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1.
Heliyon ; 10(7): e28875, 2024 Apr 15.
Artigo em Inglês | MEDLINE | ID: mdl-38576576

RESUMO

Neuroprotective therapeutic potential for restoring dysregulated microRNA (miRNA) expression has previously been demonstrated in a gerbil cerebral infarction model. However, since temporal changes in miRNA expression profiles following stroke onset are unknown, miRNAs proving to be useful therapeutic targets have yet to be identified. We evaluated cognitive function, hippocampal neuronal cell death, and microarray-based miRNA expression profiles at 5, 9, 18, 36, and 72 h after 5-min whole brain ischemia in gerbils. A decline in cognitive function occurred in parallel with increased neuronal cell death 36-72 h after ischemia. The Jonckheere-Terpstra test was used to analyze miRNA expression trends 5-72 h after ischemia. The expression levels of 63 miRNAs were significantly upregulated, whereas 32 miRNAs were significantly downregulated, monotonically. Of the 32 monotonically downregulated miRNAs, 18 showed the largest decrease in expression 5-9 h after ischemia. A subset of these dysregulated miRNAs (miR-378a-5p, miR-204-5p, miR-34c-5p, miR-211-5p, miR-34b-3p, and miR-199b-3p) could be associated with brain ischemia and neuropsychiatric disorders.

2.
Mol Med Rep ; 28(2)2023 08.
Artigo em Inglês | MEDLINE | ID: mdl-37326032

RESUMO

Histopathological changes occur in the brainstem during the early stages of Alzheimer's disease (AD), with the pathological changes of the brain lesions ascending progressively in accordance with the Braak staging system. The senescence­accelerated mouse prone 8 (SAMP8) mouse model has been previously used as a model of age­dependent neurodegenerative diseases, including AD. In the present study, microRNAs (miRNAs) that were upregulated or downregulated in SAMP8 brainstems were identified using miRNA profiling of samples obtained from miRNA arrays. The preliminary stage of cognitive dysfunction was examined using male 5­month­old SAMP8 mice, with age­matched senescence­accelerated mouse resistant 1 mice as controls. A Y­maze alternation test was performed to assess short­term working memory and miRNA profiling was performed in each region of the dissected brain (brainstem, hippocampus and cerebral cortex). SAMP8 mice tended to be hyperactive, but short­term working memory was preserved. Two miRNAs were upregulated (miR­491­5p and miR­764­5p) and two were downregulated (miR­30e­3p and miR­323­3p) in SAMP8 brainstems. In SAMP8 mice, the expression level of upregulated miRNAs were the highest in the brainstem, wherein age­related brain degeneration occurs early. It was demonstrated that the order of specific miRNA expression levels corresponded to the progression order of age­related brain degeneration. Differentially expressed miRNAs regulate multiple processes, including neuronal cell death and neuron formation. Changes in miRNA expression may result in the induction of target proteins during the early stages of neurodegeneration in the brainstem. These findings suggest that studying altered miRNA expression may provide molecular evidence for early age­related neuropathological changes.


Assuntos
Doença de Alzheimer , MicroRNAs , Camundongos , Masculino , Animais , Envelhecimento/metabolismo , MicroRNAs/genética , MicroRNAs/metabolismo , Tronco Encefálico/metabolismo , Tronco Encefálico/patologia , Encéfalo/metabolismo , Doença de Alzheimer/metabolismo , Hipocampo/metabolismo , Modelos Animais de Doenças
3.
Heliyon ; 9(3): e14503, 2023 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-36967911

RESUMO

In this study, waste biomass adsorbents produced from mangosteen shells (MGS) were prepared (denoted as MGS500 and MGS1000). The physical and chemical characteristics, such as scanning electron microscopy, thermogravimetric-differential thermal analysis, specific surface area, pore volumes, surface functional groups, and point of zero charge of the prepared MGS samples were determined, and the adsorption capacity of cadmium ions from aqueous media was assessed. The effects of pH, adsorption time, temperature, and coexistence on adsorption were carefully assessed using an inductively coupled plasma optical emission spectrometer under several experimental conditions. The adsorption capacity decreased in the order, MGS < MGS500 < MGS1000. The optimal pH for cadmium ion removal was 5.0. The amount of cadmium ions adsorbed gradually increased with time, and adsorption equilibrium was achieved within 24 h after adsorption. Additionally, the amount of adsorbed cadmium ions increased with increasing adsorption temperature. To elucidate the adsorption mechanism in detail, the elemental distribution and X-ray photoelectron spectra of the prepared adsorbents were analyzed. Finally, desorption solutions such as HNO3, H2O, and NaOH were used to desorb the absorbed cadmium ions from MGS1000. Under our experimental conditions, the desorption percentage of cadmium ions was approximately 98.8% using HNO3. In conclusion, MGS1000 exhibited a good adsorption capacity of 12.0 mg/g for adsorbing cadmium ions from aqueous media and desorption capacity with HNO3 at 1000 mmol/L.

4.
PLoS One ; 18(2): e0281599, 2023.
Artigo em Inglês | MEDLINE | ID: mdl-36809358

RESUMO

INTRODUCTION: Masked obesity (MO) is defined as a normal body mass index (BMI) with a high body fat percentage (%BF), and is associated with the onset of lifestyle-related diseases. However, little is known about the current status of MO. Therefore, we investigated the relationship of MO to physical characteristics and lifestyle habits among Japanese university students. METHODS: Between 2011 and 2019, we conducted a survey of 10,168 males and 4,954 females with BMI within the normal range (18.5 ≤ BMI < 25 kg/m2). MO was defined as %BF ≥ 20% in males and %BF ≥ 30% in females. Students completed a questionnaire containing items about lifestyle habits. Systolic and diastolic blood pressures were measured, and hypertension was defined as systolic above 140 mmHg and/or diastolic blood pressure above 90 mmHg. A multivariate logistic regression analysis was performed to evaluate the relationships as follows: the relationship of masked obesity to self-reported lifestyle habits, ideal body image, and anthropometric measures; the relationship between hypertension and body indices. RESULTS: The proportion of students with MO in 2019 was 13.4% in males and 25.8% in females, and the proportion of females increased over time. MO was associated with desire for weight loss (odds ratio, 95% confidence interval: 1.76, 1.53-2.02), intake of five macronutrients (0.79, 0.67-0.93), rice and wheat intakes (1.22, 1.01-1.47), sleep duration of < 7hr (0.85, 0.74-0.98), and exercise habit (0.71, 0.63-0.81) in males; and with balanced diet intake (0.79, 0.64-0.99) and exercise habit (0.65, 0.51-0.82) in females. There was a significant association of MO with hypertension in males (1.29, 1.09-1.53). CONCLUSION: The percentage of female students with MO increased during the study period, and in males, MO may be a risk factor for hypertension. These results suggest that intervention for MO is needed in Japanese university students.


Assuntos
Imagem Corporal , Hipertensão , Obesidade , Feminino , Humanos , Masculino , Índice de Massa Corporal , Estudos Transversais , População do Leste Asiático , Hábitos , Estilo de Vida , Autorrelato , Estudantes , Universidades
5.
BMC Health Serv Res ; 23(1): 28, 2023 Jan 12.
Artigo em Inglês | MEDLINE | ID: mdl-36635725

RESUMO

BACKGROUND: To prevent task accumulation on certain divisions, our institution developed a unique system of allocating inpatient treatment of COVID-19 patients to doctors who were not specialized in respiratory infections. The objective of this study was to investigate whether surgeons can be involved in the COVID-19 inpatient treatment without negatively affecting patient outcome, and how such involvement can affect the wellbeing of surgeons. METHODS: There were 300 patients diagnosed with COVID-19 and hospitalized from January to June 2021, and 160 of them were treated by the redeployed doctors. They were divided into 3 groups based on the affiliation of the treating doctor. Patient characteristics and outcomes were compared between the groups. In addition, the impact of COVID-19 duty on participating surgeons was investigated from multiple perspectives, and a postduty survey was conducted. RESULTS: There were 43 patients assigned to the Department of Surgery. There were no differences in the backgrounds and outcomes of patients compared with other groups. The surgeon's overtime hours were significantly longer during the duty period, despite no change in the number of operations and the complication rate. The questionnaire revealed that there was a certain amount of mental and physical burden from the COVID-19 duty. CONCLUSION: Surgeons can take part in inpatient COVID-19 treatment without affecting patient outcome. However, as such duty could negatively affect the surgeons' physical and mental wellbeing, further effort is needed to maintain the balance of fulfilling individual and institutional needs.


Assuntos
Esgotamento Profissional , Tratamento Farmacológico da COVID-19 , COVID-19 , Cirurgiões , Humanos , Esgotamento Profissional/prevenção & controle , Hospitais , Japão , Cirurgiões/psicologia
6.
Mol Nutr Food Res ; 67(3): e2200748, 2023 02.
Artigo em Inglês | MEDLINE | ID: mdl-36461919

RESUMO

SCOPE: d-allulose is a low-calorie rare sugar. It has been reported that d-allulose supplementation significantly inhibits diet-induced hepatic fat accumulation. However, the underlying molecular mechanisms remain unclear. This study elucidates the mechanism underlying the suppressive effect of d-allulose on hepatic fat accumulation in terms of miRNA regulation. METHODS AND RESULTS: Male C57BL/6 mice are divided into three experimental groups-normal diet and distilled water (CC group), high-fat diet (HFD) and distilled water (HC group), and HFD and 5% d-allulose solution (HA group)-and fed the respective diets for 8 weeks. Weight gain is significantly lower in the HA group than that in the HC group, although the caloric intake is the same in both. Histological analysis of liver tissues reveals excessive lipid accumulation in the HC group; this is greatly attenuated in the HA group. Real-time PCR and western blot analyses demonstrate that, compared to the HC group, the HA group exhibits decreased hepatic PPARγ and CD36 expression. Hepatic miR-130 expression levels are higher in the HA group than those in the CC and HC groups. CONCLUSIONS: These results indicate that miRNA changes associated with PPARγ may underlie the suppression of hepatic lipid accumulation induced by d-allulose intake.


Assuntos
Hepatopatia Gordurosa não Alcoólica , Obesidade , Animais , Masculino , Camundongos , Dieta Hiperlipídica , Suplementos Nutricionais , Lipídeos/farmacologia , Fígado/metabolismo , Camundongos Endogâmicos C57BL , Hepatopatia Gordurosa não Alcoólica/metabolismo , Obesidade/metabolismo , PPAR gama/metabolismo , Água/metabolismo , Água/farmacologia
7.
Chem Pharm Bull (Tokyo) ; 70(12): 876-884, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-36450586

RESUMO

To verify the interaction between sodium polystyrene sulfonate (SPS) and its concomitant drugs, we elucidated the capability of potassium ions and concomitant drugs to adsorb onto SPS and the effect of their coexistence on the amount adsorbed. We identified 14 drugs used concomitantly with SPS from 2017-2019 in our investigation, and 5 drug preparations used in the clinical setting were used for the experiments. In the artificial intestinal juice, SPS adsorbed 39.05-69.77 mEq/g of potassium ions. Amlodipine besylate and nifedipine were well-adsorbed, while azosemide and febuxostat were did not adsorb well onto SPS. Our results and the results of a previous study suggest that additives in drug preparations affect the adsorption of drugs onto SPS. The adsorption kinetics onto SPS of drugs conformed to the pseudo-second order model. However, the adsorption of amlodipine besylate completely may not be fitted to the pseudo-second order model. The amount of amlodipine besylate adsorbed under the coexistence of potassium ions decreased compared to when potassium ions were absent. The amount of nifedipine and potassium ions adsorbed remained constant, regardless of whether potassium ions were present or not. These results might be due to the differences in their mechanisms of adsorption onto SPS and to the characteristics of the drugs. In a clinical setting, SPS is used concomitantly with various oral drugs. The interaction between SPS and its other concomitant drugs need to be elucidated more to obtain enough evidence for pharmacists to propose the appropriate prescription.


Assuntos
Nifedipino , Potássio , Adsorção , Íons , Trato Gastrointestinal , Anlodipino
8.
Sci Rep ; 12(1): 17292, 2022 10 14.
Artigo em Inglês | MEDLINE | ID: mdl-36241691

RESUMO

Numerous studies have revealed distinct differences in the profiles of gut microbiota between non-obese and obese individuals. To date, however, little is known if any disparities in the community of gut microbiota exist between metabolically healthy obese (MHO) and metabolically unhealthy obese (MUO) subjects. We therefore aimed to comprehensively characterize the gut microbiota and circulating metabolites in serum from both MHO and MUO residing in the remote island, Kumejima, where the prevalence of obesity is one of the highest in Japan, and explored possible correlations between the gut microbiota profile and markers of metabolic syndrome. Results revealed that MUO showed significantly higher levels of genera such as g_Succinivibrio, g_Granulicatella, g_Brachyspira, g_Oribacterium and g_Atopobium in comparison to MHO. Moreover, abundance of g_Succinivibrio, g_Brachyspira and g_Atopobium were positively correlated with value of fasting insulin, HOMA-R, circulating triglycerides, diastolic blood pressure, BMI, body weight, waist circumference and HbA1c. In addition, MUO compared to MHO showed an imbalance of serum metabolites, with a significant elevation in 2-oxoisovaleric acid, pyruvic acid, 2-hydroxybutyric acid, and creatine. Our data highlight unmet needs in precision approaches for the treatment of obesity, targeting the gut microbiota profile and serum metabolites in a distinct population affected by obesity.


Assuntos
Microbioma Gastrointestinal , Insulinas , Síndrome Metabólica , Índice de Massa Corporal , Creatina , Hemoglobinas Glicadas , Humanos , Japão/epidemiologia , Síndrome Metabólica/metabolismo , Obesidade/metabolismo , Ácido Pirúvico , Triglicerídeos
9.
Sci Rep ; 12(1): 17652, 2022 10 21.
Artigo em Inglês | MEDLINE | ID: mdl-36271126

RESUMO

Microscopic colitis (MC) is a chronic inflammatory bowel disease that is characterized by nonbloody watery diarrhea. The epidemiology in Japan differs from that in Europe and the United States, but little information is available from epidemiological surveys of MC in Japan. This study aimed to provide a new hypothesis regarding the factors associated with MC by using the Japanese Adverse Drug Event Report (JADER) database. "Colitis microscopic" (preferred term code: 10056979) cases entered into the JADER database between 2004 and 2021 were analyzed. Of the 246,997 cases in the JADER database, 161 cases were observed to be associated with MC. A Weibull analysis revealed that the median onset duration of MC (interquartile range) was 72.5 (36.0‒125.5) days in lansoprazole users and 116.0 (60.3‒1089.0) days in aspirin users. A multiple logistic regression analysis revealed that MC was significantly associated with the female sex, as well as ages ≥ 60 years and drugs including lansoprazole, aspirin, and nicorandil. A subset analysis revealed that MC was positively associated with obesity in female cases. Our study cannot demonstrate a causal inference between MC and each drug; however, the findings suggest that MC was associated with nicorandil as well as with lansoprazole and aspirin.


Assuntos
Colite Microscópica , Efeitos Colaterais e Reações Adversas Relacionados a Medicamentos , Feminino , Humanos , Estados Unidos , Pessoa de Meia-Idade , Sistemas de Notificação de Reações Adversas a Medicamentos , Japão/epidemiologia , Nicorandil , Colite Microscópica/induzido quimicamente , Colite Microscópica/epidemiologia , Lansoprazol/efeitos adversos , Aspirina
10.
Chem Pharm Bull (Tokyo) ; 70(9): 624-627, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-36047233

RESUMO

In this study, we evaluate the desorption or recovery capacity of chromium(VI) ions using desorption solutions containing sodium hydroxide (NaOH) or sodium sulfate (Na2SO4). A complex hydroxide of nickel-aluminum-zirconium (NAZ) was prepared as the adsorbent for the removal of chromium(VI) ions. The results from repeated adsorption/desorption experiments on chromium(VI) ions using NAZ complex hydroxide were evaluated. The desorption percentage of chromium(VI) ions increased with the increase in the concentration of NaOH or Na2SO4 in the desorption solution. The determined optimal concentration of NaOH or Na2SO4 in the desorption solution was 10 mmol/L under the used experimental conditions. After three adsorption-desorption cycles, the recovery percentages of chromium(VI) ions using NaOH and Na2SO4 were 60% (total amounts adsorbed and desorbed were 102 and 61 mg/g, respectively) and 75% (total amounts adsorbed and desorbed were 96 and 72 mg/g, respectively), respectively. Additionally, we confirmed the existence of chromium on the surface of the NAZ complex hydroxide. After three adsorption/desorption cycles, the crystal structure of the NAZ complex hydroxide was maintained. These results indicated the potential of the NAZ complex hydroxide using a desorption solution containing NaOH or Na2SO4 for the recovery of chromium(VI) ions.


Assuntos
Níquel , Poluentes Químicos da Água , Adsorção , Alumínio/química , Cromo/química , Concentração de Íons de Hidrogênio , Hidróxidos/química , Íons , Cinética , Níquel/química , Hidróxido de Sódio , Poluentes Químicos da Água/química , Zircônio
11.
Chem Pharm Bull (Tokyo) ; 70(5): 400-407, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-35491197

RESUMO

Coal fly ash (FA) was treated by hydrothermal activation with sodium hydroxide solution at different concentrations to optimize the conversion method. Zeolite of the sodium type is prepared from coal FA by 1, 1.5, and 3 mol/L sodium hydroxide solutions (ZE1, ZE1.5, and ZE3). These adsorbents' morphology, crystal structure, scanning electron microscopy, Fourier transform (FT)-IR spectra, cation exchange capacity (CEC), specific surface area and pore volumes, and pHpzc were determined. An adsorption experiment was performed to evaluate the effects of contact time, pH, temperature, and coexistence. From the results, the values of CEC and specific surface area of prepared samples was in the order ZE3 < ZE1.5 < ZE1. The similar trends were observed in lead ions adsorption. In addition, our obtained data elucidate that the ion exchange with sodium ions in the interlayer ZE1 is one of the adsorption mechanisms of Pb2+ from water layer. Finally, lead ions adsorbed on ZE1 could be desorbed using a hydrochloric acid solution, showing that ZE1 could be reused as a water purification agent.


Assuntos
Cinza de Carvão , Zeolitas , Adsorção , Cátions , Carvão Mineral , Cinza de Carvão/química , Sódio , Hidróxido de Sódio/química , Zeolitas/química
12.
Metabolites ; 12(5)2022 May 23.
Artigo em Inglês | MEDLINE | ID: mdl-35629972

RESUMO

(1) Background: Evidence has accumulated regarding the etiology of lower urinary tract symptoms associated with obesity and metabolic syndrome. Therefore, the present study aimed to identify which subjectively and objectively measured voiding parameters were associated with obesity in a community-based population. (2) Methods: Voiding parameters on a self-administered questionnaire and a digital self-health monitoring system for urine excretion (s-HMSU) were compared between participants with and without obesity, defined as a body mass index ≥ 25 kg/m2 (n = 30 and 29, respectively), from a community in Okinawa, Japan. Logistic regression analysis was employed to calculate the odds ratios of abnormalities in voiding parameters for the obese group, with the non-obese group serving as a reference. (3) Results: The obese group had odds ratios of 5.17 (95% confidence interval: 1.33−20.0) for shortened hours of undisturbed sleep (<302 min) by s-HMSU and 7.65 (1.88−31.1) for nighttime urinary frequency by a questionnaire after adjusting for age and sex. In addition, the obese group had an adjusted odds ratio of 2.27 (0.76−6.78) for decreased maximum bladder capacity (<212 mL) by s-HMSU. (4) Conclusion: the results of the present study suggest that nocturia and shortened hours of undisturbed sleep are signs of obesity.

13.
Water Sci Technol ; 85(10): 2827-2839, 2022 May.
Artigo em Inglês | MEDLINE | ID: mdl-35638790

RESUMO

To increase the adsorption capability of Hg2+ from aqueous media, we prepared sodium-type fine zeolite grains with various particle sizes (denoted as ZE1, ZE2 and ZE3). The particle sizes of ZE1, ZE2 and ZE3 were 16.363 ± 0.365, 1.454 ± 0.357 and 0.607 ± 0.377 µm, respectively. Moreover, the CEC, specific surface area and pore volume were in the order ZE1 (42 mmol/g and 23.5 m2/g) < ZE2 (72 mmol/g and 67.1 m2/g) < ZE3 (135 mmol/g and 176.6 m2/g). Subsequently, the Hg2+ adsorption capability was investigated. The performance of tested agents on Hg2+ adsorbed was in the order ZE1 (5.0 mg/g) < ZE2 (9.4 mg/g) < ZE3 (20.2 mg/g). It was concluded that fine crystalline zeolite was important in enhancing the adsorption capability of Hg2+. In addition, the mechanism of adsorption of Hg2+ on the ZE samples was evaluated. Our results suggested that Hg2+ was exchanged with sodium ions in the interlayers of ZE samples with correlation coefficients of 0.966-0.979. Our findings revealed that these ZE samples constitute potential agents for the adsorption of Hg2+ from aqueous media.


Assuntos
Mercúrio , Zeolitas , Adsorção , Íons , Mercúrio/química , Sódio , Zeolitas/química
14.
Molecules ; 27(8)2022 Apr 07.
Artigo em Inglês | MEDLINE | ID: mdl-35458592

RESUMO

We combined a nickel-aluminum-zirconium complex hydroxide (NAZ) with colloidal silica as a binder to prepare a granulated agent for adsorbing heavy metals from aqueous media. Three samples with different particle diameters were prepared to evaluate the effects on the properties: small (NAZ-S), medium (NAZ-M), and large (NAZ-L). We confirmed the granulation of the prepared samples at a binder content of 25%. NAZ-S had the largest specific surface area and number of hydroxyl groups, followed by NAZ-M and then NAZ-L. Regarding the adsorption capacity, NAZ-S adsorbed the most chromium(VI) ions followed by NAZ-M and then NAZ-L. The binding energy of Cr(2p) at 575-577 eV was detected after adsorption, and the effects of the temperature, contact time, and pH on the adsorption of chromium(VI) ions were evaluated. We identified the following adsorption mechanism: ion exchange with sulfate ions in the interlayer region of the NAZ samples. Finally, the chromium(VI) ions adsorbed by the NAZ samples were easily desorbed using a desorption solution. The results showed that NAZ offers great potential for the removal of chromium(VI) ions from aqueous solutions.


Assuntos
Níquel , Poluentes Químicos da Água , Adsorção , Alumínio/química , Cromo/química , Concentração de Íons de Hidrogênio , Hidróxidos , Cinética , Níquel/química , Dióxido de Silício/química , Água , Poluentes Químicos da Água/química , Zircônio/química
15.
Chem Pharm Bull (Tokyo) ; 70(4): 254-260, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-35370201

RESUMO

In this study, 21 tea types (six black, four green, three Oolong, two herb, and five medicinal) were used to remove ionic dye from wastewater, as they could be potential adsorbents for several ionic dyes without purification or activated treatment. The majority of the 21 teas could adsorb cationic (MB) and anionic (ORII) dyes, with greater suitability for cationic dyes, as well as BB54 and BR46. Black dye (KBla), a mixture of several dyes, was adsorbed to a high degree. The tea waste treatment resulted in chromaticity reduction of the dye solution and turbidity changes. Dye adsorption was greater at higher temperatures than lower ones, although the effect of temperature was not strong. The adsorptions fit the pseudo-second-order-model; therefore, they involved chemical adsorption. The tea waste had great potential for the adsorption of several types of dyes without purification or activated treatment, although the mechanisms are yet to be determined. Therefore, the physical properties and structural components of each tea type should be analyzed by comparing common or different features of tea types. Taken together, many types of tea that are consumed worldwide can be used for efficient adsorption of ionic dyes by application of the tea waste.


Assuntos
Poluentes Químicos da Água , Purificação da Água , Cátions , Corantes/química , Chá/química , Poluentes Químicos da Água/química , Purificação da Água/métodos
16.
Diabetol Int ; 13(1): 272-279, 2022 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-35059263

RESUMO

INTRODUCTION: Diabetic ketoacidosis (DKA) is an acute life-threatening complication in patients with type 1 diabetes mellitus (T1DM) and type 2 diabetes mellitus (T2DM). Causes, underlying pathophysiology, and mortality differ significantly by diabetes type, which initial treatment is dependent on, but few reports on these differences are available. This study aimed to clarify differences in clinical characteristics between the diabetes types to extract important clinical clues for preventing DKA and ensuring appropriate initial treatment in the emergency room. METHODS: We retrospectively analyzed the clinical presentation of 24 T1DM patients and 13 T2DM patients admitted with DKA to Kobe City Medical Center West Hospital between April 2006 and December 2018. RESULTS: In T1DM, the main causes were insulin omission and new onset, and important factors were also misdiagnosis with consequent inappropriate insulin prescription and older age with dementia. In T2DM, the main causes were infection and excessive soft drink consumption. For all soft drink ketosis patients, this was the first presentation of diabetes. The main complaint differed between diabetes types. Vomiting was a characteristic symptom in T1DM DKA; most T2DM DKA patients presented with generalized malaise or decreased level of consciousness. On blood examination, serum potassium level was higher and HbA1c was lower in T1DM DKA. CONCLUSIONS: To prevent DKA, it is important to provide social support for elderly patients with T1DM DKA and lifestyle intervention for younger T2DM or obese patients. Vomiting and serum potassium levels contribute to the classification of diabetes type and subsequent initial treatment in the emergency room. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1007/s13340-021-00539-w.

17.
Mol Med Rep ; 25(3)2022 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-35039873

RESUMO

Progressive supranuclear palsy (PSP) is a neurodegenerative tauopathy described as a syndrome of postural instability, supranuclear vertical gaze palsy, dysarthria, dystonic rigidity of the neck and trunk, dementia, and pseudobulbar palsy. The clinical diagnosis of PSP is often difficult because there are no established biomarkers, and diagnosis is currently based on clinical and imaging findings. Furthermore, the etiology and pathogenesis of PSP remain unknown. Dysregulation of microRNAs (miRNAs/miRs) has been reported to serve an important role in neurodegenerative diseases. However, the miRNA profiles of patients with PSP are rarely reported. The present study aimed to examine cerebrospinal fluid miRNAs, which are considered to be more sensitive indicators of changes in the brain, to elucidate the pathophysiology of PSP and to establish specific biomarkers for diagnosis. The present study used a microarray chip containing 2,632 miRNAs to examine cerebrospinal fluid miRNA expression levels in 11 patients with PSP aged 68­82 years. A total of 8 age­ and sex­matched controls were also included. A total of 38 miRNAs were significantly upregulated and one miRNA was significantly downregulated in the cerebrospinal fluid of patients with PSP. The patients were divided into two groups based on disease stage (early onset and advanced), and changes in miRNA expression were examined. The miRNAs that were most significantly upregulated or downregulated in the early onset group were miR­204­3p, miR­873­3p and miR­6840­5p. The target genes of these miRNAs were associated with molecules related to the ubiquitin­proteasome system and autophagy pathway. Furthermore, these miRNAs were found to target genes that have been reported to have epigenetic changes following an epigenome­wide association study of brain tissues of patients with PSP. This suggested that these miRNAs and genes may have some involvement in the pathogenesis of PSP. However, the sample size of the present study was small; therefore, a greater number of patients with PSP should be examined in future studies.


Assuntos
Biomarcadores/líquido cefalorraquidiano , MicroRNAs/líquido cefalorraquidiano , Paralisia Supranuclear Progressiva/líquido cefalorraquidiano , Paralisia Supranuclear Progressiva/diagnóstico , Idoso , Idoso de 80 Anos ou mais , Feminino , Perfilação da Expressão Gênica/métodos , Regulação da Expressão Gênica , Humanos , Masculino , MicroRNAs/genética , Pessoa de Meia-Idade , Sensibilidade e Especificidade , Paralisia Supranuclear Progressiva/genética , Síndrome
19.
Chem Pharm Bull (Tokyo) ; 69(8): 789-795, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34334523

RESUMO

In this study, the effect of contact time, temperature, pH, and coexistences on the adsorption of phosphate ions using the complex nickel-aluminum-zirconium hydroxide (NAZ) was evaluated. Moreover, the recovery of adsorbed phosphate ions from NAZ using desorption solution with different concentrations was demonstrated. The results showed that the quantity of phosphate ions adsorbed gradually increased with time, and the adsorption equilibrium was achieved within 24 h after adsorption. This kinetic data could be well described by the pseudo-second-order model with the correlation coefficient in the value of 0.997. Additionally, the quantity of phosphate which was adsorbed increased as temperature increased, and these results corresponded well with both the Langmuir, the correlation coefficient ranged from 0.920-0.949, and Freundlich models, the correlation coefficient ranged from 0.863-0.995. These results showed that the adsorption of phosphate ion was monolayer adsorption onto the NAZ surface. The optimal pH for removal of phosphate ions from aqueous media was during 4-8. In addition, chloride, nitrate, and sulfate ions did not significantly affect to the adsorption capability of phosphate ions in the complex solution system. Finally, the phosphate ions which were adsorbed onto NAZ could be recovered using sodium sulfate solution (recovery percentage: approx. 50% using sodium sulfate solution at 1000 mmol/L). These results highlight the potential of using NAZ as the cost-effectiveness adsorbent for phosphate ions removal from aqueous media.


Assuntos
Alumínio/química , Hidróxidos/química , Níquel/química , Fosfatos/química , Zircônio/química , Adsorção , Concentração de Íons de Hidrogênio , Íons/química , Tamanho da Partícula , Propriedades de Superfície , Termodinâmica
20.
Heliyon ; 7(7): e07644, 2021 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-34381899

RESUMO

Raw and calcined basil seeds (BS and BS1000, respectively) were evaluated for their ability to remove herbicides such as paraquat and diquat. The physicochemical properties of BS and BS1000 were determined and the effects of contact time and initial concentration on paraquat and diquat adsorption were assessed. After calcination treatment, the number of pores in BS increased, and the specific surface area was increased from 0.265 to 86.902 m2 g-1. The quantity of herbicides adsorbed using BS1000 was greater than that using either BS or medicinal-grade carbon. Additionally, the adsorption quantity increased with the increase in contact time and initial concentration of herbicide. Therefore, BS1000 is a potential resource for the removal of herbicides. Moreover, BS and BS1000 exhibited the capacity for herbicide adsorption in simulated intestinal fluid.

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