points to future research and practices to invigorate digital health interventions for NCD management in primary health care of LMICs.

18.
Langmuir ; 2023 Jan 09.
Artigo em Inglês | MEDLINE | ID: mdl-36623252

RESUMO

Wearable strain sensors of conductive hydrogels have very broad application prospects in electronic skins and human-machine interfaces. However, conductive hydrogels suffer from unstable signal transmission due to environmental humidity and inherent shortcomings of their materials. Herein, we introduce a novel moisture-proof conductive hydrogel with high toughness (2.89 MJ m-3), mechanical strength (1.00 MPa), and high moisture-proof sensing performance by using dopamine-functionalized gold nanoparticles as conductive fillers into carboxymethyl guar gum and acrylamide. Moreover, the hydrogel can realize real-time monitoring of major and subtle human movements with good sensitivity and repeatability. In addition, the hydrogel-assembled strain sensor exhibits stable sensing signals after being left for 1 h, and the relative resistance change rate under different strains (25-300%) shows no obvious noise signal up to 99% relative humidity. Notably, the wearable strain sensing is suitable for wearable sensor devices with high relative humidity.

19.
Langmuir ; 2023 Jan 12.
Artigo em Inglês | MEDLINE | ID: mdl-36633940

RESUMO

A new form of surfactant-free microemulsion (SFME) including hydrophobic deep eutectic solvent (HDES)/ethanol/water was constructed based on its CO2 response, and three regions, that is, HDES-in-water (HDES/W), bicontinuous (B.C.), and water-in-HDES (W/HDES) regions, were recognized. It is anticipated that SFMEs with tunable microstructures have outstanding applications as nanoreactors in reaction processes. The feasibility of preparing nanoparticles from HDES/ethanol/water SFME using barium fluoride (BaF2) as a model nanoparticle was investigated. HDES-based microemulsions benefit from HDES's excellent properties (novel, low toxicity, CO2-responsive, easy availability) and have potential in universal reactions, drug delivery, advanced material fabrication, etc. In this research, HDES-based microemulsions were prepared using HDES as the oil phase. Phase equilibria and microstructure were investigated using a ternary phase diagram, UV spectrophotometry, and the conductivity method. The CO2 switchable characteristics of the HDES-based microemulsions were investigated. HDES-based microemulsions were proposed as nanoreactors for the synthesis of barium fluoride nanomaterials. The microemulsion structure can modulate the size, morphology, and physicochemical properties of the nanoparticles through the CO2 switchable properties. It is argued that nanoreactors constructed with versatile HDES will offer a new direction for creation of cutting-edge scientific applications.

20.
Front Neurosci ; 17: 1269996, 2023.
Artigo em Inglês | MEDLINE | ID: mdl-38222105

RESUMO

Background: The importance of ferroptosis and the immune system has been mentioned in the pathogenesis of α-synucleinopathy. The α-synuclein-immunoreactive inclusions that primarily affect oligodendrocytes are the hallmark of multiple system atrophy (MSA). Limited evidence implicates that iron and immune responses are involved in the pathogenesis of MSA, which is associated with neurodegeneration and α-synuclein aggregation. Methods: The RNA sequencing data were collected from the Gene Expression Omnibus database. MSA-C-related module genes were identified through weighted gene co-expression network analysis. Gene Ontology and Kyoto Encyclopedia of Genes and Genomes analyses were performed to predict the potential molecular functions. The candidate ferroptosis-related genes associated with MSA-C were obtained using a machine-learning algorithm. CIBERSORT was used to estimate the compositional patterns of the 22 types of immune cells. Results: The tissues for sequencing were extracted from postmortem cerebellar white matter tissues of 11 MSA-C patients and 47 healthy controls. The diagnostic ability of the six MSA-C-related ferroptosis-related genes in discriminating MSA-C from the healthy controls demonstrated a favorable diagnostic value, with the AUC ranging from 0.662 to 0.791. The proportion of CD8+ T cells in MSA-C was significantly higher than in the controls (P = 0.02). The proportion of NK cells resting in MSA-C was significantly higher than in the controls (P = 0.011). Conclusion: Ferroptosis and T-cell infiltration may be important pathways of disease development in MSA-C, and targeting therapies for these pathways may be disease-modifying.

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