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1.
Int J Cancer ; 2021 Nov 18.
Artigo em Inglês | MEDLINE | ID: mdl-34792202

RESUMO

Biomarkers for early detection of pancreatic cancer are in urgent need. To explore systematic circulating metabolites unbalance and identify potential biomarkers for pancreatic cancer in prospective Chinese cohorts, we conducted an untargeted metabolomics study in subjects with incident pancreatic cancer and matched controls (n=192) from the China Cardiometabolic Disease and Cancer Cohort (4C) Study. We characterized 998 metabolites in baseline serum and calculated 156 product-to-precursor ratios based on the KEGG database. The identified metabolic profiling revealed systematic metabolic network disorders before pancreatic cancer diagnosis. Forty-five metabolites or product-to-precursor ratios showed significant associations with pancreatic cancer (P < 0.05 and FDR < 0.1), revealing abnormal metabolism of amino acids (especially alanine, aspartate and glutamate), lipids (especially steroid hormone, vitamins, nucleotides and peptides. A novel metabolite panel containing aspartate/alanine (OR [95% CI]: 1.97 [1.31-2.94]), androstenediol monosulfate (0.69 [0.49-0.97]) and glycylvaline (1.68 [1.04-2.70]) was significantly associated with risk of pancreatic cancer. Area under the receiver operating characteristic curves (AUCs) was improved from 0.573 (reference model of CA 19-9) to 0.721. The novel metabolite panel was validated in an independent cohort with AUC improved from 0.529 to 0.661. These biomarkers may have a potential value in early detection of pancreatic cancer. This article is protected by copyright. All rights reserved.

2.
Chin Med J (Engl) ; 2021 Nov 10.
Artigo em Inglês | MEDLINE | ID: mdl-34759214

RESUMO

BACKGROUND: Contrast-enhanced ultrasound (CEUS) can detect lesions hidden in inflammatory regions and find necrosis or areas of severe fibrosis within the lesion. This retrospective study aimed to compare the diagnostic accuracy of solid pancreatic lesions using percutaneous ultrasound (US)-guided fine-needle aspiration (FNA) with or without CEUS assessment. METHODS: Clinical, imaging, and pathologic data of 181 patients from January 2014 to December 2018 in Pecking Union Medical College Hospital, with solid pancreatic masses who underwent percutaneous US-FNA and ThinPrep cytologic test were retrospectively evaluated. Patients were divided into CEUS and US groups according to whether CEUS was performed before the biopsy. According to FNA cytology diagnoses, we combined non-diagnostic, neoplastic, and negative cases into a negative category. The positive category included malignant, suspicious, and atypical cases. The final diagnosis was confirmed by pathology or clinical and radiological follow-up for at least 12 months. The sensitivity, specificity, positive predictive value (PPV), negative predictive value (NPV), and accuracy of US-FNA were evaluated between the two groups. RESULTS: This study enrolled 107 male and 74 female patients (average age: 60 years). There were 58 cases in the US group and 123 cases in the CEUS group. No statistically significant differences in age, gender, or lesion size were found between the two groups. The diagnostic accuracy of the CEUS group was 95.1% (117/123), which was higher than the 86.2% (50/58) observed in the US group (P = 0.036). The sensitivity, specificity, PPV, and NPV of the CEUS group were increased by 7.5%, 16.7%, 3.4%, and 18.8%, respectively, compared with the US group. However, the differences of the two groups were not statistically significant. CONCLUSIONS: Compared with the conventional US, the use of CEUS could improve the biopsy accuracy and avoid the need for a repeat biopsy, especially for some complicated FNA cases.

3.
Front Med (Lausanne) ; 8: 737810, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34692729

RESUMO

Objective: Spatial and temporal ventilation distributions in patients with acute respiratory failure during high flow nasal cannula (HFNC) therapy were previously studied with electrical impedance tomography (EIT). The aim of the study was to explore the possibility of predicting HFNC failure based on various EIT-derived parameters. Methods: High flow nasal cannula failure was defined reintubation within 48 h after HFNC. EIT was performed with the patients spontaneously breathing in the supine position at the start of HFNC. EIT-based indices (comprising the global inhomogeneity index, center of ventilation, ventilation delay, rapid shallow breathing index, minute volume, and inspiration to expiration time) were explored and evaluated at three time points (prior to HFNC, T1; 30 min after HFNC started, T2; and 1 h after, T3). Results: A total of 46 subjects were included in the final analysis. Eleven subjects had failed HFNC. The time to failure was 27.8 ± 12.4 h. The ROX index (defined as SpO2/FiO2/respiratory rate) for HFNC success patients was 8.3 ± 2.7 and for HFNC failure patients, 6.2 ± 1.8 (p = 0.23). None of the investigated EIT-based parameters showed significant differences between subjects with HFNC failure and success. Further subgroup analysis indicated that a significant difference in ventilation inhomogeneity was found between ARDS and non-ARDS [0.54 (0.37) vs. 0.46 (0.28) as evaluated with GI, p < 0.01]. Ventilation homogeneity significantly improved in ARDS after 60-min HFNC treatment [0.59 (0.20) vs 0.57 (0.19), T1 vs. T3, p < 0.05]. Conclusion: Spatial and temporal ventilation distributions were slightly but insignificantly different between the HFNC success and failure groups. HFNC failure could not be predicted by changes in EIT temporal and spatial indexes of ventilation distribution within the first hour. Further studies are required to predict the outcomes of HFNC.

4.
Sci Rep ; 11(1): 19273, 2021 Sep 29.
Artigo em Inglês | MEDLINE | ID: mdl-34588556

RESUMO

Chest electrical impedance tomography (EIT) is a promising application which is used to monitor the ventilation and perfusion of the lung at the bedside dynamically. The aim of the study was to introduce the first Chinese made chest EIT device for ICU application (Pulmo EIT-100). The system design of the hardware and software was briefly introduced. The performance of the system was compared to PulmoVista 500 (Dräger Medical) in healthy volunteers. The EIT system Pulmo EIT-100 consists of impedance measurement module, power supply module, PC all-in-one machine, medical cart and accessories. The performance of the system current source and voltage measurement unit was tested. A total of 50 healthy lung volunteers were prospectively examined. Subjects were asked to perform repetitive slow vital capacity (SVC) maneuvers with a spirometer. EIT measurements were performed in the following sequence during each SVC with: (1) Pulmo EIT-100, (2) PulmonVista500, (3) Pulmo EIT-100 and (4) PulmonVista500. Linearity and regional ventilation distribution of the reconstructed images from two devices were compared. The output frequency stability of the current source was 2 ppm. The amplitude error within one hour was less than 0.32‰. The output impedance of the current source was about 50kΩ. The signal-to-noise ratio of each measurement channel was ≥ 60 dB. For fixed resistance measurements, the measured values drifted about 0.08% within one hour. For human subjects, the correlations between the spirometry volume and EIT impedance from two devices were both 0.99 ± 0.01. No statistical significances were found in the parameters investigated. The repeatability (variability) of measures from the same device was comparable. Our EIT device delivers reliable data and might be used for patient measurement in a clinical setting.

5.
Biotechnol Lett ; 43(10): 2045-2052, 2021 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-34390483

RESUMO

OBJECTIVE: To investigate the protoplast preparation and transformation system of endophytic fungus Falciphora oryzae. RESULTS: F. oryzae strain obtained higher protoplast yield and effective transformation when treated with enzyme digestion solution containing 0.9 M KCl solution and 10 mg mL-1 glucanase at 30 °C with shaking at 80 rpm for 2-3 h. When the protoplasts were plated on a regenerations-agar medium containing 1 M sucrose, the re-growth rate of protoplasts was the highest. We successfully acquired green fluorescent protein-expressing transformants by transforming the pKD6-GFP vector into protoplasts. Further, the GFP expression in fungal hyphae possessed good stability and intensity during symbiosis in rice roots. CONCLUSIONS: This study provided a protoplast transformation system of F. oryzae, creating opportunities for future genetic research in other endophytic fungi.

6.
J Hazard Mater ; 419: 126435, 2021 10 05.
Artigo em Inglês | MEDLINE | ID: mdl-34323726

RESUMO

Dark septate endophytes (DSEs) are the typical representatives of root endophytic fungi in heavy metal (HM)-contaminated environments. However, little is known about their roles in the HMs tolerance of hosts and the underlying mechanism. Here, we investigated the biological roles and molecular mechanisms of a DSE strain Falciphora oryzae in alleviating cadmium (Cd) toxicities in rice. It was found that F. oryzae possessed a capacity of accumulating Cd in its vacuoles and chlamydospores. During symbiosis, F. oryzae conferred improved Cd tolerance to rice, decreasing Cd accumulation in roots and translocation to shoots. F. oryzae alleviated Cd toxicity to rice by sequestering Cd in its vacuoles. Further application of F. oryzae as fertilizer in the field could reduce Cd content in rice grains. We identified a SNARE Syntaxin 1 gene through proteomics, which participated in Cd tolerance of F. oryzae by regulating chlamydospore formation and vacuole enlargement. This study provided novel insights into how the DSEs and their host plants combat Cd stress.


Assuntos
Ascomicetos , Oryza , Poluentes do Solo , Cádmio/toxicidade , Endófitos/genética , Raízes de Plantas/química , Poluentes do Solo/análise , Poluentes do Solo/toxicidade
7.
Methods Mol Biol ; 2356: 199-209, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34236688

RESUMO

In nature, plants have evolved a myriad of preformed and induced defenses to protect themselves from microbes. Upon microbial infection, the recognition of the microbe-associated molecular patterns (MAMPs) by the pattern recognition receptors (PRRs) triggers the first stage of defense response (Dodds and Rathjen, Nat Rev Genet 11:539-548, 2010). However, in order to develop microbial delivery, effectors target PRRs for deregulating immune responses and facilitating host colonization (Thomma et al., Plant Cell 23:4-15, 2011). Here, we contribute a protocol for the screening system of Magnaporthe oryzae effectors and construct a fluorescent system to trace secretory proteins in the sheath infection samples. Using the tobacco rattle virus (TRV) system, the proteins including LysM, Chitin, Cutinase, and CFEM domains were selected and divided into two kinds according to the results of cell death induced or inhibited test in Nicotiana benthamiana. Then, candidate effectors can be deleted or overexpressed in M. oryzae. The barley or rice infection with M. oryzae, rice leaf sheath inoculation, and subcellular localization during infection can be performed to explore the functions of these effectors.

8.
Ann Transl Med ; 9(9): 789, 2021 May.
Artigo em Inglês | MEDLINE | ID: mdl-34268402

RESUMO

Background: Although electrical impedance tomography (EIT) is widely used for monitoring regional ventilation distribution, reference values have yet to be established for clinical use. The present study aimed to evaluate the feasibility of creating reference values for standard EIT parameters for potential clinical application. Methods: A total of 75 participants with healthy lungs were included in this prospective study (male:female, 48:27; age, 34±14 years; height, 172±7 cm; weight, 73±12 kg). The subjects were examined during spontaneous breathing in the supine position. EIT measurements were performed at the level of the 4th intercostal space. Commonly used EIT-based parameters, including the center of ventilation (CoV), dorsal and most dorsal fractions of ventilation distribution (TVD and TVROI4 respectively), global inhomogeneity (GI) index, and standard deviation of regional ventilation delay index (RVDSD) were calculated. Results: Following outlier detection, EIT data from 71 subjects were finally evaluated. The values of the evaluated parameters were: CoV, 48.7%±1.7%; TVD, 48.1%±5.4%; TVROI4, 7.1%±1.8%; GI, 0.49±0.04; and RVDSD, 7.0±2.0. The coefficients of variation for CoV and GI were low (0.03 and 0.07, respectively), but those for TVROI4 and RVDSD were comparatively high (0.26 and 0.28, respectively). None of the evaluated parameters showed a significant correlation with age. The GI index showed a weak but significant correlation with body mass index (R=0.29, P=0.01). The RVDSD was slightly higher in males than in females. Conclusions: Our study indicated that CoV and GI were stable parameters with small coefficients of variation in participants with healthy lungs. The creation of EIT parameter reference values for setting treatment targets may be feasible.

9.
Comput Biol Med ; 135: 104592, 2021 08.
Artigo em Inglês | MEDLINE | ID: mdl-34214941

RESUMO

OBJECTIVE: Anti-gravity straining maneuver (AGSM) helps to reduce the occurrence of gravity-induced visual disturbances and loss of consciousness. An objective assessment of the AGSM is still missing during ground training. This study evaluated the feasibility of using electrical impedance tomography (EIT) to assess the performance of AGSM. METHODS: Eight undergraduates and eight teachers majoring in aerospace medicine were included in the study. An experienced professor from the department of aerospace medicine reviewed the key points of AGSM with each subject. EIT measurement was performed during AGSM. The global and regional ventilation were used to investigate the characteristics of AGSM. The professor and the subjects rated the performance of AGSM according to the maneuver requirements of AGSM (maximum 16 points) before and after reviewing the ventilations from EIT. RESULTS: For global ventilation, the relative depth of gas exchange and duration of exhalation of the teachers were larger than those of the students (p < 0.01), and stability of the teachers was better as well (p < 0.001). No difference in the duration of gas exchange and leakage during exhalation between the teachers and the students was found. For regional ventilation, the teachers had significantly increased ventral ventilation during AGSM implementation (p < 0.001) whereas students did otherwise. Additionally, the differences of rating scores with and without EIT were also significant. Significant reductions were found in rating scores with EIT assessed by the professor (4.5 ± 2.0, p < 0.001) and by the students themselves (3.9 ± 2.2, p < 0.001). The scores were systematically higher when the students rated themselves compared with the professor's rating (p < 0.001 for both with and without EIT). CONCLUSION: These findings demonstrated that EIT could objectively characterize the maneuver details of AGSM, which might provide a potential tool for real-time assessment of AGSM quality in an objective manner.


Assuntos
Medicina Aeroespacial , Impedância Elétrica , Humanos , Pulmão , Respiração Artificial , Tomografia , Tomografia Computadorizada por Raios X
10.
Injury ; 52(11): 3355-3361, 2021 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-34281693

RESUMO

OBJECTIVES: To evaluate the Magnetic resonance imaging (MRI) findings of patients with a clinical diagnosis of tennis leg and to explore the pathogenesis of tennis leg. METHODS: A retrospective review of 58 (45 men, 13 women; age range, 7-81 years; mean age, 46.7 years) patients with a clinical diagnosis of tennis leg at our hospital during a 64-month period (May 2014 through Sep 2019) was conducted. All patients underwent MRI scan. Follow-up MRI was performed on 4 patients. Images findings, including integrity of the myotendinous junction and tendon of the gastrocnemius and soleus, and presence of fluid collection were analyzed. RESULTS: MRI revealed fluid collection between the medial head of the gastrocnemius and soleus in 44 cases (72.1%). In 25 cases (41.0%), the collected fluid spread to around the medial border of fascia cruris. Fifty-five cases (90.2%) had edema or disruption of the gastrocnemius, with most cases (n = 55) showing edema or disruption of the medial head of the gastrocnemius at the myotendinous junction. Twenty-two (36.1%) cases had edema or disruption of the soleus, with most cases (n = 17) showing edema or disruption of the soleus at the myotendinous junction. Plantaris tendon disruption was observed in 7 cases (11.5%). A thick area of reparative tissue at the distal myotendinous junction of the medial head of the gastrocnemius was observed in all 4 MRI patients followed up. CONCLUSION: Abnormalities of the medial head of the gastrocnemius at the myotendinous junction and tendon appear to be more common than those of the plantaris tendon. Reparative tissue at the distal myotendinous junction of the medial head of the gastrocnemius may be an important specific indication of chronic tennis leg injury.


Assuntos
Tênis , Adolescente , Adulto , Idoso , Idoso de 80 Anos ou mais , Criança , Feminino , Seguimentos , Humanos , Perna (Membro) , Imageamento por Ressonância Magnética , Masculino , Pessoa de Meia-Idade , Músculo Esquelético/diagnóstico por imagem , Estudos Retrospectivos , Ruptura , Adulto Jovem
11.
J Diabetes ; 13(12): 987-997, 2021 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-34259386

RESUMO

BACKGROUND: Type 2 diabetes is increasingly diagnosed at a younger age worldwide and in China. Limited data are available regarding the association between age at diabetes diagnosis and risks of albuminuria. This study sought to examine the independent effect of age at diagnosis of type 2 diabetes on the risk of albuminuria. METHODS: We used data from a nationwide multicenter study with 207 961 participants in mainland China. Age, sex, and study site were matched for 31 366 screen-detected type 2 diabetes cases and 31 366 normal controls. Age, sex, study site, and diabetes duration were matched for 7490 self-reported type 2 diabetes cases and 7490 normal controls. Risks of having albuminuria in matched type 2 diabetes vs controls were examined using multivariable logistic regression analysis in strata of age at diabetes diagnosis. RESULTS: Although the absolute rate of albuminuria is higher in older adults, the odds ratio of albuminuria in type 2 diabetes vs matched controls decreased with increasing age at diagnosis. For participants with diabetes diagnosed at an age of <50, 50 to 59, 60 to 69, or ≥70 years, the multivariable adjusted risk of albuminuria increased by 81%, 60%, 45%, and 33% for screen-detected diabetes, and 135%, 121%, 90%, and 58% for self-reported diabetes compared with their normal controls, respectively. CONCLUSIONS: A younger age at diagnosis of type 2 diabetes is associated with a more significantly elevated risk of albuminuria than an older age at diagnosis in Chinese adults.

12.
J BUON ; 26(3): 889-896, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34268950

RESUMO

PURPOSE: To assess the efficacy and safety of different perioperative regimens using network meta-analysis for hepatocellular carcinoma (HCC) with hepatic/portal vein thrombosis. The interested modalities included neoadjuvant three-dimensional conformal radiotherapy (3D-CRT), post-operative intensity modulated radiation therapy (IMRT). post-operative transarterial chemoembolization (TACE) and surgery alone. METHODS: PubMed and Cochrane Library electronic databases were systematically searched for eligible studies published up to November 2020. Data related to treatment efficacy including overall survival (OS), and disease-free survival (DFS) were extracted and compared using a Bayesian approach. Adverse events (AEs) were assessed and compared. RESULTS: Four studies published between 2005 and 2020 involving a total of 422 patients were enrolled in this network meta-analysis. The comparison showed that surgery with IMRT ranked relatively higher in prolonging OS in advanced HCC patients, followed by neoadjuvant 3DCRT and surgery plus TACE. Postoperative IMRT appeared better choice in terms of DFS. The rate of AEs did not significantly differ. CONCLUSION: Adjuvant IMRT showed more favorable treatment responses compared with other regimens in HCC patients with hepatic/portal vein thrombosis.

13.
Artigo em Inglês | MEDLINE | ID: mdl-34170458

RESUMO

A machine learning method was used to process a multiagent information database to study the spatial distribution characteristics of agglomerations of metal-related enterprises and to analyze the spatial and temporal differentiation characteristics of pollution reduction in metal-related enterprises. Based on the spatial distribution of enterprises and a simulation of their pollution reduction behaviors, the layout of 380 enterprises sample is optimized, and the direction of industrial transfer is planned to give full play to the pollution reduction effect of enterprise agglomeration. The results showed that (1) the metal-related enterprises in the Chang-Zhu-Tan urban agglomeration have obvious spatial heterogeneity and are mainly distributed in the district of Changsha, the Qingshuitang Industrial Zone, Liling city and the Qibaoshan Industrial Zone of Liuyang city, while the metal-related enterprises in Shaoshan city, Zhuzhou County and Liling city are scattered. (2) The pollution emission behaviors of enterprises differ in time and space, and the pollution concentrations are highest in industrial parks such as Qingshuitang and Zhubu Port. (3) There is an interactive relationship between the degree of enterprise agglomeration and the pollution reduction effect. The spatial positive coupling degree between the concentration of metal-related enterprises and the degree of metal-related pollution is significant, accounting for 94.96% of the study area. Low pollution-high agglomeration areas, high pollution-low agglomeration areas, high pollution-high agglomeration areas, and low pollution-low agglomeration area account for 1.01%, 4.03%, 2.87%, and 92.09% of the study area, respectively. Finally, based on the new development concept of dual circulation and the theory of a two-oriented society in the new era, the paper puts forward suggestions and policies for the sustainable development of industrial transfer.

14.
J Clin Endocrinol Metab ; 106(10): e3957-e3968, 2021 09 27.
Artigo em Inglês | MEDLINE | ID: mdl-34125886

RESUMO

CONTEXT: Little is known about the link between nonalcoholic fatty liver disease (NAFLD) evolution and incident chronic kidney disease (CKD). OBJECTIVE: We aim to assess the associations of NALFD status changes and NAFLD fibrosis progression with the risk of incident CKD. METHODS: We conducted a community-based prospective study that included participants aged 40 years or older and free of CKD at baseline in 2010, with follow-up evaluations after a mean of 4.4 years. NAFLD was diagnosed by ultrasonography and NAFLD fibrosis score (NFS) was used to evaluate fibrosis stage and progression. CKD was defined by estimated glomerular filtration rate or urine albumin-to-creatinine ratio. All the measurements were performed at baseline and follow-up examination. RESULTS: Among 4042 participants with 4 NAFLD status change groups, incident NAFLD was associated with an increased risk of incident CKD (odds ratio [OR] = 1.44; 95% CI, 1.003-2.06; P = 0.048) compared with non-NAFLD after adjustments for the confounders, including evolution of diabetes, hypertension, and obesity, in addition to the baseline levels. However, the risk of incident CKD was not significantly different between NAFLD resolution and persistent NAFLD. Among 534 participants in the persistent NAFLD group, fibrosis progression from low NFS to intermediate or high NFS was associated with a significantly increased risk of incident CKD compared with stable fibrosis in low NFS (OR = 2.82; 95% CI, 1.22-6.56; P = 0.016). CONCLUSION: NAFLD development and fibrosis progression are associated with increased risk of incident CKD.

16.
Physiol Meas ; 42(6)2021 06 29.
Artigo em Inglês | MEDLINE | ID: mdl-34044378

RESUMO

Objective. Traditional magnetic induction tomography (MIT) algorithms have problems in reconstruction, such as large area error (AE), blurred boundaries of reconstructed targets, and considerable image noise (IN). As the size and boundary of a lesion greatly affect the treatment plan, more accurate algorithms are necessary to meet clinical needs.Approach. In this study, adaptive threshold split Bregman (ATSB) is proposed for brain injury monitoring imaging in MIT. We established a 3D brain MIT simulation model with the actual anatomical structure and a phantom model and obtained the reconstructed images of single targets in different positions and multiple targets, using the Tikhonov, eigenvalue threshold regularisation (ETR), split Bregman (SB), and ATSB algorithms.Main results. Compared with the Tikhonov and ETR algorithms, the ATSB algorithm reduced the AE by 95% and the IN by 17% in a simulation and reduced the AE by 87% and IN by 6% in phantom experiments. Compared with the SB algorithm, the ATSB algorithm can reduce the difficulty of adjusting parameters and is easier to use in clinical practice. The simulation and phantom experiments results showed that the ATSB algorithm could reconstruct the target size more accurately and could distinguish multiple targets more effectively than the other three algorithms.Significance. The ATSB algorithm could improve the image quality of MIT and better meet the needs of clinical applications and is expected to promote brain injury monitoring imaging via MIT.


Assuntos
Lesões Encefálicas , Tomografia Computadorizada por Raios X , Algoritmos , Humanos , Processamento de Imagem Assistida por Computador , Fenômenos Magnéticos , Imagens de Fantasmas
17.
Integr Med Res ; 10(3): 100726, 2021 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-33996460

RESUMO

BACKGROUND: Shufeng Jiedu capsule has been widely used in China for acute upper respiratory tract infections (AURTIs). The aim of this study was to evaluate its effectiveness and safety for AURTIs. METHODS: Randomized controlled trials comparing SFJD with conventional drug for patients with AURTIs were included. Eight databases were searched from their inceptions to February 2021. Data was synthesized using risk ration (RR) or mean difference (MD) with their 95% confidence interval (CI). The primary outcome was resolution time of typical symptoms. RESULTS: Twenty-five RCTs involving 3410 patients were included. SFJD in combination with conventional drug was associated with; in common cold shortening the duration of fever (MD -1.54 days, 95% CI [-2.15,-0.92], I 2 = 80%, n = 385, 3 trials) and cough (MD -1.22 days, 95% CI [-1.52, -0.93]); in herpangina, shortening the duration of fever (MD -0.68 days, 95% CI [-1.15, -0.21], I2  = 68%, n = 140, 2 trials) and blistering (MD -0.99 days, 95% CI [-1.23, -0.76], n = 386, 3 trials); in acute tonsillitis and acute pharyngitis shortening the duration of fever (MD -1.13 days, 95% CI [-1.36, -0.90], I 2 = 33%, n = 688, 7 trials) and sore throat (MD -1.13 days, 95% CI [-1.40, -0.86], I 2 = 84.1%, n = 1194, 10 trials). SFJD also improving their cure rate with a range (1-5 days). No serious adverse events were reported. CONCLUSION: Low certainty evidence suggests that SFJD appears to shorten the duration of symptoms in AURTIs, improve cure rate and seems safe for application. However, high quality placebo controlled trials are warranted to confirm its benefit.

18.
Small ; 17(29): e2006813, 2021 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-34013648

RESUMO

Nanostructures with well-defined structures and rich active sites occupy an important position for efficient energy storage and conversion. Recent studies have shown that a transition metal chalcogenide (TMC) has a unique structure, such as diverse structural morphology, excellent stability, high efficiency, etc., and is used in the fields of electrochemistry and catalysis. The nanohollow structure metal chalcogenide has broad application prospects due to the existence of a large number of active sites and a wide internal space, allowing a large number of ions and electrons to be transported. Summarizing synthetic strategies of nanostructured hollow transition metal sulfides (HTMC) and their applications in the field of energy storage and conversion is discussed here. Through some representative examples, the fabrication and properties of various hollow structures are analyzed, which prompt some emerging nanoengineering designs to be applied to transition metal chalcogenides. It is hoped that the construction of the HTMC will lead to a deeper understanding for the further exploration of energy storage and conversion.

19.
Quant Imaging Med Surg ; 11(4): 1209-1219, 2021 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-33816161

RESUMO

Background: The global inhomogeneity (GI) index is a functional electrical impedance tomography (EIT) parameter which is used clinically to assess ventilation distribution. However, GI may underestimate the actual heterogeneity when the size of lung regions is underestimated. We propose a novel method to use anatomical information to correct the GI index calculation. Methods: EIT measurements were performed at the level of the fifth intercostal space in six patients with acute respiratory distress syndrome. The thorax and lungs were segmented automatically from serial individual CT scans. The anatomically derived lung regions were calculated in EIT images from simulating a homogeneous ventilation distribution in a finite element model. The conventional approach (GImeas,func ), analyzes images in functionally-defined lung regions, while our proposed measure (GImeas,anat ) is based on analysis in anatomically-defined regions. We additionally define a simulated comparison (GIsim,anat ) to determine the lower limit of the GI measure for a homogenous distribution of ventilation. Results: As expected, the conventional GImeas,func [0.382 (0.088), median (interquartile range)] were significantly lower than the proposed GImeas,anat [0.823 (0.152), P<0.05], and were much closer to the lower limit GIsim,anat [0.343 (0.039)]. Both GImeas,anat and GImeas,func were strongly correlated with arterial oxygen partial pressure to fractional inspired oxygen ratio (R=-0.88, P<0.05), whereas GIsim,anat (R=0.23) was not. GImeas,anat had a linear-regression slope 3.2 times that of GImeas,func suggesting a higher sensitivity to the changes in lung condition. Conclusions: The proposed GImeas,anat (or shortened as GIanat ) is an improved measure of ventilation inhomogeneity over GI, and better reflects portion of non-ventilated regions due to alveolar collapse or overdistension.

20.
Int J Med Sci ; 18(10): 2128-2136, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-33859519

RESUMO

Purpose: To analyze the chest CT imaging findings of patients with initial negative RT-PCR and to compare with the CT findings of the same sets of patients when the RT-PCR turned positive for SARS-CoV-2 a few days later. Materials and methods: A total of 32 patients (8 males and 24 females; 52.9±7years old) with COVID-19 from 27 January and 26 February 2020 were enrolled in this retrospective study. Clinical and radiological characteristics were analyzed. Results: The median period (25%, 75%) between initial symptoms and the first chest CT, the initial negative RT-PCR, the second CT and the positive RT-PCR were 7(4.25,11.75), 7(5,10.75), 15(11,23) and 14(10,22) days, respectively. Ground glass opacities was the most frequent CT findings at both the first and second CTs. Consolidation was more frequently observed on lower lobes, and more frequently detected during the second CT (64.0%) with positive RT-PCR than the first CT with initial negative RT-PCR (53.1%). The median of total lung severity score and the number of lobes affected had significant difference between twice chest CT (P=0.007 and P=0.011, respectively). Conclusion: In the first week of disease course, CT was sensitive to the COVID-19 with initial negative RT-PCR. Throat swab test turned positive while chest CT mostly demonstrated progression.


Assuntos
Teste de Ácido Nucleico para COVID-19/métodos , COVID-19/diagnóstico por imagem , Pneumonia Viral/diagnóstico por imagem , Tomografia Computadorizada por Raios X/métodos , COVID-19/etiologia , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Pneumonia Viral/etiologia , Reação em Cadeia da Polimerase Via Transcriptase Reversa , Tórax , Fatores de Tempo
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